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Seton Shoal Creek Hospital
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Part V, Section B, Line 3: From February May 2012, forums, focus groups, and interviews were conducted with leaders from a wide range of organizations in different sectors, community stakeholders, and residents to gauge their perceptions of the community, their health concerns, and what programming, services, or initiatives are most needed to address these concerns. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.
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Seton Shoal Creek Hospital
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Part V, Section B, Line 4: The CHNA was conducted with the following other organizations:- City of Austin- County of Travis- Central Health- St. David's Foundation- UT Health
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Seton Shoal Creek Hospital
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Part V, Section B, Line 5d: The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.austintexas.gov/sites/default/files/files/Health/CHA-CHIP/CHA-CHIP_Report10-24-13.pdf.
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Seton Shoal Creek Hospital
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Part V, Section B, Line 7: Description of Needs not Met:Given the behavioral health and substance abuse scope and mission of SSC, obesity and chronic disease treatment fall outside the realm of the hospitals direct service capabilities. While SSC does not have programs directly focused on these areas of need, SSC does participate in many collaborative efforts to provide behavioral health services as part of a multidisciplinary approach to obesity and chronic disease treatment including oncology.
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Seton Shoal Creek Hospital
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Part V, Section B, Line 14g: A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Seton Shoal Creek Hospital
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Part V, Section B, Line 20d: Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Part V, Section B
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Facility Reporting Group A
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Facility Reporting Group A consists of:
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- Facility 1: Seton Medical Center Austin, - Facility 2: University Medical Ctr Brackenridge, - Facility 3: Dell Children's Med Ctr of Central TX, - Facility 6: Seton Northwest Hospital, - Facility 7: Seton Southwest Hospital, - Facility 9: Seton Medical Center Williamson, - Facility 10: Seton Medical Center Hays, - Facility 11: Cedar Park Regional Medical Center, - Facility 12: Central Texas Rehabilitation Hospital
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Facility 1 -- Seton Medical Center Austin Part V, Section B, line 3:
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From February May 2012, forums, focus groups, and interviews were conducted with leaders from a wide range of organizations in different sectors, community stakeholders, and residents to gauge their perceptions of the community, their health concerns, and what programming, services, or initiatives are most needed to address these concerns. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.
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Facility 1 -- Seton Medical Center Austin Part V, Section B, line 4:
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The other hospital facilities with which the reporting hospital facility conducted its CHNA, include:- City of Austin- County of Travis- Central Health- St. David's Foundation- UT Health
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Facility 1 -- Seton Medical Center Austin Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.austintexas.gov/sites/default/files/files/Health/CHA-CHIP/CHA-CHIP_Report10-24-13.pdf.
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Facility 1 -- Seton Medical Center Austin Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 1 -- Seton Medical Center Austin Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 2 -- University Medical Ctr Brackenridge Part V, Section B, line 3:
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From February May 2012, forums, focus groups, and interviews were conducted with leaders from a wide range of organizations in different sectors, community stakeholders, and residents to gauge their perceptions of the community, their health concerns, and what programming, services, or initiatives are most needed to address these concerns. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.
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Facility 2 -- University Medical Ctr Brackenridge Part V, Section B, line 4:
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The CHNA was conducted with the following other organizations:- City of Austin - County of Travis- Central Health- St. David's Foundation- UT Health
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Facility 2 -- University Medical Ctr Brackenridge Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http//www.austintexas.gov/sites/default/files/files/Health/CHA-CHIP/CHA-CHIP_Report10-24-13.pdf.
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Facility 2 -- University Medical Ctr Brackenridge Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 2 -- University Medical Ctr Brackenridge Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 3 -- Dell Children's Medical Center Part V, Section B, line 3:
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From February May 2012, forums, focus groups, and interviews were conducted with leaders from a wide range of organizations in different sectors, community stakeholders, and residents to gauge their perceptions of the community, their health concerns, and what programming, services, or initiatives are most needed to address these concerns. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.
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Facility 3 -- Dell Children's Medical Center Part V, Section B, line 4:
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The CHNA was conducted with the following other organizations:- City of Austin- County of Travis- Central Health- St. David's Foundation- UT Health
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Facility 3 -- Dell Children's Medical Center Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.austintexas.gov/sites/default/files/files/Health/CHA-CHIP/CHA-CHIP_Report10-24-13.pdf.
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Facility 3 -- Dell Children's Medical Center Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 3 -- Dell Children's Medical Center Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 6 -- Seton Northwest Hospital Part V, Section B, line 3:
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From February May 2012, forums, focus groups, and interviews were conducted with leaders from a wide range of organizations in different sectors, community stakeholders, and residents to gauge their perceptions of the community, their health concerns, and what programming, services, or initiatives are most needed to address these concerns. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.
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Facility 6 -- Seton Northwest Hospital Part V, Section B, line 4:
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The CHNA was conducted with the following other organizations:- City of Austin - County of Travis - Central Health- St. David's Foundation- UT Health
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Facility 6 -- Seton Northwest Hospital Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.austintexas.gov/sites/default/files/files/Health/CHA-CHIP/CHA-CHIP_Report10-24-13.pdf.
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Facility 6 -- Seton Northwest Hospital Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 6 -- Seton Northwest Hospital Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 7 -- Seton Southwest Hospital Part V, Section B, line 3:
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From February May 2012, forums, focus groups, and interviews were conducted with leaders from a wide range of organizations in different sectors, community stakeholders, and residents to gauge their perceptions of the community, their health concerns, and what programming, services, or initiatives are most needed to address these concerns. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.
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Facility 7 -- Seton Southwest Hospital Part V, Section B, line 4:
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The CHNA was conducted with the following other organizations:- City of Austin - County of Travis - Central Health- St. David's Foundation- UT Health
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Facility 7 -- Seton Southwest Hospital Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.austintexas.gov/sites/default/files/files/Health/CHA-CHIP/CHA-CHIP_Report10-24-13.pdf.
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Facility 7 -- Seton Southwest Hospital Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 7 -- Seton Southwest Hospital Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 9 -- Seton Medical Center Williamson Part V, Section B, line 3:
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The WilCo Wellness Alliance was formed as a result of Williamson County being designated an ACHIEVE (Action Communities for Health, Innovation, and EnVironmental changE) community in 2009. The mission of the Alliance is to empower the people of Williamson County to lead healthy lifestyles by promoting a safe environment through public and private initiatives.The Alliance, grassroots and volunteer organizations, civic groups, philanthropy and foundation, and other groups provide forums for community members and leaders to come together to discuss and plan action in communities. Alliance leadership identified the history of coalitions and other alliances as well as citizen and leadership support for health and quality of life measures as a major strength of Williamson County. Leadership also recognizes the county's interactive values for being helpful and resourceful, supportive, sharing and caring about each other, having intergenerational and close-knit communities, connectedness, being proactive and involved in issues, and having a common unity.
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Facility 9 -- Seton Medical Center Williamson Part V, Section B, line 4:
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The CHNA was conducted with the following other organizations:- Scott and White Healthcare- St. David's Healthcare
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Facility 9 -- Seton Medical Center Williamson Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.austintexas.gov/sites/default/files/files/Health/CHA-CHIP/CHA-CHIP_Report10-24-13.pdf.
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Facility 9 -- Seton Medical Center Williamson Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 9 -- Seton Medical Center Williamson Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 10 -- Seton Medical Center Hays Part V, Section B, line 3:
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The Seton Healthcare Family, in collaboration with the CommuniCare Health Centers of Central Texas, hosted a Community Health Needs Summit for the Hays County. The Summit was designed as a way to update the community on progress that has been made since the last CHNA and to provide them with current data to engage in needs identification. The two goals for the summit were for the community to discuss current needs effecting Hays and then prioritize those needs in order of importance. The invitation to the Summit was sent out through local collaborations, partnership, and council list serves with targeted outreach to schools and other key community stakeholders. In attendance was representation from the public health department, hospitals, clinics, school district, and other service providers that serve the community. A complete list of Summit participants can be found in Appendix 1 of the Community Health Needs Assessment.In order to identify the community's needs, Seton Healthcare Family presented current health and demographic data to the Summit participants. Participants then engaged in table discussions regarding what the data revealed to them as well as what other they needs see in the community that did not show up in the data. This collaborative process created a list of needs that were shared with the larger group and categorized by theme. These themes served as the overarching needs that were identified with sub groups identified within each category. Participants then used a dot voting method to express their opinion as to which category was the highest priority need and which sub group was most important within that need. After tallying the results, the participants reviewed the results and further added any remaining thoughts. The following information is a summation of the data analysis coupled with the feedback from the community.
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Facility 10 -- Seton Medical Center Hays Part V, Section B, line 4:
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The CHNA was conducted with the Communicare Health Centers of Central Texas.
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Facility 10 -- Seton Medical Center Hays Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.seton.net/locations/seton_medical_center_hays/Hays_Community_Needs_assessment.pdf.
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Facility 10 -- Seton Medical Center Hays Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 10 -- Seton Medical Center Hays Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 11 -- Cedar Park Regional Medical Center Part V, Section B, line 3:
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The WilCo Wellness Alliance was formed as a result of Williamson County being designated an ACHIEVE (Action Communities for Health, Innovation, and EnVironmental changE) community in 2009. The mission of the Alliance is to empower the people of Williamson County to lead healthy lifestyles by promoting a safe environment through public and private initiatives.The Alliance, grassroots and volunteer organizations, civic groups, philanthropy and foundation, and other groups provide forums for community members and leaders to come together to discuss and plan action in communities. Alliance leadership identified the history of coalitions and other alliances as well as citizen and leadership support for health and quality of life measures as a major strength of Williamson County. Leadership also recognizes the county's interactive values for being helpful and resourceful, supportive, sharing and caring about each other, having intergenerational and close-knit communities, connectedness, being proactive and involved in issues, and having a common unity.
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Facility 11 -- Cedar Park Regional Medical Center Part V, Section B, line 4:
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The CHNA was conducted with the following other organizations:- Scott and White Healthcare- St. David's Healthcare
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Facility 11 -- Cedar Park Regional Medical Center Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://assets.thehcn.net/content/sites/wcchd/CHA_Final_Approved.pdf
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Facility 11 -- Cedar Park Regional Medical Center Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 11 -- Cedar Park Regional Medical Center Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 12 -- Central Texas Rehabilitation Hospital Part V, Section B, line 3:
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From February May 2012, forums, focus groups, and interviews were conducted with leaders from a wide range of organizations in different sectors, community stakeholders, and residents to gauge their perceptions of the community, their health concerns, and what programming, services, or initiatives are most needed to address these concerns. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.
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Facility 12 -- Central Texas Rehabilitation Hospital Part V, Section B, line 4:
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The CHNA was conducted with the following other organizations:- City of Austin - County of Travis - Central Health- St. David's Foundation- UT Health
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Facility 12 -- Central Texas Rehabilitation Hospital Part V, Section B, line 5d:
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The written report will be posted on a website established and maintained by another entity. The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.austintexas.gov/sites/default/files/files/Health/CHA-CHIP/CHA-CHIP_Report10-24-13.pdf.
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Facility 12 -- Central Texas Rehabilitation Hospital Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 12 -- Central Texas Rehabilitation Hospital Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Part V, Section B
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Facility Reporting Group B
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Facility Reporting Group B consists of:
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- Facility 4: Seton Edgar B. Davis Hospital, - Facility 5: Seton Highland Lakes Hospital, - Facility 13: Seton Medical Center Harker Heights, - Facility 14: Seton Smithville Regional Hospital
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Facility 4 -- Seton Edgar B. Davis Hospital Part V, Section B, line 3:
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The Seton Healthcare Family, in collaboration with the Community Health Coalition of Caldwell County, hosted a Community Health Needs Summit for Caldwell and Gonzales counties. The Summit was designed as a way to update the community on progress that has been made since the last CHNA and to provide them with current data to engage in needs identification. The two goals for the summit were for the community to discuss current needs effecting Caldwell and Gonzales and then prioritize those needs in order of importance. The invitation to the Summit was sent out through local collaborations, partnership, and council list serves with targeted outreach to schools and other key community stakeholders. In attendance was representation from the public health department, hospitals, clinics, school district, and other service providers that serve the community. A complete list of Summit participants can be found in Appendix 1 of the Community Health Needs Assessment.In order to identify the community's needs, Seton Healthcare Family presented current health and demographic data to the Summit participants. Participants then engaged in table discussions regarding what the data revealed to them as well as what other they needs see in the community that did not show up in the data. This collaborative process created a list of needs that were shared with the larger group and categorized by theme. These themes served as the overarching needs that were identified with sub groups identified within each category. Participants then used a dot voting method to express their opinion as to which category was the highest priority need and which sub group was most important within that need. After tallying the results, the participants reviewed the results and further added any remaining thoughts. The following information is a summation of the data analysis coupled with the feedback from the community.
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Facility 4 -- Seton Edgar B. Davis Hospital Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.seton.net/locations/edgar_davis/Caldwell_Community_Needs_assessment.pdf.
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Facility 4 -- Seton Edgar B. Davis Hospital Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 4 -- Seton Edgar B. Davis Hospital Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 5 -- Seton Highland Lakes Hospital Part V, Section B, line 3:
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The Seton Healthcare Family, in collaboration with the Highland Lakes Health Partnership, conducted a virtual Community Health Needs Survey for Burnet County. The survey was designed as a way to gain insight into the progress that has been made since the last CHNA and to provide participants an avenue to identify current needs. The two goals for the survey were for the community to express current needs effecting Burnet County and then prioritize those needs in order of importance. The survey invitation was sent out through local collaborations, partnership, and council list serves with targeted outreach to schools and other key community stakeholders. In response, there was representation from the public health department, hospitals, clinics, school district, community members, and other service providers that serve the community. A complete list of survey participant's occupations can be found in Appendix 1 of the Community Health Needs Assessment.This collaborative process created a list of needs that were prioritized by survey respondents and categorized by theme. These themes served as the overarching needs that were identified with subgroups identified within each category. Participants used a Likert scale to express their opinion as to which category was the highest priority need and which sub group was most important within that need. The following information is a summation of the data analysis coupled with the feedback from the community.
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Facility 5 -- Seton Highland Lakes Hospital Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.seton.net/locations/highland_lakes/Burnet_Community_Needs_assessment.pdf.
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Facility 5 -- Seton Highland Lakes Hospital Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 5 -- Seton Highland Lakes Hospital Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 13 -- Seton Medical Center Harker Heights Part V, Section B, line 3:
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The Seton Healthcare Family, in collaboration with Seton Medical Center Harker Heights, conducted a virtual Community Health Needs Survey for Bell County. The survey was designed as a way to gain insight into the progress that has been made since the last CHNA and to provide participants an avenue to identify current needs. The two goals for the survey were for the community to express current needs effecting Bell County and then prioritize those needs in order of importance. The survey invitation was sent out through local collaborations partnership, and council list serves with targeted outreach to community members, public health officials, and other key community stakeholders. In response, there was representation from the public health department, hospitals, clinics, school district, community members, and other service providers that serve the community. A complete list of survey participant's occupations can be found in Appendix 1 of the Community Health Needs Assessment in addition to the organizations those participants represent (only listed if participants choose to provide their organization).This collaborative process created a list of needs that were prioritized by survey respondents and categorized by theme. These themes served as the overarching needs that were identified with subgroups identified within each category. Participants used a Likert scale to express their opinion as to which category was the highest priority need and which sub group was most important within that need. The following information is a summation of the data analysis coupled with the feedback from the community.
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Facility 13 -- Seton Medical Center Harker Heights Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.austintexas.gov/sites/default/files/files/Health/CHA-CHIP/CHA-CHIP_Report10-24-13.pdf.
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Facility 13 -- Seton Medical Center Harker Heights Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 13 -- Seton Medical Center Harker Heights Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Facility 14 -- Seton Smithwille Regional Hospital Part V, Section B, line 3:
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The Seton Healthcare Family, in collaboration with the Community Health Coalition of Caldwell County, hosted a Community Health Needs Summit for the Bastrop County. The Summit was designed as a way to update the community on progress that has been made since the last CHNA and to provide them with current data to engage in needs identification. The two goals for the summit were for the community to discuss current needs effecting Bastrop County andthen prioritize those needs in order of importance. The invitation to the Summit was sent out through local collaborations, partnerships, and council list serves with targeted outreach to schools and other key community stakeholders. In attendance was representation from the public health department, hospitals, clinics, school district, community residents and other service providers that serve the community. A complete list of Summit participants can be found in Appendix 1 of the Community Health Needs Assessment.In order to identify the community's needs, Seton Healthcare Family presented current health and demographic data to the Summit participants. Participants then engaged in table discussions regarding what the data revealed to them as well as what other they needs see in the community that did not show up in the data. This collaborative process created a list of needs that were shared with the larger group and categorized by theme. These themes served as the overarching needs that were identified with sub groups within each category. Participants then used a dot voting method to express their opinion as to which category was the highest priority need and which sub group was most important within that need. After tallying the results, the participants reviewed the results and further added any remaining thoughts. The following information is a summation of the data analysis coupled with the feedback from the community.
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Facility 14 -- Seton Smithwille Regional Hospital Part V, Section B, line 5d:
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The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.seton.net/locations/seton_smithville_regional_hospital/Bastrop_Community_Needs_assessment.pdf.
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Facility 14 -- Seton Smithwille Regional Hospital Part V, Section B, line 14g:
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A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.
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Facility 14 -- Seton Smithwille Regional Hospital Part V, Section B, line 20d:
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Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.
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Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.