Central Valley Community Health Needs Assessment – 2019
Fresno, Madera, Tulare, and Kings Counties

Hospitals collaborated on the 2019 Community Health Needs Assessment.

  • Adventist Medical Center – Hanford
  • Adventist Medical Center – Reedley
  • Adventist Medical Center – Selma
  • Clovis Community Medical Center
  • Coalinga Regional Medical Center (now closed)
  • Community Regional Medical Center
  • Kaiser Permanente, Fresno Medical Center
  • Kaweah Delta Health Care District
  • Madera Community Hospital
  • Saint Agnes Medical Center
  • San Joaquin Valley Rehabilitation Hospital
  • Sierra View Medical Center
  • Tulare Regional Medical Center/Adventist Medical Center - Tulare
  • Valley Children’s Hospital


The community identified 13 areas of concern.  As a region, the hospitals are working hard to meet the needs outlined.  Here are just a few examples of how local hospitals are supporting the region.

Access To Care

  • Adventist Health has collaborated with Life Hope Centers to bring medical, vision and dental to underserved and underinsured populations; in addition they have partnered with Kings Area Rural Transit to provide transportation to appointments. 
  • Madera Community Hospital, in partnership with Madera Avenue Bible Church, established Wellness Wednesday.  This is a monthly Lunch and Learn featuring a physician who shares about their specialty, disease prevention and/or treatment, and how to best access or navigate the healthcare system.
  • Valley Children’s has been committed for decades to ensuring high-quality pediatric medical education and resident training for healthcare professionals throughout Central California.  Each year, Valley Children’s trains over a 1,000 medical providers including physicians, nurses, and a number of other clinical disciplines, helping to address our region’s shortage of pediatric providers and helping to ensure that our children have access to the absolute best care possible. 



  • The Respiratory Care Department at Kaweah Delta Medical Center provides services from the emergency department to home care instruction. Our respiratory care practitioners provide complete cardio-pulmonary assessment, therapy, education, and training for patients with breathing disorders and work with patients on an inpatient and outpatient basis to provide the best quality care. Kaweah Delta offers the Better Breather’s Club. The purpose of the club is to offer patient-centered support to persons with chronic lung disease (especially COPD) but also asthma, idiopathic pulmonary fibrosis [IPF], lung cancer, and other chronic lung diseases.



  • Community Medical Center hosts cancer support groups totally 819 participants.
  • Sierra View Medical Center’s (SVMC) Roger S. Good Cancer Treatment Center (CTC) continues to provide state-of-the-art treatment options to our community. SVMC has also developed a Palliative consult team that works hard at identifying those who qualify early in their disease process in order to enhance their quality of life and expand treatment options. In addition, CTC is committed to providing cancer awareness, education and prevention information to the community through monthly support groups, as well as community partnerships, annual events and screenings.


Cardiovascular Disease/Stroke

  • Saint Agnes provided the Heart & Soul, a10-week program, designed for women of all ages, to help improve heart health, weight loss, improve total cholesterol, physical health and healthy eating.
  • Sierra View Medical Center (SVMC) has recently been approved to perform PCI in their Cardiac Cath lab, ensuring more local patients can be cared for close to home.  Additionally, Sierra View has received the American Heart Association/American Stroke Association’s ‘Get with the Guidelines-Stroke Silver Plus Quality Achievement Award with target: Type 2 Diabetes Honor Roll’. This award recognizes the hospitals’ commitment to ensuring stroke patients receive the best treatment according to nationally recognized, research-based guidelines.


Climate and Health

  • Saint Agnes partnered with Fresno Metro Ministries to improve air quality by reducing greenhouse gas emissions (GHG) through its Food to Share Program which diverted 1,457,768 pounds of food from landfills and instead consumed by disadvantaged community members. Climate health is improved by reducing greenhouse gas emissions in a ratio of 2.2 pounds of GHG reduction for each pound of healthy food diverted from landfills.


Economic Insecurity/Homelessness

  • Adventist Health has collaborated with local organizations to provide resources to participants; additionally, they work with Kings Gospel Mission to provide Recuperative Board and Care.
  • In August 2018, CMC provided $25,000 to Fresno Economic Opportunity Commission for its Food Express Bus serving healthy meals to low-income children during school breaks. Between September 2018 and August 2019, nearly 2,300 meals were served to children in socio-disadvantaged Fresno neighborhoods. 


  • Kaweah Delta provides services to screen for, treat and refer to specialty care as needed.

Maternal and Infant Health

  • At a statewide level, Valley Children’s has been a leader in advocating for policies and programs to help reduce premature birth. In partnership with the March of Dimes of California, Valley Children’s has successfully advocated for an increase in funding for the state’s Black Infant Health program, which provides funding to counties to combat the disproportionately high number of black babies born prematurely.
  • Sierra View Medical Center (SVMC) is continuously working to improve the patient experience and Maternal Child Health is always a key area of focus. Education is established through birthing classes, perinatal mood and anxiety disorder screenings, as well as through key initiatives like Obstetrical Hemorrhage and exclusive breastfeeding (Baby-Friendly Designation). Partnerships with the community (Patient Family Advisory Committee), First 5 Tulare County, the Breastfeeding Coalition and Valley Children’s Hospital help elevate the care and continued improvement to processes that help new moms achieve success throughout their maternal journey.


Mental Health

  • Kaiser Permanente Fresno supported the Peace Officers Chaplaincy of Fresno County, Inc. with Project RISE (Resilience in Student Education) at $40,000.  Project RISE builds resilience and bounce-back skills in our youngest children. Organization has partnered with Fresno Unified School District and is currently in 45 of their 65 elementary schools with an audience of 4,500 ethnically and socio-economically diverse first graders, meeting with them 36 of the 40 weeks in the school year.
  • In late 2019, Valley Children’s announced a partnership with Universal Health Services (UHS) in which  UHS will construct an 81,600-square-foot, 128-bed behavioral health hospital for children and adults immediately adjacent to the Valley Children’s Hospital campus in Madera.  The facility will include a 24-bed inpatient unit for children and adolescents, ages 5 -17, representing a 49% increase in available beds for kids from Kern to San Joaquin counties. The hospital is expected to open in Spring 2022.
  • Kaweah Delta provides acute inpatient psychiatric care at our mental health hospital and provides out-patient bio-behavioral health service at our health clinics in Exeter, Lindsay, and Dinuba. (You may want to add a sentence about the new Behavioral Health Grant).


Obesity/Healthy Eating Active Living/Diabetes

  • Community Medical Centers partners with Latino Health Workgroup, led by Centro La Familia, to host no-cost, community health fairs offering on-site blood glucose, BMI and blood pressure screenings. In FY 2019, CMC hosted three Know Your Numbers health fairs on our CRMC campus serving over 200 families. 
  • Madera Community Hospital, in partnership with Madera County Public Health, established a Neighborhood Farmer’s Market on the hospital council.
  • Valley Children’s has launched a two-year initiative called Schools for Healthy and Thriving Students that is working with schools districts in Fresno and Madera Counties to promote student health and wellness.  Through the initiative, Valley Children’s has partnered with the Center for Wellness and Nutrition to provide education and other resources to 10 school districts in Fresno County and 8 school districts in Madera County to help the districts enhance their school wellness policies by adopting and implementing evidence based practices.


Oral Health

  • Kaiser Permanente Fresno funded Saving Little Smiles.  The Health Smiles Mobile Dental Foundation will provide restorative and preventive oral health care for 2,500 at-risk children ages 4-6 years old living in six rural and two inner-city school districts in Fresno County. The outcome of Saving Little Smiles will be 100% of the 1,880 children will receive full exam and x-rays; 95% will receive prophy and fluoride varnish treatment; 80% will be decay-free and 75% will receive 3,750 sealants on primary molars.
  • Saint Agnes supported the Holy Cross Clinic at the Poverello where no-cost dental care was provided to the uninsured and underinsured. 


Substance Abuse/Tobacco Use

  • Saint Agnes Medical Center trained 21 community facilitators to conduct Courage to Quit, an evidence-based group or individual tobacco treatment program.
  • Kaweah Delta offers ED dispensing of nasal Naloxone for the community to support in suspected opioid overdose cases.  Patients are screened for Tobacco use through their visits and can be referred to a clinical pharmacist who have established a pharmacy managed tobacco cessation program.


Violence and Injury Prevention

  • Kaiser Permanente Fresno partnered with the Fresno Police Activities League (PAL) on the Southwest Fresno Expansion Project.  The $40,000 support provided the initial resources needed to expand PAL operations into Southwest Fresno and provide police officers and volunteers a platform to provide a much-needed safe haven, activity center, and boxing program into an area plagued by gang violence, while providing positive mentorship and guidance.
  • Injury is the leading cause of death for children in the U.S. As a leader in providing specialized pediatric healthcare, Valley Children’s recognizes the importance of injury prevention and works collaboratively with community agencies to prevent those tragedies by providing injury prevention education and outreach to children and families throughout Central California.