4A (Expenses $ 968767980 including grants of $ 25000) (Revenue $ 1283375195)
THE TOLEDO HOSPITAL IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.

4B (Expenses $ 547116 including grants of $ 0) (Revenue $ 724792)
THE TOLEDO HOSPITAL OPERATES A HEALTH CLUB FACILITY. - SEE SCHEDULE O.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: THE TOLEDO HOSPITAL, - FACILITY 2: FLOWER HOSPITAL, - FACILITY 3: WILDWOOD ORTHOPAEDIC HOSPITAL

GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 5:
IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY.IN 2019, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, TAKING INTO ACCOUNT THE GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA AND PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AMERICAN CANCER SOCIETY, AREA OFFICE ON AGING OF NORTHWESTERN OHIO, CENTER FOR HEALTH AND SUCCESSFUL LIVING - UNIVERSITY OF TOLEDO, CENTRAL STATE UNIVERSITY, CWA LOCAL 4319/NAACP 3204, FAMILY AND CHILD ABUSE PREVENTION CENTER, FREDRICK DOUGLASS CENTER, HEALTHY LUCAS COUNTY, HOSPITAL COUNCIL OF NORTHWEST OHIO, LAKE ERIE TRAFFIC SAFETY, LUCAS COUNTY FAMILY COUNCIL, LUCAS COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, MERCY HEALTH, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NEW CONCEPTS, NEIGHBORHOOD HEALTH ASSOCIATION, OTTAWA HILLS SCHOOLS, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT INSURANCE, PROMEDICA, ST. LUKE'S HOSPITAL, TOLEDO FIRE AND RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO LUCAS COUNTY COMMISSION ON MINORITY HEALTH, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO MUSEUM OF ART, TOLEDO PUBLIC SCHOOLS, TOLEDO PUBLIC SCHOOLS HEAD START, THE UNIVERSITY OF TOLEDO, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO/LIVE WELL TOLEDO, UNITED PASTORS FOR SOCIAL EMPOWERMENT, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO

GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6A:
THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, FLOWER HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.

GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 6B:
THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO

GROUP A-FACILITY 1 -- THE TOLEDO HOSPITAL PART V, SECTION B, LINE 11:
"THE TOLEDO HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - TRAUMA- EDUCATION - MENTAL HEALTH/SUBSTANCE ABUSE THIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2020-2022. THE TOLEDO HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN, INCLUDE ADULT: HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, , ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS,YOUTH WEIGHT CONTROL, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH PERCEPTIONS OF SUBSTANCE ABUSE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH SOCIAL DETERMINANTS OF HEALTH, YOUTH VIOLENCE; CHILD; HEALTH AND FUNCTION STATUS, CHILD CARE HEALTH ACCESS, EARLY CHILDHOOD, MIDDLE CHILDHOOD, FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH.TOLEDO HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENTLY CONDUCTED CHNA IN 2019: HEALTH NEED IDENTIFIED: TRAUMA EDUCATION STRATEGY #1 - PROVIDE AT LEAST FOUR (4) FREE, ""STOP THE BLEED"" TRAININGS AND EDUCATION TO COMMUNITY ORGANIZATIONS PER YEAR.ACTIONS TAKEN: - IN 2021, 22 ""STOP THE BLEED"" TRAININGS SESSIONS WERE CONDUCTED, WITH 15 KITS DISTRIBUTED AND 489 TOTAL PARTICIPANTS.STRATEGY #2 - PROVIDE AT LEAST TEN FREE CONTINUING MEDICAL EDUCATION TO LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS PER YEARACTIONS TAKEN:- IN 2021, 50 FREE CONTINUING MEDICAL EDUCATION SESSIONS WERE PROVIDE TO 526 LOCAL EMERGENCY MEDICAL SERVICES PROVIDERS TO IMPROVE MEDICAL CARE AT THE SCENE OF INJURY OR EMEGENCY.STRATEGY #3 - ASSESS INDIVIDUALS FOR FALL PREVENTION AND PROVIDE CONNECTIONS TO RESOURCES IN THE COMMUNITY.ACTIONS TAKEN: - IN 2021, 8,635 INDIVIDUALS WERE ASSESSED FOR FALL RISK AND PROVIDED EDUCATION IN THE TOLEDO HOSPITAL EMERGENCY DEPARTMENT (ED).- 27 REFERRALS WERE MADE TO COMMUNITY RESOURCES.- THE PERCENTAGE OF COMPLIANCE OF FALL RISK ASSESSMENTS IN THE ED WAS 67% THE PLAN TO IMPROVE THIS COMPLIANCE PERCENTAGE INCLUDES NURSING AND PROVIDER EDUCATION, AS WELL AS INCLUDING INPATIENT NURSING AND CARE COORDINATION TEAM. HEALTH NEED IDENTIFIED: MENTAL HEALTH/SUBSTANCE ABUSE STRATEGY #1 - DEPLOYMENT OF FREE NARCAN KITS TO PATIENTS AND FAMILIES IN THE ED WHO ARE AT RISK FOR OVERDOSEACTIONS TAKEN:- 875 FREE NARCAN KITS WERE DISTRIBUTED TO PATIENT AND FAMILIES IN THE ED WHO WERE AT RISK FOR OVERDOSE.STRATEGY #2 - PROVIDE AT LEAST TWO FREE EDUCATIONAL CLASSES IN THE COMMUNITY ON MOCK HEROIN OVERDOSE ACTIONS TAKEN: - THREE (3) EDUCATIONAL SESSESION WERE OFFERED, TWO SESSIONS AT LOURDES COLLEGE AMD ONE SESSION AT UNIVERSITY OF TOLEDO, WITH 88 TOTAL PARTICIPANTS. RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11:PROMEDICA RUSSEL J. EBEID CHILDREN'S HOSPITAL, FORMERLY TOLEDO CHILDREN'S HOSPITAL (OPERATING WITHIN AND AS PART OF THE TOLEDOHOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- MENTAL HEALTH/SUBSTANCE ABUSE- INFANT MORTALITY/MATERNAL HEALTH- INJURY PREVENTION/SAFETY- CHRONIC DISEASE ASTHMA AND FOOD INSECURITY- INCREASE SCHOOL READINESSTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS, 2020-2022. RUSSEL J. EBEID CHILDREN'S HOSPITAL (ECH), DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS. THE 2019 SIGNIFICANT HEALTH NEEDS IDENTIFIED, BUT SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH 3STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, ADULT MENTAL HEALTH, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH VIOLENCE, CHILD HEALTH AND FUNCTION STATUS, MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. ITEMS UNABLE TO BE ADDRESSED IN 2021 WILL BE ADDRESSED IN THE SUBSEQUENT YEAR. RUSSELL J. EBEID CHILDREN'S HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN2019:HEALTH NEED IDENTIFIED: MENTAL HEALTH/SUBSTANCE ABUSESTRATEGY #1 - CONDUCT EPIC AUDIT OF SCREENS COMPLETED AND % WITH APPROPRIATE FOLLOW THROUGH. SCREENS WILL BE AUDITED TO DETERMINE HOW MANY WERE COMPLETED AND HANDLED APPROPRIATELY ACCORDING TO RISK LEVEL. CULLEN CENTER WILL SCREEN ALL CLIENTS FOR SUICIDE RISK AND REFER AS APPROPRIATE.ACTIONS TAKEN: - AUDIT SHOWED 90% COMPLIANCE WITH DATA SHARED WITH STAFF TO IMPROVE COMPLIANCE. STRATEGY #2 IMPROVE YOUTH MENTAL HEALTH THROUGH:1. PROVIDE TRAUMA AND TRAUMA INFORMED TRAININGS TO RUSSELL J. EBEID CHILDREN'S HOSPITAL STAFF, PROFESSIONALS, AND COMMUNITY MEMBERS AT LARGE TO HELP THEM PROVIDE APPROPRIATE TRAUMA INFORMED SERVICES TO YOUTH WHO HAVE HISTORIES OF TRAUMA.2. PROVIDE TRAUMA INFORMED PARENTING GROUPS TO PARENTS OF CHILDREN WITH HISTORIES OF TRAUMA.3. PROVIDE RISK PREVENTION PROGRAM, HIP HOP HEALTH, TO AT-RISK TEENS, AND, ALSO PROVIDE EDUCATION FOR OTHER PROVIDERS WHO PROVIDE PREVENTION PROGRAMS FOR AT-RISK YOUTH.ACTIONS TAKEN: - 28 COMMUNITY AND HOSPITAL ZOOM TRAININGS WERE PROVIDED, WITH 1,022 PARTICIPANTS TRAINED.- 90% OF PARTICIPANTS REPORTED AN INCREASE IN KNOWLEDGE AFTER THE ZOOM TRAINING.-TWO 6-WEEK LONG TRAUMA INFORMED PARENTING SUPPORT GROUPS WERE HELD FOR 41 CAREGIVERS.- FOURTEEN (14) AT RISK TEENS WERE PROVIDED EDUCATION DURING A 14 WEEK GROUP. STRATEGY #3 - PROVIDE PEER-LED BULLYING/VIOLENCE PREVENTION AWARENESS EDUCATION TO ELEMENTARY AND MIDDLE SCHOOL AGED KIDS. HAVE A POSITIVE IMPACT ON PEER BULLYING BY PROVIDING EDUCATION TO SCHOOLS (Y1-500 YOUTH, Y2-750 YOUTH, Y3-1000 YOUTH).ACTIONS TAKEN: - 374 STUDENT LEADERS RECEIVED MULTI-SESSION TRAININGS ON BYSTANDER INTERVENTION IN 2021.- 1,892 STUDENTS RECEIVED PEER LED EDUCATION ON HOW THEY CAN REDUCE BULLYING IN THEIR SCHOOLS.- EDUCATED PEERS VIA SOCIAL MEDIA MESSAGING CAMPAIGNS CENTERED AROUND BYSTANDER INTERVENTION, BULLYING PREVENTION, INCREASING KINDNESS, MENTAL HEALTH AWARENESS AND DE-STIGMATIZATION, WITH 2017 TOTAL REACH."

GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 5:
IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY.IN 2019, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, TAKING INTO ACCOUNT THE GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA AND PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AMERICAN CANCER SOCIETY, AREA OFFICE ON AGING OF NORTHWESTERN OHIO, CENTER FOR HEALTH AND SUCCESSFUL LIVING - UNIVERSITY OF TOLEDO, CENTRAL STATE UNIVERSITY, CWA LOCAL 4319/NAACP 3204, FAMILY AND CHILD ABUSE PREVENTION CENTER, FREDRICK DOUGLASS CENTER, HEALTHY LUCAS COUNTY, HOSPITAL COUNCIL OF NORTHWEST OHIO, LAKE ERIE TRAFFIC SAFETY, LUCAS COUNTY FAMILY COUNCIL, LUCAS COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, MERCY HEALTH, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NEW CONCEPTS, NEIGHBORHOOD HEALTH ASSOCIATION, OTTAWA HILLS SCHOOLS, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT INSURANCE, PROMEDICA, ST. LUKE'S HOSPITAL, TOLEDO FIRE AND RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO LUCAS COUNTY COMMISSION ON MINORITY HEALTH, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO MUSEUM OF ART, TOLEDO PUBLIC SCHOOLS, TOLEDO PUBLIC SCHOOLS HEAD START, THE UNIVERSITY OF TOLEDO, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO/LIVE WELL TOLEDO, UNITED PASTORS FOR SOCIAL EMPOWERMENT, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO

GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 6A:
THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: TOLEDO HOSPITAL, WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.

GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 6B:
THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO

GROUP A-FACILITY 2 -- FLOWER HOSPITAL PART V, SECTION B, LINE 11:
"FLOWER HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- MENTAL HEALTH- CANCERTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2020-2022.FLOWER HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN, INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT ALCOHOL CONSUMPTION, ADULT DRUG USE, ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS,YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, YOUTH DRUG USE, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE; YOUTH PERCEPTIONS, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. ITEMS UNABLE TO BE ADDRESSED IN 2021 WILL BE ADDRESSED IN THE SUBSEQUENT YEAR. FLOWER HOSPITAL TOOK THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 - ADVOCACY & CAPACITY BUILDINGA. SPONSOR A BI-ANNUAL CONFERENCE TO HELP PROVIDERS BETTER SERVE PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS.ACTIONS TAKEN: - ONE (1) CONFERENCE WAS HELD IN 2021, THE BIANNUAL ANNUAL PSYCHIATRIC SYMPOSIUM, WITH 129 PARTICIPANTS. (NOTE: PARTICIPANTS PAID TO ATTEND THE CONFERENCE FOR CEU'S.)B. JOIN OR CREATE THREE ADVOCACY ACTIVITIES EACH YEAR THAT SUPPORT LOCAL, STATE, OR NATIONAL EFFORTS TO HELP PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS.ACTIONS TAKEN: - THE ADMINISTRATIVE DIRECTOR OF FLOWER PSYCHIATRIC SERVICES, OR THEIR REPRESENTATIVE, ATTENDED VARIOUS COUNTY OR STATE MENTAL HEALTH BOARD AND RELATED MEETINGS, FOR A TOTAL OF 119 HOURS OF ADVOCACY WORK.- FLOWER HOSPITAL FUNDED A .PART-TIME NAMI FAMILY NAVIGATOR WHO PARTICIPATED IN 28 MENTAL HEALTH ADVOCACY EVENTS, WITH 269 PARTICIPANTS.- FLOWER HOSPITAL STAFF PARTICIPATED IN THE NAMI WALK IN WHICH 62 EMPLOYEES PARTICIPATED AND RAISED $2,888. THESE FUNDS WILL GO NAMI TOLEDO CHAPTER TO HELP SUPPORT THE COMMUNITY INITIATIVE OF MENTAL HEALTH EDUCATION AND SUPPORT FOR PATIENTS AND FAMILIES.STRATEGY #2 A. MAINTAIN A FAMILY SUPPORT GROUP FOR PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSISACTIONS TAKEN:- THERE WERE 308 PARTICIPANTS IN FAMILY SUPPORT GROUP INITIATIVES. B. PARTNER WITH COMMUNITY GROUPS TO INCREASE COMMUNITY ORGANIZATION'S STAFFING THAT PROVIDES SYSTEM AND RESOURCE NAVIGATION SUPPORT TO PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSISACTIONS TAKEN: - PARTICIPATED IN OREGON CITY FAIR AND SUICIDE PREVENTION ""OUT OF THE DARKNESS"" TO SERVE 197 PERSONS.PROMEDICA-FUNDED A PART TIME FAMILY NAVIGATOR IN COLLABORATION WITH THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) WHO WORKED 1040 HOURS (BASELINE 2019 0 HOURS).C. PARTNER WITH COMMUNITY GROUPS TO CREATE INFORMATION AND REFERRAL RESOURCES FOR PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS. ACTIONS TAKEN: - THE DIRECTOR OF FLOWER HOSPITAL PSYCHIATRY DEPARTMENT AND THE NAMI TEAM UPDATED THE NORTHWEST OHIO MENTAL HEALTH RESOURCE GUIDE. THIS RESOURCE GUIDE IS AVAILABLE FREE ONLINE FOR PRINTING, SOCIAL MEDIA/WEB SUPPORT, ETC. AVAILABLE ONLINE: HTTPS://WWW.PROMEDICA.ORG/PUBLIC%20DOCUMENTS/MEDICAL-SERVICES/BEHAVIORAL-HEALTH/NW_OHIO_MENTAL_HEALTH_RESOURCE.PDF AND IN PRINT THROUGH PROMEDICA, (THESE BOOKLETS ARE DISTRIBUTED TO THE COMMUNITY AT HEALTH FAIRS, ETC.). STRATEGY #3 - EDUCATION: HOLD FIVE EDUCATIONAL SESSIONS EACH YEAR THAT PROVIDE EDUCATION AND INFORMATION ON VARIOUS TOPICS AND ISSUES THAT ARE IMPORTANT TO PARENTS AND FAMILIES WHOSE CHILDREN HAVE A MENTAL HEALTH DIAGNOSIS. ACTIONS TAKEN: - A TOTAL OF 50 EDUCATIONAL SESSIONS WERE HELD, WITH 211 PARTICIPANTS.HEALTH NEED IDENTIFIED: CANCERSTRATEGY #1 - ADVOCACY & CAPACITY BUILDING: WORK WITH SALONS AND BARBERSHOP OWNERS TO PROVIDE EDUCATION AND RESOURCES TO INCREASE HEALTH EQUITY IN THE COMMUNITIES THEY SERVE.ACTIONS TAKEN: - AS PART OF V-PROJECT (COVID VACCINE) EDUCATION MATERIALS WITH 1,200 THERMOMETERS AND HAND SANITIZERS WERE DISTRIBUTED TO SALON AND BARBERSHOP CUSTOMERS TO INCREASE COVID VACCINES AND PREVENT SPREAD OF COVID IN THESE MINORITY AND UNDERSERVED POPULATIONS.- STAFF PARTICIPATED IN 31 ADVOCACY AND CAPACITY BUILDING MEETINGSSTRATEGY #2 - PROGRAMMING: EDUCATE THE COMMUNITY ON EARLY DETECTION OF BREAST AND PROSTATE CANCER THROUGH AT LEAST TWO EDUCATIONAL PROGRAMS PER YEAR.ACTIONS TAKEN:- NINE (9) EDUCATIONAL SESSIONS WERE PROVIDED IN THE COMMUNITY TO INCREASE KNOWLEDGE OF EARLY DETECTION OF CANCER WITH A TOTAL OF 1,179 PARTICIPANTS.STRATEGY #3 - EDUCATION: PROVIDE EDUCATION ON HEALTH TOPICS TO REDUCE THE INCIDENCE OF LATE TERM CANCER DIAGNOSIS. ACTIONS TAKEN:- EIGHTEEN (18) SALON AND BARBERSHOPS PARTICIPATED IN EDUCATION SESSIONS TO EDUCATE THEIR CUSTOMERS ON CANCER SCREENING EDUCATION. THESE SHOPS WERE LOCATED IN UNDERSERVED, HIGH MINORITY ZIP CODES. - 1,255 AMERICAN CANCER SOCIETY CANCER PREVENTION RESOURCE GUIDES WERE DISTRIBUTED BY SALONS AND BARBERSHOPS TO IMPROVE AWARENESS AND ACCESS TO RELATED RESOURCES."

GROUP A-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 5:
IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY.IN 2019, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, TAKING INTO ACCOUNT THE GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA AND PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AMERICAN CANCER SOCIETY, AREA OFFICE ON AGING OF NORTHWESTERN OHIO, CENTER FOR HEALTH AND SUCCESSFUL LIVING - UNIVERSITY OF TOLEDO, CENTRAL STATE UNIVERSITY, CWA LOCAL 4319/NAACP 3204, FAMILY AND CHILD ABUSE PREVENTION CENTER, FREDRICK DOUGLASS CENTER, HEALTHY LUCAS COUNTY, HOSPITAL COUNCIL OF NORTHWEST OHIO, LAKE ERIE TRAFFIC SAFETY, LUCAS COUNTY FAMILY COUNCIL, LUCAS COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, MERCY HEALTH, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NEW CONCEPTS, NEIGHBORHOOD HEALTH ASSOCIATION, OTTAWA HILLS SCHOOLS, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT INSURANCE, PROMEDICA, ST. LUKE'S HOSPITAL, TOLEDO FIRE AND RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO LUCAS COUNTY COMMISSION ON MINORITY HEALTH, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO MUSEUM OF ART, TOLEDO PUBLIC SCHOOLS, TOLEDO PUBLIC SCHOOLS HEAD START, THE UNIVERSITY OF TOLEDO, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO/LIVE WELL TOLEDO, UNITED PASTORS FOR SOCIAL EMPOWERMENT, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO

GROUP A-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 6A:
THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, & ARROWHEAD BEHAVIORAL HEALTH.

GROUP A-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 6B:
THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO

GROUP A-FACILITY 3 -- WILDWOOD ORTHOPAEDIC HOSPITAL PART V, SECTION B, LINE 11:
WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL CONDUCTED AND ADOPTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2019 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY:- HUNGER- OBESITYTHIS CHNA WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019; THEREFORE, THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE THREE TAX YEARS, 2020-2022.WILDWOOD HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY, TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN, INCLUDE: ADULT HEALTH CARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT TOBACCO USE, ADULT DRUG USE, ADULT ALCOHOL CONSUMPTION, ADULT SEXUAL BEHAVIOR, ADULT MENTAL HEALTH, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH ALCOHOL CONSUMPTION, YOUTH SEXUAL BEHAVIOR, YOUTH MENTAL HEALTH, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE; YOUTH PERCEPTIONS, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. ITEMS UNABLE TO BE ADDRESSED IN 2021 WILL BE ADDRESSED IN THE SUBSEQUENT YEAR. WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: HUNGERSTRATEGY #1 - SCREEN INPATIENTS ON ADMISSION FOR FOOD INSECURITY, AND PROVIDE FOOD TO TAKE HOME AT DISCHARGE, IF FOOD INSECURITY IS IDENTIFIED.ACTIONS TAKEN:- IN 2021, WITH TOLEDO HOSPITAL, 521 INPATIENTS SCREENED POSITIVE FOR FOOD INSECURITY, AND 89 FOOD AT DISCHARGE BOXES WITH COMMUNITY FOOD RESOURCE LISTINGS, WERE PROVIDED. PATIENTS HAVE THE OPTION OF DECLINING THE FOOD AT DISCHARGE BOX.STRATEGY #2 - SCREEN OUTPATIENTS IN SPECIFIC PROMEDICA PRIMARY CARE OFFICES FOR FOOD INSECURITY AND PROVIDE A REFERRAL TO A PROMEDICA FOOD PHARMACY AND/OR PROVIDE A LISTING OF FOOD AGENCIES TO ASSIST PATIENTS WITH FOOD ACCESS.ACTIONS TAKEN:- 1,658 UNIQUE HOUSEHOLDS WITHOUT CHILDREN WERE SERVED BY THE CENTER FOR HEALTH SERVICES AND PROMEDICA HEALTH AND WELLNESS CENTER FOOD CLINICS IN 2021. PATIENTS ARE REFERRED BY THEIR PROMEDICA PRIMARY CARE PROVIDER AND MAY VISIT THE FOOD CLINICS ONCE A MONTH FOR 2-3 DAYS OF HEALTHY FOOD.HEALTH NEED IDENTIFIED: OBESITYSTRATEGY #1 - PROVIDE FREE COOKING MATTERS PROGRAMMING TO PARENTS AND FAMILIES THROUGHOUT THE COMMUNITY. COOKING MATTERS IS A 6-WEEK HEALTHY EATING AND COOKING CLASS FOR LOW-INCOME FAMILIES, WHICH WILL BE OFFERED AT THE PROMEDICA EBEID CENTER'S TEACHING KITCHEN.ACTIONS TAKEN:- THROUGH THE EBEID NEIGHBORHOOD PROMISE, TWO (2) COOKING MATTERS CLASS SERIES WERE COMPLETED AT THE EBEID CENTER IN 2021, WITH 34 PARTICIPANTS. THE EBEID CENTER IS A PARTNER PROGRAM IN URBAN TOLEDO. - FIFTY (50) NUTRITION BITES, A HEALTHY EATING NEWSLETTER WITH FITNESS TIPS, WERE DISTRIBUTED MONTHLY BY THE MARKET ON THE GREEN GROCERY STORE, LOCATED IN URBAN TOLEDO, FOR A TOTAL OF 600 DISTRIBUTED IN 2021.STRATEGY #2 - PROVIDE FREE COOKING MATTERS AT THE STORE PROGRAMMING TO PARENTS AND FAMILIES. COOKING MATTERS AT THE STORE IS A ONE-TIME, EDUCATIONAL GROCERY STORE TOUR TEACHING HEALTHY EATING ON A BUDGET.ACTIONS TAKEN:- IN LIEU OF THE GROCERY STORE TOUR THAT WAS PREVIOUSLY OFFERED, AND NOT WELL PARTICPATED IN, VIRTUAL COOKING CLASSES WERE PROVIDED BY THE RD THROUGH THE EBEID CENTER, VIA THE EBEID CENTER FACEBOOK PAGE, WITH 1,080 VIDEO VIEWS.STRATEGY #3 - PROVIDE PHYSICAL ACTIVITY EDUCATION AS PART OF THE PROGRAMMING AT THE EBEID CENTER.ACTIONS TAKEN:- THROUGH THE EBEID NEIGHBORHOOD PROMISE PROGRAM, ONE UPTOWN WALK AND ROLL EVENT WAS HELD WITH A TOTAL OF 175 PARTICIPANTS, TO INCREASE PHYSICAL ACTIVITY IN THE NEIGHBORHOOD.- 600 EDUCATIONAL FLYERS, ON PHYSICAL ACTIVITY WERE SENT TO MARKET ON THE GREEN FOR DISTRIBUTION TO THEIR CUSTOMERS.

PART V, SECTION B
FACILITY REPORTING GROUP B

FACILITY REPORTING GROUP B CONSISTS OF:
- FACILITY 4: ARROWHEAD BEHAVIORAL HEALTH

GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 5:
IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FOLLOWING THE FORMAL COUNTY HEALTH ASSESSMENT PROCESS, PROMEDICA STAFF JOINED MULTIPLE COMMUNITY ORGANIZATIONS TO COLLABORATE TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR LUCAS COUNTY.IN 2019, PROMEDICA TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE, AND ARROWHEAD BEHAVIORAL HOSPITALS CONVENED CHNA COMMITTEES TO REVIEW THE MOST RECENT LUCAS COUNTY CHA AND CHIP, TAKING INTO ACCOUNT THE GAP AND RESOURCE ASSESSMENTS. THE COMMITTEE THEN SELECTED AND PRIORITIZED KEY INDICATORS FOR THEIR DEFINED COMMUNITY, IDENTIFIED RESOURCES AND GAPS IN THESE AREAS, AND DEVELOPED IMPLEMENTATION PLANS TO ADDRESS THESE PRIORITY HEALTH NEEDS IN THE COMMUNITY OVER THE NEXT THREE YEARS, TAKING INTO ACCOUNT THE NEEDS OF MINORITY AND UNDERSERVED POPULATIONS. THE HOSPITALS RECEIVED FEEDBACK ON THE CHNA AND PLAN FROM THE TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TO CONFIRM THESE NEEDS FROM A COMMUNITY HEALTH EXPERT PERSPECTIVE.THE LUCAS COUNTY CHA AND CHIP PROCESSES INCLUDED INPUT FROM ORGANIZATIONS AND PERSONS WHO REPRESENT THE COMMUNITY. COLLABORATING ORGANIZATIONS INCLUDED: ADELANTE, ADVOCATES FOR BASIC LEGAL EQUALITY, INC. (ABLE), AMERICAN CANCER SOCIETY, AREA OFFICE ON AGING OF NORTHWESTERN OHIO, CENTER FOR HEALTH AND SUCCESSFUL LIVING - UNIVERSITY OF TOLEDO, CENTRAL STATE UNIVERSITY, CWA LOCAL 4319/NAACP 3204, FAMILY AND CHILD ABUSE PREVENTION CENTER, FREDRICK DOUGLASS CENTER, HEALTHY LUCAS COUNTY, HOSPITAL COUNCIL OF NORTHWEST OHIO, LAKE ERIE TRAFFIC SAFETY, LUCAS COUNTY FAMILY COUNCIL, LUCAS COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES, MERCY HEALTH, MENTAL HEALTH & RECOVERY SERVICES BOARD OF LUCAS COUNTY, NEW CONCEPTS, NEIGHBORHOOD HEALTH ASSOCIATION, OTTAWA HILLS SCHOOLS, OHIO STATE UNIVERSITY EXTENSION, PARAMOUNT INSURANCE, PROMEDICA, ST. LUKE'S HOSPITAL, TOLEDO FIRE AND RESCUE, TOLEDO/LUCAS COUNTY CARENET, TOLEDO LUCAS COUNTY COMMISSION ON MINORITY HEALTH, TOLEDO LUCAS COUNTY HEALTH DEPARTMENT, TOLEDO MUSEUM OF ART, TOLEDO PUBLIC SCHOOLS, TOLEDO PUBLIC SCHOOLS HEAD START, THE UNIVERSITY OF TOLEDO, UNIVERSITY OF TOLEDO MEDICAL CENTER, UNITED WAY OF GREATER TOLEDO/LIVE WELL TOLEDO, UNITED PASTORS FOR SOCIAL EMPOWERMENT, YMCA OF GREATER TOLEDO, YWCA OF NORTHWEST OHIO

GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6A:
THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: THE TOLEDO HOSPITAL, FLOWER HOSPITAL, & WILDWOOD ORTHOPAEDIC & SPINE HOSPITAL.

GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 6B:
THE HOSPITAL FACILITY CONDUCTED ITS 2019 CHNA WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO

GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 11:
"ARROWHEAD BEHAVIORAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED AND ADOPTED AT THE END OF TAX YEAR 2019, THEREFORE THESE HEALTH NEEDS WILL BE ADDRESSED OVER THE NEXT THREE TAX YEARS, 2020-2022:- SUBSTANCE ABUSE- MENTAL HEALTHARROWHEAD BEHAVIORAL HOSPITAL DOES NOT INTEND TO ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT GIVEN THAT SOME OF THE IDENTIFIED HEALTH NEEDS ARE EITHER BEING ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.THE 2019 SIGNIFICANT COUNTY HEALTH NEEDS IDENTIFIED, AND SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS 2019 IMPLEMENTATION PLAN INCLUDE: ADULT HEALTHCARE COVERAGE/ACCESS/UTILIZATION, PREVENTIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT TOBACCO USE, ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, CANCER, ARTHRITIS, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS, YOUTH WEIGHT STATUS, YOUTH TOBACCO USE, YOUTH SEXUAL BEHAVIOR, YOUTH PERSONAL HEALTH AND SAFETY, YOUTH VIOLENCE, YOUTH PERCEPTION, MATERNAL AND INFANT HEALTH, CHILD HEALTH AND FUNCTION STATUS, CHILD HEALTH CARE ACCESS, EARLY CHILDHOOD (AGES 0-5), MIDDLE CHILDHOOD (AGES 6-11), FAMILY AND COMMUNITY CHARACTERISTICS, AND PARENT HEALTH. MINORITY HEALTH COMPARISONS WERE ALSO INCLUDED IN THE COUNTY HEALTH ASSESSMENT.DUE TO RESTRICTIONS AND REGULATIONS PUT IN PLACE DUE TO THE COVID-19 PANDEMIC, MANY OF THE STRATEGIES MEANT TO BE IMPLEMENTED HAD TO BE DELAYED. LISTED HERE ARE THE STRATEGIES THAT WERE ABLE TO BE MAINTAINED WHILE FOLLOWING PROPER PUBLIC HEALTH GUIDELINES IN PLACE AT THE TIME. ITEMS UNABLE TO BE ADDRESSED IN 2021 WILL BE ADDRESSED IN THE SUBSEQUENT YEAR. ARROWHEAD BEHAVIORAL HOSPITAL DID TAKE THE FOLLOWING ACTIONS DURING TAX YEAR 2021 WITH RESPECT TO ITS MOST RECENT CHNA, CONDUCTED IN 2019:HEALTH NEED IDENTIFIED: SUBSTANCE ABUSESTRATEGY #1 FREE TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS (WHEN NEEDED).ACTIONS TAKEN: - NO COST TRANSPORTATION FOR OUTPATIENT SERVICES AND INPATIENT DISCHARGES/ADMISSIONS WERE PROVIDED TO 51 INDIVIDUALS.STRATEGY #2 - COLLABORATION WITH TOLEDO-LUCAS COUNTY HEALTH DEPARTMENT TO PROVIDE NO COST HEPATITIS A VACCINATIONS TO INDIVIDUALS IN HIGH RISK POPULATIONS.ACTIONS TAKEN:- DUE TO COVID RESTRICTIONS THIS ACTIVITY DID NOT TAKE PLACE IN 2021, PER THE HEALTH DEPARTMENT.STRATEGY #3 - PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES, INCLUDING: RELAPSE PREVENTION, ALCOHOLICS ANONYMOUS AND NAMI FAMILY TO FAMILY. ACTIONS TAKEN:- 5/21/21 PARTICIPATED IN ANGEL WALK TO PROVIDE EDUCATION TO APPROXIMATELY 500 ATTENDEES.- 9/14/21 PROVIDED EDUCATION TO APPROXIMATELY 50 PARTICIPANTS AT ROAD TO RECOVERY.- 11/9/21 PROVIDED EDUCATION TO APPROXIMATELY 20 PARTICIPANTS AT WOOD COUNTY ARC TOWN HALL.HEALTH NEED IDENTIFIED: MENTAL HEALTHSTRATEGY #1 PARTICIPATE IN COMMUNITY AWARENESS/EDUCATION ACTIVITIES TO INCREASE EDUCATION AND AWARENESS TO THE COMMUNITY ABOUT MENTAL HEALTH AND MENTAL HEALTH RESOURCES.ACTIONS TAKEN: DISTRIBUTED MATERIALS FOCUSING ON DEPRESSION, ANXIETY AND SUBSTANCE USE DISORDERS AT THE FOLLOWING EVENTS:- 7/8/21 PARTICIPATED IN AFRICAN AMERICAN LEADERSHIP INITIATIVE WITH NAMI WITH APPROXIMATELY 50 PARTICIPANTS- 8/28/2021 PARTICIPATED IN WALK THE WORD MINISTRY WITH NAMI WITH APPROXIMATELY 50 PARTICIPANTS- 9/14/2021 PARTICIPATED WITH ROAD TO RECOVERY WITH APPROXIMATELY 30 PARTICIPANTS- 11/9/2021 PARTICIPATED IN OWENS COMUNITY COLLEGE ""ART WITH IMPACT"" EVENT WITH APPROXIMATELY 55 PARTICIPANTS- 1/11/2021 PARTICIPATED IN AMERICAN RED CROSS VETEREN'S EVENT WITH APPROXIMATELY 1000 PARTICIPANTS"

GROUP B-FACILITY 4 -- ARROWHEAD BEHAVIORAL HEALTH PART V, SECTION B, LINE 20E:
PRIOR TO PURSUING COLLECTION ACTIONS, THE HOSPITAL FACILITY INITIATED THE FOLLOWING ACTIONS:- PATIENTS ARE OFFERED PAYMENT PLANS TO WORK WITH THE HOSPITAL FACILITYTO PAY THEIR OUTSTANDING BALANCES WITH COMMUNICATION MADE TO THEPATIENT ON A MONTHLY BASIS VIA PAPER INVOICES AND PHONE CALLS- PATIENT ACCOUNTS WILL NOT GO TO BAD DEBT COLLECTION IF THE PATIENTMAKES MONTHLY PAYMENTS AS AGREED TO WITH THE HOSPITAL FACILITY OR IFTHE PATIENT COMMUNICATES THEIR INABILITY TO MAKE PAYMENTS TIMELY- PATIENT ACCOUNTS WILL GO TO BAD DEBT COLLECTION IF THE PATIENT DOESNOT COMMUNICATE WITH THE HOSPITAL FACILITY OR RESPOND TO PAPER INVOICESAND PHONE CALLS FOR MULTIPLE MONTHS

PART V, SECTION B, LINE 7A
THE 2019 CHNA FOR TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE AND ARROWHEAD BEHAVIORAL HOSPITALS CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/CHNA/PROMEDICA-TOLEDO-FLOWER-WILDWOOD-AND-ARROWHEAD-HOSPITALS-2019-JOINT-CHNA.PDFTHE 2019 CHNA FOR PROMEDICA TOLEDO CHILDREN'S HOSPITAL CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/CHNA/PROMEDICA-TOLEDO-CHILDRENS-HOSPITAL-2019-CHNA.PDF

PART V, SECTION B, LINE 10A
THE 2020-2020 CHNA IMPLEMENTATION PLAN FOR TOLEDO, FLOWER, WILDWOOD ORTHOPAEDIC & SPINE AND ARROWHEAD BEHAVIORAL HOSPITALS CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/CHNA/PROMEDICA-TOLEDO-FLOWER-WILDWOOD-AND-ARROWHEAD-BEHAVIORAL-HOSPITALS-2019-JOINT-CHNA-IMPLEMENTATION-PLAN-2020-2022-(1).PDFTHE 2020-2020 CHNA IMPLEMENTATION PLAN FOR PROMEDICA TOLEDO CHILDREN'S HOSPITAL CAN BE FOUND AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/CHNA/PROMEDICA-TOLEDO-CHILDRENS-HOSPITAL-2019-CHNA-IMPLEMENTATION-PLAN-2020-2022.PDF

PART V, SECTION B, LINE 16A:
THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/PATIENT-RESOURCES/UNINSURED_DISCOUNT_POLICY.PDF

PART V, SECTION B, LINE 16B:
THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/PATIENT-RESOURCES/FINANCIAL_ASSISTANCE_APPLICATION.PDF

PART V, SECTION B, LINE 16C:
A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.PROMEDICA.ORG/ASSETS/DOCUMENTS/PATIENT-RESOURCES/PLAIN_LANGUAGE_FINANCIAL_ASSISTANCE.PDF

RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11 CONTINUED:
"STRATEGY #4 - DEMONSTRATE CHANGE AS EVIDENCED BY PARTICIPANT RETROSPECTIVE TESTING. INCREASE CONFIDENCE LEVEL ""YOUR PEERS ARE MAKING FUN OF A CLASSMATE. HOW CONFIDENT ARE YOU THAT YOU WOULD STAND UP FOR THE PERSON EVEN IF YOU DID NOT KNOW THEM?"" (Y1-10%, Y2-15%, Y3-20%).ACTIONS TAKEN:- TRACKED CONFIDENCE LEVEL OF TEENS. TEEN LEADERS DEMONSTRATED AN 84% OVERALL INCREASE IN THEIR CONFIDENCE LEVEL FOR INTERVENING (BYSTANDER INTERVENTION). DATA COLLECTED ONCE/ANNUALLY AT CONCLUSION OF SCHOOL YEAR MAY/JUNE.STRATEGY #5: 1. PROVIDE ANTENATAL EDUCATION BY NEONATAL NURSE PRACTITIONER FROM NEONATAL INTENSIVE CARE UNIT (NICU) ABOUT MATERNAL BONDING AND THE USE OF NON-PHARMACOLOGICAL BUNDLE ITEMS TO DECREASE THE NEED FOR PHARMACOLOGICAL TREATMENT FOR NEONATAL ABSTINENCE SYNDROME (NAS) STRESSING THE IMPORTANCE OF THE USE OF MATERNAL BREAST MILK IN THE NAS POPULATION. 2. CONTINUE CONSULTS AT CENTER FOR HEALTH SERVICES (CHS) AS ORDERED BY PRIMARY CARE PROVIDER/OBSTETRICIAN.3. CONTINUE PARTICIPATION AT THE MONTHLY ""MOM'S GROUP"" MEETINGS AT ZEPF CENTER.ACTIONS TAKEN: -NINE (9) NEONATAL ABSTINENCE SYNDROME (NAS) CONSULTS WERE COMPLETED AT THE CENTER FOR HEALTH SERVICES (CHS) IN 2021 WHERE A NEONATAL NURSE PRACTITIONER FROM THE NEONATAL INTENSIVE CARE UNIT (NICU) INSTRUCTED NEW MOTHERS ABOUT MATERNAL BONDING AND THE USE OF NON-PHARMACOLOGICAL BUNDLE ITEMS TO DECREASE THE NEED FOR PHARMACOLOGICAL TREATMENT FOR NAS, AND STRESSING THE IMPORTANCE OF THE USE OF MATERNAL BREAST MILK IN THE NAS POPULATION. -A LICENSED THERAPIST EDUCATED THREE (3) INDIVIDUALS AT MOM'S GROUP AT ZEPF MENTAL HEALTH CENTER. IN JANUARY AND FEBRUARY, STAFF WAS UNABLE TO HOLD MEETINGS DUE TO COVID RESTRICTIONS. PREVIOUSLY ATTEMPTED ZOOM MEETING FOR ""MOM'S GROUP"" AT THE ZEPF CENTER, BUT DUE TO MULTIPLE FACTORS THIS ONLINE GROUP WAS NOT SUCCESSFUL, AND DISCONTINUED.HEALTH NEED IDENTIFIED: INFANT MORTALITY/MATERNAL HEALTHSTRATEGY #1 SAFE SLEEP1. PROVIDE ACCESS TO SAFE SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH CHILDREN LESS THAN 12 MONTHS OF AGE AND REFER PARENTS TO CLASSES AS APPROPRIATE. PROVIDE ASSESSMENTS TO FAMILIES RECEIVING PORTABLE CRIB TO ENSURE SAFE SLEEP PRACTICES AND USE OF CRIB.2. PROVIDE SAFE SLEEP SACKS AND SAFE SLEEP EDUCATION TO LOW INCOME CAREGIVERS WITH NEWBORN INFANTS WHEN APPROPRIATE.3. EXPAND AS POSSIBLE BASED ON FUNDING AVAILABILITY.ACTIONS TAKEN:NOTE: ALL NEW MOTHERS RECEIVE EDUCATION ON SAFE SLEEP DURING THEIR DELIVERY STAY IN THE HOSPITAL.-SAFE SLEEP ASSESSMENT WAS PROVIDED TO 19 FAMILIES RECEIVING PORTABLE CRIBS TO ENSURE SAFE SLEEP PRACTICES. - SAFE SLEEP SACKS AND SAFE SLEEP EDUCATION WAS PROVIDED TO 32 LOW INCOME CAREGIVERS WITH NEWBORN INFANTS.STRATEGY #2 BREASTFEEDING 1. TH/ECH WOMEN, INFANT AND CHILDREN SUPPLEMENTAL FOOD PROGRAM (WIC) DIETITIANS AND SUPPORT STAFF DISCUSS BREASTFEEDING WITH EACH PREGNANT/BREASTFEEDING WOMAN, ENROLLED IN THE TH/ECH WIC PROGRAM, AND ENCOURAGE ATTENDANCE TO THE FREE, UNLIMITED, BREASTFEEDING EDUCATION CLASSES. 2. OFFER BREASTFEEDING EDUCATION CLASSES TO EACH PREGNANT/BREASTFEEDING WOMAN ENROLLED IN THE WIC PROGRAM.3. MAKE REFERRALS TO WIC LACTATION CONSULTANT AND WIC BREASTFEEDING STAFF.4. WIC PEER BREASTFEEDING COUNSELOR CONTACTS THE TH/ECH BREASTFEEDING MOMS TO OFFER SUPPORT AND ANSWER BREASTFEEDING QUESTIONS.5. EDUCATE PREGNANT WOMEN PARTICIPATING IN PATHWAYS AND HMG HOME VISITING PROGRAMS REGARDING BREASTFEEDING AND/OR FEEDING BREASTMILK DURING HOME VISITS AND USE LACTATION CONSULTANTS IF NEEDED TO SUSTAIN INFANTS RECEIVING BREASTMILK UNTIL AT LEAST 5 WEEKS OLD. INCORPORATE THE ODH BREASTFEEDING/BREAST MILK INITIATIVE MATERIALS. ACTIONS TAKEN:- THE NUMBER OF PREGNANT/BREASTFEEDING WOMEN ENROLLED IN TH/ECH WIC PROGRAM WAS 1,873.- ECH PROVIDED FREE BREASTFEEDING CLASSES THROUGH WIC WITH A TOTAL OF 76 WOMEN ATTENDING. - ECH WIC PEER BREASTFEEDING COUNSELOR CONTACTS, TO EDUCATE AND ENCOURAGE, BREASTFEEDING MOMS (VIA TEXTS, IN PERSON, PHONE CALLS) WAS 18,059 TOTAL CONTACTS.- PROMOTED BREASTFEEDING THROUGH EDUCATION AND SUPPORT TO 100% PARTICIPANTS OF PATHWAYS AND HELP ME GROW PROGRAM FOR A TOTAL OF 32 PARTICANTS. THE ECH CERTIFIED LACTATION COUNSELOR REFERRED THESE PATIENTS TO HEALTH DEPARTMENT LACTATION CONSULTANT.- THE NUMBER OF INFANTS WHO RECEIVED BREASTMILK UNTIL AT LEAST FIVE WEEKS OF AGE WAS 41. HEALTH NEED IDENTIFIED: INJURY PREVENTION STRATEGY #11. KIDS IN SAFE SEATS (KISS) AND OHIO BUCKLES BUCKEYES (OBB) PROGRAMS WILL EDUCATE PARENTS AND CAREGIVERS ON THE IMPORTANCE OF PROPER CAR SEAT USE AT RUSSELL J. EBEID CHILDREN'S HOSPITAL FITTING STATIONS AND COMMUNITY CAR SEAT CHECK EVENTS.2. PROVIDE OPPORTUNITIES FOR PARENTS AND CAREGIVERS TO RECEIVE CAR SEAT INFORMATION (Y1-40, Y2-50, Y3-60).3. KISS AND OBB PROGRAMS WILL PROVIDE ACCESS TO CAR SEATS AND BOOSTER SEATS TO LOW INCOME FAMILIES AT RUSSELL J. CHILDREN'S HOSPITAL CAR SEAT FITTING STATION AND COMMUNITY EVENTS AND WE WILL DISTRIBUTE TO LOW INCOME FAMILIES.4. PROMOTE AND FACILITATE AT LEAST 2 TRAININGS PER YEAR TO INCREASE THE NUMBER OF CHILD SAFETY TECHNICIANS TRAINED (Y1-16, Y2-18, Y3-20).ACTIONS TAKEN: -ECH STAFF EDUCATED 832 INDIVIDUALS ON CAR SEAT SAFETY THROUGH 8 EVENTS WITH 83 FITTING STATIONS, AND 360 CAR SEATS WERE CHECKED. -ECH STAFF PROVIDED 19 CAR SEAT PRESENTATIONS WITH 187 PARTICIPANTS-240 NO COST OR GRANT FUNDED CAR SEATS WERE DISTRIBUTED TO FAMILIES.- ECH STAFF PROVIDED CHILD PASSENGER SAFETY TRAINING (CPST) WITH 33 TOTAL PEOPLE TRAINED.STRATEGY #2 INCREASE AWARENESS OF DISTRACTED DRIVING DANGERS.1. PROMOTE AND FACILITATE DISTRACTED DRIVING PRESENTATIONS FOR LOCAL HIGH SCHOOLS AND COMMUNITY LOCATIONS THROUGHOUT NORTHWEST OHIO.2. CONDUCT DISTRACTED DRIVING PROGRAMMING FOR HIGH SCHOOLS (Y1-3, Y2-5, Y3-6) AND AT COMMUNITY LOCATIONS (Y1-1, Y2-2, Y3-3).ACTIONS TAKEN:- APPROXIMATELY 1,017 PEOPLE WERE PROVIDED DISTRACTED DRIVING EDUCATION AND OFFERED USE OF DISTRACTED DRIVING SIMULATOR.-IN LIEU OF ONSITE HIGH SCHOOL DISTRACTED DRIVING PROGRAMMING, SOCIAL MEDIA OUTREACH INCLUDED 25 POSTS WITH 2,969 PEOPLE REACHED (NO IN-PERSON PROGRAMS FROM MARCH-DECEMBER DUE TO COVID SCHOOL RESTRICTIONS).STRATEGY #3 INCREASE ACCESS TO SAFETY ITEMS AND PROVIDE EDCUATION ON CHILD/HOME SAFETY. 1. R CHILDREN'S HOSPITAL (ECH) TRAUMA DEPT. AND SAFE KIDS GREATER TOLEDO WILL EDUCATE PARENTS/CAREGIVERS AND THE COMMUNITY ON CONCUSSION PREVENTION AND SPORTS RELATED INJURIES AT EVENTS, COACHES TRAININGS, CONCUSSIONS CLINIC, AND AREA SCHOOLS. EDUCATE AT LEAST 50 PARTICIPANTS AT PRESENTATIONS AND EVENTS (Y1-50 Y2,3-75). NOTE: THIS IS A DUPLICATE STRATEGY TO STRATEGY 5 (#1) BELOW, AND WILL ONLY BE REPORTED HERE, IN ACTIONS TAKEN.2. ECH COMMUNITY OUTREACH/SAFE KIDS GREATER TOLEDO AND TOLEDO HEALTHY TOMORROWS WILL EDUCATE PARENTS, CAREGIVERS, AND THE COMMUNITY ON HOME SAFETY ISSUES INCLUDING ACCIDENTAL POISONINGS, MEDICATION SAFETY, WATER SAFETY, FALLS, FIRE, BURN, ETC.3. DIRECTLY EDUCATE INDIVIDUALS (Y1-150, Y2-175, Y3-185) THROUGH PRESENTATIONS AND EDUCATIONAL SESSIONS; INDIRECTLY EDUCATE THOUSANDS MORE THROUGH AT SOCIAL MEDIA POSTS, TRADITIONAL MEDIA AND BROCHURES (Y1-5, Y2-10, Y3-15).ACTIONS TAKEN:-ECH EDUCATED 1,039 INDIVIDUALS AT PRESENTATIONS AND EVENTS RELATED TO CONCUSSIONS, SKILLS AND DRILLS AND TNCC.-69 FAMILIES PARTICIPATED IN HOME SAFETY PROGRAMS WITH 157 SAFETY ITEMS WERE DISTRIBUTED TO THESE FAMILIES.-A REACH OF 251,868 WAS ATTAINED WITH A SOCIAL MEDIA CAMPAIGN FOR NATIONAL DISTRACTED DRIVING AWARENESS MONTH IN APRIL 2021.STRATEGY #4 - IMPROVE SAFETY OF CHILDREN WHO WALK OR BIKE TO SCHOOL.1. ECH COMMUNITY OUTREACH/SAFE KIDS GREATER TOLEDO AND SAFE ROUTES TO SCHOOL (PROGRAMS) WILL EDUCATE STUDENTS AND THE COMMUNITY ON THE FACILITATE WALK TO SCHOOL DAY AND BIKE TO SCHOOL DAY WITH LOCAL SCHOOLS AND EDUCATE ON SAFE WALKING/BIKE PRACTICES AND BENEFITS OF GOING TO SCHOOL IN GROUPS (Y1&2-50 CHILDREN, Y3-60 CHILDREN).ACTIONS TAKEN:- PROVIDED WALK TO SCHOOL DAY AT HAWKINS ELEMENTARY WITH APPROXIMATELY 100 STUDENTS PARTICIPATING. PROVIDED SAFE /TRICK OR TREATING EDUCATION AT ""BOO AT THE ZOO"" WITH APPROXIMATELY 3000 PARTICIPANTS.STRATEGY #5 - INCREASE AWARENESS OF CONCUSSION PREVENTION AND SPORTS RELATED INJURIES.1. RUSSELL J. EBEID CHILDREN'S HOSPITAL TRAUMA DEPT. AND SAFE KIDS GREATER TOLEDO WILL EDUCATE PARENTS/CAREGIVERS AND THE COMMUNITY ON CONCUSSION PREVENTION AND SPORTS RELATED INJURIES AT EVENTS, COACHES TRAININGS, CONCUSSIONS CLINIC, AND AREA SCHOOLS (Y1-AT LEAST 50 PARTICIPANTS, Y2&3-AT LEAST 75 PARTICIPANTS). NOTE: THIS IS A DUPLICATE STRATEGY TO STRATEGY 3 (#1) ABOVE AND IS REPORTED THERE.2. RUSSEL J. EBEID CHILDREN'S HOSPITAL TRAUMA DEPT. WILL ASSIST SCHOOLS AND MEDICAL PROFESSIONALS WITH RETURN2PLAY AND RETURN TO LEARN POLICY AND PROCEDURE ADOPTION BY PROVIDING EDUCATIONAL MATERIALS AND SESSIONS (Y1-AT LEAST 4 SCHOOLS OR MEDICAL PROFESSIONALS, Y2-5, Y3-6)."

RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11 CONTINUED:
"ACTIONS TAKEN: -ECH TRAUMA DEPARTMENT HELD EDUCATIONAL SESSIONS ON VARIOUS TRAUMA RELATED CHILD INJURIES, REPORTED IN STRATEGY #4 ABOVE.-ECH TRAUMA DEPARTMENT PROVIDED EDUCATION TO 225 INDIVUIDUALS ON RETURN2PLAY AND RETURN TO LEARN.STRATEGY #6 - DEVELOP AND IMPLEMENT SAFETY EDUCATION FOR CHILDREN AND PARENTS OF CHILDREN WITH AUTISM (YEAR 1-AT LEAST 2 EVENTS, YEAR 2-4 EVENTS, YEAR 3-6 EVENTS).ACTIONS TAKEN:-NO EDUCATION WAS PROVIDED TO THIS GROUP IN 2021 - IN PERSON EVENTS WERE DIFFICULT TO SCHEDULE DUE TO COVID GROUP RESTRICTIONS.HEALTH NEED IDENTIFIED: CHRONIC DISEASE/ASTHMA/FOOD INSECURITYSTRATEGY #1 - RUSSELL J. EBEID CHILDREN'S HOSPITAL WILL PROVIDE NURSE COVERAGE IN COLLABORATION WITH THE LUCAS COUNTY HEALTH DEPARTMENT ""SHOTS FOR TOTS"" PROGRAM TO PROVIDE IMMUNIZATIONS TO CHILDREN.ACTIONS TAKEN: - RUSSEL J. EBEID CHILDREN'S HOSPITAL PROVIDED NURSE COVERAGE AT ONE EVENT SERVING FOUR (4) CHILDREN AT ""SHOTS FOR TOTS"" PROGRAM AT WEST TOLEDO YMCA.STRATEGY # 2 - INCREASE ACCESS TO ASTHMA EDUCATIONAL PROGRAMS AND INTERVENTIONAL HEALTHCARE. IMPROVE ASTHMA MANAGEMENT FOR CHILDREN. INCREASE UTILIZATION OF CARE FOR HIGHER RISK CHILDREN WITH ASTHMA.1. UTILIZE EVIDENCE BASED ASTHMA DISEASE MANAGEMENT PROGRAM UTILIZED AT PROMEDICA RUSSEL J. EBEID CHILDREN'S HOSPITAL FOR ASTHMA EDUCATION AT THE PEDIATRIC AMBULATORY DEPARTMENT.2. UTILIZE RESPIRATORY THERAPISTS TRAINED TO PROVIDE CONSISTENT ASTHMA EDUCATION TO PARENTS AND CHILDREN WITH ASTHMA AND PROVIDE ACTION PLANS.3. PROVIDE ASTHMA EDUCATION 2 DAYS PER WEEK TO ALL PARENTS OF ASTHMATIC CHILDREN SEEN IN THE PEDIATRIC AMBULATORY DEPARTMENT AND PROVIDE ASTHMA INSTRUCTION BOOKLET TO THOSE RECEIVING EDUCATION. 4. SURVEY PARENTS/PATIENTS AFTER ASTHMA EDUCATION TO ASSESS PERCEPTION OF CARE.5. UTILIZE HOME CARE NURSES TO PROVIDE HOME EVALUATIONS AND FOLLOW UP CARE FOR ASSESSMENT OF PATIENT/FAMILY UNDERSTANDING OF ASTHMA EDUCATION, IMPLEMENTATION OF MANAGEMENT SKILLS AND UNDERSTANDING OF NEED TO TAKE MEDICATIONS AS ORDERED. WILL MAKE HOME HEALTH REFERRAL IF PATIENT ANSWERS YES TO HOSPITALIZATION IN LAST YEAR.ACTIONS TAKEN: - EVIDENCE BASED ASTHMA EDUCATION PROVIDED IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS TO 2,247 PATIENTS/FAMILIES. THESE ARE FREE EDUCATIONAL SESSIONS AT PATIENTS AND FAMILY ONE ON ONE APPOINTMENT. -66 PATIENTS WITH A POSITIVE HIGH-RISK ASTHMA SCREEN WERE REFERRED FOR ASTHMA EDUCATION. FREE SCREENING; NO CHARGE. -2374 ACTION PLANS WERE GIVEN TO PARENTS OF CHILDREN IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS WITH AN ASTHMA DIAGNOSIS. FREE ACTION PLAN AT NO CHARGE.-PATIENTS RECEIVE EDUCATION AT EVERY VISIT - NO PATIENTS RETURNED FOR EDUCATION OR SOUGHT CLASS INSTRUCTION, ALTHOUGH WE OFFER MORE EDUCATION IF NEEDED. -COMPLIANCE AUDITS OF PEDIATRIC PATIENT CHARTS ARE PERFORMED AND EDUCATION IS PROVIDED TOO STAFF AND RESIDENTS, AS NEEDED TO IMPROVE COMPLIANCE.STRATEGY #3 - DECREASE ASTHMA-RELATED HOSPITAL ADMISSIONS AND ED VISITS BY IMPROVED FAMILY/CHILD KNOWLEDGE AND APPROPRIATE MANAGEMENT OF CHILD'S ASTHMA.1. PROMEDICA RUSSEL J. EBEID CHILDREN'S HOSPITAL AND OUTPATIENT PRACTICES HAVE BEEN CERTIFIED BY THE JOINT COMMISSION FOR PEDIATRIC ASTHMA DISEASE MANAGEMENT AND IS THE ONLY HOSPITAL IN OHIO WITH THIS DISTINCTION. THIS TEAM MEETS REGULARLY TO EVALUATE PROGRESS BASED ON TARGET GOALS.2. PROVIDE EVIDENCED BASED EDUCATION TO PATIENTS USING QUALITY MEASURES TO DETERMINE SUCCESS. A. UTILIZE ASTHMA ORDER SETS IN PEDIATRIC EMERGENCY DEPARTMENT.B. UTILIZE ASTHMA ORDER SETS IN PEDIATRIC INPATIENT UNITC. UTILIZE ASTHMA ORDER SETS AT PULMONARY CLINIC AT PEDS AMBULATORY CLINIC (MEANT TO STATE PEDIATRIC ICU)3. PROVIDE ASTHMA INSTRUCTION BOOKLETS TO THOSE RECEIVING PARENT EDUCATION AND CONDUCT EVALUATIONS. 4. PROVIDE ASTHMA ACTION PLAN TO ALL PATIENTS AND FAMILIES WITH ASTHMA DIAGNOSIS FROM PROMEDICA RUSSELL J. EBEID CHILDRENS HOSPITAL AND MONITOR NUMBER OF PATIENTS SEEN IN ED WITHIN 7 OR 30 DAYS FROM LAST ED VISIT.ACTIONS TAKEN:- # OF PATIENTS IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS RECEIVING ASTHMA EDUCATION WAS 2347- # OF PATIENTS WITH POSITIVE HIGH-RISK ASTHMA SCREEN REFERRED FOR ASTHMA EDUCATION WAS 66- # OF ACTION PLANS GIVEN TO PARENTS OF CHILDREN IN THE PEDIATRIC AND PEDIATRIC PULMONARY AMBULATORY DEPARTMENTS WITH AN ASTHMA DIAGNOSIS WAS 2347- ZER0 (0) PATIENTS RETURNED FOR ADDITIONAL EDUCATION OR CLASS INSTRUCTION.- 99% OF PARENTS ANSWERED ""YES"" TO THEY WERE GIVEN ENOUGH TIME WITH EDUCATOR TO GET QUESTIONS ANSWERED% OF PATIENTS RECEIVING APPROPRIATE ORDER SETS AND EDUCATION, PER CRITERIA:- 91.125% OF ED PATIENTS WERE GIVEN ASTHMA ORDER SETS- 92.5% OF INPATIENTS WERE GIVEN ASTHMA ORDER SETS- 85.675% OF ASTHMA ORDER SETS USED IN PEDIATRIC INTENSIVE CARE UNIT - 95.8% OF PATIENTS RECEIVED HOME MEDICAL PLAN OF CARE- 96.5% OF HIGH-RISK ASTHMA SCREENS COMPLETED ON INPATIENTS- 91.87% OF INPATIENT TOBACCO CESSATION EDUCATION COMPLETED- 99.75% COMPLETION OF INPATIENT INFLUENZA SCREENING COMPLETED- 99.075% INPATIENT SATISFACTION WITH ""ALL YOUR QUESTIONS ANSWERED""- 98.9% OF PARENTS OF PATIENTS WITH ASTHMA RECEIVED EDUCATIONSTRATEGY #4 - ASSESS FOOD INSECURITY FOR EACH WIC PARTICIPANT DURING ALL WIC CERTIFICATION APPOINTMENTS. YEAR 1 (2020)1. REVIEW ALL HEALTH HISTORY FORMS AT EACH WIC CERTIFICATION APPOINTMENT AND ADDRESS THE QUESTION THAT INDICATES FOOD INSECURITY.2. DISCUSS THE PROMEDICA HEALTH SYSTEM FOOD CLINIC WITH EACH FOOD INSECURE FAMILY. STAFF ALSO PHYSICALLY WALK WIC PATIENTS DOWN TO THE CHS FOOD CLINIC. IF THE FOOD CLINIC IS CLOSED, WE OFFER HOURS OF OPERATION AND SUGGEST THAT ALL PROMEDICA HEALTH SYSTEM PATIENTS OBTAIN A REFERRAL TO THE FOOD CLINIC FROM THEIR PRIMARY PHYSICIAN.3. YEAR 2 AND 3 (2021-2022) EVALUATE PROGRAM TO DETERMINE ANY CHANGES NEEDED.ACTIONS TAKEN:- 351 PATIENTS HAD POSITIVE/AT RISK RESPONSES TO FOOD INSECUITY QUESTIONS ASKED AT WIC CERTIFICATION APPOINTMENT. -DISCUSSED PATIENTS DESIRE FOR A REFERRAL TO THE PROMEDICA FOOD CLINIC WITH 158 PATIENTS WERE DIRECTED TO THE FOOD CLINIC FOR MONTHLY FOOD FOR HOUSEHOLD FOR 2-3 DAYS OF FOOD. BASED ON PATIENT FEEDBACK FROM PATIENTS, THE REMAINDER OF THE PATIENTS DECLINED A REFERRAL TO THE FOOD CLINICS DUE TO FOOD STAMP/SNAP BENEFITS, IN ADDITION TO FREE UNIVERSAL BREAKFAST AND LUNCH AT SCHOOLS.STRATEGY #5 PROMEDICA ECH AMBULATORY PEDIATRIC PRACTICES WILL CONTINUE TO SCREEN ALL PATIENTS FOR FOOD INSECURITY AND REFER PATIENTS TO THE PROMEDICA FOOD CLINIC. THE FOOD CLINIC PROVIDES ACCESS TO HEALTHY FOOD AND NUTRITION EDUCATION FOR PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. THE FOOD CLINIC WILL PROVIDE CONTINUED EDUCATION/TRAINING TO PRACTICES ON ADDRESSING FOOD INSECURITY. ALL PATIENTS REFERRED TO THE FOOD CLINIC WILL BE OFFERED NUTRITION COUNSELING AND NUTRITION RESOURCES.1. THE FOOD CLINIC WILL EXPLORE WAYS TO INCREASE EDUCATION THROUGH IMPROVED COMMUNICATION WITH PROVIDERS AND INCREASED EDUCATION OPPORTUNITIES. 2. YEARS 2 AND 3 (2021-2022) EVALUATE FOOD CLINIC PROGRAM EXPANSION TO PROVIDE SERVICES TO ADDITIONAL PRACTICES AND PATIENTS. REFINE NUTRITION EDUCATION OPPORTUNITIES PROVIDED THROUGH THE FOOD CLINIC. 3. YEARS 2 AND 3 (2021-2022) ALL PATIENTS/FAMILIES AT ECH WILL BE SCREENED FOR FOOD INSECURITY PRI - OR TO DISCHARGE AND WILL BE OFFERED AN EMERGENCY FOOD BAG UPON DISCHARGE.4. YEAR 1 (2020) - CONTINUE TO PROVIDE FOOD BAGS AT DISCHARGE FOR PATIENTS IDENTIFIED AS FOOD INSECURE. YEARS 2 AND 3 (2021-2022) - EVALUATE FOOD SECURITY SCREENING RATES TO DETERMINE NEED FOR ADDITIONAL TRAINING ACROSS ECH STAFF. ACTIONS TAKEN:- ALL METRO TOLEDO ONCOLOGY PROVIDERS WERE TRAINED TO REFER PATIENTS TO THE FOOD CLINIC, WHO HAD POSITIVE FOOD INSECURITY SCREENING. - 12,592 FOOD INSECURITY SCREENS WERE CONDUCTED AT CENTER FOR HEALTH SERVICES (CHS) PEDIATRIC PRACTICE IN 2021- 789 REFERRALS WERE WRITTEN TO THE FOOD CLINIC FROM CHS PEDIATRIC PRACTICES IN 2021.- 1,127 UNIQUE HOUSEHOLDS WITH CHILDREN WERE SERVED BY THE CHS AND PROMEDICA HEALTH AND WELLNESS FOOD CLINICS IN 2021.- ALL NEW PATIENTS ARE OFFERED NUTRITION EDUCATION BY REGISTERED DIETITIAN AND PROVIDED WITH WRITTEN EDUCATION AND FOOD RESOURCES IN THE COMMUNITY.- 60 FOOD AT DISCHARGE FOOD BAGS WERE PROVIDED TO FOOD INSECURE FAMILIES AT ECH IN 2021."

RUSSELL J. EBEID CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11 CONTINUED:
HEALTH NEED IDENTIFIED: INCREASE SCHOOL READINESS1. EDUCATE LOW INCOME PARENTS ABOUT PARENTING AND BENEFITS OF READING TO THEIR CHILDREN DURING HOME VISITS AND PROVIDE FREE CHILDREN'S BOOKS TO HOMES.A. YEAR 1 (2020) - TOLEDO HEALTHY TOMORROWS (THT)/HELP ME GROW (HMG) HOME VISITORS PROVIDE LITERACY EDUCATION AND BOOKS TO FAMILIES.B. YEAR 2 THRU 3 (2021-2022) - CONTINUE EDUCATION AND BOOK DISTRIBUTION WITH FAMILIES ENROLLED IN THT PROGRAMS AND PROVIDE RESOURCES FOR FAMILIES TO CONTINUE LITERACY ACTIVITIES AFTER DISCHARGED FROM THT PROGRAMS.2. PROVIDE AGE SPECIFIC DEVELOPMENTAL SCREENING FROM BIRTH TO AGE 3 FOR CHILDREN ENROLLED IN THT/HMG PROGRAMS.3. YEARS 1 THRU 3 (2020-2022)SCREEN ALL INFANTS AND CHILDREN TO AGE 3 YEARS OLD WITH AGE APPROPRIATE AGES AND STAGES, THIRD EDITION AND REFER ALL CHILDREN TO EARLY INTERVENTION THROUGH ESTABLISHED PROCEDURE IF SCREENING DETERMINES NEED FOR EVALUATION.ACTIONS TAKEN: -PROVIDED EDUCATION ABOUT READING AND DISTRIBUTED BOOKS DURING HOME VISITS, BETWEEN THE TWO HOME VISITING PROGRAMS, 452 FAMILIES EDUCATED. WITH 884 BOOKS DISTRIBUTED.- SCREENED 297CHILDREN ENROLLED IN THT/HMG PROGRAM WITH AGES AND STAGES ASSESSMENT. - 23 REFERRALS WERE MADE TO EARLY INTERVENTION THROUGH THESE HOME VISIT ASSESSMENTS.

PART I, LINE 3C:
IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.

PART I, LINE 6A:
THE TOLEDO HOSPITAL REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.

PART I, LINE 7:
THE TOLEDO HOSPITAL CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.

PART II, COMMUNITY BUILDING ACTIVITIES:
THE TOLEDO HOSPITAL PROMOTED THE HEALTH OF ITS COMMUNITY BY SUPPORTING LOCAL ORGANIZATIONS AND ACTIVITIES THAT ENGAGE IN COMMUNITY BUILDING ACTIVITIES.

PART III, LINE 2:
"THE TOLEDO HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS ""LOOK-BACK"" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY."

PART III, LINE 3:
THE TOLEDO HOSPITAL ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.

PART III, LINE 4:
PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGE 18 AND 19 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION.

PART III, LINE 8:
MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM. - THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS. - MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER. - MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.THE TOLEDO HOSPITAL USED THE MEDICARE ALLOWABLE COSTS PER ITS 2021 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.

PART III, LINE 9B:
FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.

PART VI, LINE 2:
PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY. PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH: CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. AS A SYSTEM, WE ARE ALSO COMMITTED TO WORKING BEYOND OUR FOUR WALLS, ON THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL FETAL MEDICINE.

PART VI, LINE 3:
THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.

PART VI, LINE 4:
THE TOLEDO HOSPITAL, WITH LOCATIONS IN THE TOLEDO, OHIO METROPOLITAN AREA, SERVES AN AREA PRIMARILY AROUND LUCAS COUNTY AND HAS A SERVICE AREA POPULATION OF APPROXIMATELY 650,000. APPROXIMATELY, 14% OF THE SERVICE AREA IS AGE 65 OR OVER; 60% IS BETWEEN AGE 18 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $48,000; 89% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 50% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. LUCAS COUNTY HAS A POPULATION OF APPROXIMATELY 431,000 WITH APPROXIMATELY 18% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 32% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 8% OF LUCAS COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR LUCAS COUNTY IN 2021 WAS 3.9%. THE LEADING CAUSES OF DEATH IN LUCAS COUNTY, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, CANCER, COVID, UNINTENTIONAL INJURIES/ACCIDENTS, LUNG DISEASE, ALZHEIMER'S, AND DIABETES. ACCORDING TO 2021 COUNTY HEALTH RANKINGS, LUCAS COUNTY RANKED 72 OF 88 COUNTIES FOR HEALTH OUTCOMES, 69 OF 88 FOR LENGTH OF LIFE, AND 77 OF 88 FOR QUALITY OF LIFE. THERE ARE THIRTEEN HOSPITALS WITHIN A 30-MILE RADIUS OF THE TOLEDO HOSPITAL: ST. ANNE MERCY HOSPITAL, ST. VINCENT MERCY MEDICAL CENTER, UNIVERSITY OF TOLEDO MEDICAL CENTER, FLOWER HOSPITAL, ST. CHARLES MERCY HOSPITAL, BAY PARK COMMUNITY HOSPITAL, ST. LUKE'S HOSPITAL, MERCY MEMORIAL HOSPITAL CORPORATION, WOOD COUNTY HOSPITAL, EMMA L. BIXBY MEDICAL CENTER, HERRICK MEMORIAL HOSPITAL, INC., MONROE REGIONAL HOSPITAL, AND FULTON COUNTY HEALTH CENTER.

PART VI, LINE 5:
THE TOLEDO HOSPITAL IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM. IN 2021:- THERE WERE APPROXIMATELY 300 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), SERVING ON MORE THAN 25 DIFFERENT BOARDS, COMMITTEES, COUNCILS AND FOUNDATIONS. OF THOSE BOARD MEMBERS, MOST LIVE WITHIN PROMEDICA'S OHIO AND MICHIGAN ACUTE CARE SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN THE GREATER TOLEDO AREA WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. BOARD MEMBERSHIP IS COMPOSED OF 43% FEMALES, 20% PHYSICIANS, 11% UNDER THE AGE OF 40, AND 18% RACIAL OR ETHNIC MINORITIES. - PROMEDICA NON-PARENT BOARD MEMBERS' DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, WERE PERFORMED ON A VOLUNTEER BASIS. - PROMEDICA'S MEDICAL STAFF PRIVILEGES WERE EXTENDED TO ALL QUALIFIED PHYSICIANS AT OUR METRO TOLEDO AND REGIONAL HOSPITALS. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MET THOSE QUALIFICATIONS WAS GRANTED PRIVILEGES, UPON THEIR REQUEST.- AS PART OF PROMEDICA'S ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED TWO SYSTEM-WIDE UPGRADES TO THE EPIC PLATFORM. THE UPGRADES ALLOW PROMEDICA TO TAKE ADVANTAGE OF SOME OF THE MANY ENHANCEMENTS THAT EPIC HAS MADE TO ITS SOFTWARE BASED ON USER INPUT.- PROMEDICA PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR RISK FACTORS OF SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS RELATED TO EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND VIOLENCE. PATIENTS WHO SCREENED POSITIVE FOR ANY OF THE FACTORS WERE CONNECTED TO COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE.- PROMEDICA CANCER INSTITUTE (PCI) COMPLETED MORE THAN 3,300 LUNG CANCER SCREENINGS, NEARLY 55,000 SCREENING MAMMOGRAMS AND NEARLY 13,000 SCREENING COLONOSCOPIES. ADDITIONALLY, PCI CONTINUES TO BE INSTRUMENTAL IN HELPING PROMEDICA IMPLEMENT MONOCLONAL ANTIBODY TREATMENT AT ITS INFUSION CENTERS FOR COVID-19 PATIENTS TO IMPROVE SYMPTOM MANAGEMENT. IN 2021, APPROXIMATELY 8,000 DOSES OF THE TREATMENT WERE PROVIDED. - PROMEDICA SENIOR CARE SKILLED NURSING FACILITIES AND HOME HEALTH AND HOSPICE AGENCIES PROVIDE UNIQUE SERVICES TO VETERANS, HOLIDAY SUPPORT, SUPPORT GROUPS, AND WORKSHOPS TO ANYONE IN THE COMMUNITY WHO NEEDS ADDITIONAL HELP TO GET THROUGH THE LOSS OF A LOVED ONE. PATIENTS AND RESIDENTS' WISHES ARE GRANTED THROUGH THE ORGANIZATION'S HEART'S DESIRE PROGRAM. THROUGH GRANTS FROM THE HOSPICE MEMORIAL FUND, GRIEF CAMPS FOR CHILDREN AND ADULTS ARE OFFERED AS WELL AS EDUCATIONAL SESSIONS AND LIFE CELEBRATION EVENTS. THE FUND ALSO PROVIDES STABILIZING RESOURCES FOR HOSPICE PATIENTS AND FAMILIES IN FINANCIAL DISTRESS DUE TO THE LACK OF OR REDUCTION IN INCOME FROM TERMINAL ILLNESS OR DISEASE.- PROMEDICA CONTINUES TO EXPAND ITS OPTIONS FOR HOSPITAL-LEVEL CARE IN THE COMFORT OF A PATIENT'S HOME. PROMEDICA ACUTE CARE AT HOME COMBINES PROMEDICA'S EXTENSIVE NETWORK OF IN-HOME CARE PROVIDERS WITH A SOPHISTICATED TECHNOLOGY PLATFORM TO DELIVER SEAMLESS AND EFFECTIVE CARE AT HOME FOR PATIENTS WITH SELECT CHRONIC CONDITIONS OR DIAGNOSES SUCH AS HEART FAILURE, PNEUMONIA OR COPD. IN 2021, PROMEDICA ACUTE CARE AT HOME EXPANDED ITS SERVICES TO INCLUDE CARE FOR SELECT ONCOLOGY PATIENTS BY COLLABORATING THE PROMEDICA CANCER CENTER. THE CARE TEAM CONSISTS OF PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, AND MAY INCLUDE OTHER HEALTHCARE PROFESSIONALS, SUCH AS PHYSICAL OR OCCUPATIONAL THERAPISTS, AS NEEDED.- IN THE METRO TOLEDO AREA, PROMEDICA WORKED CLOSELY WITH LUCAS COUNTY DEPARTMENT OF HEALTH OFFICIALS TO ASSIST WITH MASS COVID VACCINE CLINICS AS WELL AS CLINICS IN UNDERSERVED AREAS OF THE COMMUNITY WHERE VACCINE HESITANCY WAS AN ONGOING CONCERN. ONE OF THE PROJECTS PROMEDICA HELPED SPEARHEAD WAS THE V PROJECT, WHICH WORKED ACROSS THE NORTHWEST OHIO COMMUNITY TO INCREASE VACCINE PARTICIPATION. THE V PROJECT HELPED TO BRING RESOURCES TO PEOPLE IN ZIP CODES THAT HAD LOWER VACCINATION PARTICIPATION RATES WITH THE GOAL OF EASING ANY BARRIERS THAT MAY HAVE PROHIBITED THEM FROM PREVIOUSLY GETTING THEIR VACCINE. - PROMEDICA ALSO ALLOCATED 20% OF THE VACCINES IT RECEIVED TO UNDERSERVED COMMUNITIES. THIS LED TO OTHER OPPORTUNITIES SUCH AS THE PARTNERSHIP WITH THE FIRST CHURCH OF GOD ON COLLINGWOOD IN TOLEDO. LED BY THE PPG CLINICAL OPERATIONS TEAM, VARIOUS TEAMS FROM ACROSS PROMEDICA CAME TOGETHER AND HELD VACCINATION CLINICS ON SUNDAYS. PROMEDICA ALSO EXPANDED PARTICIPATION IN COMMUNITY MASS COVID VACCINE CLINICS AT AN ARE UAW HALL TO REACH A LARGER PROPORTION OF THE UNDERSERVED COMMUNITIES.

PART VI, LINE 6:
"PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A NATIONWIDE, MISSION-BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2021 PROMEDICA WAS COMPRISED OF MORE THAN 45,000 EMPLOYEES, NEARLY 850 VOLUNTEERS AND MORE THAN 2,100 PHYSICIANS AND ADVANCED PRACTICE PROVIDERSINCLUDING APPROXIMATELY 1,200 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP ('PPG"")WHO FORM A PROVIDER NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO ENSURE COMMUNITY MEMBERS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. IN 2021:- PROMEDICA MEMBERS AND AFFILIATE HOSPITALS INCLUDED: THE TOLEDO HOSPITAL D/B/A PROMEDICA TOLEDO HOSPITAL; PROMEDICA TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL; FLOWER HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL D/B/A PROMEDICA FLOWER HOSPITAL; BAY PARK COMMUNITY HOSPITAL D/B/A PROMEDICA BAY PARK HOSPITAL; EMMA L. BIXBY MEDICAL CENTER D/B/A PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL,; FOSTORIA HOSPITAL ASSOCIATION D/B/A PROMEDICA FOSTORIA COMMUNITY HOSPITAL; DEFIANCE HOSPITAL, INC. D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION D/B/A PROMEDICA MONROE REGIONAL HOSPITAL; MEMORIAL HOSPITAL D/B/A PROMEDICA MEMORIAL HOSPITAL; AND COMMUNITY HEALTH CENTER OF BRANCH COUNTY D/B/A PROMEDICA COLDWATER REGIONAL HOSPITAL. PROMEDICA ALSO INCLUDES PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION AS WELL AS HUNDREDS OF SKILLED NURSING AND REHABILITATION CENTERS, ASSISTED LIVING FACILITIES AND MEMORY CARE COMMUNITIES, ALL UNDER THE PROMEDICA SENIOR CARE/HCR MANORCARE UMBRELLA.- PROMEDICA MANAGED APPROXIMATELY 2.28 MILLION PPG EMPLOYED PROVIDER ENCOUNTERS, 57,200 SURGERIES, 6,000 BIRTHS, AND MORE THAN 262,600 EMERGENCY ROOM VISITS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF OVER $259,433,000.- PROMEDICA CONTINUED TO OPERATE THREE COMMUNITY FOOD CLINICS, LOCATED AT PROMEDICA BAY PARK HOSPITAL, THE PROMEDICA HEALTH AND WELLNESS CENTER AND PROMEDICA'S CENTER FOR HEALTH SERVICES, TO SERVE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AND HAVE A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. PATIENTS ARE ABLE TO RECEIVE FOOD FOR THEMSELVES AND THEIR FAMILY FROM ONE OF THESE FOOD CLINICS. AS PART OF THE PROGRAM, PATIENTS CAN RECEIVE TWO TO THREE DAYS OF SUPPLEMENTAL FOOD. THROUGH DECEMBER 2021, APPROXIMATELY 5,794 VISITS TO THE FOOD CLINIC, IMPACTING MORE THAN 2,093 UNIQUE HOUSEHOLDS, FURTHERED PROMEDICA'S EFFORTS TO REDUCE FOOD INSECURITY. THIS TRANSLATES TO ABOUT 44,100 DAYS' WORTH OF FOOD PROVIDED TO PATIENTS AND FAMILIES, THE EQUIVALENT OF 132,300 MEALS.- FOR ITS MICHIGAN PATIENTS, PROMEDICA PARTNERED WITH THE SOUTH MICHIGAN FOOD BANK TO DISTRIBUTE FOOD RESOURCES TO PROMEDICA PHYSICIANS GROUP OFFICES FOR PATIENTS SCREENING POSITIVE FOR FOOD INSECURITY. IN 2021, 49 PEOPLE WERE SUPPORTED BY THE INITIATIVE. PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL PROVIDE THE $5 VOUCHERS AT DISCHARGE SO PATIENTS CAN REDEEM FRESH PRODUCE FROM THE VEGGIE MOBILE THAT IS SOURCED FROM PROMEDICA FARMS, LOCAL GROWERS, AND A WHOLESALER. IN 2021, NEARLY 2,560 POUNDS OF PRODUCE WAS GROWN AT PROMEDICA FARMS, 21 PATIENTS IDENTIFIED AS FOOD INSECURE REDEEMED A VOUCHER ISSUED BY A PHYSICIAN OR DISCHARGE PLANNING, AND AN ADDITIONAL 4 PATIENTS WERE PROVIDED A FOOD BOX AND VEGGIE VOUCHER UPON DISCHARGE. - PROMEDICA EBEID INSTITUTE'S MARKET ON THE GREEN PROVIDED BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES AND A FINANCIAL OPPORTUNITY CENTER TO PROVIDE FINANCIAL COUNSELING FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD. ADDITIONALLY, TWO NEW FINANCIAL OPPORTUNITY CENTERS (FOC) WERE OPENED IN FREMONT AND DEFIANCE, OHIO. MUCH LIKE THE FOC LOCATED IN UPTOWN TOLEDO, THE NEW LOCATIONS OFFER SERVICES AND ASSIST LOW TO MODERATE-INCOME FAMILIES WITH SECURING LIVING WAGE JOBS, BUILDING CREDIT, REDUCING DEBT, AND GAINING WEALTH. THE FOC ALSO HELPS INDIVIDUALS NEEDING INCOME SUPPORT (PUBLIC BENEFITS) AND EMPLOYMENT COACHING AND COUNSELING AS WELL AS FREE TAX PREPARATION."