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JONSJournal of Oncology Navigation &SponsorshipKkWhKilowatt-hourLLas Damas de San Diego FoundationLas Damas de San Diego InternationalNonprofit OrganizationMAGNET Recognition Program An ANCC program that recognizeshealth care organizations for qualitypatient care, nursing excellence andinnovations in professional nursingpractices. It is the leading source ofsuccessful nursing practices andstrategies worldwide.Medi-CalCalifornia’s Medicaid programLatinxOf, relating to, or marked by LatinAmerican heritageMedicareThe federal health insurance programfor people ages 65 or older, certainyounger people with disabilities, andpeople with End-Stage Renal Disease(permanent kidney failure requiringdialysis or a transplant).Lbs.PoundsMFTMarriage and Family TherapyLBWLow Birth WeightMICNMobile Intensive Care NurseLCSWLicensed Clinical Social WorkerMRIMagnetic Resonance ImagingLEDLight emitting diode (lighting)MSCMindful Self-CompassionLEEDLeadership in Energy andEnvironmental DesignMSWMaster of Social WorkLGBTQ Lesbian, Gay, Bisexual, Transgenderand Queer (or Questioning) and OthersLWSDLive Well San DiegoMNNACNational Alliance for CaregivingNAMINational Alliance on Mental IllnessNational CouncilNational Council for Behavioral HealthSharp HealthCare Community Benefit Plan and ReportPage ix

NCHSNational Center for Health StatisticsOSHPD(California) Office of StatewideHealth Planning and DevelopmentNCINational Cancer InstitutePNCQANational Committee for QualityAssurancePACEProgram of All-Inclusive Care for theElderlyNHPCONational Hospice and Palliative CareOrganizationPCPPrimary Care PhysicianNIANational Institute on AgingNICUNeonatal Intensive Care UnitNIHNational Institutes of HealthNINDSNational Institute of NeurologicalDisorders and StrokeNRINeonatal Research InstituteNRI-PABNRI Parent Advisory BoardNUNational UniversityOOPPSharp Memorial Outpatient PavilionORI(Sharp HealthCare) OutcomesResearch InstitutePCTIPerson-Centered, Trauma-InformedPERTPsychiatric Emergency Response Team— a combined law-enforcement andpsychiatric service that responds topsychiatric-related 911 calls.PETPositron Emission TomographyPharm.D.Doctor of PharmacyPlanetreePlanetree, Inc. is a mission based notfor-profit organization that partners withhealth care organizations around theworld and across the care continuum totransform how care is delivered.PLNUPoint Loma Nazarene UniversityPOLSTPhysician Orders for Life-SustainingTreatmentPPDPostpartum DepressionSharp HealthCare Community Benefit Plan and ReportPage x

Project HELPProject Hospital Emergency LiaisonProgram — Sharp HealthCare hospitalfunds that provide emergency financialassistance for medications andtransportation to assist patients whocannot afford to pay.PTSDPost-traumatic stress disorderRSciTech(San Diego) High School of Science &TechnologySCMGSharp Community Medical GroupSCVMCSharp Chula Vista Medical CenterSDCSan Diego CountySDCCCSan Diego Coalition for CompassionateCareRNRegistered NurseSSAFEStudent And Family EnrichmentSAMHSASubstance Abuse and Mental HealthServices AdministrationSANDAGSan Diego Association of GovernmentsSB 697Senate Bill 697 — community benefitlegislation that requires not-for-profithospitals to file an annual report withOSHPD describing and assigningfinancial value to activities that addresscommunity needs.SCANNSouthern California Association ofNeonatal NursesSCHHCSharp Coronado Hospital andHealthcare CenterSDCCEOLCSan Diego County Coalition forImproving End-of-Life CareSDCCOASan Diego County Council on AgingSDCMSSan Diego County Medical SocietySDG&ESan Diego Gas & ElectricSDOHSocial Determinants of HealthSDRHCCSan Diego Regional Home Care CouncilSDRMSan Diego Rescue MissionSDSUSan Diego State UniversitySDWPSan Diego Workforce PartnershipSCISpinal Cord InjurySharp HealthCare Community Benefit Plan and ReportPage xi

SEASharp Equality AllianceSNFSkilled Nursing FacilitySGHSharp Grossmont HospitalSPCSuicide Prevention CouncilSharpSharp HealthCareSpreckels CenterJohn D. Spreckels Center & BowlingGreenSharp RehabSharp Rehabilitation ServicesSHPSharp Health PlanSIOPSenior Intensive Outpatient Program atSMVSLAHSharp Lends a Hand — Sharp’ssystemwide community service programSMBHWNSharp Mary Birch Hospital for Women &NewbornsSMCSharp McDonald CenterSMHSharp Memorial HospitalSMMCSharp Metropolitan Medical Campus,including SMH, SMBHWN, SMC, SMVand the OPP.SMVSharp Mesa Vista HospitalSNAPSupplemental Nutrition AssistanceProgramSRSMCSharp Rees-Stealy Medical CentersSRSMGSharp Rees-Stealy Medical GroupSTEMIST-elevation myocardial infarction —acute heart attackSWCSouthwestern CollegeTTAYTransitional Age YouthTBITraumatic Brain InjuryThinkFirstThinkFirst San Diego is a chapter of theThinkFirst National Injury PreventionFoundationTRICAREThe regionally managed health careprogram for active-duty and retiredmembers of the uniformed services —as well as their loved ones andsurvivors.Sharp HealthCare Community Benefit Plan and ReportPage xii

WUUCUniversity of CaliforniaWebEOCWeb Emergency Operations CenterUCLAUniversity of California, Los AngelesWHOWorld Health OrganizationUCSFUniversity of California, San FranciscoWHVWe Honor VeteransUHFUnited Health FoundationWICWomen, Infants, and ChildrenU.S.United StatesWMEWorld’s Most EthicalUSCUniversity of Southern CaliforniaWWFormerly Weight Watchers USDUniversity of San DiegoVYYESSYoung Enthusiastic Stroke SurvivorsVAU.S. Department of Veterans AffairsVASDHSVA San Diego Healthcare SystemVIPsVoices for Injury Prevention — SharpThinkFirst San Diego’s traumatic brainand spinal cord injury survivors whoprovide personal testimonies to preventinjury among youth and adults.VLBWVery Low Birth WeightVOICe(Southern California) VascularOutcomes Improvement CollaborativeSharp HealthCare Community Benefit Plan and ReportPage xiii

An Overview ofSharp HealthCareCare Beyond Our WallsSharp’s mission is to improve the health of the San Diego communitywith a commitment to excellence in all that we do. In fiscal year 2020,this commitment was realized perhaps more than ever in the midst ofthe COVID-19 pandemic. Quickly and creatively, Sharp team membersimplemented new methods to deliver vital education, resources andcare to San Diegans during unprecedented circumstances.Many in-person medical appointments transitioned to telehealthvisits, while hospital-based education classes and support groupswent online. In partnership with community donors and other healthcare providers, Sharp helped bring essential aid and support toenhance patient care in Tijuana, Mexico. Sharp also participated onseveral COVID-19 taskforces organized by the San Diego CountyHealth and Human Services Agency. Additionally, Sharp providedongoing, pandemic-focused health and safety information to the SanDiego community through sharp.com and local news outlets.The COVID-19 pandemic is among the most challenging times wehave faced in recent memory. The Sharp HealthCare CommunityBenefit Plan and Report, Fiscal Year 2020 highlights the importantrole that we — the people of Sharp — play in caring for our communityon a daily basis and in times of crisis. Sharp will continue to rise tothese challenges through innovative responses that set standards,exceed expectations, and preserve the health and well-being of theSan Diego community.

Section1An Overview of Sharp HealthCareCaring for our community is a sacred trust we don’t take lightly. From the extraordinary care atthe bedside to the wellness programs we offer, the people of Sharp HealthCare work each dayto meet the needs of our friends and neighbors.— Chris Howard, President and Chief Executive Officer, Sharp HealthCareSharp HealthCare (Sharp) is an integrated, regional health care delivery system basedin San Diego, California. The Sharp system includes four acute care hospitals; threespecialty hospitals; three affiliated medical groups; 25 medical centers; five urgent carecenters; three skilled nursing facilities (SNFs); two inpatient rehabilitation centers; homehealth, hospice and home infusion programs; numerous outpatient facilities andprograms; and a variety of other community health education programs and relatedservices. Sharp also offers individual and group health maintenance organizationcoverage through Sharp Health Plan (SHP). Serving a population of approximately 3.3million in San Diego County (SDC), as of September 30, 2020, Sharp is licensed tooperate 2,191 beds and has more than 2,300 Sharp-affiliated physicians and 19,000employees.FOUR ACUTE CARE HOSPITALS:Sharp Chula Vista Medical Center (449 licensed beds)The largest provider of health care services in SDC’s fast-growing south region,Sharp Chula Vista Medical Center (SCVMC) operates the region’s busiestemergency department (ED) and is the closest hospital to the busiestinternational border in the world. SCVMC is home to the region’s mostcomprehensive heart program, services for orthopedic care, cancer treatment,services for women and infants, and the only bloodless medicine and surgerycenter in SDC.Sharp Coronado Hospital and Healthcare Center (181 licensed beds)Sharp Coronado Hospital and Healthcare Center (SCHHC) provides servicesthat include acute, subacute and long-term care, liver care, rehabilitativetherapies, orthopedics, and emergency services.Sharp Grossmont Hospital (524 licensed beds)Sharp Grossmont Hospital (SGH) is the largest provider of health care servicesin San Diego’s east region and has one of the busiest EDs in SDC. SGH isknown for outstanding programs in heart care, oncology, orthopedics,rehabilitation, stroke care and women’s health.Sharp HealthCare Community Benefit Plan and ReportPage 1

Sharp Memorial Hospital (656 licensed beds)A regional tertiary care leader, Sharp Memorial Hospital (SMH) providesspecialized care in cancer treatment, orthopedics, organ transplantation, bariatricsurgery, heart care and rehabilitation. SMH also houses the county’s largestemergency and trauma center.THREE SPECIALTY CARE HOSPITALS:Sharp Mary Birch Hospital for Women & Newborns (206 licensed beds)A freestanding women’s hospital specializing in labor and delivery services, highrisk pregnancy, obstetrics, gynecology, gynecologic oncology and neonatalintensive care, Sharp Mary Birch Hospital for Women & Newborns (SMBHWN)delivers more babies than any other hospital in California.Sharp Mesa Vista Hospital (159 licensed beds)As the most comprehensive behavioral health hospital in San Diego, Sharp MesaVista Hospital (SMV) provides services to treat anxiety, depression, substanceabuse, eating disorders, bipolar disorder and more for patients of all ages.Sharp McDonald Center (16 licensed beds)2Sharp McDonald Center (SMC) is the only medically supervised substanceabuse recovery center in SDC. Offering the most comprehensive hospital-basedtreatment program in San Diego, SMC provides services such as addictiontreatment, medically supervised detoxification and rehabilitation, day treatment,outpatient and inpatient programs, and aftercare.Collectively, the operations of SMH, SMBHWN, SMV and SMC are reported under thenot-for-profit public benefit corporation of SMH and are referred to herein as the SharpMetropolitan Medical Campus (SMMC). The operations of Sharp Rees-Stealy MedicalCenters (SRSMC) are included under the not-for-profit public benefit corporation ofSharp, the parent organization. The operations of SGH are reported under the not-forprofit public benefit corporation of Grossmont Hospital Corporation. The operations ofSharp HospiceCare are reported under SGH.Mission StatementIt is Sharp’s mission to improve the health of those it serves with a commitment toexcellence in all that it does. Sharp’s goal is to offer quality care and services that setcommunity standards, exceed patients’ expectations and are provided in a caring,convenient, cost-effective and accessible manner.2As a licensed chemical dependency recovery hospital, SMC is not required to file a community benefit plan. However, SMC iscommitted to community programs and services and has presented community benefit information in Section 11: SMV and SMC.Sharp HealthCare Community Benefit Plan and ReportPage 2

VisionSharp’s vision is to become the best health system in the universe. Sharp will attain thisposition by transforming the health care experience through a culture of caring, quality,safety, service, innovation and excellence. Sharp will be recognized by employees,physicians, patients and families, volunteers and the community as the best place towork, the best place to practice medicine and the best place to receive care. Sharp willbe known as an excellent community citizen embodying an organization where peoplework together to do the right thing every day to improve the health of those they serve.Values Integrity– Trustworthy, Respectful, Sincere, Authentic, Committed to OrganizationalMission and Values Caring– Compassionate, Communicative, Service-Oriented, Dedicated toTeamwork and Collaboration, Serves Others Above Self, CelebratesWins, Embraces Diversity, Equity and Inclusion Safety– Reliable, Competent, Inquiring, Unwavering, Resilient, Transparent,Sound Decision Maker Innovation– Creative, Drives for Continuous Improvement, Initiates Breakthroughs,Develops Self, Willing to Accept New Ideas and Change Excellence– Quality-Focused, Compelled by Operational and Service Excellence, CostEffective, AccountableCulture: The Sharp ExperienceFor two decades, Sharp has been on a journey to transform the health care experiencefor patients and their families, physicians and staff. Through a sweeping organizationwide performance-and-experience-improvement initiative called The Sharp Experience,the entire Sharp team has recommitted to purposeful, worthwhile work and creating thekind of health care people want and deserve. This work has added discipline and focusto every part of the organization, helping to make Sharp one of the nation’s top-rankedhealth care systems. Sharp is San Diego’s health care leader because it remainsfocused on the most important element of the health care equation: the people.Sharp HealthCare Community Benefit Plan and ReportPage 3

Supported by its extraordinary culture, Sharp is transforming the health care experiencein San Diego by striving to be: The best place to work: Attracting and retaining highly skilled and passionate staffmembers who are focused on providing quality health care and building a culture ofteamwork, recognition, celebration, and professional and personal growth. Thiscommitment to serving patients and supporting one another will make Sharp “thebest health system in the universe.” The best place to practice medicine: Creating an environment in which physiciansenjoy positive, collaborative relationships with nurses and other caregivers;experience unsurpassed service as valued customers; have access to state-of-theart equipment and cutting-edge technology; and enjoy the camaraderie of thehighest-caliber medical staff at San Diego’s health care leader. The best place to receive care: Providing a new standard of service in the health careindustry, much like that of a five-star hotel; employing service-oriented individualswho see it as their privilege to exceed the expectations of every patient by treatingthem with the utmost care, compassion and respect; and creating healingenvironments that are pleasant, soothing, safe, immaculate, and easy to access andnavigate.Through this transformation, Sharp continues to live its mission to care for all people,with special concern for the underserved and San Diego’s diverse population. This issomething Sharp has been doing for 65 years.Pillars of ExcellenceIn support of Sharp’s organizational commitment to transform the health careexperience, Sharp’s Pillars of Excellence serve as a guide for its team members,providing framework and alignment for everything Sharp does. In 2014, Sharp made animportant decision regarding these pillars as part of its continued journey towardexcellence.Each year, Sharp incorporates cycles of learning into its strategic planning process. In2014, Sharp’s Executive Steering and Board of Directors enhanced Sharp’s safetyfocus, further driving the organization’s emphasis on its culture of safety andincorporating the commitment to become a High Reliability Organization (HRO) in allaspects of the organization. At the core of HROs are five key concepts: Sensitivity to operationsA reluctance to simplifyPreoccupation with failureDeference to expertiseResilienceSharp HealthCare Community Benefit Plan and ReportPage 4

Applying high-reliability concepts in an organization begins when leaders at all levelsstart thinking about how the care they provide could improve. It begins with a culture ofsafety.With this learning, Sharp is a seven-pillar organization: Quality, Safety, Service, People,Finance, Growth and Community. The foundational elements of Sharp’s strategic planhave been enhanced to emphasize Sharp’s desire to do no harm. This strategic plancontinues Sharp’s transformation of the health care experience, focusing on safe, highquality and efficient care provided in a caring, convenient, cost-effective and accessiblemanner.The seven pillars listed below are a visible testament to Sharp’s commitment to becomethe best health care system in the universe by achieving excellence in these areas:Continually improve across the care continuum to be a leader inclinical excellence and exceed customer expectations.Keep patients, employees and physicians safe and free fromharm.Create exceptional experiences at every touch

Association for the Accreditation of Human Research Protection Programs AAMC American Association of Medical Colleges AAP American Academy of Pediatrics . Azusa Pacific University ART Alzheimer's Response Team ASA American Stroke Association A . Sharp HealthCare Community Benefit Plan and Report Page iv