2019-11-15T22:37:03-06:00 2018-12-31 990 2018-01-01 362169147 ADVOCATE HEALTH AND HOSPITALS CORP ADVO 6305729393 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 RACHEL HALVERSON VP TAX & ACCTG SVCS 4142991862 2019-11-15 198.177.95.129 2019-11-15 22:35:02 CS P 5CD1A1D40930B04DF96BE552FA09553853CDB45C B1F6754162BA34960FF6E5961467431CD3790A95 2018 2020-03-31 21:24:44Z JAMES SKOGSBERGH 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 7316434464 0 X WWW.ADVOCATEHEALTH.COM X 1906 IL SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD. 11 8 34942 3534 0 0 29433256 19509158 5059452926 5263509696 210205569 249690605 11302981 11035721 5310394732 5543745180 4367511 6241300 0 0 2414123879 2470970651 0 0 0 2648770097 2829347560 5067261487 5306559511 243133245 237185669 8519791827 12356458273 3505024878 7461070736 5014766949 4895387537 X THE MISSION OF ADVOCATE HEALTH AND HOSPITALS CORPORATION IS TO SERVETHE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THOUGH AWHOLISTIC PHILOSOPY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMANBEINGS AS CREATED IN THE IMAGE OF GOD. 0 0 2574864407 6241300 3289890567 PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. INCLUDED IN THESE HEALTH CARE SERVICES ARE THE PROVISION OF CHARITY CARE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS VISION AND VALUES, ADVOCATE IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR PEOPLE WHO ARE UNINSURED, UNDERINSURED AND LOW INCOME. AN EXAMPLE OF THIS IS ADVOCATE'S PROVISION OF CHARITY CARE. ADVOCATE OFFERS A VERY GENEROUS CHARITY CARE PROGRAM-REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL, AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. ADVOCATE ALSO CONSIDERS AN INDIVIDUAL'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR CHARITY CARE. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE CHARITY CARE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY AND, IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY CARE APPLICATION. IF PRESUMPTIVE CRITERIA IS NOT AVAILABLE FOR UNINSURED PATIENTS, THEN FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL, ALSO TAKING INTO CONSIDERATION THE INSURED INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ALTHOUGH ADVOCATE'S CHARITY CARE POLICY IS VERY GENEROUS, ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP IN A TIMELY MANNER. ADVOCATE HOSPITALS MAINTAIN HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT ADVOCATE'S CHARITY CARE PROGRAM AND CHARITY APPLICATIONS IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT BILL INCLUDES SUMMARY INFORMATION REGARDING THE CHARITY CARE PROGRAM. ADVOCATE IS ALSO ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICAID AND MEDICARE PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS. ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE-TODAY AND INTO THE FUTURE. IN THE AREA OF TRAUMA CARE, LEVEL 1 DESIGNATION IS THE HIGHEST LEVEL FOR TRAUMA CENTERS. AS LEVEL 1 TRAUMA CENTERS, FIVE ADVOCATE HOSPITALS-ADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL-CARE FOR THE MOST SERIOUSLY INJURED PEOPLE IN CHICAGOLAND. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE'S TRAUMA CENTERS ARE STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURE 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. ADVOCATE OPERATES NEARLY ONE-QUARTER OF ALL LEVEL I TRAUMA CENTERS IN ILLINOIS AND IS THE LARGEST TRAUMA SYSTEM IN THE STATE. TWENTY PERCENT OF TRAUMA PATIENTS IN METROPOLITAN CHICAGO ARE TREATED ANNUALLY IN AN ADVOCATE TRAUMA CENTER. IN 2018, ADVOCATE'S LEVEL I TRAUMA HOSPITALS TREATED 10,371 TRAUMA PATIENTS. AN ADDITIONAL 2,044 TRAUMA PATIENTS WERE TREATED AT ADVOCATE'S LEVEL II DESIGNATED TRAUMA HOSPITALS-ADVOCATE BROMENN, ADVOCATE GOOD SHEPHERD AND ADVOCATE SHERMAN-IN ADDITION TO A TOTAL OF 529,133 NON-TRAUMA EMERGENCY ROOM VISITS FOR ALL ADVOCATE'S HOSPITALS. 1170551212 1087034323 HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. AS PART OF ADVOCATE'S BROAD ARRAY OF SERVICES AND PROGRAMS DESIGNED TO MEET COMMUNITY HEALTH NEEDS, ADVOCATE PHYSICIANS TARGET UNIQUE HEALTH ACCESS NEEDS OF THE UNINSURED, UNDERINSURED, UNDERSERVED, LOW INCOME AND SPECIAL NEEDS INDIVIDUALS LIVING IN CHICAGOLAND AND CENTRAL ILLINOIS COMMUNITIES. EXAMPLES OF THESE PROGRAMS INCLUDE:ADVOCATE ADULT DOWN SYNDROME CENTER. ESTABLISHED IN 1992 THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), THE ADVOCATE MEDICAL GROUP ADULT DOWN SYNDROME CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. EACH YEAR APPROXIMATELY 3,000 INDIVIDUALS ARE SERVED THROUGH OVER 7,000 VISITS, INCLUDING CARE IN THE OFFICE, THE PATIENT'S HOME, AT RESIDENTIAL FACILITIES, NURSING HOMES AND IN THE HOSPITAL. THE CENTER'S MULTIDISCIPLINARY APPROACH TO COMPREHENSIVE MEDICAL CARE, WITH A STRONG EMPHASIS ON PREVENTIVE MEDICINE, PROVIDES PRACTICAL APPROACHES TO HEALTH EDUCATION AND HEALTH RISK REDUCTION, INCLUDING SUPPORTING PEOPLE WITH DOWN SYNDROME IN THEIR OWN HEALTH PROMOTION EFFORTS. REIMBURSEMENT IS REDUCED GIVEN MORE TIME IS PROVIDED TO EACH PATIENT VISIT TO ALLOW INDIVIDUALS WITH DOWN SYNDROME TO PARTICIPATE IN THEIR OWN HEALTH CARE. FURTHER, ONLY ONE-THIRD OF THE COST OF THE CLINIC IS REIMBURSED THROUGH BILLING INSURANCE DUE TO THE PAYOR MIX. ADVOCATE, THEREFORE, GENEROUSLY PROVIDES SOME SERVICES AT THE CENTER THAT ARE KEY TO HEALTH PROMOTION BUT THAT ARE NOT REIMBURSABLE OR BILLABLE. THE CENTER CONTINUES TO FOCUS ON EXPANDING ITS RESEARCH AND PATIENT EDUCATION IN COMING YEARS. MAINE TOWNSHIP DISTRICT 207 SCHOOL-BASED HEALTH CENTERS (SBHC). MAINE TOWNSHIP DISTRICT 207 WAS FACED WITH APPROXIMATELY 30 PERCENT OF ITS STUDENTS NOT BEING ABLE TO MEET, OR EXPERIENCING SIGNIFICANT DIFFICULTY MEETING, THE STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS DUE TO BEING UNINSURED OR UNDERINSURED. FOLLOWING SEVERAL YEARS OF PLANNING AND IN COLLABORATION WITH ADVOCATE MEDICAL GROUP AND ADVOCATE LUTHERAN GENERAL HOSPITAL, THE DISTRICT OPENED A SCHOOL-BASED HEALTH CENTER (D207 SBHC) IN MAINE EAST HIGH SCHOOL IN MARCH 2003 TO PROVIDE THESE STUDENTS WITH ACCESS TO VITAL HEALTH CARE SERVICES. ADVOCATE EMPLOYEES SERVE AS MEDICAL DIRECTOR, PEDIATRICIAN, NURSE PRACTITIONER AND MENTAL HEALTH WORKER FOR THE GRANT-FUNDED CLINIC. THE CLINIC HAS A SMALL PHARMACY THAT PROVIDES LIMITED MEDICATIONS FOR STUDENTS IN NEED AND ADVOCATE KEEPS THE CLINIC EQUIPPED WITH OFFICE SUPPLIES AND OTHER EQUIPMENT. THE CENTER ALSO SERVES AS A TRAINING SITE FOR PEDIATRIC AND FAMILY MEDICINE RESIDENTS. OPEN TO ALL HIGH SCHOOL STUDENTS IN MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207, THE D207 SBHC HAS HELPED TO PROVIDE MANY STUDENTS WITH PHYSICALS AND IMMUNIZATIONS WHICH HAS ALLOWED THE DISTRICT TO MAINTAIN ITS 99% IL STATE COMPLIANCE RATE FOR THE 2018-19 SCHOOL YEAR. THE D207 SBHC CONTINUES TO PROVIDE FREE OR LOW-COST SERVICES INCLUDING PHYSICALS, IMMUNIZATIONS, EMERGENT CARE, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL COUNSELING AND EDUCATIONAL PROGRAMS. THE CENTER'S MEDICAL DIRECTOR AND STAFF HAVE HAD 1,676 CONTACTS DURING THE 2018/2019 SCHOOL YEAR AND MORE THAN 29,000 STUDENT CONTACTS SINCE THE FACILITY'S INCEPTION. MEDFEST. IN 2018, ADVOCATE MEDICAL GROUP SPONSORED MEDFEST, A COLLABORATIVE WITH SPECIAL OLYMPICS OF ILLINOIS, FOR THE 20TH YEAR IN A ROW. MEDFEST IS ANNUALLY HELD AT VARIOUS LOCATIONS IN THE STATE. THE EVENT PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION THROUGHOUT ILLINOIS. THE FREE CLINICAL SERVICES RESULT IN PARTICIPANTS' ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. AMG PROVIDED 1,557 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS AT CHICAGO'S UNITED CENTER IN 2018, ALLOWING THEM OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. ADVOCATE MEDICAL GROUP HAS ALSO PROVIDED FREE PHYSICALS TO SPECIAL OLYMPIANS IN BLOOMINGTON FOR THE PAST 6 YEARS AND IN ORLAND PARK FOR OVER TEN YEARS, PROVIDING 35 AND 204 PHYSICAL EXAMS, RESPECTIVELY, IN 2018. 80229513 24438416 GRADUATE MEDICAL EDUCATION (GME) AND POST-GRADUATE (CME)/MEDICAL STUDENTS/OTHER HEALTH PROFESSIONALS' EDUCATION. ADVOCATE IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF MEDICAL SPECIALTIES. AS ONE OF THE LARGEST PROVIDERS OF TRAINING IN PRIMARY CARE MEDICINE IN ILLINOIS, THERE WERE 2,270 MEDICAL STUDENT ROTATIONS COMPLETED AND 580 RESIDENTS AND FELLOWS WHO RECEIVED HANDS-ON TRAINING IN 2018 AT ADVOCATE'S FOUR ACADEMIC MEDICAL CENTERS - ADVOCATE BROMENN, ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL. ADVOCATE IS ALSO ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR NON-ADVOCATE PHYSICIANS AND HEALTH CARE PROFESSIONALS IN THE REGION, AS WELL AS FOR ADVOCATE'S OWN PHYSICIANS. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GROUND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND JOURNAL CLUBS-AS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2018, ADVOCATE HOSTED 2,879 CME EVENTS AT 13 ADVOCATE SITES FOR A TOTAL OF 3,942 CME CREDIT HOURS. OF THE 54,277 EVENT PARTICIPANTS, 41,642 WERE PHYSICIANS. IN ADDITION TO TEACHING GME AND CME STUDENTS, ADVOCATE MEDICAL GROUP (AMG) PHYSICIANS ALSO DEVOTE ONE-ON-ONE TIME TO TEACHING PHYSICIAN ASSISTANTS (PA) AND NURSE PRACTITIONER (NP) STUDENTS FROM MULTIPLE AREA UNIVERSITIES. IN 2018, AMG PHYSICIANS ALONE DEVOTED 9,090 HOURS TO TEACHING NP STUDENTS AND 4,576 HOURS TO TEACHING PA STUDENTS. THE VALUE OF THEIR TIME TEACHING THESE STUDENTS IN A CLINICAL SETTING TOTALED NEARLY $2M.DEPENDENT ON EACH HOSPITAL'S OR ADVOCATE'S SYSTEM-LEVEL ACADEMIC AFFILIATIONS, THE TRAINING OF UNDERGRADUATE AND GRADUATE STUDENT NURSES, AND STUDENTS IN OTHER ALLIED HEALTH PROFESSIONS, SUCH AS RESPIRATORY CARE, RADIOLOGIC TECHNOLOGY, PHYSICAL AND SPEECH THERAPY, PHARMACEUTICAL SERVICES, ETC., ALSO OCCURS THROUGHOUT ADVOCATE'S MULTIPLE SITES. ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. SUPERVISING OVER 200 STUDENT UNITS EACH YEAR, THIS PROGRAM IS THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS.NOT INCLUDED IN THE EXPENSE AND REVENUE AMOUNTS BUT IMPORTANT TO THE ORGANIZATION'S ROLE IN TRAINING HEALTH CARE PROFESSIONALS, ARE THE NURSING RESIDENCY PROGRAMS AT TWO OF ITS HOSPITALS-ADVOCATE GOOD SAMARITAN AND ADVOCATE ILLINOIS MASONIC. RESIDENCY PROGRAMS OCCUR IN OTHER DISCIPLINES AS WELL, SUCH AS THE PHARMACY RESIDENCY PROGRAM FOR EXAMPLE, AT MULTIPLE ADVOCATE SITES. 768804805 862146390 DESCRIPTION OF ADVOCATE AURORA HEALTH IN APRIL 2018, ADVOCATE HEALTH CARE OF ILLINOIS AND AURORA HEALTH CARE OF WISCONSIN MERGED. ADVOCATE AURORA HEALTH IS AMONG THE 10 LARGEST NOT-FOR-PROFIT, INTEGRATED HEALTH SYSTEMS IN THE UNITED STATES AND A LEADING EMPLOYER IN THE MIDWEST WITH MORE THAN 70,000 TEAM MEMBERS, INCLUDING MORE THAN 22,000 NURSES, AND HAS ONE OF THE LARGEST EMPLOYED MEDICAL STAFF IN THE REGION AND A HOME HEALTH ORGANIZATION. A NATIONAL LEADER IN CLINICAL INNOVATION, HEALTH OUTCOMES, CONSUMER EXPERIENCE AND VALUE-BASED CARE, THE SYSTEM SERVES NEARLY 3 MILLION PATIENTS ANNUALLY IN ILLINOIS AND WISCONSIN ACROSS MORE THAN 500 SITES OF CARE. ADVOCATE AURORA IS ENGAGED IN HUNDREDS OF CLINICAL TRIALS AND RESEARCH STUDIES, AND IS NATIONALLY RECOGNIZED FOR ITS EXPERTISE IN CARDIOLOGY, NEUROSCIENCES, ONCOLOGY AND PEDIATRICS. AS A MERGED ENTITY, ADVOCATE AURORA HEALTH (ILLINOIS AND WISCONSIN) CONTRIBUTED NEARLY $2.1 BILLION IN CHARITABLE CARE AND COMMUNITY HEALTH SERVICES TO ITS COMMUNITIES IN 2018. DESCRIPTION OF ADVOCATE HEALTH CARE (ILLINOIS)WHILE ADVOCATE IS ONE OF TWO ORGANIZATIONS THAT MERGED TO BECOME ADVOCATE AURORA HEALTH IN APRIL 2018, ADVOCATE IN ILLINOIS MAINTAINS A SEPARATE FEIN# AND THEREFORE THE NARRATIVE THAT FOLLOWS PERTAINS TO ADVOCATE HEALTH CARE (ILLINOIS) ONLY. ADVOCATE IS ONE OF THE LARGEST FULLY INTEGRATED HEALTH CARE SYSTEMS IN ILLINOIS AND ONE OF THE LARGEST HEALTH CARE PROVIDERS IN THE MIDWEST. IN 2018, AS PART OF A NETWORK OF NEARLY 400 SITES OF CARE IN ILLINOIS, ADVOCATE'S MORE THAN 37,500 ASSOCIATES PROVIDED CARE AT TWELVE HOSPITALS, INCLUDING A CHILDREN'S HOSPITAL LOCATED ON TWO CAMPUSES (OAK LAWN AND PARK RIDGE, ILLINOIS), TOTALING MORE THAN 3,500 BEDS. ADVOCATE HAD A COMBINED TOTAL OF 170,442 INPATIENT ADMISSIONS, 1,990,363 OUTPATIENT VISITS AND 541,548 EMERGENCY DEPARTMENT VISITS IN 2018. TEN ADVOCATE HOSPITALS HAVE BEEN RECOGNIZED FOR DELIVERING EXCEPTIONAL PATIENT CARE FOR 2018-19 BY U.S. NEWS & WORLD REPORT, INCLUDING ADVOCATE'S BROMENN, CHRIST, GOOD SAMARITAN, CONDELL, GOOD SHEPHERD, ILLINOIS MASONIC, LUTHERAN, SHERMAN, TRINITY AND CHILDREN'S HOSPITAL ON BOTH CAMPUSES. THREE ADVOCATE HOSPITALS-ADVOCATE CONDELL, ILLINOIS MASONIC AND SHERMAN-HAVE ALSO EARNED 100 TOP HOSPITALS RECOGNITION IN 2018 FROM IBM WATSON (FORMERLY TRUVEN HEALTH ANALYTICS) FOR PERFORMANCE ON PATIENT SAFETY, QUALITY OF CARE, FINANCIAL STABILITY AND OTHER METRICS. IN ADDITION, EIGHT ADVOCATE HOSPITALS-ADVOCATE'S BROMENN, CHRIST, CONDELL, GOOD SAMARITAN, GOOD SHEPHERD, ILLINOIS MASONIC, LUTHERAN GENERAL AND SHERMAN-HAVE BEEN AWARDED THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET DESIGNATION-THE HIGHEST HONOR FOR NURSING EXCELLENCE. IN 2018, THE CHICAGO TRIBUNE RANKED ADVOCATE AS ONE OF THE BEST PLACES TO WORK FOR THE SEVENTH TIME. ADVOCATE HAS ALSO BEEN RECOGNIZED BY DIVERSITY MBA AS A BEST COMPANY FOR WOMEN AND DIVERSE MANAGERS TO WORK. THIS AWARD RECOGNIZES ADVOCATE'S ONGOING STRATEGIC EFFORT TO IMPLEMENT INTENTIONAL STRATEGIES FOR WOMEN AND MANAGERS OF DIVERSE BACKGROUNDS TO ADVANCE TO LEADERSHIP ROLES IN THE ORGANIZATION. DIVERSITY MBA EMPHASIZES HOW COMPANIES ARE CHAMPIONING RECRUITMENT EFFORTS THAT RESULT IN A DIVERSE AND TARGETED TALENT SELECTION PROCESS. ADVOCATE PROVIDES EXPERT EMERGENCY CARE TO THE CHICAGO AREA'S SERIOUSLY INJURED PEOPLE THROUGH ITS FIVE LEVEL I TRAUMA CENTERS (THE STATE'S HIGHEST DESIGNATION IN TRAUMA CARE). THE LEVEL 1 TRAUMA CENTERS-LOCATED AT ADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN-COMPRISE THE LARGEST EMERGENCY AND LEVEL 1 TRAUMA NETWORK IN ILLINOIS. IN 2018, ADVOCATE'S LEVEL I TRAUMA CENTERS HANDLED 10,371 TRAUMA VISITS AND ITS LEVEL II TRAUMA CENTERS-LOCATED AT ADVOCATE BROMENN, ADVOCATE GOOD SHEPHERD AND ADVOCATE SHERMAN-HANDLED 2,044 TRAUMA VISITS. THERE WAS A TOTAL OF 529,133 NON-TRAUMA VISITS AT ADVOCATE'S THREE NON-TRAUMA HOSPITALS FOR A COMBINED TOTAL TRAUMA AND EMERGENCY ROOM VISITS FOR ALL ADVOCATE HOSPITALS OF 541,548. (NOTE: THE CHILDREN'S HOSPITAL EMERGENCY VISITS FOR BOTH CAMPUSES-OAK LAWN AND PARK RIDGE-ARE INCLUDED IN THE MAIN HOSPITALS' TOTALS.) TWO ADVOCATE HOSPITALS ALSO SERVE AS POINT OF DISPENSING HOSPITALS FOR COORDINATION OF DISASTER COMMUNICATION-ADVOCATE ILLINOIS MASONIC FOR THE CITY OF CHICAGO AND ADVOCATE CHRIST FOR A 5-COUNTY GEOGRAPHIC AREA. LEADERSHIP OF THE METROPOLITAN CHICAGO AND COLLAR COUNTY DISASTER AND COMMUNICATION COORDINATION EFFORTS REQUIRE SIGNIFICANT INVOLVEMENT IN BOTH NATIONAL AND LOCAL BIOTERRORISM AND DISASTER PREPAREDNESS ACTIVITIES.ADVOCATE TREATS MORE PEDIATRIC PATIENTS THAN ANY OTHER HOSPITAL OR SYSTEM IN THE STATE. NAMED AS ONE OF THE NATION'S BEST CHILDREN'S HOSPITALS FOR CARDIOLOGY AND HEART SURGERY AS WELL AS NEONATOLOGY BY U.S. NEWS & WORLD REPORT, ADVOCATE CHILDREN'S WAS THE FIRST CHILDREN'S HOSPITAL IN THE COUNTRY TO RECEIVE CONGENITAL HEART DISEASE ACCREDITATION FROM ACE (ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE) FOR SETTING THE HIGHEST STANDARDS OF QUALITY CARE FOR CHILDREN. THE HOSPITAL IS DESCRIBED AS ONE OF 12 "WORLD CLASS" NEWBORN INTENSIVE CARE UNITS BY THE NATIONAL VERMONT OXFORD "YOUR IDEAL NICU" PROJECT. IN ADDITION, ADVOCATE CHILDREN'S PROVIDES SERVICES FOR COMPLEX SURGERIES DURING PREGNANCY AND NEONATAL PERIODS. THE ADVOCATE CHILDREN'S CENTER FOR FETAL CARE IS ONE OF THE FIRST IN CHICAGOLAND, AND ONE OF ONLY 34 SUCH MEDICAL CENTERS IN NORTH AMERICA. IN FACT, ADVOCATE CHILDREN'S IS ONE OF LESS THAN 30 HOSPITALS NATIONWIDE THAT PERFORM ADVANCED IN-UTERO FETAL THERAPY PROCEDURES. FOUR OF ADVOCATE'S HOSPITALS ARE DESIGNATED LEVEL III (THE STATE'S HIGHEST LEVEL) NEONATAL INTENSIVE CARE UNITS (NICUS). THESE HOSPITALS-ADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL-HANDLE THE MOST ILL BABIES FROM OTHER ADVOCATE HOSPITALS AND THROUGH TRANSFERS FROM NON-ADVOCATE HOSPITALS IN THE CHICAGOLAND AREA. IN 2018, THERE WERE 2,609 NICU ADMISSIONS TO ADVOCATE'S NICU-DESIGNATED HOSPITALS. MORE PEOPLE TRUST THEIR HEARTS (CARDIAC CARE) TO ADVOCATE THAN ANY OTHER HEALTH SYSTEM OR HOSPITAL IN THE STATE OF ILLINOIS. ADVOCATE'S 350 HEART SPECIALISTS PERFORM MORE THAN 20,000 HEART PROCEDURES EACH YEAR-MORE THAN THE FIVE CHICAGO ACADEMIC HOSPITALS COMBINED. ADVOCATE ALSO DIAGNOSES AND TREATS MORE CANCER THAN ANY HEALTH SYSTEM IN ILLINOIS. THIS IS IMPORTANT BECAUSE HEALTH RESEARCH SHOWS THERE IS A POSITIVE RELATIONSHIP BETWEEN THE NUMBER OF PROCEDURES PERFORMED AND QUALITY OUTCOMES. THROUGH LEADING-EDGE RESEARCH AND A STRONG TEAM OF SPECIALISTS THAT PROVIDE COMPASSIONATE AND PERSONALIZED CARE, ADVOCATE HELPS MORE CANCER PATIENTS IN ILLINOIS BECOME CANCER SURVIVORS. IN ADDITION, THE ORGANIZATION IS RECOGNIZED AS HAVING ONE OF THE LARGEST HOME HEALTH CARE COMPANIES IN THE STATE. ADVOCATE HAS ONE OF THE LARGEST PHYSICIAN NETWORKS OF PRIMARY CARE PHYSICIANS, SPECIALISTS AND SUB-SPECIALISTS IN ILLINOIS. OF THE 6,300 PHYSICIANS AFFILIATED WITH ADVOCATE, 5,000 OF THEM ARE MEMBERS OF ADVOCATE PHYSICIAN PARTNERS, THE SYSTEM'S CARE MANAGEMENT ORGANIZATION, WITH 1,500 EMPLOYED THROUGH ADVOCATE MEDICAL GROUP. ADVOCATE HAS ACADEMIC AND TEACHING AFFILIATIONS WITH MOST MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA. AT ITS FOUR TEACHING HOSPITALS, ADVOCATE TRAINS MORE PRIMARY CARE PHYSICIANS AND RESIDENTS THAN ANY OTHER HEALTH CARE SYSTEM IN THE STATE. AS ONE OF THE NATION'S LARGEST ACCOUNTABLE CARE ORGANIZATIONS (ACOS), ADVOCATE IS NATIONALLY RECOGNIZED FOR IT'S ABILITY TO POSITIVELY AFFECT RISING HEALTHCARE COSTS. WHILE MEDICARE HEALTH CARE COSTS ROSE NATIONALLY BY 3.6% IN 2015 AND 1.24% IN 2016, FOR EXAMPLE, ADVOCATE DECREASED MEDICARE COSTS IN ITS MEDICARE SHARED SAVINGS PROGRAM BY 0.81% AND 2.08%, RESPECTIVELY. ADVOCATE CONTINUES TO BE THE MARKET LEADER IN WORKING WITH PAYERS TO OFFER NEW SOLUTIONS THAT ALIGN INCENTIVES AND LEAD TO IMPROVED QUALITY WITH REDUCED COSTS TO PAYERS, EMPLOYERS AND PATIENTS. IN ADDITION, ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK, FOCUSING ON THE KEY AREAS OF IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN EMERGENCY DEPARTMENT UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME. ADVOCATE RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 10TH TIME IN 2018. AS THE LONGEST RUNNING RECIPIENT OF THIS AWARD IN THE COUNTRY, THE SYSTEM FOR CHANGE AWARD IS GIVEN TO HEALTH SYSTEMS THAT WORK COHESIVELY AND ACROSS HOSPITALS AND FACILITIES TO SET AND MEET GOALS RELATED TO SUSTAINABILITY-FROM REDUCING ENERGY USE, TO INCREASING RECYCLING, TO ESTABLISHING GREEN BUILDING SPACES, ETC. IN RECOGNITION OF SUPERIOR ENERGY PERFORMANCE, THREE ADVOCATE HOSPITALS-BROMENN, EUREKA AND ILLINOIS MASONIC-EARNED THE U.S. ENVIRONMENTAL PROTECTION AGENCY'S (EPA) ENERGY STAR CERTIFICATION IN 2018. THIS WAS THE 9TH YEAR THAT ADVOCATE ILLINOIS MASONIC AND THE 2ND YEAR THAT ADVOCATE BROMENN AND EUREKA HAVE BEEN RECOGNIZED FOR THEIR LEGACIES OF CONTINUED ENERGY SAVINGS.ADVOCATE CONTRIBUTED $714.8 MILLION IN CHARITABLE CARE AND SERVICES TO COMMUNITIES ACROSS CHICAGOLAND AND CENTRAL ILLINOIS IN 2018.MISSIONADVOCATE IS A FAITH-BASED, NOT-FOR-PROFIT HEALTH SYSTEM RELATED TO BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. ADVOCATE'S MISSION IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN THE FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. THIS WHOLISTIC APPROACH PROVIDES QUALITY CARE AND SERVICE, AND TREATS EACH PATIENT WITH DIGNITY, RESPECT AND INTEGRITY. TO GUIDE ITS RELATIONSHIPS AND ACTIONS, ADVOCATE EMBRACES THE FIVE VALUES OF COMPASSION, EQUALITY, EXCELLENCE, PARTNERSHIP AND STEWARDSHIP. THE MISSION, VALUES AND WHOLISTIC PHILOSOPHY (MVP) PERMEATE ALL AREAS OF ADVOCATE'S HEALING MINISTRY AND ARE INTEGRATED INTO EVERY ASPECT OF THE ORGANIZATION; BUILDING A CULTURAL FOUNDATION. THE MVP CALLS ADVOCATE TO EXTEND ITS SERVICES INTO THE COMMUNITY TO ADDRESS ACCESS TO CARE ISSUES AND TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES ADVOCATE SERVES. POPULATION SERVED ADVOCATE HEALTH CARE PROVIDES QUALITY HEALTH CARE TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA AND CENTRAL ILLINOIS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2018, ADVOCATE EXPERIENCED 170,442 TOTAL INPATIENT ADMISSIONS, 1,990,363 OUTPATIENT VISITS (INCLUDING ADVOCATE MEDICAL GROUP OUTPATIENT VISITS OF 608,280), 541,548 EMERGENCY DEPARTMENT VISITS AND 19,417 DELIVERIES. IN ADDITION, ADVOCATE HOME HEALTH SERVICES HAD A TOTAL OF 28,685 ADMISSIONS IN 2018, A SUBSTANTIAL INCREASE FROM THE 26,987 ADMISSIONS REPORTED THE PREVIOUS YEAR, AND ADVOCATE HOSPICE REPORTED A TOTAL OF 147,557 ADULT PATIENT DAYS IN 2018, WHICH ALSO SUBSTANTIALLY INCREASED FROM THE 134,914 ADULT PATIENT DAYS REPORTED IN 2017. 768804805 862146390 4594449937 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 1 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 5849 0 34942 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 11 8 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 IL X ADVOCATE AURORA HEALTH INC 6309296057 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 JAMES SKOGSBERGH PRESIDENT & CEO, DIRECTOR 1.00 55.00 X X 0 8463174 48481 MICHELE BAKER RICHARDSON CHAIRPERSON, DIRECTOR 1.00 1.00 X X 0 90966 0 JOHN TIMMER DIRECTOR 1.00 1.00 X 0 74966 0 GAIL D HASBROUCK DIRECTOR 1.00 1.00 X 420963 10000 46 DAVID ANDERSON DIRECTOR 1.00 1.00 X 0 84966 0 REV DR NATHANIEL EDMOND DIRECTOR 1.00 1.00 X 0 4000 0 RON GREENE DIRECTOR 1.00 1.00 X 0 11500 0 MARK HARRIS JD DIRECTOR 1.00 1.00 X 0 42700 0 LYNN CRUMP-CAINE DIRECTOR 1.00 1.00 X 0 62300 0 CLARENCE NIXON JR PHD DIRECTOR 1.00 1.00 X 0 10000 0 K RICHARD JAKLE VICE CHAIRPERSON, DIRECTOR 1.00 1.00 X X 0 78966 0 GARY STUCK DO EVP, CHIEF MEDICAL OFFICER, DIRECTOR 55.00 1.00 X X 218973 0 21996 WILLIAM P SANTULLI EVP, CHIEF OPERATING OFFICER 1.00 55.00 X 0 3965389 50170 LEE B SACKS MD EVP, CHIEF MEDICAL OFFICER 1.00 55.00 X 0 3488609 50288 JAMES DOHENY VP, CONTROLLER & ASST. TREASURER 55.00 1.00 X 518656 0 53917 REV KATHIE BENDER SCHWICH SVP, MISSION & SPIRITUAL CARE 1.00 55.00 X 0 824646 101437 KEVIN BRADY SVP, CHIEF HUMAN RESOURCES OFFICER 1.00 55.00 X 0 1795883 63605 VINCENT BUFALINO MD PRESIDENT OF PHYS & AMB SVCS/ AMG 1.00 55.00 X 0 1886580 52227 SUSAN CAMPBELL SVP OF PATIENT CARE, CHIEF NURSING OFFICER 55.00 1.00 X 2064210 0 83508 KELLY JO GOLSON SVP, CHIEF MARKETING OFFICER 1.00 55.00 X 0 1186912 28087 DOMINIC J NAKIS SVP, CFO & TREASURER 1.00 55.00 X 0 2635976 53865 SCOTT POWDER SVP, CHIEF STRATEGY OFFICER 1.00 55.00 X 0 1379724 50432 EARL J BARNES II SVP, GENERAL COUNSEL & SECRETART 1.00 25.00 X 0 1960426 152541 BARBARA BYRNE MD SVP, CHIEF INFORMATION OFFICER 1.00 55.00 X 0 971920 120421 JAMES SLINKMAN ASSISTANT SECRETARY 1.00 55.00 X 0 393448 59213 LESLIE LENZO ASSISTANT TREASURER 55.00 1.00 X 646273 0 41758 MICHAEL GREBE ASSISTANT SECRETARY 1.00 55.00 X 0 995402 90670 MICHAEL KERNS ASSISTANT SECRETARY 1.00 55.00 X 0 420969 60895 MICHAEL LAPPIN SECRETARY 1.00 55.00 X 0 1927178 143340 NAN NELSON ASSISTANT TREASURER 1.00 55.00 X 0 920042 84115 RACHELLE HART ASSISTANT SECRETARY 1.00 55.00 X 0 626395 40485 STEVE HUSER ASSISTANT TREASURER 1.00 55.00 X 0 337534 44422 MICHAEL FARRELL PRESIDENT OF ADVOCATE CHILDREN'S HOSPITAL 55.00 0.00 X 2250426 0 48543 DAVID FOX JR PRESIDENT OF GOOD SAMARITAN 25.00 0.00 X 1146967 0 55330 DOMINICA TALLARICO PRESIDENT OF LUTHERAN GENERAL (UNTIL MAY 2018) 55.00 1.00 X 1481074 0 49939 TERIKA R MBANU PRESIDENT OF LUTHERAN GENERAL, TRINITY & SS 55.00 0.00 X 797504 0 134774 RICHARD HEIM PSA OF S. CHICAGO & SS, PRESIDENT OF CHRIST 55.00 0.00 X 1281165 0 48029 COLLEEN KANNADAY PRESIDENT OF BROMENN 55.00 1.00 X 1234891 0 49474 KAREN LAMBERT PRESIDENT OF GOOD SHEPHERD & CONDELL 55.00 1.00 X 1432738 0 64475 MATTHEW PRIMACK PRESIDENT OF CHRIST MEDICAL CENTER 55.00 0.00 X 473774 0 44505 NANCY M TINSLEY PRESIDENT OF GOOD SAMARITAN 55.00 0.00 X 194569 0 16235 HAMAD FARHAT MD NEUROSURGEON 55.00 0.00 X 1740761 0 55208 MICHEL ILBAWI MD PEDIATRIC CV SURGERY 55.00 0.00 X 1237080 0 48058 DEAN KARAHALIOS MD NEUROSURGEON 55.00 0.00 X 1186278 0 56787 EGON DOPPENBERG MD NEUROSURGEON 55.00 0.00 X 1188843 0 55041 ERIC TOWER VP, ASSOCIATE GENERAL COUNSEL 0.00 25.00 X 0 1372677 49961 BRUCE D SMITH SVP, FORMER CHIEF INFORMATION OFFICER 0.00 1.00 X 508520 0 46 JAMES DAN MD FORMER PRES PHYS & AMB SVCS/ AMG 0.00 0.00 X 246725 0 654 KENNETH LUKHARD FORMER PRESIDENT OF CHRIST MEDICAL CENTER 0.00 0.00 X 1887701 0 67482 RICK FLOYD FORMER PRESIDENT OF LUTHERAN GENERAL 0.00 0.00 X 881840 0 24270 RYAN TROMBLY MD FORMER NEUROSURGEON 0.00 0.00 X 1045335 0 35120 24085266 36023248 2399850 24 1 1 0 CLIFFORD LAW OFFICES PC 120 N LASALLE ST 31ST FLOOR CHICAGO IL 60602 LEGAL SERVICES 76249054 WINTERS SALZETTA O'BRIEN & RICHARDSON LL 111 W WASHINGTON ST 1200 CHICAGO IL 60602 LEGAL SERVICES 66000000 MCNABOLA & ASSOCIATES LLC 161 N CLARK ST 2550-B CHICAGO IL 60601 LEGAL SERVICES 42000000 UNIVERSITY OF CHICAGO 5801 S ELLIS AVE CHICAGO IL 60637 UNIVERSITY 40668215 UNIVERSITY OF IL AT CHICAGO 1200 W HARRISON ST CHICAGO IL 60607 UNIVERSITY 27377950 448 11592126 3109884 4807148 19509158 MEDICARE/MEDICAID 622110 1510284196 1510284196 PATIENT SVC REVENUE 622110 1432038743 1432038743 BLUE CROSS/MGD CARE 622110 1228634487 1228634487 PHARMACY 446110 637753678 637753678 LABORATORY 621511 454798592 454798592 5263509696 183565425 183565425 200919 200919 7729850 7760593 -30743 -30743 -30743 1824548810 6505061 1757264710 7663981 67284100 -1158920 66125180 66125180 675 0 675 675 CAFETERIA REVENUE 722514 9370714 9370714 GIFT SHOP 812930 751903 751903 MISCELLANEOUS 621999 729042 729042 13211 13211 10864870 5543745180 5263509696 0 260726326 6241300 6241300 14940600 14940600 1445704 1445704 2023140835 1867758606 155382229 64450162 55985468 8464694 234096937 220530170 13566767 132896413 122315871 10580542 28562386 28562386 6135975 6135975 149412 149412 1172497 1172497 7109498 7109498 400305942 400305942 14899711 1333683 13566028 39597717 36464866 3132851 114219780 108140165 6079615 89939771 83942513 5997258 8298313 5882613 2415700 8843967 7182401 1661566 72084746 72084663 83 235603101 200526100 35077001 61112571 60586496 526075 MEDICAL SUPPLIES 664339141 666780310 -2441169 OTHER INTERCOMPANY 591704087 586279997 5424090 BAD DEBT 171998153 171998153 INCOME TAXES 848327 848327 312422465 303181931 9240534 5306559511 4594449937 712109574 0 229765090 73587897 164106 134180 2756131 2351374 599997888 648853725 168687589 1393083953 59834765 63443578 92523973 50806199 4920850454 2699202148 2146411873 2221648306 1337403342 4062323134 3542859311 3385868614 38293498 96883078 39952082 41651441 261142179 315822794 8519791827 12356458273 745286217 838505971 832965 8917433 1480667737 1942947870 16040619 30060974 1262197340 4640638488 3505024878 7461070736 X 4984078293 4864793545 30688656 30593992 5014766949 4895387537 8519791827 12356458273 X 237185669 -386063569 29498488 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 5812 0 0 1 331198 0 1 835487 1172497 0 FORM 990, SCHEDULE C, PART II-B, LINES 1A, B, D, G SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE HEALTH AND HOSPITALS CORPORATION SPONSORS A NURSE ADVOCACY COUNCIL, COMPRISED OF NURSES EMPLOYED BY THE SYSTEM. THIS GROUP PROVIDES LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING THE NURSING PROFESSION AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE. FORM 990, SCHEDULE C, PART II-B, LINE 1I ADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. ADVOCATE ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY AND PATIENT ACCESS. ADVOCATE ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 12815456 166690337 179505793 2865803135 1411223546 1454579589 164418063 72258486 92159577 1570800303 1215721169 355079134 140323160 -1053 140324213 2221648306 3385868614 F 3385868614 SELF INSURANCE LIABILITY 627149095 3RD PARTY SETTLEMENTS 175979329 EXECUTIVE PENSION LIABILITY & DEF C 167060873 TAXABLE TERM LOAN 824232508 INTEREST RATE SWAP MTM SERIES 65376337 UNFUNDED HRA/DRA 29543791 OBLIGATION TO RETURN COLLATERAL 18869016 LONG TERM DISABILITY 20044300 REMEDIATION COST ACCRUAL 16812202 DEFERRED CONTRACTS 2882512 DEACONESS RESIDENCE LIABILITY 306000 OTHER NONCURRENT LIABILITIES 36417580 DUE TO INVESTMENT POOL 2655964945 4640638488 CENTRAL AMERICA AND THE CARIBBEAN 1 1 INVESTMENTS 2059082138 CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES SELF-INSURANCE 15104393 EAST ASIA AND THE PACIFIC INVESTMENTS 359513441 EAST ASIA AND THE PACIFIC PROGRAM SERVICES CONFERENCE 18042 EUROPE (INCLUDING ICELAND & GREENLAND) INVESTMENTS 938901764 EUROPE (INCLUDING ICELAND & GREENLAND) PROGRAM SERVICES CONFERENCE 2235 MIDDLE EAST AND NORTH AFRICA INVESTMENTS 5489572 MIDDLE EAST AND NORTH AFRICA PROGRAM SERVICES CONFERENCE 12205 NORTH AMERICA INVESTMENTS 61650252 NORTH AMERICA PROGRAM SERVICES CONFERENCE 801 SOUTH AMERICA INVESTMENTS 2460977 SOUTH ASIA INVESTMENTS 6543670 1 1 0 0 1 1 3378123790 70655700 3448779490 1 0 1 1 1 0 FORM 990, SCHEDULE F, PART I, LINE 3 TOTAL EXPENDITURES THE EXPENDITURES REPORTED IN PART I, LINE 3 ARE BASED ON THE CASH PAID FOR THESE ACTIVITIES. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 1 1 55694294 246551 55447743 0.01080 727670255 557900125 169770130 0.03310 783364549 558146676 225217873 0.04390 8947025 8947025 0.00170 113229279 24438416 88790863 0.01730 52223716 39265604 12958112 0.00250 5160413 5160413 0.00100 179560433 63704020 115856413 0.02250 962924982 621850696 341074286 0.06640 0 171998153 18778225 1209382255 1370619997 -161237742 X 1 1 8 1 CHRIST HOSP INCL HOPE CHILDREN'S HOSP 4440 W 95TH ST OAK LAWN IL 60453 HTTP://WWW.ADVOCATEHEALTH.COM/CMC/ 0000315 X X X X X 2 LUTHERAN GEN HOSP INCL LUTH GEN CHILD 1775 DEMPSTER ST PARK RIDGE IL 60068 HTTP://WWW.ADVOCATEHEALTH.COM/LUTH/ 0004796 X X X X X 3 GOOD SAMARITAN HOSPITAL 3815 HIGHLAND AVE DOWNERS GROVE IL 60515 HTTP://WWW.ADVOCATEHEALTH.COM/GSAM/ 0003384 X X X 4 GOOD SHEPHERD HOSPITAL 450 W HWY 22 BARRINGTON IL 60010 HTTP://WWW.ADVOCATEHEALTH.COM/GSHP/ 0003475 X X X 5 SOUTH SUBURBAN HOSPITAL & ICU 17800 S KEDZIE HAZEL CREST IL 60429 HTTP://WWW.ADVOCATEHEALTH.COM/SSUB/ 0004697 X X X 6 BROMENN MEDICAL CENTER 1304 FRANKLIN AVE NORMAL IL 61761 HTTP://WWW.ADVOCATEHEALTH.COM/BROMENN/ 0005645 X X X 7 TRINITY HOSPITAL 2320 E 93RD ST CHICAGO IL 60617 HTTP://WWW.ADVOCATEHEALTH.COM/TRIN/ 0004176 X X X 8 EUREKA HOSPITAL 101-109 R101 S MAJOR EUREKA IL 61530 HTTP://WWW.ADVOCATEHEALTH.COM/EUREKA/ 0005652 X X X X ADVOCATE BROMENN MEDICAL CENTER 6 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X HTTP://HEALTH.MCLEANCOUNTYIL.GOV; HTTP://WWW.OSFHEALTHCARE.ORG/ST-JOSEPH/ X X 1 17 1 HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 CHRIST HOSP INCL HOPE CHILDREN'S HOSP 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-P X X 1 17 1 HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-P 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ADVOCATE EUREKA HOSPITAL 8 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X 1 17 1 HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ADVOCATE GOOD SHEPHERD HOSPITAL 4 0 0 1 X X X X X X X X X 16 1 1 0 1 X HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X 1 17 1 HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ADVOCATE GOOD SAMARITAN HOSPITAL 3 0 0 1 X X X X X X X X X 16 1 0 0 1 X HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X 1 17 1 HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 LUTHERAN GEN HOSP INCL LUTH GEN CHILD 2 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X 1 17 1 HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ADVOCATE SOUTH SUBURBAN HOSPITAL 5 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-P X X 1 17 1 HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS- 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ADVOCATE TRINITY HOSPITAL 7 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X 1 17 1 HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-P 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 5: ADVOCATE BROMENN MEDICAL CENTER (ADVOCATE BROMENN), THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER AND UNITED WAY OF MCLEAN COUNTY COLLABORATED FOR THE FIRST TIME FOR THE 2016 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EXCITING AND UNIQUE OPPORTUNITY WAS POSSIBLE, ACCORDING TO THE FINAL RULES OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AS ALL FOUR ENTITIES DEFINE THEIR SERVICE AREA AS MCLEAN COUNTY. THE GOALS OF THE COLLABORATIVE ARE AS FOLLOWS:- ESTABLISH THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL- ANALYZE DATA COLLECTIVELY- PRIORITIZE AND SELECT THE TOP THREE HEALTH NEEDS FOR MCLEAN COUNTY- GENERATE ONE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCLEAN COUNTY- WORK COLLABORATIVELY ON A COMMUNITY HEALTH IMPLEMENTATION PLAN ADDRESSING EACH OF THE TOP THREE HEALTH PRIORITIES WITH OTHER KEY COMMUNITY STAKEHOLDERSAT LEAST ONE MEMBER FROM EACH OF THE FOUR ORGANIZATIONS MADE UP THE EXECUTIVE STEERING COMMITTEE. THE STEERING COMMITTEE ANALYZED AN EXTENSIVE QUANTITY OF BOTH PRIMARY AND SECONDARY DATA FROM JULY 2015 TO FEBRUARY 2016. DUE TO THE AVAILABILITY OF NEW DATASETS, THE STEERING COMMITTEE ANALYZED DATA AT A MORE DETAILED LEVEL AND IDENTIFIED HEALTH DISPARITIES FOR GENDER, AGE, RACE/ETHNICITY, AND ZIP CODE FOR A VARIETY OF HEALTH OUTCOMES.IN FEBRUARY 2016, THE EXECUTIVE STEERING COMMITTEE PRESENTED 13 HEALTH ISSUES THAT THE DATA SUGGESTED WERE HEALTH PROBLEMS TO THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL. THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL CONSISTS OF 33 INDIVIDUALS FROM 15 ORGANIZATIONS IN MCLEAN COUNTY REPRESENTING PUBLIC ENTITIES, FAITH-BASED AND PRIVATE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, HEALTHCARE FACILITIES, AND CITY AND REGIONAL PLANNING. SEVERAL OF THE INDIVIDUALS FROM THE VARIOUS ORGANIZATIONS LISTED BELOW REPRESENT THE UNDERSERVED, UNINSURED, MINORITY OR LOW-INCOME POPULATIONS.MCLEAN COUNTY COMMUNITY HEALTH COUNCIL- ADVOCATE HEALTH CARE (HEALTH)- BLOOMINGTON SCHOOL DISTRICT 87 (YOUTH AND SCHOOLS)- BLOOMINGTON TOWNSHIP; JOHN M. SCOTT HEALTH COMMISSION (UNDERSERVED)- CHESTNUT HEALTH SYSTEMS (MENTAL HEALTH, FEDERALLY QUALIFIED HEALTH CENTER)- CITY OF BLOOMINGTON (CITY PLANNING)- COMMUNITY HEALTH CARE CLINIC (UNDERSERVED, UNINSURED)- IMMANUEL HEALTH CENTER (UNDERSERVED, UNINSURED)- ILLINOIS STATE UNIVERSITY SCHOOL OF SOCIAL WORK (SOCIAL WORK AND HEALTH RESEARCH)- MCLEAN COUNTY HEALTH DEPARTMENT (PUBLIC HEALTH)- MCLEAN COUNTY CENTER FOR HUMAN SERVICES (MENTAL HEALTH, UNDERSERVED)- MCLEAN COUNTY REGIONAL PLANNING COMMISSION (PLANNING)- MARCFIRST SPICE (DEVELOPMENTAL DISABILITIES, EARLY CHILDHOOD)- OSF HEALTHCARE SYSTEM (HEALTH)- REGIONAL OFFICE OF EDUCATION (SCHOOLS, YOUTH)- UNITED WAY (CONVENER, FUNDER)IN ADDITION TO EXISTING SECONDARY DATA SOURCES SHARED AND COLLECTED THROUGH THE MCLEAN COUNTY HEALTH COUNCIL, IT WAS ALSO IMPORTANT TO UTILIZE PRIMARY SURVEY DATA TO COLLECT CURRENT INFORMATION AND ASK QUESTIONS NOT ASKED ELSEWHERE, SUCH AS RATINGS OF HEALTH ISSUES IN THE COMMUNITY. A COMMUNITY HEALTH SURVEY CONSISTING OF 36 DEMOGRAPHIC AND HEALTH-RELATED QUESTIONS WAS ADMINISTERED IN MCLEAN COUNTY FROM JULY THROUGH SEPTEMBER 2015 AND YIELDED A TOTAL OF 834 RESPONSES FROM MCLEAN COUNTY RESIDENTS. APPROXIMATELY 300 OF THE SURVEYS WERE FROM THE LOW-INCOME POPULATION.ADVOCATE BROMENN'S 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK IN COMPLIANCE WITH THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY. CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 5: ADVOCATE CHRIST MEDICAL CENTER (ADVOCATE CHRIST) CONTINUES TO DEMONSTRATE STRONG COMMITMENT TO BUILDING LIFELONG RELATIONSHIPS TO IMPROVE THE HEALTH OF INDIVIDUALS, FAMILIES AND COMMUNITIES. IN 2015, ALL FIVE ADVOCATE HOSPITALS PRINCIPALLY SERVING COOK COUNTY, INCLUDING ADVOCATE CHRIST, WERE FOUNDING MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITAL COLLABORATIVE. THE MERGER ALLOWED PARTNERS TO FURTHER ALIGN THEIR EFFORTS AND ACHIEVE GREATER COLLECTIVE IMPACT IN CHICAGO AND COOK COUNTY. ON JUNE 30, 2017, HOSPITAL PARTNERS FROM BOTH COLLABORATIVES MET TO KICK OFF THE START OF A FULLY MERGED INITIATIVE. THE NAME SELECTED FOR THE MERGER WAS THE ALLIANCE FOR HEALTH EQUITY (AFHE). THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY. THIS INITIATIVE IS ONE OF THE LARGEST COLLABORATIVE HOSPITAL-COMMUNITY PARTNERSHIPS IN THE COUNTRY WITH THE CURRENT INVOLVEMENT OF 30+ NONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS, AND REPRESENTATIVES OF MORE THAN 100 COMMUNITY ORGANIZATIONS SERVING ON ACTION TEAMS. PARTNERS ARE COMING TOGETHER WITH THE GOAL OF WORKING ON STRATEGIES TO ADDRESS THE PRESSING ISSUES IN OUR COMMUNITIES TO ACHIEVE GREATER COLLECTIVE IMPACT.GIVEN THE SIZE AND DIVERSITY OF COOK COUNTY, THE COLLABORATIVE CREATED THREE REGIONS-NORTH, CENTRAL AND SOUTH-FOR PURPOSES OF ORGANIZING THE ASSESSMENT PROCESS. ADVOCATE CHRIST WAS APPROPRIATELY ASSIGNED TO THE SOUTH REGION CONSISTING OF BOTH THE SOUTH SIDE OF CHICAGO AND THE SOUTH SUBURBS OF COOK COUNTY. A REGIONAL LEADERSHIP TEAM WAS FORMED INCLUDING REPRESENTATIVES FROM THE HOSPITALS AND HEALTH DEPARTMENTS IN THE REGION. A REGIONAL STAKEHOLDER GROUP WAS ALSO ORGANIZED INCLUDING MEMBERS OF COMMUNITY ORGANIZATIONS REPRESENTING VARIOUS SECTORS. FROM FEBRUARY 2015 THROUGH JUNE OF 2016, THE COLLABORATIVE COMPLETED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WITHIN EACH OF THE THREE REGIONS USING THE PUBLIC HEALTH PROCESS-MAPP-MOBILIZING FOR ACTION THROUGH PARTNERSHIPS AND PLANNING. ADDITIONALLY, FOR PURPOSES OF THE 2014-2016 CHNA CYCLE, THE HOSPITAL FORMED A COMMUNITY HEALTH COUNCIL (COUNCIL) CONSISTING OF 25 COMMUNITY AND MEDICAL CENTER LEADERS. THIS COUNCIL, IN PARTNERSHIP WITH THE COMMUNITY HEALTH DEPARTMENT, WAS CONVENED TO OVERSEE THE ASSESSMENT. DATA FROM THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY WAS PRESENTED TO THE COUNCIL INCLUDING THE PRIORITY-SETTING PROCESS THAT IDENTIFIED SOCIAL DETERMINANTS OF HEALTH, MENTAL HEALTH AND SUBSTANCE ABUSE, ACCESS TO CARE AND CHRONIC DISEASE AS THE FOUR COUNTY-WIDE PRIORITIES. ALL HOSPITALS THAT PARTICIPATED IN THE COLLABORATIVE AGREED TO ADDRESS SOCIAL DETERMINANTS AS ONE OF THEIR PRIORITIES, WITH ADVOCATE CHRIST IDENTIFYING THAT VIOLENCE PREVENTION WAS ONE OF THEIR PRIORITY AREAS.IN ADDITION, MULTIPLE INDICATORS FROM THE HEALTHY COMMUNITIES INSTITUTE (HCI) DATA PLATFORM WERE SHARED WITH THE ADVOCATE CHRIST'S COMMUNITY HEALTH COUNCIL. MANY OF THESE INDICATORS WERE PARTICULARLY USEFUL TO THE ASSESSMENT BECAUSE THE HOSPITALIZATION AND EMERGENCY ROOM VISIT RATES WERE AVAILABLE BY ZIP CODE, THUS PERMITTING A DEEPER LOOK INTO THE HEALTH STATUS OF THE MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA). A CONSENSUS VOTING PROCESS WAS USED BY THE COUNCIL TO SELECT THE SECOND AND THIRD PRIORITIES FOR THE 2014-2016 CHNA CYCLE-ASTHMA AND DIABETES. CANCER, HEART DISEASE AND HYPERTENSION (STROKE) WERE NOT SELECTED PRIMARILY BECAUSE THE MEDICAL CENTER ALREADY HAS INSTITUTES ADDRESSING EACH OF THESE IMPORTANT HEALTH NEEDS. THE THREE PRIORITIES SELECTED BY ADVOCATE CHRIST WERE VIOLENCE PREVENTION, ASTHMA AND DIABETES.ADVOCATE CHRIST DEVELOPED AN IMPLEMENTATION PLAN FOR EACH OF THE SELECTED PRIORITIES. COMMUNITY HEALTH STAFF ALSO PARTICIPATED IN THE ACTION PLANNING TEAMS ON COMMUNITY SAFETY AND CHRONIC DISEASE PREVENTION WORK GROUPS CONVENED AS PART OF THE AFHE. FOR VIOLENCE PREVENTION, THE MEDICAL CENTER CONTINUED ITS WORK WITH CEASEFIRE AND COLLABORATED WITH COMMUNITY ORGANIZATIONS TO INVESTIGATE HOW RESTORATIVE JUSTICE PRACTICES CAN IMPACT THE VIOLENCE ON CHILDREN. INTERNAL AND EXTERNAL STAKEHOLDERS COLLABORATED TO DEVELOP STRATEGIES TO ADDRESS ASTHMA AND DIABETES HEALTH DISPARITIES.IN 2014, ADVOCATE HEALTH CARE BEGAN ORGANIZING RESOURCES TO IMPLEMENT THE 2014-2016 CHNA CYCLE. THE SYSTEM SIGNED A THREE-YEAR CONTRACT WITH THE HEALTHY COMMUNITIES INSTITUTE (HCI), NOW A XEROX COMPANY, TO PROVIDE AN INTERNET-BASED DATA RESOURCE FOR THEIR ELEVEN HOSPITALS DURING THE 2014-2016 CHNA CYCLE. THIS ROBUST PLATFORM OFFERED THE HOSPITALS 171 HEALTH AND DEMOGRAPHIC INDICATORS INCLUDING THIRTY-ONE (31) HOSPITALIZATION AND EMERGENCY DEPARTMENT (ED) VISIT INDICATORS AT THE SERVICE AREA AND ZIP CODE LEVELS. IN ADDITION, SYSTEM LEADERS COLLABORATED WITH THE STRATEGIC PLANNING DEPARTMENT TO CREATE SUITES OF DEMOGRAPHIC, MORTALITY AND UTILIZATION DATA FOR EACH HOSPITAL SITE. THIS COLLABORATION WITH STRATEGIC PLANNING CONTINUED DURING THE THREE-YEAR CYCLE ENSURING THAT EACH HOSPITAL SITE HAD DETAILED INPATIENT, OUTPATIENT AND EMERGENCY DEPARTMENT DATA.COMMUNITY HEALTH COUNCILADVOCATE CHRIST, IN COLLABORATION WITH ADVOCATE CHILDREN'S HOSPITAL (ADVOCATE CHILDREN'S), CONVENED A COMMUNITY HEALTH COUNCIL TO OVERSEE ITS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS COUNCIL WAS CHAIRED BY A MEMBER OF THE ADVOCATE CHRIST'S GOVERNING COUNCIL AND COMPRISED OF REPRESENTATIVES FROM THE MEDICAL CENTER'S COMMUNITY HEALTH TEAM, PATIENT ADVOCACY, COMMUNITY HEALTH RELATIONS AND BUSINESS DEVELOPMENT DEPARTMENTS. COMMUNITY MEMBERS ON THE COUNCIL INCLUDED REPRESENTATION FROM SCHOOL DISTRICTS, YOUTH SERVICES AND FAITH COMMUNITIES, AS WELL AS OTHER COMMUNITY ORGANIZATIONS. THE AFFILIATIONS AND TITLES OF THE ADVOCATE CHRIST COMMUNITY HEALTH COUNCIL MEMBERS ARE PROVIDED BELOW. ASTERISKS HAVE BEEN USED TO INDICATE INDIVIDUALS WHO REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS.MEMBERS FROM THE COMMUNITY- ARAB AMERICAN FAMILY SERVICES, DIRECTOR*- AUBURN GRESHAM COMMUNITY DEVELOPMENT CORPORATION, EXECUTIVE DIRECTOR*- AUBURN GRESHAM COMMUNITY DEVELOPMENT CORPORATION/SOUTHWEST SMART COMMUNITIES, PROGRAM MANAGER AND TECHNOLOGIST*- BETHLEHEM EVANGELICAL LUTHERAN CHURCH, PASTOR; ADVOCATE CHRIST GOVERNING COUNCIL MEMBER (COMMUNITY HEALTH COUNCIL CHAIR)- CHICAGO PUBLIC SCHOOLS, COMMUNITY ENGAGEMENT MANAGER- CHICAGO PUBLIC SCHOOLS, PROJECT MANAGER, STUDENT HEALTH AND WELLNESS PROJECT HOOD (HELPING OTHERS OBTAIN DESTINY), DIRECTOR OF COMMUNITY ENGAGEMENT; ADVOCATE CHRIST COMMUNITY HEALTH COUNCIL MEMBER (COMMUNITY HEALTH COUNCIL CO-CHAIR)- CHILDREN'S HOME AND AID, DIRECTOR, YOUTH SERVICES- CHRISTIAN COMMUNITY HEALTH CENTER, DIRECTOR, QUALITY ASSURANCE- METROPOLITAN FAMILY SERVICES, PROGRAM SUPERVISOR- OAK LAWN-HOMETOWN SCHOOL DISTRICT 123, SUPERINTENDENT- OAK LAWN CHILDREN'S MUSEUM, EXECUTIVE DIRECTOR- OAK LAWN LIBRARY, INTERLIBRARY LOAN COORDINATOR AND YOUTH SERVICES OUTREACH LIBRARIAN- SUPERIOR AIR-GROUND AMBULANCE SERVICES, REGIONAL SALES MANAGERMEMBERS FROM ADVOCATE CHRIST/ADVOCATE CHILDREN'S- ADVOCATE, DIRECTOR, COMMUNITY HEALTH, SOUTH REGION - ADVOCATE CHILDREN'S, DIRECTOR, COMMUNITY & HEALTH RELATIONS- ADVOCATE CHRIST, CARE MANAGER AND OAK LAWN HEALTH CARE ROTARY- ADVOCATE CHRIST, COORDINATOR, COMMUNITY HEALTH- ADVOCATE CHRIST, COORDINATOR, COMMUNITY HEALTH AND WELLNESS- ADVOCATE CHRIST, MANAGER, INPATIENT CARE - ADVOCATE CHRIST, MANAGER, PATIENT AND GUEST RELATIONS- ADVOCATE CHILDREN'S, RONALD MCDONALD CARE MOBILE, NURSE PRACTITIONER- ADVOCATE CHRIST, VICE PRESIDENT, MISSION AND SPIRITUAL CARE GOVERNING COUNCILTHE GOVERNING COUNCIL AT ADVOCATE CHRIST IS MADE UP OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT MEDICAL CENTER LEADERSHIP IN THEIR PURSUIT OF THE MEDICAL CENTER'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE MEDICAL CENTER AND SERVE AS AMBASSADORS IN THE COMMUNITY. A GOVERNING COUNCIL MEMBER SERVES AS THE COMMUNITY HEALTH COUNCIL'S CHAIR. ADVOCATE CHRIST'S GOVERNING COUNCIL RECEIVED A WRITTEN EXECUTIVE SUMMARY AS WELL AS A PRESENTATION OF FINDINGS AND RECOMMENDATIONS FOR PRIORITY HEALTH NEEDS AT THE OCTOBER 27, 2016, GOVERNING COUNCIL MEETING. THE GOVERNING COUNCIL WAS SENT A LINK TO THE FULL CHNA REPORT ON NOVEMBER 14, 2016, ALONG WITH AN ELECTRONIC BALLOT. AFTER REVIEWING THE DOCUMENT, EACH MEMBER RETURNED A BALLOT INDICATING FORMAL APPROVAL OF THE CHNA REPORT. ADVOCATE CHRIST'S CHNA REPORT WAS FORMALLY APPROVED BY THE GOVERNING COUNCIL ON NOVEMBER 21, 2016. ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 5: ADVOCATE EUREKA AND COLLABORATIONSTRI-COUNTY HEALTH DEPARTMENT COLLABORATIONADVOCATE EUREKA HOSPITAL (ADVOCATE EUREKA) HAS DEFINED "COMMUNITY" AS WOODFORD COUNTY, ILLINOIS. MULTIPLE COMMUNITY BASED AGENCIES PROVIDE SOCIAL SERVICES TO THE TRI-COUNTY REGION, WHICH INCLUDES WOODFORD, PEORIA AND TAZEWELL COUNTIES. BASED UPON OVERLAPPING SERVICE AREAS, THE THREE COUNTY HEALTH DEPARTMENTS AND SIX HOSPITALS LOCATED IN THIS REGION CHOSE TO FORM A TRI-COUNTY COLLABORATIVE. THIS COLLABORATIVE IS LED BY THE WOODFORD COUNTY HEALTH DEPARTMENT, THE PEORIA CITY/COUNTY HEALTH DEPARTMENT AND THE TAZEWELL HEALTH DEPARTMENT. FOR THE 2016 ADVOCATE EUREKA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL'S PRIMARY PARTNER WAS THE WOODFORD COUNTY HEALTH DEPARTMENT. STARTING IN THE WINTER OF 2015 AND THROUGHOUT 2016, ADVOCATE EUREKA WAS A PARTNER IN BOTH THE COLLABORATIVE ASSESSMENT PROCESSES OUTLINED BELOW.MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESSTHE TRI-COUNTY COLLABORATIVE UTILIZED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS TO CONDUCT ITS COMMUNITY HEALTH NEEDS ASSESSMENT. THIS IS THE FIRST TIME IN ILLINOIS THAT THREE COUNTY HEALTH DEPARTMENTS HAVE UTILIZED A SHARED ASSESSMENT FOR THEIR CERTIFICATION PROCESS. THE PROCESS IS COMMUNITY-DRIVEN AND ASSISTS IN DEVELOPMENT AND IMPLEMENTATION EFFORTS AROUND IDENTIFYING AND PRIORITIZING HEALTH ISSUES. THE MAPP PROCESS CONSISTS OF THE FOLLOWING FOUR ASSESSMENTS.- COMMUNITY HEALTH STATUS ASSESSMENT- COMMUNITY THEMES AND STRENGTHS ASSESSMENT- FORCES OF CHANGE ASSESSMENT- LOCAL PUBLIC HEALTH SYSTEMS ASSESSMENTTRI-COUNTY MAPP STEERING COUNCIL THE DIRECTOR OF COMMUNITY HEALTH FOR ADVOCATE EUREKA SERVED ON THE MAPP STEERING COUNCIL WHICH WAS LED BY THE TRI-COUNTY HEALTH DEPARTMENTS. FIVE INDIVIDUALS FROM EACH OF THE THREE COUNTIES OF PEORIA, WOODFORD AND TAZEWELL COMPRISE THE MAPP STEERING COUNCIL FOR THE TRI-COUNTY REGION. THEY ARE AS FOLLOWS:TITLE/ORGANIZATIONDIRECTOR OF COMMUNITY HEALTH POLICY AND PLANNING - PEORIA CITY/COUNTY HEALTH DEPARTMENT: WOODFORD COUNTY HEALTH ADMINISTRATOR/DEPARTMENT BOARD MEMBER, SECRETARY - WOODFORD COUNTY BOARD OF HEALTHCOMMUNITY HEALTH COORDINATOR - HOPEDALE MEDICAL COMPLEXREGIONAL SUPERINTENDENT - REGIONAL OFFICE OF EDUCATIONEXECUTIVE DIRECTOR - YWCA, PEKINASSISTANT DEAN OF STUDENTS/DIRECTOR OF RESIDENCE LIFE - EUREKA COLLEGEADMINISTRATOR - TAZEWELL COUNTY HEALTH DEPARTMENTGRANTS COORDINATOR - CITY OF PEORIADIRECTOR OF COMMUNITY HEALTH - ADVOCATE EUREKACO-CHAIR PERSON, SECRETARY - GIFTS IN THE MOMENT: TRI-COUNTY FRESH FOOD HUBPRESIDENT AND CEO - HUMAN SERVICE CENTERDIRECTOR OF CLINICAL SERVICES - TAZWOOD CENTER FOR WELLNESSPASTOR - ROANOKE MENNONITE CHURCHEXECUTIVE VICE PRESIDENT STRATEGIC INITIATIVES, GOVERNMENTAL AFFAIRS & GRANTS - EASTER SEALS, IL PARTNERS FOR HUMAN SERVICES CHAIRPERSON - GIFTS IN THE MOMENT, TRI-COUNTY FRESH FOOD HUBCENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVEFOR THE TRI-COUNTY REGION CONSISTING OF PEORIA, WOODFORD AND TAZEWELL COUNTIES, THERE WAS A SECOND COLLABORATIVE CREATED BY A TEAM OF HEALTHCARE PROFESSIONALS FROM OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER AND UNITYPOINT CALLED THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE. THIS COLLABORATIVE WAS CREATED TO ENGAGE THE ENTIRE COMMUNITY IN IMPROVING POPULATION HEALTH AS A PART OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. MEMBERS OF THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE INCLUDE: PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, WOODFORD COUNTY HEALTH DEPARTMENT, KINDRED HOSPITAL, ADVOCATE EUREKA, HOPEDALE MEDICAL COMPLEX, PEKIN HOSPITAL, HEART OF ILLINOIS UNITED WAY, HEARTLAND COMMUNITY HEALTH CLINIC AND BRADLEY UNIVERSITY, AS WELL AS OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER AND UNITYPOINT. THE DIRECTOR OF COMMUNITY HEALTH FOR ADVOCATE EUREKA SERVED ON THE CENTRAL ILLINOIS COMMUNITY HEALTH COUNCIL. THE COUNCIL MEMBERS AND ORGANIZATIONS THEY REPRESENT ARE PROVIDED BELOW.TITLE/ORGANIZATIONSENIOR VICE PRESIDENT AND CEO - OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTERVICE PRESIDENT OF AMBULATORY CARE - OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTERDIRECTOR OF BUSINESS AND COMMUNITY HEALTH IN AMBULATORY ADMINISTRATION - OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTERVICE PRESIDENT OF STRATEGY AND DEVELOPMENT - UNITYPOINT HEALTH - METHODIST, PROCTOR COMMUNITY HEALTH COORDINATOR - HOPEDALE MEDICAL COMPLEXCONTROLLER - PEKIN HOSPITALEPIDEMIOLOGIST - PEORIA CITY/COUNTY HEALTH DEPARTMENTEPIDEMIOLOGIST - TAZEWELL COUNTY HEALTH DEPARTMENTADMINISTRATOR - TAZEWELL COUNTY HEALTH DEPARTMENTADMINISTRATOR - WOODFORD COUNTY HEALTH DEPARTMENTCHIEF MEDICAL OFFICER - HEARTLAND HEALTH SERVICESDIRECTOR OF COMMUNITY HEALTH - ADVOCATE EUREKAPRESIDENT - HEART OF ILLINOIS UNITED WAYSEVERAL OF THE INDIVIDUALS FROM THE VARIOUS ORGANIZATIONS LISTED ABOVE REPRESENT THE UNDERSERVED, UNINSURED, MINORITY OR LOW-INCOME POPULATIONS. IN ADDITION TO COLLECTING INPUT FROM THE ABOVE COLLABORATIONS, A TRI-COUNTY COMMUNITY HEALTH SURVEY WAS ADMINISTERED FROM JULY THROUGH SEPTEMBER 2015 TO EXAMINE PERCEPTIONS OF COMMUNITY HEALTH ISSUES, UNHEALTHY BEHAVIORS, ISSUES WITH QUALITY OF LIFE, HEALTHY BEHAVIORS AND ACCESS TO HEALTHCARE. WOODFORD COUNTY RESULTS INDICATED THAT 535 RESIDENTS RESPONDED TO THE SURVEY.ADVOCATE EUREKA'S 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY. ADVOCATE GOOD SHEPHERD HOSPITAL PART V, SECTION B, LINE 5: ADVOCATE GOOD SHEPHERD HOSPITAL (ADVOCATE GOOD SHEPHERD) COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 WHICH INCORPORATED DATA FROM THE LAKE COUNTY AND MCHENRY COUNTY HEALTH DEPARTMENT ASSESSMENT PROCESSES. BOTH OF THE HEALTH DEPARTMENTS UTILIZED A VERSION OF THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS TO COMPLETE THEIR ASSESSMENTS WHICH INCLUDED INTERVIEWS, FOCUS GROUPS AND SURVEYS. THE HOSPITAL PARTICIPATED IN BOTH COUNTY ASSESSMENT PROCESSES AS A KEY PARTNER. IN TOTAL, THE HOSPITAL CONSIDERED DATA, FINDINGS AND INFORMATION FROM FOUR COMPREHENSIVE COMMUNITY ASSESSMENTS: LAKE COUNTY COMMUNITY HEALTH ASSESSMENT, 2016-2021; MCHENRY COUNTY HEALTHY COMMUNITY STUDY, 2017; HEALTHIER BARRINGTON NEEDS SURVEY, 2017 AND THE WAUCONDA SURVEY, 2015.A KEY SOURCE FOR SECONDARY DATA FOR THE ADVOCATE GOOD SHEPHERD CHNA WAS HEALTHY COMMUNITIES INSTITUTE (HCI), A CENTRALIZED DATA PLATFORM PURCHASED BY ADVOCATE HEALTH CARE. IN EARLY 2014, ADVOCATE HEALTH CARE SIGNED A THREE-YEAR CONTRACT WITH HCI, NOW A XEROX COMPANY, TO PROVIDE AN INTERNET-BASED DATA RESOURCE FOR THEIR ELEVEN HOSPITALS DURING THE 2014-2016 CHNA CYCLE. IN PREPARATION FOR THE SELECTION OF PRIORITIES, THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF PRESENTED TO THE COMMUNITY HEALTH COUNCIL (CHC) A COMPREHENSIVE SUMMARY OF FINDINGS FROM THE ABOVE-MENTIONED REPORTS, A DEMOGRAPHIC PROFILE, PROFILES OF THE TOP HEALTH ISSUES AS WELL AS SOCIAL DETERMINANT FACTORS IMPACTING HEALTH IN THE PRIMARY SERVICE AREA. STAFF ASKED CHC MEMBERS TO CONSIDER A DEFINED LIST OF CRITERIA WHEN MAKING THE HEALTH PRIORITY SELECTIONS. IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, ADVOCATE GOOD SHEPHERD CONVENED ITS CHC EVERY THREE MONTHS, FROM FEBRUARY THROUGH NOVEMBER 2016, TO REVIEW THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHC WAS CHAIRED BY A REPRESENTATIVE OF THE COMMUNITY WHO ALSO SERVES ON THE HOSPITAL'S GOVERNING COUNCIL. COMMUNITY MEMBERS ON THE CHC REPRESENT A VARIETY OF EXPERTISE AREAS, INCLUDING A FREE MEDICAL CLINIC, AREA BUSINESSES, SCHOOL DISTRICTS, ENVIRONMENTAL ORGANIZATIONS AND THE FAITH COMMUNITY. THE REMAINING MEMBERS OF THE CHC ARE REPRESENTATIVES FROM THE HOSPITAL'S EXECUTIVE TEAM, MISSION AND SPIRITUAL CARE DEPARTMENT, TRAUMA DEPARTMENT, THE CARDIAC CENTER AND THE BUSINESS DEVELOPMENT AND STRATEGY DEPARTMENT. THE AFFIDAVITS OF THESE COUNCIL REPRESENTATIVES AND THE NAMES OF THE ORGANIZATIONS THEY REPRESENT ARE PROVIDED BELOW. COUNCIL MEMBERS FROM THE COMMUNITY REPRESENTING AN ORGANIZATION THAT SERVES MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS ARE ALSO INDICATED BELOW.ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH COUNCIL MEMBERS MEMBERS FROM THE COMMUNITY- AMERICAN CANCER SOCIETY, HEALTH SYSTEMS MANAGER (MEDICALLY UNDERSERVED AND LOW-INCOME)- BARRINGTON SCHOOL DISTRICT 220, DIRECTOR OF COMMUNICATIONS- BARRINGTON VENTURES, OWNER; ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL MEMBER- CITIZENS FOR CONSERVATION, PRESIDENT- FAMILY HEALTH PARTNERSHIP CLINIC, EXECUTIVE DIRECTOR (MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS)- HARVARD SENIOR CENTER, EXECUTIVE DIRECTOR (MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY SENIOR POPULATIONS)- INFINITY MEDICAL PARTNERS INC., ASSOCIATE DIRECTOR PROJECT MANAGEMENT/OPERATIONS- LAKE COUNTY HEALTH DEPARTMENT, DIRECTOR OF PREVENTION (MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS)- MCHENRY COUNTY HEALTH DEPARTMENT, COMMUNITY HEALTH COORDINATOR (MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS)- MCHENRY COUNTY SUBSTANCE ABUSE COALITION, DRUG FREE COORDINATOR (MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS)- PEACE LUTHERAN CHURCH, PASTOR (MEDICALLY UNDERSERVED AND LOW-INCOME)- ST. PAUL'S UNITED CHURCH OF CHRIST, PASTOR (MEDICALLY UNDERSERVED AND LOW-INCOME)- WAUCONDA MESSIAH LUTHERAN CHURCH, PASTOR (MEDICALLY UNDERSERVED AND LOW-INCOME)- WAUCONDA SCHOOL DISTRICT 118, SUPERINTENDENT- WAUCONDA SCHOOL DISTRICT 118, SUPERINTENDENT (RETIRED); ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH COUNCIL CHAIRMEMBERS FROM ADVOCATE GOOD SHEPHERD - ADVOCATE NORTHERN REGION COMMUNITY HEALTH DIRECTOR- ADVOCATE GOOD SHEPHERD, COMMUNITY HEALTH COORDINATOR- ADVOCATE GOOD SHEPHERD, COMMUNITY AND GUEST RELATIONS DIRECTOR- ADVOCATE GOOD SHEPHERD, HEALTH MANAGEMENT CENTER MANAGER- ADVOCATE GOOD SHEPHERD, MAGNET & SPECIAL PROJECTS MANAGER- ADVOCATE GOOD SHEPHERD, TRAUMA & PARAMEDICS COORDINATORADVOCATE GOOD SHEPHERD ALSO CONSULTED WITH THE HEALTHIER BARRINGTON COALITION, THE MCHENRY COUNTY HEALTH COALITION, THE LIVE WELL LAKE COUNTY STEERING COMMITTEE AND THE WAUCONDA UNITED HEALTH PARTNERSHIP IN THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE WAUCONDA UNITED HEALTH PARTNERSHIP HAS A HISPANIC OUTREACH SUBCOMMITTEE THAT MEETS MONTHLY. EACH OF THESE ORGANIZATIONS WERE SELECTED FOR THEIR EXPERTISE IN SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. ADVOCATE GOOD SHEPHERD'S 2014-2016 AND PREVIOUS CYCLE'S 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON ADVOCATE HEALTH CARE'S WEBPAGE AND INCLUDE A LINK TO A FORM AND AN EMAIL FOR THE COMMUNITY TO USE IN PROVIDING FEEDBACK IN COMPLIANCE WITH THE AFFORDABLE CARE ACT. ANY QUESTIONS SUBMITTED WILL BE ADDRESSED WITHIN THIRTY DAYS. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO INQUIRIES OR FEEDBACK FROM THE COMMUNITY. ADVOCATE GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 5: ADVOCATE GOOD SAMARITAN HOSPITAL (ADVOCATE GOOD SAMARITAN) COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN 2016, UNDER THE SUPERVISION OF THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH COUNCIL (CHC) AND THE HOSPITAL'S COMMUNITY HEALTH LEADER. THE CHC IS A DIVERSE COUNCIL COMPRISED OF ADVOCATE GOOD SAMARITAN LEADERSHIP AND COMMUNITY REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND IS LED BY THE HOSPITAL'S COMMUNITY HEALTH MANAGER. THE CHC IS COMPRISED OF A TOTAL OF 13 MEMBERS OF WHICH SIX ARE HOSPITAL REPRESENTATIVES AND SEVEN ARE COMMUNITY ORGANIZATION REPRESENTATIVES. THE CHC SERVES AS AN ADVISORY COUNCIL FOR THE HOSPITAL'S COMMUNITY HEALTH WORK AND HELPS TO DRIVE THE WORK OF THE HOSPITAL'S CHNA THROUGH SUPPORTING DATA COLLECTION, DATA REVIEW, PRIORITIZING IDENTIFIED HEALTH NEEDS, AND IDENTIFYING COMMUNITY PARTNERS TO SUPPORT THE CREATION AND DEVELOPMENT OF THE CHNA IMPLEMENTATION PLAN. THE CHC CONVENED FOR FIVE TWO-HOUR IN-PERSON MEETINGS THROUGHOUT 2016 TO COMPLETE EACH PHASE OF THE CHNA. IN ADDITION TO IN-PERSON MEETINGS, CHC MEMBERS SHARED THEIR FEEDBACK, COMMENTS AND RECOMMENDATIONS ELECTRONICALLY. COMMUNITY REPRESENTATIVE COUNCIL MEMBERS PROVIDED CRITICAL FEEDBACK AND INSIGHT REGARDING NEEDS AND COMMUNITY-BASED PROGRAMS, WHILE HOSPITAL REPRESENTATIVE COUNCIL MEMBERS PROVIDED ESSENTIAL FEEDBACK AND INSIGHT RELATED TO THE HOSPITAL'S AREAS OF EXPERTISE, CAPACITY AND CURRENT RESOURCES AVAILABLE TO THE COMMUNITY. IN ADDITION, COMMUNITY REPRESENTATIVES PROVIDED PERSPECTIVES FROM VARIOUS HEALTH AND SOCIAL DISCIPLINES INCLUDING KNOWLEDGE ABOUT SOCIAL DETERMINANTS OF HEALTH, SUCH AS HOUSING AND EMPLOYMENT. COMMUNITY REPRESENTATIVES ALSO SHARED SPECIFIC KNOWLEDGE REGARDING THE CORRELATION BETWEEN SOCIAL CONDITIONS AND POOR HEALTH OUTCOMES. THESE SOCIAL INDICATORS WERE CRITICAL IN SUCCESSFULLY IDENTIFYING THE HOSPITAL'S CHNA PRIORITIES. THE AFFILIATIONS AND TITLES OF ADVOCATE GOOD SAMARITAN'S CHC MEMBERS ARE LISTED BELOW.2016-2017 ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH COUNCIL MEMBERSMEMBERS FROM THE COMMUNITY- DUPAGE HEALTH COALITION, PRESIDENT- DUPAGE COUNTY HEALTH DEPARTMENT, ASSISTANT DIRECTOR, CLIENT ACCESS- DUPAGE COUNTY HEALTH DEPARTMENT, COORDINATOR, POPULATION HEALTH- DUPAGE PADS, PRESIDENT, CHIEF EXECUTIVE OFFICER- DUPAGE SENIOR CITIZENS COUNCIL, EXECUTIVE DIRECTOR - PEOPLES RESOURCE CENTER, EXECUTIVE DIRECTOR- SAMARITAN INTERFAITH COUNSELING, CLINICAL DIRECTOR, ADULT SERVICESMEMBERS FROM ADVOCATE GOOD SAMARITAN STAFF- ADVOCATE GOOD SAMARITAN, DIRECTOR, BUSINESS DEVELOPMENT- ADVOCATE GOOD SAMARITAN, DIRECTOR, PUBLIC AFFAIRS AND MARKETING- ADVOCATE GOOD SAMARITAN, OP, ADVANCED PRACTICE NURSE, PSYCHOLOGY- ADVOCATE GOOD SAMARITAN, VICE PRESIDENT, MISSION AND SPIRITUAL CARE- DUPAGE EMERGENCY PHYSICIANS, EMERGENCY DEPARTMENT PHYSICIAN; ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL MEMBER SEVERAL ORGANIZATIONS THAT WERE REPRESENTED ON THE 2014-2016 CHNA COMMUNITY HEALTH COUNCIL PROVIDED SERVICES TO THE LOW-INCOME, MINORITY AND/OR UNDERSERVED POPULATIONS WITHIN DUPAGE COUNTY. THESE ORGANIZATIONS IMPLEMENTED PROGRAMMING AND PROVIDED SERVICES THAT IMPACTED ONE OR MORE OF THE VULNERABLE POPULATIONS LISTED ABOVE. BELOW IS A LIST OF THE ORGANIZATIONS AND THE VULNERABLE POPULATIONS THEY REPRESENTED DURING THE 2014-2016 CHNA PROCESS.- DUPAGE COUNTY HEALTH DEPARTMENT PROVIDES SERVICES TO LOW-INCOME, MINORITY AND MEDICALLY-UNDERSERVED POPULATIONS THROUGH VARIOUS COMMUNITY PROGRAMMING AND HEALTH SERVICES.- DUPAGE HEALTH COALITION IS AN ORGANIZATION THAT FOCUSES ON PROVIDING ACCESS TO HEALTH SERVICES FOR THOSE WHO ARE LOW-INCOME AND MEDICALLY UNDERSERVED. MOST CLIENTS RECEIVING SERVICES THROUGH THIS ORGANIZATION ARE FROM A MINORITY POPULATION AND FOREIGN BORN.- DUPAGE PADS PROVIDES SUPPORTIVE SERVICES AND TEMPORARY HOUSING TO LOW-INCOME HOMELESS INDIVIDUALS AND FAMILIES IN DUPAGE COUNTY. THE ORGANIZATION ALSO CONNECTS LOW-INCOME INDIVIDUALS AND FAMILIES TO SOCIAL AND HEALTH SERVICES.- PEOPLE'S RESOURCE CENTER IS AN ORGANIZATION THAT FOCUSES ON HUNGER AND POVERTY IN DUPAGE COUNTY. THE ORGANIZATION RUNS A FOOD PANTRY, EMPLOYMENT AND TRAINING, AND PROVIDES ENGLISH AS A SECOND LANGUAGE (ESL) PROGRAMS FOR LOW-INCOME AND/OR FOREIGN-BORN INDIVIDUALS TO IMPROVE STUDENTS' LEVEL OF ENGLISH.BOTH ADVOCATE GOOD SAMARITAN'S 2014-2016 CHNA REPORT AND THE PREVIOUS 2011-2013 CHNA REPORT AND IMPLEMENTATION PLANS ARE POSTED ON ADVOCATE HEALTH CARE'S WEBPAGE AND CONTAIN A LINK TO A FORM AND AN EMAIL FOR THE COMMUNITY TO USE IN PROVIDING FEEDBACK. AS OF DECEMBER 31, 2018, THERE WAS NO COMMUNITY FEEDBACK ON EITHER CHNA REPORT. LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 5: ADVOCATE LUTHERAN GENERAL HOSPITAL (ADVOCATE LUTHERAN GENERAL) CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM 2014-2016. THE HOSPITAL CONVENED ITS COMMUNITY HEALTH COUNCIL (COUNCIL) TO OVERSEE AND ADVISE THE PROCESS, WHICH IDENTIFIED AND PRIORITIZED HEALTH NEEDS. THE COUNCIL MET QUARTERLY PER ITS HISTORICAL FORMAT. THE MEETINGS INCLUDED HEALTH EDUCATION ON KEY HEALTH ISSUES, COMMUNITY PROGRAM UPDATES, DATA REVIEW, AND ANALYSIS PRIORITIZATION OF HEALTH NEEDS AND DEVELOPMENT OF HEALTH IMPROVEMENT STRATEGIES. THE COUNCIL WAS CHAIRED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, MISSION AND SPIRITUAL CARE, AND HOSPITAL SERVICE LINE LEADERS. TWO COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO ADDRESS ANY GAPS IN EXPERTISE. THE COMMUNITY HEALTH COUNCIL MEMBERS' TITLES AND THE NAMES OF THE ORGANIZATIONS THEY REPRESENTED IN 2016 ARE PROVIDED BELOW (MEMBERS WITH AN ASTERISK REPRESENT LOW-INCOME, UNDERSERVED OR MINORITY POPULATIONS).ADVOCATE LUTHERAN GENERAL COMMUNITY HEALTH COUNCILMEMBERS FROM THE COMMUNITY- ASSISTANT DIRECTOR, MAINE TOWNSHIP MAINSTAY YOUTH AND FAMILY SERVICES - ASSISTANT PRINCIPAL, DISTRICT 207 - CHIEF OF POLICE, PARK RIDGE - SOCIAL WORKER, PARK RIDGE*- NURSE, CITY OF DES PLAINES- SOCIAL WORKER, CITY OF DES PLAINES*- COMMUNITY LEADER AND GOVERNING COUNCIL MEMBER, ADVOCATE LUTHERAN GENERAL- DIRECTOR, CHRONIC DISEASE PREVENTION & HEALTH PROMOTION, COOK COUNTY DEPARTMENT OF HEALTH- ENVIRONMENTAL HEALTH OFFICER, PARK RIDGE* - MANAGER, CENTER FOR HEALTH PROFESSIONALS, TRITON COLLEGE- MEMBER, DES PLAINES HEALTHY COMMUNITY PARTNERSHIP- MEMBER, PARK RIDGE HEALTHY COMMUNITY PARTNERSHIP AND JOINT COMMUNITY RECOVERY RESPONSE TEAM- MENTAL HEALTH SERVICES DIRECTOR, LUTHERAN SOCIAL SERVICES (LSSI) - PROGRAM DIRECTOR, NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI)*- TOWNSHIP SUPERVISOR, SCHAUMBURG*- SENIOR DIRECTOR OF COMMUNITY HEALTH, AMERICAN HEART ASSOCIATION - SUPERINTENDENT, ROUNDOUT SCHOOL DISTRICT #72/GOVERNING COUNCIL CHAIR, ADVOCATE LUTHERAN GENERAL- DIRECTOR OF FAMILY SERVICES, VILLAGE OF NILES- FITNESS CENTER DIRECTOR, VILLAGE OF NILES- NURSE, VILLAGE OF NILES*ADVOCATE LUTHERAN GENERAL/ADVOCATE CHILDREN'S STAFF MEMBERS - COORDINATOR, COMMUNITY AND HEALTH RELATIONS- DIRECTOR, COMMUNITY AND HEALTH RELATIONS- DIRECTOR, COMMUNITY AND HEALTH RELATIONS, ADVOCATE CHILDREN'S- DIRECTOR, OLDER ADULT SERVICES- EXECUTIVE CLINICAL DIRECTOR, HEART/VASCULAR/CC/ED/TRAUMA DIRECTOR, OPERATIONS-REHAB/OUT PATIENT PSYCHOLOGY/NEUROLOGY - EXECUTIVE DIRECTOR, WOMEN'S HEALTH AND PROFESSIONAL PRACTICE - KOREAN CONCIERGE/PATIENT NAVIGATOR*- MANAGER, MENTAL HEALTH SERVICES - NURSE PRACTITIONER, RONALD MCDONALD CARE MOBILE/STUDENT HEALTH SERVICES PROGRAM- POLISH PATIENT NAVIGATOR*- VICE PRESIDENT, MISSION AND SPIRITUAL CAREAS PART OF THE 2014-2016 CHNA PROCESS, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S ALSO CONSULTED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS: - CHICAGO DEPARTMENT OF PUBLIC HEALTH- CHICAGO PUBLIC SCHOOLS DEPARTMENT OF STUDENT HEALTH- COMMUNITY LEADERS OF SOUTH ASIAN, KOREAN AND POLISH COMMUNITIES- DES PLAINES HEALTHY COMMUNITY PARTNERSHIP - DES PLAINES, PARK RIDGE AND NILES POLICE DEPARTMENTS - FAITH COMMUNITIES - HANUL FAMILY ALLIANCE (KOREAN COMMUNITY PARTNER)- HEALTH AND MEDICINE POLICY RESEARCH GROUP- HEALTHIER PARK RIDGE COALITION (NAME CHANGE)- HEALTHY SCHOOLS CAMPAIGN- ILLINOIS PUBLIC HEALTH INSTITUTE- ILLINOIS STATE BOARD OF EDUCATION, SCHOOL NURSING/HEALTH SPECIAL EDUCATION SERVICES- HEALTHIER DES PLAINES PROJECT - HEALTHIER NILES PROJECT- HEALTHIER PARK RIDGE PROJECT- PARK RIDGE, NILES AND DES PLAINES MINISTERIAL ASSOCIATIONS- PARK RIDGE CHAMBER OF COMMERCE HEALTH CARE FORUM - PARK RIDGE COMMUNITY FUND- PARK RIDGE HEALTH COMMISSION- PARK RIDGE HUMAN NEEDS TASK FORCE - POLICE CHIEF ADVISORY TASK FORCE, PARK RIDGE- SCHAUMBURG TOWNSHIP SUPERVISOR AND TRUSTEE- SCHOOL DISTRICT 63- SCHOOL DISTRICT 64- SCHOOL DISTRICT 207 - VILLAGE OF GLENVIEW- VILLAGE OF MORTON GROVE - VILLAGE OF NILESTHE HOSPITAL CONSIDERED INPUT FROM UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN IDENTIFIED HIGH RISK ZIP CODES IN DES PLAINES AND NILES FOR ASSESSING AND DEVELOPING IMPROVEMENT INTERVENTIONS IN THE 2014-2016 CHNA. ADVOCATE CHILDREN'S, LOCATED ON TWO CAMPUSES IN THE CHICAGOLAND AREA, SERVES CHILDREN AGES 0-17. THE NORTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE LUTHERAN GENERAL IN PARK RIDGE, ILLINOIS, (ADVOCATE CHILDREN'S-PARK RIDGE) WITH WHICH IT SHARES THE SAME TAX ID NUMBER. THE SOUTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE CHRIST IN OAK LAWN, ILLINOIS, (ADVOCATE CHILDREN'S-OAK LAWN) WITH WHICH IT SHARES THE SAME TAX ID NUMBER. AN ADVOCATE CHILDREN'S COMMUNITY PROFILE WAS COMPLETED TO SUPPLEMENT THE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS OF THE RESPECTIVE ADVOCATE HOSPITALS. WHILE AN IMPORTANT PART OF THE ADVOCATE LUTHERAN GENERAL CAMPUS, ADMINISTRATIVELY AND OPERATIONALLY, ALL PEDIATRIC SERVICES REPORT TO THE ADVOCATE CHILDREN'S LEADERSHIP TEAM.THE ADVOCATE CHILDREN'S SERVICE AREA INCLUDES COMMUNITIES SERVED BY ADVOCATE LUTHERAN GENERAL AS WELL AS AREAS FARTHER NORTH, WEST AND EAST. THE HOSPITAL WORKS WITH UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS THROUGHOUT THE NORTH SUBURBS AND CHICAGO AS IDENTIFIED THROUGH ADVOCATE-SPONSORED MEDICAID MANAGED CARE PROGRAM UTILIZATION AND THE CHICAGO PUBLIC HEALTH DEPARTMENT'S HEALTHY CHICAGO 2.0 HEALTH PLAN. HIGH-RISK AREAS INCLUDE DES PLAINES, ROUND LAKE, WHEELING, WAUKEGAN AND ELGIN, AS WELL AS AVALON PARK AND AVONDALE ON THE NORTH SIDE OF CHICAGO. PARTICULARLY HELPFUL TO ASSESSING COMMUNITY HEALTH NEEDS FOR THE UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WERE THE CHICAGO'S HEALTHY SCHOOL CAMPAIGN, CHICAGO PUBLIC HEALTH DEPARTMENT, AND SCHOOL DISTRICTS 63 AND 64, AS WELL AS UTILIZATION DATA FROM THE ADVOCATE MEDICAID MANAGED CARE PROGRAM.ADVOCATE LUTHERAN GENERAL'S 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBSITE WITH A MECHANISM FOR THE COMMUNITY TO PROVIDE FEEDBACK OR ASK QUESTIONS IN COMPLIANCE WITH REQUIREMENTS OF THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THE HOSPITAL HAD NOT RECEIVED ANY COMMENTS OR INQUIRIES FROM THE COMMUNITY. ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY HEALTH COUNCILIN DEVELOPING THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ADVOCATE SOUTH SUBURBAN HOSPITAL (ADVOCATE SOUTH SUBURBAN) CONSULTED WITH VARIOUS INTERNAL AND EXTERNAL STAKEHOLDERS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL (CHC) ON FEBRUARY 24, 2016. THE CHC'S RESPONSIBILITIES WERE TO: 1) OVERSEE COMMUNITY HEALTH WORK FOR THE HOSPITAL; 2) REVIEW DATA AND PRIORITIZE HEALTH NEEDS IDENTIFIED FOR THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT; AND 3) CONTRIBUTE TO THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS COMMUNITY HEALTH NEEDS. CHAIRED BY A MEMBER OF ADVOCATE SOUTH SUBURBAN'S GOVERNING COUNCIL AND MANAGED BY THE REGIONAL DIRECTOR OF COMMUNITY HEALTH, THE CHC IS COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, INCLUDING MULTIPLE COMMUNITY MEMBERS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. A LIST OF THE COMMUNITY HEALTH COUNCIL MEMBERS' TITLES AND AFFILIATIONS ARE PROVIDED BELOW. ASTERISKS HAVE BEEN USED TO INDICATE INDIVIDUALS WHO REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS.2016 ADVOCATE SOUTH SUBURBAN COMMUNITY HEALTH COUNCIL MEMBERSMEMBERS REPRESENTING THE COMMUNITY- COUNTRY CLUB HILLS SCHOOL DISTRICT 160, SCHOOL NURSE 1*- COUNTRY CLUB HILLS SCHOOL DISTRICT 160, SCHOOL NURSE 2*- FAITH LUTHERAN CHURCH OF HOMEWOOD, PASTOR; ADVOCATE SOUTH SUBURBAN GOVERNING COUNCIL MEMBER; COMMUNITY HEALTH COUNCIL, CHAIR- GOVERNORS STATE UNIVERSITY, ASSISTANT PROFESSOR 1- GOVERNORS STATE UNIVERSITY, ASSISTANT PROFESSOR 2- HAZEL CREST COMMUNITY RESIDENT 1*- HAZEL CREST COMMUNITY RESIDENT 2*- HAZEL CREST COMMUNITY RESIDENT 3*- SOUTH SUBURBAN FAMILY HEALTH, SC, FAMILY MEDICINE PHYSICIAN- SOUTH SUBURBAN MAYORS AND MANAGERS ASSOCIATION, COMMUNITY DEVELOPMENT PLANNERADVOCATE SOUTH SUBURBAN STAFF- ADVOCATE HEALTH CARE, REGIONAL DIRECTOR, COMMUNITY HEALTH- ADVOCATE MEDICAL GROUP, GENERAL SURGEON; ADVOCATE SOUTH SUBURBAN GOVERNING COUNCIL MEMBER- ADVOCATE SOUTH SUBURBAN, COORDINATOR, COMMUNITY HEATH- ADVOCATE SOUTH SUBURBAN, MARKETING SPECIALIST, PUBLIC AFFAIRS AND MARKETING- ADVOCATE SOUTH SUBURBAN, VICE PRESIDENT, OPERATIONS; COMMUNITY HEALTH EXECUTIVE SPONSOR THE CHC FUNCTIONS AS A SUBSET OF THE HOSPITAL'S GOVERNING COUNCIL AND ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL BY THE FULL GOVERNING COUNCIL.GOVERNING COUNCILAS MENTIONED EARLIER, A MEMBER OF THE ADVOCATE SOUTH SUBURBAN GOVERNING COUNCIL CHAIRS THE COMMUNITY HEALTH COUNCIL, PROVIDING PERIOD FEEDBACK TO THE GOVERNING COUNCIL ON CHC PROGRESS. A MAJORITY OF MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL (59%) REPRESENT THE COMMUNITY. THE PRINCIPAL ROLES OF GOVERNING COUNCIL MEMBERS ARE TO: 1) SUPPORT THE HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS; 2) REPRESENT THE COMMUNITY'S INTERESTS TO THE HOSPITAL; AND 3) SERVE AS AN AMBASSADOR OF THE HOSPITAL IN THE COMMUNITY. FOR THE CHNA, THE ROLE OF THE GOVERNING COUNCIL IS TO PROVIDE INPUT, AND TO REVIEW AND APPROVE THE RECOMMENDATIONS OF THE CHC. THE GOVERNING COUNCIL APPROVED SOUTH SUBURBAN'S 2016 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, INCLUDING IDENTIFIED PRIORITIES FOR ACTION AND IMPLEMENTATION STRATEGY, ON DECEMBER 1, 2016.HEALTH IMPACT COLLABORATIVE OF COOK COUNTYIN 2015, ALL FIVE ADVOCATE HEALTH CARE HOSPITALS PRINCIPALLY SERVING COOK COUNTY, INCLUDING ADVOCATE SOUTH SUBURBAN, WERE FOUNDING MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A BEST PRACTICE COMMUNITY HEALTH INITIATIVE INVOLVING 26 HOSPITALS, 7 HEALTH DEPARTMENTS AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE GOAL OF THIS COLLABORATIVE IS TO WORK TOGETHER ON A COUNTY-WIDE HEALTH ASSESSMENT AND COMMON HEALTH IMPROVEMENT STRATEGIES ONCE PRIORITIES ARE IDENTIFIED. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVED AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE-PROVIDING FACILITATION, DATA COORDINATION AND REPORT PREPARATION ACTIVITIES. GIVEN THE SIZE AND DIVERSITY OF COOK COUNTY, THE COLLABORATIVE CREATED THREE REGIONS-NORTH, CENTRAL AND SOUTH-FOR PURPOSES OF ORGANIZING THE ASSESSMENT PROCESS. ADVOCATE SOUTH SUBURBAN WAS APPROPRIATELY ASSIGNED TO THE SOUTH REGION CONSISTING OF BOTH THE SOUTH SIDE OF CHICAGO AND THE SOUTH SUBURBS OF COOK COUNTY, WHERE THE HOSPITAL IS LOCATED. COMMUNITY HEALTH STAFF PARTICIPATE IN THE ACTION PLANNING TEAMS FOR CHRONIC DISEASE PREVENTION AND SOCIAL DETERMINANTS OF HEALTH CONVENED AS PART OF THE HICCC. FOR THE ASTHMA AND DIABETES PRIORITIES, TEAMS DEVELOPED EDUCATIONAL, OUTREACH AND ENVIRONMENTAL STRATEGIES IN COLLABORATION WITH COMMUNITY PARTNERS TO IMPROVE THE MANAGEMENT OF THESE DISEASES.IN 2017, HICCC MERGED WITH THE HEALTH CHICAGO HOSPITAL COLLABORATIVE. THE MERGER ALLOWED PARTNERS TO FURTHER ALIGN THEIR EFFORTS AND ACHIEVE GREATER COLLECTIVE IMPACT IN CHICAGO AND COOK COUNTY. ON JUNE 30, 2017, HOSPITAL PARTNERS FROM BOTH COLLABORATIVES MET TO KICK OFF THE START OF A FULLY MERGED ENTITY. THE NAME SELECTED FOR THE MERGER WAS THE ALLIANCE FOR HEALTH EQUITY (AFHE). THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY.BOTH ADVOCATE SOUTH SUBURBAN'S 2014-2016 CHNA REPORT, THE PREVIOUS 2011-2013 CHNA REPORT AND IMPLEMENTATION PLANS AS APPROVED BY THE HOSPITAL'S GOVERNING COUNCIL ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY. ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY HEALTH COUNCIL ADVOCATE TRINITY HOSPITAL (ADVOCATE TRINITY) COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016. AS AN IMPORTANT COMPONENT OF THIS WORK, DURING THE LAST QUARTER OF 2015, ADVOCATE TRINITY RECONVENED ITS COMMUNITY HEALTH COUNCIL (CHC), WHICH HAD BEEN FORMED IN 2011 TO OVERSEE THE HOSPITAL'S PREVIOUS CHNA. THE CHC WAS CHAIRED BY ONE OF ADVOCATE TRINITY'S GOVERNING COUNCIL MEMBERS AND CO-CHAIRED BY A COMMUNITY LEADER. THE CHC WAS COMPRISED OF REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS (CBOS), SOCIAL SERVICE AGENCIES AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), FAITH LEADERS AND MEMBERS OF ADVOCATE TRINITY'S GOVERNING COUNCIL. OF THE 22 MEMBERS, 11 MEMBERS (50 PERCENT) REPRESENT THE COMMUNITY, 5 (23 PERCENT) REPRESENT THE HOSPITAL'S GOVERNING COUNCIL AND 6 (27 PERCENT) REPRESENT HOSPITAL LEADERS. EMPHASIS WAS PLACED ON RECRUITING CHC MEMBERS THAT REPRESENTED MINORITY AND/OR UNDERSERVED POPULATIONS WITHIN THE HOSPITAL'S SURROUNDING COMMUNITY. THE CHC PROVIDED ADVOCATE TRINITY WITH THE OPPORTUNITY TO GATHER VALUABLE INPUT FROM COMMUNITY MEMBERS AND THE ORGANIZATIONS PROVIDING SERVICES TO THE COMMUNITY. THE HOSPITAL'S CHC MEMBERS ATTENDED FIVE CHNA MEETINGS HOSTED AT A HOSPITAL SITE. A KICK-OFF MEETING WAS CONDUCTED IN THE LAST QUARTER OF 2015 TO UPDATE THE CHC MEMBERS ON STRATEGIES FROM THE PRECEDING CHNA AND THE PROCESS FOR THE CURRENT CHNA. IN 2016, THE CHC MET FOUR TIMES BETWEEN JANUARY AND NOVEMBER. THE CHC MEMBERS WERE INSTRUMENTAL IN BOTH THE DEVELOPMENT OF THE CHNA PROCESS AND THE IMPLEMENTATION PLAN. THEY PLAYED A CRUCIAL ROLE IN DATA REVIEW AND IDENTIFYING THE HEALTH PRIORITIES SET FORTH. THE TITLES AND ORGANIZATIONS OF CURRENT MEMBERS OF ADVOCATE TRINITY'S CHC ARE BELOW. THE INDIVIDUALS REPRESENTING MINORITY AND/OR UNDERSERVED POPULATIONS ARE INDICATED WITH AN ASTERISK.2016 ADVOCATE TRINITY COMMUNITY HEALTH COUNCIL MEMBERSMEMBERS FROM THE COMMUNITY - A-DESIGN STUDIO, OWNER; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER - CALUMET HEIGHT HOMEOWNERS ASSOCIATION, COMMUNITY MEMBER (COMMUNITY HEALTH COUNCIL CO-CHAIR) - CHICAGO FAMILY HEALTH CENTER, ASSISTANT CEO - CLARETIAN ASSOCIATES, PROGRAM DIRECTOR - COMMUNITY MEMBER* - COMMUNITY MEMBER* - COMMUNITY MEMBER* - COMMUNITY RESIDENT; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER - COMMUNITY RESIDENT; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER (COMMUNITY HEALTH COUNCIL CHAIR) - METROPOLITAN FAMILY SERVICES, PROGRAM SUPERVISOR* - RETIRED CHICAGO PUBLIC SCHOOLS EDUCATOR, COMMUNITY REPRESENTATIVE - ROSELAND COMMUNITY MEMBER, DEACON*- THE WASHINGTON GROUP, OWNER; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER - TRINITY UNITED CHURCH OF CHRIST, PARISH NURSE* - WIMP CORPORATION, CHIEF EXECUTIVE OFFICER; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER ADVOCATE TRINITY STAFF MEMBERS- ADVOCATE HEALTH CARE, SOUTH REGION DIRECTOR, COMMUNITY HEALTH - ADVOCATE TRINITY, COORDINATOR, COMMUNITY HEALTH - ADVOCATE TRINITY, MANAGER, COMMUNITY HEALTH - ADVOCATE TRINITY, PRESIDENT - ADVOCATE TRINITY, STAFF CHAPLAIN, MISSION AND SPIRITUAL CARE - ADVOCATE TRINITY, VICE PRESIDENT, MISSION AND SPIRITUAL CAREGOVERNING COUNCIL ADVOCATE TRINITY'S GOVERNING COUNCIL MEMBERS ALSO HAD INPUT INTO THE CHNA. THE PRINCIPAL ROLES OF EACH GOVERNING COUNCIL MEMBER ARE: 1) TO SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS; AND 2) TO REPRESENT THE COMMUNITY'S INTERESTS TO THE HOSPITAL AND TO SERVE AS AN AMBASSADOR IN THE COMMUNITY. THE ROLE OF THE GOVERNING COUNCIL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIFICALLY, IS TO REVIEW AND APPROVE THE RECOMMENDATIONS OF THE CHC. IN ADDITION, FIVE GOVERNING COUNCIL MEMBERS SERVE ON THE CHC AND ONE CO-CHAIRS THE CHC. THE GOVERNING COUNCIL ALSO REPRESENTS LEADERSHIP FROM BOTH THE HOSPITAL AND THE COMMUNITY. ADVOCATE TRINITY'S GOVERNING COUNCIL FULLY APPROVED THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, INCLUDING IDENTIFIED PRIORITIES FOR FUTURE ACTION, ON NOVEMBER 22, 2016.HEALTH IMPACT COLLABORATIVE OF COOK COUNTYIN 2015, ALL FIVE ADVOCATE HEALTH CARE HOSPITALS PRINCIPALLY SERVING COOK COUNTY, INCLUDING ADVOCATE TRINITY, WERE FOUNDING MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A BEST PRACTICE COMMUNITY HEALTH INITIATIVE INVOLVING 26 HOSPITALS, SEVEN HEALTH DEPARTMENTS AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE GOAL OF THIS COLLABORATIVE IS TO WORK TOGETHER ON A COUNTY-WIDE HEALTH ASSESSMENT AND COMMON HEALTH IMPROVEMENT STRATEGIES ONCE PRIORITIES ARE IDENTIFIED. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVED AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE-PROVIDING FACILITATION, DATA COORDINATION AND REPORT PREPARATION ACTIVITIES.GIVEN THE SIZE AND DIVERSITY OF COOK COUNTY, THE COLLABORATIVE CREATED THREE REGIONS-NORTH, CENTRAL AND SOUTH-FOR PURPOSES OF ORGANIZING THE ASSESSMENT PROCESS. ADVOCATE TRINITY WAS APPROPRIATELY ASSIGNED TO THE SOUTH REGION CONSISTING OF BOTH THE SOUTH SIDE OF CHICAGO AND THE SOUTH SUBURBS OF COOK COUNTY. COMMUNITY HEALTH STAFF WILL BE PARTICIPATING IN THE ACTION PLANNING TEAMS FOR CHRONIC DISEASE PREVENTION AND SOCIAL DETERMINANTS CONVENED AS PART OF THE HICCC. FOR THE ASTHMA AND DIABETES PRIORITIES, TEAMS DEVELOPED EDUCATIONAL, OUTREACH AND ENVIRONMENTAL STRATEGIES IN COLLABORATION WITH COMMUNITY PARTNERS TO IMPROVE THE MANAGEMENT OF THESE DISEASES.IN 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITAL COLLABORATIVE. THE MERGER ALLOWED PARTNERS TO FURTHER ALIGN THEIR EFFORTS AND ACHIEVE GREATER COLLECTIVE IMPACT IN CHICAGO AND COOK COUNTY. ON JUNE 30, 2017, HOSPITAL PARTNERS FROM BOTH COLLABORATIVES MET TO KICK OFF THE START OF A FULLY MERGED INITIATIVE. THE NAME SELECTED FOR THE MERGER WAS THE ALLIANCE FOR HEALTH EQUITY (AFHE). THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN IPHI, HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY.ADVOCATE TRINITY'S 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY. ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 6A: - RELATED? N/A- UNRELATED? OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, BLOOMINGTON, ILLINOIS CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 6A: RELATED? ADVOCATE CHILDREN'S (OAK LAWN, IL)ADVOCATE SOUTH SUBURBAN (HAZEL CREST, IL)ADVOCATE TRINITY (CHICAGO, IL)UNRELATED? MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL)PROVIDENT HOSPITAL (CHICAGO, IL) ROSELAND HOSPITAL (CHICAGO, IL)ADVOCATE CHRIST AND ADVOCATE CHILDREN'S PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW KNOWN AS THE ALLIANCE FOR HEALTH EQUITY), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED OVER 30 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. ADVOCATE CHRIST WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/ ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 6A: RELATED? N/AUNRELATED?- OSF SAINT FRANCIS MEDICAL CENTER, PEORIA, ILLINOIS- UNITYPOINT HEALTH-METHODIST, PEORIA, ILLINOIS- KINDRED HOSPITAL, PEORIA, ILLINOIS- HOPEDALE MEDICAL COMPLEX, HOPEDALE, ILLINOIS- PEKIN HOSPITAL, PEKIN, ILLINOIS ADVOCATE GOOD SHEPHERD HOSPITAL PART V, SECTION B, LINE 6A: RELATED?- ADVOCATE CONDELL MEDICAL CENTER, LIBERTYVILLE, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT)- ADVOCATE SHERMAN HOSPITAL, ELGIN, IL (THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENT)UNRELATED?- CENTEGRA HEALTH SYSTEMS, MCHENRY, IL (THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENT)- LOVELL FEDERAL HEALTHCARE CENTER, NORTH CHICAGO, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT)- NORTHWESTERN LAKE FOREST HOSPITAL, LAKE FOREST, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT)- VISTA HEALTH SYSTEMS, WAUKEGAN, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 6A: ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. THE COLLABORATIVE INCLUDED TWENTY-SIX HOSPITALS, SEVEN HEALTH DEPARTMENTS, AND OVER ONE HUNDRED COMMUNITY ORGANIZATIONS. HICCC COMPLETED A CHNA FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO FOLLOWING WEB SITE: HTTP://HEALTHIMPACTCC.ORGADVOCATE CHILDREN'S ALSO PARTICIPATED IN THE CHICAGO HOSPITAL COLLABORATIVE LED BY HEALTH AND DISABILITY ADVOCATES, WHICH INCLUDED TWENTY-FIVE HOSPITALS SERVING THE METROPOLITAN CHICAGO AREA. FOR FULL DETAILS ON SELECTED ACTION PRIORITY AREAS, PLEASE REFER TO: WWW.HEALTHYCHIHOSPITALS.ORGADVOCATE LUTHERAN GENERAL CO-LED THE NORTH REGION HICCC GROUP WITH PRESENCE RESURRECTION MEDICAL CENTER. THERE WERE NINE HOSPITALS, FOUR HEALTH DEPARTMENTS AND THIRTY COMMUNITY ORGANIZATIONS INVOLVED IN THE NORTH REGION. THE NINE PARTICIPATING NORTH REGION ILLINOIS HOSPITALS INCLUDED: ADVOCATE LUTHERAN GENERAL (PARK RIDGE); ADVOCATE ILLINOIS MASONIC (CHICAGO); NORTHSHORE EVANSTON HOSPITAL (EVANSTON); NORTHSHORE GLENBROOK HOSPITAL (GLENVIEW); NORTHSHORE SKOKIE HOSPITAL (SKOKIE); PRESENCE HOLY FAMILY MEDICAL CENTER (DES PLAINES); PRESENCE RESURRECTION MEDICAL CENTER (CHICAGO); PRESENCE SAINT FRANCIS HOSPITAL (EVANSTON); AND PRESENCE SAINT JOSEPH HOSPITAL (CHICAGO). ADVOCATE LUTHERAN GENERAL UTILIZED THE HICCC NORTH REGION ASSESSMENT AS A FOUNDATION FOR THE HOSPITAL-SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT.IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE, HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY. ADVOCATE, AS A FOUNDING MEMBER OF THE PREDECESSOR HICCC, CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE FOR HEALTH EQUITY PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE HOSPITALS AS WELL AS THE OTHER MEMBER HOSPITALS PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE.THIS INITIATIVE IS ONE OF THE LARGEST COLLABORATIVE HOSPITAL-COMMUNITY PARTNERSHIPS IN THE COUNTRY WITH THE CURRENT INVOLVEMENT OF OVER 30 NONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS, AND REPRESENTATIVES OF MORE THAN 100 COMMUNITY ORGANIZATIONS SERVING ON ACTION TEAMS. PARTNERS ARE COMING TOGETHER WITH THE GOAL OF WORKING ON STRATEGIES TO ADDRESS THE PRESSING ISSUES IN OUR COMMUNITIES TO ACHIEVE GREATER COLLECTIVE IMPACT.WEB SITE: HTTP://ALLHEALTHEQUITY.ORG/ ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 6A: ADVOCATE SOUTH SUBURBAN PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW KNOWN AS THE ALLIANCE FOR HEALTH EQUITY), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED OVER 30 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. ADVOCATE SOUTH SUBURBAN WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. THE PARTICIPATING HOSPITALS IN THE SOUTH REGION INCLUDED: RELATED:- ADVOCATE CHILDREN'S (OAK LAWN, IL)- ADVOCATE CHRIST MEDICAL CENTER (OAK LAWN, IL) - ADVOCATE TRINITY HOSPITAL (CHICAGO, IL)UNRELATED:- MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL)- PROVIDENT HOSPITAL (CHICAGO, IL) - ROSELAND HOSPITAL (CHICAGO, IL)FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/ ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 6A: ADVOCATE TRINITY PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW KNOWN AS THE ALLIANCE FOR HEALTH EQUITY), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED OVER 30 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. ADVOCATE TRINITY WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. THE PARTICIPATING HOSPITALS IN THE SOUTH REGION INCLUDED: RELATED:- ADVOCATE CHILDREN'S, OAK LAWN, IL- ADVOCATE CHRIST MEDICAL CENTER, OAK LAWN, IL- ADVOCATE SOUTH SUBURBAN HOSPITAL, HAZEL CREST, IL UNRELATED:- MERCY HOSPITAL AND MEDICAL CENTER, CHICAGO, IL- PROVIDENT HOSPITAL, CHICAGO, IL - ROSELAND HOSPITAL, CHICAGO, ILFOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/ ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 6B: - UNITED WAY OF MCLEAN COUNTY, BLOOMINGTON, ILLINOIS- MCLEAN COUNTY HEALTH DEPARTMENT, BLOOMINGTON, ILLINOIS CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 6B: - ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), CHICAGO, IL- CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- COOK COUNTY HEALTH DEPARTMENT, CHICAGO, IL- PARK FOREST HEALTH DEPARTMENT, PARK FOREST, IL- STICKNEY HEALTH DEPARTMENT, STICKNEY, IL- OVER 30 ADDITIONAL COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN THE SOUTH REGION ASSESSMENT PROCESS. FOR A COMPLETE LIST OF THE STAKEHOLDER ORGANIZATIONS PARTICIPATING IN THE SOUTH REGION ASSESSMENT, PLEASE ACCESS THE FOLLOWING LINK: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/HICCC-SOUTH-REGION-CHNA-REPORT-WITH-APPENDICES-12-2-16.PDF ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 6B: WOODFORD COUNTY HEALTH DEPARTMENT - PEORIA CITY/COUNTY HEALTH DEPARTMENT- TAZEWELL COUNTY HEALTH DEPARTMENT- HEART OF ILLINOIS UNITED WAY- HEARTLAND COMMUNITY HEALTH CARE CLINIC, PEORIA, ILLINOIS- BRADLEY UNIVERSITY, PEORIA, ILLINOIS LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 6B: AS NOTED ABOVE, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S WERE BOTH ACTIVE MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC), WHICH INCLUDED THE ILLINOIS PUBLIC HEALTH INSTITUTE, TWENTY-SIX HOSPITALS, AS WELL AS SEVEN HEALTH DEPARTMENTS AND OVER ONE HUNDRED COMMUNITY ORGANIZATIONS. IN THE NORTH REGION, THERE WERE NINE HOSPITALS, FOUR HEALTH DEPARTMENTS AND THIRTY COMMUNITY ORGANIZATIONS INVOLVED. THE FOUR PARTICIPATING NORTH REGION HEALTH DEPARTMENTS INCLUDED: COOK COUNTY DEPARTMENT OF HEALTH, CHICAGO DEPARTMENT OF HEALTH, EVANSTON HEALTH DEPARTMENT AND SKOKIE HEALTH DEPARTMENT. A COMPLETE LIST OF COMMUNITY ORGANIZATIONS INVOLVED IN THE HICCC NORTH REGION ASSESSMENT CAN BE VIEWED ON THEIR NEW ONLINE PLATFORM AT: HTTP://ALLHEALTHEQUITY.ORG/PROJECTS/2016-CHNA-REPORTS/ADDITIONALLY, ADVOCATE CHILDREN'S PARTICIPATED IN THE CHICAGO HOSPITAL COLLABORATIVE LED BY THE HEALTH AND DISABILITY ADVOCATES, WHICH INCLUDED TWENTY-FIVE HOSPITALS SERVING THE METROPOLITAN CHICAGO AREA. FOR FULL DETAILS ON SELECTED ACTION PRIORITY AREAS, PLEASE REFER TO: HTTP://ALLHEALTHEQUITY.ORG/ ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 6B: - ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), CHICAGO, IL- CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- COOK COUNTY HEALTH DEPARTMENT, CHICAGO, IL- PARK FOREST HEALTH DEPARTMENT, PARK FOREST, IL- STICKNEY HEALTH DEPARTMENT, STICKNEY, IL- OVER 30 ADDITIONAL COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN THE SOUTH REGION ASSESSMENT PROCESS. FOR A COMPLETE LIST OF THE STAKEHOLDER ORGANIZATIONS PARTICIPATING IN THE SOUTH REGION, PLEASE ACCESS THE FOLLOWING LINK: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/HICCC-SOUTH-REGION-CHNA-REPORT-WITH-APPENDICES-12-2-16.PDF ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 6B: - ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), CHICAGO, IL- CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- COOK COUNTY HEALTH DEPARTMENT, CHICAGO, IL- PARK FOREST HEALTH DEPARTMENT, PARK FOREST, IL- STICKNEY HEALTH DEPARTMENT, STICKNEY, IL- OVER 30 ADDITIONAL COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN THE SOUTH REGION ASSESSMENT PROCESS. FOR A COMPLETE LIST OF THE STAKEHOLDER ORGANIZATIONS PARTICIPATING IN THE SOUTH REGION, PLEASE ACCESS THE FOLLOWING LINK: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/HICCC-SOUTH-REGION-CHNA-REPORT-WITH-APPENDICES-12-2-16.PDF ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 7D: AN OVERVIEW OF THE PROCESS AND RESULTS OF THE 2016 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENTS WERE GIVEN TO THE FOLLOWING GROUPS:- MCLEAN COUNTY REGIONAL PLANNING COMMISSION BOARD- ADVOCATE BROMENN DELEGATE CHURCH ASSOCIATION- ADVOCATE BROMENN FOUNDATION BOARD- CITY OF BLOOMINGTON COUNCIL - ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL- UNITED WAY OF MCLEAN COUNTY BOARD OF DIRECTORS- OSF HEALTHCARE SYSTEMS BOARD OF DIRECTORS- MCLEAN COUNTY BOARD OF HEALTH - LEADERSHIP MCLEAN COUNTYSEVERAL INTERVIEWS WERE ALSO CONDUCTED BY THE LOCAL MEDIA SUMMARIZING THE 2016 MCLEAN COUNTY COMMUNITY HEALTH ASSESSMENT. AN ARTICLE ALSO APPEARED IN THE AREA NEWSPAPER. CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 7D: IN ADDITION TO PRESENTATIONS DELIVERED TO THE OAK LAWN HEALTH CARE ROTARY AND THE ADVOCATE CHRIST MISSION AND SPIRITUAL CARE CHAPLAINS IN 2017, A PRESENTATION WAS DELIVERED TO THE AFRICAN METHODIST EPISCOPAL (AME) 4TH DISTRICT MINISTERS ON JUNE 12, 2018. ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 7D: THE RESULTS OF THE 2016 ADVOCATE EUREKA CHNA WERE PRESENTED TO THE ADVOCATE BROMENN AND ADVOCATE EUREKA DELEGATE CHURCH ASSOCIATION, AS WELL AS THE ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL. ADVOCATE GOOD SHEPHERD HOSPITAL PART V, SECTION B, LINE 7D: ADVOCATE GOOD SHEPHERD'S COMMUNITY HEALTH STAFF PRESENTED THE CHNA RESULTS TO THE GENERAL COMMUNITY AT THE FOLLOWING EVENTS: A NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) BARRINGTON EVENT; NAMI LAKE COUNTY EVENT IN FOX LAKE, IL; BARRINGTON AREA MAYORS AT A MAYORS FORUM MEETING AT ADVOCATE GOOD SHEPHERD; ADVOCATE GOOD SHEPHERD AUXILIARY. COMMUNITY HEALTH STAFF ALSO PRESENTED THE RESULTS INTERNALLY TO THE SENIOR LEADERSHIP TEAM, CANCER COMMITTEE AND THE GOVERNING COUNCIL. IN ADDITION, THE HOSPITAL SENT AN ANNOUNCEMENT OF THE CHNA RESULTS TO EACH ADVOCATE GOOD SHEPHERD EMPLOYEE, WHICH INCLUDED A BRIEF DESCRIPTION OF THE CHNA RESULTS AND THE LINK TO THE FULL REPORT. ADVOCATE GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 7D: ADVOCATE HEALTH CARE PARISH NURSES - THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH MANAGER PRESENTED THE CHNA TO ADVOCATE HEALTH CARE PARISH NURSES THAT SERVE CONGREGATIONS IN ADVOCATE GOOD SAMARITAN'S PRIMARY AND SECONDARY SERVICE AREAS. KEY DATA RESULTS AND COMMUNITY HEALTH PRIORITIES WERE OUTLINED IN DETAIL AND EACH PARISH NURSE RECEIVED THE WEBSITE LINK OR HARD-COPY OF THE CHNA.ADVOCATE GOOD SAMARITAN CANCER CARE TEAM - THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH MANAGER PRESENTED THE CHNA TO THE HOSPITAL'S CANCER CARE COMMUNITY ENGAGEMENT COORDINATOR AND NURSE NAVIGATOR. THE PRESENTATION INCLUDED KEY DATA RESULTS AND HEALTH PRIORITIES. THE CHNA SUPPORTS THE DEVELOPMENT AND COMPLETION OF THE CANCER CARE CENTER'S MINI CHNA. IN ADDITION, ALL MEMBERS OF THE COMMUNITY HEALTH COUNCIL AND ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL RECEIVED A COPY OF THE FINAL REPORT, AND A COPY OF THE CHNA WAS MAILED TO THE AMERICAN CANCER SOCIETY (DUPAGE COUNTY OFFICE) AND THE COMMUNITY MEMORIAL FOUNDATION TO SHARE WITH THEIR COMMUNITY PARTNERS AND STAKEHOLDERS. LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 7D: THE 2016 CHNA REPORT WAS PRESENTED TO THE HEALTHIER PARK RIDGE COALITION AND HEALTHIER DES PLAINES PROJECT. THE REPORT WAS ALSO PRESENTED TO THE COMMUNITY HEALTH COUNCIL ON FEBRUARY 15, 2017. ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 7D: THERE WERE NO PRESENTATIONS PROVIDED TO THE PUBLIC IN 2018, HOWEVER, THE CHNA WAS PRESENTED TO THE HARVEY PUBLIC SCHOOLS NURSE IN SEPTEMBER 2017. THE COMMUNITY HEALTH COODINATOR DISCUSSED THE PREVALENCE OF ASTHMA AS A HEALTH DETERRENT IN THE HARVEY COMMUNITY AS A RESULT OF THE NEEDS ASSESSMENT AND HOW IT AFFECTS CHILDREN IN THE COMMUNITY. A COPY WAS ALSO LEFT TO SHARE WITH THE SCHOOL BOARD. ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 11: 2014-2016 CHNAHEALTH NEEDS SELECTED THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL SELECTED ACCESS TO APPROPRIATE HEALTHCARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEEDS, BEHAVIORAL HEALTH, AND OBESITY AS THE THREE HEALTH PRIORITIES FOR THE 2016 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION TO COMPLETING A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCLEAN COUNTY, ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER AND UNITED WAY OF MCLEAN COUNTY COMPLETED THE JOINT MCLEAN COUNTY 2017-2019 COMMUNITY HEALTH IMPROVEMENT PLAN. TO DEVELOP THE 2017-2019 COMMUNITY HEALTH IMPROVEMENT PLAN, A SUBCOMMITTEE COMPRISED OF KEY STAKEHOLDERS FOR EACH OF THE HEALTH PRIORITIES LISTED BELOW WAS FORMED. THE SUBCOMMITTEES PLAYED AN INTEGRAL ROLE IN THE DEVELOPMENT OF THE INTERVENTION STRATEGIES AND ASSOCIATED PROCESS AND OUTCOME INDICATORS.ACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEEDACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEED WAS SELECTED AS A HEALTH PRIORITY BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL NOT ONLY BECAUSE OF ITS HIGH PRIORITY SCORE (158.6) DERIVED FROM THE HANLON METHOD, BUT FOR SEVERAL OTHER REASONS. ACCESS TO APPROPRIATE CARE IS AN IMPORTANT ISSUE THAT AFFECTS MANY HEALTH OUTCOMES. IMPROVING ACCESS IN SPECIFIC AREAS AND FOR TARGETED POPULATIONS CAN HAVE A WIDESPREAD IMPACT ON A VARIETY OF HEALTH OUTCOMES RANGING FROM ORAL HEALTH TO BEHAVIORAL HEALTH. DATA PRESENTED TO THE COUNCIL ALSO INDICATED THAT THERE ARE SIGNIFICANT GEOGRAPHIC AND RACIAL/ETHNIC DISPARITIES IN MCLEAN COUNTY THAT MAY BE RELATED TO ACCESS TO CARE. RESEARCH AND SUBJECT MATTER EXPERTISE SUGGESTED THAT THERE ARE A VARIETY OF FACTORS THAT CAN IMPROVE ACCESS TO APPROPRIATE CARE RANGING FROM INCREASED CAPACITY FOR URGENT CARE CLINICS AND PRIMARY CARE OFFICES, TRANSPORTATION, AND PROVIDER AND CONSUMER EDUCATION. HIGHLIGHTS FOR STEPS TAKEN IN 2018, AS A PART OF THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS ACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED, ARE LISTED BELOW:- ADVOCATE BROMENN AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER COLLABORATED WITH THE COMMUNITY HEALTH CARE CLINIC FOR COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH). CAATCH IS AN EMERGENCY ROOM NAVIGATION PROGRAM FOR NAVIGATORS AND/OR CARE COORDINATORS TO ENGAGE THOSE WITHOUT A PRIMARY CARE HOME. DURING THE PILOT YEAR, JULY 1, 2017 TO JUNE 30, 2018, 257 PEOPLE WERE SERVED WHICH RESULTED IN A 50 PERCENT REDUCTION IN USE OF EMERGENCY ROOMS.- IN 2018, ADVOCATE BROMENN PROVIDED AN IN-KIND DONATION OF $10,000 TO THE COMMUNITY HEALTH CARE CLINIC TO HELP FURTHER THE EFFORTS WITH THE CAATCH PROGRAM NOTED ABOVE.- THE PARTNERSHIP FOR HEALTH PILOT PROGRAM BEGAN IN APRIL 2017. THE PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP TO IMPROVE THE HEALTH AND FITNESS OF PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND THEIR SUPPORT WORKERS. PARTNERS INCLUDE ADVOCATE BROMENN HEALTH AND FITNESS CENTER, MARCFIRST, ADVOCATE BROMENN CHARITABLE FOUNDATION, THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE MCLEAN COUNTY BOARD FOR THE CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY (377 BOARD). THE PROGRAM INITIALLY SERVED 22 INDIVIDUALS FROM MARCFIRST. IN 2018, THE PROGRAM WAS EXPANDED TO SEVERAL COMMUNITY MEMBERS WITH A TOTAL OF 31 INDIVIDUALS BEING SERVED. OUTCOMES FROM YEAR ONE OF THE PROGRAM ARE POSITIVE RANGING FROM DECREASED BLOOD PRESSURE, BODY MASS INDEX AND CHOLESTEROL TO REDUCED USAGE OF THE EMERGENCY ROOM.- BECAUSE OF A PARTNERSHIP BETWEEN ADVOCATE MEDICAL GROUP (AMG) BEHAVIORAL HEALTH, TRI-COUNTY SPECIAL EDUCATION ASSOCIATION AND ILLINOIS STATE UNIVERSITY'S PSYCHOLOGICAL SERVICES CENTER, DOCTORAL PSYCHOLOGY INTERNS ARE PROVIDED FOUR DAYS OF INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS THREE AMG SETTINGS, ADVOCATE BROMENN OUTPATIENT CENTER, ADVOCATE MEDICAL GROUP EL PASO AND ADVOCATE EUREKA.- IN FEBRUARY 2018, ADVOCATE BROMENN HEALTH AND FITNESS CENTER OFFERED FREE HEALTH SCREENINGS AT A COMMUNITY OUTREACH EVENT HELD AT THE BOY'S AND GIRL'S CLUB.ADDITIONAL ACCESS TO APPROPRIATE CARE INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS.BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)BEHAVIORAL HEALTH WAS SELECTED AS A HEALTH PRIORITY BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR SEVERAL REASONS. BEHAVIORAL HEALTH RECEIVED THE HIGHEST PRIORITY SCORE (175.7) FROM THE HANLON METHOD, CLEARLY INDICATING THE NEED FOR FURTHER IMPROVEMENTS IN THIS AREA IN MCLEAN COUNTY. IN ADDITION, THERE ARE NUMEROUS HEALTH DISPARITIES IN BLOOMINGTON ZIP CODE 61701 AND NORMAL ZIP CODE 61761 FOR BOTH MENTAL HEALTH AND SUBSTANCE ABUSE. THERE IS ALSO A GREAT DEAL OF PUBLIC SUPPORT AND MOMENTUM TO IMPROVE MENTAL HEALTH IN MCLEAN COUNTY AS HAS BEEN THE CASE FOR THE LAST FEW YEARS. MCLEAN COUNTY IS WELL SITUATED TO COLLABORATE ON MENTAL HEALTH DUE TO THE ON-GOING EFFORTS OF NUMEROUS ORGANIZATIONS. MENTAL HEALTH WAS ALSO PREVIOUSLY SELECTED AS A KEY HEALTH PRIORITY BY BOTH HOSPITALS AND THE HEALTH DEPARTMENT DURING THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS, GIVING FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS.HIGHLIGHTS FOR STEPS TAKEN OR PROGRAMS OFFERED IN 2018, AS A PART OF THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS BEHAVIORAL HEALTH, ARE LISTED BELOW: - IN 2018, 54 MENTAL HEALTH FIRST AID (MHFA) COURSES WERE OFFERED IN MCLEAN COUNTY WITH 736 INDIVIDUALS TRAINED. THE COURSES WERE OFFERED IN COLLABORATION WITH THE MCLEAN COUNTY MHFA COLLABORATIVE WITH THREE COURSES HOSTED BY ADVOCATE BROMENN. MENTAL HEALTH FIRST AID IS AN EVIDENCE-BASED PROGRAM DESIGNED TO INCREASE AWARENESS OF MENTAL HEALTH ISSUES AND DECREASE THE STIGMA RELATED TO MENTAL HEALTH.- CHESTNUT HEALTH SYSTEMS, IN PARTNERSHIP WITH ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, WAS AWARDED A GRANT BY THE ILLINOIS DIVISION OF MENTAL HEALTH, DEPARTMENT OF HEALTH AND HUMAN SERVICES TO HOST A TWO-DAY ADVERSE CHILDHOOD EXPERIENCES (ACES) MASTER TRAINING FOR 25 INDIVIDUALS IN OCTOBER 2017. ADVOCATE BROMENN WAS ONE OF THE ORGANIZATIONS THAT SENT A STAFF MEMBER TO BE TRAINED. THE NUMBER OF ACE'S/TRAUMA PRESENTATIONS OFFERED IN MCLEAN COUNTY DOUBLED FROM 21 TO 42 PRESENTATIONS FOR A TOTAL OF 580 INDIVIDUALS TRAINED IN 2017 AND 954 IN 2018. - IN 2018, THE DIRECTOR OF COMMUNITY HEALTH FOR ADVOCATE BROMENN LED A COMMITTEE TO WORK ON A COLLABORATIVE BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN FOR MCLEAN COUNTY. THE SOCIAL MEDIA CAMPAIGN LAUNCHED IN FEBRUARY 2018. EIGHT-MONTH CAMPAIGN OUTCOMES INCLUDE 24,700 PEOPLE REACHED VIA FACEBOOK AND 9,500 TWITTER IMPRESSIONS.- IN 2018 THE MCLEAN COUNTY BOARD HOSTED THE SECOND ANNUAL COMMUNITY BEHAVIORAL HEALTH FORUM. MEMBERS OF ADVOCATE BROMENN'S LEADERSHIP TEAM WERE A PART OF COORDINATING THE EVENT. - IN APRIL 2018, CHESTNUT HEALTH SYSTEMS IN PARTNERSHIP WITH ADVOCATE BROMENN, MCLEAN COUNTY HEALTH DEPARTMENT AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER HELD A COUNTY WIDE EVENT ON TRAUMA FOR KEY STAKEHOLDERS IN THE COMMUNITY. THIS WAS POSSIBLE DUE TO AN AWARD FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) TECHNICAL ASSISTANCE AWARD FROM THE NATIONAL CENTER ON TRAUMA-INFORMED CARE.- THE EXECUTIVE DIRECTOR OF THE ADVOCATE SYSTEM BEHAVIORAL HEALTH SERVICE LINE BEGAN SERVING ON THE MCLEAN COUNTY RECOVERY ORIENTED SYSTEM OF CARE COUNCIL IN 2018.- IN AUGUST 2018, THE MCLEAN COUNTY OPIOID INITIATIVE ANNOUNCED THE SAFE PASSAGE PROGRAM. THE INITIATIVE BRINGS TOGETHER LAW ENFORCEMENT, TREATMENT PROVIDERS AND MCLEAN COUNTY RESIDENTS TO INCREASE ACCESS AND TREATMENT. THE CHIEF NURSING OFFICER FOR ADVOCATE BROMENN IS A PART OF THE OPIOID INITIATIVE.IN ADDITION TO THE ABOVE COLLABORATIVE EFFORTS, ADVOCATE BROMENN OPERATES THE ONLY INPATIENT MENTAL HEALTH UNIT IN MCLEAN COUNTY, PROVIDING CRITICAL SERVICES TO THOSE ADULTS NEEDING INPATIENT PSYCHIATRIC TREATMENT. THE UNIT OPERATES AT A LOSS EVERY YEAR. THE LOSS IN 2018 WAS $985,654.ADDITIONAL BEHAVIORAL HEALTH INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS. CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 11: 2014-2016 CHNAADVOCATE CHRIST AND ADVOCATE CHILDREN'S PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY. THROUGH A DATA-DRIVEN COLLABORATIVE ASSESSMENT AND PRIORITIZATION PROCESS, THE HICCC IDENTIFIED FOUR PRIORITY FOCUS AREAS. THE FOUR FOCUS AREAS FOR HICCC INCLUDE THE FOLLOWING:- IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH/REDUCING SOCIAL AND ECONOMIC INEQUITIES;- IMPROVING MENTAL AND BEHAVIORAL HEALTH;- PREVENTING AND REDUCING CHRONIC DISEASE (FOCUS ON RISK FACTORS-NUTRITION, PHYSICAL ACTIVITY AND TOBACCO); AND- INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES.ALL HOSPITALS WITHIN THE COLLABORATIVE INCLUDED THE FIRST FOCUS AREA-IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH-AS A PRIORITY IN THEIR CHNA AND IMPLEMENTATION PLAN. EACH HOSPITAL SELECTED AT LEAST ONE OF THE OTHER FOCUS AREAS AS A PRIORITY.NEEDS SELECTED TO ADDRESS BY ADVOCATE CHRISTTHROUGH THE PROCESS OF UTILIZING ADVOCATE CHRIST'S COMMUNITY HEALTH COUNCIL (CHC) AND ANALYZING ZIP CODE LEVEL DATA, CHC MEMBERS SELECTED ASTHMA AND DIABETES AS ADDITIONAL PRIOIRITIES. AS A RESULT OF THE 2014-2016 CHNA PROCESS, ADVOCATE CHRIST HAD THREE PRIORITIES FOR IMPLEMENTION PLANNING AS FOLLOW:- ASTHMA- DIABETES- SOCIAL DETERMINANTS OF HEALTH - VIOLENCE PREVENTIONVIOLENCE PREVENTIONADVOCATE CHRIST'S GOAL WAS TO REDUCE VIOLENCE AND INCREASE AWARENESS OF VIOLENCE PREVENTION IN THE PRIMARY SERVICE AREA. THE STRATEGIES INCLUDED EXPANDING THE PARTNERSHIP WITH CEASEFIRE TO IMPLEMENT AN EVIDENCE-BASED MODEL THAT ADDRESSES VIOLENCE PREVENTION. AN ADDITIONAL VIOLENCE RESPONDER WAS HIRED TO COMPLEMENT THE EXISTING RESPONDERS ALREADY WORKING AT THE MEDICAL CENTER. ADVOCATE CHRIST AND ADVOCATE CHILDREN'S CONTINUED TO ACTIVELY PARTICIPATE IN THE THE ALLIANCE FOR HEALTH EQUITY (FORMERLY KNOWN AS HEALTH IMPACT COLLABORATIVE OF COOK COUNTY) TO IDENTIFY ADDITIONAL INTERVENTIONS AND RESOURCES TO SUPPORT VIOLENCE PREVENTION STRATEGIES. PROGRAM RESULTS FOR JANUARY 2018 TO NOVEMBER 2018 WERE AS FOLLOWS:- NINETY-FOUR PERCENT OF ALL VIOLENT INJURY PATIENTS ADMITTED TO THE INPATIENT UNIT WERE ASSESSED BY THE HOSPITAL CASE MANAGER.- NINETY-FIVE PERCENT OF INDIVIDUALS ASSESSED WERE LINKED TO LONG-TERM SUPPORT BY BEING CONNECTED WITH EXISTING COMMUNITY RESOURCES.- SEVENTY-SIX PERCENT OF INDIVIDUALS ASSESSED WERE LINKED TO LONG-TERM SUPPORT BY BEING CONNECTED WITH A COMMUNITY-BASED OUTREACH WORKER.- A TOTAL OF 563 PATIENTS RECEIVED CEASEFIRE INTERVENTION SERVICES.- A TOTAL OF 547 VIOLENT INJURY PATIENTS FROM THE HOSPITAL'S PSA AND SSA WERE TREATED AT ADVOCATE CHRIST.ASTHMAADVOCATE CHRIST'S GOAL WAS TO REDUCE THE INCIDENCE OF UNCONTROLLED ASTHMA AMONG ADULTS AND CHILDREN WITHIN THE PRIMARY SERVICE AREA-STRATEGIES INCLUDED PARTNERING WITH THE METROPOLITAN TENANT ORGANIZATION ON THE HEALTHY HOMES INITIATIVE FOR CHILDREN WITH ASTHMA. COMMUNITY HEALTH STAFF COLLABORATED WITH CLINICAL STAFF IN INPATIENT MEDICAL CENTER UNITS AS WELL AS THE EMERGENCY DEPARTMENT (ED) TO IMPROVE DISEASE SELF-MANAGEMENT SKILLS FOR PATIENTS AND FAMILIES WITH ASTHMA. ADVOCATE CHRIST COLLABORATED WITH ADVOCATE CHILDREN'S-OAK LAWN TO PROVIDE "KICKIN' ASTHMA," AN EVIDENCE-BASED EDUCATION/DISEASE SELF-MANAGEMENT PROGRAM IN HIGH RISK SCHOOLS IN THE PRIMARY SERVICE AREA.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:- A CONTRACT WITH METROPOLITAN TENANT ORGANIZATION (MTO) WAS EXCUTED IN DECEMBER 2017. AS A RESULT, THERE WERE FIVE STAFF TRAINED AND TWO HEALTHY HOME WORKSHOPS OFFERED IN 2018.- THE AMERICAN LUNG ASSOCIATION'S BREATHE WELL LIVE WELL PROGRAM WAS SELECTED AS THE ASTHMA SELF MANAGEMENT PROGRAM TO IMPLEMENT FOR ADULTS. A TOTAL OF TWO COMMUNITY ORGANIZATIONS HOSTED THE PROGRAM AND EIGHT COMMUNITY PARTICIPANTS ATTENDED THE FOUR SESSION SELF-MANAGEMENT SERIES.- ADVOCATE CHILDREN'S HEALTH EDUCATOR ENGAGED THREE SCHOOLS IN 2018. A TOTAL OF 22 STUDENTS WERE ENROLLED IN THE KICKIN' ASTHMA PROGRAM AND 15 STUDENTS COMPLETED ALL FOUR SESSIONS OF THE PROGRAM. DIABETESTHE OVERALL GOAL IS REDUCE THE INCIDENCE OF DIABETES IN PSA COMMUNITIES THAT HAVE THE HIGHEST SOCIONEEDS INDEX - AUBURN GRESHAM, CHICAGO LAWN, BRIGTHON PARK, AND WEST ENGLEWOOD. CREATED BY THE HEALTHY COMMUNITIES INSTITUTE, THE SOCIONEEDS INDEX IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. THIS INDEX COMBINES MULTIPLE SOCIOECONOMIC INDICATORS INTO A SINGLE COMPOSITE VALUE. AS A SINGLE INDICATOR, THE INDEX CAN SERVE AS A CONCISE WAY TO EXPLAIN WHICH AREAS ARE OF HIGHEST NEED. THE SCORES CAN RANGE FROM 1 TO 100. A SCORE OF 100 REPRESENTS THE HIGHEST SOCIOECONOMIC NEED. HOSPITALIZATION AND EMERGENCY DEPARTMENT (ED) VISITS ARE INDICATIVE OF POORLY CONTROLLED CHRONIC DISEASES AND A LACK OF ACCESS TO ROUTINE PREVENTIVE CARE. POORLY CONTROLLED DIABETES CAN LEAD TO SEVERE OR LIFE-THREATENING COMPLICATIONS SUCH AS HEART AND BLOOD VESSEL DISEASE, NERVE DAMAGE, KIDNEY DAMAGE, EYE DAMAGE AND BLINDNESS, FOOT DAMAGE AND LOWER EXTREMITY AMPUTATION, HEARING IMPAIRMENT, SKIN CONDITIONS, AND ALZHEIMER'S DISEASE.ADVOCATE CHRIST IMPLEMENTATION STRATEGIES INCLUDED:1. IMPLEMENTATION OF THE CENTERS OF DISEASE CONTROL (CDC) NATIONAL DIABETES PREVENTION PROGRAM'S (DPP) IN TARGETED COMMUNITY AREAS IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND FAITH COMMUNITIES; 2. ESTABLISHMENT OF ADVOCATE CHRIST AS A RECOGNIZED DIABETES PREVENTION PROGRAM SITE BY ACHEIVING FULL RECOGNITION STATUS BY THE CDC; AND 3. INCREASING COMMUNITY EDUCATIONAL OPPORTUNITIES TO SUPPORT DIABETES SELF-MANAGEMENT SKILLS.PROGRAM RESULTS FOR JANUARY 2018 TO DECEMBER 2018 WERE AS FOLLOWS:- ONE FULL SESSION OF 22 CLASSES WAS COMPLETED IN AUGUST 2018.- THREE NEW COHORTS BEGAN IN 2018, INCLUDING ONE SESSION WITH TRINITY UNITED CHURCH OF CHRIST. TO INCREASE PARTICIPANT RETENTION, EIGHT ADDITIONAL CLASS SESSIONS WERE ADDED TO EACH COHORT.- THERE WERE 45 PARTICIPANTS ENROLLED IN THE DPP PROGRAM IN 2018. - NINETY-TWO PERCENT OF PARTICIPANTS COMPLETED NINE OF THE 16 SESSIONS WITHIN THE FIRST SIX MONTHS.NEEDS NOT SELECTED TO ADDRESS BY ADVOCATE CHRIST THE NEEDS ADVOCATE CHRIST DID NOT SELECT AS PRIORITIES TO ADDRESS INCLUDE CANCER, HEART DISEASE AND HYPERTENSION. WHILE THESE WERE IMPORTANT HEALTH NEEDS, THE COUNCIL FELT ADVOCATE CHRIST'S CLINICAL INSTITUTES (CARDIOVASCULAR, NEUROSCIENCE AND ONCOLOGY) WERE ADDRESSING CANCER, HEART DISEASE AND STROKE. CANCERADVOCATE CHRIST'S CANCER PROGRAM HAS BEEN CERTIFIED BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER AND INCLUDES BOTH INPATIENT AND OUTPATIENT UNITS, A RADIATION ONCOLOGY UNIT, CYBERKNIFE TREATMENT, INTRAOPERATIVE ELECTRON RADIATION THERAPY (IOERT), A HOME HEALTH/HOSPICE PROGRAM, A BREAST HEALTH PROGRAM AND A COMMUNITY EDUCATION PROGRAM. NUTRITIONAL SERVICES, SOCIAL SERVICES, SPIRITUAL CARE AND AN ONCOLOGY CERTIFIED PHARMACIST ARE AVAILABLE ON SITE TO WORK WITH PATIENTS AND THEIR FAMILIES. CLINICAL RESEARCH TRIALS ARE ALSO AVAILABLE THROUGH THE ADVOCATE CHILDREN'S ONCOLOGY GROUP (COG).ADVOCATE CHRIST OFFERS CANCER-FOCUSED HOSPICE CARE AND FREE SEMINARS OPEN TO THE PUBLIC. A SPECIALLY TRAINED ONCOLOGY NUTRITIONIST SEES PATIENTS IN THE MEDICAL CENTER AND THOSE UNDERGOING OUTPATIENT TREATMENT. THE PALLIATIVE CARE TEAM WORKS CLOSELY WITH PHYSICIANS AND PATIENTS TO PROVIDE COMFORT, COMMUNICATION ASSISTANCE AND TO ASSESS PATIENTS' PHYSICAL NEEDS TO ENHANCE THEIR QUALITY OF LIFE AT ALL STAGES OF ILLNESS. IN ADDITION, THERE IS AN ON-SITE AMERICAN CANCER SOCIETY PATIENT REPRESENTATIVE AND A GILDA'S CLUB SATELLITE LOCATION.HEART DISEASEADVOCATE HEART INSTITUTE AT ADVOCATE CHRIST IS ILLINOIS' MOST COMPREHENSIVE CENTER FOR HEART CARE. THE HEART INSTITUTE OFFERS A FULL RANGE OF TREATMENTS AND PROGRAMS INCLUDING PREVENTATIVE, DIAGNOSTICS, CLINICAL TRIALS, HEART TRANSPLANTS AND REHABILITATION SERVICES. REHABILITATION PLAYS A KEY ROLE IN RECOVERY FROM A HEART ATTACK OR HEART SURGERY. THE GOAL OF THE COMPREHENSIVE CARDIAC REHABILITATION PROGRAM IS TO HELP PATIENTS REGAIN STRENGTH AND IMPROVE THEIR HEALTH AND QUALITY OF LIFE AFTER A HEART ATTACK OR HEART SURGERY. THE HEART INSTITUTE HAS BEEN CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILITATION. ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNAADVOCATE EUREKA PARTICIPATED IN THE PRIORITY SETTING PROCESS AS OUTLINED IN APPENDIX 7, PAGE 102, IN THE TRI-COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT 2016 REPORT. THE LINK FOR THE ASSESSMENT CAN BE FOUND AT: HTTP://HEALTHYHOI.ORG. IN BRIEF, THE FOLLOWING STEPS OCCURRED DURING THE PRIORITIZATION PROCESS WITH THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE.- DATA WAS PRESENTED FOR HEALTH CONCERNS FOR THE TRI-COUNTY REGION- DISCUSSION OCCURRED REGARDING THE ISSUES AND POTENTIAL GROUPING OF ISSUES- THE PEARL TEST WAS APPLIED FROM THE HANLON METHOD- THE COLLABORATIVE COUNCIL VOTED TO NARROW ISSUES- THE COLLABORATIVE COUNCIL VOTED A SECOND TIME BASED ON MAGNITUDE, SEVERITY AND ABILITY TO IMPACT THROUGH COLLABORATION- CONSENSUS WAS AGREED UPON FOR TWO HEALTH PRIORITIES FOR THE TRI-COUNTY REGIONTHE TWO NEEDS IDENTIFIED DURING THE PRIORITIZATION PROCESS WERE:- HEALTHY EATING/ACTIVE LIVING; AND- MENTAL HEALTH HEALTH NEED SELECTED MENTAL HEALTH THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM AT ADVOCATE EUREKA SELECTED MENTAL HEALTH AS A HEALTH PRIORITY FOR SEVERAL REASONS. IN ADDITION TO MENTAL HEALTH BEING IDENTIFIED AS A TOP HEALTH PRIORITY FOR THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE, BEHAVIORAL HEALTH WAS ALSO IDENTIFIED AS ONE OF THREE HEALTH PRIORITIES FOR THE TRI-COUNTY HEALTH DEPARTMENT COLLABORATION. THE HEALTH DEPARTMENTS UTILIZED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS TO DETERMINE THE HEALTH PRIORITIES. SPECIFIC TO WOODFORD COUNTY, ON DECEMBER 3, 2015, SEVERAL STAFF MEMBERS FROM ADVOCATE EUREKA, INCLUDING THE ADMINISTRATOR OF ADVOCATE EUREKA, PARTICIPATED IN THE LOCAL FORCES OF CHANGE ASSESSMENT CONDUCTED BY THE WOODFORD COUNTY HEALTH DEPARTMENT AS A PART OF THE TRI-COUNTY MAPP PROCESS. MENTAL HEALTH WAS IDENTIFIED AS ONE OF THE TOP THREE FORCES OF CHANGE BY THE 30 INDIVIDUALS THAT PARTICIPATED IN THE ASSESSMENT. FORCES OF CHANGE ARE DEFINED AS THOSE THINGS THAT INFLUENCE THE HEALTH AND QUALITY OF LIFE FOR WOODFORD COUNTY RESIDENTS. A SECOND REASON MENTAL HEALTH WAS SELECTED AS A KEY HEALTH PRIORITY IS THAT WOODFORD COUNTY RESIDENTS THAT PARTICIPATED IN THE 2016 TRI-COUNTY COMMUNITY HEALTH SURVEY PERCEIVED MENTAL HEALTH AS THE SECOND MOST IMPORTANT HEALTH ISSUE IN THE COMMUNITY.IN ADDITION TO THE ABOVE SURVEY DATA AND LOCAL FORCES OF CHANGE ASSESSMENT RESULTS, THE NUMBER OF SUICIDE ATTEMPTS IN WOODFORD COUNTY FOR THE FIRST HALF OF 2016 HAD EXCEEDED THE NUMBER OF ATTEMPTS FOR THE ENTIRE YEAR IN BOTH 2014 AND 2015. THE NUMBER OF DEATHS DUE TO SUICIDE ALSO INCREASED FROM 2014-2015. AS STATED ABOVE, MENTAL HEALTH WAS ALSO PREVIOUSLY SELECTED AS A KEY HEALTH PRIORITY FOR THE 2011-2013 COMMUNITY HEALTH NEEDS ASSESSMENT BY BOTH ADVOCATE EUREKA AND THE WOODFORD COUNTY HEALTH DEPARTMENT. IT IS CLEAR FROM COMMUNITY INPUT AND CURRENT DATA THAT CONTINUED EFFORTS ARE NEEDED TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH AND GIVE FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS.HIGHLIGHTS FOR STEPS TAKEN IN 2018 TO ADDRESS MENTAL HEALTH ARE LISTED BELOW:- FOUR MENTAL HEALTH FIRST AID (MHFA) COURSES WERE HOSTED AT ADVOCATE EUREKA.- TWO SESSIONS WERE TAUGHT ON DEPRESSION AND ANXIETY FOR APPROXIMATELY 50 FRESHMAN FROM EUREKA HIGH SCHOOL AT EUREKA COLLEGE BY THE ADVOCATE EUREKA SOCIAL WORKER AND MHFA INSTRUCTOR.- A MHFA COURSE WAS HELD FOR 22 RESIDENTIAL ASSISTANTS AT EUREKA COLLEGE.- THE COMMUNITY HEALTH DIRECTOR FOR CENTRAL ILLINOIS SERVED AS A BOARD MEMBER ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY. THE BEHAVIORAL HEALTH PRIORITY ACTION TEAM FOR IMPLEMENTATION IS A SUB-COMMITTEE OF THE BOARD.- ONE HUNDRED AND SIXTEEN COUNSELING AND PSYCHIATRIC SERVICES WERE OFFERED ON-SITE AT ADVOCATE EUREKA. THE SERVICES WERE PROVIDED BY THE TAZWOOD CENTER FOR WELLNESS AT THE HOSPITAL AND ALLOWED RESIDENTS TO RECEIVE CARE LOCALLY VERSUS TRAVELING OUTSIDE OF THE COUNTY FOR CARE.- AS A RESULT OF A PARTNERSHIP BETWEEN ADVOCATE MEDICAL GROUP (AMG) BEHAVIORAL HEALTH, TRI-COUNTY SPECIAL EDUCATION ASSOCIATION AND ILLINOIS STATE UNIVERSITY'S PSYCHOLOGICAL SERVICES CENTER, DOCTORAL PSYCHOLOGY INTERNS ARE PROVIDED FOUR DAYS OF INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS THREE AMG SETTINGS, ADVOCATE BROMENN OUTPATIENT CENTER, ADVOCATE MEDICAL GROUP EL PASO AND ADVOCATE EUREKA.- TELEPSYCHIATRY CONSULTS WERE AVAILABLE AT ADVOCATE EUREKA BEGINNING IN AUGUST 2017, THUS EXPANDING ACCESS TO PSYCHIATRIC CARE. THERE WERE NO CONSULTS IN 2018.HEALTH NEED NOT SELECTED HEALTHY BEHAVIORSADVOCATE EUREKA DID NOT SELECT HEALTHY BEHAVIORS AS A PRIORITY HEALTH NEED FOR THE HOSPITAL'S 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT TEAM WANTED TO FOCUS ITS EFFORTS ON ONE MAJOR INITIATIVE AS ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE TRI-COUNTY HEALTHY EATING/ACTIVE LIVING IMPLEMENTATION SUBCOMMITTEE. A STAFF MEMBER FROM THE HOSPITAL HAS SERVED ON THIS COMMITTEE, WHEN AVAILABLE, TO ASSIST IN PROMOTING HEALTHY EATING AND ACTIVE LIVING IN THE TRI-COUNTY REGION. THE HOSPITAL ALSO EMPLOYS NURSES IN MOST OF THE PUBLIC SCHOOLS IN WOODFORD COUNTY WHO CAN REINFORCE HEALTHIER EATING HABITS AND INCREASED EXERCISE AMONG STUDENTS. ADVOCATE GOOD SHEPHERD HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNAADVOCATE GOOD SHEPHERD CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH INCLUDED THE SELECTION OF HEALTH PRIORITIES THROUGH A CONSENSUS PRIORITIZATION PROCESS BY THE COMMUNITY HEALTH COUNCIL. THE COUNCIL RECOMMENDED, AND THE HOSPITAL GOVERNING COUNCIL APPROVED, TWO HEALTH AREAS FOR PRIORITY ACTION: 1) OBESITY; AND 2) MENTAL HEALTH. STEPS BEING TAKEN TO ADDRESS THE TWO PRIORITIES ARE PROVIDED BELOW.NEEDS SELECTED TO ADDRESSOBESITYADVOCATE GOOD SHEPHERD IS ADDRESSING OBESITY IN THE SERVICE AREA THROUGH THREE EVIDENCE- BASED PROGRAMS. THE FIRST PROGRAM IS THE NUTRITION AND PHYSICAL ACTIVITY SELF-ASSESSMENT FOR CHILD CARE (GO NAP SACC) PROGRAM. THE GO NAPP SACC PROGRAM IS AN EVIDENCE-BASED EARLY INTERVENTION PROGRAM TARGETING INFANTS THROUGH PRE-KINDERGARTEN WHICH AIMS TO ADVANCE THE CHILDCARE ENVIRONMENT BY IMPROVING NUTRITION, PHYSICAL ACTIVITY AND POLICIES IN THE CHILD CARE CENTER. THE HOSPITAL IS LEADING THE GO NAP SACC ASSESSMENT PROCESS WITH CHILDCARE CENTERS IN COMMUNITIES WITH HIGH SOCIONEEDS INDEX SCORES WITHIN THE HOSPITAL'S SERVICE AREA. SOCIOECONOMIC NEED WAS DETERMINED BY THE HEALTHY COMMUNITIES INSTITUTE'S (HCI) CALCULATIONS TO CREATE AN INDEX USING SIX MAJOR SOCIO-NEEDS INDICATORS THAT ARE CORRELATED WITH POOR HEALTH OUTCOMES. THE INDICATORS INCLUDE INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION, LANGUAGE AND POVERTY. ADVOCATE GOOD SHEPHERD HAS PARTNERED WITH ADVOCATE CONDELL AND ADVOCATE SHERMAN TO MAKE THIS PROGRAM A REGIONAL INITIATIVE. IN 2018, ADVOCATE HEALTH CARE LED THE LAUNCH OF A MULTI-STAKEHOLDER CHICAGOLAND COALITION TO RAISE FUNDS TO BRING THE WEB-BASED GO NAP SACC PROGRAM TO THE STATE OF ILLINOIS. THE UNIVERSITY OF NORTH CAROLINA PROVIDED ON-LINE TRAINING OF GO NAP SACC TO THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF, RESULTING IN GO NAP SACC TECHNICAL ASSISTANT CONSULTANT CERTIFICATION. IN 2018, FOUR CHILDCARE CENTERS COMPLETED THE GO NAP SACC ASSESSMENT: FRIENDSHIP HOUSE IN CRYSTAL LAKE, SAGE YMCA IN CRYSTAL LAKE, BUEHLER YMCA IN PALATINE AND FOGLIA YMCA IN LAKE ZURICH. AT THE TIME THE CHILDCARE CENTERS COMPLETED THE GO NAP SACC ASSESSMENT, THE ONLINE VERSION WAS NOT AVAILABLE. ONCE THE ONLINE VERSION BECAME AVAILABLE, COMMUNITY HEALTH STAFF MIGRATED THE ASSESSMENTS TO THE ONLINE PORTAL, MAKING IT EASIER TO VIEW THE RESULTS AND CREATE ACTION PLANS. A TOTAL OF 438 CHILDREN ARE ENROLLED IN THE CENTERS WHO HAVE COMPLETED ASSESSMENTS. EACH OF THE CHILDCARE CENTERS IS IN THE PROCESS OF DEVELOPING ACTION PLANS THAT WILL BE IMPLEMENTED IN 2019. COMMUNITY HEALTH STAFF ALSO MET WITH SEVERAL PARK DISTRICTS TO STRATEGIZE THE TIMING OF COMPLETING THE NAP SACC ASSESSMENT AND TO ENGAGE THEIR STAFF IN THE PROGRAM. THE SECOND OBESITY-PREVENTION PROGRAM IS THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WORKSITE WELLNESS PROGRAM WHICH TARGETS ADULTS IN THE WORKPLACE. THE PROGRAM FOLLOWS THE CDC FOUR-STEP WORKPLACE HEALTH MODEL AND INVOLVES USING THE CDC WORKSITE HEALTH SCORECARD. WORKSITE NUTRITION AND PHYSICAL ACTIVITY PROGRAMS ARE DESIGNED TO IMPROVE HEALTH-RELATED BEHAVIORS AND HEALTH OUTCOMES. ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF WORKED WITH THE HOSPITAL'S COMMUNITY RELATIONS DIRECTOR TO PROVIDE WORKSITE HEALTH TRAINING AND PROGRAMS TO CHAMBERS OF COMMERCE AND SMALL BUSINESSES WITHIN THE SERVICE AREA. IN 2018, COMMUNITY HEALTH STAFF SUSPENDED THE WORKSITE WELLNESS PROGRAM. THE DECISION WAS BASED ON VERY LOW INTEREST FROM ALL LOCAL CHAMBERS OF COMMERCE AND LOCAL WORKPLACES. THROUGHOUT 2018, THE COMMUNITY RELATIONS DIRECTOR AND COMMUNITY HEALTH STAFF MET WITH SEVERAL CHAMBERS OF COMMERCE IN MCHENRY, ALGONQUIN/LAKE IN THE HILLS, LAKE ZURICH, CRYSTAL LAKE, BARRINGTON AND WAUCONDA. EACH OF THE CHAMBERS OF COMMERCE REACHED OUT TO THEIR SMALL BUSINESSES BUT FOUND THERE WAS A LACK OF INTEREST IN WORKSITE WELLNESS AT THIS TIME. BUSINESSES INDICATED THAT THEY HAVE VERY LIMITED STAFF AND ARE UNABLE TO DIRECT EMPLOYEE TIME AND FOCUS TOWARD A WORKSITE WELLNESS PROGRAM. THE COORDINATOR OF COMMUNITY HEALTH HAD SEVERAL WORKSITE WELLNESS MEETINGS CANCELLED BY SMALL BUSINESS OWNERS DUE TO LAST MINUTE TIME CONSTRAINTS AND UNEXCEPTED ABSENT STAFF MEMBERS. IN 2017, CASA (COURT APPOINTED SPECIAL ADVOCATE) OF MCHENRY COUNTY COMPLETED THE WORKSITE WELLNESS CDC SCORECARD WITH PLANS FOR DEVELOPING IMPLEMENTATION PLANS IN EARLY 2018. THE STAFF HAD ALREADY BEGUN TO WORK ON NEW POLICIES DIRECTED TOWARD BREASTFEEDING AND A WALKING PROGRAM. IN JANUARY OF 2018, CASA HIRED A NEW EXECUTIVE DIRECTOR, WHO DECIDED THE NEW POLICIES WERE NOT NEEDED AT THIS TIME. IT WAS THEN DETERMINED THAT RESOURCES AND TIME WOULD BE BETTER SPENT ON OTHER OBESITY PREVENTION PROGRAMS. COMMUNITY HEALTH STAFF DECIDED TO REPLACE THE CDC WORKSITE WELLNESS PROGRAM WITH THE GO LAKE COUNTY CAMPAIGN. GO LAKE COUNTY IS A WALKING INITIATIVE THAT PROMOTES HEALTHY AND ACTIVE LIVING THROUGH WALKING EVENTS WITHIN LAKE COUNTY COMMUNITIES. GO LAKE COUNTY ENABLES EVERYONE TO INCREASE THEIR LEVEL OF DAILY PHYSICAL ACTIVITY AND FOSTER COMMUNITY ENGAGEMENT. IN 2018, ADVOCATE GOOD SHEPHERD BEGAN PARTNERING WITH THE WAUCONDA PARK DISTRICT AND WILL BE SPONSORING THE GO WAUCONDA CAMPAIGN. THE WAUCONDA PARK DISTRICT AND COMMUNITY HEALTH STAFF HELD PLANNING SESSIONS FOR THE GO WAUCONDA PROGRAM IN 2018 AND PLANS TO LAUNCH THE PROGRAM IN SUMMER OF 2019. THE THIRD OBESITY PREVENTION INITIATIVE IS FOOD INSECURITY (FI) SCREENING AND RESOURCE REFERRAL. THE FI SCREEN RAPIDLY IDENTIFIES HOUSEHOLDS AT RISK FOR FOOD INSECURITY, ENABLING PROVIDERS TO TARGET SERVICES THAT AMELIORATE THE ASSOCIATED HEALTH AND DEVELOPMENTAL CONSEQUENCES. THE TWO-ITEM EVIDENCE-BASED FI SCREEN TOOL WAS ORIGINALLY DESIGNED TO BE SENSITIVE, SPECIFIC AND VALID AMONG LOW-INCOME FAMILIES WITH YOUNG CHILDREN. THE HOSPITAL IS COLLABORATING WITH SENIOR SERVICE ORGANIZATIONS IN THE ADVOCATE GOOD SHEPHERD SERVICE AREA TO SCREEN SENIORS FOR FOOD INSECURITY, USING THE HUNGER VITAL SIGN FI QUESTIONNAIRE. INDIVIDUALS WHO ARE IDENTIFIED AS FOOD INSECURE ARE REFERRED TO COMMUNITY RESOURCES (FOOD PANTRIES, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), MEALS ON WHEELS, CONGREGATE MEAL PROGRAMS, FARMERS MARKETS AND COMMUNITY GARDENS. IN 2018, ADVOCATE GOOD SHEPHERD STAFF ADDED TO THE ADVOCATE GOOD SHEPHERD FOOD AND NUTRITION RESOURCE GUIDE, WHICH NOW INCLUDES 72 FOOD RESOURCES THROUGHOUT THE COMMUNITY. THIS GUIDE IS AVAILABLE TO ANY COMMUNITY MEMBER AND IS PROVIDED TO ALL SENIORS SCREENING POSITIVE FOR FOOD INSECURITY AT THE LOCAL SENIOR SERVICES PARTNER LOCATIONS. IN 2018, COMMUNITY HEALTH STAFF RECRUITED AND TRAINED FIVE MORE SENIOR SERVICE AGENCIES: THE MCHENRY SENIOR CENTER, ELA TOWNSHIP SENIOR CENTER, CRYSTAL LAKE SENIOR SERVICES, HARVARD SENIOR CENTER AND ADVOCATE GOOD SHEPHERD DIABETES CENTER. THERE ARE NOW SEVEN AGENCIES IMPLEMENTING THE SCREENING, INCLUDING THE TWO THAT STARTED IN 2017-THE ADVOCATE GOOD SHEPHERD SENIOR SERVICES DEPARTMENT AND THE BARRINGTON AREA COUNCIL ON AGING (BACOA). EACH OF THESE AGENCIES INCORPORATED THE HUNGER VITAL SIGN FI SCREENING INTO THEIR COUNSELING APPOINTMENTS WITH SENIORS. IN 2018, 997 SENIORS COMPLETED THE HUNGER VITAL SIGN SCREENING AND 111 SENIORS SCREENED POSITIVE FOR FOOD INSECURITY (ELEVEN PERCENT). ON SEPTEMBER 5, 2018, COMMUNITY HEALTH STAFF HOSTED A FOOD INSECURITY AMONG SENIORS PRESENTATION AT ADVOCATE GOOD SHEPHERD, PRESENTED BY THE NORTHERN ILLINOIS FOOD BANK. TWENTY-SIX LOCAL AGENCIES WERE REPRESENTED. MENTAL HEALTHTHE HOSPITAL IS ADDRESSING MENTAL HEALTH IN THE ADVOCATE GOOD SHEPHERD SERVICE AREA THROUGH THREE STRATEGIES. THE FIRST STRATEGY UTILIZES MENTAL HEALTH FIRST AID TRAINING. MENTAL HEALTH FIRST AID IS AN INTERNATIONAL EVIDENCE-BASED PROGRAM, DESIGNED TO HELP PEOPLE RECOGNIZE INDIVIDUALS WITH MENTAL HEALTH PROBLEMS AND PROVIDE SKILLS TO HELP THOSE WHO ARE HAVING A MENTAL HEALTH CRISIS TO ACCESS HELP. USING THE MENTAL HEALTH YOUTH FIRST AID CURRICULUM, THE HOSPITAL IS TARGETING TEACHERS, PHYSICAL EDUCATION (PE) INSTRUCTORS AND COACHES. THE HOSPITAL ALSO PLANS TO HOLD MENTAL HEALTH FIRST AID SESSIONS FOR ADVOCATE GOOD SHEPHERD CARE MANAGERS, SOCIAL WORKERS AND ONCOLOGY NURSE NAVIGATORS. FINALLY, THE HOSPITAL WILL ENSURE THE TRAINING OF TWO INDIVIDUALS TO BECOME MENTAL HEALTH FIRST AID INSTRUCTORS, WHICH REQUIRES COMPLETING A 40-HOUR TRAINING COURSE. ADVOCATE GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNA HEALTH NEEDS SELECTED TO ADDRESSHEALTHY LIFESTYLESOBESITY AND POOR NUTRITION ARE THE MAIN CAUSES OF MANY CHRONIC DISEASES AND HEALTH ISSUES INCLUDING HEART DISEASE, STROKE, SOME CANCERS AND DIABETES. TAKING THIS INTO CONSIDERATION, THE CHC SELECTED HEALTHY LIFESTYLES AS ONE OF THE TWO HEALTH PRIORITIES TO ADDRESS, DUE TO THE LARGE IMPACT IT HAS ON QUALITY OF LIFE AND OVERALL HEALTH STATUS. THE PREVENTION OF OBESITY, PROPER NUTRITION AND PHYSICAL ACTIVITY HAVE THE POTENTIAL TO DECREASE THE RATE OF CHRONIC DISEASE THUS INCREASING LIFE EXPECTANCY AND QUALITY OF LIFE. THE TERM HEALTHY LIFESTYLES IS USED TO ENCOMPASS MULTIPLE FACTORS THAT CAUSE OBESITY AND IMPACT QUALITY. DATA ALSO REVEALED THAT LOW-INCOME POPULATIONS WITHIN DUPAGE COUNTY HAVE HIGHER RATES OF OBESITY INDICATING OBESITY PREVENTION AND NUTRITION EDUCATION IS AN ESSENTIAL NEED IN THE MORE VULNERABLE COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). BELOW, ARE STRATEGIES THAT THE HOSPITAL WILL IMPLEMENT TO ADDRESS THE HEALTHY LIFESTYLES PRIORITY IN THE HOSPITAL'S DEFINED COMMUNITY.FOOD PANTRY WORKSHOPS-STRATEGY ONEPARTNER WITH UNIVERSITY OF ILLINOIS EXTENSION, NORTHERN ILLINOIS FOOD BANK AND LOCAL FOOD PANTRIES TO IMPLEMENT HEALTHY LIFESTYLE WORKSHOPS IN FOOD PANTRIES WITHIN ADVOCATE GOOD SAMARITAN'S PSA.2017 FOOD PANTRY WORKSHOP-STRATEGY ONE UPDATES/PROGRESSA SERIES OF 4 WORKSHOPS PER PANTRY WERE IMPLEMENTED IN 2018.PEOPLE'S RESOURCE CENTER (WESTMONT) AND WEST SUBURBAN COMMUNITY FOOD PANTRY BOTH HAD AN AVERAGE WORKSHOP CLASS OF 15 PARTICIPANTS AT EACH SESSION.THERE WERE TWO FOOD PANTRIES THAT PARTICIPATED-PEOPLE'S RESOURCE CENTER (WESTMONT) AND WEST SUBURBAN COMMUNITY FOOD PANTRY.AN AVERAGE OF 65 PERCENT OF WORKSHOP SERIES PARTICIPANTS REPORTED THAT THEY PLANNED ON MAKING AT LEAST ONE HEALTHY CHANGE IN THEIR LIFESTYLE AS A RESULT OF THE WORKSHOP(S).AN AVERAGE OF 84 PERCENT OF WORKSHOP PARTICIPANTS REPORTED A HEALTHY BEHAVIOR CHANGE (CONSUMPTION OF MORE FRUITS, WHOLE GRAINS, VEGETABLES, ETC.) OR INTENT TO CHANGE AS A RESULT OF THE WORKSHOPS. THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH DEPARTMENT ALSO CONDUCTED FOLLOW-UP CALLS 90 DAYS AFTER THE LAST WORKSHOP TO MEASURE SUSTAINED BEHAVIOR CHANGES. SEVENTY-FIVE PERCENT OF SURVEY RESPONDENTS REPORTED MAINTAINING A HEALTHY BEHAVIOR CHANGE AND ONE RESPONDENT REPORTED LOSING 20 POUNDS SINCE THE BEGINNING OF THE WORKSHOP SERIES. AN UNEXPECTED ADDITIONAL POSITIVE OUTCOME OF THE WORKSHOP SERIES HAS BEEN THE PARTICIPANTS SHARING RECIPES AND IDEAS ABOUT IMPROVING THEIR LIFESTYLES WITH EACH OTHER AND CREATING AN INFORMAL PEER SUPPORT GROUP.HEALTHY SCHOOLS PROGRAM-STRATEGY TWOPARTNER WITH ACTION FOR HEALTHY KIDS TO SUPPORT SCHOOLS IN ADVOCATE GOOD SAMARITAN'S PSA TO CREATE A HEALTHY SCHOOL ENVIRONMENT AND BECOME RECOGNIZED AS A CERTIFIED HEALTHY SCHOOL UNDER THE USDA'S HEALTHIER US SCHOOLS CHALLENGE.2018 HEALTHY SCHOOLS PROGRAM-STRATEGY TWO UPDATES/PROGRESSADVOCATE GOOD SAMARITAN AND ACTION FOR HEALTHY KIDS (AFHK) ARE COLLABORATING WITH TWO SCHOOLS IN THE HOSPITAL'S PSA. BOTH SCHAFER AND SIPLEY ELEMENTARY SCHOOLS HAVE 50 PERCENT OF STUDENTS WHO ARE LOW-INCOME AND ELIGIBLE FOR FREE/REDUCED LUNCH.BOTH PARTNER SCHOOLS HAVE ACTIVE SCHOOL WELLNESS TEAMS THAT ARE ENGAGED IN THE IMPLEMENTATION OF ACTION PLAN STRATEGIES.IN 2018, ACTION FOR HEALTHY KIDS PROVIDED TECHNICAL SUPPORT TO EACH SCHOOL TWO TO THREE TIMES PER MONTH. IN 2018, THE AVERAGE SCHOOL HEALTH INDEX SCORE WAS 86.92%, WHICH WAS AN IMPROVEMENT FROM 2017.BOTH SCHOOLS IMPLEMENTED AT LEAST ONE PHYSICAL ACTIVITY IMPROVEMENT STRATEGY INCLUDING A YOGA CLASS FOR STUDENTS, WHICH WAS PROVIDED BY THE HOSPITAL'S HEALTH AND WELLNESS CENTER YOGA INSTRUCTOR.BOTH SCHOOLS SHARED INFORMATION ON PHYSICAL ACTIVITY AND NUTRITION WITH PARENTS THROUGH THE SCHOOL NEWSLETTER.PROACTIVE KIDS-STRATEGY THREEADVOCATE GOOD SAMARITAN, IN PARTNERSHIP WITH PROACTIVE KIDS, WILL IMPLEMENT AN EIGHT-WEEK HEALTHY LIFESTYLE PROGRAM FOR OBESE AND OVERWEIGHT CHILDREN LIVING IN THE HOSPITAL'S PSA.2018 PROACTIVE KIDS-STRATEGY THREE UPDATES/PROGRESSADVOCATE GOOD SAMARITAN OFFERED ONE PAK SESSION AT THE LOMBARD PARK DISTRICT. ELEVEN KIDS WERE IN ATTENDANCE FOR THE FIRST PAK SESSION AT THE LOMBARD PARK DISTRICT.FIFTY-TWO PERCENT OF PAK REGISTRANTS ATTENDED THE FIRST CLASS OF THE SESSION.FIFTY-THREE PERCENT OF PAK PARTICIPANTS GRADUATED FROM THE PROGRAM.THIRTY-EIGHT PERCENT OF PARTICIPANTS RECOGNIZED A SIGNIFICANT TO SOLID IMPROVEMENT IN THEIR COMMITMENT TO FITNESS AT THE CONCLUSION OF THE 8-WEEK PROGRAM.83 PERCENT OF PROGRAM PARTICIPANTS REPORTED RECOGNIZING A SIGNIFICANT TO SOLID IMPROVEMENT IN THEIR DIET AND NUTRITION AT THE CONCLUSION OF THE 8-WEEK PROGRAM.29 PERCENT OF PAK PARTICIPANTS DECREASED BMI AT THE CONCLUSION OF THE PROGRAM.TO ENSURE PROGRAM GOALS AND PARTICIPATION RATES ARE MET, ADVOCATE GOOD SAMARITAN IS WORKING ALONGSIDE THE HOSPITAL'S COMMUNITY HEALTH COUNCIL TO EVALUATE PAK'S COMMUNITY IMPACT AND OUTCOMES. IT IS THE HOSPITAL'S TOP PRIORITY TO ACHIEVE PROGRAM GOALS THAT POSITIVELY IMPACT AND IMPROVE THE HEALTH OF THE COMMUNITIES SERVED. THE HOSPITAL WILL WORK WITH PAK TO MAKE PROGRAM MODIFICATIONS IN EFFORTS TO IMPROVE PROGRAM IMPACT AND PARTICIPATION RATES. CARDIOVASCULAR WORKSHOPS-STRATEGY FOURTHE ADVOCATE GOOD SAMARITAN CARDIOVASCULAR (CV) SERVICE LINE WILL CREATE AND IMPLEMENT 2-3 HEALTHY LIFESTYLE WORKSHOPS IN THE HOSPITAL'S PSA.2018 CARDIOVASCULAR WORKSHOPS-STRATEGY FOUR UPDATES/PROGRESSADVOCATE GOOD SAMARITAN'S CV SERVICE LINE IMPLEMENTED 13 WORKSHOPS IN 2018. FOUR WORKSHOPS WERE FOR THE GENERAL COMMUNITY AND NINE WERE FOR LOCAL EMERGENCY MEDICAL SERVICES (EMS) PROVIDERS.TWO-HUNDRED AND SIXTY-THREE PEOPLE PARTICIPATED IN HEALTHY LIFESTYLE WORKSHOPS IN 2018.NINETY-NINE PERCENT OF PARTICIPANTS WERE ABLE TO IDENTIFY AT LEAST TWO RISK FACTORS FOR HEART AND BRAIN ATTACKS AT THE CONCLUSION OF THE WORKSHOP.SEVERAL COMMUNITY ORGANIZATIONS AND INSTITUTIONS HOSTED THE WORKSHOPS IN 2018 INCLUDING, THE DOWNERS GROVE FIRE DEPARTMENT, ILLINOIS TOLLWAY AND VILLA ST. BENEDICT.MENTAL HEALTHTHE CHC SELECTED MENTAL HEALTH AS THE SECOND HEALTH NEED PRIORITY. DATA TRENDS INDICATED THAT MENTAL HEALTH ISSUES ARE INCREASING AND THE NEED FOR MENTAL HEALTH SERVICES AND PROGRAMMING IS CONTINUING TO GROW. THIS IS A HEALTH NEED THAT IS ALSO CORRELATED WITH SUBSTANCE ABUSE AS MANY SUBSTANCE USERS/ABUSERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AND MANY INDIVIDUALS WITH MENTAL HEALTH DISORDERS EXPERIENCE SUBSTANCE ABUSE ISSUES. THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI), ONE OF THE LEADING MENTAL HEALTH AGENCIES IN DUPAGE COUNTY, PROVIDED MENTAL HEALTH DATA THAT ALSO INDICATED THE NEED FOR RESILIENCE AND MENTAL HEALTH CRISIS TRAINING AMONG ADOLESCENTS AND YOUNG ADULTS. THE HIGH RATES OF ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES ARE PREVENTABLE THROUGH EMPLOYING COPING MECHANISMS AND RESILIENCE TRAINING. THE CHC IS SPECIFICALLY INTERESTED IN PROGRAMS THAT PREVENT MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES. BELOW, ARE STRATEGIES THAT THE HOSPITAL WILL IMPLEMENT TO ADDRESS MENTAL HEALTH IN THE HOSPITAL'S PSA.ENDING THE SILENCE-STRATEGY ONEPARTNER WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI DUPAGE) TO IMPLEMENT THE ENDING THE SILENCE (ETS) PROGRAM IN MIDDLE AND HIGH SCHOOLS WITHIN ADVOCATE GOOD SAMARITAN'S PSA.2018 ENDING THE SILENCE- STRATEGY ONE UPDATES/PROGRESSDURING THE 2017/18 SCHOOL YEAR, NINE ETS CLASSES WERE HELD AT WESTMONT HIGH AND EISENHOWER MIDDLE SCHOOLS.OVER 240 STUDENTS PARTICIPATED AND COMPLETED THE ETS PROGRAM.TWO SCHOOLS HOSTED THE ETS PROGRAM IN 2017/18-WESTMONT HIGH SCHOOL AND EISENHOWER MIDDLE SCHOOL.EIGHTY-SEVEN PERCENT OF WESTMONT HIGH SCHOOL STUDENTS REPORTED THEY KNEW THE SIGNS OF MENTAL ILLNESS IN THE POST EVALUATION SURVEY.SIXTY-THREE PERCENT OF WESTMONT HIGH SCHOOL STUDENTS REPORTED FEELING MORE COMFORTABLE TALKING ABOUT MENTAL ILLNESS ON THE POST EVALUATION SURVEY.SIXTY-NINE PERCENT OF WESTMONT HIGH SCHOOL STUDENTS REPORTED LEARNING NEW INFORMATION ABOUT MENTAL ILLNESS ON THE POST EVALUATION SURVEY.MENTAL HEALTH FIRST AID-STRATEGY TWOPROVIDE MENTAL HEALTH FIRST AID (MHFA) TO HOSPITAL ASSOCIATES AND STAFF AND COMMUNITY ORGANIZATIONS/BUSINESSES SERVING THE ADVOCATE GOOD SAMARITAN PSA.2018 MENTAL HEALTH FIRST AID- STRATEGY TWO UPDATES/PROGRESSIN PARTNERSHIP WITH NAMI DUPAGE, ADVOCATE GOOD SAMARITAN IMPLEMENTED TWO MHFA TRAININGS. THE FIRST MHFA TRAINING WAS OPEN TO THE COMMUNITY AND THE SECOND WAS FOR THE HOSPITAL'S STAFF AND ASSOCIATES.THIRTEEN COMMUNITY PARTNERS ATTENDED THE MHFA TRAININGS IN 2018.FOURTEEN ADVOCATE GOOD SAMARITAN ASSOCIATES AND EMPLOYEES ATTENDED THE TRAINING IN 2018. LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 11: 2014-2016 CHNAIN 2016, ADVOCATE LUTHERAN GENERAL COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH INPUT FROM THE COMMUNITY HEALTH COUNCIL. THE COUNCIL IS COMPOSED OF VARIOUS KEY STAKEHOLDERS FROM COMMUNITIES WITHIN ADVOCATE LUTHERAN GENERAL'S SERVICE AREA. AFTER REVIEWING PRIMARY AND SECONDARY DATA, THE COUNCIL SELECTED THREE HEALTH NEEDS AS PRIORITIES FOR HOSPITAL ACTION: HEART DISEASE, HEALTH LITERACY AND WORKFORCE DEVELOPMENT. THE HOSPITAL'S COMMUNITY HEALTH COUNCIL MET QUARTERLY DURING THE 2014-2016 CHNA PROCESS. THERE WERE TWO ADDITIONAL MEETINGS IN 2016 FOR DATA REVIEW AND PRIORITIZATION OF HEALTH NEEDS. OUTLINED BELOW ARE THE THREE SELECTED PRIORITIES AND 2018 UPDATES FOR EACH PRIORITY. ADVOCATE LUTHERAN GENERAL'S SELECTED HEALTH NEEDS TO ADDRESSHEALTH LITERACY NAVIGATING THE HEALTH CARE SYSTEM PROGRAM-STRATEGY ONEPARTNER WITH ADVOCATE CHILDREN'S- PARK RIDGE TO ENGAGE AND SUPPORT LOCAL SCHOOL DISTRICTS IN IMPLEMENTING THE NAVIGATING THE HEALTH CARE SYSTEM, A HEALTH LITERACY CURRICULUM.2018 NAVIGATING THE HEALTH CARE SYSTEM-STRATEGY ONE UPDATES/PROGRESSIN 2018, THE PROGRAM WAS IMPLEMENTED AT DISTRICT 207 MAINE EAST HIGH SCHOOL (D207) IN PARTNERSHIP WITH THE TRANSITION PROGRAM. A WORKSHOP WAS ALSO IMPLEMENTED AT THE CENTER OF CONCERN IN DES PLAINES. EIGHT CLASSES WERE FACILITATED IN 2018-FOUR CLASSES WERE AT D207 AND FOUR CLASSES WERE HELD AT THE CENTER OF CONCERN. THE COHORT AT THE D207 TRANSITION PROGRAM IN PARK RIDGE AVERAGED 46 PERCENT IN PRE-ASSESSMENT AND 50 PERCENT ON POST-ASSESSMENT, WHICH WAS A 4 PERCENT INCREASE IN KNOWLEDGE GAIN. THE COHORT AT THE CENTER OF CONCERN IN DES PLAINES AVERAGED 82 PERCENT IN PRE-ASSESSMENT AND 83 PERCENT IN POST-ASSESSMENT, WHICH IS A 1 PERCENT INCREASE IN KNOWLEDGE GAIN. AGENCY FOR HEALTHCARE RESEARCH AND QUALITY-STRATEGY TWOPARTNER WITH ADVOCATE LUTHERAN GENERAL PHYSICIANS TO IMPLEMENT THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) HEALTH LITERACY ASSESSMENT AND RECOMMENDATIONS WITHIN THE PRIMARY CARE SETTING.2018 AGENCY FOR HEALTHCARE RESEARCH AND QUALITY PROGRAM-STRATEGY TWO UPDATES/PROGRESSIN 2018, A TRAINING ON THE IMPORTANCE OF HEALTH LITERACY WAS OFFERED TO PHYSICIANS AND RESIDENTS OF ADVOCATE LUTHERAN GENERAL. HOSPITAL RESIDENTS COMPLETED A TOTAL OF EIGHTEEN AHRQ ASSESSMENTS, WHICH WERE COLLECTED AND EVALUATED BY THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT. EIGHTY-TWO PERCENT OF RESIDENT PARTICIPANTS, ANSWERED, "DOING WELL" IN THE AREA OF UNDERSTANDING THAT LIMITED HEALTH LITERACY AFFECTS ALL INDIVIDUALS. THIRTY-FIVE PERCENT, ANSWERED "DOING WELL" IN THAT ALL STAFF MEMBERS HAVE RECEIVED HEALTH LITERACY EDUCATION. IN EFFORTS TO TURN THE ASSESSMENTS INTO ACTIONABLE STRATEGIES, THE COMMUNITY HEALTH DEPARTMENT PREPARED A COMPREHENSIVE FOLLOW-UP PRESENTATION, SHARING OPPORTUNITIES FOR HEALTH LITERACY IMPROVEMENT IN ALL FIVE CATEGORIES OF THE ASSESSMENT.CARDIOVASCULAR DISEASEEMPOWER TO SERVE (ETS) PROGRAM-STRATEGY ONEPARTNER WITH PRESENCE RESURRECTION MEDICAL CENTER (PRMC) TO TRAIN IRVING PARK COMMUNITY LEADERS ON THE EMPOWERED TO SERVE CURRICULUM (ETS), A HEART HEALTH CURRICULUM.2018 EMPOWER TO SERVE PROGRAM-STRATEGY ONE UPDATES/PROGRESSIN 2018, THREE COMPLETE SERIES OF ETS WERE OFFERED TO THE IRVING PARK COMMUNITY AT THE FOLLOWING LOCATIONS: IRVING PARK FOOD PANTRY, OAK STREET HEALTH AND BELDING ELEMENTARY SCHOOL. ADVOCATE LUTHERAN GENERAL COLLABORATED WITH DOMINICAN UNIVERSITY TO COORDINATE A SIX-WEEK COOKING SERIES, PRECEDING THE ETS CLASSES AT THE IRVING PARK FOOD PANTRY. COOKING CLASSES WERE INTEGRATED INTO THE ETS CURRICULUM, CREATING ONE HEALTHY LIFESTYLE CLASS. AS A RESULT OF THE CLASSES, 17 PERCENT OF PARTICIPANTS BETTER UNDERSTOOD WHY CHECKING BLOOD PRESSURE WAS IMPORTANT. THERE WAS A 41 PERCENT INCREASE IN KNOWLEDGE AMONG ALL PARTICIPANTS WHO WERE ABLE TO IDENTIFY THE SYMPTOMS OF A STROKE USING F.A.S.T.IN ADDITION, ADVOCATE LUTHERAN GENERAL'S SOUTH ASIAN CARDIOVASCULAR CENTER COLLABORATED WITH THE ADVOCATE LUTHERAN GENERAL COMMUNITY HEALTH WORKER TO FACILITATE A SIX-WEEK ETS PROGRAM AT THE DES PLAINES FRISBEE CENTER FOR SENIORS. THE COMMUNITY HEALTH WORKER (CHW) ALSO FACILITATED THE ETS PROGRAM IN SPANISH TO ST. STEPHENS CATHOLIC CHURCH IN DES PLAINES. BLOOD PRESSURE CHECKS-STRATEGY TWOTRACK THE BLOOD PRESSURE OF ADULTS WHO UTILIZE THE IRVING PARK FOOD PANTRY IN THE 60641 ZIP CODE.2018 BLOOD PRESSURE CHECKS-STRATEGY TWO UPDATES/PROGRESSSIX SCREENINGS WERE PROVIDED IN PARTNERSHIP WITH PRESENCE RESURRECTION MEDICAL CENTER (PRMC) DURING VARIOUS TIMES THROUGHOUT THE ETS PROGRAM IN 2018. A TOTAL OF 34 INDIVIDUALS HAD BLOOD PRESSURE (BP) SCREENINGS. DURING THE SCREENINGS, NO IMMEDIATE REFERRALS OR APPOINTMENTS WERE SCHEDULED WITH HEALTH CARE PROVIDERS. POST ASSESSMENTS INDICATED A 59 PERCENT KNOWLEDGE INCREASE REGARDING UNDERSTANDING THE IMPORTANCE OF BLOOD PRESSURE SCREENINGS AND RISK FACTORS FOR HEART DISEASE. WORKSITE WELLNESS-STRATEGY THREEDEVELOP PARTNERSHIPS WITH LOCAL BUSINESSES, EMPLOYERS AND COMMUNITY-BASED ORGANIZATIONS IN IRVING PARK (60641) WHO HAVE VENDING MACHINES TO ENGAGE/SUPPORT THEM IN IMPLEMENTING AT LEAST 1/2 VENDING POLICY CHANGES AS SUGGESTED BY THE AMERICAN HEART ASSOCIATION.2018 WORKSITE WELLNESS-STRATEGY TWO UPDATES/PROGRESSADVOCATE LUTHERAN GENERAL REACHED OUT TO SEVERAL LOCAL BUSINESSES AND CHURCHES. THERE WAS NO INTEREST IN INTEGRATING/PURCHASING HEALTHY VENDING FOR BUSINESS/CHURCH EMPLOYEES. THE HOSPITAL DID NOT RECEIVE ANY INTEREST IN HEALTHY VENDING FROM IRVING PARK BUSINESSES, THE COMMUNITY HEALTH DEPARTMENT WAS ABLE TO WORK WITH CHICAGO TABERNACLE, A CHURCH IN HERMOSA, TO ADDRESS MENTAL HEALTH AND HEALTHY LIFESTYLES. THE CENTRAL REGION COMMUNITY HEALTH COORDINATOR IS WORKING WITH THE CHURCH TO PROVIDE TRAUMA-INFORMED TRAININGS AND COMMUNITY RESOURCES/WORKSHOPS.SOCIAL DETERMINANTS OF HEALTHJUMPSTART PROGRAM-STRATEGY ONEADVOCATE LUTHERAN GENERAL WILL PARTNER WITH ADVOCATE CHILDREN'S-PARK RIDGE TO EXPAND JOB OPPORTUNITIES AND CAREER READINESS FOR LOW-INCOME STUDENTS OF DISTRICT 207 BY EXPANDING THE JUMPSTART PROGRAM, A WORKFORCE DEVELOPMENT PROGRAM, AT THE HOSPITALS.2018 JUMPSTART PROGRAM-STRATEGY ONE UPDATES/PROGRESSIN 2018, THERE WERE 12 JUMPSTART INTERNS PLACED AT ADVOCATE LUTHERAN GENERAL. EIGHTY-ONE PERCENT OF STUDENTS WHO STARTED THE INTERNSHIP PROGRAM COMPLETED THE FULL 120 HOURS. ALL JUMPSTART PROGRAM PARTICIPANTS COMPLETED FOUR CAREER-READINESS WORKSHOPS. TWENTY-THREE PERCENT OF JUMPSTART PARTICIPANTS AT THE HOSPITALS OBTAINED THEIR HIGH SCHOOL DIPLOMA WITHIN ONE YEAR OF BEGINNING THE PROGRAM. CHAMBER OF COMMERCE PARTNERSHIP-STRATEGY TWOCOLLABORATE WITH PARK RIDGE, NILES, DES PLAINES AND GLENVIEW CHAMBERS OF COMMERCE TO INCREASE THE NUMBER OF BUSINESSES/ORGANIZATIONS IN THE COMMUNITY THAT OFFER MINI INTERNSHIPS OR HIRING OPPORTUNITIES TO JUMPSTART PARTICIPANTS.2018 CHAMBER OF COMMERCE PARTNERSHIP-STRATEGY TWO UPDATES/PROGRESSEIGHTEEN PARTICIPANTS WERE PLACED WITH PARK RIDGE, NILES, DES PLAINES, MORTON GROVE OR GLENVIEW ORGANIZATIONS/BUSINESSES. FIFTY-ONE PERCENT OF JUMPSTART PARTICIPANTS WERE HIRED BY NEW PARTNER ORGANIZATIONS. THIRTY-EIGHT PERCENT OF 2018 JUMPSTART PARTICIPANTS OBTAINED INTERNSHIPS WITH NEW ORGANIZATIONS.ALLIANCE FOR HEALTH EQUITY COLLABORATIVE-STRATEGY THREECOLLABORATE WITH OTHER HOSPITALS AND COMMUNITY ORGANIZATIONS WITHIN THE ALLIANCE FOR HEALTH EQUITY TO DEVELOP INTERVENTIONS THAT WILL IMPACT THE SOCIAL DETERMINANTS OF HEALTH (SDOH).2018 ALLIANCE FOR HEALTH EQUITY-STRATEGY THREE UPDATES/PROGRESSADVOCATE LUTHERAN GENERAL IS A DEDICATED MEMBER OF THE ALLIANCE FOR HEALTH EQUITY AND PARTICIPATES IN THE MONTHLY SDOH AND VIOLENCE PREVENTION WORKGROUP MEETINGS. THE WORKGROUPS CONVENE HOSPITALS AND ORGANIZATIONS ACROSS VARIOUS SECTORS TO ADDRESS COMMUNITY NEEDS AROUND SOCIAL DETERMINANTS OF HEALTH. THE GOAL OF THE WORKGROUPS IS TO CREATE AND IMPLEMENT STRATEGIES THAT WILL COLLECTIVELY IMPROVE THE HEALTH OF VULNERABLE AND UNDERSERVED COMMUNITIES IN COOK COUNTY THROUGH ADDRESSING SOCIAL DETERMINANTS OF HEALTH. ADVOCATE CHILDREN'S SELECTED HEALTH NEEDS TO ADDRESSIN THE 2014-2016 CHNA, ADVOCATE CHILDREN'S IDENTIFIED THREE COMMUNITY HEALTH NEEDS AS OUTLINED BELOW.ACCESS TO CARE: IMPROVE CHILDREN'S ACCESS TO PRIMARY HEALTH CARE IN ADVOCATE CHILDREN'S PSA AND SSA. ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNA AS AN IMPORTANT PART OF THE CHNA PROCESS, ADVOCATE SOUTH SUBURBAN'S COMMUNITY HEALTH TEAM REVIEWED HICCC DATA AS WELL AS ADDITIONAL SERVICE AREA SPECIFIC DATA FROM PRIMARY AND SECONDARY SOURCES. THIS DATA HIGHLIGHTED THE PREVALENT HEALTH ISSUES WITHIN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA. AFTER REVIEW OF EXTENSIVE DATA, THE LEADING CAUSES OF DEATH, HOSPITALIZATIONS AND OVERARCHING HEALTH ISSUES WERE SUMMARIZED AND PRESENTED TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL FOR PRIORITIZATION. DATA PRESENTED TO THE CHC TARGETED THE FOLLOWING HEALTH CONDITIONS IDENTIFIED AS IMPORTANT IN ADVOCATE SOUTH SUBURBAN'S PRIMARY AND SECONDARY SERVICE AREA: ASTHMA, CANCER, DIABETES, HEART DISEASE, HYPERTENSION AND STROKE. THE FOLLOWING CRITERIA WERE ALSO CONSIDERED IN DETERMINING PRIORITIES:- DEGREE TO WHICH COMMUNITY PARTNERS ARE INVOLVED IN SOLVING/ADDRESSING THE HEALTH ISSUE;- HOSPITAL AND COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE HEALTH ISSUE;- HOSPITAL'S CAPACITY TO ADDRESS THE HEALTH ISSUES;- IMPORTANCE OF THE HEALTH PROBLEM TO THE COMMUNITY; AND- DEGREE TO WHICH EFFECTIVE PROGRAMS ARE AVAILABLE TO THE COMMUNITY. AFTER DISCUSSION AND REVIEW OF SIGNIFICANT DATA FINDINGS, THE CHC MEMBERS WERE INSTRUCTED TO RANK THE SEVEN HEALTH CONDITIONS BY VOTING ON THOSE THAT THEY PERCEIVED TO BE THE MOST IMPORTANT TO ADDRESS FOR THE COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. THE MULTI-VOTING STRATEGY RESULTED IN ASTHMA AND DIABETES RECEIVING THE HIGHEST NUMBER OF VOTES. HOUSING WAS SELECTED AS A FOCUS AREA BY CHC MEMBERS AS THE SOCIAL, ECONOMIC OR STRUCTURAL DETERMINANT OF HEALTH RELATED TO THE HICCC PRIORITY. THEREFORE, FOR THE 2014-2016 CHNA, ADVOCATE SOUTH SUBURBAN SELECTED THREE PRIORITIES FOR IMPLEMENTATION PLANNING: 1) ASTHMA; 2) DIABETES; AND 3) HOUSING AS A SOCIAL DETERMINANT OF HEALTH (SDOH).NEEDS SELECTED AS PRIORITIES TO ADDRESSASTHMA ASTHMA AND OTHER RESPIRATORY-RELATED DISEASES WITHIN ADVOCATE SOUTH SUBURBAN'S PSA WERE SELECTED AS A TOP HEALTH NEED TO ADDRESS. AN EXAMINATION OF ADVOCATE SOUTH SUBURBAN'S INPATIENT ADMISSIONS AND EMERGENCY DEPARTMENT UTILIZATION DATA SHOWED THERE WERE A SIGNIFICANT NUMBER OF INDIVIDUALS THAT SEEK SERVICES FOR ASTHMA/RESPIRATORY HEALTH ISSUES FROM THE HOSPITAL. IN FACT, PULMONARY ADMISSIONS WERE THE SECOND MOST PREVALENT TYPE OF INPATIENT ADMISSION AND THE EIGHTH MOST PREVALENT REASON FOR EMERGENCY DEPARTMENT VISITS. THE SEVERITY AND PREVALENCE OF ASTHMA IS MOST EVIDENT IN LOW-INCOME, MINORITY COMMUNITIES. TO ADDRESS ASTHMA IN THE HIGH-RISK COMMUNITIES THE HOSPITAL SERVES, THE HOSPITAL HAS DIRECTED ITS KICKIN' ASTHMA PROGRAM TOWARD THE MOST VULNERABLE COMMUNITIES IN ITS SERVICE AREA. KICKIN' ASTHMA IS AN ASTHMA MANAGEMENT PROGRAM FOR KIDS AGES 11-16 (GRADES 6-10) THAT EDUCATES AND EMPOWERS THEM THROUGH A FUN AND INTERACTIVE APPROACH TO ASTHMA SELF-MANAGEMENT. THE PROGRAM INCLUDES DIFFERENT LEARNING TECHNIQUES SUITABLE FOR CHILDREN AND HIGHLIGHTS SELF-MANAGEMENT PRACTICES, SUCH AS RECOGNIZING TRIGGERS AND PROPER MEDICATION USE. THESE COMMUNITIES INCLUDE: CHICAGO HEIGHTS, 60411; HARVEY, 60426; MARKHAM, 60428; HAZEL CREST, 60429; AND COUNTRY CLUB HILLS, 60478. THE FOLLOWING OUTCOMES WERE ACHIEVED DURING 2018:STRATEGY 1: EXPAND THE KICKIN' ASTHMA PROGRAM TO SCHOOLS IN THE FOLLOWING ZIP CODES: 60411, 60426, 60428, 60429 AND 60478.- TWO PARTNER SCHOOLS HOSTED THE KICKIN' ASTHMA PROGRAM IN 2018.- EIGHTEEN STUDENTS PARTICIPATED IN THE PROGRAM.- NONE OF THE 18 STUDENTS WHO ATTENDED THE KICKIN' ASTHMA CLASS HAD AN ED VISIT WITHIN THREE MONTHS POST PROGRAM.STRATEGY 2: PROVIDE ASTHMA EDUCATION THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS THAT TEACH PARTICIPANTS WHAT ADULTS SHOULD DO IN CASE A CHILD EXPERIENCES AN ASTHMA ATTACK.- ADVOCATE SOUTH SUBURBAN PARTNERED WITH TWO SCHOOLS, IN UNDERSERVED COMMUNITIES TO CONDUCT THE KICKIN' ASTHMA PROGRAM. THE HOSPITAL CONTINUED TO PARTNER WITH COMMUNITY ORGANIZATIONS TO PROVIDE INFORMATION ON THE KICKIN' ASTHMA PROGRAM AND TO PROVIDE ASTHMA EDUCATION IN COMMUNITY SETTINGS TO PARENTS, COACHES, ETC. IN 2018, 25 COMMUNITY MEMBERS WERE TRAINED IN ASTHMA EDUCATION.DIABETESACCORDING TO THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH, MORE THAN 29 MILLION PEOPLE IN THE UNITED STATES HAVE DIABETES MELLITUS. ABOUT ONE-THIRD OF THESE PEOPLE ARE UNAWARE THAT THEY HAVE DIABETES AND ARE NOT UNDER MEDICAL CARE. EACH YEAR, 1.9 MILLION NEW CASES OF DIABETES ARE DIAGNOSED IN PEOPLE AGE 20 YEARS AND OLDER. IN ILLINOIS, APPROXIMATELY 800,000 PEOPLE 18 YEARS OF AGE AND OLDER HAVE DIAGNOSED DIABETES, WITH ANOTHER 500,000 PEOPLE UNAWARE THEY HAVE THE DISEASE. INDIVIDUALS WITH DIABETES ARE AT INCREASED RISK FOR HEART DISEASE, BLINDNESS, KIDNEY FAILURE, AND LOWER EXTREMITY AMPUTATIONS (NOT RELATED TO INJURIES). DIABETES AND ITS COMPLICATIONS OCCUR AMONG ALL AGE, RACIAL AND ETHNIC GROUPS.TO ADDRESS DIABETES IN THE HIGH-RISK COMMUNITIES WITHIN ADVOCATE SOUTH SUBURBAN'S SERVICE AREA, A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) EVIDENCE-BASED INTERVENTION NAMED THE NATIONAL DIABETES PREVENTION PROGRAM (DPP) WAS IMPLEMENTED. THE HOSPITAL IS SEEKING TO BECOME A CDC RECOGNIZED FACILITY TO IMPLEMENT THE DPP. THE HOSPITAL PARTNERED WITH LOCAL CHURCHES AND COMMUNITY PARTNERS TO HOST THE PROGRAM. THE PROGRAM IS DESIGNED TO EDUCATE INDIVIDUALS WHO HAVE BEEN DIAGNOSED WITH PRE-DIABETES TO PREVENT OR DELAY THE ONSET OF TYPE 2 DIABETES THROUGH EDUCATION, DIET AND EXERCISE. RESEARCH HAS SHOWN THAT A 5-7 PERCENT WEIGHT LOSS CAN PREVENT DEVELOPMENT OF TYPE 2 DIABETES.THE FOLLOWING OUTCOMES WERE ACHIEVED DURING 2018: STRATEGY 1: HIRE A LIFESTYLE COACH TO IMPLEMENT THE NATIONAL DIABETES PREVENTION PROGRAM (DPP), PREVENT T2, IN MARKHAM (60428) AND CHICAGO HEIGHTS (60411) IN COLLABORATION WITH COMMUNITY ORGANIZATIONS.- ADVOCATE SOUTH SUBURBAN PARTNERED WITH ABUNDANT LIVING CHRISTIAN CENTER IN DOLTON, ILLINOIS, TO HOST THE INAUGURAL SESSION IN 2017. THE CHURCH PROGRAM CONCLUDED IN JUNE 2018, LEAVING THE REMAINING CLASSES TO BE HOSTED AT THE DOLTON LIBRARY.- IN 2018, ADVOCATE SOUTH SUBURBAN WAS THE HOST SITE FOR THREE COHORTS WITH 24 TOTAL PARTICIPANTS.- SEVENTY-FIVE PERCENT OF THE PARTICIPANTS WERE ELIGIBLE TO PARTICIPATE IN THE DPP PROGRAM BASED ON BLOOD-BASED TEST; 25 PERCENT OF THE PARTICIPANTS WERE ELIGIBLE BASED ON A RISK ASSESSMENT.- THIRTY-EIGHT PERCENT OF PARTICIPANTS MET THE WEIGHT LOSS GOAL FROM THE BASELINE.STRATEGY 2: ESTABLISH ADVOCATE SOUTH SUBURBAN AS A CDC DESIGNATED DIABETES PREVENTION PROGRAM APPROVED SITE.- THE HOSPITAL IS CURRENTLY IN THE PENDING STAGE FOR THE CDCS PREVENT T2 PROGRAM DUE TO THE TOTAL NUMBER OF PARTICIPANTS DURING THE EVALUATION CYCLE. THE ADVOCATE SOUTH SUBURBAN COMMUNITY HEALTH TEAM LOOKS FORWARD TO POTENTIALLY BEING MOVED TO PRELIMINARY OR FULL RECOGNITION STATUS FROM THE CDC IN 2019 BECAUSE OF MULTIPLE COHORTS THAT ARE CURRENTLY IN SESSION. STRATEGY 3: RAISE AWARENESS OF PREDIABETES THROUGH EDUCATION PROGRAMS IN FAITH-BASED ORGANIZATIONS IN MARKHAM (60428) AND CHICAGO HEIGHTS (60411).- THREE HUNDRED FORTY-ONE INDIVIDUALS RECEIVED EDUCATIONAL INFORMATION AT COMMUNITY PARTNER SITES REGARDING PREDIABETES. COMMUNITY PARTNERS INCLUDED CHURCHES, PARK DISTRICTS AND A LOCAL SHELTER.- THE COMMUNITY HEALTH DEPARTMENT SHARED A PRESENTATION REGARDING THE DPP PROGRAM WITH DEPARTMENT OF FAMILY MEDICINE TO GARNER ELIGIBLE PARTICIPANTS INTO THE PROGRAM IN AUGUST 2018. THERE WERE 13 PHYSICIANS AND 7 NON-PHYSICIANS WHO ATTENDED THE MEETING. PHYSICIANS ASKED QUESTIONS FOR CLARITY AND SOME BEGAN REFERRING THEIR PATIENTS TO THE PROGRAM.SOCIAL DETERMINANT OF HEALTH-HOUSINGACCORDING TO THE AMERICAN LUNG ASSOCIATION, HOMES MAY BE THE MOST CRITICAL ENVIRONMENT FOR MANAGING ASTHMA. HOMES OFTEN CONTAIN KNOWN ASTHMA TRIGGERS, INCLUDING SECONDHAND SMOKE, DAMPNESS AND MOLD, COCKROACHES AND DUST MITES. "HOMES" INCLUDE APARTMENTS AND OTHER MULTI-UNIT HOUSING, GROUP HOMES, SHELTERS AND INSTITUTIONALIZED SETTINGS, AS WELL AS SINGLE-FAMILY HOUSES. INDIVIDUALS SUFFERING FROM ASTHMA AND OTHER LUNG DISEASES CAN BE HELPED BY ADOPTING POLICIES THAT CREATE SAFE HOME ENVIRONMENTS. ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNAAS AN IMPORTANT PART OF THE CHNA PROCESS, ADVOCATE TRINITY'S COMMUNITY HEALTH TEAM REVIEWED HICCC DATA AS WELL AS ADDITIONAL SERVICE AREA SPECIFIC DATA FROM PRIMARY AND SECONDARY SOURCES. THIS DATA HIGHLIGHTED THE PREVALENT HEALTH ISSUES WITHIN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA. AFTER REVIEW OF EXTENSIVE DATA, THE LEADING CAUSES OF DEATH, HOSPITALIZATIONS AND OVERARCHING HEALTH ISSUES WERE SUMMARIZED AND PRESENTED TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL (CHC) FOR PRIORITIZATION. DATA PRESENTED TO THE COUNCIL TARGETED THE FOLLOWING HEALTH CONDITIONS IDENTIFIED AS IMPORTANT IN ADVOCATE TRINITY'S PRIMARY AND SECONDARY SERVICE AREA: ASTHMA, CANCER, DIABETES, HEART DISEASE, HYPERTENSION, STROKE, MENTAL HEALTH AND VIOLENCE.THE FOLLOWING CRITERIA WERE ALSO CONSIDERED IN DETERMINING PRIORITIES:- THE ALIGNMENT OF THE HOSPITAL'S MISSION, AND EXISTING PROGRAMS; - THE ABILITY TO MAKE AN IMPACT WITHIN A REASONABLE TIME FRAME; - HOSPITAL AND COMMUNITY RESOURCES TO ADDRESS THE HEALTH ISSUE; - THE IMPORTANCE OF THE HEALTH PROBLEM TO THE COMMUNITY; AND - AVAILABILITY OF EVIDENCE-BASED PROGRAMS WITH PROVEN MEASURABLE OUTCOMES TO ADDRESS IDENTIFIED COMMUNITY NEEDS. AFTER DISCUSSION AND REVIEW OF SIGNIFICANT DATA FINDINGS, THE CHC MEMBERS WERE INSTRUCTED TO RANK THE SEVEN HEALTH CONDITIONS BY VOTING ON THOSE THAT THEY PERCEIVED TO BE THE MOST IMPORTANT TO ADDRESS FOR THE COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. THE MULTI-VOTING STRATEGY RESULTED IN ASTHMA AND DIABETES RECEIVING THE HIGHEST NUMBER OF VOTES. WORKFORCE DEVELOPMENT WAS SELECTED AS A FOCUS AREA BY CHC MEMBERS AS THE SOCIAL, ECONOMIC OR STRUCTURAL DETERMINANT OF HEALTH RELATED TO THE HICCC PRIORITY. THEREFORE, FOR THE 2014-2016 CHNA, ADVOCATE TRINITY SELECTED THREE PRIORITIES FOR IMPLEMENTATION PLANNING: ASTHMA, DIABETES, AND WORKFORCE DEVELOPMENT (SOCIAL DETERMINANT OF HEALTH).HEALTH NEEDS SELECTED TO ADDRESSSOCIAL DETERMINANTS OF HEALTH-HEALTHCARE WORKFORCE DEVELOPMENT WITH UNEMPLOYMENT RATES AS HIGH AS 32 PERCENT IN SOME OF THE NEIGHBORHOODS IN CHICAGO, EFFECTIVE WORKFORCE DEVELOPMENT PROGRAMS PLAY A CRUCIAL ROLE IN PREPARING INDIVIDUALS FOR ENTRY-MIDDLE SKILL OPPORTUNITIES WITHIN THE HEALTHCARE SECTOR. THE HEALTHCARE WORKFORCE COLLABORATIVE (NEWLY NAMED ADVOCATE WORKFORCE INITIATIVE) IS A PARTNERSHIP BETWEEN ADVOCATE HEALTH CARE AND JP MORGAN CHASE BANK TO ESTABLISH AN INTENTIONAL SERIES OF PARTNERSHIPS, AIMED AT ENHANCING THE ALIGNMENT BETWEEN ADDRESSING AVAILABLE HEALTHCARE JOBS AND THE SKILLS OF CURRENT JOB SEEKERS IN THE GREATER CHICAGOLAND AREA. THE PROGRAM AIMS TO DEVELOP AND IMPLEMENT "BEST PRACTICES" TO BE ADOPTED BY OTHER METROPOLITAN AREAS AND HEALTHCARE ORGANIZATIONS. THE COLLABORATIVE WILL SERVE MORE THAN 1,000 INDIVIDUALS BY 2020, ALL OF WHOM WILL RECEIVE SUPPORTIVE SERVICES AND GUARANTEED POST-PROGRAM INTERVIEWS WITH ADVOCATE OR OTHER REGIONAL HEALTH CARE PROVIDERS. ADVOCATE TRINITY WILL SERVE AS AN INTERNSHIP SITE FOR EDUCATIONAL INSTITUTIONS IN OUR SERVICE AREA. HTTPS://ADVOCATEGIVING.ORG/HOW-YOURE-HELPING/ADVOCATE-WORKFORCE-INITIATIVE/PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:- A TOTAL OF 64 PARTICIPANTS WERE ENROLLED IN CLINICAL AND NON-CLINICAL EDUCATION FOR ENTRY TO MID-LEVEL HEALTH CARE POSITIONS.- TWENTY-FIVE PERCENT OF PARTICIPANTS ENROLLED IN THE PROGRAM COMPLETED CLINICAL AND NON-CLINICAL ROTATIONS AT ADVOCATE TRINITY.- THIRTY-EIGHT PERCENT OF PARTICIPANTS WERE INTERVIEWED FOR EMPLOYMENT FOR ENTRY LEVEL TO MIDDLE SKILLS POSITIONS.- THIRTY PERCENT OF PARTICIPANTS WERE EMPLOYED BY ADVOCATE HEALTH CARE.- EIGHTEEN PERCENT OF PARTICIPANTS WERE EMPLOYED BY OTHER HEALTH CARE ORGANIZATIONS.- THIRTY-FOUR PARTICIPANTS WERE ACCEPTED AS INTERNS. A TOTAL OF 20 CAREER DEVELOPMENT CLASSES WERE PROVIDED AND 6,413 HOURS OF SERVICE WERE COMPLETED AT ADVOCATE TRINITY. ASTHMAASTHMA IS A CONDITION IN WHICH A PERSON'S AIR PASSAGES BECOME INFLAMED, AND THE NARROWING OF THE RESPIRATORY PASSAGES MAKES IT DIFFICULT TO BREATHE. ASTHMA IS ONE OF THE MOST COMMON LONG-TERM DISEASES OF CHILDREN. ADDITIONALLY, IT AFFECTS 15.7 MILLION NON-INSTITUTIONALIZED ADULTS NATIONWIDE. ADVOCATE TRINITY'S GOAL IS TO DECREASE THE AGE-ADJUSTED EMERGENCY ROOM/HOSPITALIZATION RATE DUE TO ADULT ASTHMA IN PRIMARY SERVICE AREA (PSA) COMMUNITIES: 60617 AND 60619. THE KEY STRATEGY IS TO EXPAND THE PROJECT HEALTH PROGRAM UTILIZING COMMUNITY HEALTH WORKERS TO ENGAGE PATIENTS AND CONDUCT HOME VISTS TO IDENTIFY TRIGGERS AND BARRIERS TO ASTHMA MANAGEMENT. ADVOCATE TRINITY WILL ALSO PARTNER WITH THE METROPOLITAN TENANTS ORGANIZATION TO DELIVER THE HEALTHY HOMES INITIATIVE TO COMMUNITY MEMBERS. THE HEALTHY HOMES INITIATIVE WORKS WITH COMMUNITY MEMBERS TO REMEDIATE ANY ISSUES IN THEIR HOME THAT MAY IMPACT THEIR ASTHMA.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:- ESTABLISHED A NEW PROCESS TO CONDUCT ASTHMA CONTROL TESTS (ACT) WITH HOSPITAL INPATIENTS AND ER PATIENTS AS PART OF THE PROJECT HEALTH PROGRAM.- FORTY-SIX ASTHMA CONTROL TESTS WERE PROVIDED TO ADVOCATE TRINITY INPATIENTS PRESENTING WITH ASTHMA SYMPTOMS. - ONE HUNDRED FORTEEN ASTHMA CONTROL TESTS WERE PROVIDED TO ADVOCATE TRINITY ER PATIENTS PRESENTING WITH ASTHMA SYMPTOMS.- FORTY-FOUR ASTHMA ACTION PLANS WERE COMPLETED FOR ADVOCATE TRINITY ER AND INPATIENT PATIENTS IDENTIFED BY HOSPITAL STAFF AS HAVING AN ASTHMA DIAGNOSIS. - A TOTAL OF 10 HOME VISITS WERE COMPLETED. - A TOTAL OF FIVE COMMUNITY HEALTH WORKERS FROM THE PROJECT HEALTH TEAM AND PRIMARY CARE CONNECTION TEAM RECEIVED HEALTHY HOMES TRAINING IN 2018. NO REFERRALS WERE PROVIDED BY COMMUNITY ORGANIZATIONS. THE COMMUNITY HEALTH TEAM WILL RE-EVALUATE AND DEVELOP A PLAN OF ACTION FOR THE FOCUS AREA IN 2019. DIABETESACCORDING TO THE AMERICAN DIABETES ASSOCIATION, 29.1 MILLION AMERICANS (9.3 PERCENT) HAVE DIABETES. AMONG THE INDIVIDUALS WITH DIABETES, 1.25 MILLION HAVE TYPE 1 DIABETES. AS OF 2010, DIABETES REMAINED THE 7TH LEADING CAUSE OF DEATH IN THE US AS RECORDED BY VITAL STATISTICS RECORDS. FURTHER, DIABETES IS LISTED ON A TOTAL OF 234,051 DEATH CERTIFICATES AS AN UNDERLYING OR CONTRIBUTING CAUSE OF DEATH (AMERICAN DIABETES ASSOCIATION, 2016). THE PERCENTAGE OF AMERICANS AGE 65+ WITH BOTH DIAGNOSED AND UNDIAGNOSED DIABETES REMAINS HIGH AT 25.9 PERCENT, OR 11.8 MILLION SENIORS. TO REDUCE THE INCIDENCE OF DIABETES, ADVOCATE TRINITY WILL IMPLEMENT THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S DIABETES PREVENTION PROGRAM (DPP) PREVENT T2 IN PRIMARY SERVICE AREA COMMUNITIES: ZIP CODES 60617 AND 60619. ADVOCATE TRINITY WILL ALSO SEEK DESIGNATION AS A NATIONAL DIABETES PREVENTION SITE IN COLLABORATION WITH THE CLINICAL DIABETES EDUCATION TEAM. ADDITIONALLY, ADVOCATE TRINITY WILL INCREASE COMMUNITY EDUCATION OPPORTUNITIES TO SUPPORT DIABETES SELF-MANAGEMENT SKILLS.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:NATIONAL DIABETES PREVENTION PROGRAM (DPP)- FIRST COHORT CLASS SUCCESSFULLY COMPLETED ONE-YEAR PROGRAM IN SEPTEMBER 2018 WITH 12 ACTIVE PARTICIPANTS.- COMMUNITY HEALTH TEAM DEVELOPED A NEW PARTNERSHIP WITH ANOINTED HEALTH PARTNERS TO IMPLEMENT A DPP PROGRAM IN APRIL 2018.- PROGRAM STAFF SUCCESSFULLY STARTED THE SECOND COHORT CLASS WITH 13 ACTIVE PARTICIPANTS IN APRIL 2018.- A TOTAL OF 29 PARTICIPANTS WERE ENROLLED IN THE DPP PROGRAM IN 2018. TWENTY-FIVE ACTIVE PARTICIPANTS REMAINED IN THE PROGRAM. - SIXTY-EIGHT PERCENT OF PARTICIPANTS WERE ELIGIBLE FOR THE PROGRAM BASED ON THEIR A1C LEVEL. - THIRTY-THREE ACHIEVED FIVE PERCENT BODY WEIGHT LOSS.- EIGHTY-EIGHT PERCENT OF PARTICIPANTS COMPLETED NINE OF 16 CLASSES WITHIN THE FIRST SIX MONTHS.- NINETY-FOUR PERCENT OF PARTICIPANTS REPORTED AT LEAST 150 MINUTES OF MODERATE PHYSICAL ACTIVITY IN SIX MONTHS.PRE-DIABETES COMMUNITY WORKSHOPS- THREE FAITH PARTNERS WERE ENGAGED TO OFFER PRE-DIABETES AWARENESS WORKSHOPS.- SIX SESSIONS OF PRE-DIABETES EDUCATION WORKSHOPS WERE CONDUCTED.- TWENTY-TWO PARTICIPANTS WERE REFERRED FOR ADDITIONAL FOLLOW-UP TO THE DPP PROGRAM.- NINETY-FIVE PERCENT OF PARTICIPANTS INCREASED THEIR KNOWLEDGE OF HOW NUTRITION IMPACTS DIABETES.- NINETY-FIVE PERCENT OF PARTICIPANTS DEMONSTRATED TWO WAYS TO PREVENT DIABETES. ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 13B: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13BALL HOSPITAL FACILITIESN/A ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 13H: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13HALL HOSPITAL FACILITIESOTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS. ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 15E: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 15EALL HOSPITAL FACILITIESN/A ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 16J: PART V, SECTION C- DESCRIPTION FOR PART V, SEC B, LINES 16A, 16B AND 16CALL HOSPITAL FACILITIESHTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEPART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 16JALL HOSPITAL FACILITIESADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION. ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 18E: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 18EALL HOSPITAL FACILITIESN/A ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 19E: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 19EALL HOSPITAL FACILITIESADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY. ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 20E: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 20AALL HOSPITAL FACILITIESADVOCATE DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AND AS DESCRIBED BELOW USES ALL OPPORTUNITIES TO INFORM INDIVIDUALS OF THE FAP PROCESS. IF ADVOCATE EVER WERE TO USE AN ECA IT WOULD PROVIDE THE INDIVIDUAL WITH ALL REQUIRED INFORMATION INCLUDING PROVIDING THE FAP AT LEAST 30 DAYS BEFORE INITIATING AN ECA.PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 20EALL HOSPITAL FACILITIESADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM. ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 21C: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 21C ALL HOSPITAL FACILITIESN/A ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 21D: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 21D ALL HOSPITAL FACILITIESN/A ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 23: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 23ALL HOSPITAL FACILITIESN/A ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 24: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 24ALL HOSPITAL FACILITIESN/A ADVOCATE CHRIST MEDICAL CENTER: PART V, SECTION B, LINE 5 - CONTINUED ADVOCATE CHILDREN'SADVOCATE CHILDREN'S, LOCATED ON TWO CAMPUSES IN THE CHICAGOLAND AREA, SERVES CHILDREN AGES 0-17. THE NORTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE LUTHERAN GENERAL HOSPITAL IN PARK RIDGE, ILLINOIS (ADVOCATE CHILDREN'S-PARK RIDGE), WITH WHICH IT SHARES THE SAME TAX ID NUMBER. THE SOUTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE CHRIST IN OAK LAWN, ILLINOIS (ADVOCATE CHILDREN'S-OAK LAWN), WITH WHICH IT SHARES THE SAME TAX ID NUMBER. AN ADVOCATE CHILDREN'S COMMUNITY PROFILE WAS COMPLETED TO SUPPLEMENT THE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS OF THE RESPECTIVE ADVOCATE HOSPITALS. WHILE AN IMPORTANT PART OF THE ADVOCATE CHRIST CAMPUS, ADMINISTRATIVELY AND OPERATIONALLY, ALL PEDIATRIC SERVICES REPORT TO THE ADVOCATE CHILDREN'S LEADERSHIP TEAM.ADVOCATE CHILDREN'S TOTAL SERVICE AREA INCLUDES COMMUNITIES SERVED BY ADVOCATE CHRIST, AS WELL AS GEOGRAPHIC AREAS OR COMMUNITIES SERVED BY ADVOCATE TRINITY HOSPITAL ON CHICAGO'S SOUTH AND SOUTHEAST SIDES, ADVOCATE SOUTH SUBURBAN HOSPITAL IN CHICAGO'S SOUTH SUBURBS AND ADVOCATE GOOD SAMARITAN HOSPITAL IN THE WEST AND SOUTHWEST SUBURBAN CHICAGO AREA. THE HOSPITAL WORKS WITH UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS THROUGHOUT THE SOUTH SUBURBS AND CHICAGO AS IDENTIFIED THROUGH ADVOCATE-SPONSORED MEDICAID MANAGED CARE PROGRAM UTILIZATION AND THE CHICAGO PUBLIC HEALTH DEPARTMENTS' HEALTHY CHICAGO 2.0 HEALTH PLAN. HIGH-RISK AREAS BASED ON THIS DATA INCLUDE SOUTH SUBURBAN OAK LAWN, BLUE ISLAND, BURNHAM, CALUMET PARK, DIXMOOR, FORD HEIGHTS, HARVEY AND HAZEL CREST. CHICAGO'S HIGH-RISK AREAS INCLUDE CHICAGO LAWN, WEST LAWN, MARQUETTE PARK, ENGLEWOOD, AUBURN-GRESHAM, GAGE PARK AND HEGEWISCH. PARTICULARLY HELPFUL TO ASSESSING COMMUNITY HEALTH NEEDS WAS CHICAGO'S HEALTHY SCHOOLS CAMPAIGN, CHICAGO PUBLIC HEALTH DEPARTMENT AND OAK LAWN-HOMETOWN SCHOOL DISTRICT 123, AS WELL AS UTILIZATION DATA FROM ADVOCATE'S MEDICAID MANAGED CARE PROGRAM.ADVOCATE CHRIST'S 2014-2016 AND THE PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY. PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 2 & 3J PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 2N/APART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 3JN/A ADVOCATE BROMENN MEDICAL CENTER: PART V, SECTION B, LINE 11 - CONTINUED OBESITYOBESITY WAS SELECTED AS ONE OF THE THREE TOP HEALTH PRIORITIES BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL BECAUSE IT RANKED AS NUMBER THREE ACCORDING TO ITS PRIORITY SCORE OF 153.8 FROM THE HANLON METHOD. ADDITIONALLY, THE COUNCIL FELT THAT BY IMPROVING OBESITY, MANY OTHER HEALTH OUTCOMES, SUCH AS HEART DISEASE, CANCER AND DIABETES MAY ALSO BE POSITIVELY IMPACTED. IT WAS ALSO SELECTED BECAUSE OBESITY IS A WIDESPREAD ISSUE AFFECTING MANY PEOPLE ACROSS ALL SOCIAL AND ECONOMIC SECTORS. THERE ARE MANY SIGNIFICANT EFFORTS UNDERWAY IN THE COMMUNITY RELATED TO OBESITY THROUGH THE MCLEAN COUNTY WELLNESS COALITION. THE HEALTH DEPARTMENT AND BOTH HOSPITALS ARE A PART OF THE MCLEAN COUNTY WELLNESS COALITION AS ARE 28 OTHER COMMUNITY ORGANIZATIONS IN MCLEAN COUNTY. THE MCLEAN COUNTY WELLNESS COALITION IS THE PRIMARY GROUP WORKING ON THE INTERVENTIONS OUTLINED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN. HIGHLIGHTS FOR STEPS TAKEN OR PROGRAMS OFFERED IN 2018 AS A PART OF THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS OBESITY ARE LISTED BELOW: - THE PARTNERSHIP FOR HEALTH PILOT PROGRAM BEGAN IN APRIL 2017. THE PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP TO IMPROVE THE HEALTH AND FITNESS OF PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND THEIR SUPPORT WORKERS. PARTNERS INCLUDE ADVOCATE BROMENN HEALTH AND FITNESS CENTER, MARCFIRST, ADVOCATE BROMENN CHARITABLE FOUNDATION, THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE MCLEAN COUNTY BOARD FOR THE CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY (377 BOARD). THE PROGRAM INITIALLY SERVED 22 INDIVIDUALS FROM MARCFIRST. IN 2018, THE PROGRAM WAS EXPANDED TO SEVERAL COMMUNITY MEMBERS WITH A TOTAL OF 31 INDIVIDUALS BEING SERVED. OUTCOMES FROM YEAR ONE OF THE PROGRAM ARE POSITIVE RANGING FROM DECREASED BLOOD PRESSURE AND CHOLESTEROL TO INCREASED STRENGTH, STAMINA AND ENDURANCE.- IN MAY 2017, ADVOCATE BROMENN PLANTED THE ADVOCATE BROMENN VEGETABLE GARDEN AND ORCHARD ON LAND OWNED BY THE HOSPITAL. THE COMMUNITY HEALTH CARE CLINIC IS LOCATED ON THIS LAND. ONE-HUNDRED POUNDS OF PRODUCE GROWN WAS DONATED TO PATIENTS OF THE CLINIC IN BOTH 2017 AND 2018. THE PURPOSE OF THE GARDEN IS TO INCREASE ACCESS TO HEALTHY FOODS FOR THE LOW-INCOME POPULATION IN MCLEAN COUNTY.- IN 2018, THE COMMUNITY HEALTH DIRECTOR FOR CENTRAL ILLINOIS ATTENDED THE FEEDING THE CITIES SUMMIT WHICH IS FOCUSING ON DECREASING FOOD INSECURITY AND INCREASING ACCESS TO HEALTHY FOOD FOR MCLEAN COUNTY RESIDENTS. - THE COMMUNITY HEALTH CARE CLINIC AND HOME SWEET HOME MINISTRIES LAUNCHED A FOOD FARMACY PILOT PROGRAM IN AUGUST 2017. THE PROGRAM PROVIDES A PRESCRIPTION PASS TO PATIENTS AT THE CLINIC WHO HAVE DIABETES OR HEART DISEASE. THE PASS CAN BE USED TO OBTAIN FREE FRESH PRODUCE AND OTHER FOOD FROM THE BREAD FOR LIFE CO-OP FOR 12 WEEKS. ADVOCATE BROMENN AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER SUPPORT THE COMMUNITY HEALTH CARE CLINIC. FROM AUGUST 2017 UNTIL DECEMBER 2018, 51 PATIENTS OF THE COMMUNITY HEALTH CARE CLINIC TOOK ADVANTAGE OF THE 12-WEEK PRESCRIPTION PASS FOR A TOTAL OF 196 SHOPPING TRIPS. AS A DIRECT RESULT OF THIS PROGRAM, THERE WAS AN INCREASE IN THE NUMBER OF HISPANICS SHOPPING AT THE BREAD FOR LIFE CO-OP. ADDITIONAL INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS.HEALTH NEEDS NOT SELECTED BIRTH OUTCOMESBIRTH OUTCOMES WAS NOT SELECTED AS A HEALTH PRIORITY SINCE IT WAS RATED SIXTH ACCORDING TO ITS PRIORITY SCORE. ALTHOUGH THE SERIOUSNESS OF THE PROBLEM AND THE LONG-TERM CONSEQUENCES WERE TAKEN INTO CONSIDERATION BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL, IT WAS AGREED THAT THE THREE HEALTH ISSUES SELECTED WERE GREATER IN BOTH SIZE AND SERIOUSNESS IN MCLEAN COUNTY. THE COUNCIL ALSO FELT THAT THERE ARE SEVERAL POSITIVE EFFORTS CURRENTLY UNDERWAY TO IMPROVE BIRTH OUTCOMES. FOR EXAMPLE, THERE IS A NO ELECTIVE INDUCTIONS LESS THAN 39 WEEKS INITIATIVE WITH THE MARCH OF DIMES AND BOTH HOSPITALS. ADDITIONALLY, ON OCTOBER 18, 2016, ADVOCATE BROMENN BEGAN PROVIDING NEONATOLOGY SERVICES IN PARTNERSHIP WITH ADVOCATE CHILDREN'S HOSPITAL. THIS IS A NEW SERVICE FOR THE MCLEAN COUNTY COMMUNITY. COVERAGE IS BEING PROVIDED BY THE NEONATOLOGISTS FROM ADVOCATE CHILDREN'S HOSPITAL. AS AN INTERMEDIATE CARE NURSERY WITH THIS ENHANCED LEVEL OF PHYSICIAN COVERAGE, THE HOSPITAL CAN KEEP BABIES AS YOUNG AS 32 WEEKS GESTATION. THIS ALLOWS NEW MOMS AND BABIES TO STAY TOGETHER, PROVIDING EXCELLENT OUTCOMES FOR FAMILIES.IN ADDITION, THE MCLEAN COUNTY HEALTH DEPARTMENT HAS THREE PROGRAMS AVAILABLE WHICH PROMOTE HEALTHY PREGNANCIES AND CONNECT PREGNANT WOMEN TO HEALTH AND WELLNESS SERVICES: ALL OUR KIDS EARLY CHILDHOOD NETWORK, FAMILY CASE MANAGEMENT, AND WOMEN, INFANTS AND CHILDREN. ORAL HEALTHTHERE WAS SOME DISCUSSION IN THE PRIORITIZATION MEETING ABOUT SELECTING ORAL HEALTH AS ONE OF THE THREE HEALTH PRIORITIES IN PLACE OF ONE OF THE THREE HIGHEST PRIORITY SCORING HEALTH CONCERNS. ORAL HEALTH RANKED CLOSELY BEHIND OBESITY (153.8) WITH A PRIORITY SCORE OF 148.4. ALTHOUGH ORAL HEALTH IS DEEMED AS AN EXTREMELY IMPORTANT ISSUE IN MCLEAN COUNTY, THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL AGREED TO PROCEED WITH THE THREE ISSUES THAT RECEIVED THE HIGHEST PRIORITY SCORES. THIS IS PARTIALLY DUE TO THE EFFORTS CURRENTLY IN PLACE TO ASSIST INDIVIDUALS WITHOUT DENTAL INSURANCE OR MEDICAID TO RECEIVE CARE. SOME EXAMPLES OF STEPS TAKEN TO ADDRESS ORAL HEALTH INCLUDE THE FOLLOWING. ADVOCATE BROMENN'S PRESIDENT AND/OR THE DIRECTOR OF COMMUNITY HEALTH ATTENDED SEVERAL ORAL HEALTH COLLABORATIVE MEETINGS WITH THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, THE COMMUNITY HEALTH CARE CLINIC AND CHESTNUT HEALTH SYSTEMS TO DISCUSS THE ISSUE OF ACCESS TO DENTAL CARE FOR UNINSURED ADULTS IN MCLEAN COUNTY. FURTHERMORE, AN ADVOCATE MEDICAL GROUP PEDIATRICIAN'S OFFICE LOCATED IN NORMAL, ILLINOIS, HAS ALSO BEEN PARTICIPATING FOR SEVERAL YEARS IN THE BRIGHT SMILES FROM BIRTH PROGRAM THROUGH THE ILLINOIS CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS AND THE ADVOCATE BROMENN FAMILY HEALTH CARE CLINIC BEGAN THE PROGRAM IN 2017. AFTER COMPLETING A COURSE, THE OFFICE CAN BILL MEDICAID FOR THE APPLICATION OF FLUORIDE VARNISH ON FULLY ERUPTED TEETH OF CHILDREN UNDER THREE YEARS OF AGE. EACH APPLICATION CAN BE DONE THREE TIMES PER YEAR. THE FLUORIDE SERVES TO PROTECT THE BABY TEETH RESULTING IN FEWER CAVITIES. THE MCLEAN COUNTY HEALTH DEPARTMENT ALSO PROVIDES A DENTAL CLINIC WITH INTERVENTION CARE FOR ADULTS (NO PREGNANT WOMEN), AND PREVENTIVE CARE AND INTERVENTION FOR KIDS. HEARTLAND HEAD START COORDINATES REFERRALS TO DENTAL CARE FOR KIDS SIX WEEKS TO FIVE YEARS AS WELL AS PREGNANT WOMEN. EXTRACTION CLINICS ARE HELD TWICE PER YEAR AT A LOCAL ORAL SURGEON'S OFFICE. RESPIRATORY DISEASEONE OF THE REASONS RESPIRATORY DISEASE WAS NOT SELECTED AS ONE OF THE TOP THREE HEALTH PRIORITIES FOR MCLEAN COUNTY WAS THAT IT RANKED FIFTH ACCORDING TO ITS PRIORITY SCORE OF 121 AND THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DID NOT FEEL THAT THERE WAS A COMPELLING REASON TO ELIMINATE ONE OF THE HEALTH CONCERNS THAT RANKED IN THE TOP THREE. THE COUNCIL DID DISCUSS THAT IMPROVING ACCESS TO APPROPRIATE HEALTHCARE MAY POSSIBLY ALSO IMPROVE HEALTH OUTCOMES FOR RESPIRATORY DISEASE, PARTICULARLY IN AREAS OF HIGH SOCIOECONOMIC NEEDS. ADVOCATE CHRIST MEDICAL CENTER: PART V, SECTION B, LINE 11 - CONTINUED ADVOCATE CHRIST OFFERS A SERIES OF COMMUNITY HEALTH CLASSES THAT INCREASE AWARENESS OF HEART DISEASE AND SUPPORT INDIVIDUALS IN THEIR JOURNEY TO BETTER HEART HEALTH. A VARIETY OF SUPPORT GROUPS ARE ALSO PROVIDED THAT ENCOURAGE HEALTHY HEART CARE IN THE COMMUNITY. THE "LIVE FROM THE HEART" PROGRAM, A PARTNERSHIP BETWEEN CHICAGO'S MUSEUM OF SCIENCE AND INDUSTRY AND ADVOCATE CHRIST, EDUCATES HIGH SCHOOL STUDENTS ABOUT HEART HEALTH THROUGH LIVE INTERACTIVE HEART SURGERIES THAT ARE PROVIDED VIA VIDEO MONITORING IN A CLASSROOM. THE INTERACTIVE PROGRAM ALSO HELPS TO FOSTER INTEREST IN THE HEALTH SCIENCES.HYPERTENSION AND CEREBROVASCULAR DISEASEHYPERTENSION IS A KNOWN RISK FACTOR FOR CEREBROVASCULAR DISEASE (STROKE). THE ADVOCATE CHRIST NEUROSCIENCES INSTITUTE IS A COMPREHENSIVE STROKE CENTER ACCREDITED BY DET NORSKE VERITAS (DNV) HEALTHCARE, INC. AS ONE OF THE BUSIEST STROKE CENTERS IN THE CHICAGOLAND AREA, THE MEDICAL CENTER TREATS MORE THAN 900 NEW STROKE PATIENTS EACH YEAR. BECAUSE THE STROKE TEAM SEES SUCH A LARGE VOLUME AND VARIETY OF STROKE CASES, THE PHYSICIANS HAVE THE SKILLS AND EXPERIENCE TO TREAT ALL LEVELS OF STROKE CASES, ESPECIALLY IN MANAGING POST-STROKE RECOVERY AND REHABILITATION. THE NEUROSCIENCES INSTITUTES'S COMMUNITY EDUCATION PROGRAMS INCLUDE HEALTH FAIRS, COMMUNITY LECTURES AND EDUCATIONAL PARTNERSHIPS WITH LOCAL SCHOOLS. THE INSTITUTE ALSO HOSTS MONTHLY COMMUNITY STROKE SUPPORT GROUPS.HEALTH NEEDS SELECTED TO ADDRESS BY ADVOCATE CHILDREN'SIN THE 2014-2016 CHNA, ADVOCATE CHILDREN'S IDENTIFIED THREE PRIORITY COMMUNITY HEALTH NEEDS FOR ACTION: 1. BECOME A TRAUMA-INFORMED CHILDREN'S HOSPITAL; 2. PROVIDE SCHOOL-BASED HEALTH CARE SERVICES TO HIGH RISK, LOW-INCOME CHILDREN IN THE SOUTH REGION MEDICAID MANAGED CARE PROGRAM; AND 3. REDUCE THE INCIDENCE OF UNCONTROLLED ASTHMA IN CHILDREN.BECOME A TRAUMA-INFORMED CHILDREN'S HOSPITALPLANS INCLUDED BECOMING THE FIRST TRAUMA-INFORMED CHILDREN'S HOSPITAL IN THE METROPOLITAN CHICAGO AREA, AS WELL AS FURTHERING THE PARTNERSHIP WITH THE ADVERSE CHILDHOOD EXPERIENCES (ACE) PROGRAM OF THE HEALTH AND MEDICINE POLICY RESEARCH GROUP TO DETERMINE BEST PRACTICES FOR TRAINING THE HOSPITAL'S CLINICAL TEAM ON ACES AND THEIR IMPACT ON IMPROVING CHILDREN'S HEALTH OUTCOMES. ADVOCATE CHILDREN'S WORKED CLOSELY WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH TO ASSIST IN REACHING ITS HEALTHY CHICAGO 2.0 GOAL OF BECOMING A TRAUMA-INFORMED CITY AND WITH ILLINOIS SENATOR DICK DURBIN TO SUPPORT LEGISLATION TO FURTHER TRAUMA-INFORMED CARE FOR CHILDREN.PROGRAM RESULTS IN 2018 WERE AS FOLLOWS.- SPONSORED AN ACADEMIC CONFERENCE TITLED "VIOLENCE IN COMMUNITIES: PROVIDING TRAUMA INFORMED CARE TO PEDIATRIC PATIENTS." A TOTAL OF 224 PHYSICIANS AND CLINICIANS WERE IN ATTENDANCE.- PROVIDED INTENSE TRAINING TO RONALD MCDONALD CARE MOBILE (RMCM) TEAMS IN TRAUMA INFORMED CARE.- LAUNCHED SCREENING OF SOCIAL DETERMINANTS OF HEALTH (SDOH) AND MAKING COMMMUNITY REFERRALS THROUGH NOWPOW COMMUNITY RESOURCE REFERRAL TOOL.- WORKED WITH ILLINOIS ACE (ADVERSE CHILDHOOD EXPERIENCES) RESPONSE COLLABORATION TO DEVELOP COMPUTER-BASED TRAINING MODULE.- DEVELOPED A STAFF NEEDS FUND TO PROVIDE RESOURCES TO STAFF EXPERIENCING TRAUMATIC EVENTS.- POLICY INTERVENTION-REVISED THE SEXUAL ABUSE POLICY TO INCLUDE TRAUMA INFORMED APPROACHES.- STARTED A CENTERING PREVENTION PROGRAM AT FOUR CLINICAL SITES.- TRAINED ALL CARE MANAGERS IN TRAUMA INFORMED APPROACH.PROVIDE SCHOOL-BASED HEALTH CARE SERVICES TO HIGH RISK, LOW-INCOME CHILDREN IN THE SOUTH REGION MEDICAID MANAGED CARE PROGRAM STRATEGIES INCLUDE OFFERING TARGETED, SCHOOL-BASED HEALTH SERVICES TO HIGH RISK, LOW INCOME CHILDREN WHO ARE UNINSURED OR ARE RECEIVING MEDICAID. SERVICES INCLUDED PRIMARY MEDICAL CARE, IMMUNIZATIONS, ASTHMA AND WEIGHT MANAGEMENT, WELLNESS AND HEALTH EDUCATION. ADVOCATE CHILDREN'S AIMED TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES THROUGH A MOBILE HEALTH CLINIC-THE RONALD MCDONALD CARE MOBILE, IMPROVE COMPLIANCE FOR PHYSICALS AND IMMUNIZATIONS AT TARGETED SCHOOLS, ESTABLISH MEDICAL AND SOCIAL REFERRAL NETWORKS AND IMPROVE ASTHMA EDUCATION AND COMPLIANCE FOR PATIENTS SEEN ON THE CARE MOBILE.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS: - ADVOCATE CHILDREN'S TREATED 1,301 PATIENTS IN OAK LAWN PSA/SSA. - FROM JANUARY TO OCTOBER 2018, THE CARE MOBILE TEAM PROVIDED SERVICES TO 1,155 CHILDREN, INCLUDING 1,067 PHYSICALS.- IN SEPTEMBER 2018, ADVOCATE CHILDREN'S IMPLEMENTED FOOD INSECURITY SCREENING WHICH RESULTED IN 21 PERCENT OF THE PATIENT POPULATION SCREENING POSITIVE FOR FOOD INSECURITY AT THE END OF DECEMBER 2018. - A TOTAL OF 2,109 VACCINES WERE GIVEN IN ADVOCATE CHILDREN'S-OAK LAWN PSA/SSA.- OVER 200 ONE-TO-ONE PATIENT EDUCATION SESSIONS WERE PROVIDED FOR NUTRITION, DENTAL HEALTH, IMMUNIZATIONS, ASTHMA AND SEXUAL HEALTH.REDUCE INCIDENCE OF UNCONTROLLED ASTHMA IN CHILDRENSTRATEGIES INCLUDED TARGETING ASTHMA SELF-MANAGEMENT SERVICES TO LOW-INCOME CHILDREN TREATED ON THE RONALD MCDONALD CARE MOBILE. ADVOCATE CHILDREN'S RESPIRATORY CARE SPECIALISTS AND HEALTH EDUCATORS ALSO OFFERED THE NATIONAL LUNG ASSOCIATION'S KICKIN' ASTHMA SCHOOL-BASED ASTHMA EDUCATION PROGRAM TO TARGETED MIDDLE AND HIGH SCHOOL AGED STUDENTS.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:- THE KICKIN' ASTHMA EDUCATION PROGRAM WAS OFFERED IN THREE SCHOOLS.- A TOTAL OF 22 STUDENTS FROM THE THREE SCHOOLS PARTICIPATED IN THE PROGRAM.HEALTH NEEDS NOT SELECTED TO ADDRESS BY ADVOCATE CHILDREN'SCHILDHOOD OBESITY WHILE NOT AN IDENTIFIED AREA FOR ACTION, CHILDHOOD OBESITY IS BEING ADDRESSED THROUGH THE HOSPITAL-SPONSORED PROACTIVE KIDS PROGRAM FOR WEIGHT LOSS AND WEIGHT MANAGEMENT. ALSO, THE HOSPITAL'S NEW HEALTHY ACTIVE LIVING PROGRAM, WHICH IS A WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT AND OBESE CHILDREN, WILL BE OFFERED TO CHILDREN LARGELY INSURED THROUGH MEDICAID. ORAL HEALTHADVOCATE CHILDREN'S IS COLLABORATING WITH MOBILE CARE CHICAGO, AN ORGANIZATION PROVIDING MOBILE DENTAL CARE TO THE AREA'S UNDERSERVED. WHERE APPROPRIATE, PATIENTS SEEN THROUGH THE ADVOCATE CHILDREN'S RONALD MCDONALD CARE MOBILE PROGRAM ARE REFERRED TO MOBILE CARE CHICAGO AND AREA DENTISTS ACCEPTING MEDICAID. ADVOCATE GOOD SHEPHERD HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED IN 2018, ADVOCATE GOOD SHEPHERD HOSTED FOUR YOUTH MENTAL HEALTH FIRST AID TRAININGS-CASA (COURT APPOINTED SPECIAL ADVOCATE) OF MCHENRY COUNTY, WAUCONDA HIGH SCHOOL ADMINISTRATORS AND FACULTY, BE STRONG BARRINGTON BOARD MEMBERS AND A COMMUNITY TRAINING OPEN TO ANY INDIVIDUAL WHO WORKS WITH YOUTH. FROM THE ADVOCATE GOOD SHEPHERD SERVICE AREA, 78 INDIVIDUALS IN YOUTH SERVICES COMPLETED THE TRAINING. POST-SURVEY RESULTS SHOWED ONE-HUNDRED PERCENT OF PARTICIPANTS HAD AN INCREASED KNOWLEDGE OF DE-ESCALATION TECHNIQUES AND WERE MORE CONFIDENT ABOUT RECOGNIZING AND CORRECTING MISCONCEPTIONS ABOUT MENTAL HEALTH AND MENTAL ILLNESSES. COMMUNITY HEALTH STAFF HAVE FOUND THAT IT IS EXTREMELY DIFFICULT FOR HOSPITAL CLINICAL STAFF TO ATTEND THE EIGHT-HOUR MENTAL HEALTH FIRST AID TRAINING. CLINICAL STAFF HAVE A NUMBER OF REQUIRED TRAININGS TO COMPLETE EACH YEAR TO MAINTAIN LICENSURE, AND THEY RARELY HAVE EXTRA DAYS AVAILABLE TO ATTEND NON-CLINICAL TRAINING. BECAUSE OF THIS, COMMUNITY HEALTH STAFF HAVE SHIFTED TO PRIMARILY TARGET COMMUNITY RESIDENTS WHO WORK WITH YOUTH TO ATTEND THE MENTAL HEALTH FIRST AID TRAINING. IN 2018, COMMUNITY HEALTH STAFF ALSO COLLABORATED WITH THE MCHENRY COUNTY MENTAL HEALTH BOARD, NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS) OF MCHENRY COUNTY AND CRYSTAL LAKE SCHOOL DISTRICT 47 TO HOLD A YOUTH MENTAL HEALTH FIRST AID MASTER INSTRUCTOR TRAINING FOR ALL SCHOOL DISTRICTS IN MCHENRY COUNTY. EACH SCHOOL DISTRICT WILL SEND TWO REPRESENTATIVES TO BECOME MASTER INSTRUCTORS, WHO WILL THEN HOLD YOUTH MENTAL HEALTH FIRST AID TRAINING AT THEIR SCHOOL DISTRICT. THE MASTER TRAINING SESSION IS PLANNED TO TAKE PLACE IN 2019. ALSO IN 2018, THROUGH COLLABORATION WITH ADVOCATE CONDELL, THE HOSPITAL SPONSORED TWO INDIVIDUALS WHO ARE CERTIFIED IN ADULT MENTAL HEALTH FIRST AID TO RECEIVE THE YOUTH MENTAL HEALTH FIRST AID CERTIFICATION. THE TWO INSTRUCTORS ARE SPANISH-SPEAKING AND WILL HOLD TRAINING SESSIONS IN LAKE AND MCHENRY COUNTIES IN SPANISH, WHICH IS A NEED IN BOTH COUNTIES.THE SECOND STRATEGY TO ADDRESS MENTAL HEALTH IS TO INCREASE THE NUMBER OF ADULTS WHO ARE SCREENED FOR DEPRESSION AND, IF POSITIVE, REFERRED TO SUPPORTIVE SERVICES BY HEALTH CARE PROFESSIONALS. COLLABORATIVE CARE FOR THE MANAGEMENT OF DEPRESSIVE DISORDERS IS A MULTICOMPONENT, HEALTHCARE SYSTEM-LEVEL INTERVENTION THAT USES CASE MANAGERS TO LINK PRIMARY CARE PROVIDERS, PATIENTS AND MENTAL HEALTH SPECIALISTS. THIS COLLABORATION IS DESIGNED TO IMPROVE THE ROUTINE SCREENING AND DIAGNOSIS OF DEPRESSIVE DISORDERS, INCREASE PROVIDER USES OF EVIDENCE-BASED PROTOCOLS FOR THE PROACTIVE MANAGEMENT OF DIAGNOSED DEPRESSIVE DISORDERS, AND IMPROVE CLINICAL AND COMMUNITY SUPPORT FOR ACTIVE PATIENT ENGAGEMENT IN TREATMENT GOAL SETTING AND SELF-MANAGEMENT. ADVOCATE GOOD SHEPHERD IS SCREENING HOSPITAL PATIENTS AGE 65 AND OLDER, OBSTETRIC PATIENTS AND CARDIOLOGY PATIENTS. HOSPITAL HEALTH CARE PROFESSIONALS REFER INDIVIDUALS WHO SCREEN POSITIVE TO COMMUNITY AND MENTAL HEALTH SUPPORT SERVICES. IN 2018, ADVOCATE GOOD SHEPHERD CONTINUED TO STRENGTHEN RELATIONSHIPS WITH THE LAKE COUNTY HEALTH DEPARTMENT AND THE MCHENRY COUNTY MENTAL HEALTH BOARD WITH THE GOAL OF IMPROVING THE REFERRAL PROCESS. COMMUNITY HEALTH STAFF COMPLETED VERIFICATION THAT DEPRESSION SCREENINGS USING THE PHQ-9 SCREENING TOOL ARE OCCURRING AT ADVOCATE GOOD SHEPHERD. REFERRALS TO MENTAL HEALTH PROVIDERS ARE BEING COMPLETED BY PHYSICIANS. HOWEVER, CURRENTLY THERE IS NO AGGREGATE DATA REPORT AVAILABLE OF PATIENTS WHO HAVE COMPLETED DEPRESSION SCREENING. THE DATA IS ONLY AVAILABLE WITHIN THE PATIENT REGISTRY. COMMUNITY HEALTH STAFF CONSULTED WITH THE ADVOCATE BEHAVIORAL HEALTH SERVICE LINE TO DETERMINE IF AGGREGATE DATA CAN BE GENERATED FROM THE REGISTRY DATA, AND NO SUCH REPORT CAN BE DEVELOPED. IN 2018, COMMUNITY HEALTH STAFF ALSO BEGAN EXPLORING A NEW PARTNERSHIP WITH THE HARVARD SENIOR CENTER AND THE PEARLS PROGRAM. THE PROGRAM TO ENCOURAGE ACTIVE, REWARDING LIVES (PEARLS) IS A NATIONAL EVIDENCE-BASED PROGRAM FOR LATE-LIFE DEPRESSION. PEARLS BRINGS HIGH QUALITY MENTAL HEALTH CARE INTO COMMUNITY-BASED SETTINGS THAT REACH VULNERABLE OLDER ADULTS. ADVOCATE GOOD SHEPHERD AND THE HARVARD SENIOR CENTER WILL COLLABORATE TO HOLD A TWO-DAY PEARLS PROGRAM MASTER TRAINING FOR PROFESSIONALS WHO WORK WITH THE SENIOR POPULATION. THE PEARLS PROGRAM WILL REPLACE THE COLLABORATIVE CARE FOR THE MANAGEMENT OF DEPRESSIVE DISORDERS INTERVENTION.COMMUNITY HEALTH STAFF EXAMINED THE RATES OF DEPRESSION FOR MEDICARE BENEFICIARIES AND THE HOSPITALIZATION RATES FOR SUICIDE AND SELF-INJURY IN THE ADVOCATE GOOD SHEPHERD SERVICE AREA AND DISCOVERED BOTH RATES WERE HIGH. DUE TO THIS, THE HOSPITAL ARRANGED TWO ONE-HOUR QUESTION, PERSUADE AND REFER (QPR) AND STRESS MANAGEMENT TRAININGS FOR THE WAUCONDA TOWNSHIP CENTER AND THE SENIOR BREAKFAST CLUB AT ADVOCATE GOOD SHEPHERD. QPR IS AN EVIDENCE-BASED SUICIDE PREVENTION TRAINING DESIGNED TO EMPOWER A PERSON WITH THE TOOLS TO IDENTIFY IF SOMEONE IS SUICIDAL AND REFER THEM TO PROFESSIONAL RESOURCES. A TOTAL OF 49 PEOPLE ATTENDED THE QPR SESSIONS. THE THIRD STRATEGY TO ADDRESS MENTAL HEALTH IS TO STRENGTHEN ADVOCATE GOOD SHEPHERD'S LINKAGES TO COMMUNITY MENTAL HEALTH AGENCIES WITHIN THE SERVICE AREA. ON MAY 12, 2018, THE HOSPITAL SPONSORED A MENTAL HEALTH RESOURCE FAIR TO INTRODUCE COMMUNITY MENTAL HEALTH AGENCIES AND PROVIDERS TO ADVOCATE GOOD SHEPHERD STAFF (PROVIDERS, NURSES, SOCIAL WORKERS, CARE MANAGERS). RESOURCE FAIR ATTENDEES LEARNED ABOUT SERVICES PROVIDED AND INSURANCE COVERAGE ACCEPTED BY THE MENTAL HEALTH AGENCIES TO INCREASE THE KNOWLEDGE THAT ADVOCATE GOOD SHEPHERD STAFF HAVE ABOUT MENTAL HEALTH RESOURCES AVAILABLE FOR HOSPITAL PATIENTS. THE RESOURCE FAIR WAS HELD JOINTLY WITH ADVOCATE CONDELL. A TOTAL OF 13 PEOPLE ATTENDED THE RESOURCE FAIR. BASED ON PRE-TEST AND POST-TEST RESULTS THERE WAS A FORTY-SIX PERCENT INCREASE OF KNOWLEDGE OF RESOURCES IN THE COMMUNITY FOR ATTENDEES. LOW ATTENDANCE WAS LIKELY DUE TO THE FACT THAT IT WAS HELD ON A SATURDAY, WHEN STAFFING LEVELS ARE LOWER AT THE HOSPITAL. ADDITIONALLY, RESOURCE FAIRS OVERALL ARE GARNERING MUCH LOWER ATTENDANCE THAN IN PREVIOUS YEARS DUE TO THE EASE AND AVAILABILITY OF INFORMATION NOW BEING AVAILABLE ONLINE. TO ADDRESS THE MENTAL HEALTH NEEDS OF THE BARRINGTON AREA, IN 2017-2018, ADVOCATE GOOD SHEPHERD ALSO OVERSAW THE DEVELOPMENT AND LAUNCH OF A MENTAL HEALTH RESOURCE WEBSITE NAMED HEALTHY BARRINGTON. HTTPS://HEALTHYBARRINGTON.ORG/LOCAL-MENTAL-HEALTH-PROVIDERS/COMMUNITY HEALTH STAFF PARTNERED WITH BARRINGTON YOUTH AND FAMILY SERVICES TO APPLY FOR A $15,000 GRANT FROM THE BARRINGTON AREA COMMUNITY FOUNDATION TO PARTIALLY FUND THE WEBSITE DEVELOPMENT. ADVOCATE GOOD SHEPHERD FUNDED THE REMAINING COST. COMMUNITY HEALTH STAFF WORKED FOR SEVERAL MONTHS WITH A CONTRACTED WEBSITE DEVELOPER AND A SUBCOMMITTEE OF THE HEALTHIER BARRINGTON COALITION TO DEVELOP THE WEBSITE, WHICH PROVIDES A WIDE ARRAY OF RESOURCES TO BARRINGTON AREA RESIDENTS, INCLUDING MENTAL HEALTH COUNSELING, SUBSTANCE USE TREATMENT AND OTHER SUPPORTIVE SERVICES WITHIN THE GREATER CHICAGOLAND AREA. THE WEBSITE OFFICIALLY LAUNCHED IN AUGUST 2018.MENTAL HEALTH AND SUBSTANCE USE ARE COMMON CO-OCCURRING CONDITIONS. THOUGH NOT SPECIFICALLY SELECTED AS A PRIORITY, THE HOSPITAL SAW THE NEED TO IMPLEMENT A PROGRAM TO SPECIFICALLY ADDRESS COMMUNITY RESIDENTS STRUGGLING WITH OPIOID USE DISORDER. FOR THE ADVOCATE GOOD SHEPHERD PSA, THE AGE-ADJUSTED ER RATE DUE TO SUBSTANCE ABUSE CONSISTENTLY CLIMBED FROM 10 ED VISITS PER 10,000 POPULATION IN 2010-2012, TO 12 ED VISITS PER 10,000 POPULATION IN 2012-2014. IN 2018, ADVOCATE GOOD SHEPHERD ENTERED INTO AN AGREEMENT WITH GATEWAY FOUNDATION ALCOHOL AND DRUG TREATMENT, A NON-PROFIT ORGANIZATION WITH TREATMENT CENTERS LOCATED THROUGHOUT ILLINOIS, TO SPECIFICALLY ADDRESS THE OPIOID CRISIS IN LAKE COUNTY AND MCHENRY COUNTY. IN COORDINATION WITH HOSPITAL EMERGENCY DEPARTMENT (ED) STAFF, GATEWAY FOUNDATION HAS PLACED A FULL-TIME CREDENTIALED ENGAGEMENT SPECIALIST WITHIN THE ADVOCATE GOOD SHEPHERD ED TO WORK WITH PATIENTS PRESENTING WITH A MEDICAL ISSUE RELATED TO OPIOID USE DISORDER. THE GATEWAY ENGAGEMENT SPECIALIST WORKS CLOSELY WITH ED SOCIAL WORKERS AND CARE MANAGERS TO COMPLETE A CLINICAL ASSESSMENT AND CONTINUING CARE PLAN WITH THE PATIENT. THE GOAL IS TO COORDINATE A DIRECT TRANSFER OR REFERRAL INTO SUBSTANCE USE TREATMENT FOR PATIENTS COMING INTO THE ED FOR OPIOIDS. GATEWAY FOUNDATION ALSO EMPLOYS A RECOVERY COACH TO PROVIDE SUPPORT AND COMMUNITY OUTREACH TO INDIVIDUALS SEEKING TREATMENT OR IN RECOVERY. THE PROGRAM LAUNCHED IN JANUARY 2018 AND 59 PATIENTS WERE SEEN BY THE ENGAGEMENT SPECIALIST IN 2018. THIRTY-FIVE PATIENTS (FIFTY-NINE PERCENT) WERE REFERRED FOR SUBSTANCE USE TREATMENT, AND OF THESE, 12 PATIENTS (THIRTY-FOUR PERCENT) KEPT THE APPOINTMENT WITH THE TREATMENT FACILITY. ADVOCATE GOOD SHEPHERD HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED NEEDS NOT SELECTED TO ADDRESSDIABETESDIABETES WAS IDENTIFIED AS A HEALTH NEED WITHIN THE ADVOCATE GOOD SHEPHERD SERVICE AREA. DIABETES PREVALENCE IS INCREASING OVER TIME IN THE NATION AND LOCALLY. EMERGENCY ROOM AND HOSPITALIZATION RATES FOR DIABETES HAVE ALSO CONTINUED TO INCREASE OVER TIME. THOUGH A SIGNIFICANT NEED, THE COMMUNITY HEALTH COUNCIL MADE THE DECISION TO FOCUS ON OBESITY AS A PRIORITY, GIVEN ITS IMPACT ON THE RISK FOR PRE-DIABETES AND DIABETES. ADVOCATE GOOD SHEPHERD HAS A DIABETES ADVISORY COMMITTEE THAT IS COMMITTED TO DIABETES PREVENTION AND TREATMENT IN THE COMMUNITY THROUGH EDUCATION, PROGRAMMING AND SCREENINGS. CARDIOVASCULAR DISEASEIN MCHENRY COUNTY, THERE HAS BEEN A DECLINE IN MORTALITY RATES FOR HEART DISEASE AND STROKE. OVER THE PAST DECADE, MCHENRY COUNTY'S HEART DISEASE DEATH RATE HAS DROPPED BY NINETEEN PERCENT, WHILE THE STROKE DEATH RATE HAS FALLEN BY TWENTY-FIVE PERCENT. THE MOST RECENT DEATH RATE DATA FOR STROKE AND HEART DISEASE SHOWS THIS CONTINUING DOWNWARD TREND. THE PREVALENCE RATE OF HEART DISEASE IS SLIGHTLY HIGHER IN MCHENRY COUNTY THAN LAKE COUNTY; HOWEVER, THE MORTALITY RATE FROM HEART DISEASE IS HIGHER IN LAKE COUNTY THAN MCHENRY COUNTY. THE COMMUNITY HEALTH COUNCIL DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS IMPACT ON THE RISK FACTORS FOR HEART DISEASE. THE HOSPITAL IS COMMITTED TO DECREASING THE RATE OF HEART DISEASE THROUGH MANY OF THE ADVOCATE HEART INSTITUTE PROGRAMS. THE HOSPITAL CONTINUES TO BE A MEMBER OF THE CARDIOVASCULAR MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) ACTION TEAM IN MCHENRY COUNTY AND PARTNERS WITH THE MCHENRY COUNTY HEALTH DEPARTMENT TO ADMINISTER THE HEART AGE SCREENING TOOL THROUGHOUT THE COMMUNITY.SUBSTANCE ABUSESUBSTANCE ABUSE WAS IDENTIFIED AS A NEED WITHIN THE ADVOCATE GOOD SHEPHERD SERVICE AREA. CONTRIBUTING HEALTH BEHAVIORS IDENTIFIED INCLUDED EXCESSIVE ALCOHOL USE IN ADULTS AND THE PERCENTAGE OF TEENS USING MARIJUANA. THOSE WHO ARE MENTALLY ILL ARE MORE LIKELY TO ABUSE DRUGS OR ALCOHOL. ACCORDING TO THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), TWENTY-SEVEN PERCENT OF PEOPLE WITH MENTAL HEALTH ISSUES ABUSED ILLICIT DRUGS IN 2012. BECAUSE OF THE UNDERLYING MENTAL HEALTH ISSUES AFFECTING THE USE OF SUBSTANCES, THE COMMUNITY HEALTH COUNCIL DECIDED TO SELECT MENTAL HEALTH AS THE PRIORITY. ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF ARE ACTIVE MEMBERS OF THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE. ADVOCATE GOOD SAMARITAN HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED NINETY-SIX PERCENT OF MHFA PARTICIPANTS REPORTED THAT THEY RECOGNIZE THE SIGNS THAT SOMEONE MAY BE DEALING WITH A MENTAL HEALTH PROBLEM/CRISIS.ONE-HUNDRED PERCENT OF MHFA PARTICIPANTS REPORTED THAT THEY AGREED OR STRONGLY AGREED TO FEELING MORE COMFORTABLE LISTENING TO SOMEONE IN DISTRESS.ONE-HUNDRED PERCENT OF MHFA PARTICIPANTS AGREED OR STRONGLY AGREED THAT THEY ARE AWARE OF THEIR OWN VIEWS OR FEELINGS ABOUT MENTAL HEALTH PROBLEMS AND DISORDERS.DUPAGE COUNTY MENTAL HEALTH COLLABORATIVE-STRATEGY THREECOLLABORATE IN A COLLECTIVE IMPACT MODEL WITH DUPAGE COUNTY HEALTH DEPARTMENT, DUPAGE FEDERATION ON HUMAN SERVICES, DUPAGE HEALTH COALITION AND OTHER DUPAGE COUNTY HOSPITALS TO EXPLORE EFFECTIVE METHODS OF ADDRESSING MENTAL HEALTH CRISES IN DUPAGE COUNTY.2018 DUPAGE COUNTY MENTAL HEALTH COLLABORATIVE-STRATEGY THREE UPDATES/PROGRESSTHE DUPAGE COUNTY HEALTH DEPARTMENT ALONG WITH THE DUPAGE HEALTH COALITION CONVENED MULTIPLE STAKEHOLDER AND COMMUNITY LISTENING SESSIONS TO GAIN INSIGHT ON MENTAL HEALTH NEEDS AND ISSUES WITHIN THE COMMUNITY. EMERGENCY MEDICAL SERVICES (EMS), HOSPITALS, SOCIAL SERVICE AGENCIES, MENTAL HEALTH GROUPS AND OTHER COMMUNITY ORGANIZATIONS ATTENDED THESE LISTENING SESSIONS TO PROVIDE CRITICAL FEEDBACK AND IDENTIFY MENTAL HEALTH NEEDS/FOCUS AREAS. POST-INCARCERATION SUPPORT FOR THOSE WITH A MENTAL ILLNESS WAS IDENTIFIED AS A SERIOUS HEALTH NEED IN THE COMMUNITY. A POST-INCARCERATION SUB-GROUP, WHICH THE HOSPITAL WAS ENGAGED IN, WAS FORMED AND MET IN NOVEMBER OF 2017. THE SUB-GROUP FOCUSED ON ADDRESSING POST-INCARCERATION SUPPORT FOR THE MENTALLY ILL AND BRAINSTORMED WAYS TO ADDRESS THE NEED. IN 2018, THE DUPAGE COUNTY HEALTH DEPARTMENT RECEIVED A GRANT TO EMPLOY A RE-ENTRY SPECIALIST WHO WORKS WITH RECENTLY RELEASED OFFENDERS TO PROVIDE COMMUNITY SUPPORT AND RESOURCES FOR THEIR MENTAL NEEDS. ADVOCATE GOOD SAMARITAN IS ENGAGED IN THIS WORK THROUGH ITS MEMBERSHIP ON THE IMPACT DUPAGE STEERING COMMITTEE, A COMMITTEE THAT OVERSEES THE COUNTY'S COMMUNITY HEALTH NEEDS ASSESSMENT AND STRATEGIES, INCLUDING THE RE-ENTRY SPECIALIST PROGRAM.THE COLLABORATIVE IDENTIFIED THE RE-ENTRY SPECIALIST PROGRAM AS THE MENTAL HEALTH BEST PRACTICE THAT WOULD MOST EFFECTIVELY ADDRESS THE MENTAL HEALTH NEEDS IN DUPAGE COUNTY. 2018 WAS DEDICATED TO THE PLANNING AND STRUCTURING OF THE RE-ENTRY SPECIALIST PROGRAM. THE PROGRAM WILL BE IMPLEMENTED IN 2019 AT WHICH TIME THE HOSPITAL WILL REACH OUT TO IDENTIFY ANY OPPORTUNITIES TO PARTNER AND/OR SUPPORT THE PROGRAM.90-MINUTE MENTAL HEALTH TRAINING-STRATEGY FOURPROVIDE A 90-MINUTE MENTAL HEALTH TRAINING FOR EMERGENCY DEPARTMENT (ED) STAFF AND PHYSICIANS.2018 90-MINUTE MENTAL HEALTH TRAINING- STRATEGY FOUR UPDATES/PROGRESSADVOCATE GOOD SAMARITAN DID NOT HAVE ANY MENTAL HEALTH TRAININGS FOR ED STAFF IN 2018 DUE TO STAFF TURN-OVER AND ORGANIZATIONAL RE-STRUCTURING. THE HOSPITAL PLANS TO WORK WITH THE ED LEADERSHIP TEAM TO IMPLEMENT THIS TRAINING IN 2019.TEEN RECOVERY SUPPORT GROUP-STRATEGY FIVE-FIVE SUPPORT NAMI'S TEEN RECOVERY SUPPORT GROUP THROUGH PROVIDING ADVOCATE GOOD SAMARITAN MENTAL HEALTH COUNSELORS TO FACILITATE GROUP DISCUSSIONS.2018 TEEN RECOVERY SUPPORT GROUP- STRATEGY UPDATES/PROGRESSTHERE WERE THREE ADVOCATE GOOD SAMARITAN MENTAL HEALTH COUNSELORS APPROVED TO FACILITATE THE YOUTH PEER SUPPORT GROUP.HOSPITAL MENTAL HEALTH COUNSELORS WORKED WITH THE NAMI DUPAGE YOUTH DIRECTOR TO PILOT THE FIRST ROUND OF SUPPORT GROUPS. THE MENTAL HEALTH COUNSELORS FACILITATED A TOTAL OF EIGHT GROUPS IN 2018.IN 2018, THERE WERE SIX GROUP PARTICIPANTS (MAXIMUM GROUP SIZE IS TEN).ONE-HUNDRED PERCENT OF GROUP PARTICIPANTS ATTENDED AT LEAST ONE-HALF OF GROUP SESSIONS.COMMUNITY HEALTH NEEDS NOT SELECTEDSUBSTANCE ABUSESUBSTANCE ABUSE WAS INCLUDED IN THE TOP THREE HEALTH NEEDS FOR THE 2014-2016 CHNA BUT WAS NOT SELECTED AS A PRIORITY AT THIS TIME. ADVOCATE GOOD SAMARITAN RECOGNIZES THE NEED TO ADDRESS SUBSTANCE ABUSE IN THE COMMUNITY AND HAS DEDICATED MULTIPLE RESOURCES TO ADDRESSING THE ISSUE. THE HOSPITAL'S DETOX CENTER SERVES PATIENTS WITH ADDICTION ISSUES AND PROVIDES A SAFE ENVIRONMENT FOR SUBSTANCE ABUSE WITHDRAWAL. IN ADDITION, THE HOSPITAL RECEIVED A GRANT TO IMPLEMENT A LINKAGE TO CARE PROGRAM, WHICH EMPLOYS A COMMUNITY LINKAGE SPECIALIST TO LINK DISCHARGED DETOX UNIT PATIENTS TO COMMUNITY SUPPORT SERVICES AND TO FOLLOW-UP WITH PATIENTS AT 30, 60, 90 AND 180 DAYS POST-DISCHARGE TO CHECK-IN ON PROGRESS AND PROVIDE ADDITIONAL SUPPORT IF NEEDED. THE HOSPITAL ALSO PROVIDES RESOURCES FOR COMMUNITY PARTNERS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). BOTH AA AND NA SUPPORT GROUPS HOLD REGULAR MEETINGS AT ADVOCATE GOOD SAMARITAN.ASTHMAASTHMA WAS IDENTIFIED AS A HEALTH NEED IN THE 2014-2016 CHNA BUT WAS NOT SELECTED AS A PRIORITY TO ADDRESS DUE TO THE LACK OF COMMUNITY PARTNERS AND THE AVAILABILITY OF ASTHMA PREVENTION PROGRAMS. THE MAJORITY OF ASTHMA PROGRAMS WITHIN THE COUNTY ARE FOCUSED ON ASTHMA ATTACK PREVENTION AND TREATMENT. THE CHC ALSO IDENTIFIED HOSPITALIZATION AND ED VISIT RATES DUE TO ASTHMA AS A POTENTIAL ACCESS TO HEALTH CARE ISSUE. TAKING THIS INTO CONSIDERATION, THE COMMUNITY HEALTH MANAGER ALONG WITH THE CHC IDENTIFIED SEVERAL HOSPITAL PROGRAMS THAT ADDRESSED ACCESS TO HEALTH CARE, INCLUDING SUPPORT SERVICES FOR ED OVERUTILIZATION DUE TO LACK OF PRIMARY CARE FOR CHRONIC CONDITIONS LIKE ASTHMA. THROUGH HOSPITAL PARTNERSHIPS, SUCH AS ADVOCATE GOOD SAMARITAN'S PARTNERSHIP WITH ENGAGE DUPAGE, ASTHMATIC PATIENTS WHO ARE IN NEED OF PRIMARY CARE WILL RECEIVE SUPPORT FROM PROGRAM STAFF THAT PROVIDE LINKAGES TO PRIMARY CARE AND INSURANCE COVERAGE.ACCESS TO HEALTH CARE SERVICESTHE CHC ACKNOWLEDGES ACCESS TO HEALTH CARE SERVICES AS A CRITICAL NEED FOR THE HOSPITAL'S PSA. THIS NEED WAS NOT PRIORITIZED DUE TO SEVERAL PROGRAMS AND PARTNERSHIPS THAT ARE CURRENTLY BEING IMPLEMENTED TO ADDRESS ACCESS TO HEALTH CARE IN THE HOSPITAL SERVICE AREA. THE HOSPITAL HAS A FINANCIALLY SIGNIFICANT LONG STANDING PARTNERSHIP WITH DUPAGE HEALTH COALITION (FORMERLY KNOWN AS ACCESS DUPAGE), WHICH WORKS WITH UNINSURED AND UNDERINSURED PATIENTS TO CONNECT THEM TO HEALTH CARE COVERAGE AND PRIMARY CARE SERVICES. THE HOSPITAL SERVES MANY DUPAGE HEALTH COALITION/ACCESS DUPAGE CLIENTS AND WILL CONTINUE TO WORK WITH THE ORGANIZATION TO LINK VULNERABLE POPULATIONS TO EFFECTIVE HEALTH CARE COVERAGE AND SERVICES. IN 2018, ADVOCATE GOOD SAMARITAN CONTRIBUTED $414,884 DIRECTLY TO DUPAGE HEALTH COALITION TO SERVE PATIENT NEEDS. IN ADDITION, THE HOSPITAL PROVIDES FREE INPATIENT AND OUTPATIENT CARE SERVICES TO PATIENTS REFERRED TO THE HOSPITAL FROM THE DUPAGE HEALTH COALITION.THE HOSPITAL'S MEDICAL MODEL WELLNESS CENTER ALSO PROVDES FREE OR LOW COST MEMBERSHIPS TO LOW-INCOME PATIENTS DIAGNOSED WITH A CHRONIC DISEASE WHO WOULD BENEFIT FROM THE SERVICES AT THE WELLNESS CENTER.THE HOSPITAL IS ENGAGING IN STRONG PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING DUPAGE HEALTH COALTIONS TO IMPROVE HEALTH OUTCOMES IN THE PSA AND ED UTILIZATION WITHIN THE HOSPITAL. THE COMMUNITY HEALTH MANAGER WILL CONTINUE TO TRACK PROGRESS OF BOTH PROGRAMS AND REPORT PROGRAM OUTCOMES TO THE CHC.CANCERCANCER WAS IDENTIFIED AS A HEALTH NEED FOR THE HOSPITAL'S PRIMARY SERVICE AREA DUE TO HIGH INCIDENCE AND PREVALENCE RATES OF THE DISEASE. THE CHC DID NOT SELECT THIS NEED AS A PRIORITY DUE TO THE MYRIAD OF CANCER SERVICES AND SUPPORT GROUPS THE HOSPITAL CURRENTLY OFFERS TO PATIENTS WITHIN THE PSA. AN ARRAY OF CANCER TREATMENTS AND SUPPORT SERVICES ARE OFFERED THROUGH THE HOSPITAL'S BHORADE CANCER CENTER. THE CANCER CENTER STAFF ALSO CONDUCT A COMMUNITY NEEDS ASSESSMENT, WHICH INCLUDES COLLECTION AND ANALYSIS OF DEMOGRAPHIC AND CANCER DATA FOR THE HOSPITAL'S PSA. BHORADE CANCER CENTER STAFF UTILIZE THIS DATA TO DEVELOP THE SERVICE LINE'S STRATEGIC PLAN AND EVALUATE THE IMPACT OF CANCER TREATMENTS AND SERVICES. IN ADDITION, THE HOSPITAL'S BHORADE CANCER CENTER PARTNERS WITH MANY COMMUNITY ORGANIZATIONS THAT OFFER SUPPORT SERVICES FOR CANCER PATIENTS AND SURVIVORS. ORGANIZATIONS SUCH AS WELLNESS HOUSE OFFER SUPPORT GROUPS FREE OF CHARGE TO CANCER PATIENTS AT ADVOCATE GOOD SAMARITAN.THE HOSPITAL HAS ALSO PARTNERED WITH THE AMERICAN CANCER SOCIETY TO SIGN THE 80 BY 2018 PLEDGE, WHICH AIMS TO SCREEN 80 PERCENT OF INDIVIDUALS AGED 50 AND OLDER IN THE PSA FOR COLORECTAL CANCER BY THE YEAR 2018. THE HOSPITAL'S BHORADE CANCER CENTER, IN PARTNERSHIP WITH THE COMMUNITY HEALTH DEPARTMENT, IS WORKING TO INCREASE SCREENINGS THROUGH EDUCATION AND AWARENESS IN THE COMMUNITY.IN ADDITION, THE HOSPITAL'S BHORADE CANCER CENTER IS PARTNERING WITH LOCAL COMMUNITY ORGANIZATIONS AND CHURCHES TO IMPLEMENT HEALTHY LIFESTYLE AND POST MENOPAUSAL CANCER PREVENTION WORKSHOPS. THE HOSPITAL'S COMMUNITY HEALTH DIRECTOR WILL SUPPORT THIS EFFORT THROUGH IDENTIFYING COMMUNITY ORGANIZATIONS THAT SERVE THE TARGET POPULATION. ADVOCATE GOOD SAMARITAN HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED THE HOSPITAL ALSO HAS A WHY WAIT CLINIC THAT PROVIDES MAMMOGRAMS AND FOLLOW-UP SERVICES RELATED TO BREAST HEALTH TO LOW-INCOME WOMEN. IN 2018, $295,000 WAS SPENT ON BREAST HEALTH SERVICES FOR LOW-INCOME WOMEN. IMMUNIZATION-PREVENTABLE PNEUMONIA AND INFLUENZA THE CHC RECOMMENDED THAT IMMUNIZATION-PREVENTABLE DISEASE NOT BE SELECTED AS A PRIORITY HEALTH NEED AT THIS TIME DUE TO CURRENT EFFORTS BEING IMPLEMENTED TO ADDRESS THIS NEED. THROUGHOUT DUPAGE COUNTY, THE RETAIL AND NONPROFIT SECTORS ARE EFFECTIVELY ADDRESSING THE NEED FOR VACCINATIONS. THE RETAIL SECTOR (WALGREENS, CVS, OSCO DRUG) DOES SIGNIFICANT ADVERTISEMENT OF VACCINATION SERVICES, WHICH THEY OFFER FOR A LOW COST TO THE COMMUNITY. IN ADDITION, THE DUPAGE COUNTY HEALTH DEPARTMENT OFFERS VACCINATIONS TO CHILDREN AND ADULTS WITH NO HEALTH INSURANCE FOR A MINIMAL FEE. VACCINES ARE READILY AVAILABLE TO ALL DUPAGE COUNTY RESIDENTS THEREFORE THE CHC COULD NOT IDENTIFY A GAP IN SERVICES. SENIOR HEALTHTHE HOSPITAL RECOGNIZES THE IMPORTANCE OF SENIOR HEALTH; THEREFORE, THE CHC CHOSE TO CONTINUE THE IMPLEMENTATION OF THE MATTER OF BALANCE (MOB) PROGRAM, BUT DID NOT SELECT THIS NEED AS A PRIORITY FOR THE 2016 CHNA. FALL RATES WERE NOT SIGNIFICANTLY HIGH BUT THE SERIOUSNESS OF FALLS FOR SENIORS IS NOTEWORTHY HENCE THE CONTINUATION OF THE MOB PROGRAM. IN ADDITION TO THE MOB PROGRAM, THE HOSPITAL ALSO OFFERS AN ARRAY OF SENIOR SERVICES AND PROGRAMS INCLUDING AN ANNUAL SENIOR HEALTH FAIR. DOMESTIC VIOLENCETHE CHC ACKNOWLEDGES THE SERIOUSNESS OF DOMESTIC VIOLENCE; HOWEVER, DUE TO A LACK OF DETAILED DATA, THE COUNCIL WAS NOT ABLE TO UNDERSTAND THE FULL SCOPE AND MAGNITUDE OF THIS HEALTH NEED RESULTING IN THE DECISION TO NOT SELECT DOMESTIC VIOLENCE AS A PRIORITY. ALTHOUGH PREVALENCE RATES OF DOMESTIC VIOLENCE WERE HIGH, THE DETAILS OF THE TYPE OF DOMESTIC VIOLENCE AND AFFECTED POPULATIONS WERE NOT AVAILABLE FOR THE CHC TO REVIEW. ADVOCATE GOOD SAMARITAN CURRENTLY ADDRESSES THIS HEALTH NEED INCLUDING: DOMESTIC VIOLENCE TRAINING FOR ED NURSES, COMMUNITY PHYSICIANS AND PARISH NURSES, AND PROVISION OF SUPPORT GROUPS AND INDIVIDUAL THERAPY FOR VICTIMS OF DOMESTIC VIOLENCE. IN ADDITION, THE HOSPITAL IS A MEMBER OF THE 18TH JUDICIAL COURT DOMESTIC VIOLENCE COORDINATING COUNCIL. THE PURPOSE OF THE 18TH JUDICIAL CIRCUIT FAMILY VIOLENCE COORDINATING COUNCIL IS TO ESTABLISH A FORUM TO: IMPROVE THE INSTITUTIONAL, PROFESSIONAL AND COMMUNITY RESPONSE TO FAMILY VIOLENCE INCLUDING CHILD ABUSE, DOMESTIC ABUSE, AND ELDER ABUSE; ENGAGE IN EDUCATION AND PREVENTION; COORDINATE INTERVENTION AND SERVICES FOR VICTIMS AND PERPETRATORS; AND CONTRIBUTE TO THE IMPROVEMENT OF THE LEGAL SYSTEM AND THE ADMINISTRATION OF JUSTICE.HEART DISEASE AND STROKETHE CDC REPORTS THAT AT LEAST 200,000 DEATHS FROM HEART DISEASE AND STROKE ARE PREVENTABLE EACH YEAR. OBESITY INCREASES THE RISK OF HEART DISEASE AND IS A MAJOR RISK FACTOR FOR HIGH BLOOD PRESSURE, WHICH IS ALSO A SYMPTOM OF HEART DISEASE. AFTER CAREFUL ANALYSIS OF DATA, THE CHC DECIDED NOT TO PRIORITIZE HEART DISEASE AND STROKE BECAUSE OF THE IMPACT OBESITY PREVENTION HAS ON HEART DISEASE. THE CHC WILL ADDRESS HEART DISEASE AND STROKE THROUGH THE HEALTHY LIFESTYLES PRIORITY. AS A RESULT OF THE HEALTHY LIFESTYLES IMPLEMENTATION PLAN, THE HOSPITAL WILL ADDRESS ONE OF THE MAIN CAUSES OF HEART DISEASE. ADVOCATE LUTHERAN GENERAL HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED SCHOOL-BASED AND MOBILE HEALTH SERVICES-STRATEGY ONEADVOCATE CHILDREN'S WILL OFFER TARGETED, SCHOOL-BASED HEALTH SERVICES TO HIGH RISK, LOW-INCOME CHILDREN WHO ARE UNINSURED OR ARE RECEIVING MEDICAID. SERVICES ARE TO INCLUDE PRIMARY MEDICAL CARE, IMMUNIZATIONS, ASTHMA, WEIGHT MANAGEMENT, AND WELLNESS AND HEALTH EDUCATION. ADVOCATE CHILDREN'S WILL IMPROVE ACCESS THROUGH THE RONALD MCDONALD CARE MOBILE, A MOBILE HEALTH CLINIC. THE CARE MOBILE ALSO AIMS TO IMPROVE COMPLIANCE FOR PHYSICALS AND IMMUNIZATIONS AT TARGETED SCHOOLS, ESTABLISH MEDICAL AND SOCIAL REFERRAL NETWORKS, AND IMPROVE ASTHMA EDUCATION AND COMPLIANCE FOR PATIENTS SEEN ON THE CARE MOBILE.2018 SCHOOL-BASED AND MOBILE HEALTH SERVICES-STRATEGY ONE UPDATES/PROGRESSTHE CARE MOBILE TEAM PROVIDED A TOTAL OF 3,319 PHYSICALS IN BOTH THE NORTH AND SOUTH REGIONS. IN 2018, ACH PROVIDED 4,349 VACCINATIONS IN PARK RIDGE PSA/SSA, ACHIEVING A 95-98% COMPLIANCE RATE FOR SELECT SCHOOLS IN THE NORTHERN REGION SERVICE AREA. REFERRAL PARTNERSHIPS EXIST WITH ADVOCATE, MOBILE CARE CHICAGO FOR DENTAL AND ASTHMA, AND LAKE COUNTY PUBLIC HEALTH DEPARTMENT FOR FOLLOW-UP PRIMARY AND SPECIALTY SERVICE REFERRALS. STUDENTS WERE ALSO GIVEN LOCAL REFERRAL LISTS FOR FEDERALLY QUALIFIED HEALTH CENTERS AND PROVIDERS WHO ACCEPT MEDICAID IN EFFORTS TO ESTABLISH A MEDICAL HOME. REDUCE INCIDENCE OF UNCONTROLLED ASTHMA IN CHILDRENASTHMA EDUCATION-STRATEGY TWOADVOCATE CHILDREN'S WILL PROVIDE DIRECT 1:1 EDUCATION TO ASSIST PATIENTS IN RECOGNIZING TRIGGERS AND MANAGING MEDICATION. THE PATIENT POPULATION WILL BE ASSESSED TO IDENTIFY SCHOOLS WITH THE HIGHEST CONCENTRATION OF CHILDREN WITH ASTHMA. THE NATIONAL LUNG ASSOCIATION'S SCHOOL-BASED ASTHMA EDUCATION PROGRAM CALLED KICKIN' ASTHMA WILL BE PROVIDED TO PARTNER SCHOOLS.2018 ASTHMA EDUCATION-STRATEGY TWO UPDATES/PROGRESSIN 2018, ADVOCATE CHILDREN'S DID NOT HAVE AN AMERICORPS MEMBER IN THE NORTH REGION TO OFFER THE KICKIN' ASTHMA PROGRAM. THE KICKIN' ASTHMA PROGRAM WAS OFFERED IN THE SOUTH REGION BECAUSE THERE WAS AN AMERICORPS MEMBER TO IMPLEMENT THE PROGRAM. BECOME A TRAUMA-INFORMED CHILDREN'S HOSPITALTRAUMA-INFORMED HOSPITAL-STRATEGY ONEADVOCATE CHILDREN'S HAS A GOAL OF BECOMING THE FIRST TRAUMA-INFORMED CHILDREN'S HOSPITAL IN THE METROPOLITAN CHICAGO AREA. THE HOSPITAL WOULD ALSO LIKE TO PARTNER WITH THE ADVERSE CHILDHOOD EXPERIENCES (ACE) PROGRAM OF THE HEALTH AND MEDICINE POLICY RESEARCH GROUP TO DETERMINE BEST PRACTICES FOR TRAINING THE HOSPITAL'S CLINICAL TEAM ON ACES AND THEIR IMPACT ON IMPROVING CHILDREN'S HEALTH OUTCOMES. ADVOCATE CHILDREN'S WILL ALSO WORK CLOSELY WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH TO ASSIST IN REACHING ITS HEALTHY CHICAGO 2.0 GOAL OF BECOMING A TRAUMA-INFORMED CITY.2018 TRAUMA-INFORMED HOSPITAL STRATEGY ONE UPDATES/PROGRESSADVOCATE CHILDREN'S RESEARCHED APPROPRIATE COMPUTER-BASED INSTRUCTION MODULES ON TRAUMA-INFORMED CARE TO BE ROLLED OUT TO PHYSICIANS AND TEAM MEMBERS. THE HOSPITAL IS WORKING WITH THE PROCESS IMPROVEMENT TEAM AND INSTRUCTIONAL DESIGN TO DEVELOP MODULE CONTENT. PATIENT SCREENING AND ASSESSMENT TOOLS WERE REVIEWED AND STAFF TRAINING MODULES WERE DEVELOPED. RESILIENCY TRAINING THROUGH THE VITAL HEARTS PROGRAM, WHICH IS AN EVIDENCE-BASED BEST PRACTICE MODEL OF FOSTERING RESILIENCY AND SELF-CARE FOR CLINICIANS, WAS USED TO TRAIN OVER 200 CLINICIANS.ADVOCATE LUTHERAN GENERAL'S HEALTH NEEDS NOT SELECTED TO ADDRESS DIABETES DIABETES WAS IDENTIFIED AS A HEALTH NEED IN ADVOCATE LUTHERAN GENERAL'S PSA. THIS HEALTH NEED WAS NOT PRIORITIZED DUE TO PROGRAMS AND RESEARCH THAT ARE ALREADY IN PLACE TO ADDRESS THIS HEALTH ISSUE. IN PARTNERSHIP WITH THE HOSPITAL'S FAMILY RESIDENCY PROGRAM, THE COMMUNITY HEALTH DEPARTMENT WAS AWARDED GRANT FUNDS FOR A PART-TIME COMMUNITY HEALTH WORKER (CHW) FOCUSED SPECIFICALLY ON DIABETES. THE CHW WAS BI-LINGUAL AND PROVIDED EDUCATION AND NAVIGATION TO HISPANIC/LATINO PATIENTS AND OFFERED MULTIPLE CHRONIC DISEASE MANAGEMENT WORKSHOPS TO THE BROADER COMMUNITY. CANCERCANCER WAS ALSO IDENTIFIED AS A MAJOR HEALTH ISSUE BUT WAS NOT PRIORITIZED BECAUSE ADVOCATE LUTHERAN GENERAL HAD AN EXISTING COMPREHENSIVE ONCOLOGY PROGRAM. THE HOSPITAL CANCER COMMITTEE WORKS WITH COMMUNITY HEALTH DEPARTMENT STAFF TO CONDUCT AN ANNUAL COMMUNITY NEEDS ASSESSMENT SPECIFIC TO CANCER. THE HOSPITAL ALSO WORKS CLOSELY WITH THE AMERICAN CANCER SOCIETY TO DEVELOP EDUCATION, PREVENTION AND SCREENING PROGRAMS. RECOGNIZING THAT 70 PERCENT OF CANCER PATIENTS NOW LIVE FIVE YEARS OR MORE, THE HOSPITAL OPENED A HOSPITAL-BASED, FREE-STANDING CANCER SURVIVORSHIP CENTER IN 2013. IN ADDITION TO OFFERING DAILY WELLNESS CLASSES FOR CANCER PATIENTS AND THOSE WHO SUPPORT THEM, THE CENTER SERVES AS A RESOURCE WHERE PATIENTS AND THEIR SUPPORT PERSON(S) CAN ACCESS INFORMATION AND COMMUNITY RESOURCES TO ASSIST THEM IN MAKING DECISIONS THROUGHOUT THEIR CANCER JOURNEY. DUE TO THE ON-GOING WORK AROUND CANCER PREVENTION, SCREENING AND TREATMENT THROUGH THE HOSPITAL'S CANCER COMMITTEE, THE COMMUNITY HEALTH COUNCIL DECIDED NOT TO IDENTIFY THIS ISSUE AS A PRIORITY HEALTH NEED. MENTAL HEALTH AS IN THE 2011-2013 CHNA, MENTAL HEALTH WAS RECOGNIZED AS AN IMPORTANT HEALTH NEED. ADVOCATE LUTHERAN GENERAL CONTINUES TO WORK WITH THE HEALTHIER PARK RIDGE, NILES AND DES PLAINES COALITIONS TO ADDRESS MENTAL HEALTH IN THESE COMMUNITIES. THE COALITIONS INCLUDE NUMEROUS MENTAL HEALTH PROFESSIONALS AND ORGANIZATIONS SUCH AS THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI). DUE TO EXISTING PROGRAMMING AND PARTNERSHIPS WORKING TO ADDRESS MENTAL HEALTH AS OUTLINED ABOVE, MENTAL HEALTH WAS NOT CHOSEN AS A HEALTH PRIORITY. CULTURAL HEALTH DISPARITIES AS INDICATED IN THE 2011-2013 CHNA, CULTURAL HEALTH DISPARITIES STILL EXIST, BUT THIS AREA WAS NOT CHOSEN AS A PRIORITY FOR THE 2014-2016 CHNA. AS STATED IN AN EARLIER SECTION, ADVOCATE LUTHERAN GENERAL HAS CONTINUED TO EXPAND AND ENHANCE ITS CULTURAL INITIATIVES TO ADDRESS HEALTH EQUITY. THESE INITIATIVES INCLUDE THE SOUTH ASIAN CARDIOVASCULAR CENTER AND PROGRAMS FOR THE KOREAN, POLISH AND HISPANIC COMMUNITIES. ADVOCATE CHILDREN'S HEALTH NEEDS NOT SELECTED TO ADDRESS CHILDHOOD OBESITYADVOCATE CHILDREN'S DID NOT SELECT CHILDHOOD OBESITY AS A HEALTH NEED. THE HOSPITAL IS, HOWEVER, ADDRESSING CHILDHOOD OBESITY THROUGH THE HOSPITAL'S HEALTHY ACTIVE LIVING PROGRAM-A WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT AND OBESE CHILDREN LARGELY INSURED THROUGH MEDICAID. COMPONENTS OF THE PROGRAM ARE OFFERED TO STUDENTS IN THE EXPANDED LEARNING PROGRAM OF EAST MAINE SCHOOL DISTRICT 63.ASTHMAHOSPITAL UTILIZATION DATA SHOWS THAT DES PLAINES AND WHEELING-AREAS WITH LARGE VOLUMES OF MEDICAID MANAGED CARE PARTICIPANTS-ARE TWO OF THE TOP NINE COMMUNITIES ACCOUNTING FOR SIXTY-ONE PERCENT OF ALL ASTHMA DISCHARGES. DATA ALSO SHOWS THAT THE EMERGENCY ROOM (ER) RATE DUE TO PEDIATRIC ASTHMA HAS STEADILY RISEN SINCE 2009. WHILE ASTHMA WAS NOT SPECIFICALLY SELECTED AS A HEALTH NEED, ASTHMA EDUCATION AND TREATMENT ARE A FOCUS OF PRIMARY CARE SERVICES BEING PROVIDED AS PART OF THE SCHOOL-BASED MODEL DESCRIBED ABOVE. SELECT SCHOOLS WITH LARGE CONCENTRATIONS OF CHILDREN WHO EXPERIENCE ASTHMA, AS IDENTIFIED BY STAFF OF THE RONALD MCDONALD CARE MOBILE, WILL RECEIVE THE AMERICAN LUNG ASSOCIATION'S KICKIN' ASTHMA PROGRAM. THIS PROGRAM OFFERS SMALL GROUP EDUCATION REGARDING TRIGGERS, SYMPTOMS AND PROPER MANAGEMENT OF THE DISEASE. ADVOCATE SOUTH SUBURBAN HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED STRATEGY 1: INCORPORATE THE METROPOLITAN TENANTS ORGANIZATION'S (MTO) HEALTHY HOMES INITIATIVE INTO THE KICKIN' ASTHMA PROGRAM WITHIN THE FOLLOWING ZIP CODES: 60411, 60426, 60428, 60429 AND 60478.- TO ADDRESS THIS SOCIAL DISPARITY, THE HOSPITAL PARTNERED WITH THE METROPOLITAN TENANTS ORGANIZATION (MTO), AN ADVOCACY ORGANIZATION FOR TENANTS' RIGHTS, TO EDUCATE, ORGANIZE AND EMPOWER TENANTS TO EXERCISE THEIR HUMAN RIGHT TO AFFORDABLE AND SAFE HOUSING. AS PART OF THIS PARTNERSHIP, THE HOSPITAL CHOSE TO IMPLEMENT THE ORGANIZATION'S HEALTHY HOMES AWARENESS PROGRAM TO IMPROVE HEALTH OUTCOMES FOR ASTHMA PATIENTS IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE HEALTHY HOMES PROGRAM IS INTENDED TO HELP TENANTS LEARN ABOUT HIDDEN AND VISIBLE HEALTH HAZARDS IN THE HOME, HOW TO PREVENT EXPOSURE AND CONNECTS TENANTS WITH VITAL RESOURCES FOR IMPROVING HOUSING CONDITIONS.STRATEGY 2: PARTNER WITH METROPOLITAN TENANTS ORGANIZATION (MTO) TO PROVIDE HEALTHY HOMES EDUCATION TO DECREASE ASTHMA TRIGGERS IN HOMES IN PSA COMMUNITIES.- IN 2018, MTO PROVIDED TRAINING FOR HEALTHCARE PROFESSIONALS TO ADDRESS HOME ASSESSMENTS. A TOTAL OF THREE HEALTH PROFESSIONALS PARTICIPATED IN HEALTHY HOMES TRAINING.STRATEGY 3: WORK WITH THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY TO IDENTIFY ADDITIONAL RESOURCES TO SUPPORT THE HEALTHY HOMES INITIATIVE.- THE HEALTH IMPACT COLLABORATIVE AND THE CHICAGO HOSPITAL COLLABORATIVE JOINED TO CREATE THE ALLIANCE FOR HEALTH EQUITY. POOR HOUSING CONDITIONS CAN LEAD TO POOR HEALTH SUCH AS ASTHMA. THE COLLABORATIVE IS WORKING ON POLICIES TO SUPPORT AFFORDABLE HEALTHY HOUSING AND TO CREATE JOBS THROUGH HOUSING INITIATIVES, WHICH ARE OPPORTUNITIES TO IMPROVE THE HEALTH OF THE SOUTHLAND COMMUNITY. ENVIRONMENTAL HAZARDS INCLUDE LEAD EXPOSURE AND WATER AND AIR QUALITY. THESE HAZARDS INDICATE ONE OR MORE PROBLEMS WITH HOMES THAT COULD HAVE A NEGATIVE IMPACT ON HEALTH, I.E. ASTHMA. THE COMMUNITY HEALTH TEAM CONTINUES TO ATTEND MEETINGS AND WORK WITH OTHER MEMBERS OF THE ALLIANCE FOR HEALTH EQUITY ON PROJECTS AS IDENTIFIED THROUGH THE COLLABORATIVE.NEEDS NOT SELECTEDALTHOUGH CANCER, HEART DISEASE, AND HYPERTENSION AND STROKE WERE NOT SELECTED TO ADDRESS DURING THE CHNA PROCESS, ADVOCATE SOUTH SUBURBAN REMAINS COMMITTED TO SERVING THE HEALTH NEEDS OF INDIVIDUALS IN THE COMMUNITY WITH THESE HEALTH CONDITIONS. CANCERADVOCATE SOUTH SUBURBAN'S CANCER CENTER OFFERS AN ARRAY OF SERVICES, INCLUDING RADIATION THERAPY, BRACHYTHERAPY, IMAGE GUIDED RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY, AND MINIMALLY INVASIVE APPROACHES TO CANCER TREATMENT. THE BREAST HEALTH CENTER OFFERS EARLY DETECTION SERVICES AS WELL AS ADVANCED PROCEDURES INCLUDING SENTINEL LYMPH NODE BIOPSY FOR BREAST CANCER TREATMENT FOR CANCER DIAGNOSIS AND STAGING. ADDITIONALLY, ADVOCATE SOUTH SUBURBAN HAS AN INTEGRATED CANCER COMMITTEE AND CANCER CARE TEAM THAT ARE DEDICATED TO DEVELOPING A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH THROUGHOUT THE YEAR. VARIOUS EDUCATION AND SCREENING PROGRAMS ARE ALSO HELD IN THE COMMUNITY AND AT THE HOSPITAL THAT FOCUS ON BREAST, LUNG AND PROSTATE CANCERS. SOME SERVICES INCLUDE GENETIC COUNSELING, PATIENT NAVIGATION, CLINICAL TRIALS AND RESEARCH-ALL DESIGNED TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND THEIR FAMILIES. ADVOCATE SOUTH SUBURBAN ALSO HAS A STRONG PARTNERSHIP WITH THE CANCER SUPPORT CENTER AND THE AMERICAN CANCER SOCIETY THAT PROMOTES HEALTH AND WELL-BEING FOR INDIVIDUALS LIVING WITH CANCER.HEART DISEASETHROUGH THE ADVOCATE HEART INSTITUTE, ADVOCATE SOUTH SUBURBAN OFFERS A CONTINUUM OF SERVICES FROM SCREENING TO DIAGNOSIS AND TREATMENT. ADVANCED TREATMENT AND SERVICES INCLUDE COMPREHENSIVE DIAGNOSTIC SERVICES, INCLUDING MINIMALLY-INVASIVE ENDOVASCULAR PROCEDURES, ELECTROPHYSIOLOGICAL PROCEDURES, COMPUTED TOMOGRAPHY SCANNING, THREE-PHASE CARDIAC REHABILITATION AND A CONGESTIVE HEART FAILURE PROGRAM. THE HOSPITAL COMMITS TO COMMUNITY PREVENTION PROGRAMS BY CONDUCTING HEART HEALTH EDUCATION CLASSES, AND FREE AND REDUCED HEART RISK SCREENINGS FOR CARDIOVASCULAR HEALTH. THE CONGESTIVE HEART FAILURE PROGRAM IS A COMPREHENSIVE INPATIENT AND OUTPATIENT PROGRAM DESIGNED TO STRENGTHEN THE HEART, IMPROVE HEALTH AND MONITOR CHANGE. THE OVERALL GOAL IS TO RESTORE CARDIAC HEALTH AND REDUCE HOSPITALIZATION THROUGH THERAPY, DIET AND OTHER SERVICES. THE CARDIAC REHABILITATION PROGRAM IS FOR INDIVIDUALS REQUIRING REHABILITATION SERVICES FOLLOWING A CARDIOVASCULAR INCIDENT. THIS INDIVIDUALIZED PROGRAM IS DESIGNED TO REDUCE BLOOD PRESSURE, BODY MASS INDEX AND STRESS LEVELS THOUGH CUSTOMIZED EXERCISE PROGRAMS, YOGA AND STRENGTHENING TECHNIQUES. HYPERTENSION AND STROKE ADVOCATE SOUTH SUBURBAN IS AN ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH)-DESIGNATED PRIMARY STROKE CENTER AND HAS EARNED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD. THE IDPH DESIGNATION SIGNIFIES THAT THE HOSPITAL DELIVERS THE CRITICAL STROKE CARE ELEMENTS REQUIRED TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES. ACHIEVING STROKE CERTIFICATION ENSURES THAT THE HOSPITAL OFFERS THE HIGHEST LEVEL OF CARE FOR THOSE WHO ARE EXPERIENCING AND RECOVERING FROM A STROKE. THE HOSPITAL ALSO OFFERS COMMUNITY EDUCATION EVENTS AND A STROKE SUPPORT GROUP FOR INDIVIDUALS AND THEIR CAREGIVERS THAT IS HELD MONTHLY AT THE HOSPITAL. ADVOCATE TRINITY HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED HEALTH NEEDS NOT SELECTED TO ADDRESS IN 2014-2016 CHNAHEART DISEASEONE OF THE KEY HEALTH ISSUES IDENTIFIED BUT NOT SPECIFICALLY TARGETED IN ADVOCATE TRINITY'S COMMUNITY HEALTH IMPLEMENTATION PLAN WAS HEART DISEASE. ADVOCATE TRINITY IS ADDRESSING THE HEART DISEASE NEEDS OF THE COMMUNITY THROUGH THE NEWLY INTEGRATED ADVOCATE HEART INSTITUTE. THE HEART INSTITUTE'S SERVICES ARE COMPREHENSIVE AND RANGE FROM CARDIOVASCULAR DIAGNOSTICS AND DETECTION TO TREATMENT AND SURGERY, USING THE MOST ADVANCED DIAGNOSTIC AND THERAPEUTIC TOOLS AVAILABLE. THE INSTITUTE ALSO OFFERS CPR TRAINING, A FREE HEART RISK ASSESSMENT AND AN AFFORDABLE HEART CT SCAN. IN 2015, ADVOCATE TRINITY OPENED A NEW CARDIAC CATHETERIZATION LAB WHICH OFFERS PROCEDURES USED TO DIAGNOSE CARDIOVASCULAR CONDITIONS. IN ADDITION TO THE NEW CATHETERIZATION LAB, THE HOSPITAL DEVELOPED A NEW STATE-OF-THE-ART CARDIAC REHABILITATION FACILITY OFFERING PHASE I AND II CARDIAC REHABILITATION EXERCISE AND LIFESTYLE EDUCATION PROGRAMS TO THE COMMUNITY. THE HOSPITAL OFFERS SEVERAL COMMUNITY EDUCATION PROGRAMS BOTH AT THE HOSPITAL AND THROUGHOUT THE COMMUNITY. THESE EDUCATIONAL PROGRAMS INCLUDE LECTURES, SEMINARS AND SUPPORT GROUP MEETINGS FOR CONGESTIVE HEART FAILURE, DIABETES EDUCATION, HEART RISK ASSESSMENTS, AND SENIOR BREAKFAST CLUB LECTURES COVERING A RANGE OF TOPICS PERTINENT TO SENIOR HEART HEALTH. IN ADDITION TO THESE SERVICES, ADVOCATE TRINITY'S COMMUNITIES HAVE ACCESS TO HEALTH EDUCATION AND CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE SCREENINGS. HYPERTENSION/STROKE ADVOCATE TRINITY IS A CERTIFIED STROKE READY FACILITY WHICH OFFERS IMMEDIATE CARE TO PATIENTS EXPERIENCING ACUTE STROKES. THE HOSPITAL OFFERS ADVANCED DIAGNOSTIC TECHNOLOGIES THAT FEATURE MORE THAN TEN BOARD CERTIFIED RADIOLOGISTS TO HELP DIAGNOSE NEUROLOGICAL CONDITIONS. IN ADDITION, THE HOSPITAL OFFERS COMPREHENSIVE REHABILITATION SERVICES TO PATIENTS RECOVERING FROM STROKE. ADVOCATE TRINITY'S STROKE TEAM, A GROUP OF STROKE CHAMPIONS, ENGAGE THE COMMUNITY BY PROVIDING STROKE AWARENESS AND PREVENTION EDUCATION AT HEALTH FAIRS, PARADES, SCHOOLS AND CHURCHES IN THE COMMUNITY. THE HOSPITAL COLLABORATES WITH OTHER COMMUNITY HOSPITALS AND MEDICAL HOMES TO ENGAGE THE COMMUNITY IN RESPONDING TO STROKE CARE. THE INITIATIVE TITLED "COMMUNITY ENGAGEMENT FOR EARLY RECOGNITION AND IMMEDIATE ACTION IN STROKE (CEERIAS)" IS A RESEARCH INITIATIVE THAT AIMS TO EXAMINE PERSONAL, COMMUNITY AND CULTURAL BARRIERS TO CALLING 911 AFTER STROKE ONSET. IN COLLABORATION WITH LOCAL ACADEMIC MEDICAL CENTERS, ADVOCATE TRINITY HAS CONDUCTED TRAINING FOR COMMUNITY LEADERS IN THE HOSPITAL SERVICE AREA SO THEY CAN TEACH OTHERS HOW TO IDENTIFY STROKE AND REMOVE BARRIERS TO TIMELY STROKE CARE. CANCER ADVOCATE TRINITY'S ONCOLOGY CENTER PROGRAMS ARE STRUCTURED TO FACILITATE A MULTIDISCIPLINARY ENVIRONMENT THAT PROVIDES MINIMALLY INVASIVE PROCEDURES AND ADVANCED SURGICAL INTERVENTION TO TREAT CANCER. THE ONCOLOGY CENTER INCLUDES ADVANCED DIAGNOSTICS, IMAGING SERVICES, INTERVENTIONAL RADIOLOGY AND AN INFUSION CENTER. THE HOSPITAL HAS A CANCER COMMITTEE TO DEVELOP, APPROVE AND IMPLEMENT THE STRATEGIC PLANS, GOALS AND OBJECTIVES OF ADVOCATE TRINITY'S CANCER PROGRAMS AND TO PROVIDE OVERSIGHT FOR ONGOING PROGRAMS AND OUTREACH SERVICES. THE CANCER COMMITTEE ENSURES THAT COMMUNITY OUTREACH PLANS REFLECT THE CANCER EXPERIENCE AT ADVOCATE TRINITY AND THAT THE DEFINED COMMUNITY NEEDS ARE ADDRESSED. ADVOCATE TRINITY'S ONCOLOGY NURSE NAVIGATOR, IN COLLABORATION WITH THE COMMUNITY HEALTH DEPARTMENT, WORK TO IMPLEMENT OUTREACH SERVICES IN THE COMMUNITY. OUTREACH ACTIVITIES INCLUDE COMMUNITY EDUCATION FOR BREAST CANCER PREVENTION, PROSTATE CANCER PREVENTION AND OTHER COMMUNITY HEALTH EDUCATION, SUCH AS HEALTHY LIFESTYLE EDUCATION FOR CANCER PREVENTION. MENTAL HEALTHADVOCATE TRINITY IS A COMMUNITY HOSPITAL THAT DOES NOT HAVE A PSYCHIATRIC UNIT AND DOES NOT PROVIDE ONGOING TREATMENT FOR MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE. HOWEVER, TO MEET THE IMMEDIATE NEEDS OF ITS EMERGENCY DEPARTMENT (ED) PATIENTS AND INPATIENTS, AND TO PROVIDE FOR CONTINUITY OF CARE, THE HOSPITAL UTILIZES TWO MAJOR STRATEGIES. FIRST, THERE IS AN ON-SITE BEHAVIORAL HEALTH CLINICIAN 8 HOURS-A-DAY WHO EVALUATES PATIENTS WITH MENTAL HEALTH AND SUBSTANCE ABUSE CONDITIONS, PROVIDES REFERRALS TO OUTPATIENT MENTAL HEALTH PROVIDERS AND COMPLETES TRANSFERS TO INPATIENT PSYCHIATRIC OR DETOX FACILITIES WHEN APPROPRIATE. THIS CLINICIAN ALSO SERVES AS A CONSULTING RESOURCE ON PATIENTS WITH THESE CONDITIONS, PROVIDES EDUCATION AND TRAINING TO HOSPITAL STAFF, AND CAN OFFER GUIDANCE AND EDUCATION TO PATIENTS, FAMILIES AND COMMUNITY REPRESENTATIVES. SECOND, THE HOSPITAL COORDINATES PATIENT SERVICES THROUGH THE ADVOCATE BEHAVIORAL HEALTH TELEMEDICINE HUB AT ADVOCATE CHRIST MEDICAL CENTER. PATIENTS INTERACT THROUGH TELEMEDICINE TECHNOLOGY WITH SPECIALIZED CLINICIANS-PSYCHIATRISTS, CLINICAL PSYCHOLOGISTS AND APNS-FOR MEDICATION MANAGEMENT, RISK ASSESSMENT, COMPETENCY DETERMINATION, RECOMMENDATIONS REGARDING LEVEL OF CARE AND ONGOING TREATMENT WHILE THEY ARE PATIENTS. BOTH THE ON-SITE AND HUB CLINICIANS CONNECT WITH PATIENTS' PRIMARY CARE PROVIDERS, WHEN AVAILABLE, TO PROMOTE CONTINUITY OF CARE. IN ADDITION, THE COMMUNITY HEALTH DEPARTMENT SPONSORS MENTAL HEALTH FIRST AID TRAININGS FOR CONGREGATIONS, COMMUNITY ORGANIZATIONS AND OTHER HEALTH CARE ORGANIZATIONS TO REDUCE STIGMA AND HELP COMMUNITY MEMBERS GAIN SKILLS IN ADDRESSING AND RESOURCING INDIVIDUALS EXPERIENCING MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. VIOLENCE AND HOMICIDE ADVOCATE TRINITY CONTINUALLY ASSESSES WHETHER ADDITIONAL PREVENTION STRATEGIES ARE NEEDED WITHIN THE COMMUNITY AND WORKS IN SUPPORT OF ITS PARTNERS TO ADDRESS COMMUNITY NEEDS SUCH AS VIOLENCE AND HOMICIDE. COMMUNITY PARTNERS SPECIFICALLY ADDRESSING THESE NEEDS INCLUDE THE CLARETIAN ASSOCIATES, THE NEIGHBORHOOD CHICAGO ALTERNATIVE POLICING STRATEGY (CAPS) AND THE CHICAGO POLICE DEPARTMENT. CLARETIAN ASSOCIATES CONDUCTED A SURVEY IN 2016 TO BETTER UNDERSTAND THE RANGE OF EXPOSURE TO VIOLENCE WHICH CAN CAUSE TRAUMATIC REACTIONS. THE SURVEY RESULTS PROMPTED THE ORGANIZATION TO EMBARK ON THE JOURNEY TO BE A "TRAUMA INFORMED COMMUNITY." WITH ADVOCATE TRINITY IN SUCH PROXIMITY TO CLARETIAN ASSOCIATES, THE HOSPITAL ESTABLISHED A PARTNERSHIP WITH THEM TO DELIVER INFORMATION TO FAITH ORGANIZATIONS WITHIN THE HOSPITAL'S SERVICE AREA. THE POLICE DEPARTMENT WORKS WITHIN THE COMMUNITY TO ADDRESS THESE NEEDS AND ADVOCATE TRINITY PARTNERS WITH THEM TO SUPPORT THEIR ACTIVITIES, SUCH AS THE NATIONAL NIGHT OUT EVENT. THE NATIONAL NIGHT OUT EVENT IS DESIGNED TO INCREASE AWARENESS ABOUT POLICE AND COMMUNITY PARTNERSHIPS, AND PROGRAMS THAT EDUCATE COMMUNITIES REGARDING VIOLENCE PREVENTION, DRUG PREVENTION, TOWN WATCH, NEIGHBORHOOD WATCH AND OTHER ANTI-CRIME EVENTS. 399 1 - ABMC LANDMARK DR LOCATION - FULL BUILDI 207 LANDMARK NORMAL IL 61761 OFFICE - OTHER 2 - ACC 95TH ST 2210 W 95TH ST CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 3 - ACL LAB SERVICE CENTER 3048 N WILTON LAB CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 4 - ACL LAB SERVICE CENTER 1775 BALLARD RD LL PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 5 - ACL LAB SERVICE CENTER - PARKSIDE CTR 1875 DEMPSTER ST STE 504 PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 6 - ACMG OAK LAWN 95 ST 210 4220 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 7 - ADULT DOWN SYNDROME CLINIC 1610 LUTHER LN PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 8 - ADVANCED MRI (AMRI) 2204 EASTLAND DR STE 200 BLOOMINGTON IL 61701 PATIENT CARE - OUT PATIENT 9 - ADVOCATE ADULT & PEDIATRIC REHABILITATIO 5150 NORTHWEST HWY CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 10 - ADVOCATE CHRIST MEDICAL CENTER - OUTPATI 1206 E 9TH ST STES 110 170 250 LOCKPORT IL 60441 PATIENT CARE - OUT PATIENT 11 - ADVOCATE GOOD SAMARITAN HOSPITAL OUT PAT 6840 MAIN ST 1ST FL STE 202 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 12 - ADVOCATE GOOD SHEPHERD HEALTH & FITNESS 1301 S BARRINGTON RD BARRINGTON IL 60005 PATIENT CARE - OUT PATIENT 13 - ADVOCATE HEALTH & HOSPITALS CORPORATION 114 SKOKIE BLVD WILMETTE IL 60091 PATIENT CARE - OUT PATIENT 14 - ADVOCATE MEDICAL GROUP - DES PLAINES 701 LEE ST STES LL 100 110 300 DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 15 - ADVOCATE MEDICAL GROUP - GLENVIEW 1255 MILWAUKEE RD GLENVIEW IL 60025 PATIENT CARE - OUT PATIENT 16 - ADVOCATE MEDICAL GROUP - HEART AND VASCU 3118 N ASHLAND AVE CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 17 - ADVOCATE MEDICAL GROUP - HEART AND VASCU 5151 W 95TH ST 2ND FL OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 18 - ADVOCATE MEDICAL GROUP - HYDE PARK 1301 E 47TH ST UNIT 2 CHICAGO IL 60615 PATIENT CARE - OUT PATIENT 19 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR 1206 E 9TH ST STE 210 LOCKPORT IL 60441 PATIENT CARE - OUT PATIENT 20 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR 1206 E 9TH ST STE 100 LOCKPORT IL 60441 PATIENT CARE - OUT PATIENT 21 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR 1206 E 9TH ST STE 250 LOCKPORT IL 60441 PATIENT CARE - OUT PATIENT 22 - ADVOCATE MEDICAL GROUP - MUNDELEIN INTER 550 N LAKE ST MUNDELEIN IL 60060 PATIENT CARE - OUT PATIENT 23 - ADVOCATE MEDICAL GROUP - OAK LAWN 4712 W 103RD ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 24 - ADVOCATE MEDICAL GROUP - PARKSIDE CENTER 1875 W DEMPSTER ST STE 525 110 66 PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 25 - ADVOCATE MEDICAL GROUP - POSEN 2590 W WALTER ZIMNY DR POSEN IL 60469 PATIENT CARE - OUT PATIENT 26 - ADVOCATE MEDICAL GROUP - RICHTON PARK 4511 SAUK TRAIL RICHTON PARK IL 60471 PATIENT CARE - OUT PATIENT 27 - ADVOCATE MEDICAL GROUP - SOUTHEAST LOCAT 2301 E 93RD ST STE 213 CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 28 - ADVOCATE MEDICAL GROUP - WAUCONDA 224 BROWN ST WAUCONDA IL 60522 PATIENT CARE - OUT PATIENT 29 - ADVOCATE MEDICAL GROUP- METRODOCS 431 LAKEVIEW CT MOUNT PROSPECT IL 60056 PATIENT CARE - OUT PATIENT 30 - ADVOCATE PHARMACY 15-17 W COLLEGE DR ARLINGTON HEIGHTS IL 60005 PHARMACY 31 - ADVOCATE PTOT (CHRIST) 12340-50 S HARLEM AVE PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 32 - AHHC - FAMILY CARE NETWORK 440 QUADRANGLE DR STE K BOLINGBROOK IL 60440 PATIENT CARE - OUT PATIENT 33 - ALGONQUIN COUNTY LINE RD 2284 COUNTYLINE RD ALGONQUIN IL 60201 PATIENT CARE - OUT PATIENT 34 - ALGONQUIN MERCHANT DR 1486 MERCHANT DR ALGONQUIN IL 60102 PATIENT CARE - OUT PATIENT 35 - ALGONQUIN RANDALL RD 600 S RANDALL RD ALGONQUIN IL 60102 PATIENT CARE - OUT PATIENT 36 - ALGONQUIN RYAN PARKWAY 1345 RYAN PKWY ALGONQUIN IL 60102 PATIENT CARE - OUT PATIENT 37 - AMBULATORY BUILDING 4440 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - IN PATIENT 38 - AMG 151 E DUNDEE AVE STE C EAST DUNDEE IL 60118 PATIENT CARE - OUT PATIENT 39 - AMG 7900 N MILWAUKEE AVE STE 2-34 NILES IL 60714 PATIENT CARE - OUT PATIENT 40 - AMG 7900 N MILWAUKEE AVE STE 16 NILES IL 60714 PATIENT CARE - OUT PATIENT 41 - AMG 890 GARFIELD AVE STE 200 LIBERTYVILLE IL 60098 PATIENT CARE - OUT PATIENT 42 - AMG 7432 HANCOCK DR WONDER LAKE IL 60098 PATIENT CARE - OUT PATIENT 43 - AMG 214 WASHINGTON ST INGLESIDE IL 60098 PATIENT CARE - OUT PATIENT 44 - AMG 1050 NORWOOD LN BARTLETT IL 60103 PATIENT CARE - OUT PATIENT 45 - AMG 4400 W 95TH ST STE 106 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 46 - AMG 1273 MILWAUKEE AVE CHICAGO IL 60622 PATIENT CARE - OUT PATIENT 47 - AMG 2622 W 83RD ST DARIEN IL 60561 PATIENT CARE - OUT PATIENT 48 - AMG 100 SPALDING AVE NAPERVILLE IL 60540 PATIENT CARE - OUT PATIENT 49 - AMG 214 WASHINGTON ST INGLESIDE IL 60041 PATIENT CARE - OUT PATIENT 50 - AMG 7432 HANCOCK DR WONDER LAKE IL 60097 PATIENT CARE - OUT PATIENT 51 - AMG - LIBERTYVILLE AMBULATORY BUILDING 825 S MILWAUKEE AVE LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 52 - AMG ALPINE FAMILY MEDICINE 350 SURRYSE RD STE 100 LAKE ZURICH IL 60047 PATIENT CARE - OUT PATIENT 53 - AMG BARTLETT 1054 NORWOOD LN BARTLETT IL 60103 PATIENT CARE - OUT PATIENT 54 - AMG DOWNERS GROVE 1341 WARREN AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 55 - AMG DUNDEE 979 W MAIN ST DUNDEE IL 60118 PATIENT CARE - OUT PATIENT 56 - AMG EAST DUNDEE 151 E DUNDEE AVE EAST DUNDEE IL 60118 PATIENT CARE - OUT PATIENT 57 - AMG ELGIN 1710 RANDALL RD 1710 RANDALL RD STES 200 250 380 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 58 - AMG ELGIN 750 FLETCHER DR 750 FLETCHER DR STE 206 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 59 - AMG GLENBROOK 2551 COMPASS DR GLENVIEW IL 60026 PATIENT CARE - OUT PATIENT 60 - AMG HAMPSHIRE 1000 S STATE ST HAMPSHIRE IL 60140 PATIENT CARE - OUT PATIENT 61 - AMG HOMETOWN 4140 SOUTHWEST HWY HOMETOWN IL 60456 PATIENT CARE - OUT PATIENT 62 - AMG HUNTLEY 12151-12199 REGENCY CENTER HUNTLEY IL 60142 PATIENT CARE - OUT PATIENT 63 - AMG ICC MONTROSE 918 W MONTROSE CHICAGO IL 60613 PATIENT CARE - OUT PATIENT 64 - AMG ISLAND LAKE 27979 CONVERSE RD ISLAND LAKE IL 60042 PATIENT CARE - OUT PATIENT 65 - AMG LEMONT 6319 S FAIRVIEW WESTMONT IL 60559 PATIENT CARE - OUT PATIENT 66 - AMG LEMONT 15900 W 127TH ST LEMONT IL 60439 PATIENT CARE - OUT PATIENT 67 - AMG LEROY 911 S CHESTNUT LE ROY IL 61752 PATIENT CARE - OUT PATIENT 68 - AMG LEXINGTON 307 W MAIN LEXINGTON IL 61753 PATIENT CARE - OUT PATIENT 69 - AMG LIBERTYVILLE 801 S MILWAUKEE 801 S MILWAUKEE RD LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 70 - AMG LIBERTYVILLE WINCHESTER 1870 WINCHESTER RD STE 143 LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 71 - AMG LINCOLNSHIRE 100 VILLAGE GREEN DR STE 120 LINCOLNSHIRE IL 60069 PATIENT CARE - OUT PATIENT 72 - AMG LINCOLNSHIRE 100 VILLAGE GREEN DR STE 210 LINCOLNSHIRE IL 60069 PATIENT CARE - OUT PATIENT 73 - AMG LINCOLNWOOD 6540 N LINCOLN AVE LINCOLNWOOD IL 60712 PATIENT CARE - OUT PATIENT 74 - AMG LOMBARD 454 W ROOSEVELT RD LOMBARD IL 60148 PATIENT CARE - OUT PATIENT 75 - AMG LOMBARD AND AMG LEMONT 15900 W 127TH 500 EAST 22ND ST STE A LOMBARD IL 60148 PATIENT CARE - OUT PATIENT 76 - AMG MCHENRY 5403 BULL VALLEY ROAD 5403 BULL VALLEY RD MCHENRY IL 60050 PATIENT CARE - OUT PATIENT 77 - AMG MERRIONETTE PARK 11600 S KEDZIE MERRIONETTE PARK IL 60803 PATIENT CARE - OUT PATIENT 78 - AMG MUNDELEIN 560 N MIDLOTHIAN 560 N MIDLOTHIAN STE 400 MUNDELEIN IL 60060 PATIENT CARE - OUT PATIENT 79 - AMG OAK LAWN 4400 W 95TH STE 101 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 80 - AMG OAK LAWN 4400 W 95TH STE 102 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 81 - AMG OAK LAWN 4400 W 95TH STE 108 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 82 - AMG OAK LAWN 4400 W 95TH STE 109 111 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 83 - AMG OAK LAWN 4400 W 95TH STE 207 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 84 - AMG OAK LAWN 4400 W 95TH STE 301 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 85 - AMG OAK LAWN 4400 W 95TH STE 403 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 86 - AMG OAK LAWN 4400 W 95TH STE 404 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 87 - AMG OAK LAWN 4400 W 95TH STE 407 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 88 - AMG OAK LAWN 4400 W 95TH STE 408 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 89 - AMG OAK LAWN 4400 W 95TH STE 413 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 90 - AMG OAK LAWN 4700 W 95TH STE 308 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 91 - AMG OAK LAWN 95 ST 200 4220 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 92 - AMG ORLAND PARK 165TH 10745 W 165TH ST ORLAND PARK IL 60467 PATIENT CARE - OUT PATIENT 93 - AMG ORLAND PARK CLINIC & ORLAND PARK SUR 9550 W 167TH ST ORLAND PARK IL 60467 PATIENT CARE - OUT PATIENT 94 - AMG ORLAND PARK RAVINIA 14741 RAVINIA DR ORLAND PARK IL 60467 PATIENT CARE - OUT PATIENT 95 - AMG PALOS HEIGHTS HARLEM AVE 12332 S HARLEM AVE PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 96 - AMG PALOS HEIGHTS HARLEM AVE 12400 S HARLEM AVE PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 97 - AMG PALOS HEIGHTS SW HWY 11800 SOUTHWEST HWY PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 98 - AMG PALOS HILLS 7620 W 111TH ST PALOS HILLS IL 60465 PATIENT CARE - OUT PATIENT 99 - AMG PARK RIDGE BUSSE HIGHWAY 850 BUSSE HWY PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 100 - AMG PRIMARY CARE SPECIALISTS 150 N RIVER RD DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 101 - AMG PULASKI 10627 S PULASKI CHICAGO IL 60655 PATIENT CARE - OUT PATIENT 102 - AMG RIVERSIDE 7234 W OGDEN AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 103 - AMG SWEDISH COVENANT 5140 N CALIFORNIA AVE STE 505 CHICAGO IL 60625 PATIENT CARE - OUT PATIENT 104 - AMG SYKES OUTPATIENT CENTER 2535 S MARTIN LUTHER KING DR CHICAGO IL 60616 PATIENT CARE - OUT PATIENT 105 - AMG WINFIELD 25 N WINFIELD WINFIELD IL 60527 PATIENT CARE - OUT PATIENT 106 - AMG WOODSTOCK 3703 DOTY ROAD 3703 DOTY RD BLDG1 STE 4 WOODSTOCK IL 60098 PATIENT CARE - OUT PATIENT 107 - AMG-CHICAGO-900 W NELSON 900 W NELSON 1ST FL CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 108 - AMUNDSEN SCHOOL BASED HEALTH CENTER 5110 N DAMEN AVE RM 307 CHICAGO IL 60625 PATIENT CARE - OUT PATIENT 109 - AURORA CARDIOLOGY 4100 HEALTHWAY DR AURORA IL 60504 PATIENT CARE - OUT PATIENT 110 - AURORA PEDS SPECIALISTS 2020 OGDEN AVE AURORA IL 60504 PATIENT CARE - OUT PATIENT 111 - BARRINGTON GARLANDS 6000 GARLANDS LN BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 112 - BARRINGTON GSHP OCC HLTH 27790 W HWY 22 STE 19 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 113 - BARRINGTON GSHP OCC HLTH 27790 W HWY 22 STE 20 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 114 - BARRINGTON GSHP SLEEP 27790 W HWY 22 STE 20 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 115 - BARRINGTON PEPPER RD 22285 PEPPER RD BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 116 - BEVERLY HEALTH FACILITY - WALK-IN CARE 9831 S WESTERN AVE CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 117 - BLOOMINGTON 1401 EASTLAND DR 1401 EASTLAND DR BLOOMINGTON IL 61701 PATIENT CARE - OUT PATIENT 118 - BLOOMINGTON 2204 EASTLAND DR 2204 EASTLAND DR BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 119 - BLOOMINGTON 2406 E EMPIRE 2406 E EMPIRE BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 120 - BLOOMINGTON 3024 E EMPIRE IMMCARE 3024 E EMPIRE BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 121 - BLOOMINGTON 3024 E EMPIRE OCCHLTH 3024 E EMPIRE BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 122 - BLOOMINGTON 3024 E EMPIRE SURGERY 3024 E EMPIRE BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 123 - BLOOMINGTON 3024 E EMPIRE 3A 3024 E EMPIRE BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 124 - BLOOMINGTON 3024 E EMPIRE 3D 3024 E EMPIRE BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 125 - BLOOMINGTON 3024 E EMPIRE 3E-3F 3024 E EMPIRE BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 126 - BLOOMINGTON HERSHEY 303 N HERSHEY BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 127 - BOLINGBROOK QUADRANGLE BUILDING C 391 QUADRANGLE DR N-4 BOLINGBROOK IL 60440 PATIENT CARE - OUT PATIENT 128 - BOLINGBROOK WEBER DR 130 WEBER DR BOLINGBROOK IL 60440 PATIENT CARE - OUT PATIENT 129 - BREAST HEALTH CENTER 4545 W 103RD ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 130 - BRIARWOOD BUILDING 2272 COUNTYLINE RD STES 100 200 300 ALGONQUIN IL 60102 PATIENT CARE - OUT PATIENT 131 - BROMENN 1609 NORTHTOWN RD UNIT 8 NORMAL IL 61761 PATIENT CARE - OUT PATIENT 132 - BROMENN 1111 TRINITY LN UNIT E BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 133 - BROMENN OUTPATIENT CENTER 3024 E EMPIRE ST BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 134 - BURBANK 4901 W 79TH ST BURBANK IL 60459 PATIENT CARE - OUT PATIENT 135 - BURBANK HEALTH FACILITY 4901 W 79TH ST BURBANK IL 60459 PATIENT CARE - OUT PATIENT 136 - CARDIAC RISK 8820 DEMPSTER ST PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 137 - CENTER FOR ADVANCED CARDIOLOGY 1875 DEMPSTER STES 580 585 590 595 PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 138 - CENTER FOR ADVANCED CARE - (OLD W PAVIL 1700 LUTHER LN PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 139 - CHICAGO (MEDICINE & SURGERY) AMG (WAS MP 11250 S WESTERN CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 140 - CHICAGO 3040 N WILTON 2ND FL 3040 N WILTON CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 141 - CHICAGO 3048 N WILTON 1ST FL 3040 N WILTON CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 142 - CHICAGO 3048 N WILTON 3RD FL OB MIDWIFE 3040 N WILTON CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 143 - CHICAGO 3048 N WILTON 3RD FL RESIDENCY 3040 N WILTON CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 144 - CHICAGO 9831 S WESTERN 9831 S WESTERN AVE CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 145 - CHICAGO CRETICOS CANCER CENTER 901 WELLINGTON AVE CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 146 - CHICAGO DOTY (PULLMAN) 10834 S DOTY AVE CHICAGO IL 60628 PATIENT CARE - OUT PATIENT 147 - CHICAGO E 118TH ST 3550 E 118TH ST CHICAGO IL 60625 PATIENT CARE - OUT PATIENT 148 - CHICAGO E 93RD STE 117-213 2301 E 93RD ST CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 149 - CHICAGO E 93RD STE 222 2315 E 93RD ST CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 150 - CHICAGO E 93RD STE 322 2301 E 93RD ST CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 151 - CHICAGO E 93RD STE 440 2301 E 93RD ST CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 152 - CHICAGO EVERGREEN 1357 W 103RD ST CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 153 - CHICAGO GREENWOOD 1111 E 87TH ST STE 900A CHICAGO IL 60619 PATIENT CARE - OUT PATIENT 154 - CHICAGO GREENWOOD SLEEP 1111 E 87TH ST STE 500 CHICAGO IL 60619 PATIENT CARE - OUT PATIENT 155 - CHICAGO HALSTEDBLACKHAWK 1460 N HALSTED AVE CHICAGO IL 60622 PATIENT CARE - OUT PATIENT 156 - CHICAGO IRV & WESTERN 4025 N WESTERN AVE CHICAGO IL 60634 PATIENT CARE - OUT PATIENT 157 - CHICAGO MARINE DR 4646 N MARINE DR CHICAGO IL 60640 PATIENT CARE - OUT PATIENT 158 - CHICAGO N BROADWAY 5304 N BROADWAY AVE CHICAGO IL 60640 PATIENT CARE - OUT PATIENT 159 - CHICAGO N CENTRAL AVE 3942 N CENTRAL AVE CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 160 - CHICAGO N CICERO 4211 N CICERO CHICAGO IL 60641 PATIENT CARE - OUT PATIENT 161 - CHICAGO N KEDZIE AMG CHICAGO LOGAN SQUARE CHICAGO IL 60647 PATIENT CARE - OUT PATIENT 162 - CHICAGO NORTH AVE 6434 W NORTH AVE CHICAGO IL 60302 PATIENT CARE - OUT PATIENT 163 - CHICAGO SYKES AMG SYKES CHICAGO IL 60616 PATIENT CARE - OUT PATIENT 164 - CHICAGO W BRYN MAWR STE 350 8550 W BRYN MAWR CHICAGO IL 60631 PATIENT CARE - OUT PATIENT 165 - CHICAGO W BRYN MAWR STE 650 8550 W BRYN MAWR CHICAGO IL 60631 PATIENT CARE - OUT PATIENT 166 - CHICAGO W BRYN MAWR STE 700 8550 W BRYN MAWR CHICAGO IL 60631 PATIENT CARE - OUT PATIENT 167 - CHICAGO W BRYN MAWR STE 800 8550 W BRYN MAWR CHICAGO IL 60631 PATIENT CARE - OUT PATIENT 168 - CHICAGO W FOSTER AMG CHICAGO FOSTER CHICAGO IL 60610 PATIENT CARE - OUT PATIENT 169 - CHICAGO WELLINGTON DENTISTRY 811 WELLINGTON AVE CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 170 - CHRIST POB 4400 W 95TH ST STES 101 102 107 1 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 171 - CHRIST WOMEN'S HEALTH CENTER 18210 S LAGRANGE RD STE 200 TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 172 - COMMUNITY CANCER CENTER (CYBERKNIFE) 407 E VERNON NORMAL IL 61761 PATIENT CARE - OUT PATIENT 173 - CROSSROADS MEDICAL 128 W MAIN ST LEXINGTON IL 61753 PATIENT CARE - OUT PATIENT 174 - CROSSROADS MEDICAL 385 S ORANGE ST EL PASO IL 61738 PATIENT CARE - OUT PATIENT 175 - CROSSROADS MEDICAL 307 W MAIN ST LEXINGTON IL 61753 PATIENT CARE - OUT PATIENT 176 - CRYSTAL LAKE CONGRESS PARKWAY 525 CONGRESS PKWY CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 177 - CRYSTAL LAKE MEMORIAL COURT 284 MEMORIAL CT CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 178 - DES PLAINES ACMG 8901 GOLF RD DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 179 - DES PLAINES LEE ST STE 003 701 LEE ST DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 180 - DES PLAINES LEE ST STE 100 ILL HEALTH P 701 LEE ST DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 181 - DES PLAINES LEE ST STE 800 701 LEE ST DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 182 - DES PLAINES RAND RD 77 RAND RD DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 183 - DEVELOPMENT CENTER 4546 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 184 - DOCTORS OF THE NORTH SHORE 6131 W DEMPSTER ST MORTON GROVE IL 60053 PATIENT CARE - OUT PATIENT 185 - DOCTORS OFFICE 3040 N WILTON CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 186 - DOWNERS GROVE 4900 MAIN ST 1ST FL 4900 MAIN ST DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 187 - DOWNERS GROVE 4900 MAIN ST BSMNT 4900 MAIN ST DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 188 - DOWNERS GROVE CENTER 3551 HIGHLAND AVE STE 200 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 189 - DOWNERS GROVE GSAM SLEEP 3815 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 190 - DOWNERS GROVE GSAM STE 103 3825 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 191 - DOWNERS GROVE GSAM STE 107 3825 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 192 - DOWNERS GROVE GSAM STE 200 3551 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 193 - DOWNERS GROVE GSAM STE 306 3825 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 194 - DOWNERS GROVE GSAM STE 400 3825 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 195 - DOWNERS GROVE GSAM STE 4H4K 3825 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 196 - DOWNERS GROVE GSAM STE 5B 3825 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 197 - DOWNERS GROVE INTERNISTS 3825 HIGHLAND AVE STE 5B DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 198 - DOWNERS GROVE S MAIN STE 101 6840 S MAIN ST DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 199 - DOWNERS GROVE S MAIN STE 202 6840 S MAIN ST DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 200 - DOWNERS GROVE S MAIN STE 2ND FL 6840 S MAIN ST DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 201 - EAST PAVILION (OLD SCIENCE BUILDING) 1775 WESTERN AVE PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 202 - EL PASO 385 S ORANGE EL PASO IL 61738 PATIENT CARE - OUT PATIENT 203 - ELDORADO 306 ELDORADO BLOOMINGTON IL 61704 SUPPORT 204 - ELGIN FLETCHER STE 101 745 FLETCHER RD ELGIN IL 60123 PATIENT CARE - OUT PATIENT 205 - ELGIN FLETCHER STE 302 745 FLETCHER RD ELGIN IL 60123 PATIENT CARE - OUT PATIENT 206 - ELGIN RANDALL STE 107 1710 RANDALL RD STE 107 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 207 - ELGIN RANDALL STE 201 (EFFECTIVE 41 1710 RANDALL RD STE 201 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 208 - ELGIN RANDALL STE 340 1710 RANDALL RD ELGIN IL 60123 PATIENT CARE - OUT PATIENT 209 - ELK GROVE CENTER 1502 ELMHURST RD ELK GROVE VILLAGE IL 60007 PATIENT CARE - OUT PATIENT 210 - EUREKA 105 S MAJOR EUREKA IL 61530 PATIENT CARE - OUT PATIENT 211 - EVERGREEN HEALTH FACILITY I - NAME CHANG 1357 W 103RD ST STES 100 200 CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 212 - EVERGREEN PARK S WESTERN AVE PARKING LOT 9730 S WESTERN AVE EVERGREEN PARK IL 60805 PATIENT CARE - OUT PATIENT 213 - EVERGREEN PARK S WESTERN AVE STE 500 9730 S WESTERN AVE EVERGREEN PARK IL 60805 PATIENT CARE - OUT PATIENT 214 - EVERGREEN PARK S WESTERN AVE STE 733 9730 S WESTERN AVE EVERGREEN PARK IL 60805 PATIENT CARE - OUT PATIENT 215 - EVERGREEN PLAZA - UM 9730 S WESTERN AVE STE 733 EVERGREEN PARK IL 60805 PATIENT CARE - OUT PATIENT 216 - EVERGREENEVERGREEN PEDS - NAME CHANGED 9730 S WESTERN AVE STE 500 EVERGREEN PARK IL 60805 PATIENT CARE - OUT PATIENT 217 - FAIRBURY 115 E WALNUT FAIRBURY IL 61739 PATIENT CARE - OUT PATIENT 218 - FAIRBURY MEDICAL ASSOCIATES 115 E WALNUT FAIRBURY IL 61739 PATIENT CARE - OUT PATIENT 219 - FAMILY PRACTICE 4140 W SOUTHWEST HWY HOMETOWN IL 60456 PATIENT CARE - OUT PATIENT 220 - FAMILY PRACTICE - ARLINGTON HEIGHTS 825 E GOLF RD ARLINGTON HEIGHTS IL 60005 PATIENT CARE - OUT PATIENT 221 - FAMILY PRACTICE AT RAVENSWOOD 4600 N RAVENSWOOD AVE CHICAGO IL 60640 PATIENT CARE - OUT PATIENT 222 - FOX RIVER GROVE 912 NORTHWEST HWY FOX RIVER GROVE IL 60010 PATIENT CARE - OUT PATIENT 223 - FRANKFORT AHC 328 N LAGRANGE RD FRANKFORT IL 60423 PATIENT CARE - OUT PATIENT 224 - FRANKFORT GRACELAND 20325 S GRACELAND FRANKFORT IL 60423 PATIENT CARE - OUT PATIENT 225 - FRANKFORT LAGRANGE 21160 S LAGRANGE AVE FRANKFORT IL 60423 PATIENT CARE - OUT PATIENT 226 - FRANKFORT MEDICAL OFFICE 20325 S GRACELAND LN FRANKFORT IL 60423 PATIENT CARE - OUT PATIENT 227 - FRANKLIN AVE BUILDING 900 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 228 - GARTNER DENTISTRY BUILDING 811 W WELLINGTON AVE CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 229 - GLENVIEW MILWAUKEE 1255 MILWAUKEE GLENVIEW IL 60025 PATIENT CARE - OUT PATIENT 230 - GLENVIEW WAUKEGAN 1412 WAUKEGAN RD GLENVIEW IL 60025 PATIENT CARE - OUT PATIENT 231 - GOOD SAMARITAN HOSPITAL CANCER CARE CENT 3745 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - IN PATIENT 232 - GOOD SAMARITAN POB TOWER 1 3825 HIGHLAND AVE STES 2J 4H 4K GR DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 233 - GOOD SAMARITAN POB TOWER 2 3825 HIGHLAND AVE STES 103 107 110 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 234 - GOOD SAMARITAN WELLNESS CENTER 3551 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 235 - GOOD SHEPHERD OUTPATIENT CENTER & IMAGIN 525 CONGRESS PKWY 1ST FL 225 CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 236 - GOOD SHEPHERD POB BUILDING 1 27790 W HWY 22 STE 2 5 13 14 16 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 237 - GOOD SHEPHERD POB BUILDING 2 27750 W HWY 22 STES G50 G60 140 2 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 238 - GRAND OAKS HEALTH CENTER HOLLISTER GROV 1800 HOLLISTER DR STE G2 LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 239 - GREAT LAKES REIT (GLR) INTERNAL MEDICINE 27790 W HWY 22 BLDG 1 STE 16 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 240 - GURNEE HUNT CLUB RD IMM CARE 1445 HUNT CLUB RD GURNEE IL 60031 PATIENT CARE - OUT PATIENT 241 - GURNEE HUNT CLUB RD SLEEP 1445 HUNT CLUB RD GURNEE IL 60031 PATIENT CARE - OUT PATIENT 242 - GURNEE HUNT CLUB RD STE 301 1425 HUNT CLUB RD GURNEE IL 60031 PATIENT CARE - OUT PATIENT 243 - GURNEE HUNT CLUB RD STE 304 1445 HUNT CLUB RD GURNEE IL 60031 PATIENT CARE - OUT PATIENT 244 - HALSTED & BLACKHAWK HEALTH FACILITY 1460 N HALSTED AVE CHICAGO IL 60614 PATIENT CARE - OUT PATIENT 245 - HAZEL CREST W 177TH ST 3330 W 177TH ST HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 246 - HAZEL CREST CENTER 17850 S KEDZIE AVE STE 1100 HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 247 - HAZEL CREST S KEDZIE (SANE) 17680 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 248 - HAZEL CREST S KEDZIE (SHAH) 17680 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 249 - HAZEL CREST SSUB EMP HLTH 17850 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 250 - HAZEL CREST SSUB STE 2100 17850 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 251 - HAZEL CREST SSUB STE 2300 17850 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 252 - HAZEL CREST SSUB STE 3100 3500 17850 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 253 - HEALTHPOINT 1437 E COLLEGE AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 254 - HIGH TECH OFFICES - HOSPITAL 11800 SOUTHWEST HWY PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 255 - HOME HEALTHHOSPICECOMMUNITY HEALTH 407 E VERNON NORMAL IL 61761 PATIENT CARE - OUT PATIENT 256 - ILLINOIS HEART & LUNG - BILLING OFFICE 1300 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 257 - ILLINOIS HEART & LUNG - PONTIAC OFFICE 1508 W REYNOLDS STE A PONTIAC IL 61764 PATIENT CARE - OUT PATIENT 258 - ILLINOIS HEART & LUNG ASSOCIATES PULMONO 1302 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 259 - ILLINOIS HEART & LUNG CARDIOLOGY ASSOCIA 1302 FRANKLIN AVE MOB 4500 NORMAL IL 61761 PATIENT CARE - OUT PATIENT 260 - ILLINOIS MASONIC PHYSICIAN GROUP 4211 N CICERO STE 300 CHICAGO IL 60641 PATIENT CARE - OUT PATIENT 261 - IMAGING CENTER 2284 W COUNTYLINE RD ALGONQUIN IL 60014 PATIENT CARE - OUT PATIENT 262 - INTERNAL MEDICINE - BUFFALO GROVE 214 MCHENRY RD STES B19 B20 BUFFALO GROVE IL 60089 PATIENT CARE - OUT PATIENT 263 - IRVING AND WESTERN 4025 N WESTERN AVE CHICAGO IL 60618 PATIENT CARE - OUT PATIENT 264 - IVY PHYSICIANS GROUP 2437 N SOUTHPORT AVE 1ST FL CHICAGO IL 60614 PATIENT CARE - OUT PATIENT 265 - LAKE ZURICH BREAST IMAGING CENTER PEDIA 350 SURRYSE RD STES 140 150 250 LAKE ZURICH IL 60047 PATIENT CARE - OUT PATIENT 266 - LAKE ZURICH CENTER 350 SURRYSE RD LAKE ZURICH IL 60047 PATIENT CARE - OUT PATIENT 267 - LAKE ZURICH STE 110 350 SURRYSE RD STE 110 LAKE ZURICH IL 60047 PATIENT CARE - OUT PATIENT 268 - LAKEVIEW SCHOOL BASED HEALTH CENTER 4015 N ASHLAND AVE RM 103 CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 269 - LEMONT WALK IN CLINICRADIOLOGY 15900 W 127TH ST STES 100 131 20 LEMONT IL 60439 PATIENT CARE - OUT PATIENT 270 - LEROY FAMILY MEDICINE 911 S CHESTNUT LEROY IL 61752 PATIENT CARE - OUT PATIENT 271 - LGOHC-I 7255 CALDWELL NILES IL 60714 PATIENT CARE - OUT PATIENT 272 - LIBERTYVILLE 755 S MILWAUKEE 755 S MILWAUKEE AVE LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 273 - LIBERTYVILLE GARFIELD STE 200 890 GARFIELD LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 274 - LIBERTYVILLE GARFIELD STE 202 890 GARFIELD LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 275 - LIBERTYVILLE OFFICE BUILDING AMG (WAS CO 716 S MILWAUKEE AVE LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 276 - LOGAN SQUARE HEALTH FACILITY 2511 N KEDZIE CHICAGO IL 60647 PATIENT CARE - OUT PATIENT 277 - MCHENRY 633 RIDGEVIEW DR MCHENRY IL 60050 PATIENT CARE - OUT PATIENT 278 - MEDICAL HILLS INTERNISTS 1401 EASTLAND DR BLOOMINGTON IL 61701 PATIENT CARE - OUT PATIENT 279 - MEDICAL OFFICE BUILDING 1302 FRANKLIN NORMAL IL 61761 PATIENT CARE - OUT PATIENT 280 - MEDICAL OFFICE BUILDING 3000 N HALSTED ST STES 209 209B 30 CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 281 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A 10837 S CICERO AVE STES 200 110 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 282 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A 3611 W 183RD ST HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 283 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A 14741 RAVINIA DR ORLAND PARK IL 60467 PATIENT CARE - OUT PATIENT 284 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A 9830 S RIDGELAND AVE CHICAGO RIDGE IL 60415 PATIENT CARE - OUT PATIENT 285 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A 17850 S KEDZIE AVE STE 3250 HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 286 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A 2301/2315 E 93RD ST STE 222 CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 287 - MIDAMERICA CARDIOVASCULAR CONSULTANTS S 3800 BURKE DR STE 201 OLYMPIA FIELDS IL 60449 PATIENT CARE - OUT PATIENT 288 - MIDW HEART SPECIALISTSADVOCATE MEDICAL 27750 W HWY 22 STE 240 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 289 - MIDW HEART SPECIALISTSADVOCATE MEDICAL 3825 HIGHLAND AVE STE 400 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 290 - MIDW HEART SPECIALISTSADVOCATE MEDICAL 133 E BRUSH HILL RD STE 202 ELMHURST IL 60126 PATIENT CARE - OUT PATIENT 291 - MIDW HEART SPECIALISTSADVOCATE MEDICAL 1555 BARRINGTON RD STE 3200 HOFFMAN ESTATES IL 60194 PATIENT CARE - OUT PATIENT 292 - MIDW HEART SPECIALISTSADVOCATE MEDICAL 801 S WASHINGTON 4TH FL NAPERVILLE IL 60540 PATIENT CARE - OUT PATIENT 293 - MIDW HEART SPECIALISTSADVOCATE MEDICAL 25 N WINFIELD RD STE 301 WINFIELD IL 60190 PATIENT CARE - OUT PATIENT 294 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 2020 OGDEN AVE STE 400 AURORA IL 60504 PATIENT CARE - OUT PATIENT 295 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 4440 W 95TH ST STE 108 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 296 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 16151 WEBER RD UNIT 107 CREST HILL IL 60403 PATIENT CARE - OUT PATIENT 297 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 4440 W 95TH ST STE 1100H OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 298 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 1206 9TH ST STE 310 LOCKPORT IL 60441 PATIENT CARE - OUT PATIENT 299 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 209 E 86TH PLACE STE D MERRILLVILLE IN 46410 PATIENT CARE - OUT PATIENT 300 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 1555 BARRINGTON RD STE 3200 HOFFMAN ESTATES IL 60169 PATIENT CARE - OUT PATIENT 301 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 800 MACARTHUR BLVD STE 3 MUNSTER IN 46321 PATIENT CARE - OUT PATIENT 302 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 1020 E OGDEN AVE STE 302 NAPERVILLE IL 60563 PATIENT CARE - OUT PATIENT 303 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 4700 W 95TH ST STE 205 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 304 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 5701 STRATHMOOR DR STE 1 3 ROCKFORD IL 61107 PATIENT CARE - OUT PATIENT 305 - MIDWEST CENTER FOR DAY SURGERY 3811 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 306 - NESSET HEALTH CENTER 1775 BALLARD RD PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 307 - NILES CALDWELL 7255 N CALDWELL NILES IL 60714 PATIENT CARE - OUT PATIENT 308 - NILES MILWAUKEE 7900 MILWAUKEE AVE NILES IL 60714 PATIENT CARE - OUT PATIENT 309 - NORMAL BEHAVIORAL HEALTH 403 W VIRGINIA AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 310 - NORMAL BILLING OFFICE 1304 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 311 - NORMAL ENDOCRINOLOGY 1302 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 312 - NORMAL ENY SURGICAL ASSOCIATES 207 LANDMARK NORMAL IL 61761 PATIENT CARE - OUT PATIENT 313 - NORMAL GENERAL & COLORECTAL SURGERY 1300 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 314 - NORMAL ILL HEART AND LUNG CARDIOLOGY 1302 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 315 - NORMAL ILL HEART AND LUNG PULMONOLOGY 1302 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 316 - NORMAL NEUROLOGY 1300 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 317 - NORMAL PEDIATRICS 1302 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 318 - NORMAL PRIMARY CARE & IMMEDIATE CARE 1302 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 319 - NORTH PAVILION 3743 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 320 - NORTH SUBURBAN CLINIC 2575 ALGONQUIN RD ALGONQUIN IL 60102 PATIENT CARE - OUT PATIENT 321 - NORTHSIDE-SUBURBAN PEDIATRICS 4801 W PETERSON 506 CHICAGO IL 60646 PATIENT CARE - OUT PATIENT 322 - OAK PARK - NORTH AVE HEALTH FACILITY 6434 W NORTH AVE OAK PARK IL 60639 PATIENT CARE - OUT PATIENT 323 - OFFICE BUILDING-ADVOCATE PHYSICIAN PARTN 3004 GENERAL ELECTRIC RD STE BLOOMINGTON IL 61704 PATIENT CARE - OUT PATIENT 324 - OLYMPIA FIELDS AMG (WAS MPG) 4001 VOLLMER RD OLYMPIA FIELDS IL 60461 PATIENT CARE - OUT PATIENT 325 - OLYMPIA FIELDS CANCER CARE INSTITUTE AMG 3700 W 203RD ST OLYMPIA FIELDS IL 60461 PATIENT CARE - OUT PATIENT 326 - OLYMPIA FIELDS CORPORATE & PHYSICAL THE 20110 GOVERNORS HWY OLYMPIA FIELDS IL 60461 PATIENT CARE - OUT PATIENT 327 - ORLAND SQUARE HEALTH CENTER WALK-IN CARE 29 ORLAND SQUARE DR ORLAND PARK IL 60462 PATIENT CARE - OUT PATIENT 328 - ORLAND SQUARE ORLAND DR 29 ORLAND PARK DR ORLAND PARK IL 60467 PATIENT CARE - OUT PATIENT 329 - PALOS 7620 W 111TH ST PALOS HILLS IL 60465 PATIENT CARE - OUT PATIENT 330 - PARK RIDE YACKTMAN 1675 DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 331 - PARK RIDGE ADULT DOWN SYNDROME 1610 LUTHER LN PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 332 - PARK RIDGE CAC GYNONC ONCOLOGY 1700 LUTHER LN PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 333 - PARK RIDGE CARDIO VASCULAR 1700 LUTHER LN PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 334 - PARK RIDGE LGH SLEEP CENTER 1775 DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 335 - PARK RIDGE NESSET 1775 BALLARD RD PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 336 - PARK RIDGE PARKSIDE STE 270 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 337 - PARK RIDGE PARKSIDE STE 285 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 338 - PARK RIDGE PARKSIDE STE 310 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 339 - PARK RIDGE PARKSIDE STE 325 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 340 - PARK RIDGE PARKSIDE STE 340 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 341 - PARK RIDGE PARKSIDE STE 360 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 342 - PARK RIDGE PARKSIDE STE 470 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 343 - PARK RIDGE PARKSIDE STE 490 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 344 - PARK RIDGE PARKSIDE STE 520 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 345 - PARK RIDGE PARKSIDE STE 550 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 346 - PARK RIDGE PARKSIDE STE 555-556 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 347 - PARK RIDGE PARKSIDE STE 640 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 348 - PARK RIDGE PEDIATRIC NEPHROLOGY 1480 RENAISSANCE DR STE 211 PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 349 - PARK RIDGE RENAISSANCE DR 1480 RENAISSANCE DR PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 350 - PARK RIDGE YACKTMAN OB 1675 DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 351 - PARKSIDE CENTER 1875 DEMPSTER ST PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 352 - PEDS - DEERFIELD 720 OSTERMAN AVE 103 DEERFIELD IL 60015 PATIENT CARE - OUT PATIENT 353 - PHYSICIAN'S OFFICES 11745 SOUTHWEST HWY PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 354 - PHYSICIAN'S OFFICES 4151 NAPERVILLE RD LISLE IL 60532 PATIENT CARE - OUT PATIENT 355 - PHYSICIAN'S OFFICES 9848 S ROBERTS RD PALOS HEIGHTS IL 60465 PATIENT CARE - OUT PATIENT 356 - PLAINFIELD 24600 W 127TH ST BLDG B PLAINFIELD IL 60544 PATIENT CARE - OUT PATIENT 357 - POB BUILDING 414 S HOMAN CHICAGO IL 60624 PATIENT CARE - OUT PATIENT 358 - POB BUILDING 3410 W VAN BUREN CHICAGO IL 60624 PATIENT CARE - OUT PATIENT 359 - POB BUILDING 1300 FRANKLIN AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 360 - PONTIAC ILLINOIS HEART AND LUNG 1508 W REYNOLDS PONTIAC IL 61764 PATIENT CARE - OUT PATIENT 361 - RAVENSWOOD MEDICAL GROUP 1945 W WILSON AVE STE 2100 4TH FL CHICAGO IL 60640 PATIENT CARE - OUT PATIENT 362 - RIVERSIDE 7234 W OGDEN AVE RIVERSIDE IL 60546 PATIENT CARE - OUT PATIENT 363 - ROANOKE 415 W FRONT ROANOKE IL 61561 PATIENT CARE - OUT PATIENT 364 - ROTUNDA MEDICAL BUILDING 4340 W 95TH ST STE 104 105 106 AN OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 365 - SIX CORNERS AHC 4211 N CICERO STES 308 306 304 CHICAGO IL 60641 PATIENT CARE - OUT PATIENT 366 - SLEEP CENTER 1111 E 87TH ST STE 500 CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 367 - SOUTH ELGIN 2000 MCDONALD RD SOUTH ELGIN IL 60177 PATIENT CARE - OUT PATIENT 368 - SOUTH ELGIN 2000 MCDONALD RD SOUTH ELGIN IL 60177 PATIENT CARE - OUT PATIENT 369 - SOUTH HOLLAND 100 W 162ND ST SOUTH HOLLAND IL 60473 PATIENT CARE - OUT PATIENT 370 - SOUTH HOLLAND 100 W 162ND ST SOUTH HOLLAND IL 60473 PATIENT CARE - OUT PATIENT 371 - SOUTH SUBURBAN HOSPITAL - CRETE LOCATION 1024-1036 E STEGER RD 4 STES CRETE IL 60417 PATIENT CARE - OUT PATIENT 372 - SOUTH SUBURBAN HOSPITAL CANCER CENTER 17750 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 373 - SOUTH SUBURBAN MEDICAL OFFICE AND SLEEP 16532 OAK PARK AVE STE LL1 TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 374 - SOUTH SUBURBAN POB 17850 S KEDZIE STES LL 1 2 LL STO HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 375 - SOUTHEAST HEALTH FACILITY 2301 EAST 93RD ST STES 117 2ND AND 3 CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 376 - SOUTHWEST HIGHWAY 11824 SOUTHWEST HWY STES 135 140 1 PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 377 - SUGAR CREEK MEDICAL I 1302 FRANKLIN AVE STE 1100 NORMAL IL 61761 PATIENT CARE - OUT PATIENT 378 - SUGAR CREEK MEDICAL II 1302 FRANKLIN AVE STE 2500 NORMAL IL 61761 PATIENT CARE - OUT PATIENT 379 - TINLEY PARK - CMC 8TH AVE STE E 16750 S 80TH AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 380 - TINLEY PARK CENTER - OCC HEALTH 18210 S LAGRANGE RD STE 211 TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 381 - TINLEY PARK HIGH TECH 18210 S LAGRANGE AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 382 - TINLEY PARK LA GRANGE AVE STE 105 18210 S LAGRANGE AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 383 - TINLEY PARK LA GRANGE AVE STE 200 18210 S LAGRANGE AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 384 - TINLEY PARK LA GRANGE AVE STE 209 18210 S LAGRANGE AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 385 - TINLEY PARK MEDICAL OFFICE 16750 S 80TH AVE STE B TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 386 - TINLEY PARK SLEEP CENTER 16532 OAK PARK AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 387 - TOWN & COUNTRY 105 S MAJOR ST EUREKA IL 61530 PATIENT CARE - OUT PATIENT 388 - TOWN & COUNTRY 415 W FRONT ROANOKE IL 61561 PATIENT CARE - OUT PATIENT 389 - TRINITY POB 2301-2315 E 93RD ST STES 117 213 3 CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 390 - TWIN CITIES BEHAVIORAL HEALTHEAP 403 VIRGINIA AVE NORMAL IL 61761 PATIENT CARE - OUT PATIENT 391 - TWIN CITIES BEHAVIORAL HEALTHEAP 403 VIRGINIA AVE 2ND FL NORMAL IL 61761 PATIENT CARE - OUT PATIENT 392 - TWIN CITIES BEHAVIORAL HEALTHEAP 303 N HERSHEY RD STE 2C BLOOMINGTON IL 61761 PATIENT CARE - OUT PATIENT 393 - VACANT 1999 DEMPSTER ST PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 394 - VERNON HILLS OB 565 LAKEVIEW DR VERNON HILLS IL 60061 PATIENT CARE - OUT PATIENT 395 - WEST SUBURBAN - UM OFFICE 3 ERIE CT OAK PARK IL 60439 PATIENT CARE - OUT PATIENT 396 - WOODRIDGE IMAGING CENTER 7530 WOODWARD AVE WOODRIDGE IL 60517 PATIENT CARE - OUT PATIENT 397 - WOUND CARE CLINIC 8751 S GREENWOOD STE600 100 CHICAGO IL 60619 PATIENT CARE - OUT PATIENT 398 - WRIGLEY FIELD 1060 W ADDISON CHICAGO IL 60613 PATIENT CARE - OUT PATIENT 399 - YACKTMAN CHILDREN'S PAVILION 1675 DEMPSTER ST PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT PART I, LINE 7: PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART I, LINE 7G: PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7GADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR AHHC. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF AHHC DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR, MENTAL, BEHAVIORAL AND CHEMICAL DEPENDENCY HEALTH SERVICES, REHABILITATION SERVICES, CARDIAC SURGERY, ORTHOPEDIC AND HOSPICE SERVICES. PART I, LN 7 COL(F): PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7, COLUMN (F)$171,998,153 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES REPORT - ENVIRONMENTAL IMPROVEMENTSADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS DEEPLY CONNECTED TO OUR CORE MISSION - HEALTH AND HEALING. WE UNDERSTAND THAT THE HEALTH OF THE ENVIRONMENT AND THE HEALTH OF THE PATIENTS AND COMMUNITIES WE SERVE IS INEXTRICABLY LINKED - AND THAT A HEALTHY PLANET SUPPORTS HEALTHY PEOPLE. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROW - ALL OF THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREEN HOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS WE WORK TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACT OF HEALTH CARE, OUR ENVIRONMENTAL STEWARDSHIP PRACTICES HELP EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY-RELATED DISEASE BURDEN). 1. MENTORING AND EDUCATIONAS WE WORK TO SERVE THE HEALTH NEEDS OF TODAY'S PATIENTS AND FAMILIES WITHOUT COMPROMISING THE NEEDS OF FUTURE GENERATIONS, ADVOCATE HAS COMMITTED RESOURCES TO SHARING LESSONS LEARNED AND BEST PRACTICES WITH OTHER HOSPITALS AND HEALTH SYSTEMS, BOTH LOCALLY AND NATIONALLY, AND WE DO SO IN A VARIETY OF WAYS. ADVOCATE HEALTH CARE WAS ONE OF 12 FOUNDING AND SPONSORING HEALTH SYSTEMS OF THE NATIONAL HEALTHIER HOSPITALS INITIATIVE, WHICH HAS NOW BECOME A PERMANENT PROGRAM OF PRACTICE GREENHEALTH. THE HEALTHIER HOSPITALS PROGRAM ENGAGES OVER 1,300 HOSPITALS IN SIX KEY CATEGORIES OF HEALTH CARE SUSTAINABILITY: ENGAGED LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS, AND SMARTER PURCHASING. ENROLLED HOSPITALS HAVE ACCOMPLISHED REDUCTIONS IN MEAT PURCHASING, INCREASED PURCHASING OF LOCAL AND SUSTAINABLE FOOD, REDUCED EXPOSURE TO TOXIC CHEMICALS THROUGH GREEN CLEANING PROGRAMS AND CONVERSION OF MEDICAL PRODUCTS FREE FROM PVC AND DEHP AND DECREASED ENERGY AND WASTE. ADVOCATE IS PROUD TO JOURNEY WITH THIS GROWING MASS OF HOSPITALS THROUGH ITS OWN INVOLVEMENT AND LEADERSHIP IN THE HEALTHIER HOSPITALS CHALLENGES. ADVOCATE CONTINUES ITS LEADERSHIP, ADVOCACY AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL HEALTHCARE SUSTAINABILITY LEADERSHIP GROUPS AND ADVISORY BOARDS, ADDRESSING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHING AND MEDICAL PRODUCTS, CLIMATE CHANGE, PLASTICS RECYCLING, AND ENVIRONMENTALLY-PREFERABLE PURCHASING:" PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP - LESS MEAT, BETTER MEAT" PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP - SAFER CHEMICALS" HEALTH CARE CLIMATE COUNCIL " HEALTHCARE PLASTICS RECYCLING COALITION - HEALTHCARE FACILITY ADVISORY BOARD" VIZIENT ENVIRONMENTAL ADVISORY COUNCIL " SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTADVOCATE ALSO COMMONLY PROVIDES MENTORING TO HEALTH CARE COMMUNITY ON SUSTAINABILITY BEST PRACTICES THROUGH PRESENTATIONS AND WEBINARS, AS WELL AS TO INDIVIDUAL HEALTH CARE INSTITUTIONS ON A CASE-BY-CASE BASIS.2. ADVOCATE HEALTH CARE SYSTEM - 2018 ENVIRONMENTAL INITIATIVES:" REDUCED CUMULATIVE (ELEVEN HOSPITALS) HOSPITAL ENERGY CONSUMPTION BY 0.5 PERCENT IN TWELVE MONTHS ENDING 11/30/18. OUR 2018 ENERGY REDUCTIONS SAVED ADVOCATE $490,000 IN ENERGY COSTS" AVOIDED 2,811 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 6.8 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES." RECYCLED 2,760 TONS OF WASTE FROM HOSPITAL OPERATIONS." RECYCLED 74 PERCENT, OR 1,370 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS." SAVED 56 TONS OF WASTE FROM LANDFILL AND SAVED OVER $2 MILLION VIA OUR SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS." CONTINUED OUR DONATION PROGRAM WITH PROJECT C.U.R.E., A NON-PROFIT ORGANIZATION THAT WILL RESPONSIBLY REDISTRIBUTE DONATED MEDICAL SUPPLIES AND EQUIPMENT TO UNDER-RESOURCED AREAS AROUND THE GLOBE, FOR ALL ADVOCATE HEALTH CARE FACILITIES. ADVOCATE DONATED A TOTAL OF 91 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 13PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE IN 2018, ALL OF WHICH MAY HAVE OTHERWISE BEEN LANDFILLED." PURCHASED 7,134 FEWER REAMS OF PAPER IN 2018 VERSUS 2017 EVEN THOUGH PATIENT VOLUMES ROSE - TRANSLATING INTO AN OVER 3% YEAR-OVER-YEAR REDUCTION IN PAPER USAGE." SPENT 78% OF ADVOCATE'S EXPENSES IN SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS) ON THIRD-PARTY CERTIFIED "GREEN" CLEANERS." INCREASED THE PURCHASE OF HEALTHIER HOSPITALS-APPROVED FURNITURE, MADE WITHOUT SELECT CHEMICALS OF CONCERN, INCLUDING PERFLUORINATED COMPOUNDS, PVC (VINYL), FORMALDEHYDE, FLAME RETARDANTS (WHERE CODE PERMISSIBLE) AND ANTIMICROBIALS, TO 78% OF TOTAL PURCHASES." PURCHASED 24% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA." PLEASE SEE ADVOCATE HEALTH CARE'S PUBLICLY-FACING SUSTAINABILITY & WELLNESS WEBSITE FOR MORE INFORMATION.3. HOSPITAL-BASED ENVIRONMENTAL IMPROVEMENTS IN 2018ADVOCATE BROMENN MEDICAL CENTER" DIVERTED OVER 310,000 POUNDS OF WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS." AVOIDED 7,800 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS." PARTNERED WITH ILLINOIS STATE UNIVERSITY TO COMPOST OVER 32,000 POUNDS OF FOOD WASTE, REDUCING ITS VOLUME OF WASTE TO LOCAL LANDFILLS." REUSED AND DONATED CLEAN, USED LINENS TO LOCAL ORGANIZATIONS INCLUDING ANIMAL AND HOMELESS SHELTERS, AMBULANCE SERVICE COMPANY OR REUSED AS CLEANING CLOTHS WITHIN THE HOSPITAL." PURCHASED 100% THIRD-PARTY CERTIFIED GREEN CLEANERS FOR SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS)." 83% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." DONATED 4 PALLETS OF VARIOUS MEDICAL SUPPLIES AND 9 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD IN 2018. " IN PARTNERSHIP WITH THE COMMUNITY, HOSTED A VEGETABLE GARDEN ON CAMPUS, PROVIDING GARDENING EDUCATION AND HEALTHY PRODUCE TO PATIENTS AND COMMUNITY MEMBERS. ADVOCATE CHRIST MEDICAL CENTER" DIVERTED OVER 778,000 POUNDS OF WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS." AVOIDED 18,100 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS" PURCHASED 4,670 FEWER REAMS OF PAPER IN 2018 VERSUS 2017, TRANSLATING INTO AN 8.4% YEAR OVER YEAR REDUCTION IN PAPER USAGE." 86% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. " DONATED 13 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD IN 2018. ADVOCATE EUREKA HOSPITAL" RECEIVED THE U.S. ENVIRONMENTAL PROTECTION AGENCY'S ENERGY STAR CERTIFICATION IN 2018 - ONE OF ONLY THREE HOSPITALS IN ILLINOIS TO DO SO." USED 3% LESS ENERGY PER SQUARE FOOT IN 2018 THAN IN 2017 (WEATHER NORMALIZED)." DIVERTED OVER 22,300 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " HAS THE LOWEST WASTE PRODUCTION RATE IN THE ADVOCATE SYSTEM, CREATING LESS THAN 5.5 POUNDS OF SOLID AND MEDICAL WASTE PER ADJUSTED PATIENT DAY." PURCHASED 130 FEWER REAMS OF PAPER IN 2018 VERSUS 2017, TRANSLATING INTO A 17% YEAR OVER YEAR REDUCTION IN PAPER USAGEADVOCATE GOOD SAMARITAN HOSPITAL" DIVERTED OVER 744,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " AVOIDED 14,900 POUNDS OF MEDICAL AND SOLID WASTE IN 2018 THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS" PURCHASED 100% THIRD-PARTY CERTIFIED GREEN CLEANERS FOR SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS)." IN 2017, GOOD SAMARITAN DONATED 12 PALLETS OF VARIOUS MEDICAL SUPPLIES AND TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD.ADVOCATE GOOD SHEPHERD HOSPITAL" DONATED LAND TO AND PARTNERED WITH A LOCAL NON-PROFIT ORGANIZATION, SMART FARM, TO GROW VEGETABLES AND TEACH THE COMMUNITY HOW TO GROW ORGANIC FOOD AND EAT HEALTHY. THE SMART FARM DONATED OVER 14,000 POUNDS OF FRESH PRODUCE TO LOCAL FOOD PANTRIES IN 2018." DIVERTED OVER 405,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " AVOIDED ALMOST 10,000 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS" 78% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." PURCHASED 100% THIRD-PARTY CERTIFIED GREEN CLEANERS FOR SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS). " PURCHASED 1,072 FEWER REAMS OF PAPER IN 2018 VERSUS 2017, TRANSLATING INTO A 7.1% YEAR OVER YEAR REDUCTION IN PAPER USAGE. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES REPORT - ENVIRONMENTAL IMPROVEMENTS- CONTINUED" IN 2018, GOOD SHEPHERD DONATED 37 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE LUTHERAN GENERAL HOSPITAL" LUTHERAN GENERAL HOSPITAL DIVERTED OVER ONE MILLION POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " AVOIDED 18,000 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS" 72% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." PURCHASED 33% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA." IN 2018, LUTHERAN GENERAL DONATED 6 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD.ADVOCATE SOUTH SUBURBAN HOSPITAL" DIVERTED OVER 405,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " USED 5.5% LESS ENERGY PER SQUARE FOOT IN 2017 THAN IN 2016 (WEATHER NORMALIZED)." AVOIDED 6,600 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS." 81% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." THROUGH A PARTNERSHIP WITH ITS PRODUCE VENDOR, SOUTH SUBURBAN HOSTED A FARMERS MARKETS ON CAMPUS IN 2018; LEFTOVER PRODUCE WAS DONATED TO LOCAL FOOD PANTRIES FOR REDISTRIBUTION TO THE COMMUNITY.ADVOCATE TRINITY HOSPITAL" DIVERTED OVER 222,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " AVOIDED 3,700 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS." 96% OF TRINITY'S FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." PURCHASED 94% THIRD-PARTY CERTIFIED GREEN CLEANERS FOR SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS)." THROUGH A PARTNERSHIP WITH ITS PRODUCE VENDOR, TRINITY HOSTED TWO FARMERS MARKETS ON CAMPUS IN 2018; LEFTOVER PRODUCE WAS DONATED TO LOCAL FOOD PANTRIES FOR REDISTRIBUTION TO THE COMMUNITY.ADVOCATE SUPPORT CENTERS" HELD A SHREDDING EVENT FOR ASSOCIATES" HELD A SHOE DONATION RECYCLING EVENT, COLLECTING OVER 180 PAIRS FOR REUSE OR RECYCLING" UTILIZED A 'PULL PRINT' PROCESS FOR PRINTING AND REDUCED PAPER USAGE 17.4% FROM 2017 TO 2018. PART III, LINE 4: PART VI, LINE 1 - DESCRIPTION FOR PART III, LINES 2, 3, AND 4 THE FOOTNOTES TO ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 10-11 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2018, FOR AHHC, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 19.98% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. AHHC EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED.ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF-PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD FINANCIAL ASSISTANCE APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 20% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE.BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H. PART III, LINE 8: PART VI, LINE 1 - DESCRIPTION FOR PART III, LINE 8THE SHORTFALL OF $161,237,742 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY.FOR ADVOCATE HEALTH AND HOSPITALS CORPORATION'S OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS. PART III, LINE 9B: PART VI, LINE 1 - DESCRIPTION FOR PART III, LINE 9BADVOCATE HEALTH AND HOSPITALS CORPORATION MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. PART VI, LINE 3: PART VI, LINE 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEAHHC ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER AHHC'S HOSPITAL FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. AHHC ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS.3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED.4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION.6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE, AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE. PART VI, LINE 4: THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS MCLEAN COUNTY, THE PRIMARY SERVICE AREA FOR ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT, ST. JOSEPH MEDICAL CENTER AND UNITED WAY OF MCLEAN COUNTY. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: ANCHOR, ARROWSMITH, BELLFLOWER, BLOOMINGTON, CARLOCK, CHENOA, COLFAX, COOKSVILLE, DANVERS, DOWNS, ELLSWORTH, GRIDLEY, HEYWORTH, HUDSON, LE ROY, LEXINGTON, MCLEAN, MERNA, NORMAL, SAYBROOK, STANFORD AND TOWANDA. ADVOCATE BROMENN AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER ARE THE ONLY TWO HOSPITALS LOCATED IN MCLEAN COUNTY ILLINOIS AND THERE IS ONE FEDERALLY-DESIGNATED UNDERSERVED AREA IN MCLEAN COUNTY. POPULATIONMCLEAN COUNTY CONSISTS OF A TOTAL POPULATION OF 174,879 (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016). ACCORDING TO THE 2014 UNITED STATES CENSUS BUREAU, BLOOMINGTON HAS THE LARGEST POPULATION IN THE COUNTY WITH 78,730 AND NORMAL HAS THE SECOND LARGEST POPULATION WITH 54,594. THE POPULATION IN MCLEAN COUNTY INCREASED BY 3.1 PERCENT FROM 2010 TO 2016 (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016). AGE AND GENDERTHE MEDIAN AGE IN MCLEAN COUNTY IS 33.2 YEARS OF AGE, WHICH IS YOUNGER THAN THE NATIONAL MEDIAN AGE OF 37.2. TWENTY-TWO PERCENT OF PERSONS IN MCLEAN COUNTY ARE LESS THAN 18 YEARS OF AGE AND 23.6 PERCENT ARE 45 TO 64 YEARS OF AGE. TWELVE PERCENT OF PERSONS ARE OVER THE AGE OF 65. FORTY-NINE PERCENT OF THE POPULATION IN MCLEAN COUNTY IS MALE AND 51 PERCENT IS FEMALE. RACE AND ETHNICITYTHE POPULATION OF MCLEAN COUNTY IS 82 PERCENT WHITE, 7.7 PERCENT BLACK OR AFRICAN AMERICAN, 5.7 PERCENT ASIAN, FIVE PERCENT HISPANIC OR LATINO, 0.26 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .04 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016). ECONOMICSINCOMETHE MEDIAN HOUSEHOLD INCOME IN MCLEAN COUNTY IS $66,355. THE PERCENT OF PEOPLE LIVING BELOW THE POVERTY LEVEL IN MCLEAN COUNTY IS 14.7 PERCENT.HEALTH CARE COVERAGETHE TOTAL NUMBER OF MEDICAID BENEFICIARIES IN MCLEAN COUNTY HAS INCREASED BY 50.2 PERCENT FROM 2007 TO 2014. THERE WERE 4,499 INDIVIDUALS WHO GAINED MEDICAID COVERAGE IN 2014 DUE TO THE AFFORDABLE CARE ACT (ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES, 2014). ADDITIONALLY, 12.7 PERCENT OF MCLEAN COUNTY RESIDENTS ARE ENROLLED IN MEDICARE (CENTERS FOR MEDICARE AND MEDICAID, 2014). IN 2017, 18 PERCENT OF PATIENTS SEEN AT ADVOCATE BROMENN WERE UNINSURED PATIENTS OR WERE MEDICAID RECIPIENTS.NINETY-ONE PERCENT OF RESPONDENTS OF THE 2015 MCLEAN COUNTY COMMUNITY HEALTH SURVEY REPORTED HAVING EITHER PRIVATE INSURANCE, MEDICAID OR MEDICARE, WHILE EIGHT PERCENT REPORTED HAVING NO INSURANCE. NO INSURANCE WAS SELECTED AS A RESPONSE TO TYPE OF INSURANCE MORE FREQUENTLY BY PEOPLE WITH THE FOLLOWING CHARACTERISTICS: YOUNGER AGE, HISPANIC OR LATINO, AND HOMELESSNESS. EMPLOYMENTTHE PERCENT OF THE CIVILIAN LABOR FORCE THAT IS UNEMPLOYED IN MCLEAN COUNTY IS 5.5 PERCENT, LOWER THAN ILLINOIS AT 9.9 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE THE FINANCIAL OR INSURANCE INDUSTRY AT 21.6 PERCENT, EDUCATIONAL SERVICES AT 13.2 PERCENT AND HEALTH CARE AT 10.8 PERCENT (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016).EDUCATIONEDUCATIONAL LEVELNINETY-FIVE PERCENT OF THE POPULATION OVER THE AGE OF 25 IN MCLEAN COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER, AND 43.4 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER (HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2010-2014). THE STATE AVERAGE FOR A BACHELOR'S DEGREE OR HIGHER IS 32 PERCENT (TOWN CHARTS, 2016). ILLINOIS STATE UNIVERSITY, ILLINOIS WESLEYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY.HIGH SCHOOL GRADUATION RATESTHE 2015 FOUR-YEAR HIGH SCHOOL GRADUATION RATE FOR MCLEAN COUNTY IS 88 PERCENT (ILLINOIS STATE BOARD OF EDUCATION, 2015). THIS IS HIGHER THAN THE GRADUATION RATE FOR ILLINOIS OF 86 PERCENT. THE GRADUATION RATE FOR LOW-INCOME STUDENTS AT VARIOUS HIGH SCHOOLS IN MCLEAN COUNTY, HOWEVER, IS LOWER THAN THE COUNTY GRADUATION RATE WITH PERCENTAGES RANGING FROM A LOW OF 61 PERCENT TO A HIGH OF 83 PERCENT. TRUANCY RATETHE 2015 TRUANCY RATE FOR MCLEAN COUNTY IS 2.5 PERCENT COMPARED TO THE TRUANCY RATE IN ILLINOIS OF 8.7 PERCENT (ILLINOIS STATE BOARD OF EDUCATION, 2015). STUDENT-TO-TEACHER RATIOTHIS INDICATOR SHOWS THE AVERAGE NUMBER OF PUBLIC-SCHOOL STUDENTS PER TEACHER IN THE REGION. IT DOES NOT MEASURE CLASS SIZE. ACCORDING TO THE NATIONAL CENTER FOR EDUCATION STATISTICS, LARGER SCHOOLS TEND TO HAVE HIGHER STUDENT-TEACHER RATIOS. THERE ARE 16.7 STUDENTS PER TEACHER IN MCLEAN COUNTY (HEALTHY COMMUNITIES INSTITUTE, NATIONAL CENTER FOR EDUCATION STATISTICS, 2013-2014). THIS HAS INCREASED SLIGHTLY FROM 15.4 STUDENTS PER TEACHER SINCE 2011-2012.HEALTH CARE RESOURCES IN THE DEFINED COMMUNITYTHERE ARE NUMEROUS HEALTH CARE RESOURCES IN MCLEAN COUNTY. THERE ARE TWO HOSPITALS, ADVOCATE BROMENN LOCATED IN NORMAL AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER LOCATED IN BLOOMINGTON. THERE IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE CHESTNUT FAMILY HEALTH CENTER, LOCATED IN BLOOMINGTON. IN ADDITION, THERE ARE FIVE COMMUNITY CLINICS. THE COMMUNITY HEALTH CARE CLINIC AND THE COMMUNITY CANCER CENTER ARE BOTH LOCATED IN NORMAL. THE JOHN M. SCOTT HEALTH RESOURCES CENTER, IMMANUEL HEALTH CENTER AND MCLEAN COUNTY CENTER FOR HUMAN SERVICES ARE ALL LOCATED IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN COUNTY ARE THE CLINIC WITHIN THE MCLEAN COUNTY HEALTH DEPARTMENT AND A CRISIS STABILIZATION UNIT WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS. PART VI, LINE 5: ADVOCATE BROMENN'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE GOVERNING COUNCIL AT ADVOCATE BROMENN IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.A VAST MAJORITY OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM ALSO SERVE ON MULTIPLE COMMUNITY BOARDS THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO - UNITED WAY, MCLEAN COUNTY GOVERNMENT BEHAVIORAL HEALTH COORDINATING COUNCIL, HABITAT FOR HUMANITY, FAITH IN ACTION, KIWANIS, COMMUNITY HEALTH CARE CLINIC, JOHN M. SCOTT HEALTH COMMISSION, AMERICAN RED CROSS, BOYS AND GIRLS CLUB, MCLEAN COUNTY CHAMBER OF COMMERCE, MCLEAN COUNTY BOARD OF HEALTH, RECOVERY COURT, PROMISE COUNCIL OF MCLEAN COUNTY, HEARTLAND COMMUNITY COLLEGE FOUNDATION, MCLEAN COUNTY'S TRANSPORTATION ADVISORY COUNCIL, MCLEAN COUNTY SENIOR SERVICES COALITION AND THE ECONOMIC DEVELOPMENT COUNCIL. THE PRESIDENT OF ADVOCATE BROMENN IS ALSO INVOLVED IN MANY BOARDS THAT IMPACT THE COMMUNITY IN A POSITIVE MANNER, SUCH AS THE BN ADVANTAGE LEADERSHIP COUNCIL, CENTRAL ILLINOIS REGIONAL AIRPORT AUTHORITY, ILLINOIS STATE UNIVERSITY FOUNDATION BOARD OF DIRECTORS, THE COMMUNITY CANCER CENTER, COMMERCE BANK ADVISORY BOARD AND ILLINOIS WESLEYAN UNIVERSITY BOARD. THE PRESIDENT AND OTHER MEMBERS OF THE EXECUTIVE TEAM PROVIDE LEADERSHIP TRAINING IN THE COMMUNITY TO GROUPS SUCH AS THE MULTICULTURAL LEADERSHIP PROGRAM AND LEADERSHIP MCLEAN COUNTY. IN ADDITION, A MEMBER OF ADVOCATE BROMENN'S LEADERSHIP TEAM TRAINS STUDENTS FROM THE BLOOMINGTON AREA CAREER CENTER AND ILLINOIS WESLEYAN UNIVERSITY ON THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT TO HELP PREPARE THE STUDENTS TO TAKE THE CERTIFIED NURSING ASSISTANT EXAM.ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY AND FURTHERS ITS EXEMPT STATUS IS THE COMMUNITY HEALTH CARE CLINIC. IN 1993, ADVOCATE BROMENN PARTNERED WITH OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, ALSO LOCATED IN MCLEAN COUNTY, TO OPEN THE COMMUNITY HEALTH CARE CLINIC. THE COMMUNITY HEALTH CARE CLINIC PROVIDES SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF MCLEAN COUNTY TO ENSURE THAT ALL POPULATIONS IN THE COMMUNITY HAVE ACCESS TO HEALTHCARE. TO BE ELIGIBLE FOR CARE AT THE CLINIC, AN INDIVIDUAL MUST HAVE A TOTAL HOUSEHOLD INCOME LESS THAN 185 PERCENT OF FEDERAL POVERTY GUIDELINES, HAVE NO ACCESS TO THIRD PARTY INSURANCE (MEDICAID, MEDICARE, ALL KIDS, VETERAN'S BENEFITS, DISABILITY OR EMPLOYER-SPONSORED INSURANCE) AND RESIDE IN MCLEAN COUNTY. ALL EMERGENCY ROOM VISITS, DIAGNOSTIC TESTING AND HOSPITAL SERVICES ARE PROVIDED FREE OF CHARGE BY ADVOCATE BROMENN AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER. THE COMMUNITY HEALTH CARE CLINIC SAW 1,110 PATIENTS IN 2018, PROVIDED 3,279 PATIENT VISITS AND PRESCRIBED OVER 24,065 PRESCRIPTION MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. THE CLINIC IS IN A BUILDING OWNED BY ADVOCATE BROMENN, FOR WHICH THE HOSPITAL PAID $82,638 FOR THE MAINTENANCE AND UPKEEP OF THE FACILITY IN 2018. IN ADDITION TO THE ABOVE, ADVOCATE BROMENN SERVES AS AN EMERGENCY MEDICAL SERVICES (EMS) RESOURCE FOR EDUCATION AND TRAINING FOR MCLEAN COUNTY, PROVIDING A $226,026 BENEFIT TO THE COMMUNITY IN 2018. THE HOSPITAL ALSO CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY MAINTAINING AND OFFERING COMMUNITY MEMBERS, NURSING STUDENTS, RESIDENTS, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS' ACCESS TO THE A.E. LIVINGSTON HEALTH SERVICES LIBRARY. THIS ACCESS IS PROVIDED FREE OF CHARGE TO THESE INDIVIDUALS. THE COST OF $72,909 FOR THIS SERVICE, IN 2018, WAS ABSORBED BY THE HOSPITAL. ADVOCATE BROMENN IS ALSO AN AMERICAN HEART ASSOCIATION TRAINING CENTER FOR THE COMMUNITY. THE COST OF PROVIDING THIS SERVICE IS $73,796. THE NUMEROUS OTHER WAYS ADVOCATE BROMENN PROMOTES THE HEALTH OF THE COMMUNITY RANGE FROM PROVIDING PET THERAPY AND CLINICAL PASTORAL EDUCATION PROGRAMS TO OFFERING MEETING SPACE TO COMMUNITY NOT-FOR-PROFIT GROUPS AND BEING A TEACHING HOSPITAL FOR BOTH FAMILY PRACTICE, NEUROLOGY AND NEUROSURGERY RESIDENTS.ADVOCATE BROMENN HAD A FEW SIGNIFICANT CAPITAL PROJECTS THAT BEGAN OR WERE COMPLETED IN 2018 THAT IMPROVED PATIENT CARE OR CONTRIBUTED TO A HEALTHIER COMMUNITY ENVIRONMENT. IN 2018, THE BIOFIRE ANALYZER, THAT IS NOW IN PLACE IN ADVOCATE BROMENN'S MICROBIOLOGY DEPARTMENT, ENABLES THE LAB TO DECREASE TURNAROUND TIMES FOR THE IDENTIFICATION OF PATHOGENS CAUSING BLOOD STREAM INFECTIONS. THIS ANALYZER CAN PROVIDE A DEFINITIVE IDENTIFICATION OF THE ORGANISM(S) CAUSING SUCH INFECTIONS IN ONE HOUR FROM THE START OF THE TEST. WITH CONVENTIONAL TESTING, PLATING A POSITIVE BLOOD CULTURE SPECIMEN TO SPECIFIC AGAR PLATES, WOULD TAKE FROM 15 TO 36 HOURS TO GET THE SAME RESULT. WITH THIS NEW TECHNOLOGY, THE FASTER IDENTIFICATION OF THE ORGANISM ALLOWS FOR COST SAVINGS TO THE PATIENT AND ADVOCATE AURORA HEALTH BY STREAMLINING ANTIMICROBIAL THERAPY FASTER. THIS HAS ALSO SHOWN TO INCREASE POSITIVE PATIENT OUTCOMES, DECREASE DAYS OF ANTIMICROBIAL THERAPY, ALL OF WHICH CAN ULTIMATELY LEAD TO DECREASED LENGTH OF STAY. ADDITIONALLY, IF THE ORGANISM IDENTIFIED IS ONE THAT CONTAINS AN ANTIMICROBIAL RESISTANT GENE, THIS WILL BE IDENTIFIED AS WELL, AGAIN LEADING TO FASTER AND MORE APPROPRIATE THERAPY. IN 2018, THE LAB ALSO ADDED CEREBRAL SPINAL FLUID (CSF) PATHOGEN TESTING. BEING ABLE TO QUICKLY IDENTIFY A POSSIBLE PATHOGEN QUICKLY IN CSF SPECIMENS ALSO ENHANCES TREATMENT TO IMPROVE PATIENT OUTCOMES. ANOTHER CAPITAL PROJECT COMPLETED IN 2018 THAT IMPROVES PATIENT CARE IS MERCI (MEDICAL EMERGENCY RADIO COMMUNICATIONS FOR ILLINOIS). MERCI IS A VITAL TWO-WAY COMMUNICATION TOOL USED BY EMERGENCY MEDICAL SERVICE (EMS) AGENCIES AND HOSPITALS. INCOMING EMS AGENCIES TRANSMIT PATIENT INFORMATION TO THE HOSPITAL PRIOR TO THEIR ARRIVAL INCLUDING PATIENT CONDITION, CURRENT VITAL SIGNS AND CHIEF COMPLAINT. THE EMERGENCY DEPARTMENT'S RADIO REGISTERED NURSE THEN HAS AN OPPORTUNITY TO ASK CLARIFYING QUESTIONS AND/OR TO GIVE MEDICAL DIRECTION/ORDERS FOR ADDITIONAL TREATMENT OR INTERVENTIONS BEFORE THE PATIENT ARRIVES. EARLY NOTIFICATION FOR PATIENTS THAT HAVE TIME-SENSITIVE CONDITIONS (STROKE, HEART ATTACK) ALLOWS THE EMERGENCY DEPARTMENT TO HAVE VITAL SERVICES AVAILABLE TO MEET THE PATIENT UPON ARRIVAL WHICH LEADS TO BETTER PATIENT OUTCOMES. A THIRD CAPITAL PROJECT COMPLETED IN 2018 THAT IMPROVES PATIENT CARE IS THE RENOVATION OF THE ACUTE REHABILITATION UNITY THERAPY GYM AT ADVOCATE BROMENN. THE GYM HAS BEEN REBUILT INTO A SIMULATED LIVING ENVIRONMENT IN A $450,000 PROJECT. THE SIMULATED LIVING OR HOME ENVIRONMENT HELPS PATIENTS AND PATIENT OUTCOMES BECAUSE IT IS DESIGNED TO BETTER PREPARE REHABILITATION PATIENTS FOR THEIR TRANSITION TO HOME. THE RENOVATION ALSO ALLOWS FOR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY TO BE WORKED ON TOGETHER RATHER THAN IN SEGMENTED SESSIONS. THE SIMULATED ENVIRONMENT INCLUDES A FUNCTIONING KITCHEN WITH A TABLE AND ADAPTIVE UTENSILS, A LOWER COUNTER, A LIVING ROOM, A LAUNDRY ROOM, STAIRS, A FRONT PORCH AND A BEDROOM. ADVOCATE BROMENN ALSO PROMOTES THE ENVIRONMENTAL HEALTH OF THE COMMUNITY. IN 2018, THE MEDICAL CENTER EARNED THE GREENHEALTH EMERALD AWARD. THE AWARD IS EARNED BY HOSPITALS THAT HAVE DEMONSTRATED A STRONG COMMITMENT TO SUSTAINABILITY AND SHOWN LEADERSHIP IN THE LOCAL COMMUNITY AND IN THE HEALTH CARE SECTOR. AWARD WINNERS ARE SETTING THE STANDARD IN ELIMINATING MERCURY, REDUCING AND RECYCLING WASTE, SUSTAINABLE SOURCING AND OTHER AREAS. IN 2018, ADVOCATE BROMENN ALSO RECEIVED A CIRCLE OF EXCELLENCE AWARD FOR CHEMICALS. THIS AWARD RECOGNIZES THE HOSPITAL AS ONE OF THE TOP TEN PERFORMERS OF THE HIGHEST PERFORMING HOSPITALS NATIONWIDE IN THIS AREA OF SUSTAINABILITY EXPERTISE.LASTLY, ADVOCATE BROMENN IS INVOLVED IN COMMUNITY BUILDING ACTIVITIES. NOT IN OUR TOWN AND UNITED WAY OF MCLEAN COUNTY, WITH SUPPORT FROM THE CITY OF BLOOMINGTON, TOWN OF NORMAL AND ADVOCATE BROMENN, HOSTED A COMMUNITY EVENT, "BUILDING OPPORTUNITIES FOR OUR COMMUNITY'S YOUNG PEOPLE" IN RESPONSE TO THE RISE IN YOUTH VIOLENCE IN BLOOMINGTON AND NORMAL. TWO MEMBERS OF ADVOCATE BROMENN'S EXECUTIVE LEADERSHIP TEAM ALSO PRESENTED AT UNITED WAY'S "BREAKFAST CLUB" TO AT-RISK YOUTH ABOUT EMPLOYMENT OPPORTUNITIES IN HEALTHCARE. IN PARTNERSHIP WITH AN AT-RISK YOUTH EMPLOYMENT PROGRAM WITH PROJECT OZ, ADVOCATE BROMENN HAS SCREENED SEVERAL CANDIDATES FOR EMPLOYMENT AND HAS HIRED A NURSING TECH. PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM. ALTHOUGH ADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH AND WORK CONTINUES TO ALIGN THE COMMUNITY STRATEGY OF BOTH PREDECESSOR ORGANIZATIONS, ADVOCATE HEALTH CARE (ADVOCATE), IN SERVICE OF ITS MISSION, CONTINUES TO SUPPORT SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES IT SERVES. ADVOCATE'S BOARD, LEADERSHIP AND TEAM MEMBERS (STAFF/EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT THIS MISSION. THE ORGANIZATION CONTINUES TO DEVELOP AND SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES. AS SUCH, SYSTEM LEADERSHIP DIRECTS AND SUPPORTS THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.IN 2016, ADVOCATE CREATED A COMMUNITY HEALTH DEPARTMENT THAT IS LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS TO EXECUTE COMMUNITY NEEDS ASSESSMENTS, EVIDENCE-BASED PROGRAM DEVELOPMENT AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. PRIOR TO THIS TIME, THE COMMUNITY FACING FUNCTION WAS LED BY A TEAM OF SYSTEM-LEVEL INDIVIDUALS WHOSE JOB RESPONSIBILITIES INCLUDED VARIOUS COMMUNITY ROLES MORE CLOSELY ALIGNED WITH COMMUNITY RELATIONS. DURING THE INITIAL 2011-2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE, THE SYSTEM LEADERS PROVIDED OVERSIGHT AND SUPPORT TO THE HOSPITALS FOR DEVELOPING THEIR CHNAS AND SUBSEQUENT PROGRAMMING. IN 2016, ADVOCATE'S NEW COMMUNITY HEALTH TEAM CONDUCTED THEIR HOSPITAL'S COMPREHENSIVE CHNAS (2014-2016) AND POSTED GOVERNANCE-APPROVED CHNA REPORTS AND CHNA IMPLEMENTATION PLANS ON ADVOCATE'S WEBPAGE IN COMPLIANCE WITH THE AFFORDABLE CARE ACT.AT THE DIRECTION OF THE SYSTEM LEVEL, COMMUNITY HEALTH DEPARTMENT LEADERSHIP ALSO MET MONTHLY IN LATE 2016 THROUGH FIRST QUARTER 2017 TO SIGNIFICANTLY REVISE ADVOCATE HEALTH CARE'S COMMUNITY BENEFITS PLAN. THE PLANS GOALS AND OBJECTIVES WERE CRAFTED AND EXPANDED TO BUILD ON RECENT LEARNINGS AND INCREASED FOCUS ON COMMUNITY HEALTH. THE PLAN'S BROAD GOALS AND OBJECTIVES WERE DESIGNED TO STRUCTURE SYSTEM-WIDE COMMUNITY BENEFITS ACTIVITIES WITHIN A STRATEGIC FRAMEWORK. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE GOALS FOCUSED ON SYSTEM-WIDE EFFORTS TO ADDRESS THE BROADER ISSUES OF DISPARITY AND ACCESS, AND TO ALIGN HOSPITAL COMMUNITY HEALTH PLANS WITH SYSTEM STRATEGY AS COMMUNITY HEALTH PLANS AND IMPLEMENTATION STRATEGIES EVOLVE. ADVOCATE'S COMMUNITY BENEFITS PLAN ALSO SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES TO LEVERAGE AND MAXIMIZE THE IMPACT OF ADVOCATE'S PROGRAMS IN ITS SERVICE AREAS. ADVOCATE'S COMMUNITY BENEFITS PLAN GOALS AND SPECIFIC EXAMPLES OF PROGRAMS AND SERVICES THAT ARE DIRECTED AND MANAGED AT THE SYSTEM LEVEL ARE PROVIDED BELOW.GOAL A: OPTIMIZE ADVOCATE'S CAPACITY TO MANAGE AN EFFECTIVE COMMUNITY HEALTH STRATEGY BY IMPLEMENTING REGULAR COMMUNITY HEALTH ASSESSMENTS (CHNAS) AND USING DATA FROM THESE ASSESSMENTS TO GUIDE PROGRAM DEVELOPMENT.DURING 2016, ALL ELEVEN ADVOCATE HEALTH CARE HOSPITALS COMPLETED COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS IN COLLABORATION WITH HEALTH DEPARTMENTS, OTHER HOSPITALS, AND COMMUNITY ORGANIZATIONS. ADVOCATE CHILDREN'S HOSPITAL, WITH INTEGRATED SITES AT BOTH ADVOCATE LUTHERAN GENERAL HOSPITAL (ADVOCATE LUTHERAN GENERAL) AND ADVOCATE CHRIST MEDICAL CENTER (ADVOCATE CHRIST), CONTRIBUTED TO ASSESSMENTS AT THOSE TWO HOSPITALS. ALL THE ADVOCATE HOSPITAL ASSESSMENTS ARE AVAILABLE THROUGH THE ADVOCATE WEBSITE AT: HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTSAS A FIRST STEP TOWARD DEVELOPING A 2017-2019 IMPLEMENTATION PLAN, THE SYSTEM DIRECTED THE HOSPITAL COMMUNITY HEALTH LEADERS AND STAFF TO IDENTIFY THE STRENGTHS AND OPPORTUNITIES FOR IMPROVEMENT WITHIN THE JUST COMPLETED CYCLE (2014-2016), AS WELL AS IDEAS FOR NEW DATA SOURCES, AND NEEDS FOR PROFESSIONAL DEVELOPMENT RELATED TO THE OVERALL CHNA PROCESS. A NUMBER OF STRENGTHS WERE IDENTIFIED INCLUDING DEVELOPMENT OF LOCAL COMMUNITY HEALTH COUNCILS (CHC), INVOLVEMENT OF HOSPITAL GOVERNING COUNCIL MEMBERS IN THE CHCS, PARTNERSHIPS WITH HEALTH DEPARTMENTS, DATA FROM CONDUENT-HEALTHY COMMUNITIES INSTITUTE, ESPECIALLY THE ZIP CODE LEVEL HOSPITALIZATION AND EMERGENCY ROOM UTILIZATION DATA, AND THE SHARING OF TEMPLATES AND APPROACHES ACROSS HOSPITAL SITES. ADDITIONAL PROFESSIONAL DEVELOPMENT REGARDING DATA RETRIEVAL, ANALYSIS AND SUMMARIZATION, AS WELL AS PROGRAM DEVELOPMENT, WERE IDENTIFIED. A PROFESSIONAL DEVELOPMENT PLAN WAS IMPLEMENTED FOR ALL INTERNAL COMMUNITY HEALTH STAFF IN 2017. CHNA DATA TRAINING WAS CONDUCTED USING THE HEALTHY COMMUNITIES INSTITUTE (HCI) PLATFORM WITH THE TEAM RECEIVING TRAINING REGARDING RUNNING VARIOUS TYPES OF REPORTS AND CROSS COMPARING DATA IN HCI. UPDATE PRESENTATIONS WERE HELD AT SELECTED MONTHLY STAFF MEETINGS REGARDING NEW CAPACITIES OF THE HCI PLATFORM FOR REPORTS AND DATA PRESENTATION. ADDITIONALLY, ALL STAFF PROVIDED INPUT REGARDING TRAINING NEEDS RESULTING IN THE ESTABLISHMENT OF A SET OF MINIMUM STANDARD DATA REQUIREMENTS ADVOCATE IS NOW USING FOR THE NEXT CHNA CYCLE. COMMUNITY HEALTH STAFF PULLED DATA AS PART OF LEARNING EXERCISES AND SHARED FINDINGS FROM THEIR UNIQUE SERVICE AREAS WITH PEERS IN A PEER REVIEW MODEL. IN 2018, TRAINING FOCUSED ON DATA ANALYSIS, DATA INTERPRETATION AND PROGRAM DEVELOPMENT AND EVALUATION. GOAL B: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, PREVENTION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES.CHARITY CARE. AS A NON-PROFIT HEALTH CARE SYSTEM, ADVOCATE PROVIDES CHARITY AND FINANCIAL ASSISTANCE TO PATIENTS IN NEED. ALTHOUGH ADVOCATE'S SYSTEM-WIDE CHARITY CARE POLICY IS VERY GENEROUS, ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE IN NEED IN A TIMELY MANNER. WHILE EACH HOSPITAL HAS A CHARITY CARE COUNCIL TO REVIEW APPLICATIONS AND DETERMINE ELIGIBILITY, SYSTEM FINANCE LEADERS ARE RESPONSIBLE FOR ONGOING POLICY REVIEW AND REFINEMENTS TO ASSURE THAT ADVOCATE CONTINUES TO PROVIDE FINANCIAL ASSISTANCE TO INDIVIDUALS WHO NEED HELP, WHEN THEY NEED IT. FEDERALLY QUALIFIED HEALTH CENTERS (FQHC). IN ADDITION, ADVOCATE'S SYSTEM LEADERS ENCOURAGE AND SUPPORT ITS HOSPITALS' INITIATIVES TO PARTNER WITH FQHC'S, PUBLIC HEALTH DEPARTMENTS AND COMMUNITY CLINICS IN ORDER TO ASSIST THE UNINSURED IN FINDING INSURANCE COVERAGE AND MEDICAL SERVICES. FOR EXAMPLE, ADVOCATE SOUTH SUBURBAN HOSPITAL (ADVOCATE SOUTH SUBURBAN) HAS A PARTNERSHIP WITH AUNT MARTHA'S YOUTH SERVICE CENTER, AN FQHC, TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED INDIVIDUALS IN ITS SERVICE AREA. ADVOCATE BROMENN MEDICAL CENTER (ADVOCATE BROMENN) MAINTAINS A COMMUNITY HEALTH CLINIC IN COLLABORATION WITH OSF ST. JOSEPH'S HOSPITAL, WHEREBY ADVOCATE BROMENN IS RESPONSIBLE FOR A PORTION OF THE HOSPITAL CARE FOR THE CLINIC PATIENTS' HOSPITAL CARE THROUGHOUT THE YEAR. ADVOCATE BROMENN IS ALSO THE SOLE PROVIDER OF THE CLINIC'S INFORMATION TECHNOLOGY (IT) SUPPORT AND PROVIDES THE SPACE OCCUPIED BY THE CLINIC. IN ADDITION, ADVOCATE BROMENN, THROUGH AN INFORMAL REFERRAL AGREEMENT IN PLACE SINCE 2010, COLLABORATES WITH CHESTNUT HEALTH SYSTEMS. CHESTNUT HEALTH SYSTEMS OWNS AND OPERATES AN FQHC IN BLOOMINGTON AND PATIENTS ARE SOMETIMES REFERRED TO ADVOCATE BROMENN FOR SERVICES. WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL (ADVOCATE GOOD SAMARITAN) PROVIDES SUPPORT THROUGH THE DUPAGE HEALTH COALITION TO SUSTAIN THE ACCESS DUPAGE COMMUNITY PROGRAM - A COMMUNITY COLLABORATION DESIGNED TO PROVIDE LOW-COST PRIMARY MEDICAL CARE SERVICES TO THE LOW-INCOME, MEDICALLY UNINSURED RESIDENTS OF DUPAGE COUNTY. IN ADDITION, THE HOSPITAL PARTNERS WITH THE DUPAGE COUNTY HEALTH DEPARTMENT'S ENGAGE DUPAGE INITIATIVE FOR INDIGENT PATIENT FINANCIAL ELIGIBILITY IN THE EMERGENCY ROOM AND TO ASSIST WITH OUTPLACEMENT SERVICES FOR THOSE PATIENTS WHO COULD BENEFIT FROM TREATMENT PROGRAMS, PLACEMENT WITH A PRIMARY CARE PROVIDER (PCP), DENTAL CARE, ETC.ADVOCATE ALSO WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND SEEK SERVICES FROM ADVOCATE'S OVER 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBO'S) AND FQHC'S IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDADVOCATE CARE ORGANIZATION (ACO). AS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS, ADVOCATE'S MEDICAID ACCOUNTABLE CARE ORGANIZATION (ACO), ALSO KNOWN AS THE ADVOCATE ACCOUNTABLE CARE ENTITY (ACE), TRANSITIONED TO MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL ON APRIL 1, 2016. THE ADVOCATE/MERIDIAN FHP PARTNERSHIP AND COLLABORATION WAS DRIVEN LARGELY BY CHANGES TO THE MEDICAID PROGRAM IN ILLINOIS AND WAS DESIGNED TO ENSURE CURRENT MEDICAID MEMBERS CONTINUE TO RECEIVE HIGH-QUALITY AND WELL-COORDINATED CARE DELIVERED IN AN APPROPRIATE SETTING. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE FOR THE MEDICAID POPULATION WITHIN OUR NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. ADVOCATE HAS AND WILL CONTINUE TO APPLY ITS ACHIEVEMENTS AND LESSONS LEARNED FROM ITS MEDICARE AND COMMERCIAL ACOS TO THE ADVOCATE/MERIDIAN FHP PARTNERSHIP.COMMUNITY HEALTH WORKERS (CHWS). IN 2016, ADVOCATE EMBARKED ON A QUALITY IMPROVEMENT PROJECT TO ENGAGE AND EDUCATE MEDICAID BENEFICIARIES SEEN IN THE ADVOCATE CHRIST EMERGENCY DEPARTMENT ON APPROPRIATE LEVEL OF CARE OPTIONS AVAILABLE TO THEM USING COMMUNITY HEALTH WORKERS. THE MAIN OBJECTIVES OF THE PRIMARY CARE CONNECTIONS INTERVENTION WERE: 1) TO EDUCATE AND SCHEDULE LOW ACUITY PATIENTS WHO VISIT THE ADVOCATE CHRIST EMERGENCY DEPARTMENT REGARDING ALTERNATIVE CARE OPTIONS AVAILABLE TO THEM WITHIN THEIR COMMUNITIES; AND 2) EDUCATE AND SCHEDULE LOW ACUITY MEDICAID PATIENTS FOR FOLLOW-UP APPOINTMENTS WITH THEIR ADVOCATE PRIMARY CARE PHYSICIAN (PCP) OR AN FQHC WHEN THE BENEFICIARY DOES NOT HAVE AN ESTABLISHED PRIMARY CARE MEDICAL HOME.FQHC'S AND COMMUNITY-BASED RESOURCES PROVIDE SERVICES FOR MEDICAID BENEFICIARIES WITH SPECIFIC SOCIAL DETERMINANTS OF HEALTH BARRIERS TO CARE, INCLUDING HOUSING INSECURITY, UTILITY NEEDS AND INTERPERSONAL VIOLENCE, WHICH ARE IMPORTANT TO ADDRESS FOR IMPROVING OUTCOMES FOR VULNERABLE POPULATIONS. IN 2018, THE PROGRAM WAS EXPANDED TO THREE ADDITIONAL ILLINOIS HOSPITALS-ADVOCATE TRINITY HOSPITAL (ADVOCATE TRINITY), ADVOCATE CONDELL MEDICAL CENTER (ADVOCATE CONDELL) AND ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN). AS OF DEC. 2018, MORE THAN 20,560 PATIENTS WERE ENGAGED, OF WHICH 30% (OVER 6,100 PATIENTS) WERE SCHEDULED FOR A FOLLOW-UP APPOINTMENT WITH AN ADVOCATE PCP OR FQHC. AS A RESULT, 98% OF THESE PATIENTS WHO WERE ENGAGED WITH THE PRIMARY CARE CONNECTION INTERVENTION DID NOT RETURN TO THE EMERGENCY ROOM FOR A LOW ACUITY VISIT.ADVOCATE CONTINUES TO PURSUE QUALITY AND UTILIZATION IMPROVEMENT ACTIVITIES LIKE THE PRIMARY CARE CONNECTIONS INTERVENTION TO ACTIVELY MANAGE AND ENGAGE THE ADVOCATE/MERIDIAN FHP MEMBERS IN ORDER TO ACHIEVE THE QUADRUPLE AIM OF IMPROVED PHYSICIAN AND PATIENT EXPERIENCE, BETTER PATIENT OUTCOMES, AND REDUCTIONS IN THE TOTAL COSTS OF CARE.LANGUAGE SERVICES. ADVOCATE IS ALSO COMMITTED TO PROVIDING ITS PATIENTS AND FAMILIES WITH LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO CARE. A SYSTEM-LEVEL DIRECTOR HAS OVERSIGHT OF LANGUAGE SERVICES THROUGHOUT ADVOCATE. ADVOCATE'S PATIENT ACCESS DEPARTMENT MONITORS AND REFINES ASSOCIATE SCRIPTING TO ENSURE THAT LANGUAGE NEED IS CORRECTLY IDENTIFIED DURING THE REGISTRATION PROCESS. THIS ASSISTS WITH CORRECTLY ROUNDING ON PATIENTS AND ENSURING INTERPRETERS ARE AVAILABLE WHEN NEEDED. IN 2018, ADVOCATE PROVIDED INTERPRETING SERVICES FOR OVER 250,000 PATIENT/FAMILY MEMBER/COMPANION ENCOUNTERS-UP FROM 220,000 ENCOUNTERS THE PREVIOUS YEAR. AS THE NEED FOR THESE SERVICES INCREASES, ADVOCATE CONTINUES TO ANTICIPATE AND IMPLEMENT CHANGES TO MEET THE UNIQUE INTERPRETATION NEEDS OF PATIENTS. ONE SUCH CHANGE, WHICH CONTINUES TO INCREASE THE VOLUME OF INTERPRETER SERVICES EACH YEAR, IS THE USE OF VIDEO REMOTE INTERPRETING (VRI). SIMILAR TO SKYPE TECHNOLOGY, WHEN A TEAM MEMBER (EMPLOYEE/STAFF) CLICKS OR TOUCHES THE SCREEN FOR A NEEDED LANGUAGE, AN INTERPRETER APPEARS ON THE COMPUTER OR IPAD SCREEN TO INTERPRET IN ONE OF 32 AVAILABLE LANGUAGES. IN ADDITION TO VRI, OVER 200 LANGUAGES ARE OFFERED VIA TELEPHONIC INTERPRETING. WHEN TELEPHONIC OR VRI ARE NOT APPROPRIATE FOR THE PATIENT ENCOUNTER, ONSITE AGENCY INTERPRETERS ARE PROVIDED. FIVE (5) ADVOCATE HOSPITALS EMPLOY SPANISH AND POLISH INTERPRETERS DUE TO THE HIGH VOLUME OF PATIENTS SPEAKING THESE LANGUAGES. ADVOCATE TYPICALLY ACCESSES OVER 150 DIFFERENT LANGUAGES PER YEAR TO MEET PATIENTS' NEEDS.IN 2018, A NEW FORM WAS ADDED TO CARE CONNECTION FOR THE NURSING ADMISSION PROCESS. THERE IS ALSO A FORM FOR LANGUAGE SERVICES TO INPUT ANY CHANGES NEEDED-CALLED AN AD HOC FORM. THE FORM SUPPORTS THE NURSE IN IDENTIFYING LANGUAGE ASSISTANCE NEEDS OF THE PATIENT AND FAMILY MEMBERS/COMPANION. VITAL DOCUMENTS CONTINUE TO BE TRANSLATED. SIGNAGE IS POSTED INDICATING THAT INTERPRETING SERVICES ARE AVAILABLE. SEVERAL HOSPITALS CONTINUE TO HAVE PATIENT WHITE BOARDS TRANSLATED INTO SPANISH AND POLISH WITH ENGLISH SUBTITLES SO THAT PATIENTS ARE AWARE OF THEIR PLAN FOR THE DAY IN THEIR LANGUAGE.TO EVALUATE HOW WELL THE SITES ARE DOING WITH PROVIDING INTERPRETING SERVICES, A RESPONSE TO THE STATEMENT, "IF ENGLISH IS NOT YOUR PRIMARY LANGUAGE, THE DEGREE TO WHICH YOUR COMMUNICATION NEEDS WERE MET," IS REQUESTED ON NON-ENGLISH PRESS GANEY SURVEYS. THE PATIENT IS ASKED TO RATE THE SERVICES RECEIVED BETWEEN 1 AND 5, WITH 5 BEING THE HIGHEST SCORE. CURRENTLY THREE HOSPITALS-ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE ILLINOIS MASONIC) AND ADVOCATE LUTHERAN GENERAL-PARTICIPATE. THE AVERAGE SCORE FOR 2018 REMAINED AT 89% FAVORABLE. GIVEN THE LOW RATE OF RETURN, THIS NUMBER IS NOT CONSIDERED TO BE STATISTICALLY SIGNIFICANT.THE READMISSION RATE OF NON-ENGLISH SPEAKING PATIENTS IS ALSO TRACKED AND COMPARED TO THE READMISSION RATE OF ENGLISH-SPEAKING PATIENTS. THE NON-ENGLISH READMISSION RATE CONTINUES TO BE CLOSE TO THE ENGLISH-SPEAKING PATIENT READMISSION RATE.ONE QUALITY AUDIT WAS CONDUCTED IN 2018 THAT FOCUSED ON THE KNOWLEDGE OF CLINICAL CARE PROVIDERS. THE OVERALL RESULT WAS "COMPETENT." RESULTS WERE CONVEYED AND CORRECTIVE ACTION PLANS COMPLETED AT TWO SITES. LANGUAGE SERVICES CONTINUES TO PARTICIPATE IN PATIENT SAFETY HUDDLES AND REPORTS THE NUMBER OF INDIVIDUALS NEEDING INTERPRETING SERVICES AS WELL AS LANGUAGE SERVICES EVENTS. PATIENT SAFETY EVENTS ARE ALSO REPORTED AT THE SYSTEM SAFETY HUDDLE. THIS ASSISTS WITH IDENTIFYING LANGUAGE SERVICE ISSUES THAT MAY BE OCCURRING ACROSS THE SYSTEM.PARISH NURSE MINISTRY. ADVOCATE FULLY FUNDS THREE FAITH COMMUNITY NURSE POSITIONS SERVING THREE CONGREGATIONS IN LOW-INCOME, HIGH NEED COMMUNITIES. THESE FAITH COMMUNITY NURSES PROVIDE HEALTH EDUCATION, WELLNESS PROMOTION, NAVIGATION AND CARE MANAGEMENT, HEALTH SCREENINGS, ADVOCACY AND SPIRITUAL SUPPORT TO THE MEMBERS OF THEIR CONGREGATIONS AND TO THE WIDER COMMUNITIES THAT THEY SERVE. MANY OF THE PEOPLE SERVED ARE HOMELESS, MARGINALIZED OR CHRONICALLY ILL INDIVIDUALS. IN ADDITION, ADVOCATE SUPPORTS A FAITH COMMUNITY NURSE SUPPORT NETWORK OF 37 NURSES THAT SERVE CONGREGATIONS ACROSS THE CHICAGOLAND REGION. ADVOCATE ALSO FUNDS SYSTEM LEVEL PROGRAMS AND ACTIVITIES FOCUSED ON POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE. TWO EXAMPLES OF SUCH PROGRAMS FOLLOW.ADVOCATE BETHANY COMMUNITY HEALTH FUND (BETHANY FUND). ESTABLISHED IN 2006 BY ADVOCATE HEALTH CARE AS PART OF AN ONGOING COMMITMENT TO HELP BUILD, PROMOTE AND SUSTAIN HEALTHY COMMUNITIES ON CHICAGO'S WEST SIDE, THE BETHANY FUND SUPPORTS NONPROFIT ORGANIZATIONS THAT ARE IN THE COMMUNITIES HISTORICALLY SERVED BY ADVOCATE BETHANY HOSPITAL (NOW RML CHICAGO)-AUSTIN, GARFIELD PARK, HUMBOLDT PARK AND NORTH LAWNDALE. THE FUND DOES THIS THROUGH PROGRAM GRANTS, ORGANIZATIONAL CAPACITY BUILDING EVENTS AND PARTNERSHIPS TO BUILD ON THE ASSETS OF THESE VULNERABLE COMMUNITIES. IN 2018, THE BETHANY FUND AWARDED $815,000 IN PROGRAM GRANTS ADDRESSING ITS PRIORITY AREAS OF DIABETES, SCHOOL DROPOUT PREVENTION, VIOLENCE PREVENTION AND WORKFORCE DEVELOPMENT.CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION WORKS TO ADVANCE HEALTH EQUITY BY PARTNERING WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY, NURTURE LEADERS AND CONNECT THE UNIQUE SPIRIT POWER OF FAITH COMMUNITIES TO PROMOTE SOCIAL JUSTICE AND ABUNDANT LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES. THE CENTER IS A PARTNERSHIP BETWEEN ADVOCATE AND THE OFFICE FOR COMMUNITY ENGAGEMENT AND NEIGHBORHOOD HEALTH PARTNERSHIPS AT THE UNIVERSITY OF ILLINOIS AT CHICAGO. CURRENTLY, THE CENTER IS CONVENING A TRAUMA INFORMED CONGREGATIONS NETWORK TO SUPPORT THE CAPACITY OF FAITH COMMUNITIES TO PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDPREVENT TRAUMA AND TO BE PLACES OF HEALING FOR THOSE WHO HAVE EXPERIENCED ADVERSITY IN CHILDHOOD OR THROUGHOUT THEIR LIVES.THE CENTER ALSO CONVENES THE COURAGE TO LOVE COLLABORATIVE (CTLC), A PARTNERSHIP COMMITTED TO REDUCING PRE-TERM BIRTH AND INFANT MORTALITY IN THE VULNERABLE AUBURN GRESHAM NEIGHBORHOOD OF CHICAGO. THE COURAGE TO LOVE APPROACH IS ROOTED IN A REPORT BY THE COMMISSION ON INFANT MORTALITY OF THE HEALTH POLICY INSTITUTE OF THE JOINT CENTER FOR POLITICAL AND ECONOMIC STUDIES THAT MAINTAINS THAT SOCIAL COHESION IS THE NECESSARY STRATEGY FOR IMPROVING BIRTH OUTCOMES. THE CTLC HAS INTERVIEWED OR GATHERED INPUT FROM ALMOST 150 COMMUNITY RESIDENTS DOCUMENTING THEIR EXPERIENCES OF STRESS, AND OF LOVE AND CARE IN THEIR COMMUNITIES. ECONOMIC PRESSURES AND COMMUNITY VIOLENCE WERE IDENTIFIED AS MOST STRESSFUL, AND FAMILY, CHURCH AND NEIGHBORS EMERGED AS THE CORE DRIVERS OF SOCIAL CONNECTION. THE COLLABORATIVE CONTINUES TO WORK WITH TEAMS OF COMMUNITY MEMBERS TO DESIGN AN APPROACH TO EXPAND EXISTING NETWORKS OF SOCIAL CONNECTION TO PROVIDE INTENTIONAL SUPPORT FOR PARENTS AND FAMILIES.GOAL C. **NOT USED** GOAL D. EXAMINE AND ADDRESS IN PARTNERSHIP WITH OTHERS THE ROOT CAUSES OF HEALTH INEQUITIES IN ADVOCATE COMMUNITIES INCLUDING, BUT NOT LIMITED TO, UNEMPLOYMENT, LACK OF EDUCATION, POVERTY, ENVIRONMENTAL INJUSTICE AND RACISM.SOCIONEEDS INDEX. IN PREPARATION FOR THE 2014-2016 CHNA, ADVOCATE PURCHASED ACCESS TO A TOOL THAT COULD BE USED BY ALL OF ITS HOSPITALS TO IDENTIFY PRIORITY OPPORTUNITIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE. INCLUDED IN THIS TOOL, DEVELOPED BY THE HEALTHY COMMUNITIES INSTITUTE, IS THE SOCIONEEDS INDEX. THE SOCIONEEDS INDEX IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. THIS INDEX COMBINES MULTIPLE SOCIOECONOMIC INDICATORS INTO A SINGLE COMPOSITE VALUE. AS A SINGLE INDICATOR, THE INDEX CAN SERVE AS A CONCISE WAY TO EXPLAIN WHICH AREAS ARE OF HIGHEST NEED. A MAP WAS THEN PREPARED FOR EACH HOSPITAL SERVICE AREA ENABLING THE COMMUNITY HEALTH COUNCILS TO FOCUS PRIORITY SETTING AND PROGRAM PLANNING ON COMMUNITIES AT HIGHER LEVELS OF SOCIOECONOMIC NEED. THE INDEX IS ALSO BEING USED FOR THE 2017-2019 CHNA PROCESS.ALLIANCE FOR HEALTH EQUITY (FORMERLY KNOWN AS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY). IN 2015, COMMUNITY HEALTH LEADERS FROM ADVOCATE, PRESENCE HEALTH, THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHA), THE CHICAGO DEPARTMENT OF HEALTH (CDPH) AND THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH) CAME TOGETHER TO FORM THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). EVENTUALLY THIS COLLABORATIVE INCLUDED 26 HOSPITALS, INCLUDING FIVE FROM ADVOCATE, SEVEN HEALTH DEPARTMENTS AND NEARLY 100 COMMUNITY ORGANIZATIONS FROM ACROSS CHICAGO AND COOK COUNTY. THE PURPOSE OF HICCC WAS TO CREATE A MORE EFFECTIVE WAY TO ASSESS HEALTH NEEDS ACROSS CHICAGO AND COOK COUNTY AND THEN IMPLEMENT A SHARED ACTION PLAN TO MAXIMIZE HEALTH EQUITY AND WELLNESS. DURING 2016, THE COLLABORATIVE COMPLETED THREE COMPREHENSIVE ASSESSMENTS - ONE EACH FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY, INCLUDING CHICAGO. SEE: HTTP://HEALTHIMPACTCC.ORG/REPORTS2016/ THROUGH COLLABORATIVE PRIORITIZATION PROCESSES INVOLVING ALL HOSPITAL AND HEALTH DEPARTMENT MEMBERS OF THE COLLABORATIVE, AS WELL AS STAKEHOLDER ADVISORY GROUPS COMPRISED OF COMMUNITY REPRESENTATIVES, HICCC IDENTIFIED FOUR OVERARCHING FOCUS AREAS INCLUDING:" IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH WHILE REDUCING SOCIAL AND ECONOMIC INEQUALITIES;" IMPROVING MENTAL HEALTH AND DECREASING SUBSTANCE ABUSE;" PREVENTING AND REDUCING CHRONIC DISEASE, WITH A FOCUS ON RISK FACTORS-NUTRITION, PHYSICAL ACTIVITY AND TOBACCO; AND" INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES.ALL OF THE HOSPITALS IN THE COLLABORATIVE AGREED TO INCLUDE THE FIRST FOCUS AREA-IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH-AS A PRIORITY AREA FOR THEIR CHNA AND IMPLEMENTATION PLAN. OF THE FIVE ADVOCATE HOSPITALS IN COOK COUNTY, ADVOCATE ILLINOIS MASONIC AND ADVOCATE TRINITY CHOSE WORKFORCE DEVELOPMENT, ADVOCATE CHRIST SELECTED VIOLENCE PREVENTION, ADVOCATE SOUTH SUBURBAN CHOSE HOUSING AND ADVOCATE LUTHERAN GENERAL SELECTED YOUTH EMPLOYMENT. ACTION TEAMS BEGAN MEETING IN 2017 AND CONTINUED TO MEET THROUGHOUT 2018. WORK TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS FOCUSED ON ALIGNED ACTIONS AND DATA COLLECTION CONTINUES.IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE, HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY. ADVOCATE, AS A FOUNDING MEMBER OF THE PREDECESSOR HICCC, CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE FOR HEALTH EQUITY PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE'S HOSPITALS AS WELL AS THE OTHER MEMBER HOSPITALS PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE.THIS INITIATIVE IS ONE OF THE LARGEST COLLABORATIVE HOSPITAL-COMMUNITY PARTNERSHIPS IN THE COUNTRY WITH THE CURRENT INVOLVEMENT OF OVER 30 NONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS, AND REPRESENTATIVES OF MORE THAN 100 COMMUNITY ORGANIZATIONS SERVING ON ACTION TEAMS. PARTNERS ARE COMING TOGETHER WITH THE GOAL OF WORKING ON STRATEGIES TO ADDRESS THE PRESSING ISSUES IN OUR COMMUNITIES TO ACHIEVE GREATER COLLECTIVE IMPACT.ORGANIZATIONS WHOSE REPRESENTATIVES SERVE ON THE ALLIANCE'S STEERING COMMITTEE INCLUDE: ADVOCATE, LOYOLA UNIVERSITY HEALTH SYSTEM, LURIE CHILDREN'S HOSPITAL, NORTHWESTERN MEMORIAL HOSPITAL, NORWEGIAN AMERICAN HOSPITAL, PRESENCE HEALTH, RUSH, SINAI HEALTH SYSTEM, SWEDISH COVENANT, UNIVERSITY OF CHICAGO MEDICINE. HEALTH CARE ANCHOR NETWORK. IN DECEMBER 2016, ADVOCATE JOINED LEADERS FROM HEALTH SYSTEMS IN WASHINGTON, DC, TO EXPLORE WHAT IT WOULD MEAN TO HARNESS THEIR SHARED ECONOMIC AND INTELLECTUAL POWER TO TRULY BENEFIT THEIR COMMUNITIES. "THE DISCUSSION CENTERED ON IDENTIFYING HOW ALL OF THESE ECONOMIC ASSETS (THE COMBINED PURCHASES OF $65 BILLION IN PURCHASED GOODS AND SERVICES, 1.4 MILLION EMPLOYEES AND $200 BILLION IN INVESTMENT AND ENDOWMENT PORTFOLIOS), COMBINED WITH CIVIC LEADERSHIP COULD BE DEPLOYED TO CREATE INCLUSIVE, EQUITABLE, HEALTHY AND ENVIRONMENTALLY SUSTAINABLE COMMUNITIES." (ADVANCING THE ANCHOR MISSION OF HEALTHCARE, DEMOCRACY COLLABORATIVE, 2017)ADVOCATE OFFICIALLY JOINED THE HEALTH CARE ANCHOR NETWORK IN 2016 AS A FOUNDING PARTNER AND HAS CONTINUED TO PROVIDE MONETARY SUPPORT, LEADERSHIP AND ACTIVE ENGAGEMENT TO THE NETWORK. IN 2018, ADVOCATE STAFF ATTENDED TWO IN PERSON MEETINGS HELD IN SAN FRANCISCO, CALIFORNIA AND RICHMOND, VIRGINIA AND PARTICIPATED AS ACTIVE MEMBERS OF WORKGROUPS ADDRESSING NETWORK PROJECTS. BY THE END OF 2018, THE NETWORK HAD A MEMBERSHIP OF NEARLY 40 NATIONAL HEALTH SYSTEMS. THE WORK OF THE NETWORK IS SUPPORTED BY HEALTH SYSTEM DOLLARS AND FUNDING FROM THE ROBERT WOOD JOHNSON FOUNDATION. FACILITATION AND BACKBONE SUPPORT ARE PROVIDED BY THE DEMOCRACY COLLABORATIVE, WASHINGTON, DC. THE HEALTH CARE ANCHOR NETWORK AIMS TO ADDRESS UPSTREAM SOCIAL DETERMINANTS OF HEALTH IN COMMUNITIES THROUGH LOCAL HIRING, LOCAL PURCHASING AND LOCAL INVESTMENT.CHICAGO ANCHORS FOR A STRONG ECONOMY (CASE). ADVOCATE IS ONE OF 16 ANCHOR INSTITUTIONS COMPRISING CASE. THE CENTRAL WORK OF THE COLLABORATIVE IS FOSTERING STRATEGIC RELATIONSHIPS BETWEEN ANCHOR INSTITUTIONS AND SMALL BUSINESSES THAT CAN SUPPLY THE NEEDS OF THESE INSTITUTIONS IN AN EFFORT TO BUILD ECONOMIC VITALITY ACROSS CHICAGO'S NEIGHBORHOODS. HTTP://WWW.CHICAGOANCHORS.COM/. CASE IS FOCUSING ON FOUR MAJOR AREAS:" INCREASING LOCAL SPENDING BY PARTNERING WITH ANCHOR INSTITUTIONS TO INFUSE NEW REVENUE INTO THE REGIONAL ECONOMY; " FACILITATING NEW CONTRACTS BETWEEN LOCAL BUSINESSES AND ANCHOR INSTITUTIONS; " GROWING THE NETWORK BETWEEN SMALL BUSINESSES AND ANCHOR INSTITUTIONS; AND " FACILITATING TRAINING TO BUILD CAPACITY AMONG SMALL BUSINESSES IN CHICAGO COMMUNITIES.THE HEALTHCARE INSTITUTIONS IN CASE ARE FOCUSING ON SUPPLY CHAIN INITIATIVES ENGAGING LOCAL SUPPLIERS AND POSSIBLE DEVELOPMENT OF NEW SMALL BUSINESSES IN UNDERSERVED COMMUNITIES THAT CAN SUPPLY HEALTH CARE PRODUCT NEEDS. RESULTS FOR THE OVERALL GROUP OF ANCHOR INSTITUTIONS INCLUDE 476 BUSINESSES ASSISTED RESULTING IN NEW CONTRACTS BETWEEN SMALL BUSINESSES AND ANCHORS; 230 JOBS RETAINED; $58.9 MILLION IN REVENUE COMMITTED; AND 57 CONTRACTS SIGNED WITH SMALL BUSINESSES THROUGH MULTIYEAR ANCHOR CONTRACTS. PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDADVOCATE IS ALSO WORKING TO STRENGTHEN CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE. SEVERAL EXAMPLES OF THE ORGANIZATION'S WORK IN THESE AREAS FOLLOW.ENVIRONMENTAL STEWARDSHIP. ADVOCATE BELIEVES THAT ENVIRONMENTAL HEALTH DEEPLY IMPACTS PERSONAL HEALTH AND THE HEALTH OF COMMUNITIES. GROUNDED IN OUR FAITH BELIEFS THAT GUIDE OUR HEALTH MINISTRY, WE ARE CALLED TO CARE FOR THE EARTH AND WORK DILIGENTLY TO MINIMIZE OUR ENVIRONMENTAL IMPACT AND CONTRIBUTE POSITIVELY TO EFFORTS THAT PRESERVE HEALTHY ENVIRONMENTS FOR GENERATIONS TO COME.ADVOCATE IS INVOLVED AS A LEADER IN THE HEALTH CARE SUSTAINABILITY ARENA AS AN ACTIVE MEMBER OF PRACTICE GREENHEALTH, HEALTH CARE CLIMATE COUNCIL, HEALTHCARE PLASTICS RECYCLING COALITION (HEALTH FACILITY ADVISORY BOARD) AND THE MIDWEST BUSINESS GROUP ON HEALTH, AS WELL AS HEALTH CARE ANCHORS (FOCUSED ON ENVIRONMENTAL STEWARDSHIP, SUSTAINABILITY, EQUITABLE PROCUREMENT AND WORK FORCE DEVELOPMENT). IN 2010, ADVOCATE BECAME A FOUNDING SPONSOR OF THE HEALTHIER HOSPITALS INITIATIVE, A THREE-YEAR NATIONAL CAMPAIGN TO IMPLEMENT BEST PRACTICES FOCUSED ON IMPROVING SUSTAINABILITY IN THE HEALTH CARE SECTOR. HEALTHIER HOSPITALS IS NOW A PERMANENT PROGRAM OF PRACTICE GREENHEALTH. THE PROGRAM ENGAGES OVER 1,300 HOSPITALS IN CHALLENGES IN SIX CATEGORIES: ENGAGED LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS AND SMARTER PURCHASING.IN 2008, ADVOCATE EMBARKED ON A JOURNEY TO REDUCE ITS CARBON FOOTPRINT AND TO BECOME AS EFFICIENT AS POSSIBLE. BY 2015, ADVOCATE HAD REDUCED ENERGY CONSUMPTION BY 23% FROM THE 2008 BASELINE. BY THE END OF 2018, ADVOCATE ACHIEVED AN ADDITIONAL 4.5% REDUCTION FROM ITS NEW 2015 BASELINE. PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT). ADVOCATE IS AN OFFICIAL DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. SURPLUS MEDICAL SUPPLIES AND DECOMMISSIONED EQUIPMENT ARE DONATED TO PROJECT C.U.R.E. AND MANY ADVOCATE TEAM MEMBERS ALSO VOLUNTEER TIME AT ITS WAREHOUSE-SORTING AND PACKAGING SUPPLIES FOR DISTRIBUTION OVERSEAS. IN 2018, ADVOCATE DONATED A TOTAL OF 91 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 13 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE.STAKEHOLDER HEALTH. ADVOCATE IS A FOUNDING MEMBER AND INVESTING PARTNER OF STAKEHOLDER HEALTH, FORMERLY KNOWN AS HEALTH SYSTEMS LEARNING GROUP. MEMBERS OF ADVOCATE STAFF SERVE ON THE ADVISORY COUNCIL AND HAVE BEEN ACTIVELY INVOLVED IN OFFERING THOUGHT LEADERSHIP AS WELL AS CONTRIBUTING TO THE WRITING OF TWO SEMINAL DOCUMENTS-A 2013 HEALTH SYSTEMS LEARNING GROUP MONOGRAPH HTTPS://STAKEHOLDERHEALTH.ORG/PDF/ AND A 2016 BOOK, STAKEHOLDER HEALTH: INSIGHTS FROM NEW SYSTEMS OF HEALTH HTTPS://STAKEHOLDERHEALTH.ORG/STAKEHOLDER-HEALTH-CHAPTER-1/. THE LATTER PUBLICATION, DEVELOPED AND PUBLISHED WITH THE SUPPORT OF THE ROBERT WOOD JOHNSON FOUNDATION, IS A RICH AND DETAILED REVIEW OF SOME OF THE BEST PRACTICES IN THE AREAS OF COMMUNITY HEALTH IMPROVEMENT, AND CLINICAL AND COMMUNITY PARTNERSHIPS. THE FIRST RELEASE OF THE BOOK OCCURRED AT AN EVENT AT CHICAGO THEOLOGICAL SEMINARY AND WAS PLANNED AND EXECUTED BY ADVOCATE STAFF AND STAFF OF THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. STAKEHOLDER HEALTH ASPIRES TO IDENTIFY AND ACTIVATE A MENU OF PROVEN COMMUNITY HEALTH PRACTICES AND PARTNERSHIPS THAT WORK FROM THE TOP OF THE MISSION STATEMENT TO THE BOTTOM LINE. ADVOCATE AURORA HEALTH CONTINUES TO BE AN ACTIVE MEMBER AND LEADER OF STAKEHOLDER HEALTH.SUSTAINABLE BUILDING. SUSTAINABILITY, SAFETY AND EFFICIENCY ARE CORE ELEMENTS OF ALL ADVOCATE CONSTRUCTION PROJECTS. IN 2018, 74% OR 1,370 TONS OF ADVOCATE CONSTRUCTION WASTE WAS RECYCLED. ADVOCATE IS PURSUING LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION ON ALL NEW MAJOR BUILDINGS AND HAS DEVELOPED A NEW TOOL, THE HEALTHY SPACES ROADMAP, TO ENSURE SUSTAINABILITY IN ALL RENOVATIONS AND PROJECTS THROUGHOUT ADVOCATE. AS REPORTED FOR 2017, ADVOCATE CHRIST'S EAST TOWER WAS LEED GOLD HEALTHCARE CERTIFIED. IN 2018, HOWEVER, TWO MORE HOSPITALS-ADVOCATE GOOD SAMARITAN FOR ITS WEST TOWER AND ADVOCATE GOOD SHEPHERD FOR ITS MODERNIZATION PROJECT-ACHIEVED LEED FOR HEALTHCARE-SILVER CERTIFICATION IN 2018. SUSTAINABLE WORK SPACES. BEING GREEN AT WORK IS EASIER WHEN THE WORK ENVIRONMENT IS CONDUCIVE TO SUSTAINABLE PRACTICES. AT ADVOCATE, INDOOR AIR QUALITY IS INCREASED AND EXPOSURE TO TOXIC CHEMICALS DECREASED THROUGH ENVIRONMENTALLY-PREFERABLE PURCHASING, INCLUDING FURNITURE, CLEANING PRODUCTS AND MEDICAL SUPPLIES. ADVOCATE'S TEAM MEMBERS ARE EMPOWERED TO CREATE SUSTAINABLE WORK SPACES THROUGH THE GREEN ADVOCATE AND SUSTAINABLE WORK SPACE CERTIFICATION PROGRAMS. ALL TEAM MEMBERS AND VOLUNTEERS ARE ENCOURAGED TO REDUCE WASTE, RECYCLE AND UTILIZE ELECTRICITY EFFECTIVELY. BEING GREEN IS A TEAM EFFORT AND MANY METRICS ARE TRACKED AND REPORTED AT ADVOCATE SITES.BETHANY COMMUNITY HEALTH FUND ("BETHANY FUND"). AS INTRODUCED EARLIER, THE BETHANY FUND ADDRESSES THE UNIQUE HEALTH NEEDS OF FOUR TARGETED UNDERSERVED COMMUNITIES ON CHICAGO'S WEST SIDE [AUSTIN, GARFIELD PARK, HUMBOLDT PARK AND NORTH LAWNDALE] BY AWARDING GRANTS TO PROGRAMS THAT PROMOTE HEALTH AND WELLNESS AND REDUCE HEALTH DISPARITIES AND THEIR DETERMINANTS. PRIORITY AREAS INCLUDE DIABETES, SCHOOL DROPOUT PREVENTION, WORKFORCE DEVELOPMENT, AND VIOLENCE PREVENTION. SINCE THE BOARD WAS ESTABLISHED IN 2007, THE BETHANY FUND HAS AWARDED OVER $9 MILLION THROUGH 381 GRANTS TO SUPPORT ORGANIZATIONS IN ITS FUND COMMUNITIES. IN 2018, THE FUND AWARDED $815,000 TO GRANTEES. THE ADVOCATE BETHANY FUND HAS SUPPORTED A WIDE VARIETY OF PROGRAMS THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING THE FOLLOWING EXAMPLES OF PROGRAMS FUNDED DURING 2018: NEW MOMS (AUSTIN), FOR THEIR WORKFORCE DEVELOPMENT PROGRAM THAT WORKS WITH YOUNG MOMS EXPERIENCING POVERTY AND UTILIZES CANDLE MAKING TO TEACH JOB-READINESS SKILLS; FREE SPIRIT MEDIA (NORTH LAWNDALE) FOR THEIR INDUSTRY AND CAREER PATHWAYS PROGRAM WHICH SERVES YOUTH AND YOUNG ADULTS SEEKING TO BREAK INTO CHICAGO'S ROBUST FILM AND MEDIA INDUSTRIES; MARILLAC ST. VINCENT FAMILY SERVICES (GARFIELD PARK) TO SUPPORT PROJECT HOPE, A PROGRAM FOR PREGNANT AND PARENTING TEENS AND YOUNG ADULTS; AND GREATER WEST TOWN COMMUNITY DEVELOPMENT PROJECT (HUMBOLDT PARK), TO ENRICH THEIR EXISTING VOCATIONAL TRAINING PROGRAM. IN ADDITION TO ITS GRANT MAKING ROLE, THE ADVOCATE BETHANY FUND INVESTS SUBSTANTIAL STAFF TIME AND FINANCIAL RESOURCES IN ORGANIZATIONAL CAPACITY BUILDING. THE ORGANIZATIONS FUNDED ARE PHYSICALLY LOCATED IN ONE OR MORE OF THE PRIORITY WEST-SIDE COMMUNITIES. EACH YEAR, THE FUND SUPPORTS CAPACITY-BUILDING IDEAS DETERMINED FROM RECOMMENDATIONS FROM ITS GRANTEE ORGANIZATIONS AND ITS BOARD MEMBERS (SOME OF WHOM ARE LEADERS AT GRANTEE ORGANIZATIONS). THE FUND HAS OFFERED OVER 80 FORMAL CAPACITY BUILDING/PROFESSIONAL DEVELOPMENT SESSIONS THAT HAVE ENGAGED MORE THAN 1,150 STAFF FROM GRANTEE AND COMMUNITY-BASED ORGANIZATIONS. GOAL E: LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS.A KEY OBJECTIVE UNDER THIS GOAL IS ALIGNING INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES. ALL ADVOCATE HOSPITALS COLLABORATED WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE. ONE OF THE PRIMARY VALUES OF ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. ONE OF THE PRINCIPAL PARTNERS IN PROVIDING FOR COMMUNITY NEEDS IS THE LOCAL HEALTH DEPARTMENT. WHILE AT THE DIRECTION OF THE SYSTEM, ALL HOSPITALS ACTIVELY PARTICIPATED IN COLLABORATIVE ASSESSMENTS AND HEALTH IMPROVEMENT PLANNING WITH THEIR LOCAL HEALTH DEPARTMENTS FOR THE 2014-2016 CHNA PROCESS AND ARE DOING SO AGAIN FOR THE 2017-2019 PROCESS. THERE IS ONE NOTABLE COLLABORATION IN PARTICULAR IN WHICH ADVOCATE SYSTEM LEVEL LEADERSHIP PLAYED A VITAL ROLE. ALLIANCE FOR HEALTH EQUITY (FORMERLY THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY [HICCC]. AS INTRODUCED EARLIER, ADVOCATE HEALTH CARE, PRESENCE HEALTH AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDING ORGANIZATIONS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY. THESE ORGANIZATIONS INVITED HEALTH DEPARTMENTS AND ALL COOK COUNTY NONPROFIT HOSPITALS TO JOIN THEM IN CREATING ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COLLABORATIVES IN THE COUNTRY. IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING FACILITATION WORK. IN ADDITION TO 27 PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDNONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS PARTICIPATED IN THE ASSESSMENT AND ACTION TEAMS.DURING 2015 AND 2016, IPHI, THE PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING PARTNERSHIPS AND STRATEGIC ALIGNMENT OF IMPLEMENTATION PLANS, WHICH WILL FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT IN THE FUTURE. SURVEYS WERE DISTRIBUTED THROUGHOUT COOK COUNTY WITH A FOCUS ON UNDERSERVED COMMUNITIES. OVER 5,000 SURVEYS WERE COMPLETED PROVIDING A GOOD PICTURE OF THE HEALTH NEEDS OF THE COUNTY. PRIMARY DATA ALSO INCLUDED MULTIPLE FOCUS GROUPS AND HOSPITAL UTILIZATION DATA. A DATA TEAM ANALYZED MULTIPLE SECONDARY DATA SOURCES AS WELL. THIS COLLABORATIVE WORK RESULTED IN THREE REGIONAL CHNA REPORTS.AS A RESULT OF THE ASSESSMENT WORK, ALL PARTNERS DETERMINED FOUR FOCUS AREAS FOR IMPLEMENTATION. ACTION TEAMS HAVE BEEN FORMED AND COMMUNITY HEALTH IMPROVEMENT PLANS ARE BEING DEVELOPED WITH A FOCUS ON ALIGNED ACTIONS AND DATA COLLECTION. IN LATE 2017 AND FOLLOWING HICCC'S MERGER WITH THE HEALTH CHICAGO HOSPITALS COLLABORATE TO CREATE THE ALLIANCE FOR HEALTH EQUITY (AFHE), ADVOCATE HAS CONTINUED TO BE AN ACTIVE MEMBER INVOLVED IN LEADERSHIP AND SERVING ON THE AFHE STEERING COMMITTEE. ANOTHER OBJECTIVE TO STRENGTHEN COMMUNITY PARTNERSHIPS IS FOR ADVOCATE TO EXPLORE NON-TRADITIONAL RELATIONSHIPS, SUCH AS WITH SCHOOL DISTRICTS, EMPLOYMENT AGENCIES, HOUSING GROUPS, FOOD PANTRIES, SHELTERS, ETC. WHILE THERE ARE MANY EXISTING ADVOCATE COMMUNITY PARTNERSHIPS MENTIONED THROUGHOUT THIS DOCUMENT AND EVEN SOME THAT RESULTED FROM OR BEGAN PRIOR TO ADVOCATE'S 2011-2013 CHNA PROCESS, THIS OBJECTIVE IS FOCUSED PRIMARILY ON THE INNOVATIVE NON-TRADITIONAL PARTNERSHIPS THAT HAVE BEGUN AS A RESULT OF THE 2014-2016 CHNA.ADDRESSING FOOD INSECURITY. ONE SUCH EXAMPLE OF A NON-TRADITIONAL COMMUNITY PARTNERSHIP IS ADVOCATE GOOD SAMARITAN'S PARTNERSHIP WITH LOCAL FOOD PANTRIES AND THE UNIVERSITY OF ILLINOIS EXTENSION TO DEVELOP A PROGRAM THAT OFFERS HEALTHY FRESH FOOD, NUTRITION AND COOKING CLASSES TO CLIENTS OF THE FOOD PANTRIES. ANOTHER EXAMPLE IS ADVOCATE GOOD SHEPHERD'S WORK WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS AND LOCAL MUNICIPAL ENTITIES THAT SERVE SENIORS TO IMPLEMENT FOOD SECURITY SCREENING FOR SENIORS. A SCREENING TOOL AND COMPREHENSIVE RESOURCE GUIDE HAVE BEEN DEVELOPED FOR SENIORS THAT SCREEN AS FOOD INSECURE. ADVOCATE GOOD SHEPHERD AND SEVERAL OTHER ADVOCATE HOSPITALS ARE GROWING VEGETABLES ON THEIR CAMPUSES OR IN THE COMMUNITY. ADVOCATE GOOD SHEPHERD HAS PARTNERED WITH A LOCAL NON-PROFIT ORGANIZATION, SMARTFARM, WHOSE MISSION IS TO BE AN EDUCATIONAL RESOURCE ON SUSTAINABLE GARDENING AND HEALTHY EATING. SMART FARM MANAGES THE ON-SITE GARDEN ON OVER 10 ACRES OF LAND OWNED BY ADVOCATE AND THE HARVESTED FRESH VEGETABLES ARE DONATED TO LOCAL FOOD PANTRIES. SIMILAR PARTNERSHIPS EXIST AT ADVOCATE SHERMAN AND ADVOCATE BROMENN. IN 2018, ADVOCATE ILLINOIS MASONIC ESTABLISHED A HOSPITAL-BASED FOOD PANTRY TO ADDRESS THE NEEDS OF FOOD INSECURE ONCOLOGY PATIENTS. IN PARTNERSHIP WITH THE LAKEVIEW FOOD PANTRY, THE MEDICAL CENTER PROVIDES DRY GOOD FOOD BAGS, RE-USABLE WHEELIE GROCERY BAGS AND GIFT CARDS TO LOW-INCOME AND FOOD INSECURE PATIENTS. TWO HOSPITALS, ADVOCATE SOUTH SUBURBAN AND ADVOCATE TRINITY HAVE PARTNERED WITH ADVOCATE'S PRODUCE VENDOR, CRISTINA FOODS, TO HOST THREE PUBLIC FARMERS MARKETS WHERE FRESH PRODUCE WAS PROVIDED TO PATIENTS, SURROUNDING COMMUNITIES AND ADVOCATE TEAM MEMBERS, WITH LEFTOVER FOOD DONATED TO LOCAL FOOD PANTRIES IN 2018.ADVOCATE WORKFORCE INITIATIVE (AWI). IN 2015, JPMORGAN CHASE MADE A GENEROUS DONATION TO THE ADVOCATE CHARITABLE FOUNDATION, THE CHARITABLE ARM OF ADVOCATE, TO DEVELOP THE HEALTHCARE WORKFORCE COLLABORATIVE, A CREATIVE AND MODERN SOLUTION TO THE CITY'S TALENT SHORTAGE AND ECONOMIC DISPARITIES. LED BY ADVOCATE, THIS HEALTH CARE SECTOR SKILLS-BASED TRAINING INITIATIVE CONNECTS CHICAGOLAND'S UNDEREMPLOYED AND UNEMPLOYED RESIDENTS WITH HIGH-QUALITY, IN-DEMAND JOBS IN THE RAPIDLY GROWING HEALTH CARE INDUSTRY. UNEMPLOYMENT RATES ARE AS HIGH AS 31.9% IN SOME NEIGHBORHOODS IN THE METROPOLITAN AREA AS COMPARED TO CHICAGO'S OVERALL UNEMPLOYMENT RATE OF 8.2%. ILLINOIS HAS THE NATION'S HIGHEST UNEMPLOYMENT RATE AMONG AFRICAN-AMERICANS. THE UNEMPLOYMENT RATE OF AFRICAN-AMERICANS AND HISPANICS IN CHICAGO IS THREE TIMES THAT OF THEIR WHITE COUNTERPARTS. THE HEALTH CARE SECTOR IS EXPECTED TO GENERATE 14,000 NEW WELL-PAYING MIDDLE-SKILL JOBS ANNUALLY IN THE CHICAGO REGION THROUGH 2019, BUT LACKS THE SKILLED TALENT NEEDED TO FILL THESE ROLES. ADVOCATE ALSO HELPED LAUNCH THE CHICAGOLAND HEALTHCARE WORKFORCE COLLABORATIVE (CHWC). THE CHWC IS A CONSORTIUM OF LEADING HEALTHCARE EMPLOYERS AND INDUSTRY PARTNERS THAT BELIEVE IN THE NECESSITY OF A STRONG AND DIVERSE LOCAL HEALTHCARE WORKFORCE. BY LEVERAGING RESOURCES AND BEST PRACTICES, THE COLLABORATIVE AIMS TO SUPPORT AN INCLUSIVE HEALTHCARE WORKFORCE, PROVIDE ACCESSIBILITY FOR THE UNEMPLOYED AND UNDEREMPLOYED POPULATIONS, AND DEVELOP INNOVATIVE RESPONSES TO THE EVOLVING NEEDS OF THE HEALTHCARE INDUSTRY. THIS IS ACHIEVED BY IDENTIFYING AND IMPLEMENTING IMPACTFUL, DATA-DRIVEN AND ACTION-ORIENTED SOLUTIONS, WITH A SPECIFIC FOCUS ON POPULATIONS THAT ARE UNDERREPRESENTED IN THE HEALTH CARE WORKFORCE.THIS WORKFORCE DEVELOPMENT PROGRAM:" ALIGNS TRAINING CURRICULUM TO CURRENT AND EMERGING JOB NEEDS;" CONNECTS JOB SEEKERS TO EMPLOYMENT OPPORTUNITIES WITHIN ADVOCATE;" INCREASES DIVERSITY WITHIN THE HEALTHCARE SECTOR;" PROVIDES CAREER PATHWAYS TO ADVANCED TRAINING OR CAREER OPPORTUNITIES IN HEALTHCARE;" SUPPORTS ECONOMIC DEVELOPMENT IN VULNERABLE COMMUNITIES;" ESTABLISHES BEST PRACTICES, CREATING A REGIONAL/NATIONAL MODEL; AND" PROVIDES SUPPORTIVE SERVICES TO REMOVE BARRIERS TO EMPLOYMENT.TO ENSURE THE INITIATIVE IS BROAD-REACHING AND COMPREHENSIVE, ADVOCATE HAS ESTABLISHED STRATEGIC ALLIANCES WITH THE CITY COLLEGES OF CHICAGO, PRAIRIE STATE COLLEGE, CHICAGO STATE UNIVERSITY, UNIVERSITY OF CHICAGO (URBAN LABS) AND OTHER COMMUNITY-BASED ORGANIZATIONS, SUCH AS PHALANX FAMILY SERVICES, JEWISH VOCATION SERVICES, INSTITUTO DEL PROGRESO LATINO, POLISH AMERICAN ASSOCIATION, NATIONAL LATINO EDUCATION INSTITUTE, KINZIE INDUSTRIAL DEVELOPMENT CORPORATION AND CHICAGO CENTER FOR ARTS AND TECHNOLOGY, TO RECRUIT, TRAIN AND SUPPORT POTENTIAL CANDIDATES. AFTER SUCCESSFUL COMPLETION OF THE TRAINING AND LICENSING EXAM, ALL PARTICIPANTS ARE GUARANTEED AN INTERVIEW WITH ADVOCATE AND RECEIVE JOB PLACEMENT ASSISTANCE. SINCE INCEPTION, THE INITIATIVE HAS TRAINED MORE THAN 800 PARTICIPANTS AND HAS OVER AN 80% GRADUATION RATE. NEARLY 300 GRADUATES FROM THE INITIATIVE ARE NOW EMPLOYED IN THE HEALTH CARE INDUSTRY WITH ABOUT 162 STILL ENROLLED PENDING NEW EMPLOYMENT OPPORTUNITIES. OF THOSE EMPLOYED, 98% HAVE MAINTAINED EMPLOYMENT FOR AT LEAST 90 DAYS. ADVOCATE HAS ALSO LAUNCHED AN INCUMBENT WORKER STRATEGY FOR FRONTLINE TEAM MEMBERS, THE NAVIGATE PROGRAM. NAVIGATE AIMS TO CREATE A MORE INCLUSIVE WORKFORCE, ONE THAT PROVIDES TEAM MEMBERS WITH OPPORTUNITIES TO DEVELOP NEW SKILLS, DETERMINE A CAREER PATHWAY AND CONNECT WITH TOOLS AND RESOURCES. ADVOCATE IS INVESTED IN TEAM MEMBERS' SUCCESS THROUGH LEVERAGING THESE TYPES OF PROGRAMS TO ENSURE ADVOCATE IS A GREAT PLACE FOR TEAM MEMBERS WORK, PATIENTS TO HEAL AND PHYSICIANS TO PRACTICE. THE PROGRAM WAS INITIATED AT ADVOCATE TRINITY IN 2016 AND AS OF YEAR-END 2018, HAS EXPANDED TO ADVOCATE ILLINOIS MASONIC, ADVOCATE CHRIST AND ADVOCATE MEDICAL GROUP, WITH PLANS TO ACTIVATE AT ADVOCATE SOUTH SUBURBAN IN 2019. THE PROGRAM HAS ENROLLED AND SUPPORTED 182 INCUMBENT WORKERS, GUIDED MORE THAN 100 TO IDENTIFY A CAREER PATHWAY AND HAS NEARLY AN 80% GRADUATION RATE. OF THOSE THAT HAVE MOVED INTO AN ADVANCED CAREER PATHWAY, THE AVERAGE WAGE INCREASE IS 24%. VOLUNTEERS FROM THE COMMUNITY. ANOTHER ASPECT OF COMMUNITY ENGAGEMENT IS PROVIDING COMMUNITY MEMBERS WITH AN OPPORTUNITY TO DONATE THEIR TIME SERVING THROUGH A MYRIAD OF VOLUNTEER SERVICE OPPORTUNITIES. EACH YEAR, VOLUNTEERS FROM THE COMMUNITY SHARE THEIR TIME AND TALENTS THROUGH SERVICE AT ADVOCATE'S HOSPITALS, ADVOCATE MEDICAL GROUP AND ADVOCATE AT HOME, AND IN THEIR OWN WAY, FURTHER ADVOCATE'S COMMITMENT TO PROVIDING EXCELLENT HEALTH CARE. IN 2018, ADVOCATE STAFF MANAGED 5,018 ACTIVE COMMUNITY VOLUNTEERS THAT ENGAGED PATIENTS, FAMILIES AND STAFF IN A VARIETY OF ACTIVITIES, SOME OF WHICH WERE: PROVIDING INFORMATION DESK SERVICES TO VISITORS; CLERICAL SUPPORT TO STAFF; SERVING CUSTOMERS IN HOSPITAL GIFT AND RESALE SHOPS; OFFERING COMPASSIONATE CONCERN TO PATIENTS AND THEIR LOVED ONES IN MULTIPLE HOSPITAL AREAS SUCH AS THE EMERGENCY DEPARTMENT, INTENSIVE CARE UNIT, PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDSURGERY WAITING ROOM, POST-ANESTHESIA CARE AND NURSERY INTENSIVE CARE UNITS; ASSISTING WITH COMMUNITY HEALTH SCREENINGS AND BLOOD DRIVE EVENTS; PROVIDING CHEERFUL SERVICE TO PATIENTS BY DELIVERING FLOWERS, MAIL AND NEWSPAPERS; AND PROVIDING SUPPORT SERVICES IN THE HOSPITAL THAT HAVE LIBRARIES AND/OR WELLNESS CENTERS. ADVOCATE TEAM MEMBERS VOLUNTEERING IN THE COMMUNITY. ADVOCATE'S SYSTEM LEADERSHIP ALSO ENCOURAGES AND PROVIDES OPPORTUNITIES FOR TEAM MEMBERS AND PHYSICIANS TO DONATE TO, VOLUNTEER AT AND HELP RAISE FUNDS FOR COMMUNITY INITIATIVES. IN 2018, ADVOCATE PROMOTED AND SUPPORTED ASSOCIATE, PHYSICIAN AND HOSPITAL PARTICIPATION IN WALKS, RUNS AND RACES, INCLUDING DEVELOPING OFFICIAL ADVOCATE TEAMS FOR THE AMERICAN HEART ASSOCIATION (HEAR WALK), AMERICAN CANCER SOCIETY (MAKING STRIDES AGAINST BREAST CANCER EVENTS AND HEAD FOR THE CURE 5K), ALZHEIMER'S ASSOCIATION (WALK TO END ALZHEIMER'S) AND MARCH OF DIMES (MARCH FOR BABIES). IN 2018, 5,583 ADVOCATE TEAM MEMBERS WALKED IN THESE FUNDRAISERS AND $633,792 IN CHARITABLE CONTRIBUTIONS WAS RAISED TO SUPPORT THESE NONPROFIT PARTNER ORGANIZATIONS THROUGH SUCH EFFORTS. ADVOCATE ALSO HAD THE HONOR OF BEING DESIGNATED THE #1 HEART WALK FUNDRAISING HEALTH CARE COMPANY IN THE NATION BY THE AMERICAN HEART ASSOCIATION IN 2018. IN ADDITION, ADVOCATE'S TEAM MEMBERS AND PHYSICIANS GENEROUSLY SUPPORT MULTIPLE LOCAL COMMUNITY ORGANIZATIONS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. IN 2018, ADVOCATE TEAM MEMBERS CONTRIBUTED MORE THAN $2.1 MILLION THROUGH THE ADVOCATE AURORA GIVING CAMPAIGN. IN ADDITION, SYSTEM LEVEL LEADERS ARE SUPPORTIVE OF TEAM MEMBERS VOLUNTEERING DURING WORKTIME ON NONPROFIT COMMUNITY BOARDS, COMMITTEES, COUNCILS, TASK FORCES AND COALITIONS, USING THEIR TALENTS TO SUPPORT A VARIETY OF COMMUNITY-BASED ORGANIZATIONS. GOAL F: PROMOTE ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENT BY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS.KEY TO DEVELOPING STRONG GOVERNANCE RELATIONSHIPS WAS ESTABLISHING SYSTEM BOARD ENGAGEMENT IN SUPPORT OF ADVOCATE'S COMMUNITY HEALTH VISION. AS THE FUNCTION ACCOUNTABLE FOR ADVOCATE'S SYSTEM-WIDE CHNA PROCESS AND BOTH CHNA AND STATE COMMUNITY BENEFITS REGULATORY REPORTING IN ILLINOIS, THE COMMUNITY HEALTH DEPARTMENT PROVIDES PROGRESS UPDATES AT LEAST ANNUALLY TO HOSPITAL AND SYSTEM LEADERSHIP. WHEREAS PRIOR TO THE APRIL 2018MERGER, THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE BOARD OF DIRECTORS WAS RESPONSIBLE FOR THE ADOPTION OF COMMUNITY HEALTH STRATEGY, POST-MERGER THE ADVOCATE HEALTH CARE NETWORK BOARD IS NOW CHARGED WITH THIS RESPONSIBILITY. AS INDICATED EARLIER, ADVOCATE HEALTH CARE ESTABLISHED A COMMUNITY HEALTH DEPARTMENT IN LATE 2015 AND THE DEPARTMENT WAS FULLY STAFFED AND OPERATING BY JANUARY 2016. THE DEPARTMENT'S FIRST ORDER OF BUSINESS WAS TO DEVELOP A MISSION, VALUES AND VISION (MVV) TO GUIDE ITS ACTIONS. THE DEPARTMENT'S MISSION IS "TO TRANSFORM THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE BY PROMOTING PREVENTION AND ENSURING HEALTH EQUITY, THROUGH COLLABORATIVE PARTNERSHIPS AND EVIDENCE-BASED PRACTICES." THE DEPARTMENT'S VALUES ENCOMPASS BEING "ACCOUNTABLE, COLLABORATIVE, EQUITABLE, INCLUSIVE, RESILIENT, SUSTAINABLE, TRANSFORMATIVE AND TRANSPARENT." THROUGH THESE ATTRIBUTES, THE VISION - "TO WORK COLLABORATIVELY TO TRANSFORM OUR ENVIRONMENT INTO COMMUNITIES WHERE HEALTH SERVICES ARE ACCESSIBLE AND INTEGRATED; PEOPLE ARE SUPPORTED; HEALTH EQUITY IS ACHIEVED AND RESULTS ARE MEASURABLE" - WILL BE ACHIEVED. DURING 2016 AND TO SUPPORT ADVOCATE HOSPITALS' PLANS TO IMPLEMENT PROGRAM STRATEGIES AS OUTLINED IN THEIR CHNA REPORTS DURING 2017, SITE-SPECIFIC COMMUNITY HEALTH DEPARTMENT BUDGETS WERE PUT IN PLACE AT ALL ADVOCATE HOSPITALS BY THE SYSTEM VICE PRESIDENT OF COMMUNITY HEALTH AND FAITH OUTREACH. HOSPITAL COMMUNITY HEALTH BUDGETS, INCLUDING ONGOING PROGRAM IMPLEMENTATION COSTS, STAFF SALARIES, ANNUAL CONTRACTED DATA ACCESS COSTS TO THE CONDUENT-HEALTHY COMMUNITIES INSTITUTE'S CHNA TOOL, FEE TO PARTICIPATE IN THE ALLIANCE FOR HEALTH EQUITY (AHFE) AND FOR ANNUAL SUPPORT FOR AND USE OF THE LYON SOFTWARE CBISA (COMMUNITY BENEFITS INVENTORY OF SOCIAL RESPONSIBILITY) REPORTING TOOL WERE INCLUDED IN THE 2017 AND 2018 BUDGET CYCLE IN PREPARATION FOR YEAR 2019. SYSTEM LEVEL MONITORING OF BUDGETS SUPPORTS APPROPRIATE FUNDING TO SUSTAIN EXISTING AND IMPLEMENT NEW PROGRAMS THAT TARGET SELECTED COMMUNITY HEALTH PRIORITIES. HOSPITAL GOVERNING COUNCILS. ALSO KEY TO PROMOTING ACCOUNTABILITY FOR COMMUNITY HEALTH THROUGHOUT ADVOCATE WAS A SYSTEM LEVEL IMPLEMENTED PROCESS FOR ESTABLISHING HOSPITAL-BASED GOVERNANCE OVERSIGHT FOR EACH HOSPITAL'S CHNA PROCESS, INCLUDING REVIEW AND APPROVAL OF THE HOSPITAL CHNA REPORT AND HIGH LEVEL STRATEGIES TO ADDRESS KEY SELECTED NEEDS THAT RESULTED FROM THE PRIORITY-SETTING PROCESS. TO THAT END, THE SYSTEM EXPANDED THE ROLE OF THE HOSPITAL GOVERNING COUNCILS TO INCLUDE OVERSIGHT OF THE CHNA PROCESS AND APPROVAL OF THE HOSPITAL CHNA REPORTS AND IMPLEMENTATION STRATEGIES. THIS HAS RESULTED IN COMMUNITY HEALTH BEING STRONGLY INTEGRATED INTO ADVOCATE GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS HAVE BEEN DEVELOPED AT EACH HOSPITAL. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2016 CHNA REPORT CYCLE WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. THE COUNCILS MET AT LEAST FOUR TIMES DURING THE YEAR. HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING A CONSENSUS BASED PRIORITY-SETTING PROCESS TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN A LARGER HEALTH IMPROVEMENT IMPACT.CHNA DATA ASSESSMENT RESULTS AND RECOMMENDATIONS FOR HEALTH IMPROVEMENT PRIORITIES WERE PRESENTED TO THE FULL HOSPITAL GOVERNING COUNCILS FOR ENDORSEMENT. ONCE THE HEALTH IMPROVEMENT PRIORITIES AND STRATEGIES WERE APPROVED BY THE HOSPITAL GOVERNING COUNCILS, THE RESULTS WERE PRESENTED TO THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE ADVOCATE HEALTH CARE BOARD OF DIRECTORS, CHARGED WITH SYSTEM OVERSIGHT OF COMMUNITY HEALTH PLANNING AT THAT TIME, FOR FINAL APPROVAL. AS INDICATED EARLIER, AS A RESULT OF THE MERGER, THIS RESPONSIBILITY MOVED TO THE ADVOCATE HEALTH CARE NETWORK BOARD IN 2018. SERVICE LINE AND POPULATION HEALTH ENGAGEMENT. TO SUPPORT FURTHER ALIGNMENT WITHIN ADVOCATE, THE SYSTEM COMMUNITY HEALTH DEPARTMENT HAS ALSO WORKED TO ENGAGE SYSTEM DEFINED CLINICAL SERVICE LINES IN EXPANDING THEIR FOCUS ON COMMUNITY HEALTH. ADVOCATE IS VIEWED AS A LEADER IN THE POPULATION HEALTH MANAGEMENT ARENA. AN EARLY ADOPTER OF MANAGING CARE ACROSS POPULATIONS, ADVOCATE HAS SIGNIFICANT SUCCESS IMPROVING HEALTH OUTCOMES WHILE DECREASING OR MAINTAINING COST OF CARE DELIVERY. ADVOCATE'S COMMUNITY HEALTH DEPARTMENT HAS INTENTIONALLY ALIGNED WITH ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE SERVICE LINES. THIS ALIGNMENT ASSURES THAT MEMBERS OF THE COMMUNITIES ADVOCATE SERVES AND OUR PATIENTS RECEIVE COMMUNITY-BASED INTERVENTIONS, AS WELL AS EDUCATION AND PROGRAMMING THAT ALIGNS WITH THEIR HEALTH NEEDS. THE FOLLOWING ARE EXAMPLES OF EDUCATION AND PROGRAMMING ALIGNED WITH POPULATION HEALTH AND SERVICE LINE DEVELOPMENT THAT REFLECT THIS INTEGRATED APPROACH. BEHAVIORAL HEALTH. BEHAVIORAL HEALTH COUNCIL INTEGRATION STRATEGIES HAVE INCLUDED COMMUNITY HEALTH STAFF OFFERING MENTAL HEALTH FIRST AID TO TARGETED COMMUNITY MEMBERS FOR THE PURPOSE OF REDUCING STIGMA, AND TRAINING COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH ISSUES AND UNDERSTAND APPROPRIATE INTERVENTIONS. IN 2018, OVER 1,047 COMMUNITY MEMBERS WERE TRAINED IN THE EIGHT-HOUR EVIDENCE-BASED PROGRAM. ADDITIONALLY, ALL HOSPITALS PARTICIPATE IN LOCAL BEHAVIORAL HEALTH AND SUBSTANCE ABUSE COLLABORATIVES.ADVOCATE PHYSICIAN PARTNERS (APP). ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE COMMUNITY HEALTH LEADERS ARE PARTNERING TO DEVELOP NEW APPROACHES TO PATIENT SCREENING AND RESOURCING FOR SOCIAL DETERMINANTS OF HEALTH. GOAL G: PROMOTE THE TRAINING OF FUTURE HEALTH PROFESSIONALS. TO FURTHER THE TRADITION OF PROVIDING MEDICAL EDUCATION TO UNDERGRADUATE AND GRADUATE MEDICAL STUDENTS AND NURSING STUDENTS, ADVOCATE'S SYSTEM LEVEL CLINICAL EDUCATION DEPARTMENT HAS DEVELOPED LONG-TERM ACADEMIC AFFILIATIONS WITH ALL MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA FOR THE PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDEDUCATION AND TRAINING OF STUDENTS IN UNDERGRADUATE MEDICAL EDUCATION (UME), GRADUATE MEDICAL EDUCATION (GME), NURSING UNDERGRADUATE AND GRADUATE EDUCATION, AND IN NUMEROUS OTHER ALLIED HEALTH PROFESSIONAL FIELDS. ADVOCATE MEDICAL EDUCATION DEPARTMENT'S MISSION IS TO TRAIN THE NEXT GENERATION OF PHYSICIANS THROUGH UNDERGRADUATE (UME) AND GRADUATE MEDICAL EDUCATION (GME), AND TO CONTINUE THE DEVELOPMENT OF ADVOCATE PHYSICIANS THROUGH CONTINUING MEDICAL EDUCATION (CME). AS ONE OF THE LARGEST PROVIDERS OF PRIMARY MEDICAL EDUCATION IN ILLINOIS, THERE WERE 2,270 MEDICAL STUDENT ROTATIONS COMPLETED AND 580 RESIDENTS AND FELLOWS WHO RECEIVED HANDS-ON TRAINING IN 2018 AT ADVOCATE'S FOUR ACADEMIC MEDICAL CENTERS, INCLUDING ADVOCATE BROMENN, ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL. POST-GRADUATE MEDICAL EDUCATION (CME). ADVOCATE HEALTH CARE IS ACCREDITED BY ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR ADVOCATE AND NON-ADVOCATE PHYSICIANS AND HEALTH CARE PROFESSIONALS IN THE REGION. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GRAND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND JOURNAL CLUBS-AS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2018, ADVOCATE HOSTED 2,879 CME EVENTS TOTALING 3,942 CME CREDIT HOURS TO 54,277 PARTICIPANTS-OF WHICH 41,642 WERE PHYSICIANS. THIS IS A SIGNIFICANT INCREASE AS COMPARED TO THE 2,581 EVENTS, 2513 CREDIT HOURS AND 48,592 PARTICIPANTS (PHYSICIAN AND NON-PHYSICIAN) IN 2017.NURSING EDUCATION. UNDERGRADUATE AND GRADUATE (APN/NP/MANAGEMENT) NURSING EDUCATION OCCURS AT TEN ADVOCATE HOSPITALS AND AT MANY ADVOCATE MEDICAL GROUP SITES. NOTABLY, EIGHT ADVOCATE HOSPITALS HAVE EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSE CREDENTIALING CENTER (ANCC), INCLUDING ADVOCATE BROMENN, ADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE GOOD SHEPHERD, ADVOCATE ILLINOIS MASONIC, ADVOCATE LUTHERAN GENERAL AND ADVOCATE SHERMAN. MAGNET STATUS REPRESENTS HOSPITAL-WIDE TEAMWORK AND DEDICATION TO CREATING A POSITIVE ENVIRONMENT, WHICH HELPS ATTRACT THE BEST PHYSICIANS AND NURSES, RESULTING IN BETTER OVERALL PATIENT CARE. EMERGENCY MEDICAL TECHNICIAN (EMT) EDUCATION. ADVOCATE ALSO TAKES A LEADERSHIP ROLE IN THE TRAINING OF EMTS TO TAKE THEIR PLACE IN PROVIDING CARE IN THE COMMUNITY. A MAJORITY OF ADVOCATE'S HOSPITALS PROVIDE EMT EDUCATION FROM BASIC THROUGH PARAMEDIC LEVEL. IN FACT, SEVERAL ADVOCATE HOSPITALS SERVE AS THE LEAD HOSPITAL IN THEIR COUNTIES/SERVICE AREAS, PROVIDING EDUCATION, STANDARDIZATION OF PROTOCOLS OF CARE AMONG ALL HOSPITALS (NON-ADVOCATE INCLUDED) AND EMS RESPONDERS, AND DIRECTION OF COUNTY-WIDE EMERGENCY MEDICAL SERVICES IN RESPONSE TO COMMUNITY-BASED, MASS INJURY/CASUALTY DISASTERS. ALLIED HEALTH EDUCATION. ADVOCATE IS COMMITTED TO TEACHING STUDENTS IN A BROAD RANGE OF SPECIALTIES. THESE STUDENTS COME FROM LOCAL UNIVERSITIES AND COLLEGES WITH WHOM ADVOCATE HAS CONTRACTED TO PROVIDE THESE SERVICES. STUDENTS ARE PROVIDED A CLINICAL ENVIRONMENT IN WHICH TO LEARN IN OVER TWENTY HEALTH CARE DISCIPLINES/FIELDS, INCLUDING, BUT NOT LIMITED TO: PHARMACEUTICAL; CARDIO DIAGNOSTICS; CARDIAC REHABILITATION; RADIOLOGY, NUCLEAR MEDICINE, MRI AND X-RAY; RADIATION THERAPY; EXERCISE PHYSIOLOGY; PHYSICAL, OCCUPATIONAL, SPEECH AND RECREATIONAL THERAPY; PSYCHIATRY; BEHAVIORAL HEALTH; RESPIRATORY; AUDIOLOGY; PATHOLOGY; PODIATRY; PHLEBOTOMY; NUTRITION/DIETARY; AND DENTISTRY (DENTISTRY IS ONLY AVAILABLE THROUGH ADVOCATE ILLINOIS MASONIC). CLINICAL PASTORAL EDUCATION. ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION (CPE) PROGRAM WITH OVERSIGHT BY THE SYSTEM DIRECTOR OF CLINICAL PASTORAL EDUCATION. SUPERVISING OVER 200 STUDENT UNITS EACH YEAR, THE PROGRAM IS ONE OF THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL HEALTH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS. OTHER EDUCATION. MULTIPLE ADVOCATE SYSTEM AND HOSPITAL DEPARTMENTS ALSO PROVIDE LEARNING ENVIRONMENTS FOR UNDERGRADUATE AND GRADUATE STUDENTS IN PUBLIC HEALTH, HEALTH ADMINISTRATION AND HEALTH INFORMATION MANAGEMENT. IN ADDITION, SEVERAL ADVOCATE HOSPITALS PROVIDE EXPERIENTIAL LEARNING TO AREA HIGH SCHOOL STUDENTS THAT ARE ON AN EDUCATIONAL TRACK TO A HEALTH CARE CAREER. THESE STUDENTS RECEIVE CREDIT TOWARDS GRADUATION IN ADDITION TO HELPING THEM DECIDE WHICH AREA OF HEALTH CARE THEY WISH TO PURSUE. FOR EXAMPLE, IN ORDER TO GIVE CHICAGO SOUTHSIDE STUDENTS BETTER JOB OPPORTUNITIES, ADVOCATE TRINITY WORKS WITH STUDENTS FROM CHICAGO VOCATIONAL CAREER ACADEMY, AND SOUTH SHORE AND JULIAN HIGH SCHOOLS, ROTATING STUDENTS IN THE HOSPITAL'S UNITS TO LEARN MARKETABLE JOB SKILLS. CONCLUSIONADVOCATE'S LEADERSHIP RECOGNIZES THAT COMMUNITY HEALTH AND COMMUNITY BENEFIT ARE BY DESIGN AN ELEMENT WITHIN ITS STRUCTURE AND ITS STRATEGIC DIRECTION. ADVOCATE HEALTH CARE, THEREFORE, IS COMMITTED TO CONTINUING ITS SUPPORT OF SYSTEM AND SITE PROGRAMS AND ACTIVITIES THAT SUPPORT ADVOCATE'S MISSION TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN THE FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. PART VI, LINE 7, REPORTS FILED WITH STATES IL ADVOCATE CHRIST MEDICAL CENTER: PART VI, LINE 2 ADVOCATE CHILDREN'S WORKED CLOSELY WITH LOCAL PARTNER SCHOOL DISTRICTS, SCHOOL NURSES, THE HOSPITAL'S FAMILY ADVISORY COUNCIL, THE PARTNERSHIP FOR RESILIENCE, HEALTHY SCHOOLS CAMPAIGN AND THE CHICAGO PUBLIC SCHOOL'S OFFICE OF STUDENT WELLNESS TO IDENTIFY HEALTH ISSUES AFFECTING CHILDREN. ADVOCATE CHRIST MEDICAL CENTER: PART VI, LINE 4 LOCATED IN OAK LAWN, ILLINOIS, ADVOCATE CHRIST SERVES AN AREA THAT LIES PRIMARILY WITHIN COOK COUNTY AND THE CHICAGO CITY LIMITS. IN ADDITION TO PARTICIPATING IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY SOUTH REGION CHNA, ADVOCATE CHRIST CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT TARGETING ITS DEFINED COMMUNITY-THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THIS AREA INCLUDES APPROXIMATELY 924,370 INDIVIDUALS WITHIN 27 ZIP CODES IN CHICAGO AND SUBURBAN COOK COUNTY. THE DIVERSE POPULATION SERVED IS 58 PERCENT WHITE, 23 PERCENT AFRICAN-AMERICAN, 2 PERCENT ASIAN AND 17 PERCENT OTHER. BY ETHNICITY, THE PSA IS 31 PERCENT HISPANIC. NEARLY 7.5 PERCENT OF THE PSA POPULATION OVER THE AGE OF 25 DOES NOT HAVE A HIGH SCHOOL DIPLOMA AS COMPARED TO 6.26 PERCENT FOR ILLINOIS, WHILE ALMOST 11 PERCENT OF ALL FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL COMPARED TO 10 PERCENT FOR ILLINOIS. THE MEDIAN AGE FOR THE PSA IS 37.87 YEARS. ADVOCATE CHRIST HAS FOUR ZIP CODES IN ITS PRIMARY SERVICE AREA WITH A RANKING OF FIVE FOR THE SOCIONEEDS INDEX-ALL WITHIN CHICAGO--WHICH REPRESENT THE AREAS WITH THE HIGHEST SOCIOECONOMIC NEEDS: WEST ENGLEWOOD (99.2), BRIGHTON PARK (96.5), CHICAGO LAWN (96.1), AND AUBURN GRESHAM (93.7). INDEX VALUES FOR EACH OF THESE ZIP CODES ARE OVER 90/100, THUS REPRESENTING SOME OF THE HIGHEST AREAS OF NEED IN THE COUNTRY.ADVOCATE CHILDREN'S, WHICH IS INTEGRATED AS PART OF ADVOCATE CHRIST HOSPITAL IN OAK LAWN, HAS A TOTAL SERVICE AREA (TSA) THAT INCLUDES COMMUNITIES SERVED BY ADVOCATE CHRIST, AS WELL AS GEOGRAPHIC AREAS OR COMMUNITIES SERVED BY OTHER ADVOCATE HOSPITALS, INCLUDING ADVOCATE TRINITY ON CHICAGO'S SOUTH AND SOUTHEAST SIDES, ADVOCATE SOUTH SUBURBAN IN CHICAGO'S SOUTH SUBURBS, AND ADVOCATE GOOD SAMARITAN IN THE WEST AND SOUTHWEST SUBURBAN CHICAGO AREA. THE TOTAL PEDIATRIC POPULATION, AGES 0-17 YEARS, WITHIN THE ADVOCATE CHILDREN'S-OAK LAWN TSA IS 561,905 CHILDREN IN 77 COMMUNITIES OR 24 PERCENT OF THE TOTAL POPULATION WITHIN THE SAME AREA. THE HOSPITAL'S DIVERSE SERVICE AREA IS 37 PERCENT BLACK/NON-HISPANIC, 34 PERCENT WHITE/NON-HISPANIC AND 25 PERCENT HISPANIC. WITHIN THE TSA, 61 PERCENT OF ADVOCATE CHILDREN'S PATIENTS (CHILDREN AGES 0-17) RECEIVE MEDICAID, 38 PERCENT ARE COVERED BY MANAGED CARE HEALTH INSURANCE AND 1.4 PERCENT HAVE OTHER PAYMENT PLANS. HOUSEHOLD INCOME STATISTICS SHOW THAT 23 PERCENT OF HOUSEHOLDS IN THE TSA EARN LESS THAN $25,000/YEAR AND 45 PERCENT HAVE A HIGH SCHOOL EDUCATION OR LESS. THERE ARE 20 HOSPITALS PROVIDING PEDIATRIC MEDICAL SERVICES IN ADVOCATE CHILDREN'S SERVICE AREA. IN ADDITION TO ADVOCATE, THERE IS ALSO ADVENTIST BOLINGBROOK HOSPITAL, ADVOCATE SOUTH SUBURBAN HOSPITAL, FRANCISCAN ST. JAMES HEALTH - CHICAGO HEIGHTS AND OLYMPIA FIELDS, HOLY CROSS HOSPITAL, INGALLS MEMORIAL HOSPITAL, JACKSON PARK HOSPITAL, LARABIDA CHILDREN'S HOSPITAL, LITTLE COMPANY OF MARY HOSPITAL, MERCY HOSPITAL AND MEDICAL CENTER, METROSOUTH MEDICAL CENTER, PALOS COMMUNITY HOSPITAL, PRESENCE ST. JOSEPH MEDICAL CENTER, ROSELAND COMMUNITY HOSPITAL, SILVER CROSS HOSPITAL, SOUTH SHORE HOSPITAL, ST. ANTHONY HOSPITAL, ST. BERNARD HOSPITAL AND UNIVERSITY OF CHICAGO MEDICAL CENTER.HIGH RISK AREAS AND COMMUNITIES OF HIGH NEED WERE FURTHER DETERMINED BY USE OF THE SOCIAL VULNERABILITY INDEX, WHICH IS AN AGGREGATE MEASURE OF THE CAPACITY OF COMMUNITIES TO PREPARE FOR AND RESPOND TO EXTERNAL STRESSORS ON HUMAN HEALTH, SUCH AS NATURAL OR HUMAN-CAUSED DISASTERS, OR DISEASE OUTBREAKS. THE SOCIAL VULNERABILITY INDEX RANKS EACH CENSUS TRACT ON 14 SOCIAL FACTORS, INCLUDING POVERTY, LACK OF VEHICLE ACCESS AND CROWDED HOUSING. COMMUNITIES WITH HIGH SOCIAL VULNERABILITY INDEX SCORES HAVE LESS CAPACITY TO DEAL WITH OR PREPARE FOR EXTERNAL STRESSORS AND, AS A RESULT, ARE MORE VULNERABLE TO THREATS ON HUMAN HEALTH. MANY COMMUNITIES IN ADVOCATE CHILDREN'S TSA RANK HIGH IN SOCIAL VULNERABILITY WHICH CAN HAVE A NEGATIVE IMPACT ON CHILDREN'S HEALTH. SUCH COMMUNITIES INCLUDE BLUE ISLAND, CALUMET PARK, DIXMOOR, FORD HEIGHTS AND HARVEY IN THE SOUTH SUBURBS, ALONG WITH THE CHICAGO LAWN, ENGLEWOOD AND GAGE PARK NEIGHBORHOODS IN CHICAGO.ANOTHER MEASURE IN DETERMINING NEED WAS THE CHILDHOOD OPPORTUNITY INDEX WHICH IS BASED ON SEVERAL INDICATORS IN EACH OF THE FOLLOWING CATEGORIES: DEMOGRAPHICS AND DIVERSITY; EARLY CHILDHOOD EDUCATION; RESIDENTIAL AND SCHOOL SEGREGATION; MATERNAL AND CHILD HEALTH; NEIGHBORHOOD CHARACTERISTICS OF CHILDREN; AND CHILD POVERTY. CHILDREN WHO LIVE IN AREAS OF LOW OPPORTUNITY HAVE AN INCREASED RISK FOR A VARIETY OF NEGATIVE HEALTH INDICATORS, SUCH AS PREMATURE MORTALITY, ARE MORE LIKELY TO BE EXPOSED TO SERIOUS PSYCHOLOGICAL DISTRESS AND ARE MORE LIKELY TO HAVE POOR SCHOOL PERFORMANCE. COMMUNITIES IN ADVOCATE CHILDREN'S TSA INCLUDE FORD HEIGHTS, DIXMOOR, DOLTON AND HARVEY IN THE SOUTH SUBURBS, AS WELL AS THE ARCHER HEIGHTS, AUBURN-GRESHAM, BRIGHTON PARK AND CHICAGO LAWN NEIGHBORHOODS IN CHICAGO. ADVOCATE CHRIST MEDICAL CENTER: PART VI, LINE 5 THE GOVERNING COUNCIL AT ADVOCATE CHRIST IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.SIGNIFICANT PROGRAMS/INITIATIVES CONTRIBUTING TO A HEALTHIER COMMUNITY IN 2018 INCLUDE:- ADVOCATE CHRIST WAS AWARDED THE THREE-YEAR DNV-GL DISEASE-SPECIFIC CERTIFICATION FOR VENTRICULAR ASSIST DEVICE (VAD) PROGRAM. THE VAD CREDENTIALING SURVEY PROCESS AUDITS AN ORGANIZATION'S VAD PROGRAM IN THE FOLLOWING AREAS: QUALITY MANAGEMENT SYSTEM, PROGRAM MANAGEMENT, STAFFING MANAGEMENT, INFECTION PREVENTION AND CONTROL, AND VAD PROGRAM SERVICE DELIVERY.- ADVOCATE CHRIST'S PULMONARY REHAB PROGRAM AND HIGH-TECH MEDICAL PARK'S CARDIAC REHAB PROGRAM WERE RECERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. - ADVOCATE CHRIST ADULT ECHOCARDIOGRAPHY LAB RECEIVED RE-ACCREDITATION IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY BY THE INTER-SOCIETAL ACCREDITATION COMMISSION (IAC).- ADVOCATE CHRIST WAS THE ONLY MEDICAL ICU IN ILLINOIS TO RECEIVE THE THREE-YEAR SILVER BEACON AWARD FOR EXCELLENCE BY THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES FOR OPTIMAL OUTCOMES AND EXCEPTIONAL PATIENT CARE IN THE MEDICAL INTENSIVE CARE UNIT.- ADVOCATE CHRIST WAS AWARDED THE PRACTICE GREENHEALTH'S CIRCLE OF EXCELLENCE IN GREEN BUILDING AWARD BECAUSE OF THE DEMONSTRATION OF LEED AND OTHER GREEN BUILDING ACHIEVEMENTS FOR THE PAST FIVE YEARS.- ADVOCATE CHRIST'S STERILE PROCESSING DEPARTMENT WAS RECOGNIZED BY THE HEALTHCARE PURCHASING NEWS AS 2018 STERILE PROCESSING DEPARTMENT OF THE YEAR.- ADVOCATE CHRIST WAS AWARDED THE 2018 MISSION: LIFELINE RECEIVING CENTER GOLD RECOGNITION AWARD BY THE AMERICAN HEART ASSOCIATION FOR ITS CONTINUED SUCCESS IN USING THE MISSION LIFELINE-STEMI PROGRAM.- ADVOCATE CHRIST AND ADVOCATE CHILDREN'S-OAK LAWN RECEIVED A MANAGEMENT SYSTEM CERTIFICATE FROM DNV-GL FOR CONFORMING TO THE QUALITY MANAGEMENT SYSTEM STANDARD: ISO 9001:2015.THE HOSPITAL HAS CREATED, COLLABORATED WITH OR SUPPORTED NUMEROUS ADDITIONAL PROGRAMS NOT INCLUDED IN EARLIER SECTIONS OF SCHEDULE H, SUCH AS:- RONALD MCDONALD HOUSE- ILLINOIS MOBILE HEALTH COALITION- CONTINUING EDUCATION SYMPOSIUM AND WORKSHOPS FOR SCHOOL NURSES- CHILDHOOD INJURY PREVENTION AND CHILD SAFETY SEAT PROGRAM- ADVOCATE CHILDREN'S HEALTH RESOURCE CENTER WHICH PROVIDES RELIABLE HEALTH INFORMATION TO PARENTS AND MATERIALS ON THE MOST COMMON DIAGNOSES/CONDITIONS/TREATMENTS ARE ALSO TRANSLATED INTO SPANISH, POLISH AND ARABIC- LOCAL FOOD PANTRIES ADVOCATE EUREKA HOSPITAL: PART VI, LINE 4 FOR THE PURPOSES OF THIS ASSESSMENT, "COMMUNITY" IS DEFINED AS WOODFORD COUNTY, ILLINOIS. ADVOCATE EUREKA IS THE ONLY HOSPITAL IN WOODFORD COUNTY, WHICH IS LOCATED IN RURAL CENTRAL ILLINOIS AND THERE ARE NOT ANY FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS IN THE COUNTY. ALTHOUGH THE HOSPITAL PARTICIPATED IN A TRI-COUNTY COLLABORATIVE EXPLAINED EARLIER IN THE DOCUMENT, FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOCUS OF THIS REPORT WILL BE ON WOODFORD COUNTY. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. POPULATIONWOODFORD COUNTY CONSISTS OF A TOTAL POPULATION OF 39,334 (HEALTHY COMMUNITIES INSTITUTE (HCI), CLARITAS, 2016). EUREKA HAS THE LARGEST POPULATION IN THE COUNTY WITH 6,861 RESIDENTS. THE POPULATION IN WOODFORD COUNTY INCREASED BY 1.73 PERCENT FROM 2010 TO 2016 (HCI, CLARITAS, 2016).DEMOGRAPHICSAGE AND GENDERTHE MEDIAN AGE IN WOODFORD COUNTY IS 40.0, WHICH IS OLDER THAN THE MEDIAN AGE FOR ILLINOIS AT 37.8 YEARS OF AGE (HCI, CLARITAS, 2016).RACE AND ETHNICITYTHE POPULATION OF WOODFORD COUNTY IS 96.6 PERCENT WHITE, 0.7 PERCENT BLACK OR AFRICAN AMERICAN, .63 PERCENT ASIAN, .25 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .03 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (HCI, CLARITAS, 2016).HOUSEHOLD/FAMILYTHE AVERAGE HOUSEHOLD SIZE IN WOODFORD COUNTY IS 2.62 WITH 14,636 RESIDENTS LIVING AS A PART OF A HOUSEHOLD. THIRTY-FIVE PERCENT OF PEOPLE IN A HOUSEHOLD ARE UNDER 18 YEARS OF AGE (HCI, CLARITAS, 2016). TWENTY-ONE PERCENT OF THE HOUSEHOLDS IN WOODFORD COUNTY ARE SINGLE PARENT HOUSEHOLDS. ECONOMICSINCOMETHE MEDIAN HOUSEHOLD INCOME IN WOODFORD COUNTY IS $69,760 WHICH IS HIGHER THAN THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $59,608 (HCI, CLARITAS, 2016). THE PERCENT OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LINE IS 8.1 PERCENT (HCI, AMERICAN COMMUNITY SURVEY, 2010-2014). HEALTH CARE COVERAGEIN WOODFORD COUNTY, THE NUMBER OF INDIVIDUALS WHO RECEIVED MEDICAID COVERAGE INCREASED FROM 2,749 IN FISCAL YEAR 2014 TO 4,838 IN FISCAL YEAR 2015 DUE TO THE AFFORDABLE CARE ACT (ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES, 2015). IN 2017, 16% PERCENT OF PATIENTS SEEN AT ADVOCATE EUREKA WERE UNINSURED PATIENTS OR MEDICAID RECIPIENTS. EIGHTY-SEVEN PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS REPORTED HAVING ACCESS TO MEDICAL CARE WHILE 13 PERCENT REPORTED THAT THEY DO NOT HAVE ACCESS TO MEDICAL CARE. FORTY-ONE PERCENT OF THOSE WHO REPORTED THAT THEY DO NOT HAVE ACCESS TO MEDICAL CARE SAID THEY WERE NOT ABLE TO GET MEDICAL CARE BECAUSE THEY COULD NOT AFFORD THE CO-PAY, 26 PERCENT SAID THEY DID NOT HAVE INSURANCE, 26 PERCENT THAT THERE WAS TOO LONG OF A WAIT AND 14 PERCENT SAID THEY DID NOT HAVE A WAY TO GET TO THE DOCTOR. RESPONDENTS WERE INSTRUCTED TO SELECT ALL ANSWERS THAT APPLIED IF THEY REPORTED THAT THEY DID NOT HAVE ACCESS TO MEDICAL CARE (TRI-COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, 2016).EMPLOYMENTTHE PERCENT OF THE CIVILIAN LABOR FORCE THAT IS UNEMPLOYED IN WOODFORD COUNTY IS 6.9 PERCENT, LOWER THAN ILLINOIS AT 9.9 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE MANUFACTURING AT 17.8 PERCENT, HEALTHCARE AT 14.6 PERCENT AND RETAIL TRADE AT 11.5 PERCENT (HCI, CLARITAS, 2016).EDUCATIONEDUCATIONAL LEVELNINETY-FOUR PERCENT OF THE POPULATION OVER THE AGE OF 25 IN WOODFORD COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 28 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER (HCI, AMERICAN COMMUNITY SURVEY, 2010-2014). EUREKA COLLEGE IS A SMALL LIBERAL ARTS COLLEGE LOCATED IN WOODFORD COUNTY.STUDENT-TO-TEACHER RATIOTHIS INDICATOR SHOWS THE AVERAGE NUMBER OF PUBLIC SCHOOL STUDENTS PER TEACHER IN THE REGION. IT DOES NOT MEASURE CLASS SIZE. ACCORDING TO THE NATIONAL CENTER FOR EDUCATION STATISTICS, LARGER SCHOOLS TEND TO HAVE HIGHER STUDENT-TEACHER RATIOS. THERE ARE 16.8 STUDENTS PER TEACHER IN WOODFORD COUNTY (HCI, NATIONAL CENTER FOR EDUCATION STATISTICS, 2013-2014).HEALTH CARE RESOURCES IN THE DEFINED COMMUNITYNAME OF FACILITY/TYPE OF FACILITYADVOCATE EUREKA - CRITICAL ACCESS HOSPITALWOODFORD COUNTY PUBLIC HEALTH DEPARTMENT - HEALTH CLINICHEART HOUSE/SHELTER - COMMUNITY ORGANIZATION ADVOCATE EUREKA HOSPITAL: PART VI, LINE 5 ADVOCATE EUREKA'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE EUREKA IS A 25-BED FACILITY THAT HAS SERVED AND CARED FOR THE PEOPLE OF WOODFORD COUNTY AND THE SURROUNDING AREA SINCE 1901. ADVOCATE EUREKA IS THE ONLY HOSPITAL IN WOODFORD COUNTY AND IS A CRITICAL ACCESS HOSPITAL AS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY FUNCTIONING IN THIS CAPACITY, THE HOSPITAL PLAYS A VITAL ROLE IN SERVING THE HEALTH NEEDS OF A PRIMARILY RURAL AREA. COMMUNITY RESIDENTS BENEFIT FROM HAVING ACCESS TO CARE CLOSE TO HOME AS PROVIDED BY A DEDICATED GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. IF THE PATIENT'S CONDITION REQUIRES ADVANCED CARE, ADVOCATE EUREKA IS AVAILABLE TO STABILIZE THE CONDITION AND SEAMLESSLY TRANSITION THE PATIENT TO ANOTHER FACILITY. A CHERISHED COMMUNITY INSTITUTION, ADVOCATE EUREKA HAS SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACCOMPLISH. WHILE PATIENTS APPRECIATE THE SMALL-TOWN TOUCH OF ONE-ON-ONE CARE, THEY ALSO KNOW THAT IT'S BACKED BY SERVICES AND TECHNOLOGY TYPICALLY UNAVAILABLE AT A SMALL HOSPITAL. EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION AND ADVANCED RADIOLOGY ARE ONLY A FEW OF THE SERVICES OFFERED. THESE SERVICES ARE PROVIDED BY A SKILLED AND CARING STAFF THAT HAS WON NUMEROUS AWARDS FOR PATIENT SATISFACTION.ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES TO THE HEALTH OF THE COMMUNITY IS THROUGH ITS COMMUNITY EDUCATION AND OUTREACH EFFORTS. THE HOSPITAL OFFERS ON-GOING HEALTH PROGRAMS, SUCH AS MONTHLY BLOOD PRESSURE SCREENINGS, IN THE HOSPITAL LOBBY. IN 2018, THE HOSPITAL ALSO PARTICIPATED IN FIRST AID TRAINING AT A 4-H SUMMER CAMP. IN ADDITION TO FILLING A VOID IN THE COUNTY BY SERVING AS A CRITICAL ACCESS HOSPITAL, ADVOCATE EUREKA PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS RECYCLING EFFORTS. USED PRINTER CARTRIDGES ARE COLLECTED AND DONATED DIRECTLY TO SPECIAL OLYMPICS. IN ADDITION, THE HOSPITAL DONATES USED MEDICAL EQUIPMENT AND FURNITURE AND HAS MADE IMPROVEMENTS TO REDUCE ENERGY, SOLID AND MEDICAL WASTE USAGE. THE HOSPITAL ALSO SPONSORS COMMUNITY RACES TO PROMOTE HEALTH AWARENESS AND ENGAGES IN FUNDRAISING EFFORTS TO IMPROVE THE HEALTH OF THE COMMUNITY. IN 2018, ADVOCATE EUREKA ALSO EARNED THE PARTNER FOR CHANGE AWARD. THE AWARD IS PRESENTED TO HOSPITALS THAT CONTINUOUSLY IMPROVE WASTE REDUCTION AND RECYCLING PROGRAMS. MEMBERS OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM ALSO SERVE ON MULTIPLE COMMUNITY BOARDS THAT WILL HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS KIWANIS, WOODFORD COUNTY FOOD PANTRY, EUREKA BUSINESS ASSOCIATION AND THE ROTARY CLUB. ADVOCATE GOOD SHEPHERD HOSPITAL: PART VI, LINE 4 THE COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS THE TOTAL SERVICE AREA (TSA) OF THE HOSPITAL. THE TSA INCLUDES COMMUNITIES IN MCHENRY COUNTY, LAKE COUNTY AND A SMALL PORTION OF BARRINGTON WHICH LIES IN COOK COUNTY. THE TSA IS DIVIDED BETWEEN THE PRIMARY SERVICE AREA (PSA) AND THE SECONDARY SERVICE AREA (SSA). GENERALLY, SEVENTY-FIVE PERCENT OF ALL PATIENTS SERVED COME FROM THE PSA, AND TWENTY-FIVE PERCENT OF ALL PATIENTS SERVED COME FROM THE SSA. ADVOCATE GOOD SHEPHERD'S PSA INCLUDES THE FOLLOWING COMMUNITIES: BARRINGTON (60010), LAKE ZURICH (60047), CARY (60013), FOX RIVER GROVE (60021), CRYSTAL LAKE (60014), ISLAND LAKE (60042), WAUCONDA (60084), MCHENRY (60050, 60051), PALATINE (60067), ALGONQUIN (60102), AND LAKE IN THE HILLS (60156). THE HOSPITAL'S SSA CONSISTS OF THE FOLLOWING COMMUNITIES: CRYSTAL LAKE (60012), MUNDELEIN (60060), ROUND LAKE (60073), WOODSTOCK (60098), AND CARPENTERSVILLE (60110). THE HOSPITAL'S TSA POPULATION IS 489,512. THE POPULATION OF THE PSA IS 308,906 AND THE SSA POPULATION IS 180,606. THE GROWTH RATE OF THE PSA IS QUITE SLOW, WITH ONLY A LESS THAN ONE PERCENT GROWTH FROM 2010 TO 2016. THE GROWTH RATE OF THE SSA IS HIGHER, INCREASING TWO PERCENT SINCE 2010. FIFTY PERCENT OF PSA RESIDENTS ARE MALE AND FIFTY PERCENT FEMALE. THE SAME GENDER PERCENTAGES HOLD TRUE FOR THE SSA. THE PSA MEDIAN AGE IS 40.98 AND 35.42 FOR THE SSA. THE POPULATION OF THE PSA IS EIGHTY-EIGHT PERCENT WHITE, ONE PERCENT AFRICAN AMERICAN AND FIVE PERCENT ASIAN. NINETY PERCENT OF RESIDENTS ARE NON-HISPANIC AND TEN PERCENT ARE HISPANIC. THE POPULATION FOR THE SSA IS SEVENTY-TWO PERCENT WHITE, FOUR PERCENT AFRICAN AMERICAN AND SIX PERCENT ASIAN. SIXTY-FIVE PERCENT OF THE POPULATION IS NON-HISPANIC AND THIRTY-FIVE PERCENT IS HISPANIC.THE PSA HAS A HIGH OVERALL SOCIO-ECONOMIC LEVEL WITH A MEDIAN HOUSEHOLD INCOME OF $91,500. IN THE PSA, ONLY FOUR PERCENT OF FAMILIES ARE LIVING BELOW ONE HUNDRED PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), WHICH IS $24,300 FOR A FAMILY OF FOUR. THE COMMUNITIES WITH THE HIGHEST NUMBER OF FAMILIES LIVING BELOW ONE HUNDRED PERCENT OF THE FPL ARE ISLAND LAKE (ZIP CODE 60042) AT SEVEN PERCENT AND MCHENRY (ZIP CODE 60050) AT SIX PERCENT. IN THE PSA, ONE PERCENT OF HOUSEHOLDS ARE RECEIVING PUBLIC ASSISTANCE, SUCH AS TEMPORARY ASSISTANCE TO NEEDY FAMILIES (TANF). THE SSA HAS AN OVERALL LOWER SOCIO-ECONOMIC STATUS. THE MEDIAN HOUSEHOLD INCOME FOR THE SSA IS $70,162. A TOTAL OF TEN PERCENT OF THE FAMILIES IN THE SSA ARE LIVING BELOW ONE HUNDRED PERCENT OF THE FPL. THE SSA COMMUNITIES WITH THE HIGHEST NUMBER OF FAMILIES LIVING BELOW ONE HUNDRED PERCENT OF THE FPL ARE CARPENTERSVILLE (ZIP CODE 60110) AT THIRTEEN PERCENT, ROUND LAKE (ZIP CODE 60073) AT ELEVEN PERCENT AND WOODSTOCK (ZIP CODE 60098) AT TEN PERCENT.THIRTEEN PERCENT OF PSA RESIDENTS AND THIRTEEN PERCENT OF SSA RESIDENTS ARE MEDICARE RECIPIENTS. IN THE PSA, FOUR PERCENT OF THE RESIDENTS AGE 65 AND OVER ARE LIVING BELOW ONE HUNDRED PERCENT OF THE FPL. THE AFFORDABLE CARE ACT HAS HAD A SUBSTANTIAL IMPACT ON THE INSURANCE STATUS FOR LOW-INCOME RESIDENTS. AS OF 2016, THE PSA POPULATION IS THREE PERCENT UNINSURED AND ELEVEN PERCENT HAVE MEDICAID INSURANCE. A TOTAL OF FOUR PERCENT OF THE POPULATION IN THE SSA ARE UNINSURED AND SEVENTEEN PERCENT HAVE MEDICAID. THE COMMUNITIES IN THE TSA WITH THE HIGHEST MEDICAID ENROLLMENT ARE CARPENTERSVILLE (13,158), WOODSTOCK (7,089) AND CRYSTAL LAKE (6,711). THERE ARE SOME COMMUNITIES LOCATED WITHIN THE ADVOCATE GOOD SHEPHERD SSA WHICH ARE ALSO SERVED WITHIN THE ADVOCATE CONDELL PSA. ADDITIONALLY, CENTEGRA HEALTH SYSTEM HAS HOSPITALS LOCATED IN WOODSTOCK, MCHENRY AND HUNTLEY WHICH ALSO SERVE SOME OF THE SAME COMMUNITIES SERVED BY ADVOCATE GOOD SHEPHERD. WITHIN MCHENRY COUNTY, THERE IS ONLY ONE MEDICALLY UNDERSERVED POPULATION (MUP). THE CENSUS TRACTS OF 8702, 8709.02 AND 8715 WITHIN WOODSTOCK ARE DESIGNATED AS A MUP. WITHIN LAKE COUNTY, THERE ARE FIVE MEDICALLY UNDERSERVED AREAS (MUA). CENSUS TRACTS WITHIN NORTH CHICAGO, WAUKEGAN, ZION, HIGHLAND PARK AND HIGHWOOD ARE DESIGNATED MUAS. ADVOCATE GOOD SHEPHERD HOSPITAL: PART VI, LINE 5 THE GOVERNING COUNCIL AT ADVOCATE GOOD SHEPHERD IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SHEPHERD DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE ADVOCATE GOOD SHEPHERD PRESIDENT SERVES ON THE BOARD OF THE BARRINGTON AREA COMMUNITY FOUNDATION, AND THE VICE PRESIDENT OF PHYSICIAN STRATEGY AND CLINICAL OPERATIONS SERVES ON THE BOARD OF THE FAMILY HEALTH PARTNERSHIP CLINIC, A FREE CLINIC SERVING UNINSURED RESIDENTS OF THE SERVICE AREA. THE DIRECTOR OF COMMUNITY HEALTH REPRESENTS THE HOSPITAL ON THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, WHICH FOCUS ON ISSUES OF SUBSTANCE ABUSE PREVENTION AND TREATMENT IN THE SERVICE AREA. THE COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE LIVE WELL LAKE COUNTY STEERING COMMITTEE, WHICH PROVIDES OVERSIGHT TO THE IMPLEMENTATION OF THE LAKE COUNTY HEALTH DEPARTMENT STRATEGIC PLAN. BOTH THE COMMUNITY HEALTH DIRECTOR AND COMMUNITY HEALTH COORDINATOR SIT ON THE MCHENRY COUNTY HEALTH COALITION, ALONG WITH REPRESENTATIVES FROM CENTEGRA HOSPITAL AND THE MCHENRY COUNTY MENTAL HEALTH BOARD, TO PROVIDE OVERSIGHT OF THE MCHENRY COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH DIRECTOR, COMMUNITY HEALTH COORDINATOR AND THE DIRECTOR OF COMMUNITY RELATIONS SIT ON THE HEALTHIER BARRINGTON COALITION, A COMMITTEE OF ELECTED OFFICIALS, BUSINESS LEADERS, SOCIAL SERVICE, MENTAL HEALTH AND MEDICAL PROVIDERS FOCUSED ON IMPROVING THE HEALTH OF THE BARRINGTON AREA. THE COMMUNITY HEALTH COORDINATOR SITS ON THE WAUCONDA UNITED HEALTH PARTNERSHIP, A COALITION ADDRESSING THE HEALTH AND COMMUNITY DEVELOPMENT NEEDS OF THE WAUCONDA AREA. IN ADDITION, THE HOSPITAL ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO PARTNERS, SUCH AS THE PIONEER CENTER AND FAMILY HEALTH PARTNERSHIP CLINIC, TO FURTHER THE HEALTH OF THE COMMUNITY, INCLUDING THE DONATION OF MEDICAL SUPPLIES, THROUGH COMMUNITY ORGANIZATIONS. ADVOCATE GOOD SAMARITAN HOSPITAL: PART VI, LINE 2 ADVOCATE GOOD SAMARITAN HAS BEEN ACTIVELY ENGAGED IN THE IMPACT DUPAGE STEERING COMMITTEE, WHICH IDENTIFIES AND ADDRESSES THE COUNTY'S HEALTH NEEDS THROUGH VARIOUS PARTNERSHIPS AND PROGRAMS. IMPACT DUPAGE'S TARGET COMMUNITIES OVERLAP WITH THE HOSPITAL'S PRIMARY SERVICE AREA, THEREFORE THE HEALTH NEEDS AND PRIORITIES ADDRESSED THROUGH IMPACT DUPAGE ALSO ADDRESS SOME OF THE HEALTH NEEDS OUTLINED IN THE HOSPITAL'S 2013-2016 CHNA.ADVOCATE GOOD SAMARITAN ALSO CONTINUES TO PARTICIPATE IN THE FIGHTING OBESITY REACHING A HEALTHY WEIGHT AMONG RESIDENTS OF DUPAGE (FORWARD) COALITION, WHICH ADDRESSES OBESITY AND HEALTHY LIFESTYLES AMONG RESIDENTS LIVING IN DUPAGE COUNTY. THE HOSPITAL IS A MEMBER OF FORWARD'S HEALTHY HOSPITAL COALITION, WHICH IS A GROUP OF DUPAGE COUNTY HOSPITALS WORKING TO IMPROVE THE HEALTH AND WELLNESS OF EMPLOYEES, PATIENTS AND THEIR FAMILIES THROUGH CREATING A HEALTHY HOSPITAL ENVIRONMENT. IN 2016, THE HOSPITAL COMPLETED A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WORKSITE WELLNESS ASSESSMENT, WHICH SUPPORTED THE DEVELOPMENT OF THE HOSPITAL'S SODIUM REDUCTION ACTION PLAN. TO SUPPORT THE IMPLEMENTATION OF STRATEGIES, THE HOSPITAL WAS AWARDED A SODIUM REDUCTION MINI GRANT BY THE DUPAGE COUNTY HEALTH DEPARTMENT AND FORWARD. WITH GREAT TEAM EFFORT, THE ADVOCATE GOOD SAMARITAN BETTER FOR US COMMITTEE (THE HOSPITAL'S WORKSITE WELLNESS COMMITTEE) AND SODIUM REDUCTION SUB-COMMITTEE WERE ABLE TO SUCCESSFULLY IMPLEMENT ALL OF THE SODIUM REDUCTION ACTION PLAN STRATEGIES.AFFORDABLE HOUSING WAS IDENTIFIED AS A NEED FOR DUPAGE COUNTY BY THE IMPACT DUPAGE STEERING COMMITTEE. HOUSING CAN HAVE A MAJOR IMPACT ON HEALTH AND IS CONSIDERED A SOCIAL DETERMINANT OF HEALTH. THE HOSPITAL'S COMMUNITY HEALTH MANAGER IS A MEMBER OF THE IMPACT DUPAGE AFFORDABLE HOUSING SUBCOMMITTEE AND HAS BEEN VERY ENGAGED IN THE ASSESSMENT AND PLAN DEVELOPMENT PROCESS. AS A PART OF THE ASSESSMENT AND PLANNING PROCESS, THE SUBCOMMITTEE WORKED WITH THE CHICAGO METROPOLITAN AGENCY FOR PLANNING TO COMPLETE THE DUPAGE COUNTY AFFORDABLE HOUSING ASSESSMENT AND PLAN. THE HOSPITAL RECOGNIZES THE IMPORTANCE AND IMPACT OF SOCIAL DETERMINANTS OF HEALTH AND WILL CONTINUE TO PARTICIPATE AND BE ENGAGED IN THE DEVELOPMENT AND IMPLEMENTATION OF THE AFFORDABLE HOUSING PLAN. ADVOCATE GOOD SAMARITAN HOSPITAL: PART VI, LINE 4 FOR THE PURPOSES OF COMMUNITY HEALTH NEEDS ASSESSMENT, ADVOCATE GOOD SAMARITAN DEFINES THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA). THE PSA FOR THE HOSPITAL CONSISTS OF 15 COMMUNITIES REPRESENTING 21 ZIP CODES IN DUPAGE COUNTY AND 3 COMMUNITIES REPRESENTING 3 ZIP CODES IN WILL AND COOK COUNTIES. THE PSA COMMUNITIES INCLUDE LOMBARD (60148), DOWNERS GROVE (60515, 60516), WESTMONT (60559), WOODRIDGE (60517), DARIEN (60561), GLEN ELLYN (60137), LISLE (60532), VILLA PARK (60181), OAK BROOK (60523), WILLOWBROOK (60527), BOLINGBROOK (60440), LEMONT (60439), WHEATON (60189, 60187), ELMHURST (60126), NAPERVILLE (60563, 60540), CLARENDON HILLS (60514), ROMEOVILLE (60446) AND HINSDALE (60521). THE TOTAL POPULATION FOR THE PSA IS 653,410 (2016). THE DEMOGRAPHIC DATA SHOWS THAT THE HOSPITAL'S PSA IS 78.65 PERCENT WHITE, 9.45 PERCENT ASIAN, 6 PERCENT AFRICAN AMERICAN, 3.44 PERCENT OTHER, 2.4 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER AND .03 PERCENT AMERICAN INDIAN/ALASKAN NATIVE. THE PSA IS 10.32 PERCENT HISPANIC AND 89.68 PERCENT NON-HISPANIC.OVER 20 PERCENT OF THE PSA IS UNDER THE AGE OF 18 WHILE 9 PERCENT IS BETWEEN THE AGES OF 18-24 (2015). THE LARGEST AGE GROUP IS 25-64 YEAR OLDS WITH 52.9 PERCENT OF THE POPULATION BELONGING IN THIS AGE BRACKET (2015). THE SENIOR POPULATION WAS THE THIRD LARGEST GROUP, WITH 15.3 PERCENT OF THE PSA ABOVE THE AGE OF 65 (2015). THE PRIMARY SERVICE AREA IS 49 PERCENT MALE AND 51 PERCENT FEMALE.THE AVERAGE ANNUAL HOUSEHOLD INCOME IN 2015 FOR THE HOSPITAL'S PSA IS $110,956, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE'S AVERAGE HOUSEHOLD INCOME AT $81,390 (2016). THE NUMBER OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL IS 7,526, WHICH ACCOUNTS FOR 4.4 PERCENT OF THE PSA POPULATION. THE ASIAN, NATIVE HAWAIIAN/PACIFIC ISLANDER AND WHITE RACIAL GROUPS HAVE THE HIGHEST AVERAGE HOUSEHOLD INCOME, WHILE THE BLACK AND AMERICAN INDIAN/ALASKAN NATIVES SUBGROUPS HAD THE LOWEST AVERAGE HOUSEHOLD INCOMES. INCOME DISPARITY ALSO EXISTS BETWEEN HISPANIC AND NON-HISPANIC ETHNICITY. THE HISPANIC POPULATION'S AVERAGE HOUSEHOLD INCOME FOR THE PSA IS $82,294 WHILE THE AVERAGE HOUSEHOLD INCOME FOR NON-HISPANICS IS $113,285.THE HOSPITAL'S PSA HAS A DIVERSE PAYOR MIX WITH 14 PERCENT COVERED BY MEDICAID, 3 PERCENT UNINSURED AND ANOTHER 14 PERCENT COVERED BY MEDICARE. HOSPITALS AND HEALTH RESOURCESTHERE ARE FIVE HOSPITALS LOCATED WITHIN ADVOCATE GOOD SAMARITAN'S PSA: ADVOCATE GOOD SAMARITAN IN DOWNERS GROVE, EDWARD HOSPITAL IN NAPERVILLE, ADVENTIST HINSDALE HOSPITAL IN HINSDALE, ADVENTIST BOLINGBROOK HOSPITAL IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THE DUPAGE COUNTY HEALTH DEPARTMENT, AS WELL AS THE ACCESS COMMUNITY HEALTH NETWORK FEDERALLY QUALIFIED HEALTH CENTER (FQHC) CLINICS, PROVIDE HEALTH CARE PRIMARILY FOR LOW-INCOME AND UNINSURED PATIENTS. IN ADDITION, THE DUPAGE HEALTH COALITION/ACCESS DUPAGE, A COLLABORATIVE EFFORT BY HUNDREDS OF INDIVIDUALS AND ORGANIZATIONS IN DUPAGE COUNTY, ALSO PROVIDES A MOSAIC APPROACH TO PROVIDING ACCESS TO MEDICAL SERVICES FOR THE COUNTY'S LOW-INCOME AND MEDICALLY UNINSURED RESIDENTS. IT REPRESENTS A UNIQUE PARTNERSHIP OF COUNTY HOSPITALS (INCLUDING ADVOCATE GOOD SAMARITAN), PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICE AGENCIES, AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS THIS FORMIDABLE ISSUE. ADVOCATE GOOD SAMARITAN HOSPITAL: PART VI, LINE 5 THE ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY-SIX PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SAMARITAN IS ONE OF FOUR RESOURCE HOSPITALS WITHIN EMERGENCY MEDICAL SERVICES (EMS) REGION 8. THE HOSPITAL PROVIDES KEY LEADERSHIP TO THE REGION EMS PROGRAM THROUGH EXECUTING TABLETOP, FUNCTIONAL AND FULL-SCALE EXERCISES TO ADDRESS THE RISKS IN THE AGENCY SPECIFIC HAZARD VULNERABILITY ANALYSIS (HVA). THESE EXERCISES ARE DONE IN CONJUNCTION WITH STATE, COUNTY AND COMMUNITY PARTNERS, WHICH MAKE THE EMERGENCY PREPAREDNESS PLAN MORE EFFECTIVE AND THOROUGH.CRIMINAL JUSTICE/MENTAL HEALTH COMMITTEETHE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT IS A MEMBER OF THE DUPAGE COUNTY CRIMINAL JUSTICE/MENTAL HEALTH COMMITTEE. THIS COMMITTEE IS A COALITION OF MENTAL HEALTH SERVICE PROVIDERS, HOSPITALS AND DUPAGE COUNTY MUNICIPAL SECTORS. THE VARIOUS INSTITUTIONS AND ORGANIZATIONS IDENTIFY ISSUES AROUND MENTAL HEALTH AND ASSESS MENTAL HEALTH SERVICES AND INTERVENTIONS THAT INVOLVE COMMUNITY ORGANIZATIONS AND LOCAL POLICE DEPARTMENTS. THE MANAGER OF ADVOCATE GOOD SAMARITAN'S BEHAVIORAL HEALTH SERVICES IS ACTIVELY ENGAGED IN THE COMMITTEE AND REPRESENTS THE HOSPITAL AT COMMITTEE MEETINGS.SUBSTANCE USE DISORDERADVOCATE GOOD SAMARITAN RECEIVED A GRANT FROM THE COMMUNITY MEMORIAL FOUNDATION TO EMPLOY A COMMUNITY LINKAGE SPECIALIST (CLS) IN THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT. THE CLS WORKS WITH PSYCHIATRIC AND DETOX UNIT PATIENTS BEING DISCHARGED TO CONNECT THEM TO VARIOUS COMMUNITY RESOURCES IN EFFORTS TO INCREASE THEIR CHANCES OF A SUCCESSFUL RECOVERY IN THE COMMUNITY. IN 2018, THE CLS HAD OVER 521 PATIENT CONTACTS AND CONDUCTED OVER 139 HOME VISITS. MENTAL HEALTH ADVOCATE GOOD SAMARITAN PARTNERS WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI DUPAGE) TO PLACE PEER COUNSELORS IN THE HOSPITAL'S EMERGENCY DEPARTMENT (ED). THE PEER COUNSELORS PROVIDE CRITICAL MENTAL HEALTH SERVICES TO ED PATIENTS WITH BEHAVIORAL HEALTH ISSUES. THE GOAL OF THE PROGRAM IS TO PROVIDE SUPPORT AND SERVICE REFERRALS TO PATIENTS AND THEIR FAMILIES STRUGGLING WITH MENTAL ILLNESS. COMMUNITY SERVICES AND PROGRAMS ARE PROMOTED AS ALTERNATIVES TO THE ED AND COMMUNITY FOLLOW-UP IS OFFERED TO DISCHARGED PATIENTS TO ENSURE THEY ARE CONNECTED TO AND RECEIVE ALL THE NECESSARY SERVICES. THE GOAL IS TO PROVIDE A MINIMUM OF 200 CLIENTS/PATIENTS WITH SUPPORT SERVICES AND SERVICE REFERRALS. ADVOCATE LUTHERAN GENERAL HOSPITAL: PART VI, LINE 2 ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S ASSESS THE NEEDS OF THEIR COMMUNITIES IN MULTIPLE WAYS RANGING FROM PATIENT ROUNDING AND CAREGIVER INTERACTIONS, TO LEADERSHIP PARTICIPATION IN COMMUNITY ORGANIZATIONS. ADVOCATE LUTHERAN GENERAL ALSO COLLECTED PRIMARY DATA FROM THE FOLLOWING TO ASSESS COMMUNITY NEEDS: THE HEALTHIER PARK RIDGE SURVEY AND PROJECT (2013), THE HEALTHIER NILES SURVEY AND PROJECT (2014), AND THE HEALTHIER DES PLAINES AREA SURVEY AND PROJECT (2015-2016). THE KOREAN COMMUNITY ASSESSMENT, DESCRIBED EARLIER, WAS AN ADDITIONAL WAY OF ASSESSING THE NEEDS OF THE KOREAN COMMUNITY. ADVOCATE CHILDREN'S WORKS CLOSELY WITH LOCAL SCHOOL DISTRICTS, SCHOOL NURSES, THE HOSPITAL'S FAMILY ADVISORY COUNCIL, THE PARTNERSHIP FOR RESILIENCE, THE HEALTHY SCHOOLS CAMPAIGN AND THE CHICAGO PUBLIC SCHOOLS' OFFICE OF STUDENT WELLNESS TO IDENTIFY HEALTH ISSUES AFFECTING CHILDREN.HEALTHIER DES PLAINES AREA SURVEY AND PROJECTADVOCATE LUTHERAN GENERAL LED THE HEALTHIER DES PLAINES AREA SURVEY AND PROJECT, MENTIONED ABOVE, IN 2015 AND IN 2016. THE COALITION WAS COMPRISED OF OVER 30 ORGANIZATIONS INCLUDING REPRESENTATIVES FROM LOCAL GOVERNMENT, POLICE/FIRE/PARAMEDICS, COMMUNITY-BASED AGENCIES, FAITH COMMUNITIES AND SCHOOLS. IN 2016, THE SURVEY WAS DISTRIBUTED TO 7,000 RANDOMIZED HOUSEHOLDS WITH 500 SURVEYS RETURNED. THE RESULTS WERE PRESENTED TO THE COMMUNITY THROUGH VARIOUS PRESENTATIONS TO COMMUNITY LEADERS AND ORGANIZATIONS, WITH THE MAYOR AND CITY COUNCIL INCLUDED.HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC) SURVEYSAS PART OF THE HICCC CHNA, THE COLLABORATIVE COLLECTED APPROXIMATELY 5,200 RESIDENT SURVEYS, WHICH REFLECTED THE DIVERSITY OF COOK COUNTY. THE NORTH REGION HAD 1,700 SURVEYS RETURNED. OF THESE, 19 PERCENT IDENTIFIED AS HISPANIC/LATINO, THE SAME PERCENTAGE OF HISPANIC/LATINO IN ADVOCATE LUTHERAN GENERAL'S PRIMARY SERVICE AREA, MAKING THIS POPULATION THE HOSPITAL'S MOST DIVERSE. APPROXIMATELY EIGHT PERCENT OF THE NORTH REGION SURVEY RESPONDENTS IDENTIFIED AS POLISH AND SIX PERCENT AS KOREAN. HICCC ALSO CONDUCTED EIGHT FOCUS GROUPS IN THE NORTH REGION FOR CHNA INPUT FROM FALL 2015 THROUGH SPRING 2016. THE COLLABORATIVE ENSURED THAT THE FOCUS GROUPS INCLUDED POPULATIONS WHO ARE TYPICALLY UNDER-REPRESENTED IN COMMUNITY HEALTH NEEDS ASSESSMENTS. SOME EXAMPLES OF THE POPULATIONS INCLUDED ARE RACIAL AND ETHNIC MINORITIES, IMMIGRANTS, THE LGBQIA AND TRANSGENDER COMMUNITY, FORMERLY INCARCERATED INDIVIDUALS, VETERANS AND SENIORS. ADVOCATE LUTHERAN GENERAL HOSPITAL: PART VI, LINE 4 ADVOCATE LUTHERAN GENERAL FOR THE 2014-2016 CHNA CYCLE, ADVOCATE LUTHERAN GENERAL'S COMMUNITY HEALTH COUNCIL DEFINED COMMUNITY AS THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THIS AREA INCLUDES 1,069,146 INDIVIDUALS WITHIN 28 ZIP CODES-25 OF WHICH ARE IN COOK COUNTY AND THREE IN LAKE COUNTY. THE PRIMARY SERVICE AREA (PSA) DESIGNATION IS DETERMINED BY THE ADVOCATE STRATEGIC PLANNING DEPARTMENT, GENERALLY NOTED AS THE GEOGRAPHIC AREA WHERE 75 PERCENT OF PATIENTS RESIDE. ALL 25 ADVOCATE LUTHERAN GENERAL PSA ZIP CODE COMMUNITIES IN COOK COUNTY WERE PART OF THE GEOGRAPHIC AREA WITHIN THE NORTH REGION OF HICCC. SOCIOECONOMIC NEED WAS DETERMINED BY THE HEALTHY COMMUNITIES INSTITUTE'S (HCI) CALCULATIONS TO CREATE AN INDEX USING SIX MAJOR SOCIONEEDS INDICATORS THAT ARE CORRELATED WITH POOR HEALTH OUTCOMES. THE INDICATORS INCLUDE INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION, LANGUAGE AND POVERTY. ADVOCATE LUTHERAN GENERAL'S PSA INCLUDES THE FOLLOWING COMMUNITIES, LISTED IN ORDER FROM GREATEST NEED TO LOWEST NEED COMMUNITIES: IRVING PARK/PORTAGE (60641), DUNNING (60634), DES PLAINES (60018), ELMWOOD PARK (60707), HARWOOD HEIGHTS (60706), JEFFERSON PARK (60630), PALATINE (60074), MOUNT PROSPECT (60656), NILES (60714), SKOKIE (60077), PROSPECT HEIGHTS (60070), WHEELING (60090), DES PLAINES (60016), SKOKIE (60076), MORTON GROVE (60053), HARWOOD HEIGHTS (60056), NORWOOD PARK (60631), ARLINGTON HEIGHTS (60005), FOREST GLEN (60646), ARLINGTON HEIGHTS (60004), GLENVIEW (60025), PARK RIDGE (60068), BUFFALO GROVES (60089), PALATINE (60067), NORTHBROOK (60062), GLENVIEW (60026), LAKE ZURICH (60047) AND DEERFIELD (60015). THE THREE LARGEST COMMUNITIES WITHIN ADVOCATE LUTHERAN GENERAL'S PSA, AND THE THREE WITH THE HIGHEST SOCIOECONOMIC NEEDS, ARE DUNNING (60634) WITH A POPULATION OF 75,196, IRVING PARK (60641) WITH A POPULATION OF 70,970, AND DES PLAINES (60016) WITH A POPULATION OF 61,060 (2016). THE CITY OF DES PLAINES HAS TWO ZIP CODES WITH DES PLAINES (60018) ACCOUNTING FOR AN ADDITIONAL POPULATION OF 30,788 INDIVIDUALS. ADDITIONAL COMMUNITIES WITH DUAL ZIP CODES ARE ARLINGTON HEIGHTS, SKOKIE, GLENVIEW AND HARWOOD HEIGHTS. FROM 2010 TO 2016, THE AVERAGE POPULATION GROWTH WITHIN ADVOCATE LUTHERAN GENERAL'S PSA WAS 1.25 PERCENT, WHICH WAS HIGHER WHEN COMPARED TO THE ILLINOIS RATE OF 0.43 PERCENT. THE THREE COMMUNITIES WITH THE HIGHEST PERCENT POPULATION GROWTH FROM 2010 TO 2016 WERE GLENVIEW (60026) AT 9.71 PERCENT, MOUNT PROSPECT (60656) AT 5.42 PERCENT AND PALATINE (60074) AT 4.3 PERCENT. THE TWO COMMUNITIES THAT DECREASED IN POPULATION SIZE FROM 2010 TO 2016 WERE DEERFIELD (60015) BY 1.28 PERCENT AND BUFFALO GROVE (60089) BY 1.19 PERCENT. ADVOCATE CHILDREN'STHE COMBINED PRIMARY AND SECONDARY SERVICE AREAS OF ADVOCATE CHILDREN'S-PARK RIDGE ARE KNOWN AS THE HOSPITAL'S TOTAL SERVICE AREA (TSA). THE TSA OF ADVOCATE CHILDREN'S-PARK RIDGE SERVES PATIENTS IN THE ADVOCATE LUTHERAN GENERAL SERVICE AREA, BUT ALSO INCLUDES GEOGRAPHIC AREAS OR COMMUNITIES SERVED BY ADVOCATE GOOD SHEPHERD IN THE NORTHWEST SUBURBS, ADVOCATE CONDELL IN THE NORTH SUBURBS AND PORTIONS OF ADVOCATE ILLINOIS MASONIC ON THE NORTH SIDE OF CHICAGO. THE TOTAL PEDIATRIC POPULATION AGES 0-17 YEARS WITHIN THE ADVOCATE CHILDREN'S-PARK RIDGE TSA IS 841,812 CHILDREN IN 109 COMMUNITIES OR 27 PERCENT OF THE TOTAL POPULATION WITHIN THE SAME AREA. HIGH RISK AREAS AND COMMUNITIES OF HIGH NEED ARE FURTHER DETERMINED FOR ADVOCATE CHILDREN'S BY USE OF THE SOCIAL VULNERABILITY INDEX, WHICH IS AN AGGREGATE MEASURE OF THE CAPACITY OF COMMUNITIES TO PREPARE FOR AND RESPOND TO EXTERNAL STRESSORS ON HUMAN HEALTH, SUCH AS NATURAL OR HUMAN-CAUSED DISASTERS OR DISEASE OUTBREAKS. THE SOCIAL VULNERABILITY INDEX RANKS EACH CENSUS TRACT ON 14 SOCIAL FACTORS INCLUDING POVERTY, LACK OF VEHICLE ACCESS AND CROWDED HOUSING. COMMUNITIES WITH HIGH SOCIAL VULNERABILITY INDEX SCORES HAVE LESS CAPACITY TO DEAL WITH OR PREPARE FOR EXTERNAL STRESSORS AND, AS A RESULT, ARE MORE VULNERABLE TO THREATS ON HUMAN HEALTH. MANY COMMUNITIES IN ADVOCATE CHILDREN'S TSA RANK HIGH IN SOCIAL VULNERABILITY WHICH CAN HAVE A NEGATIVE IMPACT ON CHILDREN'S HEALTH. SUCH COMMUNITIES INCLUDE DES PLAINES AND WHEELING IN THE NORTH SUBURBS, AND ALBANY PARK, AVONDALE, LOGAN SQUARE, PORTAGE PARK, ROGERS PARK AND UPTOWN, WHICH ARE ALL ON THE NORTH SIDE OF CHICAGO.ANOTHER MEASURE IN DETERMINING NEED OR DEFINING THE COMMUNITY FOR THE CHNA IS THE CHILDHOOD OPPORTUNITY INDEX, WHICH IS BASED ON SEVERAL INDICATORS IN EACH OF THE FOLLOWING CATEGORIES: DEMOGRAPHICS AND DIVERSITY; EARLY CHILDHOOD EDUCATION; RESIDENTIAL AND SCHOOL SEGREGATION; MATERNAL AND CHILD HEALTH; NEIGHBORHOOD CHARACTERISTICS OF CHILDREN; AND CHILD POVERTY. CHILDREN WHO LIVE IN AREAS OF LOW OPPORTUNITY HAVE AN INCREASED RISK FOR A VARIETY OF NEGATIVE HEALTH INDICATORS, SUCH AS PREMATURE MORTALITY, ARE MORE LIKELY TO BE EXPOSED TO SERIOUS PSYCHOLOGICAL DISTRESS AND ARE MORE LIKELY TO HAVE POOR SCHOOL PERFORMANCE. COMMUNITIES IN THE ADVOCATE CHILDREN'S TSA WHICH ARE LOW ON THE CHILDHOOD OPPORTUNITY INDEX INCLUDE WHEELING IN THE NORTH SUBURBS, AS WELL AS ALBANY PARK, DUNNING, PORTAGE PARK, ROGERS PARK AND IRVING PARK NEIGHBORHOODS IN CHICAGO.RACE, ETHNICITY AND LANGUAGEADVOCATE LUTHERAN GENERAL ADVOCATE LUTHERAN GENERAL SERVES A PREDOMINANTLY WHITE, NON-HISPANIC POPULATION (74.6 PERCENT). THE TWO COMMUNITIES WITH THE HIGHEST PERCENTAGES "SPEAKING ENGLISH ONLY AT HOME" IN THE HOSPITAL'S PSA ARE DEERFIELD (83 PERCENT) AND LAKE ZURICH (79 PERCENT). BOTH OF THESE COMMUNITIES ARE IN LAKE COUNTY. WITHIN COOK COUNTY, NORWOOD PARK AT 79 PERCENT, ARLINGTON HEIGHTS (60004) AT 76 PERCENT, PALATINE (60067) AT 76 PERCENT AND PARK RIDGE (60068) AT 74 PERCENT WERE IDENTIFIED AS THE HIGHEST "SPEAKING ENGLISH ONLY AT HOME" COMMUNITIES IN THE PSA.HISPANIC IS THE FASTEST GROWING MINORITY POPULATION (19.5 PERCENT) IN ADVOCATE LUTHERAN GENERAL'S PSA. THE COMMUNITIES WITH THE HIGHEST HISPANIC/LATINO POPULATION WITHIN THE HOSPITAL'S PSA ARE IRVING PARK WITH 58 PERCENT, DUNNING WITH 39 PERCENT AND DES PLAINES (60018) WITH 38 PERCENT. ADDITIONALLY, 46 PERCENT OF THE POPULATION LIVING IN IRVING PARK SPEAKS SPANISH, FOLLOWED BY 33 PERCENT IN DES PLAINES (60018) AND 29 PERCENT IN DUNNING.FOR ADVOCATE LUTHERAN GENERAL'S PSA, 7.3 PERCENT OF THE POPULATION 5 YEARS OF AGE AND OLDER SPEAK POLISH AT HOME, WHICH TRANSLATES TO 75,232 POLISH-SPEAKING INDIVIDUALS IN THE PSA. THE ZIP CODES REPORTING THE HIGHEST PERCENTAGE OF THE POPULATION 5 YEARS OF AGE AND OLDER SPEAKING POLISH AT HOME WERE: HARWOOD HEIGHTS (60706) WITH 25 PERCENT, DUNNING WITH 18 PERCENT, HARWOOD HEIGHTS (60656) WITH 14 PERCENT AND NILES WITH 11 PERCENT. ADVOCATE LUTHERAN GENERAL ALSO SERVES A GROWING ASIAN POPULATION (11.9 PERCENT) THAT, WHEN COMPARED TO ILLINOIS (5.3 PERCENT), IS MUCH LARGER. THE DATA INDICATES THAT MORTON GROVE AT 31 PERCENT, SKOKIE (60077) AT 31 PERCENT AND SKOKIE (60076) AT 28 PERCENT HAVE THE HIGHEST ASIAN POPULATION FOR ADVOCATE LUTHERAN GENERAL'S PSA. BY LANGUAGE, 1.6 PERCENT OF THE POPULATION 5 YEARS OF AGE AND OLDER SPEAKS KOREAN AT HOME, WHICH IS THE EQUIVALENT TO 16,398 INDIVIDUALS FOR THE PSA. GLENVIEW (60025), NORTHBROOK AND MORTON GROVE REPORTED HAVING THE HIGHEST PERCENTAGES FOR SPEAKING KOREAN AT HOME IN COOK COUNTY. BUFFALO GROVE, THE FOURTH HIGHEST PERCENTAGE FOR SPEAKING KOREAN AT HOME, IS PART OF LAKE COUNTY BUT STILL WITHIN ADVOCATE LUTHERAN GENERAL'S PSA (AMERICAN COMMUNITY SURVEY, 2010-2014).SOUTH ASIANS COMPRISE 4.3 PERCENT OF ADVOCATE LUTHERAN GENERAL'S PSA. DES PLAINES (60016), MOUNT PROSPECT (60056) AND WHEELING ARE THE TOP-THREE ASIAN INDIAN COMMUNITIES. IN ADVOCATE LUTHERAN GENERAL'S PSA, 46,315 RESIDENTS OR 4.35 PERCENT MARKED A SOUTH ASIAN RACIAL CATEGORY, INCLUDING ASIAN INDIAN AT 39,685 (3.7 PERCENT), PAKISTANI AT 19,977 (1.9 PERCENT), BANGLADESHI AT 273 (LESS THAN 1.0 PERCENT) AND SRI LANKAN AT 81 (LESS THAN 1.0 PERCENT). THE NUMBER OF INDIVIDUALS SPEAKING A SOUTH ASIAN LANGUAGE AT HOME IS 28,595 (2.8 PERCENT), OF WHICH THE LARGEST LINGUISTIC GROUPS ARE GUJARATI, 9,287 (0.9 PERCENT), URDU, 8,700 (0.8 PERCENT) AND HINDI, 6,750 (0.7 PERCENT). OF ADVOCATE LUTHERAN GENERAL'S PSA, 34,778 (3.3 PERCENT) SPECIFIED THAT THEY WERE BORN IN SOUTH ASIA, THE MAJORITY OF WHICH AT 28,695 (2.7 PERCENT) INDICATED THEY WERE BORN IN INDIA, AND 5,126 (0.5 PERCENT) INDICATED BEING BORN IN PAKISTAN. ADVOCATE CHILDREN'S ADVOCATE CHILDREN'S TSA IS 5 PERCENT BLACK/NON-HISPANIC, 59 PERCENT WHITE/NON-HISPANIC, 25 PERCENT HISPANIC AND 9 PERCENT ASIAN/PACIFIC ISLANDER. WITHIN THE TSA, 43.2 PERCENT OF PATIENTS (CHILDREN AGES 0-17) ARE COVERED BY MEDICAID, 51 PERCENT ARE COVERED BY MANAGED CARE HEALTH INSURANCE, .5 PERCENT ARE ON MEDICARE AND 5.3 PERCENT HAVE OTHER PAYMENT PLANS. ADVOCATE LUTHERAN GENERAL HOSPITAL: PART VI, LINE 4 - CONTINUED AGETHE MEDIAN AGE FOR MALES WITHIN ADVOCATE LUTHERAN GENERAL'S PSA IS 40.19 AND THE MEDIAN AGE FOR FEMALES IS 43.56. THE MEDIAN AGE FOR THE ENTIRE POPULATION IS 41.94. THE HOSPITAL'S POPULATION IS OLDER WHEN COMPARED TO THE MEDIAN AGE FOR ILLINOIS, WHICH IS 37.80, WITH 17 PERCENT OF THE HOSPITAL'S PSA POPULATION OVER THE AGE OF 65. THE TWO COMMUNITIES IN ADVOCATE LUTHERAN GENERAL'S PSA WITH THE HIGHEST POPULATION OVER THE AGE OF 65 ARE NILES (60714) AT 27 PERCENT AND NORTHBROOK (60062) AT 25 PERCENT. THE POPULATION BETWEEN 18 AND 65 YEARS OF AGE COMPRISES 62 PERCENT OF THE POPULATION WITHIN THE PSA. TWENTY-ONE PERCENT OF THE POPULATION WITHIN ADVOCATE LUTHERAN GENERAL'S PSA IS UNDER 18 YEARS OF AGE (HCI, 2016).IN ADDITION, 17 PERCENT OF THE POPULATION ARE OVER THE AGE OF 65. THE TWO HIGHEST COMMUNITIES WITH SENIOR POPULATIONS ARE NILES (60714) WITH A 27 PERCENT AND NORTHBROOK (60062) WITH A 25 PERCENT POPULATION OVER 65 YEARS OF AGE. OUT OF 1,066,146 PERSONS, APPROXIMATELY 840,624 PERSONS ARE BETWEEN 18 AND 65 YEARS OF AGE, ACCOUNTING FOR 79 PERCENT OF THE POPULATION WITHIN THE PRIMARY SERVICE AREA. IN ADDITION, 21 PERCENT OF THE POPULATION SERVED IN ADVOCATE LUTHERAN GENERAL'S PRIMARY SERVICE AREA ARE UNDER 18 YEARS OF AGE.THE TOTAL PEDIATRIC POPULATION, AGES 0-17 YEARS, WITHIN THE ADVOCATE CHILDREN'S PARK RIDGE TSA IS 841,812 CHILDREN IN 109 COMMUNITIES, OR 27 PERCENT OF THE TOTAL POPULATION WITHIN THE SAME AREA. EDUCATIONWITHIN ADVOCATE LUTHERAN GENERAL'S PSA, 89.2 PERCENT OF PEOPLE 25+ YEARS POSSESS A HIGH SCHOOL DEGREE OR HIGHER, AND 41.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER (2016). THE THREE COMMUNITIES WITH THE HIGHEST PERCENTAGE OF POPULATION AGED 25 YEARS AND OLDER THAT HAVE LESS THAN A HIGH SCHOOL EDUCATION ARE IRVING PARK-PORTAGE (60641) AT 23.6 PERCENT, DES PLAINES (60018) AT 20.5 PERCENT, AND DUNNING (60634) AT 17.6 PERCENT (HCI, 2016). POVERTYADVOCATE LUTHERAN GENERAL FOR ADVOCATE LUTHERAN GENERAL'S PSA, THE COMMUNITIES WITH THE HIGHEST POVERTY RATES ARE SKOKIE (60077), IRVING PARK/PORTAGE, AND PALATINE (60070). IN THE HOSPITAL'S PSA, ZIP CODES THAT REPORTED HIGHER PERCENTAGES FOR SPEAKING ENGLISH AT HOME ALSO HAD LOWER POVERTY RATES. THE FEDERAL POVERTY GUIDELINES DEFINE POVERTY BASED ON HOUSEHOLD SIZE, RANGING FROM $11,880 FOR A ONE-PERSON HOUSEHOLD TO $24,300 FOR A FOUR PERSON-HOUSEHOLD AND $40,890 FOR AN EIGHT-PERSON HOUSEHOLD (U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, POVERTY GUIDELINES, 2016, HTTPS://ASPE.HHS.GOV/POVERTY-GUIDELINES). ADVOCATE CHILDREN'SNEARLY HALF OF ALL CHILDREN LIVING IN CHICAGO AND COOK COUNTY LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE PERCENTAGE OF CHILDREN IN POVERTY IS HIGHER FOR COOK COUNTY THAN IT IS FOR ILLINOIS AND THE U.S., AND AFRICAN AMERICAN AND LATINO CHILDREN HAVE MUCH HIGHER POVERTY RATES THAN NON-HISPANIC WHITE CHILDREN. ALTHOUGH THE NUMBER OF CHILDREN LIVING IN POVERTY DECREASED OVERALL IN CHICAGO BETWEEN 2009 AND 2013, THE NUMBER OF CHILDREN LIVING IN POVERTY DOUBLED IN SUBURBAN COOK COUNTY. INSURANCEADVOCATE LUTHERAN GENERAL WITHIN ILLINOIS, APPROXIMATELY 5.9 PERCENT OF THE POPULATION IS UNINSURED, WITH ADVOCATE LUTHERAN GENERAL'S PSA UNINSURED RATE AT 4.5 PERCENT. THE HOSPITAL SERVES A LARGE SENIOR POPULATION, AGE 65 AND OVER, MOST OF WHOM ARE COVERED BY MEDICARE. NILES AT 26.1 PERCENT, NORTHBROOK AT 24.3 PERCENT AND HARWOOD HEIGHTS (60706) AT 21.8 PERCENT REPORTED HAVING THE HIGHEST PERCENTAGES OF MEDICARE BENEFICIARIES. WHILE SKOKIE (60077) WAS NOT RANKED HIGHEST FOR OVERALL SOCIOECONOMIC NEED, IT HAS THE HIGHEST UNINSURED RATE WITHIN ADVOCATE LUTHERAN GENERAL'S PSA.ADVOCATE CHILDREN'SWITHIN ADVOCATE CHILDREN'S TSA, 43.2 PERCENT OF PATIENTS (CHILDREN AGES 0-17) ARE COVERED BY MEDICAID, 51 PERCENT ARE COVERED BY MANAGED CARE HEALTH INSURANCE, .5 PERCENT ARE ON MEDICARE AND 5.3 PERCENT HAVE OTHER PAYMENT PLANS.UNEMPLOYMENTUNEMPLOYMENT RATES WITHIN ADVOCATE LUTHERAN GENERAL'S PSA HAVE DECREASED AS COMPARED TO 2014. IN 2014, 9.4 PERCENT OF THE HOSPITAL'S PSA WAS UNEMPLOYED, WITH THE CURRENT UNEMPLOYMENT RATE DECREASING TO 8.1 PERCENT. THE CURRENT HOSPITAL PSA UNEMPLOYMENT RATE OF 8.1 PERCENT IS LOWER THAN THE CURRENT ILLINOIS RATE OF 9.8 PERCENT (TRUVEN, 2016). IRVING PARK/PORTAGE PARK (12.5 PERCENT), ELMWOOD PARK (11.6 PERCENT), DUNNING (11.2 PERCENT) AND JEFFERSON PARK (10.9 PERCENT) HAVE HIGHER UNEMPLOYMENT RATES THAN OTHER COMMUNITIES IN THE HOSPITAL'S PSA AND ARE MUCH HIGHER THAN THE RATES FOR ILLINOIS. EMPLOYMENT IS AN IMPORTANT DETERMINANT OF HEALTH AND IT HAS ADVERSE EFFECTS IN HIGH NEED COMMUNITIES. HEALTH RESOURCES IN THE DEFINED COMMUNITYADVOCATE LUTHERAN GENERALTHERE ARE SEVEN HOSPITALS WITHIN ADVOCATE LUTHERAN GENERAL'S PRIMARY SERVICE AREA. IN ADDITION TO ADVOCATE LUTHERAN GENERAL, THERE IS ALSO COMMUNITY FIRST MEDICAL CENTER, RESURRECTION MEDICAL CENTER, NORTHWEST COMMUNITY HOSPITAL, NORTHSHORE GLENBROOK HOSPITAL, HOLY FAMILY MEDICAL CENTER AND NORTHSHORE SKOKIE HOSPITAL. THERE ARE 973 PRIMARY CARE PHYSICIANS WITHIN THE MARKET AND 1,377 SPECIALISTS. THE SPECIALISTS INCLUDE 184 OBSTETRICS & GYNECOLOGY PHYSICIANS, 88 CARDIOLOGISTS, 33 OTOLARYNGOLOGISTS, 49 GASTROENTEROLOGISTS, AND 108 ORTHOPEDIC PHYSICIANS. THERE IS ALSO THE ACCESS COMMUNITY HEALTH NETWORK GENESIS CLINIC FOR HEALTH AND EMPOWERMENT IN DES PLAINES, ILLINOIS, WHICH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES HEALTH CARE PREDOMINANTLY FOR LOW-INCOME AND UNINSURED PATIENTS, PRIMARILY FOR THE HISPANIC COMMUNITY. THERE IS ALSO ONE FEDERALLY DESIGNATED UNDERSERVED AREA IN ADVOCATE LUTHERAN GENERAL'S PSA.ADVOCATE CHILDREN'STHERE ARE 20 HOSPITALS AND 572 PEDIATRICIANS PROVIDING PEDIATRIC MEDICAL SERVICES IN ADVOCATE CHILDREN'S SERVICE AREA. IN ADDITION TO ADVOCATE CHILDREN'S, THERE IS ALSO ADVOCATE CONDELL, ADVOCATE SHERMAN, ALEXIAN BROTHERS MEDICAL CENTER, CENTEGRA HOSPITALS IN MCHENRY AND WOODSTOCK, COMMUNITY FIRST MEDICAL CENTER, ELMHURST HOSPITAL, EVANSTON HOSPITAL, HIGHLAND PARK HOSPITAL, NORTHWEST COMMUNITY HOSPITAL, NORTHWESTERN LAKE FOREST HOSPITAL, PRESENCE MERCY MEDICAL CENTER, PRESENCE RESURRECTION MEDICAL CENTER, PRESENCE ST. JOSEPH HOSPITAL, SHRINER'S HOSPITAL FOR CHILDREN-CHICAGO, ST. ALEXIUS MEDICAL CENTER, SWEDISH COVENANT MEDICAL CENTER AND VISTA MEDICAL CENTER EAST. ADVOCATE LUTHERAN GENERAL HOSPITAL: PART VI, LINE 5 THE ADVOCATE LUTHERAN GENERAL GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-FIVE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S, THROUGH THE OFFICE OF MEDICAL EDUCATION, THE GRADUATE MEDICAL EDUCATION COMMITTEE AND THE CENTER FOR RESEARCH EDUCATION AND DEVELOPMENT, SUPPORT A SUBSTANTIAL ARRAY OF MEDICAL AND HEALTH PROFESSIONS EDUCATION. IN ADDITION, THE HOSPITAL PROVIDES CARE TO UNDERINSURED AND UNINSURED POPULATIONS IN THE COMMUNITY THROUGH ITS PROVISION OF CHARITY CARE. ADVOCATE LUTHERAN GENERAL ALSO ASSURES ENVIRONMENTAL RESPONSIVENESS, RESOURCE EFFICIENCY AND COMMUNITY SENSITIVITY THROUGH LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) DESIGNATION FOR THE HOSPITAL'S NEW BED TOWER AND ONGOING EDUCATIONAL ACTIVITIES. ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S LEADERS ARE ALSO ACTIVELY INVOLVED IN THE COMMUNITY THROUGH REPRESENTATION AND/OR PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS, SUCH AS KIWANIS, ROTARY AND LOCAL CHAMBERS OF COMMERCE. HOSPITAL LEADERS SERVE ON MULTIPLE BOARDS INCLUDING THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI), HAVE DREAMS (AUTISM), MARCH OF DIMES, HEALTHY SCHOOLS CAMPAIGN, PARTNERSHIP FOR RESILIENCE AND MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207.IN 2018, ADVOCATE CHILDREN'S OFFERED ONE-ON-ONE CAR SEAT EDUCATION DETAILING THE IMPORTANCE OF PROPER CAR SEAT SAFETY. CAR SEAT EDUCATION ALSO INCLUDED ONE-ON-ONE CAR SEAT INSTALLATION EDUCATION WITH REQUIRED TEACH BACK BY THE FAMILY. THE CHILD REQUIRING A CAR SEAT IS EVALUATED FOR PROPER FIT IN THE CURRENT CAR SEAT. THE CAR SEAT IS ALSO INSPECTED FOR ANY DEFECTS AND IS THEN EVALUATED FOR COMPATIBILITY IN THE VEHICLE. IN ADDITION TO ALL PROGRAMS AND SERVICES LISTED PREVIOUSLY IN THIS DOCUMENT, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S HAVE CREATED, COLLABORATED WITH OR SUPPORTED NUMEROUS ADDITIONAL PROGRAMS INCLUDING THE FOLLOWING.- MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207 SCHOOL-BASED HEALTH CENTER - OLDER ADULT SERVICES (INCLUDING ADULT DAY CARE, ALZHEIMER'S CLASSES, HOME DELIVERED MEALS)- DIABETES EDUCATION - INTIMATE PARTNER VIOLENCE TASK FORCE (IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS)- MELANOMA SKIN SCREENINGS - PEDIATRIC CELIAC PROGRAM (FOCUSING ON CLINICAL SERVICES SUPPORT, EDUCATION AND COMMUNITY OUTREACH) - DEVELOPMENTAL PEDIATRICS PROGRAM - ADULT DOWN SYNDROME CENTER- POLISH EARLY ALZHEIMER'S PROGRAM- PROACTIVE KIDS WEIGHT MANAGEMENT PROGRAM- CONTINUING EDUCATION SYMPOSIUM AND WORKSHOPS FOR SCHOOL NURSES- PARENT WORKSHOPS, HEALTHY COOKING DEMONSTRATIONS AND CHILDREN'S HEALTHY EATING PROGRAMS PROVIDED AT PARTNER SCHOOLS.- CHILDHOOD INJURY PREVENTION AND CHILD SAFETY SEAT PROGRAM- CHILDREN'S HEALTH RESOURCE CENTER PROVIDING RELIABLE HEALTH INFO TO PARENTS; MATERIALS ON THE MOST COMMON DIAGNOSES /CONDITIONS/TREATMENTS ARE ALSO TRANSLATED INTO SPANISH, POLISH AND ARABIC. ADVOCATE SOUTH SUBURBAN HOSPITAL: PART VI, LINE 2 HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW NAMED THE ALLIANCE FOR HEALTH EQUITY)AS MENTIONED EARLIER, ADVOCATE SOUTH SUBURBAN IS A MEMBER OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A PARTNERSHIP OF HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS WORKING TO ASSESS COMMUNITY HEALTH NEEDS AND ASSETS, AND TO IMPLEMENT A SHARED PLAN TO MAXIMIZE HEALTH EQUITY AND WELLNESS IN CHICAGO AND COOK COUNTY. THIS COLLABORATIVE WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS COULD EFFICIENTLY SHARE RESOURCES AND WORK TOGETHER ON DATA COLLECTION, PRIORITY SETTING AND IMPLEMENTATION PLANNING. COOK COUNTY WAS DIVIDED INTO NORTH, CENTRAL AND SOUTH REGIONS TO ENABLE THE INVOLVEMENT OF OTHER LOCAL STAKEHOLDERS AND IDENTIFY THE LOCAL NEEDS OF THIS DIVERSE COUNTY. ADVOCATE SOUTH SUBURBAN PARTICIPATED IN THE HICCC SOUTH REGION ASSESSMENT. THE METHODOLOGY FOR THE CHNA HAD THREE COMPONENTS: 1) THE MAPP PROCESS USED BY THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (2/2015-6/2016); 2) USE OF THE HEALTHY COMMUNITIES INSTITUTE (HCI) PLATFORM TO REVIEW COUNTY, SERVICE AREA AND ZIP CODE DATA (3/2014-8/2016); AND 3) REVIEW OF OTHER AVAILABLE NATIONAL AND LOCAL DATA (1/2016-8/2016). MAPP PROCESSTHE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC) CONDUCTED A COLLABORATIVE CHNA BETWEEN FEBRUARY 2015 AND JUNE 2016. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) DESIGNED AND FACILITATED A COLLABORATIVE, COMMUNITY-ENGAGED ASSESSMENT BASED ON THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING FRAMEWORK THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION FOR COUNTY AND CITY HEALTH OFFICIALS (NACCHO) AND THE CDC. BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH USE THE MAPP FRAMEWORK FOR COMMUNITY HEALTH ASSESSMENT AND PLANNING. THE MAPP FRAMEWORK PROMOTES A SYSTEM FOCUS, EMPHASIZING THE IMPORTANCE OF COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT AND THE DYNAMIC INTERPLAY OF FACTORS AND FORCES WITHIN THE PUBLIC HEALTH SYSTEM. THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY CHOSE THIS INCLUSIVE, COMMUNITY-DRIVEN PROCESS SO THAT THE ASSESSMENT AND IDENTIFICATION OF PRIORITY HEALTH ISSUES WOULD BE INFORMED BY THE DIRECT PARTICIPATION OF STAKEHOLDERS AND COMMUNITY RESIDENTS. THE MAPP FRAMEWORK EMPHASIZES PARTNERSHIPS AND COLLABORATION TO UNDERSCORE THE CRITICAL IMPORTANCE OF SHARED RESOURCES AND RESPONSIBILITY TO MAKE THE VISION FOR A HEALTHY FUTURE A REALITY.HICCC USED THE COUNTY HEALTH RANKINGS MODEL TO GUIDE THE SELECTION OF ASSESSMENT INDICATORS. IPHI WORKED WITH THE HEALTH DEPARTMENTS, HOSPITALS, AND COMMUNITY STAKEHOLDERS TO IDENTIFY AVAILABLE DATA RELATED TO HEALTH OUTCOMES, HEALTH BEHAVIORS, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIAL AND ECONOMIC FACTORS. THE COLLABORATIVE DECIDED TO ADD MENTAL HEALTH AS AN ADDITIONAL CATEGORY OF DATA INDICATORS. AS PART OF CONTINUING EFFORTS TO ALIGN AND INTEGRATE COMMUNITY HEALTH ASSESSMENT ACROSS CHICAGO AND COOK COUNTY, HICCC LEVERAGED RECENT ASSESSMENT DATA FROM LOCAL HEALTH DEPARTMENTS WHERE POSSIBLE FOR THIS CHNA. BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH COMPLETED COMMUNITY HEALTH ASSESSMENTS USING THE MAPP MODEL BETWEEN 2014 AND 2015. AS A RESULT, IPHI WAS ABLE TO COMPILE DATA FROM THE TWO HEALTH DEPARTMENTS' RESPECTIVE FORCES OF CHANGE AND LOCAL PUBLIC HEALTH SYSTEM ASSESSMENTS FOR DISCUSSION WITH THE SOUTH STAKEHOLDER ADVISORY TEAM, AND DATA FROM THE COMMUNITY HEALTH STATUS ASSESSMENTS WAS ALSO INCORPORATED INTO THE DATA PRESENTATION FOR THIS CHNA. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT INCLUDED BOTH FOCUS GROUPS AND COMMUNITY RESIDENT SURVEYS. THE PURPOSE OF COLLECTING THIS COMMUNITY INPUT DATA WAS TO IDENTIFY ISSUES OF IMPORTANCE TO COMMUNITY RESIDENTS, GATHER FEEDBACK ON QUALITY OF LIFE IN THE COMMUNITY AND IDENTIFY COMMUNITY ASSETS THAT CAN BE USED TO IMPROVE COMMUNITIES. COMMUNITY SURVEY BY LEVERAGING ITS PARTNERS AND NETWORKS, THE COLLABORATIVE COLLECTED APPROXIMATELY 5,200 RESIDENT SURVEYS BETWEEN OCTOBER 2015 AND JANUARY 2016, INCLUDING 2,288 IN THE SOUTH REGION. THE SURVEY WAS AVAILABLE ON PAPER AND ONLINE AND WAS DISSEMINATED IN FIVE LANGUAGES - ENGLISH, SPANISH, POLISH, KOREAN, AND ARABIC. THE MAJORITY OF THE RESPONSES WERE PAPER-BASED (ABOUT 75 PERCENT) AND ABOUT A QUARTER WERE SUBMITTED ONLINE.THE COMMUNITY RESIDENT SURVEY WAS A CONVENIENCE SAMPLE SURVEY, DISTRIBUTED BY HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS THROUGH TARGETED OUTREACH TO DIVERSE COMMUNITIES IN CHICAGO AND COOK COUNTY, WITH A FOCUS ON REACHING LOW-INCOME COMMUNITIES AND DIVERSE RACIAL AND ETHNIC GROUPS TO HEAR THEIR INPUT INTO THIS COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY RESIDENT SURVEY WAS INTENDED TO COMPLEMENT EXISTING COMMUNITY HEALTH SURVEYS THAT ARE CONDUCTED BY LOCAL HEALTH DEPARTMENTS FOR THEIR IPLAN COMMUNITY HEALTH ASSESSMENT PROCESSES. IPHI REVIEWED APPROXIMATELY 12 EXISTING SURVEYS TO IDENTIFY POSSIBLE QUESTIONS, AND WORKED ITERATIVELY WITH HOSPITALS, HEALTH DEPARTMENTS, AND STAKEHOLDERS FROM THE THREE REGIONS TO HONE IN ON THE MOST IMPORTANT SURVEY QUESTIONS. IPHI CONSULTED WITH THE UIC SURVEY RESEARCH LABORATORY TO REFINE THE SURVEY DESIGN. THE DATA FROM PAPER SURVEYS WAS ENTERED INTO THE ONLINE SURVEYMONKEY SYSTEM SO THAT ELECTRONIC AND PAPER SURVEY DATA COULD BE ANALYZED TOGETHER. SURVEY DATA ANALYSIS WAS CONDUCTED USING STATISTICAL ANALYSIS SOFTWARE, AND MICROSOFT EXCEL WAS USED TO CREATE SURVEY DATA TABLES AND CHARTS. THE MAJORITY OF SURVEY RESPONDENTS FROM THE SOUTH REGION IDENTIFIED AS HETEROSEXUAL (91 PERCENT, N=2146) AND AFRICAN AMERICAN/BLACK (57 PERCENT, N=2146). TWENTY-SEVEN PERCENT OF SURVEY RESPONDENTS IDENTIFIED AS WHITE, 2 PERCENT ASIAN/PACIFIC ISLANDER, AND 2 PERCENT NATIVE AMERICAN/AMERICAN INDIAN. APPROXIMATELY 25 PERCENT (N=1651) OF SURVEY RESPONDENTS IN THE SOUTH REGION IDENTIFIED AS HISPANIC/LATINO AND APPROXIMATELY 10 PERCENT IDENTIFIED AS MIDDLE EASTERN (N=1651). TWO-PERCENT OF SURVEY RESPONDENTS FROM THE SOUTH REGION INDICATED THAT THEY WERE LIVING IN A SHELTER AND 1 PERCENT INDICATED THAT THEY WERE HOMELESS (N=2257). THE SOUTH REGION HAD THE HIGHEST PERCENTAGE OF INDIVIDUALS WITH LESS THAN A HIGH SCHOOL EDUCATION (12 PERCENT, N=2027) COMPARED TO THE NORTH AND CENTRAL REGIONS OF COOK COUNTY, AND THE MAJORITY OF RESPONDENTS FROM THE SOUTH REGION (68 PERCENT, N=1824) REPORTED AN ANNUAL HOUSEHOLD INCOME OF LESS THAN $40,000.FOCUS GROUPS IN SOUTH REGIONIPHI CONDUCTED EIGHT FOCUS GROUPS IN THE SOUTH REGION BETWEEN OCTOBER 2015 AND MARCH 2016. THE COLLABORATIVE ENSURED THAT THE FOCUS GROUPS INCLUDED POPULATIONS WHO ARE TYPICALLY UNDERREPRESENTED IN COMMUNITY HEALTH ASSESSMENTS, INCLUDING RACIAL AND ETHNO-CULTURAL GROUPS, IMMIGRANTS, LIMITED ENGLISH SPEAKERS, LOW-INCOME COMMUNITIES, FAMILIES WITH CHILDREN, LGBQIA AND TRANSGENDER INDIVIDUALS AND SERVICE PROVIDERS, INDIVIDUALS WITH DISABILITIES AND THEIR FAMILY MEMBERS, INDIVIDUALS WITH MENTAL HEALTH ISSUES, FORMERLY INCARCERATED INDIVIDUALS, VETERANS, SENIORS, AND YOUNG ADULTS. THE MAIN GOALS OF THE FOCUS GROUPS WERE TO: - UNDERSTAND NEEDS, ASSETS, AND POTENTIAL RESOURCES IN THE DIFFERENT COMMUNITIES OF CHICAGO AND SUBURBAN COOK COUNTY.- START TO GATHER IDEAS ABOUT HOW HOSPITALS CAN PARTNER WITH COMMUNITIES TO IMPROVE HEALTH. EACH OF THE FOCUS GROUPS WERE HOSTED BY A HOSPITAL OR COMMUNITY-BASED ORGANIZATION, AND THE HOST ORGANIZATION RECRUITED PARTICIPANTS. IPHI FACILITATED THE FOCUS GROUPS, MOST OF WHICH WERE IMPLEMENTED IN 90-MINUTE SESSIONS WITH APPROXIMATELY 8 TO10 PARTICIPANTS. IPHI ADJUSTED THE LENGTH OF SOME SESSIONS TO BE AS SHORT AS 45 MINUTES AND AS LONG AS TWO HOURS TO ACCOMMODATE THE NEEDS OF THE PARTICIPANTS, AND SOME GROUPS INCLUDED AS MANY AS 25 PARTICIPANTS. ADVOCATE SOUTH SUBURBAN HOSPITAL: PART VI, LINE 4 ADVOCATE SOUTH SUBURBAN CONTINUES TO DEMONSTRATE STRONG COMMITMENT TO BUILDING LIFELONG RELATIONSHIPS TO IMPROVE THE HEALTH OF INDIVIDUALS, FAMILIES AND COMMUNITIES. ADVOCATE SOUTH SUBURBAN CONDUCTED A COMMUNITY HEALTH ASSESSMENT TARGETING ITS DEFINED COMMUNITY--THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THIS AREA CONSISTS OF 22 ZIP CODES IN SOUTH SUBURBAN COOK COUNTY WITH PARTS OF PARK FOREST AND FRANKFORT IN WILL COUNTY. WITH A POPULATION OF 496,633, THE PSA IS A DIVERSE COMMUNITY WITH 12.5 PERCENT OF ITS RESIDENTS OF HISPANIC ETHNICITY AND A RACIAL DISTRIBUTION THAT IS 43 PERCENT WHITE, 47 PERCENT BLACK/AFRICAN AMERICAN AND 10 PERCENT OTHER. THE MEDIAN AGE OF RESIDENTS IN THE HOSPITAL PSA IS 38 YEARS AND SENIORS AGE 65 AND OLDER REPRESENT 14 PERCENT OF THE POPULATION-VERY SIMILAR TO PERCENTAGES FOR THE COUNTY AND STATE. THERE ARE DISPARITIES THAT EXIST AMONG THE COMMUNITIES IN THE HOSPITAL'S PSA IN RELATION TO EDUCATION AND INCOME. THE PERCENT OF THE POPULATION WITH NO HIGH SCHOOL DIPLOMA RANGES FROM 2.6 PERCENT FOR FLOSSMOOR TO 23.3 PERCENT FOR HARVEY. WHILE THE PSA HAS 22 PERCENT OF RESIDENTS INSURED BY MEDICAID, THAT PERCENTAGE RANGES FROM 52.3 PERCENT IN HARVEY TO 7.5 PERCENT IN TINLEY PARK. WHILE THE MEDIAN HOUSEHOLD INCOME FOR THE PSA IS $61,147, THIS FIGURE RANGES FROM $99,098 IN FRANKFORT TO $42,479 IN MARKHAM TO $27,939 IN HARVEY.IN ADDITION, THERE ARE SEVERAL OTHER HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), AND A COUNTY HEALTH DEPARTMENT CLINIC WHICH SERVE THE AREA. THE OTHER HOSPITALS INCLUDE: INGALLS, HARVEY; FRANCISCAN ALLIANCE, CHICAGO HEIGHTS AND OLYMPIA FIELDS; AND METRO SOUTH MEDICAL CENTER, BLUE ISLAND. THE FQHCS INCLUDE: ACCESS COMMUNITY HEALTH NETWORK, BLUE ISLAND AND CHICAGO HEIGHTS; AUNT MARTHA'S COMMUNITY HEALTH CENTER, CHICAGO HEIGHTS, HARVEY AND HAZEL CREST; AND FAMILY CHRISTIAN HEALTH CENTER, HARVEY. ONE COUNTY CLINIC IS THE COOK COUNTY HEALTH CENTER IN OAK FOREST. ADVOCATE SOUTH SUBURBAN HOSPITAL: PART VI, LINE 5 THE GOVERNING COUNCIL AT ADVOCATE SOUTH SUBURBAN IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY-NINE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE SOUTH SUBURBAN IS AN ACUTE-CARE FACILITY PROVIDING A WIDE RANGE OF COMPREHENSIVE INPATIENT, OUTPATIENT, DIAGNOSTIC AND AMBULATORY MEDICAL SERVICES. IN ADDITION TO OFFERING AN ARRAY OF HOSPITAL SERVICES, THIS NOT-FOR-PROFIT FACILITY PROVIDES FREE SCREENINGS AND A VARIETY OF OTHER OUTREACH SERVICES THROUGHOUT THE COMMUNITY, INCLUDING:SENIOR SERVICES: ADVOCATE SOUTH SUBURBAN SERVES A LARGE SENIOR POPULATION AND HOSTS A VARIETY OF PROGRAMS AND SCREENINGS IN THE COMMUNITY FOR SENIORS, INCLUDING: A SENIOR BREAKFAST CLUB PROGRAM THAT HOSTS A VARIETY OF HEALTH EDUCATION FOCUSED ON SENIORS; THE ANNUAL ACTIVE SENIOR EXPO, A PREMIER EVENT DESIGNED ESPECIALLY FOR SENIORS; AND PARTICIPATION IN A VARIETY OF COMMUNITY HEALTH EVENTS THROUGHOUT THE YEAR.SUPPORT GROUPS: THE HOSPITAL ALSO HOSTS SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A SPECIFIC ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR: ALZHEIMER'S, DIABETES, PARKINSON'S, EASY BREATHERS, LUPUS, NAMI, CONGESTIVE HEART FAILURE, OSTOMY, PLATELET, AND STROKE AT THE HOSPITAL-ALL FREE OF CHARGE TO THE COMMUNITY.LIFESTYLE CLASSES: TO AID THE COMMUNITY WITH LIFESTYLE ADJUSTMENTS, ADVOCATE SOUTH SUBURBAN AND ITS TEAM OF HEALTH CARE PROFESSIONALS OFFER CLASSES ON CONGESTIVE HEART FAILURE, LIFE AFTER A STROKE, AND DIABETES. THE HOSPITAL ALSO HAS STRONG PARTNERSHIPS WITH THE AMERICAN CANCER SOCIETY AND THE CANCER SUPPORT CENTER TO OFFER WELLNESS CLASSES FOR CANCER PATIENTS.SANE PROGRAM: SEXUAL ASSAULT NURSE EXAMINERS (SANES) ARE SPECIALISTS IN FORENSIC NURSING. SANES NOT ONLY ASSIST PATIENTS WHO HAVE BEEN SEXUALLY ASSAULTED, BUT THEY ALSO USE THEIR EDUCATION AND EXPERIENCE TO EXPAND THEIR CLINICAL PRACTICES TO ACCOMMODATE VICTIMS OF OTHER FORMS OF VIOLENCE. EXPERIENCED SANES EXTEND THEIR PRACTICE INTO THE CARE OF VICTIMS OF DOMESTIC VIOLENCE AS WELL. THESE SPECIALLY-EDUCATED NURSES CAN BE A VALUABLE RESOURCE TO PROSECUTORS, PARTICULARLY IN CASES WHERE THE VICTIM MAY BE UNWILLING OR UNABLE TO TESTIFY AND ASSIST LAW ENFORCEMENT AND THE COURTS IN SENDING THOSE PERPETRATORS OF SEXUAL ASSAULT AND/OR DOMESTIC VIOLENCE TO JAIL.WOMEN AND INFANTS CENTER: IN 2017, ADVOCATE SOUTH SUBURBAN UNDERTOOK MEASURES TO ENHANCE IT WOMEN'S HEALTH AND OB SERVICES BY INVESTING IN THE UNIT'S REDESIGN. THE REDESIGN INCLUDED CONSTRUCTION THAT ENHANCES PATIENT PRIVACY AND PROMOTES THE BEST ENVIRONMENT IN WHICH TO HEAL. THE UNIT INCLUDES 16 PRIVATE AND STATE-OF-THE-ART SUITES, 4 SEMI-PRIVATE TRIAGE ROOMS FOR OUTPATIENT TESTING, 2 SURGICAL SUITES, 2 RECOVERY SUITES AND COMPREHENSIVE CLASSES AND SUPPORT. THE PROJECT WAS COMPLETED, AND THE UNIT OPENED IN OCTOBER 2018.SURGICAL SERVICES EXPANSION: IN OCTOBER 2018, ADVOCATE SOUTH SUBURBAN UNDERTOOK MEASURES TO EXPAND AND MODERNIZE THE SURGICAL AND PROCEDURE SUITES. THE PROJECT INCLUDES ENLARGING AND UPDATING SURGICAL SUITES, ADDING NINE OPERATING ROOMS, THREE CARDIAC CATHETERIZATION LABS AND NEW PREPARATION AND RECOVERY SPACES. THESE ENHANCEMENTS PROVIDE THE HOSPITAL THE OPPORTUNITY TO TAKE ADVANTAGE OF EFFICIENCIES AND NEW TECHNOLOGY AND DELIVER HIGH-QUALITY CARE FOR THE PATIENTS IT SERVES.THE HOSPITAL'S VICE PRESIDENT FOR MISSION AND SPIRITUAL CARE SERVES ON THE BOARD OF THE UNITED WAY OF METROPOLITAN CHICAGO SOUTH-SOUTHWEST SUBURBAN CHAPTER. THE UNITED WAY OF METROPOLITAN CHICAGO IS A 501(C)(3) NON-PROFIT ORGANIZATION AND A BRANCH OF THE UNITED WAY OF AMERICA. THE UNITED WAY SERVES THE CITY OF CHICAGO AND ITS SURROUNDING SUBURBS, ALLOCATING FUNDING TO OTHER CHARITABLE ORGANIZATIONS, ESPECIALLY THOSE THAT PROVIDE NEEDED HEALTHCARE, EDUCATION AND INCOME SERVICES. THE UNITED WAY PROVIDES CRITICAL RESOURCES TO INDIVIDUALS WHO NEED THEM MOST IN THE SOUTH-SOUTHWEST SUBURBS-SOME OF THE SAME COMMUNITIES SERVED BY ADVOCATE SOUTH SUBURBAN. ADVOCATE TRINITY HOSPITAL: PART VI, LINE 2 HEALTH IMPACT COLLABORATIVE OF COOK COUNTYADVOCATE TRINITY IS A MEMBER OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A PARTNERSHIP OF HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS WORKING TO ASSESS COMMUNITY HEALTH NEEDS AND ASSETS, AND TO IMPLEMENT A SHARED PLAN TO MAXIMIZE HEALTH EQUITY AND WELLNESS IN CHICAGO AND COOK COUNTY. THIS COLLABORATIVE WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS COULD EFFICIENTLY SHARE RESOURCES AND WORK TOGETHER ON DATA COLLECTION, PRIORITY SETTING AND IMPLEMENTATION PLANNING. COOK COUNTY WAS DIVIDED INTO NORTH, CENTRAL AND SOUTH REGIONS TO ENABLE THE INVOLVEMENT OF OTHER LOCAL STAKEHOLDERS AND IDENTIFY THE LOCAL NEEDS OF THIS DIVERSE COUNTY. ADVOCATE TRINITY PARTICIPATED IN THE HICCC SOUTH REGION ASSESSMENT.THE METHODOLOGY FOR THE CHNA HAD THREE COMPONENTS: 1) THE MAPP PROCESS USED BY THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (2/2015-6/2016); 2) USE OF THE HEALTHY COMMUNITIES INSTITUTE'S PLATFORM TO REVIEW COUNTY, SERVICE AREA AND ZIP CODE DATA (3/2014-8/2016); AND 3) REVIEW OF OTHER AVAILABLE NATIONAL AND LOCAL DATA (1/2016-8/2016).MAPP PROCESS THE HICCC CONDUCTED A COLLABORATIVE CHNA BETWEEN FEBRUARY 2015 AND JUNE 2016. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) DESIGNED AND FACILITATED A COLLABORATIVE, COMMUNITY-ENGAGED ASSESSMENT BASED ON THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING FRAMEWORK THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION FOR COUNTY AND CITY HEALTH OFFICIALS (NACCHO) AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH USE THE MAPP FRAMEWORK FOR COMMUNITY HEALTH ASSESSMENT AND PLANNING. THE MAPP FRAMEWORK PROMOTES A SYSTEM FOCUS, EMPHASIZING THE IMPORTANCE OF COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT AND THE DYNAMIC INTERPLAY OF FACTORS AND FORCES WITHIN THE PUBLIC HEALTH SYSTEM. THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY CHOSE THIS INCLUSIVE, COMMUNITY-DRIVEN PROCESS SO THAT THE ASSESSMENT AND IDENTIFICATION OF PRIORITY HEALTH ISSUES WOULD BE INFORMED BY THE DIRECT PARTICIPATION OF STAKEHOLDERS AND COMMUNITY RESIDENTS. THE MAPP FRAMEWORK EMPHASIZES PARTNERSHIPS AND COLLABORATION TO UNDERSCORE THE CRITICAL IMPORTANCE OF SHARED RESOURCES AND RESPONSIBILITY TO MAKE THE VISION FOR A HEALTHY FUTURE A REALITY.THE KEY PHASES OF THE MAPP PROCESS INCLUDE:- ORGANIZING FOR SUCCESS AND DEVELOPING PARTNERSHIPS - VISIONING - CONDUCTING THE FOUR MAPP ASSESSMENTS - IDENTIFYING STRATEGIC ISSUES - FORMULATING GOALS AND STRATEGIES - TAKING ACTION - PLANNING, IMPLEMENTING, EVALUATING THE FOUR MAPP ASSESSMENTS WERE:- COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) - FORCES OF CHANGE ASSESSMENT (FOCA) - COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) - LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) HICCC USED THE COUNTY HEALTH RANKINGS MODEL TO GUIDE THE SELECTION OF ASSESSMENT INDICATORS. IPHI WORKED WITH THE HEALTH DEPARTMENTS, HOSPITALS AND COMMUNITY STAKEHOLDERS TO IDENTIFY AVAILABLE DATA RELATED TO HEALTH OUTCOMES, HEALTH BEHAVIORS, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIAL AND ECONOMIC FACTORS. THE COLLABORATIVE DECIDED TO ADD MENTAL HEALTH AS AN ADDITIONAL CATEGORY OF DATA INDICATORS. AS PART OF CONTINUING EFFORTS TO ALIGN AND INTEGRATE COMMUNITY HEALTH ASSESSMENT ACROSS CHICAGO AND COOK COUNTY, HICCC LEVERAGED RECENT ASSESSMENT DATA FROM LOCAL HEALTH DEPARTMENTS WHERE POSSIBLE FOR THIS CHNA. BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH COMPLETED COMMUNITY HEALTH ASSESSMENTS USING THE MAPP MODEL BETWEEN 2014 AND 2015. AS A RESULT, IPHI WAS ABLE TO COMPILE DATA FROM THE TWO HEALTH DEPARTMENTS' RESPECTIVE FORCES OF CHANGE AND LOCAL PUBLIC HEALTH SYSTEM ASSESSMENTS FOR DISCUSSION WITH THE SOUTH STAKEHOLDER ADVISORY TEAM, AND DATA FROM THE COMMUNITY HEALTH STATUS ASSESSMENTS WAS ALSO INCORPORATED INTO THE DATA PRESENTATION FOR THIS CHNA. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT INCLUDED BOTH FOCUS GROUPS AND COMMUNITY RESIDENT SURVEYS. THE PURPOSE OF COLLECTING THIS COMMUNITY INPUT DATA WAS TO IDENTIFY ISSUES OF IMPORTANCE TO COMMUNITY RESIDENTS, GATHER FEEDBACK ON QUALITY OF LIFE IN THE COMMUNITY AND IDENTIFY COMMUNITY ASSETS THAT CAN BE USED TO IMPROVE COMMUNITIES.COMMUNITY SURVEYBY LEVERAGING ITS PARTNERS AND NETWORKS, THE COLLABORATIVE COLLECTED APPROXIMATELY 5,200 RESIDENT SURVEYS BETWEEN OCTOBER 2015 AND JANUARY 2016, INCLUDING 2,288 IN THE SOUTH REGION. THE SURVEY WAS AVAILABLE ON PAPER AND ONLINE AND WAS DISSEMINATED IN FIVE LANGUAGES - ENGLISH, SPANISH, POLISH, KOREAN AND ARABIC. THE MAJORITY OF THE RESPONSES WERE PAPER-BASED (ABOUT 75 PERCENT) AND ABOUT A QUARTER WERE SUBMITTED ONLINE. THE COMMUNITY RESIDENT SURVEY WAS A CONVENIENCE SAMPLE SURVEY, DISTRIBUTED BY HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS THROUGH TARGETED OUTREACH TO DIVERSE COMMUNITIES IN CHICAGO AND COOK COUNTY, WITH A PARTICULAR INTEREST IN REACHING LOW-INCOME COMMUNITIES AND DIVERSE RACIAL AND ETHNIC GROUPS TO HEAR THEIR INPUT INTO THIS COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY RESIDENT SURVEY WAS INTENDED TO COMPLEMENT EXISTING COMMUNITY HEALTH SURVEYS THAT ARE CONDUCTED BY LOCAL HEALTH DEPARTMENTS FOR THEIR IPLAN COMMUNITY HEALTH ASSESSMENT PROCESSES. IPHI REVIEWED APPROXIMATELY 12 EXISTING SURVEYS TO IDENTIFY POSSIBLE QUESTIONS, AND WORKED ITERATIVELY WITH HOSPITALS, HEALTH DEPARTMENTS AND STAKEHOLDERS FROM THE THREE REGIONS TO HONE IN ON THE MOST IMPORTANT SURVEY QUESTIONS. IPHI CONSULTED WITH THE UIC SURVEY RESEARCH LABORATORY TO REFINE THE SURVEY DESIGN. THE DATA FROM PAPER SURVEYS WAS ENTERED INTO THE ONLINE SURVEYMONKEY SYSTEM SO THAT ELECTRONIC AND PAPER SURVEY DATA COULD BE ANALYZED TOGETHER. SURVEY DATA ANALYSIS WAS CONDUCTED USING SAS STATISTICAL ANALYSIS SOFTWARE, AND MICROSOFT EXCEL WAS USED TO CREATE SURVEY DATA TABLES AND CHARTS. THE MAJORITY OF SURVEY RESPONDENTS FROM THE SOUTH REGION IDENTIFIED AS HETEROSEXUAL (91 PERCENT, N=2146) AND AFRICAN AMERICAN/BLACK (57 PERCENT, N=2146). TWENTY-SEVEN PERCENT (27 PERCENT) OF SURVEY RESPONDENTS IDENTIFIED AS WHITE, 2 PERCENT ASIAN/PACIFIC ISLANDER, AND 2 PERCENT NATIVE AMERICAN/AMERICAN INDIAN. APPROXIMATELY 25 PERCENT (N=1651) OF SURVEY RESPONDENTS IN THE SOUTH REGION IDENTIFIED AS HISPANIC/LATINO AND APPROXIMATELY 10 PERCENT IDENTIFIED AS MIDDLE EASTERN (N=1651). TWO-PERCENT OF SURVEY RESPONDENTS FROM THE SOUTH REGION INDICATED THAT THEY WERE LIVING IN A SHELTER AND ONE PERCENT INDICATED THAT THEY WERE HOMELESS (N=2257). THE SOUTH REGION HAD THE HIGHEST PERCENTAGE OF INDIVIDUALS WITH LESS THAN A HIGH SCHOOL EDUCATION (12 PERCENT, N=2027) COMPARED TO THE NORTH AND CENTRAL REGIONS OF COOK COUNTY, AND THE MAJORITY OF RESPONDENTS FROM THE SOUTH REGION (68 PERCENT, N=1824) REPORTED AN ANNUAL HOUSEHOLD INCOME OF LESS THAN $40,000.FOCUS GROUPS IN SOUTH REGIONIPHI CONDUCTED EIGHT FOCUS GROUPS IN THE SOUTH REGION BETWEEN OCTOBER 2015 AND MARCH 2016. THE COLLABORATIVE ENSURED THAT THE FOCUS GROUPS INCLUDED POPULATIONS WHO ARE TYPICALLY UNDERREPRESENTED IN COMMUNITY HEALTH ASSESSMENTS, INCLUDING RACIAL AND ETHNO-CULTURAL GROUPS, IMMIGRANTS, LIMITED ENGLISH SPEAKERS, LOW-INCOME COMMUNITIES, FAMILIES WITH CHILDREN, LGBQIA AND TRANSGENDER INDIVIDUALS AND SERVICE PROVIDERS, INDIVIDUALS WITH DISABILITIES AND THEIR FAMILY MEMBERS, INDIVIDUALS WITH MENTAL HEALTH ISSUES, FORMERLY INCARCERATED INDIVIDUALS, VETERANS, SENIORS AND YOUNG ADULTS. THE MAIN GOALS OF THE FOCUS GROUPS WERE TO: 1. UNDERSTAND NEEDS, ASSETS AND POTENTIAL RESOURCES IN THE DIFFERENT COMMUNITIES OF CHICAGO AND SUBURBAN COOK COUNTY; AND 2. START TO GATHER IDEAS ABOUT HOW HOSPITALS CAN PARTNER WITH COMMUNITIES TO IMPROVE HEALTH. EACH OF THE FOCUS GROUPS WERE HOSTED BY A HOSPITAL OR COMMUNITY-BASED ORGANIZATION, AND THE HOST ORGANIZATION RECRUITED PARTICIPANTS. IPHI FACILITATED THE FOCUS GROUPS, MOST OF WHICH WERE IMPLEMENTED IN 90-MINUTE SESSIONS WITH APPROXIMATELY EIGHT TO 10 PARTICIPANTS. IPHI ADJUSTED THE LENGTH OF SOME SESSIONS TO BE AS SHORT AS 45 MINUTES AND AS LONG AS TWO HOURS TO ACCOMMODATE THE NEEDS OF THE PARTICIPANTS, AND SOME GROUPS INCLUDED AS MANY AS 25 PARTICIPANTS. ADVOCATE TRINITY HOSPITAL: PART VI, LINE 4 IN 2016, THE TOTAL POPULATION OF ADVOCATE TRINITY'S TOTAL SERVICE AREA (TSA) WAS ESTIMATED AT 578,551, WITH A PRIMARY SERVICE AREA (PSA) POPULATION OF 380,375 AND A SECONDARY SERVICE AREA (SSA) POPULATION OF 198,176. BOTH PRIMARY (-2.27 PERCENT) AND SECONDARY (-2.77 PERCENT) SERVICE AREAS EXPERIENCED A DECLINE IN POPULATION FROM 2010 TO 2016. THE RACE AND ETHNICITY DISTRIBUTION IN THE TOTAL SERVICE AREA IS PREDOMINANTLY AFRICAN AMERICAN (83.0 PERCENT) FOLLOWED BY THE WHITE POPULATION (10.0 PERCENT). APPROXIMATELY NINE PERCENT OF THE POPULATION IDENTIFIED AS BEING OF HISPANIC OR LATINO ETHNICITY. THE HISPANIC POPULATION IS PRIMARILY LOCATED IN FOUR COMMUNITY AREAS: EASTSIDE, SOUTH CHICAGO, SOUTH DEERING AND HEGEWISCH. THE RACIAL AND ETHNIC BREAKDOWN OF ADVOCATE TRINITY'S TOTAL SERVICE AREA IS SUBSTANTIALLY DIFFERENT THAN THAT OF COOK COUNTY AND THE STATE OF ILLINOIS. THE MEDIAN HOUSEHOLD INCOME IN ADVOCATE TRINITY'S PSA IS $38,029 AND $30,660 IN THE HOSPITAL'S SECONDARY SERVICE AREA. BOTH ARE CONSIDERABLY LOWER AMOUNTS WHEN COMPARED TO THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $59,608 AND THE COOK COUNTY MEDIAN HOUSEHOLD INCOME OF $56,747. EXAMINING RACE AND INCOME, THE COMMUNITY HEALTH DATA SHOWED THAT THE AFRICAN AMERICAN POPULATION HAS ONE OF THE LOWEST MEDIAN HOUSEHOLD INCOMES ($35,677 IN THE PSA AND $27,830 IN THE SSA) IN COMPARISON TO OTHER RACES.IN ADVOCATE TRINITY'S PSA, THE PERCENT OF FAMILIES LIVING BELOW THE FPL IS 22.85 PERCENT, WHICH IS HIGHER THAN BOTH STATE (10.79 PERCENT) AND COUNTY (13.83 PERCENT) PERCENTAGES. THE PERCENT OF FAMILIES LIVING BELOW THE FPL IN ADVOCATE TRINITY'S SECONDARY SERVICE AREA IS 31.84 PERCENT, WHICH IS NEARLY THREE TIMES THE ILLINOIS PERCENTAGE. IN THE PSA, 10.47 PERCENT OF THE POPULATION AND 13.62 PERCENT OF THE SSA POPULATION HAVE SOME HIGH SCHOOL EDUCATION BUT NO DIPLOMA. THIS PERCENTAGE IS HIGHER IN COMPARISON TO THE ILLINOIS RATE OF 6.75 PERCENT AND THE COUNTY RATE OF 7.44 PERCENT; HOWEVER, WHEN "LESS THAN 9TH GRADE AND "SOME HIGH SCHOOL" ARE ADDED TOGETHER, THE DIFFERENCES BETWEEN THE PSA AND THE COUNTY AND STATE NARROW. TWENTY-NINE PERCENT OF THE PSA POPULATION HAVE A HIGH SCHOOL DIPLOMA AND 28 PERCENT HAVE TAKEN SOME COLLEGE CLASSES. ONLY 12.18 PERCENT OF THE PSA AND 9.16 PERCENT OF THE SSA RESIDENTS HAVE A BACHELOR'S DEGREE COMPARED TO THE 20.99 PERCENT OF COOK COUNTY RESIDENTS WITH SUCH A DEGREE. IN ADVOCATE TRINITY'S PSA, 38.2 PERCENT OF THE POPULATION IS INSURED BY MEDICAID AND 15.9 PERCENT BY MEDICARE, WHILE 10.7 PERCENT HAVE NO INSURANCE. IN THE SSA, 48.3 PERCENT OF THE POPULATION IS INSURED BY MEDICAID, 11.6 PERCENT BY MEDICARE AND 13.4 PERCENT HAVE NO INSURANCE. ADVOCATE TRINITY HOSPITAL: PART VI, LINE 5 THE GOVERNING COUNCIL AT ADVOCATE TRINITY IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-ONE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS AND SPECIALTIES.IN ADDITION TO OFFERING AN ARRAY OF HOSPITAL SERVICES, ADVOCATE TRINITY PROVIDES FREE SCREENINGS AND A VARIETY OF OTHER OUTREACH SERVICES THROUGHOUT THE COMMUNITY, INCLUDING:- WALK WITH A DOC: A MONTHLY WALKING, WELLNESS AND PATIENTS/COMMUNITY EDUCATION ACTIVITY. - MEN'S HEALTH EVENTS: THE PURPOSE OF THE MEN'S HEALTH EVENT IS TO RAISE AWARENESS ABOUT SEVERAL HEALTH ISSUES AFFECTING MEN'S HEALTH, SOME OF WHICH INCLUDE DIABETES, HYPERTENSION, HIGH CHOLESTEROL, KIDNEY DISEASE, PROSTATE CANCER AND HIV/AIDS. MANY MEN AND THEIR FAMILIES WERE ENCOURAGED TO PARTICIPATE IN SCREENINGS TO DETECT HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, DIABETES, HIV/AIDS, PROSTATE CANCER AND EARLY SIGNS OF KIDNEY DISEASE.- LADIES NIGHT EVENTS: THE PURPOSE OF THE LADIES NIGHT HEALTH SEMINARS IS TO INCREASE AWARENESS REGARDING WOMEN'S HEALTH ISSUES SUCH AS DIABETES, HEART DISEASE, STROKE, BREAST CANCER AND GENERAL WOMEN'S HEALTH. THE PROGRAM PROVIDES LECTURES FROM PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS WHO PROVIDE INFORMATION AND ANSWER PERTINENT QUESTIONS ABOUT WOMEN'S HEALTH CONDITIONS.- SENIOR SUPPORT: ADVOCATE TRINITY HOSTS A MONTHLY SENIOR BREAKFAST CLUB PROGRAM BY OFFERING A VARIETY OF HEALTH EDUCATION TOPICS PERTINENT TO SENIORS.- SUPPORT GROUPS: THE HOSPITAL ALSO HOSTS SEVERAL SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A SPECIFIC ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR BREAST CANCER, DIABETES AND STROKE AT THE HOSPITAL - ALL FREE OF CHARGE TO THE COMMUNITY. 1 ACCESS LIVING 115 WEST CHICAGO AVENUE CHICAGO IL 60654 363310774 501(C)(3) 10000 SPONSOR EVENTS ALZHEIMERS ASSOCIATION 850 ESSINGTON ROAD SUITE 200 JOLIET IL 60435 133039601 501(C)(3) 6000 SPONSOR EVENTS AMERICAN CANCER SOCIETY 225 N MICHIGAN AVE SUITE 1200 CHICAGO IL 60601 131788491 501(C)(3) 109500 SPONSOR EVENTS AMERICAN DIABETES ASSOCIATION 55 W MONROE ST SUITE 3420 CHICAGO IL 60603 131623888 501(C)(3) 5075 SPONSOR EVENTS AMERICAN HEART ASSOCIATION PO BOX 50035 PRESCOTT AZ 863045035 135613797 501(C)(3) 194678 SPONSOR EVENTS ASSOCIATION HOUSE OF CHICAGO 1116 N KEDZIE AVENUE CHICAGO IL 60651 362166961 501(C)(3) 25000 SUPPORT EXEMPT MISSION BARRINGTON AREA COUNCIL ON AGING 6000 GARLANDS LANE SUITE 100 BARRINGTON IL 60010 363337705 501(C)(3) 8192 SUPPORT EXEMPT MISSION BARRINGTON HIGH SCHOOL 616 WEST MAIN STREET BARRINGTON IL 60010 362780596 N/A 10000 COMMUNITY SUPPORT BLOCKS TOGETHER 3711 WEST CHICAGO AVENUE CHICAGO IL 60651 363983087 501(C)(3) 20000 SUPPORT EXEMPT MISSION B'NAI B'RITH INTERNATIONAL 1120 20TH STREET NW STE 300 NORTH WASHINGTON DC 20036 530179971 501(C)(3) 15000 SPONSOR EVENTS BREAKTHROUGH URBAN MINISTRIES 402 N ST LOUIS AVE CHICAGO IL 60624 363810926 501(C)(3) 35000 SUPPORT EXEMPT MISSION BSTRONG TOGETHER NFP 110 SOUTH HAGER AVENUE SUITE 202 BARRINGTON IL 60010 465117099 501(C)(3) 13000 SUPPORT EXEMPT MISSION BUILD INC 5100 W HARRISON ST CHICAGO IL 60644 237022085 501(C)(3) 40000 SUPPORT EXEMPT MISSION CANCER SUPPORT CENTER 2028 ELM ROAD HOMEWOOD IL 60430 363880404 501(C)(3) 14324 SUPPORT EXEMPT MISSION CHICAGO AMACHI MENTORING PROGRAM 3508 W OGDEN AVE CHICAGO IL 60623 260907131 501(C)(3) 35000 SUPPORT EXEMPT MISSION CHICAGO JESUIT ACADEMY 5058 W JACKSON BLVD CHICAGO IL 60644 202091040 501(C)(3) 35000 SUPPORT EXEMPT MISSION CHICAGO URBAN LEAGUE 4510 SOUTH MICHIGAN AVENUE CHICAGO IL 60653 362225483 501(C)(3) 8250 SPONSOR EVENTS CHILDRENS HEART FOUNDATION PO BOX 2844 GLENVIEW IL 60026 364077528 501(C)(3) 9600 SPONSOR EVENTS CHOOSE DUPAGE 2525 CABOT DRIVE SUITE 303 LISLE IL 60532 320177792 501(C)(3) 10000 COMMUNITY SUPPORT CIRCLE URBAN MINISTRIES 118 N CENTRAL AVE CHICAGO IL 60644 363136997 501(C)(3) 25000 SUPPORT EXEMPT MISSION COLLEGE MENTORING EXPERIENCE 5800 W ADAMS ST CHICAGO IL 60644 465578549 501(C)(3) 15000 SUPPORT EXEMPT MISSION COMMUNITY DEVELOPMENT CORP OF THE BN AREA 200 W COLLEGE AVE SUITE 402 NORMAL IL 61761 261436471 501(C)(3) 21000 SUPPORT EXEMPT MISSION COMMUNITY HEALTH 2611 W CHICAGO AVE CHICAGO IL 60622 363831793 501(C)(3) 38939 SUPPORT EXEMPT MISSION CONNECTIONS FOR ABUSED WOMEN AND CHILDREN 1116 N KEDZIE AVENUE CHICAGO IL 60651 362950380 501(C)(3) 25000 SUPPORT EXEMPT MISSION CRISTO REY JESUIT HIGH SCHOOL 1852 WEST 22ND PLACE CHICAGO IL 60608 043730980 501(C)(3) 71448 SUPPORT EXEMPT MISSION DEMOCRACY COLLABORATIVE FOUNDATION 1422 EUCLID AVE SUITE 1652 CLEVELAND OH 44115 200387511 501(C)(3) 30000 SUPPORT EXEMPT MISSION DOWNERS GROVE ECONOMIC 5159 MOCHEL DOWNERS GROVE IL 60515 870772222 501(C)(3) 7500 COMMUNITY SUPPORT DUPAGE HEALTH COALITION 511 THORNHILL DRIVE SUITE M CAROL STREAM IL 60188 364448208 501(C)(3) 212953 SUPPORT EXEMPT MISSION ECONOMIC DEVELOPMENT COUNCIL 200 W COLLEGE AVE SUITE 402 NORMAL IL 61761 371169886 501(C)(3) 15000 COMMUNITY SUPPORT ERIE ELEMENTARY CHARTER SCHOOL 1405 N WASHTENAW CHICAGO IL 60622 371504399 501(C)(3) 10000 SUPPORT EXEMPT MISSION FAITH LUTHERAN CHURCH 431 S ARLINGTON HEIGHTS RD ARLINGTON HEIGHTS IL 60005 430658188 501(C)(3) 10023 SUPPORT EXEMPT MISSION FIRST CONGREGATIONAL UCC OF WESTERN SPRINGS 1106 CHESTNUT WESTERN SPRINGS IL 60558 530196617 501(C)(3) 20476 SUPPORT EXEMPT MISSION FIRST PRESBYTERIAN SOCIETY 1427 CHICAGO AVE EVANSTON IL 60201 236393377 501(C)(3) 9826 SUPPORT EXEMPT MISSION FOUNDATION FOR ANGELMAN PO BOX 608 DOWNERS GROVE IL 60515 263160079 501(C)(3) 9250 SPONSOR EVENTS FREE SPIRIT MEDIA 906 S HOMAN AVE FLOOR 5 CHICAGO IL 60624 364456215 501(C)(3) 30000 SUPPORT EXEMPT MISSION GARDENERS 3414 W ROOSEVELT RD CHICAGO IL 60624 464651665 501(C)(3) 15000 SUPPORT EXEMPT MISSION GILDA'S CLUB CHICAGO 205 WEST WACKER DRIVE SUITE 1400 CHICAGO IL 60606 364115144 501(C)(3) 23900 SPONSOR EVENTS GIRLS IN THE GAME 1401 S SACRAMENTO DRIVE CHICAGO IL 60623 364024533 501(C)(3) 20000 SUPPORT EXEMPT MISSION GLORIA DEI LUTHERAN CHURCH 4501 MAIN ST DOWNERS GROVE IL 60515 411568278 501(C)(3) 8970 SUPPORT EXEMPT MISSION GRACE LUTHERAN CHURCH 200 N CATHERINE LAGRANGE IL 60525 362182031 501(C)(3) 14728 SUPPORT EXEMPT MISSION GREATER WEST TOWN COMMUNITY DEVELOPMENT PROJECT 500 N SACRAMENTO BLVD CHICAGO IL 60612 363657734 501(C)(3) 35000 SUPPORT EXEMPT MISSION HARPER COLLEGE EDUCATIONAL FOUNDATION 1200 WEST ALGONQUIN ROAD PALATINE IL 60067 237348228 501(C)(3) 16000 SUPPORT EXEMPT MISSION HEAD FOR THE CURE FOUNDATION 2020 BALTIMORE SUITE 201 KANSAS CITY MO 64108 208345719 501(C)(3) 5750 SPONSOR EVENTS HEALTHY SCHOOLS CAMPAIGN 175 N FRANKLIN SUITE 300 CHICAGO IL 60606 364308068 501(C)(3) 24470 SPONSOR EVENTS I AM ABLE CENTER FOR FAMILY DEVELOPMENT INC 3408 W ROOSEVELT RD CHICAGO IL 60624 363861251 501(C)(3) 15000 SUPPORT EXEMPT MISSION IHREF 24676 NETWORK PLACE CHICAGO IL 606731246 237421930 501(C)(3) 2058728 SUPPORT EXEMPT MISSION ILLINOIS CHAMBER OF COMMERCE PO BOX 19258 SPRINGFIELD IL 627949258 361254650 501(C)(3) 13908 SPONSOR EVENTS ILLINOIS MANUFACTURING EXCELLENCE CENTER 1501 W BRADLEY AVE 428 JOBST HALL PEORIA IL 61625 371368934 501(C)(3) 15000 SUPPORT EXEMPT MISSION ILLINOIS STATE UNIV FOUNDATION CAMPUS BOX 5810 NORMAL IL 617905810 376014070 501(C)(3) 9500 SPONSOR EVENTS ILLINOIS WESLEYAN UNIVERSITY PO BOX 2900 BLOOMINGTON IL 617029845 370662594 501(C)(3) 40000 SUPPORT EXEMPT MISSION IMMANUEL EVANGELICAL LUTHERAN 1500 W ELMDALE AVE CHICAGO IL 60660 411568278 501(C)(3) 29720 SUPPORT EXEMPT MISSION INST FOR DIVERSITY IN HLTHMGMT 155 N WACKER DR SUITE 400 CHICAGO IL 60606 582094118 501(C)(3) 9575 SUPPORT EXEMPT MISSION INSTITUTE FOR NONVIOLENCE CHICAGO 4926 WEST CHICAGO AVENUE CHICAGO IL 60651 811098722 501(C)(3) 20000 SUPPORT EXEMPT MISSION JOHN MARSHALL METROPOLITAN HIGH SCHOOL 3250 W ADAMS STREET CHICAGO IL 60624 364263664 501(C)(3) 35000 SUPPORT EXEMPT MISSION KIPP CHICAGO 2007 SOUTH HALSTED STREET CHICAGO IL 60608 300135927 501(C)(3) 25000 SUPPORT EXEMPT MISSION KOHL CHILDRENS MUSEUM 2100 PATRIOT BOULEVARD GLENVIEW IL 60026 363706878 501(C)(3) 5384 SUPPORT EXEMPT MISSION LAKE VIEW PRESBYTERIAN CHURCH 716 W ADDISON CHICAGO IL 60613 236393377 501(C)(3) 12495 SUPPORT EXEMPT MISSION LEGAL PREP CHARTER ACADEMIES 4319 W WASHINGTON BLVD CHICAGO IL 60647 271071296 501(C)(3) 25000 SUPPORT EXEMPT MISSION LUTHERAN SCHOOL OF THEOLOGY 1100 E 55TH STREET CHICAGO IL 60615 362246704 501(C)(3) 5151 SUPPORT EXEMPT MISSION LUTHERAN SOCIAL SERVICES IL 1001 E TOUHY AVE DES PLAINES IL 60018 362584799 501(C)(3) 17000 SUPPORT EXEMPT MISSION MAKE-A-WISH FOUNDATION 640 NORTH LASALLE STREET STE 280 CHICAGO IL 60654 363422138 501(C)(3) 15000 SPONSOR EVENTS MARCH OF DIMES FOUNDATION 111 W JACKSON BLVD SUITE 1650 CHICAGO IL 60604 131846366 501(C)(3) 123750 SPONSOR EVENTS MARILLAC ST VINCENT FAMILY SERVICES 212 S FRANCISCO AVE CHICAGO IL 60612 362109717 501(C)(3) 25000 SUPPORT EXEMPT MISSION MIKVA CHALLENGE 322 S MICHIGAN AVE SUITE 400 CHICAGO IL 60626 522033353 501(C)(3) 10000 SUPPORT EXEMPT MISSION MUSEUM OF SCIENCE & INDUSTRY 57TH STREET AND LAKE SHORE DRIVE CHICAGO IL 60637 362167797 501(C)(3) 48200 SUPPORT EXEMPT MISSION NATL KIDNEY FOUNDATION OF IL 215 WEST ILLINOIS SUITE 1C CHICAGO IL 60654 366009226 501(C)(3) 8582 SPONSOR EVENTS NEW MOMS INC 5317 W CHICAGO AVE CHICAGO IL 60651 363265804 501(C)(3) 40000 SUPPORT EXEMPT MISSION NORTH LAWNDALE EMPLOYMENT NETWORK 3726 W FLOURNOY CHICAGO IL 60624 364295189 501(C)(3) 40000 SUPPORT EXEMPT MISSION OUR LADY OF THE WAYSIDE 434 W PARK AVE ARLINGTON HEIGHTS IL 60005 362275598 501(C)(3) 9970 SUPPORT EXEMPT MISSION OUR SAVIOUR'S LUTHERAN CHURCH 815 S WASHINGTON NAPERVILLE IL 60540 362684454 501(C)(3) 19666 SUPPORT EXEMPT MISSION PROACTIVE KIDS FOUNDATION 1101 BELTER DRIVE WHEATON IL 60189 371556796 501(C)(3) 11200 SUPPORT EXEMPT MISSION PURDUE RESEARCH FOUNDATION 403 W STATE ST ROOM 134 WEST LAFAYETTE IN 47907 351052049 501(C)(3) 60000 SUPPORT EXEMPT MISSION RONALD MCDONALD HOUSE CHARITY 1301 W 22ND STREET SUITE 905 OAK BROOK IL 60523 363532553 501(C)(3) 7916 SPONSOR EVENTS SINAI HEALTH SYSTEMS 1500 S FAIRFIELD AVE F-125 CHICAGO IL 60608 363166895 501(C)(3) 37500 SUPPORT EXEMPT MISSION SPECIAL OLYMPICS ILLINOIS 500 WATERS EDGE SUITE 100 LOMBARD IL 60148 362922811 501(C)(3) 30700 SPONSOR EVENTS ST AGATHA PARISH 3147 WEST DOUGLAS BLVD CHICAGO IL 60623 362170923 501(C)(3) 15000 SUPPORT EXEMPT MISSION STROKE SURVIVORS EMPOWERING PO BOX 855 LOMBARD IL 601480855 271925734 501(C)(3) 12500 SUPPORT EXEMPT MISSION SYRIAN AMERICAN MEDICAL SOCIETY FOUNDATION PO BOX 34115 WASHINGTON DC 20043 161717058 501(C)(3) 25000 SUPPORT EXEMPT MISSION THE BOULEVARD OF CHICAGO 3456 WEST FRANKLIN BOULEVARD CHICAGO IL 60624 364075641 501(C)(3) 30000 SUPPORT EXEMPT MISSION THE LEVERAGE NETWORK INC 200 SOUTH WACKER DRIVE SUITE 3100 CHICAGO IL 60606 473517179 501(C)(3) 9510 SPONSOR EVENTS TRINITY UNITED CHURCH OF CHRIST 400 WEST 95TH STREET CHICAGO IL 60628 362879787 501(C)(3) 9146 SUPPORT EXEMPT MISSION TURNING THE PAGE 906 SOUTH HOMAN AVENUE 6TH FLOOR CHICAGO IL 60624 522081934 501(C)(3) 20000 SUPPORT EXEMPT MISSION UCAN 3605 W FILLMORE ST CHICAGO IL 60624 362167937 501(C)(3) 30000 SUPPORT EXEMPT MISSION UNIV OF ILL AT CHICAGO 1603 WEST TAYLOR ST M/C 923 CHICAGO IL 60612 376000511 501(C)(3) 69859 GRANT FOR CURE VIOLENCE VILLAGE OF OAK LAWN 6451 WEST 93RD PLACE OAK LAWN IL 60453 366006024 501(C)(3) 700900 COMMUNITY SUPPORT WEST TOWN BIKES 2459 W DIVISION CHICAGO IL 60622 204767185 501(C)(3) 45000 SUPPORT EXEMPT MISSION WORLD BUSINESS CHICAGO 177 N STATE STREET SUITE 500 CHICAGO IL 60601 364313685 501(C)(3) 50000 SUPPORT EXEMPT MISSION YOUNG MEN'S EDUCATIONAL NETWORK (YMEN) 1241 S PULASKI ROAD CHICAGO IL 60623 364124098 501(C)(3) 35000 SUPPORT EXEMPT MISSION 88 X X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 JAMES SKOGSBERGH PRESIDENT & CEO, DIRECTOR 0 1755408 0 4987464 0 1720302 0 25167 0 23314 0 8511655 0 0 GAIL D HASBROUCK DIRECTOR 0 0 420963 0 0 10000 0 0 46 0 421009 10000 0 0 GARY STUCK DO EVP, CHIEF MEDICAL OFFICER, DIRECTOR 201923 0 0 0 17050 0 18342 0 3654 0 240969 0 0 0 WILLIAM P SANTULLI EVP, CHIEF OPERATING OFFICER 0 1073245 0 2114312 0 777832 0 25167 0 25003 0 4015559 0 0 LEE B SACKS MD EVP, CHIEF MEDICAL OFFICER 0 536909 0 1344960 0 1606740 0 33417 0 16871 0 3538897 0 0 JAMES DOHENY VP, CONTROLLER & ASST. TREASURER 376465 0 105297 0 36894 0 25167 0 28750 0 572573 0 0 0 REV KATHIE BENDER SCHWICH SVP, MISSION & SPIRITUAL CARE 0 265612 0 390634 0 168400 0 25167 0 76270 0 926083 0 0 KEVIN BRADY SVP, CHIEF HUMAN RESOURCES OFFICER 0 557230 0 893542 0 345111 0 25167 0 38438 0 1859488 0 0 VINCENT BUFALINO MD PRESIDENT OF PHYS & AMB SVCS/ AMG 0 581015 0 931954 0 373611 0 25167 0 27060 0 1938807 0 0 SUSAN CAMPBELL SVP OF PATIENT CARE, CHIEF NURSING O 202493 0 803366 0 1058351 0 67400 0 16108 0 2147718 0 0 0 KELLY JO GOLSON SVP, CHIEF MARKETING OFFICER 0 453198 0 498224 0 235490 0 25167 0 2920 0 1214999 0 0 DOMINIC J NAKIS SVP, CFO & TREASURER 0 786099 0 1330444 0 519433 0 25167 0 28698 0 2689841 0 0 SCOTT POWDER SVP, CHIEF STRATEGY OFFICER 0 503510 0 610805 0 265409 0 25167 0 25265 0 1430156 0 0 EARL J BARNES II SVP, GENERAL COUNSEL & SECRETART 0 222375 0 921732 0 816319 0 116930 0 35611 0 2112967 0 0 BARBARA BYRNE MD SVP, CHIEF INFORMATION OFFICER 0 543138 0 392739 0 36043 0 104100 0 16321 0 1092341 0 0 JAMES SLINKMAN ASSISTANT SECRETARY 0 292415 0 49932 0 51101 0 25167 0 34046 0 452661 0 0 LESLIE LENZO ASSISTANT TREASURER 525002 0 105297 0 15974 0 22417 0 19341 0 688031 0 0 0 MICHAEL GREBE ASSISTANT SECRETARY 0 534832 0 279350 0 181220 0 90670 0 0 0 1086072 0 39171 MICHAEL KERNS ASSISTANT SECRETARY 0 324582 0 70419 0 25968 0 25167 0 35728 0 481864 0 0 MICHAEL LAPPIN SECRETARY 0 724919 0 856997 0 345262 0 123330 0 20010 0 2070518 0 106199 NAN NELSON ASSISTANT TREASURER 0 456961 0 346675 0 116406 0 83023 0 1092 0 1004157 0 62829 RACHELLE HART ASSISTANT SECRETARY 0 475246 0 147547 0 3602 0 20475 0 20010 0 666880 0 0 STEVE HUSER ASSISTANT TREASURER 0 289104 0 45426 0 3004 0 31275 0 13147 0 381956 0 0 MICHAEL FARRELL PRESIDENT OF ADVOCATE CHILDREN'S HOS 768889 0 1022211 0 459326 0 25167 0 23376 0 2298969 0 0 0 DAVID FOX JR PRESIDENT OF GOOD SAMARITAN 259983 0 651637 0 235347 0 33417 0 21913 0 1202297 0 0 0 DOMINICA TALLARICO PRESIDENT OF LUTHERAN GENERAL (UNTIL 607986 0 592502 0 280586 0 25167 0 24772 0 1531013 0 0 0 TERIKA R MBANU PRESIDENT OF LUTHERAN GENERAL, TRINI 412649 0 330803 0 54052 0 111890 0 22884 0 932278 0 0 0 RICHARD HEIM PSA OF S. CHICAGO & SS, PRESIDENT OF 519007 0 510825 0 251333 0 25167 0 22862 0 1329194 0 0 0 COLLEEN KANNADAY PRESIDENT OF BROMENN 461354 0 531128 0 242409 0 25167 0 24307 0 1284365 0 0 0 KAREN LAMBERT PRESIDENT OF GOOD SHEPHERD & CONDELL 590226 0 564123 0 278389 0 25167 0 39308 0 1497213 0 0 0 MATTHEW PRIMACK PRESIDENT OF CHRIST MEDICAL CENTER 348012 0 75204 0 50558 0 25167 0 19338 0 518279 0 0 0 NANCY M TINSLEY PRESIDENT OF GOOD SAMARITAN 118753 0 0 0 75816 0 12184 0 4051 0 210804 0 0 0 HAMAD FARHAT MD NEUROSURGEON 1751750 0 0 0 -10989 0 22417 0 32791 0 1795969 0 0 0 MICHEL ILBAWI MD PEDIATRIC CV SURGERY 1090000 0 153440 0 -6360 0 22417 0 25641 0 1285138 0 0 0 DEAN KARAHALIOS MD NEUROSURGEON 1200000 0 0 0 -13722 0 22417 0 34370 0 1243065 0 0 0 EGON DOPPENBERG MD NEUROSURGEON 1200000 0 0 0 -11157 0 22417 0 32624 0 1243884 0 0 0 ERIC TOWER VP, ASSOCIATE GENERAL COUNSEL 0 124175 0 79386 0 1169116 0 25167 0 24794 0 1422638 0 0 BRUCE D SMITH SVP, FORMER CHIEF INFORMATION OFFICE 0 0 508520 0 0 0 0 0 46 0 508566 0 0 0 JAMES DAN MD FORMER PRES PHYS & AMB SVCS/ AMG 0 0 246725 0 0 0 608 0 46 0 247379 0 0 0 KENNETH LUKHARD FORMER PRESIDENT OF CHRIST MEDICAL C 22729 0 812198 0 1052774 0 33417 0 34065 0 1955183 0 0 0 RICK FLOYD FORMER PRESIDENT OF LUTHERAN GENERAL 0 0 619548 0 262292 0 0 0 24270 0 906110 0 0 0 RYAN TROMBLY MD FORMER NEUROSURGEON 869750 0 184798 0 -9213 0 0 0 35120 0 1080455 0 0 0 SCHEDULE J, PART I, LINE 1A KATHIE S. BENDER SCHWICH RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $50,000. SCHEDULE J, PART I, LINE 4A EARL J. BARNES II, FORMER ASSISTANT SECRETARY, RECEIVED A SERVERANCE PAYMENT IN THE AMOUNT OF $116,346 AND A LUMP SUM SEVERANCE PAYMENT OF $507,308. SUSAN CAMPBELL, FORMER DIRECTOR, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $95,192 AND A LUMP SUM SEVERANCE PAYMENT OF $273,658. RICHARD B. FLOYD, FORMER PRESIDENT, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $270,000. KENNETH W. LUKHARD, FORMER PRESIDENT, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $218,077 AND A LUMP SUM SEVERANCE PAYMENT OF $683,456. LEE B. SACKS, FORMER CHIEF MEDICAL OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $52,885 AND A LUMP SUM SEVERANCE PAYMENT OF $1,037,706. THESE PAYMENTS HAVE ALL BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). SCHEDULE J, PART I, LINE 4B ADVOCATE PROVIDES A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE VESTED AND TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: EARL J. BARNES II $161,281, KATHIE S. BENDER SCHWICH $96,607, KEVIN R. BRADY $193,428, VINCENT J. BUFALINO $201,425, SUSAN CAMPBELL 524,114, MICHAEL J. FARRELL $249,468, DAVID S. FOX JR $137,622, KELLY JO GOLSON $129,294, RICHARD HEIM $137,063, COLLEEN L. KANNADAY $139,882, KAREN A. LAMBERT $152,769, KENNETH W. LUKHARD $125,119, DOMINIC NAKIS $281,176, SCOTT A. POWDER $149,513, MATTHEW PRIMACK $23,478, LEE B. SACKS $266,143, WILLIAM P. SANTULLI $417,996, JAMES H. SKOGSBERGH $888,730, AND DOMINICA M. TALLARICO $151,451. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: EARL J. BARNES II $108,830, BARBARA P. BYRNE $104,100, SUSAN CAMPBELL $36,733, TERIKA R. MBANU $89,472, GARY D. STUCK $18,342, AND NANCY M. TINSLEY $12,184. SCHEDULE J, PART I, LINE 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY. A ILLINOIS HEALTH FACILITIES AUTHORITY 362780046 45200PXH5 2003-10-29 115000000 SEE SCHEDULE K PART VI 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45200FED7 2013-01-24 51134288 SEE SCHEDULE K PART VI 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45200FEE5 2013-02-01 43219722 SEE SCHEDULE K PART VI 0 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45200FEF2 2012-05-01 51142165 SEE SCHEDULE K PART VI 0 0 0 A 94525000 116432024 1034454 111807084 3590486 2005 0 0 1 1 B 51134288 51134288 2009 1 0 1 1 C 43219722 43219722 2009 1 0 1 1 D 51142165 51142165 2009 1 0 1 1 A 0 1 1 0 0 0.00100 0.00100 0 1 0.00600 1 1 B 0 1 1 0 0 0.00110 0.00110 0 0 1 C 0 1 1 0 0 0.00110 0.00110 0 0 1 D 0 1 1 0 0 0.00110 0.00110 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 1 1 1 0 0 0 1 C 0 0 1 1 1 0 0 0 1 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK. FORM SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997ABONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES. FORM SCHEDULE K, PART I (F) (CUSIP # 45200FED7) PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013. FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013. FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. FORM SCHEDULE K PART I (F) (CUSIP # 45200FK65), PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO THE CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE BROMENN MEDICAL CENTER AS WELL AS FINANCING CERTAIN CAPITAL EXPENDITURES AT OTHER HEALTH CARE FACILITIES OF THE ORGANIZATION. THE MERGED ASSETS INCLUDE BROMENN REGIONAL MEDICAL CENTER, A 221-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN BLOOMINGTON, ILLINOIS AND EUREKA COMMUNITY HOSPITAL, A 25-LICENSED BED GENERAL ACUTE CARE HOSPITAL LOCATED IN EUREKA, ILLINOIS. FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING A NINE STORY AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. FORM SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. FORM SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 THE PROCEEDS OF THE SERIES 2013A BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN ICU EXPANSION PROJECT AT ADVOCATE TRINITY HOSPITAL, A CAMPUS MODERNIZATION PROJECT AT ADVOCATE GOOD SHEPHERD HOSPITAL, AN EMERGENCY DEPARTMENT/SURGERY EXPANSION PROJECT AT ADVOCATE LUTHERAN GENERAL HOSPITAL, AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. FORM SCHEDULE K, PART I (F) (CUSIP # 45203HE40) PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 THE PROCEEDS OF THE SERIES 2014 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING CERTAIN OF THE SERIES 2008D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER AND ADVANCE REFUNDING THE SERIES 2007A BONDS PREVIOUSLY ISSED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF ADVOCATE SHERMAN HOSPITAL. FORM SCHEDULE K, PART I (F) (CUSIP # 45203H4J8) PURPOSE OF BOND SERIES 2015 ISSUED 9/24/2015 THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED FOR THE PURPOSE OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP INCLUDING WITHOUT LIMITATION A BED TOWER AT ADVOCATE GOOD SAMARITAN HOSPITAL AND RENOVATIONS AT ADVOCATE CHRIST MEDICAL CENTER. FORM SCHEDULE K, PART I (F) (CUSIP # 45203H6T4) PURPOSE OF BOND SERIES 2015B ISSUED 10/22/2015 THE PROCEEDS OF THE SERIES 2015B BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING A PORTION OF THE SERIES 2010A, SERIES 2010B, SERIES 2010C AND SERIES 2010D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER. FORM SCHEDULE K, PART 1 (F) (CUSIP # 97712DP34) PURPOSE OF BOND SERIES 2018ABC ISSUED 8/16/2018 THE PROCEEDS OF THE SERIES 2018ABC BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFINANCING ALL OR A PORTION OF THE SERIES 2008A, SERIES 2008B, SERIES 2009A, SERIES 2010A, SERIES 2010B, SERIES 2012A, SERIES 2012B, SERIES 2012C, SERIES 2012D, SERIES 2013A AND SERIES 2015A BONDS PREVIOUSLY ISSUED BY THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY FOR THE BENEFIT OF AURORA HEALTH CARE, INC. FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS. FORM SCHEDULE K, PART II, LINE 3 FOR THOSE BOND ISSUES WHERE THE TOTAL PROCEEDS LISTED IN PART II, LINE 3 ARE NOT IDENTICAL TO THE ISSUE PRICE FOR THE RELATED BOND ISSUE SHOWN IN PART I, COLUMN (E), THE DIFFERENCE REPRESENTS INVESTMENT EARNINGS. SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES SERVICE CONTRACTS AND RESEARCH AGREEMENTS INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION. SCHEDULE K, PART III, LINES 4-6, CERTAIN BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. SCHEDULE K, PART III, LINE 7, ALL BOND ISSUES PRIVATE SECURITY AND PAYMENT TEST ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE COMPUTATION BOND SERIES 2003, CUSIP # 45200PXH5 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2018. BOND SERIES 2008A-1, CUSIP # 45200FED7 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-2, CUSIP # 45200FEE5 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-3, CUSIP # 45200FEF2 THE REBATE COMPUTATION WAS PERFORMED AS OF MAY 1, 2017. BOND SERIES 2008C, CUSIP # 45200FAZ2 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2017. BOND SERIES 2010, CUSIP # 45200FK65 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 6, 2015. BOND SERIES 2011A-1, CUSIP # 45203HCM2 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2011A-2, 2011BCD CUSIP # 45203HCA8 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2012, CUSIP # 45203HNJ7 THE REBATE COMPUTATION WAS PERFORMED AS OF NOVEMBER 29, 2017. BOND SERIES 2013A, CUSIP # 45203HUC4 THE REBATE COMPUTATION WAS PERFORMED AS OF AUGUST 8, 2018. SCHEDULE K, PART IV, LINE 4B SWAP PROVIDERS ON DECEMBER 28, 2011 THE ORIGINAL SWAP RELATING TO THESE BONDS WITH CITIBANK N.A. WAS SEPARATED INTO TWO TRANCHES AND NOVATED (ASSIGNED TO) TWO SEPARATE SWAP COUNTERPARTIES, WELLS FARGO BANK, N.A. AND PNC BANK, NATIONAL ASSOCIATION. A ILLINOIS FINANCE AUTHORITY 861091967 45200FAZ2 2007-10-10 348300000 SEE SCHEDULE K PART VI 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45200FK65 2010-01-06 243746239 SEE SCHEDULE K PART VI 1 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45203HCM2 2011-09-21 12453367 SEE SCHEDULE K PART VI 0 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45203HCA8 2011-09-21 201774238 SEE SCHEDULE K PART VI 0 0 0 A 27005000 352851959 2331125 154520722 192581505 2009 1 0 1 1 B 54255000 169025000 243841007 2992121 118008697 122840189 2012 1 0 1 1 C 10805000 12453367 130427 12322940 2011 1 0 1 1 D 202235524 1649390 200461255 124879 2013 0 0 1 1 A 0 1 1 0 0 0.00090 0.00090 0 1 0.01500 1 1 B 0 1 1 0 0 0 0 1 D 0 1 1 0 0 0.00010 0.00010 0 0 1 A 0 0 1 1 1 1 SEE PART VI 26.800000000000 0 0 1 TRINITY PLUS FUNDING 2.100000000000 1 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 A ILLINOIS FINANCE AUTHORITY 861091967 45203HNJ7 2012-11-29 150003863 SEE SCHEDULE K PART VI 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45203HUC4 2013-08-08 103136955 SEE SCHEDULE K PART VI 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45203HE40 2014-12-18 341558564 SEE SCHEDULE K PART VI 0 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45203H4J8 2015-09-24 104517375 SEE SCHEDULE K PART VI 0 0 0 A 150184694 1646514 148493974 44206 2014 0 0 1 1 B 6485000 103146877 1285192 101849526 12160 2015 0 0 1 1 C 353041187 2627651 350413536 2015 0 1 1 1 D 104528531 1436749 103068646 23136 2016 0 0 0 1 A 0 1 1 0 0 0 0 1 B 0 1 1 0 0 0.00030 0.00030 0 0 1 C 0 1 1 0 0 0.01180 0.01180 0 0 1 D 0 1 1 0 0 0.00020 0.00020 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A ILLINOIS FINANCE AUTHORITY 861091967 45203H6T4 2015-10-22 73276988 SEE SCHEDULE K PART VI 0 0 0 B WISCONSIN HEALTH & ED FACILI 391337855 97712DP34 2018-08-16 520918343 SEE SCHEDULE K PART VI 0 0 0 A 76683054 65840510 715867 10126677 2016 0 1 1 1 B 520918477 520892291 26186 2018 0 0 1 1 A 0 1 1 0 0 0 0 1 B 0 1 1 0 1 0 0.01200 0.01200 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 JULIE NAKIS FAMILY MEMBER - DOMINIC J. NAKIS 107926 EMPLOYMENT 0 MICHAEL MAHONEY FAMILY MEMBER - DOMINIC J. NAKIS 87302 EMPLOYMENT 0 ANNA KATZ FAMILY MEMBER - LEE SACKS 370146 EMPLOYMENT 0 JAMES RICHARDSON FAMILY MEMBER - MICHELE BAKER-RICHARDSON 40000 EMPLOYMENT 0 DANIEL DOHERTY FAMILY MEMBER - JAMES DAN, FORMER OFFICER 237071 EMPLOYMENT 0 IBEAWUCHI MBANU FAMILY MEMBER - TERIKA RICHARDSON 448380 EMPLOYMENT 0 KRISTINE ARIAS FAMILY MEMBER - JOHN TIMMER 13435 EMPLOYMENT 0 RAFAEL ARIAS FAMILY MEMBER - JOHN TIMMER 141443 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 1 BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEES' AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 OFFICER BUSINESS RELATIONSHIP AS JAMES DAN, M.D., VINCENT BUFALINO, M.D., GAIL D. HASBROUCK, EARL BARNES II, JAMES DOHENY, AND DOMINIC J. NAKIS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS DIRECTORS OF THE BOARD ARE CORPORATE MEMBERS OF ADVOCATE HEALTH AND HOSPITAL BOARD, WHICH ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE) TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C DESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS INTERESTED PERSONS). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT ADVOCATE HEALTH AND HOSPITAL CORPORATION IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVELS OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: -A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY. -ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION. -A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS. -AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND -ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEB SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CONTRIBUTIONS FROM SUBSIDIARIES 110,214,121. CONTRIBUTION FROM PARENT FASB 158 ADJUSTMENTS -75,497,807. ACL FIXED ASSET WRITEOFF -5,217,826. 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