Parker Adventist Hospital

25 Pages·2013·1.03 MB·English

by  Eileen Aire

Parker Adventist Hospital

2012 Community Health Needs Assessment

Parker Adventist Hospital Community Health Needs Assessment 2012 1
TABLE OF CONTENTS
1 INTRODUCTION.............................................................................................................................................. 3
1a Brief description of hospital, history and services provided .................................................................... 3
1b Mission statement, vision andalues ......................................................................................................... 6
1c Organizational commitment to community benefit ................................................................................. 7
1d Commitment statement to the uninsured and underinsured .................................................................. 7
2 COMMUNITY HEALTH NEEDS ASSESSMENT .................................................................................................. 9
2a Community ............................................................................................................................................... 9
2a i Definition of community served by the hospital ............................................................................. 9
2a ii Demographics of the community .................................................................................................... 9
2a iii Uninsured persons, low-income persons, and minority groups .................................................... 11
2b Data collection ........................................................................................................................................ 17
2b i Process used to gather data .......................................................................................................... 17
2b ii Information gaps ............................................................................................................................ 18
2c Health needs of the community ............................................................................................................. 18
2c i Process to identify and prioritize needs ................................................................................................ 18
2c ii Prioritized list and description of community health needs .......................................................... 19
2c iii Healthcare resources available in the community to meet the needs .......................................... 21
3 CONTACT INFORMATION ............................................................................................................................. 22
Attachment A: CHNA Priorization Guide ......................................................................................................... 23

Parker Adventist Hospital Community Health Needs Assessment 2012 2
1 INTRODUCTION
1A BRIEF DESCRIPTION OF HOSPITAL, HISTORY AND SERVICES PROVIDED
Parker Adventist Hospital,
located at E-470 and Parker
Road, opened in 2004. Parker
Adventist Hospital is sponsored
by the Adventist Health System
and is connected to Centura
Health, Colorado’s health care
leader, and its integrated
statewide network of 13
hospitals, seven senior living
communities, medical clinics,
affiliated partner hospitals,
Flight For Life® Colorado, and
home care and hospice
services. Parker Hospital has
134 licensed beds, including six
pediatric beds licensed by The Children’s Hospital.
Distinctive Services
The Hospital provides leading medical experts, cutting edge technology and a broad array of clinical services.
Its distinctive services are listed below.
• “Emergency Department with Level III trauma designation
• Cardiovascular Services with Cath Lab
• The BirthPlace with a Level IIIa NICU caring for babies born as early as 28 weeks. More than 9,385
babies have been born at Parker Hospital's BirthPlace, and features private rooms, 24-hour in-house
anesthesiology coverage and a neonatal intensive care unit with 24-hour coverage by neonatal nurse
practitioners from The Children's Hospital
• Neurosurgery program providing diagnostic, consultative and therapeutic services for treatment of
routine and complex disorders of the brain and spine
• Comprehensive total joint replacement program with a special pre and post surgical rehabilitation
program and a unique pain management protocol
• Comprehensive breast services including digital mammography, breast ultrasound, MRI guided
biopsy, and stereotactic biopsy in The Trio Breast Center
• Stroke program with 24/7 neurology and neurosurgery coverage, education, rehabilitation, and
prevention programs.
• Bariatric weight loss surgery performed using minimally invasive techniques
Parker Adventist Hospital Community Health Needs Assessment 2012 3
• Outpatient Imaging Services including MRI, CT, ultrasound, diagnostic x-ray and PET/CT
• A special pediatric wing offered in collaboration with The Children's Hospital, including emergency,
specialty and inpatient care for kids
• Rehabilitation services include inpatient and outpatient physical, occupational and speech therapy
• Sleep Disorders Center that treats more than 70 distinct sleep disorders
• Anorectal Physiology Lab offers comprehensive diagnostic testing that provides important
information about the function and anatomy of the anus and rectum
• Operating rooms with computerized access to radiology images and capability for minimally invasive
surgery”1
Community and Patient Resources
• “Parker ASK-A-NURSE®, offers free health information and physician referrals: 303-777-NURSE (6877)
• CarePages at www.parkerhospital.org offers a free personalized Web page to help family and friends
communicate during hospitalization and recovery.
• That's My Baby online nursery at www.parkerhospital.org allows family and friends to see photos of
your newborn.
• The Parker Hospital Foundation supports the important work of the hospital.”2
Awards and Honors
Parker Hospital is committed to excellence in health care. Ranked among the top hospitals in the nation for
patient satisfaction, Parker Adventist Hospital has received many awards:
• “Parker Adventist Hospital is recognized for consistently delivering evidence-based, quality care for
Bariatric Institutes of Quality.
• Parker Adventist Hospital was named in The Denver Post’s Top 100 Workplaces in 2012! Parker was
awarded 7th in the large company category and was one of only two Colorado hospitals that
received this designation.
• The Bariatric & Metabolic Center of Colorado at Parker Adventist Hospital has been designated as a
Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery.
• The readers of Colorado Parent Magazine voted Parker Adventist Hospital as one of the top five
hospitals in Denver in the 2011 Family Favorites edition. Top 5 in Colorado Parent Magazine!
• Parker Adventist Hospital has received American College of Radiology (ACR) accreditation for both
Breast Ultrasound and Breast MRI. ACR accreditation is recognized as the gold standard in medical
imaging. Both of these certificates affirm our commitment to providing the highest level of image
quality and patient safety.

1 http://www.parkerhospital.org/body.cfm?id=16
2 http://www.parkerhospital.org/body.cfm?id=16
Parker Adventist Hospital Community Health Needs Assessment 2012 4
• Parker Adventist Hospital has been voted "Best of the Best" in the Parker Chronicle and Centennial
Citizen newspapers in the Best Hospital category for 2011! Thank you for this wonderful recognition
and for the honor to serve our incredible community!
• Parker Adventist Hospital was recently awarded the 2011 annual Patient Satisfaction Award from the
Get Well Network in Washington DC! The Interactive Patient Care Award for Patient Satisfaction
formally recognizes one facility that has demonstrated the greatest measurable impact on patient
satisfaction through interactive patient care and a commitment to patient engagement throughout
the care process. Parker beat out eight other hospitals across the country for the top honors!
• The American Heart Association proudly recognizes Parker Adventist Hospital as a Get With The
Guidelines - Heart Failure Gold Performance Achievement Award Hospital for 2011. This award
highlights Parker's achievement of a consecutive 12 month interval of 85% or higher adherence to all
"Get With The Guidelines" Heart Failure Performance Achievement Indicators to improve quality of
patient care and outcomes.
• The Stroke Program at Parker Adventist Hospital is a Primary Stroke Center with the Joint
Commission Seal of Approval for exceptional stroke care. Our program uses a multi-disciplinary
approach that provides stroke treatment according to nationally accepted standards and
recommendations. Parker's program is proud to participate in the American Stroke Association's
"Get with the Guidelines" treatment protocols. Stroke patients taken to hospitals that follow these
guidelines had a better chance of survival than patients taken elsewhere, according to a study
published in February 2010.
• The Trio Breast Center at Parker Adventist Hospital has received the "gold standard" in accreditation
for breast centers nationally. After a recent survey, the National Accreditation Program for Breast
Centers (NAPBC), which is administered by the American College of Surgeons, granted the three-year
full accreditation designation to Parker's breast program. This accreditation means that women in
the Parker and surrounding communities have access to a comprehensive breast cancer program
that meets the highest standards in patient care, including offering the most current treatments to
achieve the best possible outcomes as evidenced by medical research.
• Parker Adventist Hospital is a recipient of the 2011 HealthGrades Outstanding Patient Experience
Award™. This distinction recognizes hospitals for offering exemplary service to patients, and is only
awarded to the top 10% of hospitals in the country. A recent survey found almost half of all patients
say patient satisfaction ratings were an important factor in choosing their most recent hospital. Two
thirds of patients who switched hospitals say they changed because of bad service.
• Parker Adventist Hospital received the Healthstream Research 2009 Excellence Through Insight
Awards for Overall Physician Satisfaction.
• Parker Hospital received the bronze award for the 2009-2010 Flu Vaccination Challenge through Joint
Commission Resources. The challenge is put in place to recognize hospitals that make important
strides to improving patient quality care. (May 2010)
• Parker Adventist Hospital was honored with the prestigious Cornerstone Award from the Parker
Economic Development Council. The Cornerstone Award honors leaders in the Parker community
who have shown a commitment to helping pioneer and nurture the growth and development of
Parker. This award recognizes the highest level of civic and professional involvement in our
community for deeds, vision, commitment and leadership that has helped set the course for Parker's
present and future growth.”3
For more information about Parker Adventist Hospital, visit www.parkerhospital.org.

3 http://www.parkerhospital.org/awards
Parker Adventist Hospital Community Health Needs Assessment 2012 5
1B MISSION STATEMENT, VISION ANDALUES
Our Mission: We extend the healing ministry of Christ by caring for those who are ill and by nurturing the
health of the people in our communities.
Our Vision: To fulfill a covenant of caring for our communities to become their partner for life.
Our Core Values:
Compassion- In serving our customers, their families and each other, we will:
Honor the individuality of each person;
o
Treat each person with dignity, taking the time to be present, to listen, to explain and to
o
understand;
Create a caring environment that exudes humanity, humility, grace and love.
o

Respect- In working with each other, we will:
Encourage and value the contributions of each person, and make each feel supported, reassured
o
and empowered;
Listen well, communicate openly and honestly, and encourage others to do the same;
o
Treat others as we would like to be treated ourselves, relating so well with them that they actively
o
seek to associate with us.

Integrity- In all of our interactions, we will:
Foster trust by being truthful, empathetic and consistent;
o
Be authentic and courageous, aligning what we are thinking, saying, feeling, and doing;
o
Be responsible for and follow through on the commitments we make.
o

Spirituality- In honoring the missions, ministries, and heritages of our Catholic and our Adventist sponsors, we
will:
Add meaning and purpose to the lives of our associates, physicians, and partners;
o
Celebrate the role of spirituality in healing for each individual;
o
Serve each other and our communities in harmony with the inclusiveness, wholeness and touch
o
that characterized Christ's healing ministry.

Stewardship- In managing the natural, human, and financial resources to which we have been entrusted, we
will:
Seek ways to appropriately utilize resources, allowing us to become more effective and productive;
o
Act responsibly, taking only those actions that align with our mission;
o
Be accountable to the organization and to each other for our actions and the outcomes they
o
produce.

Imagination- In seeking to grow our ministry, we will:
Look beyond the challenges of the present and envision what is possible;
o
Cultivate and reward innovation and risk taking;
o
Embrace continuous learning and positive technological advancement.
o

Excellence- In all we do, we will:
Put forth our personal and professional best, providing the highest quality of care of which we are
o
capable;
Commit ourselves to continuous improvement, seeking to set the recognized performance
o
standards within our industry;
Parker Adventist Hospital Community Health Needs Assessment 2012 6
Deliver a superior experience for all of our customers, sensing their needs and exceeding their
o
expectations.
1C ORGANIZATIONAL COMMITMENT TO COMMUNITY BENEFIT
Colorado’s needs are growing. To live our mission in an economy that challenges more people than ever
before, Centura Health continues to lead the way in helping Coloradans access quality health care. The
connected network of facilities, entities and foundations that form the Centura Health family are serving
community needs through education, preventive care, safety initiatives, health advocacy, counseling and
support groups.
Our work in our communities is born out of the second part of our mission, which compels us to serve others
“…by nurturing the health of our communities.” From access for the uninsured, to serving as a voice for health
care in the state legislature, to community classes and education to build strong, healthy communities,
Centura Health is a partner for life. We are more committed than ever before to making our world a better
place, and we seek to make the most impact in every community we touch.
Parker Adventist Hospital provided $20,352,456 in total community benefit in fiscal year 2012.4
1D COMMITMENT STATEMENT TO THE UNINSURED AND UNDERINSURED
According to Centura.org, more than 700,000 Coloradans are without health insurance and, as a result,
growing numbers are facing difficulties paying for medical care. Centura Health believes that hospitals should
have the ability to offer discounts to those who are unable to obtain insurance and do not meet charity care
criteria. It is the policy of Centura Health to provide uninsured patients with discounted rates for all hospital
bills. The discount is applied to all hospital inpatient, outpatient and Emergency Room bills that have been
screened and do not have third-party insurance, Medicare, Medicaid, Champus, or other governmental payer
programs and do not meet the Centura charity guidelines. Centura Health strives to compassionately serve
uninsured patients with an understanding of the financial burdens they may face. Centura supports and
advocates for meaningful and appropriate changes in legislation that improve access to affordable, quality
medical care for the uninsured.
Centura Health will treat uninsured patients in the following manner:
Uninsured patients will be treated fairly and with respect during and after treatment, regardless of their
ability to pay.
Uninsured patients will be provided with financial counseling, including assistance applying for local, state
and federal health care programs such as Medicare, Medicaid and the Colorado Indigent Care Program.
Uninsured patients will be informed of and assisted in applying for charity care available through Centura
Health as appropriate.
Centura Health utilizes a charity discount schedule that takes into account state or federal poverty
guidelines to aid in the qualification of patients seeking assistance in meeting their financial obligations.

4 Source: Jaime Contreras, Rocky Mountain Group Accounting, April, 2013
Parker Adventist Hospital Community Health Needs Assessment 2012 7
Financial counselors will attempt to meet with all uninsured patients prior to discharge from the hospital.
Financial counselors will use best efforts to personally contact uninsured patients before any collection
activities are initiated.
Uninsured patients that do not qualify for assistance will receive a 30 percent discount off billed charges.
This will automatically be adjusted during the billing process, so that all statements and collection efforts
will be based on the discounted amount.
Centura will also offer an additional 15 percent Prompt Pay Discount for accounts paid in full within 60
days of receiving the first statement of patient liability.
If at any point an alternative payment source is identified, all discounts stated in this policy will be
reversed.
A call center is available so that patients may speak to an individual who can help them with questions on
their bills; the call center phone number is prominently displayed on all billing correspondence.
Hospital-based physicians and related entities will be encouraged to follow the Centura Health Principles
Regarding Uninsured Patients but this is done at their discretion.
Centura Health will not engage in the following activities:
Centura Health will not pursue legal action for nonpayment of hospital bills against any patient who has
worked with Centura to demonstrate his or her inability to pay and who is unemployed or otherwise
financially unable to pay.
Centura Health will not pursue legal action for nonpayment if the only way to collect payment would be
to place a lien on the patient's home.
Centura Health always has distinguished itself from other hospitals and systems in its treatment of the
uninsured:
Centura Health hospitals will continue to treat patients in their emergency rooms without regard to the
patient's ability to pay. All patients will continue to be triaged and treated as appropriate.
Centura Health has provided numerous outreach programs to the community in its pursuit of healthy
communities and constantly seeks opportunities to advance its health care ministry.
It is not the practice of Centura Health to place a lien on a patient's home when it is the patient's only
asset.
Centura Health will continue to work for increased access and coverage for the uninsured through
legislative and community activity.
It is the practice of Centura Health not to pursue legal action for nonpayment unless it has first examined
the patient's eligibility for other assistance or charity care.

Parker Adventist Hospital Community Health Needs Assessment 2012 8
2 COMMUNITY HEALTH NEEDS ASSESSMENT
2A COMMUNITY
2A I DEFINITION OF COMMUNITY SERVED BY THE HOSPITAL
To ensure alignment with publicly available Colorado Department of Public Health and Environment (CDPHE)
data, Centura Health leaders decided that Colorado counties would comprise the geographic area for the
2012 Community Health Needs Assessment (CHNA). Individual Centura hospital facilities then examined their
primary market areas and identified Colorado counties where at least 10% of their patient population resided.
The counties identified by each facility comprise the “Primary Service Area” used in the data reports. The
Primary Service Area for Parker Adventist Hospital includes Arapahoe and Douglas Counties.

Arapahoe County Douglas County
2A II DEMOGRAPHICS OF THE COMMUNITY
The demographics in Parker Adventist Hospital‘s primary service area are categorized by Douglas and
Arapahoe Counties. Additional information on Jefferson and Denver Counties is included in this section since
those counties are part of the Centura Health South Denver Operating Group. However, the information on
these additional counties is for comparison purposes only and is not intended to be part of Parker Hospital’s
primary service area.
Within the South Denver Operating Group, Denver is the most populous county, followed closely by Arapahoe
and Jefferson Counties. Douglas is the smallest county of the group. In the past decade, Douglas County
experienced the most growth of all counties in the Centura Health network.
Fueling the growth in Douglas County is the large number of young families moving and settling into the
county. The population under 5 years of age will keep Douglas County growing for a long time. Arapahoe
County is not far behind with the growth in its young population. These counties have the greatest need for
pediatric, family practice and obstetrical services both now and in the future. Counties with the highest
percentage of residents over age 65 are in Jefferson County, which surpasses the state average. Hospitals
serving these populations have a larger proportion of their patient populations requiring services for chronic
disease and the more expensive cancer and cardiovascular services. Douglas County has the lowest
percentage of seniors.
Parker Adventist Hospital Community Health Needs Assessment 2012 9
The population in every county is predominantly of White race, which includes Hispanics self-identifying
White race on the 2010 census. Douglas and Jefferson Counties have the largest percentage of White
populations. People reporting two or more races are prevalent in many counties, too. The populated urban
counties of Arapahoe and Denver have the largest percentage of Black residents. Arapahoe, Douglas and
Denver Counties all have Asian populations that are greater than the state average. The largest populations of
Hispanic residents are found in Denver County, which exceeds the state average. Douglas, Jefferson and
Arapahoe all have rates below the state average. Many of the counties that have large Hispanic populations
also have large populations that speak languages other than English in their homes. Denver and Arapahoe
Counties have the largest bilingual and/or non-English speaking populations. Hospitals serving these
populations need to make sure that their communications methods and materials are in Spanish (the most
likely language). Douglas and Jefferson are lower than the state average.
Douglas County has the highest level of education among the South Denver Operating Group. The most
highly educated populations are located near economic centers that require a highly skilled workforce.
Denver County has the smallest percentage of high school graduates. Coloradans with the highest median
household incomes reside in Douglas County, followed by Jefferson County. Denver County’s median income
is lower than the state rate. Arapahoe County’s rate is close to the state average. Many counties reporting
high income levels also have high education levels, as reported previously.
Many counties reporting high incomes also have high housing costs, such as Douglas County. Jefferson
County exceeds the state average, while Arapahoe and Denver are close to the state rate. Housing costs are
highest in areas with robust employment.
Denver County’s unemployment rate is higher than the state average. Douglas County has the lowest
unemployment rate in the South Denver Operating Group. Jefferson and Arapahoe have rates that are close
to the state’s rate.
In 2009, Denver County had one of the highest poverty levels in the state. Many of the counties with higher
poverty levels also tend to have higher numbers of elderly, diverse races and ethnicity, and lower education
levels. Douglas and Jefferson Counties have poverty levels much lower than the state average. Arapahoe
County’s rate is close to the state rate.
Poverty is frequently high within single parent households, in which the parents have low education levels,
are foreign born, and are unemployed. When examining counties that have the highest proportion of female
households with children and no husbands present, Arapahoe County exceeds the state rate, while Denver
County is close to the state average. Douglas and Jefferson Counties have rates lower than the state.

Parker Adventist Hospital Community Health Needs Assessment 2012 10