Hospitals are only able to provide essential care to patients because many dedicated people come together every day to help those in need. No one exemplifies this dedication more than California’s hospital volunteers. Next week, April 21-27, is National Volunteer Week, and it is a time for us to reflect on the selflessness, kindness, and generosity that can sometimes go unseen and unrecognized. It’s also a time to say thank you.
Hospitals are facing extraordinary challenges, so being thoughtful about how we tackle the big issues is more important than ever. The pace of what is coming at us every day is relentless. It’s not easy to have meaningful conversations with the right stakeholders at the right time. To truly take on the big issues we need to slow down and create space for deeper insights. That’s a key takeaway for me after attending the American College of Healthcare Executives (ACHE) Congress late last month in Chicago, where I joined 5,000 health care professionals from around the country to discuss the leadership that’s needed for the challenges ahead.
In January, over 1,000 volunteers conducted the annual Point-in-Time Count to assess homelessness in San Diego and Imperial counties. Part of a nationwide effort from the U.S. Department of Housing and Urban Development, the count surveys those who are unsheltered, on the streets, or in shelters the morning of the count. While the 2024 numbers will be released this spring, we are likely to see the continuation of a trend that started in 2023. Last year, San Diego County saw a 35% increase to approximately 6,500 unhoused individuals, while Imperial County experienced a 23% increase to more than 1,300 individuals.
People talk about the rural-urban divide, but the reality for health care and hospitals is that we are interconnected. And California’s rural hospitals are at a fiscal crossroad. Right now, 56% percent of rural hospitals are losing money on patient care — up 16% in just five years. Health care access for more than 2 million Californians is shrinking.
Recently I reflected on the start of the year with a colleague and shared that January felt like it was 16 weeks long. We came barreling out of the gate in 2024 with far-reaching issues to grapple with. The list includes matters that touch almost every part of hospital operations, including preparing for the upcoming hospital minimum wage hike, advocating for reconsideration of health care spending targets proposed by the new Office of Health Care Affordability, strategizing with firefighters and emergency medical services in preparation for the implementation of Assembly Bill 40, advocating for resources to reduce migrant street releases, seeking solutions to the growing behavioral health crisis in our communities, and more.
My mom has Atrial fibrillation. I remember one morning a few years ago when her heart was racing. We didn’t know what was happening. I sat with her in the living room and her heart wasn’t slowing down. We were scared and rushed her to the emergency room where she was diagnosed. Now she’s on medication and the AFib is under control.
As we start the new year, I want to spotlight an issue that cuts across all social determinants of health and yet continues to be underrepresented and often misrepresented. January is National Human Trafficking Prevention Month. It’s a reminder that this pervasive problem affects millions around the world, and thousands in our own backyard.
Right now, many of you are probably finalizing your Thanksgiving menus or travel plans if you’re headed out of town for the holiday. And although we all have our own ways in which we will observe the day, gratitude — along with lots of food — will likely be at the heart of the celebrations.
I’m still reflecting on the success of this year’s HASD&IC annual meeting. I have many takeaways, but what really comes to mind is the energy that everyone brought to the gathering. There were more than 180 people joining us this year and everyone came to the table ready to converse, connect, and exchange ideas on the challenges and opportunities that lie ahead.
Right now, many of you are probably finalizing your Thanksgiving menus or travel plans if you’re headed out of town for the holiday. And although we all have our own ways in which we will observe the day, gratitude — along with lots of food — will likely be at the heart of the celebrations.
