2017-08-14T13:43:33-05:00 2016-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2015-10-01 900054984 CAPE COD HEALTHCARE INC & AFFILIATES % MICHAEL L CONNORS CAPE 5087711800 25 COMMUNICATION WAY HYANNIS MA 02601 MICHAEL L CONNORS SENIOR VP FIN / CFO 5087711800 2017-08-09 true GWEN SPENCER P00641463 6175305000 2017-08-07 2015 2021-01-29 14:40:06Z MICHAEL K LAUF 25 COMMUNICATION WAY HYANNIS MA 02601 839170520 true true 3901 X WWW.CAPECODHEALTH.org X SEE SCHEDULE O 17 12 5511 806 2632584 798057 15572146 13584232 769456161 813097623 6228163 10134688 2124349 2193542 793380819 839010085 0 0 0 0 412045456 421295177 107645 120968 3319958 332632591 362645424 744785692 784061569 48595127 54948516 858605441 904223714 290745257 270275550 567860184 633948164 X SEE SCHEDULE O false false 705647856 0 813097623 PATIENT SERVICES - SEE SCHEDULES H AND O 705647856 true true false true false false false false false true true true false false true false false true false true true false false true true false true true false false true true false false false false false false false false true false true false false false false true true true false false true 143 0 true 5511 true true true false false false false true true false false false false X 17 12 true false false false true true true true true false false true true true true true true false true true true MA X MICHAEL L CONNORS 5089578540 25 COMMUNICATION WAY HYANNIS MA 02601 X ELEANOR CLAUS TRUSTEE 2.0 2.0 X 0 0 0 HOWARD CROW JR TRUSTEE 2.0 2.0 X 0 0 0 PHILIP MCLOUGHLIN TRUSTEE 2.0 2.0 X 0 0 0 MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 55.0 5.0 X X 0 1726957 238606 NATE RUDMAN MD TRUSTEE 2.0 2.0 X 0 0 0 JOEL CROWELL TREAS/CLERK AS OF 5/16/TRUSTEE 2.0 2.0 X X 0 0 0 SUZANNE FAY GLYNN ESQ TRUSTEE 2.0 2.0 X 0 0 0 PATRICK M FLYNN MD TRUSTEE 40.0 2.0 X 44332 0 919 DEWITT DAVENPORT VICE CHAIRMAN/TRUSTEE 2.0 2.0 X X 0 0 0 DIANE COLETTI TRUSTEE 2.0 2.0 X 0 0 0 WILLIAM ZAMMER Jr CHAIRMAN/TRUSTEE 2.0 2.0 X X 0 0 0 SUMNER B TILTON JR TREASURER UNTIL 5/16 / TRUSTEE 2.0 2.0 X X 0 0 0 PAUL EVANS MD TRUSTEE 2.0 2.0 X 0 0 0 JAMES MULCAHY MD TRUSTEE 2.0 2.0 X 0 0 0 GARY VACON MD TRUSTEE 2.0 2.0 X 0 0 0 ROBERT TALERMAN TRUSTEE AS OF 5/16 2.0 2.0 X 0 0 0 ROBERT WILSTERMAN MD TRUSTEE AS OF 1/16 40.0 2.0 X 91572 0 2810 GROVER BAXLEY MD TRUSTEE UNTIL 1/16 40.0 2.0 X 200278 0 9380 ROBERT BIRMINGHAM TRUSTEE UNTIL 5/16 2.0 2.0 X 0 0 0 MICHAEL G JONES Sr VP Chief Legal OffICER 55.0 5.0 X 0 406684 78218 MICHAEL L CONNORS SENIOR VP FINANCE/CFO 55.0 5.0 X 0 526685 89857 DIANNE C KOLB President VNA 45.0 5.0 X 0 267984 61715 EMILY SCHORER SVP HUMAN RESOURCES 45.0 5.0 X 0 313078 56834 JEANNE FALLON SR VP & CIO 45.0 5.0 X 0 306361 69235 JEFFREY S DYKENS SEE SCHEDULE O 45.0 5.0 X 0 292218 63044 PATRICK KANE SVP OF MRKTG, COMMUN & DEVLP 45.0 5.0 X 0 397702 68813 ARTHUR MOMBOURQUETTE COO UNTIL 1/15 45.0 5.0 X 0 458522 10775 THERESA M AHERN SVP, STRAT, COMMUNITY/GOV REL. 45.0 5.0 X 0 306017 48236 VICTOR OLIVEIRA VP PATIENT SERVICES 45.0 5.0 X 0 308464 72433 JOHN LIPOMI SR VP MANAGED CARE UNT 12/15 45.0 5.0 X 0 452903 74119 DONALD GUADAGNOLI MD CMO CAPE COD HOSPITAL 45.0 5.0 X 0 530387 91519 KEVIN J MULROY See Sch O for title 45.0 5.0 X 0 466062 73555 CARTER HUNT SEE SCHEDULE O FOR TITLE 45.0 5.0 X 0 200307 59015 ALEXANDER HEARD MD CMO FALMOUTH HOSPITAL 45.0 5.0 X 37655 179951 3737 CHRISTIAN BROWN SR VP MANAGED CARE AS OF 11/15 45.0 5.0 X 0 320333 76339 KEVIN RALPH SVP DEVELOPMENT 45.0 5.0 X 0 302145 47865 EMILY TIERNEY MD PHYSICIAN 40.0 0.0 X 1724614 0 41609 RICHARD B ZELMAN MD PHYSICIAN 40.0 0.0 X 1410820 0 47724 ACHILLE PAPAVASILIOU MD PHYSICIAN 40.0 0.0 X 968348 0 64724 PAUL HOULE MD PHYSICIAN 40.0 0.0 X 856626 0 64724 NICHOLAS COPPA MD PHYSICIAN 40.0 0.0 X 852907 0 39192 MARY FRANCO FORMER SVP DEVELOPMENT 0.0 0.0 X 0 119475 1525 6187152 7882235 1556522 745 true true false CAPE COD HEALTHCARE INC 25 COMMUNICATION WAY HYANNIS MA 02601 PURCHASED SERVICES 52647895 CORE MEDICAL GROUP 2 KEEWAYDIN DRIVE SALEM NH 03079 CONTRACT RN, PT, OT 586232 QUALITY IN REAL TIME 49S CASS STREET BATTLECREEK MI 49037 CODING REVIEW SVCS 439340 DELTA HEALTH 400 LAKEMOUNT PARK BOULEVARD ALTOONA PA 06602 MIS-SUPPORT 264591 CARDIOCOM EB 113 PO BOX 1691 MINNEAPOLIS MN 55480 TELEMEDICINE SVCS 225780 11 92441 1338433 12153358 211039 13584232 PATIENT SERVICE REVENUE 900099 787513020 787513020 LABORATORY SERVICES 621500 9388292 6809458 2578834 QUALITY EARNED PAYMENTS 900099 5518314 5518314 PROGRAM RELATED RENTAL INCOME 900099 3430917 3377167 53750 MEANINGFUL USE 900099 1322528 1322528 5924552 5924552 813097623 5368273 5368273 0 0 0 0 0 4766415 4766415 4766415 4766415 267550 92441 160435 107115 107115 0 0 CAFETERIA INCOME 900099 1672825 1672825 MEDICAL RECORDS 900099 99634 99634 EMPLOYEE PHARMACY 900099 313968 313968 2086427 839010085 810465039 2632584 12328230 0 0 0 0 1260126 1260126 254865 254865 333962413 297636401 34991608 1334404 9910482 8457442 1399664 53376 53623678 47606809 5790932 225937 22283613 19504673 2676858 102082 5958411 2688718 3269693 221757 6312 215445 771341 131369 639972 0 120968 120968 855829 81349 774480 31442411 31039486 402925 796453 740512 55941 4831522 4432492 312847 86183 9390988 8484763 906225 0 16163877 14873706 1148685 141486 5021326 4719633 301693 0 0 8473081 7638755 834326 0 28190506 25583774 2589965 16767 6233738 5698255 535483 MEDICAL SUPPLIES 106706765 106706765 PURCHASED SERVICES 49509047 46213469 3269036 26542 ADMINISTRATION OFFICE 53438306 40217841 12674377 546088 REPAIRS AND MAINTENANCE 12836965 11655692 1181273 21803101 20014649 1122327 666125 784061569 705647856 75093755 3319958 48422773 41486722 1401964 1407662 11419529 13712338 70183932 88033760 0 0 0 0 5956495 5375686 10858391 11108863 6857352 7950467 620424777 327732083 298319535 292692694 0 0 363963703 400979488 11118346 9294601 9157829 9346552 20945592 22834881 858605441 904223714 67214459 57125221 0 0 719573 781816 166678346 156420826 0 0 0 0 16874390 15137718 0 0 39258489 40809969 290745257 270275550 X 497943893 564517008 38531451 37490718 31384840 31940438 567860184 633948164 858605441 904223714 X 54948516 19824054 -8684590 X false true X true true true X 13524136 17223613 9458675 15572146 13584232 69362802 0 0 13524136 17223613 9458675 15572146 13584232 69362802 1610927 67751875 2203229 680260 3486933 4951524 5368273 16690219 814019 187290 1059076 1000152 798057 3858594 2261728 2163050 2189718 2271023 2353977 11239496 101151111 3703439578 0.66981 0.69034 X false false false false false false false false false false false false false false false false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 107025 107025 false PART II-B, LINE 1I Cape Cod Hospital and Falmouth Hospital Association, Inc. pay membership dues to the Massachusetts Hospital Association which engages in lobbying purposes as defined by Medicare. Per the MHA advisory, 32.43% of dues paid should be allocated to lobbying activity. For FY16 for Cape Cod Hospital and Falmouth Hospital Association, Inc. combined, the lobbying portion equals $ 107,025. 37495620 57261 2000285 744077 38809089 38872003 1523222 -2217064 682541 37495620 36060986 1925651 1613999 728633 38872003 35475473 60508 1238094 713089 36060986 32638639 435091 3092757 691014 35475473 0.00000 0.82350 0.17650 false true true 23303713 23303713 386317293 168293309 218023984 4915703 2473914 2441789 201826031 155444164 46381867 4062037 1520696 2541341 292692694 LONG-TERM INVESTMENTS 334413841 F AGREEMENT / INDENTURE 9986822 F TEMP RESTRICTED INVESTMENTS 23909957 F PERM RESTRICTED INVESTMENTS 31900830 F SHORT TERM INVESTMENTS - FDN 768038 F 400979488 0 DUE TO AFFILIATES 17308147 EST. SETTLEMENTS W 3RD PARTIES 20661410 ABANDONED PROPERTY 69069 OTHER CURRENT LIABILITIES 462222 INTEREST RATE SWAPS 2309121 40809969 SCHEDULE D, PART V, LINE 4 THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO FURTHER THE HEALTHCARE MISSION OF CAPE COD HEALTHCARE INC., AND ITS AFFILIATES. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL. Central America and the Caribbean 1 0 Program Services CAPTIVE INSURANCE 6164733 1 0 1 0 6164733 6164733 false false false false false false SCHEDULE F, PART I, COLUMN F EXPENSES ARE CODED IN THE GENERAL LEDGER TO THE CAPTIVE INSURANCE COMPANY. X X X X X true Borns GroupVDM DIRECT MAIL Solicitatio false 275292 120968 154324 275292 120968 154324 CT FL ME MA SC GALA EVENT 359991 92441 267550 2625 50158 7500 100152 0 359991 92441 267550 2625 50158 7500 100152 160435 107115 true true X true X true X true true false true true 8724617 3664469 5060148 0.00650 93588894 76642185 16946709 0.02180 9261877 7402574 1859303 0.00240 111575388 87709228 23866160 0.03070 2422471 2422471 0.00310 1668101 114244 1553857 0.00200 203145714 186241020 16904694 0.02180 4481085 4481085 0.00580 211717371 186355264 25362107 0.03270 323292759 274064492 49228267 0.06340 28368 28368 861711 861711 0.00110 890079 890079 0.00110 true 7491768 4121932 263277213 262002490 1274723 X true true 2 1 CAPE COD HOSPITAL 27 PARK STREET HYANNIS MA 02601 SEE PART V, SECTION C 2135 X X X A 2 FALMOUTH HOSPITAL ASSOCIATION INC 100 TER HEUN DRIVE FALMOUTH MA 02540 SEE PART V, SECTION C 2289 X X X A A false false true X X X X X X X X X 15 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C false true X X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X true X false false PART V, SECTION A WEBSITES PART V, SECTION A, LINE 1 - CAPE COD HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/CAPE-COD-HOSPITAL PART V, SECTION A, LINE 2 - FALMOUTH HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/FALMOUTH-HOSPITAL PART V, SECTION B, LINE 5 Over 20 data sources were utilized to collect Barnstable County and town-level health statistics on disease incidence and prevalence, hospital utilization, morbidity and mortality, barriers to accessing care, and behavioral risk factors. Regional statistics were analyzed and compared to state and national statistics to identify where demographic and health disparities exist. Once collected, statistical data was vetted and augmented with community input. Cape Cod Hospital and Falmouth Hospital selected John Snow, Inc. (JSI) a public health research firm, to conduct primary research including health data research, key informant interviews and facilitation of community and provider forums. JSI interviewed over 25 regional leaders representing the broad interests of the community and who offer information or expertise relative to the significant health needs of vulnerable populations. They included such entities as municipal public health departments, human service agencies, schools and law enforcement agencies, federally qualified health centers, community organizations serving low-income, vulnerable and medically underserved populations, elected officials, and hospital clinicians and administrators. Five community input forums were held across Barnstable County. More than 140 individuals and 90 community organizations attended. These forums provided an opportunity to present statistical health findings to participants and identify gaps in services. Additionally, the forums facilitated dialogue on issues not identified and target populations most impacted by health issues. A post-forum survey was provided to participants to identify and rank health priorities in the region. Feedback and input from the key informant interviews and from attendees of the community and provider forums was used to inform the selection and prioritization of significant health needs. The following organizations participated in the community input activities throughout the phases of the project: Public health experts, health care providers and health service organizations AIDS Support Group of Cape Cod Alzheimers Family Support Center of Cape Cod Arbor Counseling Services Barnstable County Department of Health and Environment Barnstable County Department of Human Services Barnstable County Public Nursing Division CCHC Emergency Services CCHC Centers for Behavioral Health Cape & Islands Emergency Medical Services System Caron Treatment Center Community Health Center of Cape Cod Duffy Health Center Emerald Physicians Falmouth Human Services Gosnold on Cape Cod Harbor Community Health Center-Hyannis Hope Health HOPE Dementia & Alzheimers Services of Cape Cod Mashpee Wampanoag Health Service Unit Outer Cape Health Services Spaulding Rehabilitation Hospital Cape Cod Specialty Network for the Uninsured Town of Brewster Health Department Town of Falmouth Health Department Town of Mashpee Human Services Vinfen Visiting Nurse Association of Cape Cod Organizations serving low-income, medically underserved or vulnerable populations: Barnstable Public School System Boys & Girls Club of Cape Cod Cape Cod Center for Women Cape Cod Child Development Cape Cod Council of Churches Cape Cod WIC Cape Cod Neighborhood Support Coalition Child and Family Services Coalition for Children Community Action Committee of Cape Cod & the Islands Childrens Cove Community Development Partnership Elder Services of Cape Cod & the Islands Falmouth Public School System Falmouth Service Center Falmouth Together We Can Falmouth Volunteers in Public Schools The Family Pantry of Cape Cod Glenna Kohl Fund for Hope Health Imperatives Healthy Living Cape Cod Helping Our Women Homeless Prevention Council Housing Assistance Corporation Independence House Justice Resource Institute Lyme Awareness of Cape Cod Outer Cape Women Infants and Children (WIC) Mother and Infant Recovery Network National Alliance on Mental Illness Cape Cod Samaritans on Cape Cod and the Islands Sandpiper Nursery School Sandwich Public School System SHINE (Serving Health Information Needs of Everyone) Sight Loss Services Town of Falmouth Council on Aging Town of Mashpee Council on Aging Town of Provincetown Council on Aging Town of Sandwich Council on Aging Town of Truro Council on Aging WE CAN YMCA of Cape Cod County, town, or municipal entities and regional task forces: Cape & Islands United Way Cape Cod Community College Cape Cod District Attorneys Office Cape Cod Foundation Cape & Islands Suicide Prevention Coalition Yarmouth Police Department MA Department of Mental Health MA Department of Public Health Mashpee Wampanoag Tribe Health Services Community Health Network Area 27 Behavioral Health Provider Coalition of Cape Cod & the Islands Barnstable County Regional Substance Abuse Council Barnstable Town Council Substance Use in Pregnancy Task Force PART V, SECTION B, LINE 6(A) Cape Cod Hospital and Falmouth Hospital jointly conducted the most recent Community Health Needs Assessment Report. PART V, SECTION B, LINE 7(A) http://www.capecodhealth.org/app/files/public/3927/community-health-needs- ASSESSMENT-2017-2019.PDF PART V, SECTION B, LINE 7(B) http://www.bchumanservices.net/publications-data/related-local-publica TIONS-DATA/ PART V, SECTION B, LINE 10(A) http://www.capecodhealth.org/app/files/public/3927/community-health-needs- ASSESSMENT-2017-2019.PDF PART V, SECTION B, LINE 11 The significant health needs identified in the CHNA include chronic and infectious disease, behavioral health, access to care and disease prevention and wellness. Cape Cod Hospital (CCH) and Falmouth Hospital (FH) will address these specific issues through a comprehensive set of implementation strategies that include hospital-based programs, collaborative efforts with numerous regional health partners and providing grants to community based organizations with initiatives that align with community health improvement strategies. Three specific issues identified through the assessment fall outside of the core competencies of the hospitals and were not included in the CCH and FH implementation strategies. The issues are transportation, housing and homelessness, and employment. These issues are long-standing regional challenges and were identified in the previous CHNA as issues outside the scope of significant health needs that the hospitals can reasonably address. Residents impacted by these issues will be served by the hospitals since it is their mission to serve all without regard to sex, race, creed, residence, national origin, sexual orientation, or ability to pay. Cape Cod Hospital and Falmouth Hospital recognize that there are regional entities with the core competencies, knowledge, staff and funding sources to specifically address the issues of transportation, housing and homelessness, and employment. The hospitals will collaborate on activities that are led by the appropriate agencies. PART V, SECTION B, LINE 13(B) IN SOME CASES, THE MASSACHUSETTS HEALTHCONNECTOR CALCULATOR OR MODIFIED ADJUSTED GROSS INCOME IS USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. PART V, SECTION B, LINE 13(H) STATE REGULATIONS PART V, SECTION B, LINE 16(A) https://www.capecodhealth.org/app/files/public/3908/fap-policy-cchc-8-29-2 016.PDF PART V, SECTION B, LINE 16(B) HTTPS://WWW.CAPECODHEALTH.ORG/PATIENTS-VISITORS PART V, SECTION B, LINE 16(C) https://www.capecodhealth.org/app/files/public/3910/plain-language-summary -9-15-2016.PDF PART V, SECTION B, LINE 22(d) THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS 110% OF THE MEDICARE FEE SCHEDULE. THIS APPLIES TO BOTH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. 70 Visiting Nurse Association of Cape Cod 255 Independence Drive Hyannis MA 02601 home health CAPE COD HEALTHCARE CORP 88 LEWIS BAY RD HYANNIS MA 02601 ADMINISTRATIVE Dermatology and Skin Surgery of Cape Cod 35 Wilkens Lane Suite A Hyannis MA 02601 medical group practice FONTAINE MEDICAL CENTER 525 LONG POND DRIVE HARWICH MA 02645 Medical Group Practice BOURNE HEALTH CENTER 1 Trowbridge Road BOURNE MA 02532 medical group practice Bramblebush Medical Group 21 Bramblebush Park FALMOUTH MA 02540 medical group practice Seaside Pediatrics 150 Ansel Hallet Road West Yarmouth MA 02673 medical group practice Manning Jr William J MD 700 Attucks Lane Suite 1A HYANNIS MA 02601 medical group practice Fontaine OUTPATIENT CENTER 525 Long Pond Drive Harwich MA 02645 medical group practice Guo X Y David MD PhD 90 TER HEUN DRIVE SUITE 302 FALMOUTH MA 02540 Medical Group Practice BAYSIDE INTERNAL MEDICINE 2 JAN SEBASTIAN WAY SANDWICH MA 02563 Medical Group Practice Shapiro Gary MD 700 ATTUCKS LANE SUITE 1C Hyannis MA 02601 Medical Group Practice THEODORE A CALIANOS II MD 5 INDUSTRIAL DRIVE SUITE 107 MASHPEE MA 02649 MEDICAL GROUP PRACTICE VASCULAR AND VEIN CENTER OF CAPE COD 90 TER HEUN DRIVE SUITE 303 FALMOUTH MA 02540 MEDICAL GROUP PRACTICE YARMOUTH INTERNISTS 257 STATION AVENUE SOUTH YARMOUTH MA 02664 MEDICAL GROUP PRACTICE CHATHAM MEDICAL GROUP 1629 MAIN STREET CHATHAM MA 02633 MEDICAL GROUP PRACTICE ENDOCRINE CENTER OF CAPE CODE 40 QUINLAN WAY 2ND FL SUITE 206 HYANNIS MA 02601 MEDICAL GROUP PRACTICE MALAQUIAS STEPHEN MD 257 STATION AVENUE SOUTH YARMOUTH MA 02664 MEDICAL GROUP PRACTICE FAL SPECIALTY CARE PRACTICE 90 TER HEUN DRIVE SUITE 302 FALMOUTH MA 02540 MEDICAL GROUP PRACTICE MACC NEUROLOGY - CCHC 46 NORTH STREET SUITE 7 HYANNIS MA 02601 MEDICAL GROUP PRACTICE CAPE COD PEDIATRICS 55 ROUTE 130 FORESTDALE MA 02644 MEDICAL GROUP PRACTICE NAUSET FAMILY PRACTICE 81 OLD COLONY WAY STE D ORLEANS MA 02653 MEDICAL GROUP PRACTICE JAMES O'CONNOR MD PRACTICE 107 COUNTY ROAD NORTH FALMOUTH MA 02556 MEDICAL GROUP PRACTICE DEVIN MCMANUS MEDICAL PRACTICE 10 BRAMBLEBUSH DRIVE FALMOUTH MA 02540 MEDICAL GROUP PRACTICE BAXLEY PRACTICE 51A OCEAN AVENUE CATAUMET MA 02534 MEDICAL GROUP PRACTICE ARTHUR CRAGO MD PRACTICE 315 PALMER AVENUE FALMOUTH MA 02540 MEDICAL GROUP PRACTICE CAPE HEALTH INSURANCE COMPANY - FOREIGN C/O CCHC 25 COMMUNICATION WAY HYANNIS MA 02601 ADMINISTRATIVE HEALTHCARE FOUNDATION 0NE FINANCIAL PLACE 297 NORTH STRE HYANNIS MA 02601 ADMINISTRATIVE HEALTHCARE FOUNDATION HOMEPORT 348C GIFFORD STREET FALMOUTH MA 02540 ADMINISTRATIVE JML CARE CENTER 184 TER HEUN DRIVE FALMOUTH MA 02540 SKILLED NUR & REHAB Cape & Islands Health Services II 14 YELLOW BRICK ROAD HYANNIS MA 02601 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 5 INDUSTRIAL DRIVE SUITE 102 MASHPEE MA 02649 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 200 JONES ROAD FALMOUTH MA 02540 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 525 LONG POND DRIVE HARWICH MA 02645 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 81 OLD COLONY WAY ORLEANS MA 02653 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 2 JAN SEBASTIAN WAY ROUTE 130 SANDWICH MA 02653 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 860 ROUTE 134 UNIT 2 SOUTH DENNIS MA 02660 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 1 TROWBRIDGE ROAD BOURNE MA 02532 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 68B ROUTE 6A SANDWICH MA 02563 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 1629 MAIN STREET CHATHAM MA 02633 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 27 PARK STREET HYANNIS MA 02601 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 30 SHANKPAINTER ROAD PROVINCETOWN MA 02657 COLLECTION CENTER HERITAGE AT FALMOUTH 140 TER HEUN DRIVE FALMOUTH MA 02540 ASSISTED LIVING CAPE COD HUMAN SERVICES 460 WEST MAIN STREET HYANNIS MA 02601 OUTPATIENT CLINIC CAPE COD HUMAN SERVICES 525 LONG POND DRIVE HARWICH MA 02645 OUTPATIENT CLINIC CAPE COD MEDICAL OFFICE BUILDING INC 20 GLEASON STREET HYANNIS MA 02601 ADMINISTRATIVE ORLEANS MEDICAL CENTER 204 MAIN STREET ORLEANS MA 02653 MEDICAL GROUP PRACTICE CAPE COD DERMATOLOGY 134 ANSEL HALLETT ROAD W YARMOUTH MA 02673 MEDICAL GROUP PRACTICE CAPE COD RHEUMATOLOGY CENTER 40 QUINLAN WAY 2ND FL SUITE 206 HYANNIS MA 02601 MEDICAL GROUP PRACTICE CCHC CARDIOVASCULAR CENTER 25 MAIN STREET HYANNIS MA 02601 MEDICAL GROUP PRACTICE ZIAD FARAH MD-FONTAINE MEDICAL CENTER 525 LONG POND DRIVE HARWICH MA 02645 MEDICAL GROUP PRACTICE FONTAINE URGENT CARE CENTER 525 LONG POND DRIVE HARWICH MA 02645 MEDICAL GROUP PRACTICE NEUROLOGY CENTER OF CAPE COD 40 QUINLAN WAY 2ND FL SUITE 206 HYANNIS MA 02601 MEDICAL GROUP PRACTICE PARK STREET PRIMARY CARE 62 PARK STREET HYANNIS MA 02601 MEDICAL GROUP PRACTICE SANDWICH MEDICAL GROUP STONEHMAN OUTPATIENT2 JAN SEBASTIA SANDWICH MA 02563 MEDICAL GROUP PRACTICE SANDWICH PRIMARY CARE 441 RT 130 SANDWICH MA 02563 MEDICAL GROUP PRACTICE UPPER CAPE ORTHOPEDICS 26 EDGERTON DRIVE SUITE C NORTH FALMOUTH MA 02556 MEDICAL GROUP PRACTICE MICHAEL BARNETT MD PRACTICE 348 GIFFORD STREET FALMOUTH MA 02540 MEDICAL GROUP PRACTICE ALL CAPE UROLOGY PRACTICE 20 GLEASON STREET HYANNIS MA 02601 MEDICAL GROUP PRACTICE NEUROSURGEONS OF CAPE COD 46 NORTH STREET SUITE 4 HYANNIS MA 02601 MEDICAL GROUP PRACTICE MDVIP YARMOUTH 257 STATION AVE SOUTH YARMOUTH MA 02664 MEDICAL GROUP PRACTICE MASHPEE SURGICAL CENTER 160 FALMOUTH ROAD MASHPEE MA 02649 MEDICAL GROUP PRACTICE CAPE COD HEALTHCARE WOUND CARE 905 ATTUCKS LANE HYANNIS MA 02601 MEDICAL GROUP PRACTICE CAPE COD OBSTETRICS AND GYNECOLOGY 90 TER HEUN DRIVE FALMOUTH MA 02540 MEDICAL GROUP PRACTICE SOUTHEASTERN SURGICAL ASSOCIATES 100 CAMP STREET HYANNIS MA 02601 MEDICAL GROUP PRACTICE FALMOUTH URGENT CARE 273 TEATICKET HIGHWAY FALMOUTH MA 02536 MEDICAL GROUP PRACTICE HYANNIS URGENT CARE 1220 IYANNOUGH ROAD HYANNIS MA 02601 MEDICAL GROUP PRACTICE UPPER CAPE EAR NOSE THROAT 200 A JONES ROAD FALMOUTH MA 02540 MEDICAL GROUP PRACTICE ORTHOPEDIC SPECIALISTS 5 BRAMBLEBUSH DRIVE FALMOUTH MA 02540 MEDICAL GROUP PRACTICE PATIENT SERVICE CENTER 35 WILKENS LANE BARNSTABLE MA 02601 MEDICAL GROUP PRACTICE PART I, LINE 3C N/A PART I, LINE 6A N/A PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN F WAS $7,491,768. The amounts reported in the table were calculated using the ratio of patient care cost to charges and by following the Form 990, Schedule H instructions. The total percentage of charity care and certain other community benefits at cost in the table was calculated on a group return basis as required by the Form 990 instructions, and not on a hospital-only basis. PART II, LINE 6 Cape Cod Healthcare clinical, community benefits and support staff participated in a variety of coalition building activities within the service area to address and improve care related to womens health, behavioral health, chronic disease self management and substance use disorders. Coalition activities ranged from new program development to reach medically underserved populations to the expansion of existing activities to strengthen collaboration between regional health care providers and human service agencies. PART II, LINE 8 WORKFORCE DEVELOPMENT Cape Cod Healthcare's Physician Recruitment program strives to identify areas of unmet need and improve access to primary and specialty care for vulnerable populations, especially those over 65 with public health insurance coverage. Through rigorous efforts highly qualified physicians and physician extenders are recruited and retained to meet the health care needs of residents of Cape Cod. PART III, LINES 2-3 The organization is reporting $4,121,932 of bad debt expense that meets its financial assistance policy. This amount is related to bad debt from both hospitals during FY16 of uninsured patients who were seen in the ER and received medically necessary services. Cape Cod Healthcare receives payments for services rendered from federal and state agencies (under the Medicare and Medicaid programs), managed care payors, commercial insurance companies, and patients. Patient accounts receivable are reported net of contractual allowances and reserves for denials, uncompensated care, and doubtful accounts. The level of reserves is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental and private employer health care coverage and other collection indicators. IF A PATIENT IS INELIGIBLE FOR CHARITY CARE BECAUSE HIS OR HER INCOME EXCEEDS THE ELIGIBILITY GUIDELINES, ANY UNCOLLECTIBLE ACCOUNTS RECEIVABLE BALANCE IS WRITTEN OFF TO BAD DEBT AS REPORTED IN PART III, LINE 2. PART III, LINE 4 REFER TO PAGE 15 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR FOOTNOTES RELATED TO ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBT. PART III, LINE 9(B) Hospital Financial Assistance Programs Patients who are eligible for enrollment in a state public assistance program, like the Massachusetts MassHealth or Health Safety Net programs, are deemed enrolled in a financial assistance program. For all patients that are enrolled in these state public assistance programs, the hospital may only bill those patients for the specific co-payment, co-insurance, or deductible that is outlined in the applicable state regulations and which may further be indicated on the state Medicaid Management Information System. The hospital will seek a specified payment for those patients that do not qualify for enrollment in a Massachusetts state public assistance program, such as out-of-state residents, but who may otherwise meet the general financial eligibility categories of a state public assistance program. For these patients, the payment amount will be set at the hospital, when requested by the patient and based on an internal review of each patients financial status, may offer a patient an additional discount on an unpaid bill. Any such review shall be part of a separate hospital financial assistance program that is applied on a uniform basis to patients, and which takes into consideration the patients documented financial situation and the patients inability to make a payment after reasonable collection actions. Any discount that is provided by the hospital is consistent with federal and state requirements, and does not influence a patient to receive services from the hospital. Populations Exempt from Collection Activities: There are several situations where a patient can be exempted from further billing and collection procedures once the determination is made that the patient is exempt pursuant to State regulations: a) Patients enrolled in a public health insurance program, including but not limited to, MassHealth, Emergency Aid to the Elderly, Disabled and Children, Healthy Start, Childrens Medical Security Plan, or designated a "Low Income Patient" by the Office of Medicaid, subject to the following exceptions: (i) The hospital may seek to bill and collect the co-payments and deductibles that are set forth by each specific program. (ii) The hospital may also initiate billing and collection efforts for a patient who alleges that he or she is a participant in a financial assistance program that covers the costs of the hospital services, but fails to provide proof of such participation. Upon receipt of satisfactory proof that a patient is a participant in a financial assistance program, (including receipt or verification of the signed application) the hospital shall cease its billing and collection activities. (iii) The hospital will not continue collection action on any Low Income Patient for services rendered by the hospital during the period for which he or she has been determined to be a Low Income Patient by the Office of Medicaid. However, the hospital may continue collection action on a Low Income Patient for services rendered prior to the Low Income Patient determination, provided that the current Low Income Patient status has been terminated, expired, or not otherwise identified on the States Virtual Gateway or Recipient Eligibility Verification System. Once a Low Income Patient is determined eligible and enrolled in the Health Safety Net, MassHealth, or certain Commonwealth Care programs, the hospital will cease its billing and collection efforts for services provided prior to the beginning of their eligibility. (iv) The hospitals may seek collection action against any of the patients participating in the programs listed above for non-covered services that the patient has agreed to be responsible for, provided that the hospital obtained the patients prior written consent to be billed for the service. PART VI, LINE 2 NEEDS ASSESSMENT: THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT (CHNA REPORT) AND IMPLEMENTATION PLAN WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC ON SEPTEMBER 30, 2016. THE GOALS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT ARE TO MONITOR REGIONAL HEALTH DATA, ENGAGE HOSPITAL STAKEHOLDERS, PROMOTE PARTNERSHIPS BETWEEN THE HOSPITALS AND COMMUNITY ORGANIZATIONS AND DEVELOP MULTI-YEAR IMPLEMENTATION STRATEGIES TO GUIDE HOSPITAL INITIATIVES TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. THE METHODOLOGY FOR CONDUCTING THE ASSESSMENT INCLUDED THE COLLECTION AND ANALYSIS OF PRIMARY AND SECONDARY HEALTH DATA, GATHERING SIGNIFICANT INPUT FROM THE COMMUNITY, AND THE IDENTIFICATION AND PRIORITIZATION OF KEY HEALTH NEEDS FOR THE REGION. OVER 20 DATA SOURCES WERE UTILIZED TO COLLECT BARNSTABLE COUNTY AND TOWN-LEVEL HEALTH STATISTICS ON DISEASE INCIDENCE AND PREVALENCE, HOSPITAL UTILIZATION, MORBIDITY AND MORTALITY, BARRIERS TO ACCESSING CARE, AND BEHAVIORAL RISK FACTORS. REGIONAL STATISTICS WERE ANALYZED AND COMPARED TO STATE AND NATIONAL STATISTICS TO IDENTIFY WHERE DEMOGRAPHIC AND HEALTH DISPARITIES EXIST. ONCE COLLECTED, STATISTICAL DATA WAS VETTED AND AUGMENTED WITH COMMUNITY INPUT. MORE THAN 140 INDIVIDUALS AND 90 COMMUNITY ORGANIZATIONS REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS PROVIDED CRITICAL INSIGHT AND FEEDBACK ON THE REGIONAL HEALTH NEEDS THROUGH KEY INFORMATION INTERVIEWS AND COMMUNITY INPUT FORUMS. THROUGH THIS COLLECTION OF DATA AND COMMUNITY INPUT THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS WERE DISTINGUISHED AND PRIORITIZED BASED ON THE FREQUENCY, URGENCY, SCOPE, SEVERITY AND MAGNITUDE OF THE IDENTIFIED ISSUES. THE SIGNIFICANT HEALTH NEEDS AND ASSOCIATED TARGET POPULATIONS IDENTIFIED THROUGH THE CHNA REPORT WILL SERVE AS THE FOUNDATION FOR COMMUNITY BENEFITS AND HOSPITAL PLANNING SPANNING FISCAL YEARS 2017-2019. THE FOLLOWING SOURCES WERE UTILIZED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS: - CAPE COD HOSPITAL AND FALMOUTH HOSPITAL UTILIZATION DATA - BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES: ANALYSIS OF SUBSTANCE ABUSE ON CAPE COD, A BASELINE ASSESSMENT, BARNSTABLE COUNTY BEHAVIORAL HEALTH WEB PORTAL, BARNSTABLE COUNTY PUBLIC HEALTH AND WELLNESS WEB PORTAL - CAPE COD FOUNDATION CONNECT CAPE COD - UNIVERSITY OF MASSACHUSETTS (UMASS) DONAHUE INSTITUTE LONG-TERM PROJECTIONS FOR MASSACHUSETTS REGIONAL AND MUNICIPALITIES - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH: MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE (MASS CHIP), MASSACHUSETTS BEHAVIORAL HEALTH RISK FACTOR SURVEILLANCE SYSTEM - US CENSUS BUREAU: US CENSUS 2010, AMERICAN COMMUNITY SURVEY ONCE COLLECTED, STATISTICAL DATA WAS VETTED AND AUGMENTED WITH COMMUNITY INPUT. CAPE COD HOSPITAL AND FALMOUTH HOSPITAL SELECTED JOHN SNOW, INC. (JSI) A PUBLIC HEALTH RESEARCH FIRM, TO CONDUCT PRIMARY RESEARCH INCLUDING HEALTH DATA RESEARCH, KEY INFORMANT INTERVIEWS AND FACILITATION OF COMMUNITY AND PROVIDER FORUMS. JSI INTERVIEWED OVER 25 REGIONAL LEADERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY AND WHO OFFER INFORMATION OR EXPERTISE RELATIVE TO THE SIGNIFICANT HEALTH NEEDS OF VULNERABLE POPULATIONS. THEY INCLUDED SUCH ENTITIES AS MUNICIPAL PUBLIC HEALTH DEPARTMENTS, HUMAN SERVICE AGENCIES, SCHOOLS AND LAW ENFORCEMENT AGENCIES, FEDERALLY QUALIFIED HEALTH CENTERS, COMMUNITY ORGANIZATIONS SERVING LOW-INCOME, VULNERABLE AND MEDICALLY UNDERSERVED POPULATIONS, ELECTED OFFICIALS, AND HOSPITAL CLINICIANS AND ADMINISTRATORS. FIVE COMMUNITY INPUT FORUMS WERE HELD ACROSS BARNSTABLE COUNTY. MORE THAN 140 INDIVIDUALS AND 90 COMMUNITY ORGANIZATIONS ATTENDED. THESE FORUMS PROVIDED AN OPPORTUNITY TO PRESENT STATISTICAL HEALTH FINDINGS TO PARTICIPANTS AND IDENTIFY GAPS IN SERVICES. ADDITIONALLY, THE FORUMS FACILITATED DIALOGUE ON ISSUES NOT IDENTIFIED AND TARGET POPULATIONS MOST IMPACTED BY HEALTH ISSUES. A POST-FORUM SURVEY WAS PROVIDED TO PARTICIPANTS TO IDENTIFY AND RANK HEALTH PRIORITIES IN THE REGION. FEEDBACK AND INPUT FROM THE KEY INFORMANT INTERVIEWS AND FROM ATTENDEES OF THE COMMUNITY AND PROVIDER FORUMS WAS USED TO INFORM THE SELECTION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER THEIR UNPAID HOSPITAL BILLS. IN ORDER TO ASSIST UNINSURED AND UNDERINSURED PATIENTS IN FINDING AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO INFORM PATIENTS THAT THEY MAY BE ELIGIBLE TO APPLY FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS, BUT NOT LIMITED TO, MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE DESIGNATED A LOW INCOME PATIENT UNDER EITHER THE STATE HEALTH SAFETY NET PROGRAM OR THROUGH THE HOSPITAL'S OWN INTERNAL CHARITY CARE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT PAYMENT PLANS THAT MAY BE AVAILABLE TO HIM OR HER BASED ON THE SIZE OF HIS OR HER FAMILY AND FAMILY INCOME. PART VI, LINE 4 DEMOGRAPHICS OF THE SERVICE AREA CAPE COD HEALTHCARE IS THE COMMUNITY SAFETY-NET PROVIDER OF HEALTH CARE SERVICES FOR THE YEAR-ROUND RESIDENTS AND MILLIONS OF ANNUAL VISITORS TO BARNSTABLE COUNTY, ALSO KNOWN AS "CAPE COD." CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, THE ONLY TWO ACUTE-CARE, NON-PROFIT HOSPITALS IN THE REGION, TOGETHER SHARE THE 15 TOWNS OF BARNSTABLE COUNTY AS THEIR PRIMARY SERVICE AREA. THE UPPER CAPE REGION INCLUDES THE MASHPEE WAMPANOAG TRIBAL REGION. CAPE COD HOSPITAL, LOCATED IN HYANNIS, MA, IS A 259-BED ACUTE-CARE, NON-PROFIT HOSPITAL. FALMOUTH HOSPITAL, LOCATED IN FALMOUTH, MA, IS A 95-BED ACUTE-CARE, NON-PROFIT HOSPITAL. BARNSTABLE COUNTY IS A GEOGRAPHICALLY ISOLATED REGION LOCATED ON THE EASTERN SEABOARD OF MASSACHUSETTS. THE NARROW PENINSULA SPANS OVER 70 MILES IN LENGTH AND HOSTS A YEAR-ROUND POPULATION OF 215,449 RESIDENTS. BARNSTABLE COUNTY CONSISTS OF 15 TOWNS THAT VARY IN YEAR-ROUND POPULATION SIZE FROM ABOUT 45,000 RESIDENTS (BARNSTABLE) TO SLIGHTLY MORE THAN 1,700 RESIDENTS (TRURO). IN ADDITION TO SERVING YEAR-ROUND RESIDENTS, THE REGIONAL COMMUNITY INFRASTRUCTURE, INCLUDING CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, MUST MEET THE DEMANDS OF A SIGNIFICANT INFLUX OF SEASONAL RESIDENTS AND VISITORS EACH YEAR. THE CAPE COD COMMISSION PRODUCED ESTIMATES, USING SURVEY DATA FROM SECOND HOMEOWNERS TO INDICATE THAT THE POPULATION OF SUMMER RESIDENTS ON CAPE COD, WHEN AVERAGED OVER A FULL YEAR, IS EQUIVALENT TO AN ADDITIONAL 68,856 FULL-TIME RESIDENTS. THIS COUPLED WITH DAY VISITORS AND SHORT TERM TRAVELER VOLUME RESULTS IN AN ESTIMATED 7 MILLION VISITORS AND RESIDENTS ON CAPE COD IN A GIVEN SUMMER SEASON. THIS SEASONAL POPULATION EXPANSION AND CONTRACTION CREATES UNIQUE CHALLENGES FOR THE CAPES HEALTH CARE SYSTEM, TRANSPORTATION NETWORK, WORKFORCE, BUSINESS COMMUNITY, AND HOUSING MARKET. POPULATION TRENDS AND AGE DEMOGRAPHIC ANALYSIS REVEALS TWO STRIKING TRENDS THAT WILL IMPACT BARNSTABLE COUNTY IN THE NEAR FUTURE. CURRENT DATA AND FUTURE DEMOGRAPHIC PREDICTIONS FOR THE REGION DEMONSTRATE THAT BARNSTABLE COUNTYS OVERALL POPULATION IS DECLINING AND INCREASING IN AGE. ACCORDING TO THE LONG-TERM POPULATION PROJECTIONS FOR MASSACHUSETTS REGIONS AND MUNICIPALITIES, A PUBLICATION BY THE UMASS DONAHUE INSTITUTE, ALL REGIONS IN MA WILL EXPERIENCE POSITIVE POPULATION GROWTH FROM 2010-2035 EXCEPT FOR BARNSTABLE COUNTY AND THE ISLANDS OF NANTUCKET AND MARTHAS VINEYARD. A PROJECTED NET LOSS OF 13% OF THE OVERALL POPULATION OF BARNSTABLE COUNTY IS PREDICTED BETWEEN 2010 AND 2035. BY 2035, THE TOTAL YEAR-ROUND POPULATION IS EXPECTED TO DECREASE TO APPROXIMATELY 188,000 RESIDENTS, A POPULATION SIMILAR TO HISTORIC 1990 NUMBERS. THIS DECLINE IS ATTRIBUTED TO TWO FACTORS, AN OUTFLOW OF YOUNG PEOPLE FROM THE REGION, AND DEATHS CONTINUING TO OUTNUMBER BIRTHS. IN ADDITION TO THE DECLINING POPULATION, THE YEAR-ROUND POPULATION OF BARNSTABLE COUNTY WILL CONTINUE TO HAVE A SIGNIFICANTLY LARGER PROPORTION OF SENIORS OVER THE AGE OF 65 THAN THE STATE OF MASSACHUSETTS (MA) AND THE UNITED STATES (U.S.). ACCORDING TO 2009-2013 AMERICAN COMMUNITY SURVEY ESTIMATES, NEARLY 26% OF THE YEAR-ROUND POPULATION OF BARNSTABLE COUNTY IS OVER THE AGE OF 65 COMPARED TO 14% IN MA AND 13% IN THE U.S. IT IS PREDICTED THAT BY THE YEAR 2035, NEARLY 35% OF THE POPULATION OF BARNSTABLE COUNTY WILL BE OVER THE AGE OF 65.4 IN MA, 58% OF THE OVERALL POPULATION IS COMPRISED OF RESIDENTS BETWEEN THE AGES OF 044 YEARS COMPARED TO ONLY 42% IN BARNSTABLE COUNTY. 'BABY BOOMERS', WHO ARE CURRENTLY INCLUDED IN THE AGE BRACKET OF 45 TO 64 YEAR-OLD RESIDENTS, REPRESENT AN ADDITIONAL 32% OF THE CAPES POPULATION. THESE COMBINED POPULATION STATISTICS SKEW BARNSTABLE COUNTYS MEDIAN AGE TO OVER 50 YEARS OLD, THE HIGHEST FOR ALL COUNTIES IN MASSACHUSETTS. THIS IS MORE THAN A DECADE OLDER THAN THE MA MEDIAN AGE OF 39 YEARS AND THE U.S. MEDIAN AGE OF 37 YEARS. A COMMON THEME DISCUSSED IN STAKEHOLDER INTERVIEWS AND COMMUNITY/PROVIDER FORUMS WAS THAT PERSONS OVER THE AGE OF 65 AND YOUTH (15-24 YEARS OLD) REPRESENTED TWO OF THE MOST VULNERABLE POPULATIONS IN THE SERVICE AREA. YOUTH WERE IDENTIFIED AS A TARGET POPULATION DUE TO CONCERNS RELATED TO EARLY ONSET OF MENTAL HEALTH CONDITIONS, SUBSTANCE USE AND RISKY HEALTH BEHAVIORS. BARNSTABLE COUNTYS GENDER DEMOGRAPHICS MIRROR THOSE OF MA; 52% OF RESIDENTS ARE FEMALE AND 48% ARE MALE. NEARLY 12% OF BARNSTABLE COUNTY RESIDENTS OVER THE AGE OF 18 ARE VETERANS WHICH IS HIGHER THAN THE PERCENTAGE IN BOTH MA (7%) AND THE U.S. (9%). IN BARNSTABLE COUNTY, 13% OF RESIDENTS REPORT THAT THEY ARE LIVING WITH A DISABILITY COMPARED TO 11% IN MA. BARNSTABLE COUNTY MUST MEET THE UNIQUE HEALTH NEEDS OF VETERANS AND PERSONS LIVING WITH DISABILITIES WHO MAY BE AT A GREATER RISK OF DEVELOPING COMORBID CONDITIONS AND OFTEN ENCOUNTER LIMITED ACCESS OR BARRIERS TO CARE. INCOME AND POVERTY ALTHOUGH BARNSTABLE COUNTY HAS A LOWER PROPORTION OF LOW-INCOME RESIDENTS THAN DOES MA (9% VS. 11%), REPRESENTATIVES OF ORGANIZATIONS THAT SERVE VULNERABLE, LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS REPORT A GROWING NUMBER OF RESIDENTS WHO STRUGGLE TO SECURE AND MAINTAIN STABLE EMPLOYMENT. THEY ALSO RELY ON PUBLIC ASSISTANCE PROGRAMS TO AFFORD HEALTH INSURANCE, FOOD AND HOUSING. ACCORDING TO FIVE-YEAR CENSUS ESTIMATES (2009-2013), THE MEDIAN HOUSEHOLD INCOME OF BARNSTABLE COUNTY RESIDENTS WAS $60,526 COMPARED TO $66,866 FOR ALL MASSACHUSETTS RESIDENTS. IN 2014, A HIGHER PERCENT OF PER CAPITA INCOME WAS DERIVED FROM TRANSFER PAYMENTS (SOCIAL SECURITY, DISABILITY PENSIONS, HOUSING AND FOOD SUBSIDY PROGRAMS, AND UNEMPLOYMENT BENEFITS) IN BARNSTABLE COUNTY (19%) COMPARED TO MA (15%) AND THE U.S. (17%). VULNERABLE POPULATIONS ARE FURTHER CHALLENGED BY EMPLOYMENT OPPORTUNITIES ON CAPE COD WHICH DECREASE DURING WINTER MONTHS DUE TO CHARACTERISTICS INHERENT IN A SEASONAL ECONOMY DEPENDENT ON TOURISM AND OTHER FACTORS. IN 2015, THE UNEMPLOYMENT RATE IN BARNSTABLE COUNTY RANGED FROM 9% IN JANUARY TO 5% IN JULY COMPARED TO A STEADY ANNUAL RATE OF 6% UNEMPLOYMENT FOR MA OVERALL. ACCORDING TO FIVE-YEAR ESTIMATES (2009-2013) OF THE AMERICAN COMMUNITY SURVEY: * MORE THAN 48% OF BARNSTABLE COUNTY RESIDENT WHO RENT AND 38% WHO OWN A HOUSING UNIT ARE COST-BURDENED, SPENDING 35% OR MORE OF THEIR TOTAL INCOME ON HOUSING. ACCORDING TO THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT, FAMILIES WHO PAY MORE THAN 30% OF THEIR INCOME FOR HOUSING ARE CONSIDERED COST-BURDENED AND MAY HAVE DIFFICULTY AFFORDING NECESSITIES SUCH AS FOOD, CLOTHING, TRANSPORTATION AND MEDICAL CARE. * 42% OF BARNSTABLE COUNTY RESIDENTS RECEIVE PUBLICILY-FUNDED HEALTH INSURANCE COVERAGE COMPARED TO 32% OF RESIDENTS IN MA OVERALL, AND * 42% OF RESIDENT RECEIVE SOCIAL SECURITY PAYMENTS COMPARED TO 28% IN MA OVERALL. COMBINED TOGETHER, THESE INDICATORS PAINT A PICTURE OF MANY RESIDENTS IN NEED. THE COMMUNITY INPUT COLLECTION PHASE OF THE PROJECT IDENTIFIED NUMEROUS TARGET POPULATIONS IN NEED OF HEALTH INTERVENTIONS. THESE INCLUDED FINANCIALLY DISADVANTAGED POPULATIONS, INCLUDING INDIVIDUALS WITH TRANSITIONAL EMPLOYMENT, CHILDREN UNDER THE AGE OF 18, INDIVIDUALS/FAMILIES WITH HOUSING INSECURITIES, AND THOSE LIVING ON FIXED INCOMES. RACE, ETHNICITY AND LANGUAGE IN ADDITION TO AGE AND INCOME, RACE, ETHNICITY, AND LANGUAGE PLAY A ROLE IN DETERMINING HEALTH OUTCOMES FOR RESIDENTS. COMPARED TO MA, BARNSTABLE COUNTY HAS A RELATIVELY HOMOGENEOUS POPULATION WITH 92% IDENTIFYING AS CAUCASIAN IN 2009-2013 CENSUS ESTIMATES. MASSACHUSETTS IS MORE RACIALLY DIVERSE WITH ONLY 76% OF RESIDENTS IDENTIFYING AS CAUCASIAN. ACCORDING TO FIVE-YEAR ESTIMATES OF THE AMERICAN COMMUNITY SURVEY (2009-2013) THE LARGEST RACIAL/ETHNIC MINORITY GROUPS ON CAPE COD ARE HISPANICS/LATINOS AND AFRICAN-AMERICAN RESIDENTS WITH EACH GROUP REPRESENTING ABOUT 2% OF THE POPULATION. IN THAT SAME TIME PERIOD, 7% OF THE POPULATION LIVING IN BARNSTABLE COUNTY WAS FOREIGN-BORN, COMPARED TO 15% FOR THE COMMONWEALTH OF MASSACHUSETTS. SLIGHTLY MORE THAN 8% OF THE POPULATION FIVE YEARS OR OLDER IN BARNSTABLE COUNTY SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME COMPARED TO 22% IN THE COMMONWEALTH. WHILE DIVERSITY MAY BE LOW COMPARATIVELY, PUBLIC HEALTH EXPERTS AND INDIVIDUALS REPRESENTING LOW-INCOME, VULNERABLE, AND MEDICALLY UNDERSERVED POPULATIONS ON CAPE COD CITE THAT FOREIGN-BORN RESIDENTS AND RACIAL/ETHNIC MINORITIES ON CAPE COD (E.G., HISPANICS, AFRICAN AMERICANS, AND PORTUGUESE-SPEAKING BRAZILIANS) WERE MOST LIKELY TO EXPERIENCE BARRIERS TO ACCESSING CARE AND ARE DISPROPORTIONALLY IDENTIFIED WITHIN HIGH NEEDS POPULATIONS AS COMPARED TO OTHERS. INSURANCE STATUS MASSACHUSETTS LEADS THE NATION AS THE STATE WITH THE LOWEST RATE OF UNINSURED RESIDENTS. IN 2014, ONLY 4% OF RESIDENTS IN THE COMMONWEALTH LACKED MEDICAL HEALTH INSURANCE, COMPARED TO 10% NATIONALLY, DUE TO THE STATES EARLY HEALTH REFORM EFFORTS WHICH BEGAN IN 2006. HOWEVER, THERE IS VARIATION IN INSURED POPULATIONS ACROSS THE STATE OF MA ACCORDING TO THE GEOGRAPHY OF UNINSURANCE IN MASSACHUSETTS 2009-2013, A PUBLICATION BY THE BLUE CROSS BLUE SHIELD OF MASSACHUSETTS FOUNDATION AND THE URBAN INSTITUTE. ACCORDING TO THE STUDY, BARNSTABLE COUNTY, AT 3.4%, HAS THE HIGHEST PERCENTAGE OF UNINSURED CHILDREN (0-17 YEARS) IN THE STATE COMPARED TO ALL OTHER COUNTIES. BARNSTABLE COUNTY, WITH AN OVERALL 5% UNINSURED RATE (ADULTS AND CHILDREN), IS ALSO THE 4TH HIGHEST RANKING COUNTY IN MA FOR THE NUMBER OF UNINSURED PERSONS OF ALL AGES. INPUT FROM PUBLIC HEALTH EXPERTS AND INDIVIDUALS REPRESENTING LOW-INCOME, VULNERABLE, AND MEDICALLY-UNDERSERVED POPULATIONS ON CAPE COD NOTE THAT BEYOND INDIVIDUALS AND CHILDREN WHO ARE UNINSURED, THERE ARE MANY RESIDENTS WHO ARE 'UNDER-INSURED'. THIS POPULATION STRUGGLES WITH THE COST OF PUBLICLY AVAILABLE HEALTH PLANS, COVERAGE OF DEDUCTIBLES AND PRESCRIPTIONS, AND WITH MAINTAINING INSURANCE COVERAGE UNDER CONTINUOUS ENROLLMENT CHANGES. CAPE COD HOSPITAL AND FALMOUTH HOSPITAL DERIVE APPROXIMATELY 67% OF PATIENT SERVICE REVENUES FROM PUBLIC PAYERS. FROM FY2013 TO FY2015 THE HOSPITALS PERCENTAGE OF MEDICAID AND MEDICARE STEADILY INCREASED WHILE THE PERCENTAGE FROM NON-GOVERNMENT SOURCES STEADILY DECREASED. AS BOTH STATE AND FEDERAL PAYERS FACE BUDGETING CONCERNS, PUBLIC PAYER REIMBURSEMENT IS FORECASTED TO REMAIN FLAT OR DECLINE. MANY OF THE KEY SERVICES USED BY VULNERABLE POPULATIONS SUCH AS BEHAVIORAL HEALTH ARE POORLY REIMBURSED. THESE TRENDS DEMONSTRATE CONTINUED RELIANCE ON SOURCES OF PUBLIC HEALTH COVERAGE AS THE AREA DEMOGRAPHICS BECOME MORE CHALLENGING. CONCLUSION UNDERSTANDING THE COMMUNITY NEED AND HEALTH STATUS OF BARNSTABLE COUNTY RESIDENTS BEGINS WITH IDENTIFYING THE DEMOGRAPHIC PROFILE AND UNDERLYING SOCIO-ECONOMIC DRIVERS THAT IMPACT HEALTH AND HEALTH EQUITY. ASSESSING SOCIAL DETERMINANTS OF HEALTH SUCH AS AGE, INCOME, RACE/ETHNICITY, LANGUAGE, INCOME, POVERTY, UNEMPLOYMENT, INSURANCE COVERAGE, AND HOUSING STATUS PROVIDES CRITICAL INFORMATION FOR IDENTIFYING TARGET POPULATIONS AND COMMUNITY SETTINGS FOR HEALTH IMPROVEMENT INTERVENTIONS AND ACTIVITIES. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: Cape Cod Healthcare conducts a Community Health Needs Assessment every three years to determine the significant health care needs of the residents of Barnstable County. The objective of the assessment is to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of Barnstable County. The target populations, significant health needs and available resources to address those health needs are integrated into community benefit and hospital planning activities including direct clinical programs, health education, wellness promotion, financial support and community engagement activities. The following is a list of FY16 target populations: - INDIVIDUALS MANAGING OR AT RISK OF DEVELOPING CHRONIC AND INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, ALZHEIMER'S DISEASE, HEPATITIS C, OR TICK-BORNE DISEASE. - RESIDENTS FACING BARRIERS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. - INDIVIDUALS WITH MENTAL HEALTH DISORDERS AND CO-OCCURRING DISORDERS. - INDIVIDUALS WITH SUBSTANCE USE DISORDERS. - SENIOR POPULATION, AGES 65 AND OLDER. - YOUTH AND YOUNG ADULTS, AGES 15 TO 24 YEARS OLD. Cape Cod Healthcare and the Cape Cod Healthcare Community Benefits department supported the following programs in FY16: INTERPRETER SERVICES FOR COMMUNITY-BASED PHYSICIAN OFFICES CCHC COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR INDIVIDUALS WHO FACE BARRIERS TO CARE DUE TO LANGUAGE THROUGH THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM. THE PROGRAM DISPATCHES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN PRACTICES TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE, QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. Specialty Network for the Uninsured CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO HARBOR COMMUNITY HEALTH CENTER - HYANNIS TO COORDINATE THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE SNU PROGRAM INCREASES ACCESS TO SPECIALTY CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH MANAGING A NETWORK OF MEDICAL SPECIALISTS WHO WILL PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEES FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE OF UNINSURED AND UNDER-INSURED INDIVIDUALS. Prescription Assistance Program THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO ASSIST UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. Transportation Assistance Program IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. DUFFY HEALTH CENTER: SUPPORTING BEHAVIORAL HEALTH SERVICES FOR HOMELESS AND AT RISK ADULTS THE DUFFY HEALTH CENTER PROVIDES PRIMARY CARE AND BEHAVIORAL HEALTH CARE TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS IN BARNSTABLE COUNTY. IN FY16, COMMUNITY BENEFITS FUNDING FROM CAPE COD HEALTHCARE SUPPORTED THE DUFFY HEALTH CENTERS BEHAVIORAL HEALTH SERVICES INCLUDING THERAPY, PSYCHIATRY AND CASE MANAGEMENT SUPPORT FOR HEALTH CENTER PATIENTS. SUPPORT GROUPS AND HEALTH EDUCATION CLASSES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL AT CAPE COD AND FALMOUTH HOSPITAL, SUPPORT GROUPS FOR BEREAVEMENT AND CANCER SURVIVORSHIP, CLASSES AND COUNSELING FOCUSED ON BREASTFEEDING AND FATHERHOOD AND HOLISTIC SERVICES TO COMPLEMENT TRADITIONAL MEDICAL CARE ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY. CLASSES AND GROUPS ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND CAREGIVERS INCLUDE IN-PERSON MEETINGS AND CONTACTS TO OFFER SUPPORT AND REASSURANCE THROUGH THEIR SPECIFIC DISEASE/HEALTH CARE SITUATION. WORKFORCE AND CAREER DEVELOPMENT INITIATIVES: CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOOL TO HAVE A POSITIVE AND PROFESSIONAL EXPERIENCE THROUGH INTERNSHIPS, JOB SHADOWING AND TRAINING WITH HEALTH CARE PROVIDERS IN SEVERAL HOSPITAL DEPARTMENTS. BY TRAINING AND MENTORING STUDENTS FOR FUTURE EMPLOYMENT, WE HOPE TO SUCCESSFULLY ENGAGE INDIVIDUALS SO THEY SELECT HEALTH CARE AS A VIABLE AND ADMIRABLE VOCATION, THUS DECREASING THE POTENTIAL RISK FOR PREDICTED FUTURE SHORTAGES IN THE WORKPLACE. SUPPORTING THE HEALTH INSURANCE NEEDS OF EVERYONE (SHINE): CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO THE REGIONAL SHINE PROGRAM TO EXPAND INFORMATION, COUNSELING AND ASSISTANCE TO BARNSTABLE COUNTY RESIDENTS WITH MEDICARE AND THEIR CAREGIVERS. Growing a dementia friendly community: hope dementia and Alzheimers services: Cape Cod healthcare community benefits awarded a grant to hope dementia and Alzheimers services to offer community trainings for caregivers and emergency responders titled Alzheimers disease: what you need to know. FOODS TO ENCOURAGE - NUTRITION'S ROLE IN DIABETES AND HYPERTENSION TREATMENT AND PREVENTION PILOT PROGRAM: CAPE COD HUNGER NETWORK FOODS TO ENCOURAGE IS A PROGRAM TO MONITOR AND IMPROVE DIABETES AND HYPERTENSION DISEASE OUTCOMES IN LOW TO MODERATE INCOME RESIDENTS WHO ACCESS FOOD FROM CAPE FOOD PANTRIES. The FY16 community benefits grant from cape cod healthcare allowed the program to expand from one location to four food pantries across cape cod. Cape cod cooperative extension tick testing and disease surveillance project: Cape cod healthcare provided community benefits funding to the Cape Cod cooperative extension to subsidize a tick testing and tick-borne disease surveillance program for Barnstable county residents. HEALTHY PARKS, HEALTHY PEOPLE: A WELLNESS COLLABORATION BETWEEN CAPE COD HEALTHCARE AND THE CAPE COD NATIONAL SEASHORE CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE TO PROMOTE WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS. Living fit for you! Cancer wellness program at Falmouth hospital: Living fit for you is a free, structured, and medically-supervised exercise and education program that assists individuals undergoing treatment for cancer to manage fatigue, deconditioning, and a loss of physical function. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMS ROLES: THE HOSPITALS ARE PART OF AN AFFILIATED HEALTHCARE SYSTEM AND THEIR RESPECTIVE ROLES ARE: CAPE COD HOSPITAL - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN HYANNIS, MASSACHUSETTS FALMOUTH HOSPITAL ASSOCIATION, INC. - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN FALMOUTH, MASSACHUSETTS CAPE COD HEALTHCARE, INC. - A NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE PARENT COMPANY OF VARIOUS ENTITIES PROVIDING HEALTH CARE SERVICES TO THE POPULATION OF CAPE COD, MASSACHUSETTS CAPE COD HEALTHCARE FOUNDATION, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE DEVELOPMENT AND FUNDRAISING SUPPORT TO CAPE COD HEALTHCARE CAPE AND ISLANDS HEALTH SERVICES II, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE VARIOUS NONHOSPITAL HEALTH CARE SERVICES MEDICAL AFFILIATES OF CAPE COD, INC. - A NOT-FOR-PROFIT MEDICAL GROUP PRACTICE VISITING NURSE ASSOCIATION OF CAPE COD - A NOT-FOR-PROFIT PROVIDER OF HOME HEALTH SERVICES CAPE COD HUMAN SERVICES, INC. - A NOT-FOR-PROFIT PROVIDER OF OUTPATIENT MENTAL HEALTH SERVICES FALMOUTH ASSISTED LIVING, INC., D/B/A HERITAGE AT FALMOUTH - A NOT-FOR-PROFIT CORPORATION THAT OWNS AN ASSISTED LIVING FACILITY JML CARE CENTER, INC. - A NOT-FOR-PROFIT SKILLED NURSING AND REHABILITATION FACILITY CAPE HEALTH INSURANCE COMPANY - A CAPTIVE INSURANCE COMPANY THAT PROVIDES MEDICAL PROFESSIONAL AND GENERAL LIABILITY INSURANCE TO CAPE COD HEALTHCARE CAPE COD HOSPITAL MEDICAL OFFICE BUILDING - A PROVIDER OF LEASED AND SUBLEASED SPACE TO CAPE COD HOSPITAL AND RELATED AFFILIATIONS PART VI, LINE 7 ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA true true false false false false false true false DIANNE C KOLB President VNA 0 205082 0 42651 0 20251 0 37418 0 24297 0 329699 0 10403 MICHAEL G JONES Sr VP Chief Legal OffICER 0 311755 0 73106 0 21823 0 41844 0 36374 0 484902 0 15965 MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 0 846278 0 700125 0 180554 0 198300 0 40306 0 1965563 0 146200 MICHAEL L CONNORS SENIOR VP FINANCE/CFO 0 391729 0 102000 0 32956 0 52735 0 37122 0 616542 0 18911 EMILY TIERNEY MD PHYSICIAN 829254 0 825863 0 69497 0 28454 0 13155 0 1766223 0 0 0 EMILY SCHORER SVP HUMAN RESOURCES 0 251483 0 60965 0 630 0 22402 0 34432 0 369912 0 0 JEANNE FALLON SR VP & CIO 0 246997 0 49335 0 10029 0 41561 0 27674 0 375596 0 8625 JEFFREY S DYKENS SEE SCHEDULE O 0 236355 0 37200 0 18663 0 26862 0 36182 0 355262 0 10620 RICHARD B ZELMAN MD PHYSICIAN 1191706 0 125000 0 94114 0 10600 0 37124 0 1458544 0 0 0 ACHILLE PAPAVASILIOU MD PHYSICIAN 592722 0 374996 0 630 0 28600 0 36124 0 1033072 0 0 0 PAUL HOULE MD PHYSICIAN 592722 0 263274 0 630 0 28600 0 36124 0 921350 0 0 0 PATRICK KANE SVP OF MRKTG, COMMUN & DEVLP 0 301455 0 71715 0 24532 0 32439 0 36374 0 466515 0 15450 ARTHUR MOMBOURQUETTE COO UNTIL 1/15 0 30541 0 0 0 427981 0 8808 0 1967 0 469297 0 23333 THERESA M AHERN SVP, STRAT, COMMUNITY/GOV REL. 0 234628 0 59900 0 11489 0 23939 0 24297 0 354253 0 9188 VICTOR OLIVEIRA VP PATIENT SERVICES 0 240705 0 48360 0 19399 0 36309 0 36124 0 380897 0 11375 JOHN LIPOMI SR VP MANAGED CARE UNT 12/15 0 350609 0 79875 0 22419 0 48782 0 25337 0 527022 0 17253 DONALD GUADAGNOLI MD CMO CAPE COD HOSPITAL 0 411719 0 94500 0 24168 0 54395 0 37124 0 621906 0 12722 KEVIN J MULROY See Sch O for title 0 361965 0 84375 0 19722 0 37163 0 36392 0 539617 0 9750 CARTER HUNT SEE SCHEDULE O FOR TITLE 0 184627 0 15096 0 584 0 24860 0 34155 0 259322 0 0 ALEXANDER HEARD MD CMO FALMOUTH HOSPITAL 37655 179887 0 0 0 64 557 3180 0 0 38212 183131 0 0 CHRISTIAN BROWN SR VP MANAGED CARE AS OF 11/15 0 255778 0 48300 0 16255 0 42447 0 33892 0 396672 0 8025 KEVIN RALPH SVP DEVELOPMENT 0 240975 0 60750 0 420 0 10491 0 37374 0 350010 0 0 NICHOLAS COPPA MD PHYSICIAN 609218 0 243269 0 420 0 5300 0 33892 0 892099 0 0 0 MARY FRANCO FORMER SVP DEVELOPMENT 0 0 0 0 0 119475 0 0 0 1525 0 121000 0 0 GROVER BAXLEY MD TRUSTEE UNTIL 1/16 179880 0 0 0 20398 0 7855 0 1525 0 209658 0 0 0 SCHEDULE J, PART I, LINE 4A MARY FRANCO, FORMER SVP OF DEVELOPMENT (FROM 1/14-5/14), RECEIVED SEVERANCE PAYMENTS OF $119,475 DURING CALENDAR YEAR 2015. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFIT FOR A PERIOD OF 15 MONTHS, INCLUDING MEDICAL AND DENTAL INSURANCE COVERAGE. ARTHUR MOMBOURQUETTE, COO CCHC (FROM 11/12-1/15), RECEIVED SEVERANCE PAYMENTS OF $369,231 DURING CALENDAR YEAR 2015. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF 12 MONTHS, INCLUDING MEDICAL AND DENTAL INSURANCE COVERAGE. SCHEDULE J, PART I, LINE 4B - 457(F) CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EXECUTIVES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF CASH COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2015 WERE AS FOLLOWS: - MICHAEL K. LAUF - $65,637 - MICHAEL L. CONNORS - $23,876 - MICHAEL G. JONES - $20,017 - VICTOR OLIVEIRA - $13,664 - JEFFREY S. DYKENS - $11,276 - DIANNE C. KOLB - $11,599 - JOHN LIPOMI - $19,096 - KEVIN MULROY - $10,245 - THERESA AHERN - $9,683 - JEANNE FALLON - $9,063 - DONALD GUADAGNOLI, MD - $13,319 - PATRICK KANE - $15,817 - ARTHUR MOMBOURQUETTE - $27,226 - CHRISTIAN BROWN - $8,482 CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO SPONSOR A NONQUALIFIED PENSION RESTORATION ACCOUNT PLAN FOR KEY EXECUTIVES. THE ORGANIZATION MAKES CONTRIBUTIONS OF TWO PERCENT OF THE INDIVIDUAL'S ANNUAL SALARY (INCLUDING BONUS) THROUGHOUT THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON RETIREMENT, TERMINATION, OR DEATH. During calendar year 2015, Michael Lauf also participated in a Section 457(f) plan. Twelve percent of his base salary was contributed and each contribution is subject to a three year vesting schedule. The amount deferred in calendar year 2015 was $102,000 and is included in Schedule J, Part II, Column (C). IN ADDITION, $95,087 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). SCHEDULE J, PART I, LINE 7 Discretionary bonuses are awarded annually based upon both the performance of the organization and the individual. Bonuses are reflected in Schedule J, Part II, Column B(ii). THE INDIVIDUALS REPORTED IN SCHEDULE J, PART II REPORTED AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION. A MHEFA REVENUE BONDS SERIES D 042456011 57586ERM5 2010-02-16 63314516 Reissue of Series D (12/23/2004) false false false B MHEFA REVENUE BONDS SERIES E 042456011 000000000 2012-01-12 29440000 Reissue of Ser E(6/18/08)&(2/12/09 false false false C MDFA REVENUE BONDS SERIES 2012A 043431814 000000000 2012-02-24 25800000 REFUND SER.B(8/15/98)&C(11/15/01) false false false D MDFA REVENUE BONDS SERIES 2013 043431814 57584VAH8 2013-07-11 50831729 REFUND SER C(10/9/01)& CAPITAL IMP false false false A 9185000 0 63314516 3986259 0 0 914516 0 0 0 62400000 0 2010 true false true true B 13738666 0 29440000 0 0 0 0 0 0 0 29440000 0 2012 true false true true C 10320000 0 25800000 0 0 0 336100 0 0 0 25463900 0 2012 true false true true D 0 0 50834109 519529 1295804 0 803269 0 0 27999812 20735223 0 2014 true false true true A false false false 0 false false false true B 0 true C 0 true D false false false 0 false false false true A false false true true false false 0 false 0 false true B false false true true true false 0 false 0 false true C false false true true false false 0 false 0 false true D false true true false false false 0 false 0 false true A true B true C true D true PART IV, LINE 2(C) MHEFA, REVENUE BONDS, SERIES D - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 6/30/2014. MHEFA, REVENUE BONDS, SERIES E - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 7/12/2012. MDFA REVENUE BONDS, SERIES 2012A- THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 01/31/16. MDFA, REVENUE BONDS, SERIES 2014 - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 08/31/15. A MDFA REVENUE BONDS SERIES 2014 043431814 000000000 2014-09-29 24000000 RENOVATION & REAL ESTATE PURCHASE false false false A 0 0 24001267 0 0 0 0 241456 0 0 23759811 0 2015 false false true true A false false false 0 false false false true A false false false true false false 0 false 0 false true A true DR KATIE RUDMAN SPOUSE OF TRUSTEE 131903 MACC EMPLOYEE false DR DALE WELDON SPOUSE OF OFFICER 122962 HOSPITAL EMPLOYEE false X 25 211039 VALUE OF STOCK REC'D false true true SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. SCHEDULE M, PART I, LINE 32(A) ON OCCASION THE ORGANIZATION UTILIZES A BROKER TO DISPOSE OF NONCASH CONTRIBUTIONS (OTHER THAN PUBLICLY TRADED SECURITIES). FORM 990, PART I, LINE 1 AND PART III, LINE 1 WE WILL BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR CAPE COD RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTH CARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE WILL PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. COMMUNITY BENEFITS MISSION STATEMENT CAPE COD HEALTHCARE, INC., (CCHC) THROUGH ITS COMMUNITY BENEFITS INITIATIVE, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL RESIDENTS OF CAPE COD. THROUGH CONTINUOUS ASSESSMENT OF COMMUNITY NEEDS, COORDINATED PLANNING AND THE ALLOCATION OF RESOURCES, THIS COMMITMENT INCLUDES A SPECIAL FOCUS ON THE UNMET NEEDS OF THE FINANCIALLY DISADVANTAGED AND UNDERSERVED POPULATIONS. WE WILL TAKE A LEADERSHIP ROLE IN COLLABORATIVE EFFORTS JOINING OUR RESOURCES, TALENT, AND COMMITMENT WITH THAT OF OTHER PROVIDERS, ORGANIZATIONS AND COMMUNITY MEMBERS. THE COMMUNITY BENEFITS MISSION STATEMENT WAS AFFIRMED BY THE CCHC COMMUNITY HEALTH COMMITTEE AND THE BOARD OF TRUSTEES IN 2000 AND REMAINS IN EFFECT. TARGET POPULATIONS 1. NAME OF TARGET POPULATION: INDIVIDUALS MANAGING OR AT RISK OF DEVELOPING CHRONIC AND INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, ALZHEIMERS DISEASE, HEPATITIS C OR TICK-BORNE DISEASE. BASIS FOR SELECTION: ALIGNED WITH STATE AND NATIONAL HEALTH PRIORITIES, BARNSTABLE COUNTY RESIDENTS MANAGING CHRONIC DISEASES ARE AT THE GREATEST RISK OF DECLINED HEALTH AND DEATH. CANCER, CARDIOVASCULAR DISEASE, ALZHEIMERS DISEASE, HEPATITIS C AND TICK-BORNE DISEASES ARE HIGHLY REPRESENTED AMONG RESIDENTS OF BARNSTABLE COUNTY. THIS TARGET POPULATION WAS IDENTIFIED AND SELECTED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 2. NAME OF TARGET POPULATION: RESIDENTS FACING BARRIERS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. BASIS FOR SELECTION: BARRIERS TO CARE EXIST IN BARNSTABLE COUNTY DESPITE HIGH RATES OF RESIDENTS WITH HEALTH INSURANCE COVERAGE. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE REPORT IDENTIFIED THE AVAILABILITY OF PRIMARY CARE AND SPECIALTY CARE PROVIDERS, OUT-OF-POCKET EXPENSES, AND LINGUISTIC CHALLENGES AS SPECIFIC BARRIERS FOR THIS TARGET POPULATION. 3. NAME OF TARGET POPULATION: INDIVIDUALS WITH MENTAL HEALTH DISORDERS AND CO-OCCURRING DISORDERS. BASIS FOR SELECTION: ACCESS TO ADEQUATE MENTAL HEALTH CARE IN BARNSTABLE COUNTY IS AN AREA OF CONCERN, AS EVIDENCED BY HIGH RATES OF PATIENTS PRESENTING WITH MENTAL HEALTH DISORDERS IN HOSPITAL EMERGENCY DEPARTMENTS AND INCREASING RATES OF SUICIDE. SPECIFIC CHALLENGES IDENTIFIED FOR RESIDENTS WITH MENTAL HEALTH DISORDER INCLUDE ACCESS BARRIERS DUE TO A SHORTAGE OF PSYCHIATRIC PROVIDERS, LONG WAIT TIMES FOR OUTPATIENT APPOINTMENTS AND LIMITED ACUTE CARE INSTITUTIONAL OPTIONS FOR SPECIAL POPULATIONS. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 4. NAME OF TARGET POPULATION: INDIVIDUALS WITH SUBSTANCE USE DISORDERS.BASIS FOR SELECTION: THE IMPACT OF SUBSTANCE USE DISORDERS IS A CRITICAL HEALTH CHALLENGE FOR THE HEALTH SYSTEM AND COMMUNITY IN BARNSTABLE COUNTY. THE OVERALL RATES OF SUBSTANCE USE TREATMENT ADMISSIONS ARE HIGHER IN BARNSTABLE COUNTY THAN MA, SPECIFICALLY FOR ALCOHOL AS A PRIMARY SUBSTANCE. IN ADDITION, TREATMENT ADMISSIONS FOR OPIATES AS A PRIMARY SUBSTANCE OF USE MORE THAN DOUBLED FROM 2007 TO 2011. CHALLENGES CITED INCLUDE THE AVAILABILITY OF ACUTE DETOX AND TREATMENT OPTIONS, AND NAVIGATION OF EXISTING SERVICES. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 5. NAME OF TARGET POPULATION: SENIOR POPULATION, AGES 65 AND OLDER. BASIS FOR SELECTION: BARNSTABLE COUNTYS MEDIAN AGE OF 49.9 YEARS IS MORE THAN A DECADE OLDER THAN MA AND U.S. MEDIAN AGE AVERAGES. ACCORDING TO THE 2010 U.S. CENSUS, THE POPULATION OF INDIVIDUALS OF THE AGE 65 AND OLDER REPRESENT 25% OF THE YEAR ROUND POPULATION IN BARNSTABLE COUNTY WITH A SIGNIFICANT INCREASE OF RESIDENTS OVER THE AGE OF 85 BETWEEN 2000 AND 2010. NEARLY 40% OF ALL HOUSEHOLDS REPORT A RESIDENT OVER THE AGE OF 65. HIGH UTILIZATION RATES OF HEALTH SERVICES, ISOLATION, AND CHALLENGES RELATED TO NAVIGATION OF SERVICES WERE IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 6. NAME OF TARGET POPULATION: YOUTH AND YOUNG ADULTS, AGES 15 TO 24 YEARS OLD. BASIS FOR SELECTION: YOUTH AND YOUNG ADULTS, AGES 1524 YEARS OLD, WERE IDENTIFIED IN THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS A SPECIFIC AT-RISK POPULATION DUE TO INCREASING RATES OF SUBSTANCE ABUSE TREATMENT ADMISSIONS, SEXUALLY TRANSMITTED DISEASES AND MOTOR VEHICLE ACCIDENTS. CAPE COD HEALTHCARE COLLABORATES WITH A BROAD RANGE OF HEALTH AND HUMAN SERVICE AGENCIES TO ADDRESS THE NEEDS OF AT-RISK YOUTH AND YOUNG ADULTS. PUBLICATION OF TARGET POPULATIONS NOT SPECIFIED, OTHER- COMMUNITY HEALTH NEEDS ASSESSMENT REPORT HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP. HTTP://WWW.CAPECODHEALTH.ORG/ABOUT/CARING-FOR-OUR-COMMUNITY/ KEY ACCOMPLISHMENTS OF REPORTING YEAR CAPE COD HEALTHCARE CONTINUED TO STAND OUT IN THE AREA OF QUALITY, INNOVATION AND PATIENT APPRECIATION IN FY2016. CAPE COD HOSPITAL AND FALMOUTH HOSPITALS GARNERED SEVERAL IMPORTANT AWARDS AND RECOGNITIONS, INCLUDING: * AMERICA'S 100 GREAT COMMUNITY HOSPITALS: CAPE COD HOSPITAL WAS NAMED TO THE LIST OF AMERICAS 100 GREAT COMMUNITY HOSPITALS BY BECKERS HOSPITAL REVIEW FOR THE FIFTH CONSECUTIVE YEAR. THIS RECOGNITION IS BASED ON QUALITY OF CARE AND SERVICE TO OUR COMMUNITY, AND DEMONSTRATES THAT THE HOSPITAL IS SUCCESSFULLY AND CONSISTENTLY ACHIEVING TOP RESULTS IN PATIENT CARE AND SATISFACTION. * AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES: FALMOUTH HOSPITAL EARNED THE GET WITH THE GUIDELINES-STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD FOR THE SEVENTH CONSECUTIVE YEAR. THIS ACHIEVEMENT RECOGNIZES THE HOSPITALS COMMITMENT AND SUCCESS IN IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINE BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR THE TREATMENT OF STROKE PATIENTS. * DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE: HEALTHGRADES RECOGNIZED BOTH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL WITH ITS 2016 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE. THE HONOR RECOGNIZED HOSPITALS PERFORMING IN THE TOP 5 PERCENT NATIONWIDE BASED ON RISK-ADJUSTED CLINICAL OUTCOMES FOR DOZENS OF COMMON PROCEDURES AND CONDITIONS. * BLUE DISTINCTION AWARDS: BLUE CROSS BLUE SHIELD RECOGNIZES HOSPITALS FOR DEMONSTRATED EXPERTISE IN SPECIALTY SERVICES AND QUALITY MEASURES FOR PATIENTS. CAPE COD HOSPITAL WAS RECOGNIZED FOR THE FOLLOWING SPECIALTIES: TOTAL HIP REPLACEMENT, TOTAL KNEE REPLACEMENT, MATERNITY, AND CARDIAC AND SPINE SURGERY. FALMOUTH HOSPITAL WAS RECOGNIZED FOR THE FOLLOWING SPECIALTIES: TOTAL HIP REPLACEMENT AND MATERNITY. * CENTER OF NAS EXCELLENCE: CAPE COD HOSPITAL WAS DESIGNATED A CENTER OF EXCELLENCE FOR EDUCATION AND TRAINING FOR INFANTS AND FAMILIES IMPACTED BY NEONATAL ABSTINENCE SYNDROME BY THE VERMONT OXFORD NETWORK. THE DESIGNATION IS AWARDED TO HEALTH CENTERS THAT SUCCESSFULLY TRAIN AT LEAST 85 PERCENT OF THEIR DESIGNATED CARE TEAM USING A NOVEL ONLINE TRAINING PLATFORM TO COMPLETE 17 CRITICAL, EVIDENCE-BASED LEARNING LESSONS. * LEAPFROG HOSPITAL SAFETY SCORE: CAPE COD HOSPITAL WAS ONE OF ONLY 182 HOSPITALS IN THE ENTIRE COUNTRY TO ACHIEVE STRAIGHT AS IN THE ANNUAL HOSPITAL SAFETY SCORE SINCE THE INITIATIVE WAS LAUNCHED IN 2012. FALMOUTH HOSPITAL WAS RECOGNIZED WITH A B HOSPITAL SAFETY SCORE. THE HOSPITAL SAFETY SCORE IS THE GOLD STANDARD RATING FOR PATIENT SAFETY AND IS COMPILED BY THE LEAPFROG GROUP, A NON-PROFIT HOSPITAL SAFETY WATCHDOG. * READMISSION RATES: CAPE COD HOSPITAL WAS RECOGNIZED AS AMONG THE TOP THREE HOSPITALS IN THE STATE WITH THE LOWEST READMISSION RATES IN A REPORT BY THE STATE CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) IN 2016. THE REPORT EXAMINED RATES AT SPECIFIC HOSPITALS AND REGIONS IN THE STATE. CCH HAS CONSISTENTLY BEEN WITHIN THE LOWEST QUARTILE FOR READMISSION RATES OVER THE PAST SEVERAL YEARS. * STANDARD & POORS RAISES CCHC BOND RATING: STANDARD & POORS RATINGS SERVICES REAFFIRMED ITS LONG-TERM "A" RATING FOR CAPE COD HEALTHCARE. THE RATING OUTLOOK REMAINED "STABLE." S&P ATTRIBUTED THE POSITIVE RATING TO CCHC'S FINANCIAL PROFILE AS "STRONG, WITH CONSISTENTLY HEALTHY FINANCIAL OPERATING PERFORMANCE IN RECENT YEARS." STANDARD & POOR'S IS A NATIONALLY RECOGNIZED STATISTICAL RATING ORGANIZATION DESIGNATED BY THE SECURITIES AND EXCHANGE COMMISSION. IN ADDITION TO CLINICAL ACHIEVEMENTS, HOSPITAL-BASED AND COMMUNITY-BASED HEALTH IMPROVEMENT ACTIVITIES CONTINUED IN AN EFFORT TO ADDRESS THE HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS. THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN GUIDED HEALTH IMPROVEMENT AND COMMUNITY BENEFITS ACTIVITIES TO FOCUS ON FOUR KEY HEALTH PRIORITIES IDENTIFIED IN THE REPORT: CHRONIC AND INFECTIOUS DISEASE, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS. THESE PRIORITIES WERE ADDRESSED THROUGH NEW AND EXISTING HOSPITAL PROGRAMS, COLLABORATION WITH FEDERALLY QUALIFIED HEALTH CENTERS, INVESTMENTS IN COMMUNITY-BASED HEALTH AND HUMAN SERVICE ORGANIZATIONS, AND EXPANDED REGIONAL COALITIONS AND TASK FORCE EFFORTS. CHRONIC AND INFECTIOUS DISEASE MANAGEMENT, PREVENTION, SCREENING, AND DETECTION EFFORTS WERE SUPPORTED THROUGH A VARIETY OF CCHC COMMUNITY BENEFITS ACTIVITIES. HOSPITAL EFFORTS INCLUDED CANCER SURVIVORSHIP SERVICES, ONCOLOGY SUPPORT GROUPS, PHYSICIAN-LED CANCER PREVENTION WORKSHOPS AND HEALTH FAIRS, AND CLINICAL-COMMUNITY LINKAGES FOR PATIENTS TO ACCESS COMPLEMENTARY SERVICES SUCH AS MASSAGE, ACUPUNCTURE AND NUTRITIONAL COUNSELING. CCHC INFECTIOUS DISEASE CLINICAL SERVICES COORDINATED HEPATITIS C AND HIV/AIDS SCREENING, TESTING AND DISEASE MANAGEMENT SERVICES FOR THE REGION. CCHC COMMUNITY BENEFITS PROVIDED GRANTS FOR PROJECTS INCLUDING A HPV AWARENESS CAMPAIGN FOR YOUTH, MELANOMA PREVENTION EDUCATION AT BEACHES, AND A TICK TESTING AND TICK-BORNE DISEASE SURVEILLANCE PROGRAM. CAPE COD HEALTHCARE PARTNERED WITH THE CAPE COD HUNGER NETWORK TO EXPAND A PROGRAM FOR CLIENTS OF LOCAL FOOD PANTRIES TO HELP MONITOR THEIR DIABETES AND HEART DISEASE AND ENCOURAGE NUTRITIONAL IMPROVEMENT THROUGH EDUCATION AND DISTRIBUTION OF FRESH FOOD AND VEGETABLES. THE FLAVORX PILOT PROJECT ENCOURAGED PATIENTS TO PURSUE PLANT-BASED DIETS AND OFFERED INCENTIVES TO SHOP AT LOCAL FARMERS MARKETS. HEALTHY PARKS, HEALTHY PEOPLE, A WALKING PROGRAM TO PROMOTE HEALTH AND WELLNESS FOR YEAR-ROUND AND SEASONAL RESIDENTS, AS WELL AS VISITORS TO THE CAPE, WAS CONTINUED THROUGH A PARTNERSHIP BETWEEN THE US NATIONAL PARK SERVICE, THE CAPE COD NATIONAL SEASHORE, AND CAPE COD HEALTHCARE. IMPROVING ACCESS TO CARE FOR TARGET POPULATIONS WAS SUPPORTED THROUGH NEW ACTIVITIES AND EXISTING PROGRAMS IN FY2016. IN PARTNERSHIP WITH THE CAPE AND ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM, CCHC EXPANDED MEDICAL INTERPRETER SERVICES FOR LIMITED-ENGLISH SPEAKING PATIENTS IN PRE-HOSPITAL SETTINGS. THE NEW PROGRAM PROVIDES PHONE BASED INTERPRETER SERVICES TO PARAMEDICS AND FIRST RESPONDERS TO IMPROVE COMMUNICATION WITH PATIENTS UPON ARRIVAL TO A 911 CALL AND DURING TRANSPORT TO THE HOSPITAL. CCHC INTERPRETER SERVICES ALSO PROVIDED FREE MEDICAL INTERPRETER SERVICES FOR LIMITED ENGLISH SPEAKING PATIENTS IN COMMUNITY-BASED PRIMARY AND SPECIALTY CARE OFFICES ACROSS THE REGION. A CCHC GRANT TO THE BARNSTABLE COUNTY HUMAN SERVICES DEPARTMENT SUPPORTED EFFORTS TO INCREASE THE NETWORK OF VOLUNTEERS FOR THE SHINE (SERVING THE HEALTH INSURANCE NEEDS OF EVERYONE) PROGRAM ACROSS ALL 15 TOWNS IN BARNSTABLE COUNTY. IN AN EFFORT TO ENSURE A STRONG AND SKILLED WORKFORCE IN THE REGION, CAPE COD HEALTHCARE AWARDED CAPE COD COMMUNITY COLLEGE A $1 MILLION GRANT TO EXPAND LOCAL NURSING AND ALLIED HEALTH PROGRAMS. CCHC CENTERS FOR BEHAVIORAL HEALTH EXPANDED SERVICES TO INCLUDE A BEHAVIORAL HEALTH TELEMEDICINE PROGRAM AT FALMOUTH HOSPITAL, ADDICTION ASSESSMENT AND DETOX PROTOCOL CONSULTATION AT BOTH HOSPITALS AND A NEW COLLABORATIVE CASE MANAGEMENT MODEL WITH DUFFY HEALTH CENTER TO CARE FOR PATIENTS WHO ARE HOMELESS OR AT RISK OF HOMELESSNESS. CCHCS SUPPORT OF THE BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS RESULTED IN TRAINING 40 LOCAL LAW ENFORCEMENT OFFICERS IN MENTAL HEALTH FIRST AID AND HOSTING A BEHAVIORAL HEALTH SUMMIT ATTENDED BY MORE THAN 250 HEALTH, BUSINESS AND COMMUNITY LEADERS. SEVERAL COMMUNITY BENEFITS GRANTS WERE MADE TO EXPAND BEHAVIORAL HEALTH SERVICES IN THE COMMUNITY, INCLUDING A MENTAL HEALTH PROGRAM FOR YOUNG ADULTS AT CAPE COD COMMUNITY COLLEGE, SUPPORT GROUPS FOR SUICIDE ATTEMPT SURVIVORS, AND COUNSELING SUPPORT FOR CAREGIVERS OF INDIVIDUALS WITH ALZHEIMERS DISEASE AND DEMENTIA. CAPE COD HEALTHCARE LEADERSHIP EFFORTS IN ADDRESSING SUBSTANCE USE DISORDERS CONTINUED THROUGH A PLEDGE OF $2.5 MILLION IN GRANT SUPPORT TO EXPAND ACCESS TO MEDICATION ASSISTED TREATMENT AT FEDERALLY QUALIFIED HEALTH CENTERS, INCREASE CASE MANAGEMENT SUPPORT, AND IMPROVE TREATMENT NAVIGATION EFFORTS IN THE REGION. CAPE COD HOSPITAL WAS ONE OF TWO SITES AWARDED A MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH GRANT TO PILOT THE MOMS DO CARE PROGRAM. THE PROGRAM PROVIDES INTEGRATED PRENATAL AND SUBSTANCE USE TREATMENT AND PEER RECOVERY SERVICES FOR PREGNANT WOMEN WITH OPIOID USE DISORDERS. PHYSICIAN AND CLINICAL LEADERSHIP IN THE MATERNITY AND PEDIATRIC DEPARTMENT AT CAPE COD HOSPITAL ALSO LED THE EFFORT TO BECOME A DESIGNATED CENTER OF EXCELLENCE FOR EDUCATION AND TRAINING FOR INFANTS AND FAMILIES IMPACTED BY NEONATAL ABSTINENCE SYNDROME BY THE VERMONT OXFORD NETWORK. IN ADDITION, CCHC COMMUNITY BENEFITS ALSO PROVIDED GRANT FUNDING FOR YOUTH PREVENTION PROGRAMS, PARENTING IN RECOVERY CLASSES AND PEER-LED RECOVERY SUPPORT GROUPS FOR MOTHERS. CCHC STRATEGIC PARTNERSHIPS WITH THE FOUR REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS FOCUSED ON ALL HEALTH PRIORITIES. GRANTS SUPPORTED EFFORTS TO EXPAND PSYCHIATRIC SERVICES AND PRIMARY CARE ACCESS, DEVELOP COMPLEX CARE MANAGEMENT PROGRAMS FOR HIGH-RISK PATIENTS AND INCREASE ACCESS FOR OFFICE-BASED OPIOID TREATMENT PROGRAMS FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS. IN ADDITION TO HOSPITAL-BASED PROGRAMS AND GRANT FUNDED COMMUNITY-BASED PROJECTS, COMMUNITY BENEFITS AND HOSPITAL STAFF CONTINUED TO PLAY LEADERSHIP ROLES IN HEALTH AND HUMAN SERVICE ORGANIZATIONS AND COALITIONS ACROSS BARNSTABLE COUNTY INCLUDING THE CAPE & ISLANDS COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, BARNSTABLE COUNTY REGIONAL SUBSTANCE USE COUNCIL, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS, QUALITY OF LIFE INITIATIVE AND THE SUBSTANCE USE IN PREGNANCY TASK FORCE. PLANS FOR NEXT REPORTING YEAR ANNUAL COMMUNITY BENEFITS PLANS FOR CAPE COD HOSPITAL, FALMOUTH HOSPITAL AND CAPE COD HEALTHCARE REFLECT THE PRIORITIES, GOALS AND OBJECTIVES OF THE THREE-YEAR IMPLEMENTATION STRATEGIES INCLUDED IN THE 20172019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. COMMUNITY BENEFITS FY2017FY2019 GOALS: 1. IMPROVE CHRONIC AND INFECTIOUS DISEASE PREVENTION AND MANAGEMENT TO MEET THE GROWING NEEDS OF AN AGING AND AT-RISK POPULATION. 2. STRENGTHEN REGIONAL HEALTH SERVICES AND COMMUNITY RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH CONDITIONS, SUBSTANCE USE, CO-OCCURRING DISORDERS, AND COMORBIDITIES. 3. REDUCE BARRIERS TO CARE AND STRENGTHEN THE REGIONAL HEALTH SAFETY NET FOR VULNERABLE POPULATIONS. 4. IMPROVE THE HEALTH AND DISEASE PREVENTION OF ALL RESIDENTS OF BARNSTABLE COUNTY AND SUSTAIN THE WELLNESS OF SENIORS AND CAREGIVERS. 5. SUPPORT REGIONAL HEALTH EFFORTS THROUGH DIRECT GRANT FUNDING AND A COMPETITIVE RFP GRANTS PROGRAM WITH FUNDING GUIDELINES THAT ARE ALIGNED WITH COMMUNITY BENEFITS PRIORITIES. 6. MAINTAIN AND DEVELOP COMMUNITY LEADERSHIP OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF BARNSTABLE COUNTY INCLUDING PARTICIPATION WITH THE COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS, THE BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, AND THE BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL. COMMUNITY BENEFITS LEADERSHIP/TEAM CAPE COD HEALTHCARE, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, ALONG WITH OUR AFFILIATES, STRIVE TO BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR BARNSTABLE COUNTY RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTHCARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE ARE THE SAFETY NET HEALTH CARE PROVIDER FOR RESIDENTS OF BARNSTABLE COUNTY. THE DEVELOPMENT OF CAPE COD HEALTHCARES STRATEGIC INITIATIVES AND COMMUNITY COLLABORATIONS, INCLUDING THE COMMUNITY BENEFITS PROGRAM, IS LED BY MICHAEL K. LAUF, CHIEF EXECUTIVE OFFICER AND THERESA M. AHERN, SENIOR VICE PRESIDENT, STRATEGY, COMMUNITY AND GOVERNMENTAL AFFAIRS. MANAGEMENT OF THE PROGRAM IS THE RESPONSIBILITY OF LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS AND GRANTS ADMINISTRATION. THE COMMUNITY HEALTH COMMITTEE, A DESIGNATED SUBCOMMITTEE OF CAPE COD HEALTHCARES BOARD OF TRUSTEES, PROVIDES STRATEGIC OVERSIGHT TO THE COMMUNITY BENEFITS PROGRAM. THE COMMITTEE IS COMPRISED OF LEADERS OF HEALTH AND HUMAN SERVICES ORGANIZATIONS, COMMUNITY ADVOCACY GROUPS AND COUNTY GOVERNMENT, AS WELL AS TWO CURRENT MEMBERS OF THE CCHC BOARD OF TRUSTEES. THE COMMITTEE DEVELOPS AND RECOMMENDS POLICIES TO THE CAPE COD HEALTHCARE BOARD OF TRUSTEES REGARDING COMMUNITY BENEFITS PROGRAMS, SETS PRIORITIES, AWARDS PRIORITY GRANT FUNDING TO COMMUNITY ORGANIZATIONS, AND ADVISES ON COMMUNITY HEALTH ISSUES AND INITIATIVES. FY 16 COMMUNITY HEALTH COMMITTEE MEMBERS: ELEANOR CLAUS (CHAIR) CCHC BOARD MEMBER KINLIN GROVER REAL ESTATE 927 ROUTE 6A, YARMOUTHPORT, MA 02675 508.362.3000 X203 ECLAUS@KINLINGROVER.COM REPRESENTING: CCHC BOARD OF TRUSTEES SUZANNE FAY GLYNN, ESQ. CCHC BOARD MEMBER GLYNN LAW OFFICES 49 LOCUST STREET, FALMOUTH, MA 02540 508.548.8282 LJARVIS@GLYNNLAWOFFICES.COM REPRESENTING: CCHC BOARD OF TRUSTEES ELIZABETH ALBERT DIRECTOR BARNSTABLE COUNTY HUMAN SERVICES P.O. BOX 427, BARNSTABLE, MA 02630 508.375.6626 BALBERT@BARNSTABLECOUNTY.ORG REPRESENTING: COMMUNITY AT LARGE & COUNTY DEPARTMENTS KAREN CARDEIRA DIRECTOR FALMOUTH HUMAN SERVICES 65 TOWN HALL SQUARE, FALMOUTH, MA 02540 508.548.0533 KCARDEIRA@FALMOUTHHUMANSERVICES.ORG REPRESENTING: COMMUNITY AT LARGE & UPPER CAPE REGION MARY DEVLIN PUBLIC HEALTH AND WELLNESS DIVISION MANAGER VISITING NURSE ASSOCIATION OF CAPE COD 255 INDEPENDENCE DRIVE, HYANNIS, MA 02601 508.957.7619 MDEVLIN@VNACAPECOD.ORG REPRESENTING: PROVINCETOWN TO PLYMOUTH WITH EMPHASIS ON CHRONIC DISEASE AND HEALTHY AGING OF THE SENIOR POPULATION KAREN GARDNER CHIEF EXECUTIVE OFFICER COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL ST., MASHPEE, MA 02649 508.477.7090 KGARDNER@CHCOFCAPECOD.ORG REPRESENTING: COMMUNITY HEALTH CENTER NETWORK & UPPER CAPE RON HOLMES 39 WADING PLACE PATH CHATHAM, MA 02663 508.726.3931 RON.HOLMES@VERIZON.COM REPRESENTING: REGIONAL BEHAVIORAL HEALTH PROVIDERS AND INITIATIVES STACIE PEUGH CHIEF EXECUTIVE OFFICER YMCA CAPE COD 2245 IYANNOUGH RD, WEST BARNSTABLE, MA 02668 508-362-6500 SPEUGH@YMCACAPECOD.ORG REPRESENTING: YOUTH DEVELOPMENT, WELLNESS, DISEASE MANAGEMENT AND PREVENTION SUSAN TRAVERS DIRECTOR TRURO COUNCIL ON AGING 7 STANDISH WAY, NORTH TRURO 02652 508-487-2462 STRAVERS@TRURO-MA.GOV REPRESENTING: SENIOR POPULATIONS & OUTER CAPE CAPE COD HEALTHCARE MEMBER: THERESA M. AHERN SENIOR VICE PRESIDENT, STRATEGY, COMMUNITY AND GOVERNMENTAL AFFAIRS CAPE COD HEALTHCARE 88 LEWIS BAY ROAD HYANNIS, MA 02601 508-862-5077 TAHERN@CAPECODHEALTH.ORG COMMUNITY BENEFITS TEAM MEETINGS THE FY2016 COMMUNITY HEALTH COMMITTEE MEETINGS WERE HELD ON THE FOLLOWING DATES: NOVEMBER 5, 2015 9:00 11:00 AM APRIL 5, 2016 4:00-5:00 PM JUNE 7, 2016 4:00-5:00 PM JULY 26, 2016 4:00-5:00 PM COMMUNITY PARTNERS ALZHEIMERS FAMILY CAREGIVER SUPPORT CENTER BARNSTABLE COUNTY CAPE COD COOPERATIVE EXTENSION SERVICES BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL BARNSTABLE COUNTY SHERIFF BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS BOYS & GIRLS CLUB OF CAPE COD CALMER CHOICE CAPE & ISLANDS EMS SYSTEMS, INC CAPE & ISLANDS UNITED WAY CAPE COD CHILD DEVELOPMENT CAPE COD CHILDRENS MUSEUM CAPE COD CHILDRENS PLACE CAPE COD COMMUNITY COLLEGE CAPE COD FOUNDATION CAPE COD HUNGER NETWORK CHILDRENS COVE COALITION FOR CHILDREN COMMUNITY DEVELOPMENT PARTNERSHIP COMMUNITY HEALTH CENTER OF CAPE COD COMMUNITY HEALTH NETWORK AREA 27 CAPE COD & ISLANDS (CHNA 27) DUFFY HEALTH CENTER FALMOUTH SERVICE CENTER FAMILY PANTRY OF CAPE COD GANDARA MENTAL HEALTH GLENNA KOHL FUND FOR HOPE GOSNOLD ON CAPE COD HARBOR COMMUNITY HEALTH CENTER - HYANNIS HELPING OUR WOMEN HOPE DEMENTIA & ALZHEIMERS SERVICES INDEPENDENCE HOUSE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MOTHERS AND INFANTS RECOVERY NETWORK NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD OPEN DOORWAY OF CAPE COD OUTER CAPE HEALTH SERVICES PARKINSON SUPPORT NETWORK OF CAPE COD SAIL CAPE COD SAMARITANS ON CAPE COD AND THE ISLANDS SHEAS YOUTH BASKETBALL ASSOCIATION SPECIALTY NETWORK FOR THE UNINSURED TOWN OF BARNSTABLE YOUTH COMMISSION TOWN OF YARMOUTH PARK AND RECREATIONS DEPARTMENT UNITED STATES NATIONAL PARK SERVICE AND CAPE COD NATIONAL SEASHORE UPPER CAPE SPARTANS WE CAN YMCA CAPE COD COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESSMENT COMPLETED AND CURRENT STATUS THE 2017-2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT (CHNA REPORT) AND IMPLEMENTATION PLAN WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC ON SEPTEMBER 30, 2016. THE GOALS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT ARE TO MONITOR REGIONAL HEALTH DATA, ENGAGE HOSPITAL STAKEHOLDERS, PROMOTE PARTNERSHIPS BETWEEN THE HOSPITALS AND COMMUNITY ORGANIZATIONS AND DEVELOP MULTI-YEAR IMPLEMENTATION STRATEGIES TO GUIDE HOSPITAL INITIATIVES TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. THE METHODOLOGY FOR CONDUCTING THE ASSESSMENT INCLUDED THE COLLECTION AND ANALYSIS OF PRIMARY AND SECONDARY HEALTH DATA, GATHERING SIGNIFICANT INPUT FROM THE COMMUNITY, AND THE IDENTIFICATION AND PRIORITIZATION OF KEY HEALTH NEEDS FOR THE REGION. OVER 20 DATA SOURCES WERE UTILIZED TO COLLECT BARNSTABLE COUNTY AND TOWN-LEVEL HEALTH STATISTICS ON DISEASE INCIDENCE AND PREVALENCE, HOSPITAL UTILIZATION, MORBIDITY AND MORTALITY, BARRIERS TO ACCESSING CARE, AND BEHAVIORAL RISK FACTORS. REGIONAL STATISTICS WERE ANALYZED AND COMPARED TO STATE AND NATIONAL STATISTICS TO IDENTIFY WHERE DEMOGRAPHIC AND HEALTH DISPARITIES EXIST. ONCE COLLECTED, STATISTICAL DATA WAS VETTED AND AUGMENTED WITH COMMUNITY INPUT. MORE THAN 140 INDIVIDUALS AND 90 COMMUNITY ORGANIZATIONS REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS PROVIDED CRITICAL INSIGHT AND FEEDBACK ON THE REGIONAL HEALTH NEEDS THROUGH KEY INFORMATION INTERVIEWS AND COMMUNITY INPUT FORUMS. THROUGH THIS COLLECTION OF DATA AND COMMUNITY INPUT THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS WERE DISTINGUISHED AND PRIORITIZED BASED ON THE FREQUENCY, URGENCY, SCOPE, SEVERITY AND MAGNITUDE OF THE IDENTIFIED ISSUES. THE SIGNIFICANT HEALTH NEEDS AND ASSOCIATED TARGET POPULATIONS IDENTIFIED THROUGH THE CHNA REPORT WILL SERVE AS THE FOUNDATION FOR COMMUNITY BENEFITS AND HOSPITAL PLANNING SPANNING FISCAL YEARS 2017-2019. CONSULTANTS/OTHER ORGANIZATIONS THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE 2017 - 2019 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT: AIDS SUPPORT GROUP OF CAPE COD ALZHEIMERS FAMILY SUPPORT CENTER OF CAPE COD ARBOR COUNSELING SERVICES BARNSTABLE COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENT BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES BARNSTABLE COUNTY PUBLIC NURSING DIVISION BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL BARNSTABLE PUBLIC SCHOOL SYSTEM BARNSTABLE TOWN COUNCIL BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS BOYS & GIRLS CLUB OF CAPE COD CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM CAPE & ISLANDS SUICIDE PREVENTION COALITION CAPE & ISLANDS UNITED WAY CAPE COD CENTER FOR WOMEN CAPE COD CHILD DEVELOPMENT CAPE COD COMMUNITY COLLEGE CAPE COD COUNCIL OF CHURCHES CAPE COD DISTRICT ATTORNEYS OFFICE CAPE COD FOUNDATION CAPE COD NEIGHBORHOOD SUPPORT COALITION CAPE COD WIC CARON TREATMENT CENTER CCHC CENTERS FOR BEHAVIORAL HEALTH CCHC EMERGENCY SERVICES CHILD AND FAMILY SERVICES CHILDRENS COVE COALITION FOR CHILDREN COMMUNITY ACTION COMMITTEE OF CAPE COD & THE ISLANDS COMMUNITY DEVELOPMENT PARTNERSHIP COMMUNITY HEALTH CENTER OF CAPE COD COMMUNITY HEALTH NETWORK AREA 27 DUFFY HEALTH CENTER ELDER SERVICES OF CAPE COD & THE ISLANDS EMERALD PHYSICIANS FALMOUTH HUMAN SERVICES FALMOUTH PUBLIC SCHOOL SYSTEM FALMOUTH SERVICE CENTER FALMOUTH TOGETHER WE CAN FALMOUTH VOLUNTEERS IN PUBLIC SCHOOLS GLENNA KOHL FUND FOR HOPE GOSNOLD ON CAPE COD HARBOR COMMUNITY HEALTH CENTER-HYANNIS HEALTH IMPERATIVES HEALTHY LIVING CAPE COD HELPING OUR WOMEN HOMELESS PREVENTION COUNCIL HOPE DEMENTIA & ALZHEIMERS SERVICES OF CAPE COD HOPE HEALTH HOUSING ASSISTANCE CORPORATION INDEPENDENCE HOUSE JOHN SNOW, INC. JUSTICE RESOURCE INSTITUTE LYME AWARENESS OF CAPE COD MA DEPARTMENT OF MENTAL HEALTH MA DEPARTMENT OF PUBLIC HEALTH MASHPEE WAMPANOAG HEALTH SERVICE UNIT MASHPEE WAMPANOAG TRIBE HEALTH SERVICES MOTHER AND INFANT RECOVERY NETWORK NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD OUTER CAPE HEALTH SERVICES OUTER CAPE WOMEN INFANTS AND CHILDREN (WIC) SAMARITANS ON CAPE COD AND THE ISLANDS SANDPIPER NURSERY SCHOOL SANDWICH PUBLIC SCHOOL SYSTEM SHINE (SERVING HEALTH INFORMATION NEEDS OF EVERYONE) SIGHT LOSS SERVICES SPAULDING REHABILITATION HOSPITAL CAPE COD SPECIALTY NETWORK FOR THE UNINSURED SUBSTANCE USE IN PREGNANCY TASK FORCE THE FAMILY PANTRY OF CAPE COD TOWN OF BREWSTER HEALTH DEPARTMENT TOWN OF FALMOUTH COUNCIL ON AGING TOWN OF FALMOUTH HEALTH DEPARTMENT TOWN OF MASHPEE COUNCIL ON AGING TOWN OF MASHPEE HUMAN SERVICES TOWN OF PROVINCETOWN COUNCIL ON AGING TOWN OF SANDWICH COUNCIL ON AGING TOWN OF TRURO COUNCIL ON AGING VINFEN VISITING NURSE ASSOCIATION OF CAPE COD WE CAN YARMOUTH POLICE DEPARTMENT YMCA OF CAPE COD DATA SOURCES COMMUNITY FOCUS GROUPS, HOSPITAL, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA COMMUNITY BENEFITS PROGRAMS INTERPRETER SERVICES FOR COMMUNITY-BASED PHYSICIAN OFFICES PROGRAM TYPE: OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CCHC COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR INDIVIDUALS WHO FACE BARRIERS TO CARE DUE TO LANGUAGE THROUGH THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM. THE PROGRAM DISPATCHES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN PRACTICES TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE, QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ARTHRITIS, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: COLITIS/CROHN DISEASE, OTHER: CULTURAL COMPETENCY, OTHER: DIABETES, OTHER: FAMILY PLANNING, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HYPERTENSION, OTHER: LYME DISEASE, OTHER: NUTRITION, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSONS DISEASE, OTHER: PREGNANCY, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY - HOME, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: SICKLE CELL DISEASE, OTHER: SMOKING/TOBACCO, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OVERWEIGHT AND OBESITY, PHYSICAL ACTIVITY, RESPONSIBLE SEXUAL BEHAVIOR, SUBSTANCE ABUSE, TOBACCO USE SEX: ALL AGE GROUP: ALL ADULTS ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: REDUCE LANGUAGE BARRIERS TO CARE BY PROVIDING MEDICAL INTERPRETATIONS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY SETTINGS. GOAL STATUS: COLLABORATION WITH COMMUNITY HEALTH CENTERS AND PHYSICIAN OFFICES RESULTED IN 816 LANGUAGE INTERPRETATIONS IN FY16. APPROXIMATELY, 82 % OF REQUESTED INTERPRETATIONS WERE FOR RESIDENTS SPEAKING PORTUGUESE AND 18% FOR RESIDENTS SPEAKING SPANISH. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY-BASED MEDICAL OFFICES ON CAPE COD: VARIOUS HARBOR COMMUNITY HEALTH CENTER-HYANNIS: HTTP://WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTER-HYANNIS/ COMMUNITY HEALTH CENTER OF CAPE COD: WWW.CHCOFCAPECOD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SPECIALITY NETWORK FOR THE UNINSURED: HARBOR COMMUNITY HEALTH CENTER HYANNIS PROGRAM TYPE: OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO HARBOR COMMUNITY HEALTH CENTER HYANNIS TO COORDINATE THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE SNU PROGRAM INCREASES ACCESS TO SPECIALTY CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH MANAGING A NETWORK OF MEDICAL SPECIALISTS WHO WILL PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEES FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE OF UNINSURED AND UNDER-INSURED INDIVIDUALS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ARTHRITIS, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: DIABETES, OTHER: FAMILY PLANNING, OTHER: HEARING, OTHER: HEPATITIS, OTHER: HYPERTENSION, OTHER: LYME DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSONS DISEASE, OTHER: PREGNANCY, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE ACCESS TO SPECIALTY CARE FOR LOW-INCOME, UNINSURED AND UNDER-INSURED INDIVIDUALS. GOAL STATUS: THE SNU PROGRAM PROVIDED 681 PATIENT APPOINTMENTS WITH SPECIALISTS IN FY16. THE MOST UTILIZED SPECIALTIES INCLUDED UROLOGY, OPHTHALMOLOGY, EARS, NOSE AND THROAT (ENT), ORTHOPEDICS AND PODIATRY. GOAL DESCRIPTION: PROVIDE ACCESS TO SPECIALISTS FOR UNINSURED OR UNDER-INSURED RESIDENTS WHO FACE LANGUAGE BARRIERS TO CARE. GOAL STATUS: SIXTEEN PERCENT (16%) OF SNU PATIENTS REQUESTED A MEDICAL INTERPRETER. NINETY-FOUR PERCENT (94%) OF THOSE PATIENTS REQUIRED INTERPRETATION FOR PORTUGUESE AND 6% REQUIRED INTERPRETATION FOR SPANISH. GOAL DESCRIPTION: MAINTAIN REFERRAL RELATIONSHIP BETWEEN SNU PROGRAM AND FEDERALLY QUALIFIED HEALTH CENTERS IN THE REGION. GOAL STATUS: NEARLY ALL (99%) PROGRAM REFERRALS WERE MADE BY REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS INCLUDING HARBOR COMMUNITY HEALTH CENTER-HYANNIS, COMMUNITY HEALTH CENTER OF CAPE COD, DUFFY HEALTH CENTER AND ISLAND HEALTH CARE. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD: HTTP://WWW.CHCOFCAPECOD.ORG/ HARBOR COMMUNITY HEALTH CENTER- HYANNIS: WWW.HHSI.US DUFFY HEALTH CENTER: WWW.DUFFYHEALTHCENTER.ORG ISLAND HEALTH CARE: WWW.IHIMV.ORG CAPE COD HEALTHCARE: WWW.CAPECODHEALTH.ORG CONTACT INFORMATION: LISA GUYON, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED PRESCRIPTION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO ASSIST UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH HOSPITAL DISCHARGE PLANNING. GOAL STATUS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED PHARMACY VOUCHERS AND PRESCRIPTION ASSISTANCE TOTALING MORE THAN $15,500 FOR UNINSURED, UNDER-INSURED OR FINANCIALLY CHALLENGED PATIENTS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS LOCAL PHARMACIES: N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED TRANSPORTATION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. GOAL STATUS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED TAXI VOUCHERS TOTALING MORE THAN $37,500 FOR UNINSURED, UNDER-INSURED OR FINANCIALLY DISADVANTAGED PATIENTS UPON DISCHARGE. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS LOCAL TAXI COMPANIES: N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED DUFFY HEALTH CENTER: SUPPORTING BEHAVIORAL HEALTH SERVICES FOR HOMELESS AND AT RISK ADULTS PROGRAM TYPE: SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: THE DUFFY HEALTH CENTER PROVIDES PRIMARY CARE AND BEHAVIORAL HEALTH CARE TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS IN BARNSTABLE COUNTY. IN FY16, COMMUNITY BENEFITS FUNDING FROM CAPE COD HEALTHCARE SUPPORTED THE DUFFY HEALTH CENTERS BEHAVIORAL HEALTH SERVICES INCLUDING THERAPY, PSYCHIATRY AND CASE MANAGEMENT SUPPORT FOR HEALTH CENTER PATIENTS. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: HOMELESSNESS, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: TO PROVIDE BEHAVIORAL HEALTH SERVICES TO 1,200 PATIENTS. GOAL STATUS: BEHAVIORAL HEALTH SERVICES WERE PROVIDED TO MORE THAN 1,300 DUFFY HEALTH CENTER PATIENTS THROUGH 10,000 VISITS. GOAL DESCRIPTION: DUFFY HEALTH CENTER WILL PROVIDE PSYCHIATRIC SERVICES, PRIMARILY MEDICATION PRESCRIBING AND MONITORING, TO APPROXIMATELY 300 PATIENTS. GOAL STATUS: PSYCHIATRIC SERVICES, INCLUDING MEDICATION PRESCRIBING AND MONITORING, WERE PROVIDED TO 596 PATIENTS. GOAL DESCRIPTION: 100% OF ALL NEW DUFFY HEALTH CENTER PATIENTS WILL BE SCREENED FOR BEHAVIORAL HEALTH NEEDS. GOAL STATUS: APPROXIMATELY 75% OF NEW PATIENTS WERE SCREENED IN FY16. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS THE DUFFY HEALTH CENTER : WWW.DUFFYHEALTHCENTER.ORG CATHOLIC SOCIAL SERVICES: HTTPS://WWW.CSSDIOC.ORG/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORT GROUPS AND HEALTH EDUCATION CLASSES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: COMMUNITY EDUCATION SUPPORT GROUP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: AT CAPE COD AND FALMOUTH HOSPITAL, SUPPORT GROUPS FOR BEREAVEMENT AND CANCER SURVIVORSHIP, CLASSES AND COUNSELING FOCUSED ON BREASTFEEDING AND FATHERHOOD AND HOLISTIC SERVICES TO COMPLEMENT TRADITIONAL MEDICAL CARE ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY. CLASSES AND GROUPS ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND CAREGIVERS AND INCLUDE IN-PERSON MEETINGS TO OFFER SUPPORT AND REASSURANCE THROUGH THEIR SPECIFIC DISEASE/HEALTH CARE SITUATION. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: BEREAVEMENT, OTHER: CANCER, OTHER: CHILD CARE, OTHER: CHRONIC PAIN , OTHER: DIABETES, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARENTING SKILLS, OTHER: PREGNANCY, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: PROVIDE SUPPORT GROUPS AND EDUCATIONAL ACTIVITIES FOR PATIENTS, FAMILIES AND CAREGIVERS ON A CONTINUUM OF ISSUES INCLUDING CANCER SURVIVORSHIP, PRENATAL/NEW MOTHERS AND FATHERS GROUPS, BEREAVEMENT AND CHRONIC DISEASE SELF-MANAGEMENT. GOAL STATUS: IN FY16, OVER 4,300 HOURS OF SUPPORT GROUPS AND CLASSES WERE OFFERED AND FACILITATED FOR INDIVIDUALS AND FAMILIES. INFORMATION AND RESOURCES WERE INCLUDED TO ASSIST THEM WITH THEIR SPECIFIC DISEASE OR HEALTH RELATED CIRCUMSTANCE. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS VISITING NURSES ASSOCIATION HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY: WWW.CANCER.ORG YMCA CAPE COD: HTTP://YMCACAPECOD.ORG/ CAPE COD HEALTHCARE: HTTP://WWW.CAPECODHEALTH.ORG/CLASSES-EVENTS/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED WORKFORCE AND CAREER DEVELOPMENT INITIATIVES: CAPE COD HEALTHCARE PROGRAM TYPE: MENTORSHIP/CAREER TRAINING/INTERNSHIP STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOOL TO HAVE A POSITIVE AND PROFESSIONAL EXPERIENCE THROUGH INTERNSHIPS, JOB SHADOWING AND TRAINING WITH HEALTH CARE PROVIDERS IN SEVERAL HOSPITAL DEPARTMENTS. BY TRAINING AND MENTORING STUDENTS FOR FUTURE EMPLOYMENT, WE HOPE TO SUCCESSFULLY ENGAGE INDIVIDUALS SO THEY SELECT HEALTH CARE AS A VIABLE AND ADMIRABLE VOCATION, THUS DECREASING THE POTENTIAL RISK FOR PREDICTED FUTURE SHORTAGES IN THE WORKPLACE. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE THE SUPPLY OF QUALIFIED HEALTH PROFESSIONALS THROUGH OFFERING WORKFORCE AND CAREER DEVELOPMENT PARTNERSHIPS. GOAL STATUS: IN FY16, OVER 22,000 HOURS OF WORKFORCE AND CAREER DEVELOPMENT EFFORTS TOOK PLACE INCLUDING STUDENT TRAINING, MENTORING, AND JOB SHADOWING. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS CAPE COD COMMUNITY COLLEGE: WWW.CAPECOD.EDU/ UPPER CAPE REGIONAL TECHNICAL SCHOOL: WWW.UPPERCAPETECH.COM/ COD REGIONAL TECHNICAL HIGH SCHOOL: HTTP://WWW.CAPETECH.US/ MA COLLEGE OF PHARMACY AND HEALTH SCIENCES: WWW.MCPHS.EDU THE RIVERVIEW SCHOOL: WWW.RIVERVIEWSCHOOL.ORG UNIVERSITY OF MASSACHUSETTS: WWW.MASSACHUSETTS.EDU CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED INTEGRATING BEHAVIORAL HEALTH SERVICES WITH COMPLEX CARE MANAGEMENT AT OUTER CAPE HEALTH SERVICES PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED GRANT SUPPORT TO OUTER CAPE HEALTH SERVICES FOR THE EXPANSION OF COMPLEX CARE MANAGEMENT SERVICES AND INTEGRATION OF BEHAVIORAL HEALTH COUNSELING FOR HIGH-RISK PATIENTS ON THE LOWER AND OUTER CAPE. THE PROGRAM FEATURES IN-HOME VISITS FOR PATIENTS WHO ARE GEOGRAPHICALLY AND SOCIALLY ISOLATED, IMMOBILE OR WOULD OTHERWISE RELY UPON EMERGENCY MEDICAL SERVICE PROVIDERS EVEN FOR NON-URGENT CARE. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ALZHEIMER DISEASE, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DENTAL HEALTH, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HOMEBOUND, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: PARKINSONS DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: DEFINE AND IDENTIFY A HIGH-RISK POPULATION OF PATIENTS TO BENEFIT FROM INTENSIVE CASE MANAGEMENT INCLUDING HOME VISITS. GOAL STATUS: IN FY16, 110 PATIENTS WERE IDENTIFIED AND ENROLLED IN COMPLEX CASE MANAGEMENT SERVICES INCLUDING HOME VISITS. THE MAJORITY OF ENROLLED PATIENTS ARE MANAGING CHRONIC DISEASES SUCH AS DIABETES, HEART DISEASE AND COPD. GOAL DESCRIPTION: DEVELOP A MULTI-DISCIPLINARY TEAM TO MANAGE PATIENTS ENROLLED IN COMPLEX CARE MANAGEMENT SERVICES INCLUDING THE ADDITION OF A BEHAVIORAL HEALTH CASE MANAGER. GOAL STATUS: IN FY16, 35% OF ALL PATIENTS ENROLLED IN THE PROGRAM RECEIVED COORDINATION OF CARE FOR BEHAVIORAL HEALTH CONCERNS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS OUTER CAPE HEALTH SERVICES WWW.OUTERCAPE.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING THE HEALTH INSURANCE NEEDS OF EVERYONE (SHINE): BARNSTABLE DEPARTMENT OF HUMAN SERVICES PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO THE REGIONAL SHINE PROGRAM TO EXPAND INFORMATION, COUNSELING AND ASSISTANCE TO BARNSTABLE COUNTY RESIDENTS WITH MEDICARE AND THEIR CAREGIVERS. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE THE NUMBER OF REGIONAL MEDICARE BENEFICIARIES ASSISTED BY THE SHINE PROGRAM. GOAL STATUS: IN FY16, SHINE SERVED 7,300 INDIVIDUALS IN BARNSTABLE COUNTY, A 13% INCREASE COMPARED TO THE PREVIOUS YEAR. GOAL DESCRIPTION: INCREASE THE NUMBER OF TRAINED SHINE VOLUNTEER COUNSELORS AVAILABLE IN COUNCIL ON AGING OFFICES AND OTHER ORGANIZATIONS. GOAL STATUS: SHINE INCREASED THE NUMBER OF TRAINED COUNSELORS IN THE REGION BY 18% IN FY16. GOAL DESCRIPTION: INCREASE THE NUMBER OF HOURS THE SHINE PROGRAM CONDUCTS OF COMMUNITY OUTREACH AND PRESENTATIONS IN THE COMMUNITY. GOAL STATUS: SHINE INCREASED THE NUMBER OF HOURS CONDUCTING OUTREACH IN THE COMMUNITY BY MORE THAN 27% COMPARED TO THE PREVIOUS YEAR. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS BARNSTABLE COUNTY HUMAN SERVICES: WWW.BCHUMANSERVICES.NET/INITIATIVES/SHINE/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED GROWING A DEMENTIA FRIENDLY COMMUNITY: HOPE DEMENTIA AND ALZHEIMERS SERVICES PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS AWARDED A GRANT TO HOPE DEMENTIA AND ALZHEIMERS SERVICES TO OFFER COMMUNITY TRAININGS FOR CAREGIVERS AND EMERGENCY RESPONDERS TITLED ALZHEIMERS DISEASE: WHAT YOU NEED TO KNOW. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALZHEIMER DISEASE, OTHER: ELDER CARE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: TRAIN 150-200 COMMUNITY FRONTLINE PROFESSIONALS WITH THE KNOWLEDGE AND RESOURCES TO CARE FOR AN INDIVIDUAL WITH ALZHEIMERS DISEASE OR AGE-RELATED DEMENTIA (ADRD). GOAL STATUS: IN FY16, 160 INDIVIDUAL PARTICIPATED IN THE HALF-DAY TRAININGS. GOAL DESCRIPTION: INCREASE THE KNOWLEDGE AND IDENTIFICATION OF RESOURCES FOR INDIVIDUALS THAT PARTICIPATED IN TRAININGS. GOAL STATUS: POST TRAINING SURVEYS DEMONSTRATED: 58% INCREASE IN UNDERSTANDING ADRD, 52% INCREASE IN UNDERSTANDING ADRD DISEASE PROGRESSION, 53% INCREASE IN KNOWLEDGE AND ABILITY TO APPLY EFFECTIVE COMMUNICATION WITH ARDRD POPULATION AND 54% INCREASED ABILITY TO MORE EFFECTIVELY HELP ADRD INDIVIDUALS AND FAMILIES MINIMIZE CRISES AND AVOID HOSPITALIZATION/READMISSIONS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS HOPE DEMENTIA & ALZHEIMER'S SERVICES: WWW. HOPEHEALTHMA.ORG/SERVICES/DEMENTIA-ALZHEIMERS-SERVICES CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02668, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED FOODS TO ENCOURAGE - NUTRITION'S ROLE IN DIABETES AND HYPERTENSION TREATMENT AND PREVENTION PILOT PROGRAM: CAPE COD HUNGER NETWORK PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: FOODS TO ENCOURAGE IS A PROGRAM TO MONITOR AND IMPROVE DIABETES AND HYPERTENSION DISEASE OUTCOMES IN LOW TO MODERATE INCOME RESIDENTS WHO ACCESS FOOD FROM CAPE FOOD PANTRIES. THE FY16 COMMUNITY BENEFITS GRANT FROM CAPE COD HEALTHCARE ALLOWED THE PROGRAM TO EXPAND FROM ONE LOCATION TO FOUR FOOD PANTRIES ACROSS CAPE COD. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: HYPERTENSION, OTHER: NUTRITION, OVERWEIGHT AND OBESITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: THE PROGRAM WILL EXPAND ENROLLMENT FROM 100 TO 200 PARTICIPANTS. GOAL STATUS: IN FY16, A TOTAL OF 222 PARTICIPANTS WERE REGISTERED IN THE PROGRAM. NEW PROGRAM LOCATIONS PROVIDED AN OPPORTUNITY TO REACH A BROAD DEMOGRAPHIC OF INDIVIDUALS FROM AGES 35 TO 80 YEARS OLD. GOAL DESCRIPTION: BLOOD SUGAR AND BLOOD PRESSURE MONITORING WILL SHOW IMPROVEMENTS OVER TIME WITH INCREASED INTAKE OF FRESH FRUITS AND VEGETABLES AND NUTRITION EDUCATION. GOAL STATUS: OVER 35% OF PARTICIPANTS WHO ATTENDED WEEKLY PROGRAM ACTIVITIES DEMONSTRATED IMPROVED BLOOD SUGAR LEVELS AND 2% SHOWED IMPROVEMENT IN BLOOD PRESSURE. IMPROVEMENT IN BOTH HEALTH INDICATORS VARIED BY INDIVIDUAL BUT THERE WAS A STRONG CORRELATION BETWEEN NUMBER OF ATTENDED ACTIVITIES AND A PARTICIPANTS IMPROVED HEALTH INDICATORS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS CC HUNGER NETWORK: WWW.CAPECODHUNGERNETWORK.ORG FALMOUTH SERVICE CENTER: WWW.FALMOUTHSERVICECENTER.ORG BARNSTABLE COUNTY HEALTH DEPARTMENT: WWW.BARNSTABLECOUNTYHEALTH.ORG/PROGRAMS-AND.../PUBLIC-HEALTH-NURSE CAPE COD COOPERATIVE EXTENSION: WWW.CAPECODEXTENSION.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED CAPE COD COOPERATIVE EXTENSION TICK TESTING AND DISEASE SURVEILLANCE PROJECT PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE PROVIDED COMMUNITY BENEFITS FUNDING TO THE CAPE COD COOPERATIVE EXTENSION TO SUBSIDIZE A TICK TESTING AND TICK-BORNE DISEASE SURVEILLANCE PROGRAM FOR BARNSTABLE COUNTY RESIDENTS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: LYME DISEASE SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: PROMOTE TICK TESTING SERVICES TO LOCAL RESIDENTS. RESIDENTS WILL MAIL TICK TO UMASS LABORATORY OF MEDICAL ZOOLOGY AND RECEIVE EPIDEMIOLOGICAL AND INFECTION STATUS OF TICK TO SHARE WITH HEALTH CARE PROVIDER. GOAL STATUS: IN TOTAL, 309 TICKS WERE SUBMITTED BY RESIDENTS FOR TESTING. THE GREATEST NUMBER OF TICKS SUBMITTED FOR TESTING WAS DURING THE MONTHS OF MAY, JUNE AND JULY. GOAL DESCRIPTION: IDENTIFY THE EPIDEMIOLOGICAL AND INFECTION STATUS OF TICKS TESTED FROM BARNSTABLE COUNTY. GOAL STATUS: OF THE 309 TICKS TESTED, 25% TESTED POSITIVE FOR LYME DISEASE, 8% TESTED POSITIVE FOR BABESIOSIS AND 6% TESTED POSITIVE FOR ANAPLASMOSIS. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS CAPE COD COOPERATIVE EXTENSION WWW.CAPECODEXTENSION.ORG UMASS LABORATORY OF MEDICAL ZOOLOGY WWW.TICKDISEASES.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED HEALTHY PARKS, HEALTHY PEOPLE: A WELLNESS COLLABORATION BETWEEN CAPE COD HEALTHCARE AND THE CAPE COD NATIONAL SEASHORE PROGRAM TYPE: PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE TO PROMOTE WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: HYPERTENSION, OTHER: STROKE, OVERWEIGHT AND OBESITY, PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ENGAGE INDIVIDUALS IN SEASONAL WALKING AND WELLNESS PROGRAMS AIMED AT IMPROVING HEALTH OUTCOMES. GOAL STATUS: OVER 120 INDIVIDUALS PARTICIPATED IN THE SUMMER WALKING PROGRAM AT THE CAPE COD NATIONAL SEASHORE AND THE WINTER WALKING PROGRAM AT THE CAPE COD MALL. GOAL DESCRIPTION: IMPACT WELLNESS AND REDUCE BLOOD PRESSURE READINGS TO HEALTHY LEVELS FOR PROGRAM PARTICIPANTS. GOAL STATUS: THE SUMMER PROGRAM ENGAGED 61 PARTICIPANTS. THE PRE-PROGRAM AVERAGE BLOOD PRESSURE WAS 131/78 COMPARED TO THE POST-PROGRAM AVERAGE BLOOD PRESSURE OF 121/72. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS NATIONAL PARK SERVICE: WWW.NPS.GOV/.../HEALTHY-PARKS-HEALTHY-PEOPLE CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED LIVING FIT FOR YOU! CANCER WELLNESS PROGRAM AT FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: LIVING FIT FOR YOU IS A FREE, STRUCTURED, AND MEDICALLY-SUPERVISED EXERCISE AND EDUCATION PROGRAM THAT ASSISTS INDIVIDUALS UNDERGOING TREATMENT FOR CANCER TO MANAGE FATIGUE, DE-CONDITIONING AND A LOSS OF PHYSICAL FUNCTION. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: CANCER, OTHER: CANCER - BREAST, OTHER: CANCER - CERVICAL, OTHER: CANCER - COLO-RECTAL, OTHER: CANCER - LUNG, OTHER: CANCER - MULTIPLE MYELOMA, OTHER: CANCER - OTHER, OTHER: CANCER - OVARIAN, OTHER: CANCER - PROSTATE, OTHER: CANCER - SKIN, OTHER: CHRONIC PAIN , OTHER: NUTRITION, PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: PROVIDE FREE EXERCISE AND EDUCATION CLASSES FOR CANCER SURVIVORS OF ALL AGES. GOAL STATUS: IN FY16, 253 EXERCISE AND EDUCATION CLASSES WERE OFFERED. GOAL DESCRIPTION: PROVIDE ONE-TO-ONE WELLNESS CONSULTATIONS FOR INDIVIDUALS UNABLE TO ATTEND THE STRUCTURED EXERCISE AND EDUCATION CLASSES. GOAL STATUS: IN FY16, 68 ONE-ON-ONE EXERCISE AND EDUCATION CONSULTATIONS WERE PROVIDED TO INDIVIDUALS. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS CAPE COD HEALTHCARE: WWW.CAPECODHEALTH.ORG/CLASSES-EVENTS CAPE WELLNESS COLLABORATIVE: WWW.CAPEWELLNESS.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED FUNCTIONAL EXPENSE NOTE FORM 990 PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEALTHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART I, LINE 6 CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 2 TRUSTEES SIT ON THE BOARD OF THE FOLLOWING: EMERALD PHYSICIAN MEMBER TRUST: PHILIP MCLOUGHLIN JOEL CROWELL CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF PATRICK J FLYNN, MD PHILIP MCLOUGHLIN SUMNER B TILTON, JR THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING, A FOR-PROFIT RELATED ORGANIZATION. FORM 990, PART VI, LINES 6 & 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. FORM 990, PART VI, LINE 12 THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR. FORM 990, PART VI, LINE 15 THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. FORM 990, PART VII, COLUMN (B) THE INDIVIDUALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN PART VII ARE EMPLOYEES AT CAPE COD HEALTHCARE, INC., A TAX-EXEMPT RELATED ORGANIZATION. FORM 990, Part VII, Section A Title for Carter Hunt: Executive Director - Hospital/Medical/Surgical Practices Title for Kevin Mulroy: Chief Medical Info Officer and Chief Quality & Safety Officer until 2/15, COO starting 2/15 TITLE FOR JEFFREY S DYKENS: COO FALMOUTH HOSPITAL UNTIL 6/16, VP FINANCE & OPS STARTING 6/16 FORM 990, PART VII, SECTION B WITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC, CAPE COD HEALTHCARE, INC. PAYS INDEPENDENT CONTRACTORS ON BEHALF OF ITS AFFILIATES WHO FILE AS PART OF A GROUP FORM 990 AS CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES NET ASSETS RELEASED FROM RESTRICTION ($5,201,035) TRANSFERS TO/FROM AFFILIATES (3,127,980) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 905,365 CHANGE IN VALUE OF BENEFICIAL INTEREST 567,015 TRANSFER OF NET ASSETS (22,000) OTHER CHANGES TO NET ASSETS (1,805,955) ------------- ($8,684,590) AFFILIATES INCLUDED IN GROUP RETURN CAPE COD HOSPITAL 04-2103600 CAPE COD HUMAN SERVICES, INC. 04-2323506 CAPE & ISLANDS HEALTH SERVICES II, INC. 04-3572408 FALMOUTH HOSPITAL ASSOCIATION, INC. 04-2220716 JML CARE CENTER, INC. 04-2995795 FALMOUTH ASSISTED LIVING, INC. 22-3379395 VNA OF CAPE COD, INC. 04-2104159 CAPE COD HEALTHCARE FOUNDATION, INC. 04-3475950 MEDICAL AFFILIATES OF CAPE COD, INC. 04-3187299 ALL OF THE ABOVE ENTITIES, EXCEPT THE VNA OF CAPE COD, INC., CAN BE REACHED AT: 25 COMMUNICATION WAY HYANNIS, MA 02601 THE VNA OF CAPE COD, INC. CAN BE REACHED AT: 255 INDEPENDENCE DRIVE HYANNIS, MA 02601 CAPE COD HEALTHCARE INC 25 COMMUNICATION WAY HYANNIS MA 02601 222600704 PARENT CORP MA 501(c)(3) 13b NA true CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ INSURANCE CJ CAPE COD HLTHCR C CORP 0 0 true CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS MA 02601 042423073 RENTAL SRVCE MA NA C CORP 11250 15000 1.00000 true POOLED INCOME FUNDS (2) SUPPORT MA NA TRUST true EMERALD PHYSICIAN SERVICES LLC 433 WEST MAIN STREET HYANNIS MA 02601 043369730 PRIMARY CARE MA EMERALD TRUST S CORP 29556988 18300607 1.00000 true EMERALD PHYSICIANS MEMBER TRUST 27 PARK STREET HYANNIS MA 02601 467220648 EMRLD SHAREHO MA MACC TRUST 0 0 1.00000 true false false false false false false false false false true true false false true true true false true true CAPE HEALTH INSURANCE COMPANY R 6164733 FMV CAPE COD HOSPITAL 25 COMMUNICATION WAY HYANNIS MA 02601 042103600 CAPE VISITING NURSE ASSN OF CAPE COD INC 25 COMMUNICATION WAY HYANNIS MA 02601 042104159 CAPE FALMOUTH HOSPITAL ASSOCIATION INC 25 COMMUNICATION WAY HYANNIS MA 02601 042220716 CAPE CAPE COD HUMAN SERVICES INC 25 COMMUNICATION WAY HYANNIS MA 02601 042323506 CAPE MEDICAL AFFILIATES OF CAPE COD INC 25 COMMUNICATION WAY HYANNIS MA 02601 043187299 CAPE CAPE COD HEALTHCARE FOUNDATION INC 25 COMMUNICATION WAY HYANNIS MA 02601 043475950 CAPE CAPE & ISLANDS HEALTH SERVICES II 25 COMMUNICATION WAY HYANNIS MA 02601 043572408 CAPE FALMOUTH ASSISTED LIVING INC 25 COMMUNICATION WAY HYANNIS MA 02601 223379395 CAPE JML CARE CENTER INC 25 COMMUNICATION WAY HYANNIS MA 02601 042995795 CAPE