4A (Expenses $ 86981746 including grants of $ 0) (Revenue $ 96294499)
SEE SCHEDULE O

CLIFTON SPRINGS SANITARIUM CO.
PART V, SECTION B, LINE 5: FACILITATED WITH THE ASSISTANCE OF S2AY RURAL HEALTH NETWORK AND COMMON GROUND HEALTH, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BETWEEN CLIFTON SPRINGS HOSPITAL AND CLINIC, ONTARIO COUNTY DEPARTMENT OF PUBLIC HEALTH, FINGER LAKES HEALTH AND UR THOMPSON HEALTH. STARTING IN THE SUMMER OF 2018, REPRESENTATIVES FROM EACH OF THESE ORGANIZATIONS AS WELL AS REPRESENTATIVES OF OTHER FEDERALLY QUALIFIED HEALTH CENTERS, COMMUNITY BASED ORGANIZATIONS, SCHOOL DISTRICTS AND LOCAL COLLEGES CAME TOGETHER FOR PURPOSE OF DEVELOPING THE CHNA. INFORMATION DISCUSSED BY THIS TEAM WAS SHARED, AS IS APPROPRIATE, WITH HOSPITAL LEADERSHIP AND TO VARIOUS COMMUNITY GROUPS FOR INPUT AND COMMENT.

CLIFTON SPRINGS SANITARIUM CO.
PART V, SECTION B, LINE 6A: CLIFTON SPRINGS HOSPITAL AND CLINIC (ROCHESTER REGIONAL HEALTH), GENEVA GENERAL HOSPITAL (FINGER LAKES HEALTH) AND FF THOMPSON HOSPITAL (UR THOMPSON HEALTH)

CLIFTON SPRINGS SANITARIUM CO.
PART V, SECTION B, LINE 6B: ONTARIO COUNTY DEPARTMENT OF PUBLIC HEALTH AND COMMON GROUND HEALTH

CLIFTON SPRINGS SANITARIUM CO.
PART V, SECTION B, LINE 11: THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA ARE ALL BEING ADDRESSED BY THE HOSPITAL FACILITY. SEE THE DISCLOSURES IN PART VI AS WELL AS THE HOSPITAL FACILITY'S IMPLEMENTATION PLAN FOUND AT WWW.ROCHESTERREGIONAL.ORG FOR MORE INFORMATION.

CLIFTON SPRINGS SANITARIUM CO.
PART V, SECTION B, LINE 16J: ALSO LOCATED IN OUTPATIENT SETTINGS.

PART V, SECTION B, LINE 20:
"IT IS THE INTERPRETATION OF CSHC THAT SINCE THE HOSPITAL DOESN'T PERFORM ANY OF THE EXTRAORDINARY COLLECTION ACTIONS (ECA) LISTED IN LINE 19, OUR RESPONSE OF ""NONE OF THESE EFFORTS WERE MADE"" IN LINE 20 INDICATES THAT SINCE NONE OF THE ACTIONS IN LINE 19 ARE MADE NONE OF THE ACTIONS LISTED IN LINE 20 WOULD APPLY. LINE 20 IS THEREFORE CONSIDERED NOT APPLICABLE TO CSHC. CSHC DOESN'T MAKE ANY EXTRAORDINARY COLLECTION ACTIONS. IF CSHC DID ENGAGE IN ECA'S THEY WOULD COMPLY WITH ANY IRS AND INDUSTRY GUIDANCE."

PART I, LINE 3C:
NOT APPLICABLE

PART I, LINE 6A:
CLIFTON SPRINGS HOSPITAL AND CLINIC'S COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR ROCHESTER REGIONAL HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION, AS PART OF THE JOINT COMMUNITY BENEFIT REPORT DISTRIBUTED BY ONTARIO COUNTY, NY.

PART I, LINE 7:
THE COSTING METHODOLOGY USED FOR LINES 7A, B, C AND F WAS FROM BOTH THE HOSPITAL'S 2021 MEDICAID ICR, UTILIZING EXHIBIT 46, AND THE 2021 MEDICARE MCR, UTILIZING WORKSHEETS S-10 AND B, PART I. WORKSHEET 2 WAS USED TO CALCULATE THE RATIO OF PATIENT CARE COST-TO-CHARGES. EXHIBITS 11 AND 46 FROM THE 2021 MEDICAID ICR WERE UTILIZED TO COMPLETE THE CALCULATIONS.

PART I, LINE 7G:
NO PHYSICIAN CLINIC COSTS WERE INCLUDED ON LINE 7G.

PART I, LN 7 COL(F):
TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) ARE $96,111,413. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT IS $1,019,242. AFTER BAD DEBT WAS DEDUCTED FROM TOTAL EXPENSES, THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN (F) WAS $95,092,171.

PART I, LINE 7E (CON'T):
SOCIAL MEDIA SPOTLIGHTS AND NEWS FEATURES PROVED TO BE A VITAL COMPONENT DURING THE COVID PANDEMIC YEAR. RRH PREPARED, PARTICIPATED IN AND PRESENTED ON THE FOLLOWING TOPICS THROUGHOUT THE COURSE OF THE YEAR: THE ROC CITY BABY CAF HOSTED A WONDERFUL SPRING EVENT WHERE MOMS IN THE COMMUNITY LEARNED MORE ABOUT MATERNAL NUTRITION AND AT-HOME GARDENING; COVID-19 VACCINE IMPACT ON PEOPLE OF COLOR; HEALTH EXPERTS WORKING TO FIND EVIDENCE OF NEW COVID-19 STRAIN LOCALLY; COVID-19 VACCINES: ALLERGIC REACTIONS AND SIDE EFFECTS; COMPARING THE COVID-19 VACCINES; COVID-19 VACCINE OVERVIEW; FIRST YEAR RESIDENT DESCRIBES WORKING IN ICU DURING PANDEMIC; THANK YOU TO OUR HEALTHCARE HEROES FOR THEIR COMMITMENT TO PROVIDING EXCEPTIONAL CARE EVEN IN DIFFICULT CIRCUMSTANCES. THANK YOU TO OUR PATIENTS AND COMMUNITY FOR YOUR SUPPORT AND EFFORTS TO MAKE THINGS EASIER FOR OUR TEAM; DOCTOR REACTS TO FANS' RETURN TO STADIUM FOR BUFFALO BILLS PLAYOFF GAME; GREECE CHAMBER FOUNDATION SUPPORTS IGHSPN STUDENTS; ROCHESTER REGIONAL HEALTH HOLDS VACCINE CLINICS FOR HEALTH CARE WORKFORCE; ROCHESTER REGIONAL HEALTH BEGINS COMMUNITY VACCINE CLINIC; COVID-19 VACCINE COMMUNITY CONVERSATIONS; COVID-19 INFORMATION FOR PREGNANT AND BREASTFEEDING WOMEN; LIFETIME CARE NURSE SHARES PERSONAL STORY OF WHY SHE GOT THE COVID-19 VACCINE; RRH FINALIZES AFFILIATION WITH ST. LAWRENCE HEALTH; UNITY EMPLOYEE AND HER BROTHER PARTICIPATE IN POTENTIALLY LIFE-SAVING MEDICAL TRIAL; YOU GOT VACCINATED-NOW WHAT?; RRH MEDICAL EXPERTS DISCUSS THE LATEST ON THE PANDEMIC; STOPPING COVID-19 VACCINE HESITANCY; VACCINE ROLLOUT BEGINS IN WAYNE COUNTY; PATIENTS RECEIVE VACCINE IN BATAVIA, INCLUDING AT UMMC'S JEROME CENTER; COVID-19 VACCINE CLINICS OVERVIEW; RRH DOCTOR'S EXPERIENCE RECEIVING SECOND DOSE OF COVID-19 VACCINE; RRH'S HEALTHHIVE AND HOW TO IDENTIFY RELIABLE HEALTH INFORMATION ONLINE; BREAST CANCER AND ALCOHOL STUDY IN WOMEN; BUFFALO BILLS SUCCESS POSITIVELY IMPACTING MENTAL HEALTH; RRH EXPERT WEIGHS IN ON QUATERBACK PATRICK MAHOMES' CONCUSSION; COVID-19 VACCINE ALLERGIES; MUTANT STRAINS OF CORONAVIRUS; ROCHESTER POLICE DEPARTMENT INTERIM CHIEF GETS VACCINATED AT RRH; WHY SENIORS 65+ ARE GETTING COVID-19 VACCINATIONS FIRST; WHEN CAN KIDS GET THE COVID-19 VACCINE; WHAT WE KNOW ABOUT COSMETIC FILLERS AND MODERNA VACCINE; COVID-19 VARIANTS, STRAINS, AND THE IMPACT ON ICUS; RRH IS TEAMING UP WITH FOX ROCHESTER TO INCREASE AWARENESS ABOUT HEART HEALTH AND SERVICES AVAILABLE AT THE SANDS-CONSTELLATION HEART INSTITUTE; FLU CASES DRAMATICALLY DOWN THIS FLU SEASON; HOW HEART HEALTH IS IMPACTED WATCHING BUFFALO BILLS GAMES; COVID-19 VACCINE MYTH BUSTING MYTH: THERE'S NO POINT IN GETTING THE VACCINE BECAUSE WE STILL HAVE TO WEAR MASKS. MYTH: I ALREADY HAD COVID-19 SO I DON'T NEED THE VACCINE; RRH EXPERT WEIGHS IN ON POSSIBLE APPROVAL OF JOHNSON & JOHNSON VACCINE; SHOULD PREGNANT WOMEN GET THE MODERNA VACCINE; VACCINES PAVE THE PATH TO HERD IMMUNITY; HIGH RISK YOUTH SPORTS AND COVID-19; HOW STRESS FROM COVID-19 CAN IMPACT SLEEP PATTERNS; WROC FIRST REPONDERS SPOTLIGHT; ADVANCED VALVULAR AND STRUCTURAL HEART DISEASE PROGRAM, SANDS-CONSTELLATION HEART INSTITUTE, TAKES A CLOSER LOOK AT PROCEDURES AND DEVICES RRH UTILIZES TO IMPROVE HEART FUNCTIONS; PROVIDES HEART-HEALTHY HABITS TO HELP REDUCE THE RISKS OF HEART DISEASE; COVID-19 VACCINE MYTH BUSTING MYTH: THE VACCINES AREN'T SAFE BECAUSE THEY WERE DEVELOPED SO QUICKLY. MYTH: THE VACCINES CAN GIVE ME COVID-19.; ROCHESTER BEACON: ARE CORONAVIRUS VARIANTS ALREADY HERE? PROBABLY YES; COVID-19 AND THE BRAIN: WHAT WE KNOW; ROCHESTER BEACON: PRIMARY CARE AMID THE PANDEMIC; OVERCOMING MENTAL HEALTH STIGMA DURING A PANDEMICIT TAKES COURAGE TO REACH OUT FOR HELP; SOME OLDER ADULTS STILL FEEL EFFECTS OF FOOD ACCESS CHALLENGES DUE TO PANDEMIC; RRH LAUNCHES NEW ONLINE PRICING TOOL; WHAT WOMEN NEED TO KNOW ABOUT ENDOMETRIOSIS AND FIBROIDS; TONY BENNETT'S ALZHEIMER'S DIAGNOSIS CASTS NEW SPOTLIGHT ON CONDITION; IMPORTANCE OF VISITING WITH A HEARING SPECIALIST; COVID-19 VACCINE MYTH BUSTING MYTH: THE VACCINES ARE TOO RISKY BECAUSE OF POTENTIAL LONG-TERM SIDE EFFECTS. MYTH: THE COVID-19 VACCINES CAN ALTER MY DNA; RRH USES SPECIAL TECHNIQUE TO CIRCUMVENT COVID VACCINE ALLERGIES; COVID-19 AND YOUR HEART; RRH'S QUICK GUIDE OF COVID-19 VACCINE TERMS; RETIRED RGH NURSE, NOW A VACCINATION VOLUNTEER, GIVES DAUGHTER 2ND VACCINE DOSE; TAKE A CLOSER LOOK AT WOMEN'S HEART HEALTH; IN DEPTH ABOUT THE WARNING SIGNS AND SYMPTOMS OF HEART DISEASE; RRH USES ROBOTICS TO HELP TREAT ESOPHAGEAL CANCER; LOCAL RESEARCHES TO STUDY PFIZER BOOSTER'S POTENTIAL IMPACT ON COVID-19 AND ITS VARIANTS; EXPERTS HOPE MORE VACCINE SUPPLY WILL COME IN TO RAMP UP VACCINATION EFFORT; COVID-19 IMPACT ON UNDERREPRESENTED POPULATIONS AND HOW RRH IS HELPING; RIT WEBINAR ON LOGISTICS BEHIND THE COVID-19 VACCINE FEATURING RRH CLINICAL INFORMATICS FELLOWSHIP FACULTY; COVID-19 UPDATE; SIDE EFFECTS AND WHAT TO EXPECT AFTER SECOND COVID VACCINE; SHARE WITH FAMILY AND FRIENDS: DEPENDING ON YOUR MASK, TWO MAY BE BETTER THAN ONE; GO-TO GUIDE FOR ELIGIBLE PATIENT COVID-19 VACCINE APPOINTMENTS; IMPORTANCE OF MAINTAINING GUT HEALTH; MUTATION FOUND IN COVID-19 VARIANTS IN MONROE COUNTY; COVID-19 UK VARIANT DETECTED IN ONTARIO COUNTY PATIENT; AND NUMEROUS OTHERS.ROC2025 ROCHESTER REGIONAL HEALTH HAS ENTERED INTO A PLEDGE AGREEMENT WITH ROC2025 TO CONTRIBUTE $100,000 FOR EACH OF THE NEXT FIVE YEARS. ROC2025 IS AN INNOVATIVE ALLIANCE OF ECONOMIC DEVELOPMENT ORGANIZATIONS DEDICATED TO MAKING GREATER ROCHESTER, NEW YORK ONE OF THE MOST DYNAMIC AND RAPIDLY GROWING REGIONAL ECONOMIES IN THE U.S. IT IS THE MISSION OF ROC2025 TO CREATE NEW JOBS, INCREASE REGIONAL WEALTH, RAISE REGIONAL GDP AND ENHANCE OPPORTUNITY. ROC2025 INVESTS IN A WORLD-CLASS ECONOMIC DEVELOPMENT ECOSYSTEM WHERE INCUMBENT BUSINESSES ARE THRIVING, NEW FIRMS ARE LOCATING, AND THE WORLD'S BEST TALENT IS CHOOSING TO LIVE. THROUGH ROC2025, WE'RE DEDICATING SIGNIFICANTLY MORE RESOURCES TO GROWTH. ENHANCING THE REACH AND IMPACT OF CURRENT EFFORTS, FURTHERING OUR WORK TO EXPAND THE REGIONAL ECONOMY, AND COMPETING MORE EFFECTIVELY FOR JOBS AND INVESTMENT.ROCCOVID ROCHESTER REGIONAL HEALTH JOINED MONROE COUNTY, THE CITY OF ROCHESTER, UNIVERSITY OF ROCHESTER MEDICAL CENTER AND COMMON GROUND HEALTH TO HELP LAUNCH ROC COVID, A NEW ONLINE HEALTH SCREENING SURVEY TOOL TO HELP PREVENT FURTHER SPREAD OF THE VIRUS THROUGHOUT THE GREATER ROCHESTER AND FINGER LAKES REGION. DATA COLLECTED BY ROCCOVID.ORG WILL ALSO INCREASE UNDERSTANDING OF THE VIRUS, MEASURE EFFORTS TO SLOW ITS PROGRESSION, AND HELP DETERMINE WHERE TO FOCUS TESTING OR ADJUST STAY-AT-HOME AND PHYSICAL DISTANCING REQUIREMENTS. SCIENTISTS AND INFORMATION TECHNOLOGY STAFF FROM RRH AND URMC HELPED DEVELOP THE ONLINE SURVEY, WHICH CONSISTS OF A FEW QUESTIONS THAT RESIDENTS ARE ENCOURAGED TO ANSWER DAILY, EVEN WHEN THEY ARE EXPERIENCING NO SYMPTOMS. SPONSORSHIPS ROCHESTER REGIONAL HEALTH, AS A SYSTEM, INCLUDING CLIFTON SPRINGS HOSPITAL, IS COMMITTED TO GIVING BACK TO THE COMMUNITY BY SUPPORTING THE MANY ORGANIZATIONS THAT ARE ALREADY WORKING SO HARD TO IMPROVE COMMUNITY HEALTH. AS SUCH, WE PROVIDE RESOURCES TO LOCAL ORGANIZATIONS AND COMMUNITY EVENTS INCLUDING THE AMERICAN HEART ASSOCIATION, THE ROCHESTER PHILHARMONIC ORCHESTRA, JORDAN HEALTH CENTER, YWCA OF ROCHESTER, THE CENTER FOR YOUTH, THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, INTERVOL, JEWISH COMMUNITY CENTER, GREATER ROCHESTER ENTERPRISE FOUNDATION, MERCY FLIGHT, BIVONA CHILD ADVOCACY CENTER, GREATER ROCHESTER CHAMBER OF COMMERCE, AND MANY OTHERS.OTHER PROGRAMS AND EVENTS HELD IN SUPPORT OF THE COMMUNITY INCLUDE: - COLLECTING DONATIONS FOR HOMELESS RELIEF DRIVE- EVENT HONORING THE LIFE AND LEGACY OF MARTIN LUTHER KING, JR. - NEVER LET A CRISIS GO TO WASTEOPPORTUNITIES FROM A PANDEMIC, A WEBINAR FEATURING RRH'S CHIEF QUALITY OFFICER TO LEARN ABOUT CURRENT QUALITY TOPICS THAT BRING IN INNOVATIVE AND THOUGHT-PROVOKING COMMENTARY. - 3D MAMMOGRAPHY TECHNOLOGY NOW AVAILABLE AT CROSSKEYS - RENOVATIONS TO MODERNIZE RRH'S IMAGING CENTER AT CROSSKEYS IN FAIRPORT ARE COMPLETE. IN ADDITION TO A WARM, WELCOMING UPDATED SPACE, THE TEAM NOW OFFERS 3D MAMMOGRAMS. THE 3D HOLOGIC MAMMOGRAPHY SYSTEM IS NEW, STATE-OF-THE-ART BREAST IMAGING TECHNOLOGY, WHICH PROVIDES GREATER ACCURACY AND IMPROVED IMAGE QUALITY FOR CANCER DETECTION. - MAMMOS AND MAKEOVER-TO-GO - IN CELEBRATION OF MOTHER'S DAY IN MAY, RRH HAS PUT THE GLAM IN MAMMOGRAMS WITH MAMMOS AND MAKEOVERS-TO-GO. WOMEN WHO ATTENDED RECEIVED A MAMMOGRAM SCREENING AND COMPLIMENTARY SELF-CARE ITEMS FOR PAMPERING AT HOME. THIS EVENT WAS HELD ACROSS THE HEALTH SYSTEM AND WAS OPEN TO THE PUBLIC.

PART I, LINE 7E (CON'T):
"- RRH'S RACIAL JUSTICE CHALLENGE, SUPPORTED BY THE DIVERSITY, EQUITY & INCLUSION TEAM AND UNITED WAY OF GREATER ROCHESTER, HELD A RACIAL JUSTICE COMMUNITY PANEL. THE PANEL BROUGHT TOGETHER COMMUNITY LEADERS TO DISCUSS THE INTERSECTION OF SOCIAL DETERMINANTS OF HEALTH, RACIAL JUSTICE, AND HEALTH EQUITY. IT WAS DESIGNED TO IDENTIFY OPPORTUNITIES FOR GROWTH, STRENGTHEN COLLABORATIONS, AND INSPIRE A CALL TO ACTION FOR RRH AND COMMUNITY MEMBERS.- PATIENTS EMBRACE CARE AND ACCESS INNOVATIONS - CARE, AT YOUR FINGERTIPSBEFORE, DURING, AND AFTER A MEDICAL VISIT. THAT HAS ALWAYS BEEN THE PROMISE OF MYCARE, AND INNOVATIONS OVER THE PAST YEAR HAVE TURBOCHARGED USE OF THE PLATFORM. WITH PATIENTS MAKING FEWER IN-PERSON VISITS DURING THE PANDEMIC, RRH FOCUSED ON IMPROVING TOUCH-FREE PROCESSES AND SUPPORTING TELEMEDICINE EFFORTS FOR EVERYTHING FROM PAYMENTS AND REGULATORY CONSENTS TO SENDING PHOTOS OF RASHES AND OTHER MINOR CONDITIONS TO PROVIDERS.- RRH CELEBRATED LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, OR QUESTIONING (LGBTQ+) PRIDE MONTH. THE DIVERSITY, EQUITY & INCLUSION TEAM LED EFFORTS TO PROVIDE EDUCATION, PROMOTE AWARENESS, AND CELEBRATE LGBTQ+ PATIENTS, COLLEAGUES, AND THE COMMUNITIES WE SERVE.- EACH YEAR, THE AUGUST FAMILY BIRTH PLACE TEAM FUNDRAISES FOR THE MARCH OF DINES TO SUPPORT RESEARCH, PROGRAMS, EDUCATION, AND ADVOCACY FOR THE HEALTH OF ALL MOTHERS AND BABIES. IN 2021, THE LABOR AND DELIVERY UNIT MARCHED AND RAISED OVER $1,300 TOWARDS THE MARCH OF DIMES!- PATIENTS AT GOLISANO RESTORATIVE NEUROLOGY AND REHABILITATION CENTER TOOK PART IN SOMETHING AMAZING: A HEART WALK! IT WAS A BEAUTIFUL DAY FOR MANY OF THEM TO GET OUTSIDE AND ENJOY THE SUN FOR A GREAT CAUSE. WE'RE VERY PROUD OF OUR PATIENTS AND HAPPY TO HELP BENEFIT THE AMERICAN HEART ASSOCIATION.- KUDOS TO THE RRH COMMUNITY SERVICES TEAM FOR GIVING BACK BY PARTICIPATING IN THE HOPE DEALERS BTC'S INAUGURAL BRIDGE TO CHANGE RESOURCE FAIR. THE TEAM CONNECTED WITH COMMUNITY MEMBERS AND SHARED NEWS ABOUT RRH'S FEDERALLY QUALIFIED HEALTH CENTERS AND OUR NEW PARTNERSHIP WITH IBERO'S SMART RECOVERY SPANISH SPEAKING PROGRAM. REGIONAL HEALTH REACH ALSO ATTENDED THE EVENT AND ADMINISTERED EIGHT COVID-19 VACCINATIONS USING THEIR MOBILE UNIT.- OUR LONG TERM CARE TEAMS ARE DOING GREAT THINGS! ACROSS ALL 6 OF OUR LOCATIONS, STAFF RAISED OVER $4,000 TO BENEFIT THE ALZHEIMER'S ASSOCIATION IN PARTICIPATION OF THE LONGEST DAY FUNDRAISER. THEY RAISED MONEY THROUGH HOT DOG SALES, GRAB-AND-GO LUNCHES, T-SHIRTS, AND OTHER FUN ACTIVITIES.- RRH IS PROUD TO PARTICIPATE AS A SYSTEM IN THE ANNUAL ALZHEIMER'S ASSOCIATION WALK TO END ALZHEIMER'S. THE ALZHEIMER'S ASSOCIATION PROVIDES 24/7 CARE AND SUPPORT, ADVANCE RESEARCH OF PREVENTION AND TREATMENT, AND DEVELOP A CURE.- RRH REACH OUT AND READ PROGRAM EXPANDS - RRH HAS BEEN A LONGTIME PARTICIPANT IN REACH OUT AND READ, A NATIONWIDE PROGRAM THAT INCORPORATES BOOKS INTO WELL-CHILD VISITS WITH THEIR PEDIATRICIAN. THE PROGRAM NOW INCLUDES WILSON PEDIATRICS, SUPPORTED BY A LOCAL GRANT FROM FIDELIS CARE. THE PROGRAM INCREASES THE FREQUENCY AND QUALITY OF READING IN THE HOME WHILE SUPPORTING READINESS FOR KINDERGARTEN, POSITIVE CHILD-PARENT INTERACTIONS, MENTAL GROWTH, AND EMOTIONAL RESILIENCE. BOOKS PROVIDED BY REACH OUT AND READ ARE AVAILABLE IN MULTIPLE LANGUAGES AND REPRESENT A BROAD RANGE OF CULTURES, WHICH HELP YOUNG CHILDREN AND THEIR FAMILIES FEEL VALUED, UNDERSTOOD, AND INCLUDED IN THE COMMUNITY. RRH ALSO OFFERS REACH OUT AND READ AT GENESEE PEDIATRICS, UNITY PEDIATRICS, AND ROCHESTER GENERAL PEDIATRIC ASSOCIATES.- WE ASK BECAUSE WE CARE INITIATIVE - TO ASSIST OUR RRH TEAMS IN YOUR HARD WORK TO IMPROVE THE PATIENT EXPERIENCE, RRH IS LAUNCHING WE ASK BECAUSE WE CARE. THIS IS A NEW INITIATIVE FOCUSED ON OUR PATIENT POPULATIONS, TO BETTER UNDERSTAND WHO OUR PATIENTS ARE AND WHAT THEY NEED. THE DIVERSITY, EQUITY & INCLUSION OFFICE AND RRH'S EXECUTIVE LEADERSHIP TEAM SUPPORTS THIS INITIATIVE. RRH EMPLOYEES WILL RECEIVE EDUCATION ON HOW TO TALK WITH PATIENTS ABOUT INFORMATION THAT MAY BE SENSITIVE TO ASK OR ANSWER. THIS INITIATIVE ALSO BENEFITS OUR PATIENTS BY HELPING THEM UNDERSTAND WHY WE ASK THESE QUESTIONS, FURTHER HIGHLIGHTING OUR PATIENT-CENTERED PURPOSE OF ENSURING ALL PATIENTS HAVE ACCESS TO THE HIGHEST LEVEL OF CARE. WHAT WE ASK ALLOWS OUR HEALTH SYSTEM TO HAVE THE MOST COMPLETE AND ACCURATE DATA, AND HELPS IDENTIFY WHERE WE NEED TO FOCUS OUR ATTENTION TO IMPROVE HEALTH OUTCOMES FOR OUR COMMUNITY.- COMMUNITY CONVERSATION - HEALTH AND WELLNESS - IMMUNIZATIONS AND BACK TO SCHOOL- RRH HAS LAUNCHED A CAMPAIGN ENCOURAGING PATIENTS TO FILL OUT HEALTH CARE PROXY FORMS AND FILE THEM WITH THEIR PROVIDERS. A HEALTH CARE PROXY IS A LEGAL FORM THAT LETS SOMEONE SELECT A PERSON AND AN ALTERNATE TO MAKE MEDICAL DECISIONS ON THEIR BEHALF IF THEY CANNOT SPEAK FOR THEMSELVES. THIS HEALTH CARE AGENT, OR PROXY, COLLABORATES WITH MEDICAL PROVIDERS TO MAKE SURE TREATMENTS ALIGN WITH PATIENT WISHES.- BREAST CANCER AWARENESS MONTH - GRAB YOUR FRIENDS, WEAR YOUR BEST PINK ATTIRE AND WALK TO MAKE STRIDES AGAINST BREAST CANCER! RRH IS ONCE AGAIN THE PRESENTING SPONSOR OF THIS YEAR'S MAKING STRIDES AGAINST BREAST CANCER WALK.- RRH WAS PROUD TO SPONSOR COMMON GROUND HEALTH'S ""A CALL TO WOMEN OF COLOR"" EVENT. THE EVENT CELEBRATED WOMEN OF COLOR AND PROVIDED ACCESS AND EDUCATION ABOUT IMPORTANT HEALTH SERVICES. THROUGHOUT THE DAY, RRH'S MOBILE MAMMOGRAPHY TEAM ENCOURAGED WOMEN TO SIGN UP FOR MAMMOGRAMS, THE DIVERSITY, EQUITY & INCLUSION TEAM DISTRIBUTED HAND SANITIZER, AND COMMUNITY SERVICES GAVE AWAY 120 MULTICULTURAL CHILDREN'S BOOKS FEATURING ETHNICALLY DIVERSE STORIES, CHARACTERS, AND AUTHORS. - RRH'S MOBILE MAMMOGRAPHY CENTER VISITED THE COLLEGE OF HEALTH CAREERS HOSTED BY THE DIVERSITY, EQUITY AND INCLUSION OFFICE. DEI'S FOCUS IS TO IMPROVE HEALTH EQUITY FOR WOMEN OF COLOR BY RAISING AWARENESS AND INVITING WOMEN TO SCHEDULE THEIR FIRST OR ANNUAL APPOINTMENT FOR A BREAST CANCER SCREENING.- COMPOSTABLE PRODUCTS IN RRH CAFES - RRH HAS TAKEN A MAJOR LEAP FORWARD IN OUR ""ZERO WASTE TO LANDFILL"" JOURNEY. THIS SUSTAINABILITY INITIATIVE FIRST BEGAN A FEW YEARS AGO AT CLIFTON SPRINGS HOSPITAL & CLINIC, AND NOW, ALL OF RRH'S CAFS HAVE CONVERTED TO USING NEARLY 100% OF COMPOSTABLE PRODUCTS, INCLUDING DISPOSABLE PLATES, CUPS/LIDS, BOWLS, NAPKINS AND TO-GO CONTAINERS. - RRH IS EXCITED TO INTRODUCE INCLUSION WEEK. THE 2021 THEME IS, ""UNITED AND UNIQUE"". RRH CELEBRATES, SHARES, AND INSPIRES INCLUSIVE PRACTICES ACROSS THE HEALTH SYSTEM. - ISABELLA GRAHAM HART SCHOOL OF PRACTICAL NURSING (IGH), PART OF THE ROCHESTER REGIONAL HEALTH COLLEGE OF HEALTH CAREERS, IS A CORNERSTONE OF HEALTH-PROFESSIONAL EDUCATION IN THE COMMUNITIES WE SERVE, OPENING DOORS AND CHANGING LIVES SINCE 1964. RRH ANNOUNCED THAT IGH IS OPENING THREE EXTENSION SITESBRINGING PRACTICAL NURSING (PN) EDUCATION CLOSER TO HOME FOR MANY NEW YORK STATE RESIDENTS AND ENSURING CARE FOR OUR COMMUNITIES. THE NEW SITES WILL BE AT CLIFTON SPRINGS HOSPITAL & CLINIC; UNITED MEMORIAL MEDICAL CENTER; AND CLARKSON UNIVERSITY'S OLD SNELL HALL IN POTSDAM. EACH EXTENSION SITE WILL OFFER THE FULL 10-MONTH IGH PROGRAM, ACCREDITED BY ACCREDITATION COMMISSION FOR EDUCATION IN NURSING (ACEN) TO GRANT PN CERTIFICATES ENTITLING GRADUATES TO TAKE THEIR NATIONAL COUNCIL LICENSURE EXAM (NCLEX) TO BECOME LICENSED PRACTICAL NURSES (LPNS).- GIVE BACK WITH THE SERVICE PROJECT - RRH IN COLLABORATION WITH THE GREATER ROCHESTER CHAMBER HAS COMMITTED TO PROVIDING THANKSGIVING FOOD BOXES FOR FAMILIES IN NEED. - RRH IS PROUDLY SPONSORING THE WINTER IGLOOS AT ROC HOLIDAY VILLAGE! THE SEVEN COZY IGLOOS ACCOMMODATE 6-8 PEOPLE AND OFFER A MAGICAL SANCTUARY FROM THE FROSTY OUTDOORS. ROC HOLIDAY VILLAGE WILL TAKE PLACE AT MARTIN LUTHER KING JR. PARK AND OTHER FUN ACTIVITIES, SUCH AS FREE ICE SKATING AND LIVE MUSIC, ARE AVAILABLE THROUGHOUT THE EVENT.- RRH'S COMMITMENT TO DIVERSITY, EQUITY AND INCLUSION EXTENDS BEYOND OUR LOCATIONS AND INTO OUR COMMUNITIES. MEN IN HEALTHCARE, GOOD FOR OUR HEALTH, IS A PIPELINE INITIATIVE BORN OUT OF THE RRH ""BLACK MEN IN WHITE COATS"" DISCUSSIONS. RRH HOSTED YOUNG MEN FROM UPREP HIGH SCHOOL TO EXPLORE, ENCOURAGE, AND ENGAGE WITH VARIOUS CAREERS OPPORTUNITIES IN HEALTHCARE. THE EVENT INCLUDED INTERACTIVE WORKSHOPS, PROFESSIONAL AND STUDENT HEALTHCARE PANELS, AND INTENTIONAL CONNECTIONS FOR NETWORKING/MENTORING."

PART I, LINE 7E (CON'T):
"- SHOW AND A SHOT PROGRAM: RRH AND JCC TEAM UP TO GET KIDS VACCINATED - ROCHESTER REGIONAL HEALTH AND TYKES (THEATRE YOUNG KIDS ENJOY) AT THE LOUIS S. WOLK JEWISH COMMUNITY CENTER (JCC) ARE TEAMING UP FOR THE ""SHOW AND A SHOT"" PROGRAM. A SPECIALIZED CLINIC HELD AT JCC FOR CHILDREN AGES 5-11 WHO NEED THEIR FIRST DOSE OF THE PEDIATRIC COVID-19 VACCINE. THE PROGRAM IS DESIGNED TO PROVIDE CHILDREN WITH A CARING, SUPPORTIVE SETTING WHILE REDUCING THE FEAR AND ANXIETY SOMETIMES ASSOCIATED WITH NEEDLES AND WITH THE PANDEMIC AS A WHOLE. DURING THE CLINIC, FULLY-VACCINATED TYKES ADULT PROFESSIONAL ACTORS WILL ENTERTAIN THE CHILDREN AND THERE WILL ALSO BE FUN ACTIVITIES."

PART II, COMMUNITY BUILDING ACTIVITIES:
PART II, LINE 4AT ROCHESTER REGIONAL HEALTH, WE UNDERSTAND THAT THE HEALTH OF OUR COMMUNITY, ENVIRONMENT, AND FINANCES ARE ALL INTERTWINED. WE'RE MANAGING ALL OF OUR RESOURCES TO REDUCE OUR OVERALL ENVIRONMENTAL FOOTPRINT AND LEAD SUSTAINABILITY EFFORTS IN THE NORTHEAST. HOSPITALS CAN USE MORE THAN DOUBLE THE AMOUNT OF ENERGY AS COMMERCIAL BUILDINGS AND ON AVERAGE GENERATE MORE THAN THIRTY-THREE POUNDS OF WASTE PER PATIENT PER DAY WE'RE MAKING ROCHESTER REGIONAL HEALTH THE EXCEPTION.OUR SUSTAINABILITY DEPARTMENT IS DEDICATED TO HELPING IMPROVE THE HEALTHCARE EXPERIENCE, ENSURE A HEALTHY ENVIRONMENT, AND LOWER HEALTHCARE COSTS. WE'RE REDUCING WASTE, ELIMINATING TOXINS, AND CREATING A MORE SUSTAINABLE COMMUNITY NOW AND FOR THE FUTURE. A FEW OF THE MANY SUSTAINABILITY PROJECTS AN INITIATIVES UNDERWAY AT CLIFTON SPRINGS HOSPITAL DURING 2021 INCLUDE:SOLAR ENERGY - RRH LAUNCHED NEW COMMUNITY SOLAR PROGRAM - RRH HAS TAKEN A SIGNIFICANT STEP TOWARD SOURCING ALL ELECTRICITY THROUGH RENEWABLE SOURCES BY 2025. THE HEALTH SYSTEM IS COMBINING COMMUNITY SOLAR WITH OUR OWN ON-SITE SOLAR, ENERGY EFFICIENCY MEASURES AND OTHER INITIATIVES TO REDUCE OUR CARBON FOOTPRINT. THE NEW COMMUNITY SOLAR PROGRAM WITH NEXAMP, A LEADER IN CLEAN ENERGY SOLUTIONS, WILL SUPPORT THE EXPANSION OF CLEAN ENERGY RESOURCES AT RRH'S FACILITIES WHILE ALSO SHARING THE BENEFITS WITH RESIDENTS IN THE COMMUNITY. RRH KNOWS THAT HOSPITALS AND CLINICS USE MUCH MORE ENERGY THAN A TYPICAL BUSINESS, AND HAVE MADE A CONSCIOUS DECISION TO MANAGE OUR RESOURCES CAREFULLY SO THAT WE CAN ENSURE A HEALTHY ENVIRONMENT AND CREATE A MORE SUSTAINABLE COMMUNITY. THE ABILITY TO COMPLEMENT RRH'S ON-SITE SOLAR WITH A COMMUNITY SOLAR AGREEMENT GIVES US THE OPPORTUNITY TO OFFSET ENERGY USAGE AT OUR MANY SITES ACROSS THE REGION, WHILE ALSO PROVIDING A GREEN ENERGY OPTION FOR OUR NEIGHBORS. THREE COMMUNITY SOLAR FARMS IN SPENCERPORT WILL PROVIDE SOLAR CREDITS TO ROCHESTER GENERAL HOSPITAL, UNITY HOSPITAL AND ST. MARY'S CAMPUS. A COMMUNITY SOLAR FARM IN LOCKPORT WILL PROVIDE SOLAR CREDITS TO UNITED MEMORIAL MEDICAL CENTER, AND A COMMUNITY SOLAR FARM IN GHENT WILL PROVIDE SOLAR CREDITS TO CLIFTON SPRINGS HOSPITAL & CLINIC AND NEWARK-WAYNE COMMUNITY HOSPITAL. SHARP CONTAINER RECYCLING THIS PROGRAM WAS ESTABLISHED TO RECYCLE SHARP CONTAINERS RATHER THAN SEND THEM TO THE LANDFILL. THIS PREVENTS LANDFILLS FROM FILLING AS QUICKLY. ADDITIONALLY IT REDUCES THE AMOUNT OF HARMFUL GASES PRODUCED AND RELEASED INTO THE ATMOSPHERE, IMPROVING OVERALL HEALTH OF SURROUNDING COMMUNITIES. REPROCESSING OF SINGLE USE DEVICES - A PROGRAM SET UP TO MINIMIZE THE AMOUNT OF WASTE PRODUCED IN OUR OPERATING ROOMS. SINGLE USE DEVICES WHICH WOULD TYPICALLY BE THROWN AWAY AFTER A SINGLE USE ARE SENT TO A FACILITY IN WHICH THEY ARE CLEANED AND REPACKAGED TO BE USED IN OR'S ONCE AGAIN. THE PROGRAM IS SAFE AND EFFECTIVE AT REDUCING WASTE. THE BENEFITS INCLUDE POTENTIALLY SUBSIDIZED HOSPITAL COSTS (AS REPROCESSED DEVICES ARE LESS EXPENSIVE TO BUY THAN NEW DEVICES) AS WELL AS REDUCED LANDFILL USAGE AND RESULTING POLLUTION.RECYCLING - RECYCLING REDUCES WASTE AND INCREASES AVAILABLE RESOURCES FOR CURRENT GENERATIONS WHILE ALSO EXTENDING THE AMOUNT OF RESOURCES AVAILABLE FOR FUTURE GENERATIONS. DURING 2021, CLIFTON SPRINGS HOSPITAL, THROUGH ITS RECYCLING EFFORTS REDUCED WASTE IN LANDFILLS BY 110,920 POUNDS.

PART III, LINE 8:
MEDICARE COSTING METHODOLOGY: THE ORGANIZATION USED THE FILED 2021 CMS COST REPORT TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS RECEIVED FROM MEDICARE. MEDICARE SHORTFALLS, WHICH ARE COSTS INCURRED BY THE HOSPITAL TO PROVIDE QUALITY CARE AND TREATMENT TO ITS PATIENTS, SHOULD BE TREATED AS A COMMUNITY BENEFIT. TO NOT INCUR THESE COSTS WOULD POTENTIALLY LIMIT OR EVEN COMPROMISE THE QUALITY OF SERVICE PROVIDED.

PART VI, LINE 7, REPORTS FILED WITH STATES
NY

PART VI, LINE 6:
ROCHESTER REGIONAL HEALTH (ROCHESTER REGIONAL) (I.E. THE PARENT ORGANIZATION AND ITS RELATED AFFILIATES) HAS PROVIDED HIGH QUALITY HEALTHCARE SERVICES TO THE GREATER ROCHESTER NY AREA AND SURROUNDING REGIONS FOR MORE THAN 170 YEARS. IT IS ONE OF THE LARGEST EMPLOYERS IN ROCHESTER AND AN INTEGRAL PART OF THE COMMUNITY. ROCHESTER REGIONAL HAS A NATIONALLY RECOGNIZED HEART PROGRAM AND A NATIONALLY ACCREDITED CANCER CENTER, AND OFFERS PATIENTS MANY OF THE SAME LEADING EDGE TREATMENT OPTIONS FOUND AT THE COUNTRY'S FINEST MEDICAL CENTERS. FROM SURGERY TO ORTHOPEDICS, WOMEN'S HEALTH TO EMERGENCY CARE, PEOPLE ALL ACROSS WESTERN NY TURN TO ROCHESTER REGIONAL FOR THEIR EXPERIENCE, COMPASSION AND EXPERTISE IN HELPING THEM GET BACK TO LIVING THEIR LIVES. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH AND NEEDS ASSESSMENTS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING COMMUNITY HEALTH PROGRAMS. ROCHESTER REGIONAL REPRESENTATIVES ARE ACTIVELY ENGAGED IN VARIOUS COMMUNITY HEALTH COLLABORATIONS WITH THE LOCAL HEALTH DEPARTMENTS, STATE HEALTH DEPARTMENT, AND LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICE AGENCIES, AND ACTIVELY WORKS TO RESPOND TO COMMUNITY PRIORITIES AND DEVELOP PROGRAMS AND SERVICES THAT FILL A GAP OR SUPPLEMENT AN EXISTING PROGRAM. MOST ROCHESTER REGIONAL COMMUNITY HEALTH OUTREACH PROGRAMS ARE OFFERED IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS OR GOVERNMENTAL AGENCIES, IN ORDER TO LEVERAGE RESOURCES TO MEET COMMUNITY NEEDS. INFORMATION REGARDING THE AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE FOR MEDICAL CARE RECEIVED AT ROCHESTER REGIONAL HOSPITALS, EMERGENCY DEPARTMENTS, OUTPATIENT DEPARTMENTS OR LONG-TERM CARE FACILITIES IS DISSEMINATED TO THE PUBLIC IN ELECTRONIC (WEBSITE) FORM.A CORNERSTONE OF ROCHESTER REGIONAL HEALTH'S STRATEGIC PLAN IS TO INVEST IN A SUSTAINABLE BUSINESS MODELTHAT IS, TO PRIORITIZE INVESTMENTS IN GROWTH AND SERVICES THAT CREATE LONG-TERM VALUE. DESPITE THE ONGOING IMPACT OF COVID-19, ROCHESTER REGIONAL CAN CELEBRATE PROGRESS ON THE FOLLOWING INITIATIVES ESSENTIAL TO THE FUTURE OF THE INSTITUTION AND THE HEALTH OF THE NEW YORK STATE COMMUNITIES IT SERVES: - ST. LAWRENCE HEALTH: A WIN/WIN FOR TWO HEALTH SYSTEMSEFFECTIVE JANUARY 1, 2021, ROCHESTER REGIONAL REACHED A DEFINITIVE AFFILIATION AGREEMENT WITH ST. LAWRENCE HEALTH SYSTEM. OPERATING THROUGHOUT THE NORTH COUNTRY OF NEW YORK STATE, ST. LAWRENCE HEALTH SYSTEM IS COMPOSED OF THREE HOSPITALS AND A NETWORK OF PRIMARY AND SPECIALTY CARE PRACTICES SERVING A COUNTY POPULATION OF APPROXIMATELY 108,000. THE AFFILIATION BETWEEN THE TWO SYSTEMS WILL EXPAND ROCHESTER REGIONAL'S REGIONAL REACH WHILE ENABLING ST. LAWRENCE TO EXPAND AND GROW ITS MEDICAL SERVICES.- DESTINATION CAMPUSES: BETTER SERVICE TO RURAL PATIENTSROCHESTER REGIONAL'S DESTINATION-CAMPUS STRATEGY BRINGS RURAL PATIENTS EASY, LOCAL ACCESS TO A WIDE RANGE OF HIGH QUALITY, COORDINATED PRIMARY AND SPECIALTY CARE SERVICES. THE NEW GENESEO MEDICAL CAMPUS OPENED IN OCTOBER 2021 AND EXPANDED ACCESS TO A WIDE RANGE OF SERVICES INTO THE GENESEO COMMUNITY. SPECIALTY SERVICES PROVIDED INCLUDE ENDOCRINOLOGY; GENERAL SURGERY; RADIOLOGY; NEUROSURGERY; PAIN MANAGEMENT; ORTHOPEDICS; AND VASCULAR SURGERY. ADDITIONALLY, EXISTING SERVICES IN THE GENESEO COMMUNITY; INCLUDING PRIMARY CARE; CARDIOLOGY; DERMATOLOGY; AND LAB SERVICES ARE NOW AVAILABLE AT THE GENESEO MEDICAL CAMPUS. - STRATEGIC FRAMEWORK: CREATING THE FUTURE OF QUALITY CAREALL OF THESE PROJECTS SHOW HOW ROCHESTER REGIONAL IS FORGING AHEAD ON ALL FRONTS OF A STRATEGIC PLAN: - VALUE-FOCUSED GROWTH AND INVESTMENT. - WORKING AS ONE ORGANIZATION, INTEGRATING CARE DELIVERY TO PROVIDE SEAMLESS TRANSITIONS AND THE RIGHT CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME. - DELIVERING FRICTIONLESS CARE EXPERIENCES FOR OUR COMMUNITY, PATIENTS, EMPLOYEES, AND PROVIDERS. - DRIVING INNOVATION, USING DATA-DRIVEN INSIGHTS TO CONTINUOUSLY IMPROVE QUALITY AND OUTCOMES. IN ADDITION TO EXPANDING GEOGRAPHIC REACH, FACILITY CAPABILITIES, AND SERVICE LINES, ROCHESTER REGIONAL PURSUES SYSTEM-WIDE INITIATIVES THAT DEFINE WHO THEY ARE AND WHAT THEY VALUE. THESE INCLUDE ENVIRONMENTAL SUSTAINABILITY; A COMMITMENT TO DIVERSITY, EQUITY, AND INCLUSION; AND AN ONGOING PROMISE TO IMPROVE THE COMMUNITIES SERVED. THE OVERALL HEALTH SYSTEM CONTINUES TO GROW THROUGH THE ADDITION OF MEDICAL PRACTICES STRENGTHENING THE SERVICE OFFERINGS TO THOSE THROUGHOUT THE COMMUNITIES SERVED. NEW AND EXPANDED SERVICE OFFERINGS INCLUDE: - FINGER LAKES COMMUNITY EYE CARE - PROVIDING FULL MEDICAL, DIAGNOSTIC, AND SURGICAL EYE CARE IN A CARING AND CONVENIENT MANNER.- ROCHESTER OTOLARYNGOLOGY GROUP EXPANDING SPECIALIZED EAR, NOSE, AND THROAT (ENT) SERVICES AND CARE FOR PEDIATRIC AND ADULT PATIENTS.- LIPSON CANCER CENTER INSTITUTE - $4.5 MILLION EXPANSION AND RENOVATION AT THE LINDEN OAKS MEDICAL CAMPUS TO SUPPORT CANCER DETECTION, DIAGNOSIS, AND CARE IN A SINGLE MODERNIZED FACILITY.- ROCHESTER REGIONAL HEAD & NECK CENTER PROVIDING EXTENSIVE EXPERIENCE IN TREATING DISEASES AND DISORDERS OF THE EAR, NOSE, AND THROAT (ENT).- GENESEE VALLEY DERMATOLOGY AND LASER CENTRE PROVIDING PROCEDURES SUCH AS LASER HAIR REMOVAL AND MICRO-NEEDLING, GENERAL DERMATOLOGY SERVICES INCLUDING SKIN CONDITION TREATMENTS AND DETECTION OF SKIN CANCERS AS WELL AS NON-INVASIVE COSMETIC PROCEDURES SUCH AS COOL-SCULPTING AND MEDICAL PEELS.- GENESEO MEDICAL CAMPUS - A ONE-STOP FACILITY OFFERING MORE THAN A DOZEN NEW AND EXISTING SPECIALTY SERVICES INCLUDING: URGENT CARE, IMAGING, NEUROSURGERY, NEUROLOGY, PAIN MANAGEMENT, ORTHOPEDICS, VASCULAR, NEPHROLOGY, RHEUMATOLOGY, AND INFECTIOUS DISEASE. WITH MANY RURAL PATIENTS FACING LONG DRIVES TO FIND CARE, THIS CAMPUS WILL REDUCE THIS BURDEN FOR THE GENESEO AND SURROUNDING COMMUNITIES. - ROCHESTER REGIONAL VEIN TREATMENT CENTER - PROVIDING MINIMALLY INVASIVE TREATMENTS FOR ALL VENOUS DISEASE, WITH A SPECIAL FOCUS ON VARICOSE VEINS AND SPIDER VEINS.- THE PELVIC HEALTH CENTER PROVIDES WOMEN A PERSONALIZED, INTEGRATED APPROACH FOR THE MINIMALLY OR NON-INVASIVE TREATMENT OF PELVIC ISSUES, INCLUDING INCONTINENCE, MENSTRUAL DISORDERS, VULVOVAGINAL DISORDERS, PELVIC PAIN, PELVIC ORGAN PROLAPSE, AND PAIN DURING INTERCOURSE. - ROCHESTER REGIONAL HEALTH EYE CARE (FORMERLY ROCHESTER EYE ASSOCIATES) - SIX BOARD-CERTIFIED OPHTHALMOLOGISTS AND LICENSED OPTOMETRISTS, OFFERING SERVICES IN ALL ASPECTS OF MEDICAL AND SURGICAL OPHTHALMOLOGY, INCLUDING LASIK SURGERY.- ROCHESTER REGIONAL CENTER FOR GERD & FOREGUT DISORDERS - A NEW SPECIALTY PROGRAM THAT TREATS A RANGE OF ESOPHAGEAL AND UPPER GASTROINTESTINAL (GI) CONDITIONS, FROM GASTROESOPHAGEAL REFLUX DISEASE (GERD) TO ESOPHAGEAL CANCER. THE CENTER IS THE FIRST COMPREHENSIVE, MULTIDISCIPLINARY PROGRAM OF ITS KIND IN THE ROCHESTER REGION. THIS INITIATIVE IS A COLLABORATIVE EFFORT BRINGING TOGETHER EXPERTS FROM GASTROENTEROLOGY, BARIATRIC AND GENERAL SURGERY, AND CARDIOTHORACIC SURGERY TO DEVELOP A UNIQUE AND COMPREHENSIVE TREATMENT PLAN FOR EACH PATIENT.- ROCHESTER REGIONAL'S CANCER PAIN & REHABILITATION PROGRAM AT LIPSON CANCER INSTITUTE IS THE FIRST EMBEDDED, COMPREHENSIVE PROGRAM OF ITS KIND IN THE REGION. CANCER PAIN & REHABILITATION PROVIDES A PERSONALIZED, INTEGRATED APPROACH THAT BRINGS TOGETHER PALLIATIVE MEDICINE WITH REHABILITATION MEDICINE TO MANAGE CANCER PAIN AND ASSOCIATED SYMPTOMS, ALLOWING IMPROVED PATIENT FUNCTION AND QUALITY OF LIFE. THE PROGRAM IS BUILT ON COLLABORATION INVOLVING EXPERTS FROM PALLIATIVE MEDICINE, ONCOLOGY, PHYSICAL MEDICINE & REHABILITATION AND PAIN MEDICINE TO DEVELOP PERSONALIZED PAIN MANAGEMENT PLANS, AND PROVIDE ROUTINE ASSESSMENTS TO ENSURE THATTHROUGHOUT EACH STAGE OF THE DISEASEEVERY PATIENT'S PAIN IS MANAGED EFFECTIVELY. THE GOAL OF THE PROGRAM IS TO SUPPORT THE PATIENT AND THEIR FAMILY WHILE LIVING WITH A SERIOUS ILLNESS.- ROCHESTER REGIONAL IMPLEMENTED A NEW HIGH-SENSITIVITY TROPONIN (HST) LAB ASSAY THAT CAN DETECT VERY LOW LEVELS OF THE CARDIAC ENZYME TROPONIN T, WHICH PRESENCE IN THE BLOOD CAN INDICATE A HEART ATTACK. HST IS THE NEW EMERGING BEST PRACTICE. PROMPT INITIAL TESTING, AND TIMED FOLLOW-UP TESTING OF CHANGES IN TROPONIN LEVELS, HELPS PROVIDERS ASSESS MYOCARDIAL INJURY AND RULE IN OR OUT ACUTE CORONARY SYNDROME MUCH EARLIER THAN PREVIOUS TESTS COULD. - ADVANCES IN CLINICAL MEDICAL RESEARCH ROCHESTER REGIONAL HAS LAUNCHED AN INNOVATIVE NEW OPEN ACCESS MEDICAL JOURNAL, ADVANCES IN CLINICAL MEDICAL RESEARCH & HEALTHCARE DELIVERY (ACMRHD).

PART VI, LINE 6 (CON'T):
"- TO SUPPORT THEIR COMMITMENT TO MEDICAL EDUCATION, ROCHESTER REGIONAL HAS BROADENED ITS PARTNERSHIP WITH LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM), THE NATION'S LARGEST MEDICAL SCHOOL. ROCHESTER REGIONAL HEALTH WILL BECOME THE MEDICAL SCHOOL'S LARGEST CLINICAL CAMPUS. THIS WILL HELP PAVE THE WAY FOR THE FUTURE OF HEALTHCARE IN THE REGION, SECURING A STEADY, LOCALLY TRAINED SUPPLY OF FUTURE PHYSICIANS. THIS EXPANDED PARTNERSHIP WILL DRAMATICALLY INCREASE CLINICAL ROTATIONS ACROSS ROCHESTER REGIONAL HEALTH WITH APPROXIMATELY 100 THIRD AND FOURTH YEAR STUDENTS ON CLINICAL ROTATIONS THROUGHOUT THE HEALTH SYSTEM EACH MONTH. THE PARTNERSHIP PROVIDES LECOM STUDENTS WITH EXCEPTIONAL, HANDS-ON TRAINING WHILE ENABLING THE HEALTH SYSTEM TO STRENGTHEN ACCESS TO CARE IN HISTORICALLY UNDERSERVED AREAS.- THE SECURITY OF PATIENT INFORMATION IS A ROCHESTER REGIONAL HEALTH COMMITMENT AND REGULATORY OBLIGATION. AS THE HEALTH SYSTEM EXPANDS AND A GROWING NUMBER OF AFFILIATES AND STAFF UTILIZE CARECONNECT (OUR SYSTEM-WIDE ELECTRONIC MEDICAL RECORD OR EMR), ROCHESTER REGIONAL IS STRENGTHENING INFORMATION SECURITY TO PROTECT OUR EMPLOYEES AND PATIENT INFORMATION. RRH IMPLEMENTED PROTENUS, A LEADING SOFTWARE TOOL, WHICH USES ARTIFICIAL INTELLIGENCE TO QUICKLY, EFFICIENTLY, AND PRECISELY DETECT IMPROPER EMR ACCESS. THE USE OF SUCH AUDITING AND MONITORING SOFTWARE IS EMBRACED AS A HEALTH CARE INDUSTRY BEST PRACTICE, AND FURTHER EXTENDS ROCHESTER REGIONAL'S ALREADY ROBUST PRIVACY AND INFORMATION SECURITY TOOLS.2021 CONTINUED TO BE A CHALLENGING YEAR WITH THE CONTINUATION AND SPREAD OF COVID-19. WHEN COVID-19 CAME TO NYS AND SPECIFICALLY INTO THE SERVICE AREA OF ROCHESTER REGIONAL, THE ORGANIZATION RESPONDED BY TAKING MEASURES TO ENSURE THE SAFETY OF PATIENTS, TEAM MEMBERS AND THE BROADER COMMUNITY. THE ACTIONS CONTINUED INTO 2021 AND INCLUDED:- BASED ON NEW GUIDANCE FROM THE NYS DEPARTMENT OF HEALTH (NYSDOH), ROCHESTER REGIONAL HEALTH EXPANDED ITS PATIENT VACCINATION CLINICS TO INCLUDE PATIENTS WHO ARE 65 YEARS AND OLDER.- ROCHESTER REGIONAL CONTINUED TO SPONSOR A TOTAL OF 8 TESTING SITES INCLUDING BOTH DRIVE THRU AND IN-HOUSE OPTIONS OPEN TO PATIENTS, STAFF AND THE COMMUNITY. - ROCHESTER REGIONAL PARTICIPATED IN SEVERAL COVID-19 CLINICAL AND VACCINE TRIALS.- ROCHESTER REGIONAL HEALTH'S 25 FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) HAVE BEEN AWARDED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO EXPAND ACCESS AND ENHANCE COVID-19 VACCINATION RATES. THE AWARD IS PART OF THE AMERICAN RESCUE PLAN TO ACCELERATE U.S. RECOVERY FROM COVID-19 AND ITS ECONOMIC IMPACTS. HRSA-FUNDED FQHCS ARE COMMUNITY-BASED AND PATIENT-DIRECTED ORGANIZATIONS THAT DELIVER AFFORDABLE, ACCESSIBLE, HIGH QUALITY, AND COST-EFFECTIVE PRIMARY HEALTH CARE TO MEDICALLY UNDERSERVED COMMUNITIES AND VULNERABLE POPULATIONS. - ROCHESTER REGIONAL PROVIDED ONGOING EDUCATION REGARDING COVID-19 AND VACCINE ON MULTIPLE PLATFORMS INCLUDING: SOCIAL MEDIA, WEBSITE, MYCARE PATIENT PORTAL, PHONE MESSAGING, E-NEWSLETTER. MORE SPECIFICALLY: - RRH'S ""HEALTH HIVE,"" AN ONLINE PORTAL OF ARTICLES AND HELPFUL HINTS IN DEALING WITH THE PANDEMIC CHALLENGES AS WELL AS OTHER HEALTH RELATED TOPICS. DURING 2021, 75 ARTICLES WERE PUBLISHED, 25 RELATING TO COVID COVERING AREAS THAT INCLUDED: HOW TO SLOW THE SPREAD; HOW TO KEEP YOU AND YOUR FAMILY SAFE; IMPACT OF COVID ON VARIOUS TYPES OF UNDERLYING CONDITIONS; VACCINATION INFORMATION AND MANY OTHERS. - RRH PARTICIPATED IN OVER 350 NEWS ARTICLES, SPECIAL REPORTS, AND INTERVIEWS OVER A VARIETY OF MEDIUMS INCLUDING TV, RADIO AND PRINTED NEWS ARTICLES. ADDITIONALLY, RRH MADE OVER 2,500 SOCIAL MEDIA POSTS ACROSS MULTIPLE PLATFORMS INCLUDING FACEBOOK, INSTAGRAM, TWITTER AND LINKEDIN. - THE ROCHESTER REGIONAL HEALTH DIVERSITY, EQUITY AND INCLUSION OFFICE HOSTED COMMUNITY CONVERSATIONS WITH VARIOUS COMMUNITY AND CHURCH GROUPS. ATTENDEES HAVE JOINED FROM ROCHESTER AND ALSO THROUGHOUT OTHER PARTS OF THE US. - RRH ESTABLISHED AND CONTINUES TO MAINTAIN COLLABORATIVE PARTNERSHIPS TO ENSURE THOSE MOST VULNERABLE IN THE COMMUNITY ARE WELL SERVED INCLUDING: - COMMUNITY 1A ELIGIBLE DRIVE-THRU CLINIC; IN PARTNERSHIP WITH FINGER LAKES VACCINE HUB - FQHC AND SAFETY NET POPULATIONS - POP-UP CLINIC FOR LATINX COMMUNITY AT THE JACKSON R-CENTER (COMMUNITY RECREATION CENTER) - ONGOING SUPPORT FOR LOCAL HEALTH DEPARTMENT RUN CLINICS, SUCH AS GENESEE COUNTY AND WAYNE COUNTY - TONAWANDA RESERVATION PARTNERSHIP - GENESEE COMMUNITY COLLEGE CLINIC - REGIONAL HEALTH REACH PROGRAMDURING 2021 ROCHESTER REGIONAL HEALTH WAS RECOGNIZED BY THE FOLLOWING:- COMMUNITY PARTNERSHIP AWARD FROM THE LOUIS S. WOLK JEWISH COMMUNITY CENTER OF ROCHESTER (JCC). SINCE 2019, RRH AND JCC HAVE PARTNERED TO BRING HEALTH AND WELLNESS SERVICES TO JCC MEMBERS. RRH CONTINUES TO BE AN UNWAVERING PARTNER AND RESOURCE TO THE JCC THROUGHOUT THE PANDEMIC. - TEN ROCHESTER REGIONAL HEALTH EMPLOYEES WERE NAMED A 2021 HEALTH CARE HERO BY THE ROCHESTER BUSINESS JOURNAL. THESE HEROES WERE HONORED DURING A VIRTUAL CEREMONY IN MAY FOR THEIR EXCELLENCE AND EFFORTS IN MAKING A SIGNIFICANT IMPACT ON THE QUALITY OF HEALTH CARE IN THE AREA. IN ADDITION, THE SANDS-CONSTELLATION CENTER FOR CRITICAL CARE HAS BEEN RECOGNIZED AS A HERO IN HEALTH CARE INNOVATION.- ROCHESTER REGIONAL HEALTH WAS RECENTLY NAMED A FOUNDING MEMBER OF THE AMERICAN COLLEGE OF LIFESTYLE MEDICINE'S NEW HEALTH SYSTEMS COUNCIL, A GROUP OF 20 HEALTH SYSTEMS READY TO PIONEER THE INTEGRATION OF LIFESTYLE MEDICINE INTO HEALTH CARE DELIVERY. LIFESTYLE MEDICINE IS DESIGNED TO HELP PATIENTS USE HEALTHY DIET, PHYSICAL ACTIVITY, RESTORATIVE SLEEP, STRESS MANAGEMENT, AVOIDANCE OF RISKY SUBSTANCES, AND POSITIVE SOCIAL CONNECTION TO HELP PREVENT, TREAT AND EVEN REVERSE CHRONIC LIFESTYLE-RELATED CONDITIONS, INCLUDING OBESITY, DIABETES, AND HYPERTENSION.- RESEARCHERS FROM ROCHESTER REGIONAL HEALTH WERE HONORED AT THE AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS ANNUAL SCIENTIFIC CONFERENCE FOR THEIR SCIENTIFIC PAPER, ""PREDICTIVE VALUE OF MRSA NARES COLONIZATION IN DIABETIC FOOT INFECTIONS: A SYSTEMATIC REVIEW AND BIVARIATE RANDOM EFFECTS META-ANALYSIS."" OUT OF MORE THAN 150 RESEARCH PAPERS SUBMITTED, ONLY SIX WERE SELECTED FOR RECOGNITIONTHE BEST OF THE BEST FROM TOP ORGANIZATIONS NATIONWIDE. - THE HEALTHCARE DIVERSITY COUNCIL GRANTED ROCHESTER REGIONAL HEALTH A TOP 3 HEALTHCARE DIVERSITY ORGANIZATIONS AWARD. THE COUNCIL COMMENDED ROCHESTER REGIONAL'S DIVERSITY, EQUITY & INCLUSION (DEI) INITIATIVES TO REDUCE HEALTHCARE DISPARITIES IN UNDERSERVED COMMUNITIES; RECRUIT AND RETAIN A DIVERSE WORKFORCE; AND IMPLEMENT COMMUNITY CONVERSATIONS SURROUNDING COVID-19. THE HEALTHCARE DIVERSITY COUNCIL IS AN ORGANIZATION DEVOTED TO PROMOTING AN INCLUSIVE ENVIRONMENT OF CARE AT MEDICAL INSTITUTIONS NATIONWIDE. - RRH WAS AWARDED THE ""SYSTEM FOR CHANGE"" HONOR FROM PRACTICE GREENHEALTH, THE LEADING US MEMBERSHIP ORGANIZATION FOR SUSTAINABLE HEALTH CARE. ROCHESTER REGIONAL UNDERSTANDS THAT A HEALTHY ENVIRONMENT IS ESSENTIAL FOR A HEALTHY COMMUNITY AND IS REDUCING WASTE, ELIMINATING TOXINS, AND CREATING A MORE SUSTAINABLE COMMUNITY NOW AND FOR THE FUTURE. PRACTICE GREENHEALTH RECOGNIZED RRH FOR THEIR ONGOING COMMITMENT TO IMPROVING ENVIRONMENTAL PERFORMANCE AND EFFORTS TO BUILD SUSTAINABILITY INTO THE INSTITUTIONAL OPERATIONS. - ROCHESTER REGIONAL HEALTH IS ONE OF EIGHT ORGANIZATIONS WORLDWIDE TO BE RECOGNIZED BY GENESYS FOR ITS CUSTOMER INNOVATION AWARDS. RRH EARNED THE CX MOVER AWARD FOR THEIR CLOUD IMPLEMENTATION WITH GENESYS. WHEN THE PANDEMIC FIRST EMERGED, RRH MOVED SEVERAL KEY DEPARTMENTS TO THE CLOUD, ALLOWING HUNDREDS OF STAFF TO BEGIN PRODUCTIVELY WORKING REMOTELY ALMOST OVERNIGHT, AS WELL AS CREATING FOCUSED PHONE LINES, INCLUDING THE EMPLOYEE COVID-19 HOTLINE.- ROCHESTER REGIONAL HEALTH'S SPECIALTY PHARMACY EARNED A THREE-YEAR ACCREDITATION FROM THE UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC). THIS TREMENDOUS ACCOMPLISHMENT DEMONSTRATES THE SPECIALTY PHARMACY TEAM'S DEDICATION TO PATIENT EDUCATION, SAFETY, OUTCOMES, AND HIGH-QUALITY CARE AS WELL AS ITS COMMITMENT TO FOLLOWING INDUSTRY BEST PRACTICES. THIS NEWS COMES JUST ONE YEAR AFTER THE SPECIALTY PHARMACY RECEIVED ACCREDITATION FROM THE ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) IN NOVEMBER 2020.THROUGH THESE ACCREDITATIONS, SPECIALTY PHARMACY WILL CONTINUE TO STRENGTHEN ITS SERVICES FOR PATIENTS WITH CHRONIC AND COMPLEX CONDITIONS."

PART VI, LINE 6 (CON'T):
"- RRH RECEIVED STAGE 7 VALIDATION FROM THE HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY (HIMSS) FOR UNITED MEMORIAL MEDICAL CENTER AND UNITY SPECIALTY HOSPITAL AND REVALIDATION FOR CLIFTON SPRINGS HOSPITAL & CLINIC, NEWARK-WAYNE COMMUNITY HOSPITAL, ROCHESTER GENERAL HOSPITAL AND UNITY HOSPITAL. THE STAGE 7 AWARD REPRESENTS THE HEALTH SYSTEM'S COMMITMENT TO OPTIMIZING CARECONNECT, OUR ELECTRONIC MEDICAL RECORD (EMR) ALONG WITH A HIGH LEVEL OF CLINICIAN ENGAGEMENT AND USE OF ANALYTICS TO DRIVE CARE AND SEAMLESSLY TRANSITION PATIENTS THROUGHOUT ALL PHASES OF CARE. STAGE 7 IS THE INDUSTRY'S HIGHEST STANDARD IN EVALUATING HOSPITALS ON THEIR UTILIZATION OF EMR FUNCTIONS. ONLY 220 ACUTE CARE FACILITIES NATIONWIDE HAVE EARNED THIS COVETED DESIGNATION, AND IN NEW YORK STATE ALONE, ROCHESTER REGIONAL HEALTH ACCOUNTS FOR OVER A THIRD OF THE NUMBER OF STAGE 7 HOSPITALS.- FOR THE FOURTH YEAR IN A ROW, THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) HAS AWARDED RRH ITS ""DIGITAL HEALTH MOST WIRED"" QUALITY CERTIFICATION. RRH HAS BEEN NAMED A LEVEL 8 ORGANIZATION FOR ACUTE AND AMBULATORY CARE AND FOR THE FIRST TIME, RRH ACHIEVED LEVEL 9 STATUS IN LONG TERM CARE. CHIME GRANTS ""MOST WIRED"" RECOGNITION TO THE NATION'S TOP DRIVERS OF DIGITAL HEALTH CARE INNOVATION. PARTICIPANTS ACHIEVING LEVELS 7 OR MORE OUT OF A POSSIBLE 10 EARN CERTIFICATION AS HIGH ACHIEVERS. RRH IS THE ONLY HEALTH SYSTEM IN WESTERN NEW YORK TO BE CERTIFIED AS A HIGH ACHIEVER.- FOR THE SECOND YEAR IN A ROW, ROCHESTER REGIONAL HEALTH HAS BEEN NAMED A SCREENING CENTER OF EXCELLENCE (SCOE) BY THE GO2 FOUNDATION FOR LUNG CANCER FOR THEIR ONGOING COMMITMENT TO RESPONSIBLE LUNG CANCER SCREENING. LUNG CANCER REMAINS THE LEADING CAUSE OF CANCER DEATHS IN THE US, BUT WITH LOW DOSE COMPUTED TOMOGRAPHY (LDCT) SCANS, LUNG CANCER CAN BE DETECTED IN ITS EARLY STAGES, WHEN IT'S EASIER TO TREAT AND CURE. RRH'S LUNG CANCER SCREENING PROGRAM PROVIDES QUICK, PAINLESS, NON-INVASIVE SCANS, PROVEN TO BE THE BEST WAY TO DETECT LUNG CANCER EARLY, AND COMPLIES WITH COMPREHENSIVE STANDARDS BASED ON BEST PRACTICES IN THE INDUSTRY.- LONG AN INDUSTRY LEADER IN ENVIRONMENTAL SUSTAINABILITY, RRH HAS EARNED U.S. ENVIRONMENTAL PROTECTION AGENCY ENERGY STAR CERTIFICATION FOR SUPERIOR ENERGY EFFICIENCY AT RIEDMAN CAMPUS. THE BUILDING'S SCORE OF 80 MEANS THAT RIEDMAN CAMPUS IS MORE ENERGY EFFICIENT THAN 80 PERCENT OF SIMILAR PROPERTIES NATIONWIDE! IT'S CURRENTLY THE ONLY OFFICE BUILDING IN THE ROCHESTER REGION TO ACHIEVE THIS RECOGNITION IN 2021.OTHER ACCOMPLISHMENTS IN 2021 INCLUDE:- IN COMPLIANCE WITH A NEW 2021 FEDERAL LAW, RRH HAS POSTED A MASTER LIST OF CHARGES AND CONTRACT RATES ON THEIR WEBSITE FOR PROVIDED ITEMS AND SERVICES. A NEW PATIENT ESTIMATES SELF-SERVICE TOOL WAS ALSO LAUNCHED TO PROVIDE REAL-TIME ESTIMATES FOR PATIENTS THAT DETAILS THEIR OUT-OF-POCKET RESPONSIBILITY. RRH PROVIDES QUALITY CARE TO PATIENTS, REGARDLESS OF ABILITY TO PAY AND IS COMMITTED TO TREATING ALL PATIENTS WITH COMPASSION AND PROVIDING THEM WITH EXCELLENT CARE THROUGH THE ENTIRE HEALTHCARE EXPERIENCE.- ROCHESTER REGIONAL HEALTH UNDERSTANDS THE IMPORTANCE OF STRINGENT PATIENT SAFETY MEASURES TO PROTECT THOSE WHO RELY ON THE SYSTEM FOR CARE. RRH SUCCESSFULLY IMPLEMENTED AN AMBITIOUS SYSTEM-WIDE POSITIVE PATIENT IDENTIFICATION (PPID) PROCESS, AND ALL IMPACTED INPATIENT NURSING UNITS RECENTLY ACHIEVED THEIR GOALS. A CORNERSTONE OF PATIENT SAFETY, PPID MEANS POSITIVE PATIENT IDENTIFICATION TO ENSURE THAT LABORATORY SPECIMENS ARE ATTRIBUTED TO THE CORRECT PATIENT THROUGHOUT A CLOSED LOOP PROCESS: FROM ORDERING TO LABORATORY PROCESSING AND REPORTING. IT INCLUDES BEDSIDE SCANNING OF THE PATIENT'S WRISTBAND AND THE SPECIMEN TUBE DURING COLLECTION. - IN MARCH 2021, RRH'S NEW DETERIORATION INDEX PREDICTIVE ANALYTICS TOOL WAS LAUNCHED TO HELP CLINICAL TEAMS MORE QUICKLY IDENTIFY PATIENTS AT RISK AND TAKE APPROPRIATE ACTION. THE DETERIORATION INDEX IS A SCORE THAT ASSESSES THE RISK OF DETERIORATION IN HOSPITALIZED ADULT PATIENTS. IT AUTO UPDATES EVERY 20 MINUTES BASED ON VITAL SIGNS, NURSING ASSESSMENTS, AND LAB PARAMETERS. THE TOOL SENDS REAL-TIME ALERTS TO NURSING TEAMS WHEN A PATIENT'S CONDITION CHANGES, ALLOWING EARLIER ASSESSMENT, AND, IF APPROPRIATE, OPPORTUNITY FOR INTERVENTION.- RRH IS NOW OFFERING TYTOCARE, A HAND-HELD MEDICAL EXAMINATION KIT THAT ALLOWS PROVIDERS TO GUIDE PATIENTS THROUGH MEDICAL EXAMS FROM THE COMFORT OF THEIR HOME, IN REAL-TIME. WHEN LINKED TO THE APP, THIS NEW TELEMEDICINE DEVICE CAN CAPTURE HEART AND LUNG SOUNDS, BODY TEMPERATURE, HEART RATE AND VIDEOS OR IMAGES OF INNER EARS, SKIN AND THROAT. THIS ENABLES PATIENTS TO SKIP THE WAITING ROOM AND RECEIVE ACCURATE DIAGNOSES AND TREATMENTS, INCLUDING PRESCRIPTIONS, FOR MANY COMMON CONDITIONS.ROCHESTER GENERAL HOSPITAL (RGH), THE FLAGSHIP OF ROCHESTER REGIONAL HEALTH, IS A REGIONAL LEADER IN HEALTH CARE. THIS 528-BED ACUTE CARE, TEACHING HOSPITAL SERVES THE GREATER ROCHESTER, NY REGION AND BEYOND. ROCHESTER GENERAL HOSPITAL'S NATIONALLY RECOGNIZED PROGRAMS HAVE CONSISTENTLY DEMONSTRATED QUALITY OUTCOMES THAT POSITIVELY IMPACT PATIENTS, THEIR FAMILIES AND THE ENTIRE COMMUNITY. ROCHESTER GENERAL PROVIDES CARE TO MORE MONROE COUNTY RESIDENTS THAN ANY OTHER HOSPITAL IN THE REGION AND, AS A TERTIARY CARE FACILITY, HAS STRONG REFERRAL RELATIONSHIPS WITH SEVERAL REGIONAL HOSPITALS. ROCHESTER GENERAL OFFERS A FULL ARRAY OF SERVICES TO MEET THE MEDICAL NEEDS OF UPSTATE NEW YORK, INCLUDING NATIONALLY RECOGNIZED PROGRAMS IN CARDIAC, CANCER, ORTHOPEDIC, VASCULAR, SURGICAL, STROKE AND DIABETES CARE. RGH IS HOME TO A NUMBER OF CENTERS OF EXCELLENCE INCLUDING THE LIPSON CANCER INSTITUTE AND THE SANDS-CONSTELLATION HEART INSTITUTE. HIGH QUALITY CLINICAL CARE PROVIDED AT ROCHESTER GENERAL IS AMPLIFIED BY RELATIONSHIPS AND AFFILIATIONS WITH NATIONALLY RENOWNED INSTITUTIONS SUCH AS THE CLEVELAND CLINIC (FOR CARDIAC CARE) AND ROSWELL PARK CANCER INSTITUTE.AS WITH THE OVERALL HEALTH SYSTEM, ROCHESTER GENERAL HOSPITAL WORKS TIRELESSLY TO EXPAND CARE AND IMPROVE ITS FACILITIES AND BRING STATE-OF-THE-ART MEDICAL EQUIPMENT AND PROCEDURES TO OUR PATIENTS AND COMMUNITY. DURING 2021 SOME OF THE MAJOR IMPROVEMENTS INCLUDE THE FOLLOWING:- THE INAUGURAL CLASS OF STUDENTS AT THE ROCHESTER GENERAL COLLEGE OF HEALTH CAREERS ENROLLED IN THE NURSING ASSOCIATE OF APPLIED SCIENCE (AAS) PROGRAM TO PREPARE THEM FOR A CAREER IN NURSING BY BUILDING UPON THE KNOWLEDGE AND SKILLS THAT A LICENSED PRACTICAL NURSE POSSESSES, WHILE FOCUSING ON THE ROLE TRANSITION TO REGISTERED NURSE.- ROCHESTER GENERAL HOSPITAL IS THE FIRST HOSPITAL IN UPSTATE NEW YORK TO USE THE GORE EXCLUDER CONFORMABLE AAA ENDOPROSTHESIS WITH ACTIVE CONTROL SYSTEM. THIS SYSTEM IS A FIRST OF ITS KIND TREATMENT OPTION FOR PATIENTS WHO REQUIRE ENDOVASCULAR ANEURYSM REPAIR, WHICH IF LEFT UNTREATED IS THE RESULT OF A RUPTURED ANEURYSM, A LEADING CAUSE OF DEATH IN THE UNITED STATES. THE NEW FORM OF TREATMENT FOR AN ABDOMINAL AORTIC ANEURISM (AAA) IS COMPRISED OF A CONFORMABLE STENT GRAFT, ENHANCED DEVICE POSITIONING AND OPTIONAL ANGULATION CONTROL. THIS GIVES PHYSICIANS MORE CONTROL, REDUCES THE RISK FOR COMPLICATIONS AND SIGNIFICANTLY CUTS DOWN A PATIENT'S HOSPITAL RECOVERY PERIOD. - TWO OBSTETRICAL OPERATING ROOMS HAVE BEEN TEMPORARILY RELOCATED TO KICK OFF PHASE 1 OF CONSTRUCTION AND RENOVATION OF THE THIRD FLOOR WOMEN'S HEALTH LABOR & DELIVERY DEPARTMENT. THE PROJECT INCLUDES OPERATING ROOM UPGRADES AND ALL NEW TRIAGE BAYS, HIGH-RISK OBSERVATION ROOMS, LABOR & DELIVERY ROOMS, AND RECOVERY ROOMS. CONSTRUCTION IS SLATED TO BE COMPLETE IN 2022. - ROCHESTER GENERAL HOSPITAL NOW HAS A DEDICATED CARDIAC INTENSIVE CARE UNIT (CICU), STAFFED BY CARDIAC-TRAINED PROVIDERS AND NURSES. LOCATED ON THE SECOND FLOOR (2100 UNIT) OF THE HOSPITAL, THE NEW CICU SPACE WILL ENABLE THE EXPERT TEAM TO ADVANCE CARE FOR CRITICALLY ILL CARDIAC PATIENTS. THE CICU WILL GRADUALLY EXPAND TO INCLUDE UP TO 12 BEDS.DURING 2021 ROCHESTER GENERAL HOSPITAL WAS RECOGNIZED BY THE FOLLOWING:- FOR THE THIRD CONSECUTIVE YEAR, ROCHESTER GENERAL HOSPITAL HAS BEEN NAMED AMONG AMERICA'S TOP 50 HOSPITALS BY HEALTHGRADES, A LEADING INDEPENDENT RATINGS COMPANY. THIS PLACES RGH AS THE ONLY HOSPITAL IN UPSTATE NEW YORK TO RANK AMONG THE TOP 1% NATIONWIDE IN OVERALL CLINICAL EXCELLENCE AND SUPERIOR CLINICAL OUTCOMES. EVEN UNDER THE EXTREME CHALLENGES OF FIGHTING THE PANDEMIC, THIS AWARD IS REPRESENTATIVE OF HOW ALL OF TEAMS ACROSS THE HEALTH SYSTEM HAVE SET HIGHER STANDARDS OF CARE. TO ARRIVE AT ITS 2021 RANKINGS, HEALTHGRADES USED THREE YEARS OF MEDICARE PATIENT DATA TO EVALUATE THE PERFORMANCE OF NEARLY 4,500 HOSPITALS NATIONWIDE IN THE TREATMENT OF 32 CONDITIONS AND PROCEDURES INCLUDING HEART ATTACK, PNEUMONIA, AND SEPSIS. HEALTHGRADES FOUND PATIENTS TREATED AT A FACILITY DESIGNATED AS ONE OF ITS 2021 BEST HOSPITALS HAD A 27.4 PERCENT LOWER RISK OF DEATH COMPARED TO PATIENTS TREATED AT OTHER HOSPITALS."

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- ROCHESTER GENERAL HOSPITAL WAS NATIONALLY RECOGNIZED BY EXCELLUS BLUECROSS BLUESHIELD WITH A BLUE DISTINCTION CENTER+ FOR MATERNITY CARE.- ROCHESTER GENERAL HOSPITAL IS THE ONLY HOSPITAL IN WESTERN AND CENTRAL NEW YORK RECOGNIZED AS A CENTER OF EXCELLENCE BY THE HYPERTROPHIC CARDIOMYOPATHY ASSOCIATION (HCMA). THIS RECOGNITION REPRESENTS THE COLLABORATIVE EFFORT OF EXPERTS FROM DIFFERENT AREAS OF MEDICINE TO COME TOGETHER TO TREAT A SERIOUS DISEASE. - THE ROCHESTER GENERAL STROKE AND DIABETES TEAMS EARNED HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION FOR CONTINUING TO PROVIDE HIGH QUALITY CARE TO THE COMMUNITY. - ROCHESTER GENERAL HOSPITAL'S DIALYSIS QUALITY NURSES RECEIVED THE NEPHROLOGY NURSING COMMISSION'S 2021 QUALITY IMPROVEMENT AWARD FOR THEIR PROJECT THAT IMPROVED HEPATITIS B VACCINE RESPONSE BY SWITCHING FROM TRADITIONAL HEPATITIS B VACCINES TO HEPLISAV-B. MONITORING RESULTS FOR MORE THAN SIX MONTHS, THE TEAM SAW THE VACCINE RESPONSE RATE RISE FROM APPROXIMATELY 65% TO 75%. WITH THAT IMPROVEMENT, RGH HAS NOW TRANSITIONED DIALYSIS PATIENTS TO HEPLISAV-B FOR ALL HEPATITIS B VACCINES.- ROCHESTER GENERAL HOSPITAL WAS NAMED A GOLD CERTIFIED SAFE SLEEP CHAMPION BY CRIBS FOR KIDS. THIS IS THE HIGHEST DESIGNATION AND RECOGNIZES HOSPITALS THAT DEMONSTRATE A COMMITMENT TO REDUCING INFANT SLEEP-RELATED DEATHS THROUGH EDUCATION AND PROMOTION OF THE BEST SAFE SLEEP PRACTICES. ROCHESTER GENERAL MEDICAL GROUP (RGMG) OPERATES AS A DIVISION OF RGH. RGMG HAS MORE THAN 40 PRACTICES IN MONROE AND WAYNE COUNTIES WITH SPECIALTIES IN ALLERGY/RHEUMATOLOGY, DERMATOLOGY, DIABETES/ENDOCRINOLOGY, FAMILY MEDICINE, GERIATRICS, INTERNAL MEDICINE, NUTRITION & WEIGHT MANAGEMENT, ORTHOPEDICS, PEDIATRICS, PHYSICAL MEDICINE & REHABILITATION, VASCULAR SURGERY & VEIN CARE AND WOMEN'S HEALTH (OB/GYN). IN ADDITION TO HOSPITAL LOCATIONS, RGMG ALSO OPERATES TWO FULL-SERVICE OUTREACH CAMPUSES AT ALEXANDER PARK AND LINDEN OAKS.UNITY HOSPITAL (UH) IS A 471-BED RECENTLY RENOVATED HOSPITAL LOCATED IN THE TOWN OF GREECE. KEY PROGRAMS AND CENTERS INCLUDE CHEMICAL DEPENDENCY, BRAIN INJURY & REHABILITATION, JOINT REPLACEMENT CENTER, FAMILY BIRTH PLACE, SPINE CENTER, DIABETES CENTER, STROKE CENTER, AND EMERGENCY CENTER. UNITY HOSPITAL HAS CONTINUED TO EXPAND CARE AND IMPROVE ITS PATIENT FOCUSED SERVICES. DURING 2021 SOME OF THE MAJOR PROGRAM INITIATIVES INCLUDED THE FOLLOWING:- THE ROCHESTER REGIONAL HEALTH BEHAVIORAL HEALTH ACCESS AND CRISIS CENTER (BHACC), LOCATED ON THE UNITY HOSPITAL, ST. MARY'S CAMPUS, EXPANDED TO A 24/7 OPERATION IN 2021. BHACC OPENED IN OCTOBER 2018 AND SINCE THEN, THE TEAMS HAVE HELPED MORE THAN 3,400 PATIENTS IN THE FACILITY AND MORE THAN 830 THROUGH MOBILE RESPONSE EFFORTS. - RENOVATIONS TO MODERNIZE UNITY HOSPITAL'S IMAGING CAPABILITIES HAVE NOW COME TO FRUITION WITH ROBUST NEW CAPABILITIES. WITH THE SECOND OF TWO NEW 64-SLICE CT SCANNERS NOW OPERATIONAL, UNITY RADIOLOGY TEAMS CAN OFFER A WIDE RANGE OF INTERVENTIONAL PROCEDURES, INCLUDING BIOPSIES, DRAINAGES, AND ASPIRATIONS. THE INNOVATIVE PROJECT ENABLES THE TEAMS TO DELIVER HIGHER QUALITY IMAGING WHILE ENSURING FASTER TURNAROUND TIMES TO BETTER SERVE PATIENTS. AS PART OF THIS INCREDIBLE TRANSFORMATION, UNITY WILL SOON DEPLOY ROBUST STROKE IMAGING SOFTWARE (CT PERFUSION) EQUIPPED WITH RAPID AI TECHNOLOGY.- UNITY HOSPITAL HAS KICKED OFF CONSTRUCTION ON ANOTHER MAJOR UPGRADE OF ITS IMAGING DEPARTMENT. COMING IN EARLY 2022: NEW MRI MACHINE; NEW MODERNIZED RECEPTION AREA; ENHANCED STAFF AND ADMINISTRATION SPACES. THE RESULT WILL BE MORE-POWERFUL IMAGING CAPABILITIES, WHICH WILL HELP IMPROVE THE PATIENT EXPERIENCE.RECOGNITIONS AND AWARDS BESTOWED UPON UNITY HOSPITAL IN 2021 INCLUDE:- NATIONALLY RECOGNIZED BY EXCELLUS BLUECROSS BLUESHIELD WITH A BLUE DISTINCTION CENTER+ FOR MATERNITY CARE.- UNITY HOSPITAL IS THE FIRST IN THE NATION TO ACHIEVE LEVEL 1COMPREHENSIVE EXCELLENCE VERIFICATION STATUS FROM THE AMERICAN COLLEGE OF SURGEONS GERIATRIC SURGERY VERIFICATION PROGRAM (ACS GSV). THIS IS A TESTAMENT TO UNITY'S INDUSTRY-LEADING ROLE IN IMPROVING SURGICAL OUTCOMES FOR VULNERABLE GERIATRIC PATIENTS. IN 2019, THE GSV PROGRAM INTRODUCED 30 NEW SURGICAL STANDARDS DESIGNED TO SYSTEMATICALLY IMPROVE SURGICAL CARE AND OUTCOMES FOR OLDER ADULTS. BY IDENTIFYING GERIATRIC SURGERY PATIENTS AT HIGHER RISK OF DELIRIUM, FUNCTIONAL DECLINE, AND OTHER COMPLICATIONS, THESE STANDARDS HELP PATIENTS GET HOME SOONER AND IN BETTER SHAPE. UNITY HOSPITAL WAS ONE OF EIGHT HOSPITALS NATIONWIDE TO PILOT THE PROGRAM. NOW, IT'S THE FIRST TO ACHIEVE THE HIGHEST LEVEL OF ACS VERIFICATION. THIS IS EVEN MORE MEANINGFUL NOW AS COVID-19 BRINGS SPECIAL RISKS TO OLDER PATIENTS. - UNITY HOSPITAL ACHIEVED ITS FIRST MAGNET DESIGNATION ON AUGUST 20, ALONG WITH THREE EXEMPLARS FOR INDUSTRY-LEADING PERFORMANCE. FEWER THAN NINE PERCENT OF HOSPITALS IN THE U.S. ARE AWARDED MAGNETTHE INTERNATIONALLY RECOGNIZED GOLD STANDARD OF EXCELLENCE IN THE NURSING PROFESSIONBY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). UNITY NOW JOINS THE RANKS OF ROCHESTER GENERAL AND NEWARK-WAYNE COMMUNITY HOSPITALS TO REACH THIS MILESTONE. THE ANCC AWARDS MAGNET TO ORGANIZATIONS THAT PROVIDE THE HIGHEST QUALITY OF CARE. THE APPROVAL PROCESS INVOLVES A SITE VISIT AND INTERVIEWS, AS WELL AS QUALITY MEASURES THAT DEMONSTRATE COLLABORATION AMONGST TEAMS AND COORDINATION ACROSS SPECIALTIES. TO SUCCEED, NURSING TEAMS MUST HAVE PATIENT-FIRST QUALITIES HARD-WIRED INTO THEIR CULTURE AND VALUES. - UNITY RECEIVED PRIMARY STROKE CENTER CERTIFICATION FROM DNV HEALTHCARE. THE CERTIFICATION AFFIRMS UNITY'S COMMITMENT TO PROVIDING THE FULL SPECTRUM OF HIGH QUALITY STROKE CARE FROM DIAGNOSIS AND TREATMENT TO REHABILITATION AND EDUCATION. - THE INFECTIOUS DISEASES SOCIETY OF AMERICA (IDSA) HAS ONCE AGAIN (THIRD YEAR IN A ROW) DESIGNATED UNITY HOSPITAL AN ANTIMICROBIAL STEWARDSHIP CENTER OF EXCELLENCE FOR PROFESSIONAL EXCELLENCE IN STEWARDSHIP AND PROVIDING SIGNIFICANT SERVICE TO THE FIELD. THE IDSA IS A COMMUNITY OF MORE THAN 12,000 PHYSICIANS, SCIENTISTS, AND PUBLIC-HEALTH EXPERTS WHO SPECIALIZE IN INFECTIOUS BASED NATIONAL GUIDELINES TO IDENTIFY INSTITUTIONS THAT EFFECTIVELY OPTIMIZE ANTIMICROBIAL USE AND COMBAT ANTIMICROBIAL RESISTANCE. - THE STROKE AND DIABETES TEAMS AT UNITY EARNED HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION, AND FOR CONTINUING TO PROVIDE HIGH QUALITY CARE TO THE COMMUNITY. - THE UNITY HOSPITAL EMERGENCY OBSERVATION UNIT EARNED THE SILVER-LEVEL BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN). THIS IS THE FIRST EMERGENCY OBSERVATION UNIT IN THE NATION TO WIN A BEACONAN AMAZING HONOR AND TESTAMENT TO THE UNITY TEAM'S HARD WORK AND COMMITMENT TO SAFE, PATIENT-CENTERED, EVIDENCE-BASED CARE TO PATIENTS AND FAMILIES. BEACON AWARDS RECOGNIZE HOSPITAL UNITS THAT EXEMPLIFY EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE, AND OUTCOMES. RRH HOLDS 29 BEACON AWARDSTHE MOST OF ANY HOSPITAL SYSTEM IN THE COUNTRY.- THE HEALTHCARE ASSOCIATION OF NEW YORK STATE (HANYS) IS PUTTING THE SPOTLIGHT ON UNITY HOSPITAL FOR ITS SUCCESSFUL PROJECT TO INCREASE BREASTFEEDING RATES. BREASTFEEDING PROVIDES EXCEPTIONAL NUTRITIONAL AND IMMUNOLOGICAL BENEFITS TO NEWBORNS. TO PROMOTE BREASTFEEDING AND THEREBY IMPROVE CARE OUTCOMES, UNITY FORMED A MULTIDISCIPLINARY TASK FORCE TO IMPLEMENT TEN STEPS TO SUCCESSFUL BREASTFEEDING. THE RESULT WAS A 9.14% RISE IN BREASTFEEDING INITIATING RATESMORE THAN ENOUGH FOR UNITY TO ACHIEVE BABY FRIENDLY DESIGNATION. NOW, THE SUCCESSFUL PRENATAL BREASTFEEDING EDUCATION PROGRAM FOR PATIENTS IS ACTIVE ACROSS ALL RRH OB/GYN AND MIDWIFERY PRACTICES.- THE UNITY HOSPITAL JOINT REPLACEMENT CENTER RECEIVED THE ORTHOPEDIC CENTER OF EXCELLENCE DESIGNATION FROM DNV HEALTHCARE. THIS PARTICULAR DESIGNATION WAS OBTAINED BY ACHIEVING CERTIFICATION IN THREE ORTHOPEDIC SERVICE LINE PROGRAMS: HIP AND KNEE REPLACEMENT, SHOULDER SURGERY PROGRAM AND FOOT AND ANKLE SURGERY PROGRAM. UNITY MEDICAL GROUP OPERATES AS A DIVISION OF UNITY HOSPITAL. UNITY MEDICAL GROUP HAS 28 OFFICE- AND HOSPITAL-BASED LOCATIONS IN MONROE AND GENESEE COUNTY. THE SERVICES OFFERED BY UNITY MEDICAL GROUP INCLUDE GERIATRICS, PALLIATIVE CARE, SKILLED NURSING HOME SUPPORT, ENDOCRINOLOGY, DENTAL CARE, INTERNAL MEDICINE, PEDIATRICS, FAMILY MEDICINE, OBSTETRICS, GYNECOLOGY, PULMONARY SERVICES, SLEEP SERVICES, INFECTIOUS DISEASE TREATMENT, ORTHOPEDIC SPINE TREATMENT, PROGRESSIVE NEUROVASCULAR SERVICE WITH NEUROLOGY SPECIALTY OUTPATIENT CARE AND ENDOVASCULAR SURGICAL ACUTE CARE. THERE ARE ALSO A SPECIALIZED VASCULAR SURGERY GROUP AND NEPHROLOGY WITH COMPREHENSIVE DIALYSIS SERVICES.

PART VI, LINE 6 (CON'T):
NEWARK-WAYNE COMMUNITY HOSPITAL (NWCH) HAS SERVED GENERATIONS OF WAYNE COUNTY RESIDENTS SINCE 1957, AND MANY HAVE BECOME MEMBERS OF OUR GROWING HEALTHCARE FAMILY. WITH NEW, LEADING-EDGE MEDICAL TECHNOLOGY, A DIRECT PARTNERSHIP WITH ROCHESTER REGIONAL HEALTH, AND HIGHLY TRAINED STAFF, NWCH CONTINUES TO GROW IN EVERY ASPECT OF ITS HEALTHCARE DELIVERY. THE HOSPITAL IS LICENSED TO OPERATE 300 BEDS OFFERING SERVICES INCLUDING CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS AND PULMONARY CARE, AS WELL AS AN INNOVATIVE TELEMEDICINE PROGRAM. NWCH ALSO OFFERS A FULL ARRAY OF OUTPATIENT SERVICES INCLUDING AN EMERGENCY DEPARTMENT, CARDIAC REHABILITATION, LAB SERVICES, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, AND LAB DRAW STATIONS AND PATIENT IMAGING UNITS IN OTHER PARTS OF WAYNE COUNTY. IN 1997, NWCH ESTABLISHED THE WAYNE COUNTY RURAL HEALTH NETWORK (WCRHN) TO ENCOURAGE GREATER COLLABORATION AMONG HEALTH AND SOCIAL SERVICE AGENCIES WITHIN WAYNE COUNTY IN ORDER TO PROVIDE GREATER ACCESS TO NEEDED SERVICES AND TO DEVELOP INNOVATIVE PROGRAMS TO BETTER MEET IDENTIFIED NEEDS. WCRHN IS ONE OF 35 SUCH NETWORKS IN NYS. NWCH WAS CHOSEN AS A BENCHMARK IN THE SOCIOECONOMIC FACTORS CATEGORY OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) PUBLICATION, COMMUNITY CONNECTIONS: IDEAS & INNOVATIONS FOR HOSPITAL LEADERS: CASE EXAMPLES. ADDITIONALLY, NEWARK-WAYNE IS A NEW YORK STATE-DESIGNATED STROKE CENTER, A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) EXEMPLAR HOSPITAL. REHABILITATIVE AND LONG-TERM CARE SERVICES ARE PROVIDED THROUGH DEMAY LIVING CENTER, AN ATTACHED FACILITY.NWCH EXPANDED ACCESS TO SPECIALIZED SERVICES. BEGINNING IN MAY 2021 THORACIC SURGERY CONSULTS, ASSESSMENTS, AND FOLLOW-UP APPOINTMENTS WILL BE AVAILABLE ON SELECT DAYS EACH MONTH AT NEWARK-WAYNE COMMUNITY HOSPITAL.RECOGNITIONS, DESIGNATIONS AND AWARDS GRANTED TO NWCH IN 2021 INCLUDE:- THE POST-ANESTHESIA CARE UNITS (PACU) AT NEWARK WAYNE COMMUNITY HOSPITAL ONCE AGAIN RECEIVED THE AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION ACHIEVEMENT AWARD. THIS AWARD IS A TESTAMENT TO THE HIGH-QUALITY OF PATIENT CARE PROVIDED. THE PACU TEAMS RECEIVED THE PRESTIGIOUS, NATIONAL AWARD BECAUSE 75% OF THEIR ELIGIBLE PERIANESTHESIA NURSES ACHIEVED CPAN AND/OR CAPA CERTIFICATION.- NWCH EARNED THE 2021 WORKPLACE PARTNERSHIP FOR LIFE CAMPAIGN PLATINUM AWARD, THE HIGHEST HONOR FOR THIS NATIONAL INITIATIVE, RECOGNIZING EFFORTS TO RAISE AWARENESS AMONG EMPLOYEES, PATIENTS, VISITORS, AND THE COMMUNITY OF THE IMPORTANCE OF ENROLLING NEW ORGAN, EYE AND TISSUE DONORS. THROUGH MULTIPLE EVENTS AND AWARENESS EFFORTS, NWCH ENROLLED 370 NEW DONORS. - NWCH EARNED THE 2021 CERTIFIED NURSE OPERATING ROOM (CNOR) STRONG AWARD FROM THE COMPETENCY & CREDENTIALING INSTITUTE. THIS IS THE THIRD CONSECUTIVE YEAR THE TEAM HAS EARNED THE AWARD. THE NATIONAL DESIGNATION IS GIVEN TO FACILITIES WITH AT LEAST 50 PERCENT OF THEIR PERIOPERATIVE NURSING STAFF CNOR-CERTIFIED. RECEIVING THE DESIGNATION VALIDATES NEWARK-WAYNE NURSES' SPECIALIZED KNOWLEDGE AND SKILLS, AND IS A TESTAMENT TO THEIR COMMITMENT TO NURSING EXCELLENCE AND OUTSTANDING PATIENT CARE.- NWCH WAS NATIONALLY RECOGNIZED BY EXCELLUS BLUECROSS BLUESHIELD WITH A BLUE DISTINCTION CENTER+ FOR MATERNITY CARE DESIGNATION. THE TEAM RECEIVED THIS DISTINCTION FOR DELIVERING SAFE, HIGH-QUALITY CARE FOR ALL FAMILIES AND ENSURING A POSITIVE PATIENT EXPERIENCE.- NWCH RECEIVED LEVEL 3 BRONZE STANDARD ACCREDITATION AS PART OF THE GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION PROGRAM (GEDA) FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. THE GEDA PROGRAM RECOGNIZES EMERGENCY DEPARTMENTS THAT PROVIDE THE HIGHEST STANDARD OF CARE FOR OLDER ADULTS THROUGH SEVERAL MEASURES, INCLUDING ENHANCED EDUCATION, GERIATRIC-FOCUSED POLICIES AND PROTOCOLS THAT FOCUS ON TRANSITIONS OF CARE, QUALITY IMPROVEMENT EFFORTS, AND OPTIMAL PREPARATION OF THE PHYSICAL ENVIRONMENT.- NWCH WAS NAMED A PRIMARY STROKE CENTER BY DNV - THE CERTIFICATION AFFIRMS NEWARK-WAYNE'S COMMITMENT TO PROVIDING THE FULL SPECTRUM OF HIGH QUALITY STROKE CARE FROM DIAGNOSIS AND TREATMENT TO REHABILITATION AND EDUCATION. - THE STROKE AND DIABETES TEAMS AT NEWARK-WAYNE COMMUNITY HOSPITAL JOINED ROCHESTER GENERAL HOSPITAL, UNITED MEMORIAL MEDICAL CENTER AND UNITY HOSPITAL FOR EARNING HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION FOR CONTINUING TO PROVIDE HIGH QUALITY CARE TO THE COMMUNITY.- NEWARK-WAYNE COMMUNITY HOSPITAL'S MARSHALL BIRTHING CENTER RECEIVED THE BABY-FRIENDLY USA RE-DESIGNATION. THIS IS A TRIBUTE TO RRH'S COMMITMENT TO ENSURING THAT EVERY WOMAN WHO DELIVERS A BABY AT NEWARK-WAYNE RECEIVES THE RESOURCES AND INFORMATION NEEDED TO HELP MOM AND BABY GET THE BEST, HEALTHIEST START IN LIFE. BABY-FRIENDLY DESIGNATED HOSPITALS PROVIDE AN ENVIRONMENT THAT SUPPORTS BREASTFEEDING WHILE RESPECTING EVERYONE'S RIGHT TO MAKE THE BEST DECISION FOR THEIR FAMILY. ALL OF RRH'S LABOR AND DELIVERY HOSPITALS (NEWARK-WAYNE, ROCHESTER GENERAL, UNITED MEMORIAL, AND UNITY) ARE CERTIFIED AS BABY-FRIENDLY.CLIFTON SPRINGS HOSPITAL AND CLINIC (CSHC) IS A 262-BED HOSPITAL WITH A LEVEL OF TECHNOLOGY CONSISTENT WITH THAT OF LARGE URBAN HOSPITALS. THE MAIN HOSPITAL IS PHYSICALLY LOCATED IN CLIFTON SPRINGS, MIDWAY BETWEEN (BUT NORTH OF) GENEVA AND CANANDAIGUA. CSHC'S PRIMARY SERVICE AREA CONSISTS OF FOUR COUNTIES IN THE CENTRAL FINGER LAKES REGION OF UPSTATE NEW YORK: ONTARIO, WAYNE, SENECA AND YATES. CLIFTON SPRINGS HOSPITAL & CLINIC IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM PROVIDING GENERAL ACUTE CARE, PRIMARY CARE, NURSING HOME CARE, CANCER CARE, PROGRAMS FOR BEHAVIORAL HEALTH AND ADDICTION RECOVERY, AND SPECIALTY CARE TO RESIDENTS OF AND VISITORS TO THE CENTRAL FINGER LAKES REGION. THE FINGER LAKES COMMUNITY CANCER CENTER (FLCCC) IS LOCATED ON THE MAIN CAMPUS AND WAS THE FIRST FULL TREATMENT CANCER CENTER IN THE FINGER LAKES REGION. FLCCC PARTICIPATES IN CLINICAL TRIALS, OFFERS MONTHLY CANCER CONFERENCES, YEARLY SYMPOSIUMS AND SUPPORT GROUPS. THE FINGER LAKES RADIATION ONCOLOGY HAS ONE OF FIVE INTENSITY MODULATED RADIATION THERAPY UNITS IN NEW YORK STATE FOR TREATING PROSTATE CANCER. THE RADIOLOGY DEPARTMENT HAS THE LATEST TECHNOLOGY AND SOPHISTICATED EQUIPMENT FOR THE EARLY DETECTION OF CANCER AND OTHER DISEASES. THE BEHAVIORAL HEALTH DEPARTMENT IS THE AREA'S LARGEST AND HAS OFFERED MENTAL HEALTH AND ADDICTION RECOVERY SERVICES LONGER THAN ANY OTHER ORGANIZATION IN THE REGION. CSHC OFFERS NUMEROUS SUBSPECIALTIES INCLUDING BLOOD DISORDERS, RENAL DISEASE, DIABETES, AND REHABILITATION. IN ADDITION, THE SPRINGS OF CLIFTON IS AN INTEGRATED HEALTH CARE PROGRAM, COMBINING BOTH CONVENTIONAL AND ALTERNATIVE/COMPLEMENTARY MEDICINE. COMPLEMENTARY THERAPIES SUPPORT THE MAINTENANCE OF HEALTH AND WELL-BEING AND THE PROCESS OF HEALING AND INCLUDE ACUPUNCTURE, CHIROPRACTIC SERVICES, HYDROTHERAPY, MASSAGE THERAPY, NATUROPATHY, CHINESE MEDICINE, QI GONG, HERBOLOGY, AND REIKI THERAPEUTIC TOUCH. DURING 2021, PROGRESS CONTINUED ON THE MEDICAL VILLAGE AS WELL AS OTHER PROJECTS AT CLIFTON SPRINGS HOSPITAL & CLINIC WITH THE ADDITION OF:- DENTAL CARE FOR PATIENTS IN THE CLIFTON SPRINGS AREA JUST GOT MORE CONVENIENT WITH THE OPENING THIS WEEK OF ROCHESTER REGIONAL HEALTH DENTISTRY AT CLIFTON SPRINGS HOSPITAL & CLINIC. THE PRACTICE OFFERS BOTH ROUTINE AND SPECIALIZED SERVICES AROUND GENERAL DENTISTRY AND DENTAL HYGIENE. IN ADDITION, WHEN NECESSARY, PATIENTS CAN UNDERGO ORAL SURGERY IN THE SAME LOCATION.- THE SANDS-CONSTELLATION HEART INSTITUTE MOVED INTO ITS BRAND NEW OFFICE ON THE CLIFTON SPRINGS HOSPITAL & CLINIC CAMPUS. PATIENTS, PROVIDERS AND STAFF WILL NOW BENEFIT FROM BEAUTIFUL VIEWS, COMFORTABLE EXAM AND TESTING ROOMS, AND THE LATEST EQUIPMENT AND TECHNOLOGY. THE CLINICAL TEAM WILL MAKE SURE THE PEOPLE OF ONTARIO COUNTY HAVE ACCESS TO THE EXPERTISE AND INNOVATION OF THE SANDS-CONSTELLATION HEART INSTITUTE FOR YEARS TO COME.- CONSTRUCTION IS UNDERWAY FOR THE NEW EMERGENCY DEPARTMENT AT CLIFTON SPRINGS. THIS MODERNIZATION PROJECT WILL REPLACE THE CURRENT ED WITH A LARGER FACILITY EQUIPPED WITH THE LATEST TECHNOLOGY. IT WILL ALSO PROVIDE ADDITIONAL SPACE AND RESOURCES FOR THE HOSPITAL'S COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), THE ONLY PROGRAM OF ITS KIND IN THE RURAL FINGER LAKES COMMUNITIES. THIS TRANSFORMATION IS EXPECTED TO BE COMPLETE AROUND THE MIDDLE OF 2022.AS WITH ALL OF THE HOSPITAL AND PATIENT CARE FACILITIES UNDER THE RRH UMBRELLA, CSHC WORKS DILIGENTLY TO CONTINUOUSLY PROVIDE TOP-QUALITY CARE. DURING 2021, CSHC WAS THE RECIPIENT OF SEVERAL RECOGNITIONS AND AWARDS SHINING A LIGHT ON THESE EFFORTS INCLUDING:

PART VI, LINE 6 (CON'T):
"- THE POST-ANESTHESIA CARE UNITS (PACU) AT CLIFTON SPRINGS HOSPITAL & CLINIC ONCE AGAIN RECEIVED THE AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION ACHIEVEMENT AWARD. THIS AWARD IS A TESTAMENT TO THE HIGH-QUALITY PATIENT CARE OUR NURSES PROVIDE. THE PACU TEAMS RECEIVED THE PRESTIGIOUS, NATIONAL AWARD BECAUSE 75% OF THEIR ELIGIBLE PERIANESTHESIA NURSES ACHIEVED CPAN AND/OR CAPA CERTIFICATION.- CSHC EARNED THE 2021 WORKPLACE PARTNERSHIP FOR LIFE CAMPAIGN PLATINUM AWARD, THE HIGHEST HONOR FOR THIS NATIONAL INITIATIVE, RECOGNIZING EFFORTS TO RAISE AWARENESS AMONG EMPLOYEES, PATIENTS, VISITORS, AND THE COMMUNITY OF THE IMPORTANCE OF ENROLLING NEW ORGAN, EYE AND TISSUE DONORS. THROUGH MULTIPLE EVENTS AND AWARENESS EFFORTS, CLIFTON SPRINGS ENROLLED 180 NEW DONORS. EASTERN REGION HOSPITALS (NWCH AND CSHC) ALSO SHOWED THEIR COMMITMENT TO THE COMMUNITY BY VOLUNTEERING THE TIME WITH HABITAT FOR HUMANITY. A GROUP OF EASTERN REGION EMPLOYEES GAVE BACK TO THE COMMUNITY IN A DIFFERENT WAY. ON SATURDAY, SEPTEMBER 25, THEY ASSISTED WITH A HABITAT FOR HUMANITY EVENT BY MOVING ROCKS FROM THE FOUNDATION SOIL OF A HOUSE AND PLANTING SEVERAL SHRUBBERY. UNITED MEMORIAL MEDICAL CENTER (UMMC) SERVES RESIDENTS OF GENESEE COUNTY AND SURROUNDING RURAL COMMUNITIES. THE 131-BED HOSPITAL IN BATAVIA FEATURES A NEW, STATE-OF-ART SURGICAL DEPARTMENT, A WOUND CARE CENTER, A TELEMEDICINE PROGRAM FOR INTENSIVE CARE, A JOINT REPLACEMENT CENTER OF EXCELLENCE, TWO URGENT CARE CENTERS AND A NUMBER OF PRIMARY AND SPECIALTY PHYSICIAN OFFICES. UNITED MEMORIAL IS A NICHE (NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS) HOSPITAL AND A NEW YORK STATE-DESIGNATED STROKE CENTER. UNITED MEMORIAL IS THE SOLE MATERNITY SERVICES PROVIDER FOR GENESEE AND ORLEANS COUNTIES. IT MANAGES THE NEW YORK STATE CANCER SERVICES PARTNERSHIP GRANT FOR ORLEANS AND GENESEE COUNTIES AND PROVIDES ORTHOPEDIC SERVICES IN GENESEE, ORLEANS AND WYOMING COUNTIES.UMMC IS EXPANDING ACCESS TO SPECIALIZED SERVICES. IN 2021 UNITED MEMORIAL MEDICAL CENTER BROKE GROUND ON A RADIOLOGY EXPANSION PROJECT THAT WILL BENEFIT PATIENTS, EMPLOYEES, AND THE COMMUNITY. THE DEPARTMENT IS HEADING INTO THE FUTURE WITH STATE-OF-THE-ART TECHNOLOGY CREATED WITH PATIENT COMFORT IN MIND AND THE ABILITY TO MINIMIZE SCAN TIMES AND IMPROVE IMAGE QUALITY. THIS NEARLY $8 MILLION PROJECT WILL ADD 5,000 SQUARE FEET TO THE DEPARTMENT WITH MODERNIZED CAPABILITIES THAT WILL BENEFIT PATIENT CARE AND OUR UMMC TEAMS. EXPANSION HIGHLIGHTS INCLUDE: NEW MRI SUITE; NEW 10-BED INTENSIVE CARE UNIT; NEW BLOOD DRAW STATION; NEW DRESSING ROOMS; NEW WELCOMING AREA AND SCHEDULING OFFICE; NEW COOLING INFRASTRUCTURE SUPPORTING UMMC AND ITS GROWTH OF SERVICES ON THE MAIN CAMPUS.RRH IS ENHANCING SURGICAL SERVICES FOR PATIENTS IN THE BATAVIA AREA. UNITED MEMORIAL MEDICAL CENTER'S NEWLY RENOVATED AND EXPANDED SURGICAL SUITE TO MEET PATIENT NEEDS IN GENESEE COUNTY ARE NOW AVAILABLE FOR BARIATRIC SURGERY; PLASTIC AND HAND SURGERY; THORACIC SURGERY; AND VASCULAR SURGERY.ADDITIONALLY, CITY PLANNERS HAVE OK'D HEALTHY LIVING CAMPUS SITE PLAN FOR DOWNTOWN BATAVIA. THIS $30M PROJECT HAS BEEN APPROVED TO MOVE AHEAD WITH DEMOLITION AND NEW CONSTRUCTION THE PROJECT, A PARTNERSHIP OF THE YMCA AND ROCHESTER-REGIONAL HEALTH-UNITED MEMORIAL MEDICAL CENTER, WILL INCLUDE A NEW STATE-OF-THE-ART WELLNESS CENTER, INDOOR POOL, GROUP EXERCISE STUDIOS AND GYMNASIUM WITH INDOOR WALKING/RUNNING TRACK, TEACHING KITCHEN, INDOOR PLAYGROUND, YOUTH SPACES, LIVING ROOM AND MEETING ROOMS. THE PARTNERSHIP WITH UMMC WILL PROVIDE PRIMARY CARE, BEHAVIORAL HEALTH/CRISIS INTERVENTIONS SERVICES, TELEMEDICINE INTEGRATION, CANCER PREVENTION OUTREACH SERVICES, CHRONIC ILLNESS SUPPORT SERVICES AND EDUCATION SERVICES, ALL IN THE SAME FACILITY. THE FACILITY WOULD INCLUDE A TWO-STORY, 69,420-SQUARE-FOOT BUILDING TO HOUSE THE YMCA WITH MEDICAL OFFICES.DURING 2021 UMMC IMPROVED AND EXPANDED SERVICES AND RECEIVED RECOGNITIONS AND AWARDS FOR ITS EXEMPLARY SERVICES AND PATIENT CARE. THESE INCLUDE:- UNITED MEMORIAL MEDICAL CENTER WAS NATIONALLY RECOGNIZED BY BLUECROSS BLUESHIELD OF WESTERN NEW YORK AS A BLUE DISTINCTION CENTER+ FOR MATERNITY CARE.- IN APPRECIATION FOR THE PROFOUND DIFFERENCE UNITED MEMORIAL MEDICAL CENTER TEAM MEMBERS HAVE MADE FOR THE COMMUNITY AS IT BATTLES COVID-19, THE GENESEE COUNTY CHAMBER OF COMMERCE GRANTED UMMC ITS 2020 SPECIAL SERVICE RECOGNITION OF THE YEAR. ""THESE 'HEALTHCARE HEROES' DID THEIR JOBS DESPITE THE ODDS AND OVERWHELMING FEAR THEY WERE FACED WITH EVERY DAY,"" THE CHAMBER STATES ON ITS AWARD WINNERS PAGE. ""THEY SET UP DRIVE THRU TESTING STATIONS, CARED FOR SICK PATIENTS, AND NOW ARE MOVING FORWARD WITH PROVIDING VACCINES TO THE RESIDENTS OF THIS COMMUNITY. THEY ARE HEROES IN OUR BOOK AND WE CANNOT THANK THEM ENOUGH FOR THE SACRIFICE AND RESILIENCY THEY HAVE SHOWN THROUGHOUT THIS ENTIRE ORDEAL.""- THE WOUND CARE CENTER AT UNITED MEMORIAL MEDICAL CENTER WAS NAMED A 2020 CENTER OF DISTINCTION BY HEALOGICS! THIS IS THE FIFTH YEAR IN A ROW THE TEAM HAS BEEN RECOGNIZED FOR OUTSTANDING PERFORMANCE. MAINTAINING THIS HIGH STANDARD OF CARE, WHILE ALSO NAVIGATING AND OVERCOMING UNIQUE CHALLENGES DURING THE PANDEMIC, IS A TESTAMENT TO THE UMMC WOUND CARE TEAM'S DEDICATION TO OUR COMMUNITY AND POSITIVE PATIENT OUTCOMES.- THE STROKE AND DIABETES TEAM AT UNITED MEMORIAL EARNED HIGH HONORS FROM THE AMERICAN HEART ASSOCIATION FOR CONTINUING TO PROVIDE HIGH QUALITY CARE TO THE COMMUNITY. - UMMC RECEIVED THE EDWARD J PAWENSKI BUSINESS/INDUSTRY PARTNERSHIP AWARD FROM THE NEW YORK COMMUNITY COLLEGE TRUSTEES (NYCCT) CONSORTIUM. THIS IS THE HIGHEST NYCCT HONOR AWARDED TO AN ORGANIZATION FOR ITS COMMITMENT TO A LOCAL COMMUNITY COLLEGE. GENESEE COMMUNITY COLLEGE NOMINATED UMMC IN RECOGNITION OF ITS MANY COLLABORATIVE PROGRAMS TO CREATE ECONOMIC, EDUCATIONAL, AND EMPLOYMENT OPPORTUNITIES FOR HEALTHY LIVING IN THE REGION.- UNITED MEMORIAL MEDICAL CENTER AND THE GENESEE COUNTY PARKS DEPARTMENT ARE COLLABORATING TO PREVENT PARK VISITORS FROM GETTING SKIN CANCER. FIVE SUNSCREEN DISPENSERS ARE NOW AVAILABLE THROUGHOUT DEWITT RECREATION AREA FOR THE 50,000 PEOPLE WHO VISIT EACH YEAR. THIS MEANS, FAMILIES WHO FORGET TO PACK SUNSCREEN, WON'T HAVE TO WORRY.ST. LAWRENCE HEALTH SYSTEM (SLH), A NORTH COUNTRY HEALTH SYSTEM INCLUDING THREE HOSPITALS (CANTON-POTSDAM HOSPITAL, GOUVERNEUR HOSPITAL AND MASSENA HOSPITAL) AND A NETWORK OF PRIMARY AND SPECIALTY CARE PRACTICES JOINED RRH IN 2021 ALLOWING RRH TO EXPAND ITS REGIONAL REACH WHILE ENABLING ST. LAWRENCE TO ELEVATE AND GROW ITS MEDICAL SERVICES. BOTH RRH AND SLH HAVE TRADITIONS OF PROVIDING HIGH QUALITY, COMPASSIONATE CAREAND TOGETHER, THEY ARE BRINGING ABOUT IMPORTANT TECHNOLOGICAL INTEGRATION MILESTONES ACHIEVED DURING 2021. COVERING ALL ASPECTS OF THE HEALTH SYSTEM, TECHNOLOGY IMPROVEMENTS AND INTEGRATION CAN BE SEEN IN PATIENT CARE AND INTEGRATED CLINICAL SYSTEMS WITH THE IMPLEMENTATION OF CARE CONNECT AND SAFE CONNECT; WORKFORCE MANAGEMENT USING WORKDAY HR AND PAYROLL AND KRONOS DIMENSIONS AS WELL AS FINANCIAL SYSTEMS WITH THE IMPLEMENTATION OF LAWSON ERP. ALL OF THESE SYSTEMS SERVE TO IMPROVE EFFICIENCIES AND ENABLE ENHANCED HEALTH CARE SERVICES ACROSS THE NORTH COUNTRY REGION. CANTON-POTSDAM HOSPITAL (CPH) IS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE FACILITY CERTIFIED FOR 94 BEDS. ITS CORE PROGRAMS IN EMERGENCY MEDICINE, ACUTE CARE, HOSPITALIST MEDICINE, AND CRITICAL CARE ARE SUPPLEMENTED BY OUTPATIENT HEALTH SERVICES IN BRASHER FALLS, CANTON, COLTON, MASSENA, NORFOLK, NORWOOD, AND POTSDAM, NY, AND BY SPECIALIST CARE IN OVER 25 DIFFERENT SPECIALTIES, INCLUDING A ROBUST ORTHOPEDIC SURGERY AND SPORTS MEDICINE PROGRAM AND THE CENTER FOR CANCER CARE. LEVEL III TRAUMA CARE AND A CRITICAL CARE UNIT ARE ALSO AVAILABLE AT CPH. CANTON-POTSDAM ALSO HOUSES THE BIRTHPLACE CENTER, WHERE A TEAM OF WARM, YET PROFESSIONAL BIRTHING EXPERTS SURROUND YOU AND YOUR NEW ADDITION WITH THE BEST ENVIRONMENT TO PROMOTE LASTING HEALTH AND LOVING BONDING. THE BIRTHPLACE OFFERS MANY OPTIONS FOR PRENATAL CARE, DELIVERY--INCLUDING MIDWIFERY--POST-PARTUM CARE, AND EDUCATION. OUR COMBINATION LABOR, DELIVERY, RECOVERY AND POSTPARTUM ROOMS (LDRPS) OFFER FAMILIES A SPACIOUS AND COMFORTABLE AREA DURING THE BIRTHING EXPERIENCE. OPTIONS ARE OFFERED FOR PAIN RELIEF FROM SUPPORT FOR NATURAL CHILDBIRTH WITH JACUZZI TUBS, SHOWERS, AND BIRTHING BALLS TO PAIN MEDICATIONS AND EPIDURALS AS NEEDED. ""ROOMING IN"" IS AVAILABLE FOR MOMS, DADS, AND BABIES. THE EXPERIENCED AND COMPASSIONATE STAFF ARE EAGER TO ASSIST YOU IN CREATING THE MEMORABLE BIRTH YOU DESIRE. THE BIRTHPLACE PARTICIPATES IN THE NEW YORK STATE BREASTFEEDING QUALITY IMPROVEMENT IN HOSPITALS PROGRAM. A CERTIFIED LACTATION SPECIALIST CONDUCTS WORKSHOPS AND IS HERE TO HELP YOU GIVE YOUR BABY THE STRONGEST POSSIBLE START."

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"GOUVERNEUR HOSPITAL (GH) IS A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL FOUNDED IN 2013. ""CRITICAL ACCESS"" IS A FEDERAL DESIGNATION THAT IS AVAILABLE ONLY TO HOSPITALS LOCATED IN REMOTE, RURAL REGIONS, ENABLING THESE HOSPITALS TO BE REIMBURSED AT A HIGHER RATE BECAUSE OF THE CHALLENGES THEY FACE IN PROVIDING CARE IN HIGH-NEED AREAS. GOUVERNEUR HOSPITAL IS CERTIFIED FOR 25 BEDS AND OPERATES IN AFFILIATION WITH CANTON-POTSDAM HOSPITAL IN POTSDAM, NY, AND MASSENA HOSPITAL IN MASSENA, NY, UNDER THE UMBRELLA OF THE ST. LAWRENCE HEALTH SYSTEM. SERVICES INCLUDE INPATIENT DETOX, SUBSTANCE USE DISORDER REHABILITATION, EMERGENCY CARE, IMAGING AND EKG'S, PHYSICAL THERAPY, AND RESPIRATORY THERAPY.CONGRATULATIONS TO GOUVERNEUR HOSPITAL, PART OF ST. LAWRENCE HEALTH, FOR ACHIEVING THE GOLD STANDARD FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE HOSPITAL RECEIVED ACR ACCREDITATION FOR COMPUTED TOMOGRAPHY. MASSENA HOSPITAL ACHIEVED THE SAME ACCREDITATION EARLIER THIS YEAR AND CANTON-POTSDAM HOSPITAL IN 2020. ACR ACCREDITATION IS GRANTED FOR THREE-YEAR TERMS. THIS ACCOMPLISHMENT HIGHLIGHTS THE HARD WORK AND DEDICATION TO PATIENT CARE OF THE ST. LAWRENCE HEALTH CT TEAMS. MASSENA HOSPITAL (MH) IS AN ACUTE CARE, 25-BED HOSPITAL PROVIDING INPATIENT MEDICAL, SURGICAL, AND PEDIATRIC SERVICES IN ADDITION TO EMERGENCY CARE. ANCILLARY SERVICES INCLUDE A 24/7 LABORATORY, ULTRASOUND, MAMMOGRAPHY, AND FLUOROSCOPY. NUTRITIONAL COUNSELING, RESPIRATORY CARE, PHYSICAL, AND SPEECH THERAPIES ARE ALSO OFFERED AT THE MAIN CAMPUS. NUMEROUS OUTREACH PRIMARY AND SPECIALTY CARE CENTERS OFFER THE COMMUNITY CARDIOLOGY, INFUSION, NEPHROLOGY, NEUROLOGY, OB/GYN AND WOMEN'S HEALTH, PEDIATRICS, AND SURGERY.ROCHESTER MENTAL HEALTH CENTER (RMHC) HAS NINE LOCATIONS ACROSS THE COMMUNITY, INCLUDING TWO OF THE AREA'S BEST MENTAL HEALTH CENTERS, GENESEE MENTAL HEALTH CENTER AND ROCHESTER MENTAL HEALTH CENTER, AND OVER 40 YEARS OF EXPERIENCE AND TRADITION. RMHC HAS COMPREHENSIVE SERVICES AND DEDICATED MENTAL HEALTH AND SUBSTANCE ABUSE PROFESSIONALS, WORKING TO HELP PATIENTS ACHIEVE THEIR FULL POTENTIAL TO LIVE AND WORK AS PRODUCTIVE MEMBERS OF THE COMMUNITY. THEY OFFER A COMPREHENSIVE SYSTEM OF CLINICAL MENTAL HEALTH SERVICES; READILY-ACCESSIBLE, CULTURALLY-SENSITIVE SERVICES UNIQUELY MATCHED TO THE INDIVIDUAL NEEDS OF EACH PATIENT AND THEIR FAMILY; CONVENIENT ACCESS TO MENTAL HEALTH OUTPATIENT SERVICES WITH LOCATIONS THROUGHOUT THE GREATER ROCHESTER AREA; AN UNWAVERING COMMITMENT TO SERVE THOSE IN THE COMMUNITY WHO HAVE EMOTIONAL NEEDS.PRCD, INC. IS HOME TO BARBARA WOLK SCHWARZ WOMEN'S COMMUNITY RESIDENCE THAT PROVIDES A SAFE, HOME-LIKE ENVIRONMENT FOR WOMEN UNDERGOING TREATMENT FOR CHEMICAL DEPENDENCY. SPECIALIZED PROGRAM HIGHLIGHTS INCLUDE SUBSTANCE ABUSE AND DRUG ADDICTION TREATMENT (SPECIALIZING IN OPIOID TREATMENT); SOBER LIVING AFTER COMPLETION PROGRAM; SPECIALIZED PROGRAMMING FOR THOSE WHO IDENTIFY AS LGBT, MILITARY, SENIORS, TRAUMA AND REFERRALS FROM THE JUDICIAL SYSTEM. SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS TO ENSURE PARTICIPANTS RECEIVE THE NEEDED SERVICES. INDEPENDENT LIVING FOR SENIORS, (ILS) OFFERS A PROGRAM THAT GIVES THE FRAIL ELDERLY AN ALTERNATIVE TO NURSING HOME PLACEMENT. IT IS DESIGNED TO ENABLE SENIORS TO LIVE IN THEIR OWN HOME SERVED BY A NETWORK OF SUPPORTIVE SERVICES. THE ILS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) HAS PROVEN THAT INTEGRATING HEALTH CARE SERVICES CAN HAVE A POWERFUL AND BENEFICIAL IMPACT ON INDIVIDUAL HEALTH AND WELL-BEING. SENIORS NOW HAVE A CHOICE TO LIVE OUT THEIR LIVES IN THEIR COMMUNITY - ENJOYING FAMILY, MANAGING THEIR HEALTH, MAKING NEW FRIENDS SIMPLIFYING HOW THEY CHOOSE AND PAY FOR NEEDED LONG-TERM CARE. ILS OFFERS ALL OF THE HEALTH, MEDICAL AND SOCIAL SERVICES NEEDED TO HELP AN AGING LOVED ONE MAINTAIN THEIR INDEPENDENCE, DIGNITY AND QUALITY OF LIFE. A RANGE OF SERVICES ARE AVAILABLE TO AN ILS PARTICIPANT, INCLUDING ADULT DAY CARE; PRIMARY CARE; LABORATORY, X-RAY AND AMBULANCE SERVICES; REHABILITATIVE AND SUPPORT SERVICES; MEDICAL SPECIALTY SERVICES; SKILLED NURSING CARE; ACUTE HOSPITAL CARE; IN-HOME SERVICES; INTERDISCIPLINARY CONSULTATION; AND NURSING HOME CARE SHOULD THE NEED ARISE.ROCHESTER REGIONAL HEALTH HOSPICE CARE AND ROCHESTER REGIONAL HEALTH HOME CARE (RRH HOSPICE CARE AND RRH HOME CARE) SERVING APPROXIMATELY 20,600 HOME CARE AND HOSPICE PATIENTS PER YEAR AT SEVEN LOCATIONS IN THE ROCHESTER AND FINGER LAKES REGION INCLUDING THE COUNTIES OF: MONROE, WAYNE, SENECA, CAYUGA, YATES, SCHUYLER, ONTARIO AND LIVINGSTON. THE RRH HOSPICE CARE FOCUS IS ON THE DELIVERY OF COMPASSIONATE, PERSONALIZED CARE TO ADULTS AND CHILDREN WHO ARE ILL, INJURED, DYING OR GRIEVING. RRH HOME CARE PROVIDES PRIMARY IN-HOME SERVICES INCLUDING SKILLED NURSING, REHAB THERAPIES, MEDICAL SOCIAL WORK, INFUSION THERAPIES AND HOME HEALTH AIDE SERVICES; SPECIALTY CARE SERVICES INCLUDING CARDIOPULMONARY, DIABETES, CANCER, PARKINSON'S DISEASE, WOUND, JOINT REPLACEMENT AND WOMEN'S AND CHILDREN'S HEALTH; HOSPICE CARE IS PROVIDED IN MONROE, WAYNE AND SENECA COUNTIES FOR THE TERMINALLY ILL; PALLIATIVE CARE SUPPORT FOR SERIOUSLY ILL CHILDREN AND ADULTS; AS WELL AS EDUCATION THAT PROMOTES HEALING AND WELLNESS. CLIFTON SPRINGS LIVING CENTER IS A 108-BED SKILLED NURSING FACILITY LOCATED IN CLIFTON SPRINGS, NY. THE 108-BED FACILITY PROVIDES SPECIALIZED SERVICES INCLUDING TRADITIONAL SNF CARE, AS WELL AS SPECIALTY UNITS FOR RESIDENTS WHO REQUIRE POST-ACUTE CARE, VENTILATOR CARE, AND DEMENTIA CARE. THE SERVICES OF REIKI AND HEALING TOUCH THERAPIES ARE OFFERED BY THE NURSING HOME, AND ADDITIONAL SERVICES INCLUDING ACUPUNCTURE, HYDROTHERAPY, MASSAGE THERAPY, AND NATUROPATHY ARE AVAILABLE THROUGH THE SPRINGS INTEGRATIVE MEDICINE CENTER AND SPA. DE MAY LIVING CENTER LOCATED IN NEWARK IS A 180-BED SKILLED NURSING RESIDENCE THAT PROVIDES BOTH CALM AND STIMULATING ATMOSPHERES FOR RESIDENTS. SERVICES INCLUDE: POST-ACUTE CARE, SHORT-TERM REHABILITATION, VENTILATOR CARE, DEMENTIA CARE, PERITONEAL DIALYSIS, WOUND CARE, TELEMEDICINE, NEUROBEHAVIORAL CARE, LONG TERM SKILLED NURSING CARE AND ADULT DAY CARE.DURING 2021, DEMAY LIVING CENTER RECEIVED THE EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES (ECHO) BEST PRACTICE AND INNOVATION AWARD. THE WINNING PROJECT REPURPOSED OUTDOOR COURTYARDS FOR RESIDENT ENGAGEMENT AND SUPPORTMUCH NEEDED ESPECIALLY DURING THE PANDEMIC. THE DEMAY TEAM'S CREATIVITY, RESIDENT CENTEREDNESS, AND COMMITMENT MADE THEM THE HANDS-DOWN WINNER! EDNA TINA WILSON LIVING CENTER IN ROCHESTER IS A 120-BED SKILLED NURSING FACILITY THAT USES INNOVATIVE NEIGHBORHOOD DESIGN, WITH RESIDENT ROOMS CLUSTERED AROUND THE ACTIVITY CENTER AND THE LIVING AND DINING AREAS TO PROMOTE MORE SOCIAL AND INTERACTIVE LIVING. THE CENTER SPECIALIZES IN LONG-TERM CARE, REHABILITATIVE SERVICES, PAIN MANAGEMENT, RESPIRATORY THERAPY, IV THERAPY, PERITONEAL DIALYSIS SERVICES, RESPITE AND HOSPICE CARE.IN 2021 THE LONG TERM CARE NURSING TEAM AT EDNA TINA WILSON LIVING CENTER EARNED THE PATHWAY TO EXCELLENCE DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). EDNA TINA WILSON LIVING CENTER NOW JOINS AN ELITE GROUP OF EIGHT LONG TERM CARE FACILITIES IN NEW YORK STATE TO RECEIVE THIS PRESTIGIOUS HONOR, INCLUDING CLIFTON SPRINGS NURSING HOME AND PARK RIDGE LIVING CENTER. THE ANCC RECOGNIZES LONG TERM CARE FACILITIES WITH PATHWAY TO EXCELLENCE, COMPARABLE TO A HOSPITAL RECEIVING MAGNET STATUS, FOR THEIR DIVERSE AND POSITIVE PRACTICE ENVIRONMENTS THAT ENABLE NURSES TO GROW. EDNA TINA WILSON RECEIVED THIS RECOGNITION FOR ITS COMMITMENT TO PROVIDING A NETWORK OF SUPPORT AND ADVANCEMENT OPPORTUNITIES THAT EMPOWER OUR NURSING STAFF.HILL HAVEN LIVING AND NURSING CENTER IN WEBSTER WAS A 288-BED FACILITY WITH A COMPREHENSIVE RANGE OF MEDICAL AND ASSISTED LIVING SENIOR SERVICES, INCLUDING SHORT-TERM REHABILITATION, SKILLED NURSING, RESPIRATORY, IV THERAPY, CENTRAL LINE MEDICATIONS AND MAINTENANCE, POST-SURGICAL WOUND CARE, ON-SITE HEMODIALYSIS, PERITONEAL DIALYSIS, TELEMEDICINE, DEMENTIA, ALZHEIMER'S, AND HOSPICE CARE. IN 2021, ROCHESTER REGIONAL HEALTH MADE THE DIFFICULT DECISION TO CLOSE HILL HAVEN. SHIFTING NEEDS OF THE COMMUNITY AS WELL AS GROWTH OF IN-HOME AND TRANSITIONAL SENIOR LIVING AND HEALTH CARE OPTIONS PLAYED ROLES IN THE RETIRING OF HILL HAVEN. ALL HILL HAVEN EMPLOYEES WERE REDEPLOYED TO NEW POSITIONS WITHIN THE HEALTH SYSTEM TO LEVERAGE THEIR EXPERIENCE AND EXPERTISE. EVERY HILL HAVEN RESIDENT WAS SUPPORTED THROUGH THE TRANSITION AS THEY MOVED TO A FACILITY WITHIN THE HEALTH SYSTEM, BACK HOME OR TO A COMMUNITY-BASED SETTING THAT PROVIDES THE APPROPRIATE SUPPORT AND CARE."

PART I, LINE 7E:
"DURING 2021, CLIFTON SPRINGS HOSPITAL AND CLINIC (CSHC) SPONSORED THE FOLLOWING EVENTS AND ACTIVITIES TO PROMOTE COMMUNITY HEALTH IMPROVEMENT THAT MEET THE DEFINITION FOR DISCLOSURE ON SCHEDULE H, PART I, LINE 7E (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS). 2021 CONTINUED TO BE A DIFFERENT YEAR GIVEN THE CONTINUATION AND SPREAD OF COVID-19 THROUGHOUT THE STATE AND LOCAL COMMUNITIES. AS A RESULT, THE MAJORITY OF EVENTS WERE HELD VIRTUALLY AND COMMUNITY EDUCATION BECAME THE FOCUS OF THE HOSPITAL AND OVERALL HEALTH SYSTEM. SPECIAL MAMMOGRAM SCREENING AND SELF CARE EVENT CSHC HELD AN EVENT WHERE WOMEN IN THE COMMUNITY WERE ABLE TO RECEIVE A MAMMOGRAM. THIS EVENT ALSO INCLUDED A FREE WOMEN'S SELF-DEFENSE SEMINAR, MAKEOVERS, CHAIR MASSAGE AND NUTRITIONAL ADVICE.HONEY BEE PROGRAM CLIFTON SPRINGS HOSPITAL HAS JOINED THE OTHER RRH HOSPITALS BY PLAYING HOST TO A NEW UNBEELIEVABLE WORKSPACE FOR SOME NEW WORKER BEES. THE BEEHIVES ON CSH'S ROOF ARE UNDER THE WATCHFUL EYE OF AN EXPERIENCED BEEKEEPER. THE BEEKEEPER WILL MAINTAIN THE HIVES AND HARVEST THE HONEY WHEN IT'S READY. THIS PROGRAM SUPPORTS ROCHESTER REGIONAL HEALTH'S SUSTAINABILITY MISSION TO STRENGTHEN AND SUPPORT OUR LOCAL ENVIRONMENT. IN ADDITION, OUR BEES WILL MAKE HONEY! THE HONEY WILL BE BOTTLED AND AVAILABLE FOR EMPLOYEES, PATIENTS AND VISITORS TO PURCHASE ONCE HARVEST TIME ARRIVES.MONTHLY EDUCATION AND SUPPORT GROUPS CSHC SPONSORS MANY SUPPORT AND EDUCATION GROUP SESSIONS. SOME EXAMPLES INCLUDE ASSISTANCE TO PEOPLE DEALING WITH GRIEF SUPPORT AND/OR CARE OF A LOVED ONE WITH ALZHEIMER'S DISEASE. GRIEF SUPPORT GROUPS ARE OFFERED TO THE COMMUNITY TWICE PER YEAR. EACH SESSION MEETS ONCE PER WEEK FOR EIGHT WEEKS. IN ADDITION, THREE GRIEF/LOSS SESSIONS FOR THE ONTARIO COUNTY PROBATION DEPARTMENT AND DAY REPORTING PROGRAM ARE ALSO SPONSORED AND HELD AT CSHC. DURING 2021, THE MAJORITY OF SESSIONS WERE HELD VIRTUALLY. MEDICAL VILLAGE PROJECT - PROGRESS CONTINUED ON THE MEDICAL VILLAGE AT CLIFTON SPRINGS HOSPITAL & CLINIC. THE MEDICAL VILLAGE CONTINUED TO OPEN NEW SPACES IN 2021. HIGHLIGHTS FROM THE PROJECT INCLUDE: A NEW PATIENT ACCESS CENTER AND PRE-ADMISSION TESTING SUITE AT THE SOUTH ENTRANCE; NEW OPERATING ROOMS, ENDOSCOPY ROOMS, AND AMBULATORY PROCEDURE ROOMS; A NEW PRIMARY CARE SPACE AND DENTAL SPACE; A PRE/POST-SURGERY AREA; AN EXPANDED BEHAVIORAL HEALTH/CPEP SPACE. EXPANDED MEDICAL SERVICES, BLOOD DRIVES AND OTHER PROGRAMS:- DENTAL CARE FOR PATIENTS IN THE CLIFTON SPRINGS AREA JUST GOT MORE CONVENIENT WITH THE OPENING THIS WEEK OF ROCHESTER REGIONAL HEALTH DENTISTRY AT CLIFTON SPRINGS HOSPITAL & CLINIC. THE PRACTICE OFFERS BOTH ROUTINE AND SPECIALIZED SERVICES AROUND GENERAL DENTISTRY AND DENTAL HYGIENE. IN ADDITION, WHEN NECESSARY, PATIENTS CAN UNDERGO ORAL SURGERY IN THE SAME LOCATION.- THE SANDS-CONSTELLATION HEART INSTITUTE MOVED INTO ITS BRAND NEW OFFICE ON THE CLIFTON SPRINGS HOSPITAL & CLINIC CAMPUS. PATIENTS, PROVIDERS AND STAFF WILL NOW BENEFIT FROM BEAUTIFUL VIEWS, COMFORTABLE EXAM AND TESTING ROOMS, AND THE LATEST EQUIPMENT AND TECHNOLOGY. - CSHC EMPLOYEES SHOWED THEIR COMMITMENT TO THE COMMUNITY BY VOLUNTEERING THE TIME WITH HABITAT FOR HUMANITY. THEY ASSISTED WITH A HABITAT FOR HUMANITY EVENT BY MOVING ROCKS FROM THE FOUNDATION SOIL OF A HOUSE AND PLANTING SEVERAL SHRUBBERY.- NEW ED AND CPEP SPACE AT CLIFTON SPRINGS - CONSTRUCTION IS UNDERWAY FOR THE NEW EMERGENCY DEPARTMENT AT CLIFTON SPRINGS. THIS MODERNIZATION PROJECT WILL REPLACE THE CURRENT ED WITH A LARGER FACILITY EQUIPPED WITH THE LATEST TECHNOLOGY. IT WILL ALSO PROVIDE ADDITIONAL SPACE AND RESOURCES FOR THE HOSPITAL'S COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP), THE ONLY PROGRAM OF ITS KIND IN THE RURAL FINGER LAKES COMMUNITIES. THIS TRANSFORMATION IS EXPECTED TO BE COMPLETE AROUND THE MIDDLE OF 2022.IN ADDITION TO THOSE EVENTS SPONSORED SPECIFICALLY BY CLIFTON SPRINGS HOSPITAL & CLINIC, ROCHESTER REGIONAL HEALTH, THE PARENT ORGANIZATION, SPONSORED THE FOLLOWING EVENTS AS A MEANS OF IMPROVING THE HEALTH OF ALL OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM: YOUTH APPRENTICE PROGRAM (SCHOOL-TO-WORK)THE ROCHESTER CITY SCHOOL DISTRICT AND ROCHESTER REGIONAL HEALTH HAVE PARTNERED TOGETHER WITH A VISION TO GIVE HIGH SCHOOL STUDENTS IN THE ROCHESTER CITY SCHOOL DISTRICT THE OPPORTUNITY TO GAIN ""REAL-LIFE"" EXPERIENCES IN HEALTHCARE. STUDENTS GAIN ACCESS TO THE DIFFERENT POSITIONS WITHIN A HEALTHCARE ORGANIZATION, AND BECOME CERTIFIED BY NEW YORK STATE THAT THEY HAVE HAD YOUTH EMPLOYMENT COMPETENCY TRAINING WHEN THEY EARN THEIR HIGH SCHOOL DIPLOMA. IN THE PAST 10 YEARS, 100% OF STUDENTS WENT THROUGH THIS PROGRAM HAVE GRADUATED HIGH SCHOOL. UPON GRADUATION AND COMPLETION OF THE PROGRAM, PARTICIPANTS ARE ELIGIBLE TO APPLY FOR ENTRY LEVEL POSITIONS AS A PATIENT CARE TECHNICIAN, PEDIATRIC TECHNICIAN, MATERIAL RECORD ASSISTANT, RESPIRATORY CARE AIDE, AND A TRANSPORTER AND LAB ASSISTANT. RIT ROCHESTER REGIONAL HEALTH ALLIANCEROCHESTER REGIONAL PARTNERS WITH ROCHESTER INSTITUTE OF TECHNOLOGY (RIT) ON MANY INITIATIVES INCLUDING BIOMEDICAL RESEARCH, HEALTHCARE EDUCATIONAL PROGRAMS, RESEARCH AND DEVELOPMENT OF INNOVATIVE TECHNOLOGY, AND OTHER SUSTAINABILITY INITIATIVES WITHIN THE ROCHESTER COMMUNITY. ROCHESTER REGIONAL PROVIDES REAL WORLD EXPERIENCE FOR STUDENTS WHO WILL EXPAND THE CARE WE PROVIDE TO OUR COMMUNITIES. TO LEARN MORE VISIT THE RIT ROCHESTER REGIONAL HEALTH ALLIANCE WEBSITE. JCC OF GREATER ROCHESTER ROCHESTER REGIONAL HEALTH ALLIANCE EVERY WEDNESDAY, JOIN RRH AND THE JCC FOR ""WELLNESS WEDNESDAYS"". HOSTED BY RRH, EACH 30-MINUTE LIVE WEBINAR FOCUSES ON DIFFERENT ASPECTS OF LIFESTYLE MEDICINE, SUCH AS PREVENTATIVE MEDICINE AND EASY LIFESTYLE CHANGES, AND EVEN DABBLE IN SCIENCE TO EXPLAIN ""WHY."" IN ADDITION, PARTICIPANTS WILL BE INTRODUCED TO LIFESTYLE MEDICINE SPECIALISTS AND CONCEPTS THAT MAY HELP TO BRING ABOUT ONE HEALTHY CHANGE AT A TIMEIN ORDER TO ACHIEVE HEALTH CARE GOALS. WEBINARS ARE FREE AND OPEN TO THE PUBLIC. URBAN RENEWAL EDUCATION EXPANSION RRH HAS COMPLETED WORK ON ONE OF ITS MOST AMBITIOUS URBAN RENEWAL PROJECTS TO DATE - THE TRANSFORMATION OF THE LONG-ABANDONED MACY'S BUILDING IN THE FORMER MEDLEY CENTER IN IRONDEQUOIT. RENOVATIONS RESULTED IN A NEW, EXPANDED SPACE FOR THE ISABELLA GRAHAM HART SCHOOL OF PRACTICAL NURSING AND THE FUTURE RRH COLLEGE OF HEALTH CAREERS. THIS EXPANSION REPRESENTS NOT ONLY OUR COMMITMENT TO THE ADVANCEMENT OF NURSING EDUCATION BUT ALSO OUR LEADERSHIP IN SUSTAINABILITY THROUGH URBAN RENEWAL. RRH TOOK THE LONG-ABANDONED BUILDING AND CREATED A LEADING-CLASS INSTITUTION OF HIGHER LEARNING FOR NURSES AND HEALTH CARE PROFESSIONALS OF THE FUTURE. NURSES OF EVERY DISCIPLINE AND DEGREE LEVEL ARE IN HIGH DEMAND. RRH IS COMMITTED TO ENSURING A CLEAR, NAVIGABLE PATH TO TRAINING AND EDUCATION ACROSS THE NURSING EDUCATION SPECTRUM, BEGINNING WITH THE LPN PROGRAM AND CONTINUING THROUGH OUR NEW REGISTERED NURSE (RN) PROGRAM."

PART III, LINE 4:
IN 2021, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDER-INSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE ADDITIONAL INFORMATION OBTAINED WAS USED BY THE ORGANIZATION TO DETERMINE WHETHER TO QUALIFY PATIENTS FOR CHARITY CARE IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2021 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND THUS RE-CLASSIFYING THIS AMOUNT FROM BAD DEBT EXPENSE. BAD DEBT EXPENSE ON PART III, LINE 2 REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES FOR THOSE PATIENTS UNWILLING, NOT UNABLE, TO PAY.BAD DEBT COSTING METHODOLOGY:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE HOSPITAL. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.BAD DEBT EXPENSE IS RECORDED USING THE VALUATION METHOD AS OUTLINED IN HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT 15, WHICH REQUIRES BAD DEBT EXPENSE TO BE RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE PROVISION FOR BAD DEBTS REPRESENTS ESTIMATED UNCOLLECTIBLE CHARGES OF PATIENTS UNWILLING TO PAY. IN 2021, THE ORGANIZATION CONTINUED ITS ENHANCED PROCESS FOR OBTAINING ADDITIONAL FINANCIAL INFORMATION FOR UNINSURED AND UNDERINSURED PATIENTS WHO HAVE NOT SUPPLIED THE REQUISITE INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE. THE APPLICATION OF THIS ADDITIONAL INFORMATION IN 2021 RESULTED IN ADDITIONAL PATIENTS QUALIFYING FOR CHARITY CARE AND A REDUCTION TO BAD DEBT EXPENSE.

PART III, LINE 9B:
ALL PATIENTS WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR CHARITY CARE. AT SEVERAL POINTS WITHIN THE HEALTH SYSTEM AND WEBSITE, THE FINANCIAL AID A/K/A CHARITY CARE PROGRAM WILL BE VISIBLE, OFFERED, EXPLAINED AND ASSISTED WITH APPLYING FOR THE PROGRAM. ONCE THE PATIENT SUBMITS THE COMPLETED CHARITY CARE APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THE PATIENT IS THEN NOTIFIED OF THE LEVEL OF CHARITY CARE THAT HAS BEEN AWARDED. IF THE PATIENT QUALIFIES FOR 100% CHARITY CARE, THE DISCOUNT IS AWARDED AND ADDITIONAL BILLS ARE NO LONGER SENT TO THE PATIENT AS THE PENDING BILLS WILL BE ADJUSTED OFF. IF THE PATIENT QUALIFIES FOR LESS THAN 100% CHARITY CARE, THAN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY FOR ONLY THE REMAINING BALANCE OWED AFTER THE CHARITY CARE PORTION HAS BEEN ADJUSTED. ONCE A COMPLETED APPLICATION IS RECEIVED, THE PATIENT WILL BE NOTIFIED OF APPROVAL DETERMINATION WITHIN 30 DAYS. THE FINANCIAL ASSISTANCE COUNSELOR WILL, UPON APPROVING A PATIENT FOR A FINANCIAL ASSISTANCE DISCOUNT, INCLUDE ANY AND ALL COVERED SERVICE ACCOUNTS WITH OPEN BALANCES UP TO 240 DAYS BACK FROM THE DATE THE PATIENT COMPLETED THE APPLICATION AND UP TO 12 MONTHS FORWARD. ONLY AFTER PATIENT'S LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE WILL THE PATIENT STATEMENT BE MAILED FOR PAYMENT RECOVERY. PATIENTS ARE ALSO GIVEN THE OPPORTUNITY TO ESTABLISH AN AFFORDABLE PAYMENT PLAN EITHER DIRECTLY ON THEIR OWN THROUGH THE SYSTEM PORTAL OR THROUGH THE CUSTOMER SERVICE DEPARTMENT. EVERY AVAILABLE OPTION WILL BE UTILIZED TO ASSIST PATIENTS WHO ARE IN FINANCIAL NEED. THE HOSPITAL'S COLLECTION PRACTICES SET FORTH IN ITS WRITTEN DEBT COLLECTION POLICY APPLY TO ALL PATIENT TYPES OF THE HOSPITAL. AT NO TIME WILL THE PATIENT'S FINANCIAL SITUATION BECOME A BARRIER TO THEIR CARE.

PART VI, LINE 4:
CLIFTON SPRINGS HOSPITAL AND CLINIC IS ONE OF THREE HOSPITALS SERVING THE ONTARIO COUNTY AND THE SURROUNDING REGION. ONTARIO COUNTY HAS A POPULATION OF APPROXIMATELY 109,490 AND IS PREDOMINANTLY A RURAL COUNTY. IN 2021, CSHC PROVIDED CARE TO OVER 4,700 PATIENTS WHO VISITED THE EMERGENCY DEPARTMENT, EXPERIENCED MORE THAN 2,980 INPATIENT/OBSERVATION DISCHARGES AND 144,000 OUTPATIENT ENCOUNTERS. ACCORDING TO THE US CENSUS BUREAU, ONTARIO COUNTY IS PREDOMINANTLY WHITE (93.7%), 2.3% AFRICAN AMERICAN WITH THE REMAINDER OTHER OR MULTI-RACIAL. 10% OF ONTARIO COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY RATE WITH ANOTHER 16% LIVING NEAR IT. ADDITIONALLY, THE REGION HAS A LARGE SEASONAL POPULATION DUE TO MIGRANT WORKERS THAT SUPPORT MANY LOCAL FARMS AS WELL AS THE HORSERACING TRACK IN THE COUNTY. ACCESS TO PRIMARY CARE FOR THE UNDER/UNINSURED POPULATIONS HAS IMPROVED IN RECENT YEARS BUT CHALLENGES TO HEALTHCARE DELIVERY CONTINUE WITH TRANSPORTATION AND AFFORDABILITY CITED AS SIGNIFICANT BARRIERS.

PART VI, LINE 2:
FACILITATED WITH THE ASSISTANCE OF S2AY RURAL HEALTH NETWORK AND COMMON GROUND HEALTH, THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP BETWEEN CLIFTON SPRINGS HOSPITAL AND CLINIC, ONTARIO COUNTY DEPARTMENT OF PUBLIC HEALTH, FINGER LAKES HEALTH AND UR THOMPSON HEALTH. STARTING IN THE SUMMER OF 2018, REPRESENTATIVES FROM EACH OF THESE ORGANIZATIONS AS WELL AS REPRESENTATIVES OF OTHER FEDERALLY QUALIFIED HEALTH CENTERS, COMMUNITY BASED ORGANIZATIONS, SCHOOL DISTRICTS AND LOCAL COLLEGES CAME TOGETHER FOR PURPOSE OF DEVELOPING THE CHNA. INFORMATION DISCUSSED BY THIS TEAM WAS SHARED, AS IS APPROPRIATE, WITH HOSPITAL LEADERSHIP AND TO VARIOUS COMMUNITY GROUPS FOR INPUT AND COMMENT. IN EARLY MAY, 2019, THE HEALTH DEPARTMENT ENGAGED KEY STAKEHOLDERS IN A PRIORITIZATION MEETING FACILITATED BY THE S2AY RURAL HEALTH NETWORK. KEY PARTNERS AND COMMUNITY MEMBERS WERE INVITED TO ATTEND THE PRIORITIZATION MEETINGS. AT THE MEETING, DATA WERE REVIEWED WHICH INCLUDED A MIX OF QUANTITATIVE, QUALITATIVE, PRIMARY AND SECONDARY DATA ON EACH OF THE FIVE PRIORITY AREAS OUTLINED IN THE NYS PREVENTION AGENDA. THE PRIMARY AND CONSISTENT SOURCE OF DATA USED TO PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY WAS THE COUNTY LEVEL DASHBOARDS OF THE NEW YORK STATE PREVENTION AGENDA. IN ADDITION, OTHER KEY SOURCES OF DATA INCLUDING BUT NOT LIMITED TO THE AMERICAN COMMUNITY SURVEY, THE ENHANCED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, VITAL STATISTICS, COMMUNICABLE DISEASE AND DENTAL REPORTS, PRIMARY DATA COLLECTED FROM THE MY HEALTH STORY 2018 SURVEY, AND LOCAL DATA SOURCES SUCH AS ONTARIO COUNTY'S PRIDE SURVEY. USING THIS DATA AND GROUP DISCUSSIONS, A VARIETY OF PARTNERS INCLUDING COMMUNITY MEMBERS WERE ENGAGED TO RANK A LIST OF GROUP-IDENTIFIED AND PRE-POPULATED HEALTH DEPARTMENT IDENTIFIED PRIORITIES. PARTNERS DISCUSSED OPPORTUNITIES TO LEVERAGE EXISTING WORK. EXISTING WORK EFFORTS WERE THEN COMPARED TO INTERVENTION OPTIONS (PRIMARILY FROM THE NEW YORK STATE PREVENTION AGENDA REFRESH CHART) AND WERE VOTED ON AND SELECTED. OVERALL, AFTER CONSIDERING THE OPINIONS OF THE COMMUNITY PARTNERS, TEAM MEMBERS, THE COMMUNITY, THE STATE OF NEW YORK AND THE HEALTH DATA, THE FOLLOWING PRIORITIES WERE IDENTIFIED: PREVENT CHRONIC DISEASE:1. CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT2. TOBACCO PREVENTION 3. HEALTHY EATING AND FOOD SECURITYPROMOTE MENTAL WELL-BEING AND PREVENT SUBSTANCE USE DISORDERS4. PROMOTE WELL-BEING5. PREVENT MENTAL AND SUBSTANCE USE DISORDERSADDITIONALLY, ONTARIO COUNTY IS FOCUSING ON THE MAIN DISPARITY IN THIS COMMUNITY HEALTH IMPROVEMENT PLAN OF LOW INCOME. THE 2019-2021 COMMUNITY HEALTH IMPROVEMENT PLAN OUTLINES THE PRIORITIES IDENTIFIED IN THE CHNA AND PROVIDES INTERVENTIONS TO IMPACT THE HEALTH PRIORITIES. THE ROLE OF CSHC IN THE IMPLEMENTATION OF THESE INTERVENTIONS IS AS FOLLOWS: PRIORITY 1: PREVENT CHRONIC DISEASE: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT -ORGANIZATIONS WILL INCREASE CANCER SCREENING RATES BY PROVIDING EDUCATION TO PATIENTS AND FAMILIES. ADDITIONALLY, CSHC WILL PROVIDE THE ACCESS TO THE RRH MOBILE MAMMOGRAPHY UNIT TO ONTARIO COUNTY RESIDENTS. -BY PROMOTING STRATEGIES THAT IMPROVE ACCESS AND ADHERENCE TO MEDICATIONS AND DEVICES, ORGANIZATIONS WILL PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY. SPECIFICALLY, CSHC OPERATES A CARDIAC REHAB PROGRAMS AS WELL AS A DIABETES EDUCATION AND MANAGEMENT PROGRAM. ADDITIONALLY, CSHC WILL PROVIDE DATA TO THE HYPERTENSION REGISTRY, CONSIDER THE FEASIBILITY OF OFFERING A CHRONIC DISEASE SELF-MANAGEMENT PROGRAM AND PROVIDE FLYERS FOR PARTNER-SPONSORED PROGRAMS TO PATIENTS AND FAMILIES.PRIORITY 2: PREVENT CHRONIC DISEASE: TOBACCO PREVENTION -IN AN EFFORT TO DECREASE THE PREVALENCE OF CIGARETTE SMOKING BY ADULTS AGES 18 YEARS AND OLDER, COMMUNICATIONS TARGETING HEALTHCARE PROVIDERS WILL BE USED TO ENCOURAGE THEIR INVOLVEMENT IN THEIR PATIENTS' ATTEMPT TO QUIT, INCREASING AWARENESS OF CESSATION BENEFITS AND REMOVING BARRIERS TO TREATMENT. PRIORITY 4: PROMOTE WELL-BEING -STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING AND RESILIENCE ACROSS THE LIFESPAN BY WORKING WITH OTHER MEMBERS AND PARTNERS ACROSS THE COMMUNITY TO CREATE AND SUSTAIN INCLUSIVE, HEALTHY PUBLIC SPACES; ENSURE SPACE FOR PHYSICAL ACTIVITY, FOOD ACCESS, SLEEP; PROMOTE COMMUNITY ENGAGEMENT ACROSS THE LIFESPAN OF RESIDENTS. -PREVENT SUICIDES BY SCREENING PATIENTS FOR SUICIDAL IDEATION AND PROVIDE OR REFER FOR MENTAL HEALTH CARE. ADDITIONALLY, CSHC OPERATES A COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP) WHERE TEAMS RESPOND TO EMERGENCY MENTAL HEALTH SITUATIONS 24/7.

PART VI, LINE 5:
MEDICAL STAFFCSHC MEDICAL STAFF HAS MORE THAN 550 CURRENTLY ACTIVE STAFF MEMBERS. THESE PHYSICIANS REPRESENT A BROAD SPECTRUM OF PRIMARY CARE AND SPECIALTY SERVICES. AS AN AFFILIATE OF ROCHESTER REGIONAL HEALTH, OUR PATIENTS HAVE SEAMLESS ACCESS TO ADDITIONAL SPECIALISTS INCLUDING THE WORLD-CLASS PROVIDERS AT THE ROCHESTER HEART INSTITUTE AND THE LIPSON CANCER CENTER BOTH IN PENFIELD AND ROCHESTER.VOLUNTEERS/AUXILIANSMEMBERS OF COMMUNITIES FROM ACROSS ONTARIO AND SURROUNDING COUNTIES HAVE ALWAYS PLAYED AN IMPORTANT ROLE IN ADVOCATING FOR, AND OFFERING ASSISTANCE AT CLIFTON SPRINGS HOSPITAL AND CLINIC AND CLIFTON SPRINGS LIVING CENTER. IN 2021, 6 VOLUNTEERS PROVIDED MORE THAN 600 HOURS OF SERVICE AT CLIFTON SPRINGS HOSPITAL AND CLINIC AND CLIFTON SPRINGS LIVING CENTER. ALTHOUGH THE MAJORITY OF VOLUNTEER SERVICES CEASED IN MARCH 2020 DUE TO COVID, THE COMMUNITY REMAINS COMMITTED TO PROVIDING ASSISTANCE TO OTHERS. BOARD OF DIRECTORS AND COMMUNITY GUIDANCECSHC ENSURES COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE, AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF THE ORGANIZATION. THE MAJORITY OF THE DIRECTORS RESIDE IN THE ROCHESTER AREA AND EACH DIRECTOR SERVES A THREE-YEAR TERM.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF THE ORGANIZATION, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY AS WELL AS USED FOR CHARITY CARE.

PART VI, LINE 3:
ROCHESTER REGIONAL HEALTH INFORMS INDIVIDUALS OF THE AVAILABLE FINANCIAL ASSISTANCE PROGRAM OFFERING FREE OR REDUCED PRICE SERVICES AT THE TIME OF REGISTRATION INTO INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT AND CLINICAL LOCATIONS. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE POSTED IN BOTH ENGLISH AND SPANISH AND AVAILABLE THROUGHOUT ROCHESTER REGIONAL HEALTH LOCATIONS. BROCHURES AND PAMPHLETS, IN BOTH ENGLISH AND SPANISH, INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT CLINICS, HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO AVAILABLE THROUGH ROCHESTER REGIONAL HEALTH'S WEBSITE AND PATIENTS MAY APPLY DIRECTLY THROUGH THE WEBSITE OR BY MAILING A PAPER APPLICATION. APPLICATIONS ARE AVAILABLE IN BOTH ENGLISH AND SPANISH. PATIENTS WITH A SELF-PAY BALANCE ARE NOTIFIED OF OUR FINANCIAL ASSISTANCE PROGRAM AND PAYMENT PLAN OPPORTUNITIES VIA THE PATIENT'S MONTHLY STATEMENT. NO PATIENT WILL BE DENIED ACCESS TO SERVICES DUE TO INABILITY TO PAY, EVERY EFFORT WILL BE FULLY MADE TO ACQUIRE FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE FOR THEIR PARTICULAR SITUATION. ROCHESTER REGIONAL HEALTH OFFERS SEVERAL INITIATIVES TO HELP INDIVIDUALS IN OUR COMMUNITY ACCESS AFFORDABLE HEALTH CARE, INCLUDING:- FACILITATED ENROLLMENT - TO ASSIST ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR NEW YORK STATE OF HEALTH INSURANCE MARKETPLACE, MEDICAID, CHILD HEALTH PLUS, FAMILY HEALTH PLUS, PRENATAL CARE ASSISTANCE PROGRAM, AND STATE AID FOR CHILDREN WITH SPECIAL NEEDS. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN PAMPHLETS AND BUSINESS CARDS AT ROCHESTER REGIONAL HEALTH SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. ANY PATIENT MAY SELF-REFER TO A FACILITATED ENROLLER FOR ASSISTANCE AND PATIENT ACCESS STAFF AT EACH LOCATION ARE TRAINED ON HOW TO REFER THE PATIENT TO THE FACILITATED ENROLLERS. FACILITATED ENROLLERS ARE ALSO STATIONED ON SITE AT EACH HOSPITAL, EMERGENCY ROOM AND DESTINATION CAMPUSES FOR CONVENIENT ACCESS TO ASSISTANCE. IF A PATIENT IS NOT ABLE TO BE SEEN ON-SITE DURING AN APPOINTMENT OR VISIT, EVERY EFFORT IS MADE TO MAKE CONTACT VIA PHONE CALLS AND LETTER TO OFFER ASSISTANCE AFTER THE VISIT. - FINANCIAL ASSISTANCE PROGRAM -ROCHESTER REGIONAL HEALTH RECOGNIZES THE NEED IN OUR COMMUNITY TO PROVIDE FINANCIAL COUNSEL AND ASSISTANCE TO THOSE PATIENTS WITH LIMITED INCOME WHO FIND IT DIFFICULT TO MEET THE EXPENSES INCURRED IN RECEIVING HEALTH CARE SERVICES AT ROCHESTER REGIONAL HEALTH. IN KEEPING WITH OUR MISSION AND VALUES TO ENHANCE LIVES AND PRESERVE HEALTH OF OUR COMMUNITY AND PATIENTS BY ENABLING ACCESS TO A COMPREHENSIVE, FULLY INTEGRATED NETWORK OF THE HIGHEST QUALITY AND MOST AFFORDABLE CARE, DELIVERED WITH KINDNESS, INTEGRITY, AND RESPECT, ROCHESTER REGIONAL HEALTH OFFERS A FINANCIAL ASSISTANCE PROGRAM TO EVERY PATIENT. AT NO TIME WILL FINANCIAL CONCERNS BECOME A BARRIER TO CARE FOR THE PATIENT. THE ROCHESTER REGIONAL HEALTH FINANCIAL ASSISTANCE PROGRAM OFFERS FREE OR REDUCED-PRICES FOR INSURED AND UNDERINSURED PATIENTS TREATED AT ROCHESTER REGIONAL HEALTH HOSPITALS, OUTPATIENT, EMERGENCY ROOMS, ANCILLARY AND ALL CLINIC LOCATIONS. DISCOUNTS ARE AWARDED BASED UPON INCOME AND FAMILY SIZE. ROCHESTER REGIONAL HEALTH'S FINANCIAL ASSISTANCE PROGRAM TAKES INTO ACCOUNT EACH INDIVIDUAL PATIENT'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER HEALTHCARE SERVICES. ALL INDIVIDUALS ARE ENCOURAGED AND MAY APPLY FOR AND BE CONSIDERED FOR FINANCIAL ASSISTANCE. A DEDICATED PHONE LINE FOR FINANCIAL AID QUESTIONS AND ASSISTANCE HAS BEEN MADE AVAILABLE. ROCHESTER REGIONAL HEALTH ALSO PARTICIPATES IN FEDERAL GRANT PROGRAMS ASSISTING LOW INCOME PATIENTS WITH REDUCED PRICES AND ASSISTANCE WITH PRESCRIPTION MEDICATION COSTS. ROCHESTER REGIONAL HEALTH PARTICIPATES IN THE HEALTH RESOURCES & SERVICES ADMINISTRATION SLIDING FEE DISCOUNT PROGRAM FOR FEDERALLY QUALIFIED HEALTH CENTERS. THIS PROGRAM IS BASED ON APPROVED CLINICAL SITES AND OFFERS PATIENTS DISCOUNTS WITH OFFICE VISITS, ANCILLARY VISITS, AND PRESCRIPTION DRUG COST REDUCTIONS. BOTH THE FEDERAL GOVERNMENT AND ROCHESTER REGIONAL HEALTH PROGRAMS CAN BE AWARDED TO THE PATIENT TO ENSURE ALL BENEFITS ARE OBTAINED THAT ARE POSSIBLY AVAILABLE TO ASSIST WITH THE PATIENT'S HEALTHCARE COSTS.- PRESUMPTIVE FINANCIAL AID ASSISTANCE ROCHESTER REGIONAL HEALTH ALSO RECOGNIZES THERE ARE TIMES IT MIGHT BE DIFFICULT FOR THE PATIENT TO FORMALLY APPLY FOR FINANCIAL ASSISTANCE. IF THERE IS SUFFICIENT INFORMATION TO IDENTIFY THAT A PATIENT IS POTENTIALLY ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT, THE PATIENT'S BILL MAY BE CONSIDERED TO BE PRESUMPTIVELY ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT. PRESUMPTIVE ELIGIBILITY IS DEFINED AS THE DETERMINATION THAT A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON INFORMATION OTHER THAN THAT PROVIDED BY THE PATIENT, OR, BASED ON A PRIOR FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION. THE HOSPITAL MAY UTILIZE ANALYTIC SOFTWARE OR AN ANALYTIC SERVICES VENDOR TO SUPPORT SUCH PRESUMPTIVE FINANCIAL ASSISTANCE PROCESSING. IF A PATIENT IS DETERMINED TO BE PRESUMPTIVELY ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT, THE DISCOUNT AMOUNT WILL BE AUTOMATICALLY ADJUSTED FROM THE PATIENT'S BILL AND WILL BE REFLECTED ON THE PATIENT'S NEXT BILLING STATEMENT. EVERY OPPORTUNITY WILL BE TAKEN AND EXPLORED WHERE ASSISTANCE CAN BE GIVEN TO OUR PATIENT BASE, ENSURING THEIR HEALTH CARE IS NOT IMPEDED BY ANY FINANCIAL CONCERNS.

PART VI, LINE 6 (CON'T):
"PARK RIDGE LIVING CENTER IS LOCATED IN ROCHESTER. IT RECEIVED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), A DESIGNATION GIVEN TO ONLY 10 PERCENT OF NURSING HOMES NATIONWIDE. THIS 120 BED FACILITY IS HOME TO THE 40-BED TIMOTHY R. MCCORMICK TRANSITIONAL CARE CENTER, SPECIALIZING IN JOINT REPLACEMENT AND COMPLEX FRACTURE RECOVERY, STROKE AND NEUROLOGICAL REHABILITATION, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, IV THERAPY, AND CENTRAL LINE MEDICATIONS. THE FACILITY'S WEGMAN FAMILY COTTAGES SERVES 80 ELDERS. THE COTTAGES ALLOW ELDERS TO LIVE IN A HOME-LIKE ENVIRONMENT WHILE RECEIVING SKILLED NURSING CARE. PARK RIDGE LIVING CENTER EARNED ""HIGH PERFORMING"" STATUS IN THE U.S. NEWS 2021-22 BEST NURSING HOMES RATING. FIFTEEN THOUSAND NURSING HOMES WERE EVALUATED FOR THE ANNUAL REPORT AND ONLY 13% ACHIEVED THE ELITE RANKING. PARK RIDGE EARNED ""HIGH PERFORMING"" STATUS FOR BOTH SHORT-TERM REHABILITATION AND LONG-TERM CARE. BARELY 2,000 NURSING HOMES EARNED EVEN A SINGLE ""HIGH-PERFORMING"" RATING, AND PARK RIDGE'S TWO HONORS DEMONSTRATE HOW THE TEAM RECOGNIZES THAT PATIENTS UNDERGOING SHORT-TERM REHABILITATION HAVE VERY DIFFERENT NEEDS FROM THOSE REQUIRING LONGER-TERM CARE. ADDITIONALLY, AMANDA BROWN, ADMINISTRATOR FOR PARK RIDGE LIVING CENTER, WAS NAMED A ""VETERAN VIP HONOREE"" IN THIS YEAR'S ""MCKNIGHT'S WOMAN OF DISTINCTION."" THIS AWARD RECOGNIZES WOMEN LEADERS IN SKILLED NURSING AND SENIOR LIVING WHO INSPIRE OTHERS AND HAVE A POWERFUL EFFECT ON THE LIVES OF THE INDIVIDUALS THEY SERVE. UNITY LIVING CENTER IN ROCHESTER IS A 120-BED STATE-OF-THE-ART SKILLED NURSING FACILITY FOCUSED ON TREATMENT AND REHABILITATIVE CARE FOR PATIENTS WITH MEDICALLY COMPLEX NEEDS, DEMENTIA, AND BEHAVIORAL CHALLENGES. SPECIAL SERVICES INCLUDE SHORT-TERM REHABILITATION, PULMONOLOGY, RESPIRATORY THERAPY, TRACHEOTOMY CARE, WOUND CARE, PAIN CONTROL, AND IV THERAPY, AND PERITONEAL DIALYSIS, ACCESS TO HEMODIALYSIS, VENTILATOR BEDS, BARIATRIC CARE AND RELAXATION THERAPY TO MEET THE NEEDS OF THOSE WITH CHRONIC DISEASES.UNITY'S HOUSING GROUP OFFERS 261 AFFORDABLE AND SUBSIDIZED APARTMENTS IN FIVE LOCATIONS. OUR AFFORDABLE SENIOR LIVING COMMUNITIES OFFER COMFORTABLE AND CONVENIENT HOUSING OPTIONS FOR INDEPENDENT ADULTS AGES 55 AND OLDER AT PRICES THAT FIT EVERY BUDGET. STARTING IN 2020, RRH BEGAN COLLABORATING WITH PATHSTONE, A NOT-FOR-PROFIT COMMUNITY DEVELOPMENT AND HUMAN SERVICES ORGANIZATION, TO OFFER SUPPORTIVE SERVICES FOR RESIDENTS OF THE NEW SKYVIEW PARK APARTMENTS LOCATED AT THE FORMER MEDLEY CENTRE IN IRONDEQUOIT. THE SENIOR APARTMENT COMPLEX IS FOR INDIVIDUALS 55 YEARS OR OLDER WHO MAY BE AT RISK FOR HOMELESSNESS OR WISH TO REMAIN INDEPENDENT WITH THE ASSISTANCE OF SUPPORTIVE SERVICES.PARK RIDGE CHILD CARE CENTER CARES FOR CHILDREN BETWEEN EIGHT WEEKS TO TWELVE YEARS OF AGE. LOCATED ON THE UNITY HOSPITAL CAMPUS, THE CENTER OFFERS A SAFE AND NURTURING ENVIRONMENT A HAPPY HOME AWAY FROM HOME WHERE EVERYONE TRULY CARES ABOUT YOUR CHILD'S GROWTH, DEVELOPMENT, AND WELL-BEING. EACH OF OUR HIGHLY TRAINED TEACHERS AND STAFF FOCUSES ON MEETING YOUR CHILD'S PHYSICAL, SOCIAL, EMOTIONAL AND COGNITIVE NEEDS.ROCHESTER AMBULATORY SURGERY CENTER (RASC) IS A 29,000 SQUARE-FOOT FACILITY THAT INCLUDES SIX OPERATING ROOMS AND TWO MINOR PROCEDURE ROOMS EQUIPPED WITH STATE OF THE ART EQUIPMENT AND INSTRUMENTATION. ACCREDITED BY THE ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTHCARE, THE NEW YORK STATE DEPARTMENT OF HEALTH AND IS A MEDICARE-CERTIFIED FACILITY. THE MISSION OF RASC IS TO PROVIDE A SAFE, CONVENIENT AND COST-EFFECTIVE ALTERNATIVE TO TRADITIONAL SURGICAL CARE. LINDEN OAKS SURGERY CENTER IS A FREESTANDING, MULTISPECIALTY AMBULATORY SURGERY CENTER WHERE A BROAD RANGE OF OUTPATIENT SURGICAL PROCEDURES ARE PERFORMED. THE CENTER OFFERS FOUR OPERATING ROOMS AND TWO PROCEDURE ROOMS WHICH ARE FULLY EQUIPPED WITH PREOPERATIVE AND POST-ANESTHESIA CARE AREAS IN ORDER TO PROVIDE HIGH QUALITY CARE AND SAFETY IN A CONVENIENT OUTPATIENT SURGERY CENTER. WESTFALL SURGERY CENTER, OFFERS WIDE RANGE OF SURGICAL SERVICES - FROM GENERAL SURGERY TO PLASTIC SURGERY. WESTFALL SURGERY CENTER PROVIDES HIGH-QUALITY CARE AND SAFETY IN A CONVENIENT OUTPATIENT SURGERY SETTING. ROCHESTER REGIONAL HEALTH IMMEDIATE CARE OPERATING NINE LOCATIONS IN MONROE COUNTY, IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE FOR RESIDENTS AND VISITORS OF MONROE AND SURROUNDING COUNTIES. THE DEDICATION TO PROVIDING AN EXCEPTIONAL PATIENT EXPERIENCE IS SEEN FROM THE HONOR OF BEING VOTED ""BEST URGENT CARE CENTER"" IN ROCHESTER BY THE ROCHESTER BUSINESS JOURNAL AND DAILY RECORD FOR TWO CONSECUTIVE YEARS. THESE IMMEDIATE CARE CENTERS OFFER FULL-SERVICE URGENT CARE AND OCCUPATIONAL MEDICINE SERVICES WITH PHYSICIANS, DIAGNOSTIC TOOLS, AND LABS ON-SITE.ACM MEDICAL LABORATORY IS A FULL SERVICE CLINICAL AND PATHOLOGY LABORATORY CONDUCTING MORE THAN 20 MILLION TESTS EVERY YEAR FOR PHYSICIANS, NURSING HOMES AND HOSPITALS; PHARMACEUTICAL, BIOTECH AND RESEARCH ORGANIZATIONS; COLLEGES AND UNIVERSITY HEALTH CENTERS; AND OCCUPATIONAL HEALTH GROUPS. ACM HAS OPERATIONS IN THE U.S., U.K., INDIA, CHINA AND SINGAPORE. OPERATIONS EXTEND TO MORE THAN 65 COUNTRIES AND OFFER A BROAD MENU OF CLINICAL, PATHOLOGY AND MOLECULAR TESTING. ACM IS ONE OF THE LARGEST REGIONAL REFERENCE LABORATORIES IN NEW YORK STATE.ROCHESTER REGIONAL HEALTH FOUNDATION, NEWARK WAYNE COMMUNITY HOSPITAL FOUNDATION, CLIFTON SPRINGS HOSPITAL AND CLINIC FOUNDATION AND UNITED MEMORIAL MEDICAL CENTER FOUNDATION: THE VITAL SERVICES THAT ROCHESTER REGIONAL PROVIDES TO THE COMMUNITY WOULD NOT BE POSSIBLE WITHOUT THE SUPPORT OF THE FOUNDATIONS. IN THE NONPROFIT ORGANIZATIONAL STRUCTURE THE FOUNDATIONS ARE CRITICAL TO THE ABILITY TO MAKE ONGOING INVESTMENTS IN STATE-OF-THE-ART MEDICAL TECHNOLOGY, CLINICAL PROGRAMS, FACILITIES, RESEARCH, AND EDUCATION THAT BENEFIT THE COMMUNITY AS A WHOLE. THE IMPACTS OF THE FOUNDATIONS' EFFORTS ARE VISIBLE THROUGHOUT THE HOSPITALS, AND IN THEIR DISTINGUISHED CENTERS OF EXCELLENCE. THE FOUNDATIONS' FUNDRAISING PROGRAMS DIRECTLY BENEFIT THE ONGOING NEEDS OF THE COMMUNITY THROUGH IMPROVED AND EXPANDED PATIENT CARE PROGRAMS, SERVICES, AND FACILITIES AND HELP PURCHASE EQUIPMENT. THIS ENHANCES THE HIGH-TOUCH AND COMPASSIONATE CARE AVAILABLE TO ALL WHO ARE SERVED IN THE COMMUNITY."