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Meaningful connections are more important today than ever. As human beings, we strive to connect with each other and our surroundings to foster a sense of acceptance and belonging, which helps find and maintain our place and purpose in life. Within Columbus Regional Health, strong, meaningful connections abound and come in many forms but all are core to the fulfillment of our mission to improve the health and well-being of those we serve. They come in the form of collaboration between multiple disciplines and specialties that drive safe and effective treatment plans. We enable and support our workforce members with the tools, technology, and resources they need in order to provide high quality, compassionate care. And of course, we connect patients with care providers, information, and services to improve their health.
At Columbus Regional Health, connections go even deeper. Our identity thrives on partnerships within the area we serve as a healthcare provider, employer, and community benefactor. The following pages of CRH’s annual Community Benefit Report highlight the many contributions, programs, and services we offer aimed at fostering and improving the health and wellbeing of the community and region we serve. You will find five key categories of community benefit – supporting, leading, innovating, advancing, and partnering. Each of these categories provide the storytelling and meaningful data associated with these impactful programs and contributions.
I hope you will take a moment to learn about your local, independent health system’s dedication to the region, and the compassionate, talented workforce members making these programs and contributions possible each and every day.
In health and wellness,
Jim Bickel, President & CEOColumbus Regional Health has partnered with IUPUC to be the school’s exclusive provider of sports medicine and athletic training services. Through the partnership, CRH provides dedicated certified athletic training services to support collegiate-level athletes in a variety of sports including cross country, baseball, softball, soccer, and volleyball.
The new partnership also extends services such as injury screening and management to student athletes, as well as a direct line to the orthopedics and sports medicine specialty providers and staff.
This latest partnership joins the ranks of a robust sports medicine and athletic trainer program already functioning at the middle- and high-school levels for Bartholomew Consolidated School Corporation and Flat Rock- Haw Creek School Corporation.
Todd Hostetler, Columbus Regional Health Wellness manager said CRH is proud “to be a part of the development of collegiate athletics in Columbus and look forward to the opportunity to provide immediate sports medicine care to these athletes.”
The CRH Sports Medicine Team includes athletic trainers, physical therapists, physicians and other specialists who work with students to reduce the risk of injury and offer rehabilitation services when needed for faster recovery, to get athletes back in the game as quickly and safely as possible by providing daily injury prevention, athletic conditioning and immediate injury care.
Columbus Regional Health serves as a clinical partner for the IUPUC and Ivy Tech nursing programs, hosting approximately 75 student nurses each year.
“Clinical experiences are essential in the training of a nurse,” said Daniel Noel, CRH Nursing Director. “Nursing education starts in the classroom, but working in clinical settings is where nurses can practice patient care skills and work alongside talented nurses and other health care professionals.”
Noel said Ivy Tech and IUPUC nursing students have the opportunity to take part in numerous clinical rotations, including critical care, operating room, labor and delivery, cardiac cath lab, and many more. Student nurses also spend time in the CRH Simulation Lab, where they can practice making clinical decisions in real time on extraordinarily life-like mannequins.
Equipped with advanced hospital equipment, clinical task trainers, and full-body mannequins, the CRH Simulation Lab sets a realistic stage for clinical practice.
“We have an exceptional Sim Lab. We have three different areas: labor and delivery, trauma and an operating room,” Noel said. “We have the ability to simulate breathing, heart rhythm, blood pressure, and so much more. Our heart surgeons have used the Sim Lab to practice with their team so they are all in sync.”
The Sim Lab is a safe, effective teaching environment where instructors view mistakes as learning opportunities. “Following each simulation, students meet with nursing staff for a debriefing session, where students can discuss and learn from their mistakes,” Noel said. “We all learn in different ways. At CRH, we make it a priority that student nurses have a variety of experiences to learn from.”
VIMCare, formerly Volunteers In Medicine, opened in 1996 as our community’s solution to a critical lack of access to primary healthcare for low-income uninsured Bartholomew County residents.
VIMCare provides the same healing, health and hope to the same patients the clinic has always served, plus thousands more. Even though the name has changed, the vision remains the same:
Located in Columbus Regional Hospital’s former emergency department space, VIMCare sees over 1,500 patients each year.
The management of chronic disease is a patient care priority. The clinic recognizes that a trusted relationship with a provider, education, pharmaceuticals, and self-care efforts are needed in order to best care for patients.
Regular appointments with healthcare professionals and access to medications are critical in reducing complications, risks, and hospitalizations for patients with chronic disease conditions.
Through donations from the CRH Foundation, VIMCare patients can benefit from the following:
• Medication assistance
• Mental health and social work services
• Chronic disease management
• Tobacco cessation counseling
• Services for uninsured patients
• Services by a licensed clinical social worker, part-time consulting psychiatrist and case worker.
VIMCare also offers translation services in over 60 languages, helps patients fill out insurance applications and other complicated forms, and helps connect patients with community organizations that offer assistance with things like housing, mental health, recovery, and more.
Amy Baker Hale, MD, VIMCare’s primary care physician, said many of the patients who visit the clinic are very ill. One patient in particular demonstrates the impact of their work.
“We had a patient with a chronic lung condition. He was so sick that he could not work. We saw him every two weeks when he started coming. He was so very ill,” Dr. Hale said. “We got him on appropriate medications and now he is working part time and has insurance. He only comes every six months now. He is so much better. When you feel like you are able to help someone, it feels really good.”
Patients Served
2020 2021 2022
1,236 1,386
1,519
For more information, visit crh.org/vimcare.
“I believe VIMCare is a shining star in our organization. They provide care for a segment of our population with significant challenges and does it in such a kind, compassionate, and patient-centered way. It makes me proud to be part of an organization and community that truly believes great healthcare is a right and not dependent on socioeconomic status.”
- Dr. Lee Kiser, VP & Associate Chief Medical Officer
VIMCare’s Medication Assistance Program has been helping patients obtain medications they could not afford for more than two decades.
“When we opened our doors, it was believed that the clinic’s budget could fund patient’s prescribed medications,” said Cheri Wildridge, MAP coordinator. “It became clear early that first year that the price of medications would quickly surpass the budget.”
Wildridge said the program gained national attention quickly.
“We were one of a kind. It was one of the first ones like it in the nation,” Wildridge said. “People came from all over the country to learn from us. I even went to Washington DC to present our program.”
The first year, MAP procured $80,177 worth of medications for patients.
Today, MAP has grown into a robust program, procuring more than $6 million worth of medications in 2022. MAP works with several partners that help financially including Love Chapel, Bartholomew County Township Trustees, and Kroger Pharmacy.
Program coordinators identify sources of help for clients, assess eligibility, prepare applications and ensure eligible patients receive needed prescriptions.
In 2020, MAP expanded its program to include cancer related medications, which are often extremely expensive.
“We help get funding for oral medications, IV medications, infusions and much more,” said Dani Perry, MA, Cancer Center MAP Program Coordinator. “These people’s lives depend on these medications. I cannot imagine what they are going through. We work hard to take as much stress off of the patient as possible.”
Perry said the job is incredibly rewarding, humbling and emotional.
“The work we do is life sustaining. We cry a lot. It’s a very emotional roller coaster,” Perry said. “Without this program, patients were having to choose between feeding their families or paying for these medications. No one should have to face that.
We do as much as we can to help because if we can create something sustainable and patients have access to care, they can care for themselves and their families. This work can help an entire family; even an entire community.”
At the end of 2021, the Columbus community was home to 13 ASAP sober living and treatment residences, providing 114 recovery beds.
ASAP Sober Living Statistics for 2021:
• Average length of stay for active participants: 159 days.
• Average length of sobriety for active participants: 8 months.
• Percentage of residents who are employed: 94.
In 2019, the Columbus Regional Health Foundation bestowed a $2.1 million grant to fund treatment and recovery programs for substance use disorder in Bartholomew County.
“A core role of the Foundation is to support Columbus Regional Health and its initiatives aimed at addressing some of those community and public health related issues,” said Julie Abedian, VP of Community Partnerships and Corporate Responsibility and Foundation President. “The opioid crisis has risen to the top in terms of one of those public health initiatives and so it aligns perfectly with our mission and vision as a Foundation and not just a partner to our health system, but as a community partner.”
With the grant, CRH was able to develop the Treatment and Support Center (TASC), an evidence-based outpatient treatment program and center.
ASAP Work
• Opened the Alliance for Substance Abuse Progress Hub, a centralized location to find services and help for those recovering from addiction, in the Doug Otto Center Building on 13th Street.
• In January 2020, ASAP made a commitment to opening several recovery and sober living transitional homes in Bartholomew County.
• ASAP opened the Fresh Start Recovery Center, an addiction recovery center for pregnant women and new mothers in downtown Columbus.
• Promotes activities that reduce the chances that someone will engage in substance misuse, such as providing education in schools, churches and the community, highlighting positive role models, empowering parents, promoting harm reduction and focusing on the accurate detection and treatment of mental health issues.
To learn more about the Alliance for Substance Abuse Progress (ASAP) visit asapbc.org or call 812.418.8705.
Number of active patients who visited TASC for assistance
392 401 405 453
Since opening, TASC has seen higher-than-anticipated demand for drug treatment fueled by an epidemic of addiction to painkillers, heroin, methamphetamine and other substances.
In fact, drug overdose deaths in Bartholomew County in 2021 rose to a record high of 33. The two years prior also saw increasing numbers of overdose deaths. From 2015 to 2021, there were more than 150 drug overdose deaths in Bartholomew County.
Dr. Kevin Terrell, D.O. TASC Physician and Medical Director, said the COVID was one factor in the increase in mental health and addiction issues.
“Covid led to a shutting down of the country,” said Dr. Terrell. “Isolation, loss of employment, and social distancing led to loneliness and increased substance use.”
TASC saw 499 unique patients in 2021, a number that is close to the center’s five-year projection of 600 patients.
“Many of our patients come in saying they are here because they don’t want to die,” said Dr. Terrell. “Most of our patients know someone who has died from an overdose and they are scared.”
Dr. Terrell said TASC is vital to fighting this epidemic.
“I am exceedingly grateful to the CRH Foundation for their support of TASC. TASC has had the great pleasure of providing care to several hundred patients per year,” said Dr. Terrell. “We have been able to expand our treatment services much more rapidly because of support from the CRH Foundation.”
Columbus Regional Health has been recognized twice by the Indiana Hospital Association for its commitment to infant and maternal health.
The hospital received the INspire Hospital of Distinction award from the association in partnership with Gov. Eric Holcomb and State Health Commissioner Dr. Kris Box.
The award was based on CRH implementing best practices in areas including infant safe sleep, breastfeeding, tobacco prevention and cessation, perinatal substance use, obstetric hemorrhage, and maternal hypertension.
Work towards this major accomplishment began in 2017, when infant mortality in Bartholomew County had risen to an alarming rate. CRH staff knew something had to change when, in 2015, Bartholomew County had the highest infant mortality rate in the entire state, with 13.7 deaths per 1,000 live births – the highest in the state for 2015.
“It really was a wakeup call,” said Patty Pigman, L.C.S.W., co-coordinator of Infant Mortality Prevention for Healthy Communities. “We knew we had to do something.”
In response to this trend, the Bartholomew County Fetal and Infant Mortality Review (FIMR) team was formed in 2018. This team meets quarterly to review fetal (still born deaths of greater than 20 weeks gestation) and infant (birth up to one year of age) deaths in Bartholomew County.
This team has also worked with the Bartholomew County Health Department and the Indiana State Department of Health to understand the causes of, circumstances surrounding and prevention opportunities of infant deaths in our community.
In 2019, Healthy Communities formed the Infant Mortality Prevention Action Team (now called IMPACT). This team brings together over 40 community and healthcare partners who have a passion for maternal and child health to work towards making Bartholomew County the best place for women and infants.
In partnership with the Columbus Regional Foundation and the Indiana State Department of Health, this team operates using Title V grant funding and donor dollars to truly make a difference in our community.
IMPACT has worked hard to find as many ways as possible to get out the message about infant safety. Their work includes hosting a podcast about pregnancy and infant safety topics, a Daddy 101 class, a Grandparent class, and sharing knowledge through various social media channels.
“It’s not just knowing better, but it’s having a plan,” said Pigman. “We need to better prepare parents, and caregivers, for the fact that babies don’t want to sleep like they are supposed to, and that part of parenting is doing things that you don’t want to do. You are going to be exhausted.”
The work CRH is doing has caught the attention of hospitals across the country.
In fact, Pigman has spoken at numerous state and national infant mortality conventions.
“I think it’s great that we can share what has been working for us,” Pigman said. “They think we are doing such cool work. If we can do something successful here, we want to help replicate that in communities across the country.”
The work is certainly paying off at CRH. In 2020, there were zero unsafe sleep deaths in 2020.
“Fewer babies are dying and that’s the most important thing at the end of the day,” Pigman said. “Things are trending in the right direction. I want to live in a place where babies are safe and healthy, and I believe that is the community we are building.”
We, too, are frustrated by the complexity of healthcare today and understand that people are unsure about where to turn for health information. WellConnect offers a complimentary services to connect patients with specialists, establish relationships with healthcare providers, navigate health insurance, and access community resources.
Services offered include:
• Trusted one-on-one healthcare guidance through Connection Specialists
• Educational resources
• Assistance in finding a healthcare provider
• Insurance navigation for Medicaid, Affordable Care Act and Medicare health plans
By the numbers:
The Intersection of Health, Wellness, and Recreation
The City of Columbus and Columbus Regional Health have joined forces to build a dynamic community asset that will consist of a broad range of health, wellbeing, and recreation services and experiences. In short, we’re breathing new life into a former indoor mall. We’re programming something for everyone!
• Wellness and recreation-based community spaces
• City Parks and Recreation administrative and program use
• Indoor sports complex with the addition of a 150,000 square-feet fieldhouse.
• Dining and retail
• Columbus Regional Health medical office and treatment exam space
• CRH patient support and therapies services
For CRH, NexusPark will be a modern and dynamic atmosphere for patients and workforce members, in an environment that enhances care and patient experience. More than 12 primary care offices and support services will relocate to the NexusPark facility.
Learn more
Palliative care is a medical specialty that focuses on relieving pain, symptoms and the stress of serious illness. It is available at any age, at any stage, and it often takes place over an extended period of time.
The CRH Palliative Care team, consisting of specially trained Physicians, Nurse Practitioners, RN Case Managers, Social Workers, and Chaplains, will partner with primary care physicians to help coordinate care, and provide an extra layer of support for patients and their families.
The goal of the program is to prevent and/or reduce unplanned hospitalizations while maintaining patient independence and keeping them comfortable at home. Our Palliative Care team assists patients with establishing goals of care and advanced directives and finding community services.
Patients with a serious illness such as:
• Cancer
• Heart disease/heart failure
• COPD/Pulmonary disease
• Advanced Renal disease
• Advanced Hepatic disease
• Dementia
• Stroke
• ALS
The Palliative Care team can assist with:
• Difficult treatment decisions
• Pain and distress
• Depression and anxiety
• Emotional and Spiritual concerns
• Grief and loss
• Caregiver stress
• Access to Community Resources
• Advanced Care Planning
• Palliative care is delivered in our outpatient clinic, in your home or in the hospital setting.
For more information, visit crh.org/palliative.
The Palliative Care program at Columbus Regional Health is made possible thanks to transformative donations from the Johnson Family and Sherry Risk Stark that greatly expanded the program.
AND INCLUSION
FEMALE DOCTORS
89 212
MALE DOCTORS
COUNTRIES REPRESENTED BY COLUMBUS REGIONAL HEALTH MEDICAL STAFF
• Belarus
• Brazil
• Canada
• China
• El Salvador
• England
• France
• Ghana
• Haiti
• India
• Iraq
• Japan
• Pakistan
• Philippines
• Spain
• Russia
• USA
WHAT LANGUAGES, BESIDES ENGLISH DO THEY SPEAK?
• Arabic
• Chinese
• French
• Spanish
• Creole
• German
• Turkish
• Gujarati
• Hindi
• Punjabi
• Urdu
• Marathi
•Telugu
• Malayalam
• Portuguese
• Italian
• Russian
• Basque
• Kannada
• Tamil
As a healthcare provider and major employer, Columbus Regional Health continuously evaluates feedback from our patients and workforce to help ensure we are meeting their needs and providing an excellent experience. CRH patients and workforce members represent many races, ethnicities, genders, sexes, religions and abilities.
However, in light of national and local issues of racism and discrimination, we stepped back to examine our processes, policies and practices through a diversity, equity and inclusion lens to make sure we are also being equitable and inclusive across all aspects of our organization.
CRH has worked on DEI initiatives for many years, though these efforts have often been designed to address a specific healthcare access need. Examples include the launch of Volunteers in Medicine (now VIMCare Clinic) in 1996 to provide healthcare services to uninsured/ underinsured residents and Proyecto Salud to address language and cultural barriers for Hispanic patients.
In 2021, CRH hired an outside partner, CulturaLink of Atlanta, GA, to conduct an organizational assessment
of CRH. The assessment focused on organizational culture and communication, workforce policies and practices, physician recruiting and cultural competence, patient care practices and language access, data collection processes and community engagement.
Through this assessment and many conversations regarding DEI, we learned people interpret DEI differently, and a critical success factor was DEI definition clarity and continual transparent communication of strategy to our workforce and community.
The CRH DEI Steering Committee first defined what diversity, equity and inclusion each means to our health system. Next, an overall DEI vision statement was created.
Our vision for DEI: We will be a health system where all people feel welcome, respected, and valued, and where diversity, equity, and inclusion are integral to achieving the CRH mission.
After the creation of the vision statement, the DEI steering committee established the following priorities:
• System-wide strategy development and implementation infrastructure to ensure real and lasting impact.
• Data analysis to understand health outcomes and workforce inequities.
• Learning opportunities and communication to create conversation and further understanding.
• Community engagement to accelerate progress.
We believe that DEI should be woven into our organizational culture, strategic plans and daily operations, and not viewed as an initiative or program. CRH’s DEI approach is multi-pronged. Our goal is to develop a framework and strategy to ensure that 1) our health system workforce is appropriately diverse and culturally competent, 2) equitable patient care is always provided and delivered, and 3) both the care and work environments are inclusive.
We look forward to building on the work underway and to keeping conversations and learning about DEI going throughout the process.
Mean at Columbus Regional Health
Diversity: At CRH all people are valued for their unique qualities, experiences, and backgrounds that contribute to our mission to improve the health and well-being of the people we serve.
Equity: The intentional consideration of all people’s needs and the elimination of disparities and barriers to opportunities and access to care.
Inclusion: The behaviors that result in the fostering of healthy relationships where all people feel welcome and respected.
The Diversity, Equity and Inclusion Steering Committee oversees and supports the implementation of the priorities, while a Diversity Council is developing implementation action plans and monitors and measures results.
Jim Bickel, Steering Committee Chair, CRH CEO
Julie Abedian, CRH EVP/Community Impact Officer
Degaulle Haile, MD,Obstetrics/ Gynecology
Daniel Noel, CRH Nursing Director
Gregory Poe, CRH Patient Experience Partner
Deepankar Sharma, MD, Interventional Pulmonologist
Donald Trapp, CRH Trustee
Emily Westhafer, CRH Communications Coordinator
Rachel Woods, DO, Pediatrics
The COVID-19 pandemic changed us; profoundly and permanently. It changed the way we view our health, the way we communicate, care for others, work, and so much more. At a time rife with disinformation and uncertainty, Columbus Region Health worked hard to become an indispensable community partner.
COVID-19 Community Task Force
In February 2020, due to heightened public health alerts related to COVID-19, a local unified community preparedness and response coalition was formed called the COVID-19 Community Task Force. The group met regularly to discuss and coordinate the community-wide response to the COVID-19 pandemic.
The Task Force included representatives from Bartholomew County Public Health, Columbus Regional Health, the City of Columbus, Bartholomew County government, Bartholomew County Emergency Management, Bartholomew Consolidated School Corporation and other community stakeholders.
Over the course of the pandemic, Columbus Regional Health and the Community Task Force regularly updated a COVID-19 informational website, covid19communitytaskforce.org, with vital information to help the community stay informed.
The site contained periodic updates of COVID-19 hospitalizations at Columbus Regional Hospital and other metrics, links to virtual press conferences with local officials, information about small business loans, updates from local health officials, links to vaccination sites, and so much more.
Columbus Regional Health launched a COVID-19 Triage Resource Call Center for information about COVID-19. Those with concerns or questions about potential exposure or symptoms of Coronavirus could call the number and speak with a trained nurse. The goal of the phone line was to be a resource to the community and a way to free up 911 for true medical emergencies.
In March 2020, Columbus Regional Health opened a drive-thru COVID-19 testing site to make it easier, and many times faster, for people to get tested in an effort to limit community spread and allow patients to get the appropriate medical care needed. However, in August of 2021 with viral spread and COVID infections and hospitalizations at the highest rates throughout the pandemic, CRH Laboratory Services and Information Services activated a self-scheduling capability for COVID testing. This allowed patients to schedule a test directly through their MyChart without a provider referral and utilize the convenient drive-thru process on the hospital campus. In total, approximately 15,000 nasal swab collections were completed from conception of the self-scheduling option.
The CRH Keller COVID-19 Vaccine Clinic was open from December 17, 2020 through January of 2022. Along with about 50 community volunteers, hundreds of CRH workforce members served as vaccinators, registrars, or greeters. In total, clinic staff administered more than 46,940 vaccines. That includes more than 21,000 first doses, more than 21,000 second doses, more than 4,000 boosters, and more than 670 combined (first and second doses) pediatric vaccines. During peak times, the clinic administered as many as 2,000 vaccines per week. Its highest day was 455 vaccines.
Columbus Regional Health providers and staff recognized the need to transform how patients could interact with their care team, particularly in the outpatient setting. In a short timeframe, telehealth services were developed and launched and nearly all CRH primary and specialty care offices, utilizing smart devices equipped and encrypted to ensure the highest safety and privacy. CRH rolled out telehealth on March 22, and since that time, more than 3,500 telemedicine visits have occurred.
Did you know CRH gives patients the power to access medical records, schedule an appointment, and view test results from the palm of their hand? The CRH MyChart patient portal makes managing your health easy and convenient!
MyChart is a free, personalized and secure website and mobile app that gives patients direct online access to information from the electronic medical record (EMR).
With MyChart, you can:
• Schedule medical appointments.
• View your electronic health record.
• View test results.
• Request prescription renewals.
• Communicate with your medical team.
• Pay your bill.
Patients who wish to participate will be issued a MyChart activation code during a visit with their CRH physician. This code will enable you to log in and create your own username and password.
Brought on during the COVID pandemic, CRH added even more features to MyChart, and many continue to stick around because of increased patient satisfaction.
Telehealth Visits. Because protocols encouraged social distancing, in 2020 CRH began offering telehealth visits through MyChart. Rather than meeting with a physician in person, patients can now schedule an online video visit. Telehealth services can be used for new patient appointments, follow up appointments, standard clinical care, counseling, patient education, Medicare wellness visits, and more.
“Hello Patient” Auto-Arrival Check In. This feature also was created in response to social distancing guidelines. “Hello Patient” uses geolocation on iOs and Android mobile devices to detect when a patient arrives for an appointment. Instead of checking in at the front desk, patients could remain in their car and MyChart would notify the office that they had arrived. The office staff could then call the patient to give further instructions.
Price Estimate. Through MyChart, patients can create their own price estimate for common procedures and services. Estimates take into account your insurance coverage and any co-pays, co-insurance or deductibles you may owe. If you are not yet a patient of CRH, you can create a “guest estimate.” The accuracy of the estimate will depend on the accuracy of the information you enter.
Pre-Visit Update. MyChart Pre-Visit Update allows patients to complete medical visit check-in steps prior to arriving for the appointment. Patients can verify their personal information, insurance coverage, allergies, health issues, medications, pharmacy preferences, health history, and sign any eSignature consent forms.
Proof of COVID Vaccine and Testing Results. CRH MyChart users can now access their personal COVID vaccination and testing credentials in an easy-to-share or print form right from their MyChart account. The COVID-19 Status tab in MyChart provides a QR Code or downloadable PDF version of a patient’s vaccination or test result status that can be quickly scanned and securely shared.
Fast Pass. Patients with an upcoming office appointment will be notified if an earlier appointment becomes available. Patients utilizing Fast Pass have been able to see their provider an average of 20 days sooner!