2022 CHNA Sheltering Arms Institute

Health Needs

SHELTERING

OF CONTENTS

1 History, Mission, Vision, and Values

2 Introduction

3

PART I: Community Health Needs Assessment

4 Assessing the Health Needs of the Community

5 Survey Results

6

PART II: Community Health Implementation Plan

Potential Measures and Resources to Address the Significant Health Needs

8

12 Significant Health Needs not Addressed

13 PART III: Community Health Impact Report

14 Appendix A: CHNA Consumer Survey

15 Appendix B: CHNA Health Professional & Community Leader Survey

16 Appendix C: CHNA Consumer Survey Results

18 Appendix D: CHNA Health Professional & Community Leader Survey Results

20 Appendix E: Community Resources

(804) 877-4000

VISION

Reinventing rehabilitation for life beyond limits

MISSION

Sheltering Arms Institute, a national leader in the science of rehabilitation, delivers personalized care in an environment that supports recovery and restores possibility through the integration of collaborative science and research, inter-professional education, community engagement, and stewardship.

History

VALUES

Courage, Integrity, Positivity, Community, Discovery, and Accessibility

In 2016, Sheltering Arms and VCU Health System announced plans for a new, state-of-the-science physical rehabilitation hospital in Goochland County, Virginia called Sheltering Arms Institute, a collaboration with VCU Health. In 2017, the two parent organizations’ application for a certificate of public need was approved to combine 68 beds from Sheltering Arms’ two former inpatient facilities and 46 beds from the former inpatient facility operated by VCU Health System.

In June 2020, Sheltering Arms Institute opened its doors to provide care for individuals who have survived strokes, spinal cord injuries, or brain injuries, as well as those in need of general rehabilitation for various neurological diseases and disorders. The Institute blends advanced technology, research, and evidence-based clinical care to create an innovative, transdisciplinary model of inpatient rehabilitative care facilitating superior outcomes for patients.

As a nonprofit organization, Sheltering Arms Institute provides a comprehensive array of physical rehabilitation services, including:

• Physical, occupational, and speech therapy

• Therapeutic recreation

• Physician, psychology, and nursing services

• Care management

• Chaplaincy

• Nutrition and dietary counseling

Sheltering Arms Institute also continually develops research and education programs intended to enhance functional outcomes for patients while training future generations of rehabilitation professionals.

SHELTERING ARMS INSTITUTE ADMISSIONS AND VISITS

Fiscal Year 2020 (June 13, 2020 to September 30, 2020)

Fiscal Year 2021 (October 1, 2020 to September 30, 2021)

Inpatient Admissions 372 2,120

SHELTERING ARMS INSTITUTE CONSOLIDATED FINANCIAL SUMMARY

Fiscal Year 2020 (June 13, 2020 to September 30, 2020)

Net Patient Revenue (Audited financial statement)

Fiscal Year 2021 (October 1, 2020 to September 30, 2021)

$10,144,000 $57,972,000

Estimated Community Benefit –Schedule H* $783,000 $1,753,000

*Including unpaid costs of Medicare and Medicaid

Introduction

The primary purpose of the Sheltering Arms Institute Community Health Needs Assessment (CHNA) process is to further address the health and wellness needs of individuals in the Central Virginia community within the general scope of physical rehabilitation.

The impetus for the CHNA process was the Patient Protection and Affordable Care Act (2010), which included a new Section 501(r) in the Internal Revenue (IRS) Service Tax Code that requires charitable hospitals to conduct a CHNA that addresses the hospital’s community needs as determined by and aligned with local, state, and federal identified needs. The inclusion of Section 501(r) was intended to provide a consistent vehicle for tax-exempt hospitals to understand the needs of their respective communities and to develop/refine strategies to meet those identified needs. Specifically, Section 501(r) of the US IRS Tax Code states that tax-exempt hospitals must:

• Conduct a CHNA at least once every three years, integrating input from community stakeholders;

• Adopt a Community Health Implementation Plan (CHIP) to meet the community health needs identified through the CHNA; and

• Complete a Community Health Impact Report (CHIR) on the most recently conducted CHNA and most recently adopted CHIP, which includes feedback from the community that the hospital serves to better inform future CHNAs and CHIPs. The intent of the CHIR is to have a meaningful exchange over time between the hospital and the community it serves on improving community health.

Part I: Community Health Needs Assessment

Section 501(r) provides the following guidance on conducting a CHNA. The hospital facility must:

• Define the community it serves and assess the health needs of that community;

• Consider input from persons who represent the broad interests of its community, including those with special knowledge of or expertise in public health; and

• Assess and address the needs of the medically underserved, low-income, and minority populations in the areas it serves.

COMMUNITY AS DEFINED BY SHELTERING ARMS INSTITUTE

As an acute inpatient rehabilitation hospital, Sheltering Arms Institute serves the target population of people with physical and/or cognitive disabilities. Since opening, the hospital provided rehabilitation services to patients with the following diagnoses:

Discharges by Diagnosis Group

Rehab Impairment Category (RIC) Group

Stroke (RIC Group 1) 84 491

Traumatic Brain Injury (RIC Group 2) 25 137

Non-traumatic Brain Injury (RIC Group 3) 26 161

Traumatic Spinal Cord Injury (RIC Group 4) 8 90

Non-traumatic Spinal Cord Injury (RIC Group 5) 20 114

Neurological Conditions (RIC Group 6) 49 304

Fracture of Lower Extremity (RIC Group 7) 28 132

Replacement of Lower Extremity (RIC Group 8) 6 36

Other Orthopedic (RIC Group 9) 37 169

Amputation of Lower Extremity (RIC Group 10) 11 80

Amputation of Non-lower Extremity (RIC Group 11) 1 0

Osteoarthritis (RIC Group 12) 1 4

Rheumatoid, Other Arthritis (RIC Group 13) 1 1

Cardiac (RIC Group 14) 11 80

Pulmonary (RIC Group 15) 1 19

Pain Syndrome (RIC Group 16) 0 0

Major Multiple Trauma without TBI or SCI (RIC Group 17) 8 43

Major Multiple Trauma with TBI or SCI (RIC Group 18) 18 66

Guillain-Barré Syndrome (RIC Group 19) 2 9

Miscellaneous (RIC Group 20) 32 178

Burns (RIC Group 21) 3 6

Total Discharges 372 2,120

Source: eRehabData

Fiscal Year 2020 (June 13, 2020 to September 30, 2020)

Fiscal Year 2021 (October 1, 2020 to September 30, 2021)

Assessing the Health Needs of the Community

A survey was created to assess the health needs of the community, as defined below. The content of the survey was based on broad community health data from the following sources, with narrowing of the scope of the survey questions such that they aligned and are consistent with the mission of Sheltering Arms Institute:

National: Healthy People 2030 “sets data-driven national objectives to improve health and well-being over the next decade” (health.gov/healthypeople). There are specific objectives related to people with disabilities (health.gov/healthypeople/objectives-and-data/browse-objectives/people-disabilities).

State: The Partnership for People with Disabilities (partnership.vcu.edu) is a center within Virginia Commonwealth University’s School of Education. Its mission is to “partner with people with disabilities and others to build communities where all people can live, learn, work, and play together.” The Partnership administers several community living and health programs (partnership.vcu.edu/programs/ community-living) (partnership.vcu.edu/programs/health), in addition to education and training opportunities for people with disabilities, families, providers, and students (partnership.vcu.edu/ education-and-training).

Furthermore, the Partnership publishes a Virginia Disability Status Report by Cornell University, which is based on Virginia’s data from the US Census Bureau’s American Community Survey (disabilitystatistics.org/StatusReports/2018-PDF/2018-StatusReport_VA.pdf?CFID=5df73043-2e86-46278a77-9ceff1d36581&CFTOKEN=0).

Local: The Virginia Department of Health—Office of Minority Health and Health Equity—developed the Virginia Health Opportunity Index (HOI) to help communities understand the many factors determining health (www.vdh.virginia.gov/omhhe/hoi/). Factors include, but are not limited to, community walkability, food accessibility, affordability, income inequality, and access to care.

There are two versions of the survey with similar content, yet slightly different wording to reflect the audience:

1. Consumer Survey for current and former patients (Appendix A)

2. Health Professional & Community Leader Survey (Appendix B)

Given the geographic location of the hospital, Sheltering Arms Institute primarily cares for patients across the commonwealth of Virginia. From fiscal year 2020 through fiscal year 2021, the vast major ity of the hospital’s patients came from the Central Virginia area.

Each pin on this map is representative of the zip code a patient/patients were discharged to since June 2020.

The survey was administered digitally through social media; via email to team members, digital newsletter subscribers, donors, community partners, and regional health departments; and through paper surveys across Sheltering Arms Institute’s seven outpatient locations:

Survey Administered to: Number of Respondents

Patients

• Patients discharged from Sheltering Arms Institute FY2020 through FY2021 (chosen at random)

• Current clients of Sheltering Arms Corporation’s Fitness and Wellness Programs

• Caregivers/family members/loved ones

Public Health Departments

• Those departments in the counties/cities from which the majority of Sheltering Arms Institute patients reside (outreach to the following districts)

245

5 respondents from the following districts:

• Chesterfield Health District

• Chickahominy Health District

• Richmond City Health District

• Virginia Department of Health

Community Free Clinics, Disease-Specific 36 respondents from organizations, including: Associations, and Community Partners

• Those serving the counties/cities from which the majority of Sheltering Arms Institute patients reside (outreach to the following organizations)

• Bon Secours

• Brain Injury Association of Virginia

• Central Virginia VA Health Care System

• Commonwealth Pain Specialists

• Department for Aging & Rehabilitative Services

• GoochlandCares

• Healing Into Possibility

Sheltering Arms Institute and Sheltering Arms Corporation Clinicians

• Physicians, therapists, nurses, case managers, fitness/wellness staff, community liaisons, etc. who care for and interact with people with disabilities

100

• Oasis Senior Advisors

• Primary Health Group –Henrico

• Senior Connections

• UVA Medical Center

• VCU Health

• Virginia Assistive Technology System

• Virginia Department for Aging and Rehabilitative Services

Total Respondents: 386

Survey Results

In total, 386 survey results were compiled; the data are available in Appendices C and D.

Part II: Community Health Implementation Plan

The second component of the CHNA process is the development and adoption of a Community Health Implementation Plan (CHIP). According to Section 501(r), the hospital facility must:

• Include a prioritized description of the significant health needs of the community identified though the CHNA, along with a description of the process and criteria used in prioritizing these health needs

• Include a description of the potential measures and resources identified through the CHNA to address the significant health needs by:

1. Addressing a health need identified through a CHNA if the written plan either: (1) describes how the hospital facility plans to meet the health need, or (2) identifies the health need as one that the hospital facility does not intend to meet and explains why the hospital facility does not intend to meet the health need;

2. Identifying the programs and resources the hospital facility plans to commit to address the health need; and

3. Describing, in addition to the actions the hospital facility intends to take to address the health need, the anticipated impact of these actions and the plan to evaluate such impact.

Prioritized Description of the Significant Health Needs of the Community

The survey results were grouped into two categories: greatest needs and greatest barriers.

1. Greatest Needs

a. Exercise, recreation, and leisure activities

b. Food, diet, and nutrition

c. Navigation, care coordination, and support

d. Mental health services

2. Greatest Barriers

a. Education, knowledge, and information

b. Transportation

c. Internet and technology

Sheltering Arms Institute leadership (executive, clinical, support, and the Foundation) reviewed these results, prioritized them based on the number of responses, and grouped the priorities into four major categories.

The top community health need priorities for Sheltering Arms Institute are:

GREATEST NEEDS

Exercise, Recreation & Leisure

• Available facilities (e.g., pool)

• Transportation

• Social connection

Food, Diet & Nutrition

• Weight management

• Availability of healthy foods

Navigation, Care Coordination & Support

• Healthcare resources

• Community resources

• Financial support

• Long-term care

• Chronic disease management

• Support systems: groups/coping/peer mentors

• Caregiver/family support

Mental Health

• Individual counseling

• Behavioral health

GREATEST BARRIERS

Education, Knowledge & Information

• Health literacy

• Prevention/health/nutrition

• Availability of community resources

• Availability of financial resources

• Caregiver

Transportation

• Medical and non-medical

• Availability

• Affordability

Internet & Technology

The abbreviated results from the 386 surveys are above; full results can be found in Appendices C and D.

Exercise, recreation, and leisure

Food, diet, and nutrition

Navigation, care coordination, and support

Mental health

Potential Measures and Resources to Address the Significant Health Needs

Sheltering Arms Institute leadership plans to address the top four community health need priorities, as described below:

1EXERCISE, RECREATION, AND LEISURE

Implementation Strategy Anticipated Impact

Create a transportation guide to house on our website with accessible transportation resources in the Central Virginia area

Patients and community members will have increased knowledge of accessible transportation vendors and available resources for patients

Host annual community partner vendor fair on the Sheltering Arms Institute hospital campus

Patients and team members will have increased knowledge of resources available in the community to engage and support patients in active lifestyles postdischarge

Educate team members and patients on Sheltering Arms Corporation’s fitness, recreation, and wellness services to refer patients to appropriate programs

Offer community partner office hours and weekly clinics with the adaptive sports organization Sportable

Create a recreation/social program resource guide to house on our website for the Central Virginia area

Increased interdepartmental knowledge of information and resources available to patients

Plan to Evaluate or Measure Impact

Webpage analytic data such as page views, time spent on page, and click-throughs

Collaborate with local YMCAs to share resources with patients

Demonstrate assistive technology to support social connection, recreation, and decrease isolation

Patients are exposed to Sportable’s adaptive sports programs and introduced to Sportable’s team members

Patients and team members will have increased knowledge of social, recreation, and wellness programs available in the community

Team members will have increased knowledge about YMCA offerings for patients to engage in healthy lifestyle post-discharge and access to pools/fitness programs

Patients and community members will be engaged in the MyLIFE Room at Sheltering Arms Institute

Referrals made to community partners

Track referrals made to Sheltering Arms Corporation’s services on a monthly basis; monitor analytics on Sheltering Arms video content assigned to and viewed by patients within the hospital’s GetWell Network

Track Sportable office hours and participation in weekly adaptive sports clinics

Webpage analytic data such as page views, time spent on page, and click-throughs

Track patient referrals to YMCA and Community Health Worker programs

Volume of patient and community visits to the MyLIFE Room

FOOD, DIET, AND NUTRITION

Implementation Strategy Anticipated Impact

Host cooking and nutrition classes for hospital patients and caregivers to take home a cookbook to implement practices they have learned regarding nutrition and healthy cooking

Offer a vegetable cart inside Sheltering Arms Institute’s café, which is open to the public, where extra vegetables are sold at an affordable and discounted price

Offer a bi-monthly outpatient nutrition clinic on the Sheltering Arms Institute hospital campus, potentially expanding to other Sheltering Arms Institute outpatient therapy locations in the community

Host an annual community health event to include a nutrition and/or fitness topic for former patients and/or community members

Host a nutritional seminar for discharged patients and community members that provides healthy eating strategies

Enroll appropriate patients in BeatDiabetes program

Patients and caregivers are able to implement lifestyle changes through healthier choices in the kitchen while preparing a healthy recipe

Access is increased to healthy foods at an affordable price while reducing food waste

Hospital patients who discharge home will have access to further education and counseling with a registered dietitian. The nutrition clinic will also provide outpatient therapists with a resource to offer patients who inquire about nutrition services

Former patients and/or the community are provided an opportunity to expand their knowledge on the benefits of a healthy lifestyle

Community members will have increased knowledge about strategies and resources for healthy eating

Patients supported with diabetes management through text messages with motivational tips and strategies

Plan to Evaluate or Measure Impact

Volume of patients who attend class

Volume of produce sold

Number of patients referred and number of patients counseled

Volume of patients and/ or community members in attendance

Track participation in community nutrition education session

Number of patients enrolled in the BeatDiabetes program and outcomes provided by the program

NAVIGATION, CARE COORDINATION, AND SUPPORT

Implementation Strategy Anticipated Impact

Create a caregiver ambassador program and continuum of care partnership with Brain Injury Association of Virginia’s (BIAV) future caregiver mentoring program

As a standard of care at discharge, refer appropriate patients to physician-recommended specialist for chronic disease management and assist patients by scheduling their first appointment

Offer Stanford evidence-based chronic disease self-management course

Offer Stanford evidence-based diabetes self-management course

Create guide for patients from admission to discharge, including a checklist to review with patients throughout their stay to identify potential future needs (i.e., medical devices/equipment, fitness & wellness services, nutrition counseling)

Develop diagnosis-specific peer mentor programs to match patients with peer mentors for support

As a standard of care at discharge, connect patients in need with free or low-cost primary care resources

Complete Universal Assessment Instrument (UAI) to determine the need for a personal care aide (PCA) or skilled nursing facility (SNF)

During team rounds, screen for social determinants of health

Implement Unite VA as a communitybased organization referral platform to connect patients with appropriate community partners

Access to caregiver ambassadors and peer mentors will increase to expand needed support networks

Plan to Evaluate or Measure Impact

Number of caregiver ambassador connections at Sheltering Arms Institute; number of referrals to BIAV’s future peer caregiver mentor program

Patients are connected with an appropriate specialist prior to discharge and receive support in scheduling their appointment

Patients and community members with chronic disease supported through increased accessibility of information and available resources

Patients and community members with diabetes supported through increased accessibility of information and available resources

Screening for potential future needs will connect patients and caregivers with applicable educational materials as well as instructions on where to obtain needed information in the future

Patients will be provided encouragement in the recovery journey

Patients have access to community services for continuity of care

Continuity of care will be enhanced through early identification of resources needed upon discharge

Patients are referred to appropriate community partners based on each individual’s needs

Patients are referred to appropriate resources and agencies to support their transition to the community

Volume of scheduled appointments noted on discharge summary

Volume of attendees

Volume of attendees

Potential needs assessed prior to discharge; track completion of screening questions through electronic health record (EHR)

Track peer mentor appointments in the hospital and outpatient settings

Volume of referrals to primary care resources

Volume of UAIs completed

Volume of referrals to community partners

Track volume of referrals to Unite VA on a monthly basis

NAVIGATION, CARE COORDINATION, AND SUPPORT continued

Implementation Strategy Anticipated Impact

Promote Sheltering Arms Institute support groups across the continuum of care and on social media to reach the community

Provide nearly $2 million in community benefits annually, including the cost of providing charity care and financial assistance

MENTAL HEALTH

Awareness is increased about diagnosis-specific support groups to meet patients at the right time in their recovery for maximum engagement

Increased accessibility of physical rehabilitation and related services for patients in need

Plan to Evaluate or Measure Impact

Number of people reached on social media and number of support group attendees

Total dollar amount given in community benefits as reported in Schedule H (IRS Form 1040)

Implementation Strategy Anticipated Impact

Expand psychiatric support at Sheltering Arms Institute via telehealth

As a standard of care at discharge, refer appropriate and interested patients to outpatient psychology services

Create a mental health resources guide to house on our website with mental health resources in the Central Virginia area

Increased access to mental and behavioral health services

Appropriate and interested patients are referred to the resource that aligns with their needs

Increased knowledge of mental health services and available resources for patients

Plan to Evaluate or Measure Impact

Volume of telehealth appointments

Volume of patients referred

Webpage analytic data such as page views, time spent on page, and click-throughs

Site-specific project of the recently re-funded TBIMS project; care transition with community health services

Survivors of traumatic brain injury and their caregivers will have increased access to community health services after discharge from hospital rehabilitation

As a standard of care at discharge, refer appropriate patients to the Master Center for Addiction Medicine for outpatient substance abuse treatment services

Increased access to substance abuse treatment services after discharge from Sheltering Arms Institute

Metrics from the study regarding number of clients served and success/ challenges connecting patients/caregivers with needed community health services

Volume of patients referred

SIGNIFICANT HEALTH NEEDS NOT ADDRESSED

Section 501(r) allows for hospitals to decide which identified community health needs will be addressed and those the hospital facility does not intend to address. The following community health needs will not be addressed in this cycle of the CHNA process:

Community Health Need

Access to Healthcare

Reasons for Not Addressing

Primary Medical Care

This need is being addressed by other organizations in our community. For example, CrossOver Healthcare Ministry (crossoverministry.org), Access Now (accessnowrva.org), GoochlandCares Free Clinic and Family Services (goochlandcares.org), DailyPlanet (dailyplanetva.org), and Capital Area Health Network (cahealthnet.org) serve the primary care needs of the uninsured or underinsured in the greater Richmond area.

Medical Devices

This need is being addressed by other organizations in the community. For example, the Virginia chapter of the Foundation for Rehabilitation Equipment & Endowment (F.R.E.E.) (free-foundation.org), supported by the Sheltering Arms Foundation Fund through a grant, provides mobility-related rehab equipment that enhances independence and improves quality of life.

Dental Care

This need is being addressed by other organizations in our community. For example, Mechanicsville Christian Free Dental Clinic (mccag.org), St. James The Less Free Clinic (stjamestheless.com), and Virginia Commonwealth University’s School of Dentistry (vcudentalcare.com) provide free or low-cost dental care.

Preventative Health

This need is being addressed by other organizations in our community. For example, Sheltering Arms Corporation (shelteringarms.com) offers fitness and wellness services and Bon Secours (bonsecours.com) offers a diabetes treatment center that focuses on medication management and nutrition.

Access to Resources

Transportation

Access to Education & Support Care Navigation

This need is being addressed by other organizations in our community. For example, affordable transportation is offered by the Greater Richmond Transit System (GRTC) (ridegrtc.com) and Uber Health (uberhealth.com)

Sheltering Arms Institute collaborates with VirginiaNavigator, SeniorNavigator, and disAbilityNavigator. This need is also being addressed by other organizations in our community. For example, the Virginia Association of Community Services Boards (vacsb.org) and the Department for Aging and Rehabilitative Services (vadars.org) provide assistance navigating healthcare.

Part III: Community Health Impact Report

The third component of the CHNA process is the development of a Community Health Impact Report (CHIR). According to Section 501(r), the hospital facility must:

• Take into account written comments received on its most recently adopted implementation strategy.

For Sheltering Arms Institute’s 2022 report, the CHIR is not applicable because the hospital facility first opened its doors in June 2020. This is the facility’s inaugural report and, as such, there are no previous reports to reference to develop a Community Health Impact Report (CHIR).

ADOPTION BY SHELTERING ARMS INSTITUTE BOARD OF MANAGERS

This document was adopted by the Sheltering Arms Institute Board of Managers on September 28, 2022. For any questions regarding the CHNA, please contact Dianne Jewell at djewell@shelteringarms.com.

SURVEY

Appendix A: Consumer Survey

As a Sheltering Arms Institute patient, your feedback is very important to us. The questions below are part of our triennial Community Health Needs Assessment. Please take a moment to let us know your thoughts. Your feedback will go a long way in helping us continue to improve quality of life in the community we serve. Thank you!

1. What is your relationship with Sheltering Arms Institute? (check all that apply)

q Patient (current or former)

q Donor

q Family member/caregiver of patient q Community member

q Other: ________________________________________

2. Where do you live?

q Richmond and surrounding counties q Out of state

q Virginia (not in Richmond area)

3. Have you experienced issues with access to the following services? (check all that apply)

q Medical care q Medical devices

q Medication q Mental health care

q Internet & Technology q Transportation for medical appointments

4. Are there services that you do not have at present but feel that you need? (check all that apply)

q Medication education

q Chronic disease management

q Nutritional education and counseling

q Health and wellness (e.g., diabetes, COPD, high blood pressure, etc.)

q Fitness training

q Weight management

5. Which of the following do you believe are important for your health. (check all that apply)

q Peer support

q Recreational activities

q Participation in my community

q Support groups

q Individual counseling

6. Do you need assistance in getting your healthcare needs met? (e.g., finding services, filling out forms, etc.)

q Yes q No

7. What is the most important thing for you to feel healthy?

8. What is your biggest challenge to staying healthy?

Appendix B:

Health Professional & Community Leader Survey

The questions below are part of Sheltering Arms Institute’s triennial Community Health Needs Assessment. This survey is designed to provide information about the needs of individuals with physical and/or cognitive disabilities who live in our community. Your feedback is very important to us and will go a long way in helping us continue to improve quality of life in the community we serve. Thank you for your time!

1. Name of organization or agency:

2. Which of the following services need to be more available and accessible for people with physical and/or cognitive disabilities? (check all that apply)

q Medical care

q Medical devices (e.g., walker, cane, tub bench, etc.)

q Medication q Behavioral health

3. Are the above services not available or inaccessible due to lack of any of the following? (check all that apply)

q Internet & computer technology q Financial resources

q Transportation q Knowledge of available services & resources

4. Which of the following services should be provided for people with physical and/or cognitive disabilities? (check all that apply)

q Medication education q Nutritional education and counseling

q Chronic disease management q Health and wellness

q Weight management q Opportunities for socialization

5. Which of the following are important to maintaining the health of people with physical and/or cognitive disabilities? (check all that apply)

q Peer support q Support groups

q Recreational activities q Individual counseling

q Participation in the community q Caregiver support

6. Would people with disabilities benefit from assistance in navigating the healthcare system in order to get their needs met?

q Yes q No

7. What is most needed for people with physical and/or cognitive disabilities to maintain their health?

8. What is the primary barrier for people with physical and/or cognitive disabilities in terms of maintaining their health?

15Sheltering Arms Institute SURVEY

RESULTS

Appendix C: Consumer Survey Results

QUESTION 1:

What is your relationship with Sheltering Arms Institute? (check all that apply)

Patient (current or former)

QUESTION 2:

Where do you live?

QUESTION 3:

Have you experienced issues with access to any of the following services? (check all that apply)

53.9% of respondents (132/245) did not indicate that they experienced any issues with access to the services listed. The following results were derived from the 46% of respondents (113/245) who said they have experienced issues with access to the services listed.

QUESTION 4:

37% of respondents (90/245) did not indicate that lack of access to the services listed in question 4 contributed to the issues listed in this question. The following results were derived from the 63% of respondents (155/245) who said they have experienced issues with the items listed in this question.services listed.

Richmond and surrounding counties

Donor

84.9% 11.84% 3.27%

Medical care

Family member/caregiver of patient Transportation for medical appointment

Virginia (not in Richmond area)

71.31% 14.34% 5.33% 13.11% 5.33% 50.44% 27.43% 26.55% 26.55% 19.47% 8.85%

Out of state

Internet & Technology

Other Medication

61.94% 39.35% 38.71% 38.06% 29.68% 7.74%

Fitness training

Nutritional education and counseling

Health and wellness

16 Community Health Needs Assessment 2022 Community member Medical devices Weight management

Chronic disease management (e.g., diabetes, COPD, high blood pressure, etc.)

Mental health care Medication education

Are there services that you do not have at present but feel that you need? (check all that apply)

Appendix C: Consumer Survey Results continued

QUESTION 5:

Which of the following do you believe are important for your health? (check all that apply)

QUESTION 6:

Do you need assistance meeting your healthcare needs. (e.g., finding services, filling out forms, etc.)?

Recreational activities No

67.84% 52.42% 47.58% 43.61% 38.77% 82.23% 17.77%

Participation in my community Yes

QUESTION 7:

What is the most important thing for you to feel healthy?

QUESTION 8:

What is your biggest challenge to stay healthy?

17Sheltering Arms Institute Peer support Individual counseling Support groups

RESULTS

Appendix D: Health Professionals & Community Leaders Survey Results

QUESTION 1:

Name of organization or agency:

70.42% 26.06% 3.52%

Sheltering Arms Institute

QUESTION 2:

Which of the following services need to be more available and accessible for people with physical and/or cognitive disabilities? (check all that apply)

Third-party health care professionals

Health department professionals

QUESTION 3:

Are the above services not available or accessible due to lack of any of the following? (check all that apply)

84.44% 60.74% 59.26% 45.19%

Behavioral Health

Medical devices (e.g., walker, cane, tub bench, etc.)

QUESTION 4:

Which of the following services should be provided for people with physical and/or cognitive disabilities? (check all that apply)

85.61% 77.27% 66.67% 28.03%

Financial resources Chronic disease management

Knowledge of available services & resources

Medical care Medication Internet & computer technology

Transportation

87.94% 87.23% 85.82% 80.14% 79.43% 70.92%

Health & wellness

Opportunities for socialization

18 Community Health Needs Assessment 2022 Nutrition education & counseling

Medication education Weight management

Appendix D:

Health Professionals & Community Leaders Survey Results continued

QUESTION 5:

Which of the following are important to maintaining the health of people with physical and/or cognitive disabilities? (check all that apply)

88.03% 87.32% 83.80% 82.39% 81.69% 80.99%

Recreational/ physical activities Caregiver support Individual counseling

QUESTION 6:

Would people with disabilities benefit from assistance in navigating the healthcare system in order to get their needs met? (e.g., finding services, filling out forms, etc.)

100% 0% Yes No

Participation in the community Support groups Peer support

QUESTION 7:

What is most needed for people with physical and/ or cognitive disabilities to maintain their health?

QUESTION 8:

What is the primary barrier for people with physical and/or cognitive disabilities in terms of maintain their health?

Appendix E: COMMUNITY RESOURCES

As part of our mission, we give back to the community by supporting and partnering with other local nonprofits to extend our continuum of services. Additionally, we are fortunate to welcome several of our partners to the Sheltering Arms Institute campus to assist in mentoring patients directly to ensure they have, or are connected with, needed resources before returning to the community.

Our partner organizations offer specialized services, accessible housing and ramps, recreation, peer mentoring and support groups, and much more. The following organizations are official community partners of Sheltering Arms Institute and/or grant recipients of Sheltering Arms Foundation.

COMMUNITY PARTNER WEBSITE CONTACT

Amputee Coalition amputeecoalition.org (888) 267-5669

Bon Secours Reinhardt Guest House reinharthouse.org (804) 287-7300

Brain Injury Association of Virginia biav.net (804) 355-5748

Caregiver Action Network caregiveraction.org (855) 227-3640

Circle Center Adult Day Services circlecenterva.org (804) 355-5717

Community Brain Injury Services communitybraininjuryservices.org (804) 386-0925

CrossOver Healthcare Ministry crossoverministry.org (804) 655-2794

Department of Rehabilitation & Aging Services (DARS) dars.virginia.gov (804) 662-7093

Eggleston Services egglestonservices.org (757) 858-8011

Foundation for Rehabilitation Equipment and Endowment (F.R.E.E.) free-foundation.org (540) 777-4929

GoochlandCares goochlandcares.org (804) 556-6260

Health Brigade healthbrigade.org (804) 358-6343

Master Center for Addiction Medicine mastercenter.com (804) 552-5122

Next Move Program thenextmoveprogram.org (804) 482-1175

Positive Vibe Foundation positiveviberva.com (804) 560-3159

Project:HOMES projecthomes.org (804) 233-2827

RAMPS rampsbystudents.org (804) 282-3605

REACHcycles reachcycles.org (540) 597-3186

RVA Aphasia Group rva-aphasia.com info@rva-aphasia.com

RVA Rapid Transit rvarapidtransit.org (804) 404-9074

Sheltering Arms Fitness, Recreation & Wellness shelteringarms.com (804) 764-5275

South Richmond Adult Day Care Center southrichmondadcc.org (804) 231-9306

Sportable sportable.org (804) 731-7298

The Doorways thedoorways.org (804) 828-6901

United Spinal Association unitedspinalassociation.org (800) 962-9629

United Spinal Association of Virginia unitedspinal.va.org (804) 803-3696

VCU Health Outpatient Care vcuhealth.org (804) 828-4097

Virginia Assistive Technology Systems (VATS) vats.virginia.gov (804) 662-9990

Virginia Stroke Survivor and Caregiver Education Group facebook.com/groups/1280347052076823 (804) 764-5290

the Power