2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association

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2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
2020
Community
Benefit Report
F L O R I D A H O S P I TA L A S S O C I AT I O N
2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
Message                                                                                                                    2 Message from FHA

                          from FHA                                                                                                             4 Post-Acute Partnerships

                                                                                                                                                  10 Employee Wellness
                                                             Their dedication to serve extends beyond the walls of their
                                                             hospitals to care and support their communities. This
                                                             report is a snapshot of the incredible work of Florida’s
                                                             hospitals. Here are a few examples from the many
                                                             highlighted projects and programs described within:

                                                             Baptist Health Care Pensacola partnered with the
                                                             University of West Florida to manufacture face shield kits                  14 Back-to-School Partnerships
                                                             for first responders and health care providers.

                                                             Lifestream Behavioral Center developed a community

                                                                                                                                               18 Innovation & Research
                                                             partnership with local health care partners and law
                                                             enforcement agencies to help those with opioid and
The Florida Hospital Association (FHA) is proud to release   substance use disorders.
its 2020 Community Benefit Report, highlighting our          West Kendall Baptist Hospital started a “friendship line”
member hospitals’ incredible efforts to improve the health   to connect with at-risk elderly community members who

                                                                                                                                                        22 Laboratories
and well-being of their communities beyond direct hospital   felt lonely or were isolated during the COVID-19 pandemic.
care. In 2019, FHA member hospitals contributed $4.9
billion in benefits to their communities, which represents   UF Health Jacksonville provided free neighborhood-based,
13.7 percent of operating expenses, including:               walk-up and door-to-door COVID-19 testing in urban areas
                                                             to help vulnerable members of their community with

                                                                                                                                             26 Testing Sites & Workflow
 • $3.9 billion in free care for low-income patients         limited access to transportation.
 • $390.5 million on health professional education,          Our hospitals continue to adapt, respond, and care for
      workforce development, and research                    their patients, their employees, and their communities.
 • $642.1 million on community health improvement and        The 2020 Community Benefit Report truly demonstrates
                                                             our hospitals’ leadership, vision and commitment to

                                                                                                                                  32 Community Benefit during COVID-19
      community building activities.
                                                             care as they work to meet the diverse needs of their
These data are from 2019, but the report also includes       communities. We are delighted to shine a bright light on
examples of community benefit in action in 2020 as           this important and deeply inspiring work.
Florida’s hospitals responded to an unprecedented public
health crisis, coming together in extraordinary ways to      Sincerely,
prepare and respond to the COVID-19 pandemic. Our
hospitals stood up COVID-19 testing sites, developed                                                                       40 Florida Hospitals Contribute to Communities
innovative programs to support physical and mental
wellness, and worked to ensure students were prepared
to return to school.                                         Mary C. Mayhew

Every day, hospital caregivers and teams across the state
are working around the clock, caring for their patients.
                                                             President & CEO, Florida Hospital Association
                                                                                                                                      43 Hospitals Included in this Report
  2         Message from FHA
2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
Post-Acute
                                                                          Ascension Florida and Gulf Coast Develops Masking Initiatives and
                                                                          Testing Partnerships at Post-Acute Care Facilities

                   Partnerships
                                                                          Ascension Florida and Gulf Coast, a      leadership op-ed to encourage the        Rethreaded and multiple area credit
                                                                          health system including Ascension        public to listen to officials and take   unions to create and provide masks
                                                                          Sacred Heart based in Pensacola          precautions, including wearing           for caregivers.
                                                                          and Ascension St. Vincent’s based        masks. He also co-signed a statewide
                                                                          in Jacksonville, always recognizes       op-ed that echoed the same key           The health system provided the
                                                                          the importance of collaboration          messages, along with Florida Blue        material, two-ply spun polypropylene
                                                                          and partnership in service to the        and dozens of other organizations        that keeps out water, bacteria, and
                                                                          individuals and communities it serves,   within and beyond the health care        about 99.9 percent of particulates.
                                                                          especially during unprecedented          space. In Pensacola and across the       The high-quality material is typically
                                                                          times like the COVID-19 pandemic.        Gulf Coast, Ascension Sacred Heart       used to keep instruments sterile
                                                                                                                   also advocated for similar initiatives   before surgeries and procedures and
                                                                          One of the primary post-acute care       in an effort to reduce the spread of     would otherwise be discarded after
                                                                          partnerships for the health system       COVID-19.                                its initial use. The staff of Rethreaded,
                                                                          across Florida was a collaboration                                                who are also survivors of human
                                                                          with fellow health care organizations    The health system and its medical        trafficking, took the sterile material,
                                                                          to advocate for public masking           group also partnered with                sewed the masks together, and sent
                                                                          initiatives in alignment with clinical   government officials and local long-     them to Ascension St. Vincent’s for
                                                                          support and guidance from infection      term care facilities and nursing         potential use.
                                                                          prevention experts. In Jacksonville,     homes to provide residents with
                                                                          Ascension St. Vincent’s partnered        COVID-19 testing when needed.            “We continue to look for creative
                                                                          with health care organizations and the   Through these partnerships, the          solutions to employ should we need
                                                                          Mayor of Jacksonville to encourage       health system helped ensure these        them,” said Ascension Florida and
                                                                          the public to wear masks, especially     facilities knew the COVID-19 status      Gulf Coast President and CEO Tom
                                                                          in circumstances in which one            of their residents in instances when     VanOsdol at the time the partnership
                                                                          cannot remain at least six feet away     assistance was needed.                   was announced. “This is a prime
                                                                          from others. Ascension Florida and                                                example of local innovation and
                                                                          Gulf Coast President and CEO Tom         Ascension St. Vincent’s also             collaboration in action.”
                                                                          VanOsdol also authored a thought         partnered with local nonprofit
                                                                                                                                                            Due to the success of this partnership,
                                                                                                                                                            it has since expanded to include other
                                                                                                                                                            organizations.

                                                                                                                                                            Ascension Florida and Gulf Coast
                                                                                                                                                            President and CEO Tom VanOsdol
                                                                                                                                                            (right) participates in a news
                                                                                                                                                            conference with Jacksonville Mayor
                                                                                                                                                            Lenny Curry (center) and other
                                                                                                                                                            local healthcare leaders about the
                                                                                                                                                            importance of wearing masks .

                              Rethreaded employee sews together a mask.

4   Post-Acute Partnerships                                                                                                                                         Post-Acute Partnerships      5
2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
AdventHealth Sebring                          The nursing facility was reluctant                                                     BayCare Collaborates with Partners to Create                                       personal protective equipment.
                                              at first, because they wanted to             This was conducted during the peak                                                                                           Sometimes, the effort meant sharing
& Lake Placid Develop                         ensure their current patients would          of COVID-19 for the AdventHealth
                                                                                                                                     Alternative Skilled Nursing Facilities                                             PPE supplies, as many SNFs’ demand
Innovative Post-Acute                         be protected. The Agency for Health          Lake Placid and AdventHealth Sebring                                                                                         far exceeded their normal purchasing
Care Partnership                              Care Administration (AHCA) reviewed          hospitals. It was a time when they                                                                                           patterns – and suppliers were using
                                              guidelines with Dr. Geldart and the          really needed to turn the beds over                                                                                          those patterns to parse out slim
                                              team to ensure they would be able to         quickly and needed the staff at the                                                                                          supplies.
                                              admit those COVID-19 patients into           hospitals even more. When dealing
                                              the skilled nursing facility safely, while   with COVID patients, typically there is                                                                                      More collaboration was required as
                                              protecting those patients already            about a one-to-one or two-to-one ratio                                                                                       SNF patients recovered enough from
                                              housed there. Dr. Geldart worked             between staff and patient, because                                                                                           COVID-19 to leave the hospital – but
                                              with the administrative director of          these patients need more attention                                                                                           it wasn’t safe for many of them to
                                              Lake Placid Health and Rehabilitation        and care. Not only did this help solve                                                                                       return to their original facilities,
                                              Center, AdventHealth’s Case                  the issue with not having enough beds                                                                                        either due to infection concerns or a
                                              Management team, and other team              for these patients, but it also helped                                                                                       lack of appropriate medical oversight.
                                              members at AdventHealth Lake Placid          to resolve the burden of not having
                                              and Sebring, to determine how best           enough staff to attend to them as well.                                                                                      BayCare and other healthcare providers
                                              to go about tackling this undertaking.                                                                                                                                    worried that trend would affect their
                                              With a lot of teamwork, collaboration,       This partnership helped pave the way      BayCare Health System’s population         “We knew if we didn’t help our local    capacity to respond to the second
                                              and innovation, they were able to            for similar collaborations across         health focus has never been more           skilled nursing facilities respond to   peak of COVID-19. Working with local
Dr. Donald Geldart
                                              create an entirely separate unit within      the state.                                evident than during the novel              this virus strategically, the human     governments, BayCare provided
During the peak of the COVID-19               the rehabilitation facility to house                                                   coronavirus pandemic. From the very        toll would be immense and it would      support for Dedicated Long-Term
pandemic, AdventHealth Sebring                the patients admitted from these                                                       onset of COVID-19, the leading not-        ultimately also impact the entire       Care COVID-19 Recovery Units.
and AdventHealth Lake Placid were             hospitals.                                                                             for-profit provider for West Central       community’s access to hospital beds,”   Dubbed, “Super SNFs,” these facilities
flooded with COVID-19 patients. The                                                                                                  Florida moved beyond its primary           said Dr. Nishant Anand, BayCare’s       in Hillsborough, Pinellas and Polk
beds in these facilities designated for       Nancy Christensen, Vice President                                                      role as an operator of 14 acute care       chief medical officer.                  counties provided a place for patients
these patients were filling up quickly.       of AdventHealth Medical Group in                                                       hospitals to assist patients and                                                   to go when they no longer met clinical
Many of the patients were no longer           Sebring, stated, “Everyone played a                                                    operators of post-acute facilities.        BayCare worked with local               guidelines for a hospital stay but
infectious but still needed to be re-         small part in creating a big outcome.                                                                                             governments, the Florida Agency for     could not yet return to their original
habilitated back to good health before        There was collaboration from many                                                      “We knew to serve our community,           Health Care Administration, other       facilities.
they could return home.                       people to think outside the box and                                                    we’d need to be creative and find          health care providers and post-
                                              figure out what would work best in                                                     strong partners,” said BayCare CEO         acute and nursing home facilities       BayCare also worked to further
Dr. Donald Geldart, M.D., the medical         their environment.”                                                                    Tommy Inzina. “Time and again, we’ve       to establish county-specific ad         increase post-acute options. Working
director of Lake Placid Health and                                                                                                   found a way to make a difference.”         hoc groups. Those teams, meeting        with Hillsborough County, BayCare
Rehabilitation Center, and a primary          Dr. Geldart and team were extremely                                                                                               by phone weekly and sometimes           piloted a short-term, post-acute
care physician and emergency medicine         efficient in getting the unit up and                                                   BayCare’s Ambulatory Services              daily, worked collaboratively to        facility in a leased hotel for patients
practitioner with AdventHealth, noticed       running quickly and reached out                                                        Division has long worked with skilled      focus resources on those long-term      who had recovered from COVID-19
there was a need. It was his idea to          to AdventHealth immediately to let                                                     nursing facilities (SNF) across its core   facilities with hot spots.              but could not go home yet because of
create a COVID-19 unit in the skilled         them know they were ready to accept                                                    four-county region (Hillsborough,                                                  infection risks or lack of support as
nursing facility at Lake Placid Health        patients. On the first day the new unit                                                Pinellas, Polk and Pasco) to serve         BayCare and other providers worked      they recovered.
and Rehabilitation Center to take on          opened, they accepted nine patients                                                    patients before and during placement       with local emergency medical
some of the patients that fit this profile.   from AdventHealth Lake Placid, which                                                   to reduce additional hospital stays. By    services to triage the admissions       “The pandemic has taught us ways
                                              was a significant benefit to the hospital                                              March, those relationships provided        of positive patients who needed         to work better but also more closely
                                              to free up those beds.                                                                 early warning that more would be           hospitalization to ensure that no       with all kinds of partners,” Inzina
                                                                                                                                     required as COVID-19 gained ground         single hospital became overwhelmed,     said. “That makes our community
                                                                                                                                     in the Tampa Bay region.                   provided access to testing for SNF      stronger and healthier today but also
                                                                                                                                                                                residents and staff and offered         in the future.”
                                                                                                                                                                                training for SNF teams on infection
                                                                                                                                                                                control and appropriate use of

 6       Post-Acute Partnerships                                                                                                                                                                                                 Post-Acute Partnerships     7
2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
Baptist Beaches Creates Local Partnership to Make Home Health Possible

Latoya Roberson, RN, of Baptist Home Health Care performs an in-home assessment on COVID-19 patient Meghan Debbie.                 Lynsey Schlotzer, MD, a Baptist Primary Care physician, kept in touch with Debbie via virtual visits.

Baptist Health, located in northeast         Leveraging BPP’s clinical                                                               • Dedicated beds/units for patients          • Baptist Health Home Care provided        The EHSM continues to be refined
Florida, is a non-profit, community          transformation governance structure,                                                      with COVID-19 in SNF PPNs                    N95 fit tests for and a PPN SNF          as we learn more about caring for
health system with four adult and one        an interdisciplinary team of clinical                                                     to facilitate timely hospital                located in close proximity to Baptist    patients with COVID-19 in their home.
children’s hospital. It also includes over   and administrative subject matter                                                         transitions from Baptist Beaches             Beaches Medical Center, expedite         The program focuses on providing
50 primary care offices in the five-         experts developed consensus-based                                                       • Virtual visits conducted by home             the opening of an onsite COVID 19        home-based skilled services to
county area. Baptist Physician Partners      clinical guidelines for COVID-19                                                          health PPNs                                  unit.                                    patients with COVID-19 and patients
(BPP) is Baptist Health’s Clinically         that expand across the health care                                                                                                                                              under investigation to inpatient
Integrated Network and Accountable           continuum. As new data emerged,                                                         • Partnership with community DME           Baptist Home Health Care, along              COVID-19 volume, care for patients in
Care Organization, inclusive of over         the guidelines evolved to address                                                         companies and home health PPNs
                                                                                     Baptist Home Health COVID-19 patients                                                      with five other home health agencies         a comfortable environment, minimize
1,000 physicians.                            the home health care setting, thus                                                        to ensure timely delivery of oxygen
                                                                                     receive a self-monitoring kit that includes                                                in the preferred provider network,           the spread of disease. Baptist Health
                                             the Enhanced Home Support Model         a digital thermometer and a pulse                 supplies to patients at home.            implemented the EHSM, with a total           plans to expand this model to provide
When the COVID-19 pandemic was               (EHSM) was created. The Clinical        oximeter to check their oxygen levels. They     • Telescope Health, a virtual visit        of 487 patients being cared for as of        patients with other chronic medical
declared a public health emergency           Transformation Workgroup (CTW)          also receive an oxygen tank and a portable        platform operated by emergency           September 21, 2020.                          conditions.
                                                                                     oxygen concentrator (not pictured).
back in March, predictive models             collaborated with Baptist Home                                                            physicians, was utilized to
forecasted a surge of inpatients,            Health Care and the Baptist Health                                                        mitigate ED Utilization
which would undoubtedly overwhelm            Post-Acute Preferred Provider           Baptist’s partnership with home health
Baptist Health hospitals. This looming       Network (PPN), including a home         and SNF PPNs allowed for COVID-19
threat shifted efforts toward the            health PPN and a skilled nursing        guideline and EHSM refinement as
development and implementation of a          facility (SNF) PPN.                     guidance from Centers for Disease
home-based model of care targeting                                                   Control and Prevention (CDC) and peer-
patients with COVID-19.                                                              reviewed literature evolved. Ongoing
                                                                                     data monitoring allowed for key areas
                                                                                     of clinical and operational success:

 8       Post-Acute Partnerships                                                                                                                                                                                                      Post-Acute Partnerships   9
2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
Employee
                                                                                                                           AdventHealth Zephyrhills & AdventHealth Dade City Stress
                                                                                                                           Team Building and Activities to Take Care of One Another
                                                                                                                           To promote well-being among staff                                                     • Make it easy: Find creative ways to

                         Wellness
                                                                                                                           members at AdventHealth Zephyrhills                                                     support and assist our employees
                                                                                                                           & AdventHealth Dade City, our Wellness                                                  inside and outside of the hospital.
                                                                                                                           Director, Nicasio Jones, and his team                                                      » Grocery shopping – Local
                                                                                                                           launched a new series of “Love Me”                                                           Walmart and Publix open early
                                                                                                                           activities that took place throughout the                                                    for AdventHealth employees
                                                                                                                           months of May, July and August. These
                                                                                                                           activities embodied the AdventHealth                                                       » Discounted daily boxed lunch
                                                                                                                                                                                                                        – boxed lunch available in café
                                                                                                                           service standards and provided ways
                                                                                                                                                                       Sidewalk art created by AdventHealth             for $3.25 daily
                                                                                                                           of relieving stress and providing a         Zephyrhills team members.
                                                                                                                           moment of calmness during these                                                            » Dollar general discount – all
                                                                                                                           uncertain times. While participation              » Scavenger hunt – Follows clues           health care staff receive a 10%
                                                                                                                           varied by activities, all 1,300 employees           provided in an email to take             discount
                                                                                                                           at AdventHealth Zephyrhills &                       a photo of things around the
                                                                                                                                                                                                                      » Family meals online ordering
                                                                                                                           AdventHealth Dade City were engaged                 hospital. First 50 won a prize.
                                                                                                                                                                                                                        – provided by local catering
                                                                                                                           throughout the series of events. All              » Coloring books – Coloring                company
                                                                                                                           activities were conducted during normal             books were provided to staff
                                                                                                                           working hours. The Love Me activities               for stress relief                 These activities helped provide
                                                                                                                           centered around four focus areas:
                                                                                                                                                                             » Sponsored gifts – Gifts were      employees with a chance to break
                                                                                                                           • Team building: Fun, simple activities             provided to staff by local        away from the stress they were
                                                                                                                             employees can do to encourage                     community sponsors                facing at work and reconnect with
                                                                                                                             positive interaction between                                                        their teammates. AdventHealth staff
                                                                                                                                                                       • Olympic Games/Minute to Win
                                                                                                                             coworkers. These activities included:                                               were also able to connect with staff
                                                                                                                                                                         it: Quick, 1-minute games where
                                                                                                                                                                                                                 from other departments and foster
                                                                                                                                » Window art – Color glass               staff can earn points for their
                                                                                                                                                                                                                 new, supportive relationships. The
                                                                                                                                  windows to create beautiful art        departments. Games included:
                                                                                                                                                                                                                 staff at AdventHealth Zephyrhills &
                                                                                                                                » Cards FOR Humanity – Write a              » Basketball Throw – A 3-point       AdventHealth Dade City are working to
                                                                                                                                  letter of encouragement to one              shot competition                   come together as an organization and
                                                                                                                                  of your colleagues                        » Penny stack – How many             to reaffirm the reason why our work
                                                                                                                                » Sidewalk art – Use sidewalk                 pennies can you stack in one       is so important. By taking the time
                                                                                                                                  chalk to create artwork around              minute?                            to take care of our ourselves and one
                                                                                                                                  the hospital                                                                   another, we are better able to care for
                                                                                                                                                                            » Defy gravity – How long can you
                                                                                                                                » Joke of the day – Share light-                                                 our patients, and live out our mission
                                                                                                                                                                              keep three balloons up in the
                                                                                                                                  hearted jokes by email                                                         of extending the healing ministry of
                                                                                                                                                                              air? More time =more points.
                                                                                                                                                                                                                 Christ.
                                                                                                                                » Spirit day – Decorate                     » Makin’ Moves – Move M&M’s
                                                                                                                                  workstations                                from one plate to another using
                                                                                                                           • Appreciation: Develop ways to                    a straw
                                                                                                                             show how much we appreciate the                » Ping pong bounce – How fast
                                                                                                                             sacrifices our employees make every              can you bounce ping pong balls
                                                                                                                             day and provide opportunities for staff          into 6 cups?
                                                                                                                             to share and encourage each other.
                                                                                                                                 » Smoothie day – Free
                         Nursing staff posing with colorful orchids gifted to the hospital by a local community sponsor.           smoothies in the café for staff
                                                                                                                                 » Ice cream day – Build your
                                                                                                                                   own ice cream sundae

10   Employee Wellness                                                                                                                                                                                                       Employee Wellness         11
2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
Health First Commits to Supporting Associates’ Physical, Emotional,                                                             Mayo Clinic Florida: “Appreciate You” Campaign                                       their time. A total of 576 kiosk orders
                                                                                                                                                                                                                     were filled for unique staff members.
Financial and Family Wellness                                                                                                   Delivers Essential Needs to Staff
                                            to have the opportunity to redeploy        employees throughout the hospitals.                                                The top three needs were:                  To further increase clinical staff’s
                                            and support these new classrooms.          New intranet content and ongoing                                                     1.Quick access to food during shifts     quick access to food on shifts, the
                                            Health First provided this child care at   emails have also increased visibility                                                2.Access to other essential goods on     Coalition partnered with community
                                            no cost to their employees until June,     for services, such as Groceries-to-Go                                                  campus                                 affairs to coordinate donations from
                                            when families were able to return to       and Meals-to-Go from the hospital                                                    3.A one-stop, consolidated COVID-19      many local businesses and individuals
                                            their normal summer routines.              cafeterias, a new COVID-19 stress                                                      resource toolkit                       within the community. The campaign
                                                                                       support hotline, free Employee                                                                                                was able to coordinate meal donations
                                            Another Health First program that          Assistance Program (EAP) counseling                                                After collecting the information, the      of items like sandwiches, smoothies,
                                            supports associates’ financial and         resources, 401(k) consultations,                                                   Florida Well-Being Coalition took steps    cookies, and more, and has had over
                                            family wellness is the Associate Relief    support from United Way, free                                                      to update various service offerings. For   10,000 donations to date.
Health First’s support for its associates   Fund. The fund is financed through         COVID-19 testing, Pastoral Care                                                    staff working on campus, an Essentials
through the pandemic focused on four
                                            donations from the community,              and more. These communications                                                     Pop-Up Food Market was created in          Lastly, to help staff connect with
areas: physical, emotional, financial
and family wellness.                        associates and medical staffs at           channels have also made it easier                                                  partnership with the Food Services         resources they needed most, the
                                            Health First’s four hospitals, and         to keep up with rapidly changing         Mayo Clinic Florida creates a pop-up food team. Items in the market included         Coalition created a consolidated guide,
Health First’s support for their                                                                                                market and on-campus Kiosk for staff.
                                            is managed by the Health First             guidelines surrounding personal                                                    ready-made meals for staff to take         COVID-19 tool kit, on a landing page
associates through the COVID-19
                                            Foundation and Human Resources in          protective equipment (PPE), visitors,    When the COVID-19 pandemic hit,           home and full-sized grocery staples like   outside of the Mayo Clinic ‘s firewall.
pandemic focuses on four key areas:
                                            order to provide financial assistance      facility preparations, etc.              the Florida Well-Being Coalition          milk, eggs, bread, and other produce.      This allowed staff to access all Mayo
physical, emotional, financial and
                                            to staff in need. Normally, associates                                              at Mayo Clinic Florida (MCF) felt                                                    Clinic resources when they were on or
family wellness.
                                            must be employed for one year              Recognizing COVID-19 and all that        compelled to ignite action and            To address the need to access other        off off-campus. The toolkit included
                                            before they qualify for aid—that           comes with it will be a part of our      identify ways to support employees.       essential goods, a novel on-campus         links to discounts offered to health
One initiative that covered all four
                                            requirement was suspended to               everyday lives for the foreseeable       The Coalition quickly realized they       Kiosk was opened . The Kiosk housed        care workers for financial wellness,
parts of the wellness program was
                                            increase the support available during      future, therefore, Health First is       were not alone, as an outpouring          items such as snacks, toilet paper,        as well as, internal resources, such
child care at no cost for associates.
                                            the COVID-19 pandemic. So far this         expanding associate wellness             of gratitude and appreciation both        soap, and sanitizing wipes. At the         as the Employee Assistance Program
As local schools and day care
                                            year, the fund has dispersed $206,000      programs to promote resilience. An       internally and externally to MCF was      time, these items were difficult to find   (EAP), novel free stress consults with a
centers began to close, Health First
                                            to 133 associates. That includes           internal “Stronger. Better. Together.”   displayed. Employees wanted to show       in grocery stores and were requested       mind/body counselor, and other well-
immediately surveyed associates
                                            $179,000 to 115 associates with            campaign encourages staff to not only    appreciation to fellow employees.         by staff as the most needed. Kiosk         being resources.
and learned 514 associates needed
                                            expenses directly related to COVID-19      tend to their patients, but themselves   Patients wanted to express their          items were comprised of goods
care for 880 children. That’s about
                                            and $27,000 to 18 associates to            as well. These resources include         appreciation for the dedication           donated by community members as            Most recently, the Appreciate You
four times the number of children
                                            help with situations not related           “Wellness Wednesday” messages            of Mayo Clinic employees, and             well as those purchased with internal      Campaign delivered gratitude bags
who are normally enrolled in on-
                                            to COVID-19. By comparison, 14             with tips about focusing on what we      multiple organizations from the local     Well-Being funds.                          with essential items to 5,000 staff
site child care. Since Health First’s
                                            associates received $60,900 in 2019.       can control, compassion fatigue,         community wanted to express their                                                    members both on and off-campus. The
community fitness centers were also
                                                                                       financial resources and suggestions      gratitude for the commitment and          One challenge that the Kiosk team faced    bags included masks, hand sanitizers,
closing at the same time, the newly
                                            Health First also implemented several      associates have sent in to share         sacrifices being made by so many at       was how to allow staff to request and      and messages of gratitude from the
unoccupied space at those facilities
                                            programs to support associates’            with their co-workers. The Pastoral      Mayo Clinic.                              pick up food safely. Social distancing     community.
made it possible to expand child care
                                            overall wellness. For example,             Care team also makes rounds with a                                                 recommendations meant that staff
from one location to four very quickly.
                                            with nearly 25% of associates now          “Tea for the Soul” cart with tea and     The Appreciate You Campaign was           couldn’t gather or shop for the items      The primary objective of the Appreciate
A dedicated project team worked
                                            working at home, a “Making Remote          treats for associates and cheerful       launched as a way to coordinate and       themselves. The team came up with an       You Campaign is to let staff know their
around the clock to procure cribs,
                                            Work – Work” campaign has guided           signs inspiring them to “Be strong,”     communicate the expressions of            innovative digital ordering system on      hard work is appreciated and to create
toys, furniture, room dividers and
                                            staff and leaders through setting up       “Be safe,” “Be amazing” and “Be          gratitude and provide direct support      SharePoint that allowed staff to place     a sense of community during a difficult
other supplies, as well as arrange
                                            an ergonomically safe workspace,           courageous.”                             to the brave first-line responders        orders from their phones and computers.    time. The Florida Well-Being Coalition
for temperature checks, security,
                                            learning new tools for virtual                                                      and those working tirelessly behind       Staff would receive an email when          will continue to work tirelessly to
food delivery, housekeeping and
                                            meetings and maintaining a sense of                                                 the scenes. To better understand the      their order was ready and pick up their    support our employees and assure
registration. Led by Health First’s
                                            camaraderie with their teammates.                                                   needs of staff and to help address        items during kiosk hours of operation.     that they know how much our
experienced child development
                                            Child care students have also lifted                                                any gaps, the Well-Being Coalition        The Kiosk was open three days a week,      organization, patients, and community
teachers, many of the fitness center
                                            spirits with heartfelt drawings and                                                 surveyed representatives across the       accommodating for the day, night, and      care about their well-being before,
staff and other associates with
                                            encouraging notes for patients and                                                  organization to find out what their       weekend shifts. The Kiosk was staffed by   during, and after this pandemic.
reduced work hours were thrilled
                                                                                                                                colleagues needed most.                   generous Mayo Clinic staff who donated

 12       Employee Wellness                                                                                                                                                                                                      Employee Wellness       13
2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
Back-to-
                         School
                         Partnerships
AdventHealth Carrollwood Helps Bayshore Christian School
Safely Reopen for Students
AdventHealth Carrollwood, along with     President and CEO, AdventHealth            “As Head of School at Bayshore
our entire AdventHealth system, has      Carrollwood. “By partnering with           Christian School, I am grateful to have
made it a priority to be the health      Bayshore Christian School we can           the opportunity to work hand in hand
care partner to our communities          provide these students, teachers and       with AdventHealth as a community
who not only cares for the patients      staff with best practices to create the    partner,” said Melanie Humenansky,
in our hospital, but who lives out       safest environment possible as they        Head of School, Bayshore Christian
our mission of Extending the Healing     return to class.”                          School. “This relationship validates
Ministry of Christ throughout our                                                   the decision-making of the school’s
community, especially during these       AdventHealth Carrollwood clinicians        administration in confirming we are
unprecedented, difficult times. That’s   assisted the school with a plan that       taking the right steps in keeping our
why AdventHealth Carrollwood             would allow for teachers, faculty and      students safe. The recommendations
partnered with Bayshore Christian        all 220 students to safely return to the   were openly received, and we
School in Tampa to provide an            classroom. Some of the key strategies      have purchased the suggested
extensive safety strategy to help the    implemented include:                       additional items and look forward to
school safely reopen for the 2020-         • Enhanced student drop-off and          implementing the processes for the
2021 school year.                            pick up                                opening of the school year.”

“We are taking extra steps in our          • Required temperature screenings
hospital and in our communities            • Enhanced prepackaged lunches
to ensure everyone is safe as we           • Enhanced cleaning and
navigate COVID-19,” said Erika Skula,        sanitization protocols

                                                                                                                              Members of the Bayshore Christian
                                                                                                                              School-Reopening Strategy Team

 14      Back to School Partnerships
2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
AdventHealth Connerton Sponsors Back-to-School Drive for                                                                     Nemours Children’s Hospital Prepares Schools
Students in Need                                                                                                             and Students with a Safe Return to the Classroom
                                                                                                                             In the midst of these unique times,        letter that drew on experiences
                                                                                                                             Nemours Children’s Health remains          with COVID-19 in children’s
                                                                                                                             committed in ensuring a successful         hospitals. The document
                                                                                                                             return to the classroom for all            contained considerations for
                                                                                                                             students across Florida. Our health        teachers and school staff to
                                                                                                                             system partnered with local school         better educate them on the return
                                                                                                                             districts and community organizations      to the classroom. The email
                                                                                                                             in the lead up to the 2020-2021 school     was distributed to all 67 School
                                                                                                                             year, including multiple initiatives to    Superintendents for dissemination
                                                                                                                             better serve the pediatric population:     to their staff.
                                                                                     Supplies donated to Moon Lake
                                                                                     Elementary School                         • Infectious Disease Team               • Back to School Physicals/
                                                                                                                                 Offering School Reopening                                                      Back to School Physicals/Shepherd’s Hope
                                                                                     supplies to the students at Moon                                                   Shepherd’s Hope: For the
                                                                                     Lake Elementary School. We certainly        Recommendations to Four Florida        past six years, Nemours has               • Nemours Florida School Health
                                                                                     appreciate your willingness to assist       School Districts: Nemours’             partnered with Shepherd’s Hope,             Conference: Each year, Nemours
                                                                                     our students. Your contributions help       Infectious Disease Team— Dr.           a free and charitable medical               experts develop and present
                                                                                     to offset the purchase of these items       Ken Alexander and Dr. Adriana          clinic in Central Florida that              at the Nemours Florida School
                                                                                     that we can have on hand here in the        Cadilla—jointly collaborated with      provides care to our community’s            Health Conference to give
                                                                                     school as the need arises. Thank you        Central Florida superintendents        uninsured population. The                   continuing education credit for
Two employees who helped in contributing school supplies. Left to right: DeAnn       again for your ongoing support and          of schools to offer medical            annual back-to-school physicals             school nurses. NCH hosts this
Schaffer, Admin Support Clerk, and Eddie Flores, Materials Distribution Tech.        we look forward to working with you         advice and presentations on            for children in need across our             annual conference dedicated
In August 2020, AdventHealth Connerton,    this event. Once the supplies were        in the future.”                             ways the schools could reopen          local communities ensures that              to school nurses and other
launched a back-to-school supply           donated, employees then volunteered                                                   safely during the pandemic. Our        children receive top care by                school health professionals from
drive for students by sponsoring           their time to personally deliver the      Our vision at AdventHealth is to            recommendations were rooted
                                                                                                                                                                        Nemours providers. This year we             across Florida. The conference
donations to Moon Lake Elementary          supplies to the elementary school and     make our communities stronger and           in science, providing options
                                                                                                                                                                        served over 200 children with their         is typically a hands-on training
School. Moon Lake Elementary               show their support for the students.      healthier because we are in them.           for schools to safely return
                                                                                                                                                                        physicals which included vision             for pediatric care in a school
School in New Port Richey, Florida,        The showcase of support from our          We believe community benefit is             students into the classroom
                                                                                                                                                                        and hearing screenings. Parents             setting, such as management
serves more than 566 students and 50       employees was overwhelming. The           essential in doing this. Our efforts        while adhering to CDC and public
                                                                                                                                                                        also received valuable information          of injuries, allergies, asthma,
teachers. Approximately 80.8 percent       employees took the initiative to plan     helped to minimize the burden on            health guidelines. Dr. Alexander
                                                                                                                                                                        that identifies additional resources        diabetes, substance abuse, mental
of Moon Lake Elementary students           the logistics of this school drive and    the 80.8 percent of families that are       and Dr. Cadilla presented on
                                                                                                                                                                        including mental health clinics,            health and response to medical
are economically disadvantaged and         did an excellent job of spreading the     economically disadvantaged and              COVID-19 and school reopening
                                                                                                                                                                        pediatric dentistry and food                emergencies. In 2020, Nemours
72.9 percent of the students receive       word to others throughout the facility.   are even more challenged with the           recommendations to Osceola,
                                                                                                                                                                        insecurity assistance.                      was able to convert the program
free lunch, while 7.9 percent receive                                                economic impacts of COVID-19.               Polk and Seminole County Public
                                                                                                                                                                                                                    to virtual for the first time and
reduced lunch. A large portion of          The idea of this school drive was                                                     Schools. Our Infectious Disease        We were grateful to partner with A
                                                                                                                                                                                                                    gave Nemours the opportunity
these families are at or below the         propelled by the current crisis that we                                               physicians continue to serve on        Gift For Teaching this year, allowing
                                                                                                                                                                                                                    to expand the conference and
poverty level.                             are all facing. Hearing the concerns                                                  task forces for school districts in    every child seen at Shepherd’s
                                                                                                                                                                                                                    provide free registration to over
                                           of the community, AdventHealth                                                        Orange and Osceola and monitor         Hope for their school physicals to
                                                                                                                                                                                                                    400 attendees from all over
The donated supplies catered to            recognized that for many parents,                                                     community infection rates, as the      receive a backpack full of school
                                                                                                                                                                                                                    Florida. Topics covered during
students in the Kindergarten to 5th        buying school supplies was not an                                                     school year gets underway.             supplies. Also included in the
                                                                                                                                                                                                                    the conference were COVID-19
grade age group. Our employees             option, as many are struggling with                                                                                          backpacks were hand sanitizer
                                                                                                                                 Dr. Alexander and Dr. Cadilla’s                                                    and schools, human trafficking,
were encouraged to participate in this     basic life necessities. Principal                                                                                            and face masks, helping to make
                                                                                                                                 commitment to the community                                                        allergies, vaping and social/
community initiative and, our hospital     Landahl of Moon Lake Elementary                                                                                              sure every child is as prepared as
                                                                                                                                 did not stop there, as they                                                        emotional health. Nemours was
was then kind enough to match              recognized our efforts, saying, “We                                                                                          they can be before returning to the
                                                                                                                                 partnered with their colleague                                                     proud to have representation from
the donations made by employees.           are once again so very thankful for                                                                                          2020 school year.
                                                                                                                                 at AdventHealth for Children,                                                      over 50 Florida school districts at
Overall, we estimate that more             AdventHealth’s donation of school                                                                                                                                        this year’s conference.
                                                                                                                                 Dr. Fatma Levent, to author a
than 150 employees participated in

 16      Back to School Partnerships                                                                                                                                                                                Back to School Partnerships     17
2020 Community Benefit Report - FLORIDA HOSPITAL ASSOCIATION - American Hospital Association
Innovation
                                                                                                               Baptist Health Care Partnered with the University of West Florida to
                                                                                                               Manufacture Face Shield Kits for those in Need During Covid-19

                       & Research
                                                                                                                                                                                                    Steve Overton, Baptist Health Care
                                                                                                                                                                                                    Pensacola.
                                                                                                                                                                                                    UWF students and faculty worked
                                                                                                               Face shields manufactured by the University of West Florida (UWF) Haas Center.       alongside professionals with Baptist,
                                                                                                               Like many other regions across the        “This was a wonderful partnership          with others from regional hospitals,
                                                                                                               country and even the world, a shortage    between UWF and Baptist, all to            the Escambia County emergency
                                                                                                               of face shields for health care           support our community,” said Nicole        management department, GE
                                                                                                               workers and first responders became       Gislason, Executive Director of the        Renewable Energy and Alto Products
                                                                                                               an obstacle while battling against        Haas Center at UWF. “Through this          Corp. The face shields are used in
                                                                                                               COVID-19. During the spring of 2020,      partnership, more than 7,000 face          accordance with FDA Guidance and
                                                                                                               Baptist Health Care collaborated          shield kits were printed and donated       CDC Recommendations for PPE use
                                                                                                               with the University of West Florida       to those who needed them most              during the COVID-19 pandemic.
                                                                                                               (UWF) Haas Center to manufacture          throughout the region.”
                                                                                                               and provide face shield kits to health                                               This project partnership began in
                                                                                                               care providers and first responders       Once printing and packaging took           April 2020 and continues today to
                                                                                                               throughout northwest Florida. The         place, UWF prepared the kits for           ensure that no shortage of PPE will
                                                                                                               teamwork between both groups made         distribution from their Sea3D lab,         occur again. The teams at UWF and
                                                                                                               the operation and assembly more           located inside the Museum of               Baptist display their resilience every
                                                                                                               efficient.                                Commerce in Pensacola. Health              day through these efforts. At Baptist,
                                                                                                                                                         care providers and first responders        we continue to live out our Mission
                                                                                                               “During the pandemic when PPE             requested the kits by first completing     of helping people throughout life’s
                                                                                                               became scarce, the UWF Haas Center        an online form. Priority was given to      journey and are incredibly grateful
                                                                                                               had the idea to create face shield        local nonprofit health care providers      to be working alongside UWF for the
                                                                                                               kits that would be a service to the       serving at-risk populations including      betterment of our community.
                                                                                                               essential workers in the community,”      the elderly, low income and the
                             Pictured here is Sabrina Corbin, an honors graduate with a degree in Mechanical
                             Engineering from the University of West Florida (UWF). The photo was taken at     said Stephen Overton, Print Shop          homeless.
                             UWF’s Sea3D lab in downtown Pensacola.                                            Manager. “They used their 3D printing
                                                                                                               equipment to make the headbands           This PPE shortage and new printing
                                                                                                               used in the face shield kits, and         and assembly solution was created
                                                                                                               Baptist supplied the clear polyester      by UWF innovators from multiple
                                                                                                               lens that could snap onto the plastic     departments at the University, including
                                                                                                               headbands in order to make it a           nursing, engineering, art and business.
                                                                                                               protective shield.”

18   Innovation & Research                                                                                                                                                                                   Innovation & Research       19
Lee Health Telemedicine: Technology Takes the Next Step to Safely                                                                  Memorial Healthcare Increases Telehealth and Finds New Technologies
Serve the Community                                                                                                                to Keep Patients Connected
                                                                                                                                   Memorial Healthcare System’s Community and Youth Services Department (CYS)
                                                                                      During the initial outbreak, people
                                                                                      were scared and looking for answers.                                                                                               “Family needs have been magnified
                                                                                      For example, many community                                                                                                        over the past 6 months”, said Tim
                                                                                      members called our emergency rooms                                                                                                 Curtin, Executive Director of Memorial
                                                                                      to get COVID-19 testing. To better                                                                                                 Community and Youth Services.
                                                                                      encourage telemedicine as a clinical                                                                                               “Memorial has been doing everything
                                                                                      and educational resource, Lee Health                                                                                               possible to keep the staff, children,
                                                                                      eliminated the cost of our 24/7 Lee                                                                                                families and seniors protected from
                                                                                      TeleHealth platform. We provided more                                                                                              the spread of COVID-19. We have
                                                                                      than 7,200 virtual visits at no cost—a                                                                                             a responsibility during this time to
                                                                                      $350,000 community benefit value                                                                                                   increase support for them as they
                                                                                      in a just a few months. We extended                                                                                                now face additional challenges with
                                                                                      this platform to our friends at NCH                                                                                                businesses and school closures, work
                                                                                      Healthcare System and Lee County                                                                                                   disruptions, potential illness and
                                                                                      EMS to maximize community impact.                                                                                                  health concerns. Our community-
                                                                                                                                                                                                                         based team of counselors and case
                                                                                      At our acute care facilities, we                                                                                                   managers are connecting with each
                                                                                      expanded the number of telemedicine          Brother and sister receiving Easter                                                   one of our families to make sure they
COVID-19 has changed a lot about our     As we increased our virtual ambulatory       carts and providers utilizing the            baskets from Memorial                                                                 have the supports they need.”
lives over the past six months, from     TeleHealth visits from one percent to        technology with the help of a tech
the way we interact with friends and     80 percent over a few weeks, our team        partner, Ironbow. Using digital                                                                                                    CYS has delivered over 700 hours of
family to how we conduct business        recognized that many of our patients         stethoscopes and remote cameras,                                                                                                   case management since March. The
on a daily basis. Health care systems    were still struggling; the platform and      healthcare workers could treat                                                          Teaching parenting skills via What’s App   team has successfully linked families
across the country faced these           style of interaction was new to many         patients while conserving PPE.                                                                                                     to employment opportunities, financial
challenges head-on in a number of        of them.                                                                                                                             Anxiety, depression, feeling trapped       assistance, benefits, child care, and
ways, with an eye on safety as well                                                   Another partner, Caregility, helped                                                     and helpless, substance abuse, family      all other needs determined by the Life
as stellar service. At Lee Health, we    Team members at Lee Health combined          us tackle reduced visitation by                                                         conflict and communication have been       Coaches and case managers.
pushed forward by implementing           efforts to create an integrated campaign.    collaborating on an app that sends an                                                   the topics of many of our counseling
comprehensive telemedicine options       This included training videos, tip sheets,   invite to family members to connect                                                     and therapy sessions over the past         “Our creative team working with older
to provide exceptional care.             web pages, internal communications,          through an email or text. In the NICU,                                                  26 weeks. During this time, Memorial       adults has assisted them in learning
                                         marketing materials and joining forces       we deployed tablets in every NICU                                                       Healthcare System’s Community and          how to use a smart phone for Zoom,
Before COVID-19, Lee Health had          with community leaders.                      room so family members could share                                                      Youth Services Department (CYS) has        Teams, What’s App and other platforms
a small telemedicine footprint,                                                       the thrill of virtually seeing, hearing                                                 provided over 2,800 hours of clinical      to stay connected with their peers
connecting roughly 10 patients a day     We spent countless hours helping             and talking to newborns.                                                                therapy, counseling and maternal-child     socially, emotionally and spiritually
to medical professionals. Fortunately,   patients configure their computers,                                                                                                  supportive services through telehealth     over the past six months,” Curtin
our team anticipated the surge from      download apps, perform test visits,          By connecting our tech partners with a                                                  platforms. CYS has also made over          continued. “The ALLIES (Adults Living
the pandemic and replaced our entire     and make sure they were comfortable          national nonprofit, CovidTechConnect,                                                   1,250 property visits, aptly named         Life Independent, Educated and Safe)
technology infrastructure in 48 hours    connecting to their provider. By             Lee Health has helped the reach of the                                                  “Front Porch Supports,” to families in     program staff have made over 500
                                                                                                                                   Special delivery to a youth aging out of   need throughout the pandemic.
to allow unlimited scalability.          helping our patients focus on health         app installation spanning over 10,000                                                                                              Front Porch Supports since COVID-19
                                                                                                                                   foster care
                                         and recovery, the challenges of              tablets across 700 health systems                                                                                                  closed our Senior Partners centers.”
Our team expanded access from five       new technology gradually lessened.           nationwide.
departments to more than 60 in the       Additionally, recognizing that English
span of several days, and we continue    is not the preferred language for many       The telemedicine teams are already
to roll out functionality to various     of our patients, we quickly worked with      anticipating the next steps, willing
departments.                             our vendor, Cloudbreak, to integrate         to do whatever it takes to tackle
                                         real-time language interpretation            challenges. It’s all a part of our mission
                                         services during telehealth visits.           to be caring people, inspiring health.
 20      Innovation & Research                                                                                                                                                                                                    Innovation & Research    21
Tallahassee Memorial HealthCare and Florida

                          Laboratories
                                                                            State University Team Up to Test for COVID-19
                                                                            Florida State University (FSU) and          to diagnose, treat or prevent disease.
                                                                            Tallahassee Memorial HealthCare             The Department of Health and
                                                                            (TMH) teamed up to create a temporary       Human Services’ current pandemic
                                                                            testing laboratory that provides            policies presented an opportunity for
                                                                            COVID-19 results in 24 hours or less.       a partnership. To provide coronavirus
                                                                                                                        testing, the FSU Office of Research
                                                                            FSU recognized the importance of            recognized it would need a CLIA
                                                                            getting their students and employees        certificate and contacted TMH to          Tallahassee Memorial HealthCare and
                                                                                                                                                                  Florida State University COVID-19 lab
                                                                            tested quickly as well as the need to       inquire about partnering to establish a
                                                                            receive test results quickly. The ability   temporary site for coronavirus testing    Laboratory Analysis (OSCEOLA).”
                                                                            to identify and quarantine individuals      under the hospital’s CLIA certificate,    The name is the FSU research
                                                                            testing positive for COVID-19 helps to      and TMH agreed.                           community’s tribute to the 19th-
                                                                            mitigate the spread of COVID-19.                                                      century Seminole leader, linking his
                                                                                                                        With Dr. Dennis’ proprietary recipe and   leadership and unconquered spirit
                                                                            Due to national and world-wide              TMH’s license and clinical team, the      to this contribution to the ongoing
                                                                            shortages of testing supplies and long      partnership was born.                     struggle to contain the virus.
                                                                            wait times for test results, Jonathan
                                                                            Dennis, an associate professor in the       “As a leading research university, FSU    “Not only have we accomplished this,
                                                                            Department of Biological Science at         brings resources to the table that will   we’ve set up a model for how other
                                                                            FSU, developed a new testing procedure      allow us at TMH to overcome supply        people can accomplish this,” Dennis
                                                                            that could be used to diagnosis             limitations and provide for accurate      said. “We have thought at every
                                                                            COVID-19. This procedure slightly alters    and timely COVID-19 testing on a much     juncture ‘What are we doing here
                                                                            the method used by the Centers for          larger scale,” said Mark O’Bryant,        and is this appropriate to relieve the
                                                                            Disease Control and Prevention and the      President and CEO of Tallahassee          testing problem that the nation has?’
                                                                            World Health Organization and allows        Memorial HealthCare. “The initial goal    And I think we have built something
                                                                            the lab to use different materials than     of this partnership was to match FSU’s    that can do that.”
                                                                            are typically used.                         intellectual and technological assets
                                                                                                                        with our commercial and regulatory        This laboratory has since expanded
                                                                            After samples are collected, the test       expertise.                                to run tests for other businesses
                                                                            measures whether it is possible to                                                    and governmental entities in our
                                                                            make copies of the collected viral          We are now working with other             community.
                                                                            genome using a technique called             community businesses to make testing
                                                                            polymerase chain reaction (qPCR).           more readily available.”

                                                                            If the procedure is able to copy a          The initial joint goal was to run 1,000
                                                                            viral genome, the patient is positive.      tests each day. The capacity of the
                                                                            If not, the patient is negative. This       lab should increase over time as the
                                                                            is considered the gold standard for         laboratory team develops efficiencies
                                                                            COVID-19 testing.                           within their workflows.

                                                                            Historically, the FSU research              Interestingly, when the designers
                                                                            laboratory has never had a need to have     submitted their procedure to the U.S.
Tallahassee Memorial HealthCare and Florida State University COVID-19 lab   a Clinical Laboratory Improvement           Food and Drug Administration for
                                                                            Amendments (CLIA) certificate which         emergency use authorization, they
                                                                            is required to test human specimens         gave it the name “Observation of
                                                                            and provide patient-specific results        SARS COVID-2 Evidence by Objective

 22      Laboratories                                                                                                                                                               Laboratories     23
Northwest Florida Community Hospital Adds On-Site Lab to Provide                                                                  Lakeland Regional Health In-House Laboratory Expands COVID-19
Timely COVID-19 Results to Patients                                                                                               Testing Options for Community
                                                                                                                                                                                                                               with COVID-19, the better we can care
                                                                                                                                                                                                                               for you and your symptoms, the sooner
                                                                                                                                                                                                                               we can help you keep your loved ones
                                                                                                                                                                                                                               and neighbors safe, and the more
                                                                                                                                                                                                                               quickly we can provide you with peace
                                                                                                                                                                                                                               of mind,” said Ana Kalman, MBA,
                                                                                                                                                                                                                               CHCIO, Lakeland Regional Health Vice
                                                                                                                                                                                                                               President/Chief Information Officer
                                                                                                                                                                                                                               and Chief Applications Officer/Medical
                                                                                      to COVID, we were sent home from                                                                                                         Center Chief Operating Officer.
                                                                                      school/work to quarantine, waiting                                                                                                       “All of this in mind, our talented
                                                                                      and uncertain. At NFCH, we were able                                                                                                     and dedicated Lab team remains
                                                                                      to get COVID testing done without any                                                                                                    steadfast in its motivation to meet the
                                                                                      wait or hassle. The molecular tests                                                                                                      testing and diagnostic needs of our
                                                                                      done were processed in their hospital                                                                                                    community.”
                                                                                      lab with prompt, same day results that
                                                                                      could be accessed on their patient                                                                                                       Production from testing kit
                                                                                      portal. This accurate and efficient                                                                                                      manufactures continues to be an
                                                                                      service provided the peace of mind our                                                                                                   obstacle. Still today, one-hour tests
                                                                                      family needed!”                                                                                                                          are in short supply. Therefore, our
                                                                                                                                                                                                                               Lab team remains vigilant on the
                                                                                      Washington County Chamber of                                                                                                             developments of new platforms to
Northwest Florida Community Hospital working in on-site COVID-19 testing lab.         Commerce Executive Director Ted             Lakeland Regional Health opened the Pediatric Testing Center shortly after public            determine when and if it makes sense
                                                                                      Everett said, “Since the Northwest          schools opened in August, providing testing to children of all ages with next-day results.   to add it to our portfolio. As we examine
Northwest Florida Community Hospital      quarantine period before receiving
                                                                                      Florida Community Hospital attained                                                                                                      testing options, test result accuracy
(NFCH) is a 59-bed healthcare facility    positive or negative results. Northwest                                                 Testing continues to be one of the             Lakeland Regional Health now uses
                                                                                      and has been using the Thermo                                                                                                            continues to be of the highest
that includes a 25-bed Critical Access    Florida Community Hospital’s strong                                                     most important aspects of the                  5 options for in-house rapid PCR
                                                                                      Fisher Scientific 7500 for rapid                                                                                                         importance.
hospital, a 34-bed Long Term Care         commitment to the health and                                                            COVID-19 pandemic. At Lakeland                 COVID-19 testing and one in-house
Facility and several Health Clinics       wellness of Washington County and           testing for COVID-19, and results are       Regional Health, we are committed              antigen platform.
                                                                                      now able to given to those that have                                                                                                     Facing these challenges, in-house
located in Washington County, in the      the surrounding area wasn’t being                                                       to strengthening the health of our
                                                                                      tested within 24 hours or less. This                                                                                                     COVID-19 testing allowed us to:
panhandle community of Chipley.           honored with our delayed results and                                                    community as well as advancing the             Feeling confident in its testing
                                                                                      is very advantageous to those tested.                                                                                                      • Leverage technology to establish
Our mission, is to provide safe,          patient notification. Therefore, in June,                                               future of healthcare. Those missions           capabilities, Lakeland Regional Health
                                                                                      Before the NFCH procured the testing                                                                                                         a convenient and safe way for
innovative, accessible, compassionate     the NFCH administration purchased                                                       became unwavering guideposts as                opened a Respiratory Care Center from
                                                                                      abilities of the Thermo Fisher Scientific                                                                                                    community members to receive
and comprehensive health care close       the Thermo Fisher 7500, a molecular                                                     COVID-19 began to spread in our                April to October, two Drive-Thru Testing
                                                                                      7500, results typically took 7 to 10                                                                                                         a doctor’s order for COVID-19
to home.                                  testing lab that could provide results in                                               community and testing kits and                 Centers and a Pediatric Testing Center,
                                                                                      days. The ability to test rapidly and                                                                                                        testing.
                                          24 hours or less.                                                                       capabilities were in short supply.             in addition to the testing performed
                                                                                      receive testing accuracies at a high                                                                                                       • Create COVID-19 testing protocols
At the start of the COVID-19 pandemic,                                                                                                                                           in its Emergency Department and
                                                                                      level is certainly a game changer for                                                                                                        for patients undergoing emergency
NFCH opened a COVID-19 drive-thru         This new technology allows Northwest                                                    Our executive leaders, along with              required testing for surgical patients.
                                                                                      Washington County and the region.”                                                                                                           surgeries and non-emergency
testing site. The site offered testing    Florida Community Hospital to truly                                                     our exceptional Laboratory team,               We also leveraged a reference lab for
                                                                                                                                                                                                                                   surgeries and procedures and
to anyone regardless of symptoms,         meet its mission. Our patients know                                                     grew tremendously concerned with               our Drive-Thru test kits to help with
                                                                                      This molecular technology makes                                                                                                              communicate those to physicians.
and it served people from multiple        their results almost immediately,                                                       the lengthy turnaround times for               overflow.
                                                                                      our small, rural community hospital                                                                                                        • Efficiently and quickly test children
counties. When the site first opened,     helping stop the spread of COVID-19.                                                    COVID-19 test results as well as the
                                                                                      a giant among the larger well-                                                                                                               in a family-friendly environment
NFCH sent their samples to outside                                                                                                lack of testing sites.                         “Lakeland Regional Health is pleased
                                                                                      known laboratories. At Northwest                                                                                                           • Expand testing options to our
laboratories to be processed. The         One patient Jennifer Cumbie                                                                                                            to offer safe, convenient, quick and
                                                                                      Florida Community Hospital, we are                                                                                                           primary, pediatric and urgent care
turnaround time was a minimum of          commented, “My daughter and I can’t                                                     Over the last six months, Lakeland             accurate COVID-19 testing options
                                                                                      constantly striving to provide you with                                                                                                      practices
7 to 10 days. Many individuals being      say enough good things about NFCH,                                                      Regional Health worked diligently              for our community. We know that the
tested, were well into their potential    in Chipley. After being exposed             high quality healthcare.                    to begin processing our own tests.             sooner you find out you are infected

 24      Laboratories                                                                                                                                                                                                                             Laboratories      25
Testing Sites                                                                                                                                                  In St. Lucie County, Cleveland Clinic
                                                                                                                                                                                      Martin Health administered 1,800
                                                                                                                                                                                      tests, free of charge, over five days

                       & Workflow
                                                                                                                                                                                      at a minor league baseball stadium
                                                                                                                                                                                      in collaboration with the local
                                                                                                                                                                                      health department. Martin Health
                                                                                                                                                                                      participated in a similar partnership
                                                                                                                                                                                      in Martin County, staffing “pop-up”
                                                                                                                                                                                      testing locations in COVID hot spots
                                                                                                                                                                                      targeting underserved populations.

                                                                                                                                                                                      In addition to traditional COVID-19
                                                                                                                                                                                      drive-thru testing sites and pop up
                                                                                                                                                                                      testing sites, Martin Health also
                                                                                                                                                                                      partnered with the Department of
                                                                                                                                                                                      Health to develop a “COVID-19 Strike
                                                                                                                                                                                      Team” that could rapidly respond to
                                                                                                                                                                                      long-term care facilities with potential
                                                                                                                                                                                      COVID-19 clusters. The strike team
                                                                                                                                                                                      at Cleveland Clinic Martin Health
                                                                                                                                                                                      provided rapid testing of all residents
                                                                                               Cleveland Clinic Indian River Hospital drive-thru testing site.                        and caregivers at a facility in an effort

                                                                                               Cleveland Clinic Finds Creative Solutions to                                           to minimize further spread.

                                                                                               Test Vulnerable Populations During COVID-19                                            The strike team was an example of how
                                                                                               Throughout the COVID-19 pandemic,            Sept. 25 with no out-of-pocket            multiple organizations working together
                                                                                               Cleveland Clinic in Florida has              costs for patients. Opportunities for     can reduce exposure to COVID-19 for
                                                                                               focused on the health and well-being         community testing continue at Indian      this particularly vulnerable segment
                                                                                               of the communities it serves. That           River Hospital and at Martin Health       of our community. By going on-site to
                                                                                               focus is not only on the patients in         locations in Stuart and Port St. Lucie.   these facilities and conducting rapid
                                                                                               our hospitals and clinics, but also          We are working diligently to keep         testing at these locations we were able
                                                                                               residents of those communities as a          residents out of the hospitals and to     to greatly mitigate risk to residents
                                                                                               whole. That includes students as they        provide peace of mind.                    and employees.
                                                                                               prepared to return to school, residents
                                                                                               of long-term care facilities, and the        Our system also worked with
                                                                                               public at large as we provided COVID         stakeholders to reach out directly to
                                                                                               testing as well as education and best        communities for testing. For example,
                                                                                               practices to community stakeholders.         the drive-thru testing location in Palm
                                                                                                                                            Beach County was located at a civic
                                                                                               Cleveland Clinic in Florida, was the         center in a portion of the community
                                                                                               first to provide COVID-19 drive-thru         that needed access to testing at the
                                                                                               testing in Indian River, St. Lucie,          height of the pandemic. Cleveland
                                                                                               Martin, and Broward counties, and was        Clinic Weston Hospital staffed the
                                                                                               one of the earliest testing providers in     testing site, which was a partnership
                                                                                               Palm Beach County. Communication             with the Florida Department of
                                                                                               and collaboration were key in each of        Emergency Management, the
                                                                                               those efforts. We have administered          Florida National Guard, and county
                                                                                               over 41,000 tests at our drive-thru          administration.
                                Cleveland Clinic Tradition Hospital drive-thru testing site.
                                                                                               testing sites from mid-March through

26   Testing Sites & Workflow                                                                                                                                                                Testing Sites & Workflow      27
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