2012-08-15T16:07:36-05:00 2011-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2010-10-01 900054984 CAPE COD HEALTHCARE INC & AFFILIATES CAPE 5089578540 25 COMMUNICATION WAY HYANNIS MA 02601 MICHAEL L CONNORS 2012-08-13 true PRICEWATERHOUSECOOPERS LLP 6175305000 2010 2016-02-24 21:20:13Z MICHAEL K LAUF 25 COMMUNICATION WAY HYANNIS MA 02601 678334041 true true 3901 X WWW.CAPECODHEALTH.org X SEE SCHEDULE O 13 10 4974 1189 4797910 824627 15478190 19646382 620312582 654804853 -7436295 2002939 1984305 1834139 630338782 678288313 0 0 0 0 330384178 346523698 0 0 1060710 274832630 279117560 605216808 625641258 25121974 52647055 664268451 696444171 288594470 308032445 375673981 388411726 X SEE SCHEDULE O false false 558182303 654888254 PATIENT SERVICES - SEE SCHEDULES H AND O 558182303 true true false true false true false false true true true false true true false false true false false true false false false true false true true false false true true false false false false false false false false true false true false false false false true false false false false true 450 0 true 4974 true true true false false false false true true false false false false X 13 10 false false false false true true true true true false false true true true true true true true true false MA X MICHAEL L CONNORS 5089578540 25 COMMUNICATION WAY HYANNIS MA 02601 X ROBERT BIRMINGHAM 2.0 X 0 0 0 ELEANOR CLAUS 2.0 X X 0 0 0 HOWARD CROW JR 2.0 X 0 0 0 MICHAEL FISHBEIN MD 2.0 X 0 0 0 PHILIP MCLOUGHLIN 2.0 X 0 0 0 GROVER BAXLEY MD 2.0 X 131408 0 0 PATRICK MURRAY MD 2.0 X 0 0 0 NATE RUDMAN MD 2.0 X 0 0 0 SUMNER B TILTON JR 2.0 X X 0 0 0 JOEL CROWELL 2.0 X X 0 0 0 PAUL DEMEO MD 2.0 X 27225 0 0 SUZANNE GLYNN ESQ 2.0 X 0 0 0 KEVIN BRESNAHAM MD 2.0 X 0 0 0 DEWITT DAVENPORT 2.0 X 0 0 0 THOMAS WROE JR 2.0 X 0 0 0 RICHARD F SALLUZZO MD 40.0 X 0 1204875 104433 MICHAEL K LAUF 40.0 X 0 552726 82428 WILLIAM ZAMMER 2.0 X 0 0 0 MICHAEL L CONNORS 40.0 X 0 416646 77921 CHRISTOPHER O'CONNOR 40.0 X 0 290880 24135 DIANNE KOLB 40.0 X 0 233535 27304 SUSAN M WING 40.0 X 0 293741 30894 MICHAEL G JONES 40.0 X 0 372739 61874 CHARLES R HULSE 40.0 X 0 218900 27289 DAVID RYAN 40.0 X 0 235742 47921 SHERYL CROWLEY 40.0 X 0 275230 34974 RICHARD B ZELMAN MD 40.0 X 1268819 0 34974 DANIEL J CANADAY MD 40.0 X 612957 0 34974 GARY L SHAPIRO MD 40.0 X 562727 0 38474 XIANG-YANG D GUO MD 40.0 X 542228 0 37474 ROBERT R MCANAW MD 40.0 X 536063 0 34235 JEFFREY S DYKENS 40.0 X 0 242066 34236 STEPHEN L ABBOTT 40.0 X 0 645256 0 LINDA HABEEB MD 40.0 X 235939 0 35866 3917366 4982336 769406 490 true true false SEMRI INC 153 WASHINGTON STREET BELMONT MA 02478 MRI SERVICES 3675526 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 554809146 LAB SERVICES 1653262 CAPE COD ANESTHESIA ASSOCIATES 110 MAIN STREET - UNIT B HYANNIS MA 02601 PHYSICIAN SERVICES 1577432 NEUROSURGEONS OF CAPE COD INC 46 NORTH STREET HYANNIS MA 02601 PHYSICIAN SERVICES 1507881 HEALTHCARE PROVIDER SERVICES PO BOX 9399 PROVIDENCE RI 02940 OUTSIDE BLOOD SVCS 1081378 79 15760 1510483 18120139 560491 19646382 PATIENT SERVICE REVENUE 900099 630621712 630621712 LABORATORY SERVICES 621500 12215632 7926447 4289185 CHILDCARE CENTER REVENUE 624410 508725 508725 INSURANCE/AP REFUNDS 900099 3707277 3707277 PROGRAM RELATED RENTAL INCOME 900099 2118706 2118706 5632801 5632801 654804853 1811992 1811992 83401 83401 0 99654 7892 99654 7892 107546 107546 119670 45728 73942 73942 0 0 CAFETERIA INCOME 900099 1345797 1345797 EMPLOYEE PHARMACY 900099 414400 414400 1760197 678288313 650090344 4797910 3753677 0 0 0 0 158633 27225 131408 505423 477605 27818 260196935 228869466 30691730 635739 7747111 6820048 912962 14101 59422132 52039917 7302653 79562 18493464 16223265 2209076 61123 3125605 2682178 443427 417744 417744 831537 831537 0 0 0 40409187 34616331 5792856 247736 226653 16475 4608 3044526 2751980 287067 5479 6588971 5700632 862708 25631 0 14659329 12640065 2019264 2197752 2108208 83778 5766 0 332402 292926 39476 9048906 7742390 1306516 33365035 28510422 4854613 23051788 19937736 3111852 2200 5182419 4589851 592262 306 PROFESSIONAL FEES 1073899 1068678 5221 PURCHASED SERVICES 3822136 3686295 114625 21216 BAD DEBTS 14317672 14317672 MEDICAL SUPPLIES 87458103 87458103 SUPPLIES 6955421 6086865 849168 19388 22987392 19307792 3499230 180370 625641258 558182303 66398245 1060710 9262404 9379211 22183197 28861444 12632625 12959162 55044333 63151599 938528 2517951 8262112 8769838 3299569 3954064 573106733 321501446 239961850 251605287 249594607 250549656 21499 63089226 64674460 664268451 696444171 59512013 67775937 29907 13408 169235869 162966917 111497 0 59705184 77276183 288594470 308032445 X 290636416 315843107 58473635 46462504 26563930 26106115 375673981 388411726 664268451 696444171 X 52647055 -39909310 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1 1 false false PART II-B, LINE 1I FALMOUTH HOSPITAL ASSOCIATION, INC. AND CAPE COD HOSPITAL PAY MEMBERSHIP DUES TO THE MASSACHUSETTS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. X X 1 13.07 0 0 0 1 false 1.00 400 false 34043109 361842 -1080437 685875 32638639 31383995 1110670 2116186 567742 34043109 31217343 760805 148865 743018 31383995 0.21000 0.79000 0.00000 false true true 23203910 23203910 293123428 115735577 177387851 3053818 2141911 911907 239652044 197749328 41902716 14073533 5874630 8198903 251605287 LONG-TERM INVESTMENTS 170787103 F AGREEMENT / INDENTURE 21642641 F TEMP RESTRICTED INVESTMENTS 32066371 F PERM RESTRICTED INVESTMENTS 19559802 F TRUST 6493739 F 250549656 DUE FROM AFFILIATES 49993260 NET DEFFERED FINANCING COSTS 5411205 GOODWILL 7980353 EST SETTLEMENTS W/ 3RD PARTIES 1031731 OTHER ASSETS 257911 64674460 0 FHA SERIES A SWAP INVESTMENT 67118 ABANDONED PROPERTY LIAB. 20467 DUE TO AFFILIATES 48637030 EST. SETTLEMENTS W 3RD PARTIES 18569697 JV SHIELDS LIABILITY 328612 OTHER CURRENT LIABILITIES 479149 OTHER LONG-TERM LIABILITIES 9174110 77276183 SCHEDULE D, PART II, LINE 9 THE CONSERVATION EASEMENT IS INCLUDED IN LAND ON THE BALANCE SHEET IN PART X, LINE 10. 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 AND ITS AFFILIATES. PART X 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 2872657 1 0 1 0 2872657 2872657 false false true false false false SCHEDULE F, PART I, COLUMN F EXPENSES ARE CODED IN THE GENERAL LEDGER TO THE CAPTIVE INSURANCE COMPANY. SUMMER EVENING 135430 15760 119670 0 0 12696 23476 6175 3381 0 135430 15760 119670 0 0 12696 23476 6175 3381 45728 73942 true true X true X true X true true false true true 11345850 8903157 2442693 0.00400 28793296 18179337 10613959 0.01740 34376508 26002240 8374268 0.01370 74515654 53084734 21430920 0.03510 1018505 1018505 0.00170 558757 167807 390950 0.00060 76696293 53376790 23319504 0.03810 876572 876572 0.00140 79150127 53544597 25605531 0.04180 153665781 106629331 47036451 0.07690 2184 0.00000 35000 0.00000 743246 0.00120 780430 0.00120 true 7898351 394918 206084077 191327407 14756670 X true true CAPE COD RADIATION 0.50000 0.00000 0.00000 THERAPY SERVICESLLC RADIATION THERAPY 2 1 CAPE COD HOSPITAL

27 PARK STREET HYANNIS MA 02601

X X X 2 FALMOUTH HOSPITAL ASSOCIATION INC

100 TER HEUN DRIVE FALMOUTH MA 02540

X X X CAPE COD HOSPITAL 1 FALMOUTH HOSPITAL ASSOCIATION INC 2 49 CAPE COD HEALTHCARE CORP

88 Lewis Bay Rd Hyannis MA 02601

administrative Fontaine Medical Center

525 Long Pond Drive HARWICH MA 02645

medical group practice Medical Affiliates of Cape Cod - Bourne

1 Trowbridge Road Suite 100 BOURNE MA 02532

medical group practice Bramblebush Medical Group

21 Bramblebush Park FALMOUTH MA 02540

medical group practice Guo X Y David MD PhD

37 Edgerton Drive North Falmouth MA 02556

medical group practice Koehler & Feuer

130 North Street HYANNIS MA 02601

medical group practice Harris Scott MD

1 Trowbridge Road Bourne MA 02532

medical group practice Manning Jr William J MD

700 Attucks Lane Suite 1A HYANNIS MA 02601

medical group practice Seaside Pediatrics

150 Ansel Hallet Road West Yarmouth MA 02673

medical group practice Fontaine - Walk-In

525 Long Pond Drive Harwich MA 02645

medical group practice Elmer David B MD

60 Park Street HYANNIS MA 02601

medical group practice Medical Affiliates of Cape Cod -SandwicH

2 Jan Sebastian Way Sandwich MA 02563

medical group practice Shapiro Gary MD

One Lynxholm Court Hyannis MA 02601

medical group practice Hass Family Medicine Hass Joel J MD

130 North Street Hyannis MA 02601

medical group practice Endocrine Center of Cape Cod

40 Quinlan Way 2nd Fl Suite 206 Hyannis MA 02601

medical group practice Ferley - Neurology

40 Quinlan Way 2nd Fl Suite 206 HYANNIS MA 02601

medical group practice Surgical Associates of Falmouth

90 Ter Heun Drive 3rd Fl Falmouth MA 02540

medical group practice Yarmouth Internists

257 Station Avenue SOUTH YARMOUTH MA 02664

medical group practice Litterer William E III DO FACP

360 Gifford Street Unit 2 FALMOUTH MA 02540

medical group practice Rymzo Walter T Jr MD

171 Main Street HYANNIS MA 02601

medical group practice Malaquias Stephen MD

257 Station Avenue South Yarmouth MA 02664

medical group practice Mannal Practice

700 Attucks Lane Suite 1A HYANNIS MA 02601

medical group practice Theodore A Calianos II MD

5 Industrial Drive Suite 109 MASHPEE MA 02649

medical group practice Cape Cod Pediatrices

55 Route 130 Forestdale MA 02644

medical group practice Nauset Family Practice

81 Old Colony Way D ORLEANS MA 02653

medical group practice Barnett Practice

348 Gifford Street 3 Falmouth MA 02540

medical group practice O'Connor Practice

107 County Road North Falmouth MA 02556

medical group practice Devin McManus Medical Practice

10 Bramble Bush Drive FALMOUTH MA 02540

medical group practice Baxley Practice

51 Ocean Avenue Cataumet MA 02534

medical group practice Visiting Nurse Association of Cape Cod

255 Independence Drive HYANNIS MA 02601

home health Cape Health Insurance Company - FOREIGN

C/O CCHC 25 COMMUNICATION WAY HYANNIS MA 02601

administrative Healthcare Foundation

One 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 02563

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

12 Bramblebush Park FALMOUTH MA 02540

COLLECTION CENTER Cape & Islands Health Services II

35 Gonsalves Rd 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 Medical Office Building Inc

20 Gleason Street HYANNIS MA 02601

administrative PART I, LINE 3C N/A PART 1, 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 $14,317,672. PART I, LINE 7 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 III, LINE 4 The Bad debt expense (at cost) reported in part III, Line 2 was calculated using worksheet A of the Schedule H Instructions by applying the ratio of patient care cost to charges against bad debt. 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. PART III, LINE 8 The costing method used to determine the Medicare (Program) Allowable Costs were determined from specific values reported in the Medicare Cost Report representing Program Costs. The general method utilized in the cost report is to take Total Allowable Costs and divide them into Total Charges to determine a Ratio of Cost to Charges (RCC). The RCC is then multiplied by the Program Charges to determine the Program Costs. Cape Cod Hospital incurs losses on certain Medicare Services not reported on the Medicare Cost Report. These services are compensated on a "Fee Schedule" basis and are not subject to settlement on the cost report. They include Laboratory and other Diagnostic services which incur a loss of $3,972,271 and physician services in the hospital that are heavily subsidized by the hospital and incur a loss of $9,172,835. The Medicare cost of diagnostic services is determined by use of the ratio of cost to charges methodology. The Medicare cost of physician services is the product of amount disallowed on the Medicare cost report for the cost of professional services and the Medicare percent of professional fees billed. Both costs have been reduced by the amounts of direct reimbursement by Medicare. PART III, LINE 9B Cape Cod Healthcare provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because Cape Cod Healthcare does not pursue collection of amounts determined to qualify as charity care, such amounts are not reported as revenue. The charity care policy is based on the poverty income guidelines established by the Massachusetts Division of Healthcare Finance and Policy. If a patient is ineligible because his or her income exceeds the eligibility guidelines, any uncollectible accounts receivable balance is written off to bad debts. IN ADDITION TO THE FACILITIES LISTED IN SECTION C, THE LICENSE OF FALMOUTH HOSPITAL INCLUDES THE FOLLOWING FIVE SATELLITE LOCATIONS: - FALMOUTH HOSPITAL OUTPATIENT RADIOLOGY - BOURNE HEALTH CENTER - MASHPEE HEALTH CENTER - FALMOUTH HOSPITAL REHABILITATION SERVICES - BAY RADIOLOGY OUTPATIENT DEPARTMENT FALMOUTH HOSPITAL THE LICENSE OF CAPE COD HOSPITAL INCLUDES THE FOLLOWING NINE SATELLITE LOCATIONS: - CAPE COD HOSPITAL MOBILE MRI AT FONTAINE MEDICAL CENTER - BREAST CARE/RADIOLOGY OF CAPE COD HOSPITAL - CAPE COD HOSPITAL REHABILITATION SERVICES AT WILLY'S GYM - CAPE COD HOSPITAL IMAGING SERVICES AT FONTAINE MEDICAL CENTER - PRIMARY CARE INTERNISTS - CAPE COD HOSPITAL REHABILITATION CENTER - CAPE COD HOSPITAL REHABILITATION SERVICES AT FONTAINE MEDICAL CENTER - CAPE COD HOSPITAL OB/GYN CLINIC - THE CLARK CENTER-CAPE COD HEALTHCARE CANCER SERVICES NEEDS ASSESSMENT: CAPE COD HEALTHCARE CONDUCTS A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT STUDY EVERY THREE YEARS. CCHC SOLICITS COMMUNITY PARTICIPATION IN THE DESIGN, DATA COLLECTION AND DEVELOPMENT OF RECOMMENDATIONS FOR THE PROGRAM. THE STUDY FINDINGS ARE THE FOUNDATION FOR PROGRAM PLANNING AND IMPLEMENTATION. IN ADDITION, THE PLAN IS UPDATED ON AN ANNUAL BASIS TO REFLECT EMERGING NEEDS BETWEEN CYCLES. CCHC SEEKS COMMUNITY FEEDBACK ABOUT THE SERVICES PROVIDED, SATISFACTION WITH SUCH SERVICES, AND SPECIFIC SERVICES NEEDED. THIS INPUT, TOGETHER WITH SECONDARY DATA FROM MULTIPLE SOURCES, IS USED TO BUILD AN AGENDA AIMED AT PROVIDING NEEDED HEALTH CARE SERVICES AND ADDITIONAL COMMUNITY-BASED PROGRAMS. CAPE COD HEALTHCARE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2008-2009. THE ASSESSMENT, PERFORMED IN COLLABORATION WITH COMMUNITY PARTNERS FROM CAPE COD AND THE ISLANDS, CONSISTED OF DATA GATHERING AND ANALYSIS UTILIZING MULTIPLE DATA SOURCES AND HEALTH STATUS INDICATORS. THE ASSESSMENT RESULTED IN THE CREATION OF THE SALIENT HEALTH ISSUES REPORT. IN 2009 "COMMUNITY SOLUTION FORUMS" WERE ORGANIZED TO EXPLORE HOW VARIOUS POPULATIONS IN BARNSTABLE COUNTY WERE IMPACTED BY THE HEALTH ISSUES IDENTIFIED IN THE SALIENT HEALTH ISSUES REPORT. VIABLE SOLUTIONS WERE SOUGHT TO REDUCE OR ELIMINATE IDENTIFIED ISSUES. THE ASSESSMENT COMPLETED IN 2009 CONTINUES TO GUIDE THE COMMUNITY BENEFITS PROGRAM THROUGH FY12. CAPE COD HEALTHCARE BEGAN A NEW COMMUNITY HEALTH NEEDS ASSESSMENT IN FY2011. THIS STUDY WILL CONCLUDE IN FY 12 AND WILL BE THE BASIS OF COMMUNITY BENEFIT PLANNING FOR FY13 - FY15. THE FOLLOWING SOURCES WERE UTILIZED IN THE 2008-2009 COMMUNITY HEALTH NEEDS ASSESSMENT: - ASTHMA PREVENTION AND CONTROL PROGRAMS: STATE OF MASSACHUSETTS - BUREAU OF SUBSTANCE ABUSE SERVICES: MASSACHUSETTS - CAPE COD COMMISSION: OVERVIEW OF CAPE & ISLANDS POPULATION - CENTERS FOR DISEASE CONTROL AND PREVENTION - INJURY SURVEILLANCE PROGRAM: MASSACHUSETTS - JARVI REPORT 2004, CAPE & ISLAND'S BEHAVIORAL HEALTH NEEDS SURVEILLANCE AND GAPS - KEY INFORMANT INTERVIEWS - LOCAL HEALTH AGENCIES - MASSACHUSETTS CANCER REGISTRY - MASSACHUSETTS DEATHS 2000-2005 - MASSACHUSETTS HEALTH DATA CONSORTIUM - MDPH REGIONAL HEALTH STATUS INDICATORS 2007 - MONITORING THE HUMAN CONDITION STUDY 2007 BARNSTABLE COUNTY - NATIONAL INSTITUTE OF HEALTH - SENIOR MOBILITY INITIATIVE ON CAPE COD [SMICC] - U.S. CENSUS CONSULTANTS/OTHER ORGANIZATIONS (NEEDS ASSESSMENT) - BARNSTABLE COUNTY - CAPE AND ISLANDS EMS SYSTEMS, INC. - CAPE AND ISLANDS SUICIDE PREVENTION COALITION - CAPE COD IMMIGRANT CENTER - COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS - COUNCILS ON AGING - DUFFY HEALTH CENTER - GOSNOLD ON CAPE COD - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH - THE BARNSTABLE HUMAN RIGHTS COMMISSION - THE CAPE AND ISLANDS COMMUNITY HEALTH NETWORK (CHNA 27) - TRI-COUNTY COLLABORATIVE FOR ORAL HEALTH EXCELLENCE DATA SOURCES (NEEDS ASSESSMENT) COMMUNITY FOCUS GROUPS, HOSPITAL, CONSUMER GROUP, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA, OTHER - BUREAU OF SUBSTANCE ABUSE, MASS., MONITORING THE HUMAN CONDITION STUDY 2007 AND 2008, BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES, SALIENT HEALTH ISSUES REPORT, JUNE 2008, BARNSTABLE COUNTY, LOCAL HEALTH AGENCIES 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. COMMUNITY INFORMATION DEMOGRAPHIC OVERVIEW THE PRIMARY SERVICE AREA FOR CCHC IS DEFINED AS THE FIFTEEN TOWNS OF BARNSTABLE COUNTY, COMMONLY KNOWN AS "CAPE COD". THE AREA IS GENERALLY VIEWED AS THE LAND MASS DISSECTED FROM THE MAINLAND BY THE CAPE COD CANAL. HOWEVER, BARNSTABLE COUNTY DOES INCLUDE SECTIONS OF BOURNE WHICH ARE LOCATED "OVER THE BRIDGES." BARNSTABLE COUNTY CONSISTS OF 396 SQUARE MILES WITH A POPULATION DENSITY OF 546 PERSONS PER SQUARE MILE IN 2010. CAPE COD IS MADE UP OF DIVERSE TOWNS AND MANY VILLAGES AND DIVIDED INTO FOUR REGIONS; UPPER CAPE, MID CAPE, LOWER CAPE AND OUTER CAPE. THE OUTER CAPE IS THE MOST RURAL AREA OF CAPE COD DUE TO ITS GEOGRAPHICAL LAYOUT, DISTANCE FROM ACUTE CARE FACILITIES AND LIMITED PUBLIC TRANSPORTATION. CCHC IS WORKING COLLABORATIVELY AND BUILDING RELATIONSHIPS WITH OUTER CAPE COMMUNITY HEALTH PROGRAMS TO IMPROVE HEALTH CARE ACCESS FOR SUCH VULNERABLE POPULATIONS. THE 2010 CENSUS REPORTED THE TOTAL YEAR-ROUND RESIDENT POPULATION FOR BARNSTABLE COUNTY AT 215,888. AFTER LEADING THE STATE IN GROWTH FOR THE LAST FEW DECADES, THE BARNSTABLE COUNTY POPULATION HAS STABILIZED. OVERALL, THE CAPE POPULATION HAS DECLINED SLIGHTLY FROM 2000 TO 2010. THE UPPER CAPE, WHICH IS THE REGION CLOSEST TO THE BRIDGE, IS THE ONLY REGION FOR WHICH THERE WAS GROWTH DURING THIS TIMEFRAME. SEASONAL ESTIMATES BY THE CAPE COD CHAMBER OF COMMERCE SUGGEST THAT THE SUMMERTIME POPULATION ROUTINELY REACHES OVER 500,000 AS A RESULT OF SUMMER RESIDENTS AND VACATIONERS VISITING THE AREA. THE MOST NOTABLE DEMOGRAPHIC CHARACTERISTIC OF THE CAPE IS THE HIGH PROPORTION OF SENIOR RESIDENTS. TWENTY-FOUR PERCENT OF THE YEAR-ROUND POPULATION IS OVER THE AGE OF 65, COMPARED TO 14% FOR THE STATE AND APPROXIMATELY 13% NATIONALLY. THIS SEGMENT IS FORECASTED TO CONTINUE TO GROW. THE 2010 MEDIAN AGE FOR A BARNSTABLE COUNTY RESIDENT IS 49.9 YEARS, THE HIGHEST IN MASSACHUSETTS, COMPARED TO A STATEWIDE MEDIAN AGE OF 39.1 YEARS. THESE DEMOGRAPHIC FACTORS PLACE SIGNIFICANT DEMANDS UPON THE SYSTEM. THEREFORE, CCHC IS ACTIVELY INVOLVED IN COMMUNITY EVENTS AND SUPPORTS PATIENT AND COMMUNITY ADVOCACY THROUGH ITS COMMUNITY BENEFITS PROGRAM. COMMUNITY BUILDING ACTIVITIES: COALITION BUILDING CCHC has established a formal process for strategic and operational planning with the four local federally qualified community health centers. The annual planning meeting is attended by Michael Lauf, CEO CCHC, Theresa Ahern, VP Strategy and Community/Governmental Affairs CCHC, Karen Gardner, CEO Community Health Center of Cape Cod, Heidi Nelson, CEO Duffy Health Center, Sally Deane, CEO Outer Cape Health Services, and David Reidy, Executive Director Mid Upper Cape Community Health Center and other senior staff as needed. Throughout the year, CCHC also participates in quarterly health center network meetings which focus on strategic implementation, community assessment, operational improvement and program development. Additionally, CCHC community benefits staff works with the community health centers on an ongoing basis to identify and pursue opportunities to improve collaboration in regard to outreach and education, increasing access, identifying and serving vulnerable populations, developing a medical home model, and physician recruitment. ADVOCACY CCHC is active with advocacy efforts at both the state and federal level to promote delivery of services to vulnerable populations. CCHC regularly works with community-based agencies to advance public policy in a way that recognizes those who lack health insurance or access to services or who face unique health care challenges. WORKFORCE DEVELOPMENT THE 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. THROUGH RIGOROUS EFFORTS HIGHLY QUALIFIED AND COMPETENT PHYSICIANS AND PHYSICIAN EXTENDERS ARE RECRUITED AND RETAINED TO MEET THE HEALTH CARE NEEDS AND PROVIDE CARE TO THE RESIDENTS OF CAPE COD. OTHER INFORMATION: EVERY THREE YEARS CCHC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT TO DETERMINE THE HEALTH CARE NEEDS OF THE RESIDENTS OF BARNSTABLE COUNTY. THIS NEEDS ASSESSMENT HELPS IDENTIFY THE MOST VULNERABLE POPULATIONS AND GAPS IN HEALTH CARE SERVICES. RESULTS HELP DRIVE COMMUNITY BENEFITS PLANNING SUCH AS, DIRECT CLINICAL PROGRAMS, HEALTH EDUCATION, WELLNESS PROMOTION, FINANCIAL SUPPORT, HEALTH CARE SUBSIDIES AND ADVOCACY EFFORTS. THE GOAL IS TO REDUCE HEALTH DISPARITIES, INCREASE ACCESS TO QUALITY HEALTH CARE, AND IMPROVE THE HEALTH/WELLNESS OF THE COMMUNITY. THE FOLLOWING IS A LIST OF THE FY11 TARGET POPULATIONS AND PRIORITIES IDENTIFIED BY THE FY2009 NEEDS ASSESSMENT. TARGET POPULATIONS: -THE MEDICALLY UNDERSERVED, UN/UNDERINSURED AND/OR THOSE WITH HEALTH DISPARITIES. -CHRONICALLY ILL RESIDENTS AFFLICTED WITH CARDIOVASCULAR-RELATED DISEASE, DIABETES, AND/OR ORAL HEALTH ISSUES. -COMMUNITY MEMBERS AFFLICTED WITH MENTAL HEALTH AND/OR SUBSTANCE ABUSE RELATED ISSUES. - GERIATRIC POPULATION, ESPECIALLY THOSE WHO ARE AT RISK AND/OR IN HARD TO REACH AREAS. - RESIDENTS WITH EMERGING HEALTH ISSUES. CAPE COD HEALTHCARE'S COMMUNTIY BENEFIT DEPARTMENT PROVIDED THE FOLLOWING PROGRAMS IN FY 11: FINANCIAL COUNSELING & ASSISTANCE THE FINANCIAL ASSISTANCE AND COUNSELING PROGRAM PROVIDES COMPREHENSIVE SERVICES TO COMMUNITY MEMBERS SEEKING PUBLIC INSURANCE ENROLLMENT AND RE-VERIFICATION OF ENROLLMENT INTO MASSHEALTH, COMMONWEALTH CARE AND HEALTH SAFETY NET INSURANCE PRODUCTS. FINANCIAL COUNSELORS ARE DEDICATED TO IMPROVING ACCESS TO CARE THROUGH ELIGIBILITY SCREENING, ASSESSED AFFORDABILITY AND INCOME VERIFICATION. REACH (REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP): CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM (CIEMSS) THE REACH PROGRAM COORDINATES SERVICES FOR SENIORS IN THEIR HOMES THROUGH THE PROVISION OF REFERRALS TO APPROPRIATE ORGANIZATIONS. BY WORKING IN CONJUNCTION WITH COUNCILS ON AGING, ELDER SERVICES OF CAPE COD AND THE ISLANDS, VNA, EMS AND OTHER COMMUNITY PARTNERS, ISSUES SUCH AS HEALTH, SAFETY, PSYCHOLOGICAL STATUS AND SOCIAL FUNCTIONING ARE ASSESSED, AND APPROPRIATE PLANS ARE DEVELOPED TO ACHIEVE OPTIMAL DAILY LIVING STATUS FOR SENIORS ON CAPE COD. REACH ALSO OFFERS COMMUNITY-BASED TRAININGS FOR SENIOR PROVIDERS WHICH TARGET EMERGING ISSUES AND TRENDS THAT SPECIFICALLY IMPACT SENIOR HEALTH AND WELL-BEING. REFERRALS TO 292 COMMUNITY-DWELLING FRAIL ELDERS WERE MADE TO ORGANIZATIONS WHICH PROVIDED SUPPORT SERVICES TO SENIORS RESIDING ON CAPE COD. COMMUNITY BASED INTERPRETER SERVICES THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM OFFERS FREE MEDICAL LANGUAGE INTERPRETATION IN COMMUNITY-BASED PHYSICIAN PRACTICES AND AT THE COMMUNITY HEALTH CENTERS FOR THE 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 (SNU) THE SPECIALTY NETWORK FOR THE UNINSURED (SNU) IS PROVIDED IN COLLABORATION WITH THE COMMUNITY HEALTH CENTER NETWORK THROUGH ON-SITE SPECIALTY CLINICS AND VOLUNTEER PHYSICIANS. IT OFFERS ACCESS TO SPECIALTY CARE SERVICES FOR OVER SIX HUNDRED AND FIFTY UNDER/UNINSURED INDIVIDUALS AT NO CHARGE OR ON A SIGNIFICANTLY REDUCED SLIDING-SCALE FEE. ALCOHOLISM: IT TAKES A COMMUNITY "IT TAKES A COMMUNITY" IS A COLLABORATIVE PROGRAM INTENDED TO BROADEN HOSPITAL CLINICAL STAFF KNOWLEDGE OF THE DETOXIFICATION PROCESS BY INVOLVING ADDICTION SPECIALISTS FROM GOSNOLD. ALCOHOL DEPENDENT PATIENTS AT RISK FOR WITHDRAWAL AND INCREASED INCIDENCE OF DELIRIUM TREMENS WERE IDENTIFIED BY A FALMOUTH HOSPITAL ADDICTION SPECIALIST. PATIENTS WERE REFERRED TO A GOSNOLD COUNSELOR FOR ASSESSMENT, TREATMENT AND APPROPRIATE REFERRAL. SERVICES WERE ORGANIZED TO INCLUDE MEDICAL INTERVENTION, CLINICAL COUNSELING, FAMILY SUPPORT, SPECIALTY REFERRAL PROTOCOLS AND CONTINUING EDUCATION FOR NURSES AND PHYSICIANS TO INCREASE THEIR KNOWLEDGE OF ADDICTION AND IMPROVE LINKAGES TO SPECIALTY PROGRAMS, SUCH AS GOSNOLD. AIDS SUPPORT GROUP OF CAPE COD THE AIDS SUPPORT GROUP OF CAPE COD IS A FRAMEWORK OF SERVICES FOR VULNERABLE INDIVIDUALS WHO ARE MONO-INFECTED WITH THE HEPATITIS C VIRUS. THE INITIATIVE UTILIZES A MULTIFACETED APPROACH DESIGNED TO PROVIDE CASE MANAGEMENT AND SUPPORT SERVICES TO CLIENTS RECEIVING INTERFERON-BASED TREATMENT, CLIENTS NEWLY DIAGNOSED WITH THE HEPATITIS C VIRUS AND CLIENTS WITH END-STAGE LIVER DISEASE CO-INFECTED WITH AIDS. THE CORE ELEMENTS OF THE PROGRAM ARE SCREENING, SYRINGE EXCHANGE, HARM REDUCTION, EDUCATION, DRUG OVERDOSE PREVENTION AND REFERRALS FOR TREATMENT. ACCESS TO CARE FOR HOMELESS AND AT RISK ADULTS THE DUFFY HEALTH CENTER PROVIDES ACCESS TO CARE THROUGH ASSISTANCE WITH ENROLLMENT AND RE-ENROLLMENT TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS INTO MASSHEALTH, COMMONWEALTH CARE, AND OTHER STATE INSURANCE PRODUCTS. CLIENTS RECEIVED ONGOING ACCESS TO CARE, INCLUDING REFERRALS TO PRIMARY CARE PHYSICIANS AND OTHER APPROPRIATE PROVIDERS TO IMPROVE CHRONIC DISEASE MANAGEMENT AND PROMOTE OLDER ADULT WELLNESS. H.O.P.E PROJECT: COMMUNITY ACTION COMMITTEE OF CAPE COD THE H.O.P.E. PROGRAM OFFERS ACCESS TO HEALTH CARE SERVICES THROUGH ENROLLMENT ASSISTANCE TO INDIVIDUALS AND FAMILIES. THE PROGRAM COORDINATOR OFFERS ASSESSMENT OF AFFORDABILITY AND INCOME VERIFICATION TO DETERMINE THE CLIENT'S ABILITY TO OBTAIN MASSHEALTH, COMMONWEALTH CARE, AND OTHER STATE INSURANCE PLANS. THE COORDINATOR ALSO SERVES AS A REFERRAL SOURCE TO PRIMARY CARE PHYSICIANS, OTHER HEALTH AND HUMAN SERVICE ORGANIZATIONS. EDUCATIONAL OPPORTUNITIES EXIST FOR OPTIMIZING THE IDENTIFICATION OF SERVICES AVAILABLE TO ADDRESS THE CLIENTS' UNMET NEEDS. DETERMINATION OF NEED: OFFICE BASED OPIOID TREATMENT PROGRAM (OBOT) THE DUFFY HEALTH CENTER DEVISED AN INTEGRATED MODEL TO PROVIDE THE EVIDENCED-BASED PRACTICE OF OFFICE-BASED OPIOID TREATMENT (OBOT) IN 2009, WITH THE OBJECTIVE OF PROGRAM EXPANSION TO MEMBERS OF THE COMMUNITY HEALTH CENTER NETWORK (CHCN) BY 2011. THE DUFFY HEALTH CENTER (DHC), THE COMMUNITY HEALTH CENTER OF CAPE COD (CHCCC) AND OUTER CAPE HEALTH SERVICES (OCHS) COMPRISE THE GROUP OF CENTERS WHICH FOCUS ON ADDRESSING THE IDENTIFIED HIGH ADDICTION RATES ON CAPE COD. EACH COMMUNITY HEALTH CENTER HAS A SPECIALTY TEAM OF HIGHLY TRAINED PHYSICIANS AND NURSE PRACTITIONERS WHICH MONITOR PATIENTS CLOSELY FOR ADHERENCE TO THEIR TREATMENT PLANS TO ADDRESS THIS VERY COMPLEX ISSUE. DETERMINATION OF NEED: CHNA 27 TOTAL FUNDING OF $401,000 HAS BEEN DESIGNATED TO ADDRESS ISSUES THAT ELIMINATE HEALTH DISPARITIES, PROMOTE WELLNESS, AND PREVENT/MANAGE CHRONIC DISEASE FOR INDIVIDUALS WHO ARE ELDERLY AND/OR PERSONS WITH DISABILITIES. THIS POPULATION WAS IDENTIFIED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT BY CAPE COD HEALTHCARE AND ENDORSED BY THE COMMUNITY HEALTH NETWORK AREA 27 (CAPE COD AND THE ISLANDS). PRESCRIPTION ASSISTANCE PROGRAM THE PRESCRIPTION ASSISTANCE PROGRAM IS A JOINT INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY ROOMS AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO HELP UNINSURED OR UNDERINSURED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM THE ER. LAST YEAR PHARMACY VOUCHERS TOTALING OVER $23,000 WERE PROVIDED TO PATIENTS THAT MET THE FINANCIAL CRITERIA. THIS INITIATIVE ENSURES PATIENTS ARE ABLE TO COMPLY WITH THEIR DISCHARGE PLAN. TRANSPORTATION ASSISTANCE PROGRAM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED TRANSPORTATION THROUGH ISSUANCE OF $21,500 WORTH OF TAXI VOUCHERS TO ASSIST FINANCIALLY CHALLENGED PATIENTS WHO ARE BEING DISCHARGED FROM THE EMERGENCY ROOMS AND ARE WITHOUT RESOURCES FOR BEING TRANSPORTED TO THEIR DESTINATION. KICK BUTTS - SMOKING CESSATION PROGRAM CAPE COD HEALTHCARE OFFERS FREE AND REDUCED-FEE PERSONALIZED TOBACCO CESSATION CLASSES. CLASSES FOCUS ON EDUCATING AND MOTIVATING PARTICIPANTS TO STOP UTILIZING USING TOBACCO. THE SIX-WEEK SMOKING CESSATION PROGRAMS OCCUR AT CONVENIENT LOCATIONS IN ORDER TO ACCOMMODATE POTENTIAL PARTICIPANTS. CERTIFIED SMOKING CESSATION EXPERTS FACILITATE THE PROGRAMS. SESSIONS ARE INTERACTIVE AND GROUP SIZES VARY FROM FIVE TO FIFTEEN. CANCER SURVIVORSHIP PROGRAM THE CANCER SURVIVORSHIP PROGRAM AT CAPE COD HEALTHCARE ENCOMPASSES SUPPORT, INFORMATION AND RESOURCES OFFERED TO INDIVIDUALS, FAMILIES AND FRIENDS THROUGH IN-PERSON MEETINGS AND PHONE CONTACT. SUPPORT GROUPS ARE OFFERED ON A MONTHLY BASIS, IN ADDITION TO EDUCATION AND OUTREACH TO ORGANIZATIONS AND THEIR MEMBERSHIP TO INCREASE THE KNOWLEDGE AND AWARENESS OF SURVIVORSHIP. AN ANNUAL "CELEBRATION OF LIFE" EVENT IS ORGANIZED TO EMPHASIZE THE IMPORTANCE OF SUPPORTING SURVIVORS BEYOND THEIR RECOVERY. COMMUNITY-BASED HEALTH EDUCATION AND OUTREACH CAPE COD HEALTHCARE IS COMMITTED TO PROVIDING FREE HEALTH EDUCATION AND OUTREACH IN ORDER TO ENHANCE AND PROMOTE WELLNESS, CONTRIBUTE TO THE PREVENTION OF ILLNESS AND IMPROVE THE MANAGEMENT OF CHRONIC DISEASE. HEALTH CARE PROFESSIONALS, INCLUDING PHYSICIANS AND NURSES, PROVIDE THE MOST UP-TO-DATE HEALTH AND DISEASE MANAGEMENT INFORMATION TO THE COMMUNITY AT LARGE IN ORDER TO INCREASE THEIR AWARENESS OF STRATEGIES WHICH MAY IMPROVE THEIR HEALTH STATUS AND WELL-BEING. HELPING HANDS PROGRAM THE HELPING HANDS PROGRAM OFFERS MEDICATION REVIEW AND OPTIMIZATION WITH A CLINICAL PHARMACIST IN THE PATIENT'S HOME FOR HIGH-RISK PATIENTS BEING DISCHARGED WITH A CHRONIC DISEASE, FIVE OR MORE MEDICATIONS, MULTIPLE REGIMEN CHANGES, AND WHEN AN INCREASE FALL RISK HAS BEEN IDENTIFIED. PATIENTS AND THEIR CAREGIVERS ARE PROVIDED COACHING ON SELF-MANAGEMENT OF THEIR CHRONIC DISEASE, MEDICATION MANAGEMENT AND EVALUATION FOR FALL RISK AND HOME SAFETY. SUPPORT GROUPS AND CLASSES SUPPORT GROUPS AND CLASSES ARE CONDUCTED BY HEALTH CARE PROFESSIONALS ON A REGULAR BASIS. THESE EVENTS WERE OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR PATIENT STATUS OR TIES TO A SPECIFIC HOSPITAL. INFORMATION AND RESOURCES WERE MADE AVAILABLE TO INDIVIDUALS, FAMILIES AND FRIENDS. WORKFORCE DEVELOPMENT CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT, AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOO 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 ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: MA false true false false false false false false false CHRISTOPHER O'CONNOR 0 250115 0 36000 0 4765 0 0 0 24135 0 315015 0 0 DIANNE KOLB 0 200710 0 27500 0 5325 0 12392 0 14912 0 260839 0 0 SUSAN M WING 0 220235 0 42500 0 31006 0 23956 0 6938 0 324635 0 28007 MICHAEL G JONES 0 306601 0 65000 0 1138 0 28333 0 33541 0 434613 0 0 LINDA HABEEB MD 235519 0 0 0 420 0 9600 0 26266 0 271805 0 0 0 CHARLES R HULSE 0 203873 0 13251 0 1776 0 8781 0 18508 0 246189 0 0 RICHARD F SALLUZZO MD 0 841363 0 255000 0 108512 0 83280 0 21153 0 1309308 0 26488 MICHAEL K LAUF 0 433909 0 100000 0 18817 0 51769 0 30659 0 635154 0 18080 MICHAEL L CONNORS 0 335464 0 80000 0 1182 0 41776 0 36145 0 494567 0 0 RICHARD B ZELMAN MD 1210859 0 50000 0 7960 0 9800 0 25174 0 1303793 0 0 0 DANIEL J CANADAY MD 331034 0 275157 0 6766 0 9800 0 25174 0 647931 0 0 0 GARY L SHAPIRO MD 547882 0 0 0 14845 0 9800 0 28674 0 601201 0 0 0 XIANG-YANG D GUO MD 541598 0 0 0 630 0 9800 0 27674 0 579702 0 0 0 ROBERT R MCANAW MD 327331 0 206926 0 1806 0 9800 0 24435 0 570298 0 0 0 STEPHEN L ABBOTT 0 0 0 0 0 645256 0 0 0 0 0 645256 0 199912 DAVID RYAN 0 204651 0 30000 0 1091 0 18892 0 29029 0 283663 0 0 JEFFREY S DYKENS 0 214846 0 25000 0 2220 0 9062 0 25174 0 276302 0 0 SHERYL CROWLEY 0 226600 0 48000 0 630 0 9800 0 25174 0 310204 0 0 LINE 4B: 457(F) CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EMPLOYEES. 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 PAID UNDER THE PLAN DURING CALENDAR YEAR 2010 WERE AS FOLLOWS: - RICHARD F. SALLUZZO, MD - $26,488 - MICHAEL K. LAUF - $18,080 - STEPHEN L. ABBOTT - $645,256 - SUSAN M. WING - $28,007 - GARY L. SHAPIRO - $1,496 (SERP) STEPHEN L. ABBOTT, FORMER PRESIDENT/CEO RECEIVED A 457(F) PAYOUT OF $645,256 AS IT WAS VESTED TWO YEARS FROM THE DATE OF TERMINATION. $199,912 REPORTED IN SCHEDULE J, PART II, COLUMN (F) WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORM 990. THE INDIVIDUALS REPORTED IN SCHEDULE J, PART I AND SCHEDULE J-2 AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION. MHEFA REVENUE BONDS SERIES D 042456001 57586ERMS 2004-12-23 65000000 CONSTRUCTION false false false MHEFA REVENUE BONDS SERIES E 042456011 57586C7V1 2008-06-18 36710000 REF. OF 93 SER. A&C AND 94 SER false false false 3980000 65000000 3880803 2886949 1142687 2267966 54821595 2008 false false true true 4115422 36710000 266112 36443888 true false true false false false false true 0.00000 0.00000 0.00000 true false false false false false false false true true BANK OF AMERICA false false false DR KATIE RUDMAN SPOUSE OF TRUSTEE 176986 MACC EMPLOYEE false DR DALE WELDON SPOUSE OF KEY EMPLOYEE 50260 HOSPITAL EMPLOYEE false X 31 560491 VALUE OF STOCK REC'D 0 false true false SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. Community Benefits Mission Community Benefits Mission Statement: Cape Cod Healthcare, Inc., through its Community Benefits initiative, is committed to enhancing the quality of and access to comprehensive health care services for all the 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: The under-served, un/underinsured and/or those with health disparities. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 2. Name of Target Population: Chronically ill residents afflicted with cardiovascular-related disease, diabetes, and/or oral health issues. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 3. Name of Target Population: Community members afflicted with mental health and/or substance abuse-related issues. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 4. Name of Target Population: Geriatric population, especially those who are at risk and/or in hard to reach areas. Basis for Selection: This population is selected based on well documented evidence that a significant portion of the community needs financial, programmatic, informational or educational support. The data suggests opportunity to impact the overall health status of individuals across the entire service area. Although some aspects may be currently addressed to some degree in the community, unmet needs still exist. 5. Name of Target Population: Residents with emerging health issues. Basis for Selection: This population is designated to allow program flexibility to address community health needs not identified at the time of initial plan development. Publication of Target Populations Website, Other- Attorney General Website Hospital/HMO Web Page Publicizing Target Pop. http://www.capecodhealth.org/community Key Accomplishments of Reporting Year The Cape Cod Healthcare (CCHC) Community Benefits program provided funding to multiple community agencies. Throughout the year, leadership, staff and physicians worked collaboratively with community agencies to identify and develop programs that were sponsored by CCHC. The program continues to seek opportunities to develop collaborative relationships which benefit the community. The key accomplishments for FY 11 include: 1. HC expanded its collaboration with and support of the federally funded community health centers operating in Barnstable County. 2. CCHC continued its collaboration with a broad spectrum of health and human service agencies which support the residents of Barnstable County. 3. CCHC initiated the first phase of the Community Health Needs Assessment for the service area. During FY 11 the program began study design, identified and selected an independent research firm to assist with the research component and solicited the involvement of other community partners. Secondary research began and the study will conclude and be reported in FY 12. This study will serve as the basis for program planning from FY 13-15. 4. CCHC, in collaboration with the Community Health Committee, stabilized three important and ongoing programs by establishing multi-year plans and funding. These programs provide services to vulnerable populations including the uninsured, elders, people needing access to specialty physicians, and interpretive services in the community. 5. Established an internally based Community Benefits Task Force comprised of clinical, operational and corporate managers throughout CCHC to identify and quantify community benefits initiatives. The task force created an inventory of all community benefit programs which align with the target populations and stated priorities. This group also serves in an advisory capacity which identifies community needs. 6. Developed a comprehensive RFP program for direct funding of community benefit programs. This process resulted in direct funding of $100,000 to programs/agencies which address substance abuse, infectious disease and access through enrollment. 7. CCHC's Community Benefits program staff participates as an active member of CHNA 27 and its steering committee. CHNA 27 members work to build a healthier community through community-based prevention planning, health promotion and improving health status indicators of Cape Cod and the Islands residents pursuant to the mandate from the Massachusetts Department of Public Health. Plans for Next Reporting Year Plans for FY12 will continue to implement priorities established in the FY 10 strategic plan. Staff updates and amends the plan annually to reflect emerging needs. These amendments ensure that the plan has incorporated data and findings from national, regional, state and local studies, particularly those provided by the Mass Department of Public Health and Barnstable County Human Services. The FY 12 plan is compliant with all state and federal requirements. Goals for FY2012 1. Continue to expand community collaborations to enhance the health of Cape Cod's underserved and vulnerable populations. 2. Strategically partner with the four federally qualified community health centers based on Cape Cod to increase access to primary and specialty care services. 3. Complete a Community Health Needs Assessment and utilize findings to modify the community benefits plan. 4. Develop or modify Community Benefits services to meet prioritized community health needs for FY 13-15. 5. Continue to evaluate services, events and programs for alignment with established priorities, measurable outcomes and cost effectiveness, as well as with CCHC's overall strategic direction. 6. Conduct an annual RFP process and award $150,000 in Impact Priority-Grants. Community Collaborations CCHC continuously seeks opportunities to engage the community in collaborative efforts to enhance the quality of and access to comprehensive health care services for all residents of Cape Cod. FY2012 Community Benefits Priorities 1. Increase health care access through outreach and leadership initiatives resulting in an integrated and coordinated community health care delivery system to reduce health disparities and promote health equity. 2. Create strategic collaborations with existing community health providers and partners who will foster healthy lifestyle choices and promote healthier behaviours that can prevent or delay chronic disease thereby increasing the quality of life. 3. Improve post-hospital discharge and follow-up experience of vulnerable patients, particularly elders and those with chronic disease. 4. Adopt a more preventative, wellness-oriented care model related to mental health and substance abuse. 5. Reduce health risks and unnecessary declines in quality of life through wellness and prevention approaches with attention to particularly vulnerable populations, including, but not limited to: a) Persons 65 and over b) Persons with or at risk of contracting; HIV/AIDS, Hepatitis B and C, tuberculosis and/or sexually transmitted diseases. 6. Address well documented emerging health issues identified by the MA Department of Health, and other reliable sources, such as issues related to youth populations (i.e. violence, bullying and suicide). Community Benefits Process Community Benefits Leadership Team A fundamental tenet of Cape Cod Healthcare's mission is to provide excellent care to members of our community. Cape Cod and Falmouth Hospitals, along with our affiliates, play an important role as safety net providers to the Cape Cod region, given our relative geographic isolation. The development of varied community collaborations, including the Community Benefits Program, is lead by Michael K. Lauf, Chief Executive Officer and Theresa M. Ahern, Vice President, Strategy, Community/Governmental Affairs. Management of the program is the responsibility of Carol A. Summersall, Director of Community Benefits and Partnerships. The Community Health Committee provides strategic oversight to the community benefits program as a designated subcommittee of the Board of Trustees. The Committee is comprised of members who work in health care services on Cape Cod, community-based 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 Board regarding Community Benefits programs, sets priorities and awards priority grant funding, and advises on community health issues and initiatives. Community Health Committee Members Eleanor Claus (Chair) CCHC Board Member 927 Route 6A, Yarmouth Port, MA 02675 508.362.3000 x203 eclaus@kinlingrover.com Representing: CCHC Board of Trustees Elizabeth Albert, Director Barnstable County Human Services P.O. Box 427, Barnstable, 02630 508.375.6626 balbert@barnstablecounty.org Representing: Community at Large: Mid-Cape 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 Mary Devlin, Manager Public Health and Wellness Visiting Nurses Association 255 Independence Drive, Hyannis, 02601 508.957.7619 mdevlin@vnacapecod.org VNA of Cape Cod: Provincetown to Plymouth Representing: All 5 Priorities with emphasis on Chronic Disease and Healthy Aging of the Geriatric Population Georgia Carvalho, Grants Developer Cape Cod Community College 2240 Iyannough Road, West Barnstable, 02668 508.362.2131 ext. 4492 gcarvalho@capecod.edu Representing: Education related to all 5 priorities Karen Gardner, CEO Community Health Center of Cape Cod 107 Commercial St., Mashpee, MA 02649 508.477.7090 kgardner@chcofcapecod.org Representing: Community at Large Suzanne Fay Glynn, Attorney CCHC Board Member Glynn Law Offices 49 Locust Street, Falmouth, MA 02540 508.548.8282 ljarvis@glynnlawoffices.com Representing: CCHC Board of Trustees Carmen Lebron, Manager Cape Cod Immigrant Center 624 Osterville West Barnstable Rd Unit E1 - Marstons Mills, MA 02648 508.428.0517 clebron@capecod.edu Representing: All 5 priorities with an emphasis on Immigrant population, Health disparities and Emerging Health Needs Timothy Lineaweaver, Executive Director Cape and Islands Coalition for Suicide Prevention 107 Commercial Street, Mashpee, MA 02649 tnt410@aol.com Representing: Mental Health, Substance Abuse and Suicide Brian O'Malley, MD 30 Shankpainter Road Provincetown, MA 02657 508.487.3505 bomalley@capecodhealth.org Medical Seat Representing: Community at Large: Lower/Outer Cape Elizabeth Smith, Director Lower Cape Councils on Aging (Orleans) 150 Rock Harbor Road, Orleans, 02653 508.255.6333 esmith@town.orleans.ma.us Representing: Healthy Aging to Geriatric Population, Chronic Disease and Emerging Health Needs Cape Cod Healthcare members: Theresa M. Ahern Vice President, Strategy and Community/Governmental Affairs Cape Cod Healthcare 88 Lewis Bay Road Hyannis, MA 02601 508.862.5077 tahern@capecodhealth.org Diane M. Munsell, BSN, RN, EdM Senior Manager, Community Benefits and Clinical Outreach Cape Cod Healthcare 333 North Street Hyannis, MA 02601 508.862.7896 dmunsell@capecodhealth.org Community Benefits Team Meetings The Community Health Committee Meeting Dates for FY11 were: November 18, 2010 4:00-5:30 pm February 24, 2011 4:00-5:30 pm May 5, 2011 4:00-5:30 pm August 4, 2011 4:00-5:30 pm Community Partners AIDS Support Group of Cape Cod Barnstable Equals Smart, Safe and Sober (BES3) Barnstable Human Services Barnstable High School Cape and Islands EMS Systems, Inc. Cape and Islands Suicide Prevention Coalition Cape and Islands United Way Cape Cod Chamber of Commerce Cape Cod Community College Cape Cod Community Foundation Cape Cod Immigrant Center Children's Cove Community Action Committee of Cape Cod & Islands Community Health Center of Cape Cod Councils on Aging Duffy Health Center Falmouth Human Services Gosnold on Cape Cod Housing Assistance Corporation Immigrant Center of Cape Cod Massachusetts Department of Public Health Mid-Upper Cape Community Health Center Outer Cape Health Services Parkinson Support Network of Cape Cod The Cape and Islands Community Health Network (CHNA 27) Tri-County Collaborative for Oral Health Excellence Community Health Needs Assessment Date Last Assessment Completed and Current Status Cape Cod Healthcare conducts a formal community health needs assessment study every three years. CCHC solicits community participation in the design, data collection and development of recommendations for the program. The study findings are the foundation for program planning and implementation. In addition, the plan is updated on an annual basis to reflect emerging needs between cycles. CCHC seeks community feedback about the services provided, satisfaction with such services, and specific services needed. This input, together with secondary data from multiple sources, is used to build an agenda aimed at providing needed health care services and additional community-based programs. Cape Cod Healthcare conducted a Community Health Needs Assessment in 2008-2009. The assessment, performed in collaboration with community partners from Cape Cod and the Islands, consisted of data gathering and analysis utilizing multiple data sources and health status indicators. The assessment resulted in the creation of the Salient Health Issues Report. In 2009 "Community Solution Forums" were organized to explore how various populations in Barnstable County were impacted by the health issues identified in the Salient Health Issues Report. Viable solutions were sought to reduce or eliminate identified issues. The assessment completed in 2009 continues to guide the Community Benefits program through FY12. Cape Cod Healthcare began a new Community Health Needs Assessment in FY2011. This study will conclude in FY 12 and will be the basis of community benefit planning for FY13 - FY15. The following sources were utilized in the 2008-2009 Community Health Needs Assessment: - Asthma Prevention and Control Programs: State of Massachusetts - Bureau of Substance Abuse Services: Massachusetts - Cape Cod Commission: Overview of Cape & Islands Population - Centers for Disease Control and Prevention - Injury Surveillance Program: Massachusetts - Jarvi Report 2004, Cape & Island's Behavioral Health Needs Surveillance and Gaps - Key Informant Interviews - Local Health Agencies - Massachusetts Cancer Registry - Massachusetts Deaths 2000-2005 - Massachusetts Health Data Consortium - MDPH Regional Health Status Indicators 2007 - Monitoring the Human Condition Study 2007 Barnstable County - National Institute of Health - Senior Mobility Initiative on Cape Cod [SMICC] - U.S. Census Consultants/Other Organizations (Needs Assessment) Barnstable County Cape and Islands EMS Systems, Inc. Cape and Islands Suicide Prevention Coalition Cape Cod Immigrant Center Community Action Committee of Cape Cod & Islands Councils on Aging Duffy Health Center Gosnold on Cape Cod Massachusetts Department of Public Health The Barnstable Human Rights Commission The Cape and Islands Community Health Network (CHNA 27) Tri-County Collaborative for Oral Health Excellence Data Sources (Needs Assessment) Community Focus Groups, Hospital, Consumer Group, Interviews, MassCHIP, Public Health Personnel, Surveys, CHNA, Other - Bureau of Substance Abuse, Mass., Monitoring the Human Condition Study 2007 and 2008, Barnstable County Department of Human Services, Salient Health Issues Report, June 2008, Barnstable County, Local Health Agencies COMMUNITY BENFEITS PROGRAMS Financial Counseling & Assistance Program Type: Community Participation/Capacity Building Initiative, Direct Services, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The Financial Assistance and Counseling Program provides comprehensive services to community members seeking public insurance enrollment and re-verification of enrollment into MassHealth, Commonwealth Care and Health Safety Net insurance products. Financial counselors are dedicated to improving access to care through eligibility screening, assessed affordability and income verification. Target Population: Region Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations, Reducing Health Disparity, Supporting Healthcare Reform 1. Goal Description Increase access to care through enrollment. Goal Status Assisted 3,380 people with Gateway applications and re-verification. Ongoing 2. Goal Description Improve community awareness of state insurance programs. Goal Status Provided outreach and education, which resulted in a 23% increase over prior year in enrollment and re-enrollment for residents of Cape Cod. Ongoing Partners Cape Cod Immigrant Center http://www.ccimmigrantcenter.org/ Community Action Committee of Cape Cod and Islands http://www.cacci.cc/ Community Health Center of Cape Cod http://www.chcofcapecod.org/ Council on Aging on Cape Cod http://www.allcapecod.com/ccic/seniorcenters.cfm Duffy Health Center http://www.duffyhealthcenter.org/ Elder Services of Cape Cod & the Islands http://www.escci.org/ Martha's Vineyard Hospital http://www.mvhospital.com/ Mashpee Wampanoag http://www.mashpeewampanoagtribe.com/ Mid-Upper Cape Community Health Center http://www.hhsi.us/cape-cod/mid-upper-cape-community-health-center/ Nantucket Cottage Hospital http://www.nantuckethospital.org/ Outer Cape Health Services http://www.outercape.org/ Spaulding Rehabilitation Hospital Cape Cod http://www.rhci.org/about/news/rhcispauldingcapecod/ Visiting Nurses Association http://www.vnacapecod.org/index.html All Nursing Homes and Rehabilitation Sites on Cape Cod Various Contact Information Michael Clark, Executive Director of Patient Access, 25 Communication Way, Hyannis, MA 02601, 508.957.8464, mclark@capecodhealth.org Detailed Description Not Specified PHYSICIAN RECRUITMENT Program Type: Community Participation/Capacity Building Initiative, Healthy Communities Partnership, Outreach to Underserved, Physician/Provider Diversity, Prevention Brief Description or Objective: The 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. Through rigorous efforts highly qualified and competent physicians and physician extenders are recruited and retained to meet the health care needs and provide care to the residents of Cape Cod. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to care through provider recruitment. Goal Status Fourteen physicians and physician extenders were recruited in FY11. Ongoing 2. Goal Description Address needs of vulnerable populations. Goal Status Recruited primary care and specialty physicians to address the unmet needs of vulnerable populations, such as the elderly. Ongoing PARTNERS Partner Name, Description Not Specified Partner Web Address Not Specified Contact Information Keith Ritchie, Director of Physician Services, Cape Cod Healthcare, 88 Lewis Bay Road, Hyannis, MA 02601, 508.862.5481, kritchie@capecodhealth.org REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP (REACH): CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM (CIEMSS) Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: REACH coordinates services for seniors in their homes through the provision of referrals to appropriate organizations. By working in conjunction with Councils on Aging, Elder Services of Cape Cod and the Islands, VNA, EMS and other community partners, issues such as health, safety, psychological status and social functioning are assessed, and appropriate plans are developed to achieve optimal daily living status for seniors on Cape Cod. REACH also offers community-based trainings for senior providers which target emerging issues and trends that specifically impact senior health and well-being. Target Population: Regions Served: Barnstable Health Indicator: Access to Health Care, Injury and Violence, Mental Health, Other: Alzheimer Disease, Other: Elder Care, Other: First Aid/ACLS/CPR, Other: Homebound, Other: Homelessness, Other: Hospice, Other: Parkinson's Disease, Other: Safety - Home, Other: Stress Management, Other: Uninsured/Underinsured Sex: All Age Group: Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to care for at least 250 elders. Goal Status Referrals for 292 community-dwelling frail elders were made to organizations which provided support services to improve the overall health, safety and well being of these individuals through community collaboration and coordination. Ongoing 2. Goal Description Promote wellness initiatives which address chronic disease management. Goal Status Assisted senior service organizations in the promotion of wellness through provision of services to prevent unnecessary declines with a focus on older adults with chronic health issues. 3. GOAL DESCRIPTION Increase competency of service providers. Goal Status Competency building educational opportunities were provided to several community organizations to increase and support age-appropriate information, referral and service response. Train the trainer sessions were conducted for 20 responders. On Target Partners Partner Name, Description and Web Address Cape & Islands Emergency Medical Service System (CIEMSS) http://www.ciemss.org/ Council on Aging on Cape Cod http://www.allcapecod.com/ccic/seniorcenters.cfm Elder Services of Cape Cod http://www.escci.org/ Visiting Nurses Association http://www.vnacapecod.org/index.html Contact Information Katherine Wernier REACH Collaborative Coordinator, Reaching Elders with Additional Community Help, 66 Bayview Street, West Yarmouth, MA 02673-8203, 508.771.4510 , reach@ciemss.org Detailed Description Not Specified COMMUNITY BASED INTERPRETER SERVICES Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Physician/Provider Diversity, Prevention, School/Health Center Partnership Brief Description or Objective: The Community Based Interpreter Services program offers free medical language interpretation in community-based physician practices and at the Community Health Centers for the 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: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: Haitian Creole , Portuguese , Spanish Goals 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 1. Goal Description Increase access to care by providing at least 1,000 medical language interpretations. Goal Status Collaborated with Community Health Centers and physician offices through outreach and education relative to interpreter services which resulted in 1,020 encounters. Ongoing 2. Goal Description Reduce health care disparities for limited and non-English speaking people. Goal Status Ensured physicians and providers understood the significance of utilizing interpreter services through the distribution of thousands of brochures and offering in-service opportunities. Ongoing Partners Partner Name, Description and Web Address Community Health Center of Cape Cod: The Specialty Network for the Uninsured http://www.chcofcapecod.org/ Community-Based Medical Offices on Cape Cod Various Contact Information Ceci Phelan-Stiles, Sr. Manager of HR Communication Systems, Cape Cod Healthcare, 60 Park Street, Hyannis, MA 02601, 508.862.7822 , cphelan-stiles@capecodhealth.org Detailed Description Not Specified SPECIALTY NETWORK FOR THE UNINSURED (SN): COMMUNITY HEALTH CENTER OF CAPE COD Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: The Specialty Network for the Uninsured (SNU) is provided in collaboration with the Community Health Center network through on-site specialty clinics and volunteer physicians. It offers access to specialty care services for over six hundred and fifty under/uninsured individuals at no charge or on a significantly reduced sliding-scale fee. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Cervical, Other: Cancer - Colo-rectal, Other: Cancer - Lung, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Colitis/Crohn Disease, Other: Elder Care, Other: Hypertension, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: English , Haitian Creole , Portuguese , Spanish Goals 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 1. Goal Description Increase access to specialty care for at least 650 low-income and uninsured individuals. Goal Status The SNU provided 731 patient appointments with specialists. Ongoing 2. Goal Description Increase capability of SNU to accept patients for specialty care. Goal Status The program established agreements with 75 specialists, which represent 19 medical and surgical specialties. Ongoing 3. Goal Description Improve health care outcomes through prevention and health promotion. Goal Status Assisted patients with care coordination and referrals to cancer screenings for breast and prostate as well as eye screenings. Ongoing Partners Partner Name, Description and Web Address Community Health Center of Cape Cod http://www.chcofcapecod.org/ Contact Information Karen Gardner, CEO, 107 Commercial Street, Mashpee, MA 02649, 508.477.7090 , kgardner@chcofcapecod.org Detailed Description Not Specified PRESCRIPTION ASSISTANCE PROGRAM Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved Brief Description or Objective: The Prescription Assistance Program is a joint initiative of Cape Cod Hospital and Falmouth Hospital Emergency Rooms and Pharmacy Departments as a community benefit to help uninsured or underinsured patients who have no other viable means to pay for medications upon discharge from the ER. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Assist people who are unable to afford medications to ensure compliance with their discharge plan. Goal Status Cape Cod Hospital and Falmouth Hospital Emergency Rooms provided pharmacy vouchers totaling $23,652 for uninsured, underinsured or financially challenged patients who were unable to afford prescriptions upon discharge. Ongoing Partners Partner Name, Description and Web Address Patients leaving the Cape Cod Hospital or Falmouth Hospital Emergency Rooms who are un/underinsured and struggling financially. n/a Local Pharmacies n/a Contact Information: Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333 Hyannis, MA 02601, 508.862.7896 , csummersall@capecodhealth.org Detailed Description: Not Specified TRANSPORTATION ASSISTANCE PROGRAM Program Type: Community Participation/Capacity Building Initiative, Direct Services, Healthy Communities Partnership, Outreach to Underserved Brief Description or Objective: Cape Cod Hospital and Falmouth Hospital provided transportation through issuance of taxi vouchers to assist financially challenged patients who are being discharged from the Emergency Rooms and are without resources for being transported to their destination. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Homelessness, Other: Safety, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Assist people who are unable to afford or access transportation to ensure compliance with their discharge plan. Goal Status Cape Cod Hospital and Falmouth Hospital Emergency Rooms provided taxi vouchers totaling $21,523 for uninsured, underinsured or financially challenged patients upon discharge. Ongoing Partners Partner Name, Description, Web address Local Taxi Companies n/a Un/underinsured community members who are struggling financially. n/a Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org KICK BUTTS, STOP SMOKING PROGRAM Program Type: Community Education, Community Participation/Capacity Building Initiative, Direct Services, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: Cape Cod Healthcare offers free and reduced-fee personalized tobacco cessation classes to provide education and motivation to interested individuals that are seeking support to stop using tobacco. A six-week smoking cessation program is conducted in local community sites between Bourne and Hyannis. Certified Smoking Cessation experts facilitate the programs. Sessions are interactive and group sizes vary from five to fifteen. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Cancer, Other: Cancer - Lung, Other: Cardiac Disease, Other: Pulmonary Disease/Tuberculosis, Other: Smoking/Tobacco, Other: Uninsured/Underinsured, Tobacco Use Sex: All Age Group: All Adults, Child-Teen Ethnic Group: All Language: English Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Support health promotion by offering at least 6 smoking cessation classes. Goal Status Six Kick Butts, Stop Smoking Classes were offered in FY11. Approximately 50 people registered for classes. Completed Partners Partner Name, Description, Web Address Barnstable High School, Hyannis, MA http://www.barnstable.k12.ma.us/bhs/home.html Barnstable Senior Center http://www.town.barnstable.ma.us/seniorservices/ Bourne Community Center http://www.bournecouncilonaging.org/about.html Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333, Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Download/View Attachment(638865 KB) File Name: Kick Butts Tri-fold.pdf DETERMINATION OF NEED: OFFICE BASED OPIOD TREATMENT PROGRAM (OBOT) Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Health Professional/Staff Training, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The Duffy Health Center devised an integrated model to provide the evidenced-based practice of Office-Based Opioid Treatment (OBOT) in 2009, with the objective of program expansion to members of the Community Health Center Network (CHCN) by 2011. The Duffy Health Center (DHC), the Community Health Center of Cape Cod (CHCCC) and Outer Cape Health Services (OCHS) comprise the group of centers which focus on addressing the identified high addiction rates on Cape Cod. Each community health center has a specialty team of highly trained physicians and nurse practitioners which monitor patients closely for adherence to their treatment plans to address this very complex issue. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Mental Health, Other: Alcohol and Substance Abuse, Other: Education/Learning Issues, Other: Homelessness, Other: Stress Management, Other: Uninsured/Underinsured, Substance Abuse Sex: All Age Group: All Adults Ethnic Group: All Language: English , Haitian Creole , Portuguese , Spanish Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Supporting Healthcare Reform 1. Goal Description Provide Case-Care Management Services to ensure patients have a high level of staff intervention. Goal Status Patients are closely monitored to ensure adherence to program recovery protocols. In FY11 the DHC panel averaged 121 patients, the CHCCC panel average 51 patients and OCHS panel averaged 35 patients. Ongoing 2. Goal Description Increase access to program services. Goal Status OCHS joined the program in FY11, thus increasing access to services for people residing on the Lower/Outer Cape. Access to Gosnold Center is provided to all patients who need detoxification, rehab and Intensive Outpatient Services (IOP). Ongoing 3. Goal Description Recruit and retain providers. Goal Status All 3 centers actively recruited staff to maintain appropriate level of care. Ongoing recruitment is essential as a lack of capacity in any of the service areas including medical, behavioral health or case management creates barriers to treatment. Partners Partner Name, Description, Web Address Community Health Center of Cape Cod http://www.chcofcapecod.org/ Duffy Health Center http://www.duffyhealthcenter.org/ Outer Cape Health Services http://www.outercape.org/ Contact Information Heidi Nelson, FACHE, CEO 94 Main Street, Hyannis, MA 02601, 508.771.7517 , hnelson@duffyhealthcenter.org Detailed Description Not Specified Determination of Need: CHNA 27 Program Type: Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: Total funding of $401,000 has been designated to address issues that eliminate health disparities, promote wellness, and prevent/manage chronic disease for individuals who are elderly and/or persons with disabilities. This population was identified through a community health needs assessment by Cape Cod Healthcare and endorsed by the Community Health Network Area 27 (Cape Cod and the Islands). This program was specified as part of Cape Cod Hospital's Determination of Need requirement for the Clark Cancer Center development and licensure. FY11 is the second year of a five year program ($80,200 per year). Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations 1. Goal Description Issue an RFP supporting collaborative, measurable and evidenced-based regional programs for seniors and/or disabled that provides an impact on the most urgent needs of the identified target population. Goal Status RFP awards were made in 2011 to four organizations which met this criterion. The grant awards ranged from $15,000 to $30,000 and totaled $80,200. The Cape Cod Foundation is the fiscal agent for CHNA 27, and managed the RFP review process. On Target Partners Partner Name, Description, Web Address CHNA 27 N/A The Cape Cod Foundation http://www.capecodfoundation.org/ Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333 Hyannis, MA 02601, 508.862.7896 , csummersall@capecodhealth.org Detailed Description Not Specified H.O.P.E INSURANCE OUTREACH AND ENROLLMENT Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Healthy Communities Partnership, Outreach to Underserved, Prevention Brief Description or Objective: The H.O.P.E. program offers access to health care services through enrollment assistance to individuals and families. The program coordinator offers assessment of affordability and income verification to determine the client's ability to obtain MassHealth, Commonwealth Care, and other state insurance plans. The coordinator also serves as a referral source to primary care physicians, other health and human service organizations. Educational opportunities exist for optimizing the identification of services available to address the clients unmet needs. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Supporting Healthcare Reform 1. Goal Description Increase access to care through enrollment and re-enrollment. Goal Status Enrollment benefits coordinator assisted individuals with process of determining their qualification for insurance programs, such as MassHealth. Over 1,800 enrollments and re-enrollments occurred. Ongoing 2. Goal Description Expand capacity to enroll clients. Goal Status Multi-site services were provided to improve enrolment and renewals for clients. Students, families and individuals were seen at the Barnstable School Based Health Center and the Falmouth Service Center. Ongoing 3. Goal Description Reduce health disparities through care coordination. Goal Status Gaps in services for expectant mothers were eliminated through a collaborative effort with WIC. Completed Partners Partner Name, Description and Web Address Barnstable High School www.barnstable.k12.ma.us/bhs/ Falmouth Service Center www.falmouthservicecenter.org/ Health Imperatives - Cape Cod WIC www.healthimperatives.org Contact Information Caronanne Procaccini, Interim Director, 115 Enterprise Road, Hyannis, MA 02601, 508.771.1727 , cap@cacci.cc Detailed Description Not Specified ALCOHOL: IT TAKES A COMMUNITY Program Type: Community Participation/Capacity Building Initiative, Direct Services, Grant/Donation/Foundation/Scholarship, Health Professional/Staff Training, Healthy Communities Partnership, Prevention Brief Description or Objective: "It Takes a Community" is a collaborative program intended to broaden the knowledge base of hospital clinical staff regarding the detoxification process. The program includes addiction specialists from Gosnold. Alcohol dependent patients at risk for withdrawal and increased incidence of Delirium Tremens were identified by a Falmouth Hospital addiction specialist. Patients were referred to a Gosnold counselor for assessment, treatment and appropriate referral. Services were organized to include medical intervention, clinical counseling, family support and specialty referral protocols. Continuing education for nurses and physicians was provided to increase their knowledge of addiction and improve linkages to specialty programs, such as Gosnold. Target Population Regions Served: Barnstable Health Indicator: Mental Health, Other: Alcohol and Substance Abuse, Substance Abuse Sex: All Age Group: All Adults Ethnic Group: All Language: English , Haitian Creole , Portuguese , Spanish GOALS Statewide Priority: Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to care for alcohol dependent individuals. Goal Status Withdrawal consultations were completed on 115 patients, which exceeded the projected number of 40 patients. Completed 2. Goal Description Reduce barriers for target population. Goal Status 51 patients accepted a referral to an addiction specialty program. Completed 3. Goal Description Implement education and intervention services. Goal Status 175 clinicians attended training sessions aimed at increasing clinician's knowledge of the identification of addiction and the post-hospital treatment options for supporting the patient upon discharge. Completed Partners Partner Name, Description and Web Address Gosnold on Cape Cod http://www.gosnold.org/ Contact Information: Raymond V. Tamasi, President/CEO, Gosnold on Cape Cod Corporate Office, 200 Ter Heun Dr., Falmouth, MA 02540, 508.540.6550, rtamasi@gosnold.org Detailed Description Not Specified AIDS SUPPORT GROUP OF CAPE COD Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Outreach to Underserved, Prevention, School/Health Center Partnership, Support Group Brief Description or Objective: The AIDS Support Group of Cape Cod is a framework of services for vulnerable individuals who are mono-infected with the Hepatitis C virus. The initiative utilizes a multifaceted approach designed to provide case management and support services to clients receiving interferon-based treatment, clients newly diagnosed with the hepatitis C virus and clients with end-stage liver disease co-infected with AIDS. The core elements of the program are screening, syringe exchange, harm reduction, education, drug overdose prevention and referrals for treatment. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Alcohol and Substance Abuse, Other: HIV/AIDS, Other: Sexually Transmitted Diseases, Other: Stress Management, Other: Uninsured/Underinsured, Substance Abuse Sex: All Age Group: Adult Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to services for a vulnerable population. Goal Status Medical Case Management was offered to all clients receiving interferon-based therapy. This included: medical care/social services coordination, adherence support, HIV/STD/HCV risk reduction counseling and other need-based services. Completed 2. Goal Description Provide chronic disease management support. Goal Status The ASGCC offered clients newly diagnosed with HVC infection a range of short-term support services with the goal of sustaining care maintenance to assist in health promotion and disease prevention. Completed 3. Goal Description Manage risk and reduce harm through prevention and screening. Goal Status Prevention programs & screenings were offered by the ASGCC - immediate referrals for positive test results for viral hepatitis C were made for appropriate treatment and counseling and to reduce risk of infections of others. Completed Partners Partner Name, Description and Web Address Duffy Health Center www.duffyhealthcenter.org/ Falmouth Service Center www.falmouthservicecenter.org/ Habit OPCO habitopco.com/ Infectious Disease Clinical Services/CCHC www.capecodhealth.org Contact Information Krystin St. Onge, Interim Executive Director, 428 South Street, Hyannis, MA 02601, 508.778.1954 , kstonge@asgcc.org Detailed Description Not Specified ACCESS TO CARE FOR HOMELESS AND AT RISK ADULTS Program Type: Direct Services, Grant/Donation/Foundation/Scholarship, Health Coverage Subsidies or Enrollment, Health Screening, Healthy Communities Partnership, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: The Duffy Health Center provides access to care through assistance with enrollment and re-enrollment to homeless adults and those at-risk for homelessness into MassHealth, Commonwealth Care, and other state insurance products. Clients received ongoing access to care, including referrals to primary care physicians and other appropriate providers to improve chronic disease management and promote adult wellness. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Homelessness, Other: Uninsured/Underinsured Sex: All Age Group: Adult Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations, Promoting Wellness of Vulnerable Populations, Supporting Healthcare Reform 1. Goal Description Increase access to care for hard-to-reach populations. Goal Status The benefits coordinator facilitated 1,140 encounters which resulted in 346 enrollments and renewals into MassHealth, Commonwealth Care, and other insurance programs for hard-to- reach individuals. Ongoing 2. Goal Description Reduce barriers to primary health care through referral. Goal Status Referrals for 134 clients were made to primary care providers. The benefits coordinator is always available, either by phone or in-person to answer any questions for clients of the health center, resulting in fewer health policy terminations. Ongoing 3. Goal Description Improve system navigation by increasing client awareness. Goal Status The benefits coordinator encouraged clients to be an active participant in their health care by working with Duffy to manage the process. This approach resulted in clients improving their knowledge of how to self-navigate the system. Ongoing PARTNERS Partner Name, Description & Web Address Cape Cod Hospital Emergency Department www.capecodhealth.org Veterans Affairs Various Contact Information Heidi Nelson, FACHE, CEO, 94 Main Street, Hyannis, MA 02601, 508.771.7517 , hnelson@duffyhealthcenter.org Detailed Description Not Specified COMMUNITY-BASED HEALTH EDUCATION AND OUTREACH Program Type: Community Education, Health Screening, Outreach to Underserved, Prevention, School/Health Center Partnership Brief Description or Objective: Cape Cod Healthcare is committed to providing free health education and outreach in order to enhance and promote wellness, contribute to the prevention of illness and improve the management of chronic disease. Health care professionals, including physicians and nurses, provide the most up-to-date health and disease management information to the community at large in order to increase their awareness of strategies which may improve their health status and well-being. Target Population: Regions Served: Barnstable Health Indicator: Access to Health Care, Other: Arthritis, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Colo-rectal, Other: Cancer - Other, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Diabetes, Other: Elder Care, Other: Hypertension, Other: Nutrition, Other: Stroke, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Provide health information and outreach programs to vulnerable populations and those with chronic illness. Goal Status Over 1,000 people participated in educational and outreach programs which addressed topics aimed at managing disease and chronic illness, such as diabetes, hypertension and arthritis. Ongoing 2. Goal Description Improve awareness of prevention and wellness through health promotion activities. Goal Status Health care providers informed participants of the importance of wellness and prevention strategies, including early detection through screening. Programs are free and are often held in community agencies that serve vulnerable populations. Ongoing Partners Partner Name, Description and Web Address American Cancer Society kerri.medeiros@cancer.org Barnstable High School www.barnstable.k12.ma.us/bhs/ Cape Cod Councils on Aging www.allcapecod.com.ccic.seniorcenters.cfm Falmouth Public Library www.falmouthpubliclibrary.org/ Parish Nurses Various Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships Cape Cod Healthcare, 297 North Street, Suite 333, Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Not Specified SUPPORT GROUPS AND CLASSES Program Type: Community Education, Direct Services, Outreach to Underserved, Prevention, Support Group Brief Description or Objective: Support groups and classes are conducted by health care professionals on a regular basis. These events were open to all members of the community regardless of their patient status or ties to a specific hospital. Information and resources were made available to individuals, families and friends. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care, Injury and Violence, Mental Health, Other: Alcohol and Substance Abuse, Other: Arthritis, Other: Bereavement, Other: Cancer, Other: Cancer - Breast, Other: Cancer - Cervical, Other: Cancer - Colo-rectal, Other: Cancer - Lung, Other: Cancer - Other, Other: Cancer - Prostate, Other: Cancer - Skin, Other: Cardiac Disease, Other: Diabetes, Other: Elder Care, Other: HIV/AIDS, Other: Hypertension, Other: Nutrition, Other: Pregnancy, Other: Sexually Transmitted Diseases, Other: Smoking/Tobacco, Other: Stroke, Other: Uninsured/Underinsured, Overweight and Obesity Sex: All Age Group: All Ethnic Group: All Language: All GOALS Statewide Priority: Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to services to reduce stress and improve both physical and mental health outcomes. Goal Status Provided over 2,000 hours of support groups and classes at no charge to individuals, families and friends. Included information and resources to assist participants with their specific disease or health related circumstance. Ongoing Partners Partner Name, Description & Web Address Not Specified Contact Information Carol Summersall, RN, Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333, Hyannis, MA, 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Not Specified WORKFORCE DEVELOPMENT Program Type: Health Professional/Staff Training, Healthy Communities Partnership, Mentorship/Career Training/Internship, School/Health Center Partnership 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 the provision of internships, shadowing and training with health care professionals and providers in several hospital departments. Training and mentoring sessions were conducted to promote interest in health care employment opportunities. Securing a steady supply of workers will mitigate future staff shortages in the workplace and provide necessary access. Target Population Regions Served: Barnstable Health Indicator: Access to Health Care Sex: All Age Group: Adult, Child-Teen Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Promoting Wellness of Vulnerable Populations 1. Goal Description Increase access to health care through workforce development. Goal Status Provided students training, mentoring and shadowing opportunities. On target Partners Partner Name, Description & Web Address Barnstable High School www.barnstable.k12.ma.us/bhs/ Boston College Boston College Bristol Community College bristolcc.edu/ Cape Cod Community College www.capecod.edu/ Upper Cape Regional Technical School www.uppercapetech.com/ Contact Information Carol Summersall, RN, Regional Director of Community Benefits and Partnerships, Cape Cod Healthcare, 297 North Street, Suite 333 Hyannis, MA 02601, 508.862.7896, csummersall@capecodhealth.org Detailed Description Not Specified HELPING HANDS PROGRAM Program Type: Direct Services, Prevention Brief Description or Objective: The Helping Hands Program offers medication review and optimization with a clinical pharmacist in the patient's home for high-risk patients being discharged with a chronic disease, five or more medications, multiple regimen changes, and when an increase fall risk has been identified. Patients and their caregivers are provided coaching on self-management of their chronic disease, medication management and evaluation for fall risk and home safety. Target Population Regions Served: Barnstable Health Indicator: Other: Cancer, Other: Cardiac Disease, Other: Diabetes, Other: Education/Learning Issues, Other: Elder Care, Other: Homebound, Other: Hypertension, Other: Pulmonary Disease/Tuberculosis, Other: Safety - Home Sex: All Age Group: Adult, Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations 1. Goal Description Provide chronic disease and medication management education. Goal Status Provided 101 home visits, post-discharge, by a clinical pharmacist, at no charge, to assure patients and their caregivers were self-sufficient in managing their chronic disease state and their complex medication regime. Ongoing 2. Goal Description Increase access to services through referrals for vulnerable population. Goal Status Provided referrals at points of care to assure patients were receiving a continuum approach to services which addressed their specific plan of care including disease and medication management. Ongoing Partners Partner Name, Description & Web Address Elder Services of Cape Cod and the Islands www.escci.org/ Physician Offices across Cape Cod Skilled Nursing Facilities - various Visiting Nurse Association of Cape Cod www.vnacapecod.org/ Contact Information Molly Nadeau, Director, Case Management, Cape Cod Hospital, 60 Park Street, Hyannis, MA 02601, 508.862.7408, , mnadeau@capecodhealth.org Detailed Description Not Specified 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. TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. FUNCTIONAL EXPENSE NOTE FORM 990 PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. & AFFILIATES BY CAPE COD HEALTHCARE FOUNDATION, INC. FORM 990, PART III, LINE 6 CAPE COD HEALTHCARE, INC & AFFILIATES' VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 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. 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 OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: 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, SECTION B, LINE 16 - JOINT VENTURE POLICY THE ORGANIZATION HAD A JOINT VENTURE POLICY IN PLACE AND APPROVED BY AN APPROPRIATE OFFICER, BUT WAS NOT FORMALLY ADOPTED BY THE FULL BOARD OR A COMMITTEE OF THE BOARD BY THE YEAR ENDED SEPTEMBER 30, 2011. 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 MICHAEL K. LAUF'S TITLE EXECUTIVE VP/COO UNTIL 12/10 PRESIDENT/CEO FROM 12/10 FORM 990, PART VII, COLUMN (B) THE INDIVIDUALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN SCHEDULE J-2 ARE EMPLOYEES AT CAPE COD HEALTHCARE, INC., A TAX-EXEMPT RELATED ORGANIZATION. EACH OF THESE INDIVIDUALS HAS DEVOTED AN AVERAGE OF 40 HOURS PER WEEK TO THEIR POSITIONS AT CAPE COD HEALTHCARE, INC. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCES UNREALIZED GAINS/LOSSES ($7,707,212) NET ASSETS RELEASED FROM RESTRICTION ( 3,893,351) TRANSFERS OF NET ASSETS (33,255,573) TRANSFERS TO/FROM AFFILIATES 4,388,598 OTHER 558,228 ------------- (39,909,310) AFFILIATES INCLUDED IN GROUP RETURN CAPE COD HOSPITAL 04-2103600 CAPE COD HUMAN SERVICES, INC. 04-2323506 CAPE & ISLANDS HEALTH SVCS II, INC. 04-3572408 FALMOUTH HOSPITAL ASSOCIATION, INC. 04-2220716 JML CARE CENTER, INC. 04-2995795 FALMOUTH ASSISTED LIVING, INC. 22-3379395 V.N.A. 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 CAN BE REACHED AT: 25 COMMUNICATION WAY HYANNIS, MA 02601 CAPE COD HEALTHCARE INC 25 COMMUNICATION WAY HYANNIS MA 02601 222600704 PARENT CORP MA 501(C)(3) 13b NA false CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ INSURANCE CJ N/A C CORP 0 0 0.00000 CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS MA 02601 042423073 RENTAL SRVCE MA N/A C CORP 15000 38408 1.00000 POOLED INCOME FUNDS (8) SUPPORT MA NA T CHARITABLE LEAD TRUST (1) SUPPORT MA NA T false false false false false false false false true true false false true true true false true true CAPE HEALTH INSURANCE COMPANY Q 2872657 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