CHENANGO MEMORIAL HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CHENANGO MEMORIAL HOSPITAL INC (EIN 15-0532180)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-09
- IRS object ID
- 201703139349303815
- Schema version
- 2016v3.0
- 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 | 2017-11-09T16:44:27-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | 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 | 2017-10-19 | 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 | 2017-10-19 | 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 | 2017-10-19 | IPDt |
| IP Tm | 10:24:06 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9ED0318F8F0D15647C4BFB992883BD7B1D0B79EC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 315614A2A569D91B0F4A84342C1D145A8997199D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | 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 | $74,678,678 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UHS.NET/CMH | 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 | 593 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $15,515 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $698,255 | PYContributionsGrantsAmt |
| CY Contributions Grants | $668,619 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $73,594,918 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $73,146,462 | CYProgramServiceRevenueAmt |
| PY Investment Income | $322,671 | PYInvestmentIncomeAmt |
| CY Investment Income | $297,140 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,086,153 | PYOtherRevenueAmt |
| CY Other Revenue | $548,220 | CYOtherRevenueAmt |
| PY Total Revenue | $75,701,997 | PYTotalRevenueAmt |
| CY Total Revenue | $74,660,441 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $35,973 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $33,858 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,404,104 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,471,714 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $46,009,568 | PYOtherExpensesAmt |
| CY Other Expenses | $45,603,886 | CYOtherExpensesAmt |
| PY Total Expenses | $72,449,645 | PYTotalExpensesAmt |
| CY Total Expenses | $73,109,458 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,252,352 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,550,983 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,421,667 | TotalAssetsBOYAmt |
| Total Assets EOY | $44,055,973 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,594,033 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,971,861 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,827,634 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,084,112 | 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 | $21,576,172 | ExpenseAmt |
| Revenue | $18,368,957 | 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, 2016 WAS 4,754. DISCHARGES WERE 1,596, AND AVERAGE LENGTH OF STAY WAS 2.98 DAYS. LONG TERM SKILLED NURSING DAYS WERE 25,229. THERE WERE 266 BIRTHS AND 295 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2016. IN 2016, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 116 INDIVIDUALS FOR WHICH $332,497 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,184,921 | ExpenseAmt |
| Revenue | $45,064,627 | 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 2016 WAS 186,033. INCLUDED IN THE 186,033 VISITS WERE 17,251 EMERGENCY ROOM VISITS, 704 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 3,154 VARIOUS OUTPATIENT SURGICAL CASES, AND 164,924 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2016 CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 3,665 INDIVIDUALS FOR WHICH $1,514,681 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,272,911 | ExpenseAmt |
| Revenue | $9,712,878 | 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 2016 WAS 81,999. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | $33,858 | GrantAmt |
| Revenue | $532,705 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Grant | $33,858 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $532,705 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $66,034,004 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 60 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 593 | 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 | Yes (1) | 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 | 55.00 | Yes (X) | Yes (X) | $358,390 | $0 | $41,739 | |||
| BRUCE S ERATH | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS C EMERSON | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT W NASSAR | |||||||||
| TRUSTEE (CHAIRMAN THROUGH | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW J SALANGER | |||||||||
| 2ND VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $1,347,126 | $40,748 | 55.00 | ||
| ERIC G LARSEN | |||||||||
| CHAIRMAN (1ST VICE CHAIRMA | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN M KWASNIK | |||||||||
| SECRETARY (TRUSTEE THROUGH | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KATHIE J DEIERLEIN | |||||||||
| PRESIDENT- AUXILLARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| AARON J VALENTINE | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE M SCARLETT | |||||||||
| 1ST VICE CHAIRMAN (SECRETA | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RIC FESTARINI | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN M CARRIGG | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $575,657 | $34,830 | 55.00 | |||
| JAMES K O'BRIEN MD | |||||||||
| PRESIDENT OF MEDICAL STAFF | 55.00 | Yes (X) | Yes (X) | $437,908 | $0 | $51,532 | |||
| STEVEN PALMATIER | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROHAN JAYASENA | |||||||||
| VP OF MEDICAL STAFF | 55.00 | Yes (X) | Yes (X) | $261,553 | $0 | $52,330 | |||
| DAVE MACDOUGALL | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $573,004 | $40,573 | 55.00 | |||
| MARGARET SWARTWOOD | |||||||||
| CONTROLLER | 55.00 | Yes (X) | $148,615 | $0 | $29,597 | ||||
| RON CEROW | |||||||||
| ADMINISTRATOR | 55.00 | Yes (X) | $127,369 | $0 | $27,338 | ||||
| ANNE ENGLISH | |||||||||
| DIRECTOR OF HUMAN RESOURCE | 55.00 | Yes (X) | $121,708 | $0 | $26,982 | ||||
| WENDY SURDOVAL | |||||||||
| VP OF QUALITY MGMT | 55.00 | Yes (X) | $115,130 | $0 | $26,239 | ||||
| CHRISTINA KISACKY | |||||||||
| VP OF OPERATIONS | 55.00 | Yes (X) | $154,645 | $0 | $36,596 | ||||
| ROBERT MCCARTHY | |||||||||
| VP OF SYSTEM FINANCIAL OPE | 11.00 | Yes (X) | $35,385 | $141,538 | $16,111 | 44.00 | |||
| DAVID FINNEY | |||||||||
| VP, NURSING | 55.00 | Yes (X) | $0 | $148,611 | $0 | ||||
| BARBARA GRUCHALSKA | |||||||||
| DENTIST | 55.00 | $140,552 | $0 | $23,104 | Yes (X) | ||||
| YESU MATTA | |||||||||
| DOCTOR | 55.00 | $191,256 | $0 | $37,086 | Yes (X) | ||||
| TIMOTHY COREY | |||||||||
| DOCTOR | 55.00 | $308,431 | $0 | $52,534 | Yes (X) | ||||
| KEVIN B DECKER DDS | |||||||||
| FORMER PRES OF MEDICAL STA | 55.00 | $201,502 | $0 | $32,131 | Yes (X) | ||||
| JAMES R SIMCOE MD | |||||||||
| FORMER PRES OF MEDICAL STA | 55.00 | $220,475 | $0 | $41,511 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,822,919 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,785,936 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $610,981 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | 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 | $1,444,338 |
| SECO PHYSICAL AND OCCUPATIONAL THERAPY | |||||
| PO BOX 1046 | NORWICH | NY | 13815 | THERAPY SVCS | $994,956 |
| MORRISON MANAGEMENT | |||||
| POBOX 102289 | ATLANTA | GA | 303682289 | DIETARY FOOD SVCS MGMT | $635,132 |
| LECHASE CONSTRUCTION | |||||
| 205 INDIGO CREEK DRIVE | ROCHESTER | NY | 14626 | CONSTRUCTION SVCS | $462,252 |
| ANTHONY CICORIA MD | |||||
| 33-39 COURT STREET | NORWICH | NY | 13815 | ED SVCS | $426,879 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 48 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $2,291 | MembershipDuesAmt |
| Government Grants | $266,785 | GovernmentGrantsAmt |
| All Other Contributions | $399,543 | AllOtherContributionsAmt |
| Total Contributions | $668,619 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT AND AMBULATORY SERVICE | 623000 | $45,064,627 | $45,064,627 |
| INPATIENT, ACUTE AND LONG TERM SK | 623000 | $18,368,957 | $18,368,957 |
| CLINICS | 623000 | $9,712,878 | $9,712,878 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $73,146,462 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $302,864 | TotalRevenueColumnAmt |
| Exclusion | $302,864 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,028 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,513 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,515 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,515 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $10,515 | UnrelatedBusinessRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,724 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$5,724 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,724 | TotalRevenueColumnAmt |
| Exclusion | -$5,724 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEANINGFUL USE FUNDS | 623000 | $287,487 | $287,487 |
| OTHER OPERATING REVENUE | 623000 | $200,643 | $200,643 |
| CAFETERIA REVENUE | 623000 | $44,575 | $44,575 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,000 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $5,000 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $537,705 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,660,441 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,679,167 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $15,515 | UnrelatedBusinessRevenueAmt |
| Exclusion | $297,140 | 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 | $31,200 | TotalAmt |
| Program Services | $31,200 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,658 | TotalAmt |
| Program Services | $2,658 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,017,670 | TotalAmt |
| Program Services | $2,017,670 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,192,881 | TotalAmt |
| Program Services | $16,100,591 | ProgramServicesAmt |
| Management And General | $2,092,290 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,937,964 | TotalAmt |
| Program Services | $1,570,595 | ProgramServicesAmt |
| Management And General | $367,369 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,806,631 | TotalAmt |
| Program Services | $3,227,379 | ProgramServicesAmt |
| Management And General | $579,252 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,516,568 | TotalAmt |
| Program Services | $1,334,580 | ProgramServicesAmt |
| Management And General | $181,988 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $735,000 | TotalAmt |
| Management And General | $735,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,641 | TotalAmt |
| Management And General | $46,641 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,127 | TotalAmt |
| Management And General | $95,127 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,532 | TotalAmt |
| Management And General | $13,532 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,111,356 | TotalAmt |
| Program Services | $15,111,356 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,670 | TotalAmt |
| Program Services | $53 | ProgramServicesAmt |
| Management And General | $13,617 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,563 | TotalAmt |
| Program Services | $149,348 | ProgramServicesAmt |
| Management And General | $247,215 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,990 | TotalAmt |
| Program Services | $138,881 | ProgramServicesAmt |
| Management And General | $3,109 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,179,635 | TotalAmt |
| Program Services | $1,053,234 | ProgramServicesAmt |
| Management And General | $126,401 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,634 | TotalAmt |
| Program Services | $38,536 | ProgramServicesAmt |
| Management And General | $29,098 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,057 | TotalAmt |
| Program Services | $284,057 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,628,818 | TotalAmt |
| Program Services | $2,628,818 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $586,236 | TotalAmt |
| Program Services | $586,236 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $17,129,529 | $15,000,477 | $2,129,052 |
| BAD DEBTS | $4,222,430 | $4,222,430 | |
| NEW YORK STATE CASH REC | $568,768 | $568,768 | |
| MISCELLANEOUS AUXILLARY | $11,781 | $11,781 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,371,119 | TotalAmt |
| Program Services | $1,955,356 | ProgramServicesAmt |
| Management And General | $415,763 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,109,458 | TotalAmt |
| Program Services | $66,034,004 | ProgramServicesAmt |
| Management And General | $7,075,454 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,054,603 | BOYAmt |
| EOY | $8,534,380 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,401,404 | BOYAmt |
| EOY | $6,586,742 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,127,106 | BOYAmt |
| EOY | $7,945,070 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,956 | BOYAmt |
| EOY | $441,035 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,521,008 | BOYAmt |
| EOY | $1,097,051 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $64,121,396 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $49,918,051 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,388,911 | BOYAmt |
| EOY | $14,203,345 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,321 | BOYAmt |
| EOY | $111,386 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,366,358 | BOYAmt |
| EOY | $5,136,964 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,421,667 | BOYAmt |
| EOY | $44,055,973 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,700,377 | BOYAmt |
| EOY | $5,900,408 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,432,828 | BOYAmt |
| EOY | $3,155,170 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,460,828 | BOYAmt |
| EOY | $24,916,283 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,594,033 | BOYAmt |
| EOY | $33,971,861 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,862,113 | BOYAmt |
| EOY | $2,689,377 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,117 | BOYAmt |
| EOY | $807,993 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,401,404 | BOYAmt |
| EOY | $6,586,742 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,827,634 | BOYAmt |
| EOY | $10,084,112 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,421,667 | BOYAmt |
| EOY | $44,055,973 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,550,983 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $6,068 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,300,573 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,532 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,532 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,837,996 | BeginningYearBalanceAmt |
| Contributions | $894,949 | ContributionsAmt |
| Investment Earnings Or Losses | $2,755 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $552,832 | OtherExpendituresAmt |
| End Year Balance | $7,182,868 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.89070 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.10930 | 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 | $26,880,983 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,424,885 | DepreciationAmt |
| Book Value | $7,456,098 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,798,073 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,337,295 | DepreciationAmt |
| Book Value | $460,778 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,838,440 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,155,871 | DepreciationAmt |
| Book Value | $5,682,569 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $408,247 | OtherCostOrOtherBasisAmt |
| Book Value | $408,247 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,203,345 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN CMH FOUNDATION | $3,687,221 |
| ASSETS LIMITED TO USE- RESTRICTED CASH FOR EQUIPMENT | $735,433 |
| OTHER ASSETS | $714,310 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,136,964 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYORS | $3,635,584 |
| DUE TO AFFILIATES | $1,366,105 |
| LONG TERM PENSION LIABILITY | $16,488,586 |
| CAPITAL LEASE OBLIGATIONS | $1,213,228 |
| OTHER LIABILITIES | $2,212,780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,916,283 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $74,619,948 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $74,619,948 | RevenueSubtotalAmt |
| Other Revenues Not Included | $40,493 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $40,493 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $74,660,441 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $73,075,403 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $73,075,403 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $34,055 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $34,055 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $73,109,458 | 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, 2016 AND 2015, 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 2013 THROUGH 2016. 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 53,006. RENTAL INCOME EXPENSES RECON -12,513. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY EXPENSES 46,568. RENTAL INCOME EXPENSES RECON -12,513. |
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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,005,935 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,704,801 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,301,134 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04790 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $756,388 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,587 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $686,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,762,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,774,388 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,987,935 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05790 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,921 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $107,921 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,410 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,040,705 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,931,872 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,108,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04510 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,204,036 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,931,872 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,272,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04750 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,966,359 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,706,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,260,099 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10540 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,153 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,153 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,424 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,905 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,905 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,217 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,217 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,839 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $315,428 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $315,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,168 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,068 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $372,134 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $362,034 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,222,430 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $90,639 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,664,122 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,196,844 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,467,278 | 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.UHS.NET | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | MEDICARE DEPENDENT HOSPITAL | 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.UHS.NET | 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.UHS.NET | 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.UHS.NET | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.UHS.NET | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.UHS.NET | 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 (4 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 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. SINCE, 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,THE NEEDS OF AN AGING POPULATION, FOOD AVAILABILITY, THE NEEDS OF THE DEVELOPMENTALLY IMPAIRED POPULATION, 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 HEALTH*CHENANGO COUNTY DEPARTMENT OF SOCIAL SERVICES*CHENANGO COUNTY AREA AGENCY ON AGING*CHENANGO COUNTY HOSPICE & PALLIATIVE CARE SERVICES*CHENANGO HEALTH NETWORK*OPPORTUNITIES FOR CHENANGO - WIC AND HEADSTART PROGRAMS*UNITED HEALTH SERVICES (UHS)*CHENANGO COUNTY CATHOLIC CHARITIES*CHENANGO COUNTY MENTAL HYGIENE/DRUG & ALCOHOL*MOTHERS & 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 HEATHCARE 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. AN UPDATE ON THE INITIATIVES IS PRESENTED TO THE FULL BOARD OF DIRECTORS EACH FEBRUARY.PRIORITY AREA: PREVENT CHRONIC DISEASE: REDUCE OBESITY IN CHILDRENGOAL: PREVENT CHILDHOOD OBESITY THROUGH EARLY CHILD CARE AND SCHOOLSON APRIL 7, 2015, A LOCAL NEWSPAPER PRINTED THE FOLLOWING HEADLINE ON ITS FRONT PAGE "STUDY: CHENANGO IS NY'S MOST OBESE COUNTY". AT THAT TIME, CHENANGO COUNTY RANKED #1 IN THE PERCENTAGE OF OBESE ADULTS IN NYS (38.9%). IN ADDITION, ACCORDING TO THE NYS DOH PREVENTION AGENDA DASHBOARD, APPROXIMATELY 20% OF CHENANGO COUNTY'S 7,000 STUDENTS WERE OBESE. TO BEGIN ADDRESSING THIS MONUMENTAL INITIATIVE, THE HOSPITAL AND THE LHD COLLABORATED WITH UHS STAY HEALTHY, A COMMUNITY HEALTH PROGRAM WITH ITS ROOTS IN BROOME COUNTY, TO ASSIST US. STAY HEALTHY HAD BEEN RUNNING THE EVIDENCE BASED STAY HEALTHY KIDS PROGRAM AIMED AT ADDRESSING PEDIATRIC OBESITY IN THE SOUTHERN TIER WITH GREAT SUCCESS.THE STAY HEALTHY KIDS PROGRAM HAS 2 MAIN STRATEGIES:1. ESTABLISH A REFERRAL MECHANISM BETWEEN LOCAL PEDIATRIC AND FAMILY PRACTICE OFFICES IN WHICH CHILDREN WHO ARE IDENTIFIED AS BEING OVERWEIGHT OR AT RISK FOR BEING OVERWEIGHT BY THEIR DOCTORS RECEIVE A REFERRAL TO A COMMUNITY-BASED EDUCATION PROGRAM THAT FOCUSES ON HEALTHY LIFESTYLES.2. ESTABLISH A COMMUNITY-BASED EDUCATION PROGRAM FOR CHILDREN WHO ARE OVERWEIGHT OR AT RISK FOR OVERWEIGHT AND THEIR PARENT(S)/GUARDIAN(S) THAT USES EVIDENCED-BASED STRATEGIES TO HELP ADOPT HEALTHIER LIFESTYLES, I.E. 5-2-1-0 LET'S GO PROGRAM (WWW.LETSGO.ORG).THE PROGRAM CONSISTS OF FOUR SESSIONS WITH EACH SESSION FOCUSING ON SPECIFIC TOPICS SUCH AS GOAL SETTING, PORTION CONTROL, NUTRITION, EXERCISE, AND SO ON. STAY HEALTHY KIDS IS A FAMILY ORIENTED PROGRAM ENCOMPASSING THE WHOLE FAMILY. THE PROGRAM IS ALSO EDUCATIONAL FOR THE PARENT(S) (WHO MAY ALSO HAVE WEIGHT CHALLENGES) TO UNDERSTAND HOW TO BUY FOOD, WHAT TO BUY, HOW TO FIX IT, AND HOW TO BALANCE THEIR EATING HABITS WITH PHYSICAL ACTIVITY, SCREEN TIME, AND HUNGER CUES. THIS IS IMPORTANT BECAUSE IT IS THE PARENT(S) WHO DO THE GROCERY SHOPPING AND THE COOKING. THE REFERRED CHILD CANNOT SUCCEED WITHOUT THE PARENT'S UNDERSTANDING AND SUPPORT.REPRESENTATIVES FROM THE HOSPITAL, LHD, UHS, AND YMCA HAVE BEEN MEETING EVERY OTHER WEEK SINCE THE SPRING OF 2016 TO LAUNCH THE STAY HEALTHY KIDS PROGRAM IN NORWICH AND SIDNEY, NY. MINUTES ARE TAKEN AND REVIEWED WITH ACTION ITEMS ASSIGNED AS NEEDED DURING EACH MEETING. CHALLENGES AND LOGISTICS AROUND THE PROGRAM ARE DISCUSSED DURING THESE MEETINGS AND THEY WILL CONTINUE INDEFINITELY. PRIOR TO THE ORGANIZATION AND IMPLEMENTATION OF THIS PROGRAM, MEETINGS WERE HELD TO DEVELOP A STRATEGY FOR ADDRESSING ADULT OBESITY BUT WERE DISCONTINUED IN FAVOR OF THE STAY HEALTHY KIDS PROGRAM THAT INCLUDES THE ENTIRE FAMILY.PRIORITY: PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN: BREASTFEEDINGGOAL: INCREASE THE PROPORTION OF NYS BABIES WHO ARE BREASTFEDEARLY IN JANUARY 2016, THE HOSPITAL RECEIVED A LETTER FROM THE DOH INDICATING THAT UHS CHENANGO MEMORIAL'S PERCENTAGE OF BREASTFED INFANTS RECEIVING FORMULA SUPPLEMENTATION WAS TOO HIGH. THE LHD AND THE HOSPITAL RECOGNIZED OUR CHALLENGES AND HAD BEGAN DEVELOPING INITIATIVES TO IMPROVE BREASTFEEDING RATES. WE ALSO RECEIVED FEEDBACK FROM PARTICIPANTS IN THE CHILDBIRTH EDUCATION CLASSES, BOTH DURING THE CLASSES AND ON THE SURVEYS, THAT THEY WANTED MORE INFORMATION ON BREASTFEEDING. IN 2015, THE LHD ASSEMBLED THE BREASTFEEDING PARTNERS OF CHENANGO COUNTY. THE GROUP MEETS MONTHLY AND MEMBERS INCLUDE THE LHD, UHS CHENANGO MEMORIAL HOSPITAL, WIC, MOTHERS AND BABIES PERINATAL NETWORK, OPPORTUNITIES FOR CHENANGO & HEADSTART, AND COOPERATIVE EXTENSION. IN JANUARY 2016, THE LHD OPENED THE BABY NOOK LACTATION ROOM AND WEIGH STATION IN THE CENTER OF NORWICH STAFFED WITH CERTIFIED LACTATION COUNSELORS (CLC) AVAILABLE TO HELP MOMS WITH BREASTFEEDING. THE HOSPITAL REFERS ALL MOTHERS TO THE NOOK WHEN THEY ARE DISCHARGED.THE HOSPITAL HAS A LARGE PEDIATRIC PRACTICE IN SIDNEY. A WELL-ESTABLISHED PEDIATRICIAN IN THAT OFFICE REGULARLY SEES OVER 7,000 PATIENTS ANNUALLY FROM CHENANGO, DELAWARE, AND OTSEGO COUNTIES. UNFORTUNATELY, THAT PRACTICE DOES NOT HAVE A CLC ON STAFF. DURING 2016 THE CHENANGO AND DELAWARE DOH'S ROTATED CLC'S FROM THEIR OFFICES AND WITHIN THE COMMUNITY TO BE ON-SITE ONCE A WEEK TO ASSIST MOMS WITH BREASTFEEDING. PEDIATRIC PATIENTS THAT DO NOT COME TO CMH FOR SERVICES ARE TRACKED BY THE RESPECTIVE DOH'S BASED ON THEIR COUNTY OF RESIDENCE. THE DOH'S FOLLOW-UP WITH MOTHERS BY PHONE CALL TO GATHER INFORMATION ABOUT BREASTFEEDING OR MAKE HOME VISITS TO ASSIST MOTHERS 1:1.A REPORTING SYSTEM IS IN PLACE IN THE HOSPITAL TO MEASURE BREASTFEEDING RATES AT DISCHARGE. CHENANGO COUNTY'S ONLY IBCLC (INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT) WORKS ON THE HOSPITAL'S MATERNITY UNIT AND IS AVAILABLE TO HELP MOMS BEGIN BREASTFEEDING PRIOR TO DISCHARGE. THIS PROCESS HAS PROVEN VERY SUCCESSFUL AND THE UNIT HAS MET THE NYS PREVENTION AGENDA GOAL FOR EXCLUSIVE BREASTFEEDING (LESS ANY TRANSFERS).THE BREASTFEEDING INITIATIVE IS DISCUSSED DURING THESE FORUMS:* MONTHLY CHENANGO COUNTY BREASTFEEDING COALITION MEETING.* MONTHLY MEETING WITH THE SIDNEY CLINICAL STAFF THAT INCLUDES REPRESENTATIVES FROM HOSPITAL ADMINISTRATION, CHENANGO DOH, AND DELAWARE DOH TO DISCUSS PROGRESS AND IDENTIFY CHALLENGES.*QUARTERLY MEETINGS WITH THE MATERNITY STAFF, HOSPITAL ADMINISTRATION, AND THE CHENANGO DOH.*THE HOSPITAL'S MONTHLY QUALITY COUNCIL MEETING ATTENDED BY CMH'S CEO, NURSING AND MEDICAL MANAGEMENT.MINUTES ARE TAKEN AT ALL OF THESE MEETINGS EXCEPT THE SIDNEY STAFF MEETING. THE CLINICAL COORDINATOR ATTENDS THE COALITION MEETING TO REPORT PROGRESS AND CHALLENGES TO THE COALITION.IN MARCH 2016, THE MATERNITY NURSE MANAGER AND THE HOSPITAL'S IBCLC ATTENDED A CONFERENCE ON EPIGENETICS AND BREASTFEEDING. NUTRITIONAL EPIGENETICS CONCERNS KNOWLEDGE ABOUT THE EFFECTS OF NUTRIENTS ON GENE EXPRESSION. NUTRITION IN EARLY LIFE OR IN CRITICAL PERIODS OF DEVELOPMENT MAY HAVE A ROLE IN MODULATING GENE EXPRESSION AND HAVE LATER EFFECTS ON HEALTH. BREASTFED CHILDREN HAVE A LOWER RISK OF INFECTIOUS DISEASES AND OF NON-COMMUNICABLE DISEASES, SUCH AS OBESITY AND RELATED-DISORDERS.THE WOMEN'S HEALTH CENTER AT THE HOSPITAL CONTINUES TO PARTNER WITH MOTHERS & BABIES PERINATAL NETWORK TO BOOST BREASTFEEDING AND ANTI-TOBACCO USAGE. EACH WEEK A REPRESENTATIVE IS IN THE WOMEN'S HEALTH CENTER WAITING ROOM AND TALKS WITH MOTHERS AS THEY ARRIVE FOR THEIR APPOINTMENT. THERE IS A DIFFERENT DISCUSSION TOPIC EACH WEEK. MBPN WAS PRESENT FOR 39 WEEKS FOR A TOTALLING 248 HOURS. THE REPRESENTATIVE SAW 218 INDIVIDUAL PATIENTS THAT RESULTED IN 68 REFERRALS TO MBPN RESOURCES AND 42 REFERRALS TO OTHER COMMUNITY RESOURCES. CMH ALSO PROVIDES THEIR "BABY BASICS" BOOK AT THE MOTHER'S FIRST APPOINTMENT, WITH 265 COPIES BEING DISTRIBUTED. THE INFORMATION IN THIS BOOK IS REVIEWED WITH THE PATIENT BY THE NURSE AT EACH VISIT. THE HOSPITAL ALSO HOSTS THE QUARTERLY MEETINGS OF MOTHERS & BABIES THAT PROVIDE A FORUM FOR COMMUNITY AGENCIES TO GIVE UPDATES AND DISCUSS INITIATIVES THEY ARE WORKING ON. MBPN WILL ALSO PROVIDE INFORMATION ON KEY MATERNAL TOPICS, INCLUDING POST PARTUM DEPRESSION. ATTENDEES INCLUDE PAL, FAMILY PLANNING OF SOUTH CENTRAL NEW YORK, LDH, WIC, HEADSTART AND OPPORTUNITIES FOR CHENANGO.** SEE SCHEDULE O FOR CONTINUATION |
| CHENANGO MEMORIAL HOSPITAL, INC. | PART V, SECTION B, LINE 13H: FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 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 |
Supplemental Information Detail SupplementalInformationDetail (11 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 $4,222,430 WAS NOT INCLUDED IN THE CALCULATION OF NET BENEFIT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL CONDUCTS AND ATTENDS NUMEROUS EVENTS IN THE COMMUNITY TO DEVELOP COMMUNITY RELATIONSHIPS AND SUPPORT HEALTHCARE INITIATIVES. SOME OF THESE EVENTS ARE CONDUCTED OUTSIDE OF NORMAL BUSINESS HOURS DUE TO THE AVAILABILITY OF RESIDENTS AND LEADERS IN THE COMMUNITY. THESE EVENTS ARE EQUALLY IMPORTANT TOWARD THE PURSUIT OF IMPROVED COMMUNITY HEALTH AND ARE ATTENDED OR STAFFED BY SALARIED INDIVIDUALS WHO ROUTINELY WORK MORE HOURS PER WEEK THAN HOURLY STAFF. WITH THIS IN MIND, THE FOLLOWING NARRATIVE INCLUDES A LISTING OF ACTIVITIES THAT OCCURRED BOTH DURING AND AFTER BUSINESS HOURS.LINE 1 - PHYSICAL IMPROVEMENTS*ASBESTOS REMOVAL -- AS PART OF THE HOSPITAL'S ON-GOING RENOVATION PROJECTS, IT IS ALWAYS NECESSARY TO ABATE ASBESTOS CONTAINED IN THE FIRE PROOFING APPLIED IN THE 1970'S. ASBESTOS WAS REMOVED DURING THE RENOVATION OF THE PATIENT HOLDING AND STORAGE AREAS IN THE HOSPITAL'S OR SUITE DURING 2016. ASBESTOS IS A KNOWN AIR-BORNE CARCINOGEN.LINE 2 - ECONOMIC DEVELOPMENT*COMMERCE CHENANGO - FOR THE LAST SEVERAL YEARS, THE HOSPITAL HAS HAD A REPRESENTATIVE ON THE BOARD OF THE LOCAL CHAMBER OF COMMERCE. THE CHAMBER REPRESENTS A PARTNERSHIP OF BUSINESS AND PROFESSIONAL PEOPLE MAKING A DIFFERENCE IN THE COMMUNITY. THE HOSPITAL ALSO PARTICIPATES IN MANY OF COMMERCE CHENANGO'S FUNCTIONS INCLUDING THEIR ECONOMIC BREAKFAST, MEMBERSHIP LUNCHEON, LEGISLATIVE LUNCHEON, AND GOLF TOURNAMENT.*SOUTHERN TIER ADVISORY BOARD OF NBT - NBT BANK, NA OF NORWICH, NY, HAS SEVERAL REGIONAL ADVISORY BOARDS CONSISTING OF LEADERS IN BUSINESS, HEALTHCARE, AGRICULTURE, LAW, AND FINANCE INDUSTRIES. THESE BOARDS ENABLE NBT TO ESTABLISH LINKAGES TO KEY BUSINESSES IN THE COMMUNITY TO UNDERSTAND THEIR NEEDS, CHALLENGES, AND HOW NBT MAY BE ABLE TO ASSIST. THE GROUP MEETS QUARTERLY. THE HOSPITAL'S PRESIDENT & CEO IS A MEMBER OF THE SOUTHERN TIER ADVISORY BOARD. NBT HAS PROVIDED FINANCIAL SUPPORT FOR MANY OF THE HOSPITAL'S MAJOR PROJECTS OVER THE YEARS, INCLUDING EXPANDING PRIMARY CARE SERVICES THAT WOULD NOT HAVE COME TO FRUITION WITHOUT THEIR ASSISTANCE.LINE 3 - COMMUNITY SUPPORTTHE HOSPITAL IS DEDICATED TO EMERGENCY PREPAREDNESS. EMPLOYEES VOLUNTARILY PARTICIPATE IN TRAININGS AND DRILLS THROUGHOUT THE YEAR IN ADDITION TO OPPRTUNITIES PROVIDED BY FEMA (FEDERAL EMERGENCY MANAGEMENT AGENCY). ALTHOUGH SOME OF THESE TRAININGS ARE REIMBURSED BY HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION). THE HOSPITAL DETERMINES THE BREADTH AND DEPTH OF THE EDUCATION PROVIDED. HRSA IS THE PRIMARY FEDERAL AGENCY FOR IMPROVING HEALTHCARE FOR PEOPLE WHO ARE GRAPHICALLY ISOLATED, ECONOMICALLY OR MEDICALLY VULNERABLE. ANNUAL DRILLS CAN INCLUDE CITY AND COUNTY OFFICIALS IN A COORDINATED EFFORT TO RESPOND TO A SPECIFIC SITUATION. LISTED BELOW ARE SOME OF THE EMERGENCY PREPAREDNESS ACTIVITIES:*CHENANGO COUNTY AMATEUR RADIO EMERGENCY SERVICES/RADIO AMATEUR CIVIL EMERGENCY SERVICE (ARES/RACES) - A VOLUNTARY ORGANIZATION OF LICENSED AMATEUR RADIO OPERATORS WHO PROVIDE EMERGENCY COMMUNICATIONS AS A PUBLIC SERVICE TO THE COMMUNITY. THEIR PURPOSE IS TO FURNISH COMMUNICATIONS IN THE EVENT OF NATURAL OR OTHER DISASTERS WHEN REGULAR COMMUNICATIONS FAIL OR ARE INADEQUATE. SPONSORED BY THE AMERICAN RADIO RELAY LEAGUE (ARRL), THE NATIONAL ASSOCIATION FOR AMATEUR RADIO, THE ARES FUNCTIONS AT THE LOCAL LEVEL TO MEET LOCATION COMMUNICATIONS REQUIREMENTS. THE ARES OPERATES UNDER THE DIRECTION OF THE EMERGENCY COORDINATOR (EC) WHOSE FUNCTION IS TO DIRECT THE ACTIVITIES OF THE ARES TO MAINTAIN A STATE OF READINESS. THE HOSPITAL HAS 5 EMPLOYEES WHO ARE MEMBERS OF THE GROUP INCLUDING 2 WHO ARE CHENANGO COUNTY ASSISTANT EMERGENCY COORDINATORS AND 1 WHO IS A TECH SUPPORT SPECIALIST IN THIS CHAPTER. THE CLUB MEMBERS WERE ON SITE AT THE HOSPITAL DURING THE ANNUAL DRILL ON OCTOBER 22,AND LATER JOINED RADIO OPERATORS FROM OTHER LOCATIONS AT THE EMERGENCY COMMAND CENTER FOR A DEBRIEFING. ADDITIONALLY, NEW HAM RADIO EQUIPMENT WAS PURCHASED AND INSTALLED DURING THE YEAR AND IS TESTED ON A ROUTINE BASIS TO ENSURE THE RADIOS ARE CONSTANTLY READY IN CASE OF EMERGENCY.*EMERGENCY PREPAREDNESS EDUCATION - REPRESENTATIVES FROM THE EMERGENCY PREPAREDNESS TEAM COMPLETED THE FOLLOWING WEBINARS IN 2016. EACH OF THESE COURSES REQUIRED APPROPRIATE LEVELS OF SECURITY CLEARANCE TO ATTEND AND WERE OFFERED BY THE EMERGENCY MANAGEMENT INSTITUTE. *EMERGENCY PLANNING SEMINAR - COURSE WAS DESIGNED FOR EMERGENCY MANAGEMENT PERSONNEL WHO ARE INVOLVED IN DEVELOPING AN EFFECTIVE EMERGENCY PLANNING SYSTEM. THE COURSE COVERED TRAINING IN THE FUNDAMENTALS OF THE EMERGENCY PLANNING PROCESS, INCLUDING THE RATIONALE BEHIND PLANNING. IT DEVELOPED THE CAPABILITY FOR EFFECTIVE PARTICIPATION IN THE ALL-HAZARD EMERGENCY OPERATIONS PLANNING PROCESS TO SAVE LIVES AND PROTECT PROPERTY THREATENED BY DISASTER.*NATIONAL INSTITUTE MANAGEMENT SYSTEM (NIMS) INTRASTATE MUTUAL AID - AN INTRODUCTION - PARTICIPANTS LEARNED ABOUT THE PURPOSE, BENEFITS AND EMPHASIS THAT NIMS PLACES ON MUTUAL AID ASSISTANCE. THE COURSE EXPLAINED HOW TO DEVELOP MUTUAL AID AND ASSISTANCE AGREEMENTS AND MUTUAL AID OPERATIONAL PLANS.*EMERGENCY MANAGER: AN ORIENTATION TO THE POSITION - PARTICIPANTS LEARNED THE BASICS ABOUT ASSEMBLING AND LEADING TEAMS DURING AN EMERGENCY, USE OF SOCIAL MEDIAL DURING THE EVENT, AND WORKING WITH COMMUNITY RESOURCES TO NAME A FEW OF THE TOPICS.*DECON TRAINING & DRILL - 19 EMPLOYEES AND A FACILITATOR TOOK PART IN EDUCATION AND TRAINING ON-SITE IN PREPARATION OF A MASS INCIDENT INVOLVING NUMEROUS PATIENTS REQUIRING DECONTAMINATION OF HAZARDOUS MATERIAL (I.E. FUEL) ON CLOTHING OR SKIN AND/OR WHO HAVE INHALED A HAZARDOUS GAS (I.E. AMMONIA).*ACTIVE SHOOTER TRAINING - TRAINING ON HOW STAFF SHOULD RESPOND DURING AN ACTIVE SHOOTER EVENT(SUCH AS ASSISTING CHILDREN, FAMILIES, AND PETS DURING A DISASTER), TRAUMA TRAINING, AND A LOOK INTO THE FUTURE OF PSYCHOLOGICAL FIRST AID.*UHS/CMH HAZARD VULNERABILITY ASSESSMENT - THIS GROUP ASSESSES POTENTIAL HAZARDS RELATED TO WEATHER, COMMUNITY, AND PEOPLE. THEY PRIORITIZE THE TOP 5 VULNERABILITIES AND THEN WORK WITH COMMUNITY RESOURCES TO ADDRESS THEM. COMMUNITY RESOURCES INCLUDE THE LHD, CHENANGO COUNTY EMERGENCY MANAGEMENT, CHENANGO COUNTY FIRE, NORWICH FIRE, NORWICH PD, CHENANGO COUNTY SHERIFF, AND CHENANGO COUNTY EMS. THE ASSESSMENT IS COMPLETED SEMI-ANNUALLY. THE UHS SYSTEM TEAM COMES TO NORWICH FOR THE HOSPITAL ASSESSMENTS AND OUR HOSPITAL REPRESENTATIVES ATTEND THE ASSESSMENT FOR WILSON HOSPITAL AND BINGHAMTON GENERAL. *SYSTEM CYBER SECURITY - IN ADDITION TO PHYSICAL SECURITY, THE HOSPITAL IS DEDICATED TO CYBER SECURITY AND THE PROTECTION AND SAFETY OF PATIENT MEDICAL RECORDS AND INFORMATION. THE FOLLOWING ACTIVITIES TOOK PLACE TO ENSURE CYBER SECURITY:*SYSTEM SECURITY OFFICER MEETING - THIS GROUP MEETS MONTHLY AND OVERSEES CYBER SECURITY OF THE ENTIRE UHS SYSTEM TO PROTECT THE SAFETY OF PATIENT MEDICAL RECORDS AND INFORMATION.*SYSTEM SECURITY ASSESSMENT - THIS WAS AN IN-HOUSE ASSESSMENT BY IT MANAGERS REGARDING CMH'S CURRENT STATE OF SECURITY FOR PLANNING PURPOSES.**SEE SCHEDULE O FOR CONTINUATION |
| PART III, LINE 2: | THE COST OF BAD DEBTS IS TAKEN FROM THE 2016 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 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. FOR CMH, RATINGS REMAINED THE SAME OR IMPROVED FROM 2015 TO 2016. MOST REMARKABLY ACCESS TO CARE INCREASED TO 78% IN 2016 FROM 56% IN 2015. THIS IS A RESULT OF EFFORTS TO MONITOR AND ADJUST SCHEDULES BASED ON PATIENT DEMAND. THE HOSPITAL HAS A DEDICATED ONGOING INPATIENT SATISFACTION TEAM THAT ADDRESSES ISSUES IDENTIFIED FROM THE PRESS GANEY SURVEYS AND FROM PATIENT FEEDBACK DURING THEIR HOSPITAL STAY. THIS GROUP MEETS MONTHLY. IN-PATIENT FEEDBACK INCLUDED THE FOLLOWING:* THE CLINICAL STAFF CONTINUES TO STRUGGLE WITH PATIENT DEMANDS FOR PAIN MANAGEMENT. DUE TO NEW RESTRICTIONS ON OPIOID USAGE, PATIENTS WHO HAVE CHRONIC PAIN AND HAVE A MEDICATION REGIMEN AT HOME ARE DIFFICULT TO MAINTAIN WHEN ADMITTED AS THEY MUST ADHERE TO THE PROVIDER'S ORDER. THIS IS LEADING TO PATIENTS PERCEIVING THAT STAFF DO NOT UNDERSTAND THEIR PAIN BECAUSE THEY ARE NOT ADDRESSING IT AS THE PATIENT WISHES. STAFF ARE BEING EDUCATED ON HOW TO SET A REALISTIC EXPECTATION FOR PATIENTS REGARDING THEIR PAIN LEVELS AFTER SURGERY. ALTERNATIVE PAIN MANAGEMENT OPTIONS HAVE BEEN INTRODUCED, I.E. MASSAGE, THAT INCREASED IN USE DURING THE YEAR.* PATIENT EXPERIENCE WORKSHOPS PUT THE CAREGIVERS IN THE ROLE OF THE PATIENT AND HOW A PATIENT WANTS TO BE TREATED. THESE WORKSHOPS SPAWNED THE CREATION OF THE "LITTLE GOLDEN BOOK" THAT ASKS PATIENTS' ADVICE AND INPUT ON HOW STAFF ARE DOING AND WHAT CMH COULD DO BETTER. THE BOOK ALSO INCLUDES A MAP OF THE BUILDING AND INFORMATION ABOUT HOURLY ROUNDING AND BED SIDE REPORTS. IT WAS RELEASED IN ITS FINAL FORM IN EARLY 2016.* NURSES ROUND ON PATIENTS AND FAMILY MEMBERS HOURLY. THE GOAL OF THIS PROCESS IS TO BE MORE ACTIVE IN RESOLVING ISSUES ON THE SPOT AND GETTING MORE DETAILED FEEDBACK THAN WITH SURVEYS. LEADERSHIP MEMBERS PERFORM ROUNDS WHICH HAVE ACTED AS REINFORCEMENT FOR STAFF DEMONSTRATING ITS IMPORTANCE. PATIENT UNDERSTANDING OF ROUNDING HAS BEEN CHALLENGING ON MED/SURG AND ICU. THE TEAM CONTINUES TO STRUGGLE ABOUT HOW TO EXPLAIN ROUNDING TO PATIENTS AT ADMISSION AND WHILE IN-HOUSE. * DURING THE FALL OF 2016, DIETARY AND HOUSEKEEPING BEGAN PATIENT ROUNDING. IT WAS DECIDED IN DECEMBER 2016 THAT THEY SHOULD ROUND ON THE PATIENT'S SECOND DAY OF ADMISSION TO ALLOW TIME FOR THE PATIENT TO SETTLE IN. IT ALSO ALLOWS THE PATIENT TO EXPERIENCE MEALS AND ROOM CLEANING SERVICES AND PROVIDE APPLICABLE FEEDBACK.* IT WAS NOTED BY THE TEAM DURING THE YEAR THAT AMBULATORY SURGERY PATIENTS DO NOT RECEIVE A PRESS GANEY SURVEY ABOUT THEIR EXPERIENCE. IT WAS AGREED THAT THIS GROUP OF PATIENTS SHOULD BE SURVEYED EVEN THOUGH THEY ARE NOT ADMITTED BECAUSE THEY HAVE RECEIVED SURGICAL SERVICES AND CAN BE HERE FOR UP TO 23 HOURS. THE SURVEY IS EXPECTED TO BE COMPLETED AND AVAILABLE IN 2017.* THERE WAS A COMMON THEME THROUGHOUT THE YEAR THAT THE PATIENT BATHROOMS ARE OUTDATED AND IN DESPERATE NEED OF REFURBISHMENT. ADDITIONALLY, THE TOILETS NEED TO BE RAISED FOR EASIER ACCESSIBILITY ESPECIALLY FOR ORTHOPEDIC PATIENTS. MONEY WAS ALLOCATED IN THE HOSPITAL'S CAPITAL BUDGET FOR 2017 TO DO SOME OF THIS WORK.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.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 2016, THEY HAVE BEEN USED TO DEFINE NEEDS IN PREVIOUS YEARS. 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 ON THE BOARD 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 MIGRATION OF HIGHER-INCOME FAMILIES OUT OF THE AREA HAS INCREASED THE PERCENTAGE OF SOCIO-ECONOMICALLY CHALLENGED INDIVIDUALS WHO REMAIN AND WHO 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 STATES, 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 LOCATED 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, WHILE 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 CMH 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. 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 AMONG ITS 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 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. 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. IN ADDITION, CMH IS A MEDICARE DEPENDENT HOSPITAL MEANING THAT IT IS A HOSPITAL WITH LESS THAN 100 ACUTE BEDS, IS NOT CLASSIFIED AS A SOLE COMMUNITY HOSPITAL, AND AT LEAST 60% OF INPATIENT DISCHARGES CONSIST OF MEDICARE BENEFICIARIES OR EQUIVALENT.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. THIS INDICATES A LARGE SUB-GROUP OF THE POPULATION FOR WHOM HOUSING IS GENERALLY UNAFFORDABLE; 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%.***SEE SCHEDULE O 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 AND 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 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 STAFF:THE HOSPITAL REVIEWS MEDICAL STAFF PRIVILEGES OF ANY QUALIFIED PHYSICIANS AND ALLIED PROFESSIONALS IN THE COMMUNITY THAT APPLY. THE RIGOROUS CREDENTIALING PROCESS INCLUDES REVIEW BY AN INTERNAL CREDENTIALS COMMITTEE AND MEDICAL EXECUTIVE COMMITTEE. AFTER APPROVAL FROM THESE TWO COMMITTEES, THE APPLICATION PROCEEDS TO THE PROFESSIONAL ADVISORY COMMITTEE (PAC), A SUBCOMMITTEE OF THE HOSPITAL'S BOARD OF TRUSTEES, FOR APPROVAL. AFTER APPROVAL BY PAC, THE APPLICATION PROCEEDS TO THE HOSPITAL'S BOARD OF DIRECTORS FOR FINAL APPROVAL AND CREDENTIALING. USE OF SURPLUS FUNDS:*SURPLUS FUNDS ARE MADE AVAILABLE PRIMARILY FOR PURCHASES OF EQUIPMENT, FACILITY IMPROVEMENTS, OR TECHNOLOGY TO IMPROVE PATIENT CARE. IN SOME INSTANCES, FUNDS ARE USED TO SUPPORT NEW SERVICES. *NEW STATE-OF-THE-ART CARDIAC MONITORS WERE INSTALLED ON THE MEDICAL/SURGICAL (IN-PATIENT), ICU, AND ER UNITS. THE AMBULATORY SURGERY UNIT WAS EQUIPPED WITH A FEW STAND ALONE MONITORS. PREVIOUSLY, THE UNIT DID NOT HAVE CARDIAC MONITORS. CARDIAC MONITORING GENERALLY REFERS TO CONTINUOUS MONITORING OF HEART ACTIVITY WITH ASSESSMENT OF THE PATIENT'S CONDITION RELATIVE TO THEIR CARDIAC RHYTHM. THE MONITORS ARE NETWORKED SO MED/SURG AND ICU CAN WATCH A PATIENT'S MEASUREMENTS IN THE EMERGENCY ROOM PRIOR TO BEING ADMITTED AND THE EMERGENCY ROOM CAN MEASUREMENTS IN THE ICU AND MED/SURG. THIS IS ESPECIALLY IMPORTANT DURING OFF-SHIFTS WHEN STAFFING IS LOWER AND A FIRST RESPONSE IS CALLED. FURTHER, A CENTRAL MONITOR ALLOWS NURSES AND PROVIDERS TO SEE ALL THE PATIENT MEASUREMENTS IN PROGRESS ON THEIR UNIT AT ONE LOCATION. THE SYSTEM HAS BUILT-IN ALARMS SO STAFF CAN RESPOND IMMEDIATELY WHEN A PATIENT IS HAVING TROUBLE.*THE MOST IMPRESSIVE SAFETY FEATURE IS A SMALLER DETACHABLE MONITOR THAT CAN BE REMOVED FROM THE MAIN MONITOR AND TRAVEL WITH THE PATIENT FOR AS SHORT A DISTANCE AS FROM THE ER TO THE CT SCANNER OR IN AN AMBULANCE IF THE PATIENT NEEDS TO GO TO AN AFFILIATED HOSPITAL. THE PATIENT IS CONTINUOUSLY MONITORED BY THE EMS CREW DURING TRANSPORT AND THE RECEIVING PROVIDERS CAN ACCESS THE ARCHIVE FOR ADDITIONAL INFORMATION BY PLUGGING IT IN TO A COMPATIBLE MONITOR AT THEIR LOCATION.*TO IMPROVE THE PATIENT EXPERIENCE AND TO ENSURE APPROPRIATE SECURITY OF OUR PATIENTS AND RESIDENTS, A 3-PART PROJECT WAS BEGUN IN 2016 TO INSTALL ALL NEW HD TV'S ON THE RESIDENTIAL FLOOR OF THE HOSPITAL, INSTALL ACCESS CONTROL ALSO ON THE RESIDENTIAL FLOOR, AND TO INSTALL A STATE-OF-THE ART NURSE CALL SYSTEM ON THE MEDICAL/SURGICAL AND RESIDENTIAL UNITS. INSTALLATION OF MOST OF THE EQUIPMENT HAS TAKEN PLACE IN 2017. THIS PROJECT WAS FINANCIALLY SUPPORTED BY ONE OF THE LOCAL FOUNDATIONS. *THE HOSPITAL HAS COMMITTED TO UPGRADING ALL 5 OF ITS OPERTATING ROOMS AND ALL OF THE ASSOCIATED STORAGE AND PATIENT HOLDING AREAS. THIS PROJECT IS BEING PHASED OVER SEVERAL YEARS DUE TO THE COST AND SCOPE OF WORK. DURING THE FIRST PHASE, COMPLETED IN 2016, THE STORAGE AND PATIENT HOLDING AREAS WERE RENOVATED AND UPGRADED. THIS PHASE WAS APPROVED BY THE DOH IN EARLY 2017 AND IS IN USE TODAY. PLANS ARE NOW UNDERWAY TO START THE NEXT PHASE WHICH INCLUDES RENOVATING 2 OPERATING ROOMS AND UPGRADING THE AIR HANDLING TO MEET CURRENT REQUIREMENTS. THIS PROJECT WAS GENEROUSLY SUPPORTED BY NUMEROUS LOCAL FOUNDATIONS. WHEN COMPLETED, PATIENTS WILL HAVE ACCESS TO MORE SERVICES AND IMPROVED ABILITY TO SCHEDULE TIMELY PROCEDURES. *AS PART OF THE OR PROJECT, IT WAS NECESSARY TO ACCESS PLUMBING IN THREE MEDICAL/SURGICAL ROOMS DIRECTLY UNDERNEATH. THIS PROJECT INCLUDED, AT THE MINIMUM, ASBESTOS ABATEMENT, PLUMBING, RE-FIREPROOFING AND NEW CEILING. THE 3 ROOMS WERE RENOVATED TO REPLACE WALL MOUNTED TOILETS WITH FLOOR MOUNTED MODELS (TO BETTER ACCOMMODATE BARIATRIC PATIENTS), UPGRADE THE PLUMBING AND FIXTURES, RECOVER THE SHOWER STALLS WITH INTEGRAL MATERIAL (WITHOUT GROUTED SEAMS) TO ENHANCE INFECTION CONTROL, RELOCATE ELECTRICAL OUTLETS AND ADD EMERGENCY POWER AND LIGHTING AS WELL AS THE NORMAL FLOORING AND PAINT. THE HOSPITAL HAS BUDGETED TO DO MORE WORK IN THE FUTURE TO IMPROVE PATIENT SAFETY AND THE PATIENT EXPERIENCE.*PLANS FOR RENOVATING THE HOSPITAL'S EMERGENCY ROOM BEGAN IN EARNEST IN 2016. THE CURRENT ER IS SMALL, AND OUT OF DATE, AND DOES NOT ALLOW FOR PATIENT PRIVACY. THIS WILL BE A MULTI-YEAR PROJECT TO IMPROVE PATIENT ACCESS, CONFIDENTIALITY, FLOW, AND SERVICES.**SEE SCHEDULE O 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. |
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 | $31,200 | CashGrantAmt |
| Valuation Method Used | CASH | ValuationMethodUsedDesc |
| Purpose Of Grant | TO REPLACE MATERNITY BED, TO PURCHASE INFANT TESTERS, COLOPOSCOPE AND NST MACHINE | 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 | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 | $299,767 | $0 | $58,623 | $0 | $0 | $0 | $27,825 | $0 | $13,914 | $0 | $400,129 | $0 | $0 | $0 |
| MATTHEW J SALANGER | ||||||||||||||
| 2ND VICE CHAIRMAN | $0 | $906,100 | $0 | $262,875 | $0 | $178,151 | $0 | $16,165 | $0 | $24,583 | $0 | $1,387,874 | $0 | $0 |
| JOHN M CARRIGG | ||||||||||||||
| TRUSTEE | $0 | $464,819 | $0 | $110,838 | $0 | $0 | $0 | $16,165 | $0 | $18,665 | $0 | $610,487 | $0 | $0 |
| JAMES K O'BRIEN MD | ||||||||||||||
| PRESIDENT OF MEDICAL STAFF | $437,908 | $0 | $0 | $0 | $0 | $0 | $27,825 | $0 | $23,707 | $0 | $489,440 | $0 | $0 | $0 |
| ROHAN JAYASENA | ||||||||||||||
| VP OF MEDICAL STAFF | $247,763 | $0 | $13,790 | $0 | $0 | $0 | $27,463 | $0 | $24,867 | $0 | $313,883 | $0 | $0 | $0 |
| DAVE MACDOUGALL | ||||||||||||||
| TRUSTEE | $0 | $467,166 | $0 | $105,838 | $0 | $0 | $0 | $16,165 | $0 | $24,408 | $0 | $613,577 | $0 | $0 |
| MARGARET SWARTWOOD | ||||||||||||||
| CONTROLLER | $132,915 | $0 | $15,700 | $0 | $0 | $0 | $15,605 | $0 | $13,992 | $0 | $178,212 | $0 | $0 | $0 |
| RON CEROW | ||||||||||||||
| ADMINISTRATOR | $111,669 | $0 | $15,700 | $0 | $0 | $0 | $13,374 | $0 | $13,964 | $0 | $154,707 | $0 | $0 | $0 |
| CHRISTINA KISACKY | ||||||||||||||
| VP OF OPERATIONS | $138,945 | $0 | $15,700 | $0 | $0 | $0 | $16,238 | $0 | $20,358 | $0 | $191,241 | $0 | $0 | $0 |
| ROBERT MCCARTHY | ||||||||||||||
| VP OF SYSTEM FINANCIAL OPE | $27,401 | $109,602 | $7,984 | $31,936 | $0 | $0 | $2,158 | $8,634 | $1,064 | $4,255 | $38,607 | $154,427 | $0 | $0 |
| BARBARA GRUCHALSKA | ||||||||||||||
| DENTIST | $140,552 | $0 | $0 | $0 | $0 | $0 | $14,758 | $0 | $8,346 | $0 | $163,656 | $0 | $0 | $0 |
| YESU MATTA | ||||||||||||||
| DOCTOR | $176,256 | $0 | $15,000 | $0 | $0 | $0 | $20,082 | $0 | $17,004 | $0 | $228,342 | $0 | $0 | $0 |
| TIMOTHY COREY | ||||||||||||||
| DOCTOR | $308,431 | $0 | $0 | $0 | $0 | $0 | $27,825 | $0 | $24,709 | $0 | $360,965 | $0 | $0 | $0 |
| KEVIN B DECKER DDS | ||||||||||||||
| FORMER PRES OF MEDICAL STA | $201,502 | $0 | $0 | $0 | $0 | $0 | $21,158 | $0 | $10,973 | $0 | $233,633 | $0 | $0 | $0 |
| JAMES R SIMCOE MD | ||||||||||||||
| FORMER PRES OF MEDICAL STA | $220,475 | $0 | $0 | $0 | $0 | $0 | $23,150 | $0 | $18,361 | $0 | $261,986 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART 1 LINE 1A | ANNUAL SOCIAL CLUB DUES PAID FOR MATTHEW SALINGER WITH NO PORTION TREATED AS TAXABLE COMPENSATION. SOCIAL CLUB MEMBERSHIP SUPPORTS THE FURTHERANCE OF THE EXEMPT DETERMINATION OF ALL UHS ENTITIES, INCLUDING CMH. |
| 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 $437,908 INDIVIDUAL: JAMES R. SIMCOE, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES TYPE AND AMOUNT OF COMPENSATION WAGES AND $220,475 INDIVIDUAL: ROHAN S. JAYASENA, M.D. UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES TYPE AND AMOUNT OF COMPENSATION WAGES AND $261,553 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | A NEW PAIN MANAGEMENT CENTER HAS OPENED TO TREAT PATIENTS SUFFERING FROM CHRONIC PAIN. |
| 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 THE CMH BOARD OF DIRECTORS. |
| 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 15,111,356. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,111,356. |
| FORM 990, PART XI, LINE 9: | CUMULATIVE EFFECT OF AUXILIARY INCOME AND EXPENSE -6,438. CHANGE IN INTEREST IN CHENANGO MEMORIAL HOSPITAL FOUNDATION 426,296. PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COSTS -2,905,766. CHANGE IN VALUE OF FUNDS HELD IN TRUST BY OTHERS 185,335. |
| 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. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | AS A RESULT OF THOSE QUARTERLY MEETINGS, THE MBPN COORDINATED A COMMUNITY BABY SHOWER IN NORWICH. THIS FREE EVENT WAS OPEN TO ALL PREGNANT WOMEN AND FAMILIES OF CHILDREN LESS THAN 6 MONTHS OF AGE. EDUCATIONAL SESSIONS INCLUDED PREGNANCY, BIRTH, BREASTFEEDING, AND BABY SAFETY. INFORMATION ABOUT CHILD BIRTH CLASSES, BREASTFEEDING, AND THE MATERNITY UNIT WERE PRESENTED IN SMALL GROUP SESSIONS. THE SHOWER WAS ATTENDED BY OVER 40 PEOPLE AND OTHER PARTICIPANTS INCLUDED PAL, LDH, STAY HEALTHY, SHERIFF'S DEPT, WIC, HEADSTART, AND FAMILY PLANNING OF SOUTH CENTRAL NEW YORK. CMH'S MATERNITY NURSE MANAGER AND IBCLC PARTICIPATED AND THE IBCLC WAS ONE OF THE SMALL GROUP SESSION PRESENTERS. PRIORITY AREA: PROMOTE A HEALTHY AND SAFE ENVIRONMENT: FALLS GOAL: REDUCE FALL RISKS AMONG THE MOST VULNERABLE POPULATIONS CHENANGO COUNTY HAS AN AGING POPULATION WITH 20% OF THE POPULATION BEING OVER 65 YEARS OF AGE AND 15% OF THE POPULATION BEING 55-64 YEARS OLD. ACCORDING TO THE CORNELL PROGRAM ON APPLIED DEMOGRAPHICS, THE 65 AND OLDER DEMOGRAPHIC WILL CONTINUE TO INCREASE THROUGH 2030 WHEN IT IS ESTIMATED THAT 27.5% OF THE POPULATION WILL BE 65 OR OLDER. CURRENTLY, CHENANGO COUNTY IS EXCEEDING THE NYS PA OBJECTIVE OF 202.7 HOSPITALIZATIONS DUE TO FALLS PER 10,000 RESIDENTS AGE 65 AND OVER. THIS COULD CHANGE OVER THE NEXT SEVERAL YEARS IF PROACTIVE MEASURES ARE NOT INITIATED. AS A RESULT, THE LHD AND UHS CHENANGO MEMORIAL HAVE COLLABORATED WITH THE CHENANGO COUNTY AREA AGENCY ON AGING (AAOA) TO DEVELOP A COMPREHENSIVE PROGRAM TO PREVENT FALLS. IN 2016, THE HOSPITAL IMPLEMENTED THE STEADI (STOPPING ELDERLY ACCIDENTS, DEATHS & INJURIES) PROGRAM. STEADI IS AN EVIDENCE-BASED PROGRAM DEVELOPED BY THE CENTERS FOR DISEASE CONTROL PREVENTION/DIVISION OF UNINTENTIONAL INJURY PREVENTION AND CONTROL. IT IS AN ANNUAL SCREENING PROCESS FOR PATIENTS 65 YEARS OLD AND OVER BASED ON BIOLOGICAL, BEHAVIORAL, AND ENVIRONMENTAL RISKS. WHILE IN THE OFFICE, THE PATIENT IS ASKED ABOUT THEIR FALL HISTORY OVER THE LAST YEAR, ANY GAIT OR BALANCE PROBLEMS, AND IS GIVEN A SELF-RISK ASSESSMENT WHICH ASKS MORE SPECIFIC QUESTIONS REGARDING THEIR RISK FOR FALLING. THE PROVIDER INPUTS THIS INFORMATION INTO THE PATIENT'S ELECTRONIC MEDICAL RECORD ON A SCREEN DEVOTED TO FALL RISK ASSESSMENT. IF A FALL RISK IS IDENTIFIED, THE PROVIDER MAKES A REFERRAL TO THE CHENANGO COUNTY AREA AGENCY ON AGING (AAOA). A REPRESENTATIVE FROM THE OFFICE REVIEWS THE REFERRAL AND CONTACTS THE PATIENT TO DISCUSS SERVICES OFFERED INCLUDING NYCONNECTS AND/OR THE STEPPING ON PROGRAM. THE AAOA IN PARTNERSHIP WITH THE LHD HAS BEGUN OFFERING STEPPING ON PROGRAMS PERIODICALLY IN CHENANGO COUNTY. THIS EVIDENCE-BASED PROGRAM MEETS FOR 2 HOURS EACH WEEK FOR 7 WEEKS. WITH THE ASSISTANCE OF REGISTERED NURSES, PHYSICAL THERAPISTS, AND PHARMACISTS, THE PARTICIPANTS LEARN ABOUT STRENGTH AND BALANCE TRAINING EXERCISES; VISION CHANGES AND MEDICATION THAT CAN AFFECT BALANCE; AND IDEAS TO IMPROVE HOME SAFETY, BONE HEALTH, NUTRITION AND FOOTWEAR AS WELL AS OTHER TOPICS. AAOA PROVIDES WRITTEN FOLLOW-UP TO PROVIDERS REGARDING THE OUTCOME OF EACH REFERRAL. CMH'S PHYSICAL THERAPISTS ASSIST WITH THE PT PORTION OF THIS PROGRAM. REPRESENTATIVES FROM THE HOSPITAL, LHD, UHS, AND OFFICE OF THE AGING HAVE BEEN MEETING PERIODICALLY SINCE JUNE 2016. MINUTES ARE TAKEN OF SUCCESSES AND CHALLENGES. THE GROUP WILL CONTINUE TO MEET PERIODICALLY DURING THE TIMEFRAME OF THIS CHNA TO ADDRESS ANY ISSUES THAT MAY DEVELOP. IN OCTOBER, REPRESENTATIVES OF STEADI, STEPPING ON, AND NYCONNECTS PRESENTED TO THE MEDICAL GROUP ABOUT THE PROGRAMS AND THE SERVICES NYCONNECTS PROVIDES FOR PATIENTS AT RISK FOR FALLS. PRIORITY: PROMOTE HEALTHY WOMEN, INFANTS & CHILDREN: REDUCE PREMATURE BIRTHS IN NYS GOAL: REDUCE PREMATURE BIRTHS IN NYS THE LHD AND UHS CHENANGO MEMORIAL RENEWED OUR COMMITMENT TO CONTINUE ENHANCING AND MONITORING THE CHILD BIRTH EDUCATION CLASSES HELD AT THE HOSPITAL THAT WAS AN INITIATIVE IN OUR 2013 CHNA. OF THE TOTAL OBSTETRIC DISCHARGES AT CMH IN 2016, 55% WERE COVERED BY MEDICAID AND 5.5% WERE EITHER UNINSURED OR SELF PAY FOR A TOTAL IN THIS SOCIO-ECONOMIC DISPARITY OF APPROXIMATELY 60.5%. ADDITIONALLY, CHENANGO COUNTY HAS SOME OF THE HIGHEST BIRTH RATES IN THE STATE WITH 47.8 BIRTHS PER 1,000 WOMEN AGES 15-19 YEARS AND 100.2 PER 1,000 WOMEN AGES 18-19 YEARS. THIS TRANSLATES TO A LARGE PROPORTION OF MOTHERS WHO ARE YOUNG AND/OR POOR. THEREFORE, IT IS AS IMPORTANT AS EVER TO CONTINUE TO OFFER CHILD BIRTH EDUCATION CLASSES FREE OF CHARGE FOR ANY MOTHERS, ESPECIALLY FIRST TIME MOTHERS. THESE 3-SESSION CLASSES COVER THE BIRTHING EXPERIENCE, BREASTFEEDING, COMMUNITY RESOURCES, CARE OF THE NEWBORN, AND LABOR PREPARATION. THE CLASSES INCLUDE SPEAKERS FROM THE COMMUNITY SUCH AS THE LHD, WIC, AND THE SHERIFF'S DEPARTMENT. SURVEYS ARE COMPLETED BY CLASS PARTICIPANTS AT THE END OF EACH SESSION. CONSISTENTLY, ALL SECTIONS OF THE CLASSES HAVE SCORED 4 OR BETTER ON A SCALE OF 5 BEING THE HIGHEST AND 1 BEING THE LOWEST. THE SURVEYS HAVE ALSO SERVED AS A CATALYST FOR ADJUSTING THE CURRICULUM BASED ON THE MOTHER'S FEEDBACK ON TOPICS WHERE THEY WANTED MORE INFORMATION, PARTICULARLY BREASTFEEDING AND LABOR PREPARATION. QUARTERLY MEETINGS WILL CONTINUE INDEFINITELY WITH REPRESENTATIVES FROM THE MATERNITY STAFF, HOSPITAL ADMINISTRATION, THE HOSPITAL'S WOMEN'S HEALTH CENTER, AND THE CHENANGO COUNTY DOH TO REVIEW CLASS FEEDBACK, ADJUST CURRICULUM, AND MONITOR PARTICIPATION. MINUTES ARE TAKEN AND REVIEWED AT EACH MEETING. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | PRIORITY: PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN: TOBACCO USE IN PREGNANCY GOAL: REDUCE PREMATURE BIRTH THE LHD AND UHS CHENANGO MEMORIAL RENEWED OUR COMMITMENT OF THIS INITIATIVE FROM OUR 2013 CHNA. CHENANGO COUNTY HAS A HIGHER PERCENT OF WOMEN SMOKING DURING PREGNANCY (18.9%) THAN THE NYS RATE OF 15.6% AND THE NYS PA AGENDA GOAL OF 12.3%. AT THE HOSPITAL, 26.9% OF MOMS WERE SMOKING AT TIME OF DELIVERY IN 2016. THE LHD CONTINUES TO OFFER THE "BABY AND ME, TOBACCO FREE" PROGRAM, A NATIONWIDE INITIATIVE DESIGNED TO HELP EXPECTING MOTHERS AND THE NEXT GENERATION OF CHILDREN BECOME HEALTHIER THROUGH TOBACCO CESSATION AND QUITTING THE HABIT. THE LHD OFFERS THE PROGRAM AT NO CHARGE TO REFERRALS AND ANNUALLY HOLDS AN IN-SERVICE AT THE HOSPITAL FOR ANYONE INTERESTED IN THE PROGRAM. THIS EVENT HAS BEEN ATTENDED BY WIC, DEPARTMENT OF SOCIAL SERVICES, HEADSTART, FAMILY PLANNING OF SOUTH CENTRAL NEW YORK, UHS CHENANGO MEMORIAL, AND OTHER AGENCIES. "BABY AND ME, TOBACCO FREE" IS AN EVIDENCE-BASED PRENATAL PROGRAM DESIGNED TO HELP WOMEN QUIT SMOKING DURING PREGNANCY AND STAY QUIT AFTER DELIVERY. PARTICIPANTS ARE GIVEN THE POSITIVE SUPPORT THEY NEED TO BECOME SMOKE FREE FOR THEMSELVES AND FOR THE HEALTH OF THEIR UNBORN BABY. IF SUCCESSFUL, THE PARTICIPANTS RECEIVE MONTHLY FREE DIAPERS UP TO 6 MONTHS AS LONG AS SHE CONTINUES TO BE SMOKE FREE. QUARTERLY MEETINGS CONTINUE WITH REPRESENTATIVES FROM THE MATERNITY STAFF, HOSPITAL ADMINISTRATION, THE HOSPITAL'S WOMEN'S HEALTH CENTER, AND THE LHD TO REVIEW REFERRALS TO THE "BABY AND ME, TOBACCO FREE" PROGRAM AND THEIR OUTCOMES. MINUTES ARE TAKEN AND REVIEWED AT EACH MEETING. ADDITIONALLY, THE LHD CONDUCTED AN ANNUAL EDUCATIONAL SEMINAR AT THE HOSPITAL ON MAY 3, 2016 THAT WAS OPEN TO ALL COMMUNITY AGENCIES. REPRESENTATIVES FROM THE HOSPITAL, LHD, OPPORTUNITIES FOR CHENANGO, HEADSTART , AND THE DEPARTMENT OF SOCIAL SERVICES ATTENDED. ALTHOUGH REFERRALS FROM THE WOMEN'S HEALTH CENTER INCREASED YEAR OVER YEAR, THE PERCENTAGE OF MOTHERS STILL SMOKING AT TIME OF DELIVERY INCREASED. THERE WILL BE ADDITIONAL FOCUS ON THIS INITIATIVE DURING THE TERM OF THE CHNA TO INCREASE REFERRALS AND GET MOTHERS ENROLLED IN THE PROGRAM. PRIORITY: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE: HEPATITIS C GOAL: CONTINUE MULTI-AGENCY COALITION; REDUCE THE NUMBER OF NEWLY DIAGNOSED CHRONIC HEPATITIS C CASES THE NUMBER OF HEPATITIS C CASES TRIPLED IN CHENANGO COUNTY FROM 2010 TO 2015. THIS DRAMATIC INCREASE FROM YEARS PAST WAS THE DEFINING FACTOR THAT INFLUENCED THE LHD TO TAKE A PROACTIVE STANCE TO ADDRESS THIS PROBLEM AND RESULTED IN THE FORMATION OF THE CHENANGO SUBSTANCE ABUSE PREVENTION COALITION (CSAPC) IN 2014. THIS ROUND TABLE DISCUSSION IS MADE OF SEVEN MEMBERS: SCHOOLS, LAW ENFORCEMENT, PUBLIC HEALTH, MENTAL HEALTH, COMMUNITY SERVICE ORGANIZATION, ELECTED COUNTY OFFICIAL, AND MEDICAL PRACTITIONER. THE STEERING COMMITTEE REFLECTS THE MAKE-UP OF THE LARGER COALITION MEMBERSHIP WHICH IS A BROAD CROSS-SECTION OF THE COMMUNITY. THE HOSPITAL'S MEDICAL DIRECTOR OF EMERGENCY SERVICES, VICE PRESIDENT OF OPERATIONS, SOCIAL WORKER, AND NURSE PRACTITIONER WITH CERTIFICATION IN ADOLESCENT PSYCHIATRY ARE GENERAL MEMBERS; THE NURSE PRACTITIONER IS ALSO A MEMBER OF THE STEERING COMMITTEE. THE STEERING COMMITTEE MEETS QUARTERLY AND AS NEEDED AS DOES THE LARGE GROUP MEETINGS. THE SUBGROUPS OF TREATMENT AND HARM REDUCTION MEET MONTHLY AND/OR AS NEEDED DEPENDENT ON THE TASK AT HAND. TO HELP WITH HARM REDUCTION, CMH SPONSORS A SHARPS PROGRAM IN THE ER WHERE EVERYONE IN THE COMMUNITY IS WELCOME TO PARTICIPATE AT NO CHARGE INCLUDING THOSE WHO HAVE SELF-INJECTION 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 2016, 55 LBS OF NEEDS WERE COLLECTED AND DISPOSED OF AS HAZARDOUS WASTE. ALL MOTHERS IN THE WOMEN'S HEALTH CENTER ARE BEING TESTED FOR HEP C. IF POSITIVE, THEY ARE CHECKED AGAIN DURING POST-PARTUM VISITS. POSITIVES ARE REFERRED TO THE GI SERVICE IN BINGHAMTON FOR TREATMENT AND THEIR CHART IS FLAGGED. THERE WERE 2 ACTIVE CASES IN 2016 AND BOTH COMPLETED TREATMENT. MATERNITY IS NOTIFIED OF ANY POSITIVE HEP C CASES PRIOR TO ACTIVE DELIVERY. BABIES ARE CHECKED AT BIRTH. PEDIATRICIANS ARE NOTIFIED AND THE BABY IS CHECKED AGAIN AT 18 MONTHS. IT SHOULD BE NOTED THAT THERE IS A 30% NO-SHOW RATE OF MOTHERS AT THEIR 6-WEEK APPOINTMENT. IN 2016, THE HOSPITAL'S WOMEN'S HEALTH CENTER WAS AWARDED A CERTIFICATE OF EXCELLENCE BY THE NYS DOH BUREAU OF IMMUNIZATION FOR "100% COMPLIANCE WITH RECORDING THE HEPATITIS B STATUS OF PREGNANT WOMEN IN BOTH THE MATERNAL AND INFANT RECORDS AND "PROVIDED 90% OR MORE OF NEWBORNS WITH THE RECOMMENDED BIRTH DOSE OF HEPATITIS B VACCINE." LASTLY, THE HOSPITAL HAS IMPLEMENTED A PAIN MANAGEMENT CLINIC TO TREAT PATIENTS SUFFERING FROM CHRONIC PAIN. THESE TREATMENTS CAN REDUCE A PATIENT'S USE OF OPIOIDS. WHEN NECESSARY, THE PROVIDER WILL REFER PATIENTS TO COUNSELING IF A POTENTIAL ADDICTION IS SUSPECTED. OTHER ACTIVITIES RELATED TO THE CHNA AND THE INITIATIVES: A. THE CHNA DISCUSSES THAT CHENANGO COUNTY IS A PROVIDER SHORTAGE AREA FOR PRIMARY CARE, DENTAL AND MENTAL HEALTH SERVICES. THE HOSPITAL'S DENTAL DEPARTMENT CONDUCTED A FREE DENTAL SCREENING OF CHILDREN ENROLLED IN THE HEADSTART PROGRAM OF OPPORTUNITIES FOR CHENANGO. THESE FAMILIES ARE ALL MEDICAID RECIPIENTS AND THIS SCREENING HELPS IDENTIFY DENTAL ISSUES EARLY ON WHILE THEY ARE STILL TREATABLE IN THE OFFICE. SEVERE CASES ARE REFERRED TO DENTAL SPECIALISTS BASED ON THE PATIENT'S NEEDS. B. THE HOSPITAL'S VICE PRESIDENT OF OPERATIONS IS A BOARD MEMBER 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 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 2016, 112 INDIVIDUALS SOUGHT ASSISTANCE IN THIS OFFICE RESULTING IN 104 COMPLETED APPLICATIONS FOR ENROLLMENT. ADDITIONALLY, ALL 112 INDIVIDUALS RECEIVED EDUCATION ABOUT RESOURCES IN THE AREA THAT COULD HELP THEM. C. THE RATE FOR ADULTS DIAGNOSED WITH DIABETES IS GREATER IN CHENANGO COUNTY THAN NYS. THE HOSPITAL COORDINATES A DIABETES SUPPORT GROUP THAT MEETS MONTHLY AND DISCUSSES A DIFFERENT TOPIC AT EACH MEETING RELATED TO DIABETES. THE HOSPITAL ALSO CONDUCTS DIABETES SELF-MANAGEMENT CLASSES TO HELP DIABETICS LEARN ABOUT THEIR DISEASE AND TO TAKE CONTROL. THIS PROGRAM IS ADA RECOGNIZED. THE HOSPITAL'S DIABETES EDUCATOR PARTICIPATES ON THE DIABETES EDUCATION COMMITTEE WHICH INCLUDES COMMUNITY PRACTITIONERS. THIS GROUP ORGANIZES THE ANNUAL DIABETES HEALTH FAIR HELD ANNUALLY IN NORWICH, NY. LASTLY, THE HOSPITAL'S DIABETES EDUCATOR MET 1:1 WITH 1,237 PATIENTS BOTH AT THE HOSPITAL AND IN THE CLINICS ABOUT THEIR DIAGNOSIS AND ENCOURAGED THEM TO PARTICIPATE IN THE SELF-MANAGEMENT CLASSES AND SUPPORT GROUP. D. 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 CARE COMPASS NETWORK, WHICH ADDRESSES ISSUES WITHIN THE SOUTHERN TIER REGION. MEMBERS INCLUDE REPRESENTATIVES FROM LOURDES HOSPITAL (BINGHAMTON), BINGHAMTON GENERAL & WILSON HOSPITALS (BINGHAMTON AND JOHNSON CITY), CORTLAND REGIONAL MEDICAL CENTER (CORTLAND), CAYUGA MEDICAL CENTER (ITHACA), DELAWARE VALLEY HOSPITAL (WALTON), GUTHRIE CORNING HOSPITAL (CORNING), AND SCHUYLER HOSPITAL (MONTOUR FALLS). THIS COLLABORATION HAS CREATED A PERFORMING PROVIDER SYSTEM (PPS). |
| SCHEDULE H, PART V, SECTION B, LINE 11 | THE HOSPITAL'S VP OF OPERATIONS IS A VITAL PARTICIPANT REPRESENTING CMH AT THE MAJORITY OF DSRIP MEETINGS AND COMMITTEES. DURING 2016, THE VP OF NURSING ALSO BECAME INVOLVED. 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 CARE COMPASS NETWORK. E. THE HOSPITAL'S SENIOR STAFF, CONSULTANTS, AND ARCHITECT WROTE AND SUBMITTED TWO STATE GRANT REQUESTS -- ESSENTIAL HEALTH CARE PROVIDER GRANT IN 2015 (BILLING DID NOT ARRIVE UNTIL 2016) AND STATEWIDE HEALTH CARE FACILITY TRANSFORMATION PROGRAM GRANT IN 2016. IN ADDITION, GRANT REQUESTS ARE MADE YEARLY TO LOCAL FOUNDATIONS TO SUPPORT PROJECTS TO PURCHASE EQUIPMENT OR MAKE OTHER MODIFICATIONS TO IMPROVE PATIENT SAFETY AND CARE AT THE HOSPITAL. |
| SCHEDULE H PART VI LINE 4 | ACCORDING TO THE HORN ASSESSMENT, CHENANGO COUNTY LACKS SUPPORTIVE HOUSING FOR PEOPLE WITH MENTAL HEALTH DISABILITIES AND THE DEVELOPMENTALLY DELAYED POPULATION. OTHER HOUSING ISSUES INCLUDE LACK OF ASSISTIVE LIVING UNITS FOR ELDERLY AND DISABLED AND FOR RESIDENTS TRANSITIONING FROM INCARCERATION BACK INTO THE COMMUNITY. THERE IS NO HOMELESS SHELTER OR DOMESTIC VIOLENCE SHELTER AVAILABLE FOR THOSE POPULATIONS. MANY OF CHENANGO COUNTY'S FAMILIES AND HOUSEHOLDS ARE EITHER SINGLE PARENTS WHO ARE RAISING CHILDREN AND/OR HAVE ADULT MEMBERS WHO ARE AT LEAST 65 YEARS OLD. 8.6% OF THE TOTAL NUMBER OF FAMILIES LIVING IN CHENANGO COUNTY ARE ONE PARENT FAMILIES WITH CHILDREN UNDER 18 YEARS OLD, AND OF THESE SINGLE PARENT FAMILIES, 6.2% ARE FEMALE AND 2.4% ARE MALE. 12.4% OF HOUSEHOLDS ARE ADULTS 65 YEARS OR OLDER WHO LIVE ALONE. 30.4% OF ALL HOUSEHOLDS HAVE ONE OR MORE PERSONS WHO ARE 65 YEARS OR OLDER. |
| SCHEDULE H PART II COMMUNITY BUILDING ACTIVITIES | * NIST ANNUAL CONFERENCE - THE NATIONAL INSTITUTE OF STANDARDS & TECHNOLOGY (NIST) AND THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), OFFICE OF CIVIL RIGHTS HOSTED THE ANNUAL CONFERENCE. THE CONFERENCE EXPLORED THE CURRENT HEALTHCARE CYBER SECURITY LANDSCAPE AND HIPAA. IT HIGHLIGHTED PRACTICAL STRATEGIES, TIPS, AND TECHNIQUES FOR IMPLEMENTING THE HIPAA SECURITY RULE. THE CONFERENCE ALSO OFFERED SESSIONS EXPLORING SECURITY MANAGEMENT AND TECHNICAL ASSURANCE OF ELECTRONIC HEALTH INFORMATION. PRESENTATIONS OF INDUSTRY AND GOVERNMENT SPEAKERS COVERED A VARIETY OF CURRENT TOPICS INCLUDING UPDATES ON THE HIPAA/HITECH FINAL RULE, MEDICAL DEVICE CYBER SECURITY, IDENTITY AND ACCESS MANAGEMENT, RESPONSE AND RECOVERY PRACTICES, CYBER SECURITY FOR SMALL PROVIDERS, AND MORE. *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. ACCOMPLISHMENTS IN 2016 INCLUDED RESPONDING TO ACTUAL EVENTS AND FOLLOWING UP WITH COMMUNICATIONS, RESPONDING TO COMMUNICABLE DISEASE THREATS INCLUDING THE FLU AND ZIKA VIRUS, COMPLETING REFRESHER TRAINING, CONDUCTING A DECON DRILL, RESPONDING TO AN IN-BOUND LIFENET FLIGHT (CMH IS NOT AUTHORIZED TO ACCEPT IN-BOUND FLIGHTS BUT A PATIENT COULDN'T MAKE IT TO THE DESTINATION AND NEEDED STABILIZATION TO CONTINUE), UPGRADING HAND HELD RADIOS, UPGRADING DECON EQUIPMENT, REVISING THE EMERGENCY CODES REPORTING PROCESS, AND ORDERING A NEW ESD SATELLITE PHONE AND A HIGH FREQUENCY RADIO TO SUPPORT BETTER FUNCTION OF THE WINLINK 200 SOFTWARE. *SYSTEM EMERGENCY MANAGEMENT COMMITTEE - THIS COMMITTEE MEETS QUARTERLY WITH REPRESENTATIVES FROM EACH OF THE AFFILIATED ORGANIZATIONS TO REVIEW INCIDENTS THAT OCCURRED AT EACH OF THE FACILITIES. THE COMMITTEE ALSO DISCUSSES ENTERPRISE-WIDE INITIATIVES RELATED TO EMERGENCY MANAGEMENT. *ENTERPRISE LIFE SAFETY REVIEW - THIS SUBCOMMITTEE OF THE EMERGENCY MANAGEMENT TEAM MEETS QUARTERLY AND FOCUSES ON DEALING WITH LIFE SAFETY CODES, GENERATORS, EMERGENCY POWER, FIRE, ETC., TO ENSURE PATIENT AND STAFF SAFETY AND COMFORT DURING EMERGENCY SITUATIONS. THIS COMMITTEE CONSISTS OF ONLY FACILITIES PEOPLE WITHIN THE UHS SYSTEM INCLUDING THE REGIONAL DIRECTOR AND OTHER REPRESENTATIVES OF CROTHALL WHO IS OUR ENVIRONMENTAL SERVICES CONTRACTOR. LINE 4 -- ENVIRONMENTAL IMPROVEMENTS *ENVIRONMENT OF CARE COMMITTEE - THIS COMMITTEE MEETS MONTHLY TO EXAMINE ACCIDENT REPORTS AND OBSERVATIONS RELATED TO PATIENT SAFETY ISSUES, UPDATE POLICIES, DISCUSS NEW REGULATIONS, MONITOR INSPECTIONS, AND COMPLETE DRILLS. REPRESENTATIVES FROM THIS COMMITTEE ALSO PARTICIPATE ON THE SYSTEM COMMITTEE. A FEW OF THE ACCOMPLISHMENTS ARE LISTED BELOW: A.INSTALLATION OF TEMPERATURE-ACTIVATED PARKING LOT SIGNS TO ADVISE OF ICY CONDITIONS. B.EQUIPMENT ORDERED FOR SAFE PATIENT HANDLING. C.IMPLEMENTATION OF SEVERAL POLICIES INVOLVING SAFE PATIENT HANDLING. D.MANAGEMENT AND TRAINING OF PHARMACEUTICAL WASTE AND HAZARDOUS WASTE REMOVAL. *SYSTEM ENVIRONMENT OF CARE COMMITTEE - THIS COMMITTEE MEETS QUARTERLY WITH REPRESENTATIVES FROM EACH OF THE AFFILIATED ORGANIZATIONS TO REVIEW NETWORKED BIO-MEDICAL EQUIPMENT CONCERNS, SYSTEM-WIDE POLICIES THAT NEED REVISING, AND ENVIRONMENTAL TRENDS SUCH AS NUISANCE ACTIVITY BY THE PUBLIC, SMOKING VIOLATIONS, ETC., ALL TO ENSURE SAFETY OF THE PUBLIC, PATIENTS, AND VISITORS. *WORKPLACE SAFETY & SAFE PATIENT HANDLING - THIS GROUP WORKS ON POLICIES, SECURITY AND SAFETY FOR EMPLOYEES AND PATIENTS. THE BULK OF THIS GROUP'S WORK DURING 2016 FOCUSED ON SAFE PATIENT HANDLING EQUIPMENT - A FULL ASSESSMENT OF THE EQUIPMENT NEEDED, PURCHASING THE EQUIPMENT AND TRAINING STAFF. THE EQUIPMENT ARRIVED AT YEAR-END 2016 AND TRAINING WILL CONTINUE THROUGHOUT 2017. THIS TEAM REPORTS TO THE SYSTEM NURSING COMMITTEE AND THE SYSTEM EOC. THE TEAM ALSO EXPANDED THE GROUP TO INCLUDE STAFF WITH EXPERTISE IN TRAINING, SECURITY, ENVIRONMENTAL SERVICES, MAINTENANCE AND FRONT LINE EMPLOYEES. A.SAFE PATIENT HANDLING CONFERENCE - 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 DO NOT 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. SINCE THE BILLING IS DONE BY MINUTES OF INTERPRETATION AND NOT BY PATIENTS SERVICED, IT IS UNKNOWN EXACTLY HOW MANY PATIENTS BENEFITTED. *CAMPAIGN FOR QUALITY CONFERENCE - VARIOUS TOPICS INCLUDED TEACHING QUALITY IMPROVEMENT AND PATIENT SAFETY TO PEOPLE IN THE MEDICAL WORLD, APPLYING PALLIATIVE CARE PRINCIPALS TO THE SERIOUSLY ILL, AND THE PATIENT EXPERIENCE WHICH DISCUSSED HELPING COORDINATE QUALITY IMPROVEMENT EFFORTS TO ENHANCE THE PATIENT EXPERIENCE. SENIOR MANAGEMENT AND MANAGERS ATTENDED THIS CONFERENCE. *UNDERGROUND FUEL STORAGE TANK CERTIFICATION - SEVERAL INDIVIDUALS IN THE FACILITIES DEPARTMENT COMPLETED THEIR ON-LINE TRAINING TO RECEIVE CERTIFICATIONS IN UNDERGROUND FUEL STORAGE: CLASS A OPERATORS WHO HAVE PRIMARY RESPONSIBILITY FOR THE OPERATION AND MAINTENANCE OF UST SYSTEMS, CLASS B OPERATORS WHO HAVE DAY-TO-DAY RESPONSIBILITY FOR IMPLEMENTING THE APPLICATION REQUIREMENTS, AND CLASS C OPERATORS WHO HAVE PRIMARY RESPONSIBILITY FOR ADDRESSING EMERGENCIES PRESENTED BY A SPILL OR RELEASE FROM AN UST SYSTEM. *PHARMACEUTICAL WASTE AND HAZARDOUS MATERIAL WASTE PROGRAM - THE PHARMACEUTICAL WASTE PROGRAM WILL KEEP DRUGS OUT OF THE HANDS OF THOSE WHO COULD POTENTIALLY OVERDOSE OR CAUSE HARM TO THEMSELVES. THE PROJECT BEGAN IN MARCH 2015. THE GOAL WAS TO IMPROVE THE EXISTING PROGRAM BY CONTRACTING WITH A VENDOR USED SYSTEM-WIDE FOR THIS PURPOSE. THE PROGRAM WENT LIVE MARCH 2016 AFTER STAFF TRAINING. THIS TRAINING COVERED WHAT THE WASTE MANAGEMENT PROGRAM IS, THE POLICY IDENTIFYING THE WASTE AND THE CONTAINERS IT GOES IN, WHERE THE CONTAINERS ARE STORED, HOW AND WHO WILL BE PICKING UP THE FULL CONTAINERS, AND DEVELOPING A PLAN TO TRAIN EMPLOYEES ON THE UNITS. LINE 6 -- COALITION BUILDING PATIENT EXPERIENCE RATINGS AND COMMUNITY PERCEPTION HAVE BEEN A CONCERN FOR QUITE SOME TIME IN SEVERAL SETTINGS THROUGHOUT THE HOSPITAL AND THROUGHOUT THE UHS SYSTEM. RECOGNIZING THAT THE THREE ELEMENTS OF QUALITY, SAFETY AND SERVICE MAKE UP THE PATIENT EXPERIENCE AND THAT PATIENT SATISFACTION AND PERCEPTION OF POOR CARE CAN BE STRONGLY CONNECTED TO SERVICE ALONG WITH QUALITY AND SAFETY, THE SYSTEM CREATED ORGANIZATION-WIDE FOCUS ON LONGITUDINAL IMPROVEMENT IN THE EXPERIENCE OF PATIENTS THROUGHOUT THE UHS SYSTEM INCLUDING CMH. THIS EFFORT BEGAN IN 2015 AND CONTINUED THROUGH 2016 WITH REGULAR SYSTEM MEETINGS TO REVIEW PATIENT COMPLAINTS, PATIENT COMMENTS, AND SURVEY RESULTS - THE BACKBONE FOR DEVELOPING QUALITY AND SAFETY MEASURES GOING FORWARD. IN 2017, THESE MEETINGS RESULTED IN A STRATEGIC INITIATIVE FOR THE NEXT 3 YEARS WITH ONE OF THE DELIVERABLES BEING TO "COLLABORATE WITH DEVELOPMENT OF THE CULTURAL FOUNDATION." IN OTHER WORDS, DEVELOP A CULTURE OF SAFETY FOCUSING PARTICULARLY ON SAFETY FROM HARM BOTH PHYSICALLY AND PSYCHOLOGICALLY AND HEIGHTEN AWARENESS OF DAILY SAFETY ACTIVITIES ALREADY IN PLACE. IN 2016, CMH FOCUSED SPECIFICALLY ON PATIENT IDENTIFICATION AND SURGICAL SITE VERIFICATION. *TOURS OF THE HOSPITAL - QUITE OFTEN, MEMBERS OF THE COMMUNITY TOUR THE HOSPITAL FOR EDUCATION AND PERSPECTIVE. THE MORE PROMINENT TOURS INVOLVED THE FOLLOWING: *CHENANGO COUNTY SHERIFF DEPUTY - THE SHERIFF'S DEPARTMENT PROVIDES CAR SEAT SAFETY INSTRUCTION DURING THE CHILD BIRTH EDUCATION CLASSES. *SEN. FRED AKSHAR - THE NEW STATE SENATOR REQUESTED A TOUR TO FAMILIARIZE HIMSELF WITH THE HOSPITAL, ORIENT HIMSELF ABOUT THE SCOPE OF SERVICES OFFERED, AND TO UNDERSTAND THE HOSPITAL'S CHALLENGES. *CHENANGO HEALTH NETWORK EXECUTIVE DIRECTOR - THE NEW EXECUTIVE DIRECTOR OF THE LOCAL RURAL HEALTH NETWORK REQUESTED A TOUR TO FAMILIARIZE HERSELF WITH THE HOSPITAL AND UNDERSTAND THE SCOPE OF SERVICES. |
| SCHEDULE H PART II COMMUNITY BUILDING ACTIVITIES | *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. *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 AND DIRECTOR OF INTERNATIONAL PROJECTS. *BADEN-POWELL SCOUTS - CMH'S PRESIDENT & CEO SERVES ON THE BADEN-POWELL COUNCIL OF THE BOY SCOUTS OF AMERICA, HEADQUARTERED IN BINGHAMTON, NY, WHICH SERVES OVER 175 DIFFERENT SCOUT UNITS INCLUDING 6,216 YOUTH AND ADULTS THROUGHOUT CENTRAL NEW YORK AND NORTHEAST PENNSYLVANIA. THE COUNCIL RUNS PROGRAMS IN CUB SCOUTING, BOY SCOUTING, VENTURING AND EXPLORING WHILE MAINTAINING TWO DIVERSE NATIONALLY RECOGNIZED SCOUT CAMPS: CAMP BARTON ON CAYUGA LAKE AND THE TUSCARORA SCOUT RESERVATION IN THE FOOTHILLS OF THE CATSKILLS. ALTHOUGH THE MAJORITY OF THE TIME IS SPENT AT MEETINGS DURING NON-BUSINESS HOURS, THERE ARE INSTANCES WHEN COMMUNICATION DURING THE DAY IS NECESSARY. *THE HOSPITAL MADE DONATIONS OF MEDICAL SUPPLIES FOR USE DURING THE BSA DAY CAMPS AND SUMMER CAMP PROGRAMS. IN-KIND DONATIONS SUPPORT THE BSA'S YOUTH LEADERSHIP AND CHARACTER DEVELOPMENT PROGRAMS. *DISTINGUISHED CITIZEN AWARD BANQUET - THE HOSPITAL SPONSORED 1 TABLE AT THE 2016 BANQUET. ALTHOUGH THIS EVENT IS HELD IN THE EVENING, IT PROVIDES AN EXCELLENT NETWORKING OPPORTUNITY WITH OTHER LEADERS IN THE COMMUNITY. THE FORMER CHAIRMAN OF THE HOSPITAL'S FOUNDATION WAS HONORED. *ATTENDED EXECUTIVE BOARD, STRATEGIC PLANNING, AND OTHER MEETINGS. *YALE UNIVERSITY - AS AN ALUMNUS OF YALE, THE HOSPITAL'S CEO IS OCCASIONALLY CONTACTED BY THE UNIVERSITY TO INTERVIEW STUDENTS WHO HAVE APPLIED FOR ADMISSION. IN 2016 HE PERFORMED 2 INTERVIEWS. *MEMBERS OF THE HOSPITAL'S MANAGEMENT TEAM SERVE ON SEVERAL BOARDS OR HOLD GOVERNANCE POSITIONS WITH ORGANIZATIONS IN THE AREA NOT PREVIOUSLY MENTIONED IN THIS SECTION. ALL OF THE BOARDS ARE LISTED HERE. MANY OF THEM MEET BEFORE OR AFTER HOURS BECAUSE THEY CONSIST OF OTHER COMMUNITY MEMBERS WHO FIND IT EASIER TO GET AWAY FROM THEIR EMPLOYED POSITIONS DURING NON-BUSINESS HOURS. *UNION (NY) VOLUNTEER EMERGENCY SERVICES - AN AMBULANCE COMPANY THAT SERVES THE TOWN OF UNION, NY IN BROOME COUNTY, THAT 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. *GUERNSEY MEMORIAL LIBRARY - GUERNSEY LIBRARY IS THE ONLY PUBLIC LIBRARY IN NORWICH. BOARD MEMBERS CONSIST OF BUSINESS OWNERS, LEADERS OF NON-PROFITS AND GOVERNMENT, AND SCHOOL OFFICERS. THE REPRESENTATIVE FROM THE HOSPITAL IS CURRENTLY THE BOARD SECRETARY. CMH MATERNITY AND THE LIBRARY HAVE PARTNERED TO DISTRIBUTE FREE BOOKS TO BABIES BORN AT CMH. DOLLY PARTON'S IMAGINATION LIBRARY IS A 60-VOLUME SET OF BOOKS BEGINNING WITH THE CHILDREN'S CLASSIC "THE LITTLE ENGINE THAT COULD". EACH MONTH A NEW, CAREFULLY SELECTED BOOK IS MAILED TO THE CHILD FROM AGES BIRTH TO FIVE WHO ARE RESIDENTS OF CHENANGO COUNTY. PARENTS COMPLETE A REGISTRATION FORM AND 8-10 WEEKS LATER THE FIRST BOOK ARRIVES AT THE CHILD'S HOME AND CONTINUES AS LONG AS THE CHILD LIVES IN CHENANGO COUNTY. THIS IS A PROGRAM OFFERED BY THE GUERNSEY MEMORIAL LIBRARY IN NORWICH, NY. *COVENTRY PLANNING BOARD - THE TOWN PLANNING BOARD OVERSEES EVERYTHING FROM ASSESSMENTS AND PROJECT SITE PLANS AND APPLICATIONS TO CODE ENFORCEMENT. THE PLANNING BOARD ALSO OVERSEES THE BUDGETS OF THE HIGHWAY AND FIRE DEPARTMENTS. *CHENANGO SPCA BOARD - FOUNDED IN 1907, THE CHENANGO SPCA IS A NATIONALLY RECOGNIZED, OPEN-ADMISSION ANIMAL SHELTER THAT PROVIDERS CARE FOR LOST AND HOMELESS PETS, ADOPTS PETS TO NEW HOMES, AND EDUCATES FAMILIES AND THE COMMUNITY ABOUT THE NEEDS OF COMPANION ANIMALS. BOARD MEMBERS INCLUDE REPRESENTATIVES FROM LOCAL BUSINESSES AND SCHOOL AS WELL AS COMMUNITY MEMBERS. *MCDONOUGH (NY) FIRE DEPARTMENT - A MEMBER OF THE HOSPITAL'S LEADERSHIP TEAM IS A LIEUTENANT IN THE MCDONOUGH FIRE DEPARTMENT. WORK INVOLVES TRAINING, ADMINISTRATION, AND GOING ON CALLS. THIS INDIVIDUAL IS ALSO AN ASSOCIATE MEMBER OF THE OXFORD FIRE DEPARTMENT. BOTH TOWNS ARE LOCATED IN CHENANGO COUNTY. *NORWICH (NY) FIRE DEPARTMENT - A RETIRED FIREMAN WHO NOW WORKS FULL TIME AT THE HOSPITAL STILL VOLUNTEERS FOR THE LOCAL FIRE DEPARTMENT AND IS A VALUABLE LINK BETWEEN THE HOSPITAL AND THE DEPARTMENT FOR EMERGENCY PREPAREDNESS PURPOSES. *PARTNER PRESENTATIONS TO PROVIDERS - THROUGHOUT THE YEAR, PARTNER ORGANIZATIONS WILL PRESENT INFORMATION TO PROVIDERS ON VARIOUS HEALTHCARE TOPICS. IN JUNE, THE SOUTH CENTRAL REGIONAL LIBRARY COUNSEL OF EBSCO DISCUSSED PREMIUM CONTENT THROUGH DATABASES, E-BOOKS, JOURNALS AND MAGAZINES AS WELL AS A VERSATILE DISCOVERY TOOL TO SEARCH ACROSS ALL LIBRARY RESOURCES WHICH SERVE THE NEEDS OF HOSPITALS. IN AUGUST, THE OFFICE OF THE AGING DISCUSSED SERVICES PROVIDED BY NYCONNECTS INCLUDING THE STEPPING ON PROGRAM AND UHS DISCUSSED IMPLEMENTATION OF THE STEADI PROGRAM AS PART OUR OF SHARED CHNA INITIATIVES. 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, RECRUITS PROVIDERS TO IMPROVE ACCESS AND INCREASE SERVICES (SEE "RECRUITMENT" LATER IN THIS SECTION). THE HOSPITAL HAD SUCCESS IN 2016 IN THE FOLLOWING AREAS: *PAIN MANAGEMENT SERVICES - THIS NEW SERVICE HELPS PATIENTS WHO SUFFER FROM CHRONIC PAIN. PATIENTS NOW HAVE STEADY ACCESS TO PAIN BLOCKS. THE SERVICE ALSO HELPS PATIENTS REDUCE THEIR OPIOID USE. WHEN NECESSARY, PATIENTS ARE REFERRED TO COUNSELING FOR POTENTIAL ADDICTIONS. *SPINE PAIN MANAGEMENT AND SPINE TREATMENT - THE HOSPITAL CONTRACTED WITH A SPINE SURGEON WHO STARTED SPINE PAIN TREATMENTS IN JANUARY 2016 AND LATER IN THE YEAR BEGAN SPINAL SURGERIES. *OBESTETRICS/GYNECOLOGY - AN OB/GYN PHYSICIAN WAS HIRED IN 2016 TO STABILIZE THE NUMBER OF PROVIDERS AVAILABLE TO SEE PATIENTS IN THE NORWICH AREA AND TO FREE UP PROVIDER SCHEDULES SO THAT OB/GYN SERVICES COULD BE RESTORED IN THE SIDNEY LOCATION. SERVICES RESUMED THERE IN 2017. *PATIENT CARE COORDINATOR - THIS PART-TIME POSITION EXPANDED TO FULL TIME IN 2016. THIS INDIVIDUAL IS ON-SITE AND CONNECTS PATIENTS WITH COMMUNITY SERVICES, I.E. FOOD STAMPS AND OFFICE OF THE AGING. *ENT SERVICES - THE NURSE PRACTITIONER IN THE HOSPITAL'S ENT SERVICE, BEGAN SEEING PATIENTS IN THE SIDNEY LOCATION AT THE BEGINNING OF 2016. *DIABETIC EDUCATION - THE HOSPITAL'S NEW DIABETIC EDUCATOR BEGAN SEEING PATIENTS IN THE CLINICS DURING THE YEAR. SHE ROTATES THROUGH THE CLINICS MONTHLY SO SHE IS AT EACH SITE ONCE A MONTH. *MEDICAL SOCIAL WORKER - THE HOSPITAL'S MEDICAL SOCIAL WORKER BEGAN SEEING TEENAGE PATIENTS IN THE SHERBURNE CLINIC A HALF DAY PER WEEK. SHE JOINS A NURSE PRACTITIONER WHO IS CERTIFIED IN ADOLESCENT CHILD PSYCHIATRY AND WORKS OUT OF THAT SAME LOCATION. *GI SERVICES - A CONTRACTED GI SERVICE IS ON SITE WEEKLY TO PERFORM COLONOSCOPIES AND ENDOSCOPIES. ORIGINALLY LOCATED ON THE 4TH FLOOR OF THE HOSPITAL, THIS SERVICE WAS MOVED TO A GROUND FLOOR LOCATION ON THE CAMPUS TO IMPROVE VISIBILITY AND ACCESSIBILITY. *IROQUOIS HEALTH ALLIANCE (IHA) - THE HOSPITAL'S CEO IS AN IHA BOARD MEMBER. THE ORGANIZATION CONSISTS OF ALL THE CENTRAL NY HOSPITAL CEOS. IHA IS THE REGIONAL VOICE IN ALBANY AND WASHINGTON FOR UPSTATE HOSPITALS AND HEALTHCARE SYSTEMS MEMBERS. IHA PROMOTES A BROADER UNDERSTANDING AND 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 CEOS. *CMH PARTICIPATED IN THE ANNUAL IHA GOLF TOURNAMENT - A MAJOR FUNDRAISER AND NETWORKING OPPORTUNITY. |
| SCHEDULE H PART II COMMUNITY BUILDING ACTIVITIES | *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 LAST YEAR WAS TOOLS FOR TRANSFORMATION: THE FOUNDATION OF SUCCESS. PRESENTATION TOPICS AND PANEL DISCUSSION INCLUDED POPULATION HEALTH, CONSUMER ENGAGEMENT, MAKING THE COMMITMENT TO HIGH RELIABILITY - STATE AND NATIONAL LEADERSHIP PERSPECTIVES, AND CLINICAL INTEGRATION. THE CONFERENCE WAS ATTENDED BY THE HOSPITAL'S PRESIDENT & CEO. *CNY REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC) - THE REGIONAL TRAUMA SYSTEM SERVES THE 14 COUNTIES IN CENTRAL NEW YORK. PRE-HOSPITAL CARE PROVIDERS AND COMMUNITY HOSPITALS WORK TOGETHER WITH AREA AND REGIONAL TRAUMA CENTERS TO PROVIDE CARE TO VICTIMS OF TRAUMA. THE RTAC IS RESPONSIBLE FOR TRAUMA SYSTEMS DEVELOPMENT AND QUALITY IMPROVEMENT. CMH'S ER MEDICAL DIRECTOR IS A MEMBER OF THIS COMMITTEE. *CHENANGO COUNTY CHILD ADVOCACY CENTER (CAC) - THE CAC IS A COMPONENT OF THE CRIME VICTIMS PROGRAM AND A COLLABORATIVE EFFORT WITH CHILD PROTECTIVE SERVICES, LAW ENFORCEMENT AGENCIES, MEDICAL PROVIDERS AND OTHER AGENCIES. THE MULTI-DISCIPLINARY TEAM IS COMPRISED OF SKILLED AND DEDICATED PROFESSIONALS THAT CONVENE REGULARLY TO DISCUSS CURRENT INVESTIGATIONS, RECEIVE TRAINING ON INVESTIGATION TECHNIQUES AND SERVICE PROVISION, AND EDUCATE THE PUBLIC ABOUT THE ISSUE OF CHILD ABUSE. CMH'S ER NURSE MANAGER AND MEDICAL SOCIAL WORKER ARE MEMBERS OF THIS COMMITTEE. *INTERNATIONAL ASSOCIATION OF FORENSIC NURSES ANNUAL CONFERENCE - TWO OF THE HOSPITAL'S ER NURSES ATTENDED THIS CONFERENCE WHICH OFFERED NUMEROUS TRACKS INCLUDING DEATH INVESTIGATION, GENERAL FORENSIC & LEGAL, INTIMATE PARTNER VIOLENCE, PEDIATRICS AND SEXUAL ASSAULT NURSE EXAMINER (SANE). NURSES ATTENDING THIS CONFERENCE RECEIVED INTENSE INSTRUCTION ON SUCH TOPICS AS PEDIATRIC SEXUAL ABUSE/ASSAULT, EFFECTS OF DOMESTIC VIOLENCE ON CHILDREN, ROLE OF THE FORENSIC NURSE IN SUSPECTED CRIMINAL ACTIVITY, AND CONFRONTING DRUG-FACILITATED SEXUAL ASSAULT AND OTHER DRUGGING CRIMES. *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 UPDATES 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. *LOCAL EARLY INTERVENTION COORDINATING COUNCIL (LEICC) OF DELAWARE COUNTY - THE MISSION OF THE EARLY INTERVENTION PROGRAM IS TO ENABLE THE COUNTY'S INFANTS AND TODDLERS UNDER THE AGE OF 3 WHO ARE DISABLED, DEVELOPMENTALLY DELAYED ARE AT RISK FOR DISABILITY AND THEIR FAMILIES TO ACCESS AN APPROPRIATE ARRAY OF SERVICES AND SUPPORTS TO MAXIMIZE HIS/HER POTENTIAL WITHIN THE FAMILY AND COMMUNITY. THE LEICC IS MADE UP OF PARENTS AND PROFESSIONALS WHO CONSIDER EARLY INTERVENTION ISSUES AND ADVISE THE LOCAL EARLY INTERVENTION OFFICIAL AS NECESSARY. THE MEETINGS ARE OPEN TO THE PUBLIC. CMH'S PEDIATRICIAN IN SIDNEY, NY, IS A MEMBER OF THE COUNCIL WHICH IS RUN UNDER THE AUSPICES OF THE LHD. *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. *ANNUAL CENTRAL NY ADULT IMMUNIZATION COALITION MEETING - THIS MEETING COVERED NYSDOH ADULT IMMUNIZATION UPDATES AND IMMUNIZATION BEST PRACTICES, THE USE OF COLLABORATION AND PARTNERSHIPS IN THE INVESTIGATION, MANAGEMENT AND RESPONSE TO HEPATITIS A OUTBREAK IN A RURAL SETTING, AND WHAT THE WORLD'S RELIGIONS TEACH APPLIED TO VACCINES AND IMMUNE GLOBULINS. *DIABETES INFORMATION FAIRS - THE HOSPITAL HOSTED AN ANNUAL FAIR IN NORWICH ON SEPTEMBER 21ST THAT 25 PEOPLE ATTENDED. THIS FREE EVENT WAS OPEN TO DIABETICS AND THEIR FAMILIES AND FEATURED INFORMATION THAT IS IMPORTANT FOR ANYONE WHO HAS BEEN DIAGNOSED WITH DIABETES. PARTICIPANTS LEARN ABOUT MANY ASPECTS OF DIABETES CARE INCLUDING COMPLICATIONS OF THE DISEASE PARTICULARLY CARDIOVASCULAR DISEASE, NUTRITION, AND PREPARATION OF A VARIETY OF DIABETES-FRIENDLY FOOD. MEDICAL EXPERTS AT THE FAIR INCLUDED PRIMARY CARE/INTERNAL MEDICINE PHYSICIANS AND THEIR NURSES, A PODIATRIST AND HIS NURSE, A CHEF, REGISTERED DIETITIANS, AND A DENTIST. NUMEROUS DIABETIC FRIENDLY BUSINESSES HAD BOOTHS AT THE EVENT. *TAKE A SHOT AT DIABETES - FUNDS WERE RAISED TO SEND A LOCAL CHILD TO CAMP ASPIRE FOR CHILDREN DIAGNOSED WITH DIABETES, TO DONATE SEVERAL GAS CARDS TO ADULTS WITH DIABETES FOR THEIR MEDICAL TRIPS AND TO SUPPORT DIABETES EDUCATION PROGRAMS AT THE LOCAL YMCA. |
| SCHEDULE H PART II COMMUNITY BUILDING ACTIVITIES | *CMH HAS HAD A REPRESENTATIVE ON THE HOSPICE BOARD FOR MANY YEARS. CURRENTLY, ONE OF THE HOSPITAL'S OPERATING ROOM NURSES IS SECRETARY OF THE BOARD. *THE HOSPITAL SUPPORTS HOSPICE'S ANNUAL DINNER AND FUNDRAISER BY SPONSORING AT LEAST 1 TABLE. 8 EMPLOYEES ATTENDED THE EVENT, WHICH INCLUDED A LIVE AUCTION. *AMERICAN CANCER SOCIETY EVENTS AND FUNDRAISERS *RELAY FOR LIFE - CMH IS A MAJOR PARTICIPANT IN THE LOCAL RELAY FOR LIFE TO BENEFIT THE AMERICAN CANCER SOCIETY. 16 EMPLOYEES PARTICIPATED AND THE TOTAL DONATION TO THE AMERICAN CANCER SOCIETY WAS $5,674. *PAINTING WITH PATTY -2 FUNDRAISING EVENTS WERE HELD AT A LOCAL ART STUDIO. A SECOND SESSION SUPPORTED MAKING STRIDES AGAINST BREAST CANCER AND A TOTAL OF 21 EMPLOYEES PARTICIPATED. *MAKING STRIDES AGAINST BREAST CANCER - 3 EMPLOYEES TOOK THE 3-MILE WALK TO RAISE AWARENESS OF BREAST CANCER AND THE TEAM RAISED $1,168. *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 AS A RESULT OF THIS PROGRAM. *BLOOD DRIVES - THE HOSPITAL HELD THREE BLOOD DRIVES ON SITE IN 2016 THAT TOTALED 105 DONORS - 80% OF THEM EMPLOYEES. 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. *WELLNESS DAY FOR SENIOR CITIZENS - A CMH INFECTION CONTROL NURSE ATTENDED THIS EVENT SPONSORED BY CHENANGO COUNTY PUBLIC HEALTH AT THE LOCAL YMCA. AT THE EVENT, SENIOR CITIZENS COULD HAVE WELL VISITS, FLU SHOTS, AND BLOOD WORK. THE CMH REPRESENTATIVE DISCUSSED HAND HYGIENE AS THE FIRST LINE OF DEFENSE IN PREVENTING INFECTIONS. *CHENANGO COUNTY FAIR SENIORS DAY - CMH REPRESENTATIVES DISTRIBUTED INFORMATION TO APPROXIMATELY 200 FAIRGOERS ON SERVICES AND PROVIDED HEALTHCARE TIPS FOR SENIORS. *SWADDLING PROGRAM - THE CMH AUXILIARY SPONSORS THIS ONGOING PROGRAM. THIS PROGRAM HELPS MOTHERS COPE WITH CRYING NEWBORN BABIES. THE USE OF THE SWADDLING BLANKET AND SWADDLING TECHNIQUES SIMULATES THE INVITRO ENVIRONMENT AND CALMS THE BABY. EVERY MOTHER GIVING BIRTH AT CMH RECEIVES THE SWADDLING BLANKET AT NO COST. APPROXIMATELY 265 MOTHERS RECEIVED THE BLANKETS AT A COST TO THE AUXILIARY OF $2,900. *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 MOTHERS QUIT SMOKING AND REMAIN SMOKE FREE. THE PROFESSIONAL ADVISORY COMMITTEE CONSISTS OF 14 AREA HEALTH AGENCIES AND 3 LAY PERSONS FROM THE COMMUNITY. *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, DENTAL, AND WOMEN'S HEALTH SPECIALIZING IN BREASTFEEDING ARE MEMBERS OF THIS COMMITTEE. *INNOVATIVE READINESS TRAINING (IRT) - IRT (ALSO ADVERTISED LOCALLY AS "CHENANGO CARES") PROVIDES REAL WORLD TRAINING OPPORTUNITIES FOR OUR SERVICE MEMBERS TO PREPARE THEM FOR WARTIME AND DISASTER MISSIONS, WHILE SUPPORTING THE NEEDS OF AMERICA'S UNDERSERVED COMMUNITIES. THIS LARGE-SCALE MILITARY TRAINING EXERCISE IN CHENANGO COUNTY BROUGHT NO-COST DENTAL, VISION, AND VETERINARIAN SERVICES TO 1,850 LOCAL RESIDENTS IN JULY 2016. OTHER AGENCIES INVOLVED WERE THE CHENANGO COUNTY BUREAU OF FIRE, DEPARTMENT OF HEALTH, DEPARTMENT OF SOCIAL SERVICES, OFFICE OF THE AGING, NORWICH CITY SCHOOLS, COMMERCE CHENANGO, CORNELL COOPERATIVE EXTENSION, SPCA, CHENANGO COUNTY PLANNING BOARD, AND THE CHENANGO HEALTH NETWORK. CMH REPRESENTATIVES PARTICIPATED IN ORGANIZATIONAL AND PLANNING MEETINGS. OUR QUALITY MANAGEMENT DEPARTMENT CREDENTIALED 67 MILITARY PROVIDERS. THIS PROJECT WAS INITIATED BY SOUTHERN TIER EAST REGIONAL PLANNING AND DEVELOPMENT AND THE US DEPARTMENT OF DEFENSE. *COMMUNITY HEALTHCARE EDUCATION - UHS CHENANGO MEMORIAL HOSTED A URINARY INCONTINENCE SEMINAR ON MARCH 6, 2016. HELD AT THE LOCAL LIBRARY, THE HOSPITAL'S UROGYNECOLOGIST DISCUSSED URINARY INCONTINENCE AND OPTIONS FOR TREATMENT. 8 PEOPLE ATTENDED THE SESSION. |
| SCHEDULE H PART II COMMUNITY BUILDING ACTIVITIES | *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. PROVIDERS IN THE FOLLOWING SPECIALTIES JOIN UHS CHENANGO MEMORIAL HOSPITAL DURING 2016: *EMERGENCY SERVICES (NORWICH, NY) - MICHAEL WEINBERGER, MD, CREDENTIALED ON OCTOBER 21, 2016, AND PERRY SPAVENTO, MD, CREDENTIALED AS OF NOVEMBER 15, 2016, JOINED THE HOSPITAL'S EMERGENCY ROOM STAFF AS FULL TIME PHYSICIANS. ADDITIONALLY, DOUGLAS SIVERS, FNP, CREDENTIALED ON NOVEMBER 1, 2016, JOINED THE STAFF AS A PER DIEM. *PAIN MANAGEMENT (NORWICH, NY) - JAVAID MALIK, MD, CREDENTIALED ON JULY 8, 2016, JOINED THE STAFF TEMPORARILY TO BEGIN COMPREHENSIVE PAIN MANAGEMENT SERVICES - A NEW OUTPATIENT SERVICE LINE. *ORTHOPEDICS (NORWICH, NY) - THOMAS FITZPATRICK, MD, AN ORTHOPEDIC SURGEON CREDENTIALED ON APRIL 29, 2016, JOINED THE STAFF PERMANENTLY AFTER PROVIDING SERVICES AS A LOCUM. RYAN HAWLEY, MD, AN ORTHOPEDIC SURGEON ALREADY CREDENTIALED THROUGH AN AFFILIATED PRACTICE IN BINGHAMTON, JOINED THE STAFF ON APRIL 4, 2016 AS A PER DIEM. THE HOSPITAL ABSORBED THE PRACTICE OF DR. ANTHONY CICORIA, ALSO AN ORTHOPEDIC SURGEON, AND MELISSA TWORKOWSKY, HIS PA. *HOSPITALIST (NORWICH, NY) - MARY RIVERA, FNP, CREDENTIALED ON APRIL 4, 2016, AS A PER DIEM HOSPITALIST. LINE 8 - WORKFORCE DEVELOPMENT IN 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 2016 ARE AS FOLLOWS: *MORRISVILLE STATE NURSING PROGRAM - CMH'S VP OF NURSING SERVES ON THE DIVISION OF NURSING ADVISORY COMMITTEE OF MORRISVILLE STATE COLLEGE. DURING 2016, CMH RENEWED THE JOINT NURSING SCHOOL AFFILIATION AGREEMENT TO PROVIDE A PLACE FOR CLINICAL EXPERIENCES. FURTHERMORE, CMH OFFERED INFORMATION ON WHAT JOB OPPORTUNITIES GRADUATE NURSES COULD LOOK FORWARD TO AND AREAS OF FOCUS FOR THE PROGRAM'S CURRICULUM. CMH HAS ALSO BEEN INVOLVED WITH MORRISVILLE STATE IN THEIR DISCUSSIONS TO MOVE THE NURSING PROGRAM TO THEIR NORWICH CAMPUS. *MORRISVILLE STATE STUDENT FAIR - ONE OF CMH'S RECRUITERS ATTENDED THE FAIR AND MENTORED STUDENTS ON INTERVIEWING SKILLS. *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. THE 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 19 STUDENTS PARTICIPATE. *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 PROGRAM PARTIALLY ON THEIR CURRENT GPA. THIS PARTNERSHIP HAS PROVEN SUCCESSFUL AS MANY GRADUATES HAVE CONTINUED ON TO GET THEIR DEGREES IN VARIOUS HEALTHCARE PROFESSIONS, WITH SOME OF THE GRADUATES RETURNING TO THE AREA. THERE WERE 17 STUDENTS ENROLLED IN THIS PROGRAM IN 2015-2016. STUDENTS ALSO PLAYED THE ROLES OF "VICTIMS" IN THE HOSPITAL'S DECONTAMINATION DRILL. *OPERTAING ROOM TECH STUDIES ADVISORY BOARD OF MOHAWK VALLEY COMMUNITY COLLEGE - THE ADVISORY BOARD OVERSEES PROGRAM DEVELOPMENT AND THE CLINICAL EXPERIENCE FOR STUDENTS. THE SCHOOL IS ALSO LOOKING TO PARTNER WITH SUNY BROOME THAT NOW OFFERS A DEGREE PROGRAM IN SURGICAL TECHNOLOGY. THE HOSPITAL'S MANAGER OF SURGICAL SERVICES SERVES ON THIS BOARD. *OSTOMY TEACHING - ONE OF THE HOSPITAL'S NURSE EDUCATORS COMPLETED A 2-HOUR EDUCATIONAL PROGRAM ABOUT MANAGEMENT OF PATIENTS WITH OSTOMIES AND MANAGEMENT OF OSTOMY SUPPLIES FOR BOCES LPN STUDENTS AS THE ONLY HOSPITAL IN CHENANGO COUNTY, UHS CHENANGO MEMORIAL IS THE EPICENTER FOR TRAINING AND MENTORING OF HEALTH CARE STUDENTS. IN 2016, 150 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: NURSING ANESTHESIOLOGY RADIOLOGY LAB EMERGENCY MEDICINE PRIMARY CARE INTERNAL MEDICINE PEDIATRICS OB/GYN CERTIFIED NURSE AID SURGICAL TECHNOLOGY STUDENTS CAME FROM BOCES, BINGHAMTON UNIVERSITY, HARTWICK COLLEGE, MOHAWK VALLEY COMMUNITY COLLEGE, SUNY BROOME, SUNY MORRISVILLE, MARYWOOD UNIVERSITY, AND SUNY UPSTATE. |
| SCHEDULE H PART II COMMUNITY BUILDING ACTIVITIES | LINE 9 -- OTHER COMMUNITY BUILDING ACTIVITIES UHS CHENANGO MEMORIAL HOSPITAL ALSO SUPPORTS CULTURAL ORGANIZATIONS AND EVENTS IN THE AREA. *CHENANGO UNITED WAY - TWO EMPLOYEES CHAIRED THE IN-HOUSE CAMPAIGN WHICH RAISED $10,496 FROM 56 EMPLOYEE DONORS. 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. *CMH FOUNDATION TV COMMERCIAL - A HOSPITAL EMPLOYEE DONATED $1,500 OF SERVICES INCLUDING FILMING, PRODUCTION, AND COORDINATION TO PRODUCE AND AIR TWO 15-SECOND COMMERCIALS ON THE LOCAL CABLE STATIONS IN SUPPORT OF THE FOUNDATION'S COMMUNITY CAMPAIGN. THE FOUNDATION RAISED $136,000 DUE, IN PART, TO THIS EFFORT. THE CMH FOUNDATION'S SOLE MISSION IS TO SUPPORT THE EFFORTS OF UHS CHENANGO MEMORIAL HOSPITAL. *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. OUR COMMUNITY RELATIONS AND DIETARY TEAM SPENT SEVERAL HOURS PREPARING FOR A HOSPITAL FOOD BOOTH AT THE EVENT. AN ESTIMATED 1,500 PEOPLE VISITED THE FOOD BOOTH. *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. 10 FAMILIES INCLUDING 29 CHILDREN WERE SERVED. *TRANSFER OF RECORDS FROM RETIRING PHYSICIAN - A PROMINENT PHYSICIAN IN THE SIDNEY, NY, AREA RETIRED AND TURNED OVER ALL OF HIS MEDICAL RECORDS TO CMH. CMH THEN COMPLETED THE PROCESS OF INDEXING ALL OF THE CHARTS IN THE EVENT THAT A) ANY PATIENTS WHO STARTED SEEING CMH PROVIDERS, AND B) A PATIENT REQUESTED THEIR RECORDS BE TRANSFERRED TO ANOTHER PROVIDER. |
| SCHEDULE H PART III COMMUNITY HEALTH PROMOTION | *SAFE PATIENT HANDLING BECAME A MAJOR INITIATIVE DURING 2016. DUE TO THE INCREASED POPULATION OF BARIATRIC PATIENTS AND OTHER PATIENTS WITH SPECIAL NEEDS DUE TO THEIR CONDITION, EQUIPMENT SPECIALLY DESIGNED TO CARE FOR THESE PATIENTS WAS PURCHASED. THIS NEW EQUIPMENT MINIMIZES THE RISK OF INJURY TO BOTH THE PATIENT AND CAREGIVERS WHILE PRESERVING THE INTEGRITY OF THE PATIENT. *HOVERJACK CONSISTS OF FOUR CHAMBERS THAT ARE INFLATED SEQUENTIALLY TO LIFT PATIENTS FROM THE FLOOR TO BED OR STRETCHER HEIGHT IN A SUPINE POSITION, MAXIMIZING PATIENT COMFORT AND MINIMIZING THE RISK OF INJURY TO BOTH PATIENT AND CAREGIVERS. *THE HOVERMATT IS USED BY HOSPITALS FOR LATERAL PATIENT TRANSFERS AND PATIENT REPOSITIONING. THE MATTRESS - AND THE PATIENT - FLOAT ON A CUSHION OF AIR, SO CAREGIVERS CAN SAFELY TRANSFER PATIENTS WITHOUT LIFTING OR STRAINING. *A FULL MECHANICAL LIFT IS USED TO TRANSFER A PATIENT FROM BED TO WHEELCHAIR AND FROM WHEELCHAIR TO BED. A SIT TO STAND MECHANICAL LIFT IS USED TO ASSIST A PATIENT FROM A CHAIR TO A STANDING POSITION. BOTH TYPES OF LIFTS ARE USED TO MOVE THOSE WHO ARE UNABLE TO STAND ON THEIR OWN OR WHOSE WEIGHT MAKES IT UNSAFE TO MOVE OR LIFT THEM MANUALLY. *THE HOSPITAL ADDED THREE PROVIDERS TO OUR SHERBURNE, NY, LOCATION TO IMPROVE ACCESS IN THAT AREA OF OUR FOOTPRINT. WITH NEW PROVIDERS ALSO COMES ADDITIONAL STAFF. IT BECAME NECESSARY TO DO RENOVATIONS IN THE PRIMARY CARE CLINIC TO ELIMINATE BOTTLENECKS AT CHECK-IN AND CHECK-OUT, TO IMPROVE THEIR EXPERIENCE. PROVIDERS IN THAT OFFICE NOW OFFER PRIMARY CARE AND PEDIATRIC SERVICES INCLUDING CHILD AND ADOLESCENT PSYCHIATRY. *THE HOSPITAL INVESTED HEAVILY IN NEW RADIOLOGY EQUIPMENT TO REPLACE EQUIPMENT THAT WAS COMING OFF LEASE. THIS RESULTED IN SIGNIFICANT COST SAVINGS WHILE INCREASING SERVICES. THE NEW EQUIPMENT HAS ALLOWED US TO PERFORM DUAL ENERGY CHEST X-RAYS AND SCOLIOSIS EXAMS. THIS WAS NOT POSSIBLE WITH THE OLD EQUIPMENT. DUAL ENERGY SUBTRACTION (DES) RADIOGRAPHY IS A POWERFUL TECHNIQUE WHICH AIMS TO IMPROVE THE DIAGNOSTIC VALUE OF AN X-RAY BY SEPARATING SOFT TISSUE FROM BONES, PRODUCING TWO DIFFERENT IMAGES. WE ARE NOW ABLE TO PERFORM A GREATER VARIETY OF STUDIES IN EACH OF THE X-RAY ROOMS BECAUSE OF THE FLEXIBILITY OF THE EQUIPMENT. *EXTENSIVE UPGRADES TO LIFE SAFETY FEATURES WERE COMPLETED IN 2016. THIS INCLUDED MAKING ALL FIRE AND SMOKE DAMPERS ACCESSIBLE FOR TESTING AND INSTALLING 4 FIRE-RATED DOORS AND HARDWARE IN THE KITCHEN. OTHER UPGRADES INCLUDED INSTALLING MORE EYE WASH STATIONS, AND INSTALLING A 2-HOUR FIRE RATED BARRIER AROUND THE GENERATOR. THESE AND MANY OTHER ENHANCEMENTS TOTALED $130,000. *THE HIRING OF AN ORTHOPEDIC SPINE SURGEON CREATED THE NEED TO PURCHASE NUMEROUS PIECES OF SURGICAL EQUIPMENT INCLUDING A SURGICAL TABLE SPECIALLY DESIGNED FOR SPINE SURGERIES, NUMEROUS INSTRUMENTS, AND A RETRACTOR. THE TOTAL START-UP INVESTMENT IN EQUIPMENT ALONE TOTALED $150,000. *A GRANT FROM THE CHENANGO MEMORIAL HOSPITAL FOUNDATION WAS USED TO PURCHASE DENTAL DIGITAL RADIOLOGY EQUIPMENT. THE HOSPITAL'S DENTAL DEPARTMENT, THAT SERVES A LARGE POPULATION OF MEDICAID PATIENTS, IS STILL USING FILM X-RAYS. THE NEW DIGITAL SYSTEM AND PANOREX WILL PROVIDE CLEARER IMAGES FOR DIAGNOSTIC PURPOSES AND LOWER DOSES OF RADIATION. IT WILL ENABLE THE DENTISTS TO WORK MORE EFFICIENTLY AND ELECTRONICALLY WHEN THEY ARE MAKING REFERRALS TO PERIODONTAL DENTISTS AND OTHER ORAL SPECIALISTS. DIGITAL RADIOLOGY IS LESS LABOR INTENSIVE AND WILL ENABLE THE PATIENT AND THE DENTIST TO VIEW THE RESULTS INSTANTANEOUSLY. IT IS ALSO MORE COST EFFECTIVE AND ENVIRONMENTALLY FRIENDLY LONG TERM. THE EQUIPMENT WAS ORDERED IN 2016 AND WAS SUBSEQUENTLY INSTALLED IN 2017. *THE HOSPITAL LAUNCHED AN ANESTHESIA ELECTRONIC MEDICAL RECORD SYSTEM CALLED PLEXUS. PLEXUS 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. PLEXUS CREATES TOOLS THAT HELP CLINICIANS FOCUS ON THE QUALITY OF PATIENT CARE, EITHER BY PROVIDING INNOVATIVE CAPABILITIES OR BY REMOVING INEFFICIENCY. *A NEW AUTOMATIC DOOR FOR OUR OUT-PATIENT IMAGING SERVICE WAS INSTALLED LAST SUMMER. NOW PATIENTS IN WHEELCHAIRS AND WALKERS CAN ACCESS THE ENTRANCE JUST BY PRESSING A BUTTON. EMS AND NURSING HOME TRANSPORT SERVICES ALSO HAVE EASIER ACCESS FOR PATIENTS ON STRETCHERS. *LASTLY, ALL OF THE HOSPITAL'S CLINICS WERE EQUIPPED WITH VITAL MONITOR MACHINES AND STANDS. THIS EQUIPMENT IS CRITICAL WHEN A PATIENT PRESENTS IN THE OFFICE WITH WHAT THEY THINK IS A MINOR PROBLEM AND THEY ACTUALLY NEED TO BE TRANSPORTED TO THE EMERGENCY ROOM, I.E., HEARTBURN BUT IT IS A CARDIAC EVENT. THE PATIENT CAN BE CONTINUOUSLY MONITORED UNTIL THE AMBULANCE ARRIVES. |
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 |