2021-08-16T16:14:46-05:00 2020-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2019-10-01 900054984 CAPE COD HEALTHCARE INC & AFFILIATES % LAURA RANZINGER CAPE 5087711800 297 NORTH ST Suite BLDG 3 HYANNIS MA 02601 LAURA RANZINGER VP FINANCE&TREASURY 2021-07-30 true GWEN SPENCER P00641463 6175305000 2021-07-27 2019 2022-09-23 18:48:47Z MICHAEL K LAUF 88 LEWIS BAY ROAD HYANNIS MA 02601 942736501 true true 3901 X WWW.CAPECODHEALTH.org X SEE SCHEDULE O 14 10 6131 516 320050 -91180 18471535 69840468 946855987 856644181 19832534 14606621 2175510 1567803 987335566 942659073 1006781 1008026 0 0 513672399 512925879 70431 59071 3597855 418938620 415810545 933688231 929803521 53647335 12855552 1056059478 1248997758 275779649 443904319 780279829 805093439 X SEE SCHEDULE O false false 846101010 1008026 856644181 PATIENT SERVICES - SEE SCHEDULES H AND O 846101010 true true false true false false false false false true true true false true true false false true false true true false false true true false true true true false true true false false false false false false false false true false true false false false true true true true false false true 67 0 true 6131 true true true false false false false true true false false false false false false X 14 10 true false false false true true true true true false false true true true true true true false true true true MA X LAURA RANZINGER 7744705537 297 NORTH STREET BLDG 3 HYANNIS MA 02601 X MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 55.0 5.0 X X 0 1667455 264792 RICHARD B ZELMAN MD PHYSICIAN 40.0 0.0 X 1682890 0 43868 PAUL HOULE MD TRUSTEE (UNTIL 1/20) 40.0 2.0 X 1070875 0 45020 GORDON NAKATA MD PHYSICIAN 40.0 0.0 X 1049325 0 45020 ACHILLES PAPAVASILIOU MD PHYSICIAN 40.0 0.0 X 1049125 0 45170 NICHOLAS COPPA MD PHYSICIAN 40.0 0.0 X 1051539 0 42210 KARL B COYNER MD PHYSICIAN 40.0 0.0 X 1017584 0 22990 ROBERT WILSTERMAN MD TRUSTEE (UNTIL 1/20) 40.0 2.0 X 694083 0 42381 MICHAEL L CONNORS SENIOR VP FINANCE/CFO 55.0 5.0 X 0 566015 73488 DONALD A GUADAGNOLI MD Senior VP & CMO 45.0 5.0 X 0 541968 64452 MOLLY SULLIVAN MD TRUSTEE (AS OF 1/20) 40.0 2.0 X 538195 0 42392 JOHN PAUL SOLVERSON SR VP & CIO 45.0 5.0 X 0 525027 52186 KEVIN MULROY SVP CHIEF QUALITY & SAFETY OFF 45.0 5.0 X 0 487621 67566 WILLIAM AGEL MD TRUSTEE (UNTIL 04/2020) 40.0 2.0 X 504701 0 42392 CHRISTIAN BROWN SR VP MANAGED CARE 45.0 5.0 X 0 439640 61410 MICHAEL G JONES ESQ SEE SCHEDULE O 55.0 5.0 X 0 427594 64733 ALEXANDER HEARD MD CMO FALMOUTH HOSPITAL 45.0 5.0 X 216393 204529 64283 PATRICK J KANE SVP OF MRKTG,COMMUN AND DEVLP 45.0 5.0 X 0 424663 45107 THEODORE CALIANOS MD TRUSTEE 40.0 5.0 X 372357 0 42221 EMILY SCHORER SVP HUMAN RESOURCES 45.0 5.0 X 0 354522 58064 JEFFREY S DYKENS VP FINANCE 45.0 5.0 X 0 356971 50640 SHERYL DECILIO SEE SCHEDULE O 45.0 5.0 X 0 345307 9076 JUDITH C QUINN VP OF PATIENT CARE 45.0 5.0 X 0 313110 33499 CHRISTOPHER M LAWSON SVP DEVELOPMENT 45.0 5.0 X 0 306516 39044 LORI JEWETT CEO - FH 45.0 5.0 X 0 308592 24742 JEAN BUTLER SVP EMPLYD PHY GRP(AS OF 4/19) 45.0 5.0 X 0 285844 36871 NOELENE CERVIN VP BUDGETING AND OPER. SUPPORT 45.0 5.0 X 0 269775 47205 ANNE MARIE PECKHAM PRESIDENT VNA 45.0 5.0 X 0 273658 32200 DEBRA ROBINSON ASSOC VP OF NRSNG 45.0 5.0 X 249709 0 33289 CARTER HUNT ADMIN SPEC&HOSP BASED CARE 45.0 5.0 X 0 225084 53335 CYNTHIA MARLIN VP PERIOPERATIVE & SURGICAL SV 45.0 5.0 X 0 228069 44010 ELIZABETH DUNTON COO EMPLOYED PHYSICIAN SVCS 45.0 5.0 X 0 232927 21041 THERESA M AHERN SVP STRATEGY & GOVT AFFAIRS 45.0 5.0 X 0 234105 15369 NATHAN RUDMAN MD TRUSTEE 5.0 5.0 X 0 21120 0 LAWRENCE CAPODILUPO TRUSTEE 2.0 2.0 X 0 0 0 SHARON KENNEDY TRUSTEE 2.0 2.0 X 0 0 0 DEWITT DAVENPORT CHAIRMAN (UNTIL 5/20) 2.0 2.0 X X 0 0 0 DIANE COLETTI TRUSTEE 2.0 2.0 X 0 0 0 SUMNER B TILTON JR TRUSTEE 2.0 2.0 X 0 0 0 E JAMES MULCAHY JR TRUSTEE 2.0 2.0 X 0 0 0 ROBERT TALERMAN SEE SCHEDULE O 2.0 2.0 X X 0 0 0 ROBERT BIRMINGHAM VICE CHAIR/TRUST (UNTIL 11/19) 2.0 2.0 X X 0 0 0 RAMANI AYER SEE SCHEDULE O 5.0 5.0 X X 0 0 0 BRUCE JOHNSTON SEE SCHEDULE O 5.0 5.0 X X 0 0 0 CYNTHIA A HINES MD TRUSTEE (AS OF 01/20) 2.0 2.0 X 0 0 0 KEVIN VILSAINT MD TRUSTEE (AS OF 9/20) 2.0 2.0 X 0 0 0 9247067 7269530 1386746 987 false true false CAPE COD HEALTHCARE INC 297 NORTH STREET BLDG 3 HYANNIS MA 02601 PURCHASED SERVICES 70060946 CMG CIT ACQUISITION LLC 655 SOUTH WILLOW ST STE 128 MANCHESTER NH 03103 EMPLYMENT/STAFF SVCS 788014 BOURNE MANOR 146 MACARTHUR BLVD BOURNE MA 02532 HOSPICE ROOM & BOARD 168097 3 76176 52776530 16987762 1816257 69840468 PATIENT SERVICE REVENUE 900099 827050609 827050609 LABORATORY SERVICES 621500 6374932 6054882 320050 PROGRAM RELATED RENTAL INCOME 900099 3190300 3190300 JOINT VENTURE REVENUE 900099 2807616 2807616 QUALITY EARNED PAYMENTS 900099 13205322 13205322 4015402 4015402 856644181 8025505 8025505 0 0 0 0 0 6581116 6581116 6581116 6581116 123459 76176 77428 46031 46031 0 0 0 0 0 0 CAFETERIA INCOME 900099 1414445 1414445 MEDICAL RECORDS 900099 107327 107327 1521772 942659073 856324131 320050 16174424 1008026 1008026 0 0 0 3469864 3469864 481565 481565 402397123 364702549 35996447 1698127 12570605 11062822 1439858 67925 68201507 61756676 6137277 307554 25805215 22933020 2753728 118467 6767398 3087069 3680329 1056899 22204 1029695 5000 990859 216303 774556 0 59071 59071 550932 42797 508135 33916811 33755300 161511 834615 759351 64960 10304 4266087 3968203 264568 33316 4578023 4335040 165664 77319 0 14294702 13436389 733977 124336 5486935 5031676 406350 48909 0 0 5874408 5289107 564155 21146 0 45800020 41641462 4151876 6682 5962892 5564937 397955 MEDICAL SUPPLIES 136520814 136520814 ADMIN OFFICE OVERHEAD 69626420 52734972 16358839 532609 PURCHASED SERVICES 35407413 32993110 2292962 121341 BAD DEBTS 16525789 16525789 27349528 24761965 2221814 365749 929803521 846101010 80104656 3597855 31950245 47772011 1423924 1428120 8121530 12528497 98822894 80313108 0 0 0 0 9298125 14560536 12942908 13978076 3300556 2858696 711231599 406410663 324571834 304820936 0 0 495557462 664591293 254265 289008 23710077 21989350 46105658 83868127 1056059478 1248997758 72326715 72068541 0 0 351577 1255770 122580260 112816029 0 0 0 0 19479163 17937868 0 0 61041934 239826111 275779649 443904319 X 710386474 729454739 69893355 75638700 780279829 805093439 1056059478 1248997758 X 12855552 -1647831 13279200 326689 X false true X true true true X 13584232 15341766 15447109 18471535 69840468 132685110 0 0 13584232 15341766 15447109 18471535 69840468 132685110 1210386 131474724 5368273 5985405 7272965 14133036 8025505 40785184 798057 408 -544982 -986182 -91180 -823879 2353977 2422397 2647341 2299730 1645231 11368676 184015091 4346185646 0.71448 0.57341 X false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 37408 37408 false PART II-B, LINE 1I CAPE COD HOSPITAL AND FALMOUTH HOSPITAL ASSOCIATION, INC. PAY MEMBERSHIP DUES TO THE MASSACHUSETTS HOSPITAL ASSOCIATION WHICH ENGAGES IN LOBBYING PURPOSES AS DEFINED BY MEDICARE. PER THE MHA ADVISORY, 11.08% OF DUES PAID SHOULD BE ALLOCATED TO LOBBYING ACTIVITY. 42236761 846322 1612515 1074167 43621431 42450666 1510214 -670422 1053697 42236761 41606730 504886 1353728 1014678 42450666 38809089 30699 3061173 759148 -464917 41606730 37495620 57261 2000285 744077 38809089 0.83360 0.16640 false true true 23635113 23635113 421002311 201692248 219310063 5032242 2691660 2340582 231449167 186056052 45393115 30112766 15970703 14142063 304820936 INVESTMENTS SHORT TERM 163636519 F RESTRICTED CASH - ST 2159963 F SERIES 2013 CURRENT 848530 F SERIES 2012A CURRENT 2195837 F INVESTMENTS LT 299439453 F INTERESTS IN FDN - UNRESTRICTD 144525728 F RESTRICTED CASH - LT 225684 F INTEREST IN FDN - TEMP 17180887 F INTEREST IN FDN - PERM 34378692 F 664591293 DUE FROM AFFILIATES 83868127 83868127 0 DUE TO AFFILIATES 43095745 OTHER CURRENT LIABILITIES 25796677 ABANDONED PROPERTY 139469 INTEREST RATE SWAPS 665048 COVID19 ADVANCED PAYMENTS 170129172 239826111 SCHEDULE D, PART V, LINE 4 THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO FURTHER THE HEALTHCARE MISSION OF CAPE COD HEALTHCARE AND ITS AFFILIATES. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL. Central America and the Caribbean 1 0 Program Services CAPTIVE INSURANCE 6520553 1 0 1 0 6520553 6520553 false false false false false false SCHEDULE F, PART I, COLUMN F EXPENSES ARE CODED IN THE GENERAL LEDGER TO THE CAPTIVE INSURANCE COMPANY. X X X X X true Five Maples 78 RIVER ROAD SOUTH PUTNEY VT 05346 Direct Mail false 332553 59071 273483 332553 59071 273483 CA CT FL IL KS MA MI MO NH NJ NY NC PA RI SC WI Soiree on the B 199635 76176 123459 2500 36042 1600 37286 0 199635 76176 123459 2500 36042 1600 37286 77428 46031 true true X true X true X true true false true true 6298606 2091727 4206879 0.00460 108380550 93794021 14586529 0.01600 14163698 12223688 1940010 0.00210 128842854 108109436 20733418 0.02270 2545987 0 2545987 0.00280 723321 232379 490942 0.00050 631810894 571945811 59865083 0.06550 1194262 1194262 0.00130 636274464 572178190 64096274 0.07010 765117318 680287626 84829692 0.09280 100000 100000 25000 25000 11750 11750 16973 16973 153723 153723 true 16525789 9390456 100299613 48846764 51452849 X true true 2 1 CAPE COD HOSPITAL 27 PARK STREET HYANNIS MA 02601 SEE PART V, SECTION C 2135 X X X A 2 FALMOUTH HOSPITAL ASSOCIATION INC 100 TER HEUN DRIVE FALMOUTH MA 02540 SEE PART V, SECTION C 2289 X X X A A false false true X X X X X X X X X 18 true true false true X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true 200. 400. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X true X false false PART V, SECTION A WEBSITES PART V, SECTION A, LINE 1 - CAPE COD HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/CAPE-COD-HOSPITAL PART V, SECTION A, LINE 2 - FALMOUTH HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/FALMOUTH-HOSPITAL PART V, SECTION B, LINE 5 Many sources and data collection methodologies were used to obtain a comprehensive view of the health and health care needs of the region and the people served by CCH and FH. Input on the design of data collection instruments was solicited from public health experts, health care consumers, and persons representing vulnerable and medically underserved populations and minorities. Conscientious efforts were made to reach a wide-ranging population of residents during data collection to ensure broad representation of community interests and perspectives. The data sources and methodologies included: 1. Secondary Data. A comprehensive review of existing data drawn from national, state, and local sources was conducted. Data sources included, but were not limited to, the U.S. Census Bureau, the Centers for Disease Control and Prevention, the Massachusetts Department of Public Health, among others. Types of data included demographics, vital statistics, public health surveillance, as well as self-report of select health behaviors from large, population-based surveys such as the Massachusetts Behavioral Risk Factor Surveillance Survey (BRFSS). The selection of secondary data points was generally based on the prior CHNAs to allow for examination of trends over time. However, additional secondary data sources were explored when major themes or issues arose from qualitative data collection. When available, data were stratified by age group or by income/poverty level to identify areas of disparity. 2. Community Stakeholder Dialogues. Two facilitated "stakeholder dialogues" were held with staff from a broad array of agencies and organizations actively working in the health and human services sectors of Barnstable County. Approximately 70 people attended these sessions. 3. Key Informant Interviews. Key informant interviews were conducted via phone with 25 community leaders from organizations across all of Barnstable County, representing health centers, public safety organizations, housing organizations, and other human service groups. Key informants were identified for participation based on their in-depth knowledge of the health needs and resources of the region. Discussions focused on health strengths and needs in the community and opportunities and challenges to addressing community needs. They were also asked to describe organizational partnerships within Barnstable County, perceptions of community services, and perceptions of CCHC. 4. Focus Groups. Two focus groups, one conducted in Spanish and one in Portuguese, were held with residents to gather information about the community, health challenges and needs, existing services, and suggestions for the future. One focus group of Portuguese-speaking residents was conducted at IPR Cape Cod Church and involved 14 participants. The other involved six Spanish speaking participants and was held at the Immigration Resource Center at Community Action Committee of Cape Cod. 5. Community Survey. A community survey asking about community and individual health and health care needs was developed and made available on-line and on paper to residents of Barnstable County. The survey was conducted in English, Spanish, and Portuguese and was completed by 2,011 total residents. PART V, SECTION B, LINE 6 (A) CAPE COD HOSPITAL AND FALMOUTH HOSPITAL JOINTLY CONDUCTED THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. PART V, SECTION B, LINE 7(A) https://www.capecodhealth.org/app/files/public/9327/community-health-needs -assessment-2020-2022.pdf PART V, SECTION B, LINE 10(A) https://www.capecodhealth.org/app/files/public/9327/community-health-needs -assessment-2020-2022.pdf PART V, SECTION B, LINE 11 In early February 2019, HRiA led a facilitated process with leadership from Cape Cod Healthcare and community stakeholders including Barnstable County Human Services and behavioral health and infectious disease representatives from CCHC, to identify the priorities, goals and objectives for the Strategic Implementation Plan (SIP). HRiA presented the key health issues identified in the FY2020-FY2022 community health needs assessment (CHNA) project, including the magnitude and severity of these issues and their impact on priority populations. The following key health issues emerged most frequently from a review of the available data and community input and were considered in the selection of the Strategic Implementation Plan (SIP) health priorities: Housing, Transportation, Seasonal Economy and Employment Variation, Behavioral Health (including Substance Use and Mental Health), Aging Population, Physical Health Conditions, Healthcare Access. To address these needs, CCHC collaborates with community partners across the region to assess community needs, identifies promising programs, and implements strategies to improve people's health. Through an open and competitive Annual Strategic Grants program, CCHC funds projects addressing a variety of health needs. Additionally, CCHC has invested in new and expanded hospital programs in areas such as cancer support, chronic disease self-management, case management for individuals living with HIV/AIDS, suicide prevention, and support for new families, among others. CCHC community benefits' funding also supports medical interpreter services for limited English-speaking patients, hospital social workers and case managers, and financial counselors. Finally, CCHC plays a leadership role through participation in, among others, the Barnstable County Economic Development Council, the Barnstable County Human Services Advisory Council, the Barnstable County Regional Substance Use Council, the Cape Cod Chamber of Commerce, and the Cape and Islands Community Health Area Network (CHNA 27) Steering Committee. Regarding Seasonal Economy & Employment Variation: CCHC is best positioned to support and collaborate on initiatives that aim to develop the regional healthcare workforce as part of this SIP. In this way, CCHC is hoping to have a positive influence on the economy and employment opportunities in Barnstable County. Addressing the complex challenges created by a seasonal economy and employment variation in the region in industries outside of healthcare is beyond the core competencies of CCHC and our mission. PART V, SECTION B, LINE 13(B) IN SOME CASES, THE MASSACHUSETTS HEALTHCONNECTOR CALCULATOR OR MODIFIED ADJUSTED GROSS INCOME IS USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. PART V, SECTION B, LINE 13(H) STATE REGULATIONS PART V, SECTION B, LINE 16(A), 16(B), 16(C) HTTPS://WWW.CAPECODHEALTH.ORG/PATIENTS-VISITORS/PAYING-FOR-CARE/FINANCIAL- ASSISTANCE/ 87 Visiting Nurse Association of Cape Cod 255 Independence Drive Hyannis MA 02601 home health CAPE COD HEALTHCARE INC 297 NORTH STREET BLDG 3 HYANNIS MA 02601 ADMINISTRATIVE Fontaine Primary Care 525 Long Pond Drive HARWICH MA 02645 medical group practice CCHC Neurosurgery 46 NORTH ST STE 4 HYANNIS MA 02601 medical group practice Bramblebush Medical Group 21 Bramblebush Park FALMOUTH MA 02540 medical group practice Seaside Pediatrics 150 Ansel Hallet Road West Yarmouth MA 02673 medical group practice Fontaine OUTPATIENT CENTER 525 Long Pond Drive Harwich MA 02645 medical group practice Guo X Y David MD PhD-GASTROENTEROLOGY 90 TER HEUN DRIVE STE 302 Falmouth MA 02540 medical group practice CCHC Stoneman Primary Care 2 Jan Sebastian Way Suite 100 Sandwich MA 02563 medical group practice CCHC Gastroenterology - Hyannis 700 ATTUCKS LANE STE 1E Hyannis MA 02601 medical group practice CCHC Plastic Surgery 160 Falmouth Road Suite B MASHPEE MA 02649 medical group practice CAPE COD OBSTETRICS & GYNECOLOGY 90 Ter Heun Drive SUITE 100 Falmouth MA 02540 medical group practice Endocrine Center of Cape Cod - Hyannis 1030 FALMOUTH RD STE 201 Hyannis MA 02601 medical group practice Fal Specialty Care Practice 90 Ter Heun Drive Suite 302 Falmouth MA 02540 medical group practice NEUROLOGISTS OF CAPE COD 46 North Street SUITE 7 Hyannis MA 02601 medical group practice Nauset Family Practice 81 Old Colony Way STE D ORLEANS MA 02653 medical group practice Cape Health Insurance Company - FOREIGN 297 NORTH ST 3 HYANNIS MA 02601 administrative Healthcare Foundation 32 MAIN STREET Hyannis MA 02601 administrative Healthcare Foundation 348 GIFFORD ST STE 4 FALMOUTH MA 02540 ADMINISTRATIVE JML Care Center 184 Ter Heun Drive falmouth MA 02540 skilled nur & rehab Cape & Islands Health Services II Inc 14 Yellow Brick Road HYANNIS MA 02601 COLLECTION CENTER Cape & Islands Health Services II 5 Industrial Drive Suite 102 MASHPEE MA 02649 COLLECTION CENTER Cape & Islands Health Services II 525 Long Pond Drive HARWICH MA 02645 COLLECTION CENTER Cape & Islands Health Services II 81 Old Colony Way ORLEANS MA 02653 COLLECTION CENTER Cape & Islands Health Services II 2 Jan Sebastian Way Route 130 SANDWICH MA 02563 COLLECTION CENTER Cape & Islands Health Services II 860 Route 134 Unit 2 South Dennis MA 02660 COLLECTION CENTER Cape & Islands Health Services II 1 Trowbridge Road Bourne MA 02532 COLLECTION CENTER Cape & Islands Health Services II 1629 MAIN STREET CHATHAM MA 02633 COLLECTION CENTER Cape & Islands Health Services II 27 PARK STREET HYANNIS MA 02601 COLLECTION CENTER Heritage at Falmouth 140 Ter Heun Drive FALMOUTH MA 02540 ASSISTED LIVING Cape Cod Human Services 460 West Main Street HYANNIS MA 02601 outpatient clinic Cape Cod Human Services 525 Long Pond Drive HARWICH MA 02645 outpatient clinic Cape Cod Medical Office Building Inc 20 Gleason Street HYANNIS MA 02601 administrative Orleans Medical CENTER 204 Main Street Orleans MA 02653 Medical Group Practice CAPE COD Dermatology 134 Ansel Halet Road W Yarmouth MA 02673 Medical Group Practice Cape Cod Rheumatology Center - Falmouth 1030 FALMOUTH RD STE 201 HYANNIS MA 02601 MEDICAL GROUP PRACTICE CCHC Cardiovascular Center - Hyannis 25 Main Street HYANNIS MA 02601 MEDICAL GROUP PRACTICE Endocrine Center of Cape Cod - Harwich 525 Long Pond Drive HARWICH MA 02645 MEDICAL GROUP PRACTICE Fontaine Urgent Care Center 525 Long Pond Drive HARWICH MA 02645 MEDICAL GROUP PRACTICE Park Street Primary Care 62 Park Street HYANNIS MA 02601 MEDICAL GROUP PRACTICE Stoneman Primary Care 2 JAN SEBASTIAN WAY SUITE 100 SANDWICH MA 02563 MEDICAL GROUP PRACTICE Vascular & Vein Center Of Cape Cod - FAL 90 Ter Heun Drive 3RD Fl MOB STE Falmouth MA 02540 Medical Group Practice CCHC General & Specialty Surgery 105 Park Street Hyannis MA 02601 Medical Group Practice Cape Cod Sports Medicine 360 Gifford Street Unit 2B Falmouth MA 02540 Medical Group Practice CARDIOVASCULAR CENTER - FALMOUTH 90 TER HEUN DRIVE SUITE 300 FALMOUTH MA 02540 Medical Group Practice GASTROENTEROLOGY HYANNIS - PARK STREET 105 PARK STREET HYANNIS MA 02601 Medical Group Practice STONEMAN OUTPATIENT CENTER - URGENT CARE 2 JAN SEBASTIAN DRIVE SUITE 101 SANDWICH MA 02563 Medical Group Practice MASHPEE SURGICAL CENTER 160 FALMOUTH ROAD SUITE A MASHPEE MA 02649 MEDICAL GROUP PRACTICE SOUTHEASTERN SURGICAL ASSOCIATES 100 CAMP STREET HYANNIS MA 02601 MEIDCAL GROUP PRACTICE FALMOUTH URGENT CARE 273 TEATICKET HIGHWAY FALMOUTH MA 02536 MEDICAL GROUP PRACTICE URGI CENTER MEDICAL GROUP - HYANNIS 1220 IYANNOUGH ROAD HYANNIS MA 02601 MEDICAL GROUP PRACTICE UPPER CAPE EAR NOSE THROAT 200 A JONES ROAD FALMOUTH MA 02540 MEDICAL GROUP PRACTICE Orthopedic Specialists Falmouth 5 BRAMBLEBUSH PARK FALMOUTH MA 02540 Medical group practice CCHC DEMENTIA&ALZHEIMER'S CAREGIVER SUPP 4 BAYVIEW ST WEST YARMOUTH MA 02673 ADMINISTRATIVE CCHC PODIATRIC MEDICINE & FOOT SURGERY 1030 FALMOUTH RD RTE 28 SUITE 20 HYANNIS MA 02601 MEDICAL GROUP PRACTICE IDCS-INFECTIOUS DISEASE CLINICAL SERV 34 PARK ST HYANNIS MA 02601 MEDICAL GROUP PRACTICE CCH OBGYN SATELLITE 60A PARK ST HYANNIS MA 02601 MEDICAL GROUP PRACTICE MACCMSSP REFERRAL DEPT 25 COMMUNICATION WAY HYANNIS MA 02601 ADMINISTRATIVE DIABETIC EDUCATION 1010 FALMOUTH ROAD HYANNIS MA 02601 EDUCATIONAL DIABETIC EDUCATION 1629 MAIN ST CHATHAM MA 02633 EDUCATIONAL VNA of Cape Cod - Harwich 1 AUSTON RD F HARWICH MA 02645 HOME HEALTH VNA OF CAPE COD - EASTHAM 3960 STATE HWY RD 6 2 EASTHAM MA 02642 HOME HEALTH VNA OF CAPE COD - FALMOUTH 67 TER HEUN DR FALMOUTH MA 02540 HOME HEALTH VNA OF CAPE COD - MARTHA'S VINEYARD 49 STATE RD VINEYARD HAVEN MA 02568 HOME HEALTH VNA OF CAPE COD - NANTUCKET 40 Sherburne Commons Sherburne Hou NANTUCKET MA 02554 HOME HEALTH VNA OF CAPE COD - PROVINCETOWN 26 ALDEN ST PROVINCETOWN MA 02657 HOME HEALTH VNA OF CAPE COD - SOUTH DENNIS 434 ROUTE 134 BLDG D 3 SOUTH DENNIS MA 02660 HOME HEALTH CAPE & ISLANDS HEALTH SERVICES II 35 WILKENS LANE HYANNIS MA 02601 COLLECTION CENTER ORLEANS MEDICAL CENTER 204 MAIN ST ORLEANS MA 02653 OUTPATIENT CLINIC CAPE COD RESEARCH INSTITUTE 27 PARK ST HYANNIS MA 02601 RESEARCH North Falmouth Primary Care 33 Edgerton Drive Falmouth MA 02556 MEDICAL GROUP PRACTICE North Street Primary Care 130 North Street Hyannis MA 02601 MEDICAL GROUP PRACTICE Cape Cod Ear Nose and Throat Specialist 65 Cedar Street Hyannis MA 02601 MEDICAL GROUP PRACTICE CCH Pulmonary Medicine 51 Bayview Street Hyannis MA 02601 MEDICAL GROUP PRACTICE VNA of Cape Cod - Sagamore Beach 110 State Road Unit 3 Sagamore Beach MA 02562 Home Health William J Manning Jr MD 700 Attucks Lane Suite 1A Hyannis MA 02601 Medical Group Practice CAPE & ISLANDS HEALTH SERVICES II 200 JONES ROAD FALMOUTH MA 02540 COLLECTION CENTER CAPE & ISLANDS HEALTH SERVICES II 68B ROUTE 6A SANDWICH MA 02563 COLLECTION CENTER Orthopedic Specialists North Falmouth 26 Edgerton Drive Suite C North Falmouth MA 02556 Medical group practice CAPE COD RHEUMATOLOGY CENTER - FALMOUTH 90 TER HEUN DRIVE SUITE 302 3RD FALMOUTH MA 02540 MEDICAL GROUP PRACTICE FALMOUTH PRIMARY CARE 90 TER HEUN DRIVE SUITE 2300 FALMOUTH MA 02540 MEDICAL GROUP PRACTICE MASHPEE PRIMARY CARE 5 INDUSTRIAL DRIVE SUITE 205 MASHPEE MA 02649 MEDICAL GROUP PRACTICE OSTERVILLE PRIMARY CARE 770 MAIN STREET OSTERVILLE MA 02655 MEDICAL GROUP PRACTICE STRAWBERRY HILL PRIMARY CARE 1030 FALMOUTH ROAD 1ST FLOOR STE HYANNIS MA 02601 MEDICAL GROUP PRACTICE TOTAL ORTHOPEDIC CARE 360 GIFFORD STREET FALMOUTH MA 02540 MEDICAL GROUP PRACTICE YARMOUTH PRIMARY CARE 495 STATION AVE SOUTH YARMOUTH MA 02664 MEDICAL GROUP PRACTICE OPPENHEIMIN CHATHAM 1629 Main St CHATHAM MA 02633 REHABILITATION PART I, LINE 3C N/A PART I, LINE 6A N/A PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN F WAS $ 16,525,789. THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES AND BY FOLLOWING THE FORM 990, SCHEDULE H INSTRUCTIONS. THE TOTAL PERCENTAGE OF CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST IN THE TABLE WAS CALCULATED ON A GROUP RETURN BASIS AS REQUIRED BY THE FORM 990 INSTRUCTIONS, AND NOT ON A HOSPITAL-ONLY BASIS. PART II LINES 1, 4, 6 AND 8 COALITION BUILDING ACTIVITIES CCHC CLINICAL, COMMUNITY BENEFITS AND SUPPORT STAFF PARTICIPATED IN A VARIETY OF COALITION BUILDING ACTIVITIES TO ADDRESS AND IMPROVE CARE RELATED TO BEHAVIORAL HEALTH, CARE COORDINATION DISEASE PREVENTION, HOMELESSNESS AND SUBSTANCE USE. REGIONAL COALITIONS SERVE AS ALLIANCES FOR COMBINED AND COORDINATED ACTION TO IMPROVE KEY HEALTH ISSUES. COALITION ACTIVITIES RANGED FROM IMPLEMENTATION OF NEW PROGRAMS TO PROVIDER COORDINATION TO THE DEVELOPMENT OF MULTI-SECTOR PARTNERSHIPS. WORKFORCE DEVELOPMENT CCHC'S PHYSICAL RECRUITMENT PROGRAM STRIVES TO IDENTIFY AREAS OF UNMET NEED AND IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR VULNERABLE POPULATIONS, ESPECIALLY THOSE OVER 65 WITH PUBLIC HEALTH INSURANCE COVERAGE. THROUGH RIGOROUS EFFORTS, HIGHLY QUALIFIED PHYSICIANS AND PHYSICIAN EXTENDERS ARE RECRUITED AND RETAINED TO MEET THE HEALTH CARE NEEDS OF RESIDENTS OF CAPE COD. PHYSICAL IMPROVEMENTS & HOUSING CCHC PARTNERED WITH THE HOUSING ASSISTANCE CORPORATION (HAC) AND OUTER CAPE HEALTH SERVICES ON THE HOUSING FOR HEALTH PARTNERSHIP TO PROVIDE HOUSING FUNDING TO PATIENTS WHOSE HEALTH MAY BE IMPACTED BY HOUSING INSTABILITY AND MAY NOT MEET ELIGIBILITY CRITERIA FOR EXISTING SERVICES. SINCE THE START OF THE PANDEMIC, HAC HAS SEEN A 400% INCREASE IN REQUESTS FOR FINANCIAL ASSISTANCE FOR HOUSING. WITHOUT A STABLE PLACE TO LIVE, PATIENTS HAVE DIFFICULTY IN ADHERING TO MEDICAL TREATMENT AND DISCHARGE PLANS. LACK OF STABLE HOUSING HAS ALSO BEEN DEMONSTRATED TO DRAMATICALLY INCREASE THE RISKS OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS. PROVIDING PATIENTS WITH A SOURCE OF FUNDS TO STABILIZE THEIR HOUSING PROVIDES A STRONG FOUNDATION FOR PATIENTS TO MORE EFFECTIVELY PARTICIPATE IN THEIR HEALTH TREATMENT PLAN AND IMPROVE THEIR MEDICAL AND BEHAVIORAL HEALTH. ENVIRONMENTAL IMPROVEMENTS CCHC PARTNERED WITH THE ASSOCIATION TO PRESERVE CAPE COD ON THE POND HEALTH PROGRAM TO EXPAND MONITORING AND INCREASE PUBLIC AWARENESS OF THE HEALTH RISKS OF CYANOTOXIN EXPOSURE IN LOCAL PONDS THAT ARE POPULAR FOR RECREATION. CYANOTOXIN EXPOSURE IS LINKED TO ALZHEIMER'S DISEASE AND OTHER NEUROLOGICAL CONDITIONS. PART III, LINES 2-3 THE ORGANIZATION IS REPORTING $9,390,456 OF BAD DEBT EXPENSE THAT MEETS ITS FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS RELATED TO BAD DEBT FROM BOTH HOSPITALS DURING FY20 OF UNINSURED PATIENTS WHO WERE SEEN IN THE ER AND RECEIVED MEDICALLY NECESSARY SERVICES. CAPE COD HEALTHCARE RECEIVES PAYMENTS FOR SERVICES RENDERED FROM FEDERAL AND STATE AGENCIES (UNDER THE MEDICARE AND MEDICAID PROGRAMS), MANAGED CARE PAYORS, COMMERCIAL INSURANCE COMPANIES, AND PATIENTS. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF CONTRACTUAL ALLOWANCES AND RESERVES FOR DENIALS, UNCOMPENSATED CARE, AND DOUBTFUL ACCOUNTS. THE LEVEL OF RESERVES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL AND PRIVATE EMPLOYER HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. IF A PATIENT IS INELIGIBLE FOR CHARITY CARE BECAUSE HIS OR HER INCOME EXCEEDS THE ELIGIBILITY GUIDELINES, ANY UNCOLLECTIBLE ACCOUNTS RECEIVABLE BALANCE IS WRITTEN OFF TO BAD DEBT AS REPORTED IN PART III, LINE 2. PART III, LINE 4 THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE RELATED TO BAD DEBT OR ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III LINE 9(B) HOSPITAL FINANCIAL ASSISTANCE PROGRAMS PATIENTS WHO ARE ELIGIBLE FOR ENROLLMENT IN A STATE PUBLIC ASSISTANCE PROGRAM, LIKE THE MASSACHUSETTS MASSHEALTH OR HEALTH SAFETY NET PROGRAMS, ARE DEEMED ENROLLED IN A FINANCIAL ASSISTANCE PROGRAM. FOR ALL PATIENTS THAT ARE ENROLLED IN THESE STATE PUBLIC ASSISTANCE PROGRAMS, THE HOSPITAL MAY ONLY BILL THOSE PATIENTS FOR THE SPECIFIC CO-PAYMENT, CO-INSURANCE, OR DEDUCTIBLE THAT IS OUTLINED IN THE APPLICABLE STATE REGULATIONS AND WHICH MAY FURTHER BE INDICATED ON THE STATE MEDICAID MANAGEMENT INFORMATION SYSTEM.THE HOSPITAL WILL SEEK A SPECIFIED PAYMENT FOR THOSE PATIENTS THAT DO NOT QUALIFY FOR ENROLLMENT IN A MASSACHUSETTS STATE PUBLIC ASSISTANCE SUCH AS OUT-OF-STATE RESIDENTS, BUT WHO MAY OTHERWISE MEET THE GENERAL FINANCIAL ELIGIBILITY CATEGORIES OF A STATE PUBLIC ASSISTANCE PROGRAM. FOR THESE PATIENTS, THE PAYMENT AMOUNT WILL BE SET AT THE HOSPITAL, WHEN REQUESTED BY THE PATIENT AND BASED ON AN INTERNAL REVIEW OF EACH PATIENT'S FINANCIAL STATUS, MAY OFFER A PATIENT AN ADDITIONAL DISCOUNT ON AN UNPAID BILL. ANY SUCH REVIEW SHALL BE PART OF A SEPARATE HOSPITAL FINANCIAL ASSISTANCE PROGRAM THAT IS APPLIED ON A UNIFORM BASIS TO PATIENTS, AND WHICH TAKES INTO CONSIDERATION THE PATIENT'S DOCUMENTED FINANCIAL SITUATION AND THE PATIENT'S INABILITY TO MAKE A PAYMENT AFTER REASONABLE COLLECTION ACTIONS. ANY DISCOUNT THAT IS PROVIDED BY THE HOSPITAL IS CONSISTENT WITH FEDERAL AND STATE REQUIREMENTS, AND DOES NOT INFLUENCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL. POPULATIONS EXEMPT FROM COLLECTION ACTIVITIES: THERE ARE SEVERAL SITUATIONS WHERE A PATIENT CAN BE EXEMPTED FROM FURTHER BILLING AND COLLECTION PROCEDURES ONCE THE DETERMINATION IS MADE THAT THE PATIENT IS EXEMPT PURSUANT TO STATE REGULATIONS: A) PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN, HEALTHY START, CHILDREN'S MEDICAL SECURITY PLAN, OR DESIGNATED A "LOW INCOME PATIENT" BY THE OFFICE OF MEDICAID, SUBJECT TO THE FOLLOWING EXCEPTIONS: (I) THE HOSPITAL MAY SEEK TO BILL AND COLLECT THE CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM. (II) THE HOSPITAL MAY ALSO INITIATE BILLING AND COLLECTION EFFORTS FOR A PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT FAILS TO PROVIDE PROOF OF SUCH PARTICIPATION. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, (INCLUDING RECEIPT OR VERIFICATION OF THE SIGNED APPLICATION) THE HOSPITAL SHALL CEASE ITS BILLING AND COLLECTION ACTIVITIES. (III) THE HOSPITAL WILL NOT CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED BY THE HOSPITAL DURING THE PERIOD FOR WHICH HE OR SHE HAS BEEN DETERMINED TO BE A LOW INCOME PATIENT BY THE OFFICE OF MEDICAID. HOWEVER, THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON A LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW INCOME PATIENT STATUS HAS BEEN TERMINATED, EXPIRED, OR NOT OTHERWISE IDENTIFIED ON THE STATE'S VIRTUAL GATEWAY OR RECIPIENT ELIGIBILITY VERIFICATION SYSTEM. ONCE A LOW INCOME PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN COMMONWEALTH CARE PROGRAMS, THE HOSPITAL WILL CEASE ITS BILLING AND COLLECTION EFFORTS FOR SERVICES PROVIDED PRIOR TO THE BEGINNING OF THEIR ELIGIBILITY. (IV) THE HOSPITALS MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE. PART VI, LINE 2 NEEDS ASSESSMENT: THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT (CHNA REPORT) AND IMPLEMENTATION PLAN WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC IN SEPTEMBER, 2019. THE GOALS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT ARE TO MONITOR REGIONAL HEALTH DATA, ENGAGE HOSPITAL STAKEHOLDERS, PROMOTE PARTNERSHIPS BETWEEN THE HOSPITALS AND COMMUNITY ORGANIZATIONS AND DEVELOP MULTI-YEAR IMPLEMENTATION STRATEGIES TO GUIDE HOSPITAL INITIATIVES TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. Many sources and data collection methodologies were used to obtain a comprehensive view of the health and health care needs of the region and the people served by CCH and FH. Input on the design of data collection instruments was solicited from public health experts, health care consumers, and persons representing vulnerable and medically underserved populations and minorities. Conscientious efforts were made to reach a wide-ranging population of residents during data collection to ensure broad representation of community interests and perspectives. 1. Secondary Data. A comprehensive review of existing data drawn from national, state, and local sources was conducted. Data sources included, but were not limited to, the U.S. Census Bureau, the Centers for Disease Control and Prevention, the Massachusetts Department of Public Health, among others. Types of data included demographics, vital statistics, public health surveillance, as well as self-report of select health behaviors from large, population-based surveys such as the Massachusetts Behavioral Risk Factor Surveillance Survey (BRFSS). The selection of secondary data points was generally based on the prior CHNAs to allow for examination of trends over time. However, additional secondary data sources were explored when major themes or issues arose from qualitative data collection. When available, data were stratified by age group or by income/poverty level to identify areas of disparity. 2. Community Stakeholder Dialogues. Two facilitated "stakeholder dialogues" were held with staff from a broad array of agencies and organizations actively working in the health and human services sectors of Barnstable County. Approximately 70 people attended these sessions. 3. Key Informant Interviews. Key informant interviews were conducted via phone with 25 community leaders from organizations across all of Barnstable County, representing health centers, public safety organizations, housing organizations, and other human service groups. Key informants were identified for participation based on their in-depth knowledge of the health needs and resources of the region. Discussions focused on health strengths and needs in the community and opportunities and challenges to addressing community needs. They were also asked to describe organizational partnerships within Barnstable County, perceptions of community services, and perceptions of CCHC. 4. Focus Groups. Two focus groups, one conducted in Spanish and one in Portuguese, were held with residents to gather information about the community, health challenges and needs, existing services, and suggestions for the future. One focus group of Portuguese-speaking residents was conducted at IPR Cape Cod Church and involved 14 participants. The other involved six Spanishspeaking participants and was held at the Immigration Resource Center at Community Action Committee of Cape Cod. 5. Community Survey. A community survey asking about community and individual health and health care needs was developed and made available on-line and on paper to residents of Barnstable County. The survey was conducted in English, Spanish, and Portuguese and was completed by 2,011 total residents. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER THEIR UNPAID HOSPITAL BILLS. IN ORDER TO ASSIST UNINSURED AND UNDERINSURED PATIENTS IN FINDING AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO INFORM PATIENTS THAT THEY MAY BE ELIGIBLE TO APPLY FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS, BUT NOT LIMITED TO, MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE DESIGNATED A LOW INCOME PATIENT UNDER EITHER THE STATE HEALTH SAFETY NET PROGRAM OR THROUGH THE HOSPITAL'S OWN INTERNAL CHARITY CARE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT PAYMENT PLANS THAT MAY BE AVAILABLE TO HIM OR HER BASED ON THE SIZE OF HIS OR HER FAMILY AND FAMILY INCOME. PART VI, LINE 4 DEMOGRAPHICS OF THE SERVICE AREA CCHC's primary service area is Barnstable County. Barnstable County is a geographically isolated region located on the eastern seaboard of Massachusetts. The narrow peninsula spans over 70 miles in length and hosts a year-round population of 214,703 residents. Barnstable County consists of 15 towns that vary in population size from about 45,000 residents (Barnstable) to slightly more than 1,500 residents (Truro). In addition to serving year-round residents, the regional community infrastructure, including CCH and FH, must meet the demands of a significant influx of seasonal residents and visitors each year which, by one estimate, is equivalent to about seven million visitors and residents on Cape Cod in a given summer season. Population Demographic Trends Nearly half of the total population of Barnstable County reside in the three largest towns (Barnstable, Falmouth, and Yarmouth) and population size becomes increasingly smaller in towns of the lower (Harwich, Brewster, Chatham, and Orleans) and outer cape (Eastham, Wellfleet, Truro, and Provincetown), many of which are considered rural. Between 2011 and 2016, the overall population of Barnstable County remained stable with a slight decrease of -0.9%. In comparison, the state population grew by 3.5% during that time period. The overall population of Barnstable County and the islands of Nantucket and Martha's Vineyard is projected to decline in coming decades (an estimated -13.0% between 2010 and 2035), attributed to outmigration of younger residents and to the fact that deaths currently outnumber births. Consistent with the previous CHNA, the population of Barnstable County is older than for the state overall. The median age in Barnstable County is 51.8 years compared to 39. years for the state overall. Proportionally, residents age 65 years and older comprise 27.8% of the population in Barnstable County, compared to the state at 15.1%. In contrast, the proportion of residents under 18 years is lower in Barnstable County than in the state at 15.9% vs. 20.6%, respectively. Similarly, the proportion of residents between 18 and 24 years is lower in Barnstable County than in the state at 7.3% vs. 10.4%, respectively. Several towns on the lower and outer cape have a notably higher proportions of residents age 65 years and older, including Chatham (38.9%), Orleans (38.7%), and Wellfleet (38.0%), compared to the County average. More detailed data on the age of residents reveal that Barnstable County also has a higher proportion of residents who are within the 'oldest' age categories compared to Massachusetts overall, including those age 75 to 84 (8.8% vs. 4.4%, respectively) and those age 85 years and older (3.9% vs. 2.3%, respectively). Concern about meeting the needs of an aging population was a prominent theme in key informant interviews, stakeholder dialogues, and the community survey. 'Aging health concerns' was the most frequently identified health concern for the community by survey respondents (72.6%) with 'health care services focused on seniors'support to older adults to maintain independent living' ranking among the most frequently selected health and social service priorities by survey respondents. Key informant interviewees also noted that the population in the region is older and aging, which affects and will continue to affect the health and social service infrastructure. One phenomenon discussed by key informant interviewees and substantiated by existing data is the large and growing number of seniors who are caring for grandchildren. Between 2011 and 2016, the proportion of grandchildren residing with their grandparents, who are responsible for them, declined in Massachusetts from 29.8% to 28.0%, while it increased substantially in Barnstable County from 27.0% to 42.8%. This increase occurred in parallel timing with the inception of the opioid epidemic in 2012, which has disproportionally impacted Barnstable County. While grandparents' homes can provide stability and support when parents are unable to care for their children, caring for grandchildren can be physically and emotionally demanding for seniors, create financial challenges, and strain social and family relationships. These all contribute to poorer mental and physical health among grandparents. Related in part to the older age of the population, Barnstable County has a larger proportion of veterans and residents with disabilities than the state overall. Eleven percent (11.0%) of county residents identified as veterans compared to 6.4% for the state overall. The largest proportion of veterans residing in Barnstable County is of the Vietnam era (36.2%). Approximately 14% of residents in Barnstable have a disability, compared to 11.6% for the state. Between about 5% to 7% of Barnstable County residents have a hearing, cognitive, ambulatory, or independent living disability. In terms of race and ethnicity, the population of Barnstable County is less diverse than the state overall. Ninety percent (90.6%) of Barnstable County residents identify as White, non-Hispanic compared to 73.7% in the state overall. Though comprising a small proportion of the overall population, approximately 20,000 Barnstable County residents identify as a racial or ethnic minority. Similarly, smaller proportions (7.8%) of Barnstable County residents speak a language other than English compared to the state overall (22.7%). While language minorities comprise a small portion of the county's population, Spanish and Portuguese-speaking focus group participants shared those language barriers are a substantial barrier to economic advancement and the ability to access some health and social services. Focus group participants further reported that limited spaces in English as a Second Language (ESL) classes make it difficult for immigrants to learn English. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: CAPE COD HEALTHCARE, INC., (CCHC) THROUGH ITS COMMUNITY BENEFITS INITIATIVES, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL RESIDENTS OF CAPE COD. THROUGH CONTINUOUS ASSESSMENT OF COMMUNITY NEEDS, COORDINATED PLANNING AND THE ALLOCATION OF RESOURCES, THIS COMMITMENT INCLUDES A SPECIAL FOCUS ON THE UNMET NEEDS OF THE FINANCIALLY DISADVANTAGED AND UNDERSERVED POPULATIONS. WE WILL TAKE A LEADERSHIP ROLE IN COLLABORATIVE EFFORTS JOINING OUR RESOURCES, TALENT, AND COMMITMENT WITH THAT OF OTHER PROVIDERS, ORGANIZATIONS AND COMMUNITY MEMBERS. THE COMMUNITY BENEFITS MISSION STATEMENT WAS AFFIRMED BY THE CCHC COMMUNITY HEALTH COMMITTEE AND THE BOARD OF TRUSTEES IN 2000 AND REMAINS IN EFFECT. THE FOLLOWING IS A LIST OF FY 20 TARGET POPULATIONS: - RESIDENTS ACROSS BARNSTABLE COUNTY WITH FOCUS ON SPECIFIC REGIONS OF THE CAPE MOST ACUTELY IMPACTED BY GEOGRAPHIC ISOLATION, ACCESS TO SERVICES, TRANSPORTATION BARRIERS, AND ECONOMIC OPPORTUNITY. - POPULATIONS MANAGING MENTAL HEALTH AND/OR BEHAVIORAL HEALTH DISORDERS. - RESIDENTS OVER THE AGE OF 65. - TRANSITIONAL-AGED YOUTH (18-24 YEARS OLD). - LOW-INCOME INDIVIDUALS AND FAMILIES. KEY ACCOMPLISHMENTS OF REPORTING YEAR CCHC COMMUNITY BENEFITS PROVIDED FINANCIAL AND SERVICE SUPPORT TO HEALTH AND HUMAN SERVICES ORGANIZATIONS AND HOSPITAL-BASED PROGRAMS AND SERVICES THAT WERE ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 2020-2022. WE ADDRESSED BARRIERS TO CARE BY ADDING SUPPORTIVE CONNECTORS IN THE CONTINUUM OF CARE. EXAMPLES: ALZHEIMER'S SUPPORT GROUPS, RECOVERY COACHES, COMMUNITY NAVIGATORS, OUTREACH, INTEGRATIVE THERAPIES AND TRANSPORTATION SOLUTIONS. CCHC COMMUNITY BENEFITS EXPANDED CROSS-SECTOR COMMUNITY PARTNERSHIPS AND LEADERSHIP WITHIN AND THROUGHOUT THE CAPE COD NON-PROFIT HEALTH AND HUMAN SERVICE SYSTEM. THE MAJOR ACCOMPLISHMENT THIS YEAR WAS THE PUBLICATION OF THE 2020-2022 CCH AND FH CHNA AND IMPLEMENTATION PLAN. THIS PLAN SERVED AS THE FOUNDATION FOR CCHC'S FY20 COMMUNITY BENEFITS PROGRAM, WHICH FOCUSED ON THESE 5 PRIORITIES: PHYSICAL HEALTH CONDITIONS, BEHAVIORAL HEALTH, TRANSPORTATION, HOUSING, AND WORKFORCE DEVELOPMENT. NEW AND EXPANDED HOSPITAL PROGRAMS WERE DELIVERED IN ALIGNMENT WITH IMPLEMENTATION GOALS, OBJECTIVES AND STRATEGIES FOR EACH PRIORITY. CCHC SUPPORTED PARTNERSHIPS WITH OVER 50 LOCAL NONPROFIT HEALTH AND HUMAN SERVICE ORGANIZATIONS, AND A NETWORK OF FEDERALLY QUALIFIED HEALTH CENTERS THROUGH PROJECT SUPPORT AND GRANT INVESTMENTS TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. HOSPITAL STAFF DEDICATED TIME AND EXPERTISE TO STRATEGIC PARTNERSHIPS, COALITIONS, AND TASK FORCE EFFORTS LOCALLY, REGIONALLY AND ACROSS MASSACHUSETTS. A SECOND MAJOR ACCOMPLISHMENT OF THIS YEAR IS THE ORGANIZATION'S RESPONSE TO OUR COMMUNITY NEEDS STEMMING FROM COVID-19. OUR HOSPITALS CONTINUED TO PROVIDE MEDICAL CARE, WHILE PROVIDING NEW SERVICES TO FIGHT COVID IN OUR COMMUNITY. IN 2020, CCHC: - EXPANDED ICU CAPACITIES AT BOTH HOSPITALS TO HANDLE AN INCREASE IN COVID PATIENTS - BUILT TRIAGE TENTS AT BOTH HOSPITALS - ESTABLISHED 3 TESTING SITES ACROSS THE REGION - UTILIZED THE EXPERTISE OF THE VNA TO LEAD THE COMMUNITY'S CONTACT TRACING PROGRAM - HELPED TO HOUSE HOMELESS PEOPLE WHO NEEDED TO BE QUARANTINED - CREATED A COVID-19 HOTLINE FOR THE COMMUNITY - SET UP A FIELD HOSPITAL AT JOINT BASE CAPE COD - ADMINISTERED COVID-19 VACCINES TO THE COMMUNITY. PART VI, LINE 7 ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA true Harbor Health Center 1135 MORTON ST MATTAPAN MA 02126 237100550 501(c)(3) 100000 FMV N/A Access to Care Duffy Health Center Inc 94 MAIN ST HYANNIS MA 02452 043373741 501(c)(3) 70000 FMV N/A Access to Care Outer Cape Health Services PO Box 1413 Wellfleet MA 02667 042509828 501(c)(3) 123000 FMV N/A Access to Care Alzheimer's Family Caregiver Support Center Inc 309 Waverly Oaks Rd Waltham MA 02452 133039601 501(c)(3) 30000 FMV N/A Prevention & Wellness Cape Cod Commercial Fisherman's Alliance 1566 Main St Chatham MA 02633 043138784 501(c)(3) 30000 FMV N/A Prevention & Wellness Cape Wellness Collaborative 11 Potter Ave Hyannis MA 02601 472360979 501(c)(3) 30000 FMV N/A Chronic & Infectious Disease The Family Pantry of Cape Cod 133 Queen Anne Rd Harwich MA 02645 223079904 501(c)(3) 30000 FMV N/A Prevention & Wellness YMCA Cape Cod 12245 IYANNOUGH RD W BARNSTABLE MA 02668 042394925 501(c)(3) 30000 FMV N/A Chronic & Infectious Disease Cape Cod Times Needy Fund Inc PO BOX 804 HYANNIS MA 02601 222480332 501(c)(3) 30000 FMV N/A Access to Care Stratus Video LLC 33 N Garden Ave STE 100 Clearwater FL 33755 472949558 12444 FMV N/A Access to Care Barnstable County Sheriff's Office 6000 Sheriffs PL Bourne MA 02532 046002284 GOV'T 30000 FMV N/A Access to Care HEALTH IMPERATIVES INC 942 W CHESTNUT ST BROCKTON MA 02301 042609177 501(c)(3) 30000 FMV N/A Prevention & Wellness Team Maureen PO Box 422 N Falmouth MA 02556 452473500 501(c)(3) 27776 FMV N/A Chronic & Infectious Disease Samaritans on Cape Cod & the Islands PO BOX 65 falmouth MA 02541 042738811 501(c)(3) 15831 FMV N/A Behavioral Health Boston Cancer Support Org Inc 831 Beacon St Newton MA 02459 300863587 501(c)(3) 20000 FMV N/A Chronic & Infectious Disease NAMI Cape Cod Inc 5 MARK LANE HYANNIS MA 02601 042785229 501(c)(3) 25000 FMV N/A Behavioral Health LC CREATIVE INC 62 Old Stone Ch Rd Little Compton RI 02837 037507635 7415 FMV N/A Access To Care Housing Assistance Corporation 460 W Main Street Hyannis MA 02601 237431255 501(C)(3) 100000 FMV N/A SDOH Cape & Islands Plastic Surgery 26 Gleason Street Hyannis MA 02601 452182632 501(C)(3) 64047 FMV N/A Access to Care Association To Preserve Cape Cod 482 Main Street Route 6A Dennis MA 02638 042462788 501(C)(3) 25000 FMV N/A SDOH - Built Environment Town of Barnstable 367 Main Street Hyannis MA 02601 046001079 GOV'T 25000 FMV N/A Access to Care Barnstable County PO Box 427 Barnstable MA 02630 046001419 GOV'T 25000 FMV N/A Access to Care Helping Our Women 34 Conwell St Provincetown MA 02657 043179955 501 (C)(3) 23200 FMV N/A Chronic & Infectious Disease Cape Cod Literacy Council PO Box 550 Hyannis MA 02601 223098035 501(C)(3) 14399 FMV N/A Prevention & Wellness PASTORAL MINISTRY 786 DARTMOUTH ST DARTMOUTH MA 02748 043096332 501(C)(3) 30000 BEHAVIORAL HEALTH FAMILY TO FAMILY 500 MAIN STREET HYANNIS MA 02601 274058389 501(C)(3) 5500 PREVENTION AND WELLNESS 24 2 SCHEDULE I, PART I, LINE 2 Cape Cod Healthcare monitors the use of grant funds it provides to other organizations through documentation and measurement requirements and metric reporting. The recipient organization agrees to submit an Annual Summary & Outcomes Report to Cape Cod Healthcare for inclusion in Cape Cod Healthcare's Community Benefits State Attorney General's reporting. An outline of specific reporting requirements is included as an attachment in each agreement and a reporting template is provided to each organization. The recipient organization agrees to send a completed template to Cape Cod Healthcare by October 31st of the year the grant is awarded (CCHC grant program schedules run from January 1 - September 30). Additionally, Cape Cod Healthcare may request an Annual Summary & Outcomes Report or documentation of outcomes related to services outlined in the agreement at any time during the duration of the grant. false true false false false false false true false MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 0 977346 0 450000 0 240109 0 233600 0 31192 0 1932247 0 182000 ROBERT WILSTERMAN MD TRUSTEE (UNTIL 1/20) 672311 0 0 0 21772 0 7561 0 34820 0 736464 0 0 0 WILLIAM AGEL MD TRUSTEE (UNTIL 04/2020) 441169 0 47326 0 16206 0 11200 0 31192 0 547093 0 0 0 THEODORE CALIANOS MD TRUSTEE 370551 0 0 0 1806 0 11200 0 31021 0 414578 0 0 0 PAUL HOULE MD TRUSTEE (UNTIL 1/20) 914309 0 116000 0 40566 0 11200 0 33820 0 1115895 0 0 0 MICHAEL L CONNORS SENIOR VP FINANCE/CFO 0 412159 0 101200 0 52656 0 38347 0 35141 0 639503 0 19250 MICHAEL G JONES ESQ SEE SCHEDULE O 0 312542 0 80400 0 34652 0 30592 0 34141 0 492327 0 15219 DONALD A GUADAGNOLI MD Senior VP & CMO 0 393304 0 96600 0 52064 0 36860 0 27592 0 606420 0 19957 ALEXANDER HEARD MD CMO FALMOUTH HOSPITAL 179971 160048 33300 0 3122 44481 5657 24656 17174 16796 239224 245981 0 0 PATRICK J KANE SVP OF MRKTG,COMMUN AND DEVLP 0 325733 0 79600 0 19330 0 30284 0 14823 0 469770 0 15514 CHRISTIAN BROWN SR VP MANAGED CARE 0 316357 0 79200 0 44083 0 30218 0 31192 0 501050 0 15250 EMILY SCHORER SVP HUMAN RESOURCES 0 263136 0 66960 0 24426 0 25923 0 32141 0 412586 0 12950 THERESA M AHERN SVP STRATEGY & GOVT AFFAIRS 0 205482 0 0 0 28623 0 9927 0 5442 0 249474 0 12000 KEVIN MULROY SVP CHIEF QUALITY & SAFETY OFF 0 361610 0 90500 0 35511 0 33575 0 33991 0 555187 0 18750 JOHN PAUL SOLVERSON SR VP & CIO 0 420721 0 102500 0 1806 0 37351 0 14835 0 577213 0 0 JEFFREY S DYKENS VP FINANCE 0 242242 0 84126 0 30603 0 23983 0 26657 0 407611 0 13500 NOELENE CERVIN VP BUDGETING AND OPER. SUPPORT 0 216812 0 44700 0 8263 0 21419 0 25786 0 316980 0 5500 LORI JEWETT CEO - FH 0 220990 0 51400 0 36202 0 23217 0 1525 0 333334 0 12375 ANNE MARIE PECKHAM PRESIDENT VNA 0 201227 0 37087 0 35344 0 9806 0 22394 0 305858 0 10963 CARTER HUNT ADMIN SPEC&HOSP BASED CARE 0 178158 0 22551 0 24375 0 19194 0 34141 0 278419 0 828 JUDITH C QUINN VP OF PATIENT CARE 0 197990 0 46835 0 68285 0 9607 0 23892 0 346609 0 27625 DEBRA ROBINSON ASSOC VP OF NRSNG 168045 0 39310 0 42354 0 8759 0 24530 0 282998 0 11137 0 CYNTHIA MARLIN VP PERIOPERATIVE & SURGICAL SV 0 190323 0 36460 0 1286 0 19098 0 24912 0 272079 0 358 ELIZABETH DUNTON COO EMPLOYED PHYSICIAN SVCS 0 205001 0 26651 0 1275 0 19516 0 1525 0 253968 0 828 JEAN BUTLER SVP EMPLYD PHY GRP(AS OF 4/19) 0 188563 0 77100 0 20181 0 22749 0 14122 0 322715 0 1438 CHRISTOPHER M LAWSON SVP DEVELOPMENT 0 245550 0 60000 0 966 0 7933 0 31111 0 345560 0 0 SHERYL DECILIO SEE SCHEDULE O 0 264923 0 79530 0 854 0 7727 0 1349 0 354383 0 0 RICHARD B ZELMAN MD PHYSICIAN 1466656 0 100000 0 116234 0 11200 0 32668 0 1726758 0 0 0 NICHOLAS COPPA MD PHYSICIAN 916119 0 116000 0 19420 0 11200 0 31010 0 1093749 0 0 0 ACHILLES PAPAVASILIOU MD PHYSICIAN 913159 0 116000 0 19966 0 11200 0 33970 0 1094295 0 0 0 GORDON NAKATA MD PHYSICIAN 914309 0 116050 0 18966 0 11200 0 33820 0 1094345 0 0 0 KARL B COYNER MD PHYSICIAN 671237 0 324575 0 21772 0 11200 0 11790 0 1040574 0 0 0 MOLLY SULLIVAN MD TRUSTEE (AS OF 1/20) 496550 0 20839 0 20806 0 11200 0 31192 0 580587 0 0 0 SCHEDULE J, PART I, LINE 4B - 457(F) CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EXECUTIVES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF CASH COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2019 WERE AS FOLLOWS: - MICHAEL K. LAUF - $82,576 - MICHAEL G. JONES - $17,269 - MICHAEL L. CONNORS - $22,423 - JEFFREY S. DYKENS - $16,021 - PATRICK KANE - $16,558 - THERESA AHERN - $13,409 - DONALD GUADAGNOLI MD - $22,215 - EMILY SCHORER - $13,735 - KEVIN MULROY - $19,834 - CHRISTIAN BROWN - $15,965 - LORI JEWETT - $11,621 - JUDITH C. QUINN - $39,701 - NOELENE CERVIN - $5,490 - ANNE MARIE PECKHAM - $22,314 - ELIZABETH DUNTON - $855 - CARTER HUNT - $803 - CYNTHIA MARLIN - $339 - DEBRA ROBINSON - $11,969 CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO SPONSOR A NONQUALIFIED PENSION RESTORATION ACCOUNT PLAN FOR KEY EXECUTIVES. THE ORGANIZATION MAKES CONTRIBUTIONS OF TWO PERCENT OF THE INDIVIDUAL'S ANNUAL SALARY (INCLUDING BONUS) THROUGHOUT THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON RETIREMENT, TERMINATION, OR DEATH. DURING CALENDAR YEAR 2019, MICHAEL LAUF ALSO PARTICIPATED IN A SECTION 457(F) PLAN. TWELVE PERCENT OF HIS BASE SALARY WAS CONTRIBUTED AND EACH CONTRIBUTION IS SUBJECT TO A THREE YEAR VESTING SCHEDULE. THE AMOUNT DEFERRED IN CALENDAR YEAR 2019 WAS $120,000 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C). IN ADDITION, $118,703 WAS PAID OUT FROM HIS CEO SUPPLEMENTAL PLAN, AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). SCHEDULE J, PART I, LINE 7 DISCRETIONARY BONUSES ARE AWARDED ANNUALLY BASED UPON BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. BONUSES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II).THE INDIVIDUALS REPORTED IN SCHEDULE J, PART II REPORTED AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION. A MHEFA REVENUE BONDS SERIES E 042456011 000000000 2012-01-12 29440000 REISSUE SER E (6/18/08 & 2/12/09) false false false B MHEFA REVENUE BONDS SERIES 2012A 043431814 000000000 2012-02-24 25800000 REFUND SER B(8/15/98)& C(11/15/01) false false false C MDFA REVENUE BONDS SERIES 2013 043431814 57584VAH8 2013-07-11 50831729 REFUND SER C(10/9/01) & CAP.IMPR. false false false D MDFA REVENUE BONDS SERIES 2014 043431814 000000000 2014-09-29 24000000 RENOVATION & REAL ESTATE PURCHASE false false false A 25514666 0 29440000 0 0 0 0 0 0 0 29440000 0 2012 true false true true B 20640000 0 25800000 0 0 0 336100 0 0 0 25463900 0 2012 true false true true C 0 0 50834109 0 1295804 0 803269 0 0 27999813 20735223 0 2014 true false true true D 3400000 0 24001267 0 0 0 0 241456 0 0 23759811 0 2015 false false true true A 0 true B 0 true C false false false 0 false false false true D false false false 0 false false false true A false false true true true false 0 false 0 false true B false false true true false false 0 false 0 false true C false false true true false false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true PART IV, LINE 2(C) THE DATE THE REBATE COMPUTATIONS WERE LAST PERFORMED FOR EACH BOND ARE BELOW: MDFA, REVENUE BONDS, SERIES E - 07/12/2012 MDFA, REVENUE BONDS, SERIES 2012A - 06/30/2016 MDFA, REVENUE BONDS, SERIES 2013 - 06/30/2018 MDFA, REVENUE BONDS, SERIES 2014 - 08/31/2015 MDFA, REVENUE BONDS, SERIES 2017 - 11/15/2019 SINCE THE BOND PROCEEDS HAVE BEEN SPENT FOR EACH BOND AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. A MDFA REVENUE BONDS SERIES 2017 043431814 000000000 2017-02-01 52315359 REFUND SERIES D(2/16/2010) false false false A 8893203 0 54216669 0 0 0 302138 0 0 106973 0 53807558 2017 false true true true A false false false 0 false false false true A false false false true true false 0 false 0 false true A true DR KATHRYN RUDMAN SPOUSE OF TRUSTEE 321010 MACC EMPLOYEE false Sarah K Guadagnoli RN DAUGHTER OF KEY EMPLOYEE 75660 CCH EMPLOYEE false KIRA JONES SPOUSE OF OFFICER 84895 FH EMPLOYEE false X 14 1816257 VALUE OF STOCK REC'D false true true SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. SCHEDULE M, PART I, LINE 32(A) ON OCCASION THE ORGANIZATION UTILIZES A BROKER TO DISPOSE OF NONCASH CONTRIBUTIONS (OTHER THAN PUBLICLY TRADED SECURITIES). FORM 990, PART I, LINE 1 AND PART III, LINE 1 WE WILL BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR CAPE COD RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTH CARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE WILL PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. COMMUNITY BENEFITS MISSION STATEMENT CAPE COD HEALTHCARE, INC., (CCHC) THROUGH ITS COMMUNITY BENEFITS INITIATIVES, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL RESIDENTS OF CAPE COD. THROUGH CONTINUOUS ASSESSMENT OF COMMUNITY NEEDS, COORDINATED PLANNING AND THE ALLOCATION OF RESOURCES, THIS COMMITMENT INCLUDES A SPECIAL FOCUS ON THE UNMET NEEDS OF THE FINANCIALLY DISADVANTAGED AND UNDERSERVED POPULATIONS. WE WILL TAKE A LEADERSHIP ROLE IN COLLABORATIVE EFFORTS JOINING OUR RESOURCES, TALENT, AND COMMITMENT WITH THAT OF OTHER PROVIDERS, ORGANIZATIONS AND COMMUNITY MEMBERS. THE COMMUNITY BENEFITS MISSION STATEMENT WAS AFFIRMED BY THE CCHC COMMUNITY HEALTH COMMITTEE AND THE BOARD OF TRUSTEES IN 2000 AND REMAINS IN EFFECT. TARGET POPULATIONS 1. NAME OF TARGET POPULATION: RESIDENTS ACROSS BARNSTABLE COUNTY WITH FOCUS ON SPECIFIC REGIONS OF THE CAPE MOST ACUTELY IMPACTED BY GEOGRAPHIC ISOLATION, ACCESS TO SERVICES, TRANSPORTATION BARRIERS, AND ECONOMIC OPPORTUNITY. BASIS FOR SELECTION: CCHC'S PRIMARY SERVICE AREA IS BARNSTABLE COUNTY, WHICH IS A GEOGRAPHICALLY ISOLATED REGION LOCATED ON THE EASTERN SEABOARD OF MASSACHUSETTS AND IS MADE UP OF 15 TOWNS. NEARLY HALF THE POPULATION OF BARNSTABLE COUNTY RESIDE IN THE THREE LARGEST TOWNS. POPULATION SIZE BECOMES INCREASINGLY SMALLER IN TOWNS OF THE LOWER AND OUTER CAPE, AND MANY OF THESE TOWNS ARE CONSIDERED RURAL. LACK OF ACCESS TO HEALTHCARE AND OTHER SUPPORTIVE SERVICES IS A MAJOR BARRIER TO HEALTH FOR RESIDENTS OF THESE TOWNS. 2. NAME OF TARGET POPULATION: POPULATIONS MANAGING MENTAL HEALTH AND/OR BEHAVIORAL HEALTH DISORDERS. BASIS FOR SELECTION: ACCESS TO, AND AVAILABILITY OF, COMMUNITY-BASED BEHAVIORAL HEALTH CARE IN BARNSTABLE COUNTY IS AN AREA OF CONCERN. THIS IS EVIDENCED BY HIGH RATES OF PATIENTS PRESENTING WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN HOSPITAL EMERGENCY DEPARTMENTS. SPECIFIC CHALLENGES REPORTED BY THE COMMUNITY AND INCLUDED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT INCLUDE ACCESS TO SERVICES, LACK OF MENTAL HEALTH SERVICES, SUBSTANCE USE, LACK OF PREVENTATIVE SERVICES AND STIGMA. 3. NAME OF TARGET POPULATION: RESIDENTS OVER THE AGE OF 65. BASIS FOR SELECTION: CONSISTENT WITH THE PREVIOUS CHNA, THE POPULATION OF BARNSTABLE COUNTY IS OLDER THAN FOR THE STATE OVERALL (27.8% VS. 15.1%). BARNSTABLE COUNTY ALSO HAS A HIGHER PROPORTION OF RESIDENTS WHO ARE WITHIN THE "OLDEST" AGE CATEGORIES COMPARED TO MASSACHUSETTS OVERALL, INCLUDING THOSE AGE 75-84 (8.8% VS. 4.4%) AND THOSE AGE 85 AND OLDER (3.9% VS. 2.3%). "AGING HEALTH CONCERNS" WAS THE MOST FREQUENTLY IDENTIFIED HEALTH CONCERN FOR THE COMMUNITY BY SURVEY RESPONDENTS, WITH "HEALTH CARE SERVICES FOCUSED ON SENIORS"SUPPORT TO OLDER ADULTS TO MAINTAIN INDEPENDENT LIVING" RANKING AMONG THE MOST FREQUENTLY SELECTED HEALTH AND SOCIAL SERVICE PRIORITIES BY SURVEY RESPONDENTS. 4. NAME OF TARGET POPULATION: TRANSITIONAL-AGED YOUTH (18-24 YEARS OLD). BASIS FOR SELECTION: THE PROPORTION OF RESIDENTS OF BARNSTABLE COUNTY BETWEEN 18 AND 24 IS LOWER THAN IN THE STATE (7.3% VS. 10.4%). TRANSITIONAL-AGED YOUTH WERE IDENTIFIED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS A SPECIFIC AT-RISK POPULATION DUE TO INCREASING RATES OF SUBSTANCE USE TREATMENT ADMISSIONS AND CONCERNING HEALTH RISK BEHAVIORS. THE CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT IMPACT THIS POPULATION: WORKFORCE DEVELOPMENT, EMPLOYMENT, EDUCATION AND ECONOMIC OPPORTUNITIES. 5. NAME OF TARGET POPULATION: LOW-INCOME INDIVIDUALS AND FAMILIES. BASIS FOR SELECTION: ONE THIRD OF COMMUNITY SURVEY RESPONDENTS IDENTIFIED POVERTY AS ONE OF THEIR TOP SOCIAL CONCERNS. THE OVERALL MEDIAN HOUSEHOLD INCOME FOR BARNSTABLE COUNTY IS SLIGHTLY BELOW THE STATE ($65,382 VS. $70,954), AND GENERALLY MUCH LOWER IN NON-FAMILY AND RENTER-OCCUPIED HOUSEHOLDS. THE INDIVIDUAL POVERTY RATE FOR BARNSTABLE COUNTY IS LOWER THAN FOR THE STATE (5.4% VS. 9%). HOWEVER, THERE IS VARIABILITY BETWEEN TOWNS, WITH PROVINCETOWN (13.2%) AND CHATHAM (12.7%) HAVING HIGHER RATES OF POVERTY THAN THE STATE. PUBLICATION OF TARGET POPULATIONS MARKETING COLLATERAL, WEBSITE COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESSMENT COMPLETED CHNA REPORT 2020-2022 PUBLISHED TO CCHC CARING COMMUNITIES WEBSITE SEPTEMBER 2020. DATA SOURCES COMMUNITY FOCUS GROUPS, HOSPITAL, INTERVIEWS, OTHER, SURVEYS, CHNA DOCUMENT COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2020-2022.PDF IMPLEMENTATION STRATEGY IMPLEMENTATION STRATEGY DOCUMENT: FY20_SIP.PDF KEY ACCOMPLISHMENTS OF REPORTING YEAR CCHC COMMUNITY BENEFITS PROVIDED FINANCIAL AND SERVICE SUPPORT TO HEALTH AND HUMAN SERVICES ORGANIZATIONS AND HOSPITAL-BASED PROGRAMS AND SERVICES THAT WERE ALIGNED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 2020-2022. WE ADDRESSED BARRIERS TO CARE BY ADDING SUPPORTIVE CONNECTORS IN THE CONTINUUM OF CARE. EXAMPLES: ALZHEIMER'S SUPPORT GROUPS, RECOVERY COACHES, COMMUNITY NAVIGATORS, OUTREACH, INTEGRATIVE THERAPIES AND TRANSPORTATION SOLUTIONS. CCHC COMMUNITY BENEFITS EXPANDED CROSS-SECTOR COMMUNITY PARTNERSHIPS AND LEADERSHIP WITHIN AND THROUGHOUT THE CAPE COD NON-PROFIT HEALTH AND HUMAN SERVICE SYSTEM. THE MAJOR ACCOMPLISHMENT THIS YEAR WAS THE PUBLICATION OF THE 2020-2022 CCH AND FH CHNA AND IMPLEMENTATION PLAN. THIS PLAN SERVED AS THE FOUNDATION FOR CCHC'S FY20 COMMUNITY BENEFITS PROGRAM, WHICH FOCUSED ON THESE 5 PRIORITIES: PHYSICAL HEALTH CONDITIONS, BEHAVIORAL HEALTH, TRANSPORTATION, HOUSING, AND WORKFORCE DEVELOPMENT. NEW AND EXPANDED HOSPITAL PROGRAMS WERE DELIVERED IN ALIGNMENT WITH IMPLEMENTATION GOALS, OBJECTIVES AND STRATEGIES FOR EACH PRIORITY. CCHC SUPPORTED PARTNERSHIPS WITH OVER 50 LOCAL NONPROFIT HEALTH AND HUMAN SERVICE ORGANIZATIONS, AND A NETWORK OF FEDERALLY QUALIFIED HEALTH CENTERS THROUGH PROJECT SUPPORT AND GRANT INVESTMENTS TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. HOSPITAL STAFF DEDICATED TIME AND EXPERTISE TO STRATEGIC PARTNERSHIPS, COALITIONS, AND TASK FORCE EFFORTS LOCALLY, REGIONALLY AND ACROSS MASSACHUSETTS. A SECOND MAJOR ACCOMPLISHMENT OF THIS YEAR IS THE ORGANIZATION'S RESPONSE TO OUR COMMUNITY NEEDS STEMMING FROM COVID-19. OUR HOSPITALS CONTINUED TO PROVIDE MEDICAL CARE, WHILE PROVIDING NEW SERVICES TO FIGHT COVID IN OUR COMMUNITY. IN 2020, CCHC: . EXPANDED ICU CAPACITIES AT BOTH HOSPITALS TO HANDLE AN INCREASE IN COVID PATIENTS . BUILT TRIAGE TENTS AT BOTH HOSPITALS . ESTABLISHED 3 TESTING SITES ACROSS THE REGION . UTILIZED THE EXPERTISE OF THE VNA TO LEAD THE COMMUNITY'S CONTACT TRACING PROGRAM . HELPED TO HOUSE HOMELESS PEOPLE WHO NEEDED TO BE QUARANTINED . CREATED A COVID-19 HOTLINE FOR THE COMMUNITY . SET UP A FIELD HOSPITAL AT JOINT BASE CAPE COD . ADMINISTERED COVID-19 VACCINES TO THE COMMUNITY. PLANS FOR NEXT REPORTING YEAR IN FY21, CCHC COMMUNITY BENEFITS WILL FOLLOW THE CHNA 2020-2022 GOALS AND STRATEGIC IMPLEMENTATION PLAN. THIS PLAN WAS PUT TOGETHER WITH CCHC LEADERSHIP AND OTHER COMMUNITY STAKEHOLDERS INCLUDING BARNSTABLE COUNTY HUMAN SERVICES AND BEHAVIORAL HEALTH AND INFECTIOUS DISEASE EXPERTS. IT IDENTIFIES THE PRIORITIES, POTENTIAL PARTNERS, AND GOALS AND OBJECTIVES FOR THE IMPLEMENTATION PLAN, WHICH WILL BE FOLLOWED FOR OUR NEXT REPORTING YEAR. THE PRIORITY AREAS AND GOALS FOR THE IMPLEMENTATION PLAN ARE: 1) PHYSICAL HEALTH CONDITIONS - REDUCE AND PREVENT THE OCCURRENCE AND SEVERITY OF CHRONIC AND INFECTIOUS DISEASE IN BARNSTABLE COUNTY THROUGH COLLABORATIVE APPROACHES. 2) BEHAVIORAL HEALTH - BE A LEADING PARTNER IN PROVIDING COMPREHENSIVE REGIONAL HEALTH SERVICES AND COMMUNITY RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDERS. 3) SOCIAL DETERMINANTS OF HEALTH: TRANSPORTATION - WORK WITH REGIONAL TRANSPORTATION SYSTEMS TO INCREASE ACCESS TO HEALTH CARE AND OTHER HEALTH RELATED SERVICES IN BARNSTABLE COUNTY. HOUSING - WORK WITH REGIONAL PARTNERS TO ENSURE THAT VULNERABLE POPULATIONS SHOW IMPROVED HEALTH INDICATORS THROUGH ACCESS TO STABLE AND QUALITY HOUSING. HEALTHCARE WORKFORCE DEVELOPMENT - WORK WITH REGIONAL PARTNERS TO ENSURE OUR COMMUNITY IS SERVED BY A STRONG, ADEQUATE HEALTHCARE WORKFORCE. FOOD/NUTRITION - FOSTER REGIONAL PARTNERS TO DEVELOP OF FOOD SECURITY ASSESSMENT PROCESS. SELF-ASSESSMENT FORM: HOSPITAL SELF-ASSESSMENT UPDATE FORM - YEARS 2 AND 3 COMMUNITY BENEFITS PROGRAMS ANNUAL STRATEGIC GRANTS PROGRAM: CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM DESCRIPTIONS: THE FY20 ANNUAL STRATEGIC GRANTS PROGRAM WAS A COMPETITIVE GRANT INITIATIVE WITH THE OBJECTIVE TO SUPPORT COMMUNITY-BASED CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS ALIGNED WITH THE HEALTH PRIORITIES IDENTIFIED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. GRANTS WERE AWARDED TO ORGANIZATIONS WITH PROJECTS THAT REACHED VULNERABLE POPULATIONS, MAXIMIZED PARTNERSHIP COLLABORATION AND FEATURED EVIDENCE-BASED PROGRAMS OR PROMISING PRACTICES WITH THE OBJECTIVE TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION, SUPPORT GROUP . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS, . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, HOUSING, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-ARTHRITIS, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, INFECTIOUS DISEASE-HEPATITIS, INFECTIOUS DISEASE-LYME DISEASE, INJURY-AUTO/PASSENGER INJURIES, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-ENVIRONMENTAL QUALITY, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-LANGUAGE/LITERACY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-PUBLIC SAFETY, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: INCARCERATION HISTORY, LGBT STATUS GOAL DESCRIPTION GRANT AWARDS TO LOCAL NON-PROFIT ORGANIZATIONS OPERATING QUALITY PROGRAMS WITH ANTICIPATED OUTCOMES ALIGNED WITH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL IMPLEMENTATION STRATEGIES RELATED TO CHRONIC AND INFECTIOUS DISEASES AND PREVENTION AND WELLNESS. GOAL STATUS EXECUTION OF AWARDING GRANTS AND EVALUATING PROGRAMS COMPLETED AS SCHEDULED. PARTNERS PARTNER NAME, DESCRIPTION AND WEB ADDRESS ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER - FREE IN-HOME CARE CONSULTATIONS FOR FAMILIES LIVING WITH ALZHEIMER'S AND DEMENTIA DISEASE - WWW.ALZHEIMERSCAPECOD.ORG A BABY CENTER - BABY BOXES AND CAR SEATS FOR LOW INCOME FAMILIES- WWW.ABABYCENTER.ORG CAPE COD TIMES NEEDY FUND - BASIC NEEDS SAFETY NET FOR INDIVIDUALS WITH CHRONIC AND INFECTIOUS DISEASES - WWW.NEEDYFUND.ORG HOUSING ASSISTANCE CORPORATION ON CAPE COD - OUTER CAPE HEALTH SERVICES HOUSING FOR HEALTH PARTNERSHIP - WWW.HACONCAPECOD.ORG CAPE WELLNESS COLLABORATIVE - WELLNESS CARDS FOR INTEGRATIVE SERVICES- WWW.CAPEWELLNESS.ORG TEAM MAUREEN - HPV PREVENTION THROUGH CAPE - WIDE EDUCATION - WWW.TEAMMAUREEN.ORG NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD - MENTAL WELLNESS IN THE PORTUGUESE COMMUNITY- WWW.NAMICAPECOD.ORG SAMARITANS ON CAPE COD & THE ISLANDS - ELDER SUICIDE OUTREACH PREVENTION PROGRAM- WWW.CAPESAMARITANS.ORG YMCA CAPE COD - CHRONIC DISEASE PROGRAM COORDINATOR- WWW.YMCACAPECOD.ORG BOSTON CANCER SUPPORT - TREATMENT TRANSPORT PROGRAM - WWW.BOSTONCANCERSUPPORT.ORG CAPE COD COMMERCIAL FISHERMAN'S ALLIANCE - FISH FOR FAMILIES - WWW.CAPECODFISHERMEN.ORG THE FAMILY PANTRY OF CAPE COD - HEALTHY MEALS IN MOTION - WWW.THEFAMILYPANTRY.COM BARNSTABLE COUNTY SHERIFF - EDUCATIONAL INTERVENTIONS FOR CORRECTIONS - WWW.BSHERIFF.NET HEALTH IMPERATIVES - IMPROVING ACCESS TO WIC NUTRITION SERVICES - WWW.HEALTHIMPERATIVES.ORG ASSOCIATION TO PRESERVE CAPE COD - POND HEALTH PROGRAM - WWW.APCC.ORG HELPING OUR WOMEN - ACCESS AND EQUITY FOR OUTER CAPE WOMEN - HTTP://WWW.HELPINGOURWOMEN.ORG BRAIN INJURY ASSOCIATION OF MA - ANNUAL CERE-BRATION - HTTP://WWW.BIAMA.ORG ST. PETER THE APOSTLE CHURCH - ALZHEIMER'S AND DEMENTIA TRAINING FOR FIRST RESPONDERS AND COMMUNITY MEMBERS. - HTTP://WWW.STPETERS-PTOWN.ORG ROAR - RIDE FOR OPIOID ADDICTION RECOVERY - HTTP://WWW.ROARCAPECOD.COM CAPE COD LITERACY COUNCIL - HEALTH LITERACY - HTTP://WWW.CAPECODLITERACYCOUNCIL.ORG BARNSTABLE COUNTY SCHOOL DISTRICT - MEALS PROGRAM - HTTP://WWW.BARNSTABLE.K12.MA.US CAPE COD NATIONAL SEASHORE - HEALTHY PARKS HEALTHY PEOPLE EVENT CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE AND THE NATIONAL PARK SERVICES TO PROMOTE COMMUNITY OPEN SPACE FOR WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS. - HTTPS://WWW.NPS.GOV/CACO/INDEX.HTM DETAILED DESCRIPTION THE FY20 ANNUAL STRATEGIC GRANTS PROGRAM WAS A COMPETITIVE GRANT INITIATIVE WITH THE OBJECTIVE TO SUPPORT COMMUNITY-BASED CHRONIC AND INFECTIOUS DISEASE AND PREVENTION AND WELLNESS PROJECTS ALIGNED WITH THE HEALTH PRIORITIES IDENTIFIED IN THE 2020-2022 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN. GRANTS WERE AWARDED TO ORGANIZATIONS WITH PROJECTS THAT REACHED VULNERABLE POPULATIONS, MAXIMIZED PARTNERSHIP COLLABORATION AND FEATURED EVIDENCE-BASED PROGRAMS OR PROMISING PRACTICES WITH THE OBJECTIVE TO IMPROVE THE HEALTH OF BARNSTABLE COUNTY RESIDENTS. SUBSTANCE USE DISORDER PROGRAMS INCLUDING RECOVERY SPECIALIST PROGRAM IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY HEALTH CENTER PARTNERSHIP, MENTORSHIP/CAREER TRAINING/INTERNSHIP, PREVENTION . EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. . HEALTH ISSUES: HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL - GENDER: ALL - RACE/ETHNICITY: ALL - LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION ENGAGE AND CONSULT WITH AT LEAST 250 PATIENTS WITH SUBSTANCE USE DISORDERS TREATED IN THE EMERGENCY DEPARTMENTS AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. GOAL STATUS EXCEEDED GOAL GOAL DESCRIPTION MOTIVATE AND ASSIST 40% OF PATIENTS WHO RECEIVE A CONSULTATION FROM THE RECOVERY SPECIALIST TO ACCEPT A TRANSFER TO TREATMENT OR DIRECT REFERRAL TO TREATMENT PRIOR TO DISCHARGE FROM THE EMERGENCY DEPARTMENT. GOAL STATUS EXCEEDED GOAL GOAL DESCRIPTION OFFER POST - DISCHARGE FOLLOW-UP AND ASSISTANCE TO PATIENTS WITH SUBSTANCE USE DISORDERS WHO REFUSED SERVICES WHILE IN THE EMERGENCY DEPARTMENTS. GOAL STATUS ONGOING GOAL DESCRIPTION RAISE AWARENESS: SUD IS PART OF MENTAL HEALTH AND MENTAL HEALTH ISSUES IN OUR BEHAVIORAL HEALTH PROGRAMS. GOAL STATUS ONGOING GOAL DESCRIPTION PROVIDE SUPPORT FOR SAFE OPPORTUNITIES FOR YOUTH IN BARNSTABLE COUNTY TO ENGAGE IN MEANINGFUL ACTIVITIES INCLUDING PHYSICAL ACTIVITIES AND MENTORSHIP. GOAL STATUS ONGOING GOAL DESCRIPTION PROVIDE SUPPORT FOR RECOVERY SERVICES IN THE COMMUNITY FOR PATIENTS WITH SUBSTANCE USE DISORDERS. GOAL STATUS ONGOING PARTNER NAME, DESCRIPTION AND WEB ADDRESS GOSNOLD, INC. - RECOVERY SPECIALISTS - WWW.GOSNOLD.ORG BARNSTABLE COUNTY REGIONAL SUBSTANCE USE COUNCIL - WWW.BCHUMANSERVICES.NET/INITIATIVES/REGIONAL-SUBSTANCE-USE-COUNCIL/ OUTER CAPE HEALTH SERVICES - OFFICE BASED ADDICTION TREATMENT - WWW.OUTERCAPE.ORG DUFFY HEALTH CENTER - RECOVERY COACH / NAVIGATOR PROGRAM - WWW.DUFFYHEALTHCENTER.ORG BIG BROTHERS BIG SISTERS - MENTORING PROGRAM FOR CHILDREN AT RISK FOR SUBSTANCE USE DISORDER - HTTPS://EMASSBIGS.ORG/CAPE-COD/ PAUSE A WHILE - PROVIDING ACCESS TO LONG TERM TREATMENT FOR SUD AS A COMPONENT OF THE TREATMENT FOR AND ITS RELATED IMPACT ON PHYSICAL WELLNESS - HTTPS://PAUSEAWHILE.ORG/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE HAS IDENTIFIED A SIGNIFICANT NEED FOR SUBSTANCE USE DISORDER PREVENTION AND TREATMENT IN OUR COMMUNITY. THROUGH A VARIETY OF PROGRAMS AND PARTNERSHIPS, CCHC HAS MADE A COMMITMENT TO DIRECT RESOURCES TOWARDS THIS COMMUNITY HEALTH ISSUE. PROGRAMS INCLUDE: - CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PARTNERED WITH GOSNOLD, INC. TO PROVIDE PEER-LED RECOVERY SPECIALIST SERVICES IN THE EMERGENCY DEPARTMENTS AT BOTH HOSPITALS. RECOVERY SPECIALISTS HAVE THE LIVED EXPERIENCE OF ADDICTION AND RECOVERY AND ENGAGE PATIENTS WITH SUBSTANCE USE DISORDERS PRIOR TO DISCHARGE FROM THE EMERGENCY DEPARTMENTS. RECOVERY SPECIALISTS WORK AS PART OF THE HOSPITAL CARE TEAM WITH THE OBJECTIVE TO MOTIVATE PATIENTS TO ACCEPT TREATMENT FOR SUBSTANCE USE DISORDERS THROUGH A TRANSFER TO AN INPATIENT TREATMENT PROGRAM OR DIRECT REFERRALS TO OUTPATIENT TREATMENT PROGRAMS. - INVESTMENTS IN PREVENTION PROGRAMS INCLUDING MENTORING FOR AT RISK YOUTH - INNOVATIVE TREATMENTS INCLUDING OFFICE BASED ADDICTION TREATMENT - SUPPORT SERVICES TO MEET COMMUNITY MEMBERS WHERE THEY ARE, INCLUDING MATERNITY DEPARTMENT TOURS FOR MOTHERS EXPERIENCING SUBSTANCE USE DISORDER. SUPPORT TO FEDERALLY QUALIFIED HEALTH CENTERS . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY HEALTH CENTER PARTNERSHIP . EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, SOCIAL ENVIRONMENT. . HEALTH ISSUES: HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, INFECTIOUS DISEASES, COVID-19, OTHER-DENTAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION PROVIDE FUNDING SUPPORT TO THE FEDERALLY QUALIFIED HEALTH CENTERS PER PROPOSALS AND PRIORITIES SET BY EACH OF THE FOUR ENTITIES ON CAPE COD IN ALIGNMENT WITH CHNA 2020-2022. GOAL STATUS COMPLETE. CCHC WILL CONTINUE TO SUPPORT FQHCS IN BARNSTABLE COUNTY TO EXPAND THE CONTINUUM OF CARE AND INCREASE ACCESS TO SERVICES. PARTNER NAME, DESCRIPTION AND WEB ADDRESS HARBOR - JONES DENTAL - HTTPS://WWW.HHSI.US/LOCATIONS/HARBOR-COMMUNITY-HEALTHCENTER-HYANNIS/ DUFFY - NAVIGATORS AND BEHAVIORAL HEALTH - HTTPS://WWW.DUFFYHEALTHCENTER.ORG/ OUTERCAPE HEALTH SERVICES - COMMUNITY NAVIGATORS - HTTPS://OUTERCAPE.ORG/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES SUPPORT TO FEDERALLY QUALIFIED HEALTH CENTERS ON CAPE COD TO INCREASE HEALTHCARE ACCESS TO THOSE WHO ARE UN- OR UNDERINSURED. PROGRAMS ALIGN WITH THE PRIORITIES IDENTIFIED IN THE 2020-2022 CHNA. CCHC CANCER SUPPORT SERVICES AND SURVIVORSHIP ACTIVITIES . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH SCREENING, PREVENTION, SUPPORT GROUP. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. . DON HEALTH PRIORITIES (OPTIONAL): EDUCATION, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, OTHER-HOSPICE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED. . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION ONCOLOGY SOCIAL WORKERS WILL PROVIDE PSYCHO-SOCIAL SUPPORT TO OVER 3,000 PATIENTS. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS EXCEEDED GOAL. GOAL DESCRIPTION SUPPORT GROUPS WILL BE PROVIDED TO PATIENTS AND FAMILIES. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS ALTHOUGH COVID IMPACTED NUMBERS, THIS GOAL WAS MET. GOAL DESCRIPTION CCHC WILL OFFER AN ONCOLOGY NUTRITION PROGRAM TO IMPROVE PATIENTS' QUALITY OF LIFE AND OUTCOMES. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS GOAL ACHIEVED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AMERICAN CANCER SOCIETY - WWW.CANCER.ORG/ABOUT-US/LOCAL/MASSACHUSETTS.HTML YMCA CAPE COD LIVESTRONG - WWW.YMCACAPECOD.ORG/PROGRAMS/HEALTH-WELLBEING/LIVESTRONG/ CAPE WELLNESS COLLABORATIVE - WWW.CAPEWELLNESS.ORG/ VISITING NURSE ASSOCIATION OF CAPE COD - WWW.VNACAPECOD.ORG TEAM MAUREEN - WWW.TEAMMAUREEN.ORG BOSTON CANCER SUPPORT - WWW.BOSTONCANCERSUPPORT.ORG PROGRAM DESCRIPTION - CCHC CANCER SUPPORT SERVICES PROVIDES ONCOLOGY PATIENTS AND THEIR FAMILIES' PSYCHOLOGICAL AND SOCIAL SUPPORT DURING THEIR TREATMENT JOURNEY. A TEAM OF ONCOLOGY SOCIAL WORKERS PROVIDE ONGOING COUNSELING AND SUPPORT GROUPS AND DIRECT REFERRALS TO SERVICES SUCH AS TRANSPORTATION, HOME CARE, AND COMMUNITY-BASED WELLNESS SERVICES SUCH AS REIKI, ACUPUNCTURE AND MASSAGE. SERVICES INCLUDE AN ONCOLOGY NUTRITION PROGRAM AND THE LIVING FIT FOR YOU! CANCER WELLNESS PROGRAM. CANCER SURVIVORSHIP IS CELEBRATED, SUPPORTED AND RECOGNIZED WITHIN HOSPITAL DEPARTMENTS AND IN THE COMMUNITY. CCHC ALSO OFFERS SPECIAL FINANCIAL NAVIGATORS IN THE CANCER CENTERS SPECIALLY TRAINED IN CANCER TREATMENT EXPENSES. HEALTH EDUCATION . PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, PREVENTION. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): EDUCATION. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASES, COVID-19, INJURY-HOME INJURIES, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED GOAL DESCRIPTION AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, HEALTH EDUCATION AND OUTREACH ACTIVITIES ARE OFFERED TO THE COMMUNITY ACROSS A NUMBER OF DIFFERENT HEALTH AREAS. FROM MATERNITY DEPARTMENT TOURS AND NEW PARENTING CLASSES, TO COMMUNITY-BASED DIABETES AND STROKE EDUCATION, FALL PREVENTION CLASSES, AND ADVANCE CARE PLANNING PRESENTATIONS, THE HOSPITALS DEDICATE CLINICAL STAFF AND RESOURCES TO SUPPORT THE EDUCATION AND HEALTH LITERACY OF BARNSTABLE COUNTY RESIDENTS. TIMEFRAME: YEAR 1 OF 3 GOAL STATUS EDUCATIONAL OFFERINGS ARE ONGOING. DUE TO COVID-RELATED RESTRICTIONS, MANY OFFERINGS PIVOTED TO VIRTUAL EVENTS. STAFF IS READY TO CONTINUE WITH IN-PERSON OFFERINGS WHEN APPROPRIATE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS AMERICAN CANCER SOCIETY - WWW.CANCER.ORG VISITING NURSES ASSOCIATION OF CAPE COD - WWW.VNACAPECOD.ORG PROGRAM DESCRIPTION - AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, HEALTH EDUCATION AND OUTREACH ACTIVITIES ARE OFFERED TO THE COMMUNITY ACROSS A NUMBER OF DIFFERENT HEALTH AREAS. FROM MATERNITY DEPARTMENT TOURS, BREASTFEEDING AND NEW PARENTING CLASSES, TO COMMUNITY-BASED DIABETES, AND STROKE EDUCATION, THE HOSPITALS DEDICATE CLINICAL STAFF AND RESOURCES TO SUPPORT THE EDUCATION AND HEALTH LITERACY OF BARNSTABLE COUNTY RESIDENTS. THIS YEAR WE ALSO ENGAGED IN AWARENESS CAMPAIGNS ON ISSUES RELATED TO WOMEN'S HEALTH, HEART HEALTH, AND COVID-19. POPULAR PROGRAMS THIS YEAR INCLUDED AN ADVANCED CARE PLANNING PRESENTATION, COMMUNITY EDUCATION ON GENETIC TESTING AND CANCER SCREENINGS AND VARIOUS BEHAVIORAL HEALTH COMMUNITY EDUCATION EVENTS. COMMUNITY-BASED INTERPRETER SERVICES . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS,. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-ARTHRITIS, CHRONIC DISEASE-ASTHMA/ALLERGIES, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-CHRONIC PAIN, CHRONIC DISEASE-COLITIS/CROHN'S DISEASE, CHRONIC DISEASE-DIABETES, CHRONIC DISEASE-HYPERTENSION, CHRONIC DISEASE-OSTEOPOROSIS, CHRONIC DISEASE-OVERWEIGHT AND OBESITY, CHRONIC DISEASE-PULMONARY DISEASE, CHRONIC DISEASE-SICKLE CELL DISEASE, CHRONIC DISEASE-STROKE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASE-HEPATITIS, INFECTIOUS DISEASE-HIV/AIDS, INFECTIOUS DISEASE-LYME DISEASE, INFECTIOUS DISEASE-SEXUALLY TRANSMITTED DISEASES, INFECTIOUS DISEASE-TUBERCULOSIS, INJURY-AUTO/PASSENGER INJURIES, INJURY-FIRST AID/ACLS/CPR, INJURY-HOME INJURIES, INJURY-OTHER, INJURY-SPORTS INJURIES, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-MENOPAUSE, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-CULTURAL COMPETENCY, OTHER-DENTAL HEALTH, OTHER-EMERGENCY PREPAREDNESS, OTHER-HEARING, OTHER-HOSPICE, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, OTHER-VISION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTHY FOOD, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-DOMESTIC VIOLENCE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-ENVIRONMENTAL QUALITY, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY, SOCIAL DETERMINANTS OF HEALTH-LANGUAGE/LITERACY, SOCIAL DETERMINANTS OF HEALTH-NUTRITION, SOCIAL DETERMINANTS OF HEALTH-PUBLIC SAFETY, SOCIAL DETERMINANTS OF HEALTH-RACISM AND DISCRIMINATION, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-DRIVING UNDER THE INFLUENCE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SMOKING/TOBACCO USE, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION ASSIST MORE THAN 800 INDIVIDUALS WITH FREE MEDICAL INTERPRETERS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY CARE SETTINGS. GOAL STATUS WE CONTINUED TO ASSIST INDIVIDUALS WITH FREE INTERPRETER SERVICES, ALTHOUGH NUMBERS ARE DOWN THIS YEAR DUE TO COVID. GOAL DESCRIPTION ANALYZE PROGRAM UTILIZATION DATA TO ASSESS REGIONAL MEDICAL INTERPRETATION NEEDS FOR PROGRAM EVALUATION. GOAL STATUS COMPLETED. GOAL DESCRIPTION REACH MORE AREAS THROUGHOUT THE CAPE BY IMPLEMENTING A VIDEO INTERPRETER PROGRAM GOAL STATUS COMPLETED: IMPLEMENTED 10 VIDEO REMOTE UNITS TO ENSURE THAT LIMITED SPEAKING PATIENTS HAVE BETTER ACCESS FOR AN INTERPRETER PARTNER NAME, DESCRIPTION AND WEB ADDRESS COMMUNITY BASED MEDICAL OFFICES ON CAPE COD - VARIOUS HARBOR COMMUNITY HEALTH CENTER HYANNIS - WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTERHYANNIS/ COMMUNITY BASED MEDICAL OFFICES ON CAPE COD - VARIOUS OFFICE OF MULTICULTURAL AFFAIRS - DPH - HTTPS://WWW.MASS.GOV/OREI PROGRAM DESCRIPTION - CCHC PROVIDES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN OFFICES AND HOSPITALS TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE, QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. CHILDREN'S COVE PARTNERSHIP . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): VIOLENCE. . DON HEALTH PRIORITIES (OPTIONAL): HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, INJURY-HOME INJURIES, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA,. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: CHILDREN, INFANTS, TEENAGERS RACE/ETHNICITY: ALL, HYANNIS LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DOMESTIC VIOLENCE HISTORY GOAL DESCRIPTION THE NURSE PRACTITIONER WILL: PROVIDE AN ONSITE VISUAL MEDICAL EXAM IN A CHILD-FRIENDLY SETTING ENSURE THE HEALTH AND SAFETY OF CHILD THROUGH A NON-INVASIVE EXAM "USING A DO NO HARM APPROACH" IDENTIFY, EDUCATE AND PROVIDE REFERRALS FOR INSTANCES OF SEXUALLY TRANSMITTED INFECTIONS AND/OR PREGNANCY PHOTO-DOCUMENT AND COLLECT EVIDENCE IF INDICATED. SUPPORT THE CHILD IN THEIR WELLNESS. GOAL STATUS ALL MEDICAL EXAMS ARE COMPLETED PRIVATELY AT CHILDREN'S COVE AND WITH PARENTAL PERMISSION. CHILDREN ARE ALWAYS TREATED WITH DIGNITY AND RESPECT, AND THE FOCUS OF THE EXAM IS TO SUPPORT THE CHILD IN THEIR WELLNESS. DURING THE EXAM, THE NURSE PRACTITIONER DOES NOT: USE ANY INVASIVE TOOLS CAUSE ANY PAIN INTERVIEW THE CHILD SPECULATE IF ANYTHING DID OR DID NOT HAPPEN. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CHILDREN'S COVE - HTTP://WWW.CHILDRENSCOVE.ORG PROGRAM DESCRIPTION - FUNDING FOR A SPECIALTY TRAINED NURSE PRACTITIONER TO PROVIDE A NON-INVASIVE PHYSICAL EXAM TO CHILD VICTIMS OF ABUSE AND SEXUAL ASSAULT. AFTER A CHILD HAS MADE THE BRAVE CHOICE TO DISCLOSE THEIR ABUSE THERE IS OFTEN THE QUESTION "IS MY BODY OK?" WE WANT TO ALLEVIATE SOME OF THE STRESS FROM A CHILD AND CAREGIVERS MIND. BECAUSE OF THAT WE HAVE PARTNERED WITH CHILDREN'S COVE AND THE MASSACHUSETTS PEDIATRIC SEXUAL ASSAULT NURSE EXAMINER PROGRAM (PEDISANE) TO HAVE A SPECIALLY TRAINED NURSE PRACTITIONER ON STAFF TO ENSURE THE BEST HEALTH AND WELFARE OF THE CHILD. ALSO INCLUDED IS THE COST OF LAB TESTING SERVICES FOR THESE PATIENTS. MENTAL HEALTH SERVICES IN THE COMMUNITY . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, COMMUNITY HEALTH CENTER PARTNERSHIP, HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): SOCIAL ENVIRONMENT. . HEALTH ISSUES: HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ADULTS, CHILDREN, ELDERLY, TEENAGERS, RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION 90% OF PATIENTS SEEN BY THE DUFFY TEAM AT CAPE COD HOSPITAL CONNECT TO DUFFY SERVICES POST-DISCHARGE. GOAL STATUS ACHIEVED. PARTNER NAME, DESCRIPTION AND WEB ADDRESS DUFFY HEALTH CENTER - BRIDGE CLINIC PROGRAM - HTTPS://WWW.DUFFYHEALTHCENTER.ORG PROGRAM DESCRIPTION - CAPE COD HEALTHCARE BEHAVIORAL HEALTH PHYSICIANS AND CLINICIANS PROVIDE COMMUNITY-BASED MENTAL HEALTH SERVICES IN OUR REGION. THIS INCLUDES PSYCHIATRIC CONSULTS TO FIRST RESPONDERS, SERVING AS THE ON-CALL PSYCHIATRIST TO THE COMMUNITY, A BEHAVIORAL HEALTH COMMUNITY HELPLINE, AND THE BRIDGE CLINIC, WHICH CONNECTS PATIENTS IN INPATIENT TREATMENT WITH COMMUNITY SERVICES. SHINE PROGRAM . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. . DON HEALTH PRIORITIES (OPTIONAL): N/A. . HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ELDERLY RACE/ETHNICITY: ALL, HYANNIS LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION PROVIDE OVER 5,000 COUNSELING SESSIONS TO CAPE & ISLAND RESIDENTS. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS EXCEEDED GOAL: IN FY20 SHINE PROVIDED 6,197 COUNSELING SESSIONS RESULTING IN 4,513 COUNSELING HOURS. GOAL DESCRIPTION REACH 1500 RESIDENTS THROUGH COMMUNITY TRAININGS AND PRESENTATIONS. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS EXCEEDED GOAL. PARTNER NAME, DESCRIPTION AND WEB ADDRESS BARNSTABLE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES - HTTPS://WWW.BARNSTABLECOUNTYHEALTH.ORG/ PROGRAM DESCRIPTION - SHINE (SERVING THE HEALTH INSURANCE NEEDS OF EVERYONE) PROVIDES FREE HEALTH INSURANCE INFORMATION, COUNSELING AND ASSISTANCE TO MEDICARE BENEFICIARIES. THESE COMMUNITY BENEFITS FUNDS ARE SPECIFICALLY TARGETED TO HIRING PART TIME PROGRAM STAFF TO ASSIST THE PROGRAM MANAGER IN HANDLING THE INCREASING NUMBER OF SENIORS SEEKING ASSISTANCE WITH MEDICARE ENROLLMENT, ESPECIALLY DURING THE SEVEN WEEKS OF OPEN ENROLLMENT (OCTOBER 15 -DECEMBER 7). SHINE ASSISTS HUNDREDS OF ADDITIONAL MEDICARE BENEFICIARIES IN BARNSTABLE COUNTY. ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS . PROGRAM TYPE: ACCESS/COVERAGE SUPPORTS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: YES . PROGRAM HASHTAGS: HEALTH SCREENING, PREVENTION. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, . DON HEALTH PRIORITIES (OPTIONAL): SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO TRANSPORTATION, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ALL RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION ASSIST PATIENTS WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ACUITY/LYFT AND VOUCHERS FOR LOCAL TAXI SERVICE USED AT BOTH HOSPITALS. GOAL DESCRIPTION ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH HOSPITAL DISCHARGE PLANNING. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING ASSISTANCE OCCURS THROUGH PHARMACIES AT BOTH HOSPITALS GOAL DESCRIPTION ASSIST PATIENTS IN NEED WITH THEIR FINANCIAL QUESTIONS AND NEEDS. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS FINANCIAL COUNSELORS ARE AVAILABLE AT BOTH HOSPITALS. COUNSELORS ARE TRAINED IN THE SPECIFIC NEEDS OF THEIR DEPARTMENTS (EX. CANCER TREATMENT EXPENSES) PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD HEALTHCARE PHARMACIES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL - HTTPS://WWW.CAPECODHEALTH.ORG/MEDICAL-SERVICES/PHARMACY/ ACUITY/LYFT - SCHEDULING & TRANSPORTATION - HTTPS://WWW.LYFT.COM/BLOG/POSTS/RESEARCH-IMPROVING-ACCESS-TO-CARE-MEDICAID AMERICAN CANCER SOCIETY - HTTP://WWW.CANCER.ORG PROGRAM DESCRIPTION - IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED VARIOUS SERVICES TO INCREASE ACCESS TO HEALTHCARE. THIS INCLUDES: - ACCESS TO TRANSPORTATION UPON DISCHARGE TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. - THE PRESCRIPTION ASSISTANCE PROGRAM: AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT ASSISTING UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WITH NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. THE ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS IS HIGHLY UTILIZED IN THE BEHAVIORAL HEALTH CENTER, THE CANCER CENTERS, AND THE EMERGENCY DEPARTMENTS. - FINANCIAL COUNSELORS ASSIST PATIENTS WITH COMPLICATED MEDICAL BILLS AND CONNECT THOSE IN NEED TO COMMUNITY RESOURCES. WORKFORCE AND CAREER DEVELOPMENT INITIATIVES . PROGRAM TYPE: TOTAL POPULATION OR COMMUNITY-WIDE INTERVENTIONS. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: HEALTH PROFESSIONAL/STAFF TRAINING, MENTORSHIP/CAREER TRAINING/INTERNSHIP, PHYSICIAN/PROVIDER DIVERSITY, . EOHHS FOCUS ISSUE(S) (OPTIONAL): N/A. . DON HEALTH PRIORITIES (OPTIONAL): EDUCATION, EMPLOYMENT, SOCIAL ENVIRONMENT. . HEALTH ISSUES: SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-EDUCATION/LEARNING, SOCIAL DETERMINANTS OF HEALTH-INCOME AND POVERTY. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE - ENVIRONMENTS SERVED: ALL GENDER: ALL AGE GROUP: ADULTS, TEENAGERS, RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: DISABILITY STATUS. GOAL DESCRIPTION CCHC STAFF IN VARIOUS DEPARTMENTS WILL PROVIDE CLINICAL OVERSIGHT AND SUPERVISION TO STUDENTS ENGAGED IN ALLIED HEALTH PROGRAMS AND VARIOUS JOB TRAINING INITIATIVES IN THE REGION. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS COVID-19 RESTRICTIONS LIMITED STUDENT SUPERVISION OPPORTUNITIES THIS YEAR. GOAL DESCRIPTION CCHC WILL OFFER HIGH QUALITY AND DIVERSE TRAINING OPPORTUNITIES TO CLINICAL STAFF SERVING RESIDENTS OF BARNSTABLE COUNTY TO ENSURE RESIDENTS RECEIVE THE HIGHEST QUALITY HEALTHCARE. GOAL STATUS ALTHOUGH COVID-19 RESTRICTIONS REDUCED THE NUMBER OF IN-PERSON TRAINING OPPORTUNITIES, TRAINING PROGRAMS PIVOTED TO VIRTUAL OFFERINGS WHEN APPROPRIATE. PARTNER NAME, DESCRIPTION AND WEB ADDRESS THE RIVERVIEW SCHOOL - WWW.RIVERVIEWSCHOOL.ORG UPPER CAPE REGIONAL TECHNICAL SCHOOL - WWW.UPPERCAPETECH.COM/ CAPE COD COMMUNITY COLLEGE - HTTPS://WWW.CAPECOD.EDU/ DUFFY HEALTH CENTER - HTTP://WWW.DUFFYHEALTHCENTER.ORG OUTER CAPE HEALTH - HTTP://WWW.OUTERCAPE.ORG HARBOR HEALTH CENTER - HTTPS://WWW.HHSI.US/LOCATION/CAPE-COD-SOUTH-SHORE-HEALTH-CENTERS/ COMMUNITY HEALTH CENTER OF CAPE COD - HTTPS://CHCOFCAPECOD.ORG/ PROGRAM DESCRIPTION - CCHC INVESTS IN PARTNERSHIPS WITH LOCAL HIGH SCHOOLS, VOCATIONAL SCHOOLS, COMMUNITY COLLEGES, AND ALLIED HEALTH PROGRAMS FOR JOB TRAINING AND SHADOWING AND INTERNSHIPS WITH HEALTH CARE PROVIDERS IN VARIOUS HOSPITAL DEPARTMENTS INCLUDING, BUT NOT LIMITED TO, PHLEBOTOMY, RADIOLOGY, BEHAVIORAL HEALTH, AND MATERIALS MANAGEMENT. OUR EFFORTS CONTRIBUTED TO REGIONAL ECONOMIC DEVELOPMENT EFFORTS TO INCREASE OPPORTUNITY FOR EDUCATIONAL ATTAINMENT AND PROVIDE EXPERIENCE FOR INDIVIDUALS TO OBTAIN STABLE, QUALITY, AND WELL-COMPENSATED JOBS IN OUR REGION. CCHC ALSO INVESTS IN TRAININGS FOR CLINICAL STAFF PRACTICING IN BARNSTABLE COUNTY. EXAMPLES INCLUDE CREDENTIALING FOR BARNSTABLE COUNTY'S FQHC MEDICAL STAFF, SPECIALTY TRAININGS SUCH AS "AGE SPECIFIC CONSIDERATIONS IN CARING FOR THE CANCER PATIENT,TECHNICAL TRAININGS SUCH AS "INTRA-AORTIC BALLOON COUNTERPULSATION THERAPY." ADDITIONALLY, CCHC ENGAGES IN RECRUITMENT OF PROVIDERS FOR BARNSTABLE COUNTY'S FQHCS, WHICH INCREASES ACCESS TO HEALTHCARE BY INCREASING THE NUMBER OF PROVIDERS AVAILABLE IN THE REGION. COMMUNITY LEADERSHIP IN HEALTHCARE . PROGRAM TYPE: COMMUNITY-CLINICAL LINKAGES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, HEALTH PROFESSIONAL/STAFF TRAINING. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS AND MENTAL HEALTH, SUBSTANCE USE DISORDERS. . DON HEALTH PRIORITIES (OPTIONAL): N/A. . HEALTH ISSUES: CANCER-BREAST, CANCER-CERVICAL, CANCER-COLORECTAL, CANCER-LUNG, CANCER-MULTIPLE MYELOMA, CANCER-OTHER, CANCER-OVARIAN, CANCER-PROSTATE, CANCER-SKIN, CHRONIC DISEASE-ALZHEIMER'S DISEASE, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-IMMUNIZATION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-PHYSICAL ACTIVITY, HEALTH BEHAVIORS/MENTAL HEALTH-RESPONSIBLE SEXUAL BEHAVIOR, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, INFECTIOUS DISEASE?"COVID-19, INJURY-HOME INJURIES, INJURY-OTHER, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION, SOCIAL DETERMINANTS OF HEALTH-ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH-AFFORDABLE HOUSING, SOCIAL DETERMINANTS OF HEALTH-HOMELESSNESS, SOCIAL DETERMINANTS OF HEALTH-UNINSURED/UNDERINSURED, SOCIAL DETERMINANTS OF HEALTH-VIOLENCE AND TRAUMA, SUBSTANCE ADDICTION-ALCOHOL USE, SUBSTANCE ADDICTION-OPIOID USE, SUBSTANCE ADDICTION-SUBSTANCE USE. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ALL - RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION CCHC STAFF WILL SERVE AS LEADERS FOR COMMUNITY COALITIONS AND INITIATIVES THAT ADDRESS NEEDS IDENTIFIED IN THE 2020-2022 CHNA. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ALTHOUGH SOME COALITIONS PAUSED OPERATIONS DURING THE COVID-19 CRISIS, MANY CONTINUED TO WORK VIRTUALLY. CCHC STAFF CONTINUED IN THEIR ROLES ON VARIOUS BOARDS AND COALITIONS IN THE COMMUNITY. PARTNER NAME, DESCRIPTION AND WEB ADDRESS ZERO SUICIDE INITIATIVE - HTTPS://ZEROSUICIDE.EDC.ORG/ JML CARE CENTER - SKILLED NURSING FACILITY COORDINATION - HTTPS://WWW.CAPECODHEALTH.ORG/LOCATIONS/PROFILE/JML-CARE-CENTER/ PROGRAM DESCRIPTION - CCHC STAFF ARE LEADERS IN OUR REGION ON ISSUES RELATED TO COMMUNITY HEALTH AND WELLNESS. STAFF SERVE IN LEADERSHIP POSITIONS ON A VARIETY OF COALITIONS AND INITIATIVES INCLUDING: THE ZERO SUICIDE INITIATIVE; VARIOUS COALITIONS WORKING ON MENTAL HEALTH, WELLNESS AND SUBSTANCE USE; COUNTY-LEVEL BOARD AND COMMITTEE POSITIONS; REGIONAL NETWORK ON HOMELESSNESS; POSTPARTUM DEPRESSION TASK FORCE; AND COORDINATION BETWEEN SKILLED NURSING FACILITIES IN OUR AREA. CCHC STAFF ARE INSTRUMENTAL IN CREATING POLICY AND PROGRAMS TO SERVE THE HEALTH AND WELLNESS OF OUR COMMUNITY. SUPPORT GROUPS AND COMMUNITY RESOURCES FOR WELLNESS . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, SUPPORT GROUP. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES, MENTAL ILLNESS AND MENTAL HEALTH. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION, SOCIAL ENVIRONMENT. . HEALTH ISSUES: CANCER-BREAST, CHRONIC DISEASE-ALZHEIMER'S DISEASE, CHRONIC DISEASE-CARDIAC DISEASE, CHRONIC DISEASE-DIABETES, HEALTH BEHAVIORS/MENTAL HEALTH-BEREAVEMENT, HEALTH BEHAVIORS/MENTAL HEALTH-DEPRESSION, HEALTH BEHAVIORS/MENTAL HEALTH-MENTAL HEALTH, HEALTH BEHAVIORS/MENTAL HEALTH-STRESS MANAGEMENT, MATERNAL/CHILD HEALTH-CHILD CARE, MATERNAL/CHILD HEALTH-FAMILY PLANNING, MATERNAL/CHILD HEALTH-PARENTING SKILLS, MATERNAL/CHILD HEALTH-REPRODUCTIVE AND MATERNAL HEALTH, OTHER-SENIOR HEALTH CHALLENGES/CARE COORDINATION,. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ALL - RACE/ETHNICITY: ALL LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION WORK WITH COMMUNITY STAKEHOLDERS AND PROVIDERS TO DETERMINE NEEDS FOR SUPPORT GROUPS AND MENTAL HEALTH WELLNESS SERVICES AND IMPLEMENT SERVICES IN A WAY THAT MAKES THEM ACCESSIBLE TO THE ENTIRE COMMUNITY. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS SUPPORT GROUPS WERE IMPLEMENTED BASED ON FINDINGS FROM THE CHNA. GROUPS WERE ABLE TO PIVOT TO CONTINUE TO OFFER SERVICES DESPITE THE COVID-19 CRISIS. PARTNER NAME, DESCRIPTION AND WEB ADDRESS VISITING NURSE ASSOCIATION OF CAPE COD - VNA -HTTPS://WWW.CAPECODHEALTH.ORG/ABOUT/VNA/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE OFFERS A VARIETY OF SUPPORT GROUPS AND OTHER RESOURCES FOR MENTAL HEALTH AND WELLNESS IN OUR COMMUNITY. THESE INCLUDE HELPLINES FOR BEHAVIORAL HEALTH AND BREASTFEEDING HELP, VARIOUS SUPPORT GROUPS FOR NEW PARENTS, SUPPORT GROUPS FOR VARIOUS DISEASES AND PHYSICAL CONDITIONS, AND BEREAVEMENT SUPPORT GROUPS. THESE SERVICES NOT ONLY PROVIDE A SOCIAL SUPPORT SYSTEM THAT ENCOURAGES SHARING SIMILAR EXPERIENCES WITH THE GROUP, BUT ALSO ACTS AS A PLACE TO MEET PATIENTS WHERE THEY ARE AND REFER THEM TO ANY COMMUNITY SERVICES THEY MAY NEED. CONGESTIVE HEART FAILURE CLINIC . PROGRAM TYPE: DIRECT CLINICAL SERVICES. . PROGRAM IS PART OF A GRANT OR FUNDING PROVIDED TO AN OUTSIDE ORGANIZATION: NO . PROGRAM HASHTAGS: COMMUNITY EDUCATION, PREVENTION,. . EOHHS FOCUS ISSUE(S) (OPTIONAL): CHRONIC DISEASE WITH FOCUS ON CANCER, HEART DISEASE, AND DIABETES. . DON HEALTH PRIORITIES (OPTIONAL): BUILT ENVIRONMENT, EDUCATION. . HEALTH ISSUES: CHRONIC DISEASE-CARDIAC DISEASE,. . TARGET POPULATION: REGIONS SERVED: BARNSTABLE, ENVIRONMENTS SERVED: ALL GENDER: ALL - AGE GROUP: ADULTS, ELDERLY, - RACE/ETHNICITY: ALL, HYANNIS LANGUAGE: ALL - ADDITIONAL TARGET POPULATION STATUS: NOT SPECIFIED. GOAL DESCRIPTION PROVIDE THE NECESSARY MATERIALS FOR THIS DEPARTMENT TO BE COMPLIANT WITH THE PROPER PROCEDURES AND DISPOSAL OF SHARPS TO PATIENTS IN THE CONGESTIVE HEART FAILURE CLINIC. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING. GOAL DESCRIPTION KEEP HEART FAILURE PATIENTS OUT OF THE HOSPITAL. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING. GOAL DESCRIPTION MODIFY PATIENTS' RISK FACTORS FOR HEART FAILURE SYMPTOMS AND CHANGE THE COURSE OF THEIR DISEASE. TIMEFRAME: YEAR 1 OF 3. GOAL STATUS ONGOING. PARTNER NAME, DESCRIPTION AND WEB ADDRESS CAPE COD HEALTHCARE HEART FAILURE CLINIC - HTTPS://WWW.CAPECODHEALTH.ORG/MEDICAL-SERVICES/HEART-VASCULAR-CARE/CARDIOL OGY/HEART-FAILURE-CLINIC/ PROGRAM DESCRIPTION - CAPE COD HEALTHCARE HELPS THOSE DIAGNOSED WITH HEART FAILURE STAY ACTIVE AND AVOID HOSPITALIZATION THROUGH THE HEART FAILURE CLINIC. THE COMMUNITY-BASED HEART FAILURE CLINIC AT THE CARDIOVASCULAR CENTER IN HYANNIS, UNDER THE DIRECTION OF CARDIOLOGIST ELISSA THOMPSON, MD, IS A RESOURCE DESIGNED TO EDUCATE AND HELP PATIENTS MAINTAIN THE BEST POSSIBLE QUALITY OF LIFE AND MANAGE THEIR SYMPTOMS. THE HEART FAILURE CLINIC PROVIDES ACCESS TO A MULTIDISCIPLINARY TEAM THAT INCLUDES A CARDIOLOGIST, NURSE PRACTITIONER, NUTRITIONIST, VISITING NURSE AND PHARMACIST TO TREAT AND EDUCATE PATIENTS. ONCE REFERRED TO THE CLINIC BY THEIR PRIMARY CARE PHYSICIAN, CARDIOLOGIST OR OTHER SPECIALIST, PATIENTS ARE OFFERED SAME-DAY OR NEXT-DAY APPOINTMENTS, AS WELL AS SCHEDULED VISITS, TO MANAGE THE SYMPTOMS OF HEART FAILURE. THE CLINIC WORKS WITH PATIENTS AS WELL AS FAMILIES AND TEACHES THEM HOW TO LIVE WITH THEIR ILLNESS. PATIENTS HAVE ONE-STOP ACCESS TO THE MULTIDISCIPLINARY TEAM. COMMUNITY BENEFITS ALSO PROVIDED FUNDING FOR SHARPS COMPLIANCE TRAINING AND MATERIALS TO CAPE COD HEALTHCARE'S CONGESTIVE HEART FAILURE CLINIC. CONTACT INFORMATION JENNIFER CUMMINGS 32 MAIN ST. HYANNIS, MA 02601 PHONE: 508-862-7849 FUNCTIONAL EXPENSE NOTE FORM 990, PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEATHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART I, LINE 6 CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 2 TRUSTEES AND OFFICERS SIT ON THE BOARDS OF THE FOLLOWING: CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES BRUCE JOHNSTON THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING, INC., A FOR-PROFIT RELATED ORGANIZATION. FORM 990, PART VI, LINES 6 & 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11B THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. FORM 990, PART VI, LINE 12 THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR. FORM 990, PART VI, LINE 15 THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. FORM 990, PART VII, COLUMN (B) THE INDIVIDUALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN PART VII ARE EMPLOYEES AT CAPE COD HEALTHCARE, INC., A TAX-EXEMPT RELATED ORGANIZATION. FORM 990, PART VII, SECTION A THE FULL TITLE FOR BRUCE JOHNSTON IS TRUSTEE/TREASURER (UNTIL 5/20) AND TRUSTEE/CHAIR (AS OF 5/20) THE FULL TITLE FOR SHERYL DECILIO IS VICE PRESIDENT OF PATIENT FINANCIAL SERVICES & REVENUE CYCLE (AS OF 1/19) THE FULL TITLE FOR MICHAEL G. JONES, ESQ IS CLERK (UNTIL 5/20) AND SR VP & CHIEF LEGAL OFFICER THE FULL TITLE FOR ROBERT TALERMAN IS TRUSTEE (UNTIL 5/20), CLERK (AS OF 5/20) THE FULL TITLE FOR RAMANI AYER IS TRUSTEE (UNTIL 5/20), VICE CHAIR & TREASURER (AS OF 5/20) FORM 990, PART VII, SECTION B WITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC, CAPE COD HEALTHCARE, INC. PAYS INDEPENDENT CONTRACTORS ON BEHALF OF ITS AFFILIATES WHO FILE AS PART OF A GROUP FORM 990 AS CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART XI, LINE 9 CHANGE IN VALUE SPLIT INTEREST AGREEMENT $ 85,752 CHANGE IN PERPETUAL TRUSTS $ 428,194 TRANSFERS TO/FROM AFFILIATES $ (50,329) NET ASSETS RELEASED FROM RESTRICTIONS $ (122,347) OTHER $ (14,581) ------------- OTHER CHANGES IN NET ASSETS $ 326,689 ============= CAPE COD HEALTHCARE INC 297 NORTH STREET BLDG 3 HYANNIS MA 02601 222600704 PARENT CORP MA 501(c) (3) 10 NA true CAPE AND ISLAND ENDOSCOPY CENTER 700 ATTUCKS LANE HYANNIS MA 02601 ENDOSCOPY CENTER MA NA CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ 981230418 INSURANCE CJ CAPE COD HLTHCR C CORP 0 0 false CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS MA 02601 042423073 RENTAL SRVCE MA NA C CORP 0 15000 1.00000 false POOLED INCOME FUNDS (2) SUPPORT MA NA false CHARITABLE REMAINDER TRUSTS (20) SUPPORT MA NA false false false false false false false false false false true true false false true true true false true true CAPE HEALTH INSURANCE COMPANY R 6520553 FMV