| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Background ========== The Robert Wood Johnson Academic Medical Center Campus in New Brunswick, New Jersey is the epicenter of unparalleled healthcare advances and combines the capabilities and talents of Rutgers Robert Wood Johnson Medical School ("RWJMS") and Robert Wood Johnson University Hospital ("RWJUH"). Encompassing both pediatric and adult healthcare, the academic medical center's clinical, research and teaching resources are uniquely comprehensive in their breadth and scope and designed to deliver a patient-centric experience. Rwjuh is the principal teaching hospital of Rutgers Robert Wood Johnson Medical School. The cancer hospital at RWJUH is the flagship hospital of the Rutgers Cancer Institute of New Jersey ("CINJ"), New Jersey's only National Cancer Institute ("NCI") designated comprehensive cancer center. The hospital's cancer program has been accredited by the American College of Surgeons Commission on Cancer. The partnership between RWJUH and CINJ offers patients a unique opportunity to receive care from the teams of researcher and clinicians of CINJ in the state-of-the-art environment of RWJUH. After the merger with RWJUH in 2014, services of RWJMS and CINJ are now being made more available. Rrwjuh is a general medical, surgical and teaching hospital. RWJUH is recognized by the IRS as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, RWJUH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, RWJUH operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1) RWJUH provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2) RWJUH operates an active emergency department for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3) RWJUH maintains an open medical staff, with privileges available to all qualified physicians; and 4) Control of RWJUH rests with its board of trustees and the board of trustees of rwj barnabas health, inc.. both boards are comprised of independent civic leaders and other prominent members of the community; and 5) Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. RWJUH provides healthcare services to patients who meet certain criteria under its charity care policy, as defined by the New Jersey state attorney general, without charge or at amounts less than established rates. RWJUH maintains records to identify and monitor the amount of charges foregone for services and supplies furnished under its charity care policy. The operations of the hospital, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of the hospital is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Moreover, the hospital provides substantial community benefit as outlined herein. RWJUH's sole corporate member is RWJ Barnabas Health, Inc. ("RWJ BHthe "System"). RWJ BH is also the tax-exempt New Jersey non-profit parent corporation of rwjbarnabas health ("rwjbh"); an integrated healthcare delivery system. The sole member of each entity is either RWJ BH or another RWJBH affiliate controlled or owned by RWJ BH. RWJUH, like its corporate parent, is a not-for-profit organization. RWJBH is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. RWJBH was formed with the merger of Barnabas Health Inc. ("BH"), the parent of the Barnabas Health System ("Barnabas Health"), and Robert Wood Johnson Health Care Corporation ("RWJHCC"), the parent of the former Robert Wood Johnson Health System ("RWJHS"). The definitive agreement signed on July 14, 2015, outlined the combination of these two leading health systems and created the largest and most comprehensive healthcare delivery system in the state of New Jersey and one of the largest in the nation RWJBH. The transaction (hereinafter referred to as the "merger") successfully completed federal and state review in March 2016, and the transaction closed operationally on April 1, 2016. The background of BH includes its formation in June 1996 when six New Jersey hospitals and their affiliates joined Saint Barnabas Medical Center and Union Hospital (), which had affiliated in 1993. The six hospitals included: Community Medical Center, Inc. and Kimball Medical Center, Inc., which had affiliated in 1993 to form the Community/Kimball Health Care System; Newark Beth Israel Medical Center, Inc. and Irvington General Hospital, Inc. ("Irvington"), affiliates of each other since 1991; Monmouth Medical Center, Inc.; and Wayne General Hospital Corp. ("Wayne"). In January 1997, West Hudson Hospital Association, Inc. ("West Hudson") joined Barnabas Health, followed by Clara Maass Medical Center in December 1997. Barnabas Health subsequently divested Wayne, closed West Hudson, Irvington, and Union and consolidated their operations into other system facilities. Most recently, Jersey City Medical Center joined Barnabas Health in 2014. The background of RWJHCC includes its formation in 1984 to promote, support and further the charitable purposes of the Robert Wood Johnson University Hospital and other affiliated and related non-profit healthcare organizations. RWJHS then expanded to include Robert Wood Johnson University Hospital at Hamilton, Robert Wood Johnson University Hospital Rahway, Childrens Specialized Hospital, Somerset Medical Center, and other healthcare related ventures. RWJBH is the largest multi-hospital system in New Jersey and continues to provide substantial community benefit as was previously provided by its formative health systems, BH and RWJHCC. RWJBH entities provide medically necessary healthcare services to all individuals regardless of ability to pay. Moreover, RWJBH entities provide healthcare services to patients who meet certain criteria defined by the New Jersey department of health without charge or at amounts less than established rates. RWJBH maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. RWJBH is New Jerseys second largest private employer with approximately 32,000 employees, nearly 7,300 individual physicians on the combined medical staffs (of which, in excess of 1,600 are employed), and over 1,000 residents and interns. RWJBH routinely captures national awards for outstanding quality and safety. The new combined system has annual operating revenues in excess of $5 billion and treats over three million patients each year with nearly 198,000 inpatient admissions, over two million outpatient visits (including over 742,000 emergency department visits) and nearly 24,000 newborn and neonatal admissions. RWJBHs composition includes 11 acute care hospitals, three acute care childrens hospitals, a leading pediatric rehabilitation hospital, a freestanding acute behavioral health center, ambulatory care centers, geriatric centers, the states largest behavioral health network, ambulatory surgery centers, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, medical groups, diagnostic imaging centers and two accountable care organizations. RWJBH created with a strong foundation of shared cultures and core values provides opportunity to improve the health and promote wellness of communities throughout New Jersey. The systems geographic coverage spans the greater Hudson, Essex, Union, Middlesex, Mercer, Somerset, Monmouth and Ocean counties and encompasses the center of the state serving in excess of five million residents. Through sharing of resources, best practices, as well as economies gained through consolidation of support services, the combination of Barnabas Health and RWJHS promotes the highest quality healthcare delivery and greater levels of efficiency. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
In 2018, RWJBH announced with Rutgers, The State University of New Jersey, the official launch of their public-private partnership to jointly operate a world-class academic health system dedicated to life-changing research, clinical training of tomorrows workforce, and high-quality healthcare for all. This planned collaboration represents a significant step forward to improve access to care and reduce the health disparities that impact our state. The parties have a shared belief that while both organizations are strong leaders in our respective fields, together they are better poised to transform healthcare in New Jersey and drive innovations that will improve outcomes across the country. The new collaboration also will align education, research, and clinical activities, including those at the Rutgers Cancer Institute of New Jersey and Rutgers University behavioral health care. By working together, these two higher education and healthcare industry leaders will enhance research, medical and health professional education, improve access to care, and reduce health disparities in New Jersey. Mission Statement/Vision/Values =============================== Mission statement ----------------- To improve the health and well-being of the patients and communities we serve by: - fostering an environment of excellence in all areas including the provision of the highest quality, evidence based patient care in collaboration with the hospital's healthcare professionals; - advancing patient care by the diffusion of medical knowledge; - facilitating medical discovery that improves patient care; - promoting and engaging in community outreach activities to enhance the health of the residents of our region; and - exhibiting stewardship of all available resources. Vision ------ Robert Wood Johnson University Hospital, in partnership with Rutgers Robert Wood Johnson Medical School, will be a leading, nationally distinguished academic medical center. Hospital Statistical Information ================================ RWJUH is a 940-licensed bed academic medical center with campuses in New Brunswick and Somerville, NJ. This entity was created through the successful merger between RWJUH and Somerset Medical Center ("SMC") in the year 2014. RWJUH-New Brunswick is located in New Brunswick, the population center of Middlesex County. According to Census bureau estimates, Middlesex County is the second largest county in New Jersey and is estimated to have had the third largest growth in residents from 2010 to 2018. New Brunswick is the 13th largest place in the state. New Brunswicks extensive history dates back to pre-revolutionary times and it is the home of Rutgers University, The State University of New Jersey. The 5-block downtown area contains nearly 50 restaurants and three distinct theaters the African American-focused Crossroads Theatre, George Street Playhouse and the State Theater of New Jersey for concerts and special events as well as the American Repertory Ballet, that also perform at various venues throughout the state. Despite the vibrancy of city culture, many challenges exist for residents residing in New Brunswick. The 2018 Census estimates 35% of families to have incomes under the poverty level, 27% are covered by public health insurance, 22% with no insurance and 20.9% of the population receiving food stamps/snap assistance. There are 12 designated comprehensive health centers in Middlesex County and a number of Census tracts with MUA/MUP designation. RWJUH New Brunswick is committed to providing quality and compassionate care to its inner city communities; serving a patient population comprised of more than 52% minority representation and over 25% underinsured and uninsured payer classifications in 2018. Medicare represents an additional 35% of the patients by payer classification and Medicaid 21%. RWJUH-Somerset is located Somerville, the county seat of Somerset County, New Jersey. Somerset County, the 13th largest county, had the 7th largest population growth from 2010 to 2018, with the fifth highest rate of growth of the states counties. Somerset County, one of America's oldest counties, was first settled in 1681. Most of the early residents were Dutch. In the 1960s, townships that were once exclusively agricultural quickly transformed into suburban communities. The area growth was fueled by the development of a very strong pharmaceutical and technology presence. Somerville is a community with a higher level of affluence yet has 5.3% of families with income below the poverty level according to Census data. The population is comprised of 45% minority populations. Approximately 10.3% of the residents have no health insurance and 20% have public coverage. RWJUH Somerset is committed to providing quality and compassionate care to its communities; serving a patient population comprised of more than 30% minority representation and nearly 19% underinsured and uninsured payer classifications in 2018. The academic medical center fulfills its mission of service to the public through the concerted efforts of over 5,000 employees, over 1,350 physicians on its medical staff, and hundreds of volunteers and committed community-based auxiliary members. The further advancement of medical practice occurs through the training of the future health care workforce with over 500 medical residents in approximately 46 medical residency programs. RWJUH offers care in dozens of broad service areas ranging from surgery and orthopedics to pediatrics and OB/GYN, which are further split into a total of 72 divisions. In addition, the hospital provides treatment in hundreds of specialty areas. During 2018, the hospital's New Brunswick campus had 31,300 inpatient admissions, over 91,000 hospital emergency department visits for both adult and pediatric departments, and total surgeries approached 19,000 including those conducted in the hospital's ambulatory surgery pavilion, a facility located on the New Brunswick campus. On the Somerset campus, there were over 13,400 inpatient admissions, over 52,000 emergency department visits exceeded 52,100 and total surgeries were over 6,100 during 2018. Accomplishments/Milestones/Recognitions/Awards ============================================== Both the New Brunswick and Somerset campuses have earned significant national recognition for clinical quality and patient safety, including the prestigious magnet award for nursing excellence. The Joint Commission and the New Jersey department of health and senior services have designated the New Brunswick campus as a comprehensive stroke center and the Somerset campus as a primary stroke center. American College of Surgeons' Commission on Cancer -------------------------------------------------- Robert Wood Johnson University Hospital is among the nation's best ranked cancer centers by the American College of Surgeons' Commission on Cancer after having earned its highest cancer care performance rating, "Approval with Commendation." RWJUH achieves this distinction through its partnership with Rutgers Robert Wood Johnson Medical School, the Cancer Institute of New Jersey, and private physicians in the region. Magnet Designation ------------------ RWJUH nurses at both the New Brunswick and Somerset campuses have been awarded the prestigious magnet award for nursing excellence by the American Nurses Credentialing Center. The Somerset campus has been recognized twice, and the New Brunswick team received its coveted fifth re-designation. With this achievement, RWJUH is now only one of a handful of hospitals internationally to achieve this recognition for five consecutive periods. American Heart Association and American Stroke Association for Achievement in Stroke Care --------------------------------------------------------------- In 2018, RWJUH New Brunswicks Comprehensive Stroke Center received the American Heart Association/American Stroke Associations Get with The Guidelines-Stroke Gold Plus Quality Achievement Award. It is among the highest distinctions a stroke center can receive from the AHA. In 2018, RWJUH Somerset received the American Heart Association/American Stroke Associations Get with The Guidelines-Stroke Gold Plus Quality Achievement Award. The award recognizes the hospitals commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. These measures include evaluation of the proper use of medications and other stroke treatments aligned with the most up-to-date, evidence-based. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
RWJUH Somerset additionally received the associations Target: Stroke Elite Honor Roll Award in 2018. To qualify for this recognition, hospitals must meet quality measures developed to reduce the time between the patients arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke. Top Doctors ----------- Numerous RWJUH physicians consistently appear in rankings for "best doctors" in publications including New York magazine and New Jersey monthly. In fact, RWJUH has consistently had the most or close to the highest number of doctors recognized on the list. The data used to compile this list comes from castle Connollys annual "Best Doctors" publication, which uses a peer review process to nominate and select the top physicians in the New York area. Criteria for nomination and selection include not only professional qualifications and reputation but also skills in dealing with patients, such as listening, instilling trust, and showing empathy. Excellence in Patient Satisfaction ---------------------------------- Both campuses of RWJUH and Bristol-Myers Squibb Children's Hospital ("BMSCH") utilize the services of Press Ganey, the national consulting firm specializing in patient satisfaction measurement and performance improvement. Patient satisfaction continues to be one of the cornerstones upon which success is measured at the hospital, and efforts to enhance levels of satisfaction through Press Ganey and HCAHPS - the system sponsored by the centers for Medicare and Medicaid services (CMS). Press Ganey has selected BMSCH for the honor for achieving high patient satisfaction scores. BMSCH consistently ranks among the leading children's hospitals nationally in patient satisfaction. Moreover, the adult hospital continually ranks among the top hospitals in New Jersey for key HCSHPS measures. College of American Pathologists -------------------------------- Both campuses of RWJUH's laboratory services are accredited by the Commission on Laboratory accreditation of the College of American Pathologists (CAP), based on the results of its on-site inspection. RWJUH is one of more than 6,000 cap-accredited laboratories nationwide. The CAP laboratory accreditation program, begun in the early 1960s, is recognized by the federal government as being equal to or more stringent than the government's own inspection. RWJUH's laboratory was congratulated for "excellence of the services being provided." Leadership in organ donation/transplantation -------------------------------------------- RWJUH was honored in 2018 by the Sharing Network and the U.S. Department of Health and Human Services for supporting organ donation. RWJUH is among a select group of hospitals nationwide recognized for promoting enrollment in state organ donor registries in a national campaign sponsored by the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA). The campaign has added more than 443,000 donor enrollments to state registries nationwide. Centers of Excellence ===================== RWJUHs centers of excellence include cardiovascular care from minimally invasive heart surgery to transplantation, cancer care, stroke care, neuroscience, joint replacement, and women's and children's care including the Bristol-Myers Squibb Childrens Hospital at Robert Wood Johnson University Hospital. As the flagship cancer hospital of Rutgers Cancer Institute of New Jersey and the principal teaching hospital of Rutgers Robert Wood Johnson Medical School in New Brunswick, RWJUH is an innovative leader in advancing state-of-the-art care. A level 1 trauma center and the first pediatric trauma center in the state, RWJUH's New Brunswick campus serves as a national resource in its ground-breaking approaches to emergency preparedness. RWJUH New Brunswick and Somerset have been designated as Centers of Excellence in Metabolic and Bariatric Surgery. RWJUH Somerset was the first in New Jersey to offer specialized primary medical care services for the LGBQTIA community, opening its PROUD Family Health in 2017. RWJUH Somerset is one of only two hospitals in New Jersey to offer an inpatient Eating Disorders Program in addition to offering partial hospitalization and intensive outpatient services. RWJUH New Brunswick earned The Joint Commissions Gold Seal of Approval for its Bariatric Surgery and Hip and Knee Joint Replacement Programs by demonstrating compliance with The Joint Commissions national standards for healthcare quality and safety in disease-specific care. Cardiovascular Care ------------------- Both the New Brunswick and Somerset campuses of RWJUH have a long history of providing comprehensive cardiac care to the community. The Cardiovascular Center of Excellence at RWJUH can be divided into three components: cardiac services inclusive of medical management and treatment; the latest in cardiac surgical innovations; and, provision of comprehensive vascular services. The goal of this Center of Excellence is to provide high quality, cutting edge services in a prompt and efficient manner. Cardiac services run the gamut from electrocardiogram (EKG) up to and including heart transplantation inclusive of the Abiocor total artificial heart. The following describes the cardiac service line based on medical cardiology inclusive of non-invasive and invasive technologies. The non-invasive technologies at Robert Wood Johnson University Hospital on both campuses include EKG, stress testing, both nuclear and regular, echocardiography, both stress and non-stress testing. These non-invasive techniques provide information necessary for the diagnosis and treatment of heart disease. Medically invasive cardiac procedures are performed in the cardiac catheterization laboratories. The hospital has nine laboratories across the two campuses, inclusive of two electrophysiology (EP) laboratories in New Brunswick. Within the cardiac catheterization laboratories, diagnostic cardiac catheterizations are performed as well as percutaneous transluminal coronary angioplasties (PTCA). In addition, in the electrophysiology labs, treatments for arrhythmias are performed. These procedures are done using catheters which are positioned within the heart to measure its appropriate electrical activity and vulnerability of the heart to abnormal rhythms and rapid or slow heartbeats. The RWJUH robotic magnetic navigation system for cardiac ablations in New Brunswick has grown to become one of the most active labs in the country. These rhythm disorders are treated in a variety of ways inclusive of the implantation of pacemaker devices. The other procedures done in the cardiac catheterization laboratories are those for endovascular procedures to treat peripheral artery disease. The cardiac catheterization laboratories perform over 9,000 procedures per year and are the largest and most active in the state of New Jersey. During 2015, work was completed on the Somerset campus to elevate and integrate those Cath labs onto the same technical platform as those in New Brunswick. From a cardiac surgical perspective, the hospital in New Brunswick performs over 900 open heart procedures, inclusive of coronary artery bypass, grafting, minimally invasive surgery for repair and replacement of valves, repair of congenital abnormalities in adults and surgical treatment of atrial fibrillation. The cardiac surgery division similarly performs heart transplantation. To support heart transplantation, the hospital also provides ventricular assist devices (VAD) which are used as a bridge to transplantation. The VAD program at RWJUH is one of a handful of programs nationally to be accredited by the Joint Commission as a destination therapy for end-stage cardiac patients. Since its 2012 approval as a site to offer transcatheter aortic valve replacement, designed for patients too ill to qualify for traditional valve replacement surgery, RWJUH has increased the number of TAVR cases performed among the most acutely ill cardiac patients. The hospital has an active heart failure and transplant service. Through this team-oriented approach of medical cardiologists and cardiac surgeons, the most up-to-date techniques are done at Robert Wood Johnson University Hospital inclusive of heart transplants. The hospital has performed over 110 heart transplants since 2010. The hospital also offers a comprehensive cardiac rehabilitation program as a means for rehabilitation for patients who have undergone certain procedures or treatment. The program is approved by Medicare and private insurance companies and is a beneficial service where the patients are assisted by the nurses and exercise physiologists to resume their activities of daily living. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
The other component of the cardiovascular service line is vascular services which are primarily provided through the vascular surgeons and interventional radiologists. The types of procedures performed by the vascular surgeons include carotid artery surgery for stroke prevention, abdominal aortic aneurysm (AAA) repairs, thoracic aortic aneurysm repairs, renal artery repairs, and arterial reconstruction for lower extremities. The vascular surgeons are also providing endovascular therapies. In addition to the services provided by the vascular surgeons, the interventional radiologists provide modern and complete diagnostic vascular examinations as well as endovascular therapy. The vascular team has collaborated with the hospital's trauma and emergency medicine departments to launch a new clinical protocol for the management of emergency AAA cases. Non-invasive vascular testing is provided through the vascular laboratory. Procedures include but are not limited to carotid artery, transcranial Doppler, and upper and lower extremity arterial scans. In 2018, the vascular lab performed over 11,500 tests and the echo lab performed over 13,500 tests. Cancer Care ----------- Providing compassionate, high quality care for cancer patients has long been a primary focus of both the New Brunswick and Somerset campuses of RWJUH. The cancer hospital at RWJUH in New Brunswick offers a comprehensive cancer care program with a 103-bed cancer hospital that provides same-day chemotherapy, medical oncology, hematology/oncology, surgical oncology, bone marrow and radiation therapy - all in one location. The collaboration of RWJUH specialists, physicians and researchers allows patients to receive the benefits of all the latest advances in cancer care. Technological highlights of the program include tumor motion tracking, which allows for greater precision in treating tumors with radiation, and the Da Vinci surgical robot, which offers minimally invasive surgical options, often resulting in quicker recover time for patients. RWJUH is the flagship hospital of the Cancer Institute of New Jersey, one of only 47 National Cancer Institute-designated comprehensive cancer centers - singled out for their leadership in integrating cancer treatment, research and education. Located on the campus of Robert Wood Johnson University Hospital Somerset, the steeplechase cancer center provides comprehensive cancer services within a calm, compassionate, patient-focused environment. The cancer center has been nationally recognized with the prestigious outstanding achievement award from the commission on cancer of the American College of Surgeons. The Sanofi US breast care program is one of only a select few breast care programs in New Jersey to achieve full accreditation by the national accreditation program for breast centers. It has also been named a breast imaging center of excellence by the American College of Radiology. The steeplechase cancer center is a clinical research affiliate of the Rutgers Cancer Institute of New Jersey. Unique program highlights include: In the spring of 2015, work was completed on the creation of the Laurie Proton Therapy center at RWJ, also on the Robert Wood Johnson campus. Proton beam therapy is revolutionary in the treatment of certain types of cancer, and is particularly effective in the treatment of selected pediatric cancers - such as those in the spine and brain - where the use of traditional radiotherapy might cause damage to forming nervous system tissue. The establishment of the Laurie Proton Therapy Center has created another destination therapy for the people of our region. - RWJ's radiation oncology department provides the latest advances in radiotherapy including intensity-modulated radiation therapy (IMRT), stereotactic body radio therapy, total skin electron beam therapy, high dose rate and low dose rate brachytherapy and image-guided radiation therapy. - The gamma knife center at RWJUH located on the hospital campus treats complex cancers with stereotactic radio surgery of the brain and spine in ways that traditional surgery cannot. The gamma knife technology is also being successfully used in treating conditions of the facial nervous system and for malformations of blood vessels in the brain. The RWJUH gamma knife center provides the latest technology in the battle against cancer. - RWJUH offers the state's only accredited residency program in radiation oncology. The residency program supports the production of advanced clinical and basic science research that supports and ensures the appropriate application of high end technology. - RWJUH provides both adult and pediatric outpatient chemotherapy and infusion services and is one of only 2 bone marrow transplant centers in the state and has a bone marrow unit housed within the cancer hospital. - RWJUH provides access to the expertise of the region's best plastic and reconstructive surgeons. - The cancer hospital of New Jersey at RWJUH focuses on additional patient needs including education, psychological, emotional and spiritual support. - The Bristol-Myers Squibb Childrens Hospital at RWJUH houses a 10-bed pediatric hematology/oncology unit for children with cancer. - Patients have access to a dedicated oncology social worker, an oncology nutritionist, chaplain and numerous other support groups. - In the cancer hospital, all rooms are private with hotel-style amenities such as a TV, refrigerator and in-service dining, as well as sleeping accommodations for family members. Medical and Community Services ============================== Outreach and Communications --------------------------- RWJUH website ------------- In 2018, over 350,000 "sessions" were served to nearly 307,200 "users" by providing a searchable physician directory, information on hospital services, event calendar, hospital news, and general health information. Additionally the hospital has increased its utilization of social media in order to strengthen levels of communication with the community. Roughly, 13,500 individuals had become active participants of the hospital's Facebook account by the end of 2018. RWJBarnabas Health Call Center ------------------------------ The RWJBarnabas Health call center provides a toll-free phone number for individuals to request information on physicians on the two medical staffs at RWJUH. Callers receive information based on specialty, as well as other details such as gender or geography. With the expansion of the hospital's community outreach programs, additional calls are being directed to the call center. Women's and Children's Services ------------------------------- Both the New Brunswick and Somerset campuses of RWJUH have a long history of providing comprehensive care to women and children in our diverse communities. The regional perinatal center at Robert Wood Johnson University Hospital ------------------------------------------------------------------------ Robert Wood Johnson University Hospital in New Brunswick is a dedicated Regional Perinatal Center (RPC) offering the highest level of obstetric and neonatal services in New Jersey. A full range of specialized care is offered, including: pre-conception counseling for women diagnosed with a chronic condition before pregnancy; counseling for couples with high risk factors for genetic problems; meeting the advanced care needs of women with medical problems such as epilepsy, renal transplant, HIV positive or cardiovascular disease; care for pregnant women with multiples or a previous preterm infant; and, even providing second opinions for pregnant women seeking this option. RWJUH's labor and delivery unit offers patients well-appointed rooms that are larger and redesigned to create a warm, patient-focused environment. The hospital renovated and added both ante-partum and post-partum rooms and beds, which now gives us 31 ante- and post-partum beds, as well as 12 labor and delivery rooms. Additionally, there is easier access from the labor and delivery area to the neonatal intensive care unit if newborns require highly specialized critical care. During 2018, more than 2,100 births were recorded at the regional perinatal center in New Brunswick and an additional 817 births were noted on the Somerset campus. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Program highlights include: - The state's most advanced program for evaluating and preventing pre-term births and pregnancy loss. - A comprehensive obstetrical unit in New Brunswick, which includes state-of-the-art, labor and delivery rooms, an ante-partum loft for obstetric emergencies, a four bed recovery unit and three operating rooms. - A total of 32 private ante-partum and post-partum rooms for maternity care with hotel-like amenities. - State-of-the-art central fetal surveillance monitors with remote access, and an expanded nurses' station with a physician dictation area. - Remote access for fetal surveillance available to smart phone, office and home. - Maternal-fetal medicine specialists available 24/7 with a full-team comprised of fellows, nurses, social workers, nutritionists and genetic counselors. - Strong relationships with the adult medical intensive care unit (MICU) which is wired for central fetal monitoring. - The first hospital in New Jersey with the cool-cap device for neonates born with moderate to severe hypoxic-ischemic encephalopathy (hie), which can cause permanent neurologic sequelae. - Two nurseries equipped with state-of-the-art technology and a highly skilled staff with experience in phototherapy and IV antibiotics. - A dedicated OB anesthesiologist, lactation consultants on staff seven days a week and a certified child safety passenger technician. RWJUH Somerset has more than 800 births in 2018. The hospital renovated its maternity unit in 2016 to enhance the comfort and quality of care for patients and their families. Renovations included updates to labor and delivery rooms and post-partum rooms, including new furniture, flooring, paint and dcor, as well as enhanced security systems. All patient rooms feature the GetWellNetwork, an interactive patient education television system providing access to the internet, email and videos about health-related topics during a patients stay in the hospital. RWJUH Somerset also provides a wide-range of services for expectant mothers, newborns and their families, including a Level II Intermediate Care Nursery staffed 24/7 by a board-certified neonatologist and specially trained nurses. A board-certified obstetrician/gynecologist and anesthesiology coverage dedicated to obstetrics is available 24/7. Counseling with Maternal-Fetal Medicine staff and a perinatologist is available as is a comprehensive Diabetes Center that offers pregnancy and post-partum counseling. A Family Practice Center provides prenatal and post-partum care. Services also include a lactation consultant for inpatient and outpatient visits; post-partum and infant care classes offered during a patients stay so that they are ready for discharge; and childbirth education featuring a wide range of topics for parents, siblings and grandparents. The Bristol-Myers Squibb Childrens Hospital (BMSCH) at Robert Wood Johnson University Hospital ------------------------------------------------------------------- The Bristol-Myers Squibb Childrens Hospital at Robert Wood Johnson University Hospital is at the epicenter of a growing pediatric academic health campus that provides the most comprehensive care for children in New Jersey. BMSCH features sub-specialists in a full range of pediatrics from pediatric surgery, urology and cardiology to oncology, orthopedics, hematology and pulmonology, all in a family-centered environment. With the merger in 2014, pediatric patients of Somerset County now have heightened access to BMSCH and the many clinical specialists on the academic campus. rwjuh is at the epicenter of a growing pediatric academic health campus that provides the most comprehensive care for children in New Jersey. BMSCH features sub-specialists in a full range of pediatrics from pediatric surgery, urology and cardiology to oncology, orthopedics, hematology and pulmonology, all in a family-centered environment. With the merger achieved earlier this year, pediatric patients of Somerset County now have heightened access to BMSCH and the many clinical specialists on the academic campus. Program highlights include: - the Center for Advanced Pediatric Surgery (CAPS), located on the seventh floor of BMSCH, is designed as a distinct pediatric operating room suite. Caps provides the latest in technology for general pediatric surgeons and pediatric sub-specialists. - the state's only designated pediatric trauma center: for the most seriously injured children, BMSCH is a certified Level II trauma center, and pediatric surgeons are available to perform surgery at a moment's notice. This pediatric trauma center works in concert with the RWJUH level 1 trauma center. - pediatric emergency department: our unique standalone pediatric emergency department, completely separate from our adult emergency department, is specially designed to meet the needs of children and their families with specially trained ED nurses, technicians and board-certified doctors. - the pediatric intensive care unit (PICU): the PICU provides care for critically ill and injured children, including all of the most advanced treatment modalities and all aspects of invasive and non-invasive monitoring, along with 24-hour-a-day care from pediatric critical care specialists. - robotic surgery: BMSCH offers the latest in minimally invasive pediatric robotic surgery for the treatment of several urologic conditions including pyeloplasty and partial nephrectomy. - the pediatric hematology/oncology program: BMSCH, in conjunction with the Cancer Institute of New Jersey (CINJ), offers children with cancer and blood disorders the most advanced care in the state. It includes a pediatric brain tumor program and a leukemia/lymphoma program. - the pediatric orthopedic program: this program provides complete pediatric care for a wide range of developmental, congenital, post-traumatic and neuromuscular conditions of the musculoskeletal system using both surgical and non-surgical approaches, including minimally invasive techniques. - the pediatric pulmonary program: this program provides care for children suffering from a number of respiratory problems including cystic fibrosis, asthma, technology dependence and sleep disorders. - neonatal intensive care unit (NICU): BMSCH is home to one of the largest neonatal intensive care units (NICU) in the state and features the most up-to-date technology designed to treat the most critically ill newborns. - metabolism, infectious diseases and rheumatology: these centers provide patients with the most expanded services available. - child life program: this program assists families with the adjustment to hospitalization, illness or injury and treatment. The nearby child health institute of New Jersey at Rutgers RWJMS is a center for biomedical research and pediatric care, featuring an ambulatory care center, research laboratories and offices for faculty. Here, scientists, researchers and clinicians converge to study and treat diseases that threaten children. Attached to BMSCH is the PSE&G Childrens Specialized Hospital - another valued member of the RWJ health system - the nation's largest provider of pediatric rehabilitation services for children. Similarly, adjacent to the BMSCH and RWJ campus are two important not-for-profit partners in pediatric healthcare: the Ronald McDonald house, where families of sick children can live during the child's hospital stay, and the embrace kids foundation, which supports families of children undergoing cancer and other blood disorders. Level I Trauma Center --------------------- The level I trauma center at RWJUH is a regional level one trauma center. RWJUH is one of only three level one trauma centers designated by the New Jersey Department of Health. A level one center is the highest designation a hospital can receive. The center sees approximately 2,800 trauma cases annually. Community Benefits for FY 2018 ------------------------------ Since their founding, both campuses of the hospital have emphasized service to their respective diverse communities. The board of directors of Robert Wood Johnson University Hospital is comprised of leading members of the community, who work to ensure that the services offered to the public are in keeping with community wants and needs. The community relations committee of the board is comprised of physicians, educators, clergy and representatives from other non-profit agencies, with the goal of setting broad policy for outreach efforts to our communities. Additionally, the Somerset advisory board similarly ensures that care and services are being provided in a manner reflective of the unique wants and needs of the Somerset community. Establishment of this advisory body was a key component of the successful merger between RWJUH and SMC during 2014, and this commitment has been evident throughout the past three years. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Outlined below are a number of RWJUH community benefit programs. The information is not intended to be all-inclusive, but rather provides additional information that further demonstrates how RWJUH benefits the surrounding community in furtherance of its charitable tax-exempt purposes. Mobile health services (MHS) formerly emergency medical service (ems) department --------------------------------------------------------------------- MHS operations RWJUH MHS is the primary provider of basic life support (BLS) ambulance service to the city of New Brunswick at no cost to the city, and has been performing this function since 1982. RWJUH is also the primary provider of daytime BLS services in Middlesex county to Piscataway, and has been performing this function for east Brunswick since May 2015 on a verbal agreement due to the unexpected departure of the prior ambulance provider. In Somerset County, RWJUH is the primary provider of daytime BLS services to Manville, south bound brook, Raritan Boro, Bridgewater, Far Hills, and Bedminster. In Mercer County, RWJUH is the primary provider of BLS services 24/7 to Hamilton township, and for daytime BLS services in East Windsor. MHS is also the primary provider of advanced life support (ALS) paramedic service to the majority of Middlesex and Somerset counties through a state certificate of need. Both BLS and ALS services are provided to adjacent communities through mutual-aid agreements and special requests. Virtually all this coverage is provided at no cost to the municipalities, and patient billing only covers a small portion of the overall program cost. MHS ALS provides non-emergency transport services for RWJUH, as well as adult, pediatric and neonatal inter-facility specialty care transportation. MHS provides tactical paramedics in support of the Middlesex and Somerset County prosecutor's offices, and provides dive paramedics in support of the Somerset County prosecutor's offices. Both collaborative agreements are conducted at no cost to the counties. Overall, RWJUH covers a population of over 800,000 people over 550 square miles with a peak deployment of 40 units. MHS communications ------------------ MHS operates a regional communications center called "med central" which provides 911 emergency medical dispatch for Middlesex and Somerset counties. This includes call-screening and pre-arrival instructions for New Brunswick, East Brunswick, Milltown and Edison, with primary dispatch services to the rest of the community. The med central, at a peak of 60 units, coordinates BLS and ALS emergency dispatch, coordinates mass casualty incidents, transport resource allocation and hospital notifications. As a regional communications center, med central is responsible to the community for working with all local municipalities and the office of emergency management to provide disaster dispatch services, including providing services to the New Jersey ems task force. MHS Education ------------- MHS is a primary training site and sponsor for the Bergen community college paramedic program. MHS remains committed to pre-hospital medical education by serving as a laboratory where EMTs and paramedic interns will work closely with experienced practitioners and prepare for their professional careers. It provides a focus for the continuing education of all levels of the emergency health care team in the local community and throughout the region. MHS places a special importance on the training of the general public. Classes are taught between Middlesex and Somerset counties, teaching hospital personnel, first-responders and the community-at-large. MHS is an important health resource to its community. In addition to providing direct patient care, it works with local community leaders, public service agencies and the citizens to develop a wide range of public health education and service and activities and where appropriate, provides direct assistance using its facilities and staff. It is the fundamental mission of the Robert Wood Johnson University Hospital mobile health services (MHS) to improve the health, well-being, and safety of the patients and communities we serve through the highest quality care, community outreach, scientific research, prevention, and education of healthcare professionals. MHS research ------------ MHS, in conjunction with the Rutgers Robert Wood Johnson Medical School serves as a center for clinical research and the advancement of pre-hospital medical knowledge. The research process directly benefits the patient through improved care. An atmosphere of inquiry stimulates the researcher and provides an essential ingredient for the education process of pre-hospital students. An effective research program constantly adds to new knowledge and benefits to others beyond the immediate pre-hospital community. MHS community outreach ---------------------- Throughout the year, members of the MHS department provide their time in support of community events; either via education or on-site medical back-up. Some examples include: New Brunswick high school football game standby coverage, Middlesex county swat team coverage, career-day, take your child to work day, and fire prevention expos. MHS received a grant to teach hand-only CPR through the communities providing citizens with knowledge on how, when and what to do if they are ever faced with this situation. Events are held at churches, sporting parks, and high schools to name a few. These citizens must sign a pledge to teach 3 other people to receive the take home blow-up mannequin. Community Health Promotion Programs =================================== During 2018, the community health promotion program (CHPP) continued to meet the challenges of improving access to preventive primary care/services for the region's medically underserved diverse communities, as well as the broader health needs of the central New Jersey region. With the merger between RWJUH and SMC during 2014, the ability to reach members of the community were integrated and strengthened. Through our community outreach effort, screenings and educational initiatives were able to reach out to more than 58,231 community residents across central New Jersey in 2018. Somerset served over 66,900 persons in various community programs. Overview of major community health promotion initiatives: Arts summer camp ---------------- CHPP implemented our annual prevention/art summer camp for 60 New Brunswick youth at risk in conjunction with Rutgers University, the New Brunswick cultural center and Puerto Rican action board (the students had the opportunity during the camp to explore important elements of life skills in youth development as, team building, respect, self-esteem, cultural pride, giving back to the community, gang and drug awareness, employment and career development. Under the supervision of a professional community artist, the students were able to express themselves through the creation of a community mural, photography, modern dance, visual arts, contemporary art practices, performances, theater script development, costume design, and staging development. Many of the camp counselors are themselves past graduates of the summer camp who are now attending college and looking to share their positive life stories with youngsters. Final presentations are held where students displayed their artworks for parents and community residents. Theater performances include original pieces based on daily struggles of inner city youth and an adaptation for children of several classical pieces of literature. In addition, the camp closing event included dance, giant carnival puppets, music, theater performances and a photo exhibit held at the New Brunswick middle school. The AMARD&V summer program celebrated its 23rd year in 2018 of empowering the lives of New Brunswick's youth. New Brunswick CICLOVIA ---------------------- A unique open space initiative designed to encourage community residents to increase physical activities in their own neighborhood, CICLOVIA was patterned after a very successful program launched in South America. This initiative spearheaded by the city of New Brunswick, New Brunswick tomorrow, Rutgers University and the Johnson & Johnson Foundation was attended by more than 20,000, residents of greater New Brunswick area. RWJUH was a major force in organizing the events. National night out ------------------ RWJUH joined with various communities in Middlesex County to sponsor the annual national night out program. The event included interactive tables of information and games on fitness, diabetes, nutrition and domestic violence. Each of these topic areas and communities were identified as key needs in the community health improvement plan for Middlesex County. |
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New Brunswick Domestic Violence Awareness Initiatives ----------------------------------------------------- CHPP continued to support the New Brunswick Domestic Violence Awareness Coalition (NBDVAC), which is part of the healthier New Brunswick initiative, and includes the development of the following projects. During 2018, more than 3,500 persons were engaged on the topic of domestic violence by the RWJUH team. - healthy relationship/self-esteem seminars - victims of domestic abuse were provided support through two self-esteem workshops. - health impact of domestic violence seminars - CHPP staff led numerous educational symposia designed for medical professionals which highlighted the medical impact of dv on our communities and strategies for identifying dv in patient populations. - in conjunction with the New Brunswick domestic violence awareness coalition, the CHPP sponsored the annual March against dv in the city of New Brunswick. The event included speakers, tables of information, resources, poetry, theater performances, giant puppets, testimonies, t-shirt exhibition reflecting thoughts about domestic violence. - implemented a No Mas Violencia initiative targeting Latina undocumented women. The initiative included Know Your Rights educational sessions, awareness educational campaigns and training for providers of services to survivors of domestic violence. - implemented an expansion program of our AMARD&V program to train youth as teen dating violence prevention ambassadors. - the New Brunswick team presents domestic violence conferences and education forums with special focus on Latina immigrant women. - continued to disseminate information and outreach for dv through mailings, several community events and via radio shows, health fairs, advertising and flyer distribution. Cardiovascular Disease Prevention --------------------------------- Efforts to curb cardiovascular disease within the South East Asian and African American communities were achieved through close collaboration with different community based organizations or CBO's, including the Eric B. Chandler Health Center, local African-American churches, minority-owned business and schools. Events were conducted including cholesterol and blood pressure screenings, stroke awareness seminars, distribution of information on smoking cessation and heart disease awareness, fitness days and low-fat cooking/healthy eating demonstrations. The Somerset campus offers an annual cardiac athletic and concussion screening for young athletes and annual stroke screenings. Tobacco Dependency Program -------------------------- RWJ Somerset's tobacco dependency treatment program enlists a comprehensive approach to help patients kick the habit safely and successfully. In fact, 73 percent of smokers who set a quit date and completed treatment at the quit center were tobacco-free their six-month evaluation. The program includes as evaluation, counseling and, when needed, pharmacotherapy to deal with the nicotine withdrawal symptoms. Diabetes Education and Awareness -------------------------------- Enhancing the care for Latinos susceptible to developing, or having already been diagnosed with, diabetes is an area of special focus for RWJUH - on both the New Brunswick and Somerset campuses. In conjunction with the Eric B. Chandler health center (EBHC), this comprehensive project addressed several of the social and clinical drivers of diabetes in the Latino community. Components of the project included: - monthly support groups and 3 times a year educational seminars for newly diagnosed Spanish speaking diabetics at the New Brunswick fitness and wellness center; part of this program includes free vouchers for group enrollees to attend the wellness center. - the initiative also provides opportunities for the sons and daughters of diabetics to participate in project inspire - a 5-day educational program that focuses on nutrition education and fitness. The topics included: nutrition games, portion control exhibits, fruit and vegetable challenge games, healthy cooking, fitness programs and more. - with the addition of the RWJ fitness and wellness center in New Brunswick, live cooking demonstrations are offered by the Elijahs promise culinary school staff in the demonstration kitchen; the goal is to demonstrate healthy cooking alternatives for traditional dishes. - outreach to local food pantries and distribution of healthy recipes for use with food selection typically available at the pantries. The El Poder Sobre La Diabetes program, managed by the Community Health Education Department on the Somerset campus, seeks to improve the health and well-being of underserved Hispanics through diabetes prevention activities and disease management. The program's goal is to help individuals make behavior changes that positively impact their long-term health. Outreach was also performed to the Bound Brook High School as part of Salsa & Salud a program targeting 100 Spanish speaking diabetics and showcasing healthy nutrition and staying physically active. In New Brunswick, more than 84 active members participated in monthly diabetes support group, 43 community members received free fitness center membership vouchers, 128 young people participated in project inspire, 1,074 individuals participated in educational outreach and 28 diabetics and 14 family members participated in quarterly educational programs for newly diagnosed diabetics. In addition, Robert Wood Johnson University Hospital Somerset offers the power over diabetes, a 10-week diabetes prevention and management program for individuals of African, African-American and Caribbean descent. Breast and Cervical Cancer Outreach ----------------------------------- In partnership with the Middlesex county public health department's CEED program, university radiology group and the breast care connection, conducted breast screening for 133 low income women. In conjunction with the Rutgers RWJ medical school department of family medicine, low-income women are screened for cervical cancer. rwjuh Somerset also offers Senos Sanos, an outreach program that educates Latina women on breast health and the importance of getting their annual mammogram. Each September, the Somerset campus holds free prostate cancer screenings as part of a clinical research study. Child Health Programs --------------------- In conjunction with the Rutgers Snap Ed nutrition program, New Brunswick sponsored nutrition educational programs at local community schools, girl scouts groups, community based organizations and daycare centers. A total of 377 children participated in this programs in 2017. In an effort to reduce childhood obesity, the New Brunswick campus partnered with various community based organizations throughout Middlesex County to provide fitness training to staff working at local summer camps and nutrition education to campers. The Somerset campus offers a fun n fit program, a 10-week childhood obesity and chronic disease prevention program that provides nutrition education and fun physical activity toward health outcome improvement. The hospitals healthy smiles program educates over 900 children each year on healthy diets and proper brushing techniques. Senior Health Programs ---------------------- The New Brunswick campus offers educational seminars on senior health at 10 local senior centers through Middlesex County. Topics included; bladder control, sleep, heart disease, hearing and memory loss, yoga, meditation and others Health Literacy --------------- Identified as a primary need as part of the CHNA, health literacy was a continued area of focus for RWJUH. In partnership with the East Brunswick public library, RWJUH assisted library users with successfully navigating web-based health information sites when at the libraries. Knowing which sites provide reliable information is key, as more people rely upon the internet for guidance on their health. This program was provided in conjunction with the RWJUH fitness and wellness centers. This initiative has been expanded to 5 other libraries in the county. In 2017, the New Brunswick team partnered with the RWJ foundation NJ Health Initiatives to sponsor a one-day health literacy library symposium to explore the role of libraries in health education, health literacy and community outreach. A total of 87 people participated in the event that included 40 librarians from the central Jersey region. included 40 librarians from the central Jersey region. |
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Cultural awareness educational initiatives ------------------------------------------ The hospital provided educational seminars on the health beliefs and practices in the minority community. The seminars included: a tour to a local botnica (traditional herb store), and bodega (local minority grocery store). A total of 42 health professionals and students participated in the program. RWJUH Somerset launched new Chinese Medical and Indian Medical Programs in 2018 to help improve access to care for members of the Chinese and Indian communities. Bilingual patient navigators assist patients with arrangements for round-trip transportation for medical appointments; finding medical specialists; filling out forms; accompanying them to medical appointments and interpretation and translation. Social Impact Projects ---------------------- In 2017, the New Brunswick campus began building on the collaborations and partnerships of the healthier Middlesexs community health improvement plan and the healthier New Brunswick blueprint for action, launched the New Brunswick Healthy Housing Collaborative a cross-sector approach to ensure that all New Brunswick residents live in safe homes that facilitate healthy living. Through our collective work and extensive networks, we will collaborate across sectors to implement healthy housing assessments, consumer trainings, lead and asthma testing, and environmental changes that will produce safer and healthier home environments, additional opportunities for healthier lifestyle and behavior change, and advocate for housing policies that promote community health and well-being. New Brunswick campus offered the only youth summer employment and jobs skills training program in the city of New Brunswick. The program provided employment for 78 students from the New Brunswick high school. Through a grant from the Rutgers community health foundation, the program provided a four to eight weeks employment site, workshops on resume writing, interview skills and students also had the opportunity to participate in a career panel discussion. Students were assigned to local daycare centers, schools, hospitals and other community based organizations. RWJUH Somerset recently launched Healing Homes as part of its Social Impact and Community Benefit initiatives. Healing Homes will offer housing for 18-24 months for an individual or individual family in Somerset County who has a chronic or acute health condition that causes financial hardship and leaves them unable to afford housing and/or the basic cost of living. RWJUH Somerset is renovating two homes that the hospital owns to serve as the housing for the Healing Homes program. With the help of an assigned case manager, Healing Homes gives an individual or family the opportunity to learn to manage their finances, take care of their health and become successfully independent. The case manager will refer participants to hospital resources that will help with their individually identified health issues as well as community resources that offer support for basic needs such as employment, transportation, social services and permanent housing. Participants are required to be employed and although the hospital pays the taxes on the homes, the residents will be asked to pay for rent and utilities, based on a sliding scale, depending on their income. Responding to other Community Needs ----------------------------------- The CHPP in conjunction with many RWJUH departments and employees sponsored a number of food and toy drives to benefit New Brunswick's low-income community. During the holidays, the CHPP donated turkeys that benefited 450 families in the community. Through our adopt-a-family program, RWJUH employees, administration and departments sponsored a total of 80 families during the thanksgiving and Christmas holidays. Furthermore, in December, the CHPP sponsors a hospital and community-wide toy drive. The toys were distributed during the CHPP annual holiday celebration for 981 low-income children of New Brunswick. Children took pictures with Santa, received a toy, and enjoyed a visit from the three wise men. The hospital provided school supplies and backpacks to 100 children in the community. The Somerset campus also holds annual collections of school supplies to distribute to underserved children in the community. Medical staff ============= RWJUH has physicians on its medical staff during 2017, and other health professionals proving the following services: - addiction psychiatry - adolescent medicine - adult comprehensive echocardiography - adult transthoracic & transesophageal ECHO - advanced heart failure and transplant cardiology - advanced perioperative transesophegeal ECHO - allergy & immunology - anatomic pathology - anesthesiology - bariatric surgery - blood bank/transfusion medicine - biochemical genetics - breast surgery - cardiovascular disease - child & adolescent psychiatry - child abuse pediatrics - clinical biochemical genetics - child & adolescent psychiatry - child abuse pediatrics - clinical biochemical genetics - clinical cardiac electrophysiology - clinical genetics - clinical neurophysiology - clinical pathology - colon & rectal surgery - critical care medicine - cytopathology - dentistry - dermatology - dermatopathology - developmental-behavioral pediatrics - diagnostic radiology - electrodiagnostic medicine - emergency medicine - endocrinology & diabetes & metabolism - emergency medicine - endocrinology & diabetes & metabolism - endodontics - endovascular medicine - epilepsy - family medicine - foot &ankle surgery - foot surgery - forensic pathology - gastroenterology - general internal medicine - general surgery - geriatric medicine - geriatric psychiatry - gynecologic oncology - hematology & oncology - hematopathology - hospice and palliative medicine - implant dentistry - immunopathology - infectious disease - interventional cardiology - maternal fetal medicine - medial microbiology - medical oncology - molecular genetic pathology - movement disorders - multiple sclerosis - neonatal-perinatal medicine - nephrology - neurodevelopmental pediatrics - neurology - neuromuscular medicine - neuro-ophthalmology - neuropathology - neurophysiological monitoring - neuropsychology - neuroradiology - neurosurgery - nuclear cardiology - nuclear medicine - nuclear radiology - obstetrics - obstetrics/gynecology - occupational medicine - ophthalmology - optometry - oral & maxillofacial surgery - orthodontics - orthopaedic sports medicine - orthopaedic surgery - otolaryngology - pain medicine - pathology - pediatric anesthesiology - pediatric cardiology - pediatric critical care - pediatric dentistry - pediatric emergency medicine - pediatric endocrinology - pediatric gastroenterology - pediatric general - pediatric hematology & oncology - pediatric infectious disease - pediatric nephrology - pediatric neurology - pediatric neurosurgery - pediatric ophthalmology - pediatric orthopaedic surgery - pediatric otolaryngology - pediatric pulmonary disease - pediatric radiology - pediatric rehabilitation medicine - pediatric rheumatology - pediatric surgery - pediatric urology - periodontics - physical medicine and rehab - plastic surgery - podiatric surgery - preventative medicine - prosthodontics - psychiatry - psychology - psychosomatic medicine - pulmonary disease - radiation oncology - reproductive endocrinology & infertility - restorative dentistry - rheumatology - sleep medicine - spinal cord injury medicine - spine surgery - sports medicine - surgery of the hand - surgical critical care - surgical oncology - therapeutic radiology - thoracic/cardiac surgery - thoracic/general thoracic - total joint replacement surgery - transfusion medicine - transplant nephrology - undersea & hyperbaric medicine - urology - vascular interventional radiology - vascular neurology - vascular surgery - vitreoretinal surgery - wound care Community Service Centers ========================= RWJUH coordinates many health and social services for the community as previously described and other common activities, such as: - Goodwill visits to outside organizations, schools, musicians, athletes, entertainers, etc. Staff are invited on a voluntary basis to donate their time, skills and/or gifts to patients and various hospital departments and community organizations throughout the year; - health fairs: RWJUH participates in numerous health fairs organized by local corporations, schools and community organizations; and - health screenings: RWJUH sponsors free community health screenings throughout the year. |
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Community Partnerships ---------------------- Health planning: community health needs assessment & community health improvement plan --------------------------------------------------------------------- Middlesex County ---------------- Robert Wood Johnson University Hospital and St. Peter's University Hospital have collaborated on the creation of a comprehensive community health needs assessment. This initial assessment was completed during calendar year 2012 and the associated community health improvement plan was completed during 2013. Work for the 2015 edition of this plan occurred during the year using the same rigorous process and commitment to partnerships. All materials relating to this project have been posted to the hospital's website. The goal of the community health needs assessment was to have a better understanding of the community health needs; in order to enhance services addressing the top priority needs identified by the community; and to improve the coordination of healthcare services and outreach in the area. The planning area of the project consisted of the combined service areas of both hospitals which consist of Middlesex county and several towns within Somerset County (Somerset, Franklin). Our community partners include: the Middlesex and Somerset County health departments, New Brunswick tomorrow, the Rutgers Center for Sate Health Policy, the Puerto Rican Action Board, Keep Middlesex Moving, the Rutgers RWJMS. The role of community partners was to review and evaluate prior assessment reports and public health data, build on existing assessments and internal information and plan to supplement that by gathering new data, assist with conducting surveys, focus groups, key informant interviews, and community forums as well as help to identify community assets. Linkages of the project to the planning process of the hospitals have been accomplished by presenting the findings that the project generates to the respective hospital board committees. Decisions have been made to shape programmatic goals that involve service lines, departments and individuals to meet the identified community's health needs. Key to success of the project has been the hardwiring of this work into existing structure and implementation, not creating new layers in the respective organizations. Measurement methods utilized in the project have been: analyzing data from focus groups and surveys using computer software; engaging our community partners in a process of prioritizing key community health needs; and, establishing measurable objectives for meeting those health needs. Project outcomes include: assessing the health needs of the combined service areas of both hospitals by engaging a wide spectrum of community members; identifying and prioritizing the health needs of the community through a visioning process; creating an improvement plan and the healthier Middlesex coalition to address the primary health needs identified by the community for the community; and releasing the plan through multiple venues and initiating implementation of the plan. Project Partners ---------------- RWJUH and SPUH worked with the Health Resources in Action (HRIA) to conduct the following services for the assessment: 1) analysis of secondary data, 2) development of a telephone survey questionnaire, 3) interpretation of tables prepared by the survey vendor, and 4) key informant interviews and focus groups. During 2015, programs targeting prioritized needs of the CHIP created during 2013 were implemented across each of the major areas of need, while the refreshed CHNA was being developed. Work is currently underway to update the Need Assessment and Improvement Plan. Somerset County --------------- Formed in 2010, Healthier Somerset is a coalition of representatives from businesses, healthcare, education, faith-based communities, non-profit organizations, and local government in Somerset County working together to improve the overall health of county residents and workers. The mission of the coalition is to work collaboratively to improve the health and well-being of all who live and work in Somerset County. By sharing information and creating alliances among individuals and organizations who are working toward mutual goals, we can collectively increase our efforts to create a healthier Somerset. Our coalition acknowledges that health is a priority. The health of Somerset County residents has a direct bearing upon our physical, emotional, and economic well-being. As a community, we embrace an agenda that identifies our greatest health needs and sets forth an action plan to address these needs. Among the coalitions recent accomplishments was the introduction of farmers markets in North Plainfield, Bridgewater and Green Brook. The coalition is currently working on an initiative called "Building Bridges to Better Health" to improve the health and well-being of residents of Bound Brook and South Bound Brook. In 2018, a community health needs assessment was developed and work surrounding the associated community health improvement plan is underway. The hospital is committed to creating these plans through this coalition led by the hospital, in partnership with numerous agencies, local government and corporate supporters. Materials relating to both the Middlesex county and Somerset County CHNA and CHIP are posted prominently on the hospital website www.RWJUH.edu. Medical Screenings ================= Community Health Fairs and Annual Screenings -------------------------------------------- The CHPP continued to provide access to preventive/primary health screenings for the region's medically underserved diverse communities. Programs included: 8 major community health fairs at local schools and adult learning center, and the local soup kitchen; a monthly free breast cancer screening; free flu shot clinics; and pap day program. Recognizing the diversity of our communities, events were staged for the Asian and Latino members of our community. Community health fairs - more than 675 community residents participated at the numerous health fairs. Screenings included were: vision and glaucoma, blood pressure, hearing test, dental screening, weight, HIV/AIDS testing, back injury prevention, cholesterol and glucose screenings. Vision screening - in partnership with the New Jersey commission for the blind and the Eric B. Chandler FQHC, the CHPP supported 165 members of the community in accessing needed vision screening. The New Brunswick team in conjunction with the RWJ medical school provided free HIV/aids screening at local community based organizations. A total of 84 community residents participated in the screening. Free flu shot clinics - conducted three flu shot clinics at the greater New Brunswick charter school, adult learning center and Elijahs promise soup kitchen. The Somerset campus participates in Franklin Day each year, reaching 10,000 individuals, and at the three-day Somerset County 4H fair, reaching about 5,000 individuals. Community Education =================== RWJUH is dedicated to providing the highest quality of services to all the healthcare needs of our community. In addition to direct patient care provided by our staff, the community health education team makes available the following healthcare education programs and classes, patient support groups and community services. Special Community Events ------------------------ Each year, the hospital sponsors larger health conferences that are very well received by the community. This series includes programming on topics such as heart disease, breast cancer, nutrition, lupus and dental health, among many others. RWJ Fitness & Wellness Centers ------------------------------ RWJUH currently runs two medically-based fitness and wellness centers one in New Brunswick, the other in old bridge, New Jersey. An important component of this center is the provision of free health and wellness lectures and programs for both center members, as well as the general public. A demonstration kitchen is also onsite to allow for nutrition presentations by RWJ team members on healthy eating. After a very successful public opening, the RWJ CHPP staff provided monthly educational programs on topics such as stress management, guided imagery, back pain prevention, weight loss, nutrition, breast cancer and heart disease. Free screenings were also offered. |
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Parkinson's Referral Center --------------------------- RWJUH is the sponsor and host site for the New Jersey American Parkinsons disease association information & referral center. This program reaches out to persons with Parkinsons disease, their families and the public with information about the disease. RWJ produces a Parkinsons bulletin for families touched by Parkinsons which is distributed statewide, and conducts a major conference providing information on the latest research and treatment options for the disease; more than thousand persons were supported through these various efforts. RWJ also coordinates the state's only hot line for information and referral; during 2018, over 2,000 people were supported by outreach and education efforts and referrals were coordinated by the I&R center at RWJUH. Additionally, with the opening of the two fitness and wellness centers, exercise programs for individuals with Parkinsons were conducted and 187 more benefitted from support groups. Support Groups -------------- The hospital facilitates via the participation and direction by staff, or provides space for support groups on the following topics: alopecia support group, ALS support group, brain tumor support group, breast cancer support group, breastfeeding support group, depression and mood disorder support group, heart transplant support group, kidney and pancreas transplant support group, living with cancer support group, new moms - new babies: a new mother's support group, OCD (obsessive compulsive disorder) support group, overeaters anonymous support group, Parkinsons disease later onset support group, Parkinsons disease young onset support group, perinatal/neonatal bereavement support group, prostate cancer support group, renal dialysis support group, sleep disorder support group - supporting our sleep, strength for caring support group (for cancer caregivers), DBSA, stroke club support group and vulvodynia support group. More than 10,000 members of our community found comfort and support through the attendance at one of these sessions. Instructional classes and programs ---------------------------------- A variety of lifestyle and instructional classes to improve an individual's overall well-being are ALS provided; a fee is sometimes associated with these programs. Childbirth preparation and parenting classes -------------------------------------------- RWJUH in both New Brunswick and Somerset offers an extensive array of prenatal, childbirth preparation and parenting classes and services. The following courses and services are currently offered: childbirth experience, preparing and caring for baby, sibling preparation, breast, bottle or both, making an informed choice, happiest baby on the block, new moms- new babies, support group, maternity tours, car seat safety checks, CPR classes. First aid course ---------------- The RWJUH MHS department provides basic first aid certification course. The MHS first aid course uses the American Heart Associations adult first aid with CPR and AED and pediatric first aid with CPR courses as the foundation of skills for life. The courses are enhanced with the application of this knowledge and skills of the EMT scope of practice -- anatomy and physiology, obtaining and interpreting vital signs, assessment (signs and symptoms) to help distinguish the severity of the patient's condition, treatment of specific medical and trauma conditions, reassessment to determine the effectiveness of treatment, and transport to an appropriate facility. Included is an introduction to the equipment used by EMTs and paramedics, overview of NJ MHS and 911 communication systems, NJ trauma system, and specialty care facilities. After successful completion of this program, even those students who do not plan to pursue a career in MHS gained valuable skills for life. Trauma and Lead Education ------------------------- Trauma is the major cause of death in the US, from childhood through middle age. From a motor vehicle collision to a child's fall on a playground, trauma affects us all. The injury prevention program at Robert Wood Johnson University Hospital's level 1 trauma center is dedicated to the prevention of these unintentional injuries and deaths. As the lead agency for safe kids Middlesex county (the local coalition of the national safe kids campaign), the injury prevention program offers services and programming that covers a wide range of childhood risk areas. In addition, the program provides comprehensive education and training in the field of injury prevention for all age groups, from young adults to seniors. Summer School to Work Program ----------------------------- Health scholars were provided with temporary employment at RWJUH during the summer. The students chosen were emerging seniors and graduating seniors of New Brunswick health sciences technology high school (NBHSTHS) and some post graduates of NBHSTHS are already attending college and majoring in a health, science or technology academic programs. Students were able to work in allied healthcare areas of interest to gain a better understanding of the allied healthcare career they are interested in pursuing or presently majoring in, such as pharmacy, nursing, physical therapy and medicine. The summer school to work allowed students to strengthen their communication skills, time management and work ethics. In addition, for these financially disadvantaged students, providing them an opportunity for employment and earning a paycheck helped them and their families save for college tuition costs and academic supplies. In addition to the summer school to work program, each participating student was assigned to take an "introduction to healthcare course" provided by a masters prepared health educator instructor. The students in the summer program received instruction on several health topics such as: medical terminology, anatomy & physiology, infectious disease, human growth and development, personal and healthcare safety, healthcare assessment, and communication skills. The lectures were provided one day a week for five weeks and a total of 37.5 hours. The addition of the didactic instruction was of benefit to the students as it bridges the gap between theory and application. Summer Nurse Externship ----------------------- The nurse externship program provided four nursing students - all graduates from the New Brunswick health sciences technology high school and the RWJUH health professions schools program - a unique six-week clinical training experience, allowing them to work alongside experienced registered nurse preceptors. The nurse externs worked on five individual nursing units spanning clinical care from medical-surgical to cardiology to oncology. They worked one-on-one with their preceptors for 32 hours each week, observing such tasks as dispensing medications, assessing vital signs and documenting in patient charts. RWJUH HPSP scholarship funds ---------------------------- RWJUH health professions scholars program awards book and academic supply scholarships to senior class members who are pursuing careers in allied healthcare. The senior scholarship recipients must submit their official college academic transcripts after the completion of each semester to continue their scholarship funds. Professional Medical Education and Training =========================================== RWJUH professional medical education and training costs, included, but were not limited to, the following programs, lectures and courses during 2017: RWJUH School of Nursing ----------------------- RWJUH is committed to investing in continuing education, encouraging the personal and career development of its employees, and creating a highly engaged and high performing workforce. The organization strives to develop innovative advancement opportunities for all employees. The nursing division has a long tradition of providing a variety of programs to support lifelong learning and promote the growth of the nursing profession. RWJUH provides a rich, clinical training site for nursing students at the graduate and undergraduate levels. Graduate students from multiple nursing programs were on the New Brunswick and Somerset campuses. These schools include, but are not limited to the following: chamberlain university, Drexel University, Fairleigh Dickinson State College, Felician University, Kaplan University, Middlesex County College, Middlesex County Vocational Technical School, New Jersey City University, Raritan Valley Community College, Rutgers University School of Nursing, Seton Hall University, Suny Delhi, Thomas Edison State University, University of Pennsylvania and Walden University. |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Additionally, the nursing division has multiple programs to help support the education experience for our employees and nursing students in the community such as summer study hall that allows incoming senior students additional clinical experience during the summer. A collaborative with Rutgers college of nursing and RWJUH has proven to be successful where RWJUH CNS/CNE are given faculty status and teach junior nursing students the latest EPB during the fall and spring semester. The latest innovation is the dedicated education preceptor program (DEPP) where nursing staff are the clinical preceptors for students. Lastly, the nursing division also provides opportunities to all employees via educational programs with contact hours, employee shadowing experience, new paths to professional nursing and extended clinical care technician (CCT) orientation for non-healthcare providers. Health Professions Scholars Program - Allied health --------------------------------------------------- The health professions scholars program (HPSP) was designed to stimulate interest in the variety of allied healthcare professions offered at Robert Wood Johnson University Hospital and motivate talented high school students within an urban school system with an aptitude for math and science to remain in school and plan for college or vocational training in an allied healthcare profession. The HPSP offered approximately 175 students the opportunity to learn about, explore and observe allied healthcare professions in action with increasing educational experience and individual learning opportunities in the journey from 9th to 12th grade. Housed on the hospital's campus, the New Brunswick health sciences technology high school is a fully-accredited high school and part of the city's public-school system. In addition to providing a physical location for the school, the hospital hosts a variety of educational allied healthcare programs on the RWJ campus. Freshman and sophomore students came to RWJUH once per month for a two-hour introduction to a career in allied healthcare. The 10th graders are also certified in CPR by the MHS department in the spring academic semester. Juniors engage in a multi-week career shadow/exploration experience with students and professional staff members coordinated by the director of HPSP, at Robert Wood Johnson University Hospital, Bristol-Myers Squibb Childrens Hospital, Childrens Specialized Hospital, the Cancer Institute of New Jersey, university of medicine and dentistry of New Jersey, Robert Wood Johnson Medical School, Rutgers University and other healthcare facilities of the New Brunswick community as requested to partner with the health professions scholars program. Each student had an opportunity to explore individual allied healthcare career areas of interest. This is an academically motivating and educational activity dedicated to giving young students "one on one" interactions with healthcare professionals and an up-close look at a "career choice of interest" in action. Seniors individually intern with an allied healthcare professional host(s) with a specific project or assigned weekly responsibilities with minimal department faculty supervision or an observational shadow experience providing a student with a better understanding of one specific allied healthcare career. The 15-week senior internship experience, that is modified and appropriate for a high school health scholar, culminates with oral presentation to classmates and healthcare professional hosts explaining their senior internship project, activities and/or shadow experiences. Secondly, the overall role and responsibilities of the healthcare professional or healthcare department they were assigned must be presented. |
| CORE FORM, PART III; QUESTION 4D |
EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, SECTION A; QUESTION 5 |
A Departmental Director at Robert Wood Johnson University Hospital in New Brunswick ("RWJUH-NB") was reviewing budget to actual performance results and identified an unexpected variance. Upon further analysis, the variance was attributed to a certain local business address and further inquiry by the Director resulted in further concern with paid invoices. The Chief Financial Officer was contacted, who in turn immediately engaged the RWJBarnabas Healths ("RWJBH") Internal Audit Department. Upon discovery, RWJBH Internal Audit Department, in consultation with the Legal Affairs and others, launched an immediate investigation and made a referral to law enforcement and continued to cooperate with the investigation. The investigation identified $3,748,066 in invoices payable to 3 vendors, but $1,066,829 represented checks that had been cashed. The remaining $2,681,237 included checks where RWJUH-NB issued stop payment request as well as in-process invoices for which no check had been issued. The scheme occurred over a 5 month period before detection. A former employee was involved in this fraudulent invoice scheme. There were several corrective actions taken to prevent a similar loss of this nature and safeguard the assets. There were a couple of individuals who were charged and subsequently convicted for these crimes including prison sentence, fines and restitutions. RWJBH submitted an insurance claim with their carrier which resulted in full settlement for the loss plus additional expenses incurred less deductible. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 |
RWJ BARNABAS HEALTH ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11b |
THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT/GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THIS FORM 990 WAS ALSO REVIEWED AT A SPECIAL MEETING WHICH INCLUDED THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, BOARD MEMBERS OF THE ORGANIZATION AND THE OUTSIDE PROFESSIONAL CPA FIRM WHICH WAS RETAINED TO PREPARE THE FEDERAL FORM 990. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 |
THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 |
THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. RWJ BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF RWJ BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF the RWJBARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN RWJ BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE RWJBARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 |
THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| CORE FORM, PART VII AND SCHEDULE J |
PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION or a related organization. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THe ORGANIZATION or a related organization AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII AND SCHEDULE J |
ROBERT G. IRWIN IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH IN A CORPORATE POSITION AS SENIOR VICE PRESIDENT/CHIEF INFORMATION OFFICER FOR RWJBARNABAS HEALTH. MARTIN S. EVERHART IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH IN A CORPORATE POSITION AS CHIEF HUMAN RESOURCES OFFICER FOR RWJBARNABAS HEALTH. JOSHUA M. BERSHAD, M.D. IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH IN A CORPORATE POSITION AS AN EXECUTIVE VICE PRESIDENT FOR RWJBARNABAS HEALTH. RICHARD FREEMAN IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE PRESIDENT OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. LORI A. COLINERI IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH IN A CORPORATE POSITION AS CHIEF NURSING OFFICER SOUTHERN REGION FOR RWJBARNABAS HEALTH. MICHAEL KNECHT IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH IN A CORPORATE POSITION AS SENIOR VICE PRESIDENT PUBLIC AND COMMUNITY AFFAIRS FOR RWJBARNABAS HEALTH. LESTER G. COTTLE WAS EMPLOYED WITHIN RWJBARNABAS HEALTH AS THE CHIEF FINANCIAL OFFICER OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, FROM 1/1/2018 UNTIL HIS TERMINATION DATE OF 6/22/2018. KEVIN M. KRAMER, ESQ. IS STILL EMPLOYED WITHIN RWJBARNABAS HEALTH AS SENIOR COUNSEL OF BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. |
| CORE FORM, PART VII, SECTION A, COLUMN B |
THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART X; LINE 25 |
The organization is a member of RWJBarnabas Health; a tax-exempt integrated healthcare delivery system ("System"). The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017B; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2016A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2014A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2012A; - New Jersey Health Care Facilities Financing Authority Revenue and Refunding Bonds Series 2011B; - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2016; and - New Jersey Health Care Facilities Financing Authority Taxable Revenue Bonds Series 2012. The bonds outlined above and various other long-term borrowings are allocated by RWJ Barnabas Health, Inc.; the tax-exempt parent of the system, and Barnabas Health, Inc.; a tax-exempt affiliate within the system and sole member of various tax-exempt affiliates within the system, to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a RWJBH OBLIGATED GROUP liability. ACCORDINGLY, THIS RWJBH OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING subsidiary organizations: - Children's Specialized Hospital, EIN: 22-1487148 - Clara Maass Medical Center, EIN: 22-1500556 - Community Medical Center, EIN: 22-3452306 - Jersey City Medical Center, EIN: 22-2783298 - Monmouth Medical Center, EIN: 22-3452412 - Newark Beth Israel Medical Center, EIN: 22-3452311 - Robert Wood Johnson University Hospital, EIN: 22-1487243 - Robert Wood Johnson University Hospital at Hamilton, EIN: 21-0634572 - Robert Wood Johnson University Hospital Rahway, EIN: 22-1487305 - Saint Barnabas Behavioral Health Center, EIN: 22-2977312 - Saint Barnabas Medical Center, EIN: 22-1494440 - Saint Barnabas Realty Development Corporation, EIN: 22-2940008 Schedule K was prepared on a consolidated basis and is included in the Form 990 of Barnabas Health, Inc., EIN: 22-2405279. |
| CORE FORM, PART X; LINES 27-29 |
IN AUGUST 2016, THE FASB ISSUED ASU 2016-14, NOT-FOR-PROFIT ENTITIES (TOPIC 958): PRESENTATION OF FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES, WHICH REQUIRES NOT-FOR-PROFIT ENTITIES TO REVISE ITS FINANCIAL PRESENTATION TO INCLUDE NET ASSET CLASSIFICATIONS, PROVIDE QUANTITATIVE AND QUALITATIVE INFORMATION AS TO AVAILABLE RESOURCES AND MANAGEMENT OF LIQUIDITY AND LIQUIDITY RISK AND EXPANDED DISCLOSURES ON FUNCTIONAL EXPENSES. THE CORPORATION ADOPTED THE NEW STANDARD AS OF DECEMBER 31, 2018 ON A RETROSPECTIVE BASIS. THERE WERE NO MATERIAL CHANGES TO THE CONSOLIDATED BALANCE SHEETS, STATEMENTS OF OPERATIONS, AND CHANGES IN NET ASSETS OR CASH FLOWS AS A RESULT OF THE ADOPTION. PERIODS PRIOR TO ADOPTION HAVE BEEN DISPLAYED TO CONFORM TO THE NEW PRESENTATION OF A SINGLE CLASSIFICATION OF NET ASSETS WITH DONOR RESTRICTIONS. PREVIOUSLY, THE CONSOLIDATED BALANCE SHEETS DISPLAYED TEMPORARILY RESTRICTED NET ASSETS OF $131,468,000 AND PERMANENTLY RESTRICTED NET ASSETS OF $33,494,000. |
| CORE FORM, PART XI; QUESTION 9 |
OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - PENSION ADMINISTRATION COSTS - ($490,722); - NET ASSETS RELEASED FOR PURCHASES OF PROPERTY AND EQUIPMENT - $1,845,605; - CHANGE IN UNRESTRICTED NET ASSETS OF RWJ UNIVERSITY HOSPITAL FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($3,042,980); - CHANGE IN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF RWJ UNIVERSITY HOSPITAL FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION ($1,828,609); - LOSS FROM OWNERSHIP INTEREST IN SHC ENTERPRISE, INC.; A RELATED ORGANIZATION ($100,000); - NET EQUITY TRANSFER TO AFFILIATES - ($1,123,281); - NET EQUITY TRANSFER FROM BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $1,891,358; - NET EQUITY TRANSFER TO SOMERSET HEALTH CARE FOUNDATION; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION ($1,000,000); - NON-OPERATING REVENUE - $724,503; AND - PURCHASE OF NON-CONTROLLING INTEREST ($246,535). |
| CORE FORM, PART XII; QUESTION 2 |
THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJ BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE years ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| CORE FORM, PART XII; QUESTION 3 |
THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. |
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.