CHENANGO MEMORIAL HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CHENANGO MEMORIAL HOSPITAL INC (EIN 15-0532180)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-09
- IRS object ID
- 201813139349303456
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-09T14:56:04-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150532180 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHEN | BusinessNameControlTxt |
| Phone | 6073374111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DRAKE LAMEN MD | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6073374111 | PhoneNum |
| Signature | 2018-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA M FRANCO | PreparerPersonNm |
| PTIN | P00589741 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2018-11-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.39.85.114 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-05 | IPDt |
| IP Tm | 12:14:04 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D099D794138F3BB4C0F509DA94FDCE5AD5515DDD | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 95BF4D66B926A32327CE7D91ADC759B9DBEEFFE9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DRAKE LAMEN MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $70,190,304 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NYUHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 587 | TotalEmployeeCnt |
| Total Volunteers | 102 | TotalVolunteersCnt |
| Total Gross UBI | $11,788 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $668,619 | PYContributionsGrantsAmt |
| CY Contributions Grants | $620,928 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $73,146,462 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $68,810,537 | CYProgramServiceRevenueAmt |
| PY Investment Income | $297,140 | PYInvestmentIncomeAmt |
| CY Investment Income | $365,474 | CYInvestmentIncomeAmt |
| PY Other Revenue | $548,220 | PYOtherRevenueAmt |
| CY Other Revenue | $381,153 | CYOtherRevenueAmt |
| PY Total Revenue | $74,660,441 | PYTotalRevenueAmt |
| CY Total Revenue | $70,178,092 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $33,858 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $27,920 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $27,471,714 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,346,045 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,603,886 | PYOtherExpensesAmt |
| CY Other Expenses | $41,384,570 | CYOtherExpensesAmt |
| PY Total Expenses | $73,109,458 | PYTotalExpensesAmt |
| CY Total Expenses | $71,758,535 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,550,983 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,580,443 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $44,055,973 | TotalAssetsBOYAmt |
| Total Assets EOY | $44,546,420 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,971,861 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,157,829 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,084,112 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,388,591 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,190,440 | ExpenseAmt |
| Revenue | $17,837,709 | RevenueAmt |
| Desc | INPATIENT, ACUTE AND LONG TERM SKILLED NURSING SERVICES- CHENANGO MEMORIAL HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE SERVICES AND LONG-TERM SKILLED NURSING CARE. CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, AND PEDIATRICS. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2017 WAS 4,261. DISCHARGES WERE 1,393, AND AVERAGE LENGTH OF STAY WAS 3.06 DAYS. LONG TERM SKILLED NURSING DAYS WERE 25,282. THERE WERE 248 BIRTHS AND 271 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2017. IN 2017, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 111 INDIVIDUALS FOR WHICH $147,747 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,063,716 | ExpenseAmt |
| Revenue | $41,202,683 | RevenueAmt |
| Desc | OUTPATIENT AND AMBULATORY SERVICES- CHENANGO MEMORIAL HOSPITAL ALSO PROVIDES A WIDE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING AND OTHER PROCEDURAL OUTPATIENT SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-ENDED 2017 WAS 180,892. INCLUDED IN THE 180,892 VISITS WERE 17,774 EMERGENCY ROOM VISITS, 665 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 2,981 VARIOUS OUTPATIENT SURGICAL CASES, AND 159,472 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2017 CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 2,879 INDIVIDUALS FOR WHICH $1,621,241 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,744,465 | ExpenseAmt |
| Revenue | $9,770,145 | RevenueAmt |
| Desc | CLINICS- CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. CMH OFFERS FIVE FAMILY HEALTH CENTERS LOCATED THROUGHOUT A MULTI-COUNTY SERVICE AREA: 1) NORWICH FAMILY HEALTH CENTER 2) INTERNAL MEDICINE 3) OXFORD FAMILY HEALTH CENTER 4) SHERBURNE FAMILY HEALTH CENTER AND 5) SIDNEY FAMILY HEALTH CENTER. OTHER OUTPATIENT SERVICES INCLUDE: DENTAL CLINIC, GERIATRICS, WOMEN'S HEALTH CENTER AND GENERAL SURGERY, ENT, HEART CENTER AND PAIN MANAGMENT CLINIC. TOTAL PATIENT VISITS FOR THE CMH CLINICS AT YEAR-ENDED 2017 WAS 77,571. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | $27,920 | GrantAmt |
| Revenue | $371,616 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Grant | $27,920 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $371,616 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $64,998,621 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 63 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 587 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAKE LAMEN MD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073374111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD ST | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| DRAKE LAMEN MD | |||||||||
| PRESIDENT/CEO/CMO | 57.00 | Yes (X) | Yes (X) | $360,309 | $0 | $46,075 | |||
| BRUCE S ERATH | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS C EMERSON | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT W NASSAR | |||||||||
| TRUSTEE | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW J SALANGER | |||||||||
| 2ND VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $2,121,709 | $42,439 | 55.00 | ||
| ERIC G LARSEN | |||||||||
| CHAIRMAN (1ST VICE CHAIR) | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN M KWASNIK | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KATHIE J DEIERLEIN | |||||||||
| PRESIDENT- AUXILLARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| AARON J VALENTINE | |||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE M SCARLETT | |||||||||
| 1ST VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RIC FESTARINI | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN M CARRIGG | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $621,591 | $35,703 | 55.00 | |||
| JAMES K O'BRIEN MD | |||||||||
| PRESIDENT OF MEDICAL STAFF | 57.00 | Yes (X) | Yes (X) | $445,377 | $0 | $58,033 | |||
| STEVEN PALMATIER | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROHAN JAYASENA | |||||||||
| PRESIDENT OF MEDICAL STAFF | 57.00 | Yes (X) | Yes (X) | $399,491 | $0 | $56,183 | |||
| DAVE MACDOUGALL | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $562,441 | $70,218 | 55.00 | |||
| PHYLLIS SHERIFF-WHITE | |||||||||
| VP OF MEDICAL STAFF | 57.00 | Yes (X) | Yes (X) | $299,082 | $0 | $48,939 | |||
| MARGARET SWARTWOOD | |||||||||
| CONTROLLER | 55.00 | Yes (X) | $153,341 | $0 | $32,613 | ||||
| RON CEROW | |||||||||
| ADMINISTRATOR | 55.00 | Yes (X) | $134,541 | $0 | $30,721 | ||||
| ANNE ENGLISH | |||||||||
| DIRECTOR OF HUMAN RESOURCE | 55.00 | Yes (X) | $126,793 | $0 | $29,768 | ||||
| WENDY SURDOVAL | |||||||||
| VP OF QUALITY MGMT | 55.00 | Yes (X) | $119,292 | $0 | $28,850 | ||||
| CHRISTINA KISACKY | |||||||||
| VP OF OPERATIONS | 55.00 | Yes (X) | $160,049 | $0 | $40,219 | ||||
| DAVID FINNEY | |||||||||
| VP, NURSING | 55.00 | Yes (X) | $0 | $156,777 | $39,920 | ||||
| BARBARA GRUCHALSKA | |||||||||
| DENTIST | 55.00 | $125,731 | $0 | $22,795 | Yes (X) | ||||
| YESU MATTA | |||||||||
| DOCTOR | 55.00 | $201,092 | $0 | $44,229 | Yes (X) | ||||
| TIMOTHY COREY | |||||||||
| DOCTOR | 55.00 | $329,671 | $0 | $57,130 | Yes (X) | ||||
| KEVIN B DECKER DDS | |||||||||
| FORMER PRES OF MEDICAL STA | 55.00 | $205,491 | $0 | $32,796 | Yes (X) | ||||
| JAMES R SIMCOE MD | |||||||||
| FORMER PRES OF MEDICAL STA | 55.00 | $232,197 | $0 | $46,111 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,292,457 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,462,518 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $762,742 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROTHALL HEALTHCARE | |||||
| 13028 COLLECTIONS CENTER | CHICAGO | IL | 60693 | HOUSEKEEPING SVCS | $1,055,021 |
| SECO PHYSICAL AND OCCUPATIONAL THERAPY | |||||
| PO BOX 1046 | NORWICH | NY | 13815 | THERAPY SVCS | $1,008,344 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | LOCUM SVCS | $421,897 |
| SYRACUSE TIME AND ALARM CO | |||||
| 2201 BURNET AVE | SYRACUSE | NY | 13206 | CONSTRUCTION SVCS | $179,708 |
| LOUIS N PICCIANO AND SON | |||||
| 320 N JENSEN ROAD PO BOX 448 | VESTAL | NY | 138510448 | CONSTRUCTION SVCS | $167,547 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 52 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $1,577 | MembershipDuesAmt |
| Fundraising | $10,752 | FundraisingAmt |
| Government Grants | $224,045 | GovernmentGrantsAmt |
| All Other Contributions | $384,554 | AllOtherContributionsAmt |
| Total Contributions | $620,928 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT AND AMBULATORY SERVICE | 623000 | $41,202,683 | $41,202,683 |
| INPATIENT, ACUTE AND LONG TERM SK | 623000 | $17,837,709 | $17,837,709 |
| CLINICS | 623000 | $9,770,145 | $9,770,145 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $68,810,537 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $363,223 | TotalRevenueColumnAmt |
| Exclusion | $363,223 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $24,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,212 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,788 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,788 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $11,788 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,251 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,251 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,251 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,251 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $10,752 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER OPERATING REVENUE | 623000 | $196,667 | $196,667 |
| MEANINGFUL USE FUNDS | 623000 | $157,550 | $157,550 |
| CAFETERIA REVENUE | 623000 | $15,148 | $15,148 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $369,365 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,178,092 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $69,182,153 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,788 | UnrelatedBusinessRevenueAmt |
| Exclusion | $363,223 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,500 | TotalAmt |
| Program Services | $25,500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,420 | TotalAmt |
| Program Services | $2,420 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,766,374 | TotalAmt |
| Program Services | $2,766,374 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,025,036 | TotalAmt |
| Program Services | $17,468,508 | ProgramServicesAmt |
| Management And General | $2,556,528 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,344,898 | TotalAmt |
| Program Services | $1,941,934 | ProgramServicesAmt |
| Management And General | $402,964 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,668,609 | TotalAmt |
| Program Services | $3,108,642 | ProgramServicesAmt |
| Management And General | $559,967 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,541,128 | TotalAmt |
| Program Services | $1,340,781 | ProgramServicesAmt |
| Management And General | $200,347 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $755,444 | TotalAmt |
| Management And General | $755,444 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,301 | TotalAmt |
| Management And General | $54,301 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,536 | TotalAmt |
| Management And General | $82,536 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,292 | TotalAmt |
| Management And General | $12,292 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,593,112 | TotalAmt |
| Program Services | $13,593,112 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,091 | TotalAmt |
| Program Services | $30 | ProgramServicesAmt |
| Management And General | $7,061 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,925 | TotalAmt |
| Program Services | $144,768 | ProgramServicesAmt |
| Management And General | $179,157 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,514 | TotalAmt |
| Program Services | $152,471 | ProgramServicesAmt |
| Management And General | $3,043 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,122,276 | TotalAmt |
| Program Services | $938,438 | ProgramServicesAmt |
| Management And General | $183,838 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,970 | TotalAmt |
| Program Services | $48,847 | ProgramServicesAmt |
| Management And General | $33,123 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,611 | TotalAmt |
| Program Services | $302,611 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,730,663 | TotalAmt |
| Program Services | $2,730,663 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,830 | TotalAmt |
| Program Services | $523,830 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $15,988,107 | $14,546,066 | $1,442,041 |
| BAD DEBTS | $3,107,610 | $3,107,610 | |
| NEW YORK STATE CASH REC | $544,355 | $544,355 | |
| MISCELLANEOUS AUXILLARY | $11,905 | $11,905 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,987,028 | TotalAmt |
| Program Services | $1,699,756 | ProgramServicesAmt |
| Management And General | $287,272 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,758,535 | TotalAmt |
| Program Services | $64,998,621 | ProgramServicesAmt |
| Management And General | $6,759,914 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,534,380 | BOYAmt |
| EOY | $9,368,290 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,586,742 | BOYAmt |
| EOY | $7,014,144 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,945,070 | BOYAmt |
| EOY | $6,349,218 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,035 | BOYAmt |
| EOY | $350,815 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,097,051 | BOYAmt |
| EOY | $440,970 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $67,736,392 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $52,441,296 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,203,345 | BOYAmt |
| EOY | $15,295,096 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,386 | BOYAmt |
| EOY | $122,970 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,136,964 | BOYAmt |
| EOY | $5,604,917 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,055,973 | BOYAmt |
| EOY | $44,546,420 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,900,408 | BOYAmt |
| EOY | $5,632,752 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,155,170 | BOYAmt |
| EOY | $3,674,907 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,916,283 | BOYAmt |
| EOY | $24,850,170 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,971,861 | BOYAmt |
| EOY | $34,157,829 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,689,377 | BOYAmt |
| EOY | $2,777,245 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $807,993 | BOYAmt |
| EOY | $597,202 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,586,742 | BOYAmt |
| EOY | $7,014,144 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,084,112 | BOYAmt |
| EOY | $10,388,591 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,055,973 | BOYAmt |
| EOY | $44,546,420 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,580,443 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $11,584 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,873,338 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $12,292 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,292 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMOUNT DISCLOSED ARE THE LOBBYING PORTION OF DUES PAID TO HEALTHCARE ASSOCIATION OF NY AND IROQUOIS HEALTHCARE. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,394,735 | BeginningYearBalanceAmt |
| Contributions | $596,045 | ContributionsAmt |
| Investment Earnings Or Losses | $429,683 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $809,117 | OtherExpendituresAmt |
| End Year Balance | $7,611,346 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,965,521 | BeginningYearBalanceAmt |
| Contributions | $628,485 | ContributionsAmt |
| Investment Earnings Or Losses | $182,234 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $381,505 | OtherExpendituresAmt |
| End Year Balance | $7,394,735 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,323,240 | BeginningYearBalanceAmt |
| Contributions | $683,410 | ContributionsAmt |
| Investment Earnings Or Losses | -$572,769 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $468,360 | OtherExpendituresAmt |
| End Year Balance | $6,965,521 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,565,583 | BeginningYearBalanceAmt |
| Contributions | $653,567 | ContributionsAmt |
| Investment Earnings Or Losses | -$163,148 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $732,762 | OtherExpendituresAmt |
| End Year Balance | $7,323,240 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,182,868 | BeginningYearBalanceAmt |
| Contributions | $589,327 | ContributionsAmt |
| Investment Earnings Or Losses | $690,743 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $897,355 | OtherExpendituresAmt |
| End Year Balance | $7,565,583 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.92150 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.07850 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $195,653 | OtherCostOrOtherBasisAmt |
| Book Value | $195,653 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,858,776 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,121,690 | DepreciationAmt |
| Book Value | $7,737,086 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,868,193 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,416,945 | DepreciationAmt |
| Book Value | $451,248 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,588,883 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,902,661 | DepreciationAmt |
| Book Value | $6,686,222 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $224,887 | OtherCostOrOtherBasisAmt |
| Book Value | $224,887 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,295,096 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN CMH FOUNDATION | $4,371,317 |
| ASSETS LIMITED TO USE- RESTRICTED CASH FOR EQUIPMENT | $522,861 |
| OTHER ASSETS | $710,739 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,604,917 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYORS | $3,803,988 |
| DUE TO AFFILIATES | $1,880,460 |
| LONG TERM PENSION LIABILITY | $16,372,937 |
| CAPITAL LEASE OBLIGATIONS | $1,383,816 |
| OTHER LIABILITIES | $1,408,969 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,850,170 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $70,153,415 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $70,153,415 | RevenueSubtotalAmt |
| Other Revenues Not Included | $24,677 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $24,677 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $70,178,092 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $71,729,993 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $71,729,993 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $28,542 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $28,542 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $71,758,535 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INTENDED USE OF ENDOWMENT FUNDS IS A COMBINATION OF DESIGNATED SPECIAL PURPOSES AND GENERAL USE BY THE HOSPITAL. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2017 AND 2016, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2014 THROUGH 2017. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY INCOME 36,889. RENTAL INCOME EXPENSES RECON -12,212. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY EXPENSES 40,754. RENTAL INCOME EXPENSES RECON -12,212. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $719,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $719,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,569,243 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,070,229 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,499,014 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05100 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,288,243 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,070,229 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,218,014 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $124,036 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $124,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,597 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,595,498 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,184,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,410,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03510 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,762,131 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,185,720 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,576,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03750 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,050,374 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,255,949 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,794,425 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09900 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,682 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,682 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,264 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,264 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,718 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $469,411 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $469,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $486,075 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $486,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,107,610 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $846,247 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,034,036 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,984,735 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,950,699 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP:WWW.NYUHS.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SOLE COMMUNITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHENANGO MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.NYUHS.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.NYUHS.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.NYUHS.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.NYUHS.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 5: PULLING OUR COMMUNITY STAKEHOLDERS AROUND THE TABLE TO DISCUSS COMMUNITY NEEDS AND ADDED INITIATIVES WAS EASILY INCORPORATED INTO THE FREQUENT COLLABORATIVE ACTIVITIES ALREADY UNDERWAY IN CHENANGO COUNTY. ON DECEMBER 3, 2015 THE LOCAL RURAL HEALTH NETWORK, CHENANGO HEALTH NETWORK (CHN) HOSTED A WORKSHOP FOR A GROUP OF COMMUNITY STAKEHOLDERS. THE GROUP CAME TOGETHER TO DISCUSS THE DEVELOPMENT OF A NEW COMMUNITY HEALTH ASSESSMENT AND THE LHD'S PLAN TO CREATE A DOCUMENT THAT WOULD BE USEFUL TO ANY COMMUNITY PARTNERS MAKING PROGRAM DECISIONS. IN PREPARATION FOR THE WORKSHOP,THE POPULATION HEALTH IMPROVEMENT COORDINATOR EMPLOYED BY CHENANGO HEALTH NETWORK, DID EXTENSIVE RESEARCH IN THE COMMUNITY TO DETERMINE AWARENESS AND GATHER FEEDBACK REGARDING LOCAL SERVICES. THIS WORK CONSISTED OF FOCUS GROUPS, ON-SITE ASSESSMENTS, SURVEYS AND INTERVIEWS WITH COMMUNITY AGENCIES, ETC.AGENCIES REPRESENTED AT THE WORKSHOP WERE:- UHS CHENANGO MEMORIAL HOSPITAL- FAMILY PLANNING OF CENTRAL NEW YORK- CHENANGO COUNTY MENTAL HYGIENE & BEHAVIORAL HEALTH SERVICES- CHENANGO COUNTY HOSPICE AND PALLIATIVE CARE SERVICES- CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES- CHENANGO COUNTY AREA AGENCY ON AGING- POPULATION HEALTH IMPROVEMENT PROGRAM- CHENANGO HEALTH NETWORK- CHENANGO COUNTY DEPARTMENT OF PUBLIC HEALTH- CHENANGO COUNTY CATHOLIC CHARITIES (WRITTEN FEEDBACK ONLY)THE COMMON REQUEST WAS TO PRODUCE A DOCUMENT THAT WOULD CONNECT THE DOTS IN REGARD TO THE DATA THAT HAD BEEN GATHERED. BECAUSE CHENANGO COUNTY HAD BEEN IDENTIFIED AS #1 IN OBESITY IN NEW YORK STATE (38.9% OF ADULTS ACCORDING TO THE NYS PREVENTION AGENDA), THE GROUP AGREED THIS WAS A PRIORITY HEALTH CONCERN AND DECIDED TO DEVELOP AN INITIATIVE TO ADDRESS OBESITY. A DISCUSSION AROUND THE FACT THAT CHENANGO COUNTY IS AN AGING POPULATION RESULTED IN AN AGREEMENT THAT FALL PREVENTION STRATEGIES WOULD BE AN AREA TO ADDRESS ESPECIALLY WITH THE DSRIP FOCUS OF REDUCING ER USE AND HOSPITALIZATIONS. DISCUSSION ALSO INCLUDED SUCH TOPICS AS DEVELOPING OUR DATA COLLECTION AROUND DRUG ADDICTED BABIES, THE RISE IN CHILD ABUSE RATES, LACK OF TRANSPORTATION OPTIONS, AGING POPULATION AND THEIR NEEDS, FOOD AVAILABILITY, THE FACT THAT A THIRD OF THE COUNTY POPULATION IS DEVELOPMENTALLY IMPAIRED AND WHAT THAT POPULATION'S NEEDS ARE, ADEQUATE CHOICES TO SUPPORT HEALTHY LIVING SUCH AS EMPLOYMENT OPTIONS, FOOD, HOUSING, HEALTH CARE PROVIDERS, AND THE HEROIN EPIDEMIC.DATA REVIEW INCLUDED MATERIAL FROM THE NYS DOH PREVENTION DASHBOARD, MOTHERS & BABIES PERINATAL NETWORK REPORTS, COMMUNITY FOUNDATION FOR SOUTH CENTRAL OF NEW YORK, DSRIP COMMUNITY NEEDS ASSESSMENT, UHS CENSUS AND COMMUNITY SURVEYS AND INTERVIEWS.ALL OF THESE ORGANIZATIONS ASSIST THE MEDICALLY UNDERSERVED, LOW INCOME, AND AGED POPULATIONS THAT ARE DETAILED IN LINE 4 OF PART VI SUPPLEMENTAL INFORMATION. |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 6B: CHENANGO COUNTY DEPARTMENT OF HEALTHCHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICESCHENANGO COUNTY AREA AGENCY ON AGINGCHENANGO COUNTY HOSPICE & PALLIATIVE CARE SERVICESCHENANGO HEALTH NETWORKOPPORTUNITIES FOR CHENANGO - WIC AND HEADSTART PROGRAMSUNITED HEALTH SERVICES (UHS)CHENANGO COUNTY CATHOLIC CHARITIESCHENANGO COUNTY MENTAL HYGIENE/DRUG & ALCOHOLMOTHERS & BABIES PERINATAL NETWORK |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 11: THE MAJORITY OF 2016 WAS SPENT RESEARCHING THE NEEDS OF THE COMMUNITY, IDENTIFYING THE INITIATIVES THAT WOULD HAVE THE GREATEST IMPACT WITH AVAILABLE RESOURCES, AUTHORING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2016-2018, AND BEGINNING WORK ON THE IDENTIFIED INITIATIVES IN COLLABORATION WITH THE LHD. THIS INCLUDED ATTENDING THE NYS DOH'S CONFERENCE "CHNA/CSP PREVENTION AGENDA: TRANSLATING DATA INTO ACTION" CONDUCTED IN COLLABORATION WITH HEALTHCARE ASSOCIATES OF NEW YORK STATE. THE COMPLETED CHNA WAS FIRST PRESENTED TO THE PLANNING COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS FOR APPROVAL IN NOVEMBER 2016. IT WAS THEN PRESENTED TO THE HOSPITAL'S BOARD OF DIRECTORS IN DECEMBER 2016 FOR FINAL APPROVAL BY RESOLUTION. INITIATIVE #1PREVENT CHRONIC DISEASE - REDUCE OBESITY IN CHILDREN; REDUCE OBESITY IN ADULTSSTRATEGY OBJECTIVE: REDUCE THE PERCENTAGE OF CHILDREN AND ADOLESCENTS WHO ARE OBESE BY 5% SO THE PERCENTAGE OF PUBLIC SCHOOL CHILDREN IN NEW YORK STATE (OUTSIDE NYC) WHO ARE OBESE IS REDUCED FROM 17.6% (2010-12) TO 16.7%.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMS. - PROMOTE EVIDENCE-BASED CARE.- EXPAND THE ROLE OF HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION.- INCREASE HEALTHY BEHAVIORS IN THE COMMUNITY.- INCREASE ACCESS AND UTILIZATION OF COMMUNITY HEALTH AND WELLNESS RESOURCES.- DECREASE COUNTY WIDE OBESITY.- CREATE A CULTURE OF HEALTH AMONGST PARTICIPANTS.- CREATE COMMUNITY ENVIRONMENTS THAT PROMOTE AND SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES AND PHYSICAL ACTIVITY.TACTICS- IMPLEMENT UHS STAY HEALTHY KIDS PROGRAM IN NORWICH AND SIDNEY.- OUTREACH TO PHYSICIAN GROUPS EVERY 6 MONTHS AND AS NEEDED.- EDUCATE FAMILIES ON AREAS AVAILABLE TO PROMOTE PHYSICAL ACTIVITY (PARKS, WALK TRAILS, BIKE TRAILS, CAMPING).- VISIT SCHOOL NURSES TO EDUCATE REGARDING PROGRAM AND THE REFERRAL PROCESS.- PROVIDE PROGRAM OUTREACH TO SCHOOL NURSES IN THE 9 SCHOOL DISTRICTS AT THE ANNUAL SPRING FEVER TRAINING PUT ON BY THE CHENANGO DOH.- UTILIZE TRADITIONAL AND SOCIAL MEDIA PLATFORMS TO RAISE AWARENESS OF THE PROBLEM.- DEVELOP AND EXECUTE 14-WEEK MEDIA CALENDAR TO ADVERTISE COALITION EFFORTS AND PROMOTE AGENDA.- INSTALLATION OF 18 FITNESS STATIONS IN A CENTRAL PUBLIC LOCATION THAT IS EASILY ACCESSIBLE TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THE DEMOGRAPHIC OR PHYSICAL ABILITY LEVEL.- SEEK COMMUNITY SUPPORT TO LAUNCH PROJECT. SIMILAR INSTALLATIONS HAVE SHOWN TO INCREASE PARTICIPATION.- SPONSOR, SUPPORT AND FACILITATE A 1-2 WEEK FITNESS COMPETITION WHERE GROUPS OF 4-8 PEOPLE WORK TOGETHER TO EARN POINTS BY COMPLETING FITNESS AND NUTRITION CHALLENGES. AT THE END OF THE CAMPAIGN, THE TEAM(S) WITH THE MOST POINTS WILL BE AWARDED A CASH PRIZE TO BE GIVEN TO THE LOCAL CHARITY OF CHOICE.GOALS AND PERFORMANCE MEASURES- PARTNERED WITH UHS STAY HEALTHY KIDS TO CONDUCT THE 8-SESSION STAY HEALTHY KIDS PROGRAM. THREE (3) RN'S WERE TRAINED TO CONDUCT THESE SESSIONS - 2 FROM THE LHD AND 1 FROM CMH.- IN THE SPRING OF 2017, THE LHD OUTREACHED TO 8 NON-CMH PROVIDERS.- PRESENTED THE PROGRAM DURING 2 PROVIDER MEETINGS HELD AT CMH.- EIGHT (8) SCHOOL DISTRICTS RECEIVED INFORMATION WHICH INCLUDED 2 SCHOOL-BASED CLINICS (SHERBURNE-EARLVILLE AND UNADILLA VALLEY) AND 17 INDIVIDUAL SCHOOLS THROUGHOUT THE COUNTY (ELEMENTARY, MIDDLE SCHOOL, AND HIGH SCHOOL).- THE LHD INCLUDED THE UHS STAY HEALTHY PROGRAM AT THEIR ANNUAL SPRING FEVER TRAINING EVENT FOR PROFESSIONALS AND PARTNER AGENCIES. COMMUNITY PARTNERS INCLUDED WIC, HEADSTART, SCHOOL NURSES, PROVIDERS, AND OFFICE STAFF.- THE LHD STAFF REACHED OUT TO SCHOOL NURSES IN THE SPRING AND FALL OF 2017 TO PROMOTE AND ENCOURAGE REFERRALS.- PROGRAM WAS LAUNCHED IN NORWICH IN SEPTEMBER 2016 AND IN SIDNEY IN MARCH 2017. ALL PEDIATRIC OFFICES WERE INSERVICED ON THE STAY HEALTHY KIDS PROGRAM.- 224 CHILDREN WERE REFERRED TO THE PROGRAM PRIMARILY FROM CMH PROVIDERS; 73 FAMILIES RESPONDED TO ENROLLMENT CALLS; 17 CHILDREN COMPLETED THE PROGRAM.- THE LOCAL YMCA PARTNERED WITH THE PROGRAM AND OFFERED 10-WEEK FAMILY MEMBERSHIPS TO GRADUATES OF THE STAY HEALTHY KIDS PROGRAM.- NEARLY ALL PARTICIPANTS COMPLETED SURVEYS. PARTICIPANTS (BOTH PARENTS AND CHILDREN) INDICATED THAT THEY WERE GLAD THEY ATTENDED AND THAT THEY LEARNED A LOT. IN GENERAL, THEY ENJOYED THE CLASSES AND SOME OF THEM TOOK ADVANTAGE OF THE FREE YMCA MEMBERSHIP THAT WAS OFFERED TO THE FAMILIES.- OTHER LOCAL PARTNERS INCLUDED ST. LUKE'S LUTHERAN CHURCH IN SIDNEY, CHENANGO UNITED WAY, CITY OF NORWICH, CHENANGO HEALTH NETWORK, AND FRIENDS OF ROGERS.- AN 18-STATION FITNESS PATH WAS INSTALLED IN THE LOCAL PARK ACCOMPANIED BY PROMOTION AND ADVERTISEMENT. THE FITNESS PATH WAS SPONSORED BY CHOBANI.- THE 2017 CHOBANI HEALTH CHALLENGE WAS HELD FOR THE SECOND YEAR. THIRTY-NINE (39) TEAMS INCLUDING 183 INDIVIDUALS REGISTERED AND 35 TEAMS AND OVER 160 PEOPLE COMPLETED THE 12-WEEK CHALLENGE.- TEAMS COMPETED FOR DOZENS OF LOCAL CHARITY GROUPS AND $3,275 WAS DISTRIBUTED TO 10 DIFFERENT CHARITIES. - ESTABLISHED THE HEALTHY COMMUNITY COALITION CONSISTING OF THE CHENANGO UNITED WAY, CITY OF NORWICH, CHOBANI, CHENANGO HEALTH NETWORK, ROGERS CENTER, AND YMCA.- THE "BUILDING A HEALTHY COMMUNITY" FACEBOOK PAGE HAD A REACH IN 2017 OF 25,543, A SHARP INCREASE FROM A YEAR BEFORE. CHALLENGE PARTICIPANT USE OF THE PAGE AND SHARING CONTENT CAN BE CREDITED WITH A LARGE AMOUNT OF OUR GROWTH.STRENGTHS- THE LHD PROVIDED 1:1 EDUCATION FOR FAMILIES WITH SPECIAL NEEDS THAT WOULD NOT BE SUCCESSFUL IN A CLASSROOM ENVIRONMENT.- ENTHUSIASTIC, PASSIONATE TRAINERS.- SCHOOL NURSES WERE ABLE TO TARGET PARENTS THROUGH MAILINGS AND HANDOUTS.- AN EASY TRACKING SYSTEM.- STRONG PARTNERSHIP WITH THE NORWICH YMCA. THIS PROGRAM DOVETAILED WITH THEIR MISSION AS WELL. YMCA PROVIDED A NEUTRAL SPACE TO MEET. THIS AVOIDED THE STIGMA OF THE "FAT KIDS CLUB."- CMH PEDIATRICIANS HAD DIRECT ACCESS TO PATIENTS AND FAMILIES THAT WOULD BENEFIT FROM THE PROGRAM.- THE FIT-PATH PROGRAM HAD COMMUNITY BUY-IN AND THERE WERE TANGIBLE SUCCESSES.CHALLENGES- SCHOOLS SEE THE TOPIC OF OBESITY AS AN ISSUE THAT SHOULD BE ADDRESSED AT THE PROVIDER LEVEL IN ORDER FOR PARENTS TO BEGIN TO ACKNOWLEDGE THERE IS A PROBLEM. THEREFORE, THERE WAS POOR PARENTAL BUY-IN AND SCHOOL FOLLOW-THROUGH.- ALTHOUGH THE INITIAL REACTION OF ATTENDEES AT THE SPRING FEVER EVENT WAS POSITIVE, IT DID NOT RESULT IN ANY REFERRALS.- CMH AND INDEPENDENT PROVIDERS ALREADY HAVE SO MANY OTHER REQUIREMENTS TO ACCOMPLISH WHEN THEY HAVE THE FAMILY IN THE OFFICE. NO SHOW RATES ARE HIGH AMONG THE SOCIO-ECONOMIC DISPARITY.- FOR THOSE FAMILIES WHERE THE CHILD'S WEIGHT AND THE STAY HEALTHY PROGRAM WERE DISCUSSED, PROVIDERS DID NOT GET PARENTAL BUY-IN. ALTHOUGH PARENTS WERE INTERESTED IN HELPING THEIR CHILD, THEY WERE NO LONGER INTERESTED WHEN THEY REALIZED THEY THEMSELVES WOULD NEED TO CHANGE AND TAKE RESPONSIBILITY FOR THE DIET OF THE FAMILY. THE CHILD CANNOT ACCOMPLISH WEIGHT LOSS AND A HEALTHY LIFESTYLE WITHOUT PARENTAL SUPPORT.- PARENTS WOULD EXPRESS INTEREST IN THE PROGRAM SO THEY COULD GET OUT OF THE PROVIDER'S OFFICE. THE PROVIDER WOULD MAKE THE REFERRAL BUT FOLLOW-UP CALLS TO THE PARENTS EITHER WENT UNANSWERED, MESSAGES WEREN'T RETURNED, AND/OR THEY WERE NO LONGER INTERESTED.- IN THE INSTANCES WHEN FAMILIES DID ENROLL, MANY JUST DIDN'T SHOW UP DESPITE MULTIPLE REMINDER CALLS. OTHERS HAD CONFLICTS WITH SPORTS AND/OR CUSTODY ARRANGEMENTS WITH THE OTHER PARENT.- LACK OF AGREEMENT USING BMI AS CLINICAL EVIDENCE OF SUCCESS.- LOW ENTHUSIASM BY PROVIDERS TO APPROACH FAMILIES OR INDIVIDUALS ABOUT THIS ISSUE WHILE THEY'RE IN THE OFFICE.- RETENTION AND RECRUITMENT OF HEALTHY COMMUNITY COALITION MEMBERS. THE GROUP HAS HIT A LULL AFTER EXCITING SUCCESS IN YEAR 1 AND 2. A TRANSITIONAL PROJECT IS NEEDED TO RE-ENERGIZE PARTNERS.- CREATE NEW CHALLENGES FOR PARTICIPANTS IN THE CHOBANI CHALLENGE WHO ARE LARGELY WORKING ADULTS.- THE PROGRAM NEEDS TO DEVELOP A STRATEGY TO INCREASE INVOLVEMENT OF LOW SES INDIVIDUALS.OBESITY IS A SOCIO-POLITICAL PROBLEM THAT WE'RE TRYING TO ADDRESS MEDICALLY. IT'S A 1-DIMENSIONAL APPROACH. NO ONE, SCHOOL NURSES AND PROVIDERS ALIKE, WANTS TO BROACH THE SUBJECT OF OBESITY WITH PATIENTS AND FAMILIES. IT'S A SENSITIVE TOPIC. THE FASTEST WAY TO IMPROVE OBESITY RATES IS AN OVERARCHING APPROACH BY THE STATE DOH. CAMPAIGNS SIMILAR TO THOSE FOR SMOKING CESSATION AND COLONOSCOPIES ARE CRITICAL TO SUCCESS IN REDUCING OBESITY RATES. AWARENESS IS EVERYTHING AND CAN OPEN UP CONVERSATIONS WITH PROVIDERS.** CONTINUED SCHEDULE H PART V SECTION C SUPPLEMENTAL INFORMATION |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. |
| PART V, SECTION B, LINE 11 CONTINUED | SINCE THIS IS A STATE AND NATION-WIDE PROBLEM, GOVERNMENT INTERVENTION IS NECESSARY TO TRULY MAKE A DIFFERENCE. IN THE ARTICLE, "THE NEW WAR ON OBESITY" THAT APPEARED IN THE OCTOBER 2017 EDITION OF CONSUMER REPORTS, THE FOLLOWING QUOTE SUMS UP WHAT NEEDS TO HAPPEN, " 'IT'S IMPORTANT TO REMEMBER THAT IN PUBLIC HEALTH, THERE IS VERY RARELY A SINGLE INTERVENTION THAT WORKS,' CAUTIONS JIM O'HARA OF THE CENTER FOR SCIENCE IN THE PUBLIC INTEREST, WHICH, ALONG WITH THE WHO, STRONGLY ENDORSES SUGAR-SWEETENED-BEVERAGE TAXES IN COMBINATION WITH OTHER MEASURE TO REDUCE CONSUMPTION AND PREVENT OBESITY FOR ADULTS, AND ESPECIALLY, CHILDREN. 'THERE HAS TO BE A MULTIFACETED APPROACH: EDUCATION, POLICY, TAXES AND INDUSTRY BEHAVIOR,' O'HARA SAYS."THE STAY HEALTHY KIDS PROGRAM WAS DISCONTINUED IN DECEMBER 2017.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES- ESTABLISH A COALITION OF COMMUNITY PARTNERS TO DEFINE NYS PA INITIATIVES FOR THE NEXT NEEDS ASSESSMENT AND CONTINUE TO ENLIST THEIR EXPERTISE LONG-TERM. THIS EFFORT MAY INVOLVE FURTHER WORK AROUND OBESITY.- BEGINNING JAN 2018, ASK STAKEHOLDERS TO COME BACK AROUND THE TABLE TO REALIGN OUR IMPROVEMENT PLAN ACTIVITIES. IT HAS BECOME EVIDENT THAT WE NEED TO STRENGTHEN INFRASTRUCTURE ACROSS SYSTEMS BEFORE WE CAN BEGIN TO IMPACT CHANGE AROUND THIS ISSUE. THE GOAL IS TO INVOLVE PARTNERS AND BETTER ALIGN OUR ACTIVITIES WITH THE PREVENTION AGENDA GOALS: CREATING A COMMUNITY ENVIRONMENT THAT PROMOTES AND SUPPORTS HEALTHY FOOD AND BEVERAGE CHOICES AND RECREATIONAL WATER; PREVENT CHILDHOOD OBESITY THROUGH EARLY CHILD CARE AND SCHOOLS, EXPAND THE ROLE OF HEALTH CARE AND HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION AND EXPAND THE ROLE OF HEALTH CARE AND HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION; AND EXPAND THE ROLE OF PUBLIC AND PRIVATE EMPLOYERS IN OBESITY PREVENTION.- WE WILL MOST LIKELY CONTINUE THIS FOCUS THROUGH THE 2019-2021 IMPROVEMENT TIMEFRAME. WE WILL LOOK TO FOLD THE BREASTFEEDING WORK INTO THIS ONE INITIATIVE. THIS WILL DEPEND ON THE COALITION CONSENSUS.- IMPLEMENT 1:1 PROGRAM WITH SCHOOL NURSES.- DEVELOP A FITNESS PATH AND INCLUDE ITS USAGE AS A MANDATORY ACTIVITY IN THE CHOBANI HEALTH CHALLENGE.- PROVIDE INFORMATION ABOUT FIT-PATH USAGE AND LOCAL HEALTH AND FITNESS OUTLETS INCLUDING PROVIDERS, PHYSICAL EDUCATION TEACHERS AND GYMS.- MARKET THE CHALLENGE TO NEW PARTICIPANT GROUPS WITH INCREASED FOCUS ON LOW SES POPULATIONS.- INCREASE AWARENESS OF THE PROGRAM. BY YEAR END 2018, INTRODUCE FITPATH TO AT LEAST 25 HEALTH AND/OR FITNESS OUTLETS.INITIATIVE #2PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN -- BREASTFEEDINGSTRATEGY OBJECTIVE: INCREASE THE PERCENTAGE OF INFANTS EXCLUSIVELY BREASTFED IN THE HOSPITAL BY 10% TO 48.1%.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- INCREASE THE NUMBER OF INFANTS BEING BREASTFED AT 3 MOS TO 46.2% TO MEET THE HEALTHY PEOPLE 2020 GOALS. INCREASE THE NUMBER OF INFANTS BEING BREASTFED AT 6 MOS TO 25.5% TO MEET THE HEALTHY PEOPLE 2020 GOALS.- INCREASE THE GENERAL BREASTFEEDING RATE POST-DISCHARGE TO 81.9% TO MEET HEALTHY PEOPLE 2020 GOALS.- INCREASE THE PROPORTION OF EMPLOYERS THAT HAVE WORKSITE LACTATION SUPPORT PROGRAMS.- CONTINUE PUBLIC HEALTH DETAILING TO IMPROVE THE HEALTH OF OUR ANTEPARTUM POPULATION. CONTINUE TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF LOCAL SERVICE NETWORKS AND COORDINATION STRATEGIES TO ENSURE THAT WOMEN WITH IDENTIFIED RISK FACTORS ARE LINKED TO COMMUNITY RESOURCES.TACTICS- PROVIDE CLC SUPPORT TO NEW BREASTFEEDING MOMS IN THE OFFICE SETTING.- SUSTAINMENT OF THE BREASTFEEDING COALITION. CONTINUATION OF THE BABY NOOK SERVICES.- INCREASE THE NUMBER OF CLC'S IN CHENANGO COUNTY.- INTEGRATE BREASTFEEDING PROMOTION MESSAGES AND INFORMATION ON SUPPORTIVE RESOURCES INTO OTHER EDUCATIONAL CAMPAIGNS TARGETING PREGNANT WOMEN AND MOTHERS.- APPROACH 5 NEW EMPLOYERS TO ASSIST WITH BECOMING BREASTFEEDING FRIENDLY WORKSITES.GOALS AND PERFORMANCE MEASURES- THE HOSPITAL DEVELOPED A PROCESS FOR MEASURING BREASTFEEDING RATES BY PULLING INFORMATION FROM THE HOSPITAL'S EMR. (SEE REPORT ATTACHED.)- VISITED 15 PROVIDER OFFICES TO PROMOTE BREASTFEEDING BEST PRACTICES AND PROVIDE MAGNETIC REFERRAL GUIDANCE TOOL FOR CLC SUPPORT.- THE LHD REACHED OUT TO 30 STAFF DURING PROVIDER OFFICE VISITS TO CMH AND ELSEWHERE.- LHD PROVIDED 2 MAILINGS, QUARTERLY NEWSLETTERS, WORLD BREASTFEEDING MATERIALS, AND AN EMAIL CONTAINING BREASTFEEDING GRAND ROUNDS INFORMATION TO NON-CMH PROVIDERS.- THE LHD INTEGRATED BREASTFEEDING PROMOTION INTO EDUCATIONAL ACTIVITIES THAT INCLUDED PREGNANT WOMEN SUCH AS MUSIC IN THE PARK, WORLD BREASTFEEDING WEEK, DAIRY DAYS, AND THE CHENANGO COUNTY FAIR.- THE LHD INCLUDED BREASTFEEDING MESSAGING IN 2 PROVIDER MAILINGS, SOCIAL MEDIA, WEBSITE AND DISPLAYS IN BUSINESSES AND DEPARTMENTS IN THE COUNTY OFFICE BUILDING.- 37 MOMS RECEIVED 1:1 BREASTFEEDING SUPPORT FROM A CLC IN CMH'S SIDNEY OFFICE THROUGH OCTOBER. THIS WAS A JOINT EFFORT OF CLC'S FROM BOTH CHENANGO AND DELAWARE COUNTY BREASTFEEDING COALITIONS. 73% COUNSELLED WERE FROM CHENANGO COUNTY.- CMH COORDINATED MONTHLY STAFF MEETINGS AT THEIR SIDNEY OFFICE ATTENDED BY KEY MEMBERS OF THE PEDIATRIC STAFF, A HOSPITAL REPRESENTATIVE AND CHENANGO AND DELAWARE COUNTIES TO REVIEW CLC SUPPORT, BREASTFEEDING RATES, CHALLENGES AND OBSTACLES. THE PEDIATRIC PRACTICE IN SIDNEY ACCOUNTS FOR 50% OF THE HOSPITAL'S PEDIATRIC VOLUME.- EXPANDED THE NUMBER OF CLC'S IN THE LHD FROM 2 TO 4.- CLC'S IN THE COUNTY DEVELOPED A MAGNETIC TOOL THAT WAS DISTRIBUTED TO THE PUBLIC, PROVIDERS AND PARTNERS. THIS TOOL INCLUDED CONTACT INFORMATION FOR WIC TO BE USED FOR PREGNANT OR POST-PARTUM LOW-INCOME WOMEN TO GET SERVICES FOR BREASTFEEDING SUPPORT.- THE LHD RAN A BILLBOARD DURING 1Q2017 PROMOTING THE ACCEPTANCE OF BREASTFEEDING.- BABY NOOK SERVICES CONTINUED AT THE LHD WITH CMH MAKING 99 REFERRALS IN 2017.- THE LHD REACHED OUT TO 5 EMPLOYERS ABOUT BECOMING BREASTFEEDING FRIENDLY WORKSITES.- THE CHENANGO COUNTY BREASTFEEDING COALITION, CHAIRED BY THE LHD, MET MONTHLY AT THE HOSPITAL. THE COALITION CURRENTLY HAS MEMBERS FROM THE HOSPITAL'S WOMEN'S HEALTH AND MATERNITY DEPTS, WIC, LHD, MOTHERS & BABIES PERINATAL NETWORK, AND FROM THE BROOME COUNTY AND DELAWARE COUNTY BREASTFEEDING COALITIONS. THE HOSPITAL HAD A REPRESENTATIVE AT ALL THE MEETINGS.- THE HOSPITAL PROVIDES HANDS-ON ASSISTANCE PRIOR TO DISCHARGE FOR MOMS WISHING TO BREASTFEED. - CMH ESTABLISHED OB/GYN SERVICES IN THE SIDNEY OFFICE JAN 2017 STARTING ONE HALF-DAY/WEEK AND EXPANDED TO ONE FULL-DAY/WEEK IN OCTOBER.- THROUGH OCT 2017, CMH MADE 7 REFERRALS TO THE CHENANGO DOH AND 11 TO THE DELAWARE DOH FOR BREASTFEEDING ASSISTANCE.- CMH'S IBCLC OFFERS EXPERTISE AND SUPPORT TO CLC'S IN CHENANGO AND SURROUNDING COUNTIES. STRENGTHS- STRONG PARTNERSHIPS BETWEEN THE HOSPITAL, WIC, MOTHERS & BABIES PERINATAL NETWORK, UHS IN BROOME COUNTY, CHENANGO DOH AND DELAWARE LHD.- HAVE SET GROUND WORK FOR EXPANSION OF BREASTFEEDING WORK WITHIN THE OB SETTING FOR 2018.- STRONG GROUP SYNERGY BETWEEN CMH, CHENANGO DOH, DELAWARE DOH, AND THE STAFF IN CMH'S SIDNEY OFFICE.- CHENANGO COUNTY BREASTFEEDING COALITION IS STRONG.- THE HOSPITAL NOW REQUIRES BREASTFEEDING RATES FOR 4 AND 6 MO BABIES AT ITS MONTHLY QUALITY MEETINGS.- THE CLOSING OF THE OB UNIT AT FOX MEMORIAL IN ONEONTA MADE A BAD SITUATION WORSE FOR WOMEN IN NEED OF SERVICES IN THE TRI-TOWN AREA. CMH PLACED AN OB/GYN AT THE SIDNEY SITE TO ADDRESS THIS NEED STARTING 1 HALF DAY/WK IN JAN 2017 AND THEN EXPANDING TO 1 FULL DAY/WK IN OCT. THIS HAS RESULTED IN A DISTINCT INCREASE IN BIRTHS FROM OTSEGO AND DELAWARE COUNTIES AT CHENANGO MEMORIAL LOCATED IN CHENANGO COUNTY.- THE PEDIATRICIAN AT CMH'S SIDNEY OFFICE IS A STRONG SUPPORTER OF IMPROVING BREASTFEEDING RATES FOR HIS PATIENTS.- WE HAVE LEARNED THAT THE BREASTFEEDING RATES FOR MOMS THAT RESPOND TO FOLLOW-UP CALLS COME CLOSE TO THE NYS PA AND HEALTHY PEOPLE 2020 GOALS. HOWEVER, A THIRD OF THE MOMS ARE LOST TO FOLLOWUP 3-DAYS POST-DISCHARGE.- OUR DATA SHOWS THAT IF A MOM CONTINUES TO BREASTFEED DURING THE FIRST FEW WEEKS POST-DISCHARGE, SHE WILL CONTINUE FOR UP TO 6 MOS.CHALLENGES- TRACKING THE COUNTY BREASTFEEDING DATA FOR 3 AND 6 MONTH OLD BABIES HAS PROVEN TO BE DIFFICULT FOR THE FOLLOWING REASONS: A) NO CLEAR DEFINITION OF EXCLUSIVE BREASTFEEDING VARIABLE B) PHONE CALLS TO NON-HOSPITAL BIRTH FAMILIES AT 3 WKS, 3 AND 6 MONTHS HAS A HIGH "LOST-TO-FOLLOWUP" RATE.- NOT ENOUGH CLC'S AVAILABLE AT THE LHD TO STAFF HOME VISITS AND THE BABY NOOK.- FIRST-TIME MOM BUY-IN AND FOLLOW THROUGH. |
| PART V, SECTION B, LINE 11 CONTINUED | - CMH WILL BE UNDERGOING MAJOR RENOVATIONS OVER THE NEXT FEW YEARS. COALITION MEETINGS WILL MOVE TO THE LHD WHICH WILL LIKELY POSE ATTENDANCE CHALLENGES FOR CLINICAL STAFF FROM THE HOSPITAL IN 2018. LHD WILL SET UP CONFERENCE CALL CAPABILITIES STARTING IN 2018.- REFERRALS TO THE BABY NOOK FROM PEDIATRICIANS AND WOMEN'S HEALTH PROVIDERS HAVE BEEN SLOW. LHD TO INCLUDE BABY NOOK TRAINING INTO QUARTERLY BABY AND ME TOBACCO FREE DETAILING VISITS AT WOMEN'S HEALTH.- THE HOSPITAL'S EMR IS DIFFICULT TO USE TO COLLECT BREASTFEEDING DATA. THE DATA MUST BE IDENTIFIED IN THE PROVIDERS NOTES. REQUESTS TO GET A FORMALIZED REPORT HAVE GONE UNANSWERED. COLLECTING THE DATA, ALTHOUGH EXTREMELY IMPORTANT, IS VERY TIME-CONSUMING. THERE DOESN'T SEEM TO BE A GOOD WAY TO MEASURE BREASTFEEDING RATES DUE TO THE NUMBER OF NO-SHOWS IN THE OFFICE AND NO RESPONSES TO PHONE CALLS OR MESSAGES.- THERE ARE MANY VARIABLES WHEN COLLECTING INFORMATION FROM PATIENTS. INTERPRETATION OF THE QUESTIONS BEING ASKED VARIES FROM PATIENT TO PATIENT.- OVER 33% OF THE MOMS DO NOT RESPOND TO FOLLOW-UP CALLS OR MESSAGES 3-DAYS POST DISCHARGE. THE ANSWER TO THIS IS TO HAVE CLC SUPPORT AVAILABLE IN THE PEDIATRIC OFFICE WHEN THEY BRING THE BABY IN FOR WELL CHILD VISITS.- WHEN THIS INITIATIVE BEGAN, THE HOSPITAL HAD 6 CLC'S. THROUGH ATTRITION, CMH IS DOWN TO 1 IBCLC AND 2 CLC'S, ONE OF WHOM IS TRAINING FOR HER IBCLC. WE HAVE STRIVED TO GET CLC'S IN ALL THE PEDIATRIC OFFICES AND PRIMARY CARE OFFICES BUT RECRUITING/RETAINING THESE INDIVIDUALS HAS BEEN EXTREMELY DIFFICULT.- STATE BREASTFEEDING STATS FOR THIS HOSPITAL ARE BASED ON BABIES BORN HERE. HOWEVER, APPROXIMATELY 5% ARE TRANSFERRED TO OTHER FACILITIES. THIS NEGATES OUR ABILITY TO SUPPORT BREASTFEEDING FOR THOSE BABIES PRIOR TO DISCHARGE. THE RATES REPORTED IN THIS SUMMARY ARE FOR BABIES DISCHARGED FROM CMH WHERE WE CAN WORK WITH THE NEW MOMS 1:1 BEFORE THEY GO HOME.- WE ARE TRYING TO CHANGE A CULTURE ABOUT BREASTFEEDING. MANY NEW MOMS HAVE THEIR OWN MOTHERS AND GRANDMOTHERS TELLING THEM THEY DIDN'T BREASTFEED SO WHY SHOULD SHE?- IT HAS BEEN VERY DIFFICULT GETTING CONSISTENT ATTENDANCE FROM CMH'S CLINICAL STAFF AT THE BREASTFEEDING COALITION MEETINGS DUE TO THIN STAFFING, VACANCIES AND OTHER PRIORITIES.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES- THE HOSPITAL WILL HAVE A SECOND IBCLC ON STAFF IN 2018.- INCREASE THE NUMBER OF CLC'S IN CHENANGO COUNTY AND AT THE HOSPITAL.- EXPAND THE FOCUS OF THE LHD'S EFFORTS TO INCLUDE THE HOSPITAL'S WOMEN'S HEALTH CENTER.- IN 2018 THE LHD WILL MEET TO ESTABLISH/REVISE MEASURES AND POSSIBLY NEW MEANS OF MEASURING BREASTFEEDING RATES COUNTY WIDE.- PROVIDE STRUCTURED BREASTFEEDING EDUCATION AND PROFESSIONAL LACTATION COUNSELING DURING PREGNANCY, IN THE HOSPITAL AND AT HOME.- CONTINUE TO LINK PREGNANT OR POST-PARTUM LOW-INCOME WOMEN TO LOCAL WIC SERVICES FOR BREASTFEEDING SUPPORT.- BEGINNING IN 2018, THE LHD WILL MAIL A RESOURCE BOOKLET TO ALL NEW FAMILIES VERSUS THE HOSPITAL GIVING THEM OUT DURING THE ANTEPARTUM VISITS AT THE WOMEN'S HEALTH CENTER. - THE LHD WILL INTEGRATE BREASTFEEDING PROMOTION MESSAGES AND INFORMATION ON SUPPORTIVE RESOURCES INTO OTHER EDUCATIONAL CAMPAIGNS TARGETING PREGNANT WOMEN AND MOTHERS.- EXPAND COALITION MEMBERSHIP TO INCLUDE AN EMPLOYER AND A PROVIDER. ALSO EXPAND MEMBERSHIP TO INCLUDE OTSEGO COUNTY AS THE HOSPITAL'S PATIENT BASE EXPANDS IN THAT AREA. THE HOSPITAL WILL PROVIDE CLERICAL SUPPORT TO TAKE MINUTES AND OTHER ADMINISTRATIVE DUTIES.- ALIGN COALITION WORK WITH THE 2018 PREVENTION AGENDA.- PROMOTE BREASTFEEDING BEST PRACTICES IN THE OB SETTINGS, PARTICULARLY IN THE HOSPITAL'S WOMEN'S HEALTH CENTER.- THE LHD WILL CONTINUE TO PROVIDE STRUCTURED, COMPREHENSIVE BREASTFEEDING EDUCATION AND PROFESSIONAL LACTATION COUNSELING, INCLUDING THE USE OF INTERNAL BOARD CERTIFIED LACTATION CONSULTANTS (IBCLCS) DURING PREGNANCY, IN THE HOSPITAL AND HOME.- THE LHD WILL APPROACH 5 NEW EMPLOYERS TO ASSIST WITH BECOMING BREASTFEEDING FRIENDLY WORKSITES.- THE HOSPITAL WILL CONTINUE TO PROVIDE HANDS-ON ASSISTANCE FOR MOMS WISHING TO BREASTFEED PRIOR TO DISCHARGE. THE HOSPITAL MAY ALSO PROVIDE EDUCATION WHILE THE MOM IS IN THE OFFICE FOR HER PRENATAL VISITS.- CONTINUE MONTHLY MEETINGS AT THE HOSPITAL'S OFFICE IN SIDNEY.OTHER INITIATIVES1. PROMOTE A HEALTHY AND SAFE ENVIRONMENT: FALLSSTRATEGY OBJECTIVE: STOP THE ANNUAL INCREASE OF THE RATE OF HOSPITALIZATIONS DUE TO FALLS AMONG RESIDENTS AGES 65 AND OVER BY MAINTAINING THE RATE AT 202.7 PER 10,000 RESIDENTS (2007-2009)GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- THE HOSPITAL'S HOSPITALIZATION RATE (136.2 PER 10,000) DUE TO FALLS ALREADY EXCEEDS THE TARGET (204.6 PER 10,000) ESTABLISHED BY THE NYS DOH. WE CONTINUE TO WORK ON THIS INITIATIVE IN A PROACTIVE MANNER TO KEEP THE RATE OF HOSPITALIZATIONS DUE TO FALLS FROM CREEPING HIGHER DUE TO THE AGING POPULATION IN THIS AREA. TACTICS- CONTINUE IMPLEMENTATION OF THE STEADI (STOPPING ELDERLY ACCIDENTS, DEATHS & INJURIES) SCREENING PROGRAM FOR PATIENTS 65 AND OVER DEVELOPED BY THE CENTERS FOR DISEASE CONTROL PREVENTION/DIVISION OF UNINTENTIONAL INJURY PREVENTION AND CONTROL.- REFER PATIENTS WHO WERE IDENTIFIED AS FALL RISKS TO THE CHENANGO COUNTY AREA AGENCY ON AGING (AAOA).- SUPPORT THE AAOA'S STEPPING ON PROGRAM - AN EVIDENCE-BASED PROGRAM FOR ANYONE IN CHENANGO COUNTY TO LEARN ABOUT STRENGTH AND BALANCE TRAINING EXERCISES; VISION CHANGES AND MEDICATIONS THAT CAN AFFECT BALANCE; AND IDEAS TO IMPROVE HOME SAFETY, BONE HEALTH, NUTRITION AND FOOTWEAR. THE PROGRAM MEETS FOR 2 HOURS EACH WEEK FOR 7 WEEKS.GOALS AND PERFORMANCE MEASURES- PHYSICAL THERAPISTS FROM THE HOSPITAL PROVIDE INSTRUCTION DURING ONE OF THE WEEKLY CLASSES.- THE AAOA WILL HOLD AT LEAST ONE SET OF CLASSES PER YEAR. THIS IS CONTINGENT UPON RECEIVING GRANT FUNDING TO SUPPORT THE PROGRAM.- TRACK THE NUMBER OF STEADI ASSESSMENTS COMPLETED IN THE PRIMARY CARE OFFICES OF THE HOSPITAL. - MONITOR ATTENDANCE AT THE STEPPING ON PROGRAMS. OFFER PROGRAMS IN VARIOUS AREAS OF THE COUNTY.STRENGTHS- THE AAOA OFFERED 1 SET OF STEPPING ON CLASSES DURING 2017 THAT WAS ATTENDED BY 13 PEOPLE. EVERYONE REPORTED THEY ENJOYED THE CLASSES AND WERE GLAD THEY CAME.- STEADI SCREENING RATES BY PRIMARY CARE PHYSICIANS AT THE HOSPITAL WERE CONSISTENTLY AT 90% OR HIGHER FOR PATIENTS WHO CAME IN FOR VISITS AND 73% OF TOTAL PATIENTS THAT ARE 65 AND OLDER.- ALL OF THE PRIMARY CARE PROVIDERS SEEM TO HAVE FALL SCREENINGS LOCKED IN TO THEIR ANNUAL PHYSICALS WITH PATIENTS 65 AND OLDER.- PROVIDERS MAKE REFERRALS TO THE STEPPING ON PROGRAM WHEN THEY KNOW CLASSES WILL BE HELD IN THE IMMEDIATE FUTURE.- PHYSICAL THERAPY STAFF FROM CMH ARE ENTHUSIASTIC ABOUT TEACHING THEIR SEGMENT OF THE PROGRAM.- THERE IS GENERALLY A WAITING LIST OF PEOPLE WHO HAVE CONTACTED THE AAOA THAT WANT TO ATTEND THE STEPPING ON PROGRAM.CHALLENGES- THE AAOA DOES NOT HAVE GRANT FUNDING TO OFFER MORE THAN 1 OR 2 (AT THE MOST) CLASSES PER YEAR.- THERE ARE NOT ENOUGH TAI CHI INSTRUCTORS IN THE AREA. TAI CHI HAS PROVEN TO INCREASE BALANCE AND IS REFERENCED AS AN EXERCISE DURING THE STEPPING ON PROGRAM.- PHYSICIANS NEED TO REFER ALL AT-RISK PATIENTS TO THE AAOA FOR ASSISTANCE. THIS HAS NOT BEEN HAPPENING.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES- THE AAOA WILL OFFER THE STEPPING ON PROGRAM AS OFTEN AS POSSIBLE WITH THE FUNDING AVAILABLE.- A TASK TEAM WILL CONTINUE TO MONITOR THIS INITIATIVE, PARTICULARLY TO IMPROVE REFERRAL RATES TO THE AAOA.- THE AAOA WILL MEET 1:1 WITH PRIMARY CARE PHYSICIANS ABOUT MAKING REFERRALS TO THEM FOR ANY PATIENTS IDENTIFIED AS A FALL RISK AND TO DISCUSS THE STEPPING ON PROGRAM.2. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - REDUCE PREMATURE BIRTHS IN NYSSTRATEGY OBJECTIVE: IDENTIFY AND PROMOTE EDUCATIONAL MESSAGES AND FORMATS THAT HAVE DEMONSTRATED TO IMPROVE KNOWLEDGE, ATTITUDES, SKILLS AND/OR BEHAVIOR RELATED TO PRETERM BIRTH AMONG TARGET POPULATIONS, INCLUDING HIGH-RISK PREGNANT WOMEN, WOMEN OF CHILDBEARING AGE AND WOMEN WITH DISABILITIES.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- IDENTIFY AND PROMOTE EDUCATIONAL MESSAGES AND FORMATS THAT HAVE DEMONSTRATED TO IMPROVE KNOWLEDGE, ATTITUDES, SKILLS, AND/OR BEHAVIOR RELATED TO PRETERM BIRTH AMONG TARGET POPULATIONS, INCLUDING HIGH-RISK PREGNANT WOMEN AND WOMEN OF CHILDBEARING AGE.TACTICS- SUSTAIN CURRENT CHILDBIRTH CLASSES. FIRST TIME PREGNANT WOMEN RECEIVING SERVICES AT CMH WILL BE REFERRED FOR PRENATAL CLASSES.GOALS AND PERFORMANCE MEASURES- CHILDBIRTH EDUCATION CLASSES CONTINUED. THE FIRST 2 SESSIONS ARE HELD AT CMH AND THE 3RD AT THE BABY NOOK AT THE LHD. THESE SESSIONS WERE ATTENDED BY 28 MOMS IN 2017. |
| PART V, SECTION B, LINE 11 CONTINUED | SEVENTEEN (17) WERE FIRST TIME MOMS OUT OF 73 THAT DELIVERED AT CMH. THESE SESSIONS INCLUDE STRUCTURED BREASTFEEDING EDUCATION AND PROFESSIONAL LACTATION COUNSELING BY THE HOSPITAL'S IBCLC.- PARTICIPANTS COMPLETED A SURVEY AFTER EACH CLASS. ALL CATEGORIES SCORED 4 OR MORE WITH 5 BEING THE HIGHEST AND 1 BEING THE LOWEST.STRENGTHS- EXCELLENT WORKING RELATIONSHIP BETWEEN THE HOSPITAL'S MATERNITY STAFF AND COMMUNITY PARTNERS (WIC, FAMILY PLANNING AND SHERIFF'S DEPT (CAR SEAT PROGRAM)) AND MOTHERS & BABIES PERINATAL NETWORK TO CONDUCT EDUCATIONAL PROGRAMS.- THE CHILDBIRTH EDUCATION INSTRUCTORS ARE KNOWLEDGEABLE AND PASSIONATE ABOUT WHAT THEY'RE DOING AND THE IMPORTANCE OF IT.CHALLENGES- VERY DIFFICULT TO RECRUIT MOMS TO THE CLASSES. THIS SEEMS TO BE A PROBLEM EVERYWHERE. THE SENTIMENT IS THEY CAN LEARN WHAT THEY NEED TO KNOW FROM THE INTERNET OR FROM FAMILY MEMBERS.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES- SUSTAIN CURRENT CHILDBIRTH CLASSES. FIRST-TIME PREGNANT WOMEN RECEIVING SERVICES AT CMH WILL BE REFERRED FOR PRENATAL CLASSES. A) SUSTAIN AND INCREASE PARTICIPATION BY FIRST-TIME MOMS B) CONDUCT PARTICIPATION SURVEYS TO ENSURE CONTENT IS RELEVANT AND GET FEEDBACK. C) REVAMP THE PRESENTATION OF MATERIAL TO MAKE IT MORE INTERACTIVE BY USING ELECTRONICS.3. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - TOBACCO USE IN PREGNANCYSTRATEGY OBJECTIVE: ASK ALL PREGNANT WOMEN ABOUT TOBACCO USE AND PROVIDE AUGMENTED PREGNANCY-TAILORED COUNSELING FOR THOSE WHO SMOKE.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- THE LHD AND UHS CHENANGO MEMORIAL WILL RENEW OUR COMMITMENT TO ADDRESS TOBACCO USE DURING PREGNANCY BY CONTINUING THE "BABY AND ME TOBACCO FREE PROGRAM".- CONTINUE TO WORK WITH PARAPROFESSIONALS SUCH AS LAY HEALTH ADVISORS, COMMUNITY HEALTH WORKERS AND PROMOTERS TO REINFORCE SMOKING CESSATION IN THE ANTEPARTUM POPULATIONS.TACTICS- INCREASE REFERRALS TO THE NYS QUIT LINE. PROVIDERS TO ASK ALL PREGNANT WOMEN ABOUT TOBACCO USE AND IF APPROPRIATE REFER THEM TO THE BABY & ME PROGRAM.- OUTREACH EDUCATION TO PROVIDERS AND COMMUNITY PARTNERS ANNUALLY.- CONTINUE THE BABY AND ME TOBACCO FREE PROGRAM WHICH HAS BEEN DESIGNATED BEST PRACTICE FOR SUBSTANCE & TOBACCO ABUSE BY THE ASSOCIATION OF MATERNAL & CHILD HEALTH PROGRAMS (AMCHP).- INCREASE REFERRALS TO THE NYS QUIT LINE.GOALS AND PERFORMANCE MEASURES- THE LHD COMPLETED 1 ANNUAL IN-SERVICE OF THE BABY AND ME TOBACCO FREE PROGRAM ON APRIL 18, 2017 WITH ATTENDEES FROM CMH'S WOMEN'S HEALTH, WIC AND THE LHD. THERE WERE 18 PEOPLE IN ATTENDANCE.- AN RN FROM THE LHD CARRIED OUT PROVIDER DETAILING TO CMH'S WOMEN'S HEALTH CENTER QUARTERLY THEREAFTER.- AFTER THE IN-SERVICE, CMH SET A GOAL OF MAKING 44 REFERRALS TO THE PROGRAM. BY YEAR END, CMH HAD MADE 59 REFERRALS TO THE CHENANGO DOH AND 4 TO THE DELAWARE DOH WHO ALSO OFFERS THE PROGRAM TOTALING 63 REFERRALS IN 2017 VS 19 IN 2016. THE SMOKING RATE OF MOMS AT BIRTH IS DOWN 3% YEAR OVER YEAR.- 100% OF PATIENTS ARE SCREENED FOR TOBACCO USE DURING THEIR PRE-NATAL VISITS AND 100% OF SMOKING MOMS ARE REFERRED TO THE NYS QUIT LINE. SMOKING IS DISCUSSED DURING MOTHERS' PRENATAL VISITS USING THE "BABY BASICS" BOOK AVAILABLE THROUGH THE MOTHERS & BABIES PERINATAL NETWORK.STRENGTHS- THE BABY & ME TOBACCO FREE PROGRAM IS LOCATED IN JAMESTOWN, NY AND NOW OFFERS A) WEB-BASED CALLS FOR ALL PROVIDERS. CALLS PROVIDE NYS AND NATIONAL DATA REPORTS AROUND SMOKING IN PREGNANCY OUTCOMES AND B) THE PROGRAM NOW HAS WEB-BASED DATA REPORTING METHODOLOGY VERSUS MANUAL AT THE LHD LEVEL. C) PROGRAM NOW GENERATES ELECTRONIC DATA REPORTS UPON REQUEST. D) PROGRAM ENCOURAGES 100% REFERRAL TO THE NY QUIT LINE FOR ALL PARTICIPANTS. E) PROGRAM PROVIDES STANDARDIZED EDUCATIONAL SESSIONS AND MATERIALS.CHALLENGES- KEEPING THE MOMENTUM GOING IN THE WOMEN'S HEALTH CENTER AND KEEPING AN INTERNAL CHEERLEADER IN THAT CENTER WORKING ON REFERRALS TO THE BABY AND ME TOBACCO FREE PROGRAM.- CHENANGO COUNTY HAS A SIGNIFICANT PERCENTAGE OF MOMS WITH ADDICTIONS. IT'S VERY DIFFICULT GETTING THEM TO APPOINTMENTS MUCH LESS GETTING THEM TO QUIT SMOKING OR EVEN BREASTFEED LATER ON.FUTURE INTERVENTIONS/STRATEGIES/ACTIVITIES- CONTINUE THE BABY AND ME TOBACCO FREE PROGRAM.- CONTINUE THE ANNUAL IN-SERVICE OF CMH PROVIDERS AND COMMUNITY PARTNERS.- LHD TO CONTINUE QUARTERLY DETAILING WITH CMH'S WOMEN'S HEALTH CENTER STAFF.4. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE: HEPATITIS CSTRATEGY OBJECTIVE: REDUCE THE NUMBER OF CHRONIC HEPATITIS C CASES BY REDUCING HEROIN AND OPIOID ADDICTION.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASURABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):- CONTINUE MULTI-AGENCY COALITION (CHENANGO COUNTY SUBSTANCE ABUSE COALITION)- REDUCE THE NUMBER OF NEWLY DIAGNOSED CHRONIC HEPATITIS C CASES BY 5%TACTICS- CONTINUE TO HAVE HOSPITAL REPRESENTATION ON THE MULTI-AGENCY COALITION.- TEST ALL PERINATAL WOMEN AT THEIR FIRST APPOINTMENTGOALS AND PERFORMANCE MEASURES- THE HOSPITAL IS REPRESENTED ON THE COALITION BY A NURSE PRACTITIONER CERTIFIED IN ADOLESCENT PSYCHIATRY AND BY OUR MEDICAL SOCIAL WORKER. THE NURSE PRACTITIONER ALSO SERVES ON THE COALITION'S STEERING COMMITTEE.- TESTING PERINATAL WOMEN AT THEIR FIRST APPOINTMENT IS NOW STANDARD PRACTICE AT THE WOMEN'S HEALTH CENTER. 100% OF THE WOMEN WERE TESTED IN 2017.STRENGTHS- THE COALITION HAS A STRONG CROSS-SECTION OF CONCERNED COMMUNITY MEMBERS WHO WANT TO SEE IMPROVEMENT IN THE DRUG CULTURE IN CHENANGO COUNTY. THE MEMBERS INCLUDE LAW ENFORCEMENT, EDUCATORS, LAWYERS, HEALTH CARE AGENCIES, ETC.CHALLENGES- THE COALITION LANGUISHED IN 2017 DUE TO LEADERSHIP CHANGES. A GRANT HAS BEEN SUBMITTED TO PROVIDE FUNDING TO PAY FOR AN EXPERIENCED LEADER TO CONTINUE THE WORK THAT WAS STARTED BY THIS GROUP. |
| PART V, SECTION B, LINE 11 CONTINUED | ACTIVITIES RELATED TO THE CHNA OR THE NYS PREVENTION AGENDAIMPROVE HEALTH STATUS AND REDUCE HEALTH DISPARITIES- CHENANGO HEALTH NETWORK -- THE HOSPITAL'S VICE PRESIDENT OF OPERATIONS IS CHAIRMAN OF THE BOARD OF THE CHENANGO HEALTH NETWORK (CHENANGO COUNTY'S RURAL HEALTH NETWORK). THE CHENANGO HEALTH NETWORK (CHN) IS A COMMUNITY-BASED, NOT-FOR-PROFIT HEALTH NETWORK WHOSE MISSION IS TO BRING TOGETHER HEALTH AND HUMAN SERVICES PROFESSIONALS, BUSINESS PEOPLE AND CONSUMERS TO STRENGTHEN HEALTHCARE IN CHENANGO COUNTY. THIS ORGANIZATION IS GOVERNED BY A BOARD OF DIRECTORS CONSISTING OF 7-16 MEMBERS WHO REPRESENT SENIOR LEVEL MANAGEMENT OF HEALTH AND HUMAN SERVICE PROVIDERS AND BUSINESS AS WELL AS COMMUNITY MEMBERS. THE HOSPITAL COVERS CHN'S OVERALL TELEPHONE EXPENSE AS WELL AS THEIR OFFICE SPACE IN OUR SIDNEY, NY LOCATION. - IN THE SIDNEY OFFICE, A CHN REPRESENTATIVE ASSISTS RESIDENTS FROM CHENANGO, DELAWARE, AND OTSEGO COUNTIES WITH INSURANCE ENROLLMENT, NAVIGATION, AND OTHER HEALTHCARE SERVICES. IN 2017, 88 INDIVIDUALS SOUGHT ASSISTANCE IN THIS OFFICE RESULTING IN 74 COMPLETED APPLICATIONS FOR ENROLLMENT. ADDITIONALLY, ALL 88 INDIVIDUALS RECEIVED EDUCATION ABOUT RESOURCES IN THE AREA THAT COULD HELP THEM. - DURING 2017, CMH PROVIDED SPACE TO HAVE A CHN REPRESENTATIVE IN THE ER DURING NORMAL BUSINESS HOURS TO ASSIST MEDICAID PATIENTS NAVIGATE THEIR INSURANCE, ENROLL PATIENTS WHO DON'T HAVE INSURANCE, AND CONNECT PATIENTS WITH COMMUNITY RESOURCES.- HEALTH COMMUNITY IMPACT TEAM - COORDINATED BY THE CHENANGO UNITED WAY, THE TEAM WAS ASSEMBLED TO IDENTIFY AN INITIATIVE TO ADDRESS A HEALTH CONCERN IN CHENANGO COUNTY. MEETINGS WERE ATTENDED BY THE UNITED WAY, LHD, CHENANGO COUNTY PLANNING DEPT., FIDELIS, CHENANGO HEALTH NETWORK, AND PHIP. AN INITIATIVE WAS IDENTIFIED TO DISTRIBUTE DENTAL HYGIENE KITS IN THE SCHOOL DISTRICTS AND TO IMPLEMENT AN IN-SCHOOL BRUSHING PILOT PROGRAM IN 2018.- DENTAL SERVICE EXPANSION MEETINGS - UHS CHENANGO MEMORIAL HELD SEVERAL EXPLORATORY MEETINGS TO DETERMINE IF EXPANDING OUR DENTAL SERVICE WAS FEASIBLE. WE ARE LOCATED IN A DENTAL PROVIDER SHORTAGE AREA AND THERE IS A LARGE POPULATION OF MEDICAID RECIPIENTS IN CHENANGO COUNTY. EXHAUSTIVE RESEARCH INDICATED THAT EXPANDING THE SERVICE WOULD NOT BE PROFITABLE DUE TO THE LOW MEDICAID REIMBURSEMENT RATES. FURTHER, THE HOSPITAL IS NOT IN A FINANCIAL POSITION TO SUPPORT DENTAL AS A MISSION BASED SERVICE LINE SO THE PROJECT WAS TERMINATED.- COMMUNITY HEALTH EDUCATION MEETING - DISCUSS POSSIBLE COLLABORATION OPPORTUNITIES TO BRING EDUCATION ON HEALTH RELATED TOPICS TO COMMUNITY AS WELL AS THE BUSINESS COMMUNITY.- WELLNESS FAIR AT THE YMCA - THIS EVENT WAS SPONSORED BY CHENANGO COUNTY PUBLIC HEALTH AT THE LOCAL YMCA. AT THE EVENT, SENIOR CITIZENS COULD HAVE WELL VISITS, FLU SHOTS, AND BLOOD WORK. A CMH REPRESENTATIVE FOCUSED ON THE IMPORTANCE OF HAND HYGIENE, ADVANCED DIRECTIVES, MOLST FORMS AND HEALTH CARE PROXIES. APPROXIMATELY 200 PEOPLE ATTENDED.- BLOOD DRIVES - THE HOSPITAL HELD FOUR BLOOD DRIVES ON SITE IN 2017 THAT TOTALED 121 DONORS. ON AVERAGE, 27 EMPLOYEES PARTICIPATED AT EACH EVENT. DEPENDING ON THE TURNOUT, THE HOSPITAL RECEIVES A DISCOUNT ON BLOOD SUPPLIED BY THE RED CROSS. THE RED CROSS BLOOD DRIVES SUPPORT THE BLOOD NEEDS OF UHS CHENANGO MEMORIAL AND OTHER NEIGHBORING HOSPITALS.- CHENANGO COUNTY FAIR SENIORS DAY - CMH REPRESENTATIVES DISTRIBUTED INFORMATION TO APPROXIMATELY 200 FAIRGOERS ON SERVICES AND HEALTHCARE TIPS FOR SENIORS.- STRIKE OUT THE FLU - COORDINATED BY THE CHENANGO COUNTY OFFICE OF THE AGING, A CMH REPRESENTATIVE PROVIDED INFORMATION ON FLU SHOTS AND VARIOUS SERVICES AND AGENCIES AVAILABLE IN THE CHENANGO COUNTY.- AMERICANS SERVING PEOPLE ABROAD (ASAP) - ASAP IS A NON-PROFIT ORGANIZATION DEDICATED TO IMPROVE THE HEALTH AND EDUCATION OF DEPRIVED, RESOURCE LIMITED RURAL COMMUNITIES IN GHANA AFRICA. THEY ACCOMPLISH THIS GOAL THROUGH SHORT-TERM MOBILE HEALTHCARE MISSION TRIPS AND A CONCURRENT VULNERABLE CHILDREN'S PROGRAM. THEY BELIEVE THAT CHANGE COMES WITH POSITIVE HUMAN INTERACTIONS AND A SHARING OF CULTURE, KNOWLEDGE, AND UNDERSTANDING. ONE OF CMH'S NURSE PRACTITIONERS TRAVELS EVERY YEAR TO WORK IN GHANA. SHE IS ALSO A BOARD MEMBER OF ASAP.- 2016-17 NURSING EXECUTIVE CENTER NATIONAL MEETING - THIS WAS A SUMMIT OF BEST NURSING PRACTICES INCLUDING ROUNDTABLE DISCUSSIONS, STRATEGIES FOR MANAGING MILLENNIALS AND COMMUNICATION TECHNIQUES. IT WAS ATTENDED BY CMH'S VICE PRESIDENT OF PATIENT CARE SERVICES.- SOUTHERN TIER EXPERT PANEL - PURPOSE OF THE PANEL WAS TO DISCUSS POTENTIAL EFFECTS OF THE HEALTHCARE BILLS CURRENTLY BEFORE CONGRESS. UHS BINGHAMTON GENERAL WAS THE SITE OF THE PANEL DISCUSSION WHICH DREW PANELISTS AND ATTENDEES FROM THROUGHOUT THE REGION. PANEL WAS PRESENTED BY GOV. CUOMO'S ADMINISTRATION OFFICIALS. DISCUSSION FOCUSED ON HOW HOSPITALS, NURSING HOMES, PROVIDERS, PATIENTS AND RESIDENTS COULD BE AFFECTED IF THE PROPOSED BILLS WERE TO BE PASSED. THE HOSPITAL'S PRESIDENT & CEO WAS A MEMBER OF THE PANEL AND OFFERED PERSPECTIVES ON THE POTENTIAL IMPACT OF THE LEGISLATION ON INSTITUTIONS THAT SERVE LARGE RURAL AREAS. A HIGH PERCENTAGE OF BABIES BORN AT UHS CHENANGO MEMORIAL ARE COVERED BY MEDICAID SO DEEP CUTS TO THE MEDICAID PROGRAM WOULD HAVE A NEGATIVE IMPACT ON RURAL HOSPITALS AND THE PEOPLE THEY SERVE.- THE DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PAYMENT) PROGRAM PROMOTES COMMUNITY-LEVEL PARTNERSHIPS IN NEW YORK STATE AND PROVIDES FINANCIAL SUPPORT TO HEALTH CARE PROVIDERS TO IMPLEMENT PROGRAMS TO BETTER MEET THE NEEDS OF THEIR COMMUNITIES. CHENANGO COUNTY IS REPRESENTED BY THE CARE COMPASS NETWORK WHICH ADDRESSES ISSUES WITHIN THE SOUTHERN TIER REGION. MEMBERS INCLUDE REPRESENTATIVES FROM LOURDES HOSPITAL (BINGHAMTON), BINGHAMTON GENERAL & WILSON HOSPITALS (BINGHAMTON), CORTLAND REGIONAL MEDICAL CENTER (CORTLAND), CAYUGA MEDICAL CENTER (ITHACA), DELAWARE VALLEY HOSPITAL (WALTON), GUTHRIE CORNING HOSPITAL (CORNING), SCHUYLER HOSPITAL (MONTOUR FALLS). THIS COLLABORATION HAS CREATED A PERFORMING PROVIDER SYSTEM (PPS). THE PPS IS A PARTNERSHIP OF REGIONAL CARE PROVIDERS WHO WILL COLLABORATE TO BETTER TRANSITION FROM TRADITIONAL FEE-FOR-SERVICE PAYMENT FOR THEIR SERVICES TO THE NEW, RISK-BASED, PAY-FOR-PERFORMANCE APPROACH. THE PPS IS COMPRISED OF TEN (10) COUNTIES - BROOME, CAYUGA, CHEMUNG, CHENANGO, CORTLAND, DELAWARE, SCHUYLER, STEUBEN, TIOGA, AND TOMPKINS. THE HOSPITAL'S VICE PRESIDENT OF OPERATIONS IS A VITAL PARTICIPANT REPRESENTING CMH AT THE MAJORITY OF DSRIP MEETINGS AND COMMITTEES. THE HOSPITALS VP OF PATIENT CARE SERVICES IS ALSO INVOLVED. THE SIDNEY OFFICE PARTICIPATED IN THE TRAFFIC COMMITTEE/TRANSPORTATION SURVEY THROUGHOUT 2017 - A PROJECT INITIATED BY THE PHIP.DSRIP INITIATIVES ARE NOT INCLUDED IN THE CHNA, BUT ARE REFERENCED THROUGHOUT THE REPORT. CHNA PRIORITIES WERE MADE WITH DSRIP IN MIND IN ORDER TO COMPLEMENT EACH OTHER'S WORK AND PREVENT DUPLICATION OF EFFORT. ULTIMATELY, CHNA INITIATIVES FEED DIRECTLY INTO THE INITIATIVES IDENTIFIED BY THE CARE COMPASS NETWORK.- HEALTH COVERAGE ENROLLMENTS -- WHENEVER POSSIBLE, THE HOSPITAL ASSISTS PATIENTS WITH HEALTH INSURANCE ENROLLMENT. AS MENTIONED EARLIER, CMH COVERS THE COST OF CHENANGO HEALTH NETWORK'S TELEPHONE COSTS AS WELL AS RENTAL EXPENSE IN SIDNEY TO ASSIST PATIENTS IN THE GREATER SIDNEY AREA WITH INSURANCE NAVIGATION.- DEPARTMENT OF HEALTH PROFESSIONAL ADVISORY COMMITTEE - CMH HAS A REPRESENTATIVE ON THIS COMMITTEE. THIS COMMITTEE DISCUSSES THE LATEST INITIATIVES OF THE DEPARTMENT OF HEALTH, INCLUDING IMMUNIZATIONS, FLU PREVENTION, ETC. THEY ALSO DISCUSS PROGRAMS INITIATED WITH THE DEPARTMENT OF HEALTH SUCH AS "BABY AND ME, TOBACCO FREE" THAT HELPS EXPECTANT MOMS QUIT SMOKING AND REMAIN SMOKE FREE. THE PROFESSIONAL ADVISORY COMMITTEE CONSISTS OF 14 AREA HEALTH AGENCIES AND 3 LAY PERSONS FROM THE COMMUNITY.- PUBLIC HEALTH WEEK CELEBRATION - THE CHENANGO COUNTY DEPARTMENT OF HEALTH CELEBRATED THEIR 75TH ANNIVERSARY. SEVERAL COMMUNITY LEADERS AND RETIREES OF THE DOH ATTENDED.- SPRING FEVER CONFERENCE -THE LHD HOSTS THIS ANNUAL EVENT ATTENDED BY HEAD START, CHENANGO COUNTY CORRECTIONS AND NUMEROUS SCHOOL DISTRICT PERSONNEL AND NURSES. IN 2017, TOPICS INCLUDED OBESITY IN CHILDREN, IMMUNIZATIONS, TOBACCO CESSATION, DRUG AND ALCOHOL ABUSE, AND OTHER NYS PREVENTION AGENDA ITEMS. |
| PART V, SECTION B, LINE 11 CONTINUED | - RECRUITMENT -- UHS CHENANGO MEMORIAL HOSPITAL HAS BEEN DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION AS A PRIMARY CARE, DENTAL, AND MENTAL HEALTH PROVIDER SHORTAGE AREA. THE HOSPITAL HAS WORKED DILIGENTLY TO BRING SPECIALTY CARE TO THE AREA SO PATIENTS CAN GET THE CARE THEY NEED CLOSE TO HOME. WE WERE FORTUNATE TO RECRUIT THE FOLLOWING PROVIDERS TO UHS CHENANGO MEMORIAL HOSPITAL DURING 2017: - EMERGENCY SERVICES (NORWICH, NY) - MARTIN KASOFSKY, MD, JOINED THE HOSPITAL'S EMERGENCY ROOM STAFF AS A FULL TIME PHYSICIAN. AMY ROSE, PA, AND OANA STINGU, PA, JOINED THE STAFF AS ALLIED PRACTITIONERS. - PAIN MANAGEMENT (OXFORD, NY) -MATTHEW BENNETT, MD, JOINED THE STAFF TO PROVIDE COMPREHENSIVE PAIN MANAGEMENT SERVICES ON A PART-TIME BASIS. OANA STINGU, PA, MENTIONED ABOVE, JOINS DR. BENNETT IN THIS CLINIC WHEN HE IS IN THE OFFICE. - ORTHOPEDICS (NORWICH, NY) - KRISTEN MENARD, ANP, JOINED THE ORTHOPEDIC STAFF CONSISTING OF 2 PHYSICIANS AND 2 PA'S ALREADY ON STAFF. DR. RUDOLPH BUCKLEY, SPECIALIZING IN SPINE SURGERY AND CREDENTIALED IN LATE 2016, BEGAN SEEING PATIENTS IN 2017. - PRIMARY CARE (NORWICH, NY) -MARY MARTIN-VAVRA, FNP, AND BRENDA CARR, FNP, JOINED THE FAMILY PRACTICE IN NORWICH. THAT PRACTICE ALSO HAS 3 PHYSICIANS ON STAFF. - GENERAL SURGERY (NORWICH, NY) - MARK BRENNAN, DO, BRINGS VASCULAR SURGERY TO THE HOSPITAL TO COMPLEMENT GENERAL SURGERY AND ORTHOPEDICS AT OUR NORWICH LOCATION. WITH THE HIGH INCIDENCE OF COPD IN THIS AREA, A VASCULAR SURGEON IS A WELCOME ADDITION TO OUR GROWING LIST OF SPECIALTY SERVICES. DR. BRENNAN SEES PATIENTS ON A PART-TIME BASIS. - GENERAL SURGERY (NORWICH, NY) - MATTHEW REPPERT, MD, BEGAN OFFERING GENERAL SURGICAL PROCEDURES ON MAY 1ST. - PRIMARY CARE (SIDNEY, NY) - MARYLOU STANTON, FNP, TRANSFERRED FROM OUR SHERBURNE OFFICE TO JOIN THIS STAFF AND PROVIDE PRIMARY CARE SERVICES TO COMPLEMENT A VERY BUSY PEDIATRIC PRACTICE. SHE WAS FOLLOWED BY JULIA SCHULTZ, FNP, WHO IS ALSO PRACTICING FULL-TIME IN THIS HARD-TO-RECRUIT AREA. - CARDIOLOGY (SIDNEY, NY) - SREEKANTH KONDAREDDY, MD, STARTED CARDIOLOGY CONSULTATIONS IN OUR SIDNEY OFFICE IN MARCH 2017. - MEDICAL SOCIAL WORKER (NORWICH, NY) - BRANDY HUBBARD, MSW, JOINED THE NORWICH PEDIATRICS PRACTICE TO PROVIDE MUCH-NEEDED SOCIAL SERVICES TO PEDIATRIC FAMILIES. SHE STARTED IN MARCH OFFERING SERVICES 2 DAYS/WEEK.- CHENANGO UNITED WAY - UHS CHENANGO MEMORIAL IS HEAVILY INVOLVED WITH THE CHENANGO UNITED WAY. ACTIVITIES INCLUDE PARTICIPATION IN THE HEALTH COMMUNITY IMPACT COMMITTEE MENTIONED PREVIOUSLY, VARIOUS BOARD MEETINGS, AND THE UNITED WAY'S ANNUAL CAMPAIGN. TWO EMPLOYEES CHAIRED THE IN-HOUSE CAMPAIGN WHICH RAISED $8,631. THEIR EFFORTS INCLUDED A KICK OFF MEETING FOR EMPLOYEES AND SMALLER FUND RAISERS THROUGHOUT THE YEAR. IN SEPTEMBER, THE HOSPITAL SPONSORED A TEAM IN THE UNITED WAY'S ANNUAL GOLF TOURNAMENT FUNDRAISER. - BLOOD SCREENING & HEALTH FAIR - THIS ANNUAL EVENT IS SPONSORED BY THE NORWICH ROTARY CLUB IN NORWICH, NY. PARTICIPANTS RECEIVE BLOOD PRESSURE SCREENINGS, A CHANCE TO MEET LOCAL PROVIDERS, HAVE MEDICATIONS REVIEWED, AND LEARN ABOUT LOCAL SERVICES. RESULTS ARE THEN FORWARDED TO THE PARTICIPANT'S PRIMARY CARE PROVIDER. THERE IS NO CHARGE TO ENTER THE FAIR AND UHS CHENANGO MEMORIAL RECEIVES NO REVENUE FROM THIS EVENT. CMH WAS REPRESENTED BY OUR LONG-TERM CARE ADMINISTRATOR AND SOCIAL WORKER. APPROXIMATELY 100 VISITED THE TABLE.PROMOTE A HEALTHY AND SAFE ENVIRONMENT- FALL PREVENTION - THIS ACTIVITY RELATES TO ONE OF OUR NEEDS ASSESSMENT INITIATIVES AS INDICATED ON PAGE 12 OF THIS SECTION.- AMBULANCE TRANSPORTS - FREQUENTLY, NURSING HOMES WILL SEND ONE OF THEIR RESIDENTS TO THE HOSPITAL'S ER. UPON DISCHARGE, EVEN THOUGH THE NURSING HOME IS OBLIGATED TO PAY THE AMBULANCE FEE FOR THE RESIDENT TO RETURN TO THE NURSING HOME, THEY REFUSE. THE HOSPITAL PAYS THE CHARGE TO ENSURE SAFE TRANSPORT BACK TO THE PATIENT'S NURSING FACILITY. THE HOSPITAL ALSO PAYS FOR ANY ED OR IN-PATIENTS WHO NEED TO BE TRANSPORTED TO OUR MRI WHICH IS LOCATED IN A DIFFERENT BUILDING ON THE CAMPUS. THESE TRANSPORTS TOTALED $21,719 IN 2017. - SAFE PATIENT HANDLING SUMMIT - SPONSORED BY THE WESTERN NY COUNCIL ON OCCUPATIONAL SAFETY & HEALTH, THE CONFERENCE WAS DESIGNED FOR HEALTH PROFESSIONALS LOOKING FOR INFORMATION ON ALL ASPECTS OF DEVELOPING AN EFFECTIVE SAFE PATIENT HANDLING PROGRAM.- INTERPRETER SERVICES - THE HOSPITAL PROVIDES INTERPRETER SERVICES FOR PATIENTS WHO DON'T SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE. INTERPRETER SERVICES ARE CRITICAL TO QUALITY OF CARE, PATIENT SAFETY AND PATIENT COMPLIANCE. THE HOSPITAL PROVIDES THESE SERVICES AT NO COST TO THE PATIENT. OVER 100 PATIENTS WERE SERVED AT A COST OF $8,760.- TELEVISION SERVICE - TO IMPROVE THE PATIENT EXPERIENCE AND RESPOND TO PATIENT COMPLAINTS, THE HOSPITAL PROVIDES CABLE IN EVERY IN-PATIENT ROOM FREE OF CHARGE. IN 2017 THERE WERE 1,393 DISCHARGES TOTALING 4,261 PATIENT DAYS FOR A TOTAL COST OF NEARLY $17,000.- ANSWERING SERVICE MEETING - MEETING TO DISCUSS A 24/7 ANSWERING SERVICE TO ENSURE ALL PATIENTS ARE ABLE TO TALK WITH A LIVE PERSON. |
| PART V, SECTION B, LINE 11 CONTINUED | - CHENANGO COUNTY EMS ADVISORY BOARD - THE ER MEDICAL DIRECTOR AND ER DIRECTOR OF NURSING ARE MEMBERS OF THIS ADVISORY BOARD THAT IS ATTENDED BY COUNTY EMERGENCY MEDICAL SERVICES, VOLUNTEER AMBULANCE SQUADS, AND LIFENET. DISCUSSION TOPICS INCLUDE PROTOCOLS, ELECTRONIC MEDICAL RECORDS, NEWS IN THE COUNTY REGARDING EMS, ROAD WORK, TRAINING, RETAINING PAID EMS PROVIDERS, ETC. HOSPITAL REPRESENTATIVES PROVIDE AN UPDATE ON THE HOSPITAL, NEW ESD DOCTORS, ETC.- CHENANGO COUNTY EMS ADVISORY BOARD - THE HOSPITAL'S ER NURSE MANAGER JOINS REPRESENTATIVES OF COUNTY EMERGENCY MEDICAL SERVICES, VOLUNTEER AMBULANCE SQUADS, AND LIFENET. DISCUSSION TOPICS INCLUDE PROTOCOLS, ELECTRONIC MEDICAL RECORDS, NEWS IN THE COUNTY REGARDING EMS, ROAD WORK, TRAINING AND RETAINING PAID EMS PROVIDERS, NEW PROTOCOLS, ETC. HOSPITAL REPRESENTATIVES PROVIDE AN UPDATE ON THE HOSPITAL, NEW ESD DOCTORS, ETC.- UNION (NY) VOLUNTEER EMERGENCY SERVICES - AN AMBULANCE COMPANY THAT SERVES THE TOWN OF UNION, NY IN BROOME COUNTY, IT CONSISTS OF 100 VOLUNTEER AND 40 PAID STAFF WHO RUN 4 AMBULANCES 24/7 365 DAYS/YEAR WITH ABOUT 900 CALLS PER MONTH. TIME SPENT INCLUDES UNION NEGOTIATIONS. ALTHOUGH THE MEETINGS ARE 5:30-7:30, IT'S AN HOUR TRAVEL TIME FROM THE HOSPITAL. - CONTINUITY OF OPERATIONS PLAN DEVELOPMENT TRAINING - PHASE 2 - CURRICULUM INCLUDED REVIEWING LEARNINGS FROM PHASE 1, IDENTIFY PRIORITY ELEMENTS OF A CONTINUITY PLAN, UTILIZE THE HAZARDS VULNERABILITY (RISK) ASSESSMENT TO GUIDE CONTINUITY PLANNING, IDENTIFY AND PRIORITIZE ESSENTIAL FUNCTIONS, CONDUCT A BUSINESS PROCESS AND IMPACT ANALYSIS, IDENTIFY AUTHORITIES AND LINES OF SUCCESSION, OUTLINE NEXT STEPS IN THE DEVELOPMENT OF THE HOSPITAL'S CONTINUITY PLAN. THIS TRAINING WAS OFFERED BY ENMAGINE INC. & GLOBAL VISION CONSORTIUM. - NYS DOH INFECTIOUS DISEASE EXERCISE - SEVERAL MEMBERS OF EMERGENCY PREPAREDNESS COMMITTEE PARTICIPATED IN PLANNING FOR THIS STATE-WIDE EXERCISE. THIS DRILL SIMULATED A MAJOR FLU OUTBREAK.- EMERGENCY MANAGEMENT COMMITTEE - THIS GROUP MEETS MONTHLY TO ENSURE DRILLS AND TRAINING ARE COMPLETED; REVIEWS HOSPITAL RESPONSE TO ACTUAL INCIDENTS AND WORKS TO RESOLVE ISSUES IDENTIFIED DURING THOSE INCIDENTS AND ASSOCIATED POLICIES. THE TEAM CONSISTS OF SUBCOMMITTEES FOCUSING ON DECONTAMINATION, COMMUNICATIONS AND COMMUNICABLE DISEASES. DURING THE YEAR, THE INCIDENT COMMAND CENTER WAS OPENED TWICE - ONCE IN APRIL FOR WINTER STORM STELLA AND AGAIN IN MAY FOR LOSS OF POWER. AFTER EACH EVENT, AN AFTER ACTION REPORT/PERFORMANCE IMPROVEMENT PLAN WAS COMPLETED TO IDENTIFY STRENGTHS TO BE MAINTAINED, IDENTIFY POTENTIAL AREAS FOR FURTHER IMPROVEMENT AND SUPPORT DEVELOPMENT OF CORRECTIVE ACTIONS.PREVENT CHRONIC DISEASES- CHILDHOOD & ADULT OBESITY - A SUMMARY OF ACTIVITIES RELATED TO THIS INITIATIVE CAN BE FOUND STARTING ON PAGE 2 OF THIS SECTION. - BUILDING A HEALTHY COMMUNITY COALITION - PLANNING MEETING TO DISCUSS WEILER PARK FIT PATH & CHOBANI CHALLENGE. MEMBERS OF THE COALIATION INCLUDE REPS FROM YMCA, WIC, UNITED WAY, CHOBANI AND FRIENDS OF ROGER. OTHER EVENTS INCLUDE GRAND OPENING OF THE CHOBANI FIT PATH AT WEILER PARK AND KICKOFF OF THE CHOBANI HEALTHY CHALLENGE.- DIABETES SUPPORT GROUP - SUPPORT FOR DIABETICS AND THEIR FAMILIES WITH DIFFERENT TOPICS EACH MONTH. TOPICS INCLUDE MEAL PLANNING, HEALTHY EATING PORTION MANAGEMENT, HYPOGLYCEMIA, SELF-MONITORING OF BLOOD GLUCOSE, CARBOHYDRATE COUNTING, ELECTROLYTES, EXERCISE, CORRELATION WITH HEART DISEASE, EFFECT ON FEET, READING FOOD LABELS, EYE COMPLICATIONS, KIDNEY COMPLICATIONS. A NEW DIABETIC EDUCATOR WAS HIRED IN 2017 AND THE SUPPORT GROUPS WERE REINSTATED IN DECEMBER 2017 AND HAVE MET MONTHLY SINCE THEN. |
| PART V, SECTION B, LINE 11 CONTINUED | - HOSPICE & PALLIATIVE CARE OF CHENANGO COUNTY - HOSPICE & PALLIATIVE CARE OF CHENANGO COUNTY SERVES INDIVIDUALS WITH LIFE-LIMITED ILLNESSES. THE 16-MEMBER BOARD MEETS IN THE BOARD ROOM OF THE HOSPITAL 7 TIMES PER YEAR FOR 2 HOURS NOT INCLUDING THE ANNUAL MEETING. CMH AND HOSPICE HAVE COLLABORATED FOR MANY YEARS. LISTED BELOW ARE THE ACTIVITIES THAT OCCURRED DURING 2017. - HOSPICE PROVIDES SERVICES TO OUR LONG-TERM CARE RESIDENTS FACING END-OF-LIFE ISSUES. THE RESIDENT, THEIR FAMILY, AND THE STAFF OF BOTH THE HOSPITAL AND HOSPICE DESIGN A CARE PLAN THAT BEST MEETS THE NEEDS OF THE PATIENT. THE HOSPITAL'S NURSING HOME ADMINISTRATOR AND DIRECTOR OF NURSING MEET WITH HOSPICE TWICE A YEAR TO EVALUATE THE PROGRAM AND MAKE ADJUSTMENTS AS NECESSARY. 5 RESIDENTS AND FAMILIES RECEIVED SERVICES IN 2017. - CMH MADE 45 REFERRALS TO HOSPICE IN 2017 AS WELL AS CARING FOR A HANDFUL OF IN-PATIENTS. THIS NUMBER DOES NOT INCLUDE RESPITE PATIENTS. HOSPICE IS ON-SITE TO WORK WITH DISCHARGE PLANNERS AS NEEDED. - HOSPICE PRESENTED INFORMATION AT A MEETING OF HOSPITAL PRIMARY CARE PROVIDERS. THE PRESENTATION WAS A REFRESHER OF THE SERVICES HOSPICE OFFERS INCLUDING PALLIATIVE CARE. - CMH HAS HAD A REPRESENTATIVE ON THE HOSPICE BOARD FOR MANY YEARS. CURRENTLY, ONE OF THE HOSPITAL'S OR NURSES IS SECRETARY OF THE BOARD. - LASTLY, THE HOSPITAL SUPPORTS HOSPICE'S ANNUAL DINNER AND FUNDRAISER BY SPONSORING AT LEAST 1 TABLE. 8 EMPLOYEES ATTENDED THE EVENT THAT INCLUDED A LIVE AUCTION. - HOSPICE ANNUAL GOLF TOURNAMENT - THREE HOSPITAL EMPLOYEES GOLFED IN THIS ANNUAL FUNDRAISER.- AMERICAN CANCER SOCIETY EVENTS AND FUNDRAISERS- EVERY WOMAN COUNTS PROGRAM - THE CHENANGO HEALTH NETWORK COORDINATES THE "EVERY WOMAN COUNTS" PROGRAM THAT ADVOCATES FOR CANCER SCREENINGS FOR WOMEN. CMH PERFORMED 305 MAMMOGRAMS IN 2017 AS A RESULT OF THIS PROGRAM.PREVENT HIV/STD'S, VACCINE PREVENTABLE DISEASES AND HEALTHCARE ASSOCIATED INFECTIONS- THE LHD VISITED ALL OF THE CMH OFFICES TO DISCUSS IMMUNIZATIONS WITH OFFICE STAFF. THEY LEFT BEHIND INFORMATION TO DISTRIBUTE TO PATIENTS.PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN- A SUMMARY OF ACTIVITIES ASSOCIATED WITH THIS INITIATIVE CAN BE FOUND AS INDICATED BELOW: O BREASTFEEDING - PAGE 52 O REDUCE PREMATURE BIRTHS - PAGE 63 O TOBACCO USE IN PREGNANCY - PAGE 65- MOTHERS & BABIES PERINATAL NETWORK - MBPN'S JOB AS A PERINATAL NETWORK IS TO KNOW WHAT AGENCIES PROVIDE WHAT SERVICES AND WHO THE MEDICAL AND HEALTH CARE PROVIDERS AND PROGRAMS ARE IN THE REGION.EACH WEEK A REPRESENTATIVE IS IN THE WOMEN'S HEALTH CENTER (WHC) WAITING ROOM AND TALKS WITH MOMS AS THEY ARRIVE FOR THEIR APPOINTMENT. THERE IS A DIFFERENT DISCUSSION TOPIC EACH WEEK. IN 2017, THERE WAS TURNOVER IN STAFF BOTH AT MBPN AND IN THE HOSPITAL'S WOMEN'S HEALTH CENTER MAKING IT DIFFICULT TO SCHEDULE PATIENTS TO VISIT THE MBPN REPRESENTATIVE. MBPN FILLED THE POSITION IN LATE 2017. THROUGHOUT 2017, THE WHC MADE A TOTAL OF 65 REFERRALS TO MBPN. MBPN PROVIDED PREGNANCY SUPPORT AND EDUCATION OVER THE PHONE TO 17 WOMEN TOTALING 40 HOURS. MBPN WAS HERE FOR 5 WEEKS FOR A TOTAL OF 27 HOURS. SHE SAW 49 INDIVIDUAL PATIENTS THAT RESULTED IN 49 REFERRALS TO MBPN RESOURCES AND 4 REFERRALS TO OTHER COMMUNITY RESOURCES. CMH ALSO DISTRIBUTES THE "BABY BASICS" BOOK AT MOM'S FIRST APPOINTMENT. THE INFORMATION IN THIS BOOK IS REVIEWED WITH THE PATIENT BY THE NURSE AT EACH VISIT. - MEETING WITH COMMUNITY AGENCIES - THESE MEETINGS PROVIDE A FORUM FOR AGENCIES TO GIVE UPDATES AND DISCUSS INITIATIVES THAT THEY HAVE STARTED WORKING ON. MBPN WILL DISCUSS THEIR OBJECTIVES AND THEIR STATUS AGAINST THE NYS PREVENTION AGENDA. ATTENDEES INCLUDE REPRESENTATIVES FROM PAL, DOH, FAMILY PLANNING, WIC, HEADSTART AND OPPORTUNITIES FOR CHENANGO. - COMMUNITY BABY SHOWER - THE COMMUNITY BABY SHOWER WAS A FREE EVENT COORDINATED BY THE MBPN THAT WAS OPEN TO ALL PREGNANT WOMEN/FAMILIES AND PARENTS OF CHILDREN LESS THAN 6 MONTHS OF AGE. EDUCATION SESSIONS INCLUDED PREGNANCY, BIRTH, BREASTFEEDING, AND BABY SAFETY. A REPRESENTATIVE FROM STAY HEALTHY KIDS ATTENDED TO TALK ABOUT PEDIATRIC OBESITY. PAL, DOH, STAY HEALTHY, SHERIFF'S DEPT, WIC, HEAD START, FAMILY PLANNING AS WELL AS CMH MATERNITY PARTICIPATED. INFORMATION ABOUT CHILD BIRTH CLASSES, BREASTFEEDING, AND THE MATERNITY UNIT WERE PRESENTED IN SMALL GROUP SESSIONS.- HEAD START HEALTH ADVISORY COMMITTEE - PART OF THE NON-PROFIT OPPORTUNITIES FOR CHENANGO, THE COMMITTEE ADVISES HEAD START STAFF ON SAFE/RECOMMENDED HEALTH PRACTICES FOR THE HEAD START PROGRAMS. THE MISSION OF THE NATIONAL HEAD START ASSOCIATION IS TO COALESCE, INSPIRE AND SUPPORT THE HEAD START FIELD AS A LEADER IN EARLY CHILDHOOD DEVELOPMENT AND EDUCATION. REPRESENTATIVES FROM PEDIATRICS AND DENTAL ARE MEMBERS OF THIS COMMITTEE.- HEALTH SERVICES ADVISORY BOARD (HSAB) OF DELAWARE COUNTY - THE HSAB IS PART OF THE DELAWARE DOH GOVERNING BODY AND IS A SUBCOMMITTEE TO THE DELAWARE COUNTY BOARD OF SUPERVISORS. IT IS COMPRISED OF A COMMUNITY MEMBER, 5 LOCAL TOWN SUPERVISORS, THE MEDICAL DIRECTOR, MEDICAL ADVISOR, PUBLIC HEALTH DIRECTOR, THEIR ENVIRONMENTAL HEALTH DIVISION AND CORPORATE COMPLIANCE OFFICE. THE HSAB APPROVES POLICIES, MAKES FINANCIAL RECOMMENDATIONS, REVIEWS QUALITY ASSURANCE, AND PROVIDES INPUT INTO PUBLIC HEALTH PROJECTS AND PROGRAMS. CMH'S PEDIATRICIAN IN SIDNEY, NY, IS A MEMBER OF THIS BOARD. |
| PART V, SECTION B, LINE 11 CONTINUED | PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE- A SUMMARY OF ACTIVITIES ASSOCIATED WITH THIS INITIATIVE CAN BE FOUND STARTING ON PAGE 68.- HARM REDUCTION WORK GROUP - A SUBCOMMITTEE OF THE CHENANGO SUBSTANCE ABUSE PREVENTION COALITION, MEMBERSHIP OF THIS COMMITTEE CONSISTS OF MENTAL HEALTH, CATHOLIC CHARITIES, LHD, OFFICE OF THE AGING, BROOME DEVELOPMENT AND A COMMUNITY MEMBER. THE MISSION OF THIS GROUP IS TO PLAN AND HOLD EVENTS THAT EDUCATE THE PUBLIC ON THE PROPER USE AND DISPOSAL OF PRESCRIPTION DRUGS AS WELL AS EDUCATION ON OPIATES AND THEIR MISUSE. THIS GROUP WORKS CLOSELY WITH THE COMMUNITY SERVICES BOARD OF CHENANGO COUNTY COMMUNITY MENTAL HYGIENE SERVICES.- MULTI-DISCIPLINARY TREATMENT TEAM (MDT) - THIS TEAM MEETS MONTHLY TO REVIEW CASES AND PROVIDE UPDATES. THE MDT'S MISSION IS TO STRENGTHEN AND PROTECT CHILDREN, FAMILIES, AND COMMUNITIES THROUGH AN AGREED UPON MULTI-DISCIPLINARY APPROACH TO CHILD ABUSE CASES. THE MDT PROVIDES SPECIALIZED EDUCATION SPECIFIC TO OUR COUNTY'S COMMUNITY COLLABORATIVE PARTNERS. THE FOLLOWING DISCIPLINES ARE REPRESENTED ON THE TEAM: LAW ENFORCEMENT, CHILD PROTECTIVE SERVICES, PROSECUTION, HEALTH CARE SPECIALIST, VICTIM ADVOCACY, MENTAL HEALTH AND CHILD ADVOCACY.- SHARPS PROGRAM - CMH SPONSORS A SHARPS PROGRAM IN THE ER WERE EVERYONE IN THE COMMUNITY IS WELCOME TO PARTICIPATE IN THE FREE PROGRAM, INCLUDING THOSE WHO SELF-INJECT MEDICATIONS. "SHARPS" ARE NEEDLES, SYRINGES AND LANCETS. WHEN SHARPS ARE THROWN AWAY WITH HOUSEHOLD TRASH, THERE IS A RISK OF INJURY AND BLOOD-BORNE DISEASES SUCH AS HEPATITIS AND HIV TO SANITATION WORKERS. IN 2017, 74 LBS OF NEEDLES WERE COLLECTED AND DISPOSED OF AS HAZARDOUS WASTE.- MEDICAL SOCIAL SERVICES IN PRIMARY CARE OFFICE - MEETING TO DISCUSS PLACING MSW'S IN THE PRIMARY CARE OFFICES, PARTICULARTY SHERBURNE PRIMARY CARE TO ASSIST PATIENTS WITH MENTAL ILLNESS THAT VISIT A NP CERTIFIED IN PSYCHIATRY IN THAT OFFICE.- AMERICAN FOUNDATION FOR SUICIDE PREVENTION - AFSP RAISES AWARENESS FUNDS FOR SCIENTIFIC RESEARCH AND PROVIDES RESOURCES AND AID TO THOSE AFFECTED BY SUICIDE. THE HOSPITAL HAD 2 EMPLOYEES WHO PARTICIPATED IN FUNDRAISING FOR THIS ORGANIZATION INCLUDING THE "OUT OF THE DARKNESS WALK".- CHENANGO COUNTY SUICIDE PREVENTION COALITION - THE PURPOSE OF THIS COALITION IS TO EDUCATE STUDENTS AND FACULTY AT SCHOOLS IN CHENANGO COUNTY ABOUT SUICIDE PREVENTION. IN PARTICULAR, RECOGNIZING THE WARNING SIGNS, WHAT TO DO, AND UNDERSTANDING THE RESOURCES AVAILABLE. THE COALITION CONSISTS OF EDUCATORS (WHO ARE ALSO PRESENTERS AT SCHOOLS) AND REPRESENTATIVES FROM MENTAL HEALTH, CATHOLIC CHARITIES, CHENANGO HEALTH NETWORK, AND THE UNITED WAY. CMH'S MEDICAL SOCIAL WORKER ATTENDS THESE MONTHLY MEETINGS.- CHENANGO COUNTY ADULT PROTECTIVE SERVICES - ADULT PROTECTIVE SERVICES, OVERSEEN BY THE CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES, RESPONDS TO REFERRALS ON INDIVIDUALS WHO MEET THE CRITERIA OF BEING 18 YEARS OF AGE OR OLDER, HAVE A PHYSICAL OR MENTAL IMPAIRMENT, AND HAVE NO ONE WILLING OR ABLE TO ASSIST THEM. SERVICES MAY INCLUDE THE INVESTIGATION AND ASSESSMENT OF THE INDIVIDUAL'S NEEDS, CASEWORK COUNSELING, ARRANGING ALTERNATIVE LIVING CONDITIONS, PREVENTION SERVICES, SOCIAL SERVICES, MEDICAL SERVICES, PROVIDING HOMEMAKER SERVICES, GUARDIANSHIP SERVICES, REPRESENTATIVE PAYEE OR PROTECTIVE PAYEE, PROVIDING ADVOCACY, AND ASSISTANCE IN ARRANGING FOR LEGAL SERVICES. CMH'S MEDICAL SOCIAL WORKER IS A MEMBER AS WELL AS THE LHD, NYCONNECTS, OFFICE OF THE AGING AND MENTAL HEALTH.- COMMUNITY SERVICES BOARD OF THE CHENANGO COUNTY COMMUNITY MENTAL HYGIENE SERVICES - THIS BOARD REPRESENTS BEHAVIORAL HEALTH SERVICES ON THE COUNTY BOARD OF SUPERVISORS. THEY SHARE INFORMATION ABOUT LOCAL SERVICES PLANNED IN THE COMMUNITY; OVERSEE EXISTING SERVICES; AND DISCUSS THE LATEST DEVELOPMENTS IN MEDICAID COVERAGE. THEIR PRIMARY PURPOSE IS TO KEEP MEMBERS OF THE BOARD OF SUPERVISORS INFORMED ABOUT WHAT'S GOING ON IN THE FIELD OF MENTAL HEALTH BOTH NATIONALLY AND LOCALLY. MEMBERS ARE NOMINATED AND ELECTED TO A 4-YR TERM. MEMBERS INCLUDE MENTAL HEALTH, RETIRED PROBATION OFFICERS, CATHOLIC CHARITIES, BROOME DEVELOPMENTAL, OFFICE OF THE AGING, AND COMMUNITY MEMBERS. THIS GROUP WORKS CLOSELY WITH THE MENTAL HEALTH & DEVELOPMENTAL DISABILITIES SUBCOMMITTEE OF THE CHENANGO SUBSTANCE ABUSE PREVENTION COALITION. THE HOSPITAL'S MEDICAL SOCIAL WORKER HAS BEEN ELECTED TO A SEAT ON THIS COMMISSION.- SURROGATE DECISION-MAKING COMMITTEE (SDMC) - THE SDMC PROGRAM IS AN ALTERNATIVE TO THE COURT SYSTEM FOR INDIVIDUALS WHO LACK CAPACITY TO PROVIDE INFORMED CONSENT, DO NOT HAVE A LEGALLY AUTHORIZED DECISION MAKER TO ACT ON THEIR BEHALF AND ARE IN NEED OF NON-EMERGENCY MAJOR MEDICAL PROCEDURES. THE SDMC PROGRAM, OVERSEEN BY THE NYS JUSTICE CENTER, ALSO HANDLES END-OF-LIFE DECISION MAKING FOR QUALIFYING INDIVIDUALS. SDMC USES SPECIALLY TRAINED VOLUNTEERS TO REVIEW DECLARATIONS REGARDING A PERSON'S CAPACITY AND NEED FOR TREATMENT AND THEN RENDS A DECISION AT A QUASI-JUDICIAL HEARING. THE PROCESS IS FREE. MEMBERS OF THE LOCAL COMMITTEE INCLUDE BROOME DEVELOPMENTAL, MENTAL HEALTH, AND RETIRED NURSES. THE DECISION MAKING TEAM CONSISTS OF SOMEONE FROM THE MEDICAL FIELD, LEGAL FIELD, AND AN ADVOCATE FOR THE DISABLED PERSON. WHENEVER POSSIBLE, THE PERSON IN NEED OF TREATMENT AND THE CAREGIVER ATTEND THE HEARING. CMH'S MEDICAL SOCIAL WORKER IS A MEMBER OF THIS COMMITTEE.- OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES - OPWDD HOSTED A MEETING TO DISCUSS COLLATIONS THAT WILL ENABLE CMH TO BETTER MEET THE NEEDS OF VALLEY RIDGE CONSUMERS WHEN THEY SEEK CARE AT THE HOSPITAL. ATTENDEES INCLUDED NYS ASSEMBLYMAN CLIFF CROUCH, REPRESENTATIVES OFF HE NYS OPWDD AND VALLEY RIDGE CIT.NEEDS ASSESSMENT ACTIVITIES- ACTIVITIES INCLUDED THE FOLLOWING: O REGULARLY SCHEDULED MEETINGS REGARDING ALL OF THE NEEDS ASSESSMENT INITIATIVES. O CHNA/CSP NARRATIVE SUMMARY FOR THE WEBSITE. O 2016-2018 CHNA INITIATIVES.OTHER ACTIVITIES- CHENANGO COUNTY HAS 6 LOCAL FOUNDATIONS THAT REGULARLY AWARD GRANTS TO THE HOSPITAL. APPROXIMATE/Y 24 HOURS WAS SPENT TO RAISE OVER $300,000 IN GRANTS TO SUPPORT PROJECTS AND PROGRAMS AT THE HOSPITAL. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - UHS IMAGING | ||||
| 6 NEWTON AVENUE | NORWICH | NY | 13815 | IMAGING CARE CENTER |
| 2 - UHS PHYSICAL THERAPY | ||||
| 26 CONKEY AVENUE | NORWICH | NY | 13815 | CENTER FOR PHYSICAL THERAPIES |
| 3 - UHS PRIMARY CARE - SIDNEY | ||||
| 44 PEARL STREET | SIDNEY | NY | 13838 | PRIMARY CARE CENTER |
| 4 - UHS PEDIATRICS | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | PEDIATRIC CARE CENTER |
| 5 - UHS ORTHOPEDICS | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | ORTHOPEDIC CARE CENTER |
| 6 - UHS GENERAL SURGERY | ||||
| 4 NEWTON AVENUE | NORWICH | NY | 13815 | GENERAL SURGERY CARE CENTER |
| 7 - UHS PRIMARY CARE - SHERBURNE | ||||
| 38A CLASSIC STREET | SHERBURNE | NY | 13460 | PRIMARY CARE CENTER |
| 8 - UHS PRIMARY CARE - OXFORD | ||||
| 21 NORTH CANAL STREET | OXFORD | NY | 13830 | PRIMARY CARE CENTER |
| 9 - UHS DENTAL CENTER | ||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | DENTAL HEALTH CENTER |
| 10 - UHS ENT CENTER | ||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | ENT CENTER |
| 11 - UHS PODIATRY | ||||
| 32 CONKEY AVENUE | NORWICH | NY | 13815 | PODIATRY |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | A COMBINATION OF IRS PROVIDED WORKSHEETS AND THE RATIO OF PATIENT CARE COST TO CHARGES WAS USED. |
| PART I, LN 7 COL(F): | 100% OF THE ANNUAL BAD DEBT EXPENSE OF $3,107,610 WAS NOT INCLUDED IN THE CALCULATION OF NET BENEFIT EXPENSE. |
| PART I, LINE 7F | - THOMAS MANLEY SCHOLARSHIP - NAMED AFTER A PIONEERING SURGEON IN CHENANGO COUNTY AND HISTORIC FIGURE AT THE HOSPITAL, THE SCHOLARSHIP IS OPEN TO ANY STUDENTS IN THE COMMUNITY ENROLLED IN A PROGRAM FOR REGISTERED NURSES. APPLICATIONS ARE SENT TO ALL CHENANGO COUNTY HIGH SCHOOLS ANNUALLY. $10,000 WAS AWARDED IN 1-YEAR SCHOLARSHIPS TO 12 STUDENTS BASED ON NEED. THE COMMITTEE DISTRIBUTES APPLICATIONS, SETS UP INTERVIEWS WITH CANDIDATES, INTERVIEWS, MEETS WITH THE NBT TRUST DEPT TO REVIEW ACCOUNT GROWTH AND DETERMINE AMOUNT OF MONEY TO DISTRIBUTE, REVIEWS PAST APPLICANTS AND CONTACTS THEM REGARDING EMPLOYMENT VS. PAYING BACK. NBT SENDS LETTERS TO RECIPIENTS AND THE COMMITTEE MEETS WITH THE RECIPIENTS EXPLAINING THE LOAN/SCHOLARSHIP. THE COMMITTEE CONSISTS OF 5 NURSES FROM ER, OR, MED/SURG AND MATERNITY AND ADMINISTRATIVE SUPPORT.- CHENANGO HOUSE - THE HOSPITAL PROVIDES FREE HOUSING FOR STUDENTS PURSUING MEDICAL DEGREES AND COMPLETING CLINICAL ROUNDS OR INTERNSHIPS AT THE HOSPITAL. IN 2017, 40 STUDENTS SPENT 755 NIGHTS AT THE CHENANGO HOUSE. EXPENSE TO THE HOSPITAL WAS $10,555.- COMMUNITY EDUCATION - THE HOSPITAL OFFERS SEVERAL CLASSES AVAILABLE TO THE PUBLIC IN BASIC LIFE SUPPORT/CARDIOPULMONARY RESUSCITATION AND ADVANCED CARDIAC LIFE SUPPORT.- TWO OF THE HOSPITAL'S OR NURSES ATTENDED PESI HEALTHCARE'S NURSING DOCUMENTATION SEMINAR THAT INCLUDED COMPONENTS OF DOCUMENTATION, ELECTRONIC NURSING DOCUMENTATION, EMR STRATEGIES, REIMBURSEMENT AND DOCUMENTATION, DOCUMENTATION WHEN THINGS GO WRONG, ETHICAL ISSUES, AVOIDING RISKY DOCUMENTATION, WHAT IF THE WORST HAPPENS AND EXAMPLES AND CASE STUDIES OF DOCUMENTATION.- THREE ER NURSES ATTENDED THE 31ST ANNUAL TRAUMA SYMPOSIUM IN JUNE. PRESENTATION TOPICS INCLUDED LESSONS LEARNED FROM THE SAN BERNADINO SHOOTINGS, NEUROSURGICAL TRAUMA, LIVING WITH A SPINAL CORD INJURY, WHAT CRISIS WORKERS NEED TO KNOW ABOUT PTSD IN THE WORKPLACE, EMERGENCY DEPARTMENT CASE STUDIES AND AGRICULTURAL TRAUMA.- ONE OF OUR MATERNITY NURSES ATTENDED THE ASSOCIATION OF WOMEN'S HEALTH, OBSTETRIC AND NURSES' TEACHING DAY. TOPICS INCLUDED CENTERING PREGNANCY: EVIDENCE BASED PRENATAL CARE THAT MEETS AND EXCEEDS THE QUADRUPLE AIM; AN UNINTENTIONAL CONSEQUENCE OF OPIOID ABUSE; IMPROVING OB TRIAGE; USE THE MATERNAL FETAL TRIAGE INDEX; GLUCOSE GEL FOR NEONATAL MYPOGLYCEMIA; AND TRAUMA-INFORMED CARE OF THE SEXUAL ASSAULT PATIENT.- THE STERILE PROCESSING EDUCATION CONFERENCE OFFERED BY CENTRAL NEW YORK HEALTH CARE CENTRAL SERVICE PROFESSIONALS WAS ATTENDED BY ONE OF OUR OR TECHS. TOPICS INCLUDED QUALITY CONTROL FOR FLEXIBLE ENDOSCOPE REPROCESSING; UNDERSTANDING CRITICAL PARAMETERS; STERILE PROCESS QUALITY MANAGEMENT SYSTEM; AND WORKING IN SPD IS MORE THAN A JOB.- LEADERSHIP CHENANGO IS DESIGNED TO IDENTIFY AND DEVELOP INDIVIDUALS TO BECOME COMMUNITY LEADERS, VOLUNTEERS FOR CHARITABLE ORGANIZATIONS, AND BOARD MEMBERS FOR SCHOOL, GOVERNMENT OR COMMUNITY ORGANIZATIONS. PARTICIPANTS LEARN ABOUT ALL ASPECTS OF CHENANGO COUNTY INCLUDING AGRIBUSINESS, LAW ENFORCEMENT, TOURS OF THE COUNTY OF ON-SITE EDUCATION, EDUCATION, LOCAL GOVERNMENT, DSS, BOARD WORK TRAINING, SMALL BUSINESS, HEALTHCARE AND ECONOMIC DEVELOPMENT. THE HOSPITALS ER NURSE MANAGER IS A MEMBER OF THE CLASS THAT WILL GRADUATE IN 2018.- RURAL HEALTH CARE LEADERSHIP CONFERENCE HOSTED BY THE AMERICAN HEART ASSOCIATION WAS ATTENDED BY TWO OF THE HOSPITAL'S VICE PRESIDENTS. THE CONFERENCE BROUGHT A UNIQUE FOCUS ON INNOVATION, INSIGHTS AND TESTED STRATEGIES FOR IMPROVING RURAL HEALTH CARE AND DEVELOPING THE THOUGHTFUL LEADERSHIP THAT CAN PRODUCE RESULTS. THE CONFERENCE HAD A ROBUST CURRICULUM DESIGNED SPECIFICALLY FOR RURAL HEALTHCARE PROVIDERS. TOPICS INCLUDED ENGAGING BOARDS AND LEADERSHIP, EMBRACE ACCOUNTABLE CARE CHALLENGES, FINDING A MEDICAL HOME FOR SUPERUTILIZERS, AND EXTENDING HEALTH CARE DELIVERY THROUGH TELEMEDICINE.- ADVANCED EXECUTIVE LEADERSHIP FOR PHYSICIANS - THIS IS A CERTIFICATE PROGRAM OFFERED BY HANYS FOR PHYSICIANS. THE CONFERENCE PROVIDED EDUCATION AND TRAINING IN THE SKILL SETS NEEDED TO SUCCEED AS A PHYSICIAN LEADER IN THIS RAPIDLY CHANGING ENVIRONMENT. A HOSPITALIST AND PEDIATRICIAN FROM THE HOSPITAL COMPLETED THIS PROGRAM.- CMH'S WOUND CARE NURSE ATTENDED THE WOUND CARE CONFERENCE OFFERED BY THE WOUND CARE EDUCATION INSTITUTE. THE THEME WAS "WILD ABOUT WOUNDS AND BROUGHT CLINICIANS TOGETHER FROM AROUND THE COUNTRY TO LEARN AND SHARE IDEAS ON THE LATEST EVIDENCE-BASED WOUND CARE PRACTICES. CLINICIANS ALSO HAD THE OPPORTUNITY TO SEE, TOUCH, AND LEARN ABOUT ALL THE NEW PRODUCTS AND INTERVENTIONS NOW AVAILABLE.- BOTH OF THE HOSPITAL'S NURSE EDUCATORS ATTENDED THE ANNUAL CONVENTION OF THE ASSOCIATION OF NURSING PROFESSIONAL DEVELOPMENT. ANDP'S MISSION IS TO ADVANCE QUALITY HEALTH CARE PROVIDING, DEFINING AND PROMOTING NURSING PROFESSIONAL DEVELOPMENT PRACTICE. THE CONFERENCE OFFERED NUMEROUS CONTINUING EDUCATIONAL SESSIONS ON THE LATEST TEACHING TECHNIQUES AND TOPICS. OUR NURSE EDUCATORS PRESENTED A POSTER ABOUT THEIR WORK IMPROVING PATIENT SATISFACTION SCORES.- HANYS, IN PARTNERSHIP WITH OUTCOME ENGENUITY, OFFERED A CERTIFICATION COURSE IN ROOT CAUSE ANALYSIS WHICH WAS ATTENDED BY OUR VP OF QUALITY AND A MEMBER OF THE QUALITY MANAGEMENT STAFF. THIS COURSE WAS DESIGNED TO HELP FURTHER UNDERSTANDING OF HOW ORGANIZATIONS CAN EXPLORE AND ANALYZE SINGLE EVENTS TO PROVIDE TIMELY AND APPROPRIATE INFORMATION THAT FACILITATES QUALITY DECISIONS TOWARD IMPROVING OUTCOMES.- OUR INFECTION CONTROL NURSE ATTENDED THE NYS DOH'S MEDICAL COUNTERMEASURE DISTRIBUTION AND DISPENSING TRAINING. MEDICAL COUNTERMEASURE DISTRIBUTION AND DISPENSING IS THE ABILITY OF COUNTY HEALTH DEPARTMENTS AND HEALTHCARE FACILITIES TO PROVIDE VACCINES, ANTIVIRALS DRUGS, ANTIBIOTICS, ETC., IN SUPPORT OF TREATMENT OF PROPHYLAXIS DURING AN EMERGENCY. THIS REGIONAL IN-PERSON TRAINING HIGHLIGHTED ASPECTS OF MEDICAL COUNTERMEASURE DISPENSING WHICH ARE CRITICAL SUCCESS PLANNING AND RESPONSE.- ANNUAL CONFERENCE AND EXPOSITION FOR NURSING HOME ADMINISTRATORS - OUR NURSING HOME ADMINISTRATOR ATTENDED THIS 2-DAY CONFERENCE THAT FOCUSED ON WORKFORCE RECRUITMENT AND RETENTION, LIVING WELL WITH DEMENTIA, AND MEDICAL ETHICS PROGRAMS FOR LONG-TERM FACILITIES.- ONE OF OUR LONG-TERM CARE NURSES ATTENDED THE ANNUAL TEACHING DAY OF THE ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL & EPIDEMIOLOGY. THE EVENT IS GEARED TOWARD HEALTHCARE PROFESSIONALS INVOLVED IN PROMOTING PATIENT SAFETY AND INFECTION PREVENTION IN ACUTE CARE, LONG TERM CARE, HOME CARE, PUBLIC HEALTH SETTINGS AND AMBULATORY SERVICES. THE PURPOSE IS TO INFLUENCE, SUPPORT, AND IMPROVE THE QUALITY AND SAFETY OF HEALTHCARE THROUGH THE PRACTICE OF INFECTION PREVENTION AND THE APPLICATIONS OF EPIDEMIOLOGIC PRINCIPLES IN ALL HEALTH CARE SETTINGS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL CONDUCTS AND ATTENDS NUMEROUS EVENTS IN THE COMMUNITY TO DEVELOP COMMUNITY RELATIONSHIPS AND SUPPORT HEALTHCARE INITIATIVES.LINE 2 - ECONOMIC DEVELOPMENT- COMMERCE CHENANGO -THE CHAMBER REPRESENTS A PARTNERSHIP OF BUSINESS AND PROFESSIONAL PEOPLE, MAKING A DIFFERENCE IN THE COMMUNITY. THE HOSPITAL PARTICIPATES IN MANY OF COMMERCE CHENANGO'S FUNCTIONS INCLUDING THEIR ECONOMIC BREAKFAST, MEMBERSHIP LUNCHEON, SOIREE IN THE PARK, LEGISLATIVE LUNCHEON, BUSINESS AFTER HOURS AND GOLF TOURNAMENT.- THE SIDNEY CHAMBER REPRESENTS A PARTNERSHIP OF BUSINESS AND PROFESSIONAL PEOPLE IN DELAWARE COUNTY WHERE CMH HAS A PRIMARY CARE/PEDIATRICS CLINIC. I CONSISTS OF BUSINESSES IN THE GREATER SIDNEY COMMUNITY AND HOLD NUMEROUS EVENTS FOR THE COMMUNITY AS WELL AS RECOGNIZE COMPANIES.LINE 3 - COMMUNITY SUPPORTNO ENTRIES REQUIRING NARRATIONLINE 4 -- ENVIRONMENTAL IMPROVEMENTSNO ENTRIES REQUIRING NARRATION.LINE 6 -- COALITION BUILDING- NORWICH ROTARY CLUB - ROTARY IS AN ORGANIZATION OF BUSINESS AND PROFESSIONAL LEADERS WHO PROVIDE HUMANITARIAN SERVICE, ENCOURAGE HIGH ETHICAL STANDARDS IN ALL VOCATIONS, AND HELP BUILD GOODWILL AND PEACE IN THE WORLD. MEMBERSHIP REPRESENTS A CROSS-SECTION OF THE COMMUNITY'S BUSINESS AND PROFESSIONAL MEN AND WOMEN. THE MAIN OBJECTIVE OF ROTARY IS SERVICE - IN THE COMMUNITY, IN THE WORKPLACE, AND THROUGHOUT THE WORLD. THE HOSPITAL'S NURSING HOME ADMINISTRATOR IS AN ACTIVE MEMBER AT THE LOCAL AND DISTRICT LEVEL.- ATTENDED EXECUTIVE BOARD, STRATEGIC PLANNING, AND OTHER MEETINGS. - MEMBERS OF THE HOSPITAL'S MANAGEMENT TEAM SERVE ON SEVERAL BOARDS OR HOLD GOVERNANCE POSITIONS WITH ORGANIZATIONS IN THE AREA. THOSE NOT LISTED PREVIOUSLY IN PART V SECTION C OR LINE 7 BELOW ARE AS FOLLOWS: - CHENANGO ARTS COUNCIL - A MEMBER OF THE HOSPITAL'S LEADERSHIP TEAM IS A MEMBER OF THE CAC BOARD. THE ARTS COUNCIL SPONSORS NATIONAL ACTS TO COME TO NORWICH AS WELL AS HOST LOCAL THEATER PRODUCTIONS AND ART SHOWINGS.** SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION FOR CONTINUATION |
| PART III, LINE 2: | THE COST OF BAD DEBTS IS TAKEN FROM THE 2017 AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2016 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2016 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2016, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 2.14% OF THE TOTAL BAD DEBT WRITE-OFFS. |
| PART II, COMMUNITY BUILDING ACTIVITIES CONTINUED | LINE 7 -- COMMUNITY HEALTH IMPROVEMENT ADVOCACY CHENANGO COUNTY HAS BEEN DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA ACCORDING TO THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR LOW INCOME PRIMARY HEALTH CARE, DENTAL CARE, AND MENTAL HEALTH CARE. THE RATIO OF POPULATION TO PROVIDERS PLACES CHENANGO COUNTY IN THE BOTTOM HALF OF COUNTIES IN NYS FOR PRIMARY CARE PHYSICIANS. UHS CHENANGO MEMORIAL, THEREFORE, IS CONSTANTLY RECRUITING TO IMPROVE ACCESS AND INCREASE SERVICES (SEE "RECRUITMENT" LATER IN THIS SECTION). THE HOSPITAL HAD SUCCESS IN 2017 IN THE FOLLOWING AREAS:- SPINE PAIN MANAGEMENT AND SPINE TREATMENT - IN 2016, THE HOSPITAL CONTRACTED WITH A SPINE SURGEON WHO STARTED SPINE PAIN TREATMENTS DURING THE SAME YEAR. IN 2017 HE ADDED LAMINECTOMIES AND SPINE SURGERIES TO HIS LIST OF PROCEDURES - THE ONLY HOSPITAL IN CHENANGO COUNTY THAT OFFERS THEM. - OBSTETRICS/GYNECOLOGY -DR. TIMOTHY COREY BEGAN SEEING PATIENTS IN OUR SIDNEY OFFICE EARLY IN 2017. HE STARTED AT A HALF DAY PER WEEK AND BY MID-YEAR HIS TIME WAS EXPANDED TO A FULL DAY PER WEEK. SIDNEY IS LOCATED IN DELAWARE COUNTY WHERE THERE ARE NO WOMEN'S HEALTH SERVICES. HIS PRESENCE HAS MADE A DIFFERENCE. IN 2017, 18.5% OF BIRTHS AT CMH ORIGINATED FROM DELAWARE AND OTSEGO COUNTIES.- PAIN MANAGEMENT - THE HOSPITAL'S PAIN MANAGEMENT SERVICE WAS MOVED TO OXFORD TO IMPROVE PATIENT ACCESSIBILITY DUE TO THE AVAILABILITY OF MORE EXAM ROOMS THAN THEIR PREVIOUS LOCATION.- VASCULAR SURGERY - THE HOSPITAL ADDED A VASCULAR SURGEON TO THE MEDICAL STAFF DURING THE YEAR. PERIPHERAL ARTERY DISEASE, I.E. BLOCKED VEINS NOT DIRECTLY ASSOCIATED WITH THE HEART, IS ASSOCIATED WITH CARDIOVASCULAR DISEASE - A LEADING CAUSE OF MORBIDITY AND MORTALITY IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). HAVING A VASCULAR SURGEON ON STAFF WILL BE A WELCOME ADDITION TO COMPLEMENT OUR GROWING CARDIOLOGY PROGRAM AND ADDRESS CHENANGO COUNTY'S HIGH INCIDENCE OF COPD CASES.- CARDIOLOGY - CARDIOLOGY CONSULTATIONS BEGAN IN SIDNEY ON A PART-TIME BASIS. DELAWARE COUNTY'S ADULT SMOKING RATE AND RATE OF AGE-ADJUSTED HOSPITALIZATIONS DUE TO HEART ATTACK IS ABOVE THE NYS PREVENTION AGENDA GOAL.- ORTHOPEDICS - ONE OF THE HOSPITAL'S ORTHOPEDIC SURGEONS SEES PATIENTS IN THE SIDNEY OFFICE ON A PART-TIME BASIS. DELAWARE COUNTY HAS A LARGE POPULATION OF LOW SOCIO-ECONOMIC AND/OR AGING RESIDENTS IN THIS AGRICULTURAL AREA.- MEDICAL SOCIAL WORKER - AN MSW WAS ADDED PART-TIME TO OUR PEDIATRICS PRACTICE TO HELP FAMILIES WITH A MULTITUDE OF MENTAL AND EMOTIONAL CONCERNS. THIS HAS BEEN ESSENTIAL FOR THE SOCIO-ECONOMIC BASE OF PATIENTS WHO ARE MORE INCLINED TO SUFFER FROM THESE CONDITIONS.NOT SURPRISINGLY, UHS CHENANGO MEMORIAL IS HEAVILY INVOLVED WITH HEALTH PROGRAMS AT THE STATE AND LOCAL LEVEL.- IROQUOIS HEALTH ALLIANCE (IHA) - THE HOSPITAL'S CEO IS AN IHA BOARD MEMBER. THE ORGANIZATION CONSISTS OF CEO'S OF ALL THE HOSPITALS IN CENTRAL NEW YORK. IT IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSTATE HOSPITALS AND HEALTHCARE SYSTEMS MEMBERS. THE IHA PROMOTES A BROADER UNDERSTANDING OF, AND BUILDS SUPPORT FOR, THE HEALTH CARE SYSTEMS SERVING UPSTATE NEW YORK. THIS FORUM HAS BEEN USED BY THE DEPARTMENT OF HEALTH AND OTHER GOVERNMENT ORGANIZATIONS TO DISCUSS CHANGES IN HEALTH CARE AND NEW REGULATIONS DIRECTLY WITH HOSPITAL CEO'S. ANOTHER HOSPITAL LEADER IS A MEMBER OF THE IHA POLICY ADVISORY GROUP. - CMH PARTICIPATED IN THE ANNUAL IHA GOLF TOURNAMENT - A MAJOR FUNDRAISER AND NETWORKING OPPORTUNITY.- AMERICAN HOSPITAL ASSOCIATION (AHA) - CMH'S PRESIDENT & CEO IS A MEMBER OF THE AHA. AHA'S REPRESENTATION AND ADVOCACY ACTIVITIES ENSURES THAT MEMBERS' PERSPECTIVES AND NEEDS ARE HEARD AND ADDRESSED IN NATIONAL HEALTH POLICY DEVELOPMENT, LEGISLATIVE AND REGULATORY DEBATES, AND JUDICIAL MATTERS. THEIR ADVOCACY EFFORTS INCLUDE THE LEGISLATIVE AND EXECUTIVE BRANCHES AND INCLUDE THE LEGISLATIVE AND REGULATORY ARENAS.- SOUTHERN TIER REGIONAL HEALTHCARE BENEFITS & QUALITY MANAGEMENT COMMITTEE - THE COMMITTEE CONSISTS OF EMPLOYERS AND HEALTHCARE ORGANIZATIONS FOR EXCELLUS BLUE CROSS/BLUE SHIELD TO EXPLAIN THEIR BENEFIT PROGRAMS AND QUALITY INITIATIVES, UTILIZATION, CONTROL OF UTILIZATION, I.E. USE OF CT SCANNERS AND MRI'S, WELLNESS PROGRAMS, ETC. EXCELLUS REPORTS THE RESULTS OF QUALITY MEASURES TO UNDERSTAND THE SUCCESSES AND CHALLENGES OF THEIR VARIOUS PROGRAMS. CMH'S PRESIDENT & CEO IS A MEMBER OF THIS COMMITTEE.- HANYS ANNUAL MEMBERSHIP CONFERENCE - THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) HOSTS A MEMBERSHIP CONFERENCE EACH YEAR. THE THEME FOR 2017 WAS FACING THE FUTURE, SHAPING HEALTHCARE TOGETHER. PRESENTATION TOPICS AND PANEL DISCUSSION INCLUDED HIGH RELIABILITY BOOT CAMP, LEADING AND MANAGING IN CHANGING TIMES, RIDING THE HEALTH REFORM ROLLER COASTER, RETHINKING HEALTH FOR A POPULATION, HEALTHCARE CYBER THREATS, AND MORE. THE CONFERENCE WAS ATTENDED BY THE HOSPITAL'S PRESIDENT & CEO AND 4 MEMBERS OF SENIOR MANAGEMENT.- ADVOCACY DAY IN ALBANY, NY - TRIP TO ALBANY TO DISCUSS NURSE STAFFING RATIOS WITH DOH STAFF AND MEMBERS OF NYS SENATE AND ASSEMBLY. OTHERS INVOLVED INCLUDED HANYS LEGISLATIVE ALLIANCE TEAM, CNO' FROM HOSPITALS AROUND THE STATELINE 8 - WORKFORCE DEVELOPMENTIN ADDITION TO MENTORING NUMEROUS STUDENTS THROUGHOUT THE YEAR, REPRESENTATIVES OF THE HOSPITAL SERVE ON VARIOUS EDUCATIONAL BOARDS AND/OR PROVIDE INSTRUCTION IN-HOUSE TO MEDICAL STUDENTS. EXAMPLES DURING 2017 ARE AS FOLLOWS:- DURING THE YEAR, CMH WAS RESEARCHING THE OPPORTUNITY TO HOST A HEALTHCARE EXPLORER POST THROUGH THE BADEN-POWELL COUNCIL OF THE BOY SCOUTS OF AMERICA HEADQUARTERED IN BINGHAMTON, NY. HEALTHCARE EXPLORERS IS FOR STUDENTS 14-21 YEARS OLD. THE PROGRAM PROVIDES LEADERSHIP DEVELOPMENT, ENCOURAGES PARTICIPANTS TO GIVE BACK TO THE COMMUNITY, DEVELOPS LIFE SKILLS, PROVIDES HANDS-ON EXPERIENCE, AND GIVES STUDENTS THE OPPORTUNITY TO DECIDE IF A HEALTHCARE CAREER IS RIGHT FOR THEM. UNFORTUNATELY, THIS PROJECT WAS ABANDONED DUE TO TIME CONSTRAINTS AND MORE URGENT PRIORITIES OF THE HOSPITAL.- MORRISVILLE STATE NURSING PROGRAM - CMH'S VP OF NURSING SERVES ON THE DIVISION OF NURSING ADVISORY COMMITTEE OF MORRISVILLE STATE COLLEGE. THEY MET TO DISCUSS COLLABORATION FOR THE HEALTH CARE CAREER & COLLEGE FAIR HELD IN MAY. MORRISVILLE ALSO PROVIDED AN UPDATE ON THEIR NURSING PROGRAM. OTHER PARTICIPANTS INCLUDED OXFORD ACADEMY AND CENTRAL SCHOOLS, NORWICH CITY SCHOOLS, THE YMCA, AND COMMERCE CHENANGO, AND MEMBERS OF THE COMMUNITY.- MORRISVILLE HOSTED SUMMIT WITH THE NEW SUNY CHANCELLOR. THE SUMMIT SUPPORTED APPLIED LEARNING INITIATIVES ON CAMPUS AND SHOWCASED THE COLLEGE'S EFFORTS TO PREPARE STUDENTS FOR 21ST CENTURY CAREERS THAT WILL SUPPORT THE ECONOMIC GROWTH AND STABILITY OF NEW YORK STATE.- THREE REPRESENTATIVES OF THE HOSPITAL ATTENDED MORRISVILLE'S COLLEGE AND CAREER FAIR. THIS WAS AN EVENT TO CONNECT STUDENTS WITH JOB SEEKERS WITH LOCAL EMPLOYMENT OPPORTUNITIES AND THE EDUCATION OPPORTUNITIES THAT CAN PREPARE THEM FOR THEIR CHOSEN CAREER FIELDS.- NURSE PLANNING MEETINGS - A FEW MEETINGS WERE HELD WITH MORRISVILLE TO DISCUSS THEIR NURSING PROGRAM AND THE NEED FOR MORE NURSES AT CMH. MORRISVILLE STATE HAS PLANS TO RELOCATE THEIR NURSING PROGRAM TO THEIR NORWICH CAMPUS.- CMH CAREER DAYS CAMP -THIS 2-DAY EVENT IS SPONSORED BY UHS CHENANGO MEMORIAL HOSPITAL FROM FUNDING PROVIDED BY A LOCAL FOUNDATION. THIS EVENT IS FOR AREA STUDENTS GOING INTO 8TH AND 9TH GRADE. DURING THEIR CAMP EXPERIENCE, THEY ARE ABLE TO VISIT VARIOUS DEPARTMENTS IN THE MEDICAL FIELD AND DO HANDS-ON ACTIVITIES, INCLUDING LAPAROSCOPIC SURGERY, INTUBATION, AND PATIENT TRANSFERS. GOAL IS TO GAIN INTEREST IN THE DIFFERENT FIELDS SO THAT THE STUDENT CAN CONCENTRATE THEIR HIGH SCHOOL STUDIES ON CLASSES THAT WOULD BE NEEDED FOR COLLEGE ENROLLMENT. PARTICIPANTS INCLUDED LIFENET, NORWICH FIRE DEPARTMENT, THE NORWICH SCHOOL DISTRICT AND BOCES. THE EVENT HAD 22 STUDENTS. |
| PART II, COMMUNITY BUILDING ACTIVITY CONTINUED | - NEW VISIONS (HEALTHCARE) - UHS CHENANGO MEMORIAL HAS AN ON-GOING RELATIONSHIP WITH DELAWARE, CHENANGO, MADISON, OTSEGO (DCMO) BOARD OF COOPERATIVE EDUCATIONAL SERVICES (BOCES) TO HOST THEIR NEW VISIONS STUDENTS INTERESTED IN PURSUING HEALTHCARE CAREERS. THIS GROUP HAS A CLASSROOM ON-SITE AT THE HOSPITAL THAT IS PROVIDED AT NO COST WHILE THEY PURSUE THEIR STUDIES DURING THE SCHOOL YEAR. BY HAVING THE CLASSROOM ON SITE, THEY HAVE EASY AND AMPLE ACCESS TO THE PATIENT CARE AREAS, NURSES AND CLINICAL CAREGIVERS TO OBSERVE PROCEDURES AND ASSIST WHEN APPROPRIATE. STUDENTS ENTERING THEIR SENIOR YEAR GO THROUGH A RIGOROUS APPLICATION PROCESS WITH BOCES TO GET INTO THE CLASS BASED SOMEWHAT ON THEIR CURRENT GPA. THIS PARTNERSHIP HAS PROVEN SUCCESSFUL AS MANY GRADUATES HAVE GONE ON TO GET THEIR DEGREES IN VARIOUS HEALTHCARE PROFESSIONS. SOME OF THE GRADUATES HAVE ACTUALLY RETURNED TO THE AREA. THERE WERE 14 STUDENTS ENROLLED IN THIS PROGRAM IN 2016-2017. STUDENTS ALSO PLAYED THE ROLES OF "VICTIMS" IN THE HOSPITAL'S DECONTAMINATION DRILL.- TWO CMH VP'S MET WITH MEMBERS OF BOCES' LPN PROGRAM TO DISCUSS THE RE-INVIGORATION OF THAT PROGRAM. THE PROGRAM HAS NOT HAD AN INSTRUCTOR FOR SEVERAL MONTHS CHOKING THE SUPPLY OF NURSES THAT COULD BE HIRED AT CMH.- THE BOCES CAREER AND TECHNICAL EDUCATION CENTER CONSULTANT COMMITTEE MET IN OCTOBER TO DISCUSS WHAT'S NEW AT BOCES, THEIR INITIATIVES, TABLE DISCUSSION OF THE RELATIONSHIP BETWEEN CMH AND THE NEW VISIONS PROGRAM AND WHAT'S NEW IN HEALTH CARE TO ASSIST WITH DEVELOPING A FUTURE CURRICULUM.- OXFORD ACADEMY & CENTRAL SCHOOLS HOSTED AN ADVISORY BOARD MEETING AND A PATHWAY EXPO. THE ADVISORY BOARD MEETING CONSISTED OF SEVERAL COMMUNITY LEADERS FROM OXFORD WHO DISCUSSED OXFORD'S WORK-BASED LEARNING PROGRAM, CAREER PATHWAYS PROGRAM, FUTURES COUNCIL AND OTHER EDUCATIONAL EVENTS. A HOSPITAL REPRESENTATIVE SPOKE ABOUT CAREER OPPORTUNITIES AND CAREER PATHWAYS IN HEALTHCARE DURING THE PATHWAY EXPO. THIS FORUM EXPLAINED PERSONALIZED EDUCATION OPPORTUNITIES AT OXFORD.- THE COMMUNITY FOUNDATION OF SOUTH CENTRAL NEW YORK MET WITH CMH SENIOR MANAGEMENT TO PROVIDE FEEDBACK REGARDING CHALLENGES WITH RECRUITMENT AND RETENTION OF THE HOSPITAL'S WORKFORCE. THE FOUNDATION IS IN THE PROCESS OF DEVELOPING AN INITIATIVE TO HELP MAJOR EMPLOYERS ADDRESS ISSUES WITH WORKFORCE RECRUITMENT AND RETENTION.AS THE ONLY HOSPITAL IN CHENANGO COUNTY, UHS CHENANGO MEMORIAL IS THE EPICENTER FOR TRAINING AND MENTORING OF HEALTH CARE STUDENTS. IN 2017, 115 STUDENTS RECEIVED HANDS-ON, REAL-LIFE EXPERIENCE ON-SITE THROUGHOUT THE YEAR.- STUDENT MENTORING -STUDENTS FROM VARIOUS EDUCATIONAL INSTITUTIONS WERE ON-SITE TO COMPLETE THEIR CLINICALS, PRECEPTORSHIPS, INTERNSHIPS, ETC., AT THE HOSPITAL IN THESE DISCIPLINES: O NURSING O ANESTHESIOLOGY O RADIOLOGY O LAB O HEALTH INFORMATION O ACCOUNTING O OB/GYN O CERTIFIED NURSE AIDSTUDENTS CAME FROM ALBANY MEDICAL, BOCES, BINGHAMTON UNIVERSITY, SUNY BROOME, MORRISVILLE STATE, VIRGINIA COMMONWEALTH, SUNY POLYTECHNIC INSTITUTE, AND SUNY UPSTATE. LINE 9 -- OTHER COMMUNITY BUILDING ACTIVITIESUHS CHENANGO MEMORIAL HOSPITAL ALSO SUPPORTS CULTURAL ORGANIZATIONS AND EVENTS IN THE AREA.- COLORSCAPE CHENANGO - THIS MAJOR SUMMER EVENT IN NORWICH, NY IS PUT ON BY THE COLORSCAPE CHENANGO ARTS FESTIVAL, INC. IT IS A JURIED ARTS, CRAFTS, FOOD AND MUSIC FESTIVAL ATTENDED BY THOUSANDS OF PEOPLE. THE HOSPITAL HAS A REPRESENTATIVE WHO HELPS PLAN THIS EVENT.- ADOPT A FAMILY PROGRAM - IN COORDINATION WITH CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES, LIBERTY PARTNERSHIP, AND HEAD START, EMPLOYEES PURCHASED GIFTS FOR NEEDY FAMILIES FOR DISTRIBUTION AROUND CHRISTMAS. 13 FAMILIES INCLUDING 31 CHILDREN WERE SERVED. |
| PART III, LINE 8: | CMH FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENIFICIARIES THAT RESULTS IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. CMH TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. CMH'S SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. AVERAGE. THEREFORE, CMH IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. |
| PART III, LINE 9B: | THE ORGANIZATION'S COLLECTION POLICY PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE AS FOLLOWS:CHARITY CARE IS GIVEN FIRST, THE REMAINING BALANCE, IS THEN SUBJECT TO AN INTEREST FREE PAY PLAN. IF THE PATIENT GUARANTOR CHOOSES TO IGNORE ALL FURTHER ATTEMPTS TO MAKE ARRANGEMENTS FOR PAYMENTS, AFTER 180 DAYS THE ACCOUNT IS SENT TO A COLLECTION AGENCY AT THE DISCOUNTED LEVEL.CMH'S POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.CMH REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. CMH PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. CMH ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENDING LEGAL ACTION. |
| PART VI, LINE 2: | IN BETWEEN CHNA SUBMITTALS, UHS CHENANGO MEMORIAL HOSPITAL USES IN-PATIENT AND OUT-PATIENT SURVEYS ADMINISTERED THROUGH PRESS GANEY TO COLLECT PATIENT INPUT. PATIENTS VISITING ALL OUT-PATIENT OFFICES AND AREAS OF THE HOSPITAL RECEIVE EASY-TO-COMPLETE FORMS ASKING THEM QUESTIONS ABOUT THE CARE THEY RECEIVED AT THE HOSPITAL, ISSUES THEY FEEL NEED TO BE ADDRESSED, AND SERVICES THAT NEED TO BE IMPROVED OR ADDED. PATIENTS PROVIDE VALUABLE INFORMATION IN THE "COMMENTS" SECTION OF THESE SURVEYS. IN SEPTEMBER 2014, UHS ASSEMBLED A QUARTERLY PATIENT SATISFACTION TEAM TO REVIEW PRESS GANEY SURVEY RESULTS ACROSS THE SYSTEM FOCUSING ON 5 MAIN CATEGORIES: OVERALL RATING, LIKELIHOOD TO RECOMMEND, ACCESS TO CARE, PROVIDER COMMUNICATION QUALITY, AND OFFICE STAFF QUALITY. THESE MEETINGS HAVE CONTINUED AND ARE ATTENDED BY LEADERSHIP AND STAFF FROM CMH'S PHYSICIAN SERVICES DIVISION. DURING THESE MEETINGS GOALS AND MEASURES ARE ESTABLISHED FOR EACH FACILITY AND EACH CLINIC. EACH SITE MANAGER THEN REVIEWS THE DATA DURING THEIR STAFF MEETINGS. EACH MANAGER CAN ALSO DIRECTLY LINK IN WITH PRESS GANEY TO PULL SURVEY RESULTS, REVIEW PROGRESS AGAINST GOALS, AND REVIEW TIPS FOR IMPROVEMENT ACTIVITIES. LIVING IN A SMALL COMMUNITY, WE ALSO GET SUGGESTIONS DIRECTLY FROM RESIDENTS ABOUT SERVICES THAT ARE NEEDED OR NEED IMPROVEMENT. HOSPITAL BOARD MEMBERS, AUXILIARY BOARD MEMBERS, AND FOUNDATION BOARD MEMBERS ARE VERY VOCAL ABOUT WHAT THEY ARE HEARING IN THE COMMUNITY OR EXPERIENCING THEMSELVES. EMPLOYEES ARE QUITE CRITICAL ABOUT THEIR OR THEIR FAMILY'S EXPERIENCES IN ALL FACETS OF PATIENT CARE PROVIDING VALUABLE FEEDBACK WITH A TRAINED EYE. BASED ON THIS FEEDBACK AND THOSE OF PATIENTS CALLING IN OR VISITING PROVIDERS, THE HOSPITAL HAS DEVELOPED THE FOLLOWING INITIATIVES.WALK-INAS OF JANUARY 1, 2014, CMH CONSOLIDATED OUR WALK-IN, WHICH WAS LOCATED IN A DIFFERENT BUILDING ON CAMPUS, WITH OUR EMERGENCY ROOM. THIS ENABLED THE HOSPITAL TO REDUCE STAFF AND IMPROVE PATIENT SAFETY, PARTICULARLY FOR PATIENTS PRESENTING AT THE WALK-IN WITH ACUTE CONDITIONS THAT REQUIRED EMERGENCY CARE. THESE PATIENTS WERE TRANSPORTED TO THE ER BY AMBULANCE WHICH WAS TIME CONSUMING AND AN UNNECESSARY USE OF COMMUNITY RESOURCES.THE COMMUNITY HAS COMPLAINED VOCIFEROUSLY EVER SINCE THAT THEY WANT WALK-IN SERVICES RESTORED. AS AN AWARDEE OF THE STATEWIDE HEALTH CARE FACILITY TRANSFORMATION PROGRAM I, CMH PLANS TO RE-INTRODUCE WALK-IN SERVICES AS PART OF OUR AMBULATORY SERVICES REDESIGN PROJECT. THE COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED IN 2014 BY THE CARE COMPASS PPS CLEARLY SHOWS THAT CMH SEES A POPULATION THAT DOES NOT SEEK SERVICES UNTIL THEY HAVE TO, CAN'T AFFORD ROUTINE DIAGNOSTIC TESTS, AND IS OVERLY RELIANT ON THE ED. AS A RESULT, CMH HAS RESPONDED WITH A PLAN THAT FOCUSES ON CARE COORDINATION AND EDUCATION. THE PLAN WILL PROVIDE FOR SIGNIFICANT EXPANSION OF THE CARE TEAM BEGINNING WITH THE RENOVATION WHERE A CARE NAVIGATOR WILL BE EMBEDDED IN THE ED AND URGENT CARE CENTER. PROVIDING EDUCATION AT A POINT WHEN THE PATIENT IS MOST RECEPTIVE AND OPEN TO DISCUSSING THE BENEFITS OF QUITTING SMOKING, ADOPTING A HEALTHIER DIET, OR GETTING REGULAR PRIMARY CARE, THE CARE NAVIGATOR CAN PROVIDE A WARM HANDOFF TO CMH PRIMARY CARE AND ATTENTIVE FOLLOWUP. CMH REGULARLY PARTNERS WITH THE CHENANGO COUNTY OFFICE OF THE AGING, CHENANGO COUNTY DEPARTMENT OF HEALTH, MOTHERS AND BABIES, AND OTHER COMMUNITY BASED ORGANIZATIONS TO CONNECT PATIENTS TO PROGRAMS AND SERVICES.ONCOLOGYIN DECEMBER 2017, THE SOLE PROVIDER OF ONCOLOGY SERVICES TO CHENANGO COUNTY DISCONTINUED SERVICES CITING THE INABILITY TO FINANCIALLY SUSTAIN THE PRIVATE PRACTICE. IN A COUNTY WITH THE 4TH HIGHEST RATE OF ALL CANCERS IN NYS, THE ABSENCE OF ONCOLOGY CARE PLACES AN ENORMOUS BURDEN ON THOSE WITH THE FEWEST RESOURCES. THE CLOSING OF ONCOLOGY SERVICES WAS A CRUSHING BLOW TO EXISTING ONCOLOGY PATIENTS WHO HAVE HAD TO TRAVEL AT LEAST 45 MILES TO RECEIVE CHEMOTHERAPY AND OTHER TREATMENTS SINCE JANUARY 1, 2018. AS PART OF THE STATEWIDE HEALTH CARE FACILITY TRANSFORMATION PROGRAM II, CMH HAS APPLIED TO RECONFIGURE SPACE FOR AN INFUSION CENTER TO PROVIDE CHEMOTHERAPY, UTILIZE RENOVATED OPERATING ROOMS TO INSERT THE MEDIPORTS NEEDED FOR CHEMOTHERAPY, AND PARTNER WITH THE ONCOLOGY GROUP FOR SERVICES ON A CONTRACTUAL BASIS, TO REESTABLISH THESE ESSENTIAL SERVICES FOR CHENANGO RESIDENTS. ACHIEVING FINANCIAL VIABILITY OF THESE SERVICES WILL REQUIRE A MODEL OF SERVICE THAT LEVERAGES EFFICIENT USE OF SHARED SPACE AND STAFF THAT WILL BE POSSIBLE WITH THE RENOVATIONS PROPOSED IN THIS PROJECT.3-D MAMMOGRAPHY3-D MAMMOGRAPHY IS NOW THE LATEST TECHNOLOGY WOMEN ARE REQUESTING FOR BREAST CANCER SCREENINGS. THE HOSPITAL RECEIVES CALLS DAILY FROM PATIENTS INQUIRING IF WE HAVE 3-D TECHNOLOGY. ALTHOUGH THE HOSPITAL HAS HAD IT ON THE CAPITAL BUDGET FOR THE LAST FEW YEARS, LACK OF RESOURCES AND OTHER PRIORITIES HAVE PUSHED IT OUT. CMH NOW CONSIDERS 3-D MAMMOGRAPHY A PRIORITY FOR THE FOLLOWING REASONS: A. IT CUTS DOWN ON THE NEED FOR MULTIPLE TESTS AND SAVING WOMEN A WHOLE LOT OF ANGST ABOUT POTENTIALLY POSITIVE DIAGNOSES. USING STANDARD MAMMOGRAPHY, MANY WOMEN UNDERGOING BREAST SCREENING ARE ASKED TO RETURN FOR ADDITIONAL TESTS BECAUSE OF A SUSPICIOUS DENSITY THAT APPEARS IN THEIR SCANS. B. 3-D MAMMOGRAPHY AIDS IN DIAGNOSIS IF A TUMOR IS PRESENT. THE TECHNOLOGY USES MULTIPLE ANGLED IMAGES AS THE MACHINE SWEEPS IN AN ARC OVER A WOMAN'S BREAST. THE RADIOLOGIST VIEWS THESE IMAGES SEQUENTIALLY. A MASS WILL STAND OUT IN THE SCAN - NOT BE CAMOUFLAGED BY DENSE BREAST TISSUE AS SOMETIMES OCCURS WITH TRADITIONAL 2-D MAMMOGRAPHY. C. IT IS SAFE AND EFFECTIVE. DURING A 3-D MAMMOGRAM, WOMEN WILL EXPERIENCE A MINIMAL AMOUNT OF ADDITIONAL RADIATION, COMPARED WITH A STANDARD MAMMOGRAM. THIS DOSE IS BELOW THE FDA-REGULATED LIMIT FOR MAMMOGRAPHY, AND NO ADDITIONAL RISK FROM AN AMOUNT OF RADIATION THIS SMALL HAS BEEN SHOWN. AFTER STUDYING THIS ISSUE, THE FDA CONCLUDED THAT THE BENEFITS OUTWEIGH ANY POTENTIAL RISK.PRIMARY CARETHE HOSPITAL HAS EXPERIENCED A STREAK OF BAD LUCK KEEPING PRIMARY CARE PROVIDERS IN OUR OXFORD CLINIC. TWO PHYSICIANS HAVE BEEN HIRED OVER THE LAST 4 YEARS. THE FIRST HAD TO RESIGN DUE TO FAMILY ILLNESS. THE SECOND WAS DIAGNOSED WITH BREAST CANCER 2 WEEKS AFTER STARTING. A NURSE PRACTITIONER THAT WAS IN THE OFFICE TRANSFERRED TO ANOTHER CLINIC 20 MINUTES SOUTH.OXFORD RESIDENTS HAVE TOLD US THEY ARE ANXIOUS TO GET THE CLINIC STAFFED SO THEY NO LONGER HAVE TO TRAVEL TO NORWICH, OXFORD, OR SIDNEY TO SEE A PRIMARY CARE PROVIDER. SINCE CMH IS LOCATED IN A PRIMARY CARE PROVIDER SHORTAGE AREA, WE ARE WORKING DILIGENTLY TO RESTORE SERVICES IN THAT LOCATION.THE HOSPITAL HAS USED OTHER MEANS FOR COLLECTING COMMUNITY INPUT BETWEEN NEEDS ASSESSMENTS. FOCUS GROUPS HAVE BEEN USED TO DISCUSS A SPECIFIC NEED THAT HAS BEEN IDENTIFIED AND REQUIRES FURTHER RESEARCH. ALTHOUGH NO FOCUS GROUPS WERE HELD IN 2017, THEY HAVE BEEN USED TO DEFINE NEEDS IN PREVIOUS YEARS. CONDUCTING FOCUS GROUPS IS A HIGH PRIORITY FOR THE NEXT NEEDS ASSESSMENT PROCESS.PERIODICALLY WE LOOK AT DIAGNOSIS CODES AND MARKET DATA TO DETECT DEVELOPING TRENDS AND ADDRESS THEM AS NEEDED.LASTLY, THE HOSPITAL'S VP OF OPERATIONS IS CHAIRMAN OF THE CHENANGO HEALTH NETWORK (CHN). THE CHN IS CHENANGO COUNTY'S RURAL HEALTH NETWORK. THE BOARD CONSISTS OF 13 COMMUNITY LEADERS REPRESENTING A CROSS SECTION OF HEALTH CARE SERVICES IN THE AREA. THIS GROUP MEETS MONTHLY AND DISCUSSES HEALTH CARE CONCERNS AND OPPORTUNITIES IN THE COMMUNITY AND INITIATES SUBCOMMITTEES TO ADDRESS SPECIFIC ISSUES AS NEEDED.THE POPULATION IN THIS RURAL COMMUNITY HAS ACTUALLY DECREASED AS EXPLAINED IN PART VI, LINE 4. THE MIGRATION OF HIGHER-INCOME FAMILIES OUT OF THE AREA HAS INCREASED THE PERCENTAGE OF SOCIO-ECONOMICALLY CHALLENGED INDIVIDUALS WHO REMAIN AND ARE DEPENDENT ON GOVERNMENT PROGRAMS FOR THEIR HEALTHCARE. THE DRAMATIC INCREASE IN HEROIN USE NOTWITHSTANDING, THEIR NEEDS HAVE REMAINED RELATIVELY THE SAME OVER TIME. |
| PART VI, LINE 3: | OUR ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER OUR CHARITY CARE POLICY AS FOLLOWS:* EVERY CLINIC AND AREA OF PATIENT REGISTRATION HAS A NOTICE POSTED INFORMING THE PATIENT/S/PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE* BROCHURES DESCRIBING THE POLICY ARE AVAILABLE AT CLINICS, POINTS OF REGISTRATION, AND ARE MAILED TO SELF PAY PATIENTS ALONG WITH APPLICATIONS* INPATIENTS ARE VISITED BY THE PATIENT FINANCIAL ADVOCATE. THEY ARE MADE AWARE OF GOVERNMENT PROGRAMS AND IF NECESSARY, ARRANGEMENTS ARE MADE WITH THE DEPARTMENT OF SOCIAL SERVICES TO HAVE A WORKER COME IN AND TAKE THE APPLICATION FROM THE PATIENT. THE PATIENT IS GIVEN INFORMATION AND APPLICATION FOR FINANCIAL ASSISTANCE, WHICH CAN BE COMPLETED AT THE PATIENT' BEDSIDE.* THE WOMAN'S HEALTH CENTER INFORMS ALL SELF PAY PREGNANT WOMEN OF THE "PRESUMPTIVE ELIGIBILITY" PROCESS AND PATIENTS ARE DIRECTED TO PATIENT FINANCIAL SERVICES FOR COMPLETION OF THE APPLICATION AND COMPLETION OF A WIC APPLICATION IF PATIENT SO DESIRES* EVERY CMH EMPLOYEE IS MADE AWARE OF THE CHARITY CARE PROGRAM AT ORIENTATION AND ENCOURAGED TO INFORM PATIENTS AND THE PUBLIC ABOUT THE PROGRAM. PERSONNEL WHO HAVE PATIENT CONTACT ARE ANNUALLY IN-SERVICED ON CHARITY CARE PROGRAM* EVERY BILL THAT IS SENT OUT IS MARKED "FOR INFORMATION REGARDING OUR "PATIENT FINANCIAL ASSISTANCE" PROGRAM" PLEASE CONTACT 607-337-4295 |
| PART VI, LINE 4: | CHENANGO COUNTY IS A RURAL COUNTY WITH TWO PRIMARY DISPARITIES: SOCIO-ECONOMIC AND AGE. THE COUNTY IS LOCATED IN SOUTH-CENTRAL NEW YORK STATE IN THE AREA REFERRED TO AS THE SOUTHERN TIER. THE COUNTY IS ALSO LOCATED IN THE APPALACHIAN REGION OF THE UNITED STATE. PER GOOGLE MAPS, CHENANGO COUNTY IS 126.5 MILES WEST OF ALBANY, NEW YORK STATE'S CAPITAL, AND 211 MILES NORTHWEST OF NEW YORK CITY. PER THE US CENSUS BUREAU, ITS LAND AREA ENCOMPASSES 894.36 SQUARE MILES WITH 56.5 PERSONS PER SQUARE MILE. CONTIGUOUS COUNTIES ARE MADISON, OTSEGO, DELAWARE, BROOME, AND CORTLAND. THERE ARE 21 TOWNS, 8 VILLAGES AND 1 CITY IN CHENANGO COUNTY. THE CITY OF NORWICH IS THE COUNTY SEAT WHERE THE LARGEST SEGMENT OF THE POPULATION RESIDES. UHS CHENANGO MEMORIAL HOSPITAL, LOCATED IN NORWICH, IS A NYS DESIGNATED RURAL HOSPITAL AND IS THE ONLY HOSPITAL IN THE COUNTY. THE MAJORITY OF RESIDENTS (60%) LIVE WITHIN 10 MILES OF NORWICH, MAKING NORWICH A GOOD LOCATION FOR TIMELY CARE. THE REMAINING 40% LIVE IN MORE REMOTE AREAS OF THE COUNTY, DETERRED BY GEOGRAPHY AS A PHYSICAL BARRIER TO ACCESS. THE COUNTY'S LARGER POPULATION CENTERS ARE LOCATED ALONG NYS ROUTE 12 AND THE CHENANGO AND UNADILLA RIVERS WHICH RUN NORTH TO SOUTH THROUGH THE CENTER OF THE COUNTY. GREENE, NORWICH, AND SHERBURNE ARE THE MOST POPULOUS TOWNS SITUATED ALONG THE ROUTE 12 CORRIDOR. THERE ARE 2 INTERSTATE HIGHWAYS ACCESSIBLE TO CHENANGO COUNTY RESIDENTS: I-88 AND I-81. INTERSTATE 88 INTERSECTS WITH CHENANGO COUNTY AT BAINBRIDGE AND IS ACCESSIBLE FROM DELAWARE AND BROOME COUNTIES. INTERSTATE 81 IS ACCESSIBLE FROM BROOME AND CORTLAND COUNTIES, NYS ROUTE 12 BISECTS THE COUNTY AND IS THE MAJOR NORTH-SOUTH ROUTE.TRAVEL DISTANCES TO THE NEAREST HOSPITALS ARE AS FOLLOWS:A.O. FOX HOSPITAL, ONEONTA, NY, IS 32 MILES OR 45 MINUTESM.I. BASSETT HEALTHCARE, COOPERSTOWN, NY, IS 44 MILES OR 1 HOURCOMMUNITY MEMORIAL HOSPITAL (CRITICAL ACCESS), HAMILTON, NY, IS 22 MILES OR 30 MINUTESCROUSE HOSPITAL, SYRACUSE, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESMOHAWK VALLEY MEDICAL HEALTH SYSTEM, UTICA, NY, IS 47 MILES OR 1 HOUROUR LADY OF LOURDES HOSPITAL, JOHNSON CITY, NY, IS 42 MILES OR 1 HOURST. JOSEPH'S HOSPITAL, SYRACUSE, NY, IS 58 MILES OR 1 HOUR, 15 MINUTESUHS HOSPITALS, BINGHAMTON, NY, IS 43 MILES OR 1 HOURUPSTATE UNIVERSITY HOSPITAL, SYRACUSE, NY IS 58 MILES OR 1 HOUR, 15 MINUTES.THE ONLY EMERGENCY ROOM (ER) IN CHENANGO COUNTY IS LOCATED AT CHENANGO MEMORIAL. THE ER IS PHYSICIAN STAFFED 24/7 AND THERE ARE OVER 18,000 VISITS PER YEAR. ACCORDING TO THE DSRIP COMMUNITY HEALTH ASSESSMENT, THE ER IS VIEWED BY SOME RESIDENTS AS AN "ALWAYS AVAILABLE" OPTION FOR HEALTH AND DENTAL SERVICES AND IS OFTEN VISITED BECAUSE OF CONVENIENCE AND ACCESSIBILITY. SOME RESIDENTS CONSIDER THE ER AS AN ACCEPTABLE LOCATION TO RECEIVE "ANY TYPE" OF MEDICAL CARE, NOT JUST WHEN LIFE-THREATENING HEALTHCARE IS NEEDED. SIGNIFICANT DRIVERS FOR USING THE ER INCLUDE READY TRANSPORTATION, ONE-STOP SHOPPING (X-RAY, LAB, SPECIALISTS, MEDICATIONS) ALL UNDER ONE ROOF, ABILITY TO ALWAYS "BE SEEN BY A DOCTOR", SHORTAGE OF OTHER HEALTHCARE RESOURCES (PROVIDERS), AND NO OUT OF POCKET, UP-FRONT COSTS.DEMOGRAPHICALLY, 94% OF THE COUNTY'S POPULATION (49,868) IS PREDOMINANTLY WHITE NON-HISPANIC. THE REMAINING POPULATION INCLUDES HISPANIC, LATINO, OR PERSONS WHO IDENTIFY AS BEING OF TWO OR MORE RACES. 85.8% OF THE COUNTY'S POPULATION IS CATEGORIZED AS LIVING IN RURAL AREAS. CHENANGO COUNTY IS 49TH IN TOTAL POPULATION AMONG THE 62 COUNTIES IN NEW YORK STATE AND HAS BEEN EXPERIENCING A STEADY DECLINE IN ITS OVERALL POPULATION. THE AGE OF THE COUNTY'S RESIDENTS HAS BEEN CHANGING AS WELL. THE MEDIAN AGE HAS INCREASED TO 43.5 YEARS FROM 38.4 YEARS IN 2000. IT IS ANTICIPATED THAT THE POPULATION OF RESIDENTS BETWEEN 45 AND 64 WILL DECREASE FROM 29.8% TO 28.1% IN 2020 AND THEN TO 23.6% IN 2030. HOWEVER, THE POPULATION OF RESIDENTS OVER 65 YEARS WILL INCREASE FROM 18.9% TO 21.85% IN 2020 AND TO 27.5% BY 2030 DUE TO RESIDENTS AGING IN PLACE. ALL TOTALED, IT IS PROJECTED THE PERCENTAGE OF RESIDENTS IN CHENANGO COUNTY OVER 45 WILL INCREASE TO 49.9% IN 2020 AND TO 51.1% BY 2030.THE MEDIAN FAMILY INCOME FOR CHENANGO COUNTY IS $44,427 IN COMPARISON TO THE REST OF NEW YORK STATE WITH AN AVERAGE FAMILY INCOME OF $58,878. THE MAJORITY OF JOBS ARE IN EDUCATION, HEALTH AND HUMAN SERVICE SECTORS. MANUFACTURING AND RETAIL TRADE ARE THE NEXT LARGEST SECTORS FOR EMPLOYMENT. THE PERCENTAGE OF UNEMPLOYED RESIDENTS OF CHENANGO COUNTY FOR 2010-2014 WAS 8.6% COMPARED TO NEW YORK STATE'S UNEMPLOYMENT RATE OF 8.9% DURING THE SAME TIME FRAME.CHENANGO COUNTY IS A POOR COUNTY WITH 16.8% OF ITS POPULATION AND 24% OF ITS CHILDREN LIVING BELOW THE FEDERAL POVERTY LEVEL. THE NUMBER OF CHILDREN AGED 0-17 LIVING IN POVERTY INCREASED FROM 18.6% IN 2005 TO 24.6% IN 2014. THE NUMBER OF CHILDREN IN GRADES K-6 WHO ARE ELIGIBLE FOR FREE OR REDUCED LUNCHES INCREASED FROM 49.2% IN 2005-06 TO 56.4% IN 2010-11. THIS INCREASE IS ALSO ABOVE THE NYS LEVEL OF 52.4%. OF THOSE FAMILIES WITH FEMALE HEADS OF HOUSEHOLD AND CHILDREN PRESENT, 46% LIVE IN POVERTY. 15.8% OF THE ADULT POPULATION UNDER 65 IS DISABLED.POOR ECONOMIC STATUS IS OFTEN ASSOCIATED WITH POOR HEALTH OUTCOMES AS THOSE WITHOUT MEANS ARE NOT IN A POSITION TO MAKE LIFESTYLE CHANGES TO PROMOTE GOOD HEALTH. IN CHENANGO COUNTY MANAGING EXPENSES RELATED TO FOOD, HOUSING, CLOTHING, TRANSPORTATION, CHILD CARE AND HEALTH CARE IS A MAJOR STRESSOR FOR INDIVIDUALS PARTICULARLY WITH FAMILIES AND SENIOR ADULTS. CHENANGO COUNTY'S POVERTY LEVELS BRING TO FOCUS FOOD INSECURITIES FOR THAT POPULATION. ONE OF THE ISSUES OF GENERATIONAL POVERTY (FAMILIES AND INDIVIDUALS LIVING IN POVERTY GENERATION TO GENERATION) THAT IS EVIDENT IN THE COUNTY IS THE UTILIZATION OF FOOD PANTRIES (OVER 20,000 PEOPLE SERVED IN 2015). RESIDENTS WITH FOOD INSECURITY LIVE DAY-TO-DAY TO PROVIDE FOR THEMSELVES AND THEIR FAMILIES; THEY FOCUS ON DAY-TO-DAY SURVIVAL VERSUS DEVELOPING STRATEGIES TO PREVENT FOOD INSECURITY AND OTHER HEALTH CONCERNS.ACCORDING TO THE 2013-2018 NYS PREVENTION AGENDA, 89.7% OF ADULTS IN THE COUNTY HAVE HEALTH INSURANCE WHICH IS ABOVE THE NEW YORK STATE RATE OF 84.7%. THIS IS AN IMPROVEMENT OF 32.6% SINCE 2013. ACCORDING TO THE AMERICAN COMMUNITY SURVEY 2011-2013 OF ALL PERSONS IN THE COUNTY, 45.4% HAVE COMMERCIAL/PRIVATE INSURANCE (VS NYS RATE OF 51%), 21.6% ARE COVERED BY MEDICARE (VS NYS RATE OF 15.5%), 22.6% BY MEDICAID (VS NYS RATE OF 22.5%), 10.4% ARE UNINSURED (VS THE NYS RATE OF 11%). THE 19-25 YEAR OLD AGE GROUP IS THE LARGEST SECTOR WITHOUT HEALTH INSURANCE AT 21.9% WHILE 7.4% UNDER 18 YEARS OF AGE DOES NOT HAVE ANY HEALTH INSURANCE.WHEN IT COMES TO IN-PATIENTS, UHS CHENANGO MEMORIAL HOSPITAL SHOWED A PAYER MIX IN 2015 OF 55% MEDICARE, 21% MEDICAID, 19.6% COMMERCIAL, 3.5% SELF PAY AND 0.9% OTHER. WITH THE AFFORDABLE CARE ACT, COMBINED WITH GROWING POVERTY AND ELDERLY POPULATION, THE INFLUENCE OF GOVERNMENT PAYERS, CURRENTLY AT 76%, WILL CONTINUE TO GROW.CHENANGO COUNTY HAS FOURTEEN HEALTH CENTERS LOCATED THROUGHOUT THE TOWNSHIPS. ANY PSYCHIATRIC PATIENTS MUST BE TRANSFERRED TO FACILITIES OUTSIDE THE COUNTY. THE AREA HAS A RATIO OF 1 PRIMARY CARE PROVIDER FOR EVERY 2,081 RESIDENTS AND 1 DENTIST FOR EVERY 2,912 RESIDENTS. IT HAS BEEN DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA ACCORDING THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR LOW INCOME PRIMARY HEALTH CARE, DENTAL CARE, AND MENTAL HEALTH CARE. THE RATIO OF POPULATION TO PROVIDERS PLACES CHENANGO COUNTY IN THE BOTTOM HALF OF COUNTIES IN NYS FOR PRIMARY CARE PHYSICIANS. OTHER BARRIERS TO ACCESS TO CARE INCLUDE LACK OF SPECIALTY CARE WITHIN THE COUNTY AND LACK OF TRANSPORTATION SERVICES TO THAT CARE LOCATED BOTH IN AND OUT OF THE COUNTY. THESE BARRIERS ARE TRUE FOR DENTAL AND MENTAL HEALTH AS WELL.UHS CHENANGO MEMORIAL IS A STATE DESIGNATED RURAL HOSPITAL AND WAS JUST RECENTLY DESIGNATED AS A SOLE COMMUNITY HOSPITAL BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. A HOSPITAL RECEIVES THIS DESIGNATION IF IT IS LOCATED MORE THAN 35 MILES FROM OTHER LIKE HOSPITALS. A HOSPITAL MAY ALSO BE CLASSIFIED AS A SCH IF IT IS LOCATED IN A RURAL AREA AND NO MORE THAN 25 PERCENT OF RESIDENTS WHO BECOME HOSPITAL INPATIENTS OR NO MORE THAN 25 PERCENT OF THE MEDICARE BENEFICIARIES WHO BECOME HOSPITAL INPATIENTS IN THE HOSPITAL'S SERVICE AREA ARE ADMITTED TO OTHER LIKE HOSPITALS LOCATED WITHIN A 35-MILE RADIUS OF THE HOSPITAL.ACCORDING TO THE US CENSUS BUREAU, 87.2% OF ADULTS HAVE A HIGH SCHOOL EDUCATION BUT ONLY 17.4% HAVE A BACHELOR'S DEGREE OR HIGHER IN CHENANGO COUNTY. APPROXIMATELY 75% OF COUNTY RESIDENTS OWN AND OCCUPY THEIR HOME WHILE 25% RENT. 28.9% OF HOMEOWNERS AND 48.4% OF RENTERS HAVE MONTHLY HOUSING COSTS THAT ARE AT LEAST 30% OF THEIR TOTAL HOUSEHOLD INCOME, ACCORDING TO THE HORN RESEARCH CFSCNY NEEDS ASSESSMENT. ** SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION FOR CONTINUATION |
| PART VI, LINE 5: | COMMUNITY BOARD UHS CHENANGO MEMORIAL'S BOARD OF DIRECTORS TOTALS 16 MEMBERS, 11 OF WHOM ARE LOCAL RESIDENTS AND COMMUNITY LEADERS IN BANKING, LAW, PHARMACEUTICALS, MANUFACTURING, INSURANCE, INVESTMENTS, AND INDEPENDENT BUSINESS. THE BOARD MEETS BI-MONTHLY. THE BOARD ALSO HAS COMMITTEES THAT FOCUS ON FINANCES, STAFF CREDENTIALING, AND GOVERNANCE ALL OF WHICH HAVE REPRESENTATION FROM THE COMMUNITY.THE CMH AUXILIARY, WHO ALSO REPORT UNDER THE HOSPITAL'S TAX ID NUMBER, HAS ITS OWN BOARD THAT MEETS MONTHLY AND CONSISTS OF 16 MEMBERS ALL OF WHOM LIVE LOCALLY. THEY, TOO, REPRESENT A CROSS SECTION OF BUSINESSES SIMILAR TO THE HOSPITAL'S BOARD OF DIRECTORS. IN ADDITION, THEY INCLUDE RETIRED INDIVIDUALS AND WIVES OF PROMINENT COMMUNITY LEADERS IN THE AREA.ALTHOUGH THE CHENANGO MEMORIAL HOSPITAL FOUNDATION, INC., HAS ITS OWN TAX ID NUMBER, ITS SOLE PURPOSE IS TO SUPPORT THE HOSPITAL THROUGH FUNDRAISING. THE FOUNDATION BOARD ALSO HAS 14 MEMBERS WHO REPRESENT BUSINESSES FROM THROUGHOUT THE COUNTY AND MEET APPROXIMATELY 3 TIMES PER YEAR.OPEN MEDICAL STAFFTHE HOSPITAL REVIEWS MEDICAL STAFF PRIVILEGES OF ANY QUALIFIED PHYSICIANS AND ALLIED PROFESSIONALS IN THE COMMUNITY THAT APPLY. THE RIGOROUS CREDENTIALING PROCESS INCLUDES REVIEW BY AN INTERNAL CREDENTIALS COMMITTEE AND MEDICAL EXECUTIVE COMMITTEE. AFTER APPROVAL FROM THESE TWO COMMITTEES, THE APPLICATION PROCEEDS TO THE PROFESSIONAL ADVISORY COMMITTEE (PAC), A SUBCOMMITTEE OF THE HOSPITAL'S BOARD OF TRUSTEES, FOR APPROVAL. AFTER APPROVAL BY PAC, THE APPLICATION PROCEEDS TO THE HOSPITAL'S BOARD OF DIRECTORS FOR FINAL APPROVAL AND CREDENTIALING. USE OF SURPLUS FUNDS SURPLUS FUNDS ARE MADE AVAILABLE PRIMARILY FOR PURCHASES OF EQUIPMENT, FACILITY IMPROVEMENTS, OR TECHNOLOGY TO IMPROVE PATIENT CARE. IN SOME INSTANCES, FUNDS ARE USED TO SUPPORT NEW SERVICES. - IN A CONTINUING EFFORT TO IMPROVE PATIENT CARE AND STAFF EFFICIENCIES, UHS CHENANGO MEMORIAL HOSPITAL INVESTED IN RENOVATIONS TO TWO OF OUR OPERATING ROOMS. THESE ROOMS WERE RENOVATED TO MEET CURRENT REGULATIONS AND TO INCREASE CAPACITY FOR ADDITIONAL SURGEONS THAT HAVE JOINED THE STAFF SPECIALIZING IN ORTHOPEDICS, VASCULAR, AND GENERAL SURGERY. THE RENOVATION INCLUDED A COMPLETE UPGRADE OF THE AIR HANDLING, INVESTMENTS IN NEW EQUIPMENT 9, (I.E. OR LIGHTS AND ANESTHESIA MACHINES), AND RENOVATION OF THE PHYSICAL OPERATING ROOM SPACE. RENOVATION AND APPROVAL OF OR 4, WHICH WAS PREVIOUSLY USED FOR STORAGE, OCCURRED IN 2017. RENOVATION OF OR 5 CONTINUED INTO 2018. THIS PROJECT WAS GENEROUSLY SUPPORTED BY LOCAL FOUNDATIONS. PATIENTS NOW HAVE ACCESS TO MORE SERVICES AND IMPROVED ABILITY TO GET SCHEDULED IN A TIMELY MANNER. TOTAL INVESTMENT IN THIS PROJECT EXCEEDED $900,000.- NEW STATE-OF-THE-ART CARDIAC MONITORS WERE INSTALLED ON THE AMBULATORY SURGERY UNIT. CARDIAC MONITORING GENERALLY REFERS TO CONTINUOUS MONITORING OF HEART ACTIVITY, WITH ASSESSMENT OF THE PATIENT'S CONDITION RELATIVE TO THEIR CARDIAC RHYTHM. THE SYSTEM HAS BUILT-IN ALARMS SO STAFF CAN RESPOND IMMEDIATELY WHEN A PATIENT IS HAVING TROUBLE, THIS PROJECT ALLOWS US TO MONITOR MORE PATIENTS SIMULTANEOUSLY AND RECOVER PEOPLE IN ADDITIONAL AREAS OTHER THAN THE PACU.- CMH PURCHASED BOSTON SCIENTIFIC'S POLARIS MULTI-MODALITY GUIDANCE SYSTEM FOR CORONARY PHYSIOLOGY AND IVUS. INTRAVASCULAR ULTRASOUND (IVUS) OR INTRAVASCULAR ECHOCARDIOGRAPHY IS A COMBINATION OF ECHOCARDIOGRAPHY AND A PROCEDURE CALLED CARDIAC CATHETERIZATION. IVUS USES SOUND WAVES TO PRODUCE AN IMAGE OF THE CORONARY ARTERIES AND TO SEE THEIR CONDITION. THE SOUND WAVES TRAVEL THROUGH A TUBE CALLED A CATHETER. CHENANGO COUNTY IS RANKED 5TH IN NEW YORK STATE FOR AGE-ADJUSTED HEART ATTACK HOSPITALIZATIONS PER 10,000 POPULATION. THIS EQUIPMENT WAS PAID FOR IN FULL BY ONE OF OUR COMMUNITY FOUNDATIONS.- VIDEO FLUOROSCOPY & BARIUM STUDY SWALLOW CHAIR - THE PURCHASE OF THIS EQUIPMENT ALLOWED THE HOSPITAL TO OFFER PATIENTS ANOTHER NEW SERVICE CLOSE TO HOME. THIS TESTING IMPROVES QUALITY OF LIFE AND PATIENT SAFETY BY ACCURATELY DETERMINING THE CONSISTENCY OF FOOD AND LIQUID THAT A PATIENT CAN TOLERATE WITH ASPIRATION.- PHYSICAL THERAPY ELECTRONIC MEDICAL RECORD - PRIOR TO IMPLEMENTATION, OUR PT SERVICE WAS STILL USING PAPER MEDICAL RECORDS. IMPLEMENTATION OF EMR ENABLES PHYSICAL THERAPISTS TO ACCESS PATIENT RECORDS ELECTRONICALLY REGARDLESS IF THE PATIENT IS IN THE HOSPITAL OR IN THE PT OFFICE. ADDITIONALLY, REFERRING PHYSICIANS CAN VIEW OUTPATIENT DOCUMENTATION DURING FOLLOW-UP VISITS WHEN THE PATIENT IS IN THE OFFICE. ALL OF THIS IMPROVES PATIENT SAFETY, THE PATIENT EXPERIENCE, AND OVERALL PATIENT CARE. TOTAL COST OF THIS PROJECT WAS APPROXIMATELY $80,000.- TO FURTHER ENHANCE PATIENT SAFETY AND DECREASE ANY HOSPITAL ACQUIRED INFECTIONS, THE HOSPITAL PURCHASED A FLEXIBLE ENDOSCOPIC REPROCESSOR. THE NEW EQUIPMENT ALLOWS FOR A CONSTANT LEAK TEST THROUGHOUT THE CYCLE OF REPROCESSING AND IS ABLE TO DETECT DIFFICULT-TO-SPOT LEAKS THAT MAY HAVE BEEN MISSED BY PERSONNEL WHO PREVIOUSLY CLEANED ENDOSCOPES MANUALLY. OUR PREVIOUS SYSTEM DID NOT HAVE THIS SAFEGUARD ABILITY. THIS SYSTEM ADDS LEVELS OF ASSURANCE AND SAFETY MEASURES THAT WE DID NOT HAVE BEFORE. THAT TRANSLATES INTO PATIENT SAFETY AS WELL AS DOCUMENTATION. EACH SECTION OF REPROCESSING IS NOW FULLY DOCUMENTED WITHOUT ADDING STAFF TIME. IT PERFORMS ALL STEPS NECESSARY TO REPROCESS AN ENDOSCOPE, CRUCIAL AND NUMEROUS, AND DOES NOT ALLOW FOR CUTTING CORNERS. THIS PROCESS ASSURES PATIENTS RECEIVE SAFETY OUTCOMES ON A CONSISTENT BASIS. - CMH'S NEW STERIS IMMEDIATE USE STEAM STERILIZER IS A SIGNIFICANT UPGRADE TO OUR OLDER VERSION MADE BY THE SAME COMPANY. MOST NOTABLE IT IS A PREVAC VERSION OF STERILIZERS. THIS MEANS THAT IT CREATES A VACUUM IN ORDER TO REMOVE STEAM FROM THE CHAMBER RATHER THAN INJECTING AIR TO FORCE OUT THE STEAM. GRAVITY DISPLACEMENT IS AN ANTIQUATED TECHNIQUE AND NEW SURGICAL AND CLINICAL EQUIPMENT ARE NO LONGER BEING VALIDATED FOR THIS TYPE OF STERILIZATION. THIS IS AN UPGRADE THAT ALLOWS US TO IMMEDIATELY USE STERILIZED ITEMS SPEEDING UP TURNOVER OF OR ROOMS AND CREATING MORE CAPACITY FOR SURGICAL PROCEDURES.** SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION FOR CONTINUATION |
| PART VI, LINE 6: | CMH IS AN IMPORTANT PART OF THE UNITED HEALTH SERVICES SYSTEM OF INTEGRATED DELIVERY OF CARE, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF CMH IN 1910 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO A HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. IN 2013, THE UNITED HEALTH SERVICES SYSTEM ENGAGED IN A STRATEGIC PLANNING PROCESS FOR THE YEARS 2014-2016. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE HEALTH SYSTEM AND ITS SERVICES TO COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND FOUR GOALS: CLINICAL EXCELLENCE,SERVICE EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. SPECIFIC DESTINATION METRICS OR MEASURES OF SUCCESS WERE DEVELOPED FOR EACH STRATEGIC GOAL. THE SPECIFIC INITIATIVES SUPPORTING ACHIEVEMENT OF THE GOALS ARE REVIEWED ON A REGULAR BASIS. EACH ENTITY CARRIES OUT INITIATIVES LOCALLY AND REGIONALLY. THE CMH COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO CMH. THE OTHER HOSPITAL MEMBERS OF THE UHS SYSTEM, UHS WILSON MEDICAL CENTER, UHS BINGHAMTON GENERAL HOSPITAL, AND DELAWARE VALLEY HOSPITAL SUBMIT SEPARATE REPORTS.- CLINICAL EXCELLENCE: CMH HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY, PATIENT SAFETY AND SERVICE. CMH IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTH WORKFORCE.- SERVICE EXCELLENCE: ADDRESS DELIVERING ON THE CMH BRAND PROMISE OF A MEANINGFULLY BETTER PATIENT EXPERIENCE. THE PLAN FOCUSES ON PATIENT-CENTERED CARE AND THE BRAND PROMISE OF RESPECT AND ACCOUNTABILITY. THIS GOAL ALIGNS TECHNOLOGY WITH PERFORMANCE STANDARDS TO IMPROVE ACCESS TO BETTER MEET PATIENT NEEDS.- MARKET GROWTH: THIS GOAL AREA ADDRESSES THE KEY ASPECTS OF ALIGNING TECHNOLOGY, PHYSICIAN RESOURCES AND PROGRAMS AROUND THE CLINICAL NEEDS OF THE SERVICE AREA. THE PLAN FOCUSES ATTENTION ON KEY TERTIARY SERVICES AND THE ASSURANCE OF AN ADEQUATE SUPPLY OF PRIMARY CARE AND SPECIALIST PHYSICIANS FOR THE AREA. AT THE SAME TIME, CMH REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICES NEEDS.- FINANCIAL STRENGTH: TO ENSURE CMH HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.PART VI, LINE 7CHENANGO MEMORIAL HOSPITAL FILES THE COMMUNITY BENEFIT REPORT WITH NEW YORK STATE. |
| PART VI, LINE 4 CONTINUED | THIS INDICATES A LARGE SUB-GROUP OF THE POPULATION FOR WHOM HOUSING IS GENERALLY UNAFFORDABLE. IN FACT, 42.5% OF COUNTY RESIDENTS REPORT A LEVEL OF STRESS RELATED TO BEING ABLE TO AFFORD THEIR RENT OR MORTGAGE. THIS EXCEEDS THE REST OF NEW YORK STATE (EXCLUDING NEW YORK CITY) BY 6%.ALSO ACCORDING TO THE HORN ASSESSMENT, CHENANGO COUNTY LACKS SUPPORTIVE HOUSING FOR PEOPLE WITH MENTAL HEALTH DISABILITIES AND THE DEVELOPMENTALLY DELAYED POPULATION. OTHER HOUSING ISSUES INCLUDE LACK OF ASSISTIVE LIVING UNITS FOR ELDERLY AND DISABLED AND FOR RESIDENTS TRANSITIONING FROM INCARCERATION BACK INTO THE COMMUNITY. THERE IS NO HOMELESS SHELTER OR DOMESTIC VIOLENCE SHELTER AVAILABLE FOR THOSE POPULATIONS.MANY OF CHENANGO COUNTY'S FAMILIES AND HOUSEHOLDS ARE EITHER SINGLE PARENTS WHO ARE RAISING CHILDREN AND/OR HAVE ADULT MEMBERS WHO ARE AT LEAST 65 YEARS OLD. 8.6% OF THE TOTAL NUMBER OF FAMILIES LIVING IN CHENANGO COUNTY ARE ONE PARENT FAMILIES WITH CHILDREN UNDER 18 YEARS OLD, AND OF THESE SINGLE PARENT FAMILIES, 6.2% ARE FEMALE AND 2.4% ARE MALE. 12.4% OF HOUSEHOLDS ARE ADULTS 65 YEARS OR OLDER WHO LIVE ALONE. 30.4% OF ALL HOUSEHOLDS HAVE ONE OR MORE PERSONS WHO ARE 65 YEARS OR OLDER. |
| PART VI, LINE 5 CONTINUED | - AN INFORMATION MANAGEMENT SYSTEM FOR ANESTHESIOLOGISTS WAS LAUNCHED DURING THE YEAR. THE PLEXUS TG ANESTHESIA TOUCH IMPROVES THE QUALITY AND EFFICIENCY OF THE CARE DELIVERED BY PROVIDING INTUITIVE AND EASY-TO-USE METHODS TO HELP CAREGIVERS COLLECT, CONSOLIDATE, AND MANAGE PATIENT DATA. THIS SYSTEM HELPS CLINICIANS FOCUS ON THE QUALITY OF PATIENT CARE, EITHER BY PROVIDING INNOVATIVE CAPABILITIES OR BY REMOVING INEFFICIENCIES. - A NEW RADIOLOGY DICTATION SYSTEM, POWERSCRIBE 360, WAS IMPLEMENTED IN OCTOBER. THIS NEW SYSTEM HAS IMPROVED THE TURNAROUND TIME FOR REPORTS. THIS POWERFUL TOOL COMBINES DRAGON MEDICAL SPEECH RECOGNITION, DATA-CAPTURE, CLINICAL GUIDANCE, CRITICAL RESULTS MANAGEMENT, MULTI-SITE WORK FLOW AND STRUCTURED REPORTING IN A SINGLE SOLUTION. THE IMPLEMENTATION OF THIS NEW SYSTEM HAS DRAMATICALLY REDUCED THE TIME PROVIDERS RECEIVE RADIOLOGY/IMAGING REPORTS FROM RADIOLOGISTS. PREVIOUSLY, IT TOOK 3 DAYS TO GET REPORTS. NOW IT TAKES 1.- UHS CHENANGO MEMORIAL HOSPITAL IS ONE OF THE FEW HOSPITALS THAT ALSO INCLUDES A LONG-TERM CARE RESIDENTIAL UNIT. DURING 2017, NEW PHONES WERE INSTALLED IN ALL THE PATIENT ROOMS FOR THEIR USE FREE OF CHARGE. ADDITIONALLY, NEW WALL-MOUNTED HD TV'S WERE INSTALLED WITH WALL SPEAKERS AND WIRED REMOTE CONTROLS ALSO WITH SPEAKERS SO RESIDENTS COULD HEAR THEIR PROGRAMS BETTER. THIS HAS REDUCED THE NOISE ON THE UNIT AND AMONG ROOMS THAT NEIGHBOR EACH OTHER. IN TOTAL $250,000 WAS SPENT ON THIS PROJECT. THE HOSPITAL WILL PROVIDE THE PHONES, TV'S AND HD CABLE FREE OF CHARGE.- WHEN THE MATERNITY DEPARTMENT CLOSED AT A HOSPITAL IN THE REGION, CMH "INHERITED" SOME OF THEIR FETAL MONITORS. THESE MONITORS AGED AND WERE NO LONGER REPAIRABLE. THE HOSPITAL REPLACED THEM WITH IMPROVED EQUIPMENT THAT DISPLAYS THE VITAL SIGNS OF THE MOM AND THE FETAL HEART RATE OF THE BABY (OR TWINS) DURING LABOR AT THE BEDSIDE AND ON A MONITOR AT THE NURSES STATION. ANY CRITICAL CHANGES IN THE MOM OR BABY ARE RESPONDED TO IMMEDIATELY AND APPROPRIATE ACTION IS TAKEN. PATIENT DATA IS CAPTURED AND ARCHIVED FOR SUBSEQUENT REVIEW IF NEEDED. THIS PROJECT WAS FINANCIALLY SUPPORTED BY THE HOSPITAL'S FOUNDATION. - PLANS FOR DEVELOPING THE CHENANGO MEDICAL NEIGHBORHOOD BEGAN IN EARNEST DURING 2017 WHEN THE HOSPITAL RECEIVED A $9M TRANSFORMATION GRANT AWARD FROM THE NYS DEPARTMENT OF HEALTH. PLANNING FOR THE FIRST PHASE OF THE PROJECT BEGAN PRIOR TO 2017 AND HAS CONTINUED TO THIS DAY. THE FIRST PHASE WILL INCLUDE RELOCATING THE HOSPITAL'S LABORATORY TO THE BASEMENT FLOOR. THIS MOVE WILL MAKE SPACE FOR AN ENLARGED CARDIOLOGY DEPARTMENT AND A MUCH-NEEDED NEW CARDIAC REHAB UNIT. THE LAST STEP IN THIS FIRST PHASE WILL BE TO RELOCATE OUR NUCLEAR IMAGING AREA INTO THEIR PERMANENT LOCATION AS PART OF THE FUTURE REDESIGNED RADIOLOGY DEPARTMENT. PRIOR TO THE AWARD, SIGNIFICANT EXPENSE HAD BEEN INCURRED IN ARCHITECTURAL EXPENSES ONLY SOME OF WHICH WILL BE COVERED BY THE GRANT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMH AUXILIARY TO CMH HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 179 NORTH BROAD STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13815 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 150532180 | RecipientEIN |
| IRC Section | 501 (C) (3) | IRCSectionDesc |
| Cash Grant | $25,500 | CashGrantAmt |
| Valuation Method Used | CASH | ValuationMethodUsedDesc |
| Purpose Of Grant | FOR CARDIAC EQUIPMENT | PurposeOfGrantTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DRAKE LAMEN MD | ||||||||||||||
| PRESIDENT/CEO/CMO | $310,006 | $0 | $50,303 | $0 | $0 | $0 | $31,590 | $0 | $14,485 | $0 | $406,384 | $0 | $0 | $0 |
| MATTHEW J SALANGER | ||||||||||||||
| 2ND VICE CHAIRMAN | $0 | $1,614,467 | $0 | $260,611 | $0 | $246,631 | $0 | $16,740 | $0 | $25,699 | $0 | $2,164,148 | $0 | $0 |
| JOHN M CARRIGG | ||||||||||||||
| TRUSTEE | $0 | $517,113 | $0 | $94,194 | $0 | $10,284 | $0 | $16,740 | $0 | $18,963 | $0 | $657,294 | $0 | $0 |
| JAMES K O'BRIEN MD | ||||||||||||||
| PRESIDENT OF MEDICAL STAFF | $437,377 | $0 | $8,000 | $0 | $0 | $0 | $31,590 | $0 | $26,443 | $0 | $503,410 | $0 | $0 | $0 |
| ROHAN JAYASENA | ||||||||||||||
| PRESIDENT OF MEDICAL STAFF | $316,980 | $0 | $82,511 | $0 | $0 | $0 | $31,590 | $0 | $24,593 | $0 | $455,674 | $0 | $0 | $0 |
| DAVE MACDOUGALL | ||||||||||||||
| TRUSTEE | $0 | $469,618 | $0 | $92,823 | $0 | $0 | $0 | $45,388 | $0 | $24,830 | $0 | $632,659 | $0 | $0 |
| PHYLLIS SHERIFF-WHITE | ||||||||||||||
| VP OF MEDICAL STAFF | $285,332 | $0 | $13,750 | $0 | $0 | $0 | $31,590 | $0 | $17,349 | $0 | $348,021 | $0 | $0 | $0 |
| MARGARET SWARTWOOD | ||||||||||||||
| CONTROLLER | $135,341 | $0 | $18,000 | $0 | $0 | $0 | $17,941 | $0 | $14,672 | $0 | $185,954 | $0 | $0 | $0 |
| RON CEROW | ||||||||||||||
| ADMINISTRATOR | $116,541 | $0 | $18,000 | $0 | $0 | $0 | $15,741 | $0 | $14,980 | $0 | $165,262 | $0 | $0 | $0 |
| ANNE ENGLISH | ||||||||||||||
| DIRECTOR OF HUMAN RESOURCE | $108,793 | $0 | $18,000 | $0 | $0 | $0 | $14,835 | $0 | $14,933 | $0 | $156,561 | $0 | $0 | $0 |
| CHRISTINA KISACKY | ||||||||||||||
| VP OF OPERATIONS | $142,049 | $0 | $18,000 | $0 | $0 | $0 | $18,726 | $0 | $21,493 | $0 | $200,268 | $0 | $0 | $0 |
| DAVID FINNEY | ||||||||||||||
| VP, NURSING | $0 | $138,777 | $0 | $18,000 | $0 | $0 | $0 | $18,343 | $0 | $21,577 | $0 | $196,697 | $0 | $0 |
| YESU MATTA | ||||||||||||||
| DOCTOR | $186,092 | $0 | $15,000 | $0 | $0 | $0 | $23,528 | $0 | $20,701 | $0 | $245,321 | $0 | $0 | $0 |
| TIMOTHY COREY | ||||||||||||||
| DOCTOR | $317,432 | $0 | $12,239 | $0 | $0 | $0 | $31,590 | $0 | $25,540 | $0 | $386,801 | $0 | $0 | $0 |
| KEVIN B DECKER DDS | ||||||||||||||
| FORMER PRES OF MEDICAL STA | $205,491 | $0 | $0 | $0 | $0 | $0 | $24,042 | $0 | $8,754 | $0 | $238,287 | $0 | $0 | $0 |
| JAMES R SIMCOE MD | ||||||||||||||
| FORMER PRES OF MEDICAL STA | $220,447 | $0 | $11,750 | $0 | $0 | $0 | $27,167 | $0 | $18,944 | $0 | $278,308 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ANNUAL SOCIAL CLUB DUES PAID FOR MATTHEW SALANGER WITH NO PORTION TREATED AS TAXABLE COMPENSATION. SOCIAL CLUB MEMBERSHIP SUPPORTS THE FURTHERANCE OF THE EXEMPT DETERMINATION OF ALL UHS ENTIES, INCLUDING CHENANGO MEMORIAL HOSPITAL. |
| PART I, LINE 6 | THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2017 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. |
| FORM 990 PART VII SECTION A LINE 5 | INDIVIDUAL: JAMES K. O'BRIEN UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES TYPE AND AMOUNT OF COMPENSATION: WAGES AND $445,377 INDIVIDUAL: JAMES R. SIMCOE, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES TYPE AND AMOUNT OF COMPENSATION WAGES AND $232,197 INDIVIDUAL: ROHAN S. JAYASENA, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES TYPE AND AMOUNT OF COMPENSATION WAGES AND $399,491 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | CHENANGO MEMORIAL HOSPITAL PURCHASED THE PODIATRY PRACTICE THAT HAD BEEN IN NORWICH FOR 30 YEARS. THE PODIATRISTS (2) ARE APPROACHING RETIREMENT AND CHENANGO MEMORIAL HOSPITAL WANTED TO ENSURE PODIATRY SERVICES REMAINED IN THE COUNTY. THE LONG TERM PLAN WAS TO ADD PODIATRY SURGERIES TO OUR LIST OF SERVICES SO PATIENTS WOULDN'T NEED TO TRAVEL TO BINGHAMTON OR ELSEWHERE. THAT INITIATIVE WAS ACCOMPLISHED WHEN A PODIATRY SURGEON JOINED CMH IN JUNE 2018. CHENANGO COUNTY HAS ONE OF THE HIGHEST RATES OF DIABETES IN NYS SO CMH FELT IT ESSENTIAL THAT WE RETAIN THIS SERVICE FOR THOSE PARTICULAR PATIENTS. THE PRACTICE HAS ALREADY EXPERIENCED MARKED GROWTH (5,228 VISITS VS BUDGET OF 3,200) AND IS EXPECTED TO HAVE OVER 6,000 VISITS IN 2019. |
| FORM 990, PART VI, SECTION A, LINE 6 | UNITED HEALTH SERVICES, INC. IS THE SOLE MEMBER OF CHENANGO MEMORIAL HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, UNITED HEALTH SERVICES, INC, SHALL ELECT TRUSTEES AT THE ANNUAL MEETING OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | UHS INC, (THE MEMBER AS DEFINED BY THE CMH BI-LAWS) MUST PROVIDE PRIOR WRITTEN APPROVAL FOR VARIOUS ACTIONS BY THE CMH BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE FINANCE DIVISION PREPARED THE 990 FORMS WHICH WERE REVIEWED BY THE ORGANIZATION'S PUBLIC ACCOUNTANTS, CONTROLLER, ASSISTANT VP OF FINANCE, CORPORATE CFO AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | IT IS THE PHILOSOPHY OF THE HOSPITAL THAT ALL STAFF INCLUDING EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHS HOSPITALS TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS'S STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHS HOSPITALS (WHICH INCLUDES CHENANGO MEMORIAL HOSPITAL) BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS; 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON 'TOTAL REVENUE' METRICS), AND 2) A 'REASONABLENESS ASSESSMENT' CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROGRAM SERVICE EXPENSES: PROGRAM SERVICE EXPENSES 13,593,112. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,593,112. |
| FORM 990, PART XI, LINE 9: | CUMULATIVE EFFECT OF AUXILIARY INCOME AND EXPENSE 3,865. CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION 684,096. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS 757,975. CHANGE IN VALUE OF FUNDS HELD IN TRUST BY OTHERS 427,402. |
| FORM 990 PART XII LINE 2C | NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE YEAR. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED HEALTH SERVICES HOSPITALS INC | ||||||||||
| 33-57 HARRISON STREET | JOHNSON CITY | NY | 13790 | 161165049 | HOSPITAL | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER INC | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902896 | SENIOR LIVING CENTER | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| IDEAL SENIOR LIVING CENTER HOUSING CO | ||||||||||
| 508 HIGH AVENUE | ENDICOTT | NY | 13760 | 222902899 | SENIOR HOUSING | NY | 501 (C) (3) | 10 | UNITED HEALTH SERVICES INC | 0 |
| TWIN TIER HOME HEALTH INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 222348211 | HOME HEALTH CARE | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| UNITED HEALTH SERVICES INC | ||||||||||
| 20-42 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 222682421 | PARENT COMPANY | NY | 501 (C) (3) | 10 | BOARD OF DIRECTORS UHS INC | 0 |
| PROFESSIONAL HOME CARE INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161261977 | HOME HEALTH CARE | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| DELAWARE VALLEY HOSPITAL INC | ||||||||||
| ONE TITUS PLACE | WALTON | NY | 13856 | 150524324 | HOSPITAL | NY | 501 (C) (3) | 3 | UNITED HEALTH SERVICES INC | 0 |
| CMH FUND | ||||||||||
| 179 NORTH BROAD STREET | NORWICH | NY | 13815 | 222985550 | INACTIVE | NY | 501 (C) (3) | 11B | CHENANGO MEMORIAL HOSPITAL INC | 0 |
| PROJECT HEAR INC | ||||||||||
| 601 RIVERSIDE DRIVE | JOHNSON CITY | NY | 13790 | 161462675 | HOME EMERGENCY ALARM SYSTEM | NY | 501 (C) (3) | 3 | TWIN TIER HOME HEALTH INC | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|
| PATHWAY HEALTH MANAGEMENT INC | ||||||||||
| 20 MITCHELL AVENUE | BINGHAMTON | NY | 13903 | 161228654 | WINDING DOWN OF MANAGEMENT SERVICES TO SUSQUEHANNA MEDICAL ASSOCIATES | NY | UNITED HEALTH SERVICES INC | C | 0 | |
| CHENANGO MADA INC | ||||||||||
| 179 N BROAD STREET | NORWICH | NY | 13915 | 161290726 | INACTIVE | NY | CMH FUND INC | C | 0 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST: | FormAndLineReferenceDesc |
| Explanation | NAME OF RELATED ORGANIZATION: CHENANGO MADA, INC. PRIMARY ACTIVITY: INACTIVE | ExplanationTxt |