1. Keeping Our Promise An overview of community benefit Prepared for the Fort Worth City Council May 11, 2010

2. The Cook Children’s Promise Knowing that every child's life is sacred, it is the Promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.

3. Key Community Benefit Programs ▲ Neighborhood Clinics (NHC) ▲ Safe Kids Tarrant County ▲ Homelessness Initiative ▲ Oral Health Coalition ▲ Save a Smile ▲ Community-wide Children’s Health & Planning Survey (CCHAPS)

4. Giving Back to Our Community In FY 2008, Cook Children’s spent over $60 million in community benefit -- far more than we would pay in taxes if we were a for-profit entity. It’s not about the bottom line. It’s about keeping a promise.

5. Cook Children’s Neighborhood Clinics: The Right Care at the Right Place ▲ The number of primary care visits to NHCs instead of the Emergency Department (ED) has more than doubled in the last four years. ▲ After doubling in 2008, primary care visits to the ED leveled out in 2009.

6. Neighborhood Clinics Save Money ▲ The average difference between a visit charge at an ED and an NHC is $444. ▲ Over the last four years, an average of 10,570 visits have been diverted from the ED to a NHC per year. This represents $4.7 million less in ED charges annually.

7. Clinics Mean Fewer ED Visits

8. Safe Kids Tarrant County ▲ Accidental injuries are the number one cause of death for children ages 0-14, even though most of these deaths and injuries could be prevented. ▲ Cook Children’s founded Safe Kids Tarrant County (SKTC) in 1992 and continues to lead the effort today.

9. Safe Kids Tarrant County Primary areas of injury ‐ prevention focus include: child passenger safety drowning prevention poison prevention

10. Safe Kids Tarrant County Safe Kids Tarrant County has : ▲ Distributed 1.5 million+ injury prevention brochures to parents ▲ Provided nearly 70,000 water watcher tags ▲ Distributed over 23,000 small parts testers (choke tubes) ▲ Checked 4000+ child car seats and educated parents on transportation safety ▲ Distributed 13,500 new car seats

11. Safe Kids Tarrant County Cook Children’s is increasing its safety outreach efforts:

12. Homelessness Initiative Launched in 2008 in response to Mayor Moncrief’s challenge to the community to come together to address chronic homelessness

13. Homelessness Initiative ▲ Primary care given to 354 children through 691 patient encounters at NHCs ▲ 75 children kept an NHC as medical home ▲ Brought 104 children up to date with immunizations ▲ RN Case Manager served 250 children, providing 951 interventions ▲ Cook Children’s has funded $331,678 to cover salaries, transportation costs and other expenses (All statistics are for period between March, 2008 and September, 2009)

14. CCHAPS ▲ Large survey sample, including 7400+ parents ▲ Identified key differences in perceptions about children’s health care between parents and opinion leaders ▲ Top areas of concern identified as asthma, weight, safety, mental health and dental care ▲ Unveiling of CCHAPS in January, 2010 launched the “Decade of the Child” Campaign, with a goal of making North Texas the healthiest place to raise a child by the year 2020. www.cchaps.org

15. ▲ $60 million in total community benefit ▲ $250 million campus expansion underway ▲ 4,600 employees with 500 new expected ▲ 940,000 patient encounters annually (All statistics are for Fiscal Year 2008) This is how we keep Our Promise. Total Community Commitment

16. Questions? www.cookchildrens.org