Los Cien: Latinos’ Access to Healthcare and Wellbeing St. Joseph Health Community Well Being January 24, 2019

Our Mission: As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable. Our Mission This is our mission statement, which was shaped by the input of 60,000 caregivers across the Providence St. Joseph Health system – including persons who serve on our hospital boards. Please pause for a moment to let it sink in… Our Mission has not changed in 2000 years. Our founding Sisters are quick to say that they did not “invent” this Mission; rather, they were modeling their inclusive, compassionate care after the healing example of Jesus’s ministry. The words we use to describe this Mission change periodically to remain relevant to the times in which we live and serve. What phrase or words do you connect with easily? What is more challenging for you?

Health for a Better World Our Vision: Health for a Better World Our vision tells us what we want to accomplish. If we live our mission faithfully, health for a better world will be one of the fruits of our work. Does this vision connect with your own hopes and vision for your own work? Why did you choose the work you did? How can health lead to a better world? What does health contribute to peace, reconciliation, human flourishing, care for creation, etc.?

Organizational Tithing to Support Community Benefit St. Joseph Health “tithes” to support community benefit. 10% of the net operating income is reinvested into the community to support wellness and improved quality of life. A quarter of the funds are distributed from the health system level through the philanthropic foundation called the Community Partnership Fund, and the remainder come back to our ministry. Do you want to mention anything about 1.5% commitment, or A.G. spending requirements?

Access to Health Resources Behavioral Health Community Health Needs Assessment (CHNA) Priority Needs for St. Joseph Health 2018-2020 Access to Health Resources Behavioral Health 3. Housing Concerns & Homelessness

Sonoma County: Health and Demographic Trends for Latinos Latinos made up 26.3% of Sonoma County’s population in 2015; projected to be more than 51% by 2050. 33% of Latino population in Sonoma County is under the age of 18 (compared to 14% for whites) 29.4% of Latinos lack health insurance compared to 9.4% of whites 10% of Latino population in Sonoma County has at least a bachelor’s degree (compared to 35% for whites) Latinos outlive Sonoma County whites by 5 years Sources: Sonoma County Economic Development Board & Sonoma County Department of Health Services

Sonoma County: Health and Demographic Trends for Undocumented Immigrants Only 14% of adults but almost all children (94%) had health insurance 72% of surveyed adults and 98% of children reported having a usual source of care 62% of adults who self-identified as feeling that they may need to see a professional because of problems with mental health did not seek help (cost 91%, stigma 40%) Source: Sonoma County Department of Health Services

Barriers to Healthcare Access for Latino Population Restricted amounts of care, particularly culturally competent and linguistically appropriate Long waits for appointments Insurance coverage isn’t enough Transportation Cultural barriers Need for increased prevention awareness Fears regarding Immigration status

St. Joseph Health Responses Safety Net Services Proactive Prevention & Intervention Systems Change and Transitions Investing in our Future Healthcare

Safety Net Services

St. Joseph Health Responses: Safety Net Mobile Health Clinic Sites: homeless shelters, Palms Inn, Boyes Hot Springs, Windsor 3,271 patient encounters in 2018 54% Spanish is primary language

St. Joseph Health Responses: Safety Net Mobile Dental Clinic & Roseland Fixed-Site Dental Clinic In 2018: Over 10,000 patient encounters in 2018 78% Spanish is primary language

St. Joseph Health Responses: Safety Net Partnerships with County, other hospitals, and social service nonprofits Crisis Stabilization Unit (CSU) Psychiatric Health Facility (PHF) Project Nightingale Caritas Village Project Nightingale

Proactive Prevention & Intervention

St. Joseph Health Responses: Proactive Prevention & Intervention Promotoras de Salud Health Promotion Program collaborations: Binational Health Week Center for Well-Being Hearts of Sonoma Burbank Housing Graton and Healdsburg Day Labor Centers Community Club of Roseland In 2018, our Health Promotion Program: Participated in 51 community health events Screened 1,110 individuals 50% linked to a provider for follow up appointment

St. Joseph Health Responses: Proactive Prevention & Intervention Promotoras de Salud Empowerment focus: Roseland Mom’s Fitness Group becoming the Community Club of Roseland

St. Joseph Health Responses: Proactive Prevention & Intervention Healthy For Life 27,808 encounters in 2018

St. Joseph Health Responses: Proactive Prevention & Intervention Latino Health Forum sponsorship

Systems Change and Interventions

St. Joseph Health Responses: Systems Change and Transitions Open Access to Community Care Covered Sonoma Regional Behavioral Health Integration Project

Investing in our Future

St. Joseph Health Responses: Investing in our future healthcare

Thank you to our partner schools!

Thank you to our Partners!