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Mayo Clinic Group Return

200 First Street Sw Attn Tax
Rochester, MN 55905
EIN: 383952644
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: Mayo Clinic Hlth Sys - Springfield
625 North Jackson
Springfield, MN 56087
21 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count24Medicare provider number241352Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Mayo Clinic Group ReturnDisplay data for year:

Community Benefit Spending- 2020
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
6.72%
Spending by Community Benefit Category- 2020
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2020
Additional data

Community Benefit Expenditures: 2020

  • 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.

    • Operating expenses$ 10,655,112,004
      Total amount spent on community benefits
      as % of operating expenses
      		$ 716,212,431
      6.72 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 63,491,014
        0.60 %
        Medicaid
        as % of operating expenses
        		$ 297,002,493
        2.79 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 99,341,109
        0.93 %
        Subsidized health services
        as % of operating expenses
        		$ 183,852,783
        1.73 %
        Research
        as % of operating expenses
        		$ 68,075,986
        0.64 %
        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.
        		$ 2,387,377
        0.02 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 2,061,669
        0.02 %
        Community building*
        as % of operating expenses        		$ 807,286
        0.01 %
    • * = 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 housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses          		$ 807,286
          0.01 %
          Physical improvements and housing
          as % of community building expenses
          		$ 0
          0 %
          Economic development
          as % of community building expenses
          		$ 0
          0 %
          Community support
          as % of community building expenses
          		$ 453,244
          56.14 %
          Environmental improvements
          as % of community building expenses
          		$ 193
          0.02 %
          Leadership development and training for community members
          as % of community building expenses
          		$ 0
          0 %
          Coalition building
          as % of community building expenses
          		$ 187,223
          23.19 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 0
          0 %
          Workforce development
          as % of community building expenses
          		$ 166,626
          20.64 %
          Other
          as % of community building expenses
          		$ 0
          0 %
          Direct offsetting revenue$ 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

    Other Useful Tax-exempt Hospital Information: 2020

    • 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        		$ 176,876,776
        1.66 %
        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:
      • Reported to credit agencyNot available

    • 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.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES

    • 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.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available

    • 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.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2020

    • 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: 2020

    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 $ 8280795422 including grants of $ 1293575589) (Revenue $ 9202351353)
PATIENT CARE (SEE SCHEDULE O)PATIENT CAREMAYO CLINIC, AS AN AFFILIATED GROUP OF HEALTHCARE ENTITIES, IS AN INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE AND HAS SITES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; JACKSONVILLE, FLORIDA AND ALSO SERVES MORE THAN 60 COMMUNITIES IN THE UPPER MIDWEST THROUGH THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC IS DRIVEN BY ITS MISSION OF PROVIDING THE BEST PATIENT CARE TO EVERY PATIENT EVERY DAY THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS AND ARE JOINED BY COMMON SYSTEMS AND A PHILOSOPHY THAT THE NEEDS OF THE PATIENT COME FIRST. THERE ARE 17 SUBORDINATE ORGANIZATIONS FROM THE MAYO CLINIC AFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN. OPERATIONS INCLUDE 22 HOSPITAL FACILITIES (20 LICENSED HOSPITALS), NUMEROUS CLINICAL FACILITIES, 1 NURSING HOME, 5 ELDERLY/ASSISTED LIVING FACILITIES AND 7 CHEMICAL DEPENDENCY TREATMENT CENTERS, AN AMBULANCE SERVICE ORGANIZATION, 1 FOUNDATION-TYPE ORGANIZATION AND 1 ORGANIZATION THAT PROVIDE SUPPORT SERVICES (SHARED SERVICES) TO MAYO CLINIC, ITS AFFILIATES AND PATIENTS.GEOGRAPHICALLY, THE SUBORDINATES ARE LOCATED IN PHOENIX/SCOTTSDALE, ARIZONA; JACKSONVILLE, FLORIDA; SOUTHERN MINNESOTA; AND WESTERN WISCONSIN. FOR PURPOSES OF THIS STATEMENT, PATIENT CARE ENCOMPASSES PATIENT SERVICES (HOSPITALS, CLINICS & AMBULANCES), HOUSING FOR THE ELDERLY (NURSING HOMES & ELDERLY HOUSING FACILITIES) AND THE SALE OF MEDICAL PRODUCTS AND HEALTH INFORMATION. ON AN AGGREGATE BASIS, THE HOSPITAL SUBORDINATES HAD 4,124 LICENSED BEDS AT YEAR-END. FOR THE SUBORDINATE HOSPITAL AND CLINICAL PRACTICES, THE ANNUAL PATIENT COUNT (A DISTINCT COUNT OF THE MEDICAL RECORD NUMBERS THAT RECEIVED BILLABLE MEDICAL SERVICES) IN 2020 WAS APPROXIMATELY 906,000 PATIENTS. IN ADDITION, HOUSING FOR THE ELDERLY IS PROVIDED THROUGH THE OPERATION OF 6 FACILITIES THAT PROVIDE INDEPENDENT LIVING, ASSISTED LIVING AND/OR LONG-TERM CARE. THE SUBORDINATES PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. FOR 2020, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $297,002,000. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $1,206,141,000. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2020 ON A COMBINED BASIS WAS APPROXIMATELY $63,491,000.THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 3,488 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 156,013 HOURS OF SERVICE IN 2020, VALUED AT APPROXIMATELY $4,243,554 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES.
      4B (Expenses $ 702713310 including grants of $ 0) (Revenue $ 702713310)
SHARED SERVICES (SEE SCHEDULE O)SHARED SERVICESAS PART OF ITS EXEMPT FUNCTION, ONE OF THE SUBORDINATE ORGANIZATIONS (MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH) FACILITATES EFFORTS AND SHARED SERVICES ON BEHALF OF AND FOR THE BENEFIT OF MAYO CLINIC AND ITS AFFILIATES. CERTAIN SERVICES ARE CENTRALIZED WITHIN THE SUBORDINATE ORGANIZATION AND INCLUDE FINANCE, HUMAN RESOURCES, LEGAL, PUBLIC AFFAIRS, SUPPLY CHAIN, INFORMATION TECHNOLOGY AND VARIOUS OTHER SERVICES. CERTAIN COSTS RELATED TO PROVIDING THESE SHARED SERVICES ARE ALLOCATED OUT OR CHARGED TO THE AFFILIATES. FACILITATING THESE EFFORTS AND SERVICES ALLOWS MAYO CLINIC AND ITS AFFILIATES TO BETTER CARRY OUT THEIR EXEMPT FUNCTIONS BY REDUCING COSTS, HAVING STANDARDIZED PRACTICES AND PROCEDURES, AND CREATING ECONOMIES OF SCALE.
      4C (Expenses $ 195103569 including grants of $ 14373534) (Revenue $ 1705368)
MEDICAL RESEARCH (SEE SCHEDULE O)MEDICAL RESEARCHMAYO CLINIC, AS AN AFFILIATED GROUP, CONDUCTS BASIC, TRANSLATIONAL, CLINICAL, AND EPIDEMIOLOGICAL RESEARCH AT ITS CAMPUSES IN MINNESOTA, ARIZONA, AND FLORIDA AND THROUGHOUT THE MAYO CLINIC HEALTH SYSTEM. THE NEEDS OF PATIENTS IS WHAT DRIVES RESEARCH AT MAYO CLINIC. AS DOCTORS TREAT PATIENTS AND SEE OPPORTUNITIES FOR ADVANCING PATIENT CARE, THEY WORK TOGETHER WITH MAYO SCIENTISTS AND RESEARCH TEAMS TO DEVELOP NEW AND IMPROVED DIAGNOSTIC TOOLS, MEDICATIONS, DEVICES, TREATMENT PROTOCOLS AND MORE.MAYO CLINIC'S UNIQUE CULTURE OF COLLABORATION AND TEAMWORK, AND ITS EXTENSIVE FACILITIES AND RESOURCES, MAKE IT POSSIBLE FOR RESEARCHERS TO UNRAVEL AND SOLVE COMPLEX RESEARCH QUESTIONS. ANSWERING THESE QUESTIONS REQUIRES A TEAM OF PHYSICIANS WHO CARE FOR PATIENTS WITH A DISEASE, BASIC SCIENTISTS WHO INVESTIGATE THE CONDITION'S MOLECULAR BASIS AND EPIDEMIOLOGISTS WHO STUDY ITS EFFECT ON POPULATIONS. THIS CLOSE INTEGRATION MAKES IT POSSIBLE TO QUICKLY BRING PROVEN DIAGNOSTICS AND THERAPEUTICS TO PATIENTS AND SHARE THIS KNOWLEDGE WITH THE NEXT GENERATION OF DOCTORS AND SCIENTISTS.THE RESEARCH ACTIVITIES CONDUCTED BY THE SUBORDINATES ARE CONDUCTED AT THE ARIZONA AND FLORIDA LOCATIONS AND AT SEVERAL OF THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN. RESEARCH IS CONCENTRATED IN THE AREAS OF CANCER, METABOLISM, NEUROSCIENCES, NEURODEGENERATIVE DISEASES, CARDIOVASCULAR DISEASES AND GI DISORDERS/TRANSPLANTATION.
      4D (Expenses $ 114773506 including grants of $ 4294849) (Revenue $ 125126478)
HEALTH PROFESSIONAL EDUCATIONMAYO CLINIC'S INVESTMENTS IN EDUCATION INFORM AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS, AND COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING, ALONG WITH PREPARING THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS TO PROVIDE OUTSTANDING, COMPASSIONATE CARE TO PATIENTS WORLDWIDE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE WHICH CONSISTS OF FIVE SCHOOLS:- MAYO CLINIC ALIX SCHOOL OF MEDICINE- MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION- MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES- MAYO CLINIC SCHOOL OF HEALTH SCIENCES- MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENTMAYO CLINIC, AS AN AFFILIATED GROUP, OFFERS EDUCATIONAL PROGRAMS AND TRAINING OPPORTUNITIES ON ITS CAMPUSES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; AND JACKSONVILLE, FLORIDA AND SEVERAL OF THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN. IN AFFILIATION WITH THE MAYO CLINIC COLLEGE OF MEDICINE, THE SUBORDINATES OFFER PHYSICIAN RESIDENCY PROGRAMS AND FELLOWSHIPS IN MANY MEDICAL AND SURGICAL SPECIALTIES, TRAINING PROGRAMS FOR ALLIED HEALTH PERSONNEL AND ON-GOING EDUCATION FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.MANY OF THE STUDENTS EDUCATED THROUGH THE MAYO CLINIC COLLEGE OF MEDICINE TO SUSTAIN MAYO'S UNIQUE STYLE OF CARE AND PREPARE THE NEXT GENERATION OF CAREGIVERS WOULD HAVE RECEIVED SOME OF THEIR EDUCATION AT THE SUBORDINATE'S LOCATIONS IN PHOENIX/SCOTTSDALE, ARIZONA; JACKSONVILLE, FLORIDA AND THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN.IN ADDITION, MANY OF THE SUBORDINATES HAVE AGREEMENTS WITH UNIVERSITIES, COLLEGES, AND OTHER EDUCATIONAL ORGANIZATIONS TO PROVIDE FORMAL EDUCATION AND EXPERIENCE FOR STUDENTS STUDYING TO BECOME HEALTH CARE PROFESSIONALS.ROYALTIES SOME SUBORDINATES WITHIN THE GROUP MAKE THE RESEARCH AND TECHNOLOGY DEVELOPED THROUGHOUT MAYO CLINIC AVAILABLE TO THE PUBLIC. THIS IS ACCOMPLISHED THROUGH LICENSING ARRANGEMENTS WITH OTHERS HAVING THE CAPABILITY TO DISTRIBUTE THE TECHNOLOGY TO THE MEDICAL COMMUNITY AND THE GENERAL PUBLIC. IN EXCHANGE FOR THESE LICENSES, THE SUBORDINATES RECEIVE ROYALTIES BASED ON GROSS REVENUES GENERATED FROM THE PRODUCTS DEVELOPED FROM THE LICENSED TECHNOLOGY OR INVENTION.
      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 4: MCHS IN EAU CLAIRE, - FACILITY 5: MCHS IN MANKATO, - FACILITY 8: MCHS IN FAIRMONT, - FACILITY 10: MCHS IN NEW PRAGUE, - FACILITY 11: MCHS IN WASECA, - FACILITY 12: MCHS IN BARRON, - FACILITY 13: MCHS IN BLOOMER, - FACILITY 16: MCHS IN ST. JAMES, - FACILITY 17: MCHS IN SPRINGFIELD, - FACILITY 18: MCHS IN OSSEO
      GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN MANKATO (MCHS-MANKATO), NICOLLET COUNTY PUBLIC HEALTH AND BLUE EARTH COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE PROJECT COMMUNITY CONNECT, COMMUNITY FIESTA IN ST. PETER, VINE FAITH IN ACTION, NICOLLET COUNTY WIC AND MORE. 453 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE 9 BLUE EARTH AND NICOLLET COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 8, 2018 - MAY 8, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS, A BLUE EARTH AND NICOLLET COUNTY DATA REVIEW AND VISIONING SESSION ON OCTOBER 24, 2018 AND A LE SUEUR COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 23, 2019.
      GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 6A:
MCHS-FAIRMONTMCHS-NEW PRAGUEMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA
      GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 6B:
BLUE EARTH COUNTY PUBLIC HEALTH DEPARTMENTNICOLLET COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
      GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN MANKATO (MCHS-MANKATO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-MANKATO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-MANKATO: HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED LOCAL EXPERT TO SPEAK ON RESILIENCY TO OVER 35 MEMBERS OF THE CHAMBER'S YOUNG PROFESSIONALS GROUP.PROVIDED $16,500 IN FUNDING FOR 6 ATTENDEES TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR STAFF DURING THE PANDEMIC.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED.RECORDED PRESENTATION ON MENTAL WELL-BEING FOR VINE FAITH IN ACTION. 42 VIDEO VIEWS.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MANKATO:CO-HOSTED THE OPIOID FIX VIEWING AND PANEL DISCUSSION ON JAN. 29 WITH MINNESOTA STATE UNIVERSITY, MANKATO WITH OVER 375 ATTENDEES.PARTICIPATED IN THE AMERICAN LUNG ASSOCIATION TOBACCO WORKGROUP, STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM MEETINGS AND THE NICOLLET COUNTY CHEMICAL WELLNESS ADVOCATE COALITION.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC)CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MANKATO:PROVIDED A COMMUNITY GARDEN AT EASTRIDGE CLINIC AS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES TO PATIENTS.PARTNERED WITH MANKATO AREA PUBLIC SCHOOLS TO OFFER A MONTH-LONG WELLNESS CHALLENGE FOR THEIR EMPLOYEES, INCLUDING WEEKLY WELLNESS WEBINAR. 190 EMPLOYEES ACTIVELY PARTICIPATED WITH INFORMATION SENT TO 1,200 EMPLOYEES. ALSO PROVIDED MANKATO AREA PUBLIC SCHOOLS 1,200 MAYO CLINIC ROAD TO BETTER HEALTH CALENDARS FOCUSING ON A MONTHLY HEALTH TIP.PROVIDED $20,000 FINANCIAL SUPPORT AND OVER $2,500 IN-KIND SUPPORT TO THE CHILDREN'S MUSEUM FOR WELLNESS CONTENT PROVIDED TO MUSEUM MEMBERS AND GUESTS; PROVIDED GUEST EXPERTS AT MUSEUM PROGRAMMING SUCH AS TODDLER WEDNESDAY AND PROVIDED WEEKLY WELLNESS WEDNESDAY SOCIAL MEDIA POSTS. MUCH MORE WAS PLANNED, BUT MUSEUM WAS CLOSED MUCH OF THE YEAR DUE TO PANDEMIC.PROVIDED INDOOR WALKING ROUTES AT RIVER HILLS MALL AND MAYO CLINIC HEALTH SYSTEM EVENT CENTER.PROVIDED $160,000 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS UNITED WAY, YMCA AND FEEDING OUR COMMUNITIES PARTNERS.SUPPORTED LOCAL ORGANIZATIONS WITH VOLUNTEERS SUCH AS FEEDING OUR COMMUNITIES PARTNERS WITH 50 VOLUNTEER HOURS AND ECHO FOOD SHELF WITH 78 VOLUNTEER HOURS.HOSTED OCTOBER'S SECOND HARVEST COVID-19 FOOD ASSISTANCE PROGRAM DISTRIBUTION AND PROVIDED OVER 20 MAYO CLINIC HEALTH SYSTEM VOLUNTEERS, SPACE AND STAFF TIME TO COORDINATE. OVER 700 FOOD BOXES WERE DISTRIBUTED.PARTICIPATED IN THE FOLLOWING COMMUNITY COALITIONS TO COLLABORATE AND IMPROVE HEALTH: BLUE EARTH AND NICOLLET COUNTY STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM (COMMUNITY LEADERSHIP TEAM THAT ADVISES ON HEALTH IMPROVEMENT WORK AND PROJECTS) AND MANKATO AREA CARE NETWORK.LAUNCHED THE MAYO MILE AND COLON CANCER PREVENTION EVENT ON MARCH 4 AT MAYO CLINIC EVENT CENTER WITH APPROXIMATELY 100 ATTENDEES.HIRED COMMUNITY HEALTH WORKER TO FOCUS ON SOMALI COMMUNITY AND IMPROVING HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. HELD NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS ON MAYOCLINICHEALTHSYSTEM.ORG'S HOMETOWN HEALTH BLOG. HELD VIRTUAL PRESENTATION FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT ON CHRONIC PAIN FOR VINE FAITH IN ACTION MEMBERS. 10 PARTICIPANTS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-MANKATO BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-MANKATO) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-MANKATO'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN FAIRMONT (MCHS-FAIRMONT) AND FARIBAULT-MARTIN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE MARTIN COUNTY FAIR, SCHOOL ORIENTATIONS, VETERANS PARK BLOCK PARTY AND MORE. OVER 1,000 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE 14 MARTIN AND FARIBAULT COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 18, 2018 - MAY 22, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A MARTIN & FARIBAULT COUNTY DATA REVIEW AND VISIONING SESSION ON MARCH 19, 2019.
      GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6A:
UNITED DISTRICT HOSPITALMCHS-MANKATOMCHS-NEW PRAGUEMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA
      GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6B:
FARIBAULT - MARTIN COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO-DEPARTMENT OF COMMUNITY HEALTH EDUCATION
      GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN FAIRMONT (MCHS-FAIRMONT) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-FAIRMONT TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-FAIRMONT: INSTALLED A PRAYER WALL IN CHAPEL FOR USE BY EMPLOYEES AND THE PUBLIC.PROVIDED $5,000 IN FUNDING FOR A FAIRMONT SCHOOL COUNSELOR AND A GRANDA-HUNTLEY-EAST CHAIN SCHOOL COUNSELOR TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.ASSEMBLED JONATHAN ZIERDT CANCER FUND CARING BOXES TO BENEFIT ONCOLOGY PATIENTS. HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION.PARTICIPATED IN THE MARTIN COUNTY STRONGER TOGETHER COALITION ADDRESSING ACES (ADVERSE CHILDHOOD EXPERIENCES) AND RESILIENCY.HOSTED A RADIO PROGRAM FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT SPEAKING ON GRIEF DURING THE HOLIDAYS.PROVIDED MEDIA RELEASES ON MANAGING DAYLIGHT SAVINGS TIME, STRESS-RELATED SLEEP DISRUPTION, SEASONAL AFFECTIVE DISORDER AND PREPARING FOR THE LONG WINTER.SUBMITTED A SENTINEL NEWSPAPER STORY ON STUDENT MENTAL HEALTH FOCUSED ON CHANGES RELATED TO COVID-19.DEVELOPED A POD CAST FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT SPEAKING ON MENTAL HEALTH & WELL-BEING. MADE A PRESENTATION TO LOCAL AG COMMUNITY FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT ENTITLED - I GET BY WITH A LITTLE HELP FROM MY FRIENDS. 175 PEOPLE ATTENDED.CONDUCTED 5 CANCER SUPPORT GROUP MEETINGS (2 STAFF - 11 PEOPLE).HAD AN ARTICLE IN FAIRMONT CHAMBER NEWSLETTER ON COPING FOR KIDS DURING COVID-19 PANDEMIC.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-FAIRMONT:WAS A TEAM MEMBER OF THE MARTIN COUNTY SUBSTANCE ABUSE AND PREVENTION COALITION.DONATED TO THE NORTH UNION SCHOOL FOR AFTER PROM EVENT TO PROVIDE SAFE ENVIRONMENT FOR STUDENTS.CO-HOSTED THE OPIOID FIX VIEWING AND PANEL DISCUSSION ON JAN. 29 WITH MINNESOTA STATE UNIVERSITY, MANKATO WITH OVER 375 ATTENDEES.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC)CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-FAIRMONT:EMPLOYEES DELIVERED MEALS TO HOMEBOUND THROUGH MEALS ON WHEELS FOR 15 DAYS (35 CLIENTS). WAS A TEAM MEMBER OF THE MARTIN COUNTY STRONGER TOGETHER COALITION ADDRESSING ACCESS TO CARE, CHRONIC DISEASE AND RESILIENCY. HELD EDUCATIONAL DISPLAY ON HEART HEALTH AT CARDIAC REHAB OPEN HOUSE (130 PEOPLE), COLON CANCER AWARENESS IN CLINIC LOBBY FOR 1 MONTH AND BREAST CANCER AT BOOMGARS LADIES NIGHT OUT (50 PEOPLE).WAS A BOARD MEMBER OF STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM.WAS A TEAM MEMBER OF PROJECT 1590 FOCUSED ON DEVELOPMENT OF YMCA IN FAIRMONT.PROVIDED PRESENTATIONS BY A MAYO CLINIC HEALTH SYSTEM EXPERT TO SERVICE GROUPS ON DISEASES OF THE EYE (20 PEOPLE), DRY EYE DISEASE IMPACT ON CHRONIC DISEASE (20 PEOPLE) AND CONNECTED CARE (20 PEOPLE).WAS A TEAM MEMBER OF MARTIN COUNTY COVID-19 FOOD RESPONSE TEAM.EMPLOYEES VOLUNTEERED AT KIDS AGAINST HUNGER FOOD PACK (10 EMPLOYEES) AND SECOND HARVEST FRUIT TRUCK (3 EMPLOYEES).CREATED SECOND BREAST FEEDING/LACTATION ROOM IN FACILITY TO BENEFIT THE PUBLIC AND EMPLOYEES.CONDUCTED MONTH LONG COMMUNITY WELLNESS CHALLENGE, INCLUDING WEEKLY WELLNESS WEBINAR - 50 PARTICIPANTS.EMPLOYEES CONDUCTED A FOOD DRIVE TO DONATE HEALTHY SNACKS TO ALATEEN.HOSTED A RADIO PROGRAM ON THE IMPORTANCE OF SCREENING & PREVENTION AND COVID-19 IMPACT ON OVER-ALL HEALTH.DONATED $1,000 TO KIDS AGAINST HUNGER, $5,000 TO APPLE TREE DENTAL TO IMPROVE ACCESS TO DENTAL CARE AND $1,143 TO YMCA FOR BLOOD PRESSURE SELF-MONITORING PROGRAM FOR 25 PEOPLE.COORDINATED $5,000 TO HEAVENS TABLE FOOD SHELF THROUGH MANKATO UNITED WAY COVID-19 FUND.CONDUCTED STEPPING ON: A SERIES OF 6 CLASSES ADDRESSING FALL PREVENTION FOR 13 PARTICIPANTS.PROVIDED MEDIA RELEASES ON COLORECTAL CANCER SCREENING, ADVANCED DIRECTIVES, IMPORTANCE OF SEEKING TREATMENT FOR MINOR INJURIES AND ILLNESS DURING COVID-19 PANDEMIC AND BREAST CANCER SCREENING.PROVIDED WEEKLY STAFF TO SUPPORT BABY CAFE WITH A LPN NURSE TRAINED IN LACTATION (IN PERSON AND VIRTUAL).CONDUCTED COOKING FOR ONE CLASS - 5 PEOPLE.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-FAIRMONT BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-FAIRMONT) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-FAIRMONT'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE), LE SUEUR COUNTY PUBLIC HEALTH AND SCOTT COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE THE LE SUEUR COUNTY FAIR, CZECH OUT NEW PRAGUE, TCU UNITED 4 HEALTHY YOUTH AND MORE. 513 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT SIX LE SUEUR AND SCOTT COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 17, 2018 - MAY 21, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A LE SUEUR AND SCOTT COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 7, 2019.
      GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6A:
MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA
      GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6B:
SCOTT COUNTY PUBLIC HEALTHLE SUEUR COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
      GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-NEW PRAGUE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-NEW PRAGUE: IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION.HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR SOUTHWESTERN MINNESOTA STAFF DURING THE PANDEMIC.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-NEW PRAGUE:IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC).CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-NEW PRAGUE:OFFERED A MONTH-LONG WELLNESS CHALLENGE FOR AREA BUSINESSES, ORGANIZATIONS, COMMUNITY MEMBERS AND OUR EMPLOYEES, WHICH INCLUDED A WEEKLY WELLNESS WEBINAR. 494 PEOPLE ACTIVELY PARTICIPATED ACROSS THE REGION. PROVIDED $4,500 SPONSORSHIP TO SUPPORT TO NEW PRAGUE CHAMBER OF COMMERCE'S RUN NEW PRAGUE VIRTUAL EVENT. ADDITIONAL HEALTH EXPERTISE AND SUPPORT PLAN WAS SIDELINED DUE TO COVID-19.PARTNERED WITH THE FITNESS & AQUATIC CENTER ON THEIR MEMBER SCALE BACK CHALLENGE BY PROVIDING NUTRITION EXPERTISE IN PERSON AND VIA SOCIAL MEDIA. PROVIDED INDOOR WALKING ROUTE AT THE FITNESS & AQUATIC CENTER.CONDUCTED PRESENTATIONS FEATURING A CLINICAL NUTRITION DIETITIAN TO SENIORS IN OUR COMMUNITY ON EATING SMART FOR HEALTHY AGING, TO NEW PRAGUE AREA SCHOOL HEALTH SPECIALISTS ON NUTRITION MYTHS AND FAD DIETS, TO NEW PRAGUE AREA SCHOOL STUDENTS ON THE IMPORTANCE OF GOOD NUTRITION AND VARIOUS OTHER COMMUNITY PRESENTATIONS ON NUTRITION/EATING HEALTHY.PROVIDED PRESENTATIONS FEATURING CARDIAC REHABILITATION NURSES ON THE RISK FACTORS AND CARE FOR HEART DISEASE.INCREASED OPERATIONAL SUPPORT OF PEACE CENTER FOOD SHELF DURING COVID-19 PANDEMIC WITH FULL TIME STAFFING FOR SIX MONTHS, ENSURING THE COMMUNITY HAD ACCESS TO THE FOOD SUPPORT NEEDED.PROVIDED $3,500 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS THE JONATHAN ZIERDT CANCER FUND AND IRIS (INFANTS REMEMBERED IN SILENCE).INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-NEW PRAGUE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-NEW PRAGUE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-NEW PRAGUE'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN WASECA (MCHS-WASECA) AND WASECA COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. THESE EVENTS WERE THE WASECA STAKEHOLDER BREAKFAST, WASECA COUNTY FAIR AND WASECA INTERMEDIATE SCHOOL OPEN HOUSE. 240 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE THREE WASECA COUNTY EVENTS IN 2018.INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN JUNE 25, 2018 - MAY 15, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A LE SUEUR AND WASECA COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 23, 2019.
      GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6A:
MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-NEW PRAGUE
      GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6B:
WASECA COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
      GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN WASECA (MCHS-WASECA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-WASECA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-WASECA:BEGAN WORKING WITH WASECA PUBLIC SCHOOLS TO FIND STAFF TO ATTEND THE STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATION.HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR SOUTHWESTERN MINNESOTA STAFF DURING THE PANDEMIC.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-NEW PRAGUE:IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC). CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-WASECA:OFFERED A MONTH-LONG WELLNESS CHALLENGE FOR AREA BUSINESSES, ORGANIZATIONS, COMMUNITY MEMBERS AND OUR EMPLOYEES, WHICH INCLUDED A WEEKLY WELLNESS WEBINAR. 494 PEOPLE ACTIVELY PARTICIPATED ACROSS THE REGION. PROVIDED $3,150 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS THE JONATHAN ZIERDT CANCER FUND, JUNIOR ACHIEVEMENT VIRTUAL RUN AND THE FEMALE ATHLETE EMPOWERMENT SYMPOSIUM.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-WASECA BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-WASECA) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-WASECA'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN ST. JAMES (MCHS-ST. JAMES) AND WATONWAN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE THE ST. JAMES COMMUNITY STAKEHOLDER BREAKFAST AND THE MULTICULTURAL FIESTA. 93 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THREE WATONWAN COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN JUNE 8, 2018 - JUNE 10, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND ENGAGING AS A MEMBER OF THE WATONWAN COUNTY COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE WHICH MEETS ON A BI-MONTHLY BASIS AND IS ONGOING.
      GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6A:
MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-WASECAMCHS-NEW PRAGUE
      GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6B:
WATONWAN COUNTY HEALTH DEPARTMENT MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
      GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN ST. JAMES (MCHS-ST. JAMES) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-ST. JAMES TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-ST. JAMES:PROVIDED $5,500 IN FUNDING FOR TWO ATTENDEES TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION.HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR SOUTHWESTERN MINNESOTA STAFF DURING THE PANDEMIC.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-ST. JAMES:IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC).WAS A MEMBER OF WATONWAN COUNTY COMMUNITY HEALTH NEEDS ADVISORY BOARD - DUE TO COVID-19 PANDEMIC THESE MEETINGS HAVE BEEN PUT ON HOLD.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-ST. JAMES:OFFERED FREE WEIGHT MEASUREMENT AND BLOOD PRESSURE CHECKS.OFFERED MONTH LONG WELLNESS CHALLENGE TO COMMUNITY MEMBERS, INCLUDING WEEKLY WEBINAR, WITH 56 PARTICIPANTS.HIRED COMMUNITY HEALTHCARE WORKER POSITION TO START FOCUSING ON CHRONIC DISEASES IN TARGETED HISPANIC POPULATION.PARTICIPATED IN COMMUNITY MEETING HEALTHY FAMILIES/HEALTHY FUTURES.PROVIDED GROCERY STORE TOURS WITH DIETICIAN.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-NEW ST. JAMES BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-ST. JAMES) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-ST. JAMES'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN SPRINGFIELD (MCHS-SPRINGFIELD) AND BROWN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AND COMMUNITY CONVERSATIONS. COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. 230 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES. INPUT ALSO WAS RECEIVED DURING A STAKEHOLDER GATHERING. BROWN COUNTY PUBLIC HEALTH, NEW ULM MEDICAL CENTER-ALLINA AND MCHS-SPRINGFIELD COLLABORATED TO BRING TOGETHER STAKEHOLDERS FOR THE BROWN COUNTY VISIONING SESSION IN MAY 2018.
      GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 6A:
ALLINA HEALTHMCHS-MANKATOMCHS-FAIRMONTMCHS-WASECAMCHS-ST. JAMESMCHS-NEW PRAGUE
      GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 6B:
BROWN COUNTY PUBLIC HEALTH MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
      GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN SPRINGFIELD (MCHS-SPRINGFIELD) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEMCHS-SPRINGFIELD WILL NOT BE ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2019 CHNA REPORT DUE TO THE HOSPITAL CLOSURE EFFECTIVE MARCH 1, 2020.
      GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE 2018 EAU CLAIRE COUNTY COMMUNITY HEALTH ASSESSMENT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE). THE ASSESSMENT WHICH WAS COMPLETED BY A LOCAL COALITION MADE UP OF LOCAL HEALTH CARE ORGANIZATIONS, THE EAU CLAIRE CITY/COUNTY PUBLIC HEALTH DEPARTMENT, THE UNITED WAY OF EAU CLAIRE AND THE EAU CLAIRE HEALTHY COMMUNITIES COUNCIL. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE 2018 EAU CLAIRE COUNTY COMMUNITY HEALTH ASSESSMENT BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF EAU CLAIRE COUNTY.THE SURVEY WAS AVAILABLE ONLINE AND BY PAPER COPIES DISTRIBUTED WIDELY THROUGH THE COMMUNITY. SURVEY QUESTIONS FOCUSED ON 14 HEALTH AREAS, BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHIEST WISCONSIN 2020. THE HEALTH FOCUS AREAS ADDRESSED IN THE SURVEY WERE: ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, ENVIRONMENTAL AND OCCUPATIONAL HEALTH, HEALTHY GROWTH AND DEVELOPMENT, HEALTHY NUTRITION, INJURY AND VIOLENCE, MENTAL HEALTH, OBESITY, ORAL HEALTH, PHYSICAL ACTIVITY, REPRODUCTIVE AND SEXUAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AND EXPOSURE. SURVEY RESPONDENTS WERE ASKED TO RATE EACH OF THE HEALTH FOCUS AREAS ON A FOUR-POINT SCALE INDICATING HOW MUCH OF A PROBLEM THEY FELT EACH AREA TO BE FOR THE COMMUNITY (1=NOT A PROBLEM, 4=MAJOR PROBLEM) AND IDENTIFY REASONS THEY FELT THE AREA WAS A PROBLEM.A TOTAL OF 1,876 EAU CLAIRE COUNTY RESIDENTS RESPONDED TO THE SURVEY. SURVEY RESPONDENTS REPRESENTED A WIDE RANGE OF COUNTY RESIDENTS, INCLUDING A VARIETY OF INCOME AND EDUCATIONAL LEVELS, AGE AND HOUSEHOLD SIZE. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND COLLECTED FROM THE TRADITIONALLY UNDERSERVED COMMUNITY THROUGH COMMUNITY HEALTH SURVEYS DISTRIBUTED TO THE LOCAL SENIOR CENTER AND COMMUNITY MEAL SITE. SURVEYS WERE ALSO DISTRIBUTED TO AND RECEIVED FROM REPRESENTATIVES OF LOCAL COMMUNITY RESOURCE ORGANIZATIONS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) WAS HEAVILY INVOLVED IN OUTREACH SESSIONS, COMMUNITY CONVERSATIONS AND A FINAL COALITION MEETING OBTAINING COMMUNITY FEEDBACK. THESE EVENTS WERE OPEN TO THE PUBLIC AND ATTENDED BY REPRESENTATIVES OF COMMUNITY RESOURCE ORGANIZATIONS. THESE OPPORTUNITIES INCLUDED TWO COMMUNITY CONVERSATIONS HELD IN RURAL (AUGUSTA) AND URBAN (EAU CLAIRE) AREAS OF THE COUNTY IN WHICH LOCAL HEALTH DATA AND RESULTS FROM THE SURVEY WERE SHARED. FOLLOWING FACILITATED DISCUSSION, PARTICIPANTS WERE ASKED TO PRIORITIZE THE TOP HEALTH CONCERNS OF THE COUNTY FROM THE 14 HEALTH AREAS UNDER CONSIDERATION.
      GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 6A:
HSHS SACRED HEART HOSPITAL
      GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 6B:
EAU CLAIRE CITY COUNTY HEALTH DEPARTMENTUNITED WAY OF THE GREATER CHIPPEWA VALLEYMARSHFIELD CLINICEAU CLAIRE HEALTHY COMMUNITIES COUNCIL
      GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-EAU CLAIRE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-EAU CLAIRE: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AZURA MEMORY CARE - $400 (AZURA DEMENTIA)BIG BROTHERS BIG SISTERS - $1,400 (ANNUAL GALA)BOYS AND GIRLS CLUB OF CHIPPEWA VALLEY - $5,500 (OPERATIONAL) BOYS AND GIRLS CLUB OF CHIPPEWA VALLEY - $6,000 (EAU CLAIRE VIRTUAL LEARNING)CHIPPEWA VALLEY MUSEUM - $500 (HOW THE OTHER SIDE LIVES EXHIBIT)INCLUSA, INC. - $11,000 (EVERYBODYIN GRANT)JONAH -$500LGBT COMMUNITY CENTER OF THE CHIPPEWA VALLEY - $4,000 (EVERYBODYIN)LITERACY CHIPPEWA VALLEY - $350 (SCRABBLE BEE TEAM)PREVENT SUICIDE CHIPPEWA VALLEY - $1,000 (SHARING HOPE WALK)UNIVERSITY OF WISCONSIN CHIPPEWA VALLEY - $1,000 (DAY OF CARING)YMCA SPORTS CENTER - $2,000 (KIDS EXPO)PROVIDED A GRANT TO EAU CLAIRE COMMUNITY FOUNDATION - $75,000 (L.E. PHILLIPS PUBLIC LIBRARY STORY BUILDER CAMPAIGN)HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. LAUNCHED A MASK MADE BY ME CAMPAIGN, A COLORING CONTEST FOR KIDS TO DESIGN THEIR OWN COVID-19 FACE MASK, WITH 123 PARTICIPANTS. IN ADDITION, RESOURCES WERE AVAILABLE FOR PARENTS TO PROMOTE MASK-WEARING FOR KIDS.HOSTED AN EVENT (STORIES FROM THE HEART) WHERE HEART PATIENTS SHARED THEIR STORIES TO PROVIDE PERSPECTIVE ON HEART CARE AND TREATMENTS RELATED TO HEART DISEASE.PROVIDED TWO CLASSES ATTENDED BY 10 PEOPLE RELATED TO UNDERSTANDING ALZHEIMER'S AND DEMENTIA.PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BEACON HOUSE (VOLUNTEER)CHIPPEWA VALLEY FREE CLINIC (VOLUNTEERS)CHIPPEWA VALLEY TECHNICAL COLLEGE (COMMITTEE MEMBER)DOWNTOWN EAU CLAIRE, INC. (COMMITTEE MEMBER)EAU CLAIRE CHAMBER OF COMMERCE (COMMITTEE MEMBER) EAU CLAIRE HEALTHY COMMUNITIES (MENTAL ACTION TEAM MEMBERSHIP)FOOD PANTRY (COMMUNITY TABLE VOLUNTEER) HOARDING TASK FORCE (COMMITTEE MEMBER) HOMELESSNESS STRATEGIC PLANNING (MEMBERSHIP)HOMETOWN HEROES OUTDOORS (VOLUNTEER) JUNIOR ACHIEVEMENT (VOLUNTEER)L.E. PHILLIPS MEMORIAL PUBLIC LIBRARY (COMMITTEE MEMBER)MENTAL HEALTH MATTERS (YOUTH MENTAL HEALTH EDUCATION, MINDFULNESS TRAINING) NATIONAL ALLIANCE OF MENTAL ILLNESS (VOLUNTEER AND BOARD MEMBER) PROJECT SEARCH (MENTORING PROJECT)UNITED WAY OF THE GREATER CHIPPEWA VALLEY (BOARD MEMBERS AND VOLUNTEERS)WISCONSIN DEPARTMENT OF WORKFORCE (COMMITTEE MEMBER)WORK EAU CLAIRE ACT WORK READY COMMUNITIES (COMMITTEE MEMBER)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-EAU CLAIRE:PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT - $1,500 (ALLIANCE VAPING METH CAMPAIGN)RCU FOUNDATION - $1,500 (ROCK THE RIVERFRONT)HOPE GOSPEL MISSION - $2,500 (HARVEST HOPE FUNDRAISER) SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PROVIDED A GRANT TO EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT - $15,000 (ALLIANCE FOR ALCOHOL & OTHER DRUG ABUSE PREVENTION)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE EDUCATION/ADVOCACY FOR SUBSTANCE ABUSE:BRAIN TEAM (COMMITTEE MEMBER)CHIPPEWA VALLEY CHILD ADVOCACY CENTER MULTI-DISCIPLINARY TEAM (COMMITTEE MEMBER)EAU CLAIRE COUNTY SEXUAL ASSAULT RESPONSE TEAM (COMMITTEE MEMBER)EAU CLAIRE HEALTHY COMMUNITIES (COMMITTEE MEMBER)HOUSING AND HOMELESSNESS (VOLUNTEER)SUBSTANCE-FREE PREGNANCY AND RECOVERY COALITION (COMMITTEE MEMBER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-EAU CLAIRE:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AMERICAN HEART ASSOCIATION - $5,000 (HEART WALK)BIG BROTHERS BIG SISTERS - $1,200 (BOWL FOR KIDS SAKE) BOYS AND GIRLS CLUB OF CHIPPEWA VALLEY - $1,950 (LIVE SAFE APP FOR COVID-19 SAFETY)CHIPPEWA OFF ROAD BIKE ASSOCIATION - $300 (SNOWSHOE AND BIKE EVENT)EAU CLAIRE AREA SCHOOL DISTRICT LONGFELLOW - $250 (PUDDLE JUMP) EAU CLAIRE CHILDREN'S MUSEUM - $2,500 (LET'S GET COOKING) + $1,000 (SCHOOLS OUT)FAMILY RESOURCE CENTER - $3,000 (PATT HOME VISITING SERVICES)FEED MY PEOPLE FOOD BANK - $1,000 (EMPTY BOWLS)GIRLS ON THE RUN OF CHIPPEWA VALLEY - $1,500 MIDWEST POWER SOCCER ASSOCIATION - $833.34 NATIONAL MULTIPLE SCLEROSIS SOCIETY - $750 (AWARENESS WALK) NORTHERN WISCONSIN BREASTFEEDING NETWORK - $750PROVIDED GRANTS TO THE CHIPPEWA VALLEY FREE CLINIC ($25,000 OPERATING GRANT) AND THE WELLNESS SHACK ($4,000 OPERATIONAL SUPPORT).HELD THE FOLLOWING CLASSES TO PROMOTE HEALTH AND WELLNESS:ADVANCED STRONG BODY CLASS (16 CLASSES WERE HELD WITH 40 INDIVIDUALS ATTENDING)BASIC STRONG BODY CLASS (16 CLASSES WERE HELD IN EAU CLAIRE WITH 32 INDIVIDUALS ATTENDING AND 20 CLASSES HELD WITH 20 PEOPLE ATTENDING IN FALL CREEK) COMMUNITY HEALTH NEEDS ASSESSMENT PRESENTATION (ONE CLASS WAS HELD WITH 10 PEOPLE IN ATTENDANCE)LIVING AGAIN CANCER SUPPORT GROUP (TWO CLASSES WERE HELD WITH 9 PEOPLE IN ATTENDANCE)LYMPHEDEMA: LAUGH & LEARN SUPPORT GROUP (ONE CLASS WAS HELD WITH 7 PEOPLE IN ATTENDANCE) MYELOMA SUPPORT GROUP (3 CLASSES WERE HELD WITH AN AVERAGE OF 14 PEOPLE ATTENDING AT EACH SESSION)UW - EXTENSION (PRESENTATION ON STROKE CARE)UW-EAU CLAIRE (PRESENTATION ON NUTRITION)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS (BOARD MEMBERS)AMERICAN CANCER SOCIETY (VOLUNTEER)AMERICAN HEART ASSOCIATION BIG BROTHER BIG SISTER (VOLUNTEER)BOYS AND GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY (BOARD MEMBER)CHIPPEWA VALLEY FREE CLINIC (BOARD MEMBER, VOLUNTEERS, $30,000 LAB AND X-RAY) CHIPPEWA VALLEY TECHNICAL COLLEGE (BOARD MEMBER)CHIPPEWA VALLEY YMCA (BOARD MEMBER AND VOLUNTEER)CITY OF EAU CLAIRE (OVER $72,000 TOWARD SUPPORT OF REGIONAL AMBULANCE SERVICE) COMMUNITY TABLE (VOLUNTEER)EAU CLAIRE COUNTY AGING AND DISABILITY RESOURCE CENTER (VOLUNTEER AND PRESENTATIONS)EAU CLAIRE HEALTH DEPARTMENT (COMMITTEE DEPARTMENT)EAU CLAIRE HEALTH WATCH (COMMITTEE MEMBER)EAU CLAIRE HEALTHY COMMUNITIES CHRONIC DISEASE PREVENTION ACTION TEAM ISLAMIC SOCIETY OF NORTHERN WISCONSIN (BOARD MEMBER AND VOLUNTEER)LIVE STRONG AT THE Y (41 CLASSES WITH 15 ATTENDEES)TRINITY LUTHERAN FOOD PANTRY (VOLUNTEER)UW-MADISON MSW CLASS (CHNA PRESENTATION)VISUAL IMPAIRED PERSONS (PRESENTATION)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-EAU CLAIRE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN EAU CLAIRE COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-EAU CLAIRE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. THE RESPONSE AND EFFORTS IN ADDRESSING COVID-19, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-EAU CLAIRE'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE THRIVE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN SERVES AS THE BASIS FOR MCHS IN BARRON'S (MCHS-BARRON) COMMUNITY HEALTH NEEDS ASSESSMENT. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE THRIVE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF BARRON COUNTY.PAPER AND ELECTRONIC SURVEYS WERE DISTRIBUTED TO LIBRARIES, HOSPITALS, CLINICS, THE FREE CLINIC, FOOD PANTRIES, SENIOR CENTERS, BARRON COUNTY JAIL, MEALS ON WHEELS, SPANISH COMMUNITY LEADERS AND THE INTERNATIONAL CENTER. A PRESS RELEASE WAS SENT TO AREA NEWSPAPERS ANNOUNCING THE INITIATIVE AND ASKING FOR COMMUNITY PARTICIPATION. IN ADDITION, IT WAS PROMOTED AT SEVERAL COMMUNITY EVENTS, INCLUDING BARRON COUNTY FAIR AND NATIONAL NIGHT OUT. THE SURVEY ALSO WAS FORWARDED TO PUBLIC HEALTH CONTACTS AT THE ST. CROIX TRIBAL HEALTH CLINIC IN HERTEL, WISCONSIN, TO REACH THE NATIVE AMERICAN POPULATION IN THE COUNTY. THE SURVEY WAS TRANSLATED INTO SPANISH AND SOMALI (PREVALENT POPULATIONS IN BARRON COUNTY) TO ENSURE THE OPINIONS OF THOSE POPULATIONS WERE INCLUDED. A TOTAL OF 838 PAPER AND ONLINE SURVEYS WERE COMPLETED. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE HELD WITH THE RICE LAKE AREA FREE CLINIC CLIENTS, PARTICIPANTS OF DRUG COURT, AND OLDER ADULTS/ADULTS WITH DISABILITIES. INTERVIEWS WERE ALSO CONDUCTED WITH SOMALI, SPANISH, FILIPINO, NATIVE AMERICAN, AMISH, AND MENTAL HEALTH AND EMERGENCY ROOM REPRESENTATIVES.THE COMMITTEE HOSTED A COMMUNITY PLANNING DAY ON SEPTEMBER 26, 2018, AND INVITED BUSINESS LEADERS, HEALTH EXPERTS AND THE GENERAL COMMUNITY TO REVIEW ASSESSMENT DATA REGARDING PRIORITIES FOR BARRON COUNTY. A TOTAL OF 102 COMMUNITY LEADERS, HEALTH EXPERTS AND COMMUNITY MEMBERS FROM BARRON COUNTY ATTENDED. TWO SESSIONS WERE OFFERED TO ACCOMMODATE SCHEDULES. IN ADDITION, INPUT FROM BARRON COUNTY PUBLIC HEALTH, BARRON COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES AND THE WISCONSIN DIVISION OF PUBLIC HEALTH WAS TAKEN INTO ACCOUNT.
      GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6A:
CUMBERLAND HEALTHCAREMARSHFIELD MEDICAL CENTER - RICE LAKE
      GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6B:
BARRON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
      GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN BARRON (MCHS-BARRON) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-BARRON TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-BARRON: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BARRON PUBLIC LIBRARY - $2,000 (FALL WELLNESS PROGRAMMING)BOYS AND GIRLS CLUB OF BARRON COUNTY - $12,000 (2020 COVID-19 OPERATIONS)BOYS AND GIRLS CLUB OF BARRON COUNTY - $5,000 (ADVOCATE FOR CHANGE)HUNT HILL - $2,000 (ACTIVE OUTDOOR SPONSORSHIP)HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. PROVIDED CAR SEAT TRAINING CHECKS IN BARRON COUNTY (50 PEOPLE ATTENDED) PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BARRON CHAMBER OF COMMERCE (BOARD OF DIRECTOR AND COMMITTEE MEMBER) CAREER PRESENTATIONS TO CAMERON HIGH SCHOOL (A TOTAL OF 10 PEOPLE ATTENDED).CHETEK AND DALLAS AMBULANCE SERVICE/EMS COMMUNITY RESPONSE TO POVERTY SUMMIT (COMMITTEE MEMBER) FREE CLINIC - LAB OVERSITE, COMPLIANCE AND ASSIST WITH POINT OF CARE. (VOLUNTEER)KIWANIS (PRESENTATION ON COVID-19)RICE LAKE FARM DAYS (400 PEOPLE WERE IN ATTENDANCE). SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BARRON:PROVIDED MONETARY SUPPORT TO BARRON HIGH SCHOOL - $50 (POST PROM SPONSOR) SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PARTNERED WITH SCHOOL DISTRICT OF TURTLE LAKE - WELLNESS COMMITTEE (VOLUNTEER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BARRON:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BARRON AREA COMMUNITY CENTER - $3,000 (TRIATHLON) CHETEK-WEYERHAUSER SCHOLARSHIP - $2,000 (2020 FISHY FOUR 4K COMMUNITY RACE)MIDWEST POWER SOCCER - $833.34 (CHIPPEWA VALLEY HOOLIGANS - WHEELCHAIR POWERED SOCCER FOR DISABLED) RICE LAKE AREA SCHOOL DISTRICT - $1,000 (SNACKS FOR SUCCESS) HELD THE FOLLOWING CLASSES/EVENTS TO PROMOTE HEALTH AND WELLNESS:BLOOD PRESSURE SCREENINGS - TO PROVIDE PARTICIPANTS THEIR NUMBERS TO MAINTAIN THEIR HEALTH AND TO PROMOTE REGULAR BLOOD PRESSURE CHECKS. MORNING YOGA - THIS CLASS COMBINES FLOW MOVEMENTS AND HOLDING POSTURES TO IMPROVE STRENGTH, FLEXIBILITY AND BALANCE. (4 SESSIONS HELD WITH 30 PEOPLE IN ATTENDANCE).ROCK 'N' ROLLER SKATING - LACE UP YOUR ROLLER SKATES AND GATHER YOUR FRIENDS FOR SOME FAST-PACED FUN AND EXERCISE. (166 PEOPLE PARTICIPATED).SNOWSHOE AND WINTER HIKE - BUNDLE YOUR FAMILY FOR A FREE WINTER WONDERLAND HIKE. (25 PEOPLE ATTENDED).PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS - BOARD MEMBER AND ATTEND MEETINGS ON A REGULAR BASIS, HOST AND CHAMPION LOCAL BLOOD DRIVES.BARRON COUNTY HEALTH DEPARTMENT - COUNTY HEALTH COALITION MEMBER.HEALTHCARE EMERGENCY READINESS COALITION - MEMBER (COVID-19 PREPAREDNESS, OTHER STATE DISCUSSIONS). SCHOOL DISTRICT OF TURTLE LAKE (COMMITTEE MEMBER OF WELLNESS COMMITTEE).HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-BARRON BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN BARRON COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-BARRON) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-BARRON'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR MCHS IN OSSEO'S (MCHS-OSSEO) COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE.THE COMPASS NOW 2018 PROCESS USED A VARIETY OF DATA COLLECTION METHODS TO CREATE AN OVERALL DEPICTION OF THE ISSUES FACING OUR COMMUNITIES. THESE METHODS INCLUDED A RANDOM HOUSEHOLD SURVEY, CONVENIENCE SURVEY, COMMUNITY CONVERSATIONS AND AN EXTENSIVE REVIEW OF SOCIOECONOMIC INDICATORS, WHICH PROVIDED AN INVENTORY OF COMMUNITY RESOURCES.THE RANDOM HOUSEHOLD SURVEY WAS THE KEY DATA SOURCE AND WAS CREATED TO INCREASE UNDERSTANDING OF THE COMMUNITY'S NEEDS AND PERCEPTIONS OF THE MAIN CHALLENGES FACING THE REGION. RESULTS FROM THIS SURVEY WERE EXAMINED BY RESPONDENT CHARACTERISTICS, AS WELL AS COMPARED TO THE PREVIOUS SURVEY RESULTS. OF THE 5,450 HOUSEHOLDS THAT RECEIVED THE SURVEY, 672 WERE RETURNED AND THEIR RESPONSES ANALYZED. TREMPEALEAU COUNTY RECEIVED A 14.2% RESPONSE RATE, SO IT WAS DETERMINED THAT ADDITIONAL VOICES WERE NEEDED.IN ADDITION TO THE RANDOM HOUSEHOLD SURVEY, THE COMPASS NOW 2018 COMMUNITY NEEDS ASSESSMENT ALSO INCLUDED A CONVENIENCE SAMPLE THAT FOCUSED ON SPECIFIC SUBGROUPS IN THE GREAT RIVERS REGION. THE OBJECTIVE OF THIS SAMPLING WAS TO COLLECT FEEDBACK FROM POPULATIONS WITHIN THE COMMUNITY THAT WERE POTENTIALLY UNDERREPRESENTED IN THE SURVEY DUE TO THEIR SMALL NUMBERS. THESE SMALLER POPULATIONS INCLUDED, BUT WERE NOT LIMITED TO, AFRICAN-AMERICANS, HISPANICS, LGBT YOUTH, AT-RISK YOUTH, LOW-INCOME ADULTS AND SENIOR CITIZENS. RESULTS FROM THIS SAMPLING WERE COMPARED TO THE RESPONSES OF THE RANDOM HOUSEHOLD SURVEY RESPONDENTS IN AN ATTEMPT TO DETERMINE ANY SIGNIFICANT DIFFERENCES THAT EXISTED BETWEEN THE GENERAL POPULATION AND THOSE IN SMALLER SUBGROUPS WITHIN THE COMMUNITY. ANOTHER WAY COMMUNITY FEEDBACK WAS GATHERED WAS THROUGH COUNTY-BASED FOCUS GROUPS. THESE SMALL-GROUP GATHERINGS WERE A SAFE SPACE IN WHICH COMMUNITY MEMBERS COULD SHARE THEIR THOUGHTS AND EXPERIENCES ABOUT LIVING IN TREMPEALEAU COUNTY.IN ADDITION, PARTICIPATING ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE EXPERTISE WITH OTHER UNDERREPRESENTED POPULATIONS.THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.
      GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6A:
MCHS-FRANCISCAN MEDICAL CENTER LA CROSSEMCHS-FRANCISCAN MEDICAL CENTER SPARTAGUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSTOMAH MEMORIAL HOSPITALGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSVERNON MEMORIAL HEALTHCARE
      GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6B:
GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT
      GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN OSSEO (MCHS-OSSEO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-OSSEO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-OSSEO: PROVIDED MONETARY SUPPORT TO MONDOVI PUBLIC LIBRARY FOR ITS SUMMER READING PROGRAM.HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. PARTNERED WITH MONDOVI PUBLIC LIBRARY ON THEIR CAPITAL CAMPAIGN PROJECT.SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-OSSEO:PROVIDED MONETARY SUPPORT TO GILMANTON HIGH SCHOOL FOR ITS POST PROM AFTER PARTY.SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-OSSEO:GRANTED $10,000 FOR COMPREHENSIVE ADVANCED LIFE SUPPORT EQUIPMENT (ADULT MANNEQUIN AND CRASH CART) IN SUPPORT OF RURAL EMERGENCY MEDICINE PROVIDERS.HELD STRONG BODIES-BASIC CLASS, A MULTIWEEK EVIDENCE-BASED STRENGTH TRAINING PROGRAM DESIGNED FOR MIDDLE-AGED AND OLDER ADULTS. EACH CLASS IN THE PROGRAM INCLUDES PROGRESSIVE WEIGHT TRAINING, FLEXIBILITY AND BALANCE ACTIVITIES. OPTIONAL FLOOR EXERCISES ARE INCLUDED. BENEFITS INCLUDE IMPROVED MOOD, ENERGY AND SLEEP. (14 CLASSES WERE ATTENDED WITH 20 PEOPLE IN ATTENDANCE).PARTNERED WITH THE OSSEO FAIRCHILD SCHOOL DISTRICT TO SUPPORT 13 ATHLETIC PROGRAMS WITH APPROXIMATELY 105 STUDENT ATHLETES AT SIGNIFICANTLY REDUCED FEES, INCLUDING BOYS AND GIRLS CROSS COUNTRY, FOOTBALL, BOYS AND GIRLS GOLF, GIRLS VOLLEYBALL, BOYS AND GIRLS BASKETBALL, WRESTLING, BOYS AND GIRLS TRACK/FIELD, AND SOFTBALL AND BASEBALL.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-OSSEO BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN TREMPEALEAU COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-OSSEO) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-OSSEO'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE 2018 CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT SERVES AS THE BASIS FOR MCHS IN BLOOMER'S (MCHS-BLOOMER) COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WHICH WAS COMPLETED BY A LOCAL COALITION MADE UP OF LOCAL HEALTH CARE ORGANIZATIONS, CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, THE UNITED WAY OF THE GREATER CHIPPEWA VALLEY AND THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE 2018 CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF CHIPPEWA COUNTY.THE SURVEY WAS AVAILABLE ONLINE AND BY PAPER COPIES DISTRIBUTED WIDELY THROUGH THE COMMUNITY. SURVEY QUESTIONS FOCUSED ON 14 HEALTH AREAS, BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHIEST WISCONSIN 2020. THE HEALTH FOCUS AREAS ADDRESSED IN THE SURVEY WERE: ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, ENVIRONMENTAL AND OCCUPATIONAL HEALTH, HEALTHY GROWTH AND DEVELOPMENT, HEALTHY NUTRITION, INJURY AND VIOLENCE, MENTAL HEALTH, OBESITY, ORAL HEALTH, PHYSICAL ACTIVITY, REPRODUCTIVE AND SEXUAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AND EXPOSURE. SURVEY RESPONDENTS WERE ASKED TO RATE EACH OF THE HEALTH FOCUS AREAS ON A FOUR-POINT SCALE INDICATING HOW MUCH OF A PROBLEM THEY FELT EACH AREA TO BE FOR THE COMMUNITY (1=NOT A PROBLEM, 4=MAJOR PROBLEM) AND IDENTIFY REASONS THEY FELT THE AREA WAS A PROBLEM.A TOTAL OF 1,225 CHIPPEWA COUNTY RESIDENTS RESPONDED TO THE SURVEY. SURVEY RESPONDENTS REPRESENTED A WIDE RANGE OF COUNTY RESIDENTS, INCLUDING A VARIETY OF INCOME AND EDUCATIONAL LEVELS, AGE AND HOUSEHOLD SIZE. INPUT WAS COLLECTED FROM THE TRADITIONALLY UNDERSERVED COMMUNITY THROUGH COMMUNITY HEALTH SURVEYS DISTRIBUTED TO THE LOCAL SENIOR CENTER AND COMMUNITY MEAL SITE. SURVEYS WERE ALSO DISTRIBUTED TO AND RECEIVED FROM REPRESENTATIVES OF LOCAL COMMUNITY RESOURCE ORGANIZATIONS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ORGANIZATIONS THAT RECEIVED SURVEYS INCLUDE AREA SCHOOLS, RIVER SOURCE FAMILY CENTER, FAITH-BASED ORGANIZATIONS AND OTHERS. IN ADDITION, LISTENING SESSIONS WITH UNDERREPRESENTED GROUPS WERE HELD AT THE CHIPPEWA VALLEY CORRECTIONAL TREATMENT FACILITY AND AGNES' TABLE (CHIPPEWA FALLS) IN ORDER TO GATHER ADDITIONAL PRIMARY DATA ON PERCEIVED COMMUNITY HEALTH NEEDS AND ASSETS. OVERALL, 127 SURVEYS WERE COMPLETED THROUGH THE TARGETED OUTREACH SESSIONS.MCHS-BLOOMER STAFF WERE HEAVILY INVOLVED IN OUTREACH SESSIONS, COMMUNITY CONVERSATIONS AND A FINAL COALITION MEETING OBTAINING COMMUNITY FEEDBACK. THESE EVENTS WERE OPEN TO THE PUBLIC AND ATTENDED BY REPRESENTATIVES OF COMMUNITY RESOURCE ORGANIZATIONS. THESE OPPORTUNITIES INCLUDED TWO COMMUNITY CONVERSATIONS HELD IN THE CITIES OF CHIPPEWA FALLS AND CORNELL IN WHICH LOCAL HEALTH DATA AND RESULTS FROM THE SURVEY WERE SHARED. FOLLOWING FACILITATED DISCUSSION, PARTICIPANTS WERE ASKED TO PRIORITIZE THE TOP HEALTH CONCERNS OF THE COUNTY FROM THE 14 HEALTH AREAS UNDER CONSIDERATION.
      GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6A:
HSHS ST. JOSEPH'S HOSPITAL
      GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6B:
CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIPCHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTHMARSHFIELD CLINICUNITED WAY OF THE GREATER CHIPPEWA VALLEY
      GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN BLOOMER (MCHS-BLOOMER) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-BLOOMER TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-BLOOMER: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB GREATER CHIPPEWA VALLEY - $12,000 (VIRTUAL LEARNING)BOYS AND GIRLS CLUB GREATER CHIPPEWA VALLEY - $5,000 (PROGRAMMING)BOYS AND GIRLS CLUB GREATER CHIPPEWA VALLEY - $5,500 (OPERATIONAL)CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $1,000 (HAND SANITIZER)CHIPPEWA FALLS PUBLIC LIBRARY - $1,000 (EVERYBODYIN FUND FOR CHANGE)CHIPPEWA VALLEY FAMILY YMCA - 100 (FREE FISHING) CHIPPEWA VALLEY FAMILY YMCA - $200 (HEALTHY KIDS DAY) UNITED WAY OF CHIPPEWA VALLEY - $1,000 (BORN LEARNING TRAILS)HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BLOOMER FOOD PANTRY - STAFF ASSISTED WITH EDUCATION FOR HEALTHY FOOD OPTIONS FOR INDIVIDUALS WHO HAVE DIABETES AND/OR CONGESTIVE HEART FAILURE.CHIPPEWA FALLS LIBRARY - REACHED 100 CHILDREN/TEENS WITH DONATION OF PATIENT EDUCATION MATERIALS RELATED TO SELF-CARE AND MENTAL HEALTH.MENTAL HEALTH MATTER COALITION - AN ACTIVE PARTNER IN THE COALITION WITH EFFORT AIMED AT INCREASING EDUCATION ABOUT ADVERSE CHILDHOOD EXPERIENCES IN THE COMMUNITY AND BUILDING RESILIENCE IN LOCAL SCHOOLS. TRAINING HELD WITH STAFF AT BLOOMER SCHOOL DISTRICT.YMCA HEALTHY KIDS DAY - REACHED 300 YOUTH VIA A HANDWASHING DEMONSTRATION AND HEALTH EDUCATION BOOTH. SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BLOOMER:PROVIDED MONETARY SUPPORT TO CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $2,000 (FINANCIAL SUPPORT OF STRENGTHENING FAMILIES PROGRAM TO HELP FAMILIES DEAL WITH ISSUES LIKE SUBSTANCE ABUSE AND ALCOHOL MISUSE). SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE EDUCATION/ADVOCACY FOR SUBSTANCE ABUSE:BLOOMER ROPE JUMP - ANNUAL EVENT THAT PROMOTES PHYSICAL ACTIVITY WITH YOUTH AND FAMILIES AND HOW TO MAINTAIN HEALTHY COPING MECHANISMS. 75 PEOPLE ATTENDEES. CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP - THROUGH THE VOICES IN PREVENTION ACTION TEAM, CONTRIBUTED TO IMPROVE COPING MECHANISMS AMONG AREA YOUTH. ACTION TEAM EFFORTS INCLUDED OUTREACH TO AREA SCHOOLS ABOUT VAPING AND HIGH-RISK DRINKING PREVENTION EDUCATION. NEW AUBURN SCHOOL DISTRICT - DISCUSSED THE IMPACT THAT SMOKING/VAPING HAS ON LUNGS AND WAYS THAT STUDENTS CAN MAINTAIN A HEALTHY LIFESTYLE. 140 STUDENT ATTENDEES.SUBSTANCE-FREE PREGNANCY AND RECOVERY COALITION (COMMITTEE MEMBER).CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BLOOMER:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:ALZHEIMER ASSOCIATION - $1,500 (WALK - CANCELED DUE TO COVID-19)BLOOMER CHAMBER OF COMMERCE - $500 (COMMUNITY PICNIC CHILDREN'S GAMES - CANCELED DUE TO COVID-19)CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $500 (NUTRITION EDUCATION)CHIPPEWA VALLEY FAMILY YMCA - $500 (ANNUAL STRONG KIDS - CANCELED DUE TO COVID-19)CHIPPEWA VALLEY FAMILY YMCA - $750 (PURE WATER DAY RACES - CANCELED DUE TO COVID-19)HELD THE FOLLOWING CLASSES TO PROMOTE HEALTH AND WELLNESS:ADVANCED STRONG BODY CLASS (40 CLASSES WERE OFFERED WITH 49 PEOPLE IN ATTENDANCE)BASIC STRONG BODY CLASS (16 CLASSES WERE HELD IN CHIPPEWA FALLS WITH 27 ATTENDING AND 20 CLASSES WERE HELD IN BLOOMER WITH 20 PEOPLE ATTENDING)CHIPPEWA VALLEY BREAST CANCER SUPPORT GROUP (3 CLASSES WERE HELD AVERAGING 10 PEOPLE IN ATTENDANCE) FOOD IS MEDICINE PROGRAM WITH BLOOMER FOOD PANTRY (1 CLASS WITH 15 PEOPLE ATTENDED)HEALTHY LIVING WITH CHRONIC PAIN (TWO SESSIONS WERE HELD AND 10 PEOPLE ATTENDED) MUSIC AND MOVEMENT PRESCHOOLERS (FOUR SESSIONS WERE HELD AND 25 PEOPLE ATTENDED)SNOWSHOE AND WINTER HIKE (HELD ONE EVENT WITH 25 ATTENDEES)MCHS-BLOOMER ALSO PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS (BOARD MEMBERS)BLOOMER AQUATIC CENTER - COMMUNITY WELLNESS EVENT; BROCHURES AND WELLNESS INFORMATION AVAILABLE AND CONDUCTED STRONG BODIES CLASS DEMONSTRATION (50 PEOPLE) BLOOMER LIBRARY - HEALTHY AFTER SCHOOL SNACK AND ACTIVITY (2 EVENTS HELD, 40 CHILDREN ATTENDING)BLOOMER CHAMBER OF COMMERCE (BOARD MEMBER)CHIPPEWA VALLEY FREE CLINIC (1 VOLUNTEER WITH 50 HOURS)UNITED WAY OF THE GREATER CHIPPEWA VALLEY (VOLUNTEER AND REPRESENTATIVES ON THE BOARD)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-BLOOMER BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN CHIPPEWA COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-BLOOMER) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-BLOOMER'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      PART V, SECTION B
FACILITY REPORTING GROUP B
      FACILITY REPORTING GROUP B CONSISTS OF:
- FACILITY 7: MCHS IN ALBERT LEA AND AUSTIN, - FACILITY 14: MCHS IN MENOMONIE
      GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE 2019 DUNN COUNTY CHNA SERVES AS THE BASIS FOR THE MCHS-MENOMONIE COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2019 DUNN COUNTY CHNA WAS CONDUCTED BY THE DUNN COUNTY CHNA STEERING COMMITTEE. THE COMMITTEE IS A COLLABORATIVE MADE UP OF NINE COMMUNITY ORGANIZATIONS FROM DUNN COUNTY: ARBOR PLACE, COMMUNITY FOUNDATION OF DUNN COUNTY, DUNN COUNTY HEALTH DEPARTMENT, EXTENSION-DUNN COUNTY, MCHS IN MENOMONIE (MCHS-MENOMONIE), MARSHFIELD CLINIC-DENTAL CLINIC, PREVEA HEALTH, UNITED WAY OF DUNN COUNTY AND UW-STOUT.THE CHNA PROCESS INCLUDED A VARIETY OF COMMUNITY ENGAGEMENT METHODS IN ORDER TO CONNECT WITH SEVERAL DIFFERENT DEMOGRAPHIC GROUPS IN THE COMMUNITY AND TO DEVELOP A THOROUGH UNDERSTANDING OF HEALTH ISSUES FACING THE DUNN COUNTY RESIDENTS. THESE METHODS INCLUDED PRIMARY QUALITATIVE DATA COLLECTION THROUGH AN ONLINE AND HARDCOPY COMMUNITY HEALTH SURVEY, SURVEY OUTREACH WITH UNDERREPRESENTED DEMOGRAPHICS GROUPS, AND STAKEHOLDER CONVERSATIONS WITH UNDERREPRESENTED GROUPS TO VALIDATE RESPONSES.AT THE OUTSET OF THE COMMUNITY HEALTH ASSESSMENT PROCESS, STEERING COMMITTEE PARTNERS CONDUCTED LISTENING SESSIONS WITH THE LOCAL AGRICULTURAL COMMUNITY. THIS PROCESS INFORMED THE NEED TO INCLUDE NEW QUESTIONS AROUND SOCIAL HEALTH FACTORS INCLUDING FAMILY HEALTH, SOCIAL ISOLATION/SUPPORT. IT ALSO AFFIRMED THE NEED TO INCLUDE QUESTIONS REGARDING ACCESS TO CLINICAL MENTAL AND PHYSICAL HEALTH CARE AND HEALTH BEHAVIORS AROUND ALCOHOL AND OTHER DRUGS. THE COMMUNITY HEALTH SURVEY WAS DISTRIBUTED TO RESIDENTS THROUGHOUT DUNN COUNTY IN MARCH AND APRIL OF 2019. THE LINK TO THE WEB SURVEY WAS WIDELY DISTRIBUTED THROUGH THE NETWORKS OF EACH OF THE PARTNER ORGANIZATIONS, AS WELL AS OTHER COMMUNITY ORGANIZATIONS. COMMUNITY ORGANIZATIONS INCLUDED: AGING AND DISABILITY RESOURCE CENTER-SENIOR NUTRITION SITES, LOCAL CHURCHES AND FOOD PANTRIES, EXTENSION-DUNN COUNTY, EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION, THE BRIDGE TO HOPE, THE DUNN COUNTY JAIL, THE DUNN COUNTY CRIMINAL JUSTICE COLLABORATING COUNCIL, EL CENTRO, TOWN/VILLAGE CLERKS AND OTHERS. THE SURVEY LAUNCH WAS ANNOUNCED BY A PRESS RELEASE AND WAS WIDELY ADVERTISED IN LOCAL NEWSPAPERS, SOCIAL MEDIA, AND FLYERS THROUGHOUT THE COUNTY. SPECIAL EFFORT WAS MADE TO ENSURE THE SURVEY WAS AVAILABLE TO UNDERREPRESENTED GROUPS WHO CAN BE AT THE HIGHEST RISK OF SUFFERING FROM HEALTH DISPARITIES. HARDCOPY AND LARGE PRINT SURVEYS WERE ALSO MADE AVAILABLE THROUGHOUT THE COUNTY. COMMITTEE MEMBERS COMPLETED A MAPPING EXERCISE TO MAKE SURE THE SURVEY WAS DISTRIBUTED TO A BROAD LIST OF COMMUNITY MEMBERS. A TOTAL OF 978 DUNN COUNTY RESIDENTS COMPLETED THE SURVEY.IN ADDITION, QUANTITATIVE COMMUNITY HEALTH DATA WAS COLLECTED BASED ON THE MEASURES RECOMMENDED IN THE WISCONSIN ASSOCIATION OF LOCAL HEALTH DEPARTMENTS & BOARDS CORE DATASET AND THE STATE HEALTH PLAN. SOURCES INCLUDED: COUNTY HEALTH RANKINGS, US CENSUS, GOVERNMENT REPORTS, CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY DEPARTMENT REPORTS, WISCONSIN DEPARTMENT OF HEALTH SERVICES STATISTICS, SCHOOLS, AND OTHER PUBLICLY AVAILABLE SOURCES.
      GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 6B:
ARBOR PLACECOMMUNITY FOUNDATION OF DUNN COUNTYDUNN COUNTY HEALTH DEPARTMENTEXTENSION-DUNN COUNTYMARSHFIELD CLINIC-DENTAL CLINICPREVEA HEALTHUNITED WAY OF DUNN COUNTYUNIVERSITY OF WISCONSIN-STOUT
      GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 11:
"BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN MENOMONIE (MCHS-MENOMONIE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-MENOMONIE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-MENOMONIE: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB - $5,500 (OPERATIONAL)BRIDGE TO HOPE - $1,000 (QUILT TOUR) MABEL TAINTER - $5,000 (2020 GENERAL SUPPORT)MENOMONIE PUBLIC LIBRARY - $1,800 (2021 YOGA AND MEDITATION PROGRAM)MENOMONIE PUBLIC LIBRARY - $1475 (MUSIC OVER MENOMONIE JR). MENOMONIE THEATER GUILD - $1,500 (BLACK FRIDAY)SCHOOL DISTRICT OF MENOMONIE - $300 (FIELD AND TRACK DAY)STEPPING STONES OF DUNN COUNTY - $500 (GARDEN TOUR)UNITED WAY OF MENOMONIE - $1375 (EVENT CANCELLED - DONATION)UW STOUT DISCOVERY CENTER - $3,000 (EARLY CHILDCARE EDUCATION CONFERENCE) HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. REACH OUT AND READ - CHILDHOOD LITERACY PROGRAM. 1,000 PEOPLE IMPACTED.PARTNERED WITH THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB (COMMITTEE MEMBER)COLFAX SCHOOL BOARD (BOARD MEMBER)COMMUNITY FOUNDATION OF DUNN COUNTY (BOARD MEMBER AND COMMITTEE MEMBER)DUNN COUNTY COALITION FOR MENTAL HEALTH SERVICES (COMMITTEE MEMBER)INDIANHEAD ENTERPRISES (BOARD MEMBER)MENOMONIE CHAMBER OF COMMERCE - FACILITATION OF HEALTH AND HUMAN SERVICE DAY (VOLUNTEER)UNITED WAY OF DUNN COUNTY (BOARD MEMBER)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MENOMONIE:PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB - $5,000 (OPERATIONAL AND PROGRAMMING COSTS)MENOMONIE LIONS CLUB - $500 (CHECKER FLAG WELLNESS SPONSOR)SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PARTNERED WITH THE FOLLOWING ORGANIZATIONS:DUNN COUNTY PARTNERSHIP FOR YOUTH (COMMITTEE MEMBER)DUNN COUNTY COVID-19 COMMUNITY RECOVERY ACTION TEAM (COMMITTEE MEMBERS) HEALTH DUNN RIGHT ""ALCOHOL, NICOTINE AND DRUGS ACTION TEAM"" (COMMITTEE MEMBER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MENOMONIE:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AMERICAN CANCER SOCIETY - $1,500 (RELAY FOR LIFE)FRIENDS OF THE RED CEDAR STATE TRAIL - $250 (BUSINESS MEETING)MIDWEST POWER SOCCER ASSOCIATION - $833.33 (CHIPPEWA VALLEY HOOLIGANS - WHEELCHAIR POWERED SOCCER FOR DISABLED YOUTH) SCHOOL DISTRICT OF MENOMONIE - $200 (MENOMONIE IN ACTION)STEPPING STONES OF DUNN COUNTY - $1,000 (EMPTY BOWLS)STEPPING STONES OF DUNN COUNTY - $500 (STEP UP TO HUNGER)PROVIDED A GRANT TO ELMWOOD AREA AMBULANCE - $27,000 (ZOLL X-SERIES CARDIAC MONITOR)HELD THE FOLLOWING CLASSES/EVENTS TO PROMOTE HEALTH AND WELLNESS:ADVANCED STRONG BODIES CLASSES - CLASS IS HELD FOR MIDDLE AGED TO OLDER ADULTS TO BUILD UP STRENGTH, ENDURANCE, BALANCE AND METAL HEALTH. (A TOTAL OF 14 CLASSES WERE HELD WITH 42 PEOPLE IN ATTENDANCE). ADVANCED STRONG BODIES CLASSES II - CLASS IS HELD FOR MIDDLE AGED TO OLDER ADULTS TO BUILD UP STRENGTH, ENDURANCE, BALANCE AND MENTAL HEALTH. (A TOTAL OF 14 CLASSES WERE HELD WITH 25 PEOPLE IN ATTENDANCE). BASIC STRONG BODIES - CLASS IS HELD FOR MIDDLE AGED TO OLDER ADULTS TO BUILD UP STRENGTH, ENDURANCE, BALANCE AND MENTAL HEALTH (14 CLASSES WERE HELD WITH 45 PEOPLE IN ATTENDANCE). H2O CLASSES - THIS CLASS FOCUSED ON BALANCE, RANGE OF MOTION AND COORDINATION. (A TOTAL OF 16 CLASSES WERE HELD WITH 23 PEOPLE IN ATTENDANCE). MIND OVER MATTER: HEALTHY BOWELS, HEALTHY BLADDER - IS A WISCONSIN INSTITUTE FOR HEALTHY AGING PROGRAM DESIGNED TO HELP WOMAN DEVELOP SKILLS, LEARN EXERCISES AND ADOPT STRATEGIES TO PREVENT OR IMPROVE INCONTINENCE SYMPTOMS. (A TOTAL OF 3 CLASSES WERE HELD WITH 13 PEOPLE IN ATTENDANCE). MUSIC AND MOVEMENT PRESCHOOLERS - PROGRAM FOR TODDLERS AND THEIR PARENTS/CAREGIVERS TO EXPLORE MUSIC, SOUNDS AND MOVEMENT. (A TOTAL OF 8 CLASSES WERE HELD WITH 199 PEOPLE IN ATTENDANCE).ROCK 'N' ROLLER SKATING - YOUTH AND FAMILY ROLLER SKATING EVENT TO PROMOTE PHYSICAL ACTIVITY. (THE FREE EVENT WAS HELD WITH 111 PEOPLE IN ATTENDANCE).SNOWSHOE AND WINTER HIKE - RECREATION EVENT WAS OFFERED FOR PARTICIPANTS OF ALL AGES TO ENJOY A FREE WINTER WONDERLAND HIKE. SNOWSHOES WERE PROVIDED TO PARTICIPANTS IN NEED. (AN EVENT WAS HELD WITH 500 PEOPLE IN ATTENDANCE).TYPE 1 DIABETES SUPPORT GROUP HELD AT MCHS-MENOMONIE. (A TOTAL OF 1 HOUR WITH 2 PEOPLE ATTENDING).YOGA - THIS CLASS FOCUSED ON MEDITATION, BALANCE, STRENGTH, RANGE OF MOTION AND MENTAL HEALTH - (A TOTAL OF 8 CLASSES WERE HELD WITH 18 PEOPLE IN ATTENDANCE). PARTNERED WITH THE FOLLOWING ORGANIZATIONS:AMERICAN HEART ASSOCIATION (TEACHING OF PEDIATRIC ADVANCED LIFE SUPPORT) ELMWOOD SCHOOL DISTRICT (MEDICAL DIRECTOR)ELMWOOD SCHOOLS ELEMENTARY, MIDDLE, AND HIGH (MEDICAL DIRECTOR OF ELMWOOD SCHOOL DISTRICT, PLUM CITY DISTRICT) HEALTH DUNN RIGHT (COMMITTEE MEMBER)MENOMONIE FREE CLINIC (BOARD MEMBER AND VOLUNTEERS)MENOMONIE SENIOR CENTER (BOARD MEMBER)UW - STOUT (CAREER PRESENTATION TO HEALTH, WELLNESS AND FITNESS COURSES) STEPPING STONES OF DUNN COUNTY - MCHS-MENOMONIE IS A KEY SUPPORTER OF STEPPING STONES SERVING AS A BOARD MEMBER AND VOLUNTEER. THIS PROGRAM HELPS WITH ACCESS TO HEALTHY, AFFORDABLE FOOD WHICH REDUCES OBESITY AND CHRONIC DISEASE. PROVIDES ACCESS TO NUTRITIOUS FOOD FOR LOW-INCOME RESIDENTS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED HEALTHY GROWTH AND DEVELOPMENT, ACCESS TO HEALTH CARE, AND REPRODUCTIVE/SEXUAL HEALTH. THESE NEEDS WILL BE ADDRESSED BY MCHS-MENOMONIE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN DUNN COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-MENOMONIE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-CHIPPEWA VALLEY'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA."
      GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 5:
COMMUNITY INPUT:FREEBORN COUNTY: MAY 2018-AUGUST 2018 MEETINGS WITH COMMUNITY HEALTH CARE COLLABORATIVE, A DIVERSE GROUP OF COMMUNITY LEADERS REPRESENTING NUMEROUS SECTORS IN THE COMMUNITY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF FREEBORN COUNTY.FOCUS GROUPS WITH COMMUNITY HEALTH CARE COLLABORATIVE GROUP, SUBGROUPS OF THE COMMUNITY HEALTH CARE COLLABORATIVE INCLUDING SENIOR, FAMILIES AND CHILDREN, MENTAL HEALTH COMMITTEES AND FREEBORN COUNTY WORKSITE WELLNESS COMMITTEE.1:1 INTERVIEWS WITH KEY COMMUNITY INFORMANTS REPRESENTING A DIVERSE SOCIAL SPECTRUM, INCLUDING FREEBORN COUNTY PUBLIC HEALTH, CHIEF OF POLICE, FREEBORN COUNTY SHERIFF, ALBERT LEA AREA SCHOOLS, CHAMBER OF COMMERCE, UNITED WAY, SENIOR RESOURCES, ALBERT LEA FAMILY YMCA, PARKS AND RECREATION, ALBERT LEA FIRE, BLUE ZONES VITALITY PROJECT, ALBERT LEA CHILDREN'S CENTER AND AMBULANCE SERVICES.TWO COMMUNITY LISTENING SESSIONS OPEN TO COMMUNITY MEMBERS AND AGENCIES.SURVEYS WITH COMMUNITY MEMBERS VISITING THE FREEBORN COUNTY HEALTH OFFICE, MAYO CLINIC HEALTH SYSTEM LANGUAGE SERVICES DEPARTMENT AND ALBERT LEA SCHOOL DISTRICT'S ADULT BASIC EDUCATION STUDENTS. MOWER COUNTY: MAY 2018-AUGUST 2018 MEETINGS WITH MOWER REFRESHED STEERING COMMITTEE, A DIVERSE GROUP OF COMMUNITY LEADERS REPRESENTING NUMEROUS SECTORS IN THE COMMUNITY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF MOWER COUNTY.FOCUS GROUPS WITH LOCAL COMMUNITY COLLEGE STUDENTS, SOUTHERN MINNESOTA EDUCATION CONSORTIUM SCHOOL SOCIAL WORKERS, AND MOWER COUNTY PUBLIC HEALTH NURSES.ENGLISH AS A SECOND LANGUAGE ADULT LEARNERS1:1 INTERVIEWS WITH KEY COMMUNITY INFORMANTS REPRESENTING A DIVERSE SOCIAL SPECTRUM, INCLUDING MOWER COUNTY SENIOR CENTER, ST. MARK'S LUTHERAN HOME, CHIEF OF POLICE, MOWER COUNTY SHERIFF, UNITED WAY, CITY OF AUSTIN PORT AUTHORITY, AUSTIN YMCA, FAITH COMMUNITIES, MOWER COUNTY HHS, AFRICAN-ASIAN REFUGEE SERVICES, WELCOME CENTER, AMBULANCE SERVICE.SURVEYS SENT THROUGHOUT THE COUNTY.SURVEYS WITH COMMUNITY MEMBERS VISITING THE COUNTY HEALTH AND HUMAN SERVICES OFFICE.
      GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 6B:
FREEBORN COUNTY PUBLIC HEALTHMOWER COUNTY PUBLIC HEALTH
      GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN ALBERT LEA AND AUSTIN (MCHS-AL/AUS) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT WITHIN THEIR COMMUNITY WHICH INCLUDES FREEBORN AND MOWER COUNTIES:ACCESS TO CAREMENTAL WELL-BEINGCHRONIC DISEASE PREVENTIONIN 2020, MCHS-AL/AUS TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO REDUCE COMMUNITY-IDENTIFIED BARRIERS TO ACCESSING HEALTH CARE FOR ALL POPULATIONS, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS TO IMPACT ACCESS TO HEALTHCARE AND RELATED HEALTH CONCERNS WITHIN THE COMMUNITY:EMPLOYER ROUNDTABLE SESSIONS - HOSTED TWO DISCUSSION GROUPS, LED BY MAYO CLINIC HEALTH SYSTEM LEADERSHIP, WITH LOCAL BUSINESS LEADERS/EMPLOYERS TO PROVIDE UPDATES ON INTEGRATION BETWEEN THE ALBERT LEA AND AUSTIN CAMPUSES AND ANSWER QUESTIONS RELATED TO HEALTH CARE ACCESS. TOPICS INCLUDED WAYS TO ACCESS HEALTH CARE SERVICES, TRANSPORTATION OPTIONS FOR MEDICAL APPOINTMENTS, UTILIZING THE MCHS WEBSITE FOR HEALTH CARE RESOURCES, AND ACCESSING PATIENT ONLINE SERVICES.LEADERSHIP AUSTIN - HOSTED 32 MOWER COUNTY LEADERS TO INFORM AND DISCUSS LOCAL HEALTH CARE OPTIONS AND PROVIDE UPDATES ON CARE ACCESS IMPROVEMENTS. DISCUSSIONS AND Q&A WERE LED BY MAYO CLINIC HEALTH SYSTEM LEADERS. ANNUAL INFLUENZA COMMUNICATION - COMMUNICATED INFORMATION TO A VARIETY OF COMMUNITY GROUPS ON INFLUENZA SYMPTOMS, THE IMPORTANCE OF THE INFLUENZA VACCINE AND HOW TO OBTAIN AN INFLUENZA VACCINATION. COMMUNICATION SPANNED FROM AUGUST THROUGH DECEMBER. SPORTS PHYSICALS - ASSISTED THE CLINICAL PRACTICE WITH COMMUNICATING ABOUT AND HOSTING ANNUAL SPORTS PHYSICALS FOR AREA TEENS, A REQUIREMENT FOR MINNESOTA HIGH SCHOOL SPORTS.COMMUNITY OUTREACH WITH UNDERSERVED POPULATIONS - COORDINATED REGULAR MEETINGS WITH COMMUNITY LEADERS REPRESENTING THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY.PRESENTATIONS TO COMMUNITY/CIVIC ORGANIZATIONS - SCHEDULED MAYO CLINIC LEADERS TO PRESENT AND ANSWER FAQ FROM COMMUNITY MEMBERS AT ROTARY. COMMUNITY HEALTH & WELLNESS FAIR - EMPLOYEES VOLUNTEERED TO PROMOTE THE PATIENT PORTAL, MATERIALS ON WHERE TO SEEK CARE, INCLUDING EXPRESS CARE, EXPRESS CARE ONLINE, NURSE LINE, SAME DAY CLINIC, AND PATIENT ONLINE SERVICES. ALBERT LEA LEADERSHIP HEALTHY LIVING DAY - HOSTED BY MCHS-AL/AUS ON CAMPUS TO INTRODUCE HEALTHY LIFESTYLE CHOICES IN THE ALBERT LEA COMMUNITY AND TO EXPLORE OTHER WELLNESS INITIATIVES.MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS TO IMPACT MENTAL WELL-BEING AND RELATED HEALTH CONCERNS WITHIN THE COMMUNITY:COMMUNITY HEALTH & WELLNESS FAIR - MCHS PROVIDERS, JOINED A PANEL DISCUSSION WITH OTHER FREEBORN COUNTY MENTAL HEALTH PROFESSIONALS ON A LIVE RADIO BROADCAST ON DEPRESSION.ROAD TO RESILIENCE VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE ROAD TO RESILIENCE VIRTUAL PROGRAM TO AREA SCHOOLS. THIS PROGRAM HELPS BUILD AND STRENGTHEN RESILIENCE AND COPING SKILLS FOR CHILDREN. WOMEN & WELL-BEING WEBINAR - DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PROGRAM WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE AND TO EDUCATE WOMEN OF THE IMPORTANCE OF EMOTIONAL WELL-BEING, PREVENTIVE CARE IN A COVID-19 ENVIRONMENT AND FEELING SAFE IN A MEDICAL SETTING.CANCER WEBINAR - COMMUNITY CANCER PATIENTS, CAREGIVERS AND THE BROADER COMMUNITY LEARNED HOW TO STAY FOCUSED DURING A TIME OF CHANGE IN AN ENVIRONMENT OF UNKNOWNS, FATIGUE AND CHANGE. HEALTH TALK: SOCIAL ISOLATION WEBINAR - PARTNERED WITH THORNE CREST SENIOR LIVING COMMUNITY TO DISCUSS HOW TO MAINTAIN SOCIAL DISTANCE WITHOUT INCREASING RISKS OF SOCIAL ISOLATION AND TO SHARE LOW & HIGH-TECH ACTIVITIES THAT CAN IMPROVE INDIVIDUAL WELL-BEING.COMMUNITY OUTREACH WITH UNDERSERVED POPULATIONS - COORDINATED REGULAR MEETINGS WITH COMMUNITY LEADERS REPRESENTING THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY.DISCOVER GRATITUDE - INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR THE POSITIVE. COMMUNITY HEALTH CARE COLLABORATIVE & COUNCIL OF SOCIAL SERVICE AGENCIES MEETINGS - ATTENDED MONTHLY MEETINGS OF COMMUNITY LEADERS REPRESENTING LOCAL AGENCIES TO SHARE PROGRAMMING AND IDENTIFY GAPS IN REACHING DIVERSE AUDIENCES WITH MENTAL HEALTH, ACCESS TO CARE, AND MENTAL WELL-BEING RESOURCES.CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY LIVING TO PROMOTE DISEASE PREVENTION, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS TO IMPACT CHRONIC DISEASE AND RELATED HEALTH CONCERNS WITHIN THE COMMUNITY:COMMUNITY HEALTH & WELLNESS FAIR - EMPLOYEES VOLUNTEERED TO PROVIDE INFORMATION TO PROMOTE ACTIVE AND HEALTHY LIFESTYLES. INFORMATION WAS DISTRIBUTED TO ACHIEVE BETTER HEALTH AND PREVENT CHRONIC DISEASE AND ATTENDEES WERE INVITED TO JOIN THE ONLINE PASSPORT TO HEART HEALTH CHALLENGE. A DIETICIAN DEMONSTRATED HEALTHY SNACK OPTION RECIPES.COLON CANCER AWARENESS AND PREVENTION EVENT - COMMUNITY INVITED TO EXPLORE AN EDUCATIONAL 20-FOOT-LONG INFLATABLE COLON AND A MCHS EXPERT PRESENTED AN OVERVIEW ON COLON HEALTH INCLUDING THE IMPORTANCE OF REGULAR TESTING, HEALTHY DIET, EXERCISE AND AVOIDING ALCOHOL & TOBACCO.WORKSITE WELLNESS COMMITTEE - ATTEND MONTHLY MEETINGS FOR THIS COMMUNITY COALITION THAT WORKS TO CONNECT AREA BUSINESSES AND EMPLOYEES WITH COMMUNITY EVENTS AND RESOURCES WHILE MOTIVATING THEM TO LIVE A HEALTHY LIFESTYLE TO IMPROVE THEMSELVES, THEIR WORKSITES, AND THE COMMUNITY. COMMUNITY HEALTH CARE COLLABORATIVE - HOSTED BI-MONTHLY MEETINGS WITH KEY COMMUNITY LEADERS WHO HAVE A SPECIFIC INTEREST IN THE HEALTH AND WELL-BEING OF FREEBORN COUNTY RESIDENTS AND TO MONITOR CHNA PROGRESS AND OFFER INSIGHT ON IMPLEMENTATION.EARLY LEARNING NATION - PROVIDED HEALTH CARE REPRESENTATION ON THIS COLLABORATION WITH AUSTIN ASPIRES, UNITED WAY OF MOWER COUNTY, AUSTIN PUBLIC SCHOOLS AND MOWER COUNTY PUBLIC HEALTH. THE PROGRAM EMPHASIZES BUILDING A COLLECTIVE NETWORK OF RESOURCES FOR EARLY CHILDHOOD GROWTH. HEALTH CARE INPUT INCLUDED INFORMATION ON PRENATAL CARE, IMMUNIZATIONS, WELL-BABY/WELL-CHILD AND CHILDHOOD DEVELOPMENT. PRESCHOOL SHOWCASE - PROVIDED INFORMATION TO YOUNG FAMILIES ON EARLY CHILDHOOD NUTRITION AND HEALTH, IMMUNIZATIONS, DEVELOPMENTAL MILESTONES AND WELL-BEING.COMMUNITY CONNECT - PARTICIPATED IN THIS EVENT THAT BRINGS TOGETHER MULTIPLE LOCAL RESOURCES FOR COMMUNITY MEMBERS TO ACCESS. PROVIDED A VARIETY OF HEALTH CARE INFORMATION ON CHRONIC DISEASE PREVENTION AND WELL-BEING. AUSTIN POSITIVE ACTION COALITION - ATTEND MONTHLY MEETINGS FOR THIS COMMUNITY COALITION THAT WORKS TO REDUCE ALCOHOL, TOBACCO AND OTHER DRUG USE AMONG TEENS. MOWER REFRESHED STEERING COMMITTEE - HOSTED BI-MONTHLY MEETINGS WITH APPROXIMATELY 25 KEY COMMUNITY LEADERS WHO HAVE A SPECIFIC INTEREST IN THE HEALTH AND WELL-BEING OF MOWER COUNTY RESIDENTS AND TO MONITOR CHNA PROGRESS AND OFFER INSIGHT ON IMPLEMENTATION.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED SOCIO-ECONOMIC FACTORS AND PREVENTION. THESE NEEDS WILL BE ADDRESSED BY MCHS-AL/AUS IN A SUPPORTING ROLE AND/OR BY OTHER AGENCIES, ORGANIZATIONS AND PROGRAMS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: WITH THE UNEXPECTED COVID-19 PANDEMIC EMERGING AS A CRISIS IN FEBRUARY 2020, CHNA EFFORTS QUICKLY PIVOTED FROM PLANNED PROJECTS TO IMMEDIATE NEEDS RELATED TO THE PANDEMIC. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE CANCELLED TO SUPPORT COMMUNITY SAFETY RELATED TO COVID-19. COMMUNITY EFFORTS SHIFTED TO EDUCATING AND COMMUNICATING ABOUT COVID-19.
      PART V, SECTION B
FACILITY REPORTING GROUP D
      FACILITY REPORTING GROUP D CONSISTS OF:
- FACILITY 2: MCHS IN LA CROSSE, - FACILITY 15: MCHS IN SPARTA
      GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN LA CROSSE (MCHS-LA CROSSE). THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE. THE KEY DATA SOURCE WAS THE RANDOM HOUSEHOLD SURVEY (RHS). THE RANDOM HOUSEHOLD SURVEY WAS MAILED TO A RANDOM SELECTION OF 5,450 HOUSEHOLDS THROUGHOUT THE REGION IN JULY AND AUGUST OF 2016. AFTER REVIEWING THE DEMOGRAPHICS OF THE RANDOM HOUSEHOLD SURVEY, THE STEERING COMMITTEE DETERMINED WHOSE VOICES WERE MISSING. A PLAN WAS DEVELOPED TO CONDUCT A CONVENIENCE SURVEY (CS) TO CAPTURE THE OPINIONS OF THE GROUPS OF PEOPLE WHO DID NOT RESPOND TO THE RANDOM HOUSEHOLD SURVEY TO ENSURE THAT THEIR VOICE WAS HEARD. THE CONVENIENCE SURVEYS WERE GIVEN TO PEOPLE THAT WERE EASY TO REACH. DUE TO THIS DIFFERENCE, THE CS DATA IS SEPARATE FROM THE RHS RESULTS. STEERING COMMITTEE MEMBERS AND OTHER COMMUNITY PARTNERS COLLECTED RESPONSES TO THE CONVENIENCE SURVEY. THE DATA WORKGROUP OVERSAW THE ANALYSIS OF THE DATA AND REVIEWED THE RESULTS.AS PART OF THE COMPASS NOW 2018 PROCESS, ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDERREPRESENTED. LOCAL ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDERREPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, CHILDREN-YOUTH-FAMILIES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE-SEXUAL VIOLENCE-TRAFFICKING, AND THE LGBTQ COMMUNITY.TO ADD TO THE SURVEY DATA, THE DATA WORKGROUP WAS TASKED WITH COLLECTING EXISTING DATA FROM FEDERAL, STATE, AND LOCAL SOURCES. THIS DATA INCLUDED INFORMATION ABOUT DEMOGRAPHICS, HEALTH, SOCIAL FACTORS, ECONOMIC FACTORS, AND MANY OTHER TOPICS. BECAUSE NUMBERS-BASED DATA ONLY TELLS PART OF A STORY, THE NEEDS ASSESSMENT PROCESS ALSO INCLUDED HOLDING COUNTY-BASED FOCUS GROUPS. FOCUS GROUPS ARE USUALLY SMALL GROUPS OF PEOPLE WHOSE OPINIONS ARE GATHERED THROUGH A GUIDED DISCUSSION. FOCUS GROUPS WERE HELD IN ALL SIX COUNTIES AND WITH GENERAL COMMUNITY MEMBERS, STUDENTS, FAMILY ADVISORY COUNCILS, LATINO COMMUNITY MEMBERS, SERVICE PROVIDERS, AND HMONG COMMUNITY MEMBERS. DATA FROM ALL THE SOURCES DISCUSSED ABOVE IS USED THROUGHOUT THIS REPORT. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.
      GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6A:
MCHS-FRANCISCAN MEDICAL CENTER SPARTAGUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSTOMAH MEMORIAL HOSPITALGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSVERNON MEMORIAL HEALTHCARE
      GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6B:
GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT
      GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN LA CROSSE (MCHS-LA CROSSE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:INCREASED ACCESS TO MENTAL HEALTH CAREREDUCED DRUG & ALCOHOL USE & MISUSEINCREASED WELL-BEING OF CHILDREN & YOUTHIN 2020, MCHS-LA CROSSE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:INCREASED ACCESS TO MENTAL HEALTH CARE: TO REDUCE BARRIERS TO SEEKING MENTAL HEALTH CARE AND INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL ILLNESS, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE ON MENTAL HEALTH AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.OFFERED AT NO COST THREE ONE-HOUR PRESENTATIONS TO HELP AREA PARENTS WITH A RANGE OF TOPICS, INCLUDING: CHILDHOOD IN A DIGITAL AGE; BACK-TO-SCHOOL TIPS FOR MENTAL HEALTH - WHATEVER THE SETTING; AND STAYING SAFE AND EMOTIONALLY SOUND DURING A COVID-19 WINTER. PRESENTERS INCLUDED A FAMILY PHYSICIAN, CHILD AND ADOLESCENT PSYCHOLOGIST, AND A PEDIATRICIAN.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH CARE NEEDS. EXAMPLES INCLUDE LA CROSSE COUNTY PREVENTION NETWORK, ALLIANCE TO HEAL, LA CROSSE AREA SUICIDE PREVENTION INITIATIVE, LA CROSSE MENTAL HEALTH COALITION, THE CAMPAIGN TO CHANGE DIRECTION, GREAT RIVERS HUB AND THE BETTER TOGETHER COLLABORATIVE.PROVIDED FINANCIAL SUPPORT FOR COMMUNITY PROGRAMS SEEKING TO RAISE AWARENESS OF MENTAL ILLNESS AND EXPAND ACCESS TO MENTAL HEALTH CARE, INCLUDING: SUICIDE PREVENTION SUMMIT, SALVATION ARMY PSYCHIATRIC SERVICES, CAMPAIGN TO CHANGE DIRECTION, COULEECAP SOAR PROGRAM AND TELLURIAN LA CROSSE CARE CENTER (ADDICTION AND MENTAL HEALTH TREATMENT).PROVIDED OFFICE SPACE ON THE HOSPITAL'S CAMPUS AT NO COST FOR TWO LA CROSSE COUNTY SOCIAL WORKERS SERVING THE RESIDENTS IN THE WASHBURN AND POWELL-POAGE-HAMILTON NEIGHBORHOODS. THE HOSPITAL CONTINUED TO PROVIDE FULL-TIME BEHAVIORAL HEALTH SPECIALISTS FOR THE MATHY CENTER AND ERICKSON BOYS & GIRLS CLUBS. THE HOSPITAL EMPLOYS BOTH SPECIALISTS AND ABSORBS WAGES AND BENEFITS FOR ONE.CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. FREQUENT EMERGENCY DEPARTMENT USERS, INCLUDING MANY WITH CHRONIC MENTAL HEALTH CONCERNS, WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2020. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.REDUCED DRUG & ALCOHOL USE & MISUSE: TO INCREASE COMMUNITY RESOURCES FOR PREVENTION OF DRUG & ALCOHOL MISUSE AND TO ASSIST INDIVIDUALS AND FAMILIES AFFECTED BY DRUG AND ALCOHOL ADDICTION, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE ON SUBSTANCE ABUSE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING DRUG AND ALCOHOL USE/MISUSE. EXAMPLES INCLUDE COULEE COUNCIL ON ADDICTIONS BOARD OF DIRECTORS, LA CROSSE COUNTY PREVENTION NETWORK, GREAT RIVERS HUB COMMITTEES AND THE ALLIANCE TO HEAL COMMITTEES. PROVIDED FINANCIAL SUPPORT FOR THE FOLLOWING PROGRAMS AND ORGANIZATIONS SEEKING TO REDUCE DRUG AND ALCOHOL USE/MISUSE: LA CROSSE POLICE DARE PROGRAM (SUBSTANCE ABUSE PREVENTION); COULEE COUNCIL ON ADDICTIONS (PREVENTION/RECOVERY) AND TELLURIAN LA CROSSE CARE CENTER (ADDICTION AND MENTAL HEALTH TREATMENT).CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2020. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.CONTINUED ITS COLLABORATION WITH HAMILTON COMMUNITY SCHOOL BY PROVIDING ONSITE GROUP AND 1:1 BEHAVIORAL HEALTH SERVICES FOR CHILDREN IMPACTED BY TRAUMA. THE PROGRAM WAS PAUSED DUE TO COVID-19 AND SCHOOL CLOSURES.CONTINUED TO PROVIDE SPACE ON ITS CAMPUS FOR THE COULEE RECOVERY CENTER, CHARGING RENT OF $1/YEAR. THE COULEE RECOVERY CENTER PROVIDES ADDICTION PREVENTION AND RECOVERY SERVICES.INCREASED WELL-BEING OF CHILDREN & YOUTH: TO INCREASE COMMUNITY RESOURCES TO PREVENT CHILDHOOD TRAUMA, REDUCE THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCES AND ADDRESS THE NEEDS OF CHILDREN LIVING IN POVERTY, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE ON CHILDREN & YOUTH WELL-BEING AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOG, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING THE WELL-BEING OF CHILDREN AND YOUTH. EXAMPLES INCLUDE THE PARENTING PLACE, BOYS & GIRLS CLUB OF GREATER LA CROSSE, BIG BROTHERS BIG SISTERS OF THE 7 RIVERS REGION, FAMILY & CHILDREN'S CENTER, LA CROSSE SCHOOL DISTRICT, LA CROSSE PUBLIC EDUCATION FOUNDATION, APTIV (DISABILITY SERVICES), GATEWAY AREA BOY SCOUTS, CHILEDA (BEHAVIORAL CHALLENGES) AND RTIC (RESILIENCY AND TRAUMA-INFORMED COMMUNITY). PROVIDED FINANCIAL SUPPORT FOR THE FOLLOWING COLLABORATIVE COMMUNITY ORGANIZATIONS SEEKING TO INCREASE THE WELL-BEING OF CHILDREN AND YOUTH: LA CROSSE POLICE DARE PROGRAM, LINCOLN MIDDLE SCHOOL, BIG BROTHERS BIG SISTERS, APTIV, FAMILY & CHILDREN'S CENTER, THE PARENTING PLACE AND THE GOOD FIGHT COMMUNITY CENTER. PROVIDED FINANCIAL SUPPORT FOR MUSCLES IN MOTION, A PROGRAM OF THE PARENTING PLACE. THIS FREE PARENT-CHILD PROGRAM SUPPORTS THE WELLBEING OF YOUNG CHILDREN AND THE ADULTS WHO CARE FOR THEM. INTERACTIONS DURING MUSCLES IN MOTION (ADULT TO ADULT, ADULT TO CHILD AND CHILD TO CHILD) FALL WITHIN THE PROTECTIVE FACTORS FRAMEWORK, A RESEARCH-BASED APPROACH TO CREATING STRONG FAMILIES THAT CONTRIBUTE TO OPTIMAL CHILD WELLBEING WHILE PREVENTING CHILD MALTREATMENT. THROUGH ITS ONGOING ADOPT-A-SCHOOL PARTNERSHIP WITH LINCOLN MIDDLE SCHOOL, PROVIDED FINANCIAL SUPPORT AND RESOURCES TO EXPAND OPPORTUNITIES FOR STUDENTS AND FAMILIES. SUPPORTS INCLUDED PRESENTATIONS TO PARENTS AND STAFF BY MAYO EXPERTS IN CHILD PSYCHOLOGY AND PEDIATRICS. THE HOSPITAL ALSO PROVIDED A FREE BABYSITTING CLASS FOR STUDENTS. FINANCIAL SUPPORT WAS PROVIDED FOR THE PURCHASE OF COVID-19 CLASSROOM SANITIZING SUPPLIES. THE HOSPITAL HOSTED A FOOD DRIVE AND PROVIDED FINANCIAL SUPPORT FOR A SCHOOL PROGRAM THAT PROVIDES THANKSGIVING MEALS TO SCHOOL FAMILIES IN NEED. CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2020. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED LACK OF LIVABLE WAGE JOBS, INCREASE WRAP-AROUND SUPPORTS THROUGHOUT THE LIFESPAN AND INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE. THESE NEEDS WILL BE ADDRESSED BY MCHS-LA CROSSE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN WISCONSIN. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-LA CROSSE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. THE RESPONSE AND EFFORTS IN ADDRESSING COVID-19, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-LA CROSSE'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN SPARTA (MCHS-SPARTA). THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE. THE KEY DATA SOURCE WAS THE RANDOM HOUSEHOLD SURVEY (RHS). THE RANDOM HOUSEHOLD SURVEY WAS MAILED TO A RANDOM SELECTION OF 5,450 HOUSEHOLDS THROUGHOUT THE REGION IN JULY AND AUGUST OF 2016. AFTER REVIEWING THE DEMOGRAPHICS OF THE RANDOM HOUSEHOLD SURVEY, THE STEERING COMMITTEE DETERMINED WHOSE VOICES WERE MISSING. A PLAN WAS DEVELOPED TO CONDUCT A CONVENIENCE SURVEY (CS) TO CAPTURE THE OPINIONS OF THE GROUPS OF PEOPLE WHO DID NOT RESPOND TO THE RANDOM HOUSEHOLD SURVEY TO ENSURE THAT THEIR VOICE WAS HEARD. THE CONVENIENCE SURVEYS WERE GIVEN TO PEOPLE THAT WERE EASY TO REACH. DUE TO THIS DIFFERENCE, THE CS DATA IS SEPARATE FROM THE RHS RESULTS. STEERING COMMITTEE MEMBERS AND OTHER COMMUNITY PARTNERS COLLECTED RESPONSES TO THE CONVENIENCE SURVEY. THE DATA WORKGROUP OVERSAW THE ANALYSIS OF THE DATA AND REVIEWED THE RESULTS.AS PART OF THE COMPASS NOW 2018 PROCESS, ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDERREPRESENTED. LOCAL ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDERREPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, CHILDREN-YOUTH-FAMILIES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE-SEXUAL VIOLENCE-TRAFFICKING, AND THE LGBTQ COMMUNITY.TO ADD TO THE SURVEY DATA, THE DATA WORKGROUP WAS TASKED WITH COLLECTING EXISTING DATA FROM FEDERAL, STATE, AND LOCAL SOURCES. THIS DATA INCLUDED INFORMATION ABOUT DEMOGRAPHICS, HEALTH, SOCIAL FACTORS, ECONOMIC FACTORS, AND MANY OTHER TOPICS. BECAUSE NUMBERS-BASED DATA ONLY TELLS PART OF A STORY, THE NEEDS ASSESSMENT PROCESS ALSO INCLUDED HOLDING COUNTY-BASED FOCUS GROUPS. FOCUS GROUPS ARE USUALLY SMALL GROUPS OF PEOPLE WHOSE OPINIONS ARE GATHERED THROUGH A GUIDED DISCUSSION. FOCUS GROUPS WERE HELD IN ALL SIX COUNTIES AND WITH GENERAL COMMUNITY MEMBERS, STUDENTS, FAMILY ADVISORY COUNCILS, LATINO COMMUNITY MEMBERS, SERVICE PROVIDERS, AND HMONG COMMUNITY MEMBERS. DATA FROM ALL THE SOURCES DISCUSSED ABOVE IS USED THROUGHOUT THIS REPORT. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.
      GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 6A:
GUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSMCHS-FRANCISCAN MEDICAL CENTER LA CROSSETOMAH MEMORIAL HOSPITALVERNON MEMORIAL HEALTHCARE
      GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 6B:
GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT
      GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN SPARTA (MCHS-SPARTA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:REDUCED DRUG & ALCOHOL USE & MISUSEINCREASED ACCESS TO MENTAL HEALTH CAREINCREASED FOOD-SECURITYIN 2020, MCHS-SPARTA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:REDUCED DRUG & ALCOHOL USE & MISUSE: TO INCREASE COMMUNITY RESOURCES FOR PREVENTION OF DRUG & ALCOHOL MISUSE AND TO ASSIST INDIVIDUALS AND FAMILIES AFFECTED BY DRUG AND ALCOHOL ADDICTION, MCHS-SPARTA: SHARED MAYO CLINIC EXPERTISE ON SUBSTANCE ABUSE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING DRUG AND ALCOHOL USE/MISUSE. EXAMPLES INCLUDE THE MONROE COUNTY SAFE COMMUNITIES COALITION AND NEXT STEPS FOR CHANGE.PROVIDED FINANCIAL SUPPORT FOR SOJOURNER'S JOURNEY, A NON-DENOMINATIONAL, NONPROFIT ORGANIZATION ASSISTING THOSE WHO ARE HOMELESS AND STRUGGLING WITH SUBSTANCE ABUSE IN MONROE COUNTY. THE PROGRAM IS DESIGNED TO ESTABLISH MEANINGFUL COMMUNITY AND LASTING RELATIONSHIPS, WHILE PROVIDING RESOURCES, EDUCATION AND DEVELOPMENTAL OPPORTUNITIES TO EMPOWER THE MEN AND WOMEN TO BECOME ACTIVE, VITAL ASSETS TO OUR COMMUNITY, NOW AND FOR GENERATIONS TO COME. FUNDING WAS PROVIDED IN SUPPORT OF A NEW MEN'S HOME (RESIDENTIAL PROGRAM).INCREASED ACCESS TO MENTAL HEALTH CARE: TO REDUCE BARRIERS TO SEEKING MENTAL HEALTH CARE AND INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL ILLNESS, MCHS-SPARTA: SHARED MAYO CLINIC EXPERTISE ON MENTAL HEALTH AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH CARE NEEDS, SUCH AS THE MONROE COUNTY HEALTH COALITION.CONTINUED TO ENHANCE ACCESS TO MENTAL HEALTH SERVICES THROUGH INTEGRATION OF BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE TEAMS. IN RESPONSE TO THE COVID-19 PANDEMIC, THE HOSPITAL SIGNIFICANTLY EXPANDED ACCESS TO MENTAL HEALTH SERVICES VIA TELEHEALTH. INCREASED FOOD SECURITY: TO INCREASE AWARENESS OF FOOD INSECURITY IN MONROE COUNTY AND INCREASE COMMUNITY RESOURCES AVAILABLE FOR INDIVIDUALS AND FAMILIES IMPACTED BY FOOD INSECURITY, MCHS-SPARTA:SHARED MAYO CLINIC EXPERTISE ON NUTRITION AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING FOOD INSECURITY AND NUTRITION, SUCH AS THE MONROE COUNTY NUTRITION COALITION.PROVIDED FINANCIAL SUPPORT TO THE NEIGHBOR FOR NEIGHBOR AND THE COULEECAP MONROE COUNTY FOOD PANTRIES. FUNDING WAS ALSO PROVIDED TO THE BOYS & GIRLS CLUB OF WEST CENTRAL WISCONSIN (TOMAH) TO ASSIST IN PROVIDING MEALS TO CHILDREN DURING THE COVID-19 PANDEMIC. PROVIDED A FINANCIAL CONTRIBUTION TO THE MONROE COUNTY EMERGENCY RESOURCE FUND FOLLOWING THE ONSET OF THE COVID-19 PANDEMIC TO HELP RESIDENTS WITH URGENT NEEDS INCLUDING SHELTER AND FOOD.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED LACK OF LIVABLE WAGE JOBS, INCREASE WRAP-AROUND SUPPORTS THROUGHOUT THE LIFESPAN AND INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE. THESE NEEDS WILL BE ADDRESSED BY MCHS-SPARTA BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN WISCONSIN. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-SPARTA) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-SPARTA'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      PART V, SECTION B
FACILITY REPORTING GROUP E
      FACILITY REPORTING GROUP E CONSISTS OF:
- FACILITY 1: MAYO CLINIC HOSPITAL IN ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA
      GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE CHNA FOR MARICOPA COUNTY WAS A JOINT EFFORT. ORGANIZATIONS INCLUDED IN THE COLLABORATION WERE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, MAYO CLINIC HOSPITAL IN ARIZONA (MCA), ADELANTE HEALTHCARE, BANNER HEALTH, DIGNITY HEALTH, NATIVE HEALTH, AND PHOENIX CHILDREN'S HOSPITAL.THE BROAD INTERESTS OF THE COMMUNITY WERE INCORPORATED THROUGH THREE MEANS. FIRST, DATA WAS COLLECTED THROUGH FOCUS GROUPS ENGAGING MEMBERS OF UNDERSERVED POPULATIONS AND COMMUNITIES. SECOND, SURVEYS WERE CONDUCTED WITH KEY INFORMANTS WHO SERVE THE PRIMARY SERVICE AREA. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS FROM THE PRIMARY SERVICE AREA OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER. MEMBERS OF THE COMMUNITY HEALTH INFORMATION NETWORK AND ARIZONA'S COMMUNITY OF CARE NETWORK (ACCN) PROVIDED INPUT ON THE SELECTION OF DATA INDICATORS, PROVIDED FEEDBACK ON DATA COLLECTED, AND AIDED IN THE SELECTION OF FINAL PRIORITIES. MEMBERSHIP OF THE ABOVE-MENTIONED COMMITTEES AND COLLABORATIONS INTENTIONALLY REPRESENT VULNERABLE AND DISENFRANCHISED POPULATIONS INCLUDING THE HOMELESS, UNINSURED/UNDERINSURED, MEDICAID, MEDICARE, IMMIGRANT, DISABLED, MENTALLY ILL, AND ELDERLY.A SERIES OF 36 FOCUS GROUPS WITH MEDICALLY UNDERSERVED POPULATIONS ACROSS MARICOPA COUNTY WERE CONDUCTED BETWEEN SEPTEMBER 2017 AND JUNE 2018. FOCUS GROUPS HELPED TO IDENTIFY PRIORITY HEALTH ISSUES, RESOURCES, AND BARRIERS TO CARE WITHIN MARICOPA COUNTY. MEMBERS OF THE COMMUNITY REPRESENTING SUBGROUPS, DEFINED AS GROUPS WITH UNIQUE ATTRIBUTES (RACE AND ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE, OR RESIDENTS OF AN AREA IN MARICOPA COUNTY), WERE RECRUITED TO PARTICIPATE IN FOCUS GROUPS. A COMMUNITY HEALTH SURVEY WAS ALSO ADMINISTERED TO KEY INFORMANTS. KEY INFORMANTS WERE IDENTIFIED AS HEALTH OR COMMUNITY EXPERTS FAMILIAR WITH TARGET POPULATIONS AND GEOGRAPHIC AREAS WITHIN MARICOPA COUNTY. THE SURVEY INSTRUMENT WAS CREATED BY MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH BASED ON RECOMMENDATIONS FROM THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND MAYO CLINIC LEADERSHIP. THE SURVEY WAS ADMINISTERED TO 152 KEY INFORMANTS WHO PROVIDE SERVICES THROUGHOUT MARICOPA COUNTY. IN ADDITION TO THE ABOVE, COMMUNITY INPUT FOR THE CHNA INCLUDED ENGAGEMENT FROM MCA'S COMMUNITY ENGAGEMENT COMMITTEE, MCA'S COMMUNITY ADVISORY BOARD AND MCA'S EXECUTIVE OFFICE TEAM.
      GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6A:
BANNER HEALTHDIGNITY HEALTHPHOENIX CHILDRENS HOSPITAL
      GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6B:
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTHNATIVE HEALTHADELANTE HEALTHCARE
      GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 11:
MAYO CLINIC ARIZONA (MCA), IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:ACCESS TO CARECANCER/BREAST CANCERSOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS)IN 2020, MCA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO PROVIDE NON-MAYO CLINIC PATIENTS' ACCESS TO CARE FOR CONDITIONS THAT MAY OTHERWISE GO UNTREATED, OR CONDITIONS THAT REQUIRE SPECIFIC EXPERTISE, MCA:WAS FORCED TO PIVOT DUE TO COVID-19 AND PROVIDE ACCESS TO PATIENTS THROUGH VERY DIFFERENT PLATFORMS. VIRTUAL HEALTHCARE APPOINTMENTS WERE IMPLEMENTED AND PROVIDED OPPORTUNITIES FOR MCA PHYSICIAN STAFF TO PROVIDE E-CONSULT APPOINTMENTS TO COMMUNITY HEALTHCARE PROVIDERS THAT MAY WORK IN A FEDERALLY QUALIFIED CLINIC (FQHC) LIKE ADELANTE HEALTHCARE, MOUNTAIN PARK HEALTH CENTER AND PHOENIX INDIAN MEDICAL CENTER. THESE CONSULTATIONS WERE OFFERED TO BOTH PHYSICIANS THAT WORK IN THE FEDERALLY QUALIFIED CLINICS, AS WELL AS TO THE EXTERNAL PHYSICIAN OR CAREGIVER IN THE PATIENT'S PRESENCE. MCA PROVIDED PERSONAL PROTECTIVE EQUIPMENT TO ADELANTE HEALTHCARE, MOUNTAIN PARK HEALTH CENTER, ST. VINCENT DE PAUL AND CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS TO ASSIST THESE HOMELESS COMMUNITY CARE ORGANIZATIONS. MORE THAN 15,000 MASK AND OTHER PERSONAL PROTECTION EQUIPMENT WERE DISTRIBUTED TO THESE ORGANIZATIONS.ASSISTED THE NAVAJO RESERVATION IN NORTHERN ARIZONA BY PROVIDING THREE SEMI-TRUCK LOADS OF PERSONAL PROTECTIVE EQUIPMENT, WATER, GLOVES, GOWNS AND OTHER NEEDED ITEMS TO MEET THE NEEDS OF RESIDENTS OF THE NAVAJO INDIAN RESERVATION.CANCER/BREAST CANCER: TO PROVIDE BREAST CANCER CARE AND TO ASSIST IN REDUCING DISPARATE HEALTH OUTCOMES TO MINORITY, POOR, AND OTHER VULNERABLE DISPARATE POPULATIONS, MCA:CONTINUED TO SPONSOR THE COALITION OF BLACKS AGAINST BREAST CANCER IN 2020. MCA PROVIDED THE ZOOM PLATFORM, THE EDUCATION FACULTY AND THE MONETARY INVESTMENT FOR EXPANSION OF THE MONTHLY VIRTUAL MEETINGS. AS A RESULT, THE COALITION HAS REACHED A NATIONAL AUDIENCE AND TO A MORE LIMITED EXTENT, HAS SOME INTERNATIONAL REACH.PARTNERED WITH THE COALITION OF BLACKS AGAINST BREAST CANCER AND SCIENTIFIC INVESTIGATORS TO BETTER UNDERSTAND THE EXPERIENCE OF WOMEN, THEIR DIRECT DESCENDANTS AND THEIR MATERNAL FIRST LINE RELATIVE'S KNOWLEDGE, EXPERIENCES AND UNDERSTANDING OF BREAST CANCER, THE TREATMENT PROCESS, TREATMENT OPTIONS AND BARRIERS THAT CONTRIBUTE TO SEVERE DISPARATE HEALTH OUTCOME OF THE POPULATION.SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): TO SUPPORT COMMUNITY-BASED ORGANIZATIONS WORKING IN THE HOMELESSNESS/HOUSING SPACE, MCA:ASSISTED THE MESA MEN'S SHELTER IN THE PROCUREMENT, PREPARATION, AND SERVING OF MEALS TO THE MEN WHO FIND THEMSELVES IN A STATE OF TEMPORARY HOMELESSNESS.PROVIDED STAFF VOLUNTEERS TO THE CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS. VOLUNTEERISM INCLUDED SERVING AS BOARD OF TRUSTEE MEMBERS, CLINICAL TREATMENT TO THE FACILITY'S PATIENT POPULATION, PROVISION FOR TOILETRY DRIVES, PERSONAL PROTECTIVE EQUIPMENT DURING THE PANDEMIC, SURPLUS MEDICAL EQUIPMENT, FURNITURE AND SUPPLIES. CONTINUED TO VOLUNTEER AT ST. MARY'S FOOD BANK TO PACK AND DISTRIBUTE BOXES OF NON-PERISHABLE FOOD ITEMS TO INDIVIDUALS LIVING IN FOOD DESERTS, TO UNDERSERVED, POOR AND HOMELESS POPULATIONS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH PRIORITIES IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED BY MCA INCLUDE MENTAL/BEHAVIORAL HEALTH, INJURY PREVENTION, OVERWEIGHT/OBESITY AND CHRONIC DISEASE. MCA PARTICIPATES IN A COLLABORATIVE EFFORT WITH SEVERAL MARICOPA COUNTY BASED COMMUNITY HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY BASED NOT-FOR-PROFIT HEALTHCARE PROVIDERS. THE COLLABORATIVE IS AN EFFORT THAT WORKS IN PARTNERSHIP WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH. ALL THE COLLABORATIVE MEMBERS ARE MADE AWARE OF THE COMPREHENSIVE HEALTH NEEDS OF THE ENTIRE COUNTY. AS A COLLECTIVE, THE MEMBERS ASSURE ALL THE IDENTIFIED/PRIORITY HEALTH NEEDS ARE MET THROUGH MEMBERS OF THE COLLABORATION. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND MARICOPA COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCA) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE EFFORTS COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION PLAN STRATEGIES. DESPITE THE PANDEMIC, MCA WAS ABLE TO SUCCESSFULLY ACQUIRE A $1 MILLION GRANT FROM THE NATIONAL INSTITUTES OF HEALTH AIMED AT BUILDING A PLATFORM FOR BUILDING COMMUNITY TRUST ACROSS MEDICALLY UNDERSERVED RACIAL/ETHNIC MINORITY GROUPS WITH DISPROPORTIONATE BURDEN OF COVID-19 DISEASE AT THE STATE AND/OR SPECIFIC COMMUNITY LEVELS. THIS INITIATIVE INCLUDED COMMUNITY COLLABORATIONS AND PARTNERSHIPS TO SUPPORT RESEARCH ON AWARENESS, EDUCATION, AND MISTRUST AROUND COVID-19. THE GRANT IS IN PARTNERSHIP WITH THREE MAJOR ARIZONA UNIVERSITIES - ARIZONA STATE UNIVERSITY, NORTHERN ARIZONA UNIVERSITY AND UNIVERSITY OF ARIZONA. THIS INITIATIVE WILL SERVE AS ONE ALLIANCE OF INTERLINKED COMMUNITY-ENGAGED RESEARCH PROJECTS ACROSS THE UNITED STATES TO UNDERSTAND FACTORS ASSOCIATED WITH ENGAGEMENT IN COVID-19 RESEARCH, AND TO DEVELOP AN EVIDENCE BASE FOR DEPLOYMENT OF EFFECTIVE STRATEGIES TO ENHANCE AWARENESS AND UPTAKE OF PREVENTIVE HEALTH MEASURES TO MITIGATE THE PANDEMIC, AND IMPROVE THE OUTREACH AND INCLUSION IN COVID-19 RESEARCH AMONG COMMUNITY-ENGAGED PARTNERS IN UNDERSERVED COMMUNITIES. MCA HELD FOUR TOWN HALLS, FOCUSED ON COVID-19, TARGETING VULNERABLE AND UNDERSERVED COMMUNITIES, OPEN TO THESE POPULATIONS IN THE MARICOPA COUNTY COMMUNITY CATCHMENT AREA. THE TOWN HALLS WERE SUPPORTED BY MEDIA AND SOCIAL MEDIA ORGANIZATIONS, AND THE REACH WAS EXPANSIVE. (200K+ PARTICIPANTS LIVE AND RECORDED)
      GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE COMMUNITY HEALTH NEEDS IDENTIFIED FOR MAYO CLINIC HOSPITAL IN FLORIDA (MCF) WERE BASED ON THE CHNA CONDUCTED BY THE JACKSONVILLE NONPROFIT HOSPITAL PARTNERSHIP (THE PARTNERSHIP). THE PARTNERSHIP IS A COALITION OF NON-PROFIT HOSPITALS WHOSE VISION IS TO CONTRIBUTE TO IMPROVEMENTS IN POPULATION HEALTH ACROSS THE NORTHEAST FLORIDA REGION BY ADDRESSING GAPS THAT PREVENT ACCESS TO QUALITY, INTEGRATING HEALTH CARE, AND IMPROVING ACCESS TO RESOURCES THAT SUPPORT A HEALTHY LIFESTYLE. THE PARTNERSHIPS MEMBERS ARE BAPTIST HEALTH, BROOKS REHABILITATION, MAYO CLINIC HOSPITAL IN FLORIDA (MCF), UF HEALTH JACKSONVILLE, ST. VINCENT'S HEALTHCARE AND WOLFSON CHILDREN'S HOSPITAL. THE PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS CONDUCTED BY PHONE, FOCUS GROUP DISCUSSIONS AND A COMMUNITY SURVEY DISTRIBUTED THROUGHOUT THE SERVICE AREA THROUGH ONLINE AND PAPER SUBMISSIONS. OVER 1,034 COMMUNITY MEMBERS CONTRIBUTED THEIR INPUT ON THE COMMUNITY'S HEALTH AND HEALTH-RELATED NEEDS, BARRIERS, AND OPPORTUNITIES FOR DUVAL AND ST. JOHNS COUNTIES, WITH SPECIAL FOCUS ON NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS. THIRTY-TWO KEY INFORMANT INTERVIEWS WERE CONDUCTED BY PHONE FROM MARCH 13, 2018 THROUGH APRIL 23, 2018. PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS, BARRIERS, STRENGTHS, AND OPPORTUNITIES (INCLUDING THE NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS AS REQUIRED BY IRS REGULATIONS). PEOPLE WITH PUBLIC HEALTH EXPERTISE; THE ABILITY TO SPEAK ON THE NEEDS OF LOW-INCOME, UNDERSERVED, OR MINORITY POPULATIONS; AND THE ABILITY TO SPEAK ON THE BROAD INTERESTS OF THE COMMUNITY WERE ASKED TO PARTICIPATE IN KEY INFORMANT INTERVIEWS. OF THE 32 KEY INFORMANT INTERVIEWS CONDUCTED, 24 INTERVIEWS WERE WITH COMMUNITY EXPERTS WHO EITHER SERVED OR REPRESENTED UNDERSERVED COMMUNITIES.22 FOCUS GROUPS WITH 212 PARTICIPANTS WERE CONDUCTED FROM MARCH 28, 2018 THROUGH APRIL 25, 2018. PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS AND BARRIERS. THE FOCUS GROUPS WERE SPLIT ALMOST EVENLY INTO TWO CATEGORIES: (1) FOCUS GROUPS OF HOSPITAL STAFF ASSOCIATED WITH MCF, AND (2) FOCUS GROUPS OF COMMUNITY MEMBERS WITH WIDE BACKGROUNDS, INCLUDING PERSONS WITH DISABILITIES, VETERANS, PERSONS OF LIMITED INCOME, COMMUNITIES OF COLOR, FAITH COMMUNITIES, AND MORE. OF THE 22 FOCUS GROUPS CONDUCTED, 10 OF THE FOCUS GROUPS INCLUDED COMMUNITY MEMBERS OF UNDERSERVED COMMUNITIES OR COMMUNITY ADVOCATES FOR UNDERSERVED COMMUNITIES.THE COMMUNITY SURVEY WAS PRIMARILY DISTRIBUTED ONLINE FROM MARCH 26, 2018 THROUGH APRIL 16, 2018. THE SURVEY WAS ALSO MADE AVAILABLE ON PAPER, THOUGH PAPER DISTRIBUTION WAS LIMITED. THE SURVEY ELICITED RESPONSES FROM 790 COMMUNITY MEMBERS IN DUVAL AND ST. JOHNS COUNTIES.
      GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6A:
BAPTIST HEALTHBROOKS REHABILITATIONST. VINCENT'S HEALTHCAREUF HEALTH JACKSONVILLEWOLFSON CHILDREN'S HOSPITAL
      GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6B:
CLAY COUNTY HEALTH DEPARTMENTDUVAL COUNTY HEALTH DEPARTMENTNASSAU COUNTY HEALTH DEPARTMENTPUTNAM COUNTY HEALTH DEPARTMENT
      GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 11:
MAYO CLINIC FLORIDA, IN COLLABORATION WITH MAYO CLINIC JACKSONVILLE AND COLLECTIVELY REFERRED TO AS MAYO CLINIC IN FLORIDA (MCF), IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY CANCERACCESS (HEALTH CARE, TRANSPORTATION, HOUSING, NUTRITION)IN 2020, MCF TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY: TO PROVIDE EXPERTISE AND SUPPORT TO INSPIRE AWARENESS FOR HEALTHY HABITS AMONG COMMUNITY RESIDENTS, MCF:STRATEGIZED TO INCREASE THE KNOWLEDGE AND AWARENESS OF OBESITY PREVENTION AND RISK REDUCTION THROUGH TARGETED COMMUNITY OUTREACH AND EDUCATION EFFORTS IN PREDOMINANTLY SPANISH-SPEAKING COMMUNITIES, IN PARTNERSHIP WITH MCF'S CENTER FOR HEALTH EQUITY AND COMMUNITY ENGAGEMENT RESEARCH (CHECER) AND EMPLOYEE RESOURCE GROUPS.DEVELOPED HOPE PARA LA COMMUNIDAD WHICH IS A HEALTH EDUCATION, OUTREACH, AND RESEARCH INITIATIVE THAT PARTNERS WITH ORGANIZATIONS SERVING PREDOMINANTLY SPANISH-SPEAKING COMMUNITY MEMBERS IN JACKSONVILLE TO PROVIDE INFORMATION ABOUT VARIOUS WELLNESS TOPICS THAT IMPACT THE COMMUNITY. EFFORTS UNDER HOPE PARA LA COMMUNIDAD INCLUDED MCF HOSTING FOOD DISTRIBUTION WITHIN THE HISPANIC COMMUNITIES (230 FAMILIES SERVED) AND HOSTING ITS FIRST VIRTUAL HISPANIC CONFERENCE (200 REGISTERED COMMUNITY MEMBERS & 475 NON-UNIQUE LOG-ON'S WERE RECORDED). CONTINUED THE WELLNESS RX PROGRAM THAT WAS INITIATED IN 2017. WELLNESS RX IS A COMMUNITY LED WELLNESS PROGRAM AND IS MANAGED BY MCF TO EMPOWER AND EDUCATE NEW TOWN, FLORIDA RESIDENTS WITH INFORMATION TO IMPROVE THEIR OVERALL HEALTH. THROUGH CIVIC ENGAGEMENT, NEW TOWN SUCCESS ZONE HAS CREATED A MODEL OF ENGAGEMENT WHICH ENCOURAGES SELF-RESPONSIBILITY, ACCOUNTABILITY AND COMMUNITY DRIVEN ACTION AROUND HEALTH AND WELLNESS PRIORITIES. MCF PROVIDED OVER 350 FACEBOOK EDUCATIONAL VIDEOS AND HAVE CREATED WELLNESS RX BLOG EDUCATIONAL FLYERS AND VIDEOS. EACH MONTH WELLNESS RX HAD A SPECIFIC HEALTH TOPIC ASSIGNED WITH EDUCATIONAL MATERIAL PROVIDED. IN 2020 THE PROGRAM DISTRIBUTED 119,549 LBS. OF FOOD AND AT EACH EVENT WE HAD CONSISTENTLY OVER 100 PARTICIPANTS. CANCER: TO INCREASE KNOWLEDGE AND AWARENESS OF INFORMATION AND RESOURCES AVAILABLE ALONG THE ENTIRE CANCER CONTINUUM, MCF:PRESERVED LONG-STANDING RELATIONSHIPS WITH AND PROVIDED FINANCIAL RESOURCES TO CANCER ORGANIZATIONS IN SUPPORT OF THEIR MISSION TO FREE THE WORLD FROM CANCER.LAUNCHED CANCER BREAKTHROUGHS: A TOWN HALL SERIES COMPLETELY VIRTUAL. THIS PROGRAM FOCUSES ON PROVIDING INFORMATION TO COMMUNITIES VIA INTERACTIVE SESSIONS WITH CANCER PROVIDERS, RESEARCHERS, ADVOCATES, AND SURVIVORS, IN PARTNERSHIP WITH MCF'S CENTER FOR HEALTH EQUITY AND COMMUNITY ENGAGEMENT RESEARCH (CHECER). THESE SESSIONS WILL DIRECTLY CONNECT COMMUNITY MEMBERS WITH INFORMATION AND RESOURCES. TOPICS COVERED IN THE SERIES WILL FOCUS ON UP TO DATE INFORMATION THROUGHOUT THE CANCER CONTINUUM FROM CANCER ETIOLOGY TO CANCER SURVIVORSHIP.THE FIRST TOWN HALL WAS IN JUNE OF 2020 AND THE PROGRAM TOPIC WAS MANAGING CANCER THROUGH COVID-19. THE SECOND TOWN HALL WAS IN OCTOBER OF 2020 AND THE PROGRAM TOPIC WAS SURVIVING BREAST CANCER. THE LATER WAS IN PARTNERSHIP WITH AGAPE FAMILY HEALTH (A FEDERALLY QUALIFIED HEALTH CENTER IN JACKSONVILLE) AND ASCENSION ST. VINCENT'S CANCER CENTER TO BRING TOGETHER BREAST CANCER SURVIVORS AND MEDICAL PROFESSIONALS TO SHARE LIFE LESSONS, INFORMATION ON HEALTHY LIFESTYLES, EARLY SCREENING, RESEARCH AND RESOURCES AVAILABLE.ACCESS (HEALTH CARE, TRANSPORTATION, HOUSING, NUTRITION): TO INCREASE HEALTH CARE RESOURCES FOR INDIVIDUALS AND FAMILIES WITH LIMITED OR NO MEANS IN THE COMMUNITY, MCF: PROVIDED SUPPORT TO THE FOLLOWING NONPROFIT ORGANIZATIONS WITH MONETARY AND/OR IN-KIND SUPPORT:SULZBACHER CENTER: MCF CONTRIBUTED SUPPLEMENTAL CARE IN BEHAVIORAL HEALTH, CARDIOLOGY, FAMILY MEDICINE AND GASTROENTEROLOGY WHICH RESULTED IN 107 PATIENTS SEEN AND 119 MAYO STAFF VOLUNTEER HOURS.VOLUNTEERS IN MEDICINE (VIM): MCF CONTRIBUTED ACCESS TO CARE FOR VULNERABLE POPULATIONS BY PROVIDING INOCULATION AND TESTING FOR HUMAN PAPILLOMAVIRUS (HPV) AT VIM AND SUPPLEMENTING VIM CLINIC STAFF WITH SERVICES INCLUDING CARDIOLOGY, GASTROENTEROLOGY, GYNECOLOGY AND INTERNAL MEDICINE. MISSION HOUSE: MCF SUPPLEMENTED THE MISSION HOUSE CLINICS WITH STAFF WITH INTERNAL MEDICINE AND NEUROLOGY PROVIDERS; RESULTING IN 26.5 HOURS AND 8 VISITS. WE CARE: MCF PROVIDED GENERAL SURGERY, GYNECOLOGY AND UROLOGICAL SURGERIES. AGAPE FAMILY HEALTH: MCF PARTNERED WITH AGAPE FAMILY HEALTH AND LOCAL AFRICAN AMERICAN AND HISPANIC FAITH BASED AND COMMUNITY ORGANIZATIONS TO PROVIDE COVID-19 TESTING TO OVER 400 UNDERSERVED AND UNDERREPRESENTED COMMUNITY MEMBERS. MCF ALSO PROVIDED FAMILY MEDICINE SERVICES TO AGAPE FAMILY HEALTH CLINIC.THE FOLLOWING DONATED SERVICES WHICH RESULTED IN A TOTAL OF 260 VOLUNTEER HOURS (6 NEW ADDITIONAL CLINICAL VOLUNTEERS) FROM OUR CLINICIANS AT VIM:IN ADDITION TO PROVIDING SUPPORT TO THE ABOVE NONPROFIT ORGANIZATIONS, MCF AS A MEMBER OF THE JACKSONVILLE HOSPITAL PARTNERSHIP, BELIEVES IT IS IMPORTANT TO LOOK AT WAYS THIS COMMUNITY AND OTHERS CAN OVERCOME BARRIERS AND PROVIDE AN EQUITABLE SYSTEM IN WHICH EVERY PERSON HAS ACCESS TO GOOD MEDICAL CARE TO HELP IMPROVE THEIR QUALITY OF LIFE. IN RESPONSE, THE PARTNERSHIP DEVELOPED A VIRTUAL 4 PART RACIAL HEALTH EQUITY CONFERENCE THAT LAUNCHED IN SEPTEMBER OF 2020. TOPICS INCLUDED ADVOCATING FOR YOUR HEALTH; HOW RACE IMPACTS HEALTH & WHAT CAN BE DONE TO BRING HEALTH EQUITY; BIAS IN HEALTH CARE; AND ACHIEVING HEALTH EQUITY. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED BEHAVIORAL HEALTH; MATERNAL, FETAL & INFANT HEALTH; AND POVERTY. THESE NEEDS WILL BE ADDRESSED BY MCF BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND NORTHEASTERN FLORIDA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCF) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.IN ADDITION TO THE COVID-19 ENTERPRISE RESPONSES MENTIONED ABOVE, MCF:THROUGH ITS CENTER FOR HEALTH EQUITY & COMMUNITY ENGAGEMENT RESEARCH GROUP, HELD COMMUNITY LEADERS COMMUNICATION MEETINGS (HISPANIC BOARD) REGARDING COVID-19 AS WELL AS DEVELOPED COVID-19 EDUCATIONAL FLYERS TO PROVIDE TO THE COMMUNITY.PROVIDED PERSONAL PROTECTION EQUIPMENT TO COMMUNITY HEALTH CLINICS, CHURCHES AND COMMUNITY ORGANIZATIONS.HOSTED RACE & PLACE: COVID-19 - DISPELLING MYTHS AND MISCONCEPTIONS OF COVID-19 IN THE AFRICAN AMERICAN COMMUNITY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCF'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
      GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE OLMSTED COUNTY HEALTH NEEDS ASSESSMENT REPORT SERVES AS THE BASIS FOR THE MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY COALITION ON THE PROJECT ENCOMPASSES THE CORE COLLABORATING ORGANIZATIONS OF OLMSTED COUNTY PUBLIC HEALTH DEPARTMENT, OLMSTED COUNTY HEALTH, HOUSING AND HUMAN SERVICES ADMINISTRATION, OLMSTED MEDICAL CENTER, MCH-R AND MORE THAN 30 OTHER COMMUNITY ORGANIZATIONS THROUGHOUT OLMSTED COUNTY. THE PLANNING TEAM USED THE FOLLOWING PRIMARY MEANS OF DATA COLLECTION:OUTREACH TO ORGANIZATION AND PROGRAM LEADERS FROM HUMAN SERVICE/NON-PROFIT ORGANIZATIONS TO GATHER COMMENTS/IMPROVEMENT SUGGESTIONS FROM 2016 CHNA PROCESS.A RANDOM MAIL SURVEY OF 2,000 COMMUNITY MEMBERS WAS CONDUCTED IN JUNE 2018 AND RESULTED IN 569 RESPONSES.A CONVENIENCE SURVEY (SAME AS THE MAILED SURVEY WITH ADDITION OF 2 QUESTIONS REGARDING FREQUENCY OF MOVES WITHIN PAST MONTH) TO 1,089 INDIVIDUALS REPRESENTING DIVERSE AND UNDERREPRESENTED PERSPECTIVES IN THE RANDOM MAIL SURVEY.LISTENING SESSIONS WITH LOCAL STAKEHOLDER GROUPS, INCLUDING CITY AND COUNTY GOVERNMENT LEADERS AND PRIORITIZING MINORITY AND OTHER UNDERREPRESENTED DIVERSE GROUPS. THE LISTENING SESSIONS INCLUDED A BROAD RANGE OF COMMUNITY GROUPS, INCLUDING YOUTH, ELDERLY, RURAL, VETERANS, AND LGBTQ GROUPS. LISTENING SESSION GROUPS WERE SELECTED TO BROADEN INPUT FROM RESIDENTS NOT AS LIKELY TO PARTICIPATE IN THE MAIL SURVEY. THE GROUPS GATHERED REFLECTED THE OPINIONS OF 184 INDIVIDUALS.OVER 380 COMMUNITY RESIDENTS REPRESENTING BROAD (PRIVATE/BUSINESS, HUMAN SERVICE/NONPROFIT, GOVERNMENT AND PRIVATE COMMUNITY) PERSPECTIVES PARTICIPATED IN MULTIPLE PUBLIC PRIORITIZATION SESSIONS. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM JANUARY 2017 THROUGH JULY 2019.
      GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6A:
OLMSTED MEDICAL CENTER
      GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6B:
OLMSTED COUNTY PUBLIC HEALTH DEPARTMENTOLMSTED COUNTY HEALTH, HOUSING, AND HUMAN SERVICES ADMINISTRATION
      GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHFINANCIAL STRESSSUBSTANCE USETHE ROLE OF MCH-R IS TO IDENTIFY STRATEGIES THAT CAN BE UNDERTAKEN WITHIN THE COMMUNITY TO ADDRESS THE ABOVE SIGNIFICANT HEALTH NEEDS AND TO COORDINATE WITH MAYO CLINIC (PARENT OF MCH-R) IN IMPLEMENTING THOSE STRATEGIES ON BEHALF OF MCH-R. MAYO CLINIC, WITH THE COORDINATION PROVIDED BY MCH-R, TOOK THE FOLLOWING ACTIONS IN 2020 TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE MAYO CLINIC'S AND THE LOCAL COMMUNITY'S CAPACITY TO ASSIST PATIENTS AND CITIZENS WITH MENTAL HEALTH CHALLENGES IN PREVENTION AND TREATMENT, MAYO CLINIC SUPPORTED LOCAL MENTAL HEALTH NEEDS IN THE FOLLOWING WAYS:COLLABORATED WITH OLMSTED MEDICAL CENTER, OLMSTED COUNTY HEALTH DEPARTMENT, AND THE COLLABORATION FOR COMMUNITY HEALTH INTEGRATION TO PLAN A NEW LONG-TERM CARE SERVICE FOR POST-ACUTE BEHAVIORAL PATIENTS. IN 2020 THESE EFFORTS SECURED CONSTRUCTION AND ADMINISTRATIVE PARTNERS TO BUILD, OPEN AND OPERATE A NEW BEHAVIORAL HEALTH CRISIS CENTER TO SERVE OLMSTED AND ADJACENT COMMUNITIES IN SOUTHEAST MINNESOTA. MAYO WILL BE PROVIDING ONGOING OPERATIONAL AND IN-KIND SUPPORT TO RUN THE NEW CLINIC PLANNED TO OPEN IN 2021. PROVIDED SALARY AND ADMINISTRATIVE SUPPORT TO OLMSTED COUNTY COMMUNITY SERVICES PSYCHIATRIST TO SERVE LOCAL QUALIFYING RESIDENTS.PROVIDED SUPPORT TO LOCAL NON-PROFIT ORGANIZATIONS TO SUPPORT SERVICES TO COMMUNITY MEMBERS THAT FACILITATE MENTAL HEALTH.PAID FOR THREE POLICE OFFICERS TO BE PRESENT IN THE EMERGENCY DEPARTMENT AROUND THE CLOCK TO ASSIST WITH DE-ESCALATING CONFLICT WITH PATIENTS PRESENTING WITH BEHAVIORAL HEALTH AND ADDICTION CONDITIONS TO SAFEGUARD THE SERVICE ENVIRONMENT FOR ALL COMMUNITY PATIENTS SEEKING CARE.FINANCIAL STRESS: TO SUPPORT COMMUNITY EFFORTS THAT PROVIDE HUMAN SERVICES/SUPPORT FOR COMMUNITY MEMBERS EXPERIENCING FINANCIAL HARDSHIP, MAYO CLINIC IMPLEMENTED THE FOLLOWING EFFORTS TO ALLEVIATE THE HEALTH IMPACTS OF FINANCIAL STRESS: PROVIDED SUPPORT FOR COMMUNITY EFFORTS AND ORGANIZATIONS TO IMPROVE SERVICES AND SUPPORT TO FINANCIALLY-STRESSED COMMUNITY MEMBERS, INCLUDING EDUCATION, LITERACY, JOB TRAINING, AND BASIC NEEDS (HOUSING, FOOD, HEALTH CARE). IN 2020 THIS INCLUDED ADDITIONAL SUPPORT FOR COVID-19-RELATED NEEDS INCLUDING DISTANCE LEARNING AND CHILDCARE PROGRAMS.PARTICIPATED AS A CO-FOUNDER AND FUNDER OF THE ROCHESTER AREA HOUSING ALLIANCE AND THE ROCHESTER AREA HOUSING COALITION. IN 2020 THE COALITION AWARDED MORE THAN $1.5 MILLION IN FUNDING TO CREATE AFFORDABLE HOUSING INVENTORY IN OLMSTED COUNTY. PROVIDED MEDICAL DIRECTION AND STAFFING TO SALVATION ARMY GOOD SAMARITAN HEALTH AND DENTAL CLINICS THAT SERVE UNDER AND UNINSURED PATIENTS IN OLMSTED COUNTY. ALSO PROVIDED CHARITY CARE TO PATIENTS REFERRED TO MAYO CLINIC FROM THESE COMMUNITY CLINICS.PROVIDED MEDICAL DIRECTION AND NURSING LIAISON SERVICES FOR STUDENT HEALTH SERVICES AT ROCHESTER ALTERNATIVE LEARNING CENTER TO ASSURE HEALTH CARE ACCESS TO UNDER AND UNINSURED STUDENTS.PROVIDED FUNDING TO FREE EDUCATIONAL TRAINING PROGRAMS FOR PEOPLE OF COLOR TO TRAIN FOR HEALTH CARE CAREERS.PROVIDED FREE HEALTH CARE SERVICES FOR REFUGEES AS PART OF ITS PEDIATRIC AND ADULT REFUGEE PROGRAMS.SUPPORTED COMMUNITY HEALTH CARE WORKERS TO WORK WITH COMMUNITY PATIENTS TO IDENTIFY AND OBTAIN SOCIAL SUPPORT SERVICES IN THE COMMUNITY NECESSITY TO MAINTAIN HEALTH (FOOD, HOUSING, TRANSPORTATION, MEDICATIONS, ETC.)SUBSTANCE USE: TO INCREASE MAYO CLINIC'S AND OUR LOCAL COMMUNITY'S CAPACITY TO HELP PREVENT AND TREAT PATIENTS AND RESIDENTS WITH SUBSTANCE USE, MAYO CLINIC IMPLEMENTED THE FOLLOWING TO REDUCE SUBSTANCE USE AND ABUSE: EXPANDED LOCAL SUBSTANCE USE SERVICES THROUGH THE ESTABLISHMENT OF THE SOUTHEAST REGIONAL CRISIS CENTER (SEE ABOVE UNDER MENTAL HEALTH).SUPPORTED A FULL-TIME PEER SUPPORT SPECIALIST FROM A LOCAL SUBSTANCE USE COUNSELING SERVICE WITHIN ITS EMERGENCY DEPARTMENT TO ASSIST PATIENTS WITH ADDICTION-RELATED HEALTH NEEDS. THIS SPECIALIST PROVIDES 1:1 COUNSELLING AND REFERRAL SUPPORT TO HELP STABILIZE PATIENTS TO ENABLE LONG-TERM RECOVERY. THIS COUNSELING SERVED 244 PATIENTS IN 2020. DISTRIBUTED HEALTH INFORMATION ABOUT SUBSTANCE USE ACROSS ITS WEBSITES AND SOCIAL MEDIA PLATFORMS THROUGHOUT 2020 TO PROMOTE AWARENESS AND HELP DIRECT AUDIENCES TO AVAILABLE RESOURCES. IN ADDITION, TO THE ABOVE ACTIONS IMPLEMENTED, MCH-R PARTICIPATED IN AND FINANCIALLY SUPPORTED STAFFING OF THE OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PROCESS. THIS PROCESS ENGAGES NUMEROUS VOLUNTEERS AND ORGANIZATIONS IN COLLABORATIVE COMMUNITY HEALTH EFFORTS TO ADDRESS LOCAL HEALTH PRIORITIES. HEALTH NEEDS NOT ADDRESSED: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN OLMSTED COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCH-R) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCH-R'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA. MAYO CLINIC'S RESPONSES TO THE PANDEMIC INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES. SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.
      PART V, SECTION B
FACILITY REPORTING GROUP A
      FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 4: MCHS IN EAU CLAIRE, - FACILITY 5: MCHS IN MANKATO, - FACILITY 8: MCHS IN FAIRMONT, - FACILITY 10: MCHS IN NEW PRAGUE, - FACILITY 11: MCHS IN WASECA, - FACILITY 12: MCHS IN BARRON, - FACILITY 13: MCHS IN BLOOMER, - FACILITY 16: MCHS IN ST. JAMES, - FACILITY 17: MCHS IN SPRINGFIELD, - FACILITY 18: MCHS IN OSSEO
      REPORTING GROUP A PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
      REPORTING GROUP A PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
      REPORTING GROUP A PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
      REPORTING GROUP A PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
      REPORTING GROUP A PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
      PART V, SECTION B
FACILITY REPORTING GROUP B
      FACILITY REPORTING GROUP B CONSISTS OF:
- FACILITY 7: MCHS IN ALBERT LEA AND AUSTIN, - FACILITY 14: MCHS IN MENOMONIE
      REPORTING GROUP B PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
      REPORTING GROUP B PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
      REPORTING GROUP B PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
      REPORTING GROUP B PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
      REPORTING GROUP B PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
      PART V, SECTION B
FACILITY REPORTING GROUP C
      FACILITY REPORTING GROUP C CONSISTS OF:
- FACILITY 9: MCHS IN RED WING, - FACILITY 19: MCHS IN LAKE CITY, - FACILITY 20: MCHS IN CANNON FALLS
      REPORTING GROUP C PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
      REPORTING GROUP C PART V, SECTION B, LINE 5:
COMMUNITY INPUT:MEETINGS WERE HELD THAT INVOLVED A DIVERSE GROUP OF COMMUNITY LEADERS IN GOODHUE COUNTY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE FROM SEPTEMBER 2018 TO JUNE 2019.FALL OF 2018 SURVEY DATA WAS OBTAINED THROUGH RANDOM MAILED SURVEYS IN GOODHUE COUNTY AND CONVENIENCE SAMPLE SURVEYS GATHERED IN THREE AREAS THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS - FOOD SHELVES, THE CARE CLINIC (FREE CLINIC IN GOODHUE COUNTY) AND AT GOODHUE COUNTY HEALTH AND HUMAN SERVICES LOBBY. GOODHUE COUNTY HEALTHY COMMUNITIES SUPERVISOR AND UNITED WAY OF GOODHUE, WABASHA AND PIERCE COUNTIES EXECUTIVE DIRECTOR SERVED ON THE ADVISORY TEAM FOR THE CHNA. NOVEMBER 2018 THROUGH JANUARY 2019 1:1 INTERVIEWS WITH KEY INFORMANTS WERE HELD IN EACH COMMUNITY INCLUDING PUBLIC HEALTH, CHIEF OF POLICE, SHERIFF, SCHOOL SUPERINTENDENTS, CITY STAFF, AMBULANCE SERVICES, YMCA, CHAMBERS AND CITIZENS.COMMUNITY LISTENING SESSIONS WERE HELD WITH NATURAL FOCUS GROUPS, CAPSTONE PROJECT ON MENTAL HEALTH WAS COMPLETED IN THE RED WING AREA AND CHNA UPDATES WERE GIVEN IN ALL THREE COMMUNITIES.
      REPORTING GROUP C PART V, SECTION B, LINE 6A:
MCHS-LAKE CITYMCHS-CANNON FALLSMCHS-RED WING
      REPORTING GROUP C PART V, SECTION B, LINE 6B:
GOODHUE COUNTY PUBLIC HEALTHUNITED WAY OF GOODHUE, WABASHA, AND PIERCE COUNTY
      REPORTING GROUP C PART V, SECTION B, LINE 11:
BASED ON THE JOINT CHNA CONDUCTED IN 2019, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED BY MCHS IN LAKE CITY (MCHS-LAKE CITY), MCHS IN CANNON FALLS (MCHS-CANNON FALLS) AND MCHS IN RED WING (MCHS-RED WING): MENTAL WELL-BEINGCHRONIC DISEASE PREVENTIONSUBSTANCE MISUSEMCHS-LAKE CITY, MCHS-CANNON FALLS AND MCHS-RED WING ARE CLOSELY AFFILIATED HOSPITAL ENTITIES LOCATED IN GOODHUE COUNTY (THEIR DEFINED COMMUNITY). THEIR ROLES IN CARRYING OUT THE STRATEGIES OUTLINED IN THEIR JOINT IMPLEMENTATION PLAN IS TO WORK COLLECTIVELY AND COLLIGATIVELY IN IMPLEMENTING THOSE STRATEGIES. AS SUCH, THE THREE HOSPITALS IN 2020 PARTICIPATED, EITHER DIRECTLY OR INDIRECTLY, IN THE BELOW ACTIONS UNDERTAKEN TO ADDRESS THE IDENTIFIED NEEDS:MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, THE THREE HOSPITALS: HOSTED A WOMEN & WELL-BEING WEBINAR DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PROGRAM WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE AND TO EDUCATE WOMEN OF THE IMPORTANCE OF EMOTIONAL WELL-BEING AND FEELING SAFE IN A MEDICAL SETTING.HELD A DISCOVER GRATITUDE PROGRAM. THIS PROGRAM INVITED EDUCATORS, SOCIAL SERVICE AGENCIES, AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR THE POSITIVE. PARTICIPATED IN THE CANNON FALLS COMMUNITY HEALTH & WELLNESS FAIR. MCHS PROVIDERS JOINED COMMUNITY MEMBERS IN A COVID-19 SAFE OUTDOOR VENUE AND PROMOTED PRACTICES TO LESSEN ANXIETY AND DECREASE ISOLATION. 45 PARTICIPANTS PICKED UP EDUCATIONAL MATERIAL ON ANXIETY, AND THE SCHOOL CONTACTED US FOR ADDITIONAL INFORMATION.CONTINUED TO PROMOTE MENTAL WELL-BEING ACTIVITIES AND ACCESS TO CARE THROUGH ON-LINE AND PRINTED RESOURCE MATERIALS DISTRIBUTED TO SCHOOLS THROUGHOUT GOODHUE COUNTY.COORDINATED COMMUNITY MEETINGS FOR UNDERSERVED POPULATIONS. THESE MEETINGS WERE WITH HISPANIC OUTREACH AND THE CARE CLINIC (A FREE & INCOME BASED CLINIC) TO SHARE RESOURCES AND EXPLORE OBSTACLES FOR COMMUNITY MEMBERS WHO FOUND BARRIERS IN OBTAINING HEALTH CARE.PROMOTED PARTICIPATION IN A CANCER WEBINAR FOCUSING ON CARE FOR THE CAREGIVER DURING CANCER DIAGNOSIS.CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY BEHAVIORS TO PROMOTE DISEASE PREVENTION, THE THREE HOSPITALS: HOSTED A VIRTUAL WELLNESS CAMPAIGN IN NOVEMBER OF 2020. COMMUNITY MEMBERS WERE INVITED THROUGH WELLBEING AT WORK, COUNTY (STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP) PARTNERS AND EDUCATORS TO PARTICIPATE IN THIS FREE WEEKLY WEBINAR WITH SELF-GUIDED PROGRAMMING TO IMPROVE MENTAL WELL-BEING AND EXERCISE. PROGRAMS FOCUSED ON DAILY CHALLENGES AND EXERCISE. 59 PARTICIPANTS FROM THE COUNTY RECEIVED WEEKLY WEBINAR LINKS AND REMINDERS. GRATITUDE JOURNALS AND CALENDARS WITH DAILY ACTIVITIES WERE AVAILABLE AS A FREE DOWNLOAD.PROMOTED FARMERS MARKETS IN THE COMMUNITIES OF CANNON FALLS, LAKE CITY, RED WING AND GOODHUE. THESE MARKETS RECEIVED FUNDING TO BUILD THEIR POWER OF PRODUCE PROGRAMS AND TO ENCOURAGE HEALTHY FOOD CHOICES FOR YOUTH. THE FUNDS WERE USED AS INCENTIVE FOR VEGETABLES AND FRUITS AT THE LOCAL STANDS. FARMERS MARKETS WERE CONDUCTED THROUGH PRE ORDER PICK UP AND SCHEDULED TIMES TO SHOP FOR COVID-19 SAFE SHOPPING IN 2020.PROMOTED THE GOODHUE & WABASHA COUNTY PUBLIC HEALTH FLU VACCINATION. PROMOTION WAS TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY AND COMMUNITY COLLABORATION. FLYERS WERE DISTRIBUTED IN SPANISH TO COUNTY AND COMMUNITY PARTNERS. SUBSTANCE MISUSE: TO REDUCE SUBSTANCE MISUSE BY PROVIDING EDUCATION, COLLABORATION AND ADVOCACY AROUND SUBSTANCE MISUSE IN THE COMMUNITY, THE THREE HOSPITALS: HELD PRELIMINARY MEETINGS WITH RECOVERY CORPS TO EVALUATE CURRENT SERVICES IN THE COUNTY AND DETERMINE IF A SITE PARTNER, A RECOVERY NAVIGATOR OR AN OPIOID RESPONSE PROJECT COORDINATOR, WOULD BE APPROPRIATE IN GOODHUE COUNTY. SEVERAL LEADERS ATTENDED A RECOVERY CORPS PRESENTATION AND CONTINUE TO DEVELOP A LOCAL COMMITTEE TO EVALUATE SERVICES AND NEEDS RECOVERY CORPS COULD MEET. SUPPORTED HOPE AND HARBOR HOMELESS SHELTER. IN 2020 THE SHELTER MODIFIED PROGRAMMING TO MEET ADDITIONAL SUBSTANCE MISUSE PROGRAMMING, EDUCATION AND COUNSELING IN A SAFE SUSTAINABLE SHELTER. THE SHELTER CHANGED FROM AN OVERNIGHT SITE TO A 24 HOUR A DAY SITE. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED ACCESS TO CARE, HOUSING AND SOCIO-ECONOMIC FACTORS. THESE NEEDS WILL BE ADDRESSED BY THE THREE HOSPITALS IN A SUPPORTING ROLE AND/OR BY OTHER AGENCIES, ORGANIZATIONS AND PROGRAMS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.IN ADDITION, THE THREE HOSPITALS WILL CONTINUE TO SUPPORT UNINSURED COMMUNITY MEMBERS IN PARTNERSHIP WITH THE CARE CLINIC, A FREE CLINIC FOR GOODHUE COUNTY. THE CARE CLINIC WORKS WITH THOSE WHO ARE LIVING IN POVERTY AND ARE NOT INSURED BY PROVIDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES AT NO CHARGE. SUPPORT PROVIDED TO THE CARE CLINIC INCLUDES BOARD LEADERSHIP AND LIABILITY COVERAGE FOR EMPLOYEES FROM ALL SITES WHO VOLUNTEER. THE CARE CLINIC IS CURRENTLY LOCATED, AT NO CHARGE, IN A MCHS-RED WING FACILITY.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHEASTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.IN ADDITION TO THE COVID-19 ENTERPRISE RESPONSES MENTIONED ABOVE, THE THREE HOSPITALS SHIFTED COMMUNITY ENGAGEMENT EFFORTS AT THE LOCAL LEVEL TO EDUCATING AND COMMUNICATING ABOUT COVID-19. THESE ACTIVITIES INCLUDED THE FOLLOWING:COMMUNITY LIAISON ROLE WITH PUBLIC HEALTH OFFICIALS AND COMMUNITY PARTNERS - COMMUNICATED FREQUENTLY, WEEKLY OR MORE, WITH ESTABLISHED COMMUNICATION NETWORKS TO SHARE ACCURATE AND TIMELY INFORMATION. STAFF SERVED AS A COMMUNITY CONTACT TO SHARE FEEDBACK, QUESTIONS AND CONCERNS WITH THE CLINICAL PRACTICE.MAYO CLINIC HEALTH SYSTEM LEADERSHIP PRESENTATIONS - PLACED MAYO CLINIC HEALTH SYSTEM LEADERS AT KEY COMMUNITY EVENTS (E.G. CHAMBER OF COMMERCE, ECONOMIC DEVELOPMENT) TO ANSWER COMMUNITY QUESTIONS RELATED TO COVID-19. COVID-19 COMMUNITY E-NEWS - SHARED UP-TO-DATE, ACCURATE, RELEVANT INFORMATION WITH MORE THAN 100 KEY COMMUNITY STAKEHOLDERS AND ESTABLISHED NETWORKS, OFTEN SEVERAL TIMES A WEEK, DEPENDING ON THE URGENCY OF THE COMMUNICATION. TARGETED OUTREACH TO PRIORITY POPULATIONS - WORKED WITH COMMUNITY PARTNERS TO COORDINATE EFFORTS TO MEET THE NEEDS OF LOW ENGLISH PROFICIENCY (LEP) POPULATIONS TO PROVIDE EDUCATIONAL RESOURCES IN TRANSLATED LANGUAGES. COVID-19 VIRTUAL COMMUNITY FORUMS - HOSTED A SERIES OF WEBINARS/VIRTUAL Q&A WITH MEDICAL PROFESSIONALS TO PROVIDE ACCURATE INFORMATION ON COVID-19 AND ANSWER QUESTIONS FROM THE COMMUNITY. OVER THE COURSE OF THREE EVENTS, MORE THAN 350 ATTENDED. THESE EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT (IMPLEMENTATION PLAN) STRATEGIES.
      REPORTING GROUP C PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
      REPORTING GROUP C PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
      REPORTING GROUP C PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
      REPORTING GROUP C PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
      PART V, SECTION B
FACILITY REPORTING GROUP D
      FACILITY REPORTING GROUP D CONSISTS OF:
- FACILITY 2: MCHS IN LA CROSSE, - FACILITY 15: MCHS IN SPARTA
      REPORTING GROUP D PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
      REPORTING GROUP D PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
      REPORTING GROUP D PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
      REPORTING GROUP D PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
      REPORTING GROUP D PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
      PART V, SECTION B
FACILITY REPORTING GROUP E
      FACILITY REPORTING GROUP E CONSISTS OF:
- FACILITY 1: MAYO CLINIC HOSPITAL IN ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA
      REPORTING GROUP E PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
      REPORTING GROUP E PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED AND UNIQUENESS OF CARE. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
      REPORTING GROUP E PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
      REPORTING GROUP E PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
      REPORTING GROUP E PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 3C:
MEDICAL INDIGENCY MAY BE USED TO DETERMINE ELIGIBILITY. IF A PATIENT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, BUT THE PATIENT DOES NOT QUALIFY BASED ON FPG, CHARITY WILL BE ADJUSTED TO A MINIMUM OF THE AMOUNT GENERALLY BILLED (AGB). THE AGB IS DETERMINED USING THE LOOK-BACK METHOD AND CALCULATED USING ALL CLAIMS ALLOWED BY PRIVATE PAY INSURERS (INCLUDING MEDICARE ADVANTAGE) AND MEDICARE (TRADITIONAL) FOR INPATIENT AND OUTPATIENT SERVICES FOR THE YEAR.
      PART I, LINE 6A:
IN 2020, SOME, BUT NOT ALL, OF THE SUBORDINATES PRODUCED AN ANNUAL REPORT FOR THE COMMUNITY, WHICH WAS MADE AVAILABLE TO THE PUBLIC ON THE WEB.
      PART I, LINE 7:
A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
      PART I, LINE 7G:
THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $39,298,976.
      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 $ 176,876,776.
      PART I, LINE 5A:
CHARITY CARE IS ESTIMATED FOR FINANCIAL PLANNING PURPOSES ONLY. THE ESTIMATED AMOUNT OF CHARITY CARE DOES NOT INFLUENCE NOR HAVE ANY IMPACT ON THE AMOUNT OF CHARITY CARE PROVIDED.
      PART III, LINE 1:
THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.
      PART II, COMMUNITY BUILDING ACTIVITIES:
DONATIONS AND GRANTS TO PUBLIC, PRIVATE AND NONPROFIT ORGANIZATIONS ASSIST WITH SUSTAINING AND ENHANCING THE DETERMINANTS OF HEALTH OF THE COMMUNITIES SERVED.
      PART III, LINE 2:
BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
      PART III, LINE 4:
FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 9 AND 12 OF MAYO CLINIC'S 2020 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
      PART III, LINE 8:
THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF APPROXIMATELY $739,524,000.THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H AND THE MEDICARE SHORTFALL BASED ON THE FINANCIAL STATEMENTS INCLUDE: (1) INCLUSION OF MEDICARE ADVANTAGE REVENUE AND EXPENSES; (2) INCLUSION OF PART B REVENUE AND EXPENSES; (3) INCLUSION OF OTHER FEE SCHEDULE REVENUE; AND (4) SOME TIMING ISSUES.THE MEDICARE SHORTFALL REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS REPORTS THE TOTAL MEDICARE SHORTFALL RELATED TO PATIENT CARE PROVIDED BY ALL SUBORDINATES IN THE GROUP RETURN AND IS THEREFORE NOT ADJUSTED FOR EDUCATION EXPENSE AND SUBSIDIZED HEALTH SERVICES.REASONS WHY THE MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
      PART III, LINE 9B:
MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION AND CONSIDER FINANCIAL ASSISTANCE PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY. MAYO CLINIC AND AFFILIATES ALSO MAKE REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS BEFORE REQUESTING PAYMENT FROM A PATIENT. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS POTENTIALLY MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA, OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY BASED ON SUBMISSION OF REQUESTED INFORMATION. COLLECTION ACTIVITY WOULD ONLY RESUME IF THE PATIENT IS DETERMINED TO BE INELIGIBLE FOR FINANCIAL ASSISTANCE OR IS ELIGIBLE FOR ONLY PARTIAL FINANCIAL ASSISTANCE AND DOES NOT AGREE TO PAY THE REMAINING BALANCE.
      PART VI, LINE 7:
NEITHER THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO A STATE HOSPITAL ASSOCIATION.
      PART VI, LINE 2:
"MAYO CLINIC, THE CENTRAL ORGANIZATION FOR THE SUBORDINATES INCLUDED IN THIS GROUP RETURN, ATTRACTS PATIENTS FROM AREAS FAR BEYOND ITS IMMEDIATE COMMUNITIES. PATIENTS COME TO MAYO CLINIC FROM EVERY STATE AND MANY FOREIGN COUNTRIES. BESIDES ITS PRINCIPAL CLINICAL AND HOSPITAL FACILITIES IN ROCHESTER, MINNESOTA, MAYO CLINIC HAS FACILITIES IN SCOTTSDALE AND PHOENIX, ARIZONA AS WELL AS JACKSONVILLE, FLORIDA. MAYO CLINIC ALSO HAS A NETWORK OF COMMUNITY BASED HEALTH CARE PROVIDERS IN OVER 70 COMMUNITIES THROUGHOUT SOUTHERN MINNESOTA, NORTHERN IOWA, AND WEST CENTRAL WISCONSIN. IN ADDITION, MAYO CLINIC SUPPORTS AND COORDINATES EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING WITHIN EACH OF THE COMMUNITIES IT SERVES AS WELL AS CONDUCTING MEDICAL EDUCATION AND RESEARCH ACTIVITIES TO ADVANCE THE SCIENCE OF MEDICINE TO BENEFIT A BROAD RANGE OF REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES.THE SUBORDINATES INCLUDED IN THIS GROUP RETURN WORK COLLABORATIVELY WITH THEIR INPATIENT AND OUTPATIENT PRACTICES TO MEET THE HEALTH CARE NEEDS OF THEIR RESPECTIVE LOCAL COMMUNITIES. THESE ENTITIES ARE COLLECTIVELY REFERRED TO AS ""MAYO CLINIC"" FOR PURPOSES OF THIS DESCRIPTION.MAYO CLINIC'S EFFORTS TO ASSESS THE HEALTH CARE NEEDS OF THE LOCAL COMMUNITIES REST ON FOUR GUIDING PRINCIPLES DEVELOPED IN CONJUNCTION WITH COMMUNITY PARTNERS AND AFFIRMED BY MAYO CLINIC LEADERSHIP:1. HEALTH IS VALUED BY BOTH THE COMMUNITY AND MAYO CLINIC.2. ""HEALTH"" IS DETERMINED BY BOTH MEDICAL AND NON-MEDICAL (E.G., SOCIAL AND BEHAVIORAL) FACTORS AND BOTH CATEGORIES OF FACTORS MUST BE ADDRESSED.3. MAYO CLINIC IS COMMITTED TO PRODUCING MEASURABLE IMPROVEMENTS IN THE HEALTH OF LOCAL COUNTY RESIDENTS AND BEYOND.4. STRATEGIES TO IMPROVE COMMUNITY HEALTH ARE BEST DETERMINED AND IMPLEMENTED THROUGH PARTNERSHIPS BETWEEN HEALTH CARE PROVIDERS AND COMMUNITY MEMBERS.WITH THESE PRINCIPLES AS THE BASIS OF ITS DECISION MAKING, AND CONSISTENT WITH ITS PRIMARY VALUE OF ""THE NEEDS OF THE PATIENT COME FIRST"", MAYO CLINIC'S APPROACH TO ASSESS THE NEEDS OF THE COMMUNITY IS ORGANIZED INTO TWO MAIN FUNCTIONS: 1) MECHANISMS TO ENGAGE AND UTILIZE INPUT FROM THE COMMUNITY AND 2) MECHANISMS TO SUPPORT AND COORDINATE INITIATIVES WITHIN MAYO CLINIC.WITHIN MAYO CLINIC, COORDINATION OF COMMUNITY ENGAGEMENT INITIATIVES IS ACCOMPLISHED THROUGH COMMUNITY GIVING COMMITTEES THAT EVALUATE FUNDING AND SPONSORSHIP REQUESTS FROM COMMUNITY AGENCIES AND GUIDES INSTITUTIONAL SUPPORT FOR VARIOUS COMMUNITY INITIATIVES. THE COMMITTEES ENSURE THE GUIDING PRINCIPLES ARE FOLLOWED AND FACILITATE COMMUNITY OUTREACH INITIATIVES."
      PART VI, LINE 3:
MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE.MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AND APPLICATIONS AVAILABLE ON THEIR WEBPAGES, INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY AND APPLICATION FREE OF CHARGE. INDIVIDUALS IN THE COMMUNITY SERVED WILL BE ABLE TO OBTAIN A COPY OF THE POLICY IN LOCATIONS THROUGHOUT EACH MAYO CLINIC AFFILIATED SITE OR UPON REQUEST IN PERSON OR BY PHONE. THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE PLAIN LANGUAGE SUMMARY (PLS) EXPLAIN THE FINANCIAL ASSISTANCE PROGRAM AND OUTLINES ELIGIBILITY CRITERIA AND PROVIDES INSTRUCTIONS TO SUBMIT AN APPLICATION. WITHIN EACH HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED. ADDITIONALLY, CHARITABLE CARE AND FINANCIAL ASSISTANCE IS REFERENCED ON PATIENT CORRESPONDENCE INCLUDING: THE MONTHLY STATEMENT OF ACCOUNT, ACCOUNT BALANCE LETTERS, AND LATE PAYMENT NOTIFICATIONS. ALL PATIENT CORRESPONDENCE REFERENCING CHARITABLE CARE AND FINANCIAL ASSISTANCE INCLUDE INTERNET, PHONE, AND MAILING ADDRESS CONTACT INFORMATION. PATIENTS MAY ALSO BE MADE AWARE OF THE FAP VIA THEIR PROVIDER AND/OR OTHER MAYO CLINIC EMPLOYEES, WHO CAN PUT A PATIENT IN CONTACT WITH RESOURCES AVAILABLE TO ASSIST WITH THE APPLICATION PROCESS.
      PART VI, LINE 6:
"THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH MAYO CLINIC. MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF ""THE NEEDS OF THE PATIENT COME FIRST."" APPROXIMATELY 6,900 PHYSICIANS, SCIENTISTS AND RESIDENTS AND OVER 63,000 ADMINISTRATIVE AND ALLIED HEALTH STAFF WORK AT MAYO CLINIC, WHICH HAS SITES IN ROCHESTER, MINNESOTA, JACKSONVILLE, FLORIDA, AND SCOTTSDALE/PHOENIX, ARIZONA, AS WELL AS A REGIONAL NETWORK OF HOSPITALS AND CLINICS IN MINNESOTA, WISCONSIN, AND IOWA. COLLECTIVELY, MORE THAN 1.3 MILLION PEOPLE ARE TREATED EACH YEAR. SPECIFICALLY, THE SUBORDINATE ORGANIZATIONS REPORTED ON SCHEDULE H OF THIS GROUP RETURN PROVIDE ONE OR MORE OF THE FOLLOWING SERVICES AT THEIR RESPECTIVE LOCATIONS: MEDICAL EDUCATION, RESEARCH, HOSPITAL AND CLINIC SERVICES.FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS (REPORTED IN SCHEDULE O)."
      PART VI, LINE 4:
MAYO CLINIC HOSPITAL - ROCHESTER WORKS COLLABORATIVELY WITH MAYO CLINIC TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. TOGETHER, MAYO CLINIC AND MAYO CLINIC HOSPITAL - ROCHESTER SERVE THE POPULATION OF OLMSTED COUNTY IN MINNESOTA AS WELL AS A WIDER REGIONAL, NATIONAL, AND EVEN INTERNATIONAL POPULATION. ALTHOUGH IT SERVES A WIDE RANGE OF HEALTH CARE NEEDS INCLUDING PRIMARY AND COMMUNITY CARE, MAYO IS ESPECIALLY FOCUSED IN PROVIDING TERTIARY CARE AND SPECIALTY TREATMENT OF THE MORE UNUSUAL AND DIFFICULT MEDICAL CASES.DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2019, OLMSTED COUNTY HAD AN ESTIMATED POPULATION OF 158,293, OF WHICH AN ESTIMATED 24.40% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 15.90% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $76,951 WITH APPROXIMATELY 6.7% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC ARIZONA (MCA) IS LOCATED IN THE GREATER PHOENIX METROPOLITAN AREA. MCA'S OUTPATIENT CLINIC IS IN THE NORTHEAST QUADRANT OF SCOTTSDALE, ARIZONA. MCA'S INPATIENT HOSPITAL IS LOCATED IN NORTH PHOENIX, APPROXIMATELY 13 MILES NORTHWEST OF THE SCOTTSDALE LOCATION. POPULATIONS SERVED ARE FROM THE PHOENIX/SCOTTSDALE AREA, THE SOUTHWESTERN UNITED STATES AND INTERNATIONALLY. BOTH PHOENIX AND SCOTTSDALE ARE MORE URBAN AND SUBURBAN COMMUNITIES. HOWEVER, MCA RESIDES IN MARICOPA COUNTY - THE LARGEST COUNTY IN THE STATE AND 4TH LARGEST IN THE UNITED STATES. IN ADDITION TO LARGE METROPOLITAN, URBAN AND SUBURBAN COMMUNITIES, IT ALSO HAS A LARGER SERVICE AREA OF RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS, AS OF JULY 1, 2019, MARICOPA COUNTY HAD AN ESTIMATED POPULATION OF 4,485,414, OF WHICH AN ESTIMATED 23.50% WAS UNDER THE AGE OF 18 AND 15.50% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $64,468 WITH APPROXIMATELY 12.20% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC FLORIDA (MCF) AND ITS AFFILIATED CLINIC, MAYO CLINIC JACKSONVILLE (MCJ), ARE LOCATED IN JACKSONVILLE, FLORIDA. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF DUVAL AND ST. JOHNS COUNTIES IN NORTHEAST FLORIDA. POPULATIONS SERVED ARE FROM THE JACKSONVILLE AREA, THE SOUTHEASTERN UNITED STATES AND INTERNATIONALLY. THE SERVICE AREA WOULD INCLUDE METROPOLITAN, URBAN AND SUBURBAN COMMUNITIES. IN ADDITION, THE SERVICE AREA WOULD EXTEND TO AREAS WITH RURAL AND FARMING COMMUNITIES. MCF/MCJ DOES NOT HAVE PEDIATRIC OR OBSTETRIC PRACTICES, AND THIS LIMITS ACCESS TO MEDICAID PATIENTS SINCE FLORIDA'S MEDICAID BENEFITS ARE GENERALLY RESTRICTED TO CHILDREN AND PREGNANT WOMEN. HOWEVER, MCF/MCJ DOES HAVE AGREEMENTS WITH THE STATE OF FLORIDA TO PROVIDE A CERTAIN PERCENTAGE OF ORGAN TRANSPLANTS TO MEDICAID OR CHARITY PATIENTS (THE AMOUNT VARIES WITH EACH ORGAN).DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS, AS OF JULY 1, 2019, DUVAL AND ST. JOHNS COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 1,222,427, OF WHICH AN ESTIMATED 22.05% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.55% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $69,030 WITH APPROXIMATELY 9.95% OF THE POPULATION BELOW THE POVERTY LEVEL. MCHS-ALBERT LEA AND AUSTIN, MCHS-CANNON FALLS, MCHS-LAKE CITY, AND MCHS-RED WING ARE LOCATED IN THE SOUTHEAST REGION OF MINNESOTA. MCHS-ALBERT LEA AND AUSTIN PRIMARILY SERVE THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF MOWER, FREEBORN, STEELE AND RICE, WHEREAS MCHS-CANNON FALLS, LAKE CITY, AND RED WING PRIMARILY SERVE THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF GOODHUE AND WABASHA. BOTH SERVICE AREAS INCLUDE URBAN, SUBURBAN, RURAL AND FARMING COMMUNITIES.DEMOGRAPHICS: BASED ON THE U.S. CENSUS BUREAU QUICKFACTS, AS OF JULY 1, 2019, STEELE, RICE, MOWER, AND FREEBORN COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 173,964, OF WHICH AN ESTIMATED 23.30% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.78% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $60,353 WITH APPROXIMATELY 8.90% OF THE POPULATION BELOW THE POVERTY LEVEL.GOODHUE AND WABASHA COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 67,967, OF WHICH AN ESTIMATED 22.85% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 21.35% WAS OVER THE AGE OF 65. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $66,013 WITH APPROXIMATELY 7.75% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-MANKATO, MCHS-FAIRMONT, MCHS-SPRINGFIELD, MCHS-WASECA, MCHS-ST. JAMES AND MCHS-NEW PRAGUE ARE LOCATED IN THE SOUTHWEST REGION OF MINNESOTA. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF THE COUNTIES OF BLUE EARTH, NICOLLET, MARTIN, BROWN, WASECA, WATONWAN, SCOTT AND LE SUEUR IN SOUTHERN MINNESOTA. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN SOUTHERN MINNESOTA AND NORTHERN IOWA. THIS SERVICE AREA INCLUDES URBAN AND SUBURBAN COMMUNITIES, ALONG WITH RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2019, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION OF 354,027, OF WHICH AN ESTIMATED 23.00% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.05% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $65,351 WITH APPROXIMATELY 9.16% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-EAU CLAIRE, MCHS-RED CEDAR, MCHS-OAKRIDGE, MCHS-CHIPPEWA VALLEY AND MCHS-NORTHLAND ARE LOCATED IN WESTERN WISCONSIN. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF THE COUNTIES OF EAU CLAIRE, DUNN, TREMPEALEAU, BARRON AND CHIPPEWA. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN WESTERN WISCONSIN. THIS SERVICE AREA INCLUDES URBAN AND SUBURBAN COMMUNITIES, ALONG WITH RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2019, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION 289,565, OF WHICH AN ESTIMATED 21.62% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 18.34% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $57,850 WITH APPROXIMATELY 9.78% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-FRANCISCAN MEDICAL CENTER, INC. (LA CROSSE AND SPARTA) SERVES THE RESIDENTS OF LA CROSSE, MONROE AND CRAWFORD COUNTIES IN WISCONSIN AND HOUSTON COUNTY IN MINNESOTA. THE CITY OF LA CROSSE REPRESENTS A SMALL URBAN AREA AND THE BALANCE OF THE SERVICE AREA IS EITHER RURAL OR SMALL TOWNS. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2019, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 199,000, OF WHICH AN ESTIMATED 21.68% WAS UNDER THE AGE OF 18 AND 20.10% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $57,112 WITH APPROXIMATELY 10.53% OF THE POPULATION BELOW THE POVERTY LEVEL.
      PART VI, LINE 5:
"THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE AFFILIATES OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF ""THE NEEDS OF THE PATIENT COME FIRST."" THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE,MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION - EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED.PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES. SURPLUS FUNDS - MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE.COMMUNITY REPRESENTATION ON GOVERNING BODY - THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE INDEPENDENT NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE SUCH AREAS AS HEALTH CARE POLICY, RESEARCH, EDUCATION, BUSINESS, AND GOVERNMENT. THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN, WHICH ARE CONTROLLED BY MAYO CLINIC, RELY ON THE COMMUNITY REPRESENTATION OF THE MAYO CLINIC BOARD OF TRUSTEES TO FULFILL THIS REQUIREMENT. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, SEVERAL OF THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ALSO INVOLVE LOCAL COMMUNITY MEMBERS ON THEIR GOVERNING BODIES. OPEN V. CLOSED STAFF MODEL - SEVERAL OF MAYO CLINIC'S HOSPITAL ENTITIES HAVE OBTAINED LETTER RULINGS APPROVING A STAFF MODEL IN WHICH ONLY MAYO CLINIC EMPLOYED PHYSICIANS ARE GIVEN STAFF PRIVILEGES IN ORDER TO MAINTAIN STANDARD METHODS OF PRACTICE AND PROTOCOLS. FOR THOSE ENTITIES, THE PHYSICIANS ARE SALARIED EMPLOYEES AND THUS THE ISSUE OF PRIVATE INUREMENT AND PRIVATE BENEFIT ADDRESSED BY THE OPEN STAFF REQUIREMENT ARE OTHERWISE ADDRESSED. THREE OF THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN OPERATE BASED ON THE CLOSED STAFF MODEL.EMERGENCY ROOM - THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN MAINTAIN EMERGENCY ROOMS WITHIN THEIR HOSPITAL FACILITIES 24 HOURS A DAY, 7 DAYS A WEEK, WHICH ARE OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY."