4A (Expenses $ 664777214 including grants of $ 63945605) (Revenue $ 1075058633)
"COOK CHILDRENS MEDICAL CENTER THE MEDICAL CENTER IS THE CORNERSTONE OF COOK CHILDRENS HEALTH CARE SYSTEM. ITS THE HOME OF TOP MEDICAL MINDS, ADVANCED TECHNOLOGIES AND TREATMENTS AND LEADING-EDGE CLINICAL RESEARCH, ALL DESIGNED TO MEET THE HEALTH CARE NEEDS OF CHILDREN. COOK CHILDRENS 443-BED MEDICAL CENTER, LIKE MANY URBAN, PEDIATRIC CENTERS, HAS EXPERIENCED A GREAT DEAL OF GROWTH OVER THE PAST SEVERAL YEARS. THIS HAS PLACED INCREASE PRESSURE ON KEY DIAGNOSTIC DEPARTMENTS. IN RESPONSE TO THE CURRENT PRESSURE ON KEY DEPARTMENTS, COOK CHILDRENS MEDICAL CENTER ENGAGED THEIR INTEGRATED PROJECT DELIVERY TEAM TO CONCEPTUALIZE, DESIGN AND CONSTRUCT FACILITY SOLUTIONS FOR A NEW SOUTH TOWER, SOUTH UTILITY PLANT AND URGENT CARE CENTER. THE SOUTH TOWER IS AN APPROXIMATELY 318,000 BUILDING GROSS SQUARE FEET, EIGHT LEVEL BUILDING THAT INCLUDES TWO BASEMENT LEVELS, SIX LEVELS ABOVE GRADE, PLUS A ROOFTOP PENTHOUSE. THE BASEMENT PROVIDES A NEW CLINICAL LABORATORY AND STERILE PROCESSING DEVELOPMENT (SPD). THE LABORATORY PROCESSES OVER 1.3 MILLION TESTS FOR BOTH CLINICAL TESTING AND RESEARCH PROTOCOLS. THE EXPANDED SPACE HAS ALLOWED FOR AN EXPANSION OF SPECIALITY SERVICES, GAINED EFFICIENCIES AND TECHNOLOGY ADVANCES. THE LABORATORY WAS THE FIRST PEDIATRIC INSTITUTION IN THE U.S. TO INSTALL AUTOMATED MICROBIOLOGY. TWO DEDICATED ELEVATORS CONNECT THE SPD TO THE SURGERY DEPARTMENT FOR TRANSPORTING CLEAN AND SOILED MATERIALS. LEVEL ONE COOK CHILDRENS EMERGENCY DEPARTMENT CURRENTLY SEES MORE THAN 120,000 PATIENTS EACH YEAR. THE NEWLY RENOVATED AND EXPANDED NENETTA BURTON CARTER EMERGENCY DEPARTMENT, WHICH OPENED ON AUGUST 2016, HAS MORE, AND LARGER, EXAM ROOMS AND A SUPERIOR LAYOUT AND DESIGN TO BETTER ACCOMMODATE THE EXISTING AND FUTURE VOLUME OF PATIENTS. LEVEL ONE IS THE HOME OF THE NEW, EXPANDED EMERGENCY DEPARTMENT (ED) AND EXTENSION OF MAIN STREET, THE PRIMARY PUBLIC CIRCULATION SYSTEM THAT CONNECTS ALL BUILDINGS AND IS POPULATED WITH NUMEROUS FAMILY AMENITIES. THE ED HOUSES 5 RESUSCITATION ROOMS, 10 INTAKES ROOMS, 70 GENERAL EXAM ROOMS, TWO GENERAL X-RAY ROOMS AND 1 NEW CT ROOM. THE SOUTH MAIN TOWER INCLUDES A NEW GRAB 'N' GO FOR FAMILIES AND STAFF AND A LOUNGE WITH VIEWS AND ACCESS TO A NEW SOUTH GARDEN. LEVEL TWO THE SECOND LEVEL OF THE SOUTH TOWER IS DEDICATED TO SURGICAL SERVICES. ALL OF THE OPERATING ROOMS ARE LOCATED IN THIS AREA WHOSE FLOOR-TO-FLOOR HEIGHT INCREASED TO 18 FEET TO ACCOMMODATE MODERN BUILDING SYSTEMS AND TECHNOLOGY. THE NEW OR SUITE IS DESIGNED AROUND A STERILE CORE AND INCLUDES 17 OPERATING ROOMS (7 GENERAL, 1 TRAUMA, 2 NEURO, 2 ORTHO, 1 IMRI, 1 CYSTO AND SHELL SPACE FOR THREE FUTURE OPERATING ROOMS). LEVEL THREE THIS SPACE IS DEDICATED TO A NEW HEART CENTER, WITH TWO CARDIOVASCULAR OPERATING ROOMS, TWO CARDIAC CATH LABS, 14 BED CVICU AND 1,000 SQUARE FEET ENCLOSED CORRIDOR CONNECTING TO A 15-BED STEP-DOWN UNIT IN THE MAIN HOSPITAL. THE FAMILY WAITING ROOMS HAS VIEWS AND ACCESS TO ONE OF TWO NEW ROOFTOP GARDEN TERRACES. LEVEL FOUR AND FIVE LEVEL FOUR HAS AN ECHOCARDIOGRAM SUITE, BUT MAINLY IS DEDICATED TO MECHANICAL SPACE. LEVEL FIVE IS SHELLED FOR FUTURE USE/GROWTH. LEVEL SIX LEVEL SIX IS THE HOME TO OUR BEHAVIORAL HEALTH CENTER, FEATURING AN INPATIENT UNIT WITH 15 BEDS. THE REES-JONES BEHAVIORAL HEALTH CENTER AT COOK CHILDRENS CARES FOR CHILDREN EXPERIENCING BEHAVIORAL, NEURODEVELOPMENTAL AND EMOTIONAL CHALLENGES, SUCH AS DEPRESSION, ANXIETY, ATTENTION DEFICIT DISORDERS (ADD/ADHD) AND AUTISM SPECTRUM DISORDERS. OVER THE PAST SEVERAL YEARS, COOK CHILDRENS HAS EXPERIENCED EXPONENTIAL GROWTH IN THE DEMAND FOR BEHAVIORAL HEALTH SERVICES. THE NEW CENTER ALLOWS US TO BETTER SERVE THIS DELICATE PATIENT POPULATION BY UNITING AND EXPANDING OUR INPATIENT PSYCHIATRIC UNIT AND PARTIAL HOSPITALIZATION PROGRAM. RECREATION AND RETAIL SERVICES FOR SOME FAMILIES, COOK CHILDRENS IS THEIR SECOND HOME. WHETHER THEY ARE HERE FOR A VISIT OR A LENGTHY STAY, THE MEDICAL CENTER PROVIDES RESOURCES AVAILABLE TO HELP MAKE THEIR TIME AT COOK CHILDRENS MORE COMFORTABLE. BOMAR LIBRARY LOCATED IN THE CHILD LIFE ZONE, THE LIBRARY OFFERS: - BOOKS FOR ALL AGES - BOOKS AVAILABLE TO ALL IN-PATIENTS AND THEIR SIBLINGS FOR CHECK-OUT - A COMFORTABLE PLACE FOR FAMILIES TO READ, RELAX, PLAY BOARD GAMES AND PUT TOGETHER PUZZLES - R.E.A.D. DOGS THERAPY DOGS VISIT THE CHILD LIFE ZONE AND BOMAR LIBRARY FOR A FUN READING EXPERIENCE THERES ALWAYS A LIBRARIAN, CHILD LIFE SPECIALIST OR VOLUNTEER AVAILABLE TO ASSIST WITH PATIENTS AND FAMILIES WITH THE BOOKS, GAMES AND PUZZLES, AS WELL AS TO PROVIDE SCHEDULES FOR ANY LIBRARY EVENTS. BUILD-A-BEAR WORKSHOP COOK CHILDRENS STORE OFFERS A SELECTION OF FURRY FRIENDS, CLOTHING AND ACCESSORIES WITH A MEDICAL THEME, INCLUDING: - ""GET BETTER SETS"" WITH CRUTCHES, SLINGS, BANDAGES AND CASTS - WHEELCHAIRS - LAB COATS - DOCTOR SCRUBS - MEDICAL OUTFITS - SPECIALLY DESIGNED PEAKS THE DRAGON COOK CHILDRENS MASCOT - TEDDY BEAR TRANSPORT BEAR-SIZED T-SHIRTS CAMELOT COURT COOK CHILDRENS CAFETERIA IS LOCATED ON THE FIRST FLOOR OF THE MEDICAL CENTER. CAMELOT COURT OFFERS A CHICK-FIL-A, INTERNATIONAL CUISINE, PIZZA, HOME-STYLE COOKING, A SALAD BAR, GRILL AND DELI. CAMELOT COURT IS A BLUE ZONES APPROVED RESTAURANT WITH EASY-TO-IDENTIFY NUTRITIONAL OPTIONS AND HEALTHY LIFESTYLE CHOICES MADE MORE ACCESSIBLE TO PATIENTS AND EMPLOYEES. THE BLUE ZONES PROJECT THE BLUE ZONES PROJECT OF FORT WORTH HAS CERTIFIED COOK CHILDRENS AS A VALIDATED BLUE ZONES WORKSITE. AS A BLUE ZONES WORKSITE, COOK CHILDRENS IS RECOGNIZED AS A WORKPLACE THAT EMPHASIZES HEALTHY EMPLOYEES AND PROVIDES A COMMUNITY IN WHICH PATIENTS AND EMPLOYEES CAN EASILY MAKE MORE HEALTH-ORIENTED LIFESTYLE CHOICES. - BLUE HANDLES ON THE SALAD BAR AND FOOD STATION, INDICATING HEALTHIER ITEMS - JUICES AND WATER AT EYE LEVEL - BLUE STICKERS, INDICATING HEALTHIER OPTIONS, ON CURRENT MENU BOARDS - ORGANIC MIXED BERRIES AND ORGANIC SPRING MIX ADDED TO SALAD BAR - SALT SHAKERS TAKEN OFF THE TABLE CHILD LIFE ZONE THE CLZ IS A STATE-OF-THE ART ENVIRONMENT THAT ALLOWS KIDS AND TEENS TO GET AWAY FROM THE HOSPITAL SETTING AND JUST BE A KID. GAMES, ART, MUSIC, CREATIVITY AND IMAGINATION ARE GREAT THERAPY AND DELIVER A DOSE OF FUN TO HELP KIDS FEEL BETTER. CLZ IS A TREATMENT-FREE AREA AND IS THE HOME TO A RECORDING AND BROADCAST STUDIO, LIBRARY AND PLAY AREA WITH VIDEO GAMES AND A POOL TABLE. MIRROR MIRROR HAIR AND NAIL SALON AFTER A LONG STAY, PATIENTS OR FAMILIES MAY FEEL THE NEED FOR A LITTLE PAMPERING. SALON SERVICES INCLUDE: - HAIRCUTS FOR CHILDREN, WOMEN AND MEN - STYLE - COLOR - HAIR TREATMENTS - EYEBROW WAXING - MANICURES - CHILDRENS MANICURES - PEDICURES - CHILDRENS PEDICURES PLAY AREA AND GARDENS PLAY AREAS AND GARDENS AT COOK CHILDRENS PROVIDE A WELCOME BREAK: - A PLAYROOM IS AVAILABLE ON EVERY FLOOR OF THE MEDICAL CENTER, EXCEPT FOR THE PEDIATRIC INTENSIVE CARE UNIT AND NEONATAL INTENSIVE CARE UNIT. - AN INDOOR PLAYGROUND IS LOCATED ON THE FIRST FLOOR OF THE MEDICAL CENTER BEHIND CAMELOT COURT. - AN OUTDOOR PLAYGROUND IS LOCATED OUTSIDE OF THE MAIN MEDICAL CENTER ENTRANCE ON THE FRONT GROUNDS. - OUTSIDE THE DODSON SPECIALTY CLINIC, ACROSS FROM THE OUTDOOR PLAY AREA, THERES A SPECIAL PLACE FOR QUIET MEDITATION OR RELAXATION WHEN PATIENTS AND FAMILIES NEED A BREAK. THE GARDEN FEATURES TOPIARIES, FLOWERS AND SEATING AREAS. - DILLARD FAMILY GARDEN GIVES FAMILIES A QUIET AND TRANQUIL PLACE TO VISIT OUTDOORS OR SIMPLY RELAX, JUST STEPS FROM THE MEDICAL CENTER. STARBUCKS COFFEE STARBUCKS GIVES FAMILIES TIME TO TAKE A BREAK AND ENJOY A COFFEE, LATTE, ESPRESSO, FRAPPUCCINO, HOT AND ICED TEAS, CHOCOLATE BEVERAGES, BOTTLED DRINKS, PASTRIES AND MUCH MORE. ZOOTY FRUITY YOGURT SHOP FAMILIES CAN ENJOY A REFRESHING FROZEN TREAT RIGHT IN THE MEDICAL CENTER. ZOOTY FRUITY OFFERS: - 18 FROZEN YOGURT FLAVORS INCLUDING SEASONAL FLAVORS (MOST ARE GLUTEN-FREE) - DELICIOUS SMOOTHIES MADE WITH FRESH FRUITS AND EVEN VEGGIES. - ENJOY SORBET IN YOUR CHOICE OF GREAT FLAVORS, INCLUDING THREE NO-ADDED-SUGAR FLAVORS. - OVER 40 YUMMY TOPPINGS - PLUS, 23 VARIETIES OF CANDY INCLUDING SUGAR-FREE, NO-ADDED SUGAR, GLUTEN-FREE AND PROBIOTIC OPTIONS. NICU COOK CHILDRENS NATIONALLY RECOGNIZED LEVEL IV NICU, DESIGNATED BY THE STATE OF TEXAS, PROVIDES THE HIGHEST LEVEL OF CARE AVAILABLE FOR OUR TINIEST PATIENTS. LEVEL IV NICUS MAINTAIN A FULL RANGE OF ON-SITE PEDIATRIC MEDICAL AND SURGICAL SUBSPECIALISTS AND PEDIATRIC ANESTHESIOLOGISTS. COOK CHILDRENS IS ONE OF ONLY A HANDFUL OF NICUS NATIONWIDE TO PROVIDE SINGLE PATIENT ROOMS THAT ALLOWS PARENTS TO SPEND THE NIGHT WITH THEIR CHILDREN. THE INDIVIDUAL ROOMS ENABLE STAFF TO PROVIDE THE HIGHLY SPECIALIZED INTENSIVE CARE SERVICES AND ATTENTION THAT MEDICALLY FRAGILE BABIES NEED. THE TWO-LEVEL, ALL-SINGLE ROOM ENVIRONMENT IS STAFFED WITH A TEAM OF NEONATOLOGISTS AND SPECIALISTS WHO COMBINE EXPERTISE WITH THE LATEST TECHNOLOGY TO PROVIDE THE HIGHEST LEVEL OF NEONATAL CARE AVAILABLE. STUDIES SHOW THAT PREMATURE AND CRITICALLY ILL INFANTS CARED FOR IN A SINGLE ROOM SETTING HAVE BETTER OUTCOMES."

PART V, SECTION B, LINE 5 - COOK CHILDREN'S MEDICAL CENTER
THE INITIAL COOK CHILDREN'S COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) WAS CONDUCTED IN 2009 AND EVERY THREE YEARS THEREAFTER (2012, 2015, AND 2018). OUR METHODOLOGY VARIES SLIGHTLY AMONG ASSESSMENT YEARS BUT ALWAYS INCLUDES GATHERING DATA FROM MULTIPLE SOURCES REPRESENTING OUR COMMUNITY. METHODOLOGY INCLUDES A SURVEY OF PARENTS OF CHILDREN AGES 0-14, A COMMUNITY LEADER SURVEY, AND FOCUS GROUPS. WE ALSO GATHER FEEDBACK FROM COMMUNITY COALITION MEMBERS THROUGH FACILITATED DISCUSSIONS AT REGULAR MEETINGS AND AT SIX CHILD HEALTH SUMMITS THAT WE HOST TO PRESENT THE DATA TO OUR VARIOUS COMMUNITIES. IN ADDITION, COOK CHILDREN'S COLLECTS DATA FROM PUBLICLY AVAILABLE SOURCES TO SUPPLEMENT PERCEPTIONS OF CHILDREN'S HEALTH OBTAINED THROUGH THE PARENT AND COMMUNITY LEADER SURVEYS, FOCUS GROUPS AND/OR COMMUNITY MEETINGS. THE 2018 HOUSEHOLD SURVEY WAS ADMINISTERED THROUGH AN OUTSIDE VENDOR (ETC INSTITUTE) TO A STATISTICALLY REPRESENTATIVE SAMPLE OF PARENTS WITH CHILDREN AGES 0-14 LIVING IN OUR PRIMARY SERVICE REGION (DENTON, HOOD, JOHNSON, PARKER, TARRANT, AND WISE COUNTIES). THE LARGE SAMPLE SIZE (8,249 COMPLETED SURVEYS) PROVIDES STATISTICALLY REPRESENTATIVE RESULTS APPLICABLE TO ALL SIX COUNTIES INDIVIDUALLY AND COLLECTIVELY WITH A LOW MARGIN OF ERROR (+/- 5%). THE SURVEY IS ADMINISTERED THROUGH MAIL AND TELEPHONE AND ETC MONITORS RESPONSES TO ENSURE THAT REPRESENTATION IS SIMILAR TO GENERAL POPULATION DEMOGRAPHICS IN TERMS OF TOTAL POPULATION IN EACH GEOGRAPHIC AREA, RACE/ETHNICITY, INCOME, AND EDUCATION LEVEL. IN ORDER TO ASSESS THE HEALTH OF CHILDREN LIVING IN FAMILIES THAT ARE TRADITIONALLY UNDERREPRESENTED IN MAIL AND TELEPHONE SURVEYS, A RESEARCH TEAM FROM THE EVALUATION AND OUTCOMES DIVISION OF MY HEALTH MY RESOURCES OF TARRANT COUNTY (MHMRTC) CONDUCTED INTERCEPT SURVEYS WITH PARENTS LIVING WITH A CHILD OR CHILDREN ONE OF SEVERAL TARRANT COUNTY HOMELESS SHELTERS (209 COMPLETED SURVEYS). ETC INSTITUTE ALSO CONDUCTED A SURVEY WITH COMMUNITY LEADERS TO OBTAIN THEIR FEEDBACK ABOUT THE STATUS OF CHILDREN'S HEALTH. SURVEYS WERE MAILED TO 1,156 COMMUNITY LEADERS REPRESENTING CITY AND COUNTY GOVERNMENTS, PUBLIC AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICTS, FAITH BASED/CLERGY, ELECTED OFFICIALS, AND HEALTH CARE PROFESSIONALS. WE RECEIVED 301 RESPONSES (26% RESPONSE RATE). A COMPLETE LIST OF WHO RECEIVED THE OPPORTUNITY TO PARTICIPATE IN THE LEADER SURVEY IS AVAILABLE UPON REQUEST. BASED ON THE 2009 INITIAL ASSESSMENT RESULTS, COOK CHILDREN'S BOARD OF TRUSTEES PRIORITIZED CHILDREN'S HEALTH ISSUES IDENTIFIED BY PARENTS AND COMMUNITY LEADERS AND FINDINGS FROM SUBSEQUENT CCHAPS PROCESSES IN 2012 AND 2015 CONFIRMED THE IMPORTANCE OF THESE ISSUES FOR CONTINUING FOCUSED INTERVENTION: CHILD ABUSE & NEGLECT DENTAL HEALTH WELLNESS - ACCESS TO HEALTH CARE - ASTHMA - MENTAL HEALTH - GENERAL HEALTH: CHILDHOOD OBESITY - GENERAL HEALTH: PARENTING SUPPORT INJURY PREVENTION - CHILD PASSENGER SAFETY - DROWNING PREVENTION - POISON PREVENTION - GUN SAFETY COOK CHILDREN'S CONTINUES TO USE THE 2018 CCHAPS FINDINGS TO ASSESS PARENT AND COMMUNITY LEADER PERCEPTIONS OF CHILDREN'S HEALTH NEEDS AND TO INFORM OUR COMMUNITY HEALTH OUTREACH AND COMMUNITY ENGAGEMENT EFFORTS.

PART V, SECTION B, LINE 6A - COOK CHILDREN'S MEDICAL CENTER
OTHER HOSPITAL FACILITIES: COOK CHILDREN'S MEDICAL CENTER AND COOK CHILDREN'S NORTHEAST HOSPITAL

PART V, SECTION B, LINE 6B - COOK CHILDREN'S MEDICAL CENTER
OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: EXTERNAL VENDORS USED TO CONDUCT THE CCHAPS SURVEYS INCLUDED ETC INSTITUTE, INC. AND MY HEALTH MY RESOURCES OF TARRANT COUNTY. NO OTHER ORGANIZATIONS WERE INVOLVED OTHER THAN THESE CONTRACTED SURVEYOR ENTITIES AND NO OTHER ORGANIZATIONS ARE ABLE TO USE THIS ASSESSMENT TO FULFILL CHNA REQUIREMENTS.

PART V, SECTION B, LINE 11 - COOK CHILDREN'S MEDICAL CENTER
"HOW WE ARE ADDRESSING SIGNIFICANT NEEDS: COOK CHILDREN'S CREATED THE CENTER FOR CHILDREN'S HEALTH IN 2011 TO PROVIDE AN INFRASTRUCTURE FOR USING CHILDREN'S HEALTH ASSESSMENT DATA TO GUIDE COMMUNITY PROGRAMS AND STAKEHOLDER COLLABORATIONS THAT PREVENT ILLNESS, DISEASE AND INJURIES FOR CHILDREN. THE CENTER OVERSEES A REGULAR COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY RESEARCH AND COMMUNITY HEALTH OUTREACH. ALL THREE CATEGORIES OF CENTER ACTIVITIES ARE FOCUSED ON INCREASING ACCESS TO PREVENTIVE SERVICES FOR UNDERSERVED POPULATIONS. THE CENTER FOR CHILDREN'S HEALTH DEVELOPS STRATEGIES FOR ADDRESSING TARGETED CHILDREN'S HEALTH PRIORITIES THROUGH RESEARCH AND AN INFRASTRUCTURE THAT SUPPORTS EFFECTIVE DELIVERY OF COMMUNITY AND FAMILY SERVICES. OUR SERVICES ARE DATA DRIVEN, EVIDENCE-INFORMED AND PROVIDED USING HIGH STANDARDS OF COMMUNITY PRACTICE AND SERVICE DELIVERY. RECOGNIZING THAT COOK CHILDREN'S CANNOT SOLVE COMPLEX CHILDREN'S HEALTH NEEDS ALONE, WE LEAD COALITIONS IN EVERY COUNTY WITHIN OUR PRIMARY SERVICE REGION TO INVOLVE COMMUNITY PARTNERS IN IDENTIFYING HEALTH NEEDS, AND DEVELOPING AND IMPLEMENTING SUSTAINABLE SOLUTIONS. COLLABORATIONS ARE STRUCTURED ACCORDING TO PRINCIPLES THAT RESEARCH INDICATES ARE EFFECTIVE CHARACTERISTICS FOR SUCCESSFUL COMMUNITY COLLABORATIONS, INCLUDING A COMMITMENT TO USING STRATEGIC PLANS TO GUIDE IMPLEMENTATION OF STRATEGIES, DIVERSE REPRESENTATION WITHIN EACH COMMUNITY, AND FACILITATING DECISIONS GUIDED BY MEMBERS ACCORDING TO FORMAL COALITION BYLAWS AND MEETING GUIDELINES. COLLABORATIONS LED BY THE CENTER FOR CHILDREN'S HEALTH INCLUDE: - ACES TASK FORCE - CHILDREN'S ORAL HEALTH COALITION - DROWNING PREVENTION CAMPAIGN - HEALTHY CHILDREN COALITION OF PARKER COUNTY - HOOD COUNTY FOR HEALTHY CHILDREN - JOHNSON COUNTY ALLIANCE FOR HEALTHY KIDS - SAFE BABY SLEEP COUNCIL - SAFE KIDS TARRANT COUNTY - SAVE A SMILE - WISE COALITION FOR HEALTHY CHILDREN - WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY CCHAPS 2018 FINDINGS SUPPORT COOK CHILDREN'S CONTINUED FOCUS ON FAMILY OUTREACH PROGRAMS THAT ADDRESS THE CHILDREN'S HEALTH ISSUES IDENTIFIED IN OUR INITIAL CCHAPS PROCESS IN 2009. THE FAMILY SERVICES ADDRESSING PRIORITY CHILDREN'S HEALTH NEEDS ARE PROVIDED USING EVIDENCE-BASED/INFORMED PRACTICES, INCLUDING STRICT ADHERENCE TO REGULATORY REQUIREMENTS, IMPLEMENTING PROVEN PROGRAM DESIGNS, OBTAINING APPROPRIATE STAFF CERTIFICATIONS OR LICENSURES, PROVIDING ADEQUATE SUPERVISION, PRACTICING ACCURATE AND CONFIDENTIAL RECORD-KEEPING, AND CONDUCTING ONGOING FORMAL EVALUATION. RECOGNIZING THE NEED TO IMPROVE ACCESS TO CARE FOR VULNERABLE POPULATIONS, THE CENTER FOR CHILDREN'S HEALTH FOCUSES ALL PROGRAMMING LISTED IN THE FOLLOWING SECTIONS TO FAMILIES IDENTIFIED AS HIGH-RISK EITHER DUE TO LOW INCOME OR HIGH PREVALENCE OF HEALTH RISK FACTORS. COMMUNITY STRATEGY: REDUCE THE IMPACT OF CHILD ABUSE AND NEGLECT THE CENTER FOR PREVENTION OF CHILD ABUSE AND NEGLECT IS HOUSED WITHIN COOK CHILDREN'S CENTER FOR CHILDREN'S HEALTH TO LEAD INITIATIVES TARGETING CHILD ABUSE PREVENTION. THESE INCLUDE A COUNTY-WIDE ADVERSE CHILDHOOD EXPERIENCES (ACES) TASK FORCE WORKING TO DEVELOP AND IMPLEMENT MULTIPLE STRATEGIES FOR REDUCING THE IMPACT OF ACES ON CHILDREN'S HEALTH; AN EVIDENCE-INFORMED TRAINING FOR MEDICAL PROFESSIONALS AND FIRST RESPONDERS TO RECOGNIZE THE SIGNS OF CHILD ABUSE AND KNOW HOW TO RESPOND APPROPRIATELY; A SAFE BABY SLEEP COUNCIL TO PROMOTE CONSISTENT SAFETY MESSAGING FOR NEW PARENTS; AND A WEBSITE SUPPORT PRODUCT FOR SURVIVORS OF ABUSE. THE CENTER ALSO WORKS WITH A LARGER COOK CHILDREN'S HEALTH CARE SYSTEM TEAM TO EXPAND THE PREDICTIVE MAPPING PROJECT TO BETTER FOCUS ON RESOURCE ALLOCATION. COMMUNITY STRATEGY: INCREASE ACCESS TO DENTAL HEALTH SERVICES THE CENTER FOR CHILDREN'S HEALTH LEADS THE CHILDREN'S ORAL HEALTH COALITION (COHC), A COUNTY-WIDE COLLABORATIVE EFFORT TO ADDRESS DENTAL CARE NEEDS FOR UNDERSERVED CHILDREN. COHC FOCUSES ON PROVIDING EDUCATION AND ORAL HYGIENE KITS TO FAMILIES IN PRIORITY ZIP CODES AND HOSTS TRAIN THE TRAINER EVENTS -- 4-HOUR WORKSHOPS FOR COMMUNITY PROFESSIONALS THAT TEACH THEM HOW TO TRAIN PARENTS THEY REGULARLY SERVE ON PROPER ORAL HEALTH CARE FOR INFANTS AND CHILDREN AGES 0-4 YEARS OLD. COHC WORKS TO IMPROVE COMMUNITY COLLABORATION AROUND ORAL HEALTH CARE BY BRINGING TOGETHER THOSE ORGANIZATIONS IN TARRANT COUNTY CONDUCTING LIMITED ORAL EXAMS IN THE SCHOOL SETTING TO REDUCE OVERLAP, DISCUSS COMMON OBSTACLES AND PROMOTE BEST PRACTICES. AND THE COALITION'S LEGISLATIVE ADVOCACY COMMITTEE MONITORS STATE AND NATIONAL LEGISLATIVE ISSUES, ESPECIALLY THOSE SUPPORTING EXPANDED ACCESS TO DENTAL CARE FOR LOW-INCOME CHILDREN. THE CENTER IS ALSO HOME TO SAVE A SMILE, AN INNOVATIVE AND AWARD-WINNING PROGRAM THAT PARTNERS WITH SCHOOLS TO PROVIDE PREVENTIVE AND RESTORATIVE TREATMENT TO CHILDREN WITH SERIOUS DENTAL DISEASE. APPROXIMATELY 7,000+ CHILDREN IN TARGETED TITLE I SCHOOLS ARE SCREENED AND ASSIGNED A DENTAL HEALTH STATUS TO DETERMINE WHICH CHILDREN NEED TREATMENT PROVIDED BY VOLUNTEER DENTISTS. COMMUNITY HEALTH WORKERS WORK UNDER THE SUPERVISION OF A LICENSED SOCIAL WORKER PROVIDE SOCIAL SERVICES THAT FACILITATE TREATMENT COMPLETION FOR THOSE CHILDREN WITH SERIOUS DENTAL DISEASE. COMMUNITY STRATEGY: INCREASE ACCESS TO ASTHMA HEALTH CARE SERVICES COOK CHILDREN'S OFFICE OF PROFESSIONAL DEVELOPMENT OFFERS EDUCATIONAL RESOURCES TO HELP PARENTS, TEACHERS AND SCHOOL NURSES BETTER UNDERSTAND ASTHMA. ASTHMA-SPECIFIC COMMUNITY COURSES AND LIBRARY RESOURCES ARE OFFERED FOR BOTH PROFESSIONALS AND PARENTS THROUGH OUR PRIMARY WEBSITE (WWW.COOKCHILDRENS.ORG) AND ACCESS TO INFORMATIONAL VIDEOS IS AVAILABLE ON THE CENTER FOR CHILDREN'S HEALTH WEBSITE (WWW.CENTERFORCHILDRENSHEALTH.ORG). IN ADDITION, THE CENTER FOR CHILDREN'S HEALTH IS PILOTING A HEALTHY HOMES PROGRAM DESIGNED TO MITIGATE ASTHMA TRIGGERS IN THE HOME FOR FAMILIES OF CHILDREN SEEN IN THE COOK CHILDREN'S MEDICAL CENTER ER FOR ASTHMA THREE OR MORE TIMES IN A 12-MONTH PERIOD. HEALTHY HOMES USES TRAINED COMMUNITY HEALTH STAFF TO ASSESS HOMES FOR ASTHMA TRIGGERS AND OFFERS REMEDIATION OF THOSE TRIGGERS TO REDUCE ASTHMA EPISODES REQUIRING ER VISITS. COOK CHILDREN'S IS ALSO A KEY PARTNER IN COMMUNITY EFFORTS TO ADDRESS ASTHMA, INCLUDING THE ASTHMA 411 CONSORTIUM. COMMUNITY STRATEGY: INCREASE ACCESS TO MENTAL HEALTH SERVICES COOK CHILDREN'S IS A FOUNDING PARTNER OF THE MENTAL HEALTH CONNECTION (MHC) AND CONTINUES TO SUPPORT THIS GROUP FINANCIALLY AND THROUGH STAFF PARTICIPATION. MHC IS A PARTNERSHIP OF HEALTH AND SOCIAL SERVICE ORGANIZATIONS THAT WORKS TO IMPROVE MENTAL HEALTH SERVICES IN TARRANT COUNTY THROUGH COLLABORATION. IN ADDITION, THE CENTER FOR CHILDREN'S HEALTH LEADS THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY, A COALITION WORKING TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES THROUGH MAINTAINING A RESOURCE WEBSITE (WATCHDENTON.ORG), FACILITATING EDUCATIONAL EVENTS FOR PROFESSIONALS, HOSTING AN ANNUAL CHILDREN'S ART EXPRESSION INITIATIVE, AND STRENGTHENING COLLABORATION BETWEEN MENTAL HEALTH SERVICE PROVIDERS. COMMUNITY STRATEGY: INCREASE ACCESS TO RESOURCES FOR IMPROVING GENERAL HEALTH FOR CHILDREN COALITIONS LED BY THE CENTER FOR CHILDREN'S HEALTH IN JOHNSON AND PARKER COUNTIES WORK WITH SCHOOLS AND COMMUNITY ORGANIZATIONS TO IMPLEMENT A SCHOOL-BASED WELLNESS EDUCATION PROGRAM CENTERED ON EVIDENCE-BASED APPROACHES (5-2-1-0 LET'S GO! AND COORDINATED APPROACH TO CHILD HEALTH, OR CATCH). THE PROGRAM INCLUDES FOUR EDUCATION SESSIONS DURING THE SCHOOL YEAR TO TEACH 3RD-4TH GRADE CHILDREN TO EAT FIVE SERVINGS OF FRUITS/VEGETABLES PER DAY, SPEND NO MORE THAN TWO HOURS OF RECREATION SCREEN TIME PER DAY, ENGAGE IN PHYSICAL ACTIVITY FOR AT LEAST ONE HOUR PER DAY AND DRINK LESS SUGARY BEVERAGES AND MORE WATER. CHILDREN ARE ALSO TAUGHT ABOUT ""GO"" FOODS (GOOD TO EAT ALMOST ANYTIME), ""SLOW"" FOODS (CAN BE EATEN A FEW TIMES PER WEEK) AND ""WHOA"" FOODS (MAY BE EATEN UP TO A FEW TIMES PER MONTH). VOLUNTEER FACILITATORS LEAD THE SESSIONS AND IN SOME SITES FACILITATE SCHOOL-BASED GARDENS. COOK CHILDREN'S ALSO PROMOTES PHYSICAL ACTIVITY THROUGH OFFERING GONOODLE TO ALL SCHOOL DISTRICTS WITHIN OUR SERVICE REGION. GONOODLE PROVIDES TEACHERS WITH VIDEOS TO PROMOTE PHYSICAL ACTIVITY IN THE CLASSROOM. COALITIONS LED BY THE CENTER FOR CHILDREN'S HEALTH IN HOOD AND WISE COUNTIES WORK TO PROMOTE HEALTHY PARENTING PRACTICES BY OFFERING PARENT CAFS USING A CURRICULUM BASED ON NURTURING PARENTING (TRADE-MARKED) AND OTHER EVIDENCE-INFORMED PARENTING PROGRAMS. THE GOAL OF THE PARENT CAF IS TO ENGAGE PARENTS IN BUILDING THE PROTECTIVE FACTORS NEEDED TO PROMOTE HEALTHY OUTCOMES FOR THEIR CHILDREN AND PROVIDE A SUPPORT NETWORK FOR THE PARENTS. VOLUNTEERS ARE TRAINED BY LICENSED PROFESSIONALS ON HOW TO SUCCESSFULLY FACILITATE PARENT DISCUSSIONS. THE COALITIONS DEVELOPED COMPREHENSIVE TOOLKITS FOR PARENT CAF FACILITATORS THAT INCLUDE KEY MESSAGES FOR 14 PARENTING LESSONS, DISCUSSION QUESTIONS, HANDOUTS, SIGN-IN SHEETS AND EVALUAT"

PART V, SECTION B, LINE 5 - COOK CHILDREN'S NORTHEAST HOSPITAL
THE INITIAL COOK CHILDREN'S COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT AND PLANNING SURVEY (CCHAPS) WAS CONDUCTED IN 2009 AND EVERY THREE YEARS THEREAFTER (2012, 2015, AND 2018). OUR METHODOLOGY VARIES SLIGHTLY AMONG ASSESSMENT YEARS BUT ALWAYS INCLUDES GATHERING DATA FROM MULTIPLE SOURCES REPRESENTING OUR COMMUNITY. METHODOLOGY INCLUDES A SURVEY OF PARENTS OF CHILDREN AGES 0-14, A COMMUNITY LEADER SURVEY, AND FOCUS GROUPS. WE ALSO GATHER FEEDBACK FROM COMMUNITY COALITION MEMBERS THROUGH FACILITATED DISCUSSIONS AT REGULAR MEETINGS AND AT SIX CHILD HEALTH SUMMITS THAT WE HOST TO PRESENT THE DATA TO OUR VARIOUS COMMUNITIES. IN ADDITION, COOK CHILDREN'S COLLECTS DATA FROM PUBLICLY AVAILABLE SOURCES TO SUPPLEMENT PERCEPTIONS OF CHILDREN'S HEALTH OBTAINED THROUGH THE PARENT AND COMMUNITY LEADER SURVEYS, FOCUS GROUPS AND/OR COMMUNITY MEETINGS. THE 2018 HOUSEHOLD SURVEY WAS ADMINISTERED THROUGH AN OUTSIDE VENDOR (ETC INSTITUTE) TO A STATISTICALLY REPRESENTATIVE SAMPLE OF PARENTS WITH CHILDREN AGES 0-14 LIVING IN OUR PRIMARY SERVICE REGION (DENTON, HOOD, JOHNSON, PARKER, TARRANT, AND WISE COUNTIES). THE LARGE SAMPLE SIZE (8,249 COMPLETED SURVEYS) PROVIDES STATISTICALLY REPRESENTATIVE RESULTS APPLICABLE TO ALL SIX COUNTIES INDIVIDUALLY AND COLLECTIVELY WITH A LOW MARGIN OF ERROR (+/- 5%). THE SURVEY IS ADMINISTERED THROUGH MAIL AND TELEPHONE AND ETC MONITORS RESPONSES TO ENSURE THAT REPRESENTATION IS SIMILAR TO GENERAL POPULATION DEMOGRAPHICS IN TERMS OF TOTAL POPULATION IN EACH GEOGRAPHIC AREA, RACE/ETHNICITY, INCOME, AND EDUCATION LEVEL. IN ORDER TO ASSESS THE HEALTH OF CHILDREN LIVING IN FAMILIES THAT ARE TRADITIONALLY UNDERREPRESENTED IN MAIL AND TELEPHONE SURVEYS, A RESEARCH TEAM FROM THE EVALUATION AND OUTCOMES DIVISION OF MY HEALTH MY RESOURCES OF TARRANT COUNTY (MHMRTC) CONDUCTED INTERCEPT SURVEYS WITH PARENTS LIVING WITH A CHILD OR CHILDREN ONE OF SEVERAL TARRANT COUNTY HOMELESS SHELTERS (209 COMPLETED SURVEYS). ETC INSTITUTE ALSO CONDUCTED A SURVEY WITH COMMUNITY LEADERS TO OBTAIN THEIR FEEDBACK ABOUT THE STATUS OF CHILDREN'S HEALTH. SURVEYS WERE MAILED TO 1,156 COMMUNITY LEADERS REPRESENTING CITY AND COUNTY GOVERNMENTS, PUBLIC AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS, INDEPENDENT SCHOOL DISTRICTS, FAITH BASED/CLERGY, ELECTED OFFICIALS, AND HEALTH CARE PROFESSIONALS. WE RECEIVED 301 RESPONSES (26% RESPONSE RATE). A COMPLETE LIST OF WHO RECEIVED THE OPPORTUNITY TO PARTICIPATE IN THE LEADER SURVEY IS AVAILABLE UPON REQUEST. BASED ON THE 2009 INITIAL ASSESSMENT RESULTS, COOK CHILDREN'S BOARD OF TRUSTEES PRIORITIZED CHILDREN'S HEALTH ISSUES IDENTIFIED BY PARENTS AND COMMUNITY LEADERS AND FINDINGS FROM SUBSEQUENT CCHAPS PROCESSES IN 2012 AND 2015 CONFIRMED THE IMPORTANCE OF THESE ISSUES FOR CONTINUING FOCUSED INTERVENTION: CHILD ABUSE & NEGLECT DENTAL HEALTH WELLNESS - ACCESS TO HEALTH CARE - ASTHMA - MENTAL HEALTH - GENERAL HEALTH: CHILDHOOD OBESITY - GENERAL HEALTH: PARENTING SUPPORT INJURY PREVENTION - CHILD PASSENGER SAFETY - DROWNING PREVENTION - POISON PREVENTION - GUN SAFETY COOK CHILDREN'S CONTINUES TO USE THE 2018 CCHAPS FINDINGS TO ASSESS PARENT AND COMMUNITY LEADER PERCEPTIONS OF CHILDREN'S HEALTH NEEDS AND TO INFORM OUR COMMUNITY HEALTH OUTREACH AND COMMUNITY ENGAGEMENT EFFORTS.

PART V, SECTION B, LINE 6A - COOK CHILDREN'S NORTHEAST HOSPITAL
OTHER HOSPITAL FACILITIES: COOK CHILDREN'S MEDICAL CENTER AND COOK CHILDREN'S NORTHEAST HOSPITAL

PART V, SECTION B, LINE 6B - COOK CHILDREN'S NORTHEAST HOSPITAL
EXTERNAL VENDORS USED TO CONDUCT THE CCHAPS SURVEYS INCLUDED ETC INSTITUTE, INC. AND MY HEALTH MY RESOURCES OF TARRANT COUNTY. NO OTHER ORGANIZATIONS WERE INVOLVED OTHER THAN THESE CONTRACTED SURVEYOR ENTITIES AND NO OTHER ORGANIZATIONS ARE ABLE TO USE THIS ASSESSMENT TO FULFILL CHNA REQUIREMENTS.

PART V, SECTION B, LINE 11 - COOK CHILDREN'S NORTHEAST HOSPITAL
"HOW WE ARE ADDRESSING SIGNIFICANT NEEDS: COOK CHILDREN'S CREATED THE CENTER FOR CHILDREN'S HEALTH IN 2011 TO PROVIDE AN INFRASTRUCTURE FOR USING CHILDREN'S HEALTH ASSESSMENT DATA TO GUIDE COMMUNITY PROGRAMS AND STAKEHOLDER COLLABORATIONS THAT PREVENT ILLNESS, DISEASE AND INJURIES FOR CHILDREN. THE CENTER OVERSEES A REGULAR COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY RESEARCH AND COMMUNITY HEALTH OUTREACH. ALL THREE CATEGORIES OF CENTER ACTIVITIES ARE FOCUSED ON INCREASING ACCESS TO PREVENTIVE SERVICES FOR UNDERSERVED POPULATIONS. THE CENTER FOR CHILDREN'S HEALTH DEVELOPS STRATEGIES FOR ADDRESSING TARGETED CHILDREN'S HEALTH PRIORITIES THROUGH RESEARCH AND AN INFRASTRUCTURE THAT SUPPORTS EFFECTIVE DELIVERY OF COMMUNITY AND FAMILY SERVICES. OUR SERVICES ARE DATA DRIVEN, EVIDENCE-INFORMED AND PROVIDED USING HIGH STANDARDS OF COMMUNITY PRACTICE AND SERVICE DELIVERY. RECOGNIZING THAT COOK CHILDREN'S CANNOT SOLVE COMPLEX CHILDREN'S HEALTH NEEDS ALONE, WE LEAD COALITIONS IN EVERY COUNTY WITHIN OUR PRIMARY SERVICE REGION TO INVOLVE COMMUNITY PARTNERS IN IDENTIFYING HEALTH NEEDS, AND DEVELOPING AND IMPLEMENTING SUSTAINABLE SOLUTIONS. COLLABORATIONS ARE STRUCTURED ACCORDING TO PRINCIPLES THAT RESEARCH INDICATES ARE EFFECTIVE CHARACTERISTICS FOR SUCCESSFUL COMMUNITY COLLABORATIONS, INCLUDING A COMMITMENT TO USING STRATEGIC PLANS TO GUIDE IMPLEMENTATION OF STRATEGIES, DIVERSE REPRESENTATION WITHIN EACH COMMUNITY, AND FACILITATING DECISIONS GUIDED BY MEMBERS ACCORDING TO FORMAL COALITION BYLAWS AND MEETING GUIDELINES. COLLABORATIONS LED BY THE CENTER FOR CHILDREN'S HEALTH INCLUDE: - ACES TASK FORCE - CHILDREN'S ORAL HEALTH COALITION - DROWNING PREVENTION CAMPAIGN - HEALTHY CHILDREN COALITION OF PARKER COUNTY - HOOD COUNTY FOR HEALTHY CHILDREN - JOHNSON COUNTY ALLIANCE FOR HEALTHY KIDS - SAFE BABY SLEEP COUNCIL - SAFE KIDS TARRANT COUNTY - SAVE A SMILE - WISE COALITION FOR HEALTHY CHILDREN - WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY CCHAPS 2018 FINDINGS SUPPORT COOK CHILDREN'S CONTINUED FOCUS ON FAMILY OUTREACH PROGRAMS THAT ADDRESS THE CHILDREN'S HEALTH ISSUES IDENTIFIED IN OUR INITIAL CCHAPS PROCESS IN 2009. THE FAMILY SERVICES ADDRESSING PRIORITY CHILDREN'S HEALTH NEEDS ARE PROVIDED USING EVIDENCE-BASED/INFORMED PRACTICES, INCLUDING STRICT ADHERENCE TO REGULATORY REQUIREMENTS, IMPLEMENTING PROVEN PROGRAM DESIGNS, OBTAINING APPROPRIATE STAFF CERTIFICATIONS OR LICENSURES, PROVIDING ADEQUATE SUPERVISION, PRACTICING ACCURATE AND CONFIDENTIAL RECORD-KEEPING, AND CONDUCTING ONGOING FORMAL EVALUATION. RECOGNIZING THE NEED TO IMPROVE ACCESS TO CARE FOR VULNERABLE POPULATIONS, THE CENTER FOR CHILDREN'S HEALTH FOCUSES ALL PROGRAMMING LISTED IN THE FOLLOWING SECTIONS TO FAMILIES IDENTIFIED AS HIGH-RISK EITHER DUE TO LOW INCOME OR HIGH PREVALENCE OF HEALTH RISK FACTORS. COMMUNITY STRATEGY: REDUCE THE IMPACT OF CHILD ABUSE AND NEGLECT THE CENTER FOR PREVENTION OF CHILD ABUSE AND NEGLECT IS HOUSED WITHIN COOK CHILDREN'S CENTER FOR CHILDREN'S HEALTH TO LEAD INITIATIVES TARGETING CHILD ABUSE PREVENTION. THESE INCLUDE A COUNTY-WIDE ADVERSE CHILDHOOD EXPERIENCES (ACES) TASK FORCE WORKING TO DEVELOP AND IMPLEMENT MULTIPLE STRATEGIES FOR REDUCING THE IMPACT OF ACES ON CHILDREN'S HEALTH; AN EVIDENCE-INFORMED TRAINING FOR MEDICAL PROFESSIONALS AND FIRST RESPONDERS TO RECOGNIZE THE SIGNS OF CHILD ABUSE AND KNOW HOW TO RESPOND APPROPRIATELY; A SAFE BABY SLEEP COUNCIL TO PROMOTE CONSISTENT SAFETY MESSAGING FOR NEW PARENTS; AND A WEBSITE SUPPORT PRODUCT FOR SURVIVORS OF ABUSE. THE CENTER ALSO WORKS WITH A LARGER COOK CHILDREN'S HEALTH CARE SYSTEM TEAM TO EXPAND THE PREDICTIVE MAPPING PROJECT TO BETTER FOCUS ON RESOURCE ALLOCATION. COMMUNITY STRATEGY: INCREASE ACCESS TO DENTAL HEALTH SERVICES THE CENTER FOR CHILDREN'S HEALTH LEADS THE CHILDREN'S ORAL HEALTH COALITION (COHC), A COUNTY-WIDE COLLABORATIVE EFFORT TO ADDRESS DENTAL CARE NEEDS FOR UNDERSERVED CHILDREN. COHC FOCUSES ON PROVIDING EDUCATION AND ORAL HYGIENE KITS TO FAMILIES IN PRIORITY ZIP CODES AND HOSTS TRAIN THE TRAINER EVENTS -- 4-HOUR WORKSHOPS FOR COMMUNITY PROFESSIONALS THAT TEACH THEM HOW TO TRAIN PARENTS THEY REGULARLY SERVE ON PROPER ORAL HEALTH CARE FOR INFANTS AND CHILDREN AGES 0-4 YEARS OLD. COHC WORKS TO IMPROVE COMMUNITY COLLABORATION AROUND ORAL HEALTH CARE BY BRINGING TOGETHER THOSE ORGANIZATIONS IN TARRANT COUNTY CONDUCTING LIMITED ORAL EXAMS IN THE SCHOOL SETTING TO REDUCE OVERLAP, DISCUSS COMMON OBSTACLES AND PROMOTE BEST PRACTICES. AND THE COALITION'S LEGISLATIVE ADVOCACY COMMITTEE MONITORS STATE AND NATIONAL LEGISLATIVE ISSUES, ESPECIALLY THOSE SUPPORTING EXPANDED ACCESS TO DENTAL CARE FOR LOW-INCOME CHILDREN. THE CENTER IS ALSO HOME TO SAVE A SMILE, AN INNOVATIVE AND AWARD-WINNING PROGRAM THAT PARTNERS WITH SCHOOLS TO PROVIDE PREVENTIVE AND RESTORATIVE TREATMENT TO CHILDREN WITH SERIOUS DENTAL DISEASE. APPROXIMATELY 7,000+ CHILDREN IN TARGETED TITLE I SCHOOLS ARE SCREENED AND ASSIGNED A DENTAL HEALTH STATUS TO DETERMINE WHICH CHILDREN NEED TREATMENT PROVIDED BY VOLUNTEER DENTISTS. COMMUNITY HEALTH WORKERS WORK UNDER THE SUPERVISION OF A LICENSED SOCIAL WORKER PROVIDE SOCIAL SERVICES THAT FACILITATE TREATMENT COMPLETION FOR THOSE CHILDREN WITH SERIOUS DENTAL DISEASE. COMMUNITY STRATEGY: INCREASE ACCESS TO ASTHMA HEALTH CARE SERVICES COOK CHILDREN'S OFFICE OF PROFESSIONAL DEVELOPMENT OFFERS EDUCATIONAL RESOURCES TO HELP PARENTS, TEACHERS AND SCHOOL NURSES BETTER UNDERSTAND ASTHMA. ASTHMA-SPECIFIC COMMUNITY COURSES AND LIBRARY RESOURCES ARE OFFERED FOR BOTH PROFESSIONALS AND PARENTS THROUGH OUR PRIMARY WEBSITE (WWW.COOKCHILDRENS.ORG) AND ACCESS TO INFORMATIONAL VIDEOS IS AVAILABLE ON THE CENTER FOR CHILDREN'S HEALTH WEBSITE (WWW.CENTERFORCHILDRENSHEALTH.ORG). IN ADDITION, THE CENTER FOR CHILDREN'S HEALTH IS PILOTING A HEALTHY HOMES PROGRAM DESIGNED TO MITIGATE ASTHMA TRIGGERS IN THE HOME FOR FAMILIES OF CHILDREN SEEN IN THE COOK CHILDREN'S MEDICAL CENTER ER FOR ASTHMA THREE OR MORE TIMES IN A 12-MONTH PERIOD. HEALTHY HOMES USES TRAINED COMMUNITY HEALTH STAFF TO ASSESS HOMES FOR ASTHMA TRIGGERS AND OFFERS REMEDIATION OF THOSE TRIGGERS TO REDUCE ASTHMA EPISODES REQUIRING ER VISITS. COOK CHILDREN'S IS ALSO A KEY PARTNER IN COMMUNITY EFFORTS TO ADDRESS ASTHMA, INCLUDING THE ASTHMA 411 CONSORTIUM. COMMUNITY STRATEGY: INCREASE ACCESS TO MENTAL HEALTH SERVICES COOK CHILDREN'S IS A FOUNDING PARTNER OF THE MENTAL HEALTH CONNECTION (MHC) AND CONTINUES TO SUPPORT THIS GROUP FINANCIALLY AND THROUGH STAFF PARTICIPATION. MHC IS A PARTNERSHIP OF HEALTH AND SOCIAL SERVICE ORGANIZATIONS THAT WORKS TO IMPROVE MENTAL HEALTH SERVICES IN TARRANT COUNTY THROUGH COLLABORATION. IN ADDITION, THE CENTER FOR CHILDREN'S HEALTH LEADS THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY, A COALITION WORKING TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES THROUGH MAINTAINING A RESOURCE WEBSITE (WATCHDENTON.ORG), FACILITATING EDUCATIONAL EVENTS FOR PROFESSIONALS, HOSTING AN ANNUAL CHILDREN'S ART EXPRESSION INITIATIVE, AND STRENGTHENING COLLABORATION BETWEEN MENTAL HEALTH SERVICE PROVIDERS. COMMUNITY STRATEGY: INCREASE ACCESS TO RESOURCES FOR IMPROVING GENERAL HEALTH FOR CHILDREN COALITIONS LED BY THE CENTER FOR CHILDREN'S HEALTH IN JOHNSON AND PARKER COUNTIES WORK WITH SCHOOLS AND COMMUNITY ORGANIZATIONS TO IMPLEMENT A SCHOOL-BASED WELLNESS EDUCATION PROGRAM CENTERED ON EVIDENCE-BASED APPROACHES (5-2-1-0 LET'S GO! AND COORDINATED APPROACH TO CHILD HEALTH, OR CATCH). THE PROGRAM INCLUDES FOUR EDUCATION SESSIONS DURING THE SCHOOL YEAR TO TEACH 3RD-4TH GRADE CHILDREN TO EAT FIVE SERVINGS OF FRUITS/VEGETABLES PER DAY, SPEND NO MORE THAN TWO HOURS OF RECREATION SCREEN TIME PER DAY, ENGAGE IN PHYSICAL ACTIVITY FOR AT LEAST ONE HOUR PER DAY AND DRINK LESS SUGARY BEVERAGES AND MORE WATER. CHILDREN ARE ALSO TAUGHT ABOUT ""GO"" FOODS (GOOD TO EAT ALMOST ANYTIME), ""SLOW"" FOODS (CAN BE EATEN A FEW TIMES PER WEEK) AND ""WHOA"" FOODS (MAY BE EATEN UP TO A FEW TIMES PER MONTH). VOLUNTEER FACILITATORS LEAD THE SESSIONS AND IN SOME SITES FACILITATE SCHOOL-BASED GARDENS. COOK CHILDREN'S ALSO PROMOTES PHYSICAL ACTIVITY THROUGH OFFERING GONOODLE TO ALL SCHOOL DISTRICTS WITHIN OUR SERVICE REGION. GONOODLE PROVIDES TEACHERS WITH VIDEOS TO PROMOTE PHYSICAL ACTIVITY IN THE CLASSROOM. COALITIONS LED BY THE CENTER FOR CHILDREN'S HEALTH IN HOOD AND WISE COUNTIES WORK TO PROMOTE HEALTHY PARENTING PRACTICES BY OFFERING PARENT CAFS USING A CURRICULUM BASED ON NURTURING PARENTING (TRADE-MARKED) AND OTHER EVIDENCE-INFORMED PARENTING PROGRAMS. THE GOAL OF THE PARENT CAF IS TO ENGAGE PARENTS IN BUILDING THE PROTECTIVE FACTORS NEEDED TO PROMOTE HEALTHY OUTCOMES FOR THEIR CHILDREN AND PROVIDE A SUPPORT NETWORK FOR THE PARENTS. VOLUNTEERS ARE TRAINED BY LICENSED PROFESSIONALS ON HOW TO SUCCESSFULLY FACILITATE PARENT DISCUSSIONS. THE COALITIONS DEVELOPED COMPREHENSIVE TOOLKITS FOR PARENT CAF FACILITATORS THAT INCLUDE KEY MESSAGES FOR 14 PARENTING LESSONS, DISCUSSION QUESTIONS, HANDOUTS, SIGN-IN SHEETS AND EVALUAT"

PART V, SECTION B, LINE 7A
COMMUNITY HEALTH NEEDS ASSESSMENT: THE ORGANIZATION'S CHNA IS LOCATED AT THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/SITECOLLECTIONDOCUMENTS/ABOUT/2015_CHNA_REPOR T_9-27-2016.PDF THE CHNA IS ALSO LOCATED AT THE FOLLOWING OTHER WEBSITE: WWW.CENTERFORCHILDRENSHEALTH.ORG

PART V, SECTION B, LINE 10A
IMPLEMENTATION STRATEGY: THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS LOCATED AT THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/SITECOLLECTIONDOCUMENTS/ABOUT/CHNA-IMPLEMENTA TION-STRATEGIES2015.PDF

PART V, SECTION B, LINES 16A, 16B AND 16C
THE FAP, FAP APPLICATION FORM AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY WAS WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: HTTP://WWW.COOKCHILDRENS.ORG/PATIENTS/BILLING-INSURANCE/PAGES/FINANCIAL-AS SISTANCE.ASPX

PART V, SECTION D, LINE 2
COOK CHILDREN'S NORTHEAST HOSPITAL ELECTED TO CHANGE ITS LICENSE TO AN AMBULATORY SURGICAL CENTER (ASC). THIS CHANGE WAS EFFECTIVE MAY 1, 2018.

SCHEDULE H, PART III, SECTION A, LINE 2
WE RECORD SELF-PAY ACCOUNTS AT THE FULL EXPECTED AMOUNT. EACH ACCOUNT GOES THROUGH THE COLLECTION PROCESS AS NECESSARY. AN ALLOWANCE IS ESTABLISHED BASED ON HISTORICAL EXPERIENCE.

SCHEDULE H, PART III, SECTION A, LINE 3
BAD DEBT, IN WHOLE OR IN PART, SHOULD BE INCLUDED IN COMMUNITY BENEFIT GIVEN THE TANGIBLE AND MEASURABLE BENEFIT OF THE UNDERLYING SERVICES PROVIDED TO, PRIMARILY, UNDERSERVED MEMBERS OF OUR COMMUNITY. FOR INSTANCE, WE HAVE A SIGNIFICANT NON-INSURED, UNDOCUMENTED WORKER POPULATION THAT MAY NOT PARTICIPATE IN THE CHARITY OR MEDICALLY INDIGENT DISCOUNT QUALIFICATION PROCESS DUE TO CONCERNS ABOUT THEIR IMMIGRATION STATUS. WE PROVIDE CRITICAL INPATIENT, EMERGENCY ROOM, AND OUTPATIENT SERVICES TO THIS DEMOGRAPHIC FOR LITTLE OR NO REIMBURSEMENT AND WITHOUT REGARD FOR THEIR ABILITY TO PAY, BUT RECEIVE NO COMMUNITY BENEFIT CONSIDERATION. AT A MINIMUM, HOSPITALS SHOULD HAVE THE OPPORTUNITY TO DELINEATE HOW MUCH BAD DEBT STEMS FROM NON-INSURED PATIENTS AND THEN BE GIVEN COMMUNITY BENEFIT CONSIDERATION FOR THE COST BURDEN ASSOCIATED WITH PROVIDING THESE NEEDED SERVICES KNOWING THAT WE HAVE ALREADY DONE ALL WE CAN WITH REGARD TO SCREENING PATIENTS FOR CHARITY AND MEDICALLY INDIGENT DISCOUNTS AND WRITTEN THE PATIENTS' BALANCES OFF AS SUCH.

SCHEDULE H, PART III, SECTION A, LINE 4
FOOTNOTE DISCLOSURE REGARDING THE TREATMENT OF BAD DEBTS IS LOCATED ON PAGE 10 OF THE MOST RECENT AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM.

SCHEDULE H, PART III, SECTION B, LINE 8
THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE IT IS REPRESENTATIVE OF THE NON-COVERED COST OF PATIENT CARE THAT HOSPITALS ARE USING TO JUSTIFY THE NEED FOR THEIR TAX EXEMPT STATUS. PRESENTING THE MEDICARE SHORTFALL IN THE COMMUNITY BENEFIT SECTION ALLOWS REGULATORS AND THE PUBLIC TO SEE THE UNFUNDED COSTS OF SERVICES THAT HOSPITALS PROVIDE TO COMMUNITY MEMBERS. THIS PRESENTATION WOULD HELP THE COMMUNITY BETTER UNDERSTAND THAT IN THE ABSENCE OF A TAX EXEMPT STATUS (WHICH IN EFFECT IS GRANTED TO THEM BY THE PUBLIC), THE HOSPITALS WOULD HAVE TO LOOK TO THE COMMUNITY TO FUND THE SHORTFALL OR RISK LOSING VALUED HOSPITAL SERVICES. THE RATIO OF COST TO CHARGES USED IN THE CALCULATION OF COSTS FOR MEDICARE WAS TAKEN FROM THE MEDICARE COST REPORT.

SCHEDULE H, PART III, SECTION C, LINE 9B
THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENT ALTHOUGH VARIOUS DEPARTMENTS WITHIN COOK CHILDREN'S PERIODICALLY CONDUCT PATIENT NEEDS ASSESSMENTS FOR SPECIFIC MEDICAL SPECIALITIES, THE COMMUNITY-WIDE CHILDREN'S HEALTH ASSESSMENT & PLANNING SURVEY (CCHAPS) AS REPORTED IN PART V, SECTION B IS THE ONLY COMMUNITY-WIDE CHILDREN'S HEALTH NEEDS ASSESSMENT CONDUCTED BY OUR HEALTH SYSTEM.

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ENGLISH AND SPANISH VERSIONS OF A ONE-PAGE DOCUMENT EXPLAINING THE CHARITY CARE OFFERED AT COOK CHILDREN'S ARE POSTED IN EACH OF THE PATIENT REGISTRATION AREAS, THE EMERGENCY ROOM, URGENT CARE, AND MEDICAL OFFICE BUILDING. THIS DOCUMENT INCLUDES INFORMATION ON THE FOLLOWING: 1. HOW ONE MIGHT QUALIFY FOR FINANCIAL ASSISTANCE; 2. EXPLAINS QUALIFICATION IS DETERMINED BY FAMILY SIZE AND INCOME; AND, 3. GUIDES FAMILIES TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT TO APPLY FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR WILL ASSIST ALL SELF-PAY INPATIENTS, OBSERVATION STAYS AND SCHEDULED PROCEDURES, SCREENING THEM FOR VARIOUS GOVERNMENT PROGRAMS, SUCH AS MEDICAID AND CHIP. IN ADDITION, A FINANCIAL COUNSELOR WILL ASSIST ANY PATIENT THAT PRESENTS TO REGISTRATION FOR FINANCIAL ASSISTANCE, PROVIDING THEM WITH A MEDICAID APPLICATION AND REVIEWING THE CHARITY POLICY. PATIENT REPRESENTATIVES AND CASE MANAGEMENT PERSONNEL ALSO DIRECT FAMILIES TO THE PATIENT REGISTRATION STAFF WHEN THEY NEED FINANCIAL ASSISTANCE. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY, EXPLANATION OF AMOUNTS GENERALLY BILLED AND THE CHARITY APPLICATION ARE POSTED ON THE COOK CHILDREN'S WEBSITE AT WWW.COOKCHILDRENS.ORG. THE CHARITY APPLICATION IS POSTED IN BOTH ENGLISH AND SPANISH VERSIONS.

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION COOK CHILDREN'S HEALTH CARE SYSTEM SERVES A SIX-COUNTY PRIMARY SERVICE AREA IN NORTH TEXAS THAT INCLUDES DENTON, HOOD, JOHNSON, PARKER, TARRANT AND WISE COUNTIES. THE PRIMARY SERVICE AREA IS HOME TO 834,108 CHILDREN AGES BIRTH TO 18 YEARS, REPRESENTING 29% OF THE TOTAL POPULATION OF 2,849,818 PEOPLE. OF THESE CHILDREN LIVING IN THE PRIMARY SERVICE AREA, 135,706 (16%) LIVE IN HOUSEHOLDS WITH INCOME BELOW POVERTY LEVEL; MORE THAN HALF OF THESE CHILDREN LIVE IN FEMALE HOUSEHOLDER, NO HUSBAND PRESENT HOUSEHOLDS. OF THE TOTAL NUMBER OF CHILDREN, 186,220 (22%) LIVE IN HOUSEHOLDS THAT RECEIVE SUPPLEMENTAL SECURITY INCOME (SSI), CASH PUBLIC ASSISTANCE, OR FOOD STAMPS/SNAP BENEFITS; ABOUT HALF OF THESE CHILDREN ALSO LIVE IN FEMALE HOUSEHOLDER, NO HUSBAND PRESENT HOUSEHOLDS.

SCHEDULE H, PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTH: COOK CHILDREN'S MAINTAINS AN OPEN MEDICAL STAFF, AND THE GOVERNING BODIES OF THE VARIOUS COMPANIES ARE MADE UP (UNLESS CONSTRAINED BY THE TEXAS MEDICAL PRACTICE ACT) OF VOLUNTARY COMMUNITY MEMBERS ALONG WITH PHYSICIANS. THE ORGANIZATION CARES FOR ALL CHILDREN REGARDLESS OF THEIR ABILITY TO PAY, AND PROACTIVELY SEEKS TO ENROLL ALL ELIGIBLE CHILDREN IN APPROPRIATE PROGRAMS TO IMPROVE THEIR ACCESS TO CARE.

SCHEDULE H, PART VI, LINE 7
TEXAS

SCHEDULE H, PART I, LINE 7, COLUMN (F)
"BAD DEBT EXPENSE OF $48,723,265 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF ""PERCENT OF TOTAL EXPENSE"" IN THIS COLUMN."

SCHEDULE H, PART I, LINE 6B
ALTHOUGH COOK CHILDREN'S CONDUCTS A CHNA AND PREPARES A SUMMARY REPORT EVERY THREE YEARS, THE TIMING OF THE DATA COLLECTION, ANALYSIS AND REPORT WRITING PROCESSES SOMETIMES SPAN OVER TWO TAX YEARS. THE MOST RECENT CHNA WAS CONDUCTED IN 2018, AND THE WRITTEN CHNA REPORT IS STILL IN PROCESS AS OF THE DATE OF THIS REPORT IN 2019. THE PREVIOUS CHNA REPORT COMPLETED IN 2015 IS STILL AVAILABLE TO THE PUBLIC ON OUR WEBSITE (WWW.COOKCHILDRENS.ORG/ABOUT/), AND THE NEW 2018 CHNA REPORT WILL BE POSTED BY THE REQUIRED DEADLINE.

SCHEDULE H, PART I, LINE 3C
COOK CHILDREN'S ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.

SCHEDULE H, PART VI, LINE 6
AFFILIATED HEALTH CARE SYSTEM: COOK CHILDREN'S ALSO OPERATES SEVEN NEIGHBORHOOD CLINICS PROVIDING PRIMARY CARE TO UNDERSERVED POPULATIONS AROUND THE CITY'S PERIMETER AND INNER CITY TO HELP ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE SETTING. BOTH PREVENTIVE AND THERAPEUTIC DENTAL HEALTH CARE ARE PROVIDED TO UNDERSERVED POPULATIONS. MENTAL AND BEHAVIORAL HEALTH IS PROVIDED IN BOTH INPATIENT AND OUTPATIENT SETTINGS SUBSIDIZED BY COOK CHILDREN'S. COOK CHILDREN'S HEALTH PLAN IS A CONTRACTED INTERMEDIARY FOR MEDICAID MANAGED CARE AND SCHIP, PROVIDING AN OPEN PROVIDER PANEL FOR ALL ELIGIBLE CHILDREN IN THE SIX-COUNTY PRIMARY SERVICE AREA. COOK CHILDREN'S HOME HEALTH OFFERS PEDIATRIC-SPECIFIC HOME CARE TO ASSURE CARE IS PROVIDED IN THE MOST APPROPRIATE AND LOWEST COST SETTING.

SCHEDULE H, PART II, LINES 1-10
"COMMUNITY BUILDING PHYSICAL IMPROVEMENTS AND HOUSING: COOK CHILDREN'S IS LOCATED IN THE NEAR SOUTH SIDE OF FORT WORTH WHICH INCLUDES THE MEDICAL DISTRICT AS WELL AS A DIVERSE MIX OF RESIDENTIAL NEIGHBORHOODS. TO ADDRESS NEIGHBORHOOD IMPROVEMENT NEEDS, COOK CHILDREN'S IS A MEMBER OF FORT WORTH SOUTH, INC., A NONPROFIT ORGANIZATION THAT PARTNERS WITH THE CITY OF FORT WORTH AND OTHER COMMUNITY ORGANIZATIONS TO ADVANCE EDUCATIONAL INITIATIVES, PUBLIC POLICIES, AND COMMUNITY PROGRAMS THAT FOSTER A REVITALIZED AND SAFE CENTRAL CITY. STRATEGIC PLANNING HAS RESULTED IN IMPROVED SECURITY, CODE ENFORCEMENT, AND TRANSPORTATION FOR RESIDENTS AND EMPLOYEES WHO WORK IN THE AREA. COALITION BUILDING: COOK CHILDREN'S IS THE LEAD ORGANIZATION FOR THE WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY (""WATCH""). WATCH OF DENTON COUNTY IS A COLLABORATION OF BOTH PUBLIC AND PRIVATE ORGANIZATIONS AND INDIVIDUALS WHO ARE INVESTED IN THE TOTAL WELLNESS OF DENTON COUNTY'S CHILDREN. WATCH CURRENTLY WORKS TO INCREASE AWARENESS OF AND ACCESS TO MENTAL HEALTH SERVICES IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE DENTON COUNTY BEHAVIORAL HEALTH LEADERSHIP TEAM WHICH ADVOCATES AND FACILITATES A COLLABORATIVE PERSON-CENTERED BEHAVIORAL HEALTH SYSTEM TO REPAIR AND RESTORE LIVES BY ENSURING BEHAVIORAL HEALTH SERVICES ARE AVAILABLE TO MEET THE NEEDS OF ALL, ASSESSING DATA FOR CONTINUOUS OUTCOME MEASUREMENTS, PRIORITIZING DATA DRIVEN RECOMMENDATIONS, AND PROVIDING A CONTINUUM OF CARE IN DENTON COUNTY. COOK CHILDREN'S IS ALSO A PARTICIPANT IN THE INTELLECTUAL AND DEVELOPMENTAL DISABILITIES COUNCIL OF TARRANT COUNTY WHICH IS A COMMUNITY COALITION OF PROVIDERS, PUBLIC OFFICIALS, FAMILIES, AND SELF-ADVOCATES WHO HAVE COME TOGETHER TO INCREASE OPPORTUNITIES FOR PEOPLE WITH INTELLECTUAL DISABILITIES IN OUR COMMUNITY. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: ADVOCACY EFFORTS BY COOK CHILDREN'S ARE ENHANCED THROUGH MEMBERSHIP IN VARIOUS LOCAL, STATE, AND NATIONAL ORGANIZATIONS. ISSUES ADDRESSED INCLUDE COMMUNITY NEEDS ASSESSMENT, ACCESS TO HEALTH CARE AND INSURANCE FOR UNDERSERVED POPULATIONS, AND ADVOCACY FOR SPECIFIC HEALTH ISSUES SUCH AS CHILD ABUSE AND NEGLECT AND PREVENTABLE INJURIES."

SCHEDULE H, PART I, LINE 7
IN FYE THE CENTER FOR CHILDREN'S HEALTH LED 693 HEALTH OUTREACH EVENTS SERVING OVER 25,000 CHILDREN, FAMILIES, AND COMMUNITY PARTNERS. THESE OUTREACH EVENTS INCLUDE EDUCATION OR ACTIVITIES AROUND THE PRIORITIZED HEALTH ISSUES IDENTIFIED IN THE FINDINGS FROM CCHAPS, WHICH ENCOMPASSES: CHILD ABUSE & NEGLECT DENTAL HEALTH WELLNESS - ACCESS TO HEALTH CARE - ASTHMA - MENTAL HEALTH - GENERAL HEALTH: CHILDHOOD OBESITY - GENERAL HEALTH: PARENTING SUPPORT INJURY PREVENTION - CHILD PASSENGER SAFETY - DROWNING PREVENTION - POISON PREVENTION - GUN SAFETY THROUGH OUR COALITIONS AND COLLABORATIONS WE ENGAGE COMMUNITY PARTNERS AND VOLUNTEERS TO HELP US REACH CHILDREN AND FAMILIES IN NEED THROUGH OUTREACH ACTIVITIES THAT SUPPORT SUSTAINABLE SOLUTIONS WITHIN THE COMMUNITY. IN FY18 OUR COMMUNITY PARTNERS AND VOLUNTEERS GAVE OVER 6,400 HOURS OF VOLUNTEER SUPPORT TO THE CENTER FOR CHILDRENS HEALTH, TOTALING A VALUE OF $223,256. OUT OF OUR 693 HEALTH OUTREACH EVENTS, OVER 400 OF THOSE WERE COALITION, WORKGROUP, AND STAKEHOLDER MEETINGS THAT WE LED THROUGH OUR COLLABORATIONS BELOW: - ACES TASK FORCE - CHILDREN'S ORAL HEALTH COALITION - DROWNING PREVENTION CAMPAIGN - HEALTHY CHILDREN COALITION OF PARKER COUNTY - HOOD COUNTY FOR HEALTHY CHILDREN - JOHNSON COUNTY ALLIANCE FOR HEALTHY KIDS - SAFE BABY SLEEP COUNCIL - SAFE KIDS TARRANT COUNTY - SAVE A SMILE - WISE COALITION FOR HEALTHY CHILDREN - WELLNESS ALLIANCE FOR TOTAL CHILDREN'S HEALTH OF DENTON COUNTY SELECTED HIGHLIGHTS OF OUR WORK IN FY18 TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES IN THE COMMUNITY INCLUDE: - 2,396 DENTAL PROCEDURES VALUED AT $316,683 PROVIDED TO CHILDREN WITH DENTAL DISEASE. - CAR SEAT INSTALLATION EDUCATION RESULTING IN 1,358 CHILDREN RIDING SAFER IN CARS, AND NEW CAR SEATS FOR 943 OF THOSE CHILDREN. - 2,036 CHILDREN EDUCATED ON PROPER NUTRITION AND HEALTHY LIFESTYLES INFORMATION. - OVER 60 COMMUNITY MEMBERS TRAINED TO TEACH FAMILIES PROPER CARE FOR THEIR CHILDRENS TEETH.