2017-11-07T00:00:46-06:00 2016-12-31 350921680 CROWE HORWATH LLP 10 West Broad Street Suite 1700 Columbus OH 432153713 990 2016-01-01 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 2017-11-03 true Rachel Spurlock P00520729 6144690001 2016 2017-02-10 21:41:12Z Institute for Health Innovation Michael Abrams 155 East Broad Street 301 Columbus OH 432153640 6625405 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. 15 15 6 25 0 0 803636 1141282 1780059 5252642 145687 126007 2255 3225 2731637 6523156 174816 309049 0 0 780622 924790 0 0 0 2387818 4160969 3343256 5394808 -611619 1128348 6319707 7820554 763043 874652 5556664 6945902 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 3412951 0 4424741 Quality and Patient Safety: Hospital Engagement Network (HEN) 2.0: REF was awarded the Hospital Engagement Network 2.0 award (HHSM-500-2015-00294C) effective September 24, 2015 and ending September 23, 2016 in the amount of $3,422,826.00. Recruitment was conducted immediately and 84 hospitals submitted commitments to participate. The initiative was designed to reduce all-cause preventable inpatient harm by 40% and readmissions by 20%. Participating hospitals then formed multi-disciplinary teams which included: -Senior healthcare 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 staff nurses -Data collector/submitter (if different than someone listed here) -Infection control practitioner(s) -Pharmacy -Laboratory The REF HEN began its focused efforts as follows: -Expanding adverse drug events (ADE) to include opioid safety, anticoagulation safety, and glycemic management -Expanding catheter-associated urinary tract infections (CAUTI) to all hospital settings, including avoiding placement of catheters in the ER and in the hospital -Expanding central line-associated bloodstream infections (CLABSI) to all hospital settings -Expanding obstetrical adverse events beyond Early Elective Delivery (EED) reduction, to include OB trauma, obstetrical hemorrhage, and preeclampsia prevention -Expanding SSI to include total hip replacements and total knee replacements -Expanding venous thromboembolism (VTE), at a minimum to all surgical settings -Including ventilator-associated conditions (VAC), infection-related ventilator association complications -(IVAC) and ventilator-associated pneumonia (VAP) for ventilator-associated events (VAE) In addition to the required base measures outlined above, the hospitals chose to participate in at least one of the selected initiatives listed below: -Severe sepsis and septic shock -Hospital culture of safety that fully integrates patient safety with worker safety (limited to 15 hospitals) -Iatrogenic delirium -Clostridium difficile (C. diff), including antibiotic stewardship Hospitals began to submit the required outcome and process measures on a monthly and quarterly basis to the REF, allowing enough time to provide aggregate data to CMS by the assigned due date. Other hospital deliverables included: -Develop an action plan based on a completed gap analysis -Implement harm reduction strategies to meet or exceed HEN 2.0 improvement goals -Have at least one participant on monthly content and coaching calls -Incorporate patient centered, patient 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 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 REF HEN -Attend internal team meetings -Baseline data and metrics -Monthly process and outcome measure data either by granting access to NHSN or enter data onto the REF data entry site -Quarterly process and outcome measure data through existing administrative data set -Participation as a mentor facility, as requested and able, for an area of identified strength REF deliverables included: -Outcomes data using existing data sources -OHA obtaining data from NHSN on behalf of the hospital -A web-based data entry site to enable timely data collection and submission -Free access to Wayfinder and associated data reports for the duration of HEN 2.0 -Hand Hygiene Process Observers to collect up to 150 hand hygiene observations monthly from participating hospitals at no additional cost -Educational programming and resources related to the HEN 2.0 topics -Regional Coordinators to serve as a reference and support to our organization -Engagement awards based on the hospital level of engagement and level of attainment of benchmarks at the end of the contract -Continuous Service Readiness (CSR) -Facilitated subscriptions for continuous survey readiness to 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: SPRING -April 12, 2016 - Huron, Ohio -April 15, 2016 - Cincinnati, Ohio FALL -October 12, 2016 - Columbus, Ohio -October 13, 2016 - Columbus, Ohio Regional Quality Collaborative Maintained three regional quality collaboratives in the Northeast, Central and Northwest Ohio regions. Each collaborative was facilitated by two co-chairs. Participation agreements were updated to reflect a transition from a quarterly billing cycle to an annual billing cycle as well as language related to use of limited data sets. -Northeast Ohio - 12 hospitals/health systems and a regional hospital association -Northwest Ohio - 7 hospitals/health systems and a regional hospital association -Central Ohio - 9 hospitals/health systems and a regional hospital association Quality Summit Conducted the 9th Annual Quality Summit on June 15, 2016 with over 250 attendees participating. The summit was held at the Hilton at Easton, Columbus, Ohio and featured four panel presentations including: -Keynote: Disparities: Leading Through a Diverse Lens followed by a panel reaction -Leadership Track: Sustainability panel -Emerging Topics Track: Patient and Family Engagement and Iatrogenic Delirium panel -Closing Track: Sepsis Landmarks Throughout the Continuum of Care panel 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. Facilitated the second year of the OHA Statewide Sepsis Initiative in response to the OHA Board-directed goal of a statewide 30% reduction in sepsis mortality. 125 member hospitals submitted letters of commitment to participate in the ongoing initiative which includes: -Data submission regarding compliance to the elements of the 3-hour bundle -Monthly educational/coaching calls -Dissemination of effective practices Website maintained and monthly educational/coaching webinars posted along with literature and resources. Hand Hygiene (HH): In 2016, the hand hygiene program contracted hand hygiene observations 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 REF. OSU, Cleveland Clinic and Mount Carmel are examples of Systems who made such a request. Other locations within OHA member community hospitals have also chosen 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 PfP or HEN programs. REF 2016 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 retraining and education for Observers 924432 309049 0 Emergency Preparedness: Regional Initiative Funding: Regional funds in the amount of $475,923 were received to complete required deliverables and provide a minimum amount of $1,500 providing funding for each hospital in the southeast region. An additional $80,485 was received as a result of carry over funds, providing hospitals with the option to submit for additional funds. 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 14 county coalitions. Drills and Exercises - collaboration with state and regional partners Regional Functional Exercise partnership with Public Health and Regional Coalition members to test hospital and community preparedness for a Tornado event. The exercise objectives were, Emergency Operations Coordination, Information Sharing, and Fatality Management which provided hospitals the opportunity to coordinate with other response partners and ensure the proper recovery, handling, identification, storage, and disposal of human remains. Regional SNS Request Exercise partnership with all 17 hospitals, 2 regional PH coordinators, 14 local health departments and 14 county EMAs (hospitals are only present in 14 of the 21 counties). The SNS Request Standard Operating Guide developed for and adopted by the hospitals which outlines how to request and provide information to PH and EMA was tested via a functional exercise conducted in May 2016. Special Training: Training on how to assemble the mobile all-weather shelters (aka BluMed) was held at two locations in September and was attended by 35 hospitals along with public health, and EMA partners. Assets -SE Ohio has always been conscious of the size and rural nature of the region. All assets are stored in Pike County warehouse, a central location ensuring availability to the entire region -Patient Care/Med Surge supply caches are located in a central location and are inventoried and moved yearly -Mass casualty trailers or supplies are prepositioned in 3 counties cross the region -Refrigerated remains trailer or portable morgue units are prepositioned in 2 counties -Bus Fitting evacuation cots are prepositioned in 11 counties -Oxygen administration units are in two counties -Large portable generators are in two counties and two large generators have been installed in senior centers/community centers in two counties. -Hospital inventories of grant purchased equipment are verified through site visits. Coalitions Regional - the Southeast Ohio Healthcare Coalition (SOHC) Steering Committee approved the FY 2015-2016 budget and activities related to the coalitions: -In FY 2015-16 the SOHC developed both a communications plan and a command and control plan which were tested in the regional functional exercises -Proposed activities for FY 2016 have been cross-walked against the BP4 reporting measures to ensure we are on track County - Since 2009, SE Ohio has worked to establish county healthcare coalitions consisting of hospitals, public health, EMA, and all other healthcare and other organizations willing to participate. 14 coalitions work on a local/county/multi-county level to improve the healthcare preparedness. State Initiative Funding State funds in the amount of $359,680.00 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 and the SE Ohio Regional Grant. These initiatives included: -Authored with assistance from medical personnel across the state, the state Crisis Standards of Care Guidance Document. -Resurrected the OHA Tier Level guidance to define competencies and training for healthcare workers preparing for a disaster. -Designed and conducted a feasibility study to determine expansion of the OHTrac (patient tracking/family reunification system) to accommodate needs of coroners and funeral directors. -Established the Pediatric Coalition with the goal of ensuring that pediatric issues during a disaster are identified and addressed. Ebola and Other Special Pathogens Initiatives and Funding -Established the Ohio Emerging Pathogens Coalition comprised of assessment, treatment and front line hospitals along with public health, EMS, and Ohio Department of Health. -Develop and distributed a Personal Protective Equipment (PPE) Inventory tool that identifies the amount and type of PPE located at hospitals. -Developed annual training modules to be utilized for all hospitals on Ebola and emerging pathogens. Conducted a tabletop exercise of the Coalition to evaluate: -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. 306971 0 384026 Ohio Patient Safety Institute Patient Safety Organization: Enhanced patient safety data collection and analysis for 35 members voluntarily participating in OPSI Patient Safety Organization (PSO) while securing uniform federal confidentiality and privilege protections. Led four statewide webinars as a part of the Advancing Patient Safety Conference Series, including: -February 4, 2016- Outcome Resilience After Stress: A Rapid-Cycle Response to Mitigate the Impact of System Stress on CLABSI -April 7, 2016- Using Patient Safety Partnerships to Improve Patient Safety -June 16, 2016- Surgical Safety Hard Stop Checklist -September 8, 2016- A Team-Based Approach to Reducing Cardiac Monitor Alarms -November 3, 2016- Wellness on Wheels 163918 0 447100 Population Health: Infant Mortality: Presented a data analysis of the Ohio Infant Mortality data and rankings at the quarterly in-person meeting of the Ohio Collaborative to Prevent Infant Mortality. Produced an accompanying white paper resource. The REF of OHA served on executive/steering committees for the Ohio Collaborative to Prevent Infant Mortality, Ohio Perinatal Quality Collaborative, and Cradle Cincinnati. The REF of OHA served in an advisory capacity for the Ohio Department of Health in regard to both the Maternal Child Health and Preventive Health and Health Services federal block grants. OHA served as the Fiscal Agent and on the Planning Committee for the 2016 Ohio Infant Mortality Summit held in December in Cleveland. Safe Sleep: The REF of 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. REF worked with member hospitals to share these updates and communicate other related resources and materials around promoting safe sleep. REF 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 REF assisted in communicating this transition with the hospitals. On August 2, 2016, REF presented at the Ohio Colleges of Medicine Government Resource Center - Infant Mortality Research Partnership Executive Committee Meeting, providing information about the previous and ongoing work around safe sleep promotion in Ohio hospitals. Early Elective Deliveries: REF continued its "39+ Weeks is Good4Baby" initiative aimed at reducing early elective deliveries (EED) in Ohio hospitals. OHA received a grant for $2,000 in patient brochures related to 39+ weeks from the March of Dimes which were distributed at no cost to Ohio 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 2016, the program expanded its reach to over two-thirds of the maternity hospitals in the state. OHA received an additional $15,000 contract from ASTHO to support the First Steps program. A portion of these funds were used to develop a flip chart, poster, and patient resource which were printed for hospitals as free resources. Over 1,600 free materials were printed and distributed across the state to hospitals. 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 will be an annual recognition. 52 hospitals were recognized for their work in 2015. The First Steps program hosted a free webinar on August 25, 2016 for the program that featured local experts and offered continuing education credit for attending hospital teams. The First Steps program was invited to the Annual OLCA conference on March 11, 2016. 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. The First Steps program was accepted to present a session at the Sixth National Breastfeeding Coalitions Conference on the program. The session title was "Ohio First Steps for Healthy Babies -- Collaborating to Promote Breastfeeding in Ohio Hospitals". A poster was also presented at the 2016 Ohio Infant Mortality Summit. Good4You: In 2016, REF released a free set of resources for hospitals aimed at encouraging healthier choices through making positive changes to their food and beverage environments. The voluntary and self-directed initiative, called "Good4You Eat Healthy", provided materials including a step-by-step guide for each of the focus areas in the hospital: cafeterias/cafes, vending machines, meetings/events and outside vendors and franchises. 163918 447100 4808272 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 44 0 true 6 true false false false false false false false false false false X 15 15 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 James Pancoast Chair 1.0 0 X X 0 0 0 Anthon Brooks Vice Chair 1.0 0 X X 0 0 0 Phillip Ennen 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 Trustee-at-Large 1.0 0 X 0 0 0 Rob Montagnese Trustee-at-Large 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 38.0 X 0 823167 53823 Mary Gallagher Executive VP & Chief of Staff 1.0 38.0 X 0 377865 75446 James Guliano Vice President, Quality Programs 28.0 0 X 177184 0 42417 Rosalie Weakland Senior Director, Quality Programs 40.0 0 X 136151 0 28600 313335 1201032 200286 2 false true false Battelle Memorial Institute 505 King Ave Columbus OH 43201 Research 861938 JOINT COMMISSION RESOURCES 1515 WEST 22ND STREET OAKBROOK IL 60523 CONTINUED SURVEY READINESS 539721 ECRI INSTITUTE 5200 BUTLER PIKE PLYMOUTH MEETING PA 19462 PATIENT SAFETY ORGANIZATION 196282 3 1134282 7000 1141282 Quality Institute 900099 4424741 4424741 Ohio Patient Safety Institute 900099 384026 384026 Population Health 900099 358875 358875 Energy benchmarking program 900099 85000 85000 0 0 0 0 5252642 143211 143211 0 0 85045 102249 -17204 0 -17204 -17204 Miscellaneous Income 900099 3225 3225 0 0 0 0 3225 6523156 5255867 0 126007 X 309049 309049 0 0 692542 692542 50680 50680 133537 133537 48031 48031 2516883 2516883 0 0 40714 40714 42968 42968 OVERHEAD EXPENSE 586536 586536 Quality Institute 557557 557557 DISASTER PREPAREDNESS PROGRAM 405457 405457 Ohio Patient Safety Institute 3638 3638 7216 7216 0 0 5394808 4808272 586536 0 1165841 936918 48448 595925 0 0 0 75268 75879 100003 100003 0 0 4463259 6187667 0 0 566891 24165 6319707 7820554 222201 369842 236036 2306 304806 502504 763043 874652 X 5397956 6914918 158708 30984 0 5556664 6945902 6319707 7820554 1128348 260890 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 100003 100003 0 0 Due to Related Party 502504 502504 X 6784046 260890 0 260890 6523156 0 0 6523156 5394808 0 0 5394808 0 0 5394808 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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, 2016 and 2015. 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, 2016 and 2015. true Adena Pike Medical Center 100 Dawn Lane Waverly OH 45690 311072406 501 c 3 17744 Disaster Preparedness East Ohio Regional Hospital 90 North Fourth Street Martins Ferry OH 43935 340714457 501 c 3 49566 Disaster Preparedness Genesis Healthcare System 2800 Maple Ave Zanesville OH 43701 311480941 501 c 3 27041 Disaster Preparedness Holzer Medical Center 100 Jackson Pike Gallipolis OH 45631 314379491 501 c 3 48676 Disaster Preparedness Holzer Medical Center-Jackson 500 Burlington Road Jackson OH 45640 314379491 501 c 3 29392 Disaster Preparedness Jefferson County Emergency Management Agency 16001 State Route 7 Steubenville OH 43952 346001501 GOVERNMENT 10000 Disaster Preparedness Magruder Hospital 615 Fulton Street Port Clinton OH 43452 344441792 501 c 3 8184 Disaster Preparedness O'Bleness Memorial Hospital 55 Hospital Drive Athens OH 45701 314446959 501 c 3 10209 Disaster Preparedness Pike County General Health District 14050 US 23 North Waverly OH 45690 316400084 501 c 3 34800 Disaster Preparedness Southern Ohio Medical Center 1805 27th Street Portsmouth OH 45662 310678022 501 c 3 31054 Disaster Preparedness Zanesville-Muskingum County Health Department 205 North 7th Street Zanesville OH 43701 316400080 GOVERNMENT 35829 Disaster Preparedness 11 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 538933 0 252787 0 31447 0 21200 0 32623 0 876990 0 0 Mary Gallagher Executive VP & Chief of Staff 0 308977 0 61838 0 7050 0 42668 0 32778 0 453311 0 0 James Guliano Vice President, Quality Programs 147791 0 28150 0 1243 0 12239 0 30178 0 219601 0 0 0 Rosalie Weakland Senior Director, Quality Programs 117692 0 14311 0 4148 0 13838 0 14762 0 164751 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 2016 AND IS DOCUMENTED WITHIN THE COMPENSATION COMMITTEE MINUTES. Form 990, Part III, Line 4d Description of other program services (Expenses $ 163,918 including grants of $ 0)(Revenue $ 447,100) Population Health: Infant Mortality: Presented a data analysis of the Ohio Infant Mortality data and rankings at the quarterly in-person meeting of the Ohio Collaborative to Prevent Infant Mortality. Produced an accompanying white paper resource. The REF of OHA served on executive/steering committees for the Ohio Collaborative to Prevent Infant Mortality, Ohio Perinatal Quality Collaborative, and Cradle Cincinnati. The REF of OHA served in an advisory capacity for the Ohio Department of Health in regard to both the Maternal Child Health and Preventive Health and Health Services federal block grants. OHA served as the Fiscal Agent and on the Planning Committee for the 2016 Ohio Infant Mortality Summit held in December in Cleveland. Safe Sleep: The REF of 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. REF worked with member hospitals to share these updates and communicate other related resources and materials around promoting safe sleep. REF 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 REF assisted in communicating this transition with the hospitals. On August 2, 2016, REF presented at the Ohio Colleges of Medicine Government Resource Center - Infant Mortality Research Partnership Executive Committee Meeting, providing information about the previous and ongoing work around safe sleep promotion in Ohio hospitals. Early Elective Deliveries: REF continued its "39+ Weeks is Good4Baby" initiative aimed at reducing early elective deliveries (EED) in Ohio hospitals. OHA received a grant for $2,000 in patient brochures related to 39+ weeks from the March of Dimes which were distributed at no cost to Ohio 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 2016, the program expanded its reach to over two-thirds of the maternity hospitals in the state. OHA received an additional $15,000 contract from ASTHO to support the First Steps program. A portion of these funds were used to develop a flip chart, poster, and patient resource which were printed for hospitals as free resources. Over 1,600 free materials were printed and distributed across the state to hospitals. 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 will be an annual recognition. 52 hospitals were recognized for their work in 2015. The First Steps program hosted a free webinar on August 25, 2016 for the program that featured local experts and offered continuing education credit for attending hospital teams. The First Steps program was invited to the Annual OLCA conference on March 11, 2016. 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. The First Steps program was accepted to present a session at the Sixth National Breastfeeding Coalitions Conference on the program. The session title was "Ohio First Steps for Healthy Babies -- Collaborating to Promote Breastfeeding in Ohio Hospitals". A poster was also presented at the 2016 Ohio Infant Mortality Summit. Good4You: In 2016, REF released a free set of resources for hospitals aimed at encouraging healthier choices through making positive changes to their food and beverage environments. The voluntary and self-directed initiative, called "Good4You Eat Healthy", provided materials including a step-by-step guide for each of the focus areas in the hospital: cafeterias/cafes, vending machines, meetings/events and outside vendors and franchises. 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, 2016 WAS 67. 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 - 59 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 2016 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: 370803, Program Service Expense: 370803, Management and General Expenses: , Fundraising Expenses: ; Continued Survey Readiness - Total Expense: 546885, Program Service Expense: 546885, Management and General Expenses: , Fundraising Expenses: ; Hospital Improvement Innovation Network - Total Expense: 1503152, Program Service Expense: 1503152, Management and General Expenses: , Fundraising Expenses: ; Energy consulting - Total Expense: 81103, Program Service Expense: 81103, Management and General Expenses: , Fundraising Expenses: ; Population Health promotion - Total Expense: 14940, Program Service Expense: 14940, 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 false false false false false false false false false false false false false true true true true false false false 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.