children’s hospital central california

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  • 1. Agency Analysis By: Lindsay Ramos

2. Agency Mission and Goals The mission of Childrens Hospital Central California is to provide highquality, comprehensive healthcare services to children, regardless of their ability to pay, and to continuously improve the health and wellbeing of children (www.childrenscentralcal.org/info/pages/aboutinfo.aspx). Our vision is to become the nation's best children's hospital (www.childrenscentralcal.org/info/pages/aboutinfo.aspx). Childrens Hospital Central California relies on many values to guide its decisions. Their values are excellence, compassionate care, integrity, innovation, collaboration and stewardship. 3. Populations at Risk The population at risk is simple: Children. Children with medical needs, some far more serious thanothers, require different care than that of adults. Childrens Hospital specializes in care of children regardless of ethnicity, gender, income level or available insurance. The hospital sees over 1 million children annually, either in one of its many clinics or through the Emergency Room. Childrens Hospital will provide services to all children from birth until the age of 21, at which point they are then hopefully transferred out to an adult facility. 4. Community Context The geographic community that Childrens Hospitalserves is most of the San Joaquin Valley. Covering 10 counties including Kern county up to Lake Isabella, San Louis Obispo County, Stanislaus County, above Modesto, Bishop, McFarland, Delano, Bakersfield, Stockton, Modesto, Visalia, Porterville, Merced, and Hanford. Many patients also are simultaneously seen at other childrens hospitals such as UCLA and Stanford. 5. Map of San Joaquin Valley 6. Community Context Continued The income level of most communities that Childrens hospital serves is low. Many are farming communities and rural areas. The San Joaquin Valley is a very diverse community with people all of all ethnicities, such as White, Hispanic, Hmong, Indian, African American and Armenian. Those are only naming a few. There is a fairly large mix of how people travel to the hospital. Some people travel by car, some travel by transit and there are others who use the Greyhound bus. Childrens Hospital is actively involved in its community and with several organizations such as The Ronald McDonald House and Central Valley Regional Center (CVRC). 7. Services Provided by Organization Childrens Hospital is a 348 bed facility making it the 2nd largest childrens hospital in the state and one of the 10 largest hospitals of its type in the nation. The hospital is a full service facility. Some of the services provided by Childrens Hospital are: Oncology, Cardiology, Nephrology, Urology, Physical Therapy, NICU, PICU, and Psychology. There are also other services available such as palliative care, child life, interpreter services, social services and an onsite pharmacy. These are only a select few services. The list is quite extensive. Here is a link that provides the full list. www.childrenscentralcal.org/Services/Pages/default.aspx 8. Organizational Structure Childrens Hospital is a not-for-profit organization. The hospital has a Board of Directors. They are: Chair: David Nalchajian Vice Chair: Paul McDougal Secretary: Kim Beck Treasurer: Michele Waldron Immediate Past Chair: Richard Shehadey (http://waystogive.childrenscentralcal.org/Page.aspx?pi d=368) 9. Organizational Structure Continued There are managers and supervisors in all areas of thehospital. The doctors, nurses, dieticians and social workers all have their own managers. The environment in the hospital is very open and there seems to be free flow of information between all positions within the hospital. The interns are assigned someone to shadow and are supervised by not only that person, but also by the supervisors boss. 10. Social Work Values The role of the social worker in the hospital is just to makesure that all the needs of the patient are being met. The social worker will make sure that the patients insurance is in order, make sure the patients have transportation to and from the hospital, check to see if the patients and their families have enough food to eat, support them as the family deals with their childs diagnosis, bereavement, and assisting patients that are nearing 21 with medical care once they age out of the hospital. These are only a few things that the social worker does on a daily basis. 11. Social Work Values Continued The social workers at the hospital have access totransportation vouchers for families who are unable to make appointments because they lack transportation. They also have access to gas cards, cash assistance, meal vouchers, and the food pantry. Mostly I have seen though that the most important thing the social worker does daily is just sits and listens. Many patients just need to talk and have someone listen to them. My field instructor told me during my first week, sometimes the best thing you can do is just get used to the silence. The silence may be what they need. I now know that to be true. 12. Similar Agency Abroad Sydneys Childrens Hospital Their motto is: Children first and foremost(http://www.sch.edu.au/general/about) Their mission is: Sydney Children's Hospital aims to improve the health and wellbeing of children and their families through promoting wellness and caring for illness effectively, efficiently, compassionately and equitably (http://www.sch.edu.au/general/about). 13. Similar Agency Abroad Continued The hospitals focus is the care of children. They arealso a teaching hospital, just like Childrens Hospital Central California. The list of services provided is quite large. Similar to, but more extensive than that of Childrens Hospital. They are also connected to The Ronald McDonald House, which I find interesting. Here is also the link providing the complete list of services they provide: http://www.sch.edu.au/services/services.html 14. Resource Page https://www.childrenscentralcal.org/Pages/Default.aspx http://www.sch.edu.au/

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