4A (Expenses $ 897386048 including grants of $ 46190) (Revenue $ 1280718996)
SEE SCHEDULE OMEDSTAR GEORGETOWN UNIVERSITY HOSPITAL'S LARGEST PROGRAM IS THE PROVISION OF ACUTE HOSPITAL SERVICES TO THE COMMUNITIES OF THE NORTHWEST WASHINGTON, D.C. AND THE SURROUNDING AREAS. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED ABOVE, MEDSTAR GEORGETOWN INCURRED $239.6M OF MANAGEMENT AND GENERAL EXPENSES IN PROVIDING SERVICES TO ITS COMMUNITIES. MEDSTAR GEORGETOWN'S CENTERS OF EXCELLENCE INCLUDE NEUROSCIENCES, TRANSPLANTATION, CANCER AND GASTROENTEROLOGY. THE HOSPITAL IS ONE OF A FEW CENTERS IN THE WORLD PROVIDING LIVING-DONOR LIVER TRANSPLANTATION. MEDSTAR GEORGETOWN'S NEUROSCIENCES PROGRAM IS RECOGNIZED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION AND IS A NATIONAL PARKINSON FOUNDATION CENTER OF EXCELLENCE FOR PARKINSON'S DISEASE AND OTHER MOVEMENT DISORDERS. MEDSTAR GEORGETOWN'S LOMBARDI COMPREHENSIVE CANCER CENTER IS ONE OF ONLY 52 CENTERS IN THE U.S., AND THE ONLY ONE DESIGNATED AS A COMPREHENSIVE CANCER CENTER BY THE NATIONAL CANCER INSTITUTE IN WASHINGTON, D.C. MEDSTAR GEORGETOWN WAS THE FIRST HOSPITAL IN WASHINGTON, D.C. TO ATTAIN MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC), AND NOW HAS ACHIEVED 4 CONSECUTIVE MAGNET DESIGNATIONS (2004, 2008, 2014, 2018). MEDSTAR GEORGETOWN IS IN THE PROCESS OF THE JOURNEY TOWARDS A FIFTH MAGNET DESIGNATION.SINCE MARCH 2020, MEDSTAR HEALTH HAS CARED FOR 1 IN 4 COVID-19 PATIENTS IN THE REGION. OPERATING AS ONE MEDSTAR AND ALIGNING WITH GUIDANCE FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND LOCAL DEPARTMENTS OF HEALTH, MEDSTAR HEALTH COVID-19 PREPARATIONS AND RESPONSE CONTINUE TO BE GUIDED BY THREE CRITICAL DRIVERS: PROVIDE A SAFE CARE ENVIRONMENT FOR PATIENTS AND ASSOCIATES; MITIGATE COMMUNITY SPREAD OF COVID-19; AND ENSURE OPERATIONAL CONTINUITY TO FULFILL OUR CORE MISSION OF CARING FOR OUR COMMUNITIES.THESE EFFORTS HAVE EVOLVED AND TRANSITIONED IN MULTIPLE WAYS THROUGHOUT THE DURATION OF THE COVID-19 PANDEMIC, LEADING TO A NUMBER OF INTEGRATED CARE APPROACHES IN PLACE TODAY: UTILIZATION OF MEDSTAR HEALTH URGENT CARE, MEDSTAR EVISIT AND OUR DIGITAL CAPABILITIES TO CREATE ACCESS, TESTING SITES, AND TELEHEALTH FOR PRIMARY CARE AND FOLLOW-UP VISITS; EXPANDED MANAGEMENT OF CARE CONTINUUM NEEDS FOR PATIENTS THROUGH MEDSTAR HEALTH HOME CARE; EXECUTION OF INNOVATIVE LABORATORY APPROACHES INTEGRATED WITH OCCUPATIONAL HEALTH TO BETTER SUPPORT ASSOCIATES MANAGING THROUGH COVID-19 EXPOSURES; DEPLOYMENT OF COMMUNITY MOBILE UNITS AND CLINICS FOR COVID-19 VACCINATIONS/BOOSTERS; INCREASED MANAGEMENT OF SUPPLY AND ACQUISITION OF PERSONAL PROTECTIVE EQUIPMENT (PPE), N95 RESPIRATORS, COVID-19 VACCINES AND BOOSTERS; REINFORCEMENT OF A MANDATORY COVID-19 VACCINATION POLICY RESULTING IN COMPLIANCE OF 99% OF ASSOCIATES AND PHYSICIANS; AND ADMINISTRATION OF MORE THAN 36,800 COVID-19 VACCINATIONS/BOOSTERS TO MEDSTAR HEALTH ASSOCIATES AND PHYSICIANS AND MORE THAN 74,500 TO PATIENTS ACROSS THE REGION IN FY 2022.

4B (Expenses $ 86756271 including grants of $ 0) (Revenue $ 29808091)
MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $86.8M IN HEALTH PROFESSIONS EDUCATION IN FISCAL YEAR 2022. THIS CATEGORY INCLUDES TRAINING IN GRADUATE MEDICAL EDUCATION, AND EDUCATION FOR PHYSICIANS, MEDICAL STUDENTS, NURSES, AND OTHER HEALTH PROFESSIONS.

4C (Expenses $ 4843093 including grants of $ 0) (Revenue $ 0)
MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL PROVIDED $4.8M IN CHARITY CARE SERVICES IN FISCAL YEAR 2022. CHARITY CARE IS PROVIDED PURSUANT TO MEDSTAR HEALTH'S FINANCIAL ASSISTANCE POLICY TO MEMBERS OF THE COMMUNITY WHOSE INCOME IS BELOW CERTAIN THRESHOLDS AND FOR WHICH THE HOSPITAL IS NOT COMPENSATED.

D/B/A GEORGETOWN UNIVERSITY HOSPITAL
"PART V, SECTION B, LINE 5: CHNA INPUTHOSPITAL LEADROLE DESCRIPTIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HOSPITAL LEAD SERVES AS THE COORDINATOR OF ALL ASPECTS OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. HE/SHE HELPS ESTABLISH AND COORDINATE THE ACTIVITIES OF THE ADVISORY TASK FORCE. THE LEAD ALSO HELPS PRODUCE THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY. HE/SHE WORKS COLLABORATIVELY WITH REPRESENTATIVES FROM THE CORPORATE COMMUNITY HEALTH DEPARTMENT AND GEORGETOWN UNIVERSITY. THE LEAD ALSO WORKS CLOSELY WITH THE WRITER. HE/SHE REVIEWS ALL NARRATIVES PRIOR TO PUBLICATION.NAME OF HOSPITAL LEAD: KHALEELAH COHENEXECUTIVE SPONSORROLE DESCRIPTIONTHE EXECUTIVE SPONSOR SERVES AS THE CONDUIT BETWEEN THE ADVISORY TASK FORCE AND THE SENIOR MANAGEMENT TEAM. THE SPONSOR IS AN ACTIVE PARTICIPANT OF THE ADVISORY TASK FORCE AND HE/SHE COMMUNICATES THE HOSPITAL'S CLINICAL STRENGTHS AND PROGRAM PRIORITIES TO DIVERSE AUDIENCES.NAME OF EXECUTIVE SPONSOR: LISA BOYLE, MDADVISORY TASK FORCEROLE DESCRIPTIONTHE ADVISORY TASK FORCE (ATF) REVIEWS PRIMARY/SECONDARY DATA AND LOCAL/STATE/FEDERAL COMMUNITY HEALTH GOALS. BASED ON FINDINGS, THE ATF PROVIDES INPUT INTO THE HOSPITAL'S THREE-YEAR IMPLEMENTATION STRATEGY. AS AMBASSADORS FOR THE CHNA PROCESS, THE ATF MEMBERS SUPPORT EFFORTS TO OPTIMIZE COMMUNITY PARTICIPATION. NOTE: THE ATF SHOULD BE A COMBINATION OF COMMUNITY REPRESENTATIVES AND STAFF. COMMUNITY REPRESENTATIVES SHOULD MAKEUP AT LEAST 50% OF TOTAL PARTICIPANTS. NAME : ANDREA TALHAMITITLE/AFFILIATION WITH HOSPITAL : PRODUCE RX PROGRAM MANAGER NAME OF ORGANIZATION : DC GREENSNAME : ANJALI TALWALKER TITLE/AFFILIATION WITH HOSPITAL : SR. DEPUTY DIRECTOR NAME OF ORGANIZATION : DC COMMUNITY HEALTH ADMINISTRATIONNAME : ANNIE PARKER, CRNP TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF NURSE RECRUITMENT NAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : AZA NEDHARI, LM, CPM , MS TITLE/AFFILIATION WITH HOSPITAL : EXECUTIVE DIRECTOR NAME OF ORGANIZATION : MAMATOTO VILLAGENAME : BEVERLY JOHN TITLE/AFFILIATION WITH HOSPITAL : FOUNDER, COMMUNITY LEADER NAME OF ORGANIZATION : THE TALKING DRUM, INC.NAME : CATHERINE MELOY TITLE/AFFILIATION WITH HOSPITAL : PRESIDENT, CEO NAME OF ORGANIZATION : GOODWILL OF GREATER WASHINGTON, MGUH BOARD MEMBERNAME : CHIRANJEEV DASH, MBBS, PHD TITLE/AFFILIATION WITH HOSPITAL : ASSOCIATE PROFESSOR OF ONCOLOGY, ASSISTANT DIRECTOR, OFFICE OF MINORITY HEALTH & HEALTH DISPARITIES RESEARCH NAME OF ORGANIZATION : GEORGETOWN UNIVERSITYNAME : DENA HASAN TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF POLICY AND PROGRAM SUPPORT NAME OF ORGANIZATION : DC DEPARTMENT OF HUMAN SERVICESNAME : DONCELLA ""DONNIE"" HAMPTON, LICSWTITLE/AFFILIATION WITH HOSPITAL : ASSOCIATE DIRECTOR, SOCIAL SERVICES (SE LOCATION)NAME OF ORGANIZATION : BREAD FOR THE CITYNAME : ERICA MCCLASKEY, MDTITLE/AFFILIATION WITH HOSPITAL : FAMILY HEALTH BUREAU CHIEF NAME OF ORGANIZATION : DEPARTMENT OF HEALTHNAME : JANINE RETHY, MD, MPH TITLE/AFFILIATION WITH HOSPITAL : DIVISION CHIEF OF COMMUNITY PEDIATRICS NAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : JEROME JOHNSON TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF PARTNERSHIPS NAME OF ORGANIZATION : DC PARKS & RECREATIONNAME : JOANNE ODOM, LICSWTITLE/AFFILIATION WITH HOSPITAL : PROGRAM ADMINISTRATOR FOR COMMUNITY PEDIATRICS, PRIMARY CARE REPRESENTATIONNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : KHALEELAH COHEN, MA TITLE/AFFILIATION WITH HOSPITAL : COMMUNITY BENEFIT SPECIALIST, COMMUNITY HEALTH HOSPITAL LEADNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : LISA BOYLE, MD TITLE/AFFILIATION WITH HOSPITAL : CHIEF MEDICAL OFFICER & VICE PRESIDENT OF MEDICAL AFFAIRS NAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITALNAME : LISA K. FITZPATRICK, MD, MPH, MPA TITLE/AFFILIATION WITH HOSPITAL : FOUNDER AND CEO OF GRAPEVINE HEALTHNAME OF ORGANIZATION : GRAPEVINE HEALTHNAME : MEGAN LOUCKS TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR OF QUALITY IMPROVEMENT NAME OF ORGANIZATION : DC PRIMARY CARE ASSOCIATIONNAME : MICHELLE ROETT, MD, MPH, FAAFP, CPE TITLE/AFFILIATION WITH HOSPITAL : DIRECTOR, DC AREA HEALTH EDUCATION CENTER, PROFESSOR AND CHAIR DEPARTMENT OF FAMILY MEDICINENAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL, GEOREGETOWN UNIVERSITY MEDICAL CENTERNAME : REGINA KNOX WOODSTITLE/AFFILIATION WITH HOSPITAL : VICE PRESIDENT OF GOVERNMENT AFFAIRS FOR DISTRICT OF COLUMBIANAME OF ORGANIZATION : MEDSTAR HEALTHNAME : TAMARA ELLIS, MSW, LICSW, CASWCMTITLE/AFFILIATION WITH HOSPITAL : CLINICAL SOCIAL WORK MANAGERNAME OF ORGANIZATION : MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL"

D/B/A GEORGETOWN UNIVERSITY HOSPITAL
PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGIESTHE IMPLEMENTATION STRATEGIES SERVE AS A ROADMAP FOR HOW COMMUNITY BENEFIT RESOURCES WILL BE ALLOCATED AND DEPLOYED. MEDSTAR'S HOSPITALS WILL BE ABLE TO MEASURE OUR CONTRIBUTION TO IMPROVING THE HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS IN THE REGIONS WE SERVE. THREE-YEAR IMPLEMENTATION STRATEGIES WITH MEASURABLE OBJECTIVES WERE DEVELOPED FOR EACH HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA - A SPECIFIC COMMUNITY OR TARGET POPULATION OF FOCUS. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. THE MEDSTAR HEALTH CORPORATE COMMUNITY HEALTH DEPARTMENT WILL PROVIDE SYSTEM-WIDE COORDINATION AND OVERSIGHT OF COMMUNITY BENEFIT PROGRAMMING.HOSPITAL ADVISORY TASK FORCES CONVENE AT LEAST ANNUALLY TO MONITOR PROGRESS OF STRATEGY EXECUTION AND TO PROVIDE ONGOING RECOMMENDATIONS RELATED TO OUTCOMES ACHIEVEMENT, PROGRAM DEVELOPMENT, PARTNERSHIP APPROACHES, AND OVERALL IMPLEMENTATION IMPROVEMENT.FOR SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THAT THE HOSPITAL HAS NOT PRIORITIZED AS FOCUS AREAS THROUGH ITS IMPLEMENTATION STRATEGY, THESE NEEDS WILL BE ADDRESSED BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS. BY COLLABORATING WITH OTHER LEADING ORGANIZATIONS, AND BY TAKING A SUPPORTER ROLE ON IDENTIFIED NEEDS THAT ARE BEYOND THE SCOPE OF THE HOSPITAL'S STRENGTHS.

BAD DEBT
PART III, LINES 2 & 4MEDSTAR HEALTH AND ITS AFFILIATED ORGANIZATIONS REPORT BAD DEBT EXPENSE IN ACCORDANCE WITH ASU 2011-07, WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). HOWEVER, MEDSTAR AND ITS AFFILIATED ENTITIES DO NOT MAKE A DETERMINATION AS TO WHETHER SELF PAY AMOUNTS ARE COLLECTIBLE IN DETERMINING REVENUE RECOGNITION. RESERVE MODELS, WHICH HAVE BEEN DEVELOPED BASED ON HISTORICAL COLLECTION RESULTS AND WHICH ARE ADJUSTED PERIODICALLY BASED ON ACTUAL COLLECTIONS EXPERIENCE, ARE USED TO ESTIMATE UNCOLLECTIBLE AMOUNTS ACROSS ALL PAYORS INCLUDING SELF PAY. BAD DEBT DETERMINATIONS ARE MADE ONLY AFTER SUFFICIENT EVIDENCE IS OBTAINED TO SUPPORT THAT AN AMOUNT IS NOT COLLECTIBLE.

MEDICARE
PART III, LINE 8THIS IS A COST-TO-CHARGE RATIO DETERMINED FROM OUR FINANCIAL REPORT.

DEBT COLLECTION POLICY
PART III, LINE 9BIF IT IS DETERMINED THAT A PATIENT MAY POTENTIALLY QUALIFY FOR A CHARITABLE/FINANCIAL PROGRAM, A HOLD IS PLACED ON THE ACCOUNT TO PREVENT IT FROM BEING REPORTED AS BAD DEBT UNTIL PROGRAM APPROVALS HAVE BEEN OBTAINED. IF IT IS APPROVED, THE ACCOUNT IS DOCUMENTED AND THE NECESSARY ADJUSTMENTS ARE MADE TO CLOSE THE ACCOUNT.

NEEDS ASSESSMENT
PART VI, LINE 2:IN FY21, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL (MGUH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. THE HOSPITAL'S CHNA AND THREE-YEAR IMPLEMENTATION STRATEGIES WERE ENDORSED BY MGUH'S BOARD OF DIRECTORS AND APPROVED BY THE MEDSTAR HEALTH BOARD OF DIRECTORS. THE DOCUMENT BECAME AVAILABLE ON THE HOSPITAL'S WEBSITE ON JUNE 30, 2021 AND WILL GUIDE PROGRAMMING PRIORITIES IN FISCAL YEARS 2022-2024.THE CATEGORIES HEALTH AND WELLNESS, ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH WERE USED TO DETERMINE WHAT PROGRAMMING TO PRIORITIZE FOR THE CHNA. TWO TO THREE STRATEGIES IN EACH CATEGORY WERE SELECTED AS PRIORITIES DUE TO THE SIZE AND SCALE OF IMPACT AND MEASURABLE OUTCOMES. ALL OTHER PROGRAMMING WAS INTEGRATED AS PART OF THE HOSPITAL'S OVERALL COMMUNITY HEALTH PORTFOLIO. THESE ADDITIONAL PROGRAMS WERE CAPTURED IN THE INVENTORY FOR THE WHOLE PICTURE OF CONTRIBUTING TO THE HEALTH OF THE COMMUNITIES SERVED AS WELL AS SORTED FOR WHAT COUNTS AS COMMUNITY BENEFIT FOR REGULATORY REPORTING.THE HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA (CBSA) IS BASED ON THE ADVISORY TASK FORCE (ATF) RECOMMENDATION. THE HOSPITAL IDENTIFIED DISTRICT OF COLUMBIA WARDS 7 AND 8 AS ITS CBSA, WHICH INCLUDES ALL RESIDENTS LIVING IN ZIP CODES 20011, 20019 AND 20002. THE HOSPITAL SELECTED THIS GEOGRAPHIC AREA BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL. THE ATF INCLUDED A DIVERSE GROUP OF INDIVIDUALS, INCLUDING HOSPITAL LEADERS, GRASSROOTS ACTIVISTS, COMMUNITY RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDER ORGANIZATIONS, SUCH AS REPRESENTATIVES FROM LOCAL HEALTH DEPARTMENTS.HEALTH PRIORITIES FOR THE CBSA INCLUDE HEALTH AND WELLNESS (CHRONIC DISEASE PREVENTION AND MANAGEMENT AND BEHAVIORAL HEALTH), ACCESS TO HEALTH CARE SERVICES (TRANSPORTATION AND ACCESS TO PROVIDERS, AFFORDABLE HEALTH CARE AND INSURANCE) AND SOCIAL DETERMINANTS OF HEALTH (HOUSING, EMPLOYMENT AND RACIAL DISCRIMINATION). AS A PROUD MEMBER OF MEDSTAR HEALTH, REPRESENTATIVES FROM THE HOSPITAL ROUTINELY PARTICIPATE IN THE MEDSTAR HEALTH COMMUNITY HEALTH WORKGROUP. THE WORKGROUP IS COMPRISED OF COMMUNITY HEALTH PROFESSIONALS WHO REPRESENT ALL TEN MEDSTAR HOSPITALS. THE TEAM ANALYZES LOCAL AND REGIONAL COMMUNITY HEALTH DATA, ESTABLISHES SYSTEM-WIDE COMMUNITY HEALTH PROGRAMMING PERFORMANCE AND EVALUATION MEASURES AND SHARES BEST PRACTICES.

AFFILIATED HEALTH CARE SYSTEM
PART VI, LINE 6AS A PROUD MEMBER OF MEDSTAR HEALTH, MGUH IS ABLE TO EXPAND ITS CAPACITY TO MEET THE NEEDS OF THE COMMUNITY BY PARTNERING WITH OTHER MEDSTAR HOSPITALS AND ASSOCIATED ENTITIES. MEDSTAR HEALTH RESOURCES ASSIST THE HOSPITAL IN COMMUNITY HEALTH PLANNING TO MEET THE NEEDS OF THE UNINSURED AND OTHER VULNERABLE POPULATIONS. THROUGH ITS COMMUNITY HEALTH FUNCTION, MEDSTAR HEALTH PROVIDES MGUH WITH TECHNICAL SUPPORT TO ENHANCE COMMUNITY HEALTH PROGRAMMING AND EVALUATION. MEDSTAR'S CORPORATE PHILANTHROPY DEPARTMENT IDENTIFIES AND SEEKS PUBLIC AND PRIVATE FUNDING SOURCES TO ENSURE THE AVAILABILITY OF HIGH-QUALITY HEALTH SERVICES, REGARDLESS OF ABILITY TO PAY.

STATE FILING OF COMMUNITY BENEFIT REPORT
PART VI, LINE 7THE COMMUNITY BENEFIT REPORT FOR MGUH IS FILED IN THE DISTRICT OF COLUMBIA.

PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
PART VI, LINE 3:AS ONE OF THE REGION'S LEADING NOT-FOR-PROFIT HEALTHCARE SYSTEMS, MEDSTAR HEALTH IS COMMITTED TO ENSURING THAT UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY CRITERIA, AND PATIENTS DETERMINED ELIGIBLE FOR PRESUMPTIVE ELIGIBILITY WITHIN THE COMMUNITIES WE SERVE WHO LACK FINANCIAL RESOURCES HAVE ACCESS TO MEDICALLY NECESSARY HOSPITAL SERVICES. MEDSTAR HEALTH HOSPITALS AND HOSPITAL BASED-PHYSICIAN PRACTICES WILL:. TREAT ALL PATIENTS EQUITABLY, WITH DIGNITY, RESPECT, AND COMPASSION. . SERVE THE EMERGENCY HEALTH CARE NEEDS OF EVERYONE WHO PRESENTS TO OUR MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES REGARDLESS OF A PATIENT'S ABILITY TO PAY FOR CARE.. ASSIST THOSE PATIENTS WHO ARE ADMITTED THROUGH OUR ADMISSION PROCESS FOR NON-URGENT, MEDICALLY NECESSARY CARE WHO CANNOT PAY FOR THE CARE THEY RECEIVE.. BALANCE NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP ITS HOSPITALS' DOORS OPEN FOR ALL WHO MAY NEED CARE IN THE COMMUNITY.IN MEETING ITS COMMITMENTS, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL WORK WITH THEIR PATIENTS SEEKING EMERGENCY AND MEDICALLY NECESSARY CARE TO GAIN AN UNDERSTANDING OF EACH PATIENT'S FINANCIAL RESOURCES. BASED ON THIS INFORMATION, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL MAKE ELIGIBILITY DETERMINATIONS FOR FINANCIAL ASSISTANCE FOR PATIENTS WHO RESIDE WITHIN THE COMMUNITIES THAT WE SERVE. IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, MEDSTAR HEALTH HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES WILL:. DETERMINE WHETHER THE PATIENT HAS HEALTH INSURANCE.. DETERMINE WHETHER THE PATIENT IS PRESUMPTIVELY ELIGIBLE FOR FREE OR REDUCED-COST CARE.. DETERMINE WHETHER UNINSURED PATIENTS ARE ELIGIBLE FOR PUBLIC OR PRIVATE HEALTH INSURANCE. . TO THE EXTENT POSSIBLE, OFFER ASSISTANCE TO UNINSURED PATIENTS IF THE PATIENT CHOOSES TO APPLY FOR PUBLIC OR PRIVATE HEALTH INSURANCE.. TO THE EXTENT PRACTICABLE, DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR OTHER PUBLIC PROGRAMS THAT MAY ASSIST WITH HEALTH CARE COSTS. . USE INFORMATION IN THE POSSESSION OF THE HOSPITAL, IF AVAILABLE, TO DETERMINE WHETHER THE PATIENT IS QUALIFIED FOR FREE OR REDUCED-COST CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.MEDSTAR HEALTH WILL WIDELY PUBLICIZE THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:. PROVIDING ACCESS TO THE MEDSTAR FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND MEDSTAR PATIENT INFORMATION SHEET ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST.. PROVIDING HARD COPIES OF THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND MEDSTAR PATIENT INFORMATION SHEET TO PATIENTS UPON REQUEST BY MAIL AND WITHOUT CHARGE.. PROVIDING NOTIFICATION AND INFORMATION ABOUT THE MEDSTAR FINANCIAL ASSISTANCE POLICY BY:* OFFERING COPIES AS PART OF ALL REGISTRATION OR DISCHARGES PROCESSES AND ANSWERING QUESTIONS ON HOW TO APPLY FOR ASSISTANCE.* PROVIDING WRITTEN NOTICES ON BILLING STATEMENTS.* DISPLAYING MEDSTAR FINANCIAL ASSISTANCE POLICY INFORMATION AT ALL HOSPITAL REGISTRATION POINTS, INCLUDING THE BUSINESS OFFICE, INFORMING PATIENTS OF THEIR RIGHTS TO APPLY FOR FINANCIAL ASSISTANCE AND WHO TO CONTACT AT THE HOSPITAL FOR ADDITIONAL INFORMATION. * TRANSLATING THE MEDSTAR FINANCIAL ASSISTANCE POLICY, MEDSTAR UNIFORM FINANCIAL ASSISTANCE APPLICATION, AND THE MEDSTAR PATIENT INFORMATION SHEET INTO PRIMARY LANGUAGES THAT CONSTITUTE THE LESSER OF 1000 INDIVIDUALS OR 5% OF THE OVERALL POPULATION WITHIN THE CITY OR COUNTY IN WHICH THE HOSPITAL IS LOCATED AS MEASURED BY THE MOST RECENT CENSUS.. MEDSTAR HEALTH WILL PROVIDE PUBLIC NOTICES YEARLY IN LOCAL NEWSPAPERS SERVING ALL HOSPITAL TARGET POPULATIONS.THE MEDSTAR HEALTH PATIENT INFORMATION SHEET SHALL BE PROVIDED TO THE PATIENT, THE PATIENT'S FAMILY, OR THE PATIENT'S AUTHORIZED REPRESENTATIVE: . BEFORE DISCHARGE;. WITH THE HOSPITAL BILL; . ON REQUEST; AND . IN EACH WRITTEN COMMUNICATION TO THE PATIENT REGARDING COLLECTION OF THE HOSPITAL BILL.MEDSTAR HEALTH WILL PROVIDE A FINANCIAL ASSISTANCE PROBABLE AND LIKELY ELIGIBILITY DETERMINATION TO THE PATIENT WITHIN TWO BUSINESS DAYS FROM RECEIPT OF THE INITIAL MEDSTAR HEALTH UNIFORM FINANCIAL ASSISTANCE APPLICATION. FINAL ELIGIBILITY DETERMINATIONS ARE MADE AND COMMUNICATED TO THE PATIENT BASED ON RECEIPT AND REVIEW OF A COMPLETED APPLICATION. MEDSTAR HEALTH BELIEVES THAT ITS PATIENTS HAVE PERSONAL RESPONSIBILITIES RELATED TO THE FINANCIAL ASPECTS OF THEIR HEALTHCARE NEEDS. FINANCIAL ASSISTANCE AND PERIODIC PAYMENT PLANS AVAILABLE UNDER THIS POLICY WILL NOT BE AVAILABLE TO THOSE PATIENTS WHO FAIL TO FULFILL THEIR RESPONSIBILITIES. FOR PURPOSES OF THIS POLICY, PATIENT RESPONSIBILITIES INCLUDE: . COMPLY WITH PROVIDING THE NECESSARY FINANCIAL DISCLOSURE FORMS TO EVALUATE THEIR ELIGIBILITY FOR PUBLICLY-FUNDED HEALTHCARE PROGRAMS, CHARITY CARE PROGRAMS, AND OTHER FORMS OF FINANCIAL ASSISTANCE. THESE DISCLOSURE FORMS MUST BE COMPLETED ACCURATELY, TRUTHFULLY, AND TIMELY TO ALLOW MEDSTAR HEALTH'S FACILITIES TO PROPERLY COUNSEL PATIENTS CONCERNING THE AVAILABILITY OF FINANCIAL ASSISTANCE. . WORKING WITH MEDSTAR HOSPITAL PATIENT ADVOCATES AND PATIENT FINANCIAL SERVICES STAFF TO ENSURE THERE IS A COMPLETE UNDERSTANDING OF THE PATIENT'S FINANCIAL SITUATION AND CONSTRAINTS. . MAKING APPLICABLE PAYMENTS FOR SERVICES IN A TIMELY FASHION, INCLUDING ANY PAYMENTS MADE PURSUANT TO DEFERRED AND PERIODIC PAYMENT SCHEDULES. . PROVIDING UPDATED FINANCIAL INFORMATION TO MEDSTAR HOSPITAL PATIENT ADVOCATES OR CUSTOMER SERVICE REPRESENTATIVES ON A TIMELY BASIS AS THE PATIENT'S FINANCIAL CIRCUMSTANCES MAY CHANGE. . IT IS A PATIENT'S RESPONSIBILITY, DURING THEIR 12-MONTH ELIGIBILITY PERIOD, TO NOTIFY MEDSTAR HEALTH OF THEIR EXISTING HOUSEHOLD ELIGIBILITY FOR FREE CARE, REDUCED COST-CARE, AND/OR ELIGIBILITY UNDER FINANCIAL HARDSHIP PROVISIONS FOR MEDICAL NECESSARY CARE RECEIVED DURING THE 12-MONTH ELIGIBILITY PERIOD.. IN THE EVENT A PATIENT FAILS TO MEET THESE RESPONSIBILITIES, MEDSTAR RESERVES THE RIGHT TO PURSUE ADDITIONAL BILLING AND COLLECTION EFFORTS. IN THE EVENT OF NON-PAYMENT BILLING, AND COLLECTION EFFORTS ARE DEFINED IN THE MEDSTAR BILLING AND COLLECTION POLICY. A FREE COPY IS AVAILABLE ON ALL HOSPITAL WEBSITES AND PATIENT PORTALS VIA THE FOLLOWING URL: WWW.MEDSTARHEALTH.ORG/FINANCIALASSISTANCE, OR BY CALLING CUSTOMER SERVICE AT 1-800-280-9006.PATIENTS OF MEDSTAR HEALTH'S HOSPITALS AND HOSPITAL-BASED PHYSICIAN PRACTICES MAY BE ELIGIBLE FOR FULL FINANCIAL ASSISTANCE OR PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE AS SET FORTH UNDER THIS POLICY. THE PATIENT ADVOCATE AND PATIENT FINANCIAL SERVICES STAFF WILL DETERMINE ELIGIBILITY FOR FULL FINANCIAL ASSISTANCE AND PARTIAL SLIDING-SCALE FINANCIAL ASSISTANCE BASED ON REVIEW OF INCOME FOR THE PATIENT AND THEIR FAMILY (HOUSEHOLD), OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT'S FAMILY, FAMILY SIZE, AND THE EXTENT OF THE MEDICAL COSTS TO BE INCURRED BY THE PATIENT.

COMMUNITY INFORMATION
PART VI, LINE 4GEOGRAPHIC:THE HOSPITAL IDENTIFIED DISTRICT OF COLUMBIA WARDS 4, 5, 6 AND 7 AS ITS CBSA, SPECIFICALLY, RESIDENTS LIVING IN ZIP CODES 20002, 20011, 20019. THE HOSPITAL SELECTED THIS GEOGRAPHIC AREA BASED ON HOSPITAL UTILIZATION DATA AND SECONDARY PUBLIC HEALTH DATA AS WELL AS ITS PROXIMITY TO THE HOSPITAL WITH THE GOAL OF EXPANDING SERVICES AND PROGRAMS TO VULNERABLE POPULATIONS, SUCH AS THE UNDERINSURED, UNINSURED, AND LOW-INCOME.DEMOGRAPHICS:IN WASHINGTON, DC, 4% OF THE POPULATION IS UNINSURED AND 314,702 ARE MEDICAID RECIPIENTS. ACCORDING TO THE COUNTY HEALTH RANKINGS, THE LIFE EXPECTANCY IN THE DISTRICT OF COLUMBIA IS 78 YEARS, 14% OF ADULTS SMOKE, 28% OF ADULTS ARE OBESE, 15% ARE IN POOR OR FAIR HEALTH, 10% ARE FOOD INSECURE, AND 24% OF ADULTS DRINK EXCESSIVELY. ADDITIONALLY, 47% OF CHILDREN RESIDE IN SINGLE-PARENT HOUSEHOLDS AND 22% LIVE IN POVERTY.THE COMMUNITIES THE ORGANIZATION SERVES INCLUDE: ZIP CODE 20002 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 52,370 PEOPLE AND THE AVERAGE INCOME IS $65,000. THE COMMUNITIES INCLUDE 5,851 HOUSEHOLDS WITH RESIDENTS WITH INCOMES BELOW $25,000, WHICH IS JUST ABOVE THE POVERTY GUIDELINE FOR A THREE-PERSON HOUSEHOLD. THIS COMMUNITY COVERS AREAS IN WARDS 4 AND 5 WHICH HAS A TOTAL OF 5 HOSPITALS, HOWEVER, THERE IS ONLY 1 HOSPITAL SERVING THE COMMUNITY IN THIS ZIP CODE. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING PRIMARY CARE SPECIALTY. MORE THAN 62% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 31.8% ARE WHITE. SIXTY-FOUR PERCENT OF HOUSEHOLDS REPORT BEING SINGLE HOUSEHOLDS, WITH 24% BEING SINGLE GUARDIAN FAMILIES. IN TERMS OF EDUCATIONAL ATTAINMENT, 49% OF RESIDENTS IN THIS ZIP CODE HAVE A HIGH SCHOOL DIPLOMA OR LESS. ZIP CODE 20011 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 58,536 PEOPLE AND THE AVERAGE INCOME IS $54,488. THE COMMUNITIES INCLUDE 5,546 HOUSEHOLDS WITH RESIDENTS WITH INCOMES BELOW $25,000. THIS COMMUNITY COVERS AREAS IN WARDS 4 AND 5 WHICH HAS A TOTAL OF 5 HOSPITALS, HOWEVER, THERE IS ONLY 1 HOSPITAL SERVING THE COMMUNITY IN THIS ZIP CODE. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING PRIMARY CARE SPECIALTY. SIXTY-SIX PERCENT OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND 14.8% ARE WHITE. SIXTY-THREE PERCENT OF FAMILIES ARE SINGLE FAMILY HOMES, WITH 28% OF FAMILIES LED BY A SINGLE GUARDIAN. RESIDENTS IN THIS ZIP CODE EARN LESS THAN OTHER PARTS OF THE CITY AND THEY USE PUBLIC TRANSPORTATION TO GET TO WORK MORE THAN ALMOST ANY PART OF THE COUNTRY. ADDITIONALLY, MOST WORKING RESIDENTS IN THIS ZIP CODE HAVE LONG COMMUTE TIMES TO WORK (OVER 45 MINUTES) INDICATING THEY LIVE FAR FROM WORK OR EXPERIENCE BAD TRAFFIC DURING COMMUTES. ONLY SIXTY-TWO PERCENT OF RESIDENTS HAVE ATTAINED A HIGH SCHOOL DIPLOMA OR LESS, YET DESPITE HAVING A HIGH PERCENTAGE OF RESIDENTS WITH LOWER EDUCATION LEVELS, THIS ZIP CODE HAS SOME OF THE HIGHEST LEVELS OF COLLEGE DEGREES COMPARED TO ANY ZIP CODE, WITH 35% ATTAINING A BACHELOR'S DEGREE OR HIGHER (MASTERS THROUGH DOCTORATE). ZIP CODE 20019 IS AN URBAN GEOGRAPHIC SERVICE AREA. THERE ARE 54,358 PEOPLE AND THE AVERAGE INCOME IS $34,832. THE COMMUNITIES INCLUDE 8,683 HOUSEHOLDS WITH RESIDENTS WITH INCOMES BELOW $25,000. THIS COMMUNITY IS LOCATED IN WARD 7 AND ALTHOUGH THERE ARE HOSPITALS IN NEIGHBORING WARDS, THERE ARE NO HOSPITALS SERVING THE COMMUNITY IN THIS WARD. THERE ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS PRESENT IN THE COMMUNITY INCLUDING PRIMARY CARE SPECIALTY. MORE THAN 95.6% OF RESIDENTS ARE BLACK OR AFRICAN AMERICAN AND ABOUT 1.1% ARE WHITE. FORTY-THREE PERCENT OF FAMILIES INCLUDE A SINGLE GUARDIAN, AND THIS ZIP CODE BOASTS A MUCH LARGER NUMBER OF CHILDREN UNDER 18 WHEN COMPARED TO OTHER AREAS OF THE COUNTRY. FORTY-TWO PERCENT OF RESIDENTS IN THIS ZIP CODE RELY ON PUBLIC TRANSPORTATION TO WORK AND EXPERIENCE LONGER COMMUTE TIMES THAN MOST AREAS IN THE COUNTRY, WITH EXPECTED COMMUTE TIMES OVER 45 MINUTES. THIS ZIP CODE HAS A MUCH HIGHER PERCENTAGE OF PEOPLE WITH LOW EDUCATION LEVELS, HIGHER THAN MOST AREAS IN THE COUNTRY, WITH 82.2% EARNING A HIGH SCHOOL DIPLOMA OR LESS.

PROMOTION OF COMMUNITY HEALTH
PART VI, LINE 5:AS A COMMUNITY PARTNER, MGUH ENGAGES IN SEVERAL COMMUNITY BENEFIT ACTIVITIES TO IMPROVE AND PROMOTE THE HEALTH AND WELLBEING OF THE COMMUNITY. PRIORITY AREAS, AS DETERMINED BY THE CHNA, FALL UNDER THREE AREAS OF FOCUS INCLUDING HEALTH AND WELLNESS, ACCESS TO CARE, AND SOCIAL DETERMINANTS OF HEALTH. PROGRAMS INCLUDE (BUT ARE NOT LIMITED TO):HEALTH AND WELLNESSMGUH EXECUTED THREE PROGRAMS THROUGH THE COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS (CPFHW) INITIATIVE: THE KIDS MOBILE MEDICAL CLINIC, THE MOBILE FITNESS PROGRAM AND SCHOOL BASED HEALTH CLINICS AT TWO HIGH SCHOOL SITES IN WARDS 4 AND 8. COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS DELIVERED THESE EVIDENCE-BASED, OUTCOME-FOCUSED CHRONIC DISEASE MANAGEMENT AND PREVENTION PROGRAMS IN, OR TARGETED INDIVIDUALS LIVING IN, MGUH'S CBSA. THE MOBILE FITNESS (FUN IN TEACHING NUTRITION AND EXERCISE TO SUCCESSFUL STUDENTS) PROGRAM IS A HEALTHY WEIGHT AND ACTIVITY MANAGEMENT PROGRAM LED BY A MULTIDISCIPLINARY TEAM INCLUDING A PEDIATRICIAN, EXERCISE PHYSIOLOGIST, REGISTERED DIETITIAN, AND COMMUNITY HEALTH EDUCATOR. THE FITNESS PROGRAM AIMS TO ENGAGE STUDENTS AND FAMILIES IN HEALTHIER NUTRITION AND PHYSICAL ACTIVITY HABITS, TO REDUCE THE BURDEN OF CHRONIC DISEASE AND IMPROVE QUALITY OF LIFE. DUE TO COVID-19, FITNESS PIVOTED AND CONDUCTED VIRTUAL NUTRITION AND PHYSICAL ACTIVITY PROGRAMMING INCLUDING YOGA AND MINDFULNESS VIDEOS BY AN EXERCISE PHYSIOLOGIST AND A VIRTUAL COOKING MATTERS PROGRAM FOR THE SBHC TEEN PARENTS LED BY A HEALTH EDUCATOR. THE CPFHW ALSO CONTINUED THE HEALTHY CHILDREN AND FAMILIES INITIATIVE TO BETTER SUPPORT FAMILIES IN NEED DURING THESE CHALLENGING TIMES BY PROVIDING WEEKLY NUTRITIOUS MEALS AND GROCERY BOXES FOR ELIGIBLE FAMILIES WITH CHILDREN. THROUGH THIS PROGRAM, 542 BMI SCREENINGS WERE CONDUCTED. OVER THE COURSE OF THE YEAR, 201 PARTICIPANTS RECEIVED EDUCATIONAL INFORMATION AND WEEKLY DELIVERIES OF HOT MEALS AND GROCERY BOXES. THE KIDS MOBILE MEDICAL CLINIC PROVIDES OUTPATIENT SERVICES TO CHILDREN AND ADOLESCENTS LIVING IN THE UNDERSERVED COMMUNITIES OF WASHINGTON, D.C., WHO ARE AT RISK OR HAVE POOR ACCESS TO COMPREHENSIVE PEDIATRIC HEALTH CARE SERVICES. THIS PROGRAM FOCUSES ON THE FIVE PILLARS OF HEALTH MODEL INCLUDING ORAL, NUTRITION, PHYSICAL, MENTAL, AND SOCIAL DETERMINANTS OF HEALTH. THE KIDS MOBILE MEDICAL CLINIC SERVED 516 UNIQUE PATIENTS; AND COMPLETED 449 SOCIAL DETERMINANTS OF HEALTH SCREENINGS.PHYSICIANS ASSIST AT SAFETY-NET CLINICS AND SCHOOL-BASED HEALTH CENTERS. SCHOOL-BASED HEALTH CENTERS AIM TO IMPROVE ACCESS TO CARE FOR MEDICALLY VULNERABLE ADOLESCENTS BY CREATING AN ADOLESCENT-FRIENDLY WELLNESS ENVIRONMENT. THE WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL IS IMPLEMENTED BY ENSURING ACCESS TO ADOLESCENT HEALTH, PRIMARY CARE, MENTAL HEALTH SCREENINGS AND HEALTH EDUCATION. IN FY22, SCHOOL BASED HEALTH CENTERS PROVIDED HEALTH CARE SERVICES TO 1,739 STUDENTS, THROUGH 1,492 PATIENT VISITS, AND PROVIDED 1,313 BLOOD PRESSURE SCREENINGS FOR STUDENTS. THESE CLINICS CONTINUED TO PROVIDE INTENSIVE CASE MANAGEMENT, CARE COORDINATION AND TELEHEALTH SERVICES FOR STUDENTS DESPITE COVID-19.STAFF PARTICIPATE IN COMMUNITY HEALTH EVENTS SUCH AS HEALTH FAIRS, FESTIVALS, AND EXPOSITIONS WHERE SCREENINGS ARE PERFORMED, AND HEALTH INFORMATION IS SHARED. OUTREACH IS ALSO PROVIDED IN-PERSON AND VIRTUALLY, HOSPITAL STAFF SHARE THEIR KNOWLEDGE WITH THE COMMUNITY THROUGH ENGAGING INTERVIEWS, SEMINARS, BLOGS, AND VIDEOS.THE GOAL OF THE SCREENING BRIEF INTERVENTION, REFERRAL TO TREATMENT (SBIRT) PROGRAM, WHICH LAUNCHED IN FEBRUARY 2021, IS TO IDENTIFY PEOPLE WITH AT-RISK AND DEPENDENT SUBSTANCE AND/OR ALCOHOL USE BEHAVIORS, AND TO PROVIDE BRIEF EARLY INTERVENTION SERVICES TO THOSE WHO SCREEN POSITIVELY FOR RISKY DRUG AND ALCOHOL USE. MEDSTAR GEORGETOWN'S SBIRT PROGRAM IS OPERATED WITHIN THE EMERGENCY DEPARTMENT IN COLLABORATION WITH A COMMUNITY-BASED OVERDOSE SURVIVOR OUTREACH PROGRAM (OSOP) RECOVERY COACH, LINKING OVERDOSE SURVIVORS INTO CARE. IN FY22, A TOTAL OF 18,707 SCREENS WERE COMPLETED IN THE ED, OF WHICH 1,174 SCREENED POSITIVELY AND WERE REFERRED TO TREATMENT. ACCESS TO CAREMGUH PARTNERS WITH DISTRICT OF COLUMBIA PRIMARY CARE ASSOCIATION (DCPCA) TO IMPROVE ACCESS TO HEALTH SERVICES AMONG PATIENTS BY INCREASING CANCER SCREENING RATES FOR UNDERSERVED PATIENTS IN DC. THROUGH THE CANCER SCREENING & PATIENT NAVIGATION PROGRAM, PATIENTS ARE SCREENED FOR BREAST, COLORECTAL AND CERVICAL CANCER. IN FY22, A TOTAL OF 3,213 INDIVIDUALS PARTICIPATED IN CANCER SCREENINGS AND PATIENT NAVIGATION SERVICES. OF THOSE, 1,782 RECEIVED COLORECTAL SCREENINGS AND 1,431 RECEIVED BREAST CANCER SCREENINGS. ALTHOUGH PATIENT SCREENING IS THE PRIMARY FOCUS, NAVIGATING PATIENTS THROUGH ONGOING MEDICAL CARE IS A KEY PRIORITY FOR IMPROVING OVERALL HEALTH OUTCOMES. PATIENTS ALSO RECEIVE ONE-ON-ONE SUPPORT FROM TWO FULL TIME CANCER PATIENT NAVIGATORS FUNDED BY MGUH.IN RESPONSE TO COVID-19, MGUH CONTINUED TO EXPAND ACCESS TO CARE BY OFFERING INNOVATIVE PROGRAMS AND SERVICES THAT ALLOWED PATIENTS TO RECEIVE CARE FROM THEIR HOMES, REDUCING BARRIERS ASSOCIATED WITH TRANSPORTATION AND OTHER DETERRENTS. THROUGH THE TELEHEALTH PROGRAM, MGUH PROVIDED A TOTAL OF 25,420 VIRTUAL HEALTH VISITS, OF WHICH 10,928 WERE RESIDENTS OF THE DISTRICT OF COLUMBIA. ADDITIONALLY, THE HOMECARE NURSE PRACTITIONER PROGRAM PROVIDED SERVICES TO OVER 51 PARTICIPANTS. THE HOYA CLINICS, ON-SITE CLINICS PROVIDING CARE TO INDIGENT AND HOUSELESS COMMUNITY MEMBERS, EXPANDED SERVICES TO A NEW LOCATION, THE HARRIET TUBMAN SHELTER, FOCUSED ON FOOT CARE. COMBINED, BOTH CLINICS, PROVIDED CARE TO OVER 166 PATIENTS IN NEED. MGUH AND MWHC PARTNERED TO ADDRESS THE MATERNAL AND INFANT HEALTH CRISIS IN THE DISTRICT, THROUGH THE DC SAFE BABIES, SAFE MOMS INITIATIVE. IN PARTNERSHIP WITH A. JAMES & ALICE B. CLARK FOUNDATION D.C, THIS COLLABORATIVE VENTURE IS FULFILLING AN ESSENTIAL NEED TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES IN THE NATION'S CAPITAL, AN AREA THAT CURRENTLY RANKS AMONG THE LOWEST RATED IN THE UNITED STATES. THIS INITIATIVE IS A COMBINED EFFORT AMONG FOUR MEDSTAR HEALTH CLINICAL PROGRAMS TO CREATE A VARIETY OF SERVICES AND PROGRAMS THAT ADDRESS THE NEEDS FACING PREGNANT WOMEN, AS WELL AS THEIR INFANTS AND TODDLERS. SERVICES INCLUDE EVERYTHING FROM DIABETES CONTROL AND MENTAL HEALTH SERVICES FOR MOTHERS AS WELL AS PRENATAL AND POSTPARTUM CARE, BREAST FEEDING, HEALTH SCREENINGS, AND NUTRITION. IN FY22, 13,623 PARTICIPANTS WERE SERVED. SOCIAL DETERMINANTS OF HEALTHTHE HOSPITAL PARTNERS WITH UBER HEALTH TO PROMOTE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THROUGH THIS PARTNERSHIP, RIDES ARE PROVIDED TO PATIENTS AND/OR FAMILIES WITH FINANCIAL NEED. THE TRANSPORTATION ASSISTANCE ENABLES PATIENTS TO ATTEND NECESSARY APPOINTMENTS WITH THEIR HEALTH CARE PROVIDERS. THROUGH THIS PARTNERSHIP, MGUH PROVIDED 6,097 UBER RIDES IN FY22. SOCIAL NEEDS SCREENINGS ARE PROVIDED TO SCREEN FOR FOOD AND HOUSING INSECURITY, AND BARRIERS RELATED TO TRANSPORTATION, EMPLOYMENT, AND UTILITIES. IDENTIFIED NEEDS ARE ADDRESSED BY CONNECTING THE PARTICIPANT TO SOCIAL SERVICES AND OTHER RESOURCES IN THE COMMUNITY. OUR COMMUNITY PARTNER, AUNT BERTHA (FIND HELP), PROVIDES AN ONLINE PLATFORM THAT ALLOWS STAFF TO TRACK AND MANAGE REFERRALS WITH LOCAL NONPROFIT GROUPS. MGUH ALSO PARTNERS WITH GEORGETOWN UNIVERSITY'S HEALTH JUSTICE ALLIANCE TO CONDUCT SOCIAL NEEDS SCREENINGS AND SUPPORT LINKAGES TO SOCIAL NEED SERVICES AS PART OF CARE DELIVERY AND CHRONIC DISEASE SELF-MANAGEMENT THROUGH THE COMMUNITY PEDIATRIC AND FAMILY HEALTH & WELLNESS PROGRAMMING. THE HEALTH JUSTICE ALLIANCE IS A MEDICAL-LEGAL PARTNERSHIP FOLLOWING AN INTER-PROFESSIONAL HEALTHCARE DELIVERY MODEL THAT EMBEDS LEGAL SERVICES IN HEALTHCARE SETTINGS TO HELP DOCTORS AND HEALTHCARE PROFESSIONALS ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT CONTRIBUTE TO POOR HEALTH AND HEALTH DISPARITIES.