Community Benefit: Kaiser Permanente and the communities we serve

1. Community Benefit: Kaiser Permanente and the communities we serve

2. Kaiser Permanente Mission KP exists to provide affordable, high-quality health care services to improve the health of our members and the communities we serve.

3. Community Benefit Defined KP Community Benefit programs are designed and implemented to improve the health of our communities. Our Community Benefit Programs are based on our Community Needs Assessment, which is conducted every three years.

4. KP SCAL Community Benefit Portfolio • More than $356 million to community benefit in Southern California in 2007 • Four areas of focus in two categories: • DIRECT • Coverage and KP services for low-income people • Research and training • INDIRECT • Healthy Eating Active Living/community health improvement grants • Community health care partnership grants and in kind donations

5. DIRECT: Coverage For Low-Income People • Government programs – subsidized care for MediCal and Healthy Families KP members • Example: MediCal and IEHP members $13,200,793 through FMC in 2007 • Charitable health coverage – subsidized premiums for low-cost KP programs: Child Health Plan (CHP) and Steps $1,646,249 through FMC in 2007 • Charity care – Medical Financial Assistance $1,121,295 through FMC in 2007

6. Charity Care Defined • Charity Care/Medical Financial Assistance (MFA) consists of • The difference between our cost of care and MediCal reimbursements for non-members or our cost of care for services to the uninsured (episodic care) • Example: Uninsured homeless individual receiving care in ED • The cost of waiving co-pays for members who demonstrate financial need (episodic and on going care) • Applicable to professional costs (physician) and both in patient and ambulatory care settings

7. DIRECT: Research and Training • Graduate medical education • FMC Fellowships in Sports Medicine; Geriatrics • Research and evaluation • Hormone Replacement Therapy vs cancer risks; dementia and abdominal girth • CRNA program • Nursing education and training • Fontana Preceptorships – Cal State SB • Allied health professional training • Radiology techs –Chaffey College, Western University FMC’s 2007 contributions to these programs was $3,424,129

8. INDIRECT: Community Health Improvement/Grants • Commitment to reduce obesity and co-morbidities (e.g., diabetes) • Improve access to healthy food and physical activity • Create positive, sustainable policy and build environmental change • Examples • Operation Splash – 8,000 free swim lessons • Fontana City Pools recently awarded $50,000 • Educational Theatre Programs – 1,188 performances in 2006 • Local performances in Fontana, San Bernardino and high desert • KP Child Health Plan – 32,000 uninsured children covered • More than 11,000 through FMC

9. INDIRECT: Regional/ FMC Community Health Improvement • Partnerships with community clinics, public hospitals and homeless providers • $150k regional grant to ARMC for Diabetes Initiative • Increase access to preventive, diagnostic, specialty and nursing care services • $150k regional planning grant to Al Shifa Clinic, Devore for Specialty Care Initiative

10. INDIRECT: Community Health Grants program at FMC • Agency/effort addresses need identified by Needs Assessment • Fulfills part of medical center’s annual Community Benefit Plan • Is externally focused – benefits the greater community. Funds must be used in medical center service area • Grant applications reviewed by FMC Grants Review Committee

11. KP SB County Community Benefit Examples In 2008, Fontana and Ontario Vineyard Medical Centers awarded more than $339,000 in grant funds throughout the county. Following is a partial list • Al Shifa Clinic, Devore $15,000 • Children's Services Fund, Fontana Unified SD $20,000 • Community Health Systems, Bloomington $20,000 • Family Service Assoc, Redlands Homeless $25,000 • Kids Come First, Ontario $20,000 • Boys and Girls Club, Victor Valley $10,000 • CSUSB Student Diabetes Initiative $10,000 • Montclair Community Collaborative $10,000

12. 2007 Annual Figures - Fontana Medical CenterTotal Community Benefit: $24,464,371 Includes Direct and Indirect categories

13. Developing FMC’s Grants ProgramThe Needs Assessment Process • Conducted every three years, in accordance with Senate Bill 697 • Includes both primary and secondary data • Informs selection of Community Priority Needs for FMC • Forms basis for development of FMC’s 3 Year Community Benefit Plan

14. 2008 - 2010 FMC Community Benefit Plan Three Priority Needs • Access to pre-natal, dental, medical and mental health services • Education for the prevention of avoidable diseases and management of chronic diseases • Increase awareness of health risks, i.e., obesity and tobacco use Geographic “overlay,” (Central, Desert, East, West) ensures Community Benefit funds and resources are distributed evenly throughout the FMC Service Area.

15. Questions? Answers… • Jennifer Resch-Silvestri, Public Affairs Director (909) 427-5269 • Martha Valencia, Senior Community Health Benefit Specialist (909) 427-5268 • kp.org/community benefit