| FORM 990, PART III, LINE 4A |
ELLIS HOSPITAL (D/B/A ELLIS MEDICINE), THE SOLE REMAINING PROVIDER OF ACUTE HOSPITAL CARE IN SCHENECTADY COUNTY, IS A VOLUNTARY, NOT-FOR-PROFIT, COMMUNITY AND TEACHING HOSPITAL WITH 423 LICENSED BEDS BETWEEN TWO INPATIENT CAMPUSES (ELLIS HOSPITAL AND BELLEVUE WOMAN'S CENTER), INCLUDING 52 INPATIENT MENTAL HEALTH BEDS (SEE ITEM 4B BELOW). ELLIS ALSO OPERATES SEVERAL PRIMARY CARE AND OUTPATIENT SITES, INCLUDING TWO COMPREHENSIVE OUTPATIENT MEDICAL CAMPUSES (MCCLELLAN STREET HEALTH CENTER IN THE CITY OF SCHENECTADY AND MEDICAL CENTER OF CLIFTON PARK IN SOUTHERN SARATOGA COUNTY) AND AN OUTPATIENT MENTAL HEALTH FACILITY (STATE STREET HEALTH CENTER). ALL HEALTH CARE SERVICES ARE PROVIDED UNDER A SINGLE CORPORATE TAXPAYER IDENTIFICATION NUMBER (TIN) AND A SINGLE OPERATING CERTIFICATE ISSUED BY THE NEW YORK STATE DEPARTMENT OF HEALTH, THE HOSPITAL'S PRIMARY REGULATOR. THE HOSPITAL IS OVERSEEN BY AN 18-MEMBER VOLUNTEER BOARD OF TRUSTEES DRAWN FROM THE COMMUNITY AND THE MEDICAL STAFF, INCLUDING FIVE PHYSICIAN TRUSTEES. WITH THE MISSION TO "MEET THE HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY WITH EXCELLENCE," ELLIS BALANCES STATE-OF-THE-ART TECHNOLOGY AND ADVANCED MEDICAL PROCEDURES WITH A 133-YEAR TRADITION OF COMMUNITY-BASED CARING AND A FIRM COMMITMENT TO QUALITY. ELLIS HAS EARNED NUMEROUS RECOGNITIONS FOR CLINICAL EXCELLENCE AND COMMUNITY SERVICE. ELLIS HAS BEEN A NEW YORK STATE DESIGNATED STROKE CENTER SINCE 2005, AND WAS THE FIRST HOSPITAL IN NEW YORK STATE TO RECEIVE THE AMERICAN STROKE ASSOCIATION'S (ASA) PERFORMANCE ACHIEVEMENT AWARD FOR STROKE (IN 2006). THE ELLIS STROKE CENTER CONTINUES AS A RECIPIENT OF THE GOLD/GOLD PLUS AWARD (2007-2019), RECOGNIZED FOR USING THE ASA'S "GET WITH THE GUIDELINES" PROGRAM FOR IMPROVING THE QUALITY OF CARE AND PATIENT OUTCOMES. THE HOSPITAL IS AN ACCREDITED BARIATRIC SURGERY CENTER BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) OF THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY. ADDITIONALLY, THE SLEEP DISORDERS CENTER IS ACCREDITED BY THE AMERICAN ACADEMY OF SLEEP MEDICINE; THE BELANGER SCHOOL OF NURSING IS ACCREDITED BY THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION; THE FAMILY MEDICINE RESIDENCY IS ACCREDITED BY BOTH THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION; FIVE ELLIS PRIMARY CARE PRACTICES IN GLENVILLE, SCHENECTADY AND CLIFTON PARK HAVE ACHIEVED NATIONAL COMMISSION ON QUALITY ASSURANCE (NCQA) "PATIENT-CENTERED MEDICAL HOME" (PCMH) RECOGNITION WHILE FOUR OTHERS ARE IN PROGRESS OF ACHIEVING RECOGNITION; AND FOUR PRIMARY CARE PRACTICES PARTICIPATE IN THE FEDERAL CMS "CPC+" QUALITY PROGRAM. ELLIS HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION (AHA) AS A "FIT-FRIENDLY WORKSITE AND RECEIVED THE AHA'S "INNOVATION AWARD" FOR PRESENTING A UNIQUE PROGRAM OF HEALTH AND WELLNESS TO EMPLOYEES. ELLIS HAS BEEN AWARDED BLUE DISTINCTION CENTER DESIGNATION BY BLUE CROSS BLUE SHIELD FOR CARDIAC CARE, BARIATRIC CARE, KNEE AND HIP REPLACEMENT, AND MATERNITY CARE. ELLIS IS ALSO A PARTNERS IN PERFORMANCE EXCELLENCE GOLD BALDRIGE AWARD WINNER, RECOGNIZED FOR ITS DEDICATION AND WORK TO CREATE A CULTURE AND SYSTEMS WHERE INNOVATION AND PERFORMANCE EXCELLENCE BECOME THE ACCEPTED NORM. ELLIS HAS ALSO BEEN HONORED WITH THE FIVE RINGS AWARD BY INTELLICENTRICS, INC. FOR EXCELLENCE IN VENDOR CREDENTIALING AND CREATING A CULTURE OF VIGILANCE TO MAKE HOSPITALS SAFER FOR EMPLOYEES AND PATIENTS. DURING RECENT YEARS, ELLIS HAS RECEIVED COMMUNITY SERVICE AWARDS FROM THE CHAMBER OF SCHENECTADY COUNTY ("CORPORATION OF THE YEAR"), THE CITY MISSION OF SCHENECTADY ("PARTNERS AWARD," SPECIFICALLY RECOGNIZING THE HOSPITAL'S SERVICES FOR THE UNDERSERVED), THE SCHENECTADY ARC ("EMPLOYER OF THE YEAR," RECOGNIZING THE HOSPITAL FOR PROVIDING EMPLOYMENT, WITH OPPORTUNITIES FOR GROWTH AND MEANINGFUL EXPERIENCE, TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES), THE SIGHT SOCIETY OF NORTHEASTERN NEW YORK ("HOSPITAL OF THE YEAR" FOR COMMITMENT AND COMPASSION TO GRIEVING FAMILIES ALONG WITH OUTSTANDING ACCOMPLISHMENTS AND BEST PRACTICES TO FACILITATE CORNEA DONATIONS), THE GOOSE HILL NEIGHBORHOOD ASSOCIATION ("COMMUNITY AWARD" FOR BEING A GOOD NEIGHBOR AND PROACTIVE COMMUNICATOR), AND THE SEVENTH NATIONAL LEARNING CONGRESS OF THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES ("SILVER MEDAL" FOR ORGAN DONATION). ELLIS OPERATES A STATE-OF-THE-ART EMERGENCY DEPARTMENT WHICH OPENED IN DECEMBER 2014 AT ELLIS HOSPITAL AND HAD 66,206 VISITS IN 2018; THE BELLEVUE WOMAN'S CENTER WHICH DELIVERED 2,272 BABIES IN 2018 (SEE LINE 4D); NINE PRIMARY CARE PRACTICES (IN SCHENECTADY (5), GLENVILLE, CLIFTON PARK, MALTA, AND BALLSTON SPA) AND NUMEROUS SPECIALTY MEDICAL SERVICES THROUGH THE ELLIS MEDICAL GROUP (EMG); A FULL-SERVICE DENTAL CLINIC INCLUDING ADULT AND PEDIATRIC DENTAL SURGERY; AN 82-BED SKILLED NURSING FACILITY AND SHORT-STAY REHABILITATION FACILITY (SEE LINE 4C); TWO STAND-ALONE OFF-SITE BLOOD DRAW STATIONS; A BARIATRIC CARE LOCATION; A SLEEP DISORDERS CENTER; A WOUND CARE CENTER; A FAMILY MEDICINE RESIDENCY INCLUDING AN OSTEOPATHIC RESIDENCY; A GENERAL DENTAL RESIDENCY; AND A SCHOOL OF NURSING. RESIDENTS ENROLLED IN THE FAMILY MEDICINE RESIDENCY AND THE GENERAL DENTAL RESIDENCY PROVIDE PRIMARY MEDICAL AND DENTAL CARE TO PATIENTS, THE MAJORITY OF WHOM ARE UNINSURED OR ARE PARTICIPANTS IN GOVERNMENT PROGRAMS SUCH AS MEDICAID AND CHILD HEALTH PLUS, THROUGH THREE CLINICS LOCATED AT THE ELLIS MCCLELLAN STREET HEALTH CENTER: THE FAMILY HEALTH CENTER, THE PEDIATRIC HEALTH CENTER, AND THE DENTAL HEALTH CENTER. ELLIS OPERATES THE MEDICAL CENTER OF CLIFTON PARK (MCCP), THE ONLY 24/7 EMERGENT CARE FACILITY LOCATED IN SOUTHERN SARATOGA COUNTY, ONE OF THE FASTEST-GROWING COMMUNITIES IN NEW YORK STATE. THE EMERGENT CARE FACILITY SAW 33,462 PATIENT VISITS IN 2018. MCCP IS ALSO THE LOCATION FOR A PRIMARY CARE PRACTICE AND SEVERAL SPECIALTY PRACTICES. IN OCTOBER 2018, ELLIS OPENED A COMBINED URGENT CARE, PRIMARY CARE, AND LABORATORY FACILITY ON THE BUS LINE AT THE MOHAWK HARBOR DEVELOPMENT IN SCHENECTADY. WITH THE URGENT CARE COMPONENT OPEN SEVEN DAYS A WEEK FROM 10AM TO 9PM, THE FACILITY OFFERS SCHENECTADY RESIDENTS (AS WELL AS EMPLOYEES OF THE DEVELOPMENT'S BUSINESSES, AND VISITORS TO ITS CASINO AND HOTELS), A CONVENIENT AND EASILY ACCESSIBLE "ONE-STOP ALTERNATIVE TO THE EMERGENCY DEPARTMENT FOR URGENT, BUT NON-EMERGENCY, HEALTH CARE NEEDS. IN JUST TWO MONTHS OF OPERATION, THE URGENT CARE FACILITY SAW 606 PATIENTS IN 2018. THE BELANGER SCHOOL OF NURSING AT ELLIS PREPARES STUDENTS FOR LICENSURE AS PROFESSIONAL REGISTERED NURSES (RN). IN 2018, 95.3% OF THE SCHOOL'S GRADUATES PASSED THE NEW YORK STATE NURSING LICENSURE EXAMINATION (FIRST TIME TAKERS). TOTAL FALL 2018 ENROLLMENT WAS 106 STUDENTS, WITH THE 2018 GRADUATING CLASS AT 42 STUDENTS. SIXTY-SEVEN PERCENT OF THESE GRADUATES JOINED THE NURSING STAFF AT ELLIS WITHIN SIX MONTHS OF GRADUATION. ELLIS IS THE SOLE CORPORATE MEMBER OF THE VISITING NURSE SERVICE OF NORTHEASTERN NEW YORK (VNS), A NOT-FOR-PROFIT HOME HEALTH CARE AGENCY WHICH SERVES SCHENECTADY AND SEVERAL OTHER COUNTIES IN THE REGION. |
| FORM 990, PART III, LINE 4A, CONTINUED |
ELLIS SERVES THE COMMUNITY BY ADDRESSING IDENTIFIED HEALTH CARE PRIORITIES; INCLUDING ACCESS TO CARE, AND PREVENTION AND TREATMENT OF CHRONIC DISEASES; THROUGH A VARIETY OF PROGRAMS. IDENTIFICATION OF NEEDS INCLUDES SUCH MECHANISMS AS THE FEDERALLY REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT WITH ITS IMPLEMENTATION STRATEGY (SEE SCHEDULE H) AND THE STATE-MANDATED TRIENNIAL COMMUNITY SERVICE PLAN. THESE PLANS ARE BUILT COLLABORATIVELY THROUGH REGIONAL AND COMMUNITY PARTNERSHIPS. ON A REGIONAL BASIS, ELLIS IS A MEMBER OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) A STATE-FUNDED HEALTH DATA COLLECTION AND PLANNING ENTITY WHICH BRINGS TOGETHER THE COUNTY PUBLIC HEALTH DEPARTMENTS, NOT-FOR-PROFIT HOSPITALS, FQHCS, AND NOT-FOR-PROFIT INSURERS IN THE SIX-COUNTY CAPITAL REGION. IN BOTH 2013 AND 2016, HCDI CONDUCTED REGIONAL INFORMATION-GATHERING EXERCISES TO PROVIDE THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) OF ITS MEMBER NOT-FOR-PROFIT HOSPITALS. THESE ARE AVAILABLE HERE HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX AND THEY, AS WELL AS PREPARATIONS FOR THE 2019 CHNA, ARE FURTHER DESCRIBED IN SCHEDULE H. AGAIN IN 2018, HCDI BEGAN PREPARATIONS FOR THE 2019 CHNA. THESE INCLUDED A FORMAL COLLABORATIVE PLANNING PROCESS, DATA COLLECTION AND ANALYSIS, AND THE START OF A COMMUNITY SURVEY CONDUCTED BY TELEPHONE. IN ADDITION TO THE FEDERALLY-REQUIRED CHNAS, DURING 2014 HCDI CONDUCTED A COMPREHENSIVE 11-COUNTY GREATER CAPITAL REGION COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ON BEHALF OF TWO REGIONAL HEALTH CONSORTIA, ONE OF WHICH WAS LED BY ELLIS. THAT CHNA, A REQUIREMENT OF THE NEW YORK STATE MEDICAID DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM, COVERED THE SPECIFIC HEALTHCARE NEEDS OF THE MEDICAID POPULATION. A COPY IS AVAILABLE HERE: HTTPS://ABHEALTH.US/ABOUT/COMMUNITY-NEEDS-ASSESSMENT/. ON A COMMUNITY COLLABORATION BASIS, ELLIS PARTNERS WITH SCHENECTADY COUNTY PUBLIC HEALTH SERVICES (SCPHS), INCLUDING JOINT GRANT APPLICATIONS AND JOINT NEW YORK STATE DEPARTMENT OF HEALTH NEEDS ASSESSMENTS. THIS INCLUDES THE SCHENECTADY COUNTY STRATEGIC ALLIANCE FOR HEALTH (SAH), A COUNTY-LED, FEDERALLY-DESIGNATED AND FEDERALLY-FUNDED COLLABORATIVE FOCUSED ON PREVENTING CHRONIC DISEASE AND PROMOTING COMMUNITY HEALTH. ELLIS ALSO PROVIDES CO-LEADERSHIP, MEETING SPACE, AND RESOURCES FOR THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC), A COMMUNITY COLLABORATIVE OF ABOUT 60 HEALTHCARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, AND LOCAL GOVERNMENT AGENCIES. SCHC MET QUARTERLY DURING 2018 TO DISCUSS COMMUNITY HEALTH NEEDS, TO MONITOR PROGRESS ON ELLIS' 2016 IMPLEMENTATION STRATEGY, AND TO BEGIN PREPARATIONS FOR CONDUCTING AND PRESENTING THE 2019 CHNA AND IMPLEMENTATION STRATEGY. ELLIS COUNTED 19,193 INPATIENT DISCHARGES AND 550,985 OUTPATIENT VISITS DURING 2018. ELLIS HAS GRANTED DISCOUNTED RATES TO ALL UNINSURED PATIENTS SINCE NOVEMBER 2009. AN EXPLANATION OF ELLIS BAD DEBT EXPENSE CAN BE FOUND ON PAGE 12 - 13 ON ELLIS MEDICINE'S AUDITED FINANCIAL STATEMENTS. |
| FORM 990, PART III, LINE 4B |
ELLIS OPERATES A 52-BED (CERTIFIED AND STAFFED) INPATIENT MENTAL HEALTH UNIT, ALONG WITH EXPANDED OUTPATIENT SERVICES. THIS IS THE ONLY INPATIENT MENTAL HEALTH FACILITY IN SCHENECTADY COUNTY, AND IS ONE OF ONLY TWO INPATIENT UNITS IN A 16-COUNTY REGION PROVIDING SERVICES TO ADOLESCENTS. ELLIS' MENTAL HEALTH SERVICES INCLUDE: INPATIENT CARE FOR ADULTS AND ADOLESCENTS; OUTPATIENT CHILD, ADOLESCENT, AND ADULT MENTAL HEALTH SERVICES; CRISIS INTERVENTION, INCLUDING A 24-HOUR CRISIS INFORMATION HOTLINE; A PEER ADVOCACY PROGRAM; AND A SUPPORT AND EDUCATION GROUP FOR PEOPLE WITH MAJOR DISORDERS AND THEIR FAMILIES. ELLIS CONTRACTS WITH THE SCHENECTADY COUNTY DRUG COURT TO PROVIDE EXPEDITED MENTAL HEALTH SERVICES TO LOW-LEVEL OFFENDERS REFERRED BY THE JUDICIAL SYSTEM, AND WITH THE SCHENECTADY COUNTY CORRECTIONAL FACILITY TO PROVIDE POST-INCARCERATION SUPPORT SERVICES, INCLUDING PEER SERVICES. IN RESPONSE TO A NATIONALLY-STUDIED "SCHENECTADY SUICIDE CLUSTER" OF TEENAGE AFRICAN-AMERICAN FEMALES, ELLIS MOVED THE OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH CLINIC TO SUBSTANTIALLY EXPANDED FACILITIES AT THE ELLIS MCCLELLAN STREET HEALTH CENTER, WHERE IT IS CO-LOCATED WITH THE PEDIATRIC AND FAMILY HEALTH CENTERS. THE ELLIS STATE STREET HEALTH CENTER, WHICH HOUSES THE OUTPATIENT MENTAL HEALTH CLINIC AND A PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) SERVICE, WAS OPENED IN 2017. THIS NOT ONLY INCREASED THE SIZE AND IMPROVED THE QUALITY OF FACILITIES FOR ADULT OUTPATIENT MENTAL HEALTH; IT ALSO HAS BECOME PART OF AN INFORMAL "MEDICAL VILLAGE," WITH THE MENTAL HEALTH FACILITY, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), ANOTHER LARGE COMMUNITY PRIMARY CARE CLINIC, AND A PHARMACY ALL LOCATED WITHIN ONE CITY BLOCK. IN 2018, THE ELLIS MENTAL HEALTH PROGRAMS HAD 1,811 INPATIENT DISCHARGES AND 43,529 OUTPATIENT VISITS. |
| FORM 990, PART III, LINE 4C |
THE ELLIS RESIDENTIAL AND REHABILITATION CENTER (ERRC), AN 82-BED LONG-TERM SKILLED NURSING FACILITY (SNF) AND SHORT-STAY REHABILITATION FACILITY, HAS BEEN PROVIDING LONG TERM NURSING CARE SINCE 1989 AND SHORT STAY REHABILITATION SERVICES SINCE 2001. SPECIALIZING IN MEDICALLY COMPLEX CASES, ERRC OPERATES FROM ITS RENOVATED FACILITY ON THE ELLIS MCCLELLAN STREET HEALTH CENTER CAMPUS. THE FACILITY PROVIDES RESIDENTS WITH PRIVATE ROOMS AND SUCH AMENITIES AS A CYBER-CENTER, A HAIR SALON, AND A ROOF-TOP GARDEN. RESIDENT DAYS FOR 2018 WERE 28,843. |
| FORM 990, PART VI, SECTION B, LINE 11B |
LINE 11A EXPLANATION - A COPY OF THE ELLIS HOSPITAL'S 990 WAS PREPARED AND SUBMITTED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER. AFTER CFO REVIEW WAS COMPLETED, THE FORM 990 WAS SENT TO EACH MEMBER OF THE AUDIT COMMITTEE FOR REVIEW. AFTER REVIEW BY THE AUDIT COMMITTEE, A COPY OF THE FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, WAS GIVEN TO EACH VOTING MEMBER OF ELLIS' BOARD OF TRUSTEES, PRIOR TO ITS FILING WITH THE IRS. AFTER REVIEW BY THE BOARD OF TRUSTEES, AND UPON THE RECOMMENDATION OF THE AUDIT COMMITTEE, APPROVAL IS GIVEN FOR FILING THE RETURN WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C |
ELLIS HOSPITAL'S CONFLICT OF INTEREST POLICY APPLIES TO ALL HOSPITAL TRUSTEES, OFFICERS, EMPLOYEES, MEDICAL/DENTAL STAFF MEMBERS, DIRECTORS, MANAGERS, APPOINTEES WITH ADMINISTRATIVE AND/OR DECISION-MAKING RESPONSIBILITIES, VOLUNTEERS OR ANY OF THESE PARTIES' IMMEDIATE FAMILIES (COLLECTIVELY CALLED HOSPITAL AGENTS). THE ELLIS HOSPITAL CORPORATE BYLAWS REQUIRE HOSPITAL AGENTS AND OTHER SELECTED INDIVIDUALS AS IDENTIFIED BY THE VICE PRESIDENT, HUMAN RESOURCES AND THE CORPORATE COMPLIANCE OFFICER/DIRECTOR OF INTERNAL AUDIT (CCO), TO FILE A CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE HOSPITAL ON A ANNUAL BASIS. WHEN THE STATEMENTS ARE COMPLETED THEY ARE RETURNED TO THE CCO. UPON RECEIPT, THE CCO WILL REVIEW THE DISCLOSURE AND, IF A POTENTIAL CONFLICT IS DISCLOSED, WILL MEET WITH THE HOSPITAL AGENT AND/OR HIS/HER APPROPRIATE SUPERVISOR TO DISCUSS THE DISCLOSURE AND NEED FOR ACTION IF ANY. ALL STATEMENTS FOR TRUSTEES ARE ALSO REVIEWED BY THE CCO, AND IF A POTENTIAL CONFLICT HAS BEEN DISCLOSED, HE/SHE WILL MEET WITH THE BOARD CHAIRPERSON TO DISCUSS THE DISCLOSURE AND NEED FOR ACTION, IF ANY. ALL POTENTIAL CONFLICTS INVOLVING THE BOARD OF TRUSTEES WILL BE SUMMARIZED BY THE CCO AND REPORTED TO THE AUDIT COMMITTEE OF THE BOARD. THIS COMMITTEE WILL THEN SHARE THIS INFORMATION WITH THE BOARD CHAIRPERSON. WHEN A POTENTIAL OR ACTUAL CONFLICT EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR AT A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE UPON, THE TRANSACTION OR ARRANGEMENT THAT COULD CONSTITUTE THE CONFLICT OF INTEREST. THE BOARD OR COMMITTEE MEMBERS SHALL DETERMINE BY A MAJORITY VOTE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 |
THE CURRENT EXECUTIVE COMPENSATION PLAN IS IN FULL COMPLIANCE WITH ALL EXISTING RULES AND REGULATIONS APPLICABLE TO A 501(C) CORPORATION. THE FOLLOWING IS A SUMMARY OF EACH PLAN: EXECUTIVE COMPENSATION PLAN-THE PRESIDENT, AND ALL OTHER SENIOR EXECUTIVIES ARE GOVERNED BY OUR EXECUTIVE COMPENSATION PROGRAM ESTABLISHED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMPENSATION PLAN IS ADMINISTERED ALSO BY THE EXECUTIVE COMPENSATION COMMITTEE UNDER THE DIRECTION OF THE BOARD OF TRUSTEES. ALL PAYMENTS FROM THIS PROGRAM ARE BASED ON AUDITED RESULTS AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO ANY PAYMENTS BEING MADE. THE REVIEW OF THE COMPENSATION AGREEMENTS AND GATHERING OF COMPARABILITY DATA IN DETERMINING THE REASONABLENESS OF COMPENSATION FOLLOW THE PROCEDURES DESCRIBED IN TREASURY REGULATION SECTION 53.4958-6. |
| FORM 990, PART VI, SECTION C, LINE 19 |
CORPORATE COMPLIANCE POLICIES (INCLUDING CONFLICTS OF INTEREST POLICY) AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC VIA POSTING ON THE ELLIS HOSPITAL WEBSITE: WWW.ELLISMEDICINE.ORG. IN ADDITION, THESE DOCUMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: |
CHANGE IN INTEREST IN FOUNDATION -2,599,490. PENSION AND POSTRETIREMENT RELATED CHANGES -1,558,820. YANKEE ALLIANCE TAX INCOME -615,198. ALLIANCE FOR BETTER HEALTH CARE -4,451. VISITING NURSE SERVICE ASSOCIATION OF SCHENECTADY -5,036,278. INCOME TAX BENEFIT 1,036,000. |
| FORM 990, PART XII, LINE 2C |
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| CONTINUATION OF SCHEDULE H, PART VI, LINE 4 |
OVERALL, SCHENECTADY COUNTY RESIDENTS ARE SLIGHTLY MORE LIKELY THAN THE AVERAGE NEW YORK STATE RESIDENT TO HAVE HEALTH INSURANCE, TO SEE A DOCTOR, AND TO SEE A DENTIST; AND SIGNIFICANTLY MORE LIKELY TO VISIT AN EMERGENCY DEPARTMENT FOR MENTAL HEALTH CARE (SEE FIGURE 2). THE VAST MAJORITY OF PRIMARY MEDICAL CARE AND DENTAL CARE FOR LOW-INCOME RESIDENTS IS PROVIDED BY THE HOMETOWN HEALTH FQHC AND THE COMMUNITY PRACTICES OF THE ELLIS MEDICAL GROUP. BOTH HAVE ACHIEVED RECOGNITION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) AS PATIENT-CENTERED MEDICAL HOMES (PCMH). SCHENECTADY COUNTY CITY OF SCHENECTADY NEW YORK STATE POPULATION 155,350 (2018) 66,135 (2010) 19,542,209 (2018) PERSONS PER SQUARE MILE 756.6 (2010) 6,135.5 (2010) 411.2 (2010) PERSONS UNDER 18 YEARS 21.6% (2018) 20.7% (2018) 20.9% (2018) PERSONS 65 YEARS AND OVER 16.9% (2018) 13.4% (2018) 15.9% (2018) WHITE ALONE 78.5% (2018) 59.4% (2018) 69.6% (2018) BLACK OR AFRICAN AMERICAN ALONE 12.0% (2018) 20.9% (2018) 17.7% (2018) BACHELOR'S DEGREE OR HIGHER (AGE 25+) 30.8% (2013-17) 22.3% (2013-17) 35.3% (2013-17) MEDIAN VALUE, OWNER-OCCUPIED HOUSING $164,100 (2013-17) $110,800 (2013-17) $293,000 (2013-17) MEDIAN HOUSEHOLD INCOME $61,315 (2013-17) $43,174 (2013-17) $62,765 (2013-17) PERSONS IN POVERTY 12.8% (2018) 21.0% (2018) 14.1% (2086) FIGURE 1: SCHENECTADY COUNTY, CITY, AND STATE DEMOGRAPHICS (SOURCE: US CENSUS BUREAU, STATE AND COUNTY QUICKFACTS, AS ACCESSED APRIL 23, 2019) ----------------------------------------------------------------------- SCHENECTADY COUNTY NEW YORK STATE ADULTS 18-64 WITHOUT ANY HEALTH INSURANCE (2016) 91.8% 88.6% ADULTS WITH REGULAR HEALTH CARE PROVIDER (AGE-ADJUSTED, 2016) 84.6% 83.4% ADULTS WHO VISITED DENTIST W/IN 1 YEAR (AGE-ADJUSTED, 2013-14) 69.7% 69.3% MENTAL DISEASE/DISORDER PRIMARY DX ED VISIT RATE PER 10,000 (AGE-ADJUSTED 2014-16) 235.8 185.4 FIGURE 2: SCHENECTADY COUNTY INSURANCE, PROVIDER, AND DIAGNOSIS INFORMATION (SOURCE: HCDI, 2019 COMMUNITY HEALTH PROFILE) |
| CONTINUATION OF SCHEDULE H, PART V, LINE 5 |
SEPTEMBER 29, 2016 MEB (MENTAL HEALTH AND SUBSTANCE ABUSE) WORK GROUP: SPECIFIC PARTICIPATION IN CHIP/CSP PROJECTS, REPORTS ON PROJECTS AND OPPORTUNITIES ATTENDEES: CATHOLIC CHARITIES HOUSING OFFICE, NEW CHOICES RECOVERY CENTER, CONIFER PARK, SCHENECTADY ARC, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, UNITED WAY OF THE GREATER CAPITAL REGION, ELLIS MEDICINE, COMMUNITY MEMBER WITH SUICIDE PREVENTION EXPERTISE SEPTEMBER 29, 2016 TOPICS: STATUS OF DRAFT CHIP/CSP DOCUMENT, REPORTS FROM CHIP/CSP WORK GROUPS, OBESITY/DIABETES, MEB (MENTAL HEALTH AND SUBSTANCE ABUSE), REPORTS FROM OTHER WORK GROUPS, ASTHMA, FALLS PREVENTION, TEEN PREGNANCY, TOBACCO, REPORT ON PICH FOOD FORUM, STATUS OF SCHENECTADY DSRIP PROJECTS, NEXT STEPS/SCHEDULE - WORK GROUPS AND FULL COALITION, MEMBER UPDATES AND INFORMATION SHARING ATTENDEES: CATHOLIC CHARITIES HOUSING OFFICE, UNITED WAY OF THE GREATER CAPITAL REGION, NEW CHOICES RECOVERY CENTER, SCHENECTADY ARC, CONIFER PARK, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY PUBLIC LIBRARY, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, SCHENECTADY COMMUNITY ACTION PROGRAM, ELLIS MEDICINE, CAPITAL DISTRICT CHILD CARE COUNCIL, BETHESDA HOUSE, CAPITAL DISTRICT TOBACCO-FREE COMMUNITY, PRICE CHOPPER, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH, ST. PETER'S HEALTH PARTNERS CREATING HEALTHY SCHOOLS PROGRAM, ELLIS HOSPITAL DIABETES EDUCATION PROGRAM, LEAGUE OF WOMEN VOTERS OF SCHENECTADY, SUNNYVIEW REHABILITATION HOSPITAL, HEALTHY CAPITAL DISTRICT INITIATIVE JANUARY 10, 2017 TOPICS (DIABETES/OBESITY WORK GROUP): PICH GRANT UPDATES, WORK GROUP MEMBER UPDATES, HCDI UPDATES, DATA COLLECTION REQUIREMENTS FOR CHIP ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, BETHESDA HOUSE, UNITED WAY, HEALTHY CAPITAL DISTRICT INITIATIVE, ELLIS HOSPITAL, SCHENECTADY COMMUNITY ACTION PROGRAM, PRICE CHOPPER, CORNELL COOPERATIVE EXTENSION JANUARY 19, 2017 TOPICS (SUICIDE/MENTAL-EMOTIONAL-BEHAVIORAL WORK GROUP): RELATIONSHIP TO OTHER COMMUNITY GROUPS, DATA COLLECTION REQUIREMENTS FOR CHIP ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CATHOLIC CHARITIES, CONIFER PARK, SAFE INC., ELLIS HOSPITAL JANUARY 19, 2017 TOPICS: PRESENTATION ON "NUVAL" HEALTHY FOODS DESIGNATION SYSTEM, OVERVIEW OF HEALTHY SCHENECTADY FAMILIES HOME VISITING PROGRAM, PRESENTATION FROM CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, WORK GROUP UPDATES, HCDI UPDATES, UPDATE ON CHIP/CSP, DSRIP UPDATE, REORGANIZATION OF CARE CENTRAL HEALTH HOME ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY SUICIDE PREVENTION, ELLIS HOSPITAL, CONIFER PARK, CATHOLIC CHARITIES HOUSING OPTIONS, CANCER PEER EDUCATION, PRICE CHOPPER, PLANNED PARENTHOOD, SCHENECTADY COUNTY OFFICE OF SENIOR AND LONG-TERM CARE SERVICES, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, SCHENECTADY ARC, UNITED WAY, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, VISITING NURSE SERVICE OF SCHENECTADY, HEALTHY SCHENECTADY FAMILIES, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM MARCH 27, 2017 TOPICS (SUICIDE PREVENTION TASK FORCE): OVERVIEW OF SUICIDE PREVENTION EFFORTS IN NEW YORK STATE, DATA OVERVIEW, SWOT ANALYSIS, LOGIC MODEL, BUILDING AND MAINTAINING A COALITION ATTENDEES: SAFE INC., PLANNED PARENTHOOD, ELLIS HOSPITAL, REHABILITATION SUPPORT SERVICES, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCOTIA-GLENVILLE SCHOOLS, NEW CHOICES RECOVERY, COLUMBIA-GREENE COMMUNITY COLLEGE, SCHENECTADY CITY SCHOOL DISTRICT, SCHENECTADY COUNTY COMMUNITY COLLEGE, BURNT HILLS-BALLSTON LAKE HIGH SCHOOL, NISKAYUNA HIGH SCHOOL, NORTHEAST CAREER PLANNING, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY YOUTH BUREAU, SARATOGA COUNTY OFFICE OF COMMUNITY SERVICES, COLUMBIA-GREENE PUBLIC HEALTH, SOLOS SUICIDE SURVIVORS GROUP APRIL 6, 2017 TOPICS (DIABETES/OBESITY WORK GROUP): ST. PETER'S HEALTH PARTNERS EXERCISE PROGRAM IN SCHENECTADY SCHOOLS (LINCOLN, ELMER AVENUE), CAPITAL ROOTS PROJECTS ON ADULT OBESITY - CONNECT TRAILS, "HEALTHY REFRIGERATORS", DATA FROM FOOD PROVIDERS, COMMUNITY SHUTTLE STOP AT CENTRAL PARK ATTENDEES: ELLIS HOSPITAL, BETHESDA HOUSE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CORNELL COOPERATIVE EXTENSION, HEALTHY CAPITAL DISTRICT INITIATIVE, ST. PETER'S HEALTH PARTNERS HEALTHY SCHOOLS PROGRAM, UNITED WAY MAY 4, 2017 TOPICS: CANCER PEER EDUCATION PROGRAM OVERVIEW, CREATING BREASTFEEDING-FRIENDLY COMMUNITIES GRANT OVERVIEW, WORK GROUP UPDATES, HCDI UPDATES, DSRIP UPDATES ATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, HEALTHY CAPITAL DISTRICT INITIATIVE, NEW YORK STATEWIDE SENIOR ACTION PROGRAM, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, SCHENECTADY COMMUNITY ACTION PROGRAM, UNITED WAY, CANCER PEER EDUCATION, SCHENECTADY COUNTY OFFICE OF SENIOR AND LONG-TERM CARE SERVICES, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, SCHENECTADY ARC, CATHOLIC CHARITIES, ST. PETER'S HEALTH PARTNERS HEALTHY SCHOOLS PROGRAM, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH JUNE 22, 2017 TOPICS (DIABETES/OBESITY WORK GROUP): PICH GRANT UPDATES - WRAP-UP AND SUSTAINABILITY, NEXT ELLIS DIABETES PREVENTION PROGRAM (DPP) STARTING SEPTEMBER 26, HCDI UPDATE - CONSUMER SURVEY ON PHYSICAL ACTIVITY AND OBESITY ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, BETHESDA HOUSE, ELLIS HOSPITAL JULY 20, 2017 TOPICS: NEW ELLIS OUTPATIENT MENTAL HEALTH CENTER ON STATE STREET, DSRIP UPDATE - INCENTIVE PAYMENT PROGRAM, HCDI UPDATE, WORK GROUP UPDATES ATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, HEALTHY CAPITAL DISTRICT INITIATIVE, THE SCHENECTADY FOUNDATION, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, CONIFER PARK, BOYS AND GIRLS CLUB OF SCHENECTADY, ASTHMA COALITION OF THE CAPITAL DISTRICT, CAPITAL REGION CHAMBER OF COMMERCE, SCHENECTADY COUNTY OFFICE OF SENIOR AND LONG-TERM CARE SERVICES, SCHENECTADY ARC, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY CITY MISSION, CATHOLIC CHARITIES OCTOBER 19, 2017 TOPICS: COUNTY HEALTH RANKINGS AND ROADMAPS PRESENTATION - RWJF COMMUNITY COACH, DIRECTION OF THE COALITION - TRAUMA-INFORMED COMMUNITIES, ELLIS PEDIATRICS HEALTHY STEPS GRANT PROGRAM, DSRIP UPDATE ATTENDEES: ELLIS MEDICINE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, NEW CHOICES RECOVERY CENTER, BETHESDA HOUSE, HEALTHY CAPITAL DISTRICT INITIATIVE, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, ALLIANCE FOR BETTER HEALTH, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, ST. PETER'S HEALTH PARTNERS, SCHENECTADY ARC, CORNELL COOPERATIVE EXTENSION, CANCER PEER EDUCATION, CATHOLIC CHARITIES, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, SCHENECTADY CITY MISSION NOVEMBER 14, 2017 TOPICS: SECONDARY PREVENTION WORK GROUP KICKOFF ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY CITY MISSION, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM, ELLIS HOSPITAL, ALLIANCE FOR BETTER HEALTH, CENTRAL NEW YORK CHILDREN'S HEALTH HOME NOVEMBER 15, 2017 TOPICS: PRIMARY PREVENTION WORK GROUP KICKOFF ATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, NEW CHOICES RECOVERY CENTER, SCHENECTADY COMMUNITY ACTION PROGRAM NOVEMBER 17, 2017 TOPICS: TERTIARY PREVENTION WORK GROUP KICKOFF ATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM JANUARY 18, 2018 TOPICS: SCREENING OF THE FILM "RESILIENCE, DEMONSTRATION OF "UNITE US" CARE COORDINATION SOFTWARE ATTENDEES: ELLIS HOSPITAL, UNITE US, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ALLIANCE FOR BETTER HEALTH, KATAL CENTER, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, MAYOR OF THE CITY OF SCHENECTADY, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, CENTRAL NEW YORK HEALTH HOME, ST. LUKE'S CHURCH, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, CATHOLIC CHARITIES, HEALTHY CAPITAL DISTRICT INITIATIVE, REHABILITATION SUPPORT SERVICES, SCHENECTADY COUNTY OFFICE OF LONG TERM CARE, CAPITAL REGION ASTHMA COALITION, NEW CHOICES RECOVERY CENTER, ELLIS MEDICAL GROUP, EMPOWER HEALTH, BOYS AND GIRLS CLUB OF SCHENECTADY FEBRUARY 21, 2018 TOPICS: TRAUMA INFORMED WORK GROUP - FUTURE SCREENINGS OF "RESILIENCE", TRAUMA INFORMED WORK GROUP - WORKFORCE TRAINING; EXPERIENCE, RESOURCES, AND NEEDS ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, EMPIRE STATE COLLEGE, HEALTHY CAPITAL DISTRICT INITIATIVE, ELLIS HOSPITAL, ST. LUKE'S CHURCH, SCHENECTADY CITY SCHOOL DISTRICT, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY CITY MISSION, ALLIANCE FOR BETTER HEALTH |
| CONTINUATION OF SCHEDULE H, PART V, LINE 5 |
FEBRUARY 27, 2018 TOPICS: TRAUMA INFORMED WORK GROUP - SURVEY OF NEEDS AND RESOURCES ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ELLIS HOSPITAL, SCHENECTADY COMMUNITY ACTION PROGRAM, CITY MISSION OF SCHENECTADY, SCHENECTADY CITY SCHOOL DISTRICT MAY 24, 2018 TOPICS: POTENTIALLY ESTABLISHING A LAW ENFORCEMENT ASSISTED DIVERSION (LEAD) PROGRAM IN SCHENECTADY, HOMETOWN HEALTH CENTERS AFFILIATION DISCUSSIONS, CARVER COMMUNITY CENTER REESTABLISHMENT COMMITTEE, COMMUNITY MEDIA SERVICES VIDEO PRODUCTION DISCUSSION, DISCUSS POSSIBILITY OF UMATTER2 SURVEY FOR 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ATTENDEES: SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CATHOLIC CHARITIES, SCHENECTADY CITY SCHOOL DISTRICT, BETHESDA HOUSE, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY INNER CITY MINISTRY, SCHENECTADY COMMUNITY ACTION PROGRAM, ELLIS HOSPITAL, NEW CHOICES RECOVERY CENTER, MIRACLE ON CRAIG STREET, LEAD NATIONAL SUPPORT BUREAU, HOMETOWN HEALTH CENTERS, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, BOYS AND GIRLS CLUB OF SCHENECTADY, ELLIS MEDICAL GROUP, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, SCHENECTADY INNER CITY MINISTRY, SCHENECTADY COUNTY PUBLIC LIBRARY, THE SCHENECTADY FOUNDATION, SCHENECTADY CITY MISSION, COMMUNITY MEDIA SERVICES JUNE 26, 2018 TOPICS: MISSION, VISION, AND GOALS FOR TRAUMA-INFORMED COMMUNITY WORK GROUP ATTENDEES: ELLIS HOSPITAL, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, CAPITAL DISTRICT CHILD CARE COORDINATION COUNCIL, PREVENT CHILD ABUSE, SCHENECTADY COMMUNITY ACTION PROGRAM, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, ALLIANCE FOR BETTER HEALTH, ELLIS MEDICAL GROUP JULY 19, 2018 TOPICS: SCHENECTADY SUICIDE PREVENTION COALITION, REGIONAL AND COUNTY-SPECIFIC MENTAL HEALTH EQUITY REPORT, TRAUMA-INFORMED COMMUNITY WORK GROUP REPORT OUT, 2019 CHNA REPORT AND NEXT STEPS, DSRIP INNOVATION FUNDS REPORT ATTENDEES: HEALTHY CAPITAL DISTRICT INITIATIVE, CANCER PEER EDUCATION PROGRAM, NEW CHOICES RECOVERY CENTER, THE SCHENECTADY FOUNDATION, ELLIS HOSPITAL, CAPITAL DISTRICT CHILD CARE COORDINATING COUNCIL, BOYS AND GIRLS CLUB OF SCHENECTADY, UNIVERSITY AT ALBANY SCHOOL OF PUBLIC HEALTH, SCHENECTADY COUNTY OFFICE OF SENIOR AND LONG-TERM CARE, SCHENECTADY COMMUNITY ACTION PROGRAM, BETHESDA HOUSE, CAPITAL DISTRICT TOBACCO FREE COMMUNITIES, CATHOLIC CHARITIES, SCHENECTADY CITY MISSION, CONIFER PARK, THE COMMUNITY BUILDERS, PREVENT CHILD ABUSE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, CATHOLIC CHARITIES, CAPITAL DISTRICT PHYSICIANS HEALTH PLAN JULY 31, 2018 TOPICS: INITIATE TRAUMA INFORMED CARE ORGANIZATIONAL SELF-ASSESSMENT TOOL (TICOSAT) SURVEY ATTENDEES: ELLIS HOSPITAL, HEALTHY CAPITAL DISTRICT INITIATIVE, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SCHENECTADY COMMUNITY ACTION PROGRAM, BETHESDA HOUSE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, YWCA OF NORTHEASTERN NEW YORK AUGUST 28, 2018 TOPICS: TRAUMA INFORMED WORK GROUP - COMMON DEFINITION OF TERMS, TRAUMA INFORMED WORK GROUP - TIME LINE FOR TICOSAT SURVEY ATTENDEES: NORTHERN RIVERS, NORTHEAST PARENT AND CHILD SOCIETY, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK HUDSON, YWCA OF NORTHEASTERN NEW YORK, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, ELLIS HOSPITAL, SCHENECTADY COMMUNITY ACTION PROGRAM, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, HEALTHY CAPITAL DISTRICT INITIATIVE, BETHESDA HOUSE, CENTRO CIVICO OCTOBER 18, 2018 TOPICS: CAPITAL REGION HEALTH CONNECTIONS HEALTH HOME - NEW HEALTH HOME REPLACING CARE CENTRAL, CANCER PEER EDUCATION WALKING PROGRAM AT MOHAWK HARBOR, SPECIAL VICTIMS TASK FORCE, TRAUMA INFORMED COMMUNITY WORK GROUP REPORT OUT, OPIOID GRANT ACTIVITIES REPORT ATTENDEES: ELLIS HOSPITAL, CANCER PEER EDUCATION, CAPITAL REGION HEALTH CONNECTIONS, THE LEGAL PROJECT, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, EMPOWER HEALTH, CATHOLIC CHARITIES, CAPITAL DISTRICT CENTER FOR INDEPENDENCE, SCHENECTADY INNER CITY MINISTRY, SCHENECTADY WORKS, SCOTIA-GLENVILLE SUBSTANCE ABUSE TASK FORCE, NEW YORK STATE DIVISION OF CRIMINAL JUSTICE SERVICES, HEALTHY CAPITAL DISTRICT INITIATIVE, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK HUDSON, ST. PETER'S HEALTH PARTNERS, IN OUR OWN VOICES OCTOBER 30, 2018 TOPICS: TRAUMA INFORMED WORK GROUP - TICOSAT UPDATE, TRAUMA INFORMED WORK GROUP - TRAUMA SENSITIVE SCHOOLS PRESENTATION, TRAUMA INFORMED WORK GROUP - INTRODUCTION TO ADVERSE CHILDHOOD EXPERIENCES (ACES) FOR HEALTH CARE PROFESSIONALS COURSE ATTENDEES: CENTRO CIVICO, SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, SAFE INC., ELLIS HOSPITAL, SCHENECTADY CITY SCHOOL DISTRICT, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES, VICTIMS ADVOCACY SERVICE OF PLANNED PARENTHOOD MOHAWK HUDSON, THE LEGAL PROJECT, EMPOWER HEALTH, BETHESDA HOUSE, CONCERNED CITIZEN 2. COMMUNITY TELEPHONE SURVEY: THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI) CONDUCTED ITS SECOND COMMUNITY HEALTH SURVEY OF RESIDENTS IN THE CAPITAL DISTRICT DURING MARCH TO APRIL 2016 FOR THE SPECIFIC PURPOSE OF GATHERING PUBLIC INPUT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE AIM OF THE SURVEY WAS TO LEARN MORE ABOUT BEHAVIORAL HEALTH/LIFESTYLE PRACTICES, HEALTH CARE UTILIZATION AND NEEDS, CHALLENGES TO PRACTICING HEALTHY BEHAVIORS AND ACCESSING CARE AND ACCEPTABILITY OF COMMUNITY HEALTH PROGRAMS. THE SIENA COLLEGE RESEARCH INSTITUTE WAS CONTRACTED TO COLLECT THE DATA FOR THIS COMMUNITY HEALTH SURVEY. A RANDOM SAMPLING DESIGN WAS APPLIED TO RECRUIT A REPRESENTATIVE SAMPLE OF 2,408 PARTICIPANTS. APPROXIMATELY 400 RESIDENTS IN EACH OF THE SIX COUNTIES (ALBANY, COLUMBIA, GREENE, RENSSELAER, SARATOGA AND SCHENECTADY) PARTICIPATED IN THE SURVEY. THE SAMPLE FROM EACH COUNTY WAS STATISTICALLY WEIGHTED TO THE PROPORTIONATE SHARE OF THE POPULATION OF THE ENTIRE REGION, MAKING THE OVERALL MARGIN OF ERROR INCLUDING THE DESIGN EFFECTS OF WEIGHTING +/-2.7 PERCENTAGE POINTS AT THE 95% CONFIDENCE LEVEL. THE DATA COLLECTION INSTRUMENT WAS DEVELOPED BY HCDI IN COLLABORATION WITH THE PREVENTION AGENDA STEERING COMMITTEE AND SIENA COLLEGE. THE QUESTIONS WERE ASKED IN REFERENCE TO A 12 MONTH PERIOD TO IMPROVE CONSISTENCY IN RESPONSE. THE QUESTIONNAIRE WAS PILOT TESTED BEFORE ADOPTED FOR USE. TRAINED INTERVIEWERS AT SIENA COLLEGE ADMINISTERED THE QUESTIONNAIRES TO ENSURE FIDELITY OF THE DATA. PARTICIPANTS WHO WERE ?18 YEARS AND ELIGIBLE TO TAKE PART IN THE STUDY WERE INTERVIEWED ON THEIR CELLPHONES OR LANDLINES. THE QUESTIONNAIRE TOOK APPROXIMATELY 15 MINUTES TO COMPLETE AND A RESPONSE RATE OF 13.7% WAS OBTAINED. UP TO SEVEN ATTEMPTS WERE MADE BEFORE PARTICIPANTS WERE CLASSIFIED AS NON-RESPONSE. FORTY-FOUR PERCENT OF THE RESPONDENTS CONSENTED TO BE CONTACTED IN FUTURE SURVEYS OR OTHER RESEARCH STUDIES. THE PARTICIPANTS WERE NOT COMPENSATED TO TAKE PART IN THE SURVEY. DESCRIPTIVE STATISTICS WERE USED TO SUMMARIZE THE DATA. ANOTHER SIENA COLLEGE RESEARCH INSTITUTE COMMUNITY HEALTH SURVEY WAS CONDUCTED IN DECEMBER 2018 BY THE SIENA COLLEGE RESEARCH INSTITUTE FOR THE PURPOSE OF INFORMING THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2018 SURVEY WAS A REPRESENTATIVE SAMPLE OF ADULT (18+ YEARS) RESIDENTS OF THE CAPITAL REGION. THE SURVEY INCLUDED 1,204 (MOE +/- 3.4%) TOTAL INTERVIEWS MADE UP OF A PHONE SAMPLE, OVERSAMPLE OF LOW INCOME RESIDENTS, AND A SMALL ONLINE SAMPLE. THIS CONSUMER SURVEY WAS CONDUCTED TO LEARN ABOUT THE HEALTH NEEDS, BARRIERS AND CONCERNS OF RESIDENTS IN THE CAPITAL REGION. THE AIM OF THE SURVEY WAS TO CONTINUE TO LEARN MORE ABOUT BEHAVIORAL HEALTH/LIFESTYLE PRACTICES, HEALTH CARE UTILIZATION AND NEEDS, CHALLENGES TO PRACTICING HEALTHY BEHAVIORS, ACCESSING CARE, AS WELL AS OTHER SOCIAL DETERMINANTS OF HEALTH. ABOUT 81% OF THE RESPONDENTS INDICATED THAT THEIR OVERALL HEALTH WAS GOOD OR EXCELLENT, COMPARED TO 70% OF THE LOW INCOME POPULATION. THIRTY PERCENT OF THE RESPONDENTS EXPERIENCED POOR MENTAL HEALTH FOR MORE THAN FIVE DAYS IN THE PAST MONTH COMPARED TO 37% OF LOW INCOME RESPONDENTS. THE RESULTS OF THE SURVEY WILL BE REPORTED IN DETAIL IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. 3. WRITTEN COMMENTS RECEIVED ON 2013 CHNA AND IMPLEMENTATION STRATEGY: AS REQUIRED, ELLIS POSTED THE 2013 CHNA AND IMPLEMENTATION STRATEGY ON ITS PUBLIC WEBSITE (HTTP://WWW.ELLISMEDICINE.ORG/PAGES/COMMUNITY-REPORT.ASPX). IN ADDITION, THE IMPLEMENTATION STRATEGY WAS INCLUDED IN THE IRS FORMS 990 SCHEDULE H ALSO POSTED ON THE WEBSITE. ELLIS SOLICITS PUBLIC COMMENTS VIA THE WEBSITE ITSELF (HTTPS://WWW.ELLISMEDICINE.ORG/PAGES/CONTACT.ASPX), FACEBOOK (HTTPS://WWW.FACEBOOK.COM/ELLISMEDICINENY) AND TWITTER (HTTPS://TWITTER.COM/ELLISMEDICINE) WITH ALL ACCOUNTS ACTIVELY MONITORED BY STAFF FROM THE COMMUNICATIONS AND MARKETING OFFICE. ELLIS ALSO SOLICITED PUBLIC COMMENTS THROUGH THE REGULAR MEETINGS OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC). |
| CONTINUATION OF SCHEDULE H, PART V, LINE 5 |
NO WRITTEN COMMENTS WERE RECEIVED BETWEEN THE WEBSITE POSTING OF THE 2013 CHNA AND IMPLEMENTATION STRATEGY IN NOVEMBER 2013 AND THE PREPARATION OF THE 2016 CHNA IN SEPTEMBER 2016. COMMENTS WERE RECEIVED, HOWEVER, DURING MEETINGS OF SCHC AND WERE USED TO MODIFY AND MAKE MID-COURSE CORRECTIONS TO THE OVERALL IDENTIFICATION, EVALUATION, AND PRIORITIZATION OF HEALTH NEEDS. THE MOST SIGNIFICANT COMMENTS RELATED TO PRIORITY MODIFICATIONS SO AS TO BE ABLE TO TAKE ADVANTAGE OF OPPORTUNITIES WHICH OCCURRED AFTER ADOPTION OF THE 2013 DOCUMENT. THIS PARTICULARLY INVOLVED ELEVATION OF THE PRIORITY OF FOOD INSECURITY (INITIALLY LISTED AS TIER B) AS SEVERAL FUNDING OPPORTUNITIES BECAME AVAILABLE. GREATER KNOWLEDGE OF THE IMPACT OF FOOD INSECURITY ON THE OVERALL WELL-BEING OF INDIVIDUALS AND FAMILIES IN SCHENECTADY THEN LED TO IT INCLUSION AS A COMPONENT IN THE OBESITY/DIABETES INITIATIVE FOR 2016. GIVEN THIS EXPERIENCE, ELLIS SOUGHT TO MORE AGGRESSIVELY ENCOURAGE WRITTEN COMMENTS ON THE 2016 AND 2019 CHNA AND IMPLEMENTATION STRATEGY. |
| CONTINUATION OF SCHEDULE H, PART V, LINE 11 |
-IN ADDITION TO THE DPP, ELLIS DIABETES CARE ALSO OFFERS DIABETES SELF-MANAGEMENT EDUCATION (DSME) PROGRAMS FOR INDIVIDUALS ALREADY DIAGNOSED WITH DIABETES. THEY RECEIVE REFERRALS FROM ELLIS PRACTICES BUT ALSO COMMUNITY BASED ORGANIZATIONS AND OTHER MEDICAL PROVIDERS IN THE COMMUNITY. ONE OF OUR GOALS IS INCREASE REFERRALS TO DSME AND INCREASE THE NUMBER OF INDIVIDUALS WHO FOLLOW THROUGH ON THEIR REFERRAL AND ATTEND AT LEAST ONE SESSION OF DSME. FROM JANUARY 2018 - DECEMBER 12, 2018, DSME RECEIVED 641 REFERRALS FROM ALL SOURCES. DURING THAT SAME TIME PERIOD, 372 INITIAL DSME SESSIONS WERE ATTENDED. COMPARED TO 2016-2017 DATA, RAW REFERRAL NUMBERS STAYED VERY SIMILAR, 647 IN 2016-2017 AND 641 IN 2018; HOWEVER CONVERSION INTO FIRST VISITS INCREASED SUBSTANTIALLY. IN 2016-2017, REFERRAL TO INITIAL VISIT CONVERSION RATE WAS 26%. IN 2018, REFERRAL TO INITIAL VISIT CONVERSION RATE JUMPED TO 58%. THIS COULD BE DUE TO A NUMBER OF FACTORS INCLUDING PROVIDERS EXPLAINING THE PROGRAM BETTER TO THEIR PATIENTS AT THE TIME OF REFERRAL AND REFERRALS GETTING SCHEDULED FASTER. THE INCREASED CONVERSION RATE MEANS THAT MORE PATIENTS ARE GETTING THE BENEFIT OF LEARNING MANAGEMENT SKILLS FOR THEIR DIABETES. -SCPHS PROVIDED FUNDING THROUGH THE PICH GRANT TO TRAIN ELLIS MEDICINE STAFF AS "LIFESTYLE COACHES" TO DELIVER THE DPP. SCPHS ALSO SUPPORTED THE PROMOTION OF THE CLASSES THROUGH ADVERTISEMENTS IN THE LOCAL NEWSPAPER AND SHARING FLYERS WITH LOCAL PARTNERS. THE PICH GRANT WAS ABLE TO PURCHASE INCENTIVES FOR THE PROGRAM TO HELP PEOPLE TO CONTINUE COMING TO THE PROGRAM. -ELLIS MEDICINE PROVIDES STAFF FOR RUNNING BOTH THE DPP AND DSME PROGRAMS, BOTH OF WHICH ARE HOUSED IN ELLIS DIABETES CARE. THEY ALSO PROVIDE RESOURCES TO PROMOTE THESE PROGRAMS IN THE COMMUNITY AND TO THEIR EMPLOYEES. ELLIS DIABETES CARE COLLECTS ALL THE DATA THAT IS NEEDED FOR THESE PROGRAMS AND MONITORS PROGRESS WITH REFERRALS. SUNNYVIEW HOSPITAL ALSO PROVIDES REFERRALS TO THE DPP AND DSME PROGRAMS. -FUNDING FROM THE COMMUNITY FOUNDATION FOR THE GREATER CAPITAL REGION TO SUPPORT THE CONTINUED WORK WITH FOOD PANTRIES IS HELPFUL IN KEEPING MOMENTUM FOR THESE ACTIVITIES MOVING FORWARD. THE FUNDING SUPPORTS EDUCATION FOR FOOD PANTRY CLIENTS, THE PURCHASE OF HEALTHIER FOOD OPTIONS, AND SUPPORT FROM CORNELL COOPERATIVE EXTENSION, SCHENECTADY COUNTY. ELLIS MEDICINE'S MULTIPLE PRIMARY CARE OFFICES AND OUTPATIENT EDUCATION SERVICES PROVIDE DIRECT INTERFACE WITH COMMUNITY MEMBERS WHO ARE FOOD INSECURE AND COULD BENEFIT FROM ACCESSING HEALTHY FOODS AT THE LOCAL FOOD PANTRIES. ELLIS CARE MANAGERS ALSO HAVE THESE INTERACTIONS WITH THEIR PATIENTS AND PROVIDE THESE REFERRALS TO COMMUNITY BASED ORGANIZATIONS INCLUDING FOOD PANTRIES. CDPHP RECENTLY STARTED UTILIZING THEIR CARE MANAGERS TO SCREEN FOR FOOD INSECURITY AND MAKE APPROPRIATE REFERRALS BASED ON THE OUTCOME. UTILIZING THE MEDICAL COMMUNITY AS A POINT OF ENTRY FOR ACCESS TO COMMUNITY MEMBERS WHO CAN BENEFIT FROM VARIOUS COMMUNITY PROGRAMS HAS BEEN A HELPFUL PARTNERSHIP TO HAVE. CITY MISSION'S EMPOWER HEALTH PROGRAM HAS ALSO BEEN INSTRUMENTAL IN SCREENING FOR FOOD INSECURITY IN THE COMMUNITY AND PROVIDING REFERRALS TO FOOD PANTRIES AS NEEDED. THE FOOD PANTRIES ARE VERY INTERESTED IN THIS WORK AND SEE THE IMPORTANCE OF OFFERING HEALTHY OPTIONS FOR THEIR CLIENTS. PANTRIES UNDERSTAND THAT MANY OF THEIR CLIENTS ARE UTILIZING THE PANTRIES ON A MONTHLY BASIS AS A PART OF THEIR FOOD BUDGETING AND THUS THE FOOD THAT THEY RECEIVE IS A BIG PART OF THEIR DIETS EVERY MONTH. THE NUTRITION EXPERTISE THAT CORNELL COOPERATIVE EXTENSION (SCHENECTADY COUNTY) BRINGS WAS VERY IMPORTANT IN MOVING THE WORK WITH THE FOOD PANTRIES FORWARD. MENTAL HEALTH AND SUBSTANCE ABUSE - SUICIDE AND MENTAL/EMOTIONAL/BEHAVIORAL INFRASTRUCTURE: -THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES (THE LOCAL GOVERNMENT'S MENTAL HEALTH UNIT) AND ELLIS UNDERTOOK A COLLABORATION TO FORM WORK GROUPS EVALUATING MENTAL HEALTH NEEDS. -IN COLLABORATION WITH RESEARCHERS FROM THE SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND STUDENTS AT UNION COLLEGE, A PROJECT TO FOCUS ON THE CHNA-IDENTIFIED EXCESS NUMBER OF DRUG-ADDICTED NEWBORNS IN SCHENECTADY RECEIVED ELLIS IRB APPROVAL TO CONDUCT CHART REVIEWS OF NEWBORNS WITH POSITIVE DRUG SCREEN. -THE STUDY EVALUATED THE MOST COMMONLY ABUSED DRUGS AND DEMOGRAPHICS OF THE NEWBORNS' MOTHERS. BECAUSE OF THE SMALL SAMPLE SIZE, NO FINAL CONCLUSIONS WERE REACHED. -IN 2015, ELLIS AND SCPHS WORKED WITH HCDI WHICH IS COMPILING MENTAL HEALTH AND SUBSTANCE ABUSE DATA FROM SUCH STANDARDIZED SURVEY TOOLS AS BRFSS AND SCHOOL CLIMATE SURVEY TO ANALYZE AMONG THE CAPITAL REGION COUNTIES. THE SURVEY INFORMATION CONTINUES TO FLAG THE NEWBORN DRUG-RELATED DIAGNOSIS RATE IN SCHENECTADY COUNTY AS A CRITICAL ISSUE COMPARED WITH THE REGION, ALTHOUGH THE SINGLE YEAR RATE DID DIP SLIGHTLY (6.3%) BETWEEN 2012 AND 2013. OTHER INDICATORS FOR WHICH SCHENECTADY COUNTY EXCEEDS THE REGIONAL RATE ARE POST TRAUMATIC STRESS DISORDER (3.8% VS. 3.1%) AND SUBSTANCE ABUSE-OTHER (9.3% VS. 7.7%). SPECIFIC SCHENECTADY NEIGHBORHOODS, HOWEVER, GREATLY EXCEED REGIONAL RATES ON MULTIPLE INDICATORS; FOR EXAMPLE THE SCHENECTADY STOCKADE RATES EXCEED REGIONAL RATES ON 14 OF 18 INDICATORS, WHILE THE DEMENTIA RATE IN SCOTIA/GLENVILLE IS 83% ABOVE THE REGIONAL RATE. -DURING 2016, THE ELLIS OUTPATIENT MENTAL HEALTH CLINIC APPLIED FOR AND RECEIVED DESIGNATION AS A NATIONAL HEALTH SERVICE CORPS (NHSC) PRACTICE SITE. -THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY (SCHC) INITIATED A MENTAL/ EMOTIONAL/BEHAVIORAL (MEB) WORKGROUP IN THE FALL OF 2016 TO DISCUSS SUICIDE PREVENTION EFFORTS IN THE COMMUNITY. THIS GROUP MET TWICE DURING LATE 2016 AND EARLY 2017. IN MARCH 2017, SCHC AND SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES HELD A SUICIDE PREVENTION DAY OF DIALOGUE THAT BROUGHT TOGETHER COALITION PARTNERS, STATE LEADERS, COMMUNITY BASED ORGANIZATIONS, MEMBERS OF THE COMMUNITY TO DISCUSS THE ISSUE OF SUICIDE IN THE COMMUNITY AND WHAT CAN BE DONE TO PREVENT IT. ABOUT 30 INDIVIDUALS ATTENDED THE FORUM. THE SECOND HALF OF THE DAY WAS SPENT ON TRAINING THE GROUP IN THE EVIDENCE-BASED SUICIDE PREVENTION TRAINING CALL "QUESTION, PERSUADE, REFER." IT WAS IMPORTANT TO GIVE PARTICIPANTS PRACTICAL SKILLS TO TAKE BACK TO USE IN THEIR ORGANIZATIONS OR LIVES AS WELL AS START THE BROADER CONVERSATION ABOUT SUICIDE PREVENTION IN THE COMMUNITY. FROM THIS DAY OF DIALOGUE, SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES HAS DECIDED TO RE-ENGAGE A PREVIOUSLY FORMED SUICIDE PREVENTION COALITION. THIS GROUP WILL LOOK AT COUNTY LEVEL DATA AND DEVELOP STRATEGIES TO IMPROVE SUICIDE PREVENTION EFFORTS INCLUDING TRAINING IN THE COMMUNITY. THIS GROUP MET FOR THE FIRST TIME DURING JANUARY 2018. THE COALITION IS STILL INTERESTED IN OFFERING MENTAL HEALTH FIRST AID TRAININGS IN THE COMMUNITY AS AN ADDITIONAL EVIDENCE-BASED INTERVENTION; HOWEVER THE COST OF DOING SO HAS BECOME A BARRIER. -ELLIS MEDICINE HAS ASSISTED IN PLANNING WORKGROUP MEETINGS AS WELL AS PROVIDING INPUT DURING THESE GROUPS. THEIR ACCESS TO PRIMARY CARE DOCTORS AS WELL AS MENTAL HEALTH PROFESSIONALS REMAINS OF KEY IMPORTANCE IN MOVING THIS WORK FORWARD. SUNNYVIEW HOSPITAL AND ST. PETERS HEALTH PARTNERS ALSO PARTICIPATE IN THE WORKGROUPS OF THE COALITION AND SUPPORT TRAININGS BY SENDING STAFF WHEN RELEVANT. -THE SCHENECTADY COMMUNITY RECOGNIZES SUICIDE PREVENTION AS AN IMPORTANT TOPIC TO INVESTIGATE. A SPECIFIC STRENGTH WE HAVE IN THIS AREA IS TOPIC EXPERTISE. WE HAVE A COALITION MEMBER WHO RETIRED FROM THE NEW YORK STATE SUICIDE PREVENTION CENTER AND THUS HAS VAST KNOWLEDGE IN THIS TOPIC THEY ARE ABLE TO SHARE. THIS PERSON IS ALSO CERTIFIED TO TEACH IN A NUMBER OF SUICIDE PREVENTION TRAININGS INCLUDING: ASIST (APPLIED SUICIDE INTERVENTION SKILLS TRAINING), SAFE TALK (SUICIDE AWARENESS FOR EVERYONE TELL ASK LISTEN KEEP SAFE), AND QPR (QUESTION, PERSUADE, REFER). -A CHALLENGE WE FACED IN 2018 WAS GETTING MOMENTUM GOING FOR THE TOPIC OF SUICIDE PREVENTION AND PREVENTION OF MEB DISEASE. THE COMMUNITY UNDERSTANDS THE MAGNITUDE OF THE ISSUE BUT DOESN'T FEEL CONFIDENT IN THE PREVENTION EFFORTS. THIS WAS ADDRESSED BY INTRODUCING THE TOPIC OF ADVERSE CHILDHOOD EXPERIENCES (ACES) AND TRAUMA PREVENTION TO THE COALITION. THESE TOPICS IMPACT THE DEVELOPMENT OF MEB DISEASES AND SUICIDE RATES BUT HAVE ROOT CAUSES THAT ARE BROADER THAN JUST SUICIDE. THE GOAL OF PRESENTING HIGHER UPSTREAM CAUSES WAS TO HAVE COALITION MEMBERS IDENTIFY THE TOPICS THEY CAN WORK ON THAT WILL ULTIMATELY AFFECT SUICIDE RATES. THIS WILL BE FURTHER EXPLORED IN 2019 AS WELL AS ADDITIONAL SUICIDE PREVENTION SPECIFIC TRAININGS. |
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-THE ELLIS PEDIATRIC HEALTH CENTER RECEIVED A THREE-YEAR (EXTENDED TO FOUR YEARS) $354,500 GRANT FROM THE NEW YORK STATE OFFICE OF MENTAL HEALTH TO IMPLEMENT THE HEALTHY STEPS PROGRAM SUPPORTING AT-RISK FAMILIES WITH CHILDREN FROM BIRTH TO THREE YEARS OLD. THE GRANT ENABLED HIRING A HEALTHY STEPS SPECIALIST WHO IS ENGAGED IN EXPANDING AWARENESS OF THE ADVERSE CHILDHOOD EXPERIENCES (ACES) CONCEPT THROUGHOUT THE COMMUNITY. DURING 2018, ELLIS BEGAN TO EXPLORE POTENTIAL OPPORTUNITIES TO SUSTAIN THE PROGRAM AFTER THE GRANT TERMINATES IN 2020. -THE OFFICE OF COMMUNITY SERVICES PROVIDED TRAUMA-INFORMED CARE TRAINING TWO TIMES FOR SCHENECTADY COUNTY FOSTER PARENTS, ONE ON MARCH 26, 2018 (15 PARTICIPANTS) AND ONE ON OCTOBER 30, 2018 (ALSO 15 PARTICIPANTS). ADDITIONALLY, OCS TRAINED ELLIS MEDICINE'S OUTPATIENT ADULT MENTAL HEALTH CLINIC STAFF ON TRAUMA-INFORMED CARE AND SUICIDE PREVENTION ON AUGUST 8, 2018; 45 PARTICIPANTS ATTENDED THAT TRAINING. A TRAUMA-INFORMED CARE TRAINING WAS HOSTED BY THE UNIVERSITY AT ALBANY SCHOOL OF SOCIAL WELFARE ON MARCH 12, 2018; 10 PEOPLE FROM SCHENECTADY COUNTY ATTENDED. THE TITLE WAS "TRAUMA PAST TRAUMA PRESENT: UNDERSTANDING AND APPLYING IMPORTANT SKILLS IN TRAUMA INFORMED PHASE ORIENTED TREATMENT." THE TRAINER WAS DR. ALLISON JACKSON. -SCHENECTADY CITY SCHOOL DISTRICT IS ALSO ENGAGED IN WORK AROUND TRAUMA, CREATING TRAUMA-SENSITIVE SCHOOLS. IN MAY 2018, SCHENECTADY HIGH SCHOOL HELD A MENTAL HEALTH FAIR IN THE EVENING FOR BOTH STUDENTS AND PARENTS. NUMEROUS COMMUNITY RESOURCES WERE SHARED AND THEN A SCREENING OF THE FILM "RESILIENCE" WAS HELD WITH A DISCUSSION PANEL AFTER. OVER 100 PEOPLE ATTENDED THE EVENT. -THE DUAL RECOVERY TASK FORCE, LED BY THE OFFICE OF COMMUNITY SERVICES, MET A TOTAL OF NINE TIMES DURING 2018 WITH AN AVERAGE ATTENDANCE OF 16 INDIVIDUALS. THE DUAL RECOVERY TASK FORCE INCLUDES PROVIDERS FROM BOTH MENTAL HEALTH AND SUBSTANCE ABUSE, MAKING AN IMPORTANT CONNECTION FOR TREATING THOSE WITH DUAL DIAGNOSES. THE GROUP HAD 13 DIFFERENT PRESENTATIONS AT THEIR MEETINGS ABOUT COMMUNITY RESOURCES FOR THOSE WITH A DUAL DIAGNOSIS. PROGRAMS THAT PRESENTED RANGED FROM OUTPATIENT MENTAL HEALTH CLINICS, TO HARM REDUCTION SERVICES AND HOUSING. THESE PRESENTATIONS BY COMMUNITY PROVIDERS ARE AN IMPORTANT STEP IN PROMOTING THEIR PROGRAMS AND MAKING SURE THE COMMUNITY IS AWARE OF ALL AVAILABLE RESOURCES. -IN 2018, THE TRAUMA INFORMED CARE WORKGROUPS THAT WERE ESTABLISHED IN 2017 MERGED INTO ONE GROUP UNDER THE NEW TITLE OF "TRAUMA-INFORMED COMMUNITY WORKGROUP." THIS GROUP MET A TOTAL OF EIGHT TIMES: FEBRUARY 21 (14 ATTENDEES), FEBRUARY 27 (7 ATTENDEES), JUNE 22 (5 ATTENDEES), JUNE 26 (14 ATTENDEES), JULY 31 (10 ATTENDEES), AUGUST 28 (15 ATTENDEES), OCTOBER 30 (18 ATTENDEES) AND NOVEMBER 26 (12 ATTENDEES). THIS GROUP HELD A BRAINSTORMING SESSION IN JUNE 2018 TO DETERMINE A MISSION, VISION, GOALS AND COMMON DEFINITIONS OF TRAUMA LANGUAGE (TRAUMA-INFORMED CARE, ACES, TOXIC STRESS, AND RESILIENCE). ONE OF THE GOALS OF THE GROUP WAS TO DETERMINE A BASELINE OF TRAUMA-INFORMED PRACTICES EACH PARTICIPATING ORGANIZATION IS USING. THIS BASELINE WOULD HELP DETERMINE NEXT STEPS FOR TRAINING NEEDS OF COMMUNITY BASED ORGANIZATIONS. THE GROUP DECIDED TO UTILIZE COORDINATED CARE SERVICES, INC.'S TOOL CALLED THE "TRAUMA-INFORMED CARE ORGANIZATIONAL SELF-ASSESSMENT TOOL" (TIC OSAT) FOR EACH ORGANIZATION. DURING THE FALL OF 2018, 11 ORGANIZATIONS REPRESENTED ON THE WORKGROUP COMPLETED SURVEYS USING THE TIC OSAT. THE SURVEY DIVIDES RESULTS INTO STAFF AND LEADERSHIP. LEADERSHIP AT THE 11 ORGANIZATIONS COMPLETED 36 SURVEYS AND STAFF COMPLETED 175. THE TIC OSAT SOFTWARE GENERATES REPORTS FOR EACH ORGANIZATION AND AN OVERALL REPORT COMBINING ALL ORGANIZATIONS. THE WORKGROUP ANALYZED THE RESULTS AT A MEETING IN NOVEMBER 2018 AND DETERMINED THAT WORKFORCE DEVELOPMENT AROUND TRAUMA-INFORMED CARE WAS WHERE THE WORK OF THE GROUP SHOULD START. THIS WILL BE FURTHER EXPLORED IN 2019. ONE EXCITING RESOURCE THAT THE GROUP WILL USE, AND SOME HAVE USED ALREADY, IS AN ONLINE LEARNING PROGRAM CALLED "INTRODUCTION TO ADVERSE CHILDHOOD EXPERIENCES FOR HEALTHCARE PROFESSIONALS." IT WAS DEVELOPED BY THE ALLIANCE FOR BETTER HEALTH'S (THE LOCAL DSRIP PPS) MEB WORKGROUP AND IS BROKEN DOWN INTO THREE MODULES THAT CAN BE TAKEN ALL TOGETHER OR AT DIFFERENT TIMES. THE COURSE PROVIDES A PRE- AND POST-TEST TO ASSESS KNOWLEDGE. THE OFFICE OF COMMUNITY SERVICES WILL ALSO BE UTILIZED IN 2019 FOR THEIR EXPERTISE AND ABILITY TO PROVIDE ADDITIONAL TRAINING ON TRAUMA TOPICS WORKFORCE DEVELOPMENT. -A "SAFE TALK" TRAINING WAS HELD ON AUGUST 27, 2018 AT THE MAIN BRANCH OF THE SCHENECTADY COUNTY LIBRARY WHERE 30 PEOPLE WERE TRAINED. THIS TRAINING WAS HOSTED BY NORTHERN RIVERS AND THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES. -SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES LEADS THE SCHENECTADY COUNTY SUICIDE PREVENTION COALITION WHICH WAS REESTABLISHED IN 2017 FOLLOWING A PERIOD WITHOUT MEETING. THE GROUP HAS REPRESENTATION FROM THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY, AS WELL AS OTHERS WHO ARE NOT REPRESENTED IN THE LARGER COALITION, FOR A TOTAL LISTSERV MAILING LIST OF 50 INDIVIDUALS. DURING 2018, THERE WERE FOUR MEETINGS OF THE SUICIDE PREVENTION COALITION. THE DATES AND ATTENDANCE ARE AS FOLLOWS: JUNE 5 (40 ATTENDEES), AUGUST 20 (25 ATTENDEES), OCTOBER 15 (15 ATTENDEES), AND NOVEMBER 13, (15 ATTENDEES). THE SUICIDE PREVENTION COALITION ESTABLISHED FOUR PRIORITY AREAS TO WORK ON AS A GROUP. THESE INCLUDE: 1) CHANGE AND ELIMINATE STIGMA, 2) INCREASE COMMUNITY INVOLVEMENT, 3) ENCOURAGE NETWORKING BETWEEN PROVIDERS OF SERVICE AND THE COMMUNITY, AND 4) INCREASE PEER SERVICES. THE COALITION ESTABLISHED WORKGROUPS AROUND THESE TOPICS AREAS AND IS WORKING TO DETERMINE NEXT STEPS FOR THE WORKGROUPS. THE COALITION HAS STRUGGLED TO MAINTAIN INVOLVEMENT OVER TIME, AND BRAINSTORMING ABOUT HOW TO ADDRESS THIS ISSUE HAS OCCURRED DURING MEETINGS OF THE GROUP. AT THE NEXT MEETING IN 2019, A MISSION STATEMENT AND GOALS WILL BE DEVELOPED BY THE GROUP TO BETTER BE ABLE TO MARKET THE COALITION TO PARTNERS. THE SUBSTANCE USE DISORDER PREVENTION COALITION IS ANOTHER GROUP WORKING ON MEB AND SUBSTANCE USE PREVENTION IN THE COMMUNITY. THE COALITION IS CO-LED BY THE SCHENECTADY COUNTY OFFICE OF COMMUNITY SERVICES AND NEW CHOICES RECOVERY CENTER. THE GROUP MET FOUR TIMES IN 2018: JANUARY 5 (25 ATTENDEES), APRIL 6 (24 ATTENDEES), AUGUST 1 (35 ATTENDEES), AND OCTOBER 29 (18 ATTENDEES). THE GROUP DEVELOPED AND DISTRIBUTED A RESOURCE LIST FOR PARTNERS TO PROMOTE THE EXISTING MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES IN THE COMMUNITY. ADDITIONAL ACTIVITIES INCLUDE PROMOTING COMMUNITY EVENTS, SUCH AS RECOVERY NETWORKS, AND DRUG TAKE BACK DAYS, AND REVIEWING DATA TO SET PRIORITIES FOR 2019. -ON JULY 25, 2018, A MENTAL HEALTH FIRST AID TRAINING WAS HELD IN SCHENECTADY WITH 32 PARTICIPANTS. THIS TRAINING WAS OFFERED FOR FREE THROUGH MENTAL HEALTH ASSOCIATION IN NEW YORK STATE (MHANYS). COST OF THESE TRAININGS IS A BARRIER TO OFFERING THEM MORE OFTEN; HOWEVER WHEN THEY ARE AVAILABLE FOR LOW OR NO COST, THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY PROMOTES THEM TO THE GROUP. THEY ARE ALSO PROMOTED THROUGH THE SUICIDE PREVENTION COALITION AND ITS WORKGROUPS. ASTHMA AND SMOKING: -SCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ELLIS, AND OTHER COMMUNITY ORGANIZATIONS APPLIED FOR AND RECEIVED A GRANT FROM NEW YORK STATE HEALTH FOUNDATION TO SUPPORT A "SCHENECTADY ASTHMA SUPPORT COLLABORATIVE" (SASC). A REQUIRED LOCAL CASH MATCH WAS PROVIDED BY THE SCHENECTADY FOUNDATION, THE GE FOUNDATION, AND MVP HEALTHCARE. SERVICES OF A COLLABORATIVE MODEL COMBINING CARE MANAGEMENT, PATIENT EDUCATION, AND IN-HOME NURSING SERVICES BEGAN IN LATE 2014, WITH THE GRANT PERIOD ENDING IN DECEMBER 2015. -SASC CREATED A SEAMLESS THREE-TIERED CARE MODEL (CENTRALIZED CARE COORDINATION, HOME VISITS/ASSESSMENTS, AND ASTHMA EDUCATION). OVER THE COURSE OF THE PROJECT, 68 PATIENTS CONSENTED TO PARTICIPATE IN CARE COORDINATION. WHILE 57 (84%) OF THESE REMAINED ENGAGED AFTER TWO MONTHS, ONLY 13 (19%) COMPLETED BOTH THE HOME VISITS AND ASTHMA EDUCATION COMPONENTS. THE PROJECT'S FINAL REPORT CONCLUDED THAT CULTURAL DYNAMICS ("FATALISM") AND STRUCTURAL BARRIERS (ISSUES OF TRUST) MAY HAVE PREVENTED INDIVIDUALS FROM ACCESSING OPTIMAL CARE. -ALTHOUGH THE PROJECT CLEARLY DEMONSTRATED THE CHALLENGES OF ENGAGING PATIENTS, THE CLINICAL ASPECTS OF THE THREE-TIERED MODEL REMAIN VALID. THE DESIGN OF THE SCHENECTADY MODEL WAS USED TO INFORM DEVELOPMENT OF ASTHMA PROJECTS ACROSS THE SIX-COUNTY SERVICE AREA OF THE REGIONAL DSRIP PARTNERSHIP, THE ALLIANCE FOR BETTER HEALTH. |
| CONTINUATION OF SCHEDULE H, PART V, LINE 11 |
-ELLIS, THE SCHENECTADY CITY SCHOOL DISTRICT (SCSD), AND PRICE CHOPPER PHARMACY PARTICIPATED IN THE "SCHOOL-BASED ASTHMA MANAGEMENT PROGRAM," WHICH ENROLLS A SMALL BUT INCREASING NUMBER OF THE 1,150 DIAGNOSED ASTHMATIC STUDENTS IN SCSD. THE PROGRAM ADMINISTERS ALBUTEROL TREATMENTS, ENABLING STUDENTS TO RETURN TO CLASS 98.7% OF THE TIME. IN ADDITION TO THE IN-SCHOOL COMPONENT, NEARLY A THIRD OF THE STUDENTS AND THEIR PARENTS COMPLETED OUTPATIENT ASTHMA SELF-MANAGEMENT TRAINING SESSIONS THROUGH ELLIS ASTHMA CARE. -THE ELLIS ASTHMA EDUCATION PROGRAM FOUND THAT "GRADUATES" ACHIEVE A 60-70% REDUCTION IN EMERGENCY DEPARTMENT VISITS OVER 12 MONTHS POST-DISCHARGE. -A CARE MANAGER FROM THE ELLIS-SPONSORED HEALTH HOME COMPLETED A TWO-DAY ASTHMA TRAINING COURSE. -ELLIS CONTINUED ITS STRONG ASTHMA EDUCATION PROGRAM, AND CONTINUED TO COLLABORATE WITH THE CAPITAL DISTRICT TOBACCO FREE COALITION. INFORMAL "SUASION" WITHIN THE COMMUNITY ENCOURAGED VARIOUS SMOKE-FREE INITIATIVES; A NEWLY-CONSTRUCTED AFFORDABLE HOUSING PROJECT ON ALBANY STREET IN SCHENECTADY IS SMOKE-FREE FROM THE START, AND THE ENTIRE UNION COLLEGE CAMPUS WAS SMOKE-FREE AS OF JANUARY 1, 2017. SINCE AUGUST 2016, THE LEGAL AGE FOR THE SALE OF TOBACCO PRODUCTS IN SCHENECTADY COUNTY IS SET BY LOCAL LAW AT 21. INAPPROPRIATE EMERGENCY DEPARTMENT UTILIZATION: -ELLIS LED CREATION OF TWO REGION-WIDE HEALTH INNOVATIONS COLLABORATIONS - A MEDICARE MSSP ACO ("INNOVATIVE HEALTH ALLIANCE OF NEW YORK" (IHANY)) AND A MEDICAID DSRIP PPS ("ALLIANCE FOR BETTER HEALTH" (AFBH)) - BOTH WITH GOALS OF REDUCING INAPPROPRIATE HOSPITAL UTILIZATION. -BOTH COLLABORATIONS WERE APPROVED FOR INAUGURATION IN 2015 - THE ACO ON JANUARY 1 AND THE PPS ON APRIL 1. -IHANY ADOPTED THE GOAL OF REDUCING INAPPROPRIATE HOSPITAL EMERGENCY DEPARTMENT UTILIZATION AS PART OF A COMPREHENSIVE PROGRAM INTENDING TO REDUCE COSTS AND PRODUCE SHARED SAVINGS. AFBHC IS REQUIRED BY THE STATE TO REDUCE INAPPROPRIATE HOSPITAL UTILIZATION (BOTH EMERGENCY DEPARTMENT AND INPATIENT) BY 25% OVER A FIVE YEAR PERIOD. IHANY WAS SUCCESSFUL IN REDUCING EMERGENCY DEPARTMENT USE BY ITS ATTRIBUTED PATIENTS DURING ITS FIRST YEAR OF OPERATIONS. ADOLESCENT (TEEN) PREGNANCY: -ELLIS, THE SCHENECTADY CITY SCHOOL DISTRICT, PLANNED PARENTHOOD MOHAWK HUDSON, THE ALLIANCE FOR POSITIVE HEALTH (FORMERLY THE AIDS COUNCIL), AND THE SCHENECTADY TEEN AND ADULT COALITION (STAC) WORKED TO CONSIDER CAUSES AND SOLUTIONS TO THE CONSISTENTLY HIGH RATES OF ADOLESCENT PREGNANCY IN CERTAIN NEIGHBORHOODS. -THE PROJECT ENGAGED ADOLESCENTS/TEENAGERS IN FOCUS GROUP AND MULTIPLE MEETINGS. A GAP IN HEALTH EDUCATION AT LOCAL SCHOOLS WAS IDENTIFIED. AFTER MOST HEALTH EDUCATION TEACHERS HAD BEEN LAID OFF DUE TO BUDGET CUTS, STUDENTS ARE RECEIVING NO HEALTH EDUCATION CLASSES BETWEEN 6TH GRADE AND 10TH GRADE. PLANNED PARENTHOOD ARRANGED STUDENT HEALTH EDUCATION ASSEMBLIES IN 2016 AND 2018, AND IS SEEKING TO REINTRODUCE MIDDLE SCHOOL HEALTH CLASSES. -THE SCHENECTADY FOUNDATION'S "CALL TO ACTION FOR SCHENECTADY'S YOUTH" GRANT PROGRAM IS PROVIDING FUNDING FOR THE "CRADLE PROJECT," A MULTIMEDIA PROJECT THAT IS FOCUSING A LENS ON SCHENECTADY'S HIGH RATE OF TEENAGE PREGNANCY - THE HIGHEST IN THE CAPITAL REGION - AND ITS TOLL ON THE COMMUNITY. DOZENS OF LOCAL YOUTH ARE INVOLVED IN WRITING ORIGINAL MUSIC AND DIALOG, PERFORMING AND PRODUCING "CRADLE," A DOCUMENTARY FILM ABOUT TEEN PREGNANCY. THE CRADLE PROJECT WILL ALSO INCLUDE MUSIC VIDEOS AND FORUMS ABOUT SEXUAL HEALTH AND PROFESSIONAL DEVELOPMENT. ARTHRITIS AND DISABILITY: -AS THIS NEED WAS NOT CATEGORIZED AMONG THE TOP PRIORITIES IN THE DEVELOPMENT OF THE CHNA, RESOURCES WERE DEVOTED TO OTHER HIGHER PRIORITY PROJECTS. DENTAL HEALTH: -IN 2015, ELLIS RECEIVED THE FINAL PAYMENT OF A $250,000 "MEMBER ITEM" GRANT FROM STATE SENATOR HUGH T. FARLEY WHICH WAS USED TO ACQUIRE EQUIPMENT FOR THE PEDIATRIC DENTAL PROGRAM. ELLIS DENTAL CARE NOW PROVIDES EXPANDED SERVICES TO LOW-INCOME PATIENTS; INCLUDING THE NEW FACILITIES FOR PEDIATRIC DENTAL SURGERY AND A PROGRAM FOR PARENTS AND FAMILIES OF PEDIATRIC DENTAL PATIENTS. -DURING 2016, THE ELLIS DENTAL HEALTH CENTER APPLIED FOR AND RECEIVED DESIGNATION AS A NATIONAL HEALTH SERVICE CORPS (NHSC) PRACTICE SITE. FALLS: -THE CHNA IDENTIFIED PARTICULARLY HIGH FALLS MORTALITY IN THE COMMUNITY, AND A HIGH NUMBER OF FALLS IN ONE NEIGHBORHOOD. DATA ANALYSIS AND "DRILLING DOWN" IDENTIFIED A LARGE SENIOR HOUSING FACILITY IN THIS NEIGHBORHOOD AS THE FALLS "HOT SPOT." -ELLIS STAFF MET WITH ADMINISTRATORS AT THE FACILITY ON SEVERAL OCCASIONS. UNION COLLEGE STUDENTS WERE ENGAGED TO ASSIST THE FACILITY STAFF TO TRACK INDICATORS AND TRENDS. -HAVING IDENTIFIED THE ISSUE AT ONE SENIOR HOUSING FACILITY, AMBULANCE CALL DATA WERE OBTAINED FROM THE LOCAL AMBULANCE COMPANY IN AN EFFORT TO ANALYZE THE PREVALENCE OF FALLS AT OTHER SENIOR FACILITIES. -SCHENECTADY COUNTY PUBLIC HEALTH SERVICES AND SCHENECTADY COUNTY SENIOR AND LONG TERM CARE SERVICES PARTNERED TO OFFER TAI CHI FOR ARTHRITIS CLASSES IN THE COMMUNITY TO HELP PREVENT FALLS IN OLDER ADULTS. -AS PART OF THE WORK OF THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY, THE SCHENECTADY COUNTY LEAGUE OF WOMEN VOTERS (LWV) UNDERTOOK LEAD ACTIVITIES FOR A "FALLS PREVENTION WORK GROUP." THE WORK GROUP MET REGULARLY AND ENGAGED EXPERTS FROM THE STATE DEPARTMENT OF HEALTH, SENIOR CITIZEN ORGANIZATIONS, REHABILITATION FACILITIES, AND LOCAL GOVERNMENT AGENCIES. THE LWV BECAME UNABLE TO LEAD THE GROUP AS OF EARLY 2017, AND THE GROUP CEASED TO MEET. FOOD INSECURITY: -THE FOCUS ON FOOD INSECURITY CAME FROM A 2013 UMATTER SCHENECTADY SURVEY FINDING THAT THE MAJORITY OF RESIDENTS IN THREE SCHENECTADY NEIGHBORHOODS (HAMILTON HILL, EASTERN AVENUE, AND CENTRAL STATE) HAD RUN OUT OF FOOD AT LEAST ONCE IN THE PAST YEAR. INTERESTINGLY, THIS FINDING CORRELATED WITH THE PREVALENCE OF SEVERE OBESITY (BMI >35) WHICH IS MORE THAN DOUBLE FOR PEOPLE WHO RUN OUT OF FOOD EVERY MONTH OR NEARLY EVERY MONTH THAN FOR THOSE WHO NEVER RUN OUT OF FOOD. -A PARTNERSHIP INCLUDING SCHENECTADY COMMUNITY ACTION PROGRAM, CITY MISSION OF SCHENECTADY, ELLIS HOSPITAL, AND THE SCHENECTADY FOUNDATION OBTAINED A GRANT FROM THE ROBERT WOOD JOHNSON FOUNDATION TO SUPPORT A "COMMUNITY COACH" FROM THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. THE "COACH" CONVENED A SERIES OF TELEPHONE CONFERENCES AND AN ON-SITE VISIT TO HELP FOCUS COMMUNITY RESOURCES AND THINKING. -AS A RESULT OF THE COACHING, THE PARTNERSHIP DEVELOPED A COMMUNITY PLAN INCLUDING ASSET MAPPING AND A ROOT CAUSE ANALYSIS, AND DEVELOPED COLLABORATION WITH THE SCHENECTADY COUNTY FOOD PROVIDERS GROUP. NO CLEAR, SINGLE, CAUSE WAS FOUND, ALTHOUGH THERE WAS SOME EVIDENCE THAT SOME SERVICE GAPS (E.G., FEW FOOD PANTRIES ARE OPEN ON WEEKENDS) AND INEFFICIENCIES IN THE DISTRIBUTION SYSTEM MAY BE CONTRIBUTORS. -DURING 2015, ELLIS, SCPHS, AND THEIR PARTNERS WORKED WITH TWO GRANTS (A ROBERT WOOD JOHNSON FOUNDATION ROADMAPS TO HEALTH ACTION AWARD AND PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH) TO IMPROVE ACCESS TO HEALTHY FOODS. THESE EFFORTS RESULTED IN DEVELOPMENT OF A SCHENECTADY FOOD RESOURCE MAP (HTTP://SICMFOOD.COM/), AN ONLINE TOOL ACCESSIBLE FROM PORTABLE DEVICES SUCH AS SMARTPHONES, WHICH SHOWS THE LOCATIONS OF SUCH RESOURCES AS SOUP KITCHENS, FOOD PANTRIES, AND STORES WHICH ACCEPT ELECTRONIC BENEFIT CARDS. THE RESOURCE MAP HAS ALSO BEEN DEVELOPED INTO A MOBILE PHONE APPLICATION, CALLED "FOOD 4 SCHDY." THE APP ALLOWS USERS TO VIEW THE RESOURCE MAP USING THEIR SMARTPHONE'S LOCATION AND GET DIRECTIONS TO THE RESOURCES. -THE PICH GRANT ALSO SUPPORTS POLICY, SYSTEMS, AND ENVIRONMENTAL IMPROVEMENTS AT FOOD PANTRIES WITHIN THE COUNTY TO INCREASE ACCESS TO HEALTHY FOODS. THIS GRANT SUPPORTED THE OPENING OF A NEW FOOD PANTRY IN THE 12308 ZIP CODE (NORTHSIDE NEIGHBORHOOD), WHICH IS AN UNDERSERVED AREA OF THE COUNTY. -AS PART OF THE PICH GRANT, A COMMUNITY WIDE FOOD PLAN WAS DEVELOPED WITH GOALS, STRATEGIES AND EVIDENCE BASED ACTIVITIES TO ADDRESS FOOD INSECURITY IN THE COMMUNITY. -PHYSICIANS AT THE ELLIS FAMILY HEALTH CENTER CONTINUE TO PROMOTE FRESH FRUIT AND VEGETABLE CONSUMPTION AMONG PATIENTS. NEIGHBORHOOD SAFETY: -ELLIS AND THE CITY OF SCHENECTADY PARTICIPATED ON SEVERAL INITIATIVES TO STABILIZE THE NORTHSIDE/GOOSE HILL NEIGHBORHOOD WHERE THE NOTT STREET CAMPUS IS LOCATED. THESE INCLUDE A "WALK TO WORK" INITIATIVE AND A PROGRAM TO PROMOTE HOME OWNERSHIP ("HOME OWNERSHIP MADE EASY" (HOME)). IN ADDITION, CONSTRUCTION AT THE NOTT STREET CAMPUS INCLUDED NEW SIDEWALKS AND IMPROVED STREET LIGHTING, BOTH ISSUES OF NEIGHBORHOOD SAFETY WHICH HAD BEEN IDENTIFIED IN THE CHNA. -ELLIS WAS INVITED BY THE NEW YORK STATE HEALTH FOUNDATION TO APPLY FOR A COMMUNITY-WIDE "HEALTHY NEIGHBORHOODS FUND" GRANT. THE APPLICATION WAS SUBMITTED BUT NOT FUNDED. |
| CONTINUATION OF SCHEDULE H, PART V, LINE 11 |
PROGRAMS FOR YOUTH AND ADOLESCENTS: -IN DECEMBER 2014, THE SCHENECTADY FOUNDATION HOSTED A CONFERENCE ENTITLED "BRIDGES TO YOUTHS" TO BETTER UNDERSTAND THE NEEDS OF SCHENECTADY'S YOUTH. -THE CONFERENCE LED TO THE "CALL TO ACTION FOR SCHENECTADY'S YOUTH." SINCE ITS LAUNCH, THE SCHENECTADY FOUNDATION HAS SO FAR INVESTED $770,000 IN EIGHT PROGRAMS WITH THE POTENTIAL TO BRING POWERFUL AND POSITIVE CHANGE TO SCHENECTADY'S YOUTH. CALL TO ACTION FOR YOUTH IS A THREE-YEAR, $2 MILLION COMMUNITY-WIDE EFFORT TO EMPOWER CHILDREN AND TEENS THAT FACE SIGNIFICANT BARRIERS TO SUCCESS. GRANTS INCLUDE SUPPORT OF SCHOLARSHIPS, JOB TRAINING, AND SPORTS PROGRAMS FOR YOUTH. COMMUNITY AND COALITION BUILDING: -ELLIS AND SCPHS CONTINUE TO LEAD AND PARTICIPATE IN NUMEROUS COMMUNITY COALITIONS. THESE INCLUDE THE SCHENECTADY COALITION FOR A HEALTHY COMMUNITY, THE SCHENECTADY STRATEGIC ALLIANCE FOR HEALTH, AND THE HEALTHY CAPITAL DISTRICT INITIATIVE. -IN ADDITION, DURING 2014 ELLIS UNDERTOOK TWO MAJOR BUSINESS INITIATIVES PROMOTING BROAD COALITIONS OF HEALTHCARE PROVIDERS. A MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (MSSP ACO) PARTNERED THREE HOSPITAL SYSTEMS, AN FQHC, AND SEVERAL COMMUNITY MEDICAL PRACTICES. A NEW YORK STATE MEDICAID DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM PERFORMING PROVIDER SYSTEM (DSRIP PPS) PARTNERED THE SAME THREE HOSPITAL SYSTEMS, TWO FQHCS, AND TWO LARGE COMMUNITY MEDICAL PRACTICES, ALONG WITH MORE THAN 50 COMMUNITY AGENCIES. BOTH WERE APPROVED BY THEIR RESPECTIVE REGULATORS TO START OPERATIONS IN 2015. -THE MSSP ACO (INNOVATIVE HEALTH ALLIANCE OF NEW YORK, OR IHANY) WAS APPROVED TO START OPERATIONS ON JANUARY 1, 2015, AND THE DSRIP PPS (ALLIANCE FOR BETTER HEALTH, OR AFBH) TO BEGIN ON APRIL 1, 2015. EACH WAS ESTABLISHED AS A SEPARATE LIMITED LIABILITY COMPANY (LLC) AND EACH UNDERTOOK TO ADOPT AN OPERATING AGREEMENT AND SEAT A BOARD OF DIRECTORS. THE DSRIP PPS RECEIVED SCHEDULED FUNDING FROM THE NEW YORK STATE DEPARTMENT OF HEALTH UNDER A FIVE-YEAR AGREEMENT. THE MSSP ACO WAS FUNDED BY CAPITAL CONTRIBUTIONS FROM THE TWO MEMBERS OF THE LLC (ELLIS HOSPITAL AND ST. PETER'S HEALTH PARTNERS), AND HAS NOT ACHIEVED "SHARED SAVINGS." IN 2017, ELLIS WITHDREW AS AN EQUITY PARTNER OF THE MSSP ACO, BUT REMAINS A CLINICAL PARTNER. IN FALL 2017, THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) APPROVED RENEWAL OF IHANY'S MSSP ACO AGREEMENT FOR ANOTHER THREE YEARS. COMMUNITY HEALTH IMPROVEMENT: -ELLIS CONTINUED PROGRAMS OF COMMUNITY AND PATIENT EDUCATION AND SUPPORT. HEALTH PROFESSIONS EDUCATION: -ELLIS, THE ONLY HOSPITAL IN THE REGION TO SPONSOR BOTH PHYSICIAN EDUCATION AND NURSING EDUCATION, CONTINUED TO PROVIDE A BROAD VARIETY OF HEALTH PROFESSIONS EDUCATION PROGRAMS INCLUDING THE BELANGER SCHOOL OF NURSING, THE FAMILY MEDICINE RESIDENCY, THE GENERAL DENTAL RESIDENCY, GRAND ROUNDS AND OTHER CONTINUING PROFESSIONAL EDUCATION PROGRAMS. ELLIS ALSO SERVES AS A TRAINING AND PRECEPTORSHIP SITE FOR NUMEROUS COMMUNITY-BASED HEALTH PROFESSIONS EDUCATION PROGRAMS. SUBSIDIZED AND FREE HEALTH SERVICES: -ELLIS CONTINUED TO PARTICIPATE IN GOVERNMENT INSURANCE PROGRAMS INCLUDING MEDICARE AND MEDICAID, WHILE PROVIDING REDUCED RATES AND CHARITY CARE FOR SELF-PAY PATIENTS, AS DETAILED IN IRS FORM 990, SCHEDULE H. MEDICARE, MEDICAID, AND FINANCIAL ASSISTANCE (CHARITY CARE) COVERED ABOUT TWO-THIRDS OF INPATIENT DISCHARGES DURING 2018. |
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.