STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ADVOCATE HEALTH AND HOSPITALS CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ADVOCATE HEALTH AND HOSPITALS CORPORATION (EIN 36-2169147)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-18
IRS object ID
202003239349301515
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-18T12:37:57-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362169147EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADVOCATE HEALTH AND HOSPITALS CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADVOBusinessNameControlTxt
Phone6305729393PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 HIGHLAND PARKWAY SUITE 600AddressLine1Txt
CityDOWNERS GROVECityNm
State AbbreviationILStateAbbreviationCd
ZIP60515ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRACHEL HALVERSONPersonNm
Person TitleVP TAX & ACCTG SVCSPersonTitleTxt
Phone4142991862PhoneNum
Signature2020-11-18SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address168.235.1.4IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-18IPDt
IP Tm12:36:02IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdFCC155BC2B49535202DA78C58BF465DC0A56730CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES SKOGSBERGHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 HIGHLAND PARKWAY SUITE 600AddressLine1Txt
CityDOWNERS GROVECityNm
State AbbreviationILStateAbbreviationCd
ZIP60515ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,106,566,889GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADVOCATEHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1906FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionSERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee34183TotalEmployeeCnt
Total Volunteers3205TotalVolunteersCnt
Total Gross UBI$3,341,705TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,509,158PYContributionsGrantsAmt
CY Contributions Grants$28,047,472CYContributionsGrantsAmt
PY Program Service Revenue$5,263,509,696PYProgramServiceRevenueAmt
CY Program Service Revenue$5,388,961,319CYProgramServiceRevenueAmt
PY Investment Income$249,690,605PYInvestmentIncomeAmt
CY Investment Income$244,267,870CYInvestmentIncomeAmt
PY Other Revenue$11,035,721PYOtherRevenueAmt
CY Other Revenue$11,342,585CYOtherRevenueAmt
PY Total Revenue$5,543,745,180PYTotalRevenueAmt
CY Total Revenue$5,672,619,246CYTotalRevenueAmt
PY Grants And Similar Paid$6,241,300PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,301,611CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,470,970,651PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,658,864,681CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,829,347,560PYOtherExpensesAmt
CY Other Expenses$3,034,943,930CYOtherExpensesAmt
PY Total Expenses$5,306,559,511PYTotalExpensesAmt
CY Total Expenses$5,701,110,222CYTotalExpensesAmt
PY Revenues Less Expenses$237,185,669PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$28,490,976CYRevenuesLessExpensesAmt
Total Assets BOY$12,356,458,273TotalAssetsBOYAmt
Total Assets EOY$14,268,789,247TotalAssetsEOYAmt
Total Liabilities BOY$7,461,070,736TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,971,712,438TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,895,387,537NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,297,076,809NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF ADVOCATE HEALTH AND HOSPITALS CORPORATION IS TO SERVETHE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THOUGH AWHOLISTIC PHILOSOPY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMANBEINGS AS CREATED IN THE IMAGE OF GOD.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,933,172,164ExpenseAmt
Grant$7,301,611GrantAmt
Revenue$3,381,626,946RevenueAmt
DescFINANCIAL ASSISTANCE. PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. INCLUDED IN THESE HEALTH CARE SERVICES ARE THE PROVISION OF FINANCIAL ASSISTANCE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS VISION AND VALUES, ADVOCATE IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR PEOPLE WHO ARE UNINSURED, UNDERINSURED AND LOW INCOME. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. FROM JANUARY 2019 TO MAY 2019, UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL), AND INSURED PATIENTS EARNING UP TO FOUR TIMES THE FPL WERE ELIGIBLE TO BE CONSIDERED FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. AS OF JUNE 2019, PATIENTS EARNING UP TO SIX TIMES THE FPL, AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT WAS ADDED FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. BOTH UNINSURED AND INSURED REQUESTS ARE GIVEN CONSIDERATION BASED ON THE INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP.ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARETODAY AND INTO THE FUTURE. IN THE AREA OF TRAUMA CARE, LEVEL 1 DESIGNATION IS THE HIGHEST LEVEL FOR TRAUMA CENTERS. AS LEVEL 1 TRAUMA CENTERS, FIVE ADVOCATE HOSPITALSADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERALCARE FOR THE MOST SERIOUSLY INJURED PEOPLE IN CHICAGOLAND. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE'S TRAUMA CENTERS ARE STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURE 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. ADVOCATE OPERATES NEARLY ONE-QUARTER OF ALL LEVEL I TRAUMA CENTERS IN ILLINOIS AND IS THE LARGEST TRAUMA SYSTEM IN THE STATE. TWENTY PERCENT OF TRAUMA PATIENTS IN METROPOLITAN CHICAGO ARE TREATED ANNUALLY IN AN ADVOCATE TRAUMA CENTER. IN 2019, ADVOCATE'S LEVEL I TRAUMA HOSPITALS TREATED 7,773 TRAUMA PATIENTS. AN ADDITIONAL 973 TRAUMA PATIENTS WERE TREATED AT ADVOCATE'S LEVEL II DESIGNATED TRAUMA HOSPITALSADVOCATE BROMENN, ADVOCATE GOOD SHEPHERD AND ADVOCATE SHERMAN. IN ADDITION, THERE WERE AN ADDITIONAL 535,343 NON-TRAUMA EMERGENCY ROOM VISITS FOR ALL ADVOCATE'S HOSPITALS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,476,416,211ExpenseAmt
Revenue$1,235,790,883RevenueAmt
DescHEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. AS PART OF ADVOCATE'S BROAD ARRAY OF SERVICES AND PROGRAMS DESIGNED TO MEET COMMUNITY HEALTH NEEDS, ADVOCATE PHYSICIANS TARGET UNIQUE HEALTH ACCESS NEEDS OF THE UNINSURED, UNDERINSURED, UNDERSERVED, LOW INCOME AND SPECIAL NEEDS INDIVIDUALS LIVING IN CHICAGOLAND AND CENTRAL ILLINOIS COMMUNITIES. EXAMPLES OF THESE PROGRAMS INCLUDE:ADVOCATE ADULT DOWN SYNDROME CENTER. ESTABLISHED IN 1992 THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), THE ADVOCATE MEDICAL GROUP ADULT DOWN SYNDROME CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. EACH YEAR, APPROXIMATELY 2,000 INDIVIDUALS ARE SERVED THROUGH OVER 7,000 VISITS, INCLUDING CARE IN THE OFFICE, THE PATIENT'S HOME, AT RESIDENTIAL FACILITIES, NURSING HOMES AND IN THE HOSPITAL. THE CENTER'S MULTIDISCIPLINARY APPROACH TO COMPREHENSIVE MEDICAL CARE, WITH A STRONG EMPHASIS ON PREVENTIVE MEDICINE, PROVIDES PRACTICAL APPROACHES TO HEALTH EDUCATION AND HEALTH RISK REDUCTION, INCLUDING SUPPORTING PEOPLE WITH DOWN SYNDROME IN THEIR OWN HEALTH PROMOTION EFFORTS. REIMBURSEMENT IS REDUCED GIVEN MORE TIME IS PROVIDED TO EACH PATIENT VISIT TO ALLOW INDIVIDUALS WITH DOWN SYNDROME TO PARTICIPATE IN THEIR OWN HEALTH CARE. FURTHER, ONLY ONE-THIRD OF THE COST OF THE CLINIC IS REIMBURSED THROUGH BILLING INSURANCE DUE TO THE PAYOR MIX. ADVOCATE GENEROUSLY PROVIDES SOME SERVICES AT THE CENTER THAT ARE KEY TO HEALTH PROMOTION BUT THAT ARE NOT REIMBURSABLE OR BILLABLE. THE CENTER CONTINUES TO FOCUS ON EXPANDING ITS RESEARCH AND PATIENT EDUCATION IN COMING YEARS. MAINE TOWNSHIP DISTRICT 207 SCHOOL-BASED HEALTH CENTERS (SBHC). MAINE TOWNSHIP DISTRICT 207 WAS FACED WITH APPROXIMATELY 30 PERCENT OF ITS STUDENTS NOT BEING ABLE TO MEET, OR EXPERIENCING SIGNIFICANT DIFFICULTY MEETING, THE STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS DUE TO BEING UNINSURED OR UNDERINSURED. FOLLOWING SEVERAL YEARS OF PLANNING AND IN COLLABORATION WITH ADVOCATE MEDICAL GROUP AND ADVOCATE LUTHERAN GENERAL, THE DISTRICT OPENED A SCHOOL-BASED HEALTH CENTER (D207 SBHC) IN MAINE EAST HIGH SCHOOL IN MARCH 2003 TO PROVIDE THESE STUDENTS WITH ACCESS TO VITAL HEALTH CARE SERVICES. ADVOCATE EMPLOYEES SERVE AS MEDICAL DIRECTOR, PEDIATRICIAN, NURSE PRACTITIONER AND MENTAL HEALTH WORKER FOR THE GRANT-FUNDED CLINIC. THE CLINIC HAS A SMALL PHARMACY THAT PROVIDES LIMITED MEDICATIONS FOR STUDENTS IN NEED AND ADVOCATE KEEPS THE CLINIC EQUIPPED WITH OFFICE SUPPLIES AND OTHER EQUIPMENT. THE CENTER ALSO SERVES AS A TRAINING SITE FOR PEDIATRIC AND FAMILY MEDICINE RESIDENTS. OPEN TO ALL HIGH SCHOOL STUDENTS IN MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207, THE D207 SBHC HAS HELPED TO PROVIDE MANY STUDENTS WITH PHYSICALS AND IMMUNIZATIONS WHICH HAS ALLOWED THE DISTRICT TO MAINTAIN ITS 99% IL STATE COMPLIANCE RATE. THE D207 SBHC CONTINUES TO PROVIDE FREE OR LOW-COST SERVICES INCLUDING PHYSICALS, IMMUNIZATIONS, EMERGENT CARE, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL COUNSELING AND EDUCATIONAL PROGRAMS. THE CENTER'S MEDICAL DIRECTOR AND STAFF HAD 1,800 CONTACTS DURING THE 2019/2020 SCHOOL YEAR AND MORE THAN 30,800 STUDENT CONTACTS SINCE THE FACILITY'S INCEPTION. MEDFEST. IN 2019, ADVOCATE MEDICAL GROUP SPONSORED MEDFEST, A COLLABORATIVE WITH SPECIAL OLYMPICS OF ILLINOIS, FOR THE 21ST YEAR IN A ROW. MEDFEST IS ANNUALLY HELD AT VARIOUS LOCATIONS IN THE STATE. THE EVENT PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION THROUGHOUT ILLINOIS. THE FREE CLINICAL SERVICES RESULT IN PARTICIPANTS' ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. AMG PROVIDED 1,764 (207 MORE THAN IN 2018) FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS AT CHICAGO'S UNITED CENTER IN 2019, ALLOWING THEM OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. ADVOCATE MEDICAL GROUP HAS ALSO PROVIDED FREE PHYSICALS TO SPECIAL OLYMPIANS IN BLOOMINGTON FOR THE PAST 6 YEARS AND IN ORLAND PARK FOR OVER ELEVEN YEARS, PROVIDING 40 AND 208 PHYSICAL EXAMS, RESPECTIVELY, IN 2019.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$83,222,063ExpenseAmt
Revenue$26,055,230RevenueAmt
DescGRADUATE MEDICAL EDUCATION (GME) AND POST-GRADUATE (CME)/MEDICAL STUDENTS/OTHER HEALTH PROFESSIONALS EDUCATION. ADVOCATE IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF MEDICAL SPECIALTIES. AS ONE OF THE LARGEST PROVIDERS OF TRAINING IN PRIMARY CARE MEDICINE IN ILLINOIS, THERE WERE 2,270 MEDICAL STUDENT ROTATIONS COMPLETED AND 580 RESIDENTS AND FELLOWS WHO RECEIVED HANDS-ON TRAINING IN 2019 AT ADVOCATE'S FOUR ACADEMIC MEDICAL CENTERSADVOCATE BROMENN, ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL. ADVOCATE IS ALSO ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR NON-ADVOCATE PHYSCIAINS AND HEALTH CARE PROVESSIONALS IN THE REGION, AS WELL AS FOR ADVOCATE'S OWN PHYSICIANS. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GROUND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND JOURNAL CLUBSAS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2019, ADVOCATE HOSTED 2,887 CME EVENTS TO 39,456 PARTICIPANTS, OF WHICH 28,116 WERE PHYSICIANS, AT 13 ADVOCATE SITES FOR A TOTAL OF 3,863 CME CREDIT HOURS.IN ADDITION TO TEACHING GME AND CME STUDENTS, ADVOCATE MEDICAL GROUP (AMG) PHYSICIANS ALSO DEVOTE ONE-ON-ONE TIME TO TEACHING PHYSICIAN ASSISTANTS (PA) AND NURSE PRACTIONER (NP) STUDENTS FROM MULTIPLE AREA UNIVERSITIES. IN 2019, AMG PHYSICIANS ALONE DEVOTED 14,649 HOURS TO TEACHING NP STUDENTS (AMG STAFF APN'S DEVOTED AN ADDITIONAL 2,280 HOURS TO TEACHING NP STUDENTS) AND 4,984 PHYSICIAN HOURS TO TEACHING PA STUDENTS IN PHYSICIANS' OFFICES. THE VALUE OF THEIR TIME TEACHING THESE STUDENTS TOTALED OVER $4.5M IN 2019.DEPENDENT ON EACH HOSPITAL'S OR ADVOCATE'S SYSTEM-LEVEL ACADEMIC AFFILIATIONS, THE TRAINING OF UNDERGRADUATE AND GRADUATE STUDENT NURSES, AND STUDENTS IN OTHER ALLIED HEALTH PROFESSIONS, SUCH AS RESPIRATORY CARE, RADIOLOGIC TECHNOLOGY, PHYSICAL AND SPEECH THERAPY, PHARMACEUTICAL SERVICES, ETC., ALSO OCCURS THROUGHOUT ADVOCATE'S MULTIPLE SITES. ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. SUPERVISING OVER 200 STUDENT UNITS EACH YEAR, THIS PROGRAM IS THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS.NOT INCLUDED IN THE EXPENSE AND REVENUE AMOUNTS BUT IMPORTANT TO THE ORGANIZATION'S ROLE IN TRAINING HEALTH CARE PROFESSIONALS, ARE THE NURSING RESIDENCY PROGRAMS AT TWO OF ITS HOSPITALSADVOCATE GOOD SAMARITAN AND ADVOCATE ILLINOIS MASONIC. RESIDENCY PROGRAMS OCCUR IN OTHER DISCIPLINES AS WELL, SUCH AS THE PHARMACY RESIDENCY PROGRAM FOR EXAMPLE, AT MULTIPLE ADVOCATE SITES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$877,821,532ExpenseAmt
Revenue$742,146,555RevenueAmt
DescDESCRIPTION OF ADVOCATE AURORA HEALTH IN APRIL 2018, ADVOCATE HEALTH CARE OF ILLINOIS AND AURORA HEALTH CARE OF WISCONSIN MERGED. ADVOCATE AURORA HEALTH IS AMONG THE 10 LARGEST NOT-FOR-PROFIT, INTEGRATED HEALTH SYSTEMS IN THE UNITED STATES AND A LEADING EMPLOYER IN THE MIDWEST WITH MORE THAN 70,000 TEAM MEMBERS, INCLUDING MORE THAN 22,000 NURSES, AND HAS ONE OF THE LARGEST EMPLOYED MEDICAL STAFF IN THE REGION AND A HOME HEALTH ORGANIZATION. A NATIONAL LEADER IN CLINICAL INNOVATION, HEALTH OUTCOMES, CONSUMER EXPERIENCE AND VALUE-BASED CARE, THE SYSTEM SERVES NEARLY 3 MILLION PATIENTS ANNUALLY IN ILLINOIS AND WISCONSIN ACROSS MORE THAN 500 SITES OF CARE. ADVOCATE AURORA IS ENGAGED IN HUNDREDS OF CLINICAL TRIALS AND RESEARCH STUDIES, AND IS NATIONALLY RECOGNIZED FOR ITS EXPERTISE IN CARDIOLOGY, NEUROSCIENCES, ONCOLOGY AND PEDIATRICS. AS A MERGED ENTITY, ADVOCATE AURORA HEALTH (ILLINOIS AND WISCONSIN) CONTRIBUTED NEARLY $2.2 BILLION IN CHARITABLE CARE AND COMMUNITY HEALTH SERVICES TO ITS COMMUNITIES IN 2019. DESCRIPTION OF ADVOCATE HEALTH CARE (ILLINOIS)WHILE ADVOCATE IS ONE OF TWO ORGANIZATIONS THAT MERGED TO BECOME ADVOCATE AURORA HEALTH IN APRIL 2018, ADVOCATE IN ILLINOIS MAINTAINS A SEPARATE FEIN AND THEREFORE THE NARRATIVE THAT FOLLOWS PERTAINS PREDOMINANTLY TO ADVOCATE HEALTH CARE (ILLINOIS) ONLY. ADVOCATE IS ONE OF THE LARGEST FULLY INTEGRATED HEALTH CARE SYSTEMS IN ILLINOIS AND ONE OF THE LARGEST HEALTH CARE PROVIDERS IN THE MIDWEST. IN 2019, AS PART OF A NETWORK OF NEARLY 400 SITES OF CARE IN ILLINOIS, ADVOCATE'S MORE THAN 36,978 TEAM MEMBERS PROVIDED CARE AT TWELVE HOSPITALS, INCLUDING A CHILDREN'S HOSPITAL LOCATED ON TWO CAMPUSES (OAK LAWN AND PARK RIDGE, ILLINOIS), TOTALING 3,285 LICENSED BEDS. ADVOCATE HAD A COMBINED TOTAL OF 170,610 INPATIENT ADMISSIONS, 2,001,817 OUTPATIENT VISITS AND 544,089 EMERGENCY DEPARTMENT VISITS IN 2019. IN ADDITION, THE ORGANIZATION IS RECOGNIZED AS HAVING ONE OF THE LARGEST HOME HEALTH CARE COMPANIES IN THE STATE. EIGHT ADVOCATE HOSPITALS HAVE BEEN RECOGNIZED FOR DELIVERING EXCEPTIONAL PATIENT CARE FOR 2019-20 BY U.S. NEWS & WORLD REPORT, INCLUDING ADVOCATE'S BROMENN, CHRIST, CONDELL, GOOD SAMARITAN, GOOD SHEPHERD, ILLINOIS MASONIC, LUTHERAN AND SHERMAN. ADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN AND ADVICATE LUTHERAN GENERAL RANKED IN THE TOP 10 IN ILLINOIS. IN ADDITION, ADVOCATE CHILDREN'S HOSPITAL ON BOTH CAMPUSESOAK LAWN AND PARK RIDGERANKED 13TH IN THE NATION FOR PEDIATRIC CARDIOLOGY AND CARDIOVASCULAR SURGERY IN THE U.S. NEWS & WORLD REPORT'S 2019-20 BEST CHILDREN'S HOSPITALS RANKINGS. THIS DESIGNATION IS SIGNFIICANT GIVEN THE PROGRAM ROSE 10 SPOTS GOING FROM 23RD IN THE NATION THE YEAR BEFORE TO 13TH IN ONE YEAR.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) REPORTED 5-STAR RATINGS FOR OVERALL HOSPITAL QUALITY TO TWO ADVOCATE HOSPITALS IN 2019ADVOCATE LUTHERAN GENERAL AND ADVOCATE SHERMAN. THE HOSPITALS WERE TWO OF ONLY 293 HOSPITALS THAT RECEIVED A FIVE STAR RANKING FROM CMS. THE CMS HOSPITAL COMPARE WEBSITE REORTS ON QUALITY MEASURES FOR MORE THAN 4,500 HOSPITALS NATIONWIDE. TWO ADVOCATE HOSPITALSADVOCATE ILLINOIS MASONIC AND SHERMANHAVE ALSO EARNED NATION'S TOP 100 HOSPITALS RECOGNITION IN 2019 FROM IBM WATSON (FORMERLY TRUVEN HEALTH ANALYTICS) FOR PERFORMANCE IN PATIENT SAFETY, QUALITY OF CARE, FINANCIAL STABILITY, OPERATIONAL EFFECIENCY AND PATIENT SATISFACTION SCORES. IN ADDITION, EIGHT ADVOCATE HOSPITALSADVOCATE'S BROMENN, CHRIST, CONDELL, GOOD SAMARITAN, GOOD SHEPHERD, ILLINOIS MASONIC, LUTHERAN GENERAL AND SHERMANHAVE BEEN AWARDED THE AMERCIAN NURSES CREDENTIALING CENTER'S MAGNET DESIGNATIONTHE HIGHEST HONOR FOR NURSING EXCELLENCE. TWO OF THESE HOSPITALSADVOCATE CHRIST AND ADVOCATE LUTHERANACHIEVED MAGNET RECOGNITION FOR THE FOURTH CONSECUTIVE DESIGNATION AND TWO OF ONLY 50 HOSPITALS TO DO SO INTERNATIONALLY.THE AMERICAN HEART ASSOCIATION AND AMERICAN MEDICAL ASSOCIATION AWARDED THE ADVOCATE MEDICAL GROUP WITH THE 2019 TARGET: BP GOLD STATUS FOR ACHIEVING 70 PERCENT OR GREATER BLOOD PRESSURE CONTROL RATES AMONG ADVOCATE'S ADULT PATIENT POPULATION, WHICH REDUCES THE RISK OF HEART ATTACK AND STROKE. CHICAGO MAGAZINE HAS ALSO NAMED 84 ADVOCATE PHYSICIANS AMONG CHICAGO'S TOP CANCER SPECISALISTS. THE LIST RECOGNIZES PHYSICIANS ACROSS CHICAGOLAND WHO WERE NOMINATED BY THEIR PEERS FOR PROVIDING THE BEST CARE IN ONCOLOGY HEALTH SERVICES. IN ADDITION, ADVOCATE GOOD SMARITAN AND ADVOCATE ILLINOIS MASONIC WERE RECOGNIZED BY THE AMERICAN COLLEGE OF SURGEON'S NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (ACS NSQIP) FOR ACHIEVING MERITORIOUS OUTCOMES FOR SURGICAL PATIENT CARE. TEN ADVOCATE HOSPITALSADVOCATE'S BROMENN, CHRIST, CONDELL, GOOD SAMARITAN, GOOD SHEPHERD, ILLINOIS MASONIC, LUTHERAN, SHERMAN, SOUTH SUBURBAN AND TRINITYRECEIVED THE AHA/ASA GET WITH THE GUIDELINES STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET HONOR ROLL/TARGET ROLL ELITE AND TARGET HONOR ROLL ELITE PLUS DISTINCTIONS. IN ADDITION, ADVOCATE SHERMAN RECEIVED THE AHA/ASA GET WITH THE GUIDELINES HEART FAILURE GOLD PLUS AWARD WITH TARGET HONOR ROLL. AND ADVOCATE CHRIST AND ADVOCATE GOOD SAMARITAN RECEIVED THE AHA/ASA GET WITH THE GUIDELINES MISSION: LIFELINE STEMI RECEIVING GOLD CENTER AWARD. ALL ADVOCATE HOSPITALS ALSO PARTICIPATED IN THE HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION) WORKPLACE PARTNERSHIP FOR LIFE CAMPAIGN AND RECEIVED PLATINUM STATUS FOR BRINGING AWARENESS TO ORGAN/TISSUE DONATION WITHIN THE HOSPITALS AND SURROUNDING COMMUNITIES.ADVOCATE WAS RECOGNIZED ON BECKER'S HEALTHCARE'S 150 TOP PLACES TO WORK IN HEALTHCARE LIST FOR 2019. THE LIST HIGHLIGHTS HOSPITALS, HEALTH SYSTEMS AND HEALTHCARE COMPANIES THAT PROMOTE DIVERSITY WITHIN THE WORKFORCE, EMPLOYEE ENGAGEMENT AND PROFESSIONAL GROWTH. ADVOCATE WAS ALSO NAMED TO THE 2019 TOP HOSPITALS AND MEDICAL CENTERS FOR DIVERSITY LIST BY BLACKDOCTOR.ORG BASED ON INITIATIVES AND SUCCESSES TOWARD INCREASING REPRESENTATION OF DIVERSITY WITHIN AN ORGANIZATION. SOME FACTORS CONSIDERED IN THIS AWARD ARE QUALITY OF CARE, DIVERSITY IN SENIOR, EXECUTIVE AND BOARD MEMBER LEVEL POSITIONS AND INITITIAVES, PROGRAMS AND IMPACT IN URBAN COMMUNITIES. NOTABLY, JOSE FELICIANO, SYSTEM VICE PRESIDENT, ENVIRONMENTAL SERVICES AND LINEN DISTRIBUTION, FOR ADVOCATE WAS RECOGNIZED AS ONE OF 50 LOCAL BUSINESS EXECUTIVES AS A BUSINESS LEADER OF COLOR BY CHICAGO UNITED IN 2019.ADVOCATE HAS ALSO BEEN RECOGNIZED BY DIVERSITY MBA MAGAZINE AS A BEST PLACES TO WORK FOR WOMEN AND DIVERSE MANAGERS. THIS AWARD RECOGNIZES ADVOCATE'S ONGOING STRATEGIC EFFORT TO IMPLEMENT INTENTIONAL STRATEGIES FOR WOMEN AND MANAGERS OF DIVERSE BACKGROUNDS TO ADVANCE TO LEADERSHIP ROLES IN THE ORGANIZATION. DIVERSITY MBA EMPHASIZES HOW COMPANIES ARE CHAMPIONING RECRUITMENT EFFORTS THAT RESULT IN A DIVERSE AND TARGETED TALENT SELECTION PROCESS. IN ADDITION TO BEST PLACES TO WORK RECOGNITION, ADVOCATE WAS NAMED TO THE TOP 10 BEST IN CLASS FOR ACCOUNTABILITY AND TOP 5 FOR EXECUTIVE DEVELOPMENT, SUPPLIER DIVERSITY AND REWARD SYSTEMS.ADVOCATE'S NAVIGATE PROGRAM WAS NAMED A FRONTLINE WORKER CHAMPION BY CAREERSTAT, AS IT HELPS TEAM MEMBERS SET A VISION FOR THEIR HEALTH CARE CAREERS BY PROVIDING ACCESS TO MENTORING, COACHING, AND TOOLS AND RESOURCES. CHAMPION AWARD WINNERS HAVE DEVELOPED STRATEGIES TO HIRE A WORKFORCE THAT REFLECTS THE COMMUNITIES IN WHICH THEY OPERATE. THEY HAVE MADE TRAINING, EDUCATION AND DEVELOPMENT OPPORTUNITIES ACCESSIBLE TO MORE EMPLOYEES, REGARDLESS OF FINANCIAL ABILITY OR OTHER BARRIERS, AND ARE HELPING NON-CLINICAL WORKERS MOVE INTO CLINICAL POSTIONS WITH A DEFINED CAREER PATH THAT LEADS TO JOBS THAT PAY FAMILY-SUSTAINING WAGES.THREE ADVOCATE HOSPITALS HAVE BEEN RECOGNIZED FOR THEIR ACCOMPLISHMENTS IN MEETING THE NEEDS OF THE LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND QUEER (LGBTQ) COMMUNITY. IN 2019, ADVOCATE BROMENN AND ADVOCATE CONDELL WERE DESIGNATED A TOP PERFORMER IN LGBTQ HEALTHCARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION. ADVOCATE ILLINOIS MASONIC WAS DESIGNATED A LEADER IN LGBTQ HEALTHCARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION (HRC), THE EDUCATIONAL ARM OF THE NATION'S LARGEST LGBTQ CIVIL RIGHTS ORGANIZATION. HOSPITALS ARE CHOSEN FOR THIS DESIGNATION BASED ON LGBTQ-CENTERED CARE, PATIENT SERVICES AND SUPPORT, EMPLOYEE BENEFITS AND POLICIES, AND PATIENT AND COMMUNITY ENGAGEMENT. ONLY A FEW HUNDRED HOSPITALS IN THE COUNTRY RECEIVE THIS TOP HONOR EACH YEAR.ADVOCATE HEALTH CARE ALSO ACHIEVED HEALTHCARE'S MOST WIRED CERTIFIED LEVEL 7 BY THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) WHICH IS A TRIBUTE TO THE ORGANIZATIONS AND DEDICATED PEOPLE IN THEM WHO ARE TRANSFORMING HEALTH CARE AND IMPROVING OUTCOMES THROUGH ADVANCEMENTS IN INFORMATION TECHNOLOGY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$877,821,532TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$742,146,555TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$5,370,631,970TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related PersonYes (1)GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3741IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee34183EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADVOCATE AURORA HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6309296057PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 HIGHLAND PARKWAY SUITE 600AddressLine1Txt
CityDOWNERS GROVECityNm
State AbbreviationILStateAbbreviationCd
ZIP60515ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES SKOGSBERGH
PRESIDENT, DIRECTOR1.0055.00Yes (X)Yes (X)$0$5,917,505$46,577
MICHELE BAKER RICHARDSON
CHAIRPERSON, DIRECTOR1.003.00Yes (X)Yes (X)$0$132,165$0
JOHN TIMMER
DIRECTOR1.003.00Yes (X)$0$103,333$0
GAIL D HASBROUCK
DIRECTOR1.003.00Yes (X)$0$14,000$38
DAVID ANDERSON
DIRECTOR1.003.00Yes (X)$0$107,333$0
REV DR NATHANIEL EDMOND
DIRECTOR1.004.00Yes (X)$0$18,100$0
RON GREENE
DIRECTOR1.003.00Yes (X)$0$13,000$0
MARK HARRIS JD
DIRECTOR1.003.00Yes (X)$0$69,000$0
LYNN CRUMP-CAINE
DIRECTOR1.003.00Yes (X)$0$80,000$0
CLARENCE NIXON JR PHD
DIRECTOR1.003.00Yes (X)$0$14,000$0
K RICHARD JAKLE
VICE CHAIRPERSON, DIRECTOR1.004.00Yes (X)Yes (X)$0$119,433$0
EMELIE ILARDE MD
DIRECTOR1.003.00Yes (X)$0$8,000$0
GARY STUCK DO
CHIEF MEDICAL OFFICER1.0055.00Yes (X)$0$696,475$45,531
WILLIAM SANTULLI
EVP, CHIEF OPERATING OFFICER1.0055.00Yes (X)$0$3,389,096$49,894
JAMES DOHENY
ASSISTANT TREASURER55.008.00Yes (X)$575,517$0$54,577
REV KATHIE BENDER SCHWICH
CHIEF SPIRITUAL OFFICER1.0055.00Yes (X)$0$872,287$105,846
KEVIN BRADY
CHIEF HUMAN RESOURCES OFFICER1.0055.00Yes (X)$0$1,645,013$64,204
VINCENT BUFALINO MD
CHIEF ADVOCATE MEDICAL GROUP OFFICER1.0055.00Yes (X)$0$1,689,703$53,312
KELLY JO GOLSON
CHIEF MARKETING OFFICER1.0055.00Yes (X)$0$1,316,033$28,503
DOMINIC J NAKIS
CFO & TREASURER1.0055.00Yes (X)$0$2,542,698$53,130
SCOTT POWDER
CHIEF STRATEGY OFFICER1.0055.00Yes (X)$0$1,488,375$50,716
BARBARA BYRNE MD
CHIEF INFORMATION OFFICER1.0055.00Yes (X)$0$1,426,356$86,252
JAMES SLINKMAN
ASSISTANT SECRETARY1.0055.00Yes (X)$0$434,355$60,616
LESLIE LENZO
ASSISTANT TREASURER55.001.00Yes (X)$875,800$0$45,201
MICHAEL GREBE
ASSISTANT SECRETARY, CHIEF LEGAL OFFICER1.0055.00Yes (X)$0$1,358,493$201,665
MICHAEL KERNS
ASSISTANT SECRETARY1.0055.00Yes (X)$0$490,282$60,284
MIKE LAPPIN
SECRETARY1.0055.00Yes (X)$0$1,964,257$331,811
NAN NELSON
ASSISTANT TREASURER1.0055.00Yes (X)$0$1,072,348$167,410
SHELLY HART
ASSISTANT SECRETARY1.0055.00Yes (X)$0$702,837$132,786
STEVE HUSER
ASSISTANT TREASURER1.0055.00Yes (X)$0$437,105$85,462
MICHAEL FARRELL
PRESIDENT OF ADVOCATE CHILDREN'S HOSPITAL55.000.00$1,558,514$0$46,247Yes (X)
TERIKA R MBANU
PRESIDENT OF LUTHERAN GENERAL HOSPITAL55.000.00$660,795$0$53,792Yes (X)
RICHARD HEIM
PRESIDENT, CHRIST MEDICAL CENTER55.000.00$944,028$0$48,634Yes (X)
COLLEEN KANNADAY
PRESIDENT OF BROMENN & EUREKA HOSPITAL55.000.00$848,807$0$49,687Yes (X)
KAREN LAMBERT
PRESIDENT OF GOOD SHEPHERD HOSPITAL55.000.00$1,132,308$0$64,402Yes (X)
NANCY M TINSLEY
PRESIDENT OF GOOD SAMARITAN HOSPITAL55.000.00$562,786$0$34,594Yes (X)
RASHARD JOHNSON
PRESIDENT OF TRINITY & SS55.000.00$468,528$0$12,233Yes (X)
HAMAD FARHAT MD
NEUROSURGEON55.000.00$1,917,530$0$58,166Yes (X)
MICHEL ILBAWI MD
PEDIATRIC CV SURGERY55.000.00$1,242,636$0$51,898Yes (X)
RYAN TROMBLY MD
NEUROSURGEON55.000.00$1,247,152$0$56,166Yes (X)
RICHARD SCOTT
SVP CLINICAL55.000.00$1,586,287$0$85,170Yes (X)
DEMETRIUS LOPES
NEUROSURGEON55.000.00$1,332,474$0$32,932Yes (X)
LEE SACKS MD
EVP,FORMER OFFICER0.00$0$625,633$972Yes (X)
SUSAN CAMPBELL
FORMER OFFICER0.00$407,708$0$7,069Yes (X)
EARL J BARNES II
FORMER OFFICER0.00$0$445,619$30,660Yes (X)
DAVID FOX JR
FORMER KEY EMPLOYEE0.00$154,319$0$8,581Yes (X)
DOMINICA TALLARICO
FORMER KEY EMPLOYEE0.00$1,086,210$0$50,918Yes (X)
KENNETH LUKHARD
FORMER KEY EMPLOYEE0.00$416,181$0$32,111Yes (X)
MATTHEW PRIMACK
FORMER KEY EMPLOYEE0.00$526,010$0$46,771Yes (X)
DEAN KARAHALIOS MD
FORMER HCE-NEUROSURGEON0.00$1,198,754$0$63,442Yes (X)
EGON DOPPENBERG MD
FORMER HCE-NEUROSURGEON0.00$1,213,682$0$55,723Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$19,956,026TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$29,192,834TotReportableCompRltdOrgAmt
Total Other Compensation$2,613,983TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K21IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PHILLIPS LAW OFFICES
161 N CLARK ST SUITE 4925CHICAGOIL60601LEGAL SERVICES$17,529,554
MIDWEST ANESTHESIOLOGISTS LTD
387 SHUMAN BLVD STE 240WNAPERVILLEIL60563MEDICAL SERVICES$10,019,953
UNIVERSITY OF CHICAGO
5801 S ELLIS AVENUECHICAGOIL60637UNIVERSITY SERVICES$9,551,516
CARDIOTHORACIC & VASCULAR SURGIC
9500 BORMET DRIVE SUITE 204MOKENAIL60448MEDICAL SERVICES$8,255,230
BARRY DAVID GOLDBERG
33 N DEARBORN ST SUITE 1930CHICAGOIL60602LEGAL SERVICES$8,000,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K331CntrctRcvdGreaterThan100KCnt
Related Organizations$17,917,157RelatedOrganizationsAmt
Government Grants$5,133,613GovernmentGrantsAmt
All Other Contributions$4,996,702AllOtherContributionsAmt
Total Contributions$28,047,472TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID622110$1,750,309,135$1,750,309,135
BLUE CROSS/MGD CARE622110$1,273,071,782$1,273,071,782
PATIENT SVC REVENUE622110$1,202,456,030$1,202,456,030
PHARMACY446110$647,813,841$647,813,841
LABORATORY621511$382,752,862$382,752,862

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$132,557,669TotalRevenueColumnAmt
Related Or Exempt Func Income$129,215,964RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,341,705UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,388,961,319TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$127,831,657TotalRevenueColumnAmt
Exclusion$127,831,657ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,228TotalRevenueColumnAmt
Exclusion$36,228ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,099,913RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$8,285,399RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$185,486RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$185,486TotalRevenueColumnAmt
Exclusion-$185,486ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,540,365,721SecuritiesAmt
Other$1,732,736OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,421,747,320SecuritiesAmt
Other$3,914,924OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$118,618,401SecuritiesAmt
Other-$2,182,188OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,436,213TotalRevenueColumnAmt
Exclusion$116,436,213ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$450FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$450TotalRevenueColumnAmt
Exclusion$450ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722514$9,498,557$9,498,557
MISCELLANEOUS621999$1,179,459$1,179,459
GIFT SHOP812930$828,375$828,375

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,998TotalRevenueColumnAmt
Exclusion-$14,998ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,491,393OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,672,619,246TotalRevenueColumnAmt
Related Or Exempt Func Income$5,385,619,614RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,341,705UnrelatedBusinessRevenueAmt
Exclusion$255,610,455ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,301,611TotalAmt
Program Services$7,301,611ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,627,083TotalAmt
Program Services$7,627,083ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,838,418TotalAmt
Program Services$1,838,418ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,173,707,642TotalAmt
Program Services$1,990,354,972ProgramServicesAmt
Management And General$183,352,670ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$83,209,811TotalAmt
Program Services$73,978,678ProgramServicesAmt
Management And General$9,231,133ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$251,064,230TotalAmt
Program Services$233,404,746ProgramServicesAmt
Management And General$17,659,484ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$141,417,497TotalAmt
Program Services$128,195,473ProgramServicesAmt
Management And General$13,222,024ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$43,396,855TotalAmt
Management And General$43,396,855ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,762,838TotalAmt
Management And General$2,762,838ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$551,281TotalAmt
Management And General$551,281ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,753,514TotalAmt
Management And General$1,753,514ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$868,352TotalAmt
Management And General$868,352ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$422,935,879TotalAmt
Management And General$422,935,879ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$19,043,669TotalAmt
Program Services$1,027,714ProgramServicesAmt
Management And General$18,015,955ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,097,448TotalAmt
Program Services$10,243,863ProgramServicesAmt
Management And General$3,853,585ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$170,663,567TotalAmt
Program Services$164,820,408ProgramServicesAmt
Management And General$5,843,159ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$89,509,140TotalAmt
Program Services$81,258,264ProgramServicesAmt
Management And General$8,250,876ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,799,661TotalAmt
Program Services$6,044,721ProgramServicesAmt
Management And General$2,754,940ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,882,767TotalAmt
Program Services$7,607,981ProgramServicesAmt
Management And General$1,274,786ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$49,647,716TotalAmt
Program Services$49,644,757ProgramServicesAmt
Management And General$2,959ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$237,903,565TotalAmt
Program Services$209,871,180ProgramServicesAmt
Management And General$28,032,385ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$57,371,477TotalAmt
Program Services$55,709,188ProgramServicesAmt
Management And General$1,662,289ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER INTERCOMPANY$769,499,461$764,846,352$4,653,109
MEDICAL SUPPLIES$717,163,440$719,529,119-$2,365,679
BAD DEBT$174,509,165$174,509,165
INCOME TAXES$887,447$887,447

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$244,696,688TotalAmt
Program Services$681,930,830ProgramServicesAmt
Management And General-$437,234,142ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,701,110,222TotalAmt
Program Services$5,370,631,970ProgramServicesAmt
Management And General$330,478,252ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$73,587,897BOYAmt
EOY$129,375,434EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$134,180BOYAmt
EOY$140,244EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,351,374BOYAmt
EOY$3,005,724EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$648,853,725BOYAmt
EOY$708,251,462EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,393,083,953BOYAmt
EOY$1,467,359,444EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$63,443,578BOYAmt
EOY$62,804,909EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$50,806,199BOYAmt
EOY$58,328,807EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,682,490,728LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,299,873,334LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,221,648,306BOYAmt
EOY$2,382,617,394EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,062,323,134BOYAmt
EOY$4,943,503,759EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,385,868,614BOYAmt
EOY$3,951,932,009EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$96,883,078BOYAmt
EOY$101,795,607EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$41,651,441BOYAmt
EOY$40,408,739EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$315,822,794BOYAmt
EOY$419,265,715EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,356,458,273BOYAmt
EOY$14,268,789,247EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$838,505,971BOYAmt
EOY$1,032,258,425EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,917,433BOYAmt
EOY$17,636,606EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,942,947,870BOYAmt
EOY$1,514,549,946EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$30,060,974BOYAmt
EOY$32,544,043EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,640,638,488BOYAmt
EOY$6,374,723,418EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,461,070,736BOYAmt
EOY$8,971,712,438EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,864,793,545BOYAmt
EOY$5,266,360,903EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,593,992BOYAmt
EOY$30,715,906EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,895,387,537BOYAmt
EOY$5,297,076,809EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,356,458,273BOYAmt
EOY$14,268,789,247EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$28,490,976ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$508,468,855NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$78,288,607OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$9,399MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,017,198DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$726,917OtherActivitiesAmt
Total Lobbying Expenditures$1,753,514TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE C, PART II-B, LINES 1A, B, D, GSUPPLEMENTAL LOBBYING INFORMATION ADVOCATE HEALTH AND HOSPITALS CORPORATION SPONSORS A NURSE ADVOCACY COUNCIL, COMPRISED OF NURSES EMPLOYED BY THE SYSTEM. THIS GROUP PROVIDES LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING THE NURSING PROFESSION AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE.
FORM 990, SCHEDULE C, PART II-B, LINE 1IADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. ADVOCATE ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY AND PATIENT ACCESS. ADVOCATE ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$11,016,745InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$169,922,803OtherCostOrOtherBasisAmt
Book Value$180,939,548BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,143,054,962OtherCostOrOtherBasisAmt
Depreciation$1,552,391,477DepreciationAmt
Book Value$1,590,663,485BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$191,409,251OtherCostOrOtherBasisAmt
Depreciation$84,712,928DepreciationAmt
Book Value$106,696,323BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,067,333,949OtherCostOrOtherBasisAmt
Depreciation$663,316,852DepreciationAmt
Book Value$404,017,097BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,753,018OtherCostOrOtherBasisAmt
Depreciation-$547,923DepreciationAmt
Book Value$100,300,941BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,382,617,394TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$3,951,932,009BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$3,951,932,009TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)

DescDescAmtAmt
SELF INSURANCE LIABILITY$570,134,110
3RD PARTY SETTLEMENTS$171,306,230
EXECUTIVE PENSION LIABILITY & DEF COMP$318,442,712
TAXABLE TERM LOAN$824,496,843
INTEREST RATE SWAP MTM SERIES$86,119,671
UNFUNDED HRA/DRA$37,664,703
OBLIGATION TO RETURN COLLATERAL$18,284,256
LONG TERM DISABILITY$23,329,500
REMEDIATION COST ACCRUAL$16,462,031
DEFERRED CONTRACTS$3,155,747
DEACONESS RESIDENCE LIABILITY$575,000
OTHER NONCURRENT LIABILITIES$662,506,535
DUE TO INVESTMENT POOL$3,642,246,080
FieldValueIRS element (for citing)
Total Liability$6,374,723,418TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (13 entries)

RegionRegionTxtOfficesOfficesCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN1INVESTMENTS$2,193,674,081
CENTRAL AMERICA AND THE CARIBBEANPROGRAM SERVICES$13,942,142SELF-INSURANCE
EAST ASIA AND THE PACIFICINVESTMENTS$514,130,032
EAST ASIA AND THE PACIFICPROGRAM SERVICES$5,553CONFERENCE
EUROPE (INCLUDING ICELAND & GREENLAND)INVESTMENTS$1,065,223,554
MIDDLE EAST AND NORTH AFRICAINVESTMENTS$3,561,275
MIDDLE EAST AND NORTH AFRICAPROGRAM SERVICES$2,777CONFERENCE
NORTH AMERICAINVESTMENTS$88,389,585
NORTH AMERICAPROGRAM SERVICES$6,439CONFERENCE
SOUTH AMERICAINVESTMENTS$1,406,328
SOUTH ASIAINVESTMENTS$3,489,439
CENTRAL AMERICA AND THE CARIBBEANPROGRAM SERVICES$525CONFERENCE
EUROPE (INCLUDING ICELAND & GREENLAND)PROGRAM SERVICES$3,796CONFERENCE
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office1TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$3,878,928,999SubtotalSpentAmt
Continuation Spent$4,906,527ContinuationSpentAmt
Total Spent$3,883,835,526TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,639,226TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$216,186DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,423,040NetCommunityBenefitExpnsAmt
Total Expense0.01310TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$768,752,860TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$613,902,852DirectOffsettingRevenueAmt
Net Community Benefit Expns$154,850,008NetCommunityBenefitExpnsAmt
Total Expense0.02800TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$841,392,086TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$614,119,038DirectOffsettingRevenueAmt
Net Community Benefit Expns$227,273,048NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,361,481TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,361,481NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$122,095,176TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,055,230DirectOffsettingRevenueAmt
Net Community Benefit Expns$96,039,946NetCommunityBenefitExpnsAmt
Total Expense0.01740TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,746,293TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,189,860DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,556,433NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,664,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,664,770NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,867,720TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,245,090DirectOffsettingRevenueAmt
Net Community Benefit Expns$115,622,630NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$995,259,806TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$652,364,128DirectOffsettingRevenueAmt
Net Community Benefit Expns$342,895,678NetCommunityBenefitExpnsAmt
Total Expense0.06200TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$174,345,071BadDebtExpenseAmt
Bad Debt Expense Attributable$20,876,633BadDebtExpenseAttributableAmt
Reimbursed By Medicare$1,333,881,460ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$1,568,880,848CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$234,999,388MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities8HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndState LicenseStateLicenseNumCritical Access HospitalCriticalAccessHospitalInd
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
1440 W 95TH ST OAKOAK LAWNIL60453HTTP://WWW.ADVOCATEHEALTH.COM/CMC/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
21775 DEMPSTER STPARK RIDGEIL60068HTTP://WWW.ADVOCATEHEALTH.COM/LUTH/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)0004796
GOOD SAMARITAN HOSPITAL
33815 HIGHLAND AVEDOWNERS GROVEIL60515HTTP://WWW.ADVOCATEHEALTH.COM/GSAM/Yes (X)Yes (X)Yes (X)0003384
GOOD SHEPHERD HOSPITAL
4450 W HWY 22BARRINGTONIL60010HTTP://WWW.ADVOCATEHEALTH.COM/GSHP/Yes (X)Yes (X)Yes (X)0003475
SOUTH SUBURBAN HOSPITAL & ICU
517800 S KEDZIEHAZEL CRESTIL60429HTTP://WWW.ADVOCATEHEALTH.COM/SSUB/Yes (X)Yes (X)Yes (X)0004697
BROMENN MEDICAL CENTER
61304 FRANKLIN AVENORMALIL61761HTTP://WWW.ADVOCATEHEALTH.COM/BROMENN/Yes (X)Yes (X)Yes (X)0005645
TRINITY HOSPITAL
72320 E 93RD STCHICAGOIL60617HTTP://WWW.ADVOCATEHEALTH.COM/TRIN/Yes (X)Yes (X)Yes (X)0004176
EUREKA HOSPITAL
8101-109 R101 S MAJOREUREKAIL61530HTTP://WWW.ADVOCATEHEALTH.COM/EUREKA/Yes (X)Yes (X)Yes (X)0005652Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit Report To Credit AgencyPermitReportToCreditAgencyIndCollection ActivitiesCollectionActivitiesIndReporting To Credit AgencyReportingToCreditAgencyIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndOther Actions TakenOtherActionsTakenIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndPermit No ActionsPermitNoActionsInd
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PYes (X)Yes (1)17Yes (1)HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-P0Yes (1)Yes (X)200.000000000000600.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEYes (X)HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEYes (X)HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
ADVOCATE SOUTH SUBURBAN HOSPITAL
500Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (1)17Yes (1)HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS0Yes (1)Yes (X)200.000000000000600.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEYes (X)HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEYes (X)HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
ADVOCATE TRINITY HOSPITAL
700Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)19Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (1)17Yes (1)HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS0Yes (1)Yes (X)200.000000000000600.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEYes (X)HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEYes (X)HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00Yes (X)

Supplemental Information SupplementalInformationGrp (45 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHRIST HOSP INCL HOPE CHILDREN'S HOSPPART V, SECTION B, LINE 5: FOR THE 2017-2019 CHNA, ADVOCATE CHRIST MEDICAL CENTER (ADVOCATE CHRIST) AND ADVOCATE CHILDREN'S HOSPITAL-OAK LAWN (ADVOCATE CHILDREN'S) COLLABORATED WITH NUMEROUS STAKEHOLDERS IN 2016 BY PARTNERING WITH THE ALLIANCE FOR HEALTH EQUITY, WHICH REPRESENTS A BROAD CROSS-SECTOR OF ORGANIZATIONS INCLUDING HEALTHCARE, COUNTY AND CITY GOVERNMENT, PUBLIC HEALTH, SOCIAL SERVICES, HOUSING, EDUCATION, FAITH AND OTHERS. ADDITIONALLY, COMMUNITY MEMBERS REPRESENTING THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY SERVED BY THE HOSPITAL WERE ENGAGED THROUGH THE HOSPITAL'S COMMUNITY HEALTH COUNCIL (CHC) AND GOVERNING COUNCIL. THE KEY STAKEHOLDERS AND PARTNERS INCLUDED THE FOLLOWING COMMITTEES AND ORGANIZATIONS.COMMUNITY HEALTH COUNCIL. ADVOCATE CHRIST AND ADVOCATE CHILDREN'S CONVENED A CHC IN MARCH 2019. THE CHC MET FIVE TIMES FROM MARCH THROUGH OCTOBER 2019. THE CHC'S RESPONSIBILITIES ARE TO OVERSEE THE CHNA PROCESS, PRIORITIZE HEALTH NEEDS AND OVERSEE COMMUNITY HEALTH STRATEGY FOR THE MEDICAL CENTER. THE CHC ALSO CONTRIBUTES TO THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS. CHAIRED BY A MEMBER OF THE ADVOCATE CHRIST GOVERNING COUNCIL AND MANAGED BY THE MEDICAL CENTER'S REGIONAL DIRECTOR OF COMMUNITY HEALTH AND REGIONAL MANAGER FOR COMMUNITY HEALTH, THE CHC IS COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY. THE CHC FUNCTIONS AS A SUBSET OF THE MEDICAL CENTER'S GOVERNING COUNCIL AND ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL BY THE FULL ADVOCATE CHRIST GOVERNING COUNCIL. NUMEROUS CHC MEMBERS REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. THE AFFILIATIONS AND TITLES OF THE ADVOCATE CHRIST CHC MEMBERS ARE PROVIDED BELOW. THE CHC MEMBERS REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS HAVE THE POPULATIONS THEY REPRESENT IN PARENTHESES FOLLOWING THEIR TITLES.MEMBERS FROM THE COMMUNITY- AUBURN GRESHAM COMMUNITY DEVELOPMENT CORPORATION, EXECUTIVE DIRECTOR (SERVES MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS)- AUBURN GRESHAM COMMUNITY DEVELOPMENT CORPORATION/SOUTHWEST SMART COMMUNITIES, PROGRAM MANAGER AND TECHNOLOGIST (SERVES MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS)- CHICAGO PUBLIC SCHOOLS, COMMUNITY ENGAGEMENT MANAGER- CHILDREN'S HOME AND AID, DIRECTOR, YOUTH SERVICES (SERVES MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS)- CHRISTIAN COMMUNITY HEALTH CENTER, DIRECTOR, QUALITY ASSURANCE (SERVES MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS)- BETHLEHEM EVANGELICAL LUTHERAN CHURCH, FAITH LEADER; ADVOCATE CHRIST GOVERNING COUNCIL MEMBER AND COMMUNITY HEALTH COUNCIL CHAIRPERSON - GREATER ST. JOHN AME CHURCH, FAITH LEADER- HISPANIC LEADERSHIP COUNCIL, PRESIDENT (SERVES MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS)- METROPOLITAN FAMILY SERVICES, PROGRAM SUPERVISOR (SERVES MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS)- METROPOLITAN TENANTS ORGANIZATION, COORDINATOR, OUTREACH SERVICES (SERVES MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS)- OAK LAWN PUBLIC LIBRARY, YOUTH SERVICES OUTREACH LIBRARIAN- OAK LAWN PUBLIC LIBRARY, INTERLIBRARY LOAN COORDINATOR- OAK LAWN-HOMETOWN SCHOOL DISTRICT 123, SUPERINTENDENT- OAK LAWN-HOMETOWN SCHOOL DISTRICT 123, DIRECTOR, FAMILY AND COMMUNITY RESOURCE NETWORK- YMCA METRO CHICAGO, OPERATIONS DIRECTOR, FAMILY AND COMMUNITY ENGAGEMENT- YMCA METRO CHICAGO, OPERATIONS DIRECTOR, HEALTH AND NUTRITIONADVOCATE AURORA, ADVOCATE CHRIST/ADVOCATE CHILDREN'S STAFF MEMBERS- ADVOCATE AURORA, VICE PRESIDENT PSA, MISSION AND SPIRITUAL CARE - ADVOCATE AURORA, MANAGER, COMMUNITY HEALTH, SOUTH CHICAGOLAND REGION- ADVOCATE AURORA, DIRECTOR, COMMUNITY HEALTH, SOUTH CHICAGOLAND REGION - ADVOCATE CHILDREN'S, DIRECTOR, COMMUNITY & HEALTH RELATIONS- ADVOCATE CHILDREN'S, MANAGER COMMUNITY OUTREACH AND POPULATION HEALTH- ADVOCATE CHRIST, CARE MANAGER AND OAK LAWN HEALTH CARE ROTARY- ADVOCATE CHRIST, COORDINATOR, COMMUNITY HEALTH- ADVOCATE CHRIST, MANAGER, INPATIENT CARE - ADVOCATE CHRIST, MANAGER, PATIENT AND GUEST RELATIONS- ADVOCATE CHRIST, NURSE PRACTITIONER, RONALD MCDONALD CARE MOBILE GOVERNING COUNCIL. AS MENTIONED EARLIER, THE CHNA PROCESS REQUIRES THE CHC TO FORWARD THE CHNA AND SELECTED PRIORITIES TO THE MEDICAL CENTER'S GOVERNING COUNCIL FOR APPROVAL. THE MEDICAL CENTER'S GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL MEDICAL CENTER STAFF. THE PRINCIPAL ROLES OF EACH GOVERNING COUNCIL MEMBER ARE TO SUPPORT MEDICAL CENTER LEADERSHIP IN ACHIEVEMENT OF THE MEDICAL CENTER'S GOALS, REPRESENT THE COMMUNITY'S INTERESTS TO THE MEDICAL CENTER AND TO SERVE AS A MEDICAL CENTER AMBASSADOR IN THE COMMUNITY. THE GOVERNING COUNCIL CONSISTS OF 26 MEMBERS REPRESENTING A BROAD SPECTRUM OF COMMUNITY SECTORS. MEMBERS REPRESENT THE FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. A TOTAL OF 57 PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING REPRESENTATIVES FROM THE FAITH COMMUNITY, WHILE 43 PERCENT OF MEMBERS ARE MEDICAL CENTER AFFILIATED PHYSICIANS OR ADVOCATE CHRIST LEADERS. ONE GOVERNING COUNCIL MEMBER ALSO SERVES AS THE CHAIR OF THE CHC TO ENSURE THE SHARING OF INFORMATION BETWEEN THE TWO COUNCILS. LEADERS OF THE CHC PRESENTED THE 2019 CHNA AND PRIORITIZED HEALTH NEEDS TO THE GOVERNING COUNCIL, AND THE GOVERNING COUNCIL VOTED FULL APPROVAL AND ADOPTION OF THE 2017-2019 CHNA REPORT AND PRIORITIZED HEALTH NEEDS ON OCTOBER 17, 2019. COLLABORATION WITH HEALTH DEPARTMENTS AND/OR HOSPITALSTHE ALLIANCE FOR HEALTH EQUITY. ADVOCATE CHRIST AND ADVOCATE CHILDREN'S ARE MEMBERS OF THE ALLIANCE, A COLLABORATION OF 37 NON-PROFIT AND PUBLIC HOSPITALS/MEDICAL CENTERS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. LED BY A STEERING COMMITTEE OF WHICH ADVOCATE AURORA IS A MEMBER AND LEADER, AND SUPPORTED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), THE COLLABORATIVE SHARES RESOURCES AND WORKS TOGETHER ON DATA COLLECTION, PRIORITY SETTING AND IMPLEMENTATION PLANNING FOR THE REGION.COLLABORATIONS WITH OTHER KEY STAKEHOLDERS. ADDITIONAL STAKEHOLDERS IN THE ALLIANCE INCLUDE THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, THE NATIONAL ALLIANCE FOR MENTAL HEALTH (NAMI), AND COMMUNITY-BASED ORGANIZATIONS. DETAILED INFORMATION RELATED TO OTHER COLLABORATIONS MAY BE FOUND IN THE ACCOMPANYING REPORTCOMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, 2019WHICH IS POSTED BESIDE ADVOCATE CHRIST'S 2017-2019 CHNA REPORT ON THE ADVOCATE CHNA WEBPAGE AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/CHRIST-CHNA-REPORT-2019ADVOCATE CHRIST/ADVOCATE CHILDREN'S 2017-2019 CHNA AND PRIORITIZED NEEDS RECEIVED FINAL APPROVAL BY THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS ON DECEMBER 16, 2019. THE FULL 2019 CHNA REPORT WAS POSTED ON THE ADVOCATE WEBPAGE IN DECEMBER 2019 AND INCLUDED A LINK TO A FORM AND AN EMAIL FOR THE COMMUNITY TO USE FOR INQUIRIES AND IN PROVIDING FEEDBACK. AS OF DECEMBER 31, 2019, NO QUESTIONS OR FEEDBACK WERE RECEIVED FROM THE COMMUNITY REGARDING THE 2017-2019 CHNA REPORT, OR THE PREVIOUS 2014-2016 CHNA REPORT AND/OR ITS ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN.
ADVOCATE SOUTH SUBURBAN HOSPITALPART V, SECTION B, LINE 5: COMMUNITY HEALTH COUNCIL. ADVOCATE SOUTH SUBURBAN HOSPITAL (ADVOCATE SOUTH SUBURBAN) CONVENED A COMMUNITY HEALTH COUNCIL FOR THE 2017-2019 CHNA PROCESS. THE COUNCIL MET FIVE TIMES FROM MARCH 7, 2019 THROUGH OCTOBER 31, 2019. THE CHC'S RESPONSIBILITIES ARE TO OVERSEE THE CHNA PROCESS, PRIORITIZE HEALTH NEEDS AND OVERSEE COMMUNITY HEALTH STRATEGIES FOR THE HOSPITAL. THE CHC ALSO CONTRIBUTES TO THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS. CHAIRED BY A MEMBER OF ADVOCATE SOUTH SUBURBAN'S GOVERNING COUNCIL AND MANAGED BY THE REGIONAL DIRECTOR OF COMMUNITY HEALTH AND REGIONAL MANAGER FOR COMMUNITY HEALTH, THE COUNCIL IS COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY AND HOSPITAL LEADERSHIP. THE CHC FUNCTIONS AS A SUBSET OF THE HOSPITAL'S GOVERNING COUNCIL AND ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL TO THE FULL HOSPITAL GOVERNING COUNCIL. THE AFFILIATIONS AND TITLES OF ADVOCATE SOUTH SUBURBAN'S COMMUNITY HEALTH COUNCIL MEMBERS ARE INDICATED BELOW. MEMBERS REPRESENTING THE COMMUNITY'S UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS ARE ALSO INDICATED BELOW.MEMBERS FROM THE COMMUNITY- VICTORY APOSTOLIC CHURCH, NURSE 1 (PRIMARILY SERVES AFRICAN AMERICAN)- VICTORY APOSTOLIC CHURCH, NURSE 2 (PRIMARILY SERVES AFRICAN AMERICAN)- ADVOCATE SOUTH SUBURBAN GOVERNING COUNCIL MEMBER AND COMMUNITY HEALTH COUNCIL CHAIR- GOVERNORS STATE UNIVERSITY, ASSISTANT PROFESSOR 1 (PRIMARILY SERVES AFRICAN AMERICAN AND ASIAN STUDENTS/MINORITIES)- HAZEL CREST COMMUNITY, RESIDENT 1- HAZEL CREST COMMUNITY, RESIDENT 2- AUNT MARTHA'S HEALTH AND WELLNESS, PROGRAM COORDINATOR (PRIMARILY SERVES UNDERSERVED AND LOW-INCOME POPULATIONS)- VILLAGE OF HAZEL CREST, DIRECTOR, COMMUNITY RELATIONS DVOCATE AURORA/ADVOCATE SOUTH SUBURBAN STAFF MEMBERS- ADVOCATE AURORA, SOUTH REGION MANAGER, COMMUNITY HEALTH- ADVOCATE AURORA, SOUTH REGION DIRECTOR, COMMUNITY HEALTH- ADVOCATE SOUTH SUBURBAN, COORDINATOR, COMMUNITY HEATH- ADVOCATE SOUTH SUBURBAN, CLINICAL NURSE EDUCATOR- ADVOCATE SOUTH SUBURBAN, VICE PRESIDENT, OPERATIONS, EXECUTIVE SPONSORGOVERNING COUNCIL. THE ADVOCATE SOUTH SUBURBAN GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE PRINCIPAL ROLES OF EACH GOVERNING COUNCIL MEMBER IS TO SUPPORT HOSPITAL LEADERSHIP IN ACHIEVEMENT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTERESTS TO THE HOSPITAL AND TO SERVE AS A HOSPITAL AMBASSADOR IN THE COMMUNITY. ADVOCATE SOUTH SUBURBAN'S GOVERNING COUNCIL IS COMPRISED OF 14 MEMBERS, REPRESENTING A BROAD SPECTRUM ACROSS COMMUNITY SECTORS. MEMBERS REPRESENT THE FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. ONE MEMBER OF THE GOVERNING COUNCIL ALSO SERVES AS THE CHAIR OF THE CHC TO ENSURE ALIGNMENT BETWEEN THE TWO COUNCILS. THE HOSPITAL'S GOVERNING COUNCIL ALSO REVIEWS AND APPROVES THE CHNA REPORT AS FORWARDED BY THE HOSPITAL'S CHC, INCLUDING REVIEW AND APPROVAL OF THE PRIORITIZED HEALTH NEEDS. IN NOVEMBER 2019, LEADERS OF THE CHC PRESENTED THE 2017-2019 CHNA REPORT AND PRIORITIZED HEALTH NEEDS THEREIN TO THE HOSPITAL'S GOVERNING COUNCIL. THE ADVOCATE SOUTH SUBURBAN GOVERNING COUNCIL APPROVED AND ADOPTED THE HOSPITAL'S 2017-2019 CHNA REPORT ON NOVEMBER 26, 2019. THE ALLIANCE FOR HEALTH EQUITY/COLLABORATIONS WITH KEY STAKEHOLDERS. ADVOCATE SOUTH SUBURBAN IS A MEMBER OF THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE), A COALITION OF 37 NOT-FOR-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND REGIONAL COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. LED BY A STEERING COMMITTEE OF WHICH ADVOCATE AURORA IS A MEMBER AND LEADER, AND SUPPORTED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), THE COLLABORATIVE SHARES RESOURCES AND WORKS TOGETHER ON DATA COLLECTION, PRIORITY SETTING AND IMPLEMENTATION PLANNING FOR THE REGION. THE ALLIANCES' ADDITIONAL STAKEHOLDERS INCLUDE THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH), THE NATIONAL ALLIANCE FOR MENTAL HEALTH (NAMI), AND COMMUNITY-BASED ORGANIZATIONS. DETAILED INFORMATION RELATED TO OTHER COLLABORATIONS MAY BE FOUND IN THE ACCOMPANYING REPORTCOMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, 2019WHICH IS POSTED BESIDE ADVOCATE SOUTH SUBURBAN'S 2017-2019 CHNA REPORT ON THE ADVOCATE CHNA WEBPAGE AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS APPROVED ADVOCATE SOUTH SUBURBAN'S 2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019, AND THE HOSPITAL'S CHNA WAS POSTED ON THE ADVOCATE WEBPAGE THE FOLLOWING DAY. AS OF DECEMBER 31, 2019, THERE WAS NO FEEDBACK FROM THE COMMUNITY RELATED TO EITHER THE 2017-2019 CHNA, OR THE PREVIOUS 2014-2016 CHNA OR THE ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN.
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 5: FOR THE 2017-2019 CHNA, ADVOCATE TRINITY HOSPITAL (ADVOCATE TRINITY) COLLABORATED WITH NUMEROUS STAKEHOLDERS BY PARTNERING WITH THE ALLIANCE FOR HEALTH EQUITY WHICH REPRESENTS A BROAD CROSS-SECTOR OF ORGANIZATIONS INCLUDING HEALTHCARE, COUNTY AND CITY GOVERNMENT, PUBLIC HEALTH, SOCIAL SERVICES, HOUSING, EDUCATION, FAITH AND OTHERS. ADDITIONALLY, COMMUNITY MEMBERS REPRESENTING THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY SERVED BY THE HOSPITAL WERE ENGAGED THROUGH THE HOSPITAL'S COMMUNITY HEALTH AND GOVERNING COUNCILS. THE KEY STAKEHOLDERS AND PARTNERS INCLUDED THE COUNCILS AND ORGANIZATIONS LISTED BELOW.COMMUNITY HEALTH COUNCIL. ADVOCATE TRINITY CONVENED FIVE CHC MEETINGS FROM MARCH THROUGH OCTOBER 2019. THE CHC'S RESPONSIBILITIES ARE TO OVERSEE COMMUNITY HEALTH STRATEGY FOR THE HOSPITAL, REVIEW DATA AND PRIORITIZE HEALTH NEEDS IDENTIFIED FOR THE 2017-2019 CHNA, AND TO OVERSEE THE DEVELOPMENT AND IMPLEMENTATION OF THE HOSPITAL'S COMMUNITY HEALTH STRATEGIES. CHAIRED BY A MEMBER OF ADVOCATE TRINITY'S GOVERNING COUNCIL AND MANAGED BY THE REGIONAL DIRECTOR AND MANAGER OF COMMUNITY HEALTH, THE CHC IS COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY. THE CHC FUNCTIONS AS A SUBSET OF THE HOSPITAL'S GOVERNING COUNCIL AND ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL BY THE FULL GOVERNING COUNCIL. THE AFFILIATIONS AND TITLES OF ADVOCATE TRINITY'S CHC MEMBERS ARE PROVIDED BELOW. MEMBERS REPRESENTING UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS ARE ALSO INDICATED BELOW.MEMBERS FROM THE COMMUNITY- ADVOCATE TRINITY GOVERNING COUNCIL MEMBER AND CO-CHAIR ADVOCATE TRINITY COMMUNITY HEALTH COUNCIL (UNDERSERVED AND/OR LOW-INCOME AND/OR AFRICAN AMERICAN AND HISPANIC POPULATION)- ADVOCATE TRINITY GOVERNING COUNCIL MEMBER AND ADVOCATE TRINITY COMMUNITY HEALTH COUNCIL MEMBER (UNDERSERVED AND/OR LOW-INCOME AND/OR AFRICAN AMERICAN AND HISPANIC POPULATION)- CHICAGO FAMILY HEALTH CENTER, COORDINATOR, MATERNAL PROGRAMS (MEDICALLY UNDERSERVED AND/OR LOW-INCOME AND/OR AFRICAN AMERICAN AND HISPANIC POPULATION)- CHICAGO FAMILY HEALTH CENTER, COORDINATOR, OUTREACH (MEDICALLY UNDERSERVED AND/OR LOW-INCOME AND/OR AFRICAN AMERICAN AND HISPANIC POPULATION)- CLARETIAN ASSOCIATES, EXECUTIVE DIRECTOR (UNDERSERVED AND/OR LOW-INCOME AND/OR AFRICAN AMERICAN AND HISPANIC POPULATION)- CALUMET HEIGHTS, COMMUNITY MEMBER- METROPOLITAN FAMILY SERVICES, EXECUTIVE DIRECTOR (MEDICALLY UNDERSERVED AND/OR LOW INCOME AND/OR AFRICAN AMERICAN AND HISPANIC POPULATION)- SOUTH CHICAGO COMMUNITY MEMBER 1- SOUTH CHICAGO COMMUNITY MEMBER 2- SUPERIOR AMBULANCE COMPANY, VP, OPERATIONS - SOUTHEAST CALUMET HEIGHTS HOMEOWNERS ASSOCIATION, PRESIDENT (UNDERSERVED AND/OR LOW-INCOME AND/OR MINORITY)- SOUTHEAST CALUMET HEIGHTS HOMEOWNERS ASSOCIATION, VP, GOVERNMENTAL AFFAIRS AND CO-CHAIR, ADVOCATE TRINITY COMMUNITY HEALTH COUNCIL (UNDERSERVED AND/OR LOW-INCOME AND/OR MINORITY) ADVOCATE AURORA/ADVOCATE TRINITY STAFF MEMBERS- ADVOCATE TRINITY, COORDINATOR, COMMUNITY HEALTH- ADVOCATE AURORA, REGIONAL MANAGER, COMMUNITY HEALTH- ADVOCATE AURORA, REGIONAL DIRECTOR, COMMUNITY HEALTH- ADVOCATE AURORA, REGIONAL VICE PRESIDENT, MISSION AND SPIRITUAL CAREGOVERNING COUNCIL. THE HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE PRINCIPAL ROLES OF EACH GOVERNING COUNCIL MEMBER ARE TO SUPPORT HOSPITAL LEADERSHIP IN ACHIEVEMENT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTERESTS TO THE HOSPITAL AND TO SERVE AS A HOSPITAL AMBASSADOR IN THE COMMUNITY. ADVOCATE TRINITY'S GOVERNING COUNCIL IS COMPRISED OF 16 MEMBERS, REPRESENTING A BROAD SPECTRUM ACROSS COMMUNITY SECTORS. MEMBERS REPRESENT THE FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. ONE MEMBER OF THE GOVERNING COUNCIL ALSO SERVES AS THE CHAIR OF THE COMMUNITY HEALTH COUNCIL TO ENSURE THE SHARING OF INFORMATION BETWEEN THE TWO COUNCILS. THE HOSPITAL'S GOVERNING COUNCIL ALSO REVIEWS AND APPROVES THE CHNA REPORT, INCLUDING THE PRIORITIZED HEALTH NEEDS. IN NOVEMBER 2019, LEADERS OF THE CHC PRESENTED THE CHNA PROCESS AND PRIORITIZED HEALTH NEEDS TO THE HOSPITAL'S GOVERNING COUNCIL. THE GOVERNING COUNCIL APPROVED ADVOCATE TRINITY'S CHNA REPORT ON NOVEMBER 26, 2019. THE ALLIANCE FOR HEALTH EQUITY. ADVOCATE TRINITY IS A MEMBER OF THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE), A COLLABORATIVE OF 37 NON-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. FACILITATED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THE COLLABORATIVE SHARES RESOURCES AND WORKS TOGETHER ON A CHNA PROCESS INCLUDING DATA COLLECTION, PRIORITY SETTING AND HEALTH IMPROVEMENT IMPLEMENTATION PLANNING FOR THE REGION. GIVEN THE SIZE OF COOK COUNTY, THREE REGIONAL CHNAS ARE CONDUCTED. ADVOCATE TRINITY WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED IN THE SOUTH REGION ASSESSMENT. THE HOSPITAL'S COMMUNITY HEALTH TEAM MEMBERS PARTICIPATED IN NINE COLLABORATIVE GROUPS OF SOCIAL DETERMINATES AND MENTAL HEALTH. THE ALLIANCE'S MEMBER HOSPITALS AND HEALTH SYSTEMS ARE VERY ACTIVE IN DESIGNING AND IMPLEMENTING INTERVENTIONS THAT WILL COLLECTIVELY IMPACT HEALTH EQUITY. DETAILED INFORMATION RELATED TO THE SOUTH REGION REPORT MAY BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, 2019WHICH IS POSTED BESIDE ADVOCATE TRINITY'S 2017-2019 CHNA REPORT ON THE ADVOCATE CHNA WEBPAGE AT: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/FINAL_2019_CHNA-REPORT_ALLIANCE-FOR-HEALTH-EQUITY.PDFTHE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS APPROVED THE ADVOCATE TRINITY 2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019, AND THE CHNA REPORT WAS POSTED ON ADVOCATE'S WEBPAGE THE FOLLOWING DAY WITH A LINK TO A FEEDBACK FORM AND AN EMAIL FOR THE COMMUNITY TO PROVIDE FEEDBACK. AS OF DECEMBER 31, 2019, THERE WAS NO ADDITIONAL FEEDBACK FROM THE COMMUNITY RELATED TO EITHER THE 2017-2019 CHNA REPORT, OR THE PREVIOUS 2014-2016 CHNA REPORT AND/OR THE ACCOMPANYING 2017-2019 IMPLEMENTATION STRATEGY.
CHRIST HOSP INCL HOPE CHILDREN'S HOSPPART V, SECTION B, LINE 6A: ADVOCATE CHRIST AND ADVOCATE CHILDREN'S PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY, LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED OVER 30 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A CHNA FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. ADVOCATE CHRIST WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. THE OTHER PARTICIPATING HOSPITALS IN THE SOUTH REGION INCLUDED: RELATED? - ADVOCATE CHILDREN'S (OAK LAWN, IL)- ADVOCATE SOUTH SUBURBAN HOSPITAL (HAZEL CREST, IL) - ADVOCATE TRINITY HOSPITAL (CHICAGO, IL)UNRELATED? - JACKSON PARK HOSPITAL (CHICAGO, IL)- MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL)- ROSELAND COMMUNITY HOSPITAL (CHICAGO, IL)- SOUTH SHORE HOSPITAL (CHICAGO, IL)- UNIVERSITY OF CHICAGO MEDICINE (CHICAGO, IL)- UNIVERSITY OF CHICAGO MEDICINE INGALLS MEMORIAL HOSPITAL (HARVEY, IL)FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE SOUTH SUBURBAN HOSPITALPART V, SECTION B, LINE 6A: ADVOCATE SOUTH SUBURBAN PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY, LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE THAT INCLUDED OVER 30 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. ADVOCATE SOUTH SUBURBAN WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. THE OTHER PARTICIPATING HOSPITALS IN THE SOUTH REGION INCLUDED:RELATED?- ADVOCATE CHRIST (OAK LAWN, IL)- ADVOCATE CHILDREN'S (OAK LAWN, IL)- ADVOCATE TRINITY (CHICAGO, IL)UNRELATED?- JACKSON PARK HOSPITAL (CHICAGO, IL)- MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL)- ROSELAND COMMUNITY HOSPITAL (CHICAGO, IL)- SOUTH SHORE HOSPITAL (CHICAGO, IL)- UNIVERSITY OF CHICAGO MEDICINE (CHICAGO, IL)- UNIVERSITY OF CHICAGO MEDICINE INGALLS HOSPITAL (HARVEY, IL)FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE: HTTPS://ALLHEALTHEQUITY.ORG
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 6A: FOR THE 2017-2019 CHNA, ADVOCATE TRINITY PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY, LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED OVER 30 HOSPITALS AS WELL AS 7 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A CHNA FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. ADVOCATE TRINITY WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. THE OTHER PARTICIPATING HOSPITALS IN THE SOUTH REGION INCLUDED: RELATED:- ADVOCATE CHRIST MEDICAL CENTER (OAK LAWN, IL)- ADVOCATE CHILDREN'S HOSPITAL (OAK LAWN, IL)- ADVOCATE SOUTH SUBURBAN HOSPITAL (HAZEL CREST, IL) UNRELATED:- JACKSON PARK HOSPITAL (CHICAGO, IL)- MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL)- ROSELAND COMMUNITY HOSPITAL (CHICAGO, IL)- SOUTH SHORE HOSPITAL (CHICAGO, IL)- UNIVERSITY OF CHICAGO MEDICINE (CHICAGO, IL)- UNIVERSITY OF CHICAGO MEDICINE INGALLS MEMORIAL HOSPITAL (HARVEY, IL)FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/
CHRIST HOSP INCL HOPE CHILDREN'S HOSPPART V, SECTION B, LINE 6B: - ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), CHICAGO, IL- CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- COOK COUNTY HEALTH DEPARTMENT, CHICAGO, IL- NATIONAL ALLIANCE FOR MENTAL HEALTH (NAMI), CHICAGO, IL- PARK FOREST HEALTH DEPARTMENT, PARK FOREST, IL- STICKNEY HEALTH DEPARTMENT, STICKNEY, ILADDITIONAL COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN THE SOUTH REGION ASSESSMENT PROCESS. FOR A COMPLETE LIST OF THE STAKEHOLDER ORGANIZATIONS PARTICIPATING IN THE SOUTH REGION, PLEASE ACCESS THE FOLLOWING LINK: HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE SOUTH SUBURBAN HOSPITALPART V, SECTION B, LINE 6B: - ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), CHICAGO, IL- CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- NATIONAL ALLIANCE FOR MENTAL HEALTH (NAMI), CHICAGO, IL- PARK FOREST HEALTH DEPARTMENT, PARK FOREST, IL- STICKNEY HEALTH DEPARTMENT, STICKNEY, ILADDITIONAL COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN THE SOUTH REGION ASSESSMENT PROCESS. FOR A COMPLETE LIST OF THE STAKEHOLDER ORGANIZATIONS PARTICIPATING IN THE SOUTH REGION, PLEASE ACCESS THE FOLLOWING LINK: HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 6B: - ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), CHICAGO, IL- CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- COOK COUNTY HEALTH DEPARTMENT, CHICAGO, IL- NATIONAL ALLIANCE FOR MENTAL HEALTH (NAMI), CHICAGO, IL- PARK FOREST HEALTH DEPARTMENT, PARK FOREST, IL- STICKNEY HEALTH DEPARTMENT, STICKNEY, IL- ADDITIONAL COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN THE SOUTH REGION ASSESSMENT PROCESS. FOR A COMPLETE LIST OF THE STAKEHOLDER ORGANIZATIONS PARTICIPATING IN THE SOUTH REGION, PLEASE ACCESS THE FOLLOWING LINK: HTTP://ALLHEALTHEQUITY.ORG/
CHRIST HOSP INCL HOPE CHILDREN'S HOSPPART V, SECTION B, LINE 11: 2014-2016 CHNA (NOTE: THE FOLLOWING NARRATIVE REVIEWS THE PREVIOUS ADVOCATE CHRIST/ADVOCATE CHILDREN'S 2014-2016 CHNA'S SELECTED PRIORITIES AND THE 2017-2019 IMPLEMENTED STRATEGIES AND OUTCOMES GIVEN 2019 WAS THE THIRD AND FINAL YEAR OF THE 2017-2019 IMPLEMENTATION PLAN. FOR PURPOSES OF THE CHNA AND GIVEN THE FACT THAT ADVOCATE CHRIST AND ADVOCATE CHILDREN'S-OAK LAWN SHARE THE SAME FEIN NUMBER, ADVOCATE CHILDREN'S ASSESSMENT AND IMPLEMENTATION STRATEGIES ARE INCORPORATED INTO THE ADVOCATE CHRIST CHNA AND IMPLEMENTATION PLAN.) HEALTH NEEDS SELECTED THE ADVOCATE CHRIST COMMUNITY HEALTH DEPARTMENT COLLECTED AND ANALYZED DATA FOR THE MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA). THROUGH A VOTING AND PRIORITIZATION PROCESS FROM LOW TO HIGH USING A FLIPCHART, THE CHC IDENTIFIED ASTHMA, DIABETES AND VIOLENCE PREVENTION AS PRIORITIES TO BE ADDRESSED FOR THE 2017-2019 IMPLEMENTATION PLAN CYCLE. VIOLENCE PREVENTION. ADVOCATE CHRIST'S GOAL WAS TO REDUCE VIOLENCE AND INCREASE AWARENESS OF VIOLENCE PREVENTION IN THE PSA. THE STRATEGIES INCLUDED EXPANDING THE PARTNERSHIP WITH CEASEFIRE TO IMPLEMENT AN EVIDENCE-BASED MODEL THAT ADDRESSES VIOLENCE PREVENTION. IN 2019, THE CEASEFIRE ORGANIZATION DIVESTED ITS HOSPITAL RESPONSE PROGRAM. A NEW HOSPITAL RESPONDER PROGRAM WAS FORMED NAMED ACCLIVUS, WHICH CONTINUED ACTIVITIES FROM SEPTEMBER THROUGH DECEMBER 2019. PROGRAM RESULTS FOR JANUARY 2019 TO DECEMBER 2019 WERE AS FOLLOWS:- A TOTAL OF 227 PATIENTS RECEIVED ACCLIVUS INTERVENTION SERVICES; 10.5 PERCENT OF PATIENTS WERE FEMALE WHILE 89.5 PERCENT WERE MALE.- A TOTAL OF 228 VISITORS OF VIOLENTLY INJURED PATIENTS FROM THE HOSPITAL'S PSA AND SSA RECEIVED ACCLIVUS INTERVENTION SERVICES.- EIGHTY-FIVE PERCENT OF PATIENTS RECEIVING SERVICES FOR THE ACCLIVUS PROGRAM WERE AFRICAN AMERICAN AND 10 PERCENT WERE LATINO.ASTHMA. ADVOCATE CHRIST'S GOAL WAS TO REDUCE THE INCIDENCE OF UNCONTROLLED ASTHMA AMONG ADULTS AND CHILDREN WITHIN THE PSASTRATEGIES INCLUDED PARTNERING WITH THE METROPOLITAN TENANT ORGANIZATION ON THE HEALTHY HOMES INITIATIVE FOR CHILDREN WITH ASTHMA. COMMUNITY HEALTH STAFF COLLABORATED WITH CLINICAL STAFF IN INPATIENT MEDICAL CENTER UNITS, AS WELL AS THE EMERGENCY DEPARTMENT (ED) TO IMPROVE DISEASE SELF-MANAGEMENT SKILLS FOR PATIENTS AND FAMILIES WITH ASTHMA. ADVOCATE CHRIST COLLABORATED WITH ADVOCATE CHILDREN'SOAK LAWN TO PROVIDE "KICKIN' ASTHMA," AN EVIDENCE-BASED EDUCATION/DISEASE SELF-MANAGEMENT PROGRAM IN HIGH RISK SCHOOLS IN THE PSA. DUE TO A REDUCTION IN STAFFING, THE PROGRAM WAS NOT IMPLEMENTED IN 2019.DIABETES. THE OVERALL GOAL FOR THE DIABETES PREVENTION PROGRAM WAS TO REDUCE THE INCIDENCE OF TYPE 2 DIABETES IN THE PSA. ADVOCATE CHRIST IMPLEMENTED A CDC EVIDENCE-BASED INTERVENTION NAMED THE NATIONAL DIABETES PREVENTION PROGRAM (DPP). THE PROGRAM IS DESIGNED TO EDUCATE INDIVIDUALS WHO HAVE BEEN DIAGNOSED WITH PRE-DIABETES REGARDING HOW TO PREVENT OR DELAY THE ONSET OF TYPE 2 DIABETES THROUGH EDUCATION, DIET AND EXERCISE. IN 2019, THE MEDICAL CENTER PARTNERED WITH CLINICS, LOCAL CHURCHES AND COMMUNITY ORGANIZATIONS TO HOST THE PROGRAM. ADVOCATE CHRIST IMPLEMENTATION STRATEGIES INCLUDED:- IMPLEMENTATION OF THE CENTERS OF DISEASE CONTROL'S (CDC) NATIONAL DIABETES PREVENTION PROGRAM (DPP) IN TARGETED COMMUNITY AREAS IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND FAITH COMMUNITIES; - ESTABLISHMENT OF ADVOCATE CHRIST AS A RECOGNIZED DIABETES PREVENTION PROGRAM SITE BY ACHIEVING FULL RECOGNITION STATUS BY THE CDC; AND - INCREASING COMMUNITY EDUCATIONAL OPPORTUNITIES TO SUPPORT DIABETES SELF-MANAGEMENT SKILLS.PROGRAM RESULTS FOR JANUARY 2019 TO DECEMBER 2019 WERE AS FOLLOWS:- THREE SITES WERE IMPLEMENTED IN 2019. - THERE WAS A TOTAL OF 20 PARTICIPANTS ENROLLED IN THE DPP PROGRAM IN 2019. - TWENTY-FIVE PERCENT OF PARTICIPANTS MET THE WEIGHT LOSS GOAL.HEALTH NEEDS NOT SELECTED THE NEEDS ADVOCATE CHRIST DID NOT SELECT AS PRIORITIES TO ADDRESS INCLUDE CANCER, HEART DISEASE AND HYPERTENSION. WHILE THESE WERE IMPORTANT HEALTH NEEDS, THE COUNCIL FELT ADVOCATE CHRIST'S CARDIOVASCULAR, NEUROSCIENCE AND ONCOLOGY INSTITUTES WERE ADDRESSING CANCER, HEART DISEASE, AND STROKE, RESPECTIVELY. CANCER. ADVOCATE CHRIST'S CANCER PROGRAM HAS BEEN CERTIFIED BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER AND INCLUDES BOTH INPATIENT AND OUTPATIENT UNITS, ARADIATION ONCOLOGY UNIT, CYBERKNIFE TREATMENT, INTRAOPERATIVE ELECTRON RADIATION THERAPY (IOERT), A HOME HEALTH/HOSPICE PROGRAM, A BREAST HEALTH PROGRAM AND A COMMUNITY EDUCATION PROGRAM. NUTRITIONAL SERVICES, SOCIAL SERVICES, SPIRITUAL CARE AND AN ONCOLOGY CERTIFIED PHARMACIST ARE AVAILABLE ON SITE TO WORK WITH PATIENTS AND THEIR FAMILIES. CLINICAL RESEARCH TRIALS ARE ALSO AVAILABLE THROUGH THE CHILDREN'S ONCOLOGY GROUP (COG).ADVOCATE CHRIST OFFERS CANCER-FOCUSED HOSPICE CARE AND FREE SEMINARS OPEN TO THE PUBLIC. A SPECIALLY TRAINED ONCOLOGY NUTRITIONIST SEES PATIENTS IN THE MEDICAL CENTER AND THOSE UNDERGOING OUTPATIENT TREATMENT. THE PALLIATIVE CARE TEAM WORKS CLOSELY WITH PHYSICIANS AND PATIENTS TO PROVIDE COMFORT, COMMUNICATION ASSISTANCE AND TO ASSESS PATIENTS' PHYSICAL NEEDS TO ENHANCE THEIR QUALITY OF LIFE AT ALL STAGES OF ILLNESS. IN ADDITION, THERE IS AN ON-SITE AMERICAN CANCER SOCIETY PATIENT REPRESENTATIVE AND A GILDA'S CLUB SATELLITE LOCATION.HEART DISEASE. ADVOCATE HEART INSTITUTE AT ADVOCATE CHRIST IS ILLINOIS' MOST COMPREHENSIVE CENTER FOR HEART CARE. THE HEART INSTITUTE OFFERS A FULL RANGE OF TREATMENTS AND PROGRAMS INCLUDING PREVENTATIVE, DIAGNOSTICS, CLINICAL TRIALS, HEART TRANSPLANTS AND REHABILITATION SERVICES. REHABILITATION PLAYS A KEY ROLE IN RECOVERY FROM A HEART ATTACK OR HEART SURGERY. THE GOAL OF THE COMPREHENSIVE CARDIAC REHABILITATION PROGRAM IS TO HELP PATIENTS REGAIN STRENGTH AND IMPROVE THEIR HEALTH AND QUALITY OF LIFE AFTER A HEART ATTACK OR HEART SURGERY. THE HEART INSTITUTE HAS BEEN CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILITATION.ADVOCATE CHRIST OFFERS A SERIES OF COMMUNITY HEALTH CLASSES THAT INCREASE AWARENESS OF HEART DISEASE AND SUPPORT INDIVIDUALS IN THEIR JOURNEY TO BETTER HEART HEALTH. A VARIETY OF SUPPORT GROUPS ARE ALSO PROVIDED THAT ENCOURAGE HEALTHY HEART CARE IN THE COMMUNITY. THE "LIVE FROM THE HEART" PROGRAM, A PARTNERSHIP BETWEEN CHICAGO'S MUSEUM OF SCIENCE AND INDUSTRY AND ADVOCATE CHRIST, EDUCATES HIGH SCHOOL STUDENTS ABOUT HEART HEALTH THROUGH LIVE INTERACTIVE HEART SURGERIES THAT ARE PROVIDED IN A CLASSROOM VIA VIDEO MONITORING. THE INTERACTIVE PROGRAM ALSO HELPS TO FOSTER INTEREST IN THE HEALTH SCIENCES.HYPERTENSION AND CEREBROVASCULAR DISEASE. HYPERTENSION IS A KNOWN RISK FACTOR FOR CEREBROVASCULAR DISEASE (STROKE). THE ADVOCATE CHRIST NEUROSCIENCES INSTITUTE IS A COMPREHENSIVE STROKE CENTER ACCREDITED BY DET NORSKE VERITAS (DNV) HEALTHCARE, INC. AS ONE OF THE BUSIEST STROKE CENTERS IN THE CHICAGOLAND AREA, THE MEDICAL CENTER TREATS MORE THAN 900 NEW STROKE PATIENTS EACH YEAR. BECAUSE THE STROKE TEAM SEES SUCH A LARGE VOLUME AND VARIETY OF STROKE CASES, THE PHYSICIANS HAVE THE SKILLS AND EXPERIENCE TO TREAT ALL LEVELS OF STROKE CASES, ESPECIALLY IN MANAGING POST-STROKE RECOVERY AND REHABILITATION. THE NEUROSCIENCES INSTITUTE'S COMMUNITY EDUCATION PROGRAMS INCLUDE HEALTH FAIRS, COMMUNITY LECTURES AND EDUCATIONAL PARTNERSHIPS WITH LOCAL SCHOOLS. THE INSTITUTE ALSO HOSTS MONTHLY COMMUNITY STROKE SUPPORT GROUPS.HEALTH NEEDS SELECTED TO ADDRESS BY ADVOCATE CHILDREN'SIN THE 2014-2016 CHNA, ADVOCATE CHILDREN'S IDENTIFIED THREE PRIORITY COMMUNITY HEALTH NEEDS FOR ACTION: 1. BECOME A TRAUMA-INFORMED CHILDREN'S HOSPITAL; 2. PROVIDE SCHOOL-BASED HEALTH CARE SERVICES TO HIGH RISK, LOW-INCOME CHILDREN IN THE SOUTH REGION MEDICAID MANAGED CARE PROGRAM; AND 3. REDUCE THE INCIDENCE OF UNCONTROLLED ASTHMA IN CHILDREN.BECOME A TRAUMA-INFORMED CHILDREN'S HOSPITAL. PLANS INCLUDED BECOMING THE FIRST TRAUMA-INFORMED CHILDREN'S HOSPITAL IN THE METROPOLITAN CHICAGO AREA, AS WELL AS FURTHERING THE PARTNERSHIP WITH THE ADVERSE CHILDHOOD EXPERIENCES (ACE) PROGRAM OF THE HEALTH AND MEDICINE POLICY RESEARCH GROUP TO DETERMINE BEST PRACTICES FOR TRAINING THE HOSPITAL'S CLINICAL TEAM ON ACES AND THEIR IMPACT ON IMPROVING CHILDREN'S HEALTH OUTCOMES. ADVOCATE CHILDREN'S WORKED CLOSELY WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH TO ASSIST IN REACHING ITS HEALTHY CHICAGO 2.0 GOAL OF BECOMING A TRAUMA-INFORMED CITY AND WITH ILLINOIS SENATOR DICK DURBIN TO SUPPORT LEGISLATION TO FURTHER TRAUMA-INFORMED CARE FOR CHILDREN.PROGRAM RESULTS IN 2019 WERE AS FOLLOWS.- SPONSORED AN ACADEMIC CONFERENCE TITLED "VIOLENCE IN COMMUNITIES: PROVIDING TRAUMA INFORMED CARE TO PEDIATRIC PATIENTS." A TOTAL OF 224 PHYSICIANS AND CLINICIANS WERE IN ATTENDANCE.- PROVIDED INTENSE TRAINING TO RONALD MCDONALD CARE MOBILE (RMCM) TEAMS IN TRAUMA INFORMED CARE.
ADVOCATE SOUTH SUBURBAN HOSPITALPART V, SECTION B, LINE 11: 2014-2016 CHNA (NOTE: THE FOLLOWING NARRATIVE REVIEWS THE PREVIOUS ADVOCATE SOUTH SUBURBAN 2014-2016 CHNA'S SELECTED PRIORITIES AND RELATED 2017-2019 IMPLEMENTED STRATEGIES AND OUTCOMES GIVEN 2019 WAS THE THIRD AND FINAL YEAR OF THE 2017-2019 IMPLEMENTATION PLAN.)ADVOCATE SOUTH SUBURBAN'S COMMUNITY HEALTH DEPARTMENT COLLECTED AND ANALYZED DATA FOR THE HOSPITAL'S PRIMARY SERVICE AREAS. IN ADDITION, HOSPITAL UTILIZATION DATA AND PROGRAM DATA FROM CLINICAL AND COMMUNITY-BASED PROGRAMS WERE COLLECTED. THIS PROCESS RESULTED IN THE IDENTIFICATION OF THE FOLLOWING COMMUNITY HEALTH NEEDS THAT WERE BROUGHT TO THE COMMUNITY HEALTH COUNCIL (CHC) FOR DISCUSSION AND PRIORITIZATION: ASTHMA, CANCER, DIABETES, HEART DISEASE AND HYPERTENSION/ STROKE.THE CHC RANKED THE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS USING THE FOLLOWING CRITERIA: - MOST PREVALENT HEALTH NEEDS IDENTIFIED BASED ON HIGHEST MORTALITY RATES: - HIGHEST INCIDENCE OF DISEASE IN THE COMMUNITY - THE HIGHEST HOSPITAL ADMISSIONS - AVAILABILITY OF COMMUNITY PARTNERSHIPS - AVAILABILITY OF CURRENT RESOURCES NEEDED TO PLAN AND IMPLEMENT PROGRAMS HEALTH NEEDS SELECTED THE CHC MEMBERS VOTED AND PRIORITIZED THE GREATEST HEALTH NEEDS BASED ON THE ABOVE ESTABLISHED CRITERIA AND THE HEALTH ISSUES WITH THE HIGHEST NUMBER OF VOTES WERE SELECTED AS THE PRIORITY HEALTH NEEDS. THE CHC MEMBERS IDENTIFIED ASTHMA AND DIABETES AS THE PRIORITY HEALTH NEEDS FOR THE HOSPITAL TO ADDRESS. THE INTEGRATION OF SOCIAL DETERMINANTS OF HEALTH INTO THE CHNA AND IMPLEMENTATION PLAN WAS ALSO AN ESSENTIAL COMPONENT OF IDENTIFYING AND ADDRESSING ROOT CAUSES OF CHRONIC HEALTH ISSUES. IN EFFORTS TO ALIGN WITH THE HICCC SOCIAL DETERMINANTS OF HEALTH (SDOH) PRIORITIES, CHC MEMBERS SELECTED HOUSING AS THE HOSPITAL'S SDOH PRIORITY. THE HEALTH PRIORITIES SELECTED AND CORRESPONDING OUTCOMES ON ACTIONS TAKEN ARE REVIEWED BELOW.ASTHMA. TO ADDRESS THE INCIDENCE OF UNCONTROLLED ASTHMA IN THE HOSPITAL'S PSA, ADVOCATE SOUTH SUBURBAN PLANNED FOR IMPLEMENTATION OF THE KICKIN' ASTHMA PROGRAM INTO THE FOLLOWING ZIP CODES: 60411, 60626, 60428, 60429 AND 60478. KICKIN' ASTHMA IS AN ASTHMA MANAGEMENT PROGRAM FOR KIDS AGES 11-16 (GRADES 6-10) THAT EDUCATES AND EMPOWERS STUDENTS THROUGH A FUN AND INTERACTIVE APPROACH TO ASTHMA SELF-MANAGEMENT. DURING THE 2014-2016 CHNA CYCLE, MULTIPLE CONTACTS WITH THE LEAD DISTRICT NURSE RESPONSIBLE FOR THE FIVE UNDERSERVED SCHOOLS IN THE PRIMARY ZIP CODE OF 60426 RESULTED IN NO NEW SCHOOL PARTNERSHIPS. ALTHOUGH THERE WAS AN EXPRESSED NEED FOR ASTHMA EDUCATION, THE DISTRICT LACKED THE COMMITMENT TO IDENTIFY DATES AND ELIGIBLE STUDENTS FOR THE PROGRAM. THIS WAS DESPITE NUMEROUS ATTEMPTS BY THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT AND BY A CHC MEMBER WHO WAS A FORMER SCHOOL NURSE TO GARNER THE SCHOOLS PARTNERSHIP IN THE PROGRAM. AS A RESULT:- NO NEW SCHOOL PARTNERSHIPS WERE ESTABLISHED IN 2019- NO ASTHMA EDUCATION CLASSES WERE HELD IN 2019ADVOCATE SOUTH SUBURBAN WILL CONTINUE TO ADDRESS ASTHMA WITHIN SCHOOLS WHEN APPROACHED BY SCHOOL NURSES FOR SUPPORT AS A PART OF THE HOSPITAL'S SPEAKER'S BUREAU PROGRAM. IF AND WHEN A KICKIN' ASTHMA PROGRAM IS REQUESTED, THE HOSPITAL WILL PARTNER WITH INDIVIDUAL SCHOOLS AS NEEDED.HOUSING. ADVOCATE SOUTH SUBURBAN SELECTED HOUSING AS A PRIORITY WITH A FOCUS ON IMPROVING THE HEALTH OUTCOMES FOR INDIVIDUALS WITH ASTHMA IN THE HOSPITAL'S PSA. ADVOCATE SOUTH SUBURBAN ALIGNED EFFORTS WITH COMMUNITY-BASED ORGANIZATIONS TO ADDRESS HOUSING AS A SOCIAL DETERMINANT OF HEALTH. THE HOUSING INITIATIVE SPECIFICALLY ADDRESSED THE IDENTIFICATION OF ENVIRONMENTAL TRIGGERS IN THE HOME THAT COULD CAUSE ASTHMA EXACERBATION. ACTIONS PLANNED AND RESULTS ACHIEVED BY THE HOSPITAL ARE PROVIDED BELOW. INCORPORATE THE METROPOLITAN TENANTS ORGANIZATION'S (MTO) HEALTHY HOMES INITIATIVE INTO THE KICKIN' ASTHMA PROGRAM; AND PROVIDE HEALTHY HOMES EDUCATION TO DECREASE ASTHMA TRIGGERS WITHIN THE FOLLOWING ZIP CODES: 60411, 60426, 20428, 60429, AND 60478.- AN IMPROVED PARTNERSHIP WITH THE METROPOLITAN TENANTS ORGANIZATION WAS NEEDED TO ASSIST IN THE HOSPITAL'S ABILITY TO BETTER SERVE THE ADVOCATE SOUTH SUBURBAN PSA IN ORDER TO ADDRESS HOUSING DISPARITIES AS RELATED TO ASTHMA EDUCATION.COLLABORATE WITH OTHER HOSPITALS AND COMMUNITY ORGANIZATIONS WITHIN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY TO DEVELOP INTERVENTIONS THAT WILL IMPACT THE SOCIAL DETERMINANTS OF HEALTH (SDOH).- COMMUNITY HEALTH STAFF ATTENDED SCHEDULED QUARTERLY ALLIANCE FOR HEALTH EQUITY WORK GROUP MEETINGS.- COMMUNITY HEALTH STAFF ATTENDED SCHEDULED SDOH MEETING IN 2019.DIABETES. ADVOCATE SOUTH SUBURBAN IMPLEMENTED A CDC EVIDENCE-BASED DIABETES PREVENTION PROGRAM (DPP) AND HIRED A LIFESTYLE COACH TO IMPLEMENT THE DPP PROGRAM, PREVENT T2, IN MARKHAM (ZIP CODE 60428) AND CHICAGO HEIGHTS (60411), IN COLLABORATION WITH COMMUNITY ORGANIZATIONS. THE GOAL WAS TO PROVIDE CLASSES TO PRE-DIABETIC COMMUNITY MEMBERS TO ADDRESS THE INCIDENCE OF DIABETES IN BOTH ZIP CODES. THROUGH THE PROGRAM, COMMUNITY MEMBERS WERE ENGAGED IN EXERCISE, HEALTHY EATING TIPS, FOOD DEMONSTRATIONS AND RECORDED THEIR FOOD LOGS DURING EACH CLASS. PROGRESS FOR FISCAL YEAR 2019 IS PROVIDED BELOW.- ADVOCATE SOUTH SUBURBAN ADDED TWO ADDITIONAL LIFESTYLE COACHES IN 2019 TO ITS DIABETES PREVENTION PROGRAM, TOTALING 3 TO SERVE THE PROGRAM.- ENROLLED 66 NEW PARTICIPANTS IN THE DPP PROGRAM FROM APRIL THROUGH SEPTEMBER 2019.- PARTNERED WITH VICTORY APOSTOLIC CHURCH IN MATTESON TO IMPLEMENT THREE COHORTS AT THE CHURCH, TWO EVENING CLASSES AND ONE DAYTIME CLASS TO ACCOMMODATE THE GREAT NEED.- IMPLEMENTED A TOTAL OF FIVE NEW COHORTS IN 2019: (3-VICTORY APOSTOLIC CHURCH; 2-SSH)- GRADUATED 3 COHORTS IN 2019.ADVOCATE SOUTH SUBURBAN ALSO WORKED TO ESTABLISH ITSELF AS A CDC-DESIGNATED DIABETES PREVENTION PROGRAM APPROVED SITE. - DATA WAS SUBMITTED TO THE CDC FOR CONSIDERATION; AND- NOTIFICATION OF THE HOSPITALS HAVING BEEN APPROVED BY THE CDC AS A DESIGNATED DPP PROGRAM SITE WAS RECEIVED ON JANUARY 2, 2019.ANOTHER FOCUS OF THE HOSPITAL WAS TO RAISE AWARENESS OF PREDIABETES THROUGH EDUCATION PROGRAMS IN FAITH-BASED ORGANIZATIONS IN MARKHAM (60428) AND CHICAGO HEIGHTS (60411).THE HOSPITAL ACHIEVED THE FOLLOWING IN 2019.- CONDUCTED A PRESENTATION TO MEMBERS OF VICTORY APOSTOLIC CHURCH IN MATTESON IN FEBRUARY 2019 AND BEGAN INAUGURAL PROGRAM IN APRIL 2019. THIS MEGA CONGREGATION SERVES MEMBERS FROM THE SOUTH CHICAGOLAND COMMUNITIES, INCLUDING MARKHAM AND CHICAGO HEIGHTS, COMMUNITIES TARGETED BY THE HOSPITAL.- THE COMMUNITY HEALTH DEPARTMENT PRESENTED THE DPP PROGRAM THE DEPARTMENT OF OB/GYNE TO GARNER ADDITIONAL PARTICIPANTS INTO THE PROGRAM IN MAY 2019. PHYSICIANS ASKED QUESTIONS FOR CLARITY AND BEGAN REFERRING THEIR PATIENTS TO THE PROGRAM.OTHER NOTEWORTHY DPP ACCOMPLISHMENTS INCLUDE THE FOLLOWING.- IN 2019, THERE WERE 107 TOTAL PARTICIPANTS ENROLLED IN THE DPP PROGRAM, 86 OF WHICH WERE ELIGIBLE BASED ON CDC REQUIREMENTS.- THIRTY ONE PERCENT OF THE PARTICIPANTS MET THEIR WEIGHT LOSS GOAL.HEALTH NEEDS NOT SELECTED ALTHOUGH CANCER, HEART DISEASE, AND HYPERTENSION AND STROKE WERE NOT SELECTED TO ADDRESS DURING THE CHNA PROCESS, ADVOCATE SOUTH SUBURBAN REMAINS COMMITTED TO SERVING THE HEALTH NEEDS OF INDIVIDUALS IN THE COMMUNITY WITH THESE HEALTH CONDITIONS. CANCER. ADVOCATE SOUTH SUBURBAN'S CANCER CENTER OFFERS AN ARRAY OF SERVICES, INCLUDING RADIATION THERAPY, BRACHYTHERAPY, IMAGE GUIDED RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY, AND MINIMALLY INVASIVE APPROACHES TO CANCER TREATMENT. THE BREAST HEALTH CENTER OFFERS EARLY DETECTION SERVICES AS WELL AS ADVANCED PROCEDURES, INCLUDING SENTINEL LYMPH NODE BIOPSY FOR BREAST CANCER TREATMENT, FOR CANCER DIAGNOSIS AND STAGING. ADDITIONALLY, ADVOCATE SOUTH SUBURBAN HAS AN INTEGRATED CANCER COMMITTEE AND CANCER CARE TEAM THAT ARE DEDICATED TO DEVELOPING A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH THROUGHOUT THE YEAR. VARIOUS EDUCATION AND SCREENING PROGRAMS ARE ALSO HELD IN THE COMMUNITY AND AT THE HOSPITAL THAT FOCUS ON BREAST, LUNG AND PROSTATE CANCERS. SOME SERVICES INCLUDE GENETIC COUNSELING, PATIENT NAVIGATION, CLINICAL TRIALS AND RESEARCHALL DESIGNED TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND THEIR FAMILIES. ADVOCATE SOUTH SUBURBAN ALSO HAS A STRONG PARTNERSHIP WITH THE CANCER SUPPORT CENTER AND THE AMERICAN CANCER SOCIETY THAT PROMOTES HEALTH AND WELL-BEING FOR INDIVIDUALS LIVING WITH CANCER.
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 11: 2014-2016 CHNA HEALTH NEEDS SELECTED ADVOCATE TRINITY'S COMMUNITY HEALTH DEPARTMENT COLLECTED AND ANALYZED DATA FOR THE HOSPITAL'S TOTAL SERVICE AREA (TSA). IN ADDITION, HOSPITAL UTILIZATION DATA AND PROGRAM DATA FROM CLINICAL AND COMMUNITY-BASED PROGRAMS WERE COLLECTED. THIS PROCESS RESULTED IN THE IDENTIFICATION OF SEVEN COMMUNITY HEALTH NEEDS THAT WERE BROUGHT TO THE HOSPITAL'S CHC FOR DISCUSSION AND PRIORITIZATION, INCLUDING: ASTHMA, CANCER, DIABETES, HEART DISEASE, HYPERTENSION/STROKE, MENTAL HEALTH, AND VIOLENCE/HOMICIDE. THE CHC MEMBERS SELECTED AND THE HOSPITAL GOVERNING COUNCIL APPROVED TWO CHRONIC DISEASE RELATED PRIORITIESASTHMA AND DIABETESIN ADDITION TO THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW THE ALLIANCE FOR HEALTH EQUITY) PRIORITY, THE "SOCIAL, ECONOMIC AND STRUCTURAL DETERMINANTS OF HEALTH" ON WHICH TO FOCUS FOR THE 2017-2019 CHNA IMPLEMENTATION PLAN. WHEN POSSIBLE AND IN ALIGNMENT WITH ADVOCATE'S COMMUNITY STRATEGY, INTERVENTIONS WERE SELECTED THAT PURPOSELY ENGAGED COMMUNITY PARTNERS IN COLLABORATIVELY ADDRESSING HEALTH NEEDS OF DISPARATE POPULATIONS. ASTHMATHE GOAL OF PROJECT H.E.A.L.T.H (HEALING EFFECTIVELY AFTER LEAVING THE HOSPITAL) PROGRAM WAS TO REDUCE THE INCIDENCE OF UNCONTROLLED ASTHMA AMONG ADULTS AGE 18 AND OLDER IN THE PSA. THE PROGRAM INVOLVED THE ENGAGEMENT OF COMMUNITY HEALTH WORKERS (CHW) WHO WERE RESPONSIBLE FOR EDUCATING PATIENTS REGARDING ASTHMA SELF-MANAGEMENT. PATIENTS HOSPITALIZED OR ADMITTED TO THE ED DUE TO ASTHMA WERE ASSESSED AND OFFERED HOME VISITS TO IDENTIFY ENVIRONMENTAL TRIGGERS AND BARRIERS TO ASTHMA. THE FOLLOWING OUTCOMES OCCURRED IN 2019. THERE WERE 141 PATIENTS SEEN FOR ASTHMA IN THE EMERGENCY DEPARTMENT WITH A RE-ADMISSION RATE OF 16.7 PERCENT DURING THE YEAR EIGHTY PROGRAM PARTICIPANTS (57 PERCENT) COMPLETED AN ASTHMA ACTION PLAN SEVENTY-NINE PROGRAM PARTICIPANTS (56 PERCENT) COMPLETED AN ASTHMA CONTROL TEST THERE WERE 19 HOME VISITS CONDUCTED WHERE 100% OF PROGRAM PARTICIPANTS WERE ABLE TO SELF-IDENTIFY ASTHMA TRIGGERS IN THEIR HOME FOLLOWING A HOME VISIT DIABETESTHE GOAL OF THE DIABETES PREVENTION PROGRAM IS TO REDUCE THE INCIDENCE OF TYPE 2 DIABETES AMONG ADULTS 18 AND OLDER IN THE PSA. ADVOCATE TRINITY'S COMMUNITY HEALTH DEPARTMENT SUCCESSFULLY IMPLEMENTED THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) NATIONAL DIABETES PREVENTION PROGRAM (DPP). THE PROGRAM IS DESIGNED TO EDUCATE INDIVIDUALS WHO HAVE BEEN DIAGNOSED WITH PREDIABETES ABOUT HOW TO PREVENT OR DELAY THE ONSET OF TYPE 2 DIABETES. THE DPP PROGRAM IS A YEARLONG PROGRAM THAT ACCOMPLISHES ITS GOAL THROUGH EDUCATION, DIET AND EXERCISE. THE HOSPITAL PARTNERED WITH CLINICS, LOCAL CHURCHES AND COMMUNITY ORGANIZATIONS TO HOST THE PROGRAM. OUTCOMES OF THE PROGRAM FOR 2019 INCLUDE THE FOLLOWING. ADVOCATE TRINITY ADDED AN ADDITIONAL LIFESTYLE COACH TO ITS DIABETES PREVENTION PROGRAM, TOTALING 2 TO SERVE THE PROGRAM FOR 2019 THE HOSPITAL RECEIVED CDC PRELIMINARY RECOGNITION STATUS MARCH 2019 1 COHORT GRADUATED IN FEBRUARY 2019 WITH 7 PARTICIPANTS TOTAL POUNDS LOST FOR ALL PARTICIPANTS WAS 77 POUNDS IN MAY 2019, $58,000 IN GRANT FUNDING WAS RECEIVED FROM IPHI CHICAGO CARES PROJECT TO EXPAND THE DPP PROGRAM IN ADVOCATE TRINITY'S PSA TO THE LATINX AND AFRICAN AMERICAN COMMUNITIES IN JULY 2019, THERE WAS A NEW COHORT ESTABLISHED WITH 8 PARTICIPANTS IN THE VILLA GUADALUPE SOUTH CHICAGO SENIOR HOUSING CENTERADVOCATE WORKFORCE INITIATIVETHE GOAL OF THE ADVOCATE WORKFORCE INITIATIVE WAS TO REDUCE THE UNEMPLOYMENT IN THE ADVOCATE TRINITY TSA. ADVOCATE TRINITY SERVES AS A SITE FOR THE ADVOCATE WORKFORCE INITIATIVE (AWI)A PROGRAM DESIGNED TO PREPARE LOW-INCOME RESIDENTS TO FIND CLINICAL AND NON-CLINICAL MID-LEVEL JOBS UPON COMPLETION OF REQUIRED EDUCATION. SUPPORTED BY A GRANT FROM JP MORGAN CHASE, THE INITIATIVE TRAINS AND EDUCATES ADULTS FOR ENTRY TO MID-LEVEL EMPLOYMENT OPPORTUNITIES (I.E., PHLEBOTOMIST, CNA, PHARMACY TECHNICIAN, ETC.). THE MICHAEL HEALTH REESE TRUST FUND SUPPORTED THE PATHWAYS TO HEALTH CAREERS PROGRAM, WHICH AFFORDS HIGH SCHOOL STUDENTS THE OPPORTUNITY TO JOB SHADOW IN VARIOUS DEPARTMENTS WITHIN THE HOSPITAL TO ENCOURAGE THEM TO PREPARE FOR A CAREER IN THE HEALTHCARE FIELD. THE FOLLOWING OUTCOMES OCCURRED IN 2019. TWENTY-THREE PARTICIPANTS ENROLLED IN CLINICAL AND NON-CLINICAL TRAINING FROM ADVOCATE TRINITY SERVICE AREAS THERE WERE 1,320 INTERNSHIP HOURS COMPLETED TWENTY-SIX CAREER DEVELOPMENT CLASSES WERE PROVIDED THROUGH PARTNERSHIPS WITH EDUCATIONAL INSTITUTIONS FOUR PERCENT OF INTERNS WERE HIRED BY ADVOCATE TRINITY WITHIN ONE YEAR OF PROGRAM COMPLETION THREE PERCENT OF INTERNS WERE HIRED BY OTHER HEALTHCARE ORGANIZATIONS WITHIN ONE YEAR OF PROGRAM COMPLETIONFOOD FARMACY PROGRAM THE GOAL OF THE HEALTHY LIVING FARMACY IS TO MAKE A POSITIVE HEALTH IMPACT ON THE METABOLIC DISORDERS OF PATIENTS WITHIN THE COMMUNITY, TRULY PROVIDING THEM WITH A PLACE TO HEAL. FOOD IS USED AS MEDICINE TO HELP IMPROVE CHRONIC CONDITIONS AND ENCOURAGE A HEALTHY LIFESTYLE AMONG ALL ADVOCATE PATIENTS. TO MAKE THIS MODEL A SUCCESS, ADVOCATE PHYSICIANS AND OTHER TRINITY PROVIDERS IDENTIFIED PATIENTS DIAGNOSED WITH CHRONIC FOOD-RELATED DISORDERS, SUCH AS PRE-DIABETES, HYPERTENSION, HIGH CHOLESTEROL, HEART DISEASE, AND OBESITYAS WELL AS THOSE WHO MAY BE FACING SOCIO-ECONOMIC BARRIERS, LIKE FRESH PRODUCE/FOOD DESERTS. PATIENTS WHO FACE CHALLENGES IN REACHING THEIR HEALTH GOALS ARE REFERRED TO ATTEND THE BI-WEEKLY FOOD FARMACY AND THEIR BIOMETRIC IMPROVEMENTS ARE MONITORED THROUGH REGULAR PHYSICIAN AND HOSPITAL CHECK-UPS. PROGRESS IN 2019 INCLUDED THE FOLLOWING. COMMUNITY HEALTH TEAM ACQUIRED THE PROGRAM IN MARCH 2019 OVER 441 PARTICIPANTS WITH CHRONIC HEALTH CONDITIONS WERE SERVED RESULTED IN IMPROVED SHOPPING HABITS AND CONSUMPTION OF HEALTHIER FOODS HEALTH NEEDS NOT SELECTED HEART DISEASEONE OF THE KEY HEALTH ISSUES IDENTIFIED BUT NOT SPECIFICALLY TARGETED IN ADVOCATE TRINITY'S COMMUNITY HEALTH IMPLEMENTATION PLAN WAS HEART DISEASE. ADVOCATE TRINITY IS ADDRESSING THE HEART DISEASE NEEDS OF THE COMMUNITY THROUGH THE NEWLY INTEGRATED ADVOCATE HEART INSTITUTE. THE HEART INSTITUTE'S SERVICES ARE COMPREHENSIVE AND RANGE FROM CARDIOVASCULAR DIAGNOSTICS AND DETECTION TO TREATMENT AND SURGERY, USING THE MOST ADVANCED DIAGNOSTIC AND THERAPEUTIC TOOLS AVAILABLE. THE INSTITUTE ALSO OFFERS CPR TRAINING, A FREE HEART RISK ASSESSMENT AND AN AFFORDABLE HEART CT SCAN. IN 2015, ADVOCATE TRINITY OPENED A NEW CARDIAC CATHETERIZATION LAB WHICH OFFERS PROCEDURES USED TO DIAGNOSE CARDIOVASCULAR CONDITIONS. IN ADDITION TO THE NEW CATHETERIZATION LAB, THE HOSPITAL DEVELOPED A NEW STATE-OF-THE-ART CARDIAC REHABILITATION FACILITY OFFERING PHASE I AND II CARDIAC REHABILITATION EXERCISE AND LIFESTYLE EDUCATION PROGRAMS TO THE COMMUNITY. THE HOSPITAL OFFERS SEVERAL COMMUNITY HEART HEALTH EDUCATION PROGRAMSBOTH AT THE HOSPITAL AND THROUGHOUT THE COMMUNITY. THESE EDUCATIONAL PROGRAMS INCLUDE LECTURES, SEMINARS AND SUPPORT GROUP MEETINGS FOR CONGESTIVE HEART FAILURE, DIABETES EDUCATION, HEART RISK ASSESSMENTS, AND SENIOR BREAKFAST CLUB LECTURES COVERING A RANGE OF TOPICS PERTINENT TO SENIOR HEART HEALTH. IN ADDITION TO THESE SERVICES, ADVOCATE TRINITY'S COMMUNITIES HAVE ACCESS TO HEALTH EDUCATION AND CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE SCREENINGS. HYPERTENSION/STROKE HYPERTENSION/STROKE WAS NOT SELECTED GIVEN ADVOCATE TRINITY IS A CERTIFIED STROKE READY FACILITY OFFERING IMMEDIATE CARE TO PATIENTS EXPERIENCING ACUTE STROKES. THE HOSPITAL OFFERS ADVANCED DIAGNOSTIC TECHNOLOGIES THAT FEATURE MORE THAN TEN BOARD CERTIFIED RADIOLOGISTS TO HELP DIAGNOSE NEUROLOGICAL CONDITIONS. IN ADDITION, THE HOSPITAL OFFERS COMPREHENSIVE REHABILITATION SERVICES TO PATIENTS RECOVERING FROM STROKE. ADVOCATE TRINITY'S STROKE TEAM, A GROUP OF STROKE CHAMPIONS, ENGAGE THE COMMUNITY BY PROVIDING STROKE AWARENESS AND PREVENTION EDUCATION AT HEALTH FAIRS, PARADES, SCHOOLS AND CHURCHES IN THE COMMUNITY. THE HOSPITAL COLLABORATES WITH OTHER COMMUNITY-BASED HOSPITALS AND MEDICAL HOMES TO ENGAGE THE COMMUNITY IN RESPONDING TO STROKE CARE. THE INITIATIVE TITLED "COMMUNITY ENGAGEMENT FOR EARLY RECOGNITION AND IMMEDIATE ACTION IN STROKE (CEERIAS)" IS A RESEARCH INITIATIVE THAT AIMS TO EXAMINE PERSONAL, COMMUNITY AND CULTURAL BARRIERS TO CALLING 911 AFTER ONSET OF A STROKE. IN COLLABORATION WITH LOCAL ACADEMIC MEDICAL CENTERS, ADVOCATE TRINITY HAS CONDUCTED TRAINING FOR COMMUNITY LEADERS IN THE HOSPITAL SERVICE AREA SO THEY CAN TEACH OTHERS HOW TO IDENTIFY STROKE AND REMOVE BARRIERS TO TIMELY STROKE CARE.
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 13B: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13BALL HOSPITAL FACILITIESN/A
CHRIST HOSP INCL HOPE CHILDREN'S HOSPPART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
ADVOCATE SOUTH SUBURBAN HOSPITALPART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
CHRIST HOSP INCL HOPE CHILDREN'S HOSPPART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.
ADVOCATE SOUTH SUBURBAN HOSPITALPART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.
CHRIST HOSP INCL HOPE CHILDREN'S HOSPPART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY.
ADVOCATE SOUTH SUBURBAN HOSPITALPART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY.
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY.
CHRIST HOSP INCL HOPE CHILDREN'S HOSPPART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.
ADVOCATE SOUTH SUBURBAN HOSPITALPART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 23: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 23ALL HOSPITAL FACILITIESN/A
ADVOCATE TRINITY HOSPITALPART V, SECTION B, LINE 24: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 24ALL HOSPITAL FACILITIESN/A
SCHEDULE H, PART V, SEC B, LINE 5 - LUTHERAN GEN HOSP INCL LUTH GEN CHILDGOVERNING COUNCIL. ADVOCATE LUTHERAN GENERAL'S GOVERNING COUNCIL CONSISTS OF SEVERAL COMMUNITY MEMBERS, EACH REPRESENTING INDIVIDUAL COMMUNITY ORGANIZATIONS. THE PRIMARY ROLE OF EACH GOVERNING COUNCIL MEMBER IS TO SUPPORT HOSPITAL LEADERSHIP IN ACHIEVEMENT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND TO SERVE AS THE HOSPITAL AMBASSADOR IN THE COMMUNITY. THE GOVERNING COUNCIL MONITORS CLINICAL OUTCOMES, PATIENT SATISFACTION, ASSOCIATE SATISFACTION, PHYSICIAN CREDENTIALING AND RELATIONS, FINANCIAL PERFORMANCE, STRATEGIC DIRECTION AND OVERALL COMMUNITY HEALTH. COMMUNITY REPRESENTATION INCLUDES NON-PROFIT AND FAITH-BASED ORGANIZATIONS, STATE LEGISLATURE OR GOVERNMENT, LOCAL SCHOOL DISTRICTS, BANKING AND LEGAL SECTORS OF THE COMMUNITY. THERE IS GOVERNING COUNCIL REPRESENTATION ON THE HOSPITAL'S CHC TO ENSURE ALIGNMENT OF COMMUNITY HEALTH NEEDS WITH THE HOSPITAL'S RESOURCES, CAPACITY AND AREAS OF EXPERTISE. GOVERNING COUNCIL REPRESENTATION IN THE CHNA PROCESS IS CRITICAL IN UNDERSTANDING THE OVERALL 24 STRATEGIC PLAN OF THE HOSPITAL. THE ROLE OF THE GOVERNING COUNCIL MEMBERS ON THE CHC IS ALSO CRITICAL WHEN DEVELOPING THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT STRATEGIES. THE GOVERNING COUNCIL IS THE HOSPITAL BODY RESPONSIBLE FOR FINAL APPROVAL AND ENDORSEMENT OF THE CHNA AT THE SITE LEVEL. THE DIRECTOR OF COMMUNITY HEALTH PRESENTED THE PROCESS AND FINDINGS OF THE 2017-2019 CHNA TO THE HOSPITAL'S GOVERNING COUNCIL. THE PRESENTATION INCLUDED DETAILS OF THE DATA ANALYSIS AND PRIORITY SETTING PROCESS. COUNCIL MEMBERS WERE ABLE TO ASK QUESTIONS AND GAIN A THOROUGH UNDERSTANDING OF THE CHNA PROCESS AND COMMUNITY HEALTH NEEDS. ON OCTOBER 2, 2019, THE HOSPITAL'S GOVERNING COUNCIL APPROVED THE ADVOCATE LUTHERAN GENERAL 2017-2019 CHNA AND PRIORITY HEALTH NEEDS. THE ADVOCATE HEALTH CARE NETWORK BOARD APPROVED THE ADVOCATE LUTHERAN GENERAL 2017-2019 CHNA REPORT AND HEALTH PRIORITIES AT THE SYSTEM LEVEL ON DECEMBER 16, 2019. THE HOSPITAL'S 2017-2019 CHNA REPORT WAS POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE THE FOLLOWING DAY AND INCLUDED A FORM AND AN EMAIL AS MECHANISMS FOR THE COMMUNITY TO PROVIDE FEEDBACK ON THE CHNA. AS OF DECEMBER 31, 2019, THE HOSPITAL HAD RECEIVED NO COMMENTS/FEEDBACK ON EITHER THE 2017-2019 CHNA REPORT, OR THE PREVIOUS 2014-2016 CHNA REPORT OR THE ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN.
SCHEDULE H, PART V, SEC. B, LINE 7 - ADVOCATE BROMENN MEDICAL CENTER7A: HOSPITAL FACILITY'S WEBSITE? (LIST URL): HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/BROMENN-CHNA-REPORT-20197B: OTHER THAN HOSPITAL FACILITY'S OR HOSPITAL ORGANIZATION'S WEBSITE?(LIST URL): MCLEAN COUNTY HEALTH DEPARTMENT: HTTP://HEALTH.MCLEANCOUNTYIL.GOV OSF ST JOSEPH MEDICAL CENTER: HTTP://WWW.OSFHEALTHCARE.ORG/ST-JOSEPH/ CHESTNUT HEALTH SYSTEMS HTTPS://WWW.CHESTNUTFAMILYHEALTH.ORG/ABOUT-US/DATA-REPORTS/
SCHEDULE H, PART V, SEC B, LINE 5 - ADVOCATE EUREKA HOSPITALSOUTH AND EFFECTIVELY UTILIZE RESOURCES AND ESTABLISH PARTNERSHIPS FROM THE THREE COUNTIES TO IMPROVE THE HEALTH OF THE COMMUNITIES. THE COMMUNITY HEALTH DIRECTOR FOR ADVOCATE BROMENN AND ADVOCATE EUREKA SERVES ON THE PFHC BOARD AND THE PFHC AD HOC CHNA COLLABORATIVE TEAM. SIMILAR TO OTHER MEMBERS OF THE PFHC, ADVOCATE EUREKA USED THE TRI-COUNTY CHNA TO PREPARE ITS 2019 CHNA REPORT, WITH A FOCUS ON WOODFORD COUNTY. FOR THE 2017-2019 CHNA, THE HOSPITAL PARTICIPATED IN THE PRIORITY-SETTING PROCESS WITH THE PFHC AD HOC CHNA COLLABORATIVE. FOUR SIGNIFICANT HEALTH NEEDS WERE SELECTED DURING THE TRI-COUNTY CHNA COLLABORATIVE PROCESS BY KEY COMMUNITY STAKEHOLDERS AT THE MARCH 12, 2019, PRIORITIZATION MEETING. REPRESENTATIVES FROM ALL THREE COUNTIES WERE IN ATTENDANCE. THE SIGNIFICANT HEALTH NEEDS SELECTED FOR THE TRI-COUNTY REGION WERE: 1) MENTAL HEALTH; 2) SUBSTANCE USE; 3) CANCER; AND 4) HEALTHY BEHAVIORS OR HEALTHY EATING/ACTIVE LIVING.HEALTH NEEDS SELECTED TO BE ADDRESSED FROM THE FOUR PRIORITIES ABOVE, THE CHNA TEAM FROM ADVOCATE EUREKA ANALYZED ADDITIONAL DATA FOR WOODFORD COUNTY FOR THE FOUR PRIORITIES AND SELECTED TWO SIGNIFICANT HEALTH NEEDS FOR ITS 2019 CHNAMENTAL HEALTH AND HEALTHY EATING/ACTIVE LIVING. THE HOSPITAL WANTED TO FOCUS ITS EFFORTS ON TWO SIGNIFICANT HEALTH NEEDS, SPECIFIC TO WOODFORD COUNTY, AS ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. MENTAL HEALTH HAS BEEN A HEALTH PRIORITY IN THE HOSPITAL'S 2013 AND 2016 CHNAS. HEALTH NEEDS NOT ADDRESSEDALTHOUGH THE HOSPITAL WILL FOCUS A MAJORITY OF ITS COMMUNITY HEALTH EFFORTS ON THE TWO HEALTH PRIORITIES, BY BEING ACTIVE MEMBERS OF THE PFHC MENTAL HEALTH AND HEALTHY EATING/ACTIVE LIVING PRIORITY ACTION TEAMS, STAFF MEMBERS OF ADVOCATE EUREKA WILL PARTICIPATE IN THE PFHC PRIORITY ACTION TEAMS FOR CANCER AND SUBSTANCE USE, WHEN NEEDED, TO FURTHER TRI-COUNTY EFFORTS TO ADDRESS BOTH OF THESE HEALTH PRIORITIES.ADVOCATE EUREKA'S 2017-2019 CHNA REPORT (IMPLEMENTATION PLAN POSTING WILL OCCUR IN EARLY MAY 2020) AND PREVIOUS 2014-2016 CHNA REPORT AND IMPLEMENTATION PLAN ARE POSTED ON THE ADVOCATE AURORA HEALTH WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2019, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY.
SCHEDULE H, PART V, SEC. B, LINE 11 - CHRIST HOSP INCL HOPE CHILDREN'S HOSPLAUNCHED SCREENING OF SOCIAL DETERMINANTS OF HEALTH (SDOH) AND MAKING COMMMUNITY REFERRALS THROUGH NOWPOW COMMUNITY RESOURCE REFERRAL TOOL. WORKED WITH ILLINOIS ACE (ADVERSE CHILDHOOD EXPERIENCES) RESPONSE COLLABORATION TO DEVELOP A COMPUTER-BASED TRAINING MODULE. DEVELOPED A STAFF NEEDS FUND TO PROVIDE RESOURCES TO STAFF EXPERIENCING TRAUMATIC EVENTS. POLICY INTERVENTIONREVISED THE SEXUAL ABUSE POLICY TO INCLUDE TRAUMA INFORMED APPROACHES. STARTED A CENTERING PREVENTION PROGRAM AT FOUR CLINICAL SITES. TRAINED ALL CARE MANAGERS IN TRAUMA INFORMED APPROACH.PROVIDE SCHOOL-BASED HEALTH CARE SERVICES TO HIGH RISK, LOW-INCOME CHILDREN IN THE SOUTH REGION MEDICAID MANAGED CARE PROGRAM. STRATEGIES INCLUDE OFFERING TARGETED, SCHOOL-BASED HEALTH SERVICES TO HIGH-RISK, LOW-INCOME CHILDREN WHO ARE UNINSURED OR ARE RECEIVING MEDICAID. SERVICES INCLUDED PRIMARY MEDICAL CARE, IMMUNIZATIONS, ASTHMA AND WEIGHT MANAGEMENT, WELLNESS AND HEALTH EDUCATION. ADVOCATE CHILDREN'S AIMED TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES THROUGH A MOBILE HEALTH CLINICTHE RONALD MCDONALD CARE MOBILETO IMPROVE COMPLIANCE FOR PHYSICALS AND IMMUNIZATIONS AT TARGETED SCHOOLS, ESTABLISH MEDICAL AND SOCIAL REFERRAL NETWORKS AND IMPROVE ASTHMA EDUCATION AND COMPLIANCE FOR PATIENTS SEEN ON THE CARE MOBILE.PROGRAM RESULTS FOR 2019 WERE AS FOLLOWS: ADVOCATE CHILDREN'S TREATED 1,480 PATIENTS IN THE OAK LAWN PRIMARY AND SECONDARY SERVICE AREA (PSA/SSA). THE CARE MOBILE TEAM PROVIDED 2,181 VACCINES AND 1,061 PHYSICALS. ADVOCATE CHILDREN'S IMPLEMENTED A FOOD INSECURITY SCREENING, WHICH RESULTED IN 21 PERCENT OF THE PATIENT POPULATION SCREENING POSITIVE FOR FOOD INSECURITY. FROM SEPTEMBERDECEMBER 2019, NEARLY 70 ONE-TO-ONE PATIENT EDUCATION SESSIONS WERE PROVIDED FOR NUTRITION, DENTAL HEALTH, IMMUNIZATIONS, ASTHMA AND SEXUAL HEALTH.REDUCE INCIDENCE OF UNCONTROLLED ASTHMA IN CHILDREN. STRATEGIES INCLUDED TARGETING ASTHMA SELF-MANAGEMENT SERVICES TO LOW-INCOME CHILDREN TREATED ON THE RONALD MCDONALD CARE MOBILE WHICH WAS PROVIDED BY ADVOCATE CHILDREN'S RESPIRATORY CARE SPECIALISTS AND HEALTH EDUCATORS. ONE-ON-ONE EDUCATION WAS PROVIDED FOR ASTHMATIC PATIENTS AND APPROPRIATE REFERRALS MADE FOR ADDITIONAL COMMUNITY BASED SERVICES. HEALTH NEEDS NOT SELECTED TO ADDRESS BY ADVOCATE CHILDREN'SCHILDHOOD OBESITY. WHILE NOT AN IDENTIFIED AREA FOR ACTION, CHILDHOOD OBESITY IS BEING ADDRESSED THROUGH THE HOSPITAL-SPONSORED PROACTIVE KIDS PROGRAM FOR WEIGHT LOSS AND WEIGHT MANAGEMENT. ALSO, THE HOSPITAL'S NEW HEALTHY ACTIVE LIVING PROGRAM, WHICH IS A WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT AND OBESE CHILDREN, WILL BE OFFERED TO CHILDREN LARGELY INSURED THROUGH MEDICAID. ORAL HEALTH. ADVOCATE CHILDREN'S IS COLLABORATING WITH MOBILE CARE CHICAGO, AN ORGANIZATION PROVIDING MOBILE DENTAL CARE TO THE AREA'S UNDERSERVED. WHEN APPROPRIATE, PATIENTS SEEN THROUGH THE ADVOCATE CHILDREN'S'S RONALD MCDONALD CARE MOBILE PROGRAM ARE REFERRED TO MOBILE CARE CHICAGO AND AREA DENTISTS ACCEPTING MEDICAID.2017-2019 CHNAHEALTH NEEDS SELECTED TO SUMMARIZE, AS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE CHRIST SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: MENTAL HEALTH/SUBSTANCE ABUSE; DIABETES; AND VIOLENCE PREVENTION (SOCIAL, ECONOMIC AND STRUCTURAL DETERMINANTS OF HEALTH).MENTAL HEALTH/SUBSTANCE ABUSE. DATA TRENDS INDICATE THAT MENTAL HEALTH AND SUBSTANCE USE ARE INCREASING AND THE NEED FOR PROGRAMMING IS CONTINUING TO GROW. MENTAL HEALTH AND SUBSTANCE USE OFTEN CO-OCCUR. THE CHC HAS RECOMMENDED DEVELOPING APPROACHES AND INTERVENTIONS THAT ADDRESS BOTH HEALTH ISSUES. ADVOCATE CHRIST WILL ADDRESS THE MENTAL HEALTH AND SUBSTANCE USE ISSUES OF INDIVIDUALS IMPACTED BY TRAUMA THROUGH THE TRAUMA RECOVERY CENTER. THE HIGH RATES OF ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES ARE PREVENTABLE THROUGH EMPLOYING COPING MECHANISMS AND RESILIENCE TRAINING. EXAMPLES INCLUDE RESTORATIVE JUSTICE ACTIVITIES, MENTAL HEALTH FIRST AID TRAININGS AND TRAUMA INFORMED WORKSHOPS. THE MEDICAL CENTER WILL ADOPT STRATEGIES THAT IMPROVE THE RATES OF MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES. IN ADDITION, ADVOCATE CHRIST WILL CONTINUE TO BUILD A PARTNERSHIP WITH STAFF FROM THE MEDICAL CENTER'S TRAUMA RECOVERY CENTER.DIABETES. HOSPITALIZATION AND EMERGENCY DEPARTMENT (ED) VISITS ARE INDICATIVE OF POORLY CONTROLLED CHRONIC DISEASES AND A LACK OF ACCESS TO ROUTINE PREVENTIVE CARE. POORLY CONTROLLED DIABETES CAN LEAD TO SEVERE OR LIFE-THREATENING COMPLICATIONS, SUCH AS HEART AND BLOOD VESSEL DISEASE, NERVE DAMAGE, KIDNEY DAMAGE, EYE DAMAGE AND BLINDNESS, FOOT DAMAGE AND LOWER EXTREMITY AMPUTATION, HEARING IMPAIRMENT, SKIN CONDITIONS AND ALZHEIMER'S DISEASE. ED VISITS FOR DIABETES ARE HEAVILY CONCENTRATED IN THE WEST AND SOUTH SIDES OF CHICAGO AND THE SOUTHERN REGION OF SUBURBAN COOK COUNTY. THE AREAS WITH HIGH RATES OF ED VISITS LARGELY OVERLAP WITH COMMUNITIES WITH HIGH RATES OF POVERTY, UNEMPLOYMENT AND COST-BURDENED HOUSEHOLDS. AS A RESULT, THE MEDICAL CENTER'S CHC DECIDED THAT DIABETES INITIATIVES IN THIS SERVICE AREA ARE STILL NEEDED AND CONTINUE TO BE A BURDEN FOR RESIDENTS (THE ALLIANCE FOR HEALTH EQUITY, 2019).VIOLENCE PREVENTION. TO A LARGE EXTENT, THE CONDITIONS OF THE ENVIRONMENTS IN WHICH WE LIVE, WORK, PLAY, GROW AND AGE DETERMINE OUR QUALITY OF LIFE AND HEALTH OUTCOMES. THESE SOCIAL DETERMINANTS OF HEALTH (SDOH) EXPLAIN WHY SOME PEOPLE FACE A MORE DIFFICULT CHALLENGE IN ACHIEVING AND MAINTAINING GOOD HEALTH.VIOLENCE HAS PROFOUND DIRECT AND INDIRECT IMPACTS ON HEALTH IN COMMUNITIES AND CAN HAVE BROADER SOCIOECONOMIC EFFECTS THAT FURTHER IMPACT THE HEALTH OF COMMUNITIES. VIOLENCE IN COMMUNITIES HAS BEEN ASSOCIATED WITH REDUCED INVESTMENT IN COMMUNITY RESOURCES, SUCH AS PARKS, RECREATIONAL FACILITIES AND PROGRAMS THAT PROMOTE HEALTHY ACTIVITY (PREVENTION INSTITUTE, 2011). FOOD RESOURCES SUCH AS SUPERMARKETS ARE MORE RELUCTANT TO ENTER COMMUNITIES OF COLOR WITH HIGHER RATES OF VIOLENCE FURTHER REDUCING ACCESS TO HEALTHY FOODS (ODOMS-YOUNG ET AL., 2009; ZENK ET AL., 2005). GUN VIOLENCE CAN SIGNIFICANTLY DECREASE THE GROWTH OF NEW RETAIL AND SERVICE BUSINESSES, DECREASE THE NUMBER OF NEW JOBS AVAILABLE AND SLOW HOME VALUE APPRECIATION (IRVIN-ERICKSON ET AL., 2017). IN ADDITION, HIGH RATES OF GUN VIOLENCE ARE ASSOCIATED WITH LOWER HOME VALUES, CREDIT SCORES AND HOME OWNERSHIP RATES (IRVIN-ERICKSON ET AL., 2017). THE MEDICAL CENTER'S CHC IDENTIFIED VIOLENCE PREVENTION AS A SIGNIFICANT DETERMINANT OF HEALTH IN THE PSA AND WILL WORK WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO DEVELOP NEW AND STRENGTHEN EXISTING EFFORTS TO PREVENT VIOLENCE IN THE COMMUNITY.HEALTH NEEDS SELECTED BY ADVOCATE CHILDREN'SADVOCATE CHILDREN'S-OAK LAWN WILL ADDRESS THE FOLLOWING PRIORITY AREAS FOR IMPLEMENTATION PLANNING FROM 2020-2022, INCLUDING: ACCESS TO PRIMARY HEALTH CARE FOR LOW-INCOME CHILDREN SCHOOL-BASED BEHAVIORAL HEALTH ASSISTANCE INFANT MORTALITY/PRE-TERM DELIVERIES/LOW BIRTH WEIGHTACCESS TO PRIMARY CARE. ACCESS TO PRIMARY CARE IS IMPORTANT FOR THE HEALTH AND WELL-BEING OF CHILDREN AND ADOLESCENTS. IMPROVEMENT IN CHILDREN'S HEALTH OUTCOMES CAN ONLY BE ACHIEVED IF CHILDREN ARE ABLE TO ACCESS CARE (RAY AND MEHROTRA, 2016). HIGH-QUALITY PRIMARY CARE SERVICES HAVE BEEN FOUND TO SIGNIFICANTLY REDUCE CHILDREN'S NON-URGENT ER VISITS. A CONSISTENT SOURCE OF PRIMARY CARE CAN FILL THE NEED FOR SCREENING, APPROPRIATE TREATMENT AND PREVENTATIVE SERVICES FOR CHILDREN AND ADOLESCENTS (NATIONAL COMMITTEE FOR QUALITY ASSURANCE, 2019).ADVOCATE CHILDREN'S WILL OFFER SCHOOL-BASED HEALTH SERVICES AT NO CHARGE TO HIGH-RISK, LOW-INCOME CHILDREN WHO ARE UNINSURED OR RECEIVING MEDICAID. SERVICES PROVIDED BY THE RONALD MCDONALD CARE MOBILE WILL INCLUDE FREE PHYSICALS, IMMUNIZATIONS, COMPLETION OF HPV VACCINE SERIES, ASSISTANCE WITH SECURING A MEDICAL HOME, WELLNESS AND HEALTH EDUCATION, COMMUNITY-BASED SOCIAL SERVICE REFERRALS AND FOOD INSECURITY SCREENING.SCHOOL-BASED BEHAVIORAL HEALTH ASSISTANCE. ADVOCATE CHILDREN'S WILL OFFER SCHOOL-BASED SOCIAL SERVICES AND RESOURCE ASSISTANCE TO IMPROVE SOCIAL AND PSYCHOLOGICAL FUNCTIONING OF CHILDREN AND FAMILIES TO MAXIMIZE FAMILY WELL-BEING AND THE ACADEMIC FUNCTIONING OF CHILDREN. SERVICES WILL BE PROVIDED BY A LICENSED CLINICAL SOCIAL WORKER ON SITE AT SELECT PARTNER SCHOOLS. CLINICAL FUNCTIONS WILL INCLUDE SCREENING AND ASSESSMENTS FOR IDENTIFIED FAMILIES, BRIEF INTERVENTIONS AND REFERRAL TO TREATMENT, COORDINATION WITH PEDIATRICIANS, SCHOOL PERSONNEL, COMMUNITY PARTNERS AND ALLIED THERAPISTS, AND PARENT EDUCATION AND TRAINING.
SCHEDULE H, PART V, SEC B, LINE 11- ADVOCATE SOUTH SUBURBAN HOSPITALHEART DISEASE. THROUGH THE ADVOCATE HEART INSTITUTE, ADVOCATE SOUTH SUBURBAN OFFERS A CONTINUUM OF SERVICES FROM SCREENING TO DIAGNOSIS AND TREATMENT. ADVANCED TREATMENT AND SERVICES INCLUDE COMPREHENSIVE DIAGNOSTIC SERVICES, INCLUDING MINIMALLY-INVASIVE ENDOVASCULAR PROCEDURES, ELECTROPHYSIOLOGICAL PROCEDURES, COMPUTED TOMOGRAPHY SCANNING, THREE-PHASE CARDIAC REHABILITATION AND A CONGESTIVE HEART FAILURE PROGRAM. THE HOSPITAL COMMITS TO COMMUNITY PREVENTION PROGRAMS BY CONDUCTING HEART HEALTH EDUCATION CLASSES, AND FREE AND REDUCED HEART RISK SCREENINGS FOR CARDIOVASCULAR HEALTH. THE CONGESTIVE HEART FAILURE PROGRAM IS A COMPREHENSIVE INPATIENT AND OUTPATIENT PROGRAM DESIGNED TO STRENGTHEN THE HEART, IMPROVE HEALTH AND MONITOR CHANGE. THE OVERALL GOAL IS TO RESTORE CARDIAC HEALTH AND REDUCE HOSPITALIZATION THROUGH THERAPY, DIET AND OTHER SERVICES. THE CARDIAC REHABILITATION PROGRAM IS FOR INDIVIDUALS REQUIRING REHABILITATION SERVICES FOLLOWING A CARDIOVASCULAR INCIDENT. THIS INDIVIDUALIZED PROGRAM IS DESIGNED TO REDUCE BLOOD PRESSURE, BODY MASS INDEX AND STRESS LEVELS THOUGH CUSTOMIZED EXERCISE PROGRAMS, YOGA AND STRENGTHENING TECHNIQUES. HYPERTENSION AND STROKE. ADVOCATE SOUTH SUBURBAN IS AN ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH)-DESIGNATED PRIMARY STROKE CENTER AND HAS EARNED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD. THE IDPH DESIGNATION SIGNIFIES THAT THE HOSPITAL DELIVERS THE CRITICAL STROKE CARE ELEMENTS REQUIRED TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES. ACHIEVING STROKE CERTIFICATION ENSURES THAT THE HOSPITAL OFFERS THE HIGHEST LEVEL OF CARE FOR THOSE WHO ARE EXPERIENCING AND RECOVERING FROM A STROKE. THE HOSPITAL ALSO OFFERS COMMUNITY EDUCATION EVENTS AND A STROKE SUPPORT GROUP THAT IS HELD MONTHLY AT THE HOSPITAL FOR INDIVIDUALS AND THEIR CAREGIVERS.2017-2019 CHNAHEALTH NEEDS SELECTED THE COMMUNITY HEALTH COUNCIL USED A PRIORITIZATION PROCESS BY IDENTIFYING THE MOST IMPORTANT HEALTH NEEDS USING STICKY DOTS. EACH MEMBER WAS RESPONSIBLE FOR PLACING A STICKY DOT ON THE TOP THREE HEALTH NEEDS. AS A RESULT OF THE 2017-2019 CHNA PROCESS, THE CHC MEMBERS SELECTED MENTAL HEALTH AND DIABETES AS THE TOP PRIORITIES. IN ADDITION, WORKFORCE DEVELOPMENT WAS IDENTIFIED AS THE SOCIAL DETERMINANT OF HEALTH WHICH ALIGNS WITH THE ALLIANCE'S SDOH PRIORITIES FOR COLLECTIVE IMPACT. DIABETES. UNCONTROLLED DIABETES CONTINUES TO BE A SIGNIFICANT FACTOR IN BOTH THE HOSPITAL'S PSA AND IN THE COUNTY. ADVOCATE SOUTH SUBURBAN HAS IMPLEMENTED THE CDC'S NATIONAL DIABETES PREVENTION PROGRAM IN COMMUNITY AREAS AND IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND FAITH COMMUNITIES. SINCE 2017, THE PROGRAM HAS PROVEN SUCCESSFUL FOR PARTICIPANTS WHO HAVE COMPLETED THE YEAR-LONG CLASSES. TO ESTABLISH THE HOSPITAL AS A DESIGNATED DIABETES PREVENTION PROGRAM, THE PROGRAM WILL CONTINUE AND DATA WILL BE SUBMITTED IN ACCORDANCE TO THE PROGRAM GUIDELINES. DIABETES AFFECTS PEOPLE OF DIFFERENT BACKGROUNDS, AGES AND ETHNICITIES. CONTINUING THIS PROGRAM EMPOWERS INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH. MENTAL HEALTH. THE CHC IDENTIFIED MENTAL HEALTH AS A GROWING ISSUE IN THE HOSPITAL'S PSA, THEREFORE, IT WAS SELECTED AS THE SECOND PRIORITY HEALTH NEED. DATA TRENDS INDICATE THAT MENTAL HEALTH ISSUES ARE INCREASING AND THE NEED FOR MENTAL HEALTH SERVICES AND PROGRAMMING IS CONTINUING TO GROW. THIS IS A HEALTH NEED THAT IS ALSO RELATED TO SUBSTANCE ABUSE AS MANY SUBSTANCE USERS/ABUSERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AND MANY INDIVIDUALS WITH MENTAL HEALTH DISORDERS EXPERIENCE CO-OCCURRING SUBSTANCE ABUSE ISSUES. THE HIGH RATES OF ED VISITS AND HOSPITALIZATIONS DUE TO MENTAL HEALTH ISSUES ARE PREVENTABLE THROUGH EMPLOYING COPING MECHANISMS AND RESILIENCE TRAINING. THE HOSPITAL WILL ADOPT STRATEGIES THAT IMPROVE THE RATES OF MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATIONS DUE TO MENTAL HEALTH ISSUES. THESE STRATEGIES INCLUDE: 1) PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS, FAITH INSTITUTIONS AND LEARNING INSTITUTIONS TO EDUCATE COMMUNITY MEMBERS ABOUT MENTAL HEALTH ILLNESS; 2) CONDUCTING ASSET MAPPING FOR THE ADVOCATE SOUTH SUBURBAN PSA TO DETERMINE THE GAPS IN SERVICES; AND 3) COORDINATING WITH COMMUNITY PARTNERS TO CONDUCT TRAININGS FOCUSED ON UNDERSTANDING AND RESPONDING TO MENTAL HEALTH ILLNESS.WORKFORCE DEVELOPMENT. IN AN EFFORT TO CONTINUE ITS COMMITMENT TO THE COMMUNITY, ADVOCATE AURORA WILL ENTER INTO PHASE 3 OF THE WORKFORCE DEVELOPMENT PROJECT. AS AN ADVOCATE AURORA HOSPITAL, ADVOCATE SOUTH SUBURBAN WILL COLLABORATE WITH COMMUNITY ORGANIZATIONS TO RECRUIT AND TRAIN COMMUNITY MEMBERS FOR ENTRY AND MID-LEVEL SKILL JOBS WITHIN HEALTH CARE. THE ADVOCATE WORKFORCE INITIATIVE FOCUSES ON FOUR TO FIVE MIDDLE-SKILL HEALTHCARE OCCUPATIONS THAT INCLUDE BOTH IN-PATIENT AND OUT-PATIENT JOBS. THE PROGRAM PROVIDES GRADUATES WITH EMPLOYMENT OPPORTUNITIES AND LAYS THE FOUNDATION FOR LONGER-TERM CAREER GROWTH AND ECONOMIC STABILITY FOR THE INDIVIDUAL AND THEIR FAMILY. HEALTH NEEDS NOT SELECTED CANCER. CANCER WAS NOT SELECTED AS A PRIORITY TO ADDRESS WITHIN THE ADVOCATE SOUTH SUBURBAN PSA. THE HOSPITAL IS ALREADY VERY ENGAGED IN PROVIDING AN ARRAY OF CANCER SERVICES AND COMMUNITY PROGRAMS FOR CANCER. ADVOCATE SOUTH SUBURBAN'S ONCOLOGY SERVICES OFFER AN ARRAY OF SERVICES, INCLUDING RADIATION THERAPY, BRACHYTHERAPY, IMAGE GUIDED RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY AND MINIMALLY INVASIVE APPROACHES TO CANCER TREATMENT. THE BREAST HEALTH CENTER OFFERS EARLY DETECTION SERVICES AS WELL AS ADVANCED PROCEDURES, INCLUDING SENTINEL LYMPH NODE BIOPSY FOR BREAST CANCER TREATMENT FOR CANCER DIAGNOSIS AND STAGING. ADDITIONALLY, ADVOCATE SOUTH SUBURBAN HAS AN ACTIVE CANCER COMMITTEE AND CANCER CARE TEAM THAT ARE DEDICATED TO DEVELOPING A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH TO TREATMENT AND PREVENTION SERVICES. A NUMBER OF COMMUNITY EDUCATION AND SCREENING PROGRAMS ARE ALSO HELD IN THE COMMUNITY AND AT THE HOSPITAL FOCUSING ON BREAST, LUNG AND PROSTATE CANCERS. SOME SERVICES INCLUDE GENETIC COUNSELING, PATIENT NAVIGATION, CLINICAL TRIALS AND RESEARCHALL OF WHICH ARE DESIGNED TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND THEIR FAMILIES. HEART DISEASE/STROKE. ONE OF THE KEY HEALTH ISSUES IDENTIFIED BUT NOT SPECIFICALLY TARGETED IN ADVOCATE SOUTH SUBURBAN'S COMMUNITY HEALTH IMPROVEMENT PLAN WAS HEART DISEASE. ADVOCATE SOUTH SUBURBAN IS ADDRESSING THE HEART DISEASE NEEDS OF THE COMMUNITY THROUGH THE ADVOCATE HEART INSTITUTE. ADVOCATE HEART INSTITUTE SERVICES ARE COMPREHENSIVE AND RANGE FROM CARDIOVASCULAR DIAGNOSTICS AND DETECTION TO TREATMENT AND SURGERY, USING THE MOST ADVANCED DIAGNOSTIC AND THERAPEUTIC TOOLS AVAILABLE. THE INSTITUTE ALSO OFFERS CPR TRAINING, A FREE HEART RISK ASSESSMENT AND AN AFFORDABLE HEART CT SCAN. ADVOCATE SOUTH SUBURBAN ALSO OFFERS A CARDIAC CATHETERIZATION LAB, WHICH PROVIDES PROCEDURES USED TO DIAGNOSE CARDIOVASCULAR CONDITIONS. THE HOSPITAL OFFERS A NUMBER OF COMMUNITY EDUCATION PROGRAMS BOTH AT THE HOSPITAL AND THROUGHOUT THE COMMUNITY. THESE EDUCATIONAL PROGRAMS INCLUDE LECTURES, SEMINARS AND SUPPORT GROUP MEETINGS FOR CONGESTIVE HEART FAILURE, DIABETES EDUCATION, HEART RISK ASSESSMENTS AND LECTURES COVERING A RANGE OF TOPICS PERTINENT TO HEART HEALTH. IN ADDITION TO THESE SERVICES, ADVOCATE SOUTH SUBURBAN'S COMMUNITIES HAVE ACCESS TO HEALTH EDUCATION, AND CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE SCREENINGS.ASTHMA. ASTHMA WAS ALSO NOT SELECTED AS A PRIORITY HEALTH NEED TO ADDRESS AS THE HOSPITAL ALREADY PROVIDES MANY SERVICES AND PROGRAMS TO ADDRESS ASTHMA. ADVOCATE SOUTH SUBURBAN OFFERS COMPREHENSIVE, MULTI-DISCIPLINARY SERVICES FOR LUNG AND RESPIRATORY CARE, INCLUDING THE TREATMENT OF ASTHMA. THE LUNG AND RESPIRATORY CARE CENTER PROVIDE INPATIENT AND OUTPATIENT RESPIRATORY CARE SERVICES TO HELP PATIENTS ACHIEVE A BETTER QUALITY OF LIFE. WITH BOARD CERTIFIED PULMONOLOGISTS WHO COLLABORATE WITH RELATED SPECIALISTS, AIRWAY DISEASES ARE TREATED FROM PREVENTION AND DIAGNOSTICS TO ADVANCED TREATMENT AND SUPPORT SERVICES. IN ADDITION, ADVOCATE SOUTH SUBURBAN PARTNERS WITH THE AMERICAN LUNG ASSOCIATION AND LOCAL SCHOOLS TO OFFER THE KICKIN' ASTHMA PROGRAM THAT ADDRESSES THE NEEDS OF CHILDREN WHO HAVE ASTHMA. THE GOAL OF THE KICKIN' ASTHMA PROGRAM IS TO EMPOWER KIDS TO TAKE CONTROL OF THEIR ASTHMA, SO THEY DEVELOP THE SKILLS NECESSARY TO MANAGE THEIR SYMPTOMS AND LIVE A FULL AND ACTIVE LIFE. ADVOCATE CHILDREN'S ALLERGY AND ASTHMA SPECIALISTS WORK WITH CHILDREN AND THEIR FAMILIES TO MANAGE ASTHMA AND PROVIDE EDUCATION REGARDING HOW TO PREVENT ASTHMA ATTACKS. RESPIRATORY CARE SPECIALISTS PROVIDE FAMILY CONSULTATION, TREATMENT TO ELIMINATE CHRONIC PROBLEMS FROM ALLERGY AND ASTHMA TRIGGERS, AND EDUCATION REGARDING ASTHMA MANAGEMENT. LASTLY, ADVOCATE CHILDREN'S OFFERS A VARIETY OF EDUCATIONAL RESOURCES FOR CHILDREN, TEENS AND PARENTS THROUGH THE ASTHMA CENTER.
SCHEDULE H, PART V, SEC B, LINE 11- ADVOCATE SOUTH SUBURBAN HOSPITALSUBSTANCE ABUSE. ADVOCATE SOUTH SUBURBAN IS A COMMUNITY HOSPITAL THAT DOES NOT HAVE A PSYCHIATRIC UNIT AND DOES NOT PROVIDE ONGOING TREATMENT FOR SUBSTANCE ABUSE. HOWEVER, IN ORDER TO MEET THE IMMEDIATE NEEDS OF ITS ED PATIENTS AND HOSPITAL INPATIENTS, AND PROVIDE FOR CONTINUITY OF CARE, THE HOSPITAL PROVIDES TREATMENT OPTIONS THROUGH ADVOCATE BEHAVIORAL HEALTH SERVICES AND THE FAMILY CARE NETWORK LOCATED AT ADVOCATE CHRIST MEDICAL CENTER. ADVOCATE BEHAVIORAL HEALTH SERVICES AND FAMILY CARE NETWORK PROVIDE AN ADULT INPATIENT PSYCHIATRIC PROGRAM, OLDER ADULT INPATIENT PROGRAM TO HELP OLDER ADULTS REGAIN PSYCHOLOGICAL STABILITY, ADOLESCENT PARTIAL HOSPITALIZATIONS AND SUBSTANCE ABUSE-PARTIALHOSPITALIZATION FOR SHORT-TERM INTENSIVE TREATMENT OF CHEMICAL DEPENDENCE. UPON TREATMENT AND PRIOR TO DISCHARGE, PATIENTS ARE CONNECTED TO BEHAVIORAL HEALTH PROGRAMS AND PROVIDED RESOURCES TO ORGANIZATIONS THAT ASSIST THE PATIENT BASED ON NEEDS (I.E., SUBSTANCE ABUSE FACILITY OR DETOX CENTER).
SCHEDULE H, PART V, LINE 11- ADVOCATE TRINITY HOSPITALCANCER CANCER WAS NOT SELECTED AS A CHNA FOCUS AREA GIVEN ADVOCATE TRINITY'S ONCOLOGY CENTER PROGRAMS ARE ALREADY IN PLACE AND STRUCTURED TO FACILITATE A MULTIDISCIPLINARY ENVIRONMENT THAT PROVIDES MINIMALLY INVASIVE PROCEDURES AND ADVANCED SURGICAL INTERVENTION TO TREAT CANCER. THE ONCOLOGY CENTER INCLUDES ADVANCED DIAGNOSTICS, IMAGING SERVICES, INTERVENTIONAL RADIOLOGY AND AN INFUSION CENTER. THE HOSPITAL HAS A CANCER COMMITTEE TO DEVELOP, APPROVE AND IMPLEMENT THE STRATEGIC PLANS, GOALS AND OBJECTIVES OF ADVOCATE TRINITY'S CANCER PROGRAMS, AND TO PROVIDE OVERSIGHT FOR ONGOING PROGRAMS AND OUTREACH SERVICES. THE CANCER COMMITTEE ENSURES THAT COMMUNITY OUTREACH PLANS REFLECT THE CANCER EXPERIENCE AT ADVOCATE TRINITY AND THAT THE DEFINED COMMUNITY NEEDS ARE ADDRESSED. ADVOCATE TRINITY'S ONCOLOGY NURSE NAVIGATOR, IN COLLABORATION WITH THE COMMUNITY HEALTH DEPARTMENT, WORK TO IMPLEMENT OUTREACH SERVICES IN THE COMMUNITY. OUTREACH ACTIVITIES INCLUDE COMMUNITY EDUCATION FOR BREAST CANCER PREVENTION, PROSTATE CANCER PREVENTION AND OTHER COMMUNITY HEALTH EDUCATION, SUCH AS HEALTHY LIFESTYLE EDUCATION FOR CANCER PREVENTION. MENTAL HEALTHADVOCATE TRINITY IS A COMMUNITY HOSPITAL THAT DOES NOT HAVE A PSYCHIATRIC UNIT AND DOES NOT PROVIDE ONGOING TREATMENT FOR MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE. HOWEVER, TO MEET THE IMMEDIATE NEEDS OF ITS EMERGENCY DEPARTMENT (ED) PATIENTS AND INPATIENTS AND TO PROVIDE FOR CONTINUITY OF CARE, THE HOSPITAL HAS TWO STRATEGIES IN PLACE. FIRST, THERE IS AN ON-SITE BEHAVIORAL HEALTH CLINICIAN 8 HOURS-A-DAY WHO EVALUATES PATIENTS WITH MENTAL HEALTH AND SUBSTANCE ABUSE CONDITIONS, PROVIDES REFERRALS TO OUTPATIENT MENTAL HEALTH PROVIDERS, AND COMPLETES TRANSFERS TO INPATIENT PSYCHIATRIC OR DETOX FACILITIES WHEN APPROPRIATE. THIS CLINICIAN ALSO SERVES AS A CONSULTING RESOURCE ON PATIENTS WITH THESE CONDITIONS, PROVIDES EDUCATION AND TRAINING TO HOSPITAL STAFF, AND CAN OFFER GUIDANCE AND EDUCATION TO PATIENTS, FAMILIES AND COMMUNITY REPRESENTATIVES. SECOND, THE HOSPITAL COORDINATES PATIENT SERVICES THROUGH THE ADVOCATE BEHAVIORAL HEALTH TELEMEDICINE HUB AT ADVOCATE CHRIST MEDICAL CENTER. PATIENTS INTERACT THROUGH TELEMEDICINE TECHNOLOGY WITH SPECIALIZED CLINICIANSPSYCHIATRISTS, CLINICAL PSYCHOLOGISTS AND APNSFOR MEDICATION MANAGEMENT, RISK ASSESSMENT, COMPETENCY DETERMINATION, RECOMMENDATIONS REGARDING LEVEL OF CARE, AND ONGOING TREATMENT WHILE THEY ARE PATIENTS. BOTH THE ON-SITE AND HUB CLINICIANS CONNECT WITH PATIENTS' PRIMARY CARE PROVIDERS, WHEN AVAILABLE, TO PROMOTE CONTINUITY OF CARE. IN ADDITION, THE COMMUNITY HEALTH DEPARTMENT SPONSORS MENTAL HEALTH FIRST AID TRAININGS FOR CONGREGATIONS, COMMUNITY ORGANIZATIONS AND OTHER HEALTH CARE ORGANIZATIONS TO REDUCE STIGMA AND HELP COMMUNITY MEMBERS GAIN SKILLS IN ADDRESSING AND RESOURCING INDIVIDUALS EXPERIENCING MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. VIOLENCE AND HOMICIDE ADVOCATE TRINITY CONTINUALLY ASSESSES WHETHER ADDITIONAL PREVENTION STRATEGIES ARE NEEDED WITHIN THE COMMUNITY AND WORKS IN SUPPORT OF ITS PARTNERS TO ADDRESS COMMUNITY NEEDS SUCH AS VIOLENCE AND HOMICIDE. COMMUNITY PARTNERS SPECIFICALLY ADDRESSING THESE NEEDS INCLUDE THE CLARETIAN ASSOCIATES AND THE NEIGHBORHOOD CHICAGO ALTERNATIVE POLICING STRATEGY (CAPS), CHICAGO POLICE DEPARTMENT. CLARETIAN ASSOCIATES CONDUCTED A SURVEY IN 2016 TO BETTER UNDERSTAND THE RANGE OF EXPOSURE TO VIOLENCE POTENTIALLY CAUSING TRAUMATIC REACTIONS. THE SURVEY RESULTS PROMPTED THE ORGANIZATION TO EMBARK ON THE JOURNEY TO BE A "TRAUMA INFORMED COMMUNITY." WITH ADVOCATE TRINITY IN SUCH PROXIMITY TO CLARETIAN ASSOCIATES, THE HOSPITAL ESTABLISHED A PARTNERSHIP WITH THEM TO DELIVER INFORMATION TO FAITH ORGANIZATIONS WITHIN THE HOSPITAL'S SERVICE AREA. THE POLICE DEPARTMENT WORKS WITHIN THE COMMUNITY TO ADDRESS THESE NEEDS AND ADVOCATE TRINITY PARTNERS WITH THEM TO SUPPORT THEIR ACTIVITIES, SUCH AS THE NATIONAL NIGHT OUT EVENT. THE NATIONAL NIGHT OUT EVENT IS DESIGNED TO INCREASE AWARENESS ABOUT POLICE AND COMMUNITY PARTNERSHIPS OR PROGRAMS THAT EDUCATE COMMUNITIES REGARDING VIOLENCE PREVENTION, DRUG PREVENTION, TOWN WATCH, NEIGHBORHOOD WATCH AND OTHER ANTI-CRIME EVENTS.2017-2019 CHNAHEALTH NEEDS SELECTED PRIMARY AND SECONDARY DATA WAS COLLECTED AND PRESENTED TO THE COMMUNITY HEALTH COUNCIL. AFTER REVIEW AND DISCUSSION, THE CHC USED A PRIORITIZATION APPROACH THAT INVOLVED SELECTING THEIR TOP PRIORITIES BY PLACING STICKY DOTS ON FLIPCHART PAPER. THE ADVOCATE TRINITY COMMUNITY HEALTH COUNCIL MEMBERS SELECTED THREE HEALTH PRIORITIES TO BE ADDRESSED BY THE HOSPITAL AS A RESULT OF THE 2017-2019 CHNA PROCESS. THE THIRD PRIORITY WAS IDENTIFIED AS THE SOCIAL DETERMINANT OF HEALTH ALIGNED WITH THE ALLIANCE FOR HEALTH EQUITY'S STRATEGY FOR COLLECTIVE IMPACT. THESE PRIORITIES SELECTED INCLUDE THE FOLLOWING. MENTAL HEALTH DIABETES FOOD INSECURITY (SOCIAL, ECONOMIC AND STRUCTURAL DETERMINANTS OF HEALTH)MENTAL HEALTH/SUBSTANCE ABUSETHE CHC SELECTED MENTAL HEALTH AS THE MOST PERTINENT HEALTH NEED PRIORITY DUE TO THE INCREASE IN ED AND HOSPITALIZATION RATES, AND THE GROWING NEED FOR COMMUNITY SERVICES AND RESOURCES. THIS IS A HEALTH NEED THAT IS ALSO RELATED TO SUBSTANCE ABUSE AS MANY SUBSTANCE USERS/ABUSERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AND MANY INDIVIDUALS WITH MENTAL HEALTH DISORDERS EXPERIENCE SUBSTANCE ABUSE ISSUES. THE HIGH RATES OF ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES ARE PREVENTABLE THROUGH EMPLOYING COPING MECHANISMS AND RESILIENCE TRAINING. THE HOSPITAL WILL INVESTIGATE PROGRAMS THAT PREVENT MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES.DIABETESTHE CHC AND COMMUNITY HEALTH DEPARTMENT VOTED FOR DIABETES AS A CHRONIC CONDITION THAT NEEDS TO CONTINUE TO BE PRIORITIZED AS A RESULT OF SECONDARY DATA OUTCOMES WITHIN THE PSA. UNCONTROLLED DIABETES CONTINUES TO BE A FACTOR IN THE HOSPITAL'S PSA AS WELL AS IN COOK COUNTY. ADVOCATE TRINITY HAS IMPLEMENTED THE EVIDENCE-BASED CDC NATIONAL DIABETES PREVENTION PROGRAM, PREVENT T2, IN THE COMMUNITY AND IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND FAITH COMMUNITIES. SINCE 2017, THE PROGRAM HAS PROVEN SUCCESSFUL FOR PARTICIPANTS WHO HAVE COMPLETED THE YEAR-LONG SERIES OF CLASSES. TO ESTABLISH THE HOSPITAL AS A DESIGNATED DIABETES PREVENTION PROGRAM, THE HOSPITAL WILL CONTINUE TO IMPLEMENT THIS STRATEGY, AND DATA WILL BE COLLECTED AND SUBMITTED IN ACCORDANCE WITH THE PROGRAM GUIDELINES. DIABETES AFFECTS PEOPLE OF DIFFERENT BACKGROUNDS, AGES AND ETHNICITIES. CONTINUING THIS PROGRAM EMPOWERS INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH.FOOD INSECURITY ADVOCATE TRINITY WILL ADDRESS FOOD INSECURITY (FI) FOR THE 2020-2022 CHNA COMMUNITY HEALTHIMPROVEMENT IMPLEMENTATION CYCLE IN A COMMITMENT TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND HEALTH INEQUITY. FI WAS ALSO SELECTED TO ALIGN WITH EFFORTS AND STRATEGIES FOR DIABETES PREVENTION. FI IS A HOUSEHOLD LEVEL FACTOR OF LIMITED OR UNCERTAIN ACCESS TO ADEQUATE FOOD, AND CONTRIBUTES TO STRESS AND POOR NUTRITION MAKING INDIVIDUALS SUSCEPTIBLE TO CHRONIC DISEASE. THE LACK OF ACCESS TO ADEQUATE FOOD CAN WORSEN HEALTH PROBLEMS AND INCREASE FINANCIAL STRAIN THROUGH DECREASED EMPLOYABILITY DUE TO CHRONIC DISEASE (THE ALLIANCE FOR HEALTH EQUITY, COMMUNITY HEALTH NEEDS ASSESSMENT, 2019). SEVERAL COMMUNITY AREAS IN THE ADVOCATE TRINITY PSA ARE AT RISK FOR FI. THE HOSPITAL WILL ESTABLISH SEVERAL STRATEGIES TO ENHANCE INITIATIVES THAT INCREASE ACCESS TO HEALTHY FOOD CHOICES WITHIN ITS PSA AND PATIENTPOPULATION.HEALTH NEEDS NOT SELECTED CANCERADVOCATE TRINITY DID NOT SELECT CANCER AS A HEALTH PRIORITY BECAUSE THE HOSPITAL HAS MULTIPLE PROGRAMS AND SERVICES IN PLACE TO ADDRESS THIS HEALTH ISSUE. ADVOCATE TRINITY'S ONCOLOGY CENTER PROGRAMS ARE STRUCTURED TO FACILITATE A MULTIDISCIPLINARY ENVIRONMENT THAT PROVIDES MINIMALLY INVASIVE PROCEDURES AND ADVANCED SURGICAL INTERVENTION TO TREAT CANCER. THE ONCOLOGY CENTER INCLUDES ADVANCED DIAGNOSTICS, IMAGING SERVICES, INTERVENTIONAL RADIOLOGY AND AN INFUSION CENTER. THE HOSPITAL HAS A CANCER COMMITTEE TO DEVELOP, APPROVE AND IMPLEMENT THE STRATEGIC PLANS, GOALS AND OBJECTIVES OF ADVOCATE TRINITY'S CANCER PROGRAMS AND TO PROVIDE OVERSIGHT FOR ONGOING PROGRAMS AND OUTREACH SERVICES. THE CANCER COMMITTEE ENSURES THAT COMMUNITY OUTREACH PLANS REFLECT THE CANCER EXPERIENCE AT ADVOCATE TRINITY AND THAT THE DEFINED COMMUNITY NEEDS ARE ADDRESSED. ADVOCATE TRINITY'S ONCOLOGY NURSE NAVIGATOR, IN COLLABORATION WITH THE COMMUNITY HEALTH DEPARTMENT, WORKS TO IMPLEMENT OUTREACH SERVICES IN THE COMMUNITY. OUTREACH ACTIVITIES INCLUDE COMMUNITY EDUCATION FOR BREAST CANCER PREVENTION, PROSTATE CANCER PREVENTION AND ADDITIONAL COMMUNITY HEALTH EDUCATION, INCLUDING HEALTHY LIFESTYLE EDUCATION FOR CANCER PREVENTION.
SCHEDULE H, PART V, LINE 11- ADVOCATE TRINITY HOSPITALSUBSTANCE ABUSEA SECOND HEALTH NEED IDENTIFIED BUT NOT SELECTED IS SUBSTANCE ABUSE. ADVOCATE TRINITY IS A COMMUNITY HOSPITAL THAT DOES NOT HAVE A PSYCHIATRIC UNIT AND DOES NOT PROVIDE ONGOING TREATMENT FOR SUBSTANCE ABUSE. HOWEVER, IN ORDER TO MEET THE IMMEDIATE NEEDS OF ITS ED PATIENTS AND INPATIENTS, AND TO PROVIDE FOR CONTINUITY OF CARE, THE HOSPITAL PROVIDES TREATMENT OPTIONS THROUGH ADVOCATE BEHAVIORAL HEALTH SERVICES AND THE FAMILY CARE NETWORK LOCATED AT ADVOCATE CHRIST. ADVOCATE BEHAVIORAL HEALTH SERVICES AND FAMILY CARE NETWORK PROVIDE AN ADULT INPATIENT PSYCHIATRIC PROGRAM, OLDER ADULT INPATIENT PROGRAM TO HELP OLDER ADULTS REGAIN PSYCHOLOGICAL STABILITY, ADOLESCENT PARTIAL HOSPITALIZATIONS ANDSUBSTANCE ABUSE-PARTIAL HOSPITALIZATION FOR SHORT-TERM INTENSIVE TREATMENT OF CHEMICAL DEPENDENCE. UPON TREATMENT AND PRIOR TO DISCHARGE, PATIENTS ARE CONNECTED TO THE BEHAVIORAL HEALTH PROGRAMS AND PROVIDED RESOURCES TO ORGANIZATIONS THAT ASSIST THE PATIENT BASED ON THE PATIENT'S UNIQUE NEEDS (I.E., SUBSTANCE ABUSE FACILITY OR DETOX CENTER).HEART DISEASEONE OF THE HEALTH ISSUES IDENTIFIED BUT NOT SELECTED AS A PRIORITIZED HEALTH NEED WAS HEART DISEASE. ADVOCATE TRINITY IS ADDRESSING THE HEART DISEASE NEEDS OF THE COMMUNITY THROUGH THE ADVOCATE HEART INSTITUTE. THE ADVOCATE HEART INSTITUTE'S SERVICES ARE COMPREHENSIVE AND RANGE FROM CARDIOVASCULAR DIAGNOSTICS AND DETECTION TO TREATMENT AND SURGERY, USING THE MOST ADVANCED DIAGNOSTIC AND THERAPEUTIC TOOLS AVAILABLE. THE INSTITUTE ALSO OFFERS CPR TRAINING, A FREE HEART RISK ASSESSMENT AND AN AFFORDABLE HEART CT SCAN. IN 2015, ADVOCATE TRINITY OPENED A NEW CARDIAC CATHETERIZATION LAB, WHICH OFFERS PROCEDURES TO DIAGNOSE CARDIOVASCULAR CONDITIONS. IN ADDITION TO THE NEW CATHETERIZATION LAB, THE HOSPITAL DEVELOPED A NEW STATE-OF-THE-ART CARDIAC REHABILITATION FACILITY OFFERING PHASE I AND II CARDIAC REHABILITATION EXERCISE AND LIFESTYLE EDUCATION PROGRAMS TO THE COMMUNITY. THE HOSPITAL OFFERS A NUMBER OF COMMUNITY EDUCATION PROGRAMS BOTH AT THE HOSPITAL AND THROUGHOUT THE COMMUNITY. THESE EDUCATIONAL PROGRAMS INCLUDE LECTURES, SEMINARS AND SUPPORT GROUP MEETINGS FOR CONGESTIVE HEART FAILURE, DIABETES EDUCATION, HEART RISK ASSESSMENTS, AND SENIOR BREAKFAST CLUB LECTURES COVERING A RANGE OF TOPICS PERTINENT TO SENIOR HEART HEALTH. IN ADDITION TO THESE SERVICES, ADVOCATE TRINITY PROVIDES ACCESS TO HEALTH EDUCATION AND CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE SCREENINGS.ASTHMAASTHMA WAS ANOTHER HEALTH ISSUE IDENTIFIED BUT NOT SELECTED AS A PRIORITIZED HEALTH NEED DURING THIS CHNA CYCLE. ADVOCATE TRINITY'S ASTHMA PROGRAM USES A UNIQUE, MULTI-DISCIPLINARY TEAM APPROACH TO ASTHMA CARE. THE PROGRAM OFFERS BOARD CERTIFIED PULMONOLOGISTS TO DEVELOP AND MONITOR TREATMENT PROTOCOLS AND STANDING ORDERS FOR CARE, AND AN ASTHMA NURSE EDUCATOR WHO OVERSEES THE PROGRAM AND PROVIDES PATIENT EDUCATION AND SERVES AS A LINK TO THE COMMUNITY TO ENSURE THE PATIENT'S ASTHMA IS MANAGED. OTHER TEAM MEMBERS INCLUDE RESPIRATORY CARE PRACTITIONERS WHO PROVIDE BREATHING TREATMENTS AND TEACH PATIENT EDUCATION IN THE HOSPITAL AND COMMUNITY. IN ADDITION, THE ASTHMA PROGRAM OFFERS MANY EDUCATIONAL PROGRAMS TO HELP PEOPLE BETTER UNDERSTAND THEIR CONDITION AND MANAGE THEIR ASTHMA. EDUCATIONAL PROGRAMS INCLUDE ONE-ON-ONE INDIVIDUALIZED EDUCATION SESSIONS FOR PEOPLE ENCOUNTERING DIFFICULTIES MANAGING THEIR ASTHMA, AND MONTHLY ASTHMA EDUCATION CLASSES COVERING SELF-MANAGEMENT, PEAK FLOW MONITORING AND ADDRESSING ENVIRONMENTAL TRIGGERS.
SCHEDULE H, PART V, SEC. B, LINE 11 - CHRIST HOSP INCL HOPE CHILDREN'S HOSPINFANT MORTALITY/PRE-TERM DELIVERIES/LOW BIRTH WEIGHT. INFANT MORTALITY IS AN IMPORTANT INDICATOR FOR THE OVERALL HEALTH STATUS OF A COMMUNITY. INFANT MORTALITY IS THE DEATH OF AN INFANT BEFORE HIS OR HER FIRST BIRTHDAY. LOW BIRTHWEIGHT AND PRE-TERM DELIVERIES ARE LEADING CAUSES OF INFANT DEATH (CENTERS FOR DISEASE CONTROL AND PREVENTION, 2019). ADVOCATE CHILDREN'S WILL PROVIDE THE CENTERING PREGNANCY PROGRAM, A GROUP PRENATAL CARE MODEL WHERE PREGNANT WOMEN RECEIVE MONTHLY EXAMS, SOCIAL SUPPORT AND EXTENSIVE EDUCATION IN A GROUP SETTING. THE PROGRAM IS DESIGNED TO ENGAGE WOMEN IN THEIR PREGNANCY WITH THE GOAL TO REDUCE PREMATURE BIRTHS, INFANT MORTALITY AND LOW BIRTH WEIGHT BABIES WHILE DEVELOPING A MUCH-NEEDED SOCIAL SUPPORT SYSTEM.HEALTH NEEDS NOT SELECTED WHILE CANCER, HEART DISEASE/STROKE AND ASTHMA ARE IMPORTANT HEALTH CONCERNS IN THE PSA, THE CHC FELT THAT THESE HEALTH CONCERNS WERE AMONG THE HIGHEST RESOURCED HEALTH NEEDS IN THE COMMUNITY. IN ADDITION, ADVOCATE CHRIST ALREADY HAS WELL ESTABLISHED CLINICAL INSTITUTES AND RESPIRATORY HEALTH RESOURCES THAT ARE FOCUSED ON CANCER, HEART DISEASE/STROKE AND ASTHMA. CANCER. ADVOCATE CHRIST'S CANCER PROGRAM HAS BEEN CERTIFIED BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER AND INCLUDES BOTH INPATIENT AND OUTPATIENT UNITS, A RADIATION ONCOLOGY UNIT, CYBERKNIFE TREATMENT, INTRAOPERATIVE ELECTRON RADIATION THERAPY (IOERT), A HOME HEALTH/HOSPICE PROGRAM, A BREAST HEALTH PROGRAM AND A COMMUNITY EDUCATION PROGRAM. NUTRITIONAL SERVICES, SOCIAL SERVICES, PASTORAL CARE AND AN ONCOLOGY CERTIFIED PHARMACIST ARE AVAILABLE ON SITE TO WORK WITH PATIENTS AND THEIR FAMILIES. CLINICAL RESEARCH TRIALS ARE ALSO AVAILABLE THROUGH THE CHILDREN'S ONCOLOGY GROUP (COG), THE EASTERN COOPERATIVE ONCOLOGY GROUP (ECOG) AND THE GYNECOLOGIC ONCOLOGY GROUP (GOG). ADVOCATE CHRIST OFFERS CANCER-FOCUSED HOSPICE CARE AND FREE SEMINARS OPEN TO THE PUBLIC. A SPECIALLY TRAINED ONCOLOGY NUTRITIONIST SEES PATIENTS IN THE MEDICAL CENTER AND THOSE UNDERGOING OUTPATIENT TREATMENT. THE PALLIATIVE CARE TEAM WORKS CLOSELY WITH PHYSICIANS AND PATIENTS TO PROVIDE COMFORT, COMMUNICATION ASSISTANCE AND ASSESS PATIENTS' PHYSICAL NEEDS TO ENHANCE THEIR QUALITY OF LIFE AT ANY STAGE OF ILLNESS. ALSO, THERE IS AN ON-SITE AMERICAN CANCER SOCIETY PATIENT REPRESENTATIVE AND A GILDA'S CLUB SATELLITE LOCATION.HEART DISEASE/STROKE. ADVOCATE HEART INSTITUTE AT ADVOCATE CHRIST IS ILLINOIS' MOST COMPREHENSIVE CENTER FOR HEART CARE. THE HEART INSTITUTE OFFERS A FULL RANGE OF TREATMENTS AND PROGRAMS INCLUDING PREVENTATIVE, DIAGNOSTICS, CLINICAL TRIALS, HEART TRANSPLANTS AND REHABILITATION SERVICES. REHABILITATION PLAYS A KEY ROLE IN RECOVERY FROM A HEART ATTACK OR HEART SURGERY. THE GOAL OF THE COMPREHENSIVE CARDIAC REHABILITATION PROGRAM IS TO HELP PATIENTS REGAIN STRENGTH AND IMPROVE THEIR HEALTH AND QUALITY OF LIFE AFTER A HEART ATTACK OR HEART SURGERY. THE HEART INSTITUTE HAS BEEN CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILITATION. ADVOCATE CHRIST OFFERS A SERIES OF COMMUNITY HEALTH CLASSES THAT INCREASE AWARENESS OF HEART DISEASE AND SUPPORTS INDIVIDUALS IN THEIR JOURNEY TO BETTER HEART HEALTH. A VARIETY OF SUPPORT GROUPS ARE ALSO PROVIDED THAT ENCOURAGE HEALTHY HEART CARE IN THE COMMUNITY. THE LIVE FROM THE HEART PROGRAM, A PARTNERSHIP BETWEEN CHICAGO'S MUSEUM OF SCIENCE AND INDUSTRY AND ADVOCATE CHRIST, EDUCATES HIGH SCHOOL STUDENTS ABOUT HEART HEALTH THROUGH LIVE INTERACTIVE HEART SURGERIES PROVIDED THROUGH VIDEO MONITORING IN A CLASSROOM. THE INTERACTIVE PROGRAM ALSO HELPS TO FOSTER INTEREST IN THE HEALTH SCIENCES. ADVOCATE CHILDREN'S IS THE FIRST CHILDREN'S HOSPITAL IN THE COUNTRY TO RECEIVE CONGENITAL HEART DISEASE ACCREDITATION FROM ACE (ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE) FOR SETTING THE HIGHEST STANDARDS OF QUALITY CARE FOR CHILDREN. THE HOSPITAL IS A DESIGNATED PEDIATRIC CRITICAL CARE CENTER BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH.ASTHMA. ADVOCATE CHRIST OFFERS COMPREHENSIVE, MULTI-DISCIPLINARY SERVICES FOR LUNG AND RESPIRATORY CARE, INCLUDING THE TREATMENT OF ASTHMA. THE LUNG AND RESPIRATORY CARE CENTER PROVIDES INPATIENT AND OUTPATIENT RESPIRATORY CARE SERVICES TO HELP PATIENTS ACHIEVE A BETTER QUALITY OF LIFE. WITH BOARD CERTIFIED PULMONOLOGISTS WHO COLLABORATE WITH RELATED SPECIALISTS, AIRWAY DISEASES ARE TREATED FROM PREVENTION AND DIAGNOSTICS TO ADVANCED TREATMENT AND SUPPORT SERVICES. THE DEPARTMENT OFFERS ADVANCED TREATMENT OF ASTHMA THROUGH BRONCHIAL THERMOPLASTY, A SAFE AND EFFECTIVE FDA-APPROVED TREATMENT OPTION THAT USES A PROVEN MEDICAL DEVICE PROCEDURE FOR ADULTS WITH SEVERE OR PERSISTENT ASTHMA. IN ADDITION, ADVOCATE CHILDREN'S ALLERGY AND ASTHMA SPECIALISTS WORK WITH CHILDREN AND THEIR FAMILIES TO MANAGE ASTHMA AND PROVIDE EDUCATION ON HOW TO PREVENT ASTHMA ATTACKS. RESPIRATORY CARE SPECIALISTS PROVIDE FAMILY CONSULTATION, TREATMENT TO ELIMINATE CHRONIC PROBLEMS FROM ALLERGY AND ASTHMA TRIGGERS AND EDUCATION ON ASTHMA MANAGEMENT. LASTLY, ADVOCATE CHILDREN'S OFFERS A VARIETY OF EDUCATIONAL RESOURCES THROUGH THE ASTHMA CENTER WHICH PROVIDES EDUCATIONAL RESOURCES FOR CHILDREN, TEENS AND PARENTS, AND ONE-TO-ONE ASTHMA EDUCATION TO PATIENTS ON THE RONALD MCDONALD CARE MOBILE.
SCHEDULE H, PART V, SEC B, LINE 11- LUTHERAN GEN HOSP INCL LUTH GEN CHILDMENTAL HEALTH. MENTAL HEALTH WAS RECOGNIZED IN THE 2011-2013 CHNA AS AN IMPORTANT HEALTH NEED. ADVOCATE LUTHERAN GENERAL CONTINUES TO WORK WITH THE HEALTHIER PARK RIDGE, NILES AND DES PLAINES COALITIONS TO ADDRESS MENTAL HEALTH IN THESE COMMUNITIES. THE COALITIONS INCLUDE NUMEROUS MENTAL HEALTH PROFESSIONALS AND ORGANIZATIONS, SUCH AS THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI). DUE TO EXISTING PROGRAMMING AND PARTNERSHIPS WORKING TO ADDRESS MENTAL HEALTH AS OUTLINED ABOVE, MENTAL HEALTH WAS NOT CHOSEN AS A HEALTH PRIORITY. AS STATED EARLIER, THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT WAS ABLE TO WORK WITH CHICAGO TABERNACLE, A CHURCH IN HERMOSA, TO ADDRESS MENTAL HEALTH AND HEALTHY LIFESTYLES. THE CENTRAL REGION COMMUNITY HEALTH COORDINATOR IS WORKING WITH THE CHURCH TO PROVIDE TRAUMA-INFORMED TRAININGS AND COMMUNITY RESOURCES/WORKSHOPS.CULTURAL HEALTH DISPARITIES. CULTURAL HEALTH DISPARITIES WAS NOT CHOSEN AS A PRIORITY FOR THE 2014-2016 CHNA DUE TO THE MULTIPLE CULTURAL INITIATIVES THE HOSPITAL IMPALEMENTS IN THE COMMUNITY. LUTHERAN GENERAL HOSPITAL HAS CONTINUED TO EXPAND AND ENHANCE ITS CULTURAL INITIATIVES TO ADDRESS HEALTH EQUITY. THESE INITIATIVES INCLUDE THE SOUTH ASIAN CARDIOVASCULAR CENTER AND PROGRAMS FOR THE KOREAN, POLISH AND HISPANIC COMMUNITIES. ADVOCATE CHILDREN'SCHILDHOOD OBESITY. CHILDHOOD OBESITY WAS NOT SELECTED BY ADVOCATE CHILDREN'S AS A HEALTH NEED. THE HOSPITAL IS, HOWEVER, ADDRESSING CHILDHOOD OBESITY THROUGH THE HEALTHY ACTIVE LIVING PROGRAMA WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT AND OBESE CHILDREN LARGELY INSURED THROUGH MEDICAID. COMPONENTS OF THE PROGRAM ARE OFFERED TO STUDENTS IN THE EXPANDED LEARNING PROGRAM OF EAST MAINE SCHOOL DISTRICT 63.ASTHMA. ASTHMA WAS ALSO NOT SELECTED TO ADDRESS BY ADVOCATE CHILDREN'S. HOSPITAL UTILIZATION DATA SHOWS THAT DES PLAINES AND WHEELINGAREAS WITH LARGE VOLUMES OF MEDICAID MANAGED CARE PARTICIPANTSARE TWO OF THE TOP NINE COMMUNITIES ACCOUNTING FOR SIXTY-ONE PERCENT OF ALL ASTHMA DISCHARGES. DATA ALSO SHOWS THAT THE EMERGENCY ROOM (ER) RATE DUE TO PEDIATRIC ASTHMA HAS STEADILY RISEN SINCE 2009. WHILE ASTHMA WAS NOT SPECIFICALLY SELECTED AS A HEALTH NEED, ASTHMA EDUCATION AND TREATMENT ARE A FOCUS OF PRIMARY CARE SERVICES BEING PROVIDED AS PART OF THE SCHOOL-BASED MODEL DESCRIBED EARLIER. SELECT SCHOOLS WITH LARGE CONCENTRATIONS OF CHILDREN WHO EXPERIENCE ASTHMA, AS IDENTIFIED BY STAFF OF THE RMCM, WILL RECEIVE THE AMERICAN LUNG ASSOICATION'S KICKIN' ASTHMA PROGRAM. THIS PROGRAM OFFERS SMALL GROUP EDUCATION REGARDING TRIGGERS, SYMPTOMS AND PROPER MANAGEMENT OF THE DISEASE.2017-2019 CHNATHE ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S IMPLEMENTATION PLAN WILL ALIGN WITH THE ADVOCATE AURORA COMMUNITY STRATEGY, WHICH HAS A FOCUS ON HEALTH EQUITY AND DISPARITIES. THERE ARE SIX FOCUS AREAS THAT ARE IDENTIFIED IN CURRENT INDUSTRY AS HAVING THE MOST UPSTREAM EFFECT ON HEALTH EQUITY AND ARE ALSO STRONGLY CONFIRMED BY ADVOCATE AURORA HEALTH ORGANIZATION-WIDE CHNA DATA. THESE SIX FOCUS AREAS INCLUDE: 1) ACCESS/BEHAVIORAL HEALTH SERVICES; 2) ACCESS/PRIMARY MEDICAL HOMES; 3) COMMUNITY SAFETY; 4) FOOD SECURITY; 5) HOUSING; AND 6) WORKFORCE DEVELOPMENT. HEALTH NEEDS SELECTED ADVOCATE LUTHERAN GENERALOBESITY/HEALTHY LIFESTYLES. OBESITY/HEALTHY LIFESTYLES WAS CHOSEN AS ONE OF THE TWO HEALTH NEED PRIORITIES DUE TO THE MANY CHRONIC DISEASES AND HEALTH ISSUES THAT ARE RELATED TO POOR NUTRITION AND PHYSICAL INACTIVITY. MOREOVER, THE COUNCIL ALSO IDENTIFIED HEALTHY LIFESTYLES AND OBESITY DUE TO THE LARGE IMPACT THIS ISSUE HAS ON QUALITY OF LIFE AND OVERALL HEALTH OUTCOMES IN THE PSA. BEHAVIORAL HEALTH. BEHAVIORAL HEALTH WAS SELECTED AS A PRIORITY AND INCLUDES MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE. AFTER INITIALLY PRIORITIZING MENTAL HEALTH, THE HOSPITAL'S CHC CONSIDERED THE STRONG CORRELATION BETWEEN SUBSTANCE USE AND MENTAL HEALTH, MAKING IT ESSENTIAL FOR THE HOSPITAL TO ADDRESS BOTH HEALTH ISSUES IN TANDEM. THE RATE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE ARE CONTINUING TO INCREASE IN THE PSA. DATA AND HOSPITALIZATION RATES INDICATE THAT THERE IS A GREAT NEED FOR EXPANSION OF BEHAVIORAL HEALTH SERVICES, SUCH AS MENTAL HEALTH SERVICES, SUBSTANCE USE DISORDER TREATMENT, HOUSING AND PREVENTATIVE PROGRAMMING. SOCIAL DETERMINANTS OF HEALTH (SDHO). SDOH AFFECT A WIDE RANGE OF HEALTH CONDITIONS AND MAY CONTRIBUTE TO ADVERSE HEALTH OUTCOMES. SOCIAL DETERMINANTS OF HEALTH ARE COMMONLY THE ROOT CAUSE OF POOR HEALTH OUTCOMES; THEREFORE, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S SELECTED SOCIAL DETERMINANTS OF HEALTH AS A PRIORITY HEALTH NEED FOR THE PSA. ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S WILL PARTNER WITH THE ALLIANCE FOR HEALTH EQUITY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, INCLUDING ACCESS TO CARE, AND EMPLOYMENT AND TRAINING. ADDITIONAL INFORMATION CAN BE FOUND AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/LUTHERAN-GENERAL-CHNA-REPORT-2019ADVOCATE CHILDREN'SACCESS TO CARE AND INFANT MORTALITY/PRETERM DELIVERIES/LOW BIRTH WEIGHT. ACCESS TO CARE AND INFANT MORTALITY/PRETERM DELIVERIES/LOW BIRTH WEIGHT WAS ALSO SELECTED BY ADVOCATE CHILDREN'S TO ADDRESS THE SPECIFIC HEALTH NEEDS OF THE PEDIATRIC POPULATION. ADVOCATE CHILDREN'S WILL UTILIZE THE RONALD MCDONALD CARE MOBILE TO INCREASE ACCESS TO PRIMARY HEALTH CARE, INCLUDING PHYSICALS AND IMMUNIZATIONS. THE HOSPITAL WILL ALSO IMPLEMENT A CENTERED PREGNANCY PROGRAM, WHICH IS A GROUP PRENATAL CARE MODEL THAT INCLUDES EXTENSIVE SOCIAL SUPPORT AND EDUCATION IN A GROUP SETTING.HEALTH NEEDS NOT SELECTED ADVOCATE LUTHERAN GENERALHEART DISEASE. HEART DISEASE WAS NOT SELECTED AS A PRIORITY BY ADVOCATE LUTHERAN GENERAL. ALTHOUGH HEART DISEASE WAS NOT SELECTED, THE HOSPITAL IS COMMITTED TO DECREASING THE RATE OF HEART DISEASE THROUGH ADDRESSING AND PRIORITIZING HEALTHY LIFESTYLES AND OBESITY PREVENTION. NATIONAL DATA MAPS FROM THE CDC INDICATE THAT HIGHER HEART DISEASE AND STROKE DEATH RATES OCCUR IN STATES THAT ALSO HAVE HIGHER OBESITY RATES. THE CHC DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS IMPACT ON REDUCING THE RISK FOR HEART DISEASE, INCLUDING HOSPITALIZATIONS AND ER VISITS DUE TO HEART DISEASE. ADVOCATE LUTHERAN GENERAL ALSO ADDRESSES HEART DISEASE THROUGH THE HOSPITAL'S MANY ADVOCATE HEART INSTITUTE PROGRAMS. DIABETES. DIABETES WAS ALSO A PRIORITY NOT SELECTED. WHILE THE ADVOCATE LUTHERAN GENERAL CHC ACKNOWLEDGES DIABETES IS A HEALTH ISSUE, THEY DECIDED TO ADDRESS DIABETES PREVENTION AND MANAGEMENT THROUGH THE OBESITY PREVENTION/HEALTHY LIFESTYLES PRIORITY, WHICH WILL INCLUDE INTERVENTIONS AND PARTNERSHIPS TO ADDRESS NUTRITION AND PHYSICAL ACTIVITYKEY ELEMENTS OF DIABETES PREVENTION AND MANAGEMENT. IMMUNIZATION AND INFECTIOUS DISEASES. IMMUNIZATION AND INFECTIOUS DISEASES WAS CONSIDERED, BUT ALSO NOT SELECTED BY THE CHC TO ADDRESS GIVEN CURRENT EFFORTS BEING IMPLEMENTED TO ADDRESS THIS HEALTH NEED. THROUGHOUT THE PSA, VACCINATIONS/IMMUNIZATIONS ARE BEING ADDRESSED BY THE RETAIL AND NON-PROFIT SECTORS. ADVOCATE AURORA HAS SEVERAL WALGREENS CLINICS IN WHICH VACCINATIONS ARE OFFERED AT A LOW-COST TO THE COMMUNITY. IN ADDITION, THERE ARE SEVERAL COMMUNITY CLINICS THAT OFFER VACCINATIONS AT LOW OR NO COST TO PSA RESIDENTS, INCLUDING THOSE WITH NO INSURANCE. DUE TO THE AVAILABILITY OF VACCINATIONS ACROSS THE PSA, THE CHC DID NOT SELECT IMMUNIZATIONS/INFECTIOUS DISEASE AS THE PRIORITY HEALTH NEED. ADVOCATE CHILDREN'SASTHMA/RESPIRATORY DISEASE. ASTHMA/RESPIRATORY DISEASE WAS IDENTIFIED AS A HEALTH NEED. HOWEVER, THE CHC DID NOT RECOMMEND ASTHMA/RESPIRATORY DISEASE AS A HEALTH PRIORITY DUE TO THE LACK OF COMMUNITY PARTNERS AND THE INEFFECTIVENESS/AVAILABILITY OF ASTHMA PREVENTION PROGRAMS. ADVOCATE CHILDREN'S HAS TWO RONALD MACDONALD CARE MOBILES WHICH PROVIDE CARE TO LOW-INCOME CHILDREN WHO EXPERIENCE BARRIERS TO RECEIVING PRIMARY HEALTH CARE. THE STAFF OF THE MOBILE UNITS ALSO PROVIDE ASTHMA EDUCATION TO PEDIATRIC PATIENTS SERVED BY THE RMCM. ADVOCATE CHILDREN'S WILL ALSO EXPLORE THE IMPLEMENTATION OF KICKIN' ASTHMA, A PROGRAM CREATED BY THE AMERICAN LUNG ASSOCIATION THAT AIMS TO IMPROVE ASTHMA SELF-MANAGEMENT. ADDITIONAL INFORMATION CAN BE FOUND AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/LUTHERAN-GENERAL-CHNA-REPORT-2019
SCHEDULED H, PART V, SEC B, LINE 11 - ADVOCATE GOOD SAMARITAN HOSPITALDOMESTIC VIOLENCE. DOMESTIC VIOLENCE WAS ACKNOWLEDGED BY THE CHC FOR THE SERIOUSNESS OF THE ISSUE. HOWEVER, DUE TO A LACK OF DETAILED DATA, THE COUNCIL WAS NOT ABLE TO UNDERSTAND THE FULL SCOPE AND MAGNITUDE OF THIS HEALTH NEED RESULTING IN THE DECISION TO NOT SELECT DOMESTIC VIOLENCE AS A PRIORITY. ALTHOUGH PREVALENCE RATES OF DOMESTIC VIOLENCE WERE HIGH, THE DETAILS OF THE TYPE OF DOMESTIC VIOLENCE AND AFFECTED POPULATIONS WERE NOT AVAILABLE FOR THE CHC TO REVIEW. IN ADDITION, THE HOSPITAL IS A PARTICIPATING MEMBER OF THE 18TH JUDICIAL COURT DOMESTIC VIOLENCE COORDINATING COUNCIL. HEART DISEASE AND STROKE. HEART DISEASE AND STROKE WAS IDENTIFIED AS A HEALTH NEED BUT NOT SELECTED AS A PRIORITY. AFTER A CAREFUL ANALYSIS OF DATA, THE CHC DECIDED NOT TO PRIORITIZE HEART DISEASE AND STROKE BECAUSE OF THE IMPACT OBESITY PREVENTION HAS ON HEART DISEASE. THE CHC WILL ADDRESS HEART DISEASE AND STROKE THROUGH THE HEALTHY LIFESTYLE'S PRIORITY AND, AS A RESULT OF THE HEALTHY LIFESTYLES IMPLEMENTATION PLAN, THE HOSPITAL WILL ADDRESS ONE OF THE MAIN CAUSES OF HEART DISEASE. 2017-2019 CHNADUPAGE COUNTY HEALTH NEEDS SELECTED ADVOCATE GOOD SAMARITAN'S IMPLEMENTATION PLAN WILL ALIGN WITH THE ADVOCATE AURORA COMMUNITY STRATEGY, WHICH HAS A FOCUS ON HEALTH EQUITY AND DISPARITIES. THERE ARE SIX FOCUS AREAS THAT ARE IDENTIFIED IN CURRENT INDUSTRY AS HAVING THE MOST UPSTREAM EFFECT ON HEALTH EQUITY AND ARE ALSO STRONGLY CONFIRMED BY ADVOCATE AURORA HEALTH ORGANIZATION WIDE CHNA DATA. THESE SIX FOCUS AREAS INCLUDE: 1) ACCESS/BEHAVIORAL HEALTH SERVICES; 2) ACCESS/PRIMARY MEDICAL HOMES; 3) COMMUNITY SAFETY; 4) FOOD SECURITY; 5) HOUSING; AND 6) WORKFORCE DEVELOPMENT.HEALTH NEEDS SELECTED BEHAVIORAL HEALTH. BEHAVIORAL HEALTH WAS ADOPTED AS A PRIORITY HEALTH NEED FOR DUPAGE COUNTY. THE CHC INITIALLY LOOKED AT SUBSTANCE USE AND MENTAL HEALTH AS SEPARATE HEALTH ISSUES HOWEVER, AFTER CAREFUL REVIEW OF DATA, IT WAS EVIDENT THAT MENTAL HEALTH AND SUBSTANCE USE ARE STRONGLY CORRELATED AND PRESENT AS CO-OCCURRING HEALTH ISSUES. TAKING THIS INTO CONSIDERATION, THE CHC AND THE IMPACT DUPAGE STEERING COMMITTEE IDENTIFIED BEHAVIORAL HEALTH AS THE PRIORITY HEALTH NEED AND THE MOST EFFECTIVE WAY TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE. DATA TRENDS INDICATED THAT MENTAL HEALTH ISSUES ARE INCREASING AND THE NEED FOR MENTAL HEALTH SERVICES AND PROGRAMMING IS CONTINUING TO GROW. ADOLESCENTS AND YOUNG ADULTS HAVE SOME OF THE HIGHEST HOSPITALIZATION AND ER RATES DUE TO MENTAL HEALTH ISSUES AND THE GREATEST NEED FOR MENTAL HEALTH SERVICES. THE CHC IS SPECIFICALLY INTERESTED IN COLLABORATING WITH COMMUNITY ORGANIZATIONS SUCH AS THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) TO INCREASE THE AMOUNT OF COMMUNITY PROGRAMS AND RESOURCES AVAILABLE TO TEENS AND YOUNG ADULTS WHO EXPERIENCE MENTAL HEALTH ISSUES. THE HOSPITAL WILL WORK WITH THE DUPAGE COUNTY HEALTH DEPARTMENT AND IMPACT DUPAGE TO EFFECTIVELY ADDRESS BEHAVIORAL HEALTH NEEDS IN DUPAGE COUNTY. HEALTH STATUS IMPROVEMENT. HEALTH STATUS IMPROVEMENT WAS ADOPTED AS A HEALTH PRIORITY. HEALTH STATUS IMPROVEMENT INCLUDES ACCESS TO HEALTH CARE, OBESITY PREVENTION, NUTRITION AND PHYSICAL ACTIVITY. THE CHC AND IMPACT DUPAGE IDENTIFIED HEALTHY LIFESTYLES AND ACCESS TO HEALTH CARE AS A CRITICAL HEALTH NEED FOR DUPAGE COUNTY. OBESITY AND NUTRITION ARE THE LEADING CAUSES OF MANY CHRONIC DISEASES AND HEALTH ISSUES, INCLUDING HEART DISEASE, STROKE, SOME CANCERS AND DIABETES. TAKING THIS INTO CONSIDERATION, THE CHC AND IMPACT DUPAGE SELECTED HEALTH STATUS IMPROVEMENT DUE TO THE ABILITY TO IMPACT THE QUALITY OF LIFE AND OVERALL HEALTH STATUS OF COMMUNITY MEMBERS. BOLINGBROOK-ROMEOVILLE HEALTH NEEDS SELECTED CHRONIC DISEASE PREVENTION AND MANAGEMENT. CHRONIC DISEASE PREVENTION AND MANAGEMENT WAS SELECTED AS A HEALTH PRIORITY FOR THE BOLINGBROOK-ROMEVILLE COMMUNITY. THIS PRIORITY WAS SELECTED DUE TO THE POTENTIAL IMPACT IT CAN HAVE ON DECREASING OBESITY, INCREASING HEALTHY LIFESTYLES AND IMPROVING ACCESS TO AFFORDABLE HEALTHY FOODS. THE HOSPITAL WILL PARTNER WITH BOLINGBROOK-ROMEOVILLE VNA HEALTH CARE, WILL COUNTY HEALTH DEPARTMENT AND WEST SUBURBAN COMMUNITY PANTRY (WSCP) TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT. THE HOSPITAL WILL WORK WITH VNA TO REVIEW THEIR HEALTHY LIFESTYLE CURRICULUM, WHICH INCLUDES NUTRITION EDUCATION, COOKING DEMONSTRATIONS AND HEALTHY FOOD TASTE TESTING. THE HOSPITAL WILL ALSO EXPLORE A PARTNERSHIP WITH THE WSCP MOBILE PRODUCE PROGRAM, WHICH DELIVERS FRESH PRODUCE TO LOW-INCOME HOUSEHOLDS AND COMMUNITY ORGANIZATIONS TO ADDRESS FOOD INSECURITY. FURTHERMORE, THE HOSPITAL WILL BE ENGAGED IN THE WILL COUNTY FOOD ACCESS WORKSHOP TO ADDRESS FOOD INSECURITY IN WILL COUNTY. DUPAGE COUNTY HEALTH NEEDS NOT SELECTED AFFORDABLE HOUSING. AFFORDABLE HOUSING WAS IDENTIFIED AS A HEALTH NEED BUT NOT SELECTED. ALTHOUGH AFFORDABLE HOUSING WAS IDENTIFIED AS A SIGNIFICANT HEALTH NEED BY THE CHC AND VOTED AS A PRIORITY FOR DUPAGE COUNTY BY THE IMPACT DUPAGE STEERING COMMITTEE, THE CHC DETERMINED THE HOSPITAL'S CAPACITY AND AVAILABILITY OF RESOURCES WAS LIMITED TO TWO HEALTH PRIORITIES. IN EFFORTS TO EFFECTIVELY ADDRESS BEHAVIORAL HEALTH AND HEALTH STATUS IMPROVEMENT, THE CHC AND THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT DECIDED TO BE ENGAGED IN THE PLANNING, BRAINSTORMING AND PROMOTION PHASE OF THE COUNTY'S AFFORDABLE HOUSING INITIATIVE. ADVOCATE GOOD SAMARITAN RECOGNIZES THE SIGNIFICANCE OF THE NEED FOR AFFORDABLE HOUSING IN DUPAGE COUNTY AND WILL, THEREFORE, CONTINUE TO PARTNER WITH THE DUPAGE COUNTY HEALTH DEPARTMENT AND DUPAGE PADS TO ADVANCE AFFORDABLE HOUSING STRATEGIES IN THE COUNTY.CARDIOVASCULAR DISEASE. CARDIOVASCULAR DISEASE WAS NOT SELECTED AS A HEALTH NEED. AFTER CAREFUL REVIEW OF THE DATA, THE CHC ALTERNATIVELY RECOMMENDED THAT THE HOSPITAL ADDRESS CARDIOVASCULAR DISEASE THROUGH THE HEALTH STATUS IMPROVEMENT PRIORITY, WHICH INCLUDES NUTRITION, PHYSICAL ACTIVITY AND OBESITY PREVENTION. THE IMPACT DUPAGE STEERING COMMITTEE ALSO DID NOT SELECT CARDIOVASCULAR DISEASE AS A COUNTY HEALTH NEED PRIORITY DUE TO THE IMPACT HEALTH STATUS IMPROVEMENT HAS ON DECREASING THE RATE OF CARDIOVASCULAR DISEASE. ASTHMA WAS IDENTIFIED AS A HEALTH NEED BUT NOT SELECTED AS THE RECOMMENDED HEALTH PRIORITY BY THE CHC DUE TO THE LACK OF COMMUNITY PARTNERS AND THE INEFFECTIVENESS/AVAILABILITY OF ASTHMA PREVENTION PROGRAMS. THE CHC ALSO IDENTIFIED THE HIGH RATES OF HOSPITALIZATION AND EMERGENCY ROOM (ER) VISITS DUE TO ASTHMA AS A POTENTIAL ACCESS TO HEALTH CARE ISSUE. TAKING THIS INTO CONSIDERATION, CHC MEMBERS SUGGESTED ADDRESSING ACCESS TO CARE THROUGH THE HEALTH STATUS IMPROVEMENT PRIORITY AS A WAY TO ADDRESS THE ER AND HOSPITALIZATION RATES DUE TO ASTHMA.SEXUALLY TRANSMITTED INFECTIONS (STIS). STIS WAS ALSO NOT SELECTED AS A HEALTH PRIORITY. WHILE THE CHC RECOGNIZED THAT STIS ARE AN INCREASING NEED PARTICULARLY IN THE ADOLESCENT POPULATION, THE CHC DID NOT RECOMMEND PRIORITIZING THIS HEALTH ISSUE DUE TO THE MULTIPLE ORGANIZATIONS, INCLUDING DUPAGE COUNTY SCHOOLS, ADDRESSING THE ISSUE. THE HOSPITAL ALSO HAS LIMITED EXPERTISE TO ADDRESS THIS HEALTH NEED IN THE ADOLESCENT POPULATION. ALTHOUGH NOT SELECTED AS A PRIORITY, THE HOSPITAL WILL BE ABLE TO ADDRESS SEXUALLY TRANSMITTED DISEASES THROUGH THE HEALTH STATUS IMPROVEMENT PRIORITY BY IMPROVING ACCESS TO HEALTH CARE FOR DETECTION AND TREATMENT OF STIS. SENIOR HEALTH. SENIOR HEALTH WAS IDENTIFIED BUT NOT SELECTED AS A HEALTH PRIORITY. THE HOSPITAL RECOGNIZES THE IMPORTANCE OF SENIOR HEALTH AND ENGAGES IN MULTIPLE COMMUNITY ACTIVITIES AND PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF SENIORS. THE HOSPITAL IMPLEMENTS THE MATTER OF BALANCE PROGRAM, WHICH AIMS TO DECREASE FALLS AMONG SENIORS THROUGH INCREASING EDUCATION AROUND PREVENTING FALLS AND CREATING FALL-FREE ENVIRONMENTS. IN ADDITION, THE HOSPITAL IMPLEMENTS SENIOR HEALTH FAIRS AND HEALTH EDUCATION WORKSHOPS ACROSS DUPAGE COUNTY IN PARTNERSHIP WITH VARIOUS SENIOR CENTERS AND RESIDENCES.IMMUNIZATION PREVENTABLE DISEASES. IMMUNIZATION PREVENTABLE DISEASES WAS ALSO NOT SELECTED AS A HEALTH PRIORITY. THE CHC ACKNOWLEDGED THE CURRENT EFFORTS UNDERWAY BY THE RETAIL AND NON-PROFIT SECTORS TO PROVIDE ACCESS TO VACCINATIONS/IMMUNIZATIONS THROUGHOUT DUPAGE COUNTY. ADVOCATE AURORA HEALTH HAS SEVERAL WALGREENS CLINICS IN WHICH VACCINATIONS ARE OFFERED AT LOW-COST TO THE COMMUNITY. IN ADDITION, THE DUPAGE COUNTY HEALTH DEPARTMENT OFFERS VACCINATIONS AT LOW OR NO COST TO DUPAGE COUNTY RESIDENTS, INCLUDING THOSE WITH NO INSURANCE.BOLINGBROOK-ROMEOVILLE HEALTH NEEDS NOT SELECTED HEART DISEASE. HEART DISEASE WAS NOT SPECIFICALLY SELECTED AS THE HEALTH NEED PRIORITY FOR BOLINGBROOK-ROMEOVILLE. THE CHC SELECTED CHRONIC DISEASE MANAGEMENT, WHICH INCLUDES MANAGEMENT OF VARIOUS CHRONIC HEART CONDITIONS. THIS HEALTH ISSUE WILL ALSO BE ADDRESSED THROUGH CHRONIC DISEASE PREVENTION FOCUSING ON PROPER NUTRITION AND PHYSICAL ACTIVITY (HEALTHY LIFESTYLES).
SCHEDULE H, PART V, SEC B, LINE 11 - ADVOCATE GOOD SHEPHERD HOSPITALCARDIOVASCULAR DISEASE. IN MCHENRY COUNTY, THERE HAS BEEN A DECLINE IN MORTALITY RATES FOR HEART DISEASE AND STROKE. OVER THE PAST DECADE, MCHENRY COUNTY'S HEART DISEASE DEATH RATE HAS DROPPED BY NINETEEN PERCENT, WHILE THE STROKE DEATH RATE HAS FALLEN BY TWENTY-FIVE PERCENT. THE MOST RECENT DEATH RATE DATA FOR STROKE AND HEART DISEASE SHOWS THIS CONTINUING DOWNWARD TREND. THE PREVALENCE RATE OF HEART DISEASE IS SLIGHTLY HIGHER IN MCHENRY COUNTY THAN LAKE COUNTY; HOWEVER, THE MORTALITY RATE FROM HEART DISEASE IS HIGHER IN LAKE COUNTY THAN MCHENRY COUNTY. THE COMMUNITY HEALTH COUNCIL DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS IMPACT ON THE RISK FACTORS FOR HEART DISEASE. THE HOSPITAL IS COMMITTED TO DECREASING THE RATE OF HEART DISEASE THROUGH MANY OF THE ADVOCATE HEART INSTITUTE PROGRAMS. THE HOSPITAL CONTINUES TO BE A MEMBER OF THE CARDIOVASCULAR MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) ACTION TEAM IN MCHENRY COUNTY AND PARTNERS WITH THE MCHENRY COUNTY HEALTH DEPARTMENT TO ADMINISTER THE HEART AGE SCREENING TOOL THROUGHOUT THE COMMUNITY.SUBSTANCE ABUSE. SUBSTANCE ABUSE WAS IDENTIFIED AS A NEED WITHIN THE ADVOCATE GOOD SHEPHERD SERVICE AREA. CONTRIBUTING HEALTH BEHAVIORS IDENTIFIED INCLUDED EXCESSIVE ALCOHOL USE IN ADULTS AND THE PERCENTAGE OF TEENS USING MARIJUANA. THOSE WHO ARE MENTALLY ILL ARE MORE LIKELY TO ABUSE DRUGS OR ALCOHOL. BECAUSE OF THE UNDERLYING MENTAL HEALTH ISSUES AFFECTING THE USE OF SUBSTANCES, THE COMMUNITY HEALTH COUNCIL DECIDED TO SELECT MENTAL HEALTH AS THE PRIORITY DURING THE 2014-2016 CHNA CYCLE. IN 2019, ADVOCATE GOOD SHEPHERD CONTINUED ITS COLLABORATION WITH GATEWAY FOUNDATION TO RUN THE WARM HANDOFF PROGRAM IN THE EMERGENCY DEPARTMENT (ED). A GATEWAY FOUNDATION PATIENT ENGAGEMENT SPECIALIST MEETS WITH PATIENTS IN THE ADVOCATE GOOD SHEPHERD ED WHO HAVE SUBSTANCE USE DISORDER OR OPIOID USE DISORDER AND ASSISTS THEM IN NAVIGATING TO SUBSTANCE USE TREATMENT. IN 2019, THE PROGRAM SERVED 87 INDIVIDUALS; 71 PERCENT OF THE INDIVIDUALS ASSESSED IN THE ED BY THE GATEWAY ENGAGEMENT SPECIALIST WERE REFERRED FOR TREATMENT. SIXTY-NINE PERCENT OF THOSE REFERRED FOR TREATMENT KEPT THEIR APPOINTMENT AND 31 PERCENT DID NOT. THE DIRECTOR OF COMMUNITY HEALTH SITS ON THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, A COALITION OF AGENCIES WHICH FOCUSES ON PREVENTION OF SUBSTANCE USE AND PROVIDING ACCESS TO SUBSTANCE USE TREATMENT. ADDITIONALLY, THE COMMUNITY HEALTH DIRECTOR IS A MEMBER OF THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION, WHICH IS A GROUP OF COMMUNITY STAKEHOLDERS FROM A WIDE VARIETY OF SECTORS, FOCUSED ON SUBSTANCE USE PREVENTION AND ENSURING ACCESS TO SUBSTANCE USE TREATMENT. 2017-2019 CHNAADVOCATE GOOD SHEPHERD CONDUCTED A COMPREHENSIVE 2017-2019 CHNA WHICH INCLUDED THE SELECTION OF HEALTH PRIORITIES THROUGH A CONSENSUS PRIORITIZATION PROCESS BY THE COMMUNITY HEALTH COUNCIL. THE COUNCIL RECOMMENDED, AND THE HOSPITAL GOVERNING COUNCIL APPROVED, TWO HEALTH AREAS FOR PRIORITY ACTION: 1) OBESITY; AND 2) SUBSTANCE ABUSE. STEPS BEING TAKEN TO ADDRESS THE TWO PRIORITIES ARE PROVIDED BELOW.HEALTH NEEDS SELECTED OBESITY. OBESITY WAS SELECTED AS A HEALTH PRIORITY FOR THE 2017-2019 CHNA. SINCE THE PREVIOUS CHNA, THE PREVALENCE OF OBESITY IN THE U.S. HAS CONTINUED TO STEADILY INCREASE. IN 2017, OBESITY PREVALENCE RATES FOR ILLINOIS REMAINED BETWEEN 30 AND 35 PERCENT. THE RATES ARE EVEN HIGHER FOR ILLINOIS HISPANIC ADULTS AND NON-HISPANIC AFRICAN AMERICAN ADULTS (PREVALENCE OF SELF-REPORTED OBESITY AMONG U.S. ADULTS BY RACE/ETHNICITY, STATE AND TERRITORY, BRFSS, 2017). MORE THAN SIXTEEN PERCENT OF ILLINOIS ADOLESCENTS ARE OBESE. FIFTEEN PERCENT OF ILLINOIS WIC PRESCHOOLERS, AGES TWO TO FOUR, ARE OBESE. IN LAKE COUNTY, 24 PERCENT OF ADULTS ARE OBESE, AND THE RATE IS 26 PERCENT IN MCHENRY COUNTY. SEVEN PERCENT OF LAKE COUNTY ADULTS ARE FOOD INSECURE AND 13 PERCENT OF MCHENRY COUNTY ADULTS ARE FOOD INSECURE. OBESITY IS A SERIOUS CONCERN BECAUSE IT IS ASSOCIATED WITH POORER MENTAL HEALTH OUTCOMES, REDUCED QUALITY OF LIFE, AND THE LEADING CAUSES OF DEATH IN THE U.S. AND WORLDWIDE, INCLUDING DIABETES, HEART DISEASE, STROKE, AND SOME TYPES OF CANCER (CENTERS FOR DISEASE CONTROL AND PREVENTION, ADULT OVERWEIGHT AND OBESITY CAUSES AND CONSEQUENCES, 2017). BECAUSE OF ITS STRONG CORRELATION TO CHRONIC DISEASES AND OTHER HEALTH CONDITIONS, THE CHC VOTED TO CONTINUE FOCUSING ON OBESITY AS A PRIORITY HEALTH ISSUE. SUBSTANCE ABUSE. SUBSTANCE ABUSE WAS THE SECOND HEALTH ISSUE IDENTIFIED AS A PRIORITY NEED WITHIN THE ADVOCATE GOOD SHEPHERD PSA. TWO SPECIFIC HEALTH BEHAVIORS WERE DISCUSSED AS CENTRAL TO THE ISSUE IN THE PSAEXCESSIVE ALCOHOL USE IN ADULTS AND THE HIGH PERCENTAGE OF TEENS USING ELECTRONIC CIGARETTES (VAPING). THE HOSPITALIZATION RATE DUE TO ALCOHOL USE IN ADULTS IS IN THE WORST 25TH PERCENTILE COMPARED TO OTHER ILLINOIS COUNTIES FOR THE PSA. SURVEY RESULTS FROM THE 2018 LAKE COUNTY SURVEY INDICATED THAT 77 PERCENT OF ADULTS HAD A DRINK OR ALCOHOL IN THE PAST 30 DAYS, AND 31 PERCENT INDICATED THAT THEY HAD BINGED ALCOHOL ONE OR MORE TIMES IN THE PAST 30 DAYS. THE ALCOHOL IMPAIRED DRIVING DEATH RATES FOR LAKE AND MCHENRY COUNTY ARE ALSO IN THE WORST 25TH PERCENTILE COMPARED TO OTHER ILLINOIS COUNTIES, AND THE RATE IS CONTINUING TO INCREASE IN MCHENRY COUNTY. THE RATE OF TEENS IN BOTH COUNTIES THAT USE ALCOHOL AND MARIJUANA ARE IN THE WORST 50TH75TH PERCENTILE AND VAPING RATES ARE HIGH WITH 37 PERCENT OF MCHENRY COUNTY AND 31 PERCENT OF LAKE COUNTY HIGH SCHOOL SENIORS INDICATING IN 2018 THAT THEY HAD USED E-CIGARETTES IN THE LAST 30 DAYS. ALCOHOL USE, MARIJUANA USE AND VAPING ARE ALREADY AREAS OF FOCUS IN THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE. NEW INITIATIVES ARE IN THE INITIAL PLANNING STAGES, WHICH ALLOWS ADVOCATE GOOD SHEPHERD THE OPPORTUNITY TO BUILD A COLLABORATIVE APPROACH WITH COMMUNITY PARTNERS TO ADDRESS THESE SERIOUS SUBSTANCE USE ISSUES AS A PRIORITY. HEALTH NEEDS NOT SELECTED DIABETES. DIABETES WAS NOT IDENTIFIED AS ONE OF THE PRIORITY HEALTH NEEDS FOR THE ADVOCATE GOOD SHEPHERD PSA, ALTHOUGH DIABETES PREVALENCE IS INCREASING OVER TIME BOTH NATIONALLY AND LOCALLY. ACTION TEAMS ARE ACTIVELY ADDRESSING DIABETES IN BOTH LAKE COUNTY AND MCHENRY COUNTY, COORDINATED THROUGH EACH OF THE LOCAL HEALTH DEPARTMENTS. EVIDENCE-BASED INITIATIVES ARE UNDERWAY, INCLUDING THE DIABETES SELF-MANAGEMENT PROGRAM (STANFORD MODEL) AND DIABETES PREVENTION PROGRAM IN BOTH COUNTIES. ACTIVITIES INCLUDE DIABETES PREVENTION, DIABETES SCREENING TO IDENTIFY DIABETES AND PRE-DIABETES, AND EDUCATION ON DIABETES SELF-MANAGEMENT. BECAUSE PROGRAMS TO ADDRESS DIABETES ARE ALREADY IN PLACE, THE CHC MADE THE DECISION TO NOT SELECT IT AS A PRIORITY.CARDIOVASCULAR DISEASE. CARDIOVASCULAR DISEASE WAS NOT SELECTED AS A HEALTH PRIORITY. OVER THE PAST DECADE, HEART DISEASE DEATH RATES HAVE DROPPED IN BOTH LAKE COUNTY AND MCHENRY COUNTY. WHILE HEART DISEASE RATES ARE DECLINING, MALES AND OLDER ADULTS HAVE SLIGHTLY HIGHER RATES. THE HOSPITAL CURRENTLY PROMOTES AND CONDUCTS HEART HEALTH RISK ASSESSMENTS USING THE AMERICAN HEART ASSOCIATION TOOL, CONDUCTS HEART SCAN CTS TO IDENTIFY CALCIUM IN THE HEART, AND PROMOTES PREVENTION MEASURES SUCH AS GOOD NUTRITION AND PHYSICAL ACTIVITY IN THE COMMUNITY. ALL OF THESE ACTIVITIES ARE COORDINATED WITH THE ADVOCATE HEART INSTITUTE PROGRAMS FOCUSED ON TREATING CARDIOVASCULAR DISEASE IN THE PSA AND THE PUBLIC HEALTH DEPARTMENTS IN MCHENRY COUNTY AND LAKE COUNTY. SINCE HEART DISEASE DEATH RATES ARE DECLINING AND MANY COMMUNITY-BASED PROGRAMS TO ADDRESS CARDIOVASCULAR DISEASE ARE ALREADY ACTIVE, THE CHC DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS IMPACT ON THE RISK FOR HEART DISEASE. MENTAL HEALTH. MENTAL HEALTH WAS NOT SELECTED AS A PRIORITY FOR THE CURRENT CHNA CYCLE EVEN THOUGH IT WAS SELECTED IN THE PREVIOUS CHNA CYCLE. AS OF 2015-2017, ER RATES FOR THE PSA (BOTH FOR ADULTS AND PEDIATRICS) DUE TO MENTAL HEALTH ARE IN THE BEST 50TH PERCENTILE RANGE. OVER THE PAST THREE YEARS, ADVOCATE GOOD SHEPHERD HAS IMPLEMENTED THE MENTAL HEALTH FIRST AID THROUGHOUT THE PSA. IN BOTH LAKE COUNTY AND MCHENRY COUNTY, THERE ARE NOW COUNTY-WIDE INITIATIVES IN PLACE TO IMPLEMENT MHFA TRAINING, INVOLVING STAKEHOLDERS FROM ACROSS THE COUNTY. ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF HAVE BEEN ACTIVE MEMBERS OF THE MHFA ACTION TEAM IN LAKE COUNTY. SINCE A GREAT DEAL OF WORK IS ALREADY BEING DONE TO ADDRESS MENTAL HEALTH IN THE PSA, THE CHC VOTED FOR THE HOSPITAL TO TURN ITS ATTENTION TO SUBSTANCE ABUSE FOR THE NEXT THREE-YEAR PERIOD.
SCHEDULE H, PART V, SEC B, LINE 11 - ADVOCATE GOOD SAMARITAN HOSPITALCANCER. THE CANCER INCIDENCE RATES FOR THE PSA ARE IN THE BEST 0-50TH PERCENTILE COMPARED TO OTHER ILLINOIS COUNTIES, AND ARE TRENDING DOWNWARD IN BOTH LAKE COUNTY AND MCHENRY COUNTY. THE ONLY EXCEPTION IS FOR BREAST CANCER, WHICH IS INCREASING AT A STATISTICALLY SIGNIFICANT RATE. AS PART OF THE REQUIREMENTS TO MAINTAIN CERTIFICATION WITH THE COMMISSION ON CANCER, ADVOCATE GOOD SHEPHERD IMPLEMENTS CANCER SCREENING, AND PREVENTION EDUCATION ON AN ANNUAL BASIS. OVER THE PAST THREE YEARS, COMMUNITY HEALTH STAFF HAVE WORKED WITH THE ADVOCATE GOOD SHEPHERD CANCER CENTER STAFF TO ADDRESS BARRIERS TO NAVIGATION AND PROMOTE EARLY SCREENING AND DETECTION FOR COLORECTAL CANCER, SKIN CANCER AND LUNG CANCER. BECAUSE ACTIVITIES RELATED TO CANCER SCREENING AND PREVENTION ARE ALREADY INTEGRATED INTO THE REGULAR PROGRAMMING OF BOTH THE COMMUNITY HEALTH PROGRAM AND THE CANCER CENTER, AND CANCER INCIDENCE RATES ARE TRENDING DOWN FOR ALL BUT BREAST CANCER, THE CHC DETERMINED IT WAS PRUDENT TO FOCUS ON OTHER HEALTH PRIORITIES.
SCHEDULE H, PART V, SEC. B, LINE 11 - ADVOCATE BROMENN MEDICAL CENTERIN NOVEMBER 2018, ADVOCATE BROMENN BEGAN PROVIDING FULL OVERSIGHT FOR THE ONLY HOSPITAL-BASED SUBSTANCE USE PROGRAM IN MCLEAN COUNTY. ADVOCATE BROMENN OFFERS A FULL CONTINUUM OF CARE THAT INCLUDES MEDICAL DETOX, BOTH PARTIAL AND INTENSIVE OUTPATIENT TREATMENT AND AFTERCARE SERVICES. THE HOSPITAL PARTNERS WITH THE RECOVERY COMMUNITY IN MCLEAN COUNTY TO PROVIDE REAL-LIFE EXPERIENCES TO THOSE THAT ARE BEGINNING THEIR OWN RECOVERY JOURNEY. ADVOCATE BROMENN ALSO PARTICIPATES IN THE RECOVERY ORIENTED SYSTEM OF CARE COUNCIL (ROSC) FOR MCLEAN COUNTY. THE ROSC COUNCIL IS MADE UP OF INDIVIDUALS REPRESENTING A CROSS SECTOR OF MCLEAN COUNTY, INCLUDING SOCIAL SERVICE AGENCIES, INDIVIDUALS WITH LIVED EXPERIENCE WITH SUBSTANCE USE OR MENTAL HEALTH DISORDERS, HEALTH CARE AND LOCAL BUSINESSES. THE ROSC COUNCIL IS WORKING TO DESIGN AND IMPLEMENT POST-TREATMENT COMMUNITY SUPPORTS FOR INDIVIDUALS IN RECOVERY FROM SUBSTANCE USE OR MENTAL HEALTH DISORDERS. IN 2018, THE COMMUNITY HEALTH DIRECTOR FOR ADVOCATE BROMENN AND ADVOCATE EUREKA LED A COMMITTEE TO WORK ON A COLLABORATIVE BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN FOR MCLEAN COUNTY. THE SOCIAL MEDIA CAMPAIGN LAUNCHED IN FEBRUARY 2018. CAMPAIGN OUTCOMES FOR 2018 AND 2019 INCLUDE 52,135 PEOPLE REACHED VIA FACEBOOK WITH 1,633 INTERACTIONS AND 15,648 TWITTER IMPRESSIONS. IN 2018, THE MCLEAN COUNTY BOARD HOSTED THE SECOND ANNUAL COMMUNITY BEHAVIORAL HEALTH FORUM. MEMBERS OF ADVOCATE BROMENN'S LEADERSHIP TEAM WERE A PART OF COORDINATING THE EVENT. IN 2019, A STAFF MEMBER FROM ADVOCATE MEDICAL GROUP ADDICTION SERVICES HOSTED A TABLE AT THE ALL-DAY EVENT. IN APRIL 2018, CHESTNUT HEALTH SYSTEMS, IN PARTNERSHIP WITH ADVOCATE BROMENN, MCLEAN COUNTY HEALTH DEPARTMENT AND OSF ST. JOSEPH MEDICAL CENTER, HELD A COUNTY WIDE EVENT ON TRAUMA FOR KEY STAKEHOLDERS IN THE COMMUNITY. THIS WAS POSSIBLE DUE TO AN AWARD FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) TECHNICAL ASSISTANCE AWARD FROM THE NATIONAL CENTER ON TRAUMA-INFORMED CARE. THE COMMUNITY HEALTH DIRECTOR FOR ADVOCATE BROMENN AND ADVOCATE EUREKA FACILITATED THE MCLEAN COUNTY BEHAVIORAL HEALTH KEY STAKEHOLDER COMMITTEE AS A PART OF THE 2017-2019 MCLEAN COUNTY CHIP. THE DIRECTOR WILL CONTINUE SERVING AS THE FACILITATOR OF THIS GROUP FOR THE 2020-2022 MCLEAN COUNTY CHIP. THE EXECUTIVE DIRECTOR OF THE ADVOCATE SYSTEM BEHAVIORAL HEALTH SERVICE LINE BEGAN SERVING ON THE MCLEAN COUNTY RECOVERY ORIENTED SYSTEM OF CARE COUNCIL IN 2018 AND CONTINUED IN THIS ROLE IN 2019. IN AUGUST 2018, THE MCLEAN COUNTY OPIOID INITIATIVE ANNOUNCED THE SAFE PASSAGE PROGRAM. THE INITIATIVE BRINGS TOGETHER LAW ENFORCEMENT, TREATMENT PROVIDERS AND MCLEAN COUNTY RESIDENTS TO INCREASE ACCESS AND TREATMENT. THE CHIEF NURSING OFFICER FOR ADVOCATE BROMENN WAS A PART OF THE SAFE PASSAGE INITIATIVE. CHESTNUT HEALTH SYSTEMS, IN PARTNERSHIP WITH ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT AND OSF ST. JOSEPH MEDICAL CENTER, WAS AWARDED A GRANT BY THE ILLINOIS DIVISION OF MENTAL HEALTH, DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO HOST A TWO-DAY ADVERSE CHILDHOOD EXPERIENCES (ACES) MASTER TRAINING FOR 25 INDIVIDUALS IN OCTOBER 2017. ADVOCATE BROMENN WAS ONE OF THE ORGANIZATIONS THAT SENT A STAFF MEMBER TO BE TRAINED. A TOTAL OF 2,117 INDIVIDUALS ATTENDED ACE'S/TRAUMA PRESENTATIONS IN 2017-2019.IN ADDITION TO THE ABOVE COLLABORATIVE EFFORTS, ADVOCATE BROMENN OPERATES THE ONLY INPATIENT MENTAL HEALTH UNIT IN MCLEAN COUNTY, PROVIDING CRITICAL SERVICES TO THOSE ADULTS NEEDING INPATIENT PSYCHIATRIC TREATMENT. THE UNIT OPERATES AT A LOSS EVERY YEAR. THE LOSS FOR 2019 WAS $811,143. ADDITIONAL BEHAVIORAL HEALTH INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY CHIP AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS.OBESITY. OBESITY WAS SELECTED AS ONE OF THE THREE TOP HEALTH PRIORITIES BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR THE 2016 MCLEAN COUNTY CHNA BECAUSE IT RANKED AS NUMBER THREE ACCORDING TO ITS PRIORITY SCORE OF 153.8 FROM THE HANLON METHOD. ADDITIONALLY, THE COUNCIL FELT THAT BY IMPROVING OBESITY, MANY OTHER HEALTH OUTCOMES, SUCH AS HEART DISEASE, CANCER AND DIABETES MAY ALSO BE POSITIVELY IMPACTED. IT WAS ALSO SELECTED BECAUSE OBESITY IS A WIDESPREAD ISSUE AFFECTING MANY PEOPLE ACROSS ALL SOCIAL AND ECONOMIC SECTORS. THERE WERE ALSO MANY SIGNIFICANT EFFORTS UNDERWAY IN THE COMMUNITY RELATED TO OBESITY THROUGH THE MCLEAN COUNTY WELLNESS COALITION. THE HEALTH DEPARTMENT AND BOTH HOSPITALS ARE A PART OF THE MCLEAN COUNTY WELLNESS COALITION (NOW KNOWN AS THE HEALTHY EATING/ACTIVE LIVING PRIORITY ACTION TEAM). THE MCLEAN COUNTY WELLNESS COALITION IS THE PRIMARY GROUP THAT WORKED ON THE INTERVENTIONS OUTLINED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN. HIGHLIGHTS FOR STEPS TAKEN AS A PART OF THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS OBESITY ARE LISTED BELOW. THE PARTNERSHIP FOR HEALTH PILOT PROGRAM BEGAN IN APRIL 2017. THE PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP TO IMPROVE THE HEALTH AND FITNESS OF PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND THEIR SUPPORT WORKERS. PARTNERS INCLUDE ADVOCATE BROMENN HEALTH AND FITNESS CENTER, MARCFIRST, ADVOCATE BROMENN CHARITABLE FOUNDATION, THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE MCLEAN COUNTY BOARD FOR THE CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY (377 BOARD). THE PROGRAM INITIALLY SERVED 22 INDIVIDUALS FROM MARCFIRST. IN 2018, THE PROGRAM WAS EXPANDED TO SEVERAL COMMUNITY MEMBERS WITH A TOTAL OF 31 INDIVIDUALS BEING SERVED. OUTCOMES FROM YEAR ONE OF THE PROGRAM WERE POSITIVE RANGING FROM DECREASED BLOOD PRESSURE, BODY MASS INDEX AND CHOLESTEROL TO REDUCED USAGE OF THE EMERGENCY ROOM. IN YEAR TWO OF THE PROGRAM, PARTICIPATION INCREASED TO 51 INDIVIDUALS WITH NUMEROUS POSITIVE OUTCOMES. SIXTY-TWO PERCENT OF PARTICIPANTS MAINTAINED OR IMPROVED THEIR CHOLESTEROL LEVELS, 47 PERCENT MAINTAINED OR IMPROVED THEIR BODY MASS INDEX AND 47 PERCENT IMPROVED OR MAINTAINED THEIR BLOOD PRESSURE. IN FEBRUARY 2019, THE DELEGATE CHURCH ASSOCIATION OF ADVOCATE BROMENN AND ADVOCATE EUREKA, IN PARTNERSHIP WITH THE MCLEAN COUNTY INTERFAITH ALLIANCE AND ILLINOIS WESLEYAN UNIVERSITY, HELD FEEDING THE HUNGRY, TOGETHER. THE PURPOSE OF THE EVENT WAS TO REPACKAGE 2,400 POUNDS OF RICE INTO 2-POUND PACKAGES TO BE DONATED TO LOCAL FOOD PANTRIES. EIGHTY VOLUNTEERS FROM THE COMMUNITY ASSISTED WITH THE REPACKAGING. IN MAY 2017, ADVOCATE BROMENN PLANTED THE ADVOCATE BROMENN VEGETABLE GARDEN ON LAND OWNED BY THE MEDICAL CENTER. THE COMMUNITY HEALTH CARE CLINIC IS LOCATED ON THIS LAND. ONE-HUNDRED POUNDS OF PRODUCE GROWN WAS DONATED EACH YEAR TO PATIENTS OF THE CLINIC IN 2017, 2018 AND 2019. THE PURPOSE OF THE GARDEN IS TO INCREASE ACCESS TO HEALTHY FOODS FOR THE LOW-INCOME POPULATION IN MCLEAN COUNTY. IN 2018, THE COMMUNITY HEALTH DIRECTOR FOR ADVOCATE BROMENN AND ADVOCATE EUREKA ATTENDED THE FEEDING THE CITIES SUMMIT WHICH FOCUSED ON DECREASING FOOD INSECURITY AND INCREASING ACCESS TO HEALTHY FOOD FOR MCLEAN COUNTY RESIDENTS. THE COMMUNITY HEALTH CARE CLINIC AND HOME SWEET HOME MINISTRIES LAUNCHED A FOOD FARMACY PILOT PROGRAM IN AUGUST 2017. THE PROGRAM PROVIDES A PRESCRIPTION PASS TO PATIENTS AT THE CLINIC WHO HAVE DIABETES OR HEART DISEASE. THE PASS CAN BE USED TO OBTAIN FREE FRESH PRODUCE AND OTHER FOOD FROM THE BREAD FOR LIFE CO-OP FOR 12 WEEKS. ADVOCATE BROMENN AND OSF ST. JOSEPH MEDICAL CENTER SUPPORT THE COMMUNITY HEALTH CARE CLINIC. FROM AUGUST 2017 UNTIL DECEMBER 2018, 51 PATIENTS OF THE COMMUNITY HEALTH CARE CLINIC TOOK ADVANTAGE OF THE 12-WEEK PRESCRIPTION PASS FOR A TOTAL OF 196 SHOPPING TRIPS. IN 2019, 29 PATIENTS TOOK ADVANTAGE OF THE 12- WEEK PRESCRIPTION PASS FOR A TOTAL OF 126 SHOPPING TRIPS. AS A DIRECT RESULT OF THIS PROGRAM, THERE WAS AN INCREASE IN THE NUMBER OF HISPANICS SHOPPING AT THE BREAD FOR LIFE CO-OP. ADDITIONAL INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY CHIP AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS.
SCHEDULE H, PART V, SEC. B, LINE 11 - ADVOCATE BROMENN MEDICAL CENTERHEALTH NEEDS NOT SELECTED BIRTH OUTCOMES. BIRTH OUTCOMES WAS NOT SELECTED AS A HEALTH PRIORITY SINCE IT WAS RATED SIXTH ACCORDING TO ITS PRIORITY SCORE. ALTHOUGH THE SERIOUSNESS OF THE PROBLEM AND THE LONG-TERM CONSEQUENCES WERE TAKEN INTO CONSIDERATION BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL, IT WAS AGREED THAT THE THREE HEALTH ISSUES SELECTED WERE GREATER IN BOTH SIZE AND SERIOUSNESS IN MCLEAN COUNTY. THE COUNCIL ALSO FELT THAT THERE ARE SEVERAL POSITIVE EFFORTS CURRENTLY UNDERWAY TO IMPROVE BIRTH OUTCOMES. FOR EXAMPLE, THERE IS A NO ELECTIVE INDUCTIONS LESS THAN 39 WEEKS INITIATIVE WITH THE MARCH OF DIMES AND BOTH HOSPITALS IN MCLEAN COUNTY. ADDITIONALLY, ON OCTOBER 18, 2016, ADVOCATE BROMENN BEGAN PROVIDING NEONATOLOGY SERVICES AT THE MEDICAL CENTER IN PARTNERSHIP WITH ADVOCATE CHILDREN'S HOSPITAL (ADVOCATE CHILDREN'S). THIS WAS A NEW SERVICE FOR THE MCLEAN COUNTY COMMUNITY. COVERAGE IS PROVIDED BY THE NEONATOLOGISTS FROM ADVOCATE CHILDREN'S. AS AN INTERMEDIATE CARE NURSERY WITH THIS ENHANCED LEVEL OF PHYSICIAN COVERAGE, THE HOSPITAL CAN KEEP BABIES AS YOUNG AS 32 WEEKS GESTATION. THIS ALLOWS NEW MOMS AND BABIES TO STAY TOGETHER, PROVIDING EXCELLENT OUTCOMES FOR FAMILIES.IN ADDITION, THE MCLEAN COUNTY HEALTH DEPARTMENT HAS THREE PROGRAMS AVAILABLE WHICH PROMOTE HEALTHY PREGNANCIES AND CONNECT PREGNANT WOMEN TO HEALTH AND WELLNESS SERVICES: ALL OUR KIDS EARLY CHILDHOOD NETWORK, FAMILY CASE MANAGEMENT, AND WOMEN, INFANTS AND CHILDREN (WIC). ORAL HEALTH. THERE WAS SOME DISCUSSION IN THE PRIORITIZATION MEETING ABOUT SELECTING ORAL HEALTH AS ONE OF THE THREE HEALTH PRIORITIES IN PLACE OF ONE OF THE THREE HIGHEST PRIORITY SCORING HEALTH CONCERNS. ORAL HEALTH RANKED CLOSELY BEHIND OBESITY (153.8) WITH A PRIORITY SCORE OF 148.4. ALTHOUGH ORAL HEALTH WAS DEEMED AS AN EXTREMELY IMPORTANT ISSUE IN MCLEAN COUNTY, THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL AGREED TO PROCEED WITH THE THREE ISSUES THAT RECEIVED THE HIGHEST PRIORITY SCORES. THIS WAS PARTIALLY DUE TO THE EFFORTS CURRENTLY IN PLACE TO ASSIST INDIVIDUALS WITHOUT DENTAL INSURANCE OR MEDICAID TO RECEIVE CARE. SOME EXAMPLES OF STEPS TAKEN TO ADDRESS ORAL HEALTH INCLUDE THE FOLLOWING. ADVOCATE BROMENN'S PRESIDENT AND/OR THE COMMUNITY HEALTH DIRECTOR ATTENDED SEVERAL ORAL HEALTH COLLABORATIVE MEETINGS WITH THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT, OSF ST. JOSEPH MEDICAL CENTER, THE COMMUNITY HEALTH CARE CLINIC AND CHESTNUT HEALTH SYSTEMS TO DISCUSS THE ISSUE OF ACCESS TO DENTAL CARE FOR UNINSURED ADULTS IN MCLEAN COUNTY. FURTHERMORE, AN ADVOCATE MEDICAL GROUP PEDIATRICIAN'S OFFICE LOCATED IN NORMAL, ILLINOIS, HAS ALSO BEEN PARTICIPATING FOR SEVERAL YEARS IN THE BRIGHT SMILES FROM BIRTH PROGRAM THROUGH THE ILLINOIS CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS, AND THE ADVOCATE BROMENN FAMILY HEALTH CARE CLINIC BEGAN THE PROGRAM IN 2017. AFTER COMPLETING A COURSE, THE OFFICE CAN BILL MEDICAID FOR THE APPLICATION OF FLUORIDE VARNISH ON FULLY ERUPTED TEETH OF CHILDREN UNDER THREE YEARS OF AGE. EACH FLUORIDE APPLICATION CAN BE DONE THREE TIMES PER YEAR. THE FLUORIDE SERVES TO PROTECT THE BABY TEETH RESULTING IN FEWER CAVITIES. THE MCLEAN COUNTY HEALTH DEPARTMENT ALSO PROVIDES A DENTAL CLINIC WITH INTERVENTION CARE FOR ADULTS (NO PREGNANT WOMEN), AND PREVENTIVE CARE AND INTERVENTION FOR KIDS. HEARTLAND HEAD START COORDINATES REFERRALS TO DENTAL CARE FOR KIDS SIX WEEKS TO FIVE YEARS AS WELL AS PREGNANT WOMEN. EXTRACTION CLINICS ARE HELD TWICE PER YEAR AT A LOCAL ORAL SURGEON'S OFFICE. RESPIRATORY DISEASE. ONE OF THE REASONS RESPIRATORY DISEASE WAS NOT SELECTED AS ONE OF THE TOP THREE HEALTH PRIORITIES FOR MCLEAN COUNTY WAS THAT IT RANKED FIFTH ACCORDING TO ITS PRIORITY SCORE OF 121 AND THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DID NOT FEEL THAT THERE WAS A COMPELLING REASON TO ELIMINATE ONE OF THE HEALTH CONCERNS THAT RANKED IN THE TOP THREE. THE COUNCIL DID DISCUSS THAT IMPROVING ACCESS TO APPROPRIATE HEALTHCARE MAY POSSIBLY ALSO IMPROVE HEALTH OUTCOMES FOR RESPIRATORY DISEASE, PARTICULARLY IN AREAS OF HIGH SOCIOECONOMIC NEEDS.2017-2019 CHNAHEALTH NEEDS SELECTED ACCESS TO CARE. ACCESS TO CARE WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO BE ADDRESSED BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL NOT ONLY BECAUSE OF ITS HIGH PRIORITY SCORE (160.3), BUT FOR SEVERAL OTHER REASONS. ACCESS TO APPROPRIATE CARE IS AN IMPORTANT ISSUE THAT AFFECTS MANY HEALTH OUTCOMES. IMPROVING ACCESS IN CERTAIN AREAS AND FOR CERTAIN POPULATIONS CAN HAVE A WIDESPREAD IMPACT ON A VARIETY OF HEALTH OUTCOMES RANGING FROM ORAL HEALTH TO RESPIRATORY DISEASE. DATA PRESENTED TO THE COUNCIL ALSO INDICATED THAT THERE ARE SIGNIFICANT GEOGRAPHIC AND RACIAL/ETHNIC DISPARITIES IN MCLEAN COUNTY THAT MAY BE RELATED TO ACCESS TO CARE. RESEARCH AND SUBJECT MATTER EXPERTISE SUGGESTED THAT THERE ARE A VARIETY OF FACTORS THAT CAN IMPROVE ACCESS TO CARE, RANGING FROM INCREASED HOURS OF OPERATION FOR URGENT CARE CLINICS AND PRIMARY CARE OFFICES, TO TRANSPORTATION AND EDUCATION OF BOTH CONSUMERS AND PROVIDERS. ACCESS TO APPROPRIATE CARE WAS ALSO SELECTED AS A HEALTH PRIORITY FOR THE 2016 MCLEAN COUNTY CHNA.THE 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN WILL BE A JOINT PLAN FOR THE ENTIRE COUNTY AND CONSIST OF INTERVENTIONS AND RESOURCES TO BE PROVIDED BY THE HOSPITALS, HEALTH DEPARTMENT, FAMILY HEALTH CENTER AND NUMEROUS SOCIAL SERVICES OR OTHER COMMUNITY ORGANIZATIONS.THE ACCESS TO CARE PRIORITY ACTION TEAM MEETING WAS HELD ON APRIL 29, 2019. THE FOLLOWING GOAL WAS ESTABLISHED DURING THE MEETING: ENSURE APPROPRIATE ACCESS TO CARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR RESIDENTS, NEIGHBORHOODS AND COUNTY BY 2023. HIGHLIGHTS FOR STEPS THAT WILL BE TAKEN AS A PART OF THE 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS ACCESS TO CARE ARE LISTED BELOW: SUPPORT LINKAGE/NAVIGATION PROGRAMS CAATCH (COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE) COHESION PROJECT EXPAND APPLICATION OF FLUORIDE VARNISH APPLICATION IN PEDIATRIC SETTINGS TRANSPORTATION ACCESS INVENTORY OF COMMITTEES IDENTIFY GAPS IN TRANSPORTATION SERVICES INCREASE HEALTHCARE REPRESENTATION ON TRANSPORTATION COMMITTEES INCREASE USE OF TELEMEDICINE/VIRTUAL HEALTHCARE INCREASE THE # OF FTES FOR DENTISTS AND HYGIENISTS SERVING LOW-INCOME CLIENTS.ADDITIONAL INTERVENTIONS ARE LISTED IN THE 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/BROMENN-CHNA-REPORT-2019BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE. BEHAVIORAL HEALTH WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO BE ADDRESSED BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR SEVERAL REASONS. BEHAVIORAL HEALTH RECEIVED THE HIGHEST PRIORITY SCORE (162.5) CLEARLY INDICATING THE NEED FOR FURTHER IMPROVEMENTS IN THIS AREA IN MCLEAN COUNTY. IN ADDITION, THERE ARE NUMEROUS HEALTH DISPARITIES IN BLOOMINGTON ZIP CODE 61701 FOR BOTH MENTAL HEALTH AND SUBSTANCE ABUSE. THERE HAS ALSO BEEN A GREAT DEAL OF PUBLIC SUPPORT AND MOMENTUM BEHIND MENTAL HEALTH IN MCLEAN COUNTY FOR THE LAST SEVERAL YEARS. MCLEAN COUNTY IS WELL SITUATED TO CONTINUE TO COLLABORATE ON MENTAL HEALTH DUE TO THE ON-GOING EFFORTS OF NUMEROUS ORGANIZATIONS AND THE MCLEAN COUNTY GOVERNMENT. MENTAL HEALTH WAS ALSO PREVIOUSLY SELECTED AS A KEY HEALTH PRIORITY FOR THE 2016 MCLEAN COUNTY CHNA GIVING FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS.THE BEHAVIORAL HEALTH PRIORITY ACTION TEAM MEETING WAS HELD ON APRIL 30, 2019. THE FOLLOWING GOAL WAS ESTABLISHED DURING THE MEETING: ADVANCE A SYSTEMIC COMMUNITY APPROACH TO ENHANCE BEHAVIORAL HEALTH AND WELL-BEING BY 2023.HIGHLIGHTS FOR STEPS THAT WILL BE TAKEN AS A PART OF THE 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS BEHAVIORAL HEALTH ARE LISTED BELOW: EMBEDDED BEHAVIORAL HEALTH IN SCHOOLS BEHAVIORAL HEALTH FORUM TRAUMA-INFORMED CARE COLLABORATIVE SUBSTANCE USE COALITION SUPPORT TELEPSYCHIATRY CONDUCT A GAP IN SERVICES ASSESSMENT SUPPORT FUSE (FREQUENT USERS SYSTEM ENGAGEMENT) SUPPORT 24/7 TRIAGE CENTER SUPPORT EVIDENCE-BASED PROGRAMS: PEARLS MENTAL HEALTH FIRST AID ENDING THE SILENCE TOO GOOD FOR DRUGS SOCIAL MEDIA CAMPAIGN SUPPORT INTEGRATED OR CO-LOCATED BEHAVIORAL HEALTH AT PRIMARY CAREADDITIONAL INTERVENTIONS ARE LISTED IN THE 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/BROMENN-CHNA-REPORT-2019
SCHEDULE H, PART V, SEC. B, LINE 11 - ADVOCATE BROMENN MEDICAL CENTERHEALTHY EATING/ACTIVE LIVING. HEALTHY EATING/ACTIVE LIVING WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO BE ADDRESSED BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL BECAUSE IT RANKED AS NUMBER THREE ACCORDING TO ITS PRIORITY SCORE OF 158.1. ADDITIONALLY, THE COUNCIL FELT THAT BY FOCUSING ON HEALTHY EATING/ACTIVE LIVING, MANY OTHER HEALTH OUTCOMES SUCH AS HEART DISEASE, CANCER AND DIABETES MAY ALSO POSITIVELY BE IMPACTED. IT WAS ALSO SELECTED BECAUSE OBESITY IS A WIDESPREAD ISSUE AFFECTING SO MANY PEOPLE AND IT DOES NOT DISCRIMINATE. FOOD INSECURITY AND FOOD ACCESS ARE ALSO AREAS NEEDING IMPROVEMENT IN MCLEAN COUNTY. OBESITY WAS ALSO SELECTED AS A HEALTH PRIORITY FOR THE 2016 MCLEAN COUNTY CHNA.THE HEALTHY EATING/ACTIVE LIVING PRIORITY ACTION TEAM MEETING WAS HELD ON MAY 9, 2019. THE FOLLOWING GOAL WAS ESTABLISHED DURING THE MEETING: PROMOTE HEALTHY EATING AND ACTIVE LIVING TO STRENGTHEN THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY 2023.HIGHLIGHTS FOR STEPS THAT WILL BE TAKEN AS A PART OF THE 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS HEALTHY EATING/ACTIVE LIVING ARE LISTED BELOW: PROMOTE NUTRITION TRACKING APPS INVENTORY SCHOOL BACKPACK PROGRAMS PROVIDED BY CHURCHES AND SCHOOLS PROMOTE A TOOLKIT FOR WORKPLACE WELLNESS OFFER/SUPPORT MATTER OF BALANCE OFFER/SUPPORT PARTNERSHIP IN HEALTH PROMOTE THE 5-2-1-0 CAMPAIGN FOR SCHOOL CHILDREN PROMOTE/IMPLEMENT GIRLS ON THE RUN PROMOTE HEALTHY FOOD ACCESS PROMOTE/INCREASE ACCESS TO PHYSICAL ACTIVITY.ADDITIONAL INTERVENTIONS ARE LISTED IN THE 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/BROMENN-CHNA-REPORT-2019.HEALTH NEEDS NOT SELECTED HEART DISEASE. HEART DISEASE WILL NOT BE ADDRESSED BECAUSE IT WAS RANKED FOURTH ACCORDING TO ITS PRIORITY SCORE OF 111.1 AND THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DID NOT FEEL THAT THERE WAS A COMPELLING REASON TO ELIMINATE ONE OF THE HEALTH ISSUES THAT RANKED IN THE TOP THREE. THE COUNCIL DID DISCUSS THAT IMPROVING ACCESS TO CARE MAY POSSIBLY ALSO IMPROVE HEALTH OUTCOMES FOR HEART DISEASE, PARTICULARLY IN AREAS OF HIGH SOCIOECONOMIC NEEDS.ORAL HEALTH. ALTHOUGH ORAL HEALTH IS DEEMED AS AN EXTREMELY IMPORTANT ISSUE IN MCLEAN COUNTY, THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL AGREED TO ADDRESS THE THREE NEEDS THAT RECEIVED THE HIGHEST PRIORITY SCORES. ORAL HEALTH WAS RANKED FIFTH WITH A SCORE OF 107.7. THE COUNCIL DID DISCUSS THAT ORAL HEALTH IS ALSO AN ACCESS ISSUE AND CAN FIT UNDER ACCESS TO CARE. THE OPENING OF A NEW DENTAL CLINIC FOR INDIVIDUALS WITHOUT HEALTH INSURANCE, WHICH IS SUPPORTED BY ADVOCATE BROMENN AND OSF ST. JOSEPH MEDICAL CENTER, MAY ASSIST IN IMPROVING ACCESS TO ORAL HEALTH CARE IN MCLEAN COUNTY. RESPIRATORY DISEASE. ONE OF THE REASONS RESPIRATORY DISEASE WAS NOT SELECTED AS A HEALTH NEED TO BE ADDRESSED WAS THAT IT RANKED SIXTH ACCORDING TO ITS PRIORITY SCORE OF 81.1 AND THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DID NOT FEEL THAT THERE WAS A COMPELLING REASON TO ELIMINATE ONE OF THE HEALTH CONCERNS THAT RANKED IN THE TOP THREE. THE COUNCIL DID DISCUSS THAT IMPROVING ACCESS TO CARE MAY POSSIBLY ALSO IMPROVE HEALTH OUTCOMES FOR RESPIRATORY DISEASE, PARTICULARLY IN AREAS OF HIGH SOCIOECONOMIC NEEDS.
SCHEDULE H, PART V, LINE 11 - ADVOCATE EUREKA HOSPITALA SECOND REASON MENTAL HEALTH WAS SELECTED IS BECAUSE THE AGE-ADJUSTED DEATH RATE DUE TO SUICIDE IN WOODFORD COUNTY IS IN THE WORST 25TH PERCENTILE RANGE (RED INDICATOR) COMPARED TO OTHER COUNTIES IN THE U.S., IS HIGHER THAN THE ILLINOIS VALUE, DOES NOT MEET THE HEALTHY PEOPLE 2020 TARGET AND IS HIGHER THAN BOTH PEORIA AND TAZEWELL COUNTIES. ADDITIONALLY, 27 PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS WHO REPORTED THAT THEY DID NOT HAVE ACCESS TO CARE CITED EMBARRASSMENT AS THE REASON. THE CONTINUATION OF THE EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASS HELPS DECREASE THE STIGMA ASSOCIATED WITH MENTAL HEALTH AND HAS BEEN OFFERED BY ADVOCATE EUREKA FOR SEVERAL YEARS.ADVOCATE EUREKA ALSO SELECTED MENTAL HEALTH AS A SIGNIFICANT HEALTH NEED BECAUSE A FEW OF THE HIGH SOCIONEEDS ZIP CODESSPECIFICALLY EL PASO, WASHBURN AND LOWPOINTHAD HIGHER VALUES THAN THE COUNTY VALUE FOR SOME OF THE AGE-ADJUSTED EMERGENCY ROOM RATES; MENTAL HEALTH, PEDIATRIC MENTAL HEALTH AND/OR SUICIDE AND SELF-INFLICTED INJURY FOR BOTH ADULTS AND ADOLESCENTS.THE FOURTH REASON MENTAL HEALTH WAS SELECTED AS A SIGNIFICANT HEALTH NEED FOR ADVOCATE EUREKA'S CHNA IS BECAUSE MENTAL HEALTH WAS A HEALTH PRIORITY OR SIGNIFICANT HEALTH NEED FOR BOTH THE 2013 AND 2016 ADVOCATE EUREKA CHNA.IT WAS CLEAR FROM COMMUNITY INPUT AND CURRENT DATA THAT CONTINUED EFFORTS ARE NEEDED TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH AND GIVE FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS.ADVOCATE EUREKA PARTICIPATED IN THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PFHC) AD-HOC CHNA COLLABORATIVE GOAL SETTING MEETINGS FOR THE 2020-2022 PFHC COMMUNITY HEALTH IMPROVEMENT PLAN. ALTHOUGH THE HOSPITAL IS PRIMARILY FOCUSING ON WOODFORD COUNTY AND TWO OF THE FOUR SIGNIFICANT HEALTH NEEDS SELECTED FOR THE TRI-COUNTY REGION, STAFF FROM THE HOSPITAL WILL PARTICIPATE IN THE PFHC PRIORITY ACTION TEAMS AND WILL SUPPORT THE TRI-COUNTY GOALS LISTED BELOW FOR ADVOCATE EUREKA'S SELECTED HEALTH NEEDS FOR ITS 2020-2022 IMPLEMENTATION PLAN.THE MENTAL HEALTH GOAL ESTABLISHED BY THE PFHC BEHAVIORAL HEALTH PRIORITY ACTION TEAM IS TO IMPROVE MENTAL HEALTH AMONG TRI-COUNTY RESIDENTS THROUGH PREVENTATIVE STRATEGIES AND INCREASED ACCESS TO SERVICES.HIGHLIGHTS FOR STEPS THAT WILL BE TAKEN AS A PART OF THE 2020-2022 ADVOCATE EUREKA IMPLEMENTATION STRATEGY TO ADDRESS MENTAL HEALTH ARE LISTED BELOW: ADVOCATE EUREKA WILL HAVE A STAFF MEMBER SERVE ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY BEHAVIORAL HEALTH PRIORITY ACTION TEAM FOR THE 2020-2022 IMPLEMENTATION PERIOD. THE COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY BOARD FOR THE TRI-COUNTY REGION AND WILL CONTINUE TO LOOK FOR WAYS THE HOSPITAL CAN SUPPORT BEHAVIORAL HEALTH IN THE TRI-COUNTY REGION, WITH A FOCUS ON WOODFORD COUNTY.TO IMPROVE MENTAL HEALTH IN WOODFORD COUNTY, THE HOSPITAL WILL ALSO CONTINUE ITS COLLABORATION WITH THE TAZWOOD CENTER FOR WELLNESS TO ALLOW WOODFORD COUNTY RESIDENTS TO RECEIVE MENTAL HEALTH SERVICES LOCALLY INSTEAD OF TRAVELLING OUTSIDE OF THE COUNTY FOR CARE. IN JUNE 2016 THE COUNSELING APPOINTMENTS, PREVIOUSLY HELD AT THE WOODFORD COUNTY HEALTH DEPARTMENT, BY THE TAZWOOD CENTER FOR WELLNESS, MOVED TO ADVOCATE EUREKA. THE MOVE TO THE HOSPITAL IMPROVES ACCESS TO MENTAL HEALTH SERVICES BECAUSE IT ALLOWS FOR RESIDENTS TO SCHEDULE APPOINTMENTS LATER IN THE EVENING. TELEPSYCHIATRY WILL ALSO CONTINUE TO BE OFFERED AT ADVOCATE EUREKA TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES.FOR THE 2020-2022 HOSPITAL IMPLEMENTATION PLAN, IT IS ALSO HOPED THAT THE PARTNERSHIP BETWEEN ADVOCATE MEDICAL GROUP (AMG) BEHAVIORAL HEALTH, TRI-COUNTY SPECIAL EDUCATION ASSOCIATION AND ILLINOIS STATE UNIVERSITY'S PSYCHOLOGICAL SERVICES CENTER CONTINUES. AS A RESULT OF THIS PARTNERSHIP, DOCTORAL LEVEL PSYCHOLOGY INTERNS PROVIDE FOUR DAYS OF INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS THREE ADVOCATE SETTINGS IN CENTRAL ILLINOIS, ADVOCATE BROMENN OUTPATIENT CENTER, EL PASO FAMILY PRACTICE AND EUREKA FAMILY PRACTICE.ADVOCATE EUREKA PLANS TO CONTINUE OFFERING MENTAL HEALTH FIRST AID (MHFA), AN EVIDENCE-BASED MENTAL HEALTH PROGRAM TO THE COMMUNITY. MHFA IS A NATIONALLY RECOGNIZED ADULT PUBLIC EDUCATION PROGRAM THAT TEACHES INDIVIDUALS HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO THE SIGNS OF MENTAL ILLNESS AND SUBSTANCE ABUSE DISORDERS. PARTICIPANTS LEARN ABOUT THE SIGNS AND SYMPTOMS OF ACUTE MENTAL HEALTH CRISES AND CHRONIC MENTAL HEALTH PROBLEMS LIKE ANXIETY AND DEPRESSION. CERTIFIED INSTRUCTORS TEACH PARTICIPANTS TO BECOME MENTAL HEALTH FIRST AIDERS. IN APRIL 2016, ADVOCATE EUREKA SENT AN EMPLOYEE TO BECOME A CERTIFIED MENTAL HEALTH FIRST AID TRAINER. THE HOSPITAL WILL COLLABORATE WITH THE TRI-COUNTY HEALTH DEPARTMENTS AND THE CENTRAL ILLINOIS AREA HEALTH EDUCATION CENTER COMMUNITY PARTNERS TO OFFER THIS PROGRAM. EACH YEAR, UPON REQUEST, THE MHFA INSTRUCTOR FROM ADVOCATE EUREKA ALSO OFFERS A MHFA COURSE FOR RESIDENTIAL ASSISTANTS AT EUREKA COLLEGE AND TEACHES SESSIONS ON DEPRESSION AND ANXIETY FOR HIGH SCHOOL FRESHMEN. LASTLY, ADVOCATE EUREKA WILL OFFER ADVERSE CHILDHOOD EXPERIENCES (ACES) PRESENTATIONS TO HOSPITAL STAFF AND THE COMMUNITY.HEALTHY EATING/ACTIVE LIVING. ADVOCATE EUREKA SELECTED HEALTHY EATING/ACTIVE LIVING AS A SIGNIFICANT HEALTH NEED FROM THE FOUR NEEDS SELECTED BY THE PFHC AD-HOC CHNA COLLABORATIVE TEAM FOR SEVERAL REASONS. A HEALTHY LIFESTYLE OF REGULAR PHYSICAL ACTIVITY AND A HEALTHY DIET SERVES AS A FOUNDATION FOR GOOD MENTAL, PHYSICAL AND EMOTIONAL HEALTH AND IS KEY IN PREVENTING NUMEROUS CHRONIC DISEASES. FIFTY-FIVE PERCENT OF TRI-COUNTY COMMUNITY HEALTH SURVEY RESPONDENTS ALSO RATED BEING OVERWEIGHT OR OBESITY AS ONE OF THE TOP PERCEIVED HEALTH NEEDS IN THE COUNTY. ALTHOUGH WOODFORD COUNTY IS SURROUNDED BY FARMLAND, THE PERCENTAGE OF ADULTS WHO EAT FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY IS LOW AT 11.6 PERCENT AND IS IN THE WORST 25TH PERCENTILE RANGE (RED INDICATOR) IN COMPARISON TO OTHER COUNTIES IN ILLINOIS. IN ADDITION TO NOT EATING ENOUGH FRUITS AND VEGETABLES, THE 2018 TRI-COUNTY COMMUNITY HEALTH SURVEY DATA SHOW THAT 26 PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS INDICATED THAT THEY DO NOT EXERCISE AT ALL, WHILE 34 PERCENT ONLY EXERCISE ONE TO TWO TIMES PER WEEK.AN ADDITIONAL REASON ADVOCATE EUREKA SELECTED HEALTHY EATING/ACTIVE LIVING AS ONE OF THE TWO SIGNIFICANT NEEDS FOR ITS 2019 CHNA IS DUE TO THE HOSPITAL RESOURCES AND STAFFING AVAILABLE TO ASSIST WITH THIS ISSUE FOR WOODFORD COUNTY AS WELL AS THE TRI-COUNTY REGION. THE HOSPITAL'S CHNA TEAM FELT THAT AS A CRITICAL ACCESS HOSPITAL, IT COULD MAKE SIGNIFICANTLY MORE CONTRIBUTIONS TOWARD IMPROVING HEALTHY EATING/ACTIVE LIVING IN THE COUNTY THAN WITH SUBSTANCE USE OR CANCER. THE GOAL ESTABLISHED BY THE PFHC HEALTHY EATING/ACTIVE LIVING (HEAL) PRIORITY ACTION TEAM IS TO FOSTER AND PROMOTE HEALTHY EATING AND ACTIVE LIVING TO REDUCE CHRONIC DISEASE AND FOOD INSECURITY IN THE TRI-COUNTY AREA.HIGHLIGHTS FOR STEPS THAT WILL BE TAKEN AS A PART OF THE 2020-2022 ADVOCATE EUREKA CHNA IMPLEMENTATION STRATEGY TO ADDRESS HEALTHY EATING/ACTIVE LIVING ARE LISTED BELOW: OFFER SEMI-ANNUAL COOKING CLASSES AT ADVOCATE EUREKA PARTICIPATE IN AND PROMOTE COLLABORATIVE TRI-COUNTY COMMUNITY EXERCISE INCENTIVE PROGRAMS, SUCH AS THE TRI-COUNTY TREK EXPLORE PLANTING A COMMUNITY GARDEN AT ADVOCATE EUREKA EXPLORE COORDINATING HEALTHY FOOD DRIVES AT ADVOCATE EUREKA FOR DISTRIBUTION AT LOCAL FOOD BANKS SUPPORT THE TRI-COUNTY ENDING THE HUNGER INITIATIVEIN ADDITION TO THE ABOVE INTERVENTIONS OR STEPS, ADVOCATE EUREKA WILL HAVE A MINIMUM OF ONE STAFF MEMBER SERVE ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY HEALTHY EATING/ACTIVE LIVING PRIORITY ACTION TEAM FOR THE 2020-2022 IMPLEMENTATION PERIOD. THE HOSPITAL'S COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY BOARD WHICH OVERSEES THE PRIORITY ACTION TEAMS. THE HOSPITAL EMPLOYS NURSES IN MOST OF THE PUBLIC SCHOOLS IN WOODFORD COUNTY WHO CAN REINFORCE HEALTHIER EATING HABITS AND INCREASED EXERCISE AMONG STUDENTS AS WELL.HEALTH NEEDS NOT SELECTED CANCER. THE HOSPITAL CHNA TEAM DID NOT SELECT CANCER AS A SIGNIFICANT HEALTH NEED AND ELECTED TO FOCUS ON JUST TWO SIGNIFICANT HEALTH NEEDS INSTEAD, GIVEN ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE PFCH CANCER PRIORITY ACTION TEAM FOR THE TRI-COUNTY REGION. A MEMBER OF THE ADVOCATE EUREKA MANAGEMENT TEAM IS SERVING ON THIS TEAM AND HAS ASSISTED IN THE MAMMOGRAPHY SCREENING DATA INITIATIVE.
SCHEDULE H, PART V, LINE 11 - ADVOCATE EUREKA HOSPITALSUBSTANCE ABUSE. THE HOSPITAL CHNA TEAM ALSO DID NOT SELECT SUBSTANCE USE AS A SIGNIFICANT HEALTH NEED AS IT WANTED TO FOCUS THE HOSPITAL'S EFFORTS ON ONLY TWO SIGNIFICANT HEALTH NEEDS GIVEN ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE PFCH BEHAVIORAL HEALTH PRIORITY ACTION TEAM FOR THE TRI-COUNTY REGION, WHICH INCLUDES SUBSTANCE USE AS WELL AS MENTAL HEALTH.
FieldValueIRS element (for citing)
Facility396FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (396 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - ABMC LANDMARK DR LOCATION - FULL BUILDI
207 LANDMARKNORMALIL61761OFFICE - OTHER
2 - ACC 95TH ST
2210 W 95TH STCHICAGOIL60643PATIENT CARE - OUT PATIENT
3 - ACL LAB SERVICE CENTER
3048 N WILTON LABCHICAGOIL60657PATIENT CARE - OUT PATIENT
4 - ACL LAB SERVICE CENTER
1775 BALLARD RD LLPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
5 - ACL LAB SERVICE CENTER - PARKSIDE CTR
1875 DEMPSTER ST STE 504PARK RIDGEIL60068PATIENT CARE - OUT PATIENT
6 - ACMG OAK LAWN 95 ST 210
4220 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
7 - ADULT DOWN SYNDROME CLINIC
1610 LUTHER LNPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
8 - ADVANCED MRI (AMRI)
2204 EASTLAND DR STE 200BLOOMINGTONIL61701PATIENT CARE - OUT PATIENT
9 - ADVOCATE ADULT & PEDIATRIC REHABILITATIO
5150 NORTHWEST HWYCRYSTAL LAKEIL60014PATIENT CARE - OUT PATIENT
10 - ADVOCATE CHRIST MEDICAL CENTER - OUTPATI
1206 E 9TH ST STES 110 170 250LOCKPORTIL60441PATIENT CARE - OUT PATIENT
11 - ADVOCATE GOOD SAMARITAN HOSPITAL OUT PAT
6840 MAIN ST 1ST FL STE 202DOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
12 - ADVOCATE GOOD SHEPHERD HEALTH & FITNESS
1301 S BARRINGTON RDBARRINGTONIL60005PATIENT CARE - OUT PATIENT
13 - ADVOCATE HEALTH & HOSPITALS CORPORATION
114 SKOKIE BLVDWILMETTEIL60091PATIENT CARE - OUT PATIENT
14 - ADVOCATE MEDICAL GROUP - DES PLAINES
701 LEE ST STES LL 100 110 300DES PLAINESIL60016PATIENT CARE - OUT PATIENT
15 - ADVOCATE MEDICAL GROUP - GLENVIEW
1255 MILWAUKEE RDGLENVIEWIL60025PATIENT CARE - OUT PATIENT
16 - ADVOCATE MEDICAL GROUP - HEART AND VASCU
3118 N ASHLAND AVECHICAGOIL60657PATIENT CARE - OUT PATIENT
17 - ADVOCATE MEDICAL GROUP - HEART AND VASCU
5151 W 95TH ST 2ND FLOAK LAWNIL60453PATIENT CARE - OUT PATIENT
18 - ADVOCATE MEDICAL GROUP - HYDE PARK
1301 E 47TH ST UNIT 2CHICAGOIL60615PATIENT CARE - OUT PATIENT
19 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR
1206 E 9TH ST STE 210LOCKPORTIL60441PATIENT CARE - OUT PATIENT
20 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR
1206 E 9TH ST STE 100LOCKPORTIL60441PATIENT CARE - OUT PATIENT
21 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR
1206 E 9TH ST STE 250LOCKPORTIL60441PATIENT CARE - OUT PATIENT
22 - ADVOCATE MEDICAL GROUP - MUNDELEIN INTER
550 N LAKE STMUNDELEINIL60060PATIENT CARE - OUT PATIENT
23 - ADVOCATE MEDICAL GROUP - OAK LAWN
4712 W 103RD STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
24 - ADVOCATE MEDICAL GROUP - PARKSIDE CENTER
1875 W DEMPSTER ST STE 525 110 66PARK RIDGEIL60068PATIENT CARE - OUT PATIENT
25 - ADVOCATE MEDICAL GROUP - POSEN
2590 W WALTER ZIMNY DRPOSENIL60469PATIENT CARE - OUT PATIENT
26 - ADVOCATE MEDICAL GROUP - RICHTON PARK
4511 SAUK TRAILRICHTON PARKIL60471PATIENT CARE - OUT PATIENT
27 - ADVOCATE MEDICAL GROUP - SOUTHEAST LOCAT
2301 E 93RD ST STE 213CHICAGOIL60617PATIENT CARE - OUT PATIENT
28 - ADVOCATE MEDICAL GROUP - WAUCONDA
224 BROWN STWAUCONDAIL60522PATIENT CARE - OUT PATIENT
29 - ADVOCATE MEDICAL GROUP- METRODOCS
431 LAKEVIEW CTMOUNT PROSPECTIL60056PATIENT CARE - OUT PATIENT
30 - ADVOCATE PHARMACY
15-17 W COLLEGE DRARLINGTON HEIGHTSIL60005PHARMACY
31 - ADVOCATE PTOT (CHRIST)
12340-50 S HARLEM AVEPALOS HEIGHTSIL60463PATIENT CARE - OUT PATIENT
32 - AHHC - FAMILY CARE NETWORK
440 QUADRANGLE DR STE KBOLINGBROOKIL60440PATIENT CARE - OUT PATIENT
33 - ALGONQUIN COUNTY LINE RD
2284 COUNTYLINE RDALGONQUINIL60201PATIENT CARE - OUT PATIENT
34 - ALGONQUIN MERCHANT DR
1486 MERCHANT DRALGONQUINIL60102PATIENT CARE - OUT PATIENT
35 - ALGONQUIN RANDALL RD
600 S RANDALL RDALGONQUINIL60102PATIENT CARE - OUT PATIENT
36 - ALGONQUIN RYAN PARKWAY
1345 RYAN PKWYALGONQUINIL60102PATIENT CARE - OUT PATIENT
37 - AMBULATORY BUILDING
4440 W 95TH STOAK LAWNIL60453PATIENT CARE - IN PATIENT
38 - AMG
151 E DUNDEE AVE STE CEAST DUNDEEIL60118PATIENT CARE - OUT PATIENT
39 - AMG
7900 N MILWAUKEE AVE STE 2-34NILESIL60714PATIENT CARE - OUT PATIENT
40 - AMG
7900 N MILWAUKEE AVE STE 16NILESIL60714PATIENT CARE - OUT PATIENT
41 - AMG
890 GARFIELD AVE STE 200LIBERTYVILLEIL60098PATIENT CARE - OUT PATIENT
42 - AMG
7432 HANCOCK DRWONDER LAKEIL60098PATIENT CARE - OUT PATIENT
43 - AMG
214 WASHINGTON STINGLESIDEIL60098PATIENT CARE - OUT PATIENT
44 - AMG
1050 NORWOOD LNBARTLETTIL60103PATIENT CARE - OUT PATIENT
45 - AMG
4400 W 95TH ST STE 106OAK LAWNIL60453PATIENT CARE - OUT PATIENT
46 - AMG
1273 MILWAUKEE AVECHICAGOIL60622PATIENT CARE - OUT PATIENT
47 - AMG
2622 W 83RD STDARIENIL60561PATIENT CARE - OUT PATIENT
48 - AMG
100 SPALDING AVENAPERVILLEIL60540PATIENT CARE - OUT PATIENT
49 - AMG
214 WASHINGTON STINGLESIDEIL60041PATIENT CARE - OUT PATIENT
50 - AMG
7432 HANCOCK DRWONDER LAKEIL60097PATIENT CARE - OUT PATIENT
51 - AMG - LIBERTYVILLE AMBULATORY BUILDING
825 S MILWAUKEE AVELIBERTYVILLEIL60048PATIENT CARE - OUT PATIENT
52 - AMG ALPINE FAMILY MEDICINE
350 SURRYSE RD STE 100LAKE ZURICHIL60047PATIENT CARE - OUT PATIENT
53 - AMG BARTLETT
1054 NORWOOD LNBARTLETTIL60103PATIENT CARE - OUT PATIENT
54 - AMG DOWNERS GROVE
1341 WARREN AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
55 - AMG DUNDEE
979 W MAIN STDUNDEEIL60118PATIENT CARE - OUT PATIENT
56 - AMG EAST DUNDEE
151 E DUNDEE AVEEAST DUNDEEIL60118PATIENT CARE - OUT PATIENT
57 - AMG ELGIN 1710 RANDALL RD
1710 RANDALL RD STES 200 250 380ELGINIL60123PATIENT CARE - OUT PATIENT
58 - AMG ELGIN 750 FLETCHER DR
750 FLETCHER DR STE 206ELGINIL60123PATIENT CARE - OUT PATIENT
59 - AMG GLENBROOK
2551 COMPASS DRGLENVIEWIL60026PATIENT CARE - OUT PATIENT
60 - AMG HAMPSHIRE
1000 S STATE STHAMPSHIREIL60140PATIENT CARE - OUT PATIENT
61 - AMG HOMETOWN
4140 SOUTHWEST HWYHOMETOWNIL60456PATIENT CARE - OUT PATIENT
62 - AMG HUNTLEY
12151-12199 REGENCY CENTERHUNTLEYIL60142PATIENT CARE - OUT PATIENT
63 - AMG ICC MONTROSE
918 W MONTROSECHICAGOIL60613PATIENT CARE - OUT PATIENT
64 - AMG ISLAND LAKE
27979 CONVERSE RDISLAND LAKEIL60042PATIENT CARE - OUT PATIENT
65 - AMG LEMONT
6319 S FAIRVIEWWESTMONTIL60559PATIENT CARE - OUT PATIENT
66 - AMG LEMONT
15900 W 127TH STLEMONTIL60439PATIENT CARE - OUT PATIENT
67 - AMG LEROY
911 S CHESTNUTLE ROYIL61752PATIENT CARE - OUT PATIENT
68 - AMG LEXINGTON
307 W MAINLEXINGTONIL61753PATIENT CARE - OUT PATIENT
69 - AMG LIBERTYVILLE 801 S MILWAUKEE
801 S MILWAUKEE RDLIBERTYVILLEIL60048PATIENT CARE - OUT PATIENT
70 - AMG LIBERTYVILLE WINCHESTER
1870 WINCHESTER RD STE 143LIBERTYVILLEIL60048PATIENT CARE - OUT PATIENT
71 - AMG LINCOLNSHIRE
100 VILLAGE GREEN DR STE 120LINCOLNSHIREIL60069PATIENT CARE - OUT PATIENT
72 - AMG LINCOLNSHIRE
100 VILLAGE GREEN DR STE 210LINCOLNSHIREIL60069PATIENT CARE - OUT PATIENT
73 - AMG LINCOLNWOOD
6540 N LINCOLN AVELINCOLNWOODIL60712PATIENT CARE - OUT PATIENT
74 - AMG LOMBARD
454 W ROOSEVELT RDLOMBARDIL60148PATIENT CARE - OUT PATIENT
75 - AMG LOMBARD AND AMG LEMONT 15900 W 127TH
500 EAST 22ND ST STE ALOMBARDIL60148PATIENT CARE - OUT PATIENT
76 - AMG MCHENRY 5403 BULL VALLEY ROAD
5403 BULL VALLEY RDMCHENRYIL60050PATIENT CARE - OUT PATIENT
77 - AMG MERRIONETTE PARK
11600 S KEDZIEMERRIONETTE PARKIL60803PATIENT CARE - OUT PATIENT
78 - AMG MUNDELEIN 560 N MIDLOTHIAN
560 N MIDLOTHIAN STE 400MUNDELEINIL60060PATIENT CARE - OUT PATIENT
79 - AMG OAK LAWN 4400 W 95TH STE 101
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
80 - AMG OAK LAWN 4400 W 95TH STE 102
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
81 - AMG OAK LAWN 4400 W 95TH STE 108
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
82 - AMG OAK LAWN 4400 W 95TH STE 109 111
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
83 - AMG OAK LAWN 4400 W 95TH STE 207
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
84 - AMG OAK LAWN 4400 W 95TH STE 301
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
85 - AMG OAK LAWN 4400 W 95TH STE 403
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
86 - AMG OAK LAWN 4400 W 95TH STE 404
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
87 - AMG OAK LAWN 4400 W 95TH STE 407
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
88 - AMG OAK LAWN 4400 W 95TH STE 408
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
89 - AMG OAK LAWN 4400 W 95TH STE 413
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
90 - AMG OAK LAWN 4700 W 95TH STE 308
4400 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
91 - AMG OAK LAWN 95 ST 200
4220 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
92 - AMG ORLAND PARK 165TH
10745 W 165TH STORLAND PARKIL60467PATIENT CARE - OUT PATIENT
93 - AMG ORLAND PARK CLINIC & ORLAND PARK SUR
9550 W 167TH STORLAND PARKIL60467PATIENT CARE - OUT PATIENT
94 - AMG ORLAND PARK RAVINIA
14741 RAVINIA DRORLAND PARKIL60467PATIENT CARE - OUT PATIENT
95 - AMG PALOS HEIGHTS HARLEM AVE
12332 S HARLEM AVEPALOS HEIGHTSIL60463PATIENT CARE - OUT PATIENT
96 - AMG PALOS HEIGHTS HARLEM AVE
12400 S HARLEM AVEPALOS HEIGHTSIL60463PATIENT CARE - OUT PATIENT
97 - AMG PALOS HEIGHTS SW HWY
11800 SOUTHWEST HWYPALOS HEIGHTSIL60463PATIENT CARE - OUT PATIENT
98 - AMG PALOS HILLS
7620 W 111TH STPALOS HILLSIL60465PATIENT CARE - OUT PATIENT
99 - AMG PARK RIDGE BUSSE HIGHWAY
850 BUSSE HWYPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
100 - AMG PRIMARY CARE SPECIALISTS
150 N RIVER RDDES PLAINESIL60016PATIENT CARE - OUT PATIENT
101 - AMG PULASKI
10627 S PULASKICHICAGOIL60655PATIENT CARE - OUT PATIENT
102 - AMG RIVERSIDE
7234 W OGDEN AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
103 - AMG SWEDISH COVENANT
5140 N CALIFORNIA AVE STE 505CHICAGOIL60625PATIENT CARE - OUT PATIENT
104 - AMG SYKES OUTPATIENT CENTER
2535 S MARTIN LUTHER KING DRCHICAGOIL60616PATIENT CARE - OUT PATIENT
105 - AMG WINFIELD
25 N WINFIELDWINFIELDIL60527PATIENT CARE - OUT PATIENT
106 - AMG WOODSTOCK 3703 DOTY ROAD
3703 DOTY RD BLDG1 STE 4WOODSTOCKIL60098PATIENT CARE - OUT PATIENT
107 - AMG-CHICAGO-900 W NELSON
900 W NELSON 1ST FLCHICAGOIL60657PATIENT CARE - OUT PATIENT
108 - AMUNDSEN SCHOOL BASED HEALTH CENTER
5110 N DAMEN AVE RM 307CHICAGOIL60625PATIENT CARE - OUT PATIENT
109 - AURORA CARDIOLOGY
4100 HEALTHWAY DRAURORAIL60504PATIENT CARE - OUT PATIENT
110 - AURORA PEDS SPECIALISTS
2020 OGDEN AVEAURORAIL60504PATIENT CARE - OUT PATIENT
111 - BARRINGTON GARLANDS
6000 GARLANDS LNBARRINGTONIL60010PATIENT CARE - OUT PATIENT
112 - BARRINGTON GSHP OCC HLTH
27790 W HWY 22 STE 19BARRINGTONIL60010PATIENT CARE - OUT PATIENT
113 - BARRINGTON GSHP OCC HLTH
27790 W HWY 22 STE 20BARRINGTONIL60010PATIENT CARE - OUT PATIENT
114 - BARRINGTON GSHP SLEEP
27790 W HWY 22 STE 20BARRINGTONIL60010PATIENT CARE - OUT PATIENT
115 - BARRINGTON PEPPER RD
22285 PEPPER RDBARRINGTONIL60010PATIENT CARE - OUT PATIENT
116 - BEVERLY HEALTH FACILITY - WALK-IN CARE
9831 S WESTERN AVECHICAGOIL60643PATIENT CARE - OUT PATIENT
117 - BLOOMINGTON 1401 EASTLAND DR
1401 EASTLAND DRBLOOMINGTONIL61701PATIENT CARE - OUT PATIENT
118 - BLOOMINGTON 2204 EASTLAND DR
2204 EASTLAND DRBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
119 - BLOOMINGTON 2406 E EMPIRE
2406 E EMPIREBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
120 - BLOOMINGTON 3024 E EMPIRE IMMCARE
3024 E EMPIREBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
121 - BLOOMINGTON 3024 E EMPIRE OCCHLTH
3024 E EMPIREBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
122 - BLOOMINGTON 3024 E EMPIRE SURGERY
3024 E EMPIREBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
123 - BLOOMINGTON 3024 E EMPIRE 3A
3024 E EMPIREBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
124 - BLOOMINGTON 3024 E EMPIRE 3D
3024 E EMPIREBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
125 - BLOOMINGTON 3024 E EMPIRE 3E-3F
3024 E EMPIREBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
126 - BLOOMINGTON HERSHEY
303 N HERSHEYBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
127 - BOLINGBROOK QUADRANGLE BUILDING C
391 QUADRANGLE DR N-4BOLINGBROOKIL60440PATIENT CARE - OUT PATIENT
128 - BOLINGBROOK WEBER DR
130 WEBER DRBOLINGBROOKIL60440PATIENT CARE - OUT PATIENT
129 - BREAST HEALTH CENTER
4545 W 103RD STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
130 - BRIARWOOD BUILDING
2272 COUNTYLINE RD STES 100 200 300ALGONQUINIL60102PATIENT CARE - OUT PATIENT
131 - BROMENN
1609 NORTHTOWN RD UNIT 8NORMALIL61761PATIENT CARE - OUT PATIENT
132 - BROMENN
1111 TRINITY LN UNIT EBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
133 - BROMENN OUTPATIENT CENTER
3024 E EMPIRE STBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
134 - BURBANK
4901 W 79TH STBURBANKIL60459PATIENT CARE - OUT PATIENT
135 - BURBANK HEALTH FACILITY
4901 W 79TH STBURBANKIL60459PATIENT CARE - OUT PATIENT
136 - CARDIAC RISK
8820 DEMPSTER STPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
137 - CENTER FOR ADVANCED CARDIOLOGY
1875 DEMPSTER STES 580 585 590 595PARK RIDGEIL60068PATIENT CARE - OUT PATIENT
138 - CENTER FOR ADVANCED CARE - (OLD W PAVIL
1700 LUTHER LNPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
139 - CHICAGO (MEDICINE & SURGERY) AMG (WAS MP
11250 S WESTERNCHICAGOIL60643PATIENT CARE - OUT PATIENT
140 - CHICAGO 3040 N WILTON 2ND FL
3040 N WILTONCHICAGOIL60657PATIENT CARE - OUT PATIENT
141 - CHICAGO 3048 N WILTON 1ST FL
3040 N WILTONCHICAGOIL60657PATIENT CARE - OUT PATIENT
142 - CHICAGO 3048 N WILTON 3RD FL OB MIDWIFE
3040 N WILTONCHICAGOIL60657PATIENT CARE - OUT PATIENT
143 - CHICAGO 3048 N WILTON 3RD FL RESIDENCY
3040 N WILTONCHICAGOIL60657PATIENT CARE - OUT PATIENT
144 - CHICAGO 9831 S WESTERN
9831 S WESTERN AVECHICAGOIL60643PATIENT CARE - OUT PATIENT
145 - CHICAGO CRETICOS CANCER CENTER
901 WELLINGTON AVECHICAGOIL60657PATIENT CARE - OUT PATIENT
146 - CHICAGO DOTY (PULLMAN)
10834 S DOTY AVECHICAGOIL60628PATIENT CARE - OUT PATIENT
147 - CHICAGO E 118TH ST
3550 E 118TH STCHICAGOIL60625PATIENT CARE - OUT PATIENT
148 - CHICAGO E 93RD STE 117-213
2301 E 93RD STCHICAGOIL60617PATIENT CARE - OUT PATIENT
149 - CHICAGO E 93RD STE 222
2315 E 93RD STCHICAGOIL60617PATIENT CARE - OUT PATIENT
150 - CHICAGO E 93RD STE 322
2301 E 93RD STCHICAGOIL60617PATIENT CARE - OUT PATIENT
151 - CHICAGO E 93RD STE 440
2301 E 93RD STCHICAGOIL60617PATIENT CARE - OUT PATIENT
152 - CHICAGO EVERGREEN
1357 W 103RD STCHICAGOIL60643PATIENT CARE - OUT PATIENT
153 - CHICAGO GREENWOOD
1111 E 87TH ST STE 900ACHICAGOIL60619PATIENT CARE - OUT PATIENT
154 - CHICAGO GREENWOOD SLEEP
1111 E 87TH ST STE 500CHICAGOIL60619PATIENT CARE - OUT PATIENT
155 - CHICAGO HALSTEDBLACKHAWK
1460 N HALSTED AVECHICAGOIL60622PATIENT CARE - OUT PATIENT
156 - CHICAGO IRV & WESTERN
4025 N WESTERN AVECHICAGOIL60634PATIENT CARE - OUT PATIENT
157 - CHICAGO MARINE DR
4646 N MARINE DRCHICAGOIL60640PATIENT CARE - OUT PATIENT
158 - CHICAGO N BROADWAY
5304 N BROADWAY AVECHICAGOIL60640PATIENT CARE - OUT PATIENT
159 - CHICAGO N CENTRAL AVE
3942 N CENTRAL AVECHICAGOIL60617PATIENT CARE - OUT PATIENT
160 - CHICAGO N CICERO
4211 N CICEROCHICAGOIL60641PATIENT CARE - OUT PATIENT
161 - CHICAGO N KEDZIE
AMG CHICAGO LOGAN SQUARECHICAGOIL60647PATIENT CARE - OUT PATIENT
162 - CHICAGO NORTH AVE
6434 W NORTH AVECHICAGOIL60302PATIENT CARE - OUT PATIENT
163 - CHICAGO SYKES
AMG SYKESCHICAGOIL60616PATIENT CARE - OUT PATIENT
164 - CHICAGO W BRYN MAWR STE 350
8550 W BRYN MAWRCHICAGOIL60631PATIENT CARE - OUT PATIENT
165 - CHICAGO W BRYN MAWR STE 650
8550 W BRYN MAWRCHICAGOIL60631PATIENT CARE - OUT PATIENT
166 - CHICAGO W BRYN MAWR STE 700
8550 W BRYN MAWRCHICAGOIL60631PATIENT CARE - OUT PATIENT
167 - CHICAGO W BRYN MAWR STE 800
8550 W BRYN MAWRCHICAGOIL60631PATIENT CARE - OUT PATIENT
168 - CHICAGO W FOSTER
AMG CHICAGO FOSTERCHICAGOIL60610PATIENT CARE - OUT PATIENT
169 - CHICAGO WELLINGTON DENTISTRY
811 WELLINGTON AVECHICAGOIL60657PATIENT CARE - OUT PATIENT
170 - CHRIST POB
4400 W 95TH ST STES 101 102 107 1OAK LAWNIL60453PATIENT CARE - OUT PATIENT
171 - CHRIST WOMEN'S HEALTH CENTER
18210 S LAGRANGE RD STE 200TINLEY PARKIL60477PATIENT CARE - OUT PATIENT
172 - COMMUNITY CANCER CENTER (CYBERKNIFE)
407 E VERNONNORMALIL61761PATIENT CARE - OUT PATIENT
173 - CROSSROADS MEDICAL
128 W MAIN STLEXINGTONIL61753PATIENT CARE - OUT PATIENT
174 - CROSSROADS MEDICAL
385 S ORANGE STEL PASOIL61738PATIENT CARE - OUT PATIENT
175 - CROSSROADS MEDICAL
307 W MAIN STLEXINGTONIL61753PATIENT CARE - OUT PATIENT
176 - CRYSTAL LAKE CONGRESS PARKWAY
525 CONGRESS PKWYCRYSTAL LAKEIL60014PATIENT CARE - OUT PATIENT
177 - CRYSTAL LAKE MEMORIAL COURT
284 MEMORIAL CTCRYSTAL LAKEIL60014PATIENT CARE - OUT PATIENT
178 - DES PLAINES ACMG
8901 GOLF RDDES PLAINESIL60016PATIENT CARE - OUT PATIENT
179 - DES PLAINES LEE ST STE 003
701 LEE STDES PLAINESIL60016PATIENT CARE - OUT PATIENT
180 - DES PLAINES LEE ST STE 100 ILL HEALTH P
701 LEE STDES PLAINESIL60016PATIENT CARE - OUT PATIENT
181 - DES PLAINES LEE ST STE 800
701 LEE STDES PLAINESIL60016PATIENT CARE - OUT PATIENT
182 - DES PLAINES RAND RD
77 RAND RDDES PLAINESIL60016PATIENT CARE - OUT PATIENT
183 - DEVELOPMENT CENTER
4546 W 95TH STOAK LAWNIL60453PATIENT CARE - OUT PATIENT
184 - DOCTORS OF THE NORTH SHORE
6131 W DEMPSTER STMORTON GROVEIL60053PATIENT CARE - OUT PATIENT
185 - DOCTORS OFFICE
3040 N WILTONCHICAGOIL60657PATIENT CARE - OUT PATIENT
186 - DOWNERS GROVE 4900 MAIN ST 1ST FL
4900 MAIN STDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
187 - DOWNERS GROVE 4900 MAIN ST BSMNT
4900 MAIN STDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
188 - DOWNERS GROVE CENTER
3551 HIGHLAND AVE STE 200DOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
189 - DOWNERS GROVE GSAM SLEEP
3815 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
190 - DOWNERS GROVE GSAM STE 103
3825 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
191 - DOWNERS GROVE GSAM STE 107
3825 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
192 - DOWNERS GROVE GSAM STE 200
3551 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
193 - DOWNERS GROVE GSAM STE 306
3825 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
194 - DOWNERS GROVE GSAM STE 400
3825 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
195 - DOWNERS GROVE GSAM STE 4H4K
3825 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
196 - DOWNERS GROVE GSAM STE 5B
3825 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
197 - DOWNERS GROVE INTERNISTS
3825 HIGHLAND AVE STE 5BDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
198 - DOWNERS GROVE S MAIN STE 101
6840 S MAIN STDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
199 - DOWNERS GROVE S MAIN STE 202
6840 S MAIN STDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
200 - DOWNERS GROVE S MAIN STE 2ND FL
6840 S MAIN STDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
201 - EAST PAVILION (OLD SCIENCE BUILDING)
1775 WESTERN AVEPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
202 - EL PASO
385 S ORANGEEL PASOIL61738PATIENT CARE - OUT PATIENT
203 - ELDORADO
306 ELDORADOBLOOMINGTONIL61704SUPPORT
204 - ELGIN FLETCHER STE 101
745 FLETCHER RDELGINIL60123PATIENT CARE - OUT PATIENT
205 - ELGIN FLETCHER STE 302
745 FLETCHER RDELGINIL60123PATIENT CARE - OUT PATIENT
206 - ELGIN RANDALL STE 107
1710 RANDALL RD STE 107ELGINIL60123PATIENT CARE - OUT PATIENT
207 - ELGIN RANDALL STE 201 (EFFECTIVE 41
1710 RANDALL RD STE 201ELGINIL60123PATIENT CARE - OUT PATIENT
208 - ELGIN RANDALL STE 340
1710 RANDALL RDELGINIL60123PATIENT CARE - OUT PATIENT
209 - ELK GROVE CENTER
1502 ELMHURST RDELK GROVE VILLAGEIL60007PATIENT CARE - OUT PATIENT
210 - EUREKA
105 S MAJOREUREKAIL61530PATIENT CARE - OUT PATIENT
211 - EVERGREEN HEALTH FACILITY I - NAME CHANG
1357 W 103RD ST STES 100 200CHICAGOIL60643PATIENT CARE - OUT PATIENT
212 - EVERGREEN PARK S WESTERN AVE PARKING LOT
9730 S WESTERN AVEEVERGREEN PARKIL60805PATIENT CARE - OUT PATIENT
213 - EVERGREEN PARK S WESTERN AVE STE 500
9730 S WESTERN AVEEVERGREEN PARKIL60805PATIENT CARE - OUT PATIENT
214 - EVERGREEN PARK S WESTERN AVE STE 733
9730 S WESTERN AVEEVERGREEN PARKIL60805PATIENT CARE - OUT PATIENT
215 - EVERGREEN PLAZA - UM
9730 S WESTERN AVE STE 733EVERGREEN PARKIL60805PATIENT CARE - OUT PATIENT
216 - EVERGREENEVERGREEN PEDS - NAME CHANGED
9730 S WESTERN AVE STE 500EVERGREEN PARKIL60805PATIENT CARE - OUT PATIENT
217 - FAIRBURY
115 E WALNUTFAIRBURYIL61739PATIENT CARE - OUT PATIENT
218 - FAIRBURY MEDICAL ASSOCIATES
115 E WALNUTFAIRBURYIL61739PATIENT CARE - OUT PATIENT
219 - FAMILY PRACTICE
4140 W SOUTHWEST HWYHOMETOWNIL60456PATIENT CARE - OUT PATIENT
220 - FAMILY PRACTICE - ARLINGTON HEIGHTS
825 E GOLF RDARLINGTON HEIGHTSIL60005PATIENT CARE - OUT PATIENT
221 - FAMILY PRACTICE AT RAVENSWOOD
4600 N RAVENSWOOD AVECHICAGOIL60640PATIENT CARE - OUT PATIENT
222 - FOX RIVER GROVE
912 NORTHWEST HWYFOX RIVER GROVEIL60010PATIENT CARE - OUT PATIENT
223 - FRANKFORT AHC
328 N LAGRANGE RDFRANKFORTIL60423PATIENT CARE - OUT PATIENT
224 - FRANKFORT GRACELAND
20325 S GRACELANDFRANKFORTIL60423PATIENT CARE - OUT PATIENT
225 - FRANKFORT LAGRANGE
21160 S LAGRANGE AVEFRANKFORTIL60423PATIENT CARE - OUT PATIENT
226 - FRANKFORT MEDICAL OFFICE
20325 S GRACELAND LNFRANKFORTIL60423PATIENT CARE - OUT PATIENT
227 - FRANKLIN AVE BUILDING
900 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
228 - GARTNER DENTISTRY BUILDING
811 W WELLINGTON AVECHICAGOIL60657PATIENT CARE - OUT PATIENT
229 - GLENVIEW MILWAUKEE
1255 MILWAUKEEGLENVIEWIL60025PATIENT CARE - OUT PATIENT
230 - GLENVIEW WAUKEGAN
1412 WAUKEGAN RDGLENVIEWIL60025PATIENT CARE - OUT PATIENT
231 - GOOD SAMARITAN HOSPITAL CANCER CARE CENT
3745 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - IN PATIENT
232 - GOOD SAMARITAN POB TOWER 1
3825 HIGHLAND AVE STES 2J 4H 4K GRDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
233 - GOOD SAMARITAN POB TOWER 2
3825 HIGHLAND AVE STES 103 107 110DOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
234 - GOOD SAMARITAN WELLNESS CENTER
3551 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
235 - GOOD SHEPHERD OUTPATIENT CENTER & IMAGIN
525 CONGRESS PKWY 1ST FL 225CRYSTAL LAKEIL60014PATIENT CARE - OUT PATIENT
236 - GOOD SHEPHERD POB BUILDING 1
27790 W HWY 22 STE 2 5 13 14 16BARRINGTONIL60010PATIENT CARE - OUT PATIENT
237 - GOOD SHEPHERD POB BUILDING 2
27750 W HWY 22 STES G50 G60 140 2BARRINGTONIL60010PATIENT CARE - OUT PATIENT
238 - GRAND OAKS HEALTH CENTER HOLLISTER GROV
1800 HOLLISTER DR STE G2LIBERTYVILLEIL60048PATIENT CARE - OUT PATIENT
239 - GREAT LAKES REIT (GLR) INTERNAL MEDICINE
27790 W HWY 22 BLDG 1 STE 16BARRINGTONIL60010PATIENT CARE - OUT PATIENT
240 - GURNEE HUNT CLUB RD IMM CARE
1445 HUNT CLUB RDGURNEEIL60031PATIENT CARE - OUT PATIENT
241 - GURNEE HUNT CLUB RD SLEEP
1445 HUNT CLUB RDGURNEEIL60031PATIENT CARE - OUT PATIENT
242 - GURNEE HUNT CLUB RD STE 301
1425 HUNT CLUB RDGURNEEIL60031PATIENT CARE - OUT PATIENT
243 - GURNEE HUNT CLUB RD STE 304
1445 HUNT CLUB RDGURNEEIL60031PATIENT CARE - OUT PATIENT
244 - HALSTED & BLACKHAWK HEALTH FACILITY
1460 N HALSTED AVECHICAGOIL60614PATIENT CARE - OUT PATIENT
245 - HAZEL CREST W 177TH ST
3330 W 177TH STHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
246 - HAZEL CREST CENTER
17850 S KEDZIE AVE STE 1100HAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
247 - HAZEL CREST S KEDZIE (SANE)
17680 S KEDZIEHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
248 - HAZEL CREST S KEDZIE (SHAH)
17680 S KEDZIEHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
249 - HAZEL CREST SSUB EMP HLTH
17850 S KEDZIEHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
250 - HAZEL CREST SSUB STE 2100
17850 S KEDZIEHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
251 - HAZEL CREST SSUB STE 2300
17850 S KEDZIEHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
252 - HAZEL CREST SSUB STE 3100 3500
17850 S KEDZIEHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
253 - HEALTHPOINT
1437 E COLLEGE AVENORMALIL61761PATIENT CARE - OUT PATIENT
254 - HIGH TECH OFFICES - HOSPITAL
11800 SOUTHWEST HWYPALOS HEIGHTSIL60463PATIENT CARE - OUT PATIENT
255 - HOME HEALTHHOSPICECOMMUNITY HEALTH
407 E VERNONNORMALIL61761PATIENT CARE - OUT PATIENT
256 - ILLINOIS HEART & LUNG - BILLING OFFICE
1300 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
257 - ILLINOIS HEART & LUNG - PONTIAC OFFICE
1508 W REYNOLDS STE APONTIACIL61764PATIENT CARE - OUT PATIENT
258 - ILLINOIS HEART & LUNG ASSOCIATES PULMONO
1302 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
259 - ILLINOIS HEART & LUNG CARDIOLOGY ASSOCIA
1302 FRANKLIN AVE MOB 4500NORMALIL61761PATIENT CARE - OUT PATIENT
260 - ILLINOIS MASONIC PHYSICIAN GROUP
4211 N CICERO STE 300CHICAGOIL60641PATIENT CARE - OUT PATIENT
261 - IMAGING CENTER
2284 W COUNTYLINE RDALGONQUINIL60014PATIENT CARE - OUT PATIENT
262 - INTERNAL MEDICINE - BUFFALO GROVE
214 MCHENRY RD STES B19 B20BUFFALO GROVEIL60089PATIENT CARE - OUT PATIENT
263 - IRVING AND WESTERN
4025 N WESTERN AVECHICAGOIL60618PATIENT CARE - OUT PATIENT
264 - IVY PHYSICIANS GROUP
2437 N SOUTHPORT AVE 1ST FLCHICAGOIL60614PATIENT CARE - OUT PATIENT
265 - LAKE ZURICH BREAST IMAGING CENTER PEDIA
350 SURRYSE RD STES 140 150 250LAKE ZURICHIL60047PATIENT CARE - OUT PATIENT
266 - LAKE ZURICH CENTER
350 SURRYSE RDLAKE ZURICHIL60047PATIENT CARE - OUT PATIENT
267 - LAKE ZURICH STE 110
350 SURRYSE RD STE 110LAKE ZURICHIL60047PATIENT CARE - OUT PATIENT
268 - LAKEVIEW SCHOOL BASED HEALTH CENTER
4015 N ASHLAND AVE RM 103CHICAGOIL60657PATIENT CARE - OUT PATIENT
269 - LEMONT WALK IN CLINICRADIOLOGY
15900 W 127TH ST STES 100 131 20LEMONTIL60439PATIENT CARE - OUT PATIENT
270 - LEROY FAMILY MEDICINE
911 S CHESTNUTLEROYIL61752PATIENT CARE - OUT PATIENT
271 - LGOHC-I
7255 CALDWELLNILESIL60714PATIENT CARE - OUT PATIENT
272 - LIBERTYVILLE 755 S MILWAUKEE
755 S MILWAUKEE AVELIBERTYVILLEIL60048PATIENT CARE - OUT PATIENT
273 - LIBERTYVILLE GARFIELD STE 200
890 GARFIELDLIBERTYVILLEIL60048PATIENT CARE - OUT PATIENT
274 - LIBERTYVILLE GARFIELD STE 202
890 GARFIELDLIBERTYVILLEIL60048PATIENT CARE - OUT PATIENT
275 - LIBERTYVILLE OFFICE BUILDING AMG (WAS CO
716 S MILWAUKEE AVELIBERTYVILLEIL60048PATIENT CARE - OUT PATIENT
277 - MCHENRY
633 RIDGEVIEW DRMCHENRYIL60050PATIENT CARE - OUT PATIENT
278 - MEDICAL HILLS INTERNISTS
1401 EASTLAND DRBLOOMINGTONIL61701PATIENT CARE - OUT PATIENT
279 - MEDICAL OFFICE BUILDING
1302 FRANKLINNORMALIL61761PATIENT CARE - OUT PATIENT
280 - MEDICAL OFFICE BUILDING
3000 N HALSTED ST STES 209 209B 30CHICAGOIL60657PATIENT CARE - OUT PATIENT
281 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
10837 S CICERO AVE STES 200 110OAK LAWNIL60453PATIENT CARE - OUT PATIENT
282 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
3611 W 183RD STHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
283 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
14741 RAVINIA DRORLAND PARKIL60467PATIENT CARE - OUT PATIENT
284 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
9830 S RIDGELAND AVECHICAGO RIDGEIL60415PATIENT CARE - OUT PATIENT
285 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
17850 S KEDZIE AVE STE 3250HAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
286 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
2301/2315 E 93RD ST STE 222CHICAGOIL60617PATIENT CARE - OUT PATIENT
287 - MIDAMERICA CARDIOVASCULAR CONSULTANTS S
3800 BURKE DR STE 201OLYMPIA FIELDSIL60449PATIENT CARE - OUT PATIENT
288 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
27750 W HWY 22 STE 240BARRINGTONIL60010PATIENT CARE - OUT PATIENT
289 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
3825 HIGHLAND AVE STE 400DOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
290 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
133 E BRUSH HILL RD STE 202ELMHURSTIL60126PATIENT CARE - OUT PATIENT
291 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
1555 BARRINGTON RD STE 3200HOFFMAN ESTATESIL60194PATIENT CARE - OUT PATIENT
292 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
801 S WASHINGTON 4TH FLNAPERVILLEIL60540PATIENT CARE - OUT PATIENT
293 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
25 N WINFIELD RD STE 301WINFIELDIL60190PATIENT CARE - OUT PATIENT
294 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
2020 OGDEN AVE STE 400AURORAIL60504PATIENT CARE - OUT PATIENT
295 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
4440 W 95TH ST STE 108OAK LAWNIL60453PATIENT CARE - OUT PATIENT
296 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
16151 WEBER RD UNIT 107CREST HILLIL60403PATIENT CARE - OUT PATIENT
297 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
4440 W 95TH ST STE 1100HOAK LAWNIL60453PATIENT CARE - OUT PATIENT
298 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
1206 9TH ST STE 310LOCKPORTIL60441PATIENT CARE - OUT PATIENT
299 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
209 E 86TH PLACE STE DMERRILLVILLEIN46410PATIENT CARE - OUT PATIENT
300 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
1555 BARRINGTON RD STE 3200HOFFMAN ESTATESIL60169PATIENT CARE - OUT PATIENT
301 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
800 MACARTHUR BLVD STE 3MUNSTERIN46321PATIENT CARE - OUT PATIENT
302 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
1020 E OGDEN AVE STE 302NAPERVILLEIL60563PATIENT CARE - OUT PATIENT
303 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
4700 W 95TH ST STE 205OAK LAWNIL60453PATIENT CARE - OUT PATIENT
304 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
5701 STRATHMOOR DR STE 1 3ROCKFORDIL61107PATIENT CARE - OUT PATIENT
305 - MIDWEST CENTER FOR DAY SURGERY
3811 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
306 - NESSET HEALTH CENTER
1775 BALLARD RDPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
307 - NILES CALDWELL
7255 N CALDWELLNILESIL60714PATIENT CARE - OUT PATIENT
308 - NILES MILWAUKEE
7900 MILWAUKEE AVENILESIL60714PATIENT CARE - OUT PATIENT
309 - NORMAL BEHAVIORAL HEALTH
403 W VIRGINIA AVENORMALIL61761PATIENT CARE - OUT PATIENT
310 - NORMAL BILLING OFFICE
1304 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
311 - NORMAL ENDOCRINOLOGY
1302 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
312 - NORMAL ENY SURGICAL ASSOCIATES
207 LANDMARKNORMALIL61761PATIENT CARE - OUT PATIENT
313 - NORMAL GENERAL & COLORECTAL SURGERY
1300 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
314 - NORMAL ILL HEART AND LUNG CARDIOLOGY
1302 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
315 - NORMAL ILL HEART AND LUNG PULMONOLOGY
1302 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
316 - NORMAL NEUROLOGY
1300 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
317 - NORMAL PEDIATRICS
1302 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
318 - NORMAL PRIMARY CARE & IMMEDIATE CARE
1302 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
319 - NORTH PAVILION
3743 HIGHLAND AVEDOWNERS GROVEIL60515PATIENT CARE - OUT PATIENT
320 - NORTH SUBURBAN CLINIC
2575 ALGONQUIN RDALGONQUINIL60102PATIENT CARE - OUT PATIENT
321 - NORTHSIDE-SUBURBAN PEDIATRICS
4801 W PETERSON 506CHICAGOIL60646PATIENT CARE - OUT PATIENT
322 - OAK PARK - NORTH AVE HEALTH FACILITY
6434 W NORTH AVEOAK PARKIL60639PATIENT CARE - OUT PATIENT
323 - OFFICE BUILDING-ADVOCATE PHYSICIAN PARTN
3004 GENERAL ELECTRIC RD STEBLOOMINGTONIL61704PATIENT CARE - OUT PATIENT
324 - OLYMPIA FIELDS AMG (WAS MPG)
4001 VOLLMER RDOLYMPIA FIELDSIL60461PATIENT CARE - OUT PATIENT
325 - OLYMPIA FIELDS CANCER CARE INSTITUTE AMG
3700 W 203RD STOLYMPIA FIELDSIL60461PATIENT CARE - OUT PATIENT
326 - OLYMPIA FIELDS CORPORATE & PHYSICAL THE
20110 GOVERNORS HWYOLYMPIA FIELDSIL60461PATIENT CARE - OUT PATIENT
328 - ORLAND SQUARE ORLAND DR
29 ORLAND PARK DRORLAND PARKIL60467PATIENT CARE - OUT PATIENT
329 - PALOS
7620 W 111TH STPALOS HILLSIL60465PATIENT CARE - OUT PATIENT
330 - PARK RIDE YACKTMAN
1675 DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
331 - PARK RIDGE ADULT DOWN SYNDROME
1610 LUTHER LNPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
332 - PARK RIDGE CAC GYNONC ONCOLOGY
1700 LUTHER LNPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
333 - PARK RIDGE CARDIO VASCULAR
1700 LUTHER LNPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
334 - PARK RIDGE LGH SLEEP CENTER
1775 DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
335 - PARK RIDGE NESSET
1775 BALLARD RDPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
336 - PARK RIDGE PARKSIDE STE 270
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
337 - PARK RIDGE PARKSIDE STE 285
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
338 - PARK RIDGE PARKSIDE STE 310
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
339 - PARK RIDGE PARKSIDE STE 325
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
340 - PARK RIDGE PARKSIDE STE 340
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
341 - PARK RIDGE PARKSIDE STE 360
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
342 - PARK RIDGE PARKSIDE STE 470
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
343 - PARK RIDGE PARKSIDE STE 490
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
344 - PARK RIDGE PARKSIDE STE 520
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
345 - PARK RIDGE PARKSIDE STE 550
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
346 - PARK RIDGE PARKSIDE STE 555-556
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
347 - PARK RIDGE PARKSIDE STE 640
1875 W DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
348 - PARK RIDGE PEDIATRIC NEPHROLOGY
1480 RENAISSANCE DR STE 211PARK RIDGEIL60068PATIENT CARE - OUT PATIENT
349 - PARK RIDGE RENAISSANCE DR
1480 RENAISSANCE DRPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
350 - PARK RIDGE YACKTMAN OB
1675 DEMPSTERPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
351 - PARKSIDE CENTER
1875 DEMPSTER STPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
352 - PEDS - DEERFIELD
720 OSTERMAN AVE 103DEERFIELDIL60015PATIENT CARE - OUT PATIENT
353 - PHYSICIAN'S OFFICES
11745 SOUTHWEST HWYPALOS HEIGHTSIL60463PATIENT CARE - OUT PATIENT
354 - PHYSICIAN'S OFFICES
4151 NAPERVILLE RDLISLEIL60532PATIENT CARE - OUT PATIENT
355 - PHYSICIAN'S OFFICES
9848 S ROBERTS RDPALOS HEIGHTSIL60465PATIENT CARE - OUT PATIENT
356 - PLAINFIELD
24600 W 127TH ST BLDG BPLAINFIELDIL60544PATIENT CARE - OUT PATIENT
357 - POB BUILDING
414 S HOMANCHICAGOIL60624PATIENT CARE - OUT PATIENT
358 - POB BUILDING
3410 W VAN BURENCHICAGOIL60624PATIENT CARE - OUT PATIENT
359 - POB BUILDING
1300 FRANKLIN AVENORMALIL61761PATIENT CARE - OUT PATIENT
360 - PONTIAC ILLINOIS HEART AND LUNG
1508 W REYNOLDSPONTIACIL61764PATIENT CARE - OUT PATIENT
361 - RAVENSWOOD MEDICAL GROUP
1945 W WILSON AVE STE 2100 4TH FLCHICAGOIL60640PATIENT CARE - OUT PATIENT
362 - RIVERSIDE
7234 W OGDEN AVERIVERSIDEIL60546PATIENT CARE - OUT PATIENT
363 - ROANOKE
415 W FRONTROANOKEIL61561PATIENT CARE - OUT PATIENT
364 - ROTUNDA MEDICAL BUILDING
4340 W 95TH ST STE 104 105 106 ANOAK LAWNIL60453PATIENT CARE - OUT PATIENT
365 - SIX CORNERS AHC
4211 N CICERO STES 308 306 304CHICAGOIL60641PATIENT CARE - OUT PATIENT
366 - SLEEP CENTER
1111 E 87TH ST STE 500CHICAGOIL60617PATIENT CARE - OUT PATIENT
367 - SOUTH ELGIN
2000 MCDONALD RDSOUTH ELGINIL60177PATIENT CARE - OUT PATIENT
368 - SOUTH ELGIN
2000 MCDONALD RDSOUTH ELGINIL60177PATIENT CARE - OUT PATIENT
369 - SOUTH HOLLAND
100 W 162ND STSOUTH HOLLANDIL60473PATIENT CARE - OUT PATIENT
370 - SOUTH HOLLAND
100 W 162ND STSOUTH HOLLANDIL60473PATIENT CARE - OUT PATIENT
371 - SOUTH SUBURBAN HOSPITAL - CRETE LOCATION
1024-1036 E STEGER RD 4 STESCRETEIL60417PATIENT CARE - OUT PATIENT
372 - SOUTH SUBURBAN HOSPITAL CANCER CENTER
17750 S KEDZIEHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
373 - SOUTH SUBURBAN MEDICAL OFFICE AND SLEEP
16532 OAK PARK AVE STE LL1TINLEY PARKIL60477PATIENT CARE - OUT PATIENT
374 - SOUTH SUBURBAN POB
17850 S KEDZIE STES LL 1 2 LL STOHAZEL CRESTIL60429PATIENT CARE - OUT PATIENT
375 - SOUTHEAST HEALTH FACILITY
2301 EAST 93RD ST STES 117 2ND ANDCHICAGOIL60617PATIENT CARE - OUT PATIENT3
376 - SOUTHWEST HIGHWAY
11824 SOUTHWEST HWY STES 135 140 1PALOS HEIGHTSIL60463PATIENT CARE - OUT PATIENT
377 - SUGAR CREEK MEDICAL I
1302 FRANKLIN AVE STE 1100NORMALIL61761PATIENT CARE - OUT PATIENT
378 - SUGAR CREEK MEDICAL II
1302 FRANKLIN AVE STE 2500NORMALIL61761PATIENT CARE - OUT PATIENT
379 - TINLEY PARK - CMC 8TH AVE STE E
16750 S 80TH AVETINLEY PARKIL60477PATIENT CARE - OUT PATIENT
380 - TINLEY PARK CENTER - OCC HEALTH
18210 S LAGRANGE RD STE 211TINLEY PARKIL60477PATIENT CARE - OUT PATIENT
381 - TINLEY PARK HIGH TECH
18210 S LAGRANGE AVETINLEY PARKIL60477PATIENT CARE - OUT PATIENT
382 - TINLEY PARK LA GRANGE AVE STE 105
18210 S LAGRANGE AVETINLEY PARKIL60477PATIENT CARE - OUT PATIENT
383 - TINLEY PARK LA GRANGE AVE STE 200
18210 S LAGRANGE AVETINLEY PARKIL60477PATIENT CARE - OUT PATIENT
384 - TINLEY PARK LA GRANGE AVE STE 209
18210 S LAGRANGE AVETINLEY PARKIL60477PATIENT CARE - OUT PATIENT
385 - TINLEY PARK MEDICAL OFFICE
16750 S 80TH AVE STE BTINLEY PARKIL60477PATIENT CARE - OUT PATIENT
386 - TINLEY PARK SLEEP CENTER
16532 OAK PARK AVETINLEY PARKIL60477PATIENT CARE - OUT PATIENT
387 - TOWN & COUNTRY
105 S MAJOR STEUREKAIL61530PATIENT CARE - OUT PATIENT
388 - TOWN & COUNTRY
415 W FRONTROANOKEIL61561PATIENT CARE - OUT PATIENT
389 - TRINITY POB
2301-2315 E 93RD ST STES 117 213 3CHICAGOIL60617PATIENT CARE - OUT PATIENT
390 - TWIN CITIES BEHAVIORAL HEALTHEAP
403 VIRGINIA AVENORMALIL61761PATIENT CARE - OUT PATIENT
391 - TWIN CITIES BEHAVIORAL HEALTHEAP
403 VIRGINIA AVE 2ND FLNORMALIL61761PATIENT CARE - OUT PATIENT
392 - TWIN CITIES BEHAVIORAL HEALTHEAP
303 N HERSHEY RD STE 2CBLOOMINGTONIL61761PATIENT CARE - OUT PATIENT
393 - VACANT
1999 DEMPSTER STPARK RIDGEIL60068PATIENT CARE - OUT PATIENT
394 - VERNON HILLS OB
565 LAKEVIEW DRVERNON HILLSIL60061PATIENT CARE - OUT PATIENT
396 - WOODRIDGE IMAGING CENTER
7530 WOODWARD AVEWOODRIDGEIL60517PATIENT CARE - OUT PATIENT
397 - WOUND CARE CLINIC
8751 S GREENWOOD STE600 100CHICAGOIL60619PATIENT CARE - OUT PATIENT
398 - WRIGLEY FIELD
1060 W ADDISONCHICAGOIL60613PATIENT CARE - OUT PATIENT
399 - YACKTMAN CHILDREN'S PAVILION
1675 DEMPSTER STPARK RIDGEIL60068PATIENT CARE - OUT PATIENT

Supplemental Information Detail SupplementalInformationDetail (46 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY:ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779
PART I, LINE 7:A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I.
PART I, LINE 7G:ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR AHHC. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF AHHC DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR, MENTAL, BEHAVIORAL AND CHEMICAL DEPENDENCY HEALTH SERVICES, REHABILITATION SERVICES, CARDIAC SURGERY, ORTHOPEDIC AND HOSPICE SERVICES.
PART I, LN 7 COL(F):$174,509,165 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F).
SCHEDULE H, PART I, LINE 7E - SYSTEM-WIDEADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. AHHC PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS, HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. THESE SERVICES AND PROGRAMS INCLUDE SENIOR BREAKFAST CLUBS WHICH INCLUDE EDUCATIONAL SPEAKERS FOCUSING ON HEALTH AND WELLNESS AND INCLUDE BLOOD PRESSURE SCREENINGS; CANCER SUPPORT GROUPS FOR VARIOUS TYPES OF CANCER INCLUDING, PROSTATE, BREAST AND SKIN CANCERS. THESE GROUPS FOCUS ON EDUCATING THE NEWLY DIAGNOSED AND PROVIDING INFORMATION ON BETTER LIVING FOR SURVIVORS. SKIN CANCER SCREENING ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES AND CHILDBIRTH CLASSES; VARIOUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO RAISE AWARENESS OF HEART DISEASE RISK FACTORS AND TREATMENT OPTIONS AND EDUCATION FOR LIVING WITH THE DISEASE; THERE ARE VARIOUS PROGRAMS REGARDING HEALTH EATING AND THE RISKS OF BEING OVERWEIGHT FOR BOTH ADULTS AND ADOLESCENTS. THESE PROGRAMS INCLUDE SCREENING, EDUCATION AND OPTIONS FOR DEALING WITH THE ISSUE; PROGRAMS RELATED TO SPORTS MEDICINE AND ATHLETIC TRAINING AND INJURIES ARE ALSO OFFERED; CPR TRAINING IS OFFERED TO THE COMMUNITY AS WELL AS VARIOUS OTHER WELLNESS AND SCREENING PROGRAMS AND HEALTH FAIRS ARE OFFERED THROUGHOUT THE YEAR. CAREER COUNSELING, MENTORING AND JOB SHADOWING ARE ALSO OFFERED TO STUDENTS WHO EXPLORE CAREER POSSIBILITIES IN HEALTH CARE. CERTAIN OF THESE PROGRAMS ARE GEARED TO THE LOW INCOME AND DIVERSE STUDENT POPULATIONS.
PART I, LINE 7H - SYSTEM-WIDEAHHC CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2019 FORM 990, SCHEDULE H.
PART II, COMMUNITY BUILDING ACTIVITIES:ADVOCATE HEALTH CARECOMMUNITY BUILDING ACTIVITIES REPORT ENVIRONMENTAL IMPROVEMENTSFORM 990, SCHEDULE H2019ENVIRONMENTAL IMPROVEMENTS ADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS DEEPLY CONNECTED TO THE PURPOSE OF OUR ORGANIZATION HEALTH AND HEALING. WE UNDERSTAND THAT THE HEALTH OF THE ENVIRONMENT AND THE HEALTH OF THE PATIENTS AND COMMUNITIES WE SERVE IS INEXTRICABLY LINKED AND THAT A HEALTHY PLANET SUPPORTS HEALTHY PEOPLE. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROW ALL OF THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREENHOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS WE WORK TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACT OF HEALTH CARE, OUR ENVIRONMENTAL STEWARDSHIP PRACTICES HELP EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY-RELATED DISEASE BURDEN). 1. MENTORING AND EDUCATIONAS WE WORK TO SERVE THE HEALTH NEEDS OF TODAY'S PATIENTS AND FAMILIES WITHOUT COMPROMISING THE NEEDS OF FUTURE GENERATIONS, ADVOCATE HAS COMMITTED RESOURCES TO SHARING LESSONS LEARNED AND BEST PRACTICES WITH OTHER HOSPITALS AND HEALTH SYSTEMS, BOTH LOCALLY AND NATIONALLY, AND WE DO SO IN A VARIETY OF WAYS. ADVOCATE HEALTH CARE WAS ONE OF 12 FOUNDING AND SPONSORING HEALTH SYSTEMS OF THE NATIONAL HEALTHIER HOSPITALS INITIATIVE, WHICH HAS NOW BECOME A PERMANENT PROGRAM OF PRACTICE GREENHEALTH. THE HEALTHIER HOSPITALS PROGRAM ENGAGES OVER 1,300 HOSPITALS IN SIX KEY CATEGORIES OF HEALTH CARE SUSTAINABILITY: ENGAGED LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS, AND SMARTER PURCHASING. ENROLLED HOSPITALS HAVE ACCOMPLISHED REDUCTIONS IN MEAT PURCHASING, INCREASED PURCHASING OF LOCAL AND SUSTAINABLE FOOD, REDUCED EXPOSURE TO TOXIC CHEMICALS THROUGH GREEN CLEANING PROGRAMS AND CONVERSION OF MEDICAL PRODUCTS FREE FROM PVC AND DEHP AND DECREASED ENERGY AND WASTE. ADVOCATE IS PROUD TO JOURNEY WITH THIS GROWING MASS OF HOSPITALS THROUGH ITS OWN INVOLVEMENT AND LEADERSHIP IN THE HEALTHIER HOSPITALS CHALLENGES. ADVOCATE CONTINUES ITS LEADERSHIP, ADVOCACY AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL HEALTHCARE SUSTAINABILITY LEADERSHIP GROUPS AND ADVISORY BOARDS, ADDRESSING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHING AND MEDICAL PRODUCTS, CLIMATE CHANGE, PLASTICS RECYCLING, AND ENVIRONMENTALLY-PREFERABLE PURCHASING: PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP LESS MEAT, BETTER MEAT PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP SAFER CHEMICALS HEALTH CARE CLIMATE COUNCIL HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD PREMIER ENVIRONMENTAL ADVISORY COUNCIL SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTADVOCATE ALSO COMMONLY PROVIDES MENTORING TO HEALTH CARE COMMUNITY ON SUSTAINABILITY BEST PRACTICES THROUGH PRESENTATIONS AND WEBINARS, AS WELL AS TO INDIVIDUAL HEALTH CARE INSTITUTIONS ON A CASE-BY-CASE BASIS.2. ADVOCATE HEALTH CARE SYSTEM 2019 ENVIRONMENTAL INITIATIVES: REDUCED CUMULATIVE HOSPITAL ENERGY CONSUMPTION BY 1.7 PERCENT IN TWELVE MONTHS ENDING 11/30/19. OUR 2019 ENERGY REDUCTIONS SAVED ADVOCATE $1 MILLION IN ENERGY COSTS, AND AVOIDED THE RELEASE OF 5,647 MTCO2E OF GREENHOUSE GAS EMISSIONS. PLEDGED TO POWER ITS FACILITIES WITH 100% RENEWABLE ELECTRICITY BY 2030. AVOIDED 1,124 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 2.7 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. RECYCLED 3,437 TONS OF WASTE FROM HOSPITAL OPERATIONS. RECYCLED 86 PERCENT, OR 3,166 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. SAVED 49 TONS OF WASTE FROM LANDFILL AND SAVED OVER $1.1 MILLION VIA OUR SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS. CONTINUED OUR DONATION PROGRAM WITH PROJECT C.U.R.E., A NON-PROFIT ORGANIZATION THAT WILL RESPONSIBLY REDISTRIBUTE DONATED MEDICAL SUPPLIES AND EQUIPMENT TO UNDER-RESOURCED AREAS AROUND THE GLOBE, FOR ALL ADVOCATE HEALTH CARE FACILITIES. ADVOCATE DONATED A TOTAL OF 154 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 65 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE IN 2019, ALL OF WHICH MAY HAVE OTHERWISE BEEN LANDFILLED. PURCHASED OVER 25,000 FEWER REAMS OF PAPER IN 2019 VERSUS 2018 EVEN THOUGH PATIENT VOLUMES ROSE - TRANSLATING INTO AN OVER 5% YEAR-OVER-YEAR REDUCTION IN PAPER USAGE. SPENT 77% OF ADVOCATE'S EXPENSES IN SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS) ON THIRD-PARTY CERTIFIED "GREEN" CLEANERS. INCREASED THE PURCHASE OF HEALTHIER HOSPITALS-APPROVED FURNITURE, MADE WITHOUT SELECT CHEMICALS OF CONCERN, INCLUDING PERFLUORINATED COMPOUNDS, PVC (VINYL), FORMALDEHYDE, FLAME RETARDANTS (WHERE CODE PERMISSIBLE) AND ANTIMICROBIALS, TO 89% OF TOTAL PURCHASES. PURCHASED 27% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA. PLEASE SEE ADVOCATE HEALTH CARE'S PUBLICLY-FACING SUSTAINABILITY & WELLNESS WEBSITE FOR MORE INFORMATION.3. HOSPITAL-BASED ENVIRONMENTAL IMPROVEMENTS IN 2019ADVOCATE BROMENN MEDICAL CENTER DIVERTED OVER 324,000 POUNDS OF WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. AVOIDED 5,550 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS. COMPOSTED OVER 20,000 POUNDS OF FOOD WASTE, REDUCING ITS VOLUME OF WASTE TO LOCAL LANDFILLS. REUSED AND DONATED CLEAN, USED LINENS TO LOCAL ORGANIZATIONS INCLUDING ANIMAL AND HOMELESS SHELTERS, AMBULANCE SERVICE COMPANY OR REUSED AS CLEANING CLOTHS WITHIN THE HOSPITAL. 98% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. 54% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. DONATED 3 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. IN PARTNERSHIP WITH THE COMMUNITY, HOSTED A VEGETABLE GARDEN ON CAMPUS, PROVIDING GARDENING EDUCATION AND HEALTHY PRODUCE TO PATIENTS AND COMMUNITY MEMBERS. ADVOCATE CHRIST MEDICAL CENTER REDUCED ENERGY INTENSITY UTILIZATION BY 2.6 PERCENT, AVOIDING THE RELEASE OF 902 MTCO2E OF GREENHOUSE GAS EMISSIONS. AVOIDED 371 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 907,362 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. DIVERTED OVER 1.4 MILLION POUNDS OF WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. RECYCLED 84%, OR 194 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. AVOIDED 115,689 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS PURCHASED 1,264 FEWER REAMS OF PAPER IN 2019 VERSUS 2018, TRANSLATING INTO AN 3.9% YEAR OVER YEAR REDUCTION IN PAPER USAGE. 84% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. 96% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. DONATED 74 PALLETS OF VARIOUS MEDICAL SUPPLIES AND 22 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE CONDELL MEDICAL CENTER REDUCED ENERGY INTENSITY UTILIZATION BY 2 PERCENT, AVOIDING THE RELEASE OF 315 MTCO2E OF GREENHOUSE GAS EMISSIONS. AVOIDED 144 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 350,870 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. DIVERTED OVER 592,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. AVOIDED OVER 11,000 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS. PURCHASED 2,198 FEWER REAMS OF PAPER IN 2018 VERSUS 2017, TRANSLATING INTO A 10.8% YEAR OVER YEAR REDUCTION IN PAPER USAGE. 81% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. 95% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. PURCHASED 30% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA. DONATED 9 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD.
PART III, LINE 4:FOR 2019, FOR AHHC, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 21.37% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. AHHC EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED.ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF-PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD FINANCIAL ASSISTANCE APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 20% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE.BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H.
PART III, LINE 8:THE SHORTFALL OF $234,999,387 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY.FOR ADVOCATE HEALTH AND HOSPITALS CORPORATION'S OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS.
PART III, LINE 9B:ADVOCATE HEALTH AND HOSPITALS CORPORATION MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE, SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES.
PART VI, LINE 3:PART VI, 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE (APPLIES TO ALL HOSPITALS).ADVOCATE ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ADVOCATE'S HOSPITAL FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. ADVOCATE ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS.3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED.4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION.6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE, AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE.
PART VI, LINE 6:ADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH. SOON THEREAFTER WORK BEGAN TO ALIGN THE COMMUNITY STRATEGIES OF BOTH PREDECESSOR ORGANIZATIONS. IN OCTOBER 2019, THE ADVOCATE AURORA BOARD APPROVED A COMMUNITY STRATEGY THAT WOULD SUPPORT ORGANIZATIONAL VALUES AND CONTINUE TO SUPPORT SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES SERVED BY ADVOCATE AURORA. GIVEN THAT ADVOCATE AND AURORA HAVE SEPARATE FEIN'S, THE NARRATIVE THAT FOLLOWS PRIMARILY DESCRIBES PROGRAMS AND ACTIVITIES PERTAINING TO ADVOCATE (AAH ILLINOIS). AS BACKGROUND, ADVOCATE AURORA HEALTH'S ILLINOIS HOSPITALS (ADVOCATE) ARE NOT-FOR-PROFIT AND ARE RELATED TO BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. ADVOCATE'S BOARD, LEADERSHIP AND TEAM MEMBERS (STAFF/EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY THE ORGANIZATION THROUGH PROGRAMS AND PRACTICES THAT SUPPORT THE ADVOCATE AURORA VISION OF "WE HELP PEOPLE LIVE WELL." ADVOCATE AURORA'S SYSTEM LEADERSHIP HAS HISTORICALLY AND CURRENTLY DIRECTS AND SUPPORTS THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. IN 2016, A COMMUNITY HEALTH DEPARTMENT WAS DEVELOPED BY ADVOCATE, LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS, TO EXECUTE COMMUNITY NEEDS ASSESSMENTS, EVIDENCE-BASED PROGRAM DEVELOPMENT AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. PRIOR TO THIS TIME, THE COMMUNITY FACING FUNCTION WAS LED BY A TEAM OF ADVOCATE SYSTEM-LEVEL INDIVIDUALS WHOSE JOB RESPONSIBILITIES INCLUDED VARIOUS COMMUNITY ROLES MORE CLOSELY ALIGNED WITH COMMUNITY RELATIONS. DURING THE INITIAL 2011-2013 CHNA CYCLE, ADVOCATE'S SYSTEM LEADERS PROVIDED OVERSIGHT AND SUPPORT TO THE HOSPITALS FOR DEVELOPING THEIR CHNAS AND SUBSEQUENT PROGRAMMING. IN 2016, ADVOCATE'S NEW COMMUNITY HEALTH TEAM CONDUCTED THEIR HOSPITAL COMPREHENSIVE CHNAS (2014-2016) AND POSTED GOVERNANCE-APPROVED CHNA REPORTS AND CHNA IMPLEMENTATION PLANS ON ADVOCATE'S WEBPAGE IN COMPLIANCE WITH THE AFFORDABLE CARE ACT. FOLLOWING THE MERGER OF ADVOCATE HEALTH CARE AND AURORA HEALTH CARE IN 2018 AND BOARD APPROVAL OF THE NEW COMMUNITY STRATEGY IN 2019, ALL ADVOCATE HOSPITALS' COMMUNITY HEALTH IMPLEMENTATION PLANS ARE GUIDED BY THE AAH COMMUNITY STRATEGY. THROUGH THIS STRATEGY, WE WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUTCOMES IN OUR COMMUNITIES THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTNERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. BASED ON NEED AND EFFECT ON HEALTH EQUITY, AS IDENTIFIED IN ADVOCATE AURORA'S 27 HOSPITAL CHNA REPORTS AND IN INDUSTRY LITERATURE, ADVOCATE PRIORITIZED THE FOLLOWING SIX FOCUS AREAS ON WHICH THE INDIVIDUAL HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLANS ARE BUILT AND SUPPORT, INCLUDING: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/ BEHAVIORAL HEALTH SERVICES; 3) COMMUNITY SAFETY; 4) WORKFORCE DEVELOPMENT; 5) AFFORDABLE HOUSING; AND 6) FOOD SECURITY.ADVOCATE'S BOARD, SYSTEM LEADERSHIP AND TEAM MEMBERS ARE FULLY ENGAGED IN PROGRAMS AND ACTIVITIES THAT SUPPORT SYSTEM AND SITE EFFORTS IN ACHIEVING MILESTONES IN EACH OF THESE COMMUNITY STRATEGY FOCUS AREAS. EXAMPLES OF AFFILIATED SYSTEM PROGRAMS/SERVICES THAT ALIGN WITH THE ORGANIZATION'S COMMUNITY STRATEGY AND SUPPORT EFFORTS TO ADDRESS THESE KEY FOCUS AREAS ARE PROVIDED IN THE FOLLOWING NARRATIVE.1. ACCESS/PRIMARY MEDICAL HOMES. THE FIRST OF SIX KEY AREAS TARGETED BY ADVOCATE'S COMMUNITY STRATEGY IS IMPROVING ACCESS/CONNECTING PATIENTS TO PRIMARY MEDICAL HOMES. ADVOCATE IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING FINANCIAL ASSISTANCE, CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. FINANCIAL ASSISTANCE. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. FROM JANUARY 2019 TO MAY 2019, UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL), AND INSURED PATIENTS EARNING UP TO FOUR TIMES THE FPL WERE ELIGIBLE TO BE CONSIDERED FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. AS OF JUNE 2019, PATIENTS EARNING UP TO SIX TIMES THE FPL, AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT WAS ADDED FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. BOTH UNINSURED AND INSURED REQUESTS ARE GIVEN CONSIDERATION BASED ON THE INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP.FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS HAVE RELATIONSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS FOR PROVIDING CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN WORKS CLOSELY WITH THE GREATER ELGIN FAMILY CARE CENTER (FQHC), THE VISITING NURSES ASSOCIATION AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. ADVOCATE BROMENN MAINTAINS A COMMUNITY HEALTH CLINIC, IN COLLABORATION WITH OSF ST. JOSEPH'S HOSPITAL, WHEREBY BOTH HOSPITALS ARE RESPONSIBLE FOR DESIGNATED CLINIC PATIENTS' HOSPITAL CARE THROUGHOUT THE YEAR. ADVOCATE BROMENN ALSO PROVIDES SPACE AND INFORMATION TECHNOLOGY SUPPORT TO THE CLINIC. IN ADDITION, ADVOCATE BROMENN, THROUGH AN INFORMAL REFERRAL AGREEMENT DATING BACK TO 2010, COLLABORATES WITH CHESTNUT HEALTH SYSTEMS. CHESTNUT HEALTH SYSTEMS OWNS AND OPERATES A FQHC IN BLOOMINGTON AND PATIENTS ARE SOMETIMES REFERRED TO ADVOCATE BROMENN FOR SERVICES. IN A PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION, ADVOCATE CHRIST PROVIDES MAMMOGRAMS TO AREA UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THE CLINIC TO THE HOSPITAL WHEN THIS SERVICE IS REQUIRED.TO MAINTAIN QUALITY CARE EXCELLENCE AND IMPROVE QUALITY OF LIFE FOR PEOPLE SEEKING CARE FROM ADVOCATE, WORKING TO FIND MEDICAL HOMES AND TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS IS ESSENTIAL. ADVOCATE HAS NUMEROUS PROGRAMS FOCUSED ON MANAGING THE PATIENT EXPERIENCE THROUGH THE CONTINUUM OF CAREIN INPATIENT AND OUTPATIENT SETTINGS, AND IN THE HOME. MEDICAID AND MEDICARE. ADVOCATE ACTIVELY WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND THAT SEEK SERVICES AT ANY OF ADVOCATE'S 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS) AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE CARE ORGANIZATION (ACO). ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN ED UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME.
PART VI, LINE 7, REPORTS FILED WITH STATESIL
SCHEDULE H, PART VI, LINE 2- CHRIST HOSP INCL HOPE CHILDREN'S HOSPFOCUS GROUPS. BETWEEN AUGUST 2018 AND FEBRUARY 2019, IPHI WORKED WITH THE ALLIANCE PARTNERS TO HOLD A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WITH PRIORITY POPULATIONS SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS, SUCH AS DIABETES AND ASTHMA. THE COMMUNITY INPUT SESSIONS INCLUDED 31 FOCUS GROUPS CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS LED BY WEST SIDE UNITED, WITH NOTETAKING BY IPHI. IN ADDITION TO THE 52 COMMUNITY INPUT SESSIONS, THERE WERE ALSO FIVE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS HOSTED BY SWEDISH COVENANT HOSPITAL, MACNEAL HOSPITAL AND SOUTH SHORE HOSPITAL. FOCUS GROUP FACILITATORS ASKED PARTICIPANTS ABOUT THE UNDERLYING ROOT CAUSES OF HEALTH ISSUES SEEN IN THEIR COMMUNITIES AND SPECIFIC STRATEGIES FOR ADDRESSING THOSE HEALTH NEEDS. IPHI DEVELOPED THE FOCUS GROUP QUESTIONS USING RESOURCES FROM EXISTING CHNA TOOLKITS AND PEER-REVIEWED STUDIES, IN CONSULTATION WITH THE CHNA COMMITTEE AND COLLEAGUES AT PARTNER HEALTH DEPARTMENTS. EACH FOCUS GROUP WAS HOSTED BY A COMMUNITY-BASED ORGANIZATION OR HOSPITAL, AND PARTICIPATION RANGED FROM THREE TO FORTY PEOPLE. MOST FOCUS GROUPS WERE 90 MINUTES LONG WITH AN AVERAGE OF 10 PARTICIPANTS. COMMUNITY INPUT FROM ALL 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WAS COMBINED AND INCLUDED IN THE ASSESSMENT, ALONG WITH INPUT FROM FIVE PROVIDER FOCUS GROUPS.AS INDICATED IN SECTION V, ADVOCATE CHRIST COLLABORATED WITH MANY PARTNERS TO COLLECT PSA, COUNTY AND STATE DATA. SECONDARY DATA COLLECTION WAS CONDUCTED THROUGH THE USE OF SEVERAL PLATFORMS INCLUDING THE CONDUENT HEALTHY COMMUNITIES INSTITUTE. DETAILS REGARDING THE MEDICAL CENTER'S 2017-2019 CHNA'S SECONDARY DATA SOURCES ARE LISTED ARE AS FOLLOWS.CONDUENT HEALTHY COMMUNITIES INSTITUTE. IN EARLY 2017, ADVOCATE HEALTH CARE SIGNED A SECOND THREE-YEAR CONTRACT WITH CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO CONTINUE TO PROVIDE AN INTERNET-BASED DATA RESOURCE FOR THE ILLINOIS HOSPITALS/MEDICAL CENTERS DURING THE 2017-2019 CHNA CYCLE. THIS ROBUST PLATFORM OFFERED THE HOSPITALS/MEDICAL CENTERS 198 HEALTH AND DEMOGRAPHIC INDICATORS, INCLUDING 38 HOSPITALIZATION AND EMERGENCY DEPARTMENT (ED) VISIT INDICATORS AT THE SERVICE AREA AND ZIP CODE LEVELS. UTILIZING THE ILLINOIS HOSPITAL ASSOCIATION'S COMPDATA, CONDUENT HCI WAS ABLE TO SUMMARIZE, AGE ADJUST AND AVERAGE THE HOSPITALIZATION AND ED DATA FOR FIVE-TIME PERIODS FROM 2009-2017. THE HCI CONTRACT ALSO PROVIDED A WEALTH OF COUNTY AND ZIP CODE DATA COMPARISONS, A SOCIONEEDS INDEX VISUALIZING VULNERABLE POPULATIONS WITHIN SERVICE AREAS AND COUNTIES, A HEALTHY PEOPLE 2020 TRACKER AND A DATABASE OF PROMISING AND EVIDENCE-BASED INTERVENTIONS. AS INDICATED, CONDUENT HCI WAS A KEY SOURCE OF DATA FOR THE 2017-2019 CHNA. THIS SECONDARY DATA WAS CRUCIAL IN ANALYZING THE MEDICAL CENTER'S PSA HEALTH NEEDS AS THE DATABASE WAS THE ONLY SOURCE THAT PROVIDED SUCH AN EXTENSIVE AMOUNT OF DATA SPECIFIC TO THE DEFINED COMMUNITY. ALL DATA COLLECTED THROUGH CONDUENT HCI WAS QUANTITATIVE AND INCLUDED DATA COMPARISONS BETWEEN PSA COMMUNITIES AND COUNTIES IN ILLINOIS. THESE COMPARISONS WERE EXEMPLIFIED IN THE FORM OF COMMUNITY DASHBOARDS, WHICH PROVIDED GREAT INSIGHT ON THE HEALTH STATUS OF THE MEDICAL CENTER'S PSA IN COMPARISON TO OTHER COUNTIES AND COMMUNITIES IN ILLINOIS. OTHER AVAILABLE NATIONAL AND LOCAL DATA. BETWEEN JUNE 2018 AND JUNE 2019, ADVOCATE CHRIST STAFF COLLECTED PERTINENT COMMUNITY HEALTH DATA FOR THE MEDICAL CENTER'S PSA. OTHER DATA SOURCES REVIEWED INCLUDED THE CHICAGO HEALTH ATLAS, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, CHICAGO DEPARTMENT OF PUBLIC HEALTH, ADVOCATE CHRIST PATIENT UTILIZATION DATA, CITY OF CHICAGO-HEALTHY CHICAGO 2.0, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, HEALTHY PEOPLE 2020, AND CDC (STATE AND COUNTY HEALTH DATA).ADVOCATE CHILDREN'S WORKED CLOSELY WITH LOCAL PARTNER SCHOOL DISTRICTS, SCHOOL NURSES, THE HOSPITAL'S FAMILY ADVISORY COUNCIL, THE PARTNERSHIP FOR RESILIENCE, HEALTHY SCHOOLS CAMPAIGN AND THE CHICAGO PUBLIC SCHOOL'S OFFICE OF STUDENT WELLNESS TO IDENTIFY HEALTH ISSUES AFFECTING CHILDREN.
SCHEDULE H, PART VI, LINE 4- CHRIST HOSP INCL HOPE CHILDREN'S HOSPDESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE 2017-2019 CHNA, ADVOCATE CHRIST DEFINES THE COMMUNITY AS THE MEDICAL CENTER'S PSA. THE PSA CONSISTS OF 28 ZIP CODES IN CHICAGO AND SUBURBAN COOK COUNTY. THE COMMUNITY AREAS INCLUDE ALSIP, ASHBURN, AUBURN GRESHAM BEDFORD PAR, BURBANK, CHICAGO LAWN, CHICAGO RIDGE, CLEARING, EVERGREEN PARK, ELSDON, HICKORY HILLS, HOMETOWN, JUSTICE, MIDLOTHIAN, MORGAN PARK, OAK FOREST, MT. GREENWOOD, OAK LAWN, ORLAND HILLS, ORLAND PARK, PALOS HILLS, PALOS HEIGHTS, PALOS PARK, TINLEY PARK, WEST ENGLEWOOD AND WORTH.DEMOGRAPHICSPOPULATION. IN 2019, ADVOCATE CHRIST PSA'S TOTAL POPULATION WAS ESTIMATED AT 924,370. THERE HAS BEEN A DECREASE OF 0.42 PERCENT IN THE POPULATION FROM 20102019. SIMILARLY, THE STATE OF ILLINOIS POPULATION DECREASED 0.46 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019).AGE. AS OF 2019, THE ADVOCATE CHRIST PSA HAS A MEDIAN AGE OF 38 YEARS COMPARED TO THE STATE OF ILLINOIS AT 39 YEARS. THE MEDIAN AGE AMONG FEMALES AND MALES IS RELATIVELY SIMILAR IN THE PSA AND IN THE STATE OF ILLINOIS. MALES HAVE A MEDIAN AGE OF 36 YEARS IN THE PSA COMPARABLE TO A MEDIAN AGE OF 37 YEARS IN THE STATE OF ILLINOIS. IN ADDITION, FEMALES HAVE A MEDIAN AGE OF 39 YEARS IN THE PSA COMPARED TO 40 YEARS IN THE STATE OF ILLINOIS. OVERALL, THERE ARE NO NOTABLE DIFFERENCES IN MEDIAN AGE AMONG MALES AND FEMALES IN THE MEDICAL CENTER'S PSA COMPARED TO THE STATE OF ILLINOIS. INDIVIDUALS AGES 25-64 YEARS MAKE UP A MAJORITY OF THE POPULATION (52.62 PERCENT) FOR THE MEDICAL CENTER'S PSA AND IN THE STATE OF ILLINOIS (52.34 PERCENT). THERE ARE NO NOTABLE DIFFERENCES IN AGE GROUPS AMONG THE MEDICAL CENTER'S PSA COMPARED TO THE STATE OF ILLINOIS. OVERALL, INDIVIDUALS AGES 25-34 (14.45 PERCENT) MAKE UP THE MAJORITY OF THE POPULATION WITHIN THE PSA COMPARED TO INDIVIDUALS AGES 25-34 (13.48 PERCENT) THAT MAKE UP THE MAJORITY OF THE POPULATION WITHIN THE STATE OF ILLINOIS. CHILDREN AGES 0-17 MAKE UP 24 PERCENT OF THE TOTAL SERVICE AREA POPULATION. THIS IS SLIGHTLY LOWER THAN THE 35-54 AGE GROUP WHICH REPRESENTS 25 PERCENT OF THE TOTAL SERVICE AREA POPULATION. THOSE AGES 15-17 YEARS OF AGE REPRESENT THE LOWEST PERCENTAGE (4 PERCENT) OF THE POPULATION. ALL IN ALL, INDIVIDUALS AGE 0-14 MAKE UP A MAJORITY OF THE PEDIATRIC POPULATION FOR ADVOCATE CHILDREN'S HOSPITAL.GENDER. MALES AND FEMALES FOR THE MEDICAL CENTER'S PSA ARE SIMILAR IN THE PERCENT OF POPULATION BY GENDER WHEN COMPARED TO THE STATE OF ILLINOIS. THERE ARE 51.50 PERCENT FEMALES IN THE MEDICAL CENTER'S PSA COMPARED TO 50.82 PERCENT IN THE STATE OF ILLINOIS. SIMILARLY, THERE ARE 48.50 PERCENT MALES IN THE MEDICAL CENTER'S PSA COMPARED TO 49.18 PERCENT IN THE STATE OF ILLINOIS. OVERALL, THERE ARE NO NOTABLE DIFFERENCES IN GENDER BETWEEN THE PSA AND THE STATE OF ILLINOIS AMONG THE MALE AND FEMALE POPULATION. RACE/ETHNICITY. ADVOCATE CHRIST'S PSA POPULATION IS 57.53 PERCENT WHITE; 23.44 PERCENT BLACK/AFRICAN AMERICAN; 13.88 PERCENT SOME OTHER RACE; 2.33 PERCENT 2+ RACES; 2.41 PERCENT ASIAN; 0.38 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.02 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE PSA HAS A SUBSTANTIALLY HIGHER REPRESENTATION OF THE SOME OTHER RACE POPULATION WHEN COMPARED TO THE STATE OF ILLINOIS. THE MEDICAL CENTER'S PSA HAS A LARGER HISPANIC/LATINO POPULATION COMPARED TO THE STATE OF ILLINOIS WITH 69.36 PERCENT NON-HISPANIC AND 30.64 PERCENT HISPANIC/LATINO. THE STATE OF ILLINOIS HAS A POPULATION OF 17.62 PERCENT HISPANIC/LATINO AND 82.38 PERCENT AS NON-HISPANIC/LATINO.INCOME. ADVOCATE CHRIST'S PSA POVERTY LEVEL OF 14.4 PERCENT IS LOWER THAN THE COOK COUNTY LEVEL OF 15.9 PERCENT OF THE POPULATION. HOUSEHOLDS BY INCOME ARE RELATIVELY SIMILAR FOR THE MEDICAL CENTER'S PSA AND THE STATE OF ILLINOIS. AS OF 2019, 15.52 PERCENT OF HOUSEHOLDS HAVE AN INCOME LEVEL BETWEEN $50,000-$74,499. COMPARATIVELY, THE STATE OF ILLINOIS HAS 16 PERCENT OF HOUSEHOLDS WITH AN INCOME BETWEEN $50,000-$74,499.POVERTY. THE NUMBER OF FAMILIES LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) IN ADVOCATE CHRIST'S PSA IS 25,665 OR 11.33 PERCENT OF THE POPULATION COMPARED TO 313,034 FAMILIES OR 9.80 PERCENT IN THE STATE OF ILLINOIS. THE NUMBER OF FAMILIES WITH CHILDREN LIVING BELOW 100 PERCENT FPL IS 19,100 FAMILIES OR 8.4 PERCENT COMPARED TO 235,695 FAMILIES OR 7.38 PERCENT IN THE STATE OF ILLINOIS. THE NUMBER OF CHILDREN IDENTIFIED AS LIVING BELOW THE FEDERAL POVERTY LEVEL IN THE PSA IS 21.7 PERCENT COMPARED TO THE STATE OF ILLINOIS AT 18.8 PERCENT. BETWEEN THE YEARS 2013-2017, THERE WERE 9.2 PERCENT OF PEOPLE 65 YEARS AND OLDER IN THE PSA LIVING BELOW THE FPL COMPARED TO 8.8 PERCENT IN THE STATE OF ILLINOIS AND 9.3 PERCENT IN THE U.S. FAMILY INCOME CAN HAVE A SIGNIFICANT IMPACT ON A CHILD'S WELL-BEING INCLUDING PHYSICAL HEALTH, SOCIAL WELL-BEING AND EMOTIONAL WELL-BEING. DATA COLLECTED FROM 2013 TO 2017 SHOWS THAT THERE WERE 21.7 PERCENT OF CHILDREN IN THE PSA LIVING BELOW THE POVERTY LEVEL. THIS PERCENTAGE IS LOWER THAN THE COUNTY LEVEL OF 23.0 PERCENT AND HIGHER THAN THE STATE OF ILLINOIS AT 18.8 PERCENT. THIS INDICATOR HAS SLIGHTLY DECREASED OVER TIME SINCE 2014, WITH 24.3 PERCENT OF CHILDREN IN THE MEDICAL CENTER'S PSA LIVING BELOW THE POVERTY LEVEL.ADULTS WITH HEALTH INSURANCE. IN COOK COUNTY, 87.4 PERCENT OF ADULTS AGE 19 AND OVER ARE IDENTIFIED AS HAVING HEALTH INSURANCE. THIS VALUE IS SLIGHTLY LOWER THAN THE STATE AND U.S. VALUES OF 90.2 PERCENT AND 87.7 PERCENT RESPECTIVELY. MORE FEMALES (89.0 PERCENT) HAVE HEALTH INSURANCE WHEN COMPARED TO MALES (85.7 PERCENT) IN THE COUNTY. THIS VALUE IS THE LOWEST WHEN COMPARED TO THE SIX COUNTIES SURROUNDING COOK COUNTY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2019).CHILDREN WITH HEALTH INSURANCE. IN COOK COUNTY, 97.0 PERCENT OF CHILDREN HAVE HEALTH INSURANCE. THIS VALUE IS COMPARABLE TO THE STATE OF ILLINOIS VALUE OF 97.1 PERCENT AND HIGHER THAT THE U.S. VALUE OF 95.0 PERCENT. DATA INDICATES THAT IN ALL RACE AND ETHNICITY CATEGORIES, MORE THAN 95 PERCENT OF CHILDREN UNDER AGE 19 HAD HEALTH INSURANCE. INTERESTINGLY, 100 PERCENT OF CHILDREN SURVEYED IN THE AMERICAN INDIAN/ALASKA NATIVE POPULATION HAD HEALTH INSURANCE. EXHIBIT 29 DEFINES THE PERCENT OF CHILDREN WITH HEALTH INSURANCE AMONG ETHNICITIES (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2019).PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. THIS INDICATOR IDENTIFIES THE PERCENTAGE OF PERSONS WHO HAVE PUBLIC HEALTH INSURANCE ONLY. PUBLIC HEALTH COVERAGE INCLUDES THE FEDERAL PROGRAMS MEDICARE, MEDICAID, AND VA HEALTH CARE (PROVIDED THROUGH THE DEPARTMENT OF VETERANS AFFAIRS); THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP); AND INDIVIDUAL STATE HEALTH PLANS. IN COOK COUNTY, 27.0 PERCENT OF THE POPULATION HAD PUBLIC HEALTH INSURANCE; HIGHER THAN THE STATE RATE OF 23.3 PERCENT AND THE U.S. RATE OF 23.6 PERCENT. THE AGE GROUPS OF 65 AND OVER (46.1 PERCENT) AND 0-18 YEARS (42.7 PERCENT) HAD THE GREATEST LEVEL OF PUBLIC HEALTH INSURANCE.HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE SEVERAL HOSPITALS/MEDICAL CENTERS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND COOK COUNTY HEALTH SYSTEM (CCHS) CLINICS WHICH SERVE THE MEDICAL CENTER'S PSA. CURRENTLY THERE ARE THREE HOSPITALS AND FIVE FQHC'S WITHIN THE ADVOCATE CHRIST PSA. THERE ARE FOUR COMMUNITIES WHICH ARE MEDICALLY UNDERSERVED AREAS (MUAS) AND EXHIBIT THE HIGHEST SOCIAL NEEDS, INCLUDING ELSDON (60632), CHICAGO LAWN (60629), WEST ENGLEWOOD (60636) AND AUBURN GRESHAM (60620).
SCHEDULE H, PART VI, LINE 5- CHRIST HOSP INCL HOPE CHILDREN'S HOSPTHE GOVERNING COUNCIL AT ADVOCATE CHRIST IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.SIGNIFICANT PROGRAMS/INITIATIVES CONTRIBUTING TO A HEALTHIER COMMUNITYADVOCATE CHRIST RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S(AHA/ASA) GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD. THE MEDICAL CENTER ALSO WASRECOGNIZED AS A RECIPIENT OF THE AHA/ASA'S TARGET: STROKE HONOR ROLL ELITE AWARD.IN U.S. NEWS & WORLD REPORT'S BEST HOSPITALS 2019 2020 ISSUE, ADVOCATE CHRIST RANKED 8TH INTHE STATE OF ILLINOIS AND 7TH IN THE CHICAGO METRO AREA. PHYSICIANS AND STAFF WERE CITED AS BEING 'HIGH PERFORMERS' IN CARDIOLOGY & HEART SURGERY AND GERIATRICS. THE MEDICAL CENTER WAS ALSO RECOGNIZED AS HIGH PERFORMING IN THE TREATMENT OF HEART BYPASS SURGERY, CONGESTIVE HEART FAILURE, COLON CANCER SURGERY, LUNG CANCER SURGERY, COPD, HIP REPLACEMENT AND KNEE REPLACEMENT.ADVOCATE CHRIST IS A RECIPIENT OF THE GREENHEALTH EMERALD AWARD FROM PRACTICE GREENHEALTH, THE NATION'S LEADING ORGANIZATION DEDICATED TO ENVIRONMENTAL SUSTAINABILITY IN HEALTH CARE. THE AWARD IS EARNED BY HOSPITALS THAT HAVE DEMONSTRATED A STRONG COMMITMENT TO SUSTAINABILITY AND SHOWN LEADERSHIP IN THE LOCAL COMMUNITY AND IN THE HEALTH CARE SECTOR. THEY ARE SETTING THE STANDARD IN ELIMINATING MERCURY, REDUCING AND RECYCLING WASTE, SUSTAINABLE SOURCING AND OTHER AREAS.CHICAGO HEAL INITIATIVE. CHICAGO HEAL HOSPITAL ENGAGEMENT, ACTION AND LEADERSHIPIS A BOLD, THREE-YEAR INITIATIVE TO REDUCE VIOLENCE AND IMPROVE HEALTH THROUGH NEIGHBORHOOD ENGAGEMENT. DRIVEN BY THE LEADERSHIP OF SENATOR DICK DURBIN, ADVOCATE CHRIST JOINED CHICAGO HEAL HOSPITALS TO SHARE BEST PRACTICES AND IDENTIFY WAYS TO COLLABORATE IN ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THAT IMPACT VULNERABLE COMMUNITIES IN CHICAGO. CHICAGO HEAL'S THREE MAIN OBJECTIVES ARE TO: 1) INCREASE LOCAL WORKFORCE COMMITMENT TO REDUCE ECONOMIC HARDSHIP; 2) SUPPORT COMMUNITY PARTNERSHIPS TO IMPROVE HEALTH AND SAFETY OF PUBLIC ENVIRONMENTS; AND 3) PRIORITIZE KEY IN-HOSPITAL CLINICAL PRACTICES TO ADDRESS UNMET NEEDS OF THE COMMUNITY.SOUTHLAND RISE. IN 2019, IN RESPONSE TO THE PUBLIC HEALTH CRISIS OF INTENTIONAL VIOLENCE, ADVOCATE CHRIST AND THE UNIVERSITY OF CHICAGO MEDICINE JOINED FORCES TO FORM SOUTHLAND RISE (RESILIENCE INITIATIVE TO STRENGTHEN AND EMPOWER), A NEW COLLABORATIVE DESIGNED TO BETTER CARE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES ON THE SOUTH SIDE AND SOUTH SUBURBAN COMMUNITIES. IN ADDITION TO INTEGRATING THE VIOLENCE RECOVERY PROGRAMS OF BOTH INSTITUTIONS, THE SOUTHLAND RISE COLLABORATIVE COMMITTED TO PURSUE THE FOLLOWING INITIATIVES. ALIGN SERVICES PROVIDED THROUGH OUR RESPECTIVE VIOLENCE RECOVERY PROGRAMS TO BETTER SERVE THE SOUTHLAND POPULATION IMPACTED BY VIOLENCE. COORDINATE WRAPAROUND SERVICES TO SUPPORT THE HOLISTIC EMOTIONAL, BEHAVIORAL, AND SOCIAL NEEDS OF THE SOUTHLAND POPULATION IMPACTED BY VIOLENCE. PROVIDE RAPID-CYCLE GRANT FUNDING FOR GRASSROOTS VIOLENCE PREVENTION AND RECOVERY PROGRAMS IN THE SOUTHLAND TO SUPPORT COMMUNITY ORGANIZATIONS OVER THE SUMMER. DEVELOP TRAUMA-INFORMED CARE TRAINING AND A TOOLKIT THAT CAN BE UTILIZED BY COMMUNITY PARTNERS THROUGHOUT THE SOUTHLAND AND BEYOND. HOST A JOINT COMMUNITY SUMMIT ON VIOLENCE PREVENTION, INVOLVING HEALTH CARE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, POLICY MAKERS, CIVIC, COMMUNITY AND ACADEMIC LEADERS TO MOBILIZE TOWARDS SOLUTIONS FOR VIOLENCE RECOVERY.
SCHEDULE H, PART VI, LINE 2- LUTHERAN GEN HOSP INCL LUTH GEN CHILDN/A
SCHEDULE H, PART VI, LINE 4- LUTHERAN GEN HOSP INCL LUTH GEN CHILDDESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE 2017-2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE, ADVOCATE LUTHERAN GENERAL DEFINED COMMUNITY AS THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THIS AREA INCLUDES APPROXIMATELY 1,052,976 INDIVIDUALS, WHICH IS A SLIGHT POPULATION INCREASE FROM THE 2016 CHNA REPORT (CONDUENT HEALTH COMMUNITIES INSTITUTE, CLARITAS, 2018). THERE ARE 28 ZIP CODES25 IN COOK COUNTY AND THREE IN LAKE COUNTY WITHIN THE HOSPITAL'S PSA. SOCIAL DETERMINANTS OF HEALTH. FOR THE 2017-2019 CHNA, ADVOCATE SIGNED A SECOND 3-YEAR CONTRACT WITH CONDUENT HEALTHY COMMUNITIES INSTITUTE (CONDUENT HCI) TO UTILIZE THEIR CHNA DATA TOOL. CONDUENT HCI DETERMINED THE SOCIOECONOMIC NEED AND RANKED COMMUNITIES USING A SOCIONEEDS INDEX. THE SOCIONEEDS INDEX USED SIX MAJOR SOCIO-NEED INDICATORS THAT WERE CORRELATED WITH POOR HEALTH OUTCOMES, INCLUDING INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION, LANGUAGE AND POVERTY. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH AND PREVENTABLE HOSPITALIZATION RATES. INDEX VALUES RANGE FROM ZERO TO 100 AND CAN BE COMPARED ACROSS GEOGRAPHIC LOCATIONS. THE RANKING OF ONE TO FIVE IS A COMPARISON OF THE INDEX VALUE FOR EACH ZIP CODE TO ALL OTHERS WITHIN THE PSA; A FIVE REPRESENTS AREAS OF HIGHER SOCIO-ECONOMIC NEED RELATIVE TO OTHERS IN THE DEFINED GEOGRAPHIC AREA. ADVOCATE LUTHERAN GENERAL'S PSA INCLUDES THE FOLLOWING COMMUNITIES, LISTED IN ORDER OF GREATEST SOCIOECONOMIC TO LOWEST SOCIOECONOMIC NEED, AS DEFINED BY THE HCI SOCIONEEDS INDEX: IRVING PARK/PORTAGE (60641), ELMWOOD PARK (60707), DES PLAINES (60018), DUNNING (60634), JEFFERSON PARK (60630), PALATINE (60074), HARWOOD HEIGHTS (60706), MOUNT PROSPECT (60656), NILES (60714), WHEELING (60090), SKOKIE (60077), DES PLAINES (60016), PROSPECT HEIGHTS (60070), MORTON GROVE (60053), SKOKIE (60076), HARWOOD HEIGHTS (60056), NORWOOD PARK (60631), ARLINGTON HEIGHTS (60005), FOREST GLEN (60646), ARLINGTON HEIGHTS (60004), PALATINE (60067), GLENVIEW (60025), BUFFALO GROVE (60089), PARK RIDGE (60068), NORTHBROOK (60062), LAKE ZURICH (60047), GLENVIEW (60026) AND DEERFIELD (60015). WHEN COMPARED TO THE 2014-2016 CHNA COMMUNITY RANKINGS, JEFFERSON PARK (60630) AND HARDWOOD HEIGHTS (60706) IMPROVED FROM A LEVEL 5 RANKING TO A LEVEL 4 RANKING. DEMOGRAPHICS. THE MEDIAN AGE FOR THE POPULATION LIVING IN ADVOCATE LUTHERAN GENERAL'S PSA IS 42.3 YEARS, SLIGHTLY HIGHER THAN THE MEDIAN AGE FOR ILLINOIS (38.5) AND COOK COUNTY (37.5). THE POPULATION BY RACE WITHIN THE PSA IS 73.12 PERCENT WHITE, 12.8 PERCENT ASIAN, 8.36 PERCENT SOME OTHER RACE, 2.45 PERCENT BLACK/AFRICAN AMERICAN, 2.83 PERCENT TWO OR MORE RACES, 0.36 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.03 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE WHITE POPULATION IS THE LARGEST GROUP. WHEN COMPARED TO COOK COUNTY, ADVOCATE LUTHERAN GENERAL SERVES A LARGER ASIAN POPULATION (7.59 PERCENT) AND A LOWER AFRICAN AMERICAN POPULATION (2.45 PERCENT). THE LARGEST ASIAN POPULATED COMMUNITIES IN THE PSA ARE 60076 SKOKIE (29.10 PERCENT), 60077 SKOKIE (32.61 PERCENT) AND 60016 DES PLAINES (22.22 PERCENT). FOR THE AFRICAN AMERICAN POPULATION, THE LARGEST COMMUNITIES ARE 60076 SKOKIE (8.17 PERCENT), 60707 ELMWOOD PARK (8.11 PERCENT) AND 60077 SKOKIE (7.46 PERCENT). COMMUNITIES WITH DUAL ZIP CODES WITHIN THE PSA ARE SKOKIE, DES PLAINES, ARLINGTON HEIGHTS, PALATINE, HARWOOD HEIGHTS AND GLENVIEW.THE MAJORITY OF THE HOSPITAL'S PSA HAS COMMERCIAL HEALTH INSURANCE WITH 60 PERCENT OF THE POPULATION, FOLLOWED BY MEDICARE AT 25 PERCENT, FOLLOWED BY MEDICAID AT 6 PERCENT. THE PERCENTAGE OF UNINSURED INDIVIDUALS IN THE PSA IS THREE-POINT-FIVE PERCENT.LANGUAGE. THE DOMINANT LANGUAGE SPOKEN AT HOME IN THE ADVOCATE LUTHERAN GENERAL PSA POPULATION AGE 5 YEARS AND OLDER IS ENGLISH. FIFTY-SIX PERCENT OF THE POPULATION IN THE PSA SPEAK ENGLISH, LOWER THAN COOK COUNTY (64.94 PERCENT) AND ILLINOIS (77.20 PERCENT). ADVOCATE LUTHERAN GENERAL SERVES A LARGER INDO-EUROPEAN SPEAKING POPULATION (18.68 PERCENT) WHEN COMPARED TO COOK COUNTY (8.45 PERCENT) AND ILLINOIS (5.49 PERCENT). ACCORDING TO THE U.S CENSUS BUREAU, INDO-EUROPEAN LANGUAGES INCLUDE POLISH, RUSSIAN, FRENCH, ITALIAN, GERMAN, GREEK, YIDDISH, PORTUGUESE, HINDI, GUJARATI AND MORE. THE THIRD LARGEST LANGUAGE WITHIN THE PSA IS SPANISH AT 15.63 PERCENT. WHEN CONSIDERING THE TOTAL HISPANIC/LATINO POPULATION (20.12 PERCENT) IN THE PSA, THE PERCENT OF THE POPULATION SPEAKING SPANISH AT HOME IN ALMOST 5 PERCENT LOWER. ECONOMICS. THE MEDIAN HOUSEHOLD INCOME FOR THE OVERALL PSA IS $85,370, WHICH IS SIGNIFICANTLY HIGHER WHEN COMPARED TO THE ILLINOIS VALUE ($66,487). THE ASIAN POPULATION IS THE HIGHEST EARNING RACIAL AND ETHNIC GROUP WITH A MEDIAN INCOME OF $100,618. THE SECOND HIGHEST EARNING RACIAL GROUP IS THE WHITE POPULATION, WITH A MEDIAN INCOME OF $87,015WHICH IS HIGHER WHEN COMPARED TO THE OVERALL WHITE POPULATION IN ILLINOIS ($71,965). THE LOWEST EARNING GROUP IS AMERICAN INDIAN/ALASKAN NATIVE. THE TOP THREE COMMUNITIES WITH THE LOWEST MEDIAN INCOME ARE 60707 ELMWOOD PARK ($55,566), 60641 IRVING PARK ($56,488) AND 60714 NILES ($58,298). CONVERSELY, 60015 DEERFIELD ($141,268), 60047 LAKE ZURICH ($132,803) AND 60087 BUFFALO GROVE ($106,630) ARE THE TOP THREE COMMUNITIES WITH THE HIGHEST MEDIAN INCOME.POVERTY. OF THE 403,196 HOUSEHOLDS IN THE PSA, 8.2 PERCENT OF PEOPLE ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, EQUIVALENT TO 33,062 FAMILIES. IN THE PSA, NO COMMUNITIES ARE IN THE WORST 25TH PERCENTILEMEANING THAT NO COMMUNITIES HAVE RATES HIGHER THAN 16.2 PERCENT. HOWEVER, THE TOP THREE COMMUNITIES IN THE PSA ARE 60018 DES PLAINES (14.2 PERCENT), 60074 PALATINE (13.7 PERCENT) AND BOTH 60641 IRVING PARK AND 60077 SKOKIE HAVE A RATE OF 13.3 PERCENT.FOR PEOPLE 65+ YEARS LIVING BELOW THE POVERTY LEVEL (2007 TO 2017), THE PERCENTAGE RATE INCREASED BY 1.2 PERCENT. COMMUNITIES WITH THE HIGHEST RATES OF POVERTY AMONG THOSE AGED 65 AND OLDER INCLUDE: 60077 SKOKIE (14.7 PERCENT), 60641 IRVING PARK (13.4 PERCENT), 60706 HARWOOD HEIGHTS (13.2 PERCENT), 60074 PALATINE (12.5 PERCENT), 60005 ARLINGTON HEIGHTS (12 PERCENT), 60707 ELMWOOD PARK (11.6 PERCENT), 60016 DES PLAINES (11.3 PERCENT), 60646 FOREST GLEN (11 PERCENT) AND 60634 DUNNING AT 10.5 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2013-2017).EDUCATION. APPROXIMATELY 90.1 PERCENT OF ADULTS AGED 25 AND OLDER HAVE COMPLETED AT LEAST A HIGH SCHOOL DEGREE OR EQUIVALENT IN THE PSA. EDUCATIONAL ATTAINMENT IS HIGHER IN THE HOSPITAL'S PSA WHEN COMPARED TO THE ILLINOIS VALUE (88.6 PERCENT) AND THE U.S VALUE (87.3 PERCENT). EIGHT COMMUNITIES IN THE PSA HAVE AN 87.4 PERCENT RATE OR LOWER, WHICH PLACES THEM IN THE WORST 25TH PERCENTILE WHEN COMPARED TO OTHER ZIP CODES IN ILLINOIS. THE COMMUNITIES WITH THE LOWEST EDUCATIONAL ATTAINMENT ARE 60641, IRVING PARK AT 79.9 PERCENT AND 60018, DES PLAINES AT 80.6 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2013-2017). HEALTH CARE RESOURCES IN THE COMMUNITY. IN ADDITION TO ADVOCATE LUTHERAN GENERAL, THERE ARE SIX OTHER HOSPITALS, TWO FQHC'S AND THREE COMMUNITY CLINICS THAT SERVE ADVOCATE LUTHERAN'S PSA, INCLUDING AMITA PRESENCE HOLY FAMILY MEDICAL CENTER-HOSPITAL. AMITA HEALTH RESURRECTION MEDICAL CENTER-HOSPITAL, SHRINERS HOSPITAL FOR CHILDREN-HOSPITAL' NORTHSHORE UNIVERSITY HEALTH SYSTEM-GLENBROOK-HOSPITAL, CHICAGO BEHAVIORAL HOSPITAL-HOSPITAL, MARYVILLE CHILDREN'S HEALTHCARE CENTER-HOSPITAL, ACCESS GENESIS CENTER FOR HEALTH AND EMPOWERMENT-FQHC, OAK STREET HEALTH-MEDICARE CLINIC, OLD IRVING PARK CLINIC-COMMUNITY CLINIC. HEARTLAND HEALTH CENTER-FQHC, AND COOK COUNTY DEPARTMENT OF PUBLIC HEALTH-COMMUNITY CLINIC.
SCHEDULE H, PART VI, LINE 5- LUTHERAN GEN HOSP INCL LUTH GEN CHILDTHE ADVOCATE LUTHERAN GENERAL GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-THREE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S, THROUGH THE OFFICE OF MEDICAL EDUCATION, THE GRADUATE MEDICAL EDUCATION COMMITTEE AND THE CENTER FOR RESEARCH EDUCATION AND DEVELOPMENT, SUPPORT A SUBSTANTIAL ARRAY OF MEDICAL AND HEALTH PROFESSIONS EDUCATION. IN ADDITION TO AND IN ALIGNMENT WITH ITS MISSION, ADVOCATE LUTHERAN GENERAL PROVIDES CARE TO UNDERINSURED AND UNINSURED POPULATIONS IN THE COMMUNITY THROUGH ITS PROVISION OF CHARITY CARE. LUTHERAN GENERAL HOSPITAL ALSO ASSURES ENVIRONMENTAL RESPONSIVENESS, RESOURCE EFFICIENCY AND COMMUNITY SENSITIVITY THROUGH LEED DESIGNATION FOR THE HOSPITAL'S NEW BED TOWER AND ONGOING EDUCATIONAL ACTIVITIES. ADVOCATE LUTHERAN GENERAL'S AND ADVOCATE CHILDREN'S LEADERS ALSO ARE ACTIVELY INVOLVED IN THE COMMUNITY THROUGH REPRESENTATION AND/OR PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS, SUCH AS KIWANIS, ROTARY AND CHAMBERS OF COMMERCE, AND SERVE ON MULTIPLE BOARDS INCLUDING THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI), HAVE DREAMS (AUTISM), MARCH OF DIMES, HEALTHY SCHOOLS CAMPAIGN, PARTNERSHIP FOR RESILIENCE AND MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207.IN 2019, ADVOCATE CHILDREN'S CONTINUED TO OFFER ONE-ON-ONE CAR SEAT EDUCATION WITH THE FAMILY DETAILING THE IMPORTANCE OF PROPER CAR SEAT SAFETY. THIS ALSO INCLUDED ONE-ON-ONE CAR SEAT INSTALLATION EDUCATION WITH REQUIRED TEACH BACK BY THE FAMILY. THE CHILD REQUIRING A CAR SEAT IS EVALUATED FOR PROPER FIT IN THE CURRENT CAR SEAT. THE CAR SEAT IS ALSO INSPECTED FOR ANY DEFECTS AND IS THEN EVALUATED FOR COMPATIBILITY IN THE VEHICLE. ADVOCATE LUTHERAN GENERAL'S CARE MANAGEMENT DEPARTMENT PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION, WHO HAVE NO HOUSING RESOURCES. THE CARE MANAGEMENT/SOCIAL WORK DEPARTMENT MANAGES THE ADVOCATE LUTHERAN GENERAL CAROL STREET APARTMENTS WHICH ARE AVAILABLE FOR RENT ON A DAILY/WEEKLY/MONTHLY BASIS. LOCATED ON THE HOSPITALS CAMPUS, THESE APARTMENTS ARE AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR LGH AS WELL AS FOR PATIENTS THAT ARE ACTIVELY GETTING SERVICES ON CAMPUS, I.E. CHEMOTHERAPY, RADIATION, ETC. CHARITY IS GRANTED TO PATIENTS AND FAMILIES THAT DEMONSTRATE FINANCIAL HARDSHIP. AN ADDITIONAL BENEFIT IS THAT FOR THOSE THAT CAN AFFORD TO PAY, THE RENT CHARGED FOR THE APARTMENTS IS FAR BELOW THE COST OF HOTEL/MOTEL ACCOMMODATIONS IN THE PARK RIDGE AREA. IN 2019, EXPENSES FOR MAINTAINING THE APARTMENTS EXCEEDED REVENUE BY NEARLY $30K.IN ADDITION TO ALL PROGRAMS AND SERVICES LISTED EARLIER IN THIS DOCUMENT, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S HAVE CREATED, COLLABORATED WITH OR SUPPORTED NUMEROUS ADDITIONAL PROGRAMS INCLUDING THE FOLLOWING. MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207 SCHOOL-BASED HEALTH CENTER OLDER ADULT SERVICES (INCLUDING ADULT DAY CARE, ALZHEIMER'S CLASSES, HOME DELIVERED MEALS) DIABETES EDUCATION INTIMATE PARTNER VIOLENCE TASK FORCE (IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS) MELANOMA SKIN SCREENINGS PEDIATRIC CELIAC PROGRAM (FOCUSING ON CLINICAL SERVICES SUPPORT, EDUCATION AND COMMUNITY OUTREACH) DEVELOPMENTAL PEDIATRICS PROGRAM ADULT DOWN SYNDROME CENTER POLISH EARLY ALZHEIMER'S PROGRAM PROACTIVE KIDS WEIGHT MANAGEMENT PROGRAM (WAS AVAILABLE THROUGH 2016) CONTINUING EDUCATION SYMPOSIUM AND WORKSHOPS FOR SCHOOL NURSES PARENT WORKSHOPS, HEALTHY COOKING DEMONSTRATIONS AND CHILDREN'S HEALTHY EATING PROGRAMS PROVIDED AT PARTNER SCHOOL AND THE SCHOOL DISTRICT 63 EXPANDING LEARNING PROGRAM CHILDHOOD INJURY PREVENTION AND CHILD SAFETY SEAT PROGRAM CHILDREN'S HEALTH RESOURCE CENTER PROVIDING RELIABLE HEALTH INFO TO PARENTS; MATERIALS ON THE MOST COMMON DIAGNOSES /CONDITIONS/TREATMENTS ARE ALSO TRANSLATED INTO SPANISH, POLISH AND ARABIC.
SCHEDULE H, PART VI, LINE 4 - ADVOCATE GOOD SAMARITAN HOSPITALDESCRIPTION OF COMMUNITY/POPULATION. ADVOCATE GOOD SAMARITAN DEFINED ITS COMMUNITY AS DUPAGE COUNTY FOR THE 2017-2019 CHNA. IN PARTNERSHIP WITH THE DUPAGE COUNTY HEALTH DEPARTMENT AND ALONG WITH DUPAGE COUNTY HOSPITALS AND COMMUNITY ORGANIZATIONS, ADVOCATE GOOD SAMARITAN CONDUCTED A JOINT CHNA FOR DUPAGE COUNTY, WHICH INCLUDES 36 ZIP CODES AND 31 COMMUNITIES. THE DUPAGE COUNTY COMMUNITIES INCLUDE ZIP CODES 60101 (ADDISON), 60504 (AURORA), 60502 (AURORA), 60103 (BARTLETT), 60106 (BENSENVILLE), 60108 (BLOOMINGDALE), 60527 (BURR RIDGE), 60188 (CAROL STREAM), 60514 (CLARENDON HILLS), 60561 (DARIEN), 60515 (DOWNERS GROVE), 60516 (DOWNERS GROVE), 60126 (ELMHURST), 60519 (EOLA), 60137 (GLEN ELLYN), 60139 (GLENDALE HEIGHTS), 60521 (HINSDALE), 60143 (ITASCA), 60532 (LISLE), 60148 (LOMBARD), 60157 (MEDINAH), 60540 (NAPERVILLE), 60565 (NAPERVILLE), 60563 (NAPERVILLE), 60523 (OAK BROOK), 60172 (ROSELLE), 60181 (VILLA PARK), 60555 (WARRENVILLE), 60184 (WAYNE), 60185 (WEST CHICAGO), 60559 (WESTMONT), 60187 (WHEATON), 60189 (WHEATON), 60190 (WINFIELD), 60191 (WOOD DALE), 60517 (WOODRIDGE). THE TOTAL POPULATION FOR DUPAGE COUNTY IS 929,026 (HEALTHY COMMUNITIES INSTITUTE, 2018). ADVOCATE GOOD SAMARITAN ALSO CONDUCTED A SUPPLEMENTAL CHNA FOR TWO COMMUNITIES WITHIN THE HOSPITAL'S PSA BUT OUTSIDE OF DUPAGE COUNTY. THE COMMUNITIES INCLUDE BOLINGBROOK (60440) AND ROMEOVILLE (60446), WHICH ARE HIGH SOCIONEED COMMUNITIES IN WILL COUNTY. THE TOTAL POPULATION FOR BOTH COMMUNITIES 93,181 PERSONS WITH 41,410 IN ROMEOVILLE AND 51,771 IN BOLINGBROOK. THE SUPPLEMENTAL CHNA IS INCLUDED IN THE APPENDIX OF THE DUPAGE COUNTY CHNA AND INCLUDES DEMOGRAPHIC AND SOCIOECONOMIC DATA. THE DUPAGE COUNTY CHNA CAN BE VIEWED AT: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/GOOD-SAMARITAN-HOSPITAL/0715_GSAM_CHNA_F_1_14_2020-(LR).PDFSOCIAL DETERMINANTS OF HEALTH (SDOH). THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE INDICATOR THAT IS A MEASURE OF SOCIOECONOMIC NEED, CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE FROM EACH OF THE FOLLOWING TOPICS: POVERTY, INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION AND LANGUAGE. THE INDICATORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES, AND COUNTY EQUIVALENTS IN THE UNITED STATES ARE GIVEN AN INDEX VALUE FROM 0 (LOW NEED) TO 100 (HIGH NEED). TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM ONE (LOW NEED) TO FIVE (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS. THESE RANKS ARE THEN USED TO COLOR THE ZIP CODES WITH THE HIGHEST SOCIONEEDS INDICES WITH THE DARKER COLORS. THE HOSPITAL HAS SEVERAL COMMUNITIES WITHIN THE PRIMARY SERVICE AREA THAT HAVE GREATER SOCIOECONOMIC NEEDS COMPARED TO OTHER COMMUNITIES IN THE PRIMARY SERVICE AREA (PSA). ADDISON, GLENDALE HEIGHTS AND BENSENVILLE ARE DUPAGE COUNTY'S HIGHEST NEED COMMUNITIES.DEMOGRAPHICSAGE. TWENTY-THREE PERCENT OF THE DUPAGE COUNTY POPULATION IS UNDER THE AGE OF 18, WHILE 9.3 PERCENT OF THE POPULATION IS BETWEEN THE AGES OF 18 AND 24. THE LARGEST AGE GROUP IN THE COUNTY IS THE 25-64 YEAR OLD AGE GROUP, WITH A POPULATION OF 53.01 PERCENT. THE THIRD LARGEST AGE GROUP IS THE SENIOR POPULATION (65 YEARS AND OLDER) AT 17 PERCENT. THE LIFE EXPECTANCY FOR THE COUNTY IS 82.5 YEARS, WHICH IS HIGHER THAN THE STATE OF ILLINOIS AT 79.2 YEARS AND THE U.S. AT 79.1 YEARS OF AGE.RACE/ETHNICITY. DEMOGRAPHIC DATA SHOWS THAT THE RACE/ETHNICITY OF DUPAGE COUNTY IS 74.7 PERCENT WHITE, WHICH IS THE LARGEST RACIAL GROUP FOLLOWED BY THE ASIAN POPULATION AT 11.68 PERCENT, THE "OTHER" POPULATION AT 5.45 PERCENT, THE BLACK/AFRICAN AMERICAN POPULATION AT 5.22 PERCENT, TWO OR MORE RACES AT 2.6 PERCENT, AMERICAN INDIAN/ALASKAN NATIVE AT 0.3 PERCENT AND THE NATIVE HAWAIIAN/PACIFIC ISLANDER POPULATION AT 0.04 PERCENT. THE ETHNIC MAKE-UP OF THE COUNTY'S HISPANIC/LATINO POPULATION IS 15 PERCENT HISPANIC/LATINO AND 85 PERCENT NON-HISPANIC/LATINO.INCOME. DUPAGE COUNTY HAS 345,205 HOUSEHOLDS AND 242,654 FAMILIES. THE AVERAGE HOUSEHOLD SIZE IS 2.66 PERSONS AND 35.42 PERCENT OF HOUSEHOLDS HAVE CHILDREN. IN ADDITION, 25 PERCENT OF THOSE AGED 65 AND OLDER IN DUPAGE COUNTY LIVE ALONE. THE MEDIAN HOUSEHOLD INCOME IN DUPAGE COUNTY IS $88,988, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE'S MEDIAN HOUSEHOLD INCOME AT $64,872. THE NUMBER OF FAMILIES LIVING BELOW THE POVERTY LEVEL IS 11,982, WHICH ACCOUNTS FOR FIVE PERCENT OF FAMILIES IN DUPAGE COUNTY. IN ADDITION, THERE ARE 9,162 FAMILIES WITH CHILDREN THAT LIVE BELOW THE POVERTY LEVEL, WHICH ACCOUNTS FOR 3.9 PERCENT OF FAMILIES WITH CHILDREN. THERE IS A LARGE RACIAL DISPARITY IN THE MEDIAN HOUSEHOLD INCOME WITH THE WHITE AND ASIAN POPULATIONS HAVING THE HIGHEST HOUSEHOLD INCOMES AND THE AFRICAN AMERICAN, "OTHER AND AMERICAN INDIAN/ALASKAN NATIVE POPULATIONS HAVING THE LOWEST MEDIAN HOUSEHOLD INCOMES. THE LARGE ETHNIC DISPARITY IN HOUSEHOLD INCOME CONTINUES TO GROW IN DUPAGE COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR THE NON-HISPANIC/LATINO POPULATION IS $92,580 WHILE THE HISPANIC/LATINO POPULATION HAS A MEDIAN HOUSEHOLD INCOME OF $64,599. HEALTH INSURANCE. DUPAGE COUNTY ADULTS WITH HEALTH INSURANCE ACCOUNT FOR 92.6 PERCENT OF THE ADULT POPULATION, WHICH IS HIGHER THAN THE STATE OF ILLINOIS AT 90.2 PERCENT AND THE U.S. AT 87.7 PERCENT. THERE IS A RACIAL/ETHNIC DISPARITY IN THE RATES OF HEALTH INSURANCE AMONG ADULTS WITH THE WHITE POPULATION HAVING THE HIGHEST COVERAGE RATES AT 95.1 PERCENT COMPARED TO THE HISPANIC/LATINO POPULATION AT 80.3 PERCENT. DUPAGE COUNTY CHILDREN WITH HEALTH INSURANCE ACCOUNT FOR 96.3 PERCENT OF THE POPULATION AMONG THOSE AGED 18 YEARS AND YOUNGER, WHICH IS SLIGHTLY LOWER THAN THE STATE OF ILLINOIS AT 97.1 PERCENT AND SLIGHTLY MORE THAN THE U.S. AT 95 PERCENT. THERE IS A RACIAL DISPARITY IN INSURANCE RATES AMONG CHILDREN IN DUPAGE COUNTY WITH 98 PERCENT OF WHITE NON-HISPANIC CHILDREN HAVING HEALTH INSURANCE AND ONLY 88.4 PERCENT OF AFRICAN AMERICAN CHILDREN HAVING HEALTH INSURANCE. PERSONS WITH PRIVATE HEALTH INSURANCE ACCOUNT FOR 70.1 PERCENT OF THE POPULATION, WHICH IS HIGH COMPARED TO THE STATE OF ILLINOIS AT 59 PERCENT AND THE U.S. AT 55.8 PERCENT. PUBLIC HEALTH INSURANCE COVERS 14.1 PERCENT OF THE POPULATION IN DUPAGE COUNTY, WHICH IS LESS THAN THE STATE OF ILLINOIS AT 23.3 PERCENT AND THE U.S. AT 23.6.EMPLOYMENT. THE UNEMPLOYMENT RATE AMONG DUPAGE COUNTY RESIDENTS 16 YEARS AND OLDER IS FIVE PERCENT, WHICH IS LOWER COMPARED TO THE STATE OF ILLINOIS AT 7.55 PERCENT. THE TOP FIELDS OF EMPLOYMENT IN THE COUNTY INCLUDE HEALTHCARE, MANUFACTURING, RETAIL TRADE AND EDUCATIONAL SERVICES. DUPAGE COUNTY EDUCATIONAL ATTAINMENT DATA WAS ALSO REVIEWED AND ANALYZED TO GAIN AN IN-DEPTH UNDERSTANDING OF EDUCATIONAL LEVELS ACROSS THE COUNTY. THE PERCENT OF INDIVIDUALS IN DUPAGE COUNTY WITH A BACHELORS, GRADUATE AND/OR A PROFESSIONAL DEGREE IS LARGER COMPARED TO THE STATE OF ILLINOIS.HOSPITALS AND HEALTH RESOURCES. THERE ARE FIVE HOSPITALS IN ADDITION TO ADVOCATE GOOD SAMARITAN LOCATED IN THE PSA, INCLUDING EDWARD HOSPITAL IN NAPERVILLE, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE IN HINSDALE, AMITA HEALTH ADVENTIST MEDICAL CENTER BOLINGBROOK IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THE DUPAGE COUNTY HEALTH DEPARTMENT, AS WELL AS THE ACCESS COMMUNITY HEALTH NETWORK, WHICH IS A FQHC, PROVIDE HEALTH CARE PRIMARILY FOR LOW-INCOME AND UNINSURED PATIENTS. IN ADDITION, THE DUPAGE HEALTH COALITION/ACCESS DUPAGE, A COLLABORATIVE EFFORT BY HUNDREDS OF INDIVIDUALS AND ORGANIZATIONS IN DUPAGE COUNTY, ALSO PROVIDES A MOSAIC APPROACH TO PROVIDING ACCESS TO MEDICAL SERVICES FOR THE COUNTY'S LOW-INCOME AND MEDICALLY UNINSURED RESIDENTS. IT REPRESENTS A UNIQUE PARTNERSHIP OF COUNTY HOSPITALS (INCLUDING ADVOCATE GOOD SAMARITAN), PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICE AGENCIES, AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS THIS FORMIDABLE ISSUE.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE GOOD SAMARITAN HOSPITALTHE ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-THREE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SAMARITAN IS ONE OF FOUR RESOURCE HOSPITALS WITHIN EMERGENCY MEDICAL SERVICES (EMS) REGION 8. THE HOSPITAL PROVIDES KEY LEADERSHIP TO THE REGION EMS PROGRAM THROUGH EXECUTING TABLETOP, FUNCTIONAL AND FULL-SCALE EXERCISES TO ADDRESS THE RISKS IN THE AGENCY SPECIFIC TO HAZARD VULNERABILITY ANALYSIS (HVA). THESE EXERCISES, COMPLETED IN CONJUNCTION WITH STATE, COUNTY AND COMMUNITY PARTNERS, IMPROVE THE THOROUGHNESS AND EFFICIENCY OF THE REGION 8 EMERGENCY PREPAREDNESS PLAN.ADVOCATE GOOD SAMARITAN IS PARTNERING WITH GATEWAY FOUNDATION TO OFFER RECOVERY SUPPORT SERVICES TO THE SUBSTANCE USE DISORDER POPULATION IN THE EMERGENCY DEPARTMENT (ED). THROUGH THE OPIOID STATE TARGETED RESPONSE (STR) GRANT, GATEWAY HAS BEEN ABLE TO PROVIDE THE ED WITH BOTH AN ENGAGEMENT AND A RECOVERY SUPPORT SPECIALIST WITH CLINICAL EXPERTISE IN ADDICTION. THE SPECIALISTS KNOW THE APPROPRIATE ROUTE TO TAKE IN ORDER TO FACILITATE TREATMENT AND TO NAVIGATE THE TREATMENT OPTIONS AVAILABLE. THE OPIOID STR GRANT FOCUSES ON AREAS OF HIGH RISK/NEED AND, ONCE ESTABLISHED, THE PROGRAM PROVIDES ORGANIZATIONS, SUCH AS GATEWAY, WITH THE TOOLS TO BE ABLE TO INCREASE ACCESS TO TREATMENT, REDUCE UNMET NEEDS, AID IN THE OVERALL REDUCTION OF OPIOID OVERDOSE RATES AND PROVIDE BETTER OUTCOMES. ADVOCATE GOOD SAMARITAN ALSO PARTNERS WITH NAMI DUPAGE (NATIONAL ASSOCIATION ON MENTAL ILLNESS) TO PROVIDE PEER SUPPORT TO PATIENTS ADMITTED TO THE ED DUE TO MENTAL HEALTH ISSUES AND EMERGENCIES. NAMI PLACES A PEER SUPPORT RECOVERY SPECIALIST IN THE HOSPITAL'S ED TO ASSESS PATIENTS AND PROVIDE SUPPORT AROUND CONNECTING PATIENTS TO BEHAVIORAL HEALTH PROGRAMS AND SERVICES IN THE COMMUNITY. THE GOAL OF THIS PROGRAM IS TO IMPROVE MANAGEMENT OF MENTAL HEALTH ISSUES AND TO PREVENT ED VISITS DUE TO MENTAL HEALTH EMERGENCIES.ADVOCATE GOOD SAMARITAN ALSO SUPPORTED DUPAGE PADS THROUGH PROVIDING LAUNDRY SERVICES FOR CONGREGATE SHELTERS IN DUPAGE COUNTY. IN 2019, ADVOCATE GOOD SAMARITAN WASHED OVER 15,000 POUNDS OF DUPAGE PADS LINENS FOR DUPAGE COUNTY'S HOMELESS INDIVIDUALS AND FAMILIES.PROVIDING QUALITY CARE UTILIZING THE MOST UP-TO-DATE MEDICAL EQUIPMENT IS OF THE UPMOST IMPORTANCE TO THE HOSPITAL. IN 2019, ADVOCATE GOOD SAMARITAN PURCHASED A STATE-OF-THE-ART 256 CT SCANNER FOR $94,800 WHICH ENABLES THE HOSPITAL TO CONTINUE BEING A SAFE CLINICAL ENTERPRISE WHILE PROVIDING EXCELLENT CARE.THE HOSPITAL ALSO DEDICATED $2,613,555 TO CAPITAL IMPROVEMENTS FOR THE BEHAVIORAL HEALTH UNIT, WHICH PROVIDES CRITICAL CARE TO PATIENTS WITH MENTAL HEALTH ISSUES AND SUBSTANCE USE DISORDER. TO ENSURE SAFE QUALITY CARE, THE HOSPITAL WILL CONTINUE TO INVEST IN CAPITAL IMPROVEMENTS FOR ITS BEHAVIORAL HEALTH UNIT
SCHEDULE H, PART VI, LINE 4 - ADVOCATE GOOD SHEPHERD HOSPITALDESCRIPTION OF THE COMMUNITY. FOR THE PURPOSE OF THIS 2017-2019 CHNA, ADVOCATE GOOD SHEPHERD DEFINES COMMUNITY AS THE HOSPITAL'S PSA. THE PSA INCLUDES COMMUNITIES IN MCHENRY COUNTY AND LAKE COUNTY AND A SMALL PORTION OF BARRINGTON WHICH LIES IN COOK COUNTY. THE PSA INCLUDES THE FOLLOWING VILLAGES AND CITIES: BARRINGTON (ZIP CODE 60010), CRYSTAL LAKE (60014), LAKE ZURICH (60047), CARY (60013), FOX RIVER GROVE (60021), ISLAND LAKE (60042), WAUCONDA (60084), MCHENRY (60050, 60051), ALGONQUIN (60102), AND LAKE IN THE HILLS (60156).SOCIAL DETERMINANTS OF HEALTH (SDOH). SOCIAL DETERMINANTS OF HEALTH ARE CONDITIONS IN THE PLACES WHERE PEOPLE LIVE, LEARN, WORK AND PLAY. THESE CONDITIONS AFFECT A WIDE RANGE OF HEALTH RISKS AND OUTCOMES (CENTERS FOR DISEASE CONTROL AND PREVENTION, 2018). THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE (CONDUENT HCI) INDICATOR THAT IS A MEASURE OF SOCIOECONOMIC NEED, CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE EACH FROM THE FOLLOWING TOPICS: POVERTY, INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION AND LANGUAGEALL SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL HAS SEVERAL COMMUNITIES WITHIN THE PSA THAT HAVE GREATER SOCIOECONOMIC NEEDS, WITH A HIGHER SOCIONEEDS INDEX RANKING COMPARED TO OTHER COMMUNITIES IN THE PSA. THE COMMUNITIES OF MCHENRY (ZIP CODE 60050) AND ISLAND LAKE (ZIP CODE 60042) ARE THE HIGHEST NEED COMMUNITIES IN THE PSA. THIS MEANS GENERALLY THAT THE RESIDENTS OF THESE COMMUNITIES HAVE HIGHER RATES OF POVERTY AND UNEMPLOYMENT, LOWER EDUCATION LEVELS AND A HIGHER PERCENTAGE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME.DEMOGRAPHICSPOPULATION. ADVOCATE GOOD SHEPHERD'S PSA POPULATION IS 309,765. THE PSA EXPERIENCED SLOW POPULATION GROWTH OF 0.59 PERCENT FROM 2010 TO 2019. SIX COMMUNITIES EXPERIENCED AN INCREASE IN POPULATION FROM 2010 TO 2019 (MCHENRYBOTH ZIP CODES, LAKE IN THE HILLS, BARRINGTON, LAKE ZURICH AND WAUCONDA) WHILE THE OTHER FIVE HAD A DECREASE IN POPULATION (FOX RIVER GROVE, CRYSTAL LAKE, ALGONQUIN, ISLAND LAKE AND CARY). GENDER/AGE. A TOTAL OF 49.6 PERCENT OF THE PSA RESIDENTS ARE MALE AND 50.4 PERCENT ARE FEMALE. THE MEDIAN AGE OF ALL RESIDENTS IN THE PSA IS 41.68 YEARS; THE MEDIAN AGE FOR FEMALES IS 42.83 YEARS AND 40.45 YEARS FOR MALES. THE PSA MEDIAN AGE HAS INCREASED BY 0.7 YEARS SINCE THE 2016 CHNA. RACE/ETHNICITY. THE POPULATION OF THE HOSPITAL'S PSA IS 86.6 PERCENT WHITE, 5.8 PERCENT ASIAN AND 1.5 PERCENT AFRICAN AMERICAN. NINETY PERCENT OF RESIDENTS ARE NON-HISPANIC, AND 10.4 PERCENT ARE OF HISPANIC ETHNICITY. THE ZIP CODES IN THE HOSPITAL'S PSA WITH THE HIGHEST PERCENT OF HISPANIC RESIDENTS ARE WAUCONDA (19.8 PERCENT), ISLAND LAKE (17.9 PERCENT), MCHENRY (14.6 PERCENT), LAKE IN THE HILLS (13.8 PERCENT) AND CRYSTAL LAKE (13.5 PERCENT).LANGUAGE. A TOTAL OF 83.4 PERCENT OF PSA RESIDENTS AGES 5 AND OLDER SPEAK ONLY ENGLISH AT HOME, WHICH IS HIGHER THAN THE PERCENTAGE FOR ILLINOIS OF 77.2 PERCENT WHO SPEAK ONLY ENGLISH AT HOME. A TOTAL OF 16.6 PERCENT OF PSA RESIDENTS SPEAK OTHER LANGUAGES AT HOME. THE MOST COMMON OTHER LANGUAGE SPOKEN AT HOME IS SPANISH (7.43 PERCENT) WHICH IS MUCH LOWER THAN THE RATE FOR THE STATE (13.37 PERCENT). THE PERCENTAGE OF PSA RESIDENTS WHO SPEAK INDO-EUROPEAN LANGUAGES OF 6.01 PERCENT IS VERY SIMILAR TO THE STATE RATE OF 5.49 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).ECONOMICS. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA POPULATION IS $104,718. THE GROUP WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME IS ASIAN AT $151,905 AND THE LOWEST IS AMERICAN INDIAN/ PACIFIC ISLANDER AT $42,405.NON-HISPANICS HAVE A HIGHER MEDIAN HOUSEHOLD INCOME AT $107,714 THAN HISPANICS AT $68,679. THE COMMUNITIES WITHIN THE HOSPITAL'S PSA WITH THE LOWEST MEDIAN HOUSEHOLD INCOME ARE MCHENRY ($72,495), ISLAND LAKE ($80,515), CRYSTAL LAKE ($91,895) AND WAUCONDA ($94,353). EMPLOYMENT. THE UNEMPLOYMENT RATE FOR THE HOSPITAL'S PSA IS 4.1 PERCENT, SLIGHTLY LOWER THAN THE ILLINOIS RATE AT 6.7 PERCENT. THE HIGHEST UNEMPLOYMENT RATES IN THE PSA ARE IN THE COMMUNITIES OF MCHENRY (60050) (4.4 PERCENT), ISLAND LAKE (60042) (4.7 PERCENT), WAUCONDA (60084) (5.2 PERCENT) AND MCHENRY (60051) (4.5 PERCENT). THE TOP THREE INDUSTRIES FOR EMPLOYED CIVILIANS (AGE 16 AND OLDER) FOR THE PSA ARE TOTAL MANUFACTURING (14.5 PERCENT), RETAIL TRADE (13.12 PERCENT) AND HEALTHCARE/SOCIAL ASSISTANCE (10.4 PERCENT) (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).POVERTY. IN ADVOCATE GOOD SHEPHERD'S PSA, 5.4 PERCENT OF PEOPLE ARE LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL). SIXTY-SEVEN PERCENT OF CHILDREN AND 4.8 PERCENT OF ADULTS AGE 65 AND OLDER ARE LIVING BELOW THE FPL. IN LAKE COUNTY, 13.8 PERCENT OF PERSONS WITH A DISABILITY ARE LIVING IN POVERTY AND THE RATE IS 13.3 PERCENT FOR PERSONS WITH A DISABILITY IN MCHENRY COUNTY. THERE ARE 3,469 FAMILIES (4.1 PERCENT OF TOTAL FAMILIES) IN THE HOSPITAL'S PSA THAT ARE LIVING BELOW THE FPL. ADDITIONALLY, 2,575 FAMILIES WITH CHILDREN (THREE PERCENT OF ALL FAMILIES WITH CHILDREN) IN THE PSA ARE LIVING BELOW THE FPL. THE ZIP CODES WITH THE HIGHEST PERCENT OF FAMILIES LIVING BELOW THE POVERTY LEVEL ARE CARY (60013) (6.4 PERCENT), ISLAND LAKE (60042) (5.5 PERCENT), MCHENRY (60051) (5.4 PERCENT) AND MCHENRY (60050) (5.3 PERCENT). THE ZIP CODES WITH THE HIGHEST PERCENT OF FAMILIES WITH CHILDREN LIVING BELOW THE POVERTY LEVEL ARE: CARY (60013) (4.7 PERCENT), MCHENRY (60050) (4.4 PERCENT), MCHENRY (60051) (3.9 PERCENT) AND ISLAND LAKE (60042) (3.8 PERCENT).MEDICAID/UNINSURED. IN THE ADVOCATE GOOD SHEPHERD PSA, 4.7 PERCENT OF HOUSEHOLDS ARE ESTIMATED TO BE COVERED BY MEDICAID AND 4.3 PERCENT OF ALL HOUSEHOLDS IN THE PSA ARE ESTIMATED TO BE UNINSURED. IN 2019, 5.97 PERCENT OF THE PATIENTS WERE COVERED BY MEDICAID/MANAGED CARE MEDICAID AND 1.35 PERCENT WERE UNINSURED AT ADVOCATE GOOD SHEPHERD. HEALTHCARE RESOURCES IN THE DEFINED COMMUNITY. THERE ARE TWO OTHER HOSPITALS IN THE ADVOCATE GOOD SHEPHERD PSA , INCLUDING NORTHWESTERN MEDICINE HOSPITAL IN HUNTLEY AND NORTHWESTERN MEDICINE HOSPITAL IN MCHENRY. IN LAKE COUNTY, THERE ARE FOUR DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS)ONE FOR THE NORTH CHICAGO SERVICE AREA, ONE FOR THE WAUKEGAN SERVICE AREA, ONE FOR THE ZION SERVICE AREA AND ONE FOR THE HIGHLAND PARK/HIGHWOOD SERVICE AREA. IN MCHENRY COUNTY, THERE IS ONE MEDICALLY UNDERSERVED POPULATION (MUP) FOR THE POVERTY POPULATION OF WOODSTOCK. THERE ARE NO FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN THE ADVOCATE GOOD SHEPHERD PSA, BUT THERE IS ONE FREE CLINICFAMILY HEALTH PARTNERSHIP CLINIC IN CRYSTAL LAKE.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE GOOD SHEPHERD HOSPITALAS INDICATED EARLIER, THE ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL IS COMPRISED OF 18 MEMBERS, REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS. MEMBERS COME FROM THE FIELDS OF EDUCATION, MANUFACTURING, PHILANTHROPY, FAITH COMMUNITIES, MARKETING, FINANCIAL INDUSTRY, PRIMARY CARE AND SUBSPECIALTY HEALTH CARE. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SHEPHERD DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE ADVOCATE GOOD SHEPHERD PRESIDENT SERVES ON THE BOARD OF THE BARRINGTON AREA COMMUNITY FOUNDATION AND THE SENIOR SERVICES COORDINATOR SERVES ON THE BOARD OF THE FAMILY HEALTH PARTNERSHIP CLINIC, A FREE CLINIC SERVING UNINSURED RESIDENTS OF THE SERVICE AREA. THE DIRECTOR OF COMMUNITY HEALTH REPRESENTS THE HOSPITAL ON THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, WHICH FOCUS ON ISSUES OF SUBSTANCE ABUSE PREVENTION AND TREATMENT IN THE SERVICE AREA. THE COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE LIVE WELL LAKE COUNTY STEERING COMMITTEE, WHICH PROVIDES OVERSIGHT TO THE IMPLEMENTATION OF THE LAKE COUNTY HEALTH DEPARTMENT STRATEGIC PLAN. BOTH THE COMMUNITY HEALTH DIRECTOR AND COMMUNITY HEALTH COORDINATOR SIT ON THE MCHENRY COUNTY HEALTH COALITION, ALONG WITH REPRESENTATIVES FROM NORTHWESTERN MEDICINE AND THE MCHENRY COUNTY MENTAL HEALTH BOARD, TO PROVIDE OVERSIGHT OF THE MCHENRY COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH DIRECTOR, COMMUNITY HEALTH COORDINATOR AND THE DIRECTOR OF COMMUNITY RELATIONS SIT ON THE HEALTHIER BARRINGTON COALITION, A COMMITTEE OF ELECTED OFFICIALS, BUSINESS LEADERS, SOCIAL SERVICE, MENTAL HEALTH AND MEDICAL PROVIDERS FOCUSED ON IMPROVING THE HEALTH OF THE BARRINGTON AREA. THE COMMUNITY HEALTH COORDINATOR SITS ON THE WAUCONDA UNITED HEALTH PARTNERSHIP, A COALITION ADDRESSING THE HEALTH AND COMMUNITY DEVELOPMENT NEEDS OF THE WAUCONDA AREA. IN ADDITION, THE HOSPITAL ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO PARTNERS, SUCH AS THE PIONEER CENTER AND FAMILY HEALTH PARTNERSHIP CLINIC, TO FURTHER THE HEALTH OF THE COMMUNITY, INCLUDING THE DONATION OF MEDICAL SUPPLIES, THROUGH COMMUNITY ORGANIZATIONS.
SCHEDULE H, PART VI, LINE 2 - ADVOCATE SOUTH SUBURBAN HOSPITALTIMELINE. THE CHNA WAS CONDUCTED USING A MIXED METHODS APPROACH WHICH INCLUDED THE COLLECTION AND REVIEW OF SECONDARY DATA FROM EXISTING SOURCES AND PRIMARY DATA FROM BOTH QUALITATIVE (SURVEY) AND QUANTITATIVE METHODS (FOCUS GROUPS). THE METHODOLOGY INVOLVED THREE COMPONENTS: 1) USE OF PRIMARY DATA COLLECTED THROUGH THE ALLIANCE (FEBRUARY 2018-MARCH 2019); 2) USE OF THE CONDUENT HEALTHY COMMUNITIES INSTITUTE'S PLATFORM TO REVIEW PSA, COUNTY, STATE AND ZIP CODE DATA (MARCH 2016-AUGUST 2019); AND 3) USE OF OTHER NATIONAL AND LOCAL DATA (JANUARY 2019AUGUST 2019).COLLABORATIVE ASSESSMENT MODEL AND PROCESS. THE ALLIANCE COMPLETED A COLLABORATIVE CHNA BETWEEN MARCH 2018 AND MARCH 2019. PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. IPHI WORKED WITH THE CHNA COMMITTEE AND STEERING COMMITTEE OF THE ALLIANCE TO DESIGN AND FACILITATE A COLLABORATIVE, COMMUNITY-ENGAGED ASSESSMENT. PRIMARY DATA COLLECTION. MULTIPLE DATA COLLECTION STRATEGIES WERE EMPLOYED TO COLLECT DATA FOR THE ALLIANCE'S 20172019 CHNA. PRIMARY DATA COLLECTION FOR THE CHNA WAS CONDUCTED BY THE ALLIANCE AND COLLABORATIVE PARTNERS UTILIZING FOUR METHODS, INCLUDING COMMUNITY INPUT SURVEYS, COMMUNITY RESIDENT FOCUS GROUPS AND LEARNING MAP SESSIONS, HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS, AND TWO STAKEHOLDER ASSESSMENTS LED BY PARTNER HEALTH DEPARTMENTSFORCES OF CHANGE ASSESSMENT AND HEALTH EQUITY CAPACITY ASSESSMENT. COMMUNITY INPUT SURVEYS. ADVOCATE SOUTH SUBURBAN PARTNERED WITH THE ALLIANCE TO CONDUCT COMMUNITY INPUT SURVEYS IN THE PSA. BETWEEN OCTOBER 2018 AND FEBRUARY 2019, THE ALLIANCE DISTRIBUTED AND COLLECTED 5,934 COMMUNITY-WIDE INPUT SURVEYS FROM INDIVIDUALS AGED 18 YEARS OR OLDER LIVING IN CHICAGO AND SUBURBAN COOK COUNTY. THERE WERE 574 SURVEY RESPONSES COLLECTED FROM ADVOCATE SOUTH SUBURBAN'S PSA (EXHIBIT 22). THE SURVEYS WERE AVAILABLE ON PAPER AND ELECTRONICALLY, AND WERE DISSEMINATED IN ENGLISH, SPANISH, CHINESE, AND POLISH. THE SURVEYS INCLUDED QUESTIONS REGARDING THE HEALTH STATUS OF COMMUNITIES, COMMUNITY STRENGTHS, OPPORTUNITIES FOR IMPROVEMENT, AND PRIORITY HEALTH NEEDS. HOSPITALS (INCLUDING ADVOCATE SOUTH SUBURBAN), COMMUNITY-BASED ORGANIZATIONS, AND HEALTH DEPARTMENTS DISTRIBUTED THE SURVEYS WITH THE INTENTION OF GAINING INSIGHT FROM POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED IN ASSESSMENT PROCESSES. SOME OF THE UNDERREPRESENTED POPULATIONS INCLUDED COMMUNITIES OF COLOR, IMMIGRANTS, LGBTQ+ COMMUNITY MEMBERS, INDIVIDUALS WITH DISABILITIES, AND LOW-INCOME COMMUNITIES. THE INTENTION OF THE COMMUNITY INPUT SURVEY WAS TO COMPLEMENT EXISTING COMMUNITY HEALTH SURVEYS DISTRIBUTED THROUGHOUT CHICAGO AND SUBURBAN COOK COUNTY BY LOCAL HEALTH DEPARTMENTS. IPHI AND THE ALLIANCE'S CHNA COMMITTEE TOOK THE FOLLOWING STEPS TO DEVELOP THE SURVEY TOOL: 1) IPHI DRAFTED A SURVEY BASED ON REVIEW OF 13 EXAMPLE COMMUNITY INPUT SURVEYS; 2) CHNA COMMITTEE MEMBERS FROM HOSPITALS AND HEALTH DEPARTMENTS PROVIDED INPUT; 3) IPHI INCORPORATED REVISIONS FROM CHNA COMMITTEE MEMBERS AND THE UNIVERSITY OF ILLINOIS AT CHICAGO SURVEY RESEARCH LABORATORY; 4) IPHI MADE EDITS BASED ON A HEALTH LITERACY REVIEW; 5) IPHI AND TWO MEMBER HOSPITALS PILOTED THE SURVEY AT THREE COMMUNITY-BASED EVENTS; AND 6) IPHI MADE FINAL EDITS TO ADDRESS MINOR CHALLENGES IDENTIFIED AT THE PILOT EVENTS. THE FINAL SURVEY TOOL INCLUDED 16 QUESTIONSTHREE QUESTIONS RELATED TO ZIP CODE/COMMUNITY OF RESIDENCE, NINE DEMOGRAPHIC QUESTIONS, TWO MULTI-SELECT QUESTIONS ABOUT HEALTH PROBLEMS AND WHAT'S NEEDED FOR A HEALTHY COMMUNITY, AND TWO OPEN-ENDED QUESTIONS ABOUT COMMUNITY STRENGTHS AND IMPROVEMENTS NEEDED. PAPER SURVEYS WERE ENTERED INTO THE SURVEYGIZMO ONLINE PLATFORM SO THAT ELECTRONIC AND PAPER SURVEYS COULD BE ANALYZED TOGETHER. SURVEY DATA ANALYSIS WAS CONDUCTED USING SAS 9.4 STATISTICAL ANALYSIS SOFTWARE AND MICROSOFT EXCEL 2016.FOCUS GROUPS AND LEARNING MAP HOST ORGANIZATIONS. BETWEEN AUGUST 2018 AND FEBRUARY 2019, IPHI WORKED WITH THE ALLIANCE PARTNERS, INCLUDING ADVOCATE SOUTH SUBURBAN TO HOLD A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WITH PRIORITY POPULATIONS, SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA. THE COMMUNITY INPUT SESSIONS INCLUDED 31 FOCUS GROUPS CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS LED BY WEST SIDE UNITED WITH NOTETAKING BY IPHI.FOCUS GROUP FACILITATORS ASKED PARTICIPANTS ABOUT THE UNDERLYING ROOT CAUSES OF HEALTH ISSUES SEEN IN THEIR COMMUNITIES AND SPECIFIC STRATEGIES FOR ADDRESSING THOSE HEALTH NEEDS. IPHI DEVELOPED THE FOCUS GROUP QUESTIONS USING RESOURCES FROM EXISTING CHNA TOOLKITS AND PEER-REVIEWED STUDIES, IN CONSULTATION WITH THE ALLIANCE'S CHNA COMMITTEE AND COLLEAGUES AT PARTNER HEALTH DEPARTMENTS. EACH FOCUS GROUP WAS HOSTED BY A COMMUNITY-BASED ORGANIZATION OR HOSPITAL, AND PARTICIPATION RANGED FROM THREE TO FORTY PEOPLE. MOST FOCUS GROUPS WERE 90 MINUTES LONG WITH AN AVERAGE OF 10 PARTICIPANTS. COMMUNITY INPUT FROM ALL 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WAS COMBINED AND INCLUDED IN THE ALLIANCE'S ASSESSMENT, ALONG WITH INPUT FROM FIVE PROVIDER FOCUS GROUPS. SECONDARY DATA COLLECTION WAS CONDUCTED THROUGH THE USE OF SEVERAL PLATFORMS INCLUDING THE CONDUENT HEALTHY COMMUNITIES INSTITUTE. DETAILS REGARDING ADVOCATE SOUTH SUBURBAN'S 2017-2019 CHNA SECONDARY DATA SOURCES ARE LISTED BELOW.CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI). IN EARLY 2017, ADVOCATE HEALTH CARE SIGNED A SECOND THREE-YEAR CONTRACT WITH CONDUENT HCI TO CONTINUE TO PROVIDE AN INTERNET-BASED DATA RESOURCE FOR THEIR ELEVEN HOSPITALS DURING THE 2017-2019 CHNA CYCLE. THIS ROBUST PLATFORM OFFERED THE HOSPITALS 198 HEALTH AND DEMOGRAPHIC INDICATORS, INCLUDING 38 HOSPITALIZATION AND ED VISIT INDICATORS AT THE SERVICE AREA AND ZIP CODE LEVELS. UTILIZING THE ILLINOIS HOSPITAL ASSOCIATION COMPDATA, CONDUENT HCI WAS ABLE TO SUMMARIZE THE HOSPITALIZATION AND ED DATA FOR FIVE-TIME PERIODS FROM 2009-2017. THE CONDUENT HCI CONTRACT ALSO PROVIDED A WEALTH OF COUNTY AND ZIP CODE DATA COMPARISONS, A SOCIONEEDS INDEX VISUALIZING VULNERABLE POPULATIONS WITHIN SERVICE AREAS AND COUNTIES, A HEALTHY PEOPLE 2020 TRACKER AND A DATABASE OF PROMISING AND EVIDENCE-BASED INTERVENTIONS. CONDUENT HCI WAS A KEY SOURCE OF DATA FOR THE 2017-2019 CHNA. THIS SECONDARY DATA WAS CRUCIAL IN ANALYZING THE HOSPITAL'S PSA HEALTH NEEDS AS THE DATA BASE WAS THE ONLY SOURCE THAT PROVIDED SUCH AN EXTENSIVE AMOUNT OF DATA SPECIFIC TO THE 2017-2019 CHNA DEFINED COMMUNITY. ALL DATA COLLECTED THROUGH CONDUENT HCI WAS QUANTITATIVE AND INCLUDED DATA COMPARISONS BETWEEN PSA COMMUNITIES AND COUNTIES IN ILLINOIS. THESE COMPARISONS WERE EXEMPLIFIED IN THE FORM OF COMMUNITY DASHBOARDS, WHICH PROVIDED GREAT INSIGHT ON THE HEALTH STATUS OF THE HOSPITAL'S PSA IN COMPARISON TO OTHER COUNTIES AND COMMUNITIES IN ILLINOIS. ADDITIONAL NATIONAL AND LOCAL DATA. BETWEEN JUNE 2018 AND JUNE 2019, ADVOCATE SOUTH SUBURBAN STAFF COLLECTED PERTINENT COMMUNITY HEALTH DATA FOR THE HOSPITAL'S PSA. OTHER DATA SOURCES REVIEWED INCLUDED THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, ADVOCATE SOUTH SUBURBAN PATIENT UTILIZATION DATA, HEALTHY PEOPLE 2020, AND THE CDC (STATE AND COUNTY HEALTH DATA).
SCHEDULE H, PART VI, LINE 4 - ADVOCATE SOUTH SUBURBAN HOSPITALDESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE 2017-2019 CHNA, ADVOCATE SOUTH SUBURBAN DEFINED THE COMMUNITY AS THE HOSPITAL'S PSA. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: CALUMET CITY, CHICAGO HEIGHTS, COUNTRY CLUB HILLS, DOLTON, FLOSSMOOR, GLENWOOD, HARVEY, MARKHAM, HAZEL CREST, HOMEWOOD, LANSING, MATTESON, MIDLOTHIAN, OAK FOREST, OLYMPIA FIELDS, PARK FOREST, RICHTON PARK, SOUTH HOLLAND, THORNTON, TINLEY PARK, AND FRANKFORT. IN 2019, THE TOTAL POPULATION FOR ADVOCATE SOUTH SUBURBAN'S PSA CONSISTED OF 479,400 PERSONS, A DECREASE OF 0.82 PERCENT FROM 2010 TO 2019. DEMOGRAPHICSAGE AND GENDER. THE MEDIAN AGE IN THE HOSPITAL'S PSA IS 39 YEARS, WHICH IS EQUAL TO THE STATE OF ILLINOIS' MEDIAN AGE AT 39. THERE ARE 52.46 PERCENT FEMALES IN THE HOSPITAL'S PSA WHILE 47.54 PERCENT ARE MALES. INDIVIDUALS AGED 25-64 YEARS MAKE UP THE MAJORITY OF THE PSA'S POPULATION (52.08 PERCENT), WHICH IS SIMILAR TO THE STATE OF ILLINOIS (52.34 PERCENT). RACE/ETHNICITY. IN TERMS OF RACE/ETHNICITY, ADVOCATE SOUTH SUBURBAN'S PSA POPULATION IS 47.40 PERCENT BLACK/AFRICAN AMERICAN; 41.70 PERCENT WHITE; 5.99 PERCENT "OTHER RACE; 2.77 PERCENT 2+ RACES; 1.84 PERCENT ASIAN; 0.27 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.03 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE ETHNIC MAKEUP OF THE PSA IS 87.06 PERCENT NON-HISPANIC AND 12.94 PERCENT HISPANIC/LATINO. AVERAGE HOUSEHOLD SIZE. THE AVERAGE HOUSEHOLD SIZE IN THE HOSPITAL'S PSA IS 2.75 WITH 123,634 FAMILIES RESIDING IN THE PSA. THERE ARE MORE TWO-PERSON HOUSEHOLDS IN THE HOSPITAL'S PSA AT 28.64 PERCENT COMPARED TO ALL OTHER HOUSEHOLD SIZES. ADVOCATE SOUTH SUBURBAN'S PSA POVERTY LEVEL OF 15.4 PERCENT OF THE POPULATION IS COMPARABLE TO THE COOK COUNTY LEVEL AT 15.9 PERCENT OF THE POPULATION. INCOME. AS OF 2019, 16.62 PERCENT OF HOUSEHOLDS IN THE PSA HAVE A HOUSEHOLD INCOME BETWEEN 50,000-$74,499. COMPARATIVELY, THE STATE OF ILLINOIS HAS 16.36 PERCENT OF HOUSEHOLDS WITH AN INCOME BETWEEN 50,000-$74,499. THE MEDIAN HOUSEHOLD INCOME BY RACE AND ETHNICITY FOR THE PSA IS $66,110 COMPARED TO A VALUE OF $66,487 FOR THE STATE OF ILLINOIS. THE HOUSEHOLD INCOME FOR ASIANS AND WHITES ARE SIGNIFICANTLY HIGHER COMPARED TO OTHER RACES AND ETHNICITIES. ASIANS HAVE A MEDIAN HOUSEHOLD INCOME VALUE OF $84,759 FOR THE PSA AND WHITES HAVE A MEDIAN INCOME OF $76,684. IN CONTRAST, BLACK/AFRICAN AMERICANS' HOUSEHOLD INCOME FOR THE PSA IS $56,883.EMPLOYMENT. THE PERCENTAGE OF THE CIVILIAN LABOR FORCE AGE 16 AND OVER THAT IS UNEMPLOYED IN THE HOSPITAL PSA IS 10.52 PERCENT, HIGHER THAN THE STATE RATE OF 6.70 PERCENT. THE THREE HIGHEST INDUSTRIES FOR EMPLOYMENT IN THE HOSPITAL PSA ARE HEALTHCARE AT 17.30 PERCENT, RETAIL TRADE AT 11.28 PERCENT, AND TRANSPORTATION/WAREHOUSING INDUSTRIES AT 9.63 PERCENT. COMMUNITIES WITH THE HIGHEST UNEMPLOYMENT IN THE HOSPITAL PSA ARE DOLTON (19.47 PERCENT), HARVEY (19.19 PERCENT), CALUMET CITY (14.74 PERCENT) AND CHICAGO HEIGHTS (14.19 PERCENT).HEALTH INSURANCE. IN COOK COUNTY, 87.4 PERCENT OF ADULTS AGE 19 AND OVER WERE IDENTIFIED AS HAVING HEALTH INSURANCE; 97 PERCENT OF CHILDREN HAD HEALTH INSURANCE IN COOK COUNTY. IN COOK COUNTY 55.7 PERCENT OF PEOPLE WERE IDENTIFIED AS HAVING PRIVATE HEALTH INSURANCE; THE MAJORITY BEING INDIVIDUALS IN THE 19-64 YEARS OF AGE RANGE. IN CONTRAST, 27 PERCENT OF THE COUNTY POPULATION HAD PUBLIC HEALTH INSURANCE COMPARED TO THE STATE OF ILLINOIS AT 23.3.EDUCATION. IN TERMS OF EDUCATION, 26.9 PERCENT OF THE POPULATION AGES 25 AND OVER IN THE HOSPITAL PSA HAVE A BACHELOR'S DEGREE OR HIGHER. THE STATE PERCENTAGE FOR A BACHELOR'S DEGREE OR HIGHER IS 33.4 PERCENT.HEALTH SERVICES. THERE ARE SEVERAL HOSPITALS THAT PROVIDE SERVICES IN THE HOSPITAL PSA, INCLUDING: ADVOCATE SOUTH SUBURBAN, UNIVERSITY OF CHICAGO-INGALLS, HARVEY, IL; FRANCISCAN ALLIANCE, OLYMPIA FIELDS, IL; AND METRO SOUTH MEDICAL CENTER, BLUE ISLAND, IL. THERE ARE THREE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS): ACCESS COMMUNITY HEALTH NETWORK, BLUE ISLAND AND CHICAGO HEIGHTS, IL; AUNT MARTHA'S COMMUNITY HEALTH NETWORK, CHICAGO HEIGHTS, HARVEY, AND HAZEL CREST, IL; AND FAMILY CHRISTIAN HEALTH CENTER, HARVEY, IL; AND THE COOK COUNTY HEALTH DEPARTMENT'S OAK FOREST HEALTH CENTER, OAK FOREST, IL.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE SOUTH SUBURBAN HOSPITALTHE GOVERNING COUNCIL AT ADVOCATE SOUTH SUBURBAN IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-NINE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE SOUTH SUBURBAN IS AN ACUTE-CARE FACILITY PROVIDING A WIDE RANGE OF COMPREHENSIVE INPATIENT, OUTPATIENT, DIAGNOSTIC AND AMBULATORY MEDICAL SERVICES. IN ADDITION TO OFFERING AN ARRAY OF HOSPITAL SERVICES, THIS NOT-FOR-PROFIT FACILITY PROVIDES FREE SCREENINGS AND A VARIETY OF OTHER OUTREACH SERVICES THROUGHOUT THE COMMUNITY, INCLUDING: SENIOR SERVICES. ADVOCATE SOUTH SUBURBAN SERVES A LARGE SENIOR POPULATION AND HOSTS A VARIETY OF PROGRAMS AND SCREENINGS IN THE COMMUNITY FOR SENIORS, INCLUDING: THE ANNUAL ACTIVE SENIOR EXPO, A PREMIER EVENT DESIGNED ESPECIALLY FOR SENIORS; AND PARTICIPATION IN A VARIETY OF COMMUNITY HEALTH EVENTS THROUGHOUT THE YEAR. SUPPORT GROUPS. THE HOSPITAL ALSO HOSTS SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A SPECIFIC ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR: ALZHEIMER'S, DIABETES, PARKINSON'S, EASY BREATHERS, LUPUS, NAMI, CONGESTIVE HEART FAILURE, OSTOMY, PLATELET, AND STROKE AT THE HOSPITAL ALL FREE OF CHARGE TO THE COMMUNITY. LIFESTYLE CLASSES. TO AID THE COMMUNITY WITH LIFESTYLE ADJUSTMENTS, ADVOCATE SOUTH SUBURBAN AND ITS TEAM OF HEALTH CARE PROFESSIONALS OFFER CLASSES ON CONGESTIVE HEART FAILURE, LIFE AFTER A STROKE, AND DIABETES. THE HOSPITAL ALSO HAS STRONG PARTNERSHIPS WITH THE AMERICAN CANCER SOCIETY AND THE CANCER SUPPORT CENTER TO OFFER WELLNESS CLASSES FOR CANCER PATIENTS. SANE PROGRAM. SEXUAL ASSAULT NURSE EXAMINERS (SANES) ARE SPECIALISTS IN FORENSIC NURSING. SANES NOT ONLY ASSIST PATIENTS WHO HAVE BEEN SEXUALLY ASSAULTED, BUT THEY ALSO USE THEIR EDUCATION AND EXPERIENCE TO EXPAND THEIR CLINICAL PRACTICES TO ACCOMMODATE VICTIMS OF OTHER FORMS OF VIOLENCE. EXPERIENCED SANES EXTEND THEIR PRACTICE INTO THE CARE OF VICTIMS OF DOMESTIC VIOLENCE AS WELL. THESE SPECIALLY EDUCATED NURSES CAN BE A VALUABLE RESOURCE TO PROSECUTORS, PARTICULARLY IN CASES WHERE THE VICTIM MAY BE UNWILLING OR UNABLE TO TESTIFY AND ASSIST LAW ENFORCEMENT AND THE COURTS IN SENDING THOSE PERPETRATORS OF SEXUAL ASSAULT AND/OR DOMESTIC VIOLENCE TO JAIL. WOMEN AND INFANTS CENTER. IN OCTOBER 2018, ADVOCATE SOUTH SUBURBAN OPENED THE WOMEN AND INFANTS CENTER. THE CENTER UNDERTOOK MEASURES TO ENHANCE WOMEN'S HEALTH AND OB SERVICES BY INVESTING IN THE UNIT'S REDESIGN. THE REDESIGN INCLUDED CONSTRUCTION THAT INCREASES PATIENT PRIVACY AND PROMOTES THE BEST ENVIRONMENT IN WHICH TO HEAL. THE UNIT INCLUDES 16 PRIVATE AND STATE-OF-THE-ART SUITES, 4 SEMI-PRIVATE TRIAGE ROOMS FOR OUTPATIENT TESTING, 2 SURGICAL SUITES, 2 RECOVERY SUITES AND COMPREHENSIVE CLASSES AND SUPPORT. SURGICAL SERVICES EXPANSION. IN OCTOBER 2018, ADVOCATE SOUTH SUBURBAN UNDERTOOK MEASURES TO EXPAND AND MODERNIZE THE SURGICAL AND PROCEDURE SUITES. THE PROJECT INCLUDES ENLARGING AND UPDATING SURGICAL SUITES, ADDING NINE OPERATING ROOMS, THREE CARDIAC CATHETERIZATION LABS AND NEW SURGERY/PROCEDURE PREPARATION AND RECOVERY SPACES. THESE ENHANCEMENTS PROVIDE THE HOSPITAL THE OPPORTUNITY TO TAKE ADVANTAGE OF EFFICIENCIES AND NEW TECHNOLOGY, AND DELIVER HIGH-QUALITY CARE FOR THE PATIENTS IT SERVES.
SCHEDULE H, PART VI, LINE 2 - ADVOCATE BROMENN MEDICAL CENTERN/A
SCHEDULE H, PART VI, LINE 4 - ADVOCATE BROMENN MEDICAL CENTERCOMMUNITY DESCRIPTION. THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS MCLEAN COUNTY, THE PRIMARY SERVICE AREA FOR ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF ST. JOSEPH MEDICAL CENTER AND CHESTNUT FAMILY HEALTH CENTER. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: ANCHOR, ARROWSMITH, BELLFLOWER, BLOOMINGTON, CARLOCK, CHENOA, COLFAX, COOKSVILLE, DANVERS, DOWNS, ELLSWORTH, GRIDLEY, HEYWORTH, HUDSON, LE ROY, LEXINGTON, MCLEAN, MERNA, NORMAL, SAYBROOK, STANFORD AND TOWANDA. POPULATION. MCLEAN COUNTY CONSISTS OF A TOTAL POPULATION OF 172,052 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). BLOOMINGTON HAS THE LARGEST POPULATION IN THE COUNTY WITH 78,368 AND NORMAL HAS THE SECOND LARGEST POPULATION WITH 54,534 (BLOOMINGTON-NORMAL ECONOMIC DEVELOPMENT COUNCIL, 2018). THE POPULATION IN MCLEAN COUNTY INCREASED BY 1.46 PERCENT FROM 2010 TO 2019 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). SOCIAL DETERMINANTS OF HEALTH: SOCIONEEDS INDEX: THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE TOOL THAT IS A MEASURE OF SOCIOECONOMIC NEED, WHICH IS CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE EACH FROM THE FOLLOWING TOPICS: POVERTY, INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION AND LANGUAGE. THE INDICATORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES, AND COUNTY EQUIVALENTS IN THE U.S. ARE GIVEN AN INDEX VALUE FROM 0 (LOW NEED) TO 100 (HIGH NEED). TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. THESE RANKS ARE THEN USED TO COLOR THE ZIP CODES WITH THE HIGHEST SOCIONEEDS RANKINGS WITH THE DARKER COLORS. MCLEAN COUNTY HAS SEVERAL COMMUNITIES THAT HAVE GREATER SOCIOECONOMIC NEEDS COMPARED TO OTHER COMMUNITIES IN THE COUNTY. MCLEAN COUNTY HAS ONE ZIP CODE WITH A RANKING OF 5, BLOOMINGTON 61701, AND EIGHT ZIP CODES WITH A RANKING OF 4, WHICH REPRESENTS THE AREAS WITH THE HIGHEST SOCIOECONOMIC NEED IN MCLEAN COUNTY. THE EIGHT COMMUNITIES WITH A RANKING OF 4 ARE NORMAL, COLFAX, FUNKS GROVE/MCLEAN, SAYBROOK, STANFORD, BELLFLOWER AND COOKSVILLE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). DEMOGRAPHICSAGE AND GENDER. THE MEDIAN AGE IN MCLEAN COUNTY IS 33.7 YEARS OF AGE. THIS IS LESS THAN THE MEDIAN AGE IN ILLINOIS WHICH IS 38.5. TWENTY-TWO PERCENT OF PERSONS IN MCLEAN COUNTY ARE LESS THAN 18 YEARS OF AGE AND 24 PERCENT ARE 45 TO 64 YEARS OF AGE. THIRTEEN PERCENT OF PERSONS ARE OVER THE AGE OF 65. FORTY-NINE PERCENT OF THE POPULATION IN MCLEAN COUNTY IS MALE AND 51 PERCENT IS FEMALE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).RACE AND ETHNICITY. THE POPULATION OF MCLEAN COUNTY IS 81.7 PERCENT WHITE, 7.7 PERCENT BLACK OR AFRICAN AMERICAN, 5.8 PERCENT ASIAN, 5.1 PERCENT HISPANIC OR LATINO, 0.25 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .05 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). HOUSEHOLD/FAMILY. THERE ARE 66,336 HOUSEHOLDS IN MCLEAN COUNTY. THE AVERAGE HOUSEHOLD SIZE IS 2.43. APPROXIMATELY 25 PERCENT OF THE HOUSEHOLDS IN MCLEAN COUNTY ARE SINGLE PARENT HOUSEHOLDS COMPARED TO 32.4 PERCENT FOR ILLINOIS (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).ECONOMICSINCOME. THE MEDIAN HOUSEHOLD INCOME FOR MCLEAN COUNTY IS $67,065. THIS IS HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $66,487 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL). IN MCLEAN COUNTY, THE PERCENT OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LINE IS 14.5 PERCENT. (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2013- 2017). INCOME BY RACE/ETHNICITY. WITHIN MCLEAN COUNTY, THE MEDIAN HOUSEHOLD INCOME VARIES WITH NATIVE HAWAIIAN/PACIFIC ISLANDERS HAVING THE HIGHEST MEDIAN HOUSEHOLD INCOME OF $114,583 AND BLACKS/AFRICAN AMERICANS HAVING THE LOWEST AT $34,463 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). HOWEVER, NATIVE HAWAIIAN/PACIFIC ISLANDERS REPRESENT ONLY .05 PERCENT OF THE POPULATION IN MCLEAN COUNTY. THEREFORE, SMALL CHANGES CAN GREATLY AFFECT THE DATA. EMPLOYMENT. THE PERCENTAGE OF THE CIVILIAN LABOR FORCE AGES 16 YEARS AND OVER THAT IS UNEMPLOYED IN MCLEAN COUNTY IS 3.73 PERCENT, LOWER THAN ILLINOIS AT 6.7 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE THE FINANCIAL OR INSURANCE INDUSTRY AT 18.2 PERCENT, EDUCATIONAL SERVICES AT 13.9 PERCENT AND HEALTHCARE AT 13.1 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).EDUCATIONEDUCATIONAL LEVEL. NINETY-SIX PERCENT OF THE POPULATION AGES 25 AND OVER IN MCLEAN COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 44.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. THE STATE PERCENTAGE FOR A BACHELOR'S DEGREE OR HIGHER IS 33.4 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2013-2017). ILLINOIS STATE UNIVERSITY, ILLINOIS WESLEYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY.HIGH SCHOOL GRADUATION RATES. THE FOUR-YEAR HIGH SCHOOL GRADUATION RATE FOR MCLEAN COUNTY IS 88.1 PERCENT. THIS IS HIGHER THAN THE GRADUATION RATE FOR ILLINOIS OF 85.6 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS, 2014-2015). INSURANCE/MEDICALLY UNDERSERVED AREA. ONE-HUNDRED-AND-ONE PERCENT OF THE 2018 MCLEAN COUNTY COMMUNITY HEALTH SURVEY RESPONDENTS REPORTED HAVING EITHER PRIVATE INSURANCE, MEDICARE OR MEDICAID, WHILE TEN PERCENT REPORTED NOT HAVING ANY INSURANCE. THIS PERCENTAGE IS GREATER THAN 100 PERCENT BECAUSE RESPONDENTS COULD CHOOSE MORE THAN ONE ANSWER. THE INDEX OF MEDICAL UNDERSERVICE (IMU) SCORE FOR THE MCLEAN COUNTY SERVICE AREA IS 49.2. THE LOWEST SCORE (HIGHEST NEED) IS 0; THE HIGHEST SCORE (LOWEST NEED) IS 100. TO QUALIFY FOR DESIGNATION, THE IMU SCORE MUST BE LESS THAN OR EQUAL TO 62.0. THIS SCORE APPLIES TO THE MEDICALLY UNDERSERVED AREA (MUA) OR MEDICALLY UNDERSERVED POPULATIONS (MUP) AS A WHOLE, AND NOT TO INDIVIDUAL PORTIONS OF IT.HEALTHCARE RESOURCES IN THE DEFINED COMMUNITY. THERE ARE NUMEROUS HEALTH CARE RESOURCES IN MCLEAN COUNTY. THERE ARE TWO HOSPITALS, ADVOCATE BROMENN LOCATED IN NORMAL AND OSF ST. JOSEPH MEDICAL CENTER LOCATED IN BLOOMINGTON. THERE IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE CHESTNUT FAMILY HEALTH CENTER, LOCATED IN BLOOMINGTON. IN ADDITION, THERE ARE THREE COMMUNITY CLINICS. THE COMMUNITY HEALTH CARE CLINIC AND THE COMMUNITY CANCER CENTER ARE BOTH LOCATED IN NORMAL, AND MCLEAN COUNTY CENTER FOR HUMAN SERVICES IS LOCATED IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN COUNTY ARE THE CLINIC WITHIN THE MCLEAN COUNTY HEALTH DEPARTMENT AND A CRISIS STABILIZATION UNIT WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS. IN THE 2019 COUNTY HEALTH RANKINGS, MCLEAN COUNTY RANKED 2ND OUT OF 102 ILLINOIS COUNTIES FOR CLINICAL CARE, WHICH COMPARES 7 INDICATORS: PERCENT UNINSURED; RATIO OF PRIMARY CARE PHYSICIANS, DENTISTS, AND MENTAL HEALTH PROVIDERS TO THE POPULATION; PREVENTABLE HOSPITAL STAYS; PERCENT COMPLETING MAMMOGRAM SCREENINGS; AND PERCENT OF FLU VACCINATIONS (COUNTY HEALTH RANKINGS, 2019).
SCHEDULE H, PART VI, LINE 5 - ADVOCATE BROMENN MEDICAL CENTERADVOCATE BROMENN'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-ONE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. A VAST MAJORITY OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM ALSO SERVE ON MULTIPLE COMMUNITY BOARDS THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS FOR EXAMPLETHE MCLEAN COUNTY GOVERNMENT BEHAVIORAL HEALTH COORDINATING COUNCIL, KIWANIS, COMMUNITY HEALTH CARE CLINIC, MCLEAN COUNTY CHAMBER OF COMMERCE, AMERICAN RED CROSS, CONNECT TRANSIT ADVISORY COMMITTEE, MCLEAN COUNTY TRANSPORTATION ADVISORY COUNCIL, MCLEAN COUNTY COMPACT, MULTICULTURAL LEADERSHIP, FAITH IN ACTION, MCLEAN COUNTY BOARD OF HEALTH, HABITAT FOR HUMANITY, HEARTLAND COMMUNITY COLLEGE, ECONOMIC DEVELOPMENT COUNCIL, RECOVERY COURT, YWCA AND PROMISE COUNCIL. THE PRESIDENT OF ADVOCATE BROMENN IS ALSO INVOLVED IN MANY BOARDS THAT IMPACT THE COMMUNITY IN A POSITIVE MANNER, SUCH AS THE BN ADVANTAGE LEADERSHIP COUNCIL, CENTRAL ILLINOIS REGIONAL AIRPORT AUTHORITY, ILLINOIS STATE UNIVERSITY FOUNDATION BOARD OF DIRECTORS, COMMERCE BANK ADVISORY BOARD, ILLINOIS WESLEYAN UNIVERSITY BOARD AND THE COMMUNITY CANCER CENTER BOARD. THE PRESIDENT AND OTHER MEMBERS OF THE EXECUTIVE TEAM PROVIDE LEADERSHIP TRAINING IN THE COMMUNITY TO GROUPS SUCH AS THE MULTICULTURAL LEADERSHIP PROGRAM AND LEADERSHIP MCLEAN COUNTY. IN ADDITION, A MEMBER OF ADVOCATE BROMENN'S LEADERSHIP TEAM TRAINS STUDENTS FROM THE BLOOMINGTON AREA CAREER CENTER ON THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT TO HELP PREPARE THE STUDENTS TO TAKE THE CERTIFIED NURSING ASSISTANT EXAM.ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY AND FURTHERS ITS EXEMPT STATUS IS THE COMMUNITY HEALTH CARE CLINIC. IN 1993, ADVOCATE BROMENN PARTNERED WITH OSF ST. JOSEPH MEDICAL CENTER, ALSO LOCATED IN MCLEAN COUNTY, TO OPEN THE COMMUNITY HEALTH CARE CLINIC. THE COMMUNITY HEALTH CARE CLINIC PROVIDES SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF MCLEAN COUNTY TO ENSURE THAT ALL POPULATIONS IN THE COMMUNITY HAVE ACCESS TO HEALTHCARE. TO BE ELIGIBLE FOR CARE AT THE CLINIC, AN INDIVIDUAL MUST HAVE A TOTAL HOUSEHOLD INCOME LESS THAN 185 PERCENT OF FEDERAL POVERTY GUIDELINES, HAVE NO ACCESS TO THIRD PARTY INSURANCE (MEDICAID, MEDICARE, ALL KIDS, VETERAN'S BENEFITS, DISABILITY OR EMPLOYER-SPONSORED INSURANCE) AND RESIDE IN MCLEAN COUNTY. ALL EMERGENCY ROOM VISITS, DIAGNOSTIC TESTING AND MEDICAL CENTER SERVICES ARE PROVIDED FREE OF CHARGE BY ADVOCATE BROMENN AND OSF ST. JOSEPH MEDICAL CENTER. THE COMMUNITY HEALTH CARE CLINIC SAW 1,195 PATIENTS IN 2019, PROVIDED 3,569 PATIENT VISITS AND PRESCRIBED OVER 25,071 PRESCRIPTION MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. THE CLINIC IS IN A BUILDING OWNED BY ADVOCATE BROMENN, FOR WHICH THE HOSPITAL PAID $316,338 FOR THE MAINTENANCE AND UPKEEP OF THE FACILITY IN 2019.IN ADDITION TO THE ABOVE, THERE ARE NUMEROUS OTHER WAYS ADVOCATE BROMENN PROMOTES THE HEALTH OF THE COMMUNITY. SOME EXAMPLES OF THESE EFFORTS ARE HIGHLIGHTED BELOW. THE MEDICAL CENTER VALUES DIVERSITY AND SCORED 95 OUT OF 100 ON THE 2019 HEALTHCARE EQUALITY INDEX. THE INDEX IS A TOOL OF THE HUMAN RIGHTS CAMPAIGN THAT RATES HEALTH CARE FACILITIES ON THEIR COMMITMENT TO LGBTQ EQUALITY AND INCLUSION. ADVOCATE BROMENN SERVES AS AN EMERGENCY MEDICAL SERVICES (EMS) RESOURCE FOR EDUCATION AND TRAINING FOR MCLEAN COUNTY, PROVIDING A $192,560 BENEFIT TO THE COMMUNITY. THE MEDICAL CENTER OFFERS COMMUNITY MEMBERS, NURSING STUDENTS, RESIDENTS, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS' ACCESS TO THE A.E. LIVINGSTON HEALTH SERVICES LIBRARY. THIS ACCESS IS PROVIDED FREE OF CHARGE TO THESE INDIVIDUALS. THE COST OF $69,762 FOR THIS SERVICE, IN 2019, WAS ABSORBED BY THE HOSPITAL. ADVOCATE BROMENN IS ALSO AN AMERICAN HEART ASSOCIATION TRAINING CENTER FOR THE COMMUNITY. THE COST OF PROVIDING THIS SERVICE WAS $78,588 IN 2019. THE MEDICAL CENTER COORDINATES YOUNG HEARTS FOR LIFE. THROUGH THIS PROGRAM, 2,408 HIGH SCHOOL STUDENTS WERE SCREENED IN 2019. YOUNG HEARTS FOR LIFE SCREENS LOCAL HIGH SCHOOL STUDENTS, AT NO COST, FOR UNIDENTIFIED GENETIC DISORDERS THAT PLACE THEM AT HIGH RISK FOR SUDDEN CARDIAC DEATH. IN ADDITION, ADVOCATE BROMENN PROMOTES THE HEALTH OF THE COMMUNITY THROUGH A VARIETY OF OTHER SERVICES FROM PROVIDING PET THERAPY AND CLINICAL PASTORAL EDUCATION PROGRAMS, TO OFFERING MEETING SPACE TO COMMUNITY NOT-FOR-PROFIT GROUPS AND BEING A TEACHING HOSPITAL FOR BOTH FAMILY PRACTICE, NEUROLOGY AND NEUROSURGERY RESIDENTS.THE MEDICAL CENTER ALSO PROMOTES THE HEALTH OF THE COMMUNITY BY SUPPORTING WORKFORCE DEVELOPMENT IN MCLEAN COUNTY. ADVOCATE BROMENN IS A BUSINESS PARTNER FOR THE WORKFORCE DEVELOPMENT PROGRAM FOR AT-RISK YOUTH AT PROJECT OZ AND THE UNITED WAY'S WORKFORCE 180 INITIATIVE. THE GOAL OF THESE PROGRAMS IS TO PROVIDE ELIGIBLE AT-RISK YOUTH WITH AGE APPROPRIATE JOB TRAINING, SUPPORTIVE SERVICES, LIFE SKILLS, COUNSELING, WORK READINESS SKILLS AND SUPERVISED MEANINGFUL LONG-TERM WORK EXPERIENCE AND/OR ENHANCED EDUCATIONAL EXPERIENCES. THE MEDICAL CENTER SIGNED A MEMORANDUM OF UNDERSTANDING WITH MARCFIRST TO SERVE AS A POTENTIAL EMPLOYMENT SITE FOR MARCFIRST CLIENTS TO RECEIVE EMPLOYMENT COACHING, TRAINING, AND TRANSITION INTO EMPLOYMENT. THE INTENT OF THIS PROGRAM IS TO HELP FACILITATE EMPLOYMENT OPPORTUNITY FOR MCLEAN COUNTY RESIDENTS WITH DISABILITIES. ADVOCATE BROMENN IS A KEY PARTICIPANT IN THE BLOOMINGTON AREA CAREER CENTER'S ANNUAL 8TH GRADE CAREER EXPO WHICH OFFERS OVER 1,000 STUDENTS FROM MCLEAN COUNTY THE OPPORTUNITY TO LEARN MORE ABOUT VARIOUS HEALTHCARE CAREERS THROUGH HANDS ON EXPERIENCES AND INTERACTION WITH PROFESSIONALS IN THE FIELD. THE MEDICAL CENTER HELD AN EVENT CALLED THE LOOP FOR LOCAL TEACHERS DISCUSSING HEALTHCARE CAREERS AND APPLICATION OF STEM LEARNING. TEACHERS FROM MCLEAN COUNTY ATTENDED THIS INTERACTIVE LEARNING EVENT ON CAMPUS WHICH INTRODUCED THEM TO CAREERS IN NURSING, IMAGING, PHARMACY, THERAPY SERVICES AND LABORATORY SERVICES. ADVOCATE BROMENN LEADERSHIP AND STAFF PROVIDE MANY PRESENTATIONS TO COMMUNITY MEMBERS, STUDENTS AND TEACHERS TO EXPOSE ATTENDEES TO THE MANY REWARDING HEALTHCARE CAREERS, AN EXAMPLE OF WHICH WAS A CAREER PANEL DISCUSSION AT THE BLOOMINGTON-NORMAL HINDU TEMPLE IN APRIL 2019. THROUGH THE SIMULATION LAB ON CAMPUS, THE MEDICAL CENTER HOSTED A NUMBER OF LOCAL STUDENT GROUPS (E.G., UNIVERSITY HIGH GIRLS IN STEM CLUB) TO TOUR THE FACILITY AND EXPERIENCE HEALTHCARE SIMULATION TO SEE TECHNOLOGY AND SCIENCE IN ACTION AS IT APPLIES TO HEALTHCARE CAREERS. THE VICE PRESIDENT OF HUMAN RESOURCES FOR ADVOCATE BROMENN CHAIRS THE MCLEAN COUNTY COMPACT, A SUBSIDIARY OF THE MCLEAN COUNTY CHAMBER OF COMMERCE, WHICH FOCUSES ON BRINGING EMPLOYERS, EDUCATORS AND CIVIC ORGANIZATIONS TOGETHER TO IMPROVE COLLEGE AND CAREER PREPAREDNESS LOCALLY. THROUGH THESE EFFORTS, THE HOSPITAL HAS SERVED AS A CHIEF SPONSOR AND SUPPORTER OF EFFORTS SUCH AS: IN PARTNERSHIP WITH HEARTLAND COMMUNITY COLLEGE, THE ESSENTIAL WORKPLACE SKILLS PROGRAM WAS DEVELOPED, WHICH SERVES TO PREPARE LOCAL TALENT WITH THE SKILLS NECESSARY TO FUNCTION IN ANY WORK ENVIRONMENT. ADVOCATE BROMENN WILL BE SENDING TALENT FROM SUPPORT OPERATIONS THROUGH THIS PROGRAM IN 2020. BECOMING BN, AN INTERN SUPPORT PROGRAM, WHICH TAKES PLACE DURING THE SUMMER, AND GIVES STUDENTS INTERNING IN MCLEAN COUNTY THE OPPORTUNITY TO NETWORK AND EXPERIENCE MCLEAN COUNTY AT ITS FULLEST. THE GOAL OF THE PROGRAM IS TO INCREASE RETENTION AND DEVELOPMENT OF THE LOCAL STUDENT POPULATION. EDUCATION TO EMPLOYER SUMMITTHESE SEMI-ANNUAL PROGRAMS BRING TOGETHER EMPLOYERS, EDUCATORS, AND CIVIC LEADERS TO LEARN ABOUT THE CURRENT STATE OF WORKFORCE DEVELOPMENT AND WORK COLLABORATIVELY TO CREATE PROGRAMS AND SOLUTIONS TO ENSURE RETENTION AND DEVELOPMENT OF OUR LOCAL TALENT.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE BROMENN MEDICAL CENTERADVOCATE BROMENN HAD SEVERAL SIGNIFICANT CAPITAL PROJECTS OR EXPENSES IN 2019 THAT IMPROVED PATIENT CARE OR CONTRIBUTED TO A HEALTHIER COMMUNITY ENVIRONMENT. THE MOTHER-BABY UNIT PURCHASED THE VOLUSON ULTRASOUND MACHINE FOR USE BY PHYSICIANS ON THE UNIT. THE VOLUSON IMPROVES PATIENT CARE BY ALLOWING PHYSICIANS TO IMMEDIATELY EVALUATE FETAL WELL-BEING, POSITION OF THE BABY AND AMNIOTIC FLUID LEVEL. ADDITIONALLY, THE ULTRASOUND MACHINE IS VALUABLE FOR OBSTETRICAL EMERGENCIES.RADIOLOGY PURCHASED THE PRONE BIOPSY SYSTEM WHICH IS A STEREOTACTIC BIOPSY TABLE. STEREOTACTIC BIOPSIES ARE DONE WITH BREAST MASSES ONLY SEEN ON MAMMOGRAPHY. THIS TABLE ALLOWS CLINICIANS TO USE 3D IMAGES FOR THE BIOPSY, RATHER THAN JUST 2D. WHEN MASSES SHOW UP ON 3D IMAGES ONLY, PATIENTS WERE BEING REFERRED OUT OF THE COMMUNITY FOR THE BIOPSY. NOW THEY CAN STAY LOCAL FOR THEIR CARE. IN 2019, SEVERAL PIECES OF EQUIPMENT WERE PURCHASED FOR THE OPERATING ROOM TO IMPROVE PATIENT CARE. THEY ARE AS FOLLOWS:1) SAVI SCOUT TECHNOLOGY PLACES A RFID MARKER IN RADIOLOGY TO ASSIST SURGEONS IN LOCATING AND EXCISING BREAST TUMORS.2) ANESTHESIA FLUID VOLUME MONITOR ALLOWS ANESTHESIA PROVIDERS TO PRECISELY MONITOR THE AMOUNT OF IV FLUIDS GIVEN PATIENTS TO ENSURE THEY DO NOT EXPERIENCE COMPLICATIONS FROM TOO MUCH, OR TOO LITTLE FLUIDS DURING SURGERY.3) STEALTHSTATION NAVIGATION SYSTEM IMAGING SYSTEM THAT ALLOWS FOR PRECISE AND ACCURATE PLACEMENT OF SURGICAL HARDWARE PLACED DURING SPINE AND NEUROSURGERY.4) CUB CRIB PEDIATRIC SURGICAL PATIENT CART/BED.5) CUSA ABLATION SYSTEM ALLOWS NEUROSURGEONS TO EXCISE AND REMOVE SPINAL AND BRAIN TUMORS.6) S5 HEART LUNG PERFUSION SYSTEM COMMONLY USED IN HEART SURGERY, THIS SYSTEM ALLOWS PATIENT'S BLOOD TO BYPASS THEIR OWN HEART AND BE CIRCULATED BACK THROUGHOUT THE PATIENT'S BODY.IN 2019, THE LAB PURCHASED TWO PIECES OF EQUIPMENT THAT IMPROVE PATIENT CARE. THE FIRST ARE THE CS2500 COAGULATION ANALYZERS THAT WERE BROUGHT INTO ADVOCATE BROMENN'S HEMATOLOGY DEPARTMENT. THIS HAS ENABLED THE LABORATORY TO REDUCE REAGENT ERROR RATES AND MOVE TO A PLATFORM THAT IS SUPPORTED BY THE MANUFACTURER. PREVIOUSLY, ALL REAGENTS WERE MANUALLY ENTERED INTO THE ANALYZER, AND PLACED IN SPECIFIC LOCATIONS. IF THE REAGENT WAS PLACED IN AN INCORRECT LOCATION, OR THERE WAS A MIX UP BETWEEN TWO REAGENTS; THE ANALYZER WOULD NOT KNOW. THE CS2500 HAS BARCODE SCANNING FOR ALL REAGENTS AND QUALITY CONTROL MATERIAL THAT IS PLACED ON THE INSTRUMENT. THIS ENSURES THAT THE CORRECT REAGENT IS BEING USED FOR ALL PATIENT TESTING. FURTHERMORE, IT TRACKS VOLUME OF REAGENT MORE PRECISELY WHICH REDUCES OVERALL WASTE. ENSURING THAT PROPER REAGENTS ARE USED FOR TESTING MAKES A DIFFERENCE IN THE REPORTED VALUE FOR SUCH CRITICAL COAGULATION TESTING. WITHOUT THIS, PATIENTS COULD BE SUBJECTED TO UNNECESSARY TRANSFUSIONS OR THEIR ANTICOAGULANT DOSE COULD BE MISS-MONITORED. THE ADDITION OF THE CS2500S HAVE REDUCED THE HUMAN ERROR RATE, SUBSEQUENTLY OFFERING SAFER RESULTS TO CLINICIANS. THE SECOND PIECE OF EQUIPMENT PURCHASED BY THE LAB IS THE MICROBIAL ID SYS-VITEK 2. IN 2019, IT WAS DETERMINED THAT THE CURRENT VITEK2 ANALYZER WAS WELL BEYOND ITS LIFE EXPECTANCY OF 10 YEARS AND THE PC SUPPORTING THE ANALYZER WAS OUTDATED AND NO LONGER ABLE TO ACCEPT UPDATES. IN MICROBIOLOGY, THERE ARE CONSTANT UPDATES IN REGARD TO MICROORGANISM NAMES, LIKE GENUS AND SPECIES AS WELL AS UPDATES FROM THE CDC, FDA AND CLSI IN REGARD TO SUSCEPTIBILITY BREAK POINTS. SUSCEPTIBILITY BREAKPOINTS ARE THE INFORMATION A PHARMACIST OR PHYSICIAN NEEDS TO KNOW TO DETERMINE IF A PARTICULAR ANTIMICROBIAL WILL BE EFFECTIVE AGAINST THE CAUSE OF DISEASE. THE NEW VERSION OF MIDDLEWARE SOFTWARE THAT ACCOMPANIED THE ANALYZER IS ALSO ABLE TO SUPPORT THE CURRENT BLOOD CULTURE ANALYZER WHICH STREAMLINES STAFF WORKLOAD.
SCHEDULE H, PART VI, LINE 2 - ADVOCATE TRINITY HOSPITALMETHODOLOGYTIMELINE. ADVOCATE TRINITY'S CHNA PROCESS UTILIZED A MIXED METHODS APPROACH, WHICH INCLUDED THE COLLECTION AND REVIEW OF SECONDARY DATA FROM EXISTING SOURCES AND PRIMARY DATA FROM BOTH QUALITATIVE (SURVEY) AND QUANTITATIVE METHODS (FOCUS GROUPS). THE METHODOLOGY FOR THE CHNA HAD THREE COMPONENTS: 1) USE OF DATA COLLECTED THROUGH THE ALLIANCE (FEBRUARY 2018-MARCH 2019); 2) USE OF THE CONDUENT HEALTHY COMMUNITY INSTITUTE'S PLATFORM TO REVIEW PSA, COUNTY, STATE AND ZIP CODE LEVEL DATA (MARCH 2016- AUGUST 2019); AND 3) USE OF INTERNAL HOSPITAL DATA (2017).COLLABORATIVE ASSESSMENT MODEL AND PROCESS. THE ALLIANCE COMPLETED A COLLABORATIVE CHNA BETWEEN MARCH 2018 AND MARCH 2019. PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. THE IPHI WORKED WITH THE CHNA COMMITTEE AND STEERING COMMITTEE OF THE ALLIANCE TO DESIGN AND FACILITATE A COLLABORATIVE, COMMUNITY ENGAGED ASSESSMENT. AS WITH THE 2015-2016 COLLABORATIVE CHNA, THE 2017-2019 CHNA PROCESS IS ADAPTED FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK, A COMMUNITY-ENGAGED STRATEGIC PLANNING FRAMEWORK THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION FOR COUNTY AND CITY HEALTH OFFICIALS (NACCHO) AND THE CDC. BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH USE THE MAPP FRAMEWORK FOR COMMUNITY HEALTH ASSESSMENT AND PLANNING. THE MAPP FRAMEWORK PROMOTES A SYSTEM FOCUS, EMPHASIZING THE IMPORTANCE OF COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT, AND THE DYNAMIC INTERPLAY OF FACTORS AND FORCES WITHIN THE PUBLIC HEALTH SYSTEM. THE ALLIANCE CHOSE THIS INCLUSIVE, COMMUNITY-DRIVEN PROCESS TO LEVERAGE AND ALIGN WITH HEALTH DEPARTMENT ASSESSMENTS AND TO ACTIVELY ENGAGE STAKEHOLDERS, INCLUDING COMMUNITY MEMBERS, IN IDENTIFYING AND ADDRESSING STRATEGIC PRIORITIES TO ADVANCE HEALTH EQUITY.PRIMARY DATA COLLECTION. MULTIPLE DATA COLLECTION STRATEGIES WERE EMPLOYED FOR THE 20172019 CHNA. PRIMARY DATA COLLECTION FOR THE CHNA WAS CONDUCTED BY THE ALLIANCE AND COLLABORATIVE PARTNERS UTILIZING FOUR METHODS, INCLUDING COMMUNITY INPUT SURVEYS, COMMUNITY RESIDENT FOCUS GROUPS AND LEARNING MAP SESSIONS, HEALTH CARE AND SOCIAL SERVICE PROVIDER FOCUS GROUPS, AND FORCES OF CHANGE ASSESSMENT (FOCA) AND HEALTH EQUITY CAPACITY ASSESSMENT LED BY PARTNER HEALTH DEPARTMENTS.COMMUNITY INPUT SURVEYS. BETWEEN OCTOBER 2018 AND FEBRUARY 2019, THE ALLIANCE PARTNERS COLLECTED 5,934 COMMUNITY-WIDE INPUT SURVEYS FROM INDIVIDUALS 18 OR OLDER LIVING IN CHICAGO AND SUBURBAN COOK COUNTY. THERE WERE 574 SURVEY RESPONSES COLLECTED FROM ADVOCATE TRINITY'S SERVICE AREA. THE SURVEYS WERE AVAILABLE ON PAPER AND ONLINE, AND WERE DISSEMINATED IN ENGLISH, SPANISH, CHINESE AND POLISH. THE SURVEYS INCLUDED QUESTIONS ASKING RESPONDENTS ABOUT THE HEALTH STATUS OF THEIR COMMUNITIES, COMMUNITY STRENGTHS, OPPORTUNITIES FOR IMPROVEMENT AND PRIORITY HEALTH NEEDS. HOSPITALS, COMMUNITY-BASED ORGANIZATIONS AND HEALTH DEPARTMENTS DISTRIBUTED THE SURVEYS WITH THE INTENTION OF GAINING INSIGHT FROM PRIORITY POPULATIONS THAT ARE TYPICALLY UNDERREPRESENTED IN ASSESSMENT PROCESSES. PRIORITY POPULATIONS INCLUDED COMMUNITIES OF COLOR, IMMIGRANTS, LGBTQ+ COMMUNITY MEMBERS, INDIVIDUALS WITH DISABILITIES AND LOW-INCOME COMMUNITIES. THE INTENTION OF THE COMMUNITY INPUT SURVEY WAS TO COMPLEMENT EXISTING COMMUNITY HEALTH SURVEYS DISTRIBUTED THROUGHOUT CHICAGO AND SUBURBAN COOK COUNTY BY LOCAL HEALTH DEPARTMENTS. IPHI AND THE CHNA COMMITTEE TOOK THE FOLLOWING STEPS TO DEVELOP THE SURVEY TOOL: (1) IPHI DRAFTED A SURVEY BASED ON REVIEW OF 13 EXAMPLE COMMUNITY INPUT SURVEYS; (2) CHNA COMMITTEE MEMBERS FROM HOSPITALS AND HEALTH DEPARTMENTS PROVIDED INPUT; (3) IPHI INCORPORATED REVISIONS FROM CHNA COMMITTEE MEMBERS AND THE UNIVERSITY OF ILLINOIS AT CHICAGO SURVEY RESEARCH LABORATORY; (4) IPHI MADE EDITS BASED ON A HEALTH LITERACY REVIEW; (5) IPHI AND TWO MEMBER HOSPITALS PILOTED THE SURVEY AT THREE COMMUNITY-BASED EVENTS; AND (6) IPHI MADE FINAL EDITS TO ADDRESS MINOR CHALLENGES IDENTIFIED AT THE PILOT EVENTS. THE FINAL SURVEY TOOL INCLUDED 16 QUESTIONSTHREE QUESTIONS RELATED TO ZIP CODE/COMMUNITY OF RESIDENCE, NINE DEMOGRAPHIC QUESTIONS, TWO MULTI-SELECT QUESTIONS ABOUT HEALTH PROBLEMS AND WHAT'S NEEDED FOR A HEALTHY COMMUNITY, AND TWO OPEN-ENDED QUESTIONS ABOUT COMMUNITY STRENGTHS AND IMPROVEMENTS NEEDED. PAPER SURVEYS WERE ENTERED INTO THE SURVEYGIZMO ONLINE PLATFORM SO THAT ELECTRONIC AND PAPER SURVEYS COULD BE ANALYZED TOGETHER. SURVEY DATA ANALYSIS WAS CONDUCTED USING SAS 9.4 STATISTICAL ANALYSIS SOFTWARE AND MICROSOFT EXCEL 2016. FOCUS GROUP AND LEARNING MAP HOST ORGANIZATIONS. BETWEEN AUGUST 2018 AND FEBRUARY 2019, IPHI WORKED WITH THE ALLIANCE PARTNERS TO HOLD A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WITH PRIORITY POPULATIONS SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS, SUCH AS DIABETES AND ASTHMA. THE COMMUNITY INPUT SESSIONS INCLUDED 31 FOCUS GROUPS CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS LED BY WEST SIDE UNITED. IN ADDITION TO THE 52 COMMUNITY INPUT SESSIONS, THERE WERE ALSO FIVE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS HOSTED BY SWEDISH COVENANT HOSPITAL, MACNEAL HOSPITAL, AND SOUTH SHORE HOSPITAL. EXHIBITS 23 AND 23.1 LIST ALL THE FOCUS GROUP AND LEARNING MAP SESSION HOST ORGANIZATIONS. FOCUS GROUP FACILITATORS ASKED PARTICIPANTS ABOUT THE UNDERLYING ROOT CAUSES OF HEALTH ISSUES SEEN IN THEIR COMMUNITIES AND SPECIFIC STRATEGIES FOR ADDRESSING THOSE HEALTH NEEDS. IPHI DEVELOPED THE FOCUS GROUP QUESTIONS USING RESOURCES FROM EXISTING CHNA TOOLKITS AND PEER-REVIEWED STUDIES, IN CONSULTATION WITH THE CHNA COMMITTEE AND COLLEAGUES AT PARTNER HEALTH DEPARTMENTS. EACH FOCUS GROUP WAS HOSTED BY A COMMUNITY-BASED ORGANIZATION OR HOSPITAL, AND PARTICIPATION RANGED FROM THREE TO FORTY PEOPLE. MOST FOCUS GROUPS WERE 90 MINUTES LONG WITH AN AVERAGE OF 10 PARTICIPANTS. FEEDBACK FROM ALL 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WAS COMBINED AND INCLUDED IN THE ASSESSMENT, ALONG WITH INPUT FROM FIVE PROVIDER FOCUS GROUPS.SECONDARY DATA COLLECTION. AS INDICATED ABOVE, ADVOCATE TRINITY COLLABORATED WITH MANY PARTNERS TO COLLECT PSA, COUNTY AND STATE DATA. SECONDARY DATA COLLECTION WAS CONDUCTED USING SEVERAL PLATFORMS, INCLUDING CONDUENT HEALTHY COMMUNITIES INSTITUTE (CONDUENT HCI). DETAIL ON THE HOSPITAL'S 2017-2019 CHNA SECONDARY DATA SOURCES ARE LISTED BELOW.CONDUENT HEALTHY COMMUNITIES INSTITUTE. IN EARLY 2017, ADVOCATE HEALTH CARE SIGNED A SECOND THREE-YEAR CONTRACT WITH CONDUENT HCI TO CONTINUE TO PROVIDE AN INTERNET-BASED DATA RESOURCE PLATFORM FOR ADVOCATE'S 11 HOSPITALS DURING THE 2017-2019 CHNA CYCLE. THIS ROBUST PLATFORM OFFERED THE HOSPITALS 198 HEALTH AND DEMOGRAPHIC INDICATORS, INCLUDING 38 HOSPITALIZATION AND ED VISIT INDICATORS AT THE SERVICE AREA AND ZIP CODE LEVELS. UTILIZING THE ILLINOIS HOSPITAL ASSOCIATION'S COMPDATA, CONDUENT HCI WAS ABLE TO SUMMARIZE, AGE ADJUST AND AVERAGE THE HOSPITALIZATION AND ED DATA FOR FIVE-TIME PERIODS FROM 2009-2017. THE CONDUENT HCI CONTRACT ALSO PROVIDED A WEALTH OF COUNTY AND ZIP CODE DATA COMPARISONS, A SOCIONEEDS INDEX VISUALIZING VULNERABLE POPULATIONS WITHIN SERVICE AREAS AND COUNTIES, A HEALTHY PEOPLE 2020 TRACKER, AND A DATABASE OF PROMISING AND EVIDENCE-BASED INTERVENTIONS. THIS SECONDARY DATA WAS CRUCIAL IN ANALYZING THE HOSPITAL'S PSA HEALTH NEEDS AS THE DATABASE WAS THE ONLY SOURCE THAT PROVIDED SUCH AN EXTENSIVE AMOUNT OF DATA SPECIFIC TO THE 2017-2019 CHNA DEFINED COMMUNITY. ALL DATA COLLECTED THROUGH HCI WAS QUANTITATIVE AND INCLUDED DATA COMPARISONS BETWEEN PSA COMMUNITIES AND COUNTIES IN ILLINOIS. THESE COMPARISONS WERE EXEMPLIFIED IN THE FORM OF COMMUNITY DASHBOARDS, WHICH PROVIDED GREAT INSIGHT REGARDING THE HEALTH STATUS OF THE HOSPITAL'S PSA IN COMPARISON TO OTHER ILLINOIS COUNTIES AND COMMUNITIES. CONDUENT HCI PROVIDES A GAUGE THAT ILLUSTRATES COMPARISON OF INDICATORS ACROSS COUNTIES, SERVICE AREAS AND ZIP CODES.
SCHEDULE H, PART VI, LINE 2 - ADVOCATE TRINITY HOSPITALOTHER AVAILABLE NATIONAL AND LOCAL DATA. BETWEEN JUNE 2018 AND JUNE 2019, ADVOCATE TRINITY STAFF COLLECTED PERTINENT COMMUNITY HEALTH DATA FOR THE HOSPITAL'S PSA. OTHER DATA SOURCES REVIEWED INCLUDED THE CHICAGO HEALTH ATLAS, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, CHICAGO DEPARTMENT OF PUBLIC HEALTH, ADVOCATE TRINITY PATIENT UTILIZATION DATA, CITY OF CHICAGO-HEALTHY CHICAGO 2.0, HEALTHY PEOPLE 2020, AND THE CDC (STATE AND COUNTY HEALTH DATA). A COMPREHENSIVE LIST OF DATA RESOURCES IS PROVIDED IN APPENDIX 1 OF ADVOCATE TRINITY'S 2017-2019 CHNA REPORT AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/TRINITY-CHNA-REPORT-2019
SCHEDULE H, PART VI, LINE 4 - ADVOCATE TRINITY HOSPITAL2017-2019 CHNADESCRIPTION OF THE COMMUNITY/POPULATION. WITHIN ADVOCATE AURORA, THE PSA IS COMPOSED OF THE COMMUNITIES WHERE 75 PERCENT OF THE HOSPITAL'S PATIENTS RESIDE. THE PSA CONSISTS OF 6 ZIP CODES, ALL WITHIN THE CITY OF CHICAGO, ILLINOIS. THE COMMUNITY AREAS INCLUDE: SOUTH CHICAGO, GREATER GRAND CROSSING, AUBURN GRESHAM, ROSELAND, MORGAN PARK AND SOUTH SHORE. DEMOGRAPHICSIN 2019, THE TOTAL POPULATION IN ADVOCATE TRINITY'S PSA WAS ESTIMATED AT 374,433 PERSONS. THE PSAPOPULATION DECREASED BY 3.8 PERCENT FROM 2010 TO 2019. COMPARATIVELY, THE STATE OF ILLINOIS POPULATIONDECREASED BY 0.46 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019). AGE. THE MEDIAN AGE IN THE HOSPITAL'S PSA IS 39 YEARS, WHICH IS EQUAL TO THE STATE OF ILLINOIS MEDIAN AGE OF 39 YEARS. IN THE ADVOCATE TRINITY PSA, THE MEDIAN AGE FOR MALES IS 36 YEARS WHILE THE MEDIAN AGE FOR FEMALES IS 41 YEARS. THIS IS COMPARABLE TO THE STATE OF ILLINOIS MEDIAN AGE RANGE FOR MALES (37 YEARS) AND FEMALES (40 YEARS).INDIVIDUALS AGED 25-64 YEARS MAKE UP THE MAJORITY OF THE PSA'S POPULATION (50.83 PERCENT), WHICH IS SLIGHTLY LOWER THAN THE STATE OF ILLINOIS (52.34 PERCENT). OVERALL, INDIVIDUALS AGED 25-34 MAKE UP 13.89 PERCENT OF ADVOCATE TRINITY'S PSA, WHILE INDIVIDUALS AGED 55-64 MAKE UP 13.24 PERCENT OF THE PSA.GENDER. THE HOSPITAL'S PSA POPULATION IS 54.57 PERCENT FEMALE COMPARED TO 50.82 PERCENT FOR THE STATE OFILLINOIS. THERE ARE 45.43 PERCENT MALES IN THE HOSPITAL'S PSA COMPARED TO 49.18 PERCENT IN THE STATE OFILLINOIS. OVERALL, THERE ARE SLIGHT DIFFERENCES IN GENDER BETWEEN THE PSA AND THE STATE OF ILLINOIS AMONGTHE MALE AND FEMALE POPULATION.RACE. ADVOCATE TRINITY'S PSA POPULATION IS 83.64 PERCENT BLACK/AFRICAN AMERICAN; 9.15 PERCENT WHITE; 4.39 PERCENT OTHER RACE; 2.21 PERCENT 2+ RACES; 0.27 PERCENT ASIAN; 0.33 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.02 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE PSA HAS A SUBSTANTIALLY LARGER BLACK/AFRICAN AMERICAN POPULATION WHEN COMPARED TO THE STATE OF ILLINOIS. THE ETHNIC MAKEUP OF THE HOSPITAL'S PSA IS 89.85 PERCENT NON-HISPANIC AND 10.15 PERCENT HISPANIC/LATINO. THE HISPANIC/LATINO POPULATION IN THE HOSPITAL'S PSA IS SMALLER AT 10.15 PERCENT AS COMPARED TO THE STATE OF ILLINOIS AT 17.62 PERCENT.INCOME. POVERTY CREATES BARRIERS TO ACCESS, INCLUDING HEALTH SERVICES, HEALTHY FOOD CHOICES AND OTHER FACTORS THAT CONTRIBUTE TO POOR HEALTH. TWENTY-THREE-POINT SIX PERCENT OF THE POPULATION IN THE HOSPITAL'S PSA LIVE IN POVERTY, WHICH IS HIGHER THAN COOK COUNTY AT 15.9 PERCENT. AS OF 2019, 21 PERCENT OF HOUSEHOLDS HAVE A HOUSEHOLD INCOME LEVEL UNDER $15,000 WHILE 14 PERCENT HAVE A HOUSEHOLD INCOME LEVEL BETWEEN $15,000 TO $25,000. COMPARATIVELY, THE STATE OF ILLINOIS HAS 10 PERCENT OF HOUSEHOLDS WITH INCOME LEVELS UNDER $15,000 AND EIGHT PERCENT OF HOUSEHOLDS HAVE INCOME LEVELS BETWEEN $15,000 TO $25,000. THE HOSPITAL'S PSA HAS 45 PERCENT OF HOUSEHOLD INCOME LEVELS BELOW $34,000 COMPARED TO THE STATE OF ILLINOIS WITH 26 PERCENT OF HOUSEHOLD INCOME LEVELS BELOW $34,000 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).POVERTY. AS OF 2019, THE NUMBER OF FAMILIES IN THE PSA LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) IS 19,146 OR 20.82 PERCENT OF THE POPULATION, WHICH IS DOUBLE COMPARED TO THE STATE OF ILLINOIS AT 313,034 OR 9.80 PERCENT. THE NUMBER OF FAMILIES WITH CHILDREN LIVING BELOW 100 PERCENT OF THE FPL IN THE PSA IS 14,082 OR 15.31 PERCENT. THIS IS MORE THAN TRIPLE THE STATE OF ILLINOIS NUMBER OF FAMILIES WITH CHILDREN LIVING BELOW 100 PERCENT OF THE FPL AT 235,695 OR 7.38 PERCENT. THERE ARE 38.8 PERCENT OF CHILDREN RESIDING IN THE HOSPITAL'S PSA THAT LIVE BELOW THE FPL, WHICH IS SUBSTANTIALLY HIGHER THAN THE STATE OF ILLINOIS AT 18.8 PERCENT. BETWEEN THE YEARS 2013-2017 THERE WERE 26.3 PERCENT OF PEOPLE LIVING BELOW THE FPL COMPARED TO 13.5 PERCENT IN THE STATE OF ILLINOIS AND 14.6 PERCENT IN THE U.S.ADULTS WITH HEALTH INSURANCE. IN COOK COUNTY, 87.4 PERCENT OF ADULTS AGE 19 AND OVER ARE IDENTIFIED AS HAVING HEALTH INSURANCE. THIS VALUE IS SLIGHTLY LOWER THAN THE STATE AND U.S. VALUES OF 90.2 PERCENT AND 87.7 PERCENT RESPECTIVELY. MORE FEMALES (89.0 PERCENT) HAVE HEALTH INSURANCE WHEN COMPARED TO MALES (85.7 PERCENT) IN THE COUNTY. THIS VALUE IS THE LOWEST WHEN COMPARED TO THE SIX COUNTIES SURROUNDING COOK COUNTY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2018).CHILDREN WITH HEALTH INSURANCE. IN COOK COUNTY, 97.0 PERCENT OF CHILDREN HAVE HEALTH INSURANCE. THIS VALUE IS COMPARABLE TO THE STATE OF ILLINOIS VALUE OF 97.1 PERCENT AND HIGHER THAT THE U.S. VALUE OF 95.0 PERCENT. DATA INDICATES THAT IN ALL RACE AND ETHNICITY CATEGORIES, MORE THAN 95 PERCENT OF CHILDREN UNDER AGE 19 HAD HEALTH INSURANCE. INTERESTINGLY, 100 PERCENT OF CHILDREN SURVEYED IN THE AMERICAN INDIAN/ALASKA NATIVE POPULATION HAD HEALTH INSURANCE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2019).PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. THIS INDICATOR IDENTIFIES THE PERCENTAGE OF PERSONS WHO HAVE PUBLIC HEALTH INSURANCE ONLY. PUBLIC HEALTH COVERAGE INCLUDES THE FEDERAL PROGRAMS MEDICARE, MEDICAID AND VA HEALTH CARE (PROVIDED THROUGH THE DEPARTMENT OF VETERANS AFFAIRS); THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP); AND INDIVIDUAL STATE HEALTH PLANS. IN COOK COUNTY, 27.0 PERCENT OF THE POPULATION HAD PUBLIC HEALTH INSURANCE; HIGHER THAN THE STATE RATE OF 23.3 PERCENT AND THE U.S. RATE OF 23.6. THE AGE GROUPS OF 65 AND OVER (46.1 PERCENT) AND 0-18 YEARS (42.7 PERCENT) HAD THE GREATEST LEVEL OF PUBLIC HEALTH INSURANCE.HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE SIX HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND THE COOK COUNTY HEALTH SYSTEM (CCHS) CLINICS WHICH SERVE ADVOCATE TRINITY'S PSA.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE TRINITY HOSPITALAS INDICATED EARLIER IN THIS DOCUMENT, THE ADVOCATE TRINITY GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY ONE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.IN ADDITION TO THE PROGRAMS DESCRIBED ELSEWHERE IN THIS DOCUMENT, FOLLOWING ARE SEVERAL ADDITIONAL ADVOCATE TRINITY PROGRAMS/ACTIVITIES THAT CONTRIBUTED TO A HEALTHIER COMMUNITY IN 2019. MEN'S HEALTH EVENTS: THE PURPOSE OF THE MEN'S HEALTH EVENT IS TO RAISE AWARENESS ABOUT SEVERAL HEALTH ISSUES AFFECTING MEN'S HEALTH, SOME OF WHICH INCLUDE DIABETES, HYPERTENSION, HIGH CHOLESTEROL, KIDNEY DISEASE, PROSTATE CANCER AND HIV/AIDS. MANY MEN AND THEIR FAMILIES WERE ENCOURAGED TO PARTICIPATE IN SCREENINGS TO DETECT HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, DIABETES, HIV/AIDS, PROSTATE CANCER AND EARLY SIGNS OF KIDNEY DISEASE. LADIES NIGHT EVENTS: THE PURPOSE OF THE LADIES NIGHT HEALTH SEMINARS IS TO INCREASE AWARENESS REGARDING WOMEN'S HEALTH ISSUES SUCH AS DIABETES, HEART DISEASE, STROKE, BREAST CANCER AND GENERAL WOMEN'S HEALTH. THE PROGRAM PROVIDES LECTURES FROM PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS WHO PROVIDE INFORMATION AND ANSWER PERTINENT QUESTIONS ABOUT WOMEN'S HEALTH CONDITIONS. SUPPORT GROUPS: THE HOSPITAL ALSO HOSTS SEVERAL SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A SPECIFIC ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR BREAST CANCER, DIABETES AND STROKE AT THE HOSPITALALL FREE OF CHARGE TO THE COMMUNITY.ADVANCEMENTS CONTRIBUTING TO ADVOCATE TRINITY'S STANDING WITHIN ADVOCATE AURORA HEALTH AND IN THE COMMUNITY ARE PROVIDED BELOW. THE AMBULATORY SURGERY DEPARTMENT EARNED TOP PATIENT SATISFACTION SCORES IN 2019. IN MARCH 2019, THE HOSPITAL'S ROLLING 6-MONTH RELIABILITY SCORE RANKED THIRD AMONG ADVOCATE AROURA HEALTH'S 24 SITES. ADVOCATE TRINITY MADE GREAT STRIDES IN IMPROVING PATIENT SATISFACTION, EARNING A PATIENT EXPERIENCE SCORE OF 86 IN SEPTEMBER (ROLLING 6 MONTHS) - WHICH MARKS A 58-POINT INCREASE IN PATIENT SATISFACTION OVER THE PAST 10 MONTHS (FROM JANUARY TO SEPTEMBER 2019.) THE CHICAGO HEALTH EXECUTIVES FORUM/ACHE RECOGNIZED ADVOCATE TRINITY WITH THE 2019 CHEF SERVICE EXCELLENCE AWARD FOR MAINTAINING GREAT PATIENT EXPERIENCE SCORES. ADVOCATE TRINITY WAS AWARDED THE PATIENT SAFETY EXCELLENCE AWARD WHICH RECOGNIZES HOSPITALS THAT HAVE THE LOWEST OCCURRENCES OF 14 PREVENTABLE PATIENT SAFETY EVENTS. THE HOSPITAL IS IN THE TOP 10% IN THE NATION FOR PATIENT SAFETY. THE HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS ELITE AWARDS FOR QUALITY STROKE CARE. THE HOSPITAL OBTAINED DESIGNATION FOR BLUE DISTINCTION CARE PLUS FOR ORTHO'S KNEE AND HIP REPLACEMENT PROGRAM. ADVOCATE TRINITY EXTENDED OUTREACH INTO THE COMMUNITY THROUGH THE FOLLOWING ADDITIONAL ACTIVITIES. WITH FUNDING FROM A $58,000 GRANT FROM THE CHICAGO CARES TO PREVENT DIABETES COLLABORATIVE, ADVOCATE TRINITY EXPANDED ITS SUCCESSFUL T2 DIABETES PREVENTION PROGRAM TO HISPANIC ADULTS WHO SHARE THE SAME 60617 ZIP CODE WITH THE HOSPITAL OR LIVE NEARBY. THE HOSPITAL SPONSORED A SPIRIT OF THE HEART COMMUNITY FORUM, HEALTH FAIR AND MINISTERIAL OUTREACH, IN PARTNERSHIP WITH THE ASSOCIATION OF BLACK CARDIOLOGISTS. THIS EFFORT TOUCHED THOUSANDS OF PEOPLE IN THE GENERAL PUBLIC AND BROUGHT TOGETHER OVER 100 COMMUNITY LEADERS, PARTNERS IN FAITH, CLINICIANS AND STATE AND LOCAL ELECTED OFFICIALS TO DISCUSS CARDIOVASCULAR HEALTH RISKS AND HEALTH DISPARITIES. THE HOSPITAL MOVED TO A SINGLE MEDICARE PROVIDER MODEL TO DRIVE OPERATIONAL EFFICIENCIES AND SAVINGS THAT WILL BE REINVESTED TO IMPROVE HEALTH OUTCOMES AND REDUCE THE COST OF CARE IN THE COMMUNITIES WE SERVE. STATE LEGISLATORS EARMARKED OVER $400,000 IN CAPITAL GRANT FUNDING FOR RENOVATIONS TO ADVOCATE TRINITY'S EMERGENCY DEPARTMENT. IN ADDITION, ADVOCATE AURORA SYSTEM LEADERSHIP APPROVED A $4.8 MILLION CAPITAL RENOVATION PROJECT FOR THE HOSPITAL'S ED.
SCHEDULE H, PART VI, LINE 2 - ADVOCATE EUREKA HOSPITALN/A
SCHEDULE H, PART VI, LINE 4 - ADVOCATE EUREKA HOSPITALCOMMUNITY DESCRIPTION. FOR THE PURPOSE OF THE 2017-2019 CHNA, "COMMUNITY" IS DEFINED AS WOODFORD COUNTY ILLINOIS. ADVOCATE EUREKA IS THE ONLY HOSPITAL IN WOODFORD COUNTY, WHICH IS LOCATED IN RURAL CENTRAL ILLINOIS. ALTHOUGH THE HOSPITAL PARTICIPATED IN THE 2019 TRI-COUNTY COLLABORATIVE, LED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY FOR THE THREE COUNTIES, FOR THE PURPOSE OF THE 2017-2019 ADVOCATE EUREKA CHNA THE COMMUNITY IS DEFINED AS WOODFORD COUNTY. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. POPULATION. WOODFORD COUNTY CONSISTS OF A TOTAL POPULATION OF 38,606 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). THE TOWN OF EUREKA HAS THE LARGEST POPULATION IN THE COUNTY WITH 6,735. THE POPULATION IN WOODFORD COUNTY DECREASED BY 0.15 PERCENT FROM 2010 TO 2019 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).SOCIAL DETERMINANTS OF HEALTH: SOCIONEEDS INDEX. THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE INDICATOR THAT IS A MEASURE OF SOCIOECONOMIC NEED, CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE EACH FROM THE FOLLOWING TOPICS: POVERTY, INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION AND LANGUAGE. THE INDICATORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES AND COUNTY EQUIVALENTS IN THE U.S. ARE GIVEN AN INDEX VALUE FROM 0 (LOW NEED) TO 100 (HIGH NEED). TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. THESE RANKS ARE THEN USED TO COLOR THE ZIP CODES WITH THE HIGHEST SOCIONEEDS INDICES WITH THE DARKER COLORS. WOODFORD COUNTY HAS FOUR COMMUNITIES THAT HAVE GREATER SOCIOECONOMIC NEEDS (RANKING OF A 4 OR 5) COMPARED TO OTHER COMMUNITIES IN THE COUNTY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2018). THE COMMUNITIES WITH A RANKING OF 4 OR 5 ARE WASHBURN61570 (5), SECOR61771 (5), LOWPOINT61545 (4) AND EL PASO61738 (4). EL PASO IS LOCATED IN BOTH MCLEAN AND WOODFORD COUNTIES.IN ADDITION TO THE ABOVE ZIP CODES WITH A HIGH SOCIONEEDS RANKING, WOODFORD COUNTY HAS THREE ZIP CODES, WITH A LOW SOCIONEEDS RANKING. GOODFIELD61742, GERMANTOWN HILLS61548 AND ROANOKE61561 ALL HAVE A SOCIONEEDS RANKING OF 1. DEMOGRAPHICSAGE AND GENDER. THE MEDIAN AGE IN WOODFORD COUNTY IS 40.4 YEARS WHICH IS HIGHER THAN THE MEDIAN AGE FOR ILLINOIS OF 38.5 YEARS. WOODFORD COUNTY IS EVENLY SPLIT IN POPULATION IN TERMS OF GENDER, WITH 49.7 PERCENT OF THE POPULATION BEING MALE AND 50.3 PERCENT BEING FEMALE.RACE AND ETHNICITY. THE POPULATION BY RACE FOR WOODFORD COUNTY IS 96.3 PERCENT WHITE, 0.69 PERCENT BLACK OR AFRICAN AMERICAN, 0.73 PERCENT ASIAN, 0.26 PERCENT AMERICAN INDIAN AND ALASKA NATIVE AND 0.03 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). THE POPULATION BY ETHNICITY FOR WOODFORD COUNTY IS 2.13 PERCENT HISPANIC/LATINO AND 97.87 PERCENT NON-HISPANIC/LATINO (CONDUENT HEALTHY COMMUNITIES, CLARITAS, 2019). HOUSEHOLD/FAMILY. THE AVERAGE HOUSEHOLD SIZE IN WOODFORD COUNTY IS 2.6 PERSONS WITH 14,412 RESIDENTS LIVING AS A PART OF A HOUSEHOLD (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). TWENTY PERCENT OF THE HOUSEHOLDS IN WOODFORD COUNTY ARE SINGLE PARENT HOUSEHOLDS. IN COMPARISON TO OTHER COUNTIES IN ILLINOIS, THE WOODFORD COUNTY SINGLE PARENT HOUSEHOLD VALUE IS IN THE BEST 0-50TH PERCENTILE RANGE (GREEN INDICATOR). THE PERCENT OF SENIORS (AGE 65 YEARS AND OLDER) WHO ARE LIVING ALONE IN WOODFORD COUNTY IS 23.6 PERCENT. THIS IS ALSO IN THE BEST 050TH PERCENTILE (GREEN INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019).ECONOMICSMEDIAN HOUSEHOLD INCOME. THE MEDIAN HOUSEHOLD INCOME IN WOODFORD COUNTY IS $72,597, WHICH IS HIGHER THAN THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $66,487 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). PEOPLE LIVING BELOW THE POVERTY LEVEL. THE PERCENT OF PEOPLE LIVING BELOW THE POVERTY LEVEL IN WOODFORD COUNTY IS 7.4 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2013-2017). THIS IS IN THE BEST 050TH PERCENTILE (GREEN INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS AND LOWER THAN THE ILLINOIS VALUE (13.5 PERCENT). IT IS TRENDING UNFAVORABLY, ALTHOUGH NOT IN A STATISTICALLY SIGNIFICANT DIRECTION.CHILDREN LIVING BELOW THE POVERTY LEVEL, THE PERCENT OF CHILDREN LIVING BELOW THE POVERTY LEVEL IN WOODFORD COUNTY IS 11.8 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2013-2017). THIS IS IN THE BEST 050TH PERCENTILE (GREEN INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS AND LOWER THAN THE ILLINOIS VALUE (18.8 PERCENT). IT IS TRENDING UNFAVORABLY, ALTHOUGH NOT IN A STATISTICALLY SIGNIFICANT DIRECTION.PERSONS WITH DISABILITIES LIVING BELOW THE POVERTY LEVEL. THE PERCENT OF INDIVIDUALS WITH DISABILITIES LIVING IN POVERTY IN WOODFORD COUNTY IS 24.6 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2013-2017). THIS IS IN THE BEST 050TH PERCENTILE (GREEN INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS AND LOWER THAN THE ILLINOIS VALUE (26.2 PERCENT).PEOPLE 65 YEARS AND OLDER LIVING BELOW THE POVERTY LEVEL. THE PERCENT OF PEOPLE 65 YEARS AND OLDER LIVING BELOW THE POVERTY LEVEL IS 2.9 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2013-2017). THIS IS IN THE BEST 050TH PERCENTILE (GREEN INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS AND LOWER THAN THE ILLINOIS VALUE (8.8 PERCENT). IT IS TRENDING FAVORABLY IN A STATISTICALLY SIGNIFICANT DIRECTION.EMPLOYMENT. THE PERCENT OF THE CIVILIAN LABOR FORCE OVER THE AGE OF 16 THAT IS UNEMPLOYED IN WOODFORD COUNTY IS 5.2 PERCENT, LOWER THAN ILLINOIS AT 6.7 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE MANUFACTURING AT 16.6 PERCENT, HEALTHCARE AT 12.9 PERCENT AND RETAIL TRADE AT 11.5 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).EDUCATIONEDUCATIONAL LEVEL. NINETY-FOUR PERCENT OF THE POPULATION OVER THE AGE OF 25 IN WOODFORD COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 21.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). EUREKA COLLEGE, A SMALL LIBERAL ARTS COLLEGE, IS LOCATED IN WOODFORD COUNTY.HIGH SCHOOL GRADUATION RATES. NINETY-TWO PERCENT OF STUDENTS IN WOODFORD COUNTY GRADUATE HIGH SCHOOL WITHIN FOUR YEARS OF THEIR FIRST ENROLLMENT IN NINTH GRADE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, COUNTY HEALTH RANKINGS, 2011-2015). THIS IS IN THE BEST 0-50TH PERCENTILE RANGE (GREEN INDICATOR) WHEN COMPARED TO OTHER COUNTIES IN ILLINOIS, IS HIGHER THAN THE ILLINOIS VALUE (85.6 PERCENT), IS TRENDING FAVORABLY IN A STATISTICALLY SIGNIFICANT DIRECTION AND MEETS THE HEALTHY PEOPLE 2020 TARGET OF 87 PERCENT. STUDENT-TO-TEACHER RATIO. THIS INDICATOR SHOWS THE AVERAGE NUMBER OF PUBLIC-SCHOOL STUDENTS PER TEACHER IN THE REGION. IT DOES NOT MEASURE CLASS SIZE. ACCORDING TO THE NATIONAL CENTER FOR EDUCATION STATISTICS, LARGER SCHOOLS TEND TO HAVE HIGHER STUDENT-TEACHER RATIOS. THERE ARE 14.7 STUDENTS PER TEACHER IN WOODFORD COUNTY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, NATIONAL CENTER FOR EDUCATION STATISTICS, 2016-2017). THIS IS IN THE WORST 50-75TH PERCENTILE RANGE (YELLOW INDICATOR) COMPARED TO OTHER COUNTIES IN ILLINOIS BUT IS TRENDING FAVORABLY, ALTHOUGH NOT IN A STATISTICALLY SIGNIFICANT DIRECTION.HEALTHCARE COVERAGE. ACCORDING TO THE TRI-COUNTY COMMUNITY HEALTH SURVEY, 2018, 81 PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS REPORTED HAVING PRIVATE INSURANCE, FOLLOWED BY 16 PERCENT HAVING MEDICAID AND 11 PERCENT HAVING MEDICARE. THREE PERCENT OF SURVEY RESPONDENTS REPORTED NOT HAVING ANY INSURANCE. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY. RESOURCES IN THE COMMUNITY INCLUDE: ADVOCATE EUREKA, A CRITICAL ACCESS HOSPITAL; WOODFORD COUNTY PUBLIC HEALTH DEPARTMENT, A HEALTH CLINIC; AND HEART HOUSE/SHELTER, A COMMUNITY ORGANIZATION.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE EUREKA HOSPITALADVOCATE EUREKA'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-ONE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. ADVOCATE EUREKA IS A 25-BED FACILITY THAT HAS SERVED AND CARED FOR THE PEOPLE OF WOODFORD COUNTY AND THE SURROUNDING AREA SINCE 1901. ADVOCATE EUREKA IS THE ONLY HOSPITAL IN WOODFORD COUNTY AND IS A CRITICAL ACCESS HOSPITAL AS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY FUNCTIONING IN THIS CAPACITY, ADVOCATE EUREKA PLAYS A VITAL ROLE IN SERVING THE HEALTH NEEDS OF A PRIMARILY RURAL AREA. COMMUNITY RESIDENTS BENEFIT FROM HAVING ACCESS TO CARE CLOSE TO HOME AS PROVIDED BY A DEDICATED GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. IF THE PATIENT'S CONDITION REQUIRES ADVANCED CARE, ADVOCATE EUREKA IS AVAILABLE TO STABILIZE THE CONDITION AND SEAMLESSLY TRANSITION THE PATIENT TO ANOTHER FACILITY.A CHERISHED COMMUNITY INSTITUTION, ADVOCATE EUREKA HAS SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACCOMPLISH. WHILE PATIENTS APPRECIATE THE SMALL-TOWN TOUCH OF ONE-ON-ONE CARE, THEY ALSO KNOW THAT IT'S BACKED BY SERVICES AND TECHNOLOGY TYPICALLY UNAVAILABLE AT A SMALL HOSPITAL. EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION AND ADVANCED RADIOLOGY ARE ONLY A FEW OF THE SERVICES OFFERED. THESE SERVICES ARE PROVIDED BY A SKILLED AND CARING STAFF THAT HAS WON NUMEROUS AWARDS FOR PATIENT SATISFACTION.IN ADDITION TO FILLING A VOID IN THE COUNTY BY SERVING AS A CRITICAL ACCESS HOSPITAL, ADVOCATE EUREKA PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS RECYCLING EFFORTS. USED PRINTER CARTRIDGES ARE COLLECTED AND DONATED DIRECTLY TO SPECIAL OLYMPICS. IN ADDITION, THE HOSPITAL DONATES USED MEDICAL EQUIPMENT AND FURNITURE, AND HAS MADE IMPROVEMENTS TO REDUCE ENERGY, SOLID AND MEDICAL WASTE USAGE. THE HOSPITAL ALSO SPONSORS COMMUNITY RACES TO PROMOTE HEALTH AWARENESS AND ENGAGES IN FUNDRAISING EFFORTS TO IMPROVE THE HEALTH OF THE COMMUNITY. ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES TO THE HEALTH OF THE COMMUNITY IS THROUGH ITS COMMUNITY EDUCATION AND OUTREACH EFFORTS. IN 2019, THE HOSPITAL OFFERED CLASSES IN GLUCOSE MONITORING AND EDUCATION, AND A CAREGIVER'S CLASS TO TEACH INDIVIDUALS HOW TO TAKE CARE OF THE DEVELOPMENTALLY DISABLED. ADDITIONALLY, THE HOSPITAL STAFF COLLECT FOOD AND SCHOOL SUPPLIES FOR LOW-INCOME FAMILIES. MEMBERS OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM ALSO SERVE ON MULTIPLE COMMUNITY BOARDS THAT WILL HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS KIWANIS, WOODFORD COUNTY FOOD PANTRY, EUREKA BUSINESS ASSOCIATION, EMERGENCY MANAGEMENT SERVICES AND THE ROTARY CLUB. IN ADDITION TO ALL OF THE ABOVE EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITY, ADVOCATE EUREKA HAD TWO SIGNIFICANT CAPITAL PROJECTS OR EXPENSES IN 2019 THAT IMPROVED PATIENT CARE. THE SELENIA MAMMOGRAPHY SYSTEM WAS PURCHASED BY RADIOLOGY TO IMPROVE PATIENT CARE. THE SELENIA MAMMOGRAPHY SYSTEM WAS AN UPGRADE FROM 2D MAMMOGRAPHY TO 3D MAMMOGRAPHY. 3D MAMMOGRAPHY FINDS LESIONS EARLIER IN THE DISEASE PROCESS AND HELPS CLINICIANS TO MORE CONFIDENTLY DIAGNOSE WOMEN WITH DENSE BREAST TISSUE. THE SECOND PIECE OF EQUIPMENT THAT IMPROVES PATIENT CARE IS THE MAC VUE360. THIS EQUIPMENT WAS PURCHASED BY CARDIOLOGY. THE MAC VUE360 GIVES ADVOCATE EUREKA THE ABILITY TO OBTAIN HIGH QUALITY EKG REPORTS MUCH FASTER THAN THE OLD TECHNOLOGY. THE MAC VUE360 HAS A SMART ACQUISITION PLATFORM THAT INCLUDES SMART LEADS, HOOKUP ADVISOR AND SMART AUTO-EKG TECHNOLOGY THAT MINIMIZE VARIABILITY, DATA MIX-UPS AND THE NEED FOR REPEAT TESTS. THE MAC VUE360 ALLOWS FOR EKG REPORTS TO BE OBTAINED QUICKLY SO THE UNDERLYING CARDIAC PROBLEM CAN BE IDENTIFIED, AND TREATMENT CAN BEGIN AS SOON AS POSSIBLE TO RESTORE ADEQUATE BLOOD FLOW TO THE HEART AND OTHER VITAL ORGANS.
SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH SYSTEM (ALL HOSPITALS)PRIMARY CARE CONNECTION-COMMUNITY HEALTH WORKERS (CHWS) IS A QUALITY IMPROVEMENT PROJECT TO ENGAGE AND EDUCATE MEDICAID BENEFICIARIES SEEN IN THE ED ON APPROPRIATE LEVEL OF CARE OPTIONS AVAILABLE TO THEM USING COMMUNITY HEALTH WORKERS. THE MAIN OBJECTIVES OF THE PRIMARY CARE CONNECTIONS INTERVENTION ARE TO: EDUCATE AND SCHEDULE LOW ACUITY PATIENTS WHO VISIT THE ED REGARDING ALTERNATIVE CARE OPTIONS AVAILABLE TO THEM; HELP THEM ESTABLISH A PRIMARY CARE MEDICAL HOME; IMPROVE CARE COORDINATION TO PREVENT INAPPROPRIATE ED UTILIZATION; AND HELP THEM NAVIGATE SPECIFIC SOCIAL DETERMINANTS OF HEALTH TO IMPROVE HEALTH OUTCOMES. THE PROGRAM EXISTS IN FOUR AAH ILLINOIS HOSPITALS INCLUDING ADVOCATE CHRIST, ADVOCATE TRINITY, ADVOCATE CONDELL AND ADVOCATE SHERMAN. DURING 2019, MORE THAN 8,500 PATIENTS WERE ENGAGED, OF WHICH 56% (OVER 4,788 PATIENTS) WERE SCHEDULED FOR A FOLLOW-UP APPOINTMENT WITH AN ADVOCATE PCP OR FQHC. AS A RESULT, 96% OF THESE PATIENTS WHO WERE ENGAGED WITH THE PRIMARY CARE CONNECTION INTERVENTION DID NOT RETURN TO THE ER WITHIN SIX MONTHS FOR A LOW-ACUITY VISIT. ADVOCATE CONTINUES TO PURSUE QUALITY AND UTILIZATION IMPROVEMENT ACTIVITIES LIKE THE PRIMARY CARE CONNECTIONS INTERVENTION TO ACTIVELY MANAGE AND ENGAGE THE ADVOCATE/MERIDIAN FHP MEMBERS IN ORDER TO ACHIEVE THE QUADRUPLE AIM OF IMPROVED PHYSICIAN AND PATIENT EXPERIENCE, BETTER PATIENT OUTCOMES, AND REDUCTIONS IN THE TOTAL COSTS OF CARE.ADVOCATE ALSO PROVIDES LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO A BROAD RANGE OF HEALTH-RELATED SERVICES. LANGUAGE SERVICES. IN APRIL 2019, AN ADVOCATE AURORA SYSTEM DIRECTOR OF CULTURAL AND LINGUISTIC SERVICES WAS HIRED. THE FOCUS FOR 2019 WAS TO BEGIN TO BRING THE IL AND WI LANGUAGE SERVICES DEPARTMENTS TOGETHER WHILE IDENTIFYING BEST PRACTICES TO PROVIDE INTERPRETING SERVICES AND OTHER LANGUAGE ASSISTANCE. A NEW REPORTING STRUCTURE WAS IMPLEMENTED AND THE LANGUAGE SERVICES DEPARTMENT NOW REPORTS TO THE DIVERSITY AND INCLUSION FUNCTION. THE FOCUS OF THE LANGUAGE SERVICES DEPARTMENT IS TO ENSURE THAT LANGUAGE SERVICES ARE PROVIDED EQUALLY ACROSS THE SYSTEM AND THAT ALL CONSUMERS NEEDING THIS SERVICE ARE PROVIDED WITH THE MOST EFFECTIVE COMMUNICATION POSSIBLE. VIDEO REMOTE INTERPRETING (VRI) AND TELEPHONIC VENDORS WERE EVALUATED IN 2019, AND THE DECISION WAS MADE TO CHANGE VRI VENDORS IN ILLINOIS MOVING FORWARD. VIDEO REMOTE AND TELEPHONIC INTERPRETING CONTINUE TO BE THE MOST USED METHODS FOR PROVIDING INTERPRETING SERVICES. IN 2019, THE ILLINOIS HOSPITALS PROVIDED MORE THAN 250,000 INTERPRETING ENCOUNTERS. IT IS ANTICIPATED THAT IN 2020, THE ILLINOIS EMPLOYED ONSITE INTERPRETERS WILL BE TRAINED TO PROVIDE VRI SERVICES IN ADDITION TO ONSITE INTERPRETING SERVICES. TELEPHONIC INTERPRETING IS ALSO BEING EVALUATED WITH THE INTENT OF HAVING EMPLOYED INTERPRETERS HANDLE TELEPHONIC CALLS IN THE FUTURE.ADVOCATE'S LONG-TERM SUPPORT OF PROGRAMS AND SERVICES THAT PROMOTE HEALTH EQUITY HAVE RESULTED IN VARIOUS PROGRAMS/INITIATIVES THAT WORK TO IMPROVE THE HEALTH OF DIVERSE UNDERSERVED POPULATIONS IN THE COMMUNITIES IT SERVES. EXAMPLES OF THESE EFFORTS FOLLOW. LGBTQ (LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER) HEALTH EQUITY INDEX. ADVOCATE ILLINOIS MASONIC IS THE FIRST AAH ILLINOIS HOSPITAL TO ACHIEVE, SINCE ITS INCEPTION, THE "LEADER" WITH THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S (HTTPS://WWW.HRC.ORG/)HEALTH EQUITY INDEX. THE MEDICAL CENTER IS ONE OF 303 HEALTHCARE ENTITIES TO RECEIVE THIS DESIGNATION IN THE U.S. LEADERS ARE RECOGNIZED FOR POLICIES AND SERVICES SUPPORTIVE OF LGBTQ RIGHTS, INCLUDING PATIENT, VISITATION AND EMPLOYMENT NON-DISCRIMINATION; STAFF TRAINING IN LGBTQ PATIENT-CENTERED CARE; LGBTQ PATIENT SERVICES AND SUPPORT; TRANSGENDER PATIENT SERVICES AND SUPPORT; PATIENT SELF-IDENTIFICATION; MEDICAL DECISION MAKING; EMPLOYEE BENEFITS; AND PATIENT AND COMMUNITY ENGAGEMENT. IN 2016, ADVOCATE ILLINOIS MASONIC CREATED AN INTERNAL LGBTQ TASK FORCE AND EXTERNAL LGBTQ COMMUNITY ADVISORY COUNCIL. AS PART OF THE ACCREDITATION, THE MEDICAL CENTER BEGAN A PROCESS FOR IMPLEMENTING GENDER CONFORMING IDENTIFICATION AND SIGNAGE. OF NOTE IS A WAY TO PLACE A SIGN ON SPECIFIC ROOMS AS AN ALERT TO NURSING AND PHYSICIAN TEAM MEMBERS THAT THE INDIVIDUAL IN THE ROOM IS A TRANSGENDER/GENDER NONCONFORMING (TGNC) PATIENT AND TO BE SENSITIVE OF THE PATIENT'S GENDER IDENTITY/PRONOUNS. ADVOCATE ILLINOIS MASONIC ALSO LED THE WAY AND COORDINATED FOR THE OTHER 11 HOSPITALS IN ILLINOIS TO PARTICIPATE IN THE HEI SURVEY IN 2018, AFFECTING POSITIVE INCLUSIVE CHANGE FOR MILLIONS OF PATIENTS ACROSS ILLINOIS. ADVOCATE BROMENN AND ADVOCATE EUREKA ALSO HAVE FORMED LGBTQ+ ADVISORY COUNCILS TO INCREASE ACCESS AND TO FOSTER MORE RESPECTFUL CARE TO THE LGBTQ+ COMMUNITY. THE LOCAL COUNCIL IS PART OF ADVOCATE AURORA'S SYSTEMWIDE EFFORTS AS MEASURED BY THE HEALTH EQUALITY INDEX AND FOCUSES ON EDUCATION INITIATIVES, REVIEW OF POLICIES AND PROCEDURES, AND CONSULTATION ABOUT CONCERNS RAISED BY THE LGTBQ+ COMMUNITY. CULTURAL HEALTH INITIATIVES. TO BE RESPONSIVE TO THE UNIQUE CULTURAL, SPIRITUAL AND HEALTH NEEDS OF THE DIVERSE COMMUNITIES WITHIN ITS SERVICE AREA, ADVOCATE LUTHERAN GENERAL HAS IMPLEMENTED MULTIPLE CULTURAL HEALTH INITIATIVES. THE HOSPITAL HAS A DESIGNATED PATIENT NAVIGATOR (POLISH) WHOSE MAIN RESPONSIBILITIES INCLUDE CREATING A COMPETENT CULTURE WITHIN THE HOSPITAL FOR POLISH PATIENTS, ROUNDING ON PATIENTS, CONDUCTING CULTURALLY-SPECIFIC NEEDS ASSESSMENTS, DEVELOPING PROGRAMS TO ADDRESS SIGNIFICANT HEALTH NEEDS AND TO PROVIDE HEALTH EDUCATION. THROUGH ROUNDING, THE POLISH NAVIGATOR SEES APPROXIMATELY 25 TO 50 INPATIENTS PER WEEK. THE NAVIGATOR ALSO WORKS DIRECTLY WITH THE BREAST CENTER, NAVIGATING APPROXIMATELY 5 POLISH WOMEN PER WEEK THROUGH THEIR BREAST HEALTH ENCOUNTERS, INCLUDING DIAGNOSIS AND TREATMENT. THE POLISH LECTURES, WHICH BEGAN IN 2014, HAVE HAD OVER 2,500 ATTENDEES. IN 2019, A TOTAL OF SIX LECTURES WERE OFFERED AND DELIVERED IN POLISH, PROVIDING EDUCATION ON TOPICS SUCH AS HEALTHY BONES AND HEALTHY LIFESTYLES TO MORE THAN 409 PARTICIPANTS FROM THE POLISH COMMUNITY. ALONG WITH INCREASING HEALTH LITERACY AND EDUCATION IN THE COMMUNITY, THE POLISH NAVIGATOR INCREASES ACCESS TO HEALTH CARE, WHICH ALIGNS WITH ADVOCATE AURORA HEALTH'S ACCESS TO PRIMARY CARE COMMUNITY STRATEGY. 2. ACCESS/BEHAVIORAL HEALTH SERVICESA SECOND ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS ACCESS TO BEHAVIORAL HEALTH SERVICES. ADVOCATE HAS IMPLEMENTED MANY PROGRAMS/SERVICES FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. SEVERAL EXAMPLES OF BEHAVIORAL HEALTH PROGRAMS THAT ADVOCATE HOSPITALS HAVE IMPLEMENTED AND IMPROVE ACCESS ARE PROVIDED BELOW. MENTAL HEALTH FIRST AID TRAININGS. ADVOCATE'S BEHAVIORAL HEALTH COUNCIL INTEGRATION STRATEGIES HAVE INCLUDED COMMUNITY HEALTH DEPARTMENTS OFFERING MENTAL HEALTH FIRST AID TRAINING TO TARGETED COMMUNITY MEMBERS FOR THE PURPOSE OF REDUCING STIGMA, AND TRAINING COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH ISSUES AND UNDERSTAND APPROPRIATE INTERVENTIONS. IN 2019 FOR EXAMPLE, OVER 299 COMMUNITY MEMBERS WERE TRAINED IN MCLEAN COUNTY ALONE VIA THE EIGHT-HOUR EVIDENCE-BASED PROGRAM. IN ADDITION TO THE 8-HOUR TRAINING, ADVOCATE PAID FOR A BEHAVIORAL HEALTH STAFF LEADER AND A LOCAL POLICE OFFICER TO BE TRAINED AS MENTAL HEALTH FIRST AID TRAINERS IN 40 HOUR PROGRAMS. THESE TWO TRAINERS WILL INCREASE THE NUMBER OF CLASSES THAT CAN BE OFFERED TO THE COMMUNITY. IN ADDITION TO THE EIGHT-HOUR TRAINING, ADVOCATE CONDELL SPONSORED TWO INDIVIDUALS, WHO ARE BOTH BILINGUAL IN ENGLISH AND SPANISH, TO COMPLETE THE 40-HOUR INSTRUCTOR TRAINING FOR MENTAL HEALTH FIRST AID. THE STRATEGY WAS TO INCREASE CAPACITY FOR SPANISH SPEAKING TRAINERS IN LAKE AND MCHENRY COUNTIES. IN 2019, TWO YOUTH MENTAL HEALTH FIRST AID TRAINING SESSIONS WERE HELD WITH SCHOOL DISTRICTS RESULTING IN THE TRAINING OF 54 SCHOOL DISTRICT STAFF MEMBERS.TWENTY-FIVE ADULTS FROM THE BLOOMINGTON/NORMAL AND CHICAGO AREAS WERE TRAINED AS MASTER TRAINERS FOR ADVERSE CHILDHOOD EXPERIENCES (ACE) CURRICULUM DURING A TWO-DAY TRAINING PROGRAM IN 2017. THESE TRAINERS ARE NOW ABLE TO OFFER TRAININGS THROUGHOUT ADVOCATE'S SERVICE AREAS. AS A RESULT OF THIS TRAINING, THE NUMBER OF INDIVIDUALS THAT RECEIVED TRAINING IN MCLEAN COUNTY HAS INCREASED FROM 580 TO 954 COMMUNITY MEMBERS. IN 2019, 583 COMMUNITY MEMBERS WERE TRAINED. OTHER EXAMPLES OF BEHAVIORAL HEALTH-RELATED PROGRAMMING INCLUDE PROGRAMS AT LOCAL SCHOOLS WHERE OVER 3,205 STUDENTS IN MCLEAN COUNTY RECEIVED EVIDENCE-BASED "ENDING THE SILENCE" TRAINING AND 2,408 STUDENTS RECEIVED EVIDENCE BASED "TOO GOOD FOR DRUGS" TRAINING. ADDITIONALLY, ALL ADVOCATE HOSPITALS ARE PARTICIPATING IN LOCAL COMMUNITY BEHAVIORAL HEALTH AND SUBSTANCE ABUSE COLLABORATIVES.
SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH SYSTEM (ALL HOSPITALS)FIRST ACCESS PROGRAM. GIVEN THE HIGH NUMBER OF ADMISSIONS AND ED VISITS FOR BEHAVIORAL HEALTH CONDITIONS AT ADVOCATE ILLINOIS MASONIC AND THE HIGH NUMBER OF DISCHARGED PATIENTS THAT WERE NOT KEEPING THEIR OUTPATIENT FOLLOW-UP APPOINTMENTS, THE MEDICAL CENTER'S BEHAVIORAL HEALTH SERVICES DEPARTMENT CREATED THE FIRST ACCESS PROGRAM IN 2013. THE PROGRAM'S GOAL IS TO PROVIDE IMMEDIATE ACCESS TO FOLLOW-UP BEHAVIORAL HEALTH SERVICES TO SUPPORT RECOVERY AND PREVENT RELAPSES. THROUGH FIRST ACCESS, BEHAVIORAL HEALTH ED PATIENTS AS WELL AS PATIENTS REFERRED BY THE MEDICAL CENTER'S INPATIENT PSYCHIATRIC UNIT, MEDICAL FLOORS AND PHYSICIANS ARE WALKED OVER TO OUTPATIENT CARE BY A STAFF MEMBER TO ENSURE SAME DAY FOLLOW-UP FOR OUTPATIENT APPOINTMENTS. SINCE ITS IMPLEMENTATION, FIRST ACCESS HAS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100% IN 2019; ALL DISCHARGED PATIENTS RECEIVED WARM HAND-OFFS TO BEHAVIORAL HEALTH SERVICES AND LEFT WITH AN OUTPATIENT PLAN OF CARE. HAVING ACHIEVED THAT, FIRST ACCESS STARTED TO FOCUS ON PROVIDING ACCESS TO CARE TO ALL ADVOCATE AURORA PATIENTS AND ITS VOLUMES GREW STEADILY IN 2019, FROM 738 INTAKES IN 2018 TO 910 IN 2019, A 23% GROWTH IN IMMEDIATE ACCESS TO CARE.MEDICALLY INTEGRATED CRISIS COMMUNITY SUPPORT (MICCS). THE MICCS TEAM AT ADVOCATE ILLINOIS MASONIC IS COMPRISED OF SIX CLINICIANS, A CHAPLAIN AND A PEER SUPPORT SPECIALIST WHO PROVIDE ONE TO TWO THERAPEUTIC, COMMUNITY-BASED CONTACTS PER PATIENT PER DAY TO ACUTELY ILL BEHAVIORAL HEALTH PATIENTS ON THE NORTHSIDE OF CHICAGO. THIS IS PARTICULARLY IMPORTANT GIVEN THE STATE'S CLOSURE OF NUMEROUS MENTAL HEALTH HOSPITALS IN ILLINOIS. THE TEAM GOES INTO THE COMMUNITY TO HELP HOMELESS AND INDIGENT PATIENTS WITH SITUATIONS IMPACTING THEIR BEHAVIORAL HEALTH, SUCH AS HOUSING AND MEDICATION STABILIZATION, THUS HELPING CLIENTS IMPROVE THEIR OVERALL HEALTH. IN 2019, 166 INDIVIDUALS WERE SERVED THROUGH THE MICCS PROGRAM. DEAF AND HARD OF HEARING PROGRAM. ADVOCATE ILLINOIS MASONIC'S DEAF AND HARD OF HEARING PROGRAM PROVIDES COMPREHENSIVE MENTAL HEALTH CARE IN AMERICAN SIGN LANGUAGE (ASL) TO DEAF, HARD OF HEARING AND DEAF-BLIND CHILDREN, ADOLESCENTS AND ADULTS IN THE SIX-COUNTY CHICAGO REGION. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL, FAMILY AND GROUP THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AND INTERVENTION WITH A 24-HOUR PHONE LINE CONNECTED TO A TEXT TELEPHONE (TTY) SYSTEM. A TELE-PSYCHIATRY NETWORK ENABLES THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS WHO HAVE RECEIVED THE FREE VIDEOPHONE EQUIPMENT AND SERVICES SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC). A HEALTH EDUCATION WEBSITE ALLOWS USERS TO WATCH VIDEOS, LINK TO OTHER ASL VIDEOS AND/OR TO ORDER FREE ASL HEALTH EDUCATION DVDS. OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION AND SMOKING CESSATION. IN 2019, 74 UNIQUE PATIENTS WERE SERVED THROUGH THE DEAF AND HARD OF HEARING PROGRAM. 3. COMMUNITY SAFETY: ADVOCATE ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETY/VIOLENCEANOTHER COMMUNITY STRATEGY FOCUS AREA. SOME EXAMPLES ARE PROVIDED BELOW.CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION WORKS TO ADVANCE HEALTH EQUITY BY PARTNERING WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY, NURTURE LEADERS AND CONNECT THE UNIQUE SPIRIT POWER OF FAITH COMMUNITIES TO PROMOTE SOCIAL JUSTICE AND ABUNDANT LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES. THE CENTER IS A PARTNERSHIP BETWEEN ADVOCATE AND THE OFFICE FOR COMMUNITY ENGAGEMENT AND NEIGHBORHOOD HEALTH PARTNERSHIPS AT THE UNIVERSITY OF ILLINOIS AT CHICAGO. CURRENTLY, THE CENTER IS CONVENING A TRAUMA INFORMED CONGREGATIONS NETWORK TO SUPPORT THE CAPACITY OF FAITH COMMUNITIES TO PREVENT TRAUMA AND TO BE PLACES OF HEALING FOR THOSE WHO HAVE EXPERIENCED ADVERSITY IN CHILDHOOD OR THROUGHOUT THEIR LIVES. SEXUAL ASSAULT NURSE EXAMINERS (SANE). ADVOCATE CONDELL, ADVOCATE CHILDREN'S HOSPITAL AND ADVOCATE'S SOUTH REGION (ADVOCATE CHRIST, SOUTH SUBURBAN AND TRINITY HOSPITALS) SANE PROGRAMS CONSIST OF SEXUAL ASSAULT NURSE EXAMINERS WHO ARE STATE CERTIFIED BY THE OFFICE OF THE ILLINOIS ATTORNEY GENERAL. SANES ARE AVAILABLE EITHER IN THE ED OR ON AN ON-CALL BASIS TO PROVIDE COMPASSIONATE, TRAUMA-INFORMED CARE TO SEXUAL ASSAULT VICTIMS SEEKING CARE IN THE ED. THESE HIGHLY TRAINED PRACTITIONERS PERFORM HEAD-TO-TOE EXAMS PERTAINING TO THE SEXUAL ASSAULT/ABUSE, ADDRESS STI (SEXUALLY TRANSMITTED INFECTION) CONCERNS, COLLECT FORENSIC EVIDENCE, TESTIFY IN COURT AS EXPERT WITNESSES, AND OFFER ACCESS TO AFTER-CARE RESOURCESSUPPORTING THE VICTIM THROUGH THE ENTIRE PROCESS. THE TWO SANE PROGRAM COORDINATORS WORK CLOSELY WITH A MULTI-DISCIPLINARY TEAM THAT INCLUDES: LOCAL RAPE ADVOCATES, LAW ENFORCEMENT AND PROSECUTORS TO ASSURE VICTIMS OF SEXUAL ASSAULT RECEIVE THE BEST CARE POSSIBLE AT ALL CONTACT POINTS. ADVOCATE CONDELL CARED FOR 95 PATIENTS IN 2019, 24 OF WHICH WERE PEDIATRIC SEXUAL ASSAULT PATIENTS (<13 YEARS). ADVOCATE CONDELL ALSO PROVIDED TRAINING REGARDING SEXUAL ASSAULT TREATMENT AND RESPONSE TO COMMUNITY PARTNERS INCLUDING, BUT NOT LIMITED TO, RAPE ADVOCACY CENTERS, LAW ENFORCEMENT AND MEDICAL STUDENTS. ADVOCATE'S SOUTH REGION SANE PROGRAM (ADVOCATE CHRIST, SOUTH SUBURBAN AND ADVOCATE TRINITY HOSPITALS) SERVED 210 PATIENTS IN THE ED WHO WERE SEXUALLY ASSAULTED OR ABUSED IN 2019. IN ADDITION, ADVOCATE CHILDREN'S CHILD PROTECTION TEAM AND SANE PROGRAM PARTNERS, WITH AREA CHILDREN ADVOCACY CENTERS, DCFS AND LAW ENFORCEMENT, PROVIDE CARE TO CHILDREN WHO ARE SEXUALLY ASSAULTED/ABUSED. IN GENERAL, VERY FEW PROGRAMS IN ILLINOIS ARE ABLE TO MEET THE NEEDS OF THIS PATIENT POPULATION. SEXUALLY ASSAULTED CHILDREN WHO REQUIRE EVIDENCE COLLECTION ARE REFERRED TO THE PEDIATRIC EMERGENCY DEPARTMENT AT ONE OF THE ADVOCATE CHILDREN'S CAMPUSES, EITHER IN OAK LAWN OR PARK RIDGE. IN 2019, 158 SEXUALLY ASSAULTED CHILDREN WERE CARED FOR IN THE PEDIATRIC ED. SEXUALLY ASSAULTED CHILDREN NOT REQUIRING EVIDENCE COLLECTION ARE REFERRED TO ONE OF THE ADVOCATE CHILDREN'S CERTIFIED PEDIATRIC SANE CHILD PROTECTION NURSE PRACTITIONERS AND ARE SEEN IN THE OUTPATIENT SEXUAL ABUSE CLINICS. IN 2019, 155 CHILDREN (INCLUDING THOSE MENTIONED EARLIER SERVED BY ADVOCATE CONDELL) WERE SEEN IN ADVOCATE'S OUTPATIENT CHILD PROTECTION SEXUAL ABUSE CLINICS. SANE COORDINATORS FOR BOTH PROGRAMS COLLABORATE TO PROVIDE BEST PRACTICE STANDARDIZED SEXUAL ASSAULT CARE THROUGHOUT ADVOCATE. ACCLIVUS PARTNERSHIP. GIVEN NEARLY 1/3 OF THE VIOLENTLY INJURED (GUNSHOTS, STABBINGS AND/OR BATTERY) PATIENTS TRANSPORTED TO ADVOCATE CHRIST, A LEVEL I TRAUMA CENTER SERVING THE SOUTH AND SOUTHWEST PORTIONS OF CHICAGO AND THE SUBURBS, EACH YEAR ARE VICTIMS OF INTENTIONAL VIOLENCE, THE MEDICAL CENTER HAS PARTNERED WITH ACCLIVUS TO PROVIDE OUTREACH INTERVENTION SERVICES AND COMMUNITY RESOURCES FOR VICTIMS OF VIOLENCE. ACCLIVUS IS A COMMUNITY OUTREACH ORGANIZATION SEEKING TO REDUCE THE INCIDENCE OF DEADLY STREET VIOLENCE IN CHICAGO NEIGHBORHOODS. VIOLENCE, LIKE OTHER EPIDEMICS, IS PREDICTABLE AND OFTEN ENGAGED IN AS AN ACT OF RETALIATION, SO IMMEDIATE INTERVENTION IS NECESSARY. WHEN VIOLENTLY INJURED PATIENTS FROM THE CHICAGO AREA ARE TRANSPORTED TO ADVOCATE CHRIST'S TRAUMA CENTER, CHAPLAINS NOTIFY ACCLIVUS. ACCLIVUS HAS TWO HOSPITAL RESPONDERS AND ONE CASE MANAGER ASSIGNED TO ADVOCATE CHRIST. THEY PROVIDE COUNSELING TO THESE PATIENTS AND THEIR LOVED ONES AIMING TO REDUCE ONGOING CONFLICT IN THE COMMUNITY AND RISK OF RETALIATION. ACCLIVUS' CASE MANAGER SEES THE PATIENTS IN THE TRAUMA CLINIC AFTER DISCHARGE ENSURING COMPREHENSIVE FOLLOW-UP CARE. THE HOSPITAL RESPONDERS SERVED 697 PATIENTS AND MADE 1,543 REFERRALS TO EXISTING COMMUNITY RESOURCES IN 2019. A SECOND HOSPITAL, ADVOCATE ILLINOIS MASONIC, HAS ALSO PARTNERED WITH ACCLIVUS TO ADDRESS VIOLENCE IN CHICAGO'S NORTH SIDE COMMUNITIES.
SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH SYSTEM (ALL HOSPITALS)4. WORKFORCE DEVELOPMENT. ADVOCATE WORKS WITH NON-TRADITIONAL COMMUNITY PARTNERS, SUCH AS SCHOOL DISTRICTS, EMPLOYMENT AGENCIES, COLLEGES AND UNIVERSITIES, AND OTHER PUBLIC AND PRIVATE BUSINESS LEADERS TO ADDRESS BOTH THE HIGH UNEMPLOYMENT RATES AND ECONOMIC DISPARITIES IN SOME CHICAGO NEIGHBORHOODS AS WELL AS TO CONTRIBUTE TO SOLVING THE CITY'S HEALTHCARE SECTOR TALENT SHORTAGE. ADVOCATE WORKFORCE INITIATIVE (AWI). IN 2015, JPMORGAN CHASE MADE A GENEROUS DONATION TO THE ADVOCATE CHARITABLE FOUNDATION, THE CHARITABLE ARM OF ADVOCATE, TO DEVELOP THE HEALTHCARE WORKFORCE COLLABORATIVE, A CREATIVE AND MODERN SOLUTION TO THE CITY'S TALENT SHORTAGE AND ECONOMIC DISPARITIES. LED BY ADVOCATE, THIS HEALTH CARE SECTOR SKILLS-BASED TRAINING INITIATIVE CONNECTS CHICAGOLAND'S UNDEREMPLOYED AND UNEMPLOYED RESIDENTS WITH HIGH-QUALITY, IN-DEMAND JOBS IN THE RAPIDLY GROWING HEALTH CARE INDUSTRY. UNEMPLOYMENT RATES ARE AS HIGH AS 31.9% IN SOME NEIGHBORHOODS IN THE METROPOLITAN AREA AS COMPARED TO CHICAGO'S OVERALL UNEMPLOYMENT RATE OF 8.2%. ILLINOIS HAS THE NATION'S HIGHEST UNEMPLOYMENT RATE AMONG AFRICAN-AMERICANS. THE UNEMPLOYMENT RATE OF AFRICAN-AMERICANS AND HISPANICS IN CHICAGO IS THREE TIMES THAT OF THEIR WHITE COUNTERPARTS. THE HEALTH CARE SECTOR IS EXPECTED TO GENERATE 14,000 NEW WELL-PAYING MIDDLE-SKILL JOBS ANNUALLY IN THE CHICAGO REGION THROUGH 2019, BUT LACKS THE SKILLED TALENT NEEDED TO FILL THESE ROLES. ADVOCATE ALSO HELPED LAUNCH THE CHICAGOLAND HEALTHCARE WORKFORCE COLLABORATIVE (CHWC). THE CHWC IS A CONSORTIUM OF LEADING HEALTHCARE EMPLOYERS AND INDUSTRY PARTNERS THAT BELIEVE IN THE NECESSITY OF A STRONG AND DIVERSE LOCAL HEALTHCARE WORKFORCE. BY LEVERAGING RESOURCES AND BEST PRACTICES, THE COLLABORATIVE AIMS TO SUPPORT AN INCLUSIVE HEALTHCARE WORKFORCE, PROVIDE ACCESSIBILITY FOR THE UNEMPLOYED AND UNDEREMPLOYED POPULATIONS, AND DEVELOP INNOVATIVE RESPONSES TO THE EVOLVING NEEDS OF THE HEALTHCARE INDUSTRY. THIS IS ACHIEVED BY IDENTIFYING AND IMPLEMENTING IMPACTFUL, DATA-DRIVEN AND ACTION-ORIENTED SOLUTIONS, WITH A SPECIFIC FOCUS ON POPULATIONS THAT ARE UNDERREPRESENTED IN THE HEALTH CARE WORKFORCE.THIS WORKFORCE DEVELOPMENT PROGRAM ALIGNS TRAINING CURRICULUM TO CURRENT AND EMERGING JOB NEEDS; CONNECTS JOB SEEKERS TO EMPLOYMENT OPPORTUNITIES WITHIN ADVOCATE; INCREASES DIVERSITY WITHIN THE HEALTHCARE SECTOR; PROVIDES CAREER PATHWAYS TO ADVANCED TRAINING OR CAREER OPPORTUNITIES IN HEALTHCARE; SUPPORTS ECONOMIC DEVELOPMENT IN VULNERABLE COMMUNITIES; ESTABLISHES BEST PRACTICES, CREATING A REGIONAL/NATIONAL MODEL; AND PROVIDES SUPPORTIVE SERVICES TO REMOVE BARRIERS TO EMPLOYMENT.TO ENSURE THE INITIATIVE IS BROAD-REACHING AND COMPREHENSIVE, ADVOCATE HAS ESTABLISHED STRATEGIC ALLIANCES WITH THE CITY COLLEGES OF CHICAGO, PRAIRIE STATE COLLEGE, CHICAGO STATE UNIVERSITY, UNIVERSITY OF CHICAGO (URBAN LABS) AND OTHER COMMUNITY-BASED ORGANIZATIONS, SUCH AS PHALANX FAMILY SERVICES, JEWISH VOCATION SERVICES, INSTITUTO DEL PROGRESO LATINO, POLISH AMERICAN ASSOCIATION, NATIONAL LATINO EDUCATION INSTITUTE, KINZIE INDUSTRIAL DEVELOPMENT CORPORATION AND CHICAGO CENTER FOR ARTS AND TECHNOLOGY, TO RECRUIT, TRAIN AND SUPPORT POTENTIAL CANDIDATES. AFTER SUCCESSFUL COMPLETION OF THE TRAINING AND LICENSING EXAM, ALL PARTICIPANTS ARE GUARANTEED AN INTERVIEW WITH ADVOCATE AND RECEIVE JOB PLACEMENT ASSISTANCE. SINCE INCEPTION, THE INITIATIVE HAS TRAINED MORE THAN 800 PARTICIPANTS AND HAS OVER AN 80% GRADUATION RATE. NEARLY 300 GRADUATES FROM THE INITIATIVE ARE NOW EMPLOYED IN THE HEALTH CARE INDUSTRY WITH ABOUT 162 STILL ENROLLED PENDING NEW EMPLOYMENT OPPORTUNITIES. OF THOSE EMPLOYED, 98% HAVE MAINTAINED EMPLOYMENT FOR AT LEAST 90 DAYS. ADVOCATE HAS ALSO LAUNCHED AN INCUMBENT WORKER STRATEGY FOR FRONTLINE TEAM MEMBERS, THE NAVIGATE PROGRAM. NAVIGATE AIMS TO CREATE A MORE INCLUSIVE WORKFORCE, ONE THAT PROVIDES TEAM MEMBERS WITH OPPORTUNITIES TO DEVELOP NEW SKILLS, DETERMINE A CAREER PATHWAY AND CONNECT WITH TOOLS AND RESOURCES. ADVOCATE IS INVESTED IN TEAM MEMBERS' SUCCESS THROUGH LEVERAGING THESE TYPES OF PROGRAMS TO ENSURE ADVOCATE IS A GREAT PLACE FOR TEAM MEMBERS TO WORK, PATIENTS TO HEAL AND PHYSICIANS TO PRACTICE. THE PROGRAM WAS INITIATED AT ADVOCATE TRINITY IN 2016 AND AS OF YEAR-END 2018, HAS EXPANDED TO ADVOCATE ILLINOIS MASONIC, ADVOCATE CHRIST, ADVOCATE SOUTH SUBURBAN AND ADVOCATE MEDICAL GROUP. THE PROGRAM HAS ENROLLED AND SUPPORTED 182 INCUMBENT WORKERS, GUIDED MORE THAN 100 TO IDENTIFY A CAREER PATHWAY AND HAS NEARLY AN 80% GRADUATION RATE. OF THOSE THAT HAVE MOVED INTO AN ADVANCED CAREER PATHWAY, THE AVERAGE WAGE INCREASE IS 24%. TRAINING FUTURE HEALTH PROFESSIONALS. TO FURTHER THE TRADITION OF PROVIDING MEDICAL EDUCATION TO UNDERGRADUATE AND GRADUATE MEDICAL STUDENTS, STUDENTS IN NURSING AND OTHER ALLIED HEALTH PROFESSIONS, ADVOCATE HAS DEVELOPED LONG-TERM ACADEMIC AFFILIATIONS WITH ALL MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA FOR THE EDUCATION AND TRAINING OF THESE UNDERGRADUATE, GRADUATE AND POST-GRADUATE STUDENTS. MEDICAL EDUCATION (UNDERGRADUATE MEDICAL EDUCATION [UME]/GRADUATE MEDICAL EDUCATION [GME]/POST-GRADUATE [CME] MEDICAL EDUCATION. THE ADVOCATE MEDICAL EDUCATION DEPARTMENT'S MISSION IS TO TRAIN THE NEXT GENERATION OF PHYSICIANS THROUGH UNDERGRADUATE (UME) AND GRADUATE MEDICAL EDUCATION (GME), AND TO CONTINUE THE DEVELOPMENT OF ADVOCATE PHYSICIANS THROUGH CONTINUING MEDICAL EDUCATION (CME). AS ONE OF THE LARGEST PROVIDERS OF PRIMARY MEDICAL EDUCATION IN ILLINOIS, THERE WERE 2,270 MEDICAL STUDENT ROTATIONS COMPLETED AND 580 RESIDENTS AND FELLOWS WHO RECEIVED HANDS-ON TRAINING IN 2019 AT ADVOCATE'S FOUR ACADEMIC MEDICAL CENTERSADVOCATE BROMENN, ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL. ADVOCATE IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR ADVOCATE AND NON-ADVOCATE PHYSICIANS AND HEALTH CARE PROFESSIONALS IN THE REGION. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GRAND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND JOURNAL CLUBSAS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2019, 13 ADVOCATE SITES HOSTED 2,887 CME EVENTS TO 39,456 PARTICIPANTS, OF WHICH 28,116 WERE PHYSICIANS, FOR A TOTAL OF 3,863 CME CREDIT HOURS. NURSING EDUCATION. UNDERGRADUATE AND GRADUATE (APN/NP/MANAGEMENT) NURSING EDUCATION OCCURS AT TEN ADVOCATE HOSPITALS AND AT MANY ADVOCATE MEDICAL GROUP SITES. NOTABLY, EIGHT ADVOCATE HOSPITALS HAVE EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSE CREDENTIALING CENTER (ANCC), INCLUDING ADVOCATE BROMENN, ADVOCATE CONDELL, ADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN, ADVOCATE GOOD SHEPHERD, ADVOCATE ILLINOIS MASONIC, ADVOCATE LUTHERAN GENERAL AND ADVOCATE SHERMAN. MAGNET STATUS REPRESENTS HOSPITAL-WIDE TEAMWORK AND DEDICATION TO CREATING A POSITIVE ENVIRONMENT, WHICH HELPS ATTRACT THE BEST PHYSICIANS AND NURSES, RESULTING IN BETTER OVERALL PATIENT CARE. ALLIED HEALTH EDUCATION. ADVOCATE IS COMMITTED TO TEACHING STUDENTS IN A BROAD RANGE OF SPECIALTIES. THESE STUDENTS COME FROM LOCAL UNIVERSITIES AND COLLEGES WITH WHOM ADVOCATE HAS CONTRACTED TO PROVIDE EDUCATION. STUDENTS ARE PROVIDED A CLINICAL ENVIRONMENT IN WHICH TO LEARN IN OVER TWENTY HEALTH CARE DISCIPLINES/FIELDS, INCLUDING, BUT NOT LIMITED TO: PHARMACEUTICAL; CARDIO DIAGNOSTICS; CARDIAC REHABILITATION; RADIOLOGY, NUCLEAR MEDICINE, MRI AND X-RAY; RADIATION THERAPY; EXERCISE PHYSIOLOGY; PHYSICAL, OCCUPATIONAL, SPEECH AND RECREATIONAL THERAPY; PSYCHIATRY; BEHAVIORAL HEALTH; RESPIRATORY; AUDIOLOGY; PATHOLOGY; PODIATRY; PHLEBOTOMY; NUTRITION/DIETARY; AND DENTISTRY (DENTISTRY IS ONLY AVAILABLE THROUGH ADVOCATE ILLINOIS MASONIC). A UNIQUE PROGRAM AT ADVOCATE LUTHERAN GENERAL PROVIDES HYPERBARIC CHAMBER TRAINING FOR CERTIFIED SCUBA DIVERS THAT RESPOND TO SUBMERGED VEHICLE ACCIDENTS/DROWNINGS AND OTHER EMERGENCY SITUATIONS. IN ADDITION, THE HOSPITAL IS ONE OF EIGHT ADVOCATE HOSPITALS THAT PROVIDE EMERGENCY MEDICAL TECHNICIAN (EMT) EDUCATION FROM BASIC THROUGH PARAMEDIC LEVEL. IN FACT, SEVERAL ADVOCATE HOSPITALS SERVE AS THE LEAD HOSPITAL IN THEIR COUNTIES/SERVICE AREAS, PROVIDING EDUCATION, STANDARDIZATION OF PROTOCOLS OF CARE AMONG ALL HOSPITALS (NON-ADVOCATE INCLUDED) AND EMS RESPONDERS, AND ARE RESPONSIBLE FOR DIRECTING COUNTY-WIDE EMERGENCY MEDICAL SERVICES IN RESPONSE TO COMMUNITY-BASED, MASS INJURY/CASUALTY DISASTERS. MULTIPLE ADVOCATE SYSTEM AND HOSPITAL DEPARTMENTS ALSO PROVIDE LEARNING ENVIRONMENTS FOR UNDERGRADUATE AND GRADUATE STUDENTS IN PUBLIC HEALTH AND HEALTH INFORMATION MANAGEMENT.
SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH SYSTEM (ALL HOSPITALS)CLINICAL PASTORAL EDUCATION (CPE). AS INDICATED EARLIER, ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CPE PROGRAM. SUPERVISING OVER 200 STUDENT UNITS EACH YEAR, THE PROGRAM IS THE LARGEST IN THE COUNTRY IN AN INTEGRATED HEALTH CARE SYSTEM, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS, CHAPLAINS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SELF-AWARENESS AND SPIRITUAL CARE MINISTRY SKILLS. VOCATIONAL EDUCATION TO HIGH SCHOOL STUDENTS. SEVERAL ADVOCATE HOSPITALS PROVIDE EXPERIENTIAL LEARNING TO AREA HIGH SCHOOL STUDENTS THAT ARE ON AN EDUCATIONAL TRACK TO A HEALTH CARE CAREER. THESE STUDENTS RECEIVE CREDIT TOWARDS GRADUATION IN ADDITION TO HELPING THEM DISCERN IN WHICH HEALTH CARE AREA THEY WISH TO SPECIALIZE. AS AN EXAMPLE, IN ORDER TO GIVE CHICAGO SOUTHSIDE STUDENTS BETTER JOB OPPORTUNITIES, ADVOCATE TRINITY WORKS WITH STUDENTS FROM CHICAGO VOCATIONAL CAREER ACADEMY, AND SOUTH SHORE AND JULIAN HIGH SCHOOLS. THESE STUDENTS ARE ROTATED IN HOSPITAL UNITS TO LEARN MARKETABLE JOB SKILLS. 5. AFFORDABLE HOUSING: ACCORDING TO HEALTHY PEOPLE 2020, DATA INDICATES THAT POOR-QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE AND INJURY, AND POOR MENTAL HEALTH. IT IS FOR THIS REASON THAT ADVOCATE HAS VOWED AS A FIFTH COMMUNITY STRATEGY FOCUS AREA TO DECREASE THE NUMBER OF ED PATIENTS WHO ARE SCREENED POSITIVE FOR HOMELESSNESS BY 5% BY 2025. WHILE WORK TOWARDS THIS GOAL IS STILL EMERGING, SEVERAL ADVOCATE HOSPITALS ARE TAKING STEPS TO PROVIDE PATIENTS WITH A HEALTHY AND SAFE ENVIRONMENT IN WHICH TO HEAL. FLEXIBLE HOUSING POOL. IN 2019, THE FLEXIBLE HOUSING POOL AT ADVOCATE ILLINOIS MASONIC PLACED TWO BEHAVIORAL HEALTH PATIENTS IN PERMANENT HOUSING. THE MEDICAL CENTER ALSO PROVIDES INDIVIDUALS PLACED IN PERMANENT HOUSING WITH BEHAVIORAL HEALTH AND CASE MANAGEMENT SERVICES. ANOTHER EXAMPLE IS ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT'S PLANNING OF SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION, WHO HAVE NO HOUSING RESOURCES. THE DEPARTMENT MANAGES THE ADVOCATE LUTHERAN CAROL STREET APARTMENTS. LOCATED ON THE HOSPITAL'S CAMPUS, THESE APARTMENTS ARE AVAILABLE FOR RENT ON A DAILY/WEEKLY/MONTHLY BASIS. THE APARTMENTS ARE USED BY PATIENTS THAT ARE ACTIVELY GETTING SERVICES ON CAMPUS, I.E. CHEMOTHERAPY, RADIATION, ETC., AND ARE ALSO AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR THE HOSPITAL. FINANCIAL ASSISTANCE IS GRANTED TO PATIENTS AND FAMILIES THAT DEMONSTRATE FINANCIAL HARDSHIP. IN 2019, EXPENSES FOR ELECTRICITY, CLEANING AND RENT TOTALED $32,553. WITH TOTAL REVENUE FROM PATIENTS OR FAMILIES OF JUST $5,005, THE BALANCE OF $27,548 WAS AN EXPENSE SUBSIDIZED BY ADVOCATE LUTHERAN GENERAL.OTHER EFFORTS TO SUPPORT HOUSING FOR THE HOMELESS INCLUDE THE ADVOCATE ILLINOIS MASONIC WARMING CENTER THAT PROVIDES A SAFE WARM PLACE FOR HOMELESS INDIVIDUALS TO STAY OVERNIGHT, OUT OF CHICAGO'S BITTERLY COLD, WINTRY WEATHER. IN 2019, THE WARMING CENTER WAS OPEN FOR A TOTAL OF 644 HOURS OVER A PERIOD OF 80 DAYS AT A COST OF OVER $17K TO THE MEDICAL CENTER. WHILE DATA WAS NOT AVAILABLE FOR THE FIRST FOUR MONTHS OF THE YEAR DUE TO A POSITION TRANSITION, THERE WERE 35 INDIVIDUALS THAT STAYED AT THE WARMING CENTER FOR TWO MONTH OF THE FOUR MONTHS, NOVEMBER AND DECEMBER, ALONE. IN ADDITION, TWO ADVOCATE SITES PROVIDE LAUNDRY SERVICES TO DUPAGEPADS. DUPAGEPADS IS THE LARGEST PROVIDER OF INTERIM AND PERMANENT HOUSING IN DUPAGE COUNTY. PADS NOT ONLY PROVIDES A TEMPORARY HOME COUPLED WITH SUPPORT SERVICES TO HELP PEOPLE BECOME SELF-SUFFICIENT, BUT THEY ENABLE INDIVIDUALS TO RECEIVE CASE MANAGEMENT AND LIFE COACHING EMPLOYMENT SUPPORT, SUCH AS JOB COACHING, AS WELL AS ENGAGEMENT WITH EMPLOYERS.EFFECTIVELY STOPPING THE CYCLE OF HOMELESSNESS. IN ADDITION TO PROVIDING LAUNDRY SERVICES TO DUPAGEPADS, ADVOCATE GOOD SAMARITAN ALSO DONATED $2K IN 2019 TO SUPPORT THE COMMUNITY ORGANIZATION'S EFFORTS TO ADDRESS HOMELESSNESS IN DUPAGE COUNTY.6. FOOD SECURITY. ANOTHER KEY ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS FOOD SECURITY. ACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS FOOD INSECURITYAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE IS INVOLVED WITH MULTIPLE NON-TRADITIONAL COMMUNITY PARTNERS IN LOCAL AND SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. ONE SUCH EXAMPLE IS ADVOCATE GOOD SAMARITAN'S PARTNERSHIP WITH LOCAL FOOD PANTRIES AND THE UNIVERSITY OF ILLINOIS EXTENSION TO DEVELOP A PROGRAM THAT OFFERS HEALTHY FRESH FOOD, NUTRITION AND COOKING CLASSES TO CLIENTS OF THE FOOD PANTRIES. ANOTHER EXAMPLE IS ADVOCATE GOOD SHEPHERD'S WORK WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS AND LOCAL MUNICIPAL ENTITIES THAT SERVE SENIORS TO IMPLEMENT FOOD SECURITY SCREENING FOR SENIORS. A SCREENING TOOL AND COMPREHENSIVE RESOURCE GUIDE HAVE BEEN DEVELOPED FOR SENIORS THAT SCREEN AS FOOD INSECURE. ADVOCATE GOOD SHEPHERD AND SEVERAL OTHER ADVOCATE HOSPITALS ARE GROWING VEGETABLES ON THEIR CAMPUSES OR IN THE COMMUNITY. ADVOCATE GOOD SHEPHERD HAS PARTNERED WITH A LOCAL NON-PROFIT ORGANIZATION, SMARTFARM, WHOSE MISSION IS TO BE AN EDUCATIONAL RESOURCE ON SUSTAINABLE GARDENING AND HEALTHY EATING. SMART FARM MANAGES THE ON-SITE GARDEN ON OVER 10 ACRES OF LAND OWNED BY ADVOCATE AND THE HARVESTED FRESH VEGETABLES ARE DONATED TO LOCAL FOOD PANTRIES. SIMILAR PARTNERSHIPS EXIST AT ADVOCATE SHERMAN AND ADVOCATE BROMENN. IN 2018, ADVOCATE ILLINOIS MASONIC ESTABLISHED A HOSPITAL-BASED FOOD PANTRY TO ADDRESS THE NEEDS OF FOOD INSECURE ONCOLOGY PATIENTS AND IN JANUARY 2019, THE PANTRY WAS EXPANDED TO INCLUDE FOOD INSECURE PATIENTS FROM FOUR NEW SERVICE LINES AND PROGRAMS. IN PARTNERSHIP WITH THE LAKEVIEW FOOD PANTRY, THE MEDICAL CENTER PROVIDES DRY GOOD FOOD BAGS, RE-USABLE WHEELIE GROCERY BAGS AND GIFT CARDS TO LOW-INCOME AND FOOD INSECURE PATIENTS. THE HEALTHY LIVING FOOD FARMACY PROGRAM, SUPPORTED BY A PARTNERSHIP BETWEEN THE GREATER CHICAGO FOOD DEPOSITORY AND ADVOCATE TRINITY'S LEADERSHIP, VOLUNTEERS AND COMMUNITY HEALTH DEPARTMENT, INVITES PATIENTS TO ATTEND BI-WEEKLY EVENTS TO TEACH THEM TO MAKE BETTER FOOD SELECTIONS FROM TABLES OF ASSORTED FRESH PRODUCE AND LOW-SODIUM, SHELF-STABLE PROTEINS.OVERALL, ADVOCATE FUNDS MANY SYSTEM LEVEL PROGRAMS AND ACTIVITIES FOCUSED ON POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE. IN ADDITION TO THE MANY PROGRAM EXAMPLES PROVIDED PREVIOUSLY, TWO OTHER SYSTEM-LEVEL FUNDED EXAMPLES ARE PROVIDED BELOW. PARISH NURSE MINISTRY. ADVOCATE FULLY FUNDS THREE FAITH COMMUNITY NURSE POSITIONS SERVING THREE CONGREGATIONS IN LOW-INCOME, HIGH NEED COMMUNITIES. THESE FAITH COMMUNITY NURSES PROVIDE HEALTH EDUCATION, WELLNESS PROMOTION, NAVIGATION AND CARE MANAGEMENT, HEALTH SCREENINGS, ADVOCACY AND SPIRITUAL SUPPORT TO THE MEMBERS OF THEIR CONGREGATIONS AND TO THE WIDER COMMUNITIES IN WHICH THEY SERVE. MANY OF THE PEOPLE THESE NURSES SERVE ARE HOMELESS, MARGINALIZED OR CHRONICALLY ILL INDIVIDUALS. ADVOCATE ALSO SUPPORTS A FAITH COMMUNITY NURSE NETWORK OF 37 NURSES THAT SERVE CONGREGATIONS ACROSS THE CHICAGOLAND REGION. ADVOCATE BETHANY COMMUNITY HEALTH FUND. THE ADVOCATE BETHANY COMMUNITY HEALTH FUND PROVIDES GRANTS TO COMMUNITY ORGANIZATIONS IN FOUR CHICAGO WEST SIDE NEIGHBORHOODS. THREE OF THE FUNDING PRIORITY AREAS ARE IN THE DOMAIN OF SOCIAL AND ECONOMIC DETERMINANTSSCHOOL DROPOUT PREVENTION, WORKFORCE DEVELOPMENT, AND VIOLENCE PREVENTION. SINCE THE BETHANY FUND WAS ESTABLISHED IN 2007, IT HAS AWARDED 425 GRANTS TOTALING $10,350,000 TO SUPPORT ORGANIZATIONS IN ITS FUND COMMUNITIES. IN ADDITION TO ITS GRANT-MAKING ROLE, THE BETHANY FUND INVESTS SUBSTANTIAL STAFF TIME AND FINANCIAL RESOURCES IN ORGANIZATIONAL CAPACITY-BUILDING. SINCE ITS INCEPTION, THE BETHANY FUND HAS OFFERED CAPACITY-BUILDING WORKSHOPS AND TRAININGS DETERMINED FROM RECOMMENDATIONS OF ITS GRANTEE ORGANIZATIONS AND MEMBERS OF ITS BOARD, COMPRISED OF COMMUNITY LEADERS FROM CHICAGO'S WEST SIDE AND REPRESENTATIVES OF ADVOCATE AURORA HEALTH. TO DATE, THE BETHANY FUND HAS INVESTED $316,550 TO PROVIDE 80 FORMAL CAPACITY BUILDING/PROFESSIONAL DEVELOPMENT SESSIONS THAT HAVE ENGAGED MORE THAN 1,150 STAFF FROM GRANTEE AND COMMUNITY-BASED ORGANIZATIONS.AT BOTH THE SYSTEM AND SITE LEVELS, ADVOCATE IS WORKING TO EXAMINE AND ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES IN OUR COMMUNITIES.
SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH SYSTEM (ALL HOSPITALS)SOCIONEEDS INDEX. IN PREPARATION FOR THE 2014-2016 CHNA, ADVOCATE PURCHASED ACCESS TO A TOOL THAT COULD BE USED BY ALL OF ITS HOSPITALS TO IDENTIFY PRIORITY OPPORTUNITIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE. INCLUDED IN THIS TOOL, DEVELOPED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE, IS THE SOCIONEEDS INDEX. THE SOCIONEEDS INDEX IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. THIS INDEX COMBINES MULTIPLE SOCIOECONOMIC INDICATORS INTO A SINGLE COMPOSITE VALUE. AS A SINGLE INDICATOR, THE INDEX CAN SERVE AS A CONCISE WAY TO EXPLAIN WHICH AREAS ARE OF HIGHEST NEED. A MAP WAS THEN PREPARED FOR EACH HOSPITAL SERVICE AREA ENABLING THE COMMUNITY HEALTH COUNCILS TO FOCUS PRIORITY SETTING AND PROGRAM PLANNING ON COMMUNITIES AT HIGHER LEVELS OF SOCIOECONOMIC NEED. THE INDEX WAS AGAIN USED FOR ADVOCATE'S 2017-2019 CHNA PROCESS.ADVOCATE CONTINUES TO WORK LOCALLY AND NATIONALLY WITH MANY PROMINENT COMMUNITY PARTNERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES OF THESE EFFORTS INCLUDE THE FOLLOWING. HEALTH CARE ANCHOR NETWORK (HAN). IN DECEMBER 2016, ADVOCATE JOINED LEADERS FROM HEALTH SYSTEMS IN WASHINGTON, DC, TO EXPLORE WHAT IT WOULD MEAN TO HARNESS THEIR SHARED ECONOMIC AND INTELLECTUAL POWER TO TRULY BENEFIT THEIR COMMUNITIES. "THE DISCUSSION CENTERED ON IDENTIFYING HOW ALL OF THESE ECONOMIC ASSETS (THE COMBINED PURCHASES OF $65 BILLION IN PURCHASED GOODS AND SERVICES, 1.4 MILLION EMPLOYEES AND $200 BILLION IN INVESTMENT AND ENDOWMENT PORTFOLIOS), COMBINED WITH CIVIC LEADERSHIP COULD BE DEPLOYED TO CREATE INCLUSIVE, EQUITABLE, HEALTHY AND ENVIRONMENTALLY SUSTAINABLE COMMUNITIES" (ADVANCING THE ANCHOR MISSION OF HEALTHCARE, DEMOCRACY COLLABORATIVE, 2017). IN 2019 HAN, WITH OVER 45 HEALTH SYSTEMS REPRESENTED IN THE NETWORK, BRINGS TOGETHER ANCHOR INSTITUTIONS FROM ACROSS THE COUNTRY THAT TOGETHER EMPLOY MORE THAN 1.5 MILLION PEOPLE, PURCHASE OVER $50 BILLION ANNUALLY, AND HAVE OVER $100 BILLION IN INVESTMENT ASSETS.ADVOCATE OFFICIALLY JOINED THE HEALTH CARE ANCHOR NETWORK IN 2016 AS A FOUNDING PARTNER AND SINCE THEN HAS CONTINUED TO PROVIDE MONETARY SUPPORT, LEADERSHIP AND ACTIVE ENGAGEMENT TO THE NETWORK. IN 2019, ADVOCATE STAFF ATTENDED TWO IN PERSON MEETINGS HELD IN CLEVELAND, OHIO, AND SALT LAKE CITY, UTAH. ADDITIONALLY, ADVOCATE AURORA'S CEO AND INCOMING BOARD CHAIR ATTENDED A CEO GATHERING OF HAN IN CHICAGO, MEETING WITH OTHER HAN CEOS AND BOARD LEADERS. ON NOVEMBER 5, 2019, ADVOCATE AURORA JOINED A LEADING GROUP OF FIFTEEN U.S. HOSPITALS/HEALTH SYSTEMS TO ANNOUNCE A COMMITMENT OF OVER $800 MILLION FOR PLACE-BASED INVESTING TO CREATE STRONG AND HEALTHY COMMUNITIES. THIS ELITE GROUP OF LEADERS BELIEVE THAT HEALTH SYSTEMS ARE UNIQUELY POSITIONED AS LEADING EMPLOYERS AND ECONOMIC ENGINES IN THEIR COMMUNITIES. IN ADDITION TO PROVIDING QUALITY HEALTHCARE, THESE SYSTEMS LEVERAGE INSTITUTIONAL RESOURCES TO HELP ADDRESS THE ECONOMIC, RACIAL AND ENVIRONMENTAL RESOURCE DISPARITIES THAT IMPACT COMMUNITY HEALTH OUTCOMES. THESE HEALTH SYSTEMS UNDERSTAND THE IMPORTANCE OF ADDRESSING THE ROOT CAUSES OF POOR HEALTH AND WANT TO DEEPEN INSTITUTIONAL LEADERSHIP IN THE HEALTHCARE ANCHOR NETWORK, AND THE HEALTHCARE SECTOR MORE BROADLY, BY MAKING BOLD, MEASURABLE COMMITMENTS IN THIS CORE ANCHOR MISSION STRATEGY AREA.ADVOCATE AURORA STAFF ALSO PARTICIPATED AS ACTIVE MEMBERS OF WORKGROUPS ADDRESSING NETWORK PROJECTS. BY THE END OF 2018, THE NETWORK HAD A MEMBERSHIP OF NEARLY 40 NATIONAL HEALTH SYSTEMS. THE WORK OF THE NETWORK IS SUPPORTED BY HEALTH SYSTEM DOLLARS AND FUNDING FROM THE ROBERT WOOD JOHNSON FOUNDATION. FACILITATION AND BACKBONE SUPPORT ARE PROVIDED BY THE DEMOCRACY COLLABORATIVE, WASHINGTON, DC. THE HEALTH CARE ANCHOR NETWORK AIMS TO ADDRESS UPSTREAM SOCIAL DETERMINANTS OF HEALTH IN COMMUNITIES THROUGH LOCAL HIRING, LOCAL PURCHASING AND LOCAL INVESTMENT.$50M COMMUNITY INVESTMENT. IN 2019, ADVOCATE AURORA ANNOUNCED A COMMITMENT TO INVEST $50 MILLION TO HELP ADDRESS ECONOMIC, RACIAL AND ENVIRONMENTAL DISPARITIES THAT IMPACT COMMUNITY HEALTH OUTCOMESPOSITIONING THE ORGANIZATION AMONG THE FIRST HEALTH SYSTEMS IN THE COUNTRY TO MAKE SUCH A SIGNIFICANT PLEDGE TO INVESTING IN TARGETED COMMUNITY DEVELOPMENT. THE COMMITMENT COMPLEMENTS LOCAL PURCHASING EFFORTS, HIRING INITIATIVES AND OTHER COMMUNITY BENEFIT ACTIVITY THROUGH A RENEWABLE INVESTMENT POOL, SOMETIMES CALLED PLACE-BASED OR IMPACT INVESTING. THE HEALTH SYSTEM WILL PARTNER WITH COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS TO DEPLOY CAPITAL THAT DRIVES MEANINGFUL ECONOMIC IMPROVEMENT INITIATIVES, SUCH AS SMALL AND DIVERSE BUSINESS DEVELOPMENT, AFFORDABLE HOUSING EXPANSION, AND INVESTMENTS IN FQHCS AND FOOD CENTERS, THAT ULTIMATELY ADDRESS SOCIAL DETERMINANTS OF HEALTH AND ACHIEVE GREATER HEALTH EQUITY. ALLOCATED OVER A 5-YEAR PERIOD, THE INVESTMENTS WILL BE TARGETED TO LOW-INCOME COMMUNITIES WITH LOWER LIFE EXPECTANCY TO ADDRESS PATIENTS' HIGHEST SOCIAL NEEDS, AS FACTORS OUTSIDE HOSPITAL WALLS ACCOUNT FOR UP TO 80% OF HEALTH OUTCOMES. THE FIRST INVESTMENTS IN ILLINOIS AND WISCONSIN AREA ORGANIZATIONS AND BUSINESSES WILL BE DEPLOYED IN FISCAL YEAR 2020.ADVOCATE IS ALSO STRENGTHENING CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES IT SERVES.
SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH SYSTEM (ALL HOSPITALS)ENVIRONMENTAL LEADERSHIP. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROWALL OF THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREENHOUSE GASES AND PRESERVATION OF NATURAL RESOURCES. AS ADVOCATE CONTINUES WORK TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACTS OF HEALTH CARE, THE SYSTEM'S ENVIRONMENTAL STEWARDSHIP PRACTICES EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY-RELATED DISEASE BURDEN), AND HELP SAVE PRECIOUS RESOURCES FOR FUTURE GENERATIONS. IN ADDITION TO CONTINUING TO REDUCE OUR OWN ENVIRONMENTAL IMPACTS AS A HEALTH CARE ORGANIZATION, ADVOCATE ALSO PROVIDES NATIONAL LEADERSHIP AND MENTORING IN SUSTAINABLE HEALTH CARE THROUGH THE MEMBERSHIP AND PARTICIPATION IN SEVERAL SUSTAINABILITY LEADERSHIP COUNCILS AND GROUPS. THESE COLLABORATIVE PARTNERSHIPS ADDRESS MULTIPLE SUSTAINABILITY ISSUES, INCLUDING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHINGS AND MEDICAL PRODUCTS, CLIMATE CHANGE, CLINICAL PLASTICS RECYCLING, AND ENVIRONMENTALLY-PREFERABLE AND LOCAL PURCHASING, THUS SPURRING MOVEMENT TOWARD HEALTHIER AND MORE SUSTAINABLE PRACTICES THROUGHOUT THE HEALTH CARE SECTOR AND WIDER MARKETPLACE. THESE COLLABORATIVE PARTNERSHIPS INCLUDE THE: HEALTHCARE ANCHOR NETWORK; HEALTH CARE CLIMATE COUNCIL; HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD; PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUPLESS MEAT, BETTER MEAT; PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUPSAFER CHEMICALS; AND PREMIER'S ENVIRONMENTAL ADVISORY COUNCIL.ENVIRONMENTALLY-RESPONSIBLE INVESTING. ADVOCATE INSTITUTES AN ENVIRONMENTALLY-BASED SOCIAL SCREEN FOR ITS MARKETABLE INVESTMENT PROGRAM. ALL COMPANIES IN SEPARATELY MANAGED ACCOUNTS ARE SCORED ON ENVIRONMENTAL PRACTICES, BEHAVIOR AND CONTROVERSIES. POOR-SCORING COMPANIES ARE SCREENED OUT OF THE INVESTMENT PROGRAM. PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT). ADVOCATE IS AN OFFICIAL MEDICAL EQUIPMENT AND SUPPLY DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. SURPLUS MEDICAL SUPPLIES AND DECOMMISSIONED EQUIPMENT ARE DONATED TO PROJECT C.U.R.E. AND MANY ADVOCATE ASSOCIATES VOLUNTEER TIME AT ITS WAREHOUSESORTING AND PACKAGING SUPPLIES FOR DISTRIBUTION OVERSEAS. IN 2019, ADVOCATE DONATED A TOTAL OF 154 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 65 PIECES OF MEDICAL EQUIPMENT TO PROJECT C.U.R.E.SUSTAINABLE BUILDINGS AND OPERATIONS. SUSTAINABILITY, SAFETY AND EFFICIENCY ARE CORE ELEMENTS OF ADVOCATE'S BUILDING AND OPERATIONS PROGRAMS. IN 2008, ADVOCATE EMBARKED ON A JOURNEY TO REDUCE ITS CARBON FOOTPRINT AND TO BECOME THE MOST ENERGY EFFICIENT HEALTH SYSTEM IN THE COUNTRY. BY 2015, ADVOCATE HAD REDUCED ENERGY CONSUMPTION BY 23% FROM THE 2008 BASELINE. WHILE AGGRESSIVELY CONTINUING ENERGY EFFICIENCY PROJECTS, IT NOW AIMS TO TRANSITION TO 100% RENEWABLE ELECTRICITY BY 2030.IN 2019, 86% OR 3,165 TONS OF ADVOCATE CONSTRUCTION WASTE WAS RECYCLED. ADVOCATE PURSUES LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION FOR ALL NEW MAJOR BUILDINGS AND UTILIZES A RIGOROUS, INTERNAL TOOL CALLED THE HEALTHY SPACES ROADMAP TO ENSURE SUSTAINABILITY IN ALL RENOVATIONS AND PROJECTS THROUGHOUT ADVOCATE. TO DATE, ADVOCATE HAS COMPLETED SIX MAJOR PROJECTS THAT HAVE RECEIVED LEED SILVER OR GOLD CERTIFICATION. ADVOCATE COMBINES SUSTAINABLE FACILITIES WITH ENVIRONMENTALLY-FRIENDLY OPERATIONS AND PURCHASES. THIS INCLUDES WASTE MINIMIZATION AND RECYCLING, REDUCING CHEMICALS IN FURNITURE AND CLEANING PRODUCTS, PURCHASING MEAT RAISED WITHOUT ANTIBIOTICS, AND OTHER ECO-FRIENDLY PRODUCTS, ALL OF WHICH HAVE COMMUNITY HEALTH IMPACTS IN THEIR LIFE CYCLE. THESE ACCOMPLISHMENTS INCLUDE THE FOLLOWING. AVOIDED 1,124 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 2.7 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. 89% OF ADVOCATE'S 2019 FURNITURE PURCHASES AVOIDED FIVE KEY CHEMICALS OF CONCERN. ADVOCATE SPENT OVER $48,000 ON THIRD PARTY CERTIFIED GREEN CLEANERS IN 2019. IN 2019, OVER $1 MILLION OF ADVOCATE'S MEAT PURCHASES SUPPORTED PRODUCERS WHO RAISE THEIR ANIMALS WITHOUT THE USE OF ANTIBIOTICS. RETAIL OPERATIONS WITHIN ADVOCATE'S FACILITIES SWITCHED TO PAPER STRAWS IN 2019. COPY PAPER CONTAINS 30% POST-CONSUMER RECYCLED CONTENT AND IS FOREST STEWARDSHIP COUNCIL CERTIFIED. STAKEHOLDER HEALTH. ADVOCATE IS A FOUNDING MEMBER AND INVESTING PARTNER OF STAKEHOLDER HEALTH, FORMERLY KNOWN AS THE HEALTH SYSTEMS LEARNING GROUP. MEMBERS OF ADVOCATE STAFF SERVE ON THE ADVISORY COUNCIL AND HAVE BEEN ACTIVELY INVOLVED IN OFFERING THOUGHT LEADERSHIP AS WELL AS CONTRIBUTING TO THE WRITING OF TWO SEMINAL DOCUMENTSA 2013 HEALTH SYSTEMS LEARNING GROUP MONOGRAPH HTTPS://STAKEHOLDERHEALTH.ORG/PDF/ AND A 2016 BOOK, STAKEHOLDER HEALTH: INSIGHTS FROM NEW SYSTEMS OF HEALTH HTTPS://STAKEHOLDERHEALTH.ORG/STAKEHOLDER-HEALTH-CHAPTER-1/. THE LATTER PUBLICATION, DEVELOPED AND PUBLISHED WITH THE SUPPORT OF THE ROBERT WOOD JOHNSON FOUNDATION, IS A RICH AND DETAILED REVIEW OF SOME OF THE BEST PRACTICES IN THE AREAS OF COMMUNITY HEALTH IMPROVEMENT, AND CLINICAL AND COMMUNITY PARTNERSHIPS. THE FIRST RELEASE OF THE BOOK OCCURRED AT AN EVENT AT CHICAGO THEOLOGICAL SEMINARY AND WAS PLANNED AND EXECUTED BY ADVOCATE STAFF AND STAFF OF THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. STAKEHOLDER HEALTH ASPIRES TO IDENTIFY AND ACTIVATE A MENU OF PROVEN COMMUNITY HEALTH PRACTICES AND PARTNERSHIPS THAT WORK. ADVOCATE AURORA CONTINUES TO BE AN ACTIVE MEMBER AND LEADER OF STAKEHOLDER HEALTH.ADVOCATE BETHANY COMMUNITY HEALTH FUND (BETHANY FUND). AS BRIEFLY MENTIONED EARLIER, THE ADVOCATE BETHANY COMMUNITY HEALTH FUND WAS ESTABLISHED IN 2006 BY ADVOCATE AS PART OF AN ONGOING COMMITMENT TO HELP BUILD, PROMOTE AND SUSTAIN HEALTHY COMMUNITIES ON CHICAGO'S WEST SIDE. THE BETHANY FUND SUPPORTS NONPROFIT ORGANIZATIONS THAT ARE IN THE COMMUNITIES HISTORICALLY SERVED BY ADVOCATE BETHANY HOSPITAL (NOW RML CHICAGO)AUSTIN, GARFIELD PARK, HUMBOLDT PARK AND NORTH LAWNDALE. THE BETHANY FUND DOES THIS THROUGH PROGRAM GRANTS, ORGANIZATIONAL CAPACITY-BUILDING EVENTS AND PARTNERSHIPS TO BUILD ON THE ASSETS OF THESE COMMUNITIES. IN 2019, THE BETHANY FUND AWARDED $567,500 IN PROGRAM GRANTS ADDRESSING ITS PRIORITY AREAS OF DIABETES, SCHOOL DROPOUT PREVENTION, VIOLENCE PREVENTION AND WORKFORCE DEVELOPMENT. IN ADDITION, THE BETHANY FUND GRANTED $60,000 TO BROAD-BASED COMMUNITY INITIATIVES ADDRESSING ORGANIZATION CAPACITY BUILDING AND VIOLENCE PREVENTION ON CHICAGO'S WEST SIDE. THE BETHANY FUND HAS SUPPORTED A WIDE VARIETY OF PROGRAMS THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING THE FOLLOWING EXAMPLES OF PROGRAMS FUNDED DURING 2019: BUILD (AUSTIN) TO SUPPORT JUSTICE INVOLVED YOUTH WITH EDUCATION PERSISTENCE AND SOCIAL EMOTIONAL LEARNING; LAWNDALE AMACHI MENTORING PROGRAM (NORTH LAWNDALE) TO PROVIDE MENTORSHIP TO YOUTH WHO HAVE BEEN IMPACTED BY INCARCERATION OF A FAMILY MEMBER; MARILLAC ST. VINCENT FAMILY SERVICES (GARFIELD PARK) TO SUPPORT PROJECT HOPE, A PROGRAM FOR PREGNANT AND PARENTING TEENS AND YOUNG ADULTS; AND WEST TOWN BIKES (HUMBOLDT PARK) TO ASSIST YOUTH WITH DEVELOPING ENTRY LEVEL WORKFORCE SKILLS THROUGH BICYCLING AND BICYCLE MECHANICS. ADVOCATE WORKS TO LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS. A PRIMARY VALUE OF ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. IN ORDER TO ALIGN INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES, ALL ADVOCATE HOSPITALS COLLABORATE WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE CHNA AND HEALTH IMPROVEMENT (IMPLEMENTATION PLAN) CYCLES. ONE SUCH NOTABLE COLLABORATION IN WHICH ADVOCATE SYSTEM LEADERSHIP PLAYED A VITAL ROLE IS AS FOLLOWS.
SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH SYSTEM (ALL HOSPITALS)THE ALLIANCE FOR HEALTH EQUITY (FORMERLY KNOWN AS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY [HICCC]). ADVOCATE HEALTH CARE (NOW KNOWN AS ADVOCATE AURORA HEALTH), PRESENCE HEALTH (NOW KNOWN AS AMITA HEALTH) AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDING ORGANIZATIONS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY. THESE ORGANIZATIONS INVITED HEALTH DEPARTMENTS AND ALL COOK COUNTY NONPROFIT HOSPITALS TO JOIN THEM IN CREATING WHAT IS NOW ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COLLABORATIVES IN THE COUNTRY. THE INITIAL PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING PARTNERSHIPS AND STRATEGIC ALIGNMENT OF IMPLEMENTATION PLANS TO FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT. IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE). IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING WORK. IN 2019, THE ALLIANCE GREW TO INCLUDE 37 NONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS. THE ALLIANCE FOR HEALTH EQUITY COMPLETED A COLLABORATIVE CHNA BETWEEN MARCH 2018 AND MARCH 2019.THIS COLLABORATIVE CHNA CAN BE VIEWED AT HTTPS://ALLHEALTHEQUITY.ORG/WP-CONTENT/UPLOADS/2019/06/FINAL_2019_CHNA-REPORT_ALLIANCE-FOR-HEALTH-EQUITY.PDF.PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. FOR THE 2019 CHNA, THE ALLIANCE FOR HEALTH EQUITY BUILT ON THE PREVIOUS COLLABORATIVE CHNA WORK (2016), PREVIOUS CHNA REPORTS FROM MEMBER HOSPITALS, HEALTHY CHICAGO 2.0 (2016), AND WEPLAN 2020 (2016). ADVOCATE CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE HOSPITALS, AS WELL AS THE OTHER MEMBER HOSPITALS, PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. ADDITIONALLY, ADVOCATE HAS BEEN INVOLVED IN LEADING THIS ASSESSMENT WORK AS AN ACTIVE MEMBER OF THE STEERING COMMITTEE, PROVIDING FINANCIAL SUPPORT TO THE ALLIANCE AGAIN IN 2019.THE PRIORITY AREAS SELECTED BY THE ALLIANCE INCLUDE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, CHRONIC HEALTH CONDITIONS, INJURY INCLUDING VIOLENCE, AND MATERNAL/FETAL HEALTH. ALL PARTICIPATING HOSPITALS SELECTED SOME OF THE PRIORITIES TO ADDRESS IN THE AREAS SERVED. THERE ARE MULTIPLE WORK GROUPS ADDRESSING THE PRIORITY AREAS AND ADVOCATE STAFF SERVE ON MOST OF THE WORK GROUPS.ADVOCATE PROMOTES ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENT BY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS.KEY TO DEVELOPING STRONG GOVERNANCE RELATIONSHIPS WAS ESTABLISHING SYSTEM BOARD ENGAGEMENT IN SUPPORT OF ADVOCATE'S COMMUNITY HEALTH VISION. AS THE FUNCTION ACCOUNTABLE FOR ADVOCATE'S SYSTEM-WIDE CHNA PROCESS AND BOTH CHNA AND STATE COMMUNITY BENEFITS REGULATORY REPORTING IN ILLINOIS, THE COMMUNITY HEALTH DEPARTMENT PROVIDES PROGRESS UPDATES AT LEAST ANNUALLY TO HOSPITAL AND SYSTEM LEADERSHIP. WHEREAS PRIOR TO THE APRIL 2018 MERGER OF ADVOCATE AND AURORA, THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE BOARD OF DIRECTORS WAS RESPONSIBLE FOR THE ADOPTION OF COMMUNITY HEALTH STRATEGY, POST-MERGER THE ADVOCATE HEALTH CARE NETWORK BOARD IS NOW CHARGED WITH THIS RESPONSIBILITY FOR THE ILLINOIS HOSPITALS. AS INDICATED EARLIER, ADVOCATE HEALTH CARE ESTABLISHED A COMMUNITY HEALTH DEPARTMENT IN LATE 2015 AND THE DEPARTMENT WAS FULLY STAFFED AND OPERATING BY JANUARY 2016. DURING 2016 AND TO SUPPORT ADVOCATE HOSPITALS' PLANS TO IMPLEMENT PROGRAM STRATEGIES FOR 2017 AS OUTLINED IN THEIR CHNA REPORTS, SITE-SPECIFIC COMMUNITY HEALTH DEPARTMENT BUDGETS WERE PUT IN PLACE AT ALL ADVOCATE HOSPITALS BY THE ADVOCATE VICE PRESIDENT OF COMMUNITY HEALTH AND FAITH OUTREACH. HOSPITAL COMMUNITY HEALTH BUDGETS, INCLUDING ONGOING PROGRAM IMPLEMENTATION COSTS, STAFF SALARIES, ANNUAL CONTRACTED DATA ACCESS COSTS TO THE CONDUENT-HEALTHY COMMUNITIES INSTITUTE'S CHNA TOOL, THE FEE TO PARTICIPATE IN THE ALLIANCE FOR HEALTH EQUITY (AHFE) AND FOR ANNUAL SUPPORT AND USE OF THE LYON SOFTWARE CBISA (COMMUNITY BENEFITS INVENTORY OF SOCIAL RESPONSIBILITY) REPORTING TOOL WERE INCLUDED IN THE 2017 AND 2018 BUDGET CYCLE IN PREPARATION FOR YEAR 2019. ONGOING SYSTEM LEVEL MONITORING OF BUDGETS SUPPORTS APPROPRIATE FUNDING TO SUSTAIN EXISTING AND IMPLEMENT NEW PROGRAMS THAT TARGET SELECTED COMMUNITY HEALTH PRIORITIES. HOSPITAL GOVERNING COUNCILS. THE KEY TO PROMOTING ACCOUNTABILITY FOR COMMUNITY HEALTH THROUGHOUT ADVOCATE HAS BEEN SYSTEM IMPLEMENTATION OF A STANDARDIZED PROCESS FOR COMMUNITY HEALTH ASSESSMENTS, REVIEW OF KEY FINDINGS, SELECTION OF KEY PRIORITIES TO ADDRESS AND DEVELOPMENT OF SITE-SPECIFIC IMPLEMENTATION PLANS. TO OVERSEE THIS PROCESS, THE SYSTEM EXPANDED THE ROLE OF THE HOSPITAL GOVERNING COUNCILS TO INCLUDE OVERSIGHT OF THE CHNA PROCESS AND APPROVAL OF THE HOSPITAL CHNA REPORTS AND IMPLEMENTATION STRATEGIES. THIS HAS RESULTED IN COMMUNITY HEALTH BEING STRONGLY INTEGRATED INTO ADVOCATE GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS HAVE BEEN DEVELOPED AT EACH HOSPITAL. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2016 CHNA REPORT CYCLE WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. THE COUNCILS MET AT LEAST FOUR TIMES DURING THE YEAR. HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING A CONSENSUS BASED, PRIORITY-SETTING PROCESS TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN A LARGER HEALTH IMPROVEMENT IMPACT.
SCHEDULE H, PART VI, LINE 6 - AFFILIATED HEALTH SYSTEM (ALL HOSPITALS)CHNA DATA ASSESSMENT RESULTS, RECOMMENDATIONS FOR HEALTH IMPROVEMENT PRIORITIES AND HIGH-LEVEL IMPLEMENTATION STRATEGIES WERE PRESENTED TO THE FULL HOSPITAL GOVERNING COUNCILS FOR ENDORSEMENT. ONCE THE HEALTH IMPROVEMENT PRIORITIES AND STRATEGIES WERE APPROVED BY THE HOSPITAL GOVERNING COUNCILS FOR THE MOST RECENT 2017-2019 CHNA CYCLE, THE RESULTS WERE PRESENTED TO THE ADVOCATE HEALTH CARE NETWORK BOARD FOR APPROVAL. AS INDICATED EARLIER, RESPONSIBILITY FOR SYSTEM OVERSIGHT OF COMMUNITY HEALTH PLANNING AND IMPLEMENTATION STRATEGIES TRANSFERRED TO THE ADVOCATE HEALTH CARE NETWORK BOARD FROM THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE ADVOCATE BOARD FOLLOWING THE MERGER IN 2018. SERVICE LINE AND POPULATION HEALTH ENGAGEMENT. TO SUPPORT FURTHER ALIGNMENT WITHIN ADVOCATE, THE SYSTEM COMMUNITY HEALTH DEPARTMENT HAS ALSO WORKED TO ENGAGE SYSTEM DEFINED CLINICAL SERVICE LINES IN EXPANDING THEIR FOCUS ON COMMUNITY HEALTH. ADVOCATE IS VIEWED AS A LEADER IN THE POPULATION HEALTH MANAGEMENT ARENA. AN EARLY ADOPTER OF MANAGING CARE ACROSS POPULATIONS, ADVOCATE HAS SIGNIFICANT SUCCESS IMPROVING HEALTH OUTCOMES WHILE DECREASING OR MAINTAINING COST OF CARE DELIVERY. ADVOCATE'S COMMUNITY HEALTH DEPARTMENT HAS INTENTIONALLY ALIGNED WITH ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE SERVICE LINES. THIS ALIGNMENT ASSURES THAT MEMBERS OF THE COMMUNITIES ADVOCATE SERVES AND OUR PATIENTS RECEIVE COMMUNITY-BASED INTERVENTIONS, AS WELL AS EDUCATION AND PROGRAMMING, THAT ALIGNS WITH THEIR HEALTH NEEDS. FOLLOWING ARE TWO EXAMPLES OF EDUCATION AND PROGRAMMING ALIGNED WITH POPULATION HEALTH AND SERVICE LINE DEVELOPMENT THAT REFLECT THIS INTEGRATED APPROACH. BEHAVIORAL HEALTH. AS MENTIONED EARLIER, BEHAVIORAL HEALTH COUNCIL INTEGRATION STRATEGIES HAVE INCLUDED COMMUNITY HEALTH STAFF OFFERING THE EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASSES TO TARGETED COMMUNITY MEMBERS FOR THE PURPOSE OF REDUCING STIGMA, AND TRAINING COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH ISSUES AND UNDERSTAND APPROPRIATE INTERVENTIONS.ADVOCATE PHYSICIAN PARTNERS (APP). ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE COMMUNITY HEALTH LEADERS ARE ALSO PARTNERING TO DEVELOP NEW APPROACHES TO PATIENT SCREENING AND RESOURCING FOR SOCIAL DETERMINANTS OF HEALTH. ADVOCATE ALSO PROVIDES AN INFRASTRUCTURE TO ALLOW COMMUNITY MEMBERS WITH AN OPPORTUNITY TO VOLUNTEER AT VARIOUS ADVOCATE SITES OF CARE, AS WELL AS PROVIDING OPPORTUNITIES FOR ADVOCATE TEAM MEMBERS TO VOLUNTEER IN THE COMMUNITIES SERVED BY ADVOCATE.VOLUNTEERS FROM THE COMMUNITY. EACH YEAR, VOLUNTEERS FROM THE COMMUNITY SHARE THEIR TIME AND TALENTS THROUGH SERVICE AT ADVOCATE'S HOSPITALS, ADVOCATE MEDICAL GROUP AND ADVOCATE AT HOME, AND IN THEIR OWN WAY, FURTHER ADVOCATE'S COMMITMENT TO PROVIDING EXCELLENT HEALTH CARE. IN 2019, ADVOCATE STAFF MANAGED 4,617 ACTIVE COMMUNITY VOLUNTEERS THAT ENGAGED PATIENTS, FAMILIES AND STAFF IN A VARIETY OF ACTIVITIES, SOME OF WHICH WERE: PROVIDING INFORMATION DESK SERVICES TO VISITORS; CLERICAL SUPPORT TO STAFF; SERVING CUSTOMERS IN HOSPITAL GIFT AND RESALE SHOPS; OFFERING COMPASSIONATE CONCERN TO PATIENTS AND THEIR LOVED ONES IN MULTIPLE HOSPITAL AREAS SUCH AS THE ED, ICU, SURGERY WAITING ROOM, POST-ANESTHESIA CARE AND NICUS; ASSISTING WITH COMMUNITY HEALTH SCREENINGS AND BLOOD DRIVE EVENTS; PROVIDING CHEERFUL SERVICE TO PATIENTS BY DELIVERING FLOWERS, MAIL AND NEWSPAPERS; AND PROVIDING SUPPORT SERVICES IN THE HOSPITAL THAT HAVE LIBRARIES AND/OR WELLNESS CENTERS. ADVOCATE TEAM MEMBERS VOLUNTEERING IN THE COMMUNITY. IN ADDITION TO SERVING ON MULTIPLE COMMUNITY-BASED NOT-FOR PROFIT BOARDS, COUNCILS, COMMITTEES AND COALITIONS, ADVOCATE'S SYSTEM LEADERSHIP ALSO ENCOURAGES AND PROVIDES OPPORTUNITIES FOR TEAM MEMBERS AND PHYSICIANS TO DONATE TO, VOLUNTEER AT AND HELP RAISE FUNDS FOR COMMUNITY INITIATIVES. ADVOCATE PROMOTES AND SUPPORTS TEAM MEMBER, PHYSICIAN AND HOSPITAL PARTICIPATION IN WALKS, RUNS AND RACES FOR MULTIPLE NOT-FOR-PROFIT ORGANIZATIONS, INCLUDING THE AMERICAN HEART ASSOCIATION (AHA WALK), AMERICAN CANCER SOCIETY (MAKING STRIDES AGAINST BREAST CANCER), ALZHEIMER'S ASSOCIATION (WALK TO END ALZHEIMER'S) AND THE MARCH OF DIMES (MARCH FOR BABIES). IN 2019, 2,683 ADVOCATE TEAM MEMBERS (STAFF) REGISTERED/WALKED IN THESE FUNDRAISERS AND $552,218 IN CHARITABLE CONTRIBUTIONS WAS RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS THROUGH SUCH EFFORTS. ADVOCATE ALSO HAD THE HONOR OF BEING DESIGNATED THE #1 HEART WALK FUNDRAISING HEALTH CARE COMPANY IN THE NATION BY THE AMERICAN HEART ASSOCIATION IN 2019A POSITION HELD FOR MANY YEARS. IN ADDITION, ADVOCATE'S ASSOCIATES AND PHYSICIANS GENEROUSLY SUPPORT MULTIPLE LOCAL COMMUNITY ORGANIZATIONS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. IN 2019, ADVOCATE ASSOCIATES, NURSES AND PHYSICIANS CONTRIBUTED NEARLY $2.7M THROUGH THE ANNUAL ADVOCATE AURORA GIVE WELL CAMPAIGN.
SCHEDULE H, PART VI ENVIRNOMENTAL IMPROVEMENTS (ALL HOSPITALS) CONT.ADVOCATE HEALTH CARECOMMUNITY BUILDING ACTIVITIES REPORT ENVIRONMENTAL IMPROVEMENTSFORM 990, SCHEDULE H2019ADVOCATE EUREKA HOSPITAL MAINTAINS AN ENERGY STAR SCORE OF 77. DIVERTED OVER 19,500 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. CREATED LESS THAN 5 POUNDS OF SOLID AND MEDICAL WASTE PER ADJUSTED PATIENT DAY. PURCHASED 100 FEWER REAMS OF PAPER IN 2019 VERSUS 2018, TRANSLATING INTO A 15% YEAR OVER YEAR REDUCTION IN PAPER USAGE 100% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. PURCHASED 31% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA.ADVOCATE GOOD SAMARITAN HOSPITAL REDUCED ENERGY INTENSITY UTILIZATION BY 4 PERCENT, AVOIDING THE RELEASE OF 907 MTCO2E OF GREENHOUSE GAS EMISSIONS. AVOIDED 356 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 870,283 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. DIVERTED OVER 620,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. AVOIDED OVER 14,400 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS. PURCHASED 2,371 FEWER REAMS OF PAPER IN 2019 VERSUS 2018, TRANSLATING INTO AN 6% YEAR OVER YEAR REDUCTION IN PAPER USAGE. 94% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. DONATED 8 PALLETS OF VARIOUS MEDICAL SUPPLIES AND 3 BEDS TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE GOOD SHEPHERD HOSPITAL REDUCED ENERGY INTENSITY UTILIZATION BY 4.8 PERCENT, AVOIDING THE RELEASE OF 595 MTCO2E OF GREENHOUSE GAS EMISSIONS. AVOIDED 105 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 255,864 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. DIVERTED OVER 441,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. AVOIDED 9,600 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS PURCHASED 928 FEWER REAMS OF PAPER IN 2019 VERSUS 2018, TRANSLATING INTO A 3.7% YEAR OVER YEAR REDUCTION IN PAPER USAGE. 91% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. 87% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. DONATED 6 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. DONATED LAND TO AND PARTNERED WITH A LOCAL NON-PROFIT ORGANIZATION, SMART FARM, TO GROW VEGETABLES AND TEACH THE COMMUNITY HOW TO GROW ORGANIC FOOD AND EAT HEALTHY. THE SMART FARM DONATED OVER 10,500 POUNDS OF FRESH PRODUCE TO LOCAL FOOD PANTRIES IN 2019. STARTED A COMMUNITY GARDEN ON CAMPUS IN 2019, OFFERING HOSPITAL EMPLOYEES AND COMMUNITY MEMBERS LAND TO GROW AND HARVEST FRESH, SUSTAINABLY-GROWN PRODUCE. ADVOCATE ILLINOIS MASONIC MEDICAL CENTER REDUCED ENERGY INTENSITY UTILIZATION BY 3 PERCENT, AVOIDING THE RELEASE OF 427 MTCO2E OF GREENHOUSE GAS EMISSIONS. ACHIEVED AN ENERGY STAR SCORE OF 100! DIVERTED OVER 650,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. RECYCLED 95 PERCENT, OR 2,293 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. AVOIDED 8,670 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS. PURCHASED 986 FEWER REAMS OF PAPER IN 2019 VERSUS 2018, TRANSLATING INTO AN 10% YEAR OVER YEAR REDUCTION IN PAPER USAGE. 73% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. DONATED 20 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE LUTHERAN GENERAL HOSPITAL REDUCED ENERGY INTENSITY UTILIZATION BY 3.1 PERCENT, AVOIDING THE RELEASE OF 1,259 MTCO2E OF GREENHOUSE GAS EMISSIONS. AVOIDED 93 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 228,288 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. LUTHERAN GENERAL HOSPITAL DIVERTED OVER 1.5 MILLION POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. RECYCLED 83 PERCENT, OR 98 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. AVOIDED 14,400 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS PURCHASED 2,403 FEWER REAMS OF PAPER IN 2019 VERSUS 2018, TRANSLATING INTO AN 5.5% YEAR OVER YEAR REDUCTION IN PAPER USAGE. 84% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. PURCHASED 32% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA. DONATED 10 PALLETS OF VARIOUS MEDICAL SUPPLIES AND 39 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE SHERMAN HOSPITAL REDUCED ENERGY INTENSITY UTILIZATION BY 3.1 PERCENT, AVOIDING THE RELEASE OF 657 MTCO2E OF GREENHOUSE GAS EMISSIONS. DIVERTED OVER 557,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. AVOIDED 7,750 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS. PURCHASED 1,586 FEWER REAMS OF PAPER IN 2019 VERSUS 2018, TRANSLATING INTO AN 5.6% YEAR OVER YEAR REDUCTION IN PAPER USAGE. 96% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. DONATED 4 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. HOSTED THE SHERMAN NATURAL PRAIRIE AND COMMUNITY GARDEN, OFFERING LAND AND RESOURCES FOR HOSPITAL EMPLOYEES AND COMMUNITY MEMBERS TO GROW AND HARVEST FRESH, SUSTAINABLE PRODUCE, WITH AN OPPORTUNITY TO DONATE EXCESS PRODUCE TO FOOD FOR GREATER ELGIN. SHERMAN HOSPITAL HAS A GEOTHERMAL LAKE THAT HELPS HEAT AND COOL THE HOSPITAL, REDUCING ENERGY AND WATER NEEDS AS WELL AS RELATED GREENHOUSE GAS EMISSIONSADVOCATE SOUTH SUBURBAN HOSPITAL REDUCED ENERGY INTENSITY UTILIZATION BY 1.5 PERCENT, AVOIDING THE RELEASE OF 502 MTCO2E OF GREENHOUSE GAS EMISSIONS. DIVERTED OVER 460,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. AVOIDED 7,420 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS. PURCHASED 672 FEWER REAMS OF PAPER IN 2019 VERSUS 2018, TRANSLATING INTO AN 9.8% YEAR OVER YEAR REDUCTION IN PAPER USAGE. 81% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. 94% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. DONATED 6 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE TRINITY HOSPITAL DIVERTED OVER 252,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. RECYCLED 87 PERCENT, OR 48 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. AVOIDED 3,165 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS. PURCHASED 684 FEWER REAMS OF PAPER IN 2019 VERSUS 2018, TRANSLATING INTO AN 10% YEAR OVER YEAR REDUCTION IN PAPER USAGE. 98% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. DONATED 9 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE SUPPORT CENTERS HELD A SHREDDING EVENT FOR ASSOCIATES HELD A SHOE DONATION RECYCLING EVENT, COLLECTING OVER 180 PAIRS FOR REUSE OR RECYCLING PURCHASED 175 FEWER REAMS OF PAPER IN 2019 VERSUS 2018. 88% OF THE ADVOCATE SUPPORT CENTER'S FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (73 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ACTION FOR HEALTHY KIDS
600 W VAN BUREN SUITE 720CHICAGOIL60607470902020501(C)(3)$28,500SUPPORT EXEMPT MISSION
ALZHEIMERS ASSOCIATION
850 ESSINGTON ROAD SUITE 200JOLIETIL60435133039601501(C)(3)$6,000SPONSOR EVENTS
AMERICAN CANCER SOCIETY
225 N MICHIGAN AVE SUITE 1200CHICAGOIL60601131788491501(C)(3)$61,250SPONSOR EVENTS
AMERICAN HEART ASSOCIATION
PO BOX 50035PRESCOTTAZ863045035135613797501(C)(3)$75,469SPONSOR EVENTS
AMERICAN RED CROSS
1 WESTPORT COURTBLOOMINGTONIL61704530196605501(C)(3)$5,090SPONSOR EVENTS
BARRINGTON HIGH SCHOOL
616 WEST MAIN STREETBARRINGTONIL60010362780596N/A$10,000COMMUNITY SUPPORT
BSTRONG TOGETHER NFP
110 SOUTH HAGER AVENUE SUITE 202BARRINGTONIL60010465117099501(C)(3)$6,000SUPPORT EXEMPT MISSION
BUILD INC
5100 W HARRISON STCHICAGOIL60644237022085501(C)(3)$40,000SUPPORT EXEMPT MISSION
CANCER SUPPORT CENTER
2028 ELM ROADHOMEWOODIL60430363880404501(C)(3)$20,445SUPPORT EXEMPT MISSION
CHICAGO AMACHI MENTORING PROGRAM
3508 W OGDEN AVECHICAGOIL60623260907131501(C)(3)$35,000SUPPORT EXEMPT MISSION
CHICAGO JESUIT ACADEMY
5058 W JACKSON BLVDCHICAGOIL60644202091040501(C)(3)$35,000SUPPORT EXEMPT MISSION
CHICAGO URBAN LEAGUE
4510 SOUTH MICHIGAN AVENUECHICAGOIL60653362225483501(C)(3)$8,445SPONSOR EVENTS
CHILDRENS HEART FOUNDATION
PO BOX 2844LINCOLNSHIREIL60069364077528501(C)(3)$20,697SPONSOR EVENTS
CHOOSE DUPAGE
2525 CABOT DRIVE SUITE 303LISLEIL60532320177792501(C)(3)$10,000COMMUNITY SUPPORT
CIRCLE URBAN MINISTRIES
118 N CENTRAL AVECHICAGOIL60644363136997501(C)(3)$25,000SUPPORT EXEMPT MISSION
COLLEGE MENTORING EXPERIENCE
5800 W ADAMS STCHICAGOIL60644465578549501(C)(3)$15,000SUPPORT EXEMPT MISSION
COMMUNITY HEALTH
2611 W CHICAGO AVECHICAGOIL60622363831793501(C)(3)$30,000SUPPORT EXEMPT MISSION
CONCORDIA PLACE
3300 N WHIPPLECHICAGOIL60618320033719501(C)(3)$6,500SPONSOR EVENTS
CONNECTIONS FOR ABUSED WOMEN AND CHILDREN
1116 N KEDZIE AVENUECHICAGOIL60651362950380501(C)(3)$25,000SUPPORT EXEMPT MISSION
COUNCIL OF ISLAMIC ORGANIZATIONS OF GREATER CHICAGO
231 N STATE STREETCHICAGOIL60602363869749501(C)(3)$15,000SUPPORT EXEMPT MISSION
CRISTO REY JESUIT HIGH SCHOOL
1852 WEST 22ND PLACECHICAGOIL60608043730980501(C)(3)$65,920SUPPORT EXEMPT MISSION
DOWNERS GROVE ECONOMIC
5159 MOCHELDOWNERS GROVEIL60515870772222N/A$7,180COMMUNITY SUPPORT
DUPAGE HEALTH COALITION
511 THORNHILL DRIVE SUITE MCAROL STREAMIL60188364448208501(C)(3)$414,884SUPPORT EXEMPT MISSION
ECONOMIC DEVELOPMENT COUNCIL
200 W COLLEGE AVE SUITE 402NORMALIL61761371169886N/A$15,075COMMUNITY SUPPORT
ERIE ELEMENTARY CHARTER SCHOOL
1405 N WASHTENAWCHICAGOIL60622371504399501(C)(3)$10,000SUPPORT EXEMPT MISSION
FAMILY HEALTH PARTNERSHIP
401 E CONGRESS PKWYCRYSTAL LAKEIL60014364277029501(C)(3)$6,500SUPPORT EXEMPT MISSION
FOOD FOR THOUGHT
174 WATERCOLOR WAY UNIT 103 286SANTA ROSA BEACHFL32549800734040501(C)(3)$10,000SUPPORT EXEMPT MISSION
FOX VALLEY HANDS OF HOPE
200 WHITFIELD DRIVEGENEVAIL60134363111451501(C)(3)$8,000SCHOLARSHIP FUNDING
FREE SPIRIT MEDIA
906 S HOMAN AVE FLOOR 5CHICAGOIL60624364456215501(C)(3)$30,000SUPPORT EXEMPT MISSION
GARDENEERS
3414 W ROOSEVELT RDCHICAGOIL60624464651665501(C)(3)$15,000SUPPORT EXEMPT MISSION
HEALTHY SCHOOLS CAMPAIGN
175 N FRANKLIN SUITE 300CHICAGOIL60606364308068501(C)(3)$25,000SPONSOR EVENTS
HM&C CENTER STAGE LLC
233 PENNSYLVANIA AVENUE SE 2ND FLWASHINGTONDC20003261582812N/A$8,633SPONSOR EVENTS
I AM ABLE CENTER FOR FAMILY DEVELOPMENT INC
3408 W ROOSEVELT RDCHICAGOIL60624363861251501(C)(3)$15,000SUPPORT EXEMPT MISSION
IHREF
24676 NETWORK PLACECHICAGOIL606731246237421930501(C)(3)$3,586,436SUPPORT EXEMPT MISSION
ILLINOIS CHAMBER FOUNDATION
PO BOX 19258SPRINGFIELDIL627949258361254650501(C)(3)$12,750SPONSOR EVENTS
ILLINOIS STATE UNIV FOUNDATION
1101 N MAIN STNORMALIL61790376025713501(C)(3)$25,000SUPPORT EXEMPT MISSION
ILLINOIS STATE UNIVERSITY
CAMPUS BOX 2660NORMALIL61790376014070501(C)(3)$50,000SCHOLARSHIP FUNDING
INSTITUTE FOR NONVIOLENCE CHICAGO
4926 WEST CHICAGO AVENUECHICAGOIL60651811098722501(C)(3)$20,000SUPPORT EXEMPT MISSION
JACKIE JOYNER KERSEE FNDN
101 JACKIE JOYNER KERSEE CIRCLEEAST ST LOUISIL62204371347709501(C)(3)$10,000SUPPORT EXEMPT MISSION
JOHN MARSHALL METROPOLITAN HIGH SCHOOL
3250 W ADAMS STREETCHICAGOIL60624364263664501(C)(3)$35,000SUPPORT EXEMPT MISSION
KIPP CHICAGO
2007 SOUTH HALSTED STREETCHICAGOIL60608300135927501(C)(3)$25,000SUPPORT EXEMPT MISSION
KOHL CHILDRENS MUSEUM
2100 PATRIOT BOULEVARDGLENVIEWIL60026363706878501(C)(3)$5,264SPONSOR EVENTS
LEGAL PREP CHARTER ACADEMIES
4319 W WASHINGTON BLVDCHICAGOIL60647271071296501(C)(3)$25,000SUPPORT EXEMPT MISSION
LUTHERAN SCHOOL OF THEOLOGY
1100 E 55TH STREETCHICAGOIL60615362246704501(C)(3)$5,151SUPPORT EXEMPT MISSION
LUTHERAN SOCIAL SERVICES IL
1001 E TOUHY AVEDES PLAINESIL60018362584799501(C)(3)$17,000SUPPORT EXEMPT MISSION
MAKE-A-WISH FOUNDATION
640 NORTH LASALLE STREET STE 280CHICAGOIL60654363422138501(C)(3)$30,000SPONSOR EVENTS
MARCH OF DIMES FOUNDATION
141 W JACKSON BLVD SUITE 1875CHICAGOIL60604131846366501(C)(3)$54,850SPONSOR EVENTS
MARILLAC ST VINCENT FAMILY SERVICES
212 S FRANCISCO AVECHICAGOIL60612362109717501(C)(3)$25,000SUPPORT EXEMPT MISSION
MCHENRY COUNTY COLLEGE FDN
8900 US HWY 14CRYSTAL LAKEIL60012237418071501(C)(3)$6,000SUPPORT EXEMPT MISSION
METROPOLITAN CHICAGO BREAST
300 S ASHLAND AVE SUITE 22CHICAGOIL60607262264895501(C)(3)$9,795SUPPORT EXEMPT MISSION
MIKVA CHALLENGE
200 S MICHIGAN AVE SUITE 1000CHICAGOIL60604522033353501(C)(3)$10,000SUPPORT EXEMPT MISSION
MUSEUM OF SCIENCE & INDUSTRY
57TH STREET AND LAKE SHORE DRIVECHICAGOIL60637362167797501(C)(3)$44,000SUPPORT EXEMPT MISSION
NATIONAL ASSOCIATION OF HEALTH SERVICES
1050 CONNECTICUT AVE NW 5TH FLWASHINGTONDC20036621312239501(C)(3)$9,900SPONSOR EVENTS
NATIONAL MEDICAL FELLOWSHIPS
12 E 46TH STREET SUITE 5ENEW YORKNY10017010963657501(C)(3)$15,500SUPPORT EXEMPT MISSION
NATL KIDNEY FOUNDATION OF IL
215 WEST ILLINOIS SUITE 1CCHICAGOIL60654366009226501(C)(3)$15,965SPONSOR EVENTS
NEW MOMS INC
5317 W CHICAGO AVECHICAGOIL60651363265804501(C)(3)$40,000SUPPORT EXEMPT MISSION
OAK LAWN PARK DISTRICT
9400 S KENTON AVEOAK LAWNIL60453366006025N/A$10,000SPONSOR EVENTS
PIONEER CENTER FOR HUMAN SERVICES- MCHENRY COUNTY PADS
4031 W DAYTON STMCHENRYIL60050362480845501(C)(3)$40,000SUPPORT EXEMPT MISSION
PRESENCE MERCY MEDICAL CENTER
1325 NORTH HIGHLAND AVENUEAURORAIL60506364195126501(C)(3)$7,500SCHOLARSHIP FUNDING
SINAI HEALTH SYSTEMS
1500 S FAIRFIELD AVE F-125CHICAGOIL60608363166895501(C)(3)$37,500SUPPORT EXEMPT MISSION
SPECIAL OLYMPICS ILLINOIS
500 WATERS EDGE SUITE 100LOMBARDIL60148362922811501(C)(3)$23,250SPONSOR EVENTS
STROKE SURVIVORS EMPOWERING
PO BOX 855LOMBARDIL601480855271925734501(C)(3)$10,000SUPPORT EXEMPT MISSION
SYRIAN AMERICAN MEDICAL SOCIETY FOUNDATION
1012 14TH STREET NW SUITE 1500WASHINGTONDC20005161717058501(C)(3)$25,000SUPPORT EXEMPT MISSION
TECHNOLOGY LABORATORY
PO BOX 530181LIVONIAMI48153208370098501(C)(3)$9,623SPONSOR EVENTS
THE BOULEVARD OF CHICAGO
3456 WEST FRANKLIN BOULEVARDCHICAGOIL60624364075641501(C)(3)$30,000SUPPORT EXEMPT MISSION
THE CHICAGO NETWORK
737 N MICHIGAN AVE STE 1900CHICAGOIL60611363099583501(C)(3)$9,010SPONSOR EVENTS
THE LEVERAGE NETWORK INC
200 SOUTH WACKER DRIVE SUITE 3100CHICAGOIL60606473517179501(C)(3)$9,100SPONSOR EVENTS
TURNING THE PAGE
906 SOUTH HOMAN AVENUE 6TH FLOORCHICAGOIL60624522081934501(C)(3)$20,000SUPPORT EXEMPT MISSION
UNIV OF ILL AT CHICAGO
845 S DAMEN AVENUE SUITE 120CHICAGOIL60612376006007501(C)(3)$12,800SPONSOR EVENTS/SCHOLARSHIPS
UNIVERSITY OF CHICAGO MEDICAL CENTER
5841 S MARYLAND AVECHICAGOIL60637376000511501(C)(3)$50,000GRANT FOR CURE VIOLENCE
VILLAGE OF OAK LAWN
6451 WEST 93RD PLACEOAK LAWNIL60453366006024501(C)(3)$701,525COMMUNITY SUPPORT
WEST TOWN BIKES
2459 W DIVISIONCHICAGOIL60622204767185501(C)(3)$45,000SUPPORT EXEMPT MISSION
WORLD BUSINESS CHICAGO
177 N STATE STREET SUITE 500CHICAGOIL60601364313685501(C)(3)$30,040SUPPORT EXEMPT MISSION
FieldValueIRS element (for citing)
Total501c3 Org68Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (40 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES SKOGSBERGH
PRESIDENT, DIRECTOR$0$1,871,319$0$3,142,919$0$903,267$0$25,591$0$20,986$0$5,964,082$0$0
GARY STUCK DO
CHIEF MEDICAL OFFICER$0$507,693$0$136,954$0$51,828$0$26,929$0$18,602$0$742,006$0$0
WILLIAM SANTULLI
EVP, CHIEF OPERATING OFFICER$0$1,144,124$0$1,762,601$0$482,371$0$25,591$0$24,303$0$3,438,990$0$0
JAMES DOHENY
ASSISTANT TREASURER$400,433$0$128,131$0$46,953$0$25,591$0$28,986$0$630,094$0$0$0
REV KATHIE BENDER SCHWICH
CHIEF SPIRITUAL OFFICER$0$279,247$0$467,856$0$125,184$0$25,591$0$80,255$0$978,133$0$0
KEVIN BRADY
CHIEF HUMAN RESOURCES OFFICER$0$580,174$0$843,930$0$220,909$0$25,591$0$38,613$0$1,709,217$0$0
VINCENT BUFALINO MD
CHIEF ADVOCATE MEDICAL GROUP OFFICER$0$589,736$0$861,159$0$238,808$0$25,591$0$27,721$0$1,743,015$0$0
KELLY JO GOLSON
CHIEF MARKETING OFFICER$0$470,708$0$669,503$0$175,822$0$25,591$0$2,912$0$1,344,536$0$0
DOMINIC J NAKIS
CFO & TREASURER$0$835,262$0$1,353,554$0$353,882$0$25,591$0$27,539$0$2,595,828$0$0
SCOTT POWDER
CHIEF STRATEGY OFFICER$0$533,517$0$762,625$0$192,233$0$25,591$0$25,125$0$1,539,091$0$0
BARBARA BYRNE MD
CHIEF INFORMATION OFFICER$0$568,075$0$823,416$0$34,865$0$70,585$0$15,667$0$1,512,608$0$0
JAMES SLINKMAN
ASSISTANT SECRETARY$0$310,935$0$95,713$0$27,707$0$25,591$0$35,025$0$494,971$0$0
LESLIE LENZO
ASSISTANT TREASURER$579,092$0$206,746$0$89,962$0$22,791$0$22,410$0$921,001$0$0$0
MICHAEL GREBE
ASSISTANT SECRETARY, CHIEF LEGAL OFF$0$562,400$0$403,812$0$392,281$0$201,665$0$0$0$1,560,158$0$70,195
MICHAEL KERNS
ASSISTANT SECRETARY$0$347,199$0$104,437$0$38,646$0$25,591$0$34,693$0$550,566$0$0
MIKE LAPPIN
SECRETARY$0$746,368$0$569,981$0$647,908$0$311,307$0$20,504$0$2,296,068$0$104,917
NAN NELSON
ASSISTANT TREASURER$0$481,008$0$227,115$0$364,225$0$166,423$0$987$0$1,239,758$0$63,304
SHELLY HART
ASSISTANT SECRETARY$0$498,921$0$177,092$0$26,824$0$112,282$0$20,504$0$835,623$0$0
STEVE HUSER
ASSISTANT TREASURER$0$308,464$0$105,266$0$23,375$0$71,558$0$13,904$0$522,567$0$0
MICHAEL FARRELL
PRESIDENT OF ADVOCATE CHILDREN'S HOS$826,494$0$415,922$0$316,098$0$25,591$0$20,656$0$1,604,761$0$0$0
TERIKA R MBANU
PRESIDENT OF LUTHERAN GENERAL HOSPIT$442,263$0$175,460$0$43,072$0$29,110$0$24,682$0$714,587$0$0$0
RICHARD HEIM
PRESIDENT, CHRIST MEDICAL CENTER$568,690$0$248,393$0$126,945$0$25,591$0$23,043$0$992,662$0$0$0
COLLEEN KANNADAY
PRESIDENT OF BROMENN & EUREKA HOSPIT$475,995$0$214,288$0$158,524$0$25,591$0$24,096$0$898,494$0$0$0
KAREN LAMBERT
PRESIDENT OF GOOD SHEPHERD HOSPITAL$624,814$0$310,092$0$197,402$0$25,591$0$38,811$0$1,196,710$0$0$0
NANCY M TINSLEY
PRESIDENT OF GOOD SAMARITAN HOSPITAL$492,025$0$44,524$0$26,237$0$7,695$0$26,899$0$597,380$0$0$0
RASHARD JOHNSON
PRESIDENT OF TRINITY & SS$373,204$0$26,894$0$68,430$0$0$0$12,233$0$480,761$0$0$0
HAMAD FARHAT MD
NEUROSURGEON$1,768,250$0$0$0$149,280$0$22,791$0$35,375$0$1,975,696$0$0$0
MICHEL ILBAWI MD
PEDIATRIC CV SURGERY$1,090,000$0$158,042$0-$5,406$0$22,791$0$29,107$0$1,294,534$0$0$0
RYAN TROMBLY MD
NEUROSURGEON$963,952$0$214,000$0$69,200$0$22,791$0$33,375$0$1,303,318$0$0$0
RICHARD SCOTT
SVP CLINICAL$160,749$0$257,758$0$1,167,780$0$52,487$0$32,683$0$1,671,457$0$0$0
DEMETRIUS LOPES
NEUROSURGEON$1,344,594$0$0$0-$12,120$0$0$0$32,932$0$1,365,406$0$0$0
LEE SACKS MD
EVP,FORMER OFFICER$0$0$0$351,160$0$274,473$0$0$0$972$0$626,605$0$0
SUSAN CAMPBELL
FORMER OFFICER$0$0$135,087$0$272,621$0$0$0$7,069$0$414,777$0$0$0
EARL J BARNES II
FORMER OFFICER$0$0$0$181,123$0$264,496$0$0$0$30,660$0$476,279$0$0
DAVID FOX JR
FORMER KEY EMPLOYEE$0$0$154,319$0$0$0$8,543$0$38$0$162,900$0$0$0
DOMINICA TALLARICO
FORMER KEY EMPLOYEE$683,406$0$264,421$0$138,383$0$25,591$0$25,327$0$1,137,128$0$0$0
KENNETH LUKHARD
FORMER KEY EMPLOYEE$0$0$154,082$0$262,099$0$0$0$32,111$0$448,292$0$0$0
MATTHEW PRIMACK
FORMER KEY EMPLOYEE$382,427$0$101,756$0$41,827$0$25,591$0$21,180$0$572,781$0$0$0
DEAN KARAHALIOS MD
FORMER HCE-NEUROSURGEON$1,211,903$0$0$0-$13,149$0$22,791$0$40,651$0$1,262,196$0$0$0
EGON DOPPENBERG MD
FORMER HCE-NEUROSURGEON$1,225,562$0$0$0-$11,880$0$22,791$0$32,932$0$1,269,405$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1AKATHIE S. BENDER SCHWICH RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $55,000 AND FREDERICK RAJAN RECEIVED ONE IN IN THE AMOUNT OF 9,231.
SCHEDULE J, PART I, LINE 4AEARL J. BARNES II, FORMER ASSISTANT SECRETARY, RECEIVED A SERVERANCE PAYMENT IN THE AMOUNT OF $275,000. SUSAN CAMPBELL, FORMER DIRECTOR, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $275,000. RICHARD B. FLOYD, FORMER PRESIDENT, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $155,769. KENNETH W. LUKHARD, FORMER PRESIDENT, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $270,000. LEE B. SACKS, FORMER CHIEF MEDICAL OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $275,002. RICHARD SCOTT, FORMER SVP CLINICAL, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $161,538. THESE PAYMENTS HAVE ALL BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). MARY ELLEN CHERRY, FORMER ASSISTANT SECRETARY FOR THE DISSOLVED ORGANIZATION HISPANOCARE, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $238,693. THIS PAYMENT HAS NOT BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III), AS THERE IS NO ENTITY ASSOCIATED WITH THIS FORMER OFFICER POSITION.
SCHEDULE J, PART I, LINE 4BADVOCATE PROVIDES A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT THE CONTRIBUTIONS TO THIS PLAN ARE VESTED AND TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE, THE CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: KATHIE S. BENDER SCHWICH $35,933, KEVIN R. BRADY $73,558, VINCENT J. BUFALINO $76,789, MICHAEL J. FARRELL $109,276, KELLY JO GOLSON $48,406, RICHARD HEIM $6,985, COLLEEN L. KANNADAY $54,574, KAREN A. LAMBERT $62,745, DOMINIC NAKIS $107,256, SCOTT A. POWDER $56,585, WILLIAM P. SANTULLI $160,864, JAMES H. SKOGSBERGH $338,248, DOMINICA M. TALLARICO $8,144 AND RICHARD SCOTT 284,353. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: BARBARA P. BYRNE $47,794, TERIKA R. MBANU $6,320, GARY D. STUCK $12,388, NANCY M. TINSLEY $7,695 AND RICHARD SCOTT 52,487.
SCHEDULE J, PART I, LINE 7INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS HEALTH FACILITIES AUTHORITY
A36278004645200PXH52003-10-29$115,000,000SEE SCHEDULE K PART VI000
ILLINOIS FINANCE AUTHORITY
B86109196745200FED72013-01-24$51,134,288SEE SCHEDULE K PART VI000
ILLINOIS FINANCE AUTHORITY
C86109196745200FEE52013-02-01$43,219,722SEE SCHEDULE K PART VI000
ILLINOIS FINANCE AUTHORITY
D86109196745204EY932019-05-01$42,794,542SEE SCHEDULE K PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$99,485,000$116,432,024$1,034,454$111,807,084$3,590,486200500Yes (1)Yes (1)
B$51,134,288$51,134,2882009Yes (1)0Yes (1)Yes (1)
C$43,219,722$43,219,7222009Yes (1)0Yes (1)Yes (1)
D$42,749,542$42,794,5422009Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)000.001000.000000.001000Yes (1)0.00600Yes (1)Yes (1)
B0Yes (1)Yes (1)000.001000.000000.0010000Yes (1)
C0Yes (1)Yes (1)000.001000.000000.0010000Yes (1)
D0Yes (1)Yes (1)000.001000.000000.0010000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)Yes (1)000Yes (1)
C00Yes (1)Yes (1)Yes (1)000Yes (1)
D00Yes (1)Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5)PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK.
SCHEDULE K, PART I(F) (CUSIP #45200FAZ2)PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997ABONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES.
SCHEDULE K, PART I(F) (CUSIP # 45200FED7)PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013.
SCHEDULE K, PART I (F) (CUSIP # 45200FEE5)PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013.
SCHEDULE K, PART I(F) (CUSIP # 45204EY93)PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2019 THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2019.
SCHEDULE K, PART I(F) (CUSIP # 45203HCA8)PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING A NINE STORY AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER.
SCHEDULE K, PART I(F) (CUSIP # 45203HNJ7)PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER.
SCHEDULE K, PART I(F) (CUSIP # 45203HUC4)PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 THE PROCEEDS OF THE SERIES 2013A BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN ICU EXPANSION PROJECT AT ADVOCATE TRINITY HOSPITAL, A CAMPUS MODERNIZATION PROJECT AT ADVOCATE GOOD SHEPHERD HOSPITAL, AN EMERGENCY DEPARTMENT/SURGERY EXPANSION PROJECT AT ADVOCATE LUTHERAN GENERAL HOSPITAL, AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER.
SCHEDULE K, PART I(F) (CUSIP # 45203HE40)PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 THE PROCEEDS OF THE SERIES 2014 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING CERTAIN OF THE SERIES 2008D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER AND ADVANCE REFUNDING THE SERIES 2007A BONDS PREVIOUSLY ISSED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF ADVOCATE SHERMAN HOSPITAL.
SCHEDULE K, PART I(F) (CUSIP # 45203H4J8)PURPOSE OF BOND SERIES 2015 ISSUED 9/24/2015 THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED FOR THE PURPOSE OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP INCLUDING WITHOUT LIMITATION A BED TOWER AT ADVOCATE GOOD SAMARITAN HOSPITAL AND RENOVATIONS AT ADVOCATE CHRIST MEDICAL CENTER.
SCHEDULE K, PART I(F) (CUSIP # 45203H6T4)PURPOSE OF BOND SERIES 2015B ISSUED 10/22/2015 THE PROCEEDS OF THE SERIES 2015B BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING A PORTION OF THE SERIES 2010A, SERIES 2010B, SERIES 2010C AND SERIES 2010D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER.
SCHEDULE K, PART 1(F) (CUSIP # 97712DP34)PURPOSE OF BOND SERIES 2018ABC ISSUED 8/16/2018 THE PROCEEDS OF THE SERIES 2018ABC BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFINANCING ALL OR A PORTION OF THE SERIES 2008A, SERIES 2008B, SERIES 2009A, SERIES 2010A, SERIES 2010B, SERIES 2012A, SERIES 2012B, SERIES 2012C, SERIES 2012D, SERIES 2013A AND SERIES 2015A BONDS PREVIOUSLY ISSUED BY THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY FOR THE BENEFIT OF AURORA HEALTH CARE, INC.
SCHEDULE K, PART I(F) (CUSIP # 45203HCM2)PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS.
SCHEDULE K, PART II, LINE 3FOR THOSE BOND ISSUES WHERE THE TOTAL PROCEEDS LISTED IN PART II, LINE 3 ARE NOT IDENTICAL TO THE ISSUE PRICE FOR THE RELATED BOND ISSUE SHOWN IN PART I, COLUMN (E), THE DIFFERENCE REPRESENTS INVESTMENT EARNINGS.
SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUESSERVICE CONTRACTS AND RESEARCH AGREEMENTS INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION.
SCHEDULE K, PART III, LINES 4-6, CERTAIN BOND ISSUESPRIVATE BUSINESS USE PERCENTAGE PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY.
SCHEDULE K, PART III, LINE 7, ALL BOND ISSUESPRIVATE SECURITY AND PAYMENT TEST ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE AND THEREFORE HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS.
SCHEDULE K, PART IV, LINE 2CARBITRAGE REBATE COMPUTATION BOND SERIES 2003, CUSIP # 45200PXH5 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2018. BOND SERIES 2008A-1, CUSIP # 45200FED7 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-2, CUSIP # 45200FEE5 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-3, CUSIP # 45200FEF2 THE REBATE COMPUTATION WAS PERFORMED AS OF MAY 1, 2017. BOND SERIES 2008C, CUSIP # 45200FAZ2 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2017. BOND SERIES 2011A-1, CUSIP # 45203HCM2 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2011A-2, 2011BCD CUSIP # 45203HCA8 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2012, CUSIP # 45203HNJ7 THE REBATE COMPUTATION WAS PERFORMED AS OF NOVEMBER 29, 2017. BOND SERIES 2013A, CUSIP # 45203HUC4 THE REBATE COMPUTATION WAS PERFORMED AS OF AUGUST 8, 2018. BOND SERIES 2014, CUSIP # 45203HE40 THE REBATE COMPUTATION WAS PERFORMED AS OF DECEMBER 18, 2019.
SCHEDULE K PART IV LINE 4BSWAP PROVIDERS ON DECEMBER 28, 2011 THE ORIGINAL SWAP RELATING TO THESE BONDS WITH CITIBANK N.A. WAS SEPARATED INTO TWO TRANCHES AND NOVATED (ASSIGNED TO) TWO SEPARATE SWAP COUNTERPARTIES, WELLS FARGO BANK, N.A. AND PNC BANK, NATIONAL ASSOCIATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745200FAZ22007-10-10$348,000,000SEE SCHEDULE K PART VI000
ILLINOIS FINANCE AUTHORITY
B86109196745203HCM22011-09-21$12,453,367SEE SCHEDULE K PART VI000
ILLINOIS FINANCE AUTHORITY
C86109196745203HCA82011-09-21$201,774,238SEE SCHEDULE K PART VIYes (1)00
ILLINOIS FINANCE AUTHORITY
D86109196745203HNJ72012-11-29$150,003,863SEE SCHEDULE K PART VIYes (1)00

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmt
A$76,235,000$352,851,959$2,331,125$3,418,607$154,520,722$192,581,5052009Yes (1)0Yes (1)Yes (1)
B$11,005,000$12,453,367$130,427$12,322,9402011Yes (1)0Yes (1)Yes (1)
C$202,235,524$1,649,390$200,461,255$124,879201300Yes (1)Yes (1)$32,085,000
D$150,184,694$1,646,514$148,493,974$44,206201400Yes (1)Yes (1)$105,695,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)000.001000.000000.001000Yes (1)0.01400Yes (1)Yes (1)
C0Yes (1)Yes (1)000.000100.000000.0001000Yes (1)
D0Yes (1)Yes (1)000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtBusiness Name Line2GICProviderName/BusinessNameLine2TxtTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
SEE PART VI
A00Yes (1)Yes (1)Yes (1)Yes (1)26.80000000000000Yes (1)TRINITY PLUSFUNDING2.100000000000Yes (1)0Yes (1)
(no name)
B000Yes (1)Yes (1)000Yes (1)
(no name)
C000Yes (1)Yes (1)000Yes (1)
(no name)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745203HUC42013-08-08$103,136,955SEE SCHEDULE K PART VIYes (1)00
ILLINOIS FINANCE AUTHORITY
B86109196745203HE402014-12-18$341,558,564SEE SCHEDULE K PART VIYes (1)00
ILLINOIS FINANCE AUTHORITY
C86109196745203H4J82015-09-24$104,517,375SEE SCHEDULE K PART VI000
ILLINOIS FINANCE AUTHORITY
D86109196745203H6T42015-10-22$73,276,988SEE SCHEDULE K PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$7,930,000$37,965,000$103,146,877$1,285,192$101,849,526$12,160201500Yes (1)Yes (1)
B$9,080,000$147,580,000$353,041,187$2,627,651$350,413,53620150Yes (1)Yes (1)Yes (1)
C$104,528,531$1,436,749$103,068,646$23,136201600Yes (1)Yes (1)
D$75,569,387$715,867$74,853,52020160Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)000.000300.000000.0003000Yes (1)
B0Yes (1)Yes (1)000.012000.000000.0120000Yes (1)
C0Yes (1)Yes (1)000.000200.000000.0002000Yes (1)
D0Yes (1)Yes (1)000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)
C0Yes (1)000000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH & ED FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
CUSIP97712DP34CUSIPNum
Bond Issued2018-08-16BondIssuedDt
Issue Price$520,918,343IssuePriceAmt
PurposeSEE SCHEDULE K, PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$520,919,008TotalProceedsAmt
Capital Expenditures$520,892,291CapitalExpendituresAmt
Other Spent Proceeds$26,717OtherSpentProceedsAmt
Substantial Completion2018SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts0EngageBondCounselContractsInd
Any Research AgreementsYes (1)AnyResearchAgreementsInd
Engage Bond Counsel Research0EngageBondCounselResearchInd
Private Bus Use By Others0.01200PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.01200TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonROBERT SKOGSBERGHPersonNm
Relationship With OrgFAMILY MEMBER - JAMES SKOGSBERGHRelationshipWithOrgTxt
Cash Grant$70,000CashGrantAmt
Type Of AssistanceSALARYTypeOfAssistanceTxt
Assistance PurposeINTERNSHIPAssistancePurposeTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (12 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JULIE NAKIS
FAMILY MEMBER - DOMINIC J. NAKIS$114,907EMPLOYMENT0
MICHAEL MAHONEY
FAMILY MEMBER - DOMINIC J. NAKIS$90,306EMPLOYMENT0
ANNA KATZ
FAMILY MEMBER - LEE SACKS$425,388EMPLOYMENT0
JAMES RICHARDSON
FAMILY MEMBER - MICHELE BAKER-RICHARDSON$33,950EMPLOYMENT0
DANIEL DOHERTY
FAMILY MEMBER - JAMES DAN, FORMER OFFICER$322,497EMPLOYMENT0
IBEAWUCHI MBANU
FAMILY MEMBER - TERIKA RICHARDSON$447,348EMPLOYMENT0
KRISTINE ARIAS
FAMILY MEMBER - JOHN TIMMER$29,515EMPLOYMENT0
RAFAEL ARIAS
FAMILY MEMBER - JOHN TIMMER$144,688EMPLOYMENT0
MEGAN SKOGSBERGH
FAMILY MEMBER - JAMES SKOGSBERGH$64,146EMPLOYMENT0
ROBERT SKOGSBERGH
FAMILY MEMBER - JAMES SKOGSBERGH$39,960EMPLOYMENT0
DIANE DOHENY
FAMILY MEMBER - JAMES DOHENY$66,140EMPLOYMENT0
JESSICA SLINKMAN
FAMILY MEMBER - HAROLD SLINKMAN$59,573EMPLOYMENT0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED:ADVOCATE PROVIDES EXPERT EMERGENCY CARE TO THE CHICAGO AREA'S SERIOUSLY INJURED PEOPLE THROUGH ITS FIVE LEVEL I TRAUMA CENTERS (THE STATE'S HIGHEST DESIGNATION IN TRAUMA CARE). THE LEVEL 1 TRAUMA CENTERSLOCATED AT ADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERANCOMPRISE THE LARGEST EMERGENCY AND LEVEL 1 TRAUMA NETWORK IN ILLINOIS. IN 2019, ADVOCATE'S LEVEL I TRAUMA CENTERS HANDLED 7,773 TRAUMA VISITS AND ITS LEVEL II TRAUMA CENTERSLOCATED AT ADOCATE BROMENN, ADVOCATE GOOD SHEPHERD AND ADVOCATE SHERMANHANDLED 973 TRAUMA VISITS. THERE WAS A TOTAL OF 535,343 NON TRAUMA VISITS AT ALL ADVOCATE HOSPITALS. THE TOTAL TRAUMA AND EMERGENCY ROOM VISITS FOR ALL ADVOCATE HOSPITALS IN 2019 WAS 544,089. (NOTE: THE CHILDREN'S HOSPITAL EMERGENCY VISITS FOR BOTH CAMPUSESOAK LAWN AND PARK RIDGEARE INCLUDED IN THE MAIN HOSPITALS' TOTALS.) TWO ADVOCATE HOSPITALS ALSO SERVE AS POINT OF DISPENSING HOSPITALS FOR COORDINATION OF DISASTER COMMUNICATIONADVOCATE ILLINOIS MASONIC FOR THE CITY OF CHICAGO AND ADVOCATE CHRIST FOR A 5-COUNTY GEOGRAPHIC AREA. LEADERSHIP OF THE METROPOLITAN CHICAGO AND COLLAR COUNTY DISASTER AND COMMUNICATION COORDINATION EFFORTS REQUIRES SIGNIFICANT INVOLVEMENT IN BOTH NATIONAL AND LOCAL BIOTERRORISM AND DISASTER PREPAREDNESS ACTVITIES. ADVOCATE TREATS MORE PEDIATRIC PATIENTS THAN ANY OTHER HOSPITAL OR SYSTEM IN THE STATE. NAMED AS ONE OF THE NATION'S BEST CHILDREN'S HOSPITALS FOR CARDIOLOGY AND HEART SURGERY AS WELL AS NEONATOGY BY U.S. NEWS & WORLD REPORT, ADVOCATE CHILDREN'S WAS THE FIRST CHILDREN'S HOSPITAL IN THE COUNTRY TO RECEIVE CONGENITAL HEART DISEASE ACCREDITATION FROM ACE (ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE) FOR SETTING THE HIGHEST STANDARDS OF QUALITY CARE FOR CHILDREN. THE HOSPITAL IS DESCRIBED AS ONE OF 12 "WORLD CLASS" NEWBORN INTENSIVE CARE UNITS BY THE NATIONAL VERMONT OXFORD "YOUR IDEAL NICU" PROJECT. IN ADDITION, ADVOCATE CHILDREN'S PROVIDES SERVICES FOR COMPLEX SURGERIES DURING PREGNANCY AND NEONATAL PERIODS. THE ADVOCATE CHILDREN'S CENTER FOR FETAL CARE IS ONE OF THE FIRST IN CHICAGOLAND, AND ONE OF ONLY 34 SUCH MEDICAL CENTERS IN NORTH AMERICA. IN FACT, ADVOCATE CHILDREN'S IS ONE OF LESS THAN 30 HOSPITALS NATIONWIDE THAT PERFORM ADVANCED IN-UTERO FETAL THERAPY PROCEDURES. FOUR OF ADVOCATE'S HOSPITALS ARE DESIGNATED LEVEL III (THE STATE'S HIGHEST LEVEL) NEONATAL INTENSIVE CARE UNITS (NICUS). THESE HOSPITALSADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERALHANDLE THE MOST ILL BABIES FROM OTHER ADVOCATE HOSPITALS AND THROUGH TRANSFERS FROM NON-ADVOCATE HOSPITALS IN THE CHICAGOLAND AREA. IN 2019, THERE WERE 3,038 NICU ADMISSIONS TO ADVOCATE'S NICU-DESIGNATED HOSPITALS. MORE PEOPLE TRUST THEIR HEARTS (CARDIAC CARE) TO ADVOCATE THAN ANY OTHER HEALTH SYSTEM OR HOSPITAL IN THE STATE OF ILLINOIS. ADVOCATE'S 350 HEART SPECIALISTS PERFORM MORE THAN 20,000 HEART PROCEDURES EACH YEARMORE THAN THE FIVE CHICAGO ACADEMIC HOSPITALS COMBINED. ADVOCATE ALSO DIAGNOSES AND TREATS MORE CANCER THAN ANY HEALTH SYSTEM IN ILLINOIS. THIS IS IMPORTANT BECAUSE HEALTH RESEARCH SHOWS THERE IS A POSITIVE RELATIONSHIP BETWEEN THE NUMBER OF PROCEDURES PERFORMED AND QUALITY OUTCOMES. THROUGH LEADING-EDGE RESEARCH AND A STRONG TEAM OF SPECIALISTS THAT PROVIDE COMPASSIONATE AND PERSONALIZED CARE, ADVOCATE HELPS MORE CANCER PATIENTS IN ILLINOIS BECOME CANCER SURVIVORS. ADVOCATE HAS ONE OF THE LARGEST PHYSICIAN NETWORKS OF PRIMARY CARE PHYSICIANS, SPECIALISTS AND SUB-SPECIALISTS IN ILLINOIS. OF THE 6,300 PHYSICIANS AFFILIATED WITH ADVOCATE, 5,000 OF THEM ARE MEMBERS OF ADVOCATE PHYSICIAN PARTNERS, THE SYSTEM'S CARE MANAGEMENT ORGANIZATION, WITH 1,500 EMPLOYED THROUGH ADVOCATE MEDICAL GROUP. ADVOCATE HAS ACADEMIC AND TEACHING AFFILIATIONS WITH MOST MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA. AT ITS FOUR TEACHING HOSPITALS, ADVOCATE TRAINS MORE PRIMARY CARE PHYSICIANS AND RESIDENTS THAN ANY OTHER HEALTH CARE SYSTEM IN THE STATE. AS ONE OF THE NATIONS LARGEST ACCOUNTABLE CARE ORGANIZATIONS (ACOS), ADVOCATE IS NATIONALLY RECOGNIZED FOR IT'S ABILITY TO POSITIVELY AFFECT RISING HEALTHCARE COSTS. ADVOCATE CONTINUES TO BE THE MARKET LEADER IN WORKING WITH PAYERS TO OFFER NEW SOLUTIONS THAT ALIGN INCENTIVES AND LEAD TO IMPROVED QUALITY WITH REDUCED COSTS TO PAYERS, EMPLOYERS AND PATIENTS. IN ADDITION, ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK, FOCUSING ON THE KEY AREAS OF IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN EMERGENCY DEPARTMENT UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME. ADVOCATE HAS TAKEN BOLD, IMPACTFUL STEPS TOWARD CLIMATE-SMART HEALTH CARE, INCLUDING THE PLEDGED GOAL TO BE AT 100% RENEWABLE ELECTRICITY BY 2030. ADVOCATE RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 11TH TIME IN 2019. AS THE LONGEST RUNNING RECIPIENT OF THIS AWARD IN THE COUNTRY, THE SYSTEM FOR CHANGE AWARD IS GIVEN TO HEALTH SYSTEMS THAT WORK COHESIVELY AND ACROSS HOSPITALS AND FACILITIES TO SET AND MEET GOALS RELATED TO SUSTAINABILIYFROM REDUCING ENERGY USE, TO INCREASING RECYCLING, TO ESTABLISHING GREEN BUILDING SPACES, ETC. ADVOCATE ALSO RECEIVED A GLOBAL SILVER CLIMATE LEADERSHIP AWARD IN THE HEALTH CARE CLIMATE CHALLENGE RECOGNIZING OUR LEADERSHIP IN TRANSFORMING TO SUSTAINALBE AND CLEAN OPERATIONS IN THE HEALTH CARE ENVIRONMENT. IN RECOGNITION OF SUPERIOR ENERGY PERFORMANCE, ADVOCATE EUREKA EARNED THE U.S. ENVIRONMENTAL PROTECTION AGENCY'S (EPA) ENERGY STAR CERTIFICATION IN 2019. THIS WAS THE 3RD YEAR THAT ADVOCATE EUREKA HAS BEEN RECOGNIZED FOR ITS LEGACY OF CONTINUED ENERGY SAVINGS. ENERGY STAR BUILDINGS ARE VERIFIED TO PERFORM IN THE TOP 25 PERCENT OF BUILDINGS NATIONWIDE. ADVOCATE CONTRIBUTED OVER $811.6 MILLION IN CHARITABLE CARE AND SERVICES TO COMMUNITIES ACROSS CHICAGOLAND AND CENTRAL ILLINOIS IN 2019. ADVOCATE AURORA VISION ADVOCATE IS A NOT-FOR-PROFIT PROVIDER THAT IS AFFILIATED WITH BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. ADVOCATE HEALTH CARE IS PART OF ADVOCATE AURORA HEALTH, THE 10TH LARGEST NOT-FOR-PROFIT, INTEGRATED HEALTH SYSTEM IN THE UNITED STATES. THE ADVOCATE AURORA VISION IS WE HELP PEOPLE LIVE WELL. ADVOCATE AURORA COMMUNITY STRATEGY ADVOCATE AURORA HEALTH HAS A STRONG HISTORY OF COMMUNITY ENGAGEMENT AND SERVICE. A TARGETED STRATEGY HAS BEEN DEVELOPED TO BUILD ON THIS HISTORY AND TO TRANSFORM THE COMMUNITY FACING WORK TO PROVIDE SUPPORT FOR PATIENT HEALTH AND TO BUILD COMMUNITY HEALTH. THIS FOCUSED COMMUNITY STRATEGY WILL IMPACT HEALTH OUTCOMES FOR ADVOCATE'S (IL) AND AURORA'S (WI) PATIENTS AS WELL AS THE BROADER COMMUNITY WITH THE LONG-TERM GOAL OF REDUCING THE INEQUITABLE GAP IN LIFE EXPECTANCY ACROSS THE ORGANIZATION'S FOOTPRINT.
FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED:A MULTIDISCIPLINARY TEAM OF LEADERS FROM THE COMMUNITY HEALTH, COMMUNITY RELATIONS, DIVERSITY AND INCLUSION, AND POPULATION HEALTH DEPARTMENTS WAS CONVENED AND TASKED WITH DEVELOPING AN INTEGRATED STRATEGY FOR ADVOCATE AURORA'S COMMUNITY FACING WORK. THIS COMMUNITY STRATEGY (CS) CORE TEAM DEVELOPED A VISION STATEMENT TO GROUND THIS WORK: WE WILL BUILD HEALTH EQUITY, ENSURE ACCESS, AND IMPROVE HEALTH OUTCOMES IN OUR COMMUNITIES THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTNERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. TO EXECUTE ON THIS VISION, ALL COMMUNITY FACING WORK IS BEING ALIGNED THROUGH A HEALTH EQUITY LENS. ADVOCATE AURORA DEFINES HEALTH EQUITY AS DIFFERENCES IN HEALTH THAT ARE SYSTEMIC, AVOIDABLE, UNFAIR OR UNJUST. THE OVERARCHING AIM OF THIS STRATEGY IS TO DECREASE THE INEQUITY GAP IN LIFE EXPECTANCY ACROSS THE AAH FOOTPRINT. THE COMMUNITY STRATEGY GOAL IS TO INCREASE LIFE EXPECTANCY BY 5% IN TARGETED LOW-INCOME COMMUNITIES OVER 10 YEARS. SIX FOCUS AREAS HAVE BEEN SELECTED THAT HAVE AN UPSTREAM EFFECT ON HEALTH EQUITY AND THAT ARE ALSO STRONGLY CONFIRMED BY ORGANIZATION-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DATA. THESE FOCUS AREAS INCLUDE: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) HOUSING; AND 6) FOOD SECURITY. A RIGOROUS TRACKING AND EVALUATION PROCESS FOR BASELINE AND ANNUAL PROGRESS GOALS FOR EACH FOCUS AREA AND STRATEGY IS BEING DEVELOPED. A COMMUNITY-FACING BUDGET PROGRAM AND SPONSORSHIP DOLLARS ARE ALSO BEING REALIGNED TO SUPPORT THESE FOCUS AREAS. POPULATION SERVED ADVOCATE HEALTH CARE PROVIDES QUALITY HEALTH CARE TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA AND CENTRAL ILLINOIS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2019, ADVOCATE EXPERIENCED 170,610 TOTAL INPATIENT ADMISSIONS, 2,001,817 OUTPATIENT VISITS (INCLUDING ADVOCATE MEDICAL GROUP OUTPATIENT VISITS OF 686,844). INCLUDED IN THESE TOTALS ARE THE CHILDREN'S HOSPITAL TOTAL INPATIENT VISITS OF 11,058 AND OUTPATIENT VISITS OF 111,814 FOR BOTH CAMPUSESOAK LAWN AND PARK RIDGECOMBINED. ADVOCATE HOSPITALS HAD A TOTAL OF 544,089 EMERGENCY DEPARTMENT VISITS, 18,897 DELIVERIES AND 3,038 NICU ADMITS IN 2019. IN ADDITION, ADVOCATE HOME HEALTH SERVICES HAD A TOTAL OF 28,896 ADMISSIONS IN 2019, A 211 INCREASE FROM THE 28,685 ADMISSIONS REPORTED THE PREVIOUS YEAR, AND ADVOCATE HOSPICE REPORTED A TOTAL OF 157,424 ADULT PATIENT DAYS IN 2019, WHICH SUBSTANTIALLY INCREASED BY 9,867 DAYS FROM THE 147,557 ADULT PATIENT DAYS REPORTED IN 2018. NOTES: TOTAL # OF ER, TRAUMA 1, TRAUMA II, AND DELIVERIES AND NICU ADMITS DATA GATHERED DIRECTLY FROM HOSPITAL-SPECIFIC FINANCE DEPARTMENTS AS 2019 AHQ SUBMISSION DATA CUSTOMARILY USED WAS NOT POSTED ON THE WEB AND THEREFORE UNAVAILABLE DUE TO COVID-19 DELAYS. NOTE ALSO THAT DATA IS NOT AVAILABLE SEPARATELY FOR THE CHILDREN'S HOSPITAL SO DATA IS INCLUDED IN PARENT HOSPITAL'S ER TOTALS. TOTAL # OF INPATIENT AND TOTAL # OUTPATIENT VISITS PULLED FROM 2019 UNAUDITED FINANCIAL REPORTS PER LAUREN BROSIUS. ACH DATA WAS PULLED FROM STRATA AND INCLUDES ALL PATIENTS AGES 0-17 AT CHRIST AND LUTHERAN, EXCLUDING NORMAL NEWBORN, OBSTETRICS, CHEMICAL DEPENDENCY AND BEHAVIORAL HEALTH SERVICE LINES.
FORM 990, PART VI, SECTION A, LINE 1BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEES' AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2OFFICER BUSINESS RELATIONSHIP AS JAMES DAN, M.D., VINCENT BUFALINO, M.D., GAIL D. HASBROUCK, EARL BARNES II, JAMES DOHENY, AND DOMINIC J. NAKIS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990.
FORM 990, PART VI, SECTION A, LINE 6DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ADESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS DIRECTORS OF THE BOARD ARE CORPORATE MEMBERS OF ADVOCATE HEALTH AND HOSPITAL BOARD, WHICH ELECTS THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BDESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE) TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES.
FORM 990, PART VI, SECTION B, LINE 11BDESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CDESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS INTERESTED PERSONS). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT ADVOCATE HEALTH AND HOSPITAL CORPORATION IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVELS OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: -A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY. -ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION. -A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS. -AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND -ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEB SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
PART VI, LINE 1 - DESCRIPTION FOR PART IIN/A
PART VI, LINE 1 - DESCRIPTION FOR PART III, LINES 2, 3, AND 4THE FOOTNOTES TO ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 17 OF THE AUDITED FINANCIAL STATEMENTS).
FORM 990, PART XI, LINE 9:CONTRIBUTIONS FROM SUBSIDIARIES CONTRIBUTION FROM PARENT FASB 158 ADJUSTMENTS -78,288,607. ACL FIXED ASSET WRITEOFF

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADVOCATE HEALTH CARE NETWORK
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515362167779PARENT CORPIL501(C)(3)LINE 12C, III-FIN/A0
ADVOCATE CONDELL MEDICAL CENTER
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515262525968HEALTH CAREIL501(C)(3)LINE 3Yes (1)AHHC
ADVOCATE NORTH SIDE HEALTH NETWORK
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515363196629HEALTH CAREIL501(C)(3)LINE 3Yes (1)AHHC
ADVOCATE CHARITABLE FOUNDATION
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515363297360FUNDRAISINGIL501(C)(3)LINE 70AHCN
EHS HOME HEALTH CARE SERVICE INC
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515362913108HOME CAREIL501(C)(3)LINE 10Yes (1)AHHC
MERIDIAN HOSPICE
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515363158667HOSPICE CAREIL501(C)(3)LINE 100EHSHHCS
MASONIC FAMILY HEALTH FOUNDATION INC
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515364397387FUNDRAISINGIL501(C)(3)LINE 12A, I0MFHS
ADVOCATE SHERMAN HOSPITAL
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515362167920HEALTH CAREIL501(C)(3)LINE 30AHCN
SHERMAN WEST COURT
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515363725580NURSING CAREIL501(C)(3)LINE 100ASH
ADVOCATE AURORA HEALTH INC
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515824184596SUPPORT ORGDE501(C)(3)LINE 12C, III-FIN/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DMA SURGERY CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12357 SEQUOIA DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationILStateAbbreviationCd
ZIP60506ZIPCd
FieldValueIRS element (for citing)
EIN363890298EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdOwnershipOwnershipPct
ADVOCATE HOME CARE PRODUCTS
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515363315416HEALTH SERVICESILN/AC0
EVANGELICAL SERVICES CORPORATION
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515363208101MGMT SERVICESILN/AC0
HIGH TECHNOLOGY INC
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515363368224MEDICAL SERVICESILN/AC0
DREYER CLINIC INC
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515362690329MEDICAL SERVICESILN/AC0
BROMENN PHYSICIAN MANAGEMENT CORPORATION
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515371313150MEDICAL SERVICESILN/AC0
PARKSIDE CENTER CONDO ASSOCIATION
1775 WEST DEMPSTER STREETPARK RIDGEIL60068363452486PROPERTY MGMTILN/AC0
THE DELPHI GROUP IV INC
1425 N RANDALL ROADELGINIL60123364017279HEALTH COST MGTILN/AC0
ADVOCATE HPN NFP
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515810893878HEALTH IMPRV MGMTILN/AC0
ADVOCATE INSURANCE SPC
980422925INSURANCEN/ACYes (1)878 WEST BAY ROAD PO BOX 1159GRAND CAYMANCJKY1-1102CJ1.00000
ADVOCATE HEALTH PARTNERS
1701 WEST GOLF ROADROLLING MEADOWSIL60008364032117HEALTH CARE MGTILN/AC0
ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE
1701 WEST GOLF ROADROLLING MEADOWSIL60008455498384HEALTH CARE MGTILN/AC0
ADVOCATE PHYSICIAN PTNRS RISK PURCHASE
1701 WEST GOLF ROADROLLING MEADOWSIL60008383914173GROUP MALPRACTICEILN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVOCATE NORTH SIDE HEALTH NETWORK
A$208,063COST
ADVOCATE CONDELL MEDICAL CENTER
A$64,424COST
EHS HOME HEALTH CARE SERVICE INC
A$14,297COST
ADVOCATE CHARITABLE FOUNDATION
C$17,917,157COST
ADVOCATE INSURANCE SPC
F$25,000,000COST
ADVOCATE NORTH SIDE HEALTH NETWORK
K$687,309COST
ADVOCATE CONDELL MEDICAL CENTER
K$246,932COST
EHS HOME HEALTH CARE SERVICE INC
K$110,788COST
ADVOCATE NORTH SIDE HEALTH NETWORK
L$71,767,819COST
ADVOCATE CONDELL MEDICAL CENTER
L$54,367,622COST
EHS HOME HEALTH CARE SERVICE INC
L$3,961,145COST
ADVOCATE NORTH SIDE HEALTH NETWORK
M$278,746COST
ADVOCATE CONDELL MEDICAL CENTER
M$1,251,210COST
EHS HOME HEALTH CARE SERVICE INC
M$251,163COST
ADVOCATE NORTH SIDE HEALTH NETWORK
P$50,474,542COST
ADVOCATE CONDELL MEDICAL CENTER
P$26,643,502COST
EHS HOME HEALTH CARE SERVICE INC
P$3,055,395COST
ADVOCATE NORTH SIDE HEALTH NETWORK
Q$87,466,225COST
ADVOCATE CONDELL MEDICAL CENTER
Q$70,584,890COST
ADVOCATE INSURANCE SPC
Q$4,283,888COST
EHS HOME HEALTH CARE SERVICE INC
Q$13,113,106COST
ADVOCATE NORTH SIDE HEALTH NETWORK
R$4,396,584COST
ADVOCATE CONDELL MEDICAL CENTER
R$110,180COST
EHS HOME HEALTH CARE SERVICE INC
R$135,406COST
ADVOCATE NORTH SIDE HEALTH NETWORK
S$16,233,682COST
ADVOCATE CONDELL MEDICAL CENTER
S$26,836,542COST