St. Francis Medical Center 2012 Community Health Needs Assessment St. Francis Medical Center- Community Health Needs Assessment 2012 1 TABLE OF CONTENTS 1 INTRODUCTION..............................................................................................................................................3 1a Brief description of hospital, history and services provided ....................................................................3 1b Mission statement, vision and values.......................................................................................................3 1c Organizational commitment to community benefit .................................................................................4 1d Commitment statement to the uninsured and underinsured ..................................................................5 2 COMMUNITY HEALTH NEEDS ASSESSMENT ..................................................................................................6 2a Community ...............................................................................................................................................6 2a i Definition of community served by the hospital .............................................................................6 2a ii Demographics of the community ....................................................................................................7 2a iii Uninsured persons, low-income persons, and minority groups ......................................................8 2b 2c 3 Data collection ........................................................................................................................................10 2b i Process used to gather data ..........................................................................................................10 2b ii Information gaps ............................................................................................................................11 Health needs of the community .............................................................................................................11 2c i Process to identify and prioritize needs ........................................................................................11 2c ii Prioritized list and description of community health needs ..........................................................11 2c iii Healthcare resources available in the community to meet the needs ..........................................14 CONTACT INFORMATION.............................................................................................................................16 St. Francis Medical Center- Community Health Needs Assessment 2012 2 1 INTRODUCTION 1A BRIEF DESCRIPTION OF HOSPITAL, HISTORY AND SERVICES PROVIDED St. Francis Medical Center (SFMC) opened in August 2008. SFMC is one of two hospitals which make up Penrose-St. Francis Health Services (PSF) system in Colorado Springs. This 172-bed facility is the only fullservice hospital in Northern Colorado Springs and features a modern Birth Center, Level IIIA Neonatal Intensive Care Unit, Pediatric Care Unit, Emergency Department, Level IV Trauma Center, Imaging Services, Surgical Services, and Critical Care Unit. It is also the home base for the Flight For Life Colorado air ambulance helicopter service. SFMC employs 810 associates which makes PSF one of the largest employers in El Paso County (EPC). PSF has 782 affiliated physicians providing services in their facilities. Penrose Hospital, the anchor hospital, and St. Francis Medical Center make up Penrose-St. Francis Health Services which has 782 affiliated physicians providing services in their facilities. Penrose-St. Francis is annually recognized as one of the best hospitals in America through Health Grades, Consumer Reports, ThompsonReuters and the U.S. News. Penrose-St. Francis Health Services is part of the Centura Health system. Centura Health is Colorado’s largest health care provider and has an integrated network of hospitals, senior living communities, medical clinics, and affiliated partner hospitals. For more information about St. Francis Medical Center, visit www.sfmc.org. 1B MISSION STATEMENT, VISION AND VALUES Our Mission: We extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities. Our Vision: To fulfill a covenant of caring for our communities to become their partner for life. Our Core Values: Compassion- In serving our customers, their families and each other, we will: o Honor the individuality of each person; o Treat each person with dignity, taking the time to be present, to listen, to explain and to understand; o Create a caring environment that exudes humanity, humility, grace and love. Respect- In working with each other, we will: o Encourage and value the contributions of each person, and make each feel supported, reassured and empowered; o Listen well, communicate openly and honestly, and encourage others to do the same; o Treat others as we would like to be treated ourselves, relating so well with them that they actively seek to associate with us. Integrity- In all of our interactions, we will: o Foster trust by being truthful, empathetic and consistent; St. Francis Medical Center- Community Health Needs Assessment 2012 3 o o Be authentic and courageous, aligning what we are thinking, saying, feeling, and doing; Be responsible for and follow through on the commitments we make. Spirituality- In honoring the missions, ministries, and heritages of our Catholic and our Adventist sponsors, we will: o Add meaning and purpose to the lives of our associates, physicians, and partners; o Celebrate the role of spirituality in healing for each individual; o Serve each other and our communities in harmony with the inclusiveness, wholeness and touch that characterized Christ's healing ministry. Stewardship- In managing the natural, human, and financial resources to which we have been entrusted, we will: o Seek ways to appropriately utilize resources, allowing us to become more effective and productive; o Act responsibly, taking only those actions that align with our mission; o Be accountable to the organization and to each other for our actions and the outcomes they produce. Imagination- In seeking to grow our ministry, we will: o Look beyond the challenges of the present and envision what is possible; o Cultivate and reward innovation and risk taking; o Embrace continuous learning and positive technological advancement. Excellence- In all we do, we will: o Put forth our personal and professional best, providing the highest quality of care of which we are capable; o Commit ourselves to continuous improvement, seeking to set the recognized performance standards within our industry; o Deliver a superior experience for all of our customers, sensing their needs and exceeding their expectations. 1C ORGANIZATIONAL COMMITMENT TO COMMUNITY BENEFIT Colorado’s needs are growing. To live our mission in an economy that challenges more people than ever before, Centura Health continues to lead the way in helping Coloradans access quality health care. The connected network of facilities, entities and foundations that form the Centura Health family are serving community needs through education, preventive care, safety initiatives, health advocacy, counseling and support groups. Our work in our communities is born out of the second part of our mission, which compels us to serve others “…by nurturing the health of our communities.” From access for the uninsured, to serving as a voice for health care in the state legislature, to community classes and education to build strong, healthy communities, Centura Health is a partner for life. We are more committed than ever before to making our world a better place, and we seek to make the most impact in every community we touch. Penrose-St. Francis Health Services ‘ commitment to all people in the community, regardless of their ability to pay, provided more than $120 million in free and uncompensated care in fiscal year 2012. St. Francis Medical Center- Community Health Needs Assessment 2012 4 1D COMMITMENT STATEMENT TO THE UNINSURED AND UNDERINSURED According to Centura.org, more than 700,000 Coloradans are without health insurance and, as a result, growing numbers are facing difficulties paying for medical care. Centura Health believes that hospitals should have the ability to offer discounts to those who are unable to obtain insurance and do not meet charity care criteria. It is the policy of Centura Health to provide uninsured patients with discounted rates for all hospital bills. The discount is applied to all hospital inpatient, outpatient and Emergency Room bills that have been screened and do not have third-party insurance, Medicare, Medicaid, Champus, or other governmental payer programs and do not meet the Centura charity guidelines. Centura Health strives to compassionately serve uninsured patients with an understanding of the financial burdens they may face. Centura supports and advocates for meaningful and appropriate changes in legislation that improve access to affordable, quality medical care for the uninsured. Centura Health will treat uninsured patients in the following manner: Uninsured patients will be treated fairly and with respect during and after treatment, regardless of their ability to pay. Uninsured patients will be provided with financial counseling, including assistance applying for local, state and federal health care programs such as Medicare, Medicaid and the Colorado Indigent Care Program. Uninsured patients will be informed of and assisted in applying for charity care available through Centura Health as appropriate. Centura Health utilizes a charity discount schedule that takes into account state or federal poverty guidelines to aid in the qualification of patients seeking assistance in meeting their financial obligations. Financial counselors will attempt to meet with all uninsured patients prior to discharge from the hospital. Financial counselors will use best efforts to personally contact uninsured patients before any collection activities are initiated. Uninsured patients that do not qualify for assistance will receive a 30 percent discount off billed charges. This will automatically be adjusted during the billing process, so that all statements and collection efforts will be based on the discounted amount. Centura will also offer an additional 15 percent Prompt Pay Discount for accounts paid in full within 60 days of receiving the first statement of patient liability. If at any point an alternative payment source is identified, all discounts stated in this policy will be reversed. A call center is available so that patients may speak to an individual who can help them with questions on their bills; the call center phone number is prominently displayed on all billing correspondence. Hospital-based physicians and related entities will be encouraged to follow the Centura Health Principles Regarding Uninsured Patients but this is done at their discretion. St. Francis Medical Center- Community Health Needs Assessment 2012 5 Centura Health will not engage in the following activities: Centura Health will not pursue legal action for nonpayment of hospital bills against any patient who has worked with Centura to demonstrate his or her inability to pay and who is unemployed or otherwise financially unable to pay. Centura Health will not pursue legal action for nonpayment if the only way to collect payment would be to place a lien on the patient's home. Centura Health always has distinguished itself from other hospitals and systems in its treatment of the uninsured: Centura Health hospitals will continue to treat patients in their emergency rooms without regard to the patient's ability to pay. All patients will continue to be triaged and treated as appropriate. Centura Health has provided numerous outreach programs to the community in its pursuit of healthy communities and constantly seeks opportunities to advance its health care ministry. It is not the practice of Centura Health to place a lien on a patient's home when it is the patient's only asset. Centura Health will continue to work for increased access and coverage for the uninsured through legislative and community activity. It is the practice of Centura Health not to pursue legal action for nonpayment unless it has first examined the patient's eligibility for other assistance or charity care. 2 COMMUNITY HEALTH NEEDS ASSESSMENT 2A COMMUNITY 2A I DEFINITION OF COMMUNITY SERVED BY THE HOSPITAL To ensure alignment with publicly available Colorado Department of Public Health and Environment (CDPHE) data, Centura Health leaders decided that Colorado counties would comprise the geographic area for the 2012 Community Health Needs Assessment (CHNA). Individual Centura hospital facilities then examined their primary market areas and identified Colorado counties where at least 10% of their patient population resided. The counties identified by each facility comprise the “Primary Service Area” used in the data reports. The Primary Service Area for St. Francis Medical Center includes all the zip codes within El Paso County. El Paso County represents 94% of all hospital admissions. As a feeder hospital for other facilities, St. Francis Medical Center regularly serves transfers from Pueblo, Teller and Fremont Counties as well. St. Francis Medical Center- Community Health Needs Assessment 2012 6 2A II DEMOGRAPHICS OF THE COMMUNITY El Paso County is located in the south central region of Colorado. As of July 2010, the county had an estimated 627,096 residents and the population is projected to reach nearly 1 million over the next three decades. El Paso County is a mix of urban, suburban, and rural communities with about two-thirds (419,353) of the population residing within the city of Colorado Springs. El Paso County’s population is comprised of 50.2 percent females. The median age is 34.1 years, with 26.1 percent of the population under the age of 18 years and 10 percent over the age of 65 years. The racial and ethnic breakdown in the county shows the population to be predominantly non-Hispanic white (73.9 percent), followed by 15.0 percent Hispanic of any race; non-Hispanic black and other non-Hispanic races comprise 6.3 percent and 4.8 percent of the total population, respectively. Vital statistics data showed that during 2010, there were 9,187 live births and 3,530 deaths in El Paso County. El Paso County has a large military presence, including four military installations – Fort Carson Army Base, Peterson Air Force Base, Schriever Air Force Base and the United States Air Force Academy. A 2011 report from the greater Colorado Springs Chamber of Commerce estimates that these four installations employ nearly 40, 500 military personnel and approximately 21,000 civilian/contract personnel. Three-quarters of military personnel are estimated to live in communities outside the military bases. El Paso County is home to 58 percent of Colorado’s military retiree population, according to this report. The median household income in El Paso County was $51,548 in 2010 with 19.1 percent of children younger than 18 years and 10.4 percent of families living below Census Bureau’s 2010 poverty threshold. Families living in poverty are more concentrated in south Colorado Springs, and south-central and eastern El Paso County. An estimated 8.9 percent of households in El Paso County received Supplemental Nutrition Assistance Program benefits (SNAP, formerly known as food stamps) in 2010; among households receiving SNAP, 56.2 percent were below the poverty threshold and 60.3 percent included children younger than 18 St. Francis Medical Center- Community Health Needs Assessment 2012 7 years of age. According to the Colorado Department of Labor and Employment, the average unemployment rate in El Paso County during 2011 was 9.5 percent. In 2010, 22 percent of El Paso County residents ages 25 years and older held a high school diploma or equivalent as their highest degree, and just over one-third held a bachelor’s degree or higher. The on-time graduation rate, defined as the number of students who completed high school within four years, for the class of 2010 was 78.4 percent. During the same academic year, 2.1 percent of seventh to twelfth grade students dropped out of school in El Paso County. An estimated 11 percent of people ages 5 years and older in El Paso County spoke a language other than English at home in 2010, with more than half (58.3 percent) being Spanish-speaking. Of those speaking a language other than English at home, 36.2 percent were considered linguistically isolated (defined as speaking 1 English “less than very well). 2A III UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS The Colorado Department of Public Health and Environment (CDPHE) created a health equity model that defines many social determinants of health and how they impact health behaviors across the life course. Health disparities are rooted in differences based on social determinants of health, which helps explain why certain populations have a disproportionate share of disease burden. Identifying health disparities defines those people in a population that are higher risk for worse health outcomes. For example, circumstances in early life can have a profound effect on health at all ages. Inadequate education can limit employment options during early adulthood, which could lead to substantially lower family income, causing a family to live in a poorer neighborhood that does not have easy access to healthy food outlets, which in turn impacts eating behaviors that result in higher obesity rates among people with lower educational attainment. Additionally, these socioeconomic conditions may contribute to having poor access to care or undertaking other high-risk behaviors, such as cigarette smoking. Understanding what has an effect on unhealthy behavior is instrumental to designing and implementing successful programs to improve health outcomes. 1 El Paso County health Indicators 2012 Report St. Francis Medical Center- Community Health Needs Assessment 2012 8 Health disparities or inequities are present in El Paso County. In the section of the 2012 El Paso Health Indicators Report, maps are included to illustrate where people who may have health disparities live in the county. Rather than provide an exhaustive list of those maps, the above-mentioned report is referenced. Because of its significance, the following map has been included. Figure 5. Percent of Families Below Census Poverty Threshold- El Paso County 2006 to 2010 St. Francis Medical Center- Community Health Needs Assessment 2012 9 2B DATA COLLECTION 2B I PROCESS USED TO GATHER DATA The Center for Health Administration at the University of Colorado Denver was retained to conduct the data collection for the Centura Health system and its respective hospital facilities. PUBLIC HEALTH DATA Data for the Community Health Needs Assessment (CHNA) was predominantly collected from the Colorado Department of Public Health and Environment (CDPHE). The CDPHE’s Colorado Behavioral Risk Factor Surveillance System Survey (2003-2010) was used to determine information about adult behaviors that impact health, such as substance abuse, eating and exercise habits, and smoking. The national Youth Risk Behavior Survey (2003-2010) was queried to determine behaviors that impact the health of students from 9th through 12th grades. The CDPHE’s database was also probed for information on mortality rates for a variety of health indicators. Data from the El Paso County Health Indicators 2012 Report and the Pikes Peak United Way Quality of Life Indicators 2011 Report served as validation of the CDPHE data. Many other sources were used to provide information relevant to each topic area. COMMUNITY LEADER INTERVIEWS Focus groups made up of community leaders met and responded to a consistent set of questions. Invitees were chosen based upon the area of expertise or interest in relationship to community health. The focus groups were asked to: 1) review compilation of existing data, and 2) to help translate that data to their own experience as a leader in the community and to provide their perspectives on the predominant health issues in their communities. There were three focus groups meetings that took place in April 2012 and each meeting lasted several hours. Those community leaders invited to participate in the focus groups are listed below: • El Paso County: CATCH (Community Access To Coordinated Health)- Robin Johnson, MD** • Catholic Charities-Mark Rohlena, Executive Director** • Mountain View Medical Group, P.C.- Karen Childs, MD (pediatrics) • Community Health Partnership - Carol Bruce-Fritz, Executive Director** • El Paso County Department of Human Services - Richard Bengtsson, Human Services Director** • School District 11 – Mark Cauthen, Director Risk Related Activities • Academy School District 20 - Mark Hatchell, PhD, Superintendent • El Paso County Medical Society - Mike Ware, Executive Director • • El Paso County Public Health - Kathy Rice, Director Office of Planning, Partnerships, and Accreditation** First Presbyterian Church- Rev. Jim Singleton • Joint Initiatives - Kathy Moan, Executive Director** St. Francis Medical Center- Community Health Needs Assessment 2012 10 • Mission Medical Clinic - Bonnie Angotti, Board Chairman and Interim Executive Director** • Penrose-St. Francis Community Board Member - Nancy Lewis • New Life Church - Rev. Brady Boyd & Matthew Ayers • Peak Vista Community Health Centers - Pam McManus, President & CEO** • Colorado Springs Health Partners, PC- Gil Porat, MD (internal medicine) • Pikes Peak Area Agency on Aging - Robert MacDonald, Executive Director** • Pikes Peak United Way - JD Dallager, CEO/President** • Penrose-St. Francis Community Board Member - Cathy Robbins • SET Medical Clinic - Barb Cronin, Interim Director** • Penrose-St. Francis Community Board Member - Pam Shipp • Colorado Springs Cardiology- Pam Taylor, MD (cardiology) • UCCS Bethel School of Nursing - Barbara Joyce PhD, RN, CS, Associate Professor • Associates in Gastroenterology- Eric VanOs, MD (gastroenterology) • • • El Paso County- Marcy Morrison, Former County Commissioner (1984 to 1992)** Fuller Seminary - Lonzie Symonette, Instructor** Former Penrose-St. Francis Chief of Medical Staff- Tobias Kircher, MD (pathology) * Person with special knowledge of or expertise in public health **Representative of medically underserved, low-income, and minority populations 2B II INFORMATION GAPS The data used to assess the community’s health needs was exhaustive and up-to-date with information coming from 2011 and 2012 reports. St. Francis Medical Center is confident that no identifiable gaps exist and that this data offers an accurate representation of the health needs of the El Paso County community. 2C HEALTH NEEDS OF THE COMMUNITY 2C I PROCESS TO IDENTIFY AND PRIORITIZE NEEDS The same community leader focus groups mentioned above were also asked to 1) summarize and prioritize key needs in the community, and 2) identify possible partnerships in the community. Rather than using a ranking system, priorities were identified through a consensus process. At the end of the focus group meetings, the discussions were summarized and presented to the administrative team of the hospital. The hospital administrative team then took all sources of data obtained and identified the top health care needs. 2C II PRIORITIZED LIST AND DESCRIPTION OF COMMUNITY HEALTH NEEDS St. Francis Medical Center- Community Health Needs Assessment 2012 11 The top health needs in St. Francis Medical Center community were as follows: #1 – Children in Crisis Due to Violence • Years of Life Lost rate in children due to violence, suicide & accident. 2 • Homicide rate – 1-14 years of age o Ages 1 to 14 years 1) Accidents 2) Homicide 3) Cancer 4) Heart disease 5) Congenital malformations & chromosomal abnormalities o Ages 15 to 24 years 1) 1. Accidents 2) 2. Suicide 3) 3. Homicide 4) 4. Cancer 5) 5. Heart disease • Suicide rate – second leading cause of death in ages 10-19 o El Paso County’s youth suicide rate is 5.6 per 100,000 youths o In teens 15-19 that number jumps to 15.2 per 100,000 youths o Lack of peer connection o Disenfranchised • Unintended pregnancies o Quality of Life indicators #2 – Failure to Meet the Needs of the Mentally/Behaviorally Ill • Inherent career challenge for military seeking help • Returning soldiers not getting care o In EPC veterans have an alarmingly high suicide rate at 50.5 suicides for every 100,000 veterans. • Too few psychiatrists/psychiatrists accepting Medicare/Tricare o In 2011 EPC had a deficit of 23.8 psychiatrists. In 2016 that number will grow to 32.4 psychiatrists. • Limited resources statewide th o In 2008 Colorado ranked 29 for mental health services • General lack of prevention programming/poor physical health precursor to mental wellbeing • Access issues to inpatient care • Lack of coordinated care between medical treatment and behavioral health treatment o Depression strongly related to occurrence & successful treatment of many chronic diseases including diabetes, cancer, cardiovascular disease, asthma & obesity • Political and citizen apathy • Not enough not-for-profit providers o Final report will show complete listing of not-for-profit service resources 2 El Paso County Health Indicators 2012 Report St. Francis Medical Center- Community Health Needs Assessment 2012 12 #3 – Lack of Access into Health System • Too few new physicians o 2010 there were 65 primary care physicians per 100,000 people in CO but only 44 in EPC. Physician shortage in El Paso County will reach 320.7 physicians by 2016. Today that number represents a shortage of 66.6 physicians. Those areas with the highest projected shortages are: 1) Primary Care Physicians 2) Neurologists 3) Infectious Disease Physicians • Too few physicians accepting Medicare • Lack of residency programs for most specialties- 80% of residents practice within 70 miles of their residency • Long waiting list for clinic appointments o Currently 9,000 on waiting list for Peak Vista (about two years) o About 13% of EPC residents do not have any form of public or private health insurance o Forty-four percent of those without insurance coverage typically sought care at emergency rooms or urgent care centers o Medicare/Medicaid eligible persons not enrolled In EPC 10.3% of eligible children ages 18 and younger were not enrolled in either Medicaid or CHP In EPC 24.5% of eligible adults ages 19-64 years were not enrolled in Medicaid. • Military numbers inflate overall number of insured in Colorado Springs • Simplify application process • Lack of coordination – providers and community support systems • Lack of priority in healthcare spending • Lack of advocacy and navigation personnel • Lack of education on how to access system (especially minority communities) • Automated systems and advanced technologies shut the uneducated out • Too many roadblocks and liabilities for volunteer providers #4 – Lack of Systems Approach to Preventative Care • Inappropriate spending of healthcare dollars in end-of-life care • Lack of early intervention to create healthier lifestyles • Insurance payment process reinforces “we pay for illness – we don’t pay for health” • Lack of ability to motivate people to take responsibility for their health • Lack of understanding of the emotional and spiritual motivators to health #5 – Obesity Rate in the Community – Lack of Systems Approach • Increases risk for disability and can contribute to chronic diseases such as heart disease, stroke & diabetes o Four out of five adults in Colorado with diabetes are obese • Leading economic contributor to direct and indirect healthcare costs • Adult obesity in Colorado has more than doubled since 1990 • An estimated 37.1% of the adult population in EPC were overweight and 21.2% were obese in 2009 to 2010 St. Francis Medical Center- Community Health Needs Assessment 2012 13 • Colorado is second for having the fastest growing rate of obesity in children – increasing 23% in just 5 years #6 – Oral Health • Challenging to measure • 35% of EPC residents did not have dental insurance in 2011 • Increased ER utilization with primary diagnosis of tooth decay leading to other medical complications #7 – High Incidences of Melanoma • Mortality rates for melanoma in Colorado have been significantly higher than U.S. rates for several years. • The 2000-2006 Colorado melanoma incidence rate was 18% higher for males than the U.S. rate, and 22% higher for females. 2C III HEALTHCARE RESOURCES AVAILABLE IN THE COMMUNITY TO MEET THE NEEDS HOSPITALS Penrose-St. Francis Health Services Penrose-St. Francis Health Services is a full-service, 522-bed acute care facility in Colorado Springs including Penrose Hospital and St. Francis Medical Center. We offer a full complement of emergency, medical and surgical services. Penrose-St. Francis was named one of “America’s 50 Best Hospitals” for 5 years in a row (2008 - 2012) by HealthGrades, the only recipient in Colorado. Penrose-St. Francis is Health Services is part of Centura Health, Colorado’s largest hospital and health care network delivering advanced care to more than half a million people each year, across 13 hospitals, seven senior living communities, medical clinics, Flight For Life® and home care and hospice services. Penrose Hospital St. Francis Medical Center PSF Urgent Care Centers Memorial Health System Memorial Hospital is a part of University of Colorado Health. At the local level, Memorial provides a comprehensive list of inpatient and outpatient services at two hospitals and multiple outpatient locations. Memorial provides state-of-the-art, compassionate care in fields such as cardiology, neurology and oncology. Memorial Central Memorial North Memorial Urgent Care Centers Military Hospitals Evans Army Hospital St. Francis Medical Center- Community Health Needs Assessment 2012 14 PUBLIC HEALTH El Paso County Health Department El Paso County Health Department serves the estimated 622,000 residents of El Paso County. Founded in 1872, it is organized in four major divisions: Health Promotion, Disease Prevention and Control, Health Services, and Environmental Health. HEALTH CLINICS Mission Medical Clinic Mission Medical Clinic treats low-income adults who reside in El Paso or Teller County, who are without any form of health insurance and who suffer from one or more chronic illnesses. Qualified patients receive integrated health services from licensed professionals in a Christ-centered environment. Each year they provide health, hope, and spiritual support for hundreds of patients with nowhere else to turn. Open Bible Medical Clinic Open Bible Medical Clinic is a Christian based non-profit organization that exists to provide free medical care and access for acute and chronic illnesses to the working, uninsured, low income, adults in El Paso County. They see adult patients whose income is equal to or less than 200% of the federal government poverty level guidelines. Peak Vista Community Health Centers Peak Vista Community Centers is a non-profit, 501(c)(3) Federally Qualified Health Center (FQHC) dedicated to premier medical, dental and behavioral health services for people of all ages. They provide primary care services to low-income, uninsured and underinsured working families (as well as others with access barriers) within the Pikes Peak Region through 20 outpatient centers. Penrose-St Francis Health Services (PSF) Neighborhood Nursing Centers PSF Neighborhood Nursing Centers are staffed by a team of faith community nurses from Penrose-St Francis Health Services serving the holistic health and educational needs of its clients. The center provides pharmacy assistance and counseling and is located in networks providing rent subsidy, food pantries, and other urgent social needs. The centers are non-profit. Ecumenical Social Ministries Mercy’s Gate Westside Cares Tri-Lakes Cares Catholic Charities Westside Community Center St. Francis Medical Center- Community Health Needs Assessment 2012 15 SET Family Medical Clinic of Colorado Springs SET (Service, Empower, Transform) Family Medical Clinic is a 501(c)(3) organization that provides basic medical services and holistic health programs to uninsured low income people without discrimination. SET serves the uninsured and underinsured n the Pikes Peak Region at little to no cost to the patient. The SET philosophy is that individuals can heal themselves by developing healthy attitudes and taking responsibility for their total well being. 3 CONTACT INFORMATION St. Francis Medical Center 6001 E Woodmen Rd Colorado Springs, CO 80923 719-776-5855www.sfmc.org St. Francis Medical Center- Community Health Needs Assessment 2012 16