BOOT CAMP FOR NEW DADS
Current and soon-to-be dads are offered a hands-on chance to learn how to care for their babies, with the help of a male instructor, veteran dads and real babies.
- Financially supported by the Cuyahoga County Fatherhood Initiative, MetroHealth administers the program for nine collaborating birthing hospitals, the Cuyahoga County Corrections Center and the Cuyahoga County Community Based Correctional Facility.
- MetroHealth Boot Camp sessions are offered at MetroHealth Medical Center and MetroHealth Broadway Health Center.
- The classes are free.
- The Boot Camp for New Dads collaboration held 142 facilitated sessions across Cuyahoga County in the July 2016-December 2017 contract period. Every zip code in Cuyahoga County was represented by the 1,256 fathers-to-be who attended our Boot Camps.
- MetroHealth facilitators held 42 of these sessions at Cuyahoga County’s correctional facilities, serving 289 men at those sites.
- A Barbershop Initiative began in 2016. In 2017, MetroHealth facilitators engaged local barbers in their shops 172 times to talk about safe sleep, breastfeeding and Boot Camp recruitment.
The MetroHealth Breastfeeding Clinic is a resource for mothers and their children to receive high quality medical care for any issue related to breastfeeding, both before and after delivery.
- The clinic is staffed by a nurse practitioner and family physician, both certified as lactation consultants.
- The clinic provides medical evaluation and diagnosis of issues associated with breastfeeding including infant weight gain, breast or nipple pain or infections, tongue-tie, medical conditions affecting breastfeeding, adoption or reestablishing milk supply.
- These medical visits are covered by most insurance.
CHILDBIRTH PREPARATION CLASSES
Free classes prepare parents for what to expect and do during labor and birth to help reduce anxiety and replace fear with knowledge.
- Expectant mothers and fathers are shown a range of ways to be more comfortable during pregnancy and childbirth.
- Classes help them make informed decisions about their own care and their infant’s care.
- Childbirth Preparation Classes are offered at MetroHealth Medical Center, MetroHealth Middleburg Heights November Family Health Center and MetroHealth Broadway Health Center.
- Each five-week course ends with a tour of the birthing center at MetroHealth Medical Center, including a look at birthing suites and patient rooms.
- More than 500 people registered for Childbirth Preparation Classes in 2017.
COMMUNITY HEALTH ADVOCACY INITIATIVE
This initiative recognizes that our health and well-being are the result of more than the health care we receive and the choices we make. As important are the places and conditions where we live, learn, work and play. The purpose is to address health disparities and improve the health status of the residents of Cuyahoga County by taking action on the social determinants of health, in communities, in partnership with residents and other community institutions.
One way this is being done is through implementation of the Community Engagement Process (CEP), a model developed by MetroHealth’s Center for Reducing Health Disparities. CEP engages and empowers people to identify and take action on issues of health and well-being that are important to them. Key to the model is the formation of a community coalition with local residents as a driving force, joined by representatives from community organizations and institutions that have a stake in their community’s well-being. In 2017, there were three distinct projects in different parts of Cuyahoga County applying the CEP as a means to improve community health:
Using the Community Engagement Process (CEP), senior and disabled residents of the Cuyahoga Metropolitan Housing Authority (CMHA) Quarrytown property identified and addressed a health issue of importance to them and, by so doing, reduced social isolation.
- Based on results from focus groups, surveys and resident meetings, healthy eating was determined to be the priority for residents.
- A health coalition comprised of residents of public housing and representatives from community organizations serves as the leadership group for this project.
- Various programs and services are being implemented including on-site nutrition classes with cooking demonstrations, monthly healthy meals prepared and served by local university students, monthly social and educational activities, and community gardening.
- Residents are now developing programs to address their second priority, physical activity.
Using community engagement strategies in the Hispanic/Latino neighborhood near MetroHealth’s main campus, a coalition of residents, community organizations and Latina faith leaders focused on healthy eating with particular attention to cultural cooking practices in the local Hispanic community.
- Community Health Cooks, a train-the-trainer program, launched with training provided by Healthy Living Kitchen’s Latina chef in partnership with MetroHealth.
- Eleven women from four local Hispanic congregations completed the 10-week training to become Community Health Cooks for their congregations.
- Six of the Community Health Cooks have offered healthy cultural cooking classes in two churches, engaging 50 participants, with support from MetroHealth including coordination, health education and biometric screenings.
Falls Prevention Project
MetroHealth is addressing the issue of falls among older adults by engaging communities in falls prevention activities. This project aims to build on the resources of The MetroHealth System to become a champion for falls prevention. A key component of this is the implementation of the evidence-based Matter of Balance (MOB) program. In 2017, a MetroHealth staffperson became a MOB Master Trainer, allowing us to build our capacity for falls prevention programming throughout our health system and the communities we serve.
- Among adults over the age of 65, falls are the leading cause of both nonfatal and fatal injuries.
- Using the Community Engagement Process (CEP), a falls prevention coalition including residents and representatives from the city of Brecksville and other community organizations serves as the leadership and planning group for this project.
- A variety of falls prevention activities have been undertaken, including education and awareness, home safety events, distribution of home safety tools such as night lights and flashlights, and community events in partnership with the City of Cleveland Department of Aging and Division of Fire.
- The Matter of Balance program, designed to reduce the fear of falling and increase activity levels among older adults, is offered in partnership with Fairhill Partners in communities throughout Cuyhoga County.
- Through collaboration and replication, the Falls Prevention Project continues to increase awareness and educate the public in order to prevent and reduce falls among older adults.
DIABETES SELF-MANAGEMENT EDUCATION PROGRAM
A series of group and individual classes, taught by certified diabetes educators (dietitians and nurses), is offered at MetroHealth Medical Center and MetroHealth Buckeye Health Center.
- The MetroHealth Diabetes Self-Management Education (DSME) Program is recognized by the American Diabetes Association for meeting the standards of diabetes education.
- Sessions cover topics such as labs and medications, nutrition, physical activity, stress management and how to prevent diabetes-related complications.
- Nearly 500 patients per year complete at least one DSME visit. Those who complete the program have lowered their blood sugar levels.
- Ongoing diabetes support groups are also offered at both sites.
DOULA VOLUNTEER PROGRAM
A doula assists a woman before, during and after childbirth by providing physical assistance and emotional support.
- MetroHealth offers the only free hospital-based doula program in the area.
- Studies show that labors with doulas are shorter with fewer complications, babies are healthier and they breastfeed more easily.
- MetroHealth’s volunteer doulas provide support particularly for mothers whose partners are not participating in the birth.
LANGUAGE ACCESS AND COMMUNICATION SERVICES CENTER
Staff provide interpretation services for patients with limited English proficiency, hearing and sight impairments and patients requiring literacy support.
- Patients and providers have access to multilingual and cultural communications support with interpretation, translation and translated patient education materials.
- All staff are fluent in English and Spanish and have access to interpreters fluent in more than 200 languages.
- The services are free.
LIBRARY CARDS FOR NEWBORNS
The Pediatrics Department and the Cuyahoga County Public Library (CCPL) have partnered to provide newborn babies at MetroHealth with a library card before they leave the hospital.
- The library cards are inserted into CCPL’s “Baby & Me” early literacy kits and delivered to new mothers and babies by volunteers at MetroHealth.
- The volunteers show mothers how they can use the kit and new library card to begin the important work of reading to their infants and continuing to do so as their children grow.
- In 2017, 577 literacy kits were distributed.
LINCOLN-WEST SCHOOL OF SCIENCE AND HEALTH
This year-round high school meets on the MetroHealth campus four days a week for classroom academics, presentations by MetroHealth staff and others, and hands-on job shadowing. The idea for the school evolved from a mentoring program with MetroHealth and the Cleveland Metropolitan School District.
- The school opened in September 2016 with 45 students and grew to 165 enrolled students in the 2017-2018 academic year.
- The mission of the school is to prepare students for post-secondary and career opportunities.
- Every student has a mentor and benefits from a robust curriculum complemented by experiential learning.
- The vision is that graduates will be universally recognized for their sense of self and purpose, their strong preparation for post-secondary education and careers, and their commitment to improving the health and vitality of their community.
METROHEALTH INSTITUTE OF BURN ETHICS
MetroHealth’s Center for Biomedical Ethics, Comprehensive Burn Care Center and Case Western Reserve University Department of Bioethics have partnered to create the Institute of Burn Ethics.
- The Institute serves the international burn and biomedical ethics communities through a multidisciplinary team focusing on research, education, policy development and clinical practice.
- In 2017, members of the Institute team presented their work at national and international conferences.
- As of 2017, a member of the Institute is serving on the American Burn Association’s Ethical Issues Committee.
- MetroHealth’s Burn Care Center provides care to more than 1,200 patients per year in its inpatient unit and outpatient clinic, treating patients with burns, scars and complex wounds.
- MetroHealth is one of two adult and pediatric burn centers in the state of Ohio verified by the American Burn Association and the American College of Surgeons Committee on Trauma.
METROHEALTH RESEARCH INSTITUTE
The MetroHealth Research Institute supports the MetroHealth strategic priority of education and research in support of its mission, “Leading the way to a healthier you and a healthier community through service, teaching, discovery and teamwork.” Major research centers and programs include Neuromodulation, Heart and Vascular Research Center, Center for Reproductive Biology, Center for Reducing Health Disparities and the Center for Health Research and Policy. Powered by discovery and innovation, the Institute focuses on integrating basic, translational, clinical and population health research to focus on improving health care quality and outcomes, and reducing health inequalities.
- In 2017, The MetroHealth System received 19 new awards totaling $26 million from the National Institutes of Health, the Veterans Administration and various foundations. These awards translate to approximately $6.6 million in grant revenue annually for The MetroHealth System. In addition, 20 new industry-sponsored trials were initiated with expected revenue over $2.2 million annually.
- Niloy Bhadra, MD, PhD, associate professor of physical medicine and rehabilitation received an R01 grant from the National Institute of Biomedical Imaging and Bioengineering to pursue development of a new method of blocking nerve conduction. This could provide an alternative means of treating pain that is more effective than opiates, has minimal side effects and is completely non-addicting. Dr. Bhadra is the co-inventor of this technology along with Kevin Kilgore, PhD, professor of orthopaedics. The four-year project has $5 million in total funding. The MetroHealth System has had a long history of the development of implantable devices that provide function for individuals with paralysis due to spinal cord injury.
- Isabelle Deschenes, PhD, professor of medicine and director of the Heart and Vascular Research Center, and Jidong Fu, MBBS, PhD, assistant professor of medicine, received a four-year $2.54 million grant from the National Heart, Lung and Blood Institute of the National Institutes of Health to further clarify the role of genes in regulating cardiac function and causing diseases including cardiac arrhythmias. The aim is the development of new and safer therapeutic approaches for cardiovascular diseases to prevent sudden cardiac death.
- Center for Health Research and Policy researchers have published a landmark article demonstrating that neighborhood disadvantage is a powerful predictor of cardiovascular outcomes. Cleveland Clinic statistician Jarrod Dalton, PhD, a senior scholar in the Center, was joined by CHRP faculty including Dr. Adam Perzynski, PhD, associate professor of medicine, Doug Einstadter, PhD, professor of medicine, and Neal Dawson, MD, professor of medicine, in authoring this important work in Annals of Internal Medicine. The study uses electronic health record data and shows how interdisciplinary researchers can come together and examine how social and clinical factors combine to shape population health.
- Ashwini Sehgal, MD, professor of medicine, was awarded over $7 million in total funding over a five-year period from the National Institutes on Minority Health and Health Disparities for a U54 grant entitled “Involving Communities in Delivering and Disseminating Health Disparity Interventions.” The overall goal of the grant is to disseminate to the community interventions aimed at reducing health disparities.
- In 2017, more than 2,000 patients were involved in “bench to bedside” research protocols, taking research from the laboratory to the clinical setting, directly benefiting patients.
- In 2017, 209 new studies were reviewed and approved, 38 clinical trials were opened, and there are 847 active studies.
- The MetroHealth Institutional Review Board (IRB) is now part of the national SMART IRB, which is designed to streamline multisite research trial reviews into a single IRB review. MetroHealth signed a master authorization agreement along with 383 institutions across the United States increasing opportunities for research collaborations.
- In 2017, MetroHealth researchers published 238 peer reviewed publications.
- MetroHealth’s community partner for research is Case Western Reserve University.
MOTHER NURTURE PROJECT
Peer support helpers serve as an encouraging resource for expectant women and new moms, especially in the area of breastfeeding.
- MetroHealth’s peer support helpers are available to meet with women at their prenatal visits at MetroHealth’s main campus OB/GYN clinic.
- Peers are part of the prenatal health care team and promote breastfeeding. They discuss the benefits of breastfeeding and what to expect in the first few days after delivery as they get breastfeeding support during their hospital stay.
- In 2017, peers had more than 2,500 patient contacts.
REACH OUT AND READ
Reach Out and Read gives young children a foundation for success by incorporating books into pediatric care and encouraging families to read aloud together.
- This national program was co-founded by MetroHealth pediatrician Robert Needlman, MD, in 1989, in Boston.
- The program has been adopted nationally by 5,800 pediatric practices and most pediatric residency programs, reaching more than 4.5 million children each year.
- MetroHealth employees donate books to the program and volunteers read to children in pediatric waiting areas of the hospital. Critical operating support is provided by MetroHealth Child Life professionals.
RENEE JONES EMPOWERMENT CENTER
This program provides education to teen survivors of human trafficking.
- During monthly meetings facilitated by a psychologist, there are prepared topics and the teens are free to have open conversations and ask questions in a safe environment.
- The focus is on coping, skills for resilience and connecting to providers in their community.
SAFE SLEEP INITIATIVE
A baby should sleep alone, on its back in a crib or a portable crib, not in the parent’s bed, and never on a couch or air mattress. Infant mortality, defined as an infant death before a baby’s first birthday, has climbed to alarming levels in our community and safe sleep is a part of the solution.
- In 2016 (most recent data available), 21 babies in Cuyahoga County died of a sleep-related death before their first birthday.
- More than 75 percent of these deaths occurred among black infants.
- Sleep-related deaths are preventable.
- The State of Ohio mandates that every birthing hospital ask every mom upon discharge if she has a safe place for the baby to sleep. Hospitals are required to educate parents of a newborn about safe sleep and have a referral site for free cribs or portable cribs when a mom answers that she does not already have a safe place for her baby to sleep. MetroHealth refers mothers to the Cuyahoga County Women, Infants, and Children (WIC) “Cribs for Kids” program.
- MetroHealth offers Boot Camp for New Dads, a hands-on infant care class taught by dads who are experienced facilitators. Safe Sleep is a focus of this program. MetroHealth obtained ongoing funding to offer fathers who attend any Boot Camp for New Dads in Cuyahoga County a free portable crib if they live in a separate home from the baby’s mother. This assures that mom and dad each have a safe sleep space for their child.
- In 2017, MetroHealth began a “Safe Sleep Ambassador” lunch and learn program for employees to learn how to teach safe sleep practices to others. More than 300 employees, many of them men, many residing in high-risk infant mortality zip codes, attended the trainings. In conjunction with First Year Cleveland, the program will launch a workforce campaign in 2018 to share this information with staff at area businesses and agencies to recruit and certify 10,000 Safe Sleep Ambassadors across Cuyahoga County by 2019.
This free, one-time class helps children ages 2-10 understand the important role they will play in their family when their brother or sister is born.
- It includes hands-on help with how to gently hold and interact with a baby.
- The class eases a child’s anxiety by showing where Mom is going to have the baby and what a new baby looks like.
- Children 11 and older are invited to attend a prenatal tour with their parents.
The MetroHealth Simulation (Sim) Center provides programs designed for health care professionals to refine critical decision-making, apply knowledge and practice important skills using sophisticated simulation techniques.
- By creating realistic scenarios and using all available tools, the Sim Center optimizes the learning experience for a multidisciplinary array of learners.
- In 2017, the Sim Center conducted more than 15,000 learner-hours of training. A variety of simulators are employed including adult, child, maternal and infant computerized simulators, an ultrasound simulator and many procedure-specific task-trainers.
- Standardized patients/professionals are often incorporated to achieve high-value communication goals.
- The Sim Center diligently serves MetroHealth staff and trainees as well as numerous regional entities including hospitals, EMS agencies, fire departments and schools.
- The multifaceted Sim Center team supports coordinators and faculty to implement high-yield programs that achieve customized educational objectives.
The American Lung Association’s Freedom From Smoking® Program is offered at three MetroHealth Medical Centers: Cleveland Heights, Main Campus and Parma.
- This eight-session program provides the skills, tools and support needed to successfully stop smoking.
- Classes are free and open to all adults 18 years of age and older.
- Nicotine replacement products are available for class participants and are free to those who qualify.
- In 2017, 122 individuals attended the Freedom From Smoking® Classes at the three locations.
- An additional 59 patients in cancer care attended the classes through a collaboration with the MetroHealth Cancer Center, Case Western Reserve University and CVS.
- In 2017, MetroHealth staff distributed smoking cessation information at four HUD housing facilities and several health fairs and other community events.
ST. MARTIN DE PORRES PROGRAM
In a work/study program, students from St. Martin de Porres High School gain experience in a hospital setting.
- They work in several areas including logistics, medical records, nursing and human resources.
- In 2017, 24 students participated in the program.
TEACHING HOSPITAL AFFILIATED WITH CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
During the 103-year affiliation with Case Western Reserve University (CWRU) School of Medicine, MetroHealth has trained thousands of physicians, many of them renowned in their fields throughout Cleveland and the world.
- All of MetroHealth’s active staff physicians hold faculty appointments at CWRU School of Medicine.
- MetroHealth researchers work with CWRU in key areas of scientific discovery and biomedical technology.
- The Center for Health Care Research and Policy and the Center for Reducing Health Disparities focus research efforts on finding more cost-effective approaches to treatment and management of chronic diseases.
- In the last year, MetroHealth trained:
- 1,100 medical students and nurse practitioner, physician assistant, anesthesia assistant, bioethics, podiatry and informatics students
- 400 residents/fellows rotating from other institutions
- 370 MetroHealth residents/fellows