ST JOSEPH HOSPITAL OF ORANGE

AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY. TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES: -PROVIDENCE ACROSS SEVEN WESTERN STATES -COVENANT HEALTH IN WEST TEXAS -PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA -KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA -SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND. THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDS PROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS. ST. JOSEPH HOSPITAL ORANGE 2023 PROGRAM SERVICE ACCOMPLISHMENTS: IN 2023, PROVIDENCE ST. HOSPITAL ORANGE (SJO) CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2023, SJO FOCUSED ON ADDRESSING MENTAL HEALTH, ACCESS TO CARE, HOMELESSNESS AND HOUSING. PRIORITY 1: MENTAL HEALTH MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING. IT AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD. MENTAL HEALTH PROGRAMS INCLUDE THE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS. MENTAL HEALTH IS AN IMPORTANT PART OF OVERALL HEALTH AND WELL-BEING. SUBSTANCE USE/MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, INCLUDING HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE/MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS AND TOBACCO. IN 2023 THIS NEED WAS ADDRESSED BY: 1. EACH MIND MATTERS CAMPAIGN REDUCED STIGMA AND INCREASED AWARENESS OF MENTAL HEALTH THROUGH "PROMISES TO TALK" CAMPAIGN, PIVOTING EFFORTS TO AN ONLINE/WEB-BASED FORMAT TO REACH POPULATION. IN ADDITION, WE LAUNCHED GREEN BENCH OC. WE PAINTED/INSTALLEDD 28 GREEN BENCHES, WHICH INCLUDE A QR CODE WITH LOCAL RESOURCES/REFERRALS AT SCHOOLS, PARKS, COMMUNITY-BASED ORGANIZATIONS, AND ALL THREE OC HOSPITALS WITH THE GOAL OF MAKING THE BENCHES A RECOGNIZABLE SYMBOL OF MENTAL HEALTH AND STIGMA REDUCTION. THIS IS A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS FORMING PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM. 2. POSTPARTUM DEPRESSION SERVICES: EACH WOMAN IN LABOR AND DELIVERY WAS GIVEN THE EDINBURGH POSTNATAL DEPRESSION SCALE TO IDENTIFY PATIENTS THAT ARE SUFFERING FROM A DEPRESSIVE ILLNESS. ONCE IDENTIFIED AS HAVING POSTPARTUM DEPRESSION, MOMS WERE SCREENED USING THE ADVERSE CHILDHOOD EXPERIENCE SURVEY TO HELP INFORM THEIR CARE PLAN. THEY RECEIVED-ONE-ON ONE AND GROUP THERAPY SESSIONS. 3. IN PATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, INCLUDING A PSYCHIATRIC EMERGENCY SERVICE UNIT (PES) A 23-HOUR EMERGENCY TRIAGE AND STABILIZATION UNIT, ASSISTED PATIENTS WITH ALTERNATIVES TO INPATIENT TREATMENT. A HAND-OFF WAS DONE TO A LOWER LEVEL OF CARE, SUCH AS PARTIAL HOSPITAL PROGRAM OR A PROVIDER IN THE COMMUNITY. 4. GRANTS WERE PROVIDED TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) TO PROVIDE MENTAL HEALTH AND PSYCHIATRY SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. PRIORITY 2: ACCESS TO CARE ACCESS TO CARE GOES BEYOND MEDICAL CARE, AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, AND CARE COORDINATION. PEOPLE WITHOUT INSURANCE ARE LESS LIKELY TO HAVE A PRIMARY CARE PROVIDER, AND THEY MAY NOT BE ABLE TO AFFORD THE HEALTHCARE SERVICES AND MEDICATIONS THEY NEED. STRATEGIES TO INCREASE INSURANCE COVERAGE RATES ARE CRITICAL FOR MAKING SURE MORE PEOPLE GET IMPORTANT HEALTHCARE SERVICES, LIKE PREVENTIVE CARE AND TREATMENT FOR CHRONIC ILLNESSES. IN 2023 THIS NEED WAS ADDRESSED BY: 1. PROVIDING GRANT FUNDS TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WHICH PROVIDES MEDICAL, DENTAL, MENTAL, AND VISION SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. EXPANDED OBSTETRICS AND PEDIATRIC SERVICES. CONTINUED TO OFFER VIRTUAL CLNIC VISITS TO REDUCE BARRIERS TO CARE. 2. AVOIDABLE ED NAVIGATION PROGRAM ASSSISTED MEDI-CAL/CALOPTIMA RECIPIENTS COMING INTO THE ED WITH EDUCATION ON APPROPRIATE USE OF THE ED, HOW TO UTILIZE HEALTH BENEFITS, ESTABLISH A MEDICAL HOME, AND ACCESS SPECIALTY CARE/CARE COORDINATION. 3. TRANSITIONAL CARE CLINIC PROVIDED UNINSURED/UNDERINSURED HOSPITAL PATIENTS WITH POST-DISCHARGE CARE AND FOLLOW UP. 4. ADVOCATE FOR MEDI-CAL EXPANSION TO UNDOCUMENTED POPULATION CURRENTLY NOT COVERED. ONE EXPANSION POLICY PASSED BY STATE LEGISLATURE. BY 2024, THE EXPANSION WILL OPEN ACCESS TO ALL AGE GROUPS. PRIORITY 3: HOMELESSNESS & HOUSING LACK OF AFFORDABLE HOUSING CAN HAVE A NUMBER OF NEGATIVE IMPACTS ON INDIVIDUALS, FAMILIES, AND COMMUNITIES. WHEN BASIC NEEDS, SUCH AS HOUSING, ARE NOT MET, THEY IMPACT A FAMILY'S EMOTIONAL, PSYCHOLOGICAL, DEVELOPMENTAL, AND PHYSICAL WELL-BEING. OVER THE LAST FEW YEARS, ORANGE COUNTY HAS BEEN FACING A CRITICAL HOUSING SHORTAGE. IT HAS BECOME EVER MORE DIFFICULT FOR COMMUNITIES WITH LOW INCOMES WHO WORK IN ORANGE COUNTY TO ALSO LIVE IN ORANGE COUNTY. AS A RESULT, FAMILIES MUST SEEK SUBSTANDARD HOUSING WITH MULTIPLE FAMILIES LIVING IN ONE DWELLING. AFFORDABLE HOUSING IS DEFINED BY AN INDIVIDUAL OR FAMILY SPENDING 30% OR LESS OF THEIR GROSS INCOME TOWARD HOUSING. LOW-INCOME COMMUNITIES IN ORANGE COUNTY CAN EXPECT TO SPEND OVER 50% OF THEIR GROSS INCOME ON HOUSING.