2017-05-11T13:46:15-07:00 2016-06-30 KPMG LLP 191 W Nationwide Blvd Suite 500 Columbus OH 43215 990 2015-07-01 396105970 FROEDTERT MEMORIAL LUTHERAN HOSPITAL INC FROE 4147770960 9200 W WISCONSIN AVENUE MILWAUKEE WI 53226 Scott R Hawig CFO 2017-05-11 true 6142492300 2015 2021-01-29 14:40:06Z Jacobson Catherine A 9200 W WISCONSIN AVENUE Milwaukee WI 53226 1455766425 false false X www.froedtert.com X 1980 WI Froedtert Memorial Lutheran Hospital, Inc. advances the health of the communities it serves by providing exceptional healthcare enhanced by innovation and discovery. 15 12 6466 431 0 3809826 4470362 1301899564 1402433995 1232488 1818232 45866500 46814964 1352808378 1455537553 0 0 304769921 332508968 0 0 925535605 980969413 1230305526 1313478381 122502852 142059172 792758769 830818384 90396463 79968165 702362306 750850219 X Froedtert Memorial Lutheran Hospital, Inc. advances the health of the communities it serves by providing exceptional healthcare enhanced by innovation and discovery. false false 492915786 677927210 Outpatient Services:Froedtert Memorial Lutheran Hospital had 789,197 outpatient visits in the twelve months ended June 30, 2016. Froedtert Memorial Lutheran Hospital offers a wide variety of outpatient clinical services including but not limited to the following:- Anticoagulation- Audiology- Brain injury and stroke therapy- Breast Care- Cardiothoracic surgery- Cardiovascular medicine- Cancer care- Dermatology- Diabetes- Diagnostic radiology- Electrophysiology- Emergency medicine- Endocrinology / Metabolism- Eye institute- Family medicine- Gastroenterology- General internal medicine- General surgery- Geriatric / Gerontology- Hematology / Oncology- Hand therapy- Hypertension- Infectious diseases- Infusion- Internal medicine- Interventional radiology- Mammography- Maternal fetal care- Minimally invasive surgery- Neurology- Neurosurgery- Nuclear medicine- Nutritional counseling- Obstetrics / Gynecology- Occupational health- Ophthalmology- Oral Maxillofacial surgery- Orthopedic surgery- Otolaryngology- Pancreatobiliary / Endocrine surgery- Physical medicine / Rehabilitation- Plastic / Reconstructive surgery- Preventive / Occupational medicine- Psychiatry- Pulmonary / Critical Care medicine- Radiology- Radiation oncology- Rehabilitation services- Reproductive medicine- Rheumatology- Sickle Cell Disease- Skin Cancer Center- Sleep lab- Speech/communications disorders- Spine care- Spinal Cord Injury program- Sports medicine- Surgical oncology- Transplant - bone marrow- Transplant - solid organ- Transplant surgery- Trauma / Critical Care surgery- Urology- Vascular surgery- Wound healing 462869331 636654619 Inpatient: Froedtert Memorial Lutheran Hospital (Froedtert Hospital)is the only academic medical center in eastern Wisconsin and one of only 120 nationwide. Staffed by faculty of the Medical College, Froedtert Hospital is dedicated to excellence in patient care, research, medical education and operates eastern Wisconsin's only adult Level I Trauma Center. It is a major training and research facility with more than 1,000 medical, nursing and health technical students in training and participates in over 2,000 active clinical trials each year. Froedtert Hospital is approved for 655 beds of which 536 are staffed with 27,534 patient admissions and 149,241 patient days of care related to medical, surgical, intensive care, obstetrics, rehabilitation and other specialty care for the twelve months ended June 30, 2016Most of the services provided by Froedtert Hospital are tertiary or quaternary care services and include the following:Neurosciences Center. The Center at Froedtert Hospital is a world-class resource for individuals with complex neurological disorders. Combining specialty expertise, state-of-the-science technology and consistent research leadership, the center provides comprehensive services for movement disorders, stroke, brain injury, spine care, and epilepsy as well as a number of other neurological disorders. We offer the only dedicated Neuro-Intensive Care Unit in Wisconsin, staffed by full time fellowship-trained neuro-intensivists, an eICU, and a 6 bed long-term monitoring unit for patients with epilepsy. STROKE: Froedtert Hospital was the first in the state and among the first in the nation to receive certification as a Primary Stroke Center by the Joint Commission and was the first in southeast Wisconsin to achieve Comprehensive Stroke Center accreditation. The Stroke program demonstrates its ability to provide care from a multi-disciplinary team. The team includes neurologists, neuro-interventionalists, emergency department specialists, radiologists, neurosurgeons, nurses, therapists, pharmacists, and technicians working in a coordinated, collaborate system. We consistently exceed national standards of care for stroke established by the Joint Commission and the University Health System consortium and consistently achieve the highest level of recognition from the American Stroke Association on an annual basis. As a regional leader, we offer the most comprehensive and advanced care by the 24 hour a day Acute Stroke Team.SPINECARE: Our SpineCare program offers multi-disciplinary, operative and non-operative care for patients with spinal trauma, degenerative diseases of the spine, spinal tumors, and back pain. We have a team of back and neck experts working together in each location. The team is made up of some of the area's leading neurological and orthopaedic surgeons. Our staff includes well-regarded physical medicine and rehabilitation specialist, neurologists, chiropractic physicians, pain psychologist, spine--trained nurse practitioners and physician assistants as well as outstanding physical and occupational therapists.EPILEPSY: The Comprehensive Epilepsy Program is one of only a few programs in the country providing comprehensive, individualized care for people with epilepsy. We are proud to be one of 4 programs in the country certified by the Joint Commission as a Center of Excellence for Epilepsy. It is a Level 4 Epilepsy Center, the highest ranking by the National Association of Epilepsy Centers. It serves as a regional or national referral facility and offers: -Complete evaluation for epilepsy-More complex forms of intensive neurodiagnostic monitoring-More extensive medical, neuropsychological and psychosocial treatment-Broad range of surgical procedures, including intracranial electrodes and responsive neuromodulationThe comprehensive Epilepsy Program is the first and only in the area to offer a new epilepsy neuromodulation treatment - the RNS System.PARKINSONS: Patients with Parkinson's disease or movement disorders receive comprehensive care through the Parkinson's and Movement Disorders Program. For the most complex to the most common movement disorders, our knowledgeable and experienced team offers the full range of leading-edge diagnostic and treatment choices, many found only at an academic medical center. We're one of the longest-standing providers in the area offering patients unique advantages such as:-Board-certified physicians who are specialists in Parkinson's disease and movement disorders- Innovative technology & treatment options. We are the only program in the region to offer deep brain stimulation (DBS)- Individualized, coordinated care with active involvement of the patient and family members in treatment planning- Active involvement of the patient and family members in treatment planning.- An academic medical center setting where patients benefit as soon as possible from research advancements related to treatment of movement disorders.- Dedication to enhancing the quality of lifeAMYOTROPHIC LATERAL SCLEROSIS (ALS): Patients receive multidisciplinary care within the ALS Program. Although there is no cure for ALS, the program provides state-of-the-science diagnostic services and access to advanced drug therapies that may slow the progress of the disease's symptoms. The ALS Clinic is one of 26 clinics to be officially certified by the ALS Association in the United States.OTHER: Neurologists specialize in the diagnosis and treatment of peripheral nerve and muscle disorders, dementia, neuro-opthalmologic conditions, and demyelinating disorders. It offers multidisciplinary programs in Brain Injury, Spinal Cord Injury, Memory Disorders, MS, Spasticity, Headache and Neuro-oncology. The NeuroRehab program and Neuropsychology services are an integral part of all Neurosciences programs. In addition to the core programs noted above, the Neurosciences Center also provides care for patients with Autonomic Disorders and Neuromuscular Disorders. Cancer Center. The Clinical Cancer Center offers comprehensive care for all types of cancer through 13 disease-specific, multidisciplinary cancer programs; support services ranging from laboratory and imaging to psychosocial and pastoral care; and research facilities and international cancer registries. Unique offerings in cancer center care include:- A Day Hospital which is open 365 days per year for outpatient chemotherapy infusion and supportive care- Outpatient Blood and Marrow Transplant (BMT)- Whole genome sequencing- Patient centered care model with advanced intake and coordination mechanisms- Renowned experts with specialty expertise- Academic medical center with wide range of clinical trials- Advanced technology- Single location for all cancer treatment needsFroedtert Hospital is a leading center for HIPEC (Hyperthermic Intraperitioneal Chemotherapy) in the Midwest and the nation. HIPEC is a state-of-the-art procedure for treating cancers that have spread to the abdomen. This procedure offers a new treatment option even for people who have been told they have no options.Accreditations:- Accredited by the American College of Surgeons Commission on Cancer as an Academic Comprehensive Cancer Program. Programs are recognized for providing postgraduate medical education, caring for more than 500 newly diagnosed cancer cases each year, participating in research and offering a full range of diagnostic and treatment services. At our re-accreditation survey in 2016, we received the Outstanding Achievement Award, one of only 20 in the US.- Since 2001, the Blood and Marrow Transplant Program has been accredited by the Foundation for Accreditation of Cellular Therapy (FACT). For patients, this measurement of quality and expertise provides the assurance that they are receiving high-quality transplant care and offers a way for them to compare different programs.- The Cancer Center is accredited by the American College of Radiology American Society for Radiation Oncology (ACR-ASTRO) representing the highest level of quality and patient safety for radiation treatment.- We are accredited by the Quality Oncology Practice Initiative (QOPI) of the American Society of Clinical Oncology (ASCO) which ensures adherence to national standards for the treatment of cancer patients with chemotherapeutic, immunologic and other agents.- The Breast Care Center is accredited by the National Accreditation Program for Breast Centers (NAPBC), which ensures the quality of services provided for breast health and the treatment of breast cancer.- Our Radiation Oncology Department is accredited by the American College of Radiology (ACR) which designates programs that meet stringent requirements for quality and scope of services offered.Froedtert had 4,637 new cancer registry cases in FY2016.OTHER ACHEIVEMENTS:2016 Vizient Quality Leadership Award. They listed Froedtert Hospital as one of the top four performing academic medical centers in the nation. We also ranked second in the Ambulatory Car 107927004 40164423 Medical Education: Froedtert Hospital is the major teaching affiliate of The Medical College of Wisconsin. The affiliation agreement between The Medical College and Froedtert Hospital provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 334 full-time equivalent residents at Froedtert Hospital.Substantially all patient encounters at Froedtert Hospital are teaching related. Froedtert Hospital is utilized in The Medical College's residency programs in anesthesiology, dermatology, diagnostic radiology, endocrinology/metabolism, general surgery, internal medicine, nephrology, neurological surgery, neurology, oral and maxillofacial surgery, otolaryngology, pathology, plastic and reconstructive surgery, pulmonary medicine, transplant surgery, urology and emergency medicine, allergy and immunology, cardiology, geriatrics, gastroenterology, hematology/oncology, infectious disease, nuclear medicine, obstetrics and gynecology, ophthalmology, orthopedic surgery, physical medicine and rehabilitation, psychiatry, radiation oncology, thoracic surgery, trauma surgery, and vascular surgery. Froedtert Hospital supports continuing medical education. All of the medical services provide continuing medical education for the staff, residents, and students. Scientific conferences are held on a weekly basis for most services. The Medical College faculty members, who comprise the majority of the Medical Staff of Froedtert Hospital, frequently serve as directors of continuing medical education programs for other hospitals within the State of Wisconsin and the surrounding region.In addition to the affiliation with The Medical College, Froedtert Hospital maintains educational affiliations with a number of other institutions, including Alverno College, Cardinal Stritch University, Carroll College, Marian University, Marquette University, Milwaukee Area Technical College, Milwaukee School of Engineering, Mount Mary College, University of Wisconsin System (UW Milwaukee and UW Oshkosh), and Waukesha County Technical College. 32940336 96029845 1096652457 true true false false false false false false false true true false false false true true true true false false false false false false false false true true false false true false false false false false false false false false false false true false false false false true true false false false true 164 0 true 6466 true false false false false false false false false 0 false false false false false false false false false false X 15 12 true false false false true true true true true false false true true true true true true true true true true WI X X David Dirksmeyer 4147770960 N74 W12501 Leatherwood Ct Menomonee Falls WI 53051 Acevedo Rafael Jr Director 1.00 0.00 X 0 0 0 Bechtel Kathleen Dir&VP Pt Care 40.00 0.00 X 394294 0 69574 Biblo Lee A MD Director 1.00 0.00 X 0 0 0 Bria Michele Director 1.00 0.00 X 0 0 0 Callahan Margaret Director 1.00 0.00 X 0 0 0 Fulkerson Jay Director 1.00 0.00 X 0 0 0 Gendelman Lori Director 1.00 0.00 X 0 0 0 Jacobson Catherine A Dir&FH Pres/CEO 1.00 48.00 X 0 1599163 329172 Zizzo Ann Director 1.00 0.00 X 0 0 0 Patterson Renee Director 1.00 0.00 X 0 0 0 Rilling William Director 1.00 0.00 X 0 0 0 Sevenich Jenni Director 1.00 0.00 X 0 0 0 Buck Catherine J Dir&Pres 50.00 1.00 X X 891908 0 171274 Larson David N Dir&BOD Chair 1.00 0.00 X X 0 0 0 Prince Joan M PhD Dir&BOD V.Chair 1.00 0.00 X X 0 0 0 Hawig Scott CFO 1.00 48.00 X 0 739638 167854 McPike Linda BOD Secretary 1.00 40.00 X 0 231705 24748 Van De Kreeke Jeffrey Treasurer 1.00 46.00 X 0 507800 85227 Gray D Allan VP-Perioperative 50.00 0.00 X 329042 0 30304 Leevan Yakira CRNA-Anesthesia 40.00 0.00 X 284818 0 41449 Behrens Elizabeth VP Quality/Pt Safe 40.00 0.00 X 279844 0 42094 Oja Peter CRNA-Anesthesia 40.00 0.00 X 264670 0 55832 Colpaert Gary VP-Clinical&Supp 40.00 0.00 X 261171 0 67020 Eastham Catherine M SVP - General Counsel 1.00 40.00 X 0 581461 131435 2705747 3659767 1215983 301 true true false Wisconsin Diagnostic Lab 9200 W Wisconsin Ave Milwaukee WI 53226 Lab Services 26014065 Hospital Billing & Collection Services 118 Lukens Drive New Castle DE 19720 Collection fees 3734873 Medical College of Wisconsin 8701 Watertown Plank Road Milwaukee WI 53226 Physician & medical 2566698 NXCG LLC 2901 North Dallas Pkwy Ste 420 Plano TX 75093 Pharmacy Contr Admin 332064 Richard C Miller 233 Grey Fox Ct Colgate WI 53017 Facilities consultin 134411 5 1163862 506500 2800000 27635 4470362 Hospital Inpatient 900099 636654619 636654619 Hospital Outpatient 900099 677927210 677927210 Medical Education 611600 40164423 40164423 Trauma 900099 47687743 47687743 1402433995 2097041 2097041 -54937 -54937 0 0 5000 228872 -223872 -223872 -223872 0 0 0 Corp Allocated Revenue 561000 16744725 16744725 Other Department Revenue 561499 8195851 8195851 Sublease Revenue 561499 12091671 12091671 9782717 9267751 514966 46814964 1455537553 1450776097 291094 X 0 0 0 0 1911807 1911807 0 308321682 293176414 15145268 0 218646 207033 11613 22056833 20885310 1171523 0 597869 2000 595869 0 0 0 0 137916988 124277255 13639733 83539 83372 167 4525653 3420943 1104710 643662 621310 22352 0 26261311 23009175 3252136 74888 63230 11658 0 864261 815207 49054 16026225 14041577 1984648 0 48458361 42457397 6000964 0 Medical Supplies 303645729 303413748 231981 Corporate Allocations 279053043 112486680 166566363 Medical Education 107927004 107927004 Hospital Tax Assessment 29258284 29258284 25632596 20506518 5126078 1313478381 1096652457 216825924 0 18350 20050 61394861 7620650 0 140379615 168396087 0 0 0 15176688 15480963 3197457 5123218 1096117672 503021906 512664852 593095766 15167464 0 0 0 0 44759482 41081650 792758769 830818384 68751436 52961132 879655 334076 550235 460835 20215137 26212122 90396463 79968165 X 674559851 721440786 27436205 29043183 366250 366250 702362306 750850219 792758769 830818384 X 142059172 35916 -93607175 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12000842 106927 -31188 322577 67897 -1105 11687212 11443996 785742 137282 286129 91022 -10973 12000842 9551972 1621971 785813 360702 144472 10586 11443996 7588611 1773000 596052 287531 114112 4048 9551972 8356002 503594 40083 266918 87926 956224 7588611 0.97000 0.03000 false true true 2313 2313 496065231 151048090 345017141 133769528 55443253 78326275 332563996 242398767 90165229 133716604 54131796 79584808 593095766 Due to Affiliates 413860 Other 3rd Party Payables 5734186 Pension Liability Base 3586407 Pension Liability URMS 11919492 Post Retirement Medical 4558176 Rounding 1 26212122 X 1435659000 228634 228634 1435430366 20107187 20107187 1455537553 1296962000 228344 228344 1296733656 16744725 16744725 1313478381 Part V, Line 4: Intended uses of the endowment fund. The funds are held by Froedtert Hospital Foundation, Inc.(FHF), a related organization. FHF maintains several types of endowment funds. The board designated/quasi-endowment funds were created to support the financial needs of various departments and programs of Froedtert Memorial Lutheran Hospital, Inc. For permanently restricted endowment funds, the intent of the funds depends on the restriction that applies to that particular endowment, as prescribed by the donor. Depending on the particular endowment, the intended uses include fellowships, research, and educational resources for the community. Part X : FIN48 Footnote Froedtert Health Inc., the parent entity into which Froedtert Memorial Lutheran Hospital, Inc. results are consolidated, applies ASC No. 740, Income Taxes, which clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements. ASC No. 740 prescribes a more-likely-than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under ASC No. 740, tax positions are evaluated for recognition, derecognition, and measurement using consistent criteria and provide more information about the uncertainty in income tax assets and liabilities. As of June 30, 2016 and 2015, Froedtert Memorial Lutheran Hospital, Inc. does not have an asset or liability recorded for unrecognized tax positions. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Rounding $4762 $0 $0 $0 Asset Dispositions $223872 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Corporate Allocated Revenue (507999) $16744725 Capital Contributions $2200000 Contribution FHF $1162462 Asset Dispositions $0 Part XII, Line 2d: Other expenses and losses per audited F/S Rounding $4472 $0 Asset Dispositions $223872 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Corporate allocated revenue $16744725 Asset Dispositions $0 true true X true X 250.000000000 true X true true true false true true 7631838 7631838 0.00580 218387271 134864819 83522452 0.06360 226019109 134864819 91154290 0.06940 35 35104 7419383 7419383 0.00570 6 1832 68221761 68221761 0.05190 1 5809 165878 165878 0.00010 1 450 2310415 2310415 0.00180 9 1328415 1328415 0.00100 52 43195 79445852 79445852 0.06050 52 43195 305464961 134864819 170600142 0.12990 1 3314 3314 4 17 132974 132974 0.00010 5 17 136288 136288 0.00010 false 14750000 235577350 260312030 -24734680 X true true 1 1 Froedtert Memorial Lutheran Ho 9200 W Wisconsin Avenue Milwaukee WI 53226 www.froedtert.com X X X X X Froedtert Memorial Lutheran Ho 1 false false true X X X X X X X X 15 true true true true X www.froedtert.com/community-benefit X true 16 true www.froedtert.com/community-engagement false false true X 250.0000 400.0000 X X X X X X true true X X X true X www.froedtert.com/financial-services X www.froedtert.com/financial-services X Same as 16a & 16b X X X X X true X false X X X X X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Froedtert Memorial Lutheran Hospital, Inc is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public private consortium dedicated to improving care for underserved populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA). The CHNA was conducted throughout Milwaukee County from March 16 through July 14, 2015. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 2,000 adults, significant key informant interviews and a secondary source data analysis. The findings of all the components of the CHNA were released to Froedtert Hospital in January 2016. Key informants in Milwaukee County were identified by the Milwaukee Health Care Partnership in collaboration with the City of Milwaukee Health Department. The interviews were conducted by Partnership members and graduate students supervised by the City of Milwaukee Health Department. The interviewers used a standard interview script (schedule) that included the following elements: Ranking of up to five public health issues, based on the focus areas presented in Wisconsins State Health Plan, that are the most important issues for the County.All informants were made aware that participation was voluntary and that responses would be shared with the Center for Urban Population Health for analysis and reporting. The top issues were identified primarily through key informant rankings in combination with summaries of priority issues identified in the focus groups. Additionally, qualitative analysis of responses focused on relationships between issues, with emerging themes used to inform the final rankings. Lastly, representatives from each health system and the City of Milwaukee Health Department (all of whom had conducted interviews or supervised interviewers) participated in an analytic session to critique and validate findings. Forty-one individual key informant interviews were conducted in Milwaukee County. Of note, nine public health officers participated in the interviews as key informants. Twenty-two additional key informants participated in four focus groups conducted using the same interview schedule.Key Informant Interview organizations:Milwaukee County Department on AgingCity of Milwaukee Health Department West Allis Fire Department West Allis/West Milwaukee Chamber of CommerceNorth Shore Health Department Center for Veterans Issues Milwaukee County Department of Health & Human Services Childrens Health Alliance of Wisconsin/Milwaukee County Oral Health Task Force Milwaukee Public SchoolsCommunity AdvocatesTri-City National BankMilwaukee Police Department Cudahy Health DepartmentMilwaukee Center for Independence CORE/El CentroAIDS Resource Center of Wisconsin Mental Health America of Wisconsin City of West Allis Childrens Hospital of Wisconsin Gerald. E. Ignace Indian Health Center Next Door Foundation Wauwatosa Health Department Boys & Girls Clubs of Greater Milwaukee Apostle Presbyterian Church Black Health Coalition of Wisconsin, Inc.Medical College of Wisconsin Institute for Health and Society West Allis & West Milwaukee Health Department South Milwaukee Health Department MP3 Health GroupUW-Milwaukee Joseph J. Zilber School of Public Health YWCA Southeast Wisconsin Oak Creek Health Department IMPACT Planning Council Greenfield Health Department Centro Hispano YMCA of Metro MilwaukeeUnited Way of Greater Milwaukee and Waukesha County Milwaukee County Behavioral Health Division West Allis/West Milwaukee School District Franklin Health Department Hmong American Womens Association Group Interviews/Focus Groups:EMS Council of Milwaukee County Free and Community Clinic Collaborative Federally Qualified Health Center (FQHC) Coalition Medical Society of Milwaukee County Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Froedtert Memorial Lutheran Hospital, Inc. is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public-private consortium dedicated to improving care for underserved populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA) in 2015 and results released to Froedert Hospital in January 2016. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 2,000 adults, 41 key informant interviews, 4 focus groups and a secondary source data analysis. This shared CHNA serves as the foundation for Froedtert Hospitals implementation strategy to improve health outcomes and reduce disparities in Milwaukee County.Milwaukee County: Aurora Health SystemChildrens Hospital of WisconsinFroedtert Memorial Lutheran Hospital, Inc.Medical College of WisconsinWheaton Franciscan Health SystemColumbia-St. Marys Health System Part V, Line 7d - Description of Making Needs Assessment Widely Available The full version of the CHNA summary, reports and other supporting documents can be found on Froedtert Healths website: http://www.froedtert.com/upload/docs/giving/community-benefit/milwaukee-county-chna-community-health-survey.pdfhttp://www.froedtert.com/upload/docs/giving/community-benefit/milwaukee-county-chna-executive-summary.pdfhttp://www.froedtert.com/upload/docs/giving/community-benefit/milwaukee-county-chna-key-informant-interview-report.pdfhttp://www.froedtert.com/upload/docs/giving/community-benefit/milwaukee-county-chna-secondary-data-report.pdfAdditional Websites:http://mkehcp.org/publications Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why ORAL HEALTH SERVICES (Health Care Access): In Milwaukee County, 19% reported unmet dental needs. Explanation: Froedtert Hospital does not have the dedicated resources. There are other health systems and local organizations dedicated to improve access to dental care.BEHAVIORAL HEALTH SERVICES (Health Care Access): From 2003-2012, there was a statistical increase in those reporting considering suicide. Explanation: Froedtert Hospital is working with other private health system providers and Milwaukee County Behavioral Health Division to develop new systems of care for individuals with mental illness and substance abuse.TEEN PREGNANCY (Sexual Health): In Milwaukee County: 48.2 births per 1,000 teens age 15-19 vs. 26.2 births per 1,000 in Wisconsin. Explanation: The Aids Resource Center of Wisconsin and the City of Milwaukee Health Department are the lead agencies in reducing the incidence of sexually transmitted diseases in the community.HIGH STI RATES (Sexual Health): STI incidence rate is 1,469 per 100,000.Explanation: The Aids Resource Center of Wisconsin and the City of Milwaukee Health Department are the lead agencies in reducing the incidence of sexually transmitted diseases in the community.INFANT MORTALITY: Mortality rate in Milwaukee is 8.1 per 1,000 live births. For African Americans the rate is 13.9 and in Wisconsin is 5.7 per 1,000 births. Explanation: The United Way of Greater Milwaukee, the University of Wisconsin LifeCourse Initiative and the City of Milwaukee Health Department are actively involved in addressing this need.HEALTH LITERACY & NAVIGATION (Health Care Access): In Milwaukee County, 20% of adults reported poor health. 11% reported having unmet medical needs. Explanation: The Milwaukee Health Care Partnership, the United Way of Greater Milwaukee, Community Advocates, Milwaukee AHEC and a number of other community organizations are working to increase awareness of health services and health seeking behaviors among low income individuals. Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG In alignment with the Froedtert Health financial assistance policy Froedtert Memorial Lutheran Hospital reserves the right to review each application for financial assistance on its own merits and to consider other extenuating circumstances in the decision to approve or deny a patient's application for financial assistance. The applicant's gross family income will be determined using Modified Adjusted Gross Income (MAGI). Modified Adjusted Gross Income includes both earned income and passive income received and compared to the annual Federal Poverty guidelines set forth by the U.S. Department of Health and Human Services. A patient who has an annual gross income equal to or less than 400% of the current year's poverty guidelines will not pay more than 15% of their annual gross income on any single account during the approved eligibility time frame. Patients who meet the requirements and have a gross income equal or less than 250% of the FPL may qualify for a 100% discount. Patients who meet the requirements and have a gross income between 250% and 400% of the FPL may qualify for a discount on a sliding scale. In addition to income, Froedtert Memorial Lutheran Hospital also takes certain assets into consideration. Assets protected from financial evaluation include a household's retirement assets, home equity, and a portion of cash and savings assets. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Out of Pocket Maximum Discount Part V, Line 20e - Other Actions Took Before Any Collection Actions We request additional documentation when an individual has submitted an incomplete financial assistance application. Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) In alignment with the Froedtert Health, Inc. financial assistance policy Froedtert Memorial Lutheran Hospital reserves the right to review each application for financial assistance on its own merits and to consider other extenuating circumstances in the decision to approve or deny a patient's application for financial assistance. The applicant's gross family income will be compared to the annual Federal Poverty guidelines set forth by the U.S. Department of Health and Human Services. A patient who has an annual gross income equal to or less than 400% of the current year's poverty guidelines will not pay more than 15% of their annual gross income on any single account during the approved eligibility timeframe. Patients who meet the requirements and have a gross income equal or less than 250% of the FPG may qualify for a 100% discount. Patients who meet the requirements and have a gross income between 250% and 400% of the FPG may qualify for a discount on a sliding scale. In addition to income, Froedtert Hospital also takes certain assets into consideration. Assets protected from financial evaluation include a portion of a household's retirement assets, cash, savings assets and home equity. Part I, Line 6a - Related Organization Community Benefit Report Froedtert Memorial Lutheran Hospital (FMLH) produces an annual community benefit report highlighting community benefit programs, patient impact stories and investments in the communities we serve. The report will be mailed, as in years previous, to partners in our Community, FMLH Leaders, FMLH Board of Directors, elected officials, business leaders and other community members. A copy of the report can be found on our website at www.froedtert.com/community-engagement. Part I, Line 7 - Explanation of Costing Methodology Charity Care and certain other community benefits costs were determined by using internal information to reduce the various activities to cost. We present cost information consistently in the different venues that it appears.Froedtert Memorial Lutheran Hospital reports accounts receivable for services rendered at net realizable amounts from third-party payers, patients, and others. Froedtert Memorial Lutheran Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends.The ratio of patient care cost to charges is applied to the bad debt attributable to patient accounts to calculate the estimated cost of bad debt attributable to patient accounts that is reported on line 2. Discounts and payments on patient accounts are recorded as an adjustment to revenue, not bad debt expense. As a not-for-profit, emergency medical care and other medically necessary care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit. Part I, Line 7, Column F - Explanation of Bad Debt Expense Our total expense from Form 990, Part IX, line 25, column (A) was $1,313,478,381. Bad debt expense is included in Form 990,Part VIII, lines 2a-2c as required by ASU 2011-07, Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. Therefore bad debt expense is not included on Part IX, Statement of Functional Expenses, Line 25, column (A). Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Froedtert Memorial Lutheran Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends. The ratio of patient care cost to charges is applied to the bad debt attributable to patient accounts to calculate the estimated cost of bad debt attributable to patient accounts that is reported on line 2. Discounts and payments on patient accounts are recorded as an adjustment to revenue, not bad debt expense. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The financial assistance policy allows for accounts in bad debt to be approved for financial assistance if the patient meets the criteria. There are possible financial assistance accounts in bad debt, although the exact percentage is unknown as we do not have the appropriate tools to determine this percentage accurately. Part III, Line 4 - Bad Debt Expense Patients accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of patients accounts receivable, Froedtert Health, Inc. (FH) analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, FH analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), FH records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.FH recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, FH recognizes revenue on the basis of its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). On the basis of historical experience, a significant portion of FHs uninsured patients will be unable or unwilling to pay for the services provided. Thus, FH records a significant provision for bad debts related to uninsured patients in the period the services are provided. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Froedtert Memorial Lutheran Hospital does not limit the care available to any patients, including those covered by Medicare. Froedtert Memorial Lutheran Hospital receives Medicare reimbursement intended to cover care for the medically indigent patients reflected in Part I. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients In alignment with the Froedtert Health, Inc. Financial Assistance policy and Credit and Collection policy regarding the billing, collection and support for patients with payment obligations, Froedtert Memorial Lutheran Hospital makes every effort to adhere to the policy and is committed to implementing and applying the policies for assisting those patients who may qualify for Financial Assistance in a professional and consistent manner. Staff members who work closely with patients such as Patient Financial Services Customer Service and Financial Counseling staff, as well as those involved in billing and collections are trained about these policies with an emphasis on treating all patients with dignity and respect regardless of their insurance or their ability to pay for services. Other staff who may have interactions with patients, such as Admitting staff are also aware of the policy, and able to provide patients a copy of an application upon request and also are committed to treating patients with dignity and respect regardless of their insurance or their ability to pay for services. Part VI - Needs Assessment Froedtert &The Medical College of Wisconsin is a member of the Milwaukee Health Care Partnership www.mkehcp.org, a public-private consortium dedicated to improving care for underserved populations in Milwaukee County. Through the Partnership, Milwaukees five health systems and the Milwaukee Health Department aligned resources to complete a shared community health needs assessment (CHNA) in 2015. Supported by additional analysis from the Center for Urban Population Health, this community-wide CHNA includes findings from a community health survey of over 2,000 adults, 41 key informant interviews, 4 focus groups and a secondary source data analysis. This shared CHNA serves as the foundation for Froedtert Hospitals implementation strategy to improve health outcomes and reduce disparities in Milwaukee County.Milwaukee County: Aurora Health SystemChildrens Hospital of WisconsinFroedtert & The Medical College of WisconsinWheaton Franciscan Health SystemColumbia-St. Marys Health SystemCenter for Urban Population HealthMilwaukee County Health DepartmentCity of Milwaukee Health DepartmentWauwatosa Health DepartmentJKV Research was hired by the participating Health Care Systems and Health Departments to lead the CHNA process for Milwaukee County. The total cost of each CHNA was shared by each of the participating health systems and health departments. Each health system and health department was assigned to conduct key informant interviews within their service area.CHNA Overview/Objectives Gather specific data on behavioral and lifestyle habits of the adult population. Gather data on the prevalence of risk factors and disease conditions existing within the adult population. Compare health data of residents to previous health studies. Compare, where appropriate and available, health data of residents to national and state measurements. CHNA Methodology: 1,976 telephone interviews completed between March 16 and July 14, 2015. Two-fold Sampling 1) A random-digit-dial landline sample of telephone numbers which included listed and unlisted numbers. The respondent within each household was randomly selected by computer based on the number of adults in the household (n=1,292). 2) A cell phone-only sample where the person answering the phone was selected as the respondent (n=675). At least 8 attempts were made to contact a respondent in both samples. Screener questions verifying location were included. All data post-stratified by age and gender of adult residents as of 2010 census proportions. Margin of error: 2% Part VI - Patient Education of Eligibility for Assistance Froedtert Memorial Lutheran Hospital informs and educates patients regarding financial assistance and government program eligibility in a number of ways. Its communication efforts also address special needs of patients and their families, such as hearing or visual impairment or language interpretation.Information on hospital-based financial support policies and government programs are made available to patients during the pre-registration and registration processes through brochures, signage and direct contact with financial counselors, social workers / case managers and registration staff. Patient billing statements also inform patients that financial assistance is available. The Froedtert Health, Inc. website contains information regarding pricing, how to understand your hospital bill, and how to apply for Financial Assistance. Froedtert Memorial Lutheran Hospital has made financial assistance forms and information available in Spanish. Financial counselors screen uninsured patients for government program eligibility and social services staff are available to assist patients with enrollment processes. Patients who are uninsured, those covered by government programs and those with limited financial means may also be eligible for charity care or discounts through the Froedtert Memorial Lutheran Hospital's financial assistance program. Financial counselors make every effort to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial assistance can be made during any stage of the patient's stay after stabilization, or the collection cycle. Part VI - Community Information Since 1980 Froedtert & The Medical College of Wisconsin has been part of a critical initiative to improve the health of our Community. As the regions Academic Medical Center and only Level I Trauma Center, F&MCWs primary service area is comprised of five counties: Ozaukee, Milwaukee, Waukesha, Washington and Racine. Community Memorial and St. Josephs hospital, part of the Froedtert Health System, are able to care for patients within the Waukesha and Washington County areas relying on Froedtert Hospital for higher acuity care. Froedtert Hospital focuses on urban, low income, uninsured and medically underserved populations, most of whom reside in Milwaukee County, which comprises the largest concentration of zip codes with the highest needs. As such, Froedtert & The Medical College has made concerted efforts to begin focus on those neighborhoods in our back yard: Wauwatosa and Washington Park.In partnership with Progressive Community Health Centers, Froedtert Hospital has invested a place-based health improvement strategy in this neighborhood for ten years. Part of the urban poverty corridor, this neighborhood is home to a large vulnerable population, as well as a number of valuable community assets to address the social determinants of health.Located in the City of Wauwatosa, Froedtert has a strong relationship with the local health department and other community organizations that are working to improve health and quality of life. Froedtert & the Medical College of Wisconsin DemographicsHousehold Income CY15 Primary Service Area Secondary Service AreaUnder $24,999....................22.81%..............21.21%$25,000-$49,999..................23.88%..............25.06%$50,000-$99,999..................31.93%..............36.19%$100,000 and up..................21.38%..............17.54%Total Households................726,290............238,887Source: DataBayPayer Source FY15 Primary Service Area Secondary Service AreaCommercial/Managed Care...........28.0%.................33.0%Medicaid..........................19.2%.................13.9%Medicare..........................50.0%.................50.1%Other Government..................0.4%...................0.9%Other/Self Pay....................2.4%...................2.2%Source: DataBayRace CY15 Primary Service Area Secondary Service AreaWhite............................74.15%.................88.98%African American.................15.82%..................3.13%Asian/Hawaiaian/Pacific Islander..................2.99%..................1.91%Native American...................0.55%...................0.44%Two or more races.................2.50%...................2.01%Other.............................3.99%...................3.53%Hispanic..........................10.29%..................8.78%Total Population................1,816,282..............617,042Source: DataBayPayer Source FY16 Primary Service Area Secondary Service AreaCommercial/Managed Care...........28.3%.................33.0%Medicaid..........................19.5%.................14.3%Medicare..........................50.0%.................50.1%Other Government..................0.4%...................0.9%Other/Self Pay....................1.8%...................1.8%Source: DataBay Part VI - Community Building Activities To promote the health of our communities, Froedtert Hospital participates in numerous community building activities that are not included in Part I of Schedule H. There activities include:1. Community support: Participation in local emergency preparedness and contributions to public safety programs to increase safe neighborhoods.2. Coalition building: funding of the Milwaukee Healthcare Partnership, a public / private partnership working to expand coverage, access and care coordination for Milwaukees uninsured and underinsured populations.3. Workforce development: support for diversity recruitment as well as career development programs with local schools in order to train the next generation of medical and working professionals in our local area. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Froedtert Hospitals Community Benefit programming and health improvement activities are supported through staff resources, budgeted dollars for programming and community partnerships. Community Health Education ProgramsFroedtert Hospital regularly schedules educational classes, workshops and screenings for the community. The services offered are readily accessible to the general public and are free of charge. These programs provide information on a variety of health concerns including chronic disease prevention / management and updates on the newest medical technology and medical research. In addition, Froedtert Hospital offers a speakers bureau that is a free service to the community. Community Health ScreeningsFroedtert Hospital offers free blood pressure and diabetes screenings, free or low-cost screenings for breast, prostate, skin, head and neck and colorectal cancers as well as a variety of other health assessments. In fiscal year 2016, Froedtert Hospital conducted community education programs and health screenings for more than 25,000 people. Forever ChangedAs a response to both local and national community health needs, the staff of the Level I Trauma Center at Froedtert Hospital is committed to injury prevention throughout our community. In an effort to reduce traffic-related injuries and deaths among teens, the Trauma Program created Forever Changed, a program aimed at high school students. The program, features a mock car crash, takes a serious look at teenage drinking, driving and risk-taking behaviors. Coordinated by Trauma Program staff, Forever Changed also includes involvement from emergency response services in southeastern Wisconsin including Flight for Life, local police and fire departments and medical examiners. In 2016, Forever Changed was conducted at two different high schools within Milwaukee and Waukesha counties presenting to approximately 2,508 students.Froedtert & The Medical College of Wisconsin Community Conference Center The Community Conference Center offers a community health education center that is available for community and support groups at no cost. Froedtert Hospital sponsors more than 40 support groups, and provides meeting space for a variety of community events. Its wide variety of programs, activities, equipment and services provide the tools needed for the health and wellness of families in our communities. Milwaukee Health Care PartnershipFroedtert Hospital is an active member of the Milwaukee Health Care Partnership, a public private consortium dedicated to improving care for underserved populations in Milwaukee County. The Partnership includes the five Milwaukee-based health systems, four Federally Qualified Health Centers (FQHCs), the Medical College of Wisconsin; Milwaukees and the city, county and state health departments. Specialty Access for the Uninsured Program (SAUP) & Emergency Department to Medical home programsThe Emergency Department to Medical Home initiative, in collaboration with the Milwaukee Health Care Partnership, helps connect Emergency Department patients with primary care, medical homes. Intake coordinators in safety net clinics have been added to follow up with patient appointments scheduled in the ED and help establish those patients for ongoing primary care. The health systems have also enhanced the role of ED cast managers in transition care management for this patient population. In fiscal year 2016 1,555 health home referrals were secured through Froedterts Emergency Department program with 47% of those patients presenting for those appointments.The Specialty Access for the Uninsured Program (SAUP) recognized the need for specialized care that may not be available for patients at a Community Clinic. Patients are referred from their FQHC, meeting financial requirements, and the cost of their specialty care is covered under the SAUP program HWPP grant through the Milwaukee Health Care Partnership. Froedtert Hospital received 249 referrals to our specialists for a complete continuum of care. Health Professionals/Academic Medical Center:In partnership with the Medical College of Wisconsin, Froedtert Hospital provides medical resident opportunities for 734 physicians in residency and fellowship training programs where they can learn from expert faculty and have access to leading-edge resources. As the only Academic Medical Center in south eastern Wisconsin, Froedtert & The Medical College of Wisconsin provides internship and preceptor program guidance and training to over 1600 students in the following areas: Allied Health, Pharmacy, Nuclear Medicine, and Registered Nursing (including Advanced Practice). Froedtert & The Medical College of Wisconsin also has its own School of Radiology, a two-year program. In fiscal year 2016, 30 radiology technicians continued their education through this program for a total 1,104 teaching hours. Medical Transportation Program:The Medical Transportation Program at Froedtert Hospital is a direct line budgeted program which provides transportation to and from the outpatient locations for eligible persons (250% federal poverty level or below) who have difficulty arranging their own transportation and lack the financial resources to purchase transportation. Froedtert Hospital Social Services department provided approximately $48,046 for 5,902 Ambulance, Cab and Bus transportation services in fiscal year 2016. ACA Insurance Marketplace and Enrollment Assistance:Froedtert Health (parent company of Froedtert Hospital) recognized the need to help individuals navigate the new choices available to them through the Affordable Care Acts Insurance Marketplace and Medicaid reforms. Our network of certified application counselors answered more than 19,000 phone calls, and helped enroll 469 patients in the Health Insurance Marketplace, part of Affordable Care Act. Additionally, Froedtert Health partnered with the Milwaukee Enrollment Network which represented health systems, free clinics, health departments and other non-profit organizations to reach out to people throughout Milwaukee, Washington and Waukesha Counties in securing adequate and affordable health insurance. Milwaukee was recognized by the White House as the winner of Healthy Communities Challenge, a distinction among 20 cities to close the gap in metro areas with high numbers of uninsured, Marketplace eligible residents. United Way Employee Giving Campaign:Froedtert Hospital collaborates with the United Way of Greater Milwaukee as well as the United Performing Arts Fund to address basic needs in the community, developing self-reliance, strengthening communities and its support. Froedtert Hospital hosts an annual workplace giving campaign to support all the local United Ways. 200 hours were spent coordinating the FY16 campaign. Victory Garden Initiative:Froedtert Hospital as part of the Froedtert health network partnered this year with the Victory Garden Initiative (VGI) to create 32 raised bed gardens in and around the neighborhoods surrounding the hospital. In addition funding was provided to VGI to help install and build over 450 raised bed gardens and help over 2,300 families learn about and grow their own food, which is a natural fit with the community health improvement initiative of nutrition and physical activity. Bradley Tech Terns:Through a unique two-year program called tech terns 18 students from Bradley Tech high School in Milwaukee finished learning about building design, construction and health care operation in the classroom and on-site of a major construction project at Froedtert hospital. The program leads believe this is a first such career pathway development program in the country. Experts in the field develop the curriculum for each quarters visit, coordinating classroom work with the progress of the building. School Nurse Program:The School nurse Initiative is collaboration between Froedtert Hospital, Milwaukee Public School and Progressive Community Health Center, the FQHC in our neighborhood. Froedtert Hospital provides a full-time school nurse for students at Westside Academy I&II, a K-8 Milwaukee Public School charter school, serving 500 students and their families offering care for chronic disease as well as case management during the school year. With the help of the school nurse program, Westside Academy ended the 2015-16 school year with 92% school attendance, 96% return to class rate as well as a 96% immunization compliance rate. Implementation Planning ProcessUnder the direction of the Community Engagement Leadership Team and a trained meeting facilitator; the planning process included five steps in developing the Implementation Plan:1. Reviewed the Community Health Needs Assessment results for identification and prioritization of community health needs2. Reviewed previous implementation plan programs and results3. Reviewed current hospital and community health improvement initiatives and strategies4. Ranked and selected priority areas5. Selected Part VI - Affilated Health Care System Roles and Promotion AFFILIATED HEALTH CARE SYSTEM: Froedtert is the major teaching affiliate of The Medical College of Wisconsin (Medical College). The other two significant teaching affiliates of The Medical College are the Clement J. Zablocki VA Medical Center and Children's Hospital of Wisconsin, which is located adjacent to Froedtert Hospital and The Medical College. The affiliation agreement between The Medical College and Froedtert provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 750 full-time equivalent residents and fellows at Froedtert. The benefits of this collaboration also extend to the partners of Froedtert Health, as Medical College physicians practice at Community Memorial and St. Josephs hospitals. Froedtert & The Medical College of Wisconsin Community Physicians is built on the existing partnership between southeastern Wisconsins only academic medical center and our community clinics and hospitals. Our unique academic-community partnership allows us to provide the most appropriate and comprehensive care to all patients. Patients may prefer to receive care close to home therefore our integrated network of health care comprises more than 30 clinics and 250 physicians across seven counties. This partnership offers residents of southeastern Wisconsin greater access to the deep expertise of Medical College doctors while preserving important relationships with physicians in their own communities. With a profound commitment to medical education and research, the Medical College is a major national research center. Through collaborations with Medical College research scientists located on campus and colleagues at the nations other academic medical centers; our physicians are at the forefront of medical discovery. Froedtert, Community Memorial and St. Josephs Hospitals made significant investments in the health of their communities. Patients who couldnt pay for their medical care received more than $110.6 million in uncompensated services. Beyond providing care for the poor, we contributed $83.3 million to improve access to care, teach future healthcare professionals, develop new medical therapies and participate in local partnerships aimed at reducing health disparities.Froedtert Health members develop community benefit strategies and goals based on the unique needs of each of their communities. By conducting regular community needs assessments that monitor critical public health issues, and actively seeking community input, the hospitals have built important local relationships that provide meaningful outreach programs that link each hospital to their neighbors and patients. As a not-for-profit health system, Froedtert Health reinvests its surplus funds back into the community through programs to serve the poor and uninsured, teach future healthcare professionals, develop new medical therapies, manage chronic conditions like diabetes, health education and promotion initiatives, and participate in local partnerships aimed at reducing health disparities. For more information about Froedtert Health, visitwww.froedtert.comPROMOTION OF COMMUNITY HEALTH: Community Health Improvement Advisory Committee (CHIAC) With particular expertise in public health, population health, wellness and process improvement, the members of this committee provide guidance to Froedtert Hospitals community benefit plan for the development and monitoring of the Implementation Strategy. Members include:MCW Faculty, Progressive Community Health Center, Executive and VP leadership at Froedtert Hospital, Wauwatosa Health Department, Outreach Community Health Center, Milwaukee Muslim Womens Coalition, Milwaukee County Department on Aging, Milwaukee Achiever Literacy Services, Core/El Centro, Christ the King Baptist Church, Milwaukee County Sheriffs Department, IndependenceFirst, American Heart Association.The responsibilities of the Community Health Improvement Advisory Committee include: Support the mission of Froedtert Hospital and the health system. Be an advocate for community health improvement. Contribute talents and resources to reduce health disparities. Review the community health needs assessment. Provide feedback and input into the development of the implementation strategy and priorities. Serve as an advisory body to the Community Engagement Department and the hospital to assure that our services are accessible and culturally appropriate. Serve as a conduit for your constituent members, communities and neighborhoods about emerging health needs and concerns.Board of Directors:The Board of Directors is made up of medical and business professionals, all of whom reside in the hospital's primary service area. They are dedicated to leveraging the benefits of our community-academic mission and focus on research. They value the unique character and needs of the patients and communities we serve and the physicians who provide specialty care. Froedtert Hospitals Board of Directors demonstrates our commitment to quality and service while managing costs. The Board of Directors will provide annual review, guidance and ultimately adopt the Implementation Plan and CHNA Strategy. Part VI - States Where Community Benefit Report Filed WI Part V - Explanation of Number of Facility Type Froedtert Memorial Lutheran Hospital is the only facility listed under this reporting of the IRS Form 990, Schedule H. X X X true true false true false false false false false false false false Bechtel Kathleen Dir&VP Pt Care 286590 54187 53517 49958 19616 463868 50679 Behrens Elizabeth VP Quality/Pt Safe 266469 13375 26206 15888 321938 Buck Catherine J Dir&Pres 403575 170820 317513 139928 31346 1063182 294230 Colpaert Gary VP-Clinical&Supp 192601 36539 32031 39578 27442 328191 29139 Eastham Catherine M SVP - General Counsel 359453 86388 135620 99369 32066 712896 114782 Gray D Allan VP-Perioperative 246276 72011 10755 7800 22504 359346 Hawig Scott CFO 566750 153748 19140 138669 29185 907492 Jacobson Catherine A Dir&FH Pres/CEO 1103617 330002 165544 297849 31323 1928335 164026 Leevan Yakira CRNA-Anesthesia 168917 115123 778 14841 26608 326267 McPike Linda BOD Secretary 214372 16246 1087 18447 6301 256453 Oja Peter CRNA-Anesthesia 167612 90140 6918 19659 36173 320502 Van De Kreeke Jeffrey Treasurer 304861 61916 141023 71987 13240 593027 120216 Part I, Line 1a: Relevant information in regards to selections on 1a. Housing: Behrens, Elizabeth $10,888 ($6,500 actual + $4,388 gross up)Social club dues:Buck, Catherine - $120Colpaert, Gary - $120Gray, D Allan - $5Leevan, Yakira - $120 Part III, Additional Information Part II, Column (B)(ii): Bonus and incentive compensation amounts include incentive compensation and amounts paid to individuals in lieu of participation in 457(f) deferred compensation plan. X Furniture 1 27635 false false false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Medical Education: Froedtert Hospital is the major teaching affiliate of The Medical College of Wisconsin. The affiliation agreement between The Medical College and Froedtert Hospital provides for joint programs in health care education, health-related research, and health services. The Medical College places approximately 334 full-time equivalent residents at Froedtert Hospital.Substantially all patient encounters at Froedtert Hospital are teaching related. Froedtert Hospital is utilized in The Medical College's residency programs in anesthesiology, dermatology, diagnostic radiology, endocrinology/metabolism, general surgery, internal medicine, nephrology, neurological surgery, neurology, oral and maxillofacial surgery, otolaryngology, pathology, plastic and reconstructive surgery, pulmonary medicine, transplant surgery, urology and emergency medicine, allergy and immunology, cardiology, geriatrics, gastroenterology, hematology/oncology, infectious disease, nuclear medicine, obstetrics and gynecology, ophthalmology, orthopedic surgery, physical medicine and rehabilitation, psychiatry, radiation oncology, thoracic surgery, trauma surgery, and vascular surgery. Froedtert Hospital supports continuing medical education. All of the medical services provide continuing medical education for the staff, residents, and students. Scientific conferences are held on a weekly basis for most services. The Medical College faculty members, who comprise the majority of the Medical Staff of Froedtert Hospital, frequently serve as directors of continuing medical education programs for other hospitals within the State of Wisconsin and the surrounding region.In addition to the affiliation with The Medical College, Froedtert Hospital maintains educational affiliations with a number of other institutions, including Alverno College, Cardinal Stritch University, Carroll College, Marian University, Marquette University, Milwaukee Area Technical College, Milwaukee School of Engineering, Mount Mary College, University of Wisconsin System (UW Milwaukee and UW Oshkosh), and Waukesha County Technical College. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Catherine Buck, Catherine Jacobson, Scott Hawig & Jeffrey Van De Kreeke business relationshipCathy Jacobson & Scott Hawig - business relationship Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Froedtert Health, Inc. is the sole corporate member of Froedtert Memorial Lutheran Hospital, Inc. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Froedtert Health, Inc., as the sole corporate member of Froedtert Memorial Lutheran Hospital, Inc. has the final approval of election of all board members. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Frodtert Health, Inc., as the sole corporate member of Froedtert Memorial Lutheran Hospital, has certain reserved powers and authorities with respect to the operations and management of Froedtert Memorial Lutheran Hospital, as set forth in Froedtert Memorial Lutheran Hospital's bylaws. Form 990, Part VI, Line 11b: Form 990 Review Process Froedtert Health, Inc. accounting staff prepare Form 990 which is reviewed by Froedtert Health, Inc.'s financial leaders and legal counsel. The 990 is then reviewed by KPMG, Froedtert Health Inc.'s outside accounting firm. Next, the 990 is provided to the Froedtert Health Inc. Finance Committee and Board of Directors. Finally, the 990 is filed as required. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts On an annual basis all officers, directors, trustees, and key employees are required to complete a conflict of interest disclosure statement. The data is compiled, and the Froedtert Health, Inc. Vice President-Chief Compliance Officer (CCO), the Senior Vice-President-General Counsel and/or delegate will review all forms and notifications to determine if any conflicts of interest exist in the disclosure documents. If it is determined that a conflict of interest exists, then the individual making the disclosure shall be relieved of his/her obligations on behalf of Froedtert Memorial Lutheran Hospital with respect to the transaction or arrangement that creates the conflict of interest. A report of all conflicts of interest will be made by the CCO at least annually to the Froedtert Health, Inc. Finance Committee of the Board of Directors. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management Compensation of Top Management is paid by a related organization but a review is performed. In establishing the compensation of the organization's Top Management, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Froedtert Health, Inc. (the related parent organization) Board of Directors.In addition, there is contemporaneous documentation and recordkeeping for deliberations and decisions regarding the compensation arrangements. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of several Officers is paid by a related organization but a review is performed. In establishing the compensation of the organization's Officers, independent compensation consultants are utilized, compensation studies are completed to gather comparative data, persons with a conflict of interest regarding the compensation arrangements at issue are not involved in the decision making process, and amounts are reviewed and approved by the Compensation Committee of the Froedtert Health, Inc. (the related organization) Board of Directors. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Froedtert Health, Inc.'s quarterly financial information is made available to the public online through the Digital Assurance Corporation, Inc. website. Anyone can register to receive ongoing access to and notifications regarding financial statements at the online website.Additionally, Governing Documents and Conflict of Interest Policy are made available to the public through the corporate office upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases Change in APB other than net periodic benefit = -$5360317 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in beneficial interest in Foundation = -$260007 Other Changes In Net Assets Or Fund Balances - Other Decreases FHF Contributions = -$1162462 Other Changes In Net Assets Or Fund Balances - Other Decreases Forgiveness of receivable from Foundation = -$852022 Other Changes In Net Assets Or Fund Balances - Other Decreases Rounding = -$367 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfers to affiliates = -$85972000 Part III 4b (continued) Heart and Vascular Center. The Heart and Vascular Center provides a complete range of specialized programs to diagnose and treat heart disease and vascular disease from the common to the complex. Our program offers a comprehensive array of services, including: wellness and preventive services, diagnostics, endovascular procedures, minimally invasive surgery, and surgical procedures. Our staff and physicians treat a wide range of heart and vascular conditions. Our physicians are highly skilled and experienced in treating heart and vascular disease and have access to state-of-the art technology enabling care across the continuum from prevention to complex interventions. Innovative programs include: Adult Congenital Heart Disease, Advanced Heart Failure & Cardiac Transplant, Aortic Disease, Arrhythmia & Atrial Fibrillation, Coronary Artery Disease, Hereditary Hemorrhagic Telangiectasia, Hypertrophic Cardiomyopathy, Preventive Cardiology & Lipid Therapy, Peripheral Arterial Disease, Pulmonary Hypertension, Valvular Disease, Venous & Vein Disease, Women & Heart Disease and Vascular and Cardiac Second Opinion Program. Care is provided in a number of outpatient areas and supported by inpatient care in the Cardiac Nursing Unit and Cardiovascular Intensive Care Unit. The Center is staffed by Cardiologists, Cardiac Surgeons, Vascular Surgeons and Interventional Radiologists as well as nursing and technical staff. We are the first health system in the nation to implement SMARTCare, a program linking evidence-based tools and resources with electronic health records to help determine the most effective options for cardiac patients. The program enhances the shared-decision making process, reduces unnecessary diagnostic testing, and improves quality metrics. Some distinctions for our Heart and Vascular Center are as follows:- Froedtert Hospital is one of only three providers in the state that meets The Joint Commissions stringent volume and clinical quality requirements in order to be awarded the Gold Seal of Approval for their Adult Ventricular Assist Device (VAD) Destination Therapy Program.- The Heart and Vascular Centers at Froedtert Hospital is designated as a Blue Distinction Center for Cardiac Care by Blue Cross Blue Shield. Recognized centers meet overall quality measures for patient safety and outcomes, developed with input from the medical community.- The Froedtert & the Medical College of Wisconsin Hereditary Hemorrhagic Telangiectasia (HHT) Program at Froedtert Hospital is one of only 21 in the country designated by the HHT Foundation as a Center of Excellence. Centers meet guidelines established by the foundation and provide a coordinated team of experts to treat patients with HHT.- The echocardiography lab at Froedtert Hospital received triple accreditation from the Intersocietal Accreditation Commission for Echocardiography Laboratories. The certification means the lab meets standards for transthoracic echo, stress echo and transesophageal echo procedures.- The Pulmonary Hypertension Program is the only one in Wisconsin accredited as a Pulmonary Hypertension Care Center by the Pulmonary Hypertension Association. Our exceptional, board-certified physicians and other team members are dedicated to improving the quality of life for individuals affected by pulmonary hypertension in all of its forms.- Froedtert Hospital has received accreditation as a Chest Pain Center with Primary PCI and Resuscitation by the Society of Cardiovascular Patient Care. This accreditation recognizes hospitals that demonstrate commitment to and utilization of evidence-based science, quality initiatives, ACC/AHA guidelines and clinical best-practices to produce the most effective care delivery model for Acute Coronary Syndrome patients. Froedtert Hospital is one of only two hospitals in the state of Wisconsin with this highest level of Chest Pain accreditation.-The Vascular Lab at Froedtert Hospital received accreditation from the Intersocietal Accreditation Commission for Vascular Testing. This accreditation notes the Vascular Lab meets standards for extracranial, intracranial, visceral vascular, peripheral aterial, and peripheral venous ultrasound imaging.- Froedtert Hospital has earned the American Heart Association's Get with the Guidelines - Heart Failure Silver Plus award. This award is an advanced level of recognition acknowledging Froedtert for consistent compliance with Quality Measures for 12 consecutive months, the length of time we've been participating in the program.Froedtert Memorial Lutheran Hospital, Inc. is affiliated with the Cleveland Clinics Heart & Vascular Institute; which is ranked #1 in the nation for heart care since 1995 by the US News & World Report. With this affiliation, patients benefit from:- Access to best practices that help make the Cleveland Clinics heart program #1 since 1995.- The ability to stay close to home while being treated by Froedtert's cardiac specialists who are collaborating with the Cleveland Clinic on the latest treatments available.- Many experts weighing in on the best treatment options for each individual case.- For the most recent year, Froedtert Hospital is a top performer in mortality for Cardiology and Vascular Surgery service lines in the Vizient (formerly UHC) database, ranking in the top 10% nationally.Women's Health. Froedtert Hospital offers comprehensive programs to meet the needs of women of all ages. The span of services includes a Birth Center with easy access to the Children's Hospital of Wisconsin Neonatal Intensive Care Unit and a Maternal Fetal Center that provides specialized care for women experiencing all types of high risk pregnancies. In collaboration with Children's Hospital of Wisconsin, Froedtert Hospital offers the Fetal Concerns Program, the state's only program for fetal anomalies, such as birth defects and genetic disorders. Froedtert Hospital also offers reproductive medicine/fertility services and maintains a comprehensive Breast Care Program. Froedtert Hospital had 2,286 births during the twelve months ended June 30, 2016.Pulmonary and Critical Care Medicine. Physicians in this division evaluate and treat people with a range of disorders including: asthma, emphysema, infectious lung diseases, lung cancers, chronic obstructive lung disease, pulmonary hypertension and many others. Froedtert was among the first in the nation to use PET/CT imaging technology for early detection of cancerous lung tumors. Froedtert Hospital established a fully accredited adult cystic fibrosis center in 2003. A pulmonary function diagnostic laboratory provides complete services for evaluation, diagnostic and follow-up studies. Froedtert Hospital has 5 intensive care units with 79 beds.Froedtert Hospital's Medical Intensive Care Unit achieved a silver-level American Association for Critical-Care Nurses Beacon Award for Excellence. Surgery. Comprehensive surgical services are provided at Froedtert Hospital, including tertiary surgical services in cardiothoracic, minimally invasive/gastrointestinal (including bariatric), oral/maxillofacial, pancreatobiliary/endocrine, surgical oncology, transplant, trauma and critical care, and vascular surgery. In addition, the department supports high-complexity procedures with robotic surgery and hybrid imaging. The surgery program actively participates in ongoing research through its Clinical Research Initiative. Froedtert Hospital performed 8,530 inpatient surgeries and 12,587 outpatient surgeries during the twelve months ended June 30, 2016.Transplant Surgery. Our Transplant Center is a joint program with Childrens Hospital of Wisconsin. The center receives vital support for tissue typing and research initiatives from BloodCenter of Wisconsin. The Center offers a full range of transplant services for adult and pediatric patients, including kidney, living donor kidney, paired kidney exchange, liver, living donor liver, pancreas, heart, lung and bone marrow transplants. The Organ Transplantation Institute's multidisciplinary approach draws upon the broad range of resources and expertise available through a variety of specialties within our campus. As an academic medical center, we are at the forefront of new developments and information, and we can help patients explore all available treatment options. We offer education classes for potential transplant patients and their families as well as for medical personnel in the community and work closely with Wisconsin Donor Network, the federally designated organ procurement organization supporting the transplant community in eastern Wisconsin. Froedtert Hospital performed the following transplants during the twelve months ended June 30, 2016:Heart 2Lung 7Kidney 68Liver 28Pancreas 2 Blood and marrow 285 Part IX 24a Corporate Allocations Froedtert Health, Inc. allocates certain revenues and expenses to related organizations: Froedtert Memorial Lutheran Hospital, Community Memorial Hospital of Menomonee Falls, St. Joseph's Community Hospital, and Froedtert & The Medical College of Wisconsin Community Physicians, Inc.. The allocation is calculated by applying an allocation metric to each accounting unit at Froedtert Health, Inc. Each entity then receives its portion of the Froedtert Health, Inc. allocation on a monthly basis. Sch H, Part V, Section B, Line 11 (continued 1) Program: Partnership Community Based Clinical Service and Community Health Worker ModelCHNA Area of Focus: Access to Care/Chronic Disease Health Need: Lack of awareness of what services and programs exist for community members in Milwaukee County Fragmented coordination of care and difficult to navigate resources in Milwaukee County 12 % of Milwaukee County residents did not seek medical care due to cost 18% of Milwaukee County residents did not take medication due to cost 19% of Milwaukee County residents rate their health as poor 11% of Milwaukee County residents are using the emergency department as their only source of access to healthcare 4% of Milwaukee County residents are uninsuredAlign health system resources with identified health needs in the Community Health Improvement Plan for Milwaukee County (health literacy, care navigation, community health worker, effective models, and best practice). Develop and demonstrate capabilities in population health and risk management.Recruit and train individuals on Community Health Worker Model.Internal Resources: Community Engagement Staff and FMLH Financial counselors Collaborative Partners: Sixteenth Street Community Health Center Progressive Community Health Center Outreach Community Health Center Aids Resource Center of Wisconsin United Methodist Children Services Milwaukee Area Health Education Center Core El Centro Milwaukee County Health Departments Neighborhood Organizations Milwaukee Health Care Partnership Food Pantries in Milwaukee County Medical College of Wisconsin Housing Authority Faith based communities serving low socioeconomic areas Objectives: Increase self-management in high risk populations by addressing social determinants in health Expand health resources to assist, support, and navigate through community based clinical services and insurance coverageOutcomes:Sixteenth Street Community Health Center An investment from the Froedtert will help establish a new 22,000-square-foot federally qualified health center on Milwaukees near south side. In addition to primary care provided by Sixteenth Street physicians, the new clinic will provide specialty care, cancer prevention and education, and access to cancer clinical trials through MCW physicians and Froedtert.Progressive Community Health Centers Progressive Community Health Centers new Lisbon Avenue Health Center, a federally qualified health center, provides primary and dental care in an area of Milwaukee where access to health care services is a significant need.a. Progressive Community Health Center Imaging Suite project has been underway in fiscal year 2016 with anticipated completion set for February 2017. All required and critical parties for project completion have been identified; Progressive has required Commitment to Fund letter for Change In Scope submission; IT and equipment deliverables timeline has been established; Progressive employee access to Froedtert online training modules for continuing education is up and running. b.Launching in FY17, planning has been underway for a Community Health Worker (CHW) in partnership with United Methodist Childrens Services (UMCS) to focus on high Emergency Department utilizers in 53208/53206 neighborhoods; working on establishing contracts. Exploring the connection to the Emergency Department Care Coordination program to support the continuum of care in partnership with social work/case management team. Outcome data has been developed for the CHW at United Methodist Childrens Services. c. In FY 2016, Froedtert Hospital provided $400,000 towards a commitment of a $2 million dollar pledge for the new health center and expanded services at the Lisbon Ave. Health Center.The community health worker (CHW) is responsible for offering culturally appropriate outreach to targeted populations with the goal of decreasing health disparities. The CHW will provide health education in the areas of prevention, early identification, health maintenance and provide assistance with healthcare access and community resources in the 53208 area in Milwaukee County. Froedtert Hospital will provide United Methodist Children service /Washington Park Partners grant funding to support the Community health workers role for 0.5 FTE position. Data metrics will be reported quarterly to Froedtert Hospital and in addition the Community Health worker will provide care coordination and system navigation for Froedtert Hospitals high emergency room utilizers in collaboration with Froedtert Healths emergency care coordination program. This will include; providing home visits and attending healthcare appointments with patients; and helping the patient to navigate the healthcare environment.Program: Partnership Community ClinicsCHNA Area of Focus: Access to CareHealth Need: 12% of Milwaukee County residents did not seek medical care due to cost 18% of Milwaukee County residents did not take medication due to cost 19% of Milwaukee County residents rate their health as poor 11% of Milwaukee County residents are using the emergency department as there only source of access to healthcare 4% of Milwaukee County residents are uninsuredProvide primary care access in Milwaukee CountyInternal Resources: Community Engagement staff F&MCW primary care clinics FMLH DieticiansCollaborative Partners: Sixteenth Street Community Health Center Milwaukee County Health Departments Meijer or local grocery stores Progressive Community Health Center AIDS Resource Center of Wisconsin Outreach Community Health Center Milwaukee Health Services Milwaukee Health Care Partnership Outpost Victory Gardens Hunger Task Force Feeding America Faith based communities serving low socioeconomic areasObjective: Expand access to care and healthcare services to vulnerable populations in Milwaukee County.Outcomes: Froedtert Memorial Lutheran Hospital participates in the Specialty Access for the Uninsured Program (SAUP) recognized the need for specialized care that may not be available for patients at Community Clinics. Patients are referred from their FQHC, meeting financial requirements, and the cost of their specialty care is covered under the SAUP program through Healthy Wisconsin Partnership Program (HWPP). Froedtert Hospital received 249 referrals to our specialists for a complete continuum of care. Program: School Health ProgramCHNA Area of Focus: Access to CareHealth need Access to health services continues to emerge in Milwaukee County. Data demonstrates families located in lower socioeconomic status areas in Milwaukee County have greater health disparities. Zip codes with lower socioeconomic status include; 53218, 53216, 53210, 53206, 53212, 53205, 53208, 53233, 53204, 53215Reach underserved population with accessible affordable health services.Internal Resources: Community Engagement staff. Collaborative Partners: Milwaukee Public Schools (MPS) Westside Academy schools Progressive Community Health Center Smart Smiles Dental Program Childrens Hospital of Wisconsin Milwaukee County Health DepartmentsThe school nurse program is a collaborative between Froedtert Memorial Lutheran Hospital, Milwaukee Public School and Progressive Community Health Center, the local FQHC in the neighborhood. Froedtert Hospital provides a full-time school nurse for students in at Westside Academy I & II, a K-8 Milwaukee Public School charter school serving over 200 students and their families offering care for chronic disease as well as case management services during the school year.Objectives: Improve the educational performance and well-being of school aged childrenOutcomes: School Attendance: 93%Return to Class Rate: 97%Immunization Compliance: 96%# Students Receive Sealants from Seal a Smile: 92 (277 teeth) 263 students seen# Medications given: 523#Withdrawals/Additions: 33 drop/106 add# of visits logged to RN: 989% students with chronic diseases: 35% (191 conditions total/142 students with chronic conditions)Health Lessons Taught:Staff in-service on blood borne pathogens/AED/Code Blue/Allergies/DPI inhaler administration training and health to start school yearCommunity Learning Center (CLC) after school program DPI medication certification training done for staff on 9/9-9 staffHand Washing/Sneeze in Sleeve K3-Rm. 3 (25 students total)Nutrition Education Room 37-11 3rd graders and Rm. 31- 32 5th grade studentsProgram: Injury and Violence prevention programs/partnershipsCHNA Area of Focus: Injury & ViolenceHealth need: Injury and Violence were among the top three concerns in Milwaukee County. Issues identified from Milwaukee County key informants and residents included; domestic and intimate partner violence, childhood trauma, youth violence, and gun violence. There was an identified need for collaboration among community partners across sectors in Milwaukee County 10% of Milwaukee County residents had experienced one personal safety issue in the last year. 10,919 hospitalizations for injuries for Milwaukee County. 7,953 Milwaukee County Emergency Depart Sch H, Part V, Section B, Line 11 (continued 2) Internal resources: FMLH Inpatient and Outpatient departments FMLH & MCW Trauma team MCW Emergency Medicine teamCollaborative partners: Milwaukee County Homicide Review Board Medical College of Wisconsin Sojourner Peace Center Benedict Center Neighborhood Associations Milwaukee Public Schools Safe and Sound Milwaukee County Fire Departments Milwaukee County Police Departments Milwaukee County Health Departments Milwaukee County Public and Private Schools National Black Nurses Association- Milwaukee Chapter Holy Cathedral- Word of Hope Ministries Project Safe Neighborhoods Black Health Coalition Washington Park Neighborhood Faith based communities serving low socioeconomic areasObjectives: Injuries Increase awareness of dangers related to distracted driving Increase awareness of slips, trips, and falls ViolenceCollaborate with community partners across sectors to inform programming being brought to the Washington Park neighborhood.Outcomes: As a Member of the Milwaukee County Homicide review board; will attend quarterly meetings on a quarterly basis.Activity Date Location Community Partner members reachedSr. Olympics......9/1/16.......Menomonee Falls.........................125Fall PreventionMock Crash Prep...9/28/15......St Camillus.............................20 ...9/23/15......Burlington HS.....HS Staff, parents, ....10 EMS, PoliceMock Crash........9/30/15......Burlington........HS, Staff, parents......300 EMS, Police, Funeral homeGreenfield ENCARE..10/8/15.....Greenfield HS.....HS students.............140Boys & Girls ClubFitzsimonds........11/18/15....Milwaukee,........Parents, staff, children...300Boys & girls Club(Davis).............12/10/15....Milwaukee........Parenst,staff,children......300Greenfield HSENCARE..............3/10/16.....Greenfield.......HS Students................300Fall PreventionPresenation..........4/14/16....Wauwatosa........Milwaukee Residents.........28New Berlin WestHS Mock Crash........4/20/16....New Berlin West HS....HS Students............400Franklin HSENCARE...............4/29/16.....Franklin HS..........HS Students............125Franklin HSENCARE...............5/2/16......Franklin HS..........HS Students............300Pewaukee HSCareer Day...........5/19/16.....Pewaukee HS..........HS Students.............150Kewaskum.............5/24/16 Kewaskum Grade School....School District.....150Program: Partnership with community organizations and health service agenciesCHNA Area of Focus: Behavioral HealthHealth Need: 18% of Milwaukee County residents reported having mental health conditions Milwaukee County residents reported in increase in opioid and prescription drug abuse. Milwaukee County has seen an increase in suicide death ratesReach underserved population with accessible affordable health services Define behavioral health strategy as it relates to community health improvement plan for Milwaukee CountyInternal Resources: FMLH Community Engagement staff FMLH Case Management FMLH Care Coordinators FMLH & MCW Emergency Medicine staffCollaborative Partners: Behavioral Health Division Milwaukee County Health and Human Services in Milwaukee County National Association of Mental Illness United Way of Greater Milwaukee & Waukesha County Opioid and Heroin Task Force in Milwaukee County Milwaukee Police Department Milwaukee Public Schools Milwaukee Center for Independence Progressive Community Health Center Washington Park Outcomes:Behavioral Health - Partnership with community organizations and health service agenciesa.Attended two meetings with the Milwaukee County Substance Abuse Prevention Committee and participating on the opioid/heroin task force subcommitteeb.West Allis Heroin Task Force - attend monthly meetingsc.Working with business intelligence on data collection of opioid/heroin overdoses presented to our emergency department and locations in the last three years. Utilize data to drive population focused effortsd.Partnering with MCW - opioid/heroin group (injury and violence department) Sch H, Part V, Section B, Line 11 (continued 3) Implementation Planning ProcessUnder the direction of the Community Engagement Leadership Team and a trained meeting facilitator; the planning process included five steps in developing the Implementation Plan:1. Reviewed the Community Health Needs Assessment results for identification and prioritization of community health needs2. Reviewed previous implementation plan programs and results3. Reviewed current hospital and community health improvement initiatives and strategies4. Ranked and selected priority areas5. Selected evidence-based strategies, partnerships and programs to address community health needsAfter several facilitated workout sessions in January 2016 - March 2016, findings from the assessment were categorized into 9 areas: Mental Health, Chronic Disease Management, Access to Care, Injury and Violence Prevention, Physical Activity and Nutrition, Alcohol and Other Drug Abuse (AODA), Cancer Prevention, Teen Pregnancy, and Infectious Disease. To identify the top ranked priorities, members of the advisory committee were asked to rate each priority based on the following criteria: feasibility of Froedtert Hospital to address the need (direct programs, clinical strengths, and dedicated resources), and achievable measurable outcomes. Of those ten health needs categories, four overarching themes were identified as the focus for Froedtert & Medical College of Wisconsin Implementation Plan for fiscal 2016-2018: Chronic Disease Management Injury & Violence Access to Care and Navigation Behavioral HealthAREAS NOT ADDRESSEDOral & Dental Health Services: Froedtert Hospital does not have dedicated resources to provide dental services in Milwaukee County. .- Category: Health Care Access- Milwaukee County: 18% reported unment oral/dental needs- Explanation: Froedtert Memorial Lutheran Hospital does not have the dedicated resources. There are other health systems and local organizations dedicated to improve access to dental care. Teen Pregnancy: United Way of Greater Milwaukee and Waukesha County, City of Milwaukee Health Department and a number of non-profit agencies are working on this issue.- Category: Sexual Health- Milwaukee County: 23% reported teen pregnancy as a top issue *from 2012-2015 there was a statistical decrease in the overall percent of respondents who reported teen pregnancy as one of the top health issues in the community. - Explanation: United Way of Greater Milwaukee and Waukesha County and the City of Milwaukee Health Department are the lead agencies in reducing teen pregnancy in the community.Oral Health: Froedtert Memorial Lutheran Hospital do not have dedicated resources. Other community organizations are dedicated to providing these services. Tobacco Use and Exposure: School- based anti-tobacco programs, City of Milwaukee Health Departments, increased costs of tobacco products were listed as strategies in place to combat this issue- Category: AODA- Milwaukee Counnty: 19% of respondents were current tobacco and cigarette user; 21% of nonsmokers were exposed to second-hand smoke - Explanation: School- based anti-tobacco programs, City of Milwaukee Health Departments, increased costs of tobacco products were listed as strategies in place to combat this issue. Mental Health: Froedtert Hospital does not have the dedicated resources; however leaders and staff are partnering with local agencies on strategies and tactics to address this issue throughout the county. - Category: Mental Heatlh AODA- Milwaukee County: 31% of respondents reported mental health/depression as a top health issue. *From 2003 to 2015, there was a statistical increase in the overall percent of respondents who reported they considered suicide in the past year- Explanation: Froedtert Memorial Lutheran Hospital does not have existing resources to combat this issue. There are other local health and human service agencies and organizations dedicated to this issue. 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