Inova FACT Department 2022 Donor Impact Report

INOVA

EWING FORENSIC ASSESSMENT AND CONSULTATION TEAM DEPARTMENT 2022 DONOR IMPACT REPORT

Thank You for Making an Impact in 2022

When it comes to fulfilling Inova’s mission to deliver world- class healthcare – every time, every touch – to each person in every community we have the privilege to serve, the contributions of the 22 team members who comprise the Inova Charles B. and Betty G. Ewing FACT Department are nothing short of miraculous. This small, but mighty team of experts is, for each patient, a bridge to healing and ultimately, thriving, beyond their darkest moments.

The global, national and local data on domestic violence and sexual trafficking are alarming and sobering And, for the Inova Ewing team of forensic specialists, that data represents the individual patients and families that we care for and the community where we live. Our team’s impact reaches far beyond the exam room into the courtroom, classroom or training center, and through a vast network of connections to resources that can support safer living, income security and emotional and psychological healing.

To our generous donors and community champions, we extend our deepest gratitude and are pleased to share with you this 2022 Impact Report.

Warmly,

Karen Berube, MSW, LCSW, CSAC Senior Vice President and Chief, Community Health and Health Equity Inova Health System

A Decade of Hope for Our Community

During this first ten years of service to our community the Inova Ewing FACT department has provided nearly 8,000 patient encounters and countless hours of testimony and subpoena management. Each of these services that your gift supports, offers hope and healing for a child or adult, and the opportunity to transform a person from victim to survivor. The program’s impact over the last decade includes:

7,908 patient encounters

Grow from two to 22 team members, including eight certified Sexual Assault Nurse Examiners (SANE)

Expanded from a single Emergency Department to four Ewing FACT clinic locations

Delivered thousands of hours of training for and with community partners and colleagues

Inova Ewing FACT Timeline 2012-2022

Gift from Charles and Betty Ewing to name the Inova Charles B. and Betty G. Ewing FACT Department

Transitioned from on-call model to full and part-time nurses with onsite coverage 7a-3a

Grateful FACT patient

“I felt extremely supported and you can tell the staff is trained well; I left with some comfort and not worse off, or even equal to how I came in. I appreciated her listening to my concerns and journey empathetically and speaking to me informatively. ”

Opening of Inova Loudoun Hospital, Cornwall Medical Campus

Opening of standalone clinic in Dunn Loring, VA

Opening at Inova Cares Clinic for Women location in Alexandria, VA

Patient Encounters 2018-2022

A strength of the Inova Ewing FACT department is our deep expertise in pediatric sexual assault examinations and year over year, since 2020, we are caring for significantly more, younger patients. In 2022, we saw a 17% increase in patient encounters over 2021 totals, with pediatric encounters up 24%. While patients over age 18 decreased from 2021, the number of patients under 18 increased by nearly 30%.

Our increased volumes are, in part, due to greater access to patients following the challenges of the COVID-19 pandemic. With children out of school most of 2020 and 2021, away from the influence of mandated reporters, e.g. school nurses and counseling personnel, reported cases of child abuse were down nationally and locally.

Of patients across our four locations in Fairfax, Dunn Loring, Alexandria and Leesburg:

9 out 10 are female

7 out of 10 are people who are Black, Indigenous, and people of color

4 out of 10 are under the age of 21

1 out of 4 are under the age of 12

Inova’s ability to deliver essential forensic assessment services to our community depends heavily on government grants, reimbursements and philanthropic support. The opening of two new locations since 2020 in Dunn Loring and Alexandria, has enabled us to serve more patients, closer to home, but also stretches our team’s capacity, as does the growing need for sensitive and expert pediatric care.

In 2022, support for FACT services from government funding was significantly reduced, shifting more of the cost burden of staffing to our generous donors. We are grateful for the sustaining annual support from the Ewing Family Foundation that ensures current staffing levels and helps Inova to deliver world-class patient care across Northern Virginia.

Because of you…our team is there when and where our community needs us.

Philanthropy is our Foundation

The Courage Closet — Hope can, and will, heal the world

The Courage Closet has partnered with Inova Ewing FACT Department at Loudoun to provide professional development and resiliency programs for frontline care teams. As of December 2022, The Courage Closet contributed $68,000 to the Ewing FACT Department. In addition to supporting team members, their giving touches all aspects of the department’s work – providing patient financial assistance for transportation to home and follow-up appointments and helping to maintain the technology and equipment needed for forensic examinations. We are grateful for this partnership and the care and support of the leaders and donors to The Courage Closet.

“I want others to know they are not alone, there is support and taking that first step is huge. Statistics show most of us know someone who has been through something like this and it is an honor to give back to the community and others who have gone through so much. ”

Liz Sands, Founder and CEO, The Courage Closet

Caring for Our Inova Ewing FACT Caregivers

In 2022, our longtime partners at ACT for Alexandria, a community foundation in Alexandria, Virginia provided a grant to support Team Member Resilience for the Inova Ewing FACT Department. Among other resiliency initiatives launched in 2022, the FACT team enjoyed a team building excursion and celebration of their hard work at a Washington Nationals baseball game.

Honoring the Life of Betty Ewing

We are proud that Inova’s FACT Department bears the Ewing family name. The strength of this program is the direct result of the vision of Betty and Charles Ewing that everyone in our community who faces abuse, domestic violence and human trafficking has the resources they need to heal and seek justice for themselves and their family.

Through her lifelong commitment to the health and wellbeing of children and her generous gifts of volunteer time and philanthropy, Mrs Ewing was a friend and lifeline for countless individuals and families in our region, and throughout the world We recognize and celebrate Mrs Ewing’s legacy at Inova and look forward to our continuing partnership with the Ewing family

Thank you for Helping Our Team Grow and Thrive

100 hours

of professional development completed by our team in 2022

Leadership Forensic Nurse Examiners

Cecilia Ortega-Shew, LCSW Executive Director, Community Health

Ariel Ward, BSN, SANE-A, SANEP Community Health Director, Forensic Nurse Examiner

Samantha Colliver, BSN, RN-BC, SANE-A, CCM Clinical Manager

Ramneek Jhawar Outpatient Practice Manager

Medical Staff

Katherine Deye, MD

William E Hauda II, MD

Andi Allen, RN, BSN

Ashleigh Daniel FNP-C, MSN, RN, SANE-A, SANE-P

Tabitha Finley, MSN, RN

Andrea Haick, RN, BSN

Abigail Ho MSN, RN, SANE-A, SANE-P

Monika Lemke MSN, MPH, RN, CNL, SANE-A

The Inova Ewing FACT Department is led and staffed by a highly skilled, experienced team of forensic specialists. At its launch, the FACT program had two team members. Today, because of your support, our team has grown to 22 individuals, including five nurse examiners with dual certification in pediatric and adult sexual assault examinations. Support

Kathleen Marcinek, BSN, RN, SANE-A, SANE-P

Barbara Myers, BSN, SANE-A

Elizabeth Onders, BSN

Erica Frances Porter, RN, BSN

Annabelle Sizemore, BSN

Astrid Strangio, RN, BSN

Mar Tortajada, MS,BSN,RN,CDE

Caitlin Yerkes RN, BSN, MPH, SANE-A, SANE-P

Staff

Fabiola Ascencio Calles, MA

Marlina Perrotte, BSE, MHA

Molly Redman, CCLS

Three of our FACT team members received Sexual Assault Nurse Examiner (SANE-A) and/or (SANE-P) certifications. SANE-A certification is focused on the adolescent and adult population of sexual assault patients, and SANE-P is focused on the pediatric and adolescent populations.

“As a team, Fairfax County Police Department Victim Services

Division, detectives and FACT work to support crime victims and survivors to reduce the incidence and trauma through personcentered emotional support, advocacy and medical services. The team of professionals often provide cross training and technical assistance to one another to ensure best practices are followed so that victims receive the best care possible. ”

Saly J. Fayez, MSW, LSW, Fairfax County Police Department, Major Crimes Bureau Director, Victim Services Division

A Cornerstone for Protecting Our Community and Seeking Justice for Survivors

Forensic examinations that are timely, sensitive and accurate are vital not only to a survivor’s recovery, but also to keeping our communities healthier and safer. Sexual assault is a problem for the entire community, not just victims and local sexual assault programs

Since its founding, the Inova Ewing FACT Department has been a reliable and visible partner with law enforcement and social service agencies across our region. We recognize that our work doesn’t begin with an assault, but rather begins with education. Each year, our team delivers hundreds of hours of training to thousands of partners. In 2022, we conducted trainings for:

Sexual Assault Center of Alexandria

SafeSpot of Fairfax

Prince William County Child Advocacy Center

Loudoun Abused Women’s Center

Doorways of Arlington

Northern Virginia Criminal Justice Academy

Advance Practitioners of Inova

Inova Cares Clinics for Families

Military

Domestic and Sexual Violence Services of Fairfax

Marymount University

Alexandria and Fairfax Police Departments

Philanthropic Support Provides Time for Our Nurses to Provide Expert Testimony and Evidence

In 2022, Inova Ewing FACT team responded to more than 100 subpoenas and provided courtroom testimony in jurisdictions across the region.

Thank you to the following donors for their gifts in 2022

January 1, 2022- December 31, 2022

($1,000 or more, including gifts-in-kind)

ACT for Alexandria

Toni R. Ardabell and Stephan E. Ryeczek

The Courage Closet

Ewing Family Foundation

William E. Hauda, III

Alexia Orr

Project Beloved: The Molly Jane Mission Smile Box Project

Thank you for your generous support for our community. For more information about the impact of your giving, please contact Kari Reed at kari.reed@inova.org or 540.664.3961.