HIP Member Organizations / Board of Directors
Cabrillo College
Central California Alliance for Health
Community Foundation Santa Cruz County
County of Santa Cruz Health Services Agency
County of Santa Cruz Human Services Department
Diabetes Health Center
Dientes Community Dental Care
Dignity Health Dominican Hospital
Dignity Health Medical Network
Encompass Community Services
Hospice of Santa Cruz County
Janus of Santa Cruz
Pajaro Valley Community Health Trust
Palo Alto Medical Foundation
Planned Parenthood Mar Monte
Salud Para La Gente
Santa Cruz Community Health Centers
Santa Cruz County Medical Society
Stanford Children's Health
Sutter Maternity & Surgery Center
United Way of Santa Cruz County
Watsonville Community Hospital
On behalf of the HIP Team, I am pleased to present HIP’s 2019 Annual Report to our community of partners. What an honor to be in service to your organizations' collective pursuit of health and wellness for all residents of Santa Cruz County. Thank you for the collaborative spirit embodied through your commitment to HIP.
Onward to 2020!
~Elisa
Elisa Orona, Executive Director
Health Improvement Partnership Santa Cruz County
YEAR IN REVIEW
As we head into 2020, it is exciting to share the progress we have made toward the goals of the HIP Strategic Plan published in 2015. With the implementation of the Affordable Care Act and our partners’ individual and collaborative efforts to strengthen the safety net, Santa Cruz County has expanded coverage and access, as well as improved quality of care. However, challenges for patients persist in the system and looming threats to the ACA require that HIP continues to serve as a nexus of collaboration, innovation and activism.
The 2019 HIP Annual Report provides an overview of accomplishments this year, complimented by the HIP Strategic Framework and 2024 HIP Horizon. Together, these visuals ground us in HIP’s mission, as well as our role in supporting healthcare partners in their goals and collective efforts to address social determinants of health and achieve health equity.
This year, an expanded version of our Annual Report will live on our website to provide further details on HIP’s array of programs. We also envision that the 2024 HIP Horizon serve as a dynamic visual representation of our agility and responsiveness to the constant change in the healthcare environment.
*Click on HIP Program
From Left: Rodsyl Ryan Magcuyao (Operations Manager), Patrick Sullivan (HIP Intern), Coral Brady (Program Assistant), Shelly Barker (Program Director), Ciaran Murphy (Coalition Assistant – VISTA), Elisa Orona (Executive Director), Sarah Adler (Program Analyst), Anais Muller-Cohn (Operations Assistant), Maritza Lara (Program Manager), Rita Hewitt (Program Coordinator)
HIP Program Highlights
Annual HIP Community Forum (Community Forum)
The 2019 Annual HIP Community Forum, titled The Future of Health, celebrated the local work of the Cradle to Career Parent Leadership Committee and Dr. Salem Magarian’s many years of outstanding pediatric care in the community. We also welcomed renowned Canadian Healthcare Futurist, Dr. Zayna Khayat, who presented an optimistic future for healthcare powered by upstream approaches and technology tools. Attendance was at an all-time high of 168, and included Watsonville Highschool students, Live Oak parents and a diverse group of staff members representing HIP partner organizations.
The HIP Community Forum embodies the core of HIP’s work: to improve the health of the community through collaborative partnership. The Community Forum convenes a wide spectrum of Community Members, from students and individuals to stakeholders and Elected Officials, to celebrate local achievements and listen to nationally renowned experts. 2020 will see the 13th year of the Community Forum.
Complex Care Coordination (CCC)
This year HIP advanced systems level change in the area of Complex Care Coordination (CCC). HIP hosted 6 Care Coordination Networking Sessions focused on reinforcing interagency communication and strengthening relationships among providers serving complex patients. In partnership with the Santa Cruz Health Information Organization, HIP provided leadership in the process of selecting a community care coordination platform for client data sharing. With improved information sharing systems we expect patients to experience better care and health outcomes. The HIP team is deeply invested in a collaborative approach to problem solving; we actively promote awareness of specific local care coordination programs and facilitate their alignment. Read more...
"One patient with type-2 diabetes, arthritis, shoulder pain, and other health conditions displayed signs that health was not a priority. She had poor diabetic care, was postponing appointments, and was highly utilizing the ED. Since receiving care coordination services, her A1C level has gone down, she’s lost 9 lbs, and hasn’t had any ED visits. She has joined a gym, made positive dietary changes, and has submitted housing applications." – Salud Para La Gente
Continuing Medical Education (CME)
HIP has hosted 5 Continuing Medical Education (CME) sessions in the past year. Each of these events were attended by an average of 80 people from a variety of disciplines. CMEs featured regionally renowned keynote speakers and curated local resources.
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November 2018 – Importance & Value of Addressing Social Determinants of Health
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April 2019 – Redesigning Health Care Delivery with Community Health Workers
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June 2019 – Reducing Adverse Childhood Experiences through Parental Interventions with a Focus on Depression & Anxiety
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June 2019 – Bridging the Gaps in Substance Use Disorder: Updates on Pregnancy, Neonatal Abstinence Syndrome and Expanding Treatment in the Inpatient and Outpatient Settings
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September 2019 – Improving Complex Care in Integrated Care Settings
DataShare Santa Cruz County (DataShare SCC)
DataShare Santa Cruz County (Data Share SCC) officially launched in March! DataShare SCC is an interactive data platform with local, state, and national data. Users can explore and analyze Santa Cruz County data from over 230 indicators/30 sources that are automatically updated when new data is available. A goal of the HIP-led DataShare SCC Steering Committee is for the website to promote equity by highlighting disparities in our community. 2,300 users since the site launch in March 2019
Empathy Effect (EE)
The Empathy Effect workshop guides team members as they examine their own beliefs and biases that may get in the way of compassionate care for all patients. While most people who work in healthcare are drawn to direct patient/client service, few have exposure to intentional training focused on evidence-based communication and models for interacting with patients/clients. This training uses foundational beliefs that:
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Empathy is healing, and judgment is harmful
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Vulnerable populations experience greater harm by judgment and lack of empathy
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We all have judgments, and we can learn to mitigate them
“This training was so beneficial. I’m glad there are more workshops coming up. I’d encourage anyone to attend, whether involved in direct services or not” - EE Training Participant
HIP Council (HIPC)
HIP Council creates opportunities for local healthcare leaders to make our community healthier. For over 15 years, HIPC has met monthly (at the same place and same time) to constructively address issues that are beyond any one organization’s capacity or domain to solve. Read more...
Integrated Behavioral Health Action Coalition (IBHAC)
In 2019, Integrated Behavioral Health Action Coalition (IBHAC) formed a Steering Committee and initiated a strategic planning process. The group’s Vision is for all people in Santa Cruz County to experience optimal physical and emotional well-being, dignity, and prosperity. IBHAC’s Operating Principles include collaboration, integration, inclusion, and a “no wrong door” approach. It is our coalition’s collective goal to put these principles into action and provide seamless, payer blind, and culturally & linguistically appropriate care to individuals and families in our community. We are committed to including the rich insights that come from the lived experiences of those affected by behavioral health challenges in our coalition’s efforts. Read more...
Quality Improvement (QI)
HIP supports its partners in hosting Quality Improvement (QI) events for the local healthcare community. On November 13, 2019, HIP staff provided logistical support for the Central California Alliance for Health’s Provider Transformation Academy.
SafeRx Santa Cruz County (SafeRx)
In August, SafeRx Santa Cruz County (SafeRx) presented at DHCS's annual Substance Use Disorder Conference on our innovative Medication Assisted Treatment Advisory Group (MAT-AG). Over 50 people attended the presentation titled Breaking Barriers to MAT by Breaking Bread - Increasing Provider Confidence: The Creation of the Santa Cruz SafeRx MAT-AG. Additionally, SafeRx was selected among a cohort of 4 opioid safety coalitions in the state to participate in the Center for Care Innovations’ Community Partnerships program. With CCI support, SafeRx hosted an October mapping session, where community stakeholders illuminated new pathways to better address the complex issues of substance use disorder and stigma. Learn more...
Safety Net Clinic Coalition/Medical Directors
The Safety Net Clinic Coalition (SNCC) continues to apply human centered-design methods to plan and execute the quarterly meetings. SNCC convenes both administrative and medical director staff of partner organizations to tackle shared clinical and workforce-related issues, as well as advocate for community health centers and other key providers in the primary care safety net. This year SNCC broadened participation by including behavioral health directors and organizations addressing mental health and substance use disorders. Events and key topics covered this year included:
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The Linkage Between Obesity, Trauma, & Social Determinants of Health
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Neonatal Abstinence Syndrome: Where are We Now?
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Quality Improvement and Workforce Development trends
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National Health Center Week: 2019 SNCC social media campaign
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SNCC leaders interviewed on the “Good News Santa Cruz” radio show
Workforce Development
HIP supports the development of a strong, knowledgeable workforce through programs that enhance the skills of healthcare providers, non-licensed clinical staff, and management. The number of Full Time Equivalents licensed health care providers in the Safety Net Clinic Coalition (SNCC) grew by 157% from 2012-2016. Although the safety net workforce has grown, workforce supply and demand continues to be a priority for local healthcare leaders.
FINANCIAL HEALTH
ASSETS
Total Checking/Savings 473,154.53
Total Accounts Receivable 337,040.07
Total Other Current Assets 15,738.76
Total Assets 825,933.36
LIABILITIES & EQUITY
Total Liabilities 90,324.74
Equity 735,608.6
Total Liabilities & Equity 825,933.36
