Boca Raton Regional Hospital - 2022-2024 Implementation Plan - Baptist Health South Florida
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Boca Raton Regional Hospital 2022-2024 Implementation Plan
Table of Contents
Boca Raton Regional Hospital Executive Summary.............................................. 2
Implementation Plan Overview .............................................................................. 3
2022-2024 Implementation Plan
1. Behavioral Health .................................................................................... 4
2. Chronic Disease Management ............................................................... 8
3. Access to Care ..................................................................................... 10
4. Healthy Lifestyles and Wellness ........................................................... 11
5. Elder Care and Geriatrics ..................................................................... 12
1
Boca Raton Regional Hospital Executive Summary
FY 2020 Boca Raton Regional Hospital at a Glance
Born out of compelling community need in 1967, Boca Raton Regional Hospital is a not-for-profit,
advanced tertiary medical center with 351 beds and more than 800 primary and specialty care
physicians on staff. The hospital is a recognized leader in cardiovascular care, oncology, women’s
health, orthopedics, emergency medicine and neuroscience, all of which offer state-of-the-art
diagnostic and imaging capabilities. The hospital is accredited by The Joint Commission and is
one of only four hospitals in Palm Beach County to be designated by the Florida Agency for
Healthcare Administration as a Comprehensive Stroke Center.
On July 1, 2019, Boca Raton Regional Hospital joined Baptist Health South Florida. The new
partnership ensures that both not-for-profit organizations will continue to meet their shared
mission and commitment to elevate healthcare within the communities they serve in an area that
reaches across four South Florida counties.
Licensed beds .............................................................................................................................. 351
Inpatient admissions................................................................................................................ 16,937
Patient days ............................................................................................................................. 78,980
Surgeries* .................................................................................................................................. 8,795
Number of employees ............................................................................................................... 2,733
Emergency department visits .................................................................................................. 46,469
Outpatient visits ......................................................................................................................193,748
Payer mix** Medicare: 60.4%
Medicaid: 4.1%
*Includes inpatient and outpatient surgeries.
**Based on gross revenue and do not include
Medicare Managed or Medicaid Managed payers.
2
Implementation Plan Overview
Baptist Health conducted a community health needs assessment (CHNA) in spring 2021 in the Boca
Raton Regional Hospital community. This comprehensive report was compiled using various data
sources, including local, state and national statistics from the Department of Health, U.S. Census
Bureau and the Centers for Disease Control and Prevention (CDC). As a result of this process, Baptist
Health has identified the top five health priorities for the Boca Raton Regional Hospital service area:
1. Behavioral Health
2. Chronic Disease Management
3. Access to Care
4. Healthy Lifestyles and Wellness
5. Elder Care and Geriatrics
Having identified these priorities, Baptist Health and Boca Raton Regional Hospital will develop an
implementation plan (IP) that will describe the actions the hospital will take, identify resources that
the facility plans to commit and describe any planned collaborations to address the community’s
health needs over the next three years. The IP will be evaluated for impact on an annual basis.
The board of Boca Raton Regional Hospital must approve the IP within the same fiscal year as the
completion of the CHNA.
Step 1:
Reflect and Strategize
Step 9: Step 2:
Evaluate Identify and Engage
Progress Stakeholders
Community
Step 8: Engagement Step 3:
Implement Define
Strategies the Community
Step 7: Step 4:
Plan Implementation Collect and
Strategies Analyze Data
Step 6: Step 5:
Document and Prioritize Community
Communicate Results Health Issues
3
Behavioral Health
Community Benefit: Behavioral Health Services
A hospital’s community benefits are programs or activities that provide treatment and/or promote
health and healing as a response to identified community health needs. In order to increase access
to behavioral health counseling in South Florida, Baptist Health’s community benefit board supports
organizations that provide free, low-cost or discounted counseling services to the communities
of Monroe, Miami-Dade, Broward and Palm Beach.
Baptist Health has partnered with Faulk Center for Counseling to help increase the number of youth
and families who receive counseling in Palm Beach County provided by graduate students pursuing
master’s and doctoral degrees and clinical volunteers, trained and supervised by licensed psychologists.
Behavioral Health Screening
Baptist Health Medical Group - North has implemented the Patient Health Questionnaire-2 (PHQ-2)
in our primary care practices for all patients as a “first step” approach in screening for depression.
Patients who screen positive will be further evaluated with the Patient Health Questionnaire-9 (PHQ-9)
to determine if they meet the criteria for a depressive disorder. The PHQ-9 is a multipurpose instrument
for screening, diagnosing, monitoring and measuring the severity of depression. Following the PHQ-9,
patients are referred to additional behavioral health services, as needed.
Baptist Health’s Community Health department organizes free health fairs for the communities
of Palm Beach, Broward, Miami-Dade, and Monroe counties. These health fairs offer a variety of
resources available to the public and occur either on hospital grounds or in partnership with
community organizations. In addition to the biometric screenings conducted at Community Health
events, the Patient Health Questionnaire- 4 (PHQ-4) is a four-point Likert-type scale, and will be
implemented by the fall of 2021. Its purpose is to allow for a brief and accurate measurement of
core signs and symptoms of depression and anxiety by combining the two-item PHQ-2, consisting
of core criteria for depression, with the two-item GAD-2 (Generalized Anxiety Disorder), both of which
have been shown to be valid and reliable brief screening tools. The total PHQ-4 score complements
the subscale scores as an overall measure of symptom burden, as well as functional impairment
and disability. An elevated PHQ-4 score is not diagnostic, but is an indicator for further inquiry to
establish the presence or absence of a clinical disorder warranting treatment.
The Columbia Suicide Severity Rating Scale (C-SSRS) is used to identify and assess individuals
at risk for suicide. Providers should use the 10-category scale as a means of measuring suicidal
ideation, intent or plan, and past suicidal behavior. Baptist Health has implemented the C-SSRS
at all its hospital emergency departments in Miami-Dade and Monroe counties and Boca Raton
Regional Hospital in Palm Beach County. This scale is used to guide appropriate therapeutic
intervention and to facilitate safety monitoring and planning.
4
Community Education
Baptist Health is committed to improving the overall health and wellness of the communities we
serve. The Community Health department offers free behavioral health focused education programs,
covering topic areas such as stress management, mindfulness, and overall mental health and
emotional well-being. These educational programs are offered in person and virtually, through the
Zoom platform, and shared across all of our communities in Monroe, Miami-Dade, Broward and
Palm Beach County. Similar programs and educational resources are offered in partnership with
area community organizations, on Baptist Health social media platforms and online blog posts.
Additionally, in partnership with Pastoral Care, Community Health offers programs and services
throughout the Baptist Health system.
Virtual Care Initiatives: Baptist Health Care On Demand
Care On Demand is Baptist Health’s premier virtual health platform. Mental Health Counseling on
Care On Demand offers confidential and compassionate support from experts in the field. This
mobile platform gives patients the opportunity to speak to a licensed mental health professional
through a secure live video chat on their smartphone, computer or tablet.
Mental Health Counseling offers behavioral health support to those who are feeling
overwhelmed or facing an unexpected crisis. Whether the problem is anxiety, stress,
loss, relationships or other issues, our telehealth-trained counselors are a confidential
virtual-visit away.
Psychiatry services offers board-certified, telehealth-trained psychiatrists who are available
by appointment at a time and place that works best for the patient. A psychiatrist can listen,
diagnose, manage and recommend treatment options for mild to severe mental health issues.
5
Behavioral Health Partnerships
Baptist Health partners with Fort Lauderdale Behavioral Health Center, a fully licensed and accredited
private facility, for the transfer of Baker Act patients at Boca Raton Regional Hospital and Bethesda
Hospital East and West. The goal of this partnership is to ensure the safe and immediate transfer
of patients under a Baker Act from a Baptist Health facility to Fort Lauderdale Behavioral Health
Center, or another designated receiving facility, to ensure the appropriate continuation of care for
each patient.
The Recovery Village at Baptist Health, a partnership with Advanced Recovery Systems, provides a
full continuum of care, including medical detox, residential services and outpatient programs. With
three locations in South Florida, The Recovery Village at Baptist Health, a drug and alcohol treatment
center, is dedicated to meeting the need for high-quality and effective treatment in our community.
Behavioral Health Training
Behavioral Emergency Response Team (BERT)
Boca Raton Regional Hospital is dedicated to addressing the need for treatment of depression,
anxiety and other mental health disorders not related to substance use. Toward that end, the hospital
launched the Behavioral Emergency Response Team (BERT), an interdepartmental, specialized
team with a unique skill set and competencies to provide pre-crisis de-escalation in potentially volatile
situations. This team responds to behavioral health emergencies in both the emergency room and
inpatient settings. Additional continuing medical education (CME) programs focused on behavioral
health are available to physicians.
Boca Raton’s Promise Mental Health
First Aid
Boca Raton Regional Hospital partners with
Boca Raton’s Promise – an organization that
educates the community on mental health issues
and opportunities – to provide mental health first aid
(MHFA) training programs to hospital employees
and first responders in the service area. MHFA is a
groundbreaking national public education program
that helps the public identify, understand and
respond to signs of mental illness and substance
use disorders. This eight-hour course introduces
participants to risk factors and warning signs of
mental health problems, builds understanding of
their impact and overviews common treatments.
6
Support Groups
Living with a mental illness can often make individuals feel isolated and hopeless. Support groups
bring together members who share common life experiences and offer them a space where they can
share their stories, first-hand experiences and coping strategies in a way that helps reduce isolation
and loneliness. Benefits often include learning new information and strategies for confronting problems,
finding support from others, and the opportunity to help others.
Baptist Health offers seven mental health support groups, with two of them – postpartum and
bereavement – available at Boca Raton Regional Hospital.
7
Chronic Disease Management
Community Benefit - YMCA
Baptist Health funds programs and activities offered to the broad community that are designed to
improve community health. In Palm Beach County, Baptist Health provided a financial contribution
to the YMCA of South Palm Beach in support of the evidence-based Blood Pressure-Monitoring
program. This contribution enabled 105 community members to take part in the program – which
normally costs $189 – at no cost.
Community Health Screenings and Health Fairs
Baptist Health’s Community Health department organizes free health fairs for the communities of
Miami-Dade, Broward, Monroe and Palm Beach counties. These health fairs focus on informing
our community about the resources available to them to meet their needs. Health fairs are offered
to the general public and occur either on hospital grounds, or more often, in partnership with our
community partners. The biometric health screenings offered include cholesterol, blood glucose,
blood pressure, body composition, waist circumference, bone density and mental health. Health
fair participants are given their results immediately, along with educational information and possible
resources to help with accessing appropriate levels of care.
8
Support Groups
Living with a chronic disease can make a person feel isolated. Thanks to support groups, people
with a common challenge or health concern can come together regularly to share their stories,
first-hand experiences and coping strategies with people who know what they’re going through.
For many people, a health-related support group may fill a gap between medical treatment and the
need for emotional support. It often provides these individuals an opportunity to share resources,
treatments and physician referrals. Support groups are offered on various topics and medical
conditions. The aim is continue providing resources and support for our community and increase
awareness and group attendance rates.
Baptist Health offers more than 25 chronic disease management support groups with 12 of them
–stroke, neurological conditions, Parkinson’s disease, heart disease cancer support – available at
Boca Raton Regional Hospital.
Discounted Mammograms
Each year, breast cancer claims the lives of women we love. When it’s detected early, at a localized
stage, the survival rate is 98%. In order to make prevention screenings accessible for everyone,
Baptist Health offers special pricing for uninsured patients – $50 for a screening mammogram and
$100 for a diagnostic mammogram – in May and October. A physician’s prescription is required.
Everglades Area Health Education’s Tobacco Free-Florida initiative
In collaboration with the Everglades Area Health Education Center (AHEC), the Florida Department of
Health’s Tobacco Free Florida program helps reduce the use of tobacco by delivering effective,
evidence-based tobacco cessation services for tobacco users and training programs for healthcare
professionals. Boca Raton Regional Hospital partners with Everglades AHEC to offer support groups,
free tools and service, along with referrals to the program in support of patients who identify as smokers.
9Access to Care
Community Benefit
Community Clinic and Organization Support
Baptist Health’s community benefit funds are directed toward organizations whose aim is to improve
the health of people in the communities we serve. Caridad Center and Promise Fund of Florida are
the beneficiaries of such funds in Palm Beach County. Caridad Center uses these funds and in-kind
donations to support community clinics that offer medical, vision and dental care to uninsured and
underserved children and families. Promise Fund of Florida directs this contribution to provide for a
patient navigator who helps low-income women obtain preventive screenings and diagnostic treatment.
Financial Assistance Policy
Boca Raton Regional Hospital, which is committed to providing care to those in need, supports the
care of uninsured and underinsured patients through its Financial Assistance Policy. The hospital offers
an 80 percent discount to all uninsured patients having a primary residence in the United States.
The Financial Assistance Program provides support to patients who qualify for non-catastrophic and
catastrophic assistance. For non-catastrophic approval, patients may qualify for a 100 percent write-
off of eligible services if their family household income is below 200 percent of the Federal Poverty
Guidelines; or they may qualify for a 50 percent write-off of eligible services if their family household
income falls between 201 percent and 300 percent of the Federal Poverty Guidelines. For catastrophic
assistance, patients may qualify for a 75 percent write-off for eligible services if their medical bills
exceed the family household annual income by at least 25 percent or greater and if they earned
between 300 to 600 percent of the Federal Poverty Guidelines.
Virtual Care Initiatives: Baptist Health Care On Demand
Baptist Health Care On Demand, the telehealth platform and digital front door to access the system,
is now available for multiple specialties to treat our patients’ needs. Patients are able to manage their
health from anywhere, at any time, and even have prescriptions sent directly to their pharmacy of
choice. Services include urgent care visits, pediatric urgent care, breastfeeding support, diet and
nutrition, and express symptom management for Miami Cancer Institute patients.
Partnership with Florida Atlantic University’s Charles E. Schmidt College
of Medicine Residency Clinic
Boca Raton Regional Hospital’s Community Outreach department provides screenings, education
and assistance with healthcare navigation to community resources. One of these is Florida Atlantic
University’s (FAU) Charles E. Schmidt College of Medicine internal medicine residency clinic, where
patients identified as uninsured or underinsured are able to access free or affordable healthcare
services, such as medical exams, wellness visits, imaging and laboratory tests. Community Outreach
regularly conducts biometric health screenings throughout the service area for individuals who
qualify for free services at the FAU residency clinic funded by Boca Raton Regional Hospital.
10Healthy Lifestyles and Wellness
Community Health Education
With the support of our physicians and other clinical experts, Baptist Health’s Community Health
department offers free educational programs focused on a number of chronic diseases, covering
such topics as diabetes and heart disease. Lynn Cancer Institute, a part of Baptist Health, also offers
a wide array of educational programs for patients and caregivers that include cancer-specific
lectures with renowned experts, nutrition classes and wellness programs. In addition, community
exercise classes, support groups, smoking cessation programs and pastoral care programs and
services are offered in person and virtually through Zoom across all of our communities in Monroe,
Miami-Dade, Broward and Palm Beach counties. Similar programs and educational resources are
offered in partnership with area community organizations, on Baptist Health social media platforms
and in blog posts.
Boca Raton Regional Hospital’s Community Outreach department provides an eight-page booklet,
The Medication Education: Get a Grip on Scripts, to all inpatient units as a resource to address
medication non-adherence. This booklet outlines the best practice of using medications, side effects
and provides detailed medication instructions.
11Elder Care and Geriatrics
Community Benefit: Elder Care Funding
Baptist Health’s community benefit board supports 211 Palm Beach/Treasure Coast’s Elder Crisis
Outreach program, which provides counseling, advocacy and suicide evaluation to seniors age 60
and older. Additionally, the funds Baptist Health contributes are dedicated to seniors in dire need
of emergency financial assistance for medicine, rent, utilities or food. This funding allows for 211
Palm Beach/Treasure Coast to meet the needs of Palm Beach County seniors, as well as
contribute to sustaining the operational needs of the program.
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