4A (Expenses $ 592219072 including grants of $ 0) (Revenue $ 548535391)
JAMAICA HOSPITAL IS A 408-BEDS INCLUDING BASSINETS, FULLY ACCREDITED COMMUNITY TEACHING HOSPITAL WITH A LARGE NETWORK OF COMMUNITY-BASED AMBULATORY CARE CENTERS. JHMC OFFERS A FULL ARRAY OF ACUTE INPATIENT REHABILITATION AND MENTAL HEALTH SERVICES, THE LARGEST VOLUNTARY HOSPITAL AMBULANCE FLEET SERVING THE CITY'S 911 SYSTEM AND A LEVEL 1 TRAUMA CENTER.

JAMAICA HOSPITAL MEDICAL CENTER
PART V, SECTION B, LINE 5: THE EFFECTS OF POVERTY ON HEALTH, INCLUDING DIFFICULTY OBTAINING NUTRITIOUS FOOD, UNEMPLOYMENT, AND THE BURDEN OF HIGH RENTS ARE OBSERVED IN THE COMMUNITIES THAT JAMAICA HOSPITAL SERVES, PARTICULARLY IN EAST NEW YORK, BROOKLYN, AND IN POCKETS OF SOUTHWEST QUEENS AND JAMAICA.CHRONIC DISEASES, OBESITY, TOBACCO USE, BEHAVIORAL HEALTH CONCERNS, MATERNAL MORBIDITY, AND LATE OR NO PRENATAL CARE WERE AMONG THE HEALTH ISSUES HIGHLIGHTED IN THE COMMUNITY-LEVEL DATA ANALYSES THAT JAMAICA HOSPITAL CONDUCTED FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THESE HEALTH CONCERNS WERE ALSO IDENTIFIED BY RESIDENTS OF THE HOSPITAL'S SERVICE AREA WHO RESPONDED TO A HEALTH NEEDS ASSESSMENT SURVEY SPONSORED BY THE HOSPITAL DURING THE SPRING AND SUMMER OF 2019. MANY OF THESE HEALTH PROBLEMS ARE CAUSED IN PART BY OR EXACERBATED BY THE SOCIAL DETERMINANTS OF HEALTH (SDH). THE HOSPITAL HAS BEGUN FOCUSED EFFORTS TO ADDRESS SDH, INCLUDING THE EFFECTS OF DISCRIMINATION, AS PART OF ITS TREATMENT OF THE WHOLE PERSON. BREASTFEEDING, WHICH LOWERS THE RISK OF DEATH FROM INFECTIOUS DISEASES IN A CHILD'S FIRST TWO YEARS OF LIFE, AND CAN ALSO REDUCE THE RISK OF CHILDHOOD OBESITY AS WELL AS THE RISK OF A WOMAN DEVELOPING BREAST OR OVARIAN CANCER, IS STILL NOT PRACTICED AS OFTEN IN PARTS OF THE HOSPITAL'S SERVICE AREA AS IT IS IN NEW YORK CITY OVERALL. JAMAICA HOSPITAL HAS FOCUSED ON IMPROVING RATES OF EXCLUSIVE BREASTFEEDING AMONG THE WOMEN GIVING BIRTH IN THE HOSPITAL AND THOSE ATTENDING ITS AMBULATORY CARE CENTERS WITH THEIR INFANTS, AS WELL AS AMONG MOTHERS IN THE COMMUNITY. THE HOSPITAL IS DESIGNATED AS A BABY FRIENDLY HOSPITAL FOR OFFERING AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING.TOBACCO USE AND SECONDHAND SMOKE, AS WELL AS HOUSEHOLD/OUTDOOR AIR POLLUTION, WERE IDENTIFIED AS ONGOING COMMUNITY HEALTH CONCERNS THAT ARE CORRELATED WITH CHRONIC DISEASE, SUCH AS ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE AS WELL AS CANCER. RESPONDING TO THE NEEDS OF THE COMMUNITY, JAMAICA HOSPITAL HAS FOCUSED ON IMPROVING TOBACCO CESSATION RATES. THE HOSPITAL WAS AWARDED GOLD STAR STATUS FROM THE NYC DOHMH'S TOBACCO-FREE HOSPITALS CAMPAIGN IN RECOGNITION OF ITS TOBACCO CESSATION PROGRAMMING AND SUCCESSES, AND CONTINUES TO COMPLY WITH THE CAMPAIGN'S STANDARDS.WITH THE BENEFIT OF COMMUNITY INPUT, THE HOSPITAL HAS CHOSEN TO HIGHLIGHT THE PREVALENCE OF THESE TWO HEALTH ISSUES IN ITS SERVICE AREA AS WELL AS THE HOSPITAL'S CONCERTED EFFORTS TO ADDRESS THEM IN ITS THREE YEAR COMPREHENSIVE COMMUNITY SERVICE PLAN AND IMPLEMENTATION PLAN. THESE INITIATIVES ARE IN ALIGNMENT WITH THE NYS PREVENTION AGENDA PRIORITIES AND THE HEALTHY PEOPLE 2020 GOALS.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $21,224,216.

PART II, COMMUNITY BUILDING ACTIVITIES:
"AS DESCRIBED IN DETAIL UNDER THE RESOURCES AND ACCOMPLISHMENTS SECTIONS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL'S PREVENTION PRIORITIES AND ITS COMMUNITY PREVENTION WORK ARE IN LINE WITH MANY OF THE PRIORITIES AND PREVENTION STRATEGIES IDENTIFIED IN THE NYS PREVENTION AGENDA AND THE COMMUNITY'S PRIORITIES AS IDENTIFIED IN RESPONSE TO A COMMUNITY-WIDE SURVEY PERFORMED THIS SPRING AND SUMMER BY THE HOSPITAL. THE HOSPITAL HAS NO AGENCY IN SOME AREAS, SUCH AS DECREASING THE JAIL POPULATION, INCREASING HOMES WITH NO MAINTENANCE DEFECTS AND OTHERS THAT GOVERNMENT AGENCIES AND SOCIAL SERVICE ADVOCACY AND SUPPORT AGENCIES ARE BETTER SUITED TO ADDRESS.JHMC PROGRAMS ADDRESSING TOP COMMUNITY HEALTH ISSUES- IN RELATION TO CANCER, ONE OF THE THREE HEALTH ISSUES IDENTIFIED IN THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, THE HOSPITAL OFFERS FREE CANCER SCREENINGS AND REFERRALS TO HIGHLY SPECIALIZED CANCER SERVICES PROGRAMS THROUGH A PARTNERSHIP WITH THE CANCER SERVICES PROGRAM QUEENS FUNDED BY THE BUREAU OF CANCER PREVENTION AND CONTROL. THE HOSPITAL OPERATES A PATIENT NAVIGATOR PROGRAM FOR COLON CANCER TO INCREASE SHOW RATES FOR SCREENINGS AND NECESSARY FOLLOW-UP. IN PARTNERSHIP PARTNER WITH THE NYC DOHMH THE HOSPITAL ARRANGES FOR FREE CANCER SCREENINGS FOR THOSE WITHOUT INSURANCE OR SUFFICIENT FINANCIAL RESOURCES.- IN RELATION TO HEART DISEASE, ALSO ONE OF THE TOP THREE ISSUES, THROUGH ITS DSRIP PARTICIPATION IT IMPLEMENTED EVIDENCE-BASED BEST PRACTICES FOR CARDIOVASCULAR DISEASE MANAGEMENT IN ALL ITS AMBULATORY CARE PRACTICES;- IN RELATION TO HIGH BLOOD PRESSURE, ANOTHER OF THE TOP THREE ISSUES, IT IS A MEMBER OF TAKE THE PRESSURE OFF, NYC!, A MULTI-SECTOR CITY-WIDE COLLABORATIVE WORKING IN COMMUNITIES TO PREVENT AND CONTROL HIGH BLOOD PRESSURE. ALSO, FREE BLOOD PRESSURE SCREENINGS, DEPRESSION SCREENING, AND OTHER SCREENING SERVICES ARE OFFERED TO THE COMMUNITY AT NUMEROUS HEALTH FAIRS THROUGHOUT THE YEAR, AND FREE BLOOD PRESSURE SCREENING IS OFFERED ONCE WEEKLY AT THE HOSPITAL'S FARM STAND DURING THE SEASON AND IN THE MAIN LOBBY THE REST OF THE YEAR.- IN RELATION TO DIABETES, THE FOURTH HIGHEST RATED COMMUNITY HEALTH ISSUE, FREE NATIONAL DIABETES PREVENTION PROGRAM SESSIONS ARE OFFERED TO PEOPLE IDENTIFIED AS HAVING PRE-DIABETES.- IN RELATION TO WOMEN'S HEALTH AND INFANT CARE, WHICH IS TIED WITH DIABETES AS THE FOURTH HIGHEST ISSUE, THE HOSPITAL OFFERS A WEEKLY BREASTFEEDING SUPPORT GROUP TO PATIENTS AND COMMUNITY MEMBERS; THE PROGRAM IS ALSO AVAILABLE IN SPANISH. THE HOSPITAL OPERATES A MILK DEPOT WHERE MOTHERS CAN DONATE THEIR EXCESS BREAST MILK TO BE DISTRIBUTED BY THE NEW YORK MILK BANK TO MOTHERS WHO ARE UNABLE TO BREASTFEED THEIR PREMATURE BABIES OR INFANTS WITH WEAKENED IMMUNE SYSTEMS.- IN RELATION TO OBESITY, ANOTHER HIGH RANKED HEALTH ISSUE, IN PARTNERSHIP WITH NYC'S SHAPE UP NYC PROGRAM, SEVERAL FREE DROP IN FITNESS CLASSES ARE OFFERED EACH WEEK ON THE HOSPITAL'S CAMPUS TO R TO COMMUNITY RESIDENTS. THE HOSPITAL ALSO SPONSORS A WEEKLY FARMSTAND DURING THE SEASON THAT ACCEPTS SNAP, FMNP CHECKS, HEALTH BUCKS AND OTHER BENEFIT PROGRAMS. - IN RELATION TO HIV/AIDS, ALSO A HIGH RANKED HEALTH ISSUE, THE HOSPITAL ROUTINELY OFFERS HIV TESTING IN EMERGENCY DEPARTMENTS AND ALL OUTPATIENT CLINICS. THE HOSPITAL OPERATES AN HIV MEDICAL CLINIC AND WORKS IN CONCERT WITH THE NYS DOH AIDS INSTITUTE IN INITIATIVES TO ""END THE EPIDEMIC""."

PART III, LINE 4:
"FINANCIAL STATEMENTS BAD DEBT & CHARITY CARE FOOTNOTE:JAMAICA PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A MATTER OF POLICY, JAMAICA PROVIDES SIGNIFICANT AMOUNTS OF PARTIALLY OR TOTALLY UNCOMPENSATED PATIENT CARE. FOR ACCOUNTING PURPOSES, SUCH UNCOMPENSATED CARE IS TREATED AS CHARITY CARE. JAMAICA PROVIDES CHARITY CARE FOR THE DIFFERENCE BETWEEN ITS CUSTOMARY CHARGES AND THE DISCOUNTED RATES GIVEN TO PATIENTS IN NEED OF FINANCIAL ASSISTANCE. SINCE PAYMENT OF THIS DIFFERENCE IS NOT SOUGHT, CHARITY CARE ALLOWANCES ARE NOT REPORTED AS REVENUE. REMAINING UNCOLLECTED BALANCES AFTER CHARITABLE ALLOWANCES FOR THESE PATIENTS ARE CATEGORIZED AS BAD DEBTS. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. JAMAICA'S FINANCIAL ASSISTANCE POLICY ENSURES THAT ANY PATIENT THAT HAS BEEN DEEMED TO BE UNINSURED THROUGH BASIC FINANCIAL SCREENING WILL BE ENTITLED TO A GLOBAL CHARITABLE DISCOUNT FOR EMERGENT (NEW YORK STATE (""NYS"") RESIDENTS) AND/OR MEDICALLY NECESSARY SERVICES (RESIDES IN JAMAICA'S PRIMARY SERVICE AREA). THE GLOBAL CHARITABLE DISCOUNT WILL BE BASED ON THE CURRENT APPLICABLE MEDICAID - DEPENDING ON THE SERVICE PROVIDED. THE GLOBAL DISCOUNTS FOR UNINSURED PATIENTS ARE BASED ON THE PREMISE THAT JAMAICA SERVES A LOW-INCOME, UNDER-INSURED POPULATION - AS SUPPORTED BY PUBLIC STATISTICS - AND THAT UNINSURED PATIENTS LIVING IN THIS COMMUNITY WILL GENERALLY NOT BE ABLE TO PAY THEIR BILL IN ITS ENTIRETY. AFTER THE GLOBAL CHARITABLE DISCOUNT IS APPLIED, PATIENTS DEMONSTRATING ADDITIONAL FINANCIAL NEED MAY BE EXTENDED SLIDING SCALE DISCOUNTS UNDER THE CHARITY CARE POLICY. ADDITIONALLY, FOR COVERED SERVICES THERE ARE NO LIMITS ON FINANCIAL ASSISTANCE BASED ON THE MEDICAL CONDITION OF THE APPLICANT.COSTING METHODOLOGY FOR CALCULATING LINES 2 & 3:BAD DEBT EXPENSE IS ESTIMATED BASE ON AGING OF THE ACCOUNTS RECEIVABLE AND GETS ADJUSTED BASE ON ACTUAL WRITE OFF. ACTUAL ACCOUNT WRITE OFF IS AS FOLLOW: PATIENTS WHO ARE ENTITLED TO FINANCIAL ASSISTANT ARE GIVEN DISCOUNT BASE ON OUR CHARITY CARE POLICY (MEDICAID RATE) IF THE PATIENT DOESN'T PAY THE BALANCE OF THEIR ACCOUNT AFTER RECEIVING 3 BILLS THEN THE ACCOUNT BALANCE GETS TRANSFER TO THE COLLECTION AGENCY. IF THE COLLECTION AGENCY CAN'T COLLECT AFTER EXHAUSTING THEIR EFFORT THEN THE ACCOUNT GETS RETURNED AS UNCOLLECTIBLE AND HOSPITAL WRITE OFF THE ACCOUNT AS BAD DEBT."

PART III, LINE 8:
LINE 5 MEDICARE REVENUE AND LINE 6 MEDICARE ALLOWABLE COSTS ARE FROM HOSPITAL COST REPORT THAT GETS FILED WITH MEDICARE EVERY YEAR. COST METHODOLOGY THAT IS USED TO CALCULATE MEDICARE ALLOWABLE COST IS RATIO OF COST TO CHARGES BASE ON MEDICARE GUIDELINES. MEDICARE ALLOWABLE COST ON LINE 6 DOESN'T INCLUDE COST OF RESIDENCY PROGRAM AND SUPERVISORY PHYSICIAN COST WHICH IS OVER $60 MILLION. EXCLUSION OF THESE COSTS RESULTED IN THE SURPLUS ON LINE 7.

PART VI, LINE 2:
"THE OVERARCHING STRATEGY OF THE PREVENTION AGENDA IS TO IMPLEMENT PUBLIC HEALTH APPROACHES THAT IMPROVE THE HEALTH AND WELL-BEING OF ENTIRE POPULATIONS AND ACHIEVE HEALTH EQUITY. THIS STRATEGY INCLUDES AN EMPHASIS ON SOCIAL DETERMINANTS OF HEALTHDEFINED BY HEALTHY PEOPLE 2020 AS THE CONDITIONS IN THE ENVIRONMENTS IN WHICH PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, ANDAGE THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY-OF-LIFE OUTCOMES AND RISKS. THE CONDITIONS IN THE ENVIRONMENTS WHERE PEOPLE LIVE, WORK AND PLAY HAVE A SIGNIFICANT INFLUENCE ON HEALTH STATUS AND QUALITY OF LIFE AND CAN BE ROOT CAUSES OF POOR HEALTH AND ADVERSE OUTCOMES.PRIORITY AREA I: PREVENT CHRONIC DISEASEFOCUS AREA 1: HEALTHY EATING AND FOOD SECURITYOVERARCHING GOAL: REDUCE OBESITY AND THE RISK OF CHRONIC DISEASESGOAL 1.1: INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGESGOAL 1.2: INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES. SUPERMARKET TO BODEGA RATIO. DATA FROM NYC DOHMH, EPIQUERY, 2018 COMMUNITY HEALTH PROFILESGOAL 1.3: INCREASE FOOD SECURITY. DATA FROM COMMUNITY HEALTH SURVEYS, 2018 FOOD INSECURITY (EPIQUERY, 2017 DATA)RESOURCES AND ACCOMPLISHMENTS: JHMC STRIVES TO HELP ITS COMMUNITY MEMBERS REDUCE OBESITY AND EMPOWER THEM TO MAKE HEALTH-CONSCIOUS NUTRITION DECISIONS. THE HOSPITAL'S SERVICES INCLUDE NUTRITIONISTS AND ALSO LIFESTYLE COACHES, WHO LEAD FREE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) CLASSES TO HELP PEOPLE WITH PRE-DIABETES TO MANAGE THEIR HEALTH, DEVELOP HEALTHY EATING HABITS AND REACH WEIGHT MANAGEMENT GOALS. JHMC PARTICIPATED IN THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE'S ""HEALTHY HOSPITAL FOOD INITIATIVE"" TO CREATE A HEALTHIER FOOD ENVIRONMENT THROUGH SUCH ACTIVITIES AS MEETING STANDARDS FOR FOOD OFFERED TO INPATIENTS, STOCKING VENDING MACHINES WITH HEALTHY FOODS AND BEVERAGES AND OFFERING HEALTHY CHOICES IN THE HOSPITAL CAFETERIA. BREASTFEEDING IS ENCOURAGED BY JAMAICA HOSPITAL'S STAFF AS ANOTHER HEALTHY MEANS OF HELPING POSTPARTUM MOTHERS TO SHED WEIGHT GAINED DURING PREGNANCY AND POTENTIALLY REDUCING THE RISK OF PEDIATRIC OBESITY AND OTHER HEALTH PROBLEMS FOR THEIR CHILDREN.THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFERS A ""HEALTH BUCKS"" PROGRAM, THROUGH WHICH FRESH FRUITS AND VEGETABLES CAN BE PURCHASED AT ALL FARMERS' MARKETS IN NYC. THE HOSPITAL'S WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM PROVIDES CLIENTS WITH FARMERS' MARKET NUTRITION PROGRAM (FMNP) AND EWIC FUNDS TO ASSIST THEM WITH SHOPPING FOR HEALTHY FOOD AT THE FARMSTAND. FMNP CHECKS ARE ALSO GIVEN TO SENIORS: ONE HUNDRED WERE GIVEN OUT DURING THE 2019 SEASON. TEN FARMERS' MARKETS ARE FOUND IN JHMC'S SERVICE AREA, INCLUDING JAMAICA HOSPITAL FARM STAND, WHICH OFFERS A VARIETY OF SEASONAL FRUITS AND VEGETABLES, COOKING DEMONSTRATIONS, AND FREE HEALTH SCREENINGS ONCE A WEEK. JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS EDUCATIONAL ARTICLES AND VIDEOS WITH HEALTHY RECIPES, HOW TO COMBAT ADULT AND CHILDHOOD OBESITY AS WELL AS TIPS TO MANAGE DIABETES.THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 2: PHYSICAL ACTIVITYGOAL 2.1: IMPROVE COMMUNITY ENVIRONMENTS THAT SUPPORT ACTIVE TRANSPORTATION AND RECREATIONAL PHYSICAL ACTIVITY FOR PEOPLE OF ALL AGES AND ABILITIES. ACCESS TO PARKS. DATA FROM NYC PLANNING DEPARTMENT, COMMUNITY DISTRICT PROFILES, ACCESS TO PARKS, 2016, FROM NYC DEPARTMENT OF PARKS AND RECREATIONGOAL 2.2: PROMOTE SCHOOL, CHILDCARE, AND WORKSITE ENVIRONMENTS THAT SUPPORT PHYSICAL ACTIVITY FOR PEOPLE OF ALL AGES AND ABILITIESGOAL 2.3: INCREASE ACCESS, FOR PEOPLE OF ALL AGES AND ABILITIES, TO SAFE INDOOR AND/OR OUTDOOR PLACES FOR PHYSICAL ACTIVITY. SOURCE: NEW YORK CITY DEPARTMENT OF HEALTH, EPIQUERY, 2017 COMMUNITY HEALTH SURVEYRESOURCES AND ACCOMPLISHMENTS: JHMC PARTICIPATES IN THE NEW YORK CITY DEPARTMENT OF PARKS AND RECREATION'S SHAPE UP NYC PROGRAM, WHICH OFFERS FREE DROP-IN FITNESS CLASSES AT MULTIPLE LOCATIONS ACROSS NYC. SEVERAL SEPARATE CLASSES EACH WEEK ARE OFFERED AT THE HOSPITAL'S MEDIFIT GYM WHICH ARE OPEN TO EMPLOYEES AND MEMBERS OF THE COMMUNITY. THE NUMBER OF CLASSES VARIES ACCORDING TO THE AVAILABILITY OF VOLUNTEER INSTRUCTORS FROM THE SHAPE UP NYC PROGRAM.JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS ARTICLES AND VIDEOS PROMOTING THE IMPORTANCE OF PHYSICAL ACTIVITY AND EXERCISE IN BOTH ADULTS AND CHILDREN.THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 3: TOBACCO PREVENTIONGOAL 3.1: PREVENT INITIATION OF TOBACCO USE, INCLUDING COMBUSTIBLE TOBACCO AND ELECTRONIC VAPING PRODUCTS (ELECTRONIC CIGARETTES AND SIMILAR DEVICES) BY YOUTH AND YOUNG ADULTS. SOURCE: EPIQUERY COMMUNITY HEALTH SURVEY 2017, 2016 DATAGOAL 3.2: PROMOTE TOBACCO USE CESSATION, ESPECIALLY AMONG POPULATIONS DISPROPORTIONATELY AFFECTED BY TOBACCO USE INCLUDING: LOW SES; FREQUENT MENTAL DISTRESS/SUBSTANCE USE DISORDER; LGBT; AND DISABILITY.GOAL 3.3: ELIMINATE EXPOSURE TO SECONDHAND SMOKE AND EXPOSURE TO SECONDHAND AEROSOL/EMISSIONS FROM ELECTRONIC VAPOR PRODUCTS. SOURCE: EPIQUERY COMMUNITY HEALTH SURVEY, 2018RESOURCES AND ACCOMPLISHMENTS: JHMC HAS OBTAINED AND IS MAINTAINING THE STANDARDS FOR GOLD STAR STATUS FROM THE NYC TOBACCO-FREE HOSPITALS CAMPAIGN FOR ITS TOBACCO CESSATION WORK WITH PATIENTS AND EMPLOYEES. THE HOSPITAL HAS UPDATED ITS ELECTRONIC HEALTH RECORD (EHR) SYSTEM TO INTRODUCE SMOKING CESSATION COUNSELING PROMPTS, TO MAKE ELECTRONIC REFERRALS FROM ITS EHR DIRECTLY TO THE NEW YORK STATE QUIT LINE AND TO GIVE ALL SMOKERS EDUCATIONAL LITERATURE ABOUT QUITTING AT DISCHARGE. PHYSICIANS CONDUCT A MANDATORY 5-QUESTION ASSESSMENT OF ALL PATIENTS TO SCREEN FOR TOBACCO USAGE AND GAUGE READINESS TO QUIT. IN 2018, THE HOSPITAL ASSESSED 95% OF INPATIENTS AND 92% OF OUTPATIENTS; OUTPATIENTS WHO REQUIRED CESSATION INTERVENTIONS RECEIVED THEM. FEWER OUTPATIENTS ARE SMOKERS, 8.9% COMPARED TO 17.4% IN 2017. PATIENT NAVIGATORS WHO ARE FREEDOM FROM SMOKING FACILITATORS OFFER FREE SMOKING CESSATION COUNSELING TO ALL PATIENTS AND EMPLOYEES WHO SMOKE. IN 2018, THE HOSPITAL OFFERED 22 OUTREACH AND EDUCATIONAL EVENTS THAT REACHED 266 PEOPLE AND RESULTED IN 37 SIGNING UP FOR A SMOKING CESSATION PROGRAM. AT ITS ONCE A WEEK SEASONAL FARMSTAND, AND OFF-SEASON IN THE MAIN LOBBY, THE HOSPITAL RECRUITS SMOKERS TO JOIN TOBACCO CESSATION COUNSELING SESSIONS AS WELL AS OFFERING BLOOD PRESSURE SCREENING AND WHEN STAFF IS AVAILABLE, ORAL HEALTH SCREENINGS. IN ADDITION TO JHMC'S COMMUNITY-BASED EFFORTS AND PROGRAMMING AIMED AT REDUCING TOBACCO USE, THERE ARE THREE OTHER HOSPITAL-BASED TOBACCO CESSATION PROGRAMS (FLUSHING HOSPITAL, NEW YORK HOSPITAL QUEENS, AND ELMHURST HOSPITAL) IN QUEENS.JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS ARTICLES AND VIDEOS WARNING OF THE DANGERS OF USING ALL TOBACCO AND E-CIGARETTE RELATED PRODUCTS AS WELL AS OFFERS INFORMATION, SUCH AS TIPS AND RESOURCES TO QUIT SMOKING.THIS INFORMATION IS SHARED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 4: PREVENTIVE CARE AND MANAGEMENTGOAL 4.1: INCREASE CANCER SCREENING RATES FOR BREAST, CERVICAL, AND COLORECTAL CANCER, HYPERTENSION, AND STROKE. SOURCE: COMMUNITY HEALTH SURVEYS, 2017; COLON CANCER SCREENING BY BOROUGH, 2016, 2017GOAL 4.2: INCREASE EARLY DETECTION OF CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY. SOURCE: EPIQUERY COMMUNITY HEALTH SURVEY, 2018 (2017 DATA)GOAL 4.3: PROMOTE THE USE OF EVIDENCE-BASED CARE TO MANAGE CHRONIC DISEASESGOAL 4.4: IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC CONDITIONS. SOURCE: EPIQUERY COMMUNITY HEALTH SURVEY, 2015-2017.RESOURCES AND ACCOMPLISHMENTS: JHMC'S AMBULATORY CARE CLINICS HAVE ACHIEVED THE GOAL OF NATIONAL CENTER FOR QUALITY ASSURANCE (NCQA) PATIENT-CENTERED MEDICAL HOME (PCMH) RECOGNITION AT THE HIGHEST LEVEL (LEVEL 3) THAT OFFERS EACH PATIENT THEIR OWN PRIMARY CARE PRACTITIONER WHO PROVIDES EVIDENCED-BASED CARE AND SUPPORT AND ENCOURAGEMENT WITH SELF-MANAGEMENT. THE HOSPITAL IS A COLLABORATIVE STAKEHOLDER IN THE PATIENT-CENTERED PRIMARY CARE COLLABORATIVE, WHICH IS DEDICATED TO PROMOTING POLICIES AND SHARING BEST PRACTICES TO SUPPORT AN EFFECTIVE AND EFFICIENT HEALTH SYSTEM BUILT ON A STRONG FOUNDATION OF PRIMARY CARE AND THE PATIENT-CENTERED MEDICAL HOME."

PART VI, LINE 5:
SELECTION OF PREVENTION AGENDA PRIORITIESJAMAICA HOSPITAL'S PRIORITIES ARE IN LINE WITH THE PRIORITIES IDENTIFIED BY THE NYS PREVENTION AGENDA AS WELL AS NEW YORK CITY'S TAKE CARE NEW YORK 2020. ALTHOUGH JHMC COULD HAVE SELECTED OTHER INITIATIVES TO HIGHLIGHT IN ITS PREVENTION AGENDA, BASED UPON COMMUNITY HEALTH STATISTICS AND CONSUMER NEEDS/UTILIZATION SURVEYS, ITS RESOURCES AND CAPABILITIES ARE BEST SUITED TO FOCUS ON:- DECREASING TOBACCO USE WITHIN THE COMMUNITY, AND- INCREASING RATES OF EXCLUSIVE BREASTFEEDING AMONG MOTHERS IN THE SERVICE AREA JHMC ELECTED TO ADDRESS THESE TWO PARTICULAR HEALTH NEEDS SINCE THEY WILL MAKE A SIGNIFICANT IMPACT ON THE COMMUNITY'S HEALTH AND CREATE SUSTAINABLE QUALITY OF LIFE IMPROVEMENTS. BECAUSE OF ITS CURRENT AND PAST EFFORTS ON THESE TWO PRIORITIES, JAMAICA HOSPITAL EARNED A GOLD STAR FOR ITS ACCOMPLISHMENTS WITH NYC'S TOBACCO-FREE HOSPITAL CAMPAIGN; AND IS IN THE FINAL PHASE OF BEING DESIGNATED AS A BABY FRIENDLY HOSPITAL. THE HOSPITAL HAS INCORPORATED COMMUNITY INPUT INTO ITS SELECTION OF PRIORITIES, AS DESCRIBED IN DETAIL IN THE SECTION ON DATA SOURCES AND COMMUNITY INPUT. AT ITS MEETING ON SEPTEMBER 12, 2016, JAMAICA'S COMMUNITY ADVISORY BOARD AGREED WITH THE ABOVE PRIORITIES, AND ON NOVEMBER 28, 2016 THE HOSPITAL'S BOARD OF TRUSTEES APPROVED THE PLAN.THE HOSPITAL HAS WORKED ON MANY OTHER PREVENTION ACTIVITIES, AND HAS PARTNERED WITH THE CITY DOHMH ON TAKE CARE NEW YORK (TCNY) 2016, OTHER GOVERNMENT AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS (CBOS), IMPLEMENTING A VARIETY OF EVIDENCE-BASED INTERVENTIONS, IN ADDITION TO TOBACCO CESSATION AND EXCLUSIVE BREASTFEEDING:- ADOPTING THE HEALTHY HOSPITAL FOOD INITIATIVE.- TRACKING AND REPORTING THE BLOOD PRESSURE CONTROL SCORES OF PATIENTS IN THE HOSPITAL AMBULATORY FOOTPRINT.- SUPPORTING AND PROMOTING THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) FOR OVERWEIGHT AND OBESE ADULTS WITH PRE-DIABETES OR WOMEN WITH HISTORY OF GESTATIONAL DIABETES.- ENSURING ROUTINE OFFERING OF HIV TESTING IN EMERGENCY DEPARTMENTS AND ALL OUTPATIENT CLINICS.- REDUCING THE PERCENT OF HIV INFECTED PATIENTS WITH DETECTABLE VIRAL LOADS.- IMPLEMENTING HOME-BASED FALLS RISK ASSESSMENTS AND INTERVENTIONS IN THE HOMES OF OLDER ADULTS, DEPLOYING DOHMH TOOLS.- PROMOTING APPROPRIATE AND JUDICIOUS PRESCRIBING OF OPIOID ANALGESICS.- SUPPORTING THE TRAINING AND CERTIFICATION OF PRIMARY CARE PRACTICES TO PRESCRIBE BUPRENORPHINE.- ADOPTING SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) FOR ALCOHOL AND DRUG USE IN OUTPATIENT AND EMERGENCY DEPARTMENT SETTINGS.- ENGAGING PATIENTS WITH FIRST EPISODE PSYCHOSIS INTO QUALITY OUTPATIENT CARE.CURRENTLY THE HOSPITAL IS PARTNERING WITH THE CITY DOHMH ON ITS TCNY 2020 AGENDA, WHICH HAS FOUR OBJECTIVES, EACH WITH SEVERAL INDICATORS OF PROGRESS. THESE OBJECTIVES ARE ALIGNED WITH THE STATE'S PREVENTION AGENDA PRIORITIES, DESCRIBED IN DETAIL ABOVE, AS WELL AS THE DSRIP PROJECTS THAT THE HOSPITAL IS IMPLEMENTING. THE HOSPITAL DEVOTES CONSIDERABLE RESOURCES TO MOST OF THE CITY AND STATE PREVENTION OBJECTIVES DESCRIBED BELOW WITH A FEW EXCEPTIONS WHERE THE HOSPITAL WOULD HAVE NO AGENCY, SUCH AS DECREASING THE JAIL POPULATION, INCREASING HOMES WITH NO MAINTENANCE DEFECTS AND OTHERS THAT GOVERNMENT AGENCIES AND CBOS ARE BETTER SUITED TO ADDRESS. TCNY 20201. PROMOTE HEALTHY CHILDHOODS (ALIGNED WITH NYS PRIORITY: PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN)THE FIRST INDICATOR IS BABIES BORN IN BABY FRIENDLY HOSPITALS. THE HOSPITAL IS WELL ON ITS WAY TO BEING DESIGNATED AS A BABY FRIENDLY HOSPITAL. THE SECOND INDICATOR IS TEENAGE PREGNANCY. REDUCING TEENAGE PREGNANCY IS A VERY HIGH PRIORITY FOR THE HOSPITAL. THE HOSPITAL IS PROVIDING LONG ACTING CONTRACEPTIVES FOR ALL AGE GROUPS, INCLUDING ADOLESCENTS IN ITS AMBULATORY CARE CENTER (ACC), AND IN ITS SCHOOL-BASED HEALTH CENTER IN A LOCAL HIGH SCHOOL. CITY GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS ARE BETTER SUITED TO WORK TOWARDS IMPROVEMENT IN THE OTHER TWO INDICATORS: OPENINGS IN CHILD CARE CENTERS AND HIGH SCHOOL GRADUATION.2. CREATE HEALTHIER NEIGHBORHOODS (ALIGNED WITH NYS PRIORITY: PROMOTE A HEALTHY AND SAFE ENVIRONMENT)THE HOSPITAL IS WORKING ON SEVERAL OF THE INDICATORS UNDER THIS OBJECTIVE, INCLUDING FALL-RELATED HOSPITALIZATIONS BY THOROUGH DOCUMENTATION AND ANALYSIS OF FALLS PATIENTS AND REFERRAL TO EVIDENCE-BASED FALLS PREVENTION PROGRAMS IN THE COMMUNITY, AIR QUALITY BY VIRTUE OF ITS WORK ON TOBACCO CESSATION, CHILDREN'S VISITS TO EMERGENCY DEPARTMENTS FOR ASTHMA BY BEING PART OF THE QUEENS ASTHMA COALITION AND BY WORKING ON DSRIP PROJECT 3.D.III - EVIDENCE-BASED ASTHMA MANAGEMENT IN COLLABORATION WITH ITS PARTNERS IN THE ACP PPS TO MAKE SURE PATIENTS ARE PROPERLY DIAGNOSED, HAVE AN ASTHMA ACTION PLAN, AND ONGOING HEALTH COACHING. CITY GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS ARE BETTER SUITED TO WORK TOWARDS THE OTHER FOUR INDICATORS: ASSAULT HOSPITALIZATIONS, HOMES WITH NO MAINTENANCE DEFECTS, JAIL POPULATION, AND SOCIAL COHESION.3. SUPPORT HEALTHY LIVING (ALIGNED WITH NYS PRIORITY: PREVENT CHRONIC DISEASE)PATIENT NAVIGATORS, NUTRITIONISTS, DIABETES EDUCATORS, SOCIAL WORKERS AND THERAPISTS SUPPORT PHYSICIANS AND OTHER PROVIDERS IN EDUCATING AND COACHING PATIENTS ON MAKING LIFE STYLE CHANGES RELATED TO ALL THE INDICATORS UNDER THIS OBJECTIVE: OBESITY, SUGARY DRINKS, PHYSICAL ACTIVITY, SODIUM INTAKE, SMOKING, BINGE DRINKING AND OVERDOSE DEATHS. REDUCING TOBACCO USE HAS BEEN COVERED EXTENSIVELY IN THIS REPORT. BESIDES ADDRESSING NUTRITION AND EXERCISE ON AN INDIVIDUAL BASIS WITH PATIENTS, THE HOSPITAL PROMOTES HEALTHY EATING IN THE COMMUNITY. TWO OUTPATIENT REGISTERED DIETITIANS HOSTED A FARMER'S MARKET TOUR ON NOVEMBER 18, 2016. EDUCATIONAL MATERIALS WERE DISTRIBUTED ALONG WITH 2-3 HEALTH BUCKS (PER FAMILY), RECIPES FROM THE CORNELL COOPERATIVE EXTENSION, AND MAPS OF NYC FARMERS' MARKETS.4. INCREASE ACCESS TO QUALITY CARE (ALIGNED WITH NYS PRIORITY: PROMOTE MENTAL HEALTH AND SUBSTANCE ABUSE AND PREVENT HIV AND STDS VACCINE PREVENTABLE DISEASES AND HEALTHCARE ASSOCIATED INFECTIONS)THE HOSPITAL IS WORKING ON SEVERAL OF THE INDICATORS UNDER THIS OBJECTIVE, INCLUDING UNMET MENTAL HEALTH NEED BY DEPLOYING DEPRESSION CARE MANAGERS IN ITS FAMILY MEDICINE CENTER, AND EVENTUALLY IN ALL OF ITS ACCS, TO IDENTIFY, TREAT AND REFER PATIENTS TO BEHAVIORAL HEALTH CARE AS NEEDED. CURRENTLY PROVIDERS IN ALL OF THE HOSPITAL'S AMBULATORY CARE SITES PERFORM DEPRESSION SCREENING ON ALL ADULTS, ADOLESCENTS AND PRE-NATAL PATIENTS, AND MAKE REFERRALS AS NECESSARY. THE HOSPITAL IS CONTINUING TO ADDRESS ANOTHER INDICATOR - UNMET MEDICAL NEED BY ITS PLAN TO ALMOST DOUBLE ITS ON-CAMPUS AMBULATORY CARE CAPACITY, THEREBY DRAMATICALLY REDUCING WAIT TIMES FOR APPOINTMENTS TO ENCOURAGE PATIENTS TO TAKE ADVANTAGE OF COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTH CARE. CONTROLLED HIGH BLOOD PRESSURE IS RECEIVING ADDED ATTENTION THROUGH DSRIP PROJECTS 3.B.I AND 3.C.I - EVIDENCE-BASED CARDIOVASCULAR MANAGEMENT AND DIABETES CARE - FOR ALL PATIENTS IN PARTNERSHIP WITH THE ACP PPS. THE HOSPITAL CONTINUES TO TRY TO AFFECT NEW HIV DIAGNOSES AND HIV VIRAL SUPPRESSION INDICATORS BY OFFERING HIV TESTING AND EXTENSIVE COUNSELING TO AMBULATORY, EMERGENCY AND INPATIENTS, AND REFERRAL FOR FOLLOW UP CARE IN THE HOSPITAL'S HIV CLINIC.MANY PREVENTION ACTIVITIES ARE UNDERTAKEN BY THE HOSPITAL, SOME OF THEM DOCUMENTED IN THIS SECTION AND OTHERS DOCUMENTED IN THE NARRATIVES FOR EACH OF THE FIVE NYS PREVENTION AGENDA PRIORITY AREAS. STAFF IN MANY AREAS OF THE HOSPITAL HAVE TAKEN IT UPON THEMSELVES TO DEVELOP PREVENTION AND EDUCATION PROGRAMS FOR PATIENTS AND COMMUNITY RESIDENTS, OFTEN IN PARTNERSHIP WITH LOCAL CBOS AND GOVERNMENT AGENCIES. THE HOSPITAL PLACES A HIGH VALUE ON THE IMPORTANT WORK OF PREVENTION, COMMUNITY OUTREACH AND EDUCATION. THESE ACTIVITIES WILL NOT ONLY REDUCE DISEASE AND DISABILITY WITHIN OUR COMMUNITY, BUT WILL ALSO ENABLE THE HOSPITAL TO PROSPER UNDER VALUE-BASED PAYMENT ARRANGEMENTS.IMPLEMENTATION PLAN AND PROGRESS REPORT 2018THE CHARTS ON THE FOLLOWING PAGES OUTLINE GOALS, OBJECTIVES, IMPLEMENTATION PLANS AND 2016 ACHIEVEMENTS FOR THE HOSPITAL'S TWO PREVENTION AGENDA PRIORITIES:- PREVENT CHRONIC DISEASES - FOCUS 2: TOBACCO CESSATION- PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN - FOCUS 1: BREASTFEEDING

PART VI, LINE 7, REPORTS FILED WITH STATES
NY

PART VI, LINE 2, ASSESSMENT OF COMMUNITY HEALTH NEEDS CONTINUED:
"THROUGH ITS PARTICIPATION IN THE NYS DSRIP INITIATIVE, THE HOSPITAL HAS IMPLEMENTED EVIDENCE-BASED BEST PRACTICES FOR CARDIOVASCULAR MANAGEMENT IN ALL PRIMARY CARE LOCATIONS. PRIMARY CARE PRACTICES ARE ADDRESSING THE TOTAL TREATMENT NEEDS OF CARDIOVASCULAR PATIENTS UTILIZING A MULTIDISCIPLINARY TREATMENT TEAM AND MAKING APPROPRIATE REFERRALS FOR CARDIOLOGY, NUTRITION, AND OTHER SPECIALTY SERVICES. PATIENT NAVIGATORS ARE BEING USED TO PROVIDE SUPPORTIVE HEALTH COACHING AND FOLLOW-UP TO ENSURE THAT PATIENTS ATTEND MEDICAL APPOINTMENTS AND ATTAIN SELF-MANAGEMENT GOALS. A SIMILAR APPROACH IS BEING TAKEN TO PROVIDE EXPANDED EVIDENCE-BASED CARE FOR DIABETIC PATIENTS. PATIENT NAVIGATORS ARE PROVIDING HEALTH EDUCATION AND HEALTH COACHING, AS WELL AS FACILITATING EVIDENCE-BASED NATIONAL DIABETES PREVENTION PROGRAM (NDPP) SESSIONS. FOR ASTHMA MANAGEMENT, THE PATIENT'S PCP PROVIDES ASTHMA EDUCATION, WHICH IS AUGMENTED BY A PATIENT NAVIGATOR WHO PROVIDES EDUCATIONAL MATERIALS AND HEALTH COACHING. DEVELOPMENT OF INDIVIDUALIZED ASTHMA ACTION PLANS THAT ARE INTEGRATED INTO THE EHR AND AVAILABLE THROUGH THE PATIENT PORTAL FACILITATE CONTINUITY OF CARE ALONG ALL POINTS OF CARE.JHMC PARTNERS WITH THE CANCER SERVICES PROGRAM TO OFFER FREE SCREENINGS TO LOW-INCOME AND UNINSURED PATIENTS FOR BREAST, CERVICAL, AND COLORECTAL CANCERS. EXTENDED EVENING AND WEEKEND HOURS ARE OFFERED.JHMC IS A MEMBER OF THE TAKE THE PRESSURE OFF, NYC! (TPO,NYC!) COALITION. TPO, NYC! IS A MULTI-SECTOR, CITYWIDE INITIATIVE DRIVEN BY A COALITION OF OVER 100 ORGANIZATIONS FROM 13 SECTORS ACROSS NYC WORKING TOGETHER TO PREVENT AND CONTROL HIGH BLOOD PRESSURE.JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS ARTICLES AND VIDEOS ON THE IMPORTANCE OF PREVENTATIVE CARE AND THE MANAGEMENT OF THE COMMUNITY'S HEALTH INCLUDING THE MANAGEMENT OF CONDITIONS SUCH AS ASTHMA, DIABETES, HYPERTENSION, AS WELL AS THE IMPORTANCE OF CANCER SCREENINGS, INCLUDING BREAST, CERVICAL, AND COLO-RECTAL CANCERS.THIS INFORMATION IS SHARED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.PRIORITY AREA II: PROMOTE A HEALTHY AND SAFE ENVIRONMENTFOCUS AREA 1: INJURIES, VIOLENCE AND OCCUPATIONAL HEALTHGOAL 1.1: REDUCE FALLS AMONG VULNERABLE POPULATIONS. SOURCE: NYS DOH, COMMUNITY INDICATOR REPORTS CHIRS)GOAL 1.2: REDUCE VIOLENCE BY TARGETING PREVENTION PROGRAMS PARTICULARLY TO HIGHEST RISK POPULATIONS. ASSAULT-RELATED HOSPITALIZATIONS AND INCARCERATION RATES PER 100,000SOURCE: NYC COMMUNITY HEALTH PROFILES FOR JAMAICA, KEW GARDENS AND HOWARD BEACH, SOUTH OZONE PARK AND EASTERN NEW YORKGOAL 1.3: REDUCE OCCUPATIONAL INJURIES AND ILLNESS. WORK-RELATED HOSPITALIZATIONS PER 100,000 EMPLOYED PERSONS AGED 16 YEARS AND OLDER. SOURCE: NYS DOH, COMMUNITY HEALTH INDICATOR REPORTS (CHIRS), 2014-2016GOAL 1.4: REDUCE TRAFFIC RELATED INJURIES FOR PEDESTRIANS AND BICYCLISTS. SOURCE: NYC DEPT. OF TRANSPORTATION, BICYCLE CRASH DATA REPORT, 2017 RESOURCES AND ACCOMPLISHMENTS: JHMC IS DESIGNATED AS A LEVEL 1 TRAUMA CENTER THAT IS AVAILABLE 24 HOURS A DAY, 7 DAYS PER WEEK, AND INCLUDES TRAUMA, ORTHOPEDIC, AND NEUROSURGEONS AS WELL AS PHYSICIANS FROM A RANGE OF FIELDS INCLUDING EMERGENCY MEDICINE, RADIOLOGY, ANESTHESIOLOGY, INTENSIVE CARE, AND REHABILITATION MEDICINE. JHMC SPONSORS RESEARCH RELATED TO INJURY-PREVENTION AND IMPROVING CLINICAL AND BEHAVIORAL OUTCOMES OF PATIENTS WHO HAVE SUSTAINED INJURIES DUE TO ACCIDENTS OR VIOLENT EVENTS. THE TRAUMA DEPARTMENT RECEIVED A GRANT FROM THE GOVERNORS TRAFFIC SAFETY COMMITTEE TO ADDRESS DISTRACTED WALKING AND DRIVING THROUGH COMMUNITY EDUCATION AND PARTNERSHIP WITH COMMUNITY ORGANIZATIONS. THE CAMPAIGN, BE AWARE QUEENS, AIMS TO REDUCE ACCIDENTS AND INJURIES DUE TO DISTRACTED DRIVING AND WALKING WHICH HAS BECOME MORE PREVALENT IN RECENT YEARS DUE TO SOCIETY'S INCREASED USE OF SMART PHONES, APPLICATIONS, SOCIAL MEDIA, AND OTHER ATTENTION GRABBING TECH. THE NURSES AT JHMC DO A COMPLETE ""AT RISK FOR FALL ASSESSMENT"" AT THE TIME OF ADMISSION AND THROUGHOUT THE PATIENT'S HOSPITALIZATION. THE PRIMARY PURPOSE OF THIS ASSESSMENT IS TO EDUCATE PATIENTS ABOUT FALLS IN THE FACILITY AND TO MINIMIZE FALLS AND INJURY RELATED FALLS. THE HEALTH CARE TEAM WITH PATIENT/FAMILY INPUT WILL DETERMINE HOW SAFE IT IS FOR THE PATIENT TO RETURN BACK TO THE ENVIRONMENT THEY CAME. IF THE PATIENT REQUIRES ADDITIONAL SERVICES OR PLACEMENT IN ANOTHER FACILITY AFTER DISCHARGE (SUCH AS REHAB, ASSISTED LIVING OR LONG TERM CARE) ARRANGEMENTS WILL BE MADE BY THE CASE MANAGER/SOCIAL WORKER.IN ADDITION TO JAMAICA HOSPITAL'S LEVEL 1 TRAUMA CENTER, REGIONAL TRAUMA CENTER, SERVICES ARE AVAILABLE WITHIN QUEENS AT REGIONAL TRAUMA CENTERS AT ELMHURST HOSPITAL, NEW YORK-PRESBYTERIAN/QUEENS, AND THE LEVEL I PEDIATRIC TRAUMA CENTER AT LONG ISLAND JEWISH MEDICAL CENTER. JHMC PARTICIPATES IN THE NYC FALLS PREVENTION COALITION, AND REFERS SENIOR CITIZENS WHO ARE TREATED FOR FALL-RELATED INJURIES TO SENIOR CITIZEN CENTERS THAT PROVIDE CLASSES, SUCH AS STAY ACTIVE AND INDEPENDENT FOR LIFE (SAIL) AND TAI CHI FOR ARTHRITIS THAT ARE DESIGNED TO PROMOTE HEALTHY EXERCISE HABITS, STRENGTHEN JOINTS, INCREASE STABILITY, AND REDUCE THE LIKELIHOOD OF FALLS. THERE ARE FIVE SENIOR CITIZEN CENTERS OFFERING EVIDENCE-BASED FALLS PREVENTION PROGRAMMING IN EAST NEW YORK (BROOKLYN). JAMAICA (QUEENS) HAS 12 SENIOR CITIZEN CENTERS OFFERING THESE PROGRAMS, INCLUDING THREE SITES FOR JAMAICA SERVICE PROGRAMS FOR OLDER ADULTS (JSPOA). SOUTHWEST QUEENS HAS THREE SENIOR CITIZEN CENTERS OFFERING FALL-PREVENTION PROGRAMS, INCLUDING TWO SERVICES NOW FOR ADULT PERSONS (SNAP) SITES. JHMC EMERGENCY DEPARTMENT REPORTED 770 FALL-RELATED TRAUMA CASES BETWEEN JANUARY AND NOVEMBER 2018. SENIOR CITIZENS ACCOUNTED FOR 68% OF THOSE CASES. TO ADDRESS THIS CRITICAL ISSUE, JHMC'S TRAUMA DIVISION GATHERED DATA FROM ITS REGISTRY TO PINPOINT AREAS WITH THE HIGHEST CONCENTRATION OF FALLS. USING THAT INFORMATION, THE INJURY PREVENTION COORDINATOR SCHEDULED WORKSHOPS AT LOCAL SENIOR CENTERS TO EDUCATE SENIORS ON STRATEGIES TO AVOID FALLS. THE WORKSHOPS COVERED EVERYTHING FROM IDENTIFYING FALL RISK FACTORS TO HOME SAFETY STRATEGIES AND RESOURCES AVAILABLE TO SENIORS, SUCH AS EXERCISE PROGRAMS. USING CDC'S STOPPING ELDERLY ACCIDENTS, DEATHS, AND INJURIES FALLS RISK SELF-ASSESSMENT SURVEY, JHMC IDENTIFIED SENIORS AT MODERATE TO HIGH RISK OF FALLING. THIS ENABLED THE INJURY PREVENTION COORDINATOR TO MAKE RECOMMENDATIONS AND ENCOURAGE SENIORS TO SPEAK WITH THEIR PHYSICIANS ABOUT BETTER MANAGING THEIR RISK OF FALLING. JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS ARTICLES AND VIDEOS ON INJURY PREVENTION IN THE HOME, AT THE WORKPLACE AND AS WELL AS AUTOMOBILE SAFETY.THIS INFORMATION IS SHARED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 2: OUTDOOR AIR QUALITYGOAL 2.1: REDUCE EXPOSURE TO OUTDOOR AIR POLLUTANTS. SOURCE: NYC COMMUNITY HEALTH PROFILES, 2018RESOURCES AND ACCOMPLISHMENTS: JHMC IS PART OF THE ASTHMA COALITION OF BROOKLYN AND QUEENS (FORMED IN 2012), IN WHICH ORGANIZATIONS WORK TOGETHER TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE WITH ASTHMA BY ENGAGING PATIENTS, FAMILIES, HEALTHCARE PROVIDERS, INSTITUTIONS AND THE COMMUNITY. JHMC'S DIVISION OF PULMONARY MEDICINE OFFERS A WIDE VARIETY OF SERVICES TO HELP DIAGNOSE AND TREAT PATIENTS WITH LUNG DISEASE, SUCH AS ASTHMA. THE HOSPITAL'S DIVISION OF ALLERGY AND IMMUNOLOGY FOCUSES ON THE DIAGNOSIS AND LONG-TERM TREATMENT OF ALLERGIC AND IMMUNOLOGIC CONDITIONS, SUCH AS ASTHMA. JHMC'S PATIENT NAVIGATORS ARE TRAINED TO CONDUCT GROUP COUNSELING IN THE ""FREEDOM FROM SMOKING"" PROGRAM BY THE AMERICAN LUNG ASSOCIATION. IN 2018, JHMC WAS AWARDED THE STONY-WOLD HERBERT COMMUNITY GRANT TO TRAIN ONE RESPIRATORY THERAPIST TO BECOME A CERTIFIED ASTHMA EDUCATOR, WHOSE JOB IS TO EDUCATE ALL INPATIENTS WITH ASTHMA BEFORE DISCHARGE ABOUT HOW TO MANAGE THEIR CONDITION AT HOME.TRAINED JHMC CLINIC AND SCHOOL-BASED HEALTH CENTER STAFF IDENTIFY PATIENTS WITH PERSISTENT ASTHMA SYMPTOMS AND USE EVIDENCE-BASED GUIDELINES TO PATIENTS AND PROMOTE SELF-MANAGEMENT OF THEIR CONDITION. ASTHMA ACTION PLANS ARE CREATED FOR ALL PATIENTS AND EACH PATIENT RECEIVES A CONTROLLER MEDICATION (INHALED CORTICOSTEROID). ASTHMA CONTROL TESTS ARE IMPLEMENTED PERIODICALLY TO EVALUATE AND PROPERLY MANAGE ASTHMA AND ITS SYMPTOMS. IN THE SECOND YEAR AFTER IMPLEMENTATION, 91% OF PATIENTS HAD AN ASTHMA ACTION PLAN AND 100% WERE PRESCRIBED AN INHALED CORTICOSTEROID."

PART VI, LINE 2, ASSESSMENT OF COMMUNITY HEALTH NEEDS CONTINUED:
"FOCUS AREA 3: BUILT AND INDOOR ENVIRONMENTSGOAL 3.1: IMPROVE DESIGN AND MAINTENANCE OF THE BUILT ENVIRONMENT TO PROMOTE HEALTHY LIFESTYLES, SUSTAINABILITY, AND ADAPTATION TO CLIMATE CHANGE.HOMES NEAR STRUCTURES RATED GOOD OR EXCELLENT (%), 2014. SOURCE: NYC DOHMH, NEIGHBORHOOD PROFILES, ENVIRONMENT & HEALTH DATA PORTAL, 2014GOAL 3.2: PROMOTE HEALTHY HOME AND SCHOOL ENVIRONMENTS. HOMES WITH MICE OR RATS IN BUILDING (PERCENT), 2014. SOURCE: NYC DOHMH, NEIGHBORHOOD PROFILES, ENVIRONMENT & HEALTH DATA PORTAL, 2014RESOURCES AND ACCOMPLISHMENTS: BEGINNING IN EARLY 2019, PATIENTS WHO HAVE HOUSING AND OTHER LEGAL ISSUES THAT CAN NEGATIVELY AFFECT THEIR HEALTH CAN RECEIVE LEGAL ADVICE AT THE NEW LEGALHEALTH CLINIC RECENTLY FUNDED BY JHMC. LACK OF ACCESS TO SAFE AND ADEQUATE HOUSING, FOOD, OR SECURE EMPLOYMENT CAN IMPEDE THEIR ABILITY TO SEEK AND RECEIVE APPROPRIATE HEALTHCARE SERIES FOR THEMSELVES AND THEIR FAMILIES. EVERY WEEK, AN ATTORNEY FROM LEGALHEALTH, A DIVISION OF THE NEW YORK LEGAL ASSISTANCE GROUP, VISITS JHMC'S AMBULATORY CARE CENTER TO PROVIDE LEGAL COUNSEL TO HOSPITAL PATIENTS ON ISSUES RELATING TO HOUSING COMPLAINTS, GOVERNMENT BENEFITS AND OTHER UNMET SOCIAL NEEDS. ADDRESSING THESE ISSUES WILL ULTIMATELY IMPROVE THE HEALTH OF JHMC'S PATIENTS AND POTENTIALLY REDUCE UNNECESSARY ER VISITS AND HOSPITAL ADMISSIONS. PATIENTS IN NEED OF TEMPORARY AND/OR PERMANENT HOUSING ARE REFERRED TO THE NYC DEPARTMENT OF SOCIAL SERVICES, NYC HOUSING AUTHORITY, QUEENS COMMUNITY HOUSE, AND OTHER COMMUNITY SUPPORT AGENCIES. FOCUS AREA 4: WATER QUALITYGOAL 4.1: PROTECT WATER SOURCES AND ENSURE QUALITY DRINKING WATER.PERCENTAGE OF SCHOOL WATER OUTLETS EXCEEDING THE LEAD LIMIT OF 15 PPB. SOURCE: HEALTH DATA NY, LEAD TESTING IN SCHOOL DRINKING WATER SAMPLING AND RESULTS, 2017GOAL 4.2: PROTECT VULNERABLE WATERBODIES TO REDUCE POTENTIAL PUBLIC HEALTH RISKS ASSOCIATED WITH EXPOSURE TO RECREATIONAL WATER.WATER QUALITY OF BEACHES BASED ON BACTERIOLOGICAL LIMITS FROM WATER SAMPLING. SOURCE: NYC DOHMH, 2018 BEACH SURVEILLANCE AND MONITORING PROGRAM.FOCUS AREA 5: FOOD AND CONSUMER PRODUCTSGOAL 5.1: RAISE AWARENESS OF THE POTENTIAL PRESENCE OF CHEMICAL CONTAMINANTS AND PROMOTE STRATEGIES TO REDUCE EXPOSUREGOAL 5.2: IMPROVE FOOD SAFETY MANAGEMENT. SOURCE: 2018-2019 NYC DOHMH, RESTAURANT INSPECTION INFORMATION, 2018-2019PRIORITY AREA III: PROMOTE HEALTHY WOMEN, INFANTS AND CHILDRENFOCUS AREA 1: MATERNAL & WOMEN'S HEALTHGOAL 1.1: INCREASE USE OF PRIMARY AND PREVENTIVE HEALTH CARE SERVICES BY WOMEN OF ALL AGES, WITH A FOCUS ON WOMEN OF REPRODUCTIVE AGE. PERCENTAGE OF WOMEN 18 YEARS AND OLDER WHO HAVE HAD A MAMMOGRAM BETWEEN OCTOBER 1, 2014 AND DECEMBER 30, 2016. SOURCE: NYSDOH, NYS COMMUNITY HEALTH INDICATOR REPORTS, 2016; KEEPING TRACK ONLINE: CITIZEN'S COMMITTEE FOR CHILDREN GOAL 1.2: REDUCE MATERNAL MORTALITY AND MORBIDITY. SOURCE: NYC DOMH, BUREAU OF VITAL STATISTICS; SEVERE MATERNAL MORBIDITY RATES IN NEW YORK CITY, 2013-2014. RESOURCE AND ACCOMPLISHMENTS: JHMC OFFERS CENTERINGPREGNANCY, PATIENT-CENTERED GROUP PRENATAL CARE SESSIONS FACILITATED BY DOCTORS, NURSES, AND MIDWIVES. AFTER AN INITIAL ASSESSMENT BY THEIR CARE PROVIDER, PATIENTS WHO SO DESIRED JOIN A CENTERINGPREGNANCY GROUP WHICH MEETS FOR A TOTAL OF 10, TWO-HOUR SESSIONS THROUGH THEIR PREGNANCY. PREGNANT WOMEN HAVE AN OPPORTUNITY TO SHARE THEIR EXPERIENCES, RECEIVE SUPPORT, AND EMPOWER ONE ANOTHER, WHILE LEARNING HOW TO MAINTAIN A HEALTHY PREGNANCY. THE CENTERING PREGNANCY MODEL HAS MANY BENEFITS INCLUDING A REDUCTION IN PRETERM BIRTHS, HIGHER BIRTH WEIGHT, AND INCREASED BREASTFEEDING RATES.JHMC CONDUCTS BREAST CANCER SCREENING FOR WOMEN, CONSISTENT WITH AMERICAN CANCER SOCIETY GUIDELINES, AT ITS WOMEN'S HEALTH CENTER AND OFFERS EXTENDED HOURS NIGHTS AND WEEKENDS. FREE MAMMOGRAMS ARE PROVIDED TO ELIGIBLE WOMEN THROUGH NEW YORK STATE'S CANCER SERVICES PROGRAM. IN 2018, THE HOSPITAL WAS DESIGNATED A DIAGNOSTIC IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY FOR ITS HIGH-QUALITY IMAGING AND DIAGNOSTIC PRACTICES IN MANY AREAS OF RADIOLOGY, INCLUDING MAMMOGRAPHY. JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS EDUCATIONAL ARTICLES AND VIDEOS ABOUT THE IMPORTANCE OF PRE-NATAL NUTRITION, EXERCISE AND PARTICIPATION IN A PRE-NATAL CARE PROGRAM.THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 2: PERINATAL & INFANT HEALTHGOAL 2.1: REDUCE INFANT MORTALITY AND MORBIDITY. INFANT MORTALITY, AVERAGE RATE PER 1000 LIVE BIRTHS 2014-2016. SOURCE: EPIQUERY. 3-YEAR AVERAGE INFANT MORTALITY BY COMMUNITY DISTRICT NEW YORK CITY, 2014-2016GOAL 2.2: INCREASE BREASTFEEDING. SOURCE: NYC DOHMH, SUMMARY OF VITAL STATISTICS, 2016RESOURCES AND ACCOMPLISHMENTS; JHMC RECOGNIZES THAT SUPPORTING BREASTFEEDING IS AN IMPORTANT PUBLIC HEALTH PRIORITY. THE HOSPITAL ACHIEVED A 41% EXCLUSIVELY BREASTFEEDING RATE FOR MOTHERS AT DISCHARGE IN 2018 UP FROM 37% IN 2015. AS OF JUNE 20TH, 2019 THE RATE WAS 32%. IN MAY 2017, JHMC RECEIVED AND HAS MAINTAINED THE ""BABY-FRIENDLY USA"" HOSPITAL DESIGNATION, A GLOBAL INITIATIVE LAUNCHED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF). HOSPITAL STAFF IS DEDICATED TO BREASTFEEDING TRAINING EFFORTS SO THEY CAN SHARE THEIR KNOWLEDGE WITH THE COMMUNITY; ALL PEDIATRIC, OBSTETRIC, AND FAMILY MEDICINE PROVIDERS HAVE COMPLETED THE RECOMMENDED BREASTFEEDING TRAINING. JAMAICA HOSPITAL MEDICAL CENTER OFFERS A WEEKLY BREASTFEEDING EDUCATION PROGRAM TO PATIENTS AND COMMUNITY MEMBERS AT ITS WOMEN'S HEALTH CENTER. THE BREASTFEEDING PROGRAM, WHICH IS ALSO AVAILABLE IN SPANISH, IS TAUGHT BY A CERTIFIED MIDWIFE AND IS INTENDED TO FAMILIARIZE MOTHERS-TO-BE WITH PROPER BREASTFEEDING TECHNIQUES. JHMC, WHICH WAS THE FIRST HOSPITAL IN QUEENS TO OPERATE A MILK DEPOT, CELEBRATED ITS TWO-YEAR ANNIVERSARY IN OCTOBER 2019. OVER THE PAST YEAR, TWELVE MOTHERS HAVE DONATED 13,000 OUNCES OF BREAST MILK, A DOUBLING OF ITS FIRST YEAR'S SUCCESS. THE MILK DEPOT IS A SAFE LOCATION WHERE WOMEN APPROVED BY THE NEW YORK MILK BANK (NYMB) CAN DONATE THEIR EXCESS BREAST MILK TO BE DISTRIBUTED BY NYMB TO MOTHERS WHO ARE UNABLE TO BREASTFEED THEIR PREMATURE BABIES OR INFANTS WITH WEAKENED IMMUNE SYSTEMS. JHMC'S NEXT GOAL IS TO PROVIDE PASTEURIZED, BANKED DONOR HUMAN MILK FOR NEONATAL ICU BABIES WHO MEET SPECIFIC CRITERIA INCLUDING THOSE WHOSE MOTHERS CANNOT PROVIDE SUFFICIENT BREAST MILK. THE IMMUNOLOGICAL AND NUTRITIONAL BENEFITS FROM PASTEURIZED, BANKED DONOR MILK ARE SIGNIFICANT AND MAY POSITIVELY AFFECT NEONATAL OUTCOMES, INCLUDING A REDUCTION IN THE HOSPITAL LENGTH OF STAY.JHMC IS A NEW YORK STATE DEPARTMENT OF HEALTH-DESIGNATED LEVEL 3 PERINATAL CENTER, MEANING THAT IT CARES FOR PATIENTS REQUIRING INCREASINGLY COMPLEX CARE AND OPERATES A NEONATAL INTENSIVE CARE UNIT (NICU). FOR THE PAST FOUR YEARS, JHMC HAS MAINTAINED AN ACTIVE CENTERINGPREGNANCY PROGRAM, WHICH FACILITATES SUPPORT GROUPS AND PRENATAL VISITS FOR PREGNANT WOMEN PARTICIPATING IN THE PROGRAM, AND IS CURRENTLY EXPANDING CENTERINGPREGNANCY PROGRAM TO ANOTHER AMBULATORY CARE SITE IN ITS NETWORK. JHMC'S WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM PROVIDES NUTRITION EDUCATION, BREASTFEEDING SUPPORT, REFERRALS, AND A VARIETY OF NUTRITIOUS FOODS TO LOW-INCOME PREGNANT, BREASTFEEDING OR POSTPARTUM WOMEN, INFANTS AND CHILDREN UP TO AGE FIVE TO PROMOTE AND SUPPORT GOOD HEALTH. JAMAICA HOSPITAL ALSO OPERATES A SCHOOL-BASED HEALTH CENTER PROGRAM AT CAMPUS MAGNET HIGH SCHOOL (CAMBRIA HEIGHTS, QUEENS), AND AT TWO LARGE ELEMENTARY SCHOOLS [PS 223 IN JAMAICA AND PS (Q) 155 IN SOUTH OZONE PARK].JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS EDUCATIONAL ARTICLES AND VIDEOS ABOUT HOW TO CARE FOR YOUR BABY BOTH DURING PREGNANCY AND AFTER DELIVERY.THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 3: CHILD & ADOLESCENT HEALTHGOAL 3.1: SUPPORT AND ENHANCE CHILDREN AND ADOLESCENTS' SOCIAL-EMOTIONAL DEVELOPMENT AND RELATIONSHIPSGOAL 3.2: INCREASE SUPPORTS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDSSOURCE: KEEPING TRACK ONLINE, CITIZENS' COMMITTEE FOR CHILDREN OF NEW YORK, 2017GOAL 3.3: REDUCE DENTAL CARIES AMONG CHILDREN. HAS A DENTIST OR OTHER HEALTH CARE PROVIDER EVER TOLD YOU THAT (CHILD) HAD DENTAL CAVITIES OR DECAYED TEETH? SOURCE: NYC DOHMH, EPIQUERY, CHILD HEALTH SURVEY, 2017."

PART VI, LINE 2, ASSESSMENT OF COMMUNITY HEALTH NEEDS CONTINUED:
RESOURCES AND ACCOMPLISHMENTS: THE HOSPITAL'S PEDIATRIC DEPARTMENT OPERATES A 24-BED INPATIENT PEDIATRIC UNIT, SPECIAL CARE UNIT, NEONATAL ICU, AND A WELL-BABY NURSERY, AND OFFERS A RANGE OF PEDIATRIC OUTPATIENT PRIMARY AND SPECIALTY CARE SERVICES, AND A DEDICATED PEDIATRIC SECTION IN ITS ED ON THE JHMC CAMPUS. JHMC'S OUTPATIENT MENTAL HEALTH CLINIC OFFERS SPECIALTY MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS. THE HOSPITAL ALSO OFFERS PRIMARY CARE AT EIGHT COMMUNITY-BASED EXTENSION CLINICS IN SOUTHWEST QUEENS AND JAMAICA, WHICH PROVIDE PEDIATRIC PRIMARY CARE SERVICES AND ARE NCQA NYS 2018 PCMH RECOGNIZED: MEDISYS ENY, MEDISYS JAMAICA, MEDISYS HOLLIS, MEDISYS HOLLIS TUDORS, MEDISYS ST. ALBANS, MEDISYS RICHMOND HILL, MEDISYS OZONE PARK (MEDWISE/CLOCKTOWER), AND MEDISYS HOWARD BEACH. IN ADDITION, THE HOSPITAL PROVIDES AMBULATORY SERVICES AT ITS WOMEN'S HEALTH CENTER, FAMILY DENTAL CENTER, MENTAL HEALTH CENTER, AND AFFILIATED ADVANCED CENTER FOR PSYCHOTHERAPY. SERVICES ARE ALSO PROVIDED BY THE HOSPITAL AT THREE PUBLIC SCHOOLS: PS 155 (ELEMENTARY SCHOOL), PS 223 (ELEMENTARY SCHOOL) AND CAMPUS MAGNET HIGH SCHOOL.NOW IN ITS SECOND YEAR, THE PEDIATRIC DENTAL PROGRAM OF JHMC'S DEPARTMENT OF DENTAL MEDICINE CONTINUES TO GROW AND IMPROVE. A RANGE OF TREATMENT SERVICES ARE PROVIDED INCLUDING DEVELOPMENT OF A DENTAL HOME, CARIES ASSESSMENT AND FILLINGS, SEALANTS, CLEANINGS, EXTRACTIONS, ROOT CANAL THERAPY, CROWNS, ORAL HYGIENE INSTRUCTION, NUTRITIONAL COUNSELING ANESTHESIA, EARLY INTERCEPTIVE ORTHODONTIC CARE, AND TRAUMA CARE. LICENSED DENTAL STAFF ARE TRAINED TO MEET THE SPECIALIZED NEEDS OF PATIENTS WITH MENTAL AND PHYSICAL DISABILITIES.JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS EDUCATIONAL ARTICLES AND VIDEOS ABOUT HOW TO PROVIDE ALL ASPECTS OF CLINICAL, EMOTIONAL, AND PSYCHOLOGICAL CARE FOR CHILDREN FROM BIRTH THROUGH ADOLESCENCE.THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 4: CROSS CUTTING HEALTHY WOMEN, INFANTS, & CHILDRENGOAL 4.1: REDUCE RACIAL, ETHNIC, ECONOMIC, AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES AND PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD HEALTH POPULATIONS. SEVERE MATERNAL MORBIDITY RATE PER 100,000 DELIVERIES; INFANT MORTALITY RATE = NUMBER OF INFANT DEATHS PER 1,000 LIVE BIRTHS. SOURCES: NYC DOHMH, BUREAU OF VITAL STATISTICS, SPARCS NYC DOHMH, BUREAU OF VITAL STATISTICS, 2016; RESOURCES AND ACCOMPLISHMENTS: CENTERINGPREGNANCY, PATIENT-CENTERED GROUP PRENATAL CARE MODEL FACILITATED BY DOCTORS, NURSES, AND MIDWIVES, WAS ADOPTED AS A BEST PRACTICE AT JHMC TO ADDRESS THE DISPARITIES IN MATERNAL AND INFANT BIRTH OUTCOMES FOR MINORITY WOMEN. THE HOSPITAL IS ADDING A SECOND CENTERINGPREGNANCY PROGRAM AT ITS ST. ALBANS FAMILY CARE CENTER IN PARTNERSHIP WITH PUBLIC HEALTH SOLUTIONS, A COMMUNITY-BASED ORGANIZATION THAT HAS A STRONG FOCUS ON SERVING WOMEN AND CHILDREN. PRETERM BIRTH AND LOW BIRTHWEIGHT ARE LEADING CAUSE OF INFANT MORTALITY, AND IN NYC, PRETERM BIRTHS ARE SIGNIFICANTLY HIGHER FOR ALL MINORITY WOMEN THAN WHITE WOMEN. PRETERM RATES FOR BLACK WOMEN ARE 12.2%; HISPANICS (9.3%); AND ASIANS (7.9); THE RATE IS 7.3% FOR WHITE WOMEN. CENTERINGPREGNANCY HAS BEEN SHOWN TO REDUCE THE RATE OF PRETERM AND LOW WEIGHT BABIES, NEARLY ELIMINATE THE RACIAL DISPARITIES IN PRETERM BIRTH AMONG BLACK WOMEN. PRIORITY AREA IV: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSFOCUS AREA 1: PROMOTE WELL BEINGGOAL 1.1: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN. STUDENTS IDENTIFIED AS HOMELESS DURING THE 2017-2018 SCHOOL YEAR, NEW YORK CITY. SOURCE: NYSTEACHS. NYS EDUCATION DEPARTMENT, STUDENT INFORMATION REPOSITORY SYSTEM (SIRS). DATA ON HOMELESSNESS IN NYCGOAL 1.2: FACILITATE SUPPORTIVE ENVIRONMENTS THAT PROMOTE RESPECT AND DIGNITY FOR PEOPLE OF ALL AGES.RESOURCES AND ACCOMPLISHMENTS: THROUGH ITS PARTICIPATION IN DSRIP, JHMC HAS IMPLEMENTED MANY NEW PRACTICES AND PROGRAMS THAT FOCUS ON ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH, WHERE POSSIBLE, IN ADDITION TO RESPONDING TO A PATIENT'S MEDICAL COMPLAINT, AND TO PROMOTE WELL-BEING. THIS IS BEING ACCOMPLISHED AT JHMC BY PROVIDING PATIENT NAVIGATION SERVICES SO THAT PATIENTS CAN OBTAIN AFFORDABLE HEALTH INSURANCE, RESOLVE BARRIERS TO ACCESSING HEALTH CARE SERVICES, AND PROVIDE SUPPORTIVE SERVICES TO PROMOTE SUCCESSFUL ADOPTION AND CONTINUATION OF HEALTHY BEHAVIORS. SOME SERVICES ARE PROVIDED DIRECTLY BY OR AT JHMC FACILITIES, SUCH AS THE FARMER'S MARKET, LEGALHEALTH, AND FREE EXERCISE CLASSES. OTHERS ARE PROVIDED BY REFERRALS TO TRUSTED COMMUNITY PARTNERS THAT OFFER SUPPORTIVE SOCIAL SERVICES THAT ARE TAILORED TO A SPECIFIC PATIENT NEED OR A SPECIFIC PATIENT POPULATION (E.G., MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS), AND THAT COMPLEMENT THE MEDICAL CARE BEING PROVIDED AT JHMC FACILITIES. THE FOLLOWING MEMBER AGENCIES OF THE QUEENS PPS PROVIDE EXAMPLES OF THE BREADTH OF SUPPORTIVE SERVICES THAT ARE MORE READILY ACCESSIBLE TO JHMC PATIENTS: CALLEN-LORDE HEALTH CENTER, CENTER FOR INDEPENDENCE OF THE DISABLED IN NEW YORK, CHILDREN'S AID SOCIETY, COMMUNILIFE, KOREAN AMERICAN FAMILY SERVICE CENTER, QUEEN PRIDE HOUSE, SELFHELP COMMUNITY SERVICES, SERVICES & ADVOCACY FOR LGBT ELDERS (SAGE), AND SOUTH ASIAN COUNCIL FOR SOCIAL SERVICES. FOCUS AREA 2: PREVENT MENTAL AND SUBSTANCE USE DISORDERSGOAL 2.1: PREVENT UNDERAGE DRINKING AND EXCESSIVE ALCOHOL CONSUMPTION BY ADULTS. SOURCE: NYC DOHMH, EPIQUERY, 2017 COMMUNITY HEALTH SURVEY.GOAL 2.2: PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS. SOURCE: NYC DOHMH, BUREAU OF VITAL STATISTICS, SUMMARY OF VITAL STATISTICS 2016, THE CITY OF NEW YORK SPECIAL SECTION DRUG-RELATED MORTALITYGOAL 2.3: PREVENT AND ADDRESS ADVERSE CHILDHOOD EXPERIENCES (ACES)GOAL 2.4: REDUCE THE PREVALENCE OF MAJOR DEPRESSIVE DISORDERSCURRENT DEPRESSION (IN THE PAST TWO WEEKS) AS MEASURED WITH AN EIGHT-ITEM QUESTIONNAIRE THAT ASSESSES SYMPTOMS OF DEPRESSION. SOURCE: EPIQUERY, 2016-2017.GOAL 2.5: PREVENT SUICIDES.SUICIDE RATE/100,000 POPULATION (AGE ADJUSTED). SOURCE: NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, EPIQUERY, MORTALITY.GOAL 2.6: REDUCE THE MORTALITY GAP BETWEEN THOSE LIVING WITH SERIOUS MENTAL ILLNESS AND THE GENERAL POPULATIONRESOURCES AND ACCOMPLISHMENTS: JHMC OFFERS A WIDE RANGE OF INPATIENT OUTPATIENT, AND COMMUNITY-BASED MENTAL HEALTH SERVICES SERVING PATIENTS ACROSS THE LIFESPAN. THE DEPARTMENT OF PSYCHIATRY AND MENTAL HEALTH HAS A DEDICATED PSYCHIATRIC EMERGENCY DEPARTMENT WITH A SIX-BED OBSERVATION UNIT TO EVALUATE ADULTS WITH ACUTE PSYCHIATRIC SYMPTOMS AND PROVIDE CRISIS INTERVENTION. WHEN NECESSARY, PATIENTS CAN BE ADMITTED TO ONE OF TWO, 28-BED ADULT PSYCHIATRIC UNITS. THE DEPARTMENT OPERATES A COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM AND OPERATES TWO COMMUNITY MOBILE CRISIS TEAMS. THE MENTAL HEALTH CLINIC OFFERS GROUP, INDIVIDUAL, FAMILY, AND COUPLES THERAPY, MEDIATION MANAGEMENT, AND SPECIALTY SERVICES FOR CHILDREN, ADOLESCENTS, AND ADULTS ON AN OUTPATIENT BASIS. COMPREHENSIVE, CULTURALLY SENSITIVE INPATIENT AND OUTPATIENT CHEMICAL DEPENDENCY SERVICES ARE OFFERED AT JHMC'S SISTER FACILITY IN QUEENS, FLUSHING HOSPITAL.JHMC HAS ADOPTED THE IMPACT MODEL FOR DEPRESSION AT ITS FAMILY CARE CENTER SITES AND CONDUCTS UNIVERSAL SCREENING FOR DEPRESSION IN ITS PRIMARY CARE PRACTICES. DEDICATED DEPRESSION CARE MANAGERS CONDUCT THE EVIDENCE-BASED IMPACT INTERVENTION WITH PATIENTS WHO HAVE MODERATE TO SEVERE DEPRESSION. PATIENTS WHO NEED FURTHER TREATMENT ARE REFERRED TO THE HOSPITAL'S OUTPATIENT MENTAL HEALTH CLINIC WHERE THEY CAN SPEAK TO A MENTAL HEALTH PROFESSIONAL ABOUT DEPRESSION, SUICIDE, OR ANY OTHER MENTAL HEALTH DISORDER.JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS EDUCATIONAL ARTICLES AND VIDEOS ABOUT THE IDENTIFICATION, DIAGNOSIS AND TREATMENT OF A VARIETY OF MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS.THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.PRIORITY AREA V: PREVENT COMMUNICABLE DISEASESFOCUS AREA 1: VACCINE-PREVENTABLE DISEASES GOAL 1.1: IMPROVE VACCINATION RATES. SOURCE: EPIQUERY, COMMUNITY HEALTH SURVEYS 2016-2017GOAL 1.2: REDUCE VACCINATION COVERAGE DISPARITIESCHILD VACCINATION COVERAGE, AGES 19-35 MONTHS, 2017, COMBINED 7-VACCINE SERIES, 2017. SOURCE: CDC, CHILDVAXVIEW, 2017

PART VI, LINE 2, ASSESSMENT OF COMMUNITY HEALTH NEEDS CONTINUED:
RESOURCES AND ACCOMPLISHMENTS: SINCE THE NYC MEASLES OUTBREAK BEGAN IN THE FALL OF 2018, JHMC PROVIDERS HAVE REDOUBLED EFFORTS TO ENCOURAGE ALL PARENTS TO VACCINATE THEIR CHILDREN WITH THE MEASLES- MUMPS-RUBELLA (MMR) VACCINE, AS RECOMMENDED BY THE CDC. THE HOSPITAL IS ALSO POSTING MEASLES OUTBREAK UPDATES ON ITS ONLINE HEALTH EDUCATION NEWSLETTER HEALTH BEAT. ALTHOUGH THE VAST MAJORITY OF THE MEASLES CASES ARE OCCURRING IN THE ORTHODOX JEWISH COMMUNITIES IN BROOKLYN, OUTSIDE OF JHMC'S SERVICE AREA, MEDICAL STAFF IS TAKING EXTRA PRECAUTIONS TO ENSURE THAT ALL ADULTS AND CHILDREN ARE IMMUNIZED FOR MEASURES OR HAVE IMMUNITY. JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS EDUCATIONAL ARTICLES AND VIDEOS ABOUT THE IMPORTANCE OF VACCINATIONS TO PREVENT A VARIETY OF DISEASES INCLUDING INFLUENZA, PNEUMONIA, MEASLES MUMPS & RUBELLA (MMR) AND OTHERS.THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 2: HUMAN IMMUNODEFICIENCY VIRUS (HIV)GOAL 2.1: DECREASE HIV MORBIDITY (NEW HIV DIAGNOSES). SOURCE: NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, NEW YORK CITY HIV/AIDS ANNUAL SURVEILLANCE STATISTICS 2016 AND 2017.GOAL 2.2: INCREASE VIRAL SUPPRESSIONSOURCE: NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, EPIQUERY, 2017 COMMUNITY HEALTH SURVEY. HIV TESTING: RESPONDENTS WERE ASKED IF THEY HAD AN HIV TEST IN THE PAST 12 MONTHS, OR EVER.RESOURCES AND ACCOMPLISHMENTS: JHMC'S AMBULATORY CARE CENTER IS DESIGNATED BY NYS DOH AS AN HIV PRIMARY MEDICAL CARE PROVIDER AND OFFERS TESTING ANNUALLY TO PATIENTS AGES 13-64 IN BOTH ITS EMERGENCY DEPARTMENT AND CLINICS. HEALTH EDUCATION AND RISK REDUCTION EDUCATION AND COUNSELING ARE PROVIDED AROUND HIV, STD, AND HCV TO PROMOTE AND REINFORCE SAFER BEHAVIORS. IN ADDITION TO JHMC'S DIVISION OF INFECTIOUS DISEASE SERVICES, THE QUEENS' SERVICE AREA (AS DEFINED IN THE QUEENS CNA) HAS 49 INFECTIOUS DISEASE PHYSICIANS. THERE ARE THREE HOSPITALS IN QUEENS THAT ARE LICENSED AS AIDS CENTERS (ELMHURST HOSPITAL, QUEENS HOSPITAL CENTER, AND NEW YORK-PRESBYTERIAN/QUEENS). QUEENS ALSO HAS 25 AGENCIES WITH 180 SERVICE SITES THAT OFFER HIV RELATED SERVICES, INCLUDING RYAN WHITE AND CDC PREVENTION PROGRAMS. THESE SERVICES INCLUDE HIV PREVENTION AND OUTREACH EFFORTS SUCH AS SEXUAL AND BEHAVIORAL HEALTH FOR HIV PREVENTION, CONDOM DISTRIBUTION, HARM REDUCTION, TESTING AND LINKAGE TO CARE, AND SYRINGE EXCHANGE. PREP (PRE-EXPOSURE PROPHYLAXIS) AND PEP (POST EXPOSURE PROPHYLAXIS) SERVICES FOR UNINSURED PEOPLE IN QUEENS ARE AVAILABLE AT THE COMMUNITY HEALTH NETWORK-FAMILY HEALTH CENTER AND NYC HEALTH AND HOSPITALS-ELMHURST.JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS EDUCATIONAL ARTICLES AND VIDEOS ABOUT PREVENTION OF HIV. THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 3: SEXUALLY TRANSMITTED INFECTIONS (STIS) GOAL 3.1: REDUCE THE ANNUAL RATE OF GROWTH FOR STISSYPHILIS CASE NAMES AND CASE RATES, 2016, 2015. SOURCE: NYC DOHMH, EPIQUERY, 2018 COMMUNITY HEALTH PROFILESGONORRHEA CASE NUMBERS AND CASE RATES, 2015 & 2016. SOURCE: NYC DOHMH, EPIQUERY, 2018 COMMUNITY HEALTH PROFILESRESOURCES AND ACCOMPLISHMENTS: JHMC'S AMBULATORY CARE CENTER, WHICH IS DESIGNATED BY NYS DOH AS AN HIV PRIMARY MEDICAL CARE PROVIDER, AND THE WOMEN'S HEALTH CENTER, CONDUCTS TARGETED SCREENING FOR SEXUALLY TRANSMITTED DISEASES SUCH AS CHLAMYDIA, GONORRHEA, AND SYPHILIS AND REFERS PATIENTS TO APPROPRIATE FOLLOW-UP MEDICAL CARE, PARTNER SERVICES, AND PREVENTION COUNSELING. FOCUS AREA 4: HEPATITIS C VIRUS (HCV)GOAL 4.1: INCREASE THE NUMBER OF PERSONS TREATED FOR HCVTREATMENT INITIATION AMONG PEOPLE NEWLY REPORTED WITH A POSITIVE HEPATITIS C RNA TESTS, 2015-2017. SOURCE: NYC DOHMH, NYC HEPATITIS A, B & C ANNUAL REPORT 2017GOAL 4.2: REDUCE THE NUMBER OF NEW HCV CASES AMONG PEOPLE WHO INJECT DRUGSNEW HEPATITIS C REPORTS PER 100,000 PEOPLE, 2016 AND 2017. SOURCE: NYC DOHMH, EPIQUERY, COMMUNICABLE DISEASE SURVEILLANCE DATA, HEPATITIS C, 2016 AND 2017RESOURCES AND ACCOMPLISHMENTS: JHMC ADMINISTERED 2,111 HEPATITIS B BIRTH DOSES TO NEWBORNS IN 2017, REPRESENTING 99% OF ALL BIRTHS, AS AN IMPORTANT COOPERATIVE STRATEGY TO PREVENT HEPATITIS B IN INFANTS. JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS EDUCATIONAL ARTICLES AND VIDEOS ABOUT THE IMPORTANCE OF THE HEPATITIS C VIRUS VACCINATION.THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.FOCUS AREA 5: ANTIBIOTIC RESISTANCE AND HEALTHCARE-ASSOCIATED INFECTIONSGOAL 5.1: IMPROVE INFECTION CONTROL IN HEALTHCARE FACILITIESSTANDARD INFECTION RATIO - SURGICAL SITE INFECTION AND CLABSI, 2017, QUEENS HOSPITALS. SOURCE: NEW YORK STATE DEPARTMENT OF HEALTH, HOSPITAL-ACQUIRED INFECTIONS IN NEW YORK STATE, 2017. OCTOBER 2018GOAL 5.2: REDUCE INFECTIONS CAUSED BY MULTIDRUG RESISTANT ORGANISMS AND C. DIFFICILESTANDARD INFECTION RATIO - HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTIONS (CDI), 2016 AND 2017. SOURCE: NYS DOH. HOSPITAL-ACQUIRED INFECTIONS IN NYS, 2017. OCTOBER 2018GOAL 5.3: REDUCE INAPPROPRIATE ANTIBIOTIC USEANTIBIOTIC PRESCRIPTIONS DISPENSED IN U.S. COMMUNITY PHARMACIES PER 1,000 POPULATION, ALL CLASSES, 2016. SOURCE: CDC, OUTPATIENT ANTIBIOTIC USAGE DATA. 2011-2016RESOURCES AND ACCOMPLISHMENTS: JHMC'S PHYSICIAN PRACTICES PARTICIPATED IN THE UNITED HOSPITAL FUND'S OUTPATIENT ANTIBIOTIC STEWARDSHIP INITIATIVE IN AN EFFORT TO REDUCE INAPPROPRIATE USE OF ANTIBIOTICS TREAT VIRAL ILLNESSES SUCH AS COLDS AND FLU. PHYSICIANS AND PATIENTS WERE EDUCATED ABOUT WHEN ANTIBIOTICS ARE NECESSARY AND WHEN THEY ARE NOT. MODIFICATIONS WERE MADE TO THE HOSPITAL'S EHR SYSTEM TO REQUIRE PHYSICIANS TO PROVIDE MORE EXTENSIVE DOCUMENTATION WHEN PRESCRIBING ANTIBIOTICS. THE INITIATIVE YIELDED POSITIVE RESULTS, REDUCING ANTIBIOTIC PRESCRIBING BY 65%.JHMC, ALONG WITH AFFILIATED FHMC, RECEIVED A FEDERAL GRANT TO IMPLEMENT ELECTRONIC REPORTING OF ANTIBIOTIC USE AND RESISTANCE INTO A NATIONAL DATABASE.RESULTS FROM THE 2018 LEAPFROG HOSPITAL SURVEY SHOW THAT JHMC HAS EFFECTIVELY INSTITUTED SEVERAL MANAGEMENT STRUCTURES AND PROCEDURES TO PROTECT PATIENTS FROM ERRORS, ACCIDENTS, AND INJURIES. JHMC RANKED ALONGSIDE THE BEST PERFORMING HOSPITALS FOR THE FOLLOWING PRACTICE MEASURES: DOCTORS ORDER MEDICATIONS THROUGH A COMPUTER; SPECIALLY TRAINED DOCTORS CARE FOR ICU PATIENTS; EFFECTIVE LEADERSHIP TO PREVENT ERRORS; TRACK AND REDUCE RISKS TO PATIENTS; ENOUGH QUALIFIED NURSES, AND HANDWASHING. JHMC MEDICAL STAFF HAVE DEVELOPED AN ANTIBIOTIC STEWARDSHIP PROGRAM TO EDUCATE PHYSICIANS AND PATIENTS ABOUT WHEN ANTIBIOTICS ARE NECESSARY AND WHEN THEY ARE NOT.JHMC, THROUGH THE PUBLIC AFFAIRS DEPARTMENT, REGULARLY POSTS EDUCATIONAL ARTICLES AND VIDEOS ABOUT THE OVER AND MISUSE OF ANTIBIOTICS AND THE RESULTING CONSEQUENCES.THIS INFORMATION IS POSTED ON ALL OF THE HOSPITAL'S SOCIAL MEDIA PLATFORMS (FACEBOOK, TWITTER, INSTAGRAM, YOUTUBE). THIS INFORMATION IS ALSO DISTRIBUTED TO THE COMMUNITY VIA THE HOSPITAL'S ELECTRONIC COMMUNITY NEWSLETTER.IN MARCH 2020 THROUGH JUNE 2020 THE JAMAICA HOSPITAL WAS IN THE EPICENTER OF THE COVID PANDEMIC AND THE HOSPITAL EXPERIENCED AN EXTREMELY LARGE SURGE OF COVID POSITIVE PATIENTS.JAMAICA HOSPITAL MEDICAL CENTER UNDER THE EMERGENCY MANAGEMENT DEPARTMENT FORMED A COVID TASK FORCE TO OVERSEE THE RESPONSE TO THE PANDEMIC TO ENSURE THAT RESOURCES WERE AVAILABLE AND MOBILIZED TO DEAL WITH THE TREMENDOUS INFLUX OF PATIENTS. COMMITTEES WERE CREATED TO ADDRESS AND RESPOND TO THE WIDE-RANGING IMPACT ON THE HOSPITAL INCLUDING CLINICAL LEADERSHIP, OPERATIONS, SUPPLY CHAIN, AND HUMAN RESOURCES. THE COVID TASK FORCE WAS CONSTANTLY MONITORING AND OR IN TOUCH WITH THE MANY FEDERAL, STATE AND CITY AGENCIES TO ENSURE PROPER PROTOCOLS/PROCEDURES WERE DEVELOPED IN RESPONSE TO THE SIGNIFICANT AMOUNT OF INFORMATION CIRCULATING AND REGULATIONS DEVELOPED AS WELL AS ACCESSING AVAILABLE SUPPORT.THE HOSPITAL DEVELOPED SURGE CAPACITY TO PROVIDE 150% OF PRE-COVID BED CAPACITY. INPATIENT HOSPITAL UNITS WERE CONVERTED TO DEDICATED COVID UNITS AND THE NUMBER OF DEDICATED UNITS INCREASED AS THE NUMBER OF COVID PATIENTS INCREASED. FIVE OUTPATIENT SITES WERE CLOSED AND CONSOLIDATED WITH FIVE OTHER SITES TO REFLECT THE REDUCED DEMAND FOR OUTPATIENT SERVICES AND STAFF WAS REDEPLOYED TO THE MAIN HOSPITAL TO SUPPORT INPATIENT OPERATIONS INCLUDING CLINICAL SUPPORT, PPE DISTRIBUTION, PATIENT FAMILY COMMUNICATION.

PART III, LINE 9B:
THE HOSPITAL OFFERS INSTALLMENT PLANS FOR THE PAYMENT OF OUTSTANDING BALANCES FOR PATIENTS APPROVED FOR FINANCIAL AID. THE HOSPITAL DOES NOT MANDATE THAT THE MONTHLY INSTALLMENT PAYMENT ARRANGEMENT EXCEED 10% OF THE APPLICANT'S GROSS MONTHLY INCOME OR AN INTEREST RATE THAT EXCEEDS THE RATE FOR A 90-DAY SECURITY ISSUED BY THE US DEPARTMENT OF TREASURY, PLUS 0.5%. THERE IS NO ACCELERATOR OR SIMILAR CLAUSE UNDER WHICH A HIGHER RATE OF INTEREST IS TRIGGERED WHEN A PATIENT MISSES MAKING A PAYMENT. THE HOSPITAL INCLUDES A WRITTEN NOTICE ON PATIENTS' BILLS AND STATEMENTS AT LEAST 30 DAYS PRIOR TO REFERRING THE ACCOUNT TO COLLECTION. THE HOSPITAL REQUIRES THAT ANY COLLECTIONS AGENCIES WITH WHICH THEY CONTRACT FOLLOW THE FINANCIAL ASSISTANCE POLICIES OF THE HOSPITAL. THE HOSPITAL DOES NOT FORCE THE SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE TO COLLECT ON AN OUTSTANDING BILL. COLLECTION IS PROHIBITED AGAINST ANY PATIENT WHO WAS ELIGIBLE FOR MEDICAID AT THE TIME SERVICES WERE RENDERED. FINALLY, THE CONTRACTED COLLECTIONS AGENCIES MUST OBTAIN THE HOSPITAL'S WRITTEN CONSENT BEFORE COMMENCING A LEGAL ACTION.

PART VI, LINE 2, ASSESSMENT OF COMMUNITY HEALTH NEEDS CONTINUED:
THE HOSPITAL IMPLEMENTED SEVERAL PROGRAMS TO ASSIST OUR PATIENTS AND COMMUNITY RECEIVE HEALTH CARE:1. EMR SYSTEM MODIFICATIONS AND WORKFLOWS WERE DEVELOPED TO ALLOW FOR TELEHEALTH APPOINTMENTS FOR BOTH MEDICAL AND MENTAL HEALTH CARE.2. FAMILY VISITATION DURING HIGH LEVELS OF COVID IN THE COMMUNITY WERE CURTAILED, AND IN RESPONSE THE HOSPITAL DEVELOPED A PROGRAM FOR VIRTUAL VISITATION AND FOR CONTACT WITH FAMILY MEMBERS REGARDING PATIENT STATUS FOR THOSE PATIENTS WITH AND WITHOUT COVID.3. INFORMATION WAS INCLUDED IN SOCIAL MEDIA POSTS. SOCIAL MEDIA ARTICLES ON COVID-19- COVID-19 AND MENTAL HEALTH- COVID-19 AND WARM WEATHER ACTIVITIES- COVID-19 WHEN IS IT SAFE TO RETURN TO WORK?- COVID-19 CAN YOU GET IT MORE THAN ONCE?- COVID-19 CAN IT LEAD TO A STROKE?- COVID-19 AND LARGE HOLIDAY GATHERINGS PRECAUTIONS- COVID-19 AND THANKSGIVING FESTIVITIES- COVID-19 AND HOLIDAY SHOPPING SUGGESTIONS- COVID-19 VERSUS ALLERGIES - COVID-19 POST INFECTION CARE- COVID-19 LONG HAUL CENTER IN HOLLIS- COVID-19 AND CDC GUIDELINES 4. THE HOSPITAL'S WEBSITE WAS UPDATED TO INCLUDE A COVID-19 RESOURCE PAGE- INFORMATION ON WHERE TO GET TESTED- INFORMATION ON HOW TO SCHEDULE AN APPOINTMENT FOR THE VACCINE5. FIVE OF THE TEN PRIMARY CARE OUTPATIENT FACILITIES REMAINED OPEN TO CARE FOR THOSE WHO NEEDED MEDICAL CARE. DENTAL CARE WAS CONTINUED ON A LIMITED BASIS IN THE MAIN DENTAL CENTER AND THREE OFFSITE LOCATIONS. INFECTION CONTROL GUIDELINES WERE OBSERVED REGARDING ENTRY SCREENING, IMMEDIATE ISOLATION OF THOSE WITH SUSPECTED COVID, PPE, SOCIAL DISTANCING, FREQUENT CLEANING AND DISINFECTION AND MASK WEARING. THESE ITEMS WERE CONTINUED THROUGHOUT 2020.6. OUR CARE MANAGEMENT DEPARTMENT REACHED OUT TO HIGH RISK AND DISCHARGED PATIENTS PERFORMING THE FOLLOWING SERVICES:- ONGOING CARE MANAGEMENT SERVICES, TELEPHONICALLY, TO ALL ELIGIBLE COVID AND NON-COVID PATIENTS (AT-HOME VISITS SUSPENDED)- COVID AND STAY-SAFE EDUCATION PROVIDED TO ALL PATIENTS BASED ON CURRENT FEDERAL, STATE AND CITY GUIDANCE- EDUCATION AND GUIDANCE TO TELEHEALTH SERVICES IN ADDITION TO ONGOING CARE COORDINATION WITH PATIENT PCPS AND SPECIALISTS- ONGOING COMMUNITY-BASED RESOURCE REFERRALS, PROPERLY VETTED FOR AVAILABILITY. THIS INCLUDED BOTH COVID AND NON-COVID RESOURCES- TARGETED OUTREACH TO VULNERABLE PATIENTS TO ASSESS STATUS AND NEEDS- IDENTIFICATION AND REFERRAL FOR MENTAL HEALTH SERVICES- IMPLEMENTATION OF COVID SCREENING FOR ALL PATIENTS UPON ENGAGEMENT AND WITH EACH SUBSEQUENT CONTACT/INTERACTION. THIS INCLUDED APPROPRIATE REFERRAL TO TESTING SITES IF INDICATED7. OUR WOMEN'S HEALTH CENTER CONDUCTED PRE-NATAL CENTERING PROGRAM TELE VIDEO SESSIONS.DURING THE SUMMER OF 2020 WHILE THE PANDEMIC WANED, OUTREACH TO PATIENTS WITH CHRONIC CONDITIONS AND PEDIATRIC PATIENTS DUE FOR VACCINATIONS AND WELL CHILDCARE WHO DID NOT SEEK CARE DURING THE COVID SURGE WERE ENCOURAGED TO COME INTO THE OUTPATIENT CLINICS TO BE SEEN. THE SECOND WAVE TOOK PLACE FROM MID-NOVEMBER 2020 THROUGH THE END OF THE YEAR AND BEYOND AND WHILE LESS INTENSIVE DID REQUIRE A HIGH LEVEL OF OVERSIGHT AND RESPONSE. DURING THE SECOND WAVE MANY OF THE ENHANCEMENTS FROM THE FIRST WAVE WERE REESTABLISHED.

PART VI, LINE 3:
CHARITY CARE POLICYPOLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO IDENTIFY METHODS BY WHICH PATIENTS AND/OR FAMILY MEMBERS ARE NOTIFIED OF THE JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL AID POLICY.PROCEDURE: NOTIFICATION TO PATIENTS:JAMAICA HOSPITAL MEDICAL CENTER DEVELOPED AND HAS PUBLICLY AVAILABLE A CLEAR AND UNDERSTANDABLE WRITTEN SUMMARY OF ITS FINANCIAL ASSISTANCE POLICIES AND ENSURES THAT EVERY PATIENT IS MADE AWARE OF THE EXISTENCE OF THE POLICIES. THE HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT AND NOTIFIES PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE DURING THE INTAKE AND REGISTRATION PROCESS THROUGH THE POSTING OF CONSPICUOUS AND LANGUAGE APPROPRIATE INFORMATION, AND THROUGH INFORMATION ON ALL BILLS AND STATEMENTS SENT TO PATIENTS. IN ADDITION, THE HOSPITAL POSTS THE FINANCIAL ASSISTANCE SUMMARY ON ITS WEBSITE. THE SUMMARY OF POLICIES INCLUDES THE SPECIFIC INCOME LEVELS USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE, A DESCRIPTION OF THE PRIMARY SERVICE AREA OF THE HOSPITAL, AND INFORMATION ABOUT HOW PATIENTS CAN APPLY FOR ASSISTANCE.ADDITIONALLY, THE HOSPITAL REQUIRES CONTRACTED OUTSIDE COLLECTIONS AGENCIES TO, WHEN APPROPRIATE; PROVIDE INFORMATION TO PATIENTS ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE. CHANGES IMPACTING COMMUNITY HEALTH/PROVISION OF CHARITY CARE/ACCESS TO SERVICES:THE HOSPITAL CONTINUES TO FACE EXTRAORDINARY FINANCIAL CHALLENGES INCLUDING FEDERAL AND STATE BUDGET CUTS, INCREASES IN THE UNINSURED, AND DWINDLING THIRD-PARTY REIMBURSEMENT RATES. SIMULTANEOUSLY, THE HOSPITAL HAS HAD A DRAMATIC INCREASE IN ITS EMERGENCY AND INPATIENT LOAD DUE TO NEARBY HOSPITAL CLOSINGS. POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED. PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO DEFINE THEIR RESPONSIBILITY TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. PROCEDURE: ELIGIBILITY:JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY ENSURES THAT ANY PATIENT THAT HAS BEEN DEEMED TO BE UNINSURED THROUGH BASIC FINANCIAL SCREENING WILL BE ENTITLED TO A GLOBAL CHARITABLE DISCOUNT FOR EMERGENT (NYS RESIDENTS) AND/OR MEDICALLY NECESSARY SERVICES (RESIDES IN HOSPITAL'S PRIMARY SERVICE AREA). THE GLOBAL CHARITABLE DISCOUNT WILL BE BASED ON THE CURRENT APPLICABLE MEDICAID RATE - DEPENDING ON THE SERVICE PROVIDED. ADDITIONALLY, FOR COVERED SERVICES THERE ARE NO LIMITS ON FINANCIAL ASSISTANCE BASED ON THE MEDICAL CONDITION OF THE APPLICANT. THE HOSPITAL ALSO PROVIDES ADDITIONAL FINANCIAL ASSISTANCE TO PATIENTS WITH INCOMES BELOW 300% FPL. TO BE POTENTIALLY ELIGIBLE FOR ADDITIONAL FINANCIAL ASSISTANCE, A PATIENT MUST BE UNINSURED OR HAVE EXHAUSTED THEIR HEALTH INSURANCE BENEFITS AND MUST BE DEEMED INELIGIBLE FOR ANY OTHER GOVERNMENT ASSISTANCE PROGRAM BY THE FINANCIAL COUNSELING OFFICE OF THE HOSPITAL. THOSE PATIENTS WHO ARE POTENTIALLY ELIGIBLE AND PROVIDE PROOF THAT THEIR INCOME IS BELOW 300% FPL CAN QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE. THE LEVEL OF ADDITIONAL ASSISTANCE WOULD BE DEPENDENT ON HOW LOW THEIR INCOME IS. THERE IS NO RESOURCE TEST FOR FINANCIAL AID ELIGIBLE PATIENTS. PLEASE NOTE THAT CERTAIN ELECTIVE SERVICES ARE EXCLUDED FROM THIS PROGRAM SUCH AS NON-MEDICALLY NECESSARY COSMETIC SERVICES AND SELF-IMPROVEMENT SERVICES.CO-PAYS AND DEDUCTIBLES ARE NOT COVERED UNDER THE PROGRAM. PATIENTS WHO DO NOT HAVE INSURANCE, AND; CHOOSE NOT TO FILE FOR ADDITIONAL CHARITABLE ASSISTANCE; ARE UNCOOPERATIVE; OR WHO ARE UNABLE TO BE LOCATED WILL HAVE THE GLOBAL CHARITABLE DISCOUNT APPLIED TO THEIR ACCOUNT(S). NO FURTHER DISCOUNTING WILL BE MADE AVAILABLE TO PATIENTS IN THESE CATEGORIES UNLESS APPROVED VIA THE APPEALS PROCESS. ANCILLARIES ARE NOT INCLUDED IN DISCOUNTING EXTENDED TO THESE PATIENTS' ACCOUNTS.JAMAICA HOSPITAL MEDICAL CENTER ALLOWS FOR ALL RESIDENTS OF NEW YORK STATE TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR EMERGENCY HOSPITAL SERVICES. FOR ANY MEDICALLY NECESSARY, NON-EMERGENT MEDICAL CARE, THE POLICY ALLOWS FOR RESIDENTS OF THE HOSPITAL'S PRIMARY SERVICE (AS DEFINED BY THE COMMISSIONER OF THE DEPARTMENT OF HEALTH), TO BE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE. POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED. PURPOSE: TO DEFINE WHAT SERVICES ARE COVERED UNDER THE JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL AID POLICY BASED ON NEW YORK STATE MANDATORY GUIDELINES. PROCEDURE: SERVICES COVERED: JAMAICA HOSPITAL MEDICAL CENTER PROVIDES FINANCIAL ASSISTANCE FOR ALL MEDICALLY NECESSARY AND THERAPEUTICALLY BENEFICIAL SERVICES AND PROCEDURES, AND ALL EMERGENCY HOSPITAL SERVICES INCLUDING EMERGENCY TRANSFERS PURSUANT TO THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA).POLICY: TO PROVIDE ACCESS TO GOVERNMENT ASSISTANCE APPLICATIONS AND/OR FINANCIAL AID FOR THE QUALIFIED UNINSURED.PURPOSE: TO PROVIDE ACCESSIBLE AND AFFORDABLE CARE TO UNINSURED PATIENTS AND TO DEFINE THEIR RESPONSIBILITY TO CONTRIBUTE TO THEIR CARE BASED ON THEIR ABILITY TO PAY. PROCEDURE: APPLICATION, APPROVAL, AND APPEAL:JAMAICA HOSPITAL MEDICAL CENTER FINANCIAL ASSISTANCE POLICY ALLOWS PATIENTS TO APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE UP TO 90 DAYS AFTER INPATIENT DISCHARGE OR RECEIPT OF OUTPATIENT SERVICES. THE HOSPITAL REQUIRES APPLICANTS TO SUBMIT FINANCIAL DOCUMENTS TO SUPPORT THEIR APPLICATION. THE POLICY ALLOWS 20 DAYS FOR PATIENTS TO SUBMIT ADDITIONAL DOCUMENTS AND INFORMATION NEEDED TO COMPLETE AN APPLICATION. FINANCIAL ASSISTANCE APPLICANTS ARE NOT REQUIRED TO PAY THEIR HOSPITAL BILL(S) WHILE THE APPLICATION FOR ASSISTANCE IS BEING CONSIDERED AND A DETERMINATION MADE. DESIGNATED HOSPITAL STAFF ASSISTS PATIENTS IN THE APPLICATION PROCESS, INCLUDING UNDERSTANDING THE POLICIES AND PROCEDURES. PATIENTS APPLYING FOR FINANCIAL ASSISTANCE ARE REQUIRED TO COOPERATE WITH THE REQUIREMENTS OF THE APPLICATION, SUCH AS PROVIDING INFORMATION AND DOCUMENTATION NECESSARY TO RENDER A DECISION ON THE APPLICATION. TO QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE, HOSPITAL POLICY REQUIRES A PATIENT TO FIRST APPLY FOR MEDICAID OR ANOTHER INSURANCE PROGRAM, IF, IN THE JUDGMENT OF THE HOSPITAL, THE PATIENT MAY BE ELIGIBLE FOR MEDICAID OR ANOTHER HEALTH INSURANCE PROGRAM.THE HOSPITAL PROVIDES APPLICATION FORMS IN THE PRIMARY LANGUAGES OF PATIENTS SERVED BY THE HOSPITAL.DECISIONS REGARDING FINANCIAL ASSISTANCE APPLICATIONS ARE MADE BY THE HOSPITAL WITHIN 30 DAYS OF RECEIPT OF A COMPLETED APPLICATION. WHENEVER A MEDICAID APPLICATION IS ALSO BEING SUBMITTED ON BEHALF OF THE FINANCIAL AID APPLICANT, A FINANCIAL AID DECISION WILL BE RENDERED WITHIN 30 DAYS OF A MEDICAID DENIAL. THE DECISION IS PROVIDED TO THE PATIENT IN WRITING AND INCLUDES THE METHOD BY WHICH THE PATIENT CAN APPEAL A DENIAL. THE FINANCIAL ASSISTANCE DENIAL LETTERS EXPLAINS THE APPEALS PROCESS TO RE-EVALUATE DENIED APPLICATIONS; IF, OR WHEN, AN APPEAL IS REQUESTED.

PART VI, LINE 4:
"JJHMC'S SERVICE AREA WAS DETERMINED BY ANALYZING STATEWIDE PLANNING AND RESEARCH COOPERATIVE SYSTEM (SPARCS) 2017 DISCHARGE DATA AT THE ZIP CODE LEVEL. THE UNITED HEALTH FUND (""UHF"") NEIGHBORHOODS WITH THE HIGHEST VOLUMES OF PATIENTS WERE DETERMINED TO BE THE PRIMARY SERVICE AREA (""PSA""). UHF NEIGHBORHOODS WITH AT LEAST 3% OF INPATIENT CASES WERE CONSIDERED THE HOSPITAL'S SECONDARY SERVICE AREA (SSA) THE PSA AND SSA TOGETHER ACCOUNT FOR APPROXIMATELY 86% OF THE HOSPITAL'S TOTAL INPATIENT CASES, WITH THE PSA ACCOUNTING FOR 78% AND THE SSA 8%. THE JHMC CHNA FOCUSES ON THE HOSPITAL'S PSA.JHMC'S PRIMARY SERVICE AREA:THE PSA COVERS THREE UHF NEIGHBORHOODS JAMAICA (408), SOUTHWEST QUEENS (407) AND EAST NEW YORK (204). THERE ARE GAPS IN PRIMARY MEDICAL CARE, INCLUDING DENTAL CARE AND MENTAL HEALTH CARE ACROSS QUEENS, WHICH ARE ALSO EVIDENT IN JHMC'S SERVICE AREA. QUEENS HAS SEVEN NEIGHBORHOODS THAT ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUA) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) ; THIS DESIGNATION IS BASED ON FOUR FACTORS: THE RATIO OF PRIMARY MEDICAL CARE PHYSICIANS PER 1,000 POPULATION, INFANT MORTALITY RATE, PERCENTAGE OF THE POPULATION WITH INCOMES BELOW THE POVERTY LEVEL, AND PERCENTAGE OF THE POPULATION AGE 65 OR OVER. THE KINGS SERVICE AREA MUA, WHICH CONTAINS EAST NEW YORK, AND THE QUEENS SERVICE AREA MUA, WHICH CONTAINS PARTS OF JAMAICA, COVER JHMC'S SERVICE AREA. SOUTH JAMAICA, A NEIGHBORHOOD WITHIN JHMC'S PRIMARY SERVICE AREA, ALSO IS A DESIGNATED MUA. SOUTH JAMAICA IS ALSO DESIGNATED AS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) BY HRSA, MEANING THERE ARE LESS PRIMARY CARE PROFESSIONALS THAN ARE NECESSARY TO ACCOMMODATE THE POPULATION LIVING IN THAT AREA. CENSUS TRACTS WITHIN SOUTH JAMAICA ARE ALSO DESIGNATED AS MENTAL HEALTH HPSAS, MEANING THERE ARE LESS MENTAL HEALTH CARE PROFESSIONALS THAN ARE NECESSARY TO ACCOMMODATE THE POPULATION LIVING IN THOSE AREAS. WITHIN JHMC'S SERVICE AREA, THERE ARE TWO FACILITIES (JOSEPH P. ADDABBO FAMILY HEALTH CENTER AND PROJECT SAMARITAN HEALTH SERVICES) THAT RECEIVED MENTAL HEALTH HPSA DESIGNATION BECAUSE THEY PROVIDE MENTAL HEALTH SERVICES TO AN AREA OR POPULATION GROUP DESIGNATED AS HAVING A SHORTAGE.THE HOSPITAL ALSO OFFERS PRIMARY CARE AT EIGHT COMMUNITY-BASED EXTENSION CLINICS IN SOUTHWEST QUEENS AND JAMAICA, WHICH PROVIDE PEDIATRIC PRIMARY CARE SERVICES AND ARE NCQA NYS 2018 PCMH RECOGNIZED: MEDISYS ENY, MEDISYS JAMAICA, MEDISYS HOLLIS, MEDISYS HOLLIS TUDORS, MEDISYS ST. ALBANS, MEDISYS RICHMOND HILL, MEDISYS OZONE PARK (MEDWISE/CLOCKTOWER), AND MEDISYS HOWARD BEACH. IN ADDITION, THE HOSPITAL PROVIDES AMBULATORY SERVICES AT ITS WOMEN'S HEALTH CENTER, FAMILY DENTAL CENTER, MENTAL HEALTH CENTER, SLEEP CENTER AND AFFILIATED ADVANCED CENTER FOR PSYCHOTHERAPY. SERVICES ARE ALSO PROVIDED BY THE HOSPITAL AT THREE PUBLIC SCHOOLS: PS 155 (ELEMENTARY SCHOOL), PS 223 (ELEMENTARY SCHOOL) AND CAMPUS MAGNET HIGH SCHOOL. IN QUEENS THERE ARE EIGHT ACUTE CARE HOSPITALS INCLUDING AFFILIATED FLUSHING HOSPITAL MEDICAL CENTER (FHMC), 12 NURSING HOMES, AND 48 HRSA-SUPPORTED FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) OR LOOK-ALIKES THAT PROVIDE SERVICES IN QUEENS COUNTY AND NEARBY BROOKLYN ZIP CODES. THREE OTHER ACUTE CARE HOSPITALS SERVE THE COMMUNITIES WITHIN JHMC'S PSA: NORTHWELL HEALTH LONG ISLAND JEWISH FOREST HILLS HOSPITAL AND LONG ISLAND JEWISH MEDICAL CENTER, AND HEALTH + HOSPITALS/QUEENS HOSPITAL CENTER. THERE ARE ALSO MANY DIAGNOSTIC AND TREATMENT CENTERS, AS WELL AS NUMEROUS PHYSICIAN GROUP PRACTICES, AND INDIVIDUAL PHYSICIAN OFFICES THAT ALSO SERVE THIS AREA.INPATIENT PSYCHIATRIC CARE IS PROVIDED AT JHMC AND AT AFFILIATED FHMC AND AT SIX OTHER LICENSED FACILITIES IN QUEENS. IN ADDITION, THERE ARE 51 OUTPATIENT MENTAL HEALTH SERVICES INCLUDING THOSE AT JHMC AND FHMC, SUPPORT PROGRAMS, EMERGENCY SERVICES, AND RESIDENTIAL FACILITIES THAT PROVIDE MENTAL HEALTH TREATMENT TO ADULTS AND CHILDREN. CREEDMOOR ADDICTION TREATMENT CENTER, A STATE-OPERATED FACILITY, SERVES QUEENS AND THE REST OF NEW YORK CITY. THIRTY-THREE CHEMICAL DEPENDENCY TREATMENT AGENCIES INCLUDING THE INPATIENT DETOXIFICATION UNIT AND OUTPATIENT REFLECTIONS CLINIC AT FHMC, AND 63 INDIVIDUAL PROVIDERS IN QUEEN PROVIDE CHEMICAL DEPENDENCY PREVENTION/TREATMENT AND IMPAIRED DRIVING OFFENDER PROGRAMS. APPROXIMATELY 240 DATA-WAIVERED PRACTITIONERS IN QUEENS ARE CERTIFIED TO PROVIDE BUPRENORPHINE TREATMENT OF OPIOID USE DISORDER. JAMAICA NEIGHBORHOOD - DEMOGRAPHICSTHE TOTAL POPULATION OF JAMAICA IN 2018 WAS 303,163 RESIDENTS WITH A 2.7% INCREASE PROJECTED BY 2023. ALMOST 50% OF THE POPULATION IS BLACK NON-HISPANIC; 19.5% IS HISPANIC; 17.4% IS ASIAN AND PACIFIC ISLANDERS; 6.2% IS WHITE NON-HISPANIC; AND ""ALL-OTHERS"" COMPRISE 7.4% OF THE POPULATION. APPROXIMATELY 23% ARE UNDER THE AGE 17; 16% ARE OVER 65; AND THERE ARE APPROXIMATELY 64,740 WOMEN OF CHILDBEARING AGE (15-44). HALF OF HILLCREST AND FRESH MEADOWS'S POPULATION (49.6%) ARE FOREIGN BORN; IN JAMAICA AND HOLLIS, 62.5% OF RESIDENTS ARE FOREIGN BORN.SOUTHWEST QUEENS NEIGHBORHOOD - DEMOGRAPHICSTHE TOTAL RESIDENT POPULATION OF SOUTHWEST QUEENS IS APPROXIMATELY 278,085 (2018) WITH A 2.2% INCREASE PROJECTED IN THE NEXT FIVE YEARS. TWENTY-TWO PERCENT OF RESIDENTS ARE AGE 17 AND UNDER, 16% ARE OVER 65 YEARS. THERE ARE AN ESTIMATED 58,000 FEMALES OF CHILDBEARING AGE (15 TO 44 YEARS). OVERALL, THE POPULATION OF 278,085 RESIDENTS IS DIVERSE. A THIRD OF SOUTHWEST QUEENS RESIDENTS ARE HISPANIC/LATINO (33.5%; REGARDLESS OF RACE; 23.1% ARE ASIAN AND PACIFIC ISLANDER; 18.7% ARE WHITE NON-HISPANIC; AND 12.4% ARE BLACK. ALL OTHERS, INCLUDING MIXED RACE, COMPRISE 12.3%. HALF (50.5%) OF KEW GARDENS AND WOODHAVEN RESIDENTS ARE FOREIGN BORN; 45.9% OF SOUTH OZONE PARK AND HOWARD BEACH RESIDENTS ARE FOREIGN BORN. RICHMOND HILL, A COMMUNITY KNOWN FOR ITS LARGE INDO-GUYANESE, INDO-TRINIDADIAN AND TOBAGONIAN, AND INDO-CARIBBEAN IMMIGRANT POPULATION, AS WELL AS LITTLE PUNJAB, FOR ITS LARGE PUNJABI IMMIGRANT POPULATION, HAS THE HIGHEST PERCENTAGE OF FOREIGN BORN RESIDENTS IN SOUTHWEST QUEENS, 55%EAST NEW YORK NEIGHBORHOOD - DEMOGRAPHICSWHEN COMPARED TO THE REST OF NYC AND THE U.S. THE POPULATION OF EAST NEW YORK (ENY) IS YOUNGER, LESS EDUCATED, POORER, AND MORE ETHNICALLY DIVERSE. THE TOTAL RESIDENT POPULATION IS 203,592; 49.4% ARE BLACK; 38.3% IDENTIFY AS HISPANIC/LATINO; 6.3% ARE ASIAN; 2.2% ARE WHITE; AND 3.8% REPRESENT ALL OTHER RACIAL/ETHNIC GROUPS. THIRTY-FIVE PERCENT OF RESIDENTS ARE FOREIGN BORN. THERE ARE 47,505 WOMEN OF CHILD- BEARING AGE (15 TO 44 YEARS)."