2019 Community Benefit Annual Report

Community Benefit Annual Report 2019 #ucmserves

At the Forefront of Health Equity To you, our community.

As the South Side’s only academic medical center, UChicago Medicine has an obligation to go beyond fulfilling our traditional missions of clinical care, research and education. We must care for residents of one of the most under-resourced communities in the nation — while also advancing the treatment for cancer, heart disease and other lifethreatening conditions.

We serve 23 percent of Chicago’s population on the South Side, where residents are disproportionately affected by high rates of chronic conditions such as asthma, diabetes and high blood pressure, as well as by community violence and trauma.

But the issues that impact our community don’t stop there. Social determinants of health also adversely affect the health and wellness of our community; these include availability of food and access to quality health care, housing, employment and education.

Through research, partnerships and health-related programs and events, UChicago Medicine’s Urban Health Initiative leads our efforts to improve community health and promote health equity — equal opportunity to live one’s healthiest life. This includes collaborating with our Community Advisory Council on top health priorities identified in the most recently published Community Health Needs Assessment, which guides and informs our community benefit work.

UChicago Medicine remains committed to making significant investments to expand and support critical and advanced services for our patients and community on the South Side.

We provided $519.5 million in benefits and services to the community in fiscal 2019 — a nine percent increase over the previous year. This investment included supporting patients who rely on Medicare or Medicaid or who were unable to pay for care. It also included teaching and training tomorrow’s health care professionals, funding medical research and donating to community groups for health and wellness initiatives.

We invite you to read through this report to see how our medical center’s investments are serving the community and contributing to a healthier South Side.

Kenneth S. Polonsky, MD Dean and Executive Vice President for Medical Affairs

Sharon O’Keefe President, University of Chicago Medical Center

UChicago Medicine Community Benefit Annual Report 2019

Table of Contents 4 South Side Service Area

14 Violence Prevention and

Trauma Resiliency

6 Urban Health Initiative

20 Social Determinants of Health

8 Community Health

Needs Assessment

22 Economic Impact

and Opportunity

10 Chronic Disease: Asthma

24 Community Outreach

and Engagement

3

Investment in the Community

12 Chronic Disease: Diabetes

Investment in the Community Total Investment: Fiscal Year 2019 Increase of 9% over fiscal 2018

$644K

$5M

$258K Uncompensated care $249M Medicare program losses Support to make up for Medicare reimbursement rates, which do not cover the cost of care. Medicare is a federal health insurance program for people 65 and older and those with certain disabilities.

$48M

$106.7M Unrecoverable patient debt Amount absorbed when a hospital cannot collect expected payment for services.

$86.2M Medicaid program losses Medicaid is a joint federal and state program for those requiring financial assistance.

$23.7M Charity care Cost of providing free or discounted services to qualified individuals.

Medical research

$519.5M

Funding to investigate ways to better prevent, detect and treat disease, as well as advance patient care.

Uncategorized community benefits Includes support for health improvement services, communities, volunteers and language assistance.

Cash/in kind

$465.6M

Gifts to community groups for healthrelated activities.

Medical education Cost to teach and train future health care professionals not covered by tuition, grants or scholarships.

Medicaid Patients at Private Hospitals in Metro Chicago Number of Medicaid patients who were hospitalized in 2018 in metro Chicago

Hospital

Medicaid patients

The University of Chicago Medicine

11,251

Advocate Christ Medical Center

9,835

Rush University Medical Center

9,134

Mount Sinai Hospital Medical Center

7,128

Northwestern Memorial Hospital

6,763

Ann & Robert H. Lurie Children’s Hospital Chicago

5,241

Mercy Hospital & Medical Center

5,172

Foster G. McGaw Loyola University Medical Center

4,807

Presence Saint Joseph Medical Center

4,104

Swedish Covenant Hospital

3,662

Source: Illinois Department of Public Health Annual Hospital Questionnaire, 2018

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COMMUNITY BENEFIT Annual Report 2019

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South Side Service Area Proudly Serving Chicago’s South Side Chicago’s South Side is a storied collection of vibrant, resilient, culturally rich and diverse neighborhoods.

It is also one of the nation’s largest underresourced communities.

South Side residents are disproportionately affected by chronic diseases and other complicated public health concerns.

New City youth learned digital recording and dance choreography in the summer program at New Eclipse Community Alliance, a violence prevention grant recipient.

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UChicago Medicine

Addressing the health needs of the community is essential to improving residents’ quality of life. The University of Chicago Medicine is dedicated to enhancing health and wellness in South Side communities. Recognizing that there are contributing factors at the roots of these complex issues — such as low income, limited education, violent crime, unemployment and other social determinants of health — we aim for solutions that extend beyond the point of medical care.

A Closer Look at Our South Side Service Area According to the 2018-2019 Community Health Needs Assessment UChicago Medicine service area

Poverty

Food insecurity

Covering 12 ZIP codes 60609 60615 60617

almost double the state level

60619

53%

Nearly 1 in 2 households are at risk for food insecurity

of servicearea population

60620 60621 60628 60636

Children in poverty

60637 60643

More than 2x the state rate

60649 60653

Nearly double the city-wide rate

16%

21%

Chicago: 32%

Chicago: 32%

Chicago: 11%

Illinois: 20%

Illinois: 12%

Illinois: 8%

Change in total population

Community Profile

ity Commun Profile

of Chicago population

Cook County

IL

US

Gather valuable health information about South Side neighborhoods

Who lives here?

Race and

Unequal distribution of health care services and facilities

29%

Top causes of death 1. Heart disease

4. Homicide

2. Cancer

5. Stroke and Cerebrovascular Disease

3. Diabetes-related

<1

42,327

3%

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Latinx

1%

<1 %

11

11

%

Age

Chic 4% 6% 18% ago:

16%

Auburn Gresham Avalon Park Beverly Burnside Calumet Heights Chatham East Side Englewood Fuller Park Grand Boulevard Greater Grand Crossing Hyde Park Kenwood Morgan Park

12%

00–04

%

10%

7%

10%

15–24

16 %

14 %

14%

11%

05–14

6%

25–34

7%

35–44

Age

25–34 15–24

35–44

00–044 55–64 45–5 05–14

65–74

15–24

75–84

25–34

4%

2%

14 %

12 %

10 %

%

45–544 55–64 1% 65–74

8%

05–14

Male der

22%

3

6%

45 %

White

Using findings 13 from the 2018-2019 Community Health Needs Assessment, UChicago Medicine published community health profiles for 27 areas within its 12-ZIP code service area. Visit uchicagomedicine.org/communityhealth to learn more about the health of the communities we serve.

6%

55 % Female

Asian or Pacific Islan

Age

24%

Populat ion change:

5%

1%

Hispanic/

or

PopulatAsian Islander ion:fic Paci

%

change:3

Chicago: 6%

%

Blac Male k

Male

%

x anic/Latin Population Hisp

Sex

96 % 49

47%

Hispanic/Latinx

White

26,573 6 ion:

51% Female

8%

<1%

Population:

Populat

Ethnicity

%

Black

%

Poor health care options for LGBTQ community and people of color

Race and

Asian or ale FemPacific Islander

Black

Chicago:

High cost of some private insurance plans

White

5312%

92

00–04

Complexity of obtaining and keeping public benefit coverage, such as Medicaid

47%

Sex

Ethnicity

%

ion Populat 3 change:

Health care concerns from the community

Sex Who liv es here? 2

Race and Ethnicity

2

es here?

Who liv

30,798

-3.8%

Museum of Science and Industry

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e Peace Hous

lewood

23

%

.6% .2%

Servicearea

g West En

3.5

%

Commun ity Profile

Roselan d

2012-2016

Hyde Park

625,707

Unemployment

Less than high school grad

+16A 96 A 1 + 2 29+48149A 92

Population

43%

Education

75–84

% 1185–94

9%

85–94

35–44

45–54

6% 2% 55–64

65–74

75–84

New City Oakland Pullman Riverdale Roseland South Chicago South Deering South Shore Washington Heights Washington Park West Englewood West Pullman Woodlawn

COMMUNITY BENEFIT Annual Report 2019

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85–94

Urban Health Initiative Improving Community Health and Wellness The Urban Health Initiative (UHI) is the University of Chicago Medicine’s community health division responsible for collaborating with community-based organizations on health-related programs, research and services for residents of the South Side of Chicago.

A commitment to health equity drives UHI’s work: that all community members should have the opportunity to attain their full health potential, regardless of social position or other socially determined circumstances.

UChicago Medicine staff members gather in service to the community at the annual Day of Service and Reflection (DOSAR).

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UChicago Medicine

UHI serves as a two-way bridge to the community and ensures UChicago Medicine is an active part of improving the lives of South Side residents by: • Building the goodwill, social capital and relationships needed to create new services and programs addressing population health.

• Approaching community health challenges with a collaborative, community-based and participatory focus that promotes health equity.

• Developing high-quality educational programs and communications that reflect and address the needs of community residents.

The Urban Health Initiative Departments Community Benefit Community Benefit tracks and reports community benefit programs and activities across UChicago Medicine. The team also assists other UHI departments with developing and implementing evidence-based population health programs and embedding a sound evaluation framework across all UHI programs. As part of its mission and as a requirement for nonprofit hospitals, the community benefit programs and evaluation team conducts UChicago Medicine’s Community Health Needs Assessment (CHNA; see page 9).

Community Benefit Grants UHI collaborates with the University of Chicago’s Institute for Translational Medicine (ITM) to administer the Community Benefit Grants Program. Each community-based organization that receives funding also partners with an ITM faculty member to evaluate its program’s impact and outcomes. In 2019, UHI provided grants for programs related to diabetes and violence prevention.

“UChicago Medicine is committed to providing safe, highquality and inclusive care to our diverse community of patients.”

BRENDA BATTLE, RN, BSN, MBA VICE PRESIDENT, URBAN HEALTH INITIATIVE AND CHIEF DIVERSITY AND INCLUSION OFFICER

South Side Healthcare Collaborative (SSHC)

Health Equity Honors In 2019, the University of Chicago Medicine was named an “LGBTQ Healthcare Equality Leader” by the Human Rights Campaign Foundation (HRC) for the fifth year in a row for the academic medical center’s inclusive policies and practices related to LGBTQ patients, visitors and employees. The designation was awarded in the 12th edition of the Healthcare Equality Index (HEI).

Diversity, Inclusion and Equity Launched by UHI in 2013, the Office of Diversity, Inclusion and Equity focuses on building a more culturally competent, health-literate organization that advances health equity throughout diverse populations.

In fiscal 2019, the office provided 3,353 hours of cultural competence training to 1,723 UChicago Medicine staff.

The office also creates easy-to-understand patient education materials to promote healthy behaviors.

Strategic Affiliations Partner relationships are a key part of UChicago Medicine’s care delivery network. With the goal of achieving and sustaining wellness within the community, Strategic Affiliations connects patients to reliable clinical resources post-discharge and provides homebased interventions. Initiatives include: the South Side Healthcare Collaborative, South Side Pediatric Asthma Center and Medical Home and Specialty Care Connection Program.

The South Side Healthcare Collaborative is a partnership devoted to improving access to quality health care for the uninsured, underresourced and special needs populations. The SSHC brings together more than 30 federally qualified health centers, as well as free and charitable clinics and three community hospitals. This network, which includes UChicago Medicine, focuses on advancing the capabilities of its members through service, education, networking and advocacy.

Community Affairs Community Affairs promotes and facilitates engagement and collaboration between UChicago Medicine and Chicago communities. By partnering with and leveraging the strengths and talents of community assets, UChicago Medicine is able to improve local health and well-being.

Community Affairs fosters and promotes communityfocused programs and initiatives for residents on the South Side.

VISIT US ONLINE AT uchicagomedicine.org/community

Each year, UChicago Medicine, along with the University of Chicago, celebrate the LGBTQ community at Chicago’s annual Pride Parade. The medical center works to educate medical students and caregivers about LGBTQ patients, their health issues and care.

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Community Health Needs Assessment Community Benefit Health Priorities as identified in the 2018-2019 Community Health Needs Assessment

8

UChicago Medicine

Prevent and manage chronic diseases

Build trauma resiliency

Reduce inequities caused by social determinants of health

• Asthma • Diabetes

• Violence recovery • Mental health

• Access to care • Food insecurities • Employment

2018-2019 Community Health Needs Assessment: Identifying the greatest health needs on the South Side A tool for promoting health equity The University of Chicago Medical Center conducts a Community Health Needs Assessment (CHNA) every three years as part of its mission and focus on health equity, and as a requirement as a nonprofit hospital.

The CHNA helps UChicago Medicine identify health challenges for its South Side service area and evaluate the best options for committing resources that can most effectively improve community members’ health and wellness.

Collaboration across the community In publishing the CHNA, UChicago Medicine staff worked with internal teams and community parters — including the Community Benefit Steering Committee and the Community Advisory Council (see page 25) — to collect, assess and interpret the data.

UChicago Medicine also partnered with the Alliance for Health Equity, a membership collaborative of nonprofit hospitals, health departments and regional and community-based organizations in Cook County, led by the Illinois Public Health Institute.

In addition, between March 2018 and March 2019, South Side community residents, health care and social service providers and other stakeholders participated in surveys, focus groups and assessments.

Health screenings — like this one at the annual African Festival for the Arts — help provide community members with valuable information and resources.

“We are using the data in the Community Health Needs Assessment to help us determine what priority health areas we should focus on, what’s the greatest need for the community, and how we should allocate our resources.”

CATINA LATHAM, PHD EXECUTIVE DIRECTOR, COMMUNITY BENEFIT PROGRAMS AND EVALUTION

UChicago Medicine’s Sandra Laveaux, MD, MPH, talks with a participant after a panel discussion at the 2019 Black Women’s Expo.

READ THE COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT ONLINE: uchicagomedicine.org/community-health

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Chronic Disease: Asthma The 2018-2019 Community Health Needs Assessment identified asthma as a top health concern. UChicago Medicine partners with community organizations and other health care providers to help community members prevent and manage chronic diseases such as asthma.

Community Health Worker Dameka Hart demonstrates the use of an asthma inhaler and spacer.

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UChicago Medicine

• Asthma-related emergency department visits are disproportionately high in UChicago Medicine’s service area.1 • Adults living in ZIP code 60621 (within the service area) are three times more likely to visit the emergency department for asthma-related illnesses than are adults living in other parts of Chicago.1 • 16% of adults in Englewood have asthma compared to nearly 8% in the U.S. 2,3

1. 2018-2019 Community Health Needs Assessment; 2. 2018-2019 Community Health Needs Assessment, Englewood Community Profile; 3. 2017 Current Asthma Prevalence, CDC

South Side Pediatric Asthma Center (SSPAC) The South Side Pediatric Asthma Center is a multiinstitution partnership. The SSPAC helps children and families on the South Side of Chicago by connecting them to asthma care and resources, promoting standardized education and dispatching Community Health Workers to help high-risk asthma patients at their homes or other places where they need support.

SSPAC PARTNERS • Beloved Community Family Wellness Center • Chicago Family Health Center • Friend Health

• La Rabida Children’s Hospital • St. Bernard Hospital • UChicago Medicine Comer Children’s Hospital

SSPAC Programs EDUCATION • Provide standardized and easy-tounderstand asthma education materials • Host annual Asthma Education Summit • Provide asthma education to community COMMUNITY HEALTH WORKERS • Outreach to families and children living with high-risk asthma ASTHMA RESOURCES • Free Asthma Resource Line (1-833-3ASTHMA) for community members to connect to medical facilities and local and national services • SouthSideKidsAsthma.org, a website featuring resources and general asthma information covering such topics as triggers and medication device usage (available in English and Spanish) • Education, outreach and referrals to community resources and services

Annual Asthma Education Summit The annual Asthma Education Summit brings together health care providers, school representatives, faith-based organizations and other community groups to discuss and promote asthma education. In May 2019, more than 100 attendees learned about the effect of traumatic stressors on childhood asthma, the value of asthma action plans and optimal inhaler techniques.

A young attendee of SSPAC’s Asthma Testing and Education event gets screened for asthma by Sam Lindo, respiratory therapist from Not One More Life, Inc

Community Health Worker Program Community Health Worker Program Outcomes: 2017-2019 The Community Health Worker Program has served more than 282 children living with asthma by helping families and their caregivers better understand asthma and how to manage it. This has led to a decrease among participants in emergency room visits, hospitalizations and missed school and work days.

57% emergency dept. visits

56% missed school days

59% hospitalizations

55% missed work days

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Asthma Testing and Education Event Through a collaboration with Not One More Life, Inc., SSPAC hosted an event providing free asthma testing and culturally sensitive asthma education for children and families in the community. 21 community members took part in the event.

The Extension for Community Health Outcomes Chicago (ECHO-Chicago) The Extension for Community Health Outcomes (ECHO) is an innovative workforce development model merging “virtual rounding” and “telementoring” with case-based training. Since 2010, ECHO-Chicago has trained more than 1,300 health care providers on 18 chronic physical and mental health conditions, including an asthma series that addresses the prevalence and impact of asthma on the South Side of Chicago. In fiscal 2019, ECHO-Chicago provided 305 hour-long videoconference sessions on various topics to 382 health care providers across 215 clinic sites spanning 16 states and 3 countries.

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Chronic Disease: Diabetes UChicago Medicine’s programs and initiatives help community members develop and maintain healthy lifestyles to combat diabetes — the third-leading cause of death in our South Side service area and a top health priority as identified in the 20182019 Community Health Needs Assessment.

Frederick Geiger (second from right) gathers with fellow participants for a fitness class at South Side Fit.

12

UChicago Medicine

• Adult emergency room visits due to diabetes are more than twice as prevalent in the UChicago Medicine service area compared to the Chicago metro area.1 • 22% of Roseland residents have diabetes compared to 9% of the overall U.S. population. 2,3

1. 2018-2019 Community Health Needs Assessment; 2. 2018-2019 Community Health Needs Assessment, Roseland Community Profile; 3. 2017 National Diabetes Statistics Report, CDC

South Side Fit South Side Fit is a referral-based fitness program run through a partnership between the Timothy Community Corporation and UChicago Medicine. The program serves community members dealing with diabetes, heart disease, obesity and other chronic diseases.

12 186

health and wellness workshops offered in 2019

workshop attendees Photo Credit: Kentaro Yamada

When South Side Fit participant Frederick Geiger started with the program in 2017, he weighed 240 pounds.

Through cardiovascular exercise, weight training and healthier eating, he lost more than 20 pounds. The program’s workshops taught him how to prepare nutritious meals, which helped him better manage his blood pressure, acid reflux and sleep apnea.

He also found a new community of people focused on health and wellness. “My fellow participants have become my fitness family,” Geiger said. “We have built strong, healthy relationships and discuss our goals daily. That is the amazing part of this journey.”

South Side Diabetes Project Spearheaded by Monica Peek, MD, and Marshall Chin, MD, of UChicago Medicine, the South Side Diabetes Project engages patients, providers, clinics and community collaborators to improve diabetes care and outcomes on the South Side of Chicago. The program features patient education and empowerment, provider workshops, quality improvement programs and community collaborations.

Community Fitness Program UChicago Medicine’s Community Fitness Program at the Museum of Science and Industry has served community members for more than two decades. The free walking and fitness program is designed to encourage healthy fitness habits and the integration of regular exercise into community members’ lives. The program also incorporates health education workshops provided by UChicago Medicine volunteer physicians, nurses and other health professionals. These workshops cover topics such as nutrition, injury prevention and pain management, and offer the Diabetes Empowerment Education Program (DEEP™).

82 481K

community walkers in 2019

Gastroenterologist and trained chef Edwin McDonald, MD, has a message to the community: A healthier life can be yours. He shares his own weight-loss journey with patients seeking weight management support and treatment at UChicago Medicine’s Center for Endoscopic Treatment of Obesity. He also teaches nutrition classes for community members, co-hosts the Community Health Focus Hour radio show on WVON 1690-AM, and serves up healthy advice in his popular blog, The Doc’s Kitchen, where he strives to “create healthy recipes and occasionally drop some knowledge.”

Diabetes Empowerment Education Program (DEEP™) DEEP™ is a diabetes self-management curriculum that has proven successful in helping participants take control of their disease and reduce risk of complications.

After receiving DEEP™ training, UChicago Medicine Community Relations team members can conduct education sessions on managing diabetes; since 2017 they have provided DEEP™ education to more than 200 community members.

Managing My Diabetes Program (MMD) UChicago Medicine provides funding to TCA Health, Inc., a federally qualified health center. Through its Managing My Diabetes program, TCA offers diabetes diagnosis, testing, clinical metrics monitoring and self-management support. A Certified Diabetes Educator and lay health workers provide community members with pre-diabetes and diabetes education, support groups and physical activity and healthy eating programs. MMD also has a behavioral health component that focuses on the mental health aspects of managing a chronic disease.

Edwin McDonald, MD, is a UChicago Medicine faculty collaborator for the program.

steps by 2nd quarter Fitness Challenge winner

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Violence Prevention and Trauma Resiliency

Through its violence recovery and prevention summer program, Chicago Eco House taught at-risk youth skills in flower farming, beekeeping and entrepreneurship.

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UChicago Medicine

Homicide mortality is substantially higher in UChicago Medicineâ&#x20AC;&#x2122;s service area than in the city overall, with some community areas experiencing more than double Chicagoâ&#x20AC;&#x2122;s rate. At UChicago Medicine, we follow an integrated health model for violence prevention and trauma resiliency, treating patients inside and outside of the hospital walls. Trauma resiliency programs provide patients with the medical, social, and psychological support and resources to navigate their way through recovery and sustain their well-being.

Violence Recovery Program (VRP) The Violence Recovery Program is led by a multidisciplinary team that provides support to victims of intentional violence and their families upon arrival at UChicago Medicine’s Level 1 adult trauma center.

Through direct intervention and in partnership with community-based service providers, VRP staff members work with victims of intentional violence to promote comprehensive recovery and reduce reinjury risk.

The VRP team includes 8 violence recovery specialists, 2 trauma chaplains, 1 VRP social worker and 6 trauma intervention specialists.

1,024 472 20

patients served*

families served*

families received bereavement support counseling*

*VRP metrics from May 2018 through June 2019

TURN Center Operated by Bright Star Community Outreach in Bronzeville, The Urban Resilience Network (TURN) Center’s phone helpline provides support to families and youth coping with trauma. Staffed by licensed clinicians and community and faith leaders, TURN Center receives calls from people needing help coping with the loss of a loved one, relationship difficulties, bullying, abuse and other traumas. In fiscal 2019, TURN Center served nearly 200 callers, including 40 who consistently participated in weekly sessions. TURN Center is supported by UChicago Medicine, Northwestern Medicine, Cigna and the United Way of Metropolitan Chicago.

Wellness Resiliency Arts Program (WRAP) One of the flagship programs of the Center for Community Health and Vitality, led by UChicago Medicine’s Doriane Miller, MD, the Wellness Resiliency Arts Program is a partnership with the Logan Center for the Arts, UChicago’s School of Social Service Administration and Urban Gateways. Through WRAP, trauma-trained teaching artists and social work students work with youth to create art related to experiences of trauma and community violence. In fiscal 2019, WRAP served 40 youth participants.

VISIT US ONLINE AT uchicagomedicine.org/community

How UChicago Medicine’s trauma care teams work together to heal patients and families Late into the night, a young boy who had been shot was transported to the University of Chicago Medicine Comer Children’s Hospital in critical condition.

UChicago Medicine’s trauma team immediately provided expert medical care to the boy, while UChicago Medicine’s Violence Recovery Program (VRP) swung into action, offering emotional and psychological support to his family members, other children who were with him at the time of the shooting, and those who gathered at the hospital.

Established in concert with UChicago Medicine’s Level 1 adult trauma center, the VRP works to address the epidemic of violence by providing crucial services to adults, children, family members and friends affected by violent trauma — including specialized interventions for trauma and violence as well as health care navigation and assistance.

Young family members also received support from Comer Children’s Child Life Specialists, who helped to reduce anxiety and normalize their emotions. These nationally certified specialists are available 24/7 in both Comer Children’s and the adult emergency rooms. Meanwhile, a chaplain comforted the boy’s adult family members, attending to their emotional and spiritual needs.

Healing Hurt People-Chicago also stepped in, providing trauma-informed care and psychoeducation, and introducing the family to a trauma intervention specialist — a master’s level social worker who helps patients and family members process and understand both the current trauma they are facing and past trauma.

Today, thanks to the care provided by UChicago Medicine’s trauma and violence recovery teams, the young boy has recovered. Alert and oriented, he is now talking and playing with his family members.

While the boy’s physical wounds may have healed, he and his family still face psychological and social challenges. That is why patients and families are offered trauma-focused psychotherapy tailored to pediatric patients’ developmental stages.

UChicago Medicine’s VRP offers referrals to more than 60 community-based social and behavioral health agencies to ensure holistic recovery and reduce the risk for reinjury and recidivism.

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Through this innovative, community-driven, holistic approach to trauma caused by violence, the BHC Collaborative seeks to support child, family, and community health and impede recurrent violence.

The BHC Collaborative deploys a range of specialists who help children and their families access services both within the hospital and in the community, including Child Life Specialists, who help ease children’s stress during hospitalization; hospital chaplains, who give comfort and spiritual counseling; and violence recovery specialists, who provide case management and support services.

Through play, conversation, distraction or relaxation techniques, Child Life Specialists work to decrease the anxiety and trauma that children face when they come to the hospital.

The Block Hassenfeld Casdin (BHC) Collaborative for Family Resilience The Block Hassenfeld Casdin (BHC) Collaborative for Family Resilience was established in May 2019 with a $9.1 million gift from the Ellen & Ronald Block Family Foundation and the Hassenfeld Family Foundation.

The BHC Collaborative is based on the premise that trauma caused by violence is best treated holistically — starting with personalized care of the child and family in the medical center, continuing through discharge and recovery, and extending into the home, school and neighborhood — through a network of community resources.

The model represents a dramatic shift in trauma care: Instead of providing only medical care to trauma patients, the BHC Collaborative approach includes wraparound services to help children and their families during and following their hospital experience. This means offering mental health and social service support, health care navigation, help finding housing or childcare, and much more.

Key components of the BHC Collaborative involve: • Helping children navigate their hospital experience by providing 24/7 Child Life interventions in the UChicago Medicine Comer Children’s emergency room and support for children whose loved ones are treated at the Level 1 adult trauma center.

• Providing wraparound resources to support the holistic needs of children and families experiencing trauma and linking them to specialized, traumainformed counseling services, including Healing Hurt People-Chicago, a nationally recognized trauma intervention program that provides such services as group therapy and mentoring; the Recovery and Empowerment After Community Trauma (REACT) program, which offers assessment, trauma-focused psychotherapy and medication management services for children; and other community-based social support.

• Investing in community-based organizations that provide critical resources aimed at helping children, families and the community build long-term resiliency from trauma and violence.

The structure was driven by the ideas and input of UChicago Medicine’s Community Advisory Council (CAC), which is made up of civic and faith-based leaders who provide guidance on key health concerns that affect residents of the South Side.

“The genius of this program is that the community and medical center are true partners, each bringing their expertise, from working together on the initial design to making improvements along the way.”

ELLEN HASSENFELD BLOCK FOUNDER, BHC COLLABORATIVE FOR FAMILY RESILIENCE

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UChicago Medicine

In November 2019, Ellie Block (far right) met with more than 40 staff members of the BHC Collaborative, along with community partners, to discuss opportunities for advancing trauma care services throughout the medical campus and on the South Side.

The BHC Collaborative for Family Resilience

Child/Family Experiences Trauma

Child Life Specialist at Comer Children’s lays groundwork for comprehensive recovery.

• Helps child navigate hospital experience • Serves as “sole voice” speaking to child • Works to manage child’s anxiety • Provides age-appropriate explanations • Connects to art and music therapy

16–32 interactions with program and services during treatment

Violence Recovery Specialist assesses immediate safety needs and arranges violence mediation, if necessary. Specialists also provide assertive case management and help with such special needs as court advocacy, emergency funding requests, housing and more.

Patient/Family, Violence Recovery Specialist and Social Worker: • Finalize treatment plan • Set goals for recovery • Schedule communication

Social Worker coordinates referrals and “warm hand-offs” to internal and external resources.

Warm hand-offs to hospital-based resources Healing Hurt People: Trauma Intervention Specialist helps survivors of violent trauma and provides trauma-focused psycho-education, safety assessments, advocacy, follow-up case management and referrals to community services tailored to the child and family.

Warm hand-offs to external partners and community resources Including: Bright Star Community Outreach, Metropolitan Family Services, Chicago Survivors, Heartland Alliance and other community-based services within the South Side’s social services ecosystem.

REACT Clinic: Experts conduct psychiatricneeds assessment and provide counseling and medication management to children exposed to violence.

VISIT US ONLINE AT uchicagomedicine.org/community

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Southland RISE In 2019, UChicago Medicine partnered with Advocate Health Care to form Southland RISE (Resilience Initiative to Strengthen and Empower). The partnership was inspired by Chicago HEAL — Hospital Engagement, Action and Leadership — an initiative launched by U.S. Senator Dick Durbin to address the effects of violence in the Chicago area. Southland RISE focuses on strengthening and integrating existing violence recovery and trauma care services within the two medical systems and throughout South Side and south suburban communities.

Southland RISE attended the 2019 Strides for Peace summer rally and has awarded grants to to support the summer violence prevention and recovery programs at 14 community-based organizations on the South Side of Chicago.

Representatives of Southland RISE’s summer grant recipient programs: Alliance of the SouthEast (ASE), Chicago Eco House; Edward G. Irvin Foundation; Future Ties; Girls Like Me; Grow Greater Englewood; Guitars Over Guns; I Grow Chicago; Love, Unity & Values (LUV) Institute; New Eclipse Community Alliance; Precious Blood Ministry Reconciliation; Restoring the Path–Crushers Club; St. Titus One Youth Anti-Violence & Mentoring Program; Woodlawn Re-entry Project

CHICAGO ECO HOUSE

2019 Southland RISE Summer Grant Recipients Grassroots community groups used creative, constructive and collaborative approaches to address violence prevention and trauma resiliency.

While more than 670 individuals were served through the summer grant programs, many more families, organizations and residents benefited from this important partnership.

$100K 670+ awarded to grassroots organizations

individuals reached

14 South Side community groups

Learned flower farming and beekeeping

LOVE, UNITY & VALUES (LUV) INSTITUTE

NEW ECLIPSE COMMUNITY ALLIANCE

Produced public service announcements

Created digital recordings, vision boards and choreography

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UChicago Medicine

ST. TITUS ONE YOUTH ANTI-VIOLENCE & MENTORING PROGRAM

Violence Recovery Grants: Building Capacity UChicago Medicine and the Community Advisory Council’s Trauma Care and Violence Prevention Workgroup provided funding to three local non-profit, community-based organizations for their violence prevention programs for at-risk and underresourced populations. In addition to one year’s funding, the three organizations partnered with UChicago’s Community Programs Accelerator to strengthen their effectiveness.

• Chicagoland Prison Outreach has a vocational carpentry training program that empowers people formerly incarcerated to have a longlasting career and prepares them for entry into the carpenters’ union.

Hosted night and weekend basketball open gym sessions

PRECIOUS BLOOD MINISTRY RECONCILIATION

• Centered around baseball, Lost Boyz’s Successful Youth Leaders Program teaches youth ages 16-24 college and career readiness and personal finance skills.

• Southside Together Organizing for Power’s (STOP) Woodlawn Restorative Justice Hub helps young people most affected by violence build skills in and understanding of restorative justice, economic empowerment and civic engagement.

ALLIANCE OF THE SOUTHEAST (ASE)

Learned and worked in silk screening, woodworking and gardening

GUITARS OVER GUNS

Convened peace circles to share common experiences

FUTURE TIES

Composed and recorded music

VISIT US ONLINE AT uchicagomedicine.org/community

Hosted events for neighborhood parents, including a painting party

COMMUNITY BENEFIT Annual Report 2019

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Social Determinants of Health Social determinants of health are social, economic and physical conditions in which people are born, live and work that affect their health and and well-being.

Research has shown that social determinants of health have a greater influence on a person’s health than commonly considered factors such as use of health care services.

Social determinants of health are a root cause of many of today’s public health problems including obesity, heart disease, diabetes and depression. Health care leaders now understand that in order to have a healthier community, we must address social determinants of health.

Cancer Food Pantry volunteers in the Supportive Oncology Suite in the Duchossois Center for Advanced Medicine (DCAM)

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UChicago Medicine

Social determinants of health affect health equity Housing

Economics

• Housing quality and instability • Neighborhood violence

• Underemployment • Insufficient wages

Food

Interpersonal

• Limited or no access to affordable, healthy food • Disconnection from benefits (e.g. SNAP)

• Social isolation • Discrimination • Adverse childhood events • Trauma

Education

Access to Care

• Health illiteracy • Lack of language skills • Quality of public schools

• Health coverage • Quality of care

UChicago Medicine is addressing Social Determinants of Health (SDOH) through its programming, as SDOH impacts our service area in variety of ways:

Access to Care

Food Insecurity

• All 12 UChicago Medicine service area ZIP codes are classified by the federal Health Resources and Services Administration (HRSA) as health professional shortage areas for primary care and mental health.

• Only 67% of residents in the Greater Grand Crossing neighborhood report having a consistent source of primary care.

• Food insecurity occurs when a household has limited or uncertain access to adequate food.

Access to healthy foods is an important factor needed to support a healthy lifestyle.

• The Greater Chicago Food Depository estimates that half of residents in the UChicago Medicine service area experience food insecurity.

Source: 2018-2019 Community Health Needs Assessment

Medical Home and Specialty Care Connection Program The Medical Home and Specialty Care Connection Program is designed to connect South Side residents to community health centers and doctors who can provide preventive care, regular treatment for non-emergency health conditions, long-term management of chronic disease and referrals to specialists. The program’s Patient Advocates educate patients on the importance of regular doctor visits and help patients in the emergency department and hospital connect to a reliable health care home using the resources of the South Side Healthcare Collaborative and beyond.

30K 6,100+ 65%

encounters with patients* appointments scheduled in fiscal 2019*

patients kept their appointments in fiscal 2019*

FOOD INSECURITY SCREENING To address food insecurity, Patient Advocates use the Greater Chicago Food Depository (GCFD) pantry finder to locate resources for patients and send referrals for SNAP/WIC application support.

30% 210 322

identified as at-risk for food insecurity, of 1,040 patients screened*

patients referred to GCFD for SNAP/WIC application support* patients provided with a list food pantries*

* Data from fiscal yearof 2017-2019 GCFD

*Data from 2017-2019 UChicago Medicine’s Community Benefit Evaluation Report

VISIT US ONLINE AT uchicagomedicine.org/community

For the second year, UChicago Medicine’s Nutrition Garden Committee harvested fresh produce from a garden at the top of a parking garage. Harvests are shared with hospital patients at no cost.

The committee also sold produce to employees and visitors, with all proceeds benefiting the American Heart Association.

Feed1st Program Feed1st is a program of service and research that alleviates food insecurity for patients and families at Comer Children’s Hospital and in Supportive Oncology’s Infusion Therapy Suite in the Duchossois Center for Advanced Medicine. Founded in 2010, Feed1st works with hospital and medical student volunteers and the Greater Chicago Food Depository to provide food that is free, self-serve and open to patients and their families year-round, 24/7.

In fiscal 2019, Feed1st supplied 11,549 pounds of food to more than 1,800 households and 5,301 individuals.

C4P Community Garden As part of the Comprehensive Care, Community and Culture Program (C4P), the C4P Community Garden aims to address patients’ needs for healthy eating, social engagement, physical activity and increased access to fresh produce. Through funding from the Robert Wood Johnson Foundation, patients participate in planting and harvesting in the learning garden as well as healthy cooking demonstrations. This past growing season, C4P also partnered with three South Side community gardens in South Shore and Woodlawn, connecting patients to their communal garden beds and health and wellness activities.

COMMUNITY BENEFIT Annual Report 2019

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Economic Impact and Opportunity Mikeal Holtzclaw-Gray (above), an HR customer experience specialist, joined UChicago Medicine through a workforce partnership with the Cara Program.

“This is the dream for me,” she says.

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The University of Chicago, including UChicago Medicine, is the largest private employer on the South Side. In addition to highly skilled positions, there’s also a need for large numbers of talented, dedicated employees for entry-level jobs. Making sure that South Side residents have a clear path to these jobs, plus opportunities to grow and advance, is a priority.

21%

334

90%

(1,914) of UChicago Medicine employees reside in our 12-ZIP code service area

people hired from our 12-ZIP code service area in fiscal 2019

of employees from our 12-ZIP code service area retained in employment after one year

Increasing economic opportunity through workforce development, local hiring and training To help get the right workers into the right roles, UChicago Medicine relies on community workforce partners who are experts in matching people and positions, and who can help job seekers get training, skills and certifications.

• HIRING AND TRAINING MORE SOUTH SIDE RESIDENTS UChicago Medicine works with the Cara Program and Skills for Chicagoland’s Future to develop a pipeline of workforce talent from our 12 ZIP-code service area: 67% of total placements come from this area.

Corey Scott works as a dishwasher at UChicago Medicine’s Center for Care and Discovery (CCD); workforce partner Skills for Chicagoland’s Future helped Scott connect with the entry-level position and launch a career path.

• MEETING THE NEEDS OF THE UNDERRESOURCED AND UNEMPLOYED Over the next two years, UChicago Medicine is partnering with the Anixter Center of Chicago, Chicago Public Schools and the Safer Foundation to create inclusive pathways to hiring and retention for individuals with disabilities, returning citizens and individuals with arrest records.

• MENTORING AND DEVELOPING SKILLS OF AREA YOUTH Since 2011, UChicago Medicine has hosted youth internship programs with the Southside Occupational Academy (SOA) and Cristo Rey, giving high school students the opportunity to work with health care professionals and learn about clinical and nonclinical career paths.

Creating Jobs, Growing Businesses Working with businesses owned by minorities and women is integral to the University of Chicago Medicine’s long-term goals of bolstering the community’s economy.

When working with minority- and women-owned businesses, UChicago Medicine helps provide jobs and opportunities for our neighbors while improving access to high-quality health care for everyone.

In fiscal 2019, UChicago Medicine awarded and paid $11.02 million to certified construction and constructionrelated firms owned by minorities and women. Of these contracts, $949,796 was paid in wages to minority and women onsite construction workers.

Over the past year, UChicago Medicine opened a number of facilities that are integral to the ability to provide health care across Chicago. These facilities would not be possible without the expertise of our minority- and women-owned business partners. We are proud of our work together and will continue to strive to help drive the economy of our community.

Vision Painting and Decorating, owned by Edward McKinnie Jr., was a key construction contractor on the River East Ambulatory Care Center project, slated to open in early 2020. A longtime construction partner, Vision Painting and Decorating helped construct UChicago Medicine’s Adult Emergency Department.

When the company decided to expand its services to include spray-on fireproofing, UChicago Medicine was poised to award its first contract for this service.

“For some time we’ve attempted to expand our services to spray-on fireproofing; however, now, this is an accomplished dream,” said McKinnie.

Edward McKinnie and Edward McKinnie Jr. of Vision Painting and Decorating in their warehouse in the south suburbs of Chicago

$11.02 million

$949K+

43%

paid to minority- and womenowned firms across construction projects for University of Chicago Medicine in fiscal 2019

in wages paid to minority and women onsite construction workers in fiscal 2019

of construction workers on the UChicago Medicine River East Ambulatory Care Center project were minorities or women

VISIT US ONLINE AT uchicagomedicine.org/community

COMMUNITY BENEFIT Annual Report 2019

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Community Outreach and Engagement

Players and coaches from the WNBA Chicago Sky participated in UChicago Medicineâ&#x20AC;&#x2122;s 2019 Day of Service and Reflection (DOSAR).

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Community Advisory Council Giving voice to community health needs, concerns and priorities The University of Chicago Medicine’s Community Advisory Council (CAC) is led by a group of volunteer members who live and/or work in the UChicago Medicine service area. The CAC serves as advisors to UChicago Medicine on issues of interest to the broader community and is an essential partner in achieving UChicago Medicine’s goals related to community benefit, access to care, and community health and engagement.

Community Advisory Council and Workgroup Chairs

2019 Highlights and Achievements TRAUMA CARE AND VIOLENCE PREVENTION WORKGROUP • Guided review and selection and led oversight for three violence prevention community grants • Launched a Collective Impact Planning Process to identify strategies to reduce intentional violence in the UChicago Medicine South Side service area • Recommended and helped develop the “Rapid Cycle” Violence Prevention Grants Program to support grassroots organizations ADULT HEALTH WORKGROUP • Advised on the 2019 Community Health Needs Assessment, including focus group questions • Partnered with SHARE Network (South Side Healthy Aging Resource Network) to disseminate diabetes educational information throughout the community via printed and online resources as well as through health ministries • Advised on community benefit grantmaking processes and population health interventions (including South Side Fit) MATERNAL CHILD WORKGROUP • Contributed to the 2019 Community Health Needs Assessment, including advising on survey and methodology • Began development of a toolkit featuring data from the Community Health Needs Assessment and its Community Profiles, to be used by community residents, leaders, and organizations • Advised on community benefit grantmaking processes, population health interventions (including the South Side Pediatric Asthma Center) and the Urban Health Initiative’s annual Asthma Summit

CAC Chair Rev. Julian DeShazier Senior Pastor, University Church

CAC Vice Chair and Chair, Adult Health Workgroup Candace Henley Founder/Director, The Blue Hat Foundation

Chair, Maternal-Child Health Workgroup Sherida Morrison Founder/CEO, Demoiselle 2 Femme

Chair, Trauma Care and Violence Prevention Workgroup Damon Arnold, MD Medical Director II, Blue Cross Blue Shield of Illinois

“Our work with UChicago Medicine promotes transparency and accountability, and builds upon community assets to address pressing health needs. I’m proud to serve alongside the talented Community Advisory Council members and UChicago Medicine’s Urban Health Initiative in making a difference.”

REV. JULIAN DESHAZIER CHAIR, COMMUNITY ADVISORY COUNCIL

VISIT US ONLINE AT uchicagomedicine.org/community

COMMUNITY BENEFIT Annual Report 2019

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Day of Service and Reflection (DOSAR) Each spring, UChicago Medicine faculty, staff, students, friends and families come together for the Day of Service and Reflection. DOSAR helps South Side nonprofit organizations, schools and church groups paint, garden and clean up their facilities. In 2019, 182 volunteers completed projects for 16 sites on the South Side. This included the players and coaches of the WNBA Chicago Sky — of which UChicago Medicine is a sponsor and partner — who helped with painting and cleaning projects at South Shore United Methodist Church.

Real Men Cook UChicago Medicine co-sponsored the 30th Real Men Cook, an annual Father’s Day event honoring the important role of men in their families and communities.

UChicago Medicine doctors, faculty, staff and student volunteers provided heart health information and basic nutrition education and served healthy food to more than 500 attendees in the “Real Docs Cook” tent.

UChicago Medicine physicians showcased their grilling skills at the annual Real Men Cook celebration.

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UChicago Medicine

WNBA Chicago Sky: Asthma Awareness Day UChicago Medicine is the official provider of medical services and a major sponsor for the WNBA Chicago Sky. In July 2019, our South Side Pediatric Asthma Center (SSPAC) partners hosted information tables and shared helpful asthma resources with hundreds of students and day campers who attended the afternoon Sky game at Wintrust Arena. Participants included Beloved Community Family Wellness Center, Comer Children’s Safe Kids, Friend Health and La Rabida Children’s Hospital.

UChicago Medicine physicians answer health questions from event attendees.

Black Women’s Expo In 2019, the Urban Health Initiative co-sponsored the 30th Annual Black Women’s Expo, which focused on women’s health, aspirations and achievements.

UChicago Medicine hosted a health panel of experts who covered such topics as nutrition, menopause and other women’s health concerns. UChicago Medicine also offered diabetes screenings, stroke and health education sessions and resources for older adults. The exhibit drew more than 1,000 visitors and the health panel attracted more than 100 attendees.

Comer Children’s mascot, Remoc (Comer spelled backwards) joined partners of the South Side Pediatric Asthma Center to greet young fans at a WNBA Chicago Sky game.

African Festival of the Arts During a four-day, family-friendly event which drew thousands of attendees over Labor Day weekend, UChicago Medicine’s Urban Health Initiative co-sponsored the Health and Wellness Pavilion at the 30th Annual African Festival of the Arts. Activities included diabetes screenings and education, presentations on nutrition and behavioral health and a Zumba fitness party!

VISIT US ONLINE AT uchicagomedicine.org/community

COMMUNITY BENEFIT Annual Report 2019

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WVON 1690-AM “Community Health Focus Hour” (CHFH) UChicago Medicine partners with WVON 1690-AM to air a weekly radio broadcast series, the “Community Health Focus Hour.” CHFH focuses on specific health topics affecting the community and is led by UChicago Medicine faculty, staff and guest speakers. Community members are encouraged to call in or participate through social media platforms. In 2019, 42 shows were aired with topics ranging from breast cancer to immunizations, with 108 callers and 8,512 views on Facebook Live.

At the Forefront Live Launched in 2019, “At the Forefront Live” is a 30-minute broadcast hosted on UChicago Medicine’s Facebook page. The show addresses timely medical and health care topics and features insights from the medical center’s expert physicians and staff. In 2019, two of the broadcasts were dedicated to community health topics, including health disparities and opportunities for improving health for South Side residents. These two broadcasts had over 9,500 views on UChicago Medicine’s Facebook page.

“At the Forefront Live” highlighted community health topics.

Community Grand Rounds Community Grand Rounds, led by Doriane Miller, MD, was launched by the Center for Community Health and Vitality with the support of the Urban Health Initiative and the University of Chicago’s Institute for Translational Medicine. Community Grand Rounds are designed to share health information and research with community members at locations across the South Side. Community members and faculty work together to determine the topics. Past topics have included violence, mental health, asthma, sexually transmitted infections and more. As of August 2019, more than 4,500 community members attended a total of 48 events.

A Career Services Specialist at UChicago Medicine, Myles Lawter (right), works with a participant in Ci3’s Work Shop program.

Center for Interdisciplinary Inquiry and Innovation (Ci3) in Sexual and Reproductive Health Founded in 2012, The Center for Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health is a research center at the University of Chicago addressing the social and structural determinants of adolescent sexual and reproductive health. Ci3’s Work2Prevent program aims to support the employment of Black and Latinx young men who have sex with men (YMSM) and young transgender women (YTW) by providing them with technology and employment skills to increase their economic stability. Upon completion of the Work2Prevent program, participants are referred to another program at Ci3 called the Work Shop, a resource for LGBTQ adolescents and young adults seeking to improve their skills and job prospects. Every Thursday, the Work Shop provides drop-in services at The Village HIV outreach center, providing help with résumés, cover letters, job applications, mock interviewing and more.

“Through Community Grand Rounds, we can gather information from our community members about what they think are the needs, values and priorities for health and well-being in South Side communities.”

DORIANE C. MILLER, MD ASSOCIATE PROFESSOR OF MEDICINE AND DIRECTOR, CENTER FOR COMMUNITY HEALTH AND VITALITY

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The Chicago Center for HIV Elimination (CCHE) Implementing the Ending the HIV Epidemic strategy in the most impacted communities on Chicago’s South Side, the Chicago Center for HIV Elimination offers unique opportunities to advance HIV testing and prevention interventions locally, providing tangible results to those most affected and improving the lives of those living with HIV infection and others who may need support.

• In 2019, through the off-campus, community engagement space, The Village, CCHE completed 1,463 HIV and/or STI tests, 294 (20%) of which tested positive for HIV. • CCHE’s Expanded HIV Testing and Linkage to Care in Disproportionately Affected Communities program (xTLC) identifies individuals who might be living with HIV, but who are unaware of their status. Optout, routine screening is done in collaboration with South and West Side community partners. Through UChicago Medicine and xTLC partners, 104,424 HIV tests were performed, with 483 people found to be living with HIV/AIDS and 160 people successfully linked to HIV medical care.

• In honor of World AIDS Day, CCHE hosted the 8th Annual Paragon Ball, with over 350 attendees enjoying performances from Chicago’s House-Ball community.

1,463

STI tests performed at The Village in fiscal 2019

104,424

HIV tests performed through xTLC program in fiscal 2019

Local students get a taste of emergency medicine during a high school symposium.

High School Medical Symposium As a teen growing up on Chicago’s South Side, Abdullah Hasan Pratt, MD, didn’t have mentors or much exposure to the medical profession. He developed the High School Medical Symposium program at UChicago Medicine to inspire South Side students to consider pursuing careers in the field of medicine. “The symposium gives teens a boot camp-style experience of what it is like to work in the medical field for a day,” said Pratt, a graduate of the University of Chicago’s Pritzker School of Medicine.

“It is important to keep that spark alive and encourage them as they pursue their dreams of becoming the next generation of medical practitioners.”

ABDULLAH HASAN PRATT, MD ASSISTANT PROFESSOR OF MEDICINE

Volunteer Services In fiscal 2019, 766 internal hospital volunteers devoted 51,420 hours to support patients, families and staff through UChicago Medicine’s Volunteer Services. Volunteers include South Side residents, high school and college students, working professionals and retirees wanting to give back to their community.

Additionally, Volunteer Services hosts an Adopt-A-Family program that provides gifts and basic necessities to pediatric patients and their families during the holidays. In fiscal 2019, 47 families received items from their wish lists, such as winter outerwear, toiletries, boots and children’s toys.

VISIT US ONLINE AT uchicagomedicine.org/community

COMMUNITY BENEFIT Annual Report 2019

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Community Programs Accelerator

Dare to C.A.R.E.

The Community Programs Accelerator, an initiative of University of Chicago’s Office of Civic Engagement, connects nonprofits in the mid-South Side to a variety of resources at the University of Chicago. This partnership leverages UChicago’s research and organizational expertise while strengthening the capacity of community-based organizations. The Accelerator Program provided technical assistance to 50 organizations in fiscal 2019, including the Violence Prevention awardees who were granted funds by UChicago Medicine.

Run by the UChicago Medicine Vascular Surgery Department in partnership with the Heart Health Foundation, the Dare to C.A.R.E. program is a free vascular disease education and screening program for four potential diseases that often go unnoticed in their early stages: abdominal aortic aneurysm and peripheral artery, carotid artery, and renal artery disease. In fiscal 2019, Dare to C.A.R.E. screened 38 people, 9 of whom were found to have vascular disease.

Chicago Center for Youth Violence Prevention Researchers at the Chicago Center for Youth Violence Prevention are committed to studying and preventing violence in Chicago communities. Given the complexity of eliminating youth violence, the Center approaches this multifaceted problem by providing programs for children and families at different developmental ages and youth with varying levels of associated risk and involvement. The Center partners with schools and other organizations to identify, implement and evaluate evidence-based solutions, thereby building the capacity of the community. Deborah Gorman-Smith, Professor and Dean of the University founded the Center in 2005 with funding from the Centers for Disease Control and Prevention.

Volunteer Ambassador Program In 2019, the Urban Health Initiative organized and supported 99 community events and outreach efforts which heavily relied on the help of volunteers.

The Volunteer Ambassador Program acknowledges employees who volunteer their personal time for at least four events throughout the year and who assume additional responsibility at flagship events such as the Day of Service and Reflection (DOSAR). Volunteer Ambassadors are trained to effectively serve the community and are recognized at an annual event honoring their service. Since the program’s inception, 30 UChicago Medicine employees have earned the designation of Volunteer Ambassador.

UChicago Medicine celebrates the valuable contributions of its Volunteer Ambassadors.

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SHARE Network From launching health education initiatives in the community to enhancing the primary care workforce in geriatrics best practices, the Supporting Healthy Aging Resources and Education (SHARE) Network’s presence in the community continues to grow. In fiscal 2019, the SHARE Network partnered with the Community Advisory Council and the Urban Health Initiative to incorporate local diabetes information in SHARE’s free resource guides; more than 4,500 guides have been distributed.

Also, SHARE Network hosted an event addressing how the opioid crisis affects older adults. More than 175 care providers attended the event. SHARE Network also hosted Illinois Lieutenant Governor Juliana Stratton for a listening session with caregivers for persons living with dementia.

65 16 22

Healthy Aging presentations delivered to 1,201 attendees

Dementia Resource Champions trained; created 2 caregiver support groups ECHO Skilled Nursing Facilitators and Care Providers trained

* Data from fiscal21 year 2017-2019 ECHO Primary

Pediatric Mobile Medical Unit The UChicago Medicine Comer Children’s Hospital Pediatric Mobile Medical Unit provides state-of-the art health care to children on Chicago’s South Side.

The 38-foot-long blue RV features two fully equipped exam rooms and the most advanced clinical equipment available in a mobile health setting. A physician, two nurse practitioners, a licensed clinical social worker, a referral manager and a program coordinator are part of the Mobile Unit program, which offers primary care, mental health care, acute care, social services and health education. In fiscal 2019, the number of mental health assessments on the Mobile Unit increased by over 100% compared to fiscal 2018 (from 92 to 217 mental health encounters). The Mobile Unit also organized a Coat Giveaway Party through a generous gift from the Children’s Health Fund and was able to provide winter coats to 50 children at a partner school.

Reducing Cancer’s Impact on Our Community The University of Chicago Medicine Comprehensive Cancer Center’s Office of Community Engagement and Cancer Health Equity (OCECHE) serves as a bridge between academic and community stakeholders. Strong partnerships are critical to engaging directly with the community so that advances in cancer care reach the communities that need them.

Employee Engagement Initiative During Breast Cancer Awareness Month, the OCECHE developed an employee engagement initiative to provide university and hospital employees access to breast cancer screening and education. Data show that screening rates are low among employees, and initiatives like these are designed to empower employees to take charge of their health and wellness.

Community Investigator Lunch and Learns OCECHE and the breast MRI research team hosted a community “lunch and learn” session to educate University of Chicago Medicine faculty, staff and interns as well as representatives from local community organizations on the various breast scanning studies offered at the University of Chicago. Community members provided input on strategies to improve investigator-community relationships.

Wonder Women Support Group  OCECHE is partnering with radiologist Deepa Sheth, MD, to host four breast cancer support groups serving South Side women. Each session will take place in partnership with a different community organization, will include didactic and interactive educational activities and will center around a theme related to breast cancer.

Community Health Student Internship Two students from Chicago State University worked with the OCECHE on community-engaged research as part of their 180 practicum hours required to complete their Bachelor of Health Science degrees in Community Health. One of their projects involved mapping cervical cancer screening and colposcopy resources for the underserved on Chicago’s South Side.

Chicago Youth Program Session on Tobacco The OCECHE partnered with Chicago Youth Programs in the Woodlawn community on an anti-smoking campaign to increase awareness about the negative impact that tobacco has on health — specifically, cancer.

VISIT US ONLINE AT uchicagomedicine.org/community

COMMUNITY BENEFIT Annual Report 2019

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2019 Achievements and Recognition Leaders in diversity and health equity The University of Chicago Medicine was named an “LGBTQ Healthcare Equality Leader” by the Human Rights Campaign Foundation (HRC) for the fifth year in a row for the academic medical center’s inclusive policies and practices related to LGBTQ patients, visitors and employees. The designation was awarded in the 12th edition of the Healthcare Equality Index (HEI), which assesses four criteria: non-discrimination and staff training, patient services and support, employee benefits and policies, and patient and community engagement.

UChicago Medicine received the maximum score in each section.

Honors for stroke care Marching together: In 2019, the Bud Billiken Parade celebrated its 90th year as a back-to-school tradition on Chicago’s South Side. For more than 16 years, the University of Chicago Medicine has been a proud sponsor of the parade and its message of unity, education and community. More than 100 UChicago Medicine faculty, students, and staff, along with friends and family took part in the 2019 event.

Rise in the rankings The University of Chicago Medicine moved up to No. 2 in both Chicago and Illinois in the 2019 U.S. News & World Report rankings of the country’s best adult hospitals. In the prior year, the academic health system was ranked 4th in both the city and state. Six UChicago Medicine specialties made the national Top 50 list as part of the 2019-2020 rankings published July 30. Each ranked specialty earned higher scores than the previous year.

Top-rated in patient safety The University of Chicago Medicine earned its 16th consecutive “A” in patient safety from the Leapfrog Group, further validating the academic medical center’s patient-safety track record as being among the best in the nation. UChicago Medicine is among only 36 hospitals nationwide — and the only one in Chicago — to have earned continuous top marks from the Leapfrog Group since the independent watchdog began compiling its report card in June 2012.

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The University of Chicago Medicine received the American Heart Association/American Stroke Association’s Get With The Guidelines® Target: Stroke Honor Roll Gold Plus Quality Achievement Award for the second consecutive year. The award recognizes the hospital’s commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines.

Best places to work The University of Chicago Medicine was named to Becker’s Hospital Review’s list of 150 Top Places to Work in Healthcare for 2019. It was the academic medical center’s second consecutive year on the trade publication’s list, which honors organizations that promote workforce diversity, employee engagement and professional growth.

UChicago Medicine was lauded for its employee wellness work that includes gym reimbursement and lifestyle and walking challenges, and an incentive program to reduce employees’ medical insurance premiums.

Chicago’s top doctors In January 2019, Chicago magazine’s annual “Top Doctors” list included 82 physicians from the University of Chicago Medicine, more than any other institution on the roster. UChicago Medicine clinicians accounted for roughly 23% of the 361 physicians cited in the magazine’s January 2019 issue. That’s up from 16% of the 591 physicians named to the 2018 list.

UChicago Medicine at a glance At the University of Chicago Medicine, our mission is to provide superior health care in a compassionate manner, ever mindful of each patientâ&#x20AC;&#x2122;s dignity and individuality. To accomplish our mission, we call upon the skills and expertise of all who work together to advance medical innovation, serve the health needs of the community and further the knowledge of those dedicated to caring.

811

973

23,938

Licensed beds

Residents and fellows

Surgeries

9,792

503,191

2,750

Employees

Ambulatory visits

Births

Hyde Park campus only

984 Physicians

33,705

833 clinical

Hospital admissions

2,150

108,188

Nurses

Emergency room visits Adult: 74,578 Pediatric: 33,610

VISIT US ONLINE AT uchicagomedicine.org/community

218,532 Hospital patient days

5841 S. MARYLAND AVENUE CHICAGO, IL 60637

uchospitals.edu/community-benefit Program data and metrics included in this report are provided by UChicago Medicineâ&#x20AC;&#x2122;s Community Benefit and Evaluation Team and the Community Health Needs Assessment.

Final Edition 2020

The University of Chicago does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national or ethnic origin, age, status as an individual with a disability, protected veteran status, genetic information, or other protected classes under the law.

For additional information, please see equalopportunity.uchicago.edu.