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REPORT COVER PAGE (1 page; not included in 25page limit)
EXECUTIVE SUMMARY (1 page; not included in 25page
limit)
INTRODUCTION (1 page)
MedStar Washington Hospital Center is a not-for-profit, 926-
bed, major teaching and research hospital in the nation’s
capital. The Hospital Center is among the 100 largest hospitals
in the nation,* and is renowned for handling the Washington
region’s most complex cases. U.S.News & World
Report consistently ranks the Hospital Center’s cardiology and
heart surgery program as one of the nation's best; it’s the only
hospital in the Washington metropolitan area to earn a national
ranking for heart care in FY 2015. A long-standing leader in
cardiovascular care, MedStar Washington Hospital Center is
home to MedStar Heart & Vascular Institute, which formed a
first-of-its kind clinical and research alliance with Cleveland
Clinic Heart & Vascular Institute in 2013. The Hospital Center
operates the Washington region’s first Comprehensive Stroke
Center and the District’s only Cardiac Ventricular Assist Device
program, both certified by The Joint Commission. The hospital
is also home to MedSTAR, a nationally-verified level I trauma
center with a state-of-the-art fleet of helicopters and
ambulances, and also operates the region’s only adult Burn
Center.
MedStar Health combines the best aspects of academic
medicine, research and innovation with a complete spectrum of
clinical services to advance patient care. As the largest
healthcare provider in Maryland and the Washington, D.C.,
region, MedStar Health’s 10 hospitals, the MedStar Health
Research Institute and a comprehensive scope of health-related
organizations are recognized regionally and nationally for
excellence in medical care. MedStar Health has one of the
largest graduate medical education programs in the country,
training 1,100 medical residents annually, and is the medical
education and clinical partner of Georgetown University.
MedStar Health is a $5 billion, not-for-profit, regional
healthcare system based in Columbia, Maryland, and one of the
largest employers in the region. Our 31,000 associates and
4,700 affiliated physicians support MedStar Health’s patient-
first philosophy that combines care, compassion and clinical
excellence with an emphasis on customer service.
MedStar Washington Hospital Center: FY 2013 - FY 2015
STATISTICS
Description
FY 2015
FY 2014
FY 2013
Inpatient admissions
38,156
39,598
42,412
Outpatient visits
389,535
384,112
398,058
Cardiovascular admissions
7,368
7,844
8,828
Cardiac surgeries
1,694
1,707
1,623
Heart transplants
16
9
12
Ventricular assist device procedures
75
61
45
Inpatient surgeries
11,948
11,752
12,068
Outpatient surgeries
11,139
11,335
11,739
Robotic surgeries
TBD
353
364
New cancer cases diagnosed
2,189
2,350
2,400
Cancer admissions
1,815
2,046
2,262
Outpatient cancer visits
68,853
72,082
77,152
Outpatient visits in the Center for Breast Health
19,143
19,947
19,447
Kidney transplants
51
79
83
MedSTAR Trauma admissions
2,367
2,136
2,167
MedSTAR ground transports
16,276
16,582
17,679
MedSTAR Helicopter transports
1,773
1,756
1,649
Burn Unit admissions
408
384
407
ED total visits
87,009
87,475
89,934
ED admissions
22,266
22,163
22,520
House call visits
TBD
9,334
8,500
Stroke I/P Admissions
778
805
781
O/P Gamma Knife Procedures
26
42
32
Births
3,361
3,305
3,717
Charity care
$25.6 mil
$28.9 mil
$35.8 mil
Bad debt
$71.0 mil
$71.8 mil
$83.6 mil
Total unsponsored care
$96.6 mil
$100.6 mil
$119.4 mil
FACT SHEET (1 page)
2015
MedStar Medicare Choice expands into Baltimore City and
Anne Arundel, Baltimore, Charles, Prince George’s, and St.
Mary’s counties.
MedStar Health Research Institute (inclusive of the entire
MedStar system) wins the ACTION III Award from the Agency
for Healthcare Research and Quality (AHRQ) and is now a
prime part of the ACTION Network, a vehicle that issues task
orders designed for highly-qualified, highly-resourced
contractors and partners to undertake rapid-cycle research
focused on one or more of AHRQ’s priorities.
2014
MedStar Health opens a comprehensive, integrated,
multispecialty care center in Federal Hill located in downtown
Baltimore.
MedStar Health opens four more MedStar PromptCare locations
in Belcamp, Federal Hill and Wheaton, Md., and in Alexandria,
Va.
Becker’s Hospital Review names MedStar as one of the 150
Great Places to Work in Health Care in 2014.
MedStar Health marks its tenth time as one of the nation’s Most
Wired organizations, according to the 2014 survey results
published by Hospitals & Health Networks (H&HN) magazine.
MedStar Health enters into a clinical affiliation with CVS
Health to enhance access to high-quality, affordable healthcare
services.
MedStar National Rehabilitation Network, in partnership with
Peninsula Regional Medical Center, opens in Millsboro, Del.
This is MedStar NRH Network’s first venture into Delaware.
MedStar Union Memorial Hospital is granted inclusion into the
MedStar Heart & Vascular Institute Clinical and Research
Alliance with the Cleveland Clinic Heart & Vascular Institute.
A new strategic alliance between MedStar Health and the
Cerner Corporation is established to advance the quality and
efficiency of patient care through health Information
Technology (IT).
MedStar Health becomes the official medical team partner of
the Washington Capitals and Wizards, and will serve as the
official Sports Medicine physicians for both teams.
MedStar Health Research Institute receives the Pioneer
Research Award as part of the American Association of Medical
Colleges Learning Healthcare System Research Initiative.
2013
MedStar Medicare Choice launches in the District of Columbia.
MedStar Health opens four more MedStar PromptCare locations
in Perry Hall and Pikesville in the Baltimore area, and in Adams
Morgan and Gaithersburg in the Washington, D.C., area.
Surgeons from The Curtis National Hand Center at MedStar
Union Memorial Hospital perform their first double arm
transplant—one of only seven successful bilateral arm
transplants in the United States.
MedStar Heart Institute and the Sydell and Arnold Miller
Family Heart & Vascular Institute at Cleveland Clinic announce
a first-of-its-kind clinical and research alliance. The
collaboration will provide new and enhanced treatment options
to patients, as well as accelerated access to the most advanced
research, technologies and techniques in Cardiology and
Cardiac Surgery.
2012
MedStar Health launches a new systemwide brand strategy to
evolve the MedStar Health corporate signature and how the
system is presented and promoted to Maryland and Washington,
D.C., region communities.
MedStar Visiting Nurse Association expands services and
regional scope through the acquisition of Southern Maryland
Home Health, Inc., further penetrating, Prince Georges, Calvert,
Charles, and St. Mary’s counties.
MedStar Southern Maryland Hospital Center becomes part of
MedStar Health.
MedStar Health establishes the MedStar Heart Institute to
enhance access to excellence, experience, innovation, and a
commitment to research and the advancement of heart medicine.
MedStar launches its systemwide Population Health
Management Initiative, moving the organization toward a more
comprehensive approach in providing healthcare benefits that
care for people in a way that transforms their healthcare
experience.
MedStar launches its systemwide initiative to become a High
Reliability Organization, with the goal of creating a patient
safety culture that achieves zero preventable patient harm.
MedStar Family Choice, MedStar’s Medicaid insurance plan,
expands into the Washington, D.C., region.
MedStar Health opens it first two MedStar PromptCare
locations in Towson and Wheaton, Md.
MedStar Health opens a comprehensive, integrated,
multispecialty care center in Mitchellville, Md., by co-locating
three existing community practices and adding new specialties
needed in the community.
2011
MedStar Diabetes Institute Recognized as Winner of Microsoft
Health Users Group 2011 Innovation Award.
Cleveland Clinic and MedStar Health Form Collaborative
Innovation Alliance.
MISSION, VISION, VALUES, AND GOALS (2 pages)
Mission
MedStar Washington Hospital Center, a valued member of
MedStar Health, is dedicated to delivering exceptional
PATIENT FIRST health care. We provide the region with the
highest quality and latest medical advances through excellence
in patient care, education and research.
Our Vision
To be the trusted leader in caring for people and advancing
health.
Guiding Principle
To treat each patient as we would a member of our own family
by providing the best medical treatment with caring and
compassion, responsive service, and intelligent use of
resources. Through this achievement, we will be recognized as a
national model for excellence in patient-centered care.
Values
· Service - We strive to anticipate and meet the needs of our
patients, physicians and co-workers.
· Patient First - We strive to deliver the very best to every
patient every day. The patient is the first priority in everything
we do.
· Integrity - We communicate openly and honestly, build trust
and conduct ourselves according to the highest ethical
standards.
· Respect - We greet each individual, those we serve and those
with whom we work, with the highest professionalism and
dignity.
· Innovation - We embrace change and work to improve all we
do in a fiscally responsible manner.
· Teamwork - System effectiveness is built on the collective
strength and cultural diversity of everyone, working with open
communication and mutual respect.
STRATEGY AND OBJECTIVES (2 pages)
Strategies to Address Chronic Disease
• To offer heart health education courses. • To provide smoking
cessation programs. • To conduct free blood pressure
screenings. • To offer community-based healthy lifestyle
lectures/classes. • To teach nutrition education classes in the
community, as well as classes focused on heart health and
diabetes. • To teach weekly exercise classes. • To teach health
literacy and compliance education courses. • To provide health
fair education sessions.
Current and Future Programming
• Offer four sessions of classes about diabetes and provide
individual sessions on diabetes self-management. • Offer
“Living Well: Take Charge of Your Diabetes” selfmanagement
program. • Provide nutritional classes and food demonstrations
throughout the year to support behavior change for nutrition and
wellness. • Offer the “Get Heart Smart Program.” • Teach
exercise/fitness classes, including senior programs. • Partner
with the American Lung Association’s Freedom From
Smoking® program.
Anticipated Outcomes for Chronic Disease
• Reduced weight/body mass index • Improved self-
management of diabetes • Improved clinical measures
associated with blood glucose levels and HbA1c levels •
Improved adherence to instructions for prescribed medications •
Improved diet, increased fruit and vegetables intake, and
decreased sodium intake • Increased physical activity and
muscle mass • Increased percentage of people who stop smoking
at four weeks, one year and more than one year • Improved
mental health
Metrics for Chronic Disease
Key factors will be tracked to determine the impact of programs
deployed and to track relevance to external public health
targets. Program-Specific • Percentage of program participants
reporting recommended levels of physical activity • Percentage
of program participants with elevated blood pressure and blood
sugar • Percentage of program participants who successfully
quit smoking cigarettes • Percentage of program participants
aware of risk factors associated with chronic diseases •
Percentage of program participants who adopt sustainable
lifestyle behaviors that help reduce the prevalence of chronic
diseases
ORGANIZATIONAL SIZE AND STRUCTURE (1 page)
MedStar Washington Hospital Center: FY 2013 - FY 2015
STATISTICS
Description
FY 2015
FY 2014
FY 2013
Licensed Beds
926
926
926
Associates
6,198
6,296
6,510
Nurses
1,838
1,861
1,719
Medical/dental staff
1,379
1,392
1,362
Employed physicians on the medical/dental staff
456
430
376
CRITICAL RESOURCES: HUMAN RESOURCES (2 pages)
MedStar Washington Hospital Center: FY 2013 - FY 2015
STATISTICS
Description
FY 2015
FY 2014
FY 2013
Associates
6,198
6,296
6,510
Nurses
1,838
1,861
1,719
Medical/dental staff
1,379
1,392
1,362
Employed physicians on the medical/dental staff
456
430
376
CRITICAL RESOURCES: FINANCIAL (2 pages)
CRITICAL RESOURCES: TECHNOLOGY(2 pages)
CRITICAL RESOURCES: MAJOR PHYSICAL ASSETS (2
pages)
CRITICAL RESOURCES: OTHER (1 page)
LEADERSHIP, GOVERNANCE, AND MANAGEMENT (2
pages)
ORGANIZATIONAL STRENGTHS AND WEAKNESSES (1
page)
ORGANIZATIONAL LEARNING AND CHANGE (2 pages)
MedStar Washington Hospital Center’s CBSA includes adults
ages 18 or older who reside in Wards 5, 7 and 8 of the District
of Columbia. Ward 5 was selected due to its close proximity to
the hospital, coupled with an opportunity to build upon
longstanding programs and services in that ward. Wards 7 and 8
were selected because most residents in those wards are
underserved and accounted for more than 11,970 visits to
MedStar Washington Hospital Center’s inpatient, observation,
outpatient, and emergency rooms from July 1, 2013, to June 30,
2014.
Community Health Priorities
• Chronic disease prevention and management (heart
disease/stroke, cancer, diabetes, and obesity)
• Teen births and child development
Objective:
Promote heart health and address risk factors of heart
disease/stroke, cancer, diabetes, and obesity in Wards 5, 7 and 8
of Washington, D.C.
Secondary Data: Framing the Issue- Heart Disease and Stroke2,
8
• Heart disease is the second leading cause for hospitalization in
Washington, D.C., at an annual rate of 882 visits/100,000
people.
• The prevalence of high blood pressure is 28 percent and high
cholesterol is 34 percent. These prevalences are highest in
adults ages 65 and older, male adults and African Americans.
• Geographically, the prevalence of hypertension is highest in
Ward 7 (42 percent) and Ward 8 (40 percent), where
socioeconomic status is the lowest. Comparatively, in Ward 3,
where socioeconomic status is the highest, the prevalence of
hypertension is 20 percent.
Compared to all U.S. counties, the age-adjusted death rate due
to heart disease in Washington, D.C., falls within the range of
the worst quartile.
Cancer2
• Cancer is the second leading cause of death in the District of
Columbia. The incidence of breast, cervical and prostate cancer,
and the age-adjusted death rate due to breast and prostate
cancer, all fall within the range of the worst quartile
nationally.
• The overall death rate due to cancer in D.C. is 193/100,000
people, compared to 163/100,000 nationally. The overall death
rate due to cancer is higher for African Americans relative to
Whites—a disparity that persists for the death rates due to
breast, colorectal, lung, and prostate cancer.
Diabetes2
• Diabetes is the seventh leading cause for hospitalization in the
District, at an annual rate of 305 visits/100,000 people.
• The age-adjusted death rate due to diabetes is 18/100,000.
Adults 65 and older (28 percent) are the most likely to be
diagnosed with diabetes across age groups. The prevalence
among African Americans (13 percent) is more than six times
higher than the prevalence among Whites (2 percent).
Obesity2, 8
• Nearly a quarter (23 percent) of adults in the District of
Columbia are obese, a trend that has not changed in recent
years. The prevalence of obesity is highest in adults between the
ages of 35 to 64 and women and is significantly higher in
African American residents (36 percent) than Hispanics (15
percent) or Whites (10 percent).
CONCLUSIONS AND RECOMMENDATIONS (2 pages)
REFERENCES (not included in 25page limit)
http://www.medstarhealth.org/mhs/about-medstar/facts-and-
figures/#q={}
ADDENDA (if needed; not included in 25page limit

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Report TemplateREPORT COVER PAGE (1 page; not included in 25pa.docx

  • 1. Report Template REPORT COVER PAGE (1 page; not included in 25page limit) EXECUTIVE SUMMARY (1 page; not included in 25page limit) INTRODUCTION (1 page) MedStar Washington Hospital Center is a not-for-profit, 926- bed, major teaching and research hospital in the nation’s capital. The Hospital Center is among the 100 largest hospitals in the nation,* and is renowned for handling the Washington region’s most complex cases. U.S.News & World Report consistently ranks the Hospital Center’s cardiology and heart surgery program as one of the nation's best; it’s the only hospital in the Washington metropolitan area to earn a national ranking for heart care in FY 2015. A long-standing leader in cardiovascular care, MedStar Washington Hospital Center is home to MedStar Heart & Vascular Institute, which formed a first-of-its kind clinical and research alliance with Cleveland Clinic Heart & Vascular Institute in 2013. The Hospital Center operates the Washington region’s first Comprehensive Stroke Center and the District’s only Cardiac Ventricular Assist Device program, both certified by The Joint Commission. The hospital is also home to MedSTAR, a nationally-verified level I trauma center with a state-of-the-art fleet of helicopters and ambulances, and also operates the region’s only adult Burn Center. MedStar Health combines the best aspects of academic medicine, research and innovation with a complete spectrum of clinical services to advance patient care. As the largest healthcare provider in Maryland and the Washington, D.C., region, MedStar Health’s 10 hospitals, the MedStar Health Research Institute and a comprehensive scope of health-related organizations are recognized regionally and nationally for excellence in medical care. MedStar Health has one of the
  • 2. largest graduate medical education programs in the country, training 1,100 medical residents annually, and is the medical education and clinical partner of Georgetown University. MedStar Health is a $5 billion, not-for-profit, regional healthcare system based in Columbia, Maryland, and one of the largest employers in the region. Our 31,000 associates and 4,700 affiliated physicians support MedStar Health’s patient- first philosophy that combines care, compassion and clinical excellence with an emphasis on customer service. MedStar Washington Hospital Center: FY 2013 - FY 2015 STATISTICS Description FY 2015 FY 2014 FY 2013 Inpatient admissions 38,156 39,598 42,412 Outpatient visits 389,535 384,112 398,058 Cardiovascular admissions 7,368 7,844 8,828 Cardiac surgeries 1,694 1,707 1,623
  • 3. Heart transplants 16 9 12 Ventricular assist device procedures 75 61 45 Inpatient surgeries 11,948 11,752 12,068 Outpatient surgeries 11,139 11,335 11,739 Robotic surgeries TBD 353 364 New cancer cases diagnosed 2,189 2,350 2,400 Cancer admissions 1,815 2,046 2,262
  • 4. Outpatient cancer visits 68,853 72,082 77,152 Outpatient visits in the Center for Breast Health 19,143 19,947 19,447 Kidney transplants 51 79 83 MedSTAR Trauma admissions 2,367 2,136 2,167 MedSTAR ground transports 16,276 16,582 17,679 MedSTAR Helicopter transports 1,773 1,756 1,649 Burn Unit admissions
  • 5. 408 384 407 ED total visits 87,009 87,475 89,934 ED admissions 22,266 22,163 22,520 House call visits TBD 9,334 8,500 Stroke I/P Admissions 778 805 781 O/P Gamma Knife Procedures 26 42 32 Births 3,361 3,305 3,717
  • 6. Charity care $25.6 mil $28.9 mil $35.8 mil Bad debt $71.0 mil $71.8 mil $83.6 mil Total unsponsored care $96.6 mil $100.6 mil $119.4 mil FACT SHEET (1 page) 2015 MedStar Medicare Choice expands into Baltimore City and Anne Arundel, Baltimore, Charles, Prince George’s, and St. Mary’s counties. MedStar Health Research Institute (inclusive of the entire MedStar system) wins the ACTION III Award from the Agency for Healthcare Research and Quality (AHRQ) and is now a prime part of the ACTION Network, a vehicle that issues task orders designed for highly-qualified, highly-resourced contractors and partners to undertake rapid-cycle research focused on one or more of AHRQ’s priorities.
  • 7. 2014 MedStar Health opens a comprehensive, integrated, multispecialty care center in Federal Hill located in downtown Baltimore. MedStar Health opens four more MedStar PromptCare locations in Belcamp, Federal Hill and Wheaton, Md., and in Alexandria, Va. Becker’s Hospital Review names MedStar as one of the 150 Great Places to Work in Health Care in 2014. MedStar Health marks its tenth time as one of the nation’s Most Wired organizations, according to the 2014 survey results published by Hospitals & Health Networks (H&HN) magazine. MedStar Health enters into a clinical affiliation with CVS Health to enhance access to high-quality, affordable healthcare services. MedStar National Rehabilitation Network, in partnership with Peninsula Regional Medical Center, opens in Millsboro, Del. This is MedStar NRH Network’s first venture into Delaware. MedStar Union Memorial Hospital is granted inclusion into the MedStar Heart & Vascular Institute Clinical and Research Alliance with the Cleveland Clinic Heart & Vascular Institute. A new strategic alliance between MedStar Health and the Cerner Corporation is established to advance the quality and efficiency of patient care through health Information Technology (IT). MedStar Health becomes the official medical team partner of the Washington Capitals and Wizards, and will serve as the official Sports Medicine physicians for both teams. MedStar Health Research Institute receives the Pioneer Research Award as part of the American Association of Medical Colleges Learning Healthcare System Research Initiative. 2013 MedStar Medicare Choice launches in the District of Columbia. MedStar Health opens four more MedStar PromptCare locations in Perry Hall and Pikesville in the Baltimore area, and in Adams Morgan and Gaithersburg in the Washington, D.C., area.
  • 8. Surgeons from The Curtis National Hand Center at MedStar Union Memorial Hospital perform their first double arm transplant—one of only seven successful bilateral arm transplants in the United States. MedStar Heart Institute and the Sydell and Arnold Miller Family Heart & Vascular Institute at Cleveland Clinic announce a first-of-its-kind clinical and research alliance. The collaboration will provide new and enhanced treatment options to patients, as well as accelerated access to the most advanced research, technologies and techniques in Cardiology and Cardiac Surgery. 2012 MedStar Health launches a new systemwide brand strategy to evolve the MedStar Health corporate signature and how the system is presented and promoted to Maryland and Washington, D.C., region communities. MedStar Visiting Nurse Association expands services and regional scope through the acquisition of Southern Maryland Home Health, Inc., further penetrating, Prince Georges, Calvert, Charles, and St. Mary’s counties. MedStar Southern Maryland Hospital Center becomes part of MedStar Health. MedStar Health establishes the MedStar Heart Institute to enhance access to excellence, experience, innovation, and a commitment to research and the advancement of heart medicine. MedStar launches its systemwide Population Health Management Initiative, moving the organization toward a more comprehensive approach in providing healthcare benefits that care for people in a way that transforms their healthcare experience. MedStar launches its systemwide initiative to become a High Reliability Organization, with the goal of creating a patient safety culture that achieves zero preventable patient harm. MedStar Family Choice, MedStar’s Medicaid insurance plan, expands into the Washington, D.C., region. MedStar Health opens it first two MedStar PromptCare
  • 9. locations in Towson and Wheaton, Md. MedStar Health opens a comprehensive, integrated, multispecialty care center in Mitchellville, Md., by co-locating three existing community practices and adding new specialties needed in the community. 2011 MedStar Diabetes Institute Recognized as Winner of Microsoft Health Users Group 2011 Innovation Award. Cleveland Clinic and MedStar Health Form Collaborative Innovation Alliance. MISSION, VISION, VALUES, AND GOALS (2 pages) Mission MedStar Washington Hospital Center, a valued member of MedStar Health, is dedicated to delivering exceptional PATIENT FIRST health care. We provide the region with the highest quality and latest medical advances through excellence in patient care, education and research. Our Vision To be the trusted leader in caring for people and advancing health. Guiding Principle To treat each patient as we would a member of our own family by providing the best medical treatment with caring and compassion, responsive service, and intelligent use of resources. Through this achievement, we will be recognized as a national model for excellence in patient-centered care. Values · Service - We strive to anticipate and meet the needs of our patients, physicians and co-workers. · Patient First - We strive to deliver the very best to every patient every day. The patient is the first priority in everything we do. · Integrity - We communicate openly and honestly, build trust and conduct ourselves according to the highest ethical standards.
  • 10. · Respect - We greet each individual, those we serve and those with whom we work, with the highest professionalism and dignity. · Innovation - We embrace change and work to improve all we do in a fiscally responsible manner. · Teamwork - System effectiveness is built on the collective strength and cultural diversity of everyone, working with open communication and mutual respect. STRATEGY AND OBJECTIVES (2 pages) Strategies to Address Chronic Disease • To offer heart health education courses. • To provide smoking cessation programs. • To conduct free blood pressure screenings. • To offer community-based healthy lifestyle lectures/classes. • To teach nutrition education classes in the community, as well as classes focused on heart health and diabetes. • To teach weekly exercise classes. • To teach health literacy and compliance education courses. • To provide health fair education sessions. Current and Future Programming • Offer four sessions of classes about diabetes and provide individual sessions on diabetes self-management. • Offer “Living Well: Take Charge of Your Diabetes” selfmanagement program. • Provide nutritional classes and food demonstrations throughout the year to support behavior change for nutrition and wellness. • Offer the “Get Heart Smart Program.” • Teach exercise/fitness classes, including senior programs. • Partner with the American Lung Association’s Freedom From Smoking® program. Anticipated Outcomes for Chronic Disease • Reduced weight/body mass index • Improved self- management of diabetes • Improved clinical measures associated with blood glucose levels and HbA1c levels • Improved adherence to instructions for prescribed medications • Improved diet, increased fruit and vegetables intake, and decreased sodium intake • Increased physical activity and
  • 11. muscle mass • Increased percentage of people who stop smoking at four weeks, one year and more than one year • Improved mental health Metrics for Chronic Disease Key factors will be tracked to determine the impact of programs deployed and to track relevance to external public health targets. Program-Specific • Percentage of program participants reporting recommended levels of physical activity • Percentage of program participants with elevated blood pressure and blood sugar • Percentage of program participants who successfully quit smoking cigarettes • Percentage of program participants aware of risk factors associated with chronic diseases • Percentage of program participants who adopt sustainable lifestyle behaviors that help reduce the prevalence of chronic diseases ORGANIZATIONAL SIZE AND STRUCTURE (1 page) MedStar Washington Hospital Center: FY 2013 - FY 2015 STATISTICS Description FY 2015 FY 2014 FY 2013 Licensed Beds 926 926 926 Associates 6,198 6,296 6,510 Nurses
  • 12. 1,838 1,861 1,719 Medical/dental staff 1,379 1,392 1,362 Employed physicians on the medical/dental staff 456 430 376 CRITICAL RESOURCES: HUMAN RESOURCES (2 pages) MedStar Washington Hospital Center: FY 2013 - FY 2015 STATISTICS Description FY 2015 FY 2014 FY 2013 Associates 6,198 6,296 6,510 Nurses 1,838 1,861 1,719 Medical/dental staff 1,379 1,392
  • 13. 1,362 Employed physicians on the medical/dental staff 456 430 376 CRITICAL RESOURCES: FINANCIAL (2 pages) CRITICAL RESOURCES: TECHNOLOGY(2 pages) CRITICAL RESOURCES: MAJOR PHYSICAL ASSETS (2 pages) CRITICAL RESOURCES: OTHER (1 page) LEADERSHIP, GOVERNANCE, AND MANAGEMENT (2 pages) ORGANIZATIONAL STRENGTHS AND WEAKNESSES (1 page) ORGANIZATIONAL LEARNING AND CHANGE (2 pages) MedStar Washington Hospital Center’s CBSA includes adults ages 18 or older who reside in Wards 5, 7 and 8 of the District of Columbia. Ward 5 was selected due to its close proximity to the hospital, coupled with an opportunity to build upon longstanding programs and services in that ward. Wards 7 and 8 were selected because most residents in those wards are underserved and accounted for more than 11,970 visits to MedStar Washington Hospital Center’s inpatient, observation, outpatient, and emergency rooms from July 1, 2013, to June 30, 2014.
  • 14. Community Health Priorities • Chronic disease prevention and management (heart disease/stroke, cancer, diabetes, and obesity) • Teen births and child development Objective: Promote heart health and address risk factors of heart disease/stroke, cancer, diabetes, and obesity in Wards 5, 7 and 8 of Washington, D.C. Secondary Data: Framing the Issue- Heart Disease and Stroke2, 8 • Heart disease is the second leading cause for hospitalization in Washington, D.C., at an annual rate of 882 visits/100,000 people. • The prevalence of high blood pressure is 28 percent and high cholesterol is 34 percent. These prevalences are highest in adults ages 65 and older, male adults and African Americans. • Geographically, the prevalence of hypertension is highest in Ward 7 (42 percent) and Ward 8 (40 percent), where socioeconomic status is the lowest. Comparatively, in Ward 3, where socioeconomic status is the highest, the prevalence of hypertension is 20 percent. Compared to all U.S. counties, the age-adjusted death rate due to heart disease in Washington, D.C., falls within the range of the worst quartile. Cancer2 • Cancer is the second leading cause of death in the District of Columbia. The incidence of breast, cervical and prostate cancer, and the age-adjusted death rate due to breast and prostate cancer, all fall within the range of the worst quartile nationally. • The overall death rate due to cancer in D.C. is 193/100,000 people, compared to 163/100,000 nationally. The overall death rate due to cancer is higher for African Americans relative to Whites—a disparity that persists for the death rates due to breast, colorectal, lung, and prostate cancer.
  • 15. Diabetes2 • Diabetes is the seventh leading cause for hospitalization in the District, at an annual rate of 305 visits/100,000 people. • The age-adjusted death rate due to diabetes is 18/100,000. Adults 65 and older (28 percent) are the most likely to be diagnosed with diabetes across age groups. The prevalence among African Americans (13 percent) is more than six times higher than the prevalence among Whites (2 percent). Obesity2, 8 • Nearly a quarter (23 percent) of adults in the District of Columbia are obese, a trend that has not changed in recent years. The prevalence of obesity is highest in adults between the ages of 35 to 64 and women and is significantly higher in African American residents (36 percent) than Hispanics (15 percent) or Whites (10 percent). CONCLUSIONS AND RECOMMENDATIONS (2 pages) REFERENCES (not included in 25page limit) http://www.medstarhealth.org/mhs/about-medstar/facts-and- figures/#q={} ADDENDA (if needed; not included in 25page limit