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FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital MASSACHUSETTS GENERAL HOSPITAL COMMUNITY BENEFIT ANNUAL REPORT FY2012 Organization Information Organization Name: Address (1): Address (2): City, State, Zip: Web Site: Contact Name: Contact Title: Contact Department: Telephone Num: Fax Num: E-Mail Address: Contact Address (1): (If different from above) Contact Address (2): City, State, Zip: Massachusetts General Hospital 101 Merrimac Street Not Specified Boston , Massachusetts 02114 massgeneral.org/cchi Joan Quinlan Executive Director MGH Center for Community Health Improvement 617-724-2763 617-726-2224 jquinlan1@partners.org 101 Merrimac Street, Suite 603 Suite 603 Boston , Massachusetts 02114 Organization Type and Additional Attributes Organization Type: For-Profit Status: DHCFP ID: Health System: Community Health Network Area (CHNA): Regional Center for Healthy Communities (RCHC): Regions Served: Hospital Not-For-Profit Not Specified Partners HealthCare Alliance for Community Health (Boston/Chelsea/Revere/Winthrop)(CHNA 19) 6 Boston, Chelsea, Everett, Revere, Boston-Charlestown, Boston-North End, Boston-East Boston Community Benefits Mission Statement The MGH Center for Community Health Improvement (CCHI) collaborates with community and hospital partners to improve the health and well-being of the diverse communities we serve. 1 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Target Populations: Residents of Charlestown, Chelsea, and Revere; other special populations (the elderly, homeless, immigrants and refugees, and Boston youth). Basis for Selection: Commitment to the Health Center communities served by MGH, to vulnerable populations, and to engaging underserved and diverse youth from the City of Boston. Publication of Target Populations: Marketing Collateral, Website Hospital/HMO Web Page Publicizing Target Population: http://www.massgeneral.org/cchi/default.aspx Key Accomplishments of Reporting Year 2012 was a year of affirmation and expansion. Following the 2011 national Association of Academic Medical Colleges’ (AAMC) Spencer Foreman Award for Outstanding Community Service the MGH was selected as a 2012 Finalist, for the Foster G. McGaw Prize from the American Hospital Association. CCHI spent the year working on its current priorities while assessing new community needs in Revere, Chelsea and Charlestown. The results of our most recent community health needs assessment (see details in assessment section) affirmed our current priorities and added some new ones. In addition, it strengthened and renewed our relationships in the community and created the platform to develop new strategies to address community needs. As a result, CCHI is working toward delivering and expanding cross-cutting strategies that affect multiple health needs. Following are highlights from each of our primary areas:      Promote Healthy Living: Our Healthy Chelsea coalition helped pass a trans fat ban, and the Chelsea schools are incorporating daily physical activity into the classroom. Revere on the Move helped create an urban walking trail, Walking School Bus and has long supported a farmers’ market. Access to Care: In 2012 MGH Senior HealthWISE reached 212 low-income, frail elders living in housing next to MGH through their nursing outreach. MGH Chelsea and Revere with new funding from Mass. DPH is expanding home visiting services to new mothers and families. Chelsea and Revere child development specialists will serve up to 1000 new parents and make home visits to 125 families yearly in order to identify and reduce multiple risks factors such as substance abuse, violence and obesity. Prevention & Detection of Cancer: Over 1000 Chelsea patients received navigation to screening or to follow-up on abnormal findings for breast, colorectal or cervical cancer. Substance Abuse Prevention: 67 overdoses caused by opiates were reversed by Narcan administration by the Revere Fire Department since Revere CARES helped the fire department obtain the license to use as first responders in the City. In 2012 Charlestown launched its first Drug Court with alternative sentencing to treatment; 282 Revere middle school students participated in the national "Above the Influence" Drug Facts Contest. Youth Programs: Mass General has an ambitious program with Boston, Chelsea and Rever youth in grades three through college to stimulate interest in science, technology, engineering and math (STEM) as a pathway out of poverty. In 2012, 527 youth participated in our STEM and other youth-focused programs. This effort is aided by more than 250 MGH volunteer mentors. 2 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Plans for Next Reporting Year In 2013, CCHI plans to work with communities and the hospital to address the health priorities identified through the assessments. In addition we plan on connecting the findings of community health needs assessments with the mandate to better manage the care and reduce the costs of high risk, vulnerable MGH patients. This approach will integrate primary prevention in the community into MGH’s care redesign model. As a hospital, substance abuse prevention and treatment a and obesity will be areas of focus. Community Benefits Leadership/Team The community benefit plan is carried out through the MGH Center for Community Health Improvement (CCHI). The executive director, Joan Quinlan, MPA, reports to the Vice President of Psychiatry and Community Health Initiatives at MGH, and has a matrixed reporting relationship to Partners HealthCare’s Vice President of Community Health. Jeff Collins, MD, MA, serves as the Center's Medical Director and Leslie Aldrich, MPH, serves as the Center's Associate Director. Community Benefits Team Meetings CCHI holds regular meetings with both hospital and center staff. CCHI now holds quarterly meetings with a Community Health Committee of the Board of Trustees which now serves as a governing body for community health efforts at MGH. In addition, there are periodic presentations to the hospital’s General Executive Committee, the senior leadership and decision-making body of the hospital, Board of Trustees and bi-annual meetings with the Community Benefit Advisory Committee, comprised of hospital and community leaders. Additionally, all CCHI staff meet quarterly and CCHI Directors meet monthly for management, planning and development purposes. Finally, the local work is guided through coalitions that meet continuously (e.g. Revere CARES), and maintain regular contact with all partners on the local level. Community Partners ABCD Boston Family Planning Adult Literacy English Classes After School and Beyond American Civil Liberties Union BayCove Human Services Beachmont Improvement Committee Beth Israel Deaconess Health Center of Chelsea Boston Housing Authority Big Brothers Big Sisters of Mass Bay Bosnian Community for Resource Development (Lynn) Boston Area Health Education Center- BAHEC Boston Health Care for the Homeless Program Boston Mayor's Office of Neighborhood Services Boston Police Department Boston Private Industry Council (PIC) Boston Public Health Commission Boston Regional Domestic Violence Directors Boston Senior Homecare Boys and Girls Clubs of Boston Bunker Hill Housing Development Community Action Programs Inter-City (CAPIC) CAPIC Headstart Chelsea Domestic Violence High Risk Team (CASA DIVERT) Program Community Against Substance Abuse (CASA) Winthrop Revere Caring Alumni Supporting The Learning and Enrichment of Students (CASTLES) Cataldo Ambulance, Inc. Catholic Charities Centro Latino – LUNA program Centro Latino de Chelsea Charlestown Against Drugs (CHAD) Charlestown Boys and Girls Club Charlestown Community Center Charlestown Court: Probation Department Charlestown High School Charlestown Lacrosse and Learning Center 3 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Charlestown Little League Charlestown Mother's Association Charlestown Neighborhood Council Charlestown Recovery House Chelsea Board of Health Chelsea Collaborative Chelsea District Court Chelsea Court: Probation Chelsea Domestic Violence Task Force Chelsea DV Task Force Chelsea Health and Human Services Department Chelsea High School Chelsea Housing Authority Chelsea Human Service Collaborative Chelsea Planning and Development Chelsea Police Department Chelsea Public Schools Chelsea REACH Program Chelsea Senior Center Children’s Advocacy Center City of Boston Mayor’s Office City of Chelsea City of Revere Coastal School for Girls Conference of Boston Teaching Hospitals (COBTH) DV Council Cooking Matters Cradles to Crayons CREW (Chelsea, Revere, Everett, & Winthrop) Elders Services Deaf, Inc Dennis McLaughlin House Department of Children and Families (DCF) District Attorneys’ offices Massachusetts Department of Translational Assistance (DTA) Early Learning Center- Harbor Area early Intervention East Boston High School Edward M. Kennedy Academy for Health Careers Edwards Middle School Elder Services Everett High School First Congregational Church, Revere For Kids Only Afterschool, Inc. FriendShip Works; Medical Escort, Friendly Visiting Geiger Gibson Community Health Center Greater Boston Legal Serices Harbor Area Healthy Families Harbor Health Services, Inc. Harvard Medical School Health Resources in Action (HRiA) Healthy Families Healthy Steps Hyams Foundation Institute for Health & Recovery International Institute of Boston Islamic Center of North America J. Maheras Company James P. Timilty Middle School Jewish Family and Children Services Jewish Vocational Services John F. Kennedy Family Service Center Jordan Boys and Girls Club of Chelsea Kennedy Academy for Health Careers KidSmart School Age Program Lawyers’ Committee for Civil Rights Under Law MA Association for School-Based Health Care MA Department of Public Health Mass Law Reform Institute Massachusetts Organization for Addiction and Recovery (MOAR) Mattapan Community Health Center Mediation for Results Mid Upper Cape Community Health Center Mintz, Levin, Cohn, Ferris, Glovsky and Popeo PC MissionSafe Charlestown Neighborhood Health Plan Neponset Health Center North Suffolk Mental Health Association Olivia's Organics Peabody Properties/Mishawum Park Apartment Complex Pediatric SANE program Phoenix Charter Academy Project Bread - The Walk for Hunger Raising a Reader Refugee and Immigrant Assistance Center Refugee and Immigrant Health Program, DPH Retired Senior and Volunteer Program (RSVP) Revere Afterschool Partnership Revere Beach Partnership 4 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Revere Beautification Committee Revere Community Development Department Revere Chamber of Commerce Revere City Council Revere Domestic Violence Task Force Revere Fire Department Revere Food Pantry Revere Health Department Revere High School Afterschool Peer Leaders & Service Revere Library Revere Journal Revere Mayor's Office Revere Parks and Recreation Department Revere Police Department Revere Public Schools Revere Public Works Revere School Committee Richard J. Murphy School ROCA Roxsam Homecare SAGE Boston Science Club for Girls SDC-Somali Development Center SHINE (Serving The Health Information Needs Of Elders) State Garden, Inc. Suffolk Law School Clinics The Neighborhood Developers United Way’s Math Science Technology Initiative Vincent’s Newborn Necessities Program Walk Boston Warren Prescott School Women, Infant, Children (WIC) Winn Co./Charles Newtown Women's Economic Empowerment Yawkey Boys & Girls Club Young Achievers Science and Math Pilot School Youth Connect (A joint program of B&G Club and Boston Police) Community Health Needs Assessment Date Last Assessment Completed and Current Status CCHI's last community health needs assessment was completed in the winter of 2012. Periodic updates of community health assessments have been conducted in each community since 1995. CCHI used this new requirement as an opportunity to formalize our assessment methods using the MAPP framework (Mobilizing for Action through Planning and Partnerships, created by the CDC in 2000). MAPP recommends that assessments be community driven, involve diverse sectors of the community, and that data be collected through multiple sources such as focus groups, key informant interviews and public health sources. CCHI collaborated with communities to conduct the assessment process. Almost 3000 people had input into this process through the following methods: In the fall and winter of 2011/2012, CCHI convened assessment committees in Charlestown, Chelsea and Revere in alignment with community processes already underway in order to create a vision and oversee the assessment process. For each committee, careful efforts were made to include community leaders, residents and organizations across sectors, and focused outreach was conducted to engage community members and cultural groups who might not otherwise be involved. Following the initial planning phase, community members developed a collective vision of their ideal community that guided the distinct assessments processes. CCHI provided training to assessment committee members, and worked with them to conduct a comprehensive information gathering process incorporating both quantitative and qualitative community health data. Our methodology included:  A Quality of Life survey adapted with input from committee members. The survey was translated into Spanish, Arabic, Mandarin and Portuguese and distributed widely via the web 5 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital     and in person within each community. A total of 2,260 surveys were returned, including 959 in Chelsea, 756 in Revere, and 545 in Charlestown. Public forums in each community to distribute the survey and talk openly about health. The forums drew 150 participants in Charlestown, 122 in Chelsea and 50 in Revere. Focused discussions during community assessment committee meetings about the community’s strengths, threats and opportunities, characteristics of a healthy community and the forces of change within each community that affect health. A total of 35 focus groups engaged underrepresented individuals and groups. The groups were co-facilitated by CCHI and community assessment committee members, and were attended by a total of 354 participants including 161 in Charlestown, 109 in Chelsea and 84 in Revere. Attendees received a $20 gift card to a local supermarket or Target in appreciation for their participation. Public health data gathered from the U.S. Census, MA Department of Education, Boston Public Health Commission, MA Department of Public Health, local police departments and community based organizations. CCHI analyzed all of the data and presented it at committee and community-wide meetings. Participants identified priorities and discussed how or if their organization was already addressing the priorities, what additional resources, if any, were needed, and recommended possible solutions. Each community then formulated goals, objectives and strategies. A Community Health Committee of the MGH Board of Trustees was formed in 2011 and met twice to review the plan. The final report was presented to the full MGH Board of Trustees on September 21, 2012. By a significant margin, all three communities identified substance abuse, and the effects it has on quality of life including perceptions of violence and public safety, as their top two issues. Obesity/healthy living, cancer prevention/early detection, and access to care for vulnerable populations were also identified by all three communities. Finally, developing the assets of youth and encouraging educational attainment were also identified to protect against multiple high risk behaviors. The table below displays the health issues supported by both qualitative and quantitative data and the priorities selected, resulting in MGH CCHI’s six priority areas. Assessment outcomes and strategic plans will be reported in a community-wide forum in each community in the winter/spring of 2013. Additionally, assessment results are available to the public via the MGH CCHI website, and will be made available to communities on other public websites. Media outlets such as radio, television, and local newspapers will also be used to disseminate this information in each community as the assessment committees see fit. Consultants/Other Organizations: Steve Ridini from Health Resources in Action facilitated a handful of community meetings. Data Sources: Community Focus Groups, Hospital, MassCHIP, Surveys, Other - MADPH, BPHC, DOE, YRBS, and ETO 6 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Community Benefits Programs Revere Cares: Alcohol, Tobacco, and Other Drugs (ATOD) Initiative Program Type Community Education, Prevention Brief Description or Revere CARES is an award winning coalition with 350 members dedicated to Objective preventing alcohol and drug abuse among Revere youth. Coalition members represent a variety of sectors, including parents, youth, government officials, educators, health professionals, first responders and law enforcement. The Coalition oversees two major initiatives, the Alcohol, Tobacco, and other Drugs (ATOD) and the Food & Fitness Initiatives. Since 1997, the Coalition has taken a comprehensive approach to reducing youth substance use through strengthening policies to limit access to ATOD and enforce consequences, changing community norms through education, developing and supporting alternative activities for youth and advocating for age-appropriate treatment. Additionally, in light of concerning trends of fatal and non-fatal opioid overdoses among adults in the community, Revere CARES’ ATOD initiative has expanded in recent years to include opioid overdose prevention. Target Population Regions Served: Revere Health Indicator: Injury and Violence, Other: Alcohol and Substance Abuse, Overweight and Obesity, Substance Abuse, Tobacco Use Sex: All Age Group: All Ethnic Group: All Language: All Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description Goal Status Reduce alcohol, tobacco and other drug (ATOD) The rates of current drinking among high school use among middle school and high school students have declined both in Revere and at students measured by Revere’s Youth Risk the State level. However, in 2009, Revere (at Behavior Survey (YRBS). 43%) dropped slightly below the State rate (of 44%) and was on par with the State rate of 40% in 2011. Reduce alcohol, tobacco and other drug (ATOD) The percent of high school youth who reported use among middle school and high school binge drinking (5 or more drinks at least once in students measured by Revere’s Youth Risk the past 30 days) decreased from 41% in 1999 to Behavior Survey (YRBS). 24% in 2011, a 41% decrease. Decrease opioid overdose deaths. According to a review of Revere’s death certificate data, the number of deaths involving one or more opioid has declined (2009: 15 deaths, 2010: 10 deaths, 2011: 8 deaths— preliminary data). The Revere CARES Opiates Task Force worked towards its goal of d Reduce alcohol, tobacco and other drug (ATOD) Since 2001, Revere’s rates of alcohol use among use among middle school and high school high school students have been considerably students measured by Revere’s Youth Risk higher than state rates. Over the past 10 years, Behavior Survey (YRBS). however, Revere has consistently declined and 7 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Reduce alcohol, tobacco and other drug (ATOD) use among middle school and high school students measured by Revere’s Youth Risk Behavior Survey (YRBS). Increase youth engagement in the schools, coalition and community. Increase youth engagement in the schools, coalition and community. Increase youth engagement in the schools, coalition and community. Increase youth engagement in the schools, coalition and community. Increase youth engagement in the schools, coalition and community. Increase youth engagement in the schools, coalition and community. Decrease opioid overdose deaths. Decrease opioid overdose deaths. Decrease opioid overdose deaths. Change parental social norms regarding youth drinking and substance use and educate and engage parents. Change parental social norms regarding youth drinking and substance use and educate and dipped below the state rate (Revere: 62%, Massachusetts: 68%). Additionally, the percent decrease from 2001 to 2011 for Revere is 25% compared to the State decrease of 16%. In FY2012, approximately 60 students were members of the four leadership clubs at Revere High School. In FY2012, 45 students participated in the Education and Community Action (ECA) programs sponsored by Revere CARES and Revere Public Schools. In the spring of 2012 Revere CARES staff invited graduating students from 2 middle schools to write on a post it note how they were going to stay Above the Influence during the summer; 178 students participated and received an Above the Influence t-shirt The Above the Influence campaign was reenergizing during the second annual Community Walk to Recovery on September 23, 2012. Over 350 students attended the event and received an Above the Influence t-shirt. http://reverecares.org/2012/10/recoverymonth-events/ A total of 523 middle and high school students participated in the "Get the Facts" contest and received a campaign promotion item. In 2012, Revere CARES worked closely with the City of Revere to re-establish funding through the MassCALL 2 grant for a drop-in center at North Suffolk Mental Health in order to better support families of opioid users. As of August 2012, Narcan administered by the RFD had successfully reversed a total 63 overdoses Revere CARES is a member of the Good Samaritan campaign steering committee and actively advocated for this legislation. In FY2011, the parent Power of Action campaign was launched and a proclamation adopting the campaign was signed by the Mayor. In late 2011 (FY2012), 1034 parents signed the pledge drive. As part of the parent Power of Action, pledge drive which takes place during parent teacher 8 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital engage parents. Change parental social norms regarding youth drinking and substance use and educate and engage parents. conferences in the Fall, parents were also asked to share their email address to join the Parent Network. To this date we have collected over 1400 emails. From July 2009 through August 2012, a total of 26 parent coffees sessions, which served a total of 176 participants (133 English-speaking, 43 Spanish-speaking), were held. Six of the 26 coffee sessions were in Spanish. There were on average about 6 to 7 This year the Coalition also sponsored a new series of Skill Building Workshops. The workshops took place during 3 separate dates in the summer of 2012 and a total of 26 parents participated. In FY 2012, the coalition also added a new resource for parents called, “Conversations For Prevention.” Partner Name, Description North Suffolk Mental Health Association Partner Web Address http://northsuffolk.org/ City of Revere http://www.revere.org/ Revere Chamber of Commerce http://www.reverechamber.org/ Revere Police Department http://www.reverepolice.org/ Revere Public Schools http://www.revereps.mec.edu/ Revere School Committee http://www.revereps.mec.edu/ Revere Health Department http://www.revere.org/ Revere Fire Department http://www.revere.org/ Revere Parks and Recreation Department http://www.revererec.com/info/default.aspx Revere After School Partnership http://www.revere.org/ Chelsea District Court http://www.mass.gov/courts/courtsandjudges/c ourts/chelseadistrictmain.html Cataldo Ambulance, Inc. http://cataldoambulance.com/ Revere Beach Partnership http://www.savetheharbor.org/index.php/en/pr ogram-areas/reconnect/the-revere-beach- Change parental social norms regarding youth drinking and substance use and educate and engage parents. Change parental social norms regarding youth drinking and substance use and educate and engage parents. 9 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital partnership CASTLES http://www.reverecastles.org/ For Kids Only Afterschool, Inc. http://www.fkoafterschool.org/ KidSmart School Age Program http://www.kidsmartschoolage.com/work.html Revere Journal http://www.reverejournal.com/ Massachusetts Organization for Addiction and Recover (MOAR) http://www.moar-recovery.org/ CASA Winthrop http://www.town.winthrop.ma.us/pages/Winth ropMA_WebDocs/casa CAPIC, Inc. http://www.capicinc.org/ Contact Information Kitty Bowman, Director, Revere CARES Coalition 781-485-6132, rbowman@partners.org Catherine Sugarman, Assistant Director, Revere CARES Coalition 781-4856404, cmsugarman@partners.org Catherine Sugarman, Revere CARES ATOD Initiative Manger , cmsugarman@partners.org Immigrant and Refugee Health Programs Program Type Direct Services, Outreach to Underserved Brief Description or Provides a continuum of care across multiple settings to ensure the well Objective being of refugees and asylees in Chelsea. To date, over 1500 refugees have been served. Target Population Regions Served: Chelsea Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Adults, All Children Ethnic Group: All Language: All Statewide Priority: Reducing Health Disparity Goal Description Goal Status Provide a continuum of care across multiple 247 adult patients were served in FY2012; settings to ensure the well being of refugees and Countries of origin were: Iraq (19%), Bhutan asylees in Chelsea. (18%), Eritrea (16%), Somalia (12%), Burundi (5%), and Sudan (4%). 85 % of patients will have the 1st Refugee 58% of all new refugee patients had a scheduled Health Assessment visit within 30 days of arrival RHS visit within 30 days of arrival (116 patients). in US. Challenges experienced with our scheduling system, refugee patients and the referring resettlement agencies during the reporting period. 10 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital 85 % of patients will have the 1st Refugee Health Assessment visit within 30 days of arrival in US. Better coordination of care and increased knowledge among refugee women on basic health information related to primary care, nutrition and physical fitness. Better coordination of care and increased knowledge among refugee women on basic health information related to primary care, nutrition and physical fitness. Efforts are being made to increase access to care (3 new residents participating in the refugee program) and improve communication with resettlement agencies and refugee patients. 615 contacts with refugee women related to care coordination, navigation, concrete services, home visits and other services. 68% of activities involved care coordination, 37% telephone calls with the patient and 33% consult with provider. 10 monthly education groups (92 participants) focusing on the importance of primary care, nutrition, and healthy lifestyle were conducted for women from Iraq, Bhutan, Somalia, Congo and Burundi. Partner Name, Description MA Department of Public Health Partner Web Address http://www.mass.gov/dph/refugee International Institute of Boston www.iiboston.org Catholic Charity Boston www.ccab.org MA DTA www.mass.gov/eohhs/gov/departments/dta CAPIC www.capicinc.org ROCA http://rocainc.org REACH http://www.reachma.org/ Chelsea School System http://www.chelseaschools.com/cps/ Contact Information Eric Kamba, Refugee Health Assessment; Chantal Kayitesi, Refugee Women’s Health Access Program , ekamba@partners.org; ckayitesi@partners.org HAVEN (Helping Abuse and Violence End Now) Program Type Direct Services, Prevention Brief Description or The program provides direct services to survivors of intimate partner abuse Objective (patients, employees, community members) and training to providers. Since program inception in 1997, nearly 6500 survivors have been helped. Target Population Regions Served: Boston, Chelsea, Revere Health Indicator: Injury and Violence, Other: Domestic Violence Sex: All Age Group: All Adults 11 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Ethnic Group: All Language: All Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description Goal Status Provide direct services to survivors 630 survivors served; 376 new referrals were made to HAVEN of intimate partner abuse 32% were Brief Interventions 55% were for safety planning 14% were for legal services 13% were for housing/emergency shelter Provide direct services to survivors HAVEN advocates facilitated 29 support groups of intimate partner abuse Increase legal services for survivors New partnership with Casa Myrna Vazquez allows access to of intimate partner abuse legal counsel for HAVEN clients Increase legal services for survivors Advocates consulted with the Casa Myrna Vazquez lawyer on of intimate partner abuse behalf of 60 clients Increase legal services for survivors The Casa Myrna Vazquez lawyer actively worked with 46 of intimate partner abuse HAVEN clients over 341 hours Legal Topics included: 23% Family Law 21% Children’s Issues 17% Safety Planning 16% Restraining Orders Increase providers knowledge of HAVEN provided 81 trainings and outreach activities to a total HAVEN and dynamics of intimate of 1847 participants; 22 trainings were given on HAVEN partner abuse services; 18 trainings were given on intimate partner violence; 16 trainings were given on Teen Dating Violence Partner Name, Description SAGE Boston Partner Web Address Boston Regional DV Directors Chelsea Domestic Violence Task Force http://www.ci.chelsea.ma.us/public_documents/Che lseaMa_PDCommRm/S017439B60176E392?formid=161 Revere Adolescent Task Force http://reverecares.org/ai1ec_event/revere-on-themove-task-force-meeting/?instance_id= CASA DIVERT, Chelsea/Revere/Winthrop High Risk Team http://www.capicinc.org/Eng/E_CrisisIntervention.ht ml Greater Boston Legal Services Department of Justice Partnership Conference of Boston Teaching Hospitals DV Council Jane Doe, Inc. http://www.gbls.org/our-work/immigration Contact Information http://www.cobth.org/dom_violence.html http://www.janedoe.org/ Elizabeth Speakman, Director Haven at MGH 617-726-3810 , espeakman@partners.org 12 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital MGH Youth Programs Program Type Brief Description or Objective Mentorship/Career Training/Internship, School/Health Center Partnership MGH Youth Program’s mission is to provide youth (grades 3- 12 and beyond with academic, life, and career skills that will expand and enhance their educational and career options. Through the assistance of MGH administrators, faculty, and staff, who volunteer their time, the program provides youth with hands on enrichment opportunities, career exploration, and mentorship relationships that are connected to Science, Technology, Engineering, and Math (STEM) education. Target Population Regions Served: Boston, Chelsea, Revere Health Indicator: Other: Education/Learning Issues Sex: All Age Group: Child-Teen Ethnic Group: All Language: English , Haitian Creole , Spanish Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description Increase students’ interest, excitement and confidence in STEM subjects Bring in MGH employees or other individuals in the STEM field to discuss their background and career and act as positive role models Develop partnerships and collaborations with area organizations Further increase students’ scientific literacy, inquisitiveness, problem solving, critical thinking, teamwork, and overall engagement in STEM learning. Students develop positive relationships with their peers and with MGH professionals. Further increase students’ scientific literacy, inquisitiveness, problem solving, critical thinking, teamwork, and overall engagement in STEM learning. Students develop positive relationships with their peers and with MGH professionals. Further increase students’ scientific literacy, inquisitiveness, problem solving, critical thinking, teamwork, and overall engagement in STEM learning. Students develop positive relationships with their peers and with MGH professionals. Goal Status 465 youth served (Includes all youth served across all programs and events) 364 MGH Volunteers provided 8,707 volunteer service hours Developed a total of 8 new partnerships to enhance the Youth Programs work with students Pre and Post surveys indicate students: • felt positively challenged and engaged with the MGH Youth Programs • felt an increased sense of competency for learning • felt supported within the Youth Programs • were taking steps toward planning for their futures and are communicating with supportive adults about their goals • enjoy their internships, shadowships and making professional connections Additionally, 17 Science Fair students, mentored by MGH employee volunteers, went on to compete at the City-Wide Science Fair 13 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Partner Name, Description American Repertory Theater Partner Web Address http://www.americanrepertorytheater.org/ ACE: Turner Construction http://www.turnerconstruction.com/aboutus/community-involvement/youth-andeducation Boston Private Industry Council http://www.bostonpic.org/ Camp Harborview http://chvf.org/ Charlestown Boys and Girls Club http://www.bgcb.org/locations_clubs_charlesto wn.cfm Coastal Study for Girls http://www.coastalstudiesforgirls.org/ Dana Farber CURE http://www.dfhcc.harvard.edu/centerinitiatives/iecd/student-training/cure-program/ East Boston High School http://www.bostonpublicschools.org/school/ea st-boston-high-school Edward M. Kennedy Academy for Health Careers http://www.kennedyacademy.org/ Efficacy Institute http://www.efficacy.org/ Murphy Elementary School http://www.bostonpublicschools.org/school/mu rphy-k-8-school Richard Murphy Elementary School http://www.rjmurphyschool.com/ Science Club for Girls http://www.scienceclubforgirls.org/ Tutors for All http://www.tutorsforall.org/ United Way's Math Science Technology Initiative http://supportunitedway.org/youth/msti Yawkey Boys and Girls Club http://www.bgcb.org/locations_clubs_yawkey.c fm Academy of the Pacific Rim http://www.pacrim.org/ Chelsea High School http://www.chelseaschools.com/cps/highschool.htm Posse Foundation www.possefoundation.org 14 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Wheelock College http://www.wheelock.edu/ Health Resources in Action www.hria.org Revere High School http://www.revereps.mec.edu/reverehighschoo l/ Contact Information Christyanna Egun Director Boston Youth Partnerships 617-724-2950 , cegun@partners.org Boston Health Care for the Homeless Program (BHCHP) at MGH Program Type Direct Services, Health Screening, Outreach to Underserved Brief Description or The Boston Health Care for the Homeless Program delivers direct care in Objective multidisciplinary teams in two hospital clinics and over 75 shelters and community sites throughout metropolitan Boston. MGH has been one of those sites for almost 28 years. In 2012, there were more than 2,536 primary care visits to the MGH site. Target Population Regions Served: Boston Health Indicator: Access to Health Care, Mental Health, Other: Homelessness Sex: All Age Group: Adult Ethnic Group: All Language: All Statewide Priority: Address Unmet Health Needs of the Uninsured Goal Description Goal Status Increase access to the Thursday Street Team There were over 1,014 primary care and clinic at the MGH MWIU behavioral health visits to the MGH site during the Thursday clinic. An additional 2,224 nursing and case management encounters were recorded at the Thursday clinic in 2012. Expand the services for housed Street Team 119 housed Street Team patients accounted for patients through specialized clinics, home visits, 666 visits in the MGH MWIU. and the use of medical respite as a supportive housing service Expand the services for housed Street Team In 2012, medical and behavioral health clinicians patients through specialized clinics, home visits, made 1108 home visits to 176 housed patients, and the use of medical respite as a supportive an increase from 161 housed patients in 2011. housing service Expand the services for housed Street Team 45% of the patients seen in home visits were patients through specialized clinics, home visits, also admitted to our medical respite facility, the and the use of medical respite as a supportive Barbara McInnis House. housing service Foster further collaboration between MGH, BHCHP liaisons, RNs and NPs, made over 1,500 Partners Healthcare, and BHCHP screening visits to homeless and formerly homeless inpatients at MGH and Brigham and Women’s Hospital for admission to the Barbara 15 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Foster further collaboration between MGH, Partners Healthcare, and BHCHP Foster further collaboration between MGH, Partners Healthcare, and BHCHP Partner Name, Description Not Specified Contact Information McInnis House after hospital discharge. BHCHP liaisons, RNs and NPs, made over 1,500 screening visits to homeless and formerly homeless inpatients at MGH and Brigham and Women’s Hospital for admission to the Barbara McInnis House after hospital discharge. Partner Web Address Jim O’Connell, MD President BHCHP 857-654-1000 , joc@bhchp.org Patient Navigation - Screening, Abnormal Follow-Up, Breast Program Type Direct Services, Health Screening, Outreach to Underserved, Prevention Brief Description or Since 2001, the Avon Foundation has generously provided critical funding Objective to help the Massachusetts General Hospital (MGH) reduce disparities in breast cancer in Boston through the MGH Avon Breast Care Program. The goal of this program is to establish models for breast cancer screening, diagnosis, and care that would effectively penetrate the disadvantaged minority communities in greater Boston. The Avon Breast Care Program serves MGH Chelsea patients as well as patients from Mattapan Community Health Center and Harbor Health Services (Geiger Gibson, Neponset and Mid Upper Cape Community Health Centers). The program promotes screening, timely follow-up of abnormal findings, and ensures early detection and comprehensive treatment for patients with breast cancer. Since the programs’ inception, 7274 patients have been served, including 196 patients with breast cancer. In FY12, 1612 patients were served across all program sites. Target Population Regions Served: Barnstable, Boston-Dorchester, Boston-Mattapan, Chelsea Health Indicator: Other: Cancer - Breast Sex: All Age Group: Adult Ethnic Group: All Language: All Statewide Priority: Chronic Disease Management in Disadvantage Populations Goal Description Goal Status Address barriers to accessing and receiving The Avon Breast Health Navigators provided 349 timely, quality health care for all patients language translations, 77 financial assistance referrals, 30 transportation assistance, 15 material support and 2 social service referrals 90% of patients arrive within 60 days for follow- 91% of patients referred for follow-up on an 16 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital up on an abnormal finding abnormal finding arrived to a first appointment in 60 days or less 19 outreach events reached 505 participants. Organize outreach events to promote breast cancer awareness and educate patients and the community on the importance of screening and breast health Increase the number of patients who receive 1389 patients received assistance with screening patient navigator assistance with screening Partner Name, Partner Web Address Description Not Specified Contact Information Yasmine Hung, MGH Avon Breast Care Coordinator, MGH Chelsea, Jennifer Morisset, LPN, Breast Health Nurse, Mattapan Community Health Center Sharmila Hazra, Breast Health Coordinator, Harbor Health Services, yhung1@partners.org; morissetj@matchc.org; shazra@hhsi.us Bridging the Gap – The Refugee Family Service Project Program Type Direct Services Brief Description or A partnership between MGH Chelsea and Harvard Medical School in which Objective medical students are paired with immigrant or refugee families. Students participate in sessions and act as advocates, educators, mentors and learn about cultural barriers. In FY12, 4 families were served. Target Population Regions Served: Chelsea Health Indicator: Access to Health Care Sex: All Age Group: Adult Ethnic Group: All Language: All Statewide Priority: Address Unmet Health Needs of the Uninsured Goal Description Goal Status Increase cultural competency of future 7 volunteers from Harvard Medical School physicians in the American health care system participated Ensure that newly arrived refugees feel Approximately 32 contacts between the welcomed and not isolated students and families were made Ensure timely integrated access to medical, Ensure timely integrated access to medical, mental health and social services at MGH mental health and social services at MGH Chelsea Chelsea All the medical students had a dedicated clinician who ensured feedback to pediatricians, community health workers and adult medicine providers Partner Name, Description Partner Web Address Harvard Medical School www.hms.harvard.edu Contact Information Ana Spiro; Tamara Leaf, Psy.D. , aspiro@partners.org; tleaf@partners.org 17 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Patient Navigation - Abnormal Follow-Up, Cervical Program Type Direct Services, Health Screening, Outreach to Underserved, Prevention Brief Description or The Cervical Health Outreach Program began in 2004 to reach out to MGH Objective Chelsea patients with abnormal Pap smear results in order to reduce barriers to timely follow-up care and to educate patients on cervical health. In FY12, 373 women were served by the program. Target Population Regions Served: Chelsea, Everett, Revere Health Indicator: Other: Cancer - Cervical Sex: Female Age Group: Adult Ethnic Group: All Language: All Statewide Priority: Chronic Disease Management in Disadvantage Populations Goal Description Goal Status Address barriers to accessing and receiving The Cervical Health Coordinator provided 573 timely, quality health care for all patients appointment reminders, 337 scheduled appointments, 152 provider/clinic communications, 33 financial assistance referrals, Address barriers to accessing and receiving 24 procedure/preparation instructions, 20 timely, quality health care for all patients patients with education, 16 appointment accompaniments, 3 home visits, 2 pharmacy assistance, 1 transportation assistance and 1 social services referral Earlier detection of abnormal findings (fewer A study comparing 533 navigated and 253 nonhigh grade lesions over time) navigated Latina women with abnormal Pap smears requiring follow-up at the MGH Colposcopy Clinic showed navigation can prevent cervical cancer Earlier detection of abnormal findings (fewer by increasing colposcopy clinic attendance, high grade lesions over time) shortening colposcopy follow-up, and decreasing cervical lesion severity over time Partner Name, Partner Web Address Description Not Specified Contact Information Diana Maldonado, Cervical Health Coordinator , djmaldonado@partners.org Charlestown Substance Abuse Coalition Program Type Community Education, Community Participation/Capacity Building Initiative Brief Description or The Charlestown Substance Abuse Coalition works to increase access to and Objective resources for successful treatment and recovery from substance abuse. The Coalition also strengthens protective factors and decreases risk factors to prevent substance use and abuse for youth, young adults and families, through education, prevention, and intervention strategies. 18 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Target Population Regions Served: Boston-Charlestown Health Indicator: Other: Alcohol and Substance Abuse Sex: All Age Group: All Ethnic Group: All Language: All Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description Goal Status Increase protective factors 420 5th, 6th, 7th, 8th, and 10th graders received evidence-based among youth in order to prevention curriculum in the middle schools, including prevent substance use information on current trends such as prescription drug abuse. Decrease opioid overdoses The Charlestown Opiate Reduction & Education Coordinator provided community linkages to 132 substance users. Decrease opioid overdoses Hospital discharges from opioid overdoses decreased by 44% between 2004 and 2009 Reduce impact of second-hand 10 youth created a PSA to promote tobacco cessation services in smoke by increasing smoking preparation for upcoming smoke free homes policy in the Boston cessation Housing Authority developments. Decrease number of unused 580 vials of prescription medication and 53 vials of narcotic prescription drugs in the home medications were collected at a Prescription Drug Take Back day arranged for the entire community. Revise strategic plan The Coalition completed assessment activities using the CDCsponsored Mobilizing for Action through Planning and Partnerships (MAPP). The priorities have been chosen and the community continues to work on action and implementation plans. Reduce impact of second-hand 10 youth created a PSA to increase awareness of the harmful smoke by increasing smoking affects of tobacco. 30 youth completed a mural project in cessation preparation for upcoming smoke free homes policy in the Boston Housing Authority developments Reduce impact of second-hand 75 youth participated in a basketball tournament and provided smoke by increasing smoking information and resources for smoking cessation. cessation Reviewed the results the Youth 600 surveys that had been administered and analyzed were used Health Survey conducted in FY to inform the Coalition’s strategic plan and application for the 11 from two local middle SAMHSA Drug Free Communities Grant Application. schools. DFC awarded The Coalition was awarded a five year DRUG Free Communities Grant. Creating a Charlestown Drug The Coalition spent the year establishing partnerships, looking at Court best practices, creating documents, protocols and procedures for approval and implementation of a Charlestown Drug Court. Connect2Prevent Website The Coalition spent the year creating a community-based website for parents that provides them with thoughtful content on how to enhance communication skills with their youth around drugs and alcohol. Connect2Prevent Website Work went into designing the site and its content, including 19 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital filming video clips of local parents, youth, professionals and individuals in recovery. Partner Name, Description Representatives from elected Officials Winn Co./Charles Newtown Charlestown residents Charlestown Chamber of Commerce Partner Web Address Youth Connect (A joint program of B&G Club and Boston Police) http://www.boston.com/yourtown/news/dorchester/ 2013/02/youth_connect_program_helps_se.html Greater Boston Center for Healthy Communities Boston Public Health Commission http://www.hria.org/ John F. Kennedy Family Service Center http://www.bostonabcd.org/john-f-kennedy-fsc.aspx Boston Police Department Area A-1: Community Service Office Warren Prescott K-8 School http://www.cityofboston.gov/police/districts/a1.asp Edwards Middle School http://www.bostonpublicschools.org/school/edwardsmiddle-school Charlestown High School http://boston.k12.ma.us/charlestown/ City of Boston Mayor’s Office http://www.cityofboston.gov/mayor/ Charlestown Boys & Girls Club http://www.bgcb.org/our-location/charlestown-club/ Charlestown Recovery House http://www.charlestownrecoveryhouse.org/ BayCove Human Services http://www.baycove.org/bcexternal/index.cfm Charlestown Against Drugs (CHAD) http://www.csac-chad.org/ Charlestown Neighborhood Council http://www.charlestownbusiness.com/cnc.html The Dennis McLaughlin House http://www.dennismclaughlinhouse.org/ Charlestown Community Center http://www.cityofboston.gov/bcyf/facilities/ MissionSafe Charlestown http://www.missionsafe.org/home.asp Charlestown Mother’s Association http://www.charlestownmothersassociation.org/ http://www.charlestownbusiness.com/ http://www.bphc.org/Pages/Home.aspx http://warrenprescott.com/ 20 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Charlestown Lacrosse and Learning Center http://www.charlestownlacrosse.com/ Peabody Properties/Mishawum Park Apartment Complex http://www.peabodyproperties.com/cms/ourcommunities/view-all-communities/64-mishawumpark.html Bunker Hill Housing Development Bunker Hill Housing Development Contact Information Beth Rosenshein, brosenshein@partners.org Child Protection Program Program Type Health Professional/Staff Training Brief Description or The Program provides leadership in the response to issues of child abuse Objective and neglect. Through consultation and training, MGH clinicians are provided with basic skills and knowledge necessary to provide a full range of support and services including screening, identification, assessment, intervention, referral, and follow-up. In FY12, 750 consults were performed. Target Population Regions Served: All Massachusetts, Boston-Charlestown, Chelsea, Revere Health Indicator: Other: Safety - Home Sex: All Age Group: All Children Ethnic Group: All Language: All Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description Goal Status Provide clinicians with basic skills and 750 consultations were performed with knowledge necessary to provide a full range of providers support and services Partner Name, Description District Attorneys’ offices Partner Web Address DCF http://www.mass.gov/eohhs/gov/departments/dcf/ Children’s Advocacy Center http://www.suffolkcac.org/ Pediatric SANE program http://mova.state.ma.us/ Contact Information Debra Drumm, LICSW, ddrumm@partners.org Susan Lipton, LICSW, sjlipton@partners.org Alice Newton, MD, anewton@partners.org Patient Navigation - Screening, CRC Program Type Direct Services, Health Screening, Outreach to Underserved, Prevention Brief Description or The Colorectal Cancer Screening Program is designed to improve colorectal 21 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Objective cancer prevention and early detection in all eligible MGH Chelsea patients. Its primary aim is to decrease disparities in colorectal cancer screening (CRCS) rates, and increase CRCS rates in low-income patients and patients with limited English proficiency (LEP) in Chelsea with a goal to reduce colorectal cancer for all patients served. In FY12, the program reached out to 196 patients and 125 patients completed colonoscopies. Target Population Regions Served: Chelsea, Everett, Revere Health Indicator: Other: Cancer - Colo-rectal Sex: All Age Group: Adult Ethnic Group: All Language: All Statewide Priority: Chronic Disease Management in Disadvantage Populations Goal Description Goal Status Decrease incidence of colorectal cancer 125 colonoscopies were complete and 105 amongst patients served through screening polyps were removed Address barriers to accessing and receiving The Colon Cancer Coordinator scheduled 351 timely, quality health care for all patients appointments, provided 283 appointment reminders, 233 provider/clinic communications, 158 procedure preparation instructions, Address barriers to accessing and receiving 148 patients with education, 104 language timely, quality health care for all patients translations, 38 transportation assistance, 31 accompanied to appointments, 29 pharmacy assistance, 2 home visits and 1 social services referral Educate patients and the community on 3 presentations on the colorectal colorectal cancer and the importance of program/results reached 241 people and a screening. Conduct at least 2 outreach activities recurring Chelsea cable television educational per year show has reached approximately 1500 people in the community Partner Name, Partner Web Address Description Not Specified Contact Information Gloria Gamba, Colon Cancer Coordinator; Rade Boskovic, Colon Cancer Coordinator , ggamba@partners.org ; rboskovic@partners.org Food for Families Program Type Brief Description or Objective Target Population Community Education, Direct Services, Health Screening Food for Families screens MGH Chelsea patients for food insecurity in the departments of Pediatrics, Obstetrics, and Urgent Care. The program connects patients with local and federal food resources such as SNAP benefits (formerly known as Food Stamps), the WIC (Women, Infants, and Children) Program, food pantries, and community meal sites. In FY12, 380 families received in-person consultation from the Food for Families Program Coordinator. Regions Served: Chelsea 22 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Health Indicator: Other: Nutrition Sex: All Age Group: All Ethnic Group: Hispanic/Latino Language: Spanish Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description Goal Status Increase number of patients 3,661 patients were screened for food insecurity in Urgent Care, screened for food insecurity Pediatrics and OB in FY12. Of the 3,661 patients screened, 25% (929) had a ‘Yes’ result, indicating that they were running out of money for food, and/or needed food assistance from a counsel Screen patients for food In FY2012, 380 families that were screened for food insecurity in insecurity out-patient medical practices received an in-depth, in-person consultation from the Food for Families Program Coordinator to assess their families’ need, representing 531 adults and 431 chi Assist patients with food All 380 families were provided information about local insecurity community food resources specific to their needs, such as food pantries, community kitchens, or bulk food buying programs. Assist patients with food Of these 380 households, 257 also received in-person SNAP insecurity application assistance, and 45 households received emergency gift cards to purchase food at a local grocery store. Increase number of patients 339 Adult Medicine patients self reported as food insecure, and screened for food insecurity were referred to the Food for Families program in FY12. Going forward the referral-based system will be maintained. Increase number of patients All departments also have the autonomy to refer patients to the screened for food insecurity Food for Families Program when extreme conditions are identified or a patient expresses concerns about his/her food security. Increase patient knowledge of 100% of all patients who screened positive for food insecurity food resources in the received a follow-up phone contact to schedule an in-person community interview. All patients who came in for in-person interviews received information about food resources. Increase knowledge about In FY12, 54 participants attended comprehensive “healthy eating healthy eating on a budget and cooking on a budget” courses in partnership with Cooking amongst participants Matters Massachusetts. Increase knowledge about In FY12, 20 participants attended a pilot “Shopping Matters” healthy eating on a budget course to learn about “healthy shopping and eating on a amongst participants budget”. Partner Name, Description Partner Web Address Cooking Matters Massachusetts http://cookingmatters.org/cooking-matters-massachusetts/ Department of Transitional Assistance, MA Project Bread Contact Information http://www.mass.gov/eohhs/gov/departments/dta/ www.projectbread.org Benjamin Brennan, Program Coordinator, BJBrennan@partners.org 23 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Healthy Chelsea Program Type Brief Description or Objective Community Education, Prevention The initiative has convened and maintains a multidisciplinary team of approximately 75 community leaders, organizations, and residents to identify the social and environmental factors influencing Chelsea’s high obesity prevalence, and to develop and implement an action plan. The coalition is executing systematic changes to bring about lasting improvements throughout the community. Healthy Chelsea serves the entire city of Chelsea. Target Population Regions Served: Chelsea Health Indicator: Other: Nutrition, Physical Activity Sex: All Age Group: All Ethnic Group: All Language: All Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description Goal Status Facilitate the growth of a citywide coalition 75 individuals representing residents, local with participation from a broad base of government, state government, school community leaders, organizations and administrators and faculty, community organizations, residents health care providers, Facilitate the growth of a citywide coalition and businesses have participated in bimonthly with participation from a broad base of Healthy Chelsea meetings. Subcommittee meetings community leaders, organizations and occur on an as-needed basis. residents Sustain Coalition initiatives o Healthy Chelsea applied for and received a 2nd year of funding from the Olivia’s Organics Foundation to support physical activity throughout the school day in the Chelsea Public Elementary Schools; Sustain Coalition initiatives o Healthy Chelsea was granted 4 years of funding by the Mass in Motion program and Partners Healthcare to support additional personnel; Sustain Coalition initiatives o Healthy Chelsea was granted a 1-year award by the Trefler Foundation to support a student –run campaign advocating for healthy foods at Chelsea High School Launch the Healthy Corner Store Results of the 2011 Chelsea Food Stores Survey were Connection to improve residents’ access to analyzed to determine the neighborhoods of highest healthy, fresh foods in the neighborhoods need. The Program Coordinator has recruited 4 where they live corner stores to the project, with 2-3 more who will likely sign-on. Launch the Healthy Corner Store Three Community Partner organizations have agreed Connection to improve residents’ access to to recruit neighborhood residents as focus group healthy, fresh foods in the neighborhoods participants who will share their needs and wants as where they live customers. Two wholesalers from the New England Produce Center have also signed-on as program 24 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Advocate and support a trans fat free regulation for prepared foods served at Food Service Establishments in the city of Chelsea Advocate and support a trans fat free regulation for prepared foods served at Food Service Establishments in the city of Chelsea Advocate and support a trans fat free regulation for prepared foods served at Food Service Establishments in the city of Chelsea Implement Physical Activity in the Classroom techniques to fulfill a standard of 30 minutes of classroom based physical activity per day in grades 1-4 Implement Physical Activity in the Classroom techniques to fulfill a standard of 30 minutes of classroom based physical activity per day in grades 1-4 partners A half-time employee was added to the payroll to provide ongoing education about artificial trans fats and technical assistance to restaurant and bakery owners who need to makes changes in their products in order to comply with Chelsea’s new regulation. . Healthy Chelsea worked in close partnership with the Chelsea Board of Health, providing consultation and staff support to the Board. Healthy Chelsea secured legal technical assistance from the Massachusetts Association of Health Boards in order to conf confirm implementation and enforcement plans. Healthy Chelsea partnered closely with Chelsea’s Department of Inspectional Services to identify restaurants and bakeries needing hands-on assistance, and put a reporting system in place as of 1/1/2013. The Physical Education faculty of all 4 Elementary Schools received 7 hours of training at the beginning of the 2012-2013 school year. They are now serving as in-house trainers and mentors to the classroom teachers within their schools. All 4 schools are implementing daily physical activity breaks within the classrooms, and are working towards a goal to achieve 30 minutes of classroombased physical activity per day in at least 75% of classrooms by January 2014. A survey of 455 High School students was completed in June 2012. Results were analyzed and a formal presentation for School Administrators was scheduled for early October 2012. Facilitate and support a partnership between student leaders at Chelsea High School and Chelsea Schools Administrators to improve nutrition quality and participation within the School Lunch Program Facilitate and support a partnership A group of 10 students ranging from 8th grade between student leaders at Chelsea High through 11th grade who are participants in the School and Chelsea Schools Administrators Chelsea REACH Program are meeting weekly with the to improve nutrition quality and Healthy Chelsea Schools Coordinator throughout the participation within the School Lunch 2012-2013 School Year Program Partner Name, Partner Web Address Description Not Specified Contact Information Melissa Dimond, Manager Community Health Initiatives , mdimond@partners.org 25 FY2012 Massachusetts Attorney General Community Benefit Report – Massachusetts General Hospital Komen Breast Care Program Program Type Direct Services, Health Screening, Outreach to Underserved, Prevention Brief Description or Since 2008, the Komen Foundation has generously provided critical funding Objective to improve breast cancer screening in refugee and immigrant women from the Former Yugoslavia, Somalia, and the Middle East, receiving care at MGH Chelsea HealthCare Center and/or residing in surrounding communities. The program aims to increase awareness of breast cancer screening, the rate of completion of screening mammograms, and to ensure timely followup of abnormal results. In FY12, 339 patients were served. Target Population Regions Served: Chelsea, Everett, Revere Health Indicator: Other: Cancer - Breast Sex: Female Age Group: Adult Ethnic Group: All Language: All Statewide Priority: Chronic Disease Management in Disadvantage Populations Goal Description Goal Status Identify and outreach to female refugees The program reached 210 new patients and 144 that are due for breast cancer screening refugee women received mammograms Identify barriers to breast cancer Refugee Cancer Coordinator interviewed 18 Bosnian screening and care speaking women to explore and better understand their barriers to breast cancer screening and care Conduct at least 2 outreach activities per 5 outreach events reached 265 participants year Address barriers to accessing and Refugee Cancer Coordinator scheduled 362 receiving timely, quality health care for appointments, provided education to162 patients, 161 all patients language translations, 160 appointment reminders, Address barriers to accessing and 102 procedure/preparation instructions, 22 receiving timely, quality health care for provider/clinic communications, 21 transportation all patients assistance, 16 accompaniments to appointments, 7 home visits and 5 pharmacy assistance Partner Name, Partner Web Address Description Not Specified Contact Information Jelena Katadzic, Refugee Cancer Coordinator Kaftun Ahmed, Refugee Cancer Coordinator , jkatadzic@partners.org ; kmahmed@partners.org MGH Revere Adolescent Health Initiative Program Type Direct Services, School/Health Center Partnership Brief Description or Health services are provided for pre-teens, teens, and young adults at the Objective MGH Revere School Based Health Center (SBHC), located within Revere High School (RHS), the MGH Revere Health Center, the Adolescent Health Center (AHC), a confidential teen clinic, and the Youth Zone (YZ), a free afterschool program for kids. The initiative has recently partnered with the Institute of Psychotherapy to increase access to counseling. The SBHC h