Community Health Implementation Strategy Overview by Community Adventist

Community Health Implementation Strategy Overview by Community

Adventist Health System will be reassessing CHIS during COVID 19 uncertainty and recognizing that there will be : • Higher focus on vulnerable groups in communities in high need areas with a shift in resources and services • Reduced access to care and services during shelter in place ordinances and support of virtual alternatives • Resulting changes in the implementation approach will be documented and reported on in future community health plan updated reports

Adventist Health Bakersfield 2019 Community Health Priorities • • • • Housing & Homelessness Mental Health Access to Health Care Economic Insecurity Substance Use & Misuse Chronic Diseases Environmental Pollution Food Insecurity Sexually Transmitted Infections Violence & Injury Preventative Practices Dental Care/Oral Health Birth Indicators Overweight & Obesity Alzheimer’s Disease Unintentional Injuries 2020 -2022 Adopted Community Health Priorities & Initiatives • 2019 Intentional Community Benefit Community Health Spend Improvement • Housing & Homelessness • Homeless Action Planning Committee • Economic Insecurity • Homeless Workforce Development • Chronic Disease • Cancer Outreach Screenings • Food Insecurity • Waste Hunger Not Food Program • Preventative Practices • Flu Shot Clinics • Overweight & Obesity • Mobile Kitchen Project $ 948, 929 • Charitable Donations $ 435, 431 • Community Building Activities $ 171, 597 • Total: $1, 555, 957

Adventist Health Castle 2019 Community Health Priorities • Foundations (provide the basic foundations so that people can have more control over their health): Work together for equality and justice; strengthen families; build good food systems • Community (preserve, nurture, expand, and employ the healing properties of the community): Restore environment and sense of place; nurture community identity and cohesiveness • Healthcare (improve the relationship between people and the health care system): Provide accessible, proactive support for those with high needs 2020 -2022 Adopted Community Health Priorities & Initiatives • Community • Expanded Food and Nutrition Program “Life Skills” • Healthcare • Community education of urgent care services 2019 Intentional Community Benefit Spend • Community Health Improvement $ 705, 584 • Charitable Donations $ 28, 965 • Community Building Activities $ 145, 273 • Total: $ 879, 822

Adventist Health Clearlake 2019 Community Health Priorities • Mental health • Substance use disorders – including alcoholism and drug use • Access to programs and services • Housing and homelessness • Poverty • Unemployment 2020 -2022 Adopted Community Health Priorities & Initiatives • • Community Outreach & Education for all disenfranchised communities • Shower Trailers Substance Use Disorders/Mental Health • Opioid Recovery Live Well Institute Access to programs and services • AHEAD program cancer screening Housing and homelessness • Restoration House 2 2019 Intentional Community Benefit Spend • Community Health Improvement $2, 072, 309 • Charitable Donations $ 47, 441 • Community Building Activities $ 423, 585 • Total: $2, 543, 335

Adventist Health Glendale 2019 Community Health Priorities 2020 -2022 Adopted Community Health Priorities & Initiatives • 2019 Intentional Community Benefit Community Health Spend Improvement • • Homelessness/poverty Mental health/substance abuse Cardiovascular disease Preventative wellness Dental health Obesity Geriatric care Diabetes • Poverty/Homeless including Mental Health and Substance Abuse • Continuum of Care • Access to Care • Family Practice Residency • Cardiovascular Disease including stroke • Stroke Awareness • Preventive Wellness including diabetes • Tobacco Control Coalition • Geriatric support • Exercise/Fitness Classes $1, 895, 537 • Charitable Donations $ 170, 400 • Community Building Activities $ • Total: • 8, 983 $2, 074, 920

Adventist Health Hanford/Selma 2019 Community Health Priorities • • • • CVD/Stroke Access to care Asthma Economic security Climate and health Violence and injury prevention Oral health Obesity/HEAL/Diabetes Maternal and infant health Substance abuse/tobacco Mental health HIV/AIDS/STIs Cancer 2020 -2022 Adopted Community Health Priorities & Initiatives • Access to Care • Transportation • Obesity/HEAL/Diabetes • Athletic Training with School District • Mental Health • Resilience Documentary • Economic Security/Homelessness • Kings Whole Person Care Partnerships • Maternal/Infant Health • Overall Wellbeing • 2019 Intentional Community Benefit Community Health Spend Improvement $1, 101, 832 • Charitable Donations $ 140, 171 • Community Building Activities $ 657, 822 • Total: $1, 899, 825

Adventist Health Howard Memorial 2019 Community Health Priorities • • Mental health issues Alcohol and drug abuse Homelessness Economic issues Chronic disease Lack of access to health care Domestic abuse – including sexual and child abuse 2020 -2022 Adopted Community Health Priorities & Initiatives • Mental health issues • Participation in mental health collaborative • Substance Abuse • Safe Haven Wellness Center • Workforce Development • Participate in Advisory Council with Mendocino College to implement physical therapy assistant program 2019 Intentional Community Benefit Spend • Community Health Improvement $ 179, 799 • Charitable Donations $ 69, 850 • Community Building Activities $ 58, 547 • Total: $ 308, 196

Adventist Health Lodi Memorial 2019 Community Health Priorities • Mental Health • Economic security • Obesity/health eating, active living/diabetes • Violence/injury prevention • Access to care • Substance abuse/tobacco • Asthma • Oral health • Climate and health 2020 -2022 Adopted Community Health Priorities and Priorities • Mental Health • Child Abuse Prevention Council partnership to address ACE’s • Economic Security • Partnership with Health. Force • Obesity/Health Easting and Active Living (HEAL)/ Diabetes • 2020 Summit to encourage adoption of Parks by local business • 2019 Intentional Community Benefit Community Health Spend Improvement $ 494, 095 • Charitable Donations $ 37, 359 • Community Building Activities $ 13, 913 • Total: $ 545, 367

Adventist Health Portland 2019 Community Health Priorities • Chronic disease • Behavioral health – mental health, alcohol & drug misuse, anxiety/stress, depression, Alzheimer’s • Social determinants of health – housing/homelessness, hunger/food access, transportation, safety • Access to care 2020 -2022 Adopted Community Health Priorities & Initiatives • 2019 Intentional Community Benefit Community Health Spend Improvement • • Chronic Disease • Northwest Health and Nutrition Conference Access to Care • Project Access Now Behavioral Health • Unity Center Social Determinants: Food Access/Security • Market St. Community Garden and Home Gardents $5, 160, 400 • Charitable Donations $ 67, 819 • Community Building Activities $ 10, 113 • Total: $5, 238, 332

Adventist Health Reedley 2019 Community Health Priorities • • • • CVD/Stroke Access to care Asthma Economic security Climate and health Violence and injury prevention Oral health Obesity/HEAL/Diabetes Maternal and infant health Substance abuse/tobacco Mental health HIV/AIDS/STIs Cancer 2020 -2022 Adopted Community Health Priorities & Initiatives • Access to Care • Transportation • Obesity/HEAL/Diabetes • CREATION Health • Mental Health • Addiction Medicine • Economic Security/Homelessness • Inspire Hope • Maternal/Infant Health • Maternal Health Screening 2019 Intentional Community Benefit Spend • Community Health Improvement $1, 224, 529 • Charitable Donations $ 0 • Community Building Activities $ 206, 893 • Total: $1, 431, 422

Adventist Health Rideout 2019 Community Health Priorities • Access to mental/behavioral/substance • abuse services • Prevention of disease and injury through knowledge, action, and access to resources • Access to basic services such as housing, jobs and food • Access and functional needs • Access to quality primary care health services • Access to specialty and extended care • Active living and health eating • Safe and violence free environment 2020 -2022 Adopted Community Health Priorities • Access to mental/behavioral/substance abuse services • ED Bridge Program • Access to basic services such as housing, jobs and food • Food Insecurity Program • Access and functional needs • Access to quality primary care health services • Street Nursing Program 2019 Intentional Community Benefit Spend • Community Health Improvement $ 919, 939 • Charitable Donations $ 0 • Community Building Activities $ 583, 111 • Total: $1, 503, 050

Adventist Health St. Helena/Adventist Health Vallejo 2019 Community Health Priorities • Access to health care – providers including dentist/optometrist; affordable insurance • Chronic disease – obesity, diabetes, cancer • Mental & behavioral health – anxiety, stress, depression, substance abuse • Housing & homelessness • Access to health foods 2020 -2022 Adopted Community Health Priorities & Initiatives • 2019 Intentional Community Benefit Community Health Spend Improvement • Mental & Behavioral Health • Healthy Minds, Healthy Aging • Chronic Disease • Dare to CARE • Housing & Homelessness • Up Valley Leadership Coalition • Access to Health Care • Mobile Health Program $ 461, 309 • Charitable Donations $ 54, 500 • Community Building Activities $ 3, 354 Total: $ 519, 163

Adventist Health Simi Valley 2016 Community Health Priorities 2020 -2022 Adopted Community Health Priorities & Initiatives • 2019 Intentional Community Benefit Community Health Spend Improvement • • Access to health care Cancer Cardiovascular disease Diabetes Mental health Overweight/obesity Preventative practices Substance abuse • Alignment of cross-sector services for population health outcomes • Build governance structure • Access to health care • Partner workflows, referral networks • Social needs through food access interventions • Deploy Hunger Vital Signs screening tool • Improve the health and wellbeing of older adults • Education and training for caregivers $1, 196, 245 • Charitable Donations $ 443, 101 • Community Building Activities $ 176, 112 • Total: $1, 815, 458

Adventist Health Sonora 2019 Community Health Priorities • Access to Health Care – providers including geriatric and primary care; preventative care; transportation • Mental & Behavioral healthsubstance; trauma and isolation • Housing & Homelessness • Chronic Disease – asthma, obesity • Poverty • 2020 -2022 Adopted Community Health Priorities & Initiatives • • Access to Health Care • Life Hope Centers Mental & Behavioral Health • Drug Store Project Housing & Homelessness • Resiliency Village Project Chronic Disease • Freedom from Smoking classes • 2019 Intentional Community Benefit Community Health Spend Improvement $ 255, 945 • Charitable Donations $ 56, 113 • Community Building Activities $ 385, 191 • Total: $ 697, 249

Adventist Health Tehachapi 2019 Community Health Priorities • • • • Housing & homelessness Mental health Access to health care Economic insecurity Substance use & misuse Chronic diseases Environmental pollution Food insecurity Sexually transmitted infections Violence & injury Preventative practices Dental care/oral health Birth indicators Overweight & obesity Alzheimer’s disease Unintentional injuries 2020 -2022 Adopted Community Health Priorities • • • Chronic Disease • Outreach/Screenings Food Insecurity • Waste Hunger Not Food Preventative Practices • Childhood Mobile Immunization Program Violence & Injury • Suicide Intervention Program Housing & Homelessness • Participation in the Homeless Action Planning Committee Economic Security • Garden Pathways Partnership 2019 Intentional Community Benefit Spend • Community Health Improvement $ 88, 872 • Charitable Donations $ 14, 275 • Community Building Activities $ 8, 272 • Total: $111, 419

Adventist Health Tillamook 2019 Community Health Priorities • Housing & homelessness • Mental health – access to providers and rehabilitation facilities, treatment, trauma informed care • Access to health care – dental, vision; transportation; affordable insurance; preventative care • Prevention and management of chronic diseases – diabetes, obesity, cancer, physical activity, nutrition • Physical Environment – safety, access to parks/recreational facilities • 2020 -2022 Adopted Community Health Priorities & Initiatives • Housing & homelessness • Contribute in-kind resources directly and through community partnerships that help lowincome individuals better afford stable housing • Mental health • Develop a comprehensive medication assisted treatment program • Access to health care • Explore & create a mobile integrated healthcare team • Prevention and management of chronic diseases • Partnership with Tillamook County Wellness Program • 2019 Intentional Community Benefit Community. Spend Health Improvement $ 367, 864 • Charitable Donations $ 54, 838 • Community Building Activities $ 43, 731 • Total: $ 466, 433

Adventist Health Tulare 2019 Community Health Priorities • Chronic disease – diabetes, obesity, heart disease • Mental health – education and services/treatment • Homelessness & poverty (including housing affordability) • Access to healthy foods • Access to health care & resources (including preventative health care) 2020 -2022 Adopted Community Health Priorities & Initiatives • Access to Care • Transportation • Obesity/HEAL/Diabetes • CREATION HEALTH • Mental Health • Hosting education seminars for community partners • Economic Security/Homelessness • World Vision/Inspire Hope Project • Maternal/Infant Health • Overall Wellbeing 2019 Intentional Community Benefit Spend • Community Health Improvement $ 11, 900 • Charitable Donations $ 1, 000 • Community Building Activities $ 25, 829 • Total: $ 38, 729

Adventist Health Ukiah Valley 2019 Community Health Priorities • • Mental health issues Alcohol & drug issues Homelessness Economic issues Chronic disease Lack of access to health care Domestic abuse – including sexual and child abuse 2020 -2022 Adopted Community Health Priorities Mental health issues • Participation in mental health collaborative • Substance Abuse • Safe Haven Wellness Center • Workforce Development • Participate in Advisory Council with Mendocino College to implement physical therapy assistant program • 2019 Intentional Community Benefit Spend • Community Health Improvement $ 614, 816 • Charitable Donations $ 60, 384 • Community Building Activities $ 472, 200 • Total: $1, 147, 400

Adventist Health White Memorial 2019 Community Health Priorities 2020 -2022 Adopted Community Health Priorities & Initiatives • 2019 Intentional Community Benefit Community Health Spend Improvement • Chronic disease – diabetes, obesity, heart disease • Mental health – education and services/treatment • Homelessness & poverty (including housing affordability) • Access to healthy foods • Access to health care & resources (including preventative health care) • • • Mental Health • Welcome Baby Program Chronic Diseases • Diabetes Center Access to Health Care & Resources • Community Information Center $2, 151, 890 • Charitable Donations $ 377, 534 • Community Building Activities $1, 777, 659 • Total: $4, 307, 083