2018-08-15T13:55:05-05:00 2017-09-30 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-10-01 141338471 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER CHAM 5185612000 75 BEEKMAN STREET PLATTSBURGH NY 12901 SCOTT ST GEORGE CFO 5185612000 2018-08-14 1 DEBORAH STUCK P01281391 3154463600 2018-08-14 2016 2022-09-23 18:48:47Z SCOTT ST GEORGE 75 BEEKMAN STREET PLATTSBURGH NY 12901 338749218 0 X WWW.CVPH.ORG X 1903 NY CVPH MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY HEALTH CARE FOR THE NORTH COUNTRY REGION IN UPSTATE NEW YORK. 15 15 2748 350 0 0 658404 873127 311478864 331003548 395258 3039208 3261545 3673353 315794071 338589236 0 0 0 0 197612946 203642676 0 0 0 125834103 129606543 323447049 333249219 -7652978 5340017 220870317 219207678 193744389 168706956 27125928 50500722 X CVPH MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY HEALTHCARE FOR THE NORTH COUNTRY REGION IN UPSTATE NEW YORK. 0 0 284431693 334791261 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER (CVPH)IS A 300 BED ACUTE CARE HOSPITAL AND 54 BED SKILLED NURSING FACILITY. CVPH PROVIDES COMPREHENSIVE MEDICAL AND SURGICAL SERVICES TO THE NORTHERN NEW YORK STATE REGION, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING 2017, CVPH PROVIDED 63,089 PATIENT DAYS OF CARE TO ITS 9,601 ADMISSIONS, AND 48,700 EMERGENCY CARE CENTER VISITS. DURING THE YEAR, 20,515 SURGICAL PROCEDURES WERE PERFORMED. 825 BIRTHS OCCURRED IN CVPH FACILITIES. CVPH EMPLOYS MORE THAN 2,500 INDIVIDUALS. IN ADDITION, THE HOSPITAL HAS 170 MEMBERS OF ITS MEDICAL STAFF, 89% OF WHICH ARE BOARD CERTIFIED. THE HOSPITAL IS JOINT COMMISSION ACCREDITED AND LICENSED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. IN ADDITION TO ITS MAIN CAMPUS, CVPH OPERATES SEVERAL OUTPATIENT FACILITIES WHERE SERVICES ARE PROVIDED TO ITS PATIENTS INCLUDING: AMBULATORY SURGERY, PHYSICAL AND OCCUPATIONAL THERAPY, REHABILITATION, RENAL DIALYSIS, AND DIAGNOSTIC IMAGING. CVPH ALSO OPERATES HEALTH CLINICS LOCATED IN OUTLYING GEOGRAPHIC AREAS, TO BETTER SERVE THE HEALTH NEEDS OF CVPH'S RURAL COMMUNITY SERVICE AREA. THROUGH ITS VARIOUS LOCATIONS, OUTREACH ACTIVITIES, AND SUPPORT GROUPS, CVPH IS ACTIVE IN THE COMMUNITY IN PROMOTING HEALTH AND WELLNESS OF THE BODY, MIND, AND SPIRIT. CVPH PROVIDES ONGOING MEDICAL EDUCATION TO ITS MEDICAL STAFF, IN ADDITION TO OFFERING AN X-RAY TECHNOLOGY PROGRAM FOR ENROLLED STUDENTS. CVPH MAINTAINS A COMPREHENSIVE MEDICAL LIBRARY AND HAVE MADE AVAILABLE WEB-BASED LINKS FOR THE COMMUNITY TO EASILY ACCESS HEALTH AND WELLNESS INFORMATION AND EDUCATIONAL MATERIALS. CVPH ACCEPTS NUMEROUS INSURANCE PLANS, AND IS MEDICARE AND MEDICAID APPROVED. ADDITIONALLY, CVPH HAS A CHARITY CARE POLICY TO ACCOMMODATE PATIENTS WHOSE FINANCIAL MEANS ARE WITHIN SPECIFIED GUIDELINES. 284431693 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 151 0 1 2748 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X SCOTT ST GEORGE 5185612000 75 BEEKMAN STREET PLATTSBURGH NY 12901 ROBERT SMITH CHAIR 1.00 X X 0 0 0 JOHN BERNARDI VICE CHAIR 1.00 X X 0 0 0 ALEXANDER EDWARDS TREASURER 1.00 X X 0 0 0 VIRGINIA HAY SECRETARY 1.00 X X 0 0 0 DAVID ANDERSON MD BOARD MEMBER 1.00 X 0 0 0 JOANN GLEESON-KREIG PHD BOARD MEMBER 1.00 X 0 0 0 JOSEPH DONNERY DPM BOARD MEMBER 1.00 X 0 0 0 VICTORIA ZINSER DULEY BOARD MEMBER 1.00 X 0 0 0 PAOLA FEDI MD BOARD MEMBER 1.00 X 0 0 0 NEIL FESSETTE BOARD MEMBER 1.00 X 0 0 0 PAUL GRASSO BOARD MEMBER 1.00 X 0 0 0 RADA JONES MD BOARD MEMBER 1.00 X 0 0 0 VICKI MARKING BOARD MEMBER 1.00 X 0 0 0 THOMAS RECNY BOARD MEMBER 1.00 X 0 0 0 AMY SENECAL BOARD MEMBER 1.00 X 0 0 0 STEPHENS MUNDY PRESIDENT /CEO 30.00 20.00 X 1323032 0 196531 JOYCE RAFFERTY CHIEF FINANCIAL OFFICER 40.00 10.00 X 467162 0 46803 WOUTER RIETSEMAMD CHIEF QUALITY AND INFOR. 48.00 2.00 X 426631 0 43759 KENT HALL CHIEF MEDICAL OFFICER 50.00 X 470412 0 34746 MICHELLE LEBEAU COO 48.00 2.00 X 368969 0 34760 SCOTT ST GEORGE VICE PRESIDENT OF FINANCE 30.00 20.00 X 0 0 0 TODD WHITMAN MEDICAL ONCOLOGIST 45.00 X 1056594 0 30958 CHARLES VOLK ORTHOPEDIC SURGEON 45.00 X 677138 0 25110 MARISSA MATARRESE PLASTIC SURGEON 45.00 X 706704 0 30315 JOHN GRIFFIN MEDICAL ONCOLOGIST 45.00 X 601354 0 38206 JAN DUUS MEDICAL ONCOLOGIST 45.00 X 700765 0 36718 6798761 0 517906 291 0 1 0 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 554809149 DIAGNOSTIC SERVICES 1204378 NIXON PEABODY LLP PO BOX 28012 NEW YORK NY 100878012 LEGAL 404831 RADA JONES MD 75 BEEKMAN ST PLATTSBURGH NY 12901 PHYSICIAN 299965 ASSOCIATES IN RADIOLOGY 16 DEGRANDPRE WAY SUITE 600 PLATTSBURGH NY 12901 RADIOLOGY SERVICES 240000 HEALOGICS WOUND CARE 28525 NETWORK PLACE CHICAGO IL 606731285 MEDICAL 188290 28 514203 345135 13789 873127 NET PATIENT SERVICE REVENUE 621990 322299214 322299214 340B REVENUE 611430 7476724 7476724 BLOOD BANK 621500 676205 676205 LABORATORY DIAGNOSTIC & CLINICAL 621500 276200 276200 DIALYSIS 621500 275205 275205 331003548 469360 469360 45622 159982 -114360 -114360 -114360 2569848 0 2569848 2569848 2569848 CAFETERIA SALES 900099 1810900 1810900 HEALTH PLEX 900099 875421 875421 MED SURG SUPPLIES 900099 119013 119013 982379 982379 3787713 338589236 334791261 0 2924848 3412805 546049 2866756 154613537 132225014 22388523 7063617 6103378 960239 27595966 23836570 3759396 10956751 9392184 1564567 17106688 12972177 4134511 1187523 1187523 292001 292001 34237 34237 13450558 10199696 3250862 521591 395528 126063 453295 343738 109557 1618968 1295175 323793 807884 566638 241246 2595321 2595321 15902565 13699961 2202604 3156017 2393241 762776 SUPPLIES 52424865 50178439 2246426 BAD DEBTS 9289844 9289844 OTHER EXPENSES 3734426 2807081 927345 0 MAINTENANCE & REPAIRS 3486706 2644005 842701 3544054 2947654 596400 333249219 284431693 48817526 0 21359291 13523749 39368561 40977095 5440350 5425792 2702492 2144740 179701567 75912051 105091346 103789516 40724364 47227228 6183913 6119558 220870317 219207678 27607421 22737461 23630000 30615000 37239653 24821390 4977974 6482872 100289341 84050233 193744389 168706956 X 23965472 47286792 1816513 1869987 1343943 1343943 27125928 50500722 220870317 219207678 X 5340017 1464995 16569782 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 33237051 3475138 1931600 34780589 30409963 2998228 108488 62652 33237051 30540658 722012 -760034 92673 30409963 38163316 -9453155 1994689 57758 106434 30540658 33993518 5186236 49715 966723 38163316 0.90920 0.03860 0.05220 0 1 1 3280000 3280000 74117319 24481853 49635466 2386171 666781 1719390 89981480 49648984 40332496 9936597 1114433 8822164 103789516 DEFERRED COMPENSATION PLAN 7427685 ACCRUED PENSION COSTS 51138275 DUE TO RELATED PARTIES 3552870 SWAP AGREEMENT LIABILITY 8448710 L-T COMPENSATION RELATED 6000116 ESTIMATED THIRD PARTY SETTLEMENTS 5081926 OTHER LIABILITIES 2400651 84050233 X PART V, LINE 4: CERTAIN BOARD-DESIGNATED FUNDS HAVE BEEN ESTABLISHED TO MEET SPECIFIC CURRENT AND FUTURE NEEDS OF THE HOSPITAL OR TO ADEQUATELY DISCHARGE FUTURE LIABILITES. THESE FUNDS INCLUDE THE PLANT AND CAPITAL IMPROVEMENT FUNDS, WHICH ARE DESIGNATED FOR SPECIFIC PROJECTS SUCH AS THE SURGICAL CENTER CONSTRUCTION, AND DESIGNATED FUNDS FOR BOTH SELF-INSURANCE AND FOR CVPH'S VARIOUS EMPLOYEE BENEFIT PLANS. TEMPORARILY RESTRICTED NET ASSETS ARE INTENDED FOR THE PURCHASE OF PROPERTY AND EQUIPMENT. PERMANENTLY RESTRICTED NET ASSETS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES, INCLUDING MEDICAL SERVICES PROVIDED TO CHILDREN, AND PROVIDING FOR CHARITY CARE. PART X, LINE 2: ENTITIES WITHIN THE SYSTEM, WITH THE EXCEPTION OF MEDIQUEST AND CVHN, ARE NOT-FOR-PROFIT CORPORATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MEDIQUEST AND CVHN ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL AND STATE TAXATION. AS OF SEPTEMBER 30, 2017 AND 2016, THE SYSTEM DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2014 THROUGH 2017. 1 1 1 X 1 X 1 1 0 1 1 945019 945019 0.00290 50419255 26763594 23655661 0.07300 51364274 26763594 24600680 0.07590 2482872 1120270 1362602 0.00420 1174898 1174898 0.00360 29937513 17028306 12909207 0.03980 33595283 18148576 15446707 0.04760 84959557 44912170 40047387 0.12350 1 3136251 1254500 93679652 113924835 -20245183 X 1 1 1 PET SCAN LLC IMAGING SERVICES 0.49000 0.00000 0.51000 1 1 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED 75 BEEKMAN ST PLATTSBURGH NY 12901 X X X X CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X HTTPS://WWW.CVPH.ORG/DATA/FILES/CHA%20AND%20IS%20FINAL%20V2.PDF X HTTP://WWW.CLINTONHEALTH.ORG/PDF%20FILES/CHA2016_18.PDF X 1 16 1 HTTPS://WWW.CVPH.ORG/DATA/FILES/CHA%20AND%20IS%20FINAL%20V2.PDF 0 1 X 150.000000000000 400.000000000000 1 1 X X X X 1 X HTTP://WWW.CVPH.ORG X X X X 1 X 0 X X X X 1 X 0 0 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED PART V, SECTION B, LINE 5: THE UNIVERSITY OF VERMONT HEALTH NETWORK - CHAMPLAIN VALLEY PHYSICIANS HOSPITAL (CVPH) AND CLINTON COUNTY HEALTH DEPARTMENT (CCHD) HAVE A LONG HISTORY OF COLLABORATION TO IMPROVE THE HEALTH OF RESIDENTS IN CLINTON COUNTY. THE COMMUNITY HEALTH ASSESSMENT (CHA)/COMMUNITY SERVICE PLAN (CSP) AND IMPLEMENTATION STRATEGY (IS)/ COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HAVE ALL BEEN CREATED COLLABORATIVELY AND, WHEN APPLICABLE, FILED JOINTLY. THIS UNIQUE EFFORT, ALSO SUPPORTED BY THE ADIRONDACK RURAL HEALTH NETWORK, DEMONSTRATES COHESIVE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLANNING. THE PARTNERSHIP BETWEEN THE TWO LEAD ORGANIZATIONS ASSURES SYNERGISTIC, NON-DUPLICATIVE, MEANINGFUL STRATEGIC EFFORTS TOWARDS THE COMMON GOAL OF IMPROVING THE POPULATION'S HEALTH AND CONTRIBUTING TO THE TRIPLE AIM. INPUT WAS ALSO SOLICITED FROM COMMUNITY ORGANIZATIONS AND THE RESIDENTS OF CLINTON COUNTY FOR CONSIDERATION WITHIN THE REQUIRED DOCUMENTS TO ASSURE INCLUSION REFLECTIVE OF THE NEEDS OF OUR SHARED POPULATION. DATA REVIEW: CVPH AND CCHD OBTAINED AND EXAMINED DATA FROM A VARIETY OF SOURCES; THE DETAILS OF WHICH ARE EXPLAINED IN THEIR ENTIRETY THROUGHOUT THE CHA. IN SHORT, THE GROUP SPENT A LARGE AMOUNT OF TIME REVIEWING THE NEW YORK STATE PREVENTION AGENDA WITH PARTICULAR INTEREST IN THE COUNTY LEVEL DASHBOARDS. THE WORKGROUP REVIEWED DATA FROM HEALTHYADK.ORG, THE CENTER FOR HEALTH WORKFORCE STUDIES, COMMUNITYCOMMONS.ORG, ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS AND LOCALLY OBTAINED PRIMARY DATA RELATED TO A NUMBER OF HEALTH CONDITIONS AND BEHAVIORS. TO DETERMINE METRICS OF MOST SIGNIFICANCE, THE LEAD ORGANIZATIONS CONSIDERED AREAS IN WHICH CLINTON COUNTY WAS IDENTIFIED AS WORSE THAN NY AND US VALUES, PERFORMANCE BELOW THE 25TH PERCENTILE, COMMON THEMES BROUGHT FORTH BY FOCUS GROUPS, AFFECTING SIGNIFICANT NUMBER OF PEOPLE, AND DISPARITIES ASSOCIATED WITH THE NEED. ADDITIONALLY, THE GROUP LOOKED FOR NEW OR CHANGING HEALTH TRENDS. STRONG CONSIDERATION WAS ALSO PAID TO QUALITATIVE DATA COLLECTED FROM COMMUNITY RESIDENTS DIRECTLY THROUGH MEETINGS, SURVEYS AND QUALITATIVE PROGRAM DATA. PARTNERSHIPS: THE COMPLETION OF THE 2016-2018 CLINTON COUNTY CHA, CSP, IS, AND CHIP WAS A COLLABORATIVE EFFORT BETWEEN CCHD AND CVPH. CCHD AND CVPH HAVE A LONG STANDING HISTORY OF COLLABORATION AND COLLECTIVELY BRING MULTIPLE COMMUNITY GROUPS TO THE TABLE TO HAVE THE GREATEST IMPACT ON THE HEALTH OF INDIVIDUALS IN CLINTON COUNTY. COMMUNITY ENGAGEMENT: THE COMMUNITY ENGAGEMENT PROCESS USED INVOLVED TWO SURVEYS (ONE TO ORGANIZATIONS AND ONE TO COMMUNITY MEMBERS) AND A PRIORITY SETTING SESSION FOR KEY COMMUNITY STAKEHOLDERS. THIS COMMUNITY SESSION RESULTED IN THE IDENTIFICATION OF TWO MAIN COMMUNITY HEALTH NEEDS OF FOCUS. A SMALLER GROUP OF COMMUNITY STAKEHOLDERS TOOK THE WORK FROM THE RETREAT, SURVEYS, AND DATA TO PRIORITIZE THE FOCUS AREAS UNDER EACH OF THE PRIORITY AREAS TO PUT THE GREATEST EFFORT TOWARDS. LASTLY, THE CHA/CSP/CHIP/IS WILL BE SHARED IN A VARIETY OF COMMUNITY SETTINGS. COMMUNITY SURVEY RESULTS WERE SHARED BACK WITH PARTNERS WHO ASSISTED IN CONNECTING RESIDENTS TO THE SURVEY AND THE COMMUNITY AT LARGE THROUGH AN OVERVIEW OF FINDINGS POSTED ON CCHD'S WEBSITE AND PROMOTED VIA SOCIAL MEDIA. THE CCHD'S ACTION FOR HEALTH AND CVPH'S COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE HAVE BEEN KEPT APPRISED AND REGULARLY CONSULTED AS THE DOCUMENTS WERE BEING DEVELOPED.ADIRONDACK RURAL HEALTH NETWORK (ARHN) COMMUNITY HEALTH ASSESSMENT (CHA) COMMITTEE MEMBERS AND MEETING SCHEDULE:NAME, ORGANIZATIONBONNIE OHMANN, ADIRONDACK HEALTHGINGER CARRIERO, ALICE HYDE MEDICAL CENTERJOSY DELANEY, ALICE HYDE MEDICAL CENTERKATI JOCK, THE UNIVERSITY OF VERMONT HEALTH NETWORK CHAMPLAIN VALLEY PHYSICIANS HOSPITALHEATHER REYNOLDS, THE UNIVERSITY OF VERMONT HEALTH NETWORK ELIZABETHTOWN COMMUNITY HOSPITALJULIE TROMBLEE, THE UNIVERSITY OF VERMONT HEALTH NETWORK ELIZABETHTOWN COMMUNITY HOSPITALKRISTIN DOOLEY, THE UNIVERSITY OF VERMONT HEALTH NETWORK ELIZABETHTOWN COMMUNITY HOSPITAL LINDA BEERS, ESSEX COUNTY PUBLIC HEALTHJESSICA DARNEY, BUEHLER ESSEX COUNTY PUBLIC HEALTHKATHLEEN STRACK, FRANKLIN COUNTY PUBLIC HEALTHERIN STREIFF, FRANKLIN COUNTY PUBLIC HEALTHIRINA GELMAN, FULTON COUNTY PUBLIC HEALTHTRACY MILLS, GLENS FALLS HOSPITALKELLY PILKEY, GLENS FALLS HOSPITALSUSAN FRANKO, HAMILTON COUNTY PUBLIC HEALTHTAMMY SMITH, INTER-LAKES HEALTHCHERYL MCGRATTAN, NATHAN LITTAUER HOSPITALPAT AUERWARREN, COUNTY HEALTH SERVICESDAN DURKEE, WARREN COUNTY HEALTH SERVICESGINELLE JONES, WARREN COUNTY HEALTH SERVICESPATTY HUNT, WASHINGTON COUNTY PUBLIC HEALTHKATHY JO MCINTYRE, WASHINGTON COUNTY PUBLIC HEALTHACTION FOR HEALTH CONSORTIUM MEMBERS:DIANA AGUGLIA, ALLIANCE FOR POSITIVE HEALTHMARIA ALEXANDER, SENIOR CITIZENS COUNCILSARA ALLEN, CLINTON COUNTY HEALTH DEPARTMENT, CONTRACTORJOY ARANA, LICENSED MEDICAL SOCIAL WORKERMARYANN BARTO, CLINTON COUNTY HEALTH DEPARTMENT, ENVIRONMENTAL HEALTH DIVISIONLAURIE BOOTH-TRUDO, CHILD CARE COORDINATING COUNCIL OF THE NORTH COUNTRYJAMES BOSLEY, CLINTON COUNTY PLANNING/CLINTON COUNTY PUBLIC TRANSITMARY BREYETTE, CORNELL COOPERATIVE EXTENSIONCRYSTAL CARTER, CLINTON COUNTY OFFICE FOR THE AGINGDOT CRAWFORD, INTERFAITH FOOD SHELFKIM CROCKETT, CLINTON COUNTY YOUTH BUREAUMELANIE DEFAYETTE, TOWN OF PLATTSBURGH RECREATION DEPARTMENTKAREN DERUSHA, CLINTON COUNTY HEALTH DEPARTMENT, HEALTH PLANNING AND PROMOTION DIVISIONBOB DICKIE, UNIVERSITY OF VERMONT HEALTH NETWORK-CHAMPLAIN VALLEY PHYSICIANS HOSPITALADELE DOUGLAS, TOWN OF PERU COMMUNITY DEVELOPMENT COORDINATORSHANNON DROWNE, KINETIC RUNNINGVICTORIA DULEY, THE DEVELOPMENT CORP. DARWYNA FACTEAU, CLINTON COUNTY HEALTH DEPARTMENT, HEALTH CARE SERVICES DIVISIONANNE-MARIE FITZGERALD, ADIRONDACK HEALTH INSTITUTESALLY GARVEY, OFFICE FOR THE AGING, CLINTON COUNTYSANDRA GEDDES, COMMUNITY DEVELOPMENT, CITY OF PLATTSBURGHKERRY HALEY, THE FOUNDATION OF CVPHMARK HAMILTON, CITY OF PLATTSBURGH HOUSING AUTHORITYELLEN HEMINGWAY, CLINTON COUNTY HEALTH DEPARTMENT, ADMINISTRATIONKAREN KALMAN, UNIVERSITY OF VERMONT HEALTH NETWORK-CHAMPLAIN VALLEY PHYSICIANS HOSPITALJOHN KANOZA, CLINTON COUNTY HEALTH DEPARTMENT, ENVIRONMENTAL HEALTH DIVISIONDOROTHY LATTA, PLATTSBURGH INTERFAITH FOOD COUNCILJODY LEAVENS, FIDELIS CARECHARLES MCCOY, STATE UNIVERSITY OF NEW YORK AT PLATTSBURGHGIZELLE MENARD, UNIVERSITY OF VERMONT HEALTH NETWORK-CHAMPLAIN VALLEY PHYSICIANS HOSPITALERIN PANGBORN, TOWN OF PLATTSBURGH RECREATION DEPARTMENTSTEVE PETERS, CITY OF PLATTSBURGH RECREATION DEPARTMENTAMY PUTNAM, FIDELIS CAREJERIE REID, CLINTON COUNTY HEALTH DEPARTMENT, ADMINISTRATIONSARA ROWDEN, CITIZENSHAWN SABELLA, BEHAVIORAL HEALTH SERVICES NORTHSHEY SCHNELL, UNIVERSITY OF VERMONT HEALTH NETWORK-CHAMPLAIN VALLEY PHYSICIANS HOSPITALMARGARET SEARING, CLINTON COUNTY HEALTH DEPARTMENT, ADMINISTRATIONCOURTNEY SMITH, ADIRONDACK HEALTH INSTITUTEMANDY SNAY, CLINTON COUNTY HEALTH DEPARTMENT, HEALTH PLANNING AND PROMOTIONKATHY SNOW, UNITED WAY OF THE ADIRONDACK REGIONSALLY SOUCIA, JOINT COUNCIL FOR ECONOMIC OPPORTUNITYJULIE STALKER, JOINT COUNCIL FOR ECONOMIC OPPORTUNITYTREVOR COLE, TOWN OF PLATTSBURGH PLANNING DEPARTMENTPETER TROUT, BEHAVIORAL HEALTH SERVICES NORTHBRITTANY TRYBENDIS, STATE UNIVERSITY OF NEW YORK AT PLATTSBURGHLEE VERA, EASTERN ADIRONDACK HEALTH CARE NETWORKLAURIE WILLIAMS, THE FOUNDATION OF CVPH, CONTRACTORSTEVE WILLIAMS, HANNAFORD SUPERMARKETKATI JOCK, UNIVERSITY OF VERMONT HEALTH NETWORK - CHAMPLAIN VALLEY PHYSICIANS HOSPITALCONTINUED ON SCHEDULE O CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED PART V, SECTION B, LINE 6A: CVPH IS PART OF THE ADIRONDACK RURAL HEALTH NETWORK. ADIRONDACK RURAL HEALTH NETWORK: THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) IS A PROGRAM OF THE ADIRONDACK HEALTH INSTITUTE, INC. (AHI). AHI IS A JOINT VENTURE OF ADIRONDACK HEALTH (ADIRONDACK MEDICAL CENTER), UNIVERSITY OF VERMONT HEALTH NETWORK - CHAMPLAIN VALLEY PHYSICIANS HOSPITAL, GLENS FALLS HOSPITAL AND HUDSON HEADWATERS HEALTH NETWORK. THE MISSION OF AHI IS TO PROMOTE, SPONSOR, AND COORDINATE INITIATIVES AND PROGRAMS THAT IMPROVE HEALTHCARE QUALITY, ACCESS, AND SERVICE DELIVERY IN THE ADIRONDACK REGION.THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) PROVIDES A FORUM FOR LOCAL PUBLIC HEALTH SERVICES, COMMUNITY HEALTH CENTERS, HOSPITALS, COMMUNITY MENTAL HEALTH PROGRAMS, EMERGENCY MEDICAL SERVICES, AND OTHER COMMUNITY-BASED ORGANIZATIONS TO ADDRESS RURAL HEALTHCARE DELIVERY BARRIERS, IDENTIFY REGIONAL HEALTH NEEDS AND SUPPORT THE NYS PREVENTION AGENDA TO IMPROVE HEALTH CARE IN THE REGION. THE ARHN REGION INCLUDES NEW YORK'S CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN, AND WASHINGTON COUNTIES.SINCE 2002, ARHN HAS BEEN RECOGNIZED AS THE LEADING SPONSOR OF FORMAL COMMUNITY HEALTH PLANNING IN THE REGION WORKING WITH SEVERAL LOCAL HEALTH DEPARTMENTS. THE COMMUNITY HEALTH ASSESSMENT (CHA) COMMITTEE, FACILITATED BY ARHN, IS MADE UP OF HOSPITALS AND COUNTY HEALTH DEPARTMENTS WORKING TOGETHER UTILIZING A SYSTEMATIC APPROACH TO COMMUNITY HEALTH PLANNING. THE CHA COMMITTEE IS MADE UP OF MEMBERS FROM ADIRONDACK HEALTH, ALICE HYDE MEDICAL CENTER, ELIZABETHTOWN COMMUNITY HOSPITAL, ESSEX COUNTY PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, FULTON COUNTY PUBLIC HEALTH, GLENS FALLS HOSPITAL, HAMILTON COUNTY PUBLIC HEALTH SERVICES, MOSES LUDINGTON HOSPITAL & INTER-LAKES HEALTH, NATHAN LITTAUER HOSPITAL, UVM HEALTH NETWORK - CVPH, WARREN COUNTY HEALTH SERVICES, AND WASHINGTON COUNTY PUBLIC HEALTH SERVICES. CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED PART V, SECTION B, LINE 6B: THE CHNA IS A JOINT EFFORT WITH THE CLINTON COUNTY HEALTH DEPARTMENT. IN ADDITION, CLINTON COUNTY ACTION FOR HEALTH CONSORTIUM IS A KEY PART OF THE PROCESS, AND THEIR PURPOSE IS DESCRIBED BELOW.CLINTON COUNTY ACTION FOR HEALTH CONSORTIUM: THE CLINTON COUNTY ACTION FOR HEALTH (AFH) CONSORTIUM IS A MULTI-SECTOR, MULTI-DISCIPLINARY COLLECTION OF LOCAL HEALTH SYSTEM PARTNERS WORKING TOWARDS COMMUNITY HEALTH IMPROVEMENT AND FACILITATED BY CCHD. THE PRIMARY WORK OF THE GROUP HAS BEEN BUILT AROUND DATA DRIVEN IDENTIFIED NEEDS (NYS PREVENTION AGENDA) AND AVAILABLE COMMUNITY RESOURCES. PARTNERS IN THE EFFORT INCLUDE: MUNICIPALITIES, BUSINESSES, GRASSROOTS COMMUNITY GROUPS, HEALTH CARE PROVIDERS, THE LOCAL HOSPITAL, CHAMBER OF COMMERCE, HUMAN SERVICE AGENCIES, SCHOOLS AND LOCAL NOT-FOR-PROFITS. THE GROUP HAS EXISTED FOR OVER A DECADE AND PRESENTLY HAS APPROXIMATELY FORTY MEMBERS THAT HAVE FORMALLY COMMITTED TO ITS PURPOSE BY SIGNING AFH PARTNERSHIP LETTERS. RECRUITMENT OF NEW MEMBERS IS ONGOING. THE AFH CONSORTIUM HAS INCREASED COMMUNITY OWNERSHIP AND COMMITMENT TO THE SHARED HEALTH IMPROVEMENT GOALS AND TO THE WORK CAPTURED IN THE CHIP. IN FACILITATING THESE EFFORTS, THE CCHD HAS STRENGTHENED ITS ABILITY TO LEVERAGE RESOURCES FROM PUBLIC HEALTH PARTNERS AND PRIVATE ENTITIES ALIKE. SIGNIFICANT PROGRESS ON THE COUNTY'S CHIP HAS BEEN MADE CAPITALIZING ON THIS SYSTEM OF PARTNERSHIP CREATED THROUGH THE CONSORTIUM. THE AFH CONSORTIUM MEETS PERIODICALLY FOR UPDATES, ISSUE DISCUSSION, AND INFORMATION SHARING. A MINIMUM OF SIX MEETING ARE SCHEDULED EACH YEAR, WITH ADDITIONAL GATHERINGS SCHEDULED AS NEEDED. SUBCOMMITTEES OF MEMBERS WITH EXPERTISE RELATED TO SELECTED PRIORITY AREAS MEET MORE FREQUENTLY AND KEEP THE GROUP APPRISED OF THEIR WORK. CCHD TRACKS PROGRESS ON THE CHIP CONTINUALLY AND PREPARES A YEAR-END REPORT WHICH INCLUDES UPDATES ON WORK RELATED TO THE TWO FEATURED PRIORITY AREAS AND A SUMMARY OF ACCOMPLISHMENTS BY LOCAL PARTNERS RELATED TO EACH OF THE NYSDOH PREVENTION PLAN PRIORITY AREAS. CAPTURED ACTIVITIES DEMONSTRATE WORK ON ALL TIERS OF THE PUBLIC HEALTH IMPACT PYRAMID. MORE INFORMATION ON THE PUBLIC HEALTH PYRAMID IS INCLUDED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN. CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED PART V, SECTION B, LINE 11: THE CHNA REVEALED THAT CLINTON COUNTY HAD TWO COMMUNITY NEEDS IN THE FOLLOWING AREAS:1. CHRONIC DISEASE2. MENTAL HEALTH AND SUBSTANCE ABUSEPRIORITIZED NEEDS:AFTER A STRUCTURED PRIORITIZATION PROCESS, THE 3 SIGNIFICANT NEEDS THAT ROSE TO THE TOP WERE:1. OBESITY IN CHILDREN AND ADULTS2. ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT3. PREVENTION OF SUBSTANCE ABUSE AND OTHER MENTAL, EMOTIONAL, AND BEHAVIORAL DISORDERSRATIONALE:IN ORDER TO MAXIMIZE THE POSITIVE IMPACT ON COMMUNITY HEALTH, CLINTON COUNTY PARTNERS HAVE CHOSEN TO CONCENTRATE EFFORTS ON TWO PRIORITY AREAS OF HIGH NEED. NEED, RESOURCES, EXPERTISE AND MOMENTUM EXIST TO ADDRESS THE TWO CHOSEN PRIORITIES NOTED ABOVE. THERE ARE, HOWEVER, EFFORTS UNDERWAY IN THE COMMUNITY RELATED TO ALL FIVE NYSDOH PREVENTION AGENDA PRIORITY AREAS. EXAMPLES OF WORK RELATED TO THE PRIORITY AREAS NOT SELECTED ARE LISTED BELOW. THE ACTION FOR HEALTH CONSORTIUM ACKNOWLEDGES AND CAPTURES THIS PROGRESS THROUGH ITS MEMBERS' CONTRIBUTIONS AT EACH OF ITS MEETINGS AND FORMALLY IN MID-YEAR AND END-OF-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN AND IS SUMMARY DOCUMENTS. THESE DOCUMENTS ALSO ANALYZE WORK FOR ALL FIVE PRIORITY AREAS UTILIZING THE CDC'S HEALTH IMPACT PYRAMID. SUMMARY OF RESPONSES FROM THE CLINTON COUNTY HEALTH PRIORITY SETTING SESSION, 6/15/16:WHAT IS BEING DONE IN THE COMMUNITY TO ADDRESS THE NOTED PRIORITY AREA?- PROMOTE HEALTH IN WOMEN, INFANTS & CHILDREN- CLINTON COUNTY BREASTFEEDING COALITION- CVPH SEEKING DESIGNATION AS "BABY FRIENDLY"- ALL THREE PEDIATRIC PRACTICES RECOGNIZED AS BREASTFEEDING FRIENDLY BY THE NYSDOH- ESTABLISHED HEALTHY FAMILIES NY AND IMPROVED PREGNANCY OUTCOMES PROGRAMS- FLUORIDE VARNISH PROGRAMS IN PEDIATRIC PRACTICES- PREVENT HIV, STDS, VACCINE PREVENTABLE DISEASES, AND HEALTHCARE ASSOCIATED INFECTIONS- FREE STD TESTING, TREATMENT, COUNSELING FOR THE UNINSURED (PLANNED PARENTHOOD & CCHD)- ESTABLISHED NEEDLE EXCHANGE PROGRAM THROUGH THE ALLIANCE FOR POSITIVE HEALTH- NEWBORN ROUNDS ADDRESSING INFORMATION ON VACCINATIONS FOR INFANTS & FAMILIES- PEDIATRICIANS SCREENING FOR STDS- COMMUNITY HANDWASHING CAMPAIGNS AND PROMOTION- PROMOTE A HEALTHY & SAFE ENVIRONMENT- SARANAC RIVER TRAIL GREENWAY EXPANSION- TRAIL AND PARK REVISIONS- HEALTHY RETAILER AND EATERY PROGRAMS- COMPLETE STREETS EFFORTS- WORKSITE WELLNESS INITIATIVESPLAN: THE FOLLOWING IS A DESCRIPTION OF CLINTON COUNTY'S IMPLEMENTATION STRATEGY. IT INCLUDES CVPH AND CCHD PLANNED ACTIONS, ANTICIPATED IMPACT, AND A PLAN TO EVALUATE THESE ACTIONS FOR THE TWO AREAS OF PRIORITIZED.NEED: OBESITY IN CHILDREN AND ADULTS AND ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN CLINICAL AND COMMUNITY SETTINGS AND PREVENT SUBSTANCE ABUSE AND OTHER MENTAL, EMOTIONAL AND BEHAVIORAL DISORDERS. EVIDENCE BASED INTERVENTIONS ARE UTILIZED THROUGHOUT THE PLAN WITH SPECIFIC DATA RESOURCES THAT WILL BE TRACKED. IT SHOULD BE NOTED THAT THIS IS A THREE YEAR PLAN. WHILE THE GOALS, OBJECTIVES, AND STRATEGIES ARE LONG TERM, THE ACTIVITIES ARE PRIMARILY FOCUSED FOR THE FIRST YEAR. EACH YEAR, THE ACTIVITIES WILL BE EVALUATED AND ADJUSTED AS NEEDED. SOME OF THE ACTIVITIES COULD ROLL OVER AND REMAIN THE SAME, BE CHANGED SLIGHTLY, OR BE ADJUSTED ENTIRELY IF IT IS DETERMINED THEY ARE NOT MOVING US TOWARDS OUR GOALS AND OBJECTIVES. HEALTH PRIORITY 1: PREVENT CHRONIC DISEASETHE PURPOSE OF THIS PRIORITY IS TO ASSIST NYS IN ADDRESSING CHRONIC DISEASES AND THEIR CAUSES TO EFFECTIVELY STEM THE TIDE OF ESCALATING HEALTH CARE COSTS AND ENSURE THAT NEW YORKERS LEAD HEALTHY AND PRODUCTIVE LIVES. CHRONIC DISEASES SUCH AS CANCER, DIABETES, HEART DISEASE, STROKE AND ASTHMA ARE CONDITIONS OF LONG DURATION AND GENERALLY SLOW PROGRESSION. THEY ARE AMONG THE MOST PREVENTABLE OF ALL DISEASES. THREE MODIFIABLE RISK BEHAVIORS - LACK OF PHYSICAL ACTIVITY, UNHEALTHY NUTRITION, AND TOBACCO USE - ARE LARGELY RESPONSIBLE FOR THE INCIDENCE, SEVERITY AND ADVERSE OUTCOMES OF CHRONIC DISEASE.THE NEW YORK STATE PREVENTION AGENDA PLACES EMPHASIS ON THREE KEY AREAS IN REGARDS TO PREVENTING CHRONIC DISEASE: 1) HEALTH PROMOTION ACTIVITIES TO ENCOURAGE HEALTHY LIVING AND LIMIT THE ONSET OF CHRONIC DISEASES; 2) EARLY DETECTION OPPORTUNITIES THAT INCLUDE SCREENING POPULATIONS AT RISK; AND 3) SUCCESSFUL MANAGEMENT STRATEGIES FOR EXISTING DISEASES AND RELATED COMPLICATIONS.FOCUS AREA 1: REDUCE OBESITY IN CHILDREN AND ADULTSTHE GOAL AROUND THIS FOCUS AREA IS CREATING COMMUNITY ENVIRONMENTS THAT PROMOTE AND SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES AND PHYSICAL ACTIVITY. THE TWO EVIDENCE BASED LONG TERM OBJECTIVES CHOSEN ARE AROUND DECREASING THE PERCENTAGE OF CLINTON COUNTY ADULTS WHO REPORT PARTICIPATING IN NO LEISURE TIME ACTIVITY AND INCREASE THE PERCENTAGE OF CLINTON COUNTY ADULTS REPORTING ADEQUATE DAILY FRUIT AND VEGETABLE CONSUMPTION. THE FOLLOWING STATISTICS/INFORMATION WERE USED AS SUPPORT AND RATIONALE IN THE SELECTION OF THIS AS A PRIORITY:- 26.8% OF ADULTS IN CLINTON COUNTY ARE OBESE, COMPARED TO 24.6% IN NYS. THE PREVENTION AGENDA GOAL FOR 2013-2018 IS 23.2% (HEALTHYADK)- 64.0% OF ADULTS IN CLINTON COUNTY ARE OVERWEIGHT OR OBESE, COMPARED TO 60.5% IN NYS (HEALTHYADK)- 37.5% OF ELEMENTARY STUDENTS IN CLINTON COUNTY ARE OVERWEIGHT OR OBESE, COMPARED TO 33.1% IN NYS. THIS HAS GOTTEN 0.2% WORSE IN THE LATEST MEASUREMENT PERIOD (HEALTHYADK)- 41.6% OF MIDDLE AND HIGH SCHOOL STUDENTS IN CLINTON COUNTY ARE OVERWEIGHT OR OBESE. ONLY 35.2% ARE IN THIS CATEGORY FOR NYS (HEALTHYADK)- ONLY 66.8% OF ADULTS IN CLINTON COUNTY HAVE ACCESS TO EXERCISE OPPORTUNITIES, WHILE 90.7% OF ADULTS IN NYS DO (HEALTHYADK) OF THE SUBCATEGORIES UNDER PREVENTING CHRONIC DISEASE, 53% OF SURVEY RESPONDENTS SELECTED THIS FOCUS AREA REDUCE OBESITY IN CHILDREN AND ADULTS).THERE ARE SEVERAL STRATEGIES CVPH AND CCHD WILL BE UTILIZING TO ADDRESS THIS FOCUS AREA AND ACHIEVE THE GOAL AND OBJECTIVES. THEY ARE AS FOLLOWS:- CONDUCT GENERAL EDUCATION FOR HEALTH PROFESSIONALS ON DIET AND EXERCISE WITH A FOCUS ON THE DEVELOPMENT OF A PROGRAM TARGETING NURSES IN CONJUNCTION WITH THE MAGNET APPLICATION PROCESS TO FOCUS ON DIET, EXERCISE, STRESS, COPING, OBESITY AND DISABILITIES. CURRENTLY, THERE ARE NO PROGRAMS LIKE THIS OCCURRING, BUT THE HOPE IS TO COMPLETE ONE PROGRAM PER YEAR AT CVPH WITH THE OPPORTUNITY TO OPEN THIS UP TO NURSES AT THE CCHD.- IMPLEMENTATION OF PROGRAMS TO INCREASE ACCESS TO LEISURE TIME ACTIVITIES FOR MEMBERS OF THE COMMUNITY WITH A FOCUS ON CONTINUATION OF YEAR TWO OF THE FITNESS IN THE PARKS GRANT. SIGNIFICANT PROGRESS HAS BEEN MADE IN YEAR ONE AND THE FOCUS OF YEAR TWO WILL BE AROUND SOCCER GOLF, PICKLE BALL, AND TRANSITIONING OF FITNESS IN PARKS TO THE TOWNS. CVPH WILL WORK TO MAKE TRAIL MAPS PROVIDED BY CCHD AVAILABLE IN HOSPITAL LOCATIONS. THE CCHD WILL FINALIZE ENHANCEMENTS TO ONE ADDITIONAL RECREATIONAL SPACE TO SUPPORT ACTIVITY AS WELL AS FACILITATE COMMUNITY ENTITIES TO SUBMIT PROJECTS TO THE HEALTH FOUNDATION'S MATCHING FUNDS PROGRAM. - CONTINUATION AND EXPANSION OF THE DIABETES PROGRAM WHICH CVPH HAS IMPLEMENTED AND SEEN SIGNIFICANT SUCCESS WITH.- CONTINUED USAGE OF HEALTHY MEAL AND BEVERAGE STANDARDS FOR MEALS SOLD AND SERVED IN THE HOSPITAL WITH A FOCUS ON USING HEALTHY, LOCALLY GROWN FOODS IN THE CAFETERIA AND PATIENT MEALS. THIS WILL FOCUS ON A REGULAR REVIEW OF MENUS, NO SUGAR ADDED OPTIONS, AND INCLUSION OF NUTRITIONALS ON FOOD TO EMPOWER EMPLOYEES AND PATIENTS TO TAKE CONTROL OF THEIR FOOD CHOICES. - EXPAND PARTICIPATION IN LOCAL BETTER CHOICES CERTIFICATION PROGRAM BY RECRUITING AND PROMOTING LOCALLY OWNED RESTAURANTS TO PARTICIPATE IN SEVERAL PROGRAMS. - SUPPORT AND PROMOTE USE OF LOCALLY GROWN FRUITS AND VEGETABLES THROUGHOUT THE CLINTON COUNTY FOOD ENVIRONMENT BY WORKING WITH LOCAL FARMS, INSTITUTE ENVIRONMENTAL CHANGES AT LOCAL FOOD PANTIES, AND DESIGNING AND LAUNCHING A TARGETED MEDIA CAMPAIGN AIMED AT INCREASING DONATIONS TO FOOD PANTRIES. THERE IS SIGNIFICANT OPPORTUNITY TO PROVIDE THIS SUPPORT AND PROMOTION THROUGH THE CVPH MALNUTRITION PROGRAM.CONTINUED ON SCHEDULE O 9 1 - CVPH AMBULATORY SURGERY CENTER 77 PLAZA BLVD PLATTSBURGH NY 12901 AMBULATORY SURGERY 2 - CVPH DENTAL CENTER 533 STATE RTE 3 PLATTSBURGH NY 12901 DENTAL CARE CENTER 3 - CVPH DIAGNOSTIC CENTER 89 PLAZA BLVD PLATTSBURGH NY 12901 LAB & IMAGING SERVICES 4 - CVPH REHABILITATION - DEGRANDPRE WAY 16 DEGRANDPRE WAY PLATTSBURGH NY 12901 PHYSICAL THERAPY 5 - CVPH REHABILITATION - TOM MILLER RD TOM MILLER RD PLATTSBURGH NY 12901 PHYSICAL THERAPY 6 - NORTH COUNTRY REGIONAL BLOOD DONOR CENTE 85 PLAZA BOULEVARD PLATTSBURGH NY 12901 BLOOD DONATION CENTER 7 - CVPH SPORTS MEDICAL AND REHABILITATION 295 NEW YORK RD PLATTSBURGH NY 12901 PHYSICAL AND OCCUPATIONAL THERAPY, EXERCISE AND WELLNESS 8 - FAMILY MEDICINE CENTER 159 MARGARET STREET SUITE 100 PLATTSBURGH NY 12901 PRIMARY CARE 9 - MOBILE HEALTH SCREENING VAN 75 BEEKMAN ST PLATTSBURGH NY 12901 LAB AND DIAGNOSTIC IMAGING PART I, LINE 7: IN ACCORDANCE WITH THE IRS INSTRUCTIONS, CVPH USED THE RATIO OF COST TO CHARGES TO CALCULATE COSTS. SPECIFICALLY, THE FACILITY'S TOTAL EXPENSES FROM PART IX LINE 25 OF $332,578,913 LESS COMMUNITY BENEFIT EXPENSES OF $2,482,872 WAS USED TO DETERMINE THE 2017 RCC PERCENTAGE. THE GROSS CHARITY CARE WRITE OFFS WAS OBTAINED FROM OUR REVENUE REPORTS AND TO WHICH THE CALCULATED RCC APPLIED. LINE 7(E): CLINTON COUNTY NY IS DESIGNATED AS A HEALTHCARE PROFESSIONAL SHORTAGE AREA (HPSA) FOR PRIMARY CARE. TO HELP ALLEVIATE THE LACK OF ACCESS TO PRIMARY CARE IN THE COUNTY AND SURROUNDING AREA, CVPH HAS BEEN OPERATING A HEALTH CENTER CLINIC TO PROVIDE MEDICAL TREATMENT FOR THIS AT RISK POPULATION. DURING 2017, THE CLINIC HAD IN EXCESS OF 20,000 PATIENT ENCOUNTERS WITH A PAYER MIX OF 81% MEDICAID AND MEDICARE, 16% COMMERCIAL, 1% SELF PAY AND 2% OTHER. PART 1 LINE 7, COLUMN F: AMOUNT OF BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX LINE 25 COLUMN (A), BUT REMOVED FROM THIS FIGURE FOR PURPOSES OF CALCULATING THE RCC PERCENTAGE WAS $9,289,844 AS REFLECTED ON PART IX LINE 24(B) PART I, LN 7 COL(F): AMOUNT OF BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX LINE 25 COLUMN (A), BUT REMOVED FROM THIS FIGURE FOR PURPOSES OF CALCULATING THE RCC PERCENTAGE WAS $3,136,251 AS REFLECTED ON PART IX LINE 24(E)PART III, LINE 3:IN ACCORDANCE WITH IRS 990 INSTRUCTIONS, CVPH APPLIED THE CALCULATED RATIO OF COST TO CHARGES TO THE FACILITY'S 2017 BAD DEBT EXPENSE OF $9,289,844 IN ORDER TO CALCULATE THE BAD DEBT EXPENSE (AT COST) AS REPORTED ON PART III LINE 2. THE RCC USED WAS 33.76%. THEREFORE, THE BAD DEBT EXPENSE (AT COST) FOR 2017 WAS $3,136,251. WE ATTRIBUTE APPROXIMATELY 40% OF THIS AMOUNT TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, CAUSING THE PORTION OF BAD DEBT AS A COMMUNITY BENEFIT TO BE $1,254,500. PART III, LINE 4: THE BAD DEBT EXPENSE FOOTNOTE IS DISCLOSED IN ATTACHED AUDITED FINANCIAL STATEMENTS ON PAGE 14. PART III, LINE 8: USED MEDICARE ONLY TOTAL CHARGES FROM INSTITUTIONAL COST REPORT FOR 2017 AND APPLIED THE RATIO OF COST TO CHARGES FROM THE 2017 COST REPORT DATA. APPROXIMATELY 44% OF OUR REVENUE IS DERIVED FROM MEDICARE PATIENTS. WE FEEL THE SHORTFALL FROM THIS PROGRAM IS DIRECTLY A COMMUNITY BENEFIT IN THAT WE ARE A SOLE COMMUNITY HOSPITAL. PART III, LINE 9B: CVPH HAS A FORMAL CREDIT AND COLLECTION POLICY. ALL PATIENT ACCOUNTS WILL BE BILLED AND FOLLOWED UP ON IN A TIMELY FASHION. ALL DISCOUNTS WILL BE APPLIED AND OFFERED PER POLICY, UNIFORMLY AND WITHOUT PREJUDICE OR DISCRIMINATION. THE POLICY CONSISTS OF DOCUMENTED PROCEDURES FOR INSURANCE, CREDIT BALANCES, SELF PAY OUTPATIENT, AND SELF PAY INPATIENT (NO INSURANCE & AFTER INSURANCE). THERE ARE SPECIFIED PAYMENT ARRANGEMENTS THAT ARE OFFERED AND THE TIME FRAME ALLOTTED FOR REPAYMENT IS GRADUATED BASED ON THE AMOUNT OWED, RANGING FROM 30 DAYS TO 36 MONTHS. CUSTOMER SERVICE REPRESENTATIVES PLACE PHONE CALLS TO PATIENTS TO RESOLVE ACCOUNTS OR ESTABLISH PAYMENT ARRANGEMENTS. AFTER ACCOUNTS HAVE BEEN AT THE PRIMARY BAD DEBT AGENCY FOR A PERIOD OF 6 MONTHS WITHOUT PAYMENTS, THE ACCOUNTS ARE FORWARDED TO A SECOND PLACEMENT AGENCY FOR ATTEMPTED RECOVERY. PART VI, LINE 2: CVPH WORKS COLLABORATIVELY TO ASSESS HEALTH NEEDS AND THEN IMPLEMENT STRATEGIES TO ADDRESS THE HEALTH PRIORITIES OF THE COMMUNITY IT SERVES. CVPH HAS WORKED WITH OTHER HOSPITALS, HEALTH DEPARTMENTS, AND AGENCIES IN CLINTON, ESSEX, AND FRANKLIN COUNTIES THROUGH PARTICIPATION IN THE MAPPING OUR WAY TO A HEALTHIER COMMUNITY PROCESS WHICH IS COORDINATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE GOAL OF THIS GROUP IS TO ANALYZE DATA AND SEEK OPINIONS FROM THE PUBLIC TO DETERMINE THE MAJOR CHALLENGES, NEEDS AND BARRIERS TO PROVIDING SERVICES. BY BRINGING THE VARIOUS PROVIDERS TOGETHER FROM A THREE-COUNTY AREA, IT IS BELIEVED THAT THIS PROVIDES A BROADER, MORE REPRESENTATIVE DETERMINATION OF THE NEEDS THAT EXIST. A FOUR-STEP PROCESS IS USED TO ESTABLISH PRIORITIES AS PART OF THE FORMALIZED COMMUNITY HEALTH ASSESSMENT. DATA IS COMPILED AND ANALYZED, PRIORITIES ARE DETERMINED, FOCUS GROUPS SEEK CONSENSUS AND REPORT OUT, DATA IS FURTHER WEIGHTED AND A FINAL SELECTION OF PRIORITIES FOCUSING ON ACCESS TO CARE AND THE NEED TO DIRECT RESOURCES TO TREATMENT OF CHRONIC DISEASE WERE ADOPTED AS KEY NEEDS. TO THAT END, CVPH HAS DIRECTED RESOURCES TO SUPPORT OF THE ADIRONDACK REGION MEDICAL HOME, PHYSICIAN RECRUITMENT, ITS DIABETES EDUCATION CENTER AND COMMUNITY EFFORT RELATED TO THE IMPORTANCE OF PROPER NUTRITION AND EXERCISE. WORKING INDEPENDENTLY, CVPH ASSESSES NEEDS BY ENCOURAGING AN OPEN DIALOGUE WITH ITS VARIOUS COMMUNITY CONSTITUENCIES. THE MEDICAL CENTER HOSTS MEETINGS, VISITS CLUBS AND ORGANIZATIONS, SURVEYS ITS PATIENTS, ENCOURAGES FEEDBACK THROUGH ITS WEB SITE AND INVITES FORMER PATIENTS FOR LUNCH AND TO SHARE OBSERVATIONS ABOUT UNMET NEEDS AND WAYS TO IMPROVE SERVICES WITH EMPHASIS ON FILLING EXISTING GAPS IN SERVICE. AS PART OF ITS STRATEGIC PLANNING PROCESS A COORDINATED AND FORMALIZED APPROACH IS TAKEN TO ASSESS PERCEIVED NEEDS FROM THE COMMUNITY, MEDICAL STAFF, EMPLOYEES AND BOARD MEMBERS UTILIZING FULL AND HALF- DAY MEETING SESSIONS. PART VI, LINE 3: THE FOLLOWING INFORMATION IS LISTED ON EVERY PATIENT STATEMENT: "FINANCIAL AID MAY BE AVAILABLE TO QUALIFIED PATIENTS. PLEASE CALL OUR OFFICE AT 562-7074 TO SEE IF YOU QUALIFY." WE ALSO HAVE INFORMATIONAL FLYERS AT THE CASHIERS DESK AND SEVERAL OTHER AREAS IN THE HOSPITAL. AT TIME OF REGISTRATION FOR EVERY SELF PAY PATIENT, WE ASK PERMISSION TO HAVE THE PATIENT CONTACTED TO SEE IF THEY QUALIFY FOR MEDICAID. ALSO WHEN MAKING A CALL TO COLLECT ON PATIENT ACCOUNTS, THE PATIENT IS OFFERED TO TAKE PART IN CVPH'S CARES PROGRAM WHERE APPROPRIATE TO DO SO. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR CVPH IS DEFINED AS CLINTON COUNTY. CVPH'S SECONDARY SERVICE AREA FOR TERTIARY SERVICES NOT AVAILABLE IN THOSE COMMUNITIES ARE ESSEX, FRANKLIN, AND EASTERN ST. LAWRENCE COUNTIES. THE DEMOGRAPHIC CHARACTERISTICS AND HEALTH NEEDS OF THESE COUNTIES REFLECT THOSE IN CLINTON COUNTY. OUR PAYER MIX CONSINSTS OF APPROXIMATELY 53% MEDICARE AND MEDICAID PROGRAMS. CVPH IS THE ONLY HOSPITAL IN CLINTON COUNTY, WHICH HAS A POPULATION OF APPROXIMATELY 82,000 AND IS THE LARGEST EMPLOYER IN THE TRI-COUNTY AREA. CENSUS FIGURES FOR THE SERVICE AREA ARE MONITORED. HOWEVER, CHANGES IN THE CENSUS FIGURES HAVE NOT BEEN HIGHLY SIGNIFICANT IN THE PAST DECADE, AS IN MUCH OF THE NATION. MOST NOTABLE IS THE AGING POPULATION, A TREND THAT IS BEING MONITORED BECAUSE OF THE CORRELATION BETWEEN AGE AND INCREASED UTILIZATION OF HEALTH SERVICES AND BECAUSE OF THE ANTICIPATED INCREASED NEED FOR HOME HEALTH AND SKILLED NURSING FACILITIES THAT IF NOT PRESENT CREATE A BACKLOG FOR THE MEDICAL CENTER. A SNAPSHOT OF THE CENSUS IN CLINTON COUNTY AND THE SURROUNDING COUNTIES REFLECTS: A LOW POPULATION DENSITY WHEN COMPARED WITH THE REST OF NEW YORK STATE AND THE NATION, A PREDOMINANTLY WHITE/CAUCASIAN POPULATION WITH LITTLE DIVERSITY. IN CLINTON COUNTY, A POPULATION SKEWING OLDER AS ONLY 18% OF THE POPULATION IS 18 OR YOUNGER WHILE 23% OF THE POPULATION IS AGE 55 OR OLDER, MEDIAN HOUSEHOLD AND FAMILY INCOMES SUBSTANTIALLY LOWER THAN THE REST OF NEW YORK STATE, LOWER EDUCATION LEVELS THAN THE AVERAGE FOR NEW YORK STATE. PART VI, LINE 5: CVPH MEDICAL CENTER PLAYS AN IMPORTANT ROLE IN PROMOTING HEALTH IN THE COMMUNITY BY, FOR INSTANCE, HOSTING FREE COMMUNITY LECTURES, SUPPORT GROUPS, AND SCREENINGS. A FREE MONTHLY COMMUNITY LECTURE SERIES OFFERS A WIDE RANGE OF TOPICS FROM DIABETES AND CANCER TO RHEUMATOLOGY AND MACULAR DEGENERATION. CVPH SPONSORS A NUMBER OF FREE SUPPORT GROUPS INCLUDING PROGRAMS ON DIABETES, MULTIPLE CANCER GROUPS, AND BEREAVEMENT. AN ARRAY OF FOCUSED CLASSES ARE HELD FOR EXPECTANT MOTHERS AS PART OF AN OVERALL CHILDBIRTH EDUCATION INITIATIVE. REGULAR CAR-SEAT SAFETY CHECKS ARE HELD TO ENSURE THAT INFANTS AND TODDLERS ARE APPROPRIATELY SECURED IN THEIR VEHICLES. CVPH WORKS IN CONJUNTION WITH THE ADIRONDACK SAFE KIDS NETWORK FOR AN ANNUAL BIKE AND SKATEBOARD SAFETY FAIR THAT DISTRIBUTES HUNDREDS OF FREE SAFETY HELMETS. CVPH IS A REGULAR PARTICIPANT AT VARIOUS HEALTH FAIRS IN THE REGION DISPENSING EDUCATION INFORMATION AND PROVIDING FREE HEALTH SCREENINGS. CVPH ALSO WORKS WITH OTHER AGENCIES TO FACILITATE INSURANCE COVERAGE FOR ELIGIBLE INDIVIDUALS AND FAMILIES. CVPH MEDICAL CENTER OVERSEES THE NEW YORK STATE GRANT-FUNDED CANCER SERVICES PROGRAM (CSP) OF CLINTON COUNTY. THE PROGRAM PROVIDES CLINTON COUNTY RESIDENTS WHO HAVE NO INSURANCE OR WHO ARE UNDERINSURED WITH FREE SCREENINGS FOR BREAST, CERVICAL AND COLORECTAL CANCERS. THE SERVICES ARE PROVIDED VIA LOCAL PROVIDERS AND CLINICS. CVPH ALSO PARTICIPATES IN THE ACTION FOR HEALTH COALITION WHICH WAS CREATED AS PART OF THE MAPP/CHNA PROCESS. THIS GROUP HAS AN ACTIVE ROLE IN TRACKING PROGRESS MADE IN IMPLEMENTING CHANGES TO IMPACT THE HEALTH OF THE COMMUNITY AS WELL AS MAKING ADJUSTMENTS TO THE STRATEGIES IDENTIFIED TO ADDRESS THESE NEEDS. SOME OF THE ACCOMPLISHMENTS OF THE ACTION FOR HEALTH COALITION INCLUDE CVPH HOSTING NEW VISIONS PROGRAM FOR SELECTED COLLEGE BOUND HIGH SCHOOL SENIORS PLANNING TO MAJOR IN A HEALTH RELATED FIELD OF STUDY, MOVING TOBACCO PRODUCTS OUT OF SIGHT IN MANY RETAIL ESTABLISHMENTS, IMPROVING NUTRITION IN SCHOOLS, AND FOCUSING ON POSITIVELY IMPACTING CHRONIC DISEASE MANAGEMENT IN CLINTON COUNTY. PART VI, LINE 6: CVPH MEDICAL CENTER, IS A MEMBER OF THE UNIVERSITY OF VERMONT HEALTH NETWORK (FORMERLY FLETCHER ALLEN PARTNERS, INC.), ALSO COVERING THE BURLINGTON AND BERLIN, VERMONT AREAS. X 1 1 X X X X X X 0 1 0 1 0 1 0 0 0 STEPHENS MUNDY PRESIDENT /CEO 694667 0 397811 0 230554 0 149599 0 46932 0 1519563 0 0 0 JOYCE RAFFERTY CHIEF FINANCIAL OFFICER 368557 0 80579 0 18026 0 0 0 46803 0 513965 0 0 0 WOUTER RIETSEMAMD CHIEF QUALITY AND INFOR. 345291 0 64385 0 16955 0 0 0 43759 0 470390 0 0 0 KENT HALL CHIEF MEDICAL OFFICER 401287 0 69125 0 0 0 0 0 34746 0 505158 0 0 0 MICHELLE LEBEAU COO 296394 0 42267 0 30308 0 0 0 34760 0 403729 0 0 0 TODD WHITMAN MEDICAL ONCOLOGIST 927594 0 129000 0 0 0 0 0 30958 0 1087552 0 0 0 CHARLES VOLK ORTHOPEDIC SURGEON 677138 0 0 0 0 0 0 0 25110 0 702248 0 0 0 MARISSA MATARRESE PLASTIC SURGEON 597514 0 109190 0 0 0 0 0 30315 0 737019 0 0 0 JOHN GRIFFIN MEDICAL ONCOLOGIST 601354 0 0 0 0 0 0 0 38206 0 639560 0 0 0 JAN DUUS MEDICAL ONCOLOGIST 586765 0 114000 0 0 0 0 0 36718 0 737483 0 0 0 PART I, LINE 1A TRAVEL FOR COMPANIONS: TOTAL TRAVEL COSTS FOR COMPANION OF STEPHENS MUNDY, CEO, OF LESS THA $1,000 WERE INCURRED AND REIMBURSED BY CVPH MEDICAL CENTER. NO OTHER BOARD MEMBER, OFFICER, DIRECTOR, OR KEY EMPLOYEE RECEIVED THIS BENEFIT. PART I, LINE 1B TOTAL TRAVEL COSTS FOR COMPANION OF STEPHENS MUNDY, CEO, OF LESS THAN $1,000 WERE INCURRED AND REIMBURSED BY CVPH MEDICAL CENTER. NO OTHER BOARD MEMBER, OFFICER, DIRECTOR, OR KEY EMPLOYEE RECEIVED THIS BENEFIT. PART I, LINE 4B A DISTRIBUTION TO STEPHENS MUNDY, CEO,IN THE AMOUNT OF $230,554 WAS MADE FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE AMOUNT WAS INCLUDED IN MR. MUNDY'S TAXABLE COMPENSATION. A DISTRIBUTION TO JOYCE RAFFERTY, CFO, IN THE AMOUNT OF $18,026 WAS MADE FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE AMOUNT WAS INCLUDED IN MS. RAFFERTY'S TAXABLE COMPENSATION. A DISTRIBUTION TO WOUTER RIETSEMA IN THE AMOUNT OF $16,955 WAS MADE FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE AMOUNT WAS INCLUDED IN MR. RIETSEMA'S TAXABLE COMPENSATION. A DISTRIBUTION TO MICHELLE LEBEAU IN THE AMOUNT OF $30,308 WAS MADE FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE AMOUNT WAS INCLUDED IN MS. LEBEAU'S TAXABLE COMPENSATION. IN 2012, STEPHENS MUNDY, CEO, WAS GRANTED A 457(F) DEFERRED COMPENSATION PLAN. FOR 2017, MR. MUNDY RATABLY ACCRUED $149,599 OF DEFERRED COMPENSATION IN THE PLAN AND IT WAS INCLUDED IN HIS COMPENSATION PACKAGE. PART I, LINE 6 DURING 2017, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER CONTINUED A COMPENSATION INCENTIVE PLAN FOR MANAGEMENT OF THE ORGANIZATION. THE PLAN SETS FORTH NUMEROUS OBJECTIVES AND GOALS (16) TO BE MET IN ORDER TO EARN AN INCENTIVE AWARD. EACH OF THE GOALS ARE AIMED AT IMPROVING THE EXPANSE OF CVPH'S SERVICE OFFERINGS, QUALITY OF SERVICE AND OPERATION, AND MEETING COMMUNITY NEEDS. ONLY ONE OF THE 16 OBJECTIVES INCLUDED IN THE 2017 PLAN IS KEYED TO NET MARGIN OF THE ORGANIZATION. THIS MEASURE IS INTENDED TO MEET THE OVERALL GOAL OF MAINTAINING THE FINANCIAL HEALTH OF THE ORGANIZATION. OTHER GOALS IN THE PLAN ARE TO IMPROVE PATIENT & EMPLOYEE SATISFACTION. A COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY 146035154 187476AD8 2007-06-07 19565000 CONSTRUCTION OF SURGICAL SVC WING 0 0 0 B COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY 146035154 187476AB2 2006-12-19 12650000 REFINANCE SERIES 1997 BONDS 0 0 0 C COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY 146035154 187476AE6 2007-06-25 12505000 RENOVATION OF SURGICAL AREA 0 0 0 A 19565000 1172250 1340812 17051938 2009 0 0 1 1 B 12650000 12511605 138395 1998 0 1 1 1 C 12505000 727569 811805 10965626 2009 0 0 1 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 C 0 0 0 0 1 0 1 A 0 0 0 1 1 1 KEY BANK 35.000000000000 0 0 0 0 1 B 0 0 0 1 1 1 KEY BANK 11.000000000000 0 0 0 0 1 C 0 0 0 1 1 1 KEY BANK 35.000000000000 0 0 0 0 1 A 0 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/16/2010 ISSUER NAME: COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2011 ISSUER NAME: COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/25/2012 FORM 990, PART VI, SECTION A, LINE 6 COMMUNITY PROVIDERS, INC. (CPI) IS THE VOTING MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A COMMUNITY PROVIDERS, INC. AND THE UNIVERSITY OF VERMONT HEALTH NETWORK (THE SOLE VOTING MEMBER OF CPI) SHALL ELECT THE DIRECTORS TO HOLD OFFICE ANNUALLY. EACH DIRECTOR SHALL HOLD OFFICE UNTIL THE EXPIRATION OF THE TERM AND UNTIL A SUCCESSOR HAS BEEN ELECTED AND SHALL HAVE QUALIFIED, OR UNTIL THE DIRECTOR'S PRIOR RESIGNATION OR REMOVAL. FORM 990, PART VI, SECTION B, LINE 11B CVPH PROVIDES AN ELECTRONIC COPY OF FORM 990 TO EACH BOARD MEMBER PRIOR TO THE FORM BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C CVPH HAS A WRITTEN CONFLICT OF INTEREST POLICY AS A PART OF ITS GOVERNING DOCUMENTS. THE POLICY IS APPLICABLE TO MEMBERS OF THE GOVERNING BODY, OFFICERS AND KEY EMPLOYEES. THE ORGANIZATION REQUIRES THAT MEMBERS HAVING A CONFLICT OF INTEREST IN A TRANSACTION RECUSE THEMSELVES OF VOTING ON THE MATTER. PROPOSED AND ONGOING TRANSACTIONS ARE REVIEWED BY APPROPRIATE GROUPS OF INDIVIUALS (COMMITTEES AND/OR LEVELS OF REVIEW) TO ENSURE THE BEST INTEREST OF THE HOSPITAL. THE ORGANIZATION SOLICITS FROM EACH MEMBER OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES AN ANNUAL SIGNED STATEMENT CERTIFYING COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND SELF-DISCLOSURE OF CERTAIN INTEREST FOR EACH ANNUAL PERIOD. FORM 990, PART VI, SECTION B, LINE 15 CVPH HAS A FORMAL PROCESS THAT IS USED TO DETERMINE THE COMPENSATION OF THE CEO ON AN ANNUAL BASIS. THIS PROCESS INCLUDES A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, ENGAGING AN INDEPENDENT CONSULTANT, PERFORMANCE OF A COMPENSATION SURVEY OR STUDY, REVIEW OF OTHER ORGANIZATION'S 990 FORMS, AND APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE. A WRITTEN EMPLOYMENT AGREEMENT IS ESTABLISHED SETTING FORTH THE COMPENSATION AND BENEFITS OF THE CEO. CVPH PAYS NON-FIXED EARNINGS BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA THAT ARE PROSPECTIVELY AGREED UPON AS GOALS FOR THE CEO. PART B: THE SAME FORMAL PROCESS NOTED IN QUESTION 15(A) ABOVE IS USED TO DETERMINE THE BASE COMPENSATION OF THE OTHER OFFICERS. NON-FIXED EARNINGS OF OTHER OFFICERS ARE BASED ON THE SUCCESS IN MEETING PERFORMANCE CRITERIA AND COMPARATIVE MARKET DATA. FORM 990, PART VI, SECTION C, LINE 19 CVPH MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PARTIES DESIRING COPIES OF SUCH DOCUMENTS MUST PRESENT THEMSELVES AT THE ADMINISTRATIVE OFFICES OF CVPH OR BY SENDING A REQUEST IN WRITING TO CVPH ADMINISTRATIVE OFFICES. THE ORGANIZATION HAS INSTRUCTIONS POSTED ON ITS WEBSITE FOR THOSE SEEKING COPIES OF DOCUMENTS. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 3,725,898. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS 14,277,353. CHANGE IN NET INTEREST OF FOUNDATION 53,474. TRANSFERS FROM PARENT/RELATED PARTY -1,486,943. FORM 990, PART XII, LINE 2C: THERE IS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SCHEDULE H, PART V, SECTION B, LINE 5 ...CONTINUATION OF SCHEDULE H, PART V, SECTION B, LINE 5: CVPH COMMITTEE HEALTH NEEDS ASSESSMENT STEERING COMMITTEE NAME AND DEPT/AREA REPRESENTED AMY O'CONNOR, ALICE HYDE MEDICAL CENTER BRENDA STILES, ADIRONDACK ACO/MEDICAL HOME CARRIE HOWARD-CANNING, CVPH NURSING DEB FLOCK, CVPH GRANT WRITING DEBRA GOOD, CVPH CASE MANAGER DR. JOSE LOPEZ, PHYSICIAN REPRESENTATIVE, FAMILY MEDICINE GINGER CARRIERO, ALICE HYDE MEDICAL CENTER GREG FREEMAN, CVPH OCCUPATIONAL HEALTH HEATHER REYNOLDS, ELIZABETHTOWN COMMUNITY HOSPITAL JULIE MARSHALL, ALICE HYDE MEDICAL CENTER KAITLYN TENTIS, ADIRONDACK REGION PLANNING KAREN ASHLINE, ADIRONDACK ACO/MEDICAL HOME KATI JOCK, ADIRONDACK REGION PLANNING KEN THAYER, CVPH EMERGENCY DEPARTMENT KERRY HALEY, CVPH FOUNDATION MAHER HANNA, CVPH ANCILLARY SERVICES MICHELE POWERS, CVPH MARKETING PATRICIA JOHNSON, CVPH FITZPATRICK CANCER CENTER ROSEMARY REIF, CVPH BEHAVIORAL HEALTH CLINTON COUNTY COMMUNITY HEALTH ASSESSMENT 2016 PRIORITY & FOCUS AREA SELECTION JUNE 15, 2016 PRIORITY SETTING EVENT PARTICIPANT LIST NAME AND ORGANIZATION REPRESENTED DIANA AGUGLIA, PLATTSBURGH REGIONAL DIRECTOR, ALLIANCE FOR POSITIVE HEALTH MARIA ALEXANDER, EXECUTIVE DIRECTOR, CLINTON COUNTY SENIOR CITIZENS COUNCIL SARA ALLEN, CONTRACTOR, CLINTON COUNTY HEALTH DEPARTMENT KAREN ASHLINE, ADIRONDACK MEDICAL HOME, CHAMPLAIN VALLEY HEALTH NETWORK WENDIE BISHOP, DIRECTOR, CLINTON COUNTY NURSING HOME BONNIE BLACK, EMPLOYEE ASSISTANCE SERVICES DIRECTOR, BEHAVIORAL HEALTH SERVICES NORTH JAMES BOSLEY, PLANNING TECHNICIAN, CLINTON COUNTY PLANNING/PUBLIC TRANSIT STEVEN BOWMAN, DIRECTOR, CLINTON COUNTY VETERAN'S SERVICE AGENCY CARI BURNELL, RN, PLATTSBURGH VETERANS ADMINISTRATION CLINIC CRYSTAL CARTER, DIRECTOR, CLINTON COUNTY OFFICE FOR THE AGING TREVOR COLE, SENIOR PLANNER, TOWN OF PLATTSBURGH PLANNING KIM CROCKETT, DIRECTOR, CLINTON COUNTY YOUTH BUREAU ADELE DOUGLAS, COORDINATOR, TOWN OF PERU COMMUNITY DEVELOPMENT NICOLE DURGAN, PROGRAM ASSISTANT, BEHAVIORAL HEALTH SERVICES NORTH DARWYNA FACTEAU, DIRECTOR OF HEALTH CARE SERVICES, CLINTON COUNTY HEALTH DEPARTMENT ANN-MARIE FITZGERALD, EVALUATION MANAGER, ADIRONDACK HEALTH INSTITUTE DEBORAH FLOCK, GRANT WRITER ADMINISTRATOR, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH ANDY FOSTER, MARKETING MANAGER, BEHAVIORAL HEALTH SERVICES NORTH GREG FREEMAN, OCCUPATIONAL HEALTH AND WELLNESS, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH DEBRA GOOD, CASE MANAGEMENT DIRECTOR, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH RICHELLE GREGORY, DIRECTOR, CLINTON COUNTY CHILD ADVOCACY CENTER KERRY HALEY, EXECUTIVE DIRECTOR, FOUNDATION OF CVPH, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH MAHER HANNA, AVP OF PATIENT CARE OPERATIONS, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH CARRIE HOWARD-CANNING, AVP PATIENT CARE OPERATIONS, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH KATI JOCK, DIRECTOR OF STRATEGIC PLANNING, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH DAN JOHNSON, NURSING DIRECTOR, CLINTON COUNTY CHAPTER-NYS ADVOCACY & RESOURCE CENTER PATRICIA JOHNSON, FITZPATRICK CANCER CENTER, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH JOHN KANOZA, PE, DIRECTOR OF ENVIRONMENTAL HEALTH, CLINTON COUNTY HEALTH DEPARTMENT JEANNINE KERR, SCHOOL FOOD SERVICE DIRECTOR, PERU CENTRAL SCHOOL DISTRICT MARK LAFOUNTAIN, PUBLIC HEALTH PREPAREDNESS, CLINTON COUNTY HEALTH DEPARTMENT DOROTHY LATTA, COORDINATOR, PLATTSBURGH INTERFAITH FOOD SHELF JODY LEAVENS, MARKETING SUPERVISOR, FIDELIS CARE NEW YORK JOSE LOPEZ, RESIDENCY PROGRAM DIRECTOR, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH NICHOLE LOUIS, SUPERVISING PUBLIC HEALTH NURSE, CLINTON COUNTY HEALTH DEPARTMENT JESSICA MAGUIRE, COMMUNITY HEALTH COORDINATOR, ADIRONDACK HEALTH INSTITUTE GIZELLE MENARD, ASSISTANT DIRECTOR OF NURSING, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH STEPHENS MUNDY, PRESIDENT AND CEO, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH STEVE PETERS, SUPERINTENDENT OF RECREATION, CITY OF PLATTSBURGH RECREATION DEPARTMENT MICHELE POWERS, DIRECTOR OF COMM AND MARKETING, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH AMY PUTNAM, COMMUNITY RELATIONS SPECIALIST, FIDELIS CARE JERIE REID, PUBLIC HEALTH DIRECTOR, CLINTON COUNTY HEALTH DEPARTMENT ROSEMARY REIF, AVP PATIENT CARE OPERATIONS, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH JONI RICHTER, DIRECTOR OF PATIENT AND FAMILY SERVICES, AMERICAN CANCER SOCIETY AMY RUGAR, RN, U.S. DEPARTMENT OF VETERANS AFFAIRS SHAWN SABELLA, PROS DIRECTOR, BEHAVIORAL HEALTH SERVICES NORTH MARGARET SEARING, QUALITY COORDINATOR, CLINTON COUNTY HEALTH DEPARTMENT NANCY SMITH, RESIDENT MANDY SNAY, DIRECTOR HEALTH PLANNING AND PROMOTION, CLINTON COUNTY HEALTH DEPARTMENT SALLY SOUCIA, PROGRAM DIRECTOR, JOINT COUNCIL FOR ECONOMIC OPPORTUNITY JULIE STALKER, SENIOR OUTREACH PROGRAM DIRECTOR JOINT COUNCIL FOR ECONOMIC OPPORTUNITY JOAN STERLING, COMMUNITY MANAGER, AMERICAN CANCER SOCIETY BRENDA STILES, DIRECTOR CARE MANAGEMENT AND QUALITY, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH TOM TALLON, POPULATION HEALTH IMPROVEMENT PLAN, ADIRONDACK HEALTH INSTITUTE KENNETH THAYER, RN, EMERGENCY CARE CENTER DIRECTOR, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH PETER TROUT, DIRECTOR, CLINTON COUNTY MENTAL HEALTH JENNIFER TRUDEAU, RN, CLINTON COUNTY HEALTH DEPARTMENT BRITTANY TRYBENDIS, DIRECTOR OF NORTH COUNTRY THRIVE, UNIVERSITY OF NEW YORK STATE COLLEGE AT PLATTSBURGH LEE VERA, PROJECT COORDINATOR, EASTERN ADIRONDACK HEALTH CARE NETWORK DARLENE WELLS, DISASTER PROGRAM SPECIALIST, RED CROSS LAURIE WILLIAMS, CONSULTANT/PROJECT MANAGER, FOUNDATION OF CVPH TARA EBERE, DIRECTOR OF MAGNET PROGRAM, UNIVERSITY OF VERMONT HEALTH NETWORK - CVPH BETTY RABIDEAU, CASE SUPERVISOR, ADULT SERVICES CLINTON COUNTY DEPARTMENT OF SOCIAL SERVICE VICTORIA DULEY, ECONOMIC DEVELOPER, THE DEVELOPMENT CORPROATION GINNY HAY, BOARD MEMBER CLINTON COUNTY BOARD OF HEALTH LORA HELM, NP, CHEMICAL DEPENDENCE COUNSELOR, CHAMPLAIN VALLEY FAMILY CENTER TOTAL: 65 SCHEDULE H, PART V, SECTION B, LINE 11 ...IN CONTINUATION OF SCHEDULE H, PART V, SECTION B, LINE 11: TYPICALLY HOSPITALS GRAVITATE TOWARDS MEDICAL INTERVENTIONS TO ADDRESS HEALTH CONCERNS. HOWEVER, AS THE TIDE SHIFTS TO A POPULATION HEALTH FOCUS, TREATING THE ENTIRE PATIENT IS AT THE FOREFRONT IN THE MINDS OF ALL HOSPITALS. HENCE, BY CHOOSING GOALS AROUND ACTIVITY AND FOOD CHOICES, THE PATIENT ENVIRONMENT HAS THE POTENTIAL TO BE IMPACTED POSITIVELY, RESULTING IN BETTER HEALTH OUTCOMES AND LOWER OBESITY RATES. FOR INSTANCE, OFTENTIMES NURSES TAKE CARE OF OTHERS ALL DAY BUT FORGET TO TAKE CARE OF THEMSELVES. AN EDUCATIONAL PROGRAM WILL BE DESIGNED FOR HEALTHCARE PROFESSIONALS TO PROVIDE EDUCATION ON DIET AND EXERCISE. THE FOUNDATION OF CVPH HAS RECEIVED A FITNESS IN THE PARKS GRANT TO PROMOTE OUTDOOR ACTIVITIES. CONTINUED FOCUS WILL BE PUT ON EXPANSION OF ACTIVITIES FOR INDIVIDUALS OF ALL SOCIOECONOMIC LEVELS. NOT ONLY DOES CVPH PRODUCE MEALS FOR PATIENTS, PUT CVPH ALSO REGULARLY FOOD TO OVER 2,000 EMPLOYEES. THROUGH CVPH'S AWARENESS OF HEALTHY FOOD AND BEVERAGE CHOICES, HIGH NUMBERS OF COMMUNITY MEMBERS CAN BE IMPACTED POSITIVELY. ALTHOUGH MUCH WORK HAS BEEN DONE BY THE CCHD TO PROMOTE USING LOCAL FRUITS AND VEGETABLES, BY COMMITTING TO WORK WITH LOCAL FARMERS TO INCREASE THE NUMBER OF FARMERS MARKETS ACCEPTING LOCAL, STATE AND NATIONAL NUTRITION INCENTIVE PROGRAM BENEFITS, THIS POSITIVE TRAJECTORY IS SLATED TO CONTINUE. IT SHOULD BE NOTED THAT WHILE SOME OF THESE ACTIVITIES ARE NEW FOR CVPH AND CCHD, BOTH ORGANIZATIONS HAVE A LONG STANDING HISTORY OF FOCUSING ON HEALTHY FOOD CHOICES AND ACTIVITIES. CVPH HAS ELIMINATED ALL FRIED FOODS FROM THE CAFETERIA, HAS A ROBUST EMPLOYEE WELLNESS PROGRAM FOR EMPLOYEES, AND PROVIDES A DISCOUNT TO EMPLOYEES AT LOCAL GYMS. CCHD HAS GREATLY IMPACTED THE OPENING OF MANY TRAILS WITHIN CLINTON COUNTY, OPENED A DISC GOLF COURSE, AND WORKED WITH LOCAL FARMERS TO ENHANCE PARTNERSHIPS. FOCUS AREA 3: INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS THE GOAL AND ANTICIPATED IMPACT AROUND THIS FOCUS AREA IS INCREASING SCREENING RATES FOR COLORECTAL CANCER, ESPECIALLY AMONG DISPARATE POPULATIONS. THE TWO EVIDENCE BASED LONG TERM OBJECTIVES ARE AROUND INCREASE THE NUMBER OF ADULTS RECEIVING COLORECTAL CANCERS SCREENINGS AND ACHIEVING THE HEALTHY PEOPLE TARGET FOR DEATH RATES DUE TO COLORECTAL CANCER. THE FOLLOWING STATISTICS/INFORMATION WERE USED AS SUPPORT AND RATIONALE IN THE SELECTION OF THIS AS A PRIORITY: - CHRONIC DISEASES ACCOUNT FOR APPROXIMATELY 70 PERCENT OF ALL DEATHS IN NYS, AND ALSO CAUSE MAJOR LIMITATIONS IN DAILY LIVING FOR ABOUT ONE IN TEN STATE RESIDENTS - COSTS ASSOCIATED WITH CHRONIC DISEASES AND THEIR MAJOR RISK FACTORS CONSUME MORE THAN 75 PERCENT OF OUR NATION'S SPENDING ON HEALTH CARE (NYS PREVENTION AGENDA) - THE PRIMARY CARE PROVIDER RATE IN CLINTON COUNTY IS 69 PROVIDERS PER 100,000 POPULATION. NYS VALUE IS 83 PER 100,000 (HEALTHYADK) - CANCER INCIDENCE RATES AND CANCER RELATED DEATHS ARE HIGHER IN CLINTON COUNTY THAN THE STATE AND NATIONAL AVERAGES FOR MANY TYPES OF CANCERS SUCH AS COLORECTAL, LUNG, CERVICAL, BRONCHUS, AND ORAL CAVITY (HEALTHYADK) - CLINTON COUNTY DEATH RATE DUE TO DIABETES IS 21.5 PER 100,000 POPULATION, WHILE NYS IS 17.6 - AGE-ADJUSTED DEATH RATE DUE TO CORONARY HEART DISEASE IN CLINTON COUNTY IS 119.5 PER 100,000 POPULATION, COMPARED TO 102.2 FOR THE US (HEALTHYADK) - HIGH BLOOD PRESSURE PREVALENCE IN CLINTON COUNTY IS 33.9%, COMPARED TO 27.3% IN NYS (HEALTHYADK) - OF THE SUBCATEGORIES UNDER PREVENT CHRONIC DISEASE, 37% OF SURVEY RESPONDENTS SELECTED THIS FOCUS AREA AS SEEN IN THE CHART ON THE RIGHT (INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTIVE CARE IN BOTH CLINICAL AND COMMUNITY SETTING) THERE ARE SEVERAL STRATEGIES CVPH AND CCHD WILL BE UTILIZING TO ADDRESS THIS FOCUS AREA AND ACHIEVE THE GOAL AND OBJECTIVES. THEY ARE AS FOLLOWS: - OFFER RECOMMENDED CLINICAL PREVENTATIVE SERVICES AND CONNECT PATIENTS TO COMMUNITY BASED PREVENTATIVE SERVICE RESOURCES WITH A FOCUS ON THE PEER EDUCATION GRANT THAT HAS A GOAL OF REFERRING 100 PATIENTS FOR SCREENING THROUGH PEER EDUCATION WITH 100 MEN REFERRED TO PRIMARY CARE PROVIDERS FOR DISCUSSION OF PROSTRATE SCREENING. A CONTINUED FOCUS WILL BE ON THOSE PATIENTS FALLING BELOW THE POVERTY LINE WITH SCREENINGS OPEN TO PATIENTS OF ALL SOCIOECONOMIC STATUSES. - IMPLEMENT POLICY AND ENVIRONMENTAL APPROACHES TO INCREASE THE NUMBER OF COMMUNITY MEMBERS WITH ACCESS TO RECOMMENDED CANCER SCREENING SERVICES WITH A FOCUS ON DEVELOPING POLICIES THAT SUPPORT TIME OFF FOR SCREENINGS, PROVIDING INFORMATION REGARDING SCREENING RATES SO THAT, AS A COMMUNITY, WE ARE ABLE TO MAKE INFORMED CHOICES, AND DESIGNING INNOVATIVE APPROACHES TO INCREASE SCREENING SUCH AS CARE NAVIGATION. THE KEY TO SUCCESSFULLY ACHIEVING THIS GOAL IS SUPPORTING AND ENHANCING THE SUCCESS CVPH'S FITZPATRICK CANCER CENTER HAS HAD SINCE ITS LAUNCH. THERE ARE TWO DEDICATED EMPLOYEES WHO PROVIDE CANCER CARE NAVIGATION AND COORDINATE SCREENING PROGRAMS WITH PARTICULAR ATTENTION TO LOW INCOME PATIENTS. WITH AN ENHANCED FOCUS ON COLON CANCER SCREENING, THE SUCCESS THE FITZPATRICK CANCER CENTER HAS SEEN IN INCREASING BREAST CANCER SCREENING RATES IS EXPECTED TO EXTRAPOLATE TO COLON CANCER SCREENINGS. A PARTICULAR FOCUS WILL BE PLACED ON TARGETING MEN WHO OFTENTIMES FORGO THIS IMPORTANT SCREENING. IN ADDITION, INNOVATIVE APPROACHES SUCH AS WORKING TO IMPLEMENT A CVPH POLICY AROUND GIVING EMPLOYEES TIME OFF TO RECEIVE PREVENTATIVE SERVICES WILL BE CVPH AND CCHD'S FOCUS OVER THE NEXT FEW YEARS. HEALTH PRIORITY 2: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE THE PURPOSE OF THIS PRIORITY IS TO CALL ATTENTION TO THE FACT THAT MENTAL AND EMOTIONAL WELL-BEING IS ESSENTIAL TO OVERALL HEALTH, AND TO AID NYS IN PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE DISORDERS AMONGST OUR RESIDENTS. MENTAL, EMOTIONAL, AND BEHAVIORAL (MEB) DISORDERS INCLUDE CONDUCT DISORDERS, DEPRESSION, AND SUBSTANCE ABUSE. THEY OFTEN DEVELOP BETWEEN 14 AND 24 YEARS OF AGE. IT IS MOST EFFECTIVE TO DELIVER INTERVENTIONS FOR MENTAL HEALTH BEFORE A DISORDER MANIFESTS ITSELF. MANY MEB DISORDERS, SUCH AS SUBSTANCE ABUSE AND DEPRESSION, HAVE LIFELONG EFFECTS THAT INCLUDE HIGH PSYCHOSOCIAL AND ECONOMIC COSTS FOR PEOPLE, THEIR FAMILIES, SCHOOLS AND COMMUNITIES. IN ADDITION TO THE FINANCIAL COSTS ASSOCIATED WITH MEB DISORDERS, THEY ALSO OFTEN INTERFERE WITH ONE'S ABILITY TO ESTABLISH HEALTHY INTERPERSONAL RELATIONSHIPS, SUCCEED IN SCHOOL, JOIN THE WORKFORCE AND STAY OPTIMALLY FUNCTIONAL IN OTHER AREAS. IMPROVEMENTS IN MENTAL HEALTH HELP TO IMPROVE INDIVIDUALS AND POPULATIONS' PHYSICAL HEALTH AS WELL. SCHEDULE H, PART V, SECTION B, LINE 11 CON'T FOCUS AREA 2: PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL BEHAVIORAL DISORDERS THE GOAL AND ANTICIPATED IMPACT AROUND THIS FOCUS AREA IS PREVENTING AND REDUCING THE OCCURRENCE OF MENTAL, EMOTIONAL, AND BEHAVIORAL DISORDERS AMONG YOUTH AND ADULTS. THE EVIDENCE BASED LONG TERM OBJECTIVE IS REDUCING THE PERCENTAGE OF ADULT CLINTON COUNTY RESIDENTS REPORTING 14 OR MORE POOR MENTAL HEALTH DAYS IN A MONTH. THE FOLLOWING STATISTICS/INFORMATION WERE USED AS SUPPORT AND RATIONALE IN THE SELECTION OF THIS AS A PRIORITY: - AGE-ADJUSTED RATE DUE TO SUICIDE IN CLINTON COUNTY IS 13.7 PER 100,000 POPULATION. NYS IS 8.2 AND US IS 12.7 PER 100,000. THE NYS PREVENTION AGENDA 2013-2018 GOAL IS 5.9 (HEALTHYADK) - DEPRESSION IN THE MEDICARE POPULATION OF NYS IS 18.1%, COMPARED TO 14.9% IN NYS AND 16.2% NATIONALLY (HEALTHYADK) - THE MENTAL HEALTH PROVIDER RATE IN CLINTON COUNTY IS 189 PER 100,000 POPULATION, COMPARED TO 238 PER 100,000 FOR THE REST OF THE STATE (HEALTHYADK) - 20.4% OF ADULTS IN CLINTON COUNTY BINGE DRINK, WHILE ONLY 17.7% IN NYS AND 16% NATIONALLY PARTAKE. THE PREVENTION AGENDA 2013-2018 GOAL IS 18.4% (HEALTHYADK) - THE PERCENT OF ADULTS IN CLINTON COUNTY WHO SMOKE IS 22.5%, COMPARED TO 15.9% IN THE REST OF THE STATE AND 18.1% NATIONALLY. THE PREVENTION AGENDA 2013-2018 GOAL IS 12.3% (HEALTHYADK) - OF THE SUBCATEGORIES UNDER PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE, 45% OF SURVEY RESPONDENTS SELECTED THIS FOCUS AREA AS SEEN IN THE CHART ON THE RIGHT (PREVENT SUBSTANCE ABUSE AND OTHER MENTAL EMOTIONAL BEHAVIORAL DISORDERS) THERE ARE SEVERAL STRATEGIES CVPH AND CCHD WILL BE UTILIZING TO ADDRESS THIS FOCUS AREA AND ACHIEVE THE GOAL AND OBJECTIVE. THEY ARE AS FOLLOWS: - IDENTIFY AND IMPLEMENT EVIDENCE BASED PRACTICES AND ENVIRONMENTAL STRATEGIES TO PREVENT UNDERAGE DRINKING, SUBSTANCE ABUSE AND MEB DISORDERS. PRESCRIPTION OPIATE, HEROIN ADDICTION, AND OPIATE RELATED OVERDOSES CONTINUE TO INCREASE IN THE NORTH COUNTRY. SEVERAL LOCAL PROFESSIONAL AND CONCERNED CITIZENS JOINED FORCES TO FORM A COALITION NAMED SUBSTANCE ABUSE PREVENTION AND RECOVERY OF CLINTON COUNTY (SPARCC). THIS GROUP HAS REPRESENTATIVES FROM CVPH AND CCHD, AS WELL AS OTHERS. THE MISSION IS TO FOSTER COMMUNITY HEALTH THROUGH EDUCATION, PREVENTION, TREATMENT, AND RECOVERY OF SUBSTANCE ABUSE. THEY HAVE HAD COMMUNITY OPEN FORUMS AND THEIR WORK WILL CONTINUE TO BE A FOCUS IN THE UPCOMING YEARS. SBIRT STANDS FOR SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT, AND IT IS A COMPREHENSIVE, INTEGRATED APPROACH TO THE DELIVERY OF EARLY INTERVENTION AND TREATMENT SERVICES FOR PERSONS WITH SUBSTANCE USE DISORDERS, AS WELL AS THOSE WHO ARE AT RISK OF DEVELOPING THESE DISORDERS. SIGNIFICANT PROGRESS HAS BEEN MADE IN IMPLEMENTING SBIRT, BUT OVER THE NEXT FEW YEARS A CONTINUED FOCUS WILL BE AROUND MAINTAINING MOMENTUM AND EXPANDING WHERE SBIRT IS BEING UTILIZED. IN ADDITION, THROUGH THE ALLIANCE FOR POSITIVE HEALTH, CVPH WAS RECENTLY SELECTED TO START PROVIDING NARCAN IN THE EMERGENCY DEPARTMENT TO OPIOID OVERDOSE PATIENTS. - INTEGRATE MEB HEALTH WITHIN CHRONIC DISEASE STRATEGIES WITH A FOCUS ON OFFERING A SERIES OF EDUCATION EVENTS THROUGH THE CCHD FOCUSING ON PRIMARY AND SECONDARY CHRONIC DISEASE PREVENTION. FOR THE LAST CYCLE, CLINTON COUNTY CHOSE MENTAL HEALTH AS A PRIORITY AREA AS WELL, AND THERE HAS BEEN SIGNIFICANT PROGRESS IN IMPROVING THE INFRASTRUCTURE IN CLINTON COUNTY. IN ADDITION, CAPITAL RESTRUCTURING FINANCE PROGRAM (CRFP) DOLLARS WERE RECEIVED IN CLINTON COUNTY WITH A FOCUS ON MENTAL HEALTH AND SUBSTANCE ABUSE AS FOLLOWS: - CHAMPLAIN VALLEY FAMILY CENTER SCHUYLER FALLS DETOX FACILITY - BEHAVIORAL HEALTH SERVICES NORTH (BHSN) RECEIVED MONEY TO BUILD A PRIMARY CARE PRACTICE IN MORRISONVILLE IN WHICH THEY WILL INTEGRATE BEHAVIORAL HEALTH - CVPH RECEIVED MONEY TO BUILD A PRIMARY CARE PRACTICE THAT HUDSON HEADWATERS HEALTH NETWORK (AN FQHC) WILL LEASE; THEY WILL HAVE EMBEDDED BEHAVIORAL HEALTH COUNSELORS - CVPH RECEIVED MONEY TO RENOVATE THE INPATIENT PSYCHIATRIC UNIT AND EMBED OUTPATIENT PROVIDERS TO ENHANCE THE CARE CONTINUUM OFTENTIMES THE ISSUE IN ACHIEVING COMMUNITY HEALTH GOALS IS THE LACK OF FUNDING. THROUGH DSRIP, CLINTON COUNTY HAS BEEN INFUSED WITH DOLLARS THAT WILL HOPEFULLY IMPACT THE CURRENT MENTAL HEALTH AND SUBSTANCE ABUSE CRISIS. 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