2018-11-09T15:02:11-06:00 2017-12-31 350921680 CROWE LLP 155 West Nationwide Blvd Suite 500 Columbus OH 432152570 990 2017-01-01 316060347 The Research & Educational Foundation of the Ohio Hospital Association RESE 6142217614 155 East Broad Street 301 Columbus OH 432153640 Mary Gallagher Executive VP/Chief of Staff 2018-11-09 true MALLORY FAIRLESS P10321579 6144690001 2017 2019-02-21 02:37:17Z Institute for Health Innovation Michael Abrams 155 East Broad Street 301 Columbus OH 432153640 12599610 false X www.ohiohospitals.org X 1965 OH The mission of The Research and Educational Foundation of The Ohio Hospital Association is to evaluate, focus and engage in change activities that lead and enable the pursuit of excellence in safety and quality and in improving the health of our communities. 16 16 6 25 0 0 1141282 870687 5252642 4104672 126007 685734 3225 1150 6523156 5662243 309049 133949 0 924790 967182 0 0 4160969 3935607 5394808 5036738 1128348 625505 7820554 8490516 874652 955079 6945902 7535437 X The mission of The Research and Educational Foundation of The Ohio Hospital Association is to evaluate, focus and engage in change activities that lead and enable the pursuit of excellence in safety and quality and in improving the health of our communities. false false 3328159 3623016 Sepsis Mortality: For the third year, the OHA Statewide Sepsis Initiative was facilitated in response to the OHA Board-directed goal of a statewide 30% reduction in sepsis mortality. One hundred twenty-five member hospitals have maintained their commitment to participate in the ongoing initiative which includes: --Data submission regarding compliance to the elements of the 3-hour sepsis bundle --Monthly educational/coaching calls --Dissemination of effective practices A sepsis website was maintained and monthly educational/coaching webinars were posted to the site along with evidence-based literature and resources. Physician Leadership Council In January, 2017, the Physician Leadership Council was launched. This brought together clinical leaders from 22 hospitals and health systems around the state that collectively represent more than half of the acute care hospitals in the state. The Council's work is directed toward improving physician and other clinician engagement through assessment and intervention, both at the individual and system level, EHR optimization, and leadership education. Successes have included: --the design and planned implementation of a statewide burnout inventory to be performed in 2018, --the creation of a telehealth resource for assessment and treatment for individual physicians suffering from burnout, --the participation in a multi-stakeholder coalition around wellness and resilience, --expanded leadership training opportunities at the OHA Annual Meeting Hospital Improvement Innovation Network (HIIN) OHA was awarded the Hospital Improvement Innovation Network award (HHSM-500-2016-00074C) effective September 28, 2016 and ending September 27, 2018 in the amount of $6,751,123.00. Recruitment was conducted and 104 hospitals submitted commitments to participate. The initiative was designed to reduce all-cause preventable inpatient harm by 20% and readmissions by 12%. Hospital commitments included: --Work with OHA to assess the organization's current improvement projects and areas of need for improvement --Implement OHA's recommendations for the organization's participation in this project whether that will be to sustain current improvements or to implement new initiatives --Form a multi-disciplinary team which include: ---Senior health care facility executive champion(s) ---Site project team leader ---Physician champion(s)/epidemiologist(s) ---Quality/process improvement specialists ---And others as appropriate such as: ---Nursing manager/director/champion(s) ---Bedside nurses and pertinent clinical disciplines ---Data collector/submitter (if different than someone listed here) ---Infection control practitioner(s) ---Pharmacy ---Laboratory --Submit the required outcome and process measures on a monthly and quarterly basis to the OHA, allowing enough time to provide aggregate data to CMS by the assigned due date --Develop an action plan based on a completed gap analysis --Implement harm reduction strategies to meet or exceed HIIN improvement goals --Incorporate patient centered, person and family engagement and safe care practices into all methodologies --Consider health disparity and health literacy in the development of patient education materials, communications, and care planning --Incorporate antibiotic stewardship into improvement plan --Host the regional coordinator onsite on a quarterly basis --Submit monthly data collection by the established due date --Meet regularly with team to develop strategies for improvement and reporting process --Share internal data with leadership and staff so they can continually work on improvement plan --Conduct educational programming for staff to meet the project goals as appropriate --Identify any problems with project implementation and alert the regional coordinator as soon as possible --Collaboration with other hospitals participating in the OHA HIIN --Share effective practices with regional coordinators --Provide baseline data and metrics --Provide monthly process and outcome measure data either by granting access to NHSN or enter data onto the OHA data entry site --Provide quarterly process and outcome measure data through existing administrative data set --Participation by at least one member of the organization in monthly coaching calls, webinars, conferences, etc. --Participation as a mentor facility, as requested and able, for an area of identified strength --Recognize that in addition to meeting the base 20/12 reduction goals, HIIN continued to place additional emphasis on the following: ---Adverse drug events (ADE) to include opioid safety, anticoagulation safety, and glycemic management ---Catheter-associated urinary tract infections (CAUTI) to all hospital settings, including avoiding placement of catheters in the ER and in the hospital ---Central line-associated bloodstream infections (CLABSI) to all hospital settings ---Clostridium difficile (C. diff) infection, including Antibiotic Stewardship ---Injury from falls and immobility ---Sepsis and septic shock ---SSI to include at a minimum, colon, abdominal hysterectomy, total hip replacements and total knee replacements ---Venous thromboembolism (VTE), at a minimum to all surgical settings ---Ventilator-associated events (VAE) to include Ventilator-associated conditions (VAC), infection-related ventilator-association complications (IVAC) and ventilator-associated pneumonia (VAP) ---Readmissions In addition to the required base measures outlined above, each hospital participated in at least one of the selected initiative(s) below: --Multi-drug Resistant Organisms (e.g. MRSA, VRE, CRE, etc.) --Hospital culture of safety that fully integrates patient safety with worker safety --Iatrogenic delirium --Developing a metric to measure and report all-cause harm within the HIIN Network OHA commitments included: --Provide outcomes data using existing data sources --Obtain data from NHSN on behalf of our organization --Provide a web-based data entry site to enable timely data collection and submission --Provide free access to Wayfinder and associated data reports for the duration of HIIN --Provide Hand Hygiene Process Observers to collect up to 150 hand hygiene observations monthly from our organization at no additional cost to hospitals --Provide Educational programming and resources related to the HIIN topics --Provide Regional Coordinators to serve as a reference and support to our organization --Provide engagement awards based on the level of engagement and level of attainment of benchmarks at the end of the contract Continuous Service Readiness (CSR) Access to continuous survey readiness services for hospital accreditation were facilitated for member hospitals via subscription to the CSR consultant service for 95 hospitals. Provided both a Spring and a Fall conference related to accreditation standards at two locations per offering: Quality Summit: The 10th Annual Quality Summit was conducted on June 14, 2017 with over 250 attendees participating. The summit was held at the Columbus Hilton at Easton, Columbus, Ohio and featured three panel presentations including: --Multi-Drug Resistant Organisms/Antibiotic Stewardship Program/Clostridium Difficile --Impact of Iatrogenic Delirium --Sustaining Reduction in Sepsis Mortality Professional poster presentations with ample networking opportunities to disseminate effective practices were coordinated. Following the summit, recordings of panel presentations and poster abstracts were posted to the OHA website. Hand Hygiene (HH): In 2017, the hand hygiene program contracted hand hygiene observers and reporting continued. Certain hospitals and hospital systems saw the need for continuous hand hygiene monitoring on a monthly basis and at higher thresholds of observations than associated with projects typically led by OHA. OSU, Cleveland Clinic, Genesis, Lake Health, University of Cincinnati Medical Center, and Mount Carmel are examples of systems who made such a request. Other locations within OHA member community hospitals chose to participate, such as Berger and Memorial Hospital of Union County. This program afforded data continuity for dashboard purposes and avoided the loss or lag of data between OHA projects & funding, such as the HIIN program. OHA 2017 innovations in statewide hand hygiene included: --Continuation of huddles to include and address HH rates and goals --Updates of HH to performance expectations in job descriptions and unit policies and procedures --Regional re-training and education for process observers --Expansion of education content to address a culture of change managers and leaders WayFinder: As OHA was awarded the federal HIIN contract through CMS, OHA continued to work on the usage of the Battelle WayFinder platform. This predictive analytics platform was provided at no cost to HIIN-participating hospitals. OHA worked with participating hospitals to provide user training and platform improvement. 860114 128949 Statewide Healthcare Preparedness Coordination Initiatives: State funds in the amount of $355,681.00 for the period of July 1, 2017 - June 30, 2018 were used to initiate and sustain existing programs/initiatives and develop and implement new statewide programs/initiatives as well as provide funding for the Director of Public Health Programs to oversee this grant. These initiatives included: --Burn Surge --Pediatric Coalition --Surgenet Training --Regional Hospital Coordinator Training --ESF8 Mass Casualty/Medical Surge Exercise --Multi-Year Training and Education Planning --Exercises and After-Action Reports --Volunteer Management Planning (funding was realized from a carryover amount of $17,917.00) Regional Health Care System Coordination for Disaster Preparedness Initiative: Regional funds in the amount of $491,079.81 were received to complete required deliverables and provide a minimum amount of $1,500.00 funding for each hospital in the southeast region. These funds provide the opportunity for healthcare facilities in the southeast region to address their preparedness initiatives as well as supporting the regional healthcare coordinator, the regional coalition coordinator, and 5 county coalitions. These initiatives included: --Liaison between the county coalition leads and the regional coalition ensuring requests for data are fulfilled and/or activities prescribed, including but not limited to trainings and educational initiatives are completed --Quarterly in-person meetings with the county coalition leads to ensure information exchange for effective healthcare planning and emergency response is either in place or being implemented --Quarterly updates on the status of the local coalitions to the regional coalition --Development of spending plans for the purchase of assets necessary for local healthcare system preparedness for submission to the regional coalition for review and approval. Following approval, track all purchases through the submission of invoices and processing of reimbursements to the purchasing agency. --Facilitation of two full regional meetings of the Southeast Ohio Healthcare Coalition and quarterly meetings with the regional coalition --Development and oversight of committees, workgroups, or other such bodies to fulfill grant and committee determined deliverables --Ensure mandated reports, surveys, meeting notes, attendance records, and all other supporting documentation are completed and submitted on time. --Submit a Coalition Membership Roster describing participating and potential coalition members using a whole community approach, specifically, hospitals, EMS, EMA, public health agencies. --Attend the PHEP training and exercise workshop --Submit a calendar of the quarterly meetings --Submit SWOT analysis using the ODH template --Collect and analyze CMIST profiles completed in BP5 and provide summary of AFN in the region. --Volunteer Management Planning (funding was realized from a carryover amount of $9,891.48) Ebola and Other Special Pathogens Initiatives and Funding: The Ohio Emerging Pathogens Coalition was maintained comprised of assessment, treatment and front-line hospitals along with public health, EMS, and Ohio Department of Health. The following actions were maintained: --Continued a Personal Protective Equipment (PPE) Inventory tool that identifies the amount and type of PPE located at hospitals. --Continued annual training modules to be utilized for all hospitals on Ebola and emerging pathogens. --Conducted a functional exercise of the Coalition to: ---Evaluate the Concept of Operations for the Ebola Treatment Center and Ebola Assessment hospitals ---Exercise the notification and communication processes between local and state partners ---Evaluate the treatment and risk mitigation processes at the Treatment Center and Assessment hospitals 359925 466366 Patient safety data collection and analysis was continued for 35 members voluntarily participating in OPSI Patient Safety Organization (PSO) while securing uniform federal confidentiality and privilege protections. Four statewide web casts were provided as part of the Advancing Patient Safety Conference Series, including: --February 2, 2017 Global Nasopharyngeal Culture Surveillance --April 6, 2017 Caring for Transgender Patients: Unique Risks, Unique Rewards --June 8, 2017 Reduction of Insulin-Related Adverse Events --September 7, 2017 Pediatric Catheter-Associated Urinary Tract Infections 26992 5000 1150 Misc Program Service Expenses 16000 15290 Opioid Response Initiative: In 2017, the OHA Board of Trustees approved the formation of the Opioid Response Initiative. Targeting hospitals most disproportionately affected by the opioid epidemic, hospital leaders from 23 sites gathered for an initial meeting in September, 2017. The goals of the ORI can be divided into three focus areas of advocacy, intervention and economic sustainability. Since its inception, the ORI has assigned evidence-based measures to the multiple projects our members are undertaking around prevention, harm reduction, and transition to treatment and recovery. The ORI is the unified face of hospitals in Ohio regarding the opioid crisis and a force for change and advocacy at the state and local level. The ORI is: --a repository for evidence-based and other successful interventions, protocols and initiatives, --an agency for the testing and implementation of these initiatives using standardized measures of success, --a vehicle for their spread to a larger state audience. The ORI is a means of identifying funding streams for the initiation and maintenance of projects and programs that aid in the care of addicted patients in Ohio. Infant Mortality: --Presented an annual data analysis of the Ohio Infant Mortality data and rankings for the various OHA clinical and executive boards, as well as the board of the Ohio Organization of Nurse Executives. Presented nationally at the American Hospital Association Leadership Conference around the equity focus of Ohio's infant mortality work. --OHA served on executive/steering committees for the Ohio Collaborative to Prevent Infant Mortality, Ohio Perinatal Quality Collaborative, Cradle Cincinnati, and Ohio March of Dimes. Safe Sleep: --OHA continued its "Safe Sleep is Good4Baby" initiative aimed at promoting the ABC's of safe sleep practices in Ohio. In 2016, the American Academy of Pediatrics updated their 'safe sleep' recommendations. OHA worked with member hospitals to share these updates and communicate other related resources and materials around promoting safe sleep. In 2017, OHA and the Ohio Department of Health partnered to create a free resource for hospitals around promoting 'safe sleep and breastfeeding'. This resource was distributed statewide at no cost, and is also available online. --OHA worked closely with Ohio birthing hospitals related to mandated reporting to ODH due to legislation passed in 2014. This legislation requires hospitals to report data to ODH regarding new parents who report not having access to a safe sleep environment. In 2016 the state transitioned this reporting into the automated birth registry system, and OHA assisted in communicating this transition with the hospitals. We have continued to work with ODH around this new data collection process for hospitals. Breastfeeding: --The First Steps for Healthy Babies, a quarterly recognition program for hospitals implementing the 10 Steps to Successful Breastfeeding, was launched in March of 2015 in partnership with the Ohio Department of Health. In 2017, the program expanded its reach to over three quarters of the maternity hospitals in the state. --OHA received an additional $15,000 contract from ASTHO to support the First Steps program --These funds were used in part to host monthly educational webinars for hospitals, at no cost, on various topics related to breastfeeding support and promotion --Portions of the funding were used to offset some of the costs of distributing more resources across the state to hospitals. Ohio WIC also partnered with us to distribute our materials to all WIC clinics across the state. --Partnering with ODH, we created several new materials for hospitals including a 'breastfeeding and safe sleep' poster, fatherhood engagement resources, and other updated resources. All of these are available at no cost online for hospitals and partner organizations. --The First Steps program partnered with the Ohio Lactation Consultants Association (OLCA) and Ohio Breastfeeding Alliance (OBA) to revive a 'Bag Free' recognition program for hospitals. This program launched in early 2016, and was continued in 2017. 73 hospitals were recognized for their work in 2016, a 15% increase from the year before. --The First Steps program was invited to the Annual OLCA conference on March 2017. Ryan Everett presented at the main session about the First Steps program and the progress made in Ohio. This was followed with a recognition of all awarded hospitals for the 'Ban the Bag' program. 42992 5000 16440 4591190 true true false false false false false false false false true false false false true true true false false false false false false false false false false true false true false false false false false false false false false false false false false true false true false true 49 0 true 6 true false false false false false false true false false false X 16 16 false false false false true true true true true false false true true true true true true false false false X Erin Reimer Biles 6142217614 155 E BROAD STREET Suite 301 COLUMBUS OH 432153640 Anthon Brooks Chairperson 1.0 0 X X 0 0 0 Phillip Ennen Chair-Elect 1.0 1.0 X X 0 0 0 Chip Hubbs Secretary/Treasurer 1.0 1.0 X X 0 0 0 Randal Arnett Trustee-at-Large 1.0 0 X 0 0 0 Fred DeGrandis Trustee-at-Large 1.0 0 X 0 0 0 Heidi Gartland Trustee-at-Large 1.0 1.0 X 0 0 0 William Harding Trustee-at-Large 1.0 0 X 0 0 0 Stephen House Trustee-at-Large 1.0 0 X 0 0 0 Jeffrey Klingler Trustee-at-Large 1.0 0 X 0 0 0 Stanley Korducki Trustee-at-Large 1.0 1.0 X 0 0 0 LeeAnn Lucas-Helber Trustee-at-Large 1.0 0 X 0 0 0 Scott Malaney Officer-at-Large 1.0 0 X 0 0 0 Rob Montagnese Trustee-at-Large 1.0 0 X 0 0 0 James Pancoast Past Chair 1.0 0 X 0 0 0 David Sabgir Trustee-at-Large 1.0 0 X 0 0 0 Thomas Stover Trustee-at-Large 1.0 0 X 0 0 0 Michael Abrams President & CEO 1.0 39.0 X 0 851720 63412 Mary Gallagher Executive VP & Chief of Staff 1.0 39.0 X 0 384828 72862 James Guliano Vice President, Quality Programs 23.0 0 X 182703 0 26840 Rosalie Weakland Senior Director, Quality Programs 40.0 0 X 140105 0 27737 322809 1236548 190850 2 false true false Battelle Memorial Institute 505 King Ave Columbus OH 43201 Research 948000 JOINT COMMISSION RESOURCES 1515 WEST 22ND STREET OAKBROOK IL 60523 CONTINUED SURVEY READINESS 563496 ECRI INSTITUTE 5200 BUTLER PIKE PLYMOUTH MEETING PA 19462 PATIENT SAFETY ORGANIZATION 292179 3 870687 870687 Quality Institute 900099 3623016 3623016 Ohio Patient Safety Institute 900099 466366 466366 Population Health 900099 15290 15290 0 0 0 0 4104672 143557 143557 0 0 7479544 6937367 542177 0 542177 542177 Miscellaneous Income 900099 1150 1150 0 0 0 0 1150 5662243 4105822 0 685734 X 133949 133949 711370 711370 63420 63420 141301 141301 51091 51091 2897094 2897094 0 0 33774 33774 50132 50132 DISASTER PREPAREDNESS PROGRAM 473879 473879 Overhead 445548 445548 Quality Institute 19381 19381 Ohio Patient Safety Institute 2084 2084 13715 13715 0 0 5036738 4591190 445548 0 936918 1868144 595925 80527 0 0 0 75879 113361 100003 100003 0 0 6187667 6413780 0 0 24165 14704 7820554 8490516 369842 233253 2306 247583 0 502504 474243 874652 955079 X 6914918 7523517 30984 11920 6945902 7535437 7820554 8490516 625505 -35970 0 X false true X true true true X X 1 OHIO HOSPITAL ASSOCIATION 314270340 9 true 0 0 1 0 0 true false true true true false false false false false false false false false false false false true false Schedule A, Part IV, Section A, Line 3b Qualified Under 501C(4)(5) Or (6) The organization, using input from the supported organization, completes a pro forma Schedule A, Part III annually to confirm the supported organization meets the Section 509(a)(2) public support test. The support calculation is maintained in the supporting organization's files. Schedule A, Part IV, Section A, Line 3c Support To Org. Used Exclusively Sec. 170(c)(2)(B) Purposes The supporting organization does not provide monetary support to its supported organization. If the filing organization were to provide monetary support to its supported organization, it would ensure such support is used solely for charitable purposes. 100003 100003 0 0 Due to Related Party 474243 474243 X 5626273 -35970 0 -35970 5662243 0 0 5662243 5036738 0 0 5036738 0 0 5036738 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Internal Revenue Service has ruled that the Foundation is a tax exempt organization as defined under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for federal income taxes has been made in the financial statements. Additionally, the Foundation has been determined not to be a private foundation under Section 509(a) of the U.S. Internal Revenue Code. Accounting principles generally accepted in the United States of America prescribe recognition thresholds and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Tax benefits will be recognized only if the tax position is more likely-than-not sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the more-likely-than-not test, no tax benefit will be recorded. Management has concluded that they are unaware of any tax benefits or liabilities to be recognized at December 31, 2017 and 2016. The Foundation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Foundation would recognize interest and penalties related to the unrecognized tax benefits in interest and income tax expense, respectively. The Foundation has no amounts accrued for interest or penalties as of December 31, 2017 and 2016. true Adena Pike Medical Center 100 Dawn Lane Waverly OH 45690 311072406 501(c)(3) 10978 Emergency Preparedness Holzer Gallipolis 100 Jackson Pike Gallipolis OH 45631 314379491 501(c)(3) 20000 Emergency Preparedness Holzer Medical Center-Jackson 500 Burlington Road Jackson OH 45640 314379491 501(c)(3) 10000 Emergency Preparedness Ohio Health O'Bleness Memorial Hospital 55 Hospital Drive Athens OH 45701 314446959 501(c)(3) 29686 Emergency Preparedness Pike County General Health District 14050 US 23 North Waverly OH 45690 316400084 GOVERNMENT 20000 Emergency Preparedness Southeastern Ohio Regional Medical Center 1341 Clark Street Cambridge OH 43725 314391798 501(c)(3) 8285 Emergency Preparedness Southern Ohio Medical Center 1805 27th Street Portsmouth OH 45662 310678022 501(c)(3) 10000 Emergency Preparedness Zanesville-Muskingum County Health Department 205 North 7th Street Zanesville OH 43701 316400080 GOVERNMENT 20000 Emergency Preparedness March of Dimes 2831 East Main Street Columbus OH 43209 131846366 501(c)(3) 5000 GENERAL SUPPORT 9 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The Board of Trustees and management monitor the use of grants to ensure they are used for their intended purposes. Additionally, a special audit (A-133) is performed to ensure compliance. Under Federal Circular A-133 the Foundation is responsible for monitoring grant recipients to help assure that Federal awards are expended for authorized purposes in compliance with law, regulations and the provisions of contracts or grant agreements, and that performance goals are achieved. false false false false false false false false false Michael Abrams President & CEO 0 491700 0 261843 0 98177 0 21600 0 41812 0 915132 0 0 Mary Gallagher Executive VP & Chief of Staff 0 319001 0 57472 0 8355 0 31050 0 41812 0 457690 0 0 James Guliano Vice President, Quality Programs 152121 0 29633 0 949 0 12606 0 14234 0 209543 0 0 0 Rosalie Weakland Senior Director, Quality Programs 121046 0 14774 0 4285 0 14254 0 13483 0 167842 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization relied on Ohio Hospital Association's (OHA), a related tax-exempt organization, process to compensate the Chief Executive Officer (CEO). AN INDEPENDENT COMPENSATION COMMITTEE DELEGATED BY THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE YEARLY COMPENSATION REVIEW OF THE CEO. OUTSIDE CONSULTANTS, SALARY SURVEYS, AND DATA FROM COMPARABLE ORGANIZATIONS ARE USED IN THE PROCESS OF DETERMINING THE CEO'S COMPENSATION. THIS PROCESS WAS LAST PERFORMED IN 2017 AND IS DOCUMENTED WITHIN THE COMPENSATION COMMITTEE MINUTES. Form 990, Part III, Line 4d Description of other program services (Expenses $ 26,992 including grants of $ 5,000)(Revenue $ 1,150) Misc Program Service Expenses Form 990, Part III, Line 4d Description of other program services (Expenses $ 16,000 including grants of $)(Revenue $ 15,290) Opioid Response Initiative: In 2017, the OHA Board of Trustees approved the formation of the Opioid Response Initiative. Targeting hospitals most disproportionately affected by the opioid epidemic, hospital leaders from 23 sites gathered for an initial meeting in September, 2017. The goals of the ORI can be divided into three focus areas of advocacy, intervention and economic sustainability. Since its inception, the ORI has assigned evidence-based measures to the multiple projects our members are undertaking around prevention, harm reduction, and transition to treatment and recovery. The ORI is the unified face of hospitals in Ohio regarding the opioid crisis and a force for change and advocacy at the state and local level. The ORI is: --a repository for evidence-based and other successful interventions, protocols and initiatives, --an agency for the testing and implementation of these initiatives using standardized measures of success, --a vehicle for their spread to a larger state audience. The ORI is a means of identifying funding streams for the initiation and maintenance of projects and programs that aid in the care of addicted patients in Ohio. Infant Mortality: --Presented an annual data analysis of the Ohio Infant Mortality data and rankings for the various OHA clinical and executive boards, as well as the board of the Ohio Organization of Nurse Executives. Presented nationally at the American Hospital Association Leadership Conference around the equity focus of Ohio's infant mortality work. --OHA served on executive/steering committees for the Ohio Collaborative to Prevent Infant Mortality, Ohio Perinatal Quality Collaborative, Cradle Cincinnati, and Ohio March of Dimes. Safe Sleep: --OHA continued its "Safe Sleep is Good4Baby" initiative aimed at promoting the ABC's of safe sleep practices in Ohio. In 2016, the American Academy of Pediatrics updated their 'safe sleep' recommendations. OHA worked with member hospitals to share these updates and communicate other related resources and materials around promoting safe sleep. In 2017, OHA and the Ohio Department of Health partnered to create a free resource for hospitals around promoting 'safe sleep and breastfeeding'. This resource was distributed statewide at no cost, and is also available online. --OHA worked closely with Ohio birthing hospitals related to mandated reporting to ODH due to legislation passed in 2014. This legislation requires hospitals to report data to ODH regarding new parents who report not having access to a safe sleep environment. In 2016 the state transitioned this reporting into the automated birth registry system, and OHA assisted in communicating this transition with the hospitals. We have continued to work with ODH around this new data collection process for hospitals. Breastfeeding: --The First Steps for Healthy Babies, a quarterly recognition program for hospitals implementing the 10 Steps to Successful Breastfeeding, was launched in March of 2015 in partnership with the Ohio Department of Health. In 2017, the program expanded its reach to over three quarters of the maternity hospitals in the state. --OHA received an additional $15,000 contract from ASTHO to support the First Steps program --These funds were used in part to host monthly educational webinars for hospitals, at no cost, on various topics related to breastfeeding support and promotion --Portions of the funding were used to offset some of the costs of distributing more resources across the state to hospitals. Ohio WIC also partnered with us to distribute our materials to all WIC clinics across the state. --Partnering with ODH, we created several new materials for hospitals including a 'breastfeeding and safe sleep' poster, fatherhood engagement resources, and other updated resources. All of these are available at no cost online for hospitals and partner organizations. --The First Steps program partnered with the Ohio Lactation Consultants Association (OLCA) and Ohio Breastfeeding Alliance (OBA) to revive a 'Bag Free' recognition program for hospitals. This program launched in early 2016, and was continued in 2017. 73 hospitals were recognized for their work in 2016, a 15% increase from the year before. --The First Steps program was invited to the Annual OLCA conference on March 2017. Ryan Everett presented at the main session about the First Steps program and the progress made in Ohio. This was followed with a recognition of all awarded hospitals for the 'Ban the Bag' program. Form 990, Part V, Line 2a Common Pay Agent OHIO HOSPITAL ASSOCIATION (OHA) EIN 31-4270340 IS THE COMMON PAYING AGENT FOR THE FOLLOWING RELATED ORGANIZATIONS. THEREFORE, ALL APPLICABLE IRS TAX FILINGS ARE REPORTED BY OHA. --OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. EIN 31-1314404 --THE RESEARCH & EDUCATIONAL FOUNDATION OF THE OHIO HOSPITAL ASSOCIATION EIN 31-6060347 --OHIO HEALTHCARE PURCHASING EIN 20-0414070 THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, OHA, FOR THE YEAR ENDED DECEMBER 31, 2017 WAS 60. FOR PURPOSES OF REPORTING THE NUMBER OF EMPLOYEES ON THE FORM 990, PART V, LINE 2A, THERE WERE THE FOLLOWING FOR EACH RESPECTIVE ORGANIZATION: --OHIO HOSPITAL ASSOCIATION - 52 EMPLOYEES --OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. - 0 EMPLOYEES --THE RESEARCH & EDUCATIONAL FOUNDATION OF THE OHIO HOSPITAL ASSOCIATION - 6 EMPLOYEES --OHIO HEALTHCARE PURCHASING - 2 EMPLOYEES Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES THAT RECEIVE COMPENSATION. THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. Form 990, Part VI, Line 15a PROCESS USED TO DETERMINE COMPENSATION FOR TOP MANAGEMENT OFFICIAL THE ORGANIZATION DOES NOT HAVE OFFICERS THAT RECEIVE COMPENSATION. THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. THE CEO IS COMPENSATED BY THE ORGANIZATION'S COMMON PAY AGENT, OHIO HOSPITAL ASSOCIATION (OHA), A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION PROCESS IS THAT OF OHA'S. AN INDEPENDENT COMPENSATION COMMITTEE DELEGATED BY THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE YEARLY COMPENSATION REVIEW OF THE CHIEF EXECUTIVE OFFICER (CEO). OUTSIDE CONSULTANTS, SALARY SURVEYS, AND DATA FROM COMPARABLE ORGANIZATIONS ARE USED IN THE PROCESS OF DETERMINING THE CEO'S COMPENSATION. THIS PROCESS WAS PERFORMED IN 2017 AND IS DOCUMENTED WITHIN THE COMPENSATION COMMITTEE MINUTES. Form 990, Part VI, Line 1a Delegate broad authority to a committee The board of trustees may, by resolution, establish an executive committee, which shall consist of at least three (3) trustees, which committee shall have the power to transact all of the business of the corporation during the interim between meetings of the board of trustees and which shall have and exercise the authority of the board of trustees in the management of the corporation subject to any restrictions established by the board of trustees. The designation of the executive committee and the delegation thereto of such authority shall not operate to relieve the board of trustees, or any individual trustee of any responsibility imposed by law. The executive committee shall be subject to the control and direction of the board of trustees. Additionally, as the sole member of filing organization, Ohio Hospital Association, a related tax-exempt organization, has broad authority to act on behalf of the governing body. Please see the narratives for Part VI, Lines 6, 7a and 7b for a description of such authority. Form 990, Part VI, Line 6 Classes of members or stockholders The sole member of the Corporation shall be the Ohio Hospital Association, an Ohio nonprofit corporation. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body As the sole member of the filing organization, OHA has the right to elect, appoint or remove members of the governing body. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders As the sole member of the filing organization, OHA has the right to approve or deny significance governance decisions of the organization. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 was reviewed by management with the paid tax preparer. A copy of the organization's final form 990 (including required schedules), as ultimately filed with the IRS, was provided to each voting member of the organization's governing body and officers prior to its electronic filing with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy EACH TRUSTEE, DIRECTOR, PRINCIPAL OFFICER, other officer, key employee, AND MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE DUALITY OF INTEREST AND CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THE ORGANIZATION IS TAX-EXEMPT AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. After a disclosure, and after any discussions with the interested person, the interested person may be asked by the chairperson to leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. If a conflict of interest exists, the interested person may make a presentation to the board or committee and may be asked to leave the meeting during the discussion of, and the vote on, the arrangement that results in the conflict. After exercising due diligence, the board or committee shall determine whether the company can obtain a more advantageous arrangement with reasonable efforts from a person that would not give rise to a conflict of interest. If that is not reasonably attainable, the board or committee shall determine by a majority vote of the disinterested directors whether the arrangement is in the company's best interest. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents, and conflict of interest policy are available upon request from the organization. Form 990, Part IX, Line 11g Other Fees Quality/Patient Safety Consulting - Total Expense: 392250, Program Service Expense: 392250, Management and General Expenses: , Fundraising Expenses: ; Continued Survey Readiness - Total Expense: 564151, Program Service Expense: 564151, Management and General Expenses: , Fundraising Expenses: ; Hospital Improvement Innovation Network - Total Expense: 1931271, Program Service Expense: 1931271, Management and General Expenses: , Fundraising Expenses: ; Population Health promotion - Total Expense: 9422, Program Service Expense: 9422, Management and General Expenses: , Fundraising Expenses: ; OHIO HOSPITAL ASSOCIATION (OHA) 155 E BROAD ST SUITE 301 COLUMBUS OH 43215 314270340 SEE PART VII OH 501(c)(6) NA false OHIO HOSPITALS GROUP RATED WORKERS COMP 155 E BROAD ST SUITE 301 COLUMBUS OH 43215 311314404 SEE PART VII OH 501(c)(6) OHA false OHIO HEALTH COUNCIL 155 E BROAD ST SUITE 301 COLUMBUS OH 43215 311708195 SEE PART VII OH 501(c)(3) Type I OHA false FRIENDS OF OHIO HOSPITALS 155 E BROAD ST SUITE 301 COLUMBUS OH 43215 311237308 SEE PART VII OH 527 OHA false OHIO HEALTHCARE PURCHASING INC DBA OHA SOLUTIONS 155 E BROAD ST SUITE 301 COLUMBUS OH 43215 200414070 PURCHASING CO OH OHA C Corporation 0 0 0 false false false false false false false false false false false false false true true true true false false false Ohio Hospital Association P 445548 COST Schedule R, Part II, Column (b) Primary Activity 1. OHIO HOSPITALS GROUP RATED WORKERS COMP PRIMARY ACTIVITY: THE PRIMARY PURPOSE OF THE OHIO HOSPITALS GROUP RATED WORKERS COMPENSATION PROGRAM, INC. IS TO DEVELOP AND IMPLEMENT PROGRAMS THAT WILL PROMOTE A SAFE WORKING ENVIRONMENT AND REDUCE HEALTH CARE COSTS. 2. OHIO HOSPITAL ASSOCIATION PRIMARY ACTIVITY: A MEMBERSHIP DRIVEN ORGANIZATION THAT PROVIDES PROACTIVE LEADERSHIP TO CREATE AN ENVIRONMENT IN WHICH OHIO HOSPITALS ARE SUCCESSFUL IN SERVING THEIR COMMUNITIES. THIS NON-PROFIT TRADE ASSOCIATION WORKS ON BEHALF OF MEMBER HOSPITALS THROUGH LEADERSHIP IN THE DEVELOPMENT OF PUBLIC POLICY, IN THE REPRESENTATION AND ADVOCACY OF HOSPITAL INTERESTS, AND IN THE PROVISION OF SERVICES WHICH ASSIST HOSPITALS IN MEETING HEALTH CARE NEEDS AND IMPROVING THE HEALTH STATUS OF THEIR COMMUNITIES, WHICH IN TURN IMPROVES THE HEALTH CARE INDUSTRY AS A WHOLE. 3. OHIO HEALTH COUNCIL PRIMARY ACTIVITY: PROMOTION OF HEALTH BY COORDINATING THE EFFORTS OF ITS MEMBERS AND OTHER ORGANIZATIONS INTERESTED IN THE HEALTH OF COMMUNITIES. THIS PURPOSE INCLUDES FUNDING PROJECTS THAT CONDUCT HEALTH EDUCATION AND HEALTH PROMOTION PROGRAMS REGARDING THE ADVANTAGES TO THE HEALTH OF COMMUNITIES TO BE GAINED THROUGH THE PRACTICE OF MEDICINE AND OTHER HEALTH PROFESSIONS AND THE OPERATION OF HOSPITALS. 4. Friends of Ohio Hospitals Primary Activity: THE ORGANIZATION MAKES CONTRIBUTIONS IN SUPPORT OF POLITICAL CANDIDATES AND PARTIES IN THE INTEREST OF OHIO HOSPITALS.