CHENANGO MEMORIAL HOSPITAL INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CHENANGO MEMORIAL HOSPITAL INC (EIN 15-0532180)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201913199349310731
- Schema version
- 2018v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-15T12:59:10-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454051133 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREED MAXICK CPAS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 MAIN STREET SUITE 800 | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142023508 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150532180 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHEN | BusinessNameControlTxt |
| Phone | 6073374111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DRAKE LAMEN MD | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6073374111 | PhoneNum |
| Signature | 2019-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY MADONIA | PreparerPersonNm |
| PTIN | P00405803 | PTIN |
| Phone | 7168472651 | PhoneNum |
| Preparation | 2019-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 104.193.28.34 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-15 | IPDt |
| IP Tm | 09:10:00 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 87C447BD17463F493BF79093AE8C7BE9A7C204CC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 60CB041813EDB9037E2EB4886947A362507152EC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DRAKE LAMEN MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $77,561,742 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NYUHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | (SEE SCHUDULE O)CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 554 | TotalEmployeeCnt |
| Total Volunteers | 110 | TotalVolunteersCnt |
| Total Gross UBI | $6,857 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $620,928 | PYContributionsGrantsAmt |
| CY Contributions Grants | $646,131 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $68,810,537 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $72,882,337 | CYProgramServiceRevenueAmt |
| PY Investment Income | $365,474 | PYInvestmentIncomeAmt |
| CY Investment Income | $376,087 | CYInvestmentIncomeAmt |
| PY Other Revenue | $381,153 | PYOtherRevenueAmt |
| CY Other Revenue | $3,643,951 | CYOtherRevenueAmt |
| PY Total Revenue | $70,178,092 | PYTotalRevenueAmt |
| CY Total Revenue | $77,548,506 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $27,920 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $22,451 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,346,045 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,135,822 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,384,570 | PYOtherExpensesAmt |
| CY Other Expenses | $43,418,293 | CYOtherExpensesAmt |
| PY Total Expenses | $71,758,535 | PYTotalExpensesAmt |
| CY Total Expenses | $73,576,566 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,580,443 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,971,940 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $44,546,420 | TotalAssetsBOYAmt |
| Total Assets EOY | $48,051,242 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,157,829 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,132,160 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,388,591 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,919,082 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | (SEE SCHEDULE O)CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,468,032 | ExpenseAmt |
| Revenue | $19,191,567 | RevenueAmt |
| Desc | INPATIENT, ACUTE AND LONG TERM SKILLED NURSING SERVICES- CHENANGO MEMORIAL HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE SERVICES AND LONG-TERM SKILLED NURSING CARE. CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, AND PEDIATRICS. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2018 WAS 4,212. DISCHARGES WERE 1,427, AND AVERAGE LENGTH OF STAY WAS 2.95 DAYS. LONG TERM SKILLED NURSING DAYS WERE 23,049. THERE WERE 253 BIRTHS AND 374 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2018. IN 2018, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 80 INDIVIDUALS FOR WHICH $244,633 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $28,295,794 | ExpenseAmt |
| Revenue | $42,885,710 | RevenueAmt |
| Desc | OUTPATIENT AND AMBULATORY SERVICES- CHENANGO MEMORIAL HOSPITAL ALSO PROVIDES A WIDE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING AND OTHER PROCEDURAL OUTPATIENT SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-ENDED 2018 WAS 183,455. INCLUDED IN THE 183,455 VISITS WERE 17,624 EMERGENCY ROOM VISITS, 594 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 2,775 VARIOUS OUTPATIENT SURGICAL CASES, AND 162,462 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2018 CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 2,465 INDIVIDUALS FOR WHICH $1,246,389 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,686,202 | ExpenseAmt |
| Revenue | $10,805,060 | RevenueAmt |
| Desc | CLINICS- CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. CMH OFFERS FIVE FAMILY HEALTH CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA: 1) NORWICH FAMILY HEALTH CENTER 2) INTERNAL MEDICINE 3) OXFORD FAMILY HEALTH CENTER 4) SHERBURNE FAMILY HEALTH CENTER AND 5) SIDNEY FAMILY HEALTH CENTER. OTHER OUTPATIENT SERVICES INCLUDE: DENTAL CLINIC, GERIATRICS, WOMEN'S HEALTH CENTER AND GENERAL SURGERY, ENT, HEART CENTER AND PAIN MANAGEMENT CLINIC. TOTAL PATIENT VISITS FOR THE CMH CLINICS AT YEAR-ENDED 2018 WAS 81,768. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | $22,451 | GrantAmt |
| Revenue | $3,637,094 | RevenueAmt |
| Desc | REVENUE INCLUDES MLMIC PROCEEDS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Grant | $22,451 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $3,637,094 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $63,450,028 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 68 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 554 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAKE LAMEN MD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073374111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD ST | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| DRAKE LAMEN MD | |||||||||
| PRESIDENT/CEO/CMO | 57.00 | Yes (X) | Yes (X) | $388,365 | $0 | $45,477 | |||
| BRUCE S ERATH | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS C EMERSON | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT W NASSAR | |||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ERIC G LARSEN | |||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN M KWASNIK | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE M SCARLETT | |||||||||
| 1ST VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RIC FESTARINI | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN M CARRIGG | |||||||||
| 2ND VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $829,140 | $38,625 | 55.00 | ||
| STEVEN PALMATIER | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVE MACDOUGALL | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $617,464 | $44,819 | 55.00 | |||
| PHYLLIS SHERIFF-WHITE | |||||||||
| PRESIDENT OF MEDICAL STAFF | 57.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH K BOLAND | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $563,895 | $31,897 | ||||
| KRISTINA K HUMMER DO | |||||||||
| VP OF MEDICAL STAFF | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | 55.00 | ||
| JOSEPH R STAGLIANO | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHARINE MIRABITO VOSS | |||||||||
| PRESIDENT OF CMH AUXILLIARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARGARET SWARTWOOD | |||||||||
| CONTROLLER | 55.00 | Yes (X) | $153,309 | $0 | $27,807 | ||||
| RON CEROW | |||||||||
| ADMINISTRATOR | 55.00 | Yes (X) | $133,597 | $0 | $30,927 | ||||
| ANNE ENGLISH | |||||||||
| DIRECTOR OF HUMAN RESOURCE | 55.00 | Yes (X) | $133,193 | $0 | $29,974 | ||||
| WENDY SURDOVAL | |||||||||
| VP OF QUALITY MGMT | 55.00 | Yes (X) | $121,629 | $0 | $29,944 | ||||
| CHRISTINA KISACKY | |||||||||
| VP OF OPERATIONS | 2.00 | Yes (X) | $162,299 | $0 | $37,811 | 55.00 | |||
| PATRICIA ROMA | |||||||||
| NURSING SUPERVISOR | 55.00 | $105,814 | $0 | $28,110 | Yes (X) | ||||
| YESU MATTA | |||||||||
| DOCTOR | 55.00 | $225,581 | $0 | $55,474 | Yes (X) | ||||
| SHAWN NEWVINE | |||||||||
| SURG SERV LINE DIRECTOR | 55.00 | $102,577 | $0 | $34,343 | Yes (X) | ||||
| RICHARD STONE | |||||||||
| DIRECTOR OF SUPP SERV-FAUC MAINT | 55.00 | $113,300 | $0 | $35,535 | Yes (X) | ||||
| MATTHEW J SALANGER | |||||||||
| FORMER 2ND VICE CHAIRMAN | 2.00 | $0 | $1,511,816 | $23,147 | 55.00 | Yes (X) | |||
| AARON J VALENTINE | |||||||||
| FORMER TREASURER | 2.00 | $109,029 | $0 | $23,154 | Yes (X) | ||||
| KEVIN B DECKER DDS | |||||||||
| FORMER PRES OF MEDICAL STA | 55.00 | $208,814 | $0 | $41,446 | Yes (X) | ||||
| DAVID FINNEY | |||||||||
| FORMER VP, NURSING | 55.00 | $0 | $159,060 | $40,529 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,957,507 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,681,375 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $599,019 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROTHALL HEALTHCARE | |||||
| 13028 COLLECTIONS CENTER | CHICAGO | IL | 60693 | HOUSEKEEPING SVCS | $1,744,579 |
| SECO PHYSICAL AND OCCUPATIONAL THERAPY | |||||
| PO BOX 1046 | NORWICH | NY | 13815 | THERAPY SVCS | $1,042,273 |
| AMN HEALTHCARE INC | |||||
| PO BOX 56157 | LOS ANGELES | CA | 90074 | LOCUM SVCS | $392,897 |
| J AND K PLUMBING AND HEATING CO | |||||
| PO BOX 25 WESTVIEW STATION | BINGHAMTON | NY | 13905 | CONSTRUCTION SVCS | $207,545 |
| FARMINGTON COMPANY | |||||
| PO BOX 527 | FARMINGTON | CT | 060340527 | CONSTRUCTION SVCS | $172,762 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 55 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $3,718 | MembershipDuesAmt |
| Related Organizations | $57,094 | RelatedOrganizationsAmt |
| Government Grants | $252,094 | GovernmentGrantsAmt |
| All Other Contributions | $333,225 | AllOtherContributionsAmt |
| Total Contributions | $646,131 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT AND AMBULATORY SERVICE | 623000 | $42,885,710 | $42,885,710 |
| INPATIENT, ACUTE AND LONG TERM SK | 623000 | $19,191,567 | $19,191,567 |
| CLINICS | 623000 | $10,805,060 | $10,805,060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $72,882,337 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $362,587 | TotalRevenueColumnAmt |
| Exclusion | $362,587 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $20,093 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,236 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,857 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,857 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $6,857 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,500 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,500 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,500 | TotalRevenueColumnAmt |
| Exclusion | $13,500 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER OPERATING REVENUE | 623000 | $3,405,038 | $3,405,038 |
| MEANINGFUL USE FUNDS | 623000 | $222,064 | $222,064 |
| CAFETERIA REVENUE | 623000 | $9,992 | $9,992 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,637,094 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,548,506 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,519,431 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,857 | UnrelatedBusinessRevenueAmt |
| Exclusion | $376,087 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,000 | TotalAmt |
| Program Services | $22,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451 | TotalAmt |
| Program Services | $451 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,107,272 | TotalAmt |
| Program Services | $3,107,272 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,428,620 | TotalAmt |
| Program Services | $17,823,703 | ProgramServicesAmt |
| Management And General | $2,604,917 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,403,036 | TotalAmt |
| Program Services | $1,121,495 | ProgramServicesAmt |
| Management And General | $281,541 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,639,559 | TotalAmt |
| Program Services | $3,089,875 | ProgramServicesAmt |
| Management And General | $549,684 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,557,335 | TotalAmt |
| Program Services | $1,354,881 | ProgramServicesAmt |
| Management And General | $202,454 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $824,037 | TotalAmt |
| Program Services | $75 | ProgramServicesAmt |
| Management And General | $823,962 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,152 | TotalAmt |
| Management And General | $34,152 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,046 | TotalAmt |
| Management And General | $76,046 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,180 | TotalAmt |
| Management And General | $13,180 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,580,967 | TotalAmt |
| Program Services | $10,976,013 | ProgramServicesAmt |
| Management And General | $2,604,954 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,426 | TotalAmt |
| Management And General | $6,426 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,162 | TotalAmt |
| Program Services | $138,882 | ProgramServicesAmt |
| Management And General | $144,280 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,279 | TotalAmt |
| Program Services | $181,562 | ProgramServicesAmt |
| Management And General | $3,717 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,200,049 | TotalAmt |
| Program Services | $1,014,214 | ProgramServicesAmt |
| Management And General | $185,835 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,172 | TotalAmt |
| Program Services | $56,669 | ProgramServicesAmt |
| Management And General | $32,503 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,409 | TotalAmt |
| Program Services | $263,409 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,814,940 | TotalAmt |
| Program Services | $2,814,940 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,228 | TotalAmt |
| Program Services | $598,228 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $17,203,366 | $15,145,430 | $2,057,936 |
| BAD DEBTS | $3,236,992 | $3,236,992 | |
| NEW YORK STATE CASH REC | $544,268 | $544,268 | |
| MISCELLANEOUS AUXILLARY | $13,784 | $13,784 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,450,836 | TotalAmt |
| Program Services | $1,945,885 | ProgramServicesAmt |
| Management And General | $504,951 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,576,566 | TotalAmt |
| Program Services | $63,450,028 | ProgramServicesAmt |
| Management And General | $10,126,538 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,368,290 | BOYAmt |
| EOY | $8,524,544 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,014,144 | BOYAmt |
| EOY | $6,175,049 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,349,218 | BOYAmt |
| EOY | $7,052,002 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,815 | BOYAmt |
| EOY | $434,694 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,970 | BOYAmt |
| EOY | $511,644 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $74,848,713 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $55,202,787 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,295,096 | BOYAmt |
| EOY | $19,645,926 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,970 | BOYAmt |
| EOY | $111,116 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,604,917 | BOYAmt |
| EOY | $5,596,267 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,546,420 | BOYAmt |
| EOY | $48,051,242 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,632,752 | BOYAmt |
| EOY | $6,878,072 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,674,907 | BOYAmt |
| EOY | $2,598,620 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,850,170 | BOYAmt |
| EOY | $24,655,468 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,157,829 | BOYAmt |
| EOY | $34,132,160 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,777,245 | BOYAmt |
| EOY | $7,118,253 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $597,202 | BOYAmt |
| EOY | $625,779 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,014,144 | BOYAmt |
| EOY | $6,175,050 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,388,591 | BOYAmt |
| EOY | $13,919,082 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,546,420 | BOYAmt |
| EOY | $48,051,242 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,971,940 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$11,853 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$429,596 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,180 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,180 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMOUNT DISCLOSED ARE THE LOBBYING PORTION OF DUES PAID TO HEALTHCARE ASSOCIATION OF NY AND IROQUOIS HEALTHCARE. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,611,346 | BeginningYearBalanceAmt |
| Contributions | $664,482 | ContributionsAmt |
| Investment Earnings Or Losses | -$844,488 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $630,511 | OtherExpendituresAmt |
| End Year Balance | $6,800,829 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,394,735 | BeginningYearBalanceAmt |
| Contributions | $596,045 | ContributionsAmt |
| Investment Earnings Or Losses | $429,683 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $809,117 | OtherExpendituresAmt |
| End Year Balance | $7,611,346 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,965,521 | BeginningYearBalanceAmt |
| Contributions | $628,485 | ContributionsAmt |
| Investment Earnings Or Losses | $182,234 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $381,505 | OtherExpendituresAmt |
| End Year Balance | $7,394,735 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,323,240 | BeginningYearBalanceAmt |
| Contributions | $683,410 | ContributionsAmt |
| Investment Earnings Or Losses | -$572,769 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $468,360 | OtherExpendituresAmt |
| End Year Balance | $6,965,521 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,565,583 | BeginningYearBalanceAmt |
| Contributions | $653,567 | ContributionsAmt |
| Investment Earnings Or Losses | -$163,148 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $732,762 | OtherExpendituresAmt |
| End Year Balance | $7,323,240 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.90800 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.09200 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $195,653 | OtherCostOrOtherBasisAmt |
| Book Value | $195,653 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,420,109 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,880,661 | DepreciationAmt |
| Book Value | $8,539,448 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,948,372 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,501,024 | DepreciationAmt |
| Book Value | $447,348 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,839,541 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,821,102 | DepreciationAmt |
| Book Value | $6,018,439 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,445,038 | OtherCostOrOtherBasisAmt |
| Book Value | $4,445,038 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,645,926 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN CMH FOUNDATION | $4,191,885 |
| ASSETS LIMITED TO USE- RESTRICTED CASH FOR EQUIPMENT | $566,831 |
| OTHER ASSETS | $837,551 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,596,267 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYORS | $2,800,784 |
| DUE TO AFFILIATES | $3,743,089 |
| LONG TERM PENSION LIABILITY | $15,089,451 |
| CAPITAL LEASE OBLIGATIONS | $1,234,979 |
| OTHER LIABILITIES | $1,787,165 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,655,468 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $73,846,136 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$11,853 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$417,698 | OtherRevenueAmt |
| Revenue Not Reported | -$429,551 | RevenueNotReportedAmt |
| Revenue Subtotal | $74,275,687 | RevenueSubtotalAmt |
| Other Revenues Not Included | $3,272,819 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,272,819 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $77,548,506 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $70,315,645 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $70,315,645 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,260,921 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,260,921 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $73,576,566 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE OF ENDOWMENT FUNDS IS A COMBINATION OF DESIGNATED SPECIAL PURPOSES AND GENERAL USE BY THE HOSPITAL. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2018 AND 2017, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2015 THROUGH 2018. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN CHENANGO FOUNDATIONS -179,432. CHANGE IN OTHER THAN NET PERIODIC BENEFIT COST 600,829. CHANGE IN VALUE OF FUNDS HELD IN TRUST BY OTHERS -839,095. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY INCOME 55,920. RENTAL INCOME EXPENSES RECON -20,093. BAD DEBT EXPENSE 3,236,992. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY EXPENSES 37,165. RENTAL INCOME EXPENSES RECON -13,236. BAD DEBT EXPENSE 3,236,992. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $569,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $569,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,120,145 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,035,373 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,084,772 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07230 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,689,145 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,035,373 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,653,772 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $942,952 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $920,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01310 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $143,212 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $589 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $142,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,657,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,244,117 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $413,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $200 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,743,865 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,266,706 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,477,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,433,010 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,302,079 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,130,931 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10140 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,570 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,245 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,245 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,118 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,118 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,424 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $750,571 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $750,571 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01070 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,575 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,575 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $790,503 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $790,503 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,236,992 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $785,107 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,312,843 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,728,170 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,415,327 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP:WWW.NYUHS.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SOLE COMMUNITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.NYUHS.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.NYUHS.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.NYUHS.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 5: NEEDS ASSESSMENT. PULLING OUR COMMUNITY STAKEHOLDERS AROUND THE TABLE TO DISCUSS COMMUNITY NEEDS AND ADDED INITIATIVES WAS EASILY INCORPORATED INTO THE FREQUENT COLLABORATIVE ACTIVITIES ALREADY UNDERWAY IN CHENANGO COUNTY. ON DECEMBER 3, 2015 THE LOCAL RURAL HEALTH NETWORK, CHENANGO HEALTH NETWORK (CHN) HOSTED A WORKSHOP FOR A GROUP OF COMMUNITY STAKEHOLDERS. THE GROUP CAME TOGETHER TO DISCUSS THE DEVELOPMENT OF A NEW COMMUNITY HEALTH ASSESSMENT AND THE LHD'S PLAN TO CREATE A DOCUMENT THAT WOULD BE USEFUL TO ANY COMMUNITY PARTNERS MAKING PROGRAM DECISIONS. IN PREPARATION FOR THE WORKSHOP THE POPULATION HEALTH IMPROVEMENT COORDINATOR, EMPLOYED BY CHENANGO HEALTH NETWORK, DID EXTENSIVE RESEARCH IN THE COMMUNITY TO DETERMINE AWARENESS AND TO GATHER FEEDBACK REGARDING LOCAL SERVICES. THIS WORK CONSISTED OF FOCUS GROUPS, ON-SITE ASSESSMENTS, SURVEYS AND INTERVIEWS WITH COMMUNITY AGENCIES, ETC.AGENCIES REPRESENTED AT THE WORKSHOP WERE: - UHS CHENANGO MEMORIAL HOSPITAL - FAMILY PLANNING OF CENTRAL NEW YORK - CHENANGO COUNTY MENTAL HYGIENE & BEHAVIORAL HEALTH SERVICES - CHENANGO COUNTY HOSPICE AND PALLIATIVE CARE SERVICES - CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES - CHENANGO COUNTY AREA AGENCY ON AGING - POPULATION HEALTH IMPROVEMENT PROGRAM - CHENANGO HEALTH NETWORK - CHENANGO COUNTY DEPARTMENT OF PUBLIC HEALTH - CHENANGO COUNTY CATHOLIC CHARITIES (WRITTEN FEEDBACK ONLY)THE COMMON REQUEST WAS TO PRODUCE A DOCUMENT THAT WOULD CONNECT THE DOTS IN REGARD TO THE DATA THAT HAD BEEN GATHERED. BECAUSE CHENANGO COUNTY HAD BEEN IDENTIFIED AS #1 IN OBESITY IN NEW YORK STATE (38.9% OF ADULTS ACCORDING TO THE NYS PREVENTION AGENDA), THE GROUP AGREED THIS WAS A PRIORITY HEALTH CONCERN AND DECIDED TO DEVELOP AN INITIATIVE TO ADDRESS OBESITY. A DISCUSSION AROUND THE FACT THAT CHENANGO COUNTY IS AN AGING POPULATION RESULTED IN AN AGREEMENT THAT FALL PREVENTION STRATEGIES WOULD BE AN AREA TO ADDRESS ESPECIALLY WITH THE DSRIP FOCUS OF REDUCING ER USE AND HOSPITALIZATIONS. DISCUSSION ALSO INCLUDED SUCH TOPICS AS DEVELOPING OUR DATA COLLECTION AROUND DRUG ADDICTED BABIES, THE RISE IN CHILD ABUSE RATES, LACK OF TRANSPORTATION OPTIONS, AGING POPULATION AND THEIR NEEDS, FOOD AVAILABILITY, THE FACT THAT A THIRD OF THE COUNTY POPULATION IS DEVELOPMENTALLY IMPAIRED AND WHAT THAT POPULATION'S NEEDS ARE, ADEQUATE CHOICES TO SUPPORT HEALTHY LIVING SUCH AS EMPLOYMENT OPTIONS, FOOD, HOUSING, HEALTH CARE PROVIDERS, AND THE HEROIN EPIDEMIC.DATA REVIEW INCLUDED MATERIAL FROM THE NYS DOH PREVENTION DASHBOARD, MOTHERS & BABIES PERINATAL NETWORK REPORTS, COMMUNITY FOUNDATION FOR SOUTH CENTRAL OF NEW YORK, DSRIP COMMUNITY NEEDS ASSESSMENT, UHS CENSUS AND COMMUNITY SURVEYS AND INTERVIEWS.ALL OF THESE ORGANIZATIONS ASSIST THE MEDICALLY UNDERSERVED, LOW INCOME, AND AGED POPULATIONS THAT ARE DETAILED IN LINE 4 OF PART VI SUPPLEMENTAL INFORMATION. |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 6A: UHS CHENANGO MEMORIAL HOSPITAL IS THE ONLY HOSPITAL IN CHENANGO COUNTY. |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 6B: CHENANGO COUNTY DEPARTMENT OF HEALTHCHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICESCHENANGO COUNTY AREA AGENCY ON AGINGCHENANGO COUNTY HOSPICE & PALLIATIVE CARE SERVICESCHENANGO HEALTH NETWORKOPPORTUNITIES FOR CHENANGO - WIC AND HEADSTART PROGRAMSUNITED HEALTH SERVICES (UHS)CHENANGO COUNTY CATHOLIC CHARITIESCHENANGO COUNTY MENTAL HYGIENE/DRUG & ALCOHOLMOTHERS & BABIES PERINATAL NETWORK |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 11: THE MAJORITY OF 2016 WAS SPENT RESEARCHING THE NEEDS OF THE COMMUNITY, IDENTIFYING THE INITIATIVES THAT WOULD HAVE THE GREATEST IMPACT WITH AVAILABLE RESOURCES, AUTHORING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2016-2018, AND BEGINNING WORK ON THE IDENTIFIED INITIATIVES IN COLLABORATION WITH THE LHD. THIS INCLUDED ATTENDING THE NYS DOH'S CONFERENCE "CHNA/CSP PREVENTION AGENDA: TRANSLATING DATA INTO ACTION" CONDUCTED IN COLLABORATION WITH HEALTHCARE ASSOCIATES OF NEW YORK STATE. THE COMPLETED CHNA WAS FIRST PRESENTED TO THE PLANNING COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS FOR APPROVAL IN NOVEMBER 2016. IT WAS THEN PRESENTED TO THE HOSPITAL'S BOARD OF DIRECTORS IN DECEMBER 2016 FOR FINAL APPROVAL BY RESOLUTION. INITIATIVE #11. PREVENT CHRONIC DISEASE - REDUCE OBESITY IN CHILDREN; REDUCE OBESITY IN ADULTSSTRATEGY OBJECTIVE: REDUCE THE PERCENTAGE OF CHILDREN AND ADOLESCENTS WHO ARE OBESE BY 5% SO THE PERCENTAGE OF PUBLIC SCHOOL CHILDREN IN NEW YORK STATE (OUTSIDE NYC) WHO ARE OBESE IS REDUCED FROM 17.6% (2010-12) TO 16.7%.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMS. - PROMOTE EVIDENCE-BASED CARE.- EXPAND THE ROLE OF HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION.- INCREASE HEALTHY BEHAVIORS IN THE COMMUNITY.- INCREASE ACCESS AND UTILIZATION OF COMMUNITY HEALTH AND WELLNESS RESOURCES.- DECREASE COUNTY WIDE OBESITY.- CREATE A CULTURE OF HEALTH AMONGST PARTICIPANTS.- CREATE COMMUNITY ENVIRONMENTS THAT PROMOTE AND SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES AND PHYSICAL ACTIVITYTACTICS- IMPLEMENT UHS STAY HEALTHY KIDS PROGRAM IN NORWICH AND SIDNEY.- OUTREACH TO PHYSICIAN GROUPS EVERY 6 MONTHS AND AS NEEDED.- EDUCATE FAMILIES ON AREAS AVAILABLE TO PROMOTE PHYSICAL ACTIVITY (PARKS, WALK TRAILS, BIKE TRAILS, CAMPING).- VISIT SCHOOL NURSES TO EDUCATE REGARDING PROGRAM AND THE REFERRAL PROCESS.- PROVIDE PROGRAM OUTREACH TO SCHOOL NURSES IN THE 9 SCHOOL DISTRICTS AT THE ANNUAL SPRING FEVER TRAINING PUT ON BY THE CHENANGO DOH.- UTILIZE TRADITIONAL AND SOCIAL MEDIA PLATFORMS TO RAISE AWARENESS OF THE PROBLEM.- DEVELOP AND EXECUTE 14-WEEK MEDIA CALENDAR TO ADVERTISE COALITION EFFORTS AND PROMOTE AGENDA.- INSTALLATION OF 18 FITNESS STATIONS IN A CENTRAL PUBLIC LOCATION THAT IS EASILY ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THE DEMOGRAPHIC OR PHYSICAL ABILITY LEVEL.- SEEK COMMUNITY SUPPORT TO LAUNCH PROJECT. SIMILAR INSTALLATIONS HAVE SHOWN TO INCREASE PARTICIPATION.- SPONSOR, SUPPORT AND FACILITATE A 1-2 WEEK FITNESS COMPETITION WHERE GROUPS OF 4-8 PEOPLE WORK TOGETHER TO EARN POINTS BY COMPLETING FITNESS AND NUTRITION CHALLENGES. AT THE END OF THE CAMPAIGN, THE TEAM(S) WITH THE MOST POINTS WILL BE AWARDED A CASH PRIZE TO BE GIVEN TO THE LOCAL CHARITY OF CHOICE.GOALS AND PERFORMANCE MEASURES - 2017- PARTNERED WITH UHS STAY HEALTHY KIDS TO CONDUCT THE 8-SESSION STAY HEALTHY KIDS PROGRAM. THREE (3) RN'S WERE TRAINED TO CONDUCT THESE SESSIONS - 2 FROM THE LHD AND 1 FROM CMH.- IN THE SPRING OF 2017, THE LHD OUTREACHED TO 8 NON-CMH PROVIDERS.- PRESENTED THE PROGRAM DURING 2 PROVIDER MEETINGS HELD AT CMH IN 2017.- EIGHT (8) SCHOOL DISTRICTS RECEIVED INFORMATION WHICH INCLUDED 2 SCHOOL-BASED CLINICS (SHERBURNE-EARLVILLE AND UNADILLA VALLEY) AND 17 INDIVIDUAL SCHOOLS THROUGHOUT THE COUNTY (ELEMENTARY, MIDDLE SCHOOL, AND HIGH SCHOOL).- THE LHD INCLUDED THE UHS STAY HEALTHY PROGRAM AT THEIR ANNUAL SPRING FEVER TRAINING EVENT FOR PROFESSIONALS AND PARTNER AGENCIES. COMMUNITY PARTNERS INCLUDED WIC, HEADSTART, SCHOOL NURSES, PROVIDERS, AND OFFICE STAFF.- THE LHD STAFF REACHED OUT TO SCHOOL NURSES IN THE SPRING AND FALL OF 2017 TO PROMOTE AND ENCOURAGE REFERRALS.- PROGRAM WAS LAUNCHED IN NORWICH IN SEPTEMBER 2016 AND IN SIDNEY IN MARCH 2017. ALL PEDIATRIC OFFICES WERE INSERVICED ON THE STAY HEALTHY KIDS PROGRAM.- 224 CHILDREN WERE REFERRED TO THE PROGRAM PRIMARILY FROM CMH PROVIDERS; 73 FAMILIES RESPONDED TO ENROLLMENT CALLS; 17 CHILDREN COMPLETED THE PROGRAM.- THE LOCAL YMCA PARTNERED WITH THE PROGRAM AND OFFERED 10-WEEK FAMILY MEMBERSHIPS TO GRADUATES OF THE STAY HEALTHY KIDS PROGRAM.- NEARLY ALL PARTICIPANTS COMPLETED SURVEYS. PARTICIPANTS (BOTH PARENTS AND CHILDREN) INDICATED THAT THEY WERE GLAD THEY ATTENDED AND THAT THEY LEARNED A LOT. IN GENERAL, THEY ENJOYED THE CLASSES AND SOME OF THEM TOOK ADVANTAGE OF THE FREE YMCA MEMBERSHIP THAT WAS OFFERED TO THE FAMILIES.- OTHER LOCAL PARTNERS INCLUDED ST. LUKE'S LUTHERAN CHURCH IN SIDNEY, CHENANGO UNITED WAY, CITY OF NORWICH, CHENANGO HEALTH NETWORK, AND FRIENDS OF ROGERS.- AN 18-STATION FITNESS PATH WAS INSTALLED IN THE LOCAL PARK ACCOMPANIED BY PROMOTION AND ADVERTISEMENT. THE FITNESS PATH WAS SPONSORED BY CHOBANI.- THE 2017 CHOBANI HEALTH CHALLENGE WAS HELD FOR THE SECOND YEAR. THIRTY-NINE (39) TEAMS INCLUDING 183 INDIVIDUALS REGISTERED AND 35 TEAMS AND OVER 160 PEOPLE COMPLETED THE 12-WEEK CHALLENGE.- TEAMS COMPETED FOR DOZENS OF LOCAL CHARITY GROUPS AND $3,275 WAS DISTRIBUTED TO 10 DIFFERENT CHARITIES. - ESTABLISHED THE HEALTHY COMMUNITY COALITION CONSISTING OF THE CHENANGO UNITED WAY, CITY OF NORWICH, CHOBANI, CHENANGO HEALTH NETWORK, ROGERS CENTER, AND YMCA.- THE "BUILDING A HEALTHY COMMUNITY" FACEBOOK PAGE HAD A REACH IN 2017 OF 25,543, A SHARP INCREASE FROM A YEAR BEFORE. CHALLENGE PARTICIPANT USE OF THE PAGE AND SHARING CONTENT CAN BE CREDITED WITH A LARGE AMOUNT OF OUR GROWTH.GOALS AND PERFORMANCE MEASURES - 2018- THE STAY HEALTHY KIDS PROGRAM WAS DISCONTINUED IN DECEMBER 2017. SEE "CHALLENGES - 2017" BELOW. OBESITY IS A SOCIO-POLITICAL PROBLEM THAT WE'RE TRYING TO ADDRESS MEDICALLY. IT'S A 1-DIMENSIONAL APPROACH. NO ONE, SCHOOL NURSES AND PROVIDERS ALIKE, WANTS TO BROACH THE SUBJECT OF OBESITY WITH PATIENTS AND FAMILIES. IT'S A SENSITIVE TOPIC. THE FASTEST WAY TO IMPROVE OBESITY RATES IS AN OVERARCHING APPROACH BY THE STATE DOH. CAMPAIGNS SIMILAR TO THOSE FOR SMOKING CESSATION AND COLONOSCOPIES ARE CRITICAL TO SUCCESS IN REDUCING OBESITY RATES. AWARENESS IS EVERYTHING AND CAN OPEN UP CONVERSATIONS WITH PROVIDERS.SINCE THIS IS A STATE AND NATION-WIDE PROBLEM, GOVERNMENT INTERVENTION IS NECESSARY TO TRULY MAKE A DIFFERENCE. IN THE ARTICLE, "THE NEW WAR ON OBESITY" THAT APPEARED IN THE OCTOBER 2017 EDITION OF CONSUMER REPORTS, THE FOLLOWING QUOTE SUMS UP WHAT NEEDS TO HAPPEN, "IT'S IMPORTANT TO REMEMBER THAT IN PUBLIC HEALTH, THERE IS VERY RARELY A SINGLE INTERVENTION THAT WORKS," CAUTIONS JIM O'HARA OF THE CENTER FOR SCIENCE IN THE PUBLIC INTEREST, WHICH, ALONG WITH THE WHO, STRONGLY ENDORSES SUGAR-SWEETENED-BEVERAGE TAXES IN COMBINATION WITH OTHER MEASURES TO REDUCE CONSUMPTION AND PREVENT OBESITY FOR ADULTS, AND ESPECIALLY, CHILDREN. "THERE HAS TO BE A MULTIFACETED APPROACH: EDUCATION, POLICY, TAXES AND INDUSTRY BEHAVIOR,' O'HARA SAYS."- AN 18-STATION FITNESS PATH WAS INSTALLED IN A LOCAL PARK IN 2017 ACCOMPANIED BY PROMOTION AND ADVERTISEMENT. THE FITNESS PATH WAS SPONSORED BY CHOBANI.- THE HEALTHY COMMUNITY COALITION CONTINUES TO MEET AND SERVE AS BOTH A HANDS-ON IMPLEMENTER OF CURRENT PORJECTS AS WELL AS A WILLING AD EXCITED THINK TANK FOR FUTURE EFFORTS. - COMMUNITY PARTNERS CONVENED FOR A WRK DAY TO MAINTAIN AND BEAUTIFY THE CHOBANI FIT-PATH. HELD 2 CHALLENGE EVENTS AT FIT-PATH TO PROMOTE FIT-PATH USAGE.- 2018 CHOBANI HEALTH CHALLENGE WAS HELD FOR THE THIRD YEAR. 57 TEAMS REGISTERED WITH A TOTAL OF 260 PARTICIPANTS. EXCEEDED OUR GOAL OF 80% COMPLETION.STRENGTHS - 2017- THE LHD PROVIDED 1:1 EDUCATION FOR FAMILIES WITH SPECIAL NEEDS THAT WOULD NOT BE SUCCESSFUL IN A CLASSROOM ENVIRONMENT.- ENTHUSIASTIC, PASSIONATE TRAINERS.- SCHOOL NURSES WERE ABLE TO TARGET PARENTS THROUGH MAILINGS AND HANDOUTS.- AN EASY TRACKING SYSTEM.- STRONG PARTNERSHIP WITH THE NORWICH YMCA. THIS PROGRAM DOVETAILED WITH THEIR MISSION AS WELL. YMCA PROVIDED A NEUTRAL SPACE TO MEET. THIS AVOIDED THE STIGMA OF THE "FAT KIDS CLUB."- CMH PEDIATRICIANS HAD DIRECT ACCESS TO PATIENTS AND FAMILIES THAT WOULD BENEFIT FROM THE PROGRAM.- THE FIT-PATH PROGRAM HAD COMMUNITY BUY-IN AND THERE WERE TANGIBLE SUCCESSES.STRENGTHS - 2018- CHOBANI HEALTH CHALLENGE HAS BECOME POPULAR, EVIDENCED QUALITATIVELY BY PARTICIPANT REMARKS AND QUANTITATIVELY BY THE INCREASE IN PARTICIPATION.- THE FIT-PAT HAS REGULAR USE AND HAS SPURRED DISCUSSION OF EXPANSION TO OTHER COMMUNITIES.- TANGIBLE SUCCESSES.CHALLENGES - 2017- SCHOOLS SEE THE TOPIC OF OBESITY AS AN ISSUE THAT SHOULD BE ADDRESSED AT THE PROVIDER LEVEL IN ORDER FOR PARENTS TO BEGIN TO ACKNOWLEDGE THERE IS A PROBLEM. THEREFORE, THERE WAS POOR PARENTAL BUY-IN AND SCHOOL FOLLOW-THROUGH.** CONTINUED SCHEDULE H PART V SECTION C SUPPLEMENTAL INFORMATION |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - UHS IMAGING | ||||
| 6 NEWTON AVENUE | NORWICH | NY | 13815 | IMAGING CARE CENTER |
| 2 - UHS PHYSICAL THERAPY | ||||
| 26 CONKEY AVENUE | NORWICH | NY | 13815 | CENTER FOR PHYSICAL THERAPIES |
| 3 - UHS PRIMARY CARE - SIDNEY | ||||
| 44 PEARL STREET | SIDNEY | NY | 13838 | PRIMARY CARE CENTER |
| 4 - UHS PEDIATRICS | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | PEDIATRIC CARE CENTER |
| 5 - UHS ORTHOPEDICS | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | ORTHOPEDIC CARE CENTER |
| 6 - UHS GENERAL SURGERY | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | GENERAL SURGERY CARE CENTER |
| 7 - UHS PRIMARY CARE - SHERBURNE | ||||
| 38A CLASSIC STREET | SHERBURNE | NY | 13460 | PRIMARY CARE CENTER |
| 8 - UHS PRIMARY CARE - OXFORD | ||||
| 21 NORTH CANAL STREET | OXFORD | NY | 13830 | PRIMARY CARE CENTER |
| 9 - UHS DENTAL CENTER-CLOSED 1112018 | ||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | DENTAL HEALTH CENTER |
| 10 - UHS ENT CENTER-CLOSED 1112018 | ||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | ENT CENTER |
| 11 - UHS PODIATRY | ||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | PODIATRY |
Supplemental Information Detail SupplementalInformationDetail (30 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | A COMBINATION OF IRS PROVIDED WORKSHEETS AND THE RATIO OF PATIENT CARE COST TO CHARGES WAS USED. |
| PART I, LN 7 COL(F): | 100% OF THE ANNUAL BAD DEBT EXPENSE OF $3,239,992 WAS NOT INCLUDED IN THE CALCULATION OF NET BENEFIT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL CONDUCTS AND ATTENDS NUMEROUS EVENTS IN THE COMMUNITY TO DEVELOP COMMUNITY RELATIONSHIPS AND SUPPORT HEALTHCARE INITIATIVES.LINE 1 - PHYSICAL IMPROVEMENTS- ASBESTOS REMOVAL -- AS PART OF THE HOSPITAL'S ON-GOING RENOVATION PROJECTS, IT IS ALWAYS NECESSARY TO ABATE ASBESTOS. REMOVAL OF FIRE-PROOFING, ADHESIVES, CAULK, ETC., THAT TESTED POSITIVE FOR ASBESTOS DURING RENOVATION PROJECTS AND REQUIRED AIR TESTING TO ENSURE AIR IS CLEAR OF CONTAMINANTS. TOTAL COST OF ABATEMENT AND MONITORING IN 2018 WAS $60,624.LINE 2 - ECONOMIC DEVELOPMENT- COMMERCE CHENANGO -THE CHAMBER REPRESENTS A PARTNERSHIP OF BUSINESS AND PROFESSIONAL PEOPLE, MAKING A DIFFERENCE IN THE COMMUNITY. THE HOSPITAL PARTICIPATES IN MANY OF COMMERCE CHENANGO'S FUNCTIONS INCLUDING THEIR ECONOMIC BREAKFAST, MEMBERSHIP LUNCHEON, SOIREE IN THE PARK, LEGISLATIVE LUNCHEON, BUSINESS AFTER HOURS AND GOLF TOURNAMENT. THE HOSPITAL IS ALSO A MEMBER OF THE SIDNEY CHAMBER OF COMMERCE.- SOUTHERN TIER ADVISORY BOARD OF NBT - NBT BANK, NA OF NORWICH, NY, HAS SEVERAL REGIONAL ADVISORY BOARDS CONSISTING OF LEADERS IN BUSINESS, HEALTHCARE, AGRICULTURE, LAW, AND FINANCE INDUSTRIES TO NAME A FEW. THESE BOARDS ENABLE NBT TO ESTABLISH LINKAGES TO KEY BUSINESSES IN THE COMMUNITY TO UNDERSTAND WHAT THEY NEED, CHALLENGES, ETC., AND HOW NBT MAY BE ABLE TO ASSIST. THE GROUP MEETS QUARTERLY. THE HOSPITAL'S PRESIDENT & CEO IS A MEMBER OF THE SOUTHERN TIER ADVISORY BOARD. NBT HAS BEEN A LONG-TIME PARTNER OF THE HOSPITAL AND CONTINUES TO PROVIDE FINANCIAL SUPPORT FOR MANY OF THE HOSPITAL'S MAJOR PROJECTS THAT WOULD NOT COME TO FRUITION WITHOUT THEIR ASSISTANCE.- CHENANGO UNITED WAY - THE HOSPITAL HAS A REPRESENTATIVE ON THE UNITED WAY'S COMMUNITY IMPACT TEAM FOCUSING ON INCOME. THIS GROUP DISCUSSED POSSIBILITIES TO COLLABORATE ON WORKFORCE DEVELOPMENT INCLUDING BARRIERS TO ENTRY IN THE LABOR MARKET AND TRAINING, WORKPLACE WELLNESS, TRANSPORTATION CHALLENGES, THE ALICE POPULATION, AND HUNGER.- GREATER BINGHAMTON CHAMBER - THE BINGHAMTON CHAMBER HOSTED A LEGISLATIVE BREAKFAST FOR BUSINESS LEADERS TO ENGAGE 1:1 WITH ELECTED OFFICIALS TO ENHANCE DIALOG AND BUILD RELATIONSHIPS BETWEEN BUSINESSES, COMMUNITY, AND ELECTED REPRESENTATIVES.LINE 3 - COMMUNITY SUPPORTNO ENTRIES REQUIRING NARRATIONLINE 4 -- ENVIRONMENTAL IMPROVEMENTS- PHARMACEUTICAL WASTE TRAINING - CMH CONDUCTS ANNUAL TRAINING FOR NUMEROUS EMPLOYEES. THIS TRAINING COVERS WHAT THE WASTE MANAGEMENT PROGRAM IS, THE POLICY, IDENTIFYING THE WASTE AND THE CONTAINERS IT GOES IN, WHERE THE CONTAINERS ARE STORED, HOW AND WHO WILL BE PICKING UP THE FULL CONTAINERS, AND DEVELOPING A PLAN TO TRAIN EMPLOYEES ON THE UNITS.LINE 6 -- COALITION BUILDING- NORWICH ROTARY CLUB - ROTARY IS AN ORGANIZATION OF BUSINESS AND PROFESSIONAL LEADERS WHO PROVIDE HUMANITARIAN SERVICE, ENCOURAGE HIGH ETHICAL STANDARDS IN ALL VOCATIONS, AND HELP BUILD GOODWILL AND PEACE IN THE WORLD. MEMBERSHIP REPRESENTS A CROSS-SECTION OF THE COMMUNITY'S BUSINESS AND PROFESSIONAL MEN AND WOMEN. THE MAIN OBJECTIVE OF ROTARY IS SERVICE - IN THE COMMUNITY, IN THE WORKPLACE, AND THROUGHOUT THE WORLD. THE HOSPITAL'S NURSING HOME ADMINISTRATOR IS AN ACTIVE MEMBER AT THE LOCAL AND DISTRICT LEVEL.- BADEN-POWELL SCOUTS -THE BADEN-POWELL COUNCIL OF THE BOY SCOUTS OF AMERICA, HEADQUARTERED IN BINGHAMTON, NY, SERVES OVER 175 DIFFERENT SCOUT UNITS INCLUDING 6,216 YOUTH AND ADULTS THROUGHOUT CENTRAL NEW YORK AND NORTHEAST PENNSYLVANIA. THE COUNCIL RUNS PROGRAMS IN CUB SCOUTING, BOY SCOUTING, VENTURING AND EXPLORING WHILE MAINTAINING TWO DIVERSE NATIONALLY RECOGNIZED SCOUT CAMPS: CAMP BARTON ON CAYUGA LAKE AND THE TUSCARORA SCOUT RESERVATION IN THE FOOTHILLS OF THE CATSKILLS.- THE HOSPITAL MADE DONATIONS OF MEDICAL SUPPLIES WORTH $200 FOR USE DURING THE BSA DAY CAMPS AND SUMMER CAMP PROGRAMS. IN-KIND DONATIONS SUPPORT THE BSA'S YOUTH LEADERSHIP AND CHARACTER DEVELOPMENT PROGRAMS.- DISTINGUISHED CITIZEN AWARD BANQUET - THE HOSPITAL SPONSORED 1 TABLE AT THE 2018 BANQUET. IT PROVIDES AN EXCELLENT NETWORKING OPPORTUNITY WITH OTHER LEADERS IN THE COMMUNITY. THE FORMER CHAIRMAN OF THE HOSPITAL'S FOUNDATION AND FORMER HOSPITAL BOARD MEMBER WAS HONORED.- MEMBERS OF THE HOSPITAL'S MANAGEMENT TEAM SERVE ON SEVERAL BOARDS OR HOLD GOVERNANCE POSITIONS WITH ORGANIZATIONS IN THE AREA. THOSE NOT LISTED PREVIOUSLY IN PART V SECTION C OR LINE 7 THAT FOLLOWS THIS SECTION ARE AS FOLLOWS: - CHENANGO ARTS COUNCIL - A MEMBER OF THE HOSPITAL'S LEADERSHIP TEAM IS A MEMBER OF THE CAC BOARD. THE ARTS COUNCIL SPONSORS NATIONAL ACTS TO COME TO NORWICH AS WELL AS HOST LOCAL THEATER PRODUCTIONS AND ART SHOWINGS.- PROFESSIONAL WOMEN'S NETWORK - A REPRESENTATIVE OF THE HOSPITAL SPOKE TO THIS GROUP ABOUT ACTIVITIES AT THE HOSPITAL.- CHENANGO LINKS - THIS IS A GROUP OF CONCERNED CITIZENS WHOSE MISSION IS TO MOVE ON ISSUES THAT WARRANT POLITICAL ATTENTION AND TO OFFER A WAY TO EXPRESS KNOWLEDGE AND OPINION OF VARIOUS SUBJECTS THAT CONFRONT THE RESIDENTS OF CHENANGO COUNTY. THEIR GOAL IS TO ACHIEVE TRANSPARENCY OF THE DECISION-MAKING BODIES THAT IMPACT DAILY LIFE, HAVE AN HONEST DISCUSSION WHICH ALLOWS DIFFERENT PERSPECTIVES AND SEARCH FOR SOLUTIONS TO THE CAUSES OF SETBACK. REPRESENTATIVES FROM THE HOSPITAL SPOKE TO THIS GROUP TWICE. THE FIRST PRESENTATION WAS AN EDUCATIONAL FORUM ON SOCIO-ECONOMIC ISSUES, POPULATION HEALTH, MENTAL/BEHAVIORAL HEALTH, ADDICTION, AND DISABILITIES IN OUR COMMUNITY. THE SECOND PRESENTATION FOCUSED ON CHANGES AT THE HOSPITAL.LINE 7 -- COMMUNITY HEALTH IMPROVEMENT ADVOCACY CHENANGO COUNTY HAS BEEN DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA ACCORDING TO THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR LOW INCOME PRIMARY HEALTH CARE, DENTAL CARE, AND MENTAL HEALTH CARE. THE RATIO OF POPULATION TO PROVIDERS PLACES CHENANGO COUNTY IN THE BOTTOM HALF OF COUNTIES IN NYS FOR PRIMARY CARE PHYSICIANS. UHS CHENANGO MEMORIAL, THEREFORE, IS CONSTANTLY RECRUITING TO IMPROVE ACCESS AND INCREASE SERVICES. THE HOSPITAL HAD SUCCESS IN 2018 IN THE FOLLOWING AREAS:- EMERGENCY SERVICES (NORWICH, NY) - KENNETH HERMAN, DO, JOINED THE HOSPITAL'S EMERGENCY ROOM STAFF AS A FULL TIME PHYSICIAN AND AS THE DIRECTOR OF EMERGENCY MEDICINE. - ORTHOPEDICS (NORWICH, NY) - TARIQ HUSSAIN, MD, AND WOODLEY DESIR, MD, JOINED THE ORTHOPEDIC STAFF. DR. HUSSAIN PROVIDES FULL-TIME SERVICES IN THE NORWICH OFFICE. DR. DESIR IS PART-TIME IN NORWICH. HE ALSO WORKS PART-TIME IN UHS' ONEONTA OFFICE AND, FOR PATIENT CONVENIENCE, PERFORMS THEIR ORTHOPEDIC PROCEDURES AT CMH. AS HE RAMPS UP, HE WILL BEGIN SEEING OUTPATIENTS IN THE ORTHOPEDIC CENTER IN NORWICH.- PRIMARY CARE (SHERBURNE, NY) - CHRISTINA VALENCIA, FNP, JOINED THE FAMILY PRACTICE IN SHERBURNE. - WOMEN'S HEALTH (NORWICH, NY) - ALYSSA MACINTOSH, PA-C JOINED OUR WOMEN'S HEALTH CENTER IN AUGUST. ALYSSA IS A GRADUATE OF THE DCMO BOCES NEW VISIONS CLASS AND RETURNED TO THE AREA TO PROVIDE SERVICES.- ONCOLOGY (NORWICH, NY) - JOSEPH READLING, MD, JOINED THE MEDICAL STAFF IN OCTOBER TO PROVIDE ONCOLOGY/HEMATOLOGY SERVICES AT CMH ONE DAY PER WEEK. IN DECEMBER 2017, THE SOLE PROVIDER OF ONCOLOGY SERVICES TO CHENANGO COUNTY PULLED OUT ON SHORT NOTICE CITING THE INABILITY TO FINANCIALLY SUSTAIN THE PRIVATE PRACTICE. CMH RESTORED ONCOLOGY SERVICES IN OCTOBER 2018 WITH THE CREDENTIALING OF DR. READLING. ALTHOUGH STILL EMPLOYED BY THAT PRIVATE PRACTICE, DR. READLING RETURNED TO CMH UNDER A NEW CONTRACT. THROUGH THIS ARRANGEMENT, LOCAL ONCOLOGY PATIENTS RECEIVE CONSISTENCY OF CARE AND CMH HAS STABILIZED THAT SERVICE IN CHENANGO COUNTY.- PODIATRY (NORWICH, NY) - IN 2017, CMH PURCHASED THE PRACTICE OF TWO LOCAL PODIATRISTS. THEIR FIRST DAY OF SERVICE WAS JANUARY 2, 2018, AND MANY OF THEIR EXISTING PATIENTS FOLLOWED THEM. NICHOLAS PUTRINO, DPM, JOINED THE PRACTICE FULL TIME IN JULY. DR. PUTRION PROVIDES PODIATRIC SURGICAL SERVICES. ANGELA FREEMAN, DPM, JOINED THE PRACTICE ON A PART-TIME BASIS IN AUGUST AND SERVES AS A SURGICAL ASSIST TO DR. PUTRINO. THIS IS THE ONLY PRACTICE IN CHENANGO COUNTY PROVIDING PODIATRY SERVICES.- DIABETIC EDUCATOR (NORWICH, NY) - DORIS HUGHES, NP-C, BOARD CERTIFIED IN ADVANCED DIABETES MANAGEMENT BEGAN SEEING PATIENTS IN DECEMBER TWICE A MONTH. HER SCHEDULE FILLED QUICKLY AND NOW SHE'S ON-SITE ONCE A MONTH AND DOES TELEMEDICINE ANOTHER DAY OF THE MONTH. THIS HAS PROVEN TO BE A HUGE PATIENT SATISFIER.IN ADDITION, CMH INCREASED ACCESSIBILITY IN THE FOLLOWING LOCATIONS:- REOPENED CLINIC IN OXFORD, NY - OVER THE LAST FEW YEARS, THE HOSPITAL RECRUITED PROVIDERS TO WORK IN THIS LOCATION ONLY TO HAVE THEM LEAVE DUE TO ILLNESS OR FAMILY ISSUES. DURING 2018, THREE OF OUR EXISTING PROVIDERS AGREED TO SEE PATIENTS IN THE OXFORD OFFICE SO PATIENTS IN THAT AREA OF THE COUNTY WOULD HAVE ACCESS TO PRIMARY CARE SERVICES.** SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION FOR CONTINUATION |
| PART III, LINE 2: | THE COST OF BAD DEBTS IS TAKEN FROM THE 2018 AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2018 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2018 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2018, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 24.25% OF THE TOTAL BAD DEBT WRITE-OFFS. |
| PART III, LINE 4: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2018 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2018 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2018, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 24.25% OF THE TOTAL BAD DEBT WRITE-OFFS. |
| PART III, LINE 8: | CMH FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENIFICIARIES THAT RESULTS IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. CMH TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. CMH'S SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. AVERAGE. THEREFORE, CMH IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. |
| PART III, LINE 9B: | THE ORGANIZATION'S COLLECTION POLICY PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE AS FOLLOWS:CHARITY CARE IS GIVEN FIRST, THE REMAINING BALANCE, IS THEN SUBJECT TO AN INTEREST FREE PAY PLAN. IF THE PATIENT GUARANTOR CHOOSES TO IGNORE ALL FURTHER ATTEMPTS TO MAKE ARRANGEMENTS FOR PAYMENTS, AFTER 180 DAYS THE ACCOUNT IS SENT TO A COLLECTION AGENCY AT THE DISCOUNTED LEVEL.CMH'S POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.CMH REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. CMH PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. CMH ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENCING LEGAL ACTION. |
| PART VI, LINE 2: | IN BETWEEN CHNA SUBMITTALS, UHS CHENANGO MEMORIAL HOSPITAL USES IN-PATIENT AND OUT-PATIENT SURVEYS ADMINISTERED THROUGH PRESS GANEY TO COLLECT PATIENT INPUT. PATIENTS VISITING ALL OUT-PATIENT OFFICES AND AREAS OF THE HOSPITAL RECEIVE EASY-TO-COMPLETE FORMS ASKING THEM QUESTIONS ABOUT THE CARE THEY RECEIVED AT THE HOSPITAL, ISSUES THEY FEEL NEED TO BE ADDRESSED, AND SERVICES THAT NEED TO BE IMPROVED OR ADDED. PATIENTS PROVIDE VALUABLE INFORMATION IN THE "COMMENTS" SECTION OF THESE SURVEYS. IN SEPTEMBER 2014, UHS ASSEMBLED A QUARTERLY PATIENT SATISFACTION TEAM TO REVIEW PRESS GANEY SURVEY RESULTS ACROSS THE SYSTEM FOCUSING ON 5 MAIN CATEGORIES: OVERALL RATING, LIKELIHOOD TO RECOMMEND, ACCESS TO CARE, PROVIDER COMMUNICATION QUALITY, AND OFFICE STAFF QUALITY. THESE MEETINGS HAVE CONTINUED AND ARE ATTENDED BY LEADERSHIP AND STAFF FROM CMH'S PHYSICIAN SERVICES DIVISION. DURING THESE MEETINGS GOALS AND MEASURES ARE ESTABLISHED FOR EACH FACILITY AND EACH CLINIC. EACH SITE MANAGER THEN REVIEWS THE DATA DURING THEIR STAFF MEETINGS. EACH MANAGER CAN ALSO DIRECTLY LINK IN WITH PRESS GANEY TO PULL SURVEY RESULTS, REVIEW PROGRESS AGAINST GOALS, AND REVIEW TIPS FOR IMPROVEMENT ACTIVITIES. LIVING IN A SMALL COMMUNITY, WE ALSO GET SUGGESTIONS DIRECTLY FROM RESIDENTS ABOUT SERVICES THAT ARE NEEDED OR NEED IMPROVEMENT. HOSPITAL BOARD MEMBERS, AUXILIARY BOARD MEMBERS, AND FOUNDATION BOARD MEMBERS ARE VERY VOCAL ABOUT WHAT THEY ARE HEARING IN THE COMMUNITY OR EXPERIENCING THEMSELVES. EMPLOYEES ARE QUITE CRITICAL ABOUT THEIR OR THEIR FAMILY'S EXPERIENCES IN ALL FACETS OF PATIENT CARE PROVIDING VALUABLE FEEDBACK WITH A TRAINED EYE. BASED ON THIS FEEDBACK AND THOSE OF PATIENTS CALLING IN OR VISITING PROVIDERS, THE HOSPITAL HAS DEVELOPED THE FOLLOWING INITIATIVES.WALK-INAS OF JANUARY 1, 2014, CMH CONSOLIDATED OUR WALK-IN, WHICH WAS LOCATED IN A DIFFERENT BUILDING ON CAMPUS, WITH OUR EMERGENCY ROOM. THIS ENABLED THE HOSPITAL TO REDUCE STAFF AND IMPROVE PATIENT SAFETY, PARTICULARLY FOR PATIENTS PRESENTING AT THE WALK-IN WITH ACUTE CONDITIONS THAT REQUIRED EMERGENCY CARE. THESE PATIENTS WERE TRANSPORTED TO THE ER BY AMBULANCE WHICH WAS TIME CONSUMING AND AN UNNECESSARY USE OF COMMUNITY RESOURCES.THE COMMUNITY HAS COMPLAINED VOCIFEROUSLY EVER SINCE THAT THEY WANT WALK-IN SERVICES RESTORED. AS AN AWARDEE OF THE STATEWIDE HEALTH CARE FACILITY TRANSFORMATION PROGRAM I, CMH PLANS TO RE-INTRODUCE WALK-IN SERVICES AS PART OF OUR AMBULATORY SERVICES REDESIGN PROJECT. THE COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2014 BY THE CARE COMPASS PPS CLEARLY SHOWS THAT CMH SEES A POPULATION THAT DOES NOT SEEK SERVICES UNTIL THEY HAVE TO, CAN'T AFFORD ROUTINE DIAGNOSTIC TESTS, AND IS OVERLY RELIANT ON THE ED. AS A RESULT, CMH HAS RESPONDED WITH A PLAN THAT FOCUSES ON CARE COORDINATION AND EDUCATION. THE PLAN WILL PROVIDE FOR SIGNIFICANT EXPANSION OF THE CARE TEAM BEGINNING WITH THE RENOVATION WHERE A CARE NAVIGATOR WILL BE EMBEDDED IN THE ED AND URGENT CARE CENTER. PROVIDING EDUCATION AT A POINT WHEN THE PATIENT IS MOST RECEPTIVE AND OPEN TO DISCUSSING THE BENEFITS OF QUITTING SMOKING, ADOPTING A HEALTHIER DIET, OR GETTING REGULAR PRIMARY CARE, THE CARE NAVIGATOR CAN PROVIDE A WARM HANDOFF TO CMH PRIMARY CARE AND ATTENTIVE FOLLOWUP. CMH REGULARLY PARTNERS WITH THE CHENANGO COUNTY OFFICE OF THE AGING, CHENANGO COUNTY DEPARTMENT OF HEALTH, MOTHERS AND BABIES, AND OTHER COMMUNITY BASED ORGANIZATIONS TO CONNECT PATIENTS TO PROGRAMS AND SERVICES.ONCOLOGYIN DECEMBER 2017, THE SOLE PROVIDER OF ONCOLOGY SERVICES TO CHENANGO COUNTY DISCONTINUED SERVICES CITING THE INABILITY TO FINANCIALLY SUSTAIN THE PRIVATE PRACTICE. IN A COUNTY WITH THE 4TH HIGHEST RATE OF ALL CANCERS IN NYS, THE ABSENCE OF ONCOLOGY CARE PLACES AN ENORMOUS BURDEN ON THOSE WITH THE FEWEST RESOURCES. THE CLOSING OF ONCOLOGY SERVICES WAS A CRUSHING BLOW TO EXISTING ONCOLOGY PATIENTS WHO HAVE HAD TO TRAVEL AT LEAST 45 MILES TO RECEIVE CHEMOTHERAPY AND OTHER TREATMENTS SINCE JANUARY 1, 2018. AS PART OF THE STATEWIDE HEALTH CARE FACILITY TRANSFORMATION PROGRAM II, CMH HAS APPLIED TO RECONFIGURE SPACE FOR AN INFUSION CENTER TO PROVIDE CHEMOTHERAPY, UTILIZE RENOVATED OPERATING ROOMS TO INSERT THE MEDIPORTS NEEDED FOR CHEMOTHERAPY, AND PARTNER WITH THE ONCOLOGY GROUP FOR SERVICES ON A CONTRACTUAL BASIS, TO REESTABLISH THESE ESSENTIAL SERVICES FOR CHENANGO RESIDENT'S. ACHIEVING FINANCIAL VIABILITY OF THESE SERVICES WILL REQUIRE A MODEL OF SERVICE THAT LEVERAGES EFFICIENT USE OF SHARED SPACE AND STAFF THAT WILL BE POSSIBLE WITH THE RENOVATIONS PROPOSED IN THIS PROJECT.3-D MAMMOGRAPHY3-D MAMMOGRAPHY IS NOW THE LATEST TECHNOLOGY WOMEN ARE REQUESTING FOR BREAST CANCER SCREENINGS. THE HOSPITAL RECEIVES CALLS DAILY FROM PATIENTS INQUIRING IF WE HAVE 3-D TECHNOLOGY. ALTHOUGH THE HOSPITAL HAS HAD IT ON THE CAPITAL BUDGET FOR THE LAST FEW YEARS, LACK OF RESOURCES AND OTHER PRIORITIES HAVE PUSHED IT OUT. CMH NOW CONSIDERS 3-D MAMMOGRAPHY A PRIORITY FOR THE FOLLOWING REASONS:A. IT CUTS DOWN ON THE NEED FOR MULTIPLE TESTS AND SAVING WOMEN A WHOLE LOT OF ANGST ABOUT POTENTIALLY POSITIVE DIAGNOSES. USING STANDARD MAMMOGRAPHY, MANY WOMEN UNDERGOING BREAST SCREENING ARE ASKED TO RETURN FOR ADDITIONAL TESTS BECAUSE OF A SUSPICIOUS DENSITY THAT APPEARS IN THEIR SCANS. B. 3-D MAMMOGRAPHY AIDS IN DIAGNOSIS IF A TUMOR IS PRESENT. THE TECHNOLOGY USES MULTIPLE ANGLED IMAGES AS THE MACHINE SWEEPS IN AN ARC OVER A WOMAN'S BREAST. THE RADIOLOGIST VIEWS THESE IMAGES SEQUENTIALLY. A MASS WILL STAND OUT IN THE SCAN - NOT BE CAMOUFLAGED BY DENSE BREAST TISSUE AS SOMETIMES OCCURS WITH TRADITIONAL 2-D MAMMOGRAPHY.C. IT IS SAFE AND EFFECTIVE. DURING A 3-D MAMMOGRAM, WOMEN WILL EXPERIENCE A MINIMAL AMOUNT OF ADDITIONAL RADIATION, COMPARED WITH A STANDARD MAMMOGRAM. THIS DOSE IS BELOW THE FDA-REGULATED LIMIT FOR MAMMOGRAPHY, AND NO ADDITIONAL RISK FROM AN AMOUNT OF RADIATION THIS SMALL HAS BEEN SHOWN. AFTER STUDYING THIS ISSUE, THE FDA CONCLUDED THAT THE BENEFITS OUTWEIGH ANY POTENTIAL RISK.PRIMARY CARETHE HOSPITAL HAS EXPERIENCED A STREAK OF BAD LUCK KEEPING PRIMARY CARE PROVIDERS IN OUR OXFORD CLINIC. TWO PHYSICIANS HAVE BEEN HIRED OVER THE LAST 4 YEARS. THE FIRST HAD TO RESIGN DUE TO FAMILY ILLNESS. THE SECOND WAS DIAGNOSED WITH BREAST CANCER 2 WEEKS AFTER STARTING. A NURSE PRACTITIONER THAT WAS IN THE OFFICE TRANSFERRED TO ANOTHER CLINIC 20 MINUTES SOUTH.OXFORD RESIDENTS HAVE TOLD US THEY ARE ANXIOUS TO GET THE CLINIC STAFFED SO THEY NO LONGER HAVE TO TRAVEL TO NORWICH, OR SIDNEY TO SEE A PRIMARY CARE PROVIDER. SINCE CMH IS LOCATED IN A PRIMARY CARE PROVIDER SHORTAGE AREA, WE ARE WORKING DILIGENTLY TO RESTORE SERVICES IN THAT LOCATION.THE HOSPITAL HAS USED OTHER MEANS FOR COLLECTING COMMUNITY INPUT BETWEEN NEEDS ASSESSMENTS. FOCUS GROUPS HAVE BEEN USED TO DISCUSS A SPECIFIC NEED THAT HAS BEEN IDENTIFIED AND REQUIRES FURTHER RESEARCH. ALTHOUGH NO FOCUS GROUPS WERE HELD IN 2017, THEY HAVE BEEN USED TO DEFINE NEEDS IN PREVIOUS YEARS. CONDUCTING FOCUS GROUPS IS A HIGH PRIORITY FOR THE NEXT NEEDS ASSESSMENT PROCESS.PERIODICALLY WE LOOK AT DIAGNOSIS CODES AND MARKET DATA TO DETECT DEVELOPING TRENDS AND ADDRESS THEM AS NEEDED.LASTLY, THE HOSPITAL'S VP OF OPERATIONS IS CHAIRMAN OF THE CHENANGO HEALTH NETWORK (CHN). THE CHN IS CHENANGO COUNTY'S RURAL HEALTH NETWORK. THE BOARD CONSISTS OF 13 COMMUNITY LEADERS REPRESENTING A CROSS SECTION OF HEALTH CARE SERVICES IN THE AREA. THIS GROUP MEETS MONTHLY AND DISCUSSES HEALTH CARE CONCERNS AND OPPORTUNITIES IN THE COMMUNITY AND INITIATES SUBCOMMITTEES TO ADDRESS SPECIFIC ISSUES AS NEEDED.THE POPULATION IN THIS RURAL COMMUNITY HAS ACTUALLY DECREASED AS EXPLAINED IN PART VI, LINE 4. THE MIGRATION OF HIGHER-INCOME FAMILIES OUT OF THE AREA HAS INCREASED THE PERCENTAGE OF SOCIO-ECONOMICALLY CHALLENGED INDIVIDUALS WHO REMAIN AND ARE DEPENDENT ON GOVERNMENT PROGRAMS FOR THEIR HEALTHCARE. THE DRAMATIC INCREASE IN HEROIN USE NOTWITHSTANDING, THEIR NEEDS HAVE REMAINED RELATIVELY THE SAME OVER TIME. |
| PART VI, LINE 3: | OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY AS FOLLOWS:* EVERY CLINIC AND AREA OF PATIENT REGISTRATION HAS A NOTICE POSTED INFORMING THE PATIENT/S/PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE* BROCHURES DESCRIBING THE POLICY ARE AVAILABLE AT CLINICS, POINTS OF REGISTRATION, AND ARE MAILED TO SELF PAY PATIENTS ALONG WITH APPLICATIONS* INPATIENTS ARE VISITED BY THE PATIENT FINANCIAL ADVOCATE. THEY ARE MADE AWARE OF GOVERNMENT PROGRAMS AND IF NECESSARY, ARRANGEMENTS ARE MADE WITH THE DEPARTMENT OF SOCIAL SERVICES TO HAVE A WORKER COME IN AND TAKE THE APPLICATION FROM THE PATIENT. THE PATIENT IS GIVEN INFORMATION AND AN APPLICATION FOR FINANCIAL ASSISTANCE, WHICH CAN BE COMPLETED AT THE PATIENT'S BEDSIDE.* THE WOMAN'S HEALTH CENTER INFORMS ALL SELF PAY PREGNANT WOMEN OF THE "PRESUMPTIVE ELIGIBILITY" PROCESS AND PATIENTS ARE DIRECTED TO PATIENT FINANCIAL SERVICES FOR COMPLETION OF THE APPLICATION AND COMPLETION OF A WIC APPLICATION IF PATIENT SO DESIRES* EVERY CMH EMPLOYEE IS MADE AWARE OF THE CHARITY CARE PROGRAM AT ORIENTATION AND ENCOURAGED TO INFORM PATIENTS AND THE PUBLIC ABOUT THE PROGRAM. PERSONNEL WHO HAVE PATIENT CONTACT ARE ANNUALLY IN-SERVICED ON CHARITY CARE PROGRAM* EVERY BILL THAT IS SENT OUT IS MARKED "FOR INFORMATION REGARDING OUR "PATIENT FINANCIAL ASSISTANCE" PROGRAM" PLEASE CONTACT 607-337-4295 |
| PART VI, LINE 4: | CHENANGO COUNTY IS A RURAL COUNTY WITH TWO PRIMARY DISPARITIES: SOCIO-ECONOMIC AND AGE. THE COUNTY IS LOCATED IN SOUTH-CENTRAL NEW YORK STATE IN THE AREA REFERRED TO AS THE SOUTHERN TIER. THE COUNTY IS ALSO LOCATED IN THE APPALACHIAN REGION OF THE UNITED STATE. PER GOOGLE MAPS, CHENANGO COUNTY IS 126.5 MILES WEST OF ALBANY, NEW YORK STATE'S CAPITAL, AND 211 MILES NORTHWEST OF NEW YORK CITY. PER THE US CENSUS BUREAU, ITS LAND AREA ENCOMPASSES 894.36 SQUARE MILES WITH 56.5 PERSONS PER SQUARE MILE. CONTIGUOUS COUNTIES ARE MADISON, OTSEGO, DELAWARE, BROOME, AND CORTLAND. THERE ARE 21 TOWNS, 8 VILLAGES AND 1 CITY IN CHENANGO COUNTY. THE CITY OF NORWICH IS THE COUNTY SEAT WHERE THE LARGEST SEGMENT OF THE POPULATION RESIDES. UHS CHENANGO MEMORIAL HOSPITAL, LOCATED IN NORWICH, IS A NYS DESIGNATED RURAL HOSPITAL AND IS THE ONLY HOSPITAL IN THE COUNTY. THE MAJORITY OF RESIDENTS (60%) LIVE WITHIN 10 MILES OF NORWICH, MAKING NORWICH A GOOD LOCATION FOR TIMELY CARE. THE REMAINING 40% LIVE IN MORE REMOTE AREAS OF THE COUNTY, DETERRED BY GEOGRAPHY AS A PHYSICAL BARRIER TO ACCESS. THE COUNTY'S LARGER POPULATION CENTERS ARE LOCATED ALONG NYS ROUTE 12 AND THE CHENANGO AND UNADILLA RIVERS WHICH RUN NORTH TO SOUTH THROUGH THE CENTER OF THE COUNTY. GREENE, NORWICH, AND SHERBURNE ARE THE MOST POPULOUS TOWNS SITUATED ALONG THE ROUTE 12 CORRIDOR. THERE ARE 2 INTERSTATE HIGHWAYS ACCESSIBLE TO CHENANGO COUNTY RESIDENTS: I-88 AND I-81. INTERSTATE 88 INTERSECTS WITH CHENANGO COUNTY AT BAINBRIDGE AND IS ACCESSIBLE FROM DELAWARE AND BROOME COUNTIES. INTERSTATE 81 IS ACCESSIBLE FROM BROOME AND CORTLAND COUNTIES, NYS ROUTE 12 BISECTS THE COUNTY AND IS THE MAJOR NORTH-SOUTH ROUTE.TRAVEL DISTANCES TO THE NEAREST HOSPITALS ARE AS FOLLOWS:A.O. FOX HOSPITAL, ONEONTA, NY, IS 32 MILES OR 45 MINUTESM.I. BASSETT HEALTHCARE, COOPERSTOWN, NY, IS 44 MILES OR 1 HOURCOMMUNITY MEMORIAL HOSPITAL (CRITICAL ACCESS), HAMILTON, NY, IS 22 MILES OR 30 MINUTESCROUSE HOSPITAL, SYRACUSE, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESMOHAWK VALLEY MEDICAL HEALTH SYSTEM, UTICA, NY, IS 47 MILES OR 1 HOUROUR LADY OF LOURDES HOSPITAL, JOHNSON CITY, NY, IS 42 MILES OR 1 HOURST. JOSEPH'S HOSPITAL, SYRACUSE, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESUHS HOSPITALS, BINGHAMTON, NY, IS 43 MILES OR 1 HOURUPSTATE UNIVERSITY HOSPITAL, SYRACUSE, NY IS 58 MILES OR 1 HOUR, 15 MINUTES.THE ONLY EMERGENCY ROOM (ER) IN CHENANGO COUNTY IS LOCATED AT CHENANGO MEMORIAL. THE ER IS PHYSICIAN STAFFED 24/7 AND THERE ARE OVER 18,000 VISITS PER YEAR. ACCORDING TO THE DSRIP COMMUNITY HEALTH ASSESSMENT, THE ER IS VIEWED BY SOME RESIDENTS AS AN "ALWAYS AVAILABLE" OPTION FOR HEALTH AND DENTAL SERVICES AND IS OFTEN VISITED BECAUSE OF CONVENIENCE AND ACCESSIBILITY. SOME RESIDENTS CONSIDER THE ER AS AN ACCEPTABLE LOCATION TO RECEIVE "ANY TYPE" OF MEDICAL CARE, NOT JUST WHEN LIFE-THREATENING HEALTHCARE IS NEEDED. SIGNIFICANT DRIVERS FOR USING THE ER INCLUDE READY TRANSPORTATION, ONE-STOP SHOPPING (X-RAY, LAB, SPECIALISTS, MEDICATIONS) ALL UNDER ONE ROOF, ABILITY TO ALWAYS "BE SEEN BY A DOCTOR", SHORTAGE OF OTHER HEALTHCARE RESOURCES (PROVIDERS), AND NO OUT OF POCKET, UP-FRONT COSTS.DEMOGRAPHICALLY, 94% OF THE COUNTY'S POPULATION (49,868) IS PREDOMINANTLY WHITE NON-HISPANIC. THE REMAINING POPULATION INCLUDES HISPANIC, LATINO, OR PERSONS WHO IDENTIFY AS BEING OF TWO OR MORE RACES. 85.8% OF THE COUNTY'S POPULATION IS CATEGORIZED AS LIVING IN RURAL AREAS. CHENANGO COUNTY IS 49TH IN TOTAL POPULATION AMONG THE 62 COUNTIES IN NEW YORK STATE AND HAS BEEN EXPERIENCING A STEADY DECLINE IN ITS OVERALL POPULATION. THE AGE OF THE COUNTY'S RESIDENTS HAS BEEN CHANGING AS WELL. THE MEDIAN AGE HAS INCREASED TO 43.5 YEARS FROM 38.4 YEARS IN 2000. IT IS ANTICIPATED THAT THE POPULATION OF RESIDENTS BETWEEN 45 AND 64 WILL DECREASE FROM 29.8% TO 28.1% IN 2020 AND THEN TO 23.6% IN 2030. HOWEVER, THE POPULATION OF RESIDENTS OVER 65 YEARS WILL INCREASE FROM 18.9% TO 21.85% IN 2020 AND TO 27.5% BY 2030 DUE TO RESIDENTS AGING IN PLACE. ALL TOTALED, IT IS PROJECTED THE PERCENTAGE OF RESIDENTS IN CHENANGO COUNTY OVER 45 WILL INCREASE TO 49.9% IN 2020 AND TO 51.1% BY 2030.THE MEDIAN FAMILY INCOME FOR CHENANGO COUNTY IS $44,427 IN COMPARISON TO THE REST OF NEW YORK STATE WITH AN AVERAGE FAMILY INCOME OF $58,878. THE MAJORITY OF JOBS ARE IN EDUCATION, HEALTH AND HUMAN SERVICE SECTORS. MANUFACTURING AND RETAIL TRADE ARE THE NEXT LARGEST SECTORS FOR EMPLOYMENT. THE PERCENTAGE OF UNEMPLOYED RESIDENTS OF CHENANGO COUNTY FOR 2010-2014 WAS 8.6% COMPARED TO NEW YORK STATE'S UNEMPLOYMENT RATE OF 8.9% DURING THE SAME TIME FRAME.CHENANGO COUNTY IS A POOR COUNTY WITH 16.8% OF ITS POPULATION AND 24% OF ITS CHILDREN LIVING BELOW THE FEDERAL POVERTY LEVEL. THE NUMBER OF CHILDREN AGED 0-17 LIVING IN POVERTY INCREASED FROM 18.6% IN 2005 TO 24.6% IN 2014. THE NUMBER OF CHILDREN IN GRADES K-6 WHO ARE ELIGIBLE FOR FREE OR REDUCED LUNCHES INCREASED FROM 49.2% IN 2005-06 TO 56.4% IN 2010-11. THIS INCREASE IS ALSO ABOVE THE NYS LEVEL OF 52.4%. OF THOSE FAMILIES WITH FEMALE HEADS OF HOUSEHOLD AND CHILDREN PRESENT, 46% LIVE IN POVERTY. 15.8% OF THE ADULT POPULATION UNDER 65 IS DISABLED.POOR ECONOMIC STATUS IS OFTEN ASSOCIATED WITH POOR HEALTH OUTCOMES AS THOSE WITHOUT MEANS ARE NOT IN A POSITION TO MAKE LIFESTYLE CHANGES TO PROMOTE GOOD HEALTH. IN CHENANGO COUNTY MANAGING EXPENSES RELATED TO FOOD, HOUSING, CLOTHING, TRANSPORTATION, CHILD CARE AND HEALTH CARE IS A MAJOR STRESSOR FOR INDIVIDUALS PARTICULARLY WITH FAMILIES AND SENIOR ADULTS. CHENANGO COUNTY'S POVERTY LEVELS BRING TO FOCUS FOOD INSECURITIES FOR THAT POPULATION. ONE OF THE ISSUES OF GENERATIONAL POVERTY (FAMILIES AND INDIVIDUALS LIVING IN POVERTY GENERATION TO GENERATION) THAT IS EVIDENT IN THE COUNTY IS THE UTILIZATION OF FOOD PANTRIES (OVER 20,000 PEOPLE SERVED IN 2015). RESIDENTS WITH FOOD INSECURITY LIVE DAY-TO-DAY TO PROVIDE FOR THEMSELVES AND THEIR FAMILIES; THEY FOCUS ON DAY-TO-DAY SURVIVAL VERSUS DEVELOPING STRATEGIES TO PREVENT FOOD INSECURITY AND OTHER HEALTH CONCERNS.ACCORDING TO THE 2013-2018 NYS PREVENTION AGENDA, 89.7% OF ADULTS IN THE COUNTY HAVE HEALTH INSURANCE WHICH IS ABOVE THE NEW YORK STATE RATE OF 84.7%. THIS IS AN IMPROVEMENT OF 32.6% SINCE 2013. ACCORDING TO THE AMERICAN COMMUNITY SURVEY 2011-2013 OF ALL PERSONS IN THE COUNTY, 45.4% HAVE COMMERCIAL/PRIVATE INSURANCE (VS NYS RATE OF 51%), 21.6% ARE COVERED BY MEDICARE (VS NYS RATE OF 15.5%), 22.6% BY MEDICAID (VS NYS RATE OF 22.5%), 10.4% ARE UNINSURED (VS THE NYS RATE OF 11%). THE 19-25 YEAR OLD AGE GROUP IS THE LARGEST SECTOR WITHOUT HEALTH INSURANCE AT 21.9% WHILE 7.4% UNDER 18 YEARS OF AGE DOES NOT HAVE ANY HEALTH INSURANCE.WHEN IT COMES TO IN-PATIENTS, UHS CHENANGO MEMORIAL HOSPITAL SHOWED A PAYER MIX IN 2015 OF 55% MEDICARE, 21% MEDICAID, 19.6% COMMERCIAL, 3.5% SELF PAY AND 0.9% OTHER. WITH THE AFFORDABLE CARE ACT, COMBINED WITH GROWING POVERTY AND ELDERLY POPULATION, THE INFLUENCE OF GOVERNMENT PAYERS, CURRENTLY AT 76%, WILL CONTINUE TO GROW.CHENANGO COUNTY HAS FOURTEEN HEALTH CENTERS LOCATED THROUGHOUT THE TOWNSHIPS. ANY PSYCHIATRIC PATIENTS MUST BE TRANSFERRED TO FACILITIES OUTSIDE THE COUNTY. THE AREA HAS A RATIO OF 1 PRIMARY CARE PROVIDER FOR EVERY 2,081 RESIDENTS AND 1 DENTIST FOR EVERY 2,912 RESIDENTS. IT HAS BEEN DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA ACCORDING THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR LOW INCOME PRIMARY HEALTH CARE, DENTAL CARE, AND MENTAL HEALTH CARE. THE RATIO OF POPULATION TO PROVIDERS PLACES CHENANGO COUNTY IN THE BOTTOM HALF OF COUNTIES IN NYS FOR PRIMARY CARE PHYSICIANS. OTHER BARRIERS TO ACCESS TO CARE INCLUDE LACK OF SPECIALTY CARE WITHIN THE COUNTY AND LACK OF TRANSPORTATION SERVICES TO THAT CARE LOCATED BOTH IN AND OUT OF THE COUNTY. THESE BARRIERS ARE TRUE FOR DENTAL AND MENTAL HEALTH AS WELL.UHS CHENANGO MEMORIAL IS A STATE DESIGNATED RURAL HOSPITAL AND WAS JUST RECENTLY DESIGNATED AS A SOLE COMMUNITY HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. A HOSPITAL RECEIVES THIS DESIGNATION IF IT IS LOCATED MORE THAN 35 MILES FROM OTHER LIKE HOSPITALS. A HOSPITAL MAY ALSO BE CLASSIFIED AS A SCH IF IT IS LOCATED IN A RURAL AREA AND NO MORE THAN 25 PERCENT OF RESIDENTS WHO BECOME HOSPITAL INPATIENTS OR NO MORE THAN 25 PERCENT OF THE MEDICARE BENEFICIARIES WHO BECOME HOSPITAL INPATIENTS IN THE HOSPITAL'S SERVICE AREA ARE ADMITTED TO OTHER LIKE HOSPITALS LOCATED WITHIN A 35-MILE RADIUS OF THE HOSPITAL.ACCORDING TO THE US CENSUS BUREAU, 87.2% OF ADULTS HAVE A HIGH SCHOOL EDUCATION BUT ONLY 17.4% HAVE A BACHELOR'S DEGREE OR HIGHER IN CHENANGO COUNTY. APPROXIMATELY 75% OF COUNTY RESIDENTS OWN AND OCCUPY THEIR HOME WHILE 25% RENT. 28.9% OF HOMEOWNERS AND 48.4% OF RENTERS HAVE MONTHLY HOUSING COSTS THAT ARE AT LEAST 30% OF THEIR TOTAL HOUSEHOLD INCOME, ACCORDING TO THE HORN RESEARCH CFSCNY NEEDS ASSESSMENT. ** CONTINUED ON SCHEDULE H SUPPLEMENTAL INFORMATION |
| PART VI, LINE 5: | COMMUNITY BOARDUHS CHENANGO MEMORIAL'S BOARD OF DIRECTORS TOTALS 16 MEMBERS, 11 OF WHOM ARE LOCAL RESIDENTS AND COMMUNITY LEADERS IN BANKING, LAW, PHARMACEUTICALS, MANUFACTURING, INSURANCE, INVESTMENTS, AND INDEPENDENT BUSINESS. THE BOARD MEETS BI-MONTHLY. THE BOARD ALSO HAS COMMITTEES THAT FOCUS ON FINANCES, STAFF CREDENTIALING, AND GOVERNANCE ALL OF WHICH HAVE REPRESENTATION FROM THE COMMUNITY.THE CMH AUXILIARY, WHO ALSO REPORT UNDER THE HOSPITAL'S TAX ID NUMBER, HAS ITS OWN BOARD THAT MEETS MONTHLY AND CONSISTS OF 16 MEMBERS ALL OF WHOM LIVE LOCALLY. THEY, TOO, REPRESENT A CROSS SECTION OF BUSINESSES SIMILAR TO THE HOSPITAL'S BOARD OF DIRECTORS. IN ADDITION, THEY INCLUDE RETIRED INDIVIDUALS AND FAMILY MEMBERS OF PROMINENT COMMUNITY LEADERS IN THE AREA.ALTHOUGH THE CHENANGO MEMORIAL HOSPITAL FOUNDATION, INC., HAS ITS OWN TAX ID NUMBER, ITS SOLE PURPOSE IS TO SUPPORT THE HOSPITAL THROUGH FUNDRAISING. THE FOUNDATION BOARD ALSO HAS 14 MEMBERS WHO REPRESENT BUSINESSES FROM THROUGHOUT THE COUNTY AND MEET APPROXIMATELY 3 TIMES PER YEAR.OPEN MEDICAL STAFF THE HOSPITAL REVIEWS MEDICAL STAFF PRIVILEGES OF ANY QUALIFIED PHYSICIANS AND ALLIED PROFESSIONALS IN THE COMMUNITY THAT APPLY. THE RIGOROUS CREDENTIALING PROCESS INCLUDES REVIEW BY AN INTERNAL CREDENTIALS COMMITTEE AND MEDICAL EXECUTIVE COMMITTEE. AFTER APPROVAL FROM THESE TWO COMMITTEES, THE APPLICATION PROCEEDS TO THE PROFESSIONAL ADVISORY COMMITTEE (PAC), A SUBCOMMITTEE OF THE HOSPITAL'S BOARD OF TRUSTEES, FOR APPROVAL. AFTER APPROVAL BY PAC, THE APPLICATION PROCEEDS TO THE HOSPITAL'S BOARD OF DIRECTORS FOR FINAL APPROVAL AND CREDENTIALING. USE OF SURPLUS FUNDS SURPLUS FUNDS ARE MADE AVAILABLE PRIMARILY FOR PURCHASES OF EQUIPMENT, FACILITY IMPROVEMENTS, OR TECHNOLOGY TO IMPROVE PATIENT CARE. IN SOME INSTANCES, FUNDS ARE USED TO SUPPORT NEW SERVICES. - PLANS FOR DEVELOPING THE CHENANGO MEDICAL NEIGHBORHOOD BEGAN IN EARNEST DURING 2017 WHEN THE HOSPITAL RECEIVED A $9M TRANSFORMATION GRANT AWARD FROM THE NYS DEPARTMENT OF HEALTH. PLANNING FOR THE TWO PHASES OF THE PROJECT BEGAN PRIOR TO 2017 AND HAS CONTINUED TO THIS DAY. THE FIRST PHASE WILL INCLUDE RELOCATING THE HOSPITAL'S LABORATORY TO THE BASEMENT FLOOR. THIS MOVE WILL MAKE SPACE FOR AN ENLARGED CARDIOLOGY DEPARTMENT AND A MUCH-NEEDED NEW CARDIAC REHAB UNIT. THE LAST STEP IN THIS FIRST PHASE WILL BE TO RELOCATE OUR NUCLEAR IMAGING AREA INTO ITS PERMANENT LOCATION AS PART OF THE FUTURE REDESIGNED RADIOLOGY DEPARTMENT. PREPARING FOR THE FIRST PHASE INVOLVED RELOCATING NUMEROUS DEPARTMENTS WITHIN THE HOSPITAL AND, IN SOME CASES, TO OFF-SITE LOCATIONS WHILE MAINTAINING PATIENT ACCESS AND SAFETY. THE INVESTMENT IN THESE PREPARATORY MOVES EXCEEDED $1M IN 2018.CONSTRUCTION OF THE NEW LAB AND PHLEBOTOMY BUILDOUT STARTED IN AUGUST 2018 AND IS DUE FOR COMPLETION IN JANUARY 2019. THIS PHASE OF THE PROJECT WILL NOT BE REIMBURSED FROM THE TRANSFORMATION GRANT AND IS BUDGETED TO COST CMH APPROXIMATELY $400K. DURING THE DEMOLITION OF THE NEW LAB SPACE, LOCATED IN A BUILDING THAT DATES BACK TO 1958, CONTRACTORS DISCOVERED MAJOR ISSUES WITH THE ELECTRICAL PANELS AS WELL AS A LEAKING STEAM LINE. THESE AND OTHER ISSUES THAT NEEDED REPAIR BEFORE PROCEEDING COST CMH AN ADDITIONAL $461K.CONSTRUCTION OF THE NEW CARDIOLOGY AND CARDIAC REHAB SPACE WILL BEGIN AS SOON AS THE LAB IS RELOCATED IN 2019.- IN 2017, THE HOSPITAL'S GENERATOR REACHED END OF LIFE. THE HOSPITAL IMMEDIATELY INSTALLED A TEMPORARY EMERGENCY GENERATOR WHILE THE PROCESS BEGAN TO PURCHASE A PERMANENT ONE. AT THE END OF 2017, THE HOSPITAL ISSUED A PO FOR $405K FOR A NEW GENERATOR THAT ARRIVED JUNE 2018. IN PREPARATION FOR ITS ARRIVAL, THE HOSPITAL HAD TO CONDUCT A SUBSURFACE INVESTIGATION AND A GEOTECHNICAL STUDY TO ENSURE THE SITE WAS SAFE. EXCAVATION THEN TOOK PLACE TO POUR THE PAD AND BUILD A SAFETY WALL PRIOR TO THE GENERATOR'S ARRIVAL. THE GENERATOR ARRIVED, WAS FUELED AND WENT LIVE IN OCTOBER. THE COST OF PREPARING THE SITE AND OTHER SUPPORTING ACTIVITIES TOTALED APPROXIMATELY $70,000. CROTHALL HEALTHCARE, THE HOSPITAL'S PARTNER WITH THIS PROJECT, PROVIDED $400K IN FUNDING BRINGING THE TOTAL EXPENSE TO APPROXIMATELY $875K.THE PREVIOUS GENERATOR DID NOT SUPPORT OUR CT SCANNER AND SOME OF OUR IMAGING EQUIPMENT DURING POWER OUTAGES - A SERIOUS ISSUE FOR PATIENTS ARRIVING IN THE ER DURING THESE OUTAGES. THE NEW GENERATOR RESOLVED THIS ISSUE. THE HOSPITAL NO LONGER NEEDS TO TRANSPORT PATIENTS FOR CT SCANS OR OTHER RADIOLOGY STUDIES DURING EXTENDED ELECTRICAL OUTAGES.- THE HOSPITAL INVESTED $290K IN 3D MAMMOGRAPHY EQUIPMENT FOR BREAST SCANNER SCREENINGS. 3D MAMMOGRAMS REDUCE THE NEED FOR MULTIPLE TESTS AND SAVE WOMEN ANGST ABOUT POTENTIALLY POSITIVE DIAGNOSES. THE TECHNOLOGY USES MULTIPLE ANGLED IMAGES AS THE MACHINE SWEEPS IN AN ARC OVER A WOMEN'S BREAST. THE RADIOLOGIST VIEWS THESE IMAGES SEQUENTIALLY. A MASS WILL STAND OUT IN THE SCAN - NOT BE CAMOUFLAGED BY DENSE BREAST TISSUE AS SOMETIMES OCCURS WITH TRADITIONAL 2D MAMMOGRAPHY. THE FOLLOWING ARE THE TOP FIVE BENEFITS OF 3D MAMMOGRAPHY: A) MORE ACCURATE DETECTION, B) EARLIER DIAGNOSIS, C) BETTER DETECTION IN DENSE BREAST TISSUE, D) LESS ANXIETY FOR THE PATIENT DUE TO FALSE ALARMS WITH 2D MAMMOGRAPHY, E) IS SAFE AND EFFECTIVE - WOMEN EXPERIENCE A MINIMAL AMOUNT OF ADDITIONAL RADIATION COMPARED WITH A STANDARD MAMMOGRAM.- CT UPGRADE TO 128 SLICE - FOR PATIENTS REQUIRING A CT EXAMINATION, AND IN PARTICULAR FOR THOSE REQUIRING CARDIAC, BRAIN OR PERIPHERAL VASCULAR EXAMINATION, THE STATE-OF-THE-ART 128-SLICE CT SCANNER TAKES ADVANTAGE OF THE LATEST ADVANCES IN CT IMAGING TECHNOLOGY TO PROVIDE INCREASED SPEED AND DETAILED INFORMATION, BETTER DIAGNOSTIC CARE, GREATER CONVENIENCE AND IMPROVED PATIENT COMFORT. THIS UPGRADED TECHNOLOGY IS ESPECIALLY IMPORTANT FOR HEAD, NECK AND CARDIAC CASES ARRIVING IN THE ER. FOR CARDIAC PATIENTS IN PARTICULAR, THE BENEFITS ARE SIGNIFICANT: A) ACUTE CHEST PAIN CAN BE EVALUATED QUICKLY WITH A SINGLE SCAN, B) THE TEST CAN TAKE AS LITTLE AS 10 MINUTES FROM SCAN TO DIAGNOSIS INSTEAD OF HOURS, THE SCANNER'S SPEED SHORTENS THE LENGTH OF TIME PATIENTS MUST HOLD THEIR BREATH FROM 17 SECONDS TO JUST 9, AND C) IMAGES OF THE BEATING HEART IN REAL TIME PERMIT THE EVALUATION OF HEART VALVES AND RELATED STRUCTURES. NEARLY $70,000 WAS INVESTED TO UPGRADE OUR EXISTING CT SCANNER WITH THIS TECHNOLOGY.- PHARMACY - CMH STARTED RENOVATION OF OUR CURRENT PHARMACY TO INCORPORATE A STERILE COMPOUNDING AREA COMPLIANT WITH USP 797 AND USP 800 STANDARDS. INCLUDED IN THE PROJECT IS INSTALLING A NEW ROOF-TOP AIR HANDLING UNIT TO PROVIDE FOR THE ISO7 COMPLIANCE AIR DISTRIBUTION ALONG WITH PROPER NEGATIVE AND POSITIVE PRESSURES. THE SMOKE ZONE WITHIN WHICH THE PHARMACY IS LOCATED, SHALL BE PROVIDED WITH A FULLY-COMPLIANT FIRE SUPPRESSION, FIRE ALARM AND SMOKE DETECTION SYSTEM. THE SCOPE OF THE WORK IN THIS PROJECT WILL INCLUDE SOME MINOR UPGRADES TO SMOKE DOORS TO DEFINE THE PERIMETER OF THE SMOKE ZONE. AT THE CONCLUSION OF THE RENOVATION, THE PHARMACY WILL BE SERVED WITH A COMPLIANT TYPE I EMERGENCY EVACUATION SYSTEM. BRINGING THE CMH PHARMACY STERILE COMPOUNDING ROOMS INTO USP 800 COMPLIANCE ALLOWS THE HOSPITAL TO STRENGTHEN AND DIVERSIFY EXISTING SERVICES. PHARMACEUTICALS ARE AN INTEGRAL PART OF MOST SERVICES OFFERED IN A HOSPITAL. DIAGNOSTIC AND TREATMENT SERVICES INCLUDING LABORATORY, IMAGING, INTERVENTIONAL RADIOLOGY, OBSTETRICAL SERVICES, MINOR TO MAJOR SURGICAL PROCEDURES, AND EMERGENCY MEDICINE RELY ON THE AVAILABILITY OF PHARMACEUTICALS. RECENTLY ADDED SERVICES, LIKE VASCULAR SURGERY, AND ONCOLOGY, ARE NO EXCEPTION TO RELIANCE ON PHARMACY. THIS PROJECT IS VITAL TO CONTINUED ACCESS TO THESE SERVICES IN THIS COMMUNITY. THIS IS A $500K PROJECT THAT WILL EXTEND INTO 2019; $200K WAS SPENT IN 2018. THIS PROJECT HAS BEEN GENEROUSLY SUPPORTED BY LOCAL FOUNDATIONS. WHEN COMPLETED, IT WILL ENSURE LONG-TERM AVAILABILITY OF CHEMOTHERAPY TREATMENTS FOR LOCAL CANCER PATIENTS WHO PREVIOUSLY HAD TO TRAVEL 45 MINUTES FOR THIS SERVICE. - IN A CONTINUING EFFORT TO IMPROVE PATIENT CARE AND STAFF EFFICIENCIES, UHS CHENANGO MEMORIAL HOSPITAL COMPLETED RENOVATIONS TO TWO OF OUR OPERATING ROOMS. THESE ROOMS WERE RENOVATED TO MEET CURRENT REGULATIONS AND TO INCREASE CAPACITY FOR ADDITIONAL SURGEONS THAT HAVE JOINED THE STAFF SPECIALIZING IN ORTHOPEDICS, VASCULAR, AND GENERAL SURGERY. THE RENOVATION INCLUDED A COMPLETE UPGRADE OF THE AIR HANDLING, INVESTMENTS IN NEW EQUIPMENT, (I.E. OR LIGHTS AND ANESTHESIA MACHINES), AND RENOVATION OF THE PHYSICAL OPERATING ROOM SPACE. RENOVATION AND APPROVAL OF OR 4, WHICH WAS PREVIOUSLY USED FOR STORAGE, OCCURRED IN 2017. APPROVAL OF OR 5 OCCURRED IN MARCH 2018. THIS PROJECT WAS GENEROUSLY SUPPORTED BY LOCAL FOUNDATIONS. PATIENTS NOW HAVE ACCESS TO MORE SERVICES AND IMPROVED ABILITY TO GET SCHEDULED IN A TIMELY MANNER. NEARLY $200K WAS SPENT TO FINISH THE PROJECT.** CONTINUED ON SCHEDULE H PART VI SUPPLEMENTAL INFORMATION |
| PART VI, LINE 6: | CMH IS AN IMPORTANT PART OF THE UNITED HEALTH SERVICES SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF CMH IN 1910 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. IN 2013, THE UNITED HEALTH SERVICES SYSTEM ENGAGED IN A STRATEGIC PLANNING PROCESS FOR THE YEARS 2014-2016. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR GOALS: CLINICAL EXCELLENCE,SERVICE EXCELLEMCE, MARKET GROWTH AND FINANCIAL STRENGTH. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE CMH COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO CMH. THE OTHER HOSPITAL MEMBERS OF THE UHS SYSTEM, UHS WILSON MEDICAL CENTER, UHS BINGHAMTON GENERAL HOSPITAL, AND DELAWARE VALLEY HOSPITAL SUBMIT SEPARATE REPORTS.- CLINICAL EXCELLENCE: CMH HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY, PATIENT SAFETY AND SERVICE. CMH IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTH WORKFORCE.- SERVICE EXCELLENCE: ADDRESS DELIVERING ON THE CMH BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, CMH REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES NEEDS.- FINANCIAL STRENGTH: TO ENSURE CMH HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.PART VI, LINE 7CHENANGO MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE. |
| SCHEDULE H PART VI PROMOTION OF COMMUNITY HEALTH | ** CONTINUED FROM SCHEDULE H- IN DECEMBER 2017, THE SOLE PROVIDER OF ONCOLOGY SERVICES TO CHENANGO COUNTY PULLED OUT ON SHORT NOTICE CITING THE INABILITY TO FINANCIALLY SUSTAIN THE PRIVATE PRACTICE. ONCOLOGY PATIENTS SUBSEQUENTLY HAD TO TRAVEL AN HOUR TO GET THEIR TREATMENTS WHEN THEY WERE ALREADY IN A WEAKENED AND VULNERABLE CONDITION. THIS COUNTY HAS THE 4TH HIGHEST RATE OF ALL CANCERS IN NYS SO CMH WORKED DILIGENTLY TO RESTORE ONCOLOGY SERVICES AS SOON AS POSSIBLE. CMH PERSEVERED THROUGH NUMEROUS DAUNTING REGULATIONS AND OBSTACLES AND IN OCTOBER 2018 RESTORED ONCOLOGY AND INFUSION SERVICES IN AN ARTICLE 28 SETTING. SERVICES INCLUDE CONSULTATIONS, HEMATOLOGY AND ONCOLOGY FOLLOW-UP, LAB WORK, CHEMOTHERAPY AND BIOTHERAPY INFUSIONS, AND REFERRALS FOR SECOND OPINIONS AND TO ANY SPECIALTY SERVICE. ADDITIONALLY, THE HOSPITAL OFFERS SUPPORTIVE CARE AND PHONE ACCESS TO ONCOLOGY CLINICAL STAFF. JOSEPH READING, MD, IS THE PRIMARY PHYSICIAN ON-SITE, ALONG WITH SUPPORT FROM A SKILLED TEAM WHICH INCLUDES A PHARMACIST, NUTRITIONIST, REGISTERED NURSES AND SUPPORT STAFF. THE INFUSION SUITE HAS ALSO BEEN UPGRADED TO GIVE MORE SPACE AND PRIVACY TO PATIENTS.PATIENTS AND THEIR FAMILIES HAVE BEEN EXTREMELY APPRECIATIVE TO HAVE ONCOLOGY SERVICES BACK IN CHENANGO COUNTY. THIS SERVICE LINE HAS HAD A FULL SCHEDULE OF PATIENTS SINCE THE FIRST DAY IT OPENED. $24,248 WAS SPENT TO RENOVATE THE AREA PLUS OVER $1800 IN LABOR.- SECURITY - THE HOSPITAL USED $78,000 TO IMPROVE SECURITY. $43,595 WAS USED TO PURCHASE ADDITIONAL SURVEILLANCE CAMERAS AND SUPPORTING INFRASTRUCTURE AND $34,335 TO ADD CARD ACCESS TO ALL EXTERIOR DOORS. THE SURVEILLANCE EQUIPMENT IS NETWORKED WITH UHS IN CASE OF A MAJOR INCIDENT. NOW THAT ALL DOORS HAVE CARD ACCESS, THE GENERAL PUBLIC CAN NO LONGER ENTER THE HOSPITAL THROUGH EMPLOYEE ENTRANCES. ADDITIONALLY, THE HOSPITAL CAN NOW GO INTO TOTAL LOCKDOWN IN CASE OF AN ACTIVE SHOOTER INCIDENT. |
| SCHEDULE H PART VI PROMOTION OF COMMUNITY BUILDING ACTIVITY | - ADDED SPECIALTY SERVICES IN SIDNEY, NY - IT HAS BEEN THE HOSPITAL'S GOAL TO OFFER SPECIALTY SERVICES IN THIS REMOTE LOCATION. WE ARE HAPPY TO REPORT THAT AS OF 2018, WE OFFER THE FOLLOWING SPECIALTIES IN SIDNEY AT LEAST 1 DAY PER WEEK: GENERAL SURGERY, ORTHOPEDICS, CARDIOLOGY, PODIATRY, AND WOMEN'S HEALTH INCLUDING OBSTETRIC SERVICES. CMH HAS THE ONLY OBSTETRICIAN IN THE TRI-COUNTY AREA OF OTSEGO, DELAWARE, AND CHENANGO COUNTIES.- PRIMARY CARE AND WOMEN'S HEALTH IN SHERBURNE, NY - THE HOSPITAL HAS STRUGGLED TO RETAIN A PHYSICIAN IN SHERBURNE. DURING 2018, ONE OF OUR VETERAN PRIMARY CARE PHYSICIANS STARTED SEEING PATIENTS ONE DAY A WEEK AND SUPPORTED THE OTHER ALLIED HEALTH PROFESSIONALS IN THAT LOCATION. ADDITIONALLY, WE ADDED OB/GYN SERVICES WHICH HAS ALREADY RESULTED IN AN INCREASE IN BIRTHS AT CMH FROM MADISON COUNTY. CMH IS THE ONLY HOSPITAL OFFERING MATERNITY SERVICES ON THE ROUTE 12 CORRIDOR BETWEEN BINGHAMTON AND ONEIDA.- PAIN MANAGEMENT SERVICES RELOCATED TO NORWICH FROM THE OXFORD CLINIC FOR IMPROVED ACCESSIBILITY. THIS ALSO OPENED UP SPACE IN THAT CLINIC TO RESTORE PRIMARY CARE SERVICES.- THE HOSPITAL EXTENDED HOURS FOR MAMMOGRAPHIES. WE NOW ACCEPT APPOINTMENTS STARTING AT 7AM TWICE A WEEK WITH THE GOAL OF PROVIDING EXTENDED HOURS 5 DAYS/WEEK.- AFTER A BRIEF HIATUS, PATIENTS NOW HAVE ACCESS TO STATE-OF-THE-ART ONCOLOGY CARE AT CHENANGO MEMORIAL HOSPITAL. CMH AND BROOME ONCOLOGY ONCOLOGIST JOSEPH READLING, MD, COMES TO NORWICH EACH THURSDAY TO CONDUCT OFFICE VISITS AND FOLLOW UPS, AND OVERSEE CHEMOTHERAPY INFUSIONS. A SEVEN-CHAIR INFUSION CENTER ENABLES PATIENTS TO RECEIVE CHEMOTHERAPY INFUSIONS AND INJECTIONS, IMMUNOTHERAPY, AND IRON INFUSIONS. THE HOSPITAL'S PHARMACY IS NOW EQUIPPED TO FORMULATE THE MIXTURES USED IN THE INFUSION CENTER - PREVIOUSLY BROOME ONCOLOGY HANDLED THESE PREPARATIONS. THE ON-SITE PHARMACIST ENHANCES SERVICES, ALLOWING FOR NECESSARY CHANGES IN CHEMOTHERAPY OR INFUSION ORDERS TO BE MANAGED QUICKLY. THERE IS NOW ACCESS TO A SOCIAL WORKER AND NUTRITIONIST ON SITE. THIS SERVICE ENHANCES PATIENT ASSISTANCE SURROUNDING MANY ASPECTS SUCH AS FINANCIAL GUIDANCE, EMOTIONAL ASSISTANCE, DIETARY NEEDS, AND COMMUNITY RESOURCES JUST TO NAME A FEW.CMH NURSES HAVE BEEN TRAINED IN ONCOLOGY-SPECIFIC PROCEDURES TO HELP DURING APPOINTMENTS AND IN THE INFUSION CENTER. UHS CHENANGO MEMORIAL IS HEAVILY INVOLVED WITH HEALTH PROGRAMS AT THE STATE AND LOCAL LEVEL.- IROQUOIS HEALTH ALLIANCE (IHA) - THE HOSPITAL'S CEO IS AN IHA BOARD MEMBER. THE ORGANIZATION CONSISTS OF CEO'S OF ALL THE HOSPITALS IN CENTRAL NEW YORK. IT IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSTATE HOSPITALS AND HEALTHCARE SYSTEMS MEMBERS. THE IHA PROMOTES A BROADER UNDERSTANDING OF, AND BUILDS SUPPORT FOR, THE HEALTH CARE SYSTEMS SERVING UPSTATE NEW YORK. THIS FORUM HAS BEEN USED BY THE DEPARTMENT OF HEALTH AND OTHER GOVERNMENT ORGANIZATIONS TO DISCUSS CHANGES IN HEALTH CARE AND NEW REGULATIONS DIRECTLY WITH HOSPITAL CEO'S. - AMERICAN HOSPITAL ASSOCIATION (AHA) - CMH'S PRESIDENT & CEO IS A MEMBER OF THE AHA. AHA'S REPRESENTATION AND ADVOCACY ACTIVITIES ENSURES THAT MEMBERS' PERSPECTIVES AND NEEDS ARE HEARD AND ADDRESSED IN NATIONAL HEALTH POLICY DEVELOPMENT, LEGISLATIVE AND REGULATORY DEBATES, AND JUDICIAL MATTERS. THEIR ADVOCACY EFFORTS INCLUDE THE LEGISLATIVE AND EXECUTIVE BRANCHES AND INCLUDE THE LEGISLATIVE AND REGULATORY ARENAS.- SOUTHERN TIER REGIONAL HEALTHCARE BENEFITS & QUALITY MANAGEMENT COMMITTEE - THE COMMITTEE CONSISTS OF EMPLOYERS AND HEALTHCARE ORGANIZATIONS FOR EXCELLUS BLUE CROSS/BLUE SHIELD TO EXPLAIN THEIR BENEFIT PROGRAMS AND QUALITY INITIATIVES, UTILIZATION, CONTROL OF UTILIZATION, I.E. USE OF CT SCANNERS AND MRI'S, WELLNESS PROGRAMS, ETC. EXCELLUS REPORTS THE RESULTS OF QUALITY MEASURES TO UNDERSTAND THE SUCCESSES AND CHALLENGES OF THEIR VARIOUS PROGRAMS. CMH'S PRESIDENT & CEO IS A MEMBER OF THIS COMMITTEE.- GREATER BINGHAMTON CHAMBER OF COMMERCE -- BILL HAMMOND FROM THE EMPIRE CENTER SPOKE ABOUT THE COST AND QUALITY OF CARE RESULTING FROM A SINGLE-PAYER HEALTHCARE SYSTEM DESPITE THE FACT THAT A) THE ASSEMBLY HAS PASSED THE NY HEALTH ACT FOUR YEARS IN A ROW; B) THIS WOULD CREATE A UNIVERSAL SINGLE PAYER HEALTHCARE SYSTEM IN NY AND C) NOVEMBER STATE ELECTIONS MAY HAVE AN IMPACT ON THE FEASIBILITY OF PASSING IN THE SENATE. HE ALSO SPOKE ABOUT THE SOLUTIONS: A) HOW WE GOT TO THIS HEALTHCARE SITUATION IN NYS, B) AN OVERVIEW OF MAJOR NYS HEALTHCARE ISSUES, THE IMPACT AND COSTS OF SINGLE-PAYER, AND C) ALTERNATIVE HEALTHCARE SOLUTIONS. TWO MEMBERS OF THE HOSPITAL'S SENIOR MANAGEMENT TEAM ATTENDED THIS EVENT.- ADVOCACY DAY IN ALBANY, NY - COORDINATED BY THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) AND THE IROQUOIS HEALTHCARE ALLIANCE (IHA), THREE SENIOR MANAGEMENT REPRESENTATIVES TRAVELED TO ALBANY TO DISCUSS NURSE STAFFING RATIOS WITH DOH STAFF AND MEMBERS OF THE NYS SENATE AND ASSEMBLY. OTHERS INVOLVED INCLUDED HANYS LEGISLATIVE ALLIANCE TEAM AND CNO'S FROM HOSPITALS AROUND THE STATE.- GRASSROOTS ADVOCACY WORKSHOP - ERIC RASMUSSEN, VP, LEGISLATIVE AFFAIRS OF THE AMERICAN HOSPITAL ASSOCIATION, PROVIDED AN UPDATE ON THE PRESSING ISSUES FACING CONGRESS AND POLICYMAKERS, AND HOW THE NOVEMBER MID-TERM ELECTIONS COULD IMPACT HOSPITALS AND HEALTH SYSTEMS. HE ALSO DISCUSSED BEST PRACTICES FOR ESTABLISHING AND NURTURING RELATIONSHIPS WITH ELECTED OFFICIALS AND THEIR KEY STAFF MEMBERS AND HOW TO SELL THE HOSPITAL'S STORY FOR MAXIMUM AFFECT. THIS WORKSHOP WAS HOSTED BY THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES AND WAS ATTENDED BY A MEMBER OF CMH'S SENIOR MANAGEMENT TEAM.- ADVOCACY DISCUSSION - FACILITATED BY THE IROQUOIS HEALTHCARE ASSOCIATION, TWO CONFERENCE CALLS WERE ATTENDED BY A CMH SENIOR STAFF MEMBER. ONE WAS A DISCUSSION OF NYS BUDGET IMPLICATIONS ON POLICY/REGULATORY PROPOSALS THAT COULD IMPACT CMH AND BY EXTENSION OUR COMMUNITY. THE OTHER DISCUSSED THE NYS BUDGET, ADVOCACY AT THE STATE AND FEDERAL LEVEL AS WELL AS REGULATIONS AND LEGISLATION THAT IS CHANGING THE HEALTHCARE LANDSCAPE.- UHS ADVOCACY TEAM - INDIVIDUALS FROM ACROSS THE UNITED HEALTH SERVICES (UHS) SYSTEM MET TO CREATE AN INTERNAL ADVOCACY TEAM TO ENSURE WE ARE BUILDING RELATIONSHIPS WITH ELECTED AND APPOINTED OFFICIALS AND ACTIVELY MONITORING ISSUES AT THE LOCAL, STATE AND FEDERAL LEVELS.LINE 8 - WORKFORCE DEVELOPMENTIN ADDITION TO MENTORING NUMEROUS STUDENTS THROUGHOUT THE YEAR, REPRESENTATIVES OF THE HOSPITAL SERVE ON VARIOUS EDUCATIONAL BOARDS AND/OR PROVIDE INSTRUCTION IN-HOUSE TO MEDICAL STUDENTS. EXAMPLES DURING 2017 ARE AS FOLLOWS:- DURING THE YEAR, CMH WAS RESEARCHING THE OPPORTUNITY TO HOST A HEALTHCARE EXPLORER POST THROUGH THE BADEN-POWELL COUNCIL OF THE BOY SCOUTS OF AMERICA HEADQUARTERED IN BINGHAMTON, NY. HEALTHCARE EXPLORERS IS FOR STUDENTS 14-21 YEARS OLD. THE PROGRAM PROVIDES LEADERSHIP DEVELOPMENT, ENCOURAGES PARTICIPANTS TO GIVE BACK TO THE COMMUNITY, DEVELOPS LIFE SKILLS, PROVIDES HANDS-ON EXPERIENCE, AND GIVES STUDENTS THE OPPORTUNITY TO DECIDE IF A HEALTHCARE CAREER IS RIGHT FOR THEM. UNFORTUNATELY, THIS PROJECT WAS ABANDONED DUE TO TIME CONSTRAINTS AND MORE URGENT PRIORITIES OF THE HOSPITAL.- ADVISORY COUNCIL FOR NORWICH CAMPUS - A REPRESENTATIVE FROM THE HOSPITAL'S HUMAN RESOURCE DEPARTMENT IS A MEMBER OF THIS COUNCIL. THE PURPOSE IS FOR EMPLOYERS TO ADVISE THE COLLEGE ON IDEAS FOR STUDENT ENROLLMENT, PROGRAMMING AND COMMUNITY NEEDS AND INVOLVEMENT. OTHER ATTENDEES INCLUDE REPRESENTATIVES FROM CITY OF NORWICH, YMCA, BOCES, COMMERCE CHENANGO, NBT, NORWICH CITY SCHOOLS AND OTHERS.- A HUMAN RESOURCES REPRESENTATIVE OF THE HOSPITAL ATTENDED MORRISVILLE'S JOB AND INTERNSHIP FAIR. THIS WAS AN EVENT TO PROVIDE AND ASSIST STUDENTS WITH INFORMATION REGARDING JOB OPENINGS AND INTERNSHIP OPPORTUNITIES AT CMH. - CMH CAREER DAYS CAMP -THIS 2-DAY EVENT IS SPONSORED BY UHS CHENANGO MEMORIAL HOSPITAL FROM FUNDING PROVIDED BY A LOCAL FOUNDATION. THIS EVENT IS FOR AREA STUDENTS GOING INTO 8TH AND 9TH GRADE. DURING THEIR CAMP EXPERIENCE, THEY ARE ABLE TO VISIT VARIOUS DEPARTMENTS IN THE MEDICAL FIELD AND DO HANDS-ON ACTIVITIES, INCLUDING LAPAROSCOPIC SURGERY, INTUBATION, AND PATIENT TRANSFERS. GOAL IS TO GAIN INTEREST IN THE DIFFERENT FIELDS SO THAT THE STUDENT CAN CONCENTRATE THEIR HIGH SCHOOL STUDIES ON CLASSES THAT WOULD BE NEEDED FOR COLLEGE ENROLLMENT. PARTICIPANTS INCLUDED LIFENET, NORWICH FIRE DEPARTMENT, THE NORWICH SCHOOL DISTRICT AND BOCES. THE EVENT HAD 16 STUDENTS.- NEW VISIONS (HEALTHCARE) - UHS CHENANGO MEMORIAL HAS AN ON-GOING RELATIONSHIP WITH DELAWARE, CHENANGO, MADISON, OTSEGO (DCMO) BOARD OF COOPERATIVE EDUCATIONAL SERVICES (BOCES). CMH PARTICIPATED IN MANY EVENTS THROUGHOUT THE YEAR TO SUPPORT BOCES' EDUCATIONAL AND CAREER DEVELOPMENT ACTIVITIES. |
| SCHEDULE H PART VI PROMOTION OF COMMUNITY BUILDING ACTIVITY | - NEW VISIONS (HEALTHCARE) - CMH HOSTS BOCES' NEW VISIONS STUDENTS INTERESTED IN PURSUING HEALTHCARE CAREERS. THIS GROUP HAS A CLASSROOM ON-SITE AT THE HOSPITAL THAT IS PROVIDED AT NO COST WHILE THEY PURSUE THEIR STUDIES DURING THE SCHOOL YEAR. BY HAVING THE CLASSROOM ON SITE, THEY HAVE EASY AND AMPLE ACCESS TO THE PATIENT CARE AREAS, NURSES AND CLINICAL CAREGIVERS TO OBSERVE PROCEDURES AND ASSIST WHEN APPROPRIATE. STUDENTS ENTERING THEIR SENIOR YEAR GO THROUGH A RIGOROUS APPLICATION PROCESS WITH BOCES TO GET INTO THE CLASS BASED SOMEWHAT ON THEIR CURRENT GPA. THIS PARTNERSHIP HAS PROVEN SUCCESSFUL AS MANY GRADUATES HAVE GONE ON TO GET THEIR DEGREES IN VARIOUS HEALTHCARE PROFESSIONS. SOME OF THE GRADUATES HAVE ACTUALLY RETURNED TO THE AREA. THERE WERE 16 STUDENTS ENROLLED IN THE PROGRAM IN 2017-2018. STUDENTS ALSO PLAYED THE ROLES OF "VICTIMS" IN THE HOSPITAL'S DECONTAMINATION DRILL.- THE BOCES CAREER AND TECHNICAL EDUCATION CENTER CONSULTANT COMMITTEE MET IN OCTOBER TO DISCUSS WHAT'S NEW AT BOCES, THEIR INITIATIVES, TABLE DISCUSSION OF THE RELATIONSHIP BETWEEN CMH AND THE NEW VISIONS PROGRAM AND WHAT'S NEW IN HEALTH CARE TO ASSIST WITH DEVELOPING A FUTURE CURRICULUM.- CAREER FAIR - CMH PARTICIPATED IN THIS EVENT TO EDUCATE STUDENTS ABOUT CAREERS AVAILABLE IN THEIR COMMUNITY AND PROVIDE INFORMATION ON HEALTHCARE CAREERS AND OTHER SUPPORT SERVICES RELATED TO HEALTHCARE. DISCUSSED SHADOWING AND VOLUNTEER OPPORTUNITIES AVAILABLE WITH CMH. OTHER PARTICIPANTS INCLUDED THE NYS VETERANS HOME, CHASE HEALTH, NORWICH NURSING & REHAB, AND THE CHENANGO HEALTH NETWORK.- EDUCATIONAL FORUM ON CAREER PATHS & PARTNERSHIPS - TWO (2) MEMBERS OF THE HOSPITAL'S SENIOR MANAGEMENT TEAM ATTENDED THIS FORUM. "ANSWERING WHY: UNLEASHING PASSION, PURPOSE, AND PERFORMANCE IN THE YOUNGER GENERATION" WAS THE MAIN TOPIC. DISCUSSION INCLUDED COLLABORATION BETWEEN INDUSTRY AND EDUCATION TO DEVELOP CAREER PATHWAYS USING A CAREER TREE MODEL.- MOUNTAIN MOVERS 5K - A CAREER NURSE AT CMH PARTICIPATED TO RAISE AWARENESS AND FUNDING FOR BOCES PROGRAMS.- CHENANGO COUNTY JOB SERVICE - A MEMBER OF THE HOSPITAL'S HR TEAM IS A MEMBER OF THE JOB SERVICE EMPLOYER COMMITTEE. THIS COMMITTEE OF EMPLOYERS, VOCATIONAL PROGRAMS AND NYS DOL PROVIDE TRAINING AND EDUCATIONAL OPPORTUNITIES IN HUMAN RESOURCES AND OTHER AREAS. THEY PLAN, ORGANIZE AND EXECUTE TRAINING EVENTS FOR THE COMMUNITY.- THE COMMUNITY FOUNDATION OF SOUTH CENTRAL NEW YORK MET WITH CMH SENIOR MANAGEMENT TO REVIEW MEETINGS HELD AT OTHER BUSINESSES IN CHENANGO COUNTY AND REVIEW A REPORT THAT HIGHLIGHTED THE FOLLOWING: A) NUMBER OF PEOPLE EMPLOYED IN FRONT-LINE, ENTRY LEVEL POSITIONS IN THE HEALTH CARE INDUSTRY IN CHENANGO COUNTY, B) NUMBER OF PEOPLE POTENTIALLY ELIGIBLE TO FILL THESE TYPES OF POSITIONS, C) PRIMARY REASONS WORKERS LEAVE THESE TYPES OF POSITIONS, D) PRIMARY CHALLENGES WORKERS IN THESE POSITIONS CURRENTLY FACE IN MAINTAINING THEIR EMPLOYMENT, AND E) WORKERS' ASSESSMENT OF THE BENEFIT AN EMPLOYEE RESOURCE NETWORK (ERN) WOULD PROVIDE TO HELPING MAINTAIN EMPLOYMENT. AN ERN COULD HELP ADDRESS SUBSTANCE DEPENDENCIES, DEPRESSION, FAMILY LIFE, TRANSPORTATION, AND OTHER ISSUES EMPLOYEES FACE IN THEIR PERSONAL LIFE THAT AFFECT THEIR EMPLOYMENT. THE FOUNDATION IS IN THE PROCESS OF DEVELOPING AN INITIATIVE TO HELP MAJOR EMPLOYERS ADDRESS ISSUES WITH WORKFORCE RECRUITMENT AND RETENTION.- SCHOLARSHIP GOLF TOURNAMENT - CMH REPRESENTATIVES PARTICIPATED IN THE BRANDI ESTELOW GOLF TOURNAMENT TO RAISE MONEY FOR NURSING SCHOLARSHIPS.AS THE ONLY HOSPITAL IN CHENANGO COUNTY, UHS CHENANGO MEMORIAL IS THE EPICENTER FOR TRAINING AND MENTORING OF HEALTH CARE STUDENTS. IN 2018, 118 STUDENTS RECEIVED HANDS-ON, REAL-LIFE EXPERIENCE ON-SITE THROUGHOUT THE YEAR.- STUDENT MENTORING -STUDENTS FROM VARIOUS EDUCATIONAL INSTITUTIONS WERE ON-SITE TO COMPLETE THEIR CLINICALS, PRECEPTORSHIPS, INTERNSHIPS, ETC., AT THE HOSPITAL IN THESE DISCIPLINES:O NURSING.O ANESTHESIOLOGYO RADIOLOGY.O LAB.O OB/GYN.O CERTIFIED NURSE AID.STUDENTS CAME FROM ALBANY MEDICAL, BOCES, BINGHAMTON UNIVERSITY, SUNY BROOME, MORRISVILLE STATE, AND SUNY UPSTATE. LINE 9 -- OTHER COMMUNITY BUILDING ACTIVITIESUHS CHENANGO MEMORIAL HOSPITAL ALSO SUPPORTS CULTURAL ORGANIZATIONS AND EVENTS IN THE AREA.- COLORSCAPE CHENANGO - THIS MAJOR SUMMER EVENT IN NORWICH, NY IS PUT ON BY THE COLORSCAPE CHENANGO ARTS FESTIVAL, INC. IT IS A JURIED ARTS, CRAFTS, FOOD AND MUSIC FESTIVAL ATTENDED BY THOUSANDS OF PEOPLE. THE HOSPITAL HAS A REPRESENTATIVE WHO HELPS PLAN THIS EVENT. IN 2018, THE HOSPITAL RECEIVED AN AWARD FOR BEING A LONG-TIME SPONSOR OF THE FESTIVAL. CMH ALSO SPONSORED A FOOD BOOTH THAT WAS MANNED BY CMH AND MORRISON STAFF BOTH DAYS OF THE FESTIVAL. THE HOSPITAL ALSO HAD A REPRESENTATIVE ON THE PLANNING AND DEVELOPMENT COMMITTEE FOR THEIR SEMI-ANNUAL FUNDRAISING GALA.- ADOPT A FAMILY PROGRAM - IN COORDINATION WITH CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES, LIBERTY PARTNERSHIP, AND HEAD START, EMPLOYEES PURCHASED GIFTS FOR NEEDY FAMILIES FOR DISTRIBUTION AROUND CHRISTMAS. 11 FAMILIES INCLUDING 35 CHILDREN WERE SERVED.- FINANCIAL EDUCATION PACKAGE FOR EMPLOYEES - NBT PRESENTED TO CMH'S SENIOR MANAGEMENT TO INTRODUCE THEIR FINANCIAL EDUCATION PACKAGE AVAILABLE FOR EMPLOYEES.- A MEMBER OF THE HOSPITAL'S SENIOR MANAGEMENT TEAM ATTENDED THE CHENANGO SPCA'S FUR BALL TO RAISE MONEY FOR THE ORGANIZATION.- THE CMH AUXILIARY PROVIDES MAGAZINES AND NEWSPAPERS IN THE WAITING ROOMS AND BEAUTY SUPPLIES FOR RESIDENTS OF OUR LONG-TERM CARE FACILITY. ADDITIONALLY, VOLUNTEERS THROUGHOUT THE COMMUNITY DONATE MANY HAND-MADE ITEMS FOR DISTRIBUTION TO PEDIATRIC PATIENTS, IN-PATIENTS, AND MOMS AND BABIES. |
| SCHEDULE H PART V SECTION C LINE 11 | ** CONTINUED SCHEDULE H PART V SECTION C SUPPLEMENTAL INFORMATION- ALTHOUGH THE INITIAL REACTION OF ATTENDEES AT THE SPRING FEVER EVENT WAS POSITIVE, IT DID NOT RESULT IN ANY REFERRALS.- CMH AND INDEPENDENT PROVIDERS ALREADY HAVE SO MANY OTHER REQUIREMENTS TO ACCOMPLISH WHEN THEY HAVE THE FAMILY IN THE OFFICE. NO SHOW RATES ARE HIGH AMONG THE SOCIO-ECONOMIC DISPARITY.- FOR THOSE FAMILIES WHERE THE CHILD'S WEIGHT AND THE STAY HEALTHY PROGRAM WERE DISCUSSED, PROVIDERS DID NOT GET PARENTAL BUY-IN. ALTHOUGH PARENTS WERE INTERESTED IN HELPING THEIR CHILD, THEY WERE NO LONGER INTERESTED WHEN THEY REALIZED THEY THEMSELVES WOULD NEED TO CHANGE AND TAKE RESPONSIBILITY FOR THE DIET OF THE FAMILY. THE CHILD CANNOT ACCOMPLISH WEIGHT LOSS AND A HEALTHY LIFESTYLE WITHOUT PARENTAL SUPPORT.- PARENTS WOULD EXPRESS INTEREST IN THE PROGRAM SO THEY COULD GET OUT OF THE PROVIDER'S OFFICE. THE PROVIDER WOULD MAKE THE REFERRAL BUT FOLLOW-UP CALLS TO THE PARENTS EITHER WENT UNANSWERED, MESSAGES WEREN'T RETURNED, AND/OR THEY WERE NO LONGER INTERESTED.- IN THE INSTANCES WHEN FAMILIES DID ENROLL, MANY JUST DIDN'T SHOW UP DESPITE MULTIPLE REMINDER CALLS. OTHERS HAD CONFLICTS WITH SPORTS AND/OR CUSTODY ARRANGEMENTS WITH THE OTHER PARENT.- LACK OF AGREEMENT USING BMI AS CLINICAL EVIDENCE OF SUCCESS.- LOW ENTHUSIASM BY PROVIDERS TO APPROACH FAMILIES OR INDIVIDUALS ABOUT THIS ISSUE WHILE THEY'RE IN THE OFFICE.- RETENTION AND RECRUITMENT OF HEALTHY COMMUNITY COALITION MEMBERS. THE GROUP HAS HIT A LULL AFTER EXCITING SUCCESS IN YEAR 1 AND 2. A TRANSITIONAL PROJECT IS NEEDED TO RE-ENERGIZE PARTNERS.- CREATE NEW CHALLENGES FOR PARTICIPANTS IN THE CHOBANI CHALLENGE WHO ARE LARGELY WORKING ADULTS.- THE PROGRAM NEEDS TO DEVELOP A STRATEGY TO INCREASE INVOLVEMENT OF LOW SES INDIVIDUALS.CHALLENGES - 2018- THE PROJECTS REMAIN DIFFICULT AND BURDENSOME TO ADMINISTER. EFFORT TO STREAMLINE OR SPREAD OUT THE ADMINISTRATIVE DUTIES AND ROLES WILL BE MADE IF THE PROGRAM IS TO BE RUN AGAIN IN 2019.- AGAIN THIS YEAR, THE BULK OF OUR PARTICIPANTS CAME FROM LOCAL EMPLOYERS, SPONSORS, AND PARTNER ORGANIZATIONS DESPITE EFFORTS TO ENGAGE TEAMS THROUGH LOCAL SERVICE AGENCIES. THE COALITION WILL LOOK AT SPLITTING THE COMPETITION INTO A CORPORATE CHALLENGE AND A PARALLEL COMMUNITY CHALLENGE.- PROGRAM NEEDS TO DEVELOP A STRATEGY TO INCREASE INVOLVEMENT OF LOW SES INDIVIDUALS.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES - 2018- ESTABLISH A COALITION OF COMMUNITY PARTNERS TO DEFINE NYS PA INITIATIVES FOR THE NEXT NEEDS ASSESSMENT AND CONTINUE TO ENLIST THEIR EXPERTISE LONG-TERM. THIS EFFORT MAY INVOLVE FURTHER WORK AROUND OBESITY.- BEGINNING JAN 2018, ASKED STAKEHOLDERS TO COME BACK AROUND THE TABLE TO REALIGN OUR IMPROVEMENT PLAN ACTIVITIES. IT HAS BECOME EVIDENT THAT WE NEED TO STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMS BEFORE WE CAN BEGIN TO IMPACT CHANGE AROUND THIS ISSUE. THE GOAL IS TO INVOLVE PARTNERS AND BETTER ALIGN OUR ACTIVITIES WITH THE PREVENTION AGENDA GOALS: CREATING A COMMUNITY ENVIRONMENT THAT PROMOTES AND SUPPORTS HEALTHY FOOD AND BEVERAGE CHOICES AND RECREATIONAL WATER; PREVENT CHILDHOOD OBESITY THROUGH EARLY CHILD CARE AND SCHOOLS, EXPAND THE ROLE OF HEALTH CARE AND HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION AND EXPAND THE ROLE OF HEALTH CARE AND HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION; AND EXPAND THE ROLE OF PUBLIC AND PRIVATE EMPLOYERS IN OBESITY PREVENTION.INITIATIVE #2PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN -- BREASTFEEDINGSTRATEGY OBJECTIVE: INCREASE THE PERCENTAGE OF INFANTS EXCLUSIVELY BREASTFED IN THE HOSPITAL BY 10% TO 48.1%.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- INCREASE THE NUMBER OF INFANTS BEING BREASTFED AT 3 MOS TO 46.2% TO MEET THE HEALTHY PEOPLE 2020 GOALS. INCREASE THE NUMBER OF INFANTS BEING BREASTFED AT 6 MOS TO 25.5% TO MEET THE HEALTHY PEOPLE 2020 GOALS.- INCREASE THE GENERAL BREASTFEEDING RATE POST-DISCHARGE TO 81.9% TO MEET HEALTHY PEOPLE 2020 GOALS.- INCREASE THE PROPORTION OF EMPLOYERS THAT HAVE WORKSITE LACTATION SUPPORT PROGRAMS.- CONTINUE PUBLIC HEALTH DETAILING TO IMPROVE THE HEALTH OF OUR ANTEPARTUM POPULATION. CONTINUE TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF LOCAL SERVICE NETWORKS AND COORDINATION STRATEGIES TO ENSURE THAT WOMEN WITH IDENTIFIED RISK FACTORS ARE LINKED TO COMMUNITY RESOURCES.TACTICS- PROVIDE CLC SUPPORT TO NEW BREASTFEEDING MOMS IN THE OFFICE SETTING.- SUSTAINMENT OF THE BREASTFEEDING COALITION. CONTINUATION OF THE BABY NOOK SERVICES.- INCREASE THE NUMBER OF CLC'S IN CHENANGO COUNTY.- INTEGRATE BREASTFEEDING PROMOTION MESSAGES AND INFORMATION ON SUPPORTIVE RESOURCES INTO OTHER EDUCATIONAL CAMPAIGNS TARGETING PREGNANT WOMEN AND MOTHERS.- APPROACH 5 NEW EMPLOYERS TO ASSIST WITH BECOMING BREASTFEEDING FRIENDLY WORKSITES.GOALS AND PERFORMANCE MEASURES - 2017- THE HOSPITAL DEVELOPED A PROCESS FOR MEASURING BREASTFEEDING RATES BY PULLING INFORMATION FROM THE HOSPITAL'S EMR. - VISITED 15 PROVIDER OFFICES TO PROMOTE BREASTFEEDING BEST PRACTICES AND PROVIDE MAGNETIC REFERRAL GUIDANCE TOOL FOR CLC SUPPORT.- THE LHD REACHED OUT TO 30 STAFF DURING PROVIDER OFFICE VISITS TO CMH AND ELSEWHERE.- LHD PROVIDED 2 MAILINGS, QUARTERLY NEWSLETTERS, WORLD BREASTFEEDING MATERIALS, AND AN EMAIL CONTAINING BREASTFEEDING GRAND ROUNDS INFORMATION TO NON-CMH PROVIDERS.- THE LHD INTEGRATED BREASTFEEDING PROMOTION INTO EDUCATIONAL ACTIVITIES THAT INCLUDED PREGNANT WOMEN SUCH AS MUSIC IN THE PARK, WORLD BREASTFEEDING WEEK, DAIRY DAYS, AND THE CHENANGO COUNTY FAIR.- THE LHD INCLUDED BREASTFEEDING MESSAGING IN 2 PROVIDER MAILINGS, SOCIAL MEDIA, WEBSITE AND DISPLAYS IN BUSINESSES AND DEPARTMENTS IN THE COUNTY OFFICE BUILDING.- 37 MOMS RECEIVED 1:1 BREASTFEEDING SUPPORT FROM A CLC IN CMH'S SIDNEY OFFICE THROUGH OCTOBER. THIS WAS A JOINT EFFORT OF CLC'S FROM BOTH CHENANGO AND DELAWARE COUNTY BREASTFEEDING COALITIONS. 73% COUNSELLED WERE FROM CHENANGO COUNTY.- CMH COORDINATED MONTHLY STAFF MEETINGS AT THEIR SIDNEY OFFICE ATTENDED BY KEY MEMBERS OF THE PEDIATRIC STAFF, A HOSPITAL REPRESENTATIVE AND CHENANGO AND DELAWARE COUNTIES TO REVIEW CLC SUPPORT, BREASTFEEDING RATES, CHALLENGES AND OBSTACLES. THE PEDIATRIC PRACTICE IN SIDNEY ACCOUNTS FOR 50% OF THE HOSPITAL'S PEDIATRIC VOLUME.- EXPANDED THE NUMBER OF CLC'S IN THE LHD FROM 2 TO 4.- CLC'S IN THE COUNTY DEVELOPED A MAGNETIC TOOL THAT WAS DISTRIBUTED TO THE PUBLIC, PROVIDERS AND PARTNERS. THIS TOOL INCLUDED CONTACT INFORMATION FOR WIC TO BE USED FOR PREGNANT OR POST-PARTUM LOW-INCOME WOMEN TO GET SERVICES FOR BREASTFEEDING SUPPORT.- THE LHD RAN A BILLBOARD DURING 1Q2017 PROMOTING THE ACCEPTANCE OF BREASTFEEDING.- BABY NOOK SERVICES CONTINUED AT THE LHD WITH CMH MAKING 99 REFERRALS IN 2017.- THE LHD REACHED OUT TO 5 EMPLOYERS ABOUT BECOMING BREASTFEEDING FRIENDLY WORKSITES.- THE CHENANGO COUNTY BREASTFEEDING COALITION, CHAIRED BY THE LHD, MET MONTHLY AT THE HOSPITAL. THE COALITION CURRENTLY HAS MEMBERS FROM THE HOSPITAL'S WOMEN'S HEALTH AND MATERNITY DEPTS, WIC, LHD, MOTHERS & BABIES PERINATAL NETWORK, AND FROM THE BROOME COUNTY AND DELAWARE COUNTY BREASTFEEDING COALITIONS. THE HOSPITAL HAD A REPRESENTATIVE AT ALL THE MEETINGS.- THE HOSPITAL PROVIDES HANDS-ON ASSISTANCE PRIOR TO DISCHARGE FOR MOMS WISHING TO BREASTFEED. - CMH ESTABLISHED OB/GYN SERVICES IN THE SIDNEY OFFICE JAN 2017 STARTING ONE HALF-DAY/WEEK AND EXPANDED TO ONE FULL-DAY/WEEK IN OCTOBER.- THROUGH OCT 2017, CMH MADE 7 REFERRALS TO THE CHENANGO DOH AND 11 TO THE DELAWARE DOH FOR BREASTFEEDING ASSISTANCE.- CMH'S IBCLC OFFERS EXPERTISE AND SUPPORT TO CLC'S IN CHENANGO AND SURROUNDING COUNTIES. GOALS AND PERFORMANCE MEASURES - 2018- IN 2018, CMH REPORTS 254 BIRTHS INCLUDING 19 TRANSFERS. OF THE REMAINING 235 INFANTS DISCHARGED FROM CMH, 71% WERE BREASTFEEDING AT DISCHARGE AGAINST THE HEALTHY PEOPLE 2020 GOAL OF 81.9%; 58% WERE EXCLUSIVELY BREASTFEEDING AT DISCHARGE AGAINST A NYS PA GOAL OF 48.1%.- A HOSPITAL RN ACHIEVED HER IBCLC DESIGNATION. SHE WILL CONTINUE TO WORK ON THE HOSPITAL'S MATERNITY UNIT; 3 NURSES COMPLETED CLC TRAINING IN SEPTEMBER AND 2 PASSED THEIR EXAMS. CMH NOW HAS A CLC IN THE NORWICH WOMEN'S HEALTH CENTER AND ONE MORE ON THE MATERNITY UNIT.- 10 MEETINGS WERE HELD IN 2018 IN THE HOSPITAL'S SIDNEY OFFICE WITH REPRESENTATIVES FROM CMH, CHENANGO DOH, DELAWARE DOH, AND SIDNEY PEDIATRICS. THE PEDIATRICIAN ATTENDS WHEN AVAILABLE.- AS A RESULT OF THE SIDNEY MEETINGS, WE STRENGTHENED PARTNERSHIPS ACROSS COUNTIES.- THESE MEETINGS PROVIDED ASSISTANCE TO THE PEDIATRICS PRACTICE FOR REFERRING PATIENTS TO COMMUNITY RESOURCES THROUGH DOH'S IN CHENANGO, DELAWARE AND OTSEGO COUNTIES. |
| SCHEDULE H PART V SECTION C LINE 11 | - THE HOSPITAL'S MATERNITY UNIT MADE OVER 60 REFERRALS TO THE LHD'S BABY NOOK FOR LACTATION ASSISTANCE.- THE CHENANGO DOH RECEIVED OVER 60 REFERRALS AND THE DELAWARE DOH 20 REFERRALS FOR BREASTFEEDING SUPPORT.- HOSPITAL SENIOR MANAGEMENT HAS BEEN ACTIVE IN THE LHD'S BREASTFEEDING COALITION MEETINGS SINCE THEY BEGAN IN 2016.STRENGTHS - 2017- STRONG PARTNERSHIPS BETWEEN THE HOSPITAL, WIC, MOTHERS & BABIES PERINATAL NETWORK, UHS IN BROOME COUNTY, CHENANGO DOH AND DELAWARE LHD.- HAVE SET GROUND WORK FOR EXPANSION OF BREASTFEEDING WORK WITHIN THE OB SETTING FOR 2018.- STRONG GROUP SYNERGY BETWEEN CMH, CHENANGO DOH, DELAWARE DOH, AND THE STAFF IN CMH'S SIDNEY OFFICE.- CHENANGO COUNTY BREASTFEEDING COALITION IS STRONG.- THE HOSPITAL NOW REQUIRES BREASTFEEDING RATES FOR 4 AND 6 MO BABIES AT ITS MONTHLY QUALITY MEETINGS.- THE CLOSING OF THE OB UNIT AT FOX MEMORIAL IN ONEONTA MADE A BAD SITUATION WORSE FOR WOMEN IN NEED OF SERVICES IN THE TRI-TOWN AREA. CMH PLACED AN OB/GYN AT THE SIDNEY SITE TO ADDRESS THIS NEED STARTING 1 HALF DAY/WK IN JAN 2017 AND THEN EXPANDING TO 1 FULL DAY/WK IN OCT. THIS HAS RESULTED IN A DISTINCT INCREASE IN BIRTHS FROM OTSEGO AND DELAWARE COUNTIES AT CHENANGO MEMORIAL LOCATED IN CHENANGO COUNTY.- THE PEDIATRICIAN AT CMH'S SIDNEY OFFICE IS A STRONG SUPPORTER OF IMPROVING BREASTFEEDING RATES FOR HIS PATIENTS.- WE HAVE LEARNED THAT THE BREASTFEEDING RATES FOR MOMS THAT RESPOND TO FOLLOW-UP CALLS COME CLOSE TO THE NYS PA AND HEALTHY PEOPLE 2020 GOALS. HOWEVER, A THIRD OF THE MOMS ARE LOST TO FOLLOWUP 3-DAYS POST-DISCHARGE.- OUR DATA SHOWS THAT IF A MOM CONTINUES TO BREASTFEED DURING THE FIRST FEW WEEKS POST-DISCHARGE, SHE WILL CONTINUE FOR UP TO 6 MOS.STRENGTHS - 2018- MOMS THAT RECEIVE BREASTFEEDING EDUCATION ARE MORE LIKELY TO CONTINUE POST-DISCHARGE.- THE NUMBER OF PRE-NATAL PATIENTS IN SIDNEY INCREASED IN 2018. BIRTHS FROM DELAWARE, MADISON, AND OTSEGO COUNTIES HAS INCREASED FROM 46 IN 2017 TO 53 IN 2018 AND NOW REPRESENT 21% OF ALL BIRTHS AT THE HOSPITAL. - CMH ADDED OB/GYN SERVICES IN THE SHERBURNE OFFICE IN 2018. BIRTHS FROM THAT REGION HAVE NEARLY TRIPLED AND NOW ACCOUNT FOR 4% OF ALL BIRTHS AT CMH.- CMH HAS DEDICATED, TRAINED NURSES WHO ENCOURAGE MOMS TO BREASTFEED. THEY ARE EXCELLENT RESOURCES ON THE HOSPITAL'S MATERNITY UNIT AND ARE AVAILABLE TO HELP MOMS WITH BREASTFEEDING BEFORE DISCHARGE.- BREASTFEEDING ASSISTANCE IS AVAILABLE 24/7 BY PHONE OR IN PERSON BY CONTACTING THE MATERNITY UNIT POST DISCHARGE.- THE HOSPITAL HAS A STRONG RELATIONSHIP WITH THE CHENANGO DOH FOR MOMS WHO NEED ADDITIONAL SUPPORT.- CLC SUPPORT IS PROVIDED IN THE SIDNEY OFFICE BY THE DELAWARE DOH TWICE A MONTH AND BY REFERRAL. CLC SUPPORT IS AVAILABLE BY THE CHENANGO AND DELAWARE DOH'S BY APPOINTMENT.- REPRESENTATIVES FROM THE CHENANGO DOH, DELAWARE DOH, CMH AND THE SIDNEY PRACTICE HAVE BEEN MEETING MONTHLY FOR 3 YEARS TO REVIEW STATUS, DISCUSS CHALLENGES, AND BRAINSTORM SOLUTIONS.- THE HIRING OF A WELLNESS COORDINATOR IN THE SIDNEY OFFICE HAS HELPED TO MAINTAIN FOCUS ON THE INITIATIVE AND TO PROVIDE QUALITY FEEDBACK.CHALLENGES - 2017- TRACKING THE COUNTY BREASTFEEDING DATA FOR 3 AND 6 MONTH OLD BABIES HAS PROVEN TO BE DIFFICULT FOR THE FOLLOWING REASONS: A) NO CLEAR DEFINITION OF EXCLUSIVE BREASTFEEDING VARIABLE B) PHONE CALLS TO NON-HOSPITAL BIRTH FAMILIES AT 3 WKS, 3 AND 6 MONTHS HAS A HIGH "LOST-TO-FOLLOWUP" RATE.- NOT ENOUGH CLC'S AVAILABLE AT THE LHD TO STAFF HOME VISITS AND THE BABY NOOK.- FIRST-TIME MOM BUY-IN AND FOLLOW THROUGH.- CMH WILL BE UNDERGOING MAJOR RENOVATIONS OVER THE NEXT FEW YEARS. COALITION MEETINGS WILL MOVE TO THE LHD WHICH WILL LIKELY POSE ATTENDANCE CHALLENGES FOR CLINICAL STAFF FROM THE HOSPITAL IN 2018. LHD WILL SET UP CONFERENCE CALL CAPABILITIES STARTING IN 2018.- REFERRALS TO THE BABY NOOK FROM PEDIATRICIANS AND WOMEN'S HEALTH PROVIDERS HAVE BEEN SLOW. LHD TO INCLUDE BABY NOOK TRAINING INTO QUARTERLY BABY AND ME TOBACCO FREE DETAILING VISITS AT WOMEN'S HEALTH.- THE HOSPITAL'S EMR IS DIFFICULT TO USE TO COLLECT BREASTFEEDING DATA. THE DATA MUST BE IDENTIFIED IN THE PROVIDERS NOTES. REQUESTS TO GET A FORMALIZED REPORT HAVE GONE UNANSWERED. COLLECTING THE DATA, ALTHOUGH EXTREMELY IMPORTANT, IS VERY TIME-CONSUMING. THERE DOESN'T SEEM TO BE A GOOD WAY TO MEASURE BREASTFEEDING RATES DUE TO THE NUMBER OF NO-SHOWS IN THE OFFICE AND NO RESPONSES TO PHONE CALLS OR MESSAGES.- THERE ARE MANY VARIABLES WHEN COLLECTING INFORMATION FROM PATIENTS. INTERPRETATION OF THE QUESTIONS BEING ASKED VARIES FROM PATIENT TO PATIENT.- OVER 33% OF THE MOMS DO NOT RESPOND TO FOLLOW-UP CALLS OR MESSAGES 3-DAYS POST DISCHARGE. THE ANSWER TO THIS IS TO HAVE CLC SUPPORT AVAILABLE IN THE PEDIATRIC OFFICE WHEN THEY BRING THE BABY IN FOR WELL CHILD VISITS.- WHEN THIS INITIATIVE BEGAN, THE HOSPITAL HAD 6 CLC'S. THROUGH ATTRITION, CMH IS DOWN TO 1 IBCLC AND 2 CLC'S, ONE OF WHOM IS TRAINING FOR HER IBCLC. WE HAVE STRIVED TO GET CLC'S IN ALL THE PEDIATRIC OFFICES AND PRIMARY CARE OFFICES BUT RECRUITING/RETAINING THESE INDIVIDUALS HAS BEEN EXTREMELY DIFFICULT.- STATE BREASTFEEDING STATS FOR THIS HOSPITAL ARE BASED ON BABIES BORN HERE. HOWEVER, APPROXIMATELY 5% ARE TRANSFERRED TO OTHER FACILITIES. THIS NEGATES OUR ABILITY TO SUPPORT BREASTFEEDING FOR THOSE BABIES PRIOR TO DISCHARGE. THE RATES REPORTED IN THIS SUMMARY ARE FOR BABIES DISCHARGED FROM CMH WHERE WE CAN WORK WITH THE NEW MOMS 1:1 BEFORE THEY GO HOME.- WE ARE TRYING TO CHANGE A CULTURE ABOUT BREASTFEEDING. MANY NEW MOMS HAVE THEIR OWN MOTHERS AND GRANDMOTHERS TELLING THEM THEY DIDN'T BREASTFEED SO WHY SHOULD SHE?- IT HAS BEEN VERY DIFFICULT GETTING CONSISTENT ATTENDANCE FROM CMH'S CLINICAL STAFF AT THE BREASTFEEDING COALITION MEETINGS DUE TO THIN STAFFING, VACANCIES AND OTHER PRIORITIES.CHALLENGES - 2018- THE HOSPITAL'S EMR SYSTEM IS NOT PROGRAMMED TO EASILY RETRIEVE OR REPORT BREASTFEEDING DATA. ADDITIONALLY, THE PROCESS FOR INPUTTING BREASTFEEDING INFORMATION VARIES BY NURSE AND BY CLINIC. THEREFORE, REPORTING THE DATA IS HIGHLY MANUAL AND THE INDIVIDUAL WHO WAS COMPLETING THIS TASK MOVED ON TO ANOTHER OPPORTUNITY AND WAS NOT REPLACED.- 10% OF MOMS SEEKING CARE AT THE CMH'S WOMEN'S HEALTH CENTER HAVE ADDICTIONS MAKING IT DIFFICULT TO CONVINCE THEM TO BREASTFEED.- THERE IS INCONSISTENT BREASTFEEDING EDUCATION IN THE HOSPITAL SETTING WHEN THE MOM IS EDUCATED PRENATALLY AT CMH BUT DELIVERS ELSEWHERE DUE TO HIGH RISK, BABY IS TRANSFERRED, ETC.- DESPITE ATTEMPTS AT EDUCATION, SOME MOMS REFUSE TO BREASTFEED.- THERE ARE DIFFERING INTERPRETATIONS OF WHAT "EXCLUSIVE BREASTFEEDING" MEANS AMONG PROVIDERS.- THERE ISN'T A GOOD WAY TO MEASURE POST-PARTUM BREASTFEEDING RATES DUE TO THE NUMBER OF NO-SHOWS IN THE OFFICE AND UNANSWERED PHONE CALLS OR MESSAGES. OVER THE TIME PERIOD OF THIS INITIATIVE, ABOUT A THIRD OF MOMS ARE LOST TO FOLLOW-UP EACH YEAR WITHIN 3 DAYS POST-DISCHARGE.- CMH DOES NOT HAVE A CLC IN THE PEDIATRIC OFFICE. AT THE START OF THIS INITIATIVE, THE HOSPITAL HAD A NP IN THAT OFFICE WHO WAS ALSO A CLC. UNFORTUNATELY, SHE LEFT THE ORGANIZATION, THE POSITION WAS ELIMINATED, AND WE HAVE NOT HAD SOMEONE WILLING TO COMPLETE THE TRAINING.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES -- 2017- THE HOSPITAL WILL HAVE A SECOND IBCLC ON STAFF IN 2018.- INCREASE THE NUMBER OF CLC'S IN CHENANGO COUNTY AND AT THE HOSPITAL.- EXPAND THE FOCUS OF THE LHD'S EFFORTS TO INCLUDE THE HOSPITAL'S WOMEN'S HEALTH CENTER.- IN 2018 THE LHD WILL MEET TO ESTABLISH/REVISE MEASURES AND POSSIBLY NEW MEANS OF MEASURING BREASTFEEDING RATES COUNTY WIDE.- PROVIDE STRUCTURED BREASTFEEDING EDUCATION AND PROFESSIONAL LACTATION COUNSELING DURING PREGNANCY, IN THE HOSPITAL AND AT HOME.- CONTINUE TO LINK PREGNANT OR POST-PARTUM LOW-INCOME WOMEN TO LOCAL WIC SERVICES FOR BREASTFEEDING SUPPORT.- BEGINNING IN 2018, THE LHD WILL MAIL A RESOURCE BOOKLET TO ALL NEW FAMILIES VERSUS THE HOSPITAL GIVING THEM OUT DURING THE ANTEPARTUM VISITS AT THE WOMEN'S HEALTH CENTER. - THE LHD WILL INTEGRATE BREASTFEEDING PROMOTION MESSAGES AND INFORMATION ON SUPPORTIVE RESOURCES INTO OTHER EDUCATIONAL CAMPAIGNS TARGETING PREGNANT WOMEN AND MOTHERS.- EXPAND COALITION MEMBERSHIP TO INCLUDE AN EMPLOYER AND A PROVIDER. ALSO EXPAND MEMBERSHIP TO INCLUDE OTSEGO COUNTY AS THE HOSPITAL'S PATIENT BASE EXPANDS IN THAT AREA. THE HOSPITAL WILL PROVIDE CLERICAL SUPPORT TO TAKE MINUTES AND OTHER ADMINISTRATIVE DUTIES.- ALIGN COALITION WORK WITH THE 2018 PREVENTION AGENDA.- PROMOTE BREASTFEEDING BEST PRACTICES IN THE OB SETTINGS, PARTICULARLY IN THE HOSPITAL'S WOMEN'S HEALTH CENTER.- THE LHD WILL CONTINUE TO PROVIDE STRUCTURED, COMPREHENSIVE BREASTFEEDING EDUCATION AND PROFESSIONAL LACTATION COUNSELING, INCLUDING THE USE OF INTERNAL BOARD CERTIFIED LACTATION CONSULTANTS (IBCLCS) DURING PREGNANCY, IN THE HOSPITAL AND HOME. |
| SCHEDULE H PART V SECTION C LINE 11 | - THE LHD WILL APPROACH 5 NEW EMPLOYERS TO ASSIST WITH BECOMING BREASTFEEDING FRIENDLY WORKSITES.- THE HOSPITAL WILL CONTINUE TO PROVIDE HANDS-ON ASSISTANCE FOR MOMS WISHING TO BREASTFEED PRIOR TO DISCHARGE. THE HOSPITAL MAY ALSO PROVIDE EDUCATION WHILE THE MOM IS IN THE OFFICE FOR HER PRENATAL VISITS.- CONTINUE MONTHLY MEETINGS AT THE HOSPITAL'S OFFICE IN SIDNEY.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES -- 2018- MANY OF THE INTERVENTIONS/STRATEGIES/ACTIVITIES INDICATED FOR 2017 HAVE BEEN ACHIEVED AS INDICATED IN THE PREVIOUS SECTION "GOALS, PERFORMANCE AND MEASURES - 2018". - THE CHENANGO COUNTY BREASTFEEDING COALITION WILL CONTINUE WITH CMH PARTICIPATION AND SUPPORT. - CMH WILL CONTINUE TO RECRUIT MORE NURSES TO ACHIEVE THEIR CLC DESIGNATION. IT SHOULD BE NOTED THAT CLC TRAININGS ARE NOT GENERALLY HELD IN THE AREA MAKING IT DIFFICULT TO GET THIS TRAINING IN A TIMELY FASHION.OTHER INITIATIVES3. PROMOTE A HEALTHY AND SAFE ENVIRONMENT: FALLSSTRATEGY OBJECTIVE: STOP THE ANNUAL INCREASE OF THE RATE OF HOSPITALIZATIONS DUE TO FALLS AMONG RESIDENTS AGES 65 AND OVER BY MAINTAINING THE RATE AT 202.7 PER 10,000 RESIDENTS (2007-2009)GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- THE HOSPITAL'S HOSPITALIZATION RATE (136.2 PER 10,000) DUE TO FALLS IS ALREADY LESS THAN THE MAXIMUM TARGET (204.6 PER 10,000) ESTABLISHED BY THE NYS DOH. WE CONTINUE TO WORK ON THIS INITIATIVE IN A PROACTIVE MANNER TO KEEP THE RATE OF HOSPITALIZATIONS DUE TO FALLS FROM CREEPING HIGHER DUE TO THE AGING POPULATION IN THIS AREA. TACTICS- CONTINUE IMPLEMENTATION OF THE STEADI (STOPPING ELDERLY ACCIDENTS, DEATHS & INJURIES) SCREENING PROGRAM FOR PATIENTS 65 AND OVER DEVELOPED BY THE CENTERS FOR DISEASE CONTROL PREVENTION/DIVISION OF UNINTENTIONAL INJURY PREVENTION AND CONTROL.- REFER PATIENTS WHO WERE IDENTIFIED AS FALL RISKS TO THE CHENANGO COUNTY AREA AGENCY ON AGING (AAOA).- SUPPORT THE AAOA'S STEPPING ON PROGRAM - AN EVIDENCE-BASED PROGRAM FOR ANYONE IN CHENANGO COUNTY TO LEARN ABOUT STRENGTH AND BALANCE TRAINING EXERCISES; VISION CHANGES AND MEDICATIONS THAT CAN AFFECT BALANCE; AND IDEAS TO IMPROVE HOME SAFETY, BONE HEALTH, NUTRITION AND FOOTWEAR. THE PROGRAM MEETS FOR 2 HOURS EACH WEEK FOR 7 WEEKS.GOALS AND PERFORMANCE MEASURES - 2017-2018- PHYSICAL THERAPISTS FROM THE HOSPITAL PROVIDE INSTRUCTION DURING ONE OF THE WEEKLY CLASSES.- THE AAOA WILL HOLD AT LEAST ONE SET OF CLASSES PER YEAR. THIS IS CONTINGENT UPON RECEIVING GRANT FUNDING TO SUPPORT THE PROGRAM.- TRACK THE NUMBER OF STEADI ASSESSMENTS COMPLETED IN THE PRIMARY CARE OFFICES OF THE HOSPITAL. - MONITOR ATTENDANCE AT THE STEPPING ON PROGRAMS. OFFER PROGRAMS IN VARIOUS AREAS OF THE COUNTY.STRENGTHS- THE AAOA OFFERED 1 SET OF STEPPING ON CLASSES DURING 2017 AND 2018/ PARTICIPANTS REPORTED THEY ENJOYED THE CLASSES AND WERE GLAD THEY CAME.- STEADI SCREENING RATES BY PRIMARY CARE PHYSICIANS AT THE HOSPITAL WERE CONSISTENTLY AT 90% OR HIGHER FOR PATIENTS WHO CAME IN FOR VISITS AND 73% OF TOTAL PATIENTS THAT ARE 65 AND OLDER.- ALL OF THE PRIMARY CARE PROVIDERS SEEM TO HAVE FALL SCREENINGS LOCKED IN TO THEIR ANNUAL PHYSICALS WITH PATIENTS 65 AND OLDER.- PROVIDERS MAKE REFERRALS TO THE STEPPING ON PROGRAM WHEN THEY KNOW CLASSES WILL BE HELD IN THE IMMEDIATE FUTURE.- PHYSICAL THERAPY STAFF FROM CMH ARE ENTHUSIASTIC ABOUT TEACHING THEIR SEGMENT OF THE PROGRAM.- THERE IS GENERALLY A WAITING LIST OF PEOPLE WHO HAVE CONTACTED THE AAOA THAT WANT TO ATTEND THE STEPPING ON PROGRAM.CHALLENGES - 2017-2018- THE AAOA DOES NOT HAVE GRANT FUNDING TO OFFER MORE THAN 1 OR 2 (AT THE MOST) CLASSES PER YEAR.- THERE ARE NOT ENOUGH TAI CHI INSTRUCTORS IN THE AREA. TAI CHI HAS PROVEN TO INCREASE BALANCE AND IS REFERENCED AS AN EXERCISE DURING THE STEPPING ON PROGRAM.- PHYSICIANS NEED TO REFER ALL AT-RISK PATIENTS TO THE AAOA FOR ASSISTANCE. THIS HAS NOT BEEN HAPPENING.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES - 2017- THE AAOA WILL OFFER THE STEPPING ON PROGRAM AS OFTEN AS POSSIBLE WITH THE FUNDING AVAILABLE.- A TASK TEAM WILL CONTINUE TO MONITOR THIS INITIATIVE, PARTICULARLY TO IMPROVE REFERRAL RATES TO THE AAOA.- THE AAOA WILL MEET 1:1 WITH PRIMARY CARE PHYSICIANS ABOUT MAKING REFERRALS TO THEM FOR ANY PATIENTS IDENTIFIED AS A FALL RISK AND TO DISCUSS THE STEPPING ON PROGRAM.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES - 2018- THE AAOA WILL CONTINUE TO OFFER THE STEPPING ON PROGRAM AS OFTEN AS POSSIBLE AS FUNDING BECOMES AVAILABLE.- THE DOH WILL CONTINUE TO HAVE IN-SERVICES WITH PROVIDERS ABOUT MAKING REFERRALS OF PATIENTS IDENTIFIED AS A FALL RISK AND TO DISCUSS THE STEPPING ON PROGRAM.- FALL RISK ASSESSMENTS HAVE BEEN INTEGRATED INTO THE HOSPITAL'S EMR FOR PROVIDERS TO COMPLETE. THIS HAS PROVEN SUCCESSFUL AS THE NUMBER OF SCREENINGS HAS INCREASED SINCE PRIOR TO THE START OF THIS INITIATIVE.4. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - REDUCE PREMATURE BIRTHS IN NYSSTRATEGY OBJECTIVE: IDENTIFY AND PROMOTE EDUCATIONAL MESSAGES AND FORMATS THAT HAVE DEMONSTRATED TO IMPROVE KNOWLEDGE, ATTITUDES, SKILLS AND/OR BEHAVIOR RELATED TO PRETERM BIRTH AMONG TARGET POPULATIONS, INCLUDING HIGH-RISK PREGNANT WOMEN, WOMEN OF CHILDBEARING AGE AND WOMEN WITH DISABILITIES.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- IDENTIFY AND PROMOTE EDUCATIONAL MESSAGES AND FORMATS THAT HAVE DEMONSTRATED TO IMPROVE KNOWLEDGE, ATTITUDES, SKILLS, AND/OR BEHAVIOR RELATED TO PRETERM BIRTH AMONG TARGET POPULATIONS, INCLUDING HIGH-RISK PREGNANT WOMEN AND WOMEN OF CHILDBEARING AGE.TACTICS- SUSTAIN CURRENT CHILDBIRTH CLASSES. FIRST TIME PREGNANT WOMEN RECEIVING SERVICES AT CMH WILL BE REFERRED FOR PRENATAL CLASSES.GOALS AND PERFORMANCE MEASURES - 2017- CHILDBIRTH EDUCATION CLASSES CONTINUED. THE FIRST 2 SESSIONS ARE HELD AT CMH AND THE 3RD AT THE BABY NOOK AT THE LHD. THESE SESSIONS WERE ATTENDED BY 28 MOMS IN 2017. SEVENTEEN (17) WERE FIRST TIME MOMS OUT OF 73 THAT DELIVERED AT CMH. THESE SESSIONS INCLUDE STRUCTURED BREASTFEEDING EDUCATION AND PROFESSIONAL LACTATION COUNSELING BY THE HOSPITAL'S IBCLC.- PARTICIPANTS COMPLETED A SURVEY AFTER EACH CLASS. ALL CATEGORIES SCORED 4 OR MORE WITH 5 BEING THE HIGHEST AND 1 BEING THE LOWEST.GOALS AND PERFORMANCE MEASURES - 2018- IN 2018, 28 MOMS ATTENDED THE CHILDBIRTH EDUCATION CLASSES. OF THOSE, 20 REPORTED THEY WERE FIRST TIME MOMS OUT OF 71 FIRST TIME MOMS THAT DELIVERED AT CMH.- OVER THE LAST 3 YEARS, THE NUMBER OF FIRST-TIME PRE-NATAL MOMS WHO HAVE ATTENDED CHILDBIRTH EDUCATION HAS AVERAGED ABOUT 33%.- SINCE 2016, 94 MOMS HAVE ATTENDED AT LEAST 1 CHILDBIRTH EDUCATION CLASS.- IN 2018, THE HOSPITAL PILOTED PROVIDING EDUCATION WHILE THE MOM WAS IN THE OFFICE FOR HER PRENATAL VISITS. IT WAS ABANDONED BECAUSE MANY MOMS COME WITH OTHER CHILDREN, FAMILY MEMBERS, ETC. AND/OR HAVE TIME CONSTRAINTS.- PARTICIPANTS COMPLETED A TOTAL OF 73 SURVEYS FROM ALL 3 CLASSES. ALL CATEGORIES SCORED OVER 4 (WITH 5 BEING THE HIGHEST).STRENGTHS -- 2017- EXCELLENT WORKING RELATIONSHIP BETWEEN THE HOSPITAL'S MATERNITY STAFF AND COMMUNITY PARTNERS (WIC, FAMILY PLANNING AND SHERIFF'S DEPT (CAR SEAT PROGRAM)) AND MOTHERS & BABIES PERINATAL NETWORK TO CONDUCT EDUCATIONAL PROGRAMS.- THE CHILDBIRTH EDUCATION INSTRUCTORS ARE KNOWLEDGEABLE AND PASSIONATE ABOUT WHAT THEY'RE DOING AND THE IMPORTANCE OF IT.STRENGTHS - 2018- KNOWLEDGEABLE, PASSIONATE INSTRUCTORS. - CLASSES STILL INCLUDE COMMUNITY PARTNERS FROM CHENANGO DOH, WIC, FAMILY PLANNING AND THE SHERIFF'S DEPT.- THE HOSPITAL'S IBCLC TEACHES BREASTFEEDING DURING THE CHILDBIRTH EDUCATION CLASSES.- A CHANGE IN INSTRUCTORS PROVIDED A FRESH APPROACH FOR SHARING CHILD BIRTH INFORMATION. THERE IS MORE HANDS-ON INSTRUCTION AND INSTRUCTORS VARY THE CURRICULUM BASED ON THE INTEREST OF THE PARTICIPANTS. SURVEYS HAVE BEEN CONSISTENTLY POSITIVE.CHALLENGES -- 2017- VERY DIFFICULT TO RECRUIT MOMS TO THE CLASSES. THIS SEEMS TO BE A PROBLEM EVERYWHERE. THE SENTIMENT IS THEY CAN LEARN WHAT THEY NEED TO KNOW FROM THE INTERNET OR FROM FAMILY MEMBERS.CHALLENGES - 2018- IT IS STILL CHALLENGING TO RECRUIT MOMS TO THE CLASSES. MANY WHO REGISTER ARE NO SHOWS DESPITE NUMEROUS REMINDER CALLS AND MESSAGES LEFT BY THE MATERNITY STAFF.- MOMS RECEIVING PRENATAL SERVICES IN SIDNEY FIND IT VERY DIFFICULT TO MAKE THE 25-MILE TRIP TO CMH. FURTHER THERE AREN'T ENOUGH MOMS FROM THAT OFFICE TO JUSTIFY THE RESOURCED REQUIRED TO HOLD A CHILDBIRTH EDUCATION CLASS IN THAT LOCATION. |
| SCHEDULE H PART V SECTION C LINE 11 | - THE VOLUME OF PERINATAL PATIENTS TRAVELLING TO CMH FROM NEIGHBORING COUNTIES HAS INCREASED DURING THE 3 YEARS OF THIS CURRENT INITIATIVE AND IS NOW AT 28%. SINCE THESE PATIENTS LIVE SEVERAL MILES FROM THE HOSPITAL, IT MAKES IT DIFFICULT FOR THEM TO ATTEND CHILDBIRTH EDUCATION CLASSES.- DUE TO OTHER PRIORITIES AND LACK OF RESOURCES, THE DEVELOPMENT OF ELECTRONIC EDUCATION HAS BEEN POSTPONED UNTIL 2019.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES -- 2017- SUSTAIN CURRENT CHILDBIRTH CLASSES. FIRST-TIME PREGNANT WOMEN RECEIVING SERVICES AT CMH WILL BE REFERRED FOR PRENATAL CLASSES. A) SUSTAIN AND INCREASE PARTICIPATION BY FIRST-TIME MOMS B) CONDUCT PARTICIPATION SURVEYS TO ENSURE CONTENT IS RELEVANT AND GET FEEDBACK. C) REVAMP THE PRESENTATION OF MATERIAL TO MAKE IT MORE INTERACTIVE BY USING ELECTRONICS.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES -- 2018- THE HOSPITAL WILL CONTINUE CHILD BIRTH EDUCATION CLASSES IN THEIR CURRENT FORMAT FOR THE MOMS WHO WANT TO TAKE ADVANTAGE OF THEM. DUE TO THE LOW PARTICIPATION LEVEL OF MOMS, THE DOH WILL DISCONTINUE THEIR INVOLVEMENT DUE TO LACK OF RESOURCES, BUDGET CONSTRAINTS, AND OTHER PRIORITIES.- THE HOSPITAL WILL STILL LIKE TO DEVELOP AN ELECTRONIC VERSION OF THE CLASSES BUT THE LACK OF RESOURCES WILL LIKELY HINDER THIS STRATEGY.5. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - TOBACCO USE IN PREGNANCYSTRATEGY OBJECTIVE: ASK ALL PREGNANT WOMEN ABOUT TOBACCO USE AND PROVIDE AUGMENTED PREGNANCY-TAILORED COUNSELING FOR THOSE WHO SMOKE.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- THE LHD AND UHS CHENANGO MEMORIAL WILL RENEW OUR COMMITMENT TO ADDRESS TOBACCO USE DURING PREGNANCY BY CONTINUING THE "BABY AND ME TOBACCO FREE PROGRAM".- CONTINUE TO WORK WITH PARAPROFESSIONALS SUCH AS LAY HEALTH ADVISORS, COMMUNITY HEALTH WORKERS AND PROMOTERS TO REINFORCE SMOKING CESSATION IN THE ANTEPARTUM POPULATIONS.TACTICS- INCREASE REFERRALS TO THE NYS QUIT LINE. PROVIDERS TO ASK ALL PREGNANT WOMEN ABOUT TOBACCO USE AND IF APPROPRIATE REFER THEM TO THE BABY & ME PROGRAM.- OUTREACH EDUCATION TO PROVIDERS AND COMMUNITY PARTNERS ANNUALLY.- CONTINUE THE BABY AND ME TOBACCO FREE PROGRAM WHICH HAS BEEN DESIGNATED BEST PRACTICE FOR SUBSTANCE & TOBACCO ABUSE BY THE ASSOCIATION OF MATERNAL & CHILD HEALTH PROGRAMS (AMCHP).- INCREASE REFERRALS TO THE NYS QUIT LINE.GOALS AND PERFORMANCE MEASURES -- 2017- THE LHD COMPLETED 1 ANNUAL IN-SERVICE OF THE BABY AND ME TOBACCO FREE PROGRAM ON APRIL 18, 2017 WITH ATTENDEES FROM CMH'S WOMEN'S HEALTH, WIC AND THE LHD. THERE WERE 18 PEOPLE IN ATTENDANCE.- AN RN FROM THE LHD CARRIED OUT PROVIDER DETAILING TO CMH'S WOMEN'S HEALTH CENTER QUARTERLY THEREAFTER.- AFTER THE IN-SERVICE, CMH SET A GOAL OF MAKING 44 REFERRALS TO THE PROGRAM. BY YEAR END, CMH HAD MADE 59 REFERRALS TO THE CHENANGO DOH AND 4 TO THE DELAWARE DOH WHO ALSO OFFERS THE PROGRAM TOTALING 63 REFERRALS IN 2017 VS 19 IN 2016. THE SMOKING RATE OF MOMS AT BIRTH IS DOWN 3% YEAR OVER YEAR.- 100% OF PATIENTS ARE SCREENED FOR TOBACCO USE DURING THEIR PRE-NATAL VISITS AND 100% OF SMOKING MOMS ARE REFERRED TO THE NYS QUIT LINE. SMOKING IS DISCUSSED DURING MOTHERS' PRENATAL VISITS USING THE "BABY BASICS" BOOK AVAILABLE THROUGH THE MOTHERS & BABIES PERINATAL NETWORK.GOALS AND PERFORMANCE MEASURES -- 2018- THE LHD COMPLETED THEIR ANNUAL IN-SERVICE OF THE BABY AND ME TOBACCO FREE PROGRAM IN MAY WITH ATTENDEES FROM CMH'S WOMEN'S HEALTH, WIC AND THE LHD AS WELL AS FROM THE BROOME AND OTSEGO DOH'S. - AN RN FROM THE LHD HAS CARRIED OUT PROVIDER DETAILING TO CMH'S WOMEN'S HEALTH CENTER QUARTERLY IN 2018.- CMH MADE 71 REFERRALS TO THE BABY AND ME PROGRAM - 68 TO THE CHENANGO DOH AND 3 TO THE DELAWARE DOH. THIS IS THE HIGHEST NUMBER OF REFERRALS IN ONE YEAR TO THE PROGRAM SINCE IT STARTED.- THIS AND THE INFORMATION THAT FOLLOWS IS REVIEWED WITH THE WOMEN'S HEALTH CENTER STAFF QUARTERLY BY THE DOH.- THE NUMBER OF MOMS WHO WERE SMOKERS AT THEIR FIRST PRENATAL VISIT AT CMH ROSE 26% IN 2018. EVEN THOUGH CMH MADE MORE REFERRALS THAN IN 2017, THE OVERALL SMOKING RATE AT BIRTH CLIMBED TO 29%. A TOTAL OF 8 MOMS COMPLETED THE PROGRAM. THE INCREASE IS DUE, IN PART, TO THE PERSISTENT HIGH RATE OF ADULT SMOKING IN THE AREA, LACK OF INTEREST IN TOBACCO CESSATION DESPITE ATTEMPTS AT EDUCATION, AND THE INFLUX OF MOMS DELIVERING AT CMH WHO LIVE IN COUNTIES THAT DON'T OFFER TOBACCO CESSATION PROGRAMS.- 100% OF PATIENTS CONTINUE TO BE SCREENED FOR TOBACCO USE DURING THEIR PRE-NATAL VISITS AND 100% OF SMOKING MOMS ARE REFERRED TO THE NYS QUIT LINE. SMOKING IS DISCUSSED DURING MOTHERS' PRENATAL VISITS USING THE "BABY BASICS" BOOK AVAILABLE THROUGH THE MOTHERS & BABIES PERINATAL NETWORK.STRENGTHS - 2017- THE BABY & ME TOBACCO FREE PROGRAM IS LOCATED IN JAMESTOWN, NY AND NOW OFFERS A) WEB-BASED CALLS FOR ALL PROVIDERS. CALLS PROVIDE NYS AND NATIONAL DATA REPORTS AROUND SMOKING IN PREGNANCY OUTCOMES AND B) THE PROGRAM NOW HAS WEB-BASED DATA REPORTING METHODOLOGY VERSUS MANUAL AT THE LHD LEVEL.C) PROGRAM NOW GENERATES ELECTRONIC DATA REPORTS UPON REQUEST.D) PROGRAM ENCOURAGES 100% REFERRAL TO THE NY QUIT LINE FOR ALL PARTICIPANTS.E) PROGRAM PROVIDES STANDARDIZED EDUCATIONAL SESSIONS AND MATERIALS.STRENGTHS - 2018- EXEMPLARY COOPERATION BETWEEN THE HOSPITAL AND THE DELAWARE AND CHENANGO DOH'S. BABY AND ME TOBACCO FREE IS A GREAT PROGRAM FOR MOMS THAT ARE COMMITTED TO QUIT SMOKING.- THE LHD HOSTS AN ANNUAL TRAINING SESSION WITH THE EXEC. DIR OF BABY & ME TOBACCO FREE FOR OB/GYN PROVIDERS AND THE DELAWARE DOH. THE NUMBER OF REFERRALS FROM THE HOSPITAL HAS INCREASED YEAR OVER YEAR. THE LHD CONTINUES TO HAVE QUARTERLY UPDATE MEETINGS WITH THE WOMEN'S HEALTH CENTER STAFF.CHALLENGES - 2017- KEEPING THE MOMENTUM GOING IN THE WOMEN'S HEALTH CENTER AND KEEPING AN INTERNAL CHEERLEADER IN THAT CENTER WORKING ON REFERRALS TO THE BABY AND ME TOBACCO FREE PROGRAM.- CHENANGO COUNTY HAS A SIGNIFICANT PERCENTAGE OF MOMS WITH ADDICTIONS. IT'S VERY DIFFICULT GETTING THEM TO APPOINTMENTS MUCH LESS GETTING THEM TO QUIT SMOKING OR EVEN BREASTFEED LATER ON.CHALLENGES - 2018- APPROXIMATELY 10% OF MOMS VISITING THE WOMEN'S HEALTH CENTER OFFICE HAVE ADDICTIONS. AS MENTIONED IN 2017, IT'S VERY DIFFICULT TO ENCOURAGE THEM TO QUIT SMOKING WHEN THEY HAVE SO MANY OTHER ISSUES.- 28% OF MOMS SEEKING PRENATAL CARE WITH CMH LIVE IN NEIGHBORING COUNTIES WHERE THE BABY & ME TOBACCO FREE PROGRAM IS NOT AVAILABLE.- THE SMOKING RATE OF MOMS AT CMH IS STILL TOO HIGH. AS MENTIONED PREVIOUSLY, 10% HAVE ADDICTIONS AND OTHERS SIMPLY DON'T WANT TO QUIT. THEY ALL RECEIVE SMOKING CESSATION COUNSELING DURING PRE-NATAL VISITS. PROVIDERS RECEIVE TRAINING ANNUALLY FROM BABY & ME TOBACCO FREE.- CMH HAS REALIZED AN INCREASED PERCENTAGE OF MOMS WHO RESIDE IN THE SURROUNDING COUNTIES. SINCE WE'RE DEALING WITH A LOW VOLUME OF BIRTHS, THE NUMBER OF MOMS FROM THOSE COUNTIES STILL SMOKING AT BIRTH HAS LIKELY CONTRIBUTED TO CMH'S INCREASED SMOKING RATE.- THERE IS A DISCREPANCY IN THE WAY SMOKING RATES ARE MEASURED BY THE STATE AND BY THE HOSPITAL. THE STATE ASKS "HAVE YOU SMOKED DURING YOUR PREGNANCY? VS. THE HOSPITAL ASKING "ARE YOU CURRENTLY A SMOKER?" THE ANSWERS TO THESE QUESTIONS CAN BE COMPLETELY DIFFERENT ESPECIALLY FOR MOMS WHO HAVE GRADUATED FROM THE BABY & ME TOBACCO FREE PROGRAM BUT WERE SMOKERS AT THEIR FIRST VISIT. |
| SCHEDULE H PART V SECTION C LINE 11 | FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES - 2017 & 2018- CONTINUE THE BABY AND ME TOBACCO FREE PROGRAM.- CONTINUE THE ANNUAL IN-SERVICE OF CMH PROVIDERS AND COMMUNITY PARTNERS.- LHD TO CONTINUE QUARTERLY DETAILING WITH CMH'S WOMEN'S HEALTH CENTER STAFF.- HAVE A PROVIDER/NURSE COMPLETE THE BABY AND ME FACILITATOR PROGRAM AND LEARN TECHNIQUES TO APPROACH MOMS WHO SMOKE. HAVING A CHAMPION IN THE OFFICE WHO CAN WORK WITH PROVIDERS, NURSES, AND PATIENTS AND REINFORCE THE MESSAGE WITH MOMS AT EVERY VISIT IS CRITICAL TO THE SUCCESS OF THIS PROGRAM.6. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE: HEPATITIS CSTRATEGY OBJECTIVE: REDUCE THE NUMBER OF CHRONIC HEPATITIS C CASES BY REDUCING HEROIN AND OPIOID ADDICTION.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- CONTINUE MULTI-AGENCY COALITION (CHENANGO COUNTY SUBSTANCE ABUSE COALITION)- REDUCE THE NUMBER OF NEWLY DIAGNOSED CHRONIC HEPATITIS C CASES BY 5%TACTICS- CONTINUE TO HAVE HOSPITAL REPRESENTATION ON THE MULTI-AGENCY COALITION.- TEST ALL PERINATAL WOMEN AT THEIR FIRST APPOINTMENTGOALS AND PERFORMANCE MEASURES - 2017/2018- THE HOSPITAL IS REPRESENTED ON THE COALITION BY A NURSE PRACTITIONER CERTIFIED IN ADOLESCENT PSYCHIATRY AND BY OUR MEDICAL SOCIAL WORKER. THE NURSE PRACTITIONER ALSO SERVES ON THE COALITION'S STEERING COMMITTEE. - DURING THIS NEEDS ASSESSMENT PERIOD, THE HOSPITAL'S MEDICAL SOCIAL WORKER ALSO JOINED THE COALITION.- TESTING PERINATAL WOMEN AT THEIR FIRST APPOINTMENT IS NOW STANDARD PRACTICE AT THE WOMEN'S HEALTH CENTER. STRENGTHS - 2017/2018- THE COALITION HAS A STRONG CROSS-SECTION OF CONCERNED COMMUNITY MEMBERS WHO WANT TO SEE IMPROVEMENT IN THE DRUG CULTURE IN CHENANGO COUNTY. THE MEMBERS INCLUDE LAW ENFORCEMENT, EDUCATORS, LAWYERS, HEALTH CARE AGENCIES, ETC.CHALLENGES - 2017/2018- THE COALITION HAS LANGUISHED IN 2017 AND 2018 DUE TO LEADERSHIP CHANGES. A GRANT REQUEST IN 2018 TO PROVIDE FUNDING TO PAY FOR AN EXPERIENCED LEADER WAS NOT APPROVED. ANOTHER REQUEST WILL BE SUBMITTED IN 2019.- CMH'S NURSE PRACTITIONER THAT WAS A KEY MEMBER OF THIS COALITION LEFT THE ORGANIZATION AND HAS NOT BEEN REPLACED.- NEW REGULATIONS RESTRICTING THE LOCATION OF NEEDLE DROP BOXES TO PHARMACIES AND POLICE STATIONS HAVE HAMPERED THE COUNTY'S ABILITY TO COLLECT USED NEEDLES. IN THIS RURAL COMMUNITY, NORWICH IS THE ONLY CITY AND THE ONLY LOCATION WITH A POLICE STATION OPEN 24/7. THE REST OF THE COUNTY CONSISTS OF TOWNS, VILLAGES, AND HAMLETS. LOCATIONS OF PHARMACIES ARE SPORATIC AND THE AREA IS PRIMARILY PROTECTED BY THE SHERIFF'S DEPARTMENT HEADQUARTERED IN NORWICH AND THE NY STATE POLICE WHO ARE ALSO HEADQUARTERED IN NORWICH. FOR RESIDENTS OUTSIDE OF NORWICH, IT IS NOT CONVENIENT FOR THEM TO GET TO THESE DROP OFF LOCATIONS.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES - 2017 & 2018- THE COALITION CONTINUES TO MEET QUARTERLY.- ANOTHER GRANT REQUEST TO PROVIDE FUNDING TO PAY FOR AN EXPERIENCED LEADER WILL BE SUBMITTED IN 2019.- WOMEN PRESENTING FOR THEIR FIRST OBSTETRIC APPOINTMENT WILL CONTINUE TO BE SCREENED FOR HEP C. POSITIVES WILL BE REFERRED FOR TREATMENT.**********ACTIVITIES RELATED TO THE CHNA OR THE NYS PREVENTION AGENDAIMPROVE HEALTH STATUS AND REDUCE HEALTH DISPARITIES- CHENANGO HEALTH NETWORK -- THE HOSPITAL'S VICE PRESIDENT OF OPERATIONS IS CHAIRMAN OF THE BOARD OF THE CHENANGO HEALTH NETWORK (CHENANGO COUNTY'S RURAL HEALTH NETWORK). THE CHENANGO HEALTH NETWORK (CHN) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HEALTH NETWORK WHOSE MISSION IS TO BRING TOGETHER HEALTH AND HUMAN SERVICES PROFESSIONALS, BUSINESS PEOPLE AND CONSUMERS TO STRENGTHEN HEALTHCARE IN CHENANGO COUNTY. THIS ORGANIZATION IS GOVERNED BY A BOARD OF DIRECTORS CONSISTING OF 7-16 MEMBERS WHO REPRESENT SENIOR LEVEL MANAGEMENT OF HEALTH AND HUMAN SERVICE PROVIDERS AND BUSINESS AS WELL AS COMMUNITY MEMBERS. THE HOSPITAL COVERS CHN'S OVERALL TELEPHONE EXPENSE AS WELL AS THEIR OFFICE SPACE IN OUR SIDNEY, NY LOCATION. - IN THE SIDNEY OFFICE, A CHN REPRESENTATIVE ASSISTS RESIDENTS FROM CHENANGO, DELAWARE, AND OTSEGO COUNTIES WITH INSURANCE ENROLLMENT, NAVIGATION, AND OTHER HEALTHCARE SERVICES. IN 2018, 318 INDIVIDUALS SOUGHT ASSISTANCE IN THIS OFFICE RESULTING IN 243 COMPLETED APPLICATIONS FOR ENROLLMENT IN HEALTHCARE. ADDITIONALLY, ALL 318 INDIVIDUALS RECEIVED EDUCATION ABOUT RESOURCES IN THE AREA THAT COULD HELP THEM.- CMH PROVIDES SPACE IN OUR ER FOR A CHN REPRESENTATIVE TO ASSIST MEDICAID PATIENTS NAVIGATE THEIR INSURANCE, ENROLL PATIENTS WHO DON'T HAVE INSURANCE, AND CONNECT PATIENTS WITH COMMUNITY RESOURCES. THE CHN REPRESENTATIVE IS AVAILABLE 20-25 HOURS PER WEEK. IN 2018, 176 PATIENTS WERE SERVED AND 30 WERE ENROLLED IN HEALTHCARE. CHN PROVIDES THEIR SERVICES FREE OF CHARGE.- AMISH COMMUNITY - CHENANGO COUNTY HAS A GROWING AMISH POPULATION. AMISH LEADERS MET WITH CMH MANAGEMENT TWICE TO ESTABLISH A CLINICAL RELATIONSHIP AND DEVELOP A PAYMENT STRUCTURE. THE MEETING WAS THE RESULT OF AN AMISH BABY THAT PASSED AWAY DURING DELIVERY DUE TO LACK OF PRENATAL CARE. THE HOSPITAL APPRECIATED THE MEETING WITH THE LEADERS SO THAT WE COULD PROVIDE CARE IN A MANNER THAT ALIGNS WITH THEIR CULTURAL BELIEFS.- BUILDING A HEALTHY COMMUNITY COALITION/CHOBANI HEALTHY CHALLENGE - THIS GROUP DEVELOPED A 12-WEEK NUTRITION AND FITNESS CHALLENGE TO IMPROVE INDIVIDUAL HEALTH AND RAISE MONEY FOR LOCAL CHARITIES. TEAMS EARNED POINTS BY COMPLETING DAILY FITNESS AND NUTRITION ACTIVITIES AND PARTICIPATED IN COMMUNITY HEALTH PROGRAMS AS WELL AS SPECIAL CHALLENGE EVENTS. TEAMS COMPETED FOR CASH DONATIONS TO THE LOCAL CHARITY OF THE WINNER'S CHOICE. THIS PROGRAM IS HELD IN CONJUNCTION WITH THE LHD AND THE INITIATIVE TO IMPROVE ADULT HEALTH THROUGH OUTDOOR ACTIVITIES. CMH, CHENANGO UNITED WAY, CHENANGO HEALTH NETWORK, FRIENDS OF ROGERS, YMCA, CNY FIT, AND CHOBANI WERE PARTNERS IN THIS ENDEAVOR.- AMERICAN RED CROSS BLOOD DRIVES - THE HOSPITAL HELD ONLY 1 BLOOD DRIVE IN 2018 AND 21 DONORS PARTICIPATED. RED CROSS BLOOD DRIVES SUPPORT THE BLOOD NEEDS OF UHS CHENANGO MEMORIAL AND OTHER NEIGHBORING HOSPITALS. DUE TO SPACE CONSTRAINTS CREATED BY THE TRANSFORMATION RENOVATION PROJECT CURRENTLY UNDERWAY, BLOOD DRIVES HAVE BEEN TEMPORARILY SUSPENDED UNTIL SPACE AGAIN BECOMES AVAILABLE. - CHENANGO COUNTY FAIR SENIORS DAY - CMH REPRESENTATIVES DISTRIBUTED INFORMATION TO APPROXIMATELY 200 FAIRGOERS ABOUT SERVICES AND HEALTHCARE TIPS FOR SENIORS.- AMERICANS SERVING PEOPLE ABROAD (ASAP) - ASAP IS A NON-PROFIT ORGANIZATION DEDICATED TO IMPROVE THE HEALTH AND EDUCATION OF DEPRIVED, RESOURCE LIMITED RURAL COMMUNITIES IN GHANA AFRICA. THEY ACCOMPLISH THIS GOAL THROUGH SHORT-TERM MOBILE HEALTHCARE MISSION TRIPS AND A CONCURRENT VULNERABLE CHILDREN'S PROGRAM. THEY BELIEVE THAT CHANGE COMES WITH POSITIVE HUMAN INTERACTIONS AND A SHARING OF CULTURE, KNOWLEDGE, AND UNDERSTANDING. ONE OF CMH'S NURSE PRACTITIONERS TRAVELS EVERY YEAR TO WORK IN GHANA. SHE IS ALSO A BOARD MEMBER OF ASAP.- THE DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PAYMENT) PROGRAM PROMOTES COMMUNITY-LEVEL PARTNERSHIPS IN NEW YORK STATE AND PROVIDES FINANCIAL SUPPORT TO HEALTH CARE PROVIDERS TO IMPLEMENT PROGRAMS TO BETTER MEET THE NEEDS OF THEIR COMMUNITIES. CHENANGO COUNTY IS REPRESENTED BY THE CARE COMPASS NETWORK WHICH ADDRESSES ISSUES WITHIN THE SOUTHERN TIER REGION. MEMBERS INCLUDE REPRESENTATIVES FROM LOURDES HOSPITAL (BINGHAMTON), BINGHAMTON GENERAL & WILSON HOSPITALS (BINGHAMTON), CORTLAND REGIONAL MEDICAL CENTER (CORTLAND), CAYUGA MEDICAL CENTER (ITHACA), DELAWARE VALLEY HOSPITAL (WALTON), GUTHRIE CORNING HOSPITAL (CORNING), SCHUYLER HOSPITAL (MONTOUR FALLS). THIS COLLABORATION HAS CREATED A PERFORMING PROVIDER SYSTEM (PPS). THE PPS IS A PARTNERSHIP OF REGIONAL CARE PROVIDERS WHO WILL COLLABORATE TO BETTER TRANSITION FROM TRADITIONAL FEE-FOR-SERVICE PAYMENT FOR THEIR SERVICES TO THE NEW, RISK-BASED, PAY-FOR-PERFORMANCE APPROACH. THE PPS IS COMPRISED OF TEN (10) COUNTIES - BROOME, CAYUGA, CHEMUNG, CHENANGO, CORTLAND, DELAWARE, SCHUYLER, STEUBEN, TIOGA, AND TOMPKINS. THE HOSPITAL'S VICE PRESIDENT OF OPERATIONS IS A VITAL PARTICIPANT REPRESENTING CMH AT THE MAJORITY OF DSRIP MEETINGS AND COMMITTEES. DSRIP INITIATIVES ARE NOT INCLUDED IN THE CHNA, BUT ARE REFERENCED THROUGHOUT THE REPORT. CHNA PRIORITIES WERE MADE WITH DSRIP IN MIND IN ORDER TO COMPLEMENT EACH OTHER'S WORK AND PREVENT DUPLICATION OF EFFORT. ULTIMATELY, CHNA INITIATIVES FEED DIRECTLY INTO THE INITIATIVES IDENTIFIED BY THE CARE COMPASS NETWORK. |
| SCHEDULE H PART V SECTION C LINE 11 | - THE VP OF OPERATIONS AND THE HOSPITAL'S OPERATIONS MANAGER REGULARLY ATTEND THE PHIP REGIONAL STEERING COMMITTEE MEETINGS. REPRESENTATIVES FROM THE CHENANGO HEALTH NETWORK, UNITED WAY AND SURROUNDING COUNTIES DISCUSS SUCH TOPICS AS HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH, ALIGNMENT OF RESOURCES, AND COUNTY, STATEWIDE AND REGIONAL OPPORTUNITIES.- HEALTH COVERAGE ENROLLMENTS -- WHENEVER POSSIBLE, THE HOSPITAL ASSISTS PATIENTS WITH HEALTH INSURANCE ENROLLMENT. IN 2018, NUMEROUS PATIENTS WERE ASSISTED BY THE HOSPITAL'S FINANCIAL ADVOCATES. AS MENTIONED EARLIER, CMH COVERS THE COST OF CHENANGO HEALTH NETWORK'S TELEPHONE COSTS AS WELL AS RENTAL EXPENSE IN SIDNEY TO ASSIST PATIENTS IN THE GREATER SIDNEY AREA WITH INSURANCE NAVIGATION.- SPRING FEVER CONFERENCE -THE LHD HOSTS THIS ANNUAL EVENT ATTENDED BY HEAD START, CHENANGO COUNTY CORRECTIONS AND NUMEROUS SCHOOL DISTRICT PERSONNEL AND NURSES. IN 2018, TOPICS INCLUDED ASTHMA PREVENTION AND MAINTENANCE, KEEPING BABIES SAFE (SIDS & SUIDS), IMMUNIZATION UPDATE, AND THE CHENANGO COUNTY DENTAL TASK FORCE.- LHD OUTREACH TO PROVIDERS -ESD LEADERSHIP RECEIVED EDUCATION FROM THE LHD ON RABIES EXPOSURE PROPHYLACTIC TREATMENTS. SINCE THEN, THEY HAVE BEEN RE-EDUCATING STAFF ON THE PROTOCOL. - PRE-ADMISSION TESTING COMMITTEE - THIS COMMITTEE ADDRESSES EVERY ASPECT OF A PATIENT'S PRE-ADMISSION TESTING EXPERIENCE FROM THE TIME IT IS IDENTIFIED THAT SURGERY IS NEEDED THROUGH THE SURGICAL EXPERIENCE AND THEN RECOVERY AND REHABILITATION. THE TEAM FOCUSES ON PROCESS IMPROVEMENT, BETTER USE OF TECHNOLOGY, PHYSICIAN CONCERNS AND ALL ASPECTS OF THE PATIENT EXPERIENCE. THE PATIENT EXPERIENCE INCLUDES EVERYTHING FROM 1:1 PATIENT EDUCATION TO ENSURE THE PATIENT KNOWS EXACTLY HOW TO PREPARE THEMSELVES FOR A SAFE PROCEDURE TO PATIENT REMINDER CALLS PRIOR TO SURGERY TO EFFICIENT REGISTRATION AND EASY-TO-UNDERSTAND DISCHARGE INSTRUCTIONS. THIS GROUP ALSO WORKS TO IMPROVE EFFICIENCIES TO INCREASE PATIENT ACCESS AND SAFETY.- RECRUITMENT -- UHS CHENANGO MEMORIAL HOSPITAL HAS BEEN DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AS A PRIMARY CARE, DENTAL, AND MENTAL HEALTH PROVIDER SHORTAGE AREA. THE HOSPITAL HAS WORKED DILIGENTLY TO BRING SPECIALTY CARE TO THE AREA SO PATIENTS CAN GET THE CARE THEY NEED CLOSE TO HOME. WE WERE FORTUNATE TO RECRUIT THE FOLLOWING PROVIDERS TO UHS CHENANGO MEMORIAL HOSPITAL AS WELL AS SEND EXISTING PROVIDERS TO THESE LOCATIONS DURING 2018:- EMERGENCY SERVICES (NORWICH, NY) - KENNETH HERMAN, DO, JOINED THE HOSPITAL'S EMERGENCY ROOM STAFF AS A FULL TIME PHYSICIAN AND AS THE DIRECTOR OF EMERGENCY MEDICINE IN MARCH. - ORTHOPEDICS (NORWICH, NY) - TARIQ HUSSAIN, MD, AND WOODLEY DESIR, MD, JOINED THE ORTHOPEDIC STAFF. DR. HUSSAIN PROVIDES FULL-TIME SERVICES IN THE NORWICH OFFICE WITH EXPERIENCE IN ALL MANNER OF ORTHOPEDIC PROCEDURES. HE IS FELLOWSHIP-TRAINED IN SPORTS MEDICINE AND HAND SURGERY, TWO AREAS OF EXPERTISE MUCH NEEDED IN OUR COMMUNITY. DR. DESIR IS PART-TIME IN NORWICH PERFORMING SURGICAL PROCEDURES FOR PATIENTS WHO VISIT HIS UHS OFFICE IN ONEONTA. SOME OF HIS PATIENTS PREFER HAVING THEIR PROCEDURES DONE IN NORWICH BECAUSE IT IS CLOSER TO HOME. AS HE RAMPS UP, HE WILL BEGIN SEEING OUTPATIENTS IN THE ORTHOPEDIC CENTER IN NORWICH.- PRIMARY CARE (SHERBURNE, NY) - CHRISTINA VALENCIA, FNP, JOINED THE FAMILY PRACTICE IN SHERBURNE. - WOMEN'S HEALTH (NORWICH, NY) - ALYSSA MACINTOSH, PA-C JOINED OUR WOMEN'S HEALTH CENTER IN AUGUST. ALYSSA IS A GRADUATE OF THE DCMO BOCES NEW VISIONS CLASS AND RETURNED TO THE AREA TO PROVIDE SERVICES.- ONCOLOGY (NORWICH, NY) - JOSEPH READLING, MD, JOINED THE MEDICAL STAFF IN OCTOBER TO PROVIDE ONCOLOGY/HEMATOLOGY SERVICES AT CMH ONE DAY PER WEEK. IN DECEMBER 2017, THE SOLE PROVIDER OF ONCOLOGY SERVICES TO CHENANGO COUNTY PULLED OUT ON SHORT NOTICE CITING THE INABILITY TO FINANCIALLY SUSTAIN THE PRIVATE PRACTICE. CMH RESTORED ONCOLOGY SERVICES IN OCTOBER 2018 WITH THE CREDENTIALLING OF DR. READLING. ALTHOUGH STILL EMPLOYED BY THAT PRIVATE PRACTICE, DR. READLING RETURNED TO CMH UNDER A NEW CONTRACT. THROUGH THIS ARRANGEMENT, LOCAL ONCOLOGY PATIENTS RECEIVE CONSISTENCY OF CARE AND CMH HAS STABILIZED THAT SERVICE IN CHENANGO COUNTY.- PODIATRY (NORWICH, NY) - IN 2017, CMH PURCHASED THE PRACTICE OF TWO LOCAL PODIATRISTS. THEIR FIRST DAY OF SERVICE WAS JANUARY 2, 2018, AND MANY OF THEIR EXISTING PATIENTS FOLLOWED THEM. NICHOLAS PUTRINO, DPM, JOINED THE PRACTICE FULL TIME IN JULY AND ADDED PODIATRIC SURGICAL SERVICES TO THAT PRACTICE. ANGELA FREEMAN, DPM, JOINED THE PRACTICE ON A PART-TIME BASIS IN AUGUST AND SERVES AS A SURGICAL ASSIST TO DR. PUTRINO. THIS IS THE ONLY PRACTICE IN CHENANGO COUNTY PROVIDING PODIATRY SERVICES.- DIABETIC EDUCATOR (NORWICH, NY) - DORIS HUGHES, NP-C, BOARD CERTIFIED IN ADVANCED DIABETES MANAGEMENT BEGAN SEEING PATIENTS IN DECEMBER TWICE A MONTH. HER SCHEDULE FILLED QUICKLY AND NOW SHE'S ON-SITE ONCE A MONTH AND DOES TELEMEDICINE ANOTHER DAY OF THE MONTH. THIS HAS PROVEN TO BE A HUGE PATIENT SATISFIER.THE HOSPITAL ATTENDS NUMEROUS JOB AND CAREER FAIRS THROUGHOUT THE YEAR TO ATTRACT HARD-TO-RECRUIT CANDIDATES FOR THESE POSITIONS: RN, LAB TECH, PHYSICAL THERAPY ASSISTANT, RADIOLOGY, CNA, LPN, AND SURGICAL TECH. JOB AND CAREER FAIRS WERE SPONSORED BY CDO WORKFORCE/NYS DOL, SUNY BROOME, OTSEGO COUNTY CHAMBER OF COMMERCE, MOHAWK VALLEY COMMUNITY COLLEGE, AND DCMO BOCES. - THE NATIONAL HEALTH SERVICE CORPS (NHCS) BUILDS HEALTHY COMMUNITIES BY SUPPORTING QUALIFIED HEALTH CARE PROVIDERS DEDICATED TO WORKING IN AREAS OF THE UNITED STATES WITH LIMITED ACCESS TO CARE. BY ADDRESSING THE PRIMARY CARE SHORTAGE, THE NHSC A) ENSURES ACCESS TO HEALTHCARE FOR EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY, B) PREVENTS DISEASE AND ILLNESS; AND C) CARES FOR THE MOST VULNERABLE PEOPLE WHO MAY OTHERWISE GO WITHOUT IT. THE NHSC SCHOLARSHIP PROGRAM AWARDS SCHOLARSHIPS TO HEALTH PROFESSIONS STUDENTS ACCEPTED TO, OR ENROLLED IN, AN ACCREDITED U.S. SCHOOL. NHCS PAYS FOR TUITION, ELIGIBLE FEES, OTHER REASONABLE EDUCATIONAL COSTS, AND A LIVING STIPEND. IN RETURN, THE RECIPIENT WORKS AT AN NHSC-APPROVED SITE IN A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). CMH IS A MEMBER OF THIS ORGANIZATION AND OUR RECRUITER IS THE ADMINISTRATOR FOR THE ENTIRE UHS SYSTEM. CMH AND UHS HAVE HIRED SEVERAL RECENTLY GRADUATED PHYSICIANS THROUGH THIS PROGRAM WHICH, IN TURN, HAS INCREASED PATIENT ACCESS AND HELPED TO ALLEVIATE THE SHORTAGE OF PROVIDERS.- CHENANGO UNITED WAY - UHS CHENANGO MEMORIAL IS HEAVILY INVOLVED WITH THE CHENANGO UNITED WAY. ACTIVITIES INCLUDE PARTICIPATION IN THE HEALTHY COMMUNITY IMPACT COMMITTEE MENTIONED PREVIOUSLY, VARIOUS BOARD MEETINGS, CUW'S DENTAL TASK FORCE, AND THE UNITED WAY'S ANNUAL CAMPAIGN. TWO EMPLOYEES CHAIRED THE IN-HOUSE CAMPAIGN WHICH RAISED $9,600. THE DENTAL TASK FORCE KICKED OFF AN INITIATIVE TO DISTRIBUTE DENTAL HYGIENE KITS, INCLUDING TOOTHBRUSHES AND TOOTHPASTE, IN THE COUNTY SCHOOL DISTRICTS TO SUPPORT IN-SCHOOL BRUSHING AND TEACH CHILDREN HEALTHY DENTAL HABITS.- DENTAL TASK FORCE/COMMUNITY ACTION COMMITTEE - COORDINATED BY THE CHENANGO UNITED WAY, THE TEAM WAS ASSEMBLED IN 2017 TO IDENTIFY AN INITIATIVE TO ADDRESS A HEALTH CONCERN IN CHENANGO COUNTY. MEETINGS WERE ATTENDED BY THE UNITED WAY, LHD, CHENANGO COUNTY PLANNING DEPT., FIDELIS, CHENANGO HEALTH NETWORK, AND PHIP. AN INITIATIVE WAS IDENTIFIED TO DISTRIBUTE DENTAL HYGIENE KITS IN THE SCHOOL DISTRICTS AND IMPLEMENT AN IN-SCHOOL BRUSHING PILOT PROGRAM IN 2018. THIS PROGRAM IS NOW UNDERWAY IN SOME OF THE SCHOOL DISTRICTS IN CHENANGO COUNTY.- BLOOD SCREENING & HEALTH FAIR - THIS ANNUAL EVENT IS SPONSORED BY THE NORWICH ROTARY CLUB IN NORWICH, NY. PARTICIPANTS RECEIVE BLOOD PRESSURE SCREENINGS, A CHANCE TO MEET LOCAL PROVIDERS, HAVE MEDICATIONS REVIEWED, AND LEARN ABOUT LOCAL SERVICES. RESULTS ARE THEN FORWARDED TO THE PARTICIPANT'S PRIMARY CARE PROVIDER. THERE IS NO CHARGE TO ENTER THE FAIR AND UHS CHENANGO MEMORIAL RECEIVES NO REVENUE FROM THIS EVENT. CMH WAS REPRESENTED BY OUR LONG-TERM CARE ADMINISTRATOR AND SOCIAL WORKER. APPROXIMATELY 100 VISITED THE TABLE.- NBT HEALTH FAIR - THIS IS AN ANNUAL EVENT HELD AT THE CORPORATE HEADQUARTERS OF NBT IN NORWICH FOR THEIR EMPLOYEES. NBT IS A MAJOR EMPLOYER IN CHENANGO COUNTY. WE PERFORMED APPROXIMATELY 30 OSTEOPOROSIS SCREENINGS AT THE EVENT.- OUTPATIENT TRACKING IN PHARMACIES - CMH'S PRIMARY CARE MEDICAL DIRECTOR HELD 2 MEETINGS WITH OWNERS OF LOCAL, INDEPENDENT PHARMACIES TO EXPLORE THE IDEA OF CO-LOCATING A UHS MEDICAL BOOTH IN PHARMACIES TO CHECK VITALS AND INCORPORATE TELEMEDICINE. IT WAS SUBSEQUENTLY LEARNED THAT UHS HAD A SIMILAR INITIATIVE IN DEVELOPMENT.- GIVE BACK NIGHT - A FUNDRAISER FOR RUN CHENANGO WHOSE MISSION IS TO PROMOTE A HEALTHY LIFESTYLE BY ENCOURAGING PARTICIPATION IN THE ROAD AND TRAIL RACES THAT TAKE PLACE ACROSS CHENANGO COUNTY AND, IN THE PROCESS, SUPPORT THE NON-PROFITS THAT ORGANIZE THESE EVENTS. |
| SCHEDULE H PART V SECTION C LINE 11 | PROMOTE A HEALTHY AND SAFE ENVIRONMENT- FALL PREVENTION - THIS ACTIVITY RELATES TO ONE OF OUR NEEDS ASSESSMENT INITIATIVES AS INDICATED ON PAGE 15 OF THIS SECTION.- AMBULANCE TRANSPORTS - FREQUENTLY, NURSING HOMES WILL SEND ONE OF THEIR RESIDENTS TO THE HOSPITAL'S ER. UPON DISCHARGE, EVEN THOUGH THE NURSING HOME IS OBLIGATED TO PAY THE AMBULANCE FEE FOR THE RESIDENT TO RETURN TO THE NURSING HOME, THEY REFUSE. THE HOSPITAL PAYS THE CHARGE TO ENSURE SAFE TRANSPORT BACK TO THE PATIENT'S NURSING FACILITY. THE HOSPITAL ALSO PAYS FOR ANY ED OR IN-PATIENTS WHO NEED TO BE TRANSPORTED TO OUR MRI WHICH IS LOCATED IN A DIFFERENT BUILDING ON THE CAMPUS. THESE TRANSPORTS TOTALED $31,622 IN 2018.- LEGIONELLA - MEETINGS TO DISCUSS LEGIONELLA MONITORING AND REPORTING, REPORTING OF WATER TEMPERATURES AND TESTING, POLICY EDITING AND UPDATING, WATER PLAN OUTLINING WHERE WATER ENTERS THE BUILDING AND WHERE INSTANT HOT WATER AND SUPPLY LINES ARE LOCATED, COOLING TOWER REPORTS DURING WARM WEATHER, REPORTING AT SYSTEM SHUT DOWN AND RESTART, AND MONTHLY MONITORING OF WATER TEMPERATURES.- INFANT SECURITY SYSTEM - CMH'S EXISTING SYSTEM HAS AGED OUT AND WE CAN NO LONGER GET PARTS. A TEAM HAS BEEN ASSEMBLED TO LOOK AT SECURITY SYSTEMS ON THE MARKET AND WILL MAKE A SELECTION IN 2019.- RADIATION SAFETY COMMITTEE - THIS COMMITTEE ENSURES THAT ALL SAFETY MONITORS ARE FUNCTIONING WITHIN STANDARDS, RADIATION OVEREXPOSURES ARE WITHIN STATE LIMITS, AND PEDIATRIC CT DOSES ARE WITHIN COMPLIANCE (IF NOT, STAFF IS COUNSELED). - HURRICANE FLORENCE WEBINAR - AS HURRICANE FLORENCE APPROACHED, THE LOCAL OFFICE OF THE NATIONAL WEATHER SERVICE HOSTED A WEBINAR AND FORECASTED RAINFALL, FLOODING, ETC. CMH USED THE INFORMATION FOR EMERGENCY PREPAREDNESS TO ENSURE EMPLOYEES, PATIENTS, AND VISITORS REMAINED SAFE AND TO ENSURE CARE COVERAGE.- UHS/CMH HAZARD VULNERABILITY ASSESSMENT - THIS GROUP ASSESSES POTENTIAL HAZARDS RELATED TO WEATHER, COMMUNITY, AND PEOPLE. THEY PRIORITIZE THE TOP 5 VULNERABILITIES AND THEN WORK WITH COMMUNITY RESOURCES TO ADDRESS THEM. COMMUNITY RESOURCES INCLUDE THE LHD, CHENANGO COUNTY EMERGENCY MANAGEMENT, CHENANGO COUNTY FIRE, NORWICH FIRE, NORWICH PD, CHENANGO COUNTY SHERIFF, AND CHENANGO COUNTY EMS. THE ASSESSMENT IS COMPLETED SEMI-ANNUALLY. THE UHS SYSTEM TEAM COMES TO NORWICH FOR THE HOSPITAL ASSESSMENTS AND OUR HOSPITAL REPRESENTATIVES GO TO THE ASSESSMENT FOR WILSON HOSPITAL AND BINGHAMTON GENERAL.- SECURITY AUDIT OF CAMPUS - OUR MANAGER OF SECURITY AND OUR EM/EOC LEAD DID A TOUR OF THE CAMPUS TO ASSESS SECURITY EQUIPMENT AND DOOR LOCKS AS WELL AS IDENTIFY SAFE ROOMS WHERE STAFF COULD STAY DURING AN ACTIVE SHOOTER INCIDENT.- SYSTEM CYBER SECURITY - IN ADDITION TO PHYSICAL SECURITY, THE HOSPITAL IS DEDICATED TO CYBER SECURITY AND THE PROTECTION AND SAFETY OF PATIENT MEDICAL RECORDS AND INFORMATION. THE FOLLOWING ACTIVITIES TOOK PLACE TO ENSURE CYBER SECURITY:- SYSTEM SECURITY OFFICER MEETING - THIS GROUP MEETS MONTHLY AND OVERSEES CYBER SECURITY OF THE ENTIRE UHS SYSTEM TO PROTECT THE SAFETY OF PATIENT MEDICAL RECORDS AND INFORMATION.- BI-WEEKLY DISASTER RECOVERY MEETING - MEETINGS TO DISCUSS PROTECTION AND SHARING OF THE HOSPITAL'S IT SOFTWARE, DATA, AND PATIENT INFORMATION ACROSS THE SYSTEM IN CASE OF DISASTER.- ENVIRONMENT OF CARE/EMERGENCY MANAGEMENT COMMITTEE - THIS COMMITTEE MEETS MONTHLY TO DISCUSS SAFETY AND ENVIRONMENTAL FINDINGS AS WELL AS EMERGENCY PREPAREDNESS. EOC ACCOMPLISHMENTS INCLUDED: INSTALLATION OF "ON-DEMAND" HOT WATER TANKS THAT WILL HELP PREVENT LEGIONELLA; REPLACEMENT OF THE EMERGENCY GENERATOR WITH A LARGER, STATE-OF-THE-ART UNIT THAT NOW SERVES EVERYTHING CMH CURRENTLY HAS ON EMERGENCY POWER; POLICY REVIEW AND DRILLS; REPLACEMENT OF EXISTING TOILETS WITH BARIATRIC TOILETS; HAZARD VULNERABILITY ASSESSMENT OF ALL THE CLINICS; IMPLEMENTATION OF A "SEE SOMETHING, SAY SOMETHING" CAMPAIGN TO ENCOURAGE ALL STAFF TO REPORT ANYTHING THAT MAY BE OUT OF PLACE.EMC OVERSEES LIFE FLIGHT HELICOPTER ACTIVITIES AND THE DECONTAMINATION, COMMUNICATIONS, AND COMMUNICABLE DISEASE TEAMS. THEY ALSO OVERSEE THE EMERGENCY PREPAREDNESS DRILLS AND EXERCISES. MEMBERS PARTICIPATED IN THE ACTIVE SHOOTER DRILL HELD BY THE NORWICH CITY SCHOOL DISTRICT.- SYSTEM ENVIRONMENT OF CARE/EMERGENCY MANAGEMENT COMMITTEE - THIS COMMITTEE MEETS QUARTERLY WITH REPRESENTATIVES FROM EACH OF THE AFFILIATED ORGANIZATIONS TO REVIEW NETWORKED BIO-MEDICAL EQUIPMENT CONCERNS, SYSTEM-WIDE POLICIES THAT NEED REVISING, AND ENVIRONMENTAL TRENDS SUCH AS NUISANCE ACTIVITY BY THE PUBLIC, SMOKING VIOLATIONS, ETC., ALL TO ENSURE SAFETY OF THE PUBLIC, PATIENTS, AND VISITORS.- SAFE PATIENT HANDLING RISK ASSESSMENT - THE ASSESSMENT WAS REQUESTED BY THE LEADERSHIP TEAM AT CMH TO COMPLETE A FIRST YEAR EVALUATION OF THE SAFE PATIENT/RESIDENT HANDLING PROGRAM. EXTENSIVE RESOURCES WERE INVESTED THROUGHOUT LATE 2017 AND 2018 TO ACQUIRE SAFE PATIENT HANDLING EQUIPMENT AND DEVELOP PROGRAMS.FOR THE TIME PERIOD 1/1/15 - 6/3/2018, THERE WERE 19 PATIENT HANDLING INJURIES REPORTED TO LIBERTY MUTUAL WITH $11,480 IN TOTAL INCURRED LOSSES. THE OVERALL ASSESSMENT SCORED A 75.7% OR AVERAGE; EQUIPMENT AND FACILITIES SCORED WELL AT 94% AND 85% RESPECTIVELY. IMPROVEMENT OPPORTUNITIES EXIST WITHIN THE SKILLS AND PERFORMANCE MANAGEMENT SECTION OF THE ASSESSMENT. LEADERSHIP IS COMMITTED TO MAKING IMPROVEMENTS TO THE SAFE PATIENT HANDLING AND MOBILITY PROGRAM IN 2019.- WORKPLACE SAFETY & SAFE PATIENT HANDLING - THIS GROUP WORKS ON POLICIES, SECURITY AND SAFETY FOR EMPLOYEES AND PATIENTS. SUBCOMMITTEES FOCUS ON POLICY PREPARATION, EQUIPMENT/FACILITY ASSESSMENT, INJURY REPORTS AND TRAINING. SEVERAL PIECES OF SAFE PATIENT HANDLING EQUIPMENT WERE DELIVERED AT THE END OF 2017 SO THE TRAINING SUBCOMMITTEE WAS BUSY TRAINING STAFF ON USE OF THE EQUIPMENT IN 2018. THIS GROUP ALSO HAS A RESIDENT COUNCIL CONSISTING OF STAFF, RESIDENTS, AND FAMILY MEMBERS THAT ADDRESS SAFETY CONCERNS ON THE LONG-TERM CARE UNIT AND AN ACCIDENT INVESTIGATION TEAM. ONE OF THE MAJOR ACCOMPLISHMENTS IN 2018 WAS IMPLEMENTATION OF THE VERGE EMPLOYEE INJURY REPORTING SYSTEM. THE MAJOR PROJECT FOR THIS GROUP IN 2018 WAS TO GET THE SAFE PATIENT HANDLING RISK ASSESSMENT COMPLETED AS MENTIONED ABOVE.- SAFE PATIENT HANDLING - SYSTEM COORDINATION - COORDINATION OF EQUIPMENT PURCHASES, TRAINING, AND PROCEDURES ACROSS ALL THE HOSPITALS IN THE UHS SYSTEM TO ACHIEVE COST EFFICIENCIES AND CONSISTENCY OF SAFE PATIENT CARE.- OBSERVANCE OF PATIENT SAFETY AWARENESS WEEK - GOALS OF THIS EVENT WERE TO REINFORCE CORRECT PATIENTS IDENTIFICATION AND INFECTION PREVENTION THROUGH HAND-WASHING. THIS WAS A HOSPITAL-WIDE INITIATIVE INCLUDING FLYERS, "WE ID" BUTTONS, AND "WE ARE COMMITTED TO PATIENT SAFETY- SAFE PATIENT HANDLING (SPH) TRAININGS - OUR STAFF EDUCATOR DEMONSTRATED THE USE OF SPH EQUIPMENT TO SUNY MORRISVILLE STUDENTS AND THEN HAD THEM PRACTICE WITH IT. THE STUDENTS ALSO TOURED THROUGHOUT THE RESIDENTIAL FLOOR AND REVIEWED DOCUMENTATION FORMS AND REQUIREMENTS AS PART OF THEIR ORIENTATION FOR COMPLETING THEIR CLINICAL ROUNDS ON THE UNIT. - SAFE PATIENT HANDLING CONFERENCE - TWO OF OUR ER NURSES ATTENDED THIS CONFERENCE THAT INCLUDED THE FOLLOWING TOPICS: JUMPING THE HURDLES: OVERCOMING OBSTACLES TO A SUCCESSFUL SPH PROGRAM; ESSENTIAL PIECES TO COMPLETE THE PUZZLE FOR SAFE PATIENT HANDLING AND MOVEMENTS; TRANSFERRING PEOPLE FROM DIVERSE SURFACES; CONFIRM THAT YOUR ORGANIZATION HAS A COMPREHENSIVE SPH TRAINING PROGRAM; RESPONDING TO UNPLANNED/UNUSUAL EVENTS; COMPREHENSIVE SPH EQUIPMENT CONTROL; AND PERFORMING BED MOBILITY TASKS.- HIGH RELIABILITY COLLABORATIVE - THE HEALTHCARE ASSOCIATION OF NEW YORK STATE OFFERS THIS 2-DAY PROGRAM TO ANY HOSPITALS IN THE AREA TO SHARE BEST PRACTICES IN PATIENT SAFETY. THE COLLABORATIVE PROVIDES TRAINING, TOOLS AND TECHNIQUES TO IMPROVE PATIENT CARE OUTCOMES.- CRITICAL CARE NURSING SYMPOSIUM - TWO OF THE HOSPITAL'S ER NURSES ATTENDED THIS COURSE CONDUCTED BY UPSTATE UNIVERSITY HOSPITAL. THE COURSE OBJECTIVE WAS TO HIGHLIGHT AREAS THAT MAY PROVIDE NEW KNOWLEDGE, SKILL OR OPPORTUNITY FOR IMPLEMENTING CONCEPTS THAT IMPROVE PATIENT OUTCOMES AND QUALITY OF CARE. TOPICS INCLUDED: WHOLE BLOOD CLOTTING ASSAYS: WHY WON'T MY PATIENT STOP BLEEDING?, ACTIVE SHOOTER TRAINING, STOP THE BLEEDING TRAINING, AND INITIAL MANAGEMENT OF THE BURN TRAUMA PATIENT.- 2018 CAMPAIGN FOR QUALITY - SEVERAL HUNDRED HEALTHCARE PROFESSIONALS ATTENDED THE CONFERENCE THAT FOCUSED ON QUALITY, CLINICAL IMPROVEMENT, AND RECRUITMENT/RECOGNITION OF PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. THE CONFERENCE WAS CONDUCTED BY THE MOHAWK VALLEY HEALTH SYSTEM AND A MEMBER OF CMH'S SENIOR MANAGEMENT TEAM ATTENDED. |
| SCHEDULE H PART V SECTION C LINE 11 | - QUARTERLY PROFESSIONAL STANDARDS DEVELOPMENT - ASSOCIATION FOR THE ADVANCEMENT OF MEDICAL INSTRUMENTATION - AS A VOTING BOARD MEMBER FOR AAMI, OUR SURGICAL TECHNICIAN SERVES AS A SUBJECT EXPERT ASSISTING IN THE DEVELOPMENT OF PROFESSIONAL STANDARDS AND BEST PRACTICES FOR STERILE PROCESSING USED NATIONWIDE.- SAFE PATIENT TRANSFER IN-SERVICE - CMH HOSTED A PRESENTATION AND DISCUSSION REGARDING THE TRANSFER OF PATIENTS FROM NURSING HOMES TO THE HOSPITAL'S ED AND BACK AFTER DISCHARGE FROM THE ED OR MED/SURG. REPRESENTATIVES FROM 2 NURSING HOMES ATTENDED INCLUDING THE NYS VETERAN'S HOME IN OXFORD, NY.- INTERPRETER SERVICES - THE HOSPITAL PROVIDES INTERPRETER SERVICES FOR PATIENTS WHO DON'T SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE. INTERPRETER SERVICES ARE CRITICAL TO QUALITY OF CARE, PATIENT SAFETY AND PATIENT COMPLIANCE. THE HOSPITAL PROVIDES THESE SERVICES AT NO COST TO THE PATIENT. OVER 100 PATIENTS WERE SERVED AT A COST OF $5,151.- TELEVISION AND PHONE SERVICE - TO IMPROVE THE PATIENT EXPERIENCE AND RESPOND TO PATIENT COMPLAINTS, THE HOSPITAL PROVIDES FREE CABLE AND TELEPHONE IN EVERY IN-PATIENT AND RESIDENT ROOM. IN 2018 THERE WERE 1,427 DISCHARGES TOTALING 4,212 PATIENT DAYS NOT INCLUDING RESIDENT AND SHORT TERM DAYS FOR A TOTAL COST OF OVER $23,000.- CHENANGO COUNTY EMS ADVISORY BOARD - THE ER MEDICAL DIRECTOR AND ER DIRECTOR OF NURSING ARE MEMBERS OF THIS ADVISORY BOARD THAT IS ATTENDED BY COUNTY EMERGENCY MEDICAL SERVICES, VOLUNTEER AMBULANCE SQUADS, AND LIFENET. DISCUSSION TOPICS INCLUDE PROTOCOLS, ELECTRONIC MEDICAL RECORDS, NEWS IN THE COUNTY REGARDING EMS, ROAD WORK, TRAINING, RETAINING PAID EMS PROVIDERS, ETC. HOSPITAL REPRESENTATIVES PROVIDE AN UPDATE ON THE HOSPITAL, NEW ESD DOCTORS, ETC.- UNION (NY) VOLUNTEER EMERGENCY SERVICES - AN AMBULANCE COMPANY THAT SERVES THE TOWN OF UNION, NY IN BROOME COUNTY, IT CONSISTS OF 100 VOLUNTEER AND 40 PAID STAFF WHO RUN 4 AMBULANCES 24/7 365 DAYS/YEAR WITH ABOUT 900 CALLS PER MONTH. TIME SPENT INCLUDES UNION NEGOTIATIONS. ALTHOUGH THE MEETINGS ARE 5:30-7:30, IT'S AN HOUR TRAVEL TIME FROM THE HOSPITAL.THE HOSPITAL IS DEDICATED TO EMERGENCY PREPAREDNESS. EMPLOYEES VOLUNTARILY PARTICIPATE IN TRAININGS AND DRILLS THROUGHOUT THE YEAR IN ADDITION TO ANY OUTSIDE EDUCATION PROVIDED BY FEMA (FEDERAL EMERGENCY MANAGEMENT AGENCY). ALTHOUGH SOME OF THESE TRAININGS ARE REIMBURSED BY HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION), IT IS UP TO THE HOSPITAL AS TO THE BREADTH AND DEPTH OF THE EDUCATION PROVIDED. HRSA IS THE PRIMARY FEDERAL AGENCY FOR IMPROVING HEALTHCARE FOR PEOPLE WHO ARE GRAPHICALLY ISOLATED, ECONOMICALLY OR MEDICALLY VULNERABLE. ANNUAL DRILLS CAN INCLUDE CITY AND COUNTY OFFICIALS IN A COORDINATED EFFORT TO RESPOND TO A SPECIFIC SITUATION. LISTED BELOW ARE JUST SOME OF THE ACTIVITIES RELATED TO EMERGENCY PREPAREDNESS.- CHENANGO COUNTY AMATEUR RADIO EMERGENCY SERVICES/RADIO AMATEUR CIVIL EMERGENCY SERVICE (ARES/RACES) - A VOLUNTARY ORGANIZATION OF LICENSED AMATEUR RADIO OPERATORS WHO PROVIDE EMERGENCY COMMUNICATIONS AS A PUBLIC SERVICE TO THE COMMUNITY. THEIR PURPOSE IS TO FURNISH COMMUNICATIONS IN THE EVENT OF NATURAL OR OTHER DISASTERS WHEN REGULAR COMMUNICATIONS FAIL OR ARE INADEQUATE. SPONSORED BY THE AMERICAN RADIO RELAY LEAGUE (ARRL), THE NATIONAL ASSOCIATION FOR AMATEUR RADIO, THE ARES FUNCTIONS AT THE LOCAL LEVEL TO MEET LOCATION COMMUNICATIONS REQUIREMENTS. THE ARES OPERATES UNDER THE DIRECTION OF THE EMERGENCY COORDINATOR (EC) WHOSE FUNCTION IS TO DIRECT THE ACTIVITIES OF THE ARES TO MAINTAIN A STATE OF READINESS. THE HOSPITAL HAS 5 EMPLOYEES WHO ARE MEMBERS OF THE GROUP INCLUDING 2 WHO ARE CHENANGO COUNTY ASSISTANT EMERGENCY COORDINATORS AND 1 WHO IS A TECH SUPPORT SPECIALIST IN THIS CHAPTER AND CURRENT CHAIRMAN OF THE ORGANIZATION. - THE HOSPITAL SPENT $43,596 ON ADDITIONAL SECURITY CAMERAS AND INFRASTRUCTURE TO IMPROVE EXTERIOR SURVEILLANCE. THIS NEW EQUIPMENT IS SET UP TO NETWORK WITH SECURITY SERVICES AT UHS IN CASE OF A MAJOR INCIDENT. THE HOSPITAL ALSO SPENT $34,335 TO ADD CARD ACCESS CONTROL TO ALL EXTERIOR DOORS THEREBY PREVENTING THE GENERAL PUBLIC FROM ENTERING THE BUILDING THROUGH EMPLOYEE ENTRANCES AND FOR THE HOSPITAL TO GO INTO LOCKDOWN IN CASE OF AN ACTIVE SHOOTER INCIDENT.- EMERGENCY PREPAREDNESS EDUCATION - REPRESENTATIVES FROM THE EMERGENCY PREPAREDNESS TEAM COMPLETED THE FOLLOWING FEMA WEBINARS IN 2018 THAT WERE OFFERED BY THE EMERGENCY MANAGEMENT INSTITUTE.- APPLYING INCIDENT COMMAND SYSTEM TO HEALTHCARE ORGANIZATIONS FOR HEALTH CARE HOSPITALS- INTRODUCTION TO THE INCIDENT COMMAND SYSTEMS FOR HEALTHCARE/HOSPITALS- NATIONAL INCIDENT MANAGEMENT SYSTEM (NIMS) - AN INTRODUCTION- MENTAL HEALTH CONSEQUENCES OF MASS VIOLENCE -- DEVELOPED WITH THE INSTITUTE FOR DISASTER MENTAL HEALTH (IDMH) AT SUNY NEW PALTZ, THE TRAINING EXPLORED MENTAL HEALTH CONSEQUENCES OF MASS VIOLENCE RESULTING IN MULTIPLE VICTIMS AND WIDESPREAD PSYCHOLOGICAL EFFECTS FOR DIVERSE IMPACTED GROUPS. THE WEBCASE ADDRESSED NOT ONLY HOW TO TREAT SURVIVORS' MENTAL HEALTH CONSEQUENCES BUT HOW TO DO SO WITHIN THE BROADER CONTEXT OF THE DISASTER RESPONSE -- INCLUDING CONSIDERATIONS FOR THE PSYCHOSOCIAL REACTIONS OF THE RESPONDERS THEMSELVES.- A MEMBER OF OUR EMERGENCY MANAGEMENT TEAM ATTENDED HSEEP OFFERED BY THE DEPARTMENT OF HOMELAND SECURITY. THE HOMELAND SECURITY EXERCISE AND EVALUATION PROGRAM (HSEEP) PROVIDES A SET OF GUIDING PRINCIPLES FOR EXERCISE PROGRAMS, AS WELL AS A COMMON APPROACH TO EXERCISE PROGRAM MANAGEMENT, DESIGN AND DEVELOPMENT, CONDUCT, EVALUATION, AND IMPROVEMENT PLANNING. EXERCISES ARE A KEY COMPONENT OF NATIONAL PREPAREDNESS - THEY PROVIDE ELECTED AND APPOINTED OFFICIALS AND STAKEHOLDERS FROM ACROSS THE WHOLE COMMUNITY WITH THE OPPORTUNITY TO SHAPE PLANNING, ASSESS AND VALIDATE CAPABILITIES, AND ADDRESS AREAS FOR IMPROVEMENT.OTHER TRAININGS AND DRILLS THAT TOOK PLACE IN 2018 INCLUDED:- DECON TRAINING & DRILL - 6 EMPLOYEES JOINED THE DECON TEAM AND IN SEPTEMBER, 12 CMH EMPLOYEES, 3 CONTRACTED EMPLOYEES AND A FACILITATOR TOOK PART IN EDUCATION AND TRAINING ON-SITE IN PREPARATION OF A MASS INCIDENT INVOLVING NUMEROUS PATIENTS REQUIRING DECONTAMINATION OF HAZARDOUS MATERIAL (I.E. FUEL) ON CLOTHING OR SKIN AND/OR WHO HAVE INHALED A HAZARDOUS GAS (I.E. AMMONIA).- EVACUATION TECHNIQUE PRACTICE -- ALL LONG-TERM CARE STAFF.- DISASTER TRIAGE REVIEW -- ALL NURSES IN EMERGENCY SERVICES, HEART CARE, WOMEN'S HEALTH NORWICH PRIMARY CARE, AND LONG-TERM CARE.- MANAGING MEDICAL SURGE INCIDENT - ALL NURSE IN EMERGENCY SERVICES, HEART CARE, WOMEN'S HEALTH, NORWICH PRIMARY CARE, AND LONG-TERM CARE.- CPR DRILLS - ALL LONG-TERM CARE STAFF- DISASTER MENTAL HEALTH TRAINING - 3 CMH EMPLOYEES COMPLETED THIS SPECIALIZED EDUCATION LEARNING HOW TO ADDRESS THE PSYCHOLOGICAL EFFECTS OF A DISASTER ON PATIENTS, FAMILIES AND CHILDREN DURING AN EVENT.- CODE GREY DRILLS - ALL LONG-TERM CARE STAFF PARTICIPATED IN 1 OF 2 DRILLS ABOUT RESIDENT DEVELOPEMENT.- THE EVACUATION OF FACILITIES IN DISASTERS SYSTEMS (EFINDS) COURSE PREPARES EVACUATING AND RECEIVING FACILITIES ON HOW TO UPLOAD AND UPDATE PATIENT/RESIDENT LOCATION INFORMATION ON THE HEALTH COMMERCE SYSTEM DURING A PUBLIC HEALTH EVENT SUCH AS A STORM, FLOOD, NON-NATURAL INCIDENT OR PRACTICE EXERCISE/DRILL. OUR EMPLOYEE HEALTH EDUCATOR ATTENDED THE TRAINING SESSION AND THEN PROVIDED EDUCATION TO 8 CMH EMPLOYEES.- PSYCHOLOGICAL FIRST AID TRAINING - OUR MEDICAL SOCIAL WORKER ATTENDED THIS COURSE OFFERED BY THE NYS DOH COMMERCE TRAINING INSTITUTE. COURSE OBJECTIVES WERE TO BE ABLE TO DESCRIBE THE POST-DISASTER EMOTIONAL ENVIRONMENT AND DESCRIBE THE STEPS THAT RESCUERS CAN TAKE TO RELIEVE THEIR OWN STRESSORS AND THOSE OF DISASTER SURVIVORS.- IN JUNE 2018, A PATIENT PRESENTED AT THE ER WITH A GUNSHOT WOUND. THE HOSPITAL CALLED A CODE ORANGE AND A HOT WASH WAS CONDUCTED SHORTLY THEREAFTER. AS A RESULT OF THIS EVENT, IT WAS DISCOVERED OUR LOCKDOWN SYSTEM WASN'T FUNCTIONING PROPERLY. A FOLLOWUP DRILL OCCURRED IN AUGUST TO TEST THE LOCKDOWN SYSTEM WHICH HAS SINCE BEEN UPGRADED.- ACTIVE SHOOTER DRILL -- INITIATED BY THE NORWICH CITY SCHOOL DISTRICT, THE PREMISE WAS AN ACTIVE SHOOTER IN THE HIGH SCHOOL. CMH, CHENANGO COUNTY EMS, NORWICH PD, AND THE SHERIFF'S DEPARTMENT COLLABORATED ON THIS DRILL. LESSON LEARNED IS THAT CMH ONLY HAS ENOUGH BLOOD SUPPLY TO SUSTAIN 1 PATIENT AT A TIME. THE CMH TEAM PARTICIPATED IN BOTH THE LIVE DRILL AND A TABLE TOP EXERCISE.- COMMUNITY-WIDE EVACUATION DRILL - PREMISE WAS AN AIR HANDLER FAILURE AT CMH CREATED AN EXCESSIVE HEAT SITUATION IN THE LONG-TERM CARE UNIT AND THE RESIDENTS NEEDED TO BE RELOCATED. THE NYS VEST HOME, CHASE/GOOD SHEPHERD, VALLEY VIEW, NORWICH REHAB & NURSING, AND CHENANGO VALLEY HOMES PARTICIPATED. |
| SCHEDULE H PART V SECTION C LINE 11 | - HOSPITAL EMERGENCY PREPAREDNESS COALITION WORKGROUPS - CMH HAS 4 ACTIVE WORKGROUPS FOCUSING ON E-FINDS (MENTIONED EARLIER), VULNERABLE POPULATIONS, COMMUNICATIONS AND CONTINUITY OF OPERATIONS.- VULNERABLE POPULATIONS - THIS WORKGROUP FOCUSES ON HOW TO UTILIZE RESOURCES FOR MANAGING PERSONS WHO FALL INTO NYS DOH'S "AT RISK" POPULATION GROUP DURING AN EMERGENCY (FRAIL, ELDERLY, PHYSICALLY/MENTALLY CHALLENGED, PEDIATRIC POPULATION, NON-ENGLISH SPEAKING, PREGNANT). TWO PLANNING SESSIONS WERE HELD IN 2018 FOR A DRILL THAT TOOK PLACE FEBRUARY 2019.- COMMUNICATIONS - THIS WORKGROUP LOOKS INTO REDUNDANT COMMUNICATIONS THAT COULD BE UTILIZED DURING AN EMERGENCY.- CONTINUITY OF OPERATIONS - THE GOAL OF THIS GROUP IS FOR THE HOSPITAL TO BE A STAND-ALONE FACILITY (NO OUTSIDE SERVICES) DURING A MAJOR EMERGENCY, SUCH AS REGIONAL FLOODING, FOR UP TO 96 HOURS.- HOSPITAL EMERGENCY PREPAREDNESS COALITION (HEPC) EXERCISE PLANNING & COALITION SURGE TEST - ALL AREA HOSPITALS, NURSING HOMES, AND THE DOH MET FOR PURPOSES OF EMERGENCY MANAGEMENT AND PREPAREDNESS. THE TEST WAS THE AREA HAD COLD TEMPERATURES FOR 4 CONSECUTIVE DAYS. FOUR HOSPITALS HAD TO EVACUATE TO OTHER HOSPITALS IN THE AREA. CMH WAS A RECEIVING FACILITY. PARTICIPANTS IN THE EXERCISE INCLUDED THE STATE DOH, CAYUGA MEDICAL, CHENANGO HOSPICE, OSWEGO COUNTY AND UHS TO NAME A FEW.- CONTINUITY OF OPERATIONS PLANNING (COOP) IN THE HEALTHCARE SECTOR - CMH'S MANAGER OF EMERGENCY MANAGEMENT ATTENDED THIS TRAINING THAT IS DESIGNED TO A) EXPLORE WHY BUSINESS CONTINUITY IS AN ESSENTIAL COMPONENT OF A COMPREHENSIVE OVERALL EMERGENCY MANAGEMENT PROGRAM, B) DESCRIBE THE ELEMENTS AND IMPORTANCE OF A HEALTHCARE COOP, INCLUDING STEPS TO ACHIEVE AND HOW EFFECTIVE COOP HAS BENEFITS TO EVERYDAY OPERATIONS, C) PROVIDE STRATEGIES TO SELL COOP TO OTHERS IN THE ORGANIZATION, AND COMMUNITY, AND D) USE CASE SCENARIOS TO DEMONSTRATE BOTH VALUE AND APPLICABILITY.- DISASTER PREPAREDNESS EDUCATION - THREE OF THE HOSPITALS ER NURSES ATTENDED THIS TRAINING FOCUSED AROUND THE MENTAL HEALTH EFFECTS OF A MASS TERRORIST EVENT AND HOW HEALTH CARE GIVERS WOULD ASSIST IN THIS SITUATION. REAL-LIFE EXAMPLES OF AN ATTACK IN A MALL IN EUROPE AND A "MOCK" EVENT AND ONONDAGA COMMUNITY COLLEGE WERE PRESENTED AND PARTICIPANTS WERE TRAINED ON HOW TO RESPOND TO A SITUATION IF ONE HAPPENED LOCALLY.- INTEROPERABLE COMMUNICATIONS DRILL -- THE DEPARTMENT OF HEALTH (DOH) OFFICE OF HEALTH EMERGENCY PREPAREDNESS (OHEP) CONDUCTED AN EMERGENCY PREPAREDNESS DRILL IN OCTOBER. THE DRILL TESTED INTEROPERABLE COMMUNICATIONS (IOC) IN THE EVENT OF AN EMERGENCY. THE DRILL WAS STATEWIDE, WITH THE EXCEPTION OF THE FIVE BOROUGHS OF NEW YORK CITY. NURSING HOMES, ADULT CARE FACILITIES, HOME CARE PROVIDERS, AND HOSPICE PROVIDERS WERE INCLUDED IN THE DRILL. A MEMBER OF THE HOSPITAL'S TECHNICAL SERVICES TEAM PARTICIPATED IN THE DRILL.- STOP RANSOMWARE ATTACKS IN ITS TRACKS - THIS TRAINING DISCUSSED HOW TO STOP RANSOMWARE ATTACKS, HOW TO DETECT ATTACKS, RESPOND, AND ENHANCE SECURITY. THE ADVANTAGES OF STREAMING PROTECTION WERE ALSO DISCUSSED. CMH'S MANAGER OF EMERGENCY MANAGEMENT ATTENDED THE WEBINAR.PREVENT CHRONIC DISEASES -CHILDHOOD & ADULT OBESITY - A SUMMARY OF ACTIVITIES RELATED TO THIS INITIATIVE STARTS ON PAGE 2 OF THIS SECTION. - DIABETES SUPPORT GROUP - SUPPORT FOR DIABETICS AND THEIR FAMILIES WITH DIFFERENT TOPICS EACH MONTH. TOPICS INCLUDE MEAL PLANNING, HEALTHY EATING, PORTION MANAGEMENT, HYPOGLYCEMIA, SELF-MONITORING OF BLOOD GLUCOSE, CARBOHYDRATE COUNTING, ELECTROLYTES, EXERCISE, CORRELATION WITH HEART DISEASE, EFFECT ON FEET, READING FOOD LABELS, EYE COMPLICATIONS, KIDNEY COMPLICATIONS. THE SUPPORT GROUP WAS RESTARTED IN AUGUST WITH 20 PEOPLE SERVED THROUGH THE REMAINDER OF 2018.- TAKE A SHOT AT DIABETES - FUNDS RAISED AT THIS EVENT SPONSORED BY THE LOCAL YMCA GO TOWARDS SENDING CHILDREN WITH DIABETES TO CAMP, AS WELL AS HELPING AID THE CAMP'S EFFORTS TO PROVIDE A ONE OF A KIND EXPERIENCE TO CAMP GOERS. THIS EVENT RAISED ENOUGH MONEY LAST YEAR TO PROVIDE TESTING STRIPS TO THE ENTIRE CAMP AS WELL AS THE CONSTRUCTION OF A HANDICAP CAMP FOR DIABETIC PATIENTS. MARYLOU STANTON, A CMH PROVIDER, SPOKE ABOUT HER PERSONAL EXPERIENCE WITH DIABETES AND THE SERVICES OFFERED LOCALLY. CMH HAD AN INFORMATION DISPLAY ABOUT DIABETIC SERVICES AND EDUCATION OFFERED AT CMH - SOME AT NO COST.- AS MENTIONED EARLIER, CMH HAS CONTRACTED WITH UHS TO SHARE A DIABETIC EDUCATOR. PRIOR TO HER START, MEETINGS WERE HELD TO DISCUSS HAVING HER VISIT AND EDUCATE PATIENTS AT EACH OF THE PRIMARY CLINICS ON A ROTATIONAL BASIS EVERY WEEK. THE ORIGINAL PLAN HAS EVOLVED INTO AN ON-SITE VISIT IN NORWICH ONCE A MONTH AND ALSO A TELECONFERENCE WITH PATIENTS ONCE A MONTH WHICH HAS PROVEN TO BE A HUGE PATIENT SATISFIER. THE EDUCATOR'S SCHEDULE FOR NEW APPOINTMENTS IS BOOKED THROUGH AUGUST 2019.- HOSPICE & PALLIATIVE CARE OF CHENANGO COUNTY - HOSPICE & PALLIATIVE CARE OF CHENANGO COUNTY SERVES INDIVIDUALS WITH LIFE-LIMITED ILLNESSES. THE 16-MEMBER BOARD MEETS IN THE BOARD ROOM OF THE HOSPITAL 7 TIMES PER YEAR FOR 2 HOURS NOT INCLUDING THE ANNUAL MEETING. CMH AND HOSPICE HAVE COLLABORATED FOR MANY YEARS. LISTED BELOW ARE THE ACTIVITIES THAT OCCURRED DURING 2018. - HOSPICE PROVIDES SERVICES TO OUR LONG-TERM CARE RESIDENTS FACING END-OF-LIFE ISSUES. THE RESIDENT, THEIR FAMILY, AND THE STAFF OF BOTH THE HOSPITAL AND HOSPICE DESIGN A CARE PLAN THAT BEST MEETS THE NEEDS OF THE PATIENT. THE HOSPITAL'S NURSING HOME ADMINISTRATOR AND DIRECTOR OF NURSING MEET WITH HOSPICE TWICE A YEAR TO EVALUATE THE PROGRAM AND MAKE ADJUSTMENTS AS NECESSARY. 5 RESIDENTS AND FAMILIES RECEIVED SERVICES IN 2018.- CMH MADE 27 REFERRALS TO HOSPICE IN 2017 AS WELL AS CARING FOR A HANDFUL OF IN-PATIENTS. THIS NUMBER DOES NOT INCLUDE RESPITE PATIENTS. HOSPICE IS ON-SITE TO WORK WITH DISCHARGE PLANNERS AS NEEDED.- CMH HAS HAD A REPRESENTATIVE ON THE HOSPICE BOARD FOR MANY YEARS. CURRENTLY, ONE OF THE HOSPITAL'S OR NURSES IS SECRETARY OF THE BOARD.- HOSPICE ANNUAL GOLF TOURNAMENT - TWO HOSPITAL EMPLOYEES AND 2 CONTRACTED EMPLOYEES GOLFED IN THIS ANNUAL FUNDRAISER.- ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES) MOLST (MEDICAL ORDERS FOR LIFE SUSTAINING TREATMENT) - PROJECT ECHO IS A GUIDED-PRACTICE MODEL THAT AIMS TO INCREASE WORKFORCE CAPACITY BY SHARING KNOWLEDGE. SPECIALISTS AND EXPERTS AT THE "HUB" SITE MEET REGULARLY WITH PROVIDERS FROM HOSPITALS, POST-ACUTE LONG TERM CARE FACILITIES AND PHYSICIAN PRACTICES IN LOCAL COMMUNITIES VIA VIDEO CONFERENCING TO SUPPORT THESE PROVIDERS IN THE DELIVERY OF SPECIALTY CARE SERVICES. THE ECHO MODEL DOES NOT PROVIDE CARE DIRECTLY TO PATIENTS. INSTEAD, IT PROVIDES FRONT-LINE CLINICIANS WITH THE KNOWLEDGE AND SUPPORT THEY NEED TO MANAGE PATIENTS WITH COMPLEX CONDITIONS IN THE PATIENTS' OWN COMMUNITIES. IT ALSO HELPS ENSURE THAT ALL PROVIDERS ARE UP TO DATE ON THE LATEST TREATMENT AND PATIENT SUPPORT OPTIONS AVAILABLE. THIS DRAMATICALLY INCREASES ACCESS TO HIGH QUALITY, SPECIALTY TREATMENT, PARTICULARLY IN RURAL AND UNDERSERVED AREAS. THE EDUCATIONAL SESSION ON 2/9 WAS ATTENDED BY MEMBERS OF THE CARE COMPASS NETWORK AND THE LOCAL PERFORMING PROVIDER SYSTEM OF DSRIP.- AMERICAN CANCER SOCIETY EVENTS AND FUNDRAISERS - RELAY FOR LIFE - UHS CHENANGO MEMORIAL IS AN ANNUAL SUPPORTER IN THIS FUNDRAISER FOR THE AMERICAN CANCER SOCIETY. CMH PROVIDES A BOOTH WITH FUNDRAISING ACTIVITIES. TOTAL DONATION TO THE CANCER SOCIETY WAS $9,902 FROM SEVERAL FUNDRAISING EVENTS THAT WERE HELD THROUGHOUT THE AREA TO SUPPORT THE HOSPITAL'S RELAY FOR LIFE TEAM. FUNDRAISERS WERE HELD IN NORWICH, OXFORD, AND SHERBURNE, NY. - MAKING STRIDES AGAINST BREAST CANCER - FOUR (4) CMH EMPLOYEES TOOK THE 3-MILE WALK TO RAISE AWARENESS OF BREAST CANCER. THE TEAM RAISED $1,626 INCLUDING SEPARATE FUNDRAISERS LEADING UP TO THE EVENT.- RESTORATION OF ONCOLOGY/INFUSION SERVICES -- PERSONNEL FROM CMH, UHS, AND BROOME ONCOLOGY COLLABORATED TO RESTORE ONCOLOGY AND INFUSION SERVICES TO CHENANGO COUNTY. THIS EFFORT REQUIRED WEEKLY TELECONFERENCES AMONG INTERDISCIPLINARY DEPARTMENTS TO A) CREDENTIAL PROVIDERS WITH CMH; B) TRAIN NURSES TO HANG CHEMO, C) RENOVATE THE OUTPATIENT SPACE, D) INSTALL A HOOD TO MIX DRUGS, E) PURCHASE AND INSTALL ALL IT EQUIPMENT, AND D) BUILD SYSTEMS FOR REGISTRATION AND SCHEDULING. COST FOR TIME AND MATERIALS TO COMPLETE THE RENOVATION WAS OVER $25,000.- OUTPATIENT ONCOLOGY SPACE & EQUIPMENT FOR INFUSIONS - CMH REMODELED SPACE TO CREATE A TEMPORARY PHARMACY TO MIX DRUGS, CREATE A FRESH ENVIRONMENT FOR OUTPATIENT SERVICES, AND CREATE AN ONCOLOGY INFUSION CENTER. THIS IS A NEW SERVICE LINE AT CMH THAT REDUCES THE TRAVEL NEEDS OF PATIENTS AND THEIR FAMILIES THROUGH TREATMENT. BOTH CMH PHARMACISTS COMPLETED SPECIALIZED TRAINING TO PRODUCE CHEMOTHERAPY AND INFUSION MEDICATIONS FOR ONCOLOGY PATIENTS. FOR EVERY TREATMENT DAY, TWO PHARMACISTS ARE REQUIRED - ONE TO MIX AND ONE TO OBSERVE. |
| SCHEDULE H PART V SECTION C LINE 11 | - DIVERSE APPROACHES TO PALLIATIVE CARE - WITH THE RESTORATION OF ONCOLOGY SERVICES AT CMH, TWO NURSE MANAGERS ATTENDED THIS SEMINAR THAT COVERED THE FOLLOWING TOPICS: "AMBULATORY PALLIATIVE CARE - WERE DOES IT FIT IN?," WORKSHOPS A) SPIRITUAL DISTRESS IN PALLIATIVE MEDICINE PATIENTS, B) MEDICAL MARIJUANA: HOPE OR HYPE?, AND C) THE DELIVERY OF PALLIATIVE CARE FOR THE COMPLEX PATIENT POPULATION, WITH A CLOSING KEYNOTE ADDRESS ENTITLED "PAIN ASSESSMENT AND MANAGEMENT STRATEGIES IN PALLIATIVE CARE"- INFUSION THERAPY & VASCULAR ACCESS - ON OF THE RN'S RECENTLY CERTIFIED TO HANG CHEMO ATTENDED THIS SYMPOSIUM. TOPICS INCLUDED CLINICAL CONVENTION VS EVIDENCE-BASED MEDICINE, ADDING TISSUE ADHESIVES OF PREVENTATIVE TECHNOLOGIES TO IMPROVE THE VASCULAR ACCESS EXPERIENCE FOR PATIENTS, SPECIALTY HOME INFUSION, THE DIFFERENCE BETWEEN SUBCUTANEOUS ENGINEERED SECUREMENT DEVICE (SESD) AND ADHESIVE ENGINEERED SECUREMENT DEVICES (AESD), CHANGES TO THE INS STANDARDS REGARDING VESICANTS AND IRRITANTS AND HOW TO APPLY THIS KNOWLEDGE TO DEVICE SELECTION.- EVERY WOMAN COUNTS PROGRAM - THE CHENANGO HEALTH NETWORK COORDINATES THE "EVERY WOMAN COUNTS" PROGRAM THAT ADVOCATES FOR CANCER SCREENINGS FOR WOMEN. CMH PERFORMED 348 MAMMOGRAMS IN 2018 AS A RESULT OF THIS PROGRAM.PREVENT HIV/STD'S, VACCINE PREVENTABLE DISEASES AND HEALTHCARE ASSOCIATED INFECTIONS- NURSE EXECUTIVE LEADERSHIP SEMINAR - SPONSORED BY THE ASSOCIATION OF OPERATING ROOM NURSES, DISCUSSIONS INCLUDED: COLLABORATION BETWEEN OR, SPD, GI LAB, AND INFECTION PREVENTION TO PREVENT SURGICAL SITE AND SCOPE-RELATED INFECTIONS, IMPROVING STERILIZATION AND HIGH-LEVEL DISINFECTION (HLD) PROCESSES USING EVIDENCE-BASED PROCEDURES, METHODS TO EVALUATE THE CLEANING, DECONTAMINATION, INSPECTION, AND STERILIZATION OF INSTRUMENTS AND HLD OF SCOPES, IDENTIFICATION OF ROLE RESPONSIBILITIES OF THE OR, SPD, AND GI LAB STAFF FOR PROCESSING OF INSTRUMENTS AND SCOPES, BEST PRACTICES TO COLLABORATE, EDUCATE, EMPOWER, AND ENGAGE ALL MEMBERS OF THE TEAM TO ACHIEVE QUALITY OUTCOMES.- SENIOR FLU EVENT - THIS EVENT IS HELD AT THE LOCAL YMCA AND IS A COLLABORATIVE COORDINATED BY CHENANGO COUNTY PUBLIC HEALTH AND THE CHENANGO COUNTY AREA AGENCY ON THE AGING. CMH HAD REPRESENTATIVES ON SITE TO DISCUSS PROPER HAND HYGIENE AND PROVIDED HAND SANITIZERS AS GIVE AWAYS.- DEPARTMENT OF HEALTH PROFESSIONAL ADVISORY COMMITTEE - CMH'S INFECTION CONTROL NURSE PARTICIPATES ON THIS COMMITTEE. THIS COMMITTEE DISCUSSES THE LATEST INITIATIVES OF THE DOH INCLUDING IMMUNIZATIONS, FLU PREVENTION, ETC., THE INFORMATION PRESENTED DURING THIS MEETING IS REPORTED AT CMH'S INFECTION CONTROL COMMITTEE MEETING. THE PROFESSIONAL ADVISORY COMMITTEE CONSISTS OF 14 AREA HEALTH AGENCIES AND 3 LAY PERSONS FROM THE COMMUNITY.- INFECTION CONTROL IN HEALTHCARE - THIS TOPIC IS AN IN-DEPTH PRESENTATION INCLUDED IN THE DCMO BOCES NEW VISIONS PROGRAM.- INFECTION CONTROL COMMITTEE - CMH'S INFECTION CONTROL COMMITTEE MEETS BI-MONTHLY TO REVIEW AND UPDATE POLICIES, SHARE CDC ALERTS PARTICULARLY ABOUT FLU, MEASLES, ZIKA, EBOLA, AND LYME DISEASE. THEY ALSO DISCUSS THE LATEST UPDATES ON VACCINES AND ANTIBIOTIC RESISTANCES. THIS GROUP IS WORKING ON A SEPSIS INITIATIVE TO PREVENT/TREAT INFECTIONS BEFORE THEY CAUSE SEPSIS.- EBOLA -- DURING 2018, A PATIENT PRESENTED IN THE ER WITH SYMPTOMS OF EBOLA. FORTUNATELY, IT WASN'T EBOLA BUT IT TRIGGERED THE NEED FOR SOME STAFF RE-TRAINING WHICH TOOK PLACE IN DECEMBER.- HPV-11 YEAR BUNDLE - THE DOH VISITED EACH OF THE HOSPITAL'S PRIMARY CARE CENTERS AND WOMEN'S HEALTH CENTER TO EDUCATE THE STAFF ABOUT THE HPV VACCINE. THE HPV VACCINE IS THE 9-VALENT HUMAN PAPILLOMA VIRUS (9VHPV). THIS VACCINE PROTECTS AGAINST THE MOST COMMON HPV TYPES, WHICH CAUSE 90% OF CERVICAL, VAGINAL, VULVAR, ANAL AND PENILE CANCERS. ADDITIONALLY, THIS VACCINE PREVENTS HPV TYPES THAT CAUSE GENITAL WARTS IN BOTH MALES AND FEMALES. THE 9VHPV VACCINE IS ROUTINE RECOMMENDED FOR BOTH MALES AND FEMALES, ROUTINELY GIVEN AT AGE 11 OR 12.- SCABIES OUTBREAK -- A PATIENT WHO LIVES IN THE COMMUNITY PRESENTED TO THE CMH EMERGENCY DEPARTMENT ON MAY 6, 2018 VIA NORWICH FIRE AND RESCUE DEPARTMENT. BETWEEN MAY 6 AND MAY 21, HE HAD BEEN ON THE FOLLOWING UNITS: CMH MED/SURG, WILSON'S CARDIOVASCULAR ICU, AND CMH RESIDENTIAL HEALTHCARE FACILITY (RHCF). AFTER PATIENT DISCHARGE FROM UHS WILSON ON 5/17/18, UHS WAS NOTIFIED THAT THE PATIENT HAD A DIAGNOSIS OF AGGRESSIVE SCABIES.SEVERAL STAFF MEMBERS WHO PROVIDED DIRECT PATIENT CARE PRESENTED TO OCCUPATIONAL MEDICINE WITH SYMPTOMS. AFTER THOROUGH ANALYSIS, SENIOR MANAGEMENT DISCUSSION, AND CONSULTATION WITH THE DOH, PROCESSES WERE IMPLEMENTED TO CONTAIN THE OUTBREAK. DUE TO THE NATURE OF THE EXPOSURE AND THE VARIED TIMELINE WITH PATIENT AND STAFF POTENTIAL EXPOSURE AND SYMPTOM PRESENTATION, EXTRAORDINARY PRECAUTIONS WERE IMPLEMENTED TO PREVENT THE SPREAD TO STAFF, PATIENTS, AND THE PUBLIC.ON 5/21/2018, THE INFECTION PREVENTIONIST (IP) AT WILSON MEMORIAL NOTIFIED THE INFECTION PREVENTIONIST AT CMH THAT SEVERAL EMPLOYEES WHO WORK IN THE CARDIOVASCULAR ICU HAD DEVELOPED A RASH FOLLOWING THE PATIENT'S DISCHARGE. ON 5/22/2018, STAFF ON CMH RHCF BEGAN REPORTING RASHES ON THE INNER ASPECTS OF THEIR ARMS. DR. SIMCOE, GERIATRIC MEDICAL DIRECTOR, WAS NOTIFIED AS WELL AS THE DIRECTOR OF NURSING ON THE UNIT. ONCE IT WAS DETERMINED THAT THE RASHES WERE SUSPECT SCABIES, LINE LISTS WERE INITIATED AND DATED AND AN INVESTIGATION WAS STARTED TO DETERMINE THE NUMBER OF PEOPLE WITH THE RASH. ON 5/22/2018 AND 5/23/2018 ALL PATIENTS AND STAFF WERE ASSESSED. THROUGH 6/1, THOSE WHO WERE SYMPTOMATIC WERE TREATED AND THOSE WHO WERE ASYMPTOMATIC HAD PROPHYLAXIS. THE CMH RHCF NORTH UNIT WAS PLACED ON CONTACT PRECAUTIONS UNTIL ALL RESIDENTS AND STAFF HAD COMPLETED TREATMENT.GOING FORWARD ANY RESIDENT OR STAFF WHO PRESENTS WITH A RASH WERE TO HAVE A SCABIES SCRAPING FOR DEFINITIVE DIAGNOSIS. EDUCATION WAS SENT TO ALL MANAGERS AND PROVIDERS TO REVIEW WITH STAFF. SURVEILLANCE CONTINUED THROUGH 7/17/2018 AT WHICH TIME IT WAS DETERMINED THE OUTBREAK HAD ENDED.- FLU OUTBREAK - IN JANUARY, DURING THE HEIGHT OF FLU SEASON, CMH'S INFECTION CONTROL NURSE CONDUCTED A REVIEW OF THE HOSPITAL'S CONTINUITY OF OPERATIONS PLAN IN CASE OF A PANDEMIC OUTBREAK.PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN- A SUMMARY OF ACTIVITIES ASSOCIATED WITH THIS INITIATIVE CAN BE FOUND AS INDICATED BELOW:O BREASTFEEDING - PAGE 8O REDUCE PREMATURE BIRTHS - PAGE 17O TOBACCO USE IN PREGNANCY - PAGE 19- PERINATAL COMMITTEE MEETINGS - CMH'S PERINATAL COMMITTEE CONSISTS OF ALL PROVIDERS WHO CARE FOR ANTEPARTUM AND POST-PARTUM WOMEN AND THEIR NEWBORNS. THE GROUP MEETS EVERY OTHER MONTH TO REVIEW QUALITY INDICATORS, PATIENT SATISFACTION SCORES, STATS INCLUDING C-SECTIONS, BREASTFEEDING RATES, EDUCATIONAL MATERIALS AVAILABLE FOR MOTHERS, POLICY EVALUATIONS, REGULATION CHANGES, AND SPECIAL PROJECTS SUCH AS THE NYSDOH OBSTETRIC HEMORRHAGE PROJECT.- PERINATAL CROUSE OUTREACH - CMH HAS A LONG-STANDING RELATIONSHIP WITH CROUSE HOSPITAL, WITH SUPPORT AND COLLABORATION OF UPSTATE MEDICAL UNIVERSITY FOR THE FOLLOWING PURPOSES: A) TO PROVIDE A COMPREHENSIVE MATERNAL AND NEWBORN SERVICE PROGRAM FOR WOMEN ASSESSED AS HIGH-RISK PATIENTS AND/OR ARE BEARING HIGH-RISK FETUSES AND IMPROVING THE CARE OF SUCH WOMEN AND THEIR FETUSES/NEWBORNS; B) TO PROVIDE ALL ASPECTS OF MATERNAL AND NEONATAL CARE INCLUDING THE EDUCATION, EVALUATION AND DATA COLLECTION WITHIN THE DESIGNATED REGION OF CENTRAL NEW YORK; AND C) TO ESTABLISH SPECIFIC PROTOCOLS FOR HANDLING AND MANAGING CASES AND PATIENTS NOT WITHIN CMH'S SCOPE OF SERVICES IT PROVIDES. SPECIFIC SERVICES FROM CROUSE INCLUDE CONSULTATIONS, TRANSFER OF MATERNAL AND NEWBORN PATIENTS, AND HAVE A NEONATAL TRANSPORT TEAM IN ATTENDANCE FOR KNOWN TIMED DELIVERIES WHEN THERE ISN'T ENOUGH TIME FOR TRANSPORT. CROUSE PRESENTS AN ON-SITE REPORT OF THEIR SERVICES TO THE PERINATAL MEDICAL STAFF ANNUALLY INCLUDING A STATISTICAL SUMMARY OF ACTIVITY, OBSTETRICAL UPDATES AND CMH'S PERFORMANCE AGAINST QUALITY ASSURANCE BENCHMARKS. THE 2018 MEETING REFLECTED PERFORMANCE IN 2017 WHEN THERE WERE 4 MATERNAL TRANSPORTS FROM CMH TO CROUSE; 7 OUTPATIENT CONSULTS TO THE PERINATAL CENTER, 2 NEONATAL TRANSPORTS FROM CMH TO CROUSE AND 12 TO OTHER HOSPITALS. THE BIGGEST DEMAND FOR COUNSELING IS RELATED TO POST-PARTUM DEPRESSION AND ONE OF THE BIGGEST LIMITATIONS IS PROVIDERS OFFERING SERVICES UNDER MEDICAID. CROUSE NOTED THAT THERE IS A COMMON TREND STATE-WIDE THAT MENTAL HEALTH AND ACCESS TO SUBSTANCE ABUSE COUNSELING CAN BE LIMITED TO PATIENTS WHO NEED IT MOST.- LEAD TESTING - THE LHD PROVIDED AN ANNUAL IN-SERVICE TO THE HOSPITAL'S PEDIATRIC STAFF THAT INCLUDED THAT LATEST INFORMATION ABOUT LEAD TESTING.- SIDS/SAFE SLEEP - THE LDH SHARED INFORMATION IN PEDIATRICS AND ALL OF THE PRIMARY CARE OFFICES THAT PROMOTES SAFE SLEEP AND HOW TO PREVENT SIDS (SUDDEN INFANT DEATH SYNDROME). IN 2018, 5 BABIES DIED OF SIDS IN CHENANGO COUNTY. |
| SCHEDULE H PART V SECTION C LINE 11 | - EARLY CHILDBIRTH CONFERENCES - FOUR (4) NURSES ATTENDED PROGRAMS AS EXPLAINED BELOW:- REGIONAL PERINATAL SYMPOSIUM -- COURSE CURRICULUM INCLUDED: THE SACRED HOUR: UNINTERRUPTED SKIN-TO-SKIN IMMEDIATELY AFTER BIRTH, WHAT EVERY PROVIDER SHOULD KNOW AND DO FOR MATERNAL MENTAL HEALTH, QUALITY IMPROVEMENT TO MAKE THE HOSPITAL SAFER FOR BABIES, HOW TO TELL IF A NEONATE IS INFECTED - LAB WORK INTERPRETATION THE S.T.A.B.L.E. WAY, CARDIOLOGY IN THE FRIST MONTH, BEYOND THE SACRED HOUR: SUPPORTING EXCLUSIVE BREASTFEEDING IN THE EARLY POSTPARTUM PERIOD.- BREASTFEEDING CONFERENCE - HOSTED BY THE CAYUGA COUNTY HEALTH DEPARTMENT, THE CONFERENCE INCLUDED THE FOLLOWING TOPICS: MILK SUPPLY: TOO MUCH OR TOO LITTLE, THE TRUTH ABOUT HERBS AND BREASTFEEDING, DEPRESSION AND NURSING, PROPER DIET - WHAT CAN WOMEN EAT, WHAT TO STAY AWAY FROM- BREASTFEEDING CERTIFICATIONS - CMH HAD 4 NURSES COMPLETED CERTIFICATION COURSES IN LACTATION AS DESCRIBED BELOW:- IBCLC -- AN INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT (IBCLC) IS A HEALTH CARE PROFESSIONAL WHO SPECIALIZES IN THE CLINICAL MANAGEMENT OF BREASTFEEDING. IBCLCS ARE CERTIFIED BY THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS UNDER THE DIRECTION OF THE US NATIONAL COMMISSION FOR CERTIFYING AGENCIES. IBCLCS WORK IN A VARIETY OF HEALTH CARE SETTINGS INCLUDING HOSPITALS, PEDIATRIC OFFICES, PUBLIC HEALTH CLINICS, AND PRIVATE PRACTICE. ELIGIBLE CANDIDATES MUST HAVE THE APPROPRIATE EDUCATION AND BACKGROUND TO QUALIFY. FOR CERTIFICATION, THE CANDIDATE MUST COMPLETE 14 HEALTH SCIENCES EDUCATION COURSES, A MINIMUM OF 90 HOURS OF LACTATION SPECIFIC EDUCATION AND 1000 HOURS OF LACTATION SPECIFIC CLINICAL PRACTICE WITHIN THE 5 YEARS IMMEDIATELY PRIOR TO EXAM APPLICATION. A CERTIFICANT CAN RE-CERTIFY EVERY 5 YEARS BY COMPLETING 75 CONTINUING EDUCATION CREDITS (CERPS) OF WHICH 50 MUST LACTATION SPECIFIC AND 5 MUST PERTAIN TO PROFESSIONAL ETHICS. THE REMAINING 20 MAY BE ON ANY TOPIC RELEVANT TO THE LACTATION CONSULTANT PROFESSION. THE CERTIFICANT MUST ALSO COMPLETE A RECERTIFICATION TEST EVERY 5 YEARS. CANDACE GAYFIELD PASSED HER IBCLC EXAM IN 2018.- CLC - THE CENTER FOR BREASTFEEDING'S LACTATION COUNSELOR TRAINING COURSE IS 5 DAYS OF CLASSROOM TRAINING AND 30 HOURS OF HANDS-ON TRAINING DESIGNED TO PROVIDE A SOLID, UP-TO-DATE, RESEARCH BASED BODY OF INFORMATION REGARDING LACTATION AS WELL AS THE ART OF COUNSELING. LEARNERS ARE ENGAGED IN DIDACTIC AND EXPERIENTIAL ACTIVITIES DURING THIS COURSE. ON THE FINAL DAY, AN EXAMINATION IS ADMINISTERED BY THE ACADEMY OF LACTATION POLICY AND PRACTICE. THE EXAM CONSISTS OF A DIDATIC MULTIPLE CHOICE WRITTEN TEST AND A PRACTICAL VIDEO ASSESSMENT TEST. THREE NURSES COMPLETED THE COURSE AND RECEIVED THEIR CLC DESIGNATION.- BREASTFEEDING WEEK - CMH HAD AN INFORMATION BOOTH SET UP DURING A PUBLIC CONCERT EVENT IN CONJUNCTION WITH THE CHENANGO COUNTY BLUES FEST TO PROMOTE BREASTFEEDING. MET WITH INDIVIDUALS WHO VISITED THE BOOTH ABOUT PREVENTING MALNUTRITION, ENSURING FOOD SECURITY AND BREAKING THE POVERTY CYCLE. JOINED REPRESENTATIVES FROM THE LHD, OPPORTUNITIES FOR CHENANGO (HEADSTART) AND WIC.- BABY BASICS BOOK-- THE BABY BASICS BOOK COVERS EVERYTHING A MOM SHOULD KNOW ABOUT PRENATAL HEALTH AND CARING FOR THE BABY AFTER BIRTH. CHAPTERS INCLUDE INFORMATION ABOUT BREASTFEEDING, SMOKING DURING PREGNANCY, ETC. A NURSE REVIEWS A CHAPTER FROM THE BOOK DURING EACH PRENATAL VISIT. EACH MOM RECEIVES A COPY FREE OF CHARGE.- MOTHERS & BABIES PERINATAL NETWORK - MBPN'S JOB AS A PERINATAL NETWORK IS TO KNOW WHAT AGENCIES PROVIDE WHAT SERVICES AND WHO THE MEDICAL AND HEALTH CARE PROVIDERS AND PROGRAMS ARE IN THE REGION.- WOMEN'S HEALTH CENTER SUPPORT - THROUGHOUT THE YEAR, A REPRESENTATIVE IS IN THE WOMEN'S HEALTH CENTER (WHC) WAITING ROOM AND TALKS WITH MOMS AS THEY ARRIVE FOR THEIR APPOINTMENT. THERE IS A DIFFERENT DISCUSSION TOPIC EACH TIME. THROUGHOUT 2018, THE WHC MADE A TOTAL OF 29 REFERRALS TO MBPN. MBPN PROVIDED PREGNANCY SUPPORT AND EDUCATION OVER THE PHONE TO 11. MBPN WAS HERE FOR 10 WEEKS FOR A TOTAL OF 47.5 HOURS. SHE SAW 134 INDIVIDUAL PATIENTS THAT RESULTED IN REFERRALS TO MBPN AND OTHER COMMUNITY RESOURCES. - MEETING WITH COMMUNITY AGENCIES - THESE MEETINGS PROVIDE A FORUM FOR AGENCIES TO GIVE UPDATES AND DISCUSS INITIATIVES THAT THEY HAVE STARTED WORKING ON. MBPN WILL DISCUSS THEIR OBJECTIVES AND THEIR STATUS AGAINST THE NYS PREVENTION AGENDA. ATTENDEES INCLUDE REPRESENTATIVES FROM PAL, DOH, FAMILY PLANNING, WIC, HEADSTART AND OPPORTUNITIES FOR CHENANGO.- COMMUNITY BABY SHOWER - THE COMMUNITY BABY SHOWER IS AN ANNUAL EVENT COORDINATED BY THE MBPN THAT IS OPEN TO ALL PREGNANT WOMEN/FAMILIES AND PARENTS OF CHILDREN LESS THAN 6 MONTHS OF AGE. EDUCATION SESSIONS INCLUDE PREGNANCY, BIRTH, BREASTFEEDING, AND BABY SAFETY. PAL, DOH, SHERIFF'S DEPT, WIC, HEAD START, FAMILY PLANNING AS WELL AS CMH MATERNITY PARTICIPATED. INFORMATION ABOUT CHILD BIRTH CLASSES, BREASTFEEDING, AND THE MATERNITY UNIT WAS DISTRIBUTED.- HEALTH SERVICES ADVISORY BOARD (HSAB) OF DELAWARE COUNTY - THE HSAB IS PART OF THE DELAWARE DOH GOVERNING BODY AND IS A SUBCOMMITTEE TO THE DELAWARE COUNTY BOARD OF SUPERVISORS. IT IS COMPRISED OF A COMMUNITY MEMBER, 5 LOCAL TOWN SUPERVISORS, THE MEDICAL DIRECTOR, MEDICAL ADVISOR, PUBLIC HEALTH DIRECTOR, THEIR ENVIRONMENTAL HEALTH DIVISION AND CORPORATE COMPLIANCE OFFICE. THE HSAB APPROVES POLICIES, MAKES FINANCIAL RECOMMENDATIONS, REVIEWS QUALITY ASSURANCE, AND PROVIDES INPUT INTO PUBLIC HEALTH PROJECTS AND PROGRAMS. CMH'S PEDIATRICIAN IN SIDNEY, NY, IS A MEMBER OF THIS BOARD.- WOMEN'S HEALTH SERIES - IN 2018, CMH DEBUTED A SERIES OF MONTHLY COMMUNITY EDUCATIONAL PROGRAMS TO EDUCATE THE PUBLIC ON VARIOUS COMMON CONDITIONS. EACH SESSION HAD A PROVIDER IN THAT SPECIALTY PRESENT INFORMATION AND ANSWER QUESTIONS. IN 2018, THE FOLLOWING TOPICS WERE DISCUSSED: DIABETES, BREAST HEALTH, JOINT HEALTH, SLEEP, NUTRITION, HEART HEALTH, PERIMENOPAUSE AND MENOPAUSE. ON AVERAGE, ABOUT 30 PEOPLE ATTENDED EACH SESSION.- DOLLY PARTON'S IMAGINATION LIBRARY - CMH MATERNITY AND THE LIBRARY HAVE PARTNERED TO DISTRIBUTE FREE BOOKS TO BABIES BORN AT CMH. DOLLY PARTON'S IMAGINATION LIBRARY IS A 60-VOLUME SET OF BOOKS BEGINNING WITH THE CHILDREN'S CLASSIC "THE LITTLE ENGINE THAT COULD". EACH MONTH A NEW, CAREFULLY SELECTED BOOK IS MAILED TO THE CHILD FROM AGES BIRTH TO FIVE WHO ARE RESIDENTS OF CHENANGO COUNTY. PARENTS COMPLETE A REGISTRATION FORM AND 8-10 WEEKS LATER THE FIRST BOOK ARRIVES AT THE CHILD'S HOME AND CONTINUES AS LONG AS THE CHILD LIVES IN CHENANGO COUNTY. THIS IS A PROGRAM OFFERED BY THE GUERNSEY MEMORIAL LIBRARY IN NORWICH, NY. - ALIVE WITH AUTISM GOLF TOURNAMENT - ACCORDING TO AUTISMSPEAKS.ORG, AUTISM AFFECTS 1 IN 68 CHILDREN THROUGHOUT THE US EACH YEAR AND IT COSTS THOSE FAMILIES AN AVERAGE OF $60,000 A YEAR FOR TREATMENT. ALIVE WITH AUTISM HELPS SUPPORT THOSE FAMILIES THROUGH FUNDRAISING. THIS PROGRAM HELPS FAMILIES WITH COMMUNICATIONS NEEDS, EQUIPMENT NEEDS, AND TUITION ASSISTANCE.- WEAR RED FOR WOMEN DAY - PREPARATION, COMMUNICATION, AND PROCUREMENT OF SUPPLIES FOR WEAR READ FOR WOMEN DAY TO SUPPORT THE AMERICAN HEART ASSOCIATION AND HEART HEALTH FOR WOMEN.- POST PARTUM HEMORRHAGE PROJECT (NYS DOH SAFETY INITIATIVE) -- OBSTETRICAL HEMORRHAGE IS KNOWN AS THE MOST PREVENTABLE CAUSE OF MATERNAL MORTALITY. HEMORRHAGE ACCOUNTED FOR 15.25% OF ALL REPORTED MATERNAL MORTALITIES IN NEW YORK STATE BETWEEN 2003 AND 2005. NINETY SEVEN PERCENT (97%) OF ALL HEMORRHAGE DEATHS OCCURRED WHILE WOMEN WERE HOSPITALIZED. THESE DEATHS SPANNED ALL SOCIOECONOMIC CLASSES AND, IN ADDITION TO THE DEATHS, AN EVEN LARGER NUMBER OF "NEAR MISSES", WOMEN WHO HAD SEVERE HEMORRHAGES BUT SURVIVED, WERE REPORTED.BECAUSE MOST OF THE DEATHS FROM HEMORRHAGE OCCUR IN THE HOSPITAL, AND BECAUSE IT IS A HIGHLY PREVENTABLE CAUSE OF DEATH, NEW YORK STATE AND NEW YORK CITY HEALTH DEPARTMENTS, IN COLLABORATION WITH AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS, DISTRICT II, NYS SAFE MOTHERHOOD INITIATIVE HAVE SENT CLINICAL RECOMMENDATIONS AND A POSTER FOR LABOR/DELIVERY OR SURGICAL SUITE STAFF TO ALL HOSPITALS WITH OBSTETRIC SERVICES IN THE STATE.THIS IS AN 18-MONTH INITIATIVE TO ASSESS AND IDENTIFY HIGH-RISK PATIENTS AND BE PREPARED FOR HEMORRHAGE. HOSPITALS SHARE BEST PRACTICES, POLICIES, RISK ASSESSMENT TOOLS, EDUCATION, ETC. THE INITIATIVE IS CURRENTLY IN THE DATA COLLECTION STAGE WITH EMERGENCY PREPAREDNESS DRILLS. DR. PHYLLIS SHERIFF-WHITE OVERSEES THIS INITIATIVE AT CMH. CMH IS IN THE PROCESS OF ADOPTING CROUSE'S POLICY ON MATERNAL HEMORRHAGE.- EMERGENCY NURSING PEDIATRIC COURSE - THREE (3) ER NURSES ATTENDED THIS COURSE. LECTURE TOPICS INCLUDED: GROWTH & DEVELOPMENT, INITIAL ASSESSMENT, PRIORITIZATION, RESPIRATORY EMERGENCIES, TRAUMA, SHOCK, THE ADOLESCENT, THE NEONATE, RHYTHM DISTURBANCES, DISASTER, BEHAVIORAL EMERGENCIES, CHILD MALTREATMENT, CHILDHOOD ILLNESS AND CRISIS. NON-LECTURED TOPICS INCLUDED PAIN, TOXICOLOGICAL EMERGENCIES, ENVIRONMENTA |
| SCHEDULE H PART V SECTION C LINE 11 | PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE- A SUMMARY OF ACTIVITIES ASSOCIATED WITH THIS INITIATIVE CAN BE FOUND STARTING ON PAGE 120.- HARM REDUCTION WORK GROUP - A SUBCOMMITTEE OF THE CHENANGO SUBSTANCE ABUSE PREVENTION COALITION, MEMBERSHIP OF THIS COMMITTEE CONSISTS OF MENTAL HEALTH, CATHOLIC CHARITIES, LHD, OFFICE OF THE AGING, BROOME DEVELOPMENT AND A COMMUNITY MEMBER. THE MISSION OF THIS GROUP IS TO PLAN AND HOLD EVENTS THAT EDUCATE THE PUBLIC ON THE PROPER USE AND DISPOSAL OF PRESCRIPTION DRUGS AS WELL AS EDUCATION ON OPIATES AND THEIR MISUSE. THIS GROUP WORKS CLOSELY WITH THE COMMUNITY SERVICES BOARD OF CHENANGO COUNTY COMMUNITY MENTAL HYGIENE SERVICES.- MULTI-DISCIPLINARY TREATMENT TEAM (MDT) - THIS TEAM MEETS MONTHLY TO REVIEW CASES AND PROVIDE UPDATES. THE MDT'S MISSION IS TO STRENGTHEN AND PROTECT CHILDREN, FAMILIES, AND COMMUNITIES THROUGH AN AGREED UPON MULTI-DISCIPLINARY APPROACH TO CHILD ABUSE CASES. THE MDT PROVIDES SPECIALIZED EDUCATION SPECIFIC TO OUR COUNTY'S COMMUNITY COLLABORATIVE PARTNERS. THE FOLLOWING DISCIPLINES ARE REPRESENTED ON THE TEAM: LAW ENFORCEMENT, CHILD PROTECTIVE SERVICES, PROSECUTION, HEALTH CARE SPECIALIST, VICTIM ADVOCACY, MENTAL HEALTH AND CHILD ADVOCACY.- SHARPS PROGRAM - CMH SPONSORS A SHARPS PROGRAM IN THE ER WHERE EVERYONE IN THE COMMUNITY IS WELCOME TO PARTICIPATE IN THE FREE PROGRAM, INCLUDING THOSE WHO SELF-INJECT MEDICATIONS. "SHARPS" ARE NEEDLES, SYRINGES AND LANCETS. WHEN SHARPS ARE THROWN AWAY WITH HOUSEHOLD TRASH, THERE IS A RISK OF INJURY AND BLOOD-BORNE DISEASES SUCH AS HEPATITIS AND HIV TO SANITATION WORKERS. IN 2018, 64 LBS OF NEEDLES WERE COLLECTED AND DISPOSED OF AS HAZARDOUS WASTE.- HEP C SCREENINGS - ALL MOMS IN THE WOMEN'S HEALTH CENTER ARE BEING TESTED FOR HEP C AT THEIR FIRST APPOINTMENT. IF POSITIVE, THEY ARE CHECKED AGAIN DURING POST-PARTUM VISITS. POSITIVES ARE REFERRED TO THE GI SERVICE IN BINGHAMTON FOR TREATMENT AND THE CHART IS FLAGGED. MATERNITY IS NOTIFIED OF ANY POSITIVE HEP C CASES PRIOR TO ACTIVE DELIVERY. BABIES ARE CHECKED AT BIRTH. PEDIATRICIANS ARE NOTIFIED AND THE BABY IS CHECKED AGAIN AT 18 MONTHS. IT SHOULD BE NOTED THAT THERE IS A 30% NO-SHOW RATE OF MOMS AT THEIR 6 WEEK APPOINTMENT. HEP C FOLLOWUP IS PART OF THE HOSPITAL'S ELECTRONIC MEDICAL RECORDS FOR ALL PATIENTS IN THE WHC BORN 1945-1965. THE WOMEN'S HEALTH CENTER SCREENED 253 WOMEN IN 2018.- AMERICAN FOUNDATION FOR SUICIDE PREVENTION - AFSP RAISES AWARENESS FUNDS SCIENTIFIC RESEARCH AND PROVIDES RESOURCES AND AID TO THOSE AFFECTED BY SUICIDE. THE HOSPITAL HAD 2 EMPLOYEES WHO PARTICIPATED IN NUMEROUS FUNDRAISERS FOR THIS ORGANIZATION INCLUDING THE "OUT OF THE DARKNESS WALK".- CHENANGO COUNTY SUICIDE PREVENTION COALITION - THE PURPOSE OF THIS COALITION IS TO EDUCATE STUDENTS AND FACULTY AT SCHOOLS IN CHENANGO COUNTY ABOUT SUICIDE PREVENTION. IN PARTICULAR, RECOGNIZING THE WARNING SIGNS, WHAT TO DO, AND UNDERSTANDING THE RESOURCES AVAILABLE. THE COALITION CONSISTS OF EDUCATORS (WHO ARE ALSO PRESENTERS AT SCHOOLS) AND REPRESENTATIVES FROM MENTAL HEALTH, CATHOLIC CHARITIES, CHENANGO HEALTH NETWORK, AND THE UNITED WAY. CMH'S MEDICAL SOCIAL WORKER ATTENDS THESE MONTHLY MEETINGS.- CHENANGO COUNTY ADULT PROTECTIVE SERVICES - ADULT PROTECTIVE SERVICES, OVERSEEN BY THE CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES, RESPONDS TO REFERRALS ON INDIVIDUALS WHO MEET THE CRITERIA OF BEING 18 YEARS OF AGE OR OLDER, HAVE A PHYSICAL OR MENTAL IMPAIRMENT, AND HAVE NO ONE WILLING OR ABLE TO ASSIST THEM. SERVICES MAY INCLUDE THE INVESTIGATION AND ASSESSMENT OF THE INDIVIDUAL'S NEEDS, CASEWORK COUNSELING, ARRANGING ALTERNATIVE LIVING CONDITIONS, PREVENTION SERVICES, SOCIAL SERVICES, MEDICAL SERVICES, PROVIDING HOMEMAKER SERVICES, GUARDIANSHIP SERVICES, REPRESENTATIVE PAYEE OR PROTECTIVE PAYEE, PROVIDING ADVOCACY, AND ASSISTANCE IN ARRANGING FOR LEGAL SERVICES. CMH'S MEDICAL SOCIAL WORKER IS A MEMBER AS WELL AS THE LHD, NYCONNECTS, OFFICE OF THE AGING AND MENTAL HEALTH.- COMMUNITY SERVICES BOARD OF THE CHENANGO COUNTY COMMUNITY MENTAL HYGIENE SERVICES - THIS BOARD REPRESENTS BEHAVIORAL HEALTH SERVICES ON THE COUNTY BOARD OF SUPERVISORS. THEY SHARE INFORMATION ABOUT LOCAL SERVICES PLANNED IN THE COMMUNITY; OVERSEE EXISTING SERVICES; AND DISCUSS THE LATEST DEVELOPMENTS IN MEDICAID COVERAGE. THEIR PRIMARY PURPOSE IS TO KEEP MEMBERS OF THE BOARD OF SUPERVISORS INFORMED ABOUT WHAT'S GOING ON IN THE FIELD OF MENTAL HEALTH BOTH NATIONALLY AND LOCALLY. MEMBERS ARE NOMINATED AND ELECTED TO A 4-YR TERM. MEMBERS INCLUDE MENTAL HEALTH, RETIRED PROBATION OFFICERS, CATHOLIC CHARITIES, BROOME DEVELOPMENTAL, OFFICE OF THE AGING, AND COMMUNITY MEMBERS. THIS GROUP WORKS CLOSELY WITH THE ALCOHOL, SUBSTANCE ABUSE, MENTAL HEALTH & DEVELOPMENTAL DISABILITIES SUBCOMMITTEE OF THE CHENANGO SUBSTANCE ABUSE PREVENTION COALITION. THE HOSPITAL'S MEDICAL SOCIAL WORKER HAS BEEN ELECTED TO A SEAT ON THIS COMMISSION.- SURROGATE DECISION-MAKING COMMITTEE (SDMC) - THE SDMC PROGRAM IS AN ALTERNATIVE TO THE COURT SYSTEM FOR INDIVIDUALS WHO LACK CAPACITY TO PROVIDE INFORMED CONSENT, DO NOT HAVE A LEGALLY AUTHORIZED DECISION MAKER TO ACT ON THEIR BEHALF AND ARE IN NEED OF NON-EMERGENCY MAJOR MEDICAL PROCEDURES. THE SDMC PROGRAM, OVERSEEN BY THE NYS JUSTICE CENTER, ALSO HANDLES END-OF-LIFE DECISION MAKING FOR QUALIFYING INDIVIDUALS. SDMC USES SPECIALLY TRAINED VOLUNTEERS TO REVIEW DECLARATIONS REGARDING A PERSON'S CAPACITY AND NEED FOR TREATMENT AND THEN RENDS A DECISION AT A QUASI-JUDICIAL HEARING. THE PROCESS IS FREE. MEMBERS OF THE LOCAL COMMITTEE INCLUDE BROOME DEVELOPMENTAL, MENTAL HEALTH, AND RETIRED NURSES. THE DECISION MAKING TEAM CONSISTS OF SOMEONE FROM THE MEDICAL FIELD, LEGAL FIELD, AND AN ADVOCATE FOR THE DISABLED PERSON. WHENEVER POSSIBLE, THE PERSON IN NEED OF TREATMENT AND THE CAREGIVER ATTEND THE HEARING. CMH'S MEDICAL SOCIAL WORKER IS A MEMBER OF THIS COMMITTEE.- SUBSTANCE ABUSE IN THE WORKPLACE -- HINMAN, HOWARD & KATTELL PRESENTED INFORMATION TO NUMEROUS AREA BUSINESSES TO UNDERSTAND THE IMPACT OF OPIOIDS, ALCOHOL, AND PRESCRIPTION DRUGS IN THE WORKPLACE AND AN EMPLOYER'S RESPONSIBILITIES. PREPARATION AND PLANNING FOR THE WORKSHOP TOOK PLACE IN 2018. EVENT WAS HELD 1/31/2019 AND WAS SPONSORED BY CMH, COMMERCE CHENANGO, AND THE CHENANGO HEALTH NETWORK.- TRAIL OF TRUTH WALK -- A COMMUNITY AWARENESS WALK FEATURING ASSEMBLYMEN, MAYORS, RECOVERING ADDICTS, AND MANY OTHER TO HELP HEAL, SUPPORT AND INCREASE AWARENESS OF THE OPIOD CRISIS SPONSORED BY TRUTHPHARM.- THE HOSPITAL'S MEDICAL SOCIAL WORKER COMPLETED THESE TRAININGS IN 2018: - HUMAN SERVICES RESPONSE TO SECONDARY TRAUMA AMONG STAFF -- BEING EXPOSED TO TRAUMATIC AND TROUBLING EVENTS ON THE JOB CAN DECREASE STAFF FUNCTIONING AND CREATE CHALLENGES IN THE WORKING ENVIRONMENT. THIS COURSE DISCUSSED INDIVIDUAL AND ORGANIZATIONAL STRATEGIES TO COPE WITH SECONDARY TRAUMATIC STRESS. - CONSCIENTIOUS EATING: MENTAL HEALTH, INFLAMMATION AND THE AGING BRAIN -- THIS COURSE FOCUSED ON HOW CONSCIENTIOUS EATING CAN HELP REDUCE INFLAMMATION, CURTAIL STRESS-RELATED EATING, LESSEN ANXIETY, ELEVATE MOOD, IMPROVE SLEEP, AND PROTECT THE AGING BRAIN. UPON COMPLETING THE COURSE, PARTICIPANTS COULD IDENTIFY HOW DIET AFFECTS STRESS, MENTAL HEALTH, AND APPETITE; DESCRIBE THE LINK BETWEEN INFLAMMATION OF THE GI TRACT, ANXIETY AND MOOD, AND ANTI-INFLAMMATORY FOODS; DISCUSS HOW CONSCIENTIOUS EATING CAN HELP PROTECT THE AGING BRAIN; AND LIST CONSCIENTIOUS EATING HABITS THAT CAN CALM AN OVERACTIVE BRAIN. - PROVIDER TRAINING TRANSGENDER/GENDER NON-CONFIRMING ACROSS THE LIFESPAN -- THIS TRAINING WAS PROVIDED UNDER NYS OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES (OASAS) EDUCATION. THIS EVENT ILLUMINATED VARIOUS ASPECTS OF TRANSGENDER, GENDER NON-CONFORMING, NON-BINARY LIVES. FROM RAISING GENDER EXPANSIVE CHILDREN TO USE OF HORMONE THERAPY, FROM BEST POLICIES IN HEALTHCARE TO TRAUMAS AFFECTING T/GNC LIVES, FROM LIBERATING ACTIVIST PRACTICES TO CONCRETE ACTIONS TO INCORPORATE IN BEHAVIORAL HEALTH PRACTICES.- ALCOHOLICS ANONYMOUS - CMH HOSTS SATURDAY MEETINGS OF THE LOCAL AA IN ONE OF OUR CONFERENCE ROOMS.NEEDS ASSESSMENT & GRANT WRITING ACTIVITIES- NEEDS ASSESSMENT ACTIVITIES INCLUDED THE FOLLOWING: O REGULARLY SCHEDULED MEETINGS REGARDING ALL OF THE NEEDS ASSESSMENT INITIATIVES O 990, SCHEDULE H PREPARATION O CHNA AND 990 PLANNING FOR 2019-2021 O CHNA/CSP ANNUAL REPORTING TO THE NYS DOH O CHNA/CSP NARRATIVE SUMMARY FOR THE HOSPITAL'S WEBSITE O WEBINARS HOSTED BY THE HEALTHCARE ALLIANCE OF NEW YORK STATE AND THE NYS DEPARTMENT OF HEALTH O IN PREPARATION FOR THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT, CHENANGO MEMORIAL CONTRACTED WITH A CONSULTANT TO ASSIST WITH RESEARCH INCLUDING COMMUNITY FOCUS GROUPS AND INTERVIEWS. THESE SERVICES WILL CONTINUE INTO 2019 |
| SCHEDULE H PART V SECTION C LINE 11 | NEEDS ASSESSMENT & GRANT WRITING ACTIVITIES - CONTINUED- STATEWIDE HEALTH CARE FACILITY TRANSFORMATION GRANT PROGRAM #2 - UHS CHENANGO MEMORIAL HOSPITAL SPENT MOST OF MARCH 2018 PREPARING THE APPLICATION FOR THIS PROGRAM COORDINATED BY THE NYS DEPARTMENT OF HEALTH. SADLY, THE HOSPITAL DID NOT RECEIVE AN AWARD.- CONSOLIDATED FUNDING APPLICATION (CFA) - THE SOUTHERN TIER REGIONAL ECONOMIC DEVELOPMENT COUNCIL (STREDC) AWARDS GRANTS THAT EITHER CREATE OR RETAIN NEW JOBS. CMH, THE 4TH LARGEST EMPLOYER IN CHENANGO COUNTY, SUBMITTED A GRANT THAT CONNECTED WITH OUR STATEWIDE HEALTH CARE TRANSFORMATION GRANT. ALTHOUGH WE DIDN'T RECEIVE AN AWARD DURING THIS ROUND OF APPLICATIONS, WE WILL CONTINUE TO SUBMIT APPLICATIONS IN THE FUTURE. - VITAL ACCESS PROVIDERS (VAP) GRANT - PROVIDED BY THE NYS DEPARTMENT OF HEALTH, THE HOSPITAL RECEIVED FUNDING TO SUPPORT THE RESTORATION OF ONCOLOGY SERVICES IN CHENANGO COUNTY.- CMH FOUNDATION TV COMMERCIAL - A HOSPITAL EMPLOYEE DONATED $1,200 OF SERVICES INCLUDING FILMING, PRODUCTION, AND COORDINATION TO PRODUCE AND AIR TWO 15-SECOND COMMERCIALS ON THE LOCAL CABLE STATIONS IN SUPPORT OF THE FOUNDATION'S ANNUAL FUNDRAISING CAMPAIGN. THE FOUNDATION RAISED NEARLY $147,000 DUE, IN PART, TO THIS EFFORT. THE CMH FOUNDATION'S SOLE MISSION IS TO SUPPORT THE EFFORTS OF UHS CHENANGO MEMORIAL HOSPITAL.- GRANT WRITING FOR LOCAL FOUNDATION SUPPORT - CHENANGO COUNTY HAS 6 LOCAL FOUNDATIONS THAT REGULARLY AWARD GRANTS TO THE HOSPITAL. APPROXIMATE/Y 24 HOURS WAS SPENT TO RAISE OVER $300,000 IN GRANTS TO SUPPORT PROJECTS AND PROGRAMS AT THE HOSPITAL. |
| SCHEDULE H PART VI LINE 4 | ** CONTINUED FROM SCHEDULE HTHIS INDICATES A LARGE SUB-GROUP OF THE POPULATION FOR WHOM HOUSING IS GENERALLY UNAFFORDABLE. IN FACT, 42.5% OF COUNTY RESIDENTS REPORT A LEVEL OF STRESS RELATED TO BEING ABLE TO AFFORD THEIR RENT OR MORTGAGE. THIS EXCEEDS THE REST OF NEW YORK STATE (EXCLUDING NEW YORK CITY) BY 6%.ALSO ACCORDING TO THE HORN ASSESSMENT, CHENANGO COUNTY LACKS SUPPORTIVE HOUSING FOR PEOPLE WITH MENTAL HEALTH DISABILITIES AND THE DEVELOPMENTALLY DELAYED POPULATION. OTHER HOUSING ISSUES INCLUDE LACK OF ASSISTIVE LIVING UNITS FOR ELDERLY AND DISABLED AND FOR RESIDENTS TRANSITIONING FROM INCARCERATION BACK INTO THE COMMUNITY. THERE IS NO HOMELESS SHELTER OR DOMESTIC VIOLENCE SHELTER AVAILABLE FOR THOSE POPULATIONS.MANY OF CHENANGO COUNTY'S FAMILIES AND HOUSEHOLDS ARE EITHER SINGLE PARENTS WHO ARE RAISING CHILDREN AND/OR HAVE ADULT MEMBERS WHO ARE AT LEAST 65 YEARS OLD. 8.6% OF THE TOTAL NUMBER OF FAMILIES LIVING IN CHENANGO COUNTY ARE ONE PARENT FAMILIES WITH CHILDREN UNDER 18 YEARS OLD, AND OF THESE SINGLE PARENT FAMILIES, 6.2% ARE FEMALE AND 2.4% ARE MALE. 12.4% OF HOUSEHOLDS ARE ADULTS 65 YEARS OR OLDER WHO LIVE ALONE. 30.4% OF ALL HOUSEHOLDS HAVE ONE OR MORE PERSONS WHO ARE 65 YEARS OR OLDER. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMH AUXILIARY TO CMH HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 150532180 | RecipientEIN |
| IRC Section | 501 (C) (3) | IRCSectionDesc |
| Non Cash Assistance | $22,000 | NonCashAssistanceAmt |
| Valuation Method Used | CASH | ValuationMethodUsedDesc |
| Purpose Of Grant | FOR FURNITURE AND EQUIPMENT FOR CARDIOLOGY CLINIC | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV | FormAndLineReferenceDesc |
| Explanation | CHENANGO MEMORIAL HOSPITAL AUXILIARY, GAVE A GIFT OF $22,000 WHICH CHENANGO MEMORIAL HOSPITAL THEN USED TO PURCHASE FURNITURE AND EQUIPMENT FOR THE CARDIOLOGY CLINIC | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DRAKE LAMEN MD | ||||||||||||||
| PRESIDENT/CEO/CMO | $317,702 | $0 | $70,663 | $0 | $0 | $0 | $31,590 | $0 | $13,887 | $0 | $433,842 | $0 | $0 | $0 |
| JOHN M CARRIGG | ||||||||||||||
| 2ND VICE CHAIR | $0 | $678,078 | $0 | $151,062 | $0 | $0 | $0 | $18,500 | $0 | $20,125 | $0 | $867,765 | $0 | $0 |
| DAVE MACDOUGALL | ||||||||||||||
| TRUSTEE | $0 | $485,775 | $0 | $131,689 | $0 | $0 | $0 | $18,500 | $0 | $26,319 | $0 | $662,283 | $0 | $0 |
| ELIZABETH K BOLAND | ||||||||||||||
| TRUSTEE | $0 | $463,860 | $0 | $100,035 | $0 | $0 | $0 | $18,500 | $0 | $13,397 | $0 | $595,792 | $0 | $0 |
| MARGARET SWARTWOOD | ||||||||||||||
| CONTROLLER | $138,209 | $0 | $15,100 | $0 | $0 | $0 | $17,937 | $0 | $9,870 | $0 | $181,116 | $0 | $0 | $0 |
| RON CEROW | ||||||||||||||
| ADMINISTRATOR | $118,497 | $0 | $15,100 | $0 | $0 | $0 | $15,631 | $0 | $15,296 | $0 | $164,524 | $0 | $0 | $0 |
| ANNE ENGLISH | ||||||||||||||
| DIRECTOR OF HUMAN RESOURCE | $118,093 | $0 | $15,100 | $0 | $0 | $0 | $15,584 | $0 | $14,390 | $0 | $163,167 | $0 | $0 | $0 |
| WENDY SURDOVAL | ||||||||||||||
| VP OF QUALITY MGMT | $106,529 | $0 | $15,100 | $0 | $0 | $0 | $14,231 | $0 | $15,713 | $0 | $151,573 | $0 | $0 | $0 |
| CHRISTINA KISACKY | ||||||||||||||
| VP OF OPERATIONS | $147,199 | $0 | $15,100 | $0 | $0 | $0 | $18,989 | $0 | $18,822 | $0 | $200,110 | $0 | $0 | $0 |
| YESU MATTA | ||||||||||||||
| DOCTOR | $210,581 | $0 | $15,000 | $0 | $0 | $0 | $31,590 | $0 | $23,884 | $0 | $281,055 | $0 | $0 | $0 |
| MATTHEW J SALANGER | ||||||||||||||
| FORMER 2ND VICE CHAIRMAN | $0 | $276,469 | $0 | $373,208 | $0 | $862,139 | $0 | $18,500 | $0 | $4,647 | $0 | $1,534,963 | $0 | $0 |
| AARON J VALENTINE | ||||||||||||||
| FORMER TREASURER | $102,029 | $0 | $7,000 | $0 | $0 | $0 | $12,756 | $0 | $10,398 | $0 | $132,183 | $0 | $0 | $0 |
| KEVIN B DECKER DDS | ||||||||||||||
| FORMER PRES OF MEDICAL STA | $208,814 | $0 | $0 | $0 | $0 | $0 | $31,590 | $0 | $9,856 | $0 | $250,260 | $0 | $0 | $0 |
| DAVID FINNEY | ||||||||||||||
| FORMER VP, NURSING | $0 | $143,960 | $0 | $15,100 | $0 | $0 | $0 | $18,500 | $0 | $22,029 | $0 | $199,589 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 6 | FormAndLineReferenceDesc |
| Explanation | THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2018 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | UNITED HEALTH SERVICES, INC. IS THE SOLE MEMBER OF CHENANGO MEMORIAL HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, UNITED HEALTH SERVICES, INC, SHALL ELECT TRUSTEES AT THE ANNUAL MEETING OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | UHS INC, (THE MEMBER AS DEFINED BY THE CMH BI-LAWS) MUST PROVIDE PRIOR WRITTEN APPROVAL FOR VARIOUS ACTIONS BY THE CMH BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE FINANCE DIVISION PREPARED THE 990 FORMS WHICH WERE REVIEWED BY THE ORGANIZATION'S PUBLIC ACCOUNTANTS, CONTROLLER, ASSISTANT VP OF FINANCE, CORPORATE CFO AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | IT IS THE PHILOSOPHY OF THE HOSPITAL THAT ALL STAFF INCLUDING EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHS HOSPITALS TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS'S STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHS HOSPITALS (WHICH INCLUDES CHENANGO MEMORIAL HOSPITAL) BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS; 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON 'TOTAL REVENUE' METRICS), AND 2) A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 10,976,013. MANAGEMENT AND GENERAL EXPENSES 2,604,954. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,580,967. |
| FORM 990, PART XI, LINE 9: | CUMULATIVE EFFECT OF AUXILIARY INCOME AND EXPENSE -18,755. CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION -179,432. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 600,829. CHANGE IN VALUE OF FUNDS HELD IN TRUST BY OTHERS -839,095. RENTAL INCOME INCLUDED IN CONTRIBUTIONS 6,857. |
| FORM 990 PART XII LINE 2C | NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE YEAR. THE BOARD OF DIRETORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED HEALTH SERVICES HOSPITALS INC | ||||||||||
| 33-57 HARRISON STREET | JOHNSON CITY | NY | 13790 | 161165049 | HOSPITAL | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER INC | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902896 | SENIOR LIVING CENTER | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER HOUSING CO | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902899 | SENIOR HOUSING | NY | 501 (C) (3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| TWIN TIER HOME HEALTH INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 222348211 | HOME HEALTH CARE | NY | 501 (C) (3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| UNITED HEALTH SERVICES INC | ||||||||||
| 20-42 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 222682421 | PARENT COMPANY | NY | 501 (C) (3) | 10 | BOARD OF DIRECTORS UHS INC | 0 |
| PROFESSIONAL HOME CARE INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161261977 | HOME HEALTH CARE | NY | 501 (C) (3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| DELAWARE VALLEY HOSPITAL INC | ||||||||||
| ONE TITUS PLACE | WALTON | NY | 13856 | 150524324 | HOSPITAL | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| CMH FUND | ||||||||||
| 179 NORTH BROAD STREET | NORWICH | NY | 13815 | 222985550 | INACTIVE | NY | 501 (C) (3) | 12B | CHENANGO MEMORIAL HOSPITAL INC | 0 |
| PROJECT HEAR INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161462675 | HOME EMERGENCY ALARM SYSTEM | NY | 501 (C) (3) | 10 | TWIN TIER HOME HEALTH INC | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PATHWAY HEALTH MANAGEMENT INC | |||||||||||
| 20 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 161228654 | WINDING DOWN OF MANAGEMENT SERVICES TO SUSQUEHANNA MEDICAL ASSOCIATES | NY | N/A | C | 0 | ||
| CHENANGO MADA INC | |||||||||||
| 179 N BROAD STREET | NORWICH | NY | 13915 | 161290726 | INACTIVE | NY | C | Yes (1) | CMH FUND INC | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |