Download Yolo Hospice Inc.

Yolo Hospice Inc.
General Information
Contact Information
Nonprofit
Yolo Hospice Inc.
Address
1909 Galileo Court, Suite A
Davis, CA 95618 4890
Phone
(530) 758-5566
Web Site
www.yolohospice.org
Facebook
http://www.facebook.com/yolohospiceCA
Twitter
http://www.twitter.com/YoloHospice
At A Glance
Year of Incorporation
1979
Organization's type of tax exempt status
Public Supported Charity
1
Mission & Areas Served
Statements
Mission Statement
To serve our communities providing the highest level of care for every patient, every family, every time.
Background Statement
In 1979 a group of local volunteers wanted to provide our community with hospice services.
The work of these wonderful volunteers led to the development of Yolo Hospice. Yolo Hospice was developed
on the principal that dying is a normal part of life and it affects the whole being; mind, body and spirit. It also
recognizes that the care of the dying person affects the family and all those that love him/her.
Yolo Hospice, a not for profit, community based organization was run by volunteers until it became Medicare
and Medi-Cal certified in 1995. Since then Yolo Hospice has developed a highly trained interdisciplinary team
including a physician, a nurse practitioner, an all RN nursing staff, Masters trained Social Workers, Spiritual
Care Counselors, Certified Nursing Assistants, bereavement specialist and a large base of volunteers specially
trained in end of life care.
Yolo Hospice remains true to our mission of providing expert and compassionate hospice care, bereavement
support and public education about all end-of- life issues for all people in our culturally diverse community &
service area. Yolo Hospice has never denied a patient who needed care, including those without financial
resources or health care coverage.
Needs Statement
1.Funding for patient's and families that have no healthcare coverage. $12,000 per month covers hospice care
for two patient's and their families.
2.Funding for special patient wishes at end of life - $10,000 annually. We receive very special urgent wishes
from our patients at end of life that are beyond the medical scope of hospice. Recently a patient requested
from one of our spiritual care counselors to marry him and his partner of thirty years. This fund will help us to
continue to grant special wishes at end of life.
3.Funding for uncompensated Bereavement support for adults & children - $245,000 annually.
4.Funding for Yolo Care - Palliative Care Program. Support & resources for underserved patients who suffer
from chronic illnesses; allowing people to stay in their homes & have services provided to them. $180,000,
planning & staffing costs.
5.Funding for specialty Pharmacy needs at end of life - $50,000 annually.
2
CEO/Executive Director Statement
As the first established hospice in Sacramento Valley, Yolo Hospice has the longest regional track record as
experts in caring for people who have a life-limiting illness. Serving more than 180 communities in the five
counties of Yolo, Colusa, Sacramento, Solano, and Sutter, Yolo Hospice provides care in a range of settings
from private residences to nursing homes. Our most recent physician satisfaction survey shows that 100
percent of 150 referring physicians are satisfied with the care Yolo Hospice provided to their patients.
The most recent Family Evaluation of Hospice Care (FEHC) survey, used by thousands of hospices across the
country, shows that Yolo Hospice's bereavement program has scored among the top in the nation and 20 points
higher than the national average.
Yolo Hospice is dedicated to caring for the community. As a not-for-profit, 501(c)(3) organization, we provide
hospice care to patients, bereavement services to patients, loved ones and education in the community about
end-of-life issues, grief support, palliative and hospice care.
Hospice is a philosophy, not a place or a facility. Hospice provides physical, emotional, and spiritual support.
The objective of hospice services is to manage pain and distress; to optimize the quality of life for those with a
life-limiting illness. Hospice is a choice about making each moment count. The care may be provided in a
private home, an apartment, a residential board and care, or skilled nursing facility—wherever the patient calls
home. It’s not just for the last few days of life. Families often state they wish they had known about or started
hospice care sooner. Each person and their life situation is different—the care needs, the environment, the
acceptance, and sometimes the fear of the unknown. Our skilled staff recognizes the importance of meeting the
family and the patient where they currently are—physically, emotionally, and spiritually.
We can help identify the appropriate resources for immediate needs, such as caregivers, adult day care,
medical equipment, facilities and health care providers. We also offer additional unique services such as the pet
therapy program whereby animals are brought to visit with patients and give unconditional love; pet
loss support groups for those you have lost a beloved pet; bereavement support group with integrated yoga as
another tool to help individuals heal, combining education about the grief process, individual sharing & the yoga
experience and the Threshold Choir, an a capella, singing group who, when invited, bring ease and comfort at
the bedside to those at the threshold of living and dying.
Yolo Hospice makes a positive difference in the lives of others. We believe in the power of love and goodness.
We build hope for tomorrow.
Areas of Service
Areas
Sacramento County
Yolo County
Sutter County
Solano County
Service Categories
Primary Organization Category
Health Care / Home Health Care
3
Programs
Programs
Patient/Family Services
Description
When you or someone you love has a life limiting illness and when there
is no longer the possibility of a cure, Yolo Hospice is the choice. Our
highly trained specialists (MD, RNs MSWs, chaplains, aides and
volunteers) help manage pain and other symptoms, including the
emotional and spiritual aspects at the end of life. Our focus is on the
patient, as well as their loved ones; our goal is to meet their needs by
providing symptom relief, education, and anticipatory guidance with
practical support and resources. Yolo Hospice pays for durable medical
equipment (i.e. hospital beds, wheelchairs, oxygen etc.), as well as
medications related to the terminal illness and for symptom management,
and related items such as briefs and wound care supplies. RNs are
available 24 hours a day, 7 days a week to answer questions and make
necessary visits. Bereavement services are also available to the family for
13 months following the loss or longer if needed.
Budget
$5,091,113.00
Category
Health Care, General/Other Hospice Care
Population Served
Adults
Program Successes
Yolo Hospice was certified as a We Honor Veteran's Partner in 2013.
There are progressive star ratings from 1-5 indicating our advances in the
unique care of veteran's and our agency commitment to outreach,
collaboration, and promotion of this partnership and services available to
veterans. We are actively working towards our third star.
We offer a unique service with the Barbara Frankel Memorial lending
library, comprised of books, periodicals, support pamphlets & DVDs with
information to help those seeking support, guidance & comfort with a
variety of losses. Many families have taken advantage of these resources
housed in one place & readily available.
Community Education is a highlight of Yolo Hospice, with an R.N. &
Outreach Coordinator, actively working in the community as a resource,
offering education & training on hospice choices, community resources,
aging, caregiving & end-of-life care. They offer one-on-one visits, in group
presentations & at events.
Program Success Monitored By
Yolo Hospice’s Quality Assessment Performance Improvement Program
monitors the quality of patient care through a wide range of internal and
external evaluative methods. We participate in Mandatory reporting to
Centers for Medicare and Medicaid (CMS). For over 5 years Yolo Hospice
has participated in 3 national studies in which quarterly data is submitted
to the National Hospice & Palliative Care Organization with subsequent
reports compared to regional & national results. The Family Evaluation of
Hospice Care, the Patient Outcome Measures, & the Family Evaluation of
Bereavement Services studies monitor patient care both during &
immediately after services provided, as well as following the 13-month
Bereavement Services period. Yolo Hospice has a rigorous internal audit
process that systematically reviews patient care data on routine &
emergent frequencies. Analysis of the data findings dictates the
determined area of improvement efforts required. Evaluation cycles are
on-going.
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Bereavement Services
Description
The Yolo Hospice Bereavement Services staff is available to be a source
of caring support, free of charge, to those whose loved ones have been in
our care, as well as to community members. Bereavement specialists &
trained volunteers facilitate groups, family meetings, community
presentations & provide individual support sessions, home visits, &
telephone contact as needed. Grief is a natural & normal response to loss.
Though there are common experiences people share as they grieve, each
of us has a unique experience of grief as influenced by our personalities,
life experiences, coping styles, & the meaning of the loss to us. Loss
impacts our minds, bodies, and hearts. By tending to your grief, a sense of
increased comfort & gradual healing comes with time. The Barbara
Frankel Memorial lending library, comprised of books, periodicals, support
pamphlets and DVDs has information to help those seeking support,
guidance and comfort with a variety of losses.
Budget
$190,000.00
Category
Mental Health, Substance Abuse Programs, General/other Grief
Counseling
Population Served
Adults
Program Successes
• Added weekly p.m. drop-in group that runs concurrent to our
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Program Success Monitored By
children’s/teens group. Allows families to come in together to receive
support.
Added 8-week Loss of Spouse/Partner group offered 2-3x/yr. This is the
most common loss we see. This allows for an efficient way to support
these grievers who seek to be with others facing similar circumstances.
Added a Spanish-speaking bereavement specialist to provide follow-up
calls to Yolo Hospice families and support to community
members. Allows us to provide much needed support and referrals to
Spanish-speaking families.
Added several 2-3 hour workshops on grief-related topics throughout
the year. This provides education & support to individuals who might not
want to commit to our other services.
Added Pet Loss support group. This provides a place in our region for
people to gather to get support for this sad and often discounted loss.
• National Hospice/Palliative Care Organization’s Family Evaluation of
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Bereavement Services survey sent by us to the families served by our
agency.
Evaluations completed at the conclusion of our time-limited groups (i.e.
8-week).
Notes of gratitude and donations sent in for services provided.
Tracking of attendance at workshops & drop-in groups.
Funders who have awarded grants for program.
5
Stepping Stones
Description
Stepping Stones is a support program specifically designed to help
children & teens cope with the serious illness or death of a loved one.
We offer year-round access to a richly diverse program where children
direct their own healing with the guidance of caring & dedicated
bereavement specialists & volunteers. The on-going, open format support
groups allow them to participate as long as they may need. Art, play,
writing, music, projects & group discussions, are used as a means to
process grief. They make new friends, who can relate to them. The
Children’s group is for age 5-11 and the middler's group is 12-14,
the Teen’s group is for age 15-17. Special daytime sessions are
available for 3-5 year olds. Please see our website at
www.yolohospice.org for our current list of grief support groups. available.
Budget
$46,000.00
Category
Mental Health, Substance Abuse Programs, General/other Grief
Counseling
Population Served
Children and Youth (0 - 19 years)
Program Successes
• Restructured our children & teens program-now modeled after the
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Program Success Monitored By
internationally renown children & teens grief program-Dougy Center,
Portland OR. New format provides consistent, effective, proven program
of support.
Added Young Adult (18-25) support group-2x/month drop-in format. Fills
a gap in our own service offerings and in the region. Teens can
“graduate” into this group when they “age-out” of the teen group. Many
group members have suffered traumatic loss and often require longer
access to support to help them heal.
Developed 4-week curriculum for children/teens who would benefit from
a brief support/education model. Format could be used for groups
facilitated in schools. Allows us to serve children/teens with an
alternative brief, effective & efficient program.
Added children’s grief presentations/workshops. Provides opportunities
to respond to requests in the community for grief education for parents,
teachers, counselors, clergy, medical professions, etc.
• Evaluations are given to group participants and parents/guardians 2x/yr
or upon termination of group participation.
• Funders who have awarded grants for program.
• Notes of gratitude and donations sent in for services provided.
• Regular contact is maintained with the parents/guardians & provides an
excellent opportunities to assess how the child/teen is doing while also
providing support and education, as needed, to the adult.
6
We Honor Veterans
Description
We Honor Veterans, a program of the National Hospice and Palliative
Care Organization (link is external) (NHPCO) in collaboration with the
Department of Veterans Affairs (link is external) (VA), invites hospices,
state hospice organizations, Hospice-Veteran Partnerships and VA
facilities to join a pioneering program focused on respectful inquiry,
compassionate listening and grateful acknowledgment. By recognizing the
unique needs of America’s veterans and their families, community
providers, in partnership with VA staff, will learn how to accompany and
guide them through their life stories toward a more peaceful ending.
We Honor Veterans provides educational tools and resources in
advancing these goals:
• Promote Veteran-centric educational activities
• Increase organizational capacity to serve Veterans
• Support development of strategic partnerships
• Increase access and improve quality
Yolo Hospice is recipient of four stars with the We Honor Veterans
program.
Budget
$0.00
Category
Health Care, General/Other Hospice Care
Population Served
People/Families of People with Health Conditions
Program Successes
The use of the Military Checklist upon admission to our service
highlights for our team the service of a veteran and the challenges he/she
may face with end of life. It is an indicator that this patient is not a civilian
but a veteran and comes to us with a different story that requires us to
tune in to a different channel in order to hear all of his/her story. It also
raises the teams awareness that they are working with the family of a
veteran and allows them to be fully aware of all of the possibilities that
may entail.
Program Success Monitored By
When this program first began in 2011 we had very few veterans on
service with us. Our service to veterans has grown in three years. On
veterans day veterans made up a third of our census. The Military
Checklist is evaluated on a quarterly basis. Our work with veterans is
monitored and approved by the national We Honor Veterans program. We
remain committed to our veterans locally and on a statewide level.
7
Yolo Care - Palliative Care Program
Description
Yolo Care, a collaborative program with Partnership HealthPlan of
California, provides home-based palliative care and management for
patients with a life-altering illness. Every person is unique, so the program
is adapted for each patient's physical, emotional and spiritual needs.
A life-altering diagnosis presents very real challenges that go beyond
medical treatment. As doctors and specialists focus on treating your
condition, we focus on you. Your physical, mental, social and spiritual
well-being will all benefit from our whole-person supportive care.
Who Qualifies for Yolo Care?
Partnership HealthPlan members who are experiencing a decline in the
past 30 to 60 days due to an advanced chronic illness, including:
1.Congestive Heart Failure (CHF)
2.Congestive Obstructive Pulmonary Disease (COPD)
3.Cirrhosis
4.Dementia - Advanced
5.Frailty Syndrome
6.Stage IV Cancer
What's provided?
Yolo Care offers an assessment of care goals and needs, and it
establishes a coordinated whole-person approach to your care and/or
treatment. Many clients also find great comfort in the program's 24-7
access to a palliative nurse via a special phone number. Beyond that, the
program provides connection to community resources, companionship,
emotional support, practical help with errands or light housekeeping,
education about illness and what comes next, and respite or a little time
off for caregivers.
After assessing a client's needs, a case manager connects clients with
appropriate resources. The case manager may also assign a
professionally trained volunteer for ongoing support.
What's the cost?
There is no charge for Yolo Care clients. The program is funded through
Partnership Healthplan of California and other philanthropic support.
Budget
$105,600.00
Category
Health Care, General/Other Health Care Reform
Population Served
At-Risk Populations
Program Successes
Yolo Care was launched in collaboration with Partnership Healthplan of
California in September 2015. Initially, it was designed to be a six month
pilot program but has now received an extension of six months. We
currently have seven patients on service with Yolo Care.
Program Success Monitored By
This is a pilot program with Partnership Healthplan of California. Results
are tracked by QDACT and Advance Care Planning tools including the
POLST. Monthly tracking by Partnership Healthplan of California and biannual audits. The entire project is contributing to the guidelines of the
state of California is instituting for palliative care for all Partnership
patients.
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Management
Executive Director
Mr. Craig Dresang
E-mail
E-mail
Senior Staff
Name
Title
Mrs. Stephanie Gwiazdon RN
Director of Patient Care Services
Dr. Kendra Hutchinson M.D.
Medical Director
Ms. Gwendolyn Kaltoft R.N. EdD
Director of Quality & Compliance
Mr. Kris Kirkendall
Chief Financial Officer
Mrs. Judy Ravarra
Director of Human Resources
Staff
Full Time Staff
46
Part Time Staff
21
Volunteers
70
Contractors
7
Affiliations
Affiliation
Year
Woodland Chamber of Commerce
2000
AFP (Association of Fundraising Professionals)
2009
Nonprofit Resource Center
2000
United Way Member Agency
2011
Awards
Award/Recognition
Organization
Year
We Honor Veterans Four Star
Partner
US Department of Veteran Affairs
2015
9
Governance
Board Chair
Board Chair
Mr. Tom Frankel
Company Affiliation
Retired
Term
Feb 2013 to Feb 2016
Board of Directors
Board Members
Name
Affiliation
Ms. Sharon Blaha
Community Volunteer
Ms. Nancy Bramberg
Retired Attorney
Dr. Scott Christensen MD
UC Davis Med Center
Ms. Jackie Clark RN
RN Manager California Medical Facility
Mrs. Marion Franck
Community Volunteer
Ms. Lynn Gore
Community Volunteer
Mr. Don Gray
Retired
Mrs. RoseMarie Hendrickx
Retired Financial Manager
Dr. Virginia Joyce MD
Sutter Health
Ms. Emily Murdoch RN PHN
RN PHN
Ms. Madalon O'Rawe Amenta RN DrPH
Community Volunteer
Ms. Colleen Perry FNP
Retired
Mr. Pete Wilbur
Community Volunteer
Board Demographics - Ethnicity
African American/Black
1
Asian American/Pacific Islander
0
Caucasian
13
Hispanic/Latino
0
Native American/American Indian
0
Other
0
Board Demographics - Gender
Male
4
Female
10
Unspecified
0
Governance
Board Meeting Attendance %
85
10
Number of Full Board Meetings Annually
11
Percentage Making Monetary Contributions
100
11
Financials
Fiscal Year
July 01, 2014 - June 30, 2015
Detailed Financials
Prior Three Years Total Revenue and Expense Totals
Fiscal Year
2015
Total Revenue
$5,652,146
Total Expenses
$5,980,252
Prior Three Years Revenue Sources
Fiscal Year
Foundation and Corporation
Contributions
Government Contributions
Federal
State
Local
Unspecified
Individual Contributions
Indirect Public Support
Earned Revenue
Investment Income, Net of Losses
Membership Dues
Special Events
Revenue In-Kind
Other
Prior Three Years Expense Allocations
Fiscal Year
Program Expense
Administration Expense
Fundraising Expense
Payments to Affiliates
Total Revenue/Total Expenses
Program Expense/Total Expenses
Fundraising Expense/Contributed
Revenue
Prior Three Years Assets and Liabilities
Fiscal Year
Total Assets
Total Liabilities
Total Net Assets
2014
$6,022,362
$5,882,544
2013
$5,639,954
$5,774,096
2015
--
2014
--
2013
--
$0
----$265,271
-$5,287,389
$25,377
-$18,104
-$56,005
$0
----$266,914
-$5,668,840
$43,951
---$42,657
$0
----$255,938
-$5,287,255
$39,732
---$57,029
2015
$4,908,325
$786,868
$285,059
-0.95
82%
101%
2014
$4,827,014
$580,392
$475,138
-1.02
82%
178%
2013
$5,103,772
$403,422
$266,902
-0.98
88%
104%
2015
$6,211,162
$2,000,541
$4,210,621
2014
$6,755,986
$2,289,389
$4,466,597
2013
$1,926,361
$5,774,096
($134,142)
Prior Three Years Top Three Funding Sources
12
Fiscal Year
Top Funding Source & Dollar Amount
2015
Program Service
Revenue $5,287,389
Second Highest Funding Source & Dollar All other
Amount
contributions, gifts,
grants and similar
amounts not included
$265,271
Third Highest Funding Source & Dollar
Gross Rents $56,005
Amount
Created 11.01.2016.
13
2014
Program Service
Revenue $5,668,840
Contributions, Gifts &
Grants $266,914
2013
Program Service
Revenue $5,287,255
Contributions, Gifts &
Grants $255,938
Investment Income
$43,951
Other Revenue
$57,029
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