A special initiative for the South Asian Heart Center at El Camino Hospital Why a South Asian Heart Center? The South Asian Heart Center at El Camino Hospital was established in 2006 to address the severe epidemic of heart disease and diabetes among people who trace their origins to India, Pakistan, Bangladesh, Sri Lanka, and Nepal. The elevated risk, between two and four times greater than that of other ethnic populations, is due to a combination of genetics, behavior, and environmental factors and is underestimated by traditional medical guidelines. Between 2002 and 2004, El Camino Hospital physicians observed that South Asians represented 6% of the acute myocardial infarction cases arriving in the emergency department even though they comprise only 3% of the local population. Many of these patients were vegetarian and younger than age 50, they were not obese, and they did not smoke – in short they exhibited none of the traditional warning signs. With backing from El Camino Hospital Foundation and community philanthropists, the Center developed a pioneering approach to the crisis called AIM to Prevent™, a comprehensive, culturallytailored program that raises awareness, ameliorates heart disease and diabetes risk with advanced screening, lifestyle counseling, and personalized coaching, educates and collaborates with physicians, and conducts research to address the dire health disparity. The Center does not medically manage patients. Rather it works with the patient and his/her physician to better understand the patient’s risk factors and to mitigate them through Lifestyle MEDS™ - meditation, exercise, diet and sleep. The Center has developed four strategic initiatives to focus and guide its efforts: • Outreach – Raise global understanding and awareness of the severity of the pandemic and methods to combat it • Prevention – Screen participants with the AIM to Prevent™ risk reduction program, enabling protective behaviors • Education – Promote early diagnosis, treatment, and lifestyle changes to prevent onset and disease progression • Research – Identify causative factors elevating risk; create risk prediction tool; assess program effectiveness
Our Unique Program Men and women who are interested in the AIM to Prevent™ advanced screening program sign up online to participate. An initial heart health risk assessment that encompasses personal, medication and family history, demographics, and lifestyle dynamics, is conducted over the phone. The participant then undergoes a brief physical exam and receives a requisition to complete the advanced laboratory work.
A special initiative for the South Asian Heart Center at El Camino Hospital After the assessment is done, he/she meets in person with a professional health educator, who reviews the results and creates a personalized follow-up plan for managing the risks with lifestyle changes. The participant is then given the opportunity to develop an individualized meal plan with a registered dietician, an in-person appointment with an exercise physiologist, and a one-hour orientation on meditation. The health educator also offers the opportunity to participate in the Center’s heart health coaching program, through which trained personal coaches monitor progress on a regular basis, offer encouragement, and help facilitate any needed adjustments to the plan. More than 90% of clients opt to be coached and 50% continue beyond one year. Most insurance companies cover the laboratory testing, which includes more advanced analysis than doctors typically order. Currently, all of the other services, including the assessment consultation, intervention counseling, and ongoing coaching, are provided at no cost to the participants and are covered by donations from community members and funding from El Camino Hospital. This strategy removes barriers and encourages involvement. A nonprofit, the Center relies on El Camino Healthcare District community benefit funds, contributions from the South Asian community, and grants to underwrite its operations. Over the past eight years, El Camino Hospital has provided more than $1.7 million in funding as well as generous in-kind support in the form of office space, computers, phone, marketing, and fundraising assistance.
We Are Achieving Excellent Results • The South Asian Heart Center has completed more than 4,500 advanced screenings and retested more than 1,000 participants as part of its AIM to Prevent™ Program. • More than half of the participants increased their levels of physical activity and over a third are eating more fruits and vegetables. • When retested, two thirds showed improvement in cholesterol to HDL ratios and more than half lowered their high triglyceride levels. • Our advanced and early screening uncovered undiagnosed hypertension in 17% of our participants and undiagnosed diabetes in 4% of participants. • We trained 1,000 physicians on the need for early and thorough evaluation to prevent and/or delay onset of heart disease. More than 300 are now collaborating and referring their patients to us. • We have presented our findings at key American Heart Association, American College of Cardiology, and American Diabetes Association academic conferences and published our initial findings in peer- reviewed medical journals • The U.S. House of Representatives presented the South Asian Heart Center with a Special Congressional Recognition to applaud our pioneering work in the community.
A special initiative for the South Asian Heart Center at El Camino Hospital Why El Camino Hospital Our focus on South Asian heart health has been validated by Stanford, Kaiser, and Palo Alto Medical Foundation, which have also created dedicated programs to address this pressing health concern. However, our approach of identifying risk early, creating a personal lifestyle plan for each participant, encouraging compliance through ongoing coaching, and engaging whole families, remains unique. In fact, we are now partnering with Palo Alto Medical Foundation, which refers their patients to us for lifestyle intervention and management. As the first organization to recognize and begin addressing the issue, we are also the only one with the substantial, uniform and growing cohort of patients essential for research into the causes of and potential solutions to this dire pandemic.
Shaping Our Future There is a large South Asian population of approximately 390,000 people in the Bay Area, of which more than 108,000 are in the age group at highest risk for heart disease and diabetes. As of July 2013, the South Asian Heart Center had screened just 7.3% of the 51,000 non-Kaiser insured South Asians between the ages of 30 and 60 who live in Santa Clara and Alameda Counties, our target areas. The majority of them reside in the El Camino Healthcare District, which comprises Mountain View, Los Altos, Los Altos Hills, Sunnyvale and Cupertino, where the Center is based. While we have attracted some early adopters in Fremont, we have not made any inroads in San Jose due to lack of outreach. Meanwhile, the epidemic continues to rampage. Young South Asians in their 30s and 40s keep showing up in emergency rooms. We still have a lot of work to do. The South Asian Heart Center aims to reach 23.6% of this target cohort (12,000 participants) within three years and to triple our volume to 3,000 screenings per year. In order to do so we must open satellite centers in other Bay Area cities. We began this year by establishing a presence at the India Community Center in Milpitas, where initial screenings and follow-up meetings with the health educator are conducted one day a week. Now we are ready to expand in a larger way. The South Asian Heart Center plans to open two new branches, one in Los Gatos and the other in South San Jose, in fall 2014. These locations will provide a convenient place for local teams to conduct risk assessments and offer health education, nutrition counseling, and coaching to area residents. A health educator will also be on site to review lab results with the participants, do the biometric screenings, and discuss the follow-up plans. The Center simultaneously intends to begin building physician relationships in the Fremont area in preparation for future expansion into that market and is investigating opening a similar facility there in spring/summer of 2015.
A special initiative for the South Asian Heart Center at El Camino Hospital We Need Your Help The establishment of branches in Los Gatos and South San Jose will require new funding for office space, staff, and marketing outreach to the community. Further funds will be needed to lay the groundwork in Fremont. El Camino Hospital has committed $1,950,000 over the next three years to support our ongoing efforts in Mountain View and Milpitas, and our growth into new areas. $300,000 is expected to come from grants and participant fees. The remainder of $2,100,000 must come from leadership gifts and the annual gala. For the past eight years, the El Camino Healthcare District has provided nearly 50% of the South Asian Heart Center’s budget. It will continue to do so as long as a similar commitment is evident from our community. To further sustain the program, the Center is building an annual fund, encouraging both past donors and new participants to contribute on a yearly basis, online and through direct mail. We are also inaugurating a Pay it Forward program that honors our donors while reminding participants that their screenings were underwritten through the generosity of others, and asking them to reciprocate by making their own gift to ensure more people can benefit. Without the support of our community, the South Asian Heart Center will not be able to expand its reach, depriving our mothers, fathers, sons, daughters, friends, and neighbors of this pioneering and crucial, lifesaving health care. All of us must join together in order to overcome our community’s disproportionate risk of heart attack and diabetes. A staggering 60% of the world’s coronary artery disease is suffered by South Asians, who make up only 17% of the global population. The routine exams and conventional testing used by most physicians fail to reliably predict and prevent it. The South Asian Heart Center’s unique, integrated, and evidence-based approach is producing concrete results and has been repeatedly validated over the past eight years. We need your philanthropic support to expand our reach so we can keep our community healthier, prevent heart attacks from prematurely ending promising, young lives, and ameliorate the misery this epidemic causes untold families.
A special initiative for the South Asian Heart Center at El Camino Hospital
Expanding Our Reach
A special initiative for the South Asian Heart Center at El Camino Hospital
3-Year Growth Plan
FY2014 FY2015 FY2016 FY2017 Total
Participant Growth
900
1,500
2,100
3,000
Cumulative Participants
5,100
6,600
8,700
11,700
11,700
Budget
640K
$1.1M
$1.5M
$1.7M
$4.3M
El Camino Hospital Commitment
360K
$600K
$650K
$ 700K
$1.9M
Foundation Fundraising Commitment
250K
$400K
$750K
$950K
$2.1M
Fees*/Grants
30K
$75K
$100K
$125K
$0.3M
Staff and Consultants (FTE)
3.6
+2.9
+1.3
+2.0
9.8
*$49 processing fee per participant
3-Year Plan (Expenses) Staff/Contractors/Outside Services
FY2014 FY2015 FY2016 FY2017 $490K
$807K
$995K
$1,219K
$25K
$54K
$47K
$56K
$115K
$118K
$121K
$124K
GA/Depreciation
$15K
$17K
$21K
$25K
Laboratory Fees
$0K
$128K
$187K
$268K
$645K
$1,123K
$1,372K
$1,692K
Rent/Supplies/Utilities Health-fair/Fundraising Events
Total Expenses
A special initiative for the South Asian Heart Center at El Camino Hospital
Naming Opportunities Mountain View Flagship Site $1,000,000 Community Satellite Centers 1. Los Gatos $ 500,000 2. Fremont $ 500,000 Prevention Programs Diabetes Prevention and Management Program AIM to Prevent Program
$ 500,000 $ 250,000
Clinical Endowments Research Associate Endowment Medical Director Endowment
$1,000,000 $ 500,000
PARTICIPANT SPACES Lobby (3 sites) Participant Room (3 sites)
$ 100,000 $ 50,000
A special initiative for the South Asian Heart Center at El Camino Hospital
Giving Opportunities Visionary $100,000+ • 4 AIM to Prevent screenings • Your name on “Pay it Forward” card handed out to 200 participants • Naming recognition on Lotus Petal at designated site (only 18 opportunities) • Scarlet Night Gala tickets (10 PVIP) • Breakfast with Medical Director César Molina, MD Leader $50,000+ • 2 AIM to Prevent screenings • Your name on “Pay it Forward” card handed out to 100 participants • Naming recognition on Lotus Petal at designated site (only 18 opportunities) • Scarlet Night Gala tickets (6 PVIP) • Breakfast with Medical Director César Molina, MD Advocate $25,000+ • 2 AIM to Prevent screenings • Your name on “Pay it Forward” card handed out to 50 participants • Scarlet Night Gala tickets (4 PVIP) Friend 15,000+ • 2 AIM to Prevent screenings • Your name on “Pay it Forward” card handed out to 30 participants • Scarlet Night Gala tickets (2 PVIP)
A special initiative for the South Asian Heart Center at El Camino Hospital
Pay it Forward Program
Recognizing One-Time Gifts, Encourging Others to Participate Screenings at the South Asian Heart Center are underwritten with the help of our generous donors. The Pay it Forward Program honors these donors and encourages new participants to reciprocate with their own gifts, which will help provide screenings for others.
Donation
Pay it Forward Cards
$10,000 20 $5,000 10 $2,500 5 $500 1
Your participation in South Asian Heart Center’s AIM to Prevent™ program was made possible in part by a donation from
Pay it Forward Program Promoting health in our community one participant at a time
Please pay it forward by making your own gift https://southasianheartcenter.org/donate
For more information, please contact Nivisha Mehta, Philanthropy Officer, nivisha.mehta@elcaminohospital.org