2004 Benefit Report - Advocate Health Care


2004 Benefit Report - Advocate Health Care

QualityCompassionPartnershipAdvocate Health Care2004 Community Benefits Report

5_system_comm_benefit 7/22/05 11:57 AM Page 3MissionThe Mission ofAdvocate HealthCare is to servethe health needs ofindividuals, familiesand communitiesthrough a wholisticphilosophy rootedin our fundamentalunderstanding ofhuman beings ascreated in theimage of God.

5_system_comm_benefit 7/22/05 11:57 AM Page 4Advocate’scontribution$136,063,000Government Health CareEveryday, Advocate Health Careassociates are making a differencein the communities they areprivileged to serve. Associatesadminister programs in partnershipwith their communities to providequality and compassionate careregardless of one’s ability to pay.The reward for these associatesis knowing that by making a differencein even one person’s life isanother step toward achievingAdvocate’s faith-based mission.Steve Pyrcioch, director of reimbursement,works to ensure thatMedicaid and Medicare programsare operating smoothly.Many in the community wouldnot think of these programs asproviding a community benefit.Yet, if hospitals did not participatein these government programs,millions of Americans would beunable to access the care theyor their children desperately need.“Medicaid payments averageapproximately 75% of actual costs,and Medicare payments are approximately90% of actual costs, saysPyrcioch. “There is no doubt thatthe costs are substantial, buteveryone is committed to ourmission.”While uncompensated Medicareand Medicaid Services are substantialinvestments that Advocatemakes every year in its communities,they are by no means the onlyones.Everyday Advocate provides a benefitto its communities—not just thelife saved in an emergency room,but the life that might be savedby a woman picking up a domesticviolence outreach card—or the lifeof an adult with asthma whose onlyaccess to health care is a booth ata local health fair.A number of community benefitprograms are highlighted in thefollowing report. To patients andcommunities, these programsrepresent the benefit of havingan Advocate Heath Care facilityas its partner. To Advocate associates,these programs representsomething more than a communitybenefit—they represent the fulfillmentof a profession dedicated tosaving the lives of their neighbors inthe communities they serve.

5_system_comm_benefit 7/22/05 11:57 AM Page 5LanguageAdvocate’scontribution$669,000

5_system_comm_benefit 7/22/05 11:57 AM Page 6Deaf and Hard of HearingFor Kate Pastorelli, life wasa struggle. Born with hearingloss, she became depressedduring a long-term illness andbegan to use sharp objects —a straightened paper clip, thenscissors — to scratch at herforearm. “I hated myself fordoing it, but it wasn’t enough tomake me stop,” Pastorelli says.“I was extremely depressed.”Pastorelli found her way to theBehavioral Health’s Deaf andHard of Hearing Program atAdvocate Illinois MasonicMedical Center, getting thehelp she needed from a counselorwho, also hard of hearing,could understand her isolationand converse with her inAmerican Sign Language.Partnering Kate with a caregiverwho truly understands herneeds is part of Advocate’smission to provide quality,compassionate care.Advocate’s commitmentto accessible health careservices also means providinglanguage services that coverthe wide-ranging needs ofour patients. This includestranslator services in a numberof languages, and materials thatassist patients who have difficultyreading, understandingand acting upon basic healthinformation — even depressionmanagementand AIDSprevention materials for theapproximately 63,000 peoplein Illinois who self-identify asdeaf. Clear communication —essential for each of the onemillion patients Advocatetreats every year — helpedPastorelli recover her zest forlife. “I am so happy to finda therapist who signs,” shesays. “I just knew someonewould understand me betterif I signed and spoke. I’m ableto express myself better.”

5_system_comm_benefit 7/22/05 11:57 AM Page 7EducationAdvocate’scontribution$39,722,000

5_system_comm_benefit 7/22/05 11:57 AM Page 8Healthy StepsOn a visit to a young patient’shome, John Howard, D.O,noticed a problem that manynew parents might not haveconsidered a medical issue:no screens in the windows.With children using the roomas a play area, Howard knewthe open windows were a safetyconcern.Pediatricians used to checkonly for disease in their youngpatients — but today parentswant more from their healthcare providers. That could bedaunting for a new physician,but not for those, like Dr. Howard,who train with Advocate’sHealthy Steps for YoungChildren Program. The program,based on a national model,engages parents as partnerswith physicians in their child’shealth and early development.Through a residency with HealthySteps, medical residents learnto pay attention to much morethan the presence of illness orinjury in young children. With aneye on the child’s whole world,these physicians catch healthand development problems inthe critical early stages.“Getting Healthy Steps traininghas been really valuable in myearly training as a physician,”says Dr. Howard, a resident atAdvocate Hope Children’sHospital. “It has given me theknowledge to take advantage ofteachable moments that bringchild development issues tolight and help parents take evenbetter care of their children.”

5_system_comm_benefit 7/22/05 11:57 AM Page 9DonationsAdvocate’scontribution$1,031,000

5_system_comm_benefit 7/22/05 11:57 AM Page 10Improving Quality of Life for SeniorsSenior citizens in Chicago’s47th ward had to make a hardchoice. Staying in the areameant rising housing costs atthe expense of quality care.Leaving meant letting go of theonly neighborhood many ofthem ever knew.With over 27,000 senior citizensin his ward facing escalatinghousing costs, Alderman GeneSchulter (47th) asked ifAdvocate Health Care couldpartner with the city and othernot-for-profit organizations toaddress this pressing communityneed. Advocate listenedand agreed something had tobe done.This partnership resulted inAdvocate Health Care donatingfive acres of property, valued atmore than $10 million, fordevelopment of a mixed incomesenior living campus at IrvingPark Road and Western Avenuein Chicago’s Ravenswood neighborhood,part of AdvocateIllinois Masonic MedicalCenter’s service area.“This will give many of oursenior citizens the option tostay in the community longafter they may no longer beable to afford the escalatingcost of housing in the area ormanage their own properties,”Schulter says.The senior housing campuswill also allow area seniorsto continue having convenientaccess to quality care fromAdvocate physicians and outpatienthealth care services atthe Advocate Health Centerlocated on the remainingportion of the land."I am pleased to see thatseniors in this community willsoon have available to them thetype of affordable housing thatthey need and deserve," saysAlderman Schulter. "I commendAdvocate for stepping up andmaking this kind of commitmentto the community."

5_system_comm_benefit 7/22/05 11:57 AM Page 11VolunteerServicesAdvocate’scontribution$2,244,000

5_system_comm_benefit 7/22/05 11:57 AM Page 12Giving BackAsk for directions aroundAdvocate Lutheran GeneralHospital and you might get theexpert help of Lewis Wilker.Wilker isn’t the volunteer who’sbeen at the hospital the longestor even the volunteer whospends the most time helpingvisitors. But he may have themost intimate knowledge ofthe hospital among his peers:Once in dire straits with nohealth insurance, Wilker turnedto Lutheran General Hospitaland the caregivers there whosaved his life. Now he returns thecompassionate care he receivedby showing the same to others.Volunteers don’t always havesuch a dramatic connectionto the hospital where they givetheir time. Most are simplygenerous community memberswho want to strengthen thecare available to their ownfamilies and neighbors.Across the system, hospitalvolunteers offer their time,their efforts and their ideasto help make patients andtheir families as comfortableas possible.“The people I met as apatient — from the transportationpeople to someof the best surgeons in thestate — are all doing theirjobs, but you can tell it’s notjust a job to them. You can’tfake that passion for caringfor people,” Wilker says.“I want to give back to thisplace of healing in any way Ican, but I feel as though Ican’t say it often enough orloudly enough.”

5_system_comm_benefit 7/22/05 11:57 AM Page 13CharityCareAdvocate’scontribution$20,267,000

5_system_comm_benefit 7/22/05 11:57 AM Page 14A Mission of CaringAngela Samuel was single,living on her own, and dealingwith a medical crisis.Unemployed and uninsured, shefound herself in the emergencyroom of Advocate TrinityHospital. “Going to the emergencyroom was the last thingI wanted to do because I knewthat I couldn’t afford it. But Ihad no choice — I was very ill.”Angela would soon learn thatAdvocate’s mission to providequality and compassionate careto all patients would help seeher through this crisis.Suffering from chest pain andfatigue, she had tried to treatherself using over-the-countermedications. But when shenearly passed out, Angela realizedthat she needed propermedical attention. The attendingphysician in Trinity’s emergencydepartment determined thatAngela was severely anemicand needed an emergency bloodtransfusion. She was admittedand stayed in the hospital forfour days and later was readmittedfor further treatmentto resolve her anemia.Her medical bill was more than$10,000. With no way to pay,Angela was referred to a financialcounselor at Trinity. Afterexplaining her situation, Angelawas given a charity care application.“Applying for the financialassistance was simple,” saysSamuel. “When I received theapplication, I did exactly whatthe counselor told me to do.I sent it back as soon as Icould with all the requesteddocuments.” Within fourweeks, Angela received wordthat she had been approvedfor 100 percent assistance. “Ireally didn’t think that I wouldget any kind of help, especiallysince I had been denied publicassistance by the state earlierin the year. It was a realblessing.”

5_system_comm_benefit 7/22/05 11:57 AM Page 15SubsidizedHealthServicesAdvocate’scontribution$18,232,000

5_system_comm_benefit 7/22/05 11:57 AM Page 16TraumaBob O’Kelly doesn’t remembermuch from his last birthday.There was a celebratory lemonmeringue pie waiting for him athome when another car hit hisvehicle head-on, smashing himinto a guardrail. The other driverwas killed. O’Kelly was racedto the Level I trauma center atAdvocate Good SamaritanHospital, where the battle forhis life began.Though trauma centers acrossthe nation are closing becauseof budget constraints, Advocateupholds its mission of providingquality care to all by maintainingfour Level I centers,making Advocate one of themost significant providers ofTrauma Care in the State ofIllinois. Two of these centers —at Advocate Christ MedicalCenter and Advocate IllinoisMasonic Medical Center —are “POD” hospitals for thecity of Chicago, charged withleading response efforts in caseof widespread catastrophe.Advocate has the largesttrauma network in the stateof Illinois. All trauma centersare open around the clock —8,760 hours a year, everyminute of every day to be availablefor those who need us.The O’Kelly family is gratefulfor Advocate’s commitmentto trauma care. “I don’t want tosay it was a great experience,”Bob O’Kelly says. “But everyonemade it as comfortable aspossible for all of us. There arethanks to go all around.”

5_system_comm_benefit 7/22/05 11:57 AM Page 17UncollectedCostsAdvocate’scontribution$27,286,000

5_system_comm_benefit 7/22/05 11:57 AM Page 18Mission-bound To SucceedNancy Coulter and Faye Jonesof Advocate South SuburbanHospital understand Advocate’smission to provide quality andcompassionate care to allpatients. As financial counselorsthey are fulfilling thatmission one patient at a time.In her 19 years working at SouthSuburban Hospital, Faye Jonessees firsthand the struggles ofuninsured patients. “Many of thepatients I assist are employedbut can’t afford the increasesin their health insurance policies,”says Jones. “People takechances with their health bygoing without insurance.”Advocate’s mission, valuesand philosophy — and itscommitment to covering healthcare costs for those whocannot — help provide theinspiration to succeed. “It takescompassion to succeed in thisrole,” says Nancy Coulter.“I understand that our patientsare under stress and the lastthing they need is to lose theirdignity by asking for financialassistance.”“I see their faces and see theirconcern,” adds Coulter. “My jobis to help ease them past thisfeeling by letting them knowthis is Advocate’s mission.”At the end of the day Advocate’sfinancial counselors can restassured they have made adifference in the world. “Withall the anxieties our patientsare encountering in a hospital,it is gratifying to know thatI help remove one of thoseworries,” says Jones. “Onepatient told me that she willkeep the charity care approvalletter in her bible as a constantreminder to be compassionatetoward others.”“I have had family memberscrying in appreciation of ourassistance,” says Coulter. “Oneperson said she never expectedto receive such compassionfrom someone she never met.”With discounts of 60–100% forpatients earning as much asfour times the federal povertylevel, Advocate’s financial counselorshelp patients move theirhospital bill from debt to financialassistance.

5_system_comm_benefit 7/22/05 11:57 AM Page 19Keepingthe Faith

5_system_comm_benefit 7/22/05 11:57 AM Page 20Parish NursingSome jobs are a calling morethan a career. That’s howRamona Davis, R.N., feels abouther role as the parish nurse forthe Bethel Lutheran Churchnear Advocate BethanyHospital. Both a skilled nurseand a deeply spiritual person,Davis feels prepared by all thesuccesses and travails of herown life to guide her parishionerstoward healthier lives.Partnerships with the faithcommunity are an integral partof living the Advocate mission.“In tight-knit or underservedcommunities people may bemore likely to show up atchurch than at a physician’soffice,” says Davis.In 25 such communities acrossChicagoland, Advocate parishnurses provide access to carewhere the people are servingas health educators and advocates,advising on healthconcerns and giving referralsto available resources. Byproviding a few encouragingwords, useful health information— and meaningfulscripture when answers aren’teasy to come by — parishnurses empower their congregantsto take an active partin their own health.“I want the congregants toknow that it’s OK to ask questions,even to question theirdoctors, to be an advocate forthemselves as patients,” Davissays. “Just giving people thetools to help them workthrough the health care systemis the biggest gift I can givethem.”

5_system_comm_benefit 7/22/05 11:57 AM Page 21A HealthyPractice

5_system_comm_benefit 7/22/05 11:57 AM Page 22Baby AdvocateNicolas Muniz, almost 2, fillsup his family’s apartment withcommotion. But his parents,Maria Soto and FranciscoMuniz, have patience for hisendless energy. Thanks toknowledge gained throughAdvocate Health Care’s BabyAdvocate program, they knowthat Nicolas is a handful onlybecause he’s developingnormally.Since 1999, Baby Advocatehas provided timely guidancefor the new parents of morethan 100,000 babies born atAdvocate hospitals. Parentsreceive reminders to schedulenecessary check-ups and immunizations,ensuring that childrenget the vaccinations they needto stay healthy. Regular visitsto the doctor also help catchhealth and development problemsin the crucial early stagesand give parents an outlet forquestions about their child’shealth. That’s a healthypractice for both children andparents, says Anita Berry, R.N.,whose child developmentexpertise is passed on toparents through the program.“When parents, especially newor young parents, can anticipatetheir baby’s needs, they feelmore confident,” Berry says.“Being a first-time mom, youget scared,” Soto says.But it is great to have suchconcerned people at our healthcare facility. I’ve never felt sowelcomed to a hospital before.”

5_system_comm_benefit 7/22/05 11:57 AM Page 23Community Asthma ProgramBreast Health/Oncology ProgramWell Child ServicesMaternal Child ProgramSenior ServicesCounseling and Education for Victims ofViolence and AbuseNutrition Management ProgramSenior TransportationCongregational Health PartnershipsAdvocateBethanyHospitalWomen’s Wellness

5_system_comm_benefit 7/22/05 11:57 AM Page 24Nurturing Mind, Body and SpiritIn his role as spiritual leaderon Chicago’s west side, BishopJames Springfield helps nourishthe souls of his congregants.This year, he also led his flockin pursuit of physical well-beingby forming a partnership withAdvocate Bethany Hospital’sHealthy Sunday.Recognizing the important rolethat churches play in the livesof its neighbors, BethanyHospital instituted this regularevent as a way to ensure thatpeople get the care they need.With their minister taking thelead, more than 50 membersof Good Hope Free Will BaptistChurch traveled from Sundaymorning services to Bethany,where they received vital bloodpressure tests and glucosemeasurements to screen fordiabetes.“Talking about physical wellbeingin the church settingreminds our folks that physicaland spiritual well-being areconnected,” Bishop Springfieldsays. “I was delighted to setan example. Many of the peoplewho came to Bethany onHealthy Sunday haven’t gottenany health care in quite awhile.They made a connection thatmight save their lives.”“Healthy Sunday is part ofour Congregational Healthprogram,” says the Rev. LarryL. Jackson, director of missionand spiritual care at Bethany.“We believe our partnershipswith local churches enhanceBethany’s opportunity to helpprevent and treat diseases,such as hypertension, diabetes,and heart disease.”Following the screenings,participants made anotherstop — dinner together in theBethany cafeteria. “This alsois an important part of HealthySunday,” says the Rev.Jackson. “Coming together infellowship nurtures the bodyas well as the soul.”

5_system_comm_benefit 7/22/05 11:57 AM Page 25Regional Disaster Planning“Live… from the Heart”School Partnership ProgramCease Fire CollaborationSenior AdvocateLifeSource Blood BankHomeless Health Care NetworkFree Health Screening ProgramsCrisis Center AdvocacyOak Lawn Community PartnershipAdvocateChristMedicalCenter

5_system_comm_benefit 7/22/05 11:57 AM Page 26Collaboration Leads to DramaticTeaching Tool for TeensChicago area students have arare opportunity to imaginethemselves as cardiologists intraining by participating inopen-heart surgery thanks to apartnership between AdvocateChrist Medical Center and theMuseum of Science and Industry.One of only three such programsin the country, Live…from theHeart is a videoconferencebasedcardiovascular educationprogram designed to offerstudents and teachers ingrades 6-12 a dramatic explorationof the human heart.Every Wednesday during theacademic year, students visitthe Museum of Science andIndustry to view live surgery viavideoconferencing and interactin “real time” with the cardiovascularsurgeons and surgicalteam at Christ Medical Center.Through two-way audio andvideo, the students are encouragedto ask questions assurgery progresses — a trulyinteractive learning experience.In fact, any classroom across thecountry with access to videoconferencingcan join in on theprogram, as long as the studentshave done the pre-work neededto be “prepared” for surgery.Two additional classrooms jointhe surgery each week.“It has been a really successfulpartnership,” says SarahTschaen, senior educationcoordinator for the Museum ofScience and Industry. “Studentsare learning about careers incardiac care that they would nothave access to normally.”Since the program began inFebruary 2002, approximately6,000 students have taken partin Live… from the Heart bothlocally and nationally.

5_system_comm_benefit 7/22/05 11:57 AM Page 27School-Based Health CentersDental VanDeaf and Hard of Hearing ProgramDiabetes Care CenterAsthma Learning CenterHispanocareEmergency and Trauma ServicesPediatric Development CenterCreticos Cancer CenterSenior Housing CampusAdvocateIllinoisMasonicMedicalCenter

5_system_comm_benefit 7/22/05 11:57 AM Page 28Saving a Lifesaver’s LifeFirefighter Ron Michi claimsthat he is alive today becauseof quality care he received fromthe skilled physicians in theemergency department and thetalented cardiologists, nursesand other clinicians at AdvocateIllinois Masonic Medical Center.In December 2004, a fire brokeout on the 29th floor in theLaSalle building in Chicago’sLoop. Dozens of police, fire andother emergency crews successfullyevacuated the building,though in the process 37 peoplewere injured mostly from theresults of smoke inhalation.Ron was one of the emergencypersonnel who sought treatmentfor smoke inhalation at an areahospital and was released withina few hours. Yet days later,Ron stopped by the emergencydepartment at Illinois MasonicMedical Center because he feltlike he was still experiencingsymptoms.As one of only four Level Itrauma centers in Chicago,Illinois Masonic is one of thefew institutions with traumasurgeons and nurses who cancare for those with criticalinjuries. Families in the communitybenefit from having thissame medical expertise availableand accessible for theirmedical emergencies.And that’s what happenedwith Ron. The emergencyphysician ran a series of tests,including an EKG. A problemwas detected, and Ron wasscheduled for an angiogram.Blockages of 95% and 70%were found in his left mainartery, which is sometimesreferred to as the “widowmaker.” Ron had cardiacsurgery to open the blockage,recovered in the hospital fora few days and was sent homewith a new outlook on life.

5_system_comm_benefit 7/22/05 11:57 AM Page 29Job Shadow Programwith Maine East High SchoolSenior AdvocateCareer NightKid’s FairMedical Mission Trip to GuatemalaChild Care Fee AssistanceTrauma Day Tour for StudentsReinberg Elementary School Health ClinicCommunity Response TeamsHealthy Community PartnershipsAdvocateLutheranGeneralHospital

5_system_comm_benefit 7/22/05 11:57 AM Page 30Addressing the Crisis ofHealth LiteracyThere is a startling number ofpersons who find it hard to read,understand or act on basichealth information, such asprescription instructions, testresults and insurance forms.Advocate Lutheran GeneralHospital recognizes the tremendousimpact low health literacyhas on patient safety, healthand welfare, and launched acomprehensive awarenesscampaign in the Chicago area.The initiative is designed to helpphysicians, nurses and otherhealth care providers identifyindividuals with literacy needsand learn skills to communicateeffectively with all patients.“It isn’t easy to identify personswith low health literacy sincethis ‘silent epidemic’ affects allages, races and income levels,”notes the Rev. Lee Joesten,vice president of mission andspiritual care and chairman ofthe hospital’s health literacytask force. “Patients often aretoo embarrassed or intimidatedto ask for help, or reveal theyare confused by unfamiliar wordsor instructions given to them byhealth care professionals. Thisfrequently results in medicationerrors, ignored treatment plansand poor health outcomes.”The hospital’s initial focus includeddevelopment of health literacytraining sessions, a pilot study onseveral nursing units, benchmarkingand presentations by nationalexperts on the topic, and creationof a computer-based educationprogram accessible to the entireAdvocate system, along with otherhospitals and health care providersthroughout the community.“We’ve already seen positiveresults of these efforts,” saysthe Rev. Joesten. “Hospital staffsaid the training programs were‘real eye-openers’ and immediatelyimproved their teachingmethods with patients.”

5_system_comm_benefit 7/22/05 11:57 AM Page 31Community Health Ministry ProgramKids Boot Camp/ChildhoodObesity ProgramDomestic Violence Task ForceDiabetes Education ProgramWhy Wait ClinicBig Boomin Heart FairPartnership for Healthier CommunitiesNICU ReunionHealth & Wellness Center Charity MembershipsAdvocateGoodSamaritanHospitalMedicare Sessions for Pre-Retirees

5_system_comm_benefit 7/22/05 11:57 AM Page 32Healing Mind, Body and SoulUntreated depression is a seriousillness affecting all socioeconomicgroups. In DuPage County, faithleaders collaborated with stafffrom Advocate Good SamaritanHospital to address solutionsfor their communities. TheCongregational Mental HealthInitiative is the result of thispartnership.“Not only has it addressed acommunity need, it has broughtawareness of the church’s vitalrole in the mental health andwellness of its members,”says the Rev. Laura Hoglund,senior associate minister, FirstCongregational United Churchof Christ in Downers Grove. “Bybuilding a coalition, a refocusedand renewed spirit of caring andhealing has touched the GoodSamaritan community.”Ten churches with over 5,000total members are partnering tomobilize the strengths of theircongregations to address mentalhealth issues in their communities.Each faith communityhas established a healthministry cabinet, completeda congregational assessmentand set goals and objectives.Renewed ecumenical networkingand collaboration with publicand private health agencieshave developed as a result ofthe pastors and leaders workingto meet a common need. Manyof the health leaders report thattheir congregations are becomingstronger communities of care.“The mental health ministryinitiative has helped reduce thestigma of mental illness,” saysthe Rev. John C. Hildner, B.C.C.,senior pastor, Christ LutheranChurch, Clarendon Hills. “It hasoffered an opportunity for peoplein the congregation who havestruggled with mental illness,either personally or with lovedones, to use that experience as astrength and gift to others. It haspulled churches together to workto promote services and supportto serve the community.”

5_system_comm_benefit 7/22/05 11:57 AM Page 33Barrington Area Development CouncilFuture Physicians &Future Health Care ProfessionalsCardiac Rehab, PVD & Senior FairCardiac Outreach & Education, Cardiac Health LecturesSmoking Prevention/CessationDay of Caring Breast Cancer AwarenessDiabetes Boot CampSenior Breakfast ClubKids Care FairAdvocateGoodShepherdHospitalHearts & Parks—Healthy Wauconda Project

5_system_comm_benefit 7/22/05 11:57 AM Page 34The Results of SuccessfulCommunity PartnershipsAdvocate Good Shepherd Hospitalunderstands the importance ofbeing a strong community partner.Joining in collaborative efforts is agreat way to bring the best ideasand the right people together toaccomplish similar goals. In thecommunity of Wauconda, membersof United Partnership, a workgroup based on the HealthyCommunities model, saw acommon problem concerning inactiveyouth and obesity, and a way tohelp solve it with the Hearts andParks program.The goal of Hearts and Parks is toreduce the risk of heart disease byfocusing on increasing physicalactivity, improving nutrition andreducing obesity. Because childhoodobesity is a growing problem, theproject was focused on 5th gradersin Wauconda. Local physical educationteachers couldn’t agree moreand were enthusiastic to bring inthe program.With the help of dieticians, cardiologistsand physicians from GoodShepherd; and curriculumsprovided by the American HeartAssociation and the NationalHeart, Lung, and Blood Institute,students are encouraged toachieve higher standards on thePresidential Fitness Challenge.A second community project calledThe Fitness Challenge is a greatway to promote healthy living andget the entire family involved. Theprogram aligns with Advocate’smission of providing quality, compassionand partnership in care for all.“Preventing disease is just as, ifnot more important than treatmentalone,” says Julie Mayer, communityoutreach coordinator at GoodShepherd, and member of theUnited Partnership work group. “Ahospital can make a difference andtake a stand for prevention for thebetterment of the community.”

5_system_comm_benefit 7/22/05 11:57 AM Page 35Open Airways Asthma ProgramMedicare Patient TransportKids Health ExpoCongestive Heart Failure Support GroupMen’s Health ProgramsDiabetic Lifestyle ClassesCommunity Health and Wellness FairsNational Youth Leadership ForumSibling ClassesActive Senior ExpoAdvocateSouthSuburbanHospital

5_system_comm_benefit 7/22/05 11:57 AM Page 36Open Airways Educates Childrenand Keeps Them in SchoolHelping children learn tomanage their asthma not onlykeeps them healthy, it keepsthem in school. This is thegoal of a partnership betweenAdvocate South SuburbanHospital Respiratory ServicesDepartment and over 10 areagrade schools who participatein the American LungAssociation program, “OpenAirways.”South Suburban and itsemployees have been educating3rd, 4th and 5th graders onhow to live with and treat theirasthma since 2000. Lisa Ely,respiratory therapist, has beenclosely involved with the programsince 2002. Ely explains thepopularity of the program andhow it benefits all involved.“If the children are being pulledout of school, they are missingout on education, and itbecomes a financial burden forparents and the schools,” Elysays. “The kids want to learnto live with asthma and feelnormal.”Each year, Ely and her associatesselect about 10 childrenper school to participate in six45-minute sessions. They focuson empowering the child tounderstand their disease andlearn how to explain their needsto family, friends and teachers.And it’s working. Each year,Ely sees children from previousclasses anxious to tell her whatthey have taught to others,even trying to take the classagain because they want tolearn more. “We want thesechildren to be so comfortablein the knowledge of their treatmentthat it isn’t an issue,”explains Ely.

5_system_comm_benefit 7/22/05 11:57 AM Page 37Senior Exercise ProgramBaby on the WayInfant/Child CPRCongregational ConnectionsMid-Day Lecture SeriesSenior Exercise ProgramKidney Disease Self-Management ProgramCongestive Heart Failure Support GroupCommunity Health FairsDiabetes Education ClassAdvocateTrinityHospital

5_system_comm_benefit 7/22/05 11:57 AM Page 38Community Screenings GiveHope and HealthClayton Strickland is hopeful,yet afraid. He has just celebratedhis 55th birthday, but nomale in his recent family historyhas lived beyond the age of 56.With each passing birthday,Clayton has become moreaware of his need to proactivelycheck on and maintain hishealth. However, Clayton is ahard-working individual whosecompany does not providehealth coverage. This promptedhim to drop by a free health fairthat Advocate Trinity Hospitalwas hosting in his neighborhood.At this screening Claytondiscovered a few urgent healthissues and got enlisted, at nocharge into Trinity’s six-week,self management program,KEEP (Kidney Early DetectionProgram). Clayton says thatcommunity programs like healthfairs, screenings and selfmanagement programs, may bewhat get him to celebrate agreat feat; living beyond his56th birthday. “If it were not forthe free screening, I might nothave identified my health issuesuntil I landed in the hospitaland it was too late.”Trinity’s screenings and community-focusedprograms areusually held on weekend, and athours that are most convenientto community members. “I amvery grateful to Trinity Hospital,”says Clayton. “These programsare critical to the well beingof many in our communities.”With the help of Trinity Hospitaland its mission to providequality and compassionate careto all, Clayton will have less toworry about in the years tocome.

5_system_comm_benefit 7/22/05 11:57 AM Page 39Maine East High School Health ClinicAdult Down Syndrome CenterCystic Fibrosis CenterThe Memory Assessment andAlzheimer’s CenterCounseling CenterResidency Training ProgramsPalliative CareCommunity Health FairsWorksite Wellness ProgramsAdvocateMedicalGroupPediatric Education/Counseling

5_system_comm_benefit 7/22/05 11:57 AM Page 40The Addiction Treatment ProgramAn estimated 10 percent ofthe population has an addictionproblem. Behind this statisticstand thousands of individuals;each with a tragic story ofsuffering and struggle. AdvocateMedical Group understands thecompassion in care needed tohelp these individuals on theroad to recovery.The Addiction TreatmentProgram addresses the physical,emotional, social and spiritualneeds of patients and theirfamilies. When a person entersthe program, he or she hasa confidential assessmentwith an addiction counselor.Together, they determinethe nature and extent of theproblem and determine goalsfor recovery. The program offersinpatient detoxification services,outpatient evening and daytimeprograms, continuing care andfamily recovery services.Patients come from a widevariety of backgrounds: collegekids, middle-aged businesspeople, professionals, parentsof small children, the wealthyand the poor. Many patientsare without financial means oradequate insurance. Becauseavailable reimbursement doesnot cover the cost of care,Advocate Medical Group financiallysupports program costsout of its charity care andcommunity service funds.

5_system_comm_benefit 7/22/05 11:57 AM Page 41Home Nursing CareHome Infusion ServicesHome Medical EquipmentHospiceHome Pediatric ServicesHospice Volunteer ProgramHome Pharmacy ServicesHome Respiratory Care ServicesTranslation ServicesBereavement ServicesAdvocateHomeHealthServices

5_system_comm_benefit 7/22/05 11:57 AM Page 42Home Health Nurse and PatientHave Special BondSuffering from multiple sclerosisand a host of other physicalchallenges, Linda Orr has aquiet determination that helpsher face the future. Three daysa week, she also has Ann, anurse who understands the valueof Advocate’s mission to providequality and compassion in care.“Linda has been through a lot,”says Ann Soria, R.N., a nursewith Advocate Home HealthServices. “She was diagnosedwith MS thirty years ago, andin recent years lost both legsbelow the knee. She also iscatheterized and requireswound care. Still, she maintainsa positive attitude.” Ann hasbeen Linda’s home care nursefor the past 2 1/2 years,visiting her three days a weekand making sure that all of herphysical needs are being met.“Watching for signs of infection,both with the catheter and herwounds, is very important.” saysSoria. “The regular home care Iprovide helps Linda stay well sothat she can be home. Our goalis to keep her as healthy aspossible so that she can stayout of the hospital.”According to Linda, Ann doesa lot more than monitor herhealth status. “We are peasin a pod,” she says. “We getalong really well.” Linda saysher bond with Ann is strengthenedby the fact that both aredie-hard Cubs fans. “That bringsus even closer, and we alwayshave something to talk about.”Ann agrees, and says she andher family will travel to theBaseball Hall of Fame inCooperstown, New York, thisyear to see the induction of Cubfavorite, Ryne Sandberg. “I willtake lots of photos so Linda canshare the experience,” Ann says.“She will be with me in spirit.”Linda says she couldn’t imaginehaving anyone else as hernurse. “Ann is someone I cantrust…a real friend.”

5_system_comm_benefit 7/22/05 11:57 AM Page 43Senior ServicesCommunity Asthma ProgramSweet Stuff: Diabetes Education ProgramTranslation ServicesWorksite WellnessMayor Daley’s Senior FestReach Out and ReadMen’s Health LecturesBicycle Safety ProgramCommunity Health Fairs and ScreeningsAdvocateHealthCenters

5_system_comm_benefit 7/22/05 11:57 AM Page 44Helping Make Dreams Come TrueJoan Bravo works as a clinicalinformation analyst at AdvocateHealth Centers. But one dayeach year, she leaves heranalyst “hat” behind so she canwork at MedFest, an annualevent that brings more than1,500 young aspiring SpecialOlympians to the United Center.Joan is living the Advocatemission of providing compassionthrough care.At MedFest, a team of AdvocateHealth Centers physicians,nurses and support staff pitchin to provide free physical examinations.In order to compete inthe Special Olympics games,each child must have an up-todatephysical examination. Tomake sure no child is left outbecause of an inability to pay,Advocate Health Centers hassponsored MedFest for sixconsecutive years.“When the call goes out forMedFest volunteers, I am firstin line,” Bravo says. “It is themost fulfilling experience.Working with these excitedyoung people and contributingeven a little to their pursuit ofathletics is so rewarding.” Thisyear, Joan helped out withheight and weight measurements.“It’s the first stop formost of the athletes as theyarrive at the United Center.Sometimes the kids are a bitnervous and it’s great to beable to help begin the processin a positive way.“MedFest is a great day for allwho are involved,” she adds.“Children who are physically ormentally challenged get theexams they need to compete inSpecial Olympics. But we’re theones who win. We get to helpmake dreams come true.”

5_system_comm_benefit 7/22/05 11:57 AM Page 45We’re your doctors.

5_system_comm_benefit 7/22/05 11:57 AM Page 46We’re your hospitals.

5_system_comm_benefit 7/22/05 11:57 AM Page 47We’re your Advocate.

5_system_comm_benefit 7/22/05 11:57 AM Page 482025 Windsor DriveOak Brook, Illinois 60523-1586630.572.9393www.advocatehealth.org

5_system_comm_benefit 7/22/05 11:57 AM Page 1In 2004Advocate’s Contributionto Chicagoland$245,583,000

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