SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH
Employer identification number

41-0729979
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    15,869,318   15,869,318 1.870 %
b Medicaid (from Worksheet 3, column a) . . . . .     108,838,795 75,055,485 33,783,310 3.990 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     124,708,113 75,055,485 49,652,628 5.860 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     4,802,330 58,800 4,743,530 0.560 %
f Health professions education (from Worksheet 5) . . .     6,435,064 1,312,854 5,122,210 0.600 %
g Subsidized health services (from Worksheet 6) . . . .     10,432,631 6,428,594 4,004,037 0.470 %
h Research (from Worksheet 7) .     54,749   54,749 0.010 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     646,693   646,693 0.080 %
j Total. Other Benefits . .     22,371,467 7,800,248 14,571,219 1.720 %
k Total. Add lines 7d and 7j .     147,079,580 82,855,733 64,223,847 7.580 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
13,506,261
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
187,498,939
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
232,351,323
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-44,852,384
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
11 MAPLE GROVE HOSPITAL
  		HOSPITAL 75.000 % 0 % 0 %
22 NM AMBULATORY SURGERY CENTER MAPLE GROVE
  		OUTPATIENT SURG CTR 50.000 % 0 % 50.000 %
33 MN DIAGNOSTIC IMAGING PARTNERS
  		OUTPATIENT IMAGING CTR 60.000 % 0 % 40.000 %
44 INSTITUTE OF ATHLETIC MEDICINE
  		CLINIC 37.000 % 0 % 0 %
55 MONTICELLO CANCER CENTER
  		OPTNT CANCER CENTER 40.000 % 0 % 0 %
66 NORTH RADIATION ONCOLOGY
  		OPTNT RADIATION ONC CLNC 50.000 % 0 % 50.000 %
77 MINNETONKA AMBULATORY SURGERY CENTER
  		OUTPATIENT SURGERY CENTER 100.000 % 0 % 0 %
88 FAIRVIEW HOME INFUSION
  		OPTNT INFUSION CLINIC 49.000 % 0 % 0 %
99 BLAINE AMBULATORY SURGERY CENTER
  		OUTPATIENT SURGERY CENTER 10.000 % 0 % 37.000 %
1010 CDI ROSEVILLE
  		OUTPATIENT IMAGING CENTER 25.000 % 0 % 0 %
1111 MONTICELLO SURGERY CENTER
  		OPTNT SURGERY CENTER 25.000 % 0 % 14.000 %
1212 MULTICARE SLEEP CENTER LLC
  		OPTNT SLEEP CENTER 50.000 % 0 % 0 %
1313 VHA UPPER MIDWEST
  		HLTHCARE GRP PURCHASING ORG CO-OP 10.000 % 0 % 0 %
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 NORTH MEMORIAL HEALTH
3300 OAKDALE AVENUE NORTH
ROBBINSDALE,MN55422
WWW.NORTHMEMORIAL.COM 		X X   X     X      
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
NORTH MEMORIAL HEALTH
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V FOR FULL URL
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NORTH MEMORIAL HEALTH
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V FOR FULL URL
b
SEE PART V FOR FULL URL
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Billing and Collections
NORTH MEMORIAL HEALTH
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NORTH MEMORIAL HEALTH
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 5: NORTH MEMORIAL HEALTH HAS A COMMUNITY STEERING COMMITTEE WHICH IS COMPOSED OF COMMUNITY MEMBERS WHICH SUPERVISED THE ASSESSMENT PROCESS AND VOTED ON THE TOP HEALTH PRIORITIES. THE MEMBERS REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS. BOTH OF THESE COMMITTEES HAVE REPRESENTATIVES FROM PUBLIC HEALTH WHOSE MAIN FOCUS IS TO REPRESENT THE COMMUNITY'S INTERESTS RELATED TO HEALTH TOPICS.
NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 11: IN 2019 NMHH CONDUCTED OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), BASED ON THE THREE YEAR CYCLE. THE 2019 CHNA WAS APPROVED BY THE NNHH COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) ON NOVEMBER 12, 2019 AND BY THE NORTH MEMORIAL HEALTH STRATEGIC AND BUSINESS DEVELOPMENT COMMITTEE ON DECEMBER 9, 2019. IT WAS POSTED TO OUR WEBSITE ON DECEMBER 30, 2019. THE COMMUNITY HEALTH WORK CARRIED OUT DURING 2019, WHILE THE 2019 CHNA WAS BEING CONDUCTED, WAS BASED ON THE 2016 CHNA FINDINGS. THE OVERALL CHNA WAS GUIDED BY THE COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) WHICH IS COMPOSED OF COMMUNITY MEMBERS, NORTH MEMORIAL HEALTH EMPLOYEES, AND PUBLIC HEALTH REPRESENTATIVES. DATA USED TO IDENTIFY THE TOP PRIORITIES INCLUDED: DEMOGRAPHIC DATA; QUANTITATIVE DATA FROM THE MINNESOTA HOSPITAL ASSOCIATION, MINNESOTA DEPARTMENT OF HEALTH, HENNEPIN COUNTY SHAPE 2014, COMMUNITY NEED INDEX AND ATTRIBUTED PATIENT DATA; QUALITATIVE DATA FROM FOCUS GROUPS, KEY STAKEHOLDER INTERVIEWS, AND COMMUNITY ASSET MAPPING. THE FOLLOWING TOP PRIORITIES WERE IDENTIFIED IN THE ASSESSMENT:-MENTAL HEALTH/SUBSTANCE ABUSE/USE-FOOD - ACCESS, AFFORDABILITY, NUTRITION EDUCATION RESPIRATORY DISEASE-YOUTH - EDUCATION ABOUT HEALTH CARE CAREERS, LEADERSHIP DEVELOPMENT-OBESITY-CULTURAL DIVERSITYAFTER DISCUSSION OF THE HEALTH PRIORITIES, THE CEAT VOTED TO FOCUS ON TWO HEALTH PRIORITIES. PRIORITIZATION WAS BASED ON THE FOLLOWING CRITERION:-HOW WIDESPREAD IS THE HEALTH NEED?-HOW SERIOUS OR IMPORTANT DO YOU THINK THIS HEALTH NEED IS FOR INDIVIDUALS AND/OR THE COMMUNITY?-WHAT IS THE POTENTIAL FOR NORTH MEMORIAL HEALTH HOSPITAL AND COMMUNITY PARTNERS TO HAVE A POSITIVE IMPACT ON THIS HEALTH NEED WITHIN THREE TO FOUR YEARS?BASED ON THESE CRITERIA THE TOP NEEDS WERE IDENTIFIED AS:-MENTAL HEALTH/SUBSTANCE ABUSE/USE 207 VOTES-FOOD - ACCESS, AFFORDABILITY, NUTRITION EDUCATION 182 VOTES-OBESITY 177 VOTES-CULTURAL DIVERSITY 175 VOTES-RESPIRATORY DISEASE 161 VOTES-YOUTH - EDUCATION ON HEALTH CARE CAREERS, LEADERSHIP DEVELOPMENT 158 VOTESAFTER A REVIEW OF POTENTIAL IMPLEMENTATION PROJECTS TO ADDRESS THESE HEALTH PRIORITIES, A DECISION WAS MADE TO SEPARATE MENTAL HEALTH AND SUBSTANCE ABUSE/USE. THE FINAL TOP HEALTH PRIORITIES FROM THE 2016 CHNA ARE:-MENTAL HEALTH-SUBSTANCE ABUSE/USE AND-FOOD - ACCESS, AFFORDABILITY, NUTRITION EDUCATIONTHESE HEALTH PRIORITIES WILL BE ADDRESSED WITH COMMUNITY PARTNERSHIPS, COMMUNITY SUPPORT AND CULTURAL APPROPRIATENESS IN MIND. MENTAL HEALTH AND SUBSTANCE ABUSE/USE ARE BEING ADDRESSED SYSTEM WIDE.NORTH MEMORIAL HEALTH HOSPITAL HAS SEVERAL STRATEGIES THAT IT IS USING TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES. PRIORITY 1: MENTAL HEALTH (SYSTEM WIDE PRIORITY)GOAL - TO SUPPORT THE MENTAL HEALTH OF COMMUNITY MEMBERS ALONG THE MENTAL HEALTH CONTINUUM.OBJECTIVES:I. REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS STRATEGIES:-INCORPORATED THE MAKE IT OKAY MESSAGE INTO ANNUAL EMPLOYEE TRAINING-ACTION - NORTH MEMORIAL HEALTH HOSPITAL INCORPORATED THE MAKE IT OKAY MESSAGE INTO THE ANNUAL EMPLOYEE TRAINING. MAKE IT OKAY IS DESIGNED TO REDUCE STIGMA SURROUNDING MENTAL HEALTH. THIS EDUCATION IS DESIGNED TO EMPOWER OUR EMPLOYEES TO FEEL COMFORTABLE ADDRESSING MENTAL HEALTH ISSUES WITH THEIR CLIENTS, FAMILY, FRIENDS AND COMMUNITY MEMBERS. -TO REDUCE THE STIGMA AROUND SUICIDE A SAFETALK CLASS WAS OFFERED TO THE COMMUNITY ON MAY 16, 2019 AT THE NEW HOPE YMCA.-STAFF AT MAPLE GROVE HOSPITAL HELD A MENTAL HEALTH/MAKE IT OKAY RESISTANCE EVENT FOR STAFF AND HOSPITAL VISITORS.-STAFF AT NORTH MEMORIAL HEALTH HOSPITAL EXPRESSED AN INTEREST IN BEING TRAINED IN MAKE IT OKAY, AFTER LEARNING ABOUT THE MAKE IT OKAY PROGRAM IN THE ANNUAL EMPLOYEE TRAINING, IN ORDER TO PROVIDE COMMUNITY TRAINING IN THE FUTURE. II. INCREASE EDUCATION ABOUT MENTAL HEALTH STRATEGIES:-OFFER A MINIMUM OF FOUR EVIDENCE BASED MENTAL HEALTH FIRST AID (MHFA) CLASSES ACROSS THE SYSTEM ANNUALLY-ACTION - 4 MENTAL HEALTH FIRST AID CLASSES WERE OFFERED TO THE COMMUNITY IN 2019. -THESE INCLUDE: -JANUARY 24, 2019 YOUTH MENTAL HEALTH FIRST AID CLASS AT MAPLE GROVE HOSPITAL 14 PEOPLE ATTENDED. -MARCH 1, 2019 ADULT FOCUSED MENTAL HEALTH FIRST AID CLASS AT MAPLE GROVE HOSPITAL 22 PERSONS ATTENDED. -APRIL 19, 2019 - ADULT FOCUSED MENTAL HEALTH FIRST AID CLASS AT NORTH MARKET 16 PERSONS ATTENDED. -NOVEMBER 15, 2019 YOUTH MENTAL HEALTH FIRST AID CLASS AT NORTH SPECIALTY CENTER 6 PERSONS ATTENDED.-ACTION - IN 2018 BEGAN OFFERING SAFETALK SUICIDE AWARENESS CLASSES AFTER THE COMMUNITY REQUESTED SUICIDE PREVENTION EDUCATION AND SHORTER CLASSES. 5 SAFETALK CLASSES WERE OFFERED TO THE COMMUNITY IN 2019. -THESE INCLUDE: -FEBRUARY 27, 2019 SAFETALK CLASS AT NORTH MARKET 17 PERSONS ATTENDED. -MAY 16, 2019 SAFETALK CLASS AT NEW HOPE YMCA 10 PEOPLE ATTENDED. -JULY 19, 2019 SAFETALK CLASS AT MAPLE GROVE HOSPITAL 19 PERSONS ATTENDED. -SEPTEMBER 19, 2019 SAFETALK CLASS AT MAPLE GROVE HOSPITAL - 10 PERSONS ATTENDED. -NOVEMBER 8, 2019 SAFETALK CLASS AT THE CRYSTAL COMMUNITY CENTER 15 PERSONS ATTENDED. III. IMPROVE ACCESS TO MENTAL HEALTH SERVICESSTRATEGIES:-OPENED THE NORTH MEMORIAL MENTAL HEALTH & ADDICTION CARE CLINIC -ACTION - THE CLINIC LOCATED IN ROBBINSDALE OPENED IN DECEMBER OF 2016 IN RESPONSE TO AN IDENTIFIED COMMUNITY NEED. THE CLINIC HAS 10,300 SQ. FT. AND FOCUSES ON GENERAL MENTAL HEALTH PROBLEMS WITH A SPECIFIC FOCUS ON SERIOUS AND PERSISTENT MENTAL ILLNESS AND POST-TRAUMATIC STRESS DISORDER.-CONTINUED ASSESSMENT OF COMMUNITY NEEDS AND DEVELOPMENT OF PROGRAMS AS NEED IS IDENTIFIED-ACTION - IN 2019, TO MEET THE NEEDS OF THE PRESENTING PATIENT COMMUNITY, WE CONTINUED OUR PARTIAL HOSPITALIZATION PROGRAM FOCUSED ON SEVERE AND PERSISTENT MENTAL ILLNESS (SPMI) POPULATIONS ALONG WITH OUR INTENSIVE OUTPATIENT PROGRAM FOCUSED ON POST-TRAUMATIC STRESS DISORDER (PTSD), THE FIRST OF ITS KIND IN THE STATE AND IN THE METRO AREA. IN 2019, WE HIRED AND ON-BOARDED TWO ADDITIONAL PRESCRIBERS, FOUR PSYCHOLOGISTS, AND ONE INTEGRATIVE BEHAVIORAL HEALTH PROVIDER WHO IS LOCATED OUT OF THE CAMDEN PRIMARY CARE CLINIC. WE CONTINUED TO OFFER MENTAL HEALTH PROGRAMMING WITH A FOCUS ON HOLISTIC CARE, TRAUMA/PSTD, AND SPMI. WE HIRED TWO ADDITIONAL PSYCHIATRISTS IN 2019, WHO WILL START IN SUMMER/FALL 2020.-AT MAPLE GROVE HOSPITAL BEHAVIORAL HEALTH PROVIDERS WERE CONTACTED WITH TO INCREASE BEHAVIORAL HEALTH COVERAGE FOR THE ECC STARTING IN JULY OF 2019. IV. SUPPORT NORTH MEMORIAL HEALTH'S DOMESTIC VIOLENCE ADVOCACY PROGRAM SAFEJOURNEY. THIS PROGRAM TRANSITIONED FROM COMMUNITY VOLUNTEERS TO HOSPITAL BASED SOCIAL WORKERS DECEMBER OF 2019. STRATEGIES:-ENSURE 24-HOUR ADVOCACY IS PROVIDED BY TRAINED VOLUNTEERS-ACTION - 24-HOUR ADVOCACY IS IN PLACE.-TRAINED NEW VOLUNTEERS IN 2019-ACTION - FIVE NEW SYSTEM WIDE ADVOCATES WERE TRAINED IN 2019. VOLUNTEERS SERVE BOTH MAPLE GROVE HOSPITAL AND NORTH MEMORIAL HEALTH HOSPITAL. -CLIENTS SERVED-ACTION - 58 CLIENTS WERE SERVED BY WALK IN ADVOCACY IN 2019. -ACTION - 70 CLIENTS ATTENDED SUPPORT GROUPS AT MAPLE GROVE HOSPITAL AND 39 CLIENTS ATTENDED SUPPORT GROUPS AT NORTH MEMORIAL HEALTH HOSPITAL IN 2019. -DISTRIBUTE CLIENT EMERGENCY FUNDS TO QUALIFIED CLIENTS-ACTION - SYSTEM WIDE WE SERVED 61 INDIVIDUAL CLIENTS AND DISTRIBUTED $8,349 IN EMERGENCY SUPPORT.-PROVIDE COMMUNITY OUTREACH AND EDUCATION ON SAFEJOURNEY-ACTION - PARTICIPATED IN COMMUNITY OUTREACH AT GOLDEN VALLEY LUTHERAN CHURCH ON SEPTEMBER 22, 2019. 75 PEOPLE ATTENDED. CONTINUED...
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: V. WORK WITH COMMUNITY PARTNERS TO COLLECTIVELY IDENTIFY OPPORTUNITIES TO ADDRESS MENTAL HEALTH ISSUES AND SOCIAL CONDITIONS THAT AFFECT MENTAL HEALTH CONDITIONS - CHIP, CCH, WEST METRO HOSPITAL GROUP, LOCAL PUBLIC HEALTH, GOVERNMENT AND OTHERS.STRATEGIES:-CONTINUE ACTIVE INVOLVEMENT IN HENNEPIN COUNTY CHIP AND SOCIAL ISOLATION WORKGROUP.-ACTION - CHIP 1.0 ENDED IN 2017 AND REGULAR INVOLVEMENT STOPPED. CONTINUED PARTICIPATION WITH CHIP COLLABORATIVE BY ATTENDING MEETINGS ON COMMUNITY MENTAL HEALTH AND HOUSING STABILITY WHEN APPROPRIATE. COMMUNITY HEALTH OUTREACH MANAGER ATTENDED CHIP COLLABORATIVE MEETING APRIL 25, 2019.-CONTINUE ACTIVE INVOLVEMENT WITH THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION GROUP.-ACTION - GROUP CONTINUES TO WORK ON INCREASING AWARENESS OF MENTAL HEALTH FIRST AID CLASSES IN THE METRO COMMUNITY. MAY MENTAL HEALTH AWARENESS MONTH IS A FOCUS FOR GETTING THE WORD OUT ON MAKE IT OKAY AND CLASSES FOCUSED ON MENTAL HEALTH. COMMUNITY HEALTH OUTREACH MANAGER CONTINUES TO REPRESENT THE SYSTEM AT MONTHLY MEETINGS AND IS NOW A MEMBER OF THE CENTER FOR COMMUNITY HEALTH BOARD.-EXPLORE COMMUNITY PARTNERSHIP OPPORTUNITIES THAT ADDRESS MENTAL HEALTH AND VIOLENCE.-ACTION - YOUTH SUICIDE PREVENTION COALITION CONTINUED TO MEET IN 2019. MANY GROUPS SUCH AS PARTNERS IN PREVENTION, THE NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE AND THE ROBBINSDALE REDESIGN FAMILY SERVICE COLLABORATIVE ARE WORKING WITH LOCAL SCHOOLS TO ADDRESS SUICIDE PREVENTION. DECISION WAS MADE TO TABLE THIS COALITION UNTIL 2020 AFTER THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT ARE COMPLETED. -NORTH MEMORIAL HEALTH HOSPITAL CONTINUES TO WORK WITH THE CITY OF MINNEAPOLIS ON THE VIOLENCE INTERVENTION PROGRAM NEXT STEP. IN 2019 112 CLIENTS WERE ENROLLED. PRIORITY 2: SUBSTANCE ABUSE/USE (SYSTEM WIDE PRIORITY)GOAL TO CREATE AN ENVIRONMENT WHERE SUBSTANCE ABUSE/USE AMONG THE GENERAL POPULATION AND SUBSTANCE ABUSE/USE AMONG YOUTH IS REDUCED. OBJECTIVES:I. INCREASE AWARENESS OF SUBSTANCE ABUSE/USE ISSUES AMONG YOUTH AND YOUNG ADULTS AND ACTIVITIES TO ADDRESS THESE ISSUES. STRATEGIES:-CONTINUE WORKING WITH AND SUPPORTING COMMUNITY COLLABORATIVE SUCH AS PARTNERSHIP FOR CHANGE AND PARTNERS IN PREVENTION-ACTION - STAFF ATTENDED PARTNERSHIP FOR CHANGE AND PARTNERS IN PREVENTION MEETINGS.-ACTION - FINANCIALLY SUPPORTED PARTNERS IN PREVENTION'S UNCOVER THE TRUTH CAMPAIGN WHICH EDUCATES WAYZATA HIGH SCHOOL STUDENTS ABOUT DRUG AND ALCOHOL ISSUES WITH REGARD TO THEIR PEERS.-ACTION - PARTNERSHIP FOR CHANGE, HOUSED OUT OF NORTH MEMORIAL HEALTH HOSPITAL'S TRAUMA DEPARTMENT, LEVERAGES COMMUNITY PARTNERSHIPS TO PREVENT AND REDUCE SUBSTANCE USE/ABUSE IN THE COMMUNITY THROUGH STRATEGIES SUCH AS: -POLD (PLACE OF LAST DRINK) AND RAVE (RESPONSIBLE VENDOR EDUCATION & ENFORCEMENT) -EXPANDED SOCIAL HOST ORDINANCE. -MEDICINE ABUSE PREVENTION WORKGROUP WHICH INCLUDES MEDICATION DROP BOXES - 2 BOXES OPENED IN 2019 AT BROOKLYN PARK AND CRYSTAL POLICE DEPARTMENTS. -MARIJUANA PERCEPTION OF HARM PARTICIPATED ON THE EXECUTIVE COMMITTEE OF SMART APPROACHES TO MARIJUANA MINNESOTA TO HELP EDUCATE COMMUNITY MEMBERS ABOUT POTENTIAL HEALTH IMPACTS OF MARIJUANA USE AND EXPANDED ACCESS. II. IMPROVE ACCESS TO ADDICTION MEDICINE SERVICES STRATEGIES:-OPENED THE NORTH MEMORIAL MENTAL HEALTH & ADDICTION CARE CLINIC. -ACTION - THE CLINIC LOCATED IN ROBBINSDALE OPENED IN DECEMBER OF 2016 IN RESPONSE TO AN IDENTIFIED COMMUNITY NEED. ORIGINALLY THE CLINIC INCLUDED ADDITION MEDICINE, HOWEVER WHEN OUR ONLY ADDITION MEDICINE PROVIDER LEFT IN EARLY 2017 A REPLACEMENT WAS NOT OBTAINED. SUBSTANCE USE DISORDERS ARE ADDRESSED WITHIN THE CONTEXT OF MENTAL HEALTH CARE. -CONTINUED ASSESSMENT OF COMMUNITY NEEDS AND DEVELOPMENT OF PROGRAMS AS NEED IS IDENTIFIED-ACTION - IN 2019, WE CONTINUED TO ADDRESS, WHEN APPROPRIATE, SUBSTANCE USE ISSUES IN INDIVIDUAL APPOINTMENTS AND PROGRAMMING, HOWEVER, NONE OF OUR PROGRAMMING IS SUBSTANCE USE DISORDER SPECIFIC. WE DO HAVE SEVERAL PROVIDERS WHO HAVE SPECIALIZATION IN SUBSTANCE USE TREATMENT AND TWO OF OUR OUTPATIENT PROVIDERS ARE DUALLY LICENSED AS LADC AND LPCC. -IN 2019, WE HIRED AND ON-BOARDED TWO ADDITIONAL PRESCRIBERS, FOUR PSYCHOLOGISTS, AND ONE INTEGRATIVE BEHAVIORAL HEALTH PROVIDER WHO IS LOCATED OUT OF THE CAMDEN PRIMARY CARE CLINIC. WE CONTINUED TO OFFER MENTAL HEALTH PROGRAMMING WITH A FOCUS ON HOLISTIC CARE, TRAUMA/POST-TRAUMATIC STRESS DISORDER, AND SEVERE AND PERSISTENT MENTAL ILLNESS. WE HIRED TWO ADDITIONAL PSYCHIATRISTS IN 2019, WHO WILL START IN SUMMER/FALL 2020.-IN 2019, TWO OF THE NEWLY HIRED OUTPATIENT PSYCHOLOGISTS CAME TO NORTH WITH A SIGNIFICANT PROFESSIONAL BACKGROUND IN WORKING WITH POPULATIONS STRUGGLING WITH ADDICTION. DEVELOPING CO-OCCURRING MH/SUD PROGRAMMING REMAINS A POSSIBLE PLAN FOR EXPANSION, BUT WE HAVE BEEN LIMITED BY NOT HAVING ADDICTION SPECIALISTS AMONGST OUR OUTPATIENT PRESCRIBERS. III. INCREASE AWARENESS OF OPIOID MISUSE AND WORK TO PUT SYSTEMS IN PLACE TO REDUCE THIS MISUSESTRATEGIES:-GROW OPIOIDS CLINICAL PRACTICE COUNCIL TO MANAGE OPIOID PROGRAM DEVELOPMENT AND DEPLOY INSTITUTE FOR CLINICAL IMPROVEMENT (ICSI) OPIOID GUIDELINES-ACTION WORKGROUPS HAVE BEEN FORMED AROUND:-BEST PRACTICE PRESCRIBING-IMPLEMENTED ENHANCED FUNCTIONALITY TO INTEGRATE THE MINNESOTA PRESCRIPTION MONITORING PROGRAM (PMP) WITHIN THE ELECTRONIC MEDICAL RECORD TO ENHANCE USE AND FUNCTIONALITY.-DEPLOYED A POST-OPERATIVE PAIN MANAGEMENT PATIENT GUIDE TO ENHANCE PATIENT ENGAGEMENT IN CARE AND REDUCE SOLE RELIANCE ON OPIOIDS.-ACTIVE ENGAGEMENT WITHIN THE MN HEALTH COLLABORATIVE ACTIVATED BY THE INSTITUTE FOR CLINICAL IMPROVEMENT TO DRIVE EFFORTS STATEWIDE.-IMPLEMENTED DEFAULT OPIOID PRESCRIBING SETTINGS AND ALERTS IN THE ELECTRONIC MEDICAL RECORD TO SUPPORT BEST PRACTICE PRESCRIBING. -SURGICAL PRESCRIBING AT OR BELOW THE PRESCRIBING BENCHMARKS CONTINUED ROLLOUT TO PROCEDURES IN 3 ADDITIONAL SPECIALTIES, RESULTING IN A 24% INCREASE IN PROCEDURES PRESCRIBED AT OR BELOW BENCHMARK AND 100,000 FEWER PILLS PRESCRIBED FROM BASELINE. -IN 2019, THE EMERGENCY DEPARTMENT PRESCRIPTIONS WERE IN LINE WITH GUIDELINES 95% OF THE TIME RESULTING IN 42,000 FEWER OPIOID PILLS PRESCRIBED. -THE AMBULATORY SETTING DECREASED PRESCRIBING OPIOIDS TO OPIOID NAVE CUSTOMERS AND INCREASED THE VOLUME OF SCRIPTS AT OR BELOW BASELINE FOR ACUTE PRESCRIBING.-HIGH RISK POPULATIONS-MEDICATION ASSISTED THERAPY GUIDELINE AND WORKFLOW WITHIN THE EMERGENCY DEPARTMENT INITIATED TO SUPPORT RAPID TREATMENT INITIATION AND COMMUNITY-BASED ADDICTION CARE FOLLOW-UP. -IMPLEMENTED OUTPATIENT MEDICATION ASSISTED THERAPY BEST PRACTICE GUIDELINE AND ELECTRONIC MEDICAL RECORD TOOLS.-PROPER DISPOSAL OF UNUSED OPIOIDS -NORTH MEMORIAL HEALTH HOSPITAL AND MAPLE GROVE HOSPITAL CONTINUED TO PROTECT OUR COMMUNITIES BY PROVIDING ACCESS TO SAFE DISPOSAL OPTIONS FOR UNWANTED MEDICATIONS. THE DISPOSAL KIOSKS ARE INSTALLED AT BOTH NORTH MEMORIAL HEALTH PHARMACY ROBBINSDALE ON THE FIRST FLOOR OF NORTH MEMORIAL HEALTH HOSPITAL AND NORTH MEMORIAL HEALTH PHARMACY MAPLE GROVE AT MAPLE GROVE MEDICAL CENTER. -LANGUAGE ADDED TO ALL AFTER VISIT SUMMARIES INSTRUCTING PATIENTS OF HOW TO DISPOSE OF MEDICATIONS PROPERLY.STRATEGIES: -GROW INTERNAL TEAM TO MANAGE OPIOID PROGRAM DEVELOPMENT AND DEPLOY ICSI CONTENT-ACTION - A WORKGROUP HAS BEEN FORMED AROUND:-CHRONIC PRESCRIBING FOR CHRONIC PAIN.-PUBLISHED OPIOID USE DISORDER ALGORITHM AND TAPERING GUIDELINE.-IMPLEMENTED ENHANCED FUNCTIONALITY TO INTEGRATE THE MINNESOTA PRESCRIPTION MONITORING PROGRAM (PMP) WITHIN THE ELECTRONIC MEDICAL RECORD TO ENHANCE USE AND FUNCTIONALITY.-IMPLEMENTED ALERTS IN THE ELECTRONIC MEDICAL RECORD TO SUPPORT BEST PRACTICE PRESCRIBING. -CONTINUE INVOLVEMENT WITH PARTNERSHIP FOR CHANGE AND MINNESOTA'S PRESCRIPTION MONITORING PROGRAM (PMP)-ACTION - PARTNERSHIP FOR CHANGE WORKING IN PARTNERSHIP WITH THE PHARMACY DEPARTMENT ON INTEGRATING PMP INTO EPIC, PATIENT PORTAL AND EDUCATION.-PROVIDER FORUM: PANEL DISCUSSION ON OPIOIDS, OCTOBER 2019-THE MEDICINE ABUSE PREVENTION WORKGROUP COLLABORATED WITH NORTH MEMORIAL ED AND GRAND ROUNDS STAFF TO PLAN A PROVIDER EDUCATION EVENT SURROUNDING THE OPIOID EPIDEMIC. MORE THAN 50 PROVIDERS ATTENDED THE EVENT IN OCTOBER, WHICH UPDATED ON OPIOID PRESCRIBING TRENDS, HOW THE PRESCRIPTION DRUG MONITORING PROGRAM IS NOW ACCESSIBLE DIRECTLY THROUGH EPIC, AND TRIPS FOR HAVING CONVERSATIONS WITH PATIENTS ABOUT LIMITING AND TAPERING OPIOID PRESCRIPTIONS.-RESEARCH COMMUNITY BASED OPIOID ABUSE PREVENTION PROGRAMS-ACTION - BEING ADDRESSED BY WORK WITH ICSI AND PARTNERSHIP FOR CHANGE.CONTINUED...
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: PRIORITY 3: FOOD/ACCESS/AFFORDABILITY/ NUTRITION EDUCATIONGOAL TO IMPROVE ACCESS TO NUTRITIOUS FOOD AND PROMOTE HEALTHY LIFESTYLES FOR EMPLOYEES AND COMMUNITY MEMBERS. OBJECTIVES: I. IMPROVE ACCESS TO HEALTHY FOODS IN THE NORTH MINNEAPOLIS CAMDEN COMMUNITY. STRATEGIES:-CONTINUE WORKING WITH PILLSBURY UNITED ON COMMUNITY EDUCATION AT NORTH MARKET-ACTION - NORTH MEMORIAL WAS A MAJOR PARTNER IN THE DEVELOPMENT OF NORTH MARKET, A GROCERY STORE IN NORTH MINNEAPOLIS THAT IS A FOOD DESSERT. NORTH MEMORIAL WORKED WITH PILLSBURY UNITED IN BUILDING NORTH MARKET. NORTH MEMORIAL IS OPERATING A WELLNESS RESOURCE CENTER WHICH IS STAFFED BY A COMMUNITY WELLNESS COORDINATOR, COMMUNITY HEALTH WORKERS, A PHARMACY TECHNICIAN, AND A NUTRITIONIST. NORTH MARKET OPENED DECEMBER 14, 2017.-EXPLORED NUTRITION EDUCATION PROGRAMS FOR NORTH MARKET-ACTION - NORTH MARKET OPENED DECEMBER 14, 2017. CLASSES OFFERED AT NORTH MARKET IN 2019 INCLUDED:-JULY 11, 2019 TO AUGUST 22, 2019 - STEPPING ON, FALLS PREVENTION CLASS 4 PARTICIPANTS.-JULY 2019 - PARTNERED WITH COMMUNITY HEALTH WORKER'S FOR THE PILLSBURY UNITED COMMUNITIES QUIT LOUNGE EVENT 5 PARTICIPANTS. -AUGUST 6, 2019 TO SEPTEMBER 10, 2019 LIVING WELL WITH CHRONIC CONDITIONS CLASS 5 PARTICIPANTS2019 COMMUNITY EVENTS NORTH MARKET PARTICIPATED IN INCLUDED:-MID-MAY 2019 TO DECEMBER 2019 - CONDUCTED GROCERY STORE TOURS - 32 PARTICIPANTS.-MID-MAY 2019 TO DECEMBER 2019 ASSISTED CUSTOMERS GET ESTABLISHED WITH NEW PRIMARY CARE PHYSICIANS AT NORTH MEMORIAL HEALTH 11 PERSONS SERVED-AUGUST 2019 - PARTNERED WITH PILLSBURY UNITED COMMUNITIES COMMUNITY HEALTH WORKER'S SAMPLING HEALTHY SNACKS AND INFUSED WATER FOR THEIR FEED YOUR POTENTIAL PROGRAM AT THE CAMDEN FARMERS MARKET HELD IN THE NORTH MARKET PARKING LOT 30 PARTICIPANTS-MIDAUGUST 2019 TO 1ST WEEK OF SEPTEMBER 2019 - BACK TO SCHOOL SUPPLY DRIVE, DISTRIBUTED BAGS FULL OF SCHOOL SUPPLIES BETWEEN THE CAMDEN FARMERS MARKET HELD IN THE NORTH MARKET PARKING LOT AND THE WELLNESS RESOURCE CENTER 100 BAGS DISTRIBUTED-OCTOBER 31, 2019 WELLNESS RESOURCE CENTER HALLOWEEN PARTY - 100 PERSONS ATTENDED.-NOVEMBER 2019 - DECEMBER 2019 ASSISTED PILLSBURY UNITED COMMUNITIES COMMUNITY HEALTH WORKER'S PROMOTE THEIR DIABETES PREVENTION PROGRAM-NOVEMBER 16, 2019 DECEMBER 31, 2019 - SURVEYED CUSTOMERS FOR WELLNESS RESOURCE CENTER: WELLNESS WEDNESDAY'S 2020 POTENTIAL CLASSES 58 PARTICIPANTS.-NOVEMBER 18, 2019 NOVEMBER 29, 2019 HOSTED A HOLIDAY RECIPE EXCHANGE 25 PARTICIPANTS-DECEMBER 2, 2019 DECEMBER 20, 2019 HOSTED A HOLIDAY RECIPE EXCHANGE 40 PARTICIPANTSII. INCREASE COLLABORATION AND CONNECTIVITY BETWEEN NORTH MEMORIAL HEALTH HOSPITAL AND COMMUNITY ORGANIZATIONS WORKING ON FOOD ACCESS AND NUTRITIONSTRATEGIES:-EXPLORE PARTNERSHIP OPPORTUNITIES WITH NORTHSIDE FRESH-ACTION - NO PARTNERSHIP PROGRAMS HAVE BEEN IDENTIFIED AT THIS TIME.-EXPLORE PARTNERSHIP OPPORTUNITIES WITH CEAP AND SECOND HARVEST HEARTLAND -ACTION - CURRENTLY WORKING WITH CEAP ON SPONSORING FARM FRESHFEST (A FREE FARMERS MARKET FOR ANY AND ALL) AND EXPLORING NEW PROGRAMS AROUND FOOD DELIVERY. PROVIDING COMMUNITY PARAMEDICS WITH BRIDGE BAGS TO PROVIDE TO PATIENTS IN NEED. BRIDGE BAGS CONTINUE TO BE REQUESTED BY THE NMH COMMUNITY PARAMEDIC TEAM. FINANCIALLY SUPPORTING FARM FRESHFEST EACH YEAR HAS BECOME AN ANTICIPATED EVENT BY THE NMH TEAM!-ACTION - WE CONTINUE TO WORK WITH CEAP TO BRAINSTORM NEW IDEAS TO UTILIZE THEIR PROGRAMS.-ACTION - WORKING WITH SECOND HARVEST HEARTLAND TO PROVIDE FOOD ASSISTANCE SCREENING, FOOD BOXES AND DISEASE MANAGEMENT EDUCATION TO OUR PATIENTS. WE HAVE SCREENED 260 PEOPLE, IDENTIFIED 226 FOOD INSECURE INDIVIDUALS, AND ENROLLED 191 PEOPLE IN THE FOOD RX PROGRAM. WE ALSO MADE 27 REFERRALS TO SNAP SERVICES AND PROVIDED ADDITIONAL FOOD RESOURCE INFORMATION TO 46 INDIVIDUALS IN NEED. -ACTION - CONTINUE COLLABORATION OF ENROLLING AND EXPANDING THE FOOD RX PROGRAM TO MORE ENROLLEES. WE HAVE UTILIZED VOLUNTEERS THROUGH MED TRANS TO BEGIN DOING HOME DELIVERIES FOR THOSE WHO STRUGGLE WITH TRANSPORTATION.III. CONTINUATION OF THE COMMUNITY PARAMEDIC FOOD INSECURITY PROGRAMSTRATEGY:-CONTINUE IMPLEMENTATION OF THE FOOD INSECURITY GUIDELINES.-ACTION - PREPARED AND PURCHASED EMERGENCY FOOD SUPPLIES WHICH INCLUDED THE DELIVERY OF 15 BRIDGE BAGS AND 125 SNACK BOXES TO CUSTOMERS THAT SHOWED INDICATIONS OF FOOD INSECURITY. THE HEALTH PRIORITIES NOT BEING ADDRESSED DIRECTLY INCLUDE:-OBESITY -CULTURAL DIVERSITY -RESPIRATORY DISEASE -YOUTH - EDUCATION ON HEALTH CARE CAREERS, LEADERSHIP DEVELOPMENTTHE COMMUNITY ENGAGEMENT ADVISORY TEAM FELT THAT TO MAKE A MEANINGFUL DIFFERENCE IN THE TOP THREE IDENTIFIED HEALTH PRIORITIES RESOURCES SHOULD BE FOCUSED ON THESE PRIORITIES AND NOT SPREAD ACROSS A MULTITUDE OF PRIORITIES. OBESITY IS BEING ADDRESSED IN THE COMMUNITY BY THE NEW HOPE YMCA AND LOCAL PARK AND RECREATION DEPARTMENTS. CULTURAL DIVERSITY IS BEING WOVEN INTO THE TOP THREE PRIORITIES. THE AMERICAN LUNG ASSOCIATION IS ADDRESSING RESPIRATORY DISEASES. YOUTH HAVE ACCESS TO VOLUNTEER OPPORTUNITIES THROUGH NORTH MEMORIAL HEALTH HOSPITAL VOLUNTEER DEPARTMENT.
PART V, SECTION B, LINE 7A & 10A: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN POSTED ONLINE AT:HTTPS://NORTHMEMORIAL.COM/WP-CONTENT/UPLOADS/2016/10/NMHH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-123019.PDFTHE IMPLEMENTATION PLAN HAS BEEN POSTED ONLINE AT: HTTPS://NORTHMEMORIAL.COM/WP-CONTENT/UPLOADS/2016/10/NMH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT_2020.PDF
PART V, SECTION B, LINE 16: FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://NORTHMEMORIAL.COM/FINANCIAL-ASSISTANCE/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address Type of Facility (describe)
1 1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS
2955 XENIUM LANE SUITE 40
PLYMOUTH,MN55441 		OUTPATIENT RADIOLOGY
2 2 - BLAINE URGENCY CENTER
480 OSBORNE RD NE
FRIDLEY,MN55432 		URGENT CARE
3 3 - NM AMBUL SURGERY CENTER MAPLE GROVE
9875 HOSPITAL DRIVE
MAPLE GROVE,MN55369 		OUTPATIENT SURGERY
4 4 - NORTH RADIATION THERAPY CENTER
6950 FRANCE AVE S SUITE 200
EDINA,MN55435 		OUTPATIENT RADIOLOGY
5 5 - MINNETONKA AMBULATORY SURGERY CENTER
15450 HIGHWAY 7 SUITE 200
MINNETONKA,MN55345 		OUTPATIENT SURGERY
6 6 - CRYSTAL IMAGING CENTER
5700 BOTTINEAU BLVD
CRYSTAL,MN55429 		OUTPATIENT RADIOLOGY
7 7 - MULTICARE SLEEP CENTER LLC
10600 OLD COUNTY ROAD 15
PLYMOUTH,MN55441 		OUTPATIENT SLEEP CENTER
8
9
10
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART III, LINE 2: AMOUNT REPRESENTS THE HOSPITAL'S BAD DEBT PROVISION REDUCED BY THE HOSPITAL'S COST TO CHARGE RATIO WHICH REPRESENTS THE BEST ESTIMATE OF COST FOR THE BAD DEBT PROVISION.
PART III, LINE 4: NORTH MEMORIAL HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT.
PART III, LINE 8: THE SHORTFALL REPORTED REPRESENTS THE AMOUNT MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS IS THE COST TO CHARGE RATIO APPROACH WHICH CALCULATES THE RATIO OF TOTAL HOSPITAL COSTS / TOTAL HOSPITAL GROSS REVENUE AND THEN APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE.
PART III, LINE 9B: NORTH MEMORIAL HEALTH HAS POLICIES AND PROCEDURES IN PLACE FOR COLLECTION PRACTICES THAT INCLUDE IDENTIFICATION AND SCREENING FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE POLICIES ARE AVAILABLE ON THE ORGANIZATION'S INTRANET AND PERTAIN TO ALL ENTITIES UNDER THE NORTH MEMORIAL CORPORATE UMBRELLA.
PART VI, LINE 2: NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY HEALTH STEERING COMMITTEE MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR COMMUNITY HEALTH OUTREACH MANAGER IS A MEMBER OF THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP STEERING COMMITTEE WHICH ALLOWS NORTH MEMORIAL MEDICAL CENTER TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. A NEW COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN COMPLETED IN 2019, INCLUDING COMMUNITY FOCUS GROUPS, TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH NEEDS.
PART VI, LINE 3: NORTH MEMORIAL HEALTH HAS A VERY PROACTIVE PROGRAM TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH THEIR MEDICAL BILLS. WE COMPLY WITH THE ATTORNEY GENERAL'S REQUIREMENT TO PROVIDE A DISCOUNT TO UNINSURED MINNESOTA RESIDENTS AS WELL AS A FINANCIAL ASSISTANCE PROGRAM FOR FINANCIALLY QUALIFIED PATIENTS. WE HAVE PATIENT FINANCIAL ADVOCATES AS WELL AS A CONTRACTED VENDOR THAT MEETS WITH ALL OF OUR UNINSURED INPATIENTS AND SPECIFIC OUTPATIENTS TO ASSIST THEM IN MEDICAL ASSISTANCE ELIGIBILITY AND APPLICATIONS. THIS COULD INCLUDE A VISIT TO THEIR RESIDENCE IF THEY NEED HELP IN COMPLETING ASSISTANCE APPLICATIONS. SHOULD THEY NOT QUALIFY FOR STATE OR FEDERAL ASSISTANCE PROGRAMS, WE OFFER AND ASSIST THEM IN APPLYING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM.IN ADDITION, OUR INTERNAL COLLECTIONS DEPARTMENT AND OUR COLLECTION AGENCIES ARE WELL VERSED IN OUR ASSISTANCE PROGRAMS AND WILL ASSESS DURING THEIR CONVERSATIONS WITH PATIENTS IF REFERRAL TO EITHER A STATE OR FEDERAL PROGRAM OR OUR CHARITY CARE PROGRAM WOULD BE APPROPRIATE.
PART VI, LINE 4: NORTH MEMORIAL HEALTH SERVES A GEOGRAPHIC AREA THAT INCLUDES 58 ZIP CODES IN THE NORTHWEST QUADRANT OF THE TWIN CITIES METRO. THIS SERVICE AREA INCLUDES BOTH URBAN, SUBURBAN, EX-URBAN, AND RURAL AREAS. THIS SERVICE AREA INCLUDES A DIVERSE POPULATION OF 1,280,000 PEOPLE LIVING IN HENNEPIN, WRIGHT, SHERBURNE, ANOKA AND RAMSEY COUNTIES.
PART VI, LINE 5: NORTH MEMORIAL HEALTH HOSPITAL IS A GENERAL ACUTE CARE HOSPITAL PROVIDING SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CARDIOVASCULAR AND OPEN-HEART SERVICES, ONCOLOGY, HIGH RISK MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL-SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATIVE AND BEHAVIORAL SERVICES. NORTH MEMORIAL HEALTH ALSO PROVIDES AN ARRAY OF HEALTH CARE SERVICES TO OUR COMMUNITY INCLUDING PRIMARY CARE, AMBULANCE TRANSPORTATION AND HOSPICE SERVICES. NORTH MEMORIAL HEALTH IS GOVERNED BY A BOARD OF 16 REPRESENTATIVES CONSISTING OF PHYSICIANS AND LEADERS FROM THROUGHOUT THE COMMUNITY. BOARD MEMBERS ARE ELECTED TO SERVE THREE-YEAR TERMS FOR A TOTAL OF FIVE TERMS. THE HOSPITAL ALSO SUPPORTS AN OPEN MEDICAL STAFF ORGANIZATION INCLUDING APPROXIMATELY 900 BOARD CERTIFIED PHYSICIANS AND 300 ALLIED HEALTH PROFESSIONALS. THE NORTH MEMORIAL HEALTH BOARD OF TRUSTEES ESTABLISHES AN ANNUAL MARGIN TARGET FOR MANAGEMENT. PER BOARD POLICY 75% OF ANY EXCESS AVAILABLE CASH FLOW IS INVESTED IN CAPITAL IMPROVEMENTS. THE REMAINING 25% IS USED TO SUPPORT LONG TERM OPERATIONS. WE PROVIDE EDUCATION TO THE COMMUNITY ON CHILD SAFETY, STROKE RISK FACTORS, HEART DISEASE RISK FACTORS AND OTHER HEALTH PROMOTION INFORMATION.
PART VI, LINE 6: NORTH MEMORIAL HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. THROUGH TARGETED OUTREACH, EDUCATION AND PARTNERSHIPS, WE IMPROVE THE HEALTH OF OUR COMMUNITIES BY LISTENING TO THEIR NEEDS AND RESPONDING WITH APPROPRIATE PROGRAMS AND SERVICES. OUR PROGRAMS, MANY OF WHICH HAVE BEEN NATIONALLY RECOGNIZED, RANGE FROM HEALTH EDUCATION AND FREE SCREENINGS TO TRAINING HEALTH PROFESSIONALS.
PART VI, LINE 7: NORTH MEMORIAL HEALTH FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA.
Schedule H (Form 990) 2019
Additional Data


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