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Community
Benefit Report




    www.carondelet.org/cbp
Carondelet
HealtH netWorK
Board of direCtors



exeCutive Committee

Stephen E. Quinlan
Chairman

Susanna K. Laundy, FHFMA, CPA
Treasurer

Steve Lynn
Secretary

Ruth W. Brinkley, RN, FACHE
President & CEO                       CONTENTS
                                         Mission & our Values                          1
Board memBers
                                         a leTTer To our CoMMuniTY                  2-3
Randall L. Bennett, M.D.
                                         CaronDeleT HealTH neTWorK:                 4-5
John E. Boulet, M.D., FACC
                                         TransForMinG HealTHCare
Sister Annette Bower, CSJ, Ph.D          in souTHern ariZona
Sisters of St. Joseph of Carondelet
                                         CaTHoliC Mission                              6
Darryl Jones                             & DeFiniTion oF CoMMuniTY BeneFiTs

Elizabeth K. Kaminski                    BeneFiTs To THe CoMMuniTY                     7
                                         & CoMMuniTY ParTners
Christopher G. Linscott,
CPA, CFE, CIRA                           oFFerinG aCCess To HealTHCare serViCes     8-9
Sister Judy Murphy, CSJ, MSN, JD
                                         ouTsiDe THe HosPiTal
Sisters of St. Joseph of Carondelet
                                         ProViDinG Care unConDiTionallY               10
Fran Roberts, RN, Ph.D.                  For THose in neeD

Reid Schindler, M.D.                     BuilDinG a sTronG HealTHCare FuTure          11

Carolyn Hope Smeltzer, RN, Ed.D.         ProMoTinG HealTHCare CoVeraGe            12 - 13

Lisa Soltani, M.D., MPH

William C. Stout
      Mission
      Carondelet Health Network’s Mission is to provide for the health care needs of our community; to

      embrace the whole person, in mind, body and spirit; and, to serve all people with dignity.




                                                                                             Our Values:
                                                                                              Service of the Poor
                                                                                 generosity of spirit, especially for persons
                                                                                                               most in need

                                                                                                             Reverence
                                                                                   respect and compassion for the dignity
                                                                                                       and diversity of life

                                                                                                              Integrity
                                                                               inspiring trust through personal leadership

                                                                                                                 Wisdom
                                                                                   integrating excellence and stewardship

                                                                                                             Creativity
                                                                                                   courageous innovation

                                                                                                           Dedication
                                                                               affirming the hope and joy of our ministry




St. Catherine’s Chapel at St. Mary’s Hospital, built in 1928.


                                                                                                                                1
    a leTTer To our CoMMuniTY


    It is our privilege to introduce Carondelet Health Network’s 2008 Community Benefit Report
    to our community. This annual report for the period ended June 30, 2008, describes the
    myriad of ways in which we advance our goal of providing 100 percent access to health care
    for all, with particular attention to the needs of the poor and most vulnerable.

    Our goal of achieving 100 percent access is based on forging strong and collaborative
    relationships with community partners committed to serving those most in need. In 2008,
    Carondelet contributed $26,500,557 for Care of the Poor and General Community Benefit
    programs and services for the region. We are grateful for the hard work of our board,
    leadership, associates, medical staff, volunteers and community partners who supported us in
    these efforts.

    We are also pleased to report that in 2008, we completed a Network-wide strategic planning
    process to establish a strategic vision for the future. This vision will sustain the Carondelet
    mission and healing ministry for generations to come. Our strategic direction is supported
    by four core goals that best position Carondelet to lead the transformation of healthcare in
    Southern Arizona. These goals are: Superior Quality, Culture of Excellence, Integrated Care
    Delivery and Effective Stewardship of Resources. We call this new direction Carondelet 2020:
    Transforming Healthcare in Southern Arizona.

    When the Sisters of St. Joseph of Carondelet first arrived in Tucson nearly 130 years ago,
    they founded the first hospital in the Arizona territory with the objective of meeting the
    most pressing community needs at that time – healthcare. Although times have changed
    dramatically since 1880, our mission remains constant: to bring the healing ministry of Jesus
    Christ to the community, with particular attention to the needs of the poor and vulnerable.
    As we embark on our new strategic direction to transform healthcare in Southern Arizona,
    we do so with a dedicated commitment to continue the pioneering spirit and legacy of our
    founders.

    The following are examples of how Carondelet successfully demonstrated this commitment
    by bringing advanced technology, innovative programs and services to our community.




2
              A Letter from the Chairman of the Board and the President and C EO


•	 On April 5, 2008, the new Carondelet Medical Pavilion, a five-story, 164,000-square-foot facility opened
   on the campus of St. Joseph’s Hospital, adding 167 new private, acute-care hospital beds to the region. This
   expansion increased bed capacity for Carondelet hospitals to care for patients and also reduced the burden
   that existed as a result of bed shortages across the region.

•	 In 2008, the Carondelet Neurological Institute, a $38 million state-of-the-art facility dedicated to the
   treatment of neurological illnesses, opened its doors on the campus of St. Joseph’s Hospital. As a result of
   this new Institute’s creation, patients and family members now have access to world-class neurological and
   neurosurgical care on one campus. Families who previously had to travel out of state for neurological care
   can now stay in Tucson for treatment and post-acute care.

•	 With the emergence of health reform as the nation’s top domestic issue, Carondelet actively supported a
   legislative agenda advocating healthcare for all, with special attention to the needs of the poor and vulnerable.
   We accomplished this by sharing our vision for 100 percent access and 100 percent coverage to elected
   officials and business and community leaders throughout Southern Arizona.

We are proud of the role that Carondelet plays in our region and hope that you enjoy reading our report, which
demonstrates our ministry to serve. On behalf of our board, leadership, associates, medical staff and volunteers,
we thank you for your prayers and for your continued support. May God bless you.

Sincerely,




       Ruth W. Brinkley                                           Stephen E. Quinlan
       President and CEO                                          Chairman, Board of Directors




       Ruth W. Brinkley, RN, FACHE                                Stephen E. Quinlan
       President and CEO, Carondelet Health Network               Chairman, Carondelet Health Network Board
       West Ministry Market Leader, Ascension Health              Chairman of the Board, Long Companies


                                                                                                                       3
CARONDELET HEALTH NETWORK: TRANSFORMING
HEALTHCARE IN SOUTHERN ARIZONA




HistOrY OF tHe sisters OF st. JOsePH OF CarONDelet

Carondelet Health Network was founded by the          St. Louis, became the cradle of the congregation     St. Mary’s Hospital and Health Center opened its
Sisters of St. Joseph of Carondelet whose roots       and the order became known as the Sisters of         doors. Within two years, the Sisters bought the
can be traced to LePuy, France. In 1651, the          St. Joseph of Carondelet.                            hospital from the Diocese for $20,000 and the
Congregation of the Sisters of St. Joseph was                                                              rest, as they say, is history.
                                                      In 1870, Bishop Jean Baptiste Salpointe, the
founded under the leadership of a Jesuit priest,
                                                      Vicar Apostolic of Arizona, asked the Sisters        In 1981, nearly 150 years after the Sisters left
Jean Pierre Medaille in LePuy, France.
                                                      of St. Joseph of Carondelet for assistance.          France, the congregation brought 13 healthcare
In 1836, eight Sisters from LePuy answered the        Seven Sisters answered the call and journeyed        institutions together as one shared organization,
call from Bishop Joseph Rosati for Sisters to         from Missouri to Tucson. Upon arriving, the          creating the Health Care Corporation of the
teach the deaf in St. Louis, Missouri. Once in        Sisters started schools, provided medical care and   Sisters of St. Joseph of Carondelet. In 1992, the
the city, the Sisters began their ministry of heal-   developed orphanages and a novitiate.                organization adopted the name, Carondelet
ing by operating orphanages and schools for the                                                            Health System, and in 2002, the system became
                                                      On April 24, 1880, one month after the Southern
deaf. In 1860, Carondelet, a small town south of                                                           part of Ascension Health.
                                                      Pacific Railroad arrived in Tucson, a 12-bed




     asCeNsiON HealtH
                                                                                                 asCeNsiON HealtH statistiCs
     Carondelet Health Network is part of Ascension Health, the nation’s
     largest Catholic, not-for-profit health system, serving patients through                    Emergency room visits:                     2.3 million
     a diverse network of hospitals and related health facilities. This health                   Clinic visits:                             1.8 million

     system provides acute care services, long-term care, community health                       Home health visits:                           554,000
                                                                                                 Physician office visits:                   4.4 million
     services, psychiatric, rehabilitation and residential care. The Ascension
                                                                                                 Births:                                        76,891
     Health system is staffed by over 107,000 associates located in 20 states and                Discharges:                                   700,074
     the District of Columbia.                                                                   Associates:                                   107,000


                                                                                                                                                          4
CARONDELET HEALTH NETWORk is Southern Arizona’s leading provider of healthcare services, serving a
community of 1.3 million residents. The network contains 965 acute care beds in a health care delivery system of
four acute care hospitals, various outpatient and imaging centers, 17 Carondelet Medical Group primary care
offices and Carondelet Foundation, a 501(c)(3) organization. As the 11th largest employer in the region, Carondelet
employs 4,890 associates and approximately 60 physicians.

As the area’s largest Catholic, not-for-profit healthcare system, it is Carondelet’s vision to transform healthcare by
offering advanced quality, faith-based care delivery, exceptional service and access for life.




     CarONDelet HealtH NetwOrK HOsPitals aND FaCilities


     Carondelet St. Joseph’s Hospital                           Carondelet Imaging Center

     Carondelet St. Mary’s Hospital                             Carondelet St. Mary’s Imaging Center

     Tucson Heart Hospital                                      Carondelet Medical Mall at Green Valley - Imaging Center

     Carondelet Holy Cross Hospital, Nogales                    Carondelet SportsPlus Physical Therapy Center

     Carondelet Medical Mall at Green Valley, Green Valley      Carondelet Medical Group (17 locations)

     Carondelet Medical Mall at Rita Ranch                      Carondelet Hospice and Palliative Care

     Carondelet Foothills Surgery Center                        Carondelet Foundation




     KeY statistiCs                                                  utiliZatiON


     Acute care beds:                                    965         Births:                                          3,525
     Associates:                                        4,890        Inpatient surgeries:                            10,959
     Active medical staff:                               602         Outpatient surgeries:                           17,505
     Credentialed Allied Health Professionals:           176         Patient days:                                 208,960
     Volunteers:                                         706         Emergency room visits:                         175,552




                                                                                                                              5
       CATHOLIC MISSION AND
       DEFINITION OF COMMUNITY BENEFIT

       At the heart of Catholic health care identity and
       mission is a faith-based response to the health
       needs of those living in poverty and to vulnerable
                                                                               Categories of Community Benefit Using
       individuals. This ministry of service and healing
                                                                                     IRS Reporting Framework
       follows the example of Jesus Christ who had a
                                                                             Included by IRS and Catholic Health Association (CHA)
       special affection for those less fortunate in society.

       As a Catholic, faith-based healing ministry,                                                  charity care
       Carondelet Health Network works hard to
       advance our community benefit mission because
                                                                                                                     unreimbursed costs, other
       it is at the core of why we exist. The roots                     unreimbursed Medicaid                        means-tested government
       of Carondelet’s ministry can be traced back                                                                          programs
       to 1880 when the first hospital was founded by
       the Sisters of St. Joseph of Carondelet. Today,                     community health                                community benefit
                                                                         improvement services                                 operations
       nearly 130 years later, our community outreach
       activities continue to demonstrate how we
       advance our mission for the benefit of our                     health professions education                               research
       community. As a mission-driven organization, we
       are committed to:
                                                                       subsidized health services                cash and in-kind contributions
          • Promoting and defending human dignity                                                                    to community groups
          • Caring for persons living in poverty and for
              vulnerable populations
          • Promoting the common good
          • Stewarding resources responsibly for the
              long-term viability of the ministry
       Categories of Community Benefit Using                                     Categories that CHA includes, and IRS is
       Carondelet is a member of the Catholic Health
              IRS Reporting Framework                                            studying inclusion, as community benefit:
       Association (CHA), a widely recognized leader
    Included by IRS and Catholic Health Association (CHA)
       in the area of community benefit reporting.
       According to the CHA, community benefits
       are defined as “programs orcare
                           charity activities that provide                                 community building activities
       treatment and/or promote health and healing as a                                 physical improvements and housing
       response to identified community needs.”
                                     unreimbursed costs, other                                economic development
unreimbursed Medicaid                means-tested government
       Not-for-profit health care organizations use
                                             programs                                           community support
       community benefit reporting to demonstrate
                                                                                           environmental improvements
   community health needs are addressed. Communitybenefit
       how community                     community
 improvement services also serves as the basis for
       benefit reporting                    operations                                leadership development and training for
       tax-exempt status that the not-for-profit sector
                                                                                               community members
       receives. A number of organizations and the                                                  coalition building
alth professions education                             research
       Internal Revenue Service (IRS) have initiated
                                                                                     community health improvement advocacy
       efforts to expand the definition of community
       benefit. The diagram to the right showsin-kind contributions                           workforce development
ubsidized health services             cash and the cat-
                                         to reporting
       egories that are included in the IRScommunity groups
       guidelines as part of community benefit.
                                                                                                                    Source: The Chartis Group LLC




          6
BENEFITS TO THE COMMUNITY
FISCAL YEAR 2008 (JULY 1, 2007 - JUNE 30, 2008)



Carondelet Health Network is proud to dedicate significant resources towards programs and services that offer a positive and sustainable impact
in the lives of persons most in need. In 2008, Carondelet provided care totaling $26,500,557 or 5.4% net patient revenue. This included more
than $10 million for programs that address health disparities and gaps in services that extend beyond our hospital walls.


        Traditional Charity Care     $    5,121,515                                               Community-Building          Community Benefit
                                                                                                  and Leadership              Operations - < 1%
        Unpaid Costs                                                                              Activities - < 1%
        to Public Programs           $ 11,104,972

        Community Services           $    4,334,058

        Financial Contributions                                                                                                    Traditional
        and In-kind Donations        $      211,086                                                                                Care - 19%
                                                                                                          Subsidized Health
                                                                                                          Services - 20%
        Subsidized Health Services   $    5,416,704                   Financial Contributions
                                                                      and In-Kind Donations - < 1 %
        Community-Building
        and Leadership Activities    $       89,974                                                     Community
                                                                                                        Services - 16%
        Community Benefit                                                                                                 Unpaid Costs
        Operations                   $      222,248                                                                       to Public Programs - 42%



Community Benefit total FY 08        $   26,500,557




COMMUNITY PARTNERS
Carondelet Health Network collaborates closely with community organizations to have a sustainable impact in building a strong, vibrant and healthy
regional community. It is through this network of collaborations, partnerships and outreach efforts that Carondelet is able to ensure residents have
access to high quality health care throughout Southern Arizona. Today, these partnerships include approximately 70 organizations, working together
to serve at-risk populations, address health disparities and advocate health care for all regardless of the ability to pay.

· Alzheimer’s Association, Desert     · Big Brothers Big Sisters of Tucson       · Hospital Council                           · St. Elizabeth’s Health Center
  Southwest Chapter                                                                of Southern Arizona
                                      · Boys & Girls Club of Tucson                                                           · Southern Arizona Health
· American Diabetes Association                                                  · Jewish Federation                            Information Exchange (SAHIE)
                                      · Casa de Esperanza
  in Tucson                                                                        of Southern Arizona
                                                                                                                              · Southern Arizona
                                      · Casa de los Niños
· American Heart Association                                                     · Junior Achievement of Arizona                Leadership Council
                                      · Catholic Community Services
· American Parkinson Disease                                                     · La Frontera Health Center                  · Tu Nidito Child
                                        of Southern Arizona
  Association, Arizona Chapter                                                                                                  and Family Services
                                                                                 · Marana Health Center
                                      · Catholic Foundation for the
· American Red Cross,                                                                                                         · Tucson Hispanic Chamber
                                        Diocese of Tucson                        · March of Dimes, Arizona Chapter
  Southern Arizona Chapter                                                                                                      of Commerce
                                      · Catholic Health Association              · Mercy Care
· Arizona Children’s Association                                                                                              · Tucson Metropolitan
                                      · Catholic Healthcare West                 · Muscular Dystrophy Association               Chamber of Commerce
· Arizona Covering kids Coalition
                                      · Child and Family Resources               · National Alliance on Mental Illness        · Tucson Postpartum
· Arizona Department
                                                                                                                                Depression Coalition
  of Health Services                  · Children’s Action Alliance               · National Multiple Sclerosis Society,
                                                                                   Southern Arizona Region                    · Tucson Regional Economic
· Arizona Health Care Cost            · City of Tucson
                                                                                                                                Opportunities (TREO)
  Containment System (AHCCCS)                                                    · Pima Community Access Program
                                      · City of Tucson Mayor’s Office
                                                                                   (PCAP)                                     · Tucson Urban League
· Arizona Health-e Connection
                                      · Coalition for African American
                                                                                 · Pima Community College                     · United Community Health Center
· Arizona Hospital and Healthcare       Health & Wellness
  Association (AzHHA)                                                            · Pima Council on Aging (PCOA)               · United Way of Tucson
                                      · Community Food Bank of Tucson
                                                                                                                                and Southern Arizona
· Arizona Nurses Association                                                     · Pima County Health Department
                                      · Dependable Home Health
                                                                                                                              · University of Arizona
· Arizona Postpartum Wellness                                                    · Primavera Foundation
                                      · El Rio Community Health Center
  Coalition                                                                                                                   · Wellness Council
                                                                                 · Rio Salado College
                                      · Grand Canyon University                                                                 of Southern Arizona
· Arizona State University
                                                                                 · Rotary Club of Tucson
                                      · Greater Tucson Leadership                                                             · YMCA of Tucson
· Arthritis Foundation, Greater
                                        Organization                             · St. Andrew’s Children’s Clinic
  Southwest Chapter                                                                                                           · YWCA of Tucson
                                                                                                                                                                7
OFFERING ACCESS TO HEALTHCARE SERVICES
OUTSIDE THE HOSPITAL

eliMiNatiNg                                                                                  teleMeDiCiNe: CONNeCtiNg
HealtH DisParities                                                                           rural COMMuNities tO
Since the first National Healthcare           Our faith-based, healing min-
                                                                                             sPeCialtY Care
Disparities Report was issued in              istry is dedicated to addressing
2000, disparities in quality and              and eliminating the causes of
access to healthcare services for             disparities in access to care.
minority groups and low-income
populations remain unchanged                   Carondelet’s commitment to its
or have worsened significantly.                mission and the community, through
                                               ongoing efforts to promote healthcare
Particularly notable are dispari-
                                               coverage for everyone and to provide
ties in access to prenatal care and
                                               payment assistance for those who
primary care providers and access              need, but cannot afford medical
to       high-quality      healthcare   for    services, is unwavering.
the uninsured. Arizona faces a
                      1

                                               – Jude Magers, RN, MSN, MAPT
particular challenge as it is ranked
                                                 Chief Mission Integration Officer
9th lowest in the nation for early
prenatal care, has limited access
to primary care with just 90.9
                                                                                             Telemedicine allows rural patients to receive high-quality care closer to home.
primary        care       physicians    per
100,000 population and a higher-
than-average uninsured population                                                            Carondelet Diabetes Care Center partners with rural community
of 19.6 percent.      2                                                                      health centers and schools throughout Arizona to provide access
                                                                                             to diabetes and nutrition education, in addition to ophthalmology
     This report includes examples of our efforts to:                                        services to diagnose diabetes retinopathy. Carondelet also provides
     • Provide access to healthcare            • Provide for those in need                   professional education for rural healthcare providers through
       services outside the hospital           • Build a strong healthcare                   Carondelet’s Diabetes Education Institute. This ensures that
       walls                                     future                                      patients will be able to receive the high-quality care they need,
     • Promote healthcare coverage
                                                                                             closer to home.



sCreeNiNgs aND selF-MaNageMeNt eDuCatiON FOr
CHrONiC illNesses

Diabetes is a major cause of morbidity and mortality throughout the United             In 2008, Carondelet received national recognition by the American Heart
States and is rapidly increasing nationwide.3 In Arizona, the incidence of             Association for cardiac care, specifically for the treatment of coronary
diabetes has grown 30 percent in the last five years and 25 percent of all             artery disease and heart failure. Carondelet is dedicated to ensuring that all
adults are considered obese.4 In Pima County, the number of cardiovascular             patients receive the same high-quality cardiac care. Carondelet’s Diabetes
disease-related deaths increased by nearly 500 between 2004 and 2007, reaching         Program has a No-Barriers Policy, which states that regardless of insurance
an annual total of 2,389. 5 Obesity is a major predictor of both diabetes              status, all individuals will receive the care they need. Carondelet’s Faith
incidence and poor cardiovascular health. To address this illness, Carondelet’s        Community Nurse Program offers free screenings for diabetes and hypertension
interventions focus on the reduction of obesity through programs that                  and refers newly diagnosed individuals to resources for ongoing education
promote increased physical activity and nutrition education.                           and services.




     8
reaCHiNg tHe aFriCaN aMeriCaN
COMMuNitY tHrOugH CHurCH iNVOlVeMeNt

To address the growing incidence of diabetes in the African
American community, Carondelet initiated activities
to engage churches with predominately African Ameri-
can congregations. Since the program’s inception in
January 2008, more than 300 people from eight churches
were screened for diabetes and hypertension. As a
result, 153 people were identified as high-risk to
develop these illnesses and 36 people were diagnosed
as having diabetes or hypertension. These individuals,
regardless of their ability to pay, were referred to
Carondelet’s Diabetes Education Institute for education
and case management care. A community outreach
nurse continues to work closely with the Coalition
for African American Health and Wellness to provide
education on the early detection of symptoms and
                                                                  Linda Parker, Community Outreach Nurse ( left) performs a health screening for 92-year-old Katie
prevention. To learn more about this program, please visit
                                                                  Walker of Mount Calvary Missionary Baptist Church.
www.carondelet.org/cbp.



iMMuNiZatiONs FOr CHilDreN

Carondelet has been a long-time champion for children in need of healthcare services. Since 1998, Carondelet has collaborated with various community
partners to offer early childhood immunizations. Partnerships include the Community Nutrition Division of the Pima County Health
Department, the Community Food Bank of Tucson and the Vaccines for Children Division of the Arizona Department of Health Services. Through this
collaborative program, called TotShots, necessary and basic vaccinations for diphtheria, polio, measles and other communicable diseases are provided
free of charge to families in need. In fiscal year 2008, more than 540 patients received nearly 1,500 vaccines through the TotShots services program.
TotShots immunizations are offered on a walk-in basis at the Community Food Bank on the first three Thursdays of each month from 1 to 4 pm.



serViNg tHe HisPaNiC COMMuNitY

Carondelet provides free screenings and access to primary healthcare
services at schools and community health centers in predominately
Hispanic neighborhoods. This program offers unique and personalized
attention which would otherwise not be available for individuals in need.
For example, for the past 10 years, Carondelet Community Outreach
Nurse E.J. Madrid has cared for 86-year Manuel Lopez through a community
health center. While Manuel now has a primary care doctor thanks to E.J.’s
referral, he still comes to her for check-ups and monitoring. Through
programs like this, Carondelet strives to forge strong and sustainable relationships
to improve the lives and well-being of individuals who otherwise would not
have access to this care.                                                              Faith Community Nurse E.J. Madrid with patient Manuel Lopez.

                                                                                                                                                                9
PROVIDING CARE
UNCONDITIONALLY FOR THOSE IN NEED


                                         estaBlisHiNg a PriMarY Care HOMe FOr tHe
                                         uNiNsureD aND uNDerserVeD

strOKe CHeCK                             Primary care homes, also referred to as
                                         medical homes, are praised as a means
                                         of both significantly increasing the
Carondelet is proud to partner           quality of care given to patients and
with area hospitals and providers        controlling the rising costs of healthcare.
to offer free stroke screenings to       Carondelet and St. Elizabeth’s Health
the community. On May 10, 2008,          Center have partnered to help ensure
clinicians from Carondelet st.           that uninsured and underserved patients
Mary’s and st. Joseph’s Hospitals        receive care for acute and chronic medical
partnered with four other tucson         conditions in a primary care home,
hospitals to screen and educate          instead of the emergency department. The
hundreds of area residents about         partnership began in August of 2006 with
                                                                                            At left is St. Elizabeth’s promotora Yolanda Garcia
their risks for stroke, cardiac          Carondelet      St.   Mary’s     Emergency
                                                                                            with patient.
disease and diabetes. as a result        Department and is expanding to include
of the screenings, several partici-      Carondelet St. Joseph’s and Tucson Heart Hospital’s Emergency Departments. As a result of this
pants were identified as being at        program, over 375 new patients were registered at St. Elizabeth’s Health Center and 150 patients
serious risk for stroke, with some       received prescription drug assistance through the City of Tucson and Pima County.
taken immediately to emergency
rooms for care. Carondelet hospitals
treated 308 of the total 794 people
screened     during   the   four-hour   “Establishing a primary care home is essential for members of our community
event.                                   to receive the care they need, including routine preventive screenings. Our goal
                                         with Carondelet is for preventive care to increase and health disparities to
“Carondelet is proud to be an active     narrow so that individuals can receive timely, well-organized, high-quality care in
 sponsor of this important event.
                                         a primary care setting.”
 We are committed to providing
 organizational expertise, physical     ~Sister Janet Sue Smith, Director of Community Outreach,
 space and knowledgeable hospital        St. Elizabeth’s Health Center
 personnel for this vital community
 service.”

~ David Anderson, PhD,
                                         ariZONa – MeXiCO CrOss BOrDer
  Director, Rehabilitation and
  Neurosciences,                         COllaBOratiON: OPeratiON see
  Carondelet St. Mary’s Hospital
                                         On April 12, 2008, thanks to the Operation See Program, 23 people received sight-saving and life-changing
                                         cataract surgery without charge. Operation See is a charitable Arizona-Mexico cross-border collaboration
                                         between Carondelet and the Sonora Mexico Lions Club. A full day is dedicated to performing eye
                                         surgeries at Carondelet St. Joseph’s Hospital and compassionate Tucson ophthalmologists donate their
                                         time and skills to provide this vital service. “Carondelet is proud to be a partner in enhancing the gift
                                         of sight in so many people’s lives, with such wonderful outcomes,” notes Dina Sanchez, Assistant Administrator,
                                         Carondelet Holy Cross Hospital.



 10
  BUILDING A STRONG HEALTHCARE FUTURE



  PraYer BlaNKet MiNistrY BriNgs COMFOrt at a DiFFiCult tiMe

  Carondelet St. Mary’s Hospital and Carondelet Hospice and Palliative Care now offer a
  compassionate and unique comfort to families with a seriously ill loved one who is unlikely to
  recover. The thought of losing a life is heartbreaking for everyone involved – patients, family
                                                                                                                “This ministry forms a community of caregivers to
  members and friends, as well as for the medical team, hospital associates and volunteers who
                                                                                                                  provide comfort to the family. The family knows
  have served the patients and families during this difficult time. To ease this emotional burden,
                                                                                                                  they are not going to experience this loss alone.”
  associates and volunteers at St. Mary’s Hospital founded the Prayer Blanket Ministry in March
  2008. Associates and volunteers crochet or knit blankets as gifts for patients who are nearing the            ~ Cheryl Weiss
  end of their lives. The blankets are lovingly presented, draped compassionately over the patient                 Director of Spiritual Care and Mission Integration
  and spiritual blessings are recited for both the patient and family. Over the last year, more than
  30 prayer blankets have been presented to patients and their loved ones.




  CHaritaBle giViNg                                                                                   POstPartuM
                                                                                                      DePressiON PreVeNtiON
  Many of the programs highlighted in Carondelet’s Annual Community Benefit Report
  have been made possible due to the generosity of our community and the partnerships                 aND awareNess
  forged through the Carondelet Foundation. For example, charitable giving has enabled
                                                                                                       Postpartum depression is unfortunately fairly common,
  the Carondelet Diabetes Care Center to implement a network-wide Diabetes Chronic
                                                                                                       affecting between 10 and 20 percent of mothers. “It has
  Care Model, recruit and hire kidsCare Outreach Coordinators, and implement the
                                                                                                       far-reaching consequences for a woman, her family and
  TotShots pediatric immunization program, to name but a few.
                                                                                                       community, which makes postpartum depression an area
                                                                                                       of great public health importance,” says Carole Sheehan,
                                                                                                       RN, Founder and Coordinator of Carondelet’s Postpartum
  “We are committed to making a positive impact in Southern Arizona by raising                         Depression Program. St. Joseph’s Hospital began the
   and allocating funds to improve access to critical services and support a continuum                 Postpartum Depression Program in 2003, offering free
   of care. Community participation through philanthropy is key to Carondelet’s ability                support groups that are open to the public. The hospital
   to improve the health of our community today and for generations to come.”                          also conducts free screenings and runs a help line for
  ~Pamela Doherty, CEO, Carondelet Foundation                                                          one-on-one assistance in dealing with perinatal mood
                                                                                                       disorders, including postpartum depression.



PreNatal Care FOr HigH-risK aND
MeDiCallY uNDerserVeD MOtHers

In Arizona, over the last five years, the incidence of low birth-weight births and infant mortality
has increased while prenatal care has decreased.6 To eliminate and/or significantly reduce this
alarming trend, Carondelet has taken the lead in making services available and accessible for
those who qualify. Moms-to-be can take an important “First Step” in caring for the health of their
babies at Primeros Pasos, two prenatal and postnatal clinics operated by Carondelet Health
Network to provide comprehensive obstetrical healthcare services, free pregnancy testing and              According to Angela Basurto (pictured above),“They (the
                                                                                                          staff at Primeros Pasos clinics) were just amazing. They offered
prenatal education classes. Through the Carondelet Primeros Pasos clinics, expectant mothers
                                                                                                          such wonderful support with great educational classes, which
in Tucson, including those who lack insurance or face economic difficulties, are able to receive
                                                                                                          were really helpful, particularly for a first-time mom like me.”
essential prenatal care and education.

                                                                                                                                                                    11
PROMOTING HEALTHCARE COVERAGE




THANkS TO kIDSCARE, AMANDA, ALYSIA AND ANDY GOMEz (PICTURED HERE) ARE ABLE TO
RECEIVE THE MEDICAL AND DENTAL CARE THEY NEED.


uNiNsureD FaMilies aND tHe aNNual KiDsCare PHONe-a-tHON

Disparities in health insurance between Hispanics      has helped raise awareness about the growing
and non-Hispanic Whites in Arizona are dramatic,       uninsured population, resulting in the successful
with 46.1 percent of Hispanics lacking health          enrollment of qualified uninsured children into
insurance compared to 13.6 percent of non-             the kidsCare insurance program. The 2008 Phone-
Hispanic Whites.7 In Arizona, 16.1 percent or          A-Thon was supported by 76 volunteers from more
278,000 children lack healthcare coverage,             than 30 community organizations, answering calls
according to the Children’s Action Alliance. Of        from 876 families in a single day. More than 1,200
these, half are believed to be eligible, but not       calls were received and approximately 2,080
enrolled, for coverage in a state-subsidized program   individuals were enrolled in kidsCare or another
such as kidsCare, Arizona’s Insurance Program for      state-assisted program. To learn more about
Children. kidsCare provides medical, dental and        kidsCare, log on to www.Carondelet.org/KidsCare.
vision care services for those who qualify.
                                                          “We know that children who have health coverage are more likely to receive well-child doctor
Carondelet has led efforts through public and
                                                           visits, resulting in fewer visits to the emergency room for non-emergency care. As advocates for
private sector partnerships to heighten awareness
                                                           children, we are delighted to partner in a Phone-A-Thon outreach strategy that gets lots of kids
of this very important health disparity issue. By
                                                           enrolled in healthcare programs.”
partnering with the Covering kids Coalition, a
local non-profit children’s advocacy organization,        ~ Penelope Jacks, JD, Director, Children’s Action Alliance of Southern Arizona,
and a local television station, kOLD-13, Carondelet         Chair, Covering kids Coalition



 12
100 PerCeNt CaMPaigN – aDVOCaCY FOr HealtHCare reFOrM


Carondelet is a proud advocate of the 100 Percent
Campaign, an educational outreach effort to inform
the community about healthcare reform that will
result in 100 percent access and 100 percent cover-
age for all by the year 2020. Comprehensive reform
will include quality care that is accessible, affordable
and sustainable. Carondelet representatives have
provided more than 30 presentations to the community
and business organizations, political officials and
local media outlets throughout Southern Arizona.
An outreach effort to Southern Arizona’s public
officials resulted in a successful educational delegation
to Washington, D.C. Informational sessions were held
with elected officials: Senators John McCain and
Jon kyl, District 7 Representative Raul Grijalva, and
District 8 Representative Gabrielle Giffords.
                                                            Pictured from left are Bill Pike, Carondelet Director of Public Policy; Sen. Jon Kyl;
                                                            Ruth W. Brinkley, Carondelet President and CEO and West Ministry Market Leader for
                                                            Ascension Health; Polly Jones, Ascension Health Senior Director; and Han Lee, Ascension
                                                            Health Administrative Fellow.




     By collaborating with community groups and advocating for 100 percent access and coverage for all, Carondelet will continue
     to close gaps in health disparities and make a positive impact in the lives of those we serve.




        FOOtNOtes:

        1. 2007 National Healthcare Disparities report. agency for Health-     4. arizona Department of Health services, News release, October
           care research and Quality, rockville, MD: us Department of             2008.
           Health and Human services. Published February 2008. aHrQ Pub.
                                                                               5. arizona Department of Health services, advanced Vital statistics
           No. 08-0041.
                                                                                  by County of residence, 2007.
        2. united Health Foundation, america’s Health rankings, 2008.
                                                                               6. arizona Department of Health services, advanced Vital statistics
        3. Centers for Disease Control and Prevention, MMwr weekly,               by County of residence, 2007.
           October 2008.
                                                                               7. united Health Foundation, america’s Health rankings, 2008.




                                                                                                                                                      13
                     Tara R. Sklar, JD, MPH
             Director of Access and Community Health
                    Carondelet Health Network
                       tsklar@carondelet.org


More information about Carondelet’s Community Benefit Program
         can be found online at www.carondelet.org/cbp.

				
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