ANNUAL REPORT OF THE COOLEY DICKINSON PATIENT …...on the Massachusetts Medical Orders for Life...

Cooley Dickinson Hospital | Patient and Family Advisory Council 2014–2015 Annual Report | 1

ANNUAL REPORT OF THE COOLEY DICKINSON

PATIENT AND FAMILY ADVISORY COUNCIL 2014–2015 I. INTRODUCTION Cooley Dickinson Hospital (the Hospital) is committed to patient-centered care based on active partnerships among patients, families, and health care providers. It also recognizes the importance of participation by patients, their families, and their loved ones in the delivery of care. The Patient and Family Advisory Council (the Council) is an important contributor in achieving this goal by helping to recognize the uniqueness of each patient. II. COOLEY DICKINSON HOSPITAL — A SNAPSHOT Cooley Dickinson Hospital is a 140-bed community hospital located in the city of Northampton, in rural Western Massachusetts. The Hospital offers advanced diagnostic and therapeutic care in many specialty and subspecialty areas of medicine and surgery. In addition, the Hospital provides care and services in multiple health centers located within neighboring communities, such as Easthampton, Worthington, and Amherst. In recent years, Cooley Dickinson Hospital has annually:

served nearly 80,000 community members

cared for more than 6,400 inpatient and 2,400 observation cases

recorded emergency room visits in excess of 35,000, and

delivered more than 550 babies

In addition, the Hospital offers teaching and internship opportunities to high-quality students. The Hospital is committed to training and mentoring the next generation of area leaders in science and medicine, providing a wealth of opportunities for nurses and other health professionals. These clinicians, in turn, provide fresh and innovative perspectives on the care and treatment of patients. III. THE PATIENT AND FAMILY ADVISORY COUNCIL AT COOLEY DICKINSON HOSPITAL A. OVERVIEW The Council is grounded in a commitment to health care that is truly patient-centered, taking into consideration patients’ cultural traditions, their personal preferences and values, their family situations, and their lifestyles. Patient-centered care makes patients and their loved ones an integral part of the care team, collaborating with health care professionals in making clinical decisions. B. BACKGROUND Cooley Dickinson Hospital formed the Council in 2009, in anticipation of state regulations that required hospitals to establish Patient and Family Advisory Councils. The Council began formal operation in September 2009. There is considerable overlap in membership between the Council and other service-based and hospital-wide committees, including the Hampshire County Continuing Care Consortium, established in 2008, and the Palliative Care Team, established in 2009.


C. STRUCTURE AND OPERATION OF THE COUNCIL The Council was supported through fiscal year 2015 by Eileen Sugrue, Chief of Staff to the Office of the President. She served as co-chair alongside an elected member representing the community. The Council met monthly except during July and August. The Council does its work through participation in three types of initiatives:

Council committees: In the 2014–2015 Council year, the Council committees consisted of the Membership Committee and the Palliative Care Committee

Members of Cooley Dickinson quality improvement and project teams: Behavioral Health Anti-Stigma Campaign, Cancer Center Steering Committee, Diversity, Equity and Inclusion Council, Emergency Department Behavioral Health Operations Improvement Committee, and the Rehabilitation Service Patient Experience Improvement Committee

As representatives of patients and families on four (4) Cooley Dickinson Board of Trustees’ Committees: Development and Public Relations, Healthy Communities, Patient Care Excellence (PaCE), and Resource.

Cooley Dickinson Hospital staff and leaders value the perspective Council members bring not only to the Council but to the multiple roles they serve beyond the advisory council itself. D. COMPOSITION The Council is comprised of representatives of the following: hospital staff, former patients and family members of patients, and health professionals outside of the hospital who work frequently with Cooley Dickinson patients. (See Appendix A.) New Council members undergo training and orientation to the Hospital and its policies upon becoming a member. The orientation ensures that each member understands the Council’s purpose, goals, and policies, as well as relevant hospital policies. In addition, new members are assigned a tenured Council member as a mentor to supplement the formal orientation and answer questions the new member may have outside of the standing meetings. All members annually sign a hospital confidentiality statement. The Council’s operations are guided by Administrative Policy #2.00: Patient and Family Advisory Council effective December 2013 which was developed in collaboration with Council members. The policy outlines the Council mission, purpose, committee structure, terms, membership, and co-chair responsibilities. Outside of the Council’s meetings, members connect via electronic mail and face-to-face meetings that help ensure accurate, timely and, inclusive communication. Council members use these exchanges to engage in important dialogue, review draft materials, and access project-related communications.


IV. FISCAL YEAR 2015 ACCOMPLISHMENTS A. ADVISORY COUNCIL MEETINGS During 2014–2015, the Council held sessions with a number of people who informed them of Hospital initiatives and sought guidance from the patient and family perspective:

Don Reutener, Council and Palliative Care Committee member provided a presentation on the Massachusetts Medical Orders for Life Sustaining Treatment (MOLST)

Lee Martinez, Chief Information Officer, Kim Saal MD, President, Cooley Dickinson Provider Network, and Karen Kuhr, Director of Health Information Management, came before the Council to monthly meetings (October 2014, February 2015) and in off-line small group sessions to share information about the Health Information Exchange (HIE) and the Patient Portal. The purpose of these meetings were both educational for the Council and to seek input from the membership prior to implementation

Diane Cutillo, Sr. Director of Public Affairs, presented the new marketing campaign on the affiliation with Mass General (October 2014, December 2014)

Linda Riley, Manager of Infection Prevention, spoke on the Pioneer Valley EBOLA Preparedness (November 2014)

Jeanne Ryan, VP, Post Acute Care, provided an informational session on Schwartz Rounds recently introduced at Cooley Dickinson (November 2014)

Jeanne Ryan, VP, Post Acute Care, presented the new Diversity, Equity and Inclusion (DEI) Council established to address issues of cultural responsiveness/competency and health equity (November 2014)

Jeff Harness, Director of Community Health and Government Relations, presented an update on community health programs/projects and the Community Benefits initiatives (December 2015)

Kate Bechtold, newly appointed VP, Patient Care and Chief Nursing Officer, met with the Advisory Council to introduce herself and meet the membership (December 2014)

Mike Paquette, Director of Pharmacy, and Shannon Dillard, Patient Safety & Regulatory Compliance Manager, shared a presentation on Just Culture at Cooley Dickinson (January 2015)

Cynthia Baecher, Clinical Nurse Specialist, and Rob Levine, Physician Assistant, presented to the Council on the patient care initiatives in the Hospital Critical Care Unit (January 2015)

Tony Scibelli, newly appointed VP, Operations and Chief Administrative Officer, came to the Council to introduce himself and speak to his role (February 2015)

Julia Sorensen, newly appointed Chief Marketing and Communications Officer, met with the Council to introduce herself, meet the members and learn about their contributions (March 2015)

Meg Oakes, Quality Coach, and Deb Rugen, Director of the Childbirth Center, provided an informational presentation on TeamSTEPPS and the training/ implementation plan at Cooley Dickinson (April 2015)

Jenn Dekoschak, Director of the Emergency Department, presented on the Code Orange Response Initiative (April 2015)

Joanne Marqusee, President and CEO, shared the FY2016 Leadership Priorities to provide the Council with information on the key areas of focus for fiscal year 2016 (September 2015).

Council members also participated in interviewing the finalist for the position of President,

Cooley Dickinson Provider Network.


Cooley Dickinson was well represented at the 2015 Patient and Family Advisory Council Conference, "Celebrating The First Five Years And Looking To The Future" held on May 12, 2015. The Council attendees were community members Jeff Caplan, Jim Lomastro, Donna O’Meally, and Barbara Williams and staff members Robin Kline and Eileen Sugrue. Williams served as a member of Health Care for All’s planning committee for the conference. PFAC members and Cooley Dickinson staff of the Membership Committee were invited to share the results of their member recruitment initiative. Donna O’Meally, the Council Membership Chair, and Robin Kline, Director of Volunteers and a member of the Membership Committee, gave the presentation, “Recruitment Strategies and Community Representation.” The workshop highlighted the previous year’s efforts in improving the diversity of the council as well as recruiting individuals with skills and abilities that would help the hospital reach its goals. The workshop was well received, with about 60 attendees. Evaluations included comments such as: “one of the conference highlights”, “excellent presentation” and “many good suggestions and great ideas.” B. COUNCIL COMMITTEES Membership Committee: During the spring and summer of 2015, recruitment continued as an important focus for the Membership Committee with six (6) Council members rotating off in September 2015. Building upon the success of last year, a rigorous recruiting process was initiated which included revisiting applicants from the previous year to inquire as to their continued interest, reaching out to internal and external referral sources, and participating in the Northampton Area Young Professionals (NAYP) Non-profit Board Fair held on June 8, 2015. Applicants were interviewed over the summer. Six (6) new members with diverse backgrounds and interests were presented to the Council at the September 2015 meeting and approved by the membership. Palliative Care: The Palliative Care Committee met monthly with Cooley Dickinson Directors of Palliative Care, VNA & Hospice, and clinical and administrative members of their teams. The committee now also includes representatives from other hospital units who focus on the patient’s physical, emotional, social, and spiritual needs and are interested in community outreach. Some of the highlights of the committee activities this past year include:

Continued to conduct community outreach sessions on the basics of Palliative Care, Hospice Care, and the objective and personal uses of MOLST with community groups at senior centers, councils on aging, assisted living communities and places of worship in Northampton and surrounding towns. This outreach began about four (4) years ago and has evolved to include family- and patient-oriented health communications that aim to improve understanding of clinical choices and the use of shared decision making in setting personal end-of-life goals.

Expanded the community education programs to include ethnic minorities in cooperation with the Pioneer Valley Shambala Center, Franklin Interfaith Council and Casa Latina Northampton.

Strategized with community groups on approaches to addressing end-of-life issues specific with various faith communities so as to insure that the presentations better meet the needs of these groups.

Met with representatives from the Gunderson Respecting Choices Program to discuss how best to encourage individuals to complete advance directives and care planning and analyze data to evaluate the community education efforts.


Worked with Cooley Dickinson staff and representatives from Forbes Library to explore opportunities to bring a speaker of prominence to the Pioneer Valley as a means of providing another vehicle for educating the general public about end-of-life issues. This work will continue into the next fiscal year.

Microsystems and Other Hospital Teams Behavioral Health Anti-Stigma Campaign: The National Mental Health Anti-Stigma Campaign is a national campaign to eliminate the social stigma associated with mental illness. The Hospital committee membership includes a Council representative, Hospital staff and leadership from the National Alliance of Mental Illness– Western Mass (NAMI-WM). Some of the highlights of the committee initiatives this past year included:

Planned a presentation titled Mental Health and Stigma: What To Do About It; How You Can Help as part of the Cooley Dickinson/ Massachusetts General Hospital Lecture Series held monthly. The presentation is scheduled for October 2015.

Participated in the Community Behavioral Health Mapping project and worked with the Systems Perspectives Staff to develop a coordinated plan regarding mental health resources.

In response to The Coalition of Western Massachusetts Hospitals Western Massachusetts selecting Behavioral Health as a topic for collaboration and a regional project, the committee participated with community partners, including NAMI-WM, in a planning day and selected Mental Health First Aid (MHFA) regional training as the regional project.

Advocated for mental health services in the community-at-large and met with local State Representatives to educate them on the services provided by the Hospital’s Behavioral Health Inpatient Unit and other community services.

Coordinated with the Hospital to provide conference room space for the NAMI twelve (12) week Family to Family evidence-based course which helps families learn about mental illness and identify coping strategies.

Participated in the Senior Center Health and Safety Fair and staffed information tables that provided resources on mental health care and support group information.

Worked with the Hospital to support the National Alliance on Mental Illness walkathon this year that creates awareness regarding mental health.

Cancer Center Steering Committee: With construction of the Mass General Cancer Center at Cooley Dickinson Hospital underway, the Cancer Center Steering Committee did not continue to meet on a regular basis in fiscal year 2015. However, the membership convened in June to view three (3) design options for a mural to be painted on an outside wall above the Emergency Department. The designs were submitted by local artist John Simpson, an instructor at the University of Massachusetts, Amherst. The winning design depicts a tranquil pond surrounded by bushes and trees and will provide a restful landscape when viewed through the windows of the Cancer Center Infusion Suite by patients receiving chemotherapy. The work was completed in three (3) weeks during July by Simpson and his students from the Commonwealth Honors College at UMass. This fall, the Cancer Steering Committee has been meeting periodically to review written literature that will be provided to the Cancer Center patients and their families. The goal of the Council member’s input is to insure that the material is helpful and easy to understand from the patient and family perspective. This work will continue into fiscal year 2016 with the Cancer Center slated to open in early October 2015.


Diversity, Equity & Inclusion Council: The Diversity, Equity & Inclusion (DEI) Council was formed this year with a mission to identify and address issues relating to diversity, inclusion and health equity in the Cooley Dickinson Community. The committee goals include:

Diversify the workforce and governance to reflect and leverage the diversity of the populations served.

Enhance cultural and linguistic responsiveness/competency to enhance safety, quality and both patient and employee satisfaction.

Eliminate disparities in healthcare and health outcomes.

Three (3) members of the Council served on this multidisciplinary and diverse committee which has evolved over the past year. Some of the key projects included:

Kicked-off the first Martin Luther King Jr. Day Celebration with a video on exclusion and how to act as an ally with a luncheon discussion. Individuals in attendance shared a desire to continue meeting and expand on the conversation. In response, monthly Lunch Forums/Diversity Dialogues were introduced which have been well attended and support open conversations.

Provided leadership and advocacy for expanded participation in the Northampton Gay Pride Day in May 2015.

Participated in both internal and external forums as a means of raising awareness regarding health disparities among the LGBT community.

Coordinated a presentation to the Cooley Dickinson Leadership Forum and Board of Trustees by Harvey Makadon, MD from The Fenway Institute on Ten Things: What Cooley Dickenson Can Dot to Provide LGBT Affirmative and Inclusive Care in June 2015

Supported the efforts of the DEI’s Autism Collaborative Project working group and the related Cooley Dickinson/Northampton Commission on Disabilities Ad Hoc Committee.

Emergency Department Behavioral Health Operations Improvement Committee: The Hospital is renovating a section of its Emergency Department (ED) to create a physically safe setting (pod) for psychiatric patients and to protect individuals who are at risk to over-stimulation in the milieu of the general ED. The ED Behavioral Health (BH) Operations Improvement Committee began meeting this past year to review current operations related to the management of the psychiatric patient and develop new approaches that align with the physical design of the new pod and support patient-centered care. The committee has been meeting every two (2) weeks. The membership includes a Council member, a representative from Clinical and Support Options (CSO), which is the community psychiatric emergency service, clinical leadership from the ED and Behavioral Health Inpatient Unit, Security, mental health clinicians, techs and patient observers. The committee has provided input to guidelines for patient triage, criteria for patient assignment to and transfer out of the BH pod, management of safety and security concerns, and both internal and external communication. In addition, the committee has been involved in planning for the care of patient and visitor belongings, electronic and phone policies, and the management of the patient’s dietary and physical activity while in the BH pod.


Rehabilitation Service Patient Experience Improvement: The multidisciplinary rehabilitation committee met throughout the year. The committee discussed operations and patient flow concerns that impact the patient experience such as wait time for appointments, appropriate scheduling of treatment regimen, and patient education/communication regarding the treatment team that often includes a Physical Therapist (PT) and Physical Therapy Assistant (PTA). The committee identified the need for real-time feedback from patients and, to achieve this, placed comment boxes in the waiting rooms in each of the Rehabilitation sites. The Council member found the committee to be energetic and motivated and welcomed the patient and family perspective that Council participation offered. Board of Trustees Committees Development/Public Relations Committee: The Council member continued as an active participant of the Development/PR Committee that meets every other month. During the 2014–2015 year, the committee had the opportunity to hear report outs from both the Marketing/Public Relations and Development teams. The members provided input to the new marketing campaigns that rolled out this year focusing on the affiliation with Mass General and the opening of the new Mass General Cancer Center at Cooley Dickinson Hospital. In addition, new members of the Senior Team joined meetings throughout the year to educate the committee as to their role and goals for their areas of responsibility. Healthy Communities Committee: The committee continued to focus on the priorities established through the community health assessment as well as opiate abuse, which emerged as a regional crisis in 2015. The priorities determined through the health assessment process are listed below in bold, with project highlights.

Behavioral Health: With other hospitals in the Pioneer Valley, the committee coordinated two gatherings of regional behavioral health providers, the Massachusetts Departments of Mental Health and Public Health, and the National Alliance on Mental Illness – Western Mass to choose a specific project. The goals of the project include demonstrating collaboration, reducing stigma, and creating regional awareness of the need for mental health and substance use disorder treatment and services. Mental Health First Aid (MHFA) was selected as the project. MHFA training will be held in the coming year. The committee also shared the systems mapping work from fiscal year 2014 with the new Physician Hospital Organization (PHO) psychiatrist, who is focusing on integrating behavioral health into primary care practices.

Youth Substance Abuse: Cooley Dickinson provided a small grant to support the Strategic Planning Initiative for Families and Youth to work with Hampshire County School to implement the Prevention Needs Assessment Survey. The survey was implemented in February and March and the results were made available in June 2015. The results will inform strategic planning initiatives by local prevention coalitions in Northampton, Easthampton, South Hadley, and Hampshire County.

Opiate Abuse: Opiate overdose, including several deaths, emerged as a regional (and statewide) crisis in fiscal year 2015. We partnered with the District Attorney’s office, local health departments, and local law enforcement to establish the Hampshire Opiate Prevention and Education (HOPE) Coalition. Cooley Dickinson is taking a leading role by hosting and co-chairing the health care solutions work group. HOPE received a small federal grant as well as a large multi-year state grant to address opiate abuse and overdose.

City of Easthampton: Consistent with last year, Cooley Dickinson provided several small grants to the City of Easthampton and community partners to implement policies and programming to encourage people to be more physically active and to eat healthy foods. Specific projects included expanding and completing the assessment of the condition of


sidewalks for walkability and presenting a report to the City; healthy cooking workshops by a local physician targeting people with pre-diabetes in collaboration with the Community Center and the Congregational Church; healthy meal lunch events for men by the Council on Aging; school gardening curriculum at the Pepin School; intergenerational gardening project for youth in foster care at the Tree House Foundation; and a project where Easthampton employees could buy Cooley Dickinson subsidized Fit Bit bracelets to track physical activity. Several employees reported losing weight, becoming more active and eating more healthfully as a result of their participation. Easthampton also focused on tobacco control including holding three smoking cessation programs; creating a resource guide for post partum women; creating a photo project with 8th graders and their teachers; and coordinating with Students Against Destructive Decisions to create a Photo Voice project.

Transportation to Access Health Care Services: The committee worked with the Pioneer Valley Planning Commission and the United Way of Hampshire County to finalize our Getting to Healthy report on transportation as it relates to access to care. Approximately 50 people attended an event to release the report. Cooley Dickinson provided a small grant to the Amherst Survival Center to enhance their pilot project to assist clients in getting follow-up medical appointments and provided financial support to the City of Northampton Office of Planning and Sustainability to create a template to create a Complete Streets guide which could be used by any municipality. Cooley Dickinson provided a grant to the Hilltown Community Development Corporation to lead a collaborative project, with Councils on Aging, to assess transportation needs of elders in rural communities and develop a pilot project.

Latino Health Access: Cooley Dickinson provided a grant to support Casa Latina to continue its patient navigator project as well as support general operations and planning for this important agency.

Chronic Disease Prevention: The committee continued to support and/or advocate existing programs that support patients or clients who have a chronic illness. These programs include A Positive Place and Cooley Dickinson Medical Group (CDMG) Diabetes Center.

Health Access and Health Equity: The committee has actively participated in a planning project to establish a satellite of the Hilltown Community Health Center in Amherst. The Center will serve a broad segment of the population, but the primary focus will be on the homeless, veterans, immigrants, individuals with behavioral health concerns, and those for whom English is a second language. The Center will be located at the Bangs Community Center. Draft architectural plans have been completed and a fundraising feasibility study is well underway. The projected opening for the new site is 2017. In fiscal year 2015, we included Hampshire Health Connect and community Medical Interpreter services as community programs. We became the organizational home for the Diversity, Equity, and Inclusion Council. The Council focused on LGBT concerns with an employee survey, report, and recommendations for policy and operational improvements. The Council has made plans to next focus on racial and ethnic diversity.

Data Stratification: The committee released a report on mammography participation which suggested an opportunity for improvement, especially with respect to Latinas.

Program Evaluation: The committee contracted with an independent agency to evaluate projects, including capacity building for project leaders.

Community Health Assessment: The Committee began planning for a community health assessment to be completed by September 2016. The membership will work with the other hospitals in the Pioneer Valley as well as Partners hospitals and include local non-profits, government agencies and local residents in the assessment and prioritization of health related community needs.


Patient Care Excellence Committee (PaCE): The Council representative to PaCE participated in the monthly meetings as a community representative of patients and families. The Board Committee is charged with ensuring that Cooley Dickinson Hospital maintains and improves a high level of excellence in patient care. The laser focus of the PaCE Committee has been particularly meaningful through this past year of leadership transition. The ongoing and systematic review of processes and outcomes of care across all hospital departments coupled with strategic interventions has contributed to continuous improvement. The various report-outs on performance improvement initiatives reflect a commitment to patient-focused care. A number of the presentations at PaCE were also shared in the monthly Council as a means of strengthening the Council’s role as representatives of the community-at-large and enabling the membership to share the improvement efforts with the broader community. The effort that the Senior Team directed towards improving Cooley Dickinson is impressive. The Council is privileged to have a seat at the table. Resource Committee: The representative to the Resource Committee attended the monthly meeting and participated in many of the discussions offering the perspective of patients and families. The committee deliberated on matters related to Human Resources, such as labor negotiation, defined pension benefit, and the introduction of Just Culture. The committee reviewed the financial health of each of the Cooley Dickinson Health Care Corporation (CDHCC) entities. The membership discussed reasons for variances to budget and, if unfavorable to budget, an emphasis is placed on how to get back on budget. There was also a tremendous focus on the use of agency staffing. A good portion of Resource Committee time was consumed with the budget process as well as the implementation of zero-based budgeting as a means of engaging management at all levels in the management of expenses. The committee reviewed the finances relative to the construction of the new MGH Cancer Center at Cooley Dickinson and the growth strategies of the Cooley Dickinson Medical Group (CDMG) practices. The committee also deliberated on how to increase the number of primary care practitioners to the service area. V. FUTURE PLANS

The current Council committees will continue their work in the 2015-2016 year and anticipate

identifying some additional initiatives that support the fiscal year 2016 Leadership Priorities.

Council members have also agreed to continue to serve on Board Committees and other

Hospital teams to represent the voice of patients and family members in the management of

quality and satisfaction improvement work of the hospital.


VI. SUMMARY Moving forward, Cooley Dickinson Hospital will continue to cultivate the participation of patients and family members, incorporating their vision and voice into its work and various hospital initiatives. The Council will serve as the primary vehicle for doing so. Cooley Dickinson Hospital staff has long been committed to creating a patient– and family-centered environment of care. This value comes to life every day through the actions of our broad and various staffs. But it is the perspective — the voices and the vision — of our patients and families that provides our moral and operational compass. The annual report of the Patient and Family Advisory Council is delivered to the hospital’s Board of Trustees and its Patient Care Excellence Committee by the Chief of Staff to the Office of the President along with a designated patient/family member. The Council’s annual reports are available for download via the hospital’s website (www.cooley-dickinson.org).


Appendix A: October 2014 – September 2015

Council Members/Assignments

Name Position Committee/Team(s) Comments

Jeff Caplan Member PaCE Committee Appointed November

2011; Elected Co-Chair,

June 2014

Eileen Sugrue CDH Co-Chair Appointed October 2014

Kent Alexander Member Diversity, Equity & Inclusion

Committee

Appointed October 2014

David Cohen Member Appointed May 2011

Nancy Egan Member Emergency Department

Behavioral Health Pod


Ellie Fraser Member Rehab Services Patient

Experience Improvement

Reappointed February

2012

Robin Kline CDH Member Membership Committee Appointed March 2012

Jim Lomastro Member Resource Committee; Health

Care for All Statewide

Conference Working Group


2012

Elvira Loncto Member Reappointed February

2012

John McCann CDH Member Appointed April 2013;

Resigned May 2015

Emily Nagoski Member Appointed January 2012

Donna O’Meally Member Membership Committee

Chair; Diversity, Equity &

Inclusion Committee

Appointed January 2012

Kishore Parmar Member Appointed October 2014

Don Reutener Member Palliative Care Appointed January 2011

Priscilla Ross CDH Member Appointed May 2015

Jeanne Ryan CDH Member Healthy Communities Appointed September

2011; Resigned March

2015

Adriana Sarsynski Member Diversity, Equity & Inclusion

Committee


Ella Smolenski Member Behavioral Health Anti-

Stigma Campaign


David P. Stevens Member Healthy Communities

Committee


2011; Elected as

Co-Chair June 2012;

Reelected Co-Chair,

June 2013

Pip Stromgren Member Cancer Care Steering

Committee; Membership

Committee;

Development/PR Committee

Appointed November

2011

Barbara Williams Member Health Care For All

Statewide Conference

Advisory Committee


2011


Addendum to the

ANNUAL REPORT OF THE COOLEY DICKINSON

PATIENT AND FAMILY ADVISORY COUNCIL 2014–2015

Responses to Health Care for All Questions Suggested for Patient and Family Advisory Council Annual Report Section 1: PFAC Organization 5. Our PFAC has agreed upon policies and procedures:

See Composition, Section IIID in the Cooley Dickinson Annual Report 7. Our PFAC recruits new members using the following approaches:

See Membership Committee, Section IVB in Cooley Dickinson Annual Report

9. Our PFAC chair or co-chair is a patient or family member:

Yes 10. Our PFAC chair or co-chair is a hospital staff member:

Yes 11. This person’s position title is:

Chief of Staff, Office of the President 12. This person is the official PFAC staff liaison: Yes 13. Our PFAC has a total of 5 staff members. 14. Our PFAC has 16 current or former patients or family members. 15. The name of the hospital department supporting the PFAC is Administration. 17. The hospital reimburses PFAC members for the following costs associated with attending or participating in meetings: The Hospital paid for registration fees for PFAC members who attended the statewide conference and provides refreshments at Council meetings.


Section 2: Community Representation The PFAC regulations require every PFAC to represent the community served by the hospital. 19. Our catchment area is geographically defined as: Primary service area

Amherst Florence Haydenville Northampton

Chesterfield Goshen Leeds West Hatfield

Cummington Hadley North Amherst Whately

Easthampton Hatfield North Hatfield Williamsburg

Westhampton (included in

Easthampton’s zip code)

Secondary service area

Ashfield Leverett South Deerfield West Chesterfield

Belchertown Plainfield Southampton Worthington

Huntington Shutesbury Sunderland

20.–25. Our catchment is made up of the following demographic percentages: Hampshire County (as a proxy for our service area) is made up of the following demographic percentages (from the U.S. Census Bureau, 2014 http://quickfacts.census.gov/qfd/states/24/2015.html) Race American Indian or Alaska Native o.3% Asian 5.3% Black or African American 3.0% White 88.9% Other1 2.4% Ethnicity Latino2 5.3% Not Latino 84.7%

1 Native Hawaiian and Other Pacific Islander alone @ 0.1% and Two or More Races @ 2.3%

2 Hispanics may be of any race, so also are included in applicable race categories which explains why percentages

do not add up to 100%

http://quickfacts.census.gov/qfd/states/24/2015.html


26. Our PFAC is undertaking the following activities to ensure appropriate representation in our members in comparison to our patient or catchment is:

See Membership Committee, Section IVB in Cooley Dickinson Annual Report

Section 3: PFAC Operations 27. Our process for developing and distributing agendas for our PFAC meetings: The Council Co-Chairs develop the agenda with input from the Council 30. The PFAC goals for 2014 were: Developed by PFAC members and staff 32. Our PFAC has the following subcommittees: Membership/Recruitment and Palliative Care 34. Our PFAC interacts with the Hospital Board of Directors in the following ways: PFAC submits annual report to Board PFAC submits meeting minutes to Board Board member(s) attends PFAC meetings on occasion PFAC member(s) are on board-level committee(s) 36. This is the url/link to the PFAC section of our hospital’s website: http://www.cooley-dickinson.org/main/patient-family-advisory-council.aspx 37. Describe the PFAC’s use of email, listservs, or social media: PFAC members connect via electronic email Section 4: Orientation and Continuing Education

38. The PFAC had 5 new members this year. 39. Our PFAC orientation program this year was provided by staff and PFAC members: For orientation, see Composition, Section IIID of the Cooley Dickinson Annual Report 40. The content included: Meeting with hospital staff, general hospital orientation, PFAC policies, members’ roles and responsibilities, information on health care quality and safety, a “buddy program” with old members 42. PFAC members are considered hospital volunteers and therefore:

Attend hospital volunteer trainings, require immunizations or TB checks, require CORI checks

http://www.cooley-dickinson.org/main/patient-family-advisory-council.aspx


44. Our PFAC provides education to our members on the topic patient-centered research outcomes:

No Section 5: PFAC Impact and Accomplishments 45.-50. The three greatest accomplishments of our PFAC were: See Fiscal Year 2015 Accomplishments, Section IV of Cooley Dickinson Annual Report

ANNUAL REPORT OF THE COOLEY DICKINSON PATIENT …...on the Massachusetts Medical Orders for Life...

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