4A (Expenses $ 70806331 including grants of $ 0) (Revenue $ 70787055)
HEALTH CARE DELIVERY: INCLUDES: UNCOMPENSATED CARE, PAYMENTS INTO BAD DEBT AND CHARITY POOLS, NYS HEALTH FACILITIES ASSESSMENT, COMMUNITY EDUCATION, MATERNAL CARE PROGRAM, COST OF PROVIDING SERVICES TO GOVERNMENT PAYORS. HEALTH/WELLNESS AND EDUCATIONAL SERVICES TO THE GENERAL PUBLIC. IN 2021 THE HOSPITAL HAD 8,986 PATIENT DAYS 21,642 EMERGENCY ROOM VISITS AND 83,621 OUTPATIENT VISITS.

4B (Expenses $ 8422154 including grants of $ 0) (Revenue $ 9197781)
NURSING HOME CARE - NURSING HOME FACILITY- SKILLED NURSING, HEALTH AND RESPITE CARE. IN 2021 THE NURSING HOME HAD 35,340 PATIENT DAYS.

AURELIA OSBORN FOX MEMORIAL HOSPITAL
PART V, SECTION B, LINE 5: AURELIA OSBORN FOX MEMORIAL HOSPITAL:THIS COMMUNITY HEALTH NEEDS ASSESSMENT HAS TAKEN INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD RANGE OF SECTORS AND INTERESTS OF THE COMMUNITY INCLUDING ORGANIZATIONS THAT REPRESENT THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS SERVED BY BASSETT MEDICAL CENTER. ALL ORGANIZATIONS PROVIDING INPUT INTO THIS ASSESSMENT, INCLUDING THE NAME AND TITLE OF THOSE INDIVIDUALS REPRESENTATIVE OF THE ORGANIZATION, IS PROVIDED BELOW. THIS INCLUDED INPUT FROM INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, SPECIFICALLY, HEIDI BOND, DIRECTOR OF THE OTSEGO COUNTY HEALTH DEPARTMENT.A) HEIDI BOND, DIRECTOR AT OTSEGO COUNTY HEALTH DEPARTMENTB) PATRICIA KNUTH, EXECUTIVE DIRECTOR AT THE ARC OTSEGOC) AMEEN ASWAD, EXECUTIVE DIRECTOR OF JAIL MINISTRY OF OTSEGO COUNTYD) TREENA HALSTEAD, BUILDING HEALTHY FAMILIES PROGRAM MANAGER AT OPPORTUNITIES FOR OTSEGOE) MARGARET AVRITT, ONEONTA COMMUNITY HEALTH CENTERF) TOM HOHENSEE, CREATING HEALTHY SCHOOLS AND COMMUNITIES SCHOOLCOORDINATOR BASSETT RESEARCH INSTITUTE AT BASSETT MEDICAL CENTERAURELIA OSBORN FOX MEMORIAL HOSPITAL 15-0539039G) SARAH BUTTICE, DIRECTOR OF EDUCATION/EMPLOYEE WELLNESS AT A.O. FOX HOSPITALH) CALI RIESE, PUBLIC EDUCATION & COMMUNITY OUTREACH SPECIALIST CANCER SERVICES PROGRAM OF THE CENTRAL REGION AT BASSETT HEALTHCARE NETWORKI) TAMIE MACDONALD, DIRECTOR AT OTSEGO COUNTY OFFICE FOR THE AGINGJ) CHERILYN LACY, COORDINATOR OF THE PUBLIC HEALTH PROGRAM AT HARTWICK COLLEGEK) VERA SOSNOWSKI, BOARD MEMBER AT THE TOWN OF MILFORDL) CHRISTY HOUCK, CATHOLIC CHARITIES DELAWARE, OTSEGO & SCHOHARIEM) LYNAE WYCKOFF, LIVING WELL PROGRAM MANAGER BASSETT RESEARCH INSTITUTE AT BASSETT MEDICAL CENTERN) DAN MASKIN, EXECUTIVE DIRECTOR AT OPPORTUNITIES FOR OTSEGOO) LUCINDA LEVENE, ENGAGEMENT MANAGER AT LEATHERSTOCKING COLLABORATIVE HEALTH PARTNERSP) DEBRA MARCUS, EXECUTIVE DIRECTOR AT FAMILY PLANNING OF SOUTH CENTRAL NEW YORKQ) SUSAN MATT, DIRECTOR AT OTSEGO COUNTY COMMUNITY SERVICESR) DAVE RICHARDS, SUPERINTENDENT OF SCHOOLS AT UNATEGO CENTRAL SCHOOL DISTRICTS) ARLANA YOUNG, BOARD OF DIRECTORS MEMBER AT ONEONTA COMMUNITY HEALTH CENTERT) STEPHEN CLARK, ADMINISTRATIVE DIRECTOR BASSETT RESEARCH INSTITUTE AT BASSETT MEDICAL CENTERU) MATHEW JOHNSON, HEALTH EDUCATOR AT OTSEGO COUNTY HEALTH DEPARTMENTV) LAURA BRYANT, RABIES COORDINATOR AT OTSEGO COUNTY HEALTH DEPARTMENTW) KIM SCHLOSSER, ASSISTANT DIRECTOR AT OTSEGO COUNTY HEALTH DEPARTMENTX) MARION MANLIUS, BOARD MEMBER AT THE TOWN OF MILFORDY) MAUREEN BLANCHARD, CREATING HEALTHY SCHOOLS AND COMMUNITIES COMMUNITY COORDINATOR RESEARCH FOUNDATION AT SUNY COBLESKILLZ) MARION MOSSMAN, PROJECT DIRECTOR AT OTSEGO COUNTY SYSTEM OF CARE AA) JULIE SORENSEN, DIRECTOR AT THE NEW YORK CENTER OF AGRICULTURAL MEDICINE AND HEALTH/NORTHEAST CENTER FOR OCCUPATIONAL HEALTH AND SAFETYBB) ANNE GADOMSKI, ATTENDING PEDIATRIC PHYSICIAN AND DIRECTOR OF THE BASSETT RESEARCH INSTITUTE AT BASSETT MEDICAL CENTERCC) LYNN GLUECKERT, EXECUTIVE DIRECTOR AT CATHOLIC CHARITIES DELAWARE, OTSEGO & SCHOHARIEDD) TERESA SEARS, CLERK AT THE TOWN OF OTEGOEE) GARY FURMAN, SUPERINTENDENT OF SCHOOLS AT EDMESTON CENTRAL SCHOOL DISTRICTFF) JULIE DOSTAL, EXECUTIVE DIRECTOR AT LEATHERSTOCKING EDUCATION ON ALCOHOLISM/ADDICTIONS FOUNDATIONFOLLOWING A REVIEW OF DATA FROM BASSETT MEDICAL CENTER'S, A.O. FOX MEMORIAL HOSPITAL'S AND OTSEGO COUNTY HEALTH DEPARTMENT'S 2019 JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND INPUT FROM KEY INFORMANTS, BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL AND OTSEGO COUNTY HEALTH DEPARTMENT WILL COLLABORATE ON THE NEW YORK STATE PREVENTION AGENDA PRIORITIES OF PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS' FOCUS AREA OF 'PREVENT MENTAL AND SUBSTANCE USE DISORDERS' WITH THE GOALS TO PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATH, AND PREVENT CHRONIC DISEASES' FOCUS AREA OF 'TOBACCO PREVENTION' WITH THE GOAL TO PREVENT INITIATION OF TOBACCO USE. BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL, AND OTSEGO COUNTY HEALTH DEPARTMENT ENGAGED STAKEHOLDERS TO WORK WITH THEM ON THEIR 2013 AND 2016 PRIORITIES AND STAKEHOLDERS WERE ENGAGED FOR THE 2019 PRIORITIES. THESE STAKEHOLDERS, ALONG WITH INDIVIDUALS AND ORGANIZATIONS FOCUSED ON THE HEALTH OF THE COMMUNITY, HAD AN OPPORTUNITY TO INDICATE THEIR PRIORITIES DURING A COMMUNITY DATA PRESENTATION AND THOSE INDIVIDUALS UNABLE TO ATTEND HAD THE OPPORTUNITY TO COMPLETE A SURVEY INDICATING THEIR PRIORITIES.IN ORDER TO ADDRESS THE COMBINED FOCUS AREA OF 'PREVENT MENTAL AND SUBSTANCE USE DISORDERS' BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL, AND OTSEGO COUNTY HEALTH DEPARTMENT WILL INCREASE THE AVAILABILITY OF/ACCESS AND LINKAGES TO MEDICATION-ASSISTED TREATMENT (MAT) INCLUDING BUPRENORPHINE; PROMOTE AND ENCOURAGE PRESCRIBER EDUCATION AND FAMILIARITY WITH OPIOID PRESCRIBING GUIDELINES, AND LIMITS AS IMPOSED BY NEW YORK STATE STATUTES AND REGULATION; AND BUILD SUPPORT SYSTEMS TO CARE FOR OPIOID USERS WHO ARE AT RISK OF AN OVERDOSE.FOR 'TOBACCO PREVENTION' BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL, AND OTSEGO COUNTY HEALTH DEPARTMENT WILL USE MEDIA AND HEALTH COMMUNICATIONS TO HIGHLIGHT THE DANGERS OF TOBACCO/VAPING IN THE PEDIATRIC CLINICS, SCHOOL BASED HEALTH CENTERS AND COMMUNITY. BASSETT MEDICAL CENTER, A.O. FOX MEMORIAL HOSPITAL, AND OTSEGO COUNTY HEALTH DEPARTMENT WILL UTILIZE THE RECOMMENDED PROCESS MEASURES LISTED IN THE NEW YORK STATE PREVENTION AGENDA ACTION PLAN TO TRACK PROGRESS OF ALL PRIORITIES AND FOCUS AREAS. YEARLY PROGRESS TOWARDS THOSE MEASURES WILL BE DISSEMINATED TO THE NEW YORK STATE DEPARTMENT OF HEALTH AND WILL BE INCLUDED ON THE BASSETT HEALTHCARE NETWORKS AND OTSEGO COUNTY HEALTH DEPARTMENTS WEBSITE.

AURELIA OSBORN FOX MEMORIAL HOSPITAL
PART V, SECTION B, LINE 6A: MARY IMOGENE BASSETT HOSPITAL

AURELIA OSBORN FOX MEMORIAL HOSPITAL
PART V, SECTION B, LINE 6B: OTSEGO COUNTY DEPARTMENT OF HEALTH

AURELIA OSBORN FOX MEMORIAL HOSPITAL
PART V, SECTION B, LINE 11: THE ORGANIZATION ADDRESSED SIGNIFICANT, PRIORITIZED HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFICATION IN THE CHNA, PRIORITIZATION OF HEALTH NEEDS IN ITS COMMUNITY, AND PRIORITIZATION OF SERVICES THAT THE HOSPITAL FACILITY WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY. FOR NEEDS NOT ADDRESSED AS A COLLABORATIVE, WE ADDRESS SOME AS AN INDIVIDUAL ORGANIZATION, AND ALSO CONTINUE TO REPRIORITIZE HIGHEST DEMAND OF NEEDS.DUE TO THE COVID-19 PANDEMIC, THE HOSPITAL CANCELED ALL ELECTIVE PROCEDURES AND NON-URGENT AMBULATORY VISITS WHICH RESULTED IN A SIGNIFICANT REDUCTION IN PATIENT VOLUMES. IN ADDITION TO THE LOST REVENUE THAT ACCOMPANIED THE LOWER PATIENT VOLUMES THE HOSPITAL EXPERIENCED A SIGNIFICANT INCREASE IN OPERATING EXPENSES ASSOCIATED WITH THE PURCHASE OF PERSONAL PROTECTIVE EQUIPMENT, CERTAIN PHARMACEUTICALS, COVID 19 TESTING SUPPLIES, AND OTHER OVERHEAD AND PATIENT SPECIFIC COSTS. ADMISSIONS FELL 22% FROM 2019 TO 2020 WHILE OUTPATIENT CLINIC AND ER VISITS DECREASED 21% FROM 2019 TO 2020.DURING 2021 THE HOSPITAL CONTINUED TO CARE FOR PATIENTS AFFECTED BY THE COVID-19 PANDEMIC. IN RETURN, THE HOSPITAL REALIZED $1,445,849 OF CARES ACT FUNDS IN RELATION TO THE SALARIES AND SUPPLIES EXPENDED TO CARE FOR THESE PATIENTS.

PART V, LINE 7A AND 10A
AURELIA OSBORN FOX MEMORIAL HOSPITAL:THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE MADE AVAILABLE ON THE HOSPITAL'S WEBSITE:HTTPS://WWW.BASSETT.ORG/LOCATIONS/AO-FOX-HOSPITAL

PART V, LINE 16A, 16B, AND 16C
AURELIA OSBORN FOX MEMORIAL HOSPITAL:THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE MADE AVAILABLE ON THE HOSPITAL'S WEBSITE:HTTPS://WWW.BASSETT.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

AURELIA OSBORN FOX MEMORIAL HOSPITAL
PART VBILLING AND COLLECTIONSBEGINNING IN 2021, BASSETT HEALTHCARE NETWORK, THE PARENT ORGANIZATION OF AURELIA OSBORN FOX MEMORIAL HOSPITAL, ENTERED INTO A SERVICE AGREEMENT WITH OPTUM INSIGHT. THIS AGREEMENT RESULTED IN VARIOUS INFORMATION TECHNOLOGY, REVENUE CYCLE, AND BUSINESS ANALYTIC SERVICES ONCE PERFORMED BY BASSETT HEALTHCARE NETWORK BEING TRANSITIONED TO OPTUM INSIGHT, ALONG WITH THE FORMER BASSETT EMPLOYEES WHO PROVIDED THEM. THE TRANSITION INCLUDED PORTIONS OF THE BILLING AND COLLECTION ACTIVITIES FOR THE HOSPITALS IN THE NETWORK. HOWEVER, DESPITE THE CHANGE IN SERVICE PROVIDER, THE BILLING AND COLLECTION POLICIES OF THE HOSPITAL HAVE NOT CHANGED AS A RESULT OF THE TRANSITION.

PART I, LINE 7:
COSTING METHODOLOGY EXPLANATIONTHE COST METHODOLOGY USED FOR TABLE 7 IS THE RATIO OF COST TO CHARGES FROM 12/31/2021 MEDICARE FORM 2552. THE BAD DEBT EXPENSE OF $3,150,940 WAS WAS SUBTRACTED FROM THE TOTAL EXPENSE VALUES USED TO CALCULATE THE PERCENTAGES IN PART 1, LINE 7, COLUMN F.

SCHEDULE H, PART I, LINE 6A
AURELIA OSBORN FOX MEMORIAL HOSPITAL'S COMPREHENSIVE THREE YEAR COMMUNITY SERVICE PLAN WAS SUMMARIZED IN AN ANNUAL COMMUNITY REPORT. PRINTED COPIES WERE AVAILABLE TO THE PUBLIC IN PATIENT WAITING ROOMS AND AT INFORMATION KIOSKS. THE REPORT IS ALSO POSTED ON THE BASSETT WEBSITE, WWW.BASSETT.ORG/LOCATIONS/AO-FOX-HOSPITAL.

SCHEDULE H, PART I, LINE 7, COLUMN (D)
DIRECT OFFSETTING REVENUEDURING 2021, THE HOSPITAL RECORDED PROVIDER RELIEF FUNDS THAT MAY BE USED AS REIMBURSEMENT FOR COMMUNITY BENEFIT EXPENSES THE HOSPITAL INCURRED AS A RESULT OF THE COVID-19 PANDEMIC. SUCH EXPENSES ARE CURRENTLY REPORTED IN PART I, LINE 7, COLUMN (C) BUT THE HOSPITAL HAS NOT INCLUDED THE PROVIDER RELIEF FUNDS AS DIRECT OFFSETTING REVENUE IN COLUMN (D) PENDING FURTHER GUIDANCE FROM THE IRS AS TO WHETHER PROVIDER RELIEF GRANTS ARE CONSIDERED RESTRICTED GRANTS FOR THE PURPOSES OF LINE 7.

PART II, COMMUNITY BUILDING ACTIVITIES:
WE HELP PROMOTE THE HEALTH OF THE COMMUNITY THROUGH MAINTAINING AN ACTIVE OPEN MEDICAL STAFF, SUPPORTING THE ANCILLARY NEEDS OF THE LOCAL FREE CLINIC AND HOSTING A CHILD BIRTH FAIR. WE ALSO PROVIDE MEETING SPACE FOR LOCAL COMMUNITY ORGANIZATIONS AT NO CHARGE. OUR BOARD IS COMPRISED OF LOCAL COMMUNITY MEMBERS WHO ADVOCATE FOR THE HEALTH INTEREST OF THE COMMUNITY.

PART III, LINE 2:
BAD DEBT EXPENSEDUE TO THE ADOPTION OF ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS A PRICE CONCESSION. THE BAD DEBT EXPENSE FOR 2021 WAS $3,150,940.

PART III, LINE 4:
CHARITY CAREFOOTNOTE (3) FROM THE CONSOLIDATED FINANCIALSTHE COST OF CHARITY CARE PROVIDED IS DETERMINED BASED ON THE APPLICATION OF A COST TO GROSS CHARGE RATIO TO THE TOTAL CHARITY CARE CHARGES FOREGONE. INCLUDED IN NET PATIENT SERVICE REVENUE ARE AMOUNTS PAID INTO AND RECEIVED FROM STATEWIDE UNCOMPENSATED CARE POOLS. THESE UNCOMPENSATED CARE POOLS ARE DESIGNED TO HELP OFFSET THE COST OF CHARITY CARE AND REIMBURSED MEDICAID SERVICES.BAD DEBT EXPENSEDUE TO THE ADOPTION OF ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS A PRICE CONCESSION. THE BAD DEBT EXPENSE FOR 2021 WAS $3,150,940.

PART III, LINE 8:
WHEN MEDICARE PATIENTS PRESENT WE ARE AWARE THAT THERE IS A PREDETERMINED REIMBURSEMENT THAT IS BELOW OUR HOSPITAL'S COST. THE PORTION THAT WE ARE NOT REIMBURSED THEREFORE WOULD BE CONSIDERED A COMMUNITY BENEFIT.

PART III, LINE 9B:
IT IS A.O. FOX MEMORIAL HOSPITAL'S POLICY TO DELAY FINAL COLLECTION EFFORTS WHILE AN APPLICATION IS IN PROCESS UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. COLLECTION EFFORTS ARE NOT INITIATED UNTIL THE FINAL DETERMINATION OF ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY.

PART VI, LINE 3:
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEA MAJOR COMPONENT OF AURELIA OSBORN FOX MEMORIAL HOSPITAL'S COMMUNITY SERVICES PROGRAM IS TO ACTIVELY IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY CARE. THE PROCESS BEGINS WITH AN ORGANIZATIONAL POLICY AND PROCEDURE THAT DEFINES THE PROGRAM AND SERVES AS AN EDUCATION TOOL FOR ALL BASSETT EMPLOYEES. THE POLICY IS UPDATED ANNUALLY, DISTRIBUTED TO KEY PERSONNEL AND POSTED IN THE ONLINE POLICY AND PROCEDURE MANUAL THAT IS ACCESSIBLE TO ALL EMPLOYEES. THE PROGRAM IS SUPPORTED BY A FOUR PAGE PLAIN LANGUAGE BROCHURE THAT INCLUDES AN APPLICATION. BROCHURES ARE PROMINENTLY DISPLAYED AND AVAILABLE AT ALL FACILITIES AND ALL CLINIC LOCATIONS. CLINICAL AND SUPPORT STAFF ARE MADE AWARE OF THE PROGRAM AND ABLE TO DIRECT PATIENTS TO SPECIALISTS WHO CAN ASSIST IN THE APPLICATION PROCESS.ALL PATIENTS WHO ARE REGISTERED AS SELF-PAY ARE PROVIDED A BROCHURE EITHER IN PERSON OR BY MAIL. PATIENTS WHO ARE IN THE HOSPITAL RECEIVE INFORMATION AS PART OF A PERSONAL VISIT GEARED TO HELP THE PATIENT NAVIGATE FINANCIAL ASSISTANCE INCLUDING, BUT NOT LIMITED TO, THE COMMUNITY SERVICES PROGRAM. GOVERNMENT PROGRAM OPPORTUNITIES ARE ALSO REFERENCED AND A DIRECTORY OF LOCAL SOCIAL SERVICES AGENCIES IS PROVIDED BASED ON THE PATIENT'S COUNTY OF RESIDENCE. REFERRAL TO AN ONSITE MEDICAID EXAMINER IS AVAILABLE.A LISTING OF ALL SELF-PAY ACCOUNTS IS PRODUCED AND REVIEWED DAILY TO INSURE THAT A COMMUNITY SERVICES BROCHURE HAS BEEN PROVIDED. THE SELF-PAY BILLING OFFICE IDENTIFIES PATIENTS DURING THE BILLING AND COLLECTIONS PROCESS THAT MAY REQUIRE ADDITIONAL HELP UNDERSTANDING THE PROGRAM.SELF-PAY ACCOUNTS FOR PATIENTS WHO HAVE BEEN APPROVED FOR COMMUNITY SERVICES WITHIN THE PRIOR 120 DAYS ARE AUTOMATICALLY INCLUDED WITH THE PRIOR APPROVAL.

PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORTNEW YORK.

PART VI, LINE 2:
NEEDS ASSESSMENTIN ADDITION TO PUBLIC AND AGENCY INPUT, A VARIETY OF DATA FROM THE NYS DEPARTMENT OF HEALTH, OTSEGO COUNTY BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, OTSEGO CO. DEPARTMENT OF HEALTH COMMUNITY ASSESSMENT AND OTHER SOURCES WERE USED TO ASSESS PRIORITIES, INCLUDING: A) PERCENTAGE OF OTSEGO CO. ADULTS WHO VISITED A DENTIST IN THE PAST YEARSB) PREVALENCE OF TOOTH DECAY IN THIRD-GRADE CHILDRENC) PERCENTAGE OF ADULTS REPORTING BINGE DRINKINGD) HEAVY DRINKINGE) PERCENTAGE OF OVERWEIGHT ADULTS IN OTSEGO CO. BASED ON THE OUTCOMES OF THE FOCUS GROUPS AND STRATEGIC PLANNING SESSIONS PREVENTION AGENDA PRIORITIES THROUGHOUT THE COUNTY WERE IDENTIFIED. ACCESS TO QUALITY HEALTHCARE AND MENTAL HEALTH & SUBSTANCE ABUSE WERE IDENTIFIED AS THE TOP PRIORITIES. PHYSICAL ACTIVITY AND NUTRITION WAS RANKED THIRD.SUBSEQUENT STRATEGIC PLANNING SESSIONS RELATED TO THE TWO TOP PRIORITIES WERE HELD TO IDENTIFY SERVICE BARRIERS AND GAPS AS WELL AS BRAINSTORM FOR COLLABORATIVE EFFORTS TO ADDRESS THESE PRIORITIES. STRATEGIES FOR THE SELECTED PRIORITIES:1) ACCESS TO DENTAL HEALTH CAREA. AURELIA OSBORN FOX MEMORIAL HOSPITAL (A.O. FOX) WILL SUPPORT OTSEGO CO. DEPT. OF HEALTH EFFORTS TO RE-ESTABLISH THE OTSEGO CO. ORAL HEALTH COALITION AS A MECHANISM FOR BRINGING COMMUNITY PARTNERS TOGETHER ON ADVOCACY EFFORTS AIMED AT ATTRACTING MORE DENTISTS TO OUR RURAL AREA, AND FOR TRACKING PROGRESS IN IMPROVING ACCESS TO DENTAL SERVICESB. A.O. FOX WILL WORK TO EXPAND COMPREHENSIVE PREVENTIVE DENTAL HEALTH SERVICES TO ALL SCHOOL-BASED HEALTH CENTERS IN THE COUNTY AND TO PROVIDE SEALANT SERVICES TO NON-SBHC SCHOOLS. BASSETT WILL WORK WITH THE OTSEGO CO. DEPT. OF HEALTH AND RURAL HEALTH EDUCATION NETWORK OF DELAWARE, OTSEGO, MONTGOMERY (RHENDOMS) TO MAKE MORE SCHOOLS AWARE OF RHENDOMS SERVICES TO INCREASE PARTICIPATIONC. A.O. FOX WILL WORK WITH THE OTSEGO CO. DEPT. OF HEALTH AND A.O. FOX HOSPITAL TO EDUCATE PRIMARY CARE AND SBHC PROVIDERS ABOUT DENTAL PRACTICES AVAILABLE FOR REFERRAL. THE OTSEGO CO. DEPT. OF HEALTH WILL EDUCATE DENTAL PROVIDERS ABOUT MEDICAID REIMBURSEMENTSD. A.O. FOX WILL WORK WITH THE HEALTH DEPARTMENT AND OTHER COMMUNITY PARTNERS TO EDUCATE THE PUBLIC ABOUT DENTAL HEALTH IN FAIRS AND OTHER COMMUNITY EVENTS.2) MENTAL HEALTH AND SUBSTANCE ABUSEA. IN A NEW INITIATIVE, A.O. FOX WILL WORK WITH BASSETT MEDICAL CENTER AND LEATHERSTOCKING EDUCATION ON ALCOHOLISM/ADDICTIONS FOUNDATIONS, INC. (LEAF) TO PROVIDE CONTINUING MEDICAL EDUCATION TRAINING ON SUBSTANCE ABUSE SCREENING AND REFERRAL TO PRIMARY CARE PROVIDERS AND SURGEONS IN THE COUNTY.B. A.O. FOX WILL WORK WITH THE HEALTH DEPARTMENT AND LEAF TO COMPLETE AND DISTRIBUTE AN UPDATED LIST OF MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES TO PRIMARY CARE PROVIDERSC. A.O. FOX WILL COLLABORATE WITH LEAF AND THE HEALTH DEPARTMENT ON PUBLIC HEALTH CAMPAIGN ABOUT THE RISK FACTORS ASSOCIATED WITH BINGE DRINKING AND PRESCRIPTION DRUG ABUSE3) PHYSICAL ACTIVITY AND NUTRITIONA. A.O. FOX WILL CONTINUE TO COLLABORATE WITH THE HEALTH DEPARTMENT AND OTHER COMMUNITY PARTNERS ON EFFORTS TO PROVIDE EARLY EDUCATION ABOUT THE IMPORTANCE OF PHYSICAL ACTIVITY AND NUTRITION THROUGHOUT LIFE, INCLUDING DURING PREGNANCY AND TO PREVENT CHRONIC DISEASEB. A.O. FOX WILL WORK WITH THE HEALTH DEPARTMENT, SCHOOLS, AND OTHER COMMUNITY PARTNERS TO IMPROVE CONTINUITY OF CARE BETWEEN FAMILIES, SCHOOLS, AND PRIMARY CARE PROVIDERS FOR THE TREATMENT OF CHILDHOOD OBESITY OVERALL GOALS WILL BE TO INCREASE THE PERCENTAGE OF OTSEGO COUNTY ADULTS WHO HAVE SEEN A DENTIST IN THE PAST YEAR, WORK TOWARD A 2013 PREVENTION AGENDA OBJECTIVE OF 83%, REDUCING THE RATE OF ALCOHOL ABUSE IN OTSEGO COUNTY AND REDUCING THE RATE OF OBESITY IN OTSEGO COUNTY.

PART VI, LINE 4:
COMMUNITY INFORMATIONAURELIA OSBORN FOX MEMORIAL HOSPITAL IS PART OF THE BASSETT HEALTHCARE NETWORK THAT PROVIDES HEALTH SERVICES IN MORE THAN 20 COMMUNITIES SPANNING 5,600 SQUARE MILES AND SEVEN COUNTIES. THE NETWORK FOCUSES ITS COMMUNITY SERVICES PROGRAMS IN THE COUNTIES WHERE THE SIX AFFILIATED HOSPITALS AND GREATEST PATIENT POPULATIONS ARE LOCATED. IN THE SEVEN COUNTY REGIONS, THE MEDIAN HOUSEHOLD INCOME RANGES BETWEEN $43,000 AND $48,000. 13-18 % OF THE COMMUNITY RESIDENTS HAVE INCOMES BELOW THE FEDERAL POVERTY GUIDELINES. THE FOLLOWING AREAS HAVE BEEN FEDERALLY DESIGNATED AS BEING MEDICALLY UNDERSERVED:A) HERKIMER COUNTYB) FULTON COUNTY, TOWN OF OPPENHEIMC) MONTGOMERY COUNTY, CITY OF AMSTERDAMD) OTSEGO COUNTY, NORTH OTSEGO SERVICE AREA, TOWN OF PLAINFIELD, TOWN OF DECATURE) DELAWARE COUNTY, TOWNS OF DEPOSIT, COLCHESTER, MIDDLETOWN

PART VI, LINE 6:
AURELIA OSBORN FOX MEMORIAL HOSPITAL IS PART OF THE BASSETT HEALTHCARE NETWORK THAT PROVIDES HEALTH SERVICES IN MORE THAN 20 COMMUNITIES SPANNING 5,600 SQUARE MILES AND SEVEN COUNTIES. THE NETWORK FOCUSES ITS COMMUNITY SERVICES PROGRAMS IN THE COUNTIES WHERE THE SIX AFFILIATED HOSPITALS AND GREATEST PATIENT POPULATIONS ARE LOCATED. OTSEGO COUNTY POPULATION 60,094, DELAWARE COUNTY - POPULATION 45,001, HERKIMER COUNTY POPULATION 62,240, SCHOHARIE COUNTY - POPULATION 31,420 (ACCORDING TO THE 2017 U.S. CENSUS ESTIMATES).A) BASSETT - AN ACUTE CARE INPATIENT TEACHING FACILITY, AN OUTPATIENT PRIMARY AND SPECIALTY CARE CENTER, A REGIONAL NETWORK OF 29 COMMUNITY BASED OUTPATIENT HEALTH CENTERS, 20 SCHOOL BASED HEALTH CENTERS, TWO AMBULATORY SURGERY CENTERS AND A FULLY SALARIED MEDICAL STAFF IN COOPERSTOWN, OTSEGO COUNTYB) O'CONNOR HOSPITAL - CRITICAL ACCESS HOSPITAL IN DELHI, DELAWARE COUNTYC) COBLESKILL REGIONAL HOSPITAL - ACUTE CARE FACILITY IN COBLESKILL, SCHOHARIE COUNTYD) LITTLE FALLS HOSPITAL - CRITICAL ACCESS HOSPITAL IN LITTLE FALLS, HERKIMER COUNTYE) FOX TRI-TOWN CAMPUS- 24/7 EMERGENCY CARE FACILITY IN SIDNEY, DELAWARE COUNTYF) A.O. FOX MEMORIAL HOSPITAL - ACUTE CARE FACILITY IN ONEONTA, OTSEGO COUNTYG) VALLEY HEALTH SERVICES - RESIDENTIAL HEALTH CARE AND REHABILITATION FACILITYH) AT HOME CARE - CERTIFIED HOME CARE AGENCYI) FIRST COMMUNITY CARE OF BASSETT - MEDICAL SUPPLY COMPANY ALL THE ABOVE (A-I) MAKE UP THE BASSETT HEALTHCARE NETWORK AND PROVIDE HEALTH SERVICES TO THIS SEVEN COUNTY REGION IN CENTRAL NEW YORK.