4A (Expenses $ 5971323100 including grants of $ 100618542) (Revenue $ 6954759749)
THE NEW YORK AND PRESBYTERIAN 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, THE HOSPITAL RECOGNIZES 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. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, THE HOSPITAL PROVIDES THE FOLLOWING: FREE AND REDUCED PRICE MEDICAL CARE (FINANCIAL ASSISTANCE/CHARITY CARE) TO THE INDIGENT; CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW-COST; SUBSIDIZED HEALTH SERVICES; AND HEALTH CARE ACTIVITIES, MEDICAL EDUCATION AND PROGRAMS TO SUPPORT THE COMMUNITY. COMMUNITY BENEFIT ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, HEALTH SCREENINGS, AND A BROAD VARIETY OF COMMUNITY SUPPORT SERVICES, HEALTH PROFESSIONAL EDUCATION, AND SUBSIDIZED HEALTH SERVICES. THE HOSPITAL HAD 129,773 DISCHARGES AND PROVIDED 882,302 OUTPATIENT VISITS (CLINIC - 512,161 EMERGENCY ROOM - 264,380) PLUS 105,761 AMBULATORY SURGERY PROCEDURES.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - NEWYORK-PRESBYTERIAN HOSPITAL. NewYork-Presbyterian Hospital (NYPH) completed a Community Health Needs Assessment (CHNA) to identify the needs of the community we serve, developed a Community Service Plan (CSP) and developed an implementation plan to address the areas of highest need. The community, spanning from New York City to the counties just outside of NYC, represent a broad diversity of demographics, socioeconomics, and health service utilization needs, and require a custom approach to community service planning. The leaders of NYPH are dedicated to the community with a mission to be the premier healthcare institution serving our greater community by providing excellence in clinical care and patient safety, education, clinical research, and service. This document outlines the process, priorities, partners, and intended community-based improvement activities for 2019 - 2021. The CHNA process aligns with the 2019 - 2024 New York State Prevention Agenda. The Prevention Agenda is the state health improvement plan that develops a local action plan to improve the health and well-being of all New Yorkers and to promote health equity in all populations who experience disparities. NYPH is part of NewYork-Presbyterian (NYP), one of the nation's most comprehensive and integrated academic healthcare delivery systems. Founded nearly 250 years ago with the fundamental belief that every person deserves access to the best care, NYP now includes NYPH with its seven campuses, the three Regional Hospitals consisting of NewYorkPresbyterian Queens, NewYork-Presbyterian Brooklyn Methodist Hospital, and NewYorkPresbyterian Hudson Valley Hospital, as well as more than 200 primary and specialty care clinics and medical groups, and an array of telemedicine services. NYPH and each of the Regional Hospitals conduct their own community health needs assessment and develop independent community service plans. In conducting the 2019 CHNA, NYPH collaborated with the New York City Department of Health and Mental Hygiene (NYC DOHMH), Westchester County Department of Health (WCDOH), Westchester County Health Planning Coalition, Westchester County Community Health Summit, 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). These partnerships ensure that all aspects of the CHNA process, from the data collection and analytics to the collection of community input and health need prioritization, were community centric in its approach. Each collaborator added to the ongoing work by providing insight on the publicly available data for the various regions specific to the NYPH high disparity communities, while providing guidance on collecting stakeholder and community feedback and incorporating best practices for the CHNA. NYPH validated and refined the quantitative data results through the use of (1) primary data and 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 such as 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). NYPH engaged NYAM to gather qualitative information through an extensive process of community health needs questionnaires (CHNQs) and focus groups. The CHNQs gathered input from respondents across the five boroughs, Westchester County, and Putnam County on their perceptions of personal and community health, ways to improve the health of the community, and how they access both health systems generally and NYP specifically. NYAM also facilitated focus groups of community members to obtain local perspectives on the health and needs of the community at large. NYPH partnered with several community-based organizations to host these twenty-two focus groups: * Asian Americans for Equality * Battery Park Seniors * Brooklyn Pride Center * Bronxville Senior Citizens, Inc. * Caribbean Women's Health Association * Carter Burden Network * Caring for the Homeless and Hungry of Peekskill * CAMBA * Church of the Epiphany * Columbia University Irving Medical Center * Community League of the Heights * Dominican Women's Development Center * Downtown Health Association * Eastchester Community Action Partnership * Elmcor * Field Library * Hamilton-Madison House * Harlem Pride * Henry Street Settlement * HOPE Community Services * Hudson Valley Gateway Chamber of Commerce * HRH Care Community Health * Make the Road New York * Marble Hill Resident Council * Northern Manhattan Coalition for Immigrant Rights * NYP Community Leadership Council * NYP Lower Manhattan 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 CHNA and CSP process was data driven, utilizing publicly available and measurable data along with community input from numerous sources and were combined to analyze the health and challenges of our community. The analysis focused upon the identification of high disparity communities and utilized data related to demographics, socioeconomic status, insurance status, social determinants of health, health service utilization, and NY State Prevention Agenda priorities. Data sources include the Citizens' Committee for Children of New York (CCC) Keeping Track Online, Data City of New York, Data2Go.NYC, NYC Health Atlas; NYC Mayor Report on Poverty, the Association for Neighborhood & Housing Development, Behavioral Risk Factor Surveillance System (BRFSS), Claritas, NYC Community Health Profile, State Cancer Profiles, U.S. Department of Agriculture, Cares Engagement, Claritas, New York State Community Health Indicator Reports (CHIRS), the Robert Wood Johnson County Health Rankings, State Cancer Profiles and the United Hospital Fund. NYPH recognizes that our community challenges are complex and healthcare outcomes are often linked to societal issues; therefore, community input from 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 detailed insight into the communities with high disparities and was then prioritized to determine the highest health needs for the identified communities. The prioritized data provided insight into community health needs and challenges and allowed us to establish focus areas and goals as outlined in the New York State Prevention Agenda. Based on the data collection, community input, and analysis processes completed, we, in partnership with local community based organizations, will target the neighborhoods of Washington Heights, Lower East Side, and Mt Vernon, which will allow the utilization of NYPH resources and new investment opportunities to concentrate improvement efforts and directly impact the community within the three-years of the service plan. 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).

Schedule H, Part V, Section B, Line 5 Facility , 2
Facility , 2 - NEWYORK-PRESBYTERIAN HOSPITAL. NYPH utilized data sets from multiple sources to analyze community health need and health risks to the specific neighborhood level in NYC. The analysis utilized the Neighborhood Tabulation Area (NTA) geography of 29 indicators across five domains: demographics, income, insurance, access to care and New York State Prevention Agenda (NYS PA). Additional indicators, among categories of demographics, socioeconomic status, insurance status, social determinants of health (SDoH), health status, and health service utilization were collected to assess community health needs, to identify disparities, to utilize in prioritizing the implementation strategies and to support health intervention planning (See data sources in Appendix A). The NYPH defined community also included geographies outside of NYC. An analysis of community health need and risk of high resource utilization was undertaken by ZIP code using the Community Need Index (CNI) Community Need Index (CNI) score which is an average of five different barrier scores that measure various socio-economic indicators of each community. The 17 resulting information provided an illustration of where there is more or less need comparatively between communities by ZIP code. Although the CNI score was obtainable at the ZIP code level, indicators for the non-New York City communities were publicly available at the county level. Indicators similar to those collected by NTA were evaluated for Dutchess, Nassau, Orange, Rockland and Westchester Counties. NYPH underwent an extensive process to obtain community input through numerous forums. The qualitative data was obtained through community questionnaires and surveys, focus groups, and extensive community asset research reports. The community input ensured a comprehensive representation of our community inclusive of multiple languages, socio-economic statuses, culture, race, age, and gender identity. Summaries of each qualitative input source are included below, and additional details can be found in the Community Health Needs Assessment. Focus Groups & Questionnaires The New York Academy of Medicine was engaged to complete a community needs questionnaire (CHNQ) and focus groups of the NYPH community. The CHNQs were conducted in person at community events, focus groups, and at campus NYP Community Advisory Board (CAB) meetings. NYPH received 1,074 responses, of which 49.1% were received in-person, 43.9% online, and 7.0% NYP CAB meetings. Twenty-two (22) focus groups were conducted across NYC and Westchester County in partnership with community-based organization and the NYP CABs. Focus groups were completed in multiple languages and events were held to ensure diversity and engagement that truly represents the community. Westchester County Department of Health (WCDOH) Community Health Survey The Westchester County Department of Health completed a survey of Westchester County residents to gain insight into their perspectives on personal health, community health needs, and mechanisms for improving community health. NYAM completed an analysis of a subset of the responses WCDOH received for the residents within the NewYork-Presbyterian Lawrence Hospital community in southern Westchester County; 2,047 of the 3,524 total responses WCDOH received. Westchester County Community Health Summit The Westchester County Health Planning Coalition collaboratively hosted a Community Health Summit to elicit feedback from the local community, government, and health and social service providers related to their perspective on the health and social needs of their clients with the goal of advancing the NYS PA priority areas. Over 70 attendees across health and community-based organizations participated in the facilitated sessions and a gallery walk intended to promote conversation focused upon four of the NYS PA priority areas: 1. Prevent Chronic Diseases 2. Promote a Healthy and Safe Environment 3. Promote Healthy Women, Infants, and Children 4. Promote Well-Being and Prevent Mental and Substance Use Disorder Attendees identified strengths and resources in the community, barriers and gaps to improvement, action items that would benefit and align with the NYS PA priority areas, and SDoH that are essential to any developing strategies.

Schedule H, Part V, Section B, Line 7 Facility , 1
Facility , 1 - NEWYORK-PRESBYTERIAN HOSPITAL. THE NEWYORK-PRESBYTERIAN HOSPITAL HAS SEVEN GEOGRAPHICAL LOCATIONS AS INDICATED BELOW: NEW YORK WEILL CORNELL CENTER: 525 EAST 68TH STREET, NEW YORK, NY 10065 COLUMBIA PRESBYTERIAN CENTER/MORGAN STANLEY CHILDREN CENTER: 622 WEST 168TH STREET, NEW YORK, NY 10032 ALLEN HOSPITAL: 5141 BROADWAY, NEW YORK, NY 10034 Westchester Behavioral Health Center : 21 BLOOMINGDALE ROAD, WHITE PLAINS, NY 10605 LOWER MANHATTAN HOSPITAL: 170 WILLIAMS STREET, NEW YORK, NY 10038 LAWRENCE HOSPITAL: 55 PALMER AVE, BRONXVILLE, NY 10708 DAVID H. KOCH CENTER: 1283 YORK AVENUE, NEW YORK, NY 10065 WE AT NEWYORK-PRESBYTERIAN HOSPITAL ARE COMMITTED TO SERVING OUR COMMUNITY AND ENSURING THAT ALL OF OUR STATE-OF-THE-ART PROGRAMS ARE WITHIN EVERYONE'S REACH. THE COMMUNITY SERVICE PLANS FEATURE A VAST ARRAY OF PROGRAMS, INITIATIVES AND EVENTS THAT HIGHLIGHT NEWYORK-PRESBYTERIAN'S CONTINUED COMMITMENT TO OUR COMMUNITY. ANY MEMBER OF THE PUBLIC CAN GET A COPY OF ALL COMMUNITY SERVICE PLANS BY VISITING THE FOLLOWING WEBSITE: HTTP://WWW.NYP.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-SERVICE-PLANS OR BY CONTACTING ONE OF THE FOLLOWING OFFICES: NEWYORK-PRESBYTERIAN OFFICE OF GOVERNMENT AND COMMUNITY AFFAIRS: (212)305-0201 NEWYORK-PRESBYTERIAN OFFICE OF PUBLIC AFFAIRS: (212)821-0560 IN ADDITION, COPIES OF THE NEEDS ASSESSMENT AND PLAN WERE DISSEMINATED TO: ELECTED OFFICIALS, THE NYS DEPARTMENT OF HEALTH, AND THE HOSPITAL COMMUNITY ADVISORY BOARDS. IT WAS ALSO POSTED ON THE NYP WEBSITE.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - NEWYORK-PRESBYTERIAN HOSPITAL. TO ENSURE THAT WE ARE IMPLEMENTING INITIATIVES THAT WILL IMPACT THE COMMUNITIES WITH THE HIGHEST DISPARITIES WITH THIS COMMUNITY SERVICE PLAN, NYPH UNDERTOOK 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 DIFFERENT INDICATORS. INDICATORS WERE CAREFULLY SELECTED ACROSS FIVE DOMAINS: DEMOGRAPHICS, INCOME, INSURANCE, ACCESS TO CARE, AND NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA PRIORITIES. THIS ANALYSIS WAS DONE IN PARALLEL FOR BOTH THE NYPH COMMUNITIES LOCATED WITHIN THE NYC BOROUGHS AND THE COMMUNITIES WITHIN THE SURROUNDING COUNTIES OUTSIDE OF NYC. 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. WE WILL FOCUS EFFORTS RELATED TO THE PREVENTION OF (1) CHRONIC DISEASE, (2) PROMOTION OF HEALTHY WOMEN, AND CHILDREN, (3) PROMOTION OF WELL-BEING TO PREVENT MENTAL HEALTH AND SUBSTANCE ABUSE AND (4) PREVENTION OF COMMUNICABLE DISEASES. TO ALIGN WITH THE CONSTANTLY CHANGING DYNAMICS OF THE COMMUNITY, WE HAVE REVISED THE FOCUS AND INITIATIVES AS COMPARED TO OUR 2016-2018 COMMUNITY SERVICE PLAN WHICH INCLUDED THE PREVENTION OF CHRONIC DISEASE BY INCREASING TOBACCO CESSATION RESOURCES, MENTAL HEALTH PROMOTION THROUGH EDUCATION AND TRAINING, AND THE PREVENTION OF HIV, STD'S, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS. BASED ON THE DATA PROCESS OF ANALYTICS AND PRIORITIZATION, NYPH WILL TARGET EFFORTS IN THE WASHINGTON HEIGHTS, LOWER EAST SIDE, AND MOUNT VERNON GEOGRAPHIES TO ALLOW OUR TEAMS TO INVEST AND CONCENTRATE EFFORTS AND DIRECTLY IMPACT A HIGH NEED COMMUNITY WITHIN THE THREE-YEARS OF THE SERVICE PLAN. THE DATA 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 COMMUNITY SERVICE PLAN WHICH INCLUDED PREVENT CHRONIC DISEASE; FOCUS ON DIABETES, PREVENT CHRONIC DISEASE; FOCUS ON CHILDHOOD OBESITY, AND PROMOTE A HEALTHY AND SAFE ENVIRONMENT; REDUCING FALL RISK AMONG MOST VULNERABLE POPULATIONS. THE CHANGE IS BASED UPON THE DATA COLLECTED FROM OUTCOME MEASURES AS WELL AS INPUT RECEIVED FROM THE COMMUNITY AS TO THE PRIORITIES. NYPH 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 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 COMMUNITY SERVICE PLAN 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. PRIORITY AREA & FOCUS INTERVENTION / STRATEGY PREVENT CHRONIC DISEASE GOAL 1.1 INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES (A) EXPANSION OF THE EXISTING NYPH OBESITY PREVENTION PROGRAM CHOOSING HEALTHY & ACTIVE LIFESTYLES FOR KIDS (CHALK). CHALK AIMS TO ADDRESS OBESITY USING A SOCIO ECOLOGICAL MODEL AS ITS THEORETICAL FRAMEWORK. PROMOTE HEALTHY WOMEN, INFANTS, & CHILDREN GOAL 1.2 REDUCE MATERNAL MORTALITY & MORBIDITY (A)IMPLEMENT THE HEALTHY STEPS - 2 GENERATION APPROACH MODEL FOR IMPROVING MATERNAL-CHILD HEALTH IN PRIMARY CARE AND COMMUNITY SETTINGS BY PROVIDING INTEGRATED MENTAL HEALTH SERVICES TO LOW-INCOME, AND UNINSURED PREGNANT WOMEN AND THE NEWBORN CHILD, AND ESTABLISHING CO-MANAGEMENT STRATEGIES WITH PARTNER COMMUNITY AGENCIES. PROMOTE WELL-BEING & PREVENT MENTAL & SUBSTANCE USE DISORDERS GOAL 1.1: STRENGTHEN OPPORTUNITIES TO BUILD WELLBEING AND RESILIENCE ACROSS THE LIFESPAN (A) INCREASE THE NUMBER OF MENTAL HEALTH FIRST AID (MHFA) TRAININGS TO NYPH STAFF AND COMMUNITY AND FAITH BASED ORGANIZATIONS, IN WASHINGTON HEIGHTS, INWOOD, LOWER EAST SIDE AND MT. VERNON. MHFA IS AN INTERNATIONAL TRAINING PROGRAM PROVEN TO BE AN EFFECTIVE INTERVENTION FOR MENTAL HEALTH EDUCATION, PREVENTION AND ADDRESSING STIGMA. NYPH WILL PARTNER WITH GRACIE SQUARE TO INCREASE OUR NUMBER OF MHFA TRAININGS. GOAL 2.4 REDUCE THE PREVALENCE OF MAJOR DEPRESSIVE DISORDERS (A) OMH LICENSED MENTAL HEALTH PROGRAM PROVIDING TREATMENT IN THE HOME, COMMUNITY, AND CLINIC SITES IN TARGETED COMMUNITIES AND FOR TARGETED PATIENTS UTILIZING IN-PERSON AND TELE-MENTAL HEALTH MODALITIES FOR THE GERIATRIC POPULATION. PREVENT COMMUNICABLE DISEASES GOAL 2.2 - INCREASE VIRAL SUPPRESSION GOAL 4.1 - INCREASE THE NUMBER OF PERSONS TREATED FOR HEPATITIS C VIRUS (HCV) GOAL 4.2 REDUCE THE NUMBER OF NEW HCV CASES AMONG PEOPLE WHO INJECT DRUGS THE NYPH ETE INITIATIVE WOULD CREATE A HIV AND HCV ELIMINATION STRATEGY THAT WOULD A) INCREASE HIV AND HCV TESTING AND LINKAGE TO CARE, B) RE-ENGAGE HIV+ AND HCV+ INDIVIDUALS TO CARE, AND C) EXPAND EFFECTIVE HIV AND HCV PREVENTION SERVICES, LIKE PREP AND MEDICATION ASSISTED TREATMENT. UTILIZING EXISTING MULTI-CAMPUS DASHBOARDS THE NYPH INITIATIVE WOULD LINK, IN REAL-TIME, ALL NEW HIV AND HCV DIAGNOSES, THOSE (THOUSANDS) INDIVIDUALS OUT OF CARE, AND THOSE IN NEED OF PREVENTIVE SERVICES. EXPANDED DEPLOYMENT OF A HEALTH PRIORITY SPECIALIST IN EXISTING SITES, LIKE NYPH EDS, WOULD BE THE EFFECTOR ARM FOR THE INTERVENTION. IN ADDITION TO A MAJOR INVESTMENT IN A MOBILE MEDICAL UNIT (MMU). ADDITION TO A MAJOR INVESTMENT IN A MOBILE MEDICAL UNIT (MMU). ADDITION TO A MAJOR INVESTMENT IN A MOBILE MEDICAL UNIT (MMU). ADDITION TO A MAJOR INVESTMENT IN A MOBILE MEDICAL UNIT (MMU.

Schedule H, Part V, Section B, Line 15 Facility , 1
Facility , 1 - NEWYORK-PRESBYTERIAN HOSPITAL. THE NEWYORK-PRESBYTERIAN HOSPITAL HAS A FINANCIAL ADVOCACY PROGRAMSTAFFED 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 HOSPITAL. 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 THE APPLICATION) ON A REGULAR BASIS TO LEADERS OF COMMUNITY ADVISORY BOARDS, LOCAL COMMUNITY BOARDS, ELECTED OFFICIALS, THE CITY HEALTH DEPARTMENT AS WELL AS OUR DSRIP PROJECT ADVISORY COMMITTEE.

Schedule H, Part VI, Line 8 OTHER INFORMATION:
"Description: NEWYORK-PRESBYTERIAN IS ONE OF THE NATION'S MOST COMPREHENSIVE, INTEGRATED ACADEMIC HEALTH CARE DELIVERY SYSTEMS, DEDICATED TO PROVIDING THE HIGHEST QUALITY, MOST COMPASSIONATE CARE AND SERVICE TO PATIENTS IN THE NEW YORK METROPOLITAN AREA, NATIONALLY, AND THROUGHOUT THE GLOBE. IN COLLABORATION WITH TWO RENOWNED MEDICAL SCHOOLS, WEILL CORNELL MEDICINE AND COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS, NEWYORK-PRESBYTERIAN IS CONSISTENTLY RECOGNIZED AS A LEADER IN MEDICAL EDUCATION, GROUNDBREAKING RESEARCH, AND INNOVATIVE, PATIENT-CENTERED CLINICAL CARE. NEWYORK-PRESBYTERIAN HAS FOUR MAJOR DIVISIONS: NEWYORK-PRESBYTERIAN HOSPITAL. NEWYORK-PRESBYTERIAN HOSPITAL (NYPH) IS AN WORLD-CLASS ACADEMIC MEDICAL CENTER COMMITTED TO EXCELLENCE IN PATIENT CARE, RESEARCH, EDUCATION AND COMMUNITY SERVICE. BASED IN NEW YORK CITY, IT IS ONE OF THE NATION'S LARGEST AND MOST COMPREHENSIVE HOSPITALS AND A LEADING PROVIDER OF INPATIENT, AMBULATORY, AND PREVENTIVE CARE IN ALL AREAS OF MEDICINE. WITH SOME 2,600 BEDS AND MORE THAN 6,500 AFFILIATED PHYSICIANS AND 20,000 EMPLOYEES, NYPH PROVIDES MORE THAN 2 MILLION VISITS ANNUALLY, INCLUDING CLOSE TO 15,000 INFANT DELIVERIES AND MORE THAN 310,000 EMERGENCY DEPARTMENT VISITS. NEWYORK- PRESBYTERIAN HOSPITAL IS RANKED #1 IN THE NEW YORK METROPOLITAN AREA BY U.S. NEWS AND WORLD REPORT AND HAS BEEN REPEATEDLY NAMED TO THE HONOR ROLL OF AMERICA'S BEST HOSPITALS. NEWYORK-PRESBYTERIAN REGIONAL HOSPITAL NETWORK. NEWYORK-PRESBYTERIAN REGIONAL HOSPITAL NETWORK IS COMPRISED OF LEADING REGIONAL HOSPITALS IN THE NEW YORK METROPOLITAN REGION. THE HOSPITALS OF THE REGIONAL HOSPITAL NETWORK EACH CONDUCT THEIR OWN COMMUNITY HEALTH NEEDS ASSESSMENTS AND DEVELOP INDEPENDENT COMMUNITY SERVICE PLANS. NEWYORK-PRESBYTERIAN PHYSICIAN SERVICES. NEWYORK-PRESBYTERIAN PHYSICIAN SERVICES CONNECTS MEDICAL EXPERTS WITH PATIENTS IN THEIR COMMUNITIES TO EXPAND COORDINATED HEALTH CARE DELIVERY ACROSS THE REGION. IT INCLUDES MEDICAL GROUPS IN WESTCHESTER, QUEENS AND BROOKLYN WITH THE GOAL OF INCREASING ACCESS TO PRIMARY CARE IN COLLABORATION WITH WEILL CORNELL MEDICINE PHYSICIANS AND COLUMBIA DOCTORS WHICH ARE FOCUSED PRIMARILY ON THE DELIVERY OF SPECIALTY SERVICES. NEWYORK-PRESBYTERIAN COMMUNITY AND POPULATION HEALTH OVERSEES POPULATION HEALTH EFFORTS AT NYPH, INCLUDING NEWYORK QUALITY CARE, THE MEDICARE ACCOUNTABLE CARE ORGANIZATION JOINTLY ESTABLISHED BY NEWYORK-PRESBYTERIAN HOSPITAL, WEILL CORNELL, AND COLUMBIA, AND THE NYPH AMBULATORY CARE NETWORK (ACN). THE ACN CONSISTS OF 14 PRIMARY CARE SITES, 7 SCHOOL-BASED HEALTH CENTERS, MORE THAN 50 SPECIALTY CARE CLINICS AND OVER A DOZEN COMMUNITY-FOCUSED OUTREACH PROGRAMS. THE ACN LOCATIONS SPAN WASHINGTON HEIGHTS, INWOOD, HARLEM, EAST HARLEM, THE UPPER EAST SIDE AND CHELSEA. THEY OFFER PRIMARY CARE SERVICES IN OBSTETRICS AND GYNECOLOGY, PEDIATRICS, INTERNAL MEDICINE, FAMILY MEDICINE, GERIATRICS, AND FIFTY SPECIALTY CARE SERVICES. COMPREHENSIVE PRIMARY CARE, REPRODUCTIVE HEALTHCARE AND FAMILY PLANNING SERVICES, AND MENTAL HEALTH SERVICES ARE PROVIDED IN THE SCHOOL-BASED HEALTH CENTERS. NYPH IS COMMITTED TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITIES IT SERVES. THIS COMMITMENT INCLUDES COLLABORATION WITH COMMUNITY ORGANIZATIONS TO ADDRESS THE GOALS OF THE NEW YORK STATE PREVENTION AGENDA AND THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH) PLAN, TAKE CARE NEW YORK. NYPH'S EFFORTS IN POPULATION HEALTH HAVE LONG BEEN GROUNDED IN COMMUNITY NEEDS ASSESSMENTS. HEALTHCARE GAPS ANALYSES HAVE INFORMED MULTIFACETED AND COORDINATED, EVIDENCE-BASED INTERVENTIONS DRIVEN BY REGIONAL COLLABORATORS, AND HAVE BEEN TRACKED CLOSELY WITH PROCESS AND OUTCOME INDICATORS. NYPH'S INNOVATIONS AND ACCOMPLISHMENTS IN COMMUNITY AND POPULATION HEALTH HAVE BEEN PUBLISHED IN PEER-REVIEWED MEDICAL, PUBLIC HEALTH AND HEALTHCARE LITERATURE AND HAVE RECEIVED NATIONAL RECOGNITION. IN 2014, THE ASSOCIATION OF AMERICAN COLLEGES SPENCER FOREMAN AWARD FOR OUTSTANDING COMMUNITY SERVICE. NEWYORK-PRESBYTERIAN'S STRATEGIC INITIATIVES WERE UPDATED IN 2013 TO SUPPORT THE ULTIMATE GOAL: ""WE PUT PATIENTS FIRST ALWAYS."" THIS MEANS THAT NEWYORK-PRESBYTERIAN MUST MAKE PATIENTS THE FIRST PRIORITY AND STRIVE TO PROVIDE THEM WITH THE HIGHEST QUALITY, SAFEST, AND MOST COMPASSIONATE CARE AND SERVICE ALWAYS. NEWYORK-PRESBYTERIAN'S SIX STRATEGIC INITIATIVES ARE: 1. CULTURE - OUR CULTURE IS DEFINED BY OUR CORE BELIEFS, WHICH GUIDE EVERYTHING WE DO, BOTH IN OUR INTERACTIONS WITH PATIENTS, AND WITH EACH OTHER. OUR CULTURE OF RESPECT, TEAMWORK, EXCELLENCE, EMPATHY, INNOVATION AND RESPONSIBILITY HELP US CONTINUE TO DELIVER THE BEST CARE POSSIBLE WHILE MEETING THE CHALLENGES AHEAD. 2. ACCESS - IMPROVE AND EXPAND ACCESS: WE WILL CONTINUE TO WORK TO IMPROVE AND EXPAND ACCESS TO THE HOSPITAL AND THE PHYSICIAN MEDICAL COLLEGES (AAMC) AWARDED NYPH THE ASSOCIATION OF AMERICAN MEDICAL 0RGANIZATIONS. PATIENTS SHOULD BE ABLE TO RECEIVE CARE PROMPTLY AND NOT HAVE LONG WAITS TO SCHEDULE APPOINTMENTS. WE WILL ALSO WORK WITH OUR HEALTHCARE SYSTEM MEMBERS TO BROADEN OUR GEOGRAPHIC REACH AND EXPAND CARE DELIVERY TO THE COMMUNITIES WE SERVE. 3. ENGAGEMENT - ENGAGE STAFF AND PATIENTS: ENGAGED STAFF ARE ACTIVELY INVOLVED IN THE WORK THEY DO AND THE CARE THEY PROVIDE TO PATIENTS AND THEIR FAMILIES. ENGAGED STAFF WILL HELP US DELIVER THE HIGHEST QUALITY, MOST COMPASSIONATE CARE AND SERVICE, AND ULTIMATELY THE BEST PATIENT EXPERIENCE. AT THE SAME TIME, ENGAGED PATIENTS ACTIVELY PARTICIPATE IN THEIR OWN HEALTH AND RECOVERY. WE WILL PROVIDE PATIENTS WITH TOOLS AND EDUCATIONAL MATERIALS TO HELP MANAGE THEIR OWN CARE, AS WELL AS ENHANCE CULTURAL COMPETENCE AMONG OUR STAFF. 4. HEALTH & WELLBEING - ENHANCE HEALTH AND WELLBEING: THE HOSPITAL IS COMMITTED TO FOSTERING HEALTH AND WELLBEING AS PART OF OUR PATIENT CARE AND COMMUNITY SERVICE MISSION, AND, AS AN INTEGRAL PART OF OUR CULTURE. IN 2013, WE SUCCESSFULLY LAUNCHED NYPBEHEALTHY AS A NEW, COMPREHENSIVE WELLNESS AND PREVENTION INITIATIVE DESIGNED SPECIFICALLY FOR OUR STAFF. THE PROGRAM OFFERS EMPLOYEES ENHANCED ACCESS TO NEW AND EXISTING HOSPITAL PROGRAMS, HEALTHIER CHOICES IN OUR CAFETERIAS, AND TARGETED INFORMATION TO HELP OUR STAFF MEET THEIR INDIVIDUAL HEALTH GOALS. 5. VALUE - DELIVER AND DEMONSTRATE VALUE: WE MUST DELIVER THE HIGHEST QUALITY CARE AS EFFICIENTLY AND EFFECTIVELY AS POSSIBLE, AS THIS IS IMPORTANT FOR BOTH OUR FINANCIAL HEALTH AND FOR OUR PATIENTS WHO CONTRIBUTE TO THE COSTS OF THEIR CARE. OUR MAKING CARE BETTER INITIATIVE WILL HELP US REDUCE UNNECESSARY CLINICAL VARIABILITY, PROMOTE QUALITY AND SAFETY, AND ACHIEVE EFFICIENCY. WE WILL ALSO CONTINUE TO SEEK OPPORTUNITIES TO STREAMLINE PROCESSES AND REDUCE UNNECESSARY COSTS THROUGH HERCULES AND OPERATIONAL EXCELLENCE INITIATIVES. 6. HIGH RELIABILITY - PROVIDE HIGHLY RELIABLE, INNOVATIVE CARE: WE WANT TO PROVIDE THE HIGHEST QUALITY AND SAFEST CARE TO EVERY SINGLE PATIENT WITH EVERY SINGLE INTERACTION. TO ACHIEVE THIS GOAL, WE WILL FOCUS ON DEVELOPING HIGHLY RELIABLE PROCESSES, ENHANCING OUR CULTURE OF SAFETY, AND REDUCING VARIABILITY IN CARE. THESE STRATEGIC INITIATIVES SUPPORT THE ULTIMATE GOAL: ""WE PUT PATIENTS FIRST ALWAYS"""

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
N/A

Schedule H, Part I, Line 7g Subsidized Health Services
INCLUDED IN Subsidized health services IS CLINIC, METHADONE, PSYCHE AND AMBULANE.

Schedule H, Part VI, Line 8 VACCINE ACCESS AND OVERCOMING VACCINE HESITANCY
"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 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 COST TO CHARGES LINE 7B - COST ACCOUNTING SYSTEM LINE 7E - ACTUAL EXPENSES LINE 7F - INSTITUTIONAL COST REPORT - WORKSHEET B, PART 1 LINE 7G - COST ACCOUNTING SYSTEM LINE 7H - INSTITUTIONAL COST REPORT 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 AT COST INCLUDED REPRESENTS PATIENTS WHO QUALIFY FOR CHARITY CARE/FINANCIAL ASSISTANCE AND ALSO HAVE A BAD DEBT WRITEOFF. BAD DEBT EXPENSE(PRICE CONCESSIONS) ASSOCIATED WITH PATIENTS THAT RECEIVED CHARITY CARE/FINANCIAL ASSISTANCE IS REPRESENTED IN THIS $157,240 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: 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. THE REQUIRED METHOD OF REPORTING IN SCHEDULE H OBFUSCATES THE FULL LOSSES ASSOCIATED WITH DELIVERY OF SERVICES TO MEDICARE BENEFICIARIES; A LOSS WHICH EXCEEDS $1 MILLION. AS REPORTED IN PART III, SECTION B, LINE 7, MEDICARE IS CALCULATED TO RESULT IN A $218 MILLION SHORTFALL; THIS RESULTS BECAUSE MEDICARE LOSSES OF $204 MILLION ARE INSTEAD REFLECTED IN PART I, LINES 7F AND 7G WHERE LOSSES IDENTIFIED WITH PROFESSIONAL EDUCATION AND SUBSIDIZED HEALTH SERVICES ARE CALCULATED PER METHODOLOGY MANDATED FOR COMPLETION OF SCHEDULE H. FURTHERMORE, MEDICARE MANAGED CARE LOSSES OF $1 BILLION ARE EXCLUDED ALTOGETHER FROM ALL SCHEDULE H DISCLOSURES. IF ALL THESE REVENUE AND COSTS WERE INCLUDED THE MEDICARE SHORTFALL OF $218M WOULD BE A MEDICARE SHORTFALL OF $1.5 BILLON. (218,672,738)- MEDICARE NET SURPLUS PER SCHEDULE H (188,973,910)- MEDICARE GME NET COSTS (15,447,317)- MEDICARE NET COST OF SUBSIDIZED HLTH SERVICES (1,050,005,494)- MEDICARE MANAGED CARE NET COSTS (1,473,099,459)- TOTAL NET ASSOCIATED WITH THE MEDICARE PROGRAM ""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 HOSPITAL (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 FINANCIAL AID POLICY (HEREAFTER FINANCIAL AID POLICY, PREVIOUSLY KNOWN AS THE 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 FINANCIAL AID. 3. IF AN INDIVIDUAL IS DETERMINED BY HOSPITAL TO BE ELIGIBLE FOR FINANCIAL AID, HOSPITAL SHALL NOT ENGAGE IN ANY ECAS INCLUDING CIVIL ACTIONS AGAINST SUCH INDIVIDUAL.

Schedule H, Part V, Section B, Line 16a FAP website
- NEWYORK-PRESBYTERIAN HOSPITAL: Line 16a URL: https://www.nyp.org/pay-my-bill;

Schedule H, Part V, Section B, Line 16b FAP Application website
- NEWYORK-PRESBYTERIAN HOSPITAL: Line 16b URL: https://www.nyp.org/pay-my-bill;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- NEWYORK-PRESBYTERIAN HOSPITAL: Line 16c URL: https://www.nyp.org/pay-my-bill;

Schedule H, Part VI, Line 6 Affiliated health care system
Description: THE NEWYORK-PRESBYTERIAN HOSPITAL IS AFFILIATED WITH THE NEW YORKPRESBYTERIAN REGIONAL HOSPITAL NETWORK WHICH INCLUDES HUDSON VALLEY HOSPITAL DBA NYP/HUDSON VALLEY HOSPITAL, NYP/QUEENS AND NYP/BROOKLYN METHODIST. AS A RESULT, COMMUNITY EFFORTS ARE EXPANDED TO INCLUDE A BROADER COMMUNITY.

Schedule H, Part VI, Line 2 Needs assessment
Description: NEWYORK-PRESBYTERIAN HOSPITAL (NYPH) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE NEEDS OF THE COMMUNITY WE SERVE, DEVELOPED A COMMUNITY SERVICE PLAN (CSP) AND DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE AREAS OF HIGHEST NEED. THE COMMUNITY, SPANNING FROM NEW YORK CITY TO THE COUNTIES JUST OUTSIDE OF NYC, REPRESENT A BROAD DIVERSITY OF DEMOGRAPHICS, SOCIOECONOMICS, AND HEALTH SERVICE UTILIZATION NEEDS, AND REQUIRE A CUSTOM APPROACH TO COMMUNITY SERVICE PLANNING. THE LEADERS OF NYPH ARE DEDICATED TO THE COMMUNITY WITH A MISSION TO BE THE PREMIER HEALTHCARE INSTITUTION SERVING OUR GREATER COMMUNITY BY PROVIDING EXCELLENCE IN CLINICAL CARE AND PATIENT SAFETY, EDUCATION, CLINICAL RESEARCH, AND SERVICE. THIS DOCUMENT OUTLINES THE PROCESS, PRIORITIES, PARTNERS, AND INTENDED COMMUNITY-BASED IMPROVEMENT ACTIVITIES FOR 2019 - 2021. THE CHNA PROCESS ALIGNS WITH THE 2019 - 2024 NEW YORK STATE PREVENTION AGENDA. THE PREVENTION AGENDA IS THE STATE HEALTH IMPROVEMENT PLAN THAT DEVELOPS A LOCAL ACTION PLAN TO IMPROVE THE HEALTH AND WELL-BEING OF ALL NEW YORKERS AND TO PROMOTE HEALTH EQUITY IN ALL POPULATIONS WHO EXPERIENCE DISPARITIES. NYPH IS PART OF NEWYORK-PRESBYTERIAN (NYP), ONE OF THE NATION'S MOST COMPREHENSIVE AND INTEGRATED ACADEMIC HEALTHCARE DELIVERY SYSTEMS. FOUNDED NEARLY 250 YEARS AGO WITH THE FUNDAMENTAL BELIEF THAT EVERY PERSON DESERVES ACCESS TO THE BEST CARE, NYP NOW INCLUDES NYPH WITH ITS SEVEN CAMPUSES, THE THREE REGIONAL HOSPITALS CONSISTING OF NEWYORK-PRESBYTERIAN/QUEENS, NEWYORK-PRESBYTERIAN/BROOKLYN METHODIST, AND NEWYORK-PRESBYTERIAN/HUDSON VALLEY HOSPITAL, AS WELL AS MORE THAN 200 PRIMARY AND SPECIALTY CARE CLINICS AND MEDICAL GROUPS, AND AN ARRAY OF TELEMEDICINE SERVICES. NYPH AND EACH OF THE REGIONAL HOSPITALS CONDUCT THEIR OWN COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP INDEPENDENT COMMUNITY SERVICE PLANS. WE COLLABORATED WITH NYP, THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DOHMH), THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH, CITIZENS' COMMITTEE FOR CHILDREN OF NEW YORK (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 QUESTIONNAIRES AND FOCUS GROUPS CONDUCTED IN MULTIPLE LANGUAGES AT MULTIPLE LOCATIONS TO ENGAGE THE COMMUNITY IN THEIR SETTING. OUR PARTNER AND COMMUNICATION ENGAGEMENT ALLOWED US TO CUSTOMIZE AN IMPLEMENTATION PLAN TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITY. THE CHNA AND CSP PROCESS WAS DATA DRIVEN, UTILIZING PUBLICLY AVAILABLE AND MEASURABLE DATA ALONG WITH COMMUNITY INPUT FROM NUMEROUS SOURCES AND WERE COMBINED TO ANALYZE THE HEALTH AND CHALLENGES OF OUR COMMUNITY. THE ANALYSIS FOCUSED UPON THE IDENTIFICATION OF HIGH DISPARITY COMMUNITIES AND UTILIZED DATA RELATED TO DEMOGRAPHICS, SOCIOECONOMIC STATUS, INSURANCE STATUS, SOCIAL DETERMINANTS OF HEALTH, HEALTH SERVICE UTILIZATION, AND NY STATE PREVENTION AGENDA PRIORITIES. DATA SOURCES INCLUDE THE CITIZENS' COMMITTEE FOR CHILDREN OF NEW YORK (CCC) KEEPING TRACK ONLINE, DATA CITY OF NEW YORK, DATA2GO.NYC, NYC HEALTH ATLAS; NYC MAYOR REPORT ON POVERTY, THE ASSOCIATION FOR NEIGHBORHOOD & HOUSING DEVELOPMENT, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), CLARITAS, NYC COMMUNITY HEALTH PROFILE, STATE CANCER PROFILES, U.S. DEPARTMENT OF AGRICULTURE, CARES ENGAGEMENT, CLARITAS, NEW YORK STATE COMMUNITY HEALTH INDICATOR REPORTS (CHIRS), THE ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS, STATE CANCER PROFILES AND THE UNITED HOSPITAL FUND. NYPH RECOGNIZES THAT OUR COMMUNITY CHALLENGES ARE COMPLEX AND HEALTHCARE OUTCOMES ARE OFTEN LINKED TO SOCIETAL ISSUES; THEREFORE, COMMUNITY INPUT FROM 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 DETAILED INSIGHT INTO THE COMMUNITIES WITH HIGH DISPARITIES AND WAS THEN PRIORITIZED TO DETERMINE THE HIGHEST HEALTH NEEDS FOR THE IDENTIFIED COMMUNITIES. THE PRIORITIZED DATA PROVIDED INSIGHT INTO COMMUNITY HEALTH NEEDS AND CHALLENGES AND ALLOWED US TO ESTABLISH FOCUS AREAS AND GOALS AS OUTLINED IN THE NEW YORK STATE PREVENTION AGENDA. BASED ON THE DATA COLLECTION, COMMUNITY INPUT, AND ANALYSIS PROCESSES COMPLETED, WE, IN PARTNERSHIP WITH LOCAL COMMUNITY BASED ORGANIZATIONS, WILL TARGET THE NEIGHBORHOODS OF WASHINGTON HEIGHTS, LOWER EAST SIDE, AND MT VERNON, WHICH WILL ALLOW THE UTILIZATION OF NYPH RESOURCES AND NEW INVESTMENT OPPORTUNITIES TO CONCENTRATE IMPROVEMENT EFFORTS AND DIRECTLY IMPACT THE COMMUNITY WITHIN THE THREE-YEARS OF THE SERVICE PLAN. 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. WE WILL FOCUS EFFORTS RELATED TO THE PREVENTION OF (1) CHRONIC DISEASE, (2) PROMOTION OF HEALTHY WOMEN, AND CHILDREN, (3) PROMOTION OF WELL-BEING TO PREVENT MENTAL HEALTH AND SUBSTANCE ABUSE AND (4) PREVENTION OF COMMUNICABLE DISEASES. TO ALIGN WITH THE CONSTANTLY CHANGING DYNAMICS OF THE COMMUNITY, WE HAVE REVISED THE FOCUS AND INITIATIVES AS COMPARED TO OUR 2016-2018 COMMUNITY SERVICE PLAN WHICH INCLUDED THE PREVENTION OF CHRONIC DISEASE BY INCREASING TOBACCO CESSATION RESOURCES, MENTAL HEALTH PROMOTION THROUGH EDUCATION AND TRAINING, AND THE PREVENTION OF HIV, STD'S, VACCINE-PREVENTABLE DISEASES AND HEALTHCARE-ASSOCIATED INFECTIONS. INITIATIVES WILL BE TRACKED QUARTERLY AND DATA WILL BE USED TO CONTINUOUSLY IMPROVE THE PROGRAM BASED ON THE OUTCOMES OF THE PROJECT AS WELL AS INPUT FROM THE COMMUNITY. ANNUAL REPORTS WILL BE DEVELOPED WITH OUR COMMUNITY PARTNERS IN ORDER TO EVALUATE INTERVENTION IMPACT (USING BOTH OUTCOME AND PROCESS MEASURES) AND SUBMITTED TO MEET STATE AND FEDERAL EXPECTATIONS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLANS WILL GUIDE OUR EFFORTS FOR 2019 - 2021 AS WE STRIVE TO IMPROVE THE HEALTH OF OUR COMMUNITY. ACCESS TO THIS DOCUMENT IS PROVIDED ON OUR WEBSITE AT HTTPS://WWW.NYP.ORG/ABOUT-US/COMMUNITY-AFFAIRS/COMMUNITY-SERVICEPLANS

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

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
Description: WRITTEN MATERIALS, INCLUDING THE APPLICATION, FULL POLICY, AND PLAIN LANGUAGE SUMMARY (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.NYP.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 NEWYORK-PRESBYTERIAN HOSPITAL WAS DERIVED USING 80% OF ZIP CODES FROM WHICH NYPH'S PATIENTS ORIGINATE AND ADDING ZIP CODES NOT AMONG THE ORIGINAL PATIENT ORIGIN TO CREATE CONTINUITY IN GEOGRAPHICAL BOUNDARIES, RESULTING IN A TOTAL OF 380 COMMUNITY ZIP CODES ACROSS NEW YORK CITY (NYC) AND SEVERAL COUNTIES OUTSIDE OF NYC. 11.7M PEOPLE - THE DEFINED COMMUNITY COVERS A GEOGRAPHY OF APPROXIMATELY 11.7M PEOPLE. 2.6% GROWTH POPULATION - FORECASTED TO GROW FASTER, 2.6%, THAN NYS 1.5%, BETWEEN 2019-2024. 14.7% 65+ POPULATION - IS SLIGHTLY YOUNGER WITH ONLY 14.7% OF THE POPULATION AGED 65+ COMPARED TO 16.3%. $109,086 HOUSEHOLD INCOME - THE AVERAGE HOUSEHOLD INCOME, $109,086, IS HIGHER THAN THE AVERAGE OF NEW YORK STATE, $101,507. 6.9% UNEMPLOYMENT RATE - THE UNEMPLOYMENT RATE, 6.9%, IS 9% HIGHER THAN THE STATE BENCHMARK; 1% HIGHER PERCENTAGE OF WHITE-COLLAR WORKERS THAN THE STATE AVG. HIGHER MINORITY POPULATION - HIGHER NON-WHITE POPULATION, 63.8%, THAN THE STATE 45.6%, DRIVEN BY HISPANICS, 28.7% AND AFRICAN AMERICANS, 18.6%. TO ENSURE THAT WE ARE IMPLEMENTING INITIATIVES THAT WILL IMPACT THE COMMUNITIES WITH THE HIGHEST DISPARITIES WITH THIS COMMUNITY SERVICE PLAN, NYPH UNDERTOOK 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 DIFFERENT INDICATORS. INDICATORS WERE CAREFULLY SELECTED ACROSS FIVE DOMAINS: DEMOGRAPHICS, INCOME, INSURANCE, ACCESS TO CARE, AND NEW YORK STATE DEPARTMENT OF HEALTH PREVENTION AGENDA PRIORITIES. THIS ANALYSIS WAS DONE IN PARALLEL FOR BOTH THE NYPH COMMUNITIES LOCATED WITHIN THE NYC BOROUGHS AND THE COMMUNITIES WITHIN THE SURROUNDING COUNTIES OUTSIDE OF NYC. THE OBJECTIVE WAS TO IDENTIFY THE SPECIFIC NYC NTAS WHERE THERE IS A HIGHER HEALTH NEED AND/OR A HIGHER EXPECTATION OF REQUIRED RESOURCES. THE DEFINED COMMUNITY'S NYC ZIP CODES WERE CROSS WALKED TO 195 NTAS AND THEN CATEGORIZED INTO FOUR QUARTILES BASED ON IDENTIFIED DISPARITIES. 4.8M PEOPLE - THE HIGH DISPARITY NYC COMMUNITY COVERS A GEOGRAPHY OF APPROXIMATELY 4.8M PEOPLE. 52.8% FEMALE - IT IS 52.8% FEMALE AND SLIGHTLY YOUNGER, 11.2% OF THE POPULATION IS 65+, COMPARED TO NYC, 12.5%. 26.8% DID NOT COMPLETE HIGH SCHOOL - THERE ARE MORE THAN NYC AVERAGE PERCENTAGES OF RESIDENTS FOREIGN BORN, NON-ENGLISH SPEAKING, NOT GRADUATED FROM HIGH SCHOOL, UNEMPLOYED, DISABLED, AND SINGLE PARENTS. 26.4% LIVING IN POVERTY - THERE ARE MORE LIVING IN POVERTY, ALL AGES 26.4%, THAN THE NYC AVERAGE, 20.6% AND ARE WITHOUT HEALTH INSURANCE, 15.9%, THAN THE NYC AVERAGE, 13.5%. 43.7% MEDICAID ENROLLMENT - NUMEROUS NEIGHBORHOODS ALSO HAVE A HIGHER THAN AVERAGE MEDICAID ENROLLMENT, OVERALL 43.7%, NYC 37.0%. 85.5% MINORITY POPULATION - HAS A MUCH HIGHER MINORITY POPULATION AT 85.5% (ESPECIALLY BLACK AND HISPANIC/LATINO) THAN DOES THE NYC AVERAGE 67%. THE NYPH DEFINED COMMUNITY INCLUDES AREAS OUTSIDE OF AND JUST OUTSIDE OF NYC. AN ANALYSIS OF COMMUNITY HEALTH NEED AND RISK OF HIGH RESOURCE UTILIZATION WAS UNDERTAKEN BY ZIP CODE USING THE COMMUNITY NEED INDEX (CNI) SCORE WHICH IS AN AVERAGE OF FIVE DIFFERENT BARRIER SCORES THAT MEASURE VARIOUS SOCIO-ECONOMIC INDICATORS OF EACH COMMUNITY. THE RESULTING INFORMATION PROVIDED AN ILLUSTRATION OF WHERE THERE IS MORE OR LESS NEED COMPARATIVELY BETWEEN COMMUNITIES BY ZIP CODE. ALTHOUGH THE CNI SCORE WAS OBTAINABLE AT THE ZIP CODE LEVEL, INDICATORS FOR THE NON-NEW YORK CITY COMMUNITIES WERE PUBLICLY AVAILABLE AT THE COUNTY LEVEL. INDICATORS SIMILAR TO THOSE COLLECTED BY NTA WERE EVALUATED FOR 1) DUTCHESS, 2) NASSAU, 3) ORANGE, 4) ROCKLAND AND 5) WESTCHESTER COUNTIES. 3.4M PEOPLE - THE FIVE COUNTIES COVER A GEOGRAPHY OF APPROXIMATELY 3.4M PEOPLE. 52.8% FEMALE - IS 51.1% FEMALE AND SLIGHTLY OLDER, 17.1% OF THE POPULATION IS 65+, COMPARED TO NYC, 12.5% AND NYS 16.3%. 10.7% DID NOT COMPLETE HIGH SCHOOL - THERE ARE MORE THAN NYS AVERAGE PERCENTAGES OF RESIDENTS THAT SPEAK ONLY ENGLISH AT HOME AND THAT GRADUATED FROM HIGH SCHOOL, BUT LESS UNEMPLOYED, DISABLED AND SINGLE PARENTS. 6.2% FAMILIES LIVING IN POVERTY - THERE ARE LESS FAMILIES LIVING IN POVERTY, 6.2%, THAN THE NYS AVERAGE 11.3%, BUT MORE HAVE HEALTH INSURANCE 89.5%, THAN THE NYS AVERAGE 87.6%. 26.8% MEDICAID ENROLLMENT - THERE ARE FEWER ENROLLED IN MEDICAID 26.8% THAN THE NYS AVERAGE 38.1%. 41.4% MINORITY POPULATION - HAS A LOWER MINORITY POPULATION AT 41.4% THAN DOES THE NYC AVERAGE 67%, OR THE NYS AVERAGE 45.6%. ACKNOWLEDGING THERE WAS VARIATION ACROSS THE NTAS AND COUNTIES AMONG SPECIFIC MEASURABLE INDICATORS FOR DEMOGRAPHICS, SOCIOECONOMICS, SOCIAL DETERMINANTS OF HEALTH (SDOH), HEALTH STATUS, AND UTILIZATION AS EACH REQUIRE A CUSTOM APPROACH TO COMMUNITY SERVICE PLANNING, THERE WERE SPECIFIC COMMUNITIES THAT FREQUENTLY SHOWED MORE NEED THAN THE OTHERS. WITH SUCH A LARGE COMMUNITY, COVERING ALL FIVE BOROUGHS OF NEW YORK CITY AND FIVE OF THE COUNTIES SURROUNDING THE CITY, THERE ARE MANY NEIGHBORHOODS THAT FELL INTO THE HIGH DISPARITY COMMUNITIES BASED ON THE ANALYSIS AND PRIORITIZATION OR THE QUANTITATIVE AND QUALITATIVE DATA COLLECTED FOR THE CHNA. THE NYPH COMMUNITY IS DIVERSE IN ITS GEOGRAPHY WITH THE NYC NTAS HAVING A YOUNGER, MORE MINORITY, AND ECONOMICALLY CHALLENGED POPULATION. THE SDOH CONCERNS ARE CONCENTRATED UPON LANGUAGE, SAFETY, FOOD INSECURITY, HIGH COST OF HOUSING, AND PUBLIC TRANSPORTATION. BEHAVIORAL RISK FACTORS SUCH AS SMOKING, DRINKING, AND CONSUMING FRUITS AND VEGETABLES VARY AMONG THE NTAS BUT ARE PROBLEMATIC FOR THOSE IN HIGH-DISPARITY NEIGHBORHOODS. AT THE SAME TIME NYPH MUST ALSO SERVE A COUNTY POPULATION THAT IS OLDER, HAS LESS MINORITIES, AND IS LESS ECONOMICALLY CHALLENGED. THE POPULATION IS MORE LIKELY TO SPEAK ONLY ENGLISH BUT STILL HAS SIMILAR SDOH CONCERNS SUCH AS FOOD INSECURITY AND HIGH COST OF LIVING. THERE IS VARIANCE AMONG COUNTIES FOR BEHAVIORAL RISK FACTORS AND HEALTH STATUS THAT RANGE FROM FAVORABLE TO UNFAVORABLE. COMPLICATING ACCESS TO HEALTH CARE IN THE FIVE COUNTIES CAN BE THE FEWER NUMBER OF PHYSICAL HEALTH CARE LOCATIONS THAN ARE CURRENTLY AVAILABLE IN NYC. NYPH RECOGNIZES THAT COMMUNITY HEALTH REQUIRES A DIVERSE APPROACH AND MULTIPLE INTERVENTIONS TO WHAT MAY SEEM TO BE THE SAME PROBLEM FOR A POPULATION AS COMPLEX AS OUR DEFINED COMMUNITY. IN AN EFFORT TO FOCUS INITIATIVES TO MAKE THE LARGEST IMPACT TO HIGH DISPARITY COMMUNITIES, THE NYPH TEAM ANALYZED ALL DATA ELEMENTS AND IDENTIFIED WASHINGTON HEIGHTS, LOWER EAST SIDE, AND MOUNT VERNON COMMUNITIES TARGETING (1) OBESITY, (2) WOMEN, INFANT, AND CHILDREN'S HEALTH, (3) BEHAVIORAL HEALTH (MENTAL HEALTH & SUBSTANCE ABUSE), AND (4) HIV & HEPATITIS C.

Schedule H, Part VI, Line 5 Promotion of community health
Description: PREVENT CHRONIC DISEASE - REDUCE OBESITY & THE RISK OF CHRONIC DISEASE. CHOOSING HEALTHY & ACTIVE LIFESTYLES FOR KIDS (CHALK) IS NEW YORK-PRESBYTERIAN'S OBESITY PREVENTION PROGRAM. CHALK AIMS TO ADDRESS OBESITY USING A SOCIO ECOLOGICAL MODEL AS ITS THEORETICAL FRAMEWORK. THE PROGRAM WILL DRIVE SYSTEM AND ENVIRONMENTAL CHANGES THAT PRODUCE LONG LASTING IMPROVEMENTS AROUND WELLNESS IN THE TARGETED COMMUNITY OF WASHINGTON HEIGHTS AND MT. VERNON, WHERE FOOD INSECURITY AND OBESITY RATES ARE HIGH. CHALK'S MULTIPRONGED INCLUDES: 1) MOBILE MARKET (CLIENT-CHOICE STYLE MOBILE FOOD PANTRY SERVING FOOD INSECURE PATIENTS BY HOUSEHOLD SIZE, UP TO 200 INDIVIDUALS PER DISTRIBUTION; CONNECTION TO COMMUNITY RESOURCES, COOKING DEMONSTRATIONS, AND BENEFITS ENROLLMENT) 2) FRUIT AND VEGETABLE PRESCRIPTION PROGRAM (COUPONS REDEEMABLE FOR PRODUCE AT LOCAL FARMERS MARKETS FOR PATIENTS SEEN AT HOSPITAL COMMUNITY-BASED PRIMARY CARE SITES ($10/MONTH)) 3) ELEMENTARY SCHOOLS PARTNERSHIP (NON-PRESCRIPTIVE PARTNERSHIP MODEL, CREATION OF WELLNESS COUNCILS, IMPLEMENTATION OF WELLNESS POLICIES, STAFF PROFESSIONAL DEVELOPMENT, NUTRITION EDUCATION, CONNECTION TO COMMUNITY RESOURCES AND PARTNERS, BUILT ENVIRONMENT CHANGES THAT PROMOTE HEALTHY LIFESTYLES). PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDREN - MATERNAL & WOMEN'S HEALTH. OUR OVERARCHING GOAL IS TO DEVELOP A TWO-GENERATION APPROACH FOR IMPROVING MATERNAL-CHILD HEALTH IN PRIMARY CARE AND COMMUNITY SETTINGS BY PROVIDING INTEGRATED MENTAL HEALTH SERVICES TO LOW-INCOME AND UNINSURED PREGNANT WOMEN AND THE NEWBORN CHILD, AND ESTABLISHING CO-MANAGEMENT STRATEGIES WITH PARTNER COMMUNITY AGENCIES. WE WILL IMPLEMENT AN ENHANCED HEALTHY STEPS MODEL USING TELEHEALTH TO MEET MOTHERS IN THEIR HOME ENVIRONMENT AND INTEGRATE COMMUNITY HEALTH WORKERS TO ENSURE THAT FAMILIES CAN SUCCESSFULLY NAVIGATE THE MEDICAL AND SOCIAL SERVICE SYSTEM. HEALTHY STEPS IS AN EVIDENCE BASED NATIONAL PRIMARY CARE MODEL THAT AIMS TO IMPROVE THE HEALTH AND WELL-BEING OF MOTHERS AND THEIR NEWBORNS. IN THE TARGETED COMMUNITIES OF WASHINGTON HEIGHTS, WE WILL BUILD A NETWORK OF COMMUNITY AGENCIES THAT FOCUS ON MATERNAL-CHILD HEALTH IN ORDER TO IMPLEMENT PREVENTION STRATEGIES AT A POPULATION LEVEL. PROMOTE WELL-BEING & PREVENT MENTAL & SUBSTANCE USE DISORDERS. BASED ON THE EXPERTISE THAT GRACIE SQUARE HOSPITAL (GSH) CAN BRING TO THE BEHAVIORAL HEALTH PRIORITY AREA, WE WILL PARTNER TO INVEST AND CONCENTRATE EFFORTS TO DIRECTLY IMPACT THE NYPH TARGETED COMMUNITIES WITH A SPECIAL FOCUS BY GSH IN WASHINGTON HEIGHTS AND LOWER EAST SIDE NEIGHBORHOODS. 1) OMH LICENSED MENTAL HEALTH PROGRAM PROVIDING TREATMENT IN THE HOME, COMMUNITY, AND CLINIC SITES IN TARGETED COMMUNITIES AND FOR TARGETED PATIENTS UTILIZING IN-PERSON AND TELE-MENTAL HEALTH MODALITIES 2) PROVIDE TARGETED SUBSTANCE USE, MENTAL HEALTH AND SUICIDE SCREENING AND INTERVENTIONS (DIAGNOSTIC EVALUATIONS, PSYCHOTHERAPY- INDIVIDUAL, GROUP, PSYCHIATRIC MEDICATION MANAGEMENT) 3) COORDINATE CARE WITH PRIMARY CARE AND MEDICAL PROVIDERS AND HEALTH HOME AND SOCIAL SERVICE PROVIDERS 4) HOME BASED AND TELE-MENTAL HEALTH TREATMENT FOR HOMEBOUND ELDERLY 5) COMMUNITY BASED WORKSHOPS IN SENIORS CENTERS AND NATURALLY OCCURRING RETIREMENT COMMUNITIES (NORC) RELATED TO MENTAL HEALTH AND WELLBEING 6) COMMUNITY PARTNERSHIPS REDUCING MENTAL HEALTH STIGMA THROUGH ENGAGING AND COLLABORATIVE COMMUNITY PREVENTION PROGRAMS 7)) SERVICES ACCESSIBLE AND EMBEDDED IN HOME, COMMUNITY AND SENIORS CENTERS 8) EVIDENCE BASED/ STATE OF THE ART INTERVENTIONS INCORPORATING SCREENING AND ASSESSMENT TOOLS, SUICIDE PREVENTION, AND MODELS OF CARE (E.G., IMPROVING MOODPROMOTING ACCESS TO COLLABORATIVE TREATMENT) 9) LINKAGE TO COMMUNITY BASED MENTAL HEALTH, PRIMARY CARE AND SOCIAL SERVICE PROGRAMS 10) RESPONSIVE AND DEPENDABLE FRAMEWORK OF PREVENTION, SCREENING, ENGAGEMENT, DIAGNOSIS, AND TREATMENT FROM COMMUNITY TO HIGH RISK. PROMOTE WELL-BEING & PREVENT MENTAL & SUBSTANCE USE DISORDERS - STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN BASED ON THE EXPERTISE THAT GRACIE SQUARE HOSPITAL (GSH) CAN BRING TO THE BEHAVIORAL HEALTH PRIORITY AREA, WE WILL PARTNER TO INVEST AND CONCENTRATE EFFORTS TO DIRECTLY IMPACT THE NYPH TARGETED COMMUNITIES WITH A SPECIAL FOCUS BY GSH IN WASHINGTON HEIGHTS AND LOWER EAST SIDE NEIGHBORHOODS. MENTAL HEALTH FIRST AID (MHFA) IS AN INTERNATIONAL TRAINING PROGRAM PROVEN TO BE AN EFFECTIVE INTERVENTION FOR MENTAL HEALTH EDUCATION, PREVENTION AND ADDRESSING STIGMA. PEER-REVIEWED STUDIES SHOW THAT INDIVIDUALS TRAINED IN THE PROGRAM ACHIEVE THE FOLLOWING OUTCOMES: 1) GROW THEIR KNOWLEDGE OF SIGNS, SYMPTOMS, AND RISK FACTORS OF MENTAL ILLNESSES AND ADDICTIONS. 2) CAN IDENTIFY MULTIPLE TYPES OF PROFESSIONAL AND SELF-HELP RESOURCES FOR INDIVIDUALS WITH A MENTAL ILLNESS OR ADDICTION. 3) INCREASE THEIR CONFIDENCE IN AND LIKELIHOOD TO HELP AN INDIVIDUAL IN DISTRESS. 4) SHOW INCREASE MENTAL WELLNESS THEMSELVES. NYP HAS BEEN PROVIDING THIS TRAINING SINCE 2015 THROUGH ITS BUILDING BRIDGES, KNOWLEDGE, AND HEALTH COALITION AND IN PARTNERSHIP WITH THRIVE NYC AND HAS TRAINED OVER 800 INDIVIDUALS. MENTAL HEALTH FIRST AID USA IS LISTED IN THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION'S NATIONAL REGISTRY OF EVIDENCE-BASED PROGRAMS AND PRACTICES. PREVENT COMMUNICABLE DISEASES -: HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND FOCUS AREA 4: HEPATITIS C (HCV) ENDING THE HIV AND HCV EPIDEMICS IN NYS IS NOW A LEGITIMATE POSSIBILITY AND NYPH IS PLAYING A LEADING ROLE IN THIS EFFORTIII. THE NYPH ETE INITIATIVE WOULD CREATE A MULTICAMPUS HIV AND HCV ELIMINATION STRATEGY THAT WOULD A) INCREASE HIV AND HCV TESTING AND LINKAGE TO CARE, B) RE-ENGAGE HIV+ AND HCV+ INDIVIDUALS TO CARE, AND C) EXPAND EFFECTIVE HIV AND HCV PREVENTION SERVICES, LIKE PREP AND MAT. UTILIZING EXISTING NEW HIV AND HCV DIAGNOSES, THOSE (THOUSANDS) INDIVIDUALS OUT OF CARE, AND THOSE IN NEED OF PREVENTIVE SERVICES. EXPANDED DEPLOYMENT OF A HEALTH PRIORITY SPECIALIST IN EXISTING SITES, LIKE NYPH EDS, WOULD BE THE EFFECTOR ARM FOR THE INTERVENTION. A MAJOR INVESTMENT IN A MOBILE MEDICAL UNIT (MMU) WOULD ALSO HELP BRING THESE NEEDED SERVICES TO COMMUNITIES SURROUNDING OUR MEDICAL CENTERS. COLLECTIVELY THIS MULTIMODAL, EVIDENCE BASED INTERVENTION COULD HELP NYPH END THE HIV AND HCV EPIDEMICS IN OUR TARGETED COMMUNITIES