4A (Expenses $ 752369609 including grants of $ 103563972) (Revenue $ 797099549)
"NewYork-Presbyterian/Queens (NYP/Q), located in the Borough of Queens in New York City, is a 535-bed licensed, not-for-profit medical center. NYP/Q has received a determination letter from the Internal Revenue Service that it is exempt from federal income taxes as an organization described in Section 501(c)(3) of the Internal Revenue Code. The Hospital is a voluntary, not-for-profit acute care community teaching hospital located in the Flushing section of Queens, New York. Presently, the Hospital provides medical and surgical services and has a certified bed capacity of 535. It was incorporated in 1974 as Booth Memorial Medical Center and changed its name to The New York Hospital Medical Center of Queens in 1992 in conjunction with its affiliation with The Society of the New York Hospital (now, The NewYork and Presbyterian Hospital). On July 1, 2015 NYP Community Programs, Inc. became the active parent of NewYork-Presbyterian/Queens and its subsidiaries. NYP Community Programs, Inc. (Community Programs) is the sole corporate member and active parent of Queens. The NewYork and Presbyterian Hospital (NYPH) is the sole member of Community Programs. NYPH is a major academic medical center that provides a full range of inpatient and outpatient services, mainly to residents of the New York metropolitan area. The Board of Trustees of NYPH consists of persons who have first been elected as members of NewYork-Presbyterian Foundation, Inc. (Foundation, Inc.). Community Programs, NYPH and Foundation, Inc. are each New York State not-for-profit corporations. Foundation, Inc. is related to a number of organizations. Services and Programs: The Hospital offers diagnostic and therapeutic services on an inpatient and outpatient basis in approximately 64 medical specialties and sub-specialties. NYP/Q has advanced capabilities in areas such as cardiac, general, and minimally invasive surgery. It receives tertiary inpatient referrals in the following service lines: Cardiovascular diseases, orthopedics, digestive diseases, Neuroscience, Obstetrics & Gynecology, Cancer and Kidney diseases. It operates a Level III Neonatal Intensive Care Unit and a Level I Trauma Center (both designed to handle the most severe cases). The Hospital Center provides the following programs as Centers of Excellence: The Neuroscience Institute, Cancer Center, Breast Center, Eye Center, Pediatric Asthma Center, and Obesity Surgery. NYP/Q has been designated by the New York State Department of Health (""DOH"") as an AIDS Designated Center. The Ambulatory Care division provides adult and pediatric primary/preventive care at 13 sites throughout Queens County. Cardiac Services: The Hospital offers a variety of cardiac services including diagnostic and interventional cardiology, cardiac surgery, congestive heart failure and rehabilitation centers and cardiac research, education and prevention programs. The Cardiac Catheterization Laboratory at NYP/Q is one of only two interventional cardiology programs in Queens County, New York. The three catheterization laboratories at NYP/Q performed a combined 1,206 procedures in 2021. Now, physicians in the Electrophysiology Laboratory can implant new MRI-safe pacemakers for our patients and do atrial fibrillation ablation procedures. NYP/Q, in collaboration with The NewYork and Presbyterian Hospital and Weill Cornell Medicine, operates a cardiac surgery program at the NYP/Q campus. The Cardiac Health Center directs the Hospitals' education and prevention programs. Lectures and special events are regularly presented to the general public at the site and at community centers and health fairs throughout Queens County. The Cardiac Health Center provides primary and secondary cardiac rehabilitation programs, including nutrition services, monitored fitness exercise, and psycho-social counseling. Surgical Services: In 2021, NYP/Q performed 16,994 inpatient and ambulatory surgical cases. These operations ranged from minimally invasive surgical procedures such as laparoscopic cholecystectomy, robotic procedures and arthroscopic orthopedics to major open procedures such as aortic aneurysm repair and ablative and reconstructive surgery. NYP/Q's Department of Surgery has encouraged use of inpatient and outpatient minimally invasive surgery, which reduces hospital stays and recovery times. Primary care and community outreach: NYP/Q places particular emphasis on community health programs and outreach initiatives. The Hospital team reaches out to Queens's residents to support health education and awareness - offering free health fairs, health lectures, screening, support groups for patients and blood drives for employees There is a community health advisory committee that is kept abreast of the latest offerings and clinical programs in the hospital. This commitment is expressed in its continued strategic expansion of community-based sites to enhance access throughout the Hospital's service area, and includes: The Trude Weishaupt Memorial Satellite Dialysis Center is a CMS Five Star facility (the ""Dialysis Center"") The Dialysis Center provides hemodialysis, chronic ambulatory peritoneal dialysis, and patient and family education. NYP/Q's renal hypertension division also provides outpatient ambulatory consultative services including the diagnosis and prevention of kidney stones, hypertension treatment and evaluation, and the management of kidney diseases. The Dialysis Center provided 34,984 treatments in 2021. As of December 31, 2021, there were approximately 1,736 physician, advanced practice providers and dentist members of the medical staff of the Hospital holding appointments in three categories: attending staff, emeritus staff and advanced practice providers. The medical and dental staff are organized into thirteen clinical departments: anesthesiology, cardiothoracic surgery, emergency medicine, medicine, obstetrics and gynecology, neurology, orthopedics and rehabilitation, pathology, pediatrics, radiation oncology, radiology, urology and surgery. The clinical departments include approximately 15 major services, subdivided further into 78 medical specialties and sub-specialties. The Hospital serves as tertiary care medical center that provides Graduate Medical Education for residency programs in Medicine, Surgery, Emergency medicine and Dental Medicine. Medical Center also offers fellowship training in Cardiology, GI, Pulmonary and Critical Care, Infectious disease, Palliative Care and Nephrology. In addition, the Hospital participates in training residents in obstetrics/gynecology, orthopedics, pediatrics, through rotating residencies affiliated with various facilities including NYPH (Cornell Medical Center), and The Hospital for Special Surgery. For The Year Ending December 31, 2021, NYP/Q reported the following statistics: Patient Discharges 30,071 Deliveries 2,562 Average Length of Stay 5.51 Private Ambulatory Laboratory 128,311 Private Ambulatory Radiology 27,136 Surgical Procedures 2,840 Cardiac Catheterizations 1,206 Ambulatory Surgery/Endoscopy 12,948 Emergency Encounters (Incl. Admits) 65,638 Ambulatory Care Visits 120,474 The Hospital provides quality medical care regardless of race, creed, sex, sexual orientation, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operations and stability of the Hospital, it is recognized that not all individuals possess the ability to pay for essential medical services and, furthermore, the Hospital's mission is to serve the community with respect to health care and health care education. Therefore, in keeping with the Hospital's commitment to serving members of the community, the Hospital provides the following: charity care to the indigent; care to persons covered by governmental programs at below cost, and health care activities and programs to support the community. These activities include wellness programs, community education programs, health screenings, and a broad variety of community support services."

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - NEWYORK-PRESBYTERIAN QUEENS (NYP QUEENS). A MEMBER OF THE NEWYORK-PRESBYTERIAN REGIONAL HOSPITAL NETWORK, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE NEEDS OF THE COMMUNITY AND DEVELOP A COMMUNITY SERVICE PLAN (CSP) AND DETAILED IMPLEMENTATION PLAN TO ADDRESS THE AREAS OF HIGHEST NEED. QUEENS COUNTY, RECOGNIZED AS THE MOST DIVERSE COUNTY IN THE NATION, REQUIRES A CUSTOM APPROACH TO COMMUNITY SERVICE PLANNING TO ENSURE ALIGNMENT WITH THE NEEDS OF THE POPULATION. THE LEADERS OF NYP QUEENS ARE DEDICATED TO THE COMMUNITY WITH A MISSION TO BE THE PREMIER HEALTHCARE INSTITUTION BY PROVIDING EXCELLENCE IN CLINICAL CARE, EDUCATION, CLINICAL RESEARCH, AND SERVICE. THIS DOCUMENT OUTLINES THE PROCESS, PRIORITIES, PARTNERS, AND INTENDED ACTIVITIES FOR 2019 - 2021. THE CHNA PROCESS ALIGNS WITH THE 2019 - 2024 NEW YORK STATE PREVENTION AGENDA (NYS PA); THE STATE HEALTH IMPROVEMENT PLAN THAT DEVELOPS ACTION PLANS TO IMPROVE THE HEALTH AND WELL-BEING OF ALL NEW YORKERS AND PROMOTES HEALTH EQUITY IN ALL POPULATIONS WHO EXPERIENCE DISPARITIES. IN CONDUCTING THE 2019 CHNA, NYP COLLABORATED WITH THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYC DOHMH), CITIZENS' COMMITTEE FOR CHILDREN OF NEW YORK (CCC), COLUMBIA UNIVERSITY MAILMAN SCHOOL OF PUBLIC HEALTH (CUMSPH), WEILL CORNELL MEDICINE, NEW YORK ACADEMY OF MEDICINE (NYAM), AND GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA). THROUGH THESE COLLABORATIONS NYP QUEENS WAS ABLE TO ADOPT A COMMUNITY-ENGAGEMENT APPROACH THAT INVOLVED COLLECTING AND ANALYZING INFORMATION AND QUANTITATIVE DATA FROM A VARIETY OF PUBLICLY AVAILABLE SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF OUR COMMUNITIES. EACH STAKEHOLDER ADDED TO THE ONGOING WORK BY PROVIDING INSIGHT ON THE PUBLICLY AVAILABLE DATA FOR THE VARIOUS REGIONS SPECIFIC TO THE HIGH DISPARITY COMMUNITIES, WHILE PROVIDING GUIDANCE ON COLLECTING STAKEHOLDER AND COMMUNITY FEEDBACK AND INCORPORATING BEST PRACTICES. NYP QUEENS ENGAGED THE NEW YORK ACADEMY OF MEDICINE (NYAM) TO FACILITATE THE FOCUS GROUPS OF COMMUNITY MEMBERS TO OBTAIN THEIR PERSPECTIVES ON THE HEALTH AND NEEDS OF THE COMMUNITY AT LARGE. SEVERAL COMMUNITY-BASED ORGANIZATIONS HOSTED FOCUS GROUPS: ASIAN AMERICANS FOR EQUALITY; ELMCOR YOUTH & ADULT ACTIVITIES INC.; MAKE THE ROAD NEW YORK; PUBLIC HEALTH SOLUTIONS; THE KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK; NEWYORK-PRESBYTERIAN QUEENS COMMUNITY ADVISORY BOARD (NYP QUEENS CAB) COMMUNITY ADVISORY BOARD (CAB); UPTOWN COMMUNITY PHYSICIANS; NYP WEILL CORNELL COMMUNITY ADVISORY BOARD (CAB); NYP WESTCHESTER BEHAVIORAL HEALTH CENTER COMMUNITY ADVISORY BOARD (CAB); PEOPLE'S THEATRE PROJECT; PUBLIC HEALTH SOLUTIONS; SHOREFRONT Y; STANLEY M. ISAACS NEIGHBORHOOD CENTER; TOWN OF YORKTOWN NEW YORK; THE KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK INC.; THE YORKTOWN CHAMBER OF COMMERCE; UPPER MANHATTAN INTERFAITH LEADERS COALITION; WEILL-CORNELL MEDICINE; YONKERS POLICE ATHLETIC LEAGUE. THE ABILITY TO ENGAGE, ANALYZE, AND PLAN WITH OUR COMMUNITY-BASED PARTNERS ALLOWED NYP QUEENS TO DEVELOP THOROUGH IMPLEMENTATION PLANS UTILIZING EVIDENCE-BASED CRITERIA AND CREATE INITIATIVE-BASED PARTNERSHIPS FOR 2019 - 2021. NYP QUEENS UTILIZED NUMEROUS INDICATORS FOR THE QUANTITATIVE, MEASURABLE, DATA SET FROM MULTIPLE SOURCES TO ANALYZE COMMUNITY HEALTH NEED AND RISK OF HIGH DISPARITY GEOGRAPHY TO THE SPECIFIC NEIGHBORHOOD LEVEL. THE ANALYSIS UTILIZED 29 INDICATORS ACROSS FIVE DOMAINS: DEMOGRAPHICS, INCOME, INSURANCE, ACCESS TO CARE, AND NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA PRIORITIES (NYS PA) AT THE NEIGHBORHOOD TABULATION AREA (NTA) GEOGRAPHY. INDICATORS INCLUDED CATEGORIES OF DEMOGRAPHICS, SOCIOECONOMIC STATUS, INSURANCE STATUS, SOCIAL DETERMINANTS OF HEALTH, HEALTH STATUS, AND HEALTH SERVICE UTILIZATION WERE COLLECTED TO ASSESS COMMUNITY HEALTH NEEDS. THESE INDICATORS WERE USED TO IDENTIFY FURTHER AREAS OF DISPARITIES AND TO PRIORITIZE THE IMPLEMENTATION STRATEGIES AND SUPPORT HEALTH INTERVENTION PLANNING. QUALITATIVE DATA WAS GATHERED, VALIDATED, AND REFINED USING (1) COMMUNITY INPUT FROM FACILITATION OF FOCUS GROUPS AND ADMINISTRATION OF COMMUNITY HEALTH NEED QUESTIONNAIRES TO AREA RESIDENTS AS WELL AS (2) LEVERAGING OTHER COMMUNITY ASSESSMENTS PERFORMED IN THE COMMUNITY. THE COMMUNITY INPUT FROM MULTIPLE SOURCES ALLOWED FOR A COMPREHENSIVE REPRESENTATION OF OUR COMMUNITY INCLUSIVE OF MULTIPLE LANGUAGES, SOCIOECONOMIC STATUSES, CULTURE, RACE, AGE, AND GENDER IDENTITY. SUMMARIES OF EACH QUALITATIVE INPUT SOURCE IS INCLUDED BELOW, AND ADDITIONAL DETAILS CAN BE FOUND IN THE CHNA NYPH ENGAGED IN A DYNAMIC DATA COLLECTION AND ANALYTIC PROCESS TO ENSURE THAT THE COMMUNITY AND ITS NEEDS WERE WELL REPRESENTED THROUGHOUT THE CHNA DEVELOPMENT PROCESS. NYPH UTILIZED BOTH QUANTITATIVE AND QUALITATIVE DATA TO CREATE A PICTURE OF THE HEALTH NEEDS OF THE DEFINED COMMUNITIES. THE QUANTITATIVE DATA FOCUSED ON PUBLICLY AVAILABLE MEASURABLE INDICATORS AT THE NEIGHBORHOOD TABULATION AREA (NTA) FOR THE NEW YORK CITY COMMUNITY AND COUNTY LEVEL INDICATORS FOR GEOGRAPHIES OUTSIDE OF NYC, WHILE THE QUALITATIVE DATA FOCUSED ON THE PRIMARY PERSPECTIVES AND INPUT FROM COMMUNITY MEMBERS OBTAINED THROUGH QUESTIONNAIRES AND FOCUS GROUPS. ADDITIONALLY, NYPH LEVERAGED COMMUNITY ASSESSMENTS TO PROVIDE ADDITIONAL PERSPECTIVES OF THE COMMUNITY INCLUDING THE HERBERT IRVING COMPREHENSIVE CANCER CENTER (HICCC) OF COLUMBIA UNIVERSITY CANCER COMMUNITY HEALTH NEEDS ASSESSMENT AND THE CCC'S SERIES OF COMMUNITY NEEDS REPORTS (IN NORTHERN MANHATTAN, STATEN ISLAND, BROWNSVILLE COMMUNITY DISTRICT IN BROOKLYN AND ELMHURST-CORONA IN QUEENS). NYAM WAS ENGAGED TO GAIN THE VOICE OF THE COMMUNITY UTILIZING FOCUS GROUPS AND COMMUNITY QUESTIONNAIRES. A COMMUNITY HEALTH NEEDS QUESTIONNAIRE (CHNQ) WAS CONDUCTED WITH COMMUNITY MEMBERS BOTH ONLINE AND IN PERSON IN ORDER TO IDENTIFY THE MOST IMPORTANT HEALTH CONCERNS AS WELL AS THE MOST NEEDED HEALTH IMPROVEMENTS. SIX FOCUS GROUPS WERE CONDUCTED, AND TWO-HUNDRED AND EIGHT QUESTIONNAIRES WERE COMPLETED WITHIN THE QUEENS COUNTY CATCHMENT AREA. CCC'S ELMHURST/CORONA, QUEENS REPORT FOR COMMUNITY DRIVEN SOLUTIONS TO IMPROVE CHILD AND FAMILY WELL-BEING. CITIZENS' COMMITTEE FOR CHILDREN OF NEW YORK (CCC) UTILIZED GOVERNMENT DATA ON CHILD AND FAMILY WELL-BEING, MAPPED COMMUNITY ASSETS, AND ENGAGED IN CONVERSATIONS WITH COMMUNITY MEMBERS TO PREPARE AN ASSESSMENT FOR DISTRICT 4 - ELMHURST/CORONA (FIVE NEIGHBORHOODS: CORONA, NORTH CORONA, ELMHURST, ELMHURST-MASPETH, AND EAST ELMHURST). THE FOCUS WAS TO GAIN COMMUNITY INPUT TO IDENTIFY AREAS OF CONCERNS AND RECOMMENDATIONS. TO ENSURE THE CSP IS FOCUSED AND NYP QUEENS IMPLEMENTS INITIATIVES THAT IMPACT THE HIGHEST DISPARITY NEIGHBORHOOD(S), AN ADDITIONAL ANALYSIS OF COMMUNITY HEALTH NEED AND RISK OF HIGH RESOURCE UTILIZATION AT THE NEIGHBORHOOD TABULATION AREA (NTA) GEOGRAPHY BASED UPON A COMPOSITE OF 29 INDICATORS. INDICATORS WERE CAREFULLY SELECTED, ACROSS FIVE DOMAINS: DEMOGRAPHICS, INCOME, INSURANCE, ACCESS TO CARE, AND NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA PRIORITIES (NYS PA). THE OBJECTIVE WAS TO IDENTIFY THE SPECIFIC NTAS WHERE THERE IS A HIGHER HEALTH NEED AND/OR A HIGHER EXPECTATION OF REQUIRED RESOURCES. THE DEFINED COMMUNITY'S 41 ZIP CODES WERE CROSS WALKED TO 50 NTAS AND CATEGORIZED INTO FOUR QUARTILES. ADDITIONAL ANALYSIS WAS UNDERTAKEN FOR THE 25 NTAS OF HIGHER DISPARITY THAT FELL INTO QUARTILES 3 AND 4. ACKNOWLEDGING THAT THERE WAS VARIATION ACROSS THE NTAS AND COUNTIES AMONG SPECIFIC MEASURABLE INDICATORS FOR DEMOGRAPHICS, SOCIOECONOMICS, SDOH, HEALTH STATUS, AND UTILIZATION THAT EACH REQUIRE A CUSTOM APPROACH TO COMMUNITY SERVICE PLANNING, THERE WERE SPECIFIC COMMUNITIES THAT FREQUENTLY SHOWED MORE NEED THAN THE OTHERS. THE TEN NTAS WITH THE TOP DISPARITY SCORES INCLUDE EAST NEW YORK, JAMAICA, SOUTH JAMAICA, CYPRESS HILLS-CITY LINE, BAISLEY PARK, EAST ELMHURST, HOLLIS, SPRINGFIELD GARDENS NORTH, RICHMOND HILL, AND CORONA. NYP QUEENS DATA HIGHLIGHTS - HIGH DISPARITY COMMUNITY & PRIORITY AREAS IN ORDER TO FOCUS INITIATIVES TO MAKE THE LARGEST IMPACT TO HIGH DISPARITY COMMUNITIES, THE NYP QUEENS TEAM ANALYZED ALL DATA ELEMENTS AND IDENTIFIED CORONA AND NORTH CORONA COMMUNITIES TARGETING (1) OBESITY, (2) WOMEN'S HEALTH, AND (3) HIV/HCV.

Schedule H, Part V, Section B, Line 5 Facility , 2
Facility , 2 - NEWYORK-PRESBYTERIAN QUEENS (NYP QUEENS). THE QUALITATIVE ANALYSIS PROCESS OF THE CHNA ALLOWED NYP QUEENS THE ABILITY TO GAIN THE PERSPECTIVE OF THE COMMUNITY ON THE TOP CHALLENGES & CONTRIBUTING FACTORS TO THE OUTCOMES OF THEIR HEALTH. THE COMMUNITY HEALTH NEEDS QUESTIONNAIRE (CHNQ) FOCUSED ON BASIC DEMOGRAPHICS, HEALTH CONCERNS (INDIVIDUAL & COMMUNITY-WIDE), HEALTH CARE UTILIZATION, BARRIERS TO CARE, & USE OF NYP QUEENS SERVICES. THIS DATA WAS COLLECTED BETWEEN JUNE & AUGUST 2019, IN PARTNERSHIP WITH NUMEROUS COMMUNITY ORGANIZATIONS, WHICH WERE IDENTIFIED TO REPRESENT A RANGE OF POPULATIONS, E.G., OLDER ADULTS, IMMIGRANT, & HOMELESS POPULATIONS. COMMUNITY QUESTIONNAIRES RESPONDENTS INCLUDED NYP QUEENS COMMUNITY ADVISORY BOARD (NYP QUEENS CAB) MEMBERS & COMMUNITY RESIDENTS, SOME OF WHICH WERE RECRUITED USING ONLINE PLATFORMS SUCH AS CRAIGSLIST. A TOTAL OF 208 QUESTIONNAIRES WERE COMPLETED. BELOW IS A SUMMARY OF THE MOST COMMONLY REPORTED COMMUNITY HEALTH ISSUES & RECOMMENDATIONS TO IMPROVE COMMUNITY HEALTH.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - NEWYORK-PRESBYTERIAN/QUEENS. COMMUNITY OF FOCUS BASED ON THE DATA PROCESS OF ANALYTICS AND PRIORITIZATION, NYP QUEENS WILL TARGET EFFORTS IN THE CORONA AND NORTH CORONA NEIGHBORHOODS OF QUEENS TO ALLOW OUR TEAMS TO INVEST AND CONCENTRATE EFFORTS AND DIRECTLY IMPACT A HIGH NEED COMMUNITY WITHIN THE THREE-YEARS OF THE SERVICE PLAN. PRIORITY AREAS OF FOCUS AND INITIATIVES THE DATA OUTLINED ALLOWED THE TEAM TO IDENTIFY A COMMUNITY OF FOCUS AS WELL AS PRIORITY AREAS TO IMPACT THE HEALTHCARE OF THE MOST VULNERABLE POPULATIONS. THE PRIORITY AREAS DIFFER FROM THE PRIOR 2016-2018 CSP, WHICH INCLUDED INCREASE ACCESS TO HIGH-QUALITY CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT AND PREVENT HIV AND STDS WITH A FOCUS ON INCREASING SCREENING RATES OF HEPATITIS C. THE PREVIOUS CSP FOCUS ALLOWED NYP QUEENS TO ACCOMPLISH: 1) BLOOD PRESSURE SCREENINGS AT 14 COMMUNITY HEALTH FAIR EVENTS TOTALING 815 COMMUNITY MEMBER FREE BLOOD PRESSURE READINGS 2) DEVELOP EVIDENCE-BASED CARE MANAGEMENT RISK TECHNIQUES FOR PREHYPERTENSION AND HYPERTENSIVE PATIENTS TO ENSURE PROPER IDENTIFICATION AND CARE COORDINATION 3) IDENTIFICATION OF PATIENTS WITH REPEATED BLOOD PRESSURE READINGS TO ENSURE ACCESS TO MEDICAL CARE 4) IMPLEMENTATION OF WORKFLOWS FOR EMERGENCY DEPARTMENT HEPATITIS C TESTING 5) CONNECTION OF POSITIVE TESTS TO PRIMARY CARE CLINICS NYP QUEENS IS COMMITTED TO SERVING THE COMMUNITY BY PROVIDING A WIDE RANGE OF HEALTH CARE SERVICES AND ACTIVITIES THAT ARE IMPORTANT AND PROVIDE BENEFIT TO OUR COMMUNITY MEMBERS. OUR ASSESSMENT SHOWS THAT THERE ARE NUMEROUS AND SIGNIFICANT NEEDS, AND THE HOSPITAL HAS CHOSEN A SELECTION OF THESE NEEDS IN ORDER TO CONCENTRATE RESOURCES AND EFFORTS AND FOCUS EVALUATIONS ON THOSE INITIATIVES WHICH WE BELIEVE WE CAN MOST 32 EFFECTIVELY EXECUTE ON AND WHICH WILL PROVIDE THE LARGEST IMPACT TO OUR COMMUNITY. IN ADDITION, THE PRIORITIZATION MODEL APPLIED TO SIGNIFICANT COMMUNITY NEEDS WAS ROOTED IN THE QUANTITATIVE AS WELL AS THE QUALITATIVE VOICE OF THE COMMUNITY HELPING TO ENSURE THAT OUR SELECTION WAS ALIGNED WITH THOSE NEEDS RANKED HIGHLY BY OUR COMMUNITY MEMBERS. THE SELECTED INITIATIVES AND RESULTING CSP WERE REVIEWED AND APPROVED BY SENIOR LEADERS, HOSPITAL COMMUNITY ADVISORY BOARD MEMBERS, AND OUR CHNA STEERING COMMITTEE IN THE CONTEXT OF OUR ORGANIZATIONAL MISSION, OUR CLINICAL STRENGTHS, AND PARTNERSHIPS. NEWYORK-PRESBYTERIAN QUEENS HAS SELECTED THE FOCUSED PRIORITIES FOR THE 2019-2021 CSP. PREVENT CHRONIC DISEASE - FOCUS AREA 1: REDUCE OBESITY & THE RISK OF CHRONIC DISEASE GOAL 2.3: INCREASE ACCESS, FOR PEOPLE OF ALL AGES AND ABILITIES, TO SAFE INDOOR AND/OR OUTDOOR PLACES FOR PHYSICAL ACTIVITY. INITIATIVE - PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ENGAGE SCHOOL-AGED CHILDREN IN THE FIT KIDS PROGRAM WHILE EDUCATING PARENTS AND CARETAKERS OF NUTRITION AND CULTURALLY FOCUSED MEAL PREPARATION. OBJECTIVE - INCREASE ACCESS TO PHYSICAL ACTIVITY, EDUCATE KIDS AND FAMILY MEMBERS ON FOOD, NUTRITION, AND PREPARATION IN ORDER TO REDUCE OBESITY IN CHILDREN. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - FOCUS AREA 1: MATERNAL AND WOMEN'S HEALTH GOAL 1.1 - INCREASE USE OF PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES BY WOMEN OF ALL AGES WITH A FOCUS ON WOMEN OF REPRODUCTIVE AGE. INITIATIVE - DEVELOP A TEEN PREGNANCY OUTREACH AND EDUCATION PROGRAM FOR PREVENTION AND CONNECTION TO CARE ALONGSIDE THE IMPLEMENTATION OF AN ARTICLE 28 SCHOOL-BASED CLINIC (SBHC). OBJECTIVE - REDUCE TEEN BIRTH RATE AND IMPROVE CLINICAL OUTCOMES THROUGH PEER EDUCATOR MODEL FOR TEENS IN CORONA QUEENS, NY. PREVENT COMMUNICABLE DISEASE - FOCUS AREA 2: HUMAN IMMUNODEFICIENCY VIRUS(HIV) GOAL 2.2 - INCREASE VIRAL SUPPRESSION. OBJECTIVE - IMPROVE VIRAL LOAD SUPPRESSION RATES FOR THE HIGHEST RISK COMMUNITY WITH A CULTURALLY DYNAMIC COMMUNITY-BASED PROGRAM. INITIATIVE - IMPLEMENT A MULTI-DISCIPLINARY COMMUNITY-BASED PROGRAM, INCLUSIVE OF PEER OUTREACH, CARE MANAGEMENT, AND PHARMACY CASE MANAGEMENT, TARGETING THE IMPROVEMENT OF VIRAL LOAD SUPPRESSION RATES FOR THE HISPANIC POPULATION AGES 13 - 29.

Schedule H, Part V, Section B, Line 15 Facility , 1
Facility , 1 - NEWYORK-PRESBYTERIAN/QUEENS. NEWYORK-PRESBYTERIAN/QUEENS HAS A FINANCIAL ADVOCACY PROGRAM STAFFED BY REPRESENTATIVES WHO REACH OUT TO PATIENTS TO PROVIDE INFORMATION REGARDING MEDICAID, EXCHANGE PLANS, FINANCIAL AID AND TO ASSIST THOSE PATIENTS WHO NEED HELP TO APPLY TO SUCH PROGRAMS.

Schedule H, Part V, Section B, Line 16 Facility , 1
Facility , 1 - NEWYORK-PRESBYTERIAN/QUEENS. THE HOSPITAL FOLLOWS TWO BASIC APPROACHES TO PUBLICIZING THE AVAILABILITY OF FINANCIAL AID. FIRST, IT MAKES THE FINANCIAL AID POLICY ITSELF, A PLAIN LANGUAGE SUMMARY (SUMMARY), AND THE FINANCIAL AID APPLICATION AVAILABLE AT VARIOUS HOSPITAL PATIENT ACCESS POINTS, POSTS SIGNS CONSPICUOUSLY IN PUBLIC AREAS OF THE HOSPITAL, INCLUDES INFORMATION ON BILLING STATEMENTS, POSTS INFORMATION (INCLUDING HOW TO OBTAIN THE POLICY, SUMMARY AND APPLICATION) ON THE WEBSITE, AND RESPONDS TO INQUIRIES FROM PATIENTS AND MEMBERS OF THE COMMUNITY ON FINANCIAL AID. SECONDLY, THE HOSPITAL PROVIDES UPDATES AND INFORMATION (INCLUDING THE POLICY, THE SUMMARY AND/OR THE APPLICATION) ON A REGULAR BASIS TO LEADERS OF COMMUNITY ADVISORY BOARDS, LOCAL COMMUNITY BOARDS, ELECTED OFFICIALS AND THE CITY HEALTH DEPARTMENT.

Schedule H, Part VI, Line 8 VACCINE ACCESS AND OVERCOMING VACCINE HESITANCY
"Description: NYPH LEASED THE ARMORY AT 168TH STREET IN WASHINGTON HEIGHTS AND TRANSFORMED THIS APPROXIMATELY 65,000 SQUARE FOOT SPACE INTO ONE OF NEW YORK CITY'S LARGEST PUBLIC COVID-19 VACCINATION SITES, PROVIDING VACCINES FROM JANUARY 2021 UNTIL MAY 2021. NYP MANAGED AND STAFFED THE ARMORY OPERATION, AS WELL AS OTHER POP-UP VACCINATION VENUES IN NEW YORK CITY AND WESTCHESTER COUNTY. NYPH COLLABORATED WITH OVER 100 COMMUNITY AND FAITH-BASED ORGANIZATIONS TO HELP NEW YORKERS SCHEDULE VACCINATION APPOINTMENTS AT THESE SITES AND PROVIDED EDUCATION ON VACCINE SAFETY TO THOUSANDS OF MEMBERS OF THE PUBLIC. NYPH ALSO COLLABORATED WITH THE NORTHERN MANHATTAN IMPROVEMENT CORPORATION (""NMIC""), A COMMUNITY-BASED ORGANIZATION IN WASHINGTON HEIGHTS, TO CREATE A BILINGUAL SCHEDULING HOTLINE WHERE MEMBERS OF LOCAL COMMUNITIES COULD SCHEDULE APPOINTMENTS. AS OF MAY 1, 2021, THAT HOTLINE MADE VACCINATION APPOINTMENTS FOR OVER 11,000 NEW YORKERS, MANY OF WHOM HAD LANGUAGE OR LIMITED INTERNET ACCESS ISSUES. NYP'S EFFORTS HAVE LED TO THE VACCINATION OF MORE THAN 100,000 PATIENTS AND MEMBERS OF THE PUBLIC. NYPH HAS ALSO DEPLOYED ITS FINANCIAL AND STAFFING RESOURCES TO BOLSTER CITY AND REGIONAL EFFORTS TO HELP NEW YORKERS OVERCOME VACCINE HESITANCY."

Schedule H, Part I, Line 7g Subsidized Health Services
N/A

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
Description: BAD DEBT PRICE CONCESSIONS ARE OFFSET AGAINST REVENUE AND NOT INCLUDED In Expenses. THE FOLLOWING IS A DETAIL OF THE SOURCES USED FOR DETERMINING THE AMOUNTS REPORTED ON SCHEDULE H: LINE 7A - ADJUSTED RATIO OF PATIENT CARE COSTS TO CHARGES LINE 7B - COST ACCOUNTING SYSTEM LINE 7E - ACTUAL EXPENSES LINE 7F - INSTITUTIONAL COST REPORT- WORKSHEET B, PART 1 LINE 7H - ACTUAL EXPENSES LINE 7I - ACTUAL EXPENSES

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
Description: FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY BUT DID NOT, THE UNCOLLECTABLE AMOUNTS ARE BAD DEBT PRICE CONCESSIONS

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
Description: THE AMOUNT INCLUDED AT COST REPRESENTS PATIENTS WHO QUALIFY FOR CHARITY CARE/FINANCIAL ASSISTANCE AND HAVE A BAD DEBT WRITE-OFF. BAD DEBT EXPENSE(PRICE CONCESSIONS) ASSOCIATED WITH PATIENTS THAT RECEIVED CHARITY CARE/FINANCIAL ASSISTANCE IS REPRESENTED IN THIS $115,699 FIGURE. THESE PATIENTS WENT THROUGH OUR CHARITY CARE/FINANCIAL ASSISTANCE PROCESS AND WERE DETERMINED TO HAVE FINANCIAL NEED. AS A RESULT, WE PROVIDED THEM WITH A DISCOUNT BASED ON OUR SLIDING SCALE CHARITY CARE POLICY. IF THEY WERE UNABLE TO PAY THE REDUCED BALANCES, THEY WERE WRITTEN OFF AS BAD DEBT AND INCLUDED AS A COMMUNITY BENEFIT.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
Description: SEE AUDITED FINANCIAL STATEMENTS PAGE 22.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
"THE HOSPITAL UTILIZED THE AMOUNTS REPORTED ON THE MEDICARE COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS. TOTAL INPATIENT AND OUTPATIENT COSTS. THESE DO NOT INCLUDE CERTAIN MEDICARE PROGRAM REVENUE AND COSTS AND THUS DO NOT REFLECT ALL OF THE ORGANIZATIONS REVENUES AND COSTS WITH THE PARTICIPATION IN MEDICARE PROGRAMS. THE REVENUE AND COSTS EXCLUDES PROFESSIONAL HEALTH EDUCATION, SUBSIDIZED HEALTH SERVICES, AND MEDICARE MANAGED CARE ACTIVITY. IF ALL THESE REVENUE AND COSTS WERE INCLUDED THE MEDICARE Surplus OF $5M WOULD BE A MEDICARE SHORTFALL OF SHORTFALL 29M. NET SURPLUS PER SCHEDULE H 4,989,311 MEDICARE GME NET COST (21,325,328) MEDICARE MANAGED CARE NET COSTS (12,193,412) TOTAL NET COSTS ASSOCIATED WITH THE MEDICARE PROGRAM (28,529,429) ""NET IS DEFINED AS REVENUE NET OF COSTS"""

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
Description: THE PURPOSE OF THE COLLECTION POLICY (POLICY) IS TO PROMOTE PATIENT ACCESS TO QUALITY HEALTH CARE WHILE MINIMIZING BAD DEBT AT NEWYORK-PRESBYTERIAN/QUEENS (HOSPITAL). THIS POLICY PLACES REQUIREMENTS UPON HOSPITAL AND THOSE AGENCIES AND ATTORNEYS UNDERTAKING DEBT COLLECTION ACTIVITIES THAT ARE CONSISTENT WITH THE CORE MISSION, VALUES, AND PRINCIPLES OF HOSPITAL INCLUDING, BUT NOT LIMITED TO, HOSPITAL'S CHARITY CARE POLICY (HEREAFTER CHARITY CARE POLICY). THIS POLICY APPLIES TO HOSPITAL AND ANY AGENCY, LAWYER, OR LAW FIRM ASSISTING HOSPITAL IN THE COLLECTION OF AN OUTSTANDING PATIENT ACCOUNT DEBT. PROCEDURE: A. GENERAL GUIDELINES: 1. HOSPITAL, COLLECTION AGENCIES (AGENCY), AND LAWYERS AND LAW FIRMS (OUTSIDE COUNSEL) WILL COMPLY WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND ACCREDITING AGENCY REQUIREMENTS GOVERNING THE COLLECTION OF DEBTS INCLUDING, BUT NOT LIMITED TO, THE FAIR DEBT COLLECTION PRACTICES ACT (FDCPA), THE FAIR CREDIT BILLING ACT, THE CONSUMER CREDIT PROTECTION ACTS, PUBLIC HEALTH LAW SECTION 2807-K-9-A, INTERNAL REVENUE SERVICE CODE 501(R), ARTICLE 52 OF THE NEW YORK CIVIL PRACTICE LAW AND RULES, AND THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA). HOSPITAL, AGENCY AND OUTSIDE COUNSEL WILL ALSO COMPLY WITH HOSPITAL'S CHARITY CARE POLICY. TO THE EXTENT THAT THERE ARE ANY INCONSISTENCIES BETWEEN HOSPITAL'S COLLECTION POLICY AND CHARITY CARE POLICY, THE CHARITY CARE POLICY SHALL SUPERSEDE AND CONTROL. 2. HOSPITAL SHALL ENTER LEGALLY BINDING WRITTEN AGREEMENTS WITH ANY PARTIES (INCLUDING AGENCY OR OUTSIDE COUNSEL) TO WHICH IT REFERS AN INDIVIDUAL'S DEBT RELATED TO CARE THAT ARE REASONABLY DESIGNED TO PREVENT EXTRAORDINARY COLLECTION ACTIONS (ECAS) FROM BEING TAKEN TO OBTAIN PAYMENT FOR THE CARE, UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR CHARITY CARE. EXTRAORDINARY COLLECTION ACTIONS (ECAS) FROM BEING TAKEN TO OBTAIN PAYMENT FOR THE CARE, UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR CHARITY CARE. ELIGIBLE FOR CHARITY CARE. DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR CHARITY CARE. EXTRAORDINARY COLLECTION ACTIONS (ECAS) FROM BEING TAKEN TO OBTAIN PAYMENT FOR THE CARE, UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR CHARITY CARE. ELIGIBLE FOR CHARITY CARE.

Schedule H, Part V, Section B, Line 16a FAP website
- NEWYORK-PRESBYTERIAN/QUEENS: Line 16a URL: HTTPS://WWW.NYP.ORG/QUEENS/PATIENTS-VISITORS/BILLING/PAY-MY-BILL;

Schedule H, Part V, Section B, Line 16b FAP Application website
- NEWYORK-PRESBYTERIAN/QUEENS: Line 16b URL: HTTPS://WWW.NYP.ORG/QUEENS/PATIENTS-VISITORS/BILLING/PAY-MY-BILL;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- NEWYORK-PRESBYTERIAN/QUEENS: Line 16c URL: HTTPS://WWW.NYP.ORG/QUEENS/PATIENTS-VISITORS/BILLING/PAY-MY-BILL;

Schedule H, Part VI, Line 6 Affiliated health care system
Description: NYP/QUEENS IS PART OF THE NEWYORK-PRESBYTERIAN REGIONAL HOSPITAL NETWORK. NEWYORK-PRESBYTERIAN HOSPITAL ASSISTS ITS REGIONAL HOSPITALS IN IDENTIFYING AVAILABLE RESOURCES AND COORDINATE EFFORTS TO PROMOTE COMMUNITY HEALTH IN THE COMMUNITY THE REGIONAL HOSPITAL SERVICES.

Schedule H, Part VI, Line 7 State filing of community benefit report
NY

Schedule H, Part VI, Line 2 Needs assessment
Description: NEWYORK-PRESBYTERIAN QUEENS (NYP QUEENS), A MEMBER OF THE NEWYORK-PRESBYTERIAN REGIONAL HOSPITAL NETWORK, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE NEEDS OF THE COMMUNITY AND DEVELOP A COMMUNITY SERVICE PLAN (CSP) AND DETAILED IMPLEMENTATION PLAN TO ADDRESS THE AREAS OF HIGHEST NEED. QUEENS COUNTY, RECOGNIZED AS THE MOST DIVERSE COUNTY IN THE NATION, REQUIRES A CUSTOM APPROACH TO COMMUNITY SERVICE PLANNING TO ENSURE ALIGNMENT WITH THE NEEDS OF THE POPULATION. THE LEADERS OF NYP QUEENS ARE DEDICATED TO THE COMMUNITY WITH A MISSION TO BE THE PREMIER HEALTHCARE INSTITUTION BY PROVIDING EXCELLENCE IN CLINICAL CARE, EDUCATION, CLINICAL RESEARCH, AND SERVICE. THIS DOCUMENT OUTLINES THE PROCESS, PRIORITIES, PARTNERS, AND INTENDED ACTIVITIES FOR 2019 - 2021. THE CHNA PROCESS ALIGNS WITH THE 2019 - 2024 NEW YORK STATE PREVENTION AGENDA (NYS PA); THE STATE HEALTH IMPROVEMENT PLAN THAT DEVELOPS ACTION PLANS TO IMPROVE THE HEALTH AND WELL-BEING OF ALL NEW YORKERS AND PROMOTES HEALTH EQUITY IN ALL POPULATIONS WHO EXPERIENCE DISPARITIES. NYP QUEENS COLLABORATED WITH NEWYORK-PRESBYTERIAN, THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH), CITIZENS' COMMITTEE FOR CHILDREN (CCC), COLUMBIA UNIVERSITY MAILMAN SCHOOL OF PUBLIC HEALTH (CUMSPH), WEILL CORNELL MEDICINE, GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA), LOCAL COMMUNITY BASED ORGANIZATIONS (CBOS), AND THE NEW YORK ACADEMY OF MEDICINE (NYAM) TO ADOPT A COMMUNITY FOCUSED PROCESS OF COLLECTING AND ANALYZING MEASURABLE DATA (QUANTITATIVE) AND VIEWS VOICED BY THE COMMUNITY (QUALITATIVE) FROM A VARIETY OF SOURCES. THE COLLABORATIVE PROCESS ENSURED SIGNIFICANT INPUT FROM THE KEY STAKEHOLDERS AND LOCAL COMMUNITY THROUGH SURVEYS AND FOCUS GROUPS CONDUCTED IN MULTIPLE LANGUAGES AT MULTIPLE LOCATIONS TO ENGAGE THE COMMUNITY IN THEIR SETTING. THE CHNA AND CSP PROCESS WAS DATA DRIVEN. MEASURABLE DATA ALONG WITH COMMUNITY INPUT FROM NUMEROUS SOURCES WERE COMBINED TO ANALYZE THE HEALTH AND CHALLENGES OF OUR COMMUNITY. THE ANALYSIS UTILIZED FOCUSED NEIGHBORHOOD GEOGRAPHY FOR MEASURES AND INCLUDED DATA RELATED TO DEMOGRAPHICS, SOCIOECONOMIC STATUS, INSURANCE STATUS, SOCIAL DETERMINANTS OF HEALTH, HEALTH STATUS, HEALTH SERVICE UTILIZATION, AND NYS PA. MEASURABLE DATA SOURCES INCLUDE THE CCC'S KEEPING TRACK ONLINE; OPEN DATA CITY OF NEW YORK; DATA2GO.NYC; NYC HEALTH ATLAS; NYC MAYOR REPORT, THE ASSOCIATION FOR NEIGHBORHOOD & HOUSING DEVELOPMENT; BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), CLARITAS; NYC COMMUNITY HEALTH PROFILE; STATE CANCER PROFILES; AND U.S. DEPARTMENT OF AGRICULTURE. NYP QUEENS RECOGNIZES THAT COMMUNITY CHALLENGES ARE COMPLEX AND HEALTHCARE OUTCOMES ARE OFTEN LINKED TO SOCIETAL ISSUES; THEREFORE, COMMUNITY INPUT SOURCES OF FOCUS GROUPS AND COMMUNITY QUESTIONNAIRES WERE GATHERED AND ALLOWED FOR A DIVERSE GROUP OF INVOLVEMENT WITH AWARENESS TO CULTURE, RACE, LANGUAGE, AGE, GENDER IDENTITY, AND SEXUAL ORIENTATION. THE COLLECTED DATA WAS RANKED TO PROVIDE INSIGHT INTO THE COMMUNITIES WITH HIGH DISPARITIES AND WAS THEN PRIORITIZED TO DETERMINE THE HIGHEST NEEDS FOR THE COMMUNITIES AND ANALYZED TO ESTABLISH FOCUS AREAS AND GOALS AS OUTLINED IN THE NEW YORK STATE PREVENTION AGENDA. OUR TEAM IS COMMITTED TO THE SUCCESSFUL IMPLEMENTATION OF EACH INITIATIVE AND WILL UTILIZE QUALITY PROCESS IMPROVEMENT EFFORTS QUARTERLY TO REPORT ON PROCESS AND OUTCOME MEASURES IN ORDER TO ADAPT EACH PROGRAM TO MEET THE ANNUAL EXPECTATIONS OUTLINED AS WELL AS MEET THE NEEDS OF OUR COMMUNITY. BASED ON THE COMPLETED DATA PROCESS, NYP QUEENS, IN PARTNERSHIP WITH LOCAL COMMUNITY-BASED ORGANIZATIONS, WILL TARGET CORONA AND NORTH CORONA NEIGHBORHOODS FOR THE CSP. THE COMMUNITY OF CORONA IS CULTURALLY DIVERSE AND HAS UNIQUE CHALLENGES FOR HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH WITH CHILDHOOD OBESITY RATES OF 26%, ESTIMATED 2.8 MILLION MISSING MEALS, TEEN PREGNANCY RATES OF 68.9 PER 1,000, 9.5% OF PREGNANT WOMEN RECEIVING LATE OR NO PRENATAL CARE, AND NEW DIAGNOSIS OF HIV, PER 100,000, IN NORTH CORONA OF 32.3. THE ANALYZED AND PRIORITIZED DATA ALLOWED FOR THE IDENTIFICATION OF A COMMUNITY OF FOCUS AS WELL AS PRIORITY AREAS TO IMPACT THE HEALTHCARE OF THE MOST VULNERABLE POPULATIONS. NYP QUEENS WILL FOCUS EFFORTS RELATED TO THE PREVENTION OF (1) CHRONIC DISEASE, (2) PROMOTION OF HEALTHY WOMEN, INFANTS, AND CHILDREN, AND (3) COMMUNICABLE DISEASE. TO ALIGN WITH THE CONSTANTLY CHANGING DYNAMICS OF THE COMMUNITY, NYP QUEENS HAS REVISED THE FOCUS AND INITIATIVES AS COMPARED TO THE 2013 - 2016 CSP WHICH INCLUDED THE PREVENTION OF CHRONIC DISEASE AND PREVENTION OF HIV, STDS, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
Description: WRITTEN MATERIALS, INCLUDING THE APPLICATION FULL POLICY, AND PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE TO PATIENTS IN THE HOSPITAL'S PRIMARY LANGUAGES, UPON REQUEST AND WITHOUT CHARGE, FROM ADMITTING AND EMERGENCY DEPARTMENTS AT THE HOSPITAL DURING THE INTAKE AND REGISTRATION PROCESS, AT DISCHARGE AND/OR BY MAIL. ADDITIONALLY, THOSE MATERIALS SHALL BE AVAILABLE ON THE HOSPITAL'S WEBSITE (WWW.NYHQ.ORG). ALSO, NOTIFICATION TO PATIENTS REGARDING THIS POLICY SHALL BE MADE THROUGH CONSPICUOUS POSTING OF LANGUAGE APPROPRIATE INFORMATION IN EMERGENCY ROOMS AND ADMITTING DEPARTMENTS OF THE HOSPITAL, AND INCLUSION OF INFORMATION ON BILLS AND STATEMENTS SENT TO PATIENTS EXPLAINING THAT FINANCIAL AID MAY BE AVAILABLE TO QUALIFIED PATIENTS AND HOW TO OBTAIN FURTHER INFORMATION.

Schedule H, Part VI, Line 4 Community information
Description: THE COMMUNITY DEFINITION FOR NEWYORKPRESBYTERIAN QUEENS WAS DERIVED USING 80% OF ZIP CODES FROM WHICH NYP QUEENS' PATIENTS ORIGINATE AND ADDING ZIP CODES NOT AMONG THE ORIGINAL PATIENT ORIGIN TO CREATE CONTINUITY IN GEOGRAPHICAL BOUNDARIES, RESULTING IN A TOTAL OF 41 COMMUNITY ZIP CODES MAINLY WITHIN QUEENS COUNTY. PEOPLE - THE DEFINED COMMUNITY COVERS A GEOGRAPHY OF APPROXIMATELY 1.8M+ PEOPLE. GROWTH POPULATION FORECASTED TO GROW FASTER, 2.7%, THAN THE STATE AVERAGE, 1.5%, BETWEEN 2019-2024. POPULATION IS SLIGHTLY YOUNGER WITH ONLY 14.8% OF THE POPULATION AGED 65+ COMPARED TO 16.3%. HOUSEHOLD INCOME THE AVERAGE HOUSEHOLD INCOME, $86,554, IS LOWER THAN THE AVERAGE OF NEW YORK STATE, $101,507. UNEMPLOYMENT RATE THE UNEMPLOYMENT RATE, 6.2%, IS THE SAME AS THE NEW YORK STATE BENCHMARK, BUT THERE ARE FEWER WHITE-COLLAR WORKERS THAN THE STATE AVERAGE. HIGHER MINORITY POPULATION HIGHER NON-WHITE POPULATION, 78.2%, THAN THE STATE 45.6%, DRIVEN BY HISPANICS, 31.3%, FOLLOWED BY ASIAN/HAWAIIAN/ PACIFIC ISLANDERS, 28.5%. TO ENSURE THE CSP IS FOCUSED AND NYP QUEENS IMPLEMENTS INITIATIVES THAT IMPACT THE HIGHEST DISPARITY NEIGHBORHOOD(S), AN ADDITIONAL ANALYSIS OF COMMUNITY HEALTH NEED AND RISK OF HIGH RESOURCE UTILIZATION AT THE NEIGHBORHOOD TABULATION AREA (NTA) GEOGRAPHY BASED UPON A COMPOSITE OF 29 INDICATORS. INDICATORS WERE CAREFULLY SELECTED, ACROSS FIVE DOMAINS: DEMOGRAPHICS, INCOME, INSURANCE, ACCESS TO CARE, AND NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA PRIORITIES (NYS PA). THE OBJECTIVE WAS TO IDENTIFY THE SPECIFIC NTAS WHERE THERE IS A HIGHER HEALTH NEED AND/OR A HIGHER EXPECTATION OF REQUIRED RESOURCES. ACKNOWLEDGING THAT THERE WAS VARIATION ACROSS THE NTAS AND COUNTIES AMONG SPECIFIC MEASURABLE INDICATORS FOR DEMOGRAPHICS, SOCIOECONOMICS, SDOH, HEALTH STATUS, AND UTILIZATION THAT EACH REQUIRE A CUSTOM APPROACH TO COMMUNITY SERVICE PLANNING, THERE WERE SPECIFIC COMMUNITIES THAT FREQUENTLY SHOWED MORE NEED THAN THE OTHERS. THE TEN NTAS WITH THE TOP DISPARITY SCORES INCLUDE EAST NEW YORK, JAMAICA, SOUTH JAMAICA, CYPRESS HILLS-CITY LINE, BAISLEY PARK, EAST ELMHURST, HOLLIS, SPRINGFIELD GARDENS NORTH, RICHMOND HILL, AND CORONA.

Schedule H, Part VI, Line 5 Promotion of community health
Description: PREVENT CHRONIC DISEASE - REDUCE OBESITY & THE RISK OF CHRONIC DISEASE FIT KIDS IS AN EVIDENCE-BASED PRACTICE FOCUSED ON CORE OBJECTIVES OF NUTRITION, EXERCISE, AND BEHAVIORAL COMPONENTS FOR CHILDREN AND THEIR FAMILIES. THE PROGRAM IS INTENDED TO FOCUS ON OVERWEIGHT CHILDREN BUT HAS SHOWN BENEFITS TO ALL CHILDREN ENGAGED AS WELL AS PARENTS AND CARETAKERS. FIT KIDS UTILIZES COMMUNITY-BASED ENGAGEMENTS AND OUTREACH IN ORDER TO IMPROVE CHILDREN'S NUTRITIONAL STATUS, INCREASE PHYSICAL ACTIVITY, ENHANCE SELF-ESTEEM, AND ESTABLISH LIFE-LONG HABITS. THE PROGRAM UTILIZES ENGAGEMENT AND PHYSICAL INDICATORS SUCH AS BODY MASS INDEX (BMI) AND BODY CIRCUMFERENCE TO ESTABLISH PRE AND POST MEASUREMENTS IN ORDER TO ANALYZE SUCCESS WITHIN EACH ENGAGEMENT GROUP. ALONG WITH MEASURABLE INDICATORS, THE PROGRAM CAN ASSESS SELFESTEEM AND BEHAVIORAL FACTORS, WHICH CAN BE IMPROVED BY INCREASED PHYSICAL ACTIVITY, EXPANSION OF FOOD CHOICES, AND OVERALL IMPROVEMENT OF CLINICAL HEALTH. NYP QUEENS WILL PARTNER WITH CORONA BASED OR SURROUNDING AREA K-12 SCHOOLS AS WELL AS COMMUNITY-BASED ORGANIZATIONS, SUCH AS PUBLIC HEALTH SOLUTIONS, TO IDENTIFY HIGH-RISK CHILDREN AND FAMILIES, ESTABLISH SAFE ENVIRONMENTS FOR PHYSICAL ACTIVITY, PROVIDE CULTURALLY FOCUSED NUTRITIONAL SUPPORT, EDUCATION, AND MEAL PREPARATION UTILIZING A COMMUNITY-BASED DEMONSTRATION KITCHEN. THE CORONA COMMUNITY REFLECTS RATES RANGING FROM 24% TO 26% IN NORTH CORONA AS COMPARED TO THE NY CITY RATE OF 20.0%. THE PROGRAM WILL UTILIZE COMMUNITY-BASED PARTNERSHIPS TO ALLOW FOR ADDITIONAL PROGRAMMATIC SUPPORT THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) AND SNAP PROGRAM TO ADDRESS FOOD INSECURITIES. PROGRAMMATIC SUPPORT WILL INCLUDE EXERCISE PHYSIOLOGY, DIETICIAN, SOCIAL WORK, DATA ANALYTICS, AND PROGRAMMATIC COORDINATION TO PROVIDE A MULTI-DISCIPLINARY APPROACH. THE PROGRAM WILL BE ANCHORED BY NYP QUEENS IN ORDER TO PROVIDE CLINICAL WRAP SERVICES FOR PATIENTS IDENTIFIED WITH ACCESS TO CARE GAPS OR IMMEDIATE CLINICAL NEEDS. THE GOALS OF THE PROGRAM WILL FOCUS ON ENGAGEMENT AND OUTCOME METRICS FOR YEARS 2021 - 2023. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN - MATERNAL AND WOMEN'S HEALTH. NYP QUEENS IS PLANNING TO PARTNER WITH COMMUNITY-BASED ORGANIZATIONS SUCH AS PUBLIC HEALTH SOLUTIONS, VOCES LATINAS, AND OTHER LOCAL CBOS TO CREATE A PRECONCEPTION PEER EDUCATOR MODEL FOR TEENS. THE PRECONCEPTION PEER EDUCATOR PROGRAM IS A PROMISING PRACTICE THAT WAS DEVELOPED BY THE OFFICE OF MINORITY HEALTH (OMH)1 TO RAISE AWARENESS AMONG COLLEGE STUDENTS ABOUT THE DISPROPORTIONATELY HIGH INFANT MORTALITY RATES AMONG RACIAL AND ETHNIC MINORITIES. THIS PROGRAM, WHICH WAS DESIGNED FOR COLLEGE-AGED STUDENTS, WILL BE ADAPTED FOR TEENS AND FOCUSED IN THE CORONA QUEENS COMMUNITY. ADDITIONALLY, NYP QUEENS WILL WORK TOWARDS OPENING AN ARTICLE 28 CLINIC IN A LOCAL FEEDER HIGH SCHOOL FOR THE NORTH CORONA COMMUNITY. THE CLINIC WILL PARTNER WITH THE IDENTIFIED COMMUNITY-BASED ORGANIZATIONS TO PROVIDE FAMILY PLANNING AND PRECONCEPTION EDUCATION SERVICES TO STUDENTS AND REFER PREGNANT TEENS FOR EARLY PRENATAL CARE. THE CORONA COMMUNITY HAS SIGNIFICANTLY HIGHER RATES OF TEEN PREGNANCIES, RECEIVE LATE PRENATAL CARE, AND THE TRENDS ARE WORSENING FOR LOW BIRTH WEIGHT COMPARED TO QUEENS COUNTY AND NYC. THE CLINIC WILL INCREASE ACCESS TO CARE, REPRODUCTIVE HEALTH, AND MENTAL HEALTH SERVICES TO ADOLESCENTS TO IMPROVE QUALITY OF CARE WHILE REDUCING TIME AWAY FROM THE CLASSROOM. TEENS WILL BE IDENTIFIED AND ENGAGED FOR THE PROGRAM THROUGH THE LOCAL SCHOOLS, FAITHBASED ORGANIZATIONS, AND RELATIONSHIPS WITH LOCAL CBOS. THE FOCUS OF THE PROGRAM WILL BE TO ENGAGE TEENS IN PRECONCEPTION EDUCATION, PROVIDE WORKFORCE EXPERIENCE AND RESUME BUILDING OPPORTUNITIES FOR PEERS, AND REDUCE TEEN BIRTH RATES WHILE IMPROVING THE CLINICAL OUTCOMES RELATED TO BIRTHS FOR THE CORONA QUEENS COMMUNITY. THIS INITIATIVE WILL BE IMPLEMENTED AND MONITORED OVER THE THREE YEARS OF THE CSP CYCLE. PREVENT COMMUNICABLE DISEASE - HUMAN IMMUNODEFICIENCY VIRUS (HIV) ACCORDING TO THE AIDS INSTITUTE OF THE NY, NEW YORK STATE'S PERSONS LIVING WITH DIAGNOSED HIV (PLWDH) REPORTED A 2016 RATE OF 70% VIRAL LOAD SUPPRESSION WHICH IS LOWER THAN THE 2020 NATIONAL HIV AIDS STRATEGY (NHAS) TARGET OF 80% AND THE 2020 NYS ENDING THE EPIDEMIC (ETE) TARGET OF 85%. QUEENS COUNTY, ON AVERAGE, REFLECTS A 68% VIRAL LOAD SUPPRESSION RATE (VLSR) WITHIN SIX-MONTHS OF DIAGNOSIS (NYC HEALTH 2017 HIV EPIDEMIOLOGY AND FIELD SERVICE PROGRAM) WITH CONCERNING TRENDS FOR THE HISPANIC POPULATION AND THOSE DIAGNOSED UNDER THE AGE OF 29. THE HISPANIC POPULATION HAS A 2017 VLSR OF 86% COMPARED TO THE WHITE POPULATION OF 92% AND A RATE OF NEW HIV DIAGNOSIS THAT IS FIVE TIMES HIGHER THAN THE WHITE POPULATION OF QUEENS. THE VLSR RATE FOR AGES 13-19 IS 64% AND AGES 20-29 IS 73% WHICH SUGGESTS A CONSIDERABLE NEED FOR INTERVENTION. THE RATE OF NEW HIV DIAGNOSIS FOR THOSE 20-29 IS CONSIDERABLY HIGHER THAN OTHER AGE GROUP WITH AN AVERAGE ANNUAL RATE OF 156 BETWEEN 2013 - 2017. NYP QUEENS CONTINUES TO PRIORITIZE HIV/AIDS EFFORTS BY PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND NON-HOSPITAL CLINICAL PROVIDERS IN ORDER TO BENEFIT THE COMMUNITY. ACCORDING TO NUMEROUS STUDIES IN THE NCBI DATABASE2 , VIRAL LOAD SUPPRESSION IMPROVEMENT IS REFLECTED IN EFFORTS TO IMPROVE MEDICATION ADHERENCE AND UTILIZE CULTURALLY AWARE CARE MANAGEMENT TECHNIQUES. THE NEW YORK STATE ENDING THE AIDS EPIDEMIC THREE-POINT PLAN INCLUDES LITERATURE AND PROMISING PRACTICES SPECIFIC TO THE USE OF PEERS AND LINKAGE TO CARE FOR VIRAL LOAD SUPPRESSION34. THE EVIDENCE-BASED CRITERIA ALLOWED THE NYP QUEENS TEAM TO DEVELOP A COMMUNITY-BASED INITIATIVE TO PARTNER WITH VOCES LATINAS, A COMMUNITY-BASED ORGANIZATION, AS WELL AS A COMMUNITY PHARMACY FOR THE YOUNG HISPANIC POPULATION. THE INITIATIVE WILL EXPAND SERVICES OF CARE MANAGEMENT/PATIENT NAVIGATION, OUTREACH, EDUCATION, ACCESS TO CARE, ACCESS TO MEDICATION, AND PHARMACY CARE MANAGEMENT TECHNIQUES IN ORDER TO IMPROVE VIRAL LOAD SUPPRESSION OF THE TARGETED COMMUNITY MEMBERS. VOCES LATINAS WILL DEVELOP A PRO-MOVIENDO PEER EDUCATION MODEL WITH A VIRAL LOAD SUPPRESSION CAMPAIGN WHICH WILL INFLUENCE THE CURRICULUM OF ALL PEERS IMPLEMENTED AS WELL AS EXPAND THEIR CURRENT CARE MANAGEMENT/PATIENT NAVIGATION PROGRAM. ALONGSIDE VOCES LATINAS AND NYP QUEENS, THE NYP QUEENS SPECIALTY PHARMACY AND A COMMUNITY-BASED PHARMACY WILL OFFER PHARMACY CARE MANAGEMENT TECHNIQUES WITH PRESCRIPTION DELIVERY OPTIONS TO IMPROVE MEDICATION ACCESS AND ADHERENCE FOR THE IDENTIFIED GROUP. NYP QUEENS WILL LEAD THE MULTI-DISCIPLINARY PROGRAM WHILE OFFERING ACCESS TO CARE, DATA ANALYTICS, QUALITY PROCESS IMPROVEMENT, AND CLINICAL SUBJECT MATTER EXPERTS AND LEADERSHIP. THE PROGRAM WILL BE BASED PRIMARILY IN CORONA BUT WILL HAVE THE ADAPTABILITY TO SERVE OTHER HIGH NEEDS COMMUNITIES AS DEFINED BY THE CSP INITIATIVE QUALITY TEAM THAT IS CREATED WITH THE PROGRAM. THIS INITIATIVE WILL BE IMPLEMENTED AND MONITORED OVER THE THREE YEARS OF THE CSP CYCLE.