By Catalina Schultze-Kraft, MSN, RN, staff development manager

I recently had the honor of presenting at the 2016 Joint Meeting of the Association of Public Health Nurses (APHN) and the Association of Community Health Nurse Educators (ACHNE), held in Indianapolis. The conference, Public Health Nursing: Key to Our Nation's Health, focused on continuing the advancement of public health research and practice in the U.S.

Representatives from health departments of every state convened as well as public health nurses, public health and community health nursing educators, public health leaders, and students and partners interested in public health, health equity, population health, and other public health issues.

Being a presenter gave me the opportunity to describe a small piece of what Methodist Healthcare Ministries is doing to a larger audience. It allowed me to have conversations with people who work in various areas of public health. My presentation, "From Needs Assessment to Asset-Based Community Development: Engaging the strengths of people and the community in health," touched on Methodist Healthcare Ministries' approach to building and maintaining health throughout 74 counties in South Texas. Most striking for attendees was the large area Methodist Healthcare Ministries serves and how we are able to successfully implement initiatives such as Asset-Based Community Development (ABCD) in such a large geographic area.

Asset-Based Community Development (ABCD) was introduced to our Wesley Nurses in 2013 as a strategy to engage the community in health. ABCD asserts that every community has assets that can be mobilized to work together to solve complex problems. It does not look at the needs of a person, family or community, but their strengths. As a result, ABCD has allowed us to create lasting partnerships. New nurses to Methodist Healthcare Ministries have a better understanding of public health nursing and faith community nursing and are better equipped to practice as a Wesley Nurse. Perceptions have also changed and people are seen as contributors to the community.

As a conference attendee, my biggest takeaway was an initiative that public health leaders have developed to help all areas look for solutions to health problems. The "Triple Aim for Health Equity" focuses on:

1. Expanding the understanding of what creates health. This means making sure that Social Determinants of Health (the conditions in which people are born, grow, live, work and age) are addressed when talking about health.
2. Taking a "health in all policies" approach. Health equity is the goal. Health doesn't only mean access to health care, but also encompasses where we live, learn, work and play.
3. Strengthening community capacity. Involving communities in health care can foster connectedness and trust, improve assessment efforts, and build a capacity of individuals to positively affect their community's future.

This year, I wanted to explore other nursing areas, in addition to faith community nursing, that align with Methodist Healthcare Ministries' mission. I wanted to explore where we rank in comparison to other programs that academia, governmental organizations, and not-for-profits are managing. This conference confirmed to me that our nursing team, and our organization overall, is headed in the right direction. We have a unique model that allows us to accomplish things other health departments are unable to do and improve the physical, mental and spiritual health of the least-served in South Texas.

Catalina Schultze-Kraft, MSN, RN, is a staff development manager for the Wesley Nurse program at Methodist Healthcare Ministries of South Texas, Inc. Methodist Healthcare Ministries' Wesley Nurse program is a faith-based, holistic health and wellness program committed to serving the least-served through education, health promotion and collaboration with individuals and communities to achieve improved wellness through self-empowerment. Learn more at www.mhm.org/programs/health-ministries. 

Senior Vice President of Strategic Planning & Growth, Rebecca Brune, recently spoke on behalf of Methodist Healthcare Ministries of South Texas Inc. at the Council on Foundation's 2016 Annual Conference in Washington D.C. Over 1,300 attendees gathered from across the country to advocate the importance of philanthropy and to connect with others in the field and enhance their skills. As one of three panelists for the "Harnessing community and innovation into collective impact" session, Brune provided an overview of Methodist Healthcare Ministries' Sí Texas: Social Innovation for a Healthy South Texas Project (Sí Texas Project), a Social Innovation Fund program, and its impact in South Texas.

The panel session was moderated by Lois Nembhard, Deputy Director for the Social Innovation Fund – a program of the Corporation for National and Community Service that combines public and private resources to grow the impact of innovative, community-based solutions that have compelling evidence of improving the lives of people in low-income communities throughout the United States.

Session speakers discussed progress made on their shared purpose initiatives. Additional panelists included fellow Social Innovation Fund grantees, Avo Makdessian, director of Silicon Valley Community Foundation's Center for Early Learning, who discussed early childhood education in San Mateo County; and Marc McDonald, director of grants management for the AARP Foundation who touched on back to work economic stability for women age 50 and above nationwide. Brune depicted how the Sí Texas Project is largely centered on the treatment of chronic disease and related behavioral health conditions in twelve South Texas counties.

Sí Texas focuses on integrated behavioral health models that are effectively improving health outcomes in communities with high rates of poverty, depression, diabetes, obesity and associated risk factors. Brune explained that Methodist Healthcare Ministries' Sí Texas project stimulates local solutions that improve both physical and behavioral health together, such as diabetes and depression. The project targets 12 South Texas counties: Cameron, Hidalgo, Starr, Willacy, Kenedy, Brooks, Jim Hogg, Zapata, Duval, Jim Wells, Kleberg and Webb. Methodist Healthcare Ministries is the first faith-based organization to receive funding from the Social Innovation Fund program. The project leverages both federal and non-federal dollars to South Texas that otherwise would not have been available to the region.

Shared measures are essential for any collective impact effort, but agreeing to them can be a challenging process. At the end of the session, attendees were taught how to assess the value of shared measures, and how to align multiple programs around the same performance measures.

For more on Methodist Healthcare Ministries and the Sí Texas Project, visit http://www.mhm.org/programs/sitexas. For more information about The Council on Foundations, which aims to provide the opportunity, leadership, and tools needed by philanthropic organizations to expand, enhance, and sustain their ability to advance the common good, visit http://www.cof.org/. 

State of Texas Children 2016: Race and Equity in San Antonio Report finds wide-ranging racial and ethnic disparities in children's health, education and financial security that demand common sense policy solutions.

Video: Watch the report release event online.
Photos: View photos from the event.

SAN ANTONIO – Historical and current policies have created and maintained unequal opportunities and large disparities in child poverty across race, ethnicity and gender, according to State of Texas Children 2016: Race and Equity in San Antonio, a new report released by the Center for Public Policy Priorities (CPPP). For example, because people of color were historically denied access to high-opportunity neighborhoods, certain families consequently experienced poor living conditions, fewer services, and less economic mobility. Although no longer in legal practice, similar policies have had cumulative effects in the economic and educational benefits and disadvantages that can be passed on from generation to generation.

These policies and practices may be from San Antonio's past, but they still have a profound effect on the present. Notably, almost 130,000 children in Bexar County live in poverty. Of those children, 103,000 are Latino, 11,000 are Black, 13,000 are White and 1,000 are Asian. But the proportion of children affected by poverty within each group tells a different story. In Bexar County, poverty rates for Latino (32 percent) and Black children (32 percent) are nearly three times higher than they are for White or Asian children. Today, nearly one of every three Hispanic and Black children in Bexar County lives in poverty.

Read the 2016 San Antonio Report.

"This is unacceptable," said San Antonio Mayor Ivy R. Taylor, who spoke at the report release event today in front of over 300 community members. "We have to do better and be better for our children, our communities and our entire city. My goal is to connect every San Antonian, no matter their age, gender or ethnicity, to opportunities for prosperity. One way we are hoping to fill the gaps is through the My Brother's Keeper initiative, which focuses on improving the life outcomes of our young men of color. From educating our smallest citizens, to providing job training for adults, to caring for our aging seniors, we must work together to ensure that every citizen becomes a resource and not a responsibility."

Read the 2016 State of Texas Children Race & Equity Report

Bexar County Judge Nelson Wolff and Kevin C. Moriarty, President & CEO of Methodist Healthcare Ministries of South Texas, Inc., also made remarks at the event, which was co-sponsored by Methodist Healthcare Ministries of South Texas, Inc., Voices for Children of San Antonio, the Intercultural Development Research Association, and the San Antonio Hispanic Chamber of Commerce.

According to the report, with more than half a million kids living in the San Antonio metro area, the future of children in San Antonio will help determine the future of Texas. Additionally, by 2050, the Texas child population is projected to look very much like San Antonio today. Finding creative solutions to closing the educational, health and financial gaps between San Antonio kids from different backgrounds will require intentionally breaking down any obstacles to certain groups of children reaching their full potential and can be a model for the rest of the state.

Key findings include:
• White children in Bexar County are more likely to live in low-poverty areas while the majority of Latino children tend to live in moderate-to-high-poverty areas. High-poverty areas tend to have fewer public and private resources, which means Latino children are more likely than White children to experience segregated and under-resourced schools, unequal opportunity for job-training programs, and more.
• Nearly one of every four women (90,000+) in Bexar County between the ages of 15 and 44 lacks health insurance. The likelihood of being uninsured as a woman of childbearing age differs based on race and ethnicity, with Hispanic women being nearly three times as likely and Black women twice as likely, to be uninsured. Lack of coverage is related to delayed or inconsistent care should a woman become pregnant.
• An estimated 25.6 percent of children (or 120,470 children) in Bexar County are food-insecure, meaning they lack consistent access to enough food for a healthy diet. Hungry children have a harder time focusing in school and are more likely to have social and behavioral problems.

Key policy recommendations:
• Collect more data that is broken down by race and ethnicity.
• Create partnerships between schools, workforce development programs and businesses to promote pathways out of poverty and better support for families.
• Increase access to affordable health insurance for underserved families and women of reproductive age.
• Expand access to school-based child nutrition programs, such as afterschool meals, summer nutrition and school breakfast.

"As one of the fastest-growing areas in the country, the future of the San Antonio area and our state depend on the health, education and financial security of all our children—across gender, neighborhood, income, race and ethnicity," said CPPP Executive Director Ann Beeson. "Looking deep into the data, we found that too many children in San Antonio today continue to face tremendous barriers to opportunity because of the color of their skin."

The State of San Antonio Children 2016 report is part of the State of Texas Children 2016 statewide report. Both reports are part of the Kids Count project, a national and state-by-state effort to track the status of children in the U.S. funded by the Annie E. Casey Foundation. Check out the Kids Count Data Center for extensive child well-being data for each of Texas' 254 counties and seven largest metropolitan areas. Visit datacenter.kidscount.org. 

This research was funded by Methodist Healthcare Ministries of South Texas, Inc. and the Annie E. Casey Foundation.

In honor of National Child Abuse Prevention Month in April, Methodist Healthcare Ministries of South Texas, Inc. hosted a Child Abuse Prevention Assembly Tuesday to bring together leaders and decision-makers in San Antonio to discuss how to prevent child abuse and neglect in our community. To raise awareness, Methodist Healthcare Ministries planted 4,941 pinwheels in front of their corporate headquarters in the medical center to represent each confirmed victim of child abuse last year in Bexar County.

"This is a critical issue that must remain top of mind," expressed Kevin C. Moriarty, president & CEO at Methodist Healthcare Ministries. "We as safety net providers, community leaders, advocates, health care professionals, philanthropists and elected officials must look for solutions to stop the number of victims from growing in our community."

Several San Antonio child abuse prevention experts were in attendance at this invite-only event, including Methodist Children's Hospital doctors and nurses, and representatives from local nonprofit agencies. Notable presenters included: Methodist Healthcare Ministries President & CEO Kevin C. Moriarty; ChildSafe President & CEO Kim Abernethy; Bexar County Children's Court Associate Judge Rich Garcia; City of San Antonio Police Department Chief William McManus, Methodist Children's Hospital Medical Director Dr. Sebrina Perkins, CPS Regional Director Erica Bañuelos and State Senator Jose Menendez.

"I look at those pinwheels and I hear that number, the almost 5,000 children – which is the confirmed number, although everyone here knows that's a greater number than what's reported – we need to do whatever we can to prevent even just one child from abuse," said Senator Jose Menendez. "I was thinking about the birth of my children, and being in the waiting room feeling so much anticipation and hope. Somehow along the way, you sometimes forget that feeling of excitement and nervousness of that brand new baby. Regardless of what stage of life they are in, we need to always treasure our children that way."

The pinwheels were planted to symbolize childhood, innocence and prosperity. They represent the hope that together we can help the kids in our community enjoy a safe, happy and healthy childhood.

Reports about abuse can be made to the Texas Department of Family and Protective Services at 1-800-252-5400 or www.dfps.state.tx.us or to a law enforcement agency. Additional information can be found at www.childwelfare.gov. To learn more about Methodist Healthcare Ministries' parenting programs, visit http://www.mhm.org/programs/family-wellness or call 800-959-6673.

Texas is ranked third in the country with more than 57 active extremist and hate groups. In one study, 49 percent of children in grades 4-12 reported being bullied by students at school at least once during the past month. Because individuals still suffer from bullying, exclusion, hatred, harassment and violence, Methodist Healthcare Ministries of South Texas, Inc. has contributed $2,500 to be a Silver Sponsor at the 62nd Annual Brotherhood/Sisterhood Awards Dinner of the United Communities of San Antonio, a human relations non-profit organization dedicated to fighting bias, bigotry, prejudice and racism in San Antonio.

United Communities of San Antonio 62nd Awards Dinner
Tuesday, March 8, 2016 at 6:30 p.m.
Pearl Stable (307 Pearl Pkwy, San Antonio, TX 78215)

Honorable attendees include:

• Dr. Adena Williams Loston, President of St. Phillip's College
• Susan L. Pamerleau, Sheriff of Bexar County
• Josue (Joe) Robles, Jr., USAA Retired President and CEO / MG, USA (Ret).
• Dr. Alice Viroslav, Clinical Assistant Professor of UTHSCSA/Neutroradiologist of Radsource, LLC

Each year, the United Communities of San Antonio Awards Dinner honors outstanding community leaders with the Brotherhood/Sisterhood Humanitarian Award for promoting diversity and respect, making a difference in the community, and up keeping the ideals of the United Communities of San Antonio.

"Methodist Healthcare Ministries is pleased to support the United Communities of San Antonio and to stand by their mission of promoting understanding and respect to eliminate bullying, prejudice and harm," said Kevin C. Moriarty, president & CEO at Methodist Healthcare Ministries.

Since being founded in San Antonio in 1954, the United Communities of San Antonio has promoted understanding and respect among all races, religions and cultures through advocacy, conflict resolution and education. The goal of the United Communities of San Antonio is to create a safe environment in which education, dialogue, and interaction among people results in mutual respect for self and others.

The 62nd Awards Dinner is open to the public; individual tickets are $175 each and may be purchased by visiting http://www.ucofsa.org/Givinglevels.html.

For more information about the United Communities of San Antonio, please visit www.ucofsa.org.

Methodist Healthcare Ministries of South Texas, Inc., the largest private, faith-based funding source for health care services in South Texas, is proud to celebrate the 15th anniversary of its School Based Health Centers. In celebration of this milestone, along with honoring National School-Based Health Care Awareness Month, Methodist Healthcare Ministries will host an open house Tuesday, Feb. 23 from 3:00 p.m. to 4:30 p.m., at the School Based Health Center at Schertz Elementary (757 Curtiss Ave., Schertz, TX 78154).

Guests are invited to tour the clinic and meet the team of professionals who provide medical, dental and social services. Click here to register: http://www.mhm.org/events/416-school-based-open-house.

Since 2001, the School Based Health Centers at Krueger Elementary and Schertz Elementary, conveniently located on school campuses and both owned and operated by Methodist Healthcare Ministries, have helped children in the Schertz-Cibolo-Universal City and Marion Independent School Districts (as well as their siblings up to age 21) by providing pediatric primary health care, dental services, and social services. Both clinics stay open year-round and operate during business hours.

"Methodist Healthcare Ministries understands the importance of pediatric care and making it convenient to busy parents and accessible in rural communities," said Marilyn Stanton-White, director of primary care services of Methodist Healthcare Ministries. "The School Based Health Centers are a significant component of our organization's outreach so that our youth stay happy and healthy."

In addition, the School-Based Health Alliance — a nonprofit dedicated to providing the school-based health care field with high-quality resources, training, information, and guidance — will be hosting a Twitter chat right before the open house from 1:00 p.m. – 2:00 p.m. CT. The chat will focus on how school-based health centers improve child and adolescent health. Join by using the hashtag #SBHCmonth16. Connect with Methodist Healthcare Ministries any time with the hashtag #MHMSTX.

For more information about Methodist Healthcare Ministries' School Based Health Centers, please visit www.mhm.org.

Methodist Healthcare Ministries of South Texas, Inc. will contribute $2,500 to be a Silver Sponsor at the annual luncheon of the ThriveWell Cancer Foundation, a non-profit dedicated to finding a cure for cancer by funding cancer research, providing patient support and offering programs to improve the quality of life for patients and their families.

ThriveWell Cancer Foundation Annual Luncheon
Friday, February 26, 2016 at 11:00 a.m.
Westin Riverwalk (420 W. Market Street, San Antonio, TX 78205)

This year's guest speakers are sisters Janet Holliday and Joan Katz, who both share a bond of surviving cancer. "Living, Loving and Thriving Side by Side: Identical Twins Sharing Their Story" will feature Holliday and Katz sharing their journeys and outlook on making each day count.

"Methodist Healthcare Ministries is pleased to support the ThriveWell Cancer Foundation, an organization that is truly impacting lives through their assistance," expressed Kevin Moriarty, president & CEO of Methodist Healthcare Ministries.

ThriveWell was established in 2007 to ease the burden of adult cancer patients and their families while on their cancer journey, working to meet the needs of those battling and winning the fight against cancer in the San Antonio area. Central to its mission is the development of community-based programs and services that are designed to improve the health and well-being of cancer patients and survivors.

The ThriveWell Cancer Foundation Luncheon is open to the public; individual tickets are $100 each and may be purchased by visiting www.thrivewell.org.

For more information about the ThriveWell Cancer Foundation, please visit www.thrivewell.org.

Texas consistently has one of the highest teen pregnancy rates in the country, and the highest rate of repeat teen birth in the nation. For that reason, Methodist Healthcare Ministries of South Texas, Inc. is proud to sponsor the 5th Annual Symposium of The Texas Campaign to Prevent Teen Pregnancy, a non-partisan, non-profit education and advocacy organization committed to reducing the rate of teen pregnancy across Texas. The symposium is a three-day program, held April 11-13 in Austin, Texas, that will bring together more than 400 professionals from across the state to participate in panel discussions, presentations, and professional development workshops focused on providing the information, resources and tools necessary to create change and improve teen pregnancy rates in Texas. The theme – The Texas Roadmap: Building Champions for Change – will focus on the importance of finding new advocates and working with existing professionals in communities throughout Texas to map out a plan for improvement.

Texas Campaign's 5th Annual Symposium: Building Champions for Change
April 11-13, 2016
DoubleTree by Hilton (6505 North IH-35, Austin, Texas 78752)
Austin, Texas

"Methodist Healthcare Ministries has contributed $1,500 to be a Panel Session Sponsor at the Texas Campaign to Prevent Teen Pregnancy's 2016 Symposium," said Christine Yanas, director of governmental affairs for Methodist Healthcare Ministries. "Methodist Healthcare Ministries continually fights for change, through our public policy and advocacy efforts, and this symposium will be very beneficial in tackling this important issue."

The symposium will feature:

• An opening keynote by Sarah Brown, retired CEO, the National Campaign to Prevent Teen and Unplanned Pregnancy
• A moderated discussion with Texas Legislatures from both sides of the aisle on statewide prevention efforts
• A plenary session featuring adolescent perspectives and offering first-person experiences from Texas teens
• Expert presentations on contraception, program implementation, advocacy and other current issues
• Three post-event training classes, scheduled for April 13, including a professional development workshop and two workshops focusing on today's hot topics
• Networking opportunities that foster collaboration
• Opportunities to earn CEUs for SW, LPC, CHES and CPE

Anyone with an interest in teen pregnancy prevention is invited to attend. Attendees will include clinicians, researchers, project leaders, practitioners, educators, graduate students, social workers, youth services professionals and other key program staff – representing many disciplines and geographic areas across Texas and the U.S. There will be opportunities throughout the symposium to make connections, share insights, and help make progress on this issue.

The Texas Campaign to Prevent Teen Pregnancy provides statewide leadership around this issue by focusing on what works and connecting communities to the research they need to make an impact. Their guiding mission is to improve the quality of life for children, families, and communities across Texas by preventing unintended teen pregnancies.

Learn more about the Texas Campaign to Prevent Teen Pregnancy by visiting http://txcampaign.org/. Register for the 5th Annual Symposium at http://txcampaign.org/2016-annual-symposium/.

Heart disease is our nation's #1 killer, causing 40.6 percent of all deaths. Each year, nearly 50,000 Texans die from cardiovascular disease and stroke, and nearly 2 million Texans suffer from cardiovascular disease. In an effort to prevent heart disease and increase awareness of its effects, Methodist Healthcare Ministries of South Texas, Inc. is proudly sponsoring several American Heart Association events in 2016, including the celebration of American Heart Month in February.

• On Feb. 5, Methodist Healthcare Ministries participated in National Wear Red Day®, the American Heart Association's national movement to increase awareness of heart disease in women. Heart disease and stroke cause 1 in 3 deaths among women each year, killing approximately one woman every 80 seconds. Fortunately, 80 percent of cardiac and stroke events may be prevented with education and action. Every year, National Wear Red Day® aims to inspire women to take charge of their heart health. To learn more, visit GoRedForWomen.org.

• On Feb. 25, Methodist Healthcare Ministries will contribute $2,500 to be a Learn Red Sponsor at the Go Red for Women Luncheon in San Antonio. More women die from heart disease than from all forms of cancer combined. Because mothers, daughters, sisters, and friends are all at risk of heart disease and stroke, the purpose of the luncheon will be to inform attendees to catch the red flags, and encourage women to know their heart health story. Go Red For Women inspires women to make lifestyle changes, mobilize communities, and shape policies to save lives. United, we are all working to improve the health of women in our community. For more information on the luncheon, click here.

• On Feb. 27, Methodist Healthcare Ministries will contribute $10,000 to be a Presenting Level Sponsor at the Vestido Rojo Conference, an initiative to address the needs of Hispanic women in San Antonio. Heart disease is the number one cause of death for Hispanic women. The Vestido Rojo conference is being held in conjunction with Go Red Por Tu Corazon, the American Heart Association's nationwide movement that celebrates the energy, passion and power of Hispanic women to band together and wipe out heart disease. The movement is activated by a combination of special community events, presentations, and media to elevate awareness and give Hispanic women tips and information. The conference will empower women with knowledge and tools so they can take positive action to protect their health. For more information on this free event, which will include health screenings, nutrition workshops, presentations and more, click here.

• On May 7, Methodist Healthcare Ministries will contribute $5,000 to be a Creating Hope Table Sponsor at the San Antonio Heart Ball. For one night each year, the American Heart Association brings together an audience of decision makers from across San Antonio, in an opportunity to not only raise critical dollars to support the American Heart Association's mission but also create life-saving awareness. This year's event is focused on creating awareness and how to recognize the signs of stroke. Funds raised through the San Antonio Heart Ball supports many local efforts in our community. To learn more about this elite black tie event that is expected to bring in prominent members of the health, philanthropic and local business communities, click here.

• On May 13, Methodist Healthcare Ministries will be a top level sponsor at the Go Red for Women Luncheon in Corpus Christi, Texas by contributing $35,000. The luncheon will provide women of all generations with tips and information on healthy eating, exercise, and risk factor reduction, such as smoking cessation, weight maintenance, blood pressure control and blood cholesterol management. For more information on the luncheon, visit corpuschristigored.heart.org.

The American Heart Association movement continues to reach women, men, health care professionals, policy makers, and even celebrities to embrace and elevate the cause of heart disease. Thanks to the participation of millions of people across the country people are living stronger, longer lives. For more information on the American Heart Association, and for helpful resources, visit www.heart.org.