4A (Expenses $ 22575985 including grants of $ 65562) (Revenue $ 22164014)
CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY OPERATED GEORGE H. LANIER MEMORIAL HOSPITAL (HOSPITAL), GEORGE H. LANIER NURSING HOME, AND LANIER HOME HEALTH SERVICE. THE HOSPITAL PROVIDED EMERGENCY SERVICES, AN ENDOSCOPY UNIT, SURGERY UNIT, CATH LAB, CARDIAC REHAB, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RADIOLOGY LAB AND SLEEP DISORDERS LAB. THE HOSPITAL IS A LICENSED 115-BED NOT-FOR-PROFIT ACUTE CARE FACILITY PRIMARILY SERVING CHAMBER COUNTY, ALABAMA AND WEST POINT, GEORGIA. SERVICES PROVIDED INCLUDE GENERAL SURGERY, CARDIOLOGY, GENERAL MEDICINE, GASTROENTEROLOGY, PULMONARY, EMERGENCY MEDICINE, IMAGING/RADIOLOGY, DIALYSIS, AMBULATORY SURGERY AND SWING BED. THE GEORGE H. LANIER NURSING HOME IS A 103-BED SKILLED NURSING FACILITY.

FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 3
TO HELP GUIDE THE PROCESS USED FOR THE ASSESSMENT, A CHNA STEERING COMMITTEE WITH REPRESENTATIVES FROM LANIER HEALTH SERVICES WAS FORMED. THIS COMMITTEES ROLE WAS TO PROVIDE INPUT ON: (A) IDENTIFICATION OF EXISTING DATA SOURCES FOR THE STUDY; (B) CONTENT OF THE COMMUNITY MEMBER SURVEY; (C) INTERPRETATION OF SURVEY FINDINGS; (D) REVIEW OF RECOMMENDATIONS, AND; (E) A FOLLOW-UP PLAN. THE CHNA STEERING COMMITTEE ALSO ENSURED THAT INFORMATION FROM OTHER LOCAL HEALTH ASSESSMENTS WAS INTEGRATED INTO THE CHAMBERS COUNTY, ALABAMA CHNA. IN ADDITION TO THE CHNA STEERING COMMITTEE, AN ADVISORY COMMITTEE WAS CONVENED WITH REPRESENTATION FROM A DIVERSE GROUP OF STAKEHOLDERS TO ENSURE THAT THE DATA COLLECTED WOULD MEET THE NEEDS OF CHAMBERS COUNTYS POPULATION. COMMITTEE MEMBERS REPRESENTED PUBLIC HEALTH, LOCAL CITY GOVERNMENT, BUSINESSES, COUNTY SCHOOL HEALTH, PHYSICIANS AND COMMUNITY SERVICE ORGANIZATIONS. THE ADVISORY COMMITTEE PROVIDED CRITICAL INPUT INTO THE NEEDS ASSESSMENT, FROM INITIAL CONCEPT TO HOW THE DATA WOULD BE SHARED WITH COMMUNITIES.

FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 5C
ALL THE PARTICIPATING COMMITTEE MEMBERS WERE PROVIDED COPIES OF THE FULL DOCUMENT FOR THEIR RESPECTIVE ORGANIZATIONS. THE DOCUMENT IS LOCATED ON THE HOSPITAL'S WEBSITE AT HTTP://WWW.LANIERHOSPITAL.COM/PDF/CHNAR041113.PDF

FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 6I
IN APRIL 2013, THE BOARD APPROVED THE CHNA REPORT AND STRATEGIES WERE DISCUSSED AT THAT TIME REGARDING THE HEALTH NEEDS OF THE COMMUNITY. HOWEVER, THROUGH AN OVERSIGHT, THIS STRATEGY DISCUSSION WAS NOT FORMALIZED INTO A WRITTEN IMPLEMENTATION PLAN. AT THE TIME, THE BOARD AND MANAGEMENT WERE IN THE MIDDLE OF NEGOTIATIONS WITH EAST ALABAMA MEDICAL CENTER IN OPELIKA, ALABAMA TO FORM AN AFFILIATION WHICH WAS ANNOUNCED AND BEGUN IN DECEMBER AND WHICH REACHED FINAL CLOSING IN JANUARY 2014. A WRITTEN IMPLEMENTATION PLAN HAS SINCE BEEN APPROVED BY THE BOARD AND IS ATTACHED.

FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 7
CERTAIN NEEDS IDENTIFIED IN THE 2013 CHNA ARE NOT ADDRESSED BECAUSE EITHER THE ORGANIZATION ADDRESSES THE NEED BUT CURRENTLY HAS NO PLANS TO EXPAND SERVICES, OTHER PROVIDERS ARE ALREADY ADDRESSING THE NEEDS, AND THE NEED IDENTIFIED IS BEYOND THE SCOPE OF THE ORGANIZATION.

FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 14G
THE HOSPITAL'S SOCIAL WORKER REVIEWS CRITERIA AND ELIGIBILITY WITH ALL SELF PAY PATIENTS ADMITTED TO THE HOSPITAL.

FACILITY 1, CHATTAHOOCHEE VALLEY HOSPITAL SOCIE - PART V, LINE 20D
THE ORGANIZATION BILLS SELF PAY PATIENTS BASED ON ESTABLISHED CHARGES AND OFFERS A 50% DISCOUNT IF PAID WITHIN 30 DAYS. AFTER 30 DAYS, THE DISCOUNT IS CALCULATED AT A SLIDING RATE BASED ON DAYS TO RECEIPT OF PAYMENT. ULTIMATELY, CHARGES FOR SELF PAY PATIENTS ARE REDUCED TO THE AVERAGE NEGOTIATED CHARGE FOR AN INSURED PATIENT.

PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION
COSTS FOR PART I, LINE 7A, 7B AND 7C WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. SEE ALSO THE EXPLANATION FOR PART III LINE 4.

PART II - COMMUNITY BUILDING ACTIVITIES
THE ORGANIZATION PROMOTES COMMUNITY HEALTH BY OFFERING HEALTH FAIRS, EDUCATION IN THE FORM OF LECTURES, SEMINARS, AND BROCHURES, PARTICIPATION IN COMMUNITY SPONSORED EVENTS.

PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY
AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.

BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS
ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SOCIETY ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SOCIETY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLES, DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SOCIETY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE SOCIETY'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED APPROXIMATELY 1% FROM 81% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2013, TO 82% OF SELF-PAY ACCOUNTS RECEIVABLE AT JANUARY 31, 2014. HOWEVER, THE SOCIETY'S SELF-PAY WRITEOFFS DECREASED APPROXIMATELY 4,300,000 FROM 8,800,000 FOR JUNE 30, 2013 TO 4,500,000 FOR JANUARY 31, 2014, DUE TO THE SHORTER REPORTING PEIROD IN 2014. THE SOCIETY HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE PERIOD ENDED JANUARY 31, 2014 OR THE YEAR ENDED JUNE 30, 2013.

PART III, LINE 8 - MEDICARE EXPLANATION
MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.

PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION
COLLECTION ATTEMPTS ON ALL ACCOUNTS ARE MADE BY THE HOSPITAL WITHIN THE FIRST 90 DAYS. AFTER AN ACCOUNT GOES BEYOND 90 DAYS, THE ACCOUNT IS SENT TO A COLLECTION AGENCY. THE ACCOUNT STAYS WITH THE COLLECTION AGENCY FOR APPROXIMATELY 4 MONTHS AND IF NOT COLLECTED, THE ACCOUNT IS SENT BACK TO THE HOSPITAL AND WRITTEN OFF AS A BAD DEBT.

PART VI, LINE 2 - NEEDS ASSESSMENT
"IN FEBRUARY, 2013, LANIER HEALTH SERVICES CONDUCTED A COMMUNITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT WAS DESIGNED TO IDENTIFY THE HOSPITALS PRIMARY MARKET AREA BY COUNTY AND CITY USING VALID HEALTH INDICATORS AND COMPARATIVE INFORMATION. IT WAS ALSO DESIGNED TO PROVIDE THE COMMUNITYS PUBLIC AND PRIVATE HEALTH PROVIDERS WITH INFORMATION TO ASSESS ESSENTIAL PUBLIC HEALTH, PREVENTIVE CARE AND MEDICAL SERVICES. ADDITIONALLY, THE ASSESSMENT IDENTIFIES KEY SERVICES WHERE BETTER INTEGRATION OF PUBLIC HEALTH AND HEALTH CARE CAN IMPROVE ACCESS, QUALITY AND COST EFFECTIVENESS. THIS PROJECT REPRESENTS LANIER HEALTH SERVICES COLLABORATIVE EFFORTS TO SHARE INFORMATION THAT CAN LEAD TO IMPROVED HEALTH STATUS AND QUALITY OF CARE AVAILABLE TO THE HOSPITALS PRIMARY MARKET AREA RESIDENTS, WHILE BUILDING UPON AND STRENGTHENING ITS EXISTING INFRASTRUCTURE OF SERVICES AND PROVIDERS. WE USE THE STATE DEPARTMENT OF PUBLIC HEALTH'S ANNUAL STATISTICAL REPORT TO LOOK AT THE HEALTHCARE NEEDS OF CHAMBERS COUNTY AND EVALUATE SERVICES NEEDED OR PROVIDED IN RESPONSE TO THAT REPORT. OUR BOARD OF TRUSTEES ALSO REVIEWS AND DISCUSSES SERVICES AS PART OF OUR ANNUAL STRATEGIC PLAN UPDATE. PROGRESS TOWARDS CHNA IMPLEMENTATION PLAN: IN FEBRUARY OF 2013, LANIER HEALTH SERVICES PARTNERED WITH MANY AREA ORGANIZATIONS AND INDIVIDUALS TO TRY AND CHANGE THE APPROACH OF LOCAL HEALTHCARE TO BE MORE OF A COORDINATED AND COLLABORATIVE PROCESS. THE OVERALL GOAL WAS TWO-FOLD: FIRST, TO IDENTIFY THE PRIMARY MARKET AREA AND THE SPECIFIC HEALTHCARE NEEDS IN THAT MARKET AREA; AND SECONDLY, TO COMMUNICATE KEY SERVICES THAT MAY INTEGRATE PUBLIC HEALTH AND HEALTHCARE IN THE MARKET AREA LEADING TO IMPROVED HEALTH STATUS AND QUALITY OF CARE AND PATIENT SAFETY. LANIER HEALTH SERVICES' COMMUNITY HEALTH NEEDS ASSESSMENT WAS FINALIZED APRIL 2014 AND IS POSTED ON THE HOSPITAL'S WEBSITE (WWW.LANIERHOSPITAL.COM) AND IN PUBLIC AREAS OF THE HOSPITAL. THE CORE LEADERSHIP TEAM WAS IDENTIFIED FEBRUARY 2013 TO COORDINATE THE IMPLEMENTATION OF WORKABLE INITIATIVES AND ACTIVITIES. THE LEADERSHIP TEAM MET BI-ANNUALLY AND CONSISTED OF: HOSPITAL'S BOARD OF TRUSTEES PRESIDENT AND CHIEF NURSING OFFICER; CITY'S MAYOR; (2) LOCAL PHYSICIANS; A REPRESENTATIVE FOR ADPH; CHAMBERS COUNTY'S SCHOOL RN AND SPECIAL EDUCATION TEACHER; A LOCAL FIRE & EMS CHIEF; AND THE DIRECTOR OF A LOCAL CHARITABLE ORGANIZATION. THE TEAM IDENTIFIED STRENGTHS, WEAKNESSES AND OPPORTUNITIES FROM THE FEEDBACK RESULTING FROM THE COMMUNITY SURVEY THAT WAS SENT OUT TO LOCAL ORGANIZATIONS AND BUSINESSES AROUND THE AREA. THE FOCUS WAS PLACED ON OPPORTUNITIES WHICH INCLUDED: 1.PHYSICIAN RECRUITMENT OF PRIMARY CARE PHYSICIANS 2.ACCESS TO MENTAL HEALTH SERVICES WITH THE ADDITION OF A PSYCHIATRIST IN THE COMMUNITY 3.INDUSTRY WELLNESS PROGRAMS IMPLEMENTED AT LOCAL INDUSTRY LEVEL 4.COMMUNITY WELLNESS PROGRAMS INCLUDING: OBESITY & DIABETES, BREAST CANCER AWARENESS; WOMEN'S GYNECOLOGICAL SERVICES; INFECTION CONTROL PROGRAMS FOCUSING ON KIDS HAND HYGIENE; PRE-NATAL CLASSES AND COLORECTAL SCREENING 5.TOBACCO USE PREVENTION: HIGH SCHOOL INFLUENCES AND INDUSTRY MODIFICATIONS PHYSICIAN RECRUITMENT: ""LANIER HEALTH SERVICES RECRUITED ONE FAMILY MEDICINE PHYSICIAN LATE IN 2013 AS PART OF THE PRIMARY CARE NETWORK OF PHYSICIANS AT THE MEDICAL PAVILION. THIS GROUP THEN CONTAINED THREE (3) FP PHYSICIANS, (1) INTERNAL MEDICINE PHYSICIAN AND (1) CERTIFIED REGISTERED NURSE PRACTITIONER. AN ADDITIONAL SEVEN PRIMARY CARE PHYSICIANS WERE PART OF THE ACTIVE STAFF AT OUR HOSPITAL SERVING THE COMMUNITY ""THREE OTHER PRIMARY CARE PHYSICIANS WERE INTERVIEWED FOR LOCAL POSITIONS, BUT THEY ACCEPTED EMPLOYMENT ELSEWHERE ACCESS TO MENTAL HEALTH SERVICES: ""WE WERE UNABLE TO RECRUIT A PSYCHIATRIST FOR OUR HOSPITAL. HOWEVER, EAST ALABAMA MEDICAL CENTER (EAMC) IN OPELIKA, AL WAS DESIGNATED AS THE PRIMARY LOCATION FOR MENTAL HEALTH PATIENTS NEEDING PSYCHIATRIC SERVICES ""EAST ALABAMA MENTAL HEALTH FACILITY IN VALLEY, AL WAS IDENTIFIED AS A RESOURCE FOR MENTAL HEALTH ISSUES AND SUBSTANCE ABUSE SERVICES ""STATE LISTING OF AGENCIES PROVIDING MENTAL HEALTH SERVICES POSTED IN PUBLIC AREAS IN HOSPITAL AND VARIOUS CHARITABLE ORGANIZATIONS IN THE COMMUNITY INDUSTRY WELLNESS: ""MINI HEALTH SCREENS WERE PROVIDED FOR APPROXIMATELY 600 PEOPLE WHICH INCLUDED BLOOD PRESSURE CHECKS, BMI, GLUCOSE AND CHOLESTEROL SCREENINGS AND WERE OF GREAT IMPORTANCE TO LOCAL INDUSTRY AND BUSINESSES IN THE COMMUNITY. WELLNESS SCREENINGS WERE PROVIDED TO AJIN USA, WOOSHIN USA, KMMG AUTOMOTIVE, NORBORD INDUSTRIES, CITY OF VALLEY, WEST POINT INDUSTRIES, AND CHAMBERS COUNTY HIGH SCHOOL'S ADMINISTRATION. ""FLU SHOTS WERE THE SECOND MOST REQUESTED ON-SITE INITIATIVE. MORE THAN 350 FLU SHOTS WERE PROVIDED TO CHARTER BANK, WEST POINT INDUSTRIES, CITY OF LANETT, CITY OF VALLEY, NORMAN PASHCALL INDUSTRIES, NORBORD INDUSTRIES, WOOSHIN USA AND AJIN USA. ""EDUCATIONAL INFORMATION INCLUDING OBESITY, DIABETES, HYPERTENSION, HEALTHY EATING HABITS AND SMOKING CESSATION WAS SUPPLIED TO APPROXIMATELY 300 PEOPLE AT COMPANIES REQUESTING FOR EMPLOYEE WELLNESS PACKAGES: DAEIL AND KNAUF INSULATION. COMMUNITY WELLNESS: ""SCALE BACK ALABAMA IS AN ANNUAL WEIGHT-LOSS CONTEST OFFERED TO EVERYONE IN THE COMMUNITY. IN 2013, MORE THAN 36 TEAMS (144 PEOPLE) PARTICIPATED IN THE PROGRAM AND MORE THAN 1,200 POUNDS WAS LOST COLLECTIVELY. IN 2014, 26 TEAMS (104 PEOPLE) PARTICIPATED AND LOST APPROXIMATELY 1,500 POUNDS. ""OUR ANNUAL HEALTH FAIR WAS HELD IN 2013 FOR APPROXIMATELY 275 PEOPLE, BUT ON A SMALLER SCALE DUE TO THE NUMBER OF COMPANIES THAT REQUESTED ON-SITE HEALTH SCREENS AT THEIR PLACE OF WORK. OUR PLAN MOVING FORWARD IS TO HOST COMMUNITY HEALTH FAIRS ANNUALLY FOR APPROXIMATELY 600 PEOPLE, BUT WE ARE INVESTIGATING VENUE OPTIONS; I.E. COMMUNITY CENTER VERSUS CHURCHES IN LOW INCOME, UNDERSERVED AREAS, OR BOTH. ""OBESITY AND DIABETES HAS BEEN A FOCUS AT THE HIGH SCHOOL LEVEL (VALLEY HIGH SCHOOL AND LANETT HIGH SCHOOL, BOTH IN CHAMBERS COUNTY, 600 STUDENTS) DURING ANNUAL HEALTH FAIRS THERE. IN ADDITION, THE ADULT COMMUNITY RECEIVED EDUCATION THROUGH PROGRAMS AT THE HOSPITAL MONTHLY AND/OR AT THE LOCAL LIBRARY WHICH WERE CONDUCTED BY PHYSICIANS AND THEIR STAFF BI- ANNUALLY. ""CONDUCTED COMMUNITY EDUCATION PROGRAMS QUARTERLY AT THE LOCAL LIBRARY TO MORE THAN 450 PEOPLE. TOPICS INCLUDED BREAST CANCER: WHAT IS IT AND HOW DO WE TREAT IT?; WOMEN'S GYNECOLOGICAL SERVICES AND THE IMPORTANCE OF ANNUAL CERVICAL EXAMS; COLORECTAL SCREENING AND THE EASE OF DETECTION; HEALTHY NUTRITION AND MY PLATE OF COLORS; AND HAND HYGIENE AND PROPER COUGHING METHODS TO KIDS IN THE AFTER SCHOOL PROGRAM (60 KIDS). BROCHURES (400) ON EACH TOPIC WERE GIVEN TO ALL PARTICIPANTS. ""HOSTED QUARTERLY FORUMS FOR ALL THREE EMERGENCY MEDICAL SERVICE (EMS) DEPARTMENTS TO UPDATE HOSPITAL SERVICE LINES AND TO GAIN FEEDBACK FROM THEIR FIELD PERSPECTIVE. A COLLABORATIVE EFFORT FROM ALL THREE CITIES TIES IN WITH THE HOSPITAL'S VISION OF PROVIDING THE BEST PATIENT CARE AND SAFETY. ""LANIER HEALTH SERVICES PARTICIPATED IN POINT UNIVERSITY'S STUDENT ORIENTATIONS AND DISTRIBUTED EDUCATIONAL MATERIALS TO OVER 400 STUDENTS AND PARENTS IN THE AREAS OF IMPROVING HEALTHY FOOD CHOICES, IMPORTANCE OF REGULAR EXERCISE, JUVENILE DIABETES, SMOKING CESSATION IN ADDITION TO PROVIDING A MAP AND LOCATION OF ALL LHS'S MEDICAL FACILITIES IN THE AREA ""CITY OF VALLEY (45 EMPLOYEES) AND CITY OF LANETT (35 EMPLOYEES) HOSTING WELLNESS INITIATIVE FOR THEIR EMPLOYEES TOBACCO USE PREVENTION: ""PUBLIC HEALTH OPERATES THE 1-800 QUITLINE, A TOBACCO-CESSATION SUPPORT SYSTEM SERVING THE GREATER VALLEY AREA INCLUDING CHAMBERS COUNTY, AL, AND TROUP AND HARRIS COUNTIES IN GA. ""LOCAL MEDIA OUTLETS PROVIDE FREE INFORMATION ON KICK BUTTS DAY AND OTHER TOBACCO CESSATION PROGRAMMING ""LANIER HEALTH SERVICES PROVIDES QUITLINE INFORMATION THROUGH THE PATIENT GUIDE DISTRIBUTED TO ALL PATIENTS ADMITTED TO THE HOSPITAL, APPROXIMATELY 800 PEOPLE ""LANIER HEALTH SERVICES PROVIDED PFT TESTING FOR LUNG CAPACITY AT KMMG'S HEALTH FAIRS (165 PEOPLE) AT BOTH THE SPRING AND FALL HEALTH FAIRS ON-SITE"

PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
A SOCIAL WORKER WORKS WITH PATIENTS AND EXPLAINS TO THEM OPTIONS THEY HAVE AVAILABLE AND TRIES TO HELP THEM QUALIFY FOR ANY OUTSIDE AID THAT MIGHT BE AVAILABLE. WE ALSO HAVE AN INDIGENT/CHARITY CARE POLICY FOR WHICH QUALIFYING PATIENTS ARE ELIGIBLE.

PART VI, LINE 4 - COMMUNITY INFORMATION
THE ORGANIZATION SERVES A PREDOMINATELY RURAL AREA. THE PRIMARY SERVICE AREA IS CHAMBERS COUNTY IN ALABAMA AND WEST POINT, GEORGIA AND SURROUNDING AREA. THE POPULATION OF CHAMBERS COUNTY IS APPROXIMATELY 34,000 WITH A PER CAPITA INCOME OF 30,082 AND A MEDIAN HOUSEHOLD INCOME OF 33,883. APPROXIMATELY 22.5% OF THE POPULATION LIVES BELOW THE POVERTY LINE. APPROXIMATELY 12% OF THE POPULATION HAS A BACHELORS DEGREE OR HIGHER EDUCATION. APPROXIMATELY 25% OF THE POPULATION DOESN'T HAVE A HIGH SCHOOL DIPLOMA. THE UNEMPLOYMENT RATE IN THE COUNTY IS APPROXIMATELY 7.3%. THE POPULATION OF WEST POINT, GEORGIA IS APPROXIMATELY 3,500 WITH A PER CAPITA INCOME OF 37,531 AND A MEDIAN HOUSEHOLD INCOME OF 23,914. APPROXIMATELY 35.4 PERCENT OF THE POPULATION LIVES BELOW THE POVERTY LINE. THE AREAS' CITIZENS EXPERIENCE HIGH LEVELS OF HEART DISEASE, DIABETES AND CANCER.

PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH
CVHS HAS BEEN INSTRUMENTAL IN PROVIDING HEALTHCARE AWARENESS TO THE COMMUNITY BY HOSTING NUMEROUS EVENTS INCLUDING AN ANNUAL HEALTH FAIR OPEN TO ALL RESIDENTS OF THE COMMUNITY OFFERING SERVICES FOR THE PEDIATRIC TO THE GERIATRIC RESIDENTS. LANIER PROVIDED MINI HEALTH SCREENS AND FLU SHOTS TO VARIOUS BUSINESSES IN THE COMMUNITY. OTHER EVENTS INCLUDE BREAST CANCER AWARENESS, PRE-NATAL AND BREAST FEEDING EDUCATION CLASSES, HEART HEALTH MONTH, SELF-MANAGED DIABETES CLASSES, DIABETIC EYE DISEASE SEMINAR AND VARIOUS HEALTH RELATED SUPPORT GROUPS. CVHS ALSO PARTICIPATES IN LOCAL SCHOOL OUTREACH PROGRAMS PROVIDING EDUCATION IN THE AREAS OF SMOKING CESSATION, ALCOHOL, HEALTHY EATING HABITS AND THE IMPORTANCE OF EXERCISE AND READING. WE ALSO PARTICIPATE IN KID CHECK, CAREER DAY EVENTS AND SCHOOL HEALTH FAIRS. CVHS PARTICIPATED IN NATIONAL WELLNESS CAMPAIGN, SCALEBACK ALABAMA AS WELL AS INVOLVING COMMUNITY PARTICIPATION IN SCALEBACK ALABAMA. PHYSICIANS AND MID-LEVEL PRACTITIONERS SPEAK REGULARLY AT LOCAL CIVIC CLUBS TO PROVIDE HEALTHCARE AWARENESS AND PREVENTATIVE MEASURE INFORMATION. CVHS PARTNERED WITH LOCAL LIBRARY TO PROVIDE PHYSICIAN DRIVEN EDUCATION SEMINARS. CVHS HOLDS QUARTERLY FORUMS FOR LOCAL EMS DEPARTMENTS.

PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM
CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY OPERATES GEORGE H. LANIER MEMORIAL HOSPITAL, GEORGE H. LANIER NURSING HOME, LANIER HOME HEALTH SERVICE AND LANIER HEALTH SERVICES FOUNDATION. THE HOSPITAL IS A 115-BED NOT-FOR- PROFIT ACUTE CARE HOSPITAL AND THE NURSING HOME IS A 103-BED EXTENDED CARE PROVIDER. THE SOCIETY PROVIDES HEALTH CARE SERVICES PRIMARILY TO THE RESIDENTS OF CHAMBERS COUNTY, ALABAMA AND WEST POINT, GEORGIA. THE FOUNDATION RAISES FUNDS THROUGH DONATIONS AND OTHER FUNDRAISING ACTIVITIES FOR THE SUPPORT OF CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY.