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FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS
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COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSBETH ISRAEL DEACONESS HOSPITAL NEEDHAM AFFILIATIONBETH ISRAEL LAHEY HEALTH (BILH) IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITALNEEDHAM. THE BILH NETWORK OF AFFILIATES IS AN INTEGRATED HEALTH CARE SYSTEM COMMITTED TO EXPANDING ACCESS TO EXTRAORDINARY PATIENT CARE ACROSS EASTERN MASSACHUSETTS AND ADVANCING THE SCIENCE AND PRACTICE OF MEDICINE THROUGH GROUNDBREAKING RESEARCH AND EDUCATION. THE BILH SYSTEM IS COMPRISED OF ACADEMIC AND TEACHING HOSPITALS, A PREMIER ORTHOPEDICS HOSPITAL, PRIMARY CARE AND SPECIALTY CARE PROVIDERS, AMBULATORY SURGERY CENTERS, URGENT CARE CENTERS, COMMUNITY HOSPITALS, HOMECARE SERVICES, OUTPATIENT BEHAVIORAL HEALTH CENTERS, AND ADDICTION TREATMENT PROGRAMS. THE BILH COMMUNITY OF CLINICIANS, CAREGIVERS, AND STAFF INCLUDES APPROXIMATELY 4,000 PHYSICIANS AND 35,000 EMPLOYEES. AT THE HEART OF BILH IS THE BELIEF THAT EVERYONE DESERVES HIGH-QUALITY, AFFORDABLE HEALTH CARE AND THIS BELIEF IS WHAT DRIVES EACH AFFILIATE TO WORK WITH COMMUNITY PARTNERS ACROSS THE REGION TO PROMOTE HEALTH, EXPAND ACCESS, AND DELIVER THE BEST CARE IN THE COMMUNITIES BILH SERVES. BILH'S COMMUNITY BENEFITS STAFF ARE COMMITTED TO WORKING COLLABORATIVELY WITH BILH'S COMMUNITIES TO ADDRESS THE LEADING HEALTH ISSUES AND CREATE A HEALTHY FUTURE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES.BETH ISRAEL DEACONESS HOSPITAL NEEDHAM COMMUNITY BENEFITS MISSION STATEMENT THE MISSION OF BETH ISRAEL DEACONESS HOSPITALNEEDHAM IS TO SERVE BETH ISRAEL DEACONESS HOSPITALNEEDHAM PATIENTS COMPASSIONATELY AND EFFECTIVELY AND TO CREATE A HEALTHY FUTURE FOR THEM AND THEIR FAMILIES. BID NEEDHAM'S MISSION IS SUPPORTED BY THE HOSPITAL'S COMMITMENT TO PERSONALIZED, EXCELLENT CARE FOR PATIENTS; A WORKFORCE COMMITTED TO INDIVIDUAL ACCOUNTABILITY, MUTUAL RESPECT, AND COLLABORATION; AND A COMMITMENT TO MAINTAINING FINANCIAL HEALTH. BETH ISRAEL DEACONESS HOSPITAL NEEDHAM IS ALSO COMMITTED TO BEING ACTIVE IN THE COMMUNITY. SERVICE TO COMMUNITY IS AT THE CORE OF BID NEEDHAM'S MISSION. BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S COMMUNITY BENEFITS MISSION IS FULFILLED BY: INVOLVING BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S STAFF, INCLUDING ITS LEADERSHIP AND DOZENS OF COMMUNITY PARTNERS, IN THE CHNA PROCESS AS WELL AS IN THE DEVELOPMENT, IMPLEMENTATION, AND OVERSIGHT OF ITS IMPLEMENTATION STRATEGY;ENGAGING RESIDENTS THROUGHOUT THE HOSPITAL'S SERVICE AREAS IN ALL ASPECTS OF THE COMMUNITY BENEFITS PROCESS, INCLUDING ASSESSMENT, PLANNING, IMPLEMENTATION, AND EVALUATION. SPECIAL ATTENTION IS FOCUSED ON ENGAGING DIVERSE PERSPECTIVES, FROM THOSE, PATIENTS AND NON-PATIENTS ALIKE, WHO ARE OFTEN LEFT OUT OF SIMILAR ASSESSMENT, PLANNING, AND PROGRAM IMPLEMENTATION PROCESSES;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 BETH ISRAEL DEACONESS HOSPITALNEEDHAM'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 AND ENSURING THAT ALL PATIENTS ARE WELCOMED AND RECEIVE CARE THAT IS RESPECTFUL AND CULTURALLY RESPONSIVE; ANDFACILITATING 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.COMMUNITY BENEFITS FINANCIAL SUMMARY DURING THE FISCAL YEAR COVERED BY THIS FILING, BETH ISRAEL DEACONESS HOSPITALNEEDHAM PROVIDED COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFITS OPERATIONS, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $221,529 AS REPORTED ON THIS SCHEDULE H, PART I, LINES 7E AND 7I. COMMUNITY BENEFITS LEADERSHIP/TEAMBID NEEDHAM'S COMMUNITY BENEFITS WORK IS LED BY THE DIRECTOR OF COMMUNITY BENEFITS. THE DIRECTOR IS ACCOUNTABLE TO THE BILH REGIONAL DIRECTOR, THE BILH VICE PRESIDENT OF COMMUNITY BENEFITS, AND COMMUNITY RELATIONS AND THE CHIEF STRATEGY OFFICER FOR BILH, ALONG WITH BID NEEDHAM'S PRESIDENT. THESE SENIOR MANAGERS ARE RESPONSIBLE FOR ENSURING THAT COMMUNITY BENEFITS ARE ADDRESSED BY THE ENTIRE ORGANIZATION AND THE NEEDS OF BID NEEDHAM'S UNDERSERVED POPULATIONS ARE CONSIDERED EVERY DAY IN DISCUSSIONS ON RESOURCE ALLOCATION, POLICIES, AND PROGRAM DEVELOPMENT. BID NEEDHAM'S COMMUNITY BENEFITS ADVISORY COMMITTEE (CBAC) CONTINUED TO MEET IN FY20, WORKING IN PARTNERSHIP WITH RESIDENTS, COMMUNITY LEADERS, AND CIVIC, SOCIAL, AND MEDICAL ORGANIZATIONS IN THE COMMUNITIES THE HOSPITAL SERVES.CBAC MEMBERS INCLUDE:LINA ARENA DEROSA, WESTWOOD COUNCIL ON AGINGSARAH BAROUD, WESTWOOD YOUTH AND FAMILY SERVICESJANET BARRETT, BID NEEDHAM BOARD OF ADVISORSCAROL BURAK, DEDHAM FOOD PANTRY AND CBSA RESIDENTVIRGINIA CARNAHAN, BID NEEDHAM BOARD OF TRUSTEESJANET CLAYPOOLE, DOVER COUNCIL ON AGINGSUE CROSSLEY, FAMILY PROMISE METROWEST AND CBSA RESIDENTKATHY DAVIDSON, CHIEF NURSING OFFICER, BID NEEDHAM LISE ELCOCK, NEWTON NEEDHAM REGIONAL CHAMBER AND CBSA RESIDENTJEANNE GOLDBERG, BETH ISRAEL DEACONESS HEALTHCARE AND CBSA RESIDENTALYSSA KENCE, COMMUNITY BENEFITS DIRECTOR, BID NEEDHAM WANITA KENNEDY, BID NEEDHAM BOARD OF ADVISORSVALERIE LIN, DOVER PARKS & RECREATION AND CBSA RESIDENTLESLIE MEDALIE, COMMITTEE CHAIR, BID NEEDHAM BOARD OF TRUSTEESMARSHA MEDALIE, RIVERSIDE COMMUNITY CARE AND CBSA RESIDENTTIM MCDONALD, NEEDHAM DIVISION OF PUBLIC HEALTHSHEILA PRANSKY, DEDHAM COUNCIL ON AGINGDIANE BARRY PRESTON, LIVABLE DEDHAM AND CBSA RESIDENTSANDY ROBINSON, NEEDHAM COMMUNITY COUNCIL AND CBSA RESIDENTSUSAN SHAVER, NEEDHAM COMMUNITY FARM AND CBSA RESIDENTSAMANTHA SHERMAN, VP PHILANTHROPY, BID NEEDHAM DEB TAMBEAU, DIRECTOR, NEEDHAM HOUSING AUTHORITYSAMANTHA TROTMAN BURMAN, BID NEEDHAM, BOARD OF TRUSTEES
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COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY
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MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTINTERNAL REVENUE CODE SECTION 501(R)INTERNAL REVENUE CODE 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, TO MAINTAIN ITS TAX-EXEMPT STATUS AS A HOSPITAL UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) OF 1986, AS AMENDED. BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM COMPLETED ITS MOST RECENT NEEDS ASSESSMENT IN 2019. THAT CHNA WAS APPROVED BY THE BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM BOARD OF TRUSTEES ON SEPTEMBER 5, 2019. THE ACCOMPANYING IMPLEMENTATION STRATEGY FOR THE MOST RECENT CHNA WAS ALSO APPROVED BY THE BOARD ON SEPTEMBER 5, 2019, WHICH IS WITHIN THE TIMELINE REQUIRED BY THE TREASURY REGULATIONS UNDER 501(R). THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE ASSOCIATED IMPLEMENTATION STRATEGY (IS) REPRESENT THE CULMINATION OF A YEAR OF WORK AND WERE BORNE LARGELY OF BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'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 FULFILLS THE COMMONWEALTH ATTORNEY GENERAL'S OFFICE (AGO) AND FEDERAL INTERNAL REVENUE SERVICE (IRS) REGULATIONS THAT REQUIRE THAT BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM ASSESS COMMUNITY HEALTH NEEDS, ENGAGE THE COMMUNITY, IDENTIFY PRIORITY HEALTH ISSUES, AND CREATE A COMMUNITY HEALTH STRATEGY THAT DESCRIBES HOW BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM, IN COLLABORATION WITH THE COMMUNITY AND LOCAL HEALTH DEPARTMENT(S), WILL ADDRESS THE NEEDS AND THE PRIORITIES IDENTIFIED BY THE CHNA.2019 COMMUNITY HEALTH NEEDS ASSESSMENT-TARGETED GEOGRAPHY AND POPULATIONAS NOTED ABOVE, BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM COMPLETED ITS LAST ASSESSMENT IN SEPTEMBER 2019. THE GEOGRAPHICAL FOCUS OF BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'S MOST RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT ENCOMPASSES DEDHAM, DOVER, NEEDHAM AND WESTWOOD.TARGET POPULATIONS FOR BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'S COMMUNITY BENEFITS INITIATIVES ARE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS, AND A CHNA THAT IS CONDUCTED EVERY THREE YEARS IN ACCORDANCE WITH THE REQUIREMENTS UNDER IRC SECTION 501(R).BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S TARGET POPULATIONS FOCUS ON MEDICALLY UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES IN DEDHAM, NEEDHAM, WESTWOOD, AND NORWOOD AS FOLLOWS:LOW- TO MODERATE-INCOME INDIVIDUALS AND FAMILIESINDIVIDUALS WITH CHRONIC/COMPLEX CONDITIONSYOUTHOLDER ADULT2019 COMMUNITY HEALTH NEEDS ASSESSMENT-SUMMARY OF APPROACH AND METHODSTHE CHNA USED A PARTICIPATORY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. THE ASSESSMENT PROCESS INCLUDED SYNTHESIZING EXISTING REGIONAL DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS AS WELL AS INFORMATION FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS WITH RESIDENTS AND SOCIAL SERVICE ORGANIZATIONS, A COMMUNITY FORUM FOR ALL RESIDENTS IN THE SERVICE AREA, AND ONLINE AND IN-PERSON SURVEYS. COMMUNITY DIALOGUES AND KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM ACROSS THE FOUR TOWNS THAT COMPRISE THE BID NEEDHAM SERVICE AREA AND WITH A RANGE OF PEOPLE REPRESENTING DIFFERENT AUDIENCES, INCLUDING LEADERS IN EMERGENCY RESPONSE, EDUCATION, HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS FOCUSING ON VULNERABLE POPULATIONS (E.G., YOUTH AND AGING) (SCHEDULE H, PART V, SECTION B, QUESTIONS 3 AND 5). THE HOSPITAL WORKED COLLABORATIVELY WITH THE NEEDHAM DIVISION OF PUBLIC HEALTH TO SHARE INFORMATION FROM THEIR RESPECTIVE NEEDS ASSESSMENT ACTIVITIES RELATIVE TO THEIR EFFORTS TO BECOME AN ACCREDITED HEALTH DEPARTMENT. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED MORE THAN 500 PEOPLE.2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSDETAIL OF APPROACH AND METHODSQUANTITATIVE DATA FROM A BROAD RANGE OF SOURCES WAS COLLECTED AND ANALYZED TO CHARACTERIZE COMMUNITIES IN BIDNEEDHAM'S CBSA, MEASURE HEALTH STATUS, AND INFORM A COMPREHENSIVE UNDERSTANDING OF THE HEALTH-RELATED ISSUES. SOURCES INCLUDED:U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES (2013-2017)MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION: SCHOOL AND DISTRICT PROFILES (2017, AND 2018-2019)FBI UNIFORM CRIME REPORTS (2017)MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, REGISTRY OF VITAL RECORDS AND STATISTICS (2015)MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, BUREAU OF SUBSTANCE ABUSE SERVICES (2017)MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, ANNUAL REPORTS ON BIRTHS (2016)MASSACHUSETTS BUREAU OF INFECTIOUS DISEASE AND LABORATORY SCIENCES (2017)MASSACHUSETTS CENTER FOR HEALTH INFORMATION ANALYSIS (CHIA) HOSPITAL PROFILES (FY 2013-2017)MASSACHUSETTS HEALTHY AGING COLLABORATIVE, COMMUNITY PROFILES (2018)
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SCHEDULE H, PART V, SECTION B, LINE 5
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2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSKEY INFORMANT INTERVIEWS WITH INTERNAL AND EXTERNAL STAKEHOLDERS BID NEEDHAM CONDUCTED 14 KEY INFORMANT INTERVIEWS THAT ENGAGED INSTITUTIONAL, ORGANIZATIONAL AND COMMUNITY LEADERS AND FRONT-LINE STAFF ACROSS SECTORS. DISCUSSIONS EXPLORED INTERVIEWEES' EXPERIENCES OF ADDRESSING COMMUNITY NEEDS AND OPPORTUNITIES FOR FUTURE ALIGNMENT, COORDINATION AND EXPANSION OF SERVICES, INITIATIVES AND POLICIES. A LIST OF KEY INFORMANTS IS INCLUDED IN APPENDIX A OF THE CHNA REPORT THAT IS POSTED ON BID NEEDHAM'S WEBSITE. INTERVIEWEES INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH DEPARTMENTS, LEGISLATORS, CLINICAL PROVIDERS, ELDER SERVICE PROVIDERS, BEHAVIORAL HEALTH PROVIDERS, AND FIRST RESPONDERS. KEY INFORMANT INTERVIEWS WERE DONE TO CONFIRM AND REFINE FINDINGS FROM SECONDARY DATA, TO PROVIDE COMMUNITY CONTEXT, AND TO CLARIFY NEEDS AND PRIORITIES OF THE COMMUNITY.2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSFOCUS GROUPS AND COMMUNITY FORUMS JSI FACILITATED FOCUS GROUPS WITH THE NEEDHAM OPERATIONS/EXECUTIVE LEADERSHIP TEAM, MADE OF UP HOSPITAL LEADERSHIP AND CLINICAL PROVIDERS, AND OLDER ADULT RESIDENTS AT THE NEEDHAM SENIOR CENTER. THE NEEDHAM HEALTH DEPARTMENT, WORKING IN COLLABORATION WITH BIDNEEDHAM, FACILITATED FOCUS GROUPS WITH THE INTERFAITH CLERGY ASSOCIATION AND THE YOUTH RESOURCE NETWORK (TWO ORGANIZATIONS THAT WORK DIRECTLY WITH UNDERSERVED POPULATIONS IN THE CBSA), AS WELL AS PROVIDERS WHO SERVE OLDER ADULTS. BIDNEEDHAM WORKED WITH THE NEEDHAM HEALTH DEPARTMENT TO ENSURE THAT QUESTIONS FOR THE NEEDS ASSESSMENT WERE INCORPORATED INTO THEIR FOCUS GROUP GUIDE. NOTES WERE SHARED BETWEEN THE TWO ORGANIZATIONS TO INFORM EACH OTHER'S PROCESSES.FOCUS GROUPS ALLOWED FOR THE COLLECTION OF INFORMATION TO AUGMENT FINDINGS FROM SECONDARY DATA AND KEY INFORMANT INTERVIEWS AND EXPLORATION OF STRATEGIC AND PROGRAMMATIC OPTIONS TO ADDRESS IDENTIFIED HEALTH ISSUES, SERVICE GAPS, AND/OR BARRIERS TO CARE. PARTICIPANTS WERE RECRUITED BY BID NEEDHAM, THE NEEDHAM PUBLIC HEALTH DIVISION, AND REPRESENTATIVES FROM HOST ORGANIZATIONS. FOCUS GROUPS WERE APPROXIMATELY 60 MINUTES AND WERE CONDUCTED IN-PERSON USING STRUCTURED INTERVIEW GUIDES. NOTES WERE TAKEN AT EACH SESSION. APPENDIX A INCLUDES SESSION DATES AND A FOCUS GROUP GUIDE. 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS-REVIEWING RESULTS AND COMPILING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY DOCUMENTSTHE CHNA PROCESS WAS DIVIDED INTO THREE PHASES. THE FINAL PHASE, PHASE III, INCLUDED THE FOLLOWING STEPS: MEETINGS WITH THE CBAC AND BID NEEDHAM'S COMMUNITY BENEFITS LEADERSHIP TEAM (INCLUDING MEMBERS OF THE BOARD OF DIRECTORS) TO PRESENT CHNA FINDINGS, PRIORITIZE COMMUNITY HEALTH ISSUES, IDENTIFY VULNERABLE POPULATIONS, AND DISCUSS POTENTIAL RESPONSESCREATION OF A RESOURCE INVENTORY TO CATALOGUE LOCAL ORGANIZATIONS, SERVICE PROVIDERS, AND COMMUNITY ASSETS THAT HAVE THE POTENTIAL TO ADDRESS IDENTIFIED NEEDSLITERATURE REVIEW OF EVIDENCE-BASED STRATEGIES TO RESPOND TO IDENTIFIED HEALTH PRIORITIES DEVELOPMENT OF FINAL A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY
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2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSKEY FINDINGS
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BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S CHNA RESULTED IN KEY FINDINGS RELATED TO SOCIAL DETERMINANTS OF HEALTH, BEHAVIORAL HEALTH, CHRONIC DISEASES AND THEIR RISK FACTORS AND NAVIGATING THE SYSTEM/ACCESS TO CARE. THE FOLLOWING ARE BRIEF SUMMARIES OF SOME OF THE ASSESSMENT'S KEY FINDINGS. A FULL REVIEW OF THE QUANTITATIVE AND QUALITATIVE INFORMATION THAT WAS COLLECTED FOR THIS ASSESSMENT AND THAT LED THE CBAC AND THE CBLT TO IDENTIFY THE ISSUES THAT WERE PRIORITIZED BY THE ASSESSMENT IS INCLUDED IN THE FULL BODY OF THE CHNA. SOCIAL DETERMINANTS OF HEALTH CONTINUE TO HAVE A SUBSTANTIAL IMPACT ON MANY SEGMENTS OF THE POPULATION. ONE OF THE DOMINANT THEMES FROM THE ASSESSMENT'S FINDINGS WAS THE IMPACT THAT THE UNDERLYING SOCIAL DETERMINANTS OF HEALTH ARE HAVING ON THOSE LIVING IN THE CBSA. THE SEGMENTS OF THE POPULATION MOST CHALLENGED BY THESE ISSUES ARE OLDER ADULTS, LOW-INCOME INDIVIDUALS/FAMILIES, RACIAL/ETHNIC MINORITIES, NON-ENGLISH SPEAKERS, AND THOSE WITH DISABILITIES OR WITH CHRONIC / COMPLEX CONDITIONS. MORE SPECIFICALLY, THESE SEGMENTS STRUGGLE WITH FINANCIAL INSECURITY, SAFE/AFFORDABLE HOUSING, TRANSPORTATION, ACCESS TO HEALTHY/AFFORDABLE FOOD, LACK OF SOCIAL SUPPORT, SOCIAL ISOLATION, AND LANGUAGE ACCESS /CULTURAL HUMILITY. THESE ISSUES IMPACT MANY PEOPLE'S AND FAMILIES' ABILITY TO ACCESS OR PAY FOR THE SERVICES, HOUSING, FOOD, OR OTHER ESSENTIAL ITEMS THEY NEED AND/OR TO LIVE A HAPPY, FULFILLING, PRODUCTIVE LIFE. THE BURDEN OF SUBSTANCE USE AND MENTAL HEALTH ISSUES. MENTAL HEALTH AND SUBSTANCE USE ISSUES CONTINUE TO BE ONE OF THE REGION'S MOST PREVALENT AND CHALLENGING ISSUES AND ARE HAVING A PROFOUND IMPACT ON INDIVIDUALS, FAMILIES, AND COMMUNITIES THROUGHOUT THE CBSA. THESE ISSUES ARE ALSO A MAJOR BURDEN ON THE HEALTH AND SOCIAL SERVICE SYSTEM. HEALTH AND SOCIAL SERVICE PROVIDERS, PUBLIC HEALTH AGENCIES, FIRST-RESPONDERS, AND COMMUNITY-BASED ORGANIZATIONS ARE CONFRONTED ON A DAILY BASIS WITH PEOPLE STRUGGLING WITH ACUTE OR CHRONIC CONDITIONS AND STRUGGLE TO PROVIDE OR LINK THEM TO THE CARE THEY NEED. WITH RESPECT TO MENTAL HEALTH ISSUES, DEPRESSION/ANXIETY, STRESS, SOCIAL ISOLATION, AND THE IMPACTS OF TRAUMA ARE THE LEADING ISSUES. WITH RESPECT TO SUBSTANCE USE, THE OPIOID CRISIS CONTINUES TO HAVE A TREMENDOUS IMPACT ON THE REGION, ALONG WITH ALCOHOL USE, MARIJUANA USE, AND VAPING IN YOUTH. THE FACT THAT PHYSICAL, MENTAL HEALTH, AND SUBSTANCE USE ISSUES ARE SO INTERTWINED COMPOUNDS THE IMPACT OF THESE ISSUES. OF PARTICULAR CONCERN ARE THE INCREASING RATES OF OPIOID USE AND THE IMPACTS OF TRAUMA. LIMITED ACCESS TO BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) SERVICES. DESPITE THE PREVALENCE OF MENTAL HEALTH AND SUBSTANCE USE ISSUES AND THE IMPACT THAT THESE ISSUES ARE HAVING ON INDIVIDUALS, FAMILIES, AND COMMUNITIES, THE BEHAVIORAL HEALTH SERVICE SYSTEM IN THE REGION IS EXTREMELY LIMITED. THERE ARE MAJOR SHORTAGES OF SPECIALIZED PROVIDERS - SUCH AS PSYCHIATRISTS, THERAPISTS, ADDICTION SPECIALISTS, AND CASE MANAGERS, WHO ARE CAPABLE OF PROVIDING THE FULL BREADTH OF PREVENTIVE, SCREENING, ASSESSMENT, TREATMENT, AND RECOVERY SUPPORT SERVICES THAT THE COMMUNITY NEEDS. THIS IS PARTICULARLY TRUE FOR THOSE WHO HAVE LIMITED ENGLISH SKILLS OR DIFFERENT CULTURAL PERSPECTIVES THAT REQUIRE SPECIALIZED CARE, SUCH AS IMMIGRANTS, RACIAL/ETHNIC MINORITIES, AND LGBTQ INDIVIDUALS. UNINSURED INDIVIDUALS, THOSE COVERED BY MEDICAID, AND THOSE IN LOW TO MODERATE INCOME BRACKETS ALSO STRUGGLE TO ACCESS OR PAY FOR THE SERVICES THEY NEED OR TO FIND PROVIDERS WHO ARE ABLE TO TAKE THEIR COVERAGE OR INSURANCE. HIGH RATES OF CHRONIC AND ACUTE PHYSICAL HEALTH CONDITIONS. ANOTHER MAJOR FINDING FROM THE ASSESSMENT IS THE HIGH RATES OF CHRONIC AND COMPLEX CONDITIONS THAT EXIST FOR MANY OF THE LEADING PHYSICAL HEALTH CONDITIONS (E.G., HEART DISEASE, HYPERTENSION, CANCER, AND ASTHMA) IN THE CBSA. OVERALL, THE RATES OF ILLNESS AND DEATH ARE NOT STATISTICALLY HIGHER THAN THE RATES FOR THE COMMONWEALTH, HOWEVER, IT IS IMPORTANT TO NOTE THAT THESE CHRONIC PHYSICAL HEALTH CONDITIONS ARE STILL THE LEADING CAUSES OF DEATH AND MUST BE ADDRESSED TO IMPROVE THE REGION'S HEALTH STATUS. HIGH RATES OF THE LEADING HEALTH RISK FACTORS (E.G., LACK OF NUTRITIONAL FOOD AND PHYSICAL ACTIVITY, ALCOHOL/ILLICIT DRUG USE, AND TOBACCO USE). BASED ON INFORMATION GATHERED FROM FOCUS GROUPS, INTERVIEWS, COMMUNITY MEETINGS, THE COMMUNITY HEALTH SURVEY, AND QUANTITATIVE SOURCES, THE ASSESSMENT FOUND THAT THERE WERE SUBSTANTIAL CONCERNS RELATED TO THE LEADING HEALTH RISK FACTORS, SUCH AS HEALTHY EATING, PHYSICAL ACTIVITY, OBESITY, TOBACCO USE/VAPING, ALCOHOL USE, AND STRESS. MANY OF THOSE WHO WERE INVOLVED IN THE ASSESSMENT BELIEVED THAT THERE WAS A NEED FOR MORE HEALTH EDUCATION AND A GREATER EMPHASIS ON HEALTH PROMOTION AND PREVENTION.CHALLENGES NAVIGATING THE SYSTEM AND COORDINATING NEEDED SERVICES. ANOTHER MAJOR THEME FROM THE INTERVIEWS, FOCUS GROUPS, AND COMMUNITY MEETINGS CONDUCTED FOR THE ASSESSMENT WAS THE CHALLENGES THAT MANY PEOPLE IN THE CBSA FACE NAVIGATING THE HEALTH AND SOCIAL SERVICE SYSTEM. THERE WAS A GENERAL SENSE THAT THERE WAS A BROAD RANGE OF HEALTH AND SOCIAL SERVICES AVAILABLE IN THE REGION BUT THAT MANY DID NOT KNOW WHERE TO GO FOR SERVICES OR STRUGGLED TO ACCESS THE SERVICES EVEN WHEN THEY KNEW WHERE TO GO. ONCE AGAIN, THE POPULATION SEGMENT WHO STRUGGLE MOST TO NAVIGATE THE SYSTEM ARE OLDER ADULTS, LOW-INCOME INDIVIDUALS/FAMILIES, RACIAL/ETHNIC MINORITIES, NON-ENGLISH SPEAKERS, AND THOSE WITH DISABILITIES OR CHRONIC/COMPLEX CONDITIONS. MANY PEOPLE SAID THAT THERE WAS A NEED FOR A RESOURCE INVENTORY THAT WOULD HELP RESIDENTS ACCESS SERVICES, ALONG WITH COUNSELORS OR CASE MANAGERS WHO COULD FURTHER ASSIST PEOPLE TO OBTAIN AND ACCESS THE SERVICES THEY NEEDED. THE CHNA THAT WAS COMPLETED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019, AND THE ASSOCIATED IMPLEMENTATION STRATEGY ADOPTED FROM THIS PROCESS WERE DESIGNED TO INFORM BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S COMMUNITY BENEFITS INITIATIVES DURING THE FISCAL YEARS ENDED SEPTEMBER 30, 2020; SEPTEMBER 30, 2021; AND SEPTEMBER 30, 2022.
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INTERIM CHANGES AND UPDATES TO IMPLEMENTATION STRATEGY
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BASED ON NEWLY IDENTIFIED COMMUNITY NEEDS COVID PANDEMICAS PREVIOUSLY NOTED IN THIS FILING, IRC SECTION 501(R)(3) AND THE PROMULGATED REGULATIONS REQUIRE THAT A TAX-EXEMPT HOSPITAL CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPT AN IMPLEMENTATION STRATEGY ADDRESSING COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA AT LEAST ONCE EVERY THREE YEARS. THE PREAMBLE TO THE REGULATIONS PROMULGATED UNDER IRC SECTION 501(R)(3) NOTES THAT THE TREASURY AND THE IRS INTENDED FOR THE CHNA AND IMPLEMENTATION STRATEGY REQUIREMENT TO ESTABLISH CONTINUAL FEEDBACK ON CHNA REPORTS AND A HOSPITAL IS REQUIRED TO CONSIDER COMMENTS RECEIVED RELATED TO THE EXISTING CHNA AND IMPLEMENTATION STRATEGY WHEN ENGAGING IN THE NEXT CHNA PROCESS NOT MORE THAN THREE YEARS AFTER ADOPTION. IN ADDITION, FINAL REGULATIONS DO NOT PROHIBIT IMPLEMENTATION STRATEGIES FROM DISCUSSING HEALTH NEEDS IDENTIFIED THROUGH MEANS OTHER THAN A CHNA, PROVIDED THAT THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA ARE ALSO DISCUSSED. FINALLY, THERE IS NOTHING IN THE REGULATIONS THAT PROHIBITS A HOSPITAL FROM UPDATING ITS IMPLEMENTATION STRATEGY BASED ON AN OFF-CYCLE CHANGE TO THE COMMUNITY HEALTH NEEDS THAT ARISE. DURING THE PERIOD COVERED BY THIS FILING, OCTOBER 1, 2019 TO SEPTEMBER 30, 2020, THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY BETH ISRAEL DEACONESS HOSPITALNEEDHAM, WERE IMPACTED BY AN UNEXPECTED GLOBAL PANDEMIC. ON JANUARY 9, 2020, THE WORLD HEALTH ORGANIZATION (WHO) ANNOUNCED THE IDENTIFICATION OF A NEW AND NOVEL CORONAVIRUS-RELATED PNEUMONIA IN WUHAN, CHINA. ON JANUARY 21, 2020 THE UNITED STATES CENTER FOR DISEASE CONTROL CONFIRMED THE FIRST CASE OF THIS NEW CORONA VIRUS IN THE UNITED STATES. ON JANUARY 31, 2020, THE WHO ISSUED A GLOBAL HEALTH EMERGENCY AND ON FEBRUARY 3 THE UNITED STATES DECLARED A PUBLIC HEALTH EMERGENCY BECAUSE OF THE COVID-19 VIRUS. ON MARCH 11, 2020, THE WHO DECLARED COVID-19 A PANDEMIC AND TWO DAYS LATER, THE PRESIDENT OF THE UNITED STATES DECLARED COVID-19 A NATIONAL EMERGENCY.THE HEALTH OF THE COMMUNITIES SERVED BY BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM WERE IMPACTED BY THIS UNFORESEEN HEALTH CRISIS AND IN THE ABSENCE OF REGULATORY GUIDANCE TO THE CONTRARY, BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM NEEDED TO QUICKLY REASSESS AND PIVOT TO MEET THE NEW AND PREVIOUSLY UNEXPECTED COMMUNITY NEEDS. AS SUCH, IN RESPONSE TO THE COVID-19 CRISIS BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S COMMUNITY BENEFITS STAFF ALONG WITH THE HOSPITAL'S COMMUNITY BENEFITS ADVISORY COMMITTEE (CBAC) AND IN RESPONSE TO COVID, EXPANDED GOALS RELATED TO ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH TARGETED PRIMARILY AT LOW INCOME AND MINORITY POPULATIONS WHO HAVE BEEN DISPROPORTIONATELY IMPACTED BY COVID-19.THE ADDITIONAL AND NEWLY URGENT HEALTH NEEDS IN RESPONSE TO COVID-19 WERE:ENSURE ACCESS TO PREVENTIVE MEASURES, TESTING, SCREENING AND TREATMENT FOR THOSE AT-RISK OR EXPOSED TO COVID-19 AND MITIGATE THE IMPACTS OF THE PANDEMIC ON THE SOCIAL DETERMINANTS OF HEALTHTHE ACTIONS TAKEN TOWARD ADDRESSING THESE NEEDS ARE INCLUDED FURTHER IN THIS NARRATIVE SUPPORT ALONG WITH BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S DETAILED DESCRIPTION OF ACTIVITIES UNDERTAKEN TO MEET THE COMMUNITY NEEDS. BETH ISRAEL LAHEY HEALTH ("BILH") QUICKLY AND EFFECTIVELY MARSHALLED ITS RESOURCES TO MOUNT A COMPREHENSIVE RESPONSE TO THE COVID-19 PANDEMIC. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS IN PART III FOR FURTHER DETAILS REGARDING BILH'S COVID-19 RESPONSE IN FY20.COMMUNITY HEALTH NEEDS ASSESSMENT-MAKING THE CHNA AND IMPLEMENTATION STRATEGY WIDELY AVAILABLEBETH ISRAEL DEACONESS HOSPITALNEEDHAM STRIVES TO ADDRESS THE PRIORITY AREAS IN ITS CHNA AND IMPLEMENTATION STRATEGY.AS NOTED ABOVE, BETH ISRAEL DEACONESS HOSPITALNEEDHAM COMPLETED ITS MOST RECENT CHNA DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2019 (TAX YEAR 2018). THAT CHNA AND APPENDIX WITH DETAILED INFORMATION IS AVAILABLE ON THE BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM WEBSITE AT: HTTPS://WWW.BIDNEEDHAM.ORG/ABOUT/COMMUNITY-INVOLVEMENT.IN ADDITION TO THE CHNA, BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM COMPLETED ITS MOST RECENT IMPLEMENTATION STRATEGY DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2019 (TAX YEAR 2018). THE IMPLEMENTATION STRATEGY IS AVAILABLE ON THE BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM WEBSITE AT: HTTPS://WWW.BIDNEEDHAM.ORG/ABOUT/COMMUNITY-INVOLVEMENT.IN ADDITION, AS NOTED ABOVE, BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM COMPLETED ITS PREVIOUS CHNA DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2016 (TAX YEAR 2015). THAT CHNA IS AVAILABLE ON THE BETH ISRAEL DEACONESS HOSPITALNEEDHAM WEBSITE AT:HTTPS://WWW.BIDNEEDHAM.ORG/ABOUT/COMMUNITY-INVOLVEMENT.FINALLY, THE IMPLEMENTATION STRATEGY ASSOCIATED WITH THE CHNA COMPLETED DURING BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S FISCAL YEAR ENDED SEPTEMBER 30, 2016 (TAX YEAR 2015) IS AVAILABLE ON THE BETH ISRAEL DEACONESS HOSPITALNEEDHAM WEBSITE AT:HTTPS://WWW.BIDNEEDHAM.ORG/ABOUT/COMMUNITY-INVOLVEMENT.EACH OF THESE DOCUMENTS IS ALSO AVAILABLE ON REQUEST (SCHEDULE H, PART V, SECTION B, LINE 7A).
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SCHEDULE H, PART V, SECTION B, LINE 11
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COMMUNITY HEALTH NEEDS ASSESSMENT-ADDRESSING COMMUNITY HEALTH NEEDSAS NOTED ABOVE, BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'S MOST RECENT CHNA AND IMPLEMENTATION STRATEGY WERE CONDUCTED AND APPROVED BY THE BOARD DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019. THAT CHNA AND IMPLEMENTATION STRATEGY INFORMED THE COMMUNITY BENEFITS MISSION AND ACTIVITIES OF BETH ISRAEL DEACONESS HOSPITALNEEDHAM FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2020 AND WILL CONTINUE TO INFORM THE HOSPITAL'S COMMUNITY BENEFITS MISSION AND ACTIVITIES FOR THE FISCAL YEARS ENDING SEPTEMBER 30, 2021 AND SEPTEMBER 30, 2022. A SUMMARY OF BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'S COMMUNITY BENEFITS ACTIVITIES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA COMPLETED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019 AND PRIORITIZED IN THE RELATED IMPLEMENTATION STRATEGY ARE PROVIDED HERE ALONG WITH THE ENTITIES THAT THE HOSPITAL PARTNERS WITH ON THESE EFFORTS. GIVEN THE COMPLEX HEALTH ISSUES IN THE COMMUNITY, BETH ISRAEL DEACONESS HOSPITALNEEDHAM HAS BEEN STRATEGIC IN IDENTIFYING ITS PRIORITY AREAS IN ORDER TO MAXIMIZE THE IMPACT OF ITS COMMUNITY BENEFITS PROGRAM AND WORK TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF RESIDENTS IN ITS CBSA. GOALS FOR EACH PRIORITY AREA ARE LISTED BELOW.PRIORITY AREA 1: MENTAL HEALTH AND SUBSTANCE USEGOAL 1: EDUCATE ABOUT AND REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH AND SUBSTANCE USE GOAL 2: ENHANCE ACCESS TO MENTAL HEALTH AND SUBSTANCE USE SCREENING, ASSESSMENT, AND TREATMENT SERVICES GOAL 3: DECREASE THE NUMBER OF PRESCRIPTION DRUGS AND OTHER HARMFUL DRUGS FROM THE COMMUNITYPRIORITY AREA 2: CHRONIC/COMPLEX CONDITIONS AND THEIR RISK FACTORSGOAL 1: ENHANCE ACCESS TO HEALTH EDUCATION, SCREENING, REFERRAL, AND CHRONIC DISEASE MANAGEMENT SERVICES IN CLINICAL AND NON-CLINICAL SETTINGSGOAL 2: REDUCE THE PREVALENCE OF TOBACCO USEPRIORITY AREA 3: SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CAREGOAL 1: ENHANCE ACCESS TO CARE AND REDUCE THE IMPACT OF SOCIAL DETERMINANTSGOAL 2: REDUCE ELDER FALLS AND PROMOTE AGING IN PLACE
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SCHEDULE H, PART V, SECTION B, LINE 11
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COMMUNITY HEALTH NEEDS ASSESSMENT-APPROACH TO ADDRESSING HEALTH NEEDS BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM RECOGNIZES ITS ROLE AS A TERTIARY/ACADEMIC RESOURCE IN A LARGER HEALTH SYSTEM AND KNOWS THAT TO BE SUCCESSFUL IT NEEDS TO COLLABORATE WITH ITS COMMUNITY PARTNERS AND THOSE IT SERVES. BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE ASSOCIATED IMPLEMENTATION STRATEGY WERE COMPLETED IN CLOSE COLLABORATION WITH BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S STAFF, ITS HEALTH AND SOCIAL SERVICE PARTNERS, AND THE COMMUNITY AT LARGE. BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S COMMUNITY BENEFITS PROGRAM EXEMPLIFIES THE SPIRIT OF COLLABORATION THAT IS SUCH A VITAL PART OF BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'S MISSION.BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM SERVES AND COLLABORATES WITH ALL SEGMENTS OF THE POPULATION. HOWEVER, IN RECOGNITION OF ITS LONG-STANDING TIES TO THE SURROUNDING COMMUNITIES AND THE HEALTH DISPARITIES THAT EXIST IN THESE COMMUNITIES, BETH ISRAEL DEACONESS HOSPITALNEEDHAM FOCUSES ITS COMMUNITY BENEFITS EFFORTS ON IMPROVING THE HEALTH STATUS OF THE LOW-INCOME AND UNDERSERVED POPULATIONS LIVING IN DEDHAM, NORWOOD, NEEDHAM, AND WESTWOOD. BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM CURRENTLY SUPPORTS MANY EDUCATIONAL, OUTREACH, COMMUNITY HEALTH IMPROVEMENT, AND HEALTH SYSTEM STRENGTHENING INITIATIVES WITHIN THE COMMUNITY. IN SO DOING, THE HOSPITAL COLLABORATES WITH MANY LOCAL LEADING HEALTHCARE, PUBLIC HEALTH, AND SOCIAL SERVICE ORGANIZATIONS. BETH ISRAEL DEACONESS HOSPITALNEEDHAM WORKS CLOSELY WITH THE PUBLIC HEALTH DEPARTMENTS IN THE AREA, AS WELL AS LOCAL COUNCILS ON AGING, TO ADDRESS SUBSTANCE ABUSE PREVENTION, MENTAL HEALTH, CHRONIC DISEASE MANAGEMENT, FOOD ACCESS, AND TRANSPORTATION. THE HOSPITAL ALSO SUPPORTS LOCAL ORGANIZATIONS THAT PROVIDE OPPORTUNITIES TO PREVENT AND MANAGE CHRONIC DISEASE, SUCH AS THE BOSTON JCC AND THE CHARLES RIVER YMCA. THE HOSPITAL PROVIDES FUNDING TO AND PROGRAMMING WITH MENTAL HEALTH ORGANIZATIONS SUCH AS THE CHARLES RIVER CENTER, WALKER, AND RIVERSIDE. BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM IS ALSO AN ACTIVE PARTICIPANT IN SEVERAL LOCAL COALITIONS AND COMMITTEES, INCLUDING THE NEEDHAM COMMUNITY CRISIS INTERVENTION TEAM (CCIT), YOUTH RESOURCE NETWORK, AND THE NEEDHAM LOCAL EMERGENCY PLANNING COMMITTEE. JOINING WITH SUCH GRASS-ROOTS COMMUNITY GROUPS, PUBLIC HEALTH AND FIRST RESPONDERS, BETH ISRAEL DEACONESS HOSPITALNEEDHAM STRIVES TO CREATE A VISION FOR HEALTH IMPROVEMENT AND PREPAREDNESS, AND TO ADDRESS ON-GOING CRISES FOR RESIDENTS IN THE COMMUNITY. ALSO IMPORTANT ARE PARTNERSHIPS TO ADDRESS SUBSTANCE USE AND MENTAL HEALTH, INCLUDING BID NEEDHAM'S INVOLVEMENT WITH THE SUBSTANCE PREVENTION ALLIANCE OF NEEDHAM (SPAN), CHARLES RIVER OPIOID TASKFORCE, AND CHNA 18. BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'S BOARD OF DIRECTORS ALONG WITH ITS CLINICAL AND ADMINISTRATIVE STAFF IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF RESIDENTS THROUGHOUT ITS SERVICE AREA AND BEYOND. WORLD-CLASS CLINICAL EXPERTISE, EDUCATION, AND RESEARCH, ALONG WITH AN UNDERLYING COMMITMENT TO HEALTH EQUITY, ARE THE PRIMARY TENETS OF ITS MISSION. BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S COMMUNITY BENEFITS DEPARTMENT, UNDER THE DIRECT OVERSIGHT OF BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S BOARD OF DIRECTORS, IS DEDICATED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS AND WILL CONTINUE TO DO SO IN ORDER TO MEET ITS COMMUNITY BENEFITS OBLIGATIONS.A FULL UPDATE ON BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'S HEALTH PRIORITIES AND ASSOCIATED GOALS IS INCLUDED BELOW.
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IMPLEMENTATION STRATEGY UPDATE
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PRIORITY AREA 1: MENTAL HEALTH AND SUBSTANCE USE AS IT IS THROUGHOUT THE COMMONWEALTH AND THE NATION, THE BURDEN OF MENTAL AND SUBSTANCE USE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SERVICE PROVIDERS IN BID NEEDHAM'S SERVICE AREA IS OVERWHELMING. NEARLY EVERY KEY INFORMANT INTERVIEW, FOCUS GROUP AND COMMUNITY MEETING INCLUDED DISCUSSIONS ON THESE TOPICS. FROM A REVIEW OF THE QUANTITATIVE AND QUALITATIVE INFORMATION, DEPRESSION, ANXIETY/STRESS, SOCIAL ISOLATION, OPIOIDS, ALCOHOL, AND E-CIGARETTE/VAPING WERE THE LEADING ISSUES IN THIS DOMAIN. DESPITE INCREASED COMMUNITY AWARENESS AND SENSITIVITY ABOUT THE UNDERLYING ISSUES AND ORIGINS OF MENTAL HEALTH AND SUBSTANCE USE ISSUES, THERE IS STILL A GREAT DEAL OF STIGMA RELATED TO THESE CONDITIONS. THERE IS A GENERAL LACK OF APPRECIATION FOR THE FACT THAT THESE ISSUES ARE OFTEN ROOTED IN GENETICS, PHYSIOLOGY AND ENVIRONMENT, RATHER THAN AN INHERENT, CONTROLLABLE CHARACTER FLAW. THERE IS, HOWEVER, A DEEP APPRECIATION AND A GROWING UNDERSTANDING FOR THE ROLE THAT TRAUMA PLAYS FOR MANY OF THOSE WITH MENTAL AND/OR SUBSTANCE USE ISSUES, WITH MANY PEOPLE USING ILLICIT OR CONTROLLED SUBSTANCES TO SELF-MEDICATE AND COPE WITH LOSS, STRESS, ABUSE, PAIN, AND OTHER UNRESOLVED TRAUMATIC EVENTS. KEY: BASELINE-2019, YEAR 1-2020, YEAR 2-2021GOAL: EDUCATE ABOUT AND REDUCE STIGMA ASSOCIATED WITH MENTAL HEALTH AND SUBSTANCE USE ISSUESTARGET POPULATION: YOUTH, OLDER ADULTS, LOW- TO MODERATE-INCOME POPULATIONS, INDIVIDUALS WITH CHRONIC/ COMPLEX CONDITIONSPROGRAMMATIC OBJECTIVES: 1.1 INCREASE COMMUNITY EDUCATION AND AWARENESS OF SUBSTANCE USE/MISUSE AND HEALTHY MENTAL, EMOTIONAL, AND SOCIAL HEALTH1.2 REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS/ MENTAL HEALTH AND SUBSTANCE USE/MISUSE, AND ADDICTIONCOMMUNITY ACTIVITIES/STRATEGIES:SUPPORT MENTAL HEALTH FIRST AID TRAININGS IN TARGETED COMMUNITY-BASED SETTINGS TO RAISE AWARENESS, REDUCE STIGMA, AND EDUCATE RESIDENTS AND SERVICE PROVIDERS ABOUT MENTAL HEALTH AND SUBSTANCE USEPROVIDE COMMUNITY HEALTH MINI GRANTS TO LOCAL DEPARTMENTS OF HEALTH OR OTHER COMMUNITY-BASED PARTNERS TO SUPPORT EVIDENCE-BASED PROGRAMS THAT PROMOTE MENTAL HEALTH AND SUBSTANCE USE EDUCATION AND PREVENTIONSUPPORT MENTAL HEALTH AND SUBSTANCE USE SUPPORT GROUPS FOR THOSE WITH OR IN RECOVERY FROM MENTAL HEALTH OR SUBSTANCE USE AND THEIR FAMILY/FRIENDS/CAREGIVERS TO RAISE AWARENESS, REDUCE STIGMA, EDUCATE, AND PROMOTE COPING/RECOVERYSUPPORT COMMUNITY-BASED HEALTH EDUCATION EVENTS AND PROGRAMMING WITH COMMUNITY PARTNERS TO RAISE AWARENESS, AND EDUCATE ON RISK/PROTECTIVE FACTORS, AND SERVICES AVAILABLE IN THE COMMUNITYSUPPORT SUBSTANCE USE PREVENTION PROGRAMMING AND CURRICULUM IN LOCAL SCHOOLSMETRICS AND STATUS UPDATE:A $600 GRANT TO CHNA 18 PROVIDED MENTAL HEALTH QPR TRAINING FOR LOCAL LIBRARIANS. THE EVENT WAS HOSTED AT DEDHAM PUBLIC LIBRARY AND WAS ATTENDED BY 40 STAFF MEMBERS FROM LOCAL LIBRARIES.THE HOSPITAL PROVIDED PLUGGED IN BAND PROGRAM WITH A $1,400 GRANT, WHICH PROVIDED SPRING VIRTUAL BAND PROGRAMMING SCHOLARSHIPS FOR 2 UNDERSERVED STUDENTS.BID NEEDHAM AND THE SUBSTANCE PREVENTION ALLIANCE OF NEEDHAM (SPAN) OFFERED "THE FAMILY DINNER PROJECT" TO NEEDHAM FAMILIES. THE EVENING INVOLVED A CATERED DINNER FOR THE FAMILIES, INCLUDING AN APPETIZER MADE TOGETHER BY EACH FAMILY, GAMES, AND GUIDED CONVERSATION DURING DINNER, AND A PARENT WORKSHOP WHILE KIDS MADE DESSERT. MORE THAN 50 FAMILY MEMBERS ATTENDED THE EVENT.THE HOSPITAL PROVIDED A SCHOLARSHIP FUND TO PARENT TALK, A LOCAL ORGANIZATION FOR PARENTS OF YOUNG CHILDREN. IN FY20, THREE FAMILIES WERE AWARDED SCHOLARSHIPS.THE HOSPITAL PROVIDED FUNDING TO NEEDHAM HIGH SCHOOL TO OFFER A "LIFE SKILLS CONFERENCE" TO GRADUATING SENIORS. THIS PROGRAM OFFERED CLASSES ON REAL LIFE SKILLS TO HELP WITH THE TRANSITION TO INDEPENDENT LIVING AFTER GRADUATION, A MAJOR STRESSOR FOR GRADUATES. 393 STUDENTS PARTICIPATED. DOVER PARKS & REC AND DOVER COUNCIL ON AGING WERE AWARDED A MINI-GRANT TO SET UP OUTDOOR TENTS IN THE PARKING LOT BEHIND DOVER'S CARYL COMMUNITY CENTER. THE TENTS ALLOWED A SOCIALLY DISTANT AND SAFE GATHERING SPACE FOR YOUTH AND SENIORS IN LATE SUMMER AND EARLY FALL 2020. 50 SENIORS AND 30 YOUTH UTILIZED THE SPACE. THE HOSPITAL AGAIN SUPPORTED STUDENTS ADVOCATING LIFE WITHOUT SUBSTANCE ABUSE (SALSA) AND THEIR 8TH GRADE RESILIENCE AND REFUSAL TRAINING IN NEEDHAM PUBLIC SCHOOLS. THIS PROGRAM, WHICH HAS BECOME PART OF THE 8TH GRADE CURRICULUM, TRAINS HIGH SCHOOL STUDENTS TO GO INTO 8TH GRADE CLASSROOMS AND TALK ABOUT THE PRESSURES OF USING SUBSTANCES, AND HOW TO SAY NO. STUDENTS ARE TAUGHT REFUSAL SKILLS AND HAVE THE OPPORTUNITY TO PRACTICE THEM IN ROLE-PLAY EXERCISES WITH THE HIGH SCHOOL STUDENTS. 100 HIGH SCHOOL STUDENTS TAUGHT 500 8TH GRADERS. COMMUNITY PARTNERS: CHNA 18, DEDHAM PUBLIC LIBRARY, PLUGGED IN, THE FAMILY DINNER PROJECT, SPAN, PARENT TALK, NEEDHAM HIGH SCHOOL, DOVER PARKS & RECREATION, DOVER COUNCIL ON AGING, SALSAGOAL: ENHANCE ACCESS TO MENTAL HEALTH AND SUBSTANCE USE SCREENING, ASSESSMENT, AND TREATMENT SERVICESTARGET POPULATION: YOUTH, OLDER ADULTS, LOW- TO MODERATE-INCOME POPULATIONS, INDIVIDUALS WITH CHRONIC/COMPLEX CONDITIONSPROGRAMMATIC OBJECTIVES: 2.1 PROMOTE CROSS-SECTOR PARTNERSHIP, COLLABORATION, AND INFORMATION SHARING ACROSS THE BROAD HEALTH SYSTEM TO ADDRESS ACCESS TO MENTAL HEALTH AND SUBSTANCE USE SERVICES2.2 INCREASE ACCESS TO CLINICAL AND NON-CLINICAL SUPPORT SERVICES FOR THOSE WITH MENTAL HEALTH AND SUBSTANCE USE ISSUES, WITH AN EMPHASIS ON PRIORITY POPULATIONS2.3 INCREASE ACCESS TO PEER SUPPORT FOR THOSE WITH MENTAL HEALTH AND SUBSTANCE USE AND THEIR FAMILY, FRIENDS, AND CAREGIVERS 2.4 REDUCE INAPPROPRIATE USE OF ED AND OTHER ACUTE CARE SERVICES2.5 INCREASE ACCESS TO SCREENING, EDUCATION, REFERRAL, AND PATIENT ENGAGEMENT SERVICES FOR THOSE IDENTIFIED WITH OR AT-RISK OF MENTAL HEALTH AND SUBSTANCE USE ISSUES IN CLINICAL AND NON-CLINICAL SETTINGS, WITH AN EMPHASIS ON PRIORITY POPULATIONS2.6 INCREASE ACCESS TO INSURANCE, PATIENT NAVIGATION SUPPORT, AND OTHER ENABLING/ SUPPORTIVE SERVICES FOR THOSE WITH MENTAL HEALTH AND SUBSTANCE USE ISSUES, WITH AN EMPHASIS ON PRIORITY POPULATIONS2.7 INCREASE ACCESS TO PEER RECOVERY COACHES FOR THOSE WITH SUBSTANCE USE/MISUSE ISSUES2.8 REDUCE ELDER HEALTH ISOLATION AND DEPRESSION2.9 INCREASE THE NUMBER OF PRACTICE SETTINGS WITH INTEGRATED BEHAVIORAL HEALTH AND PRIMARY CARE/SPECIALTY CARE SERVICES2.10 INCREASE PRIMARY CARE AND SPECIALTY CARE FOLLOW-UP AFTER DISCHARGE FROM HOSPITAL SETTINGS COMMUNITY ACTIVITIES/STRATEGIES: PARTICIPATE IN LOCAL AND REGIONAL COALITIONS AND TASK FORCES TO PROMOTE COLLABORATION, SHARE KNOWLEDGE, AND COORDINATE COMMUNITY HEALTH IMPROVEMENT ACTIVITIESPROVIDE HEALTH INSURANCE ENROLLMENT COUNSELING/ASSISTANCE AND PATIENT NAVIGATION SUPPORT SERVICES TO UNINSURED OR UNDERINSURED RESIDENTS AND PATIENTS WITH MENTAL HEALTH AND SUBSTANCE USE ISSUESSUPPORT THE INTERFACE MENTAL HEALTH HOTLINE, WHICH PROVIDES EDUCATION AND REFERRAL SERVICES FOR THOSE SEEKING MENTAL HEALTH COUNSELING SERVICES LOOK INTO DEVELOPING INTEGRATED BEHAVIORAL HEALTH SERVICES (MENTAL HEALTH AND SUBSTANCE USE) IN PRIMARY CARE AND OTHER SPECIALTY CARE SETTINGS (IMPACT MODEL) FOR THOSE WITH OR AT-RISK OF MENTAL HEALTH ISSUES, INCLUDING SCREENING, ASSESSMENT, AND TREATMENTEXPLORE PARTNERSHIPS WITH ELDER SERVICE PROVIDERS THAT REACH OUT TO AND SERVE ISOLATED OLDER ADULTS NOT CURRENTLY ENGAGED IN COUNCIL ON AGING ACTIVITIESEXPLORE PARTNERSHIPS WITH LOCAL HEALTH DEPARTMENTS, SUBSTANCE USE PROVIDERS, AND BIDNEEDHAM DEPARTMENTS TO IMPLEMENT PEER RECOVERY COACH PROGRAMS GEARED TO LINKING THOSE WITH SUBSTANCE USE/MISUSE ISSUES TO PEER RECOVERY COACHES WHO PROVIDE RECOVERY, CASE MANAGEMENT, AND NAVIGATION SUPPORT RESEARCH IMPLEMENTATION OF A BIDNEEDHAM BRIDGE PROGRAM FOR THOSE SUFFERING FROM SUBSTANCE USE DISORDER THAT SCREENS, IDENTIFIES, ASSESSES, INITIATES TREATMENT, AND LINKS PARTICIPANTS TO LONG-TERM SUD SERVICES IN THE COMMUNITYSUPPORT THE COMMUNITY CRISIS INTERVENTION TEAM (CCIT), A PARTNERSHIP BETWEEN HOSPITAL EMERGENCY DEPARTMENTS, PUBLIC SAFETY OFFICIALS, AND BEHAVIORAL HEALTH PROVIDERS GEARED TO REACHING OUT TO, REFERRING, AND ENGAGING SUBSTANCE USERS/MISUSERS IN TREATMENTEXPLORE PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE SOCIAL ENGAGEMENT ACTIVITIES FOR THOSE WHO ARE ISOLATED OR STRUGGLING WITH MENTAL HEALTH ISSUES
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METRICS AND STATUS UPDATE:
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BID NEEDHAM CONTINUES TO INTEGRATE BEHAVIORAL HEALTHCARE INTO PATIENT CARE. WITHIN THE HOSPITAL, BID NEEDHAM HAS SEVERAL MEASURES IN PLACE TO PROVIDE FOR MENTAL HEALTHCARE. A PSYCHOLOGIST IS EMPLOYED TO PROVIDE CONSULTATIONS ON THE INPATIENT UNITS, AND THE DIRECTOR OF CLINICAL LIAISON PSYCHIATRY PROVIDES WEEKDAY TELEPHONE SUPPORT FOR PROVIDERS, RELATED TO PSYCHIATRY PATIENT CARE ISSUES. FOR BEHAVIORAL HEALTH PATIENTS THAT COME INTO THE EMERGENCY DEPARTMENT AT BID NEEDHAM, THE HOSPITAL HAS A REFERRING PARTNERSHIP WITH RIVERSIDE TO PROVIDE EVALUATIONS, CARE AND PLACEMENTS. 247 PATIENTS WERE SEEN THROUGH THE RIVERSIDE PARTNERSHIP IN FY20. NOTE THAT THERE WAS A SHARP DECLINE IN BEHAVIORAL HEALTH PATIENTS DURING THE SPRING LOCKDOWN, WHICH WAS FOLLOWED BY A SHARP INCREASE IN JULY-SEPTEMBER.STAFF FROM BID NEEDHAM ARE A PART OF THE COMMUNITY CRISIS INTERVENTION TEAM (CCIT), IS A GROUP OF COMMUNITY PARTNERS CONSISTING OF HEALTH DEPARTMENTS, FIRST RESPONDERS, LOCAL HOSPITALS, SCHOOLS, AND BEHAVIORAL HEALTH ORGANIZATIONS, WITH A GOAL TO CONFIDENTIALLY ADDRESS CHRONIC RESIDENT NEEDS RELATED TO SUBSTANCE USE DISORDERS, MENTAL HEALTH CONDITIONS AND DOMESTIC VIOLENCE. THE HOSPITAL ALSO PARTICIPATES IN NEEDHAM'S YOUTH RESOURCE NETWORK, COMPRISED OF REPRESENTATIVES FROM NUMEROUS YOUTH AND FAMILY-SERVING ORGANIZATIONS THAT COME TOGETHER MONTHLY DURING THE ACADEMIC YEAR TO ADDRESS SPECIFIC NEEDS OF SCHOOL-AGE YOUTH AND FAMILIES THAT RESIDE AND/OR ATTEND PUBLIC SCHOOL.BID PROVIDES FUNDING FOR THE INTERFACE MENTAL HEALTH REFERRAL HOTLINE IN NEEDHAM AND MEDFIELD. 141 CASES WERE SERVED IN NEEDHAM, AND 86 IN MEDFIELD.A $2,500 GRANT WAS PROVIDED TO WALKER AND USED FOR THEIR RE-OPENING PLAN AFTER COVID-19. THE FUNDS WERE USED TO PURCHASE PENS/PENCILS, ART SUPPLIES, TECHNOLOGY, AND OTHER INDIVIDUAL LEARNING SUPPLIES TO SUPPORT STUDENTS AT THE WALKER SCHOOL. THE PROGRAM SERVES 115 CHILDREN ANNUALLY, BETWEEN THE AGES 5 TO 13, WHO ARE FACING COMPLEX EMOTIONAL, BEHAVIORAL, AND LEARNING CHALLENGES. RIVERSIDE WAS AWARDED A $2,500 GRANT TO SUPPORT THE TWO STUDENTS AND TWO STAFF MEMBERS AT THE RIVERSIDE SCHOOL, NEEDHAM. THE FUNDS WERE USED TO PURCHASE CLEANING SUPPLIES AND PPE, INCLUDING SPECIAL MASKS FOR STAFF, AND INDIVIDUAL EDUCATIONAL KITS THAT WERE SENT TO EACH YOUTH'S HOME FOR VIRTUAL LEARNING.COMMUNITY PARTNERS: NEEDHAM POLICE, NEEDHAM FIRE, NEEDHAM YOUTH & FAMILY SERVICES, RIVERSIDE, WILLIAM JAMES COLLEGE, NEEDHAM DEPARTMENT OF PUBLIC HEALTH, MEDFIELD COALITION FOR SUICIDE PREVENTION, WALKERGOAL: DECREASE THE NUMBER OF PRESCRIPTION DRUGS AND OTHER HARMFUL DRUGS FROM THE COMMUNITYTARGET POPULATION: YOUTH, OLDER ADULTS, LOW- TO MODERATE-INCOME POPULATIONS, INDIVIDUALS WITH CHRONIC/ COMPLEX CONDITIONSPROGRAMMATIC OBJECTIVES: 3.1 DECREASE THE AVAILABILITY OF UNUSED PRESCRIPTION DRUGS3.2 INCREASE THE # OF OPPORTUNITIES THAT RESIDENTS OF THE SERVICE AREA CAN GIVE BACK UNUSED PRESCRIPTIONSCOMMUNITY ACTIVITIES/STRATEGIES: SUPPORT "DRUG TAKE BACK DAYS" WITH COMMONWEALTH AND LOCAL LAW ENFORCEMENT AND OTHER COMMUNITY-BASED PARTNERS MAINTAIN PRESCRIPTION DRUG DISPOSAL KIOSK IN THE LOBBY OF THE HOSPITAL TO PROVIDE A SAFE PLACE FOR THE COMMUNITY TO DISPOSE OF UNWANTED/ UNNEEDED DRUGSCONTINUE BID NEEDHAM OPIOID TASKFORCE TO DECREASE USE OF AND PRESCRIBING OF OPIOIDS IN THE HOSPITAL, AND TO EDUCATE PATIENTS ON OPIOID USE AND ALTERNATIVES FOR PAIN MANAGEMENT. METRICS AND STATUS UPDATE: BID NEEDHAM'S INTERNAL "PAIN MANAGEMENT & OPIOID TASKFORCE" CONTINUED TO ADDRESS PAIN MANAGEMENT, PRESCRIBING PRACTICES, AND CLINICIAN EDUCATION FOR THE HOSPITAL TO REDUCE OPIOID MISUSE. THE TEAM IS MADE UP OF SURGERY, PHARMACY, MEDICAL STAFF, PHYSICAL THERAPY, ANESTHESIOLOGY, QUALITY, CASE MANAGEMENT, AND REPRESENTATIVES FROM OTHER CLINICAL DEPARTMENTS WHO CAN CONTRIBUTE TO IMPROVING PRACTICES AROUND OPIOID PRESCRIBING AND EDUCATION.THE HOSPITAL MAINTAINED THE PRESCRIPTION DRUG DISPOSAL KIOSK AND SHARPS DISPOSAL IN THE LOBBY, AS A SAFE WAY FOR THE COMMUNITY TO DISPOSE OF UNWANTED OR UNNEEDED PRESCRIPTION DRUGS AND SHARPS.89 POUNDS OF PRESCRIPTION DRUGS AND FIVE SHARPS CONTAINERS WERE COLLECTED IN FY20.THE KIOSKS WERE TEMPORARILY CLOSED IN SPRING 2020 DUE TO COVID-19BID NEEDHAM PHARMACY STAFF PARTICIPATE IN THE CHARLES RIVER OPIOID TASKFORCE, CREATED BY NEWTON WELLESLEY HOSPITAL TO ADDRESS THE OPIOID CRISIS ON A REGIONAL LEVEL.COMMUNITY PARTNERS: NEWTON WELLESLEY HOSPITAL PRIORITY AREA 2: CHRONIC AND COMPLEX CONDITIONS AND THEIR RISK FACTORSWHILE MENTAL HEALTH AND SUBSTANCE USE WERE PERCEIVED TO BE THE LEADING ISSUES IN BIDNEEDHAM'S SERVICE AREA, ONE CANNOT LOSE SIGHT OF THE FACT THAT HEART DISEASE, STROKE AND CANCER ARE THE LEADING CAUSES OF DEATH IN THE NATION AND THE COMMONWEALTH. IF YOU INCLUDE RESPIRATORY DISEASE (E.G., ASTHMA, COPD) AND DIABETES, WHICH ARE IN THE TOP 10 LEADING CAUSES ACROSS ALL GEOGRAPHIES, THEN ONE CAN ACCOUNT FOR THE VAST MAJORITY OF CAUSES OF DEATH. WITHIN THIS PRIORITY AREA, ACCORDING TO THOSE WHO PARTICIPATED IN INTERVIEWS, FOCUS GROUPS, THE COMMUNITY MEETING, AND THE COMMUNITY HEALTH SURVEY, CARDIOVASCULAR DISEASE, CANCER, DIABETES, AND ALZHEIMER'S DISEASE AND OTHER DEMENTIAS WERE THOUGHT TO BE OF THE HIGHEST PRIORITY. IT IS ALSO IMPORTANT TO NOTE THAT THE RISK FACTORS FOR NEARLY ALL CHRONIC/COMPLEX CONDITIONS ARE MUCH THE SAME, INCLUDING LACK OF PHYSICAL ACTIVITY, POOR NUTRITION, OBESITY, TOBACCO USE, AND ALCOHOL USE.KEY: BASELINE-2019, YEAR 1-2020, YEAR 2-2021
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GOAL:
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ENHANCE ACCESS TO HEALTH EDUCATION, SCREENING, REFERRAL, AND CHRONIC DISEASE MANAGEMENT SERVICES IN CLINICAL AND NON-CLINICAL SETTINGSTARGET POPULATION: OLDER ADULTS, LOW- TO MODERATE-INCOME POPULATIONS, INDIVIDUALS WITH CHRONIC/ COMPLEX CONDITIONSPROGRAMMATIC OBJECTIVES: 1.1 INCREASE THE NUMBER OF PEOPLE WHO ARE EDUCATED ABOUT CHRONIC DISEASE RISK FACTORS AND PROTECTIVE BEHAVIORS1.2 INCREASE THE NUMBER OF ADULTS WHO ARE ENGAGED IN EVIDENCE-BASED SCREENING, COUNSELING, SELF-MANAGEMENT SUPPORT, CHRONIC DISEASE MANAGEMENT, REFERRAL SERVICES, AND/OR SPECIALTY CARE SERVICES1.3 INCREASE THE NUMBER OF PEOPLE WITH CHRONIC/COMPLEX CONDITIONS WHOSE CONDITIONS ARE UNDER CONTROLCOMMUNITY ACTIVITIES/STRATEGIES:PARTICIPATE IN COALITIONS AND TASK FORCES TO PROMOTE COLLABORATION, SHARE KNOWLEDGE, AND COORDINATE COMMUNITY HEALTH IMPROVEMENT ACTIVITIESPARTNER WITH COMMUNITY GROUPS TO OFFER WELLNESS, FITNESS EDUCATION AND OTHER EVENTS AS PART OF COMPREHENSIVE CHRONIC DISEASE MANAGEMENT FOR UNDERSERVED COMMUNITY MEMBERS, AND OTHER PRIORITY POPULATION SEGMENTS PROVIDE FIRST AID, CPR AND STROKE MANAGEMENT TRAININGS TO RESIDENTS, SERVICE PROVIDERS, AND FIRST RESPONDERS AS PART OF COMPREHENSIVE CHRONIC DISEASE PREVENTION AND MANAGEMENT EFFORTSPROVIDE EVIDENCE-BASED HEALTH EDUCATION ON RISK/PROTECTIVE FACTORS, AND SELF-MANAGEMENT SUPPORT PROGRAMS THROUGH PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS SUPPORT SCREENING, EDUCATION, AND REFERRAL PROGRAMS IN CLINICAL AND NON-CLINICAL SETTINGS PROMOTE ENHANCED CARE TRANSITIONS, CARE COORDINATION AND FOLLOW-UP CARE PROGRAMS TARGETING THOSE WITH CHRONIC/COMPLEX CONDITIONS AFTER DISCHARGE FROM THE HOSPITAL PROVIDE COMMUNITY HEALTH MINI GRANTS TO COMMUNITY PARTNERS TO SUPPORT EVIDENCE-BASED PROGRAMS THAT PROMOTE HEALTH EDUCATION, SCREENING, REFERRAL, AND CHRONIC DISEASE MANAGEMENT FOR PRIORITY POPULATIONSMETRICS AND STATUS UPDATE:BID NEEDHAM UTILIZES DIGITAL SCREENS THROUGHOUT THE HOSPITAL TO PROMOTE HEALTH INFORMATION TO PATIENTS AND THE GENERAL PUBLIC. MUCH OF THE INFORMATION IN FY20 WAS FOCUSED ON COVID-19THE HOSPITAL PARTICIPATED IN THE NEEDHAM HARVEST FAIR, WITH A FOCUS ON SCREENING AND PREVENTIONCOLLABORATED WITH BOSTON JCC TO OFFER A HEALTH EDUCATION SERIES FOR THE COMMUNITY REDUCING ANXIETY WITH TAI CHI" WAS HELD ON DECEMBER 4, 2019, WITH 17 ATTENDEESBID NEEDHAM HAS AN ONGOING PARTNERSHIP PROGRAM WITH LOCAL EMTS TO IDENTIFY AND PREPARE FOR STROKE PATIENTS COMING INTO THE EMERGENCY DEPARTMENT, TO GET THEM CARE AS QUICKLY AS POSSIBLETHE HOSPITAL ALSO PARTNERS WITH EMTS IN THE SERVICE AREA TO RESTOCK THEIR BASIC LIFE SUPPORT VEHICLES ON A MONTHLY BASIS. THE HOSPITAL DONATED MORE THAN $10,000 WORTH OF MEDICATIONS IN FY20.BID NEEDHAM PROVIDED A MINI-GRANT TO FAMILY PROMISE METROWEST, IN SUPPORT OF ITS THE FAMILY HEALTH INITIATIVE." THIS PROGRAM EMPOWERS HOMELESS PARENTS WHO ARE PART OF THE FAMILY PROMISE PROGRAM TO BECOME STRONGER HEALTH ADVOCATES WHILE ADDRESSING THE COMPREHENSIVE HEALTH NEEDS OF THEIR FAMILIES. 50 FAMILIES WERE SERVED BY THE FAMILY HEALTH INITIATIVE IN FY20.BID NEEDHAM SUBSIDIZES A CONGESTIVE HEART FAILURE (CHF) NURSE FOR 36 HOURS A WEEK TO FOLLOW HIGH-RISK CHF PATIENTS BY MAKING FREQUENT CALLS TO ASSESS FOR SYMPTOMS, MEDICATION CHANGES, TESTS, OR PROCEDURES THAT NEED TO BE DONE, AND TO PROVIDE EDUCATION ON PREVENTION OF CHF EXACERBATION, DIETARY TEACHING, AND REFERRALS. THE GOAL IS TO REDUCE READMISSIONS FOR CHF PATIENTS THROUGH FOLLOW-UP ON THEIR PLANS AND APPOINTMENTS. THE HOSPITAL ALSO WORKS TO REDUCE READMISSIONS THROUGH A UTILIZATION REVIEW COMMITTEE. THE COMMITTEE MEETS MONTHLY TO REVIEW ALL READMISSIONS TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE, AND LOOKS TO IDENTIFY SPECIFIC CAUSES FOR THE READMISSION, SUCH AS DISCHARGE PLANS, CARE TRANSITIONS, AND PREVIOUS CONDITIONS.IN ORDER TO PROVIDE HEALTHCARE TO THE COMMUNITY, THE HOSPITAL DONATES EPI-PENS AND MEDICAL SUPPLIES TO THE TOWN OF NEEDHAM AND NEEDHAM PUBLIC SCHOOLS AS NEEDED. DONATIONS TOTALED $5,640 IN FY20. BID NEEDHAM PROVIDES A MINI-GRANT TO THE CHARLES RIVER YMCA FOR THEIR LIVESTRONG PROGRAM. THIS PROGRAM, FOR PAST OR PRESENT CANCER PATIENTS, HELPS DEVELOP AND MAINTAIN CARDIORESPIRATORY FITNESS, MUSCULAR STRENGTH, AND ENDURANCE, FLEXIBILITY, AND BALANCE. 34 INDIVIDUALS GRADUATED FROM THE PROGRAM IN FY20, DONE EITHER IN-PERSON OR VIRTUALLY. THE HOSPITAL PROVIDED FUNDING TO THE CHARLES RIVER CENTER TO PURCHASE EAR LOBE PULSE OXIMETERS AND PORTABLE VITAL SIGN MACHINES FOR 5 RESIDENTIAL PROGRAMS, SERVING 32 RESIDENTS. THESE WERE ESSENTIAL SUPPLIES IN TRACKING AND REDUCING THE SPREAD OF COVID-19 IN THE RESIDENTIAL PROGRAMS. TO ASSIST PATIENTS WITH GETTING TO MEDICAL APPOINTMENTS, BID NEEDHAM SUPPORTED A MEDICAL APPOINTMENT TRANSPORTATION PROGRAM THROUGH THE NEEDHAM COMMUNITY COUNCIL. THE LYFT RIDE PROGRAM PROVIDED APPROXIMATELY 375 RIDES TO MEDICAL APPOINTMENTS. BID NEEDHAM ALSO HAS A PROGRAM FOR PATIENTS WHO NEED A RIDE HOME FROM A MEDICAL APPOINTMENT. HOSPITAL SPENDING FOR THIS PROGRAM IN FY20 WAS $1,000 ON TAXI VOUCHERS (28 RIDES) AND $1,900 ON UBER VOUCHERS (80 RIDES). BID NEEDHAM PROVIDED FUNDING TO THE WESTWOOD COUNCIL ON AGING (COA) AND HESSCO TO PILOT A MEDICAL NUTRITION THERAPY (MNT) PROGRAM. $2,100 GRANT FROM BID NEEDHAM, THE PROGRAM SERVED 12 INDIVIDUALS IN FY20 BEFORE HAVING TO DISCONTINUE THE PROGRAM DUE TO COVID-19.BID NEEDHAM SUPPORTED VNA CARE NETWORK'S HOME-HEALTH SERVICES WITH A $2,500 GRANT. THIS GRANT PROVIDED TRAINING TO CLINICIANS AND SOCIAL WORKERS TO EDUCATE THEM ON RESOURCES AVAILABLE TO AT-RISK PATIENTS AND TO ASSIST THESE PATIENTS WITH ACCESSING RESOURCES IN THE COMMUNITY.BID NEEDHAM AWARDED A MINI-GRANT TO NEIGHBOR BRIGADE, AN ORGANIZATION THAT MOBILIZES THE COMMUNITY TO HELP UNDERSERVED RESIDENTS FACING SUDDEN CRISIS, SUCH AS CANCER DIAGNOSIS OR OTHER ILLNESS, TO MANAGE DAY-TO-DAY TASKS SUCH AS MEAL PREPARATION, RIDES, AND BASIC HOUSEHOLD CHORES. THE GRANT COVERED THREE MONTHS OF THE ORGANIZATION'S INCREASED COSTS TO FACILITATE SERVICE DURING COVID-19. COMMUNITY PARTNERS: BOSTON JCC, NEWTON NEEDHAM CHAMBER OF COMMERCE, NEEDHAM FIRE DEPARTMENT, WESTWOOD FIRE DEPARTMENT, FAMILY PROMISE METROWEST, CHARLES RIVER YMCA, CHARLES RIVER CENTER, NEEDHAM COMMUNITY COUNCIL, HESSCO, WESTWOOD COUNCIL ON AGING, VNA CARE NETWORK, NEIGHBOR BRIGADE
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GOAL: REDUCE THE PREVALENCE OF TOBACCO USE
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TARGET POPULATION: ADULTS PROGRAMMATIC OBJECTIVES: 2.1 INCREASE THE NUMBER OF PEOPLE WHO QUIT SMOKING CIGARETTES, VAPING, OR USING E-CIGARETTES 2.2 INCREASE ACCESS TO TOBACCO, VAPING/E-CIGARETTE CESSATION PROGRAMSCOMMUNITY ACTIVITIES/STRATEGIES:INCREASE THE NUMBER OF PEOPLE WHO QUIT SMOKING CIGARETTES, VAPING, OR USING E-CIGARETTES INCREASE ACCESS TO TOBACCO, VAPING/E-CIGARETTE CESSATION PROGRAMSMETRICS AND STATUS UPDATE: COLLABORATED WITH BOSTON JCC TO OFFER A HEALTH EDUCATION SERIES FOR THE COMMUNITY "YOUTH VAPING: THE NEW LOOK OF NICOTINE ADDICTION" WAS HELD ON WEDNESDAY NOVEMBER 13, 2019, WITH 12 ATTENDEESTHE BID NEEDHAM RESPIRATORY TEAM HOSTED AN INFORMATION TABLE AT NEEDHAM HIGH SCHOOL FOR STUDENTS AND TEACHERS TO DEMONSTRATE THE EFFECTS OF VAPING ON THE LUNGS. APPROXIMATELY 15 PEOPLE RECEIVED INFORMATION. THE INTENTION WAS TO EXPAND THE PROGRAM, BUT THIS WAS DELAYED DUE TO COVID-19.COMMUNITY PARTNERS: BOSTON JCC, NEEDHAM HIGH SCHOOLPRIORITY AREA 3: SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CAREA DOMINANT THEME FROM THE ASSESSMENT WAS THE TREMENDOUS IMPACT THAT UNDERLYING SOCIAL DETERMINANTS OF HEALTH, PARTICULARLY ACCESS TO AFFORDABLE HOUSING, TRANSPORTATION, POVERTY/EMPLOYMENT, AND FOOD INSECURITY HAVE ON THE ENTIRE POPULATION. THE SOCIAL DETERMINANTS OF HEALTH ARE OFTEN THE DRIVERS OR UNDERLYING FACTORS THAT CREATE OR EXACERBATE MENTAL HEALTH ISSUES, SUBSTANCE MISUSE, AND CHRONIC/COMPLEX CONDITIONS. THESE SOCIAL DETERMINANTS OF HEALTH, PARTICULAR POVERTY, UNDERLIE THE ACCESS TO CARE ISSUES THAT WERE PRIORITIZED IN THE ASSESSMENT: NAVIGATING THE HEALTH SYSTEM (INCLUDING HEALTH INSURANCE), CHRONIC DISEASE MANAGEMENT, AND ACCESS TO CULTURALLY AND LINGUISTICALLY COMPETENT CARE. KEY: BASELINE-2019, YEAR 1-2020, YEAR 2-2021GOAL: ENHANCE ACCESS TO CARETARGET POPULATION: YOUTH, OLDER ADULTS, LOW- TO MODERATE-INCOME POPULATIONS, INDIVIDUALS WITH CHRONIC/ COMPLEX CONDITIONSPROGRAMMATIC OBJECTIVES: 1.1 INCREASE PARTNERSHIPS AND COLLABORATION WITH SOCIAL SERVICE AND OTHER COMMUNITY-BASED ORGANIZATIONS1.2 INCREASE ACCESS TO AFFORDABLE, SAFE TRANSPORTATION OPTIONS TO HEALTH CARE, WITH AN EMPHASIS ON PRIORITY POPULATION SEGMENTS1.3 INCREASE THE NUMBER OF PEOPLE ASSISTED WITH INSURANCE AND OTHER PUBLIC PROGRAM ENROLLMENT, AND PATIENT NAVIGATION1.4 INCREASE ACCESS TO SOCIAL EXPERIENCES FOR THOSE WHO ARE ISOLATED AND LACK FAMILY/CAREGIVER AND OTHER SOCIAL SUPPORTS 1.5 ENSURE ACCESS TO PREVENTIVE MEASURES, TESTING, SCREENING AND TREATMENT FOR THOSE AT-RISK OR EXPOSED TO COVID-19 AND MITIGATE THE IMPACTS OF THE PANDEMIC ON THE SOCIAL DETERMINANTS OF HEALTHCOMMUNITY ACTIVITIES/STRATEGIES: PROVIDE ENROLLMENT COUNSELING/ ASSISTANCE AND PATIENT NAVIGATION SUPPORT SERVICES TO UNINSURED OR UNDERINSURED RESIDENTS TO ENHANCE ACCESS TO CAREPROVIDE LINGUISTICALLY AND CULTURALLY APPROPRIATE HEALTH EDUCATION AND CARE MANAGEMENT SUPPORT FOR LIMITED ENGLISH PROFICIENT (LEP) POPULATIONSEXPLORE TRANSPORTATION ACCESS PARTNERSHIPS WITH COMMUNITY PARTNERS TO PROVIDE TRANSPORTATION TO MEDICAL APPOINTMENTSPROVIDE MEDICATIONS AND SUPPLIES TO EMTS TO PROVIDE ALLOW FOR EMERGENT CARE WITHIN THE COMMUNITYPROVIDE SCREENING AND TREATMENT SUPPORT SERVICES FOR UNINSURED OR UNDERINSURED RESIDENTS TO ENHANCE ACCESS TO CAREMETRICS AND STATUS UPDATE: BID NEEDHAM'S FINANCIAL COUNSELORS SUCCESSFULLY ENROLLED 125 PATIENTS IN MASSHEALTHBID NEEDHAM PROVIDED $679,000 IN FREE CARE IN FY20THE HOSPITAL PROVIDES FINANCIAL SUPPORT TO PRIMARY CARE AND INTERNAL MEDICINE PHYSICIANS IN THE SERVICE AREA, TO ENSURE ACCESS TO CARE FOR THE COMMUNITYBID NEEDHAM PROVIDES LANGUAGE AND TRANSLATION OPTIONS FOR LIMITED ENGLISH PROFICIENT POPULATIONS.LANGUAGE U VIDEO REMOTE INTERPRETER SERVICES WERE ACCESSED 1,060 TIMES FACE-TO-FACE INTERPRETATIONS WERE USED 33 TIMESTELEPHONIC INTERPRETATION WAS USED 919 TIMESCOMMUNITY PARTNERS: BETH ISRAEL DEACONESS HEALTHCARE, LANGUAGE LINE PACIFIC INTERPRETERS
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GOAL: REDUCE THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH
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TARGET POPULATION: YOUTH, OLDER ADULTS, LOW- TO MODERATE-INCOME POPULATIONS, INDIVIDUALS WITH CHRONIC/ COMPLEX CONDITIONSPROGRAMMATIC OBJECTIVES:1.6 INCREASE PARTNERSHIPS AND COLLABORATION WITH SOCIAL SERVICE AND OTHER COMMUNITY-BASED ORGANIZATIONS1.7 INCREASE EDUCATIONAL OPPORTUNITIES RELATED TO THE IMPORTANCE AND IMPACT OF SOCIAL DETERMINANTS1.8 DECREASE THE NUMBER OF PEOPLE WHO STRUGGLE WITH FINANCIAL INSECURITY1.9 INCREASE TRAINING AND EMPLOYMENT OPPORTUNITIES FOR LOW TO MODERATE INCOME RESIDENTS WITH AN EMPHASIS ON 1.10 INCREASE ACCESS TO AFFORDABLE, SAFE TRANSPORTATION OPTIONS WITH AN EMPHASIS ON PRIORITY 1.11 INCREASE ACCESS TO LOW-COST HEALTHY FOODS WITH AN EMPHASIS ON PRIORITY POPULATION SEGMENTS1.12 ADDRESS FOOD INSECURITY RELATED TO COVID-19 WITH AN EMPHASIS ON PRIORITY POPULATIONSCOMMUNITY ACTIVITIES/STRATEGIES: PARTICIPATE IN REGIONAL AND LOCAL TASK FORCES AND COALITIONS TO PROMOTE COLLABORATION, SHARE KNOWLEDGE, AND COORDINATE COMMUNITY HEALTH IMPROVEMENT ACTIVITIESPROVIDE COMMUNITY HEALTH MINI GRANTS TO COMMUNITY PARTNERS TO SUPPORT EVIDENCE-BASED PROGRAMS THAT ADDRESS ACCESS TO CARESUPPORT FARMER'S MARKETS AND OTHER FOOD ACCESS INITIATIVES THAT PROVIDE FRESH, LOCALLY-GROWN PRODUCE TO LOW- TO MODERATE-INCOME, UNDERSERVED POPULATIONSSUPPORT LOCAL FOOD ACCESS ORGANIZATIONS AND INITIATIVES TO PROVIDE NUTRITION EDUCATION AND FOOD ACCESS TO LOW- AND MODERATE-INCOME POPULATIONS LIVING IN PUBLIC HOUSING, SCHOOL-BASED AFTER-SCHOOL PROGRAMS, COUNCILS ON AGING, AND OTHER COMMUNITY VENUESSUPPORT WELLNESS AND NUTRITION EDUCATION EVENTS IN PARTNERSHIP WITH COMMUNITY PARTNERS ORGANIZE AND SUPPORT WORKFORCE MENTORSHIP AND TRAINING PROGRAMS TO ENHANCE JOB TRAINING, SKILLS DEVELOPMENT, AND CAREER ADVANCEMENTMETRICS AND STATUS UPDATE: A MINI-GRANT WAS AWARDED TO NEEDHAM COMMUNITY FARM FOR SEASONAL MOBILE MARKET AND GARDENING PROGRAMS AT NEEDHAM HOUSING AUTHORITY. THE PROGRAM SERVED MORE THAN 125 FAMILIES, DISTRIBUTING MORE THAN 1,900 POUNDS OF FRESH PRODUCE VALUED AT OVER $14,000.THE HOSPITAL SUPPORTED FOOD DISTRIBUTION PROGRAMS THROUGH WESTWOOD AND DOVER COUNCILS ON AGING, TO PROVIDE FRESH PRODUCE TO 40 SENIORS IN THESE COMMUNITIES.BID NEEDHAM AWARDED A MINI-GRANT TO DEDHAM FOOD PANTRY AND DEDHAM COUNCIL ON AGING TO PROVIDE 1,000 BAGS OF FOOD TO 250 HOUSEHOLDS IN DEDHAM. THE HOSPITAL SUPPORTED THREE SQUARES RIDE FOR FOOD, WITH THE RIDE RAISING MORE THAN $608,000 FOR 25 LOCAL HUNGER RELIEF ORGANIZATIONS.BID NEEDHAM PROVIDED GRANT FUNDING TO RIPPLES OF HOPE FOR A HOLIDAY FOOD DISTRIBUTION PROGRAM FOR 100 DEDHAM FAMILIES.THE HOSPITAL SUPPORTED BRINGING FRESH PRODUCE TO NEEDHAM HOUSEHOLDS THROUGH THE NEEDHAM FARMER'S MARKET.BID NEEDHAM AWARDED MINI-GRANT TO CIRCLE OF HOPE TO PROVIDE 720 PACKS OF ESSENTIAL HEALTH AND HYGIENE ITEMS TO HOUSEHOLDS IN DEDHAM. COVID-19 HIT AND RESIDENTS WERE SCRAMBLING TO FIND RESOURCES, NEEDHAM SOCIAL SERVICE PROVIDERS CONVENED TO CENTRALIZE INFORMATION AND RESOURCES FOR MENTAL AND PHYSICAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH. "GET CONNECTED NEEDHAM" IS HOUSED ON THE TOWN OF NEEDHAM WEBSITE AND WAS SHARED BY MANY ORGANIZATIONS IN NEEDHAM TO MAKE RESOURCES EASIER TO LOCATE.COMMUNITY PARTNERS: NEEDHAM COMMUNITY FARM, NEEDHAM BANK, CHARLES RIVER CENTER, WESTWOOD COUNCIL ON AGING, DOVER COUNCIL ON AGING, DEDHAM COUNCIL ON AGING, DEDHAM FOOD PANTRY, THREE SQUARES NEW ENGLAND, RIPPLES OF HOPE, NEEDHAM FARMER'S MARKET, CIRCLE OF HOPEGOAL: REDUCE ELDER FALLS AND PROMOTE AGING IN PLACETARGET POPULATION: YOUTH, OLDER ADULTS, LOW- TO MODERATE-INCOME POPULATIONS, INDIVIDUALS WITH CHRONIC/ COMPLEX CONDITIONSPROGRAMMATIC OBJECTIVES:3.1 REDUCE FEAR OF FALLING3.2 REDUCE FALLS3.3 INCREASE ACTIVITY LEVELS3.4 REDUCE PREVENTABLE EMERGENCY DEPARTMENT AND INPATIENT VISITS3.5 INCREASE THE NUMBER OF OLDER ADULTS LIVING INDEPENDENTLY IN THEIR HOMES REDUCE ED/INPATIENT UTILIZATION FOR ALCOHOL AND SUBSTANCE USECOMMUNITY ACTIVITIES/STRATEGIES:SUPPORT SAFETY AT HOME PROGRAM FOR OLDER ADULTS TO PROMOTE AGING IN PLACE AND REDUCE FALLSSUPPORT THE FALL PREVENTION COMMITTEE TO REDUCE FALLS ORGANIZE MATTER OF BALANCE WORKSHOPS FOR PRIORITY POPULATIONSSUPPORT OTHER ELDER SERVICE PROGRAMMING TO ENCOURAGE AGING IN PLACECONTINUE 5-YEAR COMMITMENT TO ADDRESS HEALTHY AGING, WITH NEEDHAM PUBLIC HEALTH AND NEEDHAM COUNCIL ON AGINGMETRICS AND STATUS UPDATE:THE HOSPITAL COLLABORATED WITH NEEDHAM PUBLIC HEALTH TO PROVIDE 9,556 "TRAVELING MEALS" TO HOMEBOUND SENIORS IN NEEDHAMBID NEEDHAM PROVIDED A SENIOR VOLUNTEER PROGRAM TO 65 SENIORS AT BID NEEDHAM (THROUGH MARCH 2020)PARTNERED WITH NEEDHAM PUBLIC HEALTH AND NEEDHAM COUNCIL ON AGING TO PROVIDE FITNESS, HEALTH AND SOCIAL PROGRAMS AND GROCERY DELIVERY TO SENIORS IN NEEDHAM.FITNESS CENTER AND VIRTUAL FITNESS PROGRAMS SAW 65 USERS PER DAY PRIOR TO COVID-19AN AVERAGE OF 35 PEOPLE PER CLASS ATTENDED BALANCE, BONE HEALTH AND FALL PREVENTION CLASSES30 YOUTH & OLDER ADULTS PARTICIPATED IN "BRIDGING THE GAP" SOCIAL PROGRAMART & MUSIC CLASSES WERE OFFERED WITH AN AVERAGE OF 15 PARTICIPANTS36 SENIORS PER WEEK RECEIVED GROCERY DELIVERY DURING THE COVID-19 LOCKDOWN IN SPRING 2020COMMUNITY PARTNERS: NEEDHAM DEPARTMENT OF PUBLIC HEALTH, NEEDHAM COUNCIL ON AGINGCOMMUNITY PARTNERSBETH ISRAEL DEACONESS HOSPITALNEEDHAM IS COMMITTED TO IMPROVING THE HEALTH AND WELLBEING OF RESIDENTS WITHIN ITS SERVICE AREA BY COLLABORATING WITH A DIVERSE GROUP OF COMMUNITY PARTNERS. THE HOSPITAL WORKS TOGETHER WITH THESE PARTNERS TO REDUCE BARRIERS TO HEALTH, INCREASE PREVENTION AND/OR SELF-MANAGEMENT OF CHRONIC DISEASE AND INCREASE THE EARLY DETECTION OF ILLNESS. THE HOSPITAL'S COMMUNITY PARTNERS INCLUDE:CHARLES RIVER CENTERCHARLES RIVER YMCACHNA 18CIRCLE OF HOPEDEDHAM COUNCIL ON AGINGDEDHAM FOOD PANTRYDOVER COUNCIL ON AGINGFAMILY DINNER PROJECTFAMILY PROMISE METROWESTGREATER BOSTON JCCHESSCOLANGUAGE LINELIVABLE DEDHAMLIVESTRONG AT THE YMCAMEDFIELD COALITION FOR SUICIDE PREVENTIONMEDFIELD PUBLIC SCHOOLSNEEDHAM BANKNEEDHAM CLERGY ASSOCIATIONNEEDHAM COMMUNITY COUNCILNEEDHAM COMMUNITY EDUCATIONNEEDHAM COMMUNITY FARMNEEDHAM COUNCIL ON AGINGNEEDHAM EMERGENCY MANAGEMENT NEEDHAM FARMER'S MARKETNEEDHAM FIRE DEPARTMENTNEEDHAM HISTORY CENTER AND MUSEUMNEEDHAM SPORTS BOOSTERSNEEDHAM HOUSING AUTHORITYNEEDHAM POLICE DEPARTMENTNEEDHAM PUBLIC HEALTHNEEDHAM PUBLIC SCHOOLSNEEDHAM TRAVELING MEALS PROGRAMNEEDHAM YOUTH & FAMILY SERVICESNEIGHBOR BRIGADENEWTON NEEDHAM REGIONAL CHAMBERNEWTON WELLESLEY HOSPITALPARENT TALKPLUGGED IN BANDRIPPLES OF HOPERIVERSIDE COMMUNITY CARESTUDENTS ADVOCATING LIFE WITHOUT SUBSTANCE ABUSE (SALSA)SEAN D. BIGGS MEMORIAL FOUNDATIONSUBSTANCE PREVENTION ALLIANCE OF NEEDHAM (SPAN)THREE SQUARES NEW ENGLANDTOWN OF NEEDHAMVNA CARE NETWORKWALKER WESTWOOD COUNCIL ON AGINGWESTWOOD FIRE DEPARTMENTWESTWOOD YOUTH & FAMILY SERVICESWILLIAM JAMES COLLEGE
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SUPPLEMENTAL INFORMATION
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THE PURPOSE OF THIS FORM 990 SCHEDULE H NARRATIVE DISCLOSURE IS TO HELP THE READER UNDERSTAND IN MORE DETAIL HOW BETH ISRAEL DEACONESS HOSPITALNEEDHAM CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS. AS DEMONSTRATED IN THIS SCHEDULE H, 7.76% OF BETH ISRAEL DEACONESS HOSPITALNEEDHAM'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. COMMUNITY BENEFITSANNUAL COMMUNITY BENEFITS REPORTAS PREVIOUSLY NOTED IN THIS FILING, BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY WERE COMPLETED AND APPROVED BY THE COMMUNITY BENEFITS ADVISORY COMMITTEE AND BOARD OF TRUSTEES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019, AS REQUIRED PURSUANT TO THE REGULATIONS UNDER INTERNAL REVENUE CODE SECTION 501(R). IN ADDITION, AS NOTED IN THIS FORM 990 SCHEDULE H, PART I, LINES 6A AND 6B, THE HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFITS REPORT THAT 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 AND ON THE HOSPITAL WEBSITE AT:HTTPS://WWW.BIDNEEDHAM.ORG/ABOUT/COMMUNITY-INVOLVEMENT. 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 BETH ISRAEL DEACONESS HOSPITALNEEDHAM FILED WITH THE ATTORNEY GENERAL'S OFFICE. EMERGENCY CARE ACCESSIN ADDITION, AS NOTED IN THIS FORM 990, SCHEDULE H, PART V, SECTION A, BETH ISRAEL DEACONESS HOSPITALNEEDHAM IS A GENERAL MEDICAL AND SURGICAL HOSPITAL, PROVIDING 24-HOUR EMERGENCY MEDICAL CARE TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. ADDITIONAL INFORMATION IS INCLUDED BELOW. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITSCHARITY CARE AND MEANS TESTED GOVERNMENT PROGRAMSFINANCIAL ASSISTANCEBETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'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 $679,522 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2020 AND HAS BEEN REPORTED ON THIS SCHEDULE H, PART I, LINE 7A.AS REPORTED IN SCHEDULE H PART I LINE 3 AND AGAIN IN SCHEDULE H PART V SECTION B LINE 13, ELIGIBILITY FOR FREE CARE TO LOW-INCOME INDIVIDUALS IS DETERMINED USING FEDERAL POVERTY GUIDELINES OF 400% FOR FULL FREE CARE AND 400% FOR PARTIAL FREE CARE. ELIGIBILITY FOR DISCOUNTED CARE IS DETERMINED BY REVIEWING THE INDIVIDUAL'S EMPLOYMENT STATUS, FAMILY SIZE AND MONTHLY EXPENSES, INCLUDING MEDICAL HARDSHIP REVIEW.OTHER UNCOMPENSATED CHARITY CAREMEDICAID AND MEDICAREIN ADDITION TO THE CHARITY CARE REPORTED ABOVE, BETH ISRAEL DEACONESS HOSPITALNEEDHAM 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 THAT ENSURE LOW-INCOME POPULATIONS DO NOT COVER THE COST OF SERVICES PROVIDED. DURING THE FISCAL PERIOD COVERED BY THIS FILING, BETH ISRAEL DEACONESS HOSPITALNEEDHAM GENERATED $4,306,121 RELATED TO TREATING MEDICAID PATIENTS WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY BETH ISRAEL DEACONESS HOSPITALNEEDHAM FOR SUCH SERVICES BY $1,483,837 AS REPORTED ON THIS SCHEDULE H, PART I LINE 7B. DURING THE FISCAL PERIOD COVERED BY THIS FILING 5.5 % OR 9,114 OF BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S PATIENT ENCOUNTERS WERE WITH MEDICAID PATIENTS. IN ADDITION 38.3% OR 63,133OF THE HOSPITAL'S PATIENT CASES WERE WITH MEDICARE PATIENTS. MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS, AND BETH ISRAEL DEACONESS HOSPITALNEEDHAM PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, BETH ISRAEL DEACONESS HOSPITALNEEDHAM GENERATED $30,028,305 RELATED TO TREATING MEDICARE PATIENTS. THE COSTS OF PROVIDING CARE TO MEDICARE PATIENTS EXCEEDED REVENUE BY $3,876,279. OF THESE AMOUNTS, REVENUE OF $5,337,976 IS RELATED TO THE PROVISION OF HMFP HOSPITALISTS, HMFP SUBSIDIES, APG PRACTICES SUBSIDIES, APG SOCIAL WORKER GRANTS, TELEMED, MENTAL HEALTH DR. GERARD, RIVERSIDE ED, DURBIN MD, ALEJANDRO MENDOZ MD, AND IS INCLUDED ON THIS SCHEDULE H, PART I, LINE 7G, AS PART OF SUBSIDIZED HEALTH SERVICES BECAUSE THE COST OF THOSE SERVICES EXCEEDED REVENUES BY $5,337976. IN RESPONSE TO THE FORM 990, SCHEDULE H, PART III, LINE 8, ALTHOUGH BETH ISRAEL DEACONESS HOSPITALNEEDHAM CONSIDERS THE PROVISION OF CLINICAL CARE TO ALL MEDICARE PATIENTS AS PART OF ITS COMMUNITY BENEFIT, THE REMAINING CARE TO MEDICARE PATIENTS IS NOT QUANTIFIED ON PAGE 1 OF THE SCHEDULE H. INSTEAD, PER THE IRS INSTRUCTIONS TO SCHEDULE H, BETH ISRAEL DEACONESS HOSPITALNEEDHAM HAS SEPARATELY REPORTED THIS AMOUNT IN SCHEDULE H, PART III, LINE 7, AS REQUIRED. HOWEVER, IF THE MEDICARE SHORTFALL WERE INCLUDED IN THE SCHEDULE H PART I LINE 7 CALCULATION, IT WOULD INCREASE TO 5.68%.
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BAD DEBTS
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IN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM 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 $1,771,732 AND ARE REPORTED AS BAD DEBT ON FORM 990, SCHEDULE H, PART III, LINE 2. AS REQUIRED BY THE INSTRUCTIONS TO THIS FORM 990 SCHEDULE H, LOSSES RELATED TO BAD DEBTS HAVE NOT BEEN INCLUDED IN THE CALCULATION OF FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS IN SCHEDULE H PART I LINE 7. RATHER IT HAS BEEN SEPARATELY REPORTED IN SCHEDULE H PART III AS REQUIRED. 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. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE BETH ISRAEL LAHEY HEALTH, INC. AND AFFILIATES FOR THE FOR FISCAL PERIOD ENDED SEPTEMBER 30, 2020 INCLUDE THE ACCOUNTS OF: BETH ISRAEL LAHEY HEALTH, INC. (BILH), AND THE ENTITIES FOR WHICH BETH ISRAEL LAHEY HEALTH, INC. (BILH) SERVED AS SOLE MEMBER DURING THE FISCAL PERIOD COVERED BY THIS FILING, (BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC), MOUNT AUBURN HOSPITAL (MAH), NEW ENGLAND BAPTIST HOSPITAL (NEBH), BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. (MILTON), BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. (NEEDHAM), BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. (PLYMOUTH), LAHEY CLINIC FOUNDATION, LAHEY HEALTH SHARED SERVICES, WINCHESTER HOSPITAL (WINCHESTER), NORTHEAST HOSPITAL CORPORATION (NHC), NORTHEAST BEHAVIORAL HEALTH CORPORATION (NBHC) AND ANNA JAQUES HOSPITAL). EACH OF THESE AFFILIATES MAY IN TURN SERVE AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE NETWORK OF AFFILIATES, AND WHOSE ACCOUNTS ARE INCLUDED IN THE BILH AUDITED FINANCIAL STATEMENTS. THE FINANCIAL STATEMENTS ALSO INCLUDE THE ACCOUNTS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP), THE DEDICATED PHYSICIAN PRACTICE OF BETH ISRAEL DEACONESS MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING BIDMC AND OTHER AFFILIATES IN THE BILH NETWORK ACCOMPLISH THEIR CHARITABLE PURPOSES.THE BETH ISRAEL LAHEY HEALTH INC. CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE REGARDING BAD DEBT EXPENSE.EMERGENCY CARE ACCESSAS PREVIOUSLY NOTED IN THIS FILING, FOR THE PERIOD COVERED BY THIS FILING, BIDMC SERVED AS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM. 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 BETH ISRAEL DEACONESS HOSPITALNEEDHAM EMERGENCY DEPARTMENT. THESE PHYSICIANS ARE ALL CERTIFIED OR BOARD-ELIGIBLE IN LEVEL 1 TRAUMA. THE BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM 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, 7 DAYS A WEEK, AND 365 DAYS A YEAR.
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FINANCIAL ASSISTANCE POLICYINTERNAL REVENUE CODE SECTION 501(R)(4)
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FINANCIAL ASSISTANCE POLICY PURPOSE BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM 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. THE BETH ISRAEL DEACONESS HOSPITALNEEDHAM 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 FREE AND/OR DISCOUNTED CARE FROM BETH ISRAEL DEACONESS HOSPITALNEEDHAM AS WELL AS PROVIDERS WHO FOLLOW BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S FINANCIAL ASSISTANCE POLICY. A LIST OF ALL PROVIDERS WHO PROVIDE CARE WITHIN BETH ISRAEL DEACONESS HOSPITALNEEDHAM AS WELL AS INFORMATION INDICATING IF THE LISTED PROVIDERS FOLLOW BETH ISRAEL DEACONESS HOSPITALNEEDHAM'S FINANCIAL ASSISTANCE POLICY IS INCLUDED IN APPENDIX 5 TO THE FINANCIAL ASSISTANCE POLICY. BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM 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) THAT 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 PROVIDER LIST IS UPDATED NOT LESS THAN QUARTERLY AND THE AMOUNTS GENERALLY BILLED (AGB) CALCULATION IS UPDATED NOT LESS THAN ANNUALLY. 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). KAREN TO UPDATE THIS PARAGRAPHHOSPITAL SPECIFICTHE HOSPITAL'S FAP AND CREDIT & COLLECTION POLICY, REVISED AUGUST 2020, 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 POLICYAPPLYING FOR ASSISTANCE THE HOSPITAL'S FAP INCLUDES INFORMATION ON THE METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE UNDER THE FAP. THIS INFORMATION IS ALSO INCLUDED IN THE PLAIN LANGUAGE SUMMARY (PLS). 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 POLICYELIGIBILITY 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 ASSISTANCEPUBLIC 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 POLICYTRANSLATIONS THE HOSPITAL'S FAP, CREDIT AND COLLECTION POLICY AND PLAIN LANGUAGE SUMMARY, APPLICATION FOR FINANCIAL ASSISTANCE AND HARDSHIP APPLICATION (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 LANGUAGES OF LIMITED ENGLISH PROFICIENCY (LEP) OF ITS PATIENTS, 5% OF THE POPULATION OR 1000 PERSONS, WHICHEVER IS LESS, IN ACCORDANCE WITH THE REGULATIONS PROMULGATED UNDER IRC SECTION 501(R). BASED ON THE HOSPITAL'S REVIEW OF THIS SAFE HARBOR, THE HOSPITAL HAS TRANSLATED THESE DOCUMENTS INTO THE FOLLOWING LANGUAGES: SIMPLIFIED CHINESE, TRADITIONAL CHINESE, RUSSIAN AND SPANISH. (SCHEDULE H PART V SECTION B QUESTION 16I)
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FINANCIAL ASSISTANCE POLICYWIDELY PUBLICIZING AND AVAILABILITY
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COPIES 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, BY MAIL FREE OF CHARGE AND/OR ON THE HOSPITAL'S WEBSITE: (SCHEDULE H PART V SECTION B QUESTIONS 16A, 16B, 16C, 16D, 16E, 16H) AT HTTPS://WWW.BIDNEEDHAM.ORG/WRITABLE/FORMS/BID NEEDHAM-PLAIN-LANGUAGE-SUMMARY-AUG.-2020_FINAL.PDF. IN 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 AND/OR DISCHARGE PROCESS. (SCHEDULE H PART V SECTION B QUESTION 16G). FINANCIAL ASSISTANCE POLICYPLAIN 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, INCLUDING THE WEBSITE ADDRESS, THE LOCATION 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. LINKS TO FINANCIAL ASSISTANCE POLICY AND RELATED DOCUMENTSTHE LINK TO THE BETH ISRAEL DEACONESS HOSPITALNEEDHAM FINANCIAL ASSISTANCE POLICY (FAP) AND THE FOLLOWING RELATED DOCUMENTS CAN BE FOUND ON THE HOSPITAL'S WEBSITE. CREDIT AND COLLECTION POLICYAPPLICATION FOR FINANCIAL ASSISTANCEMEDICAL HARDSHIP APPLICATIONFINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY ADDITIONAL INFORMATION ON PATIENT FINANCIAL ASSISTANCE AND BILLING, ALL IN SIMPLIFIED CHINESE, TRADITIONAL CHINESE, RUSSIAN AND SPANISH, CAN BE FOUND ON THE BETH ISRAEL DEACONESS HOSPITALNEEDHAM WEBSITE AT: HTTPS://WWW.BIDNEEDHAM.ORG/YOUR-VISIT/INSURANCE-AND-FINANCIAL-INFORMATION. LIMITATION ON CHARGESINTERNAL 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 BILLEDLOOK 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. CALCULATED AGB IS UPDATED NOT LESS FREQUENTLY THAN ANNUALLY AS REQUIRED PURSUANT TO THE REGULATIONS PROMULGATED UNDER IRC SECTION 501(R) AND THE AGB IS INCLUDED IN THE HOSPITAL'S FAP AS REQUIRED UNDER THE REGULATIONS DETAILING THE REQUIREMENTS UNDER IRC SECTION 501(R)(5). (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.
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BILLING AND COLLECTIONS501(R)(6)
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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. BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM ADDITIONAL INFORMATION REGARDING PROMOTING THE HEALTH OF THE COMMUNITY (SCHEDULE H, PART VI, QUESTIONS 5 AND 6)THE HOSPITAL 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. ON MARCH 1, 2019, THE BETH ISRAEL LAHEY HEALTH SYSTEM WAS FORMED THROUGH THE COMBINATION OF THE HOSPITALS AND OTHER AFFILIATES OF THREE LEGACY HEALTH CARE SYSTEMS BASED PRIMARILY IN EASTERN MASSACHUSETTS, INCLUDING THE FORMER CAREGROUP HEALTH SYSTEM, THE FORMER LAHEY HEALTH SYSTEM, AND THE SEACOAST HEALTH SYSTEM. BETH ISRAEL LAHEY HEALTH, INC. (BILH) IS NOW THE SOLE MEMBER OF THE HOSPITAL AND NINE ADDITIONAL AFFILIATED HOSPITALS. EACH OF THESE ENTITIES MAY HAVE, IN TURN, SERVED AS THE SOLE MEMBER OF ADDITIONAL AFFILIATES. THE BILH HEALTH SYSTEM IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. AFFILIATED HEALTH CARE SYSTEMAS NOTED IN VARIOUS NARRATIVE DISCLOSURES THAT SUPPORT THIS FORM 990 AND RELATED SCHEDULES FOR THE PERIOD COVERED BY THIS FILING, BETH ISRAEL DEACONESS HOSPITALNEEDHAM IS A MEMBER OF THE BETH ISRAEL LAHEY HEALTH (BILH) NETWORK OF AFFILIATES. BILH IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. BILH OPERATES AS AN INTEGRATED HEALTH CARE SYSTEM COMMITTED TO EXPANDING ACCESS TO EXTRAORDINARY PATIENT CARE ACROSS EASTERN MASSACHUSETTS AND ADVANCING THE SCIENCE AND PRACTICE OF MEDICINE THROUGH GROUNDBREAKING RESEARCH AND EDUCATION. THE BILH SYSTEM IS COMPRISED OF ACADEMIC AND TEACHING HOSPITALS, A PREMIER ORTHOPEDICS HOSPITAL, PRIMARY CARE AND SPECIALTY CARE PROVIDERS, AMBULATORY SURGERY CENTERS, URGENT CARE CENTERS, COMMUNITY HOSPITALS, HOMECARE SERVICES, OUTPATIENT BEHAVIORAL HEALTH CENTERS, ADDICTION TREATMENT PROGRAMS. BILH'S COMMUNITY OF CLINICIANS, CAREGIVERS AND STAFF INCLUDES APPROXIMATELY 4,000 PHYSICIANS AND 35,000 EMPLOYEES. BILH SERVES AS SOLE MEMBER OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC), MOUNT AUBURN HOSPITAL (MAH), NEW ENGLAND BAPTIST HOSPITAL (NEBH), BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. (MILTON), BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. (NEEDHAM), BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. (PLYMOUTH), LAHEY CLINIC FOUNDATION, LAHEY HEALTH SHARED SERVICES, WINCHESTER HOSPITAL (WINCHESTER), NORTHEAST HOSPITAL CORPORATION (NHC), NORTHEAST BEHAVIORAL HEALTH CORPORATION (NBHC) AND ANNA JAQUES HOSPITAL). LAHEY CLINIC FOUNDATION SERVES AS THE SOLE MEMBER OF LAHEY CLINIC, INC. AND LAHEY CLINIC HOSPITAL D/B/A LAHEY HOSPITAL AND MEDICAL CENTER. EACH OF THESE AFFILIATES IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES SERVED BY BILH. EACH OF THESE AFFILIATES MAY ALSO, IN TURN SERVE AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE NETWORK OF AFFILIATES.FOR THE FISCAL YEAR 2020 THE BILH HOSPITALS NOTED ABOVE PROVIDED CARE TO MEDICAID PATIENTS AT COSTS WHICH EXCEEDED REVENUES BY OVER $86 MILLION AND PROVIDED CARE TO MEDICARE PATIENTS AT COSTS WHICH EXCEEDED REVENUES BY $117 MILLION. IN ADDITION, THE BILH HOSPITALS PROVIDED TOTAL COMMUNITY BENEFITS IN THE NATURE OF DIRECT SERVICES TO THE COMMUNITIES SERVED BY THE BILH NETWORK AS WELL AS FUNDS PROVIDED TO COMMUNITY PARTNERS IN THE AMOUNT OF $32 MILLION BILH HOSPITALS ALSO INCURRED NET COSTS FOR SUBSIDIZED HEALTH SERVICES TO ENSURE THAT CARE WAS AVAILABLE WITHIN THE COMMUNITIES SERVED ACROSS BILH IN THE AMOUNT OF $93 MILLION. FINALLY, BILH HOSPITALS ARE COMMITTED TO PROVIDING RESEARCH TO FURTHER ADVANCE CARE TO BILH PATIENTS AND TO THE GENERAL ADVANCEMENT TO HEALTHCARE TREATMENT BEYOND THE COMMUNITIES IMMEDIATELY SERVED BY BILH AND TO PROVIDING CUTTING EDGE TRAINING TO FUTURE HEALTHCARE PROVIDERS. BILH HOSPITALS INVESTED NET COSTS OF $183 MILLION TOWARD THESE MISSIONS DURING THE FISCAL YEAR COVERED BY THIS FILING.
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Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.