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Providence Health & Services - Washington
1801 Lind Ave Sw Attn Tax Dept
Renton, WA 98057
EIN: 510216586
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Providence Valdez Medical Center911 Meals Avenue
Valdez, AK 99686
Valdez, AK 99686
12 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
(click a facility name to update Individual Facility Details panel)
| Bed count | 15 | Medicare provider number | 021301 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
Providence Health & Services - WashingtonDisplay data for year:
Community Benefit Spending- 2018
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
5.33%
Spending by Community Benefit Category- 2018
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2015-2018
Additional data
Community Benefit Expenditures: 2018
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 7,130,441,417 Total amount spent on community benefits as % of operating expenses$ 379,946,305 5.33 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 66,895,699 0.94 %Medicaid as % of operating expenses$ 262,944,702 3.69 %Costs of other means-tested government programs as % of operating expenses$ 293,305 0.00 %Health professions education as % of operating expenses$ 34,739,755 0.49 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 1,077,507 0.02 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 9,752,164 0.14 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 4,243,173 0.06 %Community building*
as % of operating expenses$ 43,926 0.00 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 43,926 0.00 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 148 0.34 %Community support as % of community building expenses$ 11,228 25.56 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 5,859 13.34 %Community health improvement advocacy as % of community building expenses$ 0 0 %Workforce development as % of community building expenses$ 0 0 %Other as % of community building expenses$ 26,691 60.76 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2018
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 41,210,319 0.58 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2018
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2018
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 2707430341 including grants of $ 0) (Revenue $ 3711113364) SEE SCHEDULE OPROVIDENCE ST. JOSEPH HEALTH SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE - A CHANGING HEALTH CARE ENVIRONMENT - WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.ACUTE CARE-INPATIENT & OUTPATIENTREALIZING OUR MISSION - AS PEOPLE OF PROVIDENCE, WE REVEAL GOD'S LOVEFOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE SERVICE.OUR CORE VALUES - RESPECT, COMPASSION, JUSTICE, EXCELLENCE, AND STEWARDSHIP AS A NOT-FOR-PROFIT HEALTH CARE MINISTRY, PROVIDENCE HEALTH & SERVICES - WASHINGTON EMBRACES OUR RESPONSIBILITY TO RESPOND TO THE NEEDS OF PEOPLE IN OUR COMMUNITIES, ESPECIALLY THE POOR AND VULNERABLE. IN THE FACE OF RAPIDLY CHANGING HEALTH CARE, OUR COMMITMENT TO OUR MISSION TO CARE FOR EVERYONE REMAINS UNCHANGED. WHEN THE SISTERS OF PROVIDENCE BEGAN OUR TRADITION OF CARING, THEIR MINISTRY GREATLY DEPENDED ON PARTNERING WITH OTHERS IN THE COMMUNITY WHO WERE COMMITTED TO DOING GOOD. THIS SAME PIONEERING SPIRIT CONTINUES TODAY AS OUR CALLING AND OUR PROMISE.2018 ALASKA HIGHLIGHTS INCLUDED:THE ALASKA DEPARTMENT OF HEALTH & SOCIAL SERVICES HAS CERTIFIED PROVIDENCE ALASKA MEDICAL CENTER AS A COMPREHENSIVE PEDIATRIC EMERGENCY CARE FACILITY. THE CERTIFICATION IS ADMINISTERED BY THE ALASKA EMERGENCY MEDICAL SERVICES FOR CHILDREN PEDIATRIC ADVISORY BOARD AND STATE FACILITY RECOGNITION PROGRAM AND FOCUSES ON A HOSPITAL'S ABILITY TO PROVIDE COMPREHENSIVE PEDIATRIC EMERGENCY CARE.PROVIDENCE CHILD CARE SERVICES IS AMONG THE FIRST EARLY CARE AND LEARNING PROGRAMS IN ALASKA TO ENROLL IN AND BE RECOGNIZED BY LEARN & GROW, OUR STATE'S QUALITY RECOGNITION AND IMPROVEMENT SYSTEM. BY PARTICIPATING IN LEARN & GROW, PROVIDENCE CHILD CARE SERVICES HAS DEMONSTRATED ITS COMMITMENT TO ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES. LEARN & GROW IS A SYSTEM TO RECOGNIZE LEVELS OF QUALITY WITHIN EARLY CARE AND LEARNING PROGRAMS AND TO SUPPORT PROGRAMS AS THEY ADVANCE THROUGH THESE LEVELS OF QUALITY.PROVIDENCE ALASKA MEDICAL CENTER (PAMC) HAS RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY'S NCDR ACTION REGISTRY-GWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2017. PAMC IS ONE OF LESS THAN 500 HOSPITALS NATIONWIDE AND THE ONLY HOSPITAL IN THE STATE OF ALASKA TO RECEIVE THE HONOR. THIS IS THE SIXTH CONSECUTIVE YEAR PAMC HAS EARNED THE PLATINUM PERFORMANCE AWARD.PROVIDENCE ALASKA MEDICAL CENTER HAS RECEIVED A NATIONAL AWARD FOR ITS HIGH-QUALITY CARE OF PATIENTS EXPERIENCING STROKE. PAMC RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR ITS CARE OF STROKE PATIENTS. THIS MARKS THE SIXTH CONSECUTIVE YEAR PROVIDENCE ALASKA MEDICAL CENTER HAS BEEN RECOGNIZED WITH A GET WITH THE GUIDELINES QUALITY ACHIEVEMENT AWARD.2018 WASHINGTON HIGHLIGHTS INCLUDED:THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE) AND INTERNATIONAL LACTATION CONSULTANT ASSOCIATION (ILCA) HAVE RECOGNIZED THE CHILDREN'S HOSPITAL AT PROVIDENCE FOR EXCELLENCE IN LACTATION CARE.THE VERMONT OXFORD NETWORK HAS NAMED THE CHILDREN'S HOSPITAL AT PROVIDENCE A 2017 CENTER OF EXCELLENCE IN EDUCATION AND TRAINING. THE HOSPITAL EARNED THIS DESIGNATION BY SUCCESSFULLY TRAINING AT LEAST 85 PERCENT OF THE CARE TEAM, USING A NOVEL ON-LINE LEARNING PLATFORM TO COMPLETE OVER 15 CRITICAL AREAS. THE DESIGNATION REPRESENTS PROVIDENCE'S EFFORTS TO IMPROVE THE QUALITY, SAFETY AND VALUE OF CARE FOR SUBSTANCE-EXPOSED INFANTS AND THEIR FAMILIES.THE SPOKANE TEACHING HEALTH CENTER CLINIC, LOCATED ON WASHINGTON STATE UNIVERSITY SPOKANE'S HEALTH SCIENCES CAMPUS, WAS OPERATED BY PROVIDENCE HEALTH CARE AND SUPPORTED BY THE CONSORTIUM OF EMPIRE HEALTH FOUNDATION, PROVIDENCE HEALTH CARE AND WASHINGTON STATE UNIVERSITY SPOKANE.OVERALL, SPOKANE NOW HAS OVER 100 MEDICAL RESIDENCIES AND FELLOWSHIPS, UP FROM 74 JUST FOUR YEARS AGO. SOME RESIDENTS ARE TRAINING IN FAMILY AND INTERNAL MEDICINE AND ARE SUPPORTED THROUGH THE CONSORTIUM WHILE OTHER RESIDENTS ARE TRAINING IN PSYCHIATRY AND ARE SUPPORTED THROUGH PROVIDENCE.IN ADDITION TO GROWING RESIDENCY SLOTS, THE CONSORTIUM HAS A MISSION OF INTEGRATING STUDENTS AND FACULTY FROM HEALTH SCIENCES PROGRAMS IN THE REGION INTO A TEAM-BASED CLINICAL ENVIRONMENT, WHICH IS THE FUTURE OF HEALTH CARE.THE SOCIETY OF THORACIC SURGEONS (STS) HAS AWARDED ITS HIGHEST OVERALL RATING OF THREE STARS TO PROVIDENCE SACRED HEART MEDICAL CENTER FOR ALL THREE CATEGORIES OF ADULT CARDIAC SURGERY; ISOLATED CORONARY ARTERY BYPASS GRAFTING (CABG), ISOLATED AORTIC VALVE REPLACEMENT (AVR), ANDPROCEDURES INVOLVING BOTH CORONARY ARTERY BYPASS AND AORTIC VALVE (AVR+CABG).BASED ON 2015 DATA, SACRED HEART MEDICAL CENTER IS ONE OF ONLY 12 HOSPITALS IN THE NATION TO RECEIVE THREE STARS IN ALL THREE AREAS OF ADULT CARDIAC SURGERY. THIS PLACES IT AMONG THE TOP 1.2 PERCENT OF HOSPITALS IN THE NATION.PROVIDENCE MOUNT CARMEL HOSPITAL IN COLVILLE HAS BEEN NAMED BY THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA) AS ONE OF THE TOP 20 CRITICAL ACCESS HOSPITALS (CAH) IN AMERICA.THE TOP 20 CRITICAL ACCESS HOSPITALS ARE THOSE HOSPITALS THAT HAVE ACHIEVED SUCCESS IN OVERALL PERFORMANCE BASED ON A COMPOSITE RATING FROM NINE INDICES OF STRENGTH: INPATIENT MARKET SHARE, OUTPATIENT MARKET SHARE, POPULATION RISK, COST, CHARGE, QUALITY, OUTCOMES, PATIENT PERSPECTIVES AND FINANCIAL STABILITY.THE PROVIDENCE SACRED HEART MEDICAL CENTER/GONZAGA UNIVERSITY NURSE ANESTHESIA PROGRAM IS ONE OF THE BEST GRADUATE NURSE ANESTHESIA PROGRAMS IN THE NATION. THE INNOVATIVE NURSE ANESTHESIA DOCTORAL PROGRAM FOCUSES ON CLINICAL ANESTHESIA AND LEADERSHIP.PROVIDENCE SACRED HEART MEDICAL CENTER HAS RECEIVED THE HEALTHGRADES 2017 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE. THE DISTINCTION MAKES SACRED HEART MEDICAL CENTER ONE OF THE TOP FIVE PERCENT OF MORE THAN 4,500 HOSPITALS NATIONWIDE FOR ITS CLINICAL PERFORMANCE AS MEASURED BY HEALTHGRADES, A LEADING ONLINE RESOURCE FOR COMPREHENSIVE INFORMATION ABOUT PHYSICIANS AND HOSPITALS.FIRE DISTRICT 7 PARTNERED WITH PROVIDENCE REGIONAL MEDICAL CENTER EVERETT ON A SYSTEM THAT ALLOWS EMERGENCY RESPONSE PERSONNEL AND DOCTORS TO SHARE PATIENT HEALTH RECORDS IN NEAR REAL TIME.PROVIDENCE ST. PETER HOSPITAL HAS BEEN RECOGNIZED AS ONE OF THE BEST HOSPITALS IN THE STATE OF WASHINGTON.PROVIDENCE ST. PETER WAS ONE OF LESS THAN 50 HOSPITALS IN THE UNITED STATES RANKED HIGH PERFORMING IN EIGHT SPECIALTY AREAS:* ABDOMINAL AORTIC ANEURYSM REPAIR* COPD* COLON CANCER SURGERY* HEART BYPASS SURGERY* HEART FAILURE* HIP REPLACEMENT* KNEE REPLACEMENT* LUNG CANCER SURGERY
4B (Expenses $ 860695454 including grants of $ 14417585) (Revenue $ 679725407) SEE SCHEDULE OLONG-TERM CARE, HOMECARE, HOSPICE CARE, HOUSING, HEALTHCARE JOINT VENTURES, PHARMACY SERVICES PROVIDED TO PATIENTS, AND MANY OTHER PROGRAM SERVICE ACCOMPLISHMENTS. LTC/HOSPICE/HOUSING & ASSISTED LIVINGPROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH COUNTY HAS A 16-BED INPATIENT HOSPICE CARE CENTER TO MEET THE COMMUNITY'S GROWING NEED FOR COMPASSIONATE, HIGHLY-SKILLED, 24/7 NURSING CARE FOR TERMINALLY ILL ADULTS AND CHILDREN. THE CARE CENTER IS VERY DIFFERENT FROM A TYPICAL HOSPITAL ENVIRONMENT AND WAS SPECIALLY-DESIGNED TO LOOK AND FEEL LIKE HOME. IT INCLUDES COMFORTABLE FURNITURE, A SOOTHING NEUTRAL COLOR SCHEME AND WARM DETAILS LIKE WOOD FLOORING AND NATURAL LIGHTING IN EVERY PATIENT ROOM. THE CARE CENTER IS DESIGNED TO ENCOURAGE FAMILIES TO SPEND QUALITY TIME TOGETHER FOR AS LONG AS THEY WISH. EACH PRIVATE ROOM HAS A COMFORTABLE CHAIR THAT PULLS OUT INTO A BED SO LOVED ONES CAN SPEND THE NIGHT. IN ADDITION, THERE IS A COZY LIVING ROOM, A LARGE DINING ROOM AND A FULL KITCHEN WHERE FAMILY MEMBERS AND GUESTS CAN PREPARE THE PATIENT'S FAVORITE FOODS.GRANT & ALLOCATIONS - SEE SCHEDULES F & I
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
PROVIDENCE ALASKA MEDICAL CENTER (1) Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE ST. MARY MEDICAL CENTER (8) Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE KODIAK IS. MEDICAL CNT (11) Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE SEWARD MED. & CARE CNT (12) Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE VALDEZ MEDICAL CENTER (13) Part V, Section B, Line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PROVIDENCE ALASKA MEDICAL CENTER (1) Part V, Section B, Line 5: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) CONDUCTS THE CHNA IN COLLABORATION WITH A DIVERSE STAKEHOLDER GROUP OF COMMUNITY PARTNERS IN ORDER TO IDENTIFY AND ADDRESS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IN ANCHORAGE. REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP, WHICH DIRECTED THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION. THESE ORGANIZATIONS WERE CHOSEN DUE TO THE FACT THAT THEY SERVE AND REPRESENT THE BROADEST INTERESTS OF THE COMMUNITY OF ANCHORAGE.THE PERSONS CONSULTED IN CONDUCTING THE CHNA TO ENSURE BROAD COMMUNITY REPRESENTATION AND PROCESS INTEGRITY WERE:1. DR. DICK MANDSAGER, RASMUSON FOUNDATION2. LILY GADAMUS - SOUTHCENTRAL FOUNDATION3. LISA AQUINO - CATHOLIC SOCIAL SERVICES4. LISA MCGUIRE - DHSS, STATE OF ALASKA5. MICHELLE TIERNEY SOUTHCENTRAL FOUNDATION6. DR. MONICA GROSS - UNITED WAY OF ANCHORAGE7. NATASHA PINEDA - AHD, MUNICIPALITY OF ANCHORAGE8. SHANNON SAVAGE - ANCHORAGE NEIGHBORHOOD HEALTH CENTER9. TAMMY GREEN - ANCHORAGE NEIGHBORHOOD HEALTH CENTER10. TARI O'CONNER - DHSS, STATE OF ALASKA11. NATHAN JOHNSON - PROVIDENCE HEALTH AND SERVICES ALASKA12. LINDSIE MILLS - PROVIDENCE HEALTH AND SERVICES ALASKA13. CINDY GOUGH - PROVIDENCE HEALTH AND SERVICES ALASKA14. ELLA GOSS - PROVIDENCE HEALTH AND SERVICES ALASKA
PROVIDENCE ST. MARY MEDICAL CENTER (8) Part V, Section B, Line 5: THIS REPORT WAS COMPLETED FOR PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC) AS PART OF A LARGER COMMUNITY HEALTH ASSESSMENT EFFORT. THE COMMUNITY HEALTH REPORT REFERENCED IN THIS CHNA IS THE WORK OF THE BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP. IN ADDITION, COMMUNITY CONVERSATIONS WAS A COALITION PROJECT THAT BROUGHT TOGETHER A DIVERSE GROUP OF COMMUNITY MEMBERS TO PROVIDE FEEDBACK AND INPUT REGARDING THE STRENGTHS AND OPPORTUNITIES IN WALLA WALLA.
PROVIDENCE KODIAK IS. MEDICAL CNT (11) Part V, Section B, Line 5: PROVIDENCE KODIAK ISLAND MEDICAL LEADERS FORMED THE KODIAK CHNA ADVISORY COMMITTEE. COMMITTEE MEMBERS WERE INVITED AND SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. TOGETHER, THESE PARTNERS BROUGHT IN THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.COMMITTEE MEMBERS WERE:-CINDY BALDWIN, CLINIC OPERATIONS DIRECTOR, KODIAK AREA NATIVE ASSOCIATION-BARBARA BIGELOW, CEO PKIMC, PROVIDENCE KODIAK ISLAND MEDICAL CENTER-PAT BRANSON, EXECUTIVE DIRECTOR, SENIOR CITIZENS OF KODIAK; MAYOR, CITY OF KODIAK-ELSA DEHART, RN, DIRECTOR, KODIAK PUBLIC HEALTH CENTER, STATE OF ALASKA DEPARTMENT OF HEALTH AND SOCIAL SERVICES-MARY GUILAS HAWVER, PRESIDENT, FILIPINO AMERICAN ASSOCIATION; DIRECTOR, PROVIDENCE KODIAK ISLAND COUNSELLING CENTER-CAROL JUERGENS, M.D., CO-OWNER KODIAK ISLAND MEDICAL ASSOCIATES-MERISSA KOLLER, COMMUNITY WELLNESS PROGRAM COORDINATOR, HEALTHY TOMORROWS KODIAK-JUDY CHRISTINE (JC) RATHJE, EXECUTIVE DIRECTOR, KODIAK COMMUNITY HEALTH CENTER-DAN ROHRER, ASSEMBLYMAN, KODIAK ISLAND BOROUGH; BUSINESS OWNER, SUBWAY-RHONDA WALLACE, CHIEF OF POLICE, CITY OF KODIAK
PROVIDENCE SEWARD MED. & CARE CNT (12) Part V, Section B, Line 5: THE CHNA ADVISORY COMMITTEE WAS FORMED BY LEADERSHIP AT PROVIDENCE SEWARD MEDICAL & CARE CENTER (PSMCC). THE COMMITTEE WAS TASKED WITH COMPLETING KEY OBJECTIVES OUTLINED BY THE IRS CHNA REQUIREMENTS, INCLUDING THE IDENTIFICATION OF HEALTH ISSUES AND PRIORITIZED HEALTH NEEDS WITHIN THE COMMUNITY. THESE PARTNERS WERE SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. AS SUCH, THE PARTNERS REPRESENTED THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR INDIVIDUALS. THE COMMITTEE CONSISTED OF THE FOLLOWING MEMBERS:-CAROL SOUZA - COMMUNITY MEMBER AND PROVIDENCE SEWARD HEALTH ADVISORY COUNCIL MEMBER-CRAIG AMBROSIANI, EXECUTIVE DIRECTOR - SEWARD COMMUNITY HEALTH CENTER -DANA PAPERMAN, EXECUTIVE DIRECTOR - SEWARD SENIOR CENTER-DAVE PAPERMAN, LEAD DEPARTMENT OF RESIDENCE LIFE - ALASKA'S INSTITUTE OF TECHNOLOGY -DOUG CAPRA, CHAIR - PROVIDENCE REGION COMMUNITY MINISTRY BOARD AND SEWARD HEALTH ADVISORY COUNCIL MEMBER-JERRY FLYNN, PHYSICIAN - LACUNA FAMILY MEDICINE AND PROVIDENCE SEWARD MEDICAL AND CARE CENTER-JIM DOEPKEN, PASTOR - UNITED METHODIST CHURCHES OF SEWARD AND MOOSE PASS-JOE FONG, ADMINISTRATOR (PROVIDENCE SEWARD MEDICAL & CARE CENTER)-JOHN (CRAIG) WILLIAMSON, LICENSED ALASKA PSYCHOLOGIST AND MEMBER OF THE PROVIDENCE SEWARD HEALTH ADVISORY COUNCIL. -KARIN STURDY, DIRECTOR CITY OF SEWARD PARKS AND RECREATION DEPARTMENT AND SEWARD PARKING DEPARTMENT -KATIE CORNWELL, EXECUTIVE DIRECTOR - SEWARD PREVENTION COALITION-KRIS ERCHINGER, FINANCE DIRECTOR - CITY OF SEWARD-LESLIE FELTS, PUBLIC HEALTH NURSE STATE OF ALASKA, DIVISION OF PUBLIC HEALTH-LINDA LYNCH COMMUNITY MEMBER AND PROVIDENCE SEWARD HEALTH ADVISORY COUNCIL MEMBER, SEWARD VOLUNTEER AMBULANCE CORPS-LOIS DAUBNEY, RN, BSN COMMUNITY MEMBER AND RETIRED STATE OF ALASKA PUBLIC HEALTH NURSE-MAYA MORIARTY, BUSINESS MANAGER SEWARD FAMILY DENTISTRY-MICHAEL MORIARTY, DENTIST SEWARD FAMILY DENTISTRY-MELODY WALLACE, REGIONAL OFFICE MANAGER - CHUGACHMIUT NORTH STAR HEALTH CENTER-TARA RIEMER, PRESIDENT AND CEO ALASKA SEA LIFE CENTER-TOMMY GLANTON, BEHAVIORAL HEALTH DIRECTOR - SEAVIEW COMMUNITY SERVICES-TREVAN WALKER, PRINCIPAL - SEWARD HIGH SCHOOL
PROVIDENCE VALDEZ MEDICAL CENTER (13) Part V, Section B, Line 5: THE CHNA ADVISORY COMMITTEE WAS FORMED BY LEADERSHIP AT PROVIDENCE VALDEZ MEDICAL CENTER (PVMC). THE COMMITTEE WAS TASKED WITH COMPLETING KEY OBJECTIVES OUTLINED BY THE IRS CHNA REQUIREMENTS, INCLUDING THE IDENTIFICATION OF HEALTH ISSUES AND PRIORITIZED HEALTH NEEDS WITHIN THE COMMUNITY. THESE PARTNERS WERE SELECTED TO ENSURE THE ASSESSMENT PROCESS WAS GUIDED BY COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. AS SUCH, THE PARTNERS REPRESENTED THE PUBLIC HEALTH PERSPECTIVE AND THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR INDIVIDUALS. THE COMMITTEE CONSISTED OF THE FOLLOWING MEMBERS:-JEREMY O'NEIL ADMINISTRATOR/ PVMC - PVMC HAC - SWAN CORE TEAM MEMBER-JOHN CULLEN, M.D. PARTNER PHYSICIAN/VALDEZ MEDICAL CLINIC - PVMC HAC MEMBER-DOUG DESORCIE FORMER PRESIDENT/ DIRECTOR/ PRINCE WILLIAM SOUND COMMUNITY COLLEGE - PVMC-HAC MEMBER-PAULINE DOUCET ASSISTANT ADMINISTRATOR-DIRECTOR OF CLINICAL SERVICES/PVMC-HEIDI FOX DIRECTOR/PVMC COUNSELLING CENTER-LINDSIE KING FINANCE MANAGER/ PVMC-RUTHIE KNIGHT TEACHER/ VALDEZ CITY SCHOOLS MAYOR,CITY OF VALDEZ - PVMC HAC MEMBER-NANCY LETHCOE PVMC HAC MEMBER AND VALDEZ FOOD BANK VOLUNTEER-EDMORE MANGENA MISSION INTEGRATION AND SPIRITUAL CARE LEADER, PVMC-LON NEEDLES CITY COUNCIL MEMBER/ CITY OF VALDEZ - PVMC HAC MEMBER-JIM NYGAARD SUPERINTENDENT/VALDEZ CITY SCHOOLS - PVMC HAC MEMBER-DAN O'CONNOR DIRECTOR/ PRINCE WILLIAM SOUND COMMUNITY COLLEGE CAMPUS - PVMC HAC MEMBER-DARREN REESE CITY COUNCIL MEMBER/ CITY OF VALDEZ - PVMC HAC MEMBER-CINDY RYMER PUBLIC WORKS/CITY OF VALDEZ - PVMC HAC MEMBER-SAMUEL SHIRK, M.D. PHYSICIAN-CHIEF OF STAFF/PVMC- PARTNER PHYSICIAN/VALDEZ MEDICAL CLINIC -PVMC HAC MEMBER-PAM SHIRRELL RETIRED PUBLIC HEALTH NURSE/STATE OF ALASKA - PVMC HAC MEMBER-TODD WEGNER ASSISTANT CITY MANAGER/ CITY OF VALDEZ PVMC HAC MEMBER
PROVIDENCE ALASKA MEDICAL CENTER (1) Part V, Section B, Line 6b: THE CHNA FOR PROVIDENCE ALASKA MEDICAL CENTER WAS PREPARED IN COLLABORATION WITH UNITED WAY OF ANCHORAGE, MUNICIPALITY OF ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, CATHOLIC SOCIAL SERVICES, ALASKA STATE DEPARTMENT OF HEALTH AND SOCIAL SERVICES, SOUTHCENTRAL FOUNDATION AND THE RASMUSON FOUNDATION
PROVIDENCE ST. MARY MEDICAL CENTER (8) Part V, Section B, Line 6b: BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP: (BMRCHP) IS AN ACTION ORIENTED, CROSS-SECTOR COALITION CONSISTING OF PUBLIC HEALTH, EDUCATION, CLINICAL, PUBLIC SAFETY, SOCIAL SERVICES, LONG-TERM CARE, HOUSING, MANAGED CARE, LAW ENFORCEMENT, TRANSPORTATION, FAITH-BASED ORGANIZATIONS, PHILANTHROPY, LONG-TERM CARE, EARLY LEARNING AND OTHER COMMUNITY BASED ORGANIZATIONS. THESE PARTNERS COORDINATE TO ASSESS THE NEEDS OF THE BLUE MOUNTAIN REGION AND DEVELOP A UNIFIED RESPONSE TO MEET THESE NEEDS.MEMBER ORGANIZATIONS LISTED ON PAGE 31 OF CHNA.
PROVIDENCE ALASKA MEDICAL CENTER (1) Part V, Section B, Line 11: PAMC DEVELOPED ANCHORAGE COMMUNITY HEALTH IMPROVEMENT PLAN IN RESPONSE TO THE NEEDS IDENTIFIED IN THE 2018 CHNA. THE DEVELOPMENT PROCESS INCLUDED INPUT FROM PROVIDENCE CAREGIVERS, COMMUNITY PARTNERS AND THE PROVIDENCE HEALTH AND SERVICES ALASKA COMMUNITY MINISTRY BOARD.GREAT ATTENTION HAS BEEN PAID TO ESTABLISHING MEANINGFUL MEASURES BY WHICH WE INTEND TO EVALUATE THE IMPACT OF OUR ACTIVITIES AND THE ACTIVITIES OF OUR PARTNERS. IN SOME CASES, OUR EFFORTS HAVE BEEN CONFOUNDED BY THE LACK OF OR LIMITED AVAILABILITY OF DATA. THE EFFORT TO MEASURE OUR IMPACT WILL BE AN ONGOING CHALLENGE AND JOURNEY AS WE SEEK TO IMPROVE THE HEALTH OF OUR COMMUNITY.PRIORITIZED COMMUNITY HEALTH NEEDS:1. POVERTY/SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): SERVING THE POOR AND VULNERABLE IS CORE TO PROVIDENCE'S MISSION. HOWEVER, PROVIDING THE BASIC FOOD AND SHELTER NEEDS OF THE COMMUNITY DIRECTLY IS NOT WITHIN THE CORE COMPETENCIES OR SERVICES OF PROVIDENCE. TO ADDRESS THIS ISSUE, PROVIDENCE COLLABORATES WITH, AND PROVIDES COMMUNITY INVESTMENT FUNDING SUPPORT TO SISTER AGENCIES AND ORGANIZATIONS THAT DIRECTLY ADDRESS THE CAUSES AND IMPACTS OF POVERTY. PROVIDENCE HEALTH SERVICES ALASKA (PHSA) PROVIDED ROUGHLY $2.5 MILLION COMMUNITY BENEFIT FUNDING AND RESOURCES TO ADDRESS HOMELESSNESS AND FOOD INSECURITY IN 2018 SPANNING FOOD SERVICE, HOMELESS MEDICAL RESPITE, RAPID REHOUSING, COORDINATED ENTRY, HOMELESS MANAGEMENT INFORMATION SYSTEM AS WELL AS MYRIAD OTHER HOMELESS SUPPORT SERVICES. PHSA HAS COMMITTED TO CONTINUE THIS LEVEL OF INVESTMENT AND INVOLVEMENT IN ADDRESSING THE CAUSES AND IMPACTS OF POVERTY IN THE COMMUNITY.2. MENTAL HEALTH: PHSA IS THE LARGEST MENTAL HEALTH SERVICES PROVIDER IN THE STATE OF ALASKA AND IS CONTINUING ITS COMMITMENT BY PROVIDING THE ONLY PSYCHIATRIC EMERGENCY DEPARTMENT SERVING THE ANCHORAGE COMMUNITY, INPATIENT AND OUTPATIENT SERVICES FOR ADULTS AND ADOLESCENTS, TELEHEALTH AND TELEPSYCH SERVICES, CRISIS RECOVERY CENTER, RESIDENTIAL TREATMENT PROGRAMS, PMGA BEHAVIORAL HEALTH CLINICS, AS WELL AS INTEGRATING MENTAL HEALTH INTO PROVIDENCE RUN PRIMARY CARE CLINICS INCLUDING THE ALASKA FAMILY MEDICINE RESIDENCY.3. HEALTHY BEHAVIORS: PHSA WORKS TO PROMOTE AND SUPPORT HEALTHY BEHAVIORS IN THE COMMUNITY THROUGH A NUMBER OF DIFFERENT PROGRAMS AND INITIATIVES. FAITH COMMUNITY NURSING PROVIDES A NURSE COORDINATOR, EDUCATOR AND RESOURCE PERSON FOR PARISHES AND CHURCHES OF ANY DENOMINATION TO INCREASE HEALTH LITERACY AND PROMOTE HEALTHY BEHAVIORS AT THE COMMUNITY LEVEL TO IMPROVE UNDERSTANDING OF HEALTH ISSUES, PREVENTION, HEALTHY BEHAVIORS AND HEALTH CARE. PROVIDENCE PROVIDES HEALTH MINISTRY OUTREACH TO INCREASE HEALTH LITERACY AND HEALTHY BEHAVIORS OF ENGLISH LEARNERS, SPECIFICALLY IMMIGRANTS AND REFUGEES. PROVIDENCE WILL CONTINUE ITS INJURY PREVENTION AND OUTREACH PROGRAM SAFE KIDS ALASKA - THE PRIMARY MISSION OF WHICH IS CHILDHOOD INJURY PREVENTION. NURSE FAMILY PARTNERSHIP WILL PROVIDE IN-HOME INTENSIVE FAMILY SERVICES TO LOW-INCOME, FIRST-TIME MOTHERS IN THE MUNICIPALITY OF ANCHORAGE TO IMPROVE PREGNANCY HEALTH AND OUTCOMES, CHILD HEALTH AND DEVELOPMENT AND MATERNAL OUTCOMES FROM PREGNANCY THROUGH THE CHILD'S SECOND YEAR. PROVIDENCE FAMILY MEDICINE CENTER WILL CONTINUE THE MEDICAID COORDINATED CARE DEMONSTRATION PROJECT, A PATIENT CENTERED MEDICAL HOME MODEL OF CARE DELIVERY, UTILIZES AN INTEGRATED DIRECT CARE TEAM (IDCT) COMPRISED OF BEHAVIORAL HEALTH, SOCIAL WORK, NURSE CASE MANAGEMENT, HOME VISITS, AND PHARMACY SERVICES ALL COORDINATED WITH THE PATIENT'S PRIMARY CARE PHYSICIAN TO INCREASE ACCESS, DECREASE INAPPROPRIATE UTILIZATION, AND IMPROVE PATIENT OUTCOMES. THE PROMOTION OF PREVENTION AND HEALTHY BEHAVIORS IS AT THE CENTER OF THIS MODEL OF CARE.4. SUBSTANCE USE DISORDER: CONTINUE TO ADD AMBULATORY PSYCHIATRIC/SUBSTANCE-ABUSE DETOXIFICATION SERVICES TO THE CRISIS RECOVERY CENTER TO HELP ADDRESS UNMET NEED IN THE COMMUNITY FOR DETOX SERVICES. CONTINUE TO PROVIDE AND EXPAND CHEMICAL DEPENDENCY PROGRAMS TO HELP ADDRESS THE GROWING NEED FOR SUBSTANCE ABUSE PROGRAMS IN ANCHORAGE AND ALASKA. INCREASE REMOTE AND OUT-OF-CLINIC ACCESS TO CARE BY PILOTING TWO TELE-HEALTH INITIATIVES. CONTINUE PROVIDING THIS NECESSARY COMMUNITY SERVICE TO ADDRESS EMERGENT COMMUNITY NEED FOR ACUTE PSYCHIATRIC AND SUBSTANCE ABUSE CARE, ESPECIALLY AS THERE IS NO OTHER PROVIDER DOING SO IN THE ANCHORAGE COMMUNITY. PROVIDENCE IS WORKING TO ADDRESS THE INCREASING CHALLENGES OF OPIOID USE DISORDER BY IMPLEMENTING NEW INTEGRATED CARE PATHWAYS, WORKING TO INCREASE THE NUMBER OF SUBOXONE WAIVERED PHYSICIANS IN THE COMMUNITY PROVIDING MEDICATION ASSISTED TREATMENT (MAT) AND IMPLEMENTING SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL (SBIRT) IN MORE CLINICAL SETTINGS. PROVIDENCE IS ALSO EXPANDING SERVICES AT THE CRISIS RECOVERY CENTER TO INCLUDE AMBULATORY DETOX WITH GREATER PSYCHIATRIC RESOURCES TO ADDRESS INCREASED LEVELS OF ACUITY RELATED TO SUD.5. ACCESS TO HEALTHCARE: CONTINUE TO PROVIDE MEDICALLY NECESSARY HEALTH CARE SERVICES TO MEMBERS OF THE COMMUNITY WHO ARE UNABLE TO PAY FOR SUCH SERVICES. INCREASE THE SERVICE CAPACITY IN THE SENIOR CLINIC TO ADDRESS THE HEALTH CARE NEEDS OF THE AGING BY ADDRESSING THE SHORTAGE OF PROVIDERS ACCEPTING MEDICAID AND/OR MEDICARE IN THE COMMUNITY. CONTINUE TO PROVIDE PRIMARY CARE SERVICES AT THE ALASKA FAMILY MEDICINE RESIDENCY ON A SLIDING FEE SCALE TO REMOVE COST AS A BARRIER TO NEEDED CARE. CONTINUE SUPPORT OF THE NURSE FAMILY PARTNERSHIP PROGRAM, PROVIDING EDUCATION AND SUPPORT SERVICES TO FIRST-TIME LOW-INCOME MOTHERS TO IMPROVE MATERNAL-CHILD OUTCOMES. PROVIDENCE ALSO CONTINUES TO ADDRESS THE NEED FOR PEDIATRIC SUBSPECIALISTS TO MEET COMMUNITY NEED NOT ADDRESSED ELSEWHERE. PROVIDENCE IS COMMITTED TO CONTINUE TO PROVIDE SEXUAL AND PHYSICAL ABUSE EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR CHILDREN, NEWBORN TO AGE 18 YEARS FOR THE STATE OF ALASKA THROUGH ALASKA CARES, THE ONLY ACCREDITED CHILDREN'S ADVOCACY CENTER (CAC) OUTPATIENT CLINIC IN ANCHORAGE. PROVIDENCE FORENSIC NURSING SERVICES PROGRAM WILL CONTINUE TO PROVIDE PHYSICAL AND SEXUAL ASSAULT EVALUATIONS AND FOLLOW-UP SERVICES 24/7, 365 DAYS A YEAR FOR VICTIMS 16 YEARS OF AGE AND OLDER.
PROVIDENCE ST. MARY MEDICAL CENTER (8) Part V, Section B, Line 11: 1. YOUTH AT RISK - HOMELESS YOUTH AND YOUNG ADULTS:STRATEGIES:- COLLECT QUALITY, REAL-TIME DATA WITHIN WALLA WALLA COUNTY.- FULL SET OF POLICIES AND PROCEDURES TO CAPTURE YOUTH AND YOUNG ADULTS EXPERIENCING HOMELESSNESS.-OUTREACH AND STREET ENGAGEMENT TO ENSURE YOUTH EXPERIENCING UNSHELTERED HOMELESSNESS WILL BE IDENTIFIED AND ENGAGED.-SAFE AND SECURE HOUSING FOR ALL YOUTH AND YOUNG ADULTS.2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE):STRATEGIES:-COLLECT QUALITY, REAL-TIME DATA WHERE A COMPREHENSIVE SET OF BEHAVIORAL HEALTH INDICATORS WILL BE TRACKED ANNUALLY-PREPARE A GAP ANALYSIS WHICH WILL INCLUDE A LIST OF SERVICES AVAILABLE TO ALL AGE GROUPS ACROSS THE SERVICE AREA, AND LACK OF SERVICES-REDUCTION IN ACCESS TO LETHAL MEANS (PRESCRIPTION DRUG BOX, GUN LOCKS, OTHERS)-MENTAL HEALTH FIRST AID TRAINING-IMPLEMENT POPULATION HEALTH DEPARTMENT WHICH WILL PROVIDE INTEGRATED BEHAVIORAL HEALTH INTO PMG PRIMARY CARE3. IMPROVE IMMUNIZATION RATES WITHIN THE COMMUNITY:-CONDUCT INNOVATIVE COMMUNITY COORDINATED PUBLIC EDUCATION BY CREATING A PUBLIC HEALTH INFORMATION AND MESSAGING PROGRAM ON BENEFIT OF VACCINATION WITH INNOVATIVE NEW APPROACH TO FAMILIES IN TARGETED AREAS WITH LOWEST VACCINATION RATES-CONDUCT FLU VACCINATION CLINICS TO UNDERSERVED-EXPLORE NEED FOR CHILD IMMUNIZATION CLINICS WITH COMMUNITY PARTNERS TO PROVIDE INCREASED ACCESS AT CONVENIENT TIMES AND LOCATIONS
PROVIDENCE KODIAK IS. MEDICAL CNT (11) Part V, Section B, Line 11: IN THE FALL OF 2016, MEMBERS OF THE CHNA ADVISORY COMMITTEE WERE ASKED TO RATE THE HEALTH ISSUES IDENTIFIED PREVIOUSLY ACCORDING TO THREE KEY CRITERIA, INCLUDING SIZE, SERIOUSNESS, AND ABILITY TO IMPACT. THE COMMITTEE INDIVIDUALLY RATING THE HEALTH ISSUES AND THE GROUP CONVENED TO IDENTIFY THE TOP PRIORITIES. THE CHNA ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING THREE PRIORITIES. THE FOLLOWING IS AN OUTLINE OF THE PROVIDENCE KODIAK ISLAND MEDICAL CENTER (PKIMC) COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE THREE PRIORITIES.1. BEHAVIORAL HEALTH (INCLUDES BOTH SUBSTANCE ABUSE AND MENTAL HEALTH)POOR MENTAL HEALTH AND THE RELATED ISSUE OF SUBSTANCE ABUSE WERE IDENTIFIED AS PROBLEMS IN THE KODIAK COMMUNITY. REMOTE, RAINY CLIMATES ALONG WITH LONG, DARK WINTERS ARE KNOWN TO HAVE A NEGATIVE IMPACT ON MENTAL HEALTH AND ARE FREQUENTLY ASSOCIATED WITH INCREASED SUBSTANCE ABUSE. -PKIMC AND PROVIDENCE KODIAK ISLAND COUNSELLING CENTER (PKICC) WILL PROVIDE SAFETY-NET SERVICES THROUGH PSYCHIATRIC EMERGENCY SERVICES -PKICC WILL ADDRESS THE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT NEEDS OF KODIAK YOUTH THROUGH THE YOUTH OUTPATIENT SUBSTANCE ABUSE PROGRAM, MENTAL HEALTH CLINICIANS IN THE SCHOOLS PROGRAM, ALCOHOL SAFETY ACTION PROGRAM (ASAP), KODIAK SCHOOLS SUBSTANCE ABUSE TASK FORCE AND ONGOING COLLABORATIONS WITH THE TEEN COURT AND OTHER COMMUNITY PARTNERS.-PKICC WILL ADDRESS THE MENTAL HEALTH SERVICE NEEDS OF THE GENERAL COMMUNITY AND THE CHRONICALLY MENTALLY ILL THROUGH THE COMMUNITY SUPPORT PROGRAM AND THROUGH CONTINUING EFFORTS TO FURTHER INTEGRATE BEHAVIORAL HEALTH IN THE PRIMARY CARE SETTING - CURRENTLY BEING DONE IN COLLABORATION WITH THE KODIAK COMMUNITY HEALTH CENTER.-PKICC WILL ADDRESS THE SUBSTANCE ABUSE TREATMENT NEEDS OF THE COMMUNITY THROUGH ITS OUTPATIENT CHEMICAL DEPENDENCY TREATMENT PROGRAM SAFE HARBOR, THROUGH ITS CASE-MANAGEMENT PROGRAM ASAP AND THROUGH A RESIDENTIAL TREATMENT COLLABORATION WITH SALVATION ARMY.-PKICC WILL CONTINUE TO BE PROACTIVE IN ITS OUTREACH SERVICES IN COLLABORATION WITH MANY COMMUNITY PARTNERS SUCH AS THE BROTHER FRANCIS SHELTER, KODIAK WOMEN'S RESOURCE AND CRISIS CENTER AND MANY OTHER ORGANIZATIONS AND GOVERNMENT AGENCIES IN THE KODIAK COMMUNITY.-PKICC WILL CONTINUE TO BE A LEADER IN COMMUNITY EDUCATION, GRANT-SEEKING, ADVOCACY, COLLABORATION, PLANNING AND ACTION TO HELP IMPROVE THE HEALTH OF THE KODIAK COMMUNITY AND THE LIVES OF THOSE WHO SUFFER FROM MENTAL HEALTH AND SUBSTANCE ABUSE. 2. SOCIO ECONOMIC DETERMINANTS OF HEALTHCULTURE AND LANGUAGE BARRIERS, HOMELESSNESS/HOUSING ISSUES, LOW INCOME AND THE CHALLENGES OF HOLDING MULTIPLE JOBS TO AFFORD THE COST OF LIVING IN KODIAK WERE FREQUENTLY NOTED IN THE STAKEHOLDER INTERVIEWS AND THE COMMUNITY SURVEY AS SIGNIFICANT CHALLENGES TO THE WELL-BEING OF MANY IN THE KODIAK COMMUNITY. -PKIMC WILL CONTINUE TO PROVIDE FINANCIAL ASSISTANCE TO LOW-INCOME PATIENTS TO REMOVE COST AS A BARRIER FOR NEEDED CARE. FROM 2013-2015, PKIMC PROVIDED ABOUT $4.2 MILLION A YEAR IN CHARITY CARE3. PRIMARY CARE UTILIZATION AND ACCESSTHE NEED TO IMPROVE AVAILABILITY, ACCESS AND USE OF PRIMARY CARE SERVICES WERE IDENTIFIED BY THE COMMUNITY AS SIGNIFICANT ISSUES.-PKIMC WILL NOT BE DIRECTLY ADDRESSING THIS NEED BECAUSE PKIMC DOES NOT OFFER PRIMARY CARE SERVICES AND KODIAK CURRENTLY HAS SUFFICIENT PRIMARY CARE CAPACITY TO MEET COMMUNITY NEED. PKIMC WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO SUPPORT THESE PROVIDERS AND THE COMMUNITY IN IMPROVING PRIMARY CARE UTILIZATION AS OPPORTUNITIES EMERGE.
PROVIDENCE SEWARD MED. & CARE CNT (12) Part V, Section B, Line 11: IN THE FALL OF 2018, MEMBERS OF THE CHNA ADVISORY COMMITTEE WERE ASKED TO RATE THE HEALTH ISSUES IDENTIFIED PREVIOUSLY ACCORDING TO THREE KEY VARIABLES, INCLUDING: SIZE, SERIOUSNESS, AND ABILITY TO IMPACT. THE COMMITTEE CONVENED AFTER INDIVIDUALLY RATING THE HEALTH ISSUES TO COME UP WITH THE TOP PRIORITIES AS A GROUP. THE CHNA ADVISORY COMMITTEE IDENTIFIED THE FOLLOWING PRIORITIES. THE FOLLOWING IS AN OUTLINE OF THE PROVIDENCE SEWARD MEDICAL & CARE CENTER (PSMCC) COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE PRIORITIES.1 & 2. POOR MENTAL HEALTH AND LACK OF ACCESS TO MENTAL HEALTH SERVICE AND ALCOHOL AND SUBSTANCE MISUSE:THIS SECTION OUTLINES PROVIDENCE'S PLAN TO ADDRESS POOR MENTAL HEALTH, ALCOHOL/SUBSTANCE MISUSE AND ACCESS TO SERVICES RELATED TO THOSE NEEDS. THESE ARE COMBINED UNDER ONE PLAN BECAUSE THE ACTIVITIES AND COLLABORATIONS PSMCC WILL ENGAGE IN TO ADDRESS THE NEEDS WILL BE SUBSTANTIALLY THE SAME FOR BOTH NEEDS.-SEWARD CLINICAL COLLABORATIVE - PSMCC WILL CONTINUE TO BE A CO-SPONSOR AND CO-CONVENER OF THE MONTHLY SEWARD CLINICAL COLLABORATIVE, WHICH IS A COMMUNITY PROVIDER COLLABORATIVE OF PHYSICAL AND MENTAL HEALTH PROVIDERS THAT SHARE INFORMATION AND SEEK SHARED SOLUTIONS TO COMMUNITY HEALTH RELATED NEEDS. -RECOVER ALASKA - PROVIDENCE WILL CONTINUE TO COLLABORATE WITH AND SUPPORT RECOVER ALASKA, A MULTI-SECTOR ACTION GROUP WORKING TO INCREASE AWARENESS AND SUBSTANCE MISUSE PREVENTION EFFORTS IN THE COMMUNITY, ADVOCATE FOR EFFECTIVE SUBSTANCE USE-RELATED POLICY AND INCREASE ACCESS TO SUBSTANCE USE DISORDER SERVICES. PROVIDENCE LEADERSHIP WILL CONTINUE TO PARTICIPATE ON THE RECOVER ALASKA BOARD. -SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL (SBIRT) - PSMCC IS WORKING COLLABORATION WITH THE STATE OF ALASKA DEPARTMENT OF BEHAVIORAL HEALTH TO PROVIDE TRAINING TO PROVIDENCE STAFF AND PROVIDERS COMMUNITY-WIDE ON THE USE OF THE SCREENING, BRIEF INTERVENTION AND REFERRAL TOOL. SBIRT IS AN EVIDENCE-BASED APPROACH TO IDENTIFYING PATIENTS WHO USE ALCOHOL AND OTHER DRUGS AT RISKY LEVELS WITH THE GOAL OF REDUCING AND PREVENTING RELATED HEALTH CONSEQUENCES, DISEASE, ACCIDENTS AND INJURIES. RISKY SUBSTANCE USE IS A HEALTH ISSUE AND OFTEN GOES UNDETECTED.-TELEHEALTH/TELEPSYCH - PROVIDENCE IS INCREASING REMOTE AND OUT-OF-CLINIC ACCESS TO CARE BY ADDING TELE- PSYCHIATRY TO PROVIDENCE ALASKA MEDICAL CENTER EMERGENCY ROOM IN SEWARD, PROVIDENCE VALDEZ MEDICAL CENTER, PROVIDENCE SEWARD MEDICAL CENTER, SEWARD MOUNTAIN HAVEN LONG TERM CARE FACILITY, PROVIDENCE TRANSITIONAL CARE CENTER, AND PROVIDENCE EXTENDED CARE CENTER. THESE SERVICES HELP TO IMPROVE CARE IN THE EMERGENCY ROOM AND HELP PATIENTS TO RECEIVE PSYCHIATRIC MEDICATIONS, TREAT PSYCHIATRIC DISORDERS AND HELP WITH ACUTE INTOXICATION AND WITHDRAWAL BY PROVIDING REMOTE DELIVERY OF SUBSTANCE ABUSE AND BEHAVIORAL HEALTH COUNSELING AS WELL AS REMOTE DELIVERY OF EMERGENCY DE-ESCALATION PSYCHIATRIC CONSULT. THESE SERVICES ARE SCHEDULED TO GO-LIVE AT PROVIDENCE SEWARD MEDICAL AND CARE CENTER AND SEWARD MOUNTAIN HAVEN APRIL OF 2019.3 & 4. PREVENTIVE CARE AND OBESITY AND CHRONIC CONDITIONS:PROVIDENCE SEWARD MEDICAL AND CARE CENTER IS AN ACUTE CARE HOSPITAL AND NO LONGER PROVIDES PREVENTIVE SERVICES SINCE IT TRANSITIONED ITS PRIMARY CARE CLINIC AND RELATED SERVICES TO THE NEW SEWARD COMMUNITY HEALTH CENTER, A SEPARATE NON-PROFIT THAT IS CO-LOCATED WITH PSMCC. BECAUSE OF THIS, THE PRIMARY MEANS AVAILABLE TO PSMCC TO ADDRESS THESE NEEDS IS THROUGH ITS EMERGENCY DEPARTMENT AND ITS COLLABORATION WITH COMMUNITY PRIMARY CARE PROVIDERS IN PROMOTING PREVENTION (SEE BELOW).EMERGENCY DEPARTMENT PRIMARY CARE PROMOTION:-PROVIDENCE WILL MONITOR AMBULATORY CARE SENSITIVE CONDITIONS* USE OF THE EMERGENCY DEPARTMENT AND COLLABORATE WITH SEWARD COMMUNITY HEALTH CENTER IN THE EFFORT TO GET PEOPLE THE CARE THEY NEED AT THE RIGHT TIME AND RIGHT SETTING TO AVOID UNNECESSARY ED UTILIZATION.-PATIENTS PRESENTING AT THE EMERGENCY DEPARTMENT WILL BE SCREENED TO DETERMINE IF THEY HAVE A PRIMARY CARE PROVIDER OR PRIMARY CARE HOME. IF THEY DO NOT CURRENTLY HAVE A PRIMARY CARE HOME, THEY WILL BE EDUCATED ON AVAILABLE PRIMARY CARE SERVICES IN THE COMMUNITY AND DIRECTLY CONNECTED WITH A PRIMARY CARE PROVIDER WHEN POSSIBLE. *AMBULATORY CARE SENSITIVE CONDITIONS ARE MEDICAL PROBLEMS THAT ARE POTENTIALLY PREVENTABLE OR CONDITIONS THAT COULD HAVE BEEN TREATED IN A LESS ACUTE, AND THUS LESS COSTLY MEDICAL SETTING. FOR EXAMPLE, HYPERTENSION (HIGH BLOOD PRESSURE) IS A CONDITION THAT CAN BE TREATED OUTSIDE OF A HOSPITAL.
PROVIDENCE VALDEZ MEDICAL CENTER (13) Part V, Section B, Line 11: LEVERAGING COMMUNITY ASSETS THROUGH COLLABORATIVE EFFORTS IS THE MOST EFFECTIVE AND SUSTAINABLE WAY TO ADDRESS COMMUNITY PROBLEMS. RATHER THAN ESTABLISH ISOLATED INITIATIVES TO ADDRESS COMMUNITY NEED, PVMC CHOSE STRATEGIES THAT INVOLVED COLLABORATION WITH OTHER KEY COMMUNITY STAKEHOLDERS TO ADDRESS NEEDS IDENTIFIED IN THE VALDEZ NEEDS ASSESSMENT.1) LOCAL HEALTHCARE PROVIDER WORKFORCE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL:-PARTNER WITH THE VALDEZ MEDICAL CLINIC TO ARRIVE AT IDEAL PROVIDER LEVELS AND TO EXPLORE DEVELOPING A RURAL HEALTH INTENSIVE ROTATION FOR MED STUDENTS / RESIDENTS-ENGAGE THE COMMUNITY IN THE EFFORT TO ADDRESS PRIMARY CARE SPACE NEEDS-JOIN WITH OTHER RURAL AND SIMILARLY IMPACTED FACILITIES TO LOBBY THE STATE OF ALASKA FOR RELIEF AROUND THE HIGH COST OF ENTRY INTO MEDICAL AND OTHER HEALTHCARE PROFESSIONS2) MENTAL HEALTH / SUBSTANCE ABUSE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL:-PARTNER WITH THE COMMUNITY TO REDUCE ABUSE AND DOMESTIC VIOLENCE AMONG ADULTS AND CHILDREN THROUGH COMMUNITY EDUCATION AND OUTREACH. -PARTNER WITH LOCAL AGENCIES AND STATE OFFICIALS TO REDUCE THE INCIDENCE OF OPIOID ADDICTION IN VALDEZ-ENGAGE THE COMMUNITY IN THE EFFORT TO ADDRESS COUNSELING CENTER SPACE NEEDS-PARTNER WITH THE SOUND WELLNESS ALLIANCE NETWORK AND OTHER AGENCIES TO CAMPAIGN AGAINST SUBSTANCE ABUSE, VIOLENCE, DEPRESSION, ETC.3) ACCESS TO SPECIALTY CARE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL:-CONTINUE TO EXPLORE VIABLE TELEMEDICINE OPPORTUNITIES.-LEVERAGE NURSE SPECIALTIES WHEN POSSIBLE I.E. WOUND CARE, LACTATION, CHEMOTHERAPY, ETC.-ENGAGE THE COMMUNITY IN THE EFFORT TO ADDRESS SPECIALTY CLINIC SPACE NEEDS-CONTINUE TO SEEK OUT ENDURING RELATIONSHIPS WITH SPECIALTY PROVIDERS WHO ARE WILLING TO PROVIDE CARE ON-SITE IN VALDEZ. 4) HEALTHY LIFESTYLE / CHRONIC DISEASE - IN AN EFFORT TO ADDRESS THIS NEED, PROVIDENCE VALDEZ MEDICAL CENTER WILL-COORDINATE WITH COMMUNITY PARTNERS TO ENCOURAGE INVESTMENT IN AND MULTI-AGENCY EFFORTS AROUND HEALTH AND WELLBEING PROGRAMING IN VALDEZ-EXEMPLIFY CORPORATE WELLNESS THROUGH WELLNESS COMMITTEE SPONSORED ACTIVITIES THAT EXTEND TO OUTSIDE ORGANIZATIONS-CHAMPION THE HRSA POPULATION HEALTH PILOT PROJECT THAT SEEKS TO LEVERAGE A MULTI-COMMUNITY NETWORK AROUND CHRONIC DISEASE MANAGEMENT AND COMMUNITY HEALTH IMPROVEMENT.PVMC'S IMPLEMENTATION PLAN INCLUDES ELEMENTS THAT ADDRESS ALL OF THE TOP HEALTH PRIORITIES IDENTIFIED BY THE VALDEZ CHNA ADVISORY GROUP AND THE CHNA.
PROVIDENCE ALASKA MEDICAL CENTER (1) Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE ST. MARY MEDICAL CENTER (8) Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE KODIAK IS. MEDICAL CNT (11) Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE SEWARD MED. & CARE CNT (12) Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE VALDEZ MEDICAL CENTER (13) Part V, Section B, Line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PROVIDENCE ALASKA MEDICAL CENTER (1) Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE ST. MARY MEDICAL CENTER (8) Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE KODIAK IS. MEDICAL CNT (11) Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE SEWARD MED. & CARE CNT (12) Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
PROVIDENCE VALDEZ MEDICAL CENTER (13) Part V, Section B, Line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
Part V, Section B, Line 9 PROVIDENCE ALASKA MEDICAL CENTER (1)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 16, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PROVIDENCE ST. MARY MEDICAL CENTER (8)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 27, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PROVIDENCE SEWARD MED. & CARE CNT (12)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 16, 2019, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PHS - WASHINGTON (GROUP A - 3 & 7)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT ON FEBRUARY 26, 2018, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).PROVIDENCE VALDEZ MEDICAL CENTER (13)THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 17, 2018, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
Part V, Section B Facility Reporting Group A
Facility Reporting Group A consists of: - Facility 3: PROVIDENCE ST. PETER HOSPITAL, - Facility 7: PROVIDENCE CENTRALIA HOSPITAL
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 5: A WORKGROUP WAS CONVENED TO REVIEW THE CONTENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY BENEFIT PLAN AND IDENTIFY PRIORITY HEALTH NEEDS. WORKGROUP MEMBERS REPRESENTED A VARIETY OF SECTORS IN OUR COMMUNITY, INCLUDING ORGANIZATIONS THAT SERVE THE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS IN OUR COMMUNITY:-PETER BRENNAN-AMBER LEWIS-LIZ DAVIS-MICHELLE JAMES-DR. KEVIN HAUGHTON-CHRISTINE DICKINSON-EILEEN MCKENZIE-SULLIVAN-DENISE MARRONI-ANGIE WOLLE-JENNIFER HOUKOUTSIDE CONSULTANT: HC2 STRATEGIES, INC. PROVIDENCE CENTRALIA AND PROVIDENCE ST. PETER HOSPITALS CONTRACTED HC2 STRATEGIES, INC. TO ASSIST IN CONDUCTING AND DOCUMENTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT. HC2 STRATEGIES, INC. IS A HEALTH CARE CONSULTING FIRM WITH EXPERTISE IN HEALTH CARE SYSTEMS, STRATEGY AND INNOVATION, COMMUNITY HEALTH NEEDS ASSESSMENTS, AND PROGRAM EVALUATION (WWW.HC2STRATEGIES.COM). HC2'S HEALTHCARE INTELLIGENCE DIRECTOR, JESSICA L.A. JACKSON, WORKED DIRECTLY WITH BOTH HOSPITALS TO DETERMINE APPROPRIATE INDICATORS, RESEARCH METHODS, AND PRIORITIZATION METHODS. KEY CONTRIBUTORS: LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICESPROVIDENCE CENTRALIA AND PROVIDENCE ST. PETER HOSPITALS INVITED KEY LEADERS WITHIN OUR LOCAL COUNTY PUBLIC HEALTH AND SOCIAL SERVICES DEPARTMENTS TO INFORM OUR COMMUNITY HEALTH NEEDS ASSESSMENT. DANETTE YORK, DIRECTOR OF LEWIS COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, AND MARY ANN O'GARRO, EPIDEMIOLOGIST WITH THURSTON COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, WORKED DIRECTLY WITH PROVIDENCE CENTRALIA AND PROVIDENCE ST. PETER HOSPITALS TO SHARE KEY INFORMATION REGARDING HEALTH INDICATORS, SPECIALIZED FOCUS REPORTS, AND OFFER GUIDANCE TO OUR OVERSIGHT TEAM.OTHER PARTNERS IN THE CHIP COMMITTEE AND COMMUNITY ASSESSMENT PARTICIPANTS INCLUDED VARIOUS COMMUNITY BASED ORGANIZATIONS THAT REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS:-BEHAVIORAL HEALTH RESOURCES-CASCADE MENTAL HEALTH-HOUSING RESOURCE CENTER OF LEWIS COUNTY-HOUSING AUTHORITY OF THURSTON COUNTY-SIDEWALK-SENIOR SERVICES FOR SOUTH SOUND-LEWIS COUNTY PUBLIC HEALTH & SOCIAL SERVICES-THURSTON COUNTY PUBLIC HEALTH-UNITED WAY OF LEWIS COUNTY-UNITED WAY OF THURSTON COUNTY-LEWIS & THURSTON COUNTY FOOD BANKS-THURSTON COUNTY DEVELOPMENT DISABILITIES PROGRAM-THURSTON-MASON BEHAVIORAL HEALTH ORGANIZATION-LEWIS COUNTY COMMUNITY HEALTH PARTNERSHIP-CHOICE REGIONAL HEALTH NETWORK-THURSTON THRIVES-VALLEY VIEW HEALTH CENTER-SEAMAR COMMUNITY HEALTH CENTER-OCEAN BEACH HOSPITAL-WILLAPA HARBOR HOSPITAL-SUMMIT PACIFIC HOSPITAL-MASON GENERAL HOSPITAL-STECK MEDICAL CLINIC-GRAYS HARBOR COMMUNITY HOSPITAL
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 11: FOLLOWING THE PRIOR CHNA, PROVIDENCE COLLABORATED WITH COMMUNITY PARTNERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE NEEDS IDENTIFIED BELOW. THE TOP HEALTH ISSUES FOR THE 2014 CHNA/CHIP WERE: 1. ADVANCE CARE PLANNING2. CHILDHOOD OBESITY3. ACCESS TO MENTAL HEALTH SERVICES THE FOLLOWING IS AN OVERVIEW THAT EVALUATES OUR CHIP OUTCOMES AND IMPACT ON THE IDENTIFIED NEEDS.PRIORITIZED NEED #1: ADVANCE CARE PLANNINGPROVIDENCE SOUTHWEST WASHINGTON REGION BEGAN ITS ADVANCE CARE PLANNING INITIATIVE IN MID-2015 WITH FUNDING FROM PROVIDENCE ST. PETER FOUNDATION. THIS INITIATIVE HELPS INDIVIDUALS PLAN FOR FUTURE HEALTH CARE AND IDENTIFY A PERSON TO SPEAK FOR THEM IF THEY CANNOT. IT ALSO HELPS HEALTH SYSTEMS PROVIDE CARE THAT HONORS PERSONAL GOALS, VALUES, AND PREFERENCES. THE REGION IS ON TRACK TO REACH ALL OF THE INITIATIVE'S TARGETS ALIGNED WITH ITS GOALS. PRIORITIZED NEED #2: CHILDHOOD OBESITYPROVIDENCE SOUTHWEST WASHINGTON REGION PARTNERED WITH NORTH THURSTON AND CENTRALIA SCHOOL DISTRICTS AND SQORD, A MANUFACTURER OF WEARABLE ACTIVITY TRACKERS DESIGNED FOR YOUTH, TO DESIGN AND IMPLEMENT A PROGRAM THAT DIRECTLY RESPONDS TO THIS NEED.SQORD DEVICES WERE DISTRIBUTED TO 616 KIDS FOR THE 2015-16 SCHOOL YEAR, AND 674 DEVICES FOR THE 2016-17 SCHOOL YEAR. AS OF JUNE 2017, REPORTS SHOW THAT 51% OF NORTH THURSTON STUDENTS IN THE PROGRAM AND 61% OF CENTRALIA STUDENTS IN THE PROGRAM HAD AN AVERAGE OF 45 MINUTES OR MORE MODERATE TO VIGOROUS PHYSICAL ACTIVITY (MVPA) PER DAY. PROVIDENCE CONTINUES TO PARTNER WITH BOTH SCHOOL DISTRICTS AND SQORD TO MEASURE IMPACT AND DETERMINE NEXT STEPS.PRIORITIZED NEED #3: ACCESS TO MENTAL HEALTH SERVICESPROVIDENCE CONTINUES TO EVALUATE WAYS TO MEET THE ONGOING AND PROFOUND MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS OF THE COMMUNITIES WE SERVE. A DEDICATED RECOVERY CARE UNIT WAS ESTABLISHED AT PROVIDENCE CENTRALIA HOSPITAL FROM JUNE 2015 TO SEPTEMBER 2016, WHICH SERVED 674 PATIENTS DURING THAT TIME. THE DETOX UNIT SUPPORTED PATIENTS IN THEIR READINESS FOR CHANGE, ENGAGED THEM IN TREATMENT, AND CONNECTED THEM WITH RESOURCES IN A PEACEFUL ENVIRONMENT THAT ALLOWED THEM TO CONCENTRATE ON HEALING. BEGINNING OCTOBER 1, 2016, THE UNIT WAS TRANSITIONED TO AN 18-BED MEDICAL UNIT. MEDICAL DETOX SERVICES CONTINUE TO BE AVAILABLE AT THE HOSPITAL FOR THOSE WITH A MEDICAL NECESSITY. IN ADDITION, BENZODIAZEPINE AND OPIOIDS DETOXIFICATION STANDARD OF CARE IS PROVIDED AT A LEVEL OF INTENSIVE OUTPATIENT CARE AT THE PROVIDENCE ST. PETER CHEMICAL DEPENDENCY CENTER.PROVIDENCE WILL EXPLORE FURTHER OPPORTUNITIES TO MEET MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS AS A KEY PRIORITY IDENTIFIED IN OUR CURRENT CHNA.SEE THE FULL CHNA FOR MORE DETAILED INFORMATION.
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. BILLING STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP A - 3 & 7) Part V, Section B, line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
Part V, Section B Facility Reporting Group B
Facility Reporting Group B consists of: - Facility 4: PROVIDENCE REGIONAL MED. CTR.,COLBY, - Facility 5: PROVIDENCE REGIONAL MED. CTR.,PACIFIC
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 3j: PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS IN THE PRMCE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. PRMCE UTILIZED A THREE STEP APPROACH TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS. NEEDS IDENTIFIED IN THE SNOHOMISH HEALTH DISTRICT CHNA WERE EVALUATED IN THE FIRST PHASE OF PRIORITIZATION. THE SECOND PHASE INCLUDED EVALUATING THE DATA BASED ON THE NEED FOR IMPROVEMENT, DISPROPORTIONATE IMPACT ON SUB-POPULATIONS, AND THE LEVEL OF COMMUNITY RESOURCES DEDICATED TO IMPROVING THE INDICATOR. AND FINALLY, THE THIRD PHASE INCLUDED A WEIGHTED SCORING BASED ON THE LINKAGE TO OUR STRATEGIC PLAN, THE AMOUNT OF RESOURCES RELATIVE TO COMMUNITY NEED, AND THE CONFIDENCE IN OUR ABILITY TO HAVE AN IMPACT ON THE HEALTH ISSUE.
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 5: DEVELOPMENT OF THE CHNA REQUIRES INPUT AND GUIDANCE FROM A WIDE RANGE OF INDIVIDUALS AND ORGANIZATIONS INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. PROVIDENCE IS A MEMBER OF VARIOUS COMMUNITY-WIDE COMMITTEES AND GROUPS THAT ARE WORKING TO INCREASE THE HEALTH OF OUR COMMUNITIES. THESE COMMITTEES, AS WELL AS OTHER PARTICIPANTS SUCH AS THE SNOHOMISH HEALTH DISTRICT, ENABLE PROVIDENCE TO GATHER AND EVALUATE INFORMATION AND INPUT TO HELP INFORM THE COMMUNITY NEEDS ASSESSMENT. APPENDIX II IN THE CHNA INCLUDES A COMPLETE LIST OF SOURCES AND PARTICIPANTS. SOME OF THE PROVIDENCE-LED ACTIVITY INCLUDE THE FOLLOWING:-PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY (PIHC) IS A PARTNERSHIP BETWEEN PROVIDENCE, BUSINESS, GOVERNMENT, HEALTHCARE PROVIDERS, SCHOOLS AND OTHER NON-PROFITS AIMED AT ENCOURAGING RESIDENTS OF SNOHOMISH COUNTY TO MAKE BEHAVIORAL CHANGES TO IMPROVE THEIR HEALTH. PIHC SERVES AS THE CONVENER AND FACILITATOR BY HELPING ESTABLISH INNOVATIVE COMMUNITY PARTNERSHIPS THAT SUPPORT HEALTH AND WELL-BEING WITH A SPECIFIC FOCUS ON HEALTH PRIORITY AND PROGRESS, HEALTH EDUCATION AND HEALING, WORKFORCE HEALTH AND PRODUCTIVITY, AND COMMUNITY HEALTH TRANSFORMATION. -PIHC FOCUS GROUPS INCLUDED 130 INDIVIDUALS PARTICIPATING IN FOCUS GROUPS AND LISTENING SESSIONS HELD AT 12 SEPARATE LOCATIONS THROUGHOUT THE COUNTY. TO ENSURE THAT WE GAVE A VOICE TO A REPRESENTATIVE CROSS SECTION OF SNOHOMISH COUNTY, SOME PARTICIPANTS WERE SELECTED AT RANDOM, SOME BASED ON DEMOGRAPHICS. MANY PARTICIPANTS ATTENDED ANONYMOUSLY. PARTICIPANTS WERE ASKED A SERIES OF QUESTIONS ABOUT HOW THEY DEFINED HEALTH AND WELLNESS; WHAT OPTIMAL HEALTH AND WELLNESS LOOKED LIKE TO THEM; WHAT BARRIERS THEY FACE TO ACHIEVING GOOD HEALTH; AND WHAT MAKES FOR A HEALTHY COMMUNITY. -PIHC HEALTH AND WELL BEING MONITOR WAS DEVELOPED TO DEFINE AND MEASURE HEALTH THROUGH THE EYES OF SNOHOMISH COUNTY RESIDENTS. A SAMPLING OF OVER 1,000 RESIDENTS WERE CONTACTED THROUGH STREET INTERVIEWS, NEWSPAPER POLLING, TARGETED FOCUS GROUPS IN UNDERSERVED AREAS, AND COUNTY-WIDE TELEPHONE AND ON-LINE SURVEYS. PARTICIPANTS WERE ASKED TO MEASURE 24 ASPECTS OF THEIR HEALTH IN SIX KEY AREAS IDENTIFIED AS RELEVANT BY THE COMMUNITY: SECURITY AND BASIC NEEDS; EMOTIONAL AND SPIRITUAL HEALTH; WORK LEARNING AND GROWTH; PHYSICAL HEALTH; RELATIONSHIPS AND SOCIAL CONNECTIONS; AND NEIGHBORHOOD AND ENVIRONMENT. -PIHC COMMUNITY HEALTH SUMMIT BRINGS TOGETHER MORE THAN 450 MEMBERS OF THE COMMUNITY, INCLUDING SOCIAL SERVICE AND HEALTHCARE PROFESSIONALS, TO LEARN ABOUT BEST PRACTICES FROM LOCAL, STATE AND NATIONAL EXPERTS.
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 11: THERE ARE A NUMBER OF HEALTH NEEDS IN OUR COMMUNITY; HOWEVER, DUE TO LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS, RESOURCE CONSTRAINTS, OR ABSENCE OF EXPERTISE, PROVIDENCE CANNOT DIRECTLY ADDRESS ALL NEEDS IN A CHNA. BASED ON THE PRIORITIZATION ANALYSIS COMPLETED IN PHASE III, PRMCE CHOSE THE THREE INDICATORS DESCRIBED BELOW AS THE SIGNIFICANT FOCUS FOR THE 2017-2019 NEEDS ASSESSMENT AND IMPLEMENTATION PLAN.ACCESS TO PRIMARY CAREINCREASE THE PROPORTION OF ADULT RESIDENTS IN SNOHOMISH COUNTY WHO HAVE ONE PERSON THEY THINK OF AS THEIR PERSONAL DOCTOR OR HEALTH CARE PROVIDER.-IMPROVE THE PATIENT EXPERIENCE WITH NEW ACCESS OPTIONS, DIGITAL TOOLS, AND CONVENIENT ACCESS-INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS PER 1,000 POPULATION-INCREASE AWARENESS ABOUT PRIMARY CARE SERVICES AVAILABLEOPIOID ABUSEREDUCE THE MORBIDITY AND MORTALITY CAUSED BY THE ABUSE OF OPIOID MEDICATIONS AND ILLEGAL OPIOIDS.-INCREASE AWARENESS OF AND ACCESS TO TREATMENT OPTIONS-EDUCATE ABOUT OPIOID ABUSE-DEVELOP EVIDENCE-BASED COMMUNITY STANDARDS AND PROTOCOLS.HOMELESSNESSIMPROVE THE OVERALL HEALTH AND WELL-BEING OF OUR PATIENTS BY CONNECTING THEM TO STABLE HOUSING.-IDENTIFY SOLUTIONS TO THE HEALTH CARE NEEDS OF THE HOMELESS POPULATION POST DISCHARGE-EXPAND PARTICIPATION IN COMMUNITY EFFORTS TO DIRECTLY ADDRESS HOMELESSNESSGIVEN THE SCOPE OF CARE PROVIDENCE PROVIDES TO OUR COMMUNITY, WE WILL ALSO HAVE AN INDIRECT IMPACT ON OTHER COMMUNITY NEEDS THROUGH OUR ONGOING WORK AS ENGAGED PARTNERS WITH COMMUNITY-LED COLLABORATIVE EFFORTS. ADDITIONALLY, PROVIDENCE HAS MANY OTHER COMMUNITY BENEFIT PROGRAMS THAT ARE DESIGNED TO IMPROVE THE HEALTH OF OUR COMMUNITY IN A VARIETY OF OTHER AREAS.
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP B - 4 & 5) Part V, Section B, line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
Part V, Section B Facility Reporting Group C
Facility Reporting Group C consists of: - Facility 9: PROVIDENCE MT. CARMEL HOSPITAL, - Facility 6: PROVIDENCE HOLY FAMILY HOSPITAL, - Facility 2: PROVIDENCE SHMC & CHILDREN'S HOSPITAL, - Facility 10: PROVIDENCE ST. JOSEPH'S HOSPITAL
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 3j: PART V, SECTION B, LINE 3ESPOKANE COUNTY'S LAST NEEDS ASSESSMENT WAS 2018 WHICH WAS A JOINT EFFORT WITH PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL. THE NEEDS WERE PRIORITIZED AS DECREASE FAMILY VIOLENCE AND TRAUMA, INCREASE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT, AND INCREASE AFFORDABLE HOUSING, WITH AN EMPHASIS ON YOUTH SUICIDE PREVENTION, ELDER CARE, AND DECREASING CHILD ABUSE RATES. THE STEVENS COUNTY NEEDS ASSESSMENT WAS IN 2016 AND PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL JOINTLY ASSESSED THE NEEDS AND PRIORITIZED AS EARLY CHILDHOOD SUPPORT, BASIC FOODS/NUTRITION BEHAVIORAL HEALTH, AND ACCESS TO SERVICES.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 5: PROVIDENCE SACRED HEART MEDICAL CENTER AND CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL REQUESTED INPUT FROM THE COMMUNITY IN THE LAST NEEDS ASSESSMENT THROUGH FOCUS GROUPS TAKING PLACE IN THE MONTH OF PARIL 2018 UNTIL A FINAL COMMUNITY PRIORITIZATION VOTE IN MAY. PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL SOUGHT INPUT FORM THE COMMUNITY THROUGH FOCUS GROUPS IN THE MONTH OF APRIL 2016.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 11: AFTER PRIORITIZING THE TOP ISSUES FROM THE NEEDS ASSESSMENTS, COMMUNITY SURVEYS AND GAPS, PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL CHOSE TO FOCUS ON THE FOLLOWING AREAS IN THE HEALTH IMPROVEMENT PLAN: 1. EARLY CHILDHOOD SUPPORT - IMPROVE EARLY CHILDHOOD SUPPORT BY DECREASING THE PERCENTAGE OF CHILDREN LIVING IN POVERTY, BABIES BORN WITH LOW BIRTH WEIGHTS, MATERNAL SMOKING RATES AND THE INFANT MORTALITY RATE, WHILE INCREASING THE NUMBER OF PREGNANT MOTHERS WHO HAVE A PRENATAL VISIT IN THEIR FIRST TRIMESTER THAT ARE IN LINE WITH THE HEALTHY PEOPLE 2020 GOALS.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EXPLORE OPTIONS FOR SUPPORT OF INFANT DEVELOPMENT- IDENTIFY PARTNERS WHO SUPPORT EARLY CHILDHOOD DEVELOPMENT- EXPLORE OPTIONS AND PARTNERS TO IDENTIFY AND REDUCE CHILD ABUSE AND NEGLECT- EXPLORE PROGRAM TO ADDRESS AND REDUCE MATERNAL SMOKING RATES- EXPLORE BEST PRACTICES TO INCREASE PRENATAL VISITS2. BASIC FOOD/NUTRITION - IMPROVE BASIC FOODS/NUTRITION BY INCREASING ADULT FRESH FRUIT AND VEGETABLE CONSUMPTION AND EXERCISE AND DECREASING DIABETES AND OBESITY IN ADULTS AND OVERWEIGHT YOUTH THAT ARE IN LINE WITH THE HEALTHY PEOPLE 2020 GOALS.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EVALUATE AND UNDERSTAND THE EFFECTIVENESS OF THE HUNGER COALITION- ASSESS THE SUSTAINABILITY PLAN FOR HUNGER COALITION- EXPLORE OPTIONS FOR EDUCATION OF NUTRITION WITH EARLY CHILD DEVELOPMENT PARTNERS3. BEHAVIORAL HEALTH - IMPROVE BEHAVIORAL HEALTH BY DECREASING POOR MENTAL HEALTH REPORTED DAYS IN ADULTS AND FEELINGS OF SADNESS OR HOPELESSNESS IN TEENS, AND ALSO DECREASING ADULT BINGE DRINKING AND TEEN ALCOHOL USE TO ALIGN WITH THE HEALTHY PEOPLE 2020 GOALS.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EVALUATE AND ASSESS CURRENT PARTNERSHIP WITH NORTHPORT SCHOOL DISTRICT AND EXPLORE PARTNERSHIPS WITH OTHER SCHOOL DISTRICTS- EVALUATE AND ASSESS CURRENT PARTNERSHIP WITH RURAL RESOURCES- EXPLORE POTENTIAL PARTNERSHIPS TO ADDRESS THE NEEDS4. ACCESS TO CARE - IMPROVE ACCESS TO CARE BY INCREASING ADULTS WITH A PRIMARY CARE PROVIDER, DENTAL CHECK-UPS, AND PREVENTATIVE CANCER SCREENINGS, ESPECIALLY BREAST CANCER SCREENINGS, AND DECREASING THE UNINSURED ADULT POPULATION TO ALIGN WITH THE HEALTHY PEOPLE 2020 GOAL.- EXPLORE BEST PRACTICES AND IDENTIFY PARTNERS TO ADDRESS THESE GOALS- EXPLORE AND ASSESS OPTIONS FOR COUNTY AMBULANCE SERVICE- EXPLORE OPTIONS TO EXPAND AND SUSTAIN AMBULANCE SERVICE IN STEVENS COUNTY- EXPLORE SUPPORT FOR AND POTENTIAL TO EXPAND RURAL RESIDENCY PROGRAM- EXPLORE OPTIONS FOR ADVOCACY OF EXPANDED FIBER OPTIC AND INTERNET IN THE RURAL COMMUNITIESOUR PLAN DOES NOT INCLUDE SPECIFIC STEPS TO ACCELERATE TOWARD LOW-INCOME HOUSING. THERE IS A LACK OF HOUSING RESOURCES IN STEVENS COUNTY WITHOUT BUILDING MORE HOUSING PROVIDENCE WOULD NOT BE IN A POSITION TO HELP ADDRESS THIS NEED. BY ADDRESSING THE CURRENT STATED NEEDS, WE HOPE WE CAN INDIRECTLY ADDRESS LOW INCOME HOUSING BY HELPING PEOPLE STAY STABLY HOUSED, OR ACQUIRE THE SKILLS TO OBTAIN EMPLOYMENT AND THE MEANS TO AFFORD HOUSING. THERE ARE MANY ORGANIZATIONS IN THE COMMUNITY ADDRESSING LOW INCOME HOUSING. WE WORK WITH MANY OF THESE AGENCIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT AFFECT MANY DIFFERENT IDENTIFIED NEEDS. PROVIDENCE AND PARTNERS CANNOT ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS INDEPENDENTLY. IMPROVING COMMUNITY HEALTH REQUIRES COLLABORATION ACROSS COMMUNITY STAKEHOLDERS.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 16j: BROCHURES AND CARDS ARE AVAILABLE IN ALL ACCESS POINTS AT OUR FACILITIES TELLING A PATIENT HOW TO GAIN INFORMATION AND APPLY. ALSO OUR STATEMENTS PROVIDE INFORMATION ON HOW TO APPLY BY MAKING CONTACT WITH OUR BUSINESS OFFICE.
PHS - WASHINGTON (GROUP C-2, 6, 9 & 10) Part V, Section B, line 24: FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.
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Supplemental Information
Schedule H (Form 990) Part VI
Part I, Line 3c: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
Part I, Line 7: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
Part I, Line 7g: NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
Part I, Ln 7 Col(f): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $41,210,319.
Part II, Community Building Activities: PROVIDENCE ST. MARY MEDICAL CENTER PROVIDES MANY FREE, PREVENTATIVE, DIAGNOSTIC AND EDUCATIONAL SERVICES IN THE COMMUNITIES IT SERVES. PROVIDENCE MEDICAL GROUP PHYSICIANS OFFER FREE SPORTS PHYSICALS TO WALLA WALLA STUDENTS GRADES 6-11 IN COORDINATION WITH WALLA WALLA PUBLIC SCHOOLS, PROVIDENCE ST. MARY REHABILITATION AND PROVIDENCE ST. MARY FOUNDATION.A PROVIDENCE MEDICAL GROUP PRACTICE MANAGER CONTRIBUTES TIME TO THE SOS HEALTH SERVICES BOARD, WHICH SERVES ALL PEOPLE IN THE WALLA WALLA VALLEY, PARTICULARLY THOSE WITHOUT INSURANCE COVERAGE, AND REGARDLESS OF IMMIGRATION STATUS. THE PRACTICE MANAGER ALSO PROVIDES MENTORSHIP TO THE CLINIC'S COORDINATOR. A PROVIDENCE ST. MARY PHYSICIAN ALSO VOLUNTEERS AT THE SOS CLINIC.IN 2018, COMMUNITY MEMBERS WERE INVITED TO ATTEND A WIDE VARIETY OF HEALTH EDUCATION CLASSES, TALKS, SCREENINGS AND SUPPORT GROUPS INCLUDING TOPICS LIKE DIABETES, SMOKING CESSATION, CARDIOPULMONARY RESUSCITATION, CHILDBIRTH, BREAST CANCER AND SLEEP DISORDERS. FREE SCREENINGS ALSO WERE CONDUCTED FOR SKIN AND PROSTATE CANCER IN COOPERATION WITH PROVIDENCE MEDICAL GROUP AND AN INDEPENDENT CLINIC, THE WALLA WALLA CLINIC. THE MEDICAL CENTER HOSTED IN 2016 A FREE, DRIVE-THROUGH COMMUNITY FLU CLINIC IN CONCERT WITH THE WALLA WALLA COUNTY HEALTH DEPARTMENT TO BOTH PREVENT THE FLU, AND STEM THE TIDE OF A WHOOPING COUGH EPIDEMIC.PEOPLE WERE ABLE TO BE VACCINATED WITHOUT LEAVING THEIR CARS, AND NEARLY 500 FLU SHOTS WERE GIVEN. THE MEDICAL CENTER ALSO HELPED FUND RESEARCH AND WORKED WITH A CONSORTIUM OF OTHER AGENCIES IN WALLA WALLA COUNTY SEEKING TO IDENTIFY WAYS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES.
Part III, Line 3: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
Part III, Line 4: THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
Part III, Line 8: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
Part III, Line 9b: PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTICY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
Part VI, Line 5: PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE HEALTH & SERVICES - WASHINGTON IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) OPEN MEDICAL STAFF 2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
Part VI, Line 6: ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (LEGACY PHS) AND ST. JOSEPH HEALTH SYSTEM (LEGACY SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS AND OVER 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.
Part VI, Line 7, Reports Filed With States WA,OR,CA,MT,AK
Part VI, Line 2 (Continued) PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.IN DECEMBER 2015 REPRESENTATIVES FROM PROVIDENCE HEALTH CARE MET WITH STAFF FROM THE NORTHEAST TRI COUNTY HEALTH DISTRICT, EMPIRE HEALTH FOUNDATION AND EASTERN WASHINGTON UNIVERSITY TO BEGIN PLANNING FOR THE 2016 NEEDS ASSESSMENT. A PLAN WAS ESTABLISHED TO ENGAGE THE COMMUNITY IN A THOUGHT-PROVOKING PROCESS DURING A ONE-MONTH PERIOD. THE GROUP REVIEWED DATA TRACKED AVAILABLE FROM THE NORTHEAST WASHINGTON TRENDS WEBSITE, COUNTY HEALTH RANKINGS, AND PROVIDENCE EMERGENCY DEPARTMENT CARE. THIS DATA DESCRIBES MORE THAN 45 HEALTH MEASURES ON ACCESS, INFANT/MATERNAL HEALTH, MENTAL AND BEHAVIORAL HEALTH, SMOKING, HEALTHY BEHAVIORS, OUTCOMES, AND DENTAL. PARTICIPANTS THEN PARTICIPATED IN AT LEAST ONE OF THE FOUR FOCUS GROUP DISCUSSIONS AND EXPLORED DATA THAT MOST REFLECTED THE MISSION OR VISION OF THEIR ORGANIZATION AND CONCERN IN THE COMMUNITY.FOUR FOCUS GROUPS WERE HELD IN VARIOUS LOCATIONS THROUGHOUT STEVENS AND POND OREILLE COUNTIES. A FACILITATOR PRESENTED DATA AND ASKED QUESTIONS TO ENCOURAGE THE GROUPS TO COME TO A CONSENSUS ON THREE TOP PRIORITY HEALTH ISSUES BASED ON THE DATA AND THEIR EXPERIENCE AS AN ORGANIZATION AND WORKING WITH CLIENTS IN THEIR COMMUNITIES. FOCUS GROUPS WERE USED DUE TO THE RURAL NATURE OF THE REGION AND THE LIMITED QUANTITATIVE DATA AVAILABLE. IT IS ESSENTIAL TO GET THE VOICE OF THOSE IN THE COMMUNITY TO GIVE MORE DEPTH TO THE DATA.THE FOLLOWING DATA IS WHAT WAS PRESENTED TO THE FOCUS GROUP PARTICIPANTS:- THE COUNTY HEALTH RANKINGS IS SOURCED FROM THE UNIVERSITY OF WISCONSIN THROUGH A PARTNERSHIP WITH THE ROBERT WOOD JOHNSON FOUNDATION TO RANK ALL COUNTIES ACROSS THE NATION ON SPECIFIC INDICATORS.- THE EXAMINATION OF KEY MEASURES OF HEALTH IN FERRY, STEVENS, AND PEND OREILLE COUNTIES PULLED SPECIFIC INDICATORS MEASURED IN VARIOUS FORMS, INCLUDING THE HEALTHY YOUTH SURVEY, BRFSS, CENSUS DATA AND OTHERS. THIS IS AMALGAMATED BY THE EASTERN WASHINGTON UNIVERSITY, INSTITUTE FOR PUBLIC POLICY AND ECONOMIC ANALYSIS. THESE INDICATORS WERE USED IN THE PREVIOUS NEEDS ASSESSMENT, AND WE CONTINUE TO MONITOR THEM FOR ANY TREND MOVEMENT.- THE STEVENS COUNTY HOMELESS AND LOW-INCOME EMERGENCY ROOM USAGE DATA WAS PULLED FROM PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ELECTRONIC MEDICAL RECORDS.PROVIDENCE KODIAK ISLAND MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE KODIAK ISLAND MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE KODIAK ISLAND BOROUGH. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2016, WIPFLI LLP WAS ENGAGED BY PROVIDENCE TO COLLECT AND AGGREGATE PRIMARY AND SECONDARY DATA IN THE FORM OF A CHNA REPORT.A COMMUNITY SURVEY WAS MADE AVAILABLE ONLINE AND ADMINISTERED IN HARD COPY THROUGHOUT THE COMMUNITY BY THE ADVISORY COMMITTEE, COMMUNITY VOLUNTEERS AND PSMCC STAFF. THE SURVEY WAS BASED ON THE PRIOR KODIAK ASSESSMENT SURVEY TO ENABLE TRACKING AND DEMONSTRATION OF HEALTH TRENDS, BUT WAS ALSO AUGMENTED BASED ON INPUT FROM THE KODIAK CHNA ADVISORY GROUP TO CAPTURE INFORMATION ABOUT UNIQUE AND/OR TIMELY HEALTH-RELATED ISSUES WITHIN THE KODIAK COMMUNITY.SECONDARY DATA WAS COLLECTED FROM THE FOLLOWING MAJOR SOURCES:- ALASKA BUREAU OF VITAL STATISTICS- ALASKA YOUTH RISK BEHAVIOR SURVEY- COUNTY HEALTH RANKINGS- ESRI, 2015 (BASED ON US CENSUS DATA)- MEDICAID.GOV- NATIONAL CENTER FOR HEALTH STATISTICSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS IN ADDITION TO STATE AND NATIONAL MEASURES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER DEMOGRAPHIC CHARACTERISTICS. DATA WAS COLLECTED AND PRESENTED AT THE SERVICE AREA LEVEL AND WHEREVER POSSIBLE, COMPARED TO ALASKA AND NATIONAL BENCHMARKS.COUNTY HEALTH RANKINGS DATA IS AGGREGATED FROM THE FOLLOWING NATIONAL DATA SOURCES:- THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)- NATIONAL CENTER FOR HEALTH STATISTICS- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES PROGRAMKEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS IN THE KODIAK COMMUNITY. THESE INDIVIDUALS WERE IDENTIFIED BY THE CHNA ADVISORY COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE WHO REPRESENT AND/OR SERVE THE MEDICALLY UNDERSERVED, MINORITY AND VULNERABLE POPULATIONS. INTERVIEWEES WERE INVITED TO PARTICIPATE IN THE INFORMATIONAL INTERVIEWS.PROVIDENCE SEWARD MEDICAL & CARE CENTEREVERY THREE YEARS, PROVIDENCE SEWARD MEDICAL AND CARE CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE GREATER SEWARD COMMUNITY. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2015, WIPFLI LLP (WIPFLI) WAS ENGAGED BY LEADERSHIP AT PROVIDENCE TO FACILITATE THE CHNA PROCESS ON BEHALF OF THE HOSPITAL.A COMMUNITY SURVEY WAS PUBLISHED ONLINE AND DISTRIBUTED BY THE ADVISORY COMMITTEE AND PSMCC STAFF. THE SURVEY WAS DEVELOPED BASED ON AN EXISTING TEMPLATE UTILIZED BY PROVIDENCE HEALTH SERVICES - ALASKA REGION AMONG ITS AFFILIATED HOSPITALS, AND AUGMENTED TO CAPTURE INPUT REGARDING UNIQUE HEALTH-RELATED CHARACTERISTICS THAT EXISTS WITHIN THE SEWARD COMMUNITY.SECONDARY DATA WAS COLLECTED FROM THE FOLLOWING MAJOR SOURCES:- ALASKA BUREAU OF VITAL STATISTICS- ALASKA YOUTH RISK BEHAVIOR SURVEY- COUNTY HEALTH RANKINGS- ESRI, 2015 (BASED ON US CENSUS DATA)- MEDICAID.GOV- NATIONAL CENTER FOR HEALTH STATISTICSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS, STATE AND NATIONAL MEASURES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER DEMOGRAPHIC CHARACTERISTICS. DATA WAS COLLECTED AND PRESENTED AT THE SERVICE AREA LEVEL AND WHEREVER POSSIBLE, COMPARED TO ALASKA AND NATIONAL BENCHMARKS.COUNTY HEALTH RANKINGS DATA IS AGGREGATED FROM THE FOLLOWING NATIONAL DATA SOURCES:- THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)- NATIONAL VITAL STATISTICS SYSTEM (NVSS)- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE)PROGRAMKEY INFORMATIONAL INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE COMMUNITY SERVED BY PSMCC. THESE INDIVIDUALS WERE IDENTIFIED BY THE CHNA ADVISORY COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND THOSE WHO REPRESENT AND/OR SERVE THE MEDICALLY UNDERSERVED, MINORITY AND VULNERABLE POPULATIONS. INTERVIEWEES WERE INVITED TO PARTICIPATE IN THE INFORMATIONAL INTERVIEWS.PRIMARY DATA WAS COLLECTED VIA SURVEYS AND A SERIES OF INTERVIEWS. THE RESPONSES REFLECT THE OPINIONS OF THE SURVEY AND INTERVIEW RESPONDENTS AND MAY NOT REFLECT THE NEEDS OF THE ENTIRE COMMUNITY. QUANTITATIVE INFORMATION FOR DEMOGRAPHIC AND HEALTH STATUS WAS AVAILABLE AT THE SERVICE AREA LEVEL FOR KENAI PENINSULA. THEREFORE, TO THE EXTENT THAT HEALTH STATUS DIFFERS SIGNIFICANTLY BETWEEN THE KENAI PENINSULA BOROUGH AND THE COMMUNITY OF SEWARD, HEALTH INFORMATION WAS NOT AVAILABLE AT THAT GRANULARITY.
Part II COMMUNITY BUILDING ACTIVITIES:PROVIDENCE ACTIVELY ENGAGES WITH COMMUNITY PARTNERS TO PROMOTE HEALTH AND WELL-BEING FOR THE RESIDENTS OF SNOHOMISH COUNTY. BY PARTNERING WITH OTHERS, WE ARE ABLE TO MAXIMIZE RESOURCES TO REACH THE GREATEST NUMBER OF PEOPLE. PROVIDENCE ALSO MAKES COMMUNITY INVESTMENTS AND OFFERS FUNDING SUPPORT TO ORGANIZATIONS KNOWN TO HAVE ONGOING, POSITIVE COMMUNITY OUTCOMES. A FEW OF THE WAYS IN WHICH WE PARTNER WITH OTHERS TO PROMOTE COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:THE PROVIDENCE INSTITUTE FOR HEALTHIER COMMUNITIES - LIVEWELL CENTER CONNECTS PEOPLE WITH A CLEARINGHOUSE TO ENABLE USERS TO MORE EASILY FIND AND ACCESS HEALTH AND WELL BEING INFORMATION AND TOOLS, AND CONNECTS THEM WITH THE MANY COMMUNITY ASSETS THROUGHOUT THE COUNTY.CHRONIC UTILIZER ALTERNATIVE RESPONSE TEAM - PROVIDENCE JOINED THIS TEAM, WHICH INCLUDES THE EVERETT POLICE DEPARTMENT, EVERETT FIRE DEPARTMENT, SNOHOMISH COUNTY DEPARTMENT OF HUMAN SERVICES, SNOHOMISH COUNTY JAIL, THE CITY OF EVERETT AND OTHERS. THE PROGRAM IS DESIGNED TO IDENTIFY CHRONICALLY HOMELESS PEOPLE AND CONNECT THEM WITH SERVICES.EVERETT GOSPEL MISSION - PROVIDENCE ENGAGED IN A VARIETY OF COMMUNITY ACTIVITIES TO ADDRESS HOMELESSNESS, INCLUDING COLLABORATION WITH THE EVERETT GOSPEL MISSION IN A PROGRAM THAT PROVIDES EMERGENT, TEMPORARY AND SOME EXTENDED-TERM HOUSING FOR HOMELESS INDIVIDUALS WHO HAVE A MEDICAL NEED FOR REST. HOMELESS PATIENTS THAT ARE DISCHARGED FROM PROVIDENCE THAT NEED MEDICAL REST ARE CONNECTED WITH THE EVERETT GOSPEL MISSION FOR ASSIGNMENT TO ONE OF EIGHT MEDICAL REST BEDS. A PROVIDENCE GRANT COVERS A PORTION OF THE COST OF THESE BEDS.UNITED WAY OF SNOHOMISH COUNTY POVERTY SIMULATION - STAFF AT PROVIDENCE ATTENDED THE EVENT TO LEARN ABOUT AND UNDERSTAND THE SITUATIONS SOME OF THE MOST VULNERABLE IN OUR COMMUNITY EXPERIENCE EVERY DAY. UNITED WAY PROJECT HOMELESS CONNECT - STAFF PARTICIPATE IN THIS COMMUNITY EVENT TO PROVIDE MEDICAL SCREENING, DENTAL CARE AND OTHER SERVICES FOR HOMELESS INDIVIDUALS.PROJECT ACCESS NORTHWEST - PREMIUM ASSISTANCE PROGRAM TO PROVIDE SUPPORT TO THOSE THAT MAY NEED ASSISTANCE WITH PAYING INSURANCE PREMIUMS AS WELL AS ASSISTING LOW INCOME, UNINSURED PATIENTS WITH COORDINATION AND FOLLOW UP FOR PRIMARY CARE SERVICES.WORKPLACE HEALTH - PROVIDENCE PARTNERED WITH THE ECONOMIC ALLIANCE OF SNOHOMISH COUNTY TO LAUNCH A WORKPLACE HEALTH AND PRODUCTIVITY INITIATIVE AND AS THE FIRST STEP PRODUCED AN ECONOMIC REPORT SHOWING THE TOTAL BURDEN OF HEALTH ON EMPLOYERS.HEALTH AND WELL-BEING MONITOR - THE PROVIDENCE INSTITUTE FOR A HEALTHIER COMMUNITY PARTNERED WITH OTHERS IN THE COMMUNITY TO DEVELOP A COUNTY-WIDE HEALTH AND WELL-BEING MONITOR TO DEFINE, MEASURE AND PRIORITIZE WHAT SOCIAL NEEDS ARE IMPORTANT TO THE COMMUNITY BASED ON FEEDBACK FROM SNOHOMISH COUNTY RESIDENTS.PROVIDENCE EDGE OF AMAZING - ANNUAL COMMUNITY HEALTH SUMMIT THAT BRINGS TOGETHER PEOPLE FROM ORGANIZATIONS THAT ARE COMMITTED TO IMPROVING COMMUNITY HEALTH AND EQUITY. PARTICIPANTS OF THE SUMMIT SHARE PROJECTS AND GOALS TO HELP CREATE COLLABORATIVE PARTNERSHIPS THAT WILL INCREASE IMPACT AND EFFICIENCIES OF COMMUNITY BUILDING ACTIVITIES.ECONOMIC ALLIANCE OF SNOHOMISH COUNTY - SERVES AS A CATALYST FOR ECONOMIC VITALITY THAT RESULTS IN STRONGER COMMUNITIES, INCREASED JOB CREATION, EXPANDED EDUCATIONAL OPPORTUNITIES, AND IMPROVED INFRASTRUCTURE. TRAINING AND EDUCATION - FUNDING TO ORGANIZATIONS SUCH AS EVERETT COMMUNITY COLLEGE, GREATER TRINITY ACADEMY, AND LEADERSHIP SNOHOMISH COUNTY TO PROVIDE EARLY EDUCATION, POST SECONDARY EDUCATION, TRAINING, AND DEVELOPMENT TO MEMBERS OF THE COMMUNITY.HOUSING, HOMELESSNESS AND EMERGENCY SHELTERS - FUNDING TO ORGANIZATIONS SUCH AS THE COCOON HOUSE, HOUSING HOPE, PEORIA HOME, AND DOMESTIC VIOLENCE SERVICES TO PROVIDE EMERGENCY SHELTER AND OTHER COMPREHENSIVE SERVICES TO VULNERABLE POPULATIONS.PRESCRIPTION DRUG ASSISTANCE FOUNDATION - ASSIST LOW TO MODERATE INCOME PEOPLE GAIN ACCESS TO PRESCRIBED MEDICATIONS THAT THEY OTHERWISE CANNOT AFFORD.GUN STORAGE - FUNDING AND VOLUNTEERS TO SUPPORT SEATTLE CHILDREN'S HOSPITAL GUN STORAGE EVENT TO PREVENT FIREARM TRAGEDIES.PROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH'S HOSPITAL ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-TRI COUNTY ECONOMIC DEVELOPMENT DISTRICTWE ARE ALSO MEMBERS OF MANY BOARDS IN THE COMMUNITY INCLUDING:-COLVILLE CHAMBER OF COMMERCEPROVIDENCE SACRED HEART, CHILDREN'S HOSPITAL, AND HOLY FAMILY ALSO PARTICIPATE AS MAJOR SPONSORS OF COMMUNITY EVENTS THAT BENEFIT THE COMMUNITY AT LARGE. EXAMPLES INCLUDE:-AMERICAN BRAIN TUMOR ASSOCIATION-AMERICAN HEART ASSOCIATION-AMERICAN CANCER SOCIETY-AMERICAN RED CROSS-CANCER PATIENT CARE-CATHOLIC CHARITIES-HOPE HOUSE-INLAND NW BLOOD CENTER-MARCH OF DIMES-SPECIAL OLYMPICS-SPOKANE REGIONAL LAW AND JUSTICE COUNCIL-WOMEN HELPING WOMEN-YWCAPROVIDENCE ST. MARY MEDICAL CENTER PROVIDES MANY FREE, PREVENTATIVE, DIAGNOSTIC AND EDUCATIONAL SERVICES IN THE COMMUNITIES IT SERVES. IN 2017, COMMUNITY MEMBERS WERE INVITED TO ATTEND A WIDE VARIETY OF HEALTH EDUCATION CLASSES, TALKS, SCREENINGS AND SUPPORT GROUPS INCLUDING TOPICS LIKE DIABETES, SMOKING CESSATION, CARDIOPULMONARY RESUSCITATION, CHILDBIRTH, BREAST CANCER AND SLEEP DISORDERS. FREE SCREENINGS ALSO WERE CONDUCTED FOR SKIN AND PROSTATE CANCER IN COOPERATION WITH PROVIDENCE MEDICAL GROUP AND AN INDEPENDENT CLINIC, THE WALLA WALLA CLINIC. THE MEDICAL CENTER HOSTED IN 2016 A FREE, DRIVE-THROUGH COMMUNITY FLU CLINIC IN CONCERT WITH THE WALLA WALLA COUNTY HEALTH DEPARTMENT TO BOTH PREVENT THE FLU, AND STEM THE TIDE OF A WHOOPING COUGH EPIDEMIC. PEOPLE WERE ABLE TO BE VACCINATED WITHOUT LEAVING THEIR CARS, AND NEARLY 500 FLU SHOTS WERE GIVEN. THE MEDICAL CENTER ALSO HELPED FUND RESEARCH AND WORKED WITH A CONSORTIUM OF OTHER AGENCIES IN WALLA WALLA COUNTY SEEKING TO IDENTIFY WAYS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES.
Part VI, Line 2: NEEDS ASSESSMENT:PROVIDENCE ALASKA MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE ALASKA MEDICAL CENTER (PAMC) CONDUCTS A CHNA FOR ANCHORAGE. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE ANCHORAGE COMMUNITY. PAMC CONDUCTS THE CHNA IN COLLABORATION WITH COMMUNITY PARTNERS IN ORDER TO IDENTIFY AND ADDRESS THE MOST SIGNIFICANT COMMUNITY HEALTH NEED PRIORITIES IN ANCHORAGE. THE RESULTS OF THE ASSESSMENT ARE USED BY PAMC AND AGENCIES ACROSS ANCHORAGE AND ALASKA IN THEIR EFFORTS TO ADDRESS COMMUNITY NEED.IN SPRING OF 2018, PAMC INITIATED THE PROCESS OF CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH UNITED WAY OF ANCHORAGE, MUNICIPALITY OF ANCHORAGE HEALTH DEPARTMENT, ANCHORAGE NEIGHBORHOOD HEALTH CENTER, CATHOLIC SOCIAL SERVICES, ALASKA STATE DEPARTMENT OF HEALTH AND SOCIAL SERVICES, SOUTHCENTRAL FOUNDATION AND THE RASMUSON FOUNDATION REPRESENTATIVES FROM EACH OF THE PARTNER ORGANIZATIONS COMPRISED THE ANCHORAGE CHNA ADVISORY GROUP, WHICH DIRECTED THE ASSESSMENT PROCESS FROM ITS INCEPTION TO COMPLETION.THE ADVISORY GROUP SELECTED THE KEY INDICATORS THAT WOULD COMPRISE THE DATA SET FOR THE 2018 ANCHORAGE CNHA. IN THE PROCESS OF SELECTING THE FINAL INDICATORS, THE ADVISORY GROUP GAVE CONSIDERATION TO A NUMBER OF GUIDING PRINCIPLES FOR DATA CHARACTERISTICS, WHICH INCLUDED:-INTEGRITY OF DATA SOURCE-MULTI-YEAR AVAILABILITY OF DATA TO BETTER UNDERSTAND PAST AND FUTURE TRENDS-BROAD COMMUNITY REPRESENTATION, ESPECIALLY TO ENSURE INCLUSION OF POOR, VULNERABLE AND UNDERSERVED POPULATIONS-CONTINUITY WITH PRIOR ASSESSMENT AND RESULTING PRIORITIES-ALIGNMENT WITH HEALTHY ALASKANS 2020 INITIATIVE TO THE EXTENT POSSIBLETHE DATA WAS COLLECTED FROM LOCAL, STATE AND FEDERAL DATA SOURCES INCLUDING:-ALASKA BUREAU OF VITAL STATISTICS-ALASKA DHSS OBESITY PREVENTION AND CONTROL PROGRAM-ANCHORAGE HOMELESS POINT IN TIME SURVEY-ANCHORAGE SCHOOL DISTRICT-BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS)-COMMUNITY COMMONS-PROVIDENCE AK MED CTR EMERGENCY DEPARTMENT UTILIZATION DATA-UNITED STATES CENSUS BUREAU-U.S. DEPARTMENT OF LABOR-YOUTH RISK BEHAVIORAL SURVEY (YRBS)IN ADDITION TO SECONDARY DATA, COMMUNITY AND STAKEHOLDER INPUT WAS VIEWED AS IMPORTANT TO HELP ENSURE THAT THE BROAD INTERESTS OF THE COMMUNITY WERE REPRESENTED IN THE PROCESS, ESPECIALLY THOSE MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.COMMUNITY AND STAKEHOLDER INPUT OPPORTUNITIES WERE MADE AVAILABLE AS FOLLOWS:-WRITTEN COMMENTS FROM THE GENERAL PUBLIC-CHNA ADVISORY GROUP PARTNER MEETINGS-PH&S ALASKA COMMUNITY MINISTRY BOARD MEETINGSPROVIDENCE ST. PETER HOSPITAL & CENTRALIA HOSPITALWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITIES IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PROVIDENCE MINISTRIES HAVE COMMUNITY AND FOUNDATION BOARDS. THE CIVIC LEADERS THAT SERVE ON PROVIDENCE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICWE RECOGNIZE THAT CARING FOR THE POOR AND VULNERABLE IS NOT A TASK WE CAN DO ON OUR OWN. ON A ROUTINE BASIS WE CONDUCT A FORMAL COMMUNITY ASSESSMENT TO DETERMINE WHO IN OUR COMMUNITY IS EXPERIENCING THE GREATEST NEED. THIS OUTREACH CONNECTS US TO MANY NOT-FOR-PROFITS AND SOCIAL SERVICE AGENCIES AS WELL AS CARE PROVIDERS AND THEIR CLIENTS IN THE COMMUNITIES. TO ENSURE THAT WE CONDUCT A COMPREHENSIVE ASSESSMENT, OUR PROCESS INCLUDES RESEARCH, MEETINGS, INTERVIEWS, FOCUS GROUPS AND SURVEYS.ADDITIONALLY, PRMCE HAS A COMMUNITY AND FOUNDATION BOARD. THE CIVIC LEADERS THAT SERVE ON THESE BOARDS CONNECT OUR MISSION WITH A LOCAL PERSPECTIVE ON COMMUNITY NEEDS.OUR ASSESSMENT FINDINGS ARE ASSEMBLED TO MAKE CERTAIN WE UNDERSTAND AND RESPOND TO LOCAL AND REGIONAL NEEDS, WHICH OFTEN VARY FROM ONE CITY OR COUNTY TO ANOTHER. IDENTIFIED AREAS OF NEED NOT ONLY GUIDE OUR COMMUNITY BENEFIT GIVING, BUT ALSO GUIDE OUR STRATEGIC PLANNING. WE BELIEVE MEANINGFUL COMMUNITY NEEDS ASSESSMENT PROVIDES INSIGHT INTO THE COMPLETE COMMUNITY BENEFIT THAT IS REQUIRED, BEYOND JUST FREE AND DISCOUNTED CARE.PRMCE UTILIZED A THREE STEP APPROACH TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS THAT PROVIDENCE WILL ADDRESS IN THIS CHNA CYCLE. IN THE FIRST PHASE, BASELINE DATA FROM THE PREVIOUS ASSESSMENT WAS UPDATED AND EVALUATED BASED ON THE METHODOLOGY ADOPTED FROM THE SNOHOMISH HEALTH DISTRICT; COMPARING LOCAL DATA TO STATE AND NATIONAL DATA AS WELL AS HEALTHY PEOPLE 2020 GOALS; IDENTIFYING NEGATIVE TRENDS IN LOCAL DATA; AND EVALUATING THE SIZE AND SERIOUSNESS OF THE PROBLEM. THE SECOND PHASE INCLUDED EVALUATING THE DATA BASED ON THE NEED FOR IMPROVEMENT, THE DISPROPORTIONATE IMPACT ON SUB-POPULATIONS, AND THE LEVEL OF COMMUNITY RESOURCES DEDICATED TO IMPROVING THE INDICATOR. AND FINALLY, THE THIRD PHASE INCLUDED A WEIGHTED SCORING BASED ON THE LINKAGE TO OUR STRATEGIC PLAN, THE AMOUNT OF RESOURCES RELATIVE TO COMMUNITY NEED, AND THE CONFIDENCE IN OUR ABILITY TO HAVE AN IMPACT ON THE HEALTH ISSUE. THROUGHOUT THE PROCESS WE UTILIZED A FRAMEWORK THAT EVALUATED HEALTH AND COMMUNITY NEED IN A HOLISTIC FRAMEWORK THAT INCLUDED SOCIAL DETERMINANTS OF HEALTH, LIFESTYLE CHOICES, AND CLINICAL CARE.PROVIDENCE ST. MARY MEDICAL CENTER (PSMMC)PSMMC PARTICIPATED DURING 2017-2018 IN A COMMUNITY HEALTH PARTNERSHIP LEAD BY WALLA WALLA COUNTY DEPARTMENT OF COMMUNITY HEALTH (PUBLIC HEALTH) AND THE BLUE MOUNTAIN REGIONAL COMMUNITY HEALTH PARTNERSHIP (BMRCHP). THE BMRCHP INCLUDES PARTICIPATION FROM A BROAD BASE OF SECTORS IMPORTANT TO OVERALL COMMUNITY HEALTH INCLUDING PUBLIC HEALTH, EDUCATION (INCLUDING PUBLIC SCHOOL DISTRICTS, LOCAL COLLEGES, AND PRE-SCHOOL EARLY LEARNING ADVOCATES), HEALTHCARE AGENCIES, PUBLIC SAFETY & LAW ENFORCEMENT, SOCIAL SERVICES AND MANAGED CARE, LONG-TERM HOUSING, TRANSPORTATION, FAITH-BASED ORGANIZATIONS, OTHER COMMUNITY-BASED ORGANIZATIONS, AND MEMBERS OF THE PUBLIC. GEOGRAPHICAL REPRESENTATION INCLUDES MEMBERS FROM WALLA WALLA COUNTY, COLUMBIA COUNTY, AND THE MILTON-FREEWATER, OREGON COMMUNITIES WHICH ARE INCLUDED IN THE PRIMARY SERVICE AREA OF PSMMC. THE BMRCHP MEETS MONTHLY AND HAS UTILIZED FACILITATED GROUP PROCESSES TO IDENTIFY NEEDS AND PRIORITIZE HEALTH INDICATORS AMONG COMMUNITY STAKEHOLDERS AT SEVERAL WORK SESSIONS INCLUDING A SERIES OF OPEN MEETINGS IN 2018 WHERE THE PUBLIC WAS INVITED. THE GOAL OF THIS PARTNERSHIP IS TO CREATE A HEALTHIER COMMUNITY THROUGH CROSS-SECTOR COLLABORATION WITH PROVIDERS, PARTNERS, AND ORGANIZATIONS THROUGHOUT THE BLUE MOUNTAIN REGION TO ENSURE RESIDENTS IN THE BLUE MOUNTAIN REGION HAVE ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE AND RESOURCES TO SUSTAIN A HEALTHY LIFESTYLE.
Part VI, Line 3: COMMUNICATION TO THE PUBLIC:PROVIDENCE HOSPITALS POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS.WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
Part VI, Line 2 (Continued) PROVIDENCE VALDEZ MEDICAL CENTEREVERY THREE YEARS, PROVIDENCE VALDEZ MEDICAL CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE GREATER VALDEZ COMMUNITY. THE CHNA IS AN EVALUATION OF KEY HEALTH INDICATORS OF THE COMMUNITY. IN 2017, WIPFLI LLP (WIPFLI) WAS ENGAGED BY LEADERSHIP AT PVMC AND PROVIDENCE HEALTH SERVICES ALASKA TO FACILITATE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS ON BEHALF OF THE HOSPITAL. THE CHNA PROCESS UTILIZED TO CONDUCT THE ASSESSMENT HAS BEEN ADOPTED FROM SEVERAL OF THE LEADING SOURCES ON THE SUBJECT. THESE SOURCES INCLUDE:- ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT,- FLEX MONITORING TEAM, AND- RURAL HEALTH WORKS.THE SERVICE AREA FOR PVMC WAS CREATED WITH INPUT FROM THE PVMC AND PROVIDENCE LEADERSHIP TEAM. THE CHNA FOCUSED ON THE NEEDS OF THE GREATER VALDEZ COMMUNITY. WHILE EVERY EFFORT WAS TAKEN TO GATHER DETAILED DATA FOR THE VALDEZ COMMUNITY, IT WAS NECESSARY IN CERTAIN AREAS TO EXPAND THE DEFINITION OF THE SERVICE AREA TO THE VALDEZ- CORDOVA CENSUS AREA. THIS WAS DONE TO COLLECT CENSUS AND COUNTY HEALTH RANKINGS DATA THAT IS ONLY AVAILABLE FOR THE CENSUS AREA.KEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH MEMBERS OF THE COMMUNITY SERVED BY PVMC. THESE INDIVIDUALS WERE IDENTIFIED BY THE CHNA ADVISORY COMMITTEE BASED ON THEIR QUALIFICATIONS TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED. GENERALLY, THE INTERVIEWEES INCLUDED PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND PERSONS WHO REPRESENT THE MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS. INTERVIEWEES WERE CONTACTED AND ASKED TO PARTICIPATE IN THE KEY INFORMATIONAL INTERVIEWS.A COMMUNITY SURVEY WAS PUBLISHED ONLINE AND DISTRIBUTED BY THE ADVISORY COMMITTEE AND PVMC STAFF. THE SURVEY WAS DEVELOPED BASED ON AN EXISTING TEMPLATE UTILIZED BY PROVIDENCE HEALTH SERVICES ALASKA AMONG ITS AFFILIATED HOSPITALS, AND AUGMENTED TO CAPTURE INPUT REGARDING UNIQUE HEALTH-RELATED CHARACTERISTICS THAT EXIST WITHIN THE VALDEZ COMMUNITY. ROUGHLY ONE IN FOUR ADULT VALDEZ RESIDENTS COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY.SECONDARY DATA WAS COLLECTED FROM TWO MAJOR SOURCES:- ESRI (BASED ON US CENSUS DATA)- COUNTY HEALTH RANKINGSTHE SECONDARY DATA INCLUDES A VARIETY OF SERVICE AREAS, STATE AND NATIONAL MEASURES TO PRESENT A COMMUNITY PROFILE, BIRTH AND DEATH CHARACTERISTICS, ACCESS TO HEALTH CARE, CHRONIC DISEASES, SOCIAL ISSUES, AND OTHER DEMOGRAPHIC CHARACTERISTICS. DATA WAS COLLECTED AND PRESENTED AT THE SERVICE AREA LEVEL AND WHEREVER POSSIBLE, COMPARED TO ALASKA AND NATIONAL BENCHMARKS.COUNTY HEALTH RANKINGS DATA IS AGGREGATED FROM THE FOLLOWING NATIONAL DATA SOURCES:- THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)- NATIONAL VITAL STATISTICS SYSTEM (NVSS)- US CENSUS BUREAU'S SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE) PROGRAMTHIS REPORT PRESENTS A SUMMARY THAT HIGHLIGHTS THE DATA FINDINGS, PRESENTS KEY PRIORITIES IDENTIFIED THROUGH THE CHNA, AND PVMC BOARD-APPROVED IMPLEMENTATION PLAN.PRIMARY DATA WAS COLLECTED VIA SURVEYS AND A SERIES OF INTERVIEWS. THE RESPONSES REFLECT THE OPINIONS OF THE SURVEY AND INTERVIEW RESPONDENTS AND MAY NOT REFLECT THE NEEDS OF THE ENTIRE COMMUNITY. SECONDARY DATA (BRFSS, NVSS, SAHIE) IS ONLY AVAILABLE AT THE VALDEZ-CORDOVA CENSUS AREA LEVEL. THEREFORE, TO THE EXTENT THAT HEALTH STATUS DIFFERS SIGNIFICANTLY BETWEEN THE VALDEZ-CORDOVA CENSUS AREA AND THE COMMUNITY OF VALDEZ, HEALTH INFORMATION WAS NOT AVAILABLE AT THAT GRANULARITY IN THE SECONDARY DATA SOURCES.PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALAS HEALTH CARE CONTINUES TO EVOLVE, PROVIDENCE IS RESPONDING WITH DEDICATION TO ITS MISSION AND A CORE STRATEGY TO CREATE HEALTHIER COMMUNITIES, TOGETHER. PARTNERING WITH COMMUNITY ORGANIZATIONS, WE CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT TO LEARN ABOUT THE GREATEST NEEDS AND ASSETS FROM THE PERSPECTIVE OF SOME OF THE MOST MARGINALIZED GROUPS OF PEOPLE IN COMMUNITIES WE SERVE. THIS ASSESSMENT HELPS US DEVELOP COLLABORATIVE SOLUTIONS TO FULFILL UNMET NEEDS AND GUIDES OUR COMMUNITY BENEFIT INVESTMENTS, NOT ONLY FOR OUR OWN PROGRAMS BUT ALSO FOR MANY PARTNERS. DOZENS OF PARTICIPANTS PROVIDED FEEDBACK. SIGNIFICANT CONTRIBUTORS INCLUDE PRIORITY SPOKANE, A CIVIC LEADERSHIP GROUP MADE UP OF LOCAL GOVERNMENT, BUSINESSES, NONPROFIT ORGANIZATIONS AND LOCAL FUNDERS; THE SPOKANE REGIONAL HEALTH DISTRICT; AND THE SPOKANE HOMELESS COALITION.
Part VI, Line 4: "COMMUNITY INFORMATION:PROVIDENCE ALASKA MEDICAL CENTERTHE MUNICIPALITY OF ANCHORAGE IS THE LARGEST COMMUNITY IN THE STATE OF ALASKA. IT IS LOCATED IN SOUTHCENTRAL ALASKA ALONG COOK INLET. ANCHORAGE SITS IN A BOWL WITH COOK INLET ON ONE SIDE AND CHUGACH STATE PARK ON THE OTHER. HOME TO NEARLY HALF THE STATE'S RESIDENTS, ANCHORAGE HAS A POPULATION OF ROUGHLY 300,000 AND INCLUDES THE COMMUNITIES OF ANCHORAGE, CHUGIAK, EAGLE RIVER, GIRDWOOD, AND JOINT BASE ELMENDORF-RICHARDSON. IT IS THE HUB OF ALASKA'S INFRASTRUCTURE AND BUSINESS COMMUNITY. ETHNICALLY AND CULTURALLY DIVERSE, THREE OF THE TOP 10 MOST DIVERSE CENSUS TRACTS IN THE UNITED STATES ARE WITHIN ANCHORAGE. TOTAL ANCHORAGE POPULATION IS 294,356 - 27.4% YOUTH (0-19 YEARS)- 37.1% ADULTS (20-44 YEARS)- 25.1% OLDER ADULTS (45-64 YEARS)- 10.5% SENIORS (65 YEARS AND OLDER)RACE AND ETHNICITY- 64.5% WHITE/CAUCASIAN- 9.8% ASIAN - 9.2% WERE HISPANIC OR LATINO - 8.8% WERE ALASKA NATIVE OR AMERICAN INDIAN - 6.0% WERE AFRICAN AMERICAN OR BLACK - 2.6% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER - 8.2% WERE OF TWO OR MORE RACES. INCOME AND HOUSING- $82,271 MEDIAN HOUSEHOLD INCOME- 4.9% UNEMPLOYMENT- 8.1% TOTAL POPULATION BELOW POVERTY- 12.3% CHILDREN LESS THAN 18 YEARS OLD BELOW POVERTY- 5.5% HOUSEHOLDS WITH PUBLIC ASSISTANCE INCOME- 4.3% HOMELESS STUDENTS SERVED BY ANCHORAGE SCHOOL DISTRICTPROVIDENCE ST. PETER HOSPITAL & CENTRALIA HOSPITALTHE COMMUNITY SERVED BY PROVIDENCE ST. PETER AND PROVIDENCE CENTRALIA HOSPITALS, THE SOUTHWEST WASHINGTON SERVICE AREA, CONSISTS OF FIVE COUNTIES WITH A TOTAL POPULATION OF APPROXIMATELY 506,000. WITHIN THIS GEOGRAPHICAL AREA, THURSTON AND LEWIS COUNTIES ARE DESIGNATED AS THE PRIMARY SERVICE AREA FOR THE TWO HOSPITALS. THE SECONDARY SERVICE AREA INCLUDES GRAYS HARBOR, MASON, AND PACIFIC COUNTIES. MANY SOUTHWEST WASHINGTON COMMUNITIES RETAIN A SMALL-TOWN FEEL BUT BOAST THE RESOURCES AND AMENITIES OF MUCH LARGER POPULATIONS. HOUSING COSTS ARE REASONABLE, PARTICULARLY IN COMPARISON TO OTHER CITIES ON THE WEST COAST. WASHINGTON SCORES FAVORABLY IN NATIONAL TAX-IMPACT SURVEYS. RESIDENTS ENJOY NO STATE INCOME TAX, A MODEST PROPERTY TAX AND A SALES TAX WITH GENEROUS EXEMPTIONS. IT IS HARD TO ENVISION A BETTER PLACE TO RAISE FAMILIES THAN SOUTHWEST WASHINGTON - MOST SCHOOLS HAVE AN EXCELLENT REPUTATION, THE PACE OF LIFE IS SLOWER, STREETS ARE SAFE, AND THE COMMUNITIES ARE CLOSE KNIT.TOTAL POPULATION FOR THE PSA IS 346,611. IN 2010, THE CENSUS COUNT IN THE AREA WAS 327,719. THE RATE OF CHANGE SINCE 2010 WAS 0.90 PERCENT ANNUALLY. AGE DEMOGRAPHICS SHOW ABOUT 79 PERCENT OF THE POPULATION IS AGE 18 YEARS OR OLDER AND THE MEDIAN AGE FOR THE PSA IS 40.1, COMPARED TO U.S. MEDIAN AGE OF 38.0. IN 2016 THE POPULATION COMPRISED:- 11.8 PERCENT CHILDREN (0-9 YEARS)- 6.2 PERCENT ADOLESCENTS (10-14 YEARS)- 6.1 PERCENT TEENS (15-19 YEARS)- 25.9 PERCENT YOUNG ADULT (20-39 YEARS)- 33.5 PERCENT OLDER ADULT (40-64 YEARS)- 16.7 PERCENT SENIORS (65 YEARS AND OLDER)ABOUT 90 PERCENT OF POPULATION IN THE PSA, ACROSS ALL AGE GROUPS, SPEAK ENGLISH ONLY. ACCORDING TO THE 2010-2014 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, ABOUT 2 PERCENT OF HOUSEHOLDS IN LEWIS (2.1 PERCENT) AND THURSTON COUNTY (2.3 PERCENT) ARE LIVING IN LIMITED ENGLISH-SPEAKING HOUSEHOLDS. A LIMITED ENGLISH-SPEAKING HOUSEHOLD"" IS ONE IN WHICH NO MEMBER 14 YEARS OLD AND OVER: 1) SPEAKS ONLY ENGLISH AT HOME; OR 2) SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAKS ENGLISH ""VERY WELL."" COMPARATIVELY, 4 PERCENT OF HOUSEHOLDS ACROSS WASHINGTON STATE WOULD BE CONSIDERED A LIMITED ENGLISH-SPEAKING HOUSEHOLD"". IN ADDITION, ABOUT 4 PERCENT OF HOUSEHOLDS IN LEWIS (4.2 PERCENT) AND THURSTON COUNTIES (4.4 PERCENT) ARE CONSIDERED TO HAVE LIMITED ENGLISH PROFICIENCY. THOSE WHO HAVE LIMITED ENGLISH PROFICIENCY ARE TYPICALLY DEFINED AS PERSONS AGE 5 AND OLDER WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN ""VERY WELL."" COMPARATIVELY, 8 PERCENT OF THE POPULATION ACROSS WASHINGTON STATE WOULD BE CONSIDERED TO HAVE LIMITED ENGLISH PROFICIENCY."" ETHNICITYAMONG RESIDENTS OF OUR PRIMARY SERVICE AREA, IN 2016, 81 PERCENT WERE WHITE, 5 PERCENT ASIAN, 2 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN, 3 PERCENT WERE AFRICAN AMERICAN OR BLACK, 1 PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, 3 PERCENT WERE OF SOME OTHER RACE, 6 PERCENT WERE OF TWO OR MORE RACES, AND 9 PERCENT WERE HISPANIC OR LATINO (ANY RACE). INCOME LEVELS AND HOUSINGIN 2016, THE MEDIAN HOUSEHOLD INCOME FOR THE PSA WAS $59,321, AND THE AVERAGE HOUSEHOLD INCOME WAS $76,508. COMPARATIVELY, THE MEDIAN HOUSEHOLD INCOME FOR ALL U.S. HOUSEHOLDS WAS $54,149 AND THE AVERAGE HOUSEHOLD INCOME WAS $77,008. THE FOLLOWING TABLE GIVES ADDITIONAL ESTIMATES FOR THE PRIMARY AND SECONDARY SERVICE AREAS AND FOR WASHINGTON STATE. THE NUMBER OF HOUSEHOLDS IN THE PSA HAS GROWN FROM 130,393 IN 2010 TO 137,219 IN 2016, WITH A CHANGE OF 0.82 PERCENT ANNUALLY. THE AVERAGE HOUSEHOLD SIZE IS CURRENTLY 2.49, COMPARED TO 2.47 IN 2010. THE MAJORITY OF HOMES IN THE PSA ARE OWNER OCCUPIED (66 PERCENT), WITH A SMALLER PERCENTAGE OF RENTERS (34 PERCENT). THE MEDIAN HOME VALUE IN THE PSA IS $251,474. THE TABLE BELOW GIVES ADDITIONAL ESTIMATES FOR THE SSA AND WASHINGTON STATE. PROVIDENCE REGIONAL MEDICAL CENTER COLBY & PACIFICAS A TERTIARY REFERRAL CENTER, PRMCE SERVES PATIENTS FROM THE SURROUNDING REGION CONSISTING OF SKAGIT, WHATCOM, ISLAND, SAN JUAN AND SNOHOMISH COUNTIES. HOWEVER, THE PRIMARY GEOGRAPHIC AREA IN WHICH THE MAJORITY (MORE THAN 75 PERCENT) OF PRMCE'S PATIENT POPULATION RESIDES IS SNOHOMISH COUNTY. PRMCE SERVES ONE OUT OF EVERY FOUR RESIDENTS OF SNOHOMISH COUNTY AND FOR THIS REASON THE GEOGRAPHIC DEFINITION FOR THE CHNA IS SNOHOMISH COUNTY.SNOHOMISH COUNTY IS LOCATED IN NORTHWEST WASHINGTON STATE BETWEEN PUGET SOUND ON THE WEST AND THE CASCADE MOUNTAINS TO THE EAST, AND BETWEEN SKAGIT COUNTY TO THE NORTH AND KING COUNTY TO THE SOUTH. THE COUNTY LAND AREA IS COMPRISED OF 68 PERCENT FOREST LAND, 18 PERCENT RURAL, 9 PERCENT URBAN/CITY AND 5 PERCENT AGRICULTURAL.THE TOTAL POPULATION OF SNOHOMISH COUNTY IS 802,148 (20187). THE COUNTY IS EXPECTED TO SEE A POPULATION INCREASE OF 7.6% BY 2023. AMONG SNOHOMISH COUNTY RESIDENTS, 1.3% ARE AMERICAN INDIAN/ALASKA NATIVE, 11.0% ASIAN, 3.5% BLACK/AFRICAN AMERICAN, 4.4% OTHER, 0.6% PACIFIC ISLANDER, 74% WHITE AND 5.3% ONE OR MORE RACES.THE MEDIAN AGE FOR MALES IS 39 AND 40.1 FOR FEMALES. TWENTY FIVE PERCENT OF THE POPULATION IS UNDER THE AGE OF 19, 16% OVER THE AGE OF 65 AND 59% BETWEEN THE AGE OF 19 AND 64.THE AVERAGE HOUSEHOLD INCOME WAS $98,577. TWELVE PERCENT OF HOUSEHOLDS HAD AN INCOME LESS THAN $25,000. THE UNEMPLOYMENT RATE WAS 3.8% IN 2018, TRENDING DOWN FROM A HIGH OF 10.7% IN 2010.THE SHARE OF SNOHOMISH COUNTY RESIDENTS WHO WERE UNINSURED WAS 5%, 14% MEDICAID AND 10% MEDICARE."
Part VI, Line 4 (Continued) PROVIDENCE SHMC & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITALPROVIDENCE SACRED HEART MEDICAL CENTER & CHILDREN'S HOSPITAL AND PROVIDENCE HOLY FAMILY HOSPITAL ARE LOCATED IN SPOKANE COUNTY, THE FOURTH-LARGEST COUNTY IN WASHINGTON STATE. GEOGRAPHICALLY, THE COUNTY IS LOCATED ON THE EASTERN SIDE OF THE STATE BORDERING IDAHO.TOTAL POPULATION IS ABOUT 485,000, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.9 PERCENT IN 2014.AGE DEMOGRAPHICS ARE FAIRLY EVENLY DISTRIBUTED, WITH THE OLDEST AGE GROUP COMPRISING THE SMALLEST PROPORTION OF THE POPULATION. IN 2013 THE POPULATION COMPRISED:-22.9 PERCENT YOUTH (0-17 YEARS)-24.6 PERCENT YOUNG ADULTS (18-39 YEARS)-38.4 PERCENT OLDER ADULTS (40-64 YEARS)-14.1 PERCENT SENIORS (65 YEARS AND OLDER)AMONG SPOKANE COUNTY RESIDENTS IN 2013, 90 PERCENT WERE WHITE, 2.2 PERCENT AFRICAN AMERICAN, 1 PERCENT AMERICAN INDIAN, 2.8 PERCENT ASIAN/PACIFIC ISLANDER, AND 4.5 PERCENT WERE OF TWO OR MORE RACES.IN 2013, THE MEDIAN HOUSEHOLD INCOME FOR SPOKANE COUNTY WAS $47,576, AND THE COUNTY'S UNEMPLOYMENT RATE WAS 7.8 PERCENT. THE SHARE OF THOSE WITH INCOMES BELOW THE FEDERAL POVERTY LINE FOR ALL AGES IN SPOKANE COUNTY WAS 15.9 PERCENT IN 2012. IN THE SAME TIME FRAME, 19 PERCENT OFSPOKANE COUNTY YOUTH UNDER AGE 18 WERE LIVING BELOW THE FPL. THIS REPRESENTS AN INCREASE OF 1.6 PERCENT SINCE 2009, AND IS HIGHER THAN THE STATE AVERAGE BUT LOWER THAN THE NATIONAL AVERAGE.THE ZIP CODES WITH THE LOWEST COMMUNITY NEEDS INDEX ARE 99201, 99202, AND 99207. THESE ALL HAVE A TOTAL CNI OF FOUR. WITHIN THESE ZIP CODES THERE IS A HIGH OF 38.68 PERCENT OF YOUTH IN POVERTY AND 60.55 PERCENT OF SINGLE PARENTS IN POVERTY. IN THIS POPULATION AREA, 18.9 PERCENT ARE UNEMPLOYED, 42.99 PERCENT ARE UNINSURED AND 74.52 PERCENT ARE RENTING. THE 2014 SPOKANE REGIONAL POINT-IN-TIME COUNT FOUND 1,149 HOMELESS PERSONS, INCLUDING 146 FAMILIES WITH CHILDREN. THE 2012-13 SCHOOL YEAR COUNTED 3,148 SCHOOL-AGED CHILDREN AS HOMELESS IN SPOKANE COUNTY.THE SHARE OF SPOKANE COUNTY RESIDENTS WHO ARE AGES 64 AND YOUNGER AND UNINSURED WAS 16.5 PERCENT IN 2012. THE TOP THREE CAUSES OF DEATH IN SPOKANE COUNTY WERE HEART DISEASE AT 23 PERCENT, CANCER AT 20.1 PERCENT, AND STROKE AT 4.4 PERCENT. HEART DISEASE AND STROKES ARE ON A DECREASING TREND WHILE CANCER IS INCREASING. AVOIDABLE HOSPITAL ADMISSIONS IN SPOKANE COUNTY HAVE DECREASED TO 8.8 PERCENT IN 2012.PROVIDENCE VALDEZ MEDICAL CENTERTHE SERVICE AREA OF PROVIDENCE VALDEZ MEDICAL CENTER IS DEFINED AS THE CITY OF VALDEZ. VALDEZ IS LOCATED ON PRINCE WILLIAM SOUND AND SURROUNDED BY THE CHUGACH MOUNTAINS. THE CITY IS CONNECTED TO THE INTERIOR OF ALASKA BY THE RICHARDSON HIGHWAY AND IS ROUGHLY 300 MILES BY ROAD FROM ANCHORAGE. THE AREA SEES SIGNIFICANT ANNUAL PRECIPITATION WITH AN AVERAGE SNOWFALL OF NEARLY 300 INCHES PER YEAR. VALDEZ IS A FISHING PORT FOR BOTH COMMERCIAL AND SPORT FISHING. IT IS ALSO THE TERMINUS OF THE TRANS-ALASKA PIPELINE WHERE ALASKA NORTH SLOPE OIL IS LOADED ONTO SHIPS FOR TRANSPORT TO EXTERNAL MARKETS.POPULATION AND AGE DEMOGRAPHICSTHE 2015 U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY ESTIMATES THE VALDEZ POPULATION IS 3,979.- 26% PERCENT YOUTH (0-18 YEARS)- 68% PERCENT YOUNG ADULTS (18-64 YEARS)- 5% PERCENT SENIORS (65 YEARS AND OLDER)ETHNICITYTHE FOLLOWING DATA IS BASED ON THE 2010 CENSUS.- 81.5 PERCENT WERE WHITE- 1.9 PERCENT WERE ASIAN- 8.2 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN- 4.7 PERCENT WERE HISPANIC OR LATINO- 0.6 PERCENT WERE AFRICAN AMERICAN OR BLACK- 0.8 PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDERINCOMETHE FOLLOWING DATA IS BASED ON THE 2011-2015 AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES:- $98,204 = MEDIAN HOUSEHOLD INCOME- 4.5 PERCENT CHILDREN UNDER AGE 18 LIVE IN POVERTY- 9.4 PERCENT OF RESIDENTS OF ALL AGES LIVE IN POVERTYHOUSING- MEDIAN GROSS RENT IS $1136- 67.2 PERCENT OF HOUSING UNITS/HOMES ARE OWNER-OCCUPIED- 3 PERCENT REPORT BEING HOMELESS (SLEEP OUTSIDE, IN IMPROVISED DWELLING, CAR, LOCAL SHELTER OR COUCH SURF)
Part VI, Line 4 (Continued) PROVIDENCE ST. MARY MEDICAL CENTERTHE PRIMARY SERVICE AREA FOR PROVIDENCE ST. MARY MEDICAL CENTER INCLUDES WALLA WALLA COUNTY AND FIVE ZIP CODES IN NORTHEAST OREGON WHICH INCLUDE THE NEARBY CITY OF MILTONFREEWATER AS WELL AS COLUMBIA COUNTY. TOTAL POPULATION OF THE PROVIDENCE ST. MARY MEDICAL CENTER SERVICE AREA IS 61,800.RACE DISTRIBUTION:- WHITE: 72.2%- HISPANIC/LATINO: 21.2%- BLACK/AFRICAN AMERICAN: 2.2%- ASIAN/PACIFIC ISLANDER: 1.93%- AMERICAN INDIAN/ALASKA NATIVE: 1.3%THE 2017 MEDIAN HOUSEHOLD INCOME IN WALLA WALLA COUNTY WAS $54,157 COMPARED TO STATE RATE OF $70,979 AND 2013 RATE OF $47,758. HOWEVER, FOR HISPANICS IN 2017 IT WAS $45,900. HOUSEHOLDS (HOME OWNERS) SPENDING 30% OR MORE OF INCOME ON HOUSING HAS SIGNIFICANTLY DECREASED FROM 40% IN 2012 TO 17% IN 2016 COMPARED TO A STATE AVERAGE OF 24%. OVERALL THE GENERAL ECONOMIC INDICATORS ARE IMPROVING.PROVIDENCE MT. CARMEL & ST. JOSEPH'S HOSPITALPROVIDENCE MOUNT CARMEL HOSPITAL AND PROVIDENCE ST. JOSEPH HOSPITAL ARE LOCATED IN STEVENS COUNTY, WHICH HAS THE THIRD-HIGHEST POVERTY RATE IN WASHINGTON STATE. GEOGRAPHICALLY, THE COUNTY IS LOCATED ON THE EASTERN SIDE OF THE STATE BETWEEN FERRY AND PEND OREILLE COUNTIES, MAKING UP THE TRI COUNTY REGION.TOTAL POPULATION IS 44,030, WITH AN ANNUAL GROWTH RATE OF ABOUT 0.3 PERCENT IN 2015. AGE DEMOGRAPHICS ARE EVENLY DISTRIBUTED, WITH THE YOUNG ADULT AGE GROUP COMPRISING THE SMALLEST PROPORTION OF THE POPULATION. IN 2014 THE POPULATION COMPRISED:- 21.5 PERCENT YOUTH (0-17 YEARS)- 16.9 PERCENT YOUNG ADULTS (18-39 YEARS)- 41.1 PERCENT OLDER ADULTS (40-64 YEARS)- 20.5 PERCENT SENIORS (65 YEARS AND OLDER)AMONG STEVENS COUNTY RESIDENTS IN 2013, 90.8 PERCENT WERE WHITE, 4.4 PERCENT AFRICAN AMERICAN, 0.6 PERCENT NATIVE AMERICAN, 0.4 PERCENT ASIAN/PACIFIC ISLANDER, AND 3.8 PERCENT WERE OF TWO OR MORE RACES.IN 2014, THE MEDIAN HOUSEHOLD INCOME FOR STEVENS COUNTY WAS $43,876, AND THE COUNTY'S UNEMPLOYMENT RATE WAS 9.3 PERCENT. THE WASHINGTON STATE MEDIAN HOUSEHOLD INCOME WAS $58,686 WITH AN UNEMPLOYMENT RATE OF 5.7 PERCENT. THE SHARE OF THOSE WITH INCOMES BELOW THE FEDERAL POVERTY LINE FOR ALL AGES IN STEVENS COUNTY WAS 19.3 PERCENT IN 2014. IN 2013, 26.9 PERCENT OF STEVENS COUNTY YOUTH UNDER AGE 18 WERE LIVING BELOW THE FEDERAL POVERTY LEVEL. THIS REPRESENTS AN INCREASE OF 3.1 PERCENT SINCE 2009, AND IS HIGHER THAN THE STATE AVERAGE.IN STEVENS COUNTY DURING 2014, RESIDENTS AGES 64 AND YOUNGER WHO WERE UNINSURED COMPRISED 11.6 PERCENT OF THE POPULATION. THE STATE AVERAGE WAS 8.3 PERCENT. THE TOP FOUR CAUSES OF DEATH IN STEVENS COUNTY THAT YEAR WERE: CANCER AT 22.2 PERCENT; HEART DISEASE AT 21.4 PERCENT; STROKE AT 6.8 PERCENT; AND ALZHEIMER'S DISEASE AT 4.8 PERCENT. TRENDING IS UP FOR INCIDENCES OF CANCER AND STROKE, BUT IS DOWN FOR HEART DISEASE AND ALZHEIMER'S. OUT OF ALL HOSPITAL ADMISSIONS IN STEVENS COUNTY, AVOIDABLE ADMISSIONS WERE CALCULATED AT 13 PERCENT WHILE THE WASHINGTON STATE AVERAGE WAS 9.1 PERCENT.IN STEVENS COUNTY, 24 PERCENT OF STUDENTS AND 30 PERCENT OF ADULTS ARE OVERWEIGHT OR OBESE. THIS TREND IS WORSENING AND IS ALSO WORSE THAN THE WASHINGTON STATE AVERAGE OF 27 PERCENT FOR ADULTS.PROVIDENCE KODIAK ISLAND MEDICAL CENTERTHE SERVICE AREA OF PROVIDENCE KODIAK ISLAND MEDICAL CENTER IS DEFINED AS THE ENTIRETY OF THE KODIAK ISLAND BOROUGH AND ALL OF ITS COMMUNITIES. PKIMC IS THE ONLY HOSPITAL FACILITY ON THE ISLAND. THE BOROUGH IS SITUATED IN THE GULF OF ALASKA AND COMPRISES 16 MAJOR ISLANDS. KODIAK ISLAND TOTALS 3,588 SQUARE MILES AND IS THE SECOND LARGEST ISLAND IN THE UNITED STATES - SECOND ONLY TO HAWAII. KODIAK ISLAND, WHICH IS MOST FAMOUS FOR ITS LARGE AND IMPRESSIVE POPULATION OF BROWN BEARS, IS ALSO RICH IN OTHER FORMS OF WILDLIFE, CULTURE, NATURAL RESOURCES AND SCENIC BEAUTY. WITH THE LARGEST FISHING PORT IN THE STATE, THE ISLAND IS THE THIRD LARGEST FISHING PORT IN THE COUNTRY. IN ADDITION, KODIAK ISLAND HOSTS THE LARGEST U.S. COAST GUARD BASE. THUS, COMMERCIAL FISHING AND THE U.S. COAST GUARD ARE THE DOMINANT INDUSTRIES FOLLOWED BY RETAIL TRADE, TRANSPORTATION, UTILITIES AND TOURISM.POPULATION AND AGE DEMOGRAPHICSTHE 2015 CENSUS ESTIMATE OF THE POPULATION FOR THE KODIAK ISLAND BOROUGH IS 13,889, WITH 45 PERCENT OF THOSE RESIDENTS LIVING IN THE CITY OF KODIAK. THE BOROUGH AGE DISTRIBUTION IS:- 28.6 PERCENT YOUTH (0-18 YEARS)- 64.7 PERCENT YOUNG ADULTS (18-64 YEARS)- 6.7 PERCENT SENIORS (65 YEARS AND OLDER)ETHNICITY- 57.2 PERCENT WERE WHITE- 20.6 PERCENT WERE ASIAN- 12.9 PERCENT WERE ALASKA NATIVE OR AMERICAN INDIAN- 9.2 PERCENT WERE HISPANIC OR LATINO- 1.5 PERCENT WERE AFRICAN AMERICAN OR BLACK- PERCENT WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDERINCOME- $70,529 = MEDIAN HOUSEHOLD INCOME- $29,993 = PER CAPITA INCOME- 26 PERCENT HAVE AN ANNUAL HOUSEHOLD INCOME BELOW $40,000 (UP 7% FROM 2013)- 11 PERCENT HAVE AN ANNUAL HOUSEHOLD INCOME BELOW $20,000 (UP 8% FROM 2013)-11 PERCENT CHILDREN UNDER AGE 18 LIVE IN POVERTY- 8.3 PERCENT OF RESIDENTS OF ALL AGES LIVE IN POVERTYHOUSING $972 = MEDIAN GROSS RENT- 5,329 HOUSING UNITS- 59.7 PERCENT OF HOUSING UNITS/HOMES ARE OWNER OCCUPIED- 3 PERCENT REPORT BEING HOMELESS (SLEEP OUTSIDE, IN IMPROVISED DWELLING, CAR, LOCAL SHELTER OR COUCH SURF)PROVIDENCE SEWARD MEDICAL & CARE CENTERSEWARD IS LOCATED ON RESURRECTION BAY, A FJORD OF THE GULF OF ALASKA ON THE KENAI PENINSULA. SEWARD IS SITUATED ON ALASKA'S SOUTHERN COAST AND AT THE SOUTHERN TERMINUS OF THE SEWARD HIGHWAY, WHICH IS THE ONLY ROAD IN OR OUT OF SEWARD. THE GREATER SEWARD AREA INCLUDES NOT ONLY THE CITY OF SEWARD (POPULATION ~ 2,700), BUT THE COMMUNITIES OF BEAR CREEK (POPULATION ~ 1,950) AND MOOSE PASS (POPULATION ~ 220). BEAR CREEK IS LOCATED JUST NORTH OF AND ADJACENT TO THE CITY OF SEWARD. MOOSE PASS IS LOCATED 28 MILES NORTH OF SEWARD AND IS A VERY SMALL COMMUNITY THAT IS LARGELY RELIANT UPON THE SERVICES AVAILABLE IN SEWARD.POPULATION AND AGE DEMOGRAPHICS:TOTAL POPULATION OF THE PSMCC SERVICE AREA IS 4,932 - 18.6% YOUTH (0-19 YEARS)- 38.5% YOUNG ADULTS (20-44 YEARS)- 30.9% OLDER ADULTS (45-64 YEARS)- 12.0% SENIORS (65 YEARS AND OLDER)RACE AND ETHNICITY- 75.9% WHITE/CAUCASIAN- 5.3% ASIAN - 3.1% WERE HISPANIC OR LATINO - 13.6% WERE ALASKA NATIVE OR AMERICAN INDIAN- 1.1 % WERE AFRICAN AMERICAN OR BLACK - 0.4% WERE NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER - 3.7% WERE OF TWO OR MORE RACES.INCOME AND HOUSING- $70,000 = MEDIAN HOUSEHOLD INCOME- 6.2% UNEMPLOYMENT- 8.7% BELOW POVERTY- 62.5% OF HOMES ARE OWNER-OCCUPIED- 2.5% ARE HOMELESS
