The District emphasizes programs involved in direct, hands-on patient care with a focus on the following areas based on assessments conducted by the County of San Diego, the Hospital Association of San Diego and Imperial Counties, and Sharp HealthCare in conjunction with the District:

Aging Concerns

Conditions that predominantly affect adults ages 65 and older — especially in relation to: transportation, access to fresh food, social isolation and inadequate family support, and economic insecurity.

Behavioral Health (including Mental Health & Substance Use Disorder)

Priorities to address include a lack of availability of needed services and appointments, insurance issues, logistical issues, such as transportation and time off work, and the inability to pay co-pays and deductibles.

Chronic Conditions

Three chronic conditions were identified as priorities: heart disease, cancer, and stroke. Key factors that individuals struggle with to prevent chronic diseases include access to fresh, healthy foods and safe places to exercise and play.