Community Benefit Insight - Tax-exempt hospital

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Ochsner Clinic Foundation

1514 Jefferson Highway

New Orleans, LA 70121

EIN: 720502505

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: Ochsner Medical Center-Westbank Llc

2500 Belle Chase Highway
Gretna, LA 70056

9 hospitals in organization:
(click a facility name to update Individual Facility Details panel)

Ochsner St Mary

Ochsner Clinic Foundation

Ochsner Baptist Medical Center Llc

Ochsner Medical Center - Baton Rouge

Ochsner Medical Center -Northshore

Ochsner Medical Center - Kenner Llc

Ochsner Medical Center-Westbank Llc

Ochsner Bayou Llc

Ochsner Med Ctr - Hancock

Bed count	199	Medicare provider number	190275	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

Ochsner Clinic FoundationDisplay data for year:

Community Benefit Spending- 2014
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

2.21%

Spending by Community Benefit Category- 2014
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2014

Additional data

Community Benefit Expenditures: 2014

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 49,392,699 0.82 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 15,489,000 0.26 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 5,985,110 0.10 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 827,294 0.01 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 61,556,612 1.02 %
Community building* as % of operating expenses	$ 222,698 0.00 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 222,698 0.00 %
Physical improvements and housing as % of community building expenses	$ 6,535 2.93 %
Economic development as % of community building expenses	$ 80,417 36.11 %
Community support as % of community building expenses	$ 8,295 3.72 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 7,614 3.42 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 11,901 5.34 %
Workforce development as % of community building expenses	$ 107,936 48.47 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 244,754
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 240,951
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 3,803
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2014

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 29,342,434 0.49 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2014

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2014

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 5630058987 including grants of $ 22473) (Revenue $ 6013268109)
Patient Care/Patient Medical Services: Ochsner Clinic Foundation consists of four hospitals at six campuses and many clinical locations. Served 143,931 inpatients resulting in 701,290 patient days. Emergency Room visits totaled 256,052. The number of births totaled 5,269. Outpatient hospital visits totaled 584,200. Physician clinic visits total 1,107,016. 469 patients received organ transplants.

4B (Expenses $ 19767594 including grants of $ 0) (Revenue $ 5371198)
"Since 1944, academics have been an integral component of the mission, visions and strategy of the Ochsner organization. Ochsner's focus as an academic center adds emphasis, intellectual capital and commitment to our mission to educate and innovate, through providing the highest quality care and service to the Ochsner community and patients. The academic areas are operating divisions of Ochsner Clinic Foundation. Education. Operating one of the nation's largest independent academic medical centers, OCF trains over 275 residents and fellows annually in 23 independent OCF-sponsored accredited residency training programs. In addition, Ochsner is a joint sponsor of three programs with Louisiana State University Health Science Center (""LSUHSC""), including ophthalmology, psychiatry and urology, and is a joint sponsor of a pediatric program with Tulane University School of Medicine (""Tulane""). The joint programs include approximately 125 residents. In addition, another 300 residents and fellows rotate to OCF in various disciplines of medicine and surgery under affiliation agreements with LSUHSC and Tulane as well as other schools from across the country and around the world. Ochsner also supports LSU residency training programs at the Ochsner Medical Center - Kenner. The site hosts approximately 40 residents annually with the primary programs being Family Practice and Internal Medicine with 26 residents, and medicine and surgical specialties training programs with approximately 14 residents. In the fall of 2008, Ochsner entered into a partnership with the University Of Queensland School Of Medicine in Brisbane, Australia to develop the University of Queensland, Ochsner Clinical School. Beginning in 2017, this program will create an additional 120 medical school graduates each year. The program is for United States citizens or permanent residents who are interested in pursuing a career in medicine with the opportunity to study in a global program. The students complete their first and second years of training at the University of Queensland in Brisbane followed by completion of years three and four (clinical training years) at Ochsner. The students graduate with a Bachelor of Medicine, Bachelor of Surgery (MBBS degree) which is considered a Doctor of Medicine (MD) equivalent degree. In 2015, the University Of Queensland School of Medicine approved the Doctor of Medicine degree to replace the MBBS degree. As a result, the University of Queensland School of Medicine and Ochsner Clinical School were visited in 2014 by the Australian Medical Council as a component of the Medical School's accreditation. The outcome of this site visit was full accreditation for six year, the maximum term allowed. The graduating class of 2018 will be the first class to graduate with the MD degree. As of January 2015, there were 339 students enrolled in the University of Queensland, Ochsner Clinical School program. The program has continued its projected growth since 2009 and in 2014 realized the goal of enrolling 120 students per year. In addition to the University of Queensland, Ochsner Clinical School program, Ochsner continues to provide over 700 student months of clinical education to medical students from Tulane University School of Medicine and Louisiana State University School of Medicine and a host of other medical school programs from across the region, country and around the world. Continuing Medical Education. OCF's Continuing Medical Education (""CME"") program is accredited by the Accreditation Council for Continuing Medical Education and provides educational activities designed to assist practicing physicians maintain, develop, and/or increase their clinical competency and professional performance required to deliver high-quality and safe patient care. In 2014, Ochsner's CME program provided over 40,500 CME credits to approximately 10,500 physicians. Approvals and Accreditations. OCF's Academic Division Education Programs are accredited by or registered with the following agencies:* Accreditation Council for Graduate Medical Education (ACGME)* Accreditation Council for Continuing Medical Education (ACCME)* American Association of Medical Colleges (AAMC)* Association of Hospital Medical Education (AHME)* Australian Medical Council (AMC)* Council on Teaching Hospitals (COTH)* Joint Review Committee for Education in Radiologic Technology (JRCERT)Allied Health / Nursing Affiliations. OCF has formal associations with over 100 institutions of higher learning. OCF, through Allied Health and Nursing Education affiliations, enables students enrolled in colleges and universities throughout the United States to conclude formal degree requirements that require clinical training and competency. Through an affiliation agreement with Our Lady of Holy Cross College, students in radiologic technology train at Ochsner Medical Center and complete an Associate or Bachelor's degree in Health Science. Ochsner currently has affiliations with 30 nursing programs across Louisiana as well as an additional 70-75 allied health programs. Through these affiliations, Ochsner provides clinical training and mentoring to over 1000 nursing students and 650 allied health students each year.Medical Library. The Medical Library is a full service library staffed by two librarians and one archivist. The Medical Library Collection consist of over 1,700 e-Journals, 250 e-books and 25 clinical knowledge databases and 2,300 reference texts, circulating books, and historical books. The Medical Library also provide support for the development and dissemination of patient education materials and provides assistance to patients and their families as they seek information regarding maintaining their health and/or on innovative therapies available.Publishing Services. Publishing Services provides medical editing, medical illustration, and review of any written document. In addition, they manage and publish The Ochsner Journal, a quarterly publication designed to support the Ochsner Clinic Foundation's mission to serve, heal, lead, educate, and innovate. Since its inception in 1999, the Journal has provided a wide range of peer-reviewed, timely, and practical information for practicing physicians, healthcare professionals, and physicians in training. The editorial mix includes original research, case reports, literature reviews, editorials, and other articles that span the spectrum of medical practice and scientific research. The entire archive of The Ochsner Journal is deposited with PubMed Central; all articles are fully searchable and available in full-text form through PubMed and PubMed Central searches."

4C (Expenses $ 10626877 including grants of $ 0) (Revenue $ 5516159)
Medical Research: Currently, Ochsner Clinic Foundation operates five basic science research laboratories with over 400 active clinical trials in 27 clinical areas. Approximately 3,000 patients participate in Ochsner Clinical research annually. Every, clinical trial is overseen by the Ochsner Institutional Review Board, which provides oversight of the safety of the human subjects participating in clinical trials. Ochsner established the Center for Applied Health Services Research (CASHR) in 2014, the mission of which is to advance knowledge, improve clinical practice, and improve the health and well-being of the community. CASHR services include an Information Analytics Unit that helps researchers extract data from Ochsner's System data repositories, a Biostatistic Unit that helps researchers with project development and data analysis, and a Patient Research Advisory Board which facilitates patient engagement in both industry-sponsored and investigator-initiated studies. The Clinical Trial Unit, located at Ochsner Baptist Medical Center, was established in 2012 to provide the ability to carry out Phase I clinical trials, complex trials requiring close monitoring, high-volume trials, etc. Since inception, over 300 patients have participated in research studies at the CTU. The Biobank Unit, located at Ochsner Medical Center, was established in 2011 to develop a robust inventory of human biospecimens and biofluids for utilization in complex research projects. Since inception, over 850 patients have donated their biospecimens and biofluids. This has resulted in development of a comprehensive ExpressBank with an inventory of over 17,000 aliquots of biospecimens and biofluids.

4D (Expenses $ 1365844 including grants of $ 0) (Revenue $ -48932)
Program Related Investments: Equity Income from Joint Venture providing patient care.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

Part V, Section B
Facility Reporting Group A

Facility Reporting Group A consists of:
- Facility 1: Ochsner Medical Center, - Facility 5: Ochsner Medical Ctr-West Bank Campus, - Facility 6: Ochsner St. Anne General Hospital, - Facility 2: Ochsner Medical Center-Baton Rouge, - Facility 3: Ochsner Medical Center-North Shore, - Facility 4: Ochsner Baptist-A Campus of Ochsner Medical Ce, - Facility 7: Ochsner Medical Ctr-Elmwood Campus

Ochsner Clinic Foundation Hospitals Part V, Section B, line 5:
The hospital identified leaders from organizations that have special knowledge and or expertise in public health, agencies with information relative to the health needs of the community and representatives of medically underserved, low-income, minority populations and populations with chronic disease needs in the community. Such persons were interviewed as part of the needs assessment planning process.

Ochsner Clinic Foundation Hospitals Part V, Section B, line 6a:
Children's Hospital New Orleans, East Jefferson General Hospital, Ochsner Medical Center, Ochsner Medical Center-Westbank, Ochsner Medical Center-Kenner, Ochsner Baptist Medical Center, Ochsner Medical Center Northshore, Slidell Memorial Hospital, St. Tammany Parish Hospital, Touro Infirmary, Tulane Medical Center, West Jefferson Medical Center

Ochsner Clinic Foundation Hospitals Part V, Section B, line 15e:
The FAP application is provided to the patient or their representative immediately upon request.

Ochsner Clinic Foundation Hospitals Part V, Section B, line 16i:
The policy is included in patient billing statements.

Ochsner Clinic Foundation Hospitals Part V, Section B, line 18d:
Until March 2014, the agreement with a third-party collections agency allowed the collections agency to file garnishments prior to determining if the patient was eligible for financial assistance. In March 2014, the agreement was amended such that the collections agency cannot take any legal actions until it has obtained prior approval from Ochsner, and such approval will not be given unless the individual is not eligible for financial assistance. No such actions were taken to individuals that were ineligible under the organization's FAP. Additionally, the financial assistance policy and guidelines were printed on all billing statements and available on the Ochsner website.

Ochsner Clinic Foundation Hospitals Part V, Section B, line 22d:
A discount is applied to gross charges and represents the average payor yield by reviewing Medicare and the majority of commercial actual and expected payments (including the patient portion) over a year period. In no event are gross charges billed to a patient approved for financial assistance.

Group A-Facility 1 -- Ochsner Medical Center Part V, Section B, line 11:
Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Medical services provided in neighborhoods across region (Jefferson Highway, Metairie, Lakeview, Destrehan, Elmwood,) including Inf Disease (HIV/AIDs) at Jefferson Highway; increased number of medical providers in primary care and specialty services at Jefferson Highway location2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (University of Queenland medical students, Delgado- RN, Surg Tech, Nuclear Med, Phlebotomy)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration (Field Trips, Job Shadows, STAR summer program, SEPA)4. Provided access to healthcare through School based health centers at 2 high schools (Ehret HS and Bonnabel HS)5. Identified ways Ochsner can partner to support community based health organization to provide access to healthcare (PACE, Access Health)6. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)7. Assisted community members and patients with Medicaid application process and payment plans. OMC is an approved Medicaid application center: number of patients funded increased 35% and amount funded increased 37%.8. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)9. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals to OMC through centralized monitoring services (access to critical cared specialists 24/7) using telemedicine. 10. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites with OMC as the hub. Provided decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.11. Provided interpretation services at all locations including in person, Language Access Network- online and teleconference capability).12. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide13. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including. 1500 patients were enrolled system wide.14. Provided inpatient psychiatric services at Ochsner Medical Center and outpatient mental health services at Lakeview, Metairie, Jefferson Highway clinics.15. Utilized telemedicine to assess and improve triage of mental health patients in the ED linking Northshore and Baton Rouge to providers at OMC (Northshore started April 2014, Baton Rouge Aug 2014)* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Fit NOLA, Zurich Classis, Jefferson Parish Senior Citizens Expo, Xavier University's TobacNO conference)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Lakeside Mall, Cancer Expo, Second Baptist Church)3. Medical services provided in neighborhoods across region (Jefferson Highway, Metairie, Lakeview, Destrehan, Elmwood,) including Inf Disease (HIV/AIDs) at Jefferson Highway; increased number of medical providers in primary care and specialty services at Jefferson Highway location4. Provided access to healthcare through School based health centers at 2 high schools (Ehret HS and Bonnabel HS)5. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Bonnabel and Ehret teacher health fair; Bonnabel and Ehret Student Wellness activities).6. Partnered with employers to improve the health and wellness of their employees (Laitram, Morial Convention Center)7. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.8. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Offered in multiple locations in Orleans and Jefferson Parish in 2014.9. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).10. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including OMC. Community Calendar unique patient views increased system wide to over 21,000.11. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.12. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.13. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.14. Partnered with and support business organization to improve the local economy (GNO Inc, JEDCO, Jefferson Chamber)* Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity * Resident AccountabilityActions/3 year Implementation Plans1. Participated in community events that encourages healthy activity and lifestyles (Fit NOLA, Zurich Classic, Jefferson Parish Senior Citizens Expo, Xavier University's TobacNO conference)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Lakeside Mall, Cancer Expo, Second Baptist Church)3. Partnered with employers to improve the health and wellness of their employees (Laitram, Morial Convention Center)4. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.5. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.8. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Offered in multiple locations in Orleans and Jefferson Parish in 2014.9. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).10. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Bonnabel and Ehret teacher health fair; Bonnabel and Ehret Student Wellness activities).11. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orl

Group A-Facility 2 -- Ochsner Medical Center-Baton Rouge Part V, Section B, line 11:
Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, preventive, and mental) * Access to primary/preventive care * Lack of health insurance coverage * Access to mental health services.Actions/3 year Implementation Plans1. Provided medical services in neighborhoods across region adding Sherwood clinic and Denham Springs South clinic, including acceptance of 4 of the LA Medicaid insurances for OB services. 2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state ( LSUHSC-Social Work, Delgado RN-practical nursing; Livingston Parish Public Schools- CAN, PCT; BR Community college-sonography, LPN, PCT,RN; East BR Dept of EMS-EMT,)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration through Field Trips and Job Shadows.4. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)5. Assisted community members and patients with Medicaid application process and payment plans. Baton Rouge is an approved Medicaid application center, increased approved applications by 74%, number of patients funded increased 33% and amount funded increased 12%.6. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)7. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Baton Rouge to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 8. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baton Rouge. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.9. Provided interpretation services at all locations including Language Access Network- online and teleconference capability.10. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide11. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Baton Rouge. 1500 patients were enrolled system wide.12. Utilized telemedicine to assess and improve triage of mental health patients in the ED (partnership with OMC- Jefferson Highway)- started Aug 2014.13. Provided mental health services at Summa Ave site* Access to community/support services * Access to prevention education and awareness and * Limited number of community services due to fundingActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Adopt a schools, community walks(Heart, Kidney, ADA), school fairs, Mayor's Healthy City committee)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Ferrara Health Fair, YMCA, Broadmoor Methodist Church, Livingston Parish Gold Tournament, Iberville Parish Community Information Forum)3. Partnered with employers to improve the health and wellness of their employees (LWCC , Gulf Coast Bank)4. Assisted registration for free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) and educated youth and adults on dangers of tobacco use (through state grant)5. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Ochsner Baton Rouge. Community Calendar unique patient views increased system wide to over 21,000.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.* Resident health and wellness (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases - Especially Diabetes and Obesity * Prevention and Health Education focused on HIV/AIDS.Actions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (Ferrara Health Fair, YMCA, Broadmoor Methodist Church, Livingston Parish Gold Tournament, Iberville Parish Community Information Forum)2. Partnered with employers to improve the health and wellness of their employees (LWCC , Gulf Coast Bank)3. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.4. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)5. Assisted registration for free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) and educated youth and adults on dangers of tobacco use (through state grant)6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baton Rouge. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.Need not addressed due to limited financial resources and limited availability of specialized clinical resourcesPrevention and Health Education focused on HIV/AIDS services: Ochsner Baton Rouge continued to work with the Mayor's Healthy Baton Rouge initiative to identify ways that all Baton Rouge hospitals can impact HIV/AIDs rates in the community.

Group A-Facility 3 -- Ochsner Medical Center-North Shore Part V, Section B, line 11:
Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Provided medical services in neighborhoods across region (Covington, Mandeville, Abita Springs, Slidell,)2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (LSUHSC- PA, OT, PT; Delgado- RN, Rad Tech, practical nursing; Herzing- Surg Tech; Lenora School of Phlebotomy; Pearl River Community College-LPN, RN)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in health career exploration through Field Trips and Job Shadows.4. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)5. Assisted community members and patients with Medicaid application process and payment plans. Northshore is an approved Medicaid application center, increased approved applications by 46%.6. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)7. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Northshore to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 8. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Northshore. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.9. Provided interpretation services at all locations including Language Access Network- online and teleconference capability).10. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide11. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Northshore. 1500 patients were enrolled system wide.12. Provided outpatient mental health services at Ochsner Slidell and Mandeville clinics13. Utilized telemedicine to assess and improve triage of mental health patients in the ED (partnership with OMC- Jefferson Highway)- started April 2014* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (Diabetes Support Group, NAMI, City of Slidell, Prenatal classes, smoking cessation)2. Provided medical services in neighborhoods across region (Covington, Mandeville, Abita Springs, Slidell,)3. Partnered with employers to improve the health and wellness of their employees (Stennis Space Center, St. Tammany Parish)4. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)5. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Northshore. Community Calendar unique patient views increased system wide to over 21,000.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.8. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.* Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity * Resident AccountabilityActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Diabetes Walk, West Chamber Business Expo, Olde Town Pumpkin Fest)2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Diabetes Support Group, NAMI, City of Slidell, Prenatal classes, smoking cessation)3. Partnered with employers to improve the health and wellness of their employees (Stennis Space Center, St. Tammany Parish)4. Educated youth and adults on dangers of tobacco use (through state grant)5. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.6. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)7. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.8. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.9. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.Need not addressed due to limited availability of specialized clinical resourcesPrevention and Health Education focused on HIV/AIDS services: Ochsner Medical Center - North Shore does offer clinical HIV/AIDS services on site however they do not provide specific outreach education on this topic.

Group A-Facility 4 -- Ochsner Baptist-A Campus of Ochsner Medi Part V, Section B, line 11:
Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Medical services provided in neighborhoods across region (St Charles Avenue, Midcity). Added Ob/Gyn and cardiology services to Mid-city site.2. Provided health education & preventative care, urgent care services to local universities/colleges (Loyola University Student Health Center)3. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs -across the state ( OLOHC- RN, NP, Delgado- RN-practical nursing, sonography, rad tech, dietetic tech, Pharm Tech; Nunez community college-practical nursing)4. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration (Field Trips, Job Shadows, Power Ties)5. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)6. Assisted community members and patients with Medicaid application process and payment plans. Baptist is an approved Medicaid application center, increased approved applications by 274%, number of patients funded increased 45% and amount funded increased 75%.7. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)8. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Baptist to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 9. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baptist. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.10. Provided interpretation services at all locations including in person, Language Access Network- online and teleconference capability).11. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide12. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Baptist. 1500 patients were enrolled system wide.* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Participated in community events that encourage healthy activity and lifestyles (Heart Walk, Freret Fest, Broadmoor Festival,). Over 3500 participated.2. Provided education on chronic health conditions through community education, screenings and nurse consultations ( 6 Seminars provided along with full series of Prenatal classes)3. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.4. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). McMain Secondary school was new location for classes in 2014.5. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).6. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Baptist. Community Calendar unique patient views increased system wide to over 21,000.7. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.8. Partnered with employers to improve the health and wellness of their employees. Provided 4 lunch and learns and health fair to Marriott. Corporate Wellness provided Hello Health at work, Screenings-Place St Charles.9. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.10. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.11. Partnered with and supported business organizations to improve the local economy including membership board participation (GNO Inc).* Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) * Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity * Resident AccountabilityActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations ( 6 Seminars provided along with full series of Prenatal classes)2. Partnered with employers to improve the health and wellness of their employees. Provided 4 lunch and learns and health fair to Marriott. Corporate Wellness provided Hello Health at work, Screenings-Place St Charles.3. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.4. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)5. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.6. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.7. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.8. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).9. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Baptist. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.10. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.Needs not addressed due to limited financial and limited availability of specialized clinical resources* Access to Mental Health Services:Ochsner Baptist does not have the clinical resources to offer mental health services in their facility. In order to address the mental health needs of the Greater New Orleans community, Ochsner Health System developed a program to utilize telemedicine technology to allow for assessment of patients in Emergency Departments by psychiatry providers at another location. This will address long waits for patients to see providers and be connected with the services that they need. The program utilized the Ochsner Medical Center -Northshore hospital as the pilot in 2014 and plans to expand to other locations over the next 3 years. OMC-Baptist is interested in continuing to evaluate the need for mental health services in the community and will continue to consider the most sustainable methods that it may offer to address the need for mental health services. * Prevention and Health Education focused on HIV/AIDS services Ochsner Baptist does offer clinical HIV/AIDS services on site; however, they do not provide specific outreach education on this topic.

Group A-Facility 5 -- Ochsner Medical Ctr-West Bank Campus Part V, Section B, line 11:
Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, specialty, preventive, and mental) * Access to Care: including primary, preventive and specialty * lack of health insurance coverage * Cultural Barriers * Physician Shortage * Access to Mental Health ServicesActions/3 year Implementation Plans1. Provided medical services in neighborhoods across region (Algiers, Belle Chasse, Gretna, Marrero)2. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (LSUHSC- Social Work, PA; Delgado- PT asst, RT, Pharm Tech; Herzing- RN, surg tech,)3. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration through Field Trips and Job Shadows.4. Provided access to healthcare through School based health centers at local high schools: partnership with Ehret High School to provide NP on site saw 3428 visits, increase of 20% from 2013.5. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)6. Assisted community members and patients with Medicaid application process and payment plans. Westbank is an approved Medicaid application center, increased approved applications by 22%, number of patients funded increased 12% and amount funded increased 10%.7. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)8. Improved access to critical care expertise across LA utilizing E-ICU project to connect 5 hospitals including Westbank to centralized monitoring services (access to critical cared specialists 24/7) through telemedicine. 9. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including Westbank . Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.10. Provided interpretation services at all locations including Language Access Network- online and teleconference capability).11. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide12. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including Westbank. 1500 patients were enrolled system wide.13. Provided outpatient mental health services at Westbank clinic.* Access to community/support services to sustain a healthy environment * Prevention Education and Awareness * Community Support Infrastructure * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (ReNew Woodmere community event, Baby and Child Expo, Marerro/Harvey Senior Center, Estelle Senior Center, Prenatal classes)2. Provided access to healthcare through School based health centers at local high schools: partnership with Ehret High School to provide NP on site saw 3428 visits, increase of 20% from 2013.3. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Ehret teacher health fair; Ehret Student Wellness month activities).4. Partnered with employers to improve the health and wellness of their employees (Belle Chasse Academy, Oakwood Corp building, Chevron Ornite-Oakpoint )5. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.6. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Belle Chasse YMCA and Ellender Middle school were 2 locations in 2014.7. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).8. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including Baptist. Community Calendar unique patient views increased system wide to over 21,000.9. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.10. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.11. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.12. Assisted in Attaining and Maintaining BLS, ACLS, PALS certification for Community members13. Partnered with and support business organization to improve the local economy (GNO Inc, JEDCO, Jefferson Chamber)*Promotion of healthy lifestyles and behaviors (specific focus on chronic disease) *Prevention and Health Education focused on Prevention of Chronic Diseases- especially diabetes and obesity *Resident AccountabilityActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (ReNew Woodmere community event, Baby and Child Expo, Marerro/Harvey Senior Center, Estelle Senior Center, Prenatal classes)2. Partnered with employers to improve the health and wellness of their employees (Belle Chasse Academy, Oakwood Corp building, Chevron Ornite-Oakpoint )3. Educated K-12 students on how to access and prepare healthy food options through a targeted after school hands-on curriculum developed by Ochsner: CHOP (Cooking Up Healthy Options and Portions). Belle Chasse YMCA and Ellender Middle school were 2 locations in 2014.4. Through partnership with JPPSS encouraged education about healthy lifestyles and improve student and teacher wellness (JPPSS employee health fair; Ehret teacher health fair; Ehret Student Wellness month activities).5. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.6. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)7. Offered free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) through clinic at Jefferson Highway location. Educated youth and adults on dangers of tobacco use at numerous local schools across Orleans and Jefferson Parishes.8. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.9. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.10. Improved physical fitness and activity in the community by providing access to a Mobile Fitness Bus (I Can Do it Bus) through sessions with schools and through partnership with the New Orleans Pelicans (NBA franchise).11. Partnered with community organizations to improve the health and wellness of the community including the Greater New Orleans Immunization Network, EatFit NOLA (over 50 restaurants now have healthy food options available on their menus) and the City of New Orleans Fit NOLA program.Need not addressed due to limited financial resources and limited availability of specialized clinical resourcesPrevention and Health Education focused on HIV/AIDS services: Ochsner Medical Center Westbank does offer clinical HIV/AIDS services on site. They do provide outreach education on this topic to high school students at Ehret High School's School Based Health Center through their partnership with the Jefferson Parish school system.

Group A-Facility 6 -- Ochsner St. Anne General Hospital Part V, Section B, line 11:
Significant needs identified and measures taken to address those needs* Access to healthcare and medical services (i.e., primary, preventive, and specialty) * Access to Care: including primary, preventive and specialty * Lack of health insurance coverageActions/3 year Implementation Plans1. Provided medical services in neighborhoods across region (Raceland, Lockport, Galliano) and specialty clinics at St Anne 2. Ensured continuation of medical services at Chabert Hospital by providing management services- provides safety net services for uninsured and underinsured in the region. Partnerships developed to share services.3. Increased available healthcare providers by providing clinical training opportunities to students from multiple medical education programs across the state (Univ of So. Alabama- RN-BSN, RN-MSN, PA; South Central Technical College-Surg tech; Delgado- dietetic tech; Fletcher Technical Community College- LPN, RN, phlebotomy; Herzing College-surg tech)4. Offered activities to increase available healthcare providers by engaging and preparing K-12 students in STEM and health career exploration through Field Trips and Job Shadows.5. Developed and offered High Performance Network to insurers and businesses (providing lower cost options through Ochsner only network product- enrollment tripled system wide in 2014)6. Assisted community members and patients with Medicaid application process and payment plans. St. Anne is an approved Medicaid application center. 90% increase in applications approved.7. Improved access to medical record information across region/providers. Utilized Epic Care Everywhere and Care Elsewhere to share records: increased # of records sent by 300% and # of records received by 1200% system wide)8. Improved evaluation and treatment of patients with signs/symptoms of a stroke through Tele-stroke program adding 33 new sites including St. Anne. Provide decision support for acute stroke patients in the ED by Ochsner Neurologists 24/7/365.9. Provided interpretation services at all locations including, Language Access Network- online and teleconference capability).10. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide11. Facilitated and Supported Implementation of Affordable Insurance Exchanges in our communities by participating as a Champion for Coverage and a Certified Counselor Organization in all regions including St. Anne. 1500 patients were enrolled system wide.12. Provided inpatient and outpatient mental health services at Ochsner St Anne.* Access to community/support services to sustain a healthy environment * Access to public transportation * Economic challengesActions/3 year Implementation Plans1. Ensured continuation of medical services at Chabert Hospital by providing management services- provides safety net services for uninsured and underinsured in the region, preserving 700 jobs2. Provided education on chronic health conditions through community education, screenings and nurse consultations (Senior Citizens centers (Grand Isle, LaRose, Bayou Blue, Raceland), Community Health Fair, Women's Expo, diabetes support groups, prenatal classes)3. Increased community awareness of outreach programs available to address community health needs by educating patients, families and employees through Community Outreach month in the fall at all campuses, including St. Anne. Community Calendar unique patient views increased system wide to over 21,000.4. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.5. Partnered with employers to improve the health and wellness of their employees (OxyChem, Lafourche parish government, Lafourche Council on Aging, Bollinger)6. Utilized CMS ACO model to reduce the cost of healthcare and improve outcomes CMS Shared Savings program has demonstrated improved quality metrics system wide7. Provided medical services in neighborhoods across region (Raceland, Lockport, Galliano) and specialty clinics at St Anne *Residents Health and Wellness (specific to chronic disease) * Prevention and Health Education and Resident AccountabilityActions/3 year Implementation Plans1. Provided education on chronic health conditions through community education, screenings and nurse consultations (Senior Citizens centers (Grand Isle, LaRose, Bayou Blue, Raceland), Community Health Fair, Women's Expo, Breast Health grant program, CPR classes, prenatal classes)2. Participated in community events that encourage healthy activity and lifestyles (Race for the Cure,)3. Partnered with employers to improve the health and wellness of their employees (OxyChem, Lafourche parish government, Lafourche Council on Aging, Bollinger)4. Assisted registration for free/reduced cost smoking cessation clinics for adults (funded through the Tobacco trust) and educated youth and adults on dangers of tobacco use (through state grant)5. Improved the health and quality of Ochsner employees and families utilizing Pathway to Wellness and Virgin Health Miles. Increased # of employees meeting goals and # of employees participating in program system wide.6. Participated in efforts to decrease premature birth rates and improve birth outcomes (LA Birth Outcome project- breastfeeding, no elective deliveries< 39 weeks)7. Provided multiple forums for education of community on current health topics including in person sessions and Hello Health on TV. 1079 attended in person sessions system wide and 18 sessions were broadcast live on WLAE.8. Utilized Rouses supermarkets as location for health/wellness education until June 2014 when partnership ended.

Group A-Facility 7 -- Ochsner Medical Ctr-Elmwood Campus Part V, Section B, line 11:
The CHNA for Ochsner Medical Center-Elmwood Campus was done in conjunction with that of Ochsner Medical Center. Please see Part V, Section B, Line 11 for Ochsner Medical Center.

Part V, Section B, Line 16a
http://www.ochsner.org/patients_visitors/financial_services_and_billing_financial_assistance/

Part V, Section B
Facility Reporting Group A

Facility Reporting Group A consists of:
- Facility 1: Ochsner Medical Center, - Facility 5: Ochsner Medical Ctr-West Bank Campus, - Facility 6: Ochsner St. Anne General Hospital, - Facility 2: Ochsner Medical Center-Baton Rouge, - Facility 3: Ochsner Medical Center-North Shore, - Facility 4: Ochsner Baptist-A Campus of Ochsner Medical Ce, - Facility 7: Ochsner Medical Ctr-Elmwood Campus

Ochsner Clinic Foundation Hospitals Part V, Section B, line 5:
The hospital identified leaders from organizations that have special knowledge and or expertise in public health, agencies with information relative to the health needs of the community and representatives of medically underserved, low-income, minority populations and populations with chronic disease needs in the community. Such persons were interviewed as part of the needs assessment planning process.

Ochsner Clinic Foundation Hospitals Part V, Section B, line 6a:
Children's Hospital New Orleans, East Jefferson General Hospital, Ochsner Medical Center, Ochsner Medical Center-Westbank, Ochsner Medical Center-Kenner, Ochsner Baptist Medical Center, Ochsner Medical Center Northshore, Slidell Memorial Hospital, St. Tammany Parish Hospital, Touro Infirmary, Tulane Medical Center, West Jefferson Medical Center

Ochsner Clinic Foundation Hospitals Part V, Section B, line 15e:
The FAP application is provided to the patient or their representative immediately upon request.

Ochsner Clinic Foundation Hospitals Part V, Section B, line 16i:
The policy is included in patient billing statements.

Ochsner Clinic Foundation Hospitals Part V, Section B, line 18d:
Until March 2014, the agreement with a third-party collections agency allowed the collections agency to file garnishments prior to determining if the patient was eligible for financial assistance. In March 2014, the agreement was amended such that the collections agency cannot take any legal actions until it has obtained prior approval from Ochsner, and such approval will not be given unless the individual is not eligible for financial assistance. No such actions were taken to individuals that were ineligible under the organization's FAP. Additionally, the financial assistance policy and guidelines were printed on all billing statements and available on the Ochsner website.

Ochsner Clinic Foundation Hospitals Part V, Section B, line 22d:
A discount is applied to gross charges and represents the average payor yield by reviewing Medicare and the majority of commercial actual and expected payments (including the patient portion) over a year period. In no event are gross charges billed to a patient approved for financial assistance.

Group A-Facility 7 -- Ochsner Medical Ctr-Elmwood Campus Part V, Section B, line 11:
The CHNA for Ochsner Medical Center-Elmwood Campus was done in conjunction with that of Ochsner Medical Center. Please see Part V, Section B, Line 11 for Ochsner Medical Center.

Supplemental Information

Schedule H (Form 990) Part VI

Part I, Line 3c:
A Payment Advisor Score (PAS) is taken into consideration during the presumptive financial assistance process; however if a patient requests financial assistance, the PAS is not considered. The PAS is provided by a third party tool.

Part I, Line 6a:
The community benefit report prepared by Ochsner Clinic Foundation is representative of the entire health system, including Ochsner Clinic Foundation. The amounts reported in Schedule H are those amounts that are either directly incurred by Ochsner Clinic Foundation or those that have been allocated to Ochsner Clinic Foundation as a reimbursement to another organization.

Part I, Line 7:
OCF provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Records of charges foregone for services and supplies furnished under the charity care policy are maintained to identify and monitor the level of charity care provided. Because OCF does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. OCF estimates its costs of care provided under its charity care programs by applying a ratio of direct and indirect costs to charges to the gross foregone charges associated with providing care to charity patients. OCF's gross charity care charges include only services provided to patients who are unable to pay and qualify under OCF's charity care policies. The ratio of cost to charges is calculated based on OCF's total expenses divided by gross patient revenue.

Part I, Line 7, Column (f):
The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 78,309,298.

Part I, Line 6a
The community benefit report prepared by Ochsner Clinic Foundation is representative of the entire health system, including Ochsner Clinic Foundation. The amounts reported in Schedule H are those amounts that are either directly incurred by Ochsner Clinic Foundation or those that have been allocated to Ochsner Clinic Foundation as a reimbursement to another organization.

Part II, Community Building Activities:
"Ochsner endeavors to promote the health of the communities it serves through community building activities. Ochsner Community Hospitals promote economic growth in these areas by partnering and supporting organizations like Greater New Orleans Inc, Jefferson Economic Development Corporation, New Orleans Chamber Foundation, St. Tammany West Chamber of Commerce, United Negro College Fund, LSU Foundation, and local neighborhood associations and child development programs like the Girl Scouts of America. It also aims to engage and inspire high school students to pursue further education and careers in science and medicine through its STAR (""Science, Technology, Academics and Research"") program, a free, five-week summer program that provides qualified high school students with a unique opportunity to work in a student healthcare laboratory setting and BEST! Science which offers science teachers the opportunity to bring students to Ochsner's iLab where they can perform experiments designed by our PhD scientists.Ochsner provides programs to the communities we serve to increase their knowledge of healthy foods, through our CHOP (Cooking Healthy Options and Portions) afterschool cooking program at Jefferson parish schools and through our Eat Fit NOLA program which assists local restaurants to develop healthy menu items. Through our partnership with Rouses Markets, Ochsner identifies healthy items in the stores and provides nutritionist tours for the community to learn how to shop healthy."

Part III, Line 2:
Bad debt expense at cost is calculated by applying the ratio of patient care cost to charges to the bad debt expense calculated using the above methodology.

Part III, Line 4:
"The footnote in the organization's financial statement that describes bad debt expense is described in the section entitled ""Managed Care"", beginning on page 26 of the attached Financial Statements."

Part III, Line 8:
Total revenue from Medicare has been taken from the E Series in the Medicare Cost Reports. They do not include Medicare Advantage or payments related to Education or Research, in compliance with the instructions. Worksheet D Part V Line 202 Column 5 was used for outpatient costs and Worksheet D-1 Part II Line 49, and Worksheet D-1 Part III Line 86, and Worksheet E Part A Line 55 was used for inpatient costs. The cost reports for Ochsner Clinic Foundation (Provider No. 19-0036) and Ochsner Bayou LLC (Provider No. 19-1324) cover the period 1/1/2014 - 12/31/2014. The cost report for Ochsner Medical Center - Baton Rouge (Provider No. 19-0202) covers the period 10/1/2013 - 9/30/2014. The cost report for Ochsner Medical Center - North Shore (Provider No. 19-0204) covers the period 4/1/2014 - 3/31/2015.

Part III, Line 9b:
Upon granting approval for 100% assistance, all collection efforts for that account will cease, the account will not be turned over to a collection agency, and Ochsner will not impose extraordinary collection efforts such as wage garnishments or liens.

Part V, Section A, Website Addresses
Ochsner Medical Center: www.ochsner.org/locations/ochsner_main_campus/Ochsner Baptist-A Campus of Ochsner Medical Center: www.ochsner.org/locations/ochsner-baptist/Ochsner Medical Ctr-West Bank Campus: www.ochsner.org/locations/ochsner-medical-center-west-bank-campus/Ochsner St. Anne General Hospital: www.ochsner.org/locations/ochsner-st-anne/

Part VI, Line 2:
Ochsner serves the needs of the various communities throughout Southeast Louisiana through its commitment is to exemplary patient care, medical research and education. Ochsner Clinic Foundation is part of Ochsner Health System, which comprises a total of eight hospitals (including three satellite locations) and approximately 58 health centers throughout Southeast Louisiana.In order to identify the needs of the community, Ochsner reviews local and state publicly available data regarding the health status and issues in its region. Ochsner works with community organizations that collect information on their areas of focus to identify trends and areas where Ochsner has expertise that can make an impact. Ochsner collaborates with multiple community stakeholders to identify specific community needs in its regions. Ochsner then reviews these needs and determines where it can best use its resources and expertise to affect those needs. One of Ochsner's main focuses is to develop partnerships to address root causes of issues. Examples of Ochsner's commitment to the community can be found in Part VI, Line 5. Ochsner participated with the Metropolitan Hospital Association to conduct a region-wide Community health needs assessment which included all not for profit hospitals in the region in 2013. The applicable Community health needs assessments for each facility may be found in Part V, Section B as required.

Part VI, Line 3:
All uninsured patients are screened for Medicaid. This process takes place at the time of service, inpatient admissions, and if the patient is not screened at the time, the patient is contacted at home to determine eligibility. In 2013, Ochsner was able to obtain Medicaid coverage for approximately 14,000 patients. If the patients do not qualify for Medicaid, then they will be evaluated under the financial assistance policy.Internal customer service departments and external partners including collection agencies provide patients with financial assistance applications if patients express concerns about the inability to pay outstanding balances. Ochsner also offers zero interest payment plan options with payment terms ranging from six to 60 months.

Part VI, Line 4:
Ochsner Clinic Foundation is a multi-specialty healthcare delivery system consisting of seven hospitals (including three satellite locations) and approximately 58 health centers in Southeast Louisiana. Ochsner Clinic Foundation is part of Ochsner Health System, southeast Louisiana's largest non-profit, academic, multi-specialty, healthcare delivery system with eight hospitals (including three satellite locations) and approximately 58 health centers. Ochsner employs approximately 930 physicians in over 70 medical specialties and subspecialties. Ochsner Clinic Foundation's patients vary in age, gender, and race due to the multi-specialty nature of the system. As of 2014, Ochsner Clinic Foundation's service area includes 2.5 million of Louisiana's 4.6 million people. At 19.1%, Louisiana has the third highest poverty level in the nation and about 37% of the population receives Medicaid or is uninsured. Approximately 1,038,000 or 22.4% receive Medicaid and approximately 661,000 or 14.2% are uninsured.The original Ochsner facility, Ochsner Medical Center, is located in Jefferson Parish, LA, approximately 1 mile from the western boundary of the city of New Orleans. Ochsner Medical Center, a 553 bed hospital, includes acute and sub-acute facilities. Ochsner Centers of Excellence include the Ochsner Cancer Institute, Ochsner Multi-Organ Transplant Center and Ochsner Heart and Vascular Institute. Ochsner Hospital-Elmwood is a satellite of Ochsner Medical Center, providing inpatient rehabilitation services. Ochsner Baptist Medical Center, which was leased from Ochsner Community Hospitals beginning in March 2013, is a 103-bed satellite of Ochsner Medical Center, providing general medical and surgical acute care; an all-new Women's Pavilion offering full scope services for women of all ages and their newborns; imaging; and laser vision services. Ochsner Medical Center-West Bank Campus is a 165-bed satellite of Ochsner Medical Center, providing general medical and surgical acute care, emergency services and obstetrics, and is located on the West Bank of the Mississippi River within minutes of downtown New Orleans. OMC West Bank is easily accessible to three major parishes: Jefferson, Orleans and Plaquemines. Ochsner Medical Center and its three satellite hospitals serve the New Orleans Metropolitan Standard Area, which includes eight parishes surrounding New Orleans. The Metropolitan Standard Area population is approximately 1.2 million and about 39% of the population receives Medicaid or is uninsured. The poverty rate in the New Orleans Metro area is 18.1%, 27% in New Orleans itself. Approximately 316,000 or 25% receive Medicaid and approximately 175,000 or 14% are uninsured.Ochsner Medical Center-Baton Rouge is a 145-bed hospital located in the city of Baton Rouge within East Baton Rouge parish. East Baton Rouge parish has a population of about 815,000 people, of which about 103,000 were uninsured and about 156,000 received Medicaid.Ochsner St. Anne General Hospital is a 34-bed acute care hospital that serves Lafourche parish, where it is located, and the surrounding parishes. The bayou region has a population of about 283,000 people, of which about 36,000 were uninsured and about 59,000 received Medicaid. Ochsner Medical Center-North Shore is a 157-bed acute care facility located in Slidell, LA and serving the north shore of Lake Pontchartrain, north of New Orleans, LA. The population of its service area is approximately 520,000 people of which about 66,000 were uninsured and about 100,000 received Medicaid.

Part VI, Line 5:
Having a diverse representation of the community in the governing boards is an important part of making sure all aspects of the community Ochsner serves are being touched by the mission and vision of the organization. The by-laws of both Ochsner Clinic Foundation and Ochsner Health System call for 10 members of the total 19 board members to be community members. The Chief Executive Officer serves on the Board by virtue of his or her office; however, a majority of Board members are prominent multi-disciplinary business and community leaders. The remaining board members are senior physician employees of Ochsner Clinic Foundation elected by their peers in accordance with Ochsner Clinic Foundation by-laws.Ochsner Clinic Foundation is an educational and research-oriented medical center, operating one of the nation's largest accredited non-university based graduate medical education programs, covering 44 different medical, surgical and specialty programs. Ochsner partners with the Louisiana State University and Tulane University Medical Schools, in addition to a consortium relationship with Our Lady of Holy Cross College for allied health and nursing programs. In 2009, Ochsner opened the Ochsner Clinical School through an international partnership with the University of Queensland, Australia which allows US citizens to complete the first two years of Medical School in Australia and the second two years of Medical School at Ochsner. Ochsner's focus on research includes approximately 431 open clinical research trials in almost every specialty. Ochsner operates ten basic science/transitional research laboratories and Ochsner scientists publish over 200 journal articles and book chapters each year. Donations and grants do not cover all of the research related costs.In addition to supplying the community's future healthcare providers and providing research to improve medical outcomes, Ochsner is also focused on improving the lifestyle of the patients it serves. Research has proven that many chronic health problems, such as diabetes, obesity and hypertension, are primarily caused by lifestyle choices. In order to reduce chronic disease in the community, Ochsner needs to change the choices and behaviors through exercise, nutrition and promotion of preventative health behaviors.Ochsner has embarked on an ambitious project to transform the health and wellness of its community, using schools as the focal point. Change the Kids, Change the Future(TM) is an overarching philosophy to alleviate the cause instead of the symptom. The goal is to teach children how to make good lifestyle choices to affect meaningful, lasting change for the health and wellness of the community. Ochsner currently provides two nurse practitioners at local high schools that staff fully functional clinics that see students through scheduled appointments and walk in visits. They also work with the schools to help educate the students about healthy choices. Ochsner also targets childhood obesity through a program at its fitness center, EFC On the Move - Driving to Fight Childhood Obesity, where children ages 9-13 learn about health and fitness in a non-competitive environment via Elmwood Fitness Center's Mobile Fitness Unit. The mobile unit provides fitness classes and weight training equipment. Licensed dieticians provide healthy nutrition information and the staff performs pre- and post- program measurements and exercise performance assessments.In 2013, Ochsner implemented an after school cooking program (CHOP) for middle school students in Jefferson parish public schools. Knowledge and behavioral improvement has been promising and the program will be expanded to other venues.Ochsner is also an advocate for the health and wellness of adults. Ochsner provided various free health screenings, such as glucose, blood pressure and total cholesterol, and health information to over 2,000 people at public health fairs. Ochsner's community outreach programs directly impacted over 75,000 individuals across our regions and reached over 435,000 people through our participation in community events. Ochsner also educates people about the benefits of smart food and lifestyle choices, disease prevention and regular medical checkups through Choose Healthy!, a partnership with Rouse's grocery stores. In addition to the in-store activities, the community is able to access recipes and information on smart food choices, proper meal planning and disease-specific diet alternatives at www.choose-healthy.org. Ochsner also helps people stop smoking with its Tobacco Control & Prevention Program by attending corporate wellness events and partnering with area schools to provide educational materials and support. Ochsner implemented 2 smoking cessation clinics (Jefferson highway and Slidell) to provide free smoking cessation services to patients who are eligible for the Tobacco Trust program.Ochsner's nutritionists developed and implemented Eat Fit NOLA which offers a free service to local restaurants to offer healthy menu items, either by evaluating existing recipes or assisting in the development of new ones. Over 40 restaurants have signed up to participate in the program.Ochsner and four other health care providers formed five non-profit organizations to collaborate with the State of Louisiana and several units of local government in Louisiana to more fully fund the Medicaid program and ensure the availability of quality healthcare services for the low income and needy population. Ochsner contributed over $54 million to the collaboratives in 2014.

Part VI, Line 6:
Ochsner Health System is the supporting organization to Ochsner Clinic Foundation and Ochsner Community Hospitals, all related 501(c)(3) corporations. While each of the eight hospitals with the System promote the health within the separate geographical communities that they service, many overall community health initiatives are coordinated by Ochsner Health System, which is then reimbursed by the respective entities.

Part VI, Line 7:
The organization does not file a community benefit report with any state.

Operating expenses	$ 6,040,109,225
Total amount spent on community benefits as % of operating expenses	$ 133,250,715 2.21 %

Ochsner Clinic Foundation

Ochsner Clinic FoundationDisplay data for year: 20102011201220132014

Community Benefit Expenditures: 2014

Other Useful Tax-exempt Hospital Information: 2014

Community Health Needs Assessment Activities: 2014

Supplemental Information: 2014

Ochsner Clinic FoundationDisplay data for year: