PART I, LINE 6A:
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ROCHESTER GENERAL HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION, AS PART OF THE JOINT COMMUNITY BENEFIT REPORT DISTRIBUTED BY MONROE COUNTY, NY.
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PART I, LINE 7:
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THE COSTING METHODOLOGY USED FOR LINES 7A, B, C AND F WAS FROM BOTH THE HOSPITAL'S 2017 MEDICAID ICR, UTILIZING EXHIBIT 46, AND THE 2017 MEDICARE MCR, UTILIZING WORKSHEETS S-10 AND B, PART I. WORKSHEET 2 WAS USED TO CALCULATE THE RATIO OF PATIENT CARE COST-TO-CHARGES. EXHIBITS 11 AND 46 FROM THE 2017 MEDICAID ICR WERE UTILIZED TO COMPLETE THE CALCULATIONS.
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PART I, LINE 7G:
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N/A - NO PHYSICIAN CLINIC COSTS WERE INCLUDED ON LINE 7G.
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PART I, LN 7 COL(F):
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TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) ARE $922,144,668. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $7,148,827. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $914,995,841.
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PART I, LINE 7E:
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DURING 2017, ROCHESTER GENERAL HOSPITAL (RGH) SPONSORED THE FOLLOWING EVENTS AND ACTIVITIES TO PROMOTE COMMUNITY HEALTH IMPROVEMENT THAT MEET THE DEFINITION FOR DISCLOSURE ON SCHEDULE H, PART I, LINE 7E (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS). SPRING INTO SAFETYMORE THAN 1,000 PEOPLE BENEFITED FROM THE SERVICES OFFERED AT THIS EVENT. IT PROVIDES SAFETY EDUCATION INFORMATION TO THE RESIDENTS OF ROCHESTER WITH DISTRIBUTION OF 240 BICYCLE HELMETS TO CHILDREN AGE 3-12 (EACH HELMET IS FITTED DIRECTLY TO THE CHILD). AN ADDITIONAL 650 HELMETS WERE DISTRIBUTED TO CHILDREN AT PEDIATRIC OFFICES AND AT OTHER COMMUNITY LOCATIONS. THE EVENT ALSO FEATURES A BIKE SAFETY RODEO; CHILD PASSENGER RESTRAINT SEAT INSPECTION (AND REPLACEMENT AS NEEDED); CHILD FINGERPRINTING ID AND OTHER SAFETY INFORMATION FROM LOCAL COMMUNITY AGENCIES INCLUDING: MONROE COUNTY OFFICE OF TRAFFIC SAFETY, RURAL METRO AMBULANCE, NATIONAL CENTER FOR MISSING AND EXPLOITED CHILDREN, ROCHESTER FIRE DEPARTMENT, ROCHESTER POLICE DEPARTMENT AND WIC.CAMP BRONCHO POWERTHIS EVENT, IN ITS 23RD YEAR, PROVIDED OVER 60 CHILDREN WITH MODERATE TO SEVERE ASTHMA THE OPPORTUNITY TO PARTICIPATE IN A THREE DAY, TWO NIGHT OVERNIGHT CAMP EXPERIENCE. THE PARTICIPANTS RECEIVE EDUCATION WITH RESPECT TO MANAGING THE SYMPTOMS OF THEIR DISEASE ALONG WITH TRADITIONAL CAMP ACTIVITIES. THIS EVENT GIVES MEDICAL STAFF AN OPPORTUNITY TO SEE THEIR PATIENT IN ANOTHER SETTING WHILE WORKING TOWARD SELF-MANAGEMENT. BREASTFEEDING CLUBTHIS PROGRAM IS DESIGNED TO HELP MOMS, INFANTS AND OLDER SIBLINGS PROVIDE A SAFE AND HEALTHY BREASTFEEDING ROUTINE FOR MOMS AND THEIR NEW BABIES. IT PROVIDES A SUPPORTIVE AND EDUCATIONAL SETTING FOR 14 PARTICIPANTS WHO ATTEND THROUGHOUT THE YEAR. BACKPACK DRIVEAT THE COMMUNITY HEALTH FAIR, THE RGH PEDIATRIC EMERGENCY DEPARTMENT TEAM GAVE AWAY APPROXIMATELY 100 BACKPACKS TO CHILDREN IN NEED. THE RGH PEDIATRIC EMERGENCY DEPARTMENT TEAM COLLECTS BACKPACKS AND OTHER SCHOOL SUPPLIES TO GIVE TO CHILDREN. CANCER SERVICES WOMEN'S DAY OF SCREENINGALEXANDER PARK IMAGING (RGH), IN CONJUNCTION WITH THE CANCER SERVICES PROGRAM OF MONROE COUNTY, CONDUCTED FIVE WOMEN'S DAY OF SCREENING EVENTS TO PROVIDE IMAGING SERVICES TO APPROXIMATELY 30 WOMEN AGE 40 AND OLDER WHO ARE UNINSURED. THE APPOINTMENTS INCLUDED A CLINICAL BREAST EXAM AND A SCREENING MAMMOGRAM. AN ADDITIONAL MORE THAN 50 WOMEN RECEIVED SCREENING AT VARIOUS ROCHESTER REGIONAL LOCATIONS THROUGH THE CANCER SERVICES PROGRAM. REACH OUT AND READTHE RGH ASSOCIATION SUPPORTED THIS EVENT, WHICH GAVE OUT 12,000 BOOKS FOR CHILDREN FIVE YEARS OLD AND YOUNGER.KOHL'S CARES FOR KIDS THIS PROGRAM PROVIDES ESSENTIALS SUCH AS SOCKS, UNDERWEAR, TOOTHBRUSHES AND THERMOMETERS TO CHILDREN IN NEED. IT ALSO PROVIDES 250 STUFFED ANIMALS AND 300 BOOKS. NEW VISIONS PROGRAMTHIS PROGRAM PROVIDES 20 STUDENTS AT RGH WITH CLINICAL EDUCATION AND WORK EXPERIENCE IN HEALTHCARE. IT'S DONE IN PARTNERSHIP WITH EASTERN MONROE CAREER CENTER BOCES #1. YOUTH APPRENTICE PROGRAM (SCHOOL-TO-WORK)A TWO-YEAR PROGRAM DONE IN PARTNERSHIP WITH THE ROCHESTER CITY SCHOOL DISTRICT, THE YOUTH APPRENTICE PROGRAM (YAP) PROVIDES HIGH SCHOOL JUNIORS AND SENIORS FROM THE ROCHESTER CITY SCHOOL DISTRICT WITH AN OPPORTUNITY TO GAIN TRAINING AND WORK EXPERIENCE IN THE FIELD OF HEALTH CARE. STUDENTS ATTEND SCHOOL FOR HALF OF THE DAY AND SPEND THE OTHER HALF AT THE HOSPITAL. STUDENTS RECEIVE TRAINING AND MENTORSHIP BY TEAM MEMBERS IN A BROAD RANGE OF DEPARTMENTS AT RGH. THE PROGRAM HAS APPROXIMATELY 30-40 STUDENTS, DIVIDED EVENLY BETWEEN GRADES 11 AND 12.CENTERING PREGNANCY IS AN EVIDENCE-BASED MODEL OF PRENATAL CARE PROVEN TO REDUCE PRETERM DELIVERIES AND IMPROVE BIRTH OUTCOMES FOR MOTHERS AND THEIR BABIES. IN 2017, OVER 20% OF ROCHESTER REGIONAL HEALTH PRENATAL PATIENTS WERE ENROLLED IN THE PROGRAM. IN THIS INNOVATIVE CARE MODEL, GROUPS OF EIGHT TO 12 WOMEN IN SIMILAR GESTATIONAL STAGES MEET TOGETHER WITH THEIR HEALTHCARE PROVIDER TO LEARN CARE SKILLS, PARTICIPATE IN A FACILITATED DISCUSSION AND DEVELOP A SUPPORT NETWORK WITH FELLOW MEMBERS. EACH GROUP MEETS FOR 10 SESSIONS THROUGHOUT PREGNANCY AND EARLY POSTPARTUM. HOLIDAY EVENTSRGH HOSTED AND/OR SUPPORTED THE FOLLOWING EVENTS FOR THE COMMUNITY'S UNDERSERVED PEDIATRIC POPULATION: - SAFE HALLOWEEN PARTY AT ROCHESTER GENERAL HOSPITAL: THE EVENT WAS FOR CHILDREN WHO ARE PATIENTS OF ROCHESTER GENERAL PEDIATRIC ASSOCIATES AND ARE MOSTLY IN LOW-INCOME COMMUNITIES. MORE THAN 350 CHILDREN ATTENDED THIS EVENT HOSTED BY ROCHESTER GENERAL PEDIATRIC ASSOCIATES. CHILDREN ENJOY GAMES, ARTS AND CRAFTS, SNACKS AND CANDY DURING THIS SAFE TRICK-OR-TREATING EVENT. - TOY DRIVE/TOY GIVEAWAY EVENT IN PARTNERSHIP WITH VISION AUTOMOTIVE GROUP: THIS EFFORT CULMINATED WITH A TOY GIVEAWAY EVENT AT ROCHESTER GENERAL HOSPITAL WHERE MORE THAN 546 TOYS WERE GIVEN TO CHILDREN FROM UNDERSERVED PARTS OF THE COMMUNITY, MOSTLY IN LOW-INCOME FAMILIES. AN ADDITIONAL 500 TOYS ARE GIVEN AWAY THROUGHOUT THE YEAR. ROCHESTER GENERAL COLLECTS TOYS THROUGHOUT THE HOLIDAY SEASON. TO KICK OFF THE TOY DRIVE, VISION FUNDS A TOY SHOPPING SPREE AT A LOCAL WALMART SUPPORTED BY RGH STAFF AND LOCAL RADIO PERSONALITIES. - ROCHESTER GENERAL PEDIATRIC ASSOCIATES HOLIDAY PARTY: THE EVENT WAS FOR CHILDREN WHO ARE PATIENTS OF ROCHESTER GENERAL PEDIATRIC ASSOCIATES AND ARE MOSTLY IN LOW-INCOME COMMUNITIES. 284 CHILDREN CAME TO TAKE PHOTOS WITH SANTA, PLAY GAMES AND DO CRAFTS. SANTA GAVE CHILDREN IN ATTENDANCE STUFFED ANIMALS DONATED BY THE PIRATE TOY FUND. SPONSORSHIPS - ROCHESTER REGIONAL HEALTH, AS A SYSTEM, INCLUDING ROCHESTER GENERAL HOSPITAL, IS COMMITTED TO GIVING BACK TO THE COMMUNITY BY SUPPORTING THE MANY ORGANIZATIONS THAT ARE ALREADY WORKING SO HARD TO IMPROVE COMMUNITY HEALTH. AS SUCH, WE PROVIDE SERVICES AND STAFF TO LOCAL ORGANIZATIONS AND COMMUNITY EVENTS INCLUDING THE AMERICAN HEART WALK, THE AMERICAN CANCER SOCIETY, THE MARCH OF DIMES, THE JUVENILE DIABETES FOUNDATION, THE AMERICAN DIABETES ASSOCIATION, TOUR DE CURE, GREECE REGIONAL CHAMBER OF COMMERCE, AND THE UNITED WAY.
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PART III, LINE 4:
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IN 2017, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDER-INSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE ADDITIONAL INFORMATION OBTAINED WAS USED BY THE ORGANIZATION TO DETERMINE WHETHER TO QUALIFY PATIENTS FOR CHARITY CARE IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2017 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND THUS RE-CLASSIFYING THIS AMOUNT FROM BAD DEBT EXPENSE. BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR THOSE PATIENTS UNWILLING, NOT UNABLE, TO PAY.BAD DEBT COSTING METHODOLOGY:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.BAD DEBT EXPENSE IS RECORDED USING THE VALUATION METHOD AS OUTLINED IN HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT 15, WHICH REQUIRES BAD DEBT EXPENSE TO BE RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE PROVISION FOR BAD DEBTS REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES OF PATIENTS UNWILLING TO PAY. IN 2017, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDERINSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2017 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND A REDUCTION TO BAD DEBT EXPENSE.
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PART III, LINE 8:
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MEDICARE COSTING METHODOLOGY: THE ORGANIZATION USED THE FILED 2017 CMS COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE. MEDICARE SHORTFALLS, WHICH ARE COSTS INCURRED BY THE HOSPITAL TO PROVIDE QUALITY CARE AND TREATMENT TO ITS PATIENTS, SHOULD BE TREATED AS A COMMUNITY BENEFIT. TO NOT INCUR THESE COSTS WOULD POTENTIALLY LIMIT OR EVEN COMPROMISE THE QUALITY OF SERVICE PROVIDED.
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PART III, LINE 9B:
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AT SUCH TIME THAT A PATIENT EXPRESSES A FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR CHARITY CARE. ONCE THE PATIENT SUBMITS THE COMPLETED CHARITY CARE APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THEN THE PATIENT IS NOTIFIED OF THE LEVEL OF CHARITY CARE AWARDED. IF 100% CHARITY CARE IS AWARDED, THAN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THAN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY. ONLY AFTER PATIENT'S LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE WILL THE PATIENT STATEMENT BE MAILED FOR PAYMENT RECOVERY. THE HOSPITAL'S COLLECTION PRACTICES SET FORTH IN ITS WRITTEN DEBT COLLECTION POLICY APPLY TO ALL PATIENT TYPES OF THE HOSPITAL.
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PART VI, LINE 2:
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DURING 2016, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED JOINTLY BY THE HOSPITALS SERVING MONROE COUNTY, NY IN COLLABORATION WITH MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH) AND THE COMMUNITY PLANNING AGENCY, FINGER LAKES HEALTH SYSTEM AGENCY (FLHSA). ROCHESTER REGIONAL HEALTH (THE PARENT OF ROCHESTER GENERAL HOSPITAL) AND THE FOLLOWING OTHER HOSPITALS OF MONROE COUNTY ARE PARTNERS IN HELPING TO IDENTIFY UNMET AND EMERGING HEALTH CARE NEEDS IN THE MONROE COUNTY COMMUNITY:1) UNITY HOSPITAL2) STRONG MEMORIAL HOSPITAL3) HIGHLAND HOSPITALTHE COMMUNITY HEALTH IMPROVEMENT WORKGROUP (CHIW) IS THE OVERSIGHT BODY FOR THE ASSESSMENT PROCESS AND DEVELOPMENT OF THE CHNA REPORT. THE CHIW IS MADE UP OF REPRESENTATIVES FROM EACH HOSPITAL AS WELL AS PUBLIC HEALTH EXPERTS FROM THE MCDPH AND COMMUNITY MEMBER EXPERTS FROM FLHSA. IN ADDITION TO THE CHIW, SEVERAL OTHER ORGANIZATIONS COLLABORATED IN THE DEVELOPMENT OF THE CHNA. THESE ORGANIZATIONS AND PROGRAMS INCLUDE: THE CENTER FOR COMMUNITY HEALTH; THE GREATER ROCHESTER CHAMBER OF COMMERCE; THE SMOKING AND HEALTH ACTION COALITION; CENTER FOR TOBACCO FREE FINGER LAKES; NATIONAL CENTER FOR DEAF HEALTH RESEARCH; ROCHESTER-MONROE ANTI-POVERTY INITIATIVE; DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROGRAM; AND TRANSFORMING PRIMARY CARE DELIVERY: MONROE COUNTY CMMI GRANT. THE MONROE COUNTY CHNA BEGAN WITH A REVIEW OF THE 2013 CHNA AND THE STATE-REQUIRED PROGRESS REPORT OF 2015 OF THE COMMUNITY HEALTH IMPROVEMENT PLAN BASED ON THE 2013 CHNA. THE PRIMARY CONSISTENT SOURCE OF DATA USED TO PRIORITIZE THE HEALTH NEEDS OF OUR COMMUNITY WAS THE COUNTY LEVEL DASHBOARDS OF THE NEW YORK STATE PREVENTION AGENDA. IN ADDITION, OTHER KEY SOURCES OF DATA INCLUDED:- MORTALITY AND NATALITY DATA: NEW YORK STATE BIRTH AND DEATH FILES- MORTALITY DATA FROM THE OFFICE OF THE MEDICAL EXAMINER, MONROE COUNTY- STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEMS (SPARCS) FILES, BASED ON HOSPITAL DISCHARGES AND EMERGENCY ROOM VISITS- MONROE COUNTY YOUTH RISK BEHAVIOR SURVEY (YRBS)- MONROE COUNTY YOUTH RISK BEHAVIOR SURVEY DATA- LOCAL MONROE COUNTY BLOOD PRESSURE REGISTRY DATA OF PATIENTS DIAGNOSED WITH HYPERTENSION AND SOME IDENTITY PROTECTED ELECTRONIC MEDICAL RECORD INFORMATION- COUNTY HEALTH RANKINGS AND ROADMAPS- NYS PREVENTION AGENDA DASHBOARD 2013-2018- ACT ROCHESTER FOR DATA RELATED TO THE SOCIAL DETERMINANTS OF HEALTH- MONROE COUNTY ADULT HEALTH SURVEY THE CHIW REVIEWED DATA FROM EACH OF THESE SOURCES TO IDENTIFY INDICATORS WHERE MONROE COUNTY SCORED WORSE THAN THE NYS AVERAGE AND/OR WHERE THEY DID NOT MEET THE PREVENTION AGENDA TARGETS. FINALLY, NEW DATA SOURCES WERE REVIEWED INCLUDING ACCIDENTAL DEATHS RELATED TO HEROIN/FENTANYL, AND ADVERSE CHILDHOOD EXPERIENCES FROM THE 2014-2015 MONROE COUNTY YOUTH RISK BEHAVIOR SURVEY. THE CHIW IDENTIFIED 44 COUNTY LEVEL COMMUNITY HEALTH INDICATORS SPANNING FIVE FOCUS AREAS WHERE MONROE COUNTY DID NOT MEET THE PREVENTION AGENDA TARGETS AND AN ADDITIONAL 13 HIGH NEED HEALTH TOPIC AREAS FROM THE FROM THE MONROE COUNTY YOUTH RISK BEHAVIOR SURVEY. ALL MEMBERS OF THE CHIW ARE CRITICALLY AWARE OF THE DISPARITIES THAT EXIST IN OUR COMMUNITY FOR VIRTUALLY EVERY HEALTH OUTCOME BASED ON RACE, ETHNICITY AND SOCIOECONOMIC STATUS INCLUDING POVERTY, INCOME AND EDUCATION. SEVERAL HEALTH DISPARITIES WERE IDENTIFIED WITHIN THE DATA REVIEWED. AS A RESULT, THE CHIW EXPLORED DISPARITY EXTENSIVELY WITH THE ASSISTANCE OF REPORTS PUBLISHED BY FLHSA THAT HIGHLIGHT SIGNIFICANT HEALTH DISPARITIES IN SOCIOECONOMICALLY DISADVANTAGED AREAS OF THE CITY OF ROCHESTER. THE CHIW CONSIDERED THIS INFORMATION IN ITS ASSESSMENT AND DETERMINATION OF PRIORITY AREAS WITHIN THE CHNA. THE PROCESS FOR PRIORITIZING COMMUNITY HEALTH NEEDS AND SERVICES WAS DETERMINED THROUGH LISTENING TO THE OPINIONS OF MEMBERS OF CHIW AS WELL AS LEADERS FROM DSRIP AND SEVERAL COMMUNITY HEALTH EXPERTS. A PRIORITIZATION TOOL WAS DEVELOPED TO ALLOW MEMBERS TO RANK IDENTIFIED HEALTH ISSUES BASED ON:- IMPORTANCE - NUMBER OF PEOPLE AFFECTED, HOW MUCH DISABILITY AND ILLNESS IS CAUSED BY THE ISSUE AND THE LONG TERM IMPACT ON HEALTH- LIKELIHOOD OF IMPACTFUL SUCCESS - WILL THIS RESULT IN SUBSTANTIAL HEALTH IMPROVEMENT IN 3 - 5 YEARS- COMMUNITY SUPPORT - HOW MUCH SUPPORT IS THERE AMONGST COMMUNITY LEADERS, PARTNER ORGANIZATIONS AND RESIDENTS- HOSPITAL SUPPORT - HOW MUCH SUPPORT IS THERE AMONGST HOSPITAL LEADERS- FILL A GAP - WILL THIS FILL A GAP IN SERVICES/INITIATIVES CURRENTLY PROVIDED IN MONROE COUNTY - LARGE HEALTH DISPARITY - DOES THIS INITIATIVE ADDRESS AN IMPORTANT DISPARITY? COMMUNITY INPUT WAS STRONGLY CONSIDERED THROUGHOUT THIS PROCESS. THE CHIW REVIEWED RESULTS FROM VARIOUS PROJECTS THAT RECENTLY GATHERED COMMUNITY INPUT RELATED TO HEALTH ISSUES AFFECTING RESIDENTS. CHIW ALSO CONSIDERED SERVICES ALREADY BEING PROVIDED IN THE COMMUNITY, AND HOW WE COULD BEST DEVELOP SYNERGY WITH EXISTING PROCESSES. ONE FINAL STEP WAS CONDUCTED TO ASSURE ADEQUATE COMMUNITY INPUT. A SURVEY WAS CONDUCTED (VIA SURVEY MONKEY) OF HOSPITAL LEADERSHIP AND ANYONE ELSE THE CHIW FELT NEEDED TO BE HEARD. THE SURVEY PROVIDED PROVIDED A DETAILED LIST OF 12 HEALTH AREAS OF NEED FOR MONROE COUNTY AND INCLUDED A LIST OF EVIDENCE BASED INTERVENTIONS FOR EACH. THE SURVEY UTILIZED THE SAME QUESTIONS AS THE PRIORITIZATION TOOL USED BY THE CHIW. THE RESULTS WERE TABULATED AND REVIEWED AS PART OF THE OVERALL ASSESSMENT PROCESS. OVERALL, AFTER CONSIDERING THE OPINIONS OF THE CHIW MEMBERS, THE COMMUNITY, THE STATE OF NEW YORK AND THE HEALTH DATA, THE FOLLOWING PRIORITIES WERE IDENTIFIED: PREVENT CHRONIC DISEASE:1. TOBACCO USE2. HEART HEALTH PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN3. UNPLANNED PREGNANCY4. FOOD INSECURITY AMONG FAMILIES PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE5. OPIOID MISUSE AND DEATH THE 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINES THE PRIORITIES IDENTIFIED IN THE CHNA AND PROVIDES INTERVENTIONS TO IMPACT THE HEALTH PRIORITIES AS FOLLOWS: PRIORITY 1: PREVENT CHRONIC DISEASE: SMOKING CESSATION - EACH HOSPITAL WILL ENACT A TOBACCO CESSATION POLICY THAT INCORPORATES THE "OPT-TO-QUIT" PROGRAM AND WILL IMPLEMENT THAT POLICY THEREBY ELECTRONICALLY LINKING TOBACCO USING PATIENTS TO THE NYS QUIT LINE. ADDITIONALLY, DECREASE THE PERCENT OF WOMEN WHO SMOKE DURING PREGNANCY. PRIORITY 2: PREVENT CHRONIC DISEASE: HEART HEALTH MANAGEMENT AND PREVENTION - INCREASE ABILITY OF PATIENTS WITH CHF TO MANAGE THEIR ILLNESS. DECREASE DISPARITY AMONG HYPERTENSIVE RESIDENTS IN THE LOCAL REGISTRY WHO HAVE THEIR BLOOD PRESSURE IN CONTROL BY INCREASING THE CONTROL RATE AMONG MONROE COUNTY AFRICAN AMERICANS AND LATINOS. INCREASE THE CONTROL RATE FOR HYPERTENSIVE PATIENTS WHO ALSO HAVE DIABETES. PRIORITY 3: PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN: REDUCE UNPLANNED PREGNANCY - REDUCE SIGNIFICANT BARRIERS TO THE USE OF LONG-ACTING REVERSIBLE CONTRACEPTION, PARTICULARLY AMONG AT-RISK WOMEN OF REPRODUCTIVE AGE. INCREASE NUMBER OF YOUTH REACHED WITH EVIDENCE-BASED SEXUAL HEALTH EDUCATION. IMPROVE PRENATAL CARE THROUGH CENTERING GROUP PRENATAL CARE TO REDUCE THE PRETERM BIRTH RATE. PRIORITY 4: PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN: SCREEN FOR FOOD INSECURITY - DECREASE THE PERCENT OF CHILDREN LIVING IN FOOD INSECURE HOUSEHOLDS WHILE ALSO STRIVING TO DECREASE THE PERCENT OF ADULTS WHO EXPERIENCE FOOD INSECURITY.PRIORITY 5: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE: OPIOID MISUSE PREVENTION - DECREASE THE NUMBER OF DEATHS DUE TO OPIOID OVERDOSE.
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PART VI, LINE 3:
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ROCHESTER REGIONAL INFORMS INDIVIDUALS OF AVAILABLE FREE OR REDUCED PRICE SERVICES AT THE TIME OF REGISTRATION INTO INPATIENT, OUTPATIENT, AND EMERGENCY DEPARTMENTS. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE POSTED IN BOTH ENGLISH AND SPANISH AND AVAILABLE THROUGHOUT ROCHESTER REGIONAL LOCATIONS. BROCHURES AND PAMPHLETS, IN BOTH ENGLISH AND SPANISH, INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO AVAILABLE THROUGH ROCHESTER REGIONAL'S WEBSITE AND PATIENTS WITH A SELF-PAY BALANCE ARE NOTIFIED OF OUR FINANCIAL ASSISTANCE PROGRAM VIA THE PATIENT'S STATEMENT. ROCHESTER REGIONAL OFFERS SEVERAL INITIATIVES TO HELP INDIVIDUALS IN OUR COMMUNITY ACCESS AFFORDABLE HEALTH CARE, INCLUDING:- FACILITATED ENROLLMENT - TO ASSIST ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND STATE AID FOR CHILDREN WITH SPECIAL NEEDS. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN PAMPHLETS AT RRH SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY.- FINANCIAL ASSISTANCE PROGRAM - THE ROCHESTER REGIONAL FINANCIAL ASSISTANCE PROGRAM OFFERS FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT A ROCHESTER REGIONAL HOSPITAL, OUTPATIENT, EMERGENCY ROOM, OR LONG-TERM CARE FACILITY. DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION. INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND/OR STATE AID FOR CHILDREN WITH SPECIAL NEEDS ARE CONSIDERED FOR FINANCIAL ASSISTANCE (CHARITY CARE).
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PART VI, LINE 4:
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ROCHESTER GENERAL HOSPITAL SERVES MORE THAN ONE MILLION PEOPLE EACH YEAR, PRIMARILY FROM THE CITY OF ROCHESTER AND SURROUNDING AREAS OF MONROE COUNTY. IN 2017, RGH PROVIDED CARE TO OVER 95,800 PATIENTS WHO VISITED THE EMERGENCY DEPARTMENT, EXPERIENCED MORE THAN 43,600 INPATIENT/OBSERVATION DISCHARGES AND 1,271,000 OUTPATIENT ENCOUNTERS. IN MONROE COUNTY, OUR PRIMARY SERVICE AREA, THE POPULATION TOTALED OVER 749,000 PEOPLE (2014 CENSUS) AND IS 72% WHITE, 15% AFRICAN AMERICAN, 8% HISPANIC, 6% OTHER OR MULTI-RACIAL (AMERICAN COMMUNITY SURVEY 2010-2014). FROM AMERICAN COMMUNITY SURVEY 2010-2014 INFORMATION, APPROXIMATELY 15% OF HOUSEHOLDS IN MONROE COUNTY ARE LIVING AT OR BELOW THE POVERTY LEVEL. IN THE CITY OF ROCHESTER ITSELF, HOWEVER, THE POPULATION IS MUCH MORE DIVERSE: 37% ARE WHITE, 39% ARE AFRICAN AMERICAN, 17% ARE HISPANIC OR LATINO AND 7% OTHER OR MULTI-RACIAL. THE CITY OF ROCHESTER HAS A POVERTY RATE IS MORE THAN DOUBLE THAT OF THE ENTIRE COUNTY AT 34%. ROCHESTER IS CONSIDERED THE 5TH POOREST CITY IN THE UNITED STATES AMONG THE TOP 75 METROPOLITAN AREAS. MORE THAN 50% OF CHILDREN IN ROCHESTER LIVE IN POVERTY, THE HIGHEST FOR ANY COMPARABLY SIZED CITY IN THE US. ROCHESTER IS ALSO ONE OF ONLY FOURTEEN CITIES NATIONWIDE (AND ONE OF TWO IN NEW YORK STATE) THAT IS DESIGNATED BY THE FEDERAL OFFICE OF REFUGEE RESETTLEMENT FOR THE UNACCOMPANIED REFUGEE MINORS PROGRAM, AND BECAUSE OF THIS AND OTHER SIGNIFICANT PROGRAMS FOR REFUGEE RESETTLEMENT, WE HAVE AN UNUSUALLY LARGE NUMBER OF INDIVIDUALS WHO ARE FOREIGN-BORN AND SPEAK A LANGUAGE OTHER THAN ENGLISH. IN ADDITION TO PROVIDING HIGH-QUALITY SERVICES TO INDIVIDUALS FROM THROUGHOUT THE AREA, BECAUSE ROCHESTER GENERAL HOSPITAL IS LOCATED IN ONE OF THE POOREST AREAS WITHIN THE CITY, WE PROVIDE A HEALTH CARE "SAFETY NET" FOR A SUBSTANTIAL AND DIVERSE POPULATION OF LOW INCOME AND UN- OR UNDERINSURED INDIVIDUALS IN THE ROCHESTER AREA.
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DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP) RGH HAS SEVERAL DSRIP FUNDED PROJECTS UNDERWAY IN 2017. EACH OF THESE PROJECTS WORK TO ENHANCE THE DELIVERY AND INTEGRATION OF HEALTH CARE SERVICES TO THE COMMUNITY. THESE PROJECTS INCLUDE: - INTEGRATED DELIVERY SYSTEM / PRIMARY CARE EXPANSION: BUILD AN INTEGRATED, COLLABORATIVE, AND ACCOUNTABLE SERVICE DELIVERY STRUCTURE TO END SERVICE FRAGMENTATION AND INCREASE THE ALIGNMENT OF INCENTIVES. - ED TRIAGE: DEVELOP AN EVIDENCE-BASED CARE COORDINATION AND TRANSITIONAL CARE PROGRAM THAT WILL ASSIST PATIENTS TO LINK WITH A PRIMARY CARE PHYSICIAN/PRACTITIONER, SUPPORT PATIENT CONFIDENCE IN UNDERSTANDING AND SELF-MANAGEMENT OF HEALTH CONDITION, IMPROVE PROVIDER TO PROVIDER COMMUNICATION, AND PROVIDE SUPPORTIVE ASSISTANCE TO TRANSITIONING MEMBERS IN THE LEAST RESTRICTIVE ENVIRONMENT. - TRANSITIONAL HOUSING: PARTNER HOSPITALS WITH COMMUNITY HOUSING PROVIDERS AND, IF APPROPRIATE, HOME CARE SERVICES TO DEVELOP TRANSITIONAL HOUSING FOR HIGH RISK PATIENTS WHO, DUE TO THEIR MEDICAL OR BEHAVIORAL HEALTH CONDITION, HAVE DIFFICULTY TRANSITIONING SAFELY FROM A HOSPITAL INTO THE COMMUNITY. - PATIENT ACTIVATION: INCREASE PATIENT ACTIVATION RELATED TO HEALTH CARE PAIRED WITH INCREASED RESOURCES THAT CAN HELP THE UNINSURED (UI) AS WELL AS NON-UTILIZING (NU) AND LOW UTILIZING (LU) POPULATIONS GAIN ACCESS TO AND UTILIZE THE BENEFITS ASSOCIATED WITH DSRIP PPS PROJECTS, PARTICULARLY PRIMARY AND PREVENTATIVE SERVICES. - BEHAVIORAL HEALTH IN PRIMARY CARE INTEGRATION: INTEGRATE MENTAL HEALTH AND SUBSTANCE ABUSE WITH PRIMARY CARE SERVICES TO ENSURE COORDINATION OF CARE FOR BOTH SERVICES.MEDICAL STAFFRGH MEDICAL STAFF HAS 1,500 CURRENTLY ACTIVE STAFF MEMBERS. THESE PHYSICIANS REPRESENT A BROAD SPECTRUM OF PRIMARY CARE AND SPECIALTY SERVICES. AS AN AFFILIATE OF ROCHESTER REGIONAL HEALTH, OUR PATIENTS HAVE SEAMLESS ACCESS TO ADDITIONAL SPECIALISTS INCLUDING THE WORLD-CLASS PROVIDERS AT THE SANDS-CONSTELLATION HEART INSTITUTE AND THE LIPSON CANCER INSTITUTE.VOLUNTEERS/AUXILIANSMEMBERS OF COMMUNITIES FROM ACROSS MONROE AND SURROUNDING COUNTIES HAVE ALWAYS PLAYED AN IMPORTANT ROLE IN ADVOCATING FOR, AND OFFERING ASSISTANCE AT RGH. IN 2017, 608 VOLUNTEERS PROVIDED MORE THAN 68,000 HOURS OF SERVICE AT RGH.BOARD OF DIRECTORS AND COMMUNITY GUIDANCERGH ENSURES COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE, AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF THE ORGANIZATION. THE MAJORITY OF THE DIRECTORS RESIDE IN THE ROCHESTER AREA AND EACH DIRECTOR SERVES A THREE-YEAR TERM.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF THE ORGANIZATION, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY AS WELL AS USED FOR CHARITY CARE.
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ROCHESTER REGIONAL HEALTH (ROCHESTER REGIONAL) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO THE GREATER ROCHESTER NY AREA AND SURROUNDING REGIONS FOR MORE THAN 160 YEARS. IT IS THE SECOND LARGEST EMPLOYER IN ROCHESTER AND AN INTEGRAL PART OF THE COMMUNITY. ROCHESTER REGIONAL HAS A NATIONALLY RECOGNIZED HEART PROGRAM AND A NATIONALLY ACCREDITED CANCER CENTER, AND OFFERS PATIENTS MANY OF THE SAME LEADING EDGE TREATMENT OPTIONS FOUND AT THE COUNTRY'S FINEST MEDICAL CENTERS. FROM SURGERY TO ORTHOPEDICS, WOMEN'S HEALTH TO EMERGENCY CARE, PEOPLE ALL ACROSS WESTERN NY TURN TO ROCHESTER REGIONAL FOR THEIR EXPERIENCE, COMPASSION AND EXPERTISE IN HELPING THEM GET BACK TO LIVING THEIR LIVES.POVERTY TRENDS, COMMUNITY HEALTH RESEARCH AND NEEDS ASSESSMENTS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING COMMUNITY HEALTH PROGRAMS. ROCHESTER REGIONAL REPRESENTATIVES ARE ACTIVELY ENGAGED IN VARIOUS COMMUNITY HEALTH COLLABORATIONS WITH THE LOCAL HEALTH DEPARTMENTS, STATE HEALTH DEPARTMENT, AND LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICE AGENCIES, AND ACTIVELY WORKS TO RESPOND TO COMMUNITY PRIORITIES AND DEVELOP PROGRAMS AND SERVICES THAT FILL A GAP OR SUPPLEMENT AN EXISTING PROGRAM. MOST ROCHESTER REGIONAL COMMUNITY HEALTH OUTREACH PROGRAMS ARE OFFERED IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS OR GOVERNMENTAL AGENCIES, IN ORDER TO LEVERAGE RESOURCES TO MEET COMMUNITY NEEDS. INFORMATION REGARDING THE AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE FOR MEDICAL CARE RECEIVED AT ROCHESTER REGIONAL HOSPITALS, EMERGENCY DEPARTMENTS, OUTPATIENT DEPARTMENTS OR LONG-TERM CARE FACILITIES ARE DISSEMINATED TO THE PUBLIC IN ELECTRONIC (WEBSITE) FORM.ROCHESTER GENERAL HOSPITAL (RGH), THE FLAGSHIP OF THE ROCHESTER REGIONAL HEALTH, IS A REGIONAL LEADER IN HEALTH CARE. THIS 528-BED ACUTE CARE, TEACHING HOSPITAL SERVES THE GREATER ROCHESTER, NY REGION AND BEYOND. ROCHESTER GENERAL HOSPITAL'S NATIONALLY RECOGNIZED PROGRAMS HAVE CONSISTENTLY DEMONSTRATED QUALITY OUTCOMES THAT POSITIVELY IMPACT PATIENTS, THEIR FAMILIES AND THE ENTIRE COMMUNITY. ROCHESTER GENERAL PROVIDES CARE TO MORE MONROE COUNTY RESIDENTS THAN ANY OTHER HOSPITAL IN THE REGION AND, AS A TERTIARY CARE FACILITY, HAS STRONG REFERRAL RELATIONSHIPS WITH SEVERAL REGIONAL HOSPITALS. ROCHESTER GENERAL OFFERS A FULL ARRAY OF SERVICES TO MEET THE MEDICAL NEEDS OF UPSTATE NEW YORK, INCLUDING NATIONALLY RECOGNIZED PROGRAMS IN CARDIAC, CANCER, ORTHOPEDIC, VASCULAR, SURGICAL AND DIABETES CARE. RGH IS HOME TO A NUMBER OF CENTERS OF EXCELLENCE INCLUDING THE LIPSON CANCER INSTITUTE AND THE SANDS-CONSTELLATION HEART INSTITUTE. ROCHESTER GENERAL IS A CERTIFIED QUALITY BREAST CENTER OF EXCELLENCE BY THE NATIONAL QUALITY MEASURES FOR BREAST CENTERS PROGRAM FROM THE NATIONAL CONSORTIUM OF BREAST CENTER, INC.; A NEW YORK STATE-DESIGNATED STROKE CENTER AND A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. DISTINCTIONS FOR QUALITY INCLUDE DESIGNATIONS AS ONE OF AMERICA'S 100 BEST HOSPITALS AND DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE BY HEALTHGRADES; THE SURGICAL INTENSIVE CARE UNIT EARNED THE GOLD-LEVEL AND BOTH THE MEDICAL INTENSIVE CARE UNIT AND CARDIOTHORACIC INTENSIVE CARE UNIT EARNED THE SILVER-LEVEL OF THE BEACON AWARD FOR EXCELLENCE FROM AMERICAN ASSOCIATION OF CRITICAL CARE NURSES. HIGH QUALITY CLINICAL CARE PROVIDED AT ROCHESTER GENERAL IS AMPLIFIED BY RELATIONSHIPS AND AFFILIATIONS WITH NATIONALLY RENOWNED INSTITUTIONS SUCH AS THE CLEVELAND CLINIC (FOR CARDIAC CARE) AND ROSWELL PARK CANCER INSTITUTE.ROCHESTER GENERAL MEDICAL GROUP (RGMG) OPERATES AS A DIVISION OF RGH. RGMG HAS MORE THAN 40 PRACTICES IN MONROE AND WAYNE COUNTIES WITH SPECIALTIES IN ALLERGY/RHEUMATOLOGY, DERMATOLOGY, DIABETES/ENDOCRINOLOGY, FAMILY MEDICINE, GERIATRICS, INTERNAL MEDICINE, NUTRITION & WEIGHT MANAGEMENT, ORTHOPEDICS, PEDIATRICS, PHYSICAL MEDICINE & REHABILITATION, VASCULAR SURGERY & VEIN CARE AND WOMEN'S HEALTH (OB/GYN). IN ADDITION TO HOSPITAL LOCATIONS, RGMG ALSO OPERATES TWO FULL-SERVICE OUTREACH CAMPUSES AT ALEXANDER PARK AND LINDEN OAKS.UNITY HOSPITAL IS A 287-BED RECENTLY RENOVATED HOSPITAL LOCATED IN THE TOWN OF GREECE. KEY PROGRAMS AND CENTERS INCLUDE CHEMICAL DEPENDENCY, BRAIN INJURY & REHABILITATION, JOINT REPLACEMENT CENTER, FAMILY BIRTH PLACE, SPINE CENTER, DIABETES CENTER, STROKE CENTER, AND EMERGENCY CENTER. ITS AWARDS AND DESIGNATIONS INCLUDE: EXCELLUS BLUECROSS BLUESHIELD BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT AND FOR SPINE SURGERY; EXCELLUS BLUECROSS BLUESHIELD BLUE DISTINCTION CENTER FOR MATERNITY CARE AT THE AUGUST FAMILY BIRTH PLACE AT UNITY HOSPITAL; AMERICAN ASSOCIATION OF CRITICAL CARE NURSES (AACN) SILVER-LEVEL BEACON AWARD FOR EXCELLENCE IN PROFESSIONAL PRACTICE (INTENSIVE CARE UNIT), PATIENT CARE AND OUTCOMES; COMMISSION ON THE ACCREDITATION OF REHABILITATION FACILITIES (CARF) ACCREDITATION FOR ACUTE REHABILITATION AND BRAIN INJURY REHABILITATION AT THE GOLISANO RESTORATIVE NEUROLOGY & REHABILITATION CENTER; JOINT COMMISSION GOLD SEAL OF APPROVAL DESIGNATION FOR HEALTH CARE QUALITY; JOINT COMMISSION GOLD SEAL OF APPROVAL AT THE CHARLES J. AUGUST JOINT REPLACEMENT CENTER; ADVANCED CERTIFICATION FROM THE JOINT COMMISSION FOR PALLIATIVE CARE; STAR RATING ON FACILITY COMPARE REPORTS FROM CMS ON 3 OUT OF 4 DIALYSIS UNITS; CMS 4-STAR RATING; AND AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE PLUS AWARD RECOGNITION FOR STROKE CARE.UNITY MEDICAL GROUP OPERATES AS A DIVISION OF UNITY HOSPITAL. UNITY MEDICAL GROUP HAS 28 OFFICE- AND HOSPITAL-BASED LOCATIONS IN MONROE AND GENESEE COUNTY. THE SERVICES OFFERED BY UNITY MEDICAL GROUP INCLUDE GERIATRICS, PALLIATIVE CARE, SKILLED NURSING HOME SUPPORT, ENDOCRINOLOGY, DENTAL CARE, INTERNAL MEDICINE, PEDIATRICS, FAMILY MEDICINE, OBSTETRICS, GYNECOLOGY, PULMONARY SERVICES, SLEEP SERVICES, INFECTIOUS DISEASE TREATMENT, ORTHOPEDIC SPINE TREATMENT, PROGRESSIVE NEUROVASCULAR SERVICE WITH NEUROLOGY SPECIALTY OUTPATIENT CARE AND ENDOVASCULAR SURGICAL ACUTE CARE. THERE ARE ALSO A SPECIALIZED VASCULAR SURGERY GROUP AND NEPHROLOGY WITH COMPREHENSIVE DIALYSIS SERVICES. NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) HAS SERVED GENERATIONS OF WAYNE COUNTY RESIDENTS SINCE 1957, AND MANY HAVE BECOME MEMBERS OF OUR GROWING HEALTHCARE FAMILY. WITH NEW, LEADING-EDGE MEDICAL TECHNOLOGY, A DIRECT PARTNERSHIP WITH ROCHESTER REGIONAL HEALTH, AND HIGHLY TRAINED STAFF, NWCH CONTINUES TO GROW IN EVERY ASPECT OF ITS HEALTHCARE DELIVERY. THE HOSPITAL IS LICENSED TO OPERATE 300 BEDS OFFERING SERVICES INCLUDING CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPAEDICS AND PULMONARY CARE, AS WELL AS AN INNOVATIVE TELEMEDICINE PROGRAM. NWCH ALSO OFFERS A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING AN EMERGENCY DEPARTMENT, CARDIAC REHABILITATION, LAB SERVICES, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, AND LAB DRAW STATIONS AND PATIENT IMAGING UNITS IN OTHER PARTS OF WAYNE COUNTY. IN 1997, NWCH ESTABLISHED THE WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) TO ENCOURAGE GREATER COLLABORATION AMONG HEALTH AND SOCIAL SERVICE AGENCIES WITHIN WAYNE COUNTY IN ORDER TO PROVIDE GREATER ACCESS TO NEEDED SERVICES AND TO DEVELOP INNOVATIVE PROGRAMS TO BETTER MEET IDENTIFIED NEEDS. WCRHN IS ONE OF 35 SUCH NETWORKS IN NYS. NWCH WAS CHOSEN AS A BENCHMARK IN THE SOCIOECONOMIC FACTORS CATEGORY OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) PUBLICATION, COMMUNITY CONNECTIONS: IDEAS & INNOVATIONS FOR HOSPITAL LEADERS: CASE EXAMPLES. DISTINCTIONS FOR QUALITY INCLUDE EARNING THE GOLD SEAL OF APPROVAL FOR KNEE AND HIP REPLACEMENTS BY THE JOINT COMMISSION AND THE SILVER-LEVEL OF THE BEACON AWARD FOR EXCELLENCE FROM AMERICAN ASSOCIATION OF CRITICAL CARE NURSES AT ITS INTENSIVE CARE UNIT. ADDITIONALLY, NEWARK-WAYNE IS A NEW YORK STATE-DESIGNATED STROKE CENTER, A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) EXEMPLAR HOSPITAL AND A RECENT RECIPIENT OF THE WHO BABY-FRIENDLY DESIGNATION. REHABILITATIVE AND LONG-TERM CARE SERVICES ARE PROVIDED THROUGH DEMAY LIVING CENTER, AN ATTACHED FACILITY.
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CLIFTON SPRINGS HOSPITAL AND CLINIC (CSHC) IS A 262-BED HOSPITAL WITH A LEVEL OF TECHNOLOGY CONSISTENT WITH THAT OF LARGE URBAN HOSPITALS. THE MAIN HOSPITAL IS PHYSICALLY LOCATED IN CLIFTON SPRINGS, MIDWAY BETWEEN (BUT NORTH OF) GENEVA AND CANANDAIGUA. CSHC'S PRIMARY SERVICE AREA CONSISTS OF FOUR COUNTIES IN THE CENTRAL FINGER LAKES REGION OF UPSTATE NEW YORK: ONTARIO, WAYNE, SENECA AND YATES. CLIFTON SPRINGS HOSPITAL & CLINIC IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM PROVIDING GENERAL ACUTE CARE, PRIMARY CARE, NURSING HOME CARE, CANCER CARE, PROGRAMS FOR BEHAVIORAL HEALTH AND ADDICTION RECOVERY, AND SPECIALTY CARE TO RESIDENTS OF AND VISITORS TO THE CENTRAL FINGER LAKES REGION. THE FINGER LAKES COMMUNITY CANCER CENTER (FLCCC) IS LOCATED ON THE MAIN CAMPUS AND WAS THE FIRST FULL TREATMENT CANCER CENTER IN THE FINGER LAKES REGION. FLCCC PARTICIPATES IN CLINICAL TRIALS, OFFERS MONTHLY CANCER CONFERENCES, YEARLY SYMPOSIUMS AND SUPPORT GROUPS. THE FINGER LAKES RADIATION ONCOLOGY HAS ONE OF FIVE INTENSITY MODULATED RADIATION THERAPY UNITS IN NEW YORK STATE FOR TREATING PROSTATE CANCER. THE RADIOLOGY DEPARTMENT HAS THE LATEST TECHNOLOGY AND SOPHISTICATED EQUIPMENT FOR THE EARLY DETECTION OF CANCER AND OTHER DISEASES. THE BEHAVIORAL HEALTH DEPARTMENT IS THE AREA'S LARGEST AND HAS OFFERED MENTAL HEALTH AND ADDICTION RECOVERY SERVICES LONGER THAN ANY OTHER ORGANIZATION IN THE REGION. CSHC OFFERS NUMEROUS SUBSPECIALTIES INCLUDING BLOOD DISORDERS, RENAL DISEASE, DIABETES, AND REHABILITATION. IN ADDITION, THE SPRINGS OF CLIFTON IS AN INTEGRATED HEALTH CARE PROGRAM, COMBINING BOTH CONVENTIONAL AND ALTERNATIVE/COMPLEMENTARY MEDICINE. COMPLEMENTARY THERAPIES SUPPORT THE MAINTENANCE OF HEALTH AND WELL-BEING AND THE PROCESS OF HEALING AND INCLUDE ACUPUNCTURE, CHIROPRACTIC SERVICES, HYDROTHERAPY, MASSAGE THERAPY, NATUROPATHY, CHINESE MEDICINE, QI GONG, HERBOLOGY, AND REIKI THERAPEUTIC TOUCH. UNITED MEMORIAL MEDICAL CENTER (UMMC) SERVES RESIDENTS OF GENESEE COUNTY AND SURROUNDING RURAL COMMUNITIES. THE 131-BED HOSPITAL IN BATAVIA FEATURES A NEW, STATE-OF-ART SURGICAL DEPARTMENT, A WOUND CARE CENTER, A TELEMEDICINE PROGRAM FOR INTENSIVE CARE, A JOINT REPLACEMENT CENTER OF EXCELLENCE, TWO URGENT CARE CENTERS AND A NUMBER OF PRIMARY AND SPECIALTY PHYSICIAN OFFICES. UNITED MEMORIAL IS A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) HOSPITAL AND A NEW YORK STATE-DESIGNATED STROKE CENTER. UNITED MEMORIAL IS THE SOLE MATERNITY SERVICES PROVIDER FOR GENESEE AND ORLEANS COUNTIES. IT MANAGES THE NEW YORK STATE CANCER SERVICES PARTNERSHIP GRANT FOR ORLEANS AND GENESEE COUNTIES AND PROVIDES ORTHOPEDIC SERVICES IN GENESEE, ORLEANS AND WYOMING COUNTIES.ROCHESTER MENTAL HEALTH CENTER (RMHC) HAS NINE LOCATIONS ACROSS THE COMMUNITY, INCLUDING TWO OF THE AREA'S BEST MENTAL HEALTH CENTERS, GENESEE MENTAL HEALTH CENTER AND ROCHESTER MENTAL HEALTH CENTER, AND OVER 40 YEARS OF EXPERIENCE AND TRADITION. RMHC HAS COMPREHENSIVE SERVICES AND DEDICATED MENTAL HEALTH AND SUBSTANCE ABUSE PROFESSIONALS, WORKING TO HELP PATIENTS ACHIEVE THEIR FULL POTENTIAL TO LIVE AND WORK AS PRODUCTIVE MEMBERS OF THE COMMUNITY. THEY OFFER:- A COMPREHENSIVE SYSTEM OF CLINICAL MENTAL HEALTH SERVICES- READILY-ACCESSIBLE, CULTURALLY-SENSITIVE SERVICES UNIQUELY MATCHED TO THE INDIVIDUAL NEEDS OF EACH PATIENT AND THEIR FAMILY- CONVENIENT ACCESS TO MENTAL HEALTH OUTPATIENT SERVICES WITH LOCATIONS THROUGHOUT THE GREATER ROCHESTER AREA- AN UNWAVERING COMMITMENT TO SERVE THOSE IN THE COMMUNITY WHO HAVE EMOTIONAL NEEDS.PRCD, INC. OFFERS TWO COMMUNITY RESIDENCES THAT ARE UNIQUE TO UPSTATE NEW YORK, ONE FOR ADOLESCENT MALES AND THE OTHER FOR WOMEN. THESE RESIDENTS PROVIDE A STABLE HOUSING ENVIRONMENT DURING CHEMICAL DEPENDENCY TREATMENT.INDEPENDENT LIVING FOR SENIORS, (ILS) OFFERS A PROGRAM THAT GIVES THE FRAIL ELDERLY AN ALTERNATIVE TO NURSING HOME PLACEMENT. IT IS DESIGNED TO ENABLE SENIORS TO LIVE IN THEIR OWN HOME SERVED BY A NETWORK OF SUPPORTIVE SERVICES. THE ILS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) HAS PROVEN THAT INTEGRATING HEALTH CARE SERVICES CAN HAVE A POWERFUL AND BENEFICIAL IMPACT ON INDIVIDUAL HEALTH AND WELL-BEING. SENIORS NOW HAVE A CHOICE TO LIVE OUT THEIR LIVES IN THEIR COMMUNITY - ENJOYING FAMILY, MANAGING THEIR HEALTH, MAKING NEW FRIENDS - SIMPLIFYING HOW THEY CHOOSE AND PAY FOR NEEDED LONG-TERM CARE. ILS OFFERS ALL OF THE HEALTH, MEDICAL AND SOCIAL SERVICES NEEDED TO HELP AN AGING LOVED ONE MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE. A RANGE OF SERVICES ARE AVAILABLE TO AN ILS PARTICIPANT, INCLUDING ADULT DAY CARE; PRIMARY CARE; LABORATORY, X-RAY AND AMBULANCE SERVICES; REHABILITATIVE AND SUPPORT SERVICES; MEDICAL SPECIALTY SERVICES; SKILLED NURSING CARE; ACUTE HOSPITAL CARE; IN-HOME SERVICES; INTERDISCIPLINARY CONSULTATION; AND NURSING HOME CARE SHOULD THE NEED ARISE.CLIFTON SPRINGS LIVING CENTER IS A 108-BED SKILLED NURSING FACILITY LOCATED IN CLIFTON SPRINGS, NY. THE 108-BED FACILITY PROVIDES SPECIALIZED SERVICES INCLUDING TRADITIONAL SNF CARE, AS WELL AS SPECIALTY UNITS FOR RESIDENTS WHO REQUIRE POST-ACUTE CARE, VENTILATOR CARE, AND DEMENTIA CARE. THE SERVICES OF REIKI AND HEALING TOUCH THERAPIES ARE OFFERED BY THE NURSING HOME, AND ADDITIONAL SERVICES INCLUDING ACUPUNCTURE, HYDROTHERAPY, MASSAGE THERAPY, AND NATUROPATHY ARE AVAILABLE THROUGH THE SPRINGS INTEGRATIVE MEDICINE CENTER AND SPA. DE MAY LIVING CENTER LOCATED IN NEWARK IS A 180-BED SKILLED NURSING RESIDENCE THAT PROVIDES BOTH CALM AND STIMULATING ATMOSPHERES FOR RESIDENTS. SERVICES INCLUDE: POST-ACUTE CARE, SHORT-TERM REHABILITATION, VENTILATOR CARE, DEMENTIA CARE, PERITONEAL DIALYSIS, WOUND CARE, TELEMEDICINE, NEUROBEHAVIORAL CARE, LONG TERM SKILLED NURSING CARE AND ADULT DAY CARE.EDNA TINA WILSON LIVING CENTER IN ROCHESTER IS A 120-BED SKILLED NURSING FACILITY THAT USES INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS TO PROMOTE MORE SOCIAL AND INTERACTIVE LIVING. THE CENTER SPECIALIZES IN LONG-TERM CARE, REHABILITATIVE SERVICES, PAIN MANAGEMENT, RESPIRATORY THERAPY, IV THERAPY, PERITONEAL DIALYSIS SERVICES, RESPITE AND HOSPICE CARE.HILL HAVEN LIVING AND NURSING CENTER IN WEBSTER IS A 288-BED FACILITY WITH A COMPREHENSIVE RANGE OF MEDICAL AND ASSISTED LIVING SENIOR SERVICES, INCLUDING SHORT-TERM REHABILITATION, SKILLED NURSING, RESPIRATORY, IV THERAPY, CENTRAL LINE MEDICATIONS AND MAINTENANCE, POST-SURGICAL WOUND CARE, ON-SITE HEMODIALYSIS, PERITONEAL DIALYSIS, TELEMEDICINE, DEMENTIA, ALZHEIMER'S, AND HOSPICE CARE.PARK RIDGE LIVING CENTER IS LOCATED IN ROCHESTER. IT RECEIVED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), A DESIGNATION GIVEN TO ONLY 10 PERCENT OF NURSING HOMES NATIONWIDE. THIS 120 BED FACILITY IS HOME TO THE 40-BED TIMOTHY R. MCCORMICK TRANSITIONAL CARE CENTER, SPECIALIZING IN JOINT REPLACEMENT AND COMPLEX FRACTURE RECOVERY, STROKE AND NEUROLOGICAL REHABILITATION, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, IV THERAPY, AND CENTRAL LINE MEDICATIONS. THE FACILITY'S WEGMAN FAMILY COTTAGES SERVES 80 ELDERS. THE COTTAGES ALLOW ELDERS TO LIVE IN A HOME-LIKE ENVIRONMENT WHILE RECEIVING SKILLED NURSING CARE. UNITY LIVING CENTER IN ROCHESTER IS A 120-BED STATE-OF-THE-ART SKILLED NURSING FACILITY FOCUSED ON TREATMENT AND REHABILITATIVE CARE FOR PATIENTS WITH MEDICALLY COMPLEX NEEDS, DEMENTIA, AND BEHAVIORAL CHALLENGES. SPECIAL SERVICES INCLUDE SHORT-TERM REHABILITATION, PULMONOLOGY, RESPIRATORY THERAPY, TRACHEOTOMY CARE, WOUND CARE, PAIN CONTROL, AND IV THERAPY, AND PERITONEAL DIALYSIS, ACCESS TO HEMODIALYSIS, VENTILATOR BEDS, BARIATRIC CARE AND RELAXATION THERAPY TO MEET THE NEEDS OF THOSE WITH CHRONIC DISEASES.UNITY'S HOUSING GROUP OFFERS 539 INDEPENDENT LIVING, ASSISTED LIVING, MEMORY CARE, AFFORDABLE AND SUBSIDIZED APARTMENTS IN FIVE LOCATIONS. THE VILLAGE AT UNITY WAS ONE OF THE FIRST INDEPENDENT LIVING COMMUNITIES IN THE AREA AND IS ONE OF THE LARGEST AND WELL RESPECTED COMMUNITIES AND CATERS TO SENIORS LOOKING FOR SUPERIOR HOSPITALITY SERVICES. IN 2013, A $22 MILLION EXPANSION PROJECT WAS COMPLETED, ADDING 20 NEW MEMORY CARE APARTMENTS, A NEW ASSISTED LIVING COMMUNITY, COMMUNITY CENTER AND MORE DINING OPTIONS.PARK RIDGE CHILD CARE CENTER CARES FOR NEARLY 140 CHILDREN OF THE COMMUNITY PER DAY, AND IN 2016, THE CENTER WAS NAMED A HEALTHY WAY TO GROW SILVER CENTER BY THE AMERICAN HEART ASSOCIATION. ROCHESTER AMBULATORY SURGERY CENTER IS A 29,000 SQUARE-FOOT FACILITY THAT INCLUDES SIX OPERATING ROOMS AND TWO MINOR PROCEDURE ROOMS EQUIPPED WITH STATE OF THE ART EQUIPMENT AND INSTRUMENTATION.
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LINDEN OAKS SURGERY CENTER IS A FREESTANDING, MULTISPECIALTY AMBULATORY SURGERY CENTER WHERE A BROAD RANGE OF OUTPATIENT SURGICAL PROCEDURES ARE PERFORMED. THE CENTER OFFERS FOUR OPERATING ROOMS AND TWO PROCEDURE ROOMS WHICH ARE FULLY EQUIPPED WITH PREOPERATIVE AND POST-ANESTHESIA CARE AREAS IN ORDER TO PROVIDE HIGH QUALITY CARE AND SAFETY IN A CONVENIENT OUTPATIENT SURGERY CENTER. ROCHESTER REGIONAL HEALTH IMMEDIATE CARE OPERATES FOUR LOCATIONS IN MONROE COUNTY, AND OFFERS FULL-SERVICE URGENT CARE WITH PHYSICIANS, DIAGNOSTIC TOOLS, AND LABS ON-SITE. ACM MEDICAL LABORATORY IS A FULL SERVICE CLINICAL AND PATHOLOGY LABORATORY CONDUCTING MORE THAN 20 MILLION TESTS EVERY YEAR FOR PHYSICIANS, NURSING HOMES AND HOSPITALS; PHARMACEUTICAL, BIOTECH AND RESEARCH ORGANIZATIONS; COLLEGES AND UNIVERSITY HEALTH CENTERS; AND OCCUPATIONAL HEALTH GROUPS. ACM HAS OPERATIONS IN THE U.S., U.K., INDIA, CHINA AND SINGAPORE. OPERATIONS EXTEND TO MORE THAN 60 COUNTRIES AND OFFER A BROAD MENU OF CLINICAL, PATHOLOGY AND MOLECULAR TESTING. ACM IS ONE OF THE LARGEST REGIONAL REFERENCE LABORATORIES IN NEW YORK STATE.ROCHESTER REGIONAL HEALTH FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION, CLIFTON SPRINGS HOSPITAL FOUNDATION AND UNITED MEMORIAL MEDICAL CENTER FOUNDATION: THE VITAL SERVICES THAT ROCHESTER REGIONAL PROVIDES TO THE COMMUNITY WOULD NOT BE POSSIBLE WITHOUT THE SUPPORT OF THE FOUNDATIONS. IN THE NONPROFIT ORGANIZATIONAL STRUCTURE THE FOUNDATIONS ARE CRITICAL TO THE ABILITY TO MAKE ONGOING INVESTMENTS IN STATE-OF-THE-ART MEDICAL TECHNOLOGY, CLINICAL PROGRAMS, FACILITIES, RESEARCH, AND EDUCATION THAT BENEFIT THE COMMUNITY AS A WHOLE. THE IMPACTS OF THE FOUNDATIONS' EFFORTS ARE VISIBLE THROUGHOUT THE HOSPITALS, AND IN THEIR DISTINGUISHED CENTERS OF EXCELLENCE. THE FOUNDATIONS' FUNDRAISING PROGRAMS DIRECTLY BENEFIT THE ONGOING NEEDS OF THE COMMUNITY THROUGH IMPROVED AND EXPANDED PATIENT CARE PROGRAMS, SERVICES, AND FACILITIES AND HELP PURCHASE EQUIPMENT. THIS ENHANCES THE HIGH-TOUCH AND COMPASSIONATE CARE AVAILABLE TO ALL WHO ARE SERVED IN THE COMMUNITY.
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