|
FORM 990 SCHEDULE H PART V, SECTION C, SUPPLEMENTAL INFORMATION FOR
|
SCHEDULE H PART V, SECTION BFINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSCOMMUNITY BENEFITS MISSION STATEMENT BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH (BID-PLYMOUTH) SEEKS TO IMPROVE THE HEALTH AND WELLBEING OF ITS PATIENTS AND COMMUNITY BY PROVIDING A FULL CONTINUUM OF HEALTHCARE SERVICES WITH EXCELLENCE AND COMPASSION. SERVING THE GREATER PLYMOUTH REGION, THE HOSPITAL COLLABORATES WITH COMMUNITY LEADERS, PUBLIC AND PRIVATE AGENCIES, AND BUSINESSES, TOGETHER PROVIDING HEALTH PROMOTION, HEALTH PROTECTION AND PREVENTIVE SERVICES TO MEET THE BROAD RANGE OF THE COMMUNITY'S HEALTH AND WELLNESS NEEDS. THESE NEEDS ARE, IDENTIFIED THROUGH COMMUNITY FEEDBACK AND FORMAL COMMUNITY NEEDS ASSESSMENTS. AS PART OF ITS MISSION TO SUPPORT COMMUNITY HEALTH, BID-PLYMOUTH IS COMMITTED TO ASSESSING ROOT CAUSES OF HEALTH DISPARITIES AND TO ASSISTING IN IMPROVING HEALTH CARE FOR THE DISADVANTAGED AND UNDERSERVED.BID-PLYMOUTH COLLABORATES WITH COMMUNITY LEADERS, PUBLIC AND PRIVATE AGENCIES AND BUSINESSES ACROSS ALL SECTORS TO IMPLEMENT A BROAD RANGE OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES, WHICH ARE GEARED TOWARD MEETING THE COMMUNITY'S DIVERSE HEALTH AND WELLNESS NEEDS, INCLUDING THE UNDERLYING SOCIAL DETERMINANTS. THESE INITIATIVES MAKE UP BID-PLYMOUTH'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND SERVE ALL IN NEED ACROSS THE DEMOGRAPHIC AND SOCIO-ECONOMIC SPECTRUM, WITH SPECIAL EMPHASIS ON THOSE WHO ARE UNDERSERVED, VULNERABLE AND MOST AT-RISK. THESE INITIATIVES ARE VARIED AND INCLUDE INITIATIVES AIMED AT: 1) COMMUNITY OUTREACH; SCREENING, AND PREVENTION; 2) HEALTH PROMOTION AND EDUCATION; 3) ENHANCING ACCESS TO SERVICES, 4) INTEGRATING SERVICES AND COORDINATING PATIENT CARE ACROSS THE CONTINUUM, AND 5) MANAGING CHRONIC DISEASE. BID-PLYMOUTH'S IMPLEMENTATION STRATEGY WAS INFORMED BY A ROBUST COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY ENGAGEMENT PROCESS THAT GATHERED ALL AVAILABLE QUANTITATIVE HEALTH-RELATED DATA FROM FEDERAL, COMMONWEALTH, AND LOCAL SOURCES AS WELL AS VITAL QUALITATIVE INFORMATION THROUGH COMMUNITY INTERVIEWS, FOCUS GROUPS, SURVEYS AND COMMUNITY FORUMS. BID-PLYMOUTH IS COMMITTED TO A DATA-DRIVEN APPROACH AS WELL AS ONE THAT IS INFORMED BY A ROBUST, INCLUSIVE COMMUNITY PROCESS THAT ENGAGES ALL STAKEHOLDERS, INCLUDING COMMUNITY RESIDENTS. BOTH OF THESE EFFORTS ARE CRUCIAL TO IDENTIFYING COMMUNITY HEALTH PRIORITIES, UNDERSTANDING THE ROOT CAUSES OF POOR HEALTH STATUS, AND FULLY APPRECIATING THE UNDERLYING SOCIAL DETERMINANTS THAT ARE AT THE HEART OF THE DISPARITIES IN ACCESS AND HEALTH OUTCOMES THAT EXIST IN ITS SERVICE AREA. BID-PLYMOUTH'S COMMUNITY BENEFITS MISSION IS FULFILLED BY:- INVOLVING BID-PLYMOUTH'S STAFF, INCLUDING ITS LEADERSHIP, AND DOZENS OF COMMUNITY PARTNERS IN THE COMMUNITY HEALTH ASSESSMENT PROCESS AS WELL AS IN THE DEVELOPMENT, IMPLEMENTATION, AND OVERSIGHT OF THE IMPLEMENTATION STRATEGY;- ENGAGING RESIDENTS THROUGHOUT THE HOSPITAL'S SERVICE AREAS IN ALL ASPECTS OF THE COMMUNITY BENEFITS PROCESS, INCLUDING ASSESSMENT, PLANNING, IMPLEMENTATION, AND EVALUATION. IN THIS REGARD, SPECIAL ATTENTION IS GIVEN TO ENGAGING DIVERSE PERSPECTIVES FROM THOSE WHO ARE OFTEN LEFT OUT OF THESE ASSESSMENTS, PLANNING, AND PROGRAM IMPLEMENTATION PROCESSES, AS WELL AS FROM PATIENTS AND NON-PATIENTS ALIKE;- ASSESSING UNMET COMMUNITY NEED BY COLLECTING PRIMARY AND SECONDARY DATA (BOTH QUANTITATIVE AND QUALITATIVE) TO IDENTIFY UNMET HEALTH-RELATED NEEDS AND TO CHARACTERIZE THOSE IN THE COMMUNITY WHO ARE MOST VULNERABLE AND FACE DISPARITIES IN ACCESS AND OUTCOMES;- IMPLEMENTING COMMUNITY HEALTH PROGRAMS AND SERVICES IN BID-PLYMOUTH'S SERVICE AREA GEARED TOWARD IMPROVING CURRENT AND FUTURE HEALTH STATUS OF INDIVIDUALS, FAMILIES, AND COMMUNITIES BY REMOVING BARRIERS TO CARE, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, STRENGTHENING THE HEALTHCARE SYSTEM, AND WORKING TO DECREASE THE BURDEN OF THE LEADING HEALTH ISSUES;- PROMOTING HEALTH EQUITY BY ADDRESSING SOCIAL AND INSTITUTIONAL INEQUITIES, RACISM, AND BIGOTRY, AS WELL AS ENSURING THAT ALL PATIENTS ARE WELCOMED AND RECEIVE CARE THAT IS RESPECTFUL AND CULTURALLY RESPONSIVE; AND- FACILITATING COLLABORATION AND PARTNERSHIP WITHIN AND ACROSS SECTORS (E.G., STATE/LOCAL PUBLIC HEALTH AGENCIES, HEALTH CARE PROVIDERS, SOCIAL SERVICE ORGANIZATIONS, BUSINESSES, ACADEMIC INSTITUTIONS, COMMUNITY HEALTH COLLABORATIVES, AND OTHER COMMUNITY HEALTH ORGANIZATIONS) TO ADVOCATE FOR, SUPPORT, AND IMPLEMENT EFFECTIVE HEALTH POLICIES, COMMUNITY PROGRAMS, AND SERVICES.AS NOTED THROUGHOUT THIS NARRATIVE, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER), IS A NATIONALLY RECOGNIZED TERTIARY CARE ACADEMIC MEDICAL CENTER, IS A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND FOR THE PERIOD COVERED BY THIS FILING SERVED AS THE SOLE MEMBER OF BID-PLYMOUTH. THE MEDICAL CENTER IS COMMITTED TO ITS COMMUNITY. THE MEDICAL CENTER'S MISSION IS TO SERVE PATIENTS COMPASSIONATELY AND EFFECTIVELY, AND TO CREATE A HEALTHY FUTURE FOR THEM AND THEIR FAMILIES. THAT MISSION IS SUPPORTED BY THE MEDICAL CENTER'S COMMITMENT TO PERSONALIZED, EXCELLENT CARE FOR OUR PATIENTS; A WORKFORCE COMMITTED TO INDIVIDUAL ACCOUNTABILITY, MUTUAL RESPECT AND COLLABORATION; AND A COMMITMENT TO MAINTAINING OUR FINANCIAL HEALTH. THE MEDICAL CENTER IS COMMITTED TO BEING ACTIVE IN THE COMMUNITY AS WELL. SERVICE TO COMMUNITY IS AT THE CORE AND AN IMPORTANT PART OF THE MEDICAL CENTER'S MISSION. BIDMC HAS A COVENANT TO CARE FOR THE UNDERSERVED AND TO WORK TO CHANGE DISPARITIES IN ACCESS TO CARE. THE MEDICAL CENTER KNOWS THAT TO BE SUCCESSFUL WE NEED TO LEARN FROM THOSE WE SERVE. THE MEDICAL CENTER'S COMMUNITY BENEFIT MISSION IS FULFILLED BY:- IMPLEMENTING PROGRAMS AND SERVICES IN GREATER BOSTON AND OUTER CAPE COD TO IMPROVE THE CURRENT AND FUTURE HEALTH STATUS OF MEDICALLY UNDERSERVED COMMUNITIES WHICH ARE CHALLENGED BY BARRIERS IN ACCESSING AND INTERACTING EFFECTIVELY WITH THE HEALTHCARE SYSTEM AND IMPACTED BY OTHER SOCIAL DETERMINANTS OF HEALTH.- ENSURING THAT ALL PATIENTS RECEIVE EQUITABLE CARE THAT IS RESPECTFUL AND CULTURALLY RESPONSIVE AND THAT THE MEDICAL CENTER IS WELCOMING AND INCLUSIVE.; AND- ENCOURAGING COLLABORATIVE RELATIONSHIPS WITH OTHER PROVIDERS AND GOVERNMENT ENTITIES TO SUPPORT AND ENHANCE RATIONAL AND EFFECTIVE HEALTH POLICIES AND PROGRAMS. DURING THE FISCAL YEAR COVERED BY THIS FILING, BID-PLYMOUTH PROVIDED COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFITS OPERATIONS, CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $ 3,629,997 AS REPORTED ON THIS SCHEDULE H, PART I, LINES 7E AND 7I, COLUMN D. AS NOTED IN THE NARRATIVE DETAIL TO SCHEDULE H BELOW, BID-PLYMOUTH HAS COLLABORATED WITH THE COMMONWEALTH OF MASSACHUSETTS ON MANY OF THESE EFFORTS BECAUSE THE HOSPITAL IS UNIQUELY QUALIFIED IN ITS COMMUNITIES TO PROVIDE CERTAIN SERVICES. AS A RESULT, THE HOSPITAL HAS RECEIVED GRANT FUNDING TOTALING $1,836,674, WHICH HAS SIMILARLY BEEN REPORTED IN THIS SCHEDULE H, PART I, LINES 7E AND 7I, COLUMN D. IN ADDITION, DURING THE FISCAL YEAR COVERED BY THIS FILING, BETH ISRAEL DEACONESS MEDICAL CENTER, WHICH SERVED AS THE SOLE MEMBER OF BID-PLYMOUTH PROVIDED NET COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFITS OPERATIONS, CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $16,132,415 AS REPORTED ON THE MEDICAL CENTER'S SCHEDULE H, PART I, LINES 7E AND 7I. COMMUNITY BENEFITS LEADERSHIPBID-PLYMOUTH IS A PUBLIC CHARITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. BID-PLYMOUTH UNDERSTANDS THE IMPORTANCE OF HAVING THE HIGHEST LEVEL OF THE HOSPITAL'S LEADERSHIP INVOLVED AND ENGAGED IN ALL ASPECTS OF THE DEVELOPMENT, IMPLEMENTATION, EVALUATION, AND OVERSIGHT OF THE IMPLEMENTATION STRATEGY/CHIP. WITH THIS IN MIND, THE SENIOR LEADERSHIP TEAM NOTED BELOW (SLT), AND BID-PLYMOUTH'S BOARD OF DIRECTORS OVERSEE ALL ASPECTS OF THE HOSPITAL'S CHIP. THE SLT MEETS PERIODICALLY TO DISCUSS PROGRESS AND OVERSEE THE IMPLEMENTATION OF THE CHIP. IN ADDITION, THE BOARD OF DIRECTORS OVERSEES AND PROVIDES IMPORTANT INPUT. IN ADDITION TO OVERSEEING THE CHIP, THE SLT AND THE BOARD OF DIRECTORS OVERSEE AND ARE PERIODICALLY INVOLVED IN COMMUNITY ENGAGEMENT ACTIVITIES, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, AND THE CREATION OF THE THREE-YEAR IMPLEMENTATION STRATEGY, ALONG WITH ITS ANNUAL UPDATES.
|
|
BID-PLYMOUTH SENIOR LEADERSHIP TEAM
|
FOR THE PERIOD COVERED BY THIS FILING, THE FOLLOWING INDIVIDUALS SERVED ON THE BID-PLYMOUTH SLT:- KEVIN COUGHLIN, PRESIDENT AND CHIEF EXECUTIVE OFFICER- LISA BERRY BARBOSA, VICE PRESIDENT OF HUMAN RESOURCES- MARY CHAPIN, VICE PRESIDENT AMBULATORY SERVICES & PROCESS IMPROVEMENT- DONNA DOHERTY, VICE PRESIDENT OF NURSING & CNO- ANDREA HOLLERAN, VICE PRESIDENT OF STRATEGIC PLANNING & EXTERNAL AFFAIRS- CYNTHIA OUTHOUSE, VICE PRESIDENT OF PHILANTHROPY- JASON RADZEVICH, VICE PRESIDENT OF FINANCE & CFO- RONALD RUTHERFORD, VICE PRESIDENT & CIOBID-PLYMOUTH BOARD OF DIRECTORSPLEASE SEE FORM 990 PART VII FOR A LIST OF INDIVIDUALS WHO SERVED ON THE BOARD OF DIRECTORS DURING THE PERIOD COVERED BY THIS FILING.SENIOR LEADERSHIP TEAM AND PATIENT FAMILY ADVISORY COUNCIL SENIOR LEADERSHIP TEAM. THE HOSPITAL'S SENIOR LEADERSHIP TEAM (SLT) MEETS WEEKLY TO ADDRESS HOSPITAL BUSINESS. THE AGENDA FOR THIS MEETING REGULARLY INCLUDES TOPICS RELEVANT TO THE HOSPITAL'S IMPLEMENTATION STRATEGY, INCLUDING ISSUES RELATED TO ASSESSMENT OF NEED, COMMUNITY OUTREACH/ENGAGEMENT, PARTNER DEVELOPMENT/COLLABORATION, COMMUNITY BENEFITS PROGRAM OPERATIONS, AND EVALUATION OF OUTCOMES/IMPACT. THE SLT IS DEDICATED TO PRIORITIZING, PLANNING AND TRACKING THE HOSPITAL'S IMPLEMENTATION STRATEGY TO ADDRESS THE FINDINGS OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT.PATIENT FAMILY ADVISORY COUNCIL. IN ADDITION TO THE SLT, THE VICE PRESIDENT FOR EXTERNAL AFFAIRS AND HER HOSPITAL COLLEAGUES WORK TO ENGAGE AND INVOLVE THE HOSPITAL'S PATIENT FAMILY ADVISORY COUNCIL (PFAC) IN DEVELOPING, IMPLEMENTING, AND EVALUATING THE IMPLEMENTATION STRATEGY. PERIODICALLY, THE HOSPITAL'S COMMUNITY BENEFITS STAFF PRESENT TO THE PFAC TO SEEK THEIR INPUT AND ENGAGE THEM IN IMPORTANT AND TARGETED WAYS THAT HELP TO ENSURE THE SUCCESS OF THE IMPLEMENTATION STRATEGY. DURING THE PERIOD COVERED BY THIS FILING, THE PFAC WORKED ON COMMUNITY EDUCATION EVENTS RELATED TO END OF LIFE CARE; MET WITH THE SUPERINTENDENT OF PLYMOUTH SCHOOLS TO DISCUSS LEADING HEALTH CONCERNS FOR YOUTH; AND MET WITH THE PLYMOUTH DIRECTOR OF PUBLIC HEALTH TO BETTER UNDERSTAND THE HEALTH NEEDS IN THE COMMUNITY, JUST TO NAME A FEW. THE PFAC MADE IMPORTANT CONTRIBUTIONS TO REFINING THESE INITIATIVES.COMMUNITY HEALTH NEEDS ASSESSMENTCOMMUNITY HEALTH NEEDS ASSESSMENT - INTERNAL REVENUE CODE SECTION 501(R)INTERNAL REVENUE CODE (IRC) SECTION 501(R), ENACTED AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, REQUIRES EACH HOSPITAL TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND TO FORMALLY ADOPT AN IMPLEMENTATION STRATEGY PURSUANT TO FEDERAL GUIDELINES, IN ORDER MAINTAIN ITS TAX-EXEMPT STATUS AS A HOSPITAL UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. BID-PLYMOUTH COMPLETED ITS MOST RECENT NEEDS ASSESSMENT IN SEPTEMBER 2016. THE NEEDS ASSESSMENT AND ACCOMPANYING CHIP WERE APPROVED BY THE BID-PLYMOUTH BOARD OF DIRECTORS ON OR BEFORE SEPTEMBER 30, 2016. THE BID-PLYMOUTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE ASSOCIATED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP OR IMPLEMENTATION STRATEGY) WERE THE CULMINATION OF SEVERAL MONTHS OF WORK AND WERE BORNE LARGELY OUT OF BID-PLYMOUTH'S COMMITMENT TO BETTER UNDERSTAND AND ADDRESS THE HEALTH-RELATED NEEDS OF THOSE LIVING IN ITS COMMUNITY BENEFITS SERVICE AREA WITH AN EMPHASIS ON THOSE WHO ARE MOST DISADVANTAGED. THE PROJECT ALSO FULFILLED THE COMMONWEALTH ATTORNEY GENERAL'S OFFICE AND FEDERAL INTERNAL REVENUE SERVICE (IRS) REGULATIONS THAT REQUIRE THAT BID-PLYMOUTH ASSESS COMMUNITY HEALTH NEEDS, ENGAGE THE COMMUNITY, IDENTIFY PRIORITY HEALTH ISSUES, AND CREATE A COMMUNITY HEALTH STRATEGY THAT DESCRIBES HOW THE BID-PLYMOUTH, IN COLLABORATION WITH THE COMMUNITY AND LOCAL HEALTH DEPARTMENT, WILL ADDRESS THE NEEDS AND THE PRIORITIES IDENTIFIED BY THE ASSESSMENT.COMMUNITY HEALTH NEEDS ASSESSMENT - TARGETED GEOGRAPHY AND POPULATIONTHE 2016 COMMUNITY HEALTH ASSESSMENT (CHNA) FOCUSED ON PLYMOUTH AND BARNSTABLE COUNTIES, INCLUDING THE COMMUNITIES OF BOURNE, CARVER, DUXBURY, HALIFAX, KINGSTON, PEMBROKE, PLYMPTON, PLYMOUTH, MARSHFIELD, MIDDLEBORO, SANDWICH AND WAREHAM. FOCUSING BID-PLYMOUTH'S CHNA ON THIS GEOGRAPHIC AREA FACILITATED THE ALIGNMENT OF THE HOSPITAL'S EFFORTS WITH COMMUNITY AND GOVERNMENTAL PARTNERS, AND MANY COMMUNITY-BASED ORGANIZATIONS. BID-PLYMOUTH'S COMMUNITY BENEFITS PRIMARY SERVICE AREA (CBSA) INCLUDES CARVER, DUXBURY, KINGSTON, AND PLYMOUTH. THIS PRIMARY SERVICE AREA ENCOMPASSES A POPULATION OF 101,093 WITH PLYMOUTH ACCOUNTING FOR OVER HALF OF THE POPULATION (59,885). THE CHNA ANALYSIS FOCUSED ON THIS PRIMARY SERVICE AREA BUT ALSO INCLUDED SECONDARY SERVICE AREA COMPARISONS. BID-PLYMOUTH'S SECONDARY SERVICE AREA INCLUDES BOURNE, HALIFAX, MARSHFIELD, MIDDLEBOROUGH, PEMBROKE, PLYMPTON, SANDWICH, AND WAREHAM. FINDINGS FROM BID-PLYMOUTH'S FY 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, ON WHICH THIS REPORT IS BASED, SHOWED THAT THERE WERE POCKETS OF VULNERABLE AND UNDERSERVED SEGMENTS THROUGHOUT THE SERVICE AREA. THE HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH STATUS AND WELL-BEING OF THOSE LIVING THROUGHOUT THIS AREA. THE ASSESSMENT ALSO CLEARLY SHOWED THAT THE LOW INCOME AND RACIALLY/ETHNICALLY DIVERSE POPULATIONS LIVING IN THE PLYMOUTH AREA WERE THE MOST AT-RISK SEGMENTS IN THE SERVICE AREA AND, AS A RESULT, THE TOWN OF PLYMOUTH IS THE FOCAL POINT OF MOST OF THE HOSPITAL'S CHIP/IMPLEMENTATION STRATEGY.BID-PLYMOUTH'S CHIP INCLUDES NUMEROUS INITIATIVES THAT SUPPORT RESIDENTS THROUGHOUT THE SERVICE AREA TO LIVE HEALTHY, ACTIVE, INDEPENDENT, AND FULFILLING LIVES. BASED ON THE QUANTITATIVE AND QUALITATIVE FINDINGS FROM THE FY 2016 CHNA, INCLUDING AN EXTENSIVE RANGE OF COMMUNITY ENGAGEMENT ACTIVITIES, THERE WAS BROAD AGREEMENT THAT BID-PLYMOUTH'S IMPLEMENTATION STRATEGY SHOULD PRIORITIZE YOUTH, ADULTS WITH OR AT RISK OF CHRONIC PHYSICAL OR BEHAVIORAL HEALTH CONDITIONS, LOW-INCOME INDIVIDUALS AND FAMILIES, AND OLDER ADULTS. THESE DEMOGRAPHIC AND SOCIO-ECONOMIC SEGMENTS ARE MORE LIKELY TO HAVE COMPLEX NEEDS AND FACE BARRIERS TO CARE, SERVICE GAPS, AND OTHER ADVERSE SOCIAL DETERMINANTS OF HEALTH. THESE FACTORS PUT THEM AT GREATER RISK AND LIMIT THEIR ACCESS TO NEEDED SERVICES, WHICH IN TURN LEADS TO DISPARITIES IN HEALTH OUTCOMES.
|
|
COMMUNITY HEALTH NEEDS ASSESSMENT -- APPROACH AND METHODS
|
CHNA COMPLETED DURING FISCAL YEAR ENDED SEPTEMBER 30, 2016 BID-PLYMOUTH, ALONG WITH ITS AFFILIATE HOSPITALS: BETH ISRAEL DEACONESS MEDICAL CENTER, BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM AND BETH ISRAEL DEACONESS HOSPITAL - MILTON CONTRACTED WITH JOHN SNOW, INC (JSI) TO CONDUCT ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND TO FURTHER UNDERSTAND THE COMMUNITIES' UNMET HEALTH NEEDS. (SCHEDULE H PART V SECTION B QUESTION 6A). THE RESULTS OF THIS PROCESS HELPED GUIDE BID-PLYMOUTH'S EFFORTS TO IMPROVE THE HEALTH OF THE REGIONAL POPULATION SERVED. THE CHNA WAS CONDUCTED IN THREE PHASES, WHICH ALLOWED BID-PLYMOUTH TO:1. COMPILE AN EXTENSIVE AMOUNT OF QUANTITATIVE AND QUALITATIVE DATA2. ENGAGE AND INVOLVE KEY STAKEHOLDERS, BID-PLYMOUTH CLINICAL AND ADMINISTRATIVE STAFF, AND THE COMMUNITY AT-LARGE3. DEVELOP A REPORT AND DETAILED STRATEGIC PLAN4. COMPLY WITH ALL COMMONWEALTH ATTORNEY GENERAL AND FEDERAL IRS COMMUNITY BENEFITS REQUIREMENTSTHE 2016 CHNA WAS CONDUCTED IN A THREE-PHASED PROCESS. - PHASE I INVOLVED A RIGOROUS AND COMPREHENSIVE REVIEW OF EXISTING QUANTITATIVE DATA ALONG WITH QUALITATIVE DATA COLLECTION PRIMARILY THROUGH A SURVEY OF 190 PARTNERS TO CHARACTERIZE COMMUNITY NEEDS. OTHER DATA SOURCES INCLUDED: - VITAL STATISTICS, CANCER REGISTRY, COMMUNICABLE DISEASE REGISTRY, MA DPH/MASSCHIP - BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (MA DPH) - AMERICAN COMMUNITY SURVEY (US CENSUS)- PHASE II INVOLVED A MORE TARGETED ASSESSMENT OF NEED AND BROADER COMMUNITY ENGAGEMENT ACTIVITIES THAT INCLUDED LISTENING SESSIONS WITH HEALTH, SOCIAL SERVICE, AND PUBLIC HEALTH SERVICE PROVIDERS AS WELL AS FORUMS THAT INCLUDED THE COMMUNITY AT-LARGE. OTHER DATA SOURCES INCLUDED CLAIMS DATA FOR HOSPITAL INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES (CHIA) AND RESOURCE INVENTORY. ANALYSES INCLUDED COMPARATIVE BENCHMARKING AND MAPPING OF HEALTH INDICATOR DATA. - PHASE III INVOLVED A SERIES OF STRATEGIC PLANNING AND REPORTING ACTIVITIES THAT INVOLVED A BROAD RANGE OF INTERNAL AND EXTERNAL STAKEHOLDERS. THIS PHASE ALSO INCLUDED A RANGE OF COMMUNITY FORUMS, WHEREBY BID-PLYMOUTH COMMUNICATED THE RESULTS OF THE CHNA AND OUTLINED THE CORE ELEMENTS OF ITS CURRENT AND REVISED CHIP. (SCHEDULE H PART V SECTION B QUESTION 5).IN COLLECTING THIS DATA, BID-PLYMOUTH SOUGHT TO DETERMINE WHERE COMMUNITY PROGRAMS ARE ALREADY MEETING HEALTH AND WELLNESS NEEDS AND DETERMINE WHICH COMMUNITY HEALTH NEEDS REMAIN UNMET. DATA SOURCES INCLUDED A BROAD ARRAY OF PUBLICLY AVAILABLE SECONDARY DATA, INTERVIEWS WITH KEY STAKEHOLDERS, A PARTNER SURVEY OF 190 PARTNERS IN THE BID-PLYMOUTH SERVICE AREA, AND FOUR FORUMS/FOCUS GROUPS. SINCE THE BEGINNING OF THE ASSESSMENT IN EARLY OCTOBER 2015, DOZENS OF INDIVIDUALS PARTICIPATED IN INTERVIEWS AND FORUMS/FOCUS GROUPS, AND ALMOST 200 INDIVIDUALS COMPLETED A PARTNER SURVEY FOR BID-PLYMOUTH'S SERVICE AREA. THESE PARTICIPANTS INCLUDED REPRESENTATIVES FROM HEALTH AND SOCIAL SERVICE PROVIDER ORGANIZATIONS, PUBLIC HEALTH DEPARTMENTS, COMMUNITY ADVOCACY GROUPS, COMMUNITY BUSINESSES, AND MANY OTHER TYPES OF COMMUNITY ORGANIZATIONS, AS WELL AS FROM THE COMMUNITY AT-LARGE. THE INFORMATION GATHERED AS PART OF THESE EFFORTS ALLOWED JSI AND BID-PLYMOUTH TO ENGAGE THE COMMUNITY AND GAIN A BETTER UNDERSTANDING OF COMMUNITY CAPACITY, STRENGTHS, AND CHALLENGES AS WELL AS COMMUNITY HEALTH STATUS, BARRIERS TO CARE, SERVICE GAPS, UNDERLYING DETERMINANTS OF HEALTH, AND OVERALL COMMUNITY NEED. THE CHNA UTILIZED A PARTICIPATORY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. AS NOTED ABOVE, THE ASSESSMENT PROCESS INCLUDED SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS IN THE REGION AS WELL AS INFORMATION FROM COMMUNITY DIALOGUES CONDUCTED WITH COMMUNITY RESIDENTS, AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS. (SCHEDULE H, PART V, SECTION B, QUESTION 5). BID-PLYMOUTH CONDUCTED THIS CHNA PROCESS IN CONJUNCTION WITH ITS SOLE MEMBER, BETH ISRAEL DEACONESS MEDICAL CENTER, AS WELL AS THE OTHER HOSPITALS FOR WHICH BIDMC SERVES AS SOLE MEMBER, BID-MILTON AND BID-NEEDHAM. ALTHOUGH THESE HOSPITALS WORKED TOGETHER ON THE CHNA PROCESS, EACH HOSPITAL ULTIMATELY COMPILED ITS OWN INDEPENDENT CHNA AND IMPLEMENTATION STRATEGY. (SCHEDULE H, PART V, SECTION B, QUESTION 6A AND 6B).IN ADDITION TO THE METHODOLOGIES LISTED ABOVE, BID-PLYMOUTH GATHERS DATA ON AN ON-GOING BASIS THROUGH ITS SPEAKER'S BUREAU PROGRAM, HOUSECALLS, WHERE STAFF GATHER SURVEY DATA BY ASKING THOSE WHO ATTEND THE HEALTH EDUCATION PROGRAMS TO PROVIDE FEEDBACK AND IDENTIFY HEALTH-RELATED TOPICS THEY WOULD LIKE TO HEAR PRESENTED BY BID-PLYMOUTH CLINICIANS. DURING THE PERIOD COVERED BY THIS FILING, MORE THAN 190 AREA RESIDENTS PARTICIPATED IN BID-PLYMOUTH'S HOUSECALLS EDUCATIONAL PROGRAMS. TOPICS INCLUDED MAKO TECHNOLOGY FOR PARTIAL KNEE REPLACEMENT, HERNIAS, WHEN SURGERY IS NECESSARY, MIGRAINE TREATMENT OPTIONS, BACK PAIN TREATMENT AND SLEEP APNEA.THE HOSPITAL ALSO WORKS WITH A PATIENT FAMILY ADVISORY COUNCIL (PFAC). THIS COMMITTEE MEETS AT LEAST QUARTERLY AND PROVIDES FEEDBACK TO HELP MAKE IMPROVEMENTS THROUGHOUT THE HOSPITAL. EXAMPLES OF IMPROVEMENT INITIATIVES INCLUDE END OF LIFE CARE EVENT, A DISCUSSION WITH THE SUPERINTENDENT OF PLYMOUTH SCHOOLS ON THE LEADING HEALTH CONCERNS FOR YOUTH, AND MET WITH THE PLYMOUTH DIRECTOR OF PUBLIC HEALTH TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY.COMMUNITY HEALTH NEEDS ASSESSMENT - KEY FINDINGS - CHNA COMPLETED DURING FISCAL YEAR ENDED SEPTEMBER 30, 2016BID-PLYMOUTH'S CHNA IDENTIFIED THE FOLLOWING KEY HEALTH-RELATED OPPORTUNITIES:1. DECREASING ALCOHOL AND SUBSTANCE USE, INCLUDING OPIOID USE2. INCREASING ACCESS TO HEALTHY FOOD AND PHYSICAL ACTIVITY3. BETTER MANAGING MENTAL ILLNESS4. ADDRESSING THE COMMUNITY'S HIGH PREVALENCE OF CHRONIC DISEASE AND CANCER5. INCREASING SUPPORT FOR OLDER ADULTS6. ADDRESSING CONCERNS AROUND LYME DISEASE AND PNEUMONIA THE CHNA'S APPROACH AND PROCESS PROVIDED AMPLE OPPORTUNITY TO VET THE QUANTITATIVE AND QUALITATIVE DATA COMPILED DURING THE ASSESSMENT. BID-PLYMOUTH HAS FRAMED THE COMMUNITY HEALTH NEEDS UNDER THREE AREAS, WHICH TOGETHER ENCOMPASS THE BROAD RANGE OF HEALTH ISSUES FACING THE COMMUNITY. THESE THREE AREAS ARE: 1. HEALTH RISK FACTORS2. PHYSICAL DISEASE MANAGEMENT AND PREVENTION3. BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDER.BID-PLYMOUTH ALREADY LEADS AND SUPPORTS A NUMBER OF INITIATIVES UNDER THESE AREAS, AND FOR THE PERIODS FOR WHICH THIS CHNA AND ASSOCIATED CHIP WILL INFORM BID-PLYMOUTH'S COMMUNITY BENEFITS OPERATIONS (FISCAL YEARS ENDING SEPTEMBER 30, 2017, SEPTEMBER 30, 2018 AND SEPTEMBER 30, 2019), BID-PLYMOUTH WILL SEEK TO EXPAND ON THESE INITIATIVES TO FURTHER PROMOTE COMMUNITY HEALTH.
|
|
COMMUNITY HEALTH NEEDS ASSESSMENT - ADDRESSING COMMUNITY HEALTH NEEDS
|
BID-PLYMOUTH STRIVES TO ADDRESS THE PRIORITY AREAS IN ITS CHNA AND IMPLEMENTATION STRATEGY, WHICH ARE AVAILABLE ON THE BID-PLYMOUTH WEBSITE. AS NOTED THROUGHOUT THIS FORM 990 SCHEDULE H, BID-PLYMOUTH'S MOST RECENTLY COMPLETED CHNA WAS COMPLETED DURING THE FISCAL YEAR ENDING 2016 AND THE FIRST YEAR OF ACCOMPLISHMENTS UNDER THAT CHNA AND IMPLEMENTATION STRATEGY (CHIP) ARE DETAILED IN THIS NARRATIVE SUPPORT TO THE FORM 990 SCHEDULE H FOR THIS FISCAL YEAR ENDING SEPTEMBER 30, 2018. THAT CHNA AND CHIP ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT (SCHEDULE H PART V SECTION B LINE 10A):HTTP://WWW.BIDPLYMOUTH.ORG/COMMUNITY-BENEFITSIN ADDITION, THE CHNA AND CHIP WHICH WERE PREVIOUSLY COMPLETED DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 AND UNDER WHICH COMMUNITY BENEFITS ACTIVITIES WERE GUIDED FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2014, SEPTEMBER 30, 2015 AND SEPTEMBER 30, 2016 IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTP://WWW.BIDPLYMOUTH.ORG/COMMUNITY-BENEFITSBOTH DOCUMENTS ARE ALSO AVAILABLE UPON REQUEST. (SCHEDULE H, PART V, SECTION B, LINE 7A.) A SUMMARY OF BID-PLYMOUTH'S COMMUNITY BENEFITS ACTIVITIES, WHICH ADDRESS THE NEEDS IDENTIFIED IN THE CHNA COMPLETED DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2016 AND PRIORITIZED IN THE RELATED CHIP, ARE PROVIDED HERE ALONG WITH THE ENTITIES WITH WHICH THE BID-PLYMOUTH PARTNERS RELATED TO THESE EFFORTS. ALSO INCLUDED ARE THE PRIORITY AREAS THAT THESE ACTIVITIES ADDRESS, ACTIVITY GOAL STATEMENTS, AND A SUMMARY OF KEY ACCOMPLISHMENTS RELATED TO THESE ACTIVITIES IN FY 2018.HEALTHY PLYMOUTH INITIATIVEPROGRAM DESCRIPTIONBID-PLYMOUTH, WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS, HAS BROUGHT TOGETHER MORE THAN 60 COMMUNITY PARTNERS-FROM CITY OFFICIALS TO LOCAL FARMERS-TO ENVISION AND BUILD A MORE HEALTH-SUSTAINING COMMUNITY, WHERE THE HEALTHY CHOICE IS THE EASY CHOICE. BECAUSE OF THE COLLABORATIVE WORK INITIATED BY BID-PLYMOUTH, THE TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS AND OTHER COMMUNITY PARTNERS ARE FINDING NEW WAYS TO FOSTER BETTER HEALTH IN OUR COMMUNITY, LONG-TERM, AND AT A LOWER COST, THROUGH THE HEALTHY PLYMOUTH INITIATIVE. SUPPORTED BY BID-PLYMOUTH'S VICE PRESIDENT OF EXTERNAL AFFAIRS, THE HOSPITAL HAS MADE A COMMUNITY-WIDE COMMITMENT TO THE SHARED GOAL OF DEVELOPING POLICY LEVEL CHANGES THAT WILL EXPAND THE BREADTH AND IMPACT OF HEALTH INITIATIVES IN THE REGION. THIS PROGRAM BEGAN AS A POPULATION HEALTH INITIATIVE FOCUSED ON EDUCATION AND COMMUNITY WIDE FACILITATION OF HEALTHY EATING AND ACTIVE LIVING. IN FY2015, THE STATEWIDE PRIORITY AND LOCAL CRISIS OF SUBSTANCE ABUSE AND INADEQUATE BEHAVIORAL HEALTH ACCESS BECAME THE MOST PRESSING CONCERN. TODAY, SEVERAL OF THE INITIATIVES ACTIVITIES ARE FOCUSED ON THESE KEY ISSUES.IN FY 18, THE HEALTHY PLYMOUTH INITIATIVE CONDUCTED A BROAD RANGE OF ACTIVITIES IN SCHOOL AND IN COMMUNITY-BASED SETTINGS GEARED TOWARDS YOUTH. THESE INCLUDED:- MIDDLE SCHOOL AND HIGH SCHOOL ENRICHMENT ACTIVITIES- FOOD ACCESS, HEALTHY EATING, AND ACTIVE LIVING ACTIVITIES- HEALTH EDUCATION AND HEALTH PROMOTION ACTIVITIES- EMPLOYMENT AND JOB READINESS ACTIVITIESHOSPITAL PRIORITY- PHYSICAL DISEASE MANAGEMENT AND PREVENTION- HEALTH RISK FACTORS- BEHAVIORAL HEALTHSTATEWIDE PRIORITY- CHRONIC DISEASE MANAGEMENT IN DISADVANTAGED POPULATIONS- PROMOTING WELLNESS OF VULNERABLE POPULATIONS- REDUCING HEALTH DISPARITYPROGRAM TYPE- COMMUNITY EDUCATION- COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE- HEALTHY COMMUNITIES PARTNERSHIP- OUTREACH TO UNDERSERVED, PREVENTION- SCHOOL/HEALTH CENTER PARTNERSHIPTARGET POPULATIONREGIONS SERVED: COUNTY - PLYMOUTH, TOWNS - PLYMOUTHTARGET POPULATIONS: MEDICALLY UNDERSERVED, THE POOR, YOUTH AT RISKHEALTH INDICATOR: OBESITY, HEART DISEASE, LUNG DISEASE, CANCER, DIABETES, NUTRITIONSEX: ALL AGE GROUP: YOUTH AT RISKETHNIC GROUP: ALL LANGUAGE: ENGLISHPARTNERS- TERRA CURA, INC.- PLYMOUTH PUBLIC SCHOOLS- ZION LUTHERAN CHURCH- LORING LIBRARY- NEW ENGLAND VILLAGES- ALGONQUIN HEIGHTS HOUSING COMPLEX- COLCHESTER FARM- PLYMOUTH AREA DEPARTMENT OF DEVELOPMENTAL SERVICESGOAL 1: PPS/VPA COFFEE HOUSE: TO CREATE A WELCOMING ENVIRONMENT AND PUBLIC FORUM FOR PLYMOUTH MIDDLE AND HIGH SCHOOL STUDENTS TO PERFORM FOR PEERS AND THE PUBLIC IN 6 SCHEDULED EVENTS THROUGHOUT THE SCHOOL YEAR. THE PRIMARY AIMS OF THESE ACTIVITIES ARE TO PROMOTE TALENT AND DEVELOP CONFIDENCE AND SELF-AWARENESS.GOAL STATUS: ORGANIZED AND PRESENTED SIX COFFEE HOUSE EVENTS; FOUR HELD AT THE HIGH SCHOOLS AND TWO AT THE MIDDLE SCHOOLSGOAL 2: ALGONQUIN HEIGHTS/COLCHESTER FARM MARKET PROGRAM: TO DEVELOP A COLLABORATIVE, MULTI-AGENCY PROGRAM THAT PROMOTES SUMMER EDUCATION AND EMPLOYMENT OPPORTUNITIES FOR INCOME ELIGIBLE TEENS AT A LOCAL INCLUSIVE FARM WHILE AT THE SAME TIME CREATING A SUBSIDIZED FARMER'S MARKET FOR LOW INCOME RESIDENTS IN PLYMOUTH'S PUBLIC HOUSING COMPLEX. THE PROJECT WAS CONDUCTED IN PARTNERSHIP WITH TERRA CURA, INC., ALGONQUIN HEIGHTS HOUSING COMPLEX, NEW ENGLAND VILLAGES/COLCHESTER FARM, AND THE PLYMOUTH AREA DEPARTMENT OF DEVELOPMENTAL SERVICES.GOAL STATUS: ENGAGED FIVE INCOME-ELIGIBLE TEENS TO PARTICIPATE IN SUMMER EDUCATIONAL AND EMPLOYMENT OPPORTUNITIES AT COLCHESTER FARM AND PROVIDED 40 LOW INCOME HOUSEHOLDS FROM ALGONQUIN HEIGHTS HOUSING COMPLEX WITH $20 WORTH OF FRESH PRODUCEGOAL 3: AMAZING RACE: TO LAUNCH AN ANNUAL FUNDRAISER THAT PROMOTES HEALTHY ACTIVITIES, TEAMWORK, EDUCATION AND LOCAL CULTURE, WHILE RAISING FUNDS TO SUPPORT SCHOOL GARDEN INITIATIVE AND THE PEER HELPER MENTORSHIP PROGRAM.GOAL STATUS: THIRTY-FOUR (34) TEAMS OF FOUR PARTICIPATED IN THE AMAZING RACE FUNDRAISER, ENGAGING PHYSICAL, EDUCATIONAL AND MENTAL CHALLENGES IN LOCATIONS THROUGHOUT PLYMOUTH. THEY RAISED OVER $27,000 THROUGH FEES, DONORS, SPONSORS AND AN ONLINE AUCTION. NET FUNDS WILL SUPPORT THE HIRE OF PART TIME MULTI-SCHOOL GARDEN COORDINATORS TO ENHANCE GARDEN PROGRAMS ACROSS ALL SUBJECTS AND THE LAUNCH OF AN AFTER SCHOOL PEER HELPER PILOT FOR GRADES 6 AND 7 AT PLYMOUTH SOUTH MIDDLE SCHOOLGOAL 4: APRIL VACATION WEEK ENRICHMENT ACTIVITIES: TO CREATE POSITIVE ENRICHMENT ACTIVITIES FOR 6TH, 7TH, AND 8TH GRADERS IN PLYMOUTH BY IMPLEMENTING A FULL ROSTER OF PHYSICAL, CREATIVE, EDUCATIONAL AND SELF-AWARENESS ACTIVITIES. THE PROGRAM TOOK PLACE AT ZION LUTHERAN CHURCH AND LORING LIBRARY, MONDAY-FRIDAY FROM 10AM TO 4PM, DURING APRIL VACATION WEEK. 25 VOLUNTEERS HELPED TO ORGANIZE AND MANAGE ACTIVITIES THROUGHOUT THE WEEK, INCLUDING MUSIC, ART, CRAFTS, FITNESS, MINDFULNESS AND COOKING ACTIVITIES. YOUTH ALSO EXPLORED CAREER CHOICES AND RECEIVED EDUCATION RELATED TO RISKY BEHAVIORS AND POSITIVE COPING SKILLS. WORKING PARENTS/GUARDIANS BENEFIT FROM ACTIVE FREE PROGRAMMING RATHER THAN HAVING CHILDREN ALONE AT HOME OR WITH PAID PROVIDERS.GOAL STATUS: 190 6TH, 7TH, AND 8TH GRADERS PARTICIPATED IN THE PROGRAM, UP FROM 145 IN FY 2017GOAL 5: PERMACULTURE SCHOOL GARDEN CLUBS: TO PROMOTE AFTER SCHOOL ENRICHMENT ACTIVITIES AND PROMOTE ENGAGEMENT IN THE SCHOOL COMMUNITY BY PROVIDING OPPORTUNITIES FOR STUDENTS TO EXPERIENCE NATURE AND LEARN ABOUT GROWING, HARVESTING AND CONSUMING FOOD. ACTIVITIES ALSO PREVENTED STUDENTS FROM ENGAGING IN RISKY BEHAVIORS AFTER SCHOOL. GARDENS ARE LOCATED IN EVERY PLYMOUTH PUBLIC SCHOOL AND THE PLYMOUTH EARLY CHILDHOOD CENTER. GOAL STATUS: 150 STUDENTS ATTENDED THE PERMACULTURE SCHOOL GARDEN CLUB AFTER SCHOOL PROGRAM IN EIGHT ELEMENTARY SCHOOLSGOAL 6: PEER HELPER PROGRAM: TO DEVELOP A MENTORSHIP PROGRAM THAT PROMOTES POSITIVE INTER-GENERATIONAL INTERACTIONS, RESPECT AND TOLERANCE BETWEEN MIDDLE SCHOOL AND ELEMENTARY SCHOOL CHILDREN. MIDDLE SCHOOL CHILDREN WERE LINKED TO KINDERGARTENERS THROUGH SECOND GRADERS AND ASSISTED THEM WITH READING AND MATH SKILLS VIA AN AFTER-SCHOOL PROGRAM. OLDER STUDENTS DEVELOPED LEADERSHIP SKILLS AND BECAME ROLE MODELS FOR YOUNGER STUDENTS. YOUNGER STUDENTS BENEFITED FROM TUTORING. GOAL STATUS: 121 MIDDLE SCHOOL STUDENTS PARTICIPATED IN MENTORING ACTIVITIES WITH ELEMENTARY SCHOOL CHILDRENGOAL 7: HEALTHY MARKETS. TO CONTINUE TO SUPPORT FOUR HEALTHY MARKETS IN PLYMOUTH BY ROUTINELY CHECKING THEIR INVENTORY AND LABELING FOR HEALTHY OPTIONSGOAL STATUS: FOUR (4) HEALTHY MARKETS WERE MAINTAINED IN PLYMOUTH. HEALTHY OPTIONS WERE UPDATED MONTHLY. NEW HEALTHY RECIPE CARDS WERE PRINTED AND PLACED ON THE COUNTERS FOR THE PUBLIC TO TAKE WHEN DECIDING WHICH PRODUCTS TO PURCHASE.
|
|
ACCESS TO CARE - UNINSURED AND UNDERINSURED
|
PROGRAM DESCRIPTIONBID-PLYMOUTH WORKED WITH THE STATE TO COMMUNICATE NEW HEALTH COVERAGE PLANS FOR THE UNINSURED AND ENROLL THOSE WHO QUALIFY. FINANCIAL COUNSELORS SCREENED AND ENROLLED PATIENTS FOR MASSHEALTH, HEALTH SAFETY NET, MEDICAL HARDSHIP AND COMMONWEALTH CARE. HOSPITAL PRIORITY- PHYSICAL DISEASE MANAGEMENT AND PREVENTION- HEALTH RISK FACTORS- BEHAVIORAL HEALTHSTATEWIDE PRIORITY- CHRONIC DISEASE MANAGEMENT- MENTAL HEALTH- SUBSTANCE USEPROGRAM TYPE- DIRECT SERVICETARGET POPULATIONREGIONS SERVED: COUNTIES - PLYMOUTH, BRISTOL, BARNSTABLE, DUKESCITIES/TOWNS - 48 UNSPECIFIED TOWNSTARGET POPULATIONS: MEDICALLY UNDERSERVEDHEALTH INDICATOR: CHILD CARE, BEREAVEMENT, HOSPICESEX: ALLAGE GROUP: PRENATAL TO 19 YEARS OLDETHNIC GROUP: ALLLANGUAGE: ENGLISHPARTNERS- MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH- MASSHEALTH- EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICESGOAL 1: PROVIDE FREE FINANCIAL ASSISTANCE COUNSELING TO UNINSURED AND UNDERINSURED RESIDENTS AND ENROLL THEM IN ENTITLEMENT PROGRAMS.GOAL STATUS: STAFF ENROLLED 9,152 PATIENTS INTO ENTITLEMENT PROGRAMSBID-PLYMOUTH BELIEVES THAT THIS IS A VERY IMPORTANT COMMUNITY BENEFIT ACTIVITY AND AS SUCH, THE DETAILS ARE INCLUDED HERE TO THE FORM 990 SCHEDULE H NARRATIVE. IN ACCORDANCE WITH THE INSTRUCTIONS TO THE FORM 990, THE COSTS ASSOCIATED WITH FINANCIAL COUNSELORS HAVE NOT BEEN INCLUDED IN THE QUANTIFICATION ON FORM 990 SCHEDULE H LINE 7E.THE HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT TO HELP ENSURE THAT THE COMMUNITY CAN ACCESS PRIMARY CARE AND CERTAIN SPECIALTY CARE. DURING THE PERIOD COVERED BY THIS FILING, BID-PLYMOUTH PROVIDED $ 4,058,702 FOR SUCH ACTIVITIES AND THIS AMOUNT IS INCLUDED IN THIS FORM 990 SCHEDULE H PART I LINE 7G. IN ADDITION, AS NOTED THROUGHOUT THIS FILING, FOR THE PERIOD COVERED BY THIS FILING, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) SERVED AS THE SOLE MEMBER OF BID-PLYMOUTH AND MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG). APG ALSO WORKS WITH BID-PLYMOUTH TO PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE IN THE COMMUNITIES SERVED BY BID-PLYMOUTH AND DURING THE PERIOD COVERED BY THIS FILING, THE MEDICAL CENTER PROVIDED AN ADDITIONAL $158,022 OF SUPPORT RELATED TO THESE ACTIVITIES, BUT AS REQUIRED BY THIS FORM 990 SCHEDULE H, THIS AMOUNT HAS NOT BEEN REPORTED ON BID-PLYMOUTH'S SCHEDULE H PART I LINE 7G. ACCESS PROGRAMPROGRAM DESCRIPTIONTHE AIDS COMPREHENSIVE, CARE, EDUCATION, AND SUPPORT SERVICES PROGRAM (ACCESS PROGRAM) PROVIDES FREE AND ANONYMOUS HIV TESTING, MEDICAL CARE, PREVENTION EDUCATION, AND SUPPORT SERVICES TO PEOPLE LIVING WITH HIV/AIDS IN PLYMOUTH AND SURROUNDING TOWNS. PATIENTS MAY RECEIVE PRIMARY CARE SERVICES, INCLUDING PHYSICAL EXAMINATIONS; TREATMENT SERVICES AND PLANNING; LABORATORY TESTING; IMMUNIZATIONS AND SCREENING; ANTIVIRAL MEDICATIONS; REFERRALS TO SPECIALTY CARE AND CLINICAL TRIALS; AND MEDICAL CASE MANAGEMENT.THE FEDERAL RYAN WHITE CARE ACT (TITLE III) GRANT FOR EARLY INTERVENTION SERVICES PROVIDES FUNDING FOR THESE SERVICES. THE CARE ACT IS FUNDED THROUGH THE AIDS BUREAU OF THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA).HOSPITAL PRIORITY- PHYSICAL DISEASE MANAGEMENT AND PREVENTION- HEALTH RISK FACTORSSTATEWIDE PRIORITY- CHRONIC DISEASE MANAGEMENT IN DISADVANTAGED POPULATIONS- PROMOTING WELLNESS OF VULNERABLE POPULATIONSPROGRAM TYPE- DIRECT SERVICETARGET POPULATIONREGIONS SERVED: COUNTIES - PLYMOUTH, BARNSTABLE CITIES/TOWNS - ABINGTON, BOURNE, BRAINTREE, BRIDGEWATER, BUZZARDS BAY, CARVER, DARTMOUTH, DUXBURY, HALIFAX, HOLLISTON, HYANNIS, KINGSTON, LAKEVILLE, MARION, MARSHFIELD, MASHPEE, MIDDLEBORO, NEW BEDFORD, PEMBROKE, PLYMOUTH, PLYMPTON, ROCKLAND, SANDWICH, SALEM, SCITUATE, TRUROTARGET POPULATIONS: THE POOR, ELDERLY, LGBT, MEN WHO HAVE SEX WITH MEN (MSM), INTRAVENOUS DRUG USERS, HETEROSEXUALS, YOUTH, HIV+ NOT IN CARE, LOW-INCOME, NEWLY INFECTED WITH HIVHEALTH INDICATOR: OTHER (HIV/AIDS)SEX: ALL AGE GROUP: ADULTETHNIC GROUP: ALL LANGUAGE: ENGLISHPARTNERS- PLYMOUTH RESOURCE CENTER- BID-PLYMOUTH BEHAVIORAL HEALTH TEAM- BPHC DENTAL HEALTH PROGRAM- CLEAN STATE- HARBOR HEALTH- HIGH POINT OUTPATIENT TREATMENT SERVICES- PLYMOUTH FAMILY PLANNING- FATHER BILL'S AND MAINSPRING- THE BRIDGE- HABILITATION ASSISTANCEGOAL 1: TO ENROLL AT LEAST FIVE CLIENTS INTO CARE DURING THE GRANT YEAR.GOAL STATUS: ENROLLED 12 NEW CLIENTS PROVIDING THEM WITH FREE AND ANONYMOUS HIV TESTING, MEDICAL CARE, PREVENTION EDUCATION, AND SUPPORT SERVICES TO PEOPLE LIVING WITH HIV/AIDS IN PLYMOUTH AND SURROUNDING TOWNSGOAL 2: INCREASE NUMBER OF PEOPLE TESTED FOR HIVGOAL STATUS: TESTED 30 PEOPLE IN 2018 AND OF THE 30, NOT ONE HAD HIVGOAL 3: MAINTAIN VIRAL SUPPRESSION IN 95% OF OUR CLIENTSGOAL STATUS: ABLE TO MAINTAIN VIRAL SUPPRESSION IN 95% OF OUR CLIENTSDURING THE PERIOD COVERED BY THIS FILING, BID-PLYMOUTH PROVIDED OVER $350,000 IN CARE AND SERVICES RELATED TO ACCESS AND THE COSTS ASSOCIATED WITH THIS ACTIVITY HAVE BEEN REPORTED IN THIS FORM 990 SCHEDULE H PART I LINE 7E, COLUMN C. GRANT FUNDS RECEIVED WHICH ENABLE BID-PLYMOUTH TO PROVIDE THESE SERVICES TO THE COMMUNITY HAVE SIMILARLY BEEN REPORTED IN THIS FORM 990 SCHEDULE H PART I LINE 7E, COLUMN D AS REVENUE RECEIVED. AS SUCH, THE NET COMMUNITY BENEFIT CALCULATED IN THIS FORM 990 SCHEDULE H PART I LINE 7E, DOES NOT INCLUDE THE COST OF THESE ACTIVITIES. CANCER PATIENT SUPPORT PROGRAMPROGRAM DESCRIPTIONA CANCER DIAGNOSIS OFTEN CREATES FINANCIAL AND EMOTIONAL STRESS FOR PATIENTS AND FAMILIES. THE CANCER PATIENT SUPPORT PROGRAM IDENTIFIES CANCER PATIENTS WITH EXTREME EMOTIONAL AND FINANCIAL HARDSHIP AND MATCHES THEM WITH COUNSELING AND FINANCIAL SUPPORT WHEN POSSIBLE. THIS PROGRAM IS FREE TO CANCER PATIENTS WHENEVER SOURCES OF SUPPORT ARE AVAILABLE.BID-PLYMOUTH PROVIDES SUPPORT FOR PATIENTS AND FAMILIES THROUGH A SOCIAL WORKER, RESOURCE NURSE, AND NURSE NAVIGATOR. THIS TEAM PROVIDES COUNSELING, SUPPORT, AND WORKS TO FIND RESOURCES TO HELP ALLEVIATE OUT-OF-POCKET EXPENSES TYPICALLY NOT COVERED BY INSURANCE. THE TEAM MAY ALSO HELP TO FIND FUNDING SOURCES TO COVER THE COST OF HOUSEHOLD EXPENSES (E.G., GROCERIES, CAR PAYMENTS, HEATING, AND ELECTRIC).FINALLY, THIS PROGRAM FINDS RESOURCES TO PROMOTE CANCER SCREENINGS AND EDUCATION ABOUT WELLNESS AND PREVENTION TO HELP KEEP THE COMMUNITY HEALTHIER AND DECREASE RISK FACTORS THAT ARE ASSOCIATED WITH A CANCER DIAGNOSIS.HOSPITAL PRIORITY- PHYSICAL DISEASE MANAGEMENT AND PREVENTION- HEALTH RISK FACTORSSTATEWIDE PRIORITY- CHRONIC DISEASE MANAGEMENT IN DISADVANTAGED POPULATIONS PROGRAM TYPE- DIRECT SERVICETARGET POPULATIONREGIONS SERVED: COUNTIES - PLYMOUTH, BARNSTABLE, NORFOLK, DUKES, BRISTOLCITIES/TOWNS - 50 UNSPECIFIED TOWNSTARGET POPULATIONS: OTHER (PEOPLE WITH OR AT RISK FOR CANCER)HEALTH INDICATOR: OTHER (CANCER)SEX: ALLAGE GROUP: ALLETHNIC GROUP: ALLLANGUAGE: ENGLISHPARTNERS- JOE ANDRUZZI FOUNDATION- ELLI FUND- CABBIES- KEVILLE FOUNDATION- SCORE FOR A CURE- RALLY FOR A CAUSE- DUXBURY GRIDIRON CLUBGOAL 1: CONTINUE TO USE A SCREENING TOOL TO EVALUATE NEED FOR PSYCHOSOCIAL AND FINANCIAL SUPPORT, AND HELP FAMILIES FILL OUT FORMS FOR GRANTS FROM OUR FINANCIAL SUPPORT PARTNERSGOAL STATUS: SCREENED 450 PATIENTS/FAMILIES; 250 OF THOSE SCREENED WERE PROVIDED FUNDS THROUGH OUR PARTNERSGOAL 2: PROVIDE ANNUAL FREE SKIN CANCER SCREENINGS AND SUN EXPOSURE AWARENESS TO 100 PEOPLEGOAL STATUS: SCREENED 100 PEOPLE. 23 OUT OF THE 100 WERE REFERRED TO THEIR PRIMARY CARE PHYSICIAN AND OF THE 23, 15 WERE REFERRED FOR A BIOPSYGOAL 3: TO EVALUATE THE FACTORS OF DISTRESS IN OUR PATIENT POPULATION AND REVIEW SERVICES AVAILABLE TO MEET THE NEEDS OF THIS GROUP.GOAL STATUS: EVALUATED 450 PATIENTS AND PROVIDED THEM A LIST OF SERVICES TO HELP MEET THEIR NEEDS. THESE INCLUDE: PARTNERING WITH ACS, AS WELL AS MENTORING, EDUCATIONAL TOOLS, ROAD TO RECOVERY AND PARTICIPATION IN RELAY FOR LIFE. THE CANCER CENTER SPONSORS KEEP IT MOVING BOOT CAMP, A WEEKLY YOGA CLASS, AND WRITING GROUPSGOAL 4: OFFER 30 FREE SCREENINGS TO WOMEN EVERY OTHER MONTH, INCLUDING PAP SMEARS AND MAMMOGRAMSGOAL STATUS: SCREENED 48 WOMENGOAL 5: CONTINUE TO PROVIDE WEEKLY SUPPORT GROUPS TO PATIENTS, WITH 10 ATTENDEES EACH WEEKGOAL STATUS: PROVIDED SUPPORT GROUPS FOR OVER 20 ATTENDEES EACH WEEK THROUGH VARIOUS SUPPORT GROUPSGOAL 6: HOST 4TH BIANNUAL WOMEN'S HEALTH SYMPOSIUM FOR WOMEN TO EDUCATE AND INFORM THEM ON THE LATEST IN BREAST HEALTH; EVENT WAS FREE AND OPEN TO THE PUBLIC. DINNER WAS INCLUDED.GOAL STATUS: HOSTED THE BIANNUAL WOMEN'S HEALTH SYMPOSIUM WITH 400 WOMEN IN ATTENDANCE.
|
|
PEDIATRIC PALLIATIVE CARE
|
PROGRAM DESCRIPTIONTHE FRAGILE FOOTPRINTS PEDIATRIC PALLIATIVE CARE PROGRAM IS PART OF THE MASSACHUSETTS PEDIATRIC CARE NETWORK, ADMINISTERED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, DIVISION FOR PERINATAL, EARLY CHILDHOOD, AND SPECIAL HEALTH NEEDS. THROUGH THIS PROGRAM, BID-PLYMOUTH PROVIDES MEDICAL CASE MANAGEMENT AND SUPPORT SERVICES FOR CHILDREN WITH POTENTIALLY LIFE-LIMITING ILLNESSES AND THEIR FAMILIES. AN INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS, CHILD LIFE SPECIALISTS, SPIRITUAL CARE, COMPLEMENTARY THERAPY, EXPRESSIVE ARTS PRACTITIONERS, AND TRAINED VOLUNTEERS COLLABORATE TO DESIGN CARE PLANS THAT COORDINATE AND AUGMENT EXISTING SERVICES BEING RECEIVED. THROUGH THIS COLLABORATIVE APPROACH, FRAGILE FOOTPRINTS WORKS TO ADDRESS THE ISSUES COMMONLY EXPERIENCED BY FAMILIES OF MEDICALLY FRAGILE CHILDREN, INCLUDING STRESS, ANXIETY, ISOLATION, FINANCIAL HARDSHIP, RELATIONSHIP ISSUES, AND INTERRUPTION OF DAILY ROUTINES. HOSPITAL PRIORITY- PHYSICAL DISEASE MANAGEMENT AND PREVENTION- HEALTH RISK FACTORS STATEWIDE PRIORITY- CHRONIC DISEASE MANAGEMENT IN DISADVANTAGED POPULATIONS PROGRAM TYPE- DIRECT SERVICE TARGET POPULATIONREGIONS SERVED: COUNTIES - PLYMOUTH, BRISTOL, BARNSTABLE, DUKESCITIES/TOWNS - 48 UNSPECIFIED TOWNSTARGET POPULATIONS: MEDICALLY UNDERSERVEDHEALTH INDICATOR: CHILD CARE, BEREAVEMENT, HOSPICESEX: ALLAGE GROUP: PRENATAL TO 19 YEARS OLDETHNIC GROUP: ALLLANGUAGE: ENGLISHPARTNERS- MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH- PEDIATRIC PALLIATIVE CARE NETWORK GOAL 1: INCREASE OUTREACH TO 75 FAMILIES AND REDUCE WAITING LIST FROM 30 TO 20 IN FY18GOAL STATUS: INCREASED OUTREACH TO SERVE 77 FAMILIES AND REDUCED WAITING LIST FROM 30 TO 14 FAMILIESGOAL 2: EXPAND SCOPE OF SERVICES TO INCLUDE MUSIC THERAPY AND AROMA TOUCH FOR VERY YOUNG AND SIGNIFICANTLY IMPAIRED POPULATIONS AND THEIR CAREGIVERSGOAL STATUS: EXPANDED SCOPE OF SERVICES TO INCLUDE AN EXPRESSIVE THERAPIST WHO PROVIDES MUSIC AND ART THERAPY AND A CERTIFIED AROMA THERAPIST (RN) TO PROVIDE COMFORT AND RELAXATION SERVICES (IN ADDITION TO CONTRACTS WITH SOUTH SHORE CONSERVATORY AND SOUND JOURNEY)GOAL 3: EXPAND COMMUNITY COLLABORATIONS TO MAKE FAMILY AND GROUP PROGRAMS (E.G., RED SOX OUTINGS, BOWLING, SUMMER PROGRAM, MOTHER'S DAY EVENT, HOLIDAY PARTY, TRIPS TO ZOO AND FARM) MORE ACCESSIBLE THROUGHOUT THE SERVICE AREAGOAL STATUS: SECURED PRIVATE DONATIONS TO MAKE FAMILY AND GROUP PROGRAMS MORE ACCESSIBLE. DONATIONS WERE A RESULT OF COLLABORATIONS WITH THE ST. MARY'S CHURCH OF SCITUATE, DUXBURY SENIOR CENTER, THE VILLAGE OF DUXBURY, HOPE FLOATS HEALING AND WELLNESS CENTER, AND THE YAWKEY FOUNDATIONSMOKING CESSATIONPROGRAM DESCRIPTIONFROM OFFERING EDUCATION ON THE DANGERS OF TOBACCO USE, TO ITS SMOKE FREE CAMPUS, BID-PLYMOUTH HAS LONG BEEN A LEADER IN TOBACCO PREVENTION. SINCE 2013, THE HOSPITAL HAS TAKEN PREVENTION TO A NEW LEVEL BY DEVELOPING A FORMALIZED SYSTEM-WIDE APPROACH TO CONNECTING WITH TOBACCO USERS WHO WANT TO QUIT, AND MAKING IT EASIER FOR THEM TO REACH THEIR GOALS. THIS SYSTEM ESTABLISHES CONSISTENT METHODS TO SCREEN FOR SMOKING STATUS OR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), A LEADING CAUSE OF HOSPITALIZATIONS IN THE REGION. THROUGHOUT FY18, BID-PLYMOUTH AND COMMUNITY PARTNERS WORKED WITH PATIENTS IN THE COMMUNITY TO REDUCE SMOKING. PROVIDERS HAVE ENCOURAGED THE USE OF PHARMACOLOGIC AND NON-PHARMACOLOGIC OPTIONS TO ASSIST WITH SMOKING CESSATION. ANECDOTAL REPORTS SUGGEST THE TREND OF PRESCRIBING CESSATION AIDS APPEARS TO HAVE INCREASED. THE CLINICAL PATHWAYS COMMITTEE IS WORKING WITH INDUSTRY PARTNERS TO COLLECT YEAR-OVER-YEAR DATA TO SUPPORT THIS PROCESS. BID-PLYMOUTH EXPANDED ITS EFFORTS TO INFORM PHYSICIANS ABOUT THE QUITTER'S TOBACCO TREATMENT PROGRAM, MAKING THE ENROLLMENT PROCESS EASIER FOR PATIENTS. THE SUCCESSFUL QUITTERS PROGRAM IS FACILITATED BY A CERTIFIED TOBACCO TREATMENT SPECIALIST (TTS). THE 6-WEEK COURSE INTRODUCES INTERACTIVE TECHNIQUES, RELAXATION, VISUALIZATION, AND EDUCATION TO HELP PARTICIPANTS LEARN WHY THEY SMOKE, WHAT HAPPENS WHEN THEY QUIT, HOW TO HANDLE CRAVINGS AND WITHDRAWAL, AND HOW TO AVOID RELAPSE. SESSIONS ARE AVAILABLE IN ONE-TO-ONE OR GROUP SETTINGS. RESEARCH SHOWS THIS MULTIFACETED APPROACH TO BE HIGHLY EFFECTIVE IN HELPING USERS KICK THE HABIT. THE PROGRAM REPRESENTS THE HOSPITAL'S COMMITMENT TO BETTER HEALTHCARE FOR EVERYONE - STANDARDIZING AN APPROACH TO ADDRESS KEY HEALTH CONCERNS AND ENSURING PATIENTS ACROSS PLYMOUTH COUNTY RECEIVE RELIABLE, EFFECTIVE TREATMENT. THIS PROGRAM PROVIDES ONE EXAMPLE OF BID-PLYMOUTH'S COMMITMENT TO FINDING NEW WAYS TO MANAGE RESOURCES AND IMPROVE CARE COMMUNITYWIDE, WHILE CONTROLLING HEALTHCARE COSTS.HOSPITAL PRIORITY- PHYSICAL DISEASE MANAGEMENT AND PREVENTION- HEALTH RISK FACTORS STATEWIDE PRIORITY- CHRONIC DISEASE MANAGEMENT PROGRAM TYPE- COMMUNITY EDUCATION- DIRECT SERVICE TARGET POPULATIONREGIONS SERVED: COUNTIES - PLYMOUTH, BARNSTABLECITIES/TOWNS - BOURNE, CARVER, DUXBURY, HALIFAX, KINGSTON, LAKEVILLE, PEMBROKE, PLYMOUTH, PLYMPTON, MARSHFIELD, MIDDLEBORO, SANDWICH, WAREHAMTARGET POPULATIONS: ADULTS, LOW INCOME, OTHER (PEOPLE WHO SMOKE)HEALTH INDICATOR: (OTHER) CANCERSEX: ALLAGE GROUP: ADULTSETHNIC GROUP: ALLLANGUAGE: ENGLISHPARTNERS- AFFILIATED PHYSICIAN GROUP (2018 AND 2019)- PLYMOUTH BAY MEDICAL ASSOCIATES (2018 AND 2019)- PMG ASSOCIATES, ATRIUS HEALTH GROUP (2019)GOAL 1 (FY18): ENCOURAGE AND INCREASE THE NUMBER OF PATIENTS TO ENROLL IN QUITTER'S SMOKING CESSATION PROGRAM BY 2%GOAL STATUS: THREE PERCENT (9 OUT OF 352) OF PATIENTS WERE REFERRED TO THE TOBACCO TREATMENT SPECIALIST AND ENROLLED IN QUIT SESSIONS. THIS NUMBER IS A DECREASE FROM 2017, WHERE 5% (16 OF 328) PATIENTS ENROLLEDGOAL 2 (FY18): RESPIRATORY THERAPISTS WILL ASSESS 95% OF SMOKERS WITH INTENT TO QUIT TO INCREASE THE NUMBER OF PATIENTS WHO WOULD LIKE TO BE CONTACTED BY THE TTS TO JOIN THE QUITTER'S PROGRAMGOAL STATUS: 92% OF INPATIENT SMOKERS WERE ASSESSED BY A RESPIRATORY THERAPIST; 20% OF PATIENTS ASSESSED BY THE RESPIRATORY THERAPIST REQUESTED CONTACT FROM A TTSGOAL 3 (FY18): PROVIDE QUITTER'S PROGRAM BROCHURES TO PRIMARY CARE OFFICES AFFILIATED WITH BID-PLYMOUTH AND INPATIENTS ASSESSED BY RESPIRATORY THERAPISTS. PROVIDERS SHOULD EXPLAIN THE BENEFIT OF THE QUITTER'S PROGRAM AND ENCOURAGE CESSATIONGOAL STATUS: 1500 BROCHURES WERE PROVIDED TO PRIMARY CARE AFFILIATES AND 1800 BROCHURES WERE DISTRIBUTED TO INPATIENTSBID-PLYMOUTH HOUSE CALLSPROGRAM DESCRIPTIONBID-PLYMOUTH LAUNCHED HOUSECALLS IN 2005 AS AN EDUCATIONAL SPEAKER SERIES THAT BRINGS IMPORTANT HEALTH AND PREVENTION INFORMATION TO THE COMMUNITY. BID-PLYMOUTH PHYSICIANS AND OTHER HEALTH CARE PROVIDERS PROVIDE REGULAR HEALTH INFORMATION SEMINARS AT VARIOUS LOCATIONS THROUGHOUT THE 12-TOWN BID-PLYMOUTH SERVICE AREA. ALL HOUSECALLS EVENTS ARE ONE HOUR AND ALLOW ATTENDEES TO ASK QUESTIONS. THE COMMUNITY BENEFITS STAFF COLLECTS DATA THROUGH AN EVALUATION THAT ATTENDEES COMPLETE AT THE END OF EACH LECTURE. THE EVALUATION INCLUDES QUESTIONS PROBING ON WHAT THEY THOUGHT ABOUT THE LECTURE, WHAT OTHER TOPICS THEY ARE INTERESTED IN, AND HOW THEY HEARD ABOUT THE LECTURE.ALL HOUSECALLS EVENTS ARE FREE AND OPEN TO THE PUBLIC. HOSPITAL PRIORITY- PHYSICAL DISEASE MANAGEMENT AND PREVENTION STATEWIDE PRIORITY- ADDRESS UNMET NEEDS OF THE UNDERSERVED, PROMOTING WELLNESS OF VULNERABLE POPULATIONSPROGRAM TYPE- COMMUNITY EDUCATIONTARGET POPULATIONREGIONS SERVED: COUNTY-PLYMOUTHTOWNS SERVED: ALL TOWNS IN BETWEEN PEMBROKE TO THE CAPETARGET POPULATIONS: ELDERLY, CHRONICALLY ILLHEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: BACK PAIN, OTHER: MIGRAINE TREATMENT; OTHER: NUTRITION, OTHER: SLEEP APNEA, OTHER: KNEE PAIN, OTHER: HERNIA AND SPORTS INJURY PREVENTION SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ENGLISHGOAL 1: TO EDUCATE COMMUNITY RESIDENTS ON HEALTH TOPICS RELEVANT TO THEM IN A LOCATION CLOSE TO THEIR HOME AT NO COST. THESE EVENTS HELP TO ENSURE THAT COMMUNITY RESIDENTS HAVE THE MOST UP-TO-DATE HEALTH INFORMATION AVAILABLE ON ISSUES CRITICAL TO THEIR HEALTH AND WELL-BEING, INCLUDING INFORMATION ON HEALTH PROMOTION AND WELLNESS, CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH AND SUBSTANCE USE.GOAL STATUS: MORE THAN 190 AREA RESIDENTS PARTICIPATED IN BID-PLYMOUTH'S HOUSECALLS FY 2018 LECTURES INCLUDED SESSIONS ON TOTAL KNEE REPLACEMENT, BACK PAIN MANAGEMENT, CAUSES AND SOLUTIONS FOR BACK PAIN, HERNIAS AND WHEN SURGERY IS NECESSARY, MIGRAINE TREATMENT OPTIONS, AND SLEEP APNEATHREE PERCENT (9 OUT OF 352) OF PATIENTS WERE REFERRED TO THE TOBACCO TREATMENT SPECIALIST AND ENROLLED IN QUIT SESSIONS. THIS NUMBER IS A DECREASE FROM 2017, WHERE 5% (16 OF 328) PATIENTS ENROLLED.
|
|
BEHAVIORAL HEALTH INTEGRATION
|
PROGRAM DESCRIPTIONIN 2013, THE HOSPITAL CONDUCTED A BEHAVIORAL HEALTH ASSESSMENT TO IDENTIFY BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY-ASSESSING CURRENT SERVICES, IDENTIFYING SERVICE GAPS, AND IDENTIFYING POTENTIAL SERVICE OPPORTUNITIES FOR THE HOSPITAL. IN 2016, AS PART OF THE FY 2016 CHNA, FURTHER QUANTITATIVE AND QUALITATIVE INFORMATION WAS COMPILED CONFIRMING COMMUNITY NEED, PROVIDER SHORTAGES, AND OTHER CHALLENGES. WITH THIS INFORMATION, HOSPITAL ADMINISTRATORS IN PARTNERSHIP WITH LOCAL MENTAL HEALTH AND SUBSTANCE USE PROVIDERS DEVELOPED THE FAMILY BEHAVIORAL HEALTH INTEGRATED CARE INITIATIVE. THE FAMILY BEHAVIORAL HEALTH INTEGRATED CARE INITIATIVETHIS INITIATIVE IS A CO-LOCATED BEHAVIORAL HEALTH MODEL THAT EMBEDS LICENSED CLINICAL SOCIAL WORKERS IN PRIMARY CARE AND SPECIALTY CARE SETTINGS WHO WORK WITH THE PRACTICES PRIMARY CARE PROVIDERS, AS AN ADVANCED PRACTICE NURSE PRACTITIONER WITH MENTAL HEALTH TRAINING, AND A PSYCHIATRIST TO INTEGRATE BEHAVIORAL HEALTH SCREENING, ASSESSMENT, AND TREATMENT SERVICES INTO THE PRACTICES' OPERATIONS. THIS TEAM HAS ALSO WORKED WITH OTHER COMMUNITY-BASED ORGANIZATIONS TO ADDRESS BARRIERS TO ACCESS AND EXPAND THE AVAILABILITY OF BEHAVIORAL HEALTH SERVICES.BID-PLYMOUTH CURRENTLY HAS THREE SOCIAL WORKERS AND ONE NURSE PRACTITIONER, ALL OF WHOM WORK UNDER A PSYCHIATRIST. BID-PLYMOUTH CONTINUED THIS WORK IN FY 2018 AND EMBEDDED BEHAVIORAL HEALTH CLINICIANS IN A GROWING NUMBER OF PRIMARY CARE AND SPECIALTY CARE PRACTICES. IN RESPONSE TO THE OPIOID CRISIS, BID-PLYMOUTH HAS ADDED SUBSTANCE ABUSE CLINICIANS AND A FULL-TIME NURSE PRACTITIONER TO ITS OVERALL INITIATIVE AND COLLABORATED WITH GOSNOLD FOR RECOVERY SPECIALISTS TO PROVIDE INTEGRATED SERVICES IN THE EMERGENCY DEPARTMENT. THESE CLINICIANS COLLABORATE WITH COMMUNITY TREATMENT PROVIDERS TO ADDRESS THE HIGH NUMBER OF SUBSTANCE ABUSE RELATED CASES AND PROVIDE THE RIGHT LEVEL OF CARE IN THE EMERGENCY SETTING. WITH BEHAVIORAL HEALTH SERVICES AVAILABLE IN THE EMERGENCY DEPARTMENT, PATIENTS MAY BEGIN TREATMENT IN THIS SETTING, RATHER THAN DELAYING TREATMENT UNTIL PSYCHIATRIC BEDS ARE AVAILABLE. THIS IMMEDIATE CARE OFTEN DECREASES THE LEVEL OF INTERVENTION REQUIRED. WITH THE HOSPITAL'S FULLY INTEGRATED SYSTEM, PATIENTS CAN ADDRESS MEDICAL AND BEHAVIORAL HEALTH NEEDS IN ONE LOCATION. MEDICAL STAFF IN PRIMARY CARE, SPECIALTY CARE, AND EMERGENCY DEPARTMENT SETTINGS HAVE ON-SITE ACCESS TO BEHAVIORAL HEALTH SUPPORT SO THAT THEY CAN PROVIDE COMPREHENSIVE HEALTHCARE IN A CONVENIENT, EFFICIENT AND COST-EFFECTIVE MANNER. IN ADDITION, THE HOSPITALS BEHAVIORAL HEALTH CLINICIANS COLLABORATE WITH LOCAL HIGH SCHOOLS, LAW ENFORCEMENT, AND OTHER COMMUNITY-BASED ORGANIZATIONS TO COORDINATE CARE AND ENSURE THAT THE COMMUNITY IS ABLE TO ACCESS THE NEEDED BREADTH OF EDUCATIONAL, OUTREACH, AND TREATMENT SERVICES TO ADDRESS THE EVER-INCREASING SUBSTANCE USE ISSUE IN BID-PLYMOUTH'S CBSA.PREVENTURE ADDICTION PREVENTION PROGRAMIN AN EFFORT TO ADDRESS THE ADDICTION CRISIS, BID-PLYMOUTH PARTNERED WITH PLYMOUTH MIDDLE SCHOOLS TO FUND THE PREVENTURE PROGRAM. PREVENTURE IS A RESEARCH-BASED ADDICTION PREVENTION PROGRAM TARGETING PERSONALITY TRAITS THAT CORRELATE WITH INCREASED RISK OF DEVELOPING SUBSTANCE USE ISSUES. BRIEF COPING SKILL INTERVENTIONS THAT TARGET PERSONALITY RISK FACTORS HAVE BEEN TESTED IN RANDOMIZED CONTROLLED TRIALS AND HAVE DEMONSTRATED BENEFITS THAT LAST UP TO THREE YEARS. STUDENTS THAT SCREENED FOR HIGH-RISK PERSONALITY PROFILES WERE IDENTIFIED TO PARTICIPATE IN TWO 90-MINUTE GROUP WORKSHOPS. WORKSHOPS FOCUSED ON DEVELOPING SPECIALIZED COPING SKILLS RELEVANT TO: SENSATION SEEKING; IMPULSIVITY; ANXIETY SENSITIVITY; NEGATIVE THINKING. THE INTERVENTION INCLUDED PSYCHO-EDUCATIONAL APPROACHES, MOTIVATIONAL INTERVIEWING, AND COGNITIVE BEHAVIORAL COMPONENTS. STUDENTS LEARN HOW THEIR PERSONALITY STYLE LEADS TO CERTAIN EMOTIONAL AND BEHAVIORAL REACTIONS. STUDENTS RECEIVED MANUALS THAT ILLUSTRATE SCENARIOS DESIGNED BY SIMILAR TEENS TO PROMOTE RELEVANCE. THE PROGRAM HAS PROVEN BOTH FEASIBLE AND EFFECTIVE WHEN DELIVERED BY TRAINED SCHOOL STAFF. PLYMOUTH COUNTY OUTREACH (PCO)PCO IS A COUNTY-WIDE INITIATIVE REACHING 27 COMMUNITIES. PCO IS A COLLABORATION OF PUBLIC SAFETY AGENCIES, HEALTHCARE PROVIDERS, AND TREATMENT ORGANIZATIONS TO PROVIDE COMMUNITY FOLLOW UP AFTER AN OPIOID OVERDOSE. PROVIDERS CREATED THIS PROGRAM TO RESPOND TO THE EVER-GROWING NUMBER OF OPIATE OVERDOSES BY CONDUCTING FOLLOW-UP VISITS WITHIN 12-24 HOURS AFTER AN OVERDOSE WITH AN OUTREACH TEAM (A PLAIN CLOTHED POLICE OFFICER AND A BEHAVIORAL HEALTH PROFESSIONAL) TO DISCUSS TREATMENT OPTIONS WITH THE INDIVIDUAL AND HELP THEM GET INTO TREATMENT AS SOON AS POSSIBLE. NOTE: THIS PROGRAM IS NOT LIMITED TO THOSE ADDICTED TO OPIATES, BUT RATHER EVERYONE IMPACTED BY ADDICTION. BID-PLYMOUTH'S DIRECTOR OF SOCIAL WORK PROVIDES TRIAGE FOR THIS PROGRAM, ROUTING THE APPROPRIATE CARE RESPONDER TO EACH CALL. PCO HOLDS DROP-IN CENTERS TWICE A MONTH FOR ANYONE NEEDING HELP AND/OR INFORMATION ABOUT DRUG AND ALCOHOL ADDICTION. REPRESENTATIVES FROM LOCAL TREATMENT CENTERS AS WELL AS COUNSELORS, INCLUDING BID-PLYMOUTH'S DIRECTOR OF SOCIAL WORK, ARE ON SITE AT THE DROP-IN CENTERS.HOSPITAL PRIORITY- BEHAVIORAL HEALTHSTATEWIDE PRIORITY- MENTAL HEALTH- SUBSTANCE USEPROGRAM TYPE- DIRECT SERVICETARGET POPULATIONREGIONS SERVED: PLYMOUTH, BARNSTABLETOWNS SERVED: PLYMOUTH, KINGSTON, CARVER, PEMBROKE, DUXBURY, MARSHFIELD, HALIFAX, HANSON, SANDWICH, WAREHAM, BOURNETARGET POPULATIONS: MEDICALLY UNDERSERVED, VICTIMS OF DOMESTIC VIOLENCE, UNINSURED, ELDERLY, THE POOR, PEOPLE OF COLOR, LGBT, PEOPLE WITH SUBSTANCE ABUSE ISSUES, PEOPLE WHO NEED BEHAVIORAL HEALTH SERVICESHEALTH INDICATOR: PROVIDER SHORTAGES, SCREENING RATES, REFERRAL RATES, DISEASE PREVALENCE, LEVEL OF SERVICE INTEGRATIONSEX: ALL AGE GROUP: ALLETHNIC GROUP: ALL LANGUAGE: ENGLISHGOAL 1: PROVIDE ACCESS AND TREATMENT OF DEPRESSION IN OUTPATIENT PCP AND SPECIALTY PRACTICES.GOAL STATUS: THROUGH A PATIENT HEALTH QUESTIONNAIRE (PHQ-9) THE SCORES DECREASED BY 42% FROM INTAKE TO DISCHARGEGOAL 2: CONTINUE TO PROVIDE FOLLOW UP THROUGH PLYMOUTH COUNTY OUTREACH INITIATIVE TO INDIVIDUALS WHO EXPERIENCED AN OVERDOSE AND ENCOURAGE THEM TO GET HELP.GOAL STATUS: PCO EXPANDED COUNTY-WIDE TO 27 TOWNS AND CITIES. FIVE HOSPITALS IN THE AREA JOINED THE INITIATIVE. OUT OF THE 736 ATTEMPTED FOLLOW-UP VISITS, 14% (105) ENDED WITH THE INDIVIDUAL ACCEPTING TREATMENT FROM THE OUTREACH TEAM. ANOTHER 16% (115) DECLINED TREATMENT OPTIONS, 8% (59) WERE ALREADY SEEKING TREATMENT, 8% (61) OUTCOMES WERE RECORDED AS "OTHER", 47% (342) OF THE VISITS DID NOT RESULT IN CONTACT WITH ANYONE, AND 7% (54) OF THE RECORDS DID NOT PROVIDE AN OUTCOME.
|
|
EMERGENCY MEDICAL SERVICES (EMS) MEDICAL CONTROL AND DEFIBRILLATION
|
PROGRAM DESCRIPTIONSINCE 2003, BID-PLYMOUTH HAS SUPPORTED POLICE DEPARTMENTS AND OTHER LOCAL TOWN OFFICES THROUGHOUT BID-PLYMOUTH'S SERVICE AREA WITH MEDICAL DIRECTION/EDUCATION FOR THEIR SEMI-AUTOMATIC OR AUTOMATIC EXTERNALS DEFIBRILLATORS (AEDS). THE AEDS ARE PURCHASED AND MAINTAINED BY THE TOWNS THEMSELVES. A TOWN-LEVEL MEDICAL DIRECTOR WHO IS DESIGNATED BY BID-PLYMOUTH OVERSEES OPERATION OF THE AEDS. THESE MEDICAL DIRECTORS OVERSEE TOWN-LEVEL ACTIVITIES RELATED TO THE AEDS AND ENSURE THE CLINICAL COMPETENCY OF THE PERSONNEL EMPLOYED BY THE TOWN WHO USE THE AEDS. THE EDUCATION ACTIVITIES INCLUDE TRAINING AND AUTHORIZATION TO USE THE DEVICE, REMEDIAL EDUCATION TO THOSE EMS PERSONNEL FOUND TO BE DEFICIENT IN CLINICAL PRACTICE, AND NOTIFICATION TO DEPARTMENT WITHIN 48 HOURS OF ANY INSTANCE IN WHICH AUTHORIZATION IS SUSPENDED, REVOKED OR RESTRICTED IN ANY MANNER.THE HOSPITAL ALSO REVIEWS AND REPORTS ON THE AEDS AS WELL AS THE USE OF EPINEPHRINE AUTO-INJECTORS AND USE OF THE INTRANASAL NALOXONE FOR QUALITY ASSURANCE AND CONTINUOUS IMPROVEMENT PURPOSES. THE HOSPITAL ALSO APPROVES TRAINING PROGRAMS FOR THE USE OF EPINEPHRINE AUTO-INJECTORS AND INTRANASAL NALOXONE, MAINTAINS A SYSTEM-WIDE DATABASE OF CARDIAC ARREST TRIP RECORDS FILED BY FIRST RESPONDERS, AND SUBMITS SUMMARY REPORTS TO MASSACHUSETTS DPH UPON REQUEST.THIS INITIATIVE ALSO PROVIDES A BROAD ARRAY OF OTHER SERVICES AND SUPPORTS TO ENHANCE THE CAPACITY AND PERFORMANCE OF THE REGIONS EMERGENCY MEDICAL SERVICE (EMS) PROVIDERS.- FIRST, A FOLLOW-UP PROGRAM HAS BEEN DEVELOPED THAT PROVIDES EMS STAFF WITH ALMOST REAL TIME FEEDBACK FROM THE HOSPITAL REGARDING THEIR PATIENT'S DIAGNOSIS, CLINICAL COURSE, AND OUTCOME FOLLOWING ADMISSION. THESE CASES ARE ALSO REVIEWED IN A PEER REVIEW FORMAT EACH MONTH.- SECOND, THE HOSPITAL IN PARTNERSHIP WITH EMS PROVIDERS HAVE INSTITUTED A TRAINING REQUEST PROGRAM THAT ALLOWS EMS PROVIDERS TO REQUEST CONTINUING EDUCATION TRAINING WITH SPECIALTY SERVICES FROM THE HOSPITAL (E.G., ANESTHESIA, PEDIATRICS, OB, NEURO AND CARDIOLOGY).- THIRD, BID-PLYMOUTH PROVIDES REAL TIME FOLLOW UP ON ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) CASES AND ALL CARDIAC RELATED CASES THAT ORIGINATE IN THE PRE-HOSPITAL SETTING.- FOURTH, THE HOSPITAL HAS DEVELOPED A PROGRAM WHEREBY THE HOSPITAL WILL HOST PARAMEDIC STUDENTS IN THE EMERGENCY DEPARTMENT FOR THEIR CLINICAL ROTATIONS.- FIFTH, THE HOSPITAL HOSTS EDUCATIONAL OPPORTUNITIES WITH OUTSIDE AGENCIES (E.G., BOSTON MEDFLIGHT) TO EXPLORE CRITICAL CARE TRANSPORT AND PRE-HOSPITAL PATIENT CARE.IN FY 2018, THE PROGRAM SERVED EMS PROVIDERS THROUGHOUT THE REGION AND THE FOLLOWING TOWN OFFICES: CARVER POLICE, CARVER FIRE, CARVER SCHOOL SYSTEM, HALIFAX POLICE, KINGSTON POLICE, MARSHFIELD FIRE, PLYMPTON POLICE, PLYMPTON PUBLIC SCHOOLS, PLYMOUTH FIRE, PLYMOUTH PUBLIC SCHOOLS, TOWN OF PEMBROKE, TOWN OF PLYMOUTH - ADMINISTRATION OFFICES, TOWN OF PLYMOUTH - HARBORMASTER, & RISING TIDE CHARTER SCHOOL.HOSPITAL PRIORITY- PHYSICAL DISEASE MANAGEMENT AND PREVENTION- HEALTH RISK FACTORS- BEHAVIORAL HEALTHSTATEWIDE PRIORITY- CHRONIC DISEASE- SUBSTANCE USEPROGRAM TYPE- COMMUNITY EDUCATIONTARGET POPULATIONREGIONS SERVED: PLYMOUTH, BARNSTABLETOWNS SERVED: CARVER, DUXBURY, HALIFAX, KINGSTON, LAKEVILLE, MARSHFIELD, MIDDLEBORO, PLYMOUTH, PEMBROKE, PLYMPTON, SANDWICHTARGET POPULATIONS: MEDICALLY UNDERSERVED, VICTIMS OF DOMESTIC VIOLENCE, UNINSURED, ELDERLY, VICTIMS TO PRE-HOSPITAL ENVIRONMENTAL TRAUMA, INDUSTRIAL AND ACCIDENTAL. PATIENTS WITH SUBSTANCE ABUSE, OBSTETRIC, RESPIRATORY, CARDIOVASCULAR, GASTROINTESTINAL, AND PSYCHIATRIC CONDITIONS/DISEASES. ACUTELY ILL CEREBRAL VASCULAR ACCIDENT AND CORONARY ARTERY DISEASE, (STEMI) PATIENTS.HEALTH INDICATOR: LEVEL OF KNOWLEDGE AND AWARENESSSEX: ALL AGE GROUP: ALLETHNIC GROUP: ALL LANGUAGE: ENGLISHPARTNERS- BID-PLYMOUTH EMERGENCY DEPARTMENT- ALL AFFILIATED PUBLIC SAFETY AGENCIES- PLYMOUTH OPERATING ROOM/ANESTHESIA- BOSTON MEDFLIGHT, BIDMC EMERGENCY DEPARTMENT- BID-PLYMOUTH MARKETING/SENIOR LEADERSHIP, LABOR AND DELIVERY/THE BIRTHPLACEGOAL 1: CONTINUE TO PROVIDE MEDICAL CONTROL AND OVERSIGHT TO AFFILIATED EMS AGENCIESGOAL STATUS: CONTINUED THE ONGOING QUALITY ASSURANCE AND QUALITY INITIATIVE PROGRAM AND CONTINUING EDUCATION WITH NINE TOWNS. COMMUNITY PARTNERSBID-PLYMOUTH COLLABORATES WITH A WIDE RANGE OF COMMUNITY LEADERS AND LOCAL GROUPS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE LIVING IN ITS SERVICE AREA AND TO PROVIDE THE CARE THEY NEED AT THE RIGHT PLACE AND RIGHT TIME. BID-PLYMOUTH'S LEADERS, CLINICAL AND ADMINISTRATIVE STAFF, AND VOLUNTEERS MEET REGULARLY WITH LEADERS FROM THE COMMUNITY INCLUDING ELECTED OFFICIALS, BUSINESS OWNERS, COMMUNITY SERVICE PROVIDERS, EMERGENCY PERSONNEL, SCHOOL ADMINISTRATORS, MEDIA REPRESENTATIVES AND OTHERS WITH INSIGHT INTO THE COMMUNITY'S HEALTH NEEDS. BEYOND ITS WALLS, BID-PLYMOUTH PLAYS AN ACTIVE ROLE IN COALITION BUILDING, WORKING TO EMPOWER A RANGE OF COMMUNITY LEADERS TO FOSTER SUSTAINABLE, HEALTHY LIFESTYLES THAT LEAD TO BETTER HEALTH FOR ALL MEMBERS OF THE COMMUNITY.BID-PLYMOUTH'S COMMUNITY BENEFITS STAFF REGULARLY ENGAGES ITS COMMUNITY PARTNERS IN THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF THE HOSPITAL'S CHIP/IMPLEMENTATION STRATEGY. THESE ENGAGEMENT EFFORTS ARE CONDUCTED BY SOLICITING FEEDBACK AT COMMUNITY EVENTS, WORKSHOPS, AND COMMUNITY COALITION MEETINGS. IN ADDITION, COMMUNITY BENEFITS STAFF AND OTHER HOSPITAL STAFF MEMBERS MEET WITH KEY PARTNERS ON A ONE-ON-ONE BASIS TO DISCUSS NEEDS AND POTENTIAL PARTNERSHIPS, SUCH AS WITH THE PLYMOUTH PUBLIC HEALTH DEPARTMENT, THE HEALTHY PLYMOUTH COLLABORATIVE, SUPERINTENDENT OF PLYMOUTH SCHOOLS, PLYMOUTH YOUTH DEVELOPMENT COUNCIL AND THE TRANSPORTATION PILOT PROGRAM STAFF. HOSPITAL STAFF SERVE ON NUMEROUS HEALTH-RELATED COMMITTEES, COALITIONS, AND BOARDS. IN ADDITION, REPRESENTATIVES FROM BID-PLYMOUTH'S PARTNER ORGANIZATIONS AND COMMUNITY RESIDENTS SERVE ON HOSPITAL COMMITTEES (E.G., BOARD OF DIRECTORS, PATIENT FAMILY ADVISORY COUNCIL, AND THE PATIENT CARE ASSESSMENT COMMITTEE), PROVIDING IMPORTANT FEEDBACK AND WORKING WITH STAFF TO IMPROVE SERVICE OPERATIONS AND COMMUNITY HEALTH CARE INITIATIVES. OUTSIDE OF BID-PLYMOUTH'S CHIP, HOSPITAL CLINICIANS AND STAFF REGULARLY COLLABORATE WITH DOZENS AND DOZENS OF COMMUNITY PARTNERS THROUGHOUT THE REGION AS PART OF EFFORTS TO PERFECT REGULAR HOSPITAL OPERATIONS AND OTHER COMMUNITY-FOCUSED ACTIVITIES. THESE ACTIVITIES ARE INSTRUMENTAL AND HELP TO INFORM THE DEVELOPMENT AND EXECUTION OF THE HOSPITAL'S CHIP.IN SUPPORT OF THE IDENTIFIED HEALTH PRIORITIES AND THE INITIATIVES THAT ARE PART OF THE IMPLEMENTATION STRATEGY, BID-PLYMOUTH COLLABORATES WITH NEARLY 50 COMMUNITY ORGANIZATIONS. BID-PLYMOUTH'S COMMUNITY PARTNERS (SEE LIST BELOW) WORK SIDE-BY-SIDE WITH THE HOSPITAL AND ARE ACTIVELY ENGAGED IN HEALTH INITIATIVES THROUGHOUT THE YEAR THAT FOSTER COMMUNITY HEALTH AND WELLNESS. THE HOSPITAL HAS COLLABORATED WITH THE COMMUNITY BUSINESS PARTNERS TO BRING ISSUES OF HEALTH AND WELLNESS TO THE FOREFRONT OF THIS GROUP. FINALLY, BID-PLYMOUTH WORKS WITH ITS EDUCATIONAL PARTNERS, WHICH ENHANCE ITS WORKFORCE, PROVIDE OPPORTUNITIES FOR LEARNING, AND BROADEN THE HOSPITAL'S PREVENTIVE REACH THROUGHOUT THE COMMUNITY BENEFITS SERVICE AREA AND BEYOND.
|
|
COMMUNITY PARTNERS:
|
- AD MAKEPEACE - AMERICAN HEART ASSOCIATION- ANCHOR HOUSE, INC.- BAYSIDE RUNNERS- BAY STATE COMMUNITY SERVICES, INC. - BETH ISRAEL DEACONESS MEDICAL CENTER- BID-PLYMOUTH COMMUNITY BUSINESS PARTNERS (APPROXIMATELY 69 BUSINESSES)- BOSTON PUBLIC HEALTH COMMISSION-RYAN WHITE PART A- CAPE COD CANAL REGION CHAMBER OF COMMERCE - CLEANSLATE CENTERS - COMMUNITY HEALTH EDUCATION NETWORK AREA 23 (CHNA 23) - DUXBURY COUNCIL ON AGING - FATHER BILL'S AND MAINSPRING- GOSNOLD- GREATER ATTLEBORO-TAUNTON REGIONAL TRANSIT AUTHORITY (GATRA)- GREATER PLYMOUTH AIDS CONSORTIUM - GREATER PLYMOUTH FOOD WAREHOUSE - HABILITATION ASSISTANCE- HARBOR COMMUNITY HEALTH CENTER- HEALTH IMPERATIVES, INC.- HEALTH RESOURCE & SERVICE ADMINISTRATION (HRSA)-RYAN WHITE PART C - HEALTHY PLYMOUTH - HIGH POINT TREATMENT CENTER- LORING LIBRARY- MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH PEDIATRIC PALLIATIVE CARE NETWORK - MCLEAN HOSPITAL- NATIONAL ALLIANCE ON MENTAL ILLNESS OF MASSACHUSETTS (NAMI MASS)- OLD COLONY ELDER SERVICES- OLD COLONY PLANNING COUNCIL - OLD COLONY YMCA - PINEHILLS LLC - PLIMOTH PLANTATION - PLYMOUTH AREA CHAMBER OF COMMERCE- PLYMOUTH AREA COMMUNITY TELEVISION (PACTV)- PLYMOUTH BOARD OF SELECTMEN- PLYMOUTH CONSERVATION COMMISSION - PLYMOUTH COUNCIL ON AGING - PLYMOUTH COUNTY DISTRICT ATTORNEY'S OFFICE- PLYMOUTH COUNTY OUTREACH- PLYMOUTH COUNTY OUTREACH HOPE- PLYMOUTH DEPARTMENT OF PUBLIC WORKS (DPW) - PLYMOUTH FAMILY NETWORK - PLYMOUTH LIONS CLUB- PLYMOUTH PUBLIC LIBRARY - PLYMOUTH PUBLIC SCHOOLS - PLYMOUTH RESOURCE CENTER- PLYMOUTH YOUTH DEVELOPMENT COLLABORATIVE (PYDC) - RED CROSS BLOOD DRIVE- REGION V MASSACHUSETTS DPH BIO-TERRORISM COMMITTEE - ROTARY CLUB OF PLYMOUTH - SCHWARTZ CENTER ROUNDS - SODEXO- SOUTH SHORE COMMUNITY ACTION COUNCIL- TERRA CURA, INC.- THE BRIDGE- THE HERREN PROJECT - THE PARENT CONNECTION OF DUXBURY - THORBAHN - TOWN OF PLYMOUTH - TOWN OF PLYMOUTH OPEN SPACE COMM. - UNITED WAY OF GREATER PLYMOUTH COUNTY- VILLAGE AT DUXBURY - WILDLANDS TRUST - ZION LUTHERAN CHURCH ASSOCIATES- BOYS & GIRLS CLUB OF PLYMOUTH- BOYS & GIRLS CLUB OF BROCKTON- COLCHESTER NEIGHBORHOOD FARMS- KIWANIS CLUB OF PLYMOUTH- LEAGUE OF WOMEN VOTERS- OFFICE OF ADOLESCENT HEALTH AND YOUTH DEVELOPMENT - SIGNATURE HEALTHCARE / BROCKTON HOSPITAL - SOUTH SHORE CHAMBER OF COMMERCE- SOULE HOMESTEAD EDUCATION CENTER- SOUTHEASTERN MASSACHUSETTS AGRICULTURAL PARTNERSHIP, INC. (SEMAP)- SOUTHEASTERN REGIONAL OFFICE OF DEVELOPMENTAL DISABILITIESEDUCATIONAL PARTNERS- BAY STATE COLLEGE- BETHEL UNIVERSITY- BOSTON COLLEGE- BOSTON UNIVERSITY SCHOOL OF MEDICINE- BRIDGEWATER STATE UNIVERSITY - BRISTOL COMMUNITY COLLEGE- BUNKER HILL COMMUNITY COLLEGE- CAPE COD COMMUNITY COLLEGE- CHAMBERLAIN COLLEGE OF NURSING - COASTAL CAROLINA UNIVERSITY- CURRY COLLEGE- DREXEL UNIVERSITY- EASTERN NAZARENE COLLEGE- EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE- EMS ACADEMY- FIRST RESPONSE EMERGENCY MEDICAL EDUCATION PROGRAM- FISHER COLLEGE- FRAMINGHAM STATE UNIVERSITY- FRONTIER NURSING UNIVERSITY- GEORGE WASHINGTON UNIVERSITY- GEORGETOWN UNIVERSITY- HARVARD MEDICAL SCHOOL- JOHNSON AND WALES UNIVERSITY- LABOURE COLLEGE- LESLEY UNIVERSITY- MASSACHUSETTS BAY COMMUNITY COLLEGE- MASSACHUSETTS COLLEGE OF PHARMACY & ALLIED HEALTH SCIENCES- MASSASOIT COMMUNITY COLLEGE- MEDICAL PROFESSIONAL INSTITUTE- MEDICAL UNIVERSITY OF SOUTH CAROLINA- MGH INSTITUTE OF HEALTH PROFESSIONS, INC.- NEW ENGLAND INSTITUTE OF TECHNOLOGY- NORTHERN ESSEX COMMUNITY COLLEGE- NORTHEASTERN UNIVERSITY- NOVA SOUTHEASTERN UNIVERSITY- OREGON HEALTH & SCIENCE UNIVERSITY- PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE- PHILADELPHIA UNIVERSITY- PRIORITY NUTRITION CARE, LLC- PROVIDENCE COLLEGE- QUINCY COLLEGE- REGIS COLLEGE- SALEM STATE UNIVERSITY- SIGNATURE HEALTHCARE- SIMMONS COLLEGE- SPRINGFIELD COLLEGE- ST. ANSELM COLLEGE- STONEHILL COLLEGE- TUFTS UNIVERSITY SCHOOL OF MEDICINE- UNIVERSITY OF BUFFALO- UNIVERSITY OF CONNECTICUT SCHOOL OF PHARMACY- UNIVERSITY OF MASSACHUSETTS- UNIVERSITY OF MASSACHUSETTS DARTMOUTH- UNIVERSITY OF NEW ENGLAND- UNIVERSITY OF NEW HAMPSHIRE- UNIVERSITY OF NORTH ALABAMA- UNIVERSITY OF RHODE ISLAND- UNIVERSITY OF SOUTH ALABAMA- UNIVERSITY OF ST. JOSEPH- UPPER CAPE COD REGIONAL TECHNICAL SCHOOL- UTAH STATE UNIVERSITY- WESTFIELD STATE UNIVERSITY- WINGATE UNIVERSITY- YALE SCHOOL OF NURSINGAS DESCRIBED IN DETAIL IN THIS SUPPORTING NARRATIVE TO THE FORM 990 SCHEDULE H, BID-PLYMOUTH IS DEEPLY DEDICATED TO ITS COMMUNITY BENEFITS OPERATIONS AND TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. HOWEVER, AS NOTED IN SCHEDULE H, PART V, SECTION B, QUESTION 11, THERE WERE SOME NEEDS IDENTIFIED IN THE 2016 CHNA THAT ARE NOT INCLUDED IN THE 2016 CHIP. EFFORTS TO IMPROVE TRANSPORTATION SYSTEMS ARE NOT PART OF THE HOSPITAL'S MISSION AND UNLIKE THE MANY PROGRAMS DESCRIBED HEREIN WHERE BID-PLYMOUTH IS UNIQUELY SITUATED TO IMPLEMENT SUCH PROGRAMS, IMPROVING TRANSPORTATION SYSTEMS IS OUTSIDE THE SCOPE OF THE HOSPITAL'S EXPERTISE, AND AS SUCH THESE NEEDS ARE NOT PART OF THE HOSPITAL'S 2016 CHIP. HOWEVER, AS NOTED WITHIN THIS NARRATIVE, THE HOSPITAL CAN AND DOES PROACTIVELY SUPPORT THE EVALUATION OF CURRENT TRANSPORTATION OPTIONS AND ADVOCATE FOR REVISIONS THAT WILL HELP AREA RESIDENTS EASILY ACCESS HEALTHY FOOD, EXERCISE AREAS, HEALTHCARE SERVICES, ETC. IN ADDITION, WHERE THE HOSPITAL IS UNABLE TO ADDRESS NEEDS BECAUSE OF LIMITED FINANCIAL RESOURCES, THE HOSPITAL EXPLORES PUBLIC FINANCING OPTIONS, PRIVATE FOUNDATION AND DONOR SUPPORT AND A RANGE OF OTHER FUNDING OPPORTUNITIES TO HELP MEET COMMUNITY NEEDS. AS RESOURCES ARE IDENTIFIED AND BUSINESS PLANS ARE JUSTIFIED, THE HOSPITAL IMPLEMENTS THOSE HIGH PRIORITY PROJECTS WITH THE HIGHEST POTENTIAL IMPACT FOR A HEALTHIER COMMUNITY. AS NOTED IN DETAIL ABOVE, THE BID-PLYMOUTH'S PRIMARY TOOL FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED IS THROUGH THE CHNA AND CHIP/IMPLEMENTATION STRATEGY (SCHEDULE H PART VI QUESTION 2).
|
|
FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION
|
THE PURPOSE OF THIS FORM 990 SCHEDULE H NARRATIVE DISCLOSURE IS TO HELP THE READER UNDERSTAND IN MORE DETAIL HOW BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BID-PLYMOUTH OR HOSPITAL) CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS. AS REPORTED IN THIS SCHEDULE H, 12.38% OF BID-PLYMOUTH'S TOTAL EXPENSES AS REPORTED ON FORM 990 PART IX, LINE 24, ARE INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. IN ADDITION, IT IS IMPORTANT TO NOTE IN THIS CONTEXT THAT BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) IS A TERTIARY CARE ACADEMIC MEDICAL CENTER, ENTITY EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND FOR THE PERIOD COVERED BY THIS FILING SERVED AS THE SOLE MEMBER OF BID-PLYMOUTH. THE FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS PROVIDED BY BIDMC ARE PROVIDED BY THE SAME HEALTH CARE SYSTEM, AND ALTHOUGH THOSE ACTIVITIES ARE NOT QUANTIFIED ON THE BID-PLYMOUTH SCHEDULE H PER THE INSTRUCTIONS TO THE FORM 990, THOSE ACTIVITIES ARE RELEVANT IN EVALUATING THE TOTAL COMMUNITY BENEFIT PROVIDED. BIDMC REPORTED OVER $253,000,000 IN NET EXPENDITURES AT COST WHICH REPRESENTED APPROXIMATELY 15% OF TOTAL EXPENSES INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST FOR THE FISCAL PERIOD COVERED BY THIS FILING. COMMUNITY BENEFITS - ANNUAL COMMUNITY BENEFITS REPORTAS PREVIOUSLY NOTED IN THIS FILING, HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WERE APPROVED BY THE COMMUNITY BENEFITS COMMITTEE AND BOARD OF DIRECTORS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016 AND RELATE TO THE COMMUNITY BENEFIT ACTIVITIES REPORTED IN THIS NARRATIVE SUPPORT TO THE FORM 990 SCHEDULE H. IN ADDITION, AS NOTED IN THIS FORM 990 SCHEDULE H, PART I, LINES 6A AND 6B, THE HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS SUBMITTED TO THE MASSACHUSETTS ATTORNEY GENERAL (SCHEDULE H, PART VI, LINE 7). THAT FILING IS AVAILABLE FOR PUBLIC INSPECTION AT THE ATTORNEY GENERAL'S OFFICE, ON THE ATTORNEY GENERAL'S WEBSITE, ON THE HOSPITAL'S WEBSITE AND UPON REQUEST AT THE HOSPITAL. THERE ARE SOME DIFFERENCES BETWEEN THE MASSACHUSETTS ATTORNEY GENERAL DEFINITION OF CHARITY CARE AND COMMUNITY BENEFITS AND THE INTERNAL REVENUE SERVICE DEFINITION OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. AS SUCH, THERE ARE VARIANCES BETWEEN THIS SCHEDULE H DISCLOSURE AND THE REPORT THE MEDICAL CENTER FILED WITH THE ATTORNEY GENERAL'S OFFICE. COMMUNITY BENEFITS - EMERGENCY ROOM OPERATIONIN ADDITION, AS NOTED IN THIS FORM 990, SCHEDULE H, PART V, SECTION A, BID-NEEDHAM IS A GENERAL MEDICAL AND SURGICAL HOSPITAL, PROVIDING 24 HOUR EMERGENCY MEDICAL CARE TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - CHARITY CARE AND MEANS TESTED GOVERNMENT PROGRAMSFINANCIAL ASSISTANCEBID-PLYMOUTH'S NET COST OF CHARITY CARE, INCLUDING CARE FOR EMERGENT SERVICES PROVIDED TO NON-PAYING PATIENTS AND INCLUDING PAYMENTS TO THE HEALTH SAFETY NET TRUST, WAS $2,081,612 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2018 AND HAS BEEN REPORTED ON THIS SCHEDULE H, PART I, LINE 7A. THE MEDICAL CENTER, WHICH AS PREVIOUSLY NOTED IS THE SOLE MEMBER OF BID-PLYMOUTH, PROVIDED AN ADDITIONAL $17,420,672 OF FINANCIAL ASSISTANCE AND CHARITY CARE AT COST WHICH IS REPORTED ON THE MEDICAL CENTER FORM 990, SCHEDULE H, PART I, LINE 7A FOR THE SAME FISCAL PERIOD. HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. HMFP IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER. THE OPERATIONS OF HMFP AND THE ENTITIES FOR WHICH HMFP SERVES AS MEMBER ARE INTEGRALLY RELATED TO THE MEDICAL CENTER'S ACCOMPLISHMENTS OF ITS PURPOSES. HMFP AND ITS AFFILIATES ARE INTEGRALLY RELATED TO BID-PLYMOUTH AND TO SERVING THE COMMUNITIES SERVED BY BID-PLYMOUTH. AS PART OF THIS RELATIONSHIP, HMFP PATIENTS WHO MEET THE FREE CARE CRITERIA OF THE MEDICAL CENTER ARE PROVIDED FREE CARE AT HMFP AND ITS AFFILIATED ENTITIES. DURING THE FISCAL PERIOD COVERED BY THIS FILING, HMFP AND ITS AFFILIATED ENTITIES PROVIDED ADDITIONAL NET FREE CARE TO PATIENTS IN THE AMOUNT OF $1,566,619. SEE ADDITIONAL INFORMATION BELOW IN THIS SCHEDULE H NARRATIVE. SEE ADDITIONAL INFORMATION BELOW IN THIS SCHEDULE H NARRATIVE.OTHER UNCOMPENSATED CHARITY CARE - MEDICAID AND MEDICAREIN ADDITION TO THE CHARITY CARE REPORTED ABOVE, BID-PLYMOUTH ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW INCOME FAMILIES, INCLUDING PARTICULARLY THE MEDICAID PROGRAM, WHICH IS JOINTLY FUNDED BY FEDERAL AND STATE GOVERNMENTS. THE MASSACHUSETTS HEALTH REFORM LAW PROVIDED AN INITIATIVE FOR EXPANSION OF MEDICAID COVERAGE TO GREATER POPULATIONS AND FOR ENROLLMENT OF UNINSURED PATIENTS IN OTHER INSURANCE PROGRAMS. PAYMENTS FROM MEDICAID AND OTHER PROGRAMS WHICH INSURE LOW INCOME POPULATIONS DO NOT COVER THE COST OF SERVICES PROVIDED. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 15.3% OR 40,549 OF BID-PLYMOUTH'S PATIENT ENCOUNTERS WERE WITH MEDICAID PATIENTS. THIS TRANSLATED TO $29,876,948 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY BID-PLYMOUTH FOR SUCH SERVICES BY $5,900,714 AS REPORTED ON THIS SCHEDULE H, PART I LINE 7B. IN ADDITION 21.4% OR 254,330 OF THE MEDICAL CENTER'S PATIENT CASES WERE WITH MEDICAID PATIENTS. THIS TRANSLATED TO AN ADDITIONAL $35,778,658 IN UNCOVERED COST BORNE BY BIDMC IN PROVIDING CARE TO MEDICAID PATIENTS. AS PREVIOUSLY NOTED, THIS ADDITIONAL BIDMC COST IS NOT QUANTIFIED IN THE BID- PLYMOUTH SCHEDULE H. MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS, AND THE BID-PLYMOUTH PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 45.4% OR 120,625 OF BID-PLYMOUTH'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO $ $123,416,851 IN REVENUE. HOWEVER, BECAUSE PAYMENTS TO HOSPITALS THROUGH THIS GOVERNMENT SPONSORED PROGRAM HAVE NOT KEPT PACE WITH INFLATION, REVENUE COLLECTED WAS LESS THAN THE COST OF SERVICES BY $1,716,922. MANY OF THE SERVICES PROVIDED TO MEDICARE PATIENTS ARE RELATED TO THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND MEDICARE LOSSES OF $6,318,224 RELATED TO THE PROVISION OF CARE FOR GERIATRIC PSYCHIATRIC PATIENTS, ONCOLOGY AND INFUSION PATIENTS, LAB AND CARDIAC CATH SERVICES ARE INCLUDED IN FORM 990 SCHEDULE H PART I, LINE 7G. REVENUES AND COSTS FOR OTHER MEDICARE SERVICES ARE REPORTED IN THIS FORM 990 SCHEDULE H PART III LINE 7 AS REQUIRED. BIDMC SIMILARLY PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 29.3% OR 348,544 OF THE MEDICAL CENTER'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO MEDICARE REVENUE OF $401,739,417. HOWEVER, BECAUSE PAYMENTS TO HOSPITALS THROUGH THIS GOVERNMENT SPONSORED PROGRAM HAVE NOT KEPT PACE WITH INFLATION, REVENUE COLLECTED WAS LESS THAN THE COST OF SERVICES BY $33,492,068. THIS ADDITIONAL BIDMC COST IS NOT QUANTIFIED IN THE BID-PLYMOUTH SCHEDULE H.
|
|
BAD DEBTS
|
IN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, BID-PLYMOUTH ALSO INCURS LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBT EXPENSE IS INCLUDED IN UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. CHARGES FOR THOSE SERVICES DURING THE FISCAL PERIOD COVERED BY THIS FILING OF $ $6,469,858 AND ARE REPORTED AS BAD DEBT ON FORM 990, SCHEDULE H, PART III, LINE 2. BIDMC SIMILARLY INCURS BAD DEBT LOSSES AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE IN ITS FINANCIAL STATEMENTS. BIDMC CHARGES FOR THOSE SERVICES WERE $20,510,577 DURING THE FISCAL PERIOD COVERED BY THIS FILING AS REPORTED IN THE FINANCIAL STATEMENTS AND AS REPORTED ON THE BIDMC FORM 990, SCHEDULE H, PART III, LINE 2. THE PERCENTAGES CALCULATED IN PART I, LINE 7, COLUMN F WERE BASED ON EACH ITEM OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT AS A PERCENTAGE OF TOTAL EXPENSES REPORTED IN PART IX OF THIS FORM 990. AS REQUIRED BY THIS FORM 990, SCHEDULE H, PART III, LINE 4, BELOW ARE THE BAD DEBT AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTES FROM THE BETH ISRAEL DEACONESS MEDICAL CENTER'S (BIDMC OR MEDICAL CENTER) AUDITED FINANCIAL STATEMENTS. AS PREVIOUSLY NOTED IN THIS FORM 990, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE MEDICAL CENTER AND AFFILIATES FOR FISCAL YEAR ENDED SEPTEMBER 30, 2018 INCLUDE THE ACCOUNTS OF THE MEDICAL CENTER AND ITS SUBSIDIARIES, (BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BID-PLYMOUTH), JORDAN HEALTH SYSTEMS, INC., BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (BIDN), MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG)), BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON)) AND HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP), THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES, AS WELL AS ALL ENTITIES FOR WHICH THESE ENTITIES SERVE AS MEMBER. THE BIDP FORM 990 IS PREPARED FOR BIDP ONLY AND AS SUCH, THE METRICS INCLUDED IN THESE FOOTNOTES WILL NOT TIE TO THE FACE OF THE BIDP FORM 990, SCHEDULE H.FINANCIAL STATEMENT FOOTNOTES:BAD DEBTSIN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, THE MEDICAL CENTER ALSO INCURS LOSSES RELATED TO SELF PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBTS ARE INCLUDED AS A COMPONENT OF NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDE THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. THE ESTIMATED COST OF PROVIDING SUCH SERVICES WAS $20,111,000 AND $16,928,000 IN 2018 AND 2017, RESPECTIVELY. PATIENT ACCOUNTS RECEIVABLE AND RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTSPATIENT ACCOUNTS RECEIVABLE ARE REFLECTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST COLLECTION HISTORY, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN GOVERNMENTAL AND EMPLOYEE HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS FOR EACH OF ITS MAJOR CATEGORIES OF REVENUE BY PAYOR TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR CATEGORIES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THROUGHOUT THE YEAR, THE MEDICAL CENTER, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, WILL WRITE OFF PATIENTS' UNMET OR UNCOLLECTED RESPONSIBILITY AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN ADDITION TO THE REVIEW OF THE CATEGORIES OF REVENUE, MANAGEMENT MONITORS THE WRITE OFFS AGAINST ESTABLISHED ALLOWANCES TO DETERMINE THE APPROPRIATENESS OF THE UNDERLYING ASSUMPTIONS USED IN ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE MEDICAL CENTER'S METHODOLOGY FOR VALUING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE REMAINED SUBSTANTIALLY CONSISTENT IN 2017 AND 2016. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS REPRESENTED APPROXIMATELY 8.8% AND 9.3% OF PATIENT ACCOUNTS RECEIVABLE, NET OF CONTRACTUAL ALLOWANCES IN 2018 AND 2017, RESPECTIVELY.EMERGENCY CARE ACCESSAS PREVIOUSLY NOTED IN THIS FILING, FOR THE PERIOD COVERED BY THIS FILING, BIDMC SERVED AS THE SOLE MEMBER OF BID-PLYMOUTH. THE MEDICAL CENTER IS A NATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER AND TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL. ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (APHMFP) IS AN INTEGRALLY RELATED PHYSICIAN PRACTICE OF BIDMC AND IS ALSO EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. APHMFP PHYSICIANS PROVIDE AROUND THE CLOCK PHYSICIAN PATIENT CARE COVERAGE AND MEDICAL DIRECTION OF THE BID-PLYMOUTH EMERGENCY DEPARTMENT. THESE PHYSICIANS ARE ALL CERTIFIED OR BOARD-ELIGIBLE IN LEVEL 1 TRAUMA. THE BID-PLYMOUTH DEPARTMENT OF EMERGENCY MEDICINE, PROVIDES MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OFFERS THIS CARE FOR ALL PATIENTS THAT COME TO THIS FACILITY 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR.FINANCIAL ASSISTANCE POLICY - INTERNAL REVENUE CODE SECTION 501(R)(4)FINANCIAL ASSISTANCE POLICY PURPOSE BID-PLYMOUTH'S MISSION IS TO DISTINGUISH ITSELF FROM OTHER PROVIDERS THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, RESEARCH AND THROUGH IMPROVED HEALTH IN THE COMMUNITIES SERVED.BID-PLYMOUTH IS DEDICATED TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. THIS FINANCIAL ASSISTANCE POLICY IS INTENDED TO BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAWS FOR OUR SERVICE AREA. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL RECEIVE DISCOUNTED CARE RECEIVED FROM QUALIFYING PROVIDERS.BID-PLYMOUTH DOES NOT DISCRIMINATE BASED ON THE PATIENT'S AGE, GENDER, RACE, CREED, RELIGION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY, NATIONAL ORIGIN OR IMMIGRATION STATUS WHEN DETERMINING ELIGIBILITY.
|
|
FINANCIAL ASSISTANCE POLICY, CREDIT AND COLLECTION POLICY AND
|
EMERGENCY CARE POLICYAS REQUIRED BY IRC SECTION 501(R)(4) AND THE REGULATIONS PROMULGATED THEREUNDER, THE HOSPITAL MAINTAINS A WRITTEN FINANCIAL ASSISTANCE POLICY (FAP) WHICH APPLIES TO ALL EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PROVIDED BY THE HOSPITAL FACILITY. (SCHEDULE H PART I QUESTIONS 1A AND 1B). DETAIL RELATED TO EMERGENCY AND OTHER MEDICALLY NECESSARY CARE COVERED BY THE POLICY IS INCLUDED WITHIN THE POLICY AND THE DEFINITION OF EMERGENCY CARE MEETS THE DEFINITION OF THE EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA), SECTION 1867 OF THE SOCIAL SECURITY ACT (42 USC 1395DD). (SCHEDULE H PART V SECTION B QUESTION 21). THE FAP INCLUDES A LIST OF PROVIDERS OTHER THAN THE HOSPITAL ITSELF, WHICH ARE COVERED BY THE FAP AND SPECIFIES ELIGIBILITY CRITERIA FOR BOTH FREE AND DISCOUNTED CARE. THE FAP ALSO INCLUDES THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS. THE HOSPITAL MAINTAINS A SEPARATE CREDIT AND COLLECTION POLICY AS PERMITTED UNDER THE TREASURY REGULATIONS AND THIS CREDIT AND COLLECTION POLICY IS REFERENCED WITHIN THE FAP AS REQUIRED, ALONG WITH INFORMATION ON HOW TO OBTAIN A FREE COPY OF THE CREDIT AND COLLECTION POLICY. (SCHEDULE H PART III SECTION C QUESTIONS 9A AND 9B AND PART V SECTION B QUESTION 17). THE HOSPITAL'S FAP AND CREDIT & COLLECTION POLICY WERE ADOPTED BY THE HOSPITAL'S BOARD PRIOR TO SEPTEMBER 30, 2017 AND THESE DOCUMENTS WERE ALL EFFECTIVE AS OF OCTOBER 1, 2017, THE FIRST DAY OF THE HOSPITAL'S FISCAL YEAR IN WHICH THE HOSPITAL WAS REQUIRED TO BE IN COMPLIANCE WITH THE REGULATIONS PROMULGATED BY THE TREASURY AND RELATED TO IRC SECTION 501(R). FINANCIAL ASSISTANCE POLICY - APPLYING FOR ASSISTANCE THE HOSPITAL'S FAP INCLUDES INFORMATION ON THE METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE UNDER THE FAP. IN ADDITION, THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION INCLUDES A LIST OF INFORMATION/DOCUMENTATION REQUIRED AS PART OF A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE. (SCHEDULE H PART V SECTION B QUESTION 15).FINANCIAL ASSISTANCE POLICY - ELIGIBILITY GUIDELINES THE HOSPITAL'S FAP USES THE FEDERAL POVERTY GUIDELINES IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE. (SCHEDULE H PART I QUESTION 3A AND 3B AND PART V SECTION B QUESTION 13). IN ADDITION, THE HOSPITAL'S FAP PROVIDES FOR FINANCIAL ASSISTANCE BASED ON MEDICAL HARDSHIP AND ASSET LEVEL (SCHEDULE H PART I QUESTIONS 3C AND 4, PART V SECTION B QUESTION 13 AND PART VI QUESTION 3). FINALLY, THE HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT/GUARANTOR'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE APPLICATION FORM. OTHER INFORMATION MAY BE USED BY THE HOSPITAL TO DETERMINE WHETHER A PATIENT/GUARANTOR'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY AS OUTLINED IN THE HOSPITAL'S FAP. (SCHEDULE H PART I QUESTIONS 3C).FINANCIAL ASSISTANCE - PUBLIC ASSISTANCE PROGRAMS (SCHEDULE H PART I QUESTION 3C)IN ADDITION TO FINANCIAL ASSISTANCE ELIGIBILITY UNDER THE HOSPITAL'S FAP, FOR THOSE INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH PATIENTS TO ASSIST THEM IN APPLYING FOR PUBLIC ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS FIND AVAILABLE AND APPROPRIATE OPTIONS, THE HOSPITAL WILL PROVIDE ALL INDIVIDUALS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PUBLIC ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAMS DURING THE PATIENT'S INITIAL IN-PERSON REGISTRATION AT A HOSPITAL LOCATION FOR A SERVICE, IN ALL BILLING INVOICES THAT ARE SENT TO A PATIENT OR GUARANTOR, AND WHEN THE PROVIDER IS NOTIFIED OR THROUGH ITS OWN DUE DILIGENCE BECOMES AWARE OF A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS FOR PUBLIC OR PRIVATE INSURANCE COVERAGE.HOSPITAL PATIENTS MAY BE ELIGIBLE FOR FREE OR REDUCED COST OF HEALTH CARE SERVICES THROUGH VARIOUS STATE PUBLIC ASSISTANCE PROGRAMS AS WELL AS THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS (INCLUDING BUT NOT LIMITED TO MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PROGRAM, THE HEALTH SAFETY NET, AND MEDICAL HARDSHIP). SUCH PROGRAMS ARE INTENDED TO ASSIST LOW-INCOME PATIENTS TAKING INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. FOR THOSE INDIVIDUALS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL, WHEN REQUESTED, HELP THEM WITH APPLYING FOR EITHER COVERAGE THROUGH PUBLIC ASSISTANCE PROGRAMS OR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILLS.THE HOSPITAL IS AVAILABLE TO ASSIST PATIENTS IN ENROLLING INTO STATE HEALTH COVERAGE PROGRAMS. THESE INCLUDE MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE STATE'S HEALTH CONNECTOR, AND THE CHILDREN'S MEDICAL SECURITY PLAN. FOR THESE PROGRAMS, APPLICANTS CAN SUBMIT AN APPLICATION THROUGH AN ONLINE WEBSITE (WHICH IS CENTRALLY LOCATED ON THE STATE'S HEALTH CONNECTOR WEBSITE), A PAPER APPLICATION, OR OVER THE PHONE WITH A CUSTOMER SERVICE REPRESENTATIVE LOCATED AT EITHER MASSHEALTH OR THE CONNECTOR. INDIVIDUALS MAY ALSO ASK FOR ASSISTANCE FROM HOSPITAL FINANCIAL COUNSELORS (ALSO CALLED CERTIFIED APPLICATION COUNSELORS) WITH SUBMITTING THE APPLICATION EITHER ON THE WEBSITE OR THROUGH A PAPER APPLICATION.FINANCIAL ASSISTANCE POLICY - TRANSLATIONS THE HOSPITAL'S FAP, CREDIT AND COLLECTION POLICY AND PLAIN LANGUAGE SUMMARY OF THE FAP (SEE DETAIL BELOW) HAVE ALL BEEN TRANSLATED INTO THE LANGUAGES SPOKEN BY THOSE IN THE HOSPITAL'S COMMUNITY WHO MAY COMMUNICATE IN A LANGUAGE OTHER THAN ENGLISH.THE HOSPITAL HAS TRANSLATED THESE DOCUMENTS INTO THE FOLLOWING LANGUAGES: SPANISH, PORTUGUESE AND VIETNAMESE. (SCHEDULE H PART V SECTION B QUESTION 16I)FINANCIAL ASSISTANCE POLICY - WIDELY PUBLICIZING AND AVAILABILITYCOPIES OF THE FAP, CREDIT AND COLLECTION POLICY, FAP SUMMARY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE ALL AVAILABLE IN BOTH ENGLISH AND ALL LEP LANGUAGES AT THE HOSPITAL OR BY MAIL FREE OF CHARGE AND ON THE HOSPITAL'S WEBSITE AT (SCHEDULE H PART V SECTION B QUESTIONS 16A, 16B, 16C, 16D, 16E, 16H):HTTP://WWW.BIDPLYMOUTH.ORG/BODY.CFM?ID=90IN ADDITION, THE FAP, CREDIT AND COLLECTION POLICY, FAP SUMMARY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE ALL AVAILABLE IN THE HOSPITAL'S EMERGENCY DEPARTMENT AND FINANCIAL COUNSELING OFFICE. (SCHEDULE H PART V SECTION B QUESTION 16F AND SCHEDULE H PART VI QUESTION 3).THE HOSPITAL MAINTAINS SIGNAGE AND CONSPICUOUS PUBLIC DISPLAYS ABOUT FINANCIAL ASSISTANCE AND THE FAP DESIGNED TO ATTRACT THE ATTENTION OF PATIENTS AND VISITORS, INCLUDING BOTH THE EMERGENCY DEPARTMENT AND ADMISSIONS. SUCH SIGNAGE IS POSTED BOTH IN ENGLISH AND THE LEP LANGUAGES NOTED ABOVE. IN ADDITION, FINANCIAL COUNSELING PERSONNEL ROUTINELY VISIT LOCATIONS DESIGNATED FOR SIGNAGE TO ENSURE THAT SUCH SIGNAGE REMAINS VISIBLE TO PATIENTS AND VISITORS AS ATTENDED. THE HOSPITAL PROVIDES INFORMATION ABOUT THE FAP TO PATIENTS BEFORE DISCHARGE AND CONSPICUOUSLY WITHIN BILLING STATEMENTS. INFORMATION PROVIDED TO PATIENTS IN THESE COMMUNICATIONS INCLUDE CONTACT INFORMATION FOR THOSE THAT CAN HELP PROVIDE ADDITIONAL INFORMATION ABOUT THE FAP, INFORMATION ON THE APPLICATION PROCESS AND THE WEBSITE WHERE THE FAP CAN BE OBTAINED. ADDITIONALLY, A PLAIN LANGUAGE SUMMARY OF THE FAP IS PROVIDED TO PATIENTS AS PART OF THE INTAKE PROCESS. (SCHEDULE H PART V SECTION B QUESTION 16G). FINANCIAL ASSISTANCE POLICY - PLAIN LANGUAGE SUMMARYAS NOTED IN THIS NARRATIVE SUPPORT TO THE FORM 990 SCHEDULE H, THE HOSPITAL HAS A PLAIN LANGUAGE SUMMARY OF ITS FAP. THIS IS A WRITTEN STATEMENT DESIGNED TO NOTIFY PATIENTS AND VISITORS THAT THE HOSPITAL HAS A WRITTEN FAP AND PROVIDES FINANCIAL ASSISTANCE. THIS PLAIN LANGUAGE SUMMARY INCLUDES INFORMATION ON FREE AND DISCOUNTED CARE, HOW TO OBTAIN A COPY OF THE FAP POLICY AND APPLICATION, THE LOCATION (INCLUDING THE BUILDING AND ROOM NUMBER) AND PHONE NUMBER OF THE FINANCIAL COUNSELING OFFICE. THE PLAIN LANGUAGE SUMMARY ALSO INCLUDES THE LIST OF LANGUAGES INTO WHICH THE FAP AND SUMMARY HAVE BEEN TRANSLATED AS WELL AS HOW TO ACCESS INFORMATION ON PROVIDERS NOT COVERED BY THE FAP AND TO WHICH OTHER RELATED HOSPITALS APPROVAL UNDER THE FAP WILL APPLY.
|
|
LIMITATION ON CHARGES - INTERNAL REVENUE CODE SECTION 501(R)(5)
|
LIMITATION ON CHARGESAS REQUIRED BY IRC SECTION 501(R)(5) AND THE REGULATIONS PROMULGATED THEREUNDER, THE HOSPITAL LIMITS THE AMOUNTS CHARGED FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IT PROVIDES TO A FINANCIAL ASSISTANCE ELIGIBLE PATIENT, TO NOT MORE THAN AMOUNTS GENERALLY BILLED (AGB) AND LIMITS THE AMOUNTS CHARGED TO ANY FINANCIAL ASSISTANCE ELIGIBLE PATIENT FOR ALL OTHER MEDICAL CARE TO LESS THAN GROSS CHARGES. AMOUNTS GENERALLY BILLED - LOOK BACK METHODTHE HOSPITAL CALCULATES ITS AGB, USING THE LOOK BACK METHOD, DIVIDING THE TOTAL PAYMENTS RECEIVED FROM ALL COMMERCIAL PLANS AND MEDICARE BY THE TOTAL CHARGES SENT TO THOSE SAME PAYERS FOR THE PREVIOUS FISCAL YEAR. (SCHEDULE H PART V SECTION B QUESTION 22). PATIENT REFUNDS FOR CHARGES IN EXCESS OF AMOUNTS GENERALLY BILLEDTHE HOSPITAL REGULARLY MONITORS THE FINANCIAL ACCOUNTS OF FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. WHERE A PATIENT SUBMITS A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE AND IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL REFUNDS ANY AMOUNTS PREVIOUSLY PAID FOR CARE THAN EXCEEDS THE AMOUNT THAT THE PATIENT IS PERSONALLY RESPONSIBLE FOR PAYING WHERE SUCH AMOUNTS ARE EQUAL TO OR EXCEED $5.00. BILLING AND COLLECTIONS -- 501(R)(6)EXTRAORDINARY COLLECTION ACTIVITIESTHE HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECAS) FOR FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. SPECIFICALLY, THE HOSPITAL DOES NOT REPORT TO CREDIT AGENCIES, ENGAGE IN LEGAL OR JUDICIAL PROCESSES OR SELL A PATIENT'S OUTSTANDING AMOUNTS OWED FOR PATIENT CARE. IN ADDITION, THIS EXTENDS TO ANY THIRD PARTY CONTRACTED WITH THE HOSPITAL RELATED TO BILLING AND COLLECTIONS. (SCHEDULE H PART V SECTION B QUESTIONS 18 AND 19).APPLICATION PERIOD PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME UP TO TWO HUNDRED FORTY (240) DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS AVAILABLE. IRC 501(R) REPORTING UNDER REVENUE PROCEDURE 2015-21DURING A REVIEW OF THE HOSPITAL'S SECTION 501(R) COMPLIANCE IN FY18, IT WAS DETERMINED THAT CERTAIN INFORMATION IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), PLAIN LANGUAGE SUMMARY (PLS) AND CREDIT AND COLLECTIONS POLICY (CCP) REQUIRED CLARIFICATION OR CORRECTION. IN ACCORDANCE WITH THE PROCEDURES SET FORTH IN REVENUE PROCEDURE 2015-21, EACH OF THOSE ITEMS IS LISTED ALONG WITH THE METHOD OF CORRECTION. CORRECTION OCCURRED BY ADOPTION OF A REVISED FAP, PLS AND CCP BY THE HOSPITAL'S AUTHORIZED BODY PRIOR TO FILING THIS RETURN. (1) WHILE THE FAP SPECIFIED THE PERCENTAGE OF DISCOUNTS AVAILABLE, IT DID NOT SPECIFICALLY REFER TO WHAT CHARGES THOSE DISCOUNTS WOULD BE APPLIED. THE FAP HAS BEEN REVISED TO CLARIFY THAT THE DISCOUNTS ARE APPLIED TO PATIENT GROSS CHARGES. (2) THE FAP DID NOT SPECIFY THE AMOUNTS GENERALLY BILLED (AGB) BY THE HOSPITAL OR SPECIFY THE METHODOLOGY FOR CALCULATING THE AGB. THE FAP HAS BEEN REVISED TO INCLUDE THIS INFORMATION. (3) THE LIST OF PROVIDERS OF EMERGENCY AND MEDICALLY NECESSARY CARE AT THE HOSPITAL DID NOT INCLUDE ALL PROVIDERS. THE LIST HAS BEEN UPDATED AND NOW REFLECTS ALL PROVIDERS. (4) THE PLS DID NOT INCLUDE THE DIRECT WEBSITE ADDRESS WHERE THE FAP AND FAP APPLICATION COULD BE OBTAINED. THE PLS HAS BEEN UPDATED ACCORDINGLY. (5) THE HOSPITAL HAD NOT YET MADE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL ABOUT THE FAP IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. THE HOSPITAL HAS SINCE MADE SUCH EFFORTS, INCLUDING BY DISTRIBUTING COPIES OF ITS FAP AND FAP APPLICATION TO REFERRING STAFF PHYSICIANS AND TO COMMUNITY HEALTH CENTERS SERVING THE HOSPITAL'S COMMUNITY. (6) WHILE THE HOSPITAL HAD TRANSLATED ITS FAP, FAP APPLICATION AND PLS INTO SEVERAL LANGUAGES, IT HAD NOT YET TRANSLATED THOSE DOCUMENTS INTO ALL LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS IN THE HOSPITAL'S COMMUNITY. SUCH TRANSLATIONS HAVE NOW BEEN MADE. (7) THE HOSPITAL WAS NOT OFFERING COPIES OF THE PLS TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS. IT IS NOW DOING SO. (8) THE FAP SPECIFIED THAT FAP-ELIGIBLE PATIENTS WOULD RECEIVE REFUNDS FOR ANY AMOUNTS PAID IN EXCESS OF THE AGB. THIS LANGUAGE HAS BEEN REVISED TO CLARIFY THAT SUCH PATIENTS WILL RECEIVE REFUNDS FOR ANY AMOUNTS PAID IN EXCESS OF THEIR FAP DISCOUNTS. (9) THE CCP DID NOT INCLUDE A DESCRIPTION OF THE OFFICE, DEPARTMENT OR COMMITTEE WITH FINAL AUTHORITY FOR DETERMINING THAT THE MEDICAL CENTER HAS MADE REASONABLE EFFORTS TO DETERMINE FAP-ELIGIBILITY PRIOR TO ENGAGING IN ANY EXTRAORDINARY COLLECTION ACTIONS. THE CCP HAS BEEN REVISED TO INCLUDE SUCH A DESCRIPTION. (10) WHILE THE HOSPITAL HAS HAD A LONGSTANDING EMERGENCY MEDICAL CARE POLICY IN PLACE THE POLICY HAD NOT BEEN ADOPTED BY AN AUTHORIZED BODY. THE HOSPITAL HAS NOW INCLUDED LANGUAGE IN ITS FAP, ADOPTED BY AN AUTHORIZED BODY, REQUIRING THE HOSPITAL TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF WHETHER THEY ARE FAP-ELIGIBLE. (11) THE HOSPITAL HAD NOT BEEN INCLUDING WITH BILLS TO PATIENTS OFFERED DISCOUNTED BUT NOT FREE CARE AN EXPLANATION OF HOW THE PATIENT'S DISCOUNT HAD BEEN DETERMINED. THAT INFORMATION IS NOW INCLUDED WITH PATIENT BILLS. FINALLY, THE HOSPITAL HAS ADOPTED PROCEDURES THAT REQUIRE THE HOSPITAL TO REVIEW, ON A REGULAR BASIS, THE HOSPITAL'S POLICIES AND PROCEDURE TO ENSURE COMPLIANCE WITH THE REQUIREMENTS OF SECTION 501(R) AND THE REGULATIONS ISSUED THEREUNDER. THOSE PROCEDURES INCLUDE REVIEWING A SECTION 501(R) COMPLIANCE CHECKLIST.FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLANDETAIL TO BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH'S (BID-PLYMOUTH OR HOSPITAL) COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION STRATEGY AND COMMUNITY BENEFITS ACTIVITIES HAVE BEEN PROVIDED IN FORM 990, SCHEDULE H, PART V SECTION C ABOVE. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - GRADUATE MEDICAL EDUCATION AS PREVIOUSLY NOTED IN THROUGHOUT THIS FORM 990, FOR THE PERIOD COVERED BY THIS FILING BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) IS THE SOLE MEMBER OF BID-PLYMOUTH. ALTHOUGH BID-PLYMOUTH DOES NOT ENGAGE DIRECTLY IN GRADUATE MEDICAL EDUCATION, PROVIDING SUCH EDUCATION IS PART OF BIDMC'S CORE MISSION. THE MEDICAL CENTER'S DEVOTION TO TEACHING, RESPECT FOR STUDENTS/TRAINEES AND WILLINGNESS TO EMBRACE TECHNOLOGICAL AND CLINICAL PRACTICE INNOVATION MAKE THE MEDICAL CENTER A TOP CHOICE AMONG MEDICAL STUDENTS AND HEALTH CARE PROFESSIONALS. THE MEDICAL CENTER TRAINS HUNDREDS OF MEDICAL STUDENTS, INTERNS, RESIDENTS AND FELLOWS, AS WELL AS PROFESSIONALS IN NURSING, SOCIAL WORK AND THE ALLIED HEALTH SCIENCES. THE MEDICAL CENTER HAS 55 ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) APPROVED CLINICAL RESIDENCY AND FELLOWSHIP PROGRAMS WITH 653 RESIDENTS AND CLINICAL FELLOWS. IN ADDITION, THE MEDICAL CENTER HAS 45 NONSTANDARD CLINICAL FELLOWSHIP PROGRAMS WITH 65 TRAINEES PER YEAR. STAFF PHYSICIANS AT THE MEDICAL CENTER WHO HOLD FACULTY APPOINTMENTS AT HARVARD MEDICAL SCHOOL INSTRUCT THE DOCTORS OF TOMORROW THROUGH SUPERVISION OF THEIR DAILY PATIENT CARE AND A RANGE OF INTERACTIVE LEARNING EXPERIENCES.
|
|
CORE CLINICAL TRAINING PROGRAMS
|
THE MEDICAL CENTER SPONSORS CORE CLINICAL TRAINING PROGRAMS IN THE FOLLOWING FIELDS:- ANESTHESIOLOGY- EMERGENCY MEDICINE- INTERNAL MEDICINE- NEUROLOGY- NEUROSURGERY- OBSTETRICS AND GYNECOLOGY- PATHOLOGY- PSYCHIATRY- RADIOLOGY- SURGERY- TRANSITIONAL YEARDURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER HAD NET EXPENDITURES OF $74,862,985 REPORTED ON THIS SCHEDULE H, PART I, LINE 7F RELATED TO THE MEDICAL CENTER'S TEACHING FUNCTION WHICH REPRESENTED 4.26% OF THE MEDICAL CENTER'S TOTAL EXPENSES.RESIDENCY PROGRAMSTHE MEDICAL CENTER SPONSORS ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) APPROVED RESIDENCY PROGRAMS IN EACH OF THE CORE CLINICAL TRAINING PROGRAMS LISTED ABOVE. FELLOWSHIP PROGRAMSIN ADDITION TO THE RESIDENT TRAINING PROGRAMS LISTED ABOVE, THE MEDICAL CENTER SPONSORS A WIDE VARIETY OF FELLOWSHIP TRAINING PROGRAMS FOR ELIGIBLE DOCTORS WHO HAVE COMPLETED THEIR RESIDENCY AND WANT TO ENGAGE IN MORE SPECIALIZED STUDY. OVER HALF OF THESE PROGRAMS (55 OF 90) ARE ACGME APPROVED OR APPROVED BY A COMPARABLE BODY RELATED TO THE PARTICULAR SUBSPECIALTY. THE MEDICAL CENTER SPONSORS THE FOLLOWING FELLOWSHIP PROGRAMS:- ANESTHESIA: ADULT CARDIOTHORACIC ANESTHESIOLOGY, ADVANCED CLINICAL ANESTHESIA, CRITICAL CARE MEDICINE, NEUROANESTHESIA, OBSTETRIC ANESTHESIOLOGY, PAIN MEDICINE, REGIONAL ANESTHESIA, VASCULAR ANESTHESIA, PATIENT SAFETY AND QUALITY IMPROVEMENT IN ANESTHESIA- EMERGENCY MEDICINE: EMERGENCY MEDICAL SERVICES, EMERGENCY ULTRASOUND, DISASTER MEDICINE, ACADEMIC EMERGENCY MEDICINE- INTERNAL MEDICINE: ADVANCED CARDIAC NON-INVASIVE IMAGING, ADVANCED ENDOSCOPY, CARDIAC MAGNETIC RESONANCE IMAGING CARDIOVASCULAR DISEASE, CELIAC DISEASE, CLINICAL CARDIAC ELECTROPHYSIOLOGY, CLINICAL INFORMATICS, ENDOCRINOLOGY, DIABETES, AND METABOLISM, GASTROENTEROLOGY, GENERAL MEDICINE, GERIATRIC MEDICINE, GERIATRIC AND DIABETES, GI MOTILITY/FUNCTIONAL BOWEL DISORDERS, GLOBAL HEALTH, HEMATOLOGY AND ONCOLOGY, HEPATOLOGY, HOSPICE AND PALLIATIVE CARE, INFECTIOUS DISEASE, INFLAMMATORY BOWEL DISEASE, INTERVENTIONAL CARDIOLOGY, INTERVENTIONAL PULMONOLOGY, NEPHROLOGY, PULMONARY CRITICAL CARE, RHEUMATOLOGY, SLEEP MEDICINE, SLEEP RESPIRATION, STRUCTURAL HEART DISEASE, TRANSPLANT HEPATOLOGY, TRANSPLANT NEPHROLOGY- NEUROLOGY: AUTONOMIC DISORDERS, COGNITIVE BEHAVIORAL NEUROLOGY, CLINICAL NEUROPHYSIOLOGY, EPILEPSY, MOVEMENT DISORDERS, MULTIPLE SCLEROSIS, NEUROLOGY-HIV, NEUROMUSCULAR MEDICINE, NEURO-ONCOLOGY, VASCULAR NEUROLOGY- OBSTETRICS AND GYNECOLOGY: FEMALE PELVIC MEDICINE & RECONSTRUCTIVE SURGERY, MATERNAL FETAL MEDICINE, MINIMALLY INVASIVE GYNECOLOGIC SURGERY, REPRODUCTIVE ENDOCRINOLOGY- PATHOLOGY: BLOOD BANKING/TRANSFUSION MEDICINE, CYTOPATHOLOGY, DERMATOPATHOLOGY, HEMATOLOGY, MEDICAL MICROBIOLOGY, MEDICAL MICROBIOLOGY - CPEP, NEUROPATHOLOGY, SELECTIVE PATHOLOGY - RADIOLOGY-DIAGNOSTIC: ABDOMINAL RADIOLOGY, BREAST IMAGING RADIOLOGY, INTERVENTIONAL RADIOLOGY-INDEPENDENT, INTERVENTIONAL RADIOLOGY-INTEGRATED MRI, MUSCULOSKELETAL IMAGING - MSK, NEURORADIOLOGY, THORACIC IMAGING RADIOLOGY, VASCULAR AND INTERVENTIONAL RADIOLOGY, RADIATION ONCOLOGYSURGERY: ABDOMINAL TRANSPLANT SURGERY/KIDNEY, COLORECTAL SURGERY, CORNEA AND REFRACTIVE SURGERY, CEREBROVASCULAR AND ENDOVASCULAR NEUROSURGERY, INTERDISCIPLINARY BREAST SURGERY, MINIMALLY INVASIVE BARIATRIC SURGERY, NEUROSURGERY/ORTHO SPINE, NEUROSURGICAL ONCOLOGY & STERIOTACTIC NEUROSURGERY, ORTHOPAEDIC HAND SURGERY, ORTHOPAEDIC SPINE SURGERY, PLASTIC HAND SURGERY, PLASTIC SURGERY/AESTHETIC RECONSTRUCTION, PODIATRY, SURGICAL CRITICAL CARE, THORACIC SURGERY, UROLOGY, UROLOGY MALE INFERTILITY/SEXUAL DYSFUNCTION, VASCULAR SURGERY, VASCULAR SURGERY-INTEGRATEDADDITIONAL INFORMATION ON THE MEDICAL CENTER'S CLINICAL RESIDENCY AND FELLOWSHIPS IS AVAILABLE IN THE SUPPORTING DETAIL TO THE MEDICAL CENTER'S FORM 990, SCHEDULE H. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - RESEARCHAS PREVIOUSLY NOTED IN THROUGHOUT THIS FORM 990, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) IS THE SOLE MEMBER OF BID-PLYMOUTH. ALTHOUGH BID-PLYMOUTH DOES NOT ENGAGE DIRECTLY IN ANY FUNDAMENTAL BENCH RESEARCH, CONDUCTING RESEARCH IS PART OF BIDMC'S MISSION. THE MEDICAL CENTER IS A WORLD-CLASS RESEARCH INSTITUTION WHERE OUTSTANDING SCIENTISTS WORK TO DEVELOP NEW KNOWLEDGE FOR THE BETTERMENT OF THE HEALTH OF LOCAL AND EXTENDED COMMUNITIES. THE BIDMC RESEARCH PROGRAM STRIVES TO BE, AND IS, RENOWNED FOR ITS BENCH-TO-BEDSIDE MODEL OF TRANSLATIONAL RESEARCH AND FOR ITS COLLABORATION WITH INDUSTRY AS A PATHWAY FOR TRANSFERRING THE FRUITS OF RESEARCH INTO PRODUCTS THAT IMPROVE THE QUALITY OF LIFE.THE MEDICAL CENTER'S NOTABLE RESEARCH ACCOMPLISHMENTS INCLUDE CONSISTENTLY BEING RANKED IN THE TOP TIER OF INDEPENDENT HOSPITALS IN NATIONAL INSTITUTES OF HEALTH (NIH) FUNDING. THE MEDICAL CENTER SCIENTISTS CONTINUE TO SEARCH FOR IMPROVED UNDERSTANDING OF DISEASES AND BETTER TREATMENTS FOR PATIENTS, WHICH IN TURN DIRECTLY IMPACT THE LIVES OF OUR PATIENTS AND IMPROVE THE MEDICAL CENTER'S PATIENT CARE. DURING THE FISCAL PERIOD COVERED BY THIS FILING, MORE THAN 1,220 ACTIVE FEDERAL, INDUSTRY AND FOUNDATION SPONSORED PROJECTS AND MORE THAN 2,500 ACTIVE EXEMPT, EXPEDITED, AND FULL BOARD-REVIEWED CLINICAL RESEARCH STUDIES. BIDMC RESEARCH IS LED BY MORE THAN 280 PRINCIPAL INVESTIGATORS, THE MAJORITY OF WHOM ARE HARVARD MEDICAL SCHOOL FACULTY. THE KEY AREAS OF RESEARCH INCLUDE VASCULAR BIOLOGY, MOLECULAR IMAGING, TRANSPLANTATION, SIGNAL TRANSDUCTION, CANCER BIOLOGY, METABOLIC DISEASE, NEUROBIOLOGY, AIDS AND CARDIOLOGY/CARDIAC SURGERY. AS NOTED IN THIS FILING, THE MEDICAL CENTER IS A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND IS COMMITTED TO MAINTAINING A COLLABORATIVE CULTURE; TO MAINTAINING MODERN, HIGH-QUALITY FACILITIES, AND TO TAKING FULL ADVANTAGE OF THE UNIQUE RELATIONSHIPS THAT EXIST AMONG THE HARVARD MEDICAL SCHOOL AND THE HARVARD TEACHING HOSPITALS. THE MEDICAL CENTER DESIGNS AND IMPLEMENTS MANY INTERDEPARTMENTAL AND INTERDISCIPLINARY RESEARCH PROGRAMS WITHIN THE INSTITUTION. THE MEDICAL CENTER ALSO COLLABORATES WITH OTHER NATIONALLY RECOGNIZED AND WORLD RENOWNED EXPERTS IN VARIOUS FIELDS IN AN EFFORT TO TRANSLATE NEW KNOWLEDGE INTO NOVEL MEDICAL TREATMENTS AND PATIENT CARE. THE MEDICAL CENTER PARTICIPATES IN HARVARD CATALYST, THE HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER, WHICH BRINGS TOGETHER THE INTELLECTUAL FORCE, TECHNOLOGIES, AND CLINICAL EXPERTISE AT HARVARD UNIVERSITY AND ITS ACADEMIC, HEALTH CARE, AND COMMUNITY PARTNERS TO CREATE CONNECTIONS, ENABLE RESEARCH AT THE CUTTING EDGE OF DISCOVERY, AND NURTURE CLINICAL AND TRANSLATIONAL RESEARCHERS WITH THE GOAL OF IMPROVING HUMAN HEALTH.STUDIES BY MEDICAL CENTER RESEARCHERS ARE ROUTINELY PUBLISHED IN THE WORLD'S LEADING SCIENTIFIC JOURNALS, INCLUDING NATURE, SCIENCE AND THE NEW ENGLAND JOURNAL OF MEDICINE, WHICH HELPS TO BRING THE RESEARCH FINDINGS TO CLINICIANS AND PATIENTS BEYOND THE MEDICAL CENTER. THE MEDICAL CENTER ENGAGES IN RESEARCH IN ALL OF THE FOLLOWING DISCIPLINES:- ANESTHESIA, CRITICAL CARE, AND PAIN MEDICINE - EMERGENCY MEDICINE - MEDICINE - ALLERGY AND INFLAMMATION - CARDIOVASCULAR MEDICINE - CENTER FOR VASCULAR BIOLOGY RESEARCH - CENTER FOR VIROLOGY AND VACCINE RESEARCH - CLINICAL INFORMATICS - CLINICAL NUTRITION - ENDOCRINOLOGY - EXPERIMENTAL MEDICINE - GASTROENTEROLOGY - GENERAL MEDICINE AND PRIMARY CARE - GENETICS - GERONTOLOGY - HEMATOLOGY AND ONCOLOGY - HEMOSTASIS AND THROMBOSIS - IMMUNOLOGY - INFECTIOUS DISEASE - INTERDISCIPLINARY MEDICINE AND BIOTECHNOLOGY - MOLECULAR AND VASCULAR MEDICINE - NEPHROLOGY - PULMONOLOGY - RHEUMATOLOGY - SIGNAL TRANSDUCTION - TRANSLATIONAL RESEARCH - TRANSPLANT IMMUNOLOGY- NEONATOLOGY - NEUROLOGY - OBSTETRICS AND GYNECOLOGY - ORTHOPAEDIC SURGERY - PATHOLOGY - PSYCHIATRY - RADIOLOGY - SURGERY - CARDIAC SURGERY - CENTER FOR MINIMALLY INVASIVE SURGERY - NEUROSURGERY - PLASTIC AND RECONSTRUCTIVE SURGERY - VASCULAR SURGERY- TRANSPLANT INSTITUTEDURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER REPORTED $77,578,478 OF NET INTERNALLY FUNDED RESEARCH ON ITS SCHEDULE H, PART I, LINE 7H RELATED TO RESEARCH TO FURTHER SCIENCE AND PATIENT CARE, WHICH REPRESENTED 4.42% OF THE MEDICAL CENTER'S TOTAL EXPENSES. ADDITIONALLY, THE MEDICAL CENTER REPORTED $219,244,237 OF RESEARCH EXPENSES FUNDED BY GOVERNMENTS AND OTHER TAX-EXEMPT ENTITIES INCLUDING OTHER HOSPITALS, UNIVERSITIES AND FOUNDATIONS ON SCHEDULE H, PART I LINE 7H COLUMN D, WHICH, IF INCLUDED IN SCHEDULE H, PART I, LINE 7H COLUMN E CALCULATION, WOULD INCREASE THE NET COMMUNITY BENEFIT REPORTED FROM RESEARCH ACTIVITIES ON THIS SCHEDULE H, PART I, LINE 7H TO 16.77%.
|
|
SCHEDULE H PART VI QUESTIONS 5 AND 6
|
ADDITIONAL PROMOTION OF COMMUNITY HEALTH AND AFFILIATED HEALTH CARE SYSTEMBID-PLYMOUTH MAINTAINS AN OPEN MEDICAL STAFF AND AS NOTED IN THIS FORM 990 PARTS I AND VI, THE MAJORITY OF BOARD MEMBERS ARE INDEPENDENT COMMUNITY MEMBERS. IN ADDITION, AS NOTED THROUGHOUT THIS NARRATIVE SUPPORT TO THE BID-PLYMOUTH FORM 990 AND SCHEDULES, THE MEDICAL CENTER IS PART OF THE CAREGROUP NETWORK OF AFFILIATES AND CAREGROUP SERVES AS THE MEDICAL CENTER'S SOLE MEMBER. THE MEDICAL CENTER SERVES AS THE SOLE MEMBER TO BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL - MILTON, BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP AND JORDAN HEALTH SYSTEMS, INC. HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER IS THE DEDICATED PHYSICIAN PRACTICE OF BIDMC. EACH OF THESE ENTITIES MAY, IN TURN, SERVE AS THE SOLE MEMBER OF ADDITIONAL AFFILIATES. BID-PLYMOUTH, THE MEDICAL CENTER AND EACH OF ITS AFFILIATES IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE.
|
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.