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Samaritan House is Honored with a 2017 Community Partnership Award from Stanford

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Samaritan House is immensely proud to have been honored with a 2017 Stanford Community Partnership Award for our work at the Samaritan House Free Clinic of Redwood City, headed by Dr. Jason Wong, Medical Director (pictured 2nd from left).

“Dr. Wong and his team have embedded themselves in the medical community, and they find every creative and rewarding way to embed Stanford Health Care personnel in our Clinic. It’s a partnership that everyone enjoys, especially our patients, who then benefit from some of very best medical care available,” Bart Charlow Samaritan House CEO.

To learn more about the 2017 Stanford Community Partnership honorees, go to:
http://news.stanford.edu/…/community-partnership-awards-ho…/#

Pictured from left to right: Colleen Haesloop Johnson, MPA/HSA, Stanford Health Care Director of Community Partnerships; Dr. Jason Wong, Samaritan House Medical Director; Bart Charlow, Samaritan House CEO; Elvia Torres, Samaritan House Redwood City Clinic Medical Assistant; Gracie Medina, Samaritan House Redwood City Clinic Manager and Andy Coe, Stanford Health Care Chief Government & Community Relations Officer.

Photo credit: Stanford University Office of Public Affairs

Message to our Community in response to recent Natural Disasters

 

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We are the world here in San Mateo County. We have residents from all over the planet, and they have loved ones whom they support emotionally and often financially in so many places. Unfortunately, when disaster strikes almost anywhere, you can be sure that it hits home to some of our neighbors. The people we serve at Samaritan House are certainly the rule, rather than the exception. We have people we care deeply about in Texas, Florida, Mexico, Puerto Rico and the U.S. Virgin Islands. And while we have watched their tragedies unfold, they are far from over.

Can you imagine someone struggling so hard to live here while sending money back to relatives there to help them survive, and now this extra hardship? We can, because we see it here among our neighbors every day now.

On behalf of all of us at Samaritan House, our thoughts are with those with friends or loved ones affected by recent events.

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Bart Charlow,  Samaritan House CEO

Health Partner Profile

Interview with Bill Graham, President, Sequoia Hospital and Marie Violet, Director, Health and Wellness Center, Sequoia Hospital

With Mary Dunbar, Samaritan House

Graham_Bill Marie Violet

Over the past year, Samaritan House has featured healthcare partner leaders in celebration of their generous financial, in-kind, and volunteer support of our Redwood City and San Mateo Free Clinics. We are grateful to the many healthcare institutions, volunteer physicians, dentists, nurses, and other volunteers who have kept our Free Clinics in operation for 25 years. It is through their individual and collective support that tens of thousands of uninsured, low-income patients have received quality primary and specialty healthcare in San Mateo County.

 

Mary Dunbar: Thank you so much for meeting with me today, Bill and Marie! Samaritan House is grateful for the long partnership we’ve enjoyed with Sequoia Hospital. This past year Sequoia Hospital had 1,611 encounters with the Samaritan House Redwood City Free Clinic patients and provided a total of $593,699.00 of in-kind lab and radiology services. In conversations with other healthcare leaders like you, I’ve discovered that the vision for each nonprofit hospital’s community engagement is often much greater than the community benefit requirements the I.R.S. dictates. People may be surprised to learn that hospitals like Sequoia donate a significant amount of time, money, and resources to the community. What’s your vision for Sequoia Hospital and its role in the community over the next few years?

 

Bill Graham: I always go back to the fact that Sequoia was formed by the community. We were a district hospital created through a special vote of the population back in the mid-1940s to serve the health needs of the local residents. Ultimately, that’s our job—to provide very high-quality care and an unparalleled patient experience to our neighbors in the communities we serve. As Sequoia evolves over the coming years, we’ll continue to diversify the work that we do. We’re exploring strategic partners that allow us to build and develop new programs to meet the changing needs of the community, as well as to provide care in the outpatient setting. We know that care is shifting from inpatient (in a hospital setting) to outpatient. One of our main areas of focus will be ensuring we have enough primary care and specialty physicians to effectively address this change in the care setting.  An important means of defining Sequoia’s role in the community is through the Community Health Needs Assessment and our own annual Community Benefit Report. These tools help assess and address the most urgent health needs in the county.

 

Mary: How exactly are those urgent health needs identified?

 

Marie Violet: The Healthy Community Collaborative is made of representatives from local hospitals, the county health department, the Peninsula Health Care District, and other health care providers. The collaborative, of which Sequoia Hospital was a founding member, was convened in 1994 when California first adopted the community benefit requirement (SB-697). Together, we conduct the triannual Community Health Needs Assessment. Our Community Advisory Committee is deeply involved in this process, giving input and advice on the ranking of the resultant 21 community health needs. They help prioritize which specific needs Sequoia Hospital should make a focus. From there, we take the county-wide report and create our own Community Benefit Plan. The Health & Wellness Center leads development of the plan, which is then reviewed and approved by our Community Board. Both our Community Advisory Committee and Community Board are composed of community members who represent a wide array of interests and perspectives, and who serve as catalysts for relationship building and partnerships with organizations, businesses, and individuals in the community.  Sequoia’s primary focuses this year are to address diabetes, childhood obesity, health care access and delivery, behavioral health, and fitness/diet/nutrition. As we do each year, we are actively identifying what resources we currently have to address these issues and partnering with nonprofit community partners to create solutions.

Bill: The nice thing about working together is that we all start from the same baseline. No one entity could ever accomplish or address all of the issues that are identified as unmet health needs. Although San Mateo County is much healthier than many other counties, we still have issues that we need to address. Each of us, within our own particular part of the county, can narrow that down and discuss the county’s most pressing needs and then identify how we can best meet these needs based on our relationships with community partners.

Marie: Our overarching goal it to ensure that we’re supporting those who are the most underserved and vulnerable. Much of our work with the community is accomplished through the Sequoia Hospital Health & Wellness Center, and it couldn’t be done without collaboration. We come up with projects and then we find partners. It’s our role, essentially, to be the convener. It’s amazing what you can get done when that happens.

 

Bill: There are a lot of available resources in the community, but sometimes those resources aren’t always organized or structured in a way that’s effective. First, we identify the area that we want to be involved in, and then we ask the question “what problem are we trying to solve?” The second question we ask is, “Who’s already doing that work?” It doesn’t make sense for us to try to build something or spend a lot of money to try to fix a problem when there are many others already out there doing the same work. The leadership role we provide is bringing people together to effectively utilize resources, and coordinating and directing resources around a specific issue—something we’ve done consistently over the last 20 years.

Marie: One of the most inspiring outcomes to emerge from this collaborative process was how much all of the community service organizations enjoyed working together and discovering what each other did. I think over the years we’ve gone from many silos and a lot of competition for resources to a feeling that there is enough out there for everybody—when we work together. The needs are great, so if we take what we do best and then collaborate, we’re all successful.

 

Bill: Improving health care access and delivery in particular is a key priority for Sequoia. Our goal has been to identify at-risk individuals who weren’t able to return to their homes after a significant heath episode, particularly older adults. We want to help them avoid becoming dependent on infrastructure away from their home, such as skilled nursing facilities, or worse, being readmitted to the hospital. Sequoia brought together a variety of organizations, all of whom provided services to support patients in returning home after hospitalization. Samaritan House is one of these valuable partner organizations. It fills a void and plays a significant role in helping Sequoia Hospital fulfill its mission. Many who receive care through Samaritan House now have a consistent touchpoint with a physician and other medical professionals to help manage their health issues. They also gain access to other social services. Through Marie’s efforts, the partnership between Samaritan House and Sequoia Hospital helps address a critical need and improves the well-being of many members of our community.

Marie: Through our work with Samaritan House and other incredible community service organizations, the Sequoia Community Care Program was born. The program facilitates the transition from the community hospital setting to home care for adults aged 50 and older who have risk factors for hospital admission or readmission—including isolation, language and cultural barriers, inadequate support systems, or disabilities. As a part of this program, patients are tracked for 30 days after discharge, and can receive in-home safety checks, access to Meals on Wheels delivery, and other transitional support. Patients without a primary care physician are connected with Samaritan House for a post-discharge check-up and guidance on eligibility for insurance. The program has led to measurably improved recovery and outcomes for these patients.

 

Mary: What other types of follow-up care do you provide through the Sequoia Community Care Program to prevent re-admissions to the hospital?

 

Marie: At the Sequoia Hospital Health & Wellness Center, we facilitate two evidence-based programs, a Matter of Balance fall prevention class for older adults and the Diabetes Education Empowerment Program. Once per month at Belmont Library, we host a class called Maturing Gracefully with support from Friends of the Belmont Library, and it’s not unusual to have 35 to 40 people there every month to learn about a health topic.

However, we find that we have the most success in helping people when we go to them, when we provide follow up care in their own environment where they’re comfortable, rather than asking them to come to the Health & Wellness Center. A Sequoia Hospital nurse visits all the local community centers for older adults on a regular basis. She performs blood pressure checks monthly, and glucose tests quarterly to any who want them. It’s a phenomenal program because of the consistency it provides. That same nurse tracks each patient over time, and the patient can take their results to their doctor if follow-up is required, such as a medication change or something that would alert their physician to a more serious problem needing further investigation.

 

Bill: Yes, it’s amazing. Marie and her team can go out to the community center and provide some basic screenings and identify very problematic high blood pressure or other types of issues that could be very devastating to one’s health if not controlled. We’re able to get people connected to resources like Samaritan House to keep them from having significant complications. Samaritan House does incredible work and has been a consistent, valued resource.

 

Mary: What are some of the other ways that you partner with community based organizations?

 

Marie: The Medical Director of Samaritan House, Jason Wong, MD, was instrumental in helping us develop the Sequoia Community Care Program and currently serves on both our Community Advisory Committee and our Community Board. He has been instrumental advisor as we developed programs to address the needs of older adults and those living with and affected by diabetes.

 

Mary: I love Dignity Health’s Hello Humankindness campaign. What are your thoughts about Sequoia Hospital’s humankindness stories?

 

Bill: Hello humankindness evokes a certain awareness and way of thinking. We’re about community. From its earliest days, Sequoia Hospital has been a place where your friends, family, and neighbors come for care—and this creates a special environment. When we talk about humankindness, it’s about making these personal connections. As a result, we hear a lot of “humankindness” stories throughout the day. Many people send us letters and emails to comment on the positive ways they were treated and the high-quality, compassionate care they received here at Sequoia.

 

Mary: That’s really powerful. Thank you, Bill and Marie, for sharing a bit of your history on Sequoia Hospital’s collaborative partnerships in the community and for your commitment to improve the quality of life for all of San Mateo County’s residents.

 

About Bill Graham, President, Dignity Health Sequoia Hospital: Prior to being named Sequoia Hospital President in 2015, Bill served jointly as both Vice President of Physician and Business Development for Sequoia Hospital and Chief Strategy Officer for Dignity Health’s Bay Area Service Area. His contributions at Sequoia span the entire breadth of the hospital’s services, from securing dedicated funding and infrastructure for the award-winning Heart and Vascular Institute, to leading the development of a cardiovascular co-management program aligning three distinct physician groups, to co-leading the effort to secure $15 million in funding to reopen a closed perioperative suite. As Vice President of Physician Development, Bill expanded the Dignity Health Medical Foundation to include Sequoia Hospital, catalyzed the creation of the Sequoia Physicians Network (IPA) aligning more than 200 affiliated physicians and, with physician leaders, co-led development of a clinically integrated physician network supporting an innovative managed care strategy.

About Marie Violet, Director of the Health & Wellness Center, Dignity Health Sequoia Hospital:

Marie Violet has been serving Dignity Health Sequoia Hospital in Redwood City since 1981. In 1994, she joined the Health & Wellness Services Department, and in 1995 was appointed the department’s Director. Sequoia Hospital’s Health & Wellness Center is responsible for planning and implementing community benefit programs and initiatives within the hospital’s service area for both broad and vulnerable communities with disproportionately unmet health related needs. Programs include Chronic Disease Prevention and Management, Healthy Aging in Place, Child/Youth Healthy Development, and Community Building. Marie manages the annual Dignity Health Sequoia Hospital Community Grants Program for non-profit organizations. Marie is dedicated to developing strong collaborative relationships with community partners who share resources and demonstrate ongoing commitment to shared goals.  She is co-chair of the Healthy Community Collaborative of San Mateo County, which oversees the triennial Community Health Needs Assessment.

KCBS Radio Food Pharmacy Story

KCBS with Patient Cropped

Samaritan House was in the news again talking about our revolutionary #FoodPharmacy program done in partnership with Sequoia Healthcare District and Second Harvest Food Bank! The story aired July 31, 2017. Many thanks to KCBS Radio Reporter Margie Shafer (740 AM/106.9 FM) for visiting our #RedwoodCity Free Clinic and speaking with our patient, Laura. Take a listen.
Story 1:
https://clyp.it/v0e0lpmg
Story 2:
https://clyp.it/lfrmqtwr

Health Partner Profile


David Entwistle Photo

David Entwistle, President and CEO, Stanford Health Care
An interview with Mary Dunbar, Samaritan House

Over the past year, Samaritan House has featured healthcare partner leaders in celebration of their generous financial, in-kind and volunteer support of our Redwood City and San Mateo Free Clinics. We are grateful to the many volunteer physicians, dentists, nurses and other volunteers who have kept our Free Clinics in operation for 25 years. It is through their individual and collective support that tens of thousands of uninsured, low-income patients have received quality, primary and specialty healthcare in San Mateo County.

Stanford has partnered with Samaritan House since 2005. In this feature, we spoke with David Entwistle, President and CEO of Stanford Health Care:

Mary Dunbar: David, Stanford Health Care is one of the most recognized and innovative medical institutions in the country. How did you find your way here?

David Entwistle: I’ve spent my whole career in academic medicine. I started my career at University of Texas MD Anderson Cancer Center, then I moved on to the City of Hope in Los Angeles, then to the University of Wisconsin, and most recently, the University of Utah. I just love academics. Stanford Health Care is one of the most recognizable brands among academic medical centers. We are truly unique. There are some innovative things that we’re doing here that aren’t being done anywhere around the country.

MD: David, you’ve accomplished a lot, and you have a track record and deep experience working in large, teaching healthcare institutions. Are there advantages for the patients who receive care in this environment?

David Entwistle: Absolutely, yes. Without a question. Let me share my own experience. I was involved in a bicycle accident and, unfortunately, ended up in the hospital for some period of time, about eight or nine years ago. I was being treated in the academic medical center where I worked. The nice part about being in a large academic medical center is that it has every specialty available. I had suffered a traumatic brain injury — I was in need of a neurosurgeon, a neurologist, interventional radiology, trauma, and all the things that go along with each of those specialties.

The exciting part, and what we feel provides an advantage to the community, is being able to have all of those resources in place for when the patient needs it. Not only will you have access to the very best physicians who are training our next generation, you’ll also have all specialties and services in one place. That’s part of the reason I have only worked in academic medical centers, because I feel so strongly about the comprehensive nature of the care.

Why do we need all these resources? It’s because we’re teaching the next, great, could be neurosurgeon, could be general surgeon, could be oncologist. They are being trained here, and, so, having all the specialties and services is what enables us to train effectively. When you take a look at Stanford in addition to all those things, you don’t just have good medical professionals, you have the very best. Even as you look at national rankings, we’re the top in the country. It’s not that we’re in quest of a prize, but I think it validates what you can get by coming to Stanford, the expertise and the individuals. As you can tell, I’m very passionate about this subject. So, yes, there’s an advantage. And having taken advantage those resources personally, it’s something I feel very strongly about.

MD: What inspired you to choose a career in healthcare administration?

DE: I took three years of Latin in high school. You might be asking yourself “Why did you take three years of Latin going into healthcare?” Actually, I was determined to be an attorney. I went through all the prep work, selected pre-law in my application for college and then did a two year volunteer mission for the LDS Church. While I was out for two years volunteering, and very determined, I met several attorneys. I had the opportunity to interact with them, and thought, “I don’t know if that’s a career I necessarily want to get into.” I had also met several hospital administrators. At the end of the day, I really wanted to be in a field that has a benefit to people. This career really felt like it was the right fit for me.

MD: Community benefit programs provide critical support to organizations like Samaritan House. What kinds of community partnerships does Stanford Health Care engage in on the Peninsula?

DE: We typically look at things that are in alignment with our core capabilities. Every three years, we do a community needs assessment. Stanford does a local assessment as well as a regional, a national and even an international assessment of each population of patients that come here for care. When we look at the local communities that we serve in San Mateo, Santa Clara and several other counties around us, we look at the unique needs in each of those areas. Then we focus on providing care for those specific needs. We also think it’s important for the greater community to have access to care at Stanford, which is why we’ve done so much expansion in the region.

When we are working with our community partners, we look at the things that can help with some of the preemptive community needs to prevent patients from getting to the point where they have to use the emergency room. Whether it’s Samaritan House, or another partner, we want to help provide access to local resources before the patient’s needs become an emergency. As you and I were talking about earlier, sometimes people are reluctant to access services because they are uninsured or lack financial resources. The question is how can we encourage access on their own turf where they perhaps will be more apt to utilize the services versus waiting until they get so ill they need to go to the emergency room? They can be pretty far down the road with an illness when that occurs. We want to help remove that barrier to healthcare access through our partnerships.

MD: Many of the patients that come to us are referred by word-of-mouth, or they’ve heard about Samaritan House because they’ve gone through one of our health partner’s emergency rooms. Through our partnership with Stanford Health Care, and other partners, a crucial patient referral network has been built. We appreciate it. We know that the patients we see are utilizing the emergency rooms less.

DE: We appreciate the partnership too.

MD: I realize that you’re new to the Bay Area, have you had an opportunity to be personally engaged in the community?

DE: Yes, we have. We’d had a number of service activities that we had been involved with, including helping individuals who are elderly with visits and making sure they have their needs met. There’s a sweet lady that my son and I have been working with, she just turned 84, in fact, today! We had the opportunity to see her on Sunday and enjoyed a pre-celebration with her. This is an amazing community, there’s so many wonderful people in it.

MD: Since you arrived in the Bay Area, what’s been a standout experience for you and your family?

DE: We’ve had a lot of great experiences. We spent yesterday with a group of individuals down at Santa Cruz beach, which we had not been to before. That’s probably the most memorable place so far. I love to ride bikes, whether it’s riding in the Sequoia Forest or locally. We’re having a great time here. To get out and see this wonderful community and landscape, it’s amazing.

MD: Thank you so much, David. Stanford Health Care and the community is lucky to have you!

David Entwistle joined Stanford Health Care as CEO in July 2016 with extensive executive experience at leading academic medical centers.  Most recently he served as CEO of the University of Utah Hospital & Clinics (UUHC). He previously served as Senior Vice President and Chief Operating Officer of the University of Wisconsin Hospital and Clinics in Madison, Wisconsin and as Vice President of Professional Services and Joint Venture Operations at City of Hope National Medical Center in Duarte, California. He earned a bachelor’s degree in Health Sciences from Brigham Young University and a Master’s in Health Services Administration from Arizona State University. He also was awarded a postgraduate administrative fellowship at the University of Texas M.D. Anderson Cancer Center.

 

Keys to Hope: Gary’s Story

In the Spring of 2016, I lost my job due to cutbacks, faced hard times and became homeless. That summer, I was able to get into Safe Harbor Shelter, where they gave me the chance to pause, regroup, and grow. I was assigned Healthcare Case Manager Kat Barrientos and we met weekly. We set up goals for me. I started saving aggressively at Safe Harbor, and during that time, Kat was an ear and mentor who didn’t judge me. She kept an open mind and held out hope for me until I was ready to accept it myself.  She provided just the right amount of support. Within my first week at Safe Harbor, I got a job. It started out as part-time, 5 hours a day, but soon came to be full time.  This was a very positive turning point in my life.

Late August 2016, I went from an emergency bed into a transitional bed. I would then start meeting with my case manager every two weeks.  She always had an open door policy when the extra support was needed. I increased my saving amounts consistently with the knowledge that I would need to rebuild. Much to my excitement, at the end of January, I was granted a housing voucher from the County of San Mateo.  In March 2017, I got an apartment of my own.  I also received an additional salary increase from work. In a short 7 months, I went from being homeless to having my own apartment and a great job.

Gary's Keys of Hope
Gary’s Keys to Hope

To be successful, you have to be willing to do the work. It takes dedication and hard work on the part of the client.  Kat always told me ‘I am not here to do everything for you, but to support, encourage and give you the tools to be successful without me.’ That is her greatest gift to me.

I want to thank all Samaritan House and the Safe Harbor Staff for allowing me the opportunity to better my situation, as well as the great support they give out.

Artists in Residence

work by Willie

By Safe Harbor Shelter Clinical Case Manager, Julia Parmer

I was in my office, trying to seize on a small window of opportunity to tackle a pile of paperwork, when a client came running through my door. “Julia! You have to see this. Willie built an easel!” I knew, or rather, I had heard, that my client Willie was an artist. A likeness of Janet Jackson, almost eerie in its uncanny resemblance to the pop star, had floated for many years from office to office at Safe Harbor, left long ago by Willie after a previous shelter stay. But I had never seen his current work, nor had I seen him in action. I went outside where, indeed, Willie had, using two chairs, some posterboard, and other odds and ends, fashioned himself a makeshift easel and was hard at work, charcoal pen in cramped, blackened hand. I joined the gathered group of spectators who stood in silence, eagerly watching as Willie put pen to paper and the shape of a face began to form.

We soon decided to move Willie’s art supplies upstairs into our second floor Learning Center; a new room at the shelter, designated for onsite programming. In this room, we offer a host of courses for our residents, such as financial literacy classes and resume workshops. These classes are meant to help our residents make the most productive use of their time at the shelter; to further assist them in their goals of self-sufficiency, employment, and permanent housing. But this room also serves a second, and equally important purpose; to build life skills, to expand creative abilities, strengthen social emotional and physical well-being. To that end, we’ve offered yoga, nutrition, color therapy, arts and crafts, knitting, and, of late, Willie’s fine arts studio.

Artists in Residence by Julia Parmer 061517 3

In March, one of our staff members started a weekly women’s group in that same Learning Center. The group is not therapy; it’s a safe space to explore and navigate the challenges of living in a shelter as a woman, as well as a place for women to express their creative sides. Recently, they put together vision boards; empowering artistic collages to express ones’ dreams, goals, and hopes for the future. They made these using simple materials that we’ve had donated; old magazines, colored markers, stickers. The results were extraordinary. Sometimes I leave work feeling powerless, nearly hopeless at the homeless situation in our County. How is it, I thought to myself, as I looked at each finely crafted board, that our residents, despite the hardships, the heartache, the struggles, were able to draw on such inner strength and creativity to produce such things of beauty? And why is it that I ever doubted they could?

Earlier this year, a formArtists in Residence by Julia Parmer 061517 2er client emailed me to ask for a recommendation letter as she was putting together an application for an MFA program in creative writing. I had not seen this client since she left the shelter more than two years ago, but she felt that it was during her time at Safe Harbor that she experienced the personal and artistic growth to propel her to reach for this long-held dream of hers to go back to graduate school. I was deeply moved that she had found her experience at the shelter to be so transformative, and, more importantly, that she was taking these brave steps (at the age of 50 no less) to fulfill this goal of pursuing a career and a life in the creative arts.

So often I am surprised by the imagination and the thirst for knowledge that I witness on a regular basis at work. We’ve had guitarists, sculptor, painters, writers; so many creative and capable individuals. It is so easy to stigmatize that which we don’t know or which we fear. The concept of homelessness, of a homeless shelter, does not necessarily immediately lend itself to the notion of the creative arts. So we make assumptions and snap judgements, as we are naturally all prone to do.

But on that day, watching Willie begin to sketch out a future masterpiece in the front parking lot of our 90 bed facility, surrounded by his fellow residents, I had to simply take a moment to reflect and to remind myself that there is so much beauty in the world, if only we open our eyes to it.

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charcoal on paper works by Willie

Health Partner Profile: Dr. Diana Baker, California Advanced Imaging Medical Associates

 

Dr. Diana Baker_2

Samaritan House Director of Development, Mary Dunbar, recently sat down with Dr. Diana Baker of California Advanced Imaging Medical Associates (CAIMA) to talk about CAIMA’s commitment to the health and well-being of our neighbors in need. CAIMA donates upwards of $90,000 worth of imaging services to Samaritan House each year, so that the volunteer doctors at our two free healthcare clinics have the tools they need to adequately diagnose and treat the patients in their care.

Mary Dunbar: Diana, I’m so glad that you’re here.
Dr. Diana Baker: Thank you for having me.
MD: Tell us a bit about CAIMA and how long have you been partnering with Samaritan House?
DB: I’m a partner at California Advanced Imaging Medical Associates, which is a group of radiologists in the Bay Area. We work with several hospitals in the Bay Area including Mills-Peninsula Medical Center, San Mateo Medical Center and Sequoia Hospital among others! Between Mills-Peninsula and Sequoia Hospitals, we donate $90,000 of professional services to Samaritan House each year. We’ve been working with Samaritan House and donating free professional services for as long as any of us can remember, it’s probably close to 25 years.

Our Samaritan house patients are seen during our regular hours, alongside all of our other patients. The Samaritan House clinician orders whatever imaging study they feel is important for that particular patient’s care, whether that is a chest X-ray, CT scan, MRI, ultrasound etc. The professional services for that exam is then donated by us for free.  Each of us participates.

MD: Wow. First of all, that’s incredibly generous. Thank you.
DB: It’s our pleasure.
MD: The partnership with the CAIMA doctors is so important, because radiology alone is quite a major expense when you think about it.
DB: It is so important for people to be able to get the imaging studies that they need, whatever they may be. Imaging studies are expensive but they can be incredibly important.
MD: I heard a story that the doctors at CAIMA were donating the pro bono services and it comes out their bonuses, is that true?
DB: It does come out of our personal salary which includes bonuses. We split it evenly among the partners.
MD: That’s incredibly generous when you think about how it impacts the doctors financially. That makes it an even more special and unique gift to the community.
DB: Certainly, and we are thrilled to do it. We all live in this community. We all are really happy to help and it is a valuable service that we can uniquely provide.
MD: Your expertise is obviously something that’s highly needed. Have you had any personal experiences with the Samaritan House patients you see? Is there one story that stands out?
DB: Several Samaritan House patients come to mind! I remember a few years ago there was a patient who had been experiencing episodes of severe abdominal pain for several months but had not had the time to see a doctor. The episodes were so severe that she was often unable to work. She finally sought care at the Samaritan House, and the clinician ordered an abdominal ultrasound.  We found that she had gallstones and had even developed a serious complication from them.  She had surgery and has fully recovered!
MD: What inspired you to get into radiology?
DB: In medical school, at first, I thought I wanted to be a surgeon, and I did a lot of surgical rotations and research. I found myself in every single one of those rotations most interested in going down to the Radiology department and looking at the patients’ images.   I realized “wow, when I am working in OB/GYN I’m most interested in looking at the ultrasound pictures. When I do surgery I’m most interested in looking at the CT …“ That is how my interest in radiology began.  I signed up for radiology rotations and fell in love with it!

The other thing I love about radiology is that we see everything. We can help to diagnose a brain tumor one minute and the next moment we may be looking at an ultrasound of an unborn baby to be sure that is developing normally. The following day we may be reading mammograms. We are involved with every aspect of healthcare from beginning to end, and I love that. I love the images. I’m a visual person.

MD: Oh, that’s great. So it’s not just about diagnosing people with illness. It’s also about preventative care.
DB: That’s right. Much of what we do is preventative care.  A great example is screening mammography.  I also love developing relationships and interacting with patients. Many people think that radiologists sit behind a computer screen and never see patients! People are surprised to hear that we perform many of the exams ourselves, including breast ultrasound and interventional procedures such as biopsies, etc.
MD: Great, so you get a little bit of both. Just out of curiosity, how do you learn to become a doctor of radiology? You go through medical school like everybody else, but what’s the actual specialty?
DB: You do medical school which is four years and then you do a one year internship, typically in internal medicine, or surgery. That is followed by four more years of dedicated radiology, including night and weekend call.  In our group we have all also done an additional one or two year fellowship to specialize within the field of Radiology. Fellowships might be in Neuroradiology, Body Imaging, Breast Imaging, Ultrasound etc. My fellowship was in Ultrasound.
MD: Do you sometimes feel a bit like an investigator or a detective?
DB: Absolutely. Every day and every patient is different too, so you start looking at a case you never know what you’re going to find. It’s interesting. It’s never boring.
MD: Were you raised here on the Peninsula?
DB: No. I’m from North Carolina and I came out here when I was 17 to go to Stanford.
MD: Wow, 17!
DB: I came here and fell in love with the Bay Area. I went to Stanford for undergrad and I got a master’s degree there, stayed for medical school, and then I went to UCSF for residency and fellowship. I settled between the two in San Mateo at Mills-Peninsula with California Advanced Imaging, so here I am.
MD: That’s great. After you did your residency at UCSF and your fellowship, where did you go?
DB: Straight to work with CAIMA! This was my first job out of fellowship and I have been here for 14 years!
  Personally, I know all of us, including myself, have roles that we play in our community outside of work. I work with my daughter with National Charity League and I work with my son with Young Men’s Service League, outside of my professional world. The CAIMA radiologists do a lot of community service outside of donating our professional services, each one of us in our own way.
MD: You mentioned that you were here for something to do with a drive of some kind?
DB: Yes! My daughter and her friends got together and did a coat drive years ago. We collected coats and brought them all in. We then toured the facility and were amazed. It’s I think incredible for our kids to see what is happening in our community and to help.
MD: That’s powerful.
DB: All of us at CAIMA try to serve our community outside of work as well. Personally, I have three children who are 11, 13 and 15 years old. We are very involved in National Charity League and Young Men’s Service League. In fact, I am the incoming VP of Philanthropy for our National Charity League chapter. Of course, the kids also have their own schoolwork, sports and activities and I love to exercise and read in my spare time.
MD: That’s a lot. I don’t know how you manage that.
DB: It’s busy. It’s very busy but it’s fun.
MD: That’s good. But do you sleep?
DB: Yes, sleep is so important!
MD: It is! I don’t know if you’re aware, but both NCL and YMSL are both huge supporters of Samaritan House.
DB: Yes, we are so thankful for this partnership and absolutely love working with Samaritan House
MD: What inspired you to be so civic minded and philanthropic?
DB: I have always been involved in community service and I feel it is so important for young people to give back and serve their community. I wanted to share those experiences with my kids. I personally found it difficult as a working parent.  That is why I am so happy to be able to donate my professional services to Samaritan House.  Also, working with NCL and YMSL with my kids has been a wonderful and meaningful experience.
MD: And so you get to do a little bit of everything.
DB: Yes. I try to get the kids involved in many different kinds of community service. I hope they will develop a lifelong commitment to our community.
MD: Wow, that’s neat. You truly are a community leader then, leading by example for your children.
DB: It’s happened organically, just as a result of wanting them to get involved.
MD: Is there anything else that you’d like to share about CAIMA, your group, and the good works that you do in the community, about your practice?
DB: California Advanced Imaging like I said before is separated into divisions at different hospitals in the Bay Area. Each division is like a family. It’s nice for us to, as a family, feel like we’re helping and doing things for our own community. We’re a very close knit group of equal partners, so for us it’s definitely a community within a community.
MD: After learning more about what you do for the community, I think you qualify as one of our health heroes.
DB: Thank you. I think I can speak for my partners at CAIMA when I say that we really value our relationship with our Samaritan House patients and are so happy that we can contribute our specialized expertise!
MD: And your superpower is radiology.
DB: Ha! Thank you!