FOR IMMEDIATE RELEASE
WASHINGTON — America’s Essential Hospitals, whose more than 300 members care for low-income and other marginalized people, today recognized four member hospitals for outstanding work to improve health care quality and population health.
The association announced 2023 Gage Award winners at a luncheon at its annual meeting, VITAL2023, in Chicago. Named for association founder Larry Gage, the awards recognize creative and successful programs that improve patient care and serve community needs.
“Essential hospitals believe all people deserve exceptional and equitable care, so programs to improve quality and reduce socioeconomic barriers to care are deeply engrained in the fabric of our members,” says Kalpana Ramiah, DrPH, MSc, America’s Essential Hospitals’ vice president of innovation and director of Essential Hospitals Institute. “We commend our members for their commitment to a role no one else fills: providing high-quality care for all.”
2023 Award for Quality
This award recognizes activities to improve the quality of care or that mitigate threats to patient safety.
Winner: UK HealthCare, Lexington, Ky.
UK HealthCare, the academic health system of the University of Kentucky, and the University of Louisville, as the two state teaching hospitals, designed a value-based Medicaid directed payment program focused on improving care for Kentucky’s toughest health challenges.
“Kentuckians face some of the highest rates of disease in the country, particularly for cancer, heart disease, obesity, behavioral health, and substance use disorders. As part of our academic health system’s promise to advance Kentucky, we have partnered with Kentucky Medicaid to transform the quality of patient care to improve the health of the commonwealth,” says Robert DiPaola, MD, UK’s provost and acting co-executive vice president for health affairs. “I’m honored that this work is being recognized on a national level.”
From July 2019 to June 2022, UK HealthCare made great strides in improving care for target health conditions, including increasing:
- Depression screening by 64 percentage points.
- Well child visits for children ages 3 to 6 by 45 percentage points.
- Blood pressure control by 27 percentage points.
Honorable Mention: NYC Health + Hospitals, New York
To improve health equity, NYC Health + Hospitals launched the Care Improvement Contest initiative to educate health care workers on patient experience and build their capacity to lead successful quality improvement projects.
Eleven teams documented the current state of the inpatient experience; discussed gaps, challenges, and barriers to success; and devised and tested solutions. Projects focused on nurse leader rounding, interdisciplinary provider rounding, empathy skill building and teach-back training, complex discharge planning and post-discharge follow-up, and daily management system boards and whiteboards. In addition to improving patient experience scores in winning units, the contest facilitated a systemwide increase in patient experience scores, including communication with physicians and nurses and overall hospital ratings.
“We are incredibly proud of our NYC Health + Hospitals Care Improvement Contest teams for implementing innovative solutions to improve health care delivery that meets and satisfies the needs of the communities we serve,” says Mitchell Katz, MD, president and CEO of NYC Health + Hospitals.
2023 Award for Population Health
This award recognizes activities focused on social determinants of health, such as food insecurity, homelessness, language barriers, and other socioeconomic factors.
Winner: Parkland Health, Dallas
To mitigate health disparities illuminated through a Community Health Needs Assessment, Parkland established nine population health initiatives focused on access to care, behavioral health, breast health, diabetes, hypertension, maternal and child health, pediatric asthma, sexually transmitted infections, and cultural competency.
Parkland hired community health workers from target ZIP codes to perform health screenings, connect individuals with social resources, and provide cultural competency materials approved by Parkland Health’s Patient Advisory Council. The health system implemented a community health record to document screenings and associated care navigation.
Between 2019 and 2022, Parkland reported:
- A 264 percent increase in primary care encounters.
- A 123 percent increase in annual hypertension screenings.
- A 40 percent increase in the percentage of newly diagnosed HIV patients treated within 30 days.
- A 16 percent increase in blood pressure control.
- A 12 percent increase in chlamydia testing within at-risk ZIP codes.
- A 7 percent increase in annual mammograms.
“We are honored to be recognized by America’s Essential Hospitals for our work to advance health equity in Dallas County. At Parkland Health, we strive to ensure equitable care for our patients and to address inequities in health care at the community level,” says Fred Cerise, MD, Parkland’s president and CEO. “To be recognized for our work on the CHNA initiatives is a tribute to our many dedicated team members and community partners who are working together to address health disparities among the people we serve.”
Honorable Mention: Sinai Chicago, Chicago
In 2018, Sinai Urban Health Institute (SUHI), the health system’s community-driven research center, piloted a program to identify social determinant of health (SDOH) needs among patients presenting to the emergency department with nonfatal gun violence injuries, which later expanded to include patients with complex needs. Community health workers (CHWs) contact patients post-discharge, screen patients for SDOH needs, reinforce discharge instructions, and help patients navigate follow-up care and community resources.
Since July 2020, Sinai Chicago has referred more than 2,131 high-risk patients to the program. Fifty-two percent of patients referred were successfully screened for SDOH, 83 percent of whom were connected to services to target food insecurity, transportation, housing insecurity, behavioral health, asthma, and domestic violence. Patients screened by CHWs had a 30-day readmissions rate of 22 percent, compared with a 31 percent readmissions rate for patients who were referred to the program and not screened.
“Sinai Chicago and Sinai Urban Health Institute are honored to receive an honorable mention in the 2023 Gage Awards for our Community Health Worker Support Program,” says Ngozi Ezike, MD, president and CEO of Sinai Chicago. “Our CHW Support program has greatly improved health outcomes in the community.”
A new guide, Excellence and Innovation in Care: The 2023 Gage Awards, features more about these programs, along with additional highlighted programs at Hennepin Healthcare, in Minneapolis; Los Angeles General Medical Center, in Los Angeles; University Health, in San Antonio; Health Care District of Palm Beach County, in West Palm Beach, Fla.; Memorial Healthcare System, in Hollywood, Fla.; and the University of Texas Medical Branch Health, in Galveston, Texas.
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About America’s Essential Hospitals
America’s Essential Hospitals is the leading association and champion for hospitals dedicated to equitable, high-quality care for all, including those who face social and financial barriers to care. Since 1981, America’s Essential Hospitals has advanced policies and programs that promote health, health care access, and equity. We support our more than 300 members with advocacy, policy development, research, education, and leadership development. Communities depend on essential hospitals for care across the continuum, health care workforce training, research, public health and health equity, and other services. Essential hospitals innovate and adapt to lead all of health care toward better outcomes and value. Learn more at essentialhospitals.org.