GREATER BALTIMORE MEDICAL CENTER
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PART V, SECTION B, LINE 11: GREATER BALTIMORE MEDICAL CENTER (GBMC) HAS MADE SIGNIFICANT STRIDES IN ITS IMPLEMENTATION OF PROGRAMS IN RESPONSE TO THE NEEDS IDENTIFIED IN THE CHNA. SPECIFICALLY, GBMC IS FOCUSED ON THE IDENTIFIED COMMUNITY HEALTH ISSUES IT HAS THE MOST ABILITY TO IMPACT IN A MEANINGFUL WAY, WHETHER THROUGH INTERNALLY DEVELOPED STRATEGIES AND/OR PARTNERSHIPS. GBMC HAS EXPANDED ITS COLLABORATIVE CARE MANAGEMENT AND CARE COORDINATION MODEL WITH THE ENHANCEMENT OF THREE PROGRAMS: BEHAVIORAL HEALTH EMBEDDED IN THE PATIENT CENTER MEDICAL HOME, ELDER MEDICAL CARE AT HOME AND, IN UNDERSERVED COMMUNITIES, AND EXPANDING CARE COORDINATION/CARE MANAGEMENT. THE GOAL OF PROVIDING SERVICES OUTSIDE OF THE ACUTE CARE SETTING AND WITHIN THE COMMUNITY AND PRIMARY CARE PHYSICIANS IS ONE OF THE PATIENT CENTRICITIES.GBMC CONTINUES TO INVEST IN BEHAVIORAL HEALTH IN OUR PCMHS AND IMPLEMENTATION OF GBMC'S ELDER MEDICAL CARE PROGRAM HAS SIGNIFICANTLY IMPROVED SENIOR'S ACCESS TO CARE INCLUDING HOME-BASED SERVICES. AN INTERDISCIPLINARY TEAM PROVIDES CLINICAL INTERVENTIONS IN THE HOME SETTING, INCLUDING LAB SERVICES, BEHAVIORAL HEALTH CONSULTATIONS, COMMUNITY HEALTH COORDINATION AND INTERVENTIONS BY PHARMACISTS. THROUGH THESE PROGRAMS, GBMC REACHED 4,733 HOME BOUND SENIORS WITH ITS ELDER MEDICAL CARE AT HOME PROGRAM. POST COVID-19 PANDEMIC, WE HAVE RETURNED TO PRE-PANDEMIC VISIT VOLUMES.THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S PRIMARY CARE NEEDS ASSESSMENT, RANKED BALTIMORE CITY LAST IN THE STATE ON INDICATORS SUCH AS PREVENTABLE HOSPITALIZATIONS, ACCESS TO CARE AND OTHER SOCIAL DETERMINANTS OF HEALTH, MAKING IT THE JURISDICTION WITH THE GREATEST NEED FOR HEALTHCARE RESOURCES. IN ADDITION, BALTIMORE CITY ALSO HAD THE HIGHEST INCIDENCE IN MARYLAND OF HIV, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), DIABETES WITH LONG-TERM COMPLICATIONS, HYPERTENSION.FILLING THIS SIGNIFICANT NEED, A RELATED ENTITY OF GBMC, GILCHRIST CENTER BALTIMORE SERVES ABOUT 146 TERMINALLY ILL INDIVIDUALS EACH YEAR, MOST OF WHOM ARE AT-RISK AND MEDICALLY UNDERSERVED BALTIMORE CITY RESIDENTS. AS GILCHRIST CENTER BALTIMORE IS THE ONLY HOSPICE FACILITY IN BALTIMORE CITY, THE FACILITY GENERALLY HAS A WAITING LIST OF ELIGIBLE PATIENTS. GILCHRIST PROVIDES A MUCH-NEEDED SERVICE TO THE BALTIMORE CITY POPULATION. THOSE AGED 65 AND OLDER COMPRISE APPROXIMATELY 14.1% OF THE TOTAL POPULATION, AND THE MARYLAND HEALTH CARE COMMISSION PROJECTS AN INCREASE IN CITY RESIDENTS NEEDING HOSPICE. THIS POPULATION ALSO TENDS TO BE THOSE MOST IN NEED. IN FISCAL YEAR 2023, GILCHRIST CENTER BALTIMORE HAD AN AVERAGE DAILY CENSUS OF 17.13 AND OPERATED AT A $2.4M ANNUAL LOSS.GBMC HAS INVESTED SIGNIFICANTLY, $38.3 MILLION IN FY23, IN ITS PHYSICIAN SERVICES. IN FY20, GBMC EARNED RECOGNITION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE, AS A LEVEL 3 PHYSICIAN PRACTICE CONNECTIONS-PATIENT-CENTERED MEDICAL HOME (PPC-PCMH). GBMC'S INTEGRATED, MULTI-SPECIALTY MEDICAL GROUP MANAGES PATIENT'S HEALTH ACROSS GBMC'S SYSTEM OF CARE, WITH A FOCUS ON PREVENTION & WELLNESS, EVIDENCE-BASED CARE, AND ACTIVE MANAGEMENT OF CHRONIC DISEASE. CARE OUTSIDE OF THE ACUTE CARE SETTING SIGNIFICANTLY REDUCED TOTAL COST OF CARE AND ENHANCED PATIENT ACCESS OVER A TWO-YEAR PERIOD, GBMC'S COVERED LIVES DECLINED FROM PRIOR YEAR BY 1,362 OR 1.6%.THE COLLABORATIVE CARE MODEL (COCM) PROGRAM BEGAN IN JULY OF 2020, ADAPTED FROM A PREVIOUS INTEGRATED BEHAVIORAL HEALTH CARE MODEL, AND IS A CONTINUED PARTNERSHIP BETWEEN GBMC AND SHEPPARD PRATT. IT IS AN EVIDENCE-BASED MODEL THAT AIMS TO IMPROVE ACCESS TO CARE, PROVIDE HIGH-QUALITY SERVICES AIMED AT SYMPTOM IMPROVEMENT, AND IS EFFICIENT. THE TEAM OF BEHAVIORAL HEALTH CARE MANAGERS (PRIMARILY SOCIAL WORKERS) HAS NOW TREATED OVER 3,392 PATIENTS TO HELP THEM TO TARGET SYMPTOMS RANGING FROM ANXIETY AND DEPRESSION TO ALCOHOL USE AND POST-TRAUMATIC STRESS. EVALUATION DATA SHOWS IMPROVEMENT IN DEPRESSION AND ANXIETY SYMPTOMS AND REDUCED UTILIZATION OF THE EMERGENCY DEPARTMENT.ADDITIONAL NOTABLE PROGRAMS INCLUDE GBMC'S SAFE & DOMESTIC VIOLENCE PROGRAM STAFF, WHICH PARTNERS WITH BALTIMORE COUNTY LAW ENFORCEMENT (SVU & CACU), BALTIMORE COUNTY CHILD ADVOCACY CENTER, BALTIMORE COUNTY STATE'S ATTORNEY'S OFFICE, MARYLAND CENTER FOR SCHOOL SAFETY, AND OTHER COMMUNITY SERVICE PROVIDERS TO IMPROVE VICTIMS' SAFETY AND WELL-BEING BY PROVIDING HIGH QUALITY COMPREHENSIVE DIRECT SERVICES TO VICTIMS OF SEXUAL ASSAULT, DOMESTIC VIOLENCE, CHILD ABUSE AND HUMAN TRAFFICKING. GBMC PROVIDES 365-DAYS-A-YEAR COVERAGE FROM A FORENSIC NURSE AND AN ADVOCATE, AND OFTEN TIMES HAS TWO FORENSIC NURSES AVAILABLE. GBMC SAFE HAS ADDITIONALLY ADDED A CHILD PROTECTION PROGRAM UNDER ITS UMBRELLA. THE CPP ASSISTS WITH ALL SUSPECTED AND CONFIRMED CASES OF CHILD MALTREATMENT THAT COME THROUGH THE HOSPITAL. ONE CRITICAL COMPONENT OF THIS OBJECTIVE IS TO IMPROVE COURT OUTCOMES FOR VICTIMS. ANOTHER CRITICAL OUTCOME IS ENSURING A SMOOTH HANDOFF AND CONNECTION WITH VITAL RESOURCES WITHIN THE COMMUNITY. THE SAFE PROGRAM CONTINUES TO PROVIDE COMPREHENSIVE MEDICAL-FORENSIC SERVICES AND CONDUCTED OVER 275 SAFE EXAMINATIONS AND ENCOUNTERS, 105 NON-FATAL STRANGULATION EXAMINATIONS, AND 11 SUSPECT EXAMINATIONS. IN ADDITION TO FORENSIC NURSING SERVICES, OUR VICTIM ADVOCATES PROVIDED ADVOCACY AND CRISIS INTERVENTIONS TO OVER 300 INDIVIDUALS. AS RESTRICTIONS FOR THE PANDEMIC WERE LIFTED AND ORGANIZATIONS RETURNING IN PERSON, THE SAFE PROGRAM PROVIDED PRESENTATIONS TO OVER 8,000 COMMUNITY MEMBERS THROUGH BOTH IN PERSON AND VIRTUAL PLATFORMS. THE TEAM TRAVELED ACROSS THE COUNTRY TO PRESENT TRAUMA-INFORMED CARE AND THE GBMC MODEL AT THE NATIONAL CRIMES AGAINST CHILDREN CONFERENCE IN DALLAS, TEXAS. THE PROGRAM CONTINUES EXPANSION OF ITS SERVICE TO CARE FOR PEDIATRIC SEXUAL ABUSE, HUMAN TRAFFICKING, AND VICTIMS WHOM ENGLISH IS A SECOND LANGUAGE, ALL ARE AN UNDERSERVED POPULATION IN BALTIMORE COUNTY. GBMC HAS A COMPREHENSIVE OBESITY MANAGEMENT PROGRAM (COMP), WHOSE GOAL IS TO GET PATIENTS ENGAGED IN HEALTHIER LIFESTYLE CHANGES. THIS PROGRAM PROVIDES THESE PATIENTS WITH THE NECESSARY TOOLS AND EDUCATION TO START A JOURNEY TO LOSE WEIGHT AND GAIN A BETTER HEALTH STATUS. IN FY23, THIS PROGRAM WAS LED BY DR. TIMOTHEE FRIESEN AND MANAGED TO ACHIEVE A LONG-TERM AVERAGE WEIGHT LOSS OF 21.2 POUNDS PER PARTICIPANT. COMP CONTINUES TO TREAT A HIGH VOLUME OF BARIATRIC PATIENTS THROUGH SURGICAL INTERVENTION.THE GOALS OF TREATMENT FOR DIABETES ARE TO PREVENT OR DELAY COMPLICATIONS AND MAINTAIN QUALITY OF LIFE. IT IS IMPORTANT TO UNDERSTAND WHAT RESOURCES ARE AVAILABLE IN YOUR COMMUNITY AND WORK TO CREATE PARTNERSHIPS WITH THESE RESOURCES TO FACILITATE HAND OFFS AND TRANSITIONS OF CARE. THE PRODUCE IN A SNAP INITIATIVE HAS ADDED TO OUR PROGRAMS THAT ARE TARGETING THOSE INDIVIDUALS WHO HAVE FOOD INSECURITY, OBESITY, AND DIABETES. THE PROMOTION ALONE THROUGHOUT BALTIMORE COUNTY HAS BROUGHT PATIENTS AND COMMUNITY MEMBERS FROM ALL WALKS OF LIFE TO BENEFIT FROM THIS GREAT MARKET. THE PANDEMIC STALLED THIS INITIATIVE, BUT WE HOPE TO HAVE THIS MARKET BACK UP AND RUNNING NEXT YEAR.THE GECKLE DIABETES AND NUTRITION CENTER AT GBMC OFFERS A COMPREHENSIVE APPROACH TO DIABETES EDUCATION AND TREATMENT FOR ALL TYPES OF DIABETES. THE DIABETES EDUCATION TEAM CONSISTS OF REGISTERED DIETITIANS AND REGISTERED NURSES, AND ALL ARE CERTIFIED DIABETES EDUCATORS. THE CENTER TEACHES DIABETES SELF-MANAGEMENT AND PROVIDES PATIENTS WITH THE TOOLS AVAILABLE TO HELP MANAGE THEIR DIABETES. DIABETES NUTRITION, MEAL PLANNING AND PHYSICAL ACTIVITY ARE KEY COMPONENTS OF THE PROGRAM. GBMC HAS STARTED TO EXTEND THIS PROGRAM TO VARIOUS GBMC PRIMARY CARE OFFICES TO BRING THE SERVICES TO THE PATIENT. WITH DIABETES SELF-MANAGEMENT SKILLS AND IMPROVED BLOOD GLUCOSE (SUGAR) LEVELS, GBMC IS HELPING TO REDUCE THE RISK OF COMPLICATIONS AND SIGNIFICANTLY IMPROVE THE QUALITY OF THE PATIENTS' LIVES.GBMC HAS IDENTIFIED SEVERAL SERVICE BARRIERS AS THE ORGANIZATION HAS WORKED TO IMPLEMENT ITS CHNA WORK. THESE INCLUDE ISOLATION AND STIGMA RELATED TO MENTAL HEALTH ISSUES, SHORTAGE OF PSYCHIATRIC PHYSICIANS IN THE COMMUNITY AND TRANSPORTATION CHALLENGES FOR PATIENTS. THESE HAVE BEEN EXACERBATED BY THE COVID-19 PANDEMIC. WHILE NOT FULLY ADDRESSED, SIGNIFICANT STRIDES HAVE BEEN MADE IN BREAKING DOWN THESE BARRIERS. THE ORGANIZATION CONTINUES TO IMPLEMENT SYSTEM-WIDE WORKFLOWS TO ASSESS AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. FINALLY, IN PARTNERSHIP WITH SHEPPARD PRATT, GBMC'S COLLABORATIVE CARE PROGRAM PROVIDES PATIENTS WITH THE ABILITY TO ACCESS BEHAVIORAL HEALTH SERVICES.
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GREATER BALTIMORE MEDICAL CENTER
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PART V, SECTION B, LINE 16J: THE HOSPITAL PROVIDES A PERMISSION & ACKNOWLEDGMENTS DOCUMENT, WHICH AMONG OTHER THINGS, SUMMARIZES THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE DOCUMENT IS PROVIDED TO PATIENTS AT THE TIME OF ADMISSION AND INCLUDED WITHIN THE INVOICE BILLING. IN ADDITION, EACH INVOICE NOTES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO PATIENTS THAT BELIEVE THEY ARE UNABLE TO PAY. THE EXISTENCE OF FINANCIAL ASSISTANCE IS ALSO VISIBLY DISPLAYED WITHIN AREAS OF PATIENT FLOW, SUCH AS THE EMERGENCY DEPARTMENT, REGISTRATION KIOSKS, SURGICAL SERVICE AREAS, ETC.
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