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PART I, LINE 7: ELIGIBILITY FOR FREE CARE TO LOW INCOME INDIVIDUALS IS DETERMINED USING FEDERAL POVERTY GUIDELINES OF 200% FOR FULL FREE CARE AND 201%-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.
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PART I, LINE 7G: FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMS:AS REPORTED IN THE MAH CONSOLIDATED FINANCIAL STATEMENT AND IN THIS FORM 990 SCHEDULE H, PART I LINES 7A AND 7C. MAH'S NET COST OF FINANCIAL ASSISTANCE, INCLUDING CARE FOR EMERGENT SERVICES PROVIDED TO NON-PAYING PATIENTS AND INCLUDING PAYMENTS TO AND RECEIPTS FROM THE HEALTH SAFETY NET TRUST, AS WELL AS THE NET COST OF MEANS TESTED PROGRAMS WAS $4,696,466 IN FISCAL YEAR ENDED SEPTEMBER 30, 2013 AND HAS BEEN REPORTED ON THIS SCHEDULE H LINES 7A AND 7C. FINANCIAL ASSISTANCE AT COST WAS CALCULATED USING AN INTERNAL COST TO CHARGE RATIO CALCULATION. SEE ADDITIONAL INFORMATION BELOW IN THIS SCHEDULE H NARRATIVE. OTHER UNCOMPENSATED CHARITY CARE - MEDICAID AND MEDICAREIN ADDITION TO THE CHARITY CARE REPORTED ABOVE, MOUNT AUBURN HOSPITAL 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, MOUNT AUBURN HOSPITAL RECEIVED $7,711,217 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY MOUNT AUBURN HOSPITAL FOR SUCH SERVICES BY $1,987,168 AS REPORTED ON THIS SCHEDULE H, PART I LINE 1B.MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS AND MOUNT AUBURN HOSPITAL PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, MOUNT AUBURN HOSPITAL RECEIVED $85,620,496 IN MEDICARE REVENUE.
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PART I, L7 COL(F): OTHER FINANCIAL ASSISTANCE - BAD DEBTS:AS REPORTED IN THE MOUNT AUBURN HOSPITAL AND SUBSIDIARY AUDITED FINANCIAL STATEMENT FOR THE PERIOD COVERED BY THIS FILING, IN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, MAH 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 WERE $4,785,770 DURING THE FISCAL PERIOD COVERED BY THIS FILING AS REPORTED IN THE FINANCIAL STATEMENTS AND IN THIS FORM 990 SCHEDULE H, PART III AS REQUIRED.
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PART II: COMMUNITY HEALTH INITIATIVES IN CHNA 17 WITH THE GUIDANCE OF MAHRCHC, THE CHNA CARRIED OUT A BROAD COMMUNITY HEALTH ASSESSMENT TO IDENTIFY SHARED HEALTH PRIORITIES. THE CHNA IS FOUNDED ON THE CONCEPT THAT GOOD HEALTH REQUIRES THE BROAD AND ENGAGED PARTICIPATION OF ALL MEMBERS OF A COMMUNITY. THROUGHOUT THE ASSESSMENT PROCESS, THE CHNA MADE AN EFFORT TO THINK ABOUT HEALTH NOT ONLY AS THE PHYSICAL HEALTH OF THE PEOPLE WHO LIVE IN ITS MEMBER COMMUNITIES, BUT ALSO AS THE SPIRITUAL, SOCIAL, PHYSICAL AND EMOTIONAL WELL-BEING OF COMMUNITY MEMBERS AND OF THE COMMUNITY AS A WHOLE. IMPLICIT IN THIS APPROACH IS AN UNDERSTANDING THAT HEALTH IS NOT DETERMINED BY HEALTHCARE, BUT BY THE SOCIAL SUPPORTS, ENVIRONMENTAL OPPORTUNITIES, POLICIES AND NORMS OF THE COMMUNITY AND BY THE UNDERLYING ECONOMIC FACTORS AND WELL-BEING OF WHERE PEOPLE LIVE. THE PROCESS OF CARRYING OUT THE COMMUNITY HEALTH ASSESSMENT AND PRIORITIZING HEALTH AREAS FOR THE CHNA'S FUTURE WORK WAS CHALLENGING. A FEW OF THE MORE INTERESTING CHALLENGES RELATED TO PLANNING A BROAD YET TIMELY PROCESS AND ENGAGING COMMUNITY MEMBERS IN A MEANINGFUL WAY IN A PROCESS THAT CAN SOMETIMES BE TECHNICAL AND CUMBERSOME. IT WAS DIFFICULT TO STRIKE A BALANCE BETWEEN THE GROUP'S INTEREST IN EXPLORING A WIDE VARIETY OF SOCIAL DETERMINANTS OF HEALTH AND THE TIME CONSTRAINTS THAT MADE COLLECTING AND ANALYZING ALL OF THAT DATA IMPOSSIBLE. THIS WAS ADDRESSED IN PART BY REFINING AND REDUCING THE LIST OF INDICATORS, AND IDENTIFYING THE CRITERIA THAT THE GROUP WOULD USE TO PRIORITIZE ISSUES EARLIER IN THE PROCESS THAN INITIALLY EXPECTED. THIS ALLOWED THE GROUP TO COLLECT ONLY THE INFORMATION ABOUT EACH INDICATOR THAT WOULD ACTUALLY BE USED TO MAKE A DECISION AND NOT SPEND TIME ON INTERESTING BUT LESS USEFUL DATA. ALTHOUGH THE CHNA ENTERED THE ASSESSMENT PROCESS WITH THE INTENTION OF INCLUDING THE VOICE OF UNAFFILIATED COMMUNITY MEMBERS AND HAD SOME FUNDING AVAILABLE TO STIPEND ASSESSMENT TEAM MEMBERS WHO WOULD OTHERWISE NOT BE PAID TO PARTICIPATE, THE VAST MAJORITY OF THE ASSESSMENT TEAM MEMBERS WERE THERE REPRESENTING AN ORGANIZATION OR AN INSTITUTION. WHILE THE ASSESSMENT TEAM WAS DIVERSE AND LARGE, IT DID NOT NECESSARILY REPRESENT THE COMPLETE DEMOGRAPHICS OR DIVERSITY OF OPINIONS OF THE FULL CHNA 17 POPULATION. IN SOME WAYS THE TEAM'S EFFORTS AT SURVEYING AND INTERVIEWING A BROAD BASE OF RESIDENTS IN EACH COMMUNITY WAS A RESPONSE TO THE LACK OF THIS VOICE AT THE PLANNING TABLE. IT WAS CHALLENGING TO ENGAGE PEOPLE FROM ALL SECTORS OF ALL MEMBER COMMUNITIES. DESPITE PLANS TO SCREEN THE FILM UNNATURAL CAUSES (WWW.UNNATURALCAUSES.ORG ) AT DIFFERENT VENUES THROUGHOUT THE CHNA TOWNS, THE ASSESSMENT GROUP WAS ONLY ABLE TO SCREEN THE FILM FOUR TIMES. THE GROUP WAS ALSO NOT ABLE TO COLLECT INFORMATION FROM SOME SECTORS OF SOME COMMUNITIES. FOR EXAMPLE, IN AT LEAST ONE TOWN SCHOOLS AND ELECTED OFFICIALS WERE NOT CONTACTED, BUT OTHER SECTORS IN THE SAME COMMUNITY WERE INCLUDED. AT TIMES THIS REFLECTED A LACK OF RESPONSE WHEN THEY REACHED OUT TO BUSY PEOPLE, BUT IN OTHER CASES IT WAS BECAUSE THE TEAM DIDN'T HAVE THE TIME AND THE RESOURCES TO DISSEMINATE INFORMATION ABOUT THE ASSESSMENT AS WIDELY AND DEEPLY AS THEY WOULD HAVE LIKED. DESPITE THE CHALLENGES, THE TEAM TRIED TO BE REPRESENTATIVE OF ALL COMMUNITIES AND TO INCLUDE AS MANY VARIED VOICES AS POSSIBLE. THE SIZE OF ASSESSMENT TEAM GREW AS THE ASSESSMENT PROGRESSED. ASSESSMENT IS OFTEN THOUGHT OF AS A GRUELING OR BORING PROCESS, BUT THIS ASSESSMENT INVOLVED STAKEHOLDERS IN GENUINE WAY AND ALLOWED THE FUTURE USERS OF THE ASSESSMENT RESULTS TO GUIDE AND SHAPE THE PROCESS. IN MANY WAYS THIS WAS WONDERFUL AND IN OTHERS IT WAS CHALLENGING. ONE OF THE CHALLENGES WAS THAT PEOPLE ENTERED THE PROCESS AND JOINED THE TEAM WITH VARYING LEVELS OF EXPERIENCE AND EXPERTISE IN ASSESSMENT AND DATA ANALYSIS. THIS FORCED THE MEMBERS, FACILITATORS AND EVEN THE CONSULTANT EVALUATORS TO MAKE LANGUAGE AND PROCESSES AS ACCESSIBLE, PRACTICAL AND SIMPLE AS POSSIBLE. THIS, IN TURN, MADE THE RESULTS MORE COMPREHENSIBLE AND ALLOWED ALL MEMBERS OF THE PROCESS TO BE HEARD AND TO OWN THE DECISIONS THAT FOLLOWED FROM THE ASSESSMENT. IN TERMS OF DATA COLLECTION, THE INSTITUTE FOR COMMUNITY HEALTH RELIED HEAVILY ON MASSCHIP AND YOUTH BEHAVIOR RISK SURVEY DATA. MASSCHIP IS WONDERFULLY CONSISTENT DATA, BUT SOMETIMES IT'S OLD AND MANY TYPES OF DATA ARE NOT INCLUDED. THERE WAS ALSO INCONSISTENCY IN TERMS OF WHAT DATA EACH COMMUNITY COLLECTS AND MAKES AVAILABLE TO THE PUBLIC. SOME OF THE TOPICS THAT CHNA 17 WAS INTERESTED IN EXPLORING CAN BE DIFFICULT TO TALK ABOUT. THESE INCLUDE DOMESTIC VIOLENCE, HOMELESSNESS AND OTHERS. IT'S POSSIBLE THAT THE LACK OF DATA AND PEOPLE'S DISCOMFORT IN DISCUSSING THE ISSUES MADE THEM LESS VISIBLE IN THE CHNA 17'S ASSESSMENT THAN THEY SHOULD HAVE BEEN. IT WAS SUGGESTED THAT THE CHNA 17 SET UP FUNDING FOR THESE AND OTHER STIGMATIZED TOPICS. THE PROCESS DESIGN EVOLVED AS THE PROJECT PROGRESSED, TAKING INTO CONSIDERATION NEW FINDINGS, THE INTERESTS OF NEW MEMBERS AND IDEAS ABOUT HOW TO BETTER ENGAGE THE COMMUNITY IN THE ASSESSMENT PROCESS. THE PROCESS AS WHOLE EVOLVED AND SO DID THE ASSESSMENT TEAM'S ASSESSMENT SKILLS. AS A RESULT OF THE ASSESSMENT PROCESS CHNA 17 HAS A SHARED AND ARTICULATED DIRECTION, CHNA 17 MEMBERS ARE MORE AWARE OF THEIR COMMUNITIES' SIMILARITIES AND DIFFERENCES, THE STEERING COMMITTEE OF THE CHNA 17 HAS GROWN TO INCLUDE REPRESENTATIVES FROM COMMUNITIES THAT HAD TRADITIONALLY BEEN LESS INVOLVED IN CHNA 17, AND THE WHOLE CHNA 17 IS ACTIVELY ENGAGED IN THE PROCESS OF DECIDING HOW THE FUNDS THAT WILL BE COMING TO CHNA 17 SHOULD BE SPENT. PRIORITIZATION WITH CHNA 17 MEMBERS THE STEPS TAKEN TO PRIORITIZE THE HEALTH NEEDS FROM THE ASSESSMENT IN ORDER TO CHOOSE AREAS OF INTERVENTION FOLLOW. FIRST, THE ASSESSMENT GROUP RATED EACH OF THE 15 HEALTH ISSUES THAT ROSE TO THE TOP OF THE LIST OF CONCERNS (EITHER THROUGH THE PRELIMINARY DATA, COMMUNITY VOICED CONCERNS OR BOTH) ACCORDING TO HOW WELL THEY MET THE CRITERIA THAT THEY HAD CHOSEN FOR PRIORITY ISSUES. FOR EACH TOPIC THEY LOOKED AT THE DATA AND TALKED AS A GROUP TO DECIDE HOW TO RATE THE TOPIC ON A SCALE OF 1-5 FOR EACH OF THE CRITERIA. THE CRITERIA WERE WHETHER: - COMMUNITY MEMBERS SEE IT AS A PROBLEM, - IT AFFECTS ALL 6 CHNA 17 MEMBER COMMUNITIES, - WHETHER THE CHNA CAN MAKE MEASURABLE AND SUSTAINABLE CHANGE ON THIS IN 5 YEARS, - WHETHER THERE ARE RESOURCES RELATED TO THIS THAT THE CHNA CAN BUILD ON AND - WHETHER IT AFFECTS VULNERABLE POPULATIONS. SECOND, THE GROUP SCORED EACH OF THE HEALTH TOPIC AREAS BASED ON THE DATA COLLECTED AND ON THE ASSESSMENT TEAM MEMBERS' KNOWLEDGE OF LOCAL RESOURCES, POTENTIAL FOR CHANGE AND HEALTH DISPARITIES.THE ISSUES THAT RANKED HIGHEST WERE: 1. YOUTH SUBSTANCE ABUSE 2. YOUTH ACCESS TO SERVICES 3. YOUTH MENTAL HEALTH 4. ADULT MENTAL HEALTH 5. OBESITY AND ACTIVE LIVING 6. CRIME AND SAFETY THIRD, THESE SIX ISSUES WITH THE TOP SCORES WERE PRESENTED TO THE CHNA 17 STEERING COMMITTEE. STEERING COMMITTEE MEMBERS INCLUDE MEMBERS OF THE CAMBRIDGE DEPARTMENT OF PUBLIC HEALTH, COMMUNITY BASED ORGANIZATIONS IN CAMBRIDGE, WATERTOWN AND WALTHAM; AND MAH'S DIRECTOR OF COMMUNITY HEALTH. (DURING THE ASSESSMENT PROCESS THE STEERING COMMITTEE CONTINUED TO ACTIVELY RECRUIT MEMBERS FROM ALL THE CHNA TOWNS AND THE DIFFERENT SECTORS.) FORTH, THE STEERING COMMITTEE MADE A RECOMMENDATION THAT YOUTH ISSUES (MENTAL HEALTH, SUBSTANCE ABUSE AND ACCESS TO SERVICES) BE COMBINED. THEY DEVELOPED A FORMULA BASED ON THE SCORES TO DIVIDE THE YEARLY FUNDS THAT CHNA 17 HAS ALLOCATED FOR INTERVENTIONS BETWEEN THE ISSUES.FIFTH, THE CHNA 17 GENERAL MEMBERSHIP WAS ASKED TO SELECT ONE OF THE FOUR TOP PRIORITY AREAS AND JOIN A TEMPORARY TASK FORCE FOCUSED ON THAT ONE PRIORITY. EACH TASK FORCE WAS GIVEN THE TASK OF WORKING THROUGH A VISIONING AND PLANNING PROCESS THAT WOULD BE INCORPORATED INTO THE DEVELOPMENT OF A LOGIC MODEL FOR EACH PRIORITY AREA AND WOULD GUIDE CHNA 17 WHEN THINKING ABOUT HOW SPECIFICALLY FUNDING IN EACH CATEGORY WOULD BE ALLOCATED AND WHAT THE DESIRED HEALTH OUTCOMES FOR EACH AREA WOULD BE. SIXTH, IN ADDITION TO PLANNING INTERVENTIONS FOR THE FOUR TOP PRIORITY AREAS, THE CHNA DECIDED TO CONTINUE TO PROVIDE MINI-GRANTS WITH A BROADER FOCUS AS A WAY TO FUND WORK THAT IS IMPORTANT BUT MAY NOT HAVE BEEN IDENTIFIED AS A PRIORITY IN THE ASSESSMENT PROCESS.
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PART III, LINE 4: 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 HOSPITAL'S AUDITED FINANCIAL STATEMENTS. AS PREVIOUSLY NOTED IN THIS FORM 990, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE MOUNT AUBURN HOSPITAL AND SUBSIDIARY (THE CORPORATION) CONSISTS OF MOUNT AUBURN HOSPITAL (THE HOSPITAL) AND MOUNT AUBURN PROFESSIONAL SERVICES, INC. (PROFESSIONAL SERVICES). THE HOSPITAL'S FORM 990 IS PREPARED FOR THE HOSPITAL ONLY AND AS SUCH, THE METRICS INCLUDED IN THESE FOOTNOTES WILL NOT TIE TO THE FACE OF THE MEDICAL CENTER'S FORM 990, SCHEDULE H.FINANCIAL STATEMENT FOOTNOTES:BAD DEBTSTHE HOSPITAL PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. ESSENTIALLY, THE POLICY DEFINES CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE EXCEPT TO THE EXTENT REIMBURSED BY THE STATEWIDE HEALTH SAFETY NET (HSN).THE HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.PATIENT ACCOUNTS RECEIVABLE AND RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTSPATIENT ACCOUNTS RECEIVABLE ARE REFLECTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL 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 HOSPITAL, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, WILL WRITE OFF THE DIFFERENCE BETWEEN THE STANDARD RATES (OR DISCOUNTED RATES IF APPLICABLE) AND THE AMOUNTS ACTUALLY COLLECTED 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 HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS AS A PERCENTAGE OF TOTAL SELF-PAY ACCOUNTS RECEIVABLE INCREASED FROM 41% AS OF SEPTEMBER 30, 2012 TO 43% AS OF SEPTEMBER 30, 2013. A SIGNIFICANT CONTRIBUTING FACTOR FOR THE INCREASE IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS AN INCREASE IN UNINSURED AND UNDERINSURED PATIENTS SERVED IN 2013 FROM THE PREVIOUS YEAR.COMMUNITY BENEFITS AND UNCOMPENSATED CARETHE COST OF UNREIMBURSED CHARITY AND OTHER UNCOMPENSATED CARE CONSISTED OF THE FOLLOWING FOR THE YEARS ENDED SEPTEMBER 30 2013 AND 2012:UNREIMBURSED CHARITY CARE $3,270 $4,370UNCOMPENSATED CARE $8,148 $7,779 $11,418 $12,149(A) UNREIMBURSED CHARITY CARETHE AMOUNT OF CHARITY CARE AT ESTABLISHED CHARGES AND THE ESTIMATED COST OF UNREIMBURSED CHARITY CARE PROVIDED ARE COMPRISED OF THE FOLLOWING COMPONENTS FOR THE YEARS ENDED SEPTEMBER 30 2013 AND 2012:CHARITY CARE - AT ESTABLISHED CHARGES $8,437 $9,900ESTIMATED COST OF CHARITY CARE $4,248 $5,006LESS REIMBURSEMENT FROM THE HSN ($978) ($636) $3,270 $4,370(B) UNCOMPENSATED CARETHE HOSPITAL ALSO PROVIDES FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE THROUGH PAYMENTS TO THE HSN, WHICH IS OPERATED BY THE COMMONWEALTH OF MASSACHUSETTS. IN ADDITION, THE CORPORATION PROVIDES SERVICES, WHICH WERE NOT PAID BY PATIENTS AND, THEREFORE, ARE RECORDED AS PROVISION FOR BAD DEBTS. THE GROSS OBLIGATION TO THE HSN FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE IS REPORTED AS AMOUNTING TO $2,263 AND $2,347 FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012 RESPECTIVELY, WHICH IS REFLECTED AS UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS.
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PART III, LINE 8: IN ADDITION TO THE CHARITY CARE REPORTED ABOVE, THE HOSPITAL 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. UNREIMBURSED MEDICAID COSTS REPORTED HERE WERE CALCULATED BY APPLYING THE COST TO CHARGE RATIO TO GROSS CHARGES AND SUBTRACTING THE MEDICAID NET REIMBURSEMENT.DURING THE FISCAL PERIOD COVERED BY THIS FILING MAH REPORTED $7,711,217 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY THE HOSPITAL FOR SUCH SERVICES BY $1,987,168, AS REPORTED ON THIS SCHEDULE H, PART I, LINE 7B.MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS AND MAH PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, APPROXIMATELY 29% OF MAH'S PATIENT REVENUE DERIVED FROM MEDICARE PATIENTS. THIS TRANSLATED TO $85,620,496.
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PART III, LINE 9B: MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY GUIDING PRINCIPLESTHE HOSPITAL ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. TO REMAIN VIABLE AS IT FULFILLS ITS MISSION, MOUNT AUBURN HOSPITAL MUST MEET ITS FIDUCIARY RESPONSIBILITY TO APPROPRIATELY BILL AND COLLECT FOR MEDICAL SERVICES PROVIDED TO PATIENTS. THE MOUNT AUBURN HOSPITAL'S CREDIT AND COLLECTION POLICY, WHICH APPLIES TO THE HOSPITAL AND ANY OTHER ENTITY WHICH IS PART OF THE HOSPITAL'S LICENSE OR TAX IDENTIFICATION NUMBER, IS DESIGNED TO COMPLY WITH BOTH THE MASSACHUSETTS HEALTH SAFETY NET REGULATIONS ON CREDIT AND COLLECTION POLICIES, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE BAD DEBT REQUIREMENTS, THE MEDICARE PROVIDER REIMBURSEMENT MANUAL AND THE FEDERAL HEALTHCARE REFORM LAW'S "FINANCIAL ASSISTANCE POLICY" FOR WHICH THE IRS HAD PROVIDED PRELIMINARY GUIDANCE AT THE TIME THE HOSPITAL FINALIZED THIS POLICY. THE HOSPITAL CONTINUES TO MONITOR GUIDANCE FROM THE IRS AS IT IS ISSUED. MOUNT AUBURN HOSPITAL DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, CITIZENSHIP, ALIENAGE, RELIGION, CREED, SEX, SEXUAL ORIENTATION, DISABILITY, OR AGE IN ITS POLICIES OR IN ITS APPLICATION OF POLICIES CONCERNING THE ACQUISITION AND VERIFICATION OF FINANCIAL INFORMATION, PRE-ADMISSION OR PRE-TREATMENT DEPOSITS, PAYMENT PLANS, DEFERRED OR REJECTED ADMISSIONS, LOW INCOME PATIENT STATUS AS DETERMINED BY THE MASSACHUSETTS OFFICE OF MEDICAID, DETERMINATION THAT A PATIENT IS LOW-INCOME, OR IN ITS BILLING AND COLLECTION PRACTICES.
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MOUNT AUBURN HOSPITAL
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PART V, SECTION B, LINE 19D: MOUNT AUBURN HOSPITAL - EMERGENCY CARE ACCESSAS NOTED IN THIS SCHEDULE H, PART V, SECTION A AND SECTION B QUESTION 19, MOUNT AUBURN HOSPITAL IS THE FRONTLINE CAREGIVER PROVIDING MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OFFERS THIS CARE FOR ALL PATIENTS THAT COME TO OUR FACILITY 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR.
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FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION
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AS NOTED THROUGHOUT THIS FILING, MOUNT AUBURN PROFESSIONAL SERVICES IS A SUPPORT ORGANIZATION OF MOUNT AUBURN HOSPITAL. THE DETAIL BELOW IS THE NARRATIVE EXPLANATORY DETAIL FROM THE HOSPITAL'S FORM 990 SCHEDULE H AND IS DESIGNED TO HELP THE READER UNDERSTAND IN GREATER DETAIL HOW MOUNT AUBURN HOSPITAL (MAH OR HOSPITAL) CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS, AS WELL AS COMMUNITY BUILDING ACTIVITIES. AS SUCH, IT ALSO PROVIDES ADDITIONAL DETAIL ON THE THE ACTIVITIES IN WHICH MAPS IS ENGAGED, IN SUPPORT OF THE HOSPITAL'S MISSIONS.
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FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION
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THE PURPOSE OF THIS FORM 990 SCHEDULE H NARRATIVE DISCLOSURE IS TO HELP THE READER UNDERSTAND IN GREATER DETAIL HOW MOUNT AUBURN HOSPITAL (MAH OR HOSPITAL) CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS, AS WELL AS COMMUNITY BUILDING ACTIVITIES. AS DEMONSTRATED IN THIS SCHEDULE H, 4.76% OF MAH'S TOTAL EXPENSES ARE INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST.MOUNT AUBURN HOSPITAL IS AN ACUTE CARE MEDICAL/SURGICAL HOSPITAL AND A FRONTLINE CAREGIVER PROVIDING MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OFFERS THIS CARE FOR ALL PATIENTS 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR. MAH IS ALSO A HARVARD MEDICAL SCHOOL AFFILIATED TEACHING HOSPITAL WITH GRADUATE MEDICAL EDUCATION PROGRAMS IN THE AREAS OF PRIMARY CARE AND RADIOLOGY. MAH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS SUBMITTED TO THE MASSACHUSETTS ATTORNEY GENERAL EACH YEAR. THAT FILING IS AVAILABLE FOR PUBLIC INSPECTION AT THE ATTORNEY GENERAL'S OFFICE AND ON THEIR WEBSITE AND AT MAH UPON REQUEST. DETAIL FROM THE MAH ATTORNEY GENERAL'S REPORT IS INCORPORATED WITHIN THE NARRATIVE DETAIL TO THIS SCHEDULE H. THERE ARE SOME DIFFERENCES BETWEEN THE MASSACHUSETTS ATTORNEY GENERAL DEFINITION OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS AND THE INTERNAL REVENUE SERVICE (IRS) DEFINITION OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. AS SUCH, THERE ARE VARIANCES BETWEEN THIS SCHEDULE H DISCLOSURE AND THE REPORT MAH HAS FILED WITH THE ATTORNEY GENERAL'S OFFICE.
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PART VI, LINE 2: MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY - NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER COVERAGE OPTIONSFINANCIAL ASSISTANCE IS INTENDED TO ASSIST LOW-INCOME PATIENTS WHO DO NOT OTHERWISE HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. SUCH ASSISTANCE TAKES INTO ACCOUNT EACH INDIVIDUALS ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. FOR PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILLS.MOUNT AUBURN HOSPITAL PROVIDES THIS ASSISTANCE FOR BOTH RESIDENTS AND NON-RESIDENTS OF MASSACHUSETTS; HOWEVER, THERE MAY NOT BE COVERAGE FOR A MASSACHUSETTS HOSPITALS SERVICES THROUGH AN OUT-OF STATE PROGRAM. IN ORDER FOR THE HOSPITAL TO ASSIST UNINSURED AND UNDERINSURED PATIENTS FIND THE MOST APPROPRIATE COVERAGE OPTIONS, AS WELL AS TO DETERMINE IF THE PATIENT IS FINANCIALLY ELIGIBLE FOR ANY PAYMENT DISCOUNTS, PATIENTS MUST ACTIVELY WORK WITH THE HOSPITAL TO VERIFY THEIR FINANCIAL AND OTHER INFORMATION THAT COULD BE USED IN DETERMINING ELIGIBILITY. THE HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM, WHICH MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILL. FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE, THE HOSPITAL ASSISTS PATIENTS BY SCREENING THEM FOR ELIGIBILITY IN AN AVAILABLE PUBLIC PROGRAM AND ASSISTING THEM IN APPLYING FOR THE PROGRAM. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO: MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START AND HEALTH SAFETY NET. WHEN APPLICABLE, THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED FAMILY INCOME, CURRENT AND PRIOR INSURANCE COVERAGE AND ALLOWABLE MEDICAL EXPENSES.IN ADDITION, IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS WHO HAVE A FINANCIAL LIABILITY AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE HOSPITAL.THE HOSPITAL WILL TRY TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND/OR FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL WILL DIRECT ALL PATIENTS SEEKING INFORMATION ON AVAILABLE COVERAGE OPTIONS OR FINANCIAL ASSISTANCE TO THE HOSPITALS PATIENT FINANCIAL COUNSELING OFFICE TO DETERMINE IF THEY ARE ELIGIBLE AND THEN TO SCREEN PATIENTS FOR ELIGIBILITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE TO THEM OR NOTIFY THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITALS OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM.FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL WILL ASSIST THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH, COMMONWEALTH CARE, CHILDRENS MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM, WHICH IS AN INTERNET PORTAL DESIGNED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES IN ORDER TO PROVIDE THE GENERAL PUBLIC, MEDICAL PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS WITH AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE COMMONWEALTH. MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS:AS NOTED IN THIS, SCHEDULE H, PART III, SECTION C, QUESTION 9B, MOUNT AUBURN HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITALS OWN FINANCIAL ASSISTANCE PROGRAM WHICH MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILL. FOR PATIENTS THAT REQUEST SUCH ASSISTANCE, THE HOSPITAL ASSISTS THEM BY SCREENING FOR ELIGIBILITY IN AN AVAILABLE PUBLIC PROGRAM AND ASSISTING THEM IN APPLYING FOR THE PROGRAM. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO: MASSHEALTH, COMMONWEALTH CARE, CHILDRENS MEDICAL SECURITY PLAN, HEALTHY START AND HEALTH SAFETY NET. WHEN APPLICABLE THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENTS DOCUMENTED FAMILY INCOME, CURRENT AND PRIOR INSURANCE COVERAGE AND ALLOWABLE MEDICAL EXPENSES. IT IS THE PATIENTS OBLIGATION TO PROVIDE THE HOSPITAL WITH ACCURATE AND TIMELY INFORMATION REGARDING THEIR FULL NAME, ADDRESS, TELEPHONE NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER (IF AVAILABLE), CURRENT HEALTH INSURANCE COVERAGE OPTIONS, INCLUDING OTHER INSURANCE OR COVERAGE OPTIONS (SUCH AS MOTOR VEHICLE POLICY OR WORKERS COMPENSATION POLICY) THAT CAN COVER THE COST OF THE CARE RECEIVED AND ANY OTHER APPLICABLE FINANCIAL RESOURCES, AND CITIZENSHIP AND RESIDENCY INFORMATION ALL TO DETERMINE IF THE PATIENT IS ELIGIBLE TO APPLY FOR CERTAIN HEALTH INSURANCE PROGRAMS. IF THERE IS NO SPECIFIC COVERAGE FOR THE SERVICES PROVIDED, THE HOSPITAL WILL USE THE INFORMATION TO DETERMINE IF THE SERVICES MAY BE COVERED BY AN APPLICABLE PROGRAM THAT WILL COVER CERTAIN SERVICES DEEMED BAD DEBT. IN ADDITION, THE HOSPITAL WILL USE THIS INFORMATION TO DISCUSS ELIGIBILITY FOR CERTAIN HEALTH INSURANCE PROGRAMS. THE SCREENING AND APPLICATION PROCESS FOR A PUBLIC HEALTH INSURANCE PROGRAM IS DONE THROUGH THE VIRTUAL GATEWAY, WHICH IS AN INTERNET PORTAL DESIGNED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES IN ORDER TO PROVIDE THE GENERAL PUBLIC, MEDICAL PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS WITH AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE STATE OR THROUGH A STANDARD PAPER APPLICATION THAT IS COMPLETED BY THE PATIENT AND ALSO SUBMITTED DIRECTLY TO THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES FOR PROCESSING AS THIS OFFICE SOLELY MANAGES THE APPLICATION PROCESS LISTED ABOVE, WHICH IS AVAILABLE FOR CHILDREN, ADULTS, SENIORS, VETERANS, HOMELESS, AND DISABLED INDIVIDUALS. THE HOSPITAL SPECIFICALLY ASSISTS THE PATIENT IN COMPLETING THE APPLICATION AND SECURING THE NECESSARY DOCUMENTATION REQUIRED BY THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM. NECESSARY DOCUMENTATION INCLUDES PROOF OF: (1) ANNUAL HOUSEHOLD INCOME (PAYROLL STUBS, RECORD OF SOCIAL SECURITY PAYMENTS, AND A LETTER FROM THE EMPLOYER, TAX RETURNS, OR BANK STATEMENTS), (2) CITIZENSHIP AND IDENTITY, AND (3) IMMIGRATION STATUS FOR NON-CITIZENS (IF APPLICABLE), AND (4) ASSETS OF THOSE INDIVIDUALS WHO ARE ALSO ENROLLED IN THE MEDICARE PROGRAM. THE HOSPITAL WILL THEN SUBMIT THIS DOCUMENTATION TO THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES AND ASSIST THE PATIENT IN SECURING ANY ADDITIONAL DOCUMENTATION IF SUCH IS REQUESTED BY THE COMMONWEALTH AFTER COMPLETING THE APPLICATION. THE COMMONWEALTH PLACES A THREE DAY TIME LIMITATION ON SUBMITTING ALL NECESSARY DOCUMENTATION FOLLOWING THE SUBMISSION OF THE APPLICATION FOR A PROGRAM. FOLLOWING THIS THREE DAY PERIOD, THE PATIENT MUST WORK WITH THE MASSHEALTH ENROLLMENT CENTERS TO SECURE THE ADDITIONAL DOCUMENTATION NEEDED FOR ENROLLMENT IN THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM.IN SPECIAL CIRCUMSTANCES, THE HOSPITAL MAY APPLY FOR THE PATIENT USING A SPECIFIC FORM DESIGNED BY THE MASSACHUSETTS DIVISION OF HEALTH CARE FINANCE AND POLICY. SPECIAL CIRCUMSTANCES INCLUDE INDIVIDUALS SEEKING FINANCIAL ASSISTANCE COVERAGE DUE TO BEING INCARCERATED, VICTIMS OF SPOUSAL ABUSE, OR APPLYING DUE TO A MEDICAL HARDSHIP.ALL VIRTUAL GATEWAY APPLICATIONS ARE REVIEWED AND PROCESSED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES, WHICH USES THE FEDERAL POVERTY GUIDELINES, ASSET INFORMATION AS WELL AS NECESSARY DOCUMENTATION LISTED ABOVE AS THE BASIS FOR DETERMINING ELIGIBILITY FOR STATE SPONSORED PUBLIC ASSISTANCE PROGRAMS.
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PART VI, LINE 3: MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY: STANDARD COLLECTION PRACTICESAS PREVIOUSLY NOTED IN THE NARRATIVE TO THIS FORM 990 SCHEDULE H, MOUNT AUBURN HOSPITAL ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. ADDITIONALLY, TO REMAIN VIABLE AS IT FULFILLS ITS MISSION, THE HOSPITAL MUST MEET ITS FIDUCIARY RESPONSIBILITY TO APPROPRIATELY BILL AND COLLECT FOR MEDICAL SERVICES PROVIDED TO PATIENTS. AS SUCH, THE HOSPITAL HAS A FIDUCIARY DUTY TO SEEK REIMBURSEMENT FOR SERVICES IT HAS PROVIDED FROM INDIVIDUALS WHO ARE ABLE TO PAY, FROM THIRD PARTY INSURERS WHO COVER THE COST OF CARE, AND FROM OTHER PROGRAMS OF ASSISTANCE FOR WHICH THE PATIENT IS ELIGIBLE. TO DETERMINE WHETHER A PATIENT IS ABLE TO PAY FOR THE SERVICES PROVIDED AS WELL AS TO ASSIST THE PATIENT IN FINDING ALTERNATIVE COVERAGE OPTIONS IF THEY ARE UNINSURED OR UNDERINSURED, THE HOSPITAL HAS ESTABLISHED CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. THE HOSPITAL MAKES THE SAME REASONABLE EFFORT AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. THE HOSPITAL WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO THE PATIENT AND NOT COVERED BY A PRIVATE INSURER OR A FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO HAS ESTABLISHED CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY: OUTSIDE COLLECTION AGENCIES:THE HOSPITAL CONTRACTS WITH AN OUTSIDE COLLECTION AGENCY TO ASSIST IN THE COLLECTION OF CERTAIN ACCOUNTS, INCLUDING PATIENT RESPONSIBLE AMOUNTS NOT RESOLVED AFTER ISSUANCE OF HOSPITAL BILLS OR FINAL NOTICES. HOWEVER, AS DETERMINED THROUGH THE HOSPITAL'S CREDIT AND COLLECTION POLICY, THE HOSPITAL MAY ASSIGN SUCH DEBT AS BAD DEBT OR CHARITY CARE (OTHERWISE DEEMED AS UNCOLLECTIBLE) PRIOR TO 120 DAYS IF IT IS ABLE TO DETERMINE THAT THE PATIENT WAS UNABLE TO PAY FOLLOWING THE HOSPITALS' OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM.MOUNT AUBURN HOSPITAL HAS A SPECIFIC AUTHORIZATION OR CONTRACT WITH ITS OUTSIDE COLLECTION AGENCY AND REQUIRES SUCH AGENCY TO ABIDE BY THE HOSPITAL'S CREDIT AND COLLECTION POLICIES FOR DEBTS THAT THE AGENCY IS PURSUING. IN ADDITION, THE HOSPITAL REQUIRES THAT ANY OUTSIDE COLLECTION AGENCY THAT IT USES MUST BE LICENSED BY THE COMMONWEALTH OF MASSACHUSETTS AND BE IN COMPLIANCE WITH THE MASSACHUSETTS ATTORNEY GENERAL'S DEBT COLLECTION REGULATIONS. FINALLY, ANY OUTSIDE COLLECTION AGENCY HIRED BY THE HOSPITAL WILL PROVIDE THE PATIENT WITH AN OPPORTUNITY TO FILE A GRIEVANCE AND WILL FORWARD TO THE HOSPITAL THE RESULTS OF ANY SUCH PATIENT GRIEVANCE.MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY: EXEMPTION FROM HOSPITAL COLLECTION PRACTICESMOUNT AUBURN HOSPITAL EXEMPTS PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN, HEALTHY START, CHILDREN'S MEDICAL SECURITY PLAN AND LOW INCOME PATIENTS AS DETERMINED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES, SUBJECT TO SOME EXCEPTIONS, FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS.CREDIT AND COLLECTION POLICY - DISCOUNT FOR UNINSURED PATIENTSIN ADDITION TO THE FINANCIAL ASSISTANCE INFORMATION PROVIDED ABOVE, THE MEDICAL CENTER GIVES A SELF-PAY DISCOUNT TO PATIENTS WHO ARE UNINSURED.BILLING AND COLLECTIONS BEFORE REASONABLE EFFORTSNEITHER THE HOSPITAL NOR ANY AUTHORIZED THIRD PARTY TOOK ANY OF THE ACTIONS LISTED IN FORM 990, SCHEDULE H, PART V, SECTION B, QUESTION 17 OR 18.FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSCOMMUNITY BENEFITS MISSION STATEMENTMOUNT AUBURN HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH STATUS OF COMMUNITY MEMBERS BY COLLABORATING WITH COMMUNITY PARTNERS TO REDUCE BARRIERS TO HEALTH AND EDUCATE ABOUT PREVENTION, EARLY DETECTION AND SELF-CARE.DURING THE FISCAL YEAR COVERED BY THIS FILING, MAH HAD NET EXPENDITURES OF $871,992 AND $3,000 REPORTED ON THIS SCHEDULE H, PART I LINES 7E AND 7I AND RELATED TO THESE ACTIVITIES. COMMUNITY HEALTH IMPROVEMENT SERVICESMOUNT AUBURN HOSPITAL IS ACTIVELY ENGAGED IN COMMUNITY HEALTH IMPROVEMENT ACTIVITIES WHICH PROMOTE THE HEALTH OF OUR COMMUNITY. BELOW ARE SOME EXAMPLES OF THESE ACTIVITIES. ADDITIONAL INFORMATION IN INCLUDED LATER IN THIS SCHEDULE H NARRATIVE.KEY COMMUNITY BENEFIT ACCOMPLISHMENTS DURING THE REPORTING PERIODMOUNT AUBURN HOSPITAL HAS DEVELOPED THE LISTEN AND LEARN COMMUNITY HEALTH MODEL OF COMMUNITY ENGAGED COLLABORATIONS THAT AIM TO ADDRESS HEALTH DISPARITIES OF THE HOSPITAL'S MOST VULNERABLE COMMUNITY MEMBERS, BY BRIDGING THE GAP BETWEEN COMMUNITY MEMBERS AND CLINICIANS. IN EACH LISTEN AND LEARN PROGRAM, COMMUNITY MEMBERS AFFECTED BY A HEALTH DISPARITY SHARE THEIR BELIEFS AND PERCEPTIONS AND PARTICIPATE IN A PLANNING PROCESS. IN FY13 THERE WERE 3 LISTEN AND LEARN PROGRAMS: - TYPE 2 DIABETES: THIS PROGRAM AIMS TO BETTER UNDERSTAND BARRIERS TO TYPE 2 DIABETES PREVENTION AMONG UNDERSERVED COMMUNITY MEMBERS.- STROKE: THIS PROGRAM AIMS TO BETTER UNDERSTAND BARRIERS TO EMERGENT CARE FOR ELDERS AT RISK FOR STROKE. - BREAST HEALTH: TO IDENTIFY AND UNDERSTAND CULTURAL BARRIERS TO BREAST CANCER SCREENING, CREATE AND SUPPORT A LEARNING COMMUNITY COMPRISED OF IMMIGRANT WOMEN AND ONCOLOGY NURSES, COMMUNITY HEALTH CARE WORKERS, AND SOCIAL WORKERS TO LEARN TOGETHER ABOUT BELIEFS AND BARRIERS TO BREAST CANCER SCREENING AMONG IMMIGRANTS.MAH ADDRESSED ELDER HEALTH WITHIN THE FOLLOWING PROGRAMS: 1) MEDICAL HOUSE CALLS, 2) COMMUNITY BASED BLOOD PRESSURE SCREENINGS, 3) MATTER OF BALANCE FALL PREVENTION, 4) LISTEN AND LEARN STROKE WITH UNDERSERVED ELDERS AT THE CAMBRIDGE SALVATION ARMY 5) MY LIFE MY HEALTH CHRONIC DISEASE SELF MANAGEMENT PROGRAM AND 6) INFORMAL CAREGIVER NEEDS ASSESSMENT.MOUNT AUBURN HOSPITAL CONTINUED TO SUPPORT JOSEPH M. SMITH COMMUNITY HEALTH CENTER TO SERVE ITS CLIENTS BY PROVIDING FINANCIAL COUNSELORS, MIDWIFERY AND MEN'S UROLOGY PROGRAMS. SUBSTANCE ABUSE WAS ADDRESSED THROUGH THE WORK OF THE COMMUNITY HEALTH NETWORK AREA 17, THE REGIONAL CENTER FOR HEALTHY COMMUNITIES, AND PROJECTS WITH THE OPEN (OVERDOSE PREVENTION AND EDUCATION NETWORK). IN COLLABORATION WITH THE ARLINGTON PUBLIC SCHOOLS MAH UTILIZED PHOTOVOICE TO BUILD THE STUDENTS CAPACITY TO IMPACT LOCAL POLICY.ADDITIONAL PROGRAMS WHICH ADDRESSED THE NEEDS OF VULNERABLE POPULATIONS INCLUDED: 1) EDUCATIONAL SESSIONS TO BUILD THE CAPACITY OF HOMELESS COMMUNITY MEMBERS TO DEVELOP SELF CARE SKILLS, 2) FOOD PANTRY DRIVES, 3) SYSTEMS TO ENROLL COMMUNITY MEMBERS IN SUPPLEMENTAL NUTRITION PROGRAM ASSISTANCE (SNAP) AND 4) SYSTEMS TO PROVIDE TRANSPORTATION TO MEDICAL SERVICES.BY WORKING CLOSELY WITH MEMBERS OF COMMUNITY HEALTH NETWORK AREA 17, MAH HAS PROVIDED FUNDING FOR GRANT PROGRAMS AIMED AT IMPROVING COMMUNITY HEALTH AND WELLBEING. THERE ARE TWO MULTI-YEAR GRANT PROGRAMS. THE FIRST, FOR THREE YEARS, ADDRESSES YOUTH ACCESS TO SERVICES. THE SECOND, FOR TWO YEARS, ADDRESSES FOOD AND ACTIVITY. EACH PROGRAM REQUIRES GRANTEES TO PARTICIPATE IN COMMUNITIES OF LEARNING WHERE SUCCESSES AND CHALLENGES ARE SHARED. MENTAL HEALTH IS ADDRESS THROUGH SCHOLARSHIP FOR MENTAL HEALTH FIRST AID TRAININGS. FOCUS GROUPS HAVE BEEN DESIGNED TO GATHER MORE INFORMATION ON POSSIBLE ACTIVITIES TO ADDRESS CRIME AND SAFETY IN THESE COMMUNITIES.COMMUNITY MEMBERS RECEIVED SUPPORT THROUGH OUR MANY SUPPORT GROUPS AND RELATED PROGRAMMING.COMMUNITY HEALTH NEEDS ASSESSMENT - INTERNAL 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, IN ORDER MAINTAIN ITS TAX EXEMPT STATUS AS A HOSPITAL UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. DURING THE PERIOD COVERED BY THIS FILING, MOUNT AUBURN HOSPITAL WORKED CLOSELY WITH COMMUNITY MEMBERS AND MEMBERS OF LOCAL PUBLIC HEALTH DEPARTMENTS TO COMPLETE A CHNA AND THE BOARD OF TRUSTEES FORMALLY ADOPTED AN IMPLEMENTATION STRATEGY BASED ON THE CHNA.
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PART VI, LINE 4: CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT THE CURRENT COMMUNITY HEALTH PLAN HAS BEEN DEVELOPED IN RESPONSE TO BOTH THE MASSACHUSETTS ATTORNEY GENERAL'S AND FEDERAL GUIDELINES. A FORMAL COMMUNITY NEEDS ASSESSMENT WAS LAST CONDUCTED FROM MAY 2009-SEPTEMBER 2009 (APPENDIX 1) AND WAS SHARED BROADLY WITH COMMUNITY ORGANIZATIONS AND INDIVIDUAL MEMBERS. THIS CURRENT ASSESSMENT INCORPORATES A REVIEW OF: - POPULATION DATA - HEALTH INDICATORS - CURRENT COMMUNITY BENEFIT PROGRAMMING AT MOUNT AUBURN HOSPITAL - HEALTH SERVICES IN THE AREA - INPUT FROM COMMUNITY MEMBERS AND PUBLIC HEALTH DEPARTMENTSPERTINENT ASSESSMENT MATERIAL WAS REVIEWED WITH COMMUNITY MEMBERS INCLUDING THOSE AFFILIATED WITH PUBLIC HEALTH DEPARTMENTS, COMMUNITY BASED ORGANIZATIONS AND WITH COMMUNITY HEALTH NETWORK AREAS (CHNA) WITH A FOCUS ON THE STEERING COMMITTEES OF CHNAS 7, 15, 17, 18, AND 20 AS WELL AS THE THOSE MEMBERS WHO ARE PART OF THE CHNA17 WHICH SERVES ARLINGTON, BELMONT, CAMBRIDGE, SOMERVILLE, WALTHAM AND WATERTOWN. PRIORITIES FOR THE COMMUNITY BENEFIT PLAN WERE DEVELOPED BY REVIEWING THE CURRENT PROGRAMS AND RESOURCES, INFORMATION OBTAINED FROM THE COMMUNITY NEEDS ASSESSMENT, INPUT FROM CHNA STEERING COMMITTEES AND CHNA17 MEMBERSHIP AND CONSIDERING THE ATTORNEY GENERAL'S RECOMMENDED STATE WIDE PRIORITIES. RECOGNIZING THAT COMMUNITY BENEFIT PLANNING IS ONGOING AND WILL CHANGE WITH CONTINUED COMMUNITY INPUT THE MOUNT AUBURN HOSPITAL COMMUNITY BENEFIT PLAN WILL EVOLVE. SENIOR MANAGEMENT AND THE BOARD OF TRUSTEES ARE COMMITTED TO ASSESSING INFORMATION AND UPDATES AS NEEDED. COMMUNITIES SERVED BY MOUNT AUBURN HOSPITALMOUNT AUBURN HOSPITAL COMMUNITY BENEFITS ARE AIMED AT SERVING COMMUNITY MEMBERS WHO LIVE ARLINGTON, BELMONT, CAMBRIDGE, WALTHAM, WATERTOWN AND SOMERVILLE, COMMUNITY MEMBERS SERVED BY JOSEPH M. COMMUNITY HEALTH CENTER AND COMMUNITY HEALTH NETWORK AREAS (CHNA) 7,15, 17, 18 AND 20. THIS DECISION WAS MADE BY REVIEWING MAH PRIMARY DISCHARGE DATA, THE NEEDS OF THE COMMUNITY HEALTH NETWORK AREAS AND THE NEEDS OF THE CLOSEST FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER-JOSEPH M. SMITH COMMUNITY HEALTH CENTER (JMSCHC). TOWNS THAT REPRESENTED MORE THAN 5% OF MOUNT AUBURN HOSPITAL DISCHARGES ARE INCLUDED AN DEPICTED BELOW.COMMUNITY BENEFITS PROCESSCOMMUNITY BENEFITS LEADERSHIP/TEAMTHE DIRECTOR OF COMMUNITY HEALTH IS RESPONSIBLE FOR THE DEVELOPMENT AND IMPLEMENTATION OF MAH'S COMMUNITY BENEFITS PROGRAM. AS SUPERVISOR TO THE METROWEST REGIONAL CENTER FOR HEALTHY COMMUNITIES (RCHC) STAFF, THE DIRECTOR HAS CONTINUOUS DIALOGUES WITH THOSE WHO WORK CLOSELY WITH LOCAL COMMUNITY HEALTH NETWORK AREAS. THE DIRECTOR REPORTS TO THE VICE PRESIDENT OF MARKETING AND STRATEGIC PLANNING, WHO ENSURES THAT COMMUNITY BENEFIT PRIORITIES ARE MONITORED BY SENIOR MANAGEMENT. THE HOSPITAL CEO IS ACTIVELY INVOLVED IN INITIATING ACTIVITIES AND RELATIONSHIPS WITH COMMUNITY PARTNERS.ONLY THE COSTS THAT RELATE DIRECTLY TO THE COMMUNITY BENEFIT PORTION OF PROGRAMS ARE COUNTED AS EXPENDITURES. COMMUNITY BENEFITS TEAM MEETINGSANNUALLY THE BOARD OF TRUSTEES APPROVES THE COMMUNITY BENEFIT'S MISSION STATEMENT AND PLAN. THE VICE PRESIDENT OF MARKETING AND STRATEGIC PLANNING AND THE DIRECTOR OF COMMUNITY HEALTH MEET REGULARLY TO DISCUSS COMMUNITY BENEFIT PROGRAMMING. AMENDMENTS TO THE PLAN DURING THE YEAR ARE APPROVED BY THE VICE PRESIDENT OF MARKETING AND STRATEGIC PLANNING. A HOSPITAL-WIDE DIVERSITY COMMITTEE, AIMED AT KEEPING THE ORGANIZATION FOCUSED ON THE NEEDS OF PATIENTS AND EMPLOYEES FROM DIFFERENT CULTURAL AND LINGUISTIC BACKGROUNDS, IS CHAIRED BY THE DIRECTOR OF COMMUNITY HEALTH AND INCLUDES REPRESENTATIVES FROM MANY HOSPITAL DISCIPLINES.THE COMMUNITY BENEFITS PLAN WAS PRESENTED TO THE PATIENT AND FAMILY ADVISORY COUNCIL. COPIES OF THE COMMUNITY BENEFITS PLAN WERE SENT TO EVERYONE INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. COMMUNITY HEALTH STAFF MEMBERS MEET MONTHLY TO REVIEW COMMUNITY PROGRAMS. COMMUNITY MEMBERS ARE INVITED TO AN OPEN COMMUNITY BENEFITS MEETING. THE METROWEST REGIONAL CENTER FOR HEALTHY COMMUNITIES, A MOUNT AUBURN HOSPITAL PROGRAM, HAS A COMMUNITY ADVISORY BOARD THAT PROVIDES SUGGESTIONS AND FEEDBACK.MAH COMMUNITY HEALTH DEPARTMENT STAFF MET WITH COMMUNITY MEMBERS INCLUDING THOSE WHO WORK IN PUBLIC HEALTH. TO REACH COMMUNITY MEMBERS IN MAH'S TARGET AREA MAH CONCENTRATED ITS EFFORTS WITH MEMBERS FROM THE LOCAL COMMUNITY HEALTH NETWORK AREAS. A COMMUNITY HEALTH NETWORK IS A LOCAL COALITION OF PUBLIC, NON-PROFIT, AND PRIVATE SECTOR ORGANIZATIONS WORKING TOGETHER TO BUILD HEALTHIER COMMUNITIES IN MASSACHUSETTS THROUGH COMMUNITY-BASED PREVENTION PLANNING AND HEALTH PROMOTION. THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH ESTABLISHED THE COMMUNITY HEALTH NETWORK AREA (CHNA) EFFORT IN 1992. TODAY THIS INITIATIVE INVOLVES ALL 351 TOWNS AND CITIES THROUGH 27 COMMUNITY HEALTH NETWORKS. (WWW.MASS.GOV) MOUNT AUBURN HOSPITAL'S REGIONAL CENTER FOR HEALTHY COMMUNITIES STAFF WORKED DIRECTLY WITH COMMUNITY HEALTH NETWORK AREAS TO HELP COMMUNITIES REALIZE THEIR VISION FOR A HEALTHIER PLACE TO LIVE. THE CENTER DID THIS BY 1) SUPPORTING AND ENCOURAGING CHNAS TO DESIGN AND IMPLEMENT INCLUSIVE COMMUNITY HEALTH PLANNING AND ASSESSMENT PROCESSES; AND 2) PROVIDING TOOLS AND TEMPLATES, TRAINING, FACILITATION, AND OPPORTUNITIES FOR SHARING AND COLLABORATION AMONG THE CHNAS. THE RCHC LEAD REGIONAL HEALTH PLANNING THROUGH ITS WORK WITH COMMUNITY HEALTH NETWORK AREAS 7, 15, 17, 18, AND 20. MAH COMMUNITY BENEFITS STAFF WORKED CLOSELY WITH THE LEADERS OF CHNA 17 TO REVIEW THE ASSESSMENT, AND PRIORITIZE THE AREAS FOR IMPLEMENTATION OF COMMUNITY HEALTH INITIATIVES WITHIN THE CHNA. MAH THEN REVIEWED THE CURRENT COMMUNITY BENEFIT PLAN WITH 1) COMMUNITY BASED ORGANIZATION PARTNERS, 2) MAH STAFF AND 3) THE MAH PATIENT AND FAMILY ADVISORY BOARD. THE RESULTS OF ALL OF THESE THOUGHTFUL PLANNING PROCESSES WERE REVIEWED WITH SENIOR MANAGEMENT AND THE BOARD OF TRUSTEES ON JULY 24TH, 2012. THE BOARD OF TRUSTEES APPROVED AN ANNUAL PROGRAM BUDGET OF OVER ONE MILLIONS DOLLARS. COMMUNITY PARTNERSMAH SUPPORTS CHNA 17'S MISSION TO HELP BUILD HEALTHIER PEOPLE AND BETTER CONNECTED COMMUNITIES ACROSS THE CHNA. MAH CURRENTLY PROVIDES 100% OF CHNA 17'S FUNDING. IN ADDITION TO THE DEDICATED COMMUNITY HEALTH INITIATIVES (DETAILED BELOW) THE CHNA HOSTS GENERAL MEETINGS, TRAININGS, AND PATHWAYS FOR CHNA MEMBERS TO COMMUNICATE WHICH INCLUDE EMAILS, NEWSLETTERS, A WEBSITE AND DEDICATED TIME AT GENERAL MEETINGS. THE CHNA CONSISTS OF OVER 60 MEMBERS. THE FOLLOWING AGENCIES ARE REPRESENTED - AIDS ACTION COMMITTEE - ARLINGTON DIVERSION - ARLINGTON YOUTH COALITION - BOSTON AREA GLEANERS - CAMBRIDGE AND SOMERVILLE EARLY INTERVENTION - CAMBRIDGE COMMUNITY CENTER - CAMBRIDGE ECONOMIC OPPORTUNITY COUNCIL - CAMBRIDGE HEALTH ALLIANCE - CAMBRIDGE PREVENTION COALITION - CAMBRIDGE PUBLIC HEALTH DEPARTMENT - CASPAR - CHILD CARE RESOURCE CENTER - COMMUNITY DAY CENTER OF WALTHAM - EAST END HOUSE - FOOD FOR FREE - GREATER WALTHAM ARC - HEALTHY WALTHAM - INSTITUTE FOR COMMUNITY HEALTH - MARGARET FULLER HOUSE - MASSACHUSETTS ALLIANCE OF PORTUGUESE SPEAKERS - MINUTE MAN SENIOR SERVICES SHINE - PAINE SENIOR SERVICES - PARENTS HELPING PARENTS - REACH - SOMERVILLE CARES ABOUT PREVENTION - SOMERVILLE COMMUNITY HEALTH AGENDA - SOMERVILLE EARLY INTERVENTION - SOMERVILLE HOMELESS COALITION - SOMERVILLE POLICE DEPARTMENT - SPRINGWELL - ST. ELIZABETH'S MEDICAL CENTER - THOM CHARLES RIVER EARLY INTERVENTION - TITLE IX RUNNING CLUB - TRANSITION HOUSE - WATERTOWN COMMUNITY FOUNDATION - WATERTOWN HEALTH DEPARTMENT - WATERTOWN YOUTH COALITION - WIC - YOUTH ON FIREMAJOR HEALTH NEEDS AND HOW PRIORITIES WERE DETERMINED TO DETERMINE PRIORITIES FOR COMMUNITY BENEFIT PROGRAMMING MAH GROUPED ASSESSMENT INFORMATION INTO THREE AREAS: - SUPPORT FOR LOCAL COMMUNITY HEALTH NETWORK AREAS - COMMUNITY HEALTH INITIATIVES IN COMMUNITY HEALTH NETWORK AREA 17 - DIRECT AND INDIRECT PROGRAMMING SUPPORTS FOR LOCAL COMMUNITY HEALTH NETWORK AREAS MAHRCHC STAFF WORKED WITH THE STEERING COMMITTEES OF THE CHNAS TO CHOOSE ACTIVITIES THAT: - HAVE BEEN RIGOROUSLY EVALUATED AND ARE SHOWN TO BE EFFECTIVE. - ARE DEVELOPED TO REDUCE 'RISK' FACTORS AND ENHANCE 'PROTECTIVE' FACTORS FOR COMMUNITY MEMBERS. - BUILD UPON THE STRENGTHS AND RESOURCES OF DIVERSE COMMUNITY MEMBERS. EACH CHNA THEN WORKED INTERNALLY TO IDENTIFY CHOOSE THE SUPPORT THEY WOULD RECEIVE FROM THE MAH REGIONAL CENTER STAFF.
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PART VI, LINE 5: COMMUNITY BENEFIT GOALS AND ACTIVITIES THROUGHOUT THIS PROCESS, MAH AND ENGAGED COMMUNITY MEMBERS ALL RECOGNIZED THAT THE CAUSES OF COMMUNITY HEALTH NEEDS ARE BOTH COMPLEX AND CHALLENGING TO ARTICULATE. EQUALLY CHALLENGING IS THE TASK OF ADDRESSING THESE NEEDS IN MEANINGFUL AND IMPACTFUL WAYS. TO MEET THIS CHALLENGE MAH HAS DEVELOPED AN ARRAY OF COMMUNITY BENEFIT PROGRAMS THAT ARE AIMED AT ADDRESSING THE HEALTH NEEDS IDENTIFIED IN THE COMMUNITY NEEDS ASSESSMENT. THE INFORMATION BELOW DESCRIBES WHAT COMMUNITY HEALTH NEEDS MAH WILL ADDRESS AND WHAT MAH WILL DO TO ADDRESS THOSE NEEDS. SOME OF THESE PROGRAMS WILL BE ADDRESSED BY MAH DIRECTLY AND SOME WILL BE ADDRESSED BY MAH IN COLLABORATION WITH PARTNERS. TO FINALIZE THE COMMUNITY BENEFIT PLAN, MAH ARTICULATED PROGRAMS AND GOALS TO ADDRESS THE IDENTIFIED NEEDS. OVER THE NEXT 3 YEARS THESE PROGRAMS WILL POSITIVELY IMPACT THE HEALTH OF MAH TARGET COMMUNITIES AS WELL AS INDIVIDUAL COMMUNITY MEMBERS. AT THE COMMUNITY LEVEL WE WILL INCREASE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS BY: IMPLEMENTING EVIDENCED BASED PROGRAMS PROMOTE HEALTH POLICIES THAT SUPPORT THE HEALTHY CHOICE BEING THE EASY CHOICE SUPPORT THE STEERING COMMITTEES OF COMMUNITY HEALTH NETWORK AREAS 7, 15, 17, 18 AND 20 TO OPERATIONALIZE THEIR MISSION AND GOALS AT THE INDIVIDUAL LEVEL WE WILL INCREASE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS BY: FACILITATING CONNECTIONS TO HEALTH CARE, INSURANCE INCREASING HOPE, EMPOWERMENT AND/OR CONFIDENCE. INCREASING UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESS. INCREASING POSITIVE HEALTH BEHAVIORS. DECREASING NEGATIVE HEALTH BEHAVIORS. THROUGHOUT THIS PROCESS OF IDENTIFYING NEEDS AND DESIGNING PROJECTS AIMED AT MEETING THOSE NEEDS, MAH RECOGNIZED THAT COMMUNITY BENEFIT PLANNING IS ONGOING. THEREFORE WE WILL: MEET EMERGENT AND SPORADIC INDIVIDUAL AND ORGANIZATIONAL NEEDS THAT ARE IDENTIFIED BY COMMUNITY MEMBERS AND CLINICIANS WHEN THEY ARE CONSISTENT WITH OUR COMMUNITY BENEFIT PLAN. EACH PROGRAM IS LISTED BELOW WITH APPLICABLE PARTNER ORGANIZATIONS AND GOALS (UNLESS OTHERWISE STATED THE GOALS ARE EVALUATED ANNUALLY). THE IMPACT OF THESE PROGRAMS OVER TIME WILL LEAD TO A DECREASE MORBIDITY, HOSPITALIZATION AND MORTALITY FROM ILLNESS OVER THE NEXT 10 YEARS. COMMUNITY LEVEL PROGRAMSCHNA 17 COMMUNITY GOALS:ANNUALLY, CHNA 17 COMMUNITIES WILL DEMONSTRATE:INCREASED AWARENESS OF LARGER HEALTH TRENDSINCREASED KNOWLEDGE OF PROGRAMS, SERVICES AND INITIATIVESINCREASED SHARING OF RESOURCESINCREASED CAPACITY TO EFFECTIVELY ADMINISTER AND EVALUATE PROGRAMS ANDSERVICESINCREASED KNOWLEDGE USE AND DOCUMENTATION OF BEST PRACTICESWITHIN THEIR FUNDING CYCLE, GRANTEES FUNDED BY THE CHNA WILL DEVELOP, IMPLEMENT AND REPORT ON PROGRAMS THAT:ARE EVIDENCED-BASEDINCLUDE THE TARGET POPULATIONADDRESS THE NEEDS OF VULNERABLE POPULATIONSINCLUDE INTERCOMMUNITY AND INTERAGENCY COLLABORATIONSADDRESS THE HEALTH INDICATORS NOTED IN THE ASSESSMENTBUILD ON EXISTING COMMUNITY RESOURCESINCORPORATE CHNA 17 MEMBER INPUTINFLUENCE MUNICIPAL POLICYANNUALLY, CHNA 17 COMMUNITIES WILL SHARE:IDEAS AND PLANS FOR EVALUATION, POLICY AND PROGRAMMING.CHALLENGES AND SUCCESSES IN DEVELOPING AND IMPLEMENTING QUALITY PROGRAMS AND IMPLEMENTING POLICY CHANGES.AFTER THREE YEARS THE CHNA 17 COMMUNITIES WILL DEMONSTRATE:INCREASED NUMBER OF COLLABORATIONS AND PARTNERSHIPSINCREASED EFFICIENCY AND EFFECTIVE UTILIZATION OF RESOURCESINDIVIDUAL CHNA MEMBERS INCORPORATE INCREASED KNOWLEDGE AND UNDERSTANDING INTO THEIR ORGANIZATIONS PROGRAMS AND SERVICESINCREASED KNOWLEDGE AND CAPACITY AMONG CHNA MEMBERS AND GRANTEES ABOUT THE OPERATIONAL MANAGEMENT OF COMMUNITY BASED ORGANIZATIONS.DOCUMENTED BEST PRACTICE USED IN CHNA 17 COMMUNITIESCROSS COMMUNITY COLLABORATIONS HAVE BEEN IMPLEMENTED AND EXPANDEDUNFUNDED COMMUNITY ATTENDANCE AT COMMUNITIES OF LEARNINGAFTER FIVE YEARS ALL THE CHNA 17 COMMUNITIES WILL HAVE:ENGAGED IN ONE OR MORE HEALTH INITIATIVESIMPLEMENTED PROGRAMS, TRAININGS AND POLICY INITIATIVESWORKED ON ISSUES THAT ADDRESS VULNERABLE POPULATIONSAN INCREASINGLY REGIONAL APPROACH TO ADDRESSING HEALTH INDICATORSDEMONSTRATED INCREASED EFFECTIVENESS OF AVAILABLE ESERVICES AND PROGRAMSDEMONSTRATE AN INCREASE IN THE NUMBER OF BEST PRACTICES REPLICATED THE CHNA 17 COMMUNITIESYOUTH SERVICES IN CHNA 17 THREE YEAR GRANT PROGRAM AIMED AT INCREASING THE EFFECTIVENESS OF YOUTH SERVICES AND PROGRAMS ACROSS VIOLENCE, BULLYING, SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES TO REDUCE HARMFUL BEHAVIORS IN CHNA 17.PARTNERS: CHNA 17 COMMUNITY MEMBERSGOALS:BY 2016 COMMUNITY MEMBERS WILL HAVE INCREASED ACCESS TO HIGH QUALITY, EFFECTIVE YOUTH PROGRAMMING AND SERVICE ORGANIZATIONS WILL HAVE RECEIVED BETTER SUPPORT IN REDUCING HARMFUL BEHAVIOR.BY JANUARY 2013 ALL GRANTEES WILL DEMONSTRATE:IMPLEMENTATION OF EVIDENCE-BASED YOUTH PROGRAMMING.INVOLVEMENT OF YOUTH IN PROGRAM PLANNING AND IMPLEMENTATION.YOUTH LEADERS PLAYING AN PIVOTAL ROLE IN PROGRAMMING AND PEER EDUCATION AS IN THE INDIVIDUAL PROGRAMS.BY JANUARY 2014 ALL GRANTEES DEMONSTRATE:INCREASE IN AVAILABILITY OF PROGRAMS AND SERVICES FOR YOUTH IN CHNA 17 COMMUNITIESINCREASE IN THE NUMBER OF YOUTH RECEIVING EDUCATION ON ISSUES SUCH AS VIOLENCE, SUBSTANCE ABUSE, BULLYING AND MENTAL HEALTH.BY NOVEMBER 2014 ALL GRANTEES WILL DEMONSTRATE:INCREASE IN THE NUMBER OF YOUTH SERVED.INCREASED EFFECTIVENESS OF YOUTH SERVICES AND PROGRAMS ACROSS VIOLENCE, BULLYING, SUBSTANCE ABUSE AND MENTAL HEALTH TO REDUCE HARMFUL BEHAVIORS IN CHNA 17 COMMUNITIES.FOOD AND ACTIVITY POLICY TWO YEAR GRANT CYCLE TO SUPPORT THE CREATION OR ENHANCEMENT OF FOOD AND ACTIVITY POLICY COUNCILS IN CHNA 17.PARTNERS: CHNA 17 COMMUNITY MEMBERSGOALS:BY JANUARY 2013 THREE FOOD AND ACTIVITY COUNCILS WILL HAVE RESEARCHED, ASSESSED AND IDENTIFIED RESOURCES AND AREAS OF NEED IN THEIR COMMUNITIES; AND WILL HAVE SHARED THIS INFORMATION WITH THEIR COMMUNITY. BY JANUARY 2014 THREE FOOD AND ACTIVITY COUNCILS WILL HAVE DEVELOPED POLICY RECOMMENDATIONS.BY JANUARY 2014 THREE FOOD AND ACTIVITY COUNCILS WILL HAVE BUILT SUPPORT AND DEVELOPED PARTNERSHIPS AMONG DECISION MAKERS AND COMMUNITY MEMBERS TO MOVE RECOMMENDATIONS FORWARD. BY 2016 LOCAL FOOD AND ACTIVITY POLICY COUNCILS WILL HAVE IMPLEMENTED RECOMMENDATIONS WITH MUNICIPALITIES AND SCHOOL SYSTEMS THAT RESULT IN GREATER ACCESS TO HEALTHY FOODS AND MORE OPPORTUNITIES FOR ACTIVE LIVING. MENTAL HEALTH FIRST AID TRAININGS SCHOLARSHIPS FOR COMMUNITY MENTAL HEALTH FIRST AID TRAININGS FOR COMMUNITY MEMBERS AND FIRST RESPONDERSPARTNERS: CHNA 17 COMMUNITY MEMBERSGOALS:BY JANUARY 2014 COMMUNITY MEMBERS WILL DEMONSTRATE AN INCREASED AWARENESS OF MENTAL HEALTH FIRST AID.BY JANUARY 2014 AN INCREASE IN THE: - NUMBER OF FIRST RESPONDERS WHO HAVE BEEN TRAINED IN MENTAL HEALTHFIRST AID - NUMBER OF COMMUNITY AGENCIES THAT HAVE STAFF THAT ARE TRAINED IN MENTAL HEALTH FIRST AID.BY JANUARY 2014 THERE WILL BE AT LEAST ONE NEW TRAINER CERTIFIED TO TEACH MENTAL HEALTH FIRST AID.BY JANUARY 2014 INCREASED NUMBER OF COMMUNITY MEMBERS AND FIRST RESPONDERS WHO SELF-REPORT THAT THEY HAVE: - INCREASED KNOWLEDGE ABOUT MENTAL HEALTH AND MENTAL ILLNESS - INCREASED CONFIDENCE IN THEIR ABILITY TO RESPOND APPROPRIATELYTO A MENTAL HEALTH CRISIS. - INCREASED CONFIDENCE IN THEIR ABILITY TO IDENTIFY RESOURCES FOR MENTAL HEALTH NEEDS.BY JANUARY 2014 INCREASED NUMBER OF MENTAL HEALTH FIRST AID TRAININGS TO COMMUNITY MEMBERS IN THE CHNA 17 AREA.BY JANUARY 2016 CORE COMMUNITY AGENCIES WILL SELF REPORT THAT THEY HAVEA GREATER UNDERSTANDING OF MENTAL HEALTH ISSUES AND ARE BETTER ABLE TORESPOND TO THE MENTAL HEALTH NEEDS OF THEIR COMMUNITY MEMBERS, UTILIZINGKNOWLEDGE FROM MENTAL HEALTH FIRST AID TRAINING.CRIME AND SAFETY TOWN ASSESSMENTS:COLLECT DATA TO EXPAND UPON THE COMMUNITY HEALTHASSESSMENT THAT CHNA 17 COMPLETED LAST YEAR IN ORDER TO BETTER UNDERSTAND ISSUES AND CONCERNS IN THE AREA RELATING TO CRIME AND SAFETY.PARTNERS: CHNA 17 COMMUNITY MEMBERSGOALS:BY JANUARY 2013 DEVELOP PLAN TO ENGAGE COMMUNITY LEADERS, CIVIC ORGANIZATIONS, LAW ENFORCEMENT OFFICIALS, SCHOOL PERSONNEL AND OTHERS OTHER STAKEHOLDERS TO BETTER UNDERSTAND ISSUES AND CONCERNS ABOUT CRIME AND SAFETY. BY JANUARY 2014 CONDUCT AT LEAST 4 FOCUS GROUPS AND DISSEMINATE DATA COLLECTED.
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PART VI, LINE 6: REGIONAL CENTER FOR HEALTHY COMMUNITIES:AT MOUNT AUBURN HOSPITAL PROVIDES TECHNICAL ASSISTANCE, FACILITATION AND CAPACITY BUILDING TO LOCAL COMMUNITY HEALTH NETWORK AREAS.PARTNERS: COMMUNITY MEMBERS IN CHNAS 7,15,17,18 AND 20GOALS:ANNUALLY FOR CHNAS 7,15,17,18 AND 20 THE REGIONAL CENTER FOR HEALTH COMMUNITIES WILL PROVIDE TECHNICAL ASSISTANCE AND EVALUATION SUPPORT TO ACH CHNA IN ACCORDANCE WITH THE INDIVIDUAL MEMORANDUMS OF UNDERSTANDINGCONVENE AND FACILITATE AT LEAST 4 INTER-CHNA MEETINGSCONDUCT STATEWIDE WORK TO IDENTIFY INDICATORS FOR SUCCESS AND COMMON GOALS (EVALUATION FRAMEWORK) COORDINATE ALL MEETINGS FOR CHNA'S 7 AND 20TOBACCO FREE PEER LEADER DEVELOPMENT-A SOCIAL NORMS APPROACHMAH WORKS CLOSELY WITH THE ARLINGTON ENRICHMENT COLLABORATIVE (AEC), THE ARLINGTON YOUTH HEALTH AND SAFETY COALITION (AYHSC), AND ARLINGTON PUBLIC SCHOOLS TO BRING TOBACCO AWARENESS AS WELL AS EDUCATIONAL TOOLS AND MATERIALS.PARTNERS: ARLINGTON ENRICHMENT COLLABORATIVE, ARLINGTON YOUTH HEALTH AND SAFETY COALITION, ARLINGTON PUBLIC SCHOOLS.GOALS:BY JANUARY 2013 DEVELOP TOBACCO PEER LEADERSHIP PROGRAMMING MODULE FOR MIDDLE SCHOOL STUDENTS TO INCREASE POSITIVE HEALTH BEHAVIORS AND DECREASE NEGATIVE BEHAVIORS.BY JANUARY 2014 EXPAND PROGRAM TO HIGH SCHOOL TO PROMOTE HEALTH POLICIES THAT SUPPORT THE HEALTHY CHOICE IS THE EASY CHOICE.LETS MOVE-HEALTHY WALTHAM MAH SUPPORT THE HEALTHY WALTHAM COALITIONAND THE LETS MOVE CAMPAIGN IN WALTHAMPARTNERS: HEALTHY WALTHAM GOALS:MAH COMMUNITY HEALTH STAFF TO SERVE ON HEALTHY WALTHAM BOARDMAH TO SUPPORT LET'S MOVE CAMPAIGN WITH DESIGN, TRANSLATION AND PRINTING OF MATERIALS TO SUPPORT THE HEALTHY CHOICE BEING THE EASY CHOICE
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REPORTS FILED WITH STATES
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PART VI, LINE 7
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MA
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DRUG FREE COMMUNITIES APPLICATION WALTHAM MAH PROVIDES ASSISTANCE AND SUPPORT TO THE WALTHAM PARTNERSHIP FOR YOUTH IN THEIR APPLICATION FOR A DRUG FREE COMMUNITIES GRANT.PARTNERS: WALTHAM PARTNERSHIP FOR YOUTH, WAYSIDE YOUTH SERVICESGOAL: SUPPORT WALTHAM IN APPLYING FOR EVIDENCED BASED DRUG FREE COMMUNITIES GRANT WHICH WILL PROMOTE THE HEALTHY CHOICE BEING THE EASY CHOICE. WATERTOWN TASK FORCE MAH SOCIAL WORKERS PARTICIPATE IN TOWN WIDE TASK FORCE AIMED AT ADDRESSING SOCIAL SERVICES ISSUES INCLUDING HOARDING. PARTNERS: WATERTOWN DEPARTMENT OF PUBLIC HEALTH GOAL: FACILITATE HEALTH POLICIES THAT SUPPORT THE HEALTHY CHOICE BEING THE EASY CHOICE FOR WATERTOWN COMMUNITY MEMBERS IN NEED OF SOCIAL SERVICES. WATERTOWN FLU CLINICS AT THE REQUEST OF THE WATERTOWN DPH, MAH NURSES WILL STAFF FLU CLINICSPARTNERS: WATERTOWN DEPARTMENT OF PUBLIC HEALTHGOAL: FACILITATE THE CONNECTION TO INFLUENZA PREVENTION BY PROVIDE NURSES TO 9 FLU CLINICS. INDIVIDUAL LEVEL PROGRAMSBRIDGE TO HEALTHCARE BRIDGE IS TARGETED TO UNINSURED/UNDERINSURED AND LIMITED ENGLISH PROFICIENCY RESIDENTS. MATERIALS AND PRESENTATIONS ARE TRANSLATED INTO OTHER LANGUAGES. HEALTH EDUCATION TOPICS ARE COORDINATED WITH ESOL PROGRAM DIRECTORS.PARTNERS: SOMERVILLE COMMUNITY ADULT EDUCATION EXPERIENCE; POWER PROGRAM, PROJECT LITERACY, WALTHAM FAMILY SCHOOL, WALTHAM ALLIANCE TO CREATE HOUSING, CAMBRIDGE LEARNING CENTER.GOALS: - IMMIGRANT COMMUNITY MEMBERS INCREASE UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESS. - IMMIGRANT COMMUNITY MEMBERS STATE INTENT TO INCREASE POSITIVE HEALTH BEHAVIORS.LISTEN AND LEARN: TYPE 2 DIABETES, BREAST HEALTH, STROKE EDUCATION TO IDENTIFY AND UNDERSTAND CULTURAL BARRIERS TO PRACTICING PREVENTION AND EARLY DETECTION GUIDELINES, CREATE AND SUPPORT A LEARNING COMMUNITY COMPRISED OF IMMIGRANT COMMUNITY MEMBERS, MAH CLINICIANS TO LEARN TOGETHER ABOUT BELIEFS AND BARRIERS TO PREVENTION, AND SCREENING AMONG IMMIGRANTS.PARTNERS: SOMERVILLE COMMUNITY ADULT EDUCATION EXPERIENCE; POWER PROGRAM, PROJECT LITERACY, WALTHAM FAMILY SCHOOL, WALTHAM ALLIANCE TO CREATE HOUSING, CAMBRIDGE LEARNING CENTER.GOALS: - IMMIGRANT COMMUNITY MEMBERS INCREASE UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESS. - IMMIGRANT COMMUNITY MEMBERS STATE INTENT TO INCREASE POSITIVE HEALTH BEHAVIORS. PROMOTING THE HEALTH OF THE HOMELESS BRINGS BASIC HEALTH EDUCATION TO THE HOMELESS. THESE ENCOUNTERS FOSTER RELATIONSHIPS WITH HEALTH CARE PROVIDERS AND IMPROVE HEALTH SEEKING BEHAVIORS.PARTNERS: HEADING HOME, CASPAR, SALVATION ARMY CAMBRIDGE, ON THE RISE, YWCAGOALS: - HOMELESS COMMUNITY MEMBERS INCREASE UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESS. - HOMELESS COMMUNITY MEMBERS STATE INTENT TO INCREASE POSITIVE HEALTH BEHAVIORS.
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MY LIFE MY HEALTH TO IMPROVE THE HEALTH OF COMMUNITY MEMBERS WITH CHRONIC DISEASES, MOUNT AUBURN HOSPITAL OFFERS MY LIFE MY HEALTH AN EVIDENCED BASED PROGRAM DEVELOPED AT STANFORD UNIVERSITY.PARTNERS: SOMERVILLE CAMBRIDGE ELDER SERVICESGOALS:IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS WITH CHRONIC DISEASEIMPROVE HOME, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS WHO CARE FOR SOMEONE WITH CHRONIC DISEASECOMMUNITY MEMBERS INCREASE POSITIVE HEALTH BEHAVIORSTRAIN MAH STAFF TO RUN STANFORD CHRONIC DISEASE SELF MANAGEMENT PROGRAM MATTER OF BALANCE TO IMPROVE THE HEALTH OF SENIORS, MOUNT AUBURN HOSPITAL OFFERS THE MATTER OF BALANCE EVIDENCED BASED PROGRAM TO SENIOR COMMUNITY MEMBERS AT RISK FOR FALLS.PARTNERS: SOMERVILLE CAMBRIDGE ELDER SERVICESGOALS:IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS AT RISK FOR FALLING.COMMUNITY MEMBERS INCREASE POSITIVE HEALTH BEHAVIORS AIMED AT DECREASING FALLS.TRAIN MAH STAFF TO RUN MATTER OF BALANCE PROGRAMSMOKING CESSATION THIS DIRECT PROGRAM PROVIDES SMOKING CESSATION EDUCATION TO THOSE IN NEED OF QUITTING.GOALS:DECREASE THE NUMBER OF COMMUNITY MEMBERS WHO SMOKE.PROVIDE REFERRAL TO OTHER SMOKING CESSATION PROGRAMS AND QUIT WORKS TO COMMUNITY MEMBERSESTABLISH MAH AS A TOBACCO FREE ORGANIZATION BY SEPTEMBER 30, 2013BEREAVEMENT SUPPORT GROUP THIS DIRECT PROGRAM SUPPORT GROUP IS OPEN TO ANY ADULT COMMUNITY MEMBER WHO HAS EXPERIENCED THE DEATH OF SOMEONE SIGNIFICANT IN THEIR LIFE.GOALS:IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS EXPERIENCING GRIEF.PROVIDE BEREAVEMENT SUPPORT GROUPS FOR COMMUNITY MEMBERS.SUPPORT FOR COMMUNITY MEMBERS WITH CANCER THIS DIRECT PROGRAM WORKS WITH CANCER PATIENTS TO CREATE A SENSE OF SUPPORT, CONFIDENCE, COURAGE, AND COMMUNITY AMONG CANCER PATIENTS.PARTNERS: AMERICAN CANCER SOCIETYGOALS:IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS EXPERIENCING CANCERHOST LOOK GOOD FEEL BETTER SESSIONS FOR COMMUNITY MEMBERSHOST BREAST CANCER SUPPORT GROUPS FOR COMMUNITY MEMBERS DIAGNOSED WITH BREAST CANCERPRENATAL SUPPORT GROUP THIS DIRECT PROGRAM PROVIDES SUPPORT FOR EXPECTANT PARENTS.GOAL: IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN EXPECTANT PARENTS.IN-KIND SPACE FOR LOCAL ALCOHOL RECOVERY PROGRAMS PROVIDE HANDICAPPED ACCESSIBLE SPACE FOR AA AND SMART RECOVERY PROGRAMS TO MEET.PARTNERS: LOCAL AA AND SMART RECOVER PROGRAMSGOALS:DECREASE THE NUMBER OF COMMUNITY MEMBERS WHO ABUSE SUBSTANCES.PROVIDE HANDICAPPED ACCESSIBLE SPACE FOR MEETINGSOVERDOSE PREVENTION WORK WITH OPEN (OVERDOSE PREVENTION AND EDUCATION NETWORK) TO SUPPORT THEIR MISSION.PARTNERS: OPEN COALITIONGOALS:MAH STAFF TO ATTEND OPEN MEETINGSMAH TO PROVIDE START UP FUNDS FOR LEARN TO COPE SUPPORT GROUPS FOR FAMILIES AND FRIENDS OF COMMUNITY MEMBERS STRUGGLING WITH ADDICTIONCAMBRIDGE INFORMAL CAREGIVERS OF ELDERS NEED ASSESSMENT IN PARTNERSHIP WITH LOCAL PROVIDERS OF ELDER SERVICES IN CAMBRIDGE, MAH WILL LEAD THE DEVELOPMENT AND IMPLEMENTATION OF A PILOT NEEDS ASSESSMENT OF INFORMAL CAREGIVER OF ELDERS.PARTNERS: CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE COUNCIL ON AGING, WINDSOR HOUSE,PAINE SENIOR SERVICES, SOMERVILLE CAMBRIDGE ELDER SERVICESGOALS:BY JANUARY 2013DOCUMENT THE NEEDS AND BARRIERS EXPRESSED BY CAMBRIDGE CAREGIVERS.DOCUMENT THE NEEDS AND BARRIERS EXPRESSED BY CLINICIANS WHO CARE FOR CAMBRIDGE CAREGIVERS.SHARE THE FINDINGS WITH THOSE INVOLVED AND WITH THOSE AFFECTED BY THE RECOMMENDATIONSELDER CARDIOVASCULAR HEALTH MAH NURSES REACH OUT TO ELDERS IN THE COMMUNITY AND PROVIDE BLOOD PRESSURE SCREENING AND STROKE EDUCATION.PARTNERS: WALTHAM COUNCIL ON AGING, BELMONT COUNCIL ON AGING, WATERTOWN COUNCIL ON AGINGGOALS:INCREASE POSITIVE HEALTH BEHAVIORS TO REDUCE STROKE AND ACCESS CARE EMERGENTLY FOR ANY SIGNS AND SYMPTOMS OF STROKE.PROVIDE BLOOD PRESSURE CLINICS TO UNDERSERVED ELDERS TO INCREASE UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF STROKE, AND CARDIOVASCULAR DISEASE.COMMUNITY EDUCATION FORUMS IN THIS DIRECT PROGRAM MAH CLINICIANS PROVIDE FREE EDUCATIONAL FORUMS TO COMMUNITY MEMBERS.GOAL: COMMUNITY MEMBERS WILL ARTICULATE INCREASED UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESSADDRESSING HUNGER IN AN EFFORT TO ADDRESS HUNGER THIS PROGRAM CONDUCTS FOOD DRIVES AND PROVIDES OPPORTUNITIES FOR SNAP ENROLLMENT TO IMPROVE NUTRITIONAL STATUS IN VULNERABLE POPULATIONS.PARTNERS: SALVATION ARMY, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAMGOALS:TO FACILITATE CONNECTION TO SERVICES, MAH FINANCIAL COUNSELORS TO ENROLL COMMUNITY MEMBERS IN SNAP.CONDUCT 2 FOOD DRIVES ANNUALLY.MEDICAL HOUSE CALLS TO HOMEBOUND SENIORS IN RESPONSE TO A WORKING GROUP CONSISTING OF HOMECARE PROVIDERS, HOME BOUND ELDERS AND THEIR FAMILIES, AND GERIATRICIANS; THIS PROGRAM ADDRESSES BARRIERS TO HEALTH CARE BY TAKING GERIATRICIANS OUT OF THE OFFICE TO CARE FOR VULNERABLE ELDERS IN THEIR OWN HOMES.GOAL: FACILITATE CONNECTION TO HEALTH CARE BY PROVIDING AT LEAST 500 MEDICAL VISITS TO HOMEBOUND SENIORS.LACK OF TRANSPORTATION THIS DIRECT PROGRAM EXPLORES WAYS TO ADDRESS TRANSPORTATION WHEN IT IS A BARRIER TO MEDICAL CAREPARTNERS: SOMERVILLE CAMBRIDGE MEDFORD COMMUNITY TRANSPORTATIONGOAL: FACILITATE CONNECTION TO HEALTH CARE BY PROVIDING TRANSPORTATION WHEN IT IS A BARRIER TO MEDICAL CAREMIDWIFERY PROGRAM AT JOSEPH M. SMITH COMMUNITY HEALTH CENTER THIS PROGRAM IMPROVES BIRTH OUTCOMES FOR IMMIGRANT WOMEN BY IMPROVING ACCESS TO PERINATAL CARE.PARTNERS JOSEPH M. SMITH COMMUNITY HEALTH CENTERGOALS:FACILITATE CONNECTION TO HEALTH CARE BY IMPROVING ACCESS TO PERI-NATAL CARE.INCREASE HOPE, EMPOWERMENT AND/OR CONFIDENCE BY PROVIDING DOULAS TO AT LEAST 50 LATINAS DURING CHILDBIRTH.PROVIDE SUPPORT STAFF TO MIDWIFERY PROGRAM ONSITE AT JOSEPH M. SMITH COMMUNITY HEALTH CENTER.FINANCIAL COUNSELORS AT JOSEPH M. SMITH COMMUNITY HEALTH CENTER PROVIDES FINANCIAL COUNSELORS TO AUGMENT HEALTH CARE CENTER STAFF.PARTNERS: JOSEPH M. SMITH COMMUNITY HEALTH CENTERGOALS: FACILITATE CONNECTION TO HEALTH INSURANCE BY PROVIDING 2 FTES OF FINANCIAL COUNSELORS AT JMSCHC.THE BARRON CENTER FOR MEN'S HEALTH PROVIDES UROLOGICAL HEALTH SERVICES TO MEN WHO OTHERWISE WOULD NOT HAVE ACCESS TO THESE SERVICES.PARTNERS JOSEPH M SMITH COMMUNITY HEALTH CENTERGOALS: FACILITATE CONNECTION TO UROLOGICAL CARE FOR AT LEAST 50 UNDERSERVED MEN FROMJOSEPH M. SMITH COMMUNITY HEALTH CENTER BY PROVIDING AT LEAST 10 UROLOGY CLINICS.SAFE BEDS WOMEN WHO ARE VICTIMS OF DOMESTIC VIOLENCE ARE PROVIDED SHELTER AT MAH WHILE AWAITING MORE PERMANENT SERVICES.PARTNERS: CAMBRIDGE POLICE DEPARTMENTGOAL: FACILITATE CONNECTION TO SAFE CARE FOR WOMEN AND THEIR DEPENDENTS WHO ARE VICTIMS OF DOMESTIC VIOLENCE.ROOMING IN WHEN ELDERS ARE UNABLE TO STAY AT HOME BECAUSE THEIR CAREGIVER HAS BEEN ADMITTED TO THE HOSPITAL, THIS DIRECT MAH PROGRAM PROVIDES SHORT TERM ACCOMMODATIONS.GOAL: FACILITATE CONNECTION TO CARE FOR ELDERS WHO ARE AT RISK BECAUSE THEIR CAREGIVER IS ADMITTED TO THE HOSPITAL.EMERGENCY RESPONSE SYSTEMS THIS PROGRAM PROVIDES EMERGENCY RESPONSE SERVICES TO UNDERSERVED ELDERS AND DISABLED ADULTS.PARTNERS: SOMERVILLE CAMBRIDGE ELDER SERVICES, SPRINGWELLGOAL: FACILITATE CONNECTION TO EMERGENCY SERVICES FOR UNDERSERVED ELDERS AND DISABLE ADULTS BY PROVIDING SERVICES BELOW COSTS.
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FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION
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MOUNT AUBURN HOSPITAL - COMMUNITY INFORMATIONTOWNS SERVED BY MOUNT AUBURN HOSPITAL'S COMMUNITY BENEFITS ARE DETERMINED BY PROXIMITY TO THE HOSPITAL AND AN EVALUATION OF DISCHARGE DATA. THE FOLLOWING MASSACHUSETTS CITIES AND TOWNS ARE THE FOCUS OF THE COMMUNITY BENEFITS ASSESSMENT AND PROGRAMS:- ARLINGTON - BOSTON'S ALLSTON AREA- BELMONT - CAMBRIDGE - LEXINGTON - MEDFORD - SOMERVILLE - WALTHAM - WATERTOWN MOUNT AUBURN HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA ENCOMPASSES EIGHT TOWNS WITH A POPULATION OF APPROXIMATELY 500,000 AND A SECTION OF BOSTON. THE AVERAGE INCOME ACROSS THE 8 TOWNS IS $62,600. SEVERAL OF THESE COMMUNITIES HAVE A SIGNIFICANT PERCENTAGE OF MEDICAID PATIENTS AND A LARGE NUMBER OF RECENT IMMIGRANTS. SEVEN OF THE NINE COMMUNITIES HAVE A POPULATION OLDER THAN THE STATEWIDE AVERAGE. THE HIGHEST IS 24 PERCENT COMPARED TO A STATEWIDE AVERAGE OF 14 PERCENT. MOUNT AUBURN HOSPITAL - COMMUNITY BUILDING ACTIVITIESMOUNT AUBURN HOSPITAL IS ACTIVELY ENGAGED IN COMMUNITY SUPPORT AND COALITION BUILDING ACTIVITIES THAT PROMOTE COMMUNITY HEALTH INCLUDING WORKFORCE DEVELOPMENT PROGRAMS AS REPORTED IN THIS FORM 990 SCHEDULE H.CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS - HEALTH PROFESSIONS EDUCATIONMAH'S DEVOTION TO TEACHING, RESPECT FOR STUDENTS/TRAINEES, AND WILLINGNESS TO EMBRACE TECHNOLOGICAL AND CLINICAL PRACTICE INNOVATION MAKE MAH A TOP CHOICE AMONG MEDICAL STUDENTS AND HEALTH CARE PROFESSIONALS. THE HOSPITAL TRAINS MEDICAL STUDENTS, INTERNS, RESIDENTS AND FELLOWS. MAH HAS FOUR APPROVED RESIDENCY PROGRAMS WITH APPROXIMATELY 42 INTERNAL MEDICINE RESIDENTS, APPROXIMATELY 12 RADIOLOGY RESIDENTS, AND NEWLY INITIATED PODIATRY AND PHARMACY PRACTICE RESIDENCY PROGRAM WITH 6 AND 2 RESIDENTS ENROLLED RESPECTIVELY DURING 2013. STAFF PHYSICIANS AT MAH 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.AS PART OF THE HOSPITAL'S COMMITMENT TO MEDICAL STUDENT EDUCATION AND AFFILIATION WITH HARVARD MEDICAL SCHOOL, MAH IS A CORE SITE FOR THE HARVARD MEDICAL SCHOOL SUB-INTERNSHIP IN MEDICINE. THE HOSPITAL ALSO PARTICIPATES IN THE INTRODUCTORY COURSES IN CLINICAL MEDICINE FOR FIRST AND SECOND-YEAR HARVARD MEDICAL STUDENTS AND THE BIOMEDICAL DOCTORAL STUDENTS FROM THE MASSACHUSETTS INSTITUTE OF TECHNOLOGY'S HEALTH SCIENCES AND TECHNOLOGY PROGRAM. ADDITIONALLY, MEDICAL STUDENTS FROM MANY OTHER MEDICAL SCHOOLS CHOOSE TO DO SUB-INTERNSHIPS AND SUBSPECIALTY ELECTIVES DURING THEIR FOURTH YEAR.IN ADDITION TO THE INTERNAL MEDICINE TRAINING PROGRAM, MOUNT AUBURN HOSPITAL IS A SITE FOR OTHER POST-GRADUATE MEDICAL EDUCATION DISCIPLINES. THE HOSPITAL'S RESIDENTS BENEFIT FROM THE MAH RESIDENCY PROGRAM IN DIAGNOSTIC RADIOLOGY, ITS PARTICIPATION AS A CORE SITE FOR THE BETH ISRAEL DEACONESS MEDICAL CENTER SURGICAL TRAINING PROGRAM, AND IN THE HARVARD-AFFILIATED EMERGENCY MEDICINE RESIDENCY. MAH ALSO WELCOMES ROTATING INTERNS FROM THE HARVARD / LONGWOOD PSYCHIATRY RESIDENCY, GERIATRIC FELLOWS FROM THE BETH ISRAEL DEACONESS / HARVARD MEDICAL SCHOOL DIVISION ON AGING FELLOWSHIP PROGRAM, AND PEDIATRIC / NEONATOLOGY RESIDENTS FROM MASSACHUSETTS GENERAL HOSPITAL / CAMBRIDGE HOSPITAL PROGRAM IN NEONATOLOGY.THE TRACKS OF TRAINING IN INTERNAL MEDICINEMOUNT AUBURN HOSPITAL OFFERS A THREE-YEAR CATEGORICAL MEDICINE TRACK AND A ONE-YEAR PRELIMINARY MEDICINE TRACK.THE CATEGORICAL TRACKMAH'S THREE-YEAR CATEGORICAL INTERNAL MEDICINE TRACK PREPARES RESIDENT TRAINEES FOR BOARD CERTIFICATION BY THE AMERICAN BOARD OF INTERNAL MEDICINE AND CAREERS THAT COVER THE FULL SPECTRUM OF OPPORTUNITIES IN BOTH GENERAL INTERNAL MEDICINE AND MEDICINE SUB-SPECIALTIES. RESIDENT TRAINEES ARE ABLE TO TAILOR THEIR FLOW OF THE 36 MONTHS OF TRAINING TO OBTAIN THE STRONG BACKGROUND AND EXCELLENT CLINICAL SKILLS TO PURSUE SUBSEQUENT CAREERS IN PRIMARY CARE PRACTICE, HOSPITALIST MEDICINE, AND PLACEMENT IN COMPETITIVE SUB-SPECIALTY FELLOWSHIP TRAINING PROGRAMS.ONE WAY MAH SUPPORTS TRAINEES IN THEIR INTENDED CAREER GOALS IS THROUGH THE USE OF DEFINED PATHWAYS. THESE PATHWAYS, IN SUB-SPECIALTY FELLOWSHIP, PRIMARY CARE, HOSPITALIST MEDICINE, AND MEDICAL EDUCATION, OUTLINE FOR THE TRAINEE THE MILESTONES THAT SHOULD BE MET THROUGHOUT THE COURSE OF TRAINING.THE PRELIMINARY TRACKTHE PRELIMINARY MEDICINE INTERNSHIP TRACK OFFERS ONE YEAR OF TRAINING IN MEDICINE FOR PHYSICIANS WHO WILL CONTINUE THEIR TRAINING IN SPECIALTIES OTHER THAN INTERNAL MEDICINE, SUCH AS RADIOLOGY, OPHTHALMOLOGY, ANESTHESIOLOGY, RADIATION ONCOLOGY, NEUROLOGY, DERMATOLOGY, PHYSICAL MEDICINE & REHABILITATION, AND OTHERS. THIS TRACK'S MAJOR STRENGTH, AS WELL AS ITS MAJOR ATTRACTION, IS THAT THE YEAR IS VIRTUALLY IDENTICAL IN STRUCTURE AND CONTENT TO THE FIRST YEAR FOR PHYSICIANS WHO TRAIN AT MOUNT AUBURN HOSPITAL FOR THREE YEARS IN THE CATEGORICAL INTERNAL MEDICINE TRACK. THE ONLY DIFFERENCE BEING THE QUANTITY OF AMBULATORY MEDICINE EXPERIENCE, BECAUSE PRELIMINARY INTERNS ARE NOT ASSIGNED A CONTINUITY CLINIC DURING THEIR YEAR.RADIOLOGY RESIDENCY PROGRAMRESIDENTS ARE TYPICALLY ASSIGNED IN ONE MONTH BLOCKS TO ONE OF THE DIFFERENT MODALITIES. EARLY IN TRAINING, RESIDENTS ARE EXPECTED TO READ EXTENSIVELY, MASTER ANATOMY, PARTICIPATE IN THE PROTOCOLLING AND INTERPRETATION OF PATIENT EXAMINATIONS, AND TO PARTICIPATE IN DISCUSSIONS CONCERNING DIAGNOSTIC PROBLEMS. RESIDENTS ADVANCE TO INCREASED LEVELS OF RESPONSIBILITY, AND SOUND JUDGMENT AS A RADIOLOGIST IS ESTABLISHED DURING OVERNIGHT CALL.- ROTATIONS AVAILABLE:CT AND MR WHICH INCLUDES NEURO, HEAD AND NECK, ,CARDIOTHORACIC, GI, GU AND MUSCULOSKELETAL RADIOLOGY - SPECIAL PROCEDURES (INTERVENTIONAL RADIOLOGY) WHICH INCLUDES VASCULAR RADIOLOGY AND INTERVENTION, THORACIC PROCEDURES, ABDOMINAL PROCEDURES, UTERINE FIBROID EMBOLIZATION PROGRAM, VERTEBROPLASTY - FLUOROSCOPY WHICH INCLUDES GI, GU AND MUSCULOSKELETAL PROCEDURES - ULTRASOUND, INCLUDING OBSTETRIC ULTRASOUND - NUCLEAR MEDICINE, INCLUDING CARDIAC - BREAST IMAGING, INCLUDING MAMMOGRAPHY, MR, AND PROCEDURES - EMERGENCY RADIOLOGY (2ND YEAR, 3 MONTHS PERFORMED AT MASSACHUSETTS GENERAL HOSPITAL) - PEDIATRIC RADIOLOGY (2ND YEAR, 3 MONTHS PERFORMED AT BOSTON CHILDREN'S HOSPITAL) - ARMED FORCES INSTITUTE OF PATHOLOGY (3RD YEAR, 4 WEEK COURSE, WASHINGTON, D.C.) - ROTATIONS IN CARDIAC RADIOLOGY AND CAROTID ULTRASOUND ARE ALSO INCLUDED IN CONJUNCTION WITH THE DEPARTMENTS OF CARDIOLOGY AND VASCULAR SURGERY. - ONE MONTH OF RESEARCH OR OTHER SCHOLARLY ACTIVITY DURING THE THIRD YEAR - THREE MONTHS OF THE 4TH YEAR IS SET ASIDE FOR AN ELECTIVE, ALLOWING THE RESIDENT TO DEVELOP IN-DEPTH KNOWLEDGE IN A SPECIFIC AREA OF INTEREST. THREE RESIDENTS ARE CHOSEN EACH YEAR FOR A FOUR-YEAR PROGRAM AND APPOINTED AS CLINICAL FELLOWS AT HARVARD MEDICAL SCHOOL. THE RATIO OF STAFF RADIOLOGISTS TO RESIDENTS RESULTS IN CLOSE CONTACT BETWEEN THE STAFF AND RESIDENTS THROUGHOUT THE TRAINING PROGRAM. AFTER THE RESIDENT HAS OBTAINED THE NECESSARY FIRM FOUNDATIONS IN THE FUNDAMENTALS OF RADIOLOGY, HE OR SHE IS ENCOURAGED TO TAKE INCREASING RESPONSIBILITY IN BOTH ROUTINE AND SPECIALIZED EXAMINATIONS AND PROCEDURES. THE MAJORITY OF OUR RESIDENTS PURSUE SUBSPECIALTY FELLOWSHIP TRAINING. HOWEVER, THE GOAL OF THE RADIOLOGY RESIDENCY PROGRAM IS TO TRAIN RESIDENTS TO BE FULLY QUALIFIED IN DIAGNOSTIC RADIOLOGY AND SPECIAL PROCEDURES BY THE TIME THEY HAVE COMPLETED THE FOUR-YEAR PROGRAM. GRADUATES HAVE PURSUED CAREERS IN ACADEMIA AND PRIVATE PRACTICE.DURING THE FISCAL YEAR COVERED BY THIS FILING, MAH HAD NET EXPENDITURES OF $6,343,029 REPORTED ON THIS SCHEDULE H RELATED TO MAH'S TEACHING FUNCTION.
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FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - RESEARCH
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MOUNT AUBURN HOSPITAL PARTICIPATES IN THE EASTERN COOPERATIVE ONCOLOGY GROUP (ECOG), WHICH IS A LARGE NETWORK OF RESEARCHERS, PHYSICIANS, AND HEALTH CARE PROFESSIONALS AT PUBLIC AND PRIVATE INSTITUTIONS ACROSS THE COUNTRY INVOLVED IN ONCOLOGY CLINICAL RESEARCH, AND FUNDED PRIMARILY BY THE NATIONAL CANCER INSTITUTE (NCI). PARTICIPATING ENTITIES WORK TOWARD THE COMMON GOAL OF CONTROLLING, EFFECTIVELY TREATING, AND ULTIMATELY CURING CANCER. RESEARCH RESULTS ARE PROVIDED TO THE WORLD-WIDE MEDICAL COMMUNITY THROUGH SCIENTIFIC PUBLICATIONS AND PROFESSIONAL MEETINGS. DURING THE FISCAL YEAR COVERED BY THIS FILING, THE HOSPITAL PROVIDED ONCOLOGY NURSING SUPPORT DIRECTED TOWARD THIS RESEARCH. IN ADDITION, DURING THE PERIOD COVERED BY THIS FILING, THE HOSPITAL ENGAGED IN DISPARITIES RESEARCH, FOCUSED ON ASSESSING THE NEEDS OF CAREGIVERS OF ELDERS IN CAMBRIDGE. RESEARCH RESULTS WERE SHARED BROADLY WITH THE COMMUNITY. DURING THE FISCAL YEAR COVERED BY THIS FILING, MAH HAD NET EXPENDITURES OF $24,338 REPORTED ON THIS SCHEDULE H RELATED TO RESEARCH. MOUNT AUBURN HOSPITAL- ADDITIONAL INFORMATION REGARDING PROMOTING THE HEALTH OF THE COMMUNITYMOUNT AUBURN HOSPITAL IS GOVERNED BY A MAXIMUM OF 28 MEMBERS OF THE BOARD OF TRUSTEES, MANY OF WHOM LIVE AND WORK IN THE COMMUNITY AND SERVE TO SUPPORT THE MISSION AND VALUES OF THE HOSPITAL. MAH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY AND ENDEAVORS TO PROVIDE THEM WITH THE SAFEST AND MOST TECHNOLOGICALLY ADVANCED ENVIRONMENT POSSIBLE THROUGH THE EFFECTIVE USE OF SURPLUS FUNDS. SOME OF MAH'S SURPLUS FUNDS HAVE BEEN USED TO FUND CONTINUING RENOVATION OF EXISTING FACILITIES, INCLUDING INPATIENT UNITS AND OTHER CLINICAL AREAS. MAH STRIVES TO FULLY SERVE THE COMMUNITY THROUGH PARTICIPATION IN GOVERNMENT SPONSORED HEALTHCARE PROGRAMS SUCH AS MEDICARE, MEDICAID, CHAMPUS AND TRICARE. AS PREVIOUSLY NOTED MAH ALSO SERVES AS A TEACHING HOSPITAL AFFILIATED WITH THE HARVARD MEDICAL SCHOOL AND MAINTAINS TWO RESIDENCY PROGRAMS SPECIALIZING IN PRIMARY CARE AND RADIOLOGY. COMMUNITY MEMBERS ALSO USE MAH AS A CONDUIT FOR VOLUNTEERING AS EVIDENCED BY MORE THAN 280 VOLUNTEERS WHO ASSIST WITH PATIENT SERVICES, ADMINISTRATION AND THE GIFT SHOP.MOUNT AUBURN HOSPITAL - AFFILIATED HEALTH CARE SYSTEMAS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, CAREGROUP, INC. (CAREGROUP) IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM.CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF MOUNT AUBURN HOSPITAL (MAH) AND NEW ENGLAND BAPTIST HOSPITAL (NEBH) WHICH IN TURN EACH SERVE AS THE SOLE MEMBER OF MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA) AND RESPECTIVELY. CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER). BIDMC IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC. (BIDN), MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A AFFILIATED PHYSICIANS GROUP (APG) AND BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON). IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES. EACH OF THE ENTITIES LISTED IN THIS PARAGRAPH MAY, IN TURN, SERVE AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATES. COMBINED THESE ENTITIES FORM A REGIONAL HEALTHCARE DELIVERY SYSTEM COMPRISED OF TEACHING AND COMMUNITY HOSPITALS, PHYSICIAN GROUPS, AND OTHER CAREGIVERS. THESE ENTITIES ARE COMMITTED TO PROVIDING PERSONALIZED, PATIENT CENTERED CARE WITHIN THE COMMUNITIES THEY SERVE, ENSURING ACCESS TO A WIDE RANGE OF SPECIALTY SERVICES AND A BROAD SPECTRUM OF COMPREHENSIVE HEALTH SERVICES RANGING FROM WELLNESS PROGRAMS TO HOME CARE AS WELL AS TO FURTHERING EXCELLENCE IN MEDICAL EDUCATION AND RESEARCH. COMMUNITY HEALTH NEEDS NOT ADDRESSED IN THE IMPLEMENTATION PLANSCHEDULE H, PART V, SECTION B, QUESTION 7AFTER CAREFULLY REVIEWING THE ASSESSMENT MAH HAS CHOSEN TO FOCUS ON AREAS THAT WERE PRIORITIZE IN CONJUNCTION WITH COMMUNITY MEMBERS USING THE AFOREMENTIONED METHODS AND CAN BE ACHIEVED WITH OUR RESOURCES. PARTICULAR EMPHASIS HAS BEEN PUT ON NEEDS IDENTIFIED THROUGH COMMUNITY HEALTH NETWORK AREA 17. MAH IS ALSO AWARE OF THE STRENGTHS OF THE OTHER HOSPITAL IN CAMBRIDGE HEALTH ALLIANCE AND THE SERVICES IT OFFERS COMMUNITY MEMBERS AS WELL AS THE STRENGTHS OF THE MANY LOCAL COMMUNITY BASED ORGANIZATIONS. AT A CHNA 17 GENERAL MEETING SOME COMMUNITY MEMBERS VOICED THEIR CONCERN OVER THE HEALTH TOPICS NOT CHOSEN FOR INTERVENTION. THEY AREAS NOT CHOSEN WERE: - SENIOR ACCESS TO SERVICES - CHRONIC HEALTH CONDITIONS - IMMIGRANT ACCESS TO SERVICES - HOMELESSNESS AFFORDABLE HOUSING - DOMESTIC VIOLENCE - SUBSTANCE ABUSE ADULTS - POVERTY/ HUNGER ACCESS TO FOOD - SEXUAL HEALTH - GENERAL POPULATION ACCESS TO SERVICES MAH WORKED WITH THE CHNA 17 STEERING COMMITTEE TO DESIGNATE FUNDS TO SUPPORT ANNUAL MINI-GRANTS AIMED AT PROVIDING RESOURCES FOR THOSE TOPICS NOT CHOSEN AS PRIORITY HEALTH INITIATIVES. SOME OF THE HEALTH NEEDS NOT PRIORITIZED BY CHNA 17 HAVE BEEN ADDRESSED IN THE BROADER MAH PLAN. A REVIEW OF ALL THE HEALTH INDICATIONS AND THE PROGRAMS AIMED AT ADDRESSING THE INDICATORS IS BELOW.SEXUAL HEALTH IS NOT DIRECTLY ADDRESSED IN MAH'S COMMUNITY BENEFIT PLAN. THERE ARE A NUMBER OF ORGANIZATIONS IN THE AREA THAT DO ADDRESS SEXUAL HEALTH. IN ADDITION, EACH YEAR CHNA 17 MINIGRANTS ARE AVAILABLE FOR ANY HEALTH AREA FORMALLY ADDRESSED IN THE COMMUNITY BENEFIT PLAN.
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PART VI, LINE 2 CONTINUATION
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MOUNT AUBURN HOSPITAL HAS NO ROLE IN THE DETERMINATION OF PROGRAM ELIGIBILITY MADE BY THE COMMONWEALTH, BUT AT THE PATIENTS REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISIONS. IT IS STILL THE PATIENTS RESPONSIBILITY TO INFORM THE HOSPITAL OF ALL COVERAGE DECISIONS MADE BY THE COMMONWEALTH TO ENSURE ACCURATE AND TIMELY ADJUDICATION OF ALL HOSPITAL BILLS. IN ADDITION, THE HOSPITALS POLICY PROVIDES FOR INDIVIDUALS WHO ARE UNABLE TO AFFORD THEIR CARE BECAUSE OF MEDICAL HARDSHIP AND PROVIDES FOR FEES BASED ON A SLIDING SCALE RELATIVE TO PERCENTAGES OF THE FEDERAL POVERTY GUIDELINES (SCHEDULE H, PART V, SECTION B, QUESTION 20D). IN ADDITION, ALL HOSPITAL PATIENTS WHO PRESENT WITHOUT PRIVATE INSURANCE ARE SCREENED FOR PRIOR HSN ELIGIBILITY AND/OR FINANCIAL ASSISTANCE BEFORE ANY BILLS ARE SENT TO THE PATIENT AND ONCE THE HOSPITAL BECOMES AWARE OF A PATIENTS HSN OR FINANCIAL ELIGIBILITY STATUS, ALL INVOICES ARE ADJUSTED ACCORDINGLY (SCHEDULE H, PART V, SECTION B, QUESTIONS 21 AND 22).
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