2015-08-14T13:21:38-05:00 2014-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2013-10-01 900054984 CAPE COD HEALTHCARE INC & AFFILIATES % MICHAEL L CONNORS CAPE 5087711800 25 COMMUNICATION WAY Suite HYANNIS MA 02601 MICHAEL L CONNORS SR VP FINANCE/CFO 5087711800 2015-08-10 true GWEN SPENCER P00641463 5087711800 2013 2016-04-25 22:37:26Z MICHAEL K LAUF 25 COMMUNICATION WAY HYANNIS MA 02601 752058739 true true 3901 X WWW.CAPECODHEALTH.org X SEE SCHEDULE O 16 9 5135 871 3779069 1059076 17223613 9458675 698271349 730482375 6961356 9927971 2111122 2138383 724567440 752007404 0 0 0 0 409611935 390464660 0 81984 3195948 269695585 323213210 679307520 713759854 45259920 38247550 777546154 840539548 273721096 294045499 503825058 546494049 X SEE SCHEDULE O false false 643557734 730482375 PATIENT SERVICES - SEE SCHEDULES H AND O 643557734 true true false true false false false false false true true true false false true false false true false true true false false true true false true true false false true true false false false false false false false false true true true false false false false true true true false false true 129 0 true 5135 true true true false false false false true true false false false false X 16 9 true false false false true true true true true false false true true true true true true false true true true MA X MICHAEL L CONNORS 5089578540 25 COMMUNICATION WAY HYANNIS MA 02601 X ROBERT BIRMINGHAM TRUSTEE 2.0 2.0 X ELEANOR CLAUS TRUSTEE 2.0 2.0 X HOWARD CROW JR TRUSTEE 2.0 2.0 X PHILIP MCLOUGHLIN TRUSTEE 2.0 2.0 X MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 55.0 5.0 X X 0 1075126 225138 GROVER BAXLEY MD TRUSTEE - SEE SCH J, PART III 40.0 2.0 X 295248 0 12171 NATE RUDMAN MD TRUSTEE 2.0 2.0 X JOEL CROWELL TRUSTEE 2.0 2.0 X SUZANNE FAY GLYNN ESQ TRUSTEE 2.0 2.0 X PATRICK M FLYNN MD TRUSTEE FROM 2/14 2.0 2.0 X 110158 0 0 DEWITT DAVENPORT TRUSTEE/VICE CHAIR FROM 5/14 2.0 2.0 X X DIANE COLETTI TRUSTEE 2.0 2.0 X WILLIAM AGEL MD TRUSTEE - SEE SCH J, PT III 40.0 2.0 X 483444 0 44538 DOUGLAS MANN MD TRUSTEE UNTL 1/14 SCH J PT III 2.0 2.0 X 32400 0 0 THOMAS WROE JR CHAIRMAN/TRUSTEE 2.0 2.0 X X WILLIAM ZAMMER SEE SCHEDULE O FOR TITLE 2.0 2.0 X X SUMNER B TILTON JR TRUSTEE/TREASURER 2.0 2.0 X X MICHAEL G JONES Sr VP Chief Legal Off/Clerk 55.0 5.0 X 0 419610 75386 MICHAEL L CONNORS SENIOR VP FINANCE/CFO 55.0 5.0 X 0 487113 82835 CHRISTOPHER O'CONNOR SVP DEVELOPMENT (UNTIL 3/13) 45.0 5.0 X 0 97102 18836 DIANNE C KOLB President VNA 45.0 5.0 X 0 277287 61550 SUSAN M WING INTERIM COO FAL 8/13-12/13 45.0 5.0 X 0 110724 19649 DAVID RYAN VP of HR (until 2/13) 45.0 5.0 X 0 272217 14241 JEANNE FALLON SR VP & CIO 45.0 5.0 X 0 299580 65686 ROBERT KLEINBAUER President - MACC 45.0 5.0 X 0 223565 54805 JEFFREY S DYKENS VP FI-12/13,COO FAL HOSPITAL 45.0 5.0 X 0 248201 57824 Patrick Kane SVP OF MRKTG,COMMUN AND DEVLP 45.0 5.0 X 0 380534 55040 ARTHUR MOMBOURQUETTE COO 45.0 5.0 X 0 472874 48272 THERESA M AHERN SVP, STRAT, COMMUNITY/GOV REL. 45.0 5.0 X 0 257035 43871 JAMES BUTTERICK CMO FAL HOSP 11/13-8/14 45.0 5.0 X 0 162637 31071 VICTOR OLIVEIRA VP OF PATIENT SERVICES 45.0 5.0 X 0 277425 59941 JOHN LIPOMI SR VP OF MANAGED CARE 45.0 5.0 X 0 429345 73306 DONALD GUADAGNOLI CMO CAPE COD HOSPITAL 45.0 5.0 X 0 507192 90340 EMILY TIERNEY MD PHYSICIAN 40.0 X 1440608 0 36462 RICHARD B ZELMAN MD PHYSICIAN 40.0 X 1364900 0 44538 ACHILLE PAPAVASILIOU MD PHYSICIAN 40.0 X 984676 0 61374 PAUL HOULE MD PHYSICIAN 40.0 X 919788 0 59077 GORDON NAKATA MD PHYSICIAN 40.0 X 853167 0 62528 RICHARD F SALLUZZO MD FORMER PRESIDENT/CEO X 0 407371 10856 6484389 6404938 1409335 561 true true false CAPE COD EMERGENCY ASSOC C/O DEPAOLA BEGG ASSOC 220 W MA HYANNIS MA 02601 PHYSICIAN SERVICES 11775945 SWITCH GEARS DEPARTMENT 3004 PO BOX 4110 WOBURN MA 018884110 RENTAL SERVICES 472849 MCKESSON PO BOX 630693 CINCINNATI OH 452630693 MEDICAL SUPPLIES 398195 ENCLARA HEALTH 1480 IMPERIAL WAY WEST DEPTFORD NJ 08066 MEDICINE 304904 DELTA HEALTH TECHNOLOGIES 400 LAKEMONT PARK BLVD ALTOON PA 16602 BILLING SOFTWARE 255450 12 18900 1352560 8087215 3600008 9458675 PATIENT SERVICE REVENUE 900099 703410779 703410779 LABORATORY SERVICES 621500 10632288 7190769 3441519 QUALITY EARNED PAYMENTS 900099 4719306 4719306 PROGRAM RELATED RENTAL INCOME 900099 3366942 3029392 337550 MEANINGFUL USE 900099 3932228 3932228 4420832 4420832 730482375 3486933 3486933 0 0 0 0 0 6748167 -307129 6748167 -307129 6441038 6441038 101475 18900 51335 50140 50140 0 0 CAFETERIA INCOME 900099 1658979 1658979 MEDICAL RECORDS 900099 166021 166021 EMPLOYEE PHARMACY 900099 263243 263243 2088243 752007404 726703306 3779069 12066354 0 0 0 0 835850 835850 213943 213943 299176528 267799648 30524412 852468 9161104 7906029 1220976 34099 60898125 54374738 6360624 162763 20179110 17778779 2335117 65214 5404201 3588743 1815458 165510 19475 146035 720475 185971 534504 0 81984 81984 1115750 97454 1018296 31023271 31023271 751128 698865 52263 4530524 4228085 275281 27158 7330709 6638808 691901 0 17119176 15869630 1168100 81446 3899701 3730291 169410 0 0 8924551 8048462 876089 0 25068691 22740045 2323673 4973 4065731 3754235 307842 3654 MEDICAL SUPPLIES 86723026 86723026 ADMINISTRATION OFFICE 51485344 38846340 12147552 491452 PURCHASED SERVICES 41986094 38804571 3125639 55884 REPAIRS AND MAINTENANCE 12167465 11048102 1119363 20731863 18603373 793637 1334853 713759854 643557734 67006172 3195948 10221189 44261570 30111315 1396733 14386280 12191245 73140358 74024491 0 0 0 0 5572180 8717855 9381662 9739041 6397099 7338565 633005253 351340130 269928790 281665123 0 0 329538422 366416821 521500 15263755 0 9157829 28347359 10366520 777546154 840539548 62867476 65776832 0 0 426495 483185 177437324 193474770 0 0 0 0 0 0 0 0 32989801 34310712 273721096 294045499 X 423316971 461827422 51783242 53273519 28724845 31393108 503825058 546494049 777546154 840539548 X 38247550 4403962 17479 X false true X true true true X 15478190 19646382 13524136 17223613 9458675 75330996 0 0 15478190 19646382 13524136 17223613 9458675 75330996 2081564 73249432 -5020229 1811992 2203229 680260 3486933 3162185 1124726 824627 814019 187290 1039230 3989892 1898552 1879867 2261728 2163050 2088243 10291440 92774513 3387565516 0.78954 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1 1 false PART II-B, LINE 1I FALMOUTH HOSPITAL ASSOCIATION, INC. AND CAPE COD HOSPITAL PAY MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND MASSACHUSETTS HOSPITAL ASSOCIATION WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 36060986 1925651 1613999 728633 38872003 35475473 60508 1238094 713089 36060986 32638639 435091 3092757 691014 35475473 34043109 361842 -1080437 685875 32638639 31383995 1110670 2116186 567742 34043109 1.00000 false true true 22540423 22540423 359453254 143423763 216029491 3147822 2580688 567134 244834458 204671313 40163145 3029296 664366 2364930 281665123 LONG-TERM INVESTMENTS 270226428 F AGREEMENT / INDENTURE 25445519 F TEMP RESTRICTED INVESTMENTS 36360153 F PERM RESTRICTED INVESTMENTS 31313108 F SHORT TERM INVESTMENTS - FDN 3071613 F 366416821 0 DUE TO AFFILIATES 14904133 EST. SETTLEMENTS W 3RD PARTIES 16762521 OTHER LONG-TERM LIABILITIES 2585149 ABANDONED PROPERTY 58909 34310712 SCHEDULE D, PART V, LINE 4 THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO FURTHER THE HEALTHCARE MISSION OF CAPE COD HEALTHCARE AND ITS AFFILIATES. SCHEDULE D, PART X THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL. Central America and the Caribbean 1 Program Services CAPTIVE INSURANCE 3475656 1 1 3475656 3475656 false false false false false false SCHEDULE F, PART I, COLUMN F EXPENSES ARE CODED IN THE GENERAL LEDGER TO THE CAPTIVE INSURANCE COMPANY. X X X X X X true VDMBorns Group DIRECT MAIL Solicitatio false 312357 81984 230373 312357 81984 230373 CT FL ME SC GALA EVENT 120375 18900 101475 3000 36835 7500 4000 0 120375 18900 101475 3000 36835 7500 4000 51335 50140 true true X true X true X true true false true true 7725346 3507849 4217497 0.00600 70948643 50434113 20514530 0.02910 20945171 15033976 5911195 0.00840 99619160 68975938 30643222 0.04350 2549898 0 2549898 0.00360 922940 176875 764065 0.00110 107654347 91947844 15706503 0.02230 0 0 0 1413028 0 1413028 0.00200 112540213 92124719 20433494 0.02900 212159373 161100657 51076716 0.07250 841449 841449 0.00120 true 8504340 4253147 264001093 258264245 5736848 X true true 2 1 CAPE COD HOSPITAL 27 PARK STREET HYANNIS MA 02601 SEE PART V, SECTION C 2135 X X X A 2 FALMOUTH HOSPITAL ASSOCIATION INC 100 TER HEUN DRIVE FALMOUTH MA 02540 SEE PART V, SECTION C 2289 X X X A A true X X X X X X X X X 13 true true true X SEE PART V, SECTION C X X X X X X X false false true true true true X X X X X true true X X X X true false true X false false PART V, SECTION A WEBSITES PART V, SECTION A, LINE 1 - CAPE COD HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/CAPECOD-HOSPITAL PART V, SECTION A, LINE 2 - FALMOUTH HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/FALMOUTH-HOSPITAL PART V, SECTION B, LINE 5A WWW.CAPECODHEALTH.ORG/ABOUT/CARING-FOR-OUR-COMMUNITY PART V, SECTION B, LINE 3 Cape Cod Hospital and Falmouth Hospital followed proposed and pending IRS regulations and MA Attorney General Guidelines to conduct the most recent community health needs assessment of populations living in the service area of Barnstable County. Input from persons who represent the broad interests of the community was collected from over 80 community organizations that participated in the community health needs assessment process through focus groups, key informant interviews and community input forums. Five focus groups were held in three locations across the service area. Preliminary health status data for Barnstable County and priorities set by previous community health needs assessments were reviewed to determine focus group topics and discussion guides. Focus group discussions focused on the issues of youth, mental health, substance abuse, vulnerable populations, barriers to access of health care services and emerging public health needs. Participants were recruited to focus groups based on their areas of expertise concerning the topics, their broad knowledge of the community or the populations that they represented which included the medically underserved, low-income, minority and vulnerable populations. In addition to focus groups, key informant interviews were conducted with individuals involved in non-profit organizations, public health, law enforcement, health care and social services. The discussion guide prepared for the focus groups was utilized for the interview in order to maintain uniformity in qualitative responses. In addition, two community input forums were hosted to present the identified significant community health needs, receive feedback from community leaders, public health experts and those representing the broad interests of the community, and provide an opportunity for input on the prioritization of identified needs via a post-forum electronic survey. Representatives from the following community organizations participated in focus groups, key informant interviews and community input forums: AIDS Support Group of Cape Cod American Cancer Society Barnstable County Human Rights Commission Barnstable County Human Services Barnstable County Public Health Nurse Barnstable School System Big Brothers Big Sisters of Cape Cod and the Islands Bourne Council on Aging Boys & Girls Club of Cape Cod Cape & Islands Emergency Medical Services System Cape & Islands United Way Cape and Islands Suicide Prevention Coalition Cape Cod Center for Women Cape Cod Community College Cape Cod Council of Churches Cape Disability Network Cape Cod District Attorney's Office Cape Cod Foundation Cape Cod Healthcare Diabetes Center Cape Cod Healthcare Infectious Disease Services Cape Cod Healthcare Regional Cancer Network Cape Cod Healthy Families Cape Cod Immigrant Center Cape Cod Justice for Youth Collaborative Cape Cod Justice for Youth Board Cape Cod Medical Reserve Corps Cape Cod Neighborhood Support Coalition Cape Cod WIC Cape& Islands Gay Straight Youth Alliance CCH Patient and Family Advisory Committee Champ Homes Child and Family Services Children's Study Home COAST (COA's Serving Together) Community Health Center of Cape Cod County Network of Cape Cod Duffy Health Center Elder Services of Cape Cod and the Islands Emerald Physicians Falmouth Housing Authority Falmouth Human Services Falmouth Police Department Falmouth Prevention Partnership Falmouth Service Center Freedom from Addiction Network Gosnold on Cape Cod Health Imperatives Health Imperatives - Hyannis Family Planning Helping Our Women HOPE Dementia and Alzheimer's Services of Cape Cod Hope Health Hyannis Youth and Community Center Kennedy Donovan Center Lower Cape Outreach Council Lyme Awareness of Cape Cod MA Department of Mental Health - Cape Cod Mashpee Council on Aging Mashpee Housing Authority Maternal Depression Task Force National Multiple Sclerosis Society Oral Health Excellence Collaborative Parish Nurse Ministries of Cape Cod Provincetown Council on Aging Reaching Elders with Additional Community Help (REACH) Samaritans on Cape Cod and Islands Sandwich Council on Aging Sandwich Housing Authority Serving the Health Information Needs of Others (SHINE) South Bay Mental Health Specialty Network for the Uninsured St. John's Episcopal Project Truro Council on Aging Veterans Outreach Council Visiting Nurse Association of Cape Cod Women and Adolescent Health at Community Health Center of Cape Cod YMCA of Cape Cod Youth Suicide Prevention Project PART V, SECTION B, LINE 4 The community health needs assessment was conducted jointly by Cape Cod Hospital and Falmouth Hospital. PART V, SECTION B, LINE 7 Certain needs identified through the most recently conducted community health needs assessment that fall outside of the core competencies of Cape Cod Hospital and Falmouth Hospital. The identified needs included a lack of transportation, homelessness, unemployment, domestic violence and sexual assault. These needs, while quite important to the community, are outside the scope of significant health needs which the Hospitals can reasonably address. Cape Cod Hospital and Falmouth Hospital rely on other organizations to address these challenges. Outlined below are the specific organizations identified in the community that are working to address these important issues. Transportation Barriers: While transportation was identified as a barrier to obtaining health care services, solving systemic transportation issues requires the skills of organizations such as the Cape Cod Regional Transit Authority (CCRTA) and the Cape Cod Commission who are leading regional efforts to improve transportation in our region. Homelessness: Cape Cod Hospital and Falmouth Hospital are committed to serving homeless individuals/families in need of acute, primary, specialty, or behavioral health services. Organizations such as Housing Assistance Corporation, Duffy Health Center, Lower Cape Outreach Council, Regional Network to End Homelessness, and regional/town housing authorities lead key efforts to help eliminate housing barriers in the service area. Employment Status: Experiencing unemployment or vulnerability related to job status was identified as a need. The skills needed to solve systemic employment issues are better aligned with organizations such as Career Opportunities, and Job Training and Employment Corporation. These agencies will lead efforts to remove barriers to sustainable employment. Domestic Violence and Sexual Assault: As frontline community health providers, the staff at Cape Cod Hospital and Falmouth Hospital plays a vital role in responding to the emergency health needs of victims of domestic violence and sexual assault, in partnership with public safety officials and community-based service providers. The Hospitals rely on the expertise of agencies such as the Cape Cod Center for Women, Children's Cove, and Independence House to provide community leadership on issues related to the education, intervention and prevention of domestic violence and sexual assault. PART V, SECTION B, LINE 20D THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS 110% OF THE MEDICARE FEE SCHEDULE. THIS APPLIES TO BOTH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. 70 Visiting Nurse Association of Cape Cod 255 Independence Drive Hyannis MA 02601 home health CAPE COD HEALTHCARE CORP 88 LEWIS BAY RD HYANNIS MA 02601 ADMINISTRATIVE Dermatology and Skin Surgery of Cape Cod 35 Gonsalves Rd Suite A Hyannis MA 02601 medical group practice Fontaine Medical Center 525 Long Pond Drive HARWICH MA 02645 medical group practice BOURNE INTERNAL MEDICINE 1 Trowbridge Road Suite 100 BOURNE MA 02532 medical group practice Harris Scott MD 1 Trowbridge Road Bourne MA 02532 medical group practice Bramblebush Medical Group 21 Bramblebush Park FALMOUTH MA 02540 medical group practice Koehler & Feuer 130 North Street HYANNIS MA 02601 medical group practice Seaside Pediatrics 150 Ansel Hallet Road West Yarmouth MA 02673 medical group practice Manning Jr William J MD 700 Attucks Lane Suite 1A HYANNIS MA 02601 medical group practice Elmer David B MD 60 Park Street HYANNIS MA 02601 medical group practice Fontaine OUTPATIENT CENTER 525 Long Pond Drive Harwich MA 02645 medical group practice Hass Family Medicine 130 North Street Hyannis MA 02601 medical group practice Guo X Y David MD PhD 37 Edgerton Drive North Falmouth MA 02556 medical group practice BAYSIDE INTERNAL MEDICINE 2 Jan Sebastian Way Sandwich MA 02563 medical group practice Shapiro Gary MD One Lynxholm Court Hyannis MA 02601 medical group practice Cape Cod Family Medicine 5 Industrial Drive Rte 28 Suite 2 Mashpee MA 02649 medical group practice Ferley - Neurology 40 Quinlan Way 2nd Fl Suite 206 HYANNIS MA 02601 medical group practice Charles V Casale MD 37 Edgerton Drive North Falmouth MA 02556 medical group practice Theodore A Calianos II MD 5 Industrial Drive Suite 107 MASHPEE MA 02649 medical group practice Surgical Associates of Falmouth 90 Ter Heun Drive 3rd Fl Falmouth MA 02540 medical group practice Yarmouth Internists 257 Station Avenue SOUTH YARMOUTH MA 02664 medical group practice Chatham Medical Group 1629 Main Street Chatham MA 02633 medical group practice Endocrine Center of Cape Cod 40 Quinlan Way 2nd Fl Suite 206 Hyannis MA 02601 medical group practice Malaquias Stephen MD 257 Station Avenue South Yarmouth MA 02664 medical group practice Rymzo Walter T Jr MD 171 Main Street HYANNIS MA 02601 medical group practice Clark Practice 40 Quinlan Way 2nd Fl Suite 206 Hyannis MA 02601 medical group practice Fal Primary CareSpecialty Care Practice 90 Ter Heun Drive Suite 2300 Falmouth MA 02540 medical group practice MACC NEUROLOGY - CCHC 46 North Street Hyannis MA 02601 medical group practice Cape Cod Pediatrics 55 Route 130 Forestdale MA 02644 medical group practice Nauset Family Practice 81 Old Colony Way STE D ORLEANS MA 02653 medical group practice Barnett Practice 348 Gifford Street Falmouth MA 02540 medical group practice JAMES O'Connor MD Practice 107 County Road North Falmouth MA 02556 medical group practice Devin McManus Medical Practice 10 BrambleBush Drive FALMOUTH MA 02540 medical group practice Baxley Practice 51A Ocean Avenue Cataumet MA 02534 medical group practice ARTHUR Crago MD Practice 315 Palmer Avenue Falmouth MA 02540 medical group practice Cape Health Insurance Company - FOREIGN C/O CCHC 25 COMMUNICATION WAY HYANNIS MA 02601 administrative Healthcare Foundation One Financial Place 297 North Stre Hyannis MA 02601 administrative Healthcare Foundation Homeport 348C Gifford Street FALMOUTH MA 02540 ADMINISTRATIVE JML Care Center 184 Ter Heun Drive falmouth MA 02540 skilled nur & rehab Cape & Islands Health Services II 14 Yellow Brick Road HYANNIS MA 02601 COLLECTION CENTER Cape & Islands Health Services II 5 Industrial Drive Suite 102 MASHPEE MA 02649 COLLECTION CENTER Cape & Islands Health Services II 200 Jones Road FALMOUTH MA 02540 COLLECTION CENTER Cape & Islands Health Services II 525 Long Pond Drive HARWICH MA 02645 COLLECTION CENTER Cape & Islands Health Services II 81 Old Colony Way ORLEANS MA 02653 COLLECTION CENTER Cape & Islands Health Services II 2 Jan Sebastian Way Route 130 SANDWICH MA 02563 COLLECTION CENTER Cape & Islands Health Services II 860 Route 134 Unit 2 South Dennis MA 02660 COLLECTION CENTER Cape & Islands Health Services II 1 Trowbridge Road Bourne MA 02532 COLLECTION CENTER Cape & Islands Health Services II 68B Route 6A SANDWICH MA 02563 COLLECTION CENTER Cape & Islands Health Services II 1629 MAIN STREET CHATHAM MA 02633 COLLECTION CENTER Cape & Islands Health Services II 27 PARK STREET HYANNIS MA 02601 COLLECTION CENTER Cape & Islands Health Services II 30 Shankpainter Road PROVINCETOWN MA 02657 COLLECTION CENTER Heritage at Falmouth 140 Ter Heun Drive FALMOUTH MA 02540 ASSISTED LIVING Cape Cod Human Services 460 West Main Street HYANNIS MA 02601 outpatient clinic Cape Cod Human Services 525 Long Pond Drive HARWICH MA 02645 outpatient clinic Cape Cod Medical Office Building Inc 20 Gleason Street HYANNIS MA 02601 administrative Orleans Medical CENTER 204 Main Street Orleans MA 02653 Medical Group Practice CAPE COD Dermatology 134 Ansel Hallett Road W Yarmouth MA 02673 Medical Group Practice Cape Cod Rheumatology Center 40 Quinlan Way 2nd Fl Suite 206 HYANNIS MA 02601 MEDICAL GROUP PRACTICE CCHC Cardiovascular Center 25 Main Street HYANNIS MA 02601 MEDICAL GROUP PRACTICE Ziad Farah MD-Fontaine Medical Center 525 Long Pond Drive HARWICH MA 02645 MEDICAL GROUP PRACTICE Fontaine Urgent Care Center 525 Long Pond Drive HARWICH MA 02645 MEDICAL GROUP PRACTICE Neurology Center of Cape Cod 40 Quinlan Way 2nd Fl Suite 206 HYANNIS MA 02601 MEDICAL GROUP PRACTICE Park Street Primary Care 62 Park Street HYANNIS MA 02601 MEDICAL GROUP PRACTICE William Pegg MD--ObsGyn Practice 60 Park Street HYANNIS MA 02601 MEDICAL GROUP PRACTICE Sandwich Medical Group STONEHMAN OUTPATIENT2 Jan Sebastia SANDWICH MA 02563 MEDICAL GROUP PRACTICE Sandwich Primary Care 441 Rt 130 SANDWICH MA 02563 MEDICAL GROUP PRACTICE Upper Cape Orthopedics 26 Edgerton Drive Suite C NORTH FALMOUTH MA 02556 MEDICAL GROUP PRACTICE Michael Barnett MD Practice 348 Gifford Street FALMOUTH MA 02540 MEDICAL GROUP PRACTICE All Cape Urology Practice 20 Gleason Street HYANNIS MA 02601 MEDICAL GROUP PRACTICE PART I, LINE 3C N/A PART I, LINE 6A N/A PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THEPERCENTAGE IN LINE 7, COLUMN F WAS $ 8,504,340. The amounts reported in the table were calculated using the ratio of patient care cost to charges and by following the Form 990, Schedule H instructions. The total percentage of charity care and certain other community benefits at cost in the table was calculated on a group return basis as required by the Form 990 instructions, and not on a hospital-only basis. PART II, LINE 8 WORKFORCE DEVELOPMENT Cape Cod Healthcare's Physician Recruitment program strives to identify areas of unmet need and improve access to primary and specialty care for vulnerable populations, especially those over 65 with public health insurance coverage. Through rigorous efforts highly qualified physicians and physician extenders are recruited and retained to meet the health care needs of residents of Cape Cod. PART III, LINES 2-3 The organization is reporting $4,253,147 of bad debt expense that meets its financial assistance policy. This amount is related to bad debt from both hospitals during FY 14 of uninsured patients who were seen in the ER and received medically necessary services. Cape Cod Healthcare receives payments for services rendered from federal and state agencies (under the Medicare and Medicaid programs), managed care payors, commercial insurance companies, and patients. Patient accounts receivable are reported net of contractual allowances and reserves for denials, uncompensated care, and doubtful accounts. The level of reserves is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental and private employer health care coverage and other collection indicators. IF A PATIENT IS INELIGIBLE FOR CHARITY CARE BECAUSE HIS OR HER INCOME EXCEEDS THE ELIGIBILITY GUIDELINES, ANY UNCOLLECTIBLE ACCOUNTS RECEIVABLE BALANCE IS WRITTEN OFF TO BAD DEBT AS REPORTED IN PART III, LINE 2. PART III, LINE 4 REFER TO PAGES 15-16 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR FOOTNOTES RELATED TO ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBT. PART III, LINE 9(B) Hospital Financial Assistance Programs Patients who are eligible for enrollment in a state public assistance program, like the Massachusetts MassHealth or Health Safety Net programs, are deemed enrolled in a financial assistance program. For all patients that are enrolled in these state public assistance programs, the hospital may only bill those patients for the specific co-payment, co-insurance, or deductible that is outlined in the applicable state regulations and which may further be indicated on the state Medicaid Management Information System. The hospital will seek a specified payment for those patients that do not qualify for enrollment in a Massachusetts state public assistance program, such as out-of-state residents, but who may otherwise meet the general financial eligibility categories of a state public assistance program. For these patients, the payment amount will be set at: The hospital, when requested by the patient and based on an internal review of each patients financial status, may offer a patient an additional discount on an unpaid bill. Any such review shall be part of a separate hospital financial assistance program that is applied on a uniform basis to patients, and which takes into consideration the patients documented financial situation and the patients inability to make a payment after reasonable collection actions. Any discount that is provided by the hospital is consistent with federal and state requirements, and does not influence a patient to receive services from the hospital. Populations Exempt from Collection Activities There are several situations where a patient can be exempted from further billing and collection procedures once the determination is made that the patient is exempt pursuant to State regulations: a) Patients enrolled in a public health insurance program, including but not limited to, MassHealth, Emergency Aid to the Elderly, Disabled and Children, Healthy Start, Childrens Medical Security Plan, or designated a "Low Income Patient" by the Office of Medicaid, subject to the following exceptions: (i) The hospital may seek to bill and collect the co-payments and deductibles that are set forth by each specific program. (ii) The hospital may also initiate billing and collection efforts for a patient who alleges that he or she is a participant in a financial assistance program that covers the costs of the hospital services, but fails to provide proof of such participation. Upon receipt of satisfactory proof that a patient is a participant in a financial assistance program, (including receipt or verification of the signed application) the hospital shall cease its billing and collection activities. (iii) The hospital will not continue collection action on any Low Income Patient for services rendered by the hospital during the period for which he or she has been determined to be a Low Income Patient by the Office of Medicaid. However, the hospital may continue collection action on a Low Income Patient for services rendered prior to the Low Income Patient determination, provided that the current Low Income Patient status has been terminated, expired, or not otherwise identified on the States Virtual Gateway or Recipient Eligibility Verification System. Once a Low Income Patient is determined eligible and enrolled in the Health Safety Net, MassHealth, or certain Commonwealth Care programs, the hospital will cease its billing and collection efforts for services provided prior to the beginning of their eligibility. (iv) The hospitals may seek collection action against any of the patients participating in the programs listed above for non-covered services that the patient has agreed to be responsible for, provided that the hospital obtained the patients prior written consent to be billed for the service. PART VI, LINE 2 NEEDS ASSESSMENT: The 2014 - 2016 Cape Cod Hospital and Falmouth Hospital Community Health Needs Assessment Report and Implementation Plan was released and made widely available to the public on September 27th, 2013. In an effort to assess the health care needs of their shared service area of Barnstable County, Cape Cod Hospital and Falmouth Hospital collected significant community input and data from national, state, regional and local sources. Special attention was given to vulnerable populations, statewide priorities were considered and the community assets available to meet needs were identified and assessed. An implementation plan related to the significant health needs of Barnstable County residents was developed with outlined goals, objectives, initiatives, resources and potential collaborators. The objectives of the community health needs assessment were to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of Barnstable County and to integrate research findings into community benefit and hospital planning activities that address significant community needs and vulnerable populations. Over 80 community organizations participated in the community health assessment through focus groups, key information interviews and community input forums. Data was collected through a household telephone survey of 464 residents of Barnstable County using a survey instrument adapted from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System. Primary data collected through community input and the household telephone survey was heavily augmented with secondary data from national, state, and regional sources. The most current Barnstable County health data available was collected, analyzed, synthesized and compared to MA and US data as available. Data collection efforts focused on demographic characteristics, behavioral risk factors associated with health status, disease incidence and prevalence rates, access to care, health status indicators, morbidity/mortality rates and hospital utilization. The significant health needs identified through data collection and community input were distinguished and prioritized based on the frequency, urgency, scope, severity and magnitude of the identified issues. The significant health needs and associated target and vulnerable populations are the foundation for Community Benefits and hospital planning and program implementation spanning Fiscal Years 2014 - 2016. Key data sets featured in the community health needs assessment will be updated annually. Community Benefits and hospital planning activities will be further defined, updated and evaluated through ongoing and annual program evaluation and identification of emerging trends and needs. The following sources were utilized in the most recent community health needs assessments: - Cape Cod Hospital and Falmouth Hospital Utilization Data - Centers for Disease Control and Prevention: Behavioral Risk Factor Surveillance System (BRFSS), Youth Risk Behavioral Surveillance System (YRBSS), National Center for Health Statistics, National Program of Cancer Registries, CDC Wonder Database, Healthy People 2020 - Falmouth Prevention Partnership Community Profile on Youth Substance Abuse in Falmouth 2009 - Massachusetts Department of Elementary and Secondary Education - Massachusetts Department of Labor and Workforce Development - Massachusetts Department of Public Health: Bureau of Substance Abuse Services, MassCHIP (Massachusetts Community Health Information Profile) - Tri-County Collaborative for Oral Health Excellence - U.S. Census Bureau: US Census 2000, US Census 2010, American Community Survey - US Department of Veteran Affairs - Key Informant Interviews - Focus groups - Community forums - Telephone survey of Barnstable County residents - County Health and Human Services department and Local Health Agencies Cape Cod Hospital, Falmouth Hospital and Cape Cod Healthcare conduct formal community health needs assessments every three years. On an ongoing basis, community health needs and emerging trends are regularly assessed through annual community benefits planning and program evaluation, strategic planning, community input and participation in community health coalitions and projects across the service area. Cape Cod Healthcare plays an active role in community coalitions, various regional task force efforts, and health and human service organizations across Barnstable County including leadership participation with Barnstable County Human Services Advisory Council, Behavioral Health Provider Coalition of Cape Cod & the Islands, the Cape Cod Community Health Area Network (CHNA 27) Steering Committee, Cape & Islands Maternal Depression Task Force, My Life, My Health Coalition, Substance Abuse in Pregnancy Task Force, and the Women's Health Task Force. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER THEIR UNPAID HOSPITAL BILLS. IN ORDER TO ASSIST UNINSURED AND UNDERINSURED PATIENTS IN FINDING AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO INFORM PATIENTS THAT THEY MAY BE ELIGIBLE TO APPLY FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS, BUT NOT LIMITED TO, MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE DESIGNATED A LOW INCOME PATIENT UNDER EITHER THE STATE HEALTH SAFETY NET PROGRAM OR THROUGH THE HOSPITAL'S OWN INTERNAL CHARITY CARE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT PAYMENT PLANS THAT MAY BE AVAILABLE TO HIM OR HER BASED ON THE SIZE OF HIS OR HER FAMILY AND FAMILY INCOME. PART VI, LINE 4 COMMUNITY INFORMATION: Cape Cod Hospital, Falmouth Hospital and their parent organization, Cape Cod Healthcare, together share the service area of Barnstable County which comprises the geographically isolated region of Cape Cod, approximately 70 miles from Boston, MA. Barnstable County is comprised of 15 towns with a year-round population of 215,888. It is estimated that more than five million visitors come to the area each year, primarily in the summer and fall seasons. Cape Cod Hospital and Falmouth Hospital provide acute care and outpatient services to all communities of Barnstable County. The largest town in the service area is the Town of Barnstable which has over 45,000 year-round residents. The smallest town is Truro, which has 2,000 year-round residents. Current and historical demographic data from the US Census department clearly demonstrates a population skewed towards older adults. This population significantly increases the demand for and consumption of healthcare services. Overall, the population of Barnstable County is old and getting older. Seniors, over the age of 65, now represent 25% of the total population. In addition, middle-aged residents known as "baby boomers" (born between 1946 and 1964) represent another 25% of the Cape population. The County median age grew to 49.9 years in 2010 - a 12% increase from 2000. Comparatively, Barnstable County's median age is more than a decade older than the Massachusetts (MA) and the United States (US) median age averages. From 2000-2010, the number of residents in Barnstable County over the age of 65 grew by 5%. The most notable change occurred among residents over the age of 85, for which there was growth of 29%. Seniors relying on Social Security income is significantly higher in Barnstable County at 41% compared to 28% for the state and 28% nationally. As baby boomers age into retirement over the next decade, demands on the healthcare system will increase even further. Concurrently, younger residents have migrated out of the service area and birth rates have declined. Barnstable County's overall population declined by 3% from 2000 to 2010, primarily due to an 18% decrease in population of residents aged 0-44. Annual birth counts in Barnstable County demonstrated a slow but continuous decline between 2000 (1,992) and 2010 (1,711). However, due to earlier birth trends and relocations by families to the Cape during the 1990's, there has been a net positive increase in residents aged 15-24 over the past two decades. Residents of the Cape cross all economic boundaries, from affluent to economically challenged, vulnerable populations. Recent data estimates from the American Community Survey 2007-2011 indicate that the percentage of families living in poverty has increased by 1%, and the percentage of individuals living in poverty has increased by 2% since 2000. The most notable increase occurred in children under 18 years old living in poverty, which grew from 6% in 2000 to 12% in 2011. Despite growing rates of poverty among some segments, the median household income for Barnstable County increased overall by 32% from $45,933 in 2000 to $60,525 based on a five-year estimate from 2007-2011. The median household income for Barnstable County is somewhat greater than the United States ($52,762) but still less than Massachusetts ($65,981). The "Cape" is home to a broad mix of retirees, working people and the unemployed. Military veterans comprise 14% of the Cape population, versus 8% state-wide. There is a lack of racial and ethnic diversity in Barnstable County. The general race and ethnicity breakdown remains essentially unchanged. Barnstable County is still predominately white, comprising 95% of the total population in 2010, compared to 96% in 2000. There have been some incremental increases in minority representations, such as Hispanic and Asian populations. Linguistic challenges have increased over the past decade with more new residents for whom English is not a primary language. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: Cape Cod Healthcare conducts a Community Health Needs Assessment every three years to determine the significant health care needs of the residents of Barnstable County. The objective of the assessment is to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of Barnstable County. The target populations, significant health needs and available resources to address those health needs are integrated into community benefit and hospital planning activities including direct clinical programs, health education, wellness promotion, financial support and community engagement activities. The following is a list of FY14 target populations: - Chronically ill residents afflicted with cancer, cardiovascular-related disease, diabetes and oral health issues or infectious diseases. - Community members facing barriers to care including those who are underserved, uninsured, underinsured, low income and those with health disparities. - Community members with mental health and substance use disorders. - Senior population ages 65 and older, especially those who are at risk and in isolated geographic areas. - Residents with emerging health issues including youth and young adults ages 15 - 24 years old. Cape Cod Healthcare and the Cape Cod Healthcare Community Benefits department supported the following programs in FY14: Community Based Interpreter Services Cape Cod Healthcare Community Benefits provides annual support to improve access to primary and specialty care for individuals that face barriers to care due to language through the Community Based Interpreter Services program. The program dispatches free medical language interpreters to community-based physician practices to assist limited and non-English speaking patients and their families. The availability of proficient and professional interpreter services ensures the delivery of safe quality health care and positive clinical outcomes. Specialty Network for the Uninsured Cape Cod Healthcare Community Benefits provides annual grant support to increase access to specialty care for the uninsured and under-insured residents of Barnstable County through the Specialty Network for the Uninsured (SNU). The program is managed in collaboration with local community health centers to provide appointments with specialists who provide free or significantly reduced sliding-scale fees for office visits, procedures and continued care. The program also hosts cardiology, orthopedic and diabetic eye-exam clinics with services provided by volunteer physicians. Prescription Assistance Program The Prescription Assistance Program is an initiative of Cape Cod Hospital and Falmouth Hospital emergency, behavioral health and pharmacy departments as a Community Benefit to help uninsured, under-insured and financially disadvantaged patients who have no other viable means to pay for medications upon discharge from hospital facilities. Transportation Assistance Program In an effort to assist low-income and vulnerable populations, Cape Cod Hospital and Falmouth Hospital provide transportation upon discharge from emergency and behavioral health departments, to those patients without resources for transportation. Determination of Need: Support of Community Health Area Network (CHNA) 27 Total funding of $401,000 has been designated to address issues that eliminate health disparities, promote wellness, and prevent/manage chronic disease for individuals who are elderly and/or persons with disabilities. This population was identified through a community health needs assessment by Cape Cod Healthcare and endorsed by the Community Health Network Area 27 (Cape Cod and the Islands). This program was specified as part of Cape Cod Hospital's Determination of Need requirement for the Clark Cancer Center development and licensure. Health Insurance Enrollment Services: Community Action Committee of Cape Cod and the Islands In FY14, Cape Cod Healthcare Community Benefits provided a grant to support health insurance enrollment and re-enrollment services at the Community Action Committee of Cape Cod and the Islands, a community based organization that provides assistance in the navigation of health insurance options for residents of Barnstable County. Services include bi-lingual health care enrollment and re-enrollment services, linkages to primary care providers, consumer education workshops and counseling and outreach to low-income and immigrant residents. Supporting Behavioral Health Services for Homeless and At Risk Adults at the Duffy Health Center The Duffy Health Center provides primary care and behavioral health care to homeless adults and those at-risk for homelessness in Barnstable County. In FY14, Community Benefits funding from Cape Cod Healthcare supported the Duffy Health Centers behavioral health services including therapy, psychiatry and case management support of patients who are frequent consumers of emergency services in the community. Support Groups and Classes at Cape Cod Hospital and Falmouth Hospital Support groups for bereavement and cancer survivorship, and classes and counseling focused on breastfeeding, fatherhood and holistic services to complement traditional medical care are conducted on a regular basis and open to all members of the community. Classes are hosted at hospitals and in the community to provide access for all populations. Information and resources are available to individuals, families and friends and many include in-person meetings and contacts to offer support and reassurance through their specific disease/health care situation. Workforce Development Initiatives Cape Cod Healthcare recognizes the importance of workforce development and supports the opportunity for students from high school through graduate school to have a positive and professional experience through internships, job shadowing and training with health care providers in several hospital departments. By training and mentoring students for future employment, we hope to successfully engage individuals so they select health care as a viable and admirable vocation, thus decreasing the potential risk for predicted future shortages in the workplace. Helping Hands: In-Home Clinical Support for High Risk Patients This program offers clinical nurse case management and medication review by a pharmacist in the home for high-risk individuals with a chronic disease, complex medication regimen, or when high risk of falls has been identified. Patients and their caregivers are provided coaching on self-management of their chronic disease, medication management and evaluation for fall risk and home safety. One to One Mentoring for High-Risk Youth: Big Brothers Big Sisters of Cape Cod & the Islands In an effort to reduce the risk factors and increase the resiliency factors for youth at an elevated risk of substance use and abuse, Cape Cod Healthcare Community Benefits provided a grant to Big Brothers Big Sisters of Cape Cod & the Islands to expand mentoring opportunities on Cape Cod. Big Brothers Big Sisters focused specifically on recruiting children for mentoring who met a minimum of three of the following risk factors associated with childhood drug/alcohol abuse: low-income household, single-parent household, alcohol or drug abuse in the household, low self-esteem/minimal confidence and/or isolation from peers/few close friends. The SMILE Project: Oral Health Excellence Collaborative Cape Cod Healthcare Community Benefits provided grant support to the Oral Health Excellence Collaborative (OHEC) for efforts to educate low-income seniors about their oral health, hygiene routines and dental care resources. Program activities included placing volunteer oral health educators at each of the 15 Council on Aging offices across Cape Cod, providing one on one oral health surveys and education sessions with seniors, and removing barriers to dental care through strengthening education, information, coordination and referral between residents and oral health providers. Supporting Adolescent Health and Chronic Disease Management Initiatives at Harbor Community Health Center - Hyannis Cape Cod Healthcare Community Benefits provided a grant to Harbor Community Health Center-Hyannis (HCHC-H) to improve adolescent health education outreach and chronic disease management of patients. HCHC-H offered underage drinking and substance use/abuse prevention services to at-risk minority youth and risk reduction counseling related to the transmission of sexually transmitted diseases. In addition, the grant supported the efforts of HCHC-H to improve the care coordination of high-risk patients with diabetes, hypertension and pediatric asthma. Supporting Access to Care and Chronic Disease Management Initiatives at the Community Health Center of Cape Cod Cape Cod Healthcare provided Community Benefits funding to the Community Health Center of Cape Cod (CHC PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMS ROLES: THE HOSPITALS ARE PART OF AN AFFILIATED HEALTHCARE SYSTEM AND THEIR RESPECTIVE ROLES ARE: CAPE COD HOSPITAL - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN HYANNIS, MASSACHUSETTS FALMOUTH HOSPITAL ASSOCIATION, INC. - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN FALMOUTH, MASSACHUSETTS CAPE COD HEALTHCARE, INC. - A NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE PARENT COMPANY OF VARIOUS ENTITIES PROVIDING HEALTH CARE SERVICES TO THE POPULATION OF CAPE COD, MASSACHUSETTS CAPE COD HEALTHCARE FOUNDATION, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE DEVELOPMENT AND FUNDRAISING SUPPORT TO CAPE COD HEALTHCARE CAPE AND ISLANDS HEALTH SERVICES II, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE VARIOUS NONHOSPITAL HEALTH CARE SERVICES MEDICAL AFFILIATES OF CAPE COD, INC. - A NOT-FOR-PROFIT MEDICAL GROUP PRACTICE VISITING NURSE ASSOCIATION OF CAPE COD - A NOT-FOR-PROFIT PROVIDER OF HOME HEALTH SERVICES CAPE COD HUMAN SERVICES, INC. - A NOT-FOR-PROFIT PROVIDER OF OUTPATIENT MENTAL HEALTH SERVICES FALMOUTH ASSISTED LIVING, INC., D/B/A HERITAGE AT FALMOUTH - A NOT-FOR-PROFIT CORPORATION THAT OWNS AN ASSISTED LIVING FACILITY JML CARE CENTER, INC. - A NOT-FOR-PROFIT SKILLED NURSING AND REHABILITATION FACILITY CAPE HEALTH INSURANCE COMPANY - A CAPTIVE INSURANCE COMPANY THAT PROVIDES MEDICAL PROFESSIONAL AND GENERAL LIABILITY INSURANCE TO CAPE COD HEALTHCARE CAPE COD HOSPITAL MEDICAL OFFICE BUILDING - A PROVIDER OF LEASED AND SUBLEASED SPACE TO CAPE COD HOSPITAL AND RELATED AFFILIATIONS PART VI, LINE 7 ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA true true false false false false false true false DIANNE C KOLB President VNA 0 205082 45087 27118 0 36807 0 24743 0 338837 0 21784 MICHAEL G JONES Sr VP Chief Legal Off/Clerk 0 313055 77106 29449 0 41491 0 33895 0 494996 0 28483 MICHAEL K LAUF PRESIDENT/CEO/TRUSTEE 0 726780 267000 81346 0 184878 0 40260 0 1300264 0 52468 GROVER BAXLEY MD TRUSTEE - SEE SCH J, PART III 258414 0 36834 10200 0 1971 0 307419 0 0 0 MICHAEL L CONNORS SENIOR VP FINANCE/CFO 0 375213 71060 40840 0 50915 0 31920 0 569948 0 31760 EMILY TIERNEY MD PHYSICIAN 448540 0 991690 378 23292 0 13170 0 1477070 0 0 0 DAVID RYAN VP of HR (until 2/13) 0 41532 230685 0 6716 0 7525 0 286458 0 29745 JEANNE FALLON SR VP & CIO 0 237266 56925 5389 0 39191 0 26495 0 365266 0 0 ROBERT KLEINBAUER President - MACC 0 220793 2772 0 20467 0 34338 0 278370 0 0 JEFFREY S DYKENS VP FI-12/13,COO FAL HOSPITAL 0 198370 25000 24831 0 22196 0 35628 0 306025 0 18212 WILLIAM AGEL MD TRUSTEE - SEE SCH J, PT III 450278 0 19000 14166 10200 0 34338 0 527982 0 0 0 RICHARD B ZELMAN MD PHYSICIAN 1095786 0 225000 44114 10200 0 34338 0 1409438 0 0 0 ACHILLE PAPAVASILIOU MD PHYSICIAN 591297 0 392749 630 25004 0 36370 0 1046050 0 0 0 PAUL HOULE MD PHYSICIAN 596372 0 322786 630 26157 0 32920 0 978865 0 0 0 GORDON NAKATA MD PHYSICIAN 591297 0 261240 630 26158 0 36370 0 915695 0 0 0 RICHARD F SALLUZZO MD FORMER PRESIDENT/CEO 0 0 407371 0 0 0 10856 0 418227 0 0 Patrick Kane SVP OF MRKTG,COMMUN AND DEVLP 0 306013 72715 1806 0 23120 0 31920 0 435574 0 0 ARTHUR MOMBOURQUETTE COO 0 396068 65000 11806 0 15482 0 32790 0 521146 0 0 THERESA M AHERN SVP, STRAT, COMMUNITY/GOV REL. 0 201694 53700 1641 0 19286 0 24585 0 300906 0 0 JAMES BUTTERICK CMO FAL HOSP 11/13-8/14 0 133694 28943 0 5556 0 25515 0 193708 0 24875 VICTOR OLIVEIRA VP OF PATIENT SERVICES 0 214102 40119 23204 0 25633 0 34308 0 337366 0 18439 JOHN LIPOMI SR VP OF MANAGED CARE 0 341429 82582 5334 0 47913 0 25393 0 502651 0 0 DONALD GUADAGNOLI CMO CAPE COD HOSPITAL 0 415406 81903 9883 0 52970 0 37370 0 597532 0 0 FORM 990, PART VII Grover Baxley, MD, DOUGLAS MANN, MD, WILLIAM AGEL, MD, AND PATRICK M. FLYNN, MD wERE compensated in THEIR capacity as physicianS, not as trusteeS. PART I, LINE 4A: SEVERANCE PAYMENTS DAVID RYAN, VP OF HUMAN RESOURCES, RECEIVED SEVERANCE PAYMENTS OF $176,374 DURING CALENDAR YEAR 2013. THE ARRANGEMENT PROVIDES FOR CONTINUED PAYMENT OF THE INDIVIDUAL'S SALARY AND BENEFITS FOR A PERIOD OF TWELVE MONTHS, INCLUDING MEDICAL AND DENTAL INSURANCE COVERAGE. RICHARD SALUZZO, MD, FORMER PRESIDENT/CEO, RECEIVED SEVERANCE PAYMENTS OF $407,371 DURING CALENDAR YEAR 2013. THE SEVERANCE ARRANGEMENT PROVIDES FOR 32 PAYMENTS EQUAL TO 1/12 OF THE BASE SALARY IN EFFECT ON THE DATE HIS EMPLOYMENT TERMINATED. THERE WERE 7 PAYMENTS MADE IN CALENDAR YEAR 2013. THE ARRANGEMENT ALSO PROVIDES FOR PARTICIPATION OF HIMSELF AND HIS DEPENDENTS IN THE COMPANY'S GROUP MEDICAL AND DENTAL PLANS FOR THIRTY-SIX MONTHS. SCHEDULE J, PART I, LINE 4B: 457(F) CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EXECUTIVES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF CASH COMPENSATION. AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2013 WERE AS FOLLOWS: - MICHAEL K. LAUF - $52,468 - MICHAEL L. CONNORS - $31,760 - MICHAEL G. JONES - $28,483 - VICTOR OLIVEIRA - $18,439 - DAVID RYAN - $29,745 - JAMES BUTTERICK - $24,875 - JEFFREY S. DYKENS - $18,212 - DIANNE C. KOLB - $21,784 CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO SPONSOR A NONQUALIFIED PENSION RESTORATION ACCOUNT PLAN FOR KEY EXECUTIVES. THE ORGANIZATION MAKES CONTRIBUTIONS OF TWO PERCENT OF THE INDIVIDUAL'S ANNUAL SALARY AS OF THE BEGINNING OF THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON RETIREMENT OR DEATH. During calendar year 2013, Michael Lauf ALSO participated in a Section 457(f) plan. Twelve percent of his base salary was contributed and each contribution is subject to a three year vesting schedule. The amount deferred in calendar year 2013 was $87,720 and is included in Schedule J, Part II, Column (C). SCHEDULE J, PART I, LINE 7 Discretionary bonuses are awarded annually based upon both the performance of the organization and the individual. Bonuses are reflected in Schedule J, Part II, Column B(ii). THE INDIVIDUALS REPORTED IN SCHEDULE J, PART II REPORTED AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION. A MHEFA REVENUE BONDS SERIES D 042456011 57586erm5 2010-02-16 63314516 REISSUE OF SER. D (2004) false false false B MHEFA REVENUE BONDS SERIES E 042456011 57586C7V1 2008-06-18 36710000 REF. OF 93 SER. A&C AND 94 SER. false false false C MDFA REVENUE BONDS SERIES 2012A 043431814 2012-02-24 25800000 REFUND SER. B / PART OF SER. C false false false D MDFA REVENUE BONDS SERIES 2013 043431814 57584VAH8 2013-07-11 50831729 REFUND 2001 SERIES C / CAP. IMP. false false false A 6784516 0 63314516 0 0 0 914516 0 0 0 62400000 0 true false true true B 15120667 0 36710000 0 0 0 266112 0 0 0 36443888 0 true false true true C 5160000 0 25800000 0 0 0 336100 0 0 0 25463900 0 true false true true D 831279 0 50831729 0 1295804 0 805701 0 0 27995000 20735223 0 2014 true false false true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B 0 true C 0 true D false false false false 0 false false false true A false false false true false false 0 false 0 false true B false false false true true false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true PART IV, LINE 2(C) MHEFA, REVENUE BONDS, SERIES D - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 6/30/2014. MHEFA, REVENUE BONDS, SERIES E - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 7/12/2012. A MDFA REVENUE BONDS SERIES 2014 043431814 2014-09-29 24000000 RENOVATION & REAL ESTATE PURCHASE false false false A 0 0 24000000 0 0 0 300000 0 0 8228670 0 15471330 false false false true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A true DR KATIE RUDMAN SPOUSE OF TRUSTEE 118575 MACC EMPLOYEE false DR DALE WELDON SPOUSE OF OFFICER 95368 HOSPITAL EMPLOYEE false GROVER BAXLEY PC TRUSTEE IS OWNER 279609 MEDICAL SERVICES false ASC SURGEONS OF CAPE COD TRUSTEE IS PARTIAL OWNER 246948 MEDICAL SERVICES false CAPE COD SURGEONS TRUSTEE IS PARTIAL OWNER 106120 RENTAL OF FACILITIES false CAPE COD EMERGENCY ASSOCIATES TRUSTEE IS PARTIAL OWNER 11775945 MEDICAL SERVICES false CAPE HEALTH INSURANCE COMPANY TRUST/OFF ARE DIRECTORS 3475656 PREMIUM PAYMENTS false FORM 990, SCHEDULE L, PART IV (6) The transaction amount disclosed for Cape Cod Emergency Associates is inclusive of a management fee of $275,004. The remaining transaction amount ($11,500,941) reflects actual payments for the professional medical services rendered by CCEAs physicians and other clinicians to patients within Cape Cod Hospital facilities during FY14. X 33 3600008 VALUE OF STOCK REC'D false true true SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. SCHEDULE M, PART I, LINE 32(A) ON OCCASION THE ORGANIZATION UTILIZES A BROKER TO DISPOSE OF NONCASH CONTRIBUTIONS (OTHER THAN PUBLICLY TRADED SECURITIES). FORM 990, PART I, LINE 1 AND PART III, LINE 1 WE WILL BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR CAPE COD RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTH CARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE WILL PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. COMMUNITY BENEFITS MISSION STATEMENT CAPE COD HEALTHCARE, INC., THROUGH ITS COMMUNITY BENEFITS INITIATIVE, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL THE RESIDENTS OF CAPE COD. THROUGH CONTINUOUS ASSESSMENT OF COMMUNITY NEEDS, COORDINATED PLANNING AND THE ALLOCATION OF RESOURCES, THIS COMMITMENT INCLUDES A SPECIAL FOCUS ON THE UNMET NEEDS OF THE FINANCIALLY DISADVANTAGED AND UNDERSERVED POPULATIONS. WE WILL TAKE A LEADERSHIP ROLE IN COLLABORATIVE EFFORTS JOINING OUR RESOURCES, TALENT, AND COMMITMENT WITH THAT OF OTHER PROVIDERS, ORGANIZATIONS AND COMMUNITY MEMBERS. THE COMMUNITY BENEFITS MISSION STATEMENT WAS AFFIRMED BY THE CCHC COMMUNITY HEALTH COMMITTEE AND THE BOARD OF TRUSTEES IN 2000 AND REMAINS IN EFFECT. TARGET POPULATIONS 1.NAME OF THE TARGET POPULATION: INDIVIDUALS MANAGING OR AT RISK OF CHRONIC AND/OR INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, DIABETES, HIV/AIDS, HEPATITIS C OR DENTAL DISEASE.BASIS FOR SELECTION: ALIGNED WITH STATEWIDE HEALTH PRIORITIES AND NATIONAL STATISTICS, RESIDENTS MANAGING CHRONIC ILLNESS ARE AT THE GREATEST RISK OF DECLINED HEALTH AND DEATH. CANCER, CARDIOVASCULAR-RELATED DISEASE, DIABETES, INFECTIOUS DISEASES AND ORAL HEALTH ISSUES ARE HIGHLY REPRESENTED AMONG RESIDENTS OF BARNSTABLE COUNTY AS EVIDENCED THROUGH A RECENTLY COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENT. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICES PROVIDERS IN OUR REGION BUT UNMET NEEDS STILL EXIST. 2.NAME OF THE TARGET POPULATION: RESIDENTS FACING BARRIERS TO ACCESS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. BASIS FOR SELECTION: NEARLY 93% OF RESIDENTS IN BARNSTABLE COUNTY HAVE HEALTH INSURANCE COVERAGE BUT SIGNIFICANT ISSUES RELATED TO ACCESS TO CARE STILL EXIST. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED AVAILABILITY OF CERTAIN PROVIDERS, OUT-OF-POCKET COSTS, A LACK OF KNOWLEDGE OF AVAILABLE SERVICES AND LINGUISTIC CHALLENGES. 3.NAME OF THE TARGET POPULATION: COMMUNITY MEMBERS DEALING WITH MENTAL HEALTH ISSUES. BASIS FOR SELECTION: ACCESS TO ADEQUATE MENTAL HEALTH CARE IS AN AREA OF CONCERN IN BARNSTABLE COUNTY, AS EVIDENCED BY AN INCREASE IN SUICIDE RATES, AND THE HIGH NUMBER OF PATIENTS PRESENTING WITH MENTAL HEALTH DISORDERS IN HOSPITAL EMERGENCY CENTERS. POPULATIONS DEALING WITH MENTAL HEALTH ISSUES ARE SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS IN OUR REGION BUT UNMET NEEDS INCLUDING A SHORTAGE OF AVAILABLE PSYCHIATRIC PROVIDERS AND CHALLENGES NAVIGATING AVAILABLE SERVICES STILL EXIST. 4.NAME OF THE TARGET POPULATION: COMMUNITY MEMBERS DEALING WITH SUBSTANCE ABUSE. BASIS FOR SELECTION: THE ISSUE OF SUBSTANCE USE AND ABUSE IS A CRITICAL ISSUE FOR THE HEALTH SYSTEM AND COMMUNITY IN BARNSTABLE COUNTY. THE OVERALL RATES OF SUBSTANCE ABUSE ADMISSIONS ARE HIGHER IN BARNSTABLE COUNTY THAN MA, SPECIFICALLY FOR ALCOHOL AS A PRIMARY SUBSTANCE. IN ADDITION, TREATMENT ADMISSIONS FOR OPIATES AS A PRIMARY SUBSTANCE OF USE GREW FROM 11% IN 2007 TO 28% IN 2011. ALTHOUGH RESIDENTS WITH SUBSTANCE ABUSE ISSUES ARE SERVED THROUGH A NETWORK OF HEALTH CARE AND TREATMENT PROVIDERS IN OUR REGION, UNMET NEEDS SUCH AS AVAILABILITY OF DETOX AND TREATMENT OPTIONS AND NAVIGATION OF SERVICES STILL EXIST. 5.NAME OF TARGET POPULATION: SENIOR POPULATION AGES 65 AND OLDER. BASIS FOR SELECTION: ACCORDING TO THE 2010 U.S. CENSUS, THE POPULATION OF INDIVIDUALS AGE 65 AND OLDER REPRESENT OVER 25% OF THE YEAR ROUND POPULATION IN BARNSTABLE COUNTY WITH A SIGNIFICANT INCREASE OF RESIDENTS OVER THE AGE OF 85 BETWEEN 2000 AND 2010. NEARLY 40% OF ALL HOUSEHOLDS REPORT A RESIDENT OVER THE AGE OF 65. HIGH UTILIZATION OF THE HEALTH CARE SYSTEM, ACCESS TO CARE AND NAVIGATION OF RESOURCES HAVE BEEN PRESENTED AS CRITICAL ISSUES IN OUR REGION. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS BUT UNMET NEEDS STILL EXIST. 6.NAME OF TARGET POPULATION: YOUTH AND YOUNG ADULTS AGES 15- 24 YEARS OLD. BASIS FOR SELECTION: YOUNG ADULTS AND YOUTH, AGES 15 - 24 YEARS OLD, WERE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AS A SPECIFIC POPULATION AT RISK DUE TO INCREASING RATES OF SUBSTANCE ABUSE TREATMENT ADMISSIONS, SEXUALLY TRANSMITTED DISEASES AND MOTOR VEHICLE ACCIDENTS. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS BUT UNMET NEEDS STILL EXIST. PUBLICATION OF TARGET POPULATIONS NOT SPECIFIED, OTHER- ATTORNEY GENERAL WEBSITE HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP. HTTP://WWW.CAPECODHEALTH.ORG/COMMUNITY KEY ACCOMPLISHMENTS OF REPORTING YEAR IN 2014, THE CAPE COD HEALTHCARE (CCHC) COMMUNITY BENEFITS DEPARTMENT CONTINUED TO BUILD UPON SUCCESSFUL HOSPITAL BASED PROGRAMS AND COMMUNITY COLLABORATIONS AND LAUNCHED NEW INITIATIVES TO ADDRESS THE SIGNIFICANT HEALTH NEEDS AND VULNERABLE POPULATIONS OF BARNSTABLE COUNTY. HOSPITAL-BASED INITIATIVES FOCUSED ON THE MANAGEMENT AND PREVENTION OF CHRONIC AND INFECTIOUS DISEASES, ADDRESSING BEHAVIORAL HEALTH NEEDS IN THE ACUTE CARE ENVIRONMENT, IMPROVING ACCESS TO CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS, AND BUILDING COALITIONS AND COLLABORATIONS TO ADDRESS THE IMPACT OF SUBSTANCE ABUSE IN OUR COMMUNITY. CLINICAL AND COMMUNITY-BASED INITIATIVES WERE LAUNCHED TO HELP INDIVIDUALS IMPROVE THEIR SELF-MANAGEMENT OF CHRONIC DISEASES SUCH AS CONGESTIVE HEART FAILURE AND DIABETES. UPON DISCHARGE FROM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, IN-HOME VISITS BY PHARMACISTS AND CLINICAL CARE MANAGERS WERE PROVIDED IN AN EFFORT TO SUPPORT INDIVIDUALS MANAGING CHRONIC DISEASE AND THEIR CARE-GIVERS. SUPPORT GROUPS AND COMMUNITY OUTREACH AND EDUCATION ACTIVITIES SUCH AS HEALTH FAIRS, PUBLIC ACCESS COMMUNITY TELEVISION AND SPEAKING ENGAGEMENTS BY PHYSICIANS AND CLINICAL EDUCATORS PROVIDED CRITICAL INFORMATION ABOUT DISEASE PREVENTION, DETECTION AND MANAGEMENT TO THE PUBLIC. GRANT-FUNDED INFECTIOUS DISEASE SCREENINGS AND OUTREACH PROGRAMS WERE MANAGED BY HOSPITAL-BASED INFECTIOUS DISEASE STAFF FOR THE REGION AND RECOGNIZED FOR ITS ACHIEVEMENTS. CAPE COD HEALTHCARE INFECTIOUS DISEASE CLINICAL SERVICES RECEIVED THE '2014 INSTITUTIONAL PARTNER AWARD' FROM THE MEDICAL ADVISORY COMMITTEE FOR THE ELIMINATION OF TUBERCULOSIS. FALMOUTH HOSPITAL WAS RECOGNIZED BY THE IMMUNIZATION ACTION COALITION FOR ACHIEVING ONE OF THE HIGHEST REPORTED RATES IN THE STATE FOR ITS WORK TO PROTECT NEWBORNS FROM HEPATITIS B INFECTION. PHYSICIAN LEADERS, CLINICIANS AND COMMUNITY LEADERS COLLABORATED THROUGH COALITIONS AND TASK FORCES TO ADDRESS CRITICAL ISSUES SUCH THE OPIATE USE AND ABUSE CRISIS, SUBSTANCE ABUSE DURING PREGNANCY AND SUBSTANCE EXPOSED NEWBORNS, MATERNAL DEPRESSION, AND COORDINATION BETWEEN MENTAL HEALTH PROVIDERS IN OUR REGION. FINANCIAL ASSISTANCE AND COUNSELING ACTIVITIES PROVIDED GUIDANCE TO UNINSURED AND UNDER-INSURED INDIVIDUALS AND FAMILIES SEEKING HELP NAVIGATING NEW STATE AND FEDERAL INSURANCE PLAN OPTIONS. RESIDENTS WERE PROVIDED TELEPHONE-BASED ACCESS ASSISTANCE AND ONLINE PHYSICIAN FINDER RESOURCES TO ASSIST IN THEIR SEARCH FOR AVAILABLE PRIMARY CARE AND SPECIALTY PROVIDERS IN BARNSTABLE COUNTY. FINANCIAL SUPPORT AND COLLABORATION WITH THE FOUR FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS OPERATING IN BARNSTABLE COUNTY FOCUSED EFFORTS TO DEVELOP COMPLEX CARE MANAGEMENT INITIATIVES AND EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES. IN ADDITION, CCHC CONTINUED TO SUPPORT EFFORTS TO EXPAND ACCESS TO HEALTH CARE FOR VULNERABLE POPULATIONS THROUGH FUNDING INTERPRETER SERVICES FOR COMMUNITY-BASED PHYSICIAN OFFICES AND SUSTAINING A NETWORK OF SPECIALTY CARE PROVIDERS WHO OFFERED SIGNIFICANTLY REDUCED OR FREE CARE TO UNINSURED AND UNDERINSURED INDIVIDUALS IN BARNSTABLE COUNTY. OVER 20 NON-PROFIT ORGANIZATIONS RECEIVED SUPPORT FROM CCHC THROUGH DIRECT GRANT FUNDING AND A COMPETITIVE RFP GRANTS PROGRAM OPEN TO ALL COMMUNITY ORGANIZATIONS WITH PROGRAMS ALIGNED WITH COMMUNITY BENEFITS PRIORITIES. NEW PROGRAMS WERE LAUNCHED THROUGH COMMUNITY BENEFITS GRANT SUPPORT, INCLUDING A PILOT PROGRAM THAT INTEGRATED SUBSTANCE ABUSE COUNSELORS IN AN OBSTETRICS AND GYNECOLOGY OFFICE, THE LAUNCH OF REGIONAL NUTRITION WORKSHOPS FOR SENIORS, AND PLACEMENT OF CLINICIANS IN HEAD START CLASSROOMS TO ADDRESS EARLY-ONSET OF MENTAL HEALTH ISSUES. OTHER PROGRAMS WERE SUSTAINED OR EXPANDED THROUGH CCHC'S SUPPORT, INCLUDING A MENTORING PROGRAM FOR HIGH-RISK YOUTH, AN EDUCATION CAMPAIGN TO PREVENT LYME DISEASE AND A FISH PURCHASING PROGRAM TO IMPROVE THE NUTRITIONAL QUALITY OF FOOD DISTRIBUTED AT LOCAL FOOD PANTRIES. COMMUNITY BENEFITS AND HOSPITAL STAFF CONTINUED TO PLAY LEADERSHIP ROLES IN HEALTH AND HUMAN SERVICE ORGANIZATIONS AND COALITIONS ACROSS BARNSTABLE COUNTY INCLUDING CAPE COD COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS AND THE SUBSTANCE ABUSE IN PREGNANCY TASK FORCE. PLANS FOR NEXT REPORTING YEAR ANNUAL COMMUNITY BENEFITS PLANS FOR CAPE COD HOSPITAL, FALMOUTH HOSPITAL AND CAPE COD HEALTHCARE ALIGN DIRECTLY WITH THE PRIORITIES, GOALS AND OBJECTIVES OF THE THREE-YEAR IMPLEMENTATION PLAN INCLUDED IN THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. AN ELEVEN-MEMBER COMMUNITY HEALTH COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF TRUSTEES OF CAPE COD HEALTHCARE, PROVIDES OVERSIGHT AND INPUT TO ANNUAL PLANNING AND IMPLEMENTATION OF KEY INITIATIVES. COMMUNITY BENEFITS STAFF ENSURES THAT ANNUAL PLANS, PRIORITIES, GOALS AND ACTIVITIES COMPLY WITH MASS ATTORNEY GENERAL (AG) GUIDELINES, MEDICARE GUIDELINES AND IRS REQUIREMENTS. GOALS FOR FY2015: 1. CHRONIC AND INFECTIOUS DISEASE: INVEST IN INITIATIVES, CLINICAL PROGRAMMING AND COMMUNITY EDUCATION AND OUTREACH AIMED AT THE MANAGEMENT AND PREVENTION OF CHRONIC AND INFECTIOUS DISEASE. 2. ACCESS TO CARE: IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR CAPE COD'S UNDERSERVED AND VULNERABLE POPULATIONS THROUGH PARTNERSHIPS AND SUPPORT OF COMMUNITY HEALTH CENTERS, INTERPRETER SERVICES, AND HEALTH CARE ENROLLMENT EFFORTS. 3. MENTAL HEALTH: PROMOTE EDUCATION, COORDINATION, AND NAVIGATION OF SERVICES TARGETED AT INDIVIDUALS AND FAMILIES FACING MENTAL HEALTH ISSUES. 4. SUBSTANCE ABUSE: ENGAGE IN COLLABORATIVE EFFORTS TO SUPPORT COMMUNITY-BASED SUBSTANCE ABUSE PREVENTION AND EDUCATION EFFORTS. 5. YOUTH AND SENIOR HEALTH: SUPPORT INNOVATIVE AND PREVENTATIVE HEALTH INITIATIVES FOR THE COMMUNITY WITH A SPECIFIC FOCUS ON YOUTH AGES 15-24 YEARS OLD AND SENIORS OVER THE AGE OF 65. 6. SUPPORT REGIONAL HEALTH EFFORTS THROUGH DIRECT GRANT FUNDING AND A COMPETITIVE RFP GRANTS PROGRAM OPEN TO ALL COMMUNITY ORGANIZATIONS WITH PROGRAMS ALIGNED WITH COMMUNITY BENEFITS PRIORITIES. 7. MAINTAIN AND DEVELOP COMMUNITY LEADERSHIP OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF BARNSTABLE COUNTY INCLUDING PARTICIPATION WITH THE COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS, THE BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, AND THE BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL. 8. ENGAGE PHYSICIANS, NURSES AND CLINICAL STAFF THROUGHOUT CCHC TO INFORM AND ADVISE COMMUNITY BENEFITS PLANNING AND PROGRAM DEVELOPMENT. COMMUNITY BENEFITS LEADERSHIP/TEAM CAPE COD HEALTHCARE, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, ALONG WITH OUR AFFILIATES, FULFILL THE CRITICAL ROLE OF SAFETY NET PROVIDERS TO THE RESIDENTS OF BARNSTABLE COUNTY AND VISITORS TO OUR REGION. THE DEVELOPMENT OF CAPE COD HEALTHCARE'S STRATEGIC INITIATIVES AND COMMUNITY COLLABORATIONS, INCLUDING THE COMMUNITY BENEFITS PROGRAM, IS LED BY MICHAEL K. LAUF, CHIEF EXECUTIVE OFFICER AND THERESA M. AHERN, SENIOR VICE PRESIDENT, STRATEGY AND GOVERNMENTAL AFFAIRS. MANAGEMENT OF THE PROGRAM IS THE RESPONSIBILITY OF LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS. THE COMMUNITY HEALTH COMMITTEE PROVIDES STRATEGIC OVERSIGHT TO THE COMMUNITY BENEFITS PROGRAM AS A DESIGNATED SUBCOMMITTEE OF THE BOARD OF TRUSTEES. THE COMMITTEE IS COMPRISED OF MEMBERS WHO WORK IN PUBLIC HEALTH ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY ADVOCACY GROUPS AND COUNTY GOVERNMENT, AS WELL AS TWO CURRENT MEMBERS OF THE CCHC BOARD OF TRUSTEES. THE COMMITTEE DEVELOPS AND RECOMMENDS POLICIES TO THE CAPE COD HEALTHCARE BOARD OF TRUSTEES REGARDING COMMUNITY BENEFITS PROGRAMS, SETS PRIORITIES, AWARDS PRIORITY GRANT FUNDING, AND ADVISES ON COMMUNITY HEALTH ISSUES AND INITIATIVES. FY 14 COMMUNITY HEALTH COMMITTEE MEMBERS: ELEANOR CLAUS (CHAIR) CCHC BOARD MEMBER KINLIN GROVER REAL ESTATE 927 ROUTE 6A, YARMOUTHPORT, MA 02675 508.362.3000 X203 ECLAUS@KINLINGROVER.COM ELIZABETH ALBERT BARNSTABLE COUNTY HUMAN SERVICES P.O. BOX 427, BARNSTABLE, MA 02630 508.375.6626 BALBERT@BARNSTABLECOUNTY.ORG REPRESENTING: COMMUNITY AT LARGE & COUNTY DEPARTMENTS KAREN CARDEIRA FALMOUTH HUMAN SERVICES 65 TOWN HALL SQUARE, FALMOUTH, MA 02540 508.548.0533 KCARDEIRA@FALMOUTHHUMANSERVICES.ORG REPRESENTING: COMMUNITY AT LARGE & UPPER CAPE MARY DEVLIN PUBLIC HEALTH AND WELLNESS DIVISION, VISITING NURSE ASSOCIATION OF CAPE COD 255 INDEPENDENCE DRIVE, HYANNIS, MA 02601 508.957.7619 MDEVLIN@VNACAPECOD.ORG REPRESENTING: PROVINCETOWN TO PLYMOUTH WITH EMPHASIS ON CHRONIC DISEASE AND HEALTHY AGING OF THE SENIOR POPULATION GEORGIA CARVALHO CAPE COD COMMUNITY COLLEGE 2240 IYANNOUGH ROAD, WEST BARNSTABLE, MA 02668 508.362.2131 EXT. 4492 GCARVALHO@CAPECOD.EDU REPRESENTING: EDUCATION AND YOUNG ADULTS KAREN GARDNER COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL ST., MASHPEE, MA 02649 508.477.7090 KGARDNER@CHCOFCAPECOD.ORG REPRESENTING: COMMUNITY HEALTH CENTER NETWORK & UPPER CAPE SUZANNE FAY GLYNN, ESQ. CCHC BOARD MEMBER GLYNN LAW OFFICES 49 LOCUST STREET, FALMOUTH, MA 02540 508.548.8282 LJARVIS@GLYNNLAWOFFICES.COM REPRESENTING: CCHC BOARD OF TRUSTEES CARMEN LEBRON CAPE COD IMMIGRANT CENTER 624 OSTERVILLE WEST BARNSTABLE ROAD, UNIT E1 MARSTONS MILLS, MA 02648 508.428.0517 CLEBRON@CAPECOD.EDU REPRESENTING: COMMUNITY AT LARGE WITH FOCUS ON IMMIGRANT POPULATIONS, HEALTH DISPARITIES AND EMERGING HEALTH NEEDS HADLEY LUDDY BIG BROTHER BIG SISTERS 1934 FALMOUTH ROAD, CENTERVILLE, MA 02601 508-775-5150 HLUDDY@BBBSCCI.ORG REPRESENTING: YOUTH AND YOUNG ADULTS BRIAN O'MALLEY, MD 30 SHANK PAINTER ROAD, PROVINCETOWN, MA 02657 508-487-3505 BOMALLEY@CAPECODHEALTH.ORG REPRESENTING: COMMUNITY AT LARGE & OUTER CAPE CHRIS HOTTLE PROVINCETOWN COUNCIL ON AGING 26 ALDEN STREET, PROVINCETOWN, MA 02657 508-487-7080 CHOTTLE@PROVINCETOWN-MA.GOV REPRESENTING: SENIOR POPULATIONS & OUTER CAPE CAPE COD HEALTHCARE MEMBER: THERESA M. AHERN SENIOR VICE PRESIDENT, STRATEGY AND GOVERNMENTAL AFFAIRS CAPE COD HEALTHCARE 88 LEWIS BAY ROAD HYANNIS, MA 02601 508-862-5077 TAHERN@CAPECODHEALTH.ORG COMMUNITY BENEFITS TEAM MEETINGS THE COMMUNITY HEALTH COMMITTEE MEETING DATES FOR FY 2014 WERE: NOVEMBER 19, 2013 9:00 - 11:00 AM FEBRUARY 20, 2014 4:00-5:30 PM JUNE 19, 2014 4:00-5:30 PM JULY 17, 2014 4:00-5:30 PM COMMUNITY PARTNERS AIDS SUPPORT GROUP OF CAPE COD AMERICAN CANCER SOCIETY BARNSTABLE COUNTY CAPE COD COOPERATIVE EXTENSION SERVICES BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE SCHOOL SYSTEM BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS BOYS AND GIRLS CLUB OF CAPE COD CALMER CHOICE CAPE AND ISLANDS EMS SYSTEMS, INC CAPE AND ISLANDS UNITED WAY CAPE COD CHAMBER OF COMMERCE CAPE COD CHILD DEVELOPMENT CAPE COD FOUNDATION CAPE COD HUNGER NETWORK CHILDREN'S COVE COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS COMMUNITY DEVELOPMENT PARTNERSHIP COMMUNITY HEALTH CENTER OF CAPE COD COMMUNITY HEALTH NETWORK AREA 27 CAPE COD & ISLANDS (CHNA 27) DUFFY HEALTH CENTER ELDER SERVICES OF CAPE COD & THE ISLANDS HARBOR COMMUNITY HEALTH CENTER - HYANNIS HELPING OUR WOMEN HOPE HEALTH DEMENTIA & ALZHEIMER'S SERVICES GOSNOLD ON CAPE COD MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MOTHERS AND INFANTS RECOVERY NETWORK NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD ORAL HEALTH EXCELLENCE COLLABORATIVE OUTER CAPE HEALTH SERVICES PARKINSON SUPPORT NETWORK OF CAPE COD SIGHT LOSS SERVICES SPECIALTY NETWORK FOR THE UNINSURED COMMUNITY HEALTH NEEDS ASSESSMENT DATE LAST ASSESMENT COMPLETED AND CURRENT STATUS THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC ON SEPTEMBER 27TH, 2013. CAPE COD HOSPITAL AND FALMOUTH HOSPITAL FOLLOWED IRS REGULATIONS AND MA ATTORNEY GENERAL GUIDELINES TO CONDUCT THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT OF POPULATIONS LIVING IN THE SERVICE AREA OF BARNSTABLE COUNTY. SIGNIFICANT COMMUNITY INPUT WAS DOCUMENTED AND DATA WAS COLLECTED FROM NATIONAL, STATE, REGIONAL AND LOCAL SOURCES TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY. SPECIAL ATTENTION WAS GIVEN TO VULNERABLE POPULATIONS, STATEWIDE PRIORITIES WERE CONSIDERED AND THE COMMUNITY ASSETS AVAILABLE TO MEET NEEDS WERE IDENTIFIED AND ASSESSED. AN IMPLEMENTATION PLAN RELATED TO THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS WAS DEVELOPED WITH OUTLINED GOALS, OBJECTIVES, INITIATIVES, RESOURCES AND POTENTIAL COLLABORATORS. THE OBJECTIVES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO GATHER STATISTICALLY VALID INFORMATION AND ACCURATE COMPARISONS TO STATE AND NATIONAL BENCHMARKS OF HEALTH AND QUALITY OF LIFE MEASURES FOR RESIDENTS OF BARNSTABLE COUNTY AND TO INTEGRATE RESEARCH FINDINGS INTO COMMUNITY BENEFIT AND HOSPITAL PLANNING ACTIVITIES THAT ADDRESS SIGNIFICANT COMMUNITY NEEDS AND VULNERABLE POPULATIONS. OVER 80 COMMUNITY ORGANIZATIONS PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH FOCUS GROUPS, KEY INFORMATION INTERVIEWS AND COMMUNITY INPUT FORUMS. DATA WAS COLLECTED THROUGH A HOUSEHOLD TELEPHONE SURVEY OF RESIDENTS OF BARNSTABLE COUNTY USING A SURVEY INSTRUMENT ADAPTED FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. PRIMARY DATA COLLECTED THROUGH COMMUNITY INPUT AND THE HOUSEHOLD TELEPHONE SURVEY WAS HEAVILY AUGMENTED WITH SECONDARY DATA FROM NATIONAL, STATE, AND REGIONAL SOURCES. THE MOST CURRENT BARNSTABLE COUNTY HEALTH DATA AVAILABLE WAS COLLECTED, ANALYZED, SYNTHESIZED AND COMPARED TO MA AND US DATA AS AVAILABLE. DATA COLLECTION EFFORTS FOCUSED ON DEMOGRAPHIC CHARACTERISTICS, BEHAVIORAL RISK FACTORS ASSOCIATED WITH HEALTH STATUS, DISEASE INCIDENCE AND PREVALENCE RATES, ACCESS TO CARE, HEALTH STATUS INDICATORS, MORBIDITY/MORTALITY RATES AND HOSPITAL UTILIZATION. THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH DATA COLLECTION AND COMMUNITY INPUT WERE DISTINGUISHED AND PRIORITIZED BASED ON THE FREQUENCY, URGENCY, SCOPE, SEVERITY AND MAGNITUDE OF THE IDENTIFIED ISSUES. THE SIGNIFICANT HEALTH NEEDS AND ASSOCIATED TARGET AND VULNERABLE POPULATIONS ARE THE FOUNDATION FOR COMMUNITY BENEFITS AND HOSPITAL PLANNING AND PROGRAM IMPLEMENTATION SPANNING FISCAL YEARS 2014 - 2016. KEY DATA SETS FEATURED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE UPDATED ON AN ONGOING BASIS. COMMUNITY BENEFITS AND HOSPITAL PLANNING ACTIVITIES WILL BE FURTHER DEFINED, UPDATED AND EVALUATED THROUGH ONGOING AND ANNUAL PROGRAM EVALUATION AND IDENTIFICATION OF EMERGING TRENDS AND NEEDS. THE FOLLOWING SOURCES WERE UTILIZED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS: - CAPE COD HOSPITAL AND FALMOUTH HOSPITAL UTILIZATION DATA - CENTERS FOR DISEASE CONTROL AND PREVENTION: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), YOUTH RISK BEHAVIORAL SURVEILLANCE SYSTEM (YRBSS), NATIONAL CENTER FOR HEALTH STATISTICS, NATIONAL PROGRAM OF CANCER REGISTRIES, CDC WONDER DATABASE, HEALTHY PEOPLE 2020 -FALMOUTH PREVENTION PARTNERSHIP COMMUNITY PROFILE ON YOUTH SUBSTANCE ABUSE IN FALMOUTH 2009 -MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION -MASSACHUSETTS DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH: BUREAU OF SUBSTANCE ABUSE SERVICES, - MASSCHIP (MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE) - TRI-COUNTY COLLABORATIVE FOR ORAL HEALTH EXCELLENCE - U.S. CENSUS BUREAU: US CENSUS 2000, US CENSUS 2010, AMERICAN COMMUNITY SURVEY -US DEPARTMENT OF VETERAN AFFAIRS -KEY INFORMANT INTERVIEWS -FOCUS GROUPS -COMMUNITY FORUMS -TELEPHONE SURVEY OF BARNSTABLE COUNTY RESIDENTS - COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT AND LOCAL HEALTH AGENCIES CONSULTANTS/OTHER ORGANIZATIONS AIDS SUPPORT GROUP OF CAPE COD AMERICAN CANCER SOCIETY BARNSTABLE COUNTY HUMAN RIGHTS COMMISSION BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE COUNTY PUBLIC HEALTH NURSE BARNSTABLE SCHOOL SYSTEM BIG BROTHERS BIG SISTERS OF CAPE COD AND THE ISLANDS BOURNE COUNCIL ON AGING BOYS & GIRLS CLUB OF CAPE COD CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM CAPE & ISLANDS UNITED WAY CAPE AND ISLANDS SUICIDE PREVENTION COALITION CAPE COD CENTER FOR WOMEN CAPE COD COMMUNITY COLLEGE CAPE COD COUNCIL OF CHURCHES CAPE DISABILITY NETWORK CAPE COD DISTRICT ATTORNEY'S OFFICE CAPE COD FOUNDATION CAPE COD HEALTHCARE DIABETES CENTER CAPE COD HEALTHCARE INFECTIOUS DISEASE SERVICES CAPE COD HEALTHCARE REGIONAL CANCER NETWORK CAPE COD HEALTHY FAMILIES CAPE COD IMMIGRANT CENTER CAPE COD JUSTICE FOR YOUTH COLLABORATIVE CAPE COD JUSTICE FOR YOUTH BOARD CAPE COD MEDICAL RESERVE CORPS CAPE COD NEIGHBORHOOD SUPPORT COALITION CAPE COD WIC CAPE& ISLANDS GAY STRAIGHT YOUTH ALLIANCE CCH PATIENT AND FAMILY ADVISORY COMMITTEE CHAMP HOMES CHILD AND FAMILY SERVICES CHILDREN'S STUDY HOME COAST (COA'S SERVING TOGETHER) COMMUNITY HEALTH CENTER OF CAPE COD COUNTY NETWORK OF CAPE COD DUFFY HEALTH CENTER ELDER SERVICES OF CAPE COD AND THE ISLANDS EMERALD PHYSICIANS FALMOUTH HOUSING AUTHORITY FALMOUTH HUMAN SERVICES FALMOUTH POLICE DEPARTMENT FALMOUTH PREVENTION PARTNERSHIP FALMOUTH SERVICE CENTER FREEDOM FROM ADDICTION NETWORK GOSNOLD ON CAPE COD HEALTH IMPERATIVES HEALTH IMPERATIVES - HYANNIS FAMILY PLANNING HELPING OUR WOMEN HOPE DEMENTIA AND ALZHEIMER'S SERVICES OF CAPE COD HOPE HEALTH HYANNIS YOUTH AND COMMUNITY CENTER KENNEDY DONOVAN CENTER LOWER CAPE OUTREACH COUNCIL LYME AWARENESS OF CAPE COD MA DEPARTMENT OF MENTAL HEALTH - CAPE COD MASHPEE COUNCIL ON AGING MASHPEE HOUSING AUTHORITY MATERNAL DEPRESSION TASK FORCE NATIONAL MULTIPLE SCLEROSIS SOCIETY ORAL HEALTH EXCELLENCE COLLABORATIVE PARISH NURSE MINISTRIES OF CAPE COD PROVINCETOWN COUNCIL ON AGING REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP (REACH) SAMARITANS ON CAPE COD AND ISLANDS SANDWICH COUNCIL ON AGING SANDWICH HOUSING AUTHORITY SERVING THE HEALTH INFORMATION NEEDS OF OTHERS (SHINE) SOUTH BAY MENTAL HEALTH SPECIALTY NETWORK FOR THE UNINSURED ST. JOHN'S EPISCOPAL PROJECT TRURO COUNCIL ON AGING VETERANS OUTREACH COUNCIL VISITING NURSE ASSOCIATION OF CAPE COD WOMEN AND ADOLESCENT HEALTH AT COMMUNITY HEALTH CENTER OF CAPE COD YMCA OF CAPE COD YOUTH SUICIDE PREVENTION PROJECT DATA SOURCES COMMUNITY FOCUS GROUPS, HOSPITAL, CONSUMER GROUP, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA COMMUNITY BENEFITS PROGRAMS COMMUNITY BASED INTERPRETER SERVICES PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR INDIVIDUALS THAT FACE BARRIERS TO CARE DUE TO LANGUAGE THROUGH THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM. THE PROGRAM DISPATCHES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN PRACTICES TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: INCREASE ACCESS TO CARE BY PROVIDING MEDICAL INTERPRETATIONS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY CARE SETTINGS. GOAL STATUS: COLLABORATION WITH HEALTH CENTERS AND PHYSICIAN OFFICES RESULTED IN 950 LANGUAGE INTERPRETATIONS IN FY14. APPROXIMATELY, 79% OF INTERPRETATIONS WERE FOR RESIDENTS SPEAKING PORTUGUESE AND 21% FOR RESIDENTS SPEAKING SPANISH. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD: THE SPECIALTY NETWORK FOR THE UNINSURED HTTP://WWW.CHCOFCAPECOD.ORG/ COMMUNITY-BASED MEDICAL OFFICES ON CAPE COD: VARIOUS HARBOR COMMUNITY HEALTH CENTER-HYANNIS HTTP://WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTER-HYANNIS/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SPECIALTY NETWORK FOR THE UNINSURED (SNU) PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO INCREASE ACCESS TO SPECIALTY CARE FOR THE UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE PROGRAM IS MANAGED IN COLLABORATION WITH LOCAL COMMUNITY HEALTH CENTERS TO PROVIDE APPOINTMENTS WITH SPECIALISTS WHO PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEES FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE. THE PROGRAM ALSO HOSTS CARDIOLOGY, ORTHOPEDIC AND DIABETIC EYE-EXAM CLINICS WITH SERVICES PROVIDED BY VOLUNTEER PHYSICIANS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR:ACCESS TO HEALTH CARE, IMMUNIZATION, OTHER: ALZHEIMER DISEASE, OTHER: ARTHRITIS, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: COLITIS/CROHN DISEASE, OTHER: CULTURAL COMPETENCY, OTHER: DIABETES, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HYPERTENSION, OTHER: LYME DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSON'S DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION , OVERWEIGHT AND OBESITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE ACCESS TO SPECIALTY CARE FOR LOW-INCOME, UNINSURED AND UNDER-INSURED INDIVIDUALS. GOAL STATUS: THE SNU PROGRAM PROVIDED 578 PATIENT APPOINTMENTS WITH SPECIALISTS IN FY14. PROGRAM EFFORTS ARE ONGOING. GOAL DESCRIPTION: PROVIDE ACCESS TO SPECIALISTS FOR UNINSURED OR UNDER-INSURED RESIDENTS WHO FACE LANGUAGE BARRIERS TO CARE. GOAL STATUS: SEVENTY-FOUR PERCENT (74%) OF PROGRAM PARTICIPANTS SPOKE PORTUGUESE, 20% SPOKE ENGLISH AND 6% SPOKE SPANISH AS THEIR PRIMARY SPOKEN LANGUAGE. PARTNERS PARTNER NAME, DESCRIPTION, PARTNER WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD HTTP://WWW.CHCOFCAPECOD.ORG/ HARBOR COMMUNITY HEALTH CENTER- HYANNIS WWW.HHSI.US DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG NANTUCKET COTTAGE HOSPITAL WWW.NANTUCKETHOSPITAL.ORG ISLAND HEALTH CARE WWW.IHIMV.ORG CAPE COD HEALTHCARE WWW.CAPECODHEALTH.ORG CONTACT INFORMATION: LISA GUYON, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED PRESCRIPTION ASSISTANCE PROGRAM: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,OUTREACH TO UNDERSERVED STATEWIDE PRIORITY :ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO HELP UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH THEIR HOSPITAL DISCHARGE PLANS. GOAL STATUS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED PRESCRIPTION ASSISTANCE TOTALING $22,300 FOR UNINSURED, UNDERINSURED OR FINANCIALLY CHALLENGED PATIENTS. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS LOCAL PHARMACIES N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED TRANSPORTATION ASSISTANCE PROGRAM: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,OUTREACH TO UNDERSERVED STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: SAFETY, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN. GOAL STATUS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED TAXI VOUCHERS TOTALING $34,000 FOR FINANCIALLY DISADVANTAGED PATIENTS UPON DISCHARGE. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS LOCAL TAXI COMPANIES N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED HEALTH INSURANCE ENROLLMENT SERVICES: COMMUNITY ACTION COMMITTEE OF CAPE COD AND THE ISLANDS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: IN FY14, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO SUPPORT HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT SERVICES AT COMMUNITY ACTION COMMITTEE OF CAPE COD AND THE ISLANDS, A COMMUNITY BASED ORGANIZATION THAT PROVIDES ASSISTANCE IN THE NAVIGATION OF HEALTH INSURANCE OPTIONS FOR RESIDENTS OF BARNSTABLE COUNTY. SERVICES INCLUDE BI-LINGUAL HEALTH CARE ENROLLMENT AND RE-ENROLLMENT SERVICES, LINKAGES TO PRIMARY CARE PROVIDERS, CONSUMER EDUCATION WORKSHOPS AND COUNSELING AND OUTREACH TO LOW-INCOME AND IMMIGRANT RESIDENTS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CULTURAL COMPETENCY, OTHER: EDUCATION/LEARNING ISSUES, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL, PORTUGUESE, SPANISH GOALS GOAL DESCRIPTION: ASSIST INDIVIDUALS WITH ACCESS TO HEALTH INSURANCE AND ENROLLMENT/RE-ENROLLMENT SERVICES AND EDUCATION. GOAL STATUS: ASSISTED 2,566 INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT AND RE-ENROLLMENT SERVICES AND EDUCATION IN BARNSTABLE COUNTY. GOAL DESCRIPTION: PROVIDE "ACCESS TO CARE" CONSUMER EDUCATION SESSIONS TO THOSE SERVED. GOAL STATUS: OVER 685 INDIVIDUALS RECEIVED ONE ON ONE COUNSELING/EDUCATION OR ATTENDED CONSUMER EDUCATION WORKSHOPS. GOAL DESCRIPTION: LINK NEWLY INSURED INDIVIDUALS AND FAMILIES TO PRIMARY CARE PROVIDERS. GOAL STATUS: APPROXIMATELY 683 INDIVIDUALS RECEIVING ENROLLMENT SERVICES WERE LINKED TO PRIMARY CARE PROVIDERS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS BARNSTABLE HIGH SCHOOL WWW.BARNSTABLE.K12.MA.US/BHS/ FALMOUTH SERVICE CENTER WWW.FALMOUTHSERVICECENTER.ORG/ HEALTH IMPERATIVES - CAPE COD WIC WWW.HEALTHIMPERATIVES.ORG COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS WWW.CACCI.CC A BABY CENTER WWW.ABABYCENTER.ORG DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG HARBOR COMMUNITY HEALTH CENTER-HYANNIS WWW.HHSI.US/CAPECOD MASSHEALTH TRAINING FORUMS WWW.MASSHEALTHMTF.ORG CAREER OPPORTUNITIES CENTER WWW.CAPEJOBS.COM CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING BEHAVIORAL HEALTH SERVICES FOR HOMELESS AND AT RISK ADULTS AT THE DUFFY HEALTH CENTER PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: THE DUFFY HEALTH CENTER PROVIDES PRIMARY CARE AND BEHAVIORAL HEALTH CARE TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS IN BARNSTABLE COUNTY. IN FY14, COMMUNITY BENEFITS FUNDING FROM CAPE COD HEALTHCARE SUPPORTED THE DUFFY HEALTH CENTERS BEHAVIORAL HEALTH SERVICES INCLUDING THERAPY, PSYCHIATRY AND CASE MANAGEMENT SUPPORT OF PATIENTS WHO ARE FREQUENT CONSUMERS OF EMERGENCY SERVICES IN THE COMMUNITY. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ELDER CARE, OTHER: HOMELESSNESS, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ADULTS ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: DUFFY HEALTH CENTER WILL PROVIDE BEHAVIORAL HEALTH SERVICES TO 1,200 PATIENTS. GOAL STATUS: BEHAVIORAL HEALTH SERVICES WERE PROVIDED TO 1,820 INDIVIDUALS THROUGH 9,024 VISITS. GOAL DESCRIPTION: DUFFY HEALTH CENTER WILL PROVIDE PSYCHIATRIC SERVICES, PRIMARILY MEDICATION PRESCRIBING AND MONITORING, TO APPROXIMATELY 300 PATIENTS. GOAL STATUS: PSYCHIATRIC SERVICES, INCLUDING MEDICATION PRESCRIBING AND MONITORING, WERE PROVIDED TO 411 INDIVIDUALS THROUGH 1,894 VISITS. GOAL DESCRIPTION: ALL (100%) NEW DUFFY HEALTH CENTER PATIENTS WILL BE SCREENED FOR BEHAVIORAL HEALTH NEEDS. GOAL STATUS: ALL NEW DUFFY HEALTH CENTER PATIENTS WERE SCREENED FOR BEHAVIORAL HEALTH NEEDS USING THE PHQ-9 TOOL TO DETECT DEPRESSION AND ANXIETY. ANY PATIENTS MEETING A PARTICULAR SCORING THRESHOLD OF THE SCREENING TOOL WERE PROVIDED BEHAVIORAL HEALTH SERVICES. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS VETERANS AFFAIRS: VARIOUS THE DUFFY HEALTH CENTER WWW.DUFFYHEALTHCENTER.ORG HOUSING ASSISTANCE CORPORATION WWW.HACONCAPECOD.ORG CAPE COD COMMUNITY COLLEGE WWW.CAPECOD.EDU CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORT GROUPS AND CLASSES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/ SCHOLARSHIP,OUTREACH TO UNDERSERVED,SUPPORT GROUP STATEWIDE PRIORITY :ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: SUPPORT GROUPS FOR BEREAVEMENT AND CANCER SURVIVORSHIP, AND CLASSES AND COUNSELING FOCUSED ON BREASTFEEDING, FATHERHOOD AND HOLISTIC SERVICES TO COMPLEMENT TRADITIONAL MEDICAL CARE ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY. CLASSES ARE HOSTED AT HOSPITALS AND IN THE COMMUNITY TO PROVIDE ACCESS FOR ALL POPULATIONS. INFORMATION AND RESOURCES ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND FRIENDS AND MANY INCLUDE IN-PERSON MEETINGS AND CONTACTS TO OFFER SUPPORT AND REASSURANCE THROUGH THEIR SPECIFIC DISEASE/HEALTH CARE SITUATION. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: BEREAVEMENT, OTHER: CANCER, OTHER: CHILD CARE, OTHER: CHRONIC PAIN , OTHER: DIABETES, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARENTING SKILLS, OTHER: PREGNANCY, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION:PROVIDE SUPPORT GROUPS FOR INDIVIDUALS, FAMILIES AND CAREGIVERS ON A CONTINUUM OF ISSUES INCLUDING CANCER SURVIVORSHIP, PRENATAL/NEW PARENTS, BEREAVEMENT AND CHRONIC DISEASE SELF MANAGEMENT. GOAL STATUS: IN FY14, OVER 2,800 HOURS OF SUPPORT GROUPS AND CLASSES WERE OFFERED AND FACILITATED FOR INDIVIDUALS AND FAMILIES. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS VISITING NURSES ASSOCIATION HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY WWW.CANCER.ORG YMCA CAPE COD HTTP://YMCACAPECOD.ORG/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED WORKFORCE DEVELOPMENT INITIATIVES PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,HEALTH PROFESSIONAL/STAFF TRAINING,MENTORSHIP/CAREER TRAINING/INTERNSHIP,OUTREACH TO UNDERSERVED,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY:ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOOL TO HAVE A POSITIVE AND PROFESSIONAL EXPERIENCE THROUGH INTERNSHIPS, JOB SHADOWING AND TRAINING WITH HEALTH CARE PROVIDERS IN SEVERAL HOSPITAL DEPARTMENTS. BY TRAINING AND MENTORING STUDENTS FOR FUTURE EMPLOYMENT, WE HOPE TO SUCCESSFULLY ENGAGE INDIVIDUALS SO THEY SELECT HEALTH CARE AS A VIABLE AND ADMIRABLE VOCATION, THUS DECREASING THE POTENTIAL RISK FOR PREDICTED FUTURE SHORTAGES IN THE WORKPLACE. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: INCREASE ACCESS TO SERVICES THROUGH WORKFORCE DEVELOPMENT PARTNERSHIPS. GOAL STATUS: IN FY14, OVER 10,800 HOURS OF WORKFORCE DEVELOPMENT EFFORTS TOOK PLACE INCLUDING STUDENT TRAINING, MENTORING AND JOB SHADOWING. PROGRAM EFFORTS ARE ONGOING IN FY15. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS CAPE COD COMMUNITY COLLEGE WWW.CAPECOD.EDU/ UPPER CAPE REGIONAL TECHNICAL SCHOOL WWW.UPPERCAPETECH.COM/ CAPE COD REGIONAL TECHNICAL HIGH SCHOOL HTTP://WWW.CAPETECH.US/ MA COLLEGE OF PHARMACY AND HEALTH SCIENCES WWW.MCPHS.EDU UMASS DARTMOUTH WWW.UMASSD.EDU BOSTON COLLEGE WWW.BC.EDU BARNSTABLE HIGH SCHOOL WWW.BARNSTABLE.K12.MA.US ENDICOTT COLLEGE WWW.ENDICOTT.EDU QUINCY COLLEGE WWW.QUINCYCOLLEGE.EDU BRISTOL COMMUNITY COLLEGE WWW.BRISTOL.MASS.EDU CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED HELPING HANDS: IN-HOME CLINICAL SUPPORT FOR HIGH-RISK PATIENTS PROGRAM TYPE: DIRECT SERVICES, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: THIS PROGRAM OFFERS CLINICAL NURSE CASE MANAGEMENT AND MEDICATION REVIEW BY A PHARMACIST IN THE HOME FOR HIGH-RISK INDIVIDUALS WITH A CHRONIC DISEASE, COMPLEX MEDICATION REGIMEN, OR WHEN HIGH RISK OF FALLS HAS BEEN IDENTIFIED. PATIENTS AND THEIR CAREGIVERS ARE PROVIDED COACHING ON SELF-MANAGEMENT OF THEIR CHRONIC DISEASE, MEDICATION MANAGEMENT AND EVALUATION FOR FALL RISK AND HOME SAFETY. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: INJURY AND VIOLENCE, OTHER: CANCER, OTHER: CHRONIC PAIN, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: HOMEBOUND, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARKINSON'S DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY - HOME SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: PROVIDE HIGH-RISK INDIVIDUALS WITH IN-HOME MEDICATION MANAGEMENT, CHRONIC DISEASE EDUCATION, CLINICAL CARE COORDINATION AND CAREGIVER SUPPORT. GOAL STATUS: IN FY14, 745 INDIVIDUALS RECEIVED FREE SERVICES TO IMPROVE THEIR HEALTH STATUS THROUGH THE PROGRAM. PROGRAM EFFORTS ARE ONGOING. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS ELDER SERVICES OF CAPE COD AND THE ISLANDS WWW.ESCCI.ORG/ PHYSICIAN OFFICES ACROSS CAPE COD SKILLED NURSING FACILITIES - VARIOUS VISITING NURSE ASSOCIATION OF CAPE COD WWW.VNACAPECOD.ORG/ CONTACT INFORMATION: LISA GUYON, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED ONE TO ONE MENTORING FOR HIGH-RISK YOUTH: BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP,OUTREACH TO UNDERSERVED,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY : PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO REDUCE THE RISK FACTORS AND INCREASE THE RESILIENCY FACTORS FOR YOUTH AT AN ELEVATED RISK OF SUBSTANCE USE AND ABUSE, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS TO EXPAND MENTORING OPPORTUNITIES ON CAPE COD. BIG BROTHERS BIG SISTERS FOCUSED SPECIFICALLY ON RECRUITING CHILDREN FOR MENTORING WHO MET A MINIMUM OF THREE OF THE FOLLOWING RISK FACTORS ASSOCIATED WITH CHILDHOOD DRUG/ALCOHOL ABUSE: LOW-INCOME HOUSEHOLD, SINGLE-PARENT HOUSEHOLD, ALCOHOL OR DRUG ABUSE IN THE HOUSEHOLD, LOW SELF-ESTEEM/MINIMAL CONFIDENCE AND/OR ISOLATION FROM PEERS/FEW CLOSE FRIENDS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: EDUCATION/LEARNING ISSUES, OTHER: SAFETY, SUBSTANCE ABUSE, TOBACCO USE SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-PRIMARY SCHOOL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: RECRUIT AND MATCH CHILDREN AT ELEVATED RISK FOR SUBSTANCE USE AND ABUSE. GOAL STATUS: IN FY14, 75 NEW MATCH RELATIONSHIPS WERE CREATED WITH 56% OF MATCHES MADE FOR YOUTH WITH ELEVATED RISKS FOR SUBSTANCE USE AND ABUSE. GOAL DESCRIPTION: RECRUIT A DIVERSE GROUP OF CHILDREN REPRESENTING DIFFERENT GENDERS, ETHNIC REPRESENTATION AND GEOGRAPHIC LOCATIONS IN BARNSTABLE COUNTY. GOAL STATUS: APPROXIMATELY 60% OF CHILDREN RECRUITED WERE MALE AND 40% WERE FEMALE, 53% WERE CAUCASIAN, 24% MULTI-RACIAL, 17% AFRICAN-AMERICAN AND 6% IDENTIFIED AS HISPANIC, ASIAN OR OTHER RACE. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS BIG BROTHERS BIG SISTERS CAPE COD & THE ISLANDS HTTP://WWW.BBBSMB.ORG/SITE/C.9GKMJZMXF7LUG/B.8485091/K.84FA/ABOUT_MENTORIN G_ON_CAPE_COD.HTM CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SMILE: ORAL HEALTH EXCELLENCE COLLABORATIVE PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH PROFESSIONAL/STAFF TRAINING,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED GRANT SUPPORT TO THE ORAL HEALTH EXCELLENCE COLLABORATIVE (OHEC) FOR EFFORTS TO EDUCATE LOW-INCOME SENIORS ABOUT THEIR ORAL HEALTH, HYGIENE ROUTINES AND DENTAL CARE RESOURCES. PROGRAM ACTIVITIES INCLUDED PLACING VOLUNTEER ORAL HEALTH EDUCATORS AT EACH OF THE 15 COUNCIL ON AGING OFFICES ACROSS CAPE COD, PROVIDING ONE ON ONE ORAL HEALTH SURVEYS AND EDUCATION SESSIONS WITH SENIORS, AND REMOVING BARRIERS TO DENTAL CARE THROUGH STRENGTHENING EDUCATION, INFORMATION, COORDINATION AND REFERRAL BETWEEN RESIDENTS AND ORAL HEALTH PROVIDERS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: DENTAL HEALTH, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ADULT-ELDER, ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: RECRUIT, TRAIN AND SECURE SMILE COUNSELORS IN EACH COUNCIL ON AGING ON CAPE COD. GOAL STATUS: VOLUNTEER SMILE COUNSELORS WERE TRAINED, MENTORED AND PLACED IN EACH OF THE 15 COUNCIL ON AGING OFFICES ACROSS CAPE COD. VOLUNTEERS INCLUDE RETIREES, DENTAL HYGIENISTS, HEALTH CARE PROFESSIONALS AND HEALTH EDUCATORS. GOAL DESCRIPTION: IMPROVE THE ORAL HYGIENE ROUTINES OF SENIORS THROUGH ONE ON ONE COUNSELING SESSIONS WITH SMILE COUNSELORS. FACILITATE ACCESS TO DENTAL CARE AND FOLLOW-UP SERVICES FOR SENIORS WITH UNTREATED DENTAL DISEASE. GOAL STATUS: OVER 203 LOW-INCOME RESIDENTS AGES 65+ RECEIVED ONE ON ONE DENTAL HYGIENE COUNSELING FROM A SMILE COUNSELOR. SEVENTY-FIVE (75) SENIORS WERE LINKED TO DENTAL CARE THROUGH SMILE COUNSELORS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS ORAL HEALTH EXCELLENCE COLLABORATIVE WWW.ORALHEALTHEXCELLENCE.NET CAPE COD DISTRICT DENTAL SOCIETY WWW.MASSDENTAL.ORG/CAPECOD COUNCILS ON AGING SERVING TOGETHER (COAST) WWW.CAPECOAST.TUMBLR.COM SERVING HEALTH INFORMATION NEEDS OF ELDERS WWW.CAPECODSENIORS.ORG ELDER SERVICES OF CAPE COD WWW.ESCCI.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING ADOLESCENT HEALTH AND CHRONIC DISEASE MANAGEMENT INITIATIVES AT HARBOR COMMUNITY HEALTH CENTER - HYANNIS PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT,HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO HARBOR COMMUNITY HEALTH CENTER-HYANNIS (HCHC-H) TO IMPROVE ADOLESCENT HEALTH EDUCATION OUTREACH AND CHRONIC DISEASE MANAGEMENT OF PATIENTS. HCHC-H OFFERED UNDERAGE DRINKING AND SUBSTANCE USE/ABUSE PREVENTION SERVICES TO AT-RISK MINORITY YOUTH AND RISK REDUCTION COUNSELING RELATED TO THE TRANSMISSION OF SEXUALLY TRANSMITTED DISEASES. IN ADDITION, THE GRANT SUPPORTED THE EFFORTS OF HCHC-H TO IMPROVE THE CARE COORDINATION OF HIGH-RISK PATIENTS WITH DIABETES, HYPERTENSION AND PEDIATRIC ASTHMA. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR:ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ASTHMA/ALLERGIES, OTHER: CULTURAL COMPETENCY, OTHER: DIABETES, OTHER: DRUNK DRIVING, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HYPERTENSION, OTHER: LANGUAGE/LITERACY, OTHER: PREGNANCY, OTHER: PUBLIC SAFETY, OTHER: SAFETY, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: SMOKING/TOBACCO, OTHER: STRESS MANAGEMENT, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, RESPONSIBLE SEXUAL BEHAVIOR, SUBSTANCE ABUSE, TOBACCO USE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG, ALL ADULTS, CHILD-PRETEEN, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: REACH 200 YOUTH THROUGH MOBILE OUTREACH AND HEALTH EDUCATION INITIATIVES. GOAL STATUS: HCHC-H SERVED 541 YOUTH UNDER THE AGE OF 19 YEARS DURING THE GRANT PERIOD. IN ADDITION TO COMMUNITY EDUCATION INITIATIVES, HCHC-H LAUNCHED A WALK-IN HIV AND HEPATITIS C VIRUS TESTING AND COUNSELING SITE FOR ADOLESCENTS. GOAL DESCRIPTION: DEVELOP CHRONIC DISEASE HIGH-RISK REGISTRIES TO IDENTIFY AND MONITOR PATIENTS IN NEED OF INCREASED CARE COORDINATION. GOAL STATUS: HCHC-H DEVELOPED A DIABETES REGISTRY WITH 130 PATIENTS AND A HYPERTENSION REGISTRY WITH 217 PATIENTS IDENTIFIED FOR MONITORING BY STAFF NURSES. A 'TOP PRIORITY' REGISTRY OF 43 PATIENTS WAS DEVELOPED TO MANAGE THE CARE OF HCHC-H'S MOST COMPLEX PATIENTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS HARBOR COMMUNITY HEALTH CENTER - HYANNIS WWW.HHSI.US CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING ACCESS TO CARE AND CHRONIC DISEASE MANAGEMENT INITIATIVES AT THE COMMUNITY HEALTH CENTER OF CAPE COD PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE,DIRECT SERVICES,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING,OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE PROVIDED COMMUNITY BENEFITS FUNDING TO THE COMMUNITY HEALTH CENTER OF CAPE COD (CHCCC) TO SUPPORT EFFORTS TO ASSESS BARRIERS TO CARE SUCH AS TRANSPORTATION, MEDICATION ASSISTANCE, INSURANCE STATUS AND LITERACY FOR NEW PATIENTS AND TO EXPAND SCREENING AND CARE COORDINATION FOR HIGH RISK PATIENTS WITH CHRONIC DISEASE OR BEHAVIORAL HEALTH NEEDS. TARGET POPULATION REGIONS SERVED:COUNTY-BARNSTABLE HEALTH INDICATOR:ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN , OTHER: CULTURAL COMPETENCY, OTHER: DENTAL HEALTH, OTHER: DIABETES, OTHER: HOMELESSNESS, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: SAFETY, OTHER: SMOKING/TOBACCO, OTHER: STRESS MANAGEMENT, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION , SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: ASSESS BARRIERS TO CARE AND PROVIDE ORIENTATION WHICH INCLUDES AN OVERVIEW OF THE PRINCIPLES OF PATIENT CENTERED MEDICAL HOME MODELS AND ACCESSING CARE AFTER NORMAL BUSINESS HOURS FOR ALL NEW HEALTH CENTER PATIENTS. GOAL STATUS: CHCCC CONDUCTED BARRIER TO CARE ASSESSMENTS, INCLUDING ASSESSMENT OF INCOME STATUS, LANGUAGE, INSURANCE STATUS, HOUSING STATUS, TRANSPORTATION NEEDS, AND PRESCRIPTION ASSISTANCE FOR 100% OF THE CURRENT AND NEW PATIENTS REGISTERED. GOAL DESCRIPTION: EXPAND SCREENINGS AND TREATMENT FOR CHRONIC CONDITIONS OF DEPRESSION, DIABETES AND HYPERTENSION. GOAL STATUS: OVER 5,000 PATIENTS WERE SCREENED FOR DEPRESSION, ANXIETY, SUBSTANCE ABUSE AND SUICIDAL IDEATION. CHCCC ACHIEVED NEARLY 90% OF REQUIRED PREVENTATIVE TESTING FOR DIABETES AND NEARLY 100% OF PATIENTS RECEIVED BLOOD PRESSURE SCREENINGS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS FALMOUTH SERVICE CENTER WWW.FALMOUTHHUMANSERVICES.ORG BARNSTABLE COUNTY SHERIFFS DEPARTMENT WWW.BSHERIFF.NET VARIOUS SCHOOL SYSTEMS N/A COMMUNITY HEALTH CENTER OF CAPE COD HTTP://WWW.CHCOFCAPECOD.ORG/ SANDWICH SENIOR CENTER HTTP://WWW.SANDWICHMASS.ORG COMMUNITY ACTION COMMITTEE OF CAPE COD & THE ISLANDS WWW.CACCI.CC/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORTING COMPLEX CARE MANAGEMENT AT OUTER CAPE HEALTH SERVICES PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABL MEDICAL TRANSPORTATION FOR THE CHRONICALLY ILL FROM THE OUTER CAPE: HELPING OUR WOMEN PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM. BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO REDUCE BARRIERS TO HEALTH CARE FOR RESIDENTS FROM THE MOST GEOGRAPHICALLY ISOLATED REGION, THE OUTER CAPE, CCHC COMMUNITY BENEFITS PROVIDED A GRANT IN FY14 TO HELPING OUR WOMEN. HELPING OUR WOMEN PROVIDES SAFE, RELIABLE AND FREE TRANSPORTATION TO MEDICAL, DIAGNOSTIC TESTING AND FOLLOW-UP APPOINTMENTS FOR WOMEN WITH CHRONIC, LIFE THREATENING OR DISABLING CONDITIONS WHO RESIDE FROM EASTHAM TO PROVINCETOWN. TARGET POPULATION REGIONS SERVED: EASTHAM, PROVINCETOWN, TRURO, WELLFLEET HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: SAFETY - AUTO/PASSENGER, OTHER: STROKE SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: PROVIDE TRANSPORTATION TO MEDICAL APPOINTMENTS TO RESIDENTS FROM EASTHAM TO PROVINCETOWN. GOAL STATUS: IN FY14, 272 UNITS OF TRANSPORTATION WERE PROVIDED FOR 199 INDIVIDUALS FROM THE OUTER CAPE. CLIENTS FROM THE FOLLOWING TOWNS WERE ASSISTED: PROVINCETOWN (115), WELLFLEET (47), TRURO (22), AND EASTHAM (15). GOAL DESCRIPTION: ESTABLISH AND MAINTAIN RELATIONSHIPS WITH OTHER REGIONAL TRANSPORTATION ORGANIZATIONS TO DEVELOP A TRANSPORTATION SAFETY NET FOR RESIDENTS TO ACCESS HEALTH CARE. GOAL STATUS: RELATIONSHIPS ESTABLISHED OR MAINTAINED WITH CAPE COD REGIONAL TRANSPORTATION AUTHORITY, CAPE AIR, AND COMMUNITY-BASED VOLUNTEER TRANSPORTATION ORGANIZATIONS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS PROVINCETOWN COUNCIL ON AGING WWW.PROVINCETOWN-MA.GOV EASTHAM COUNCIL ON AGING WWW.EASTHAM-MA.GOV TRURO COUNCIL ON AGING WWW.TRURO-MA.GOV/COUNCIL-ON-AGING WELLFLEET COUNCIL ON AGING WWW.WELLFLEETMA.ORG CAPE COD REGIONAL TRANSIT AUTHORITY WWW.CAPECODTRANSIT.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SCHOOL BASED EARLY INTERVENTION AND PREVENTION PROGRAM: GOSNOLD PROGRAM TYPE:COMMUNITY EDUCATION,GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING, OUTREACH TO UNDERSERVED,PREVENTION,SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ADDRESS SUBSTANCE USE AND ABUSE BY YOUTH AND YOUNG ADULTS, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A FY14 GRANT TO GOSNOLD ON CAPE COD TO PILOT EARLY INTERVENTION AND PREVENTION SERVICES IN A HIGH SCHOOL SETTING. THE MODEL, DEVELOPED BY GOSNOLD ON CAPE COD, PROVIDED ONSITE ACCESS TO COUNSELING SERVICES, IDENTIFIED AND PROVIDED CLINICAL INTERVENTION WITH STUDENTS WHOSE LIVES ARE NEGATIVELY IMPACTED BY SUBSTANCE ABUSE AND ENCOURAGED AND SUPPORTED THE 'CLEAN AND SOBER' STUDENTS IN THE SCHOOL TO HELP BUILD A CULTURE TO FOSTER HEALTHY BEHAVIORS AMONGST PEERS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: SAFETY, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: PROVIDE ONSITE COUNSELING TO SUPPORT, ASSESS AND PROVIDE CLINICAL COUNSELING FOR STUDENTS IDENTIFIED AS ABUSING SUBSTANCES OR AT RISK FOR ABUSING SUBSTANCES. GOAL STATUS: THIRTY STUDENTS WERE REFERRED TO THE GOSNOLD CLINICIAN DURING THE SCHOOL YEAR. OF THOSE STUDENTS, TWENTY CONTINUED TO RECEIVE ONGOING COUNSELING AND ATTENDED MULTIPLE INDIVIDUAL SESSIONS. GOAL DESCRIPTION: PROVIDE ONSITE COUNSELING TO SUPPORT, ASSESS AND PROVIDE CLINICAL COUNSELING FOR STUDENTS IDENTIFIED AS ABUSING SUBSTANCES OR AT RISK FOR ABUSING SUBSTANCES. GOAL STATUS: FORTY PERCENT OF THE THIRTY STUDENTS SERVED WERE IN THE 11TH GRADE WITH AN EQUAL GENDER MIX. SIXTY PERCENT OF THE STUDENTS WERE REFERRED BY A GUIDANCE COUNSELOR AND THIRTEEN PERCENT OF THE STUDENTS WERE SELF-REFERRED. GOAL DESCRIPTION: ESTABLISH A CHAPTER OF PROJECT PURPLE AT THE SCHOOL IN AN EFFORT TO BUILD A CULTURE OF SOBRIETY AND PREVENTION OF ALCOHOL AND DRUG USE. GOAL STATUS: THE GOSNOLD CLINICIAN AND SCHOOL ADJUSTMENT COUNSELOR ESTABLISHED A PROJECT PURPLE CHAPTER AT THE SCHOOL AND 120 STUDENTS JOINED THE CHAPTER IN THE FIRST YEAR. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS GOSNOLD ON CAPE COD WWW.GOSNOLD.ORG CAPE COD REGIONAL TECHNICAL HIGH SCHOOL WWW.CAPETECH.US PROJECT PURPLE WWW.GOPROJECTPURPLE.COM CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED EVIDENCE-BASED PROGRAMS FOR SENIORS: ELDER SERVICES OF CAPE COD & THE ISLANDS PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS SUPPORTED THE EFFORTS OF ELDER SERVICES OF CAPE COD & THE ISLANDS TO OFFER TWO EVIDENCE-BASED PROGRAMS TO RESIDENTS OF BARNSTABLE COUNTY: HEALTH EATING FOR SUCCESSFUL LIVING AND POWERFUL TOOLS FOR CAREGIVERS. THESE PROGRAMS SUPPORT ELDERS AGES 60+ IN THE SELF MANAGEMENT OF THEIR NUTRITIONAL HEALTH AND TO PROVIDE CAREGIVERS THE TOOLS FOR SELF-CARE AND CAREGIVING. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALZHEIMER DISEASE, OTHER: CANCER, OTHER: ELDER CARE, OTHER: HOMEBOUND, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARKINSON'S DISEASE, OTHER: SAFETY, OTHER: SAFETY - HOME, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: THIRTY INDIVIDUALS WILL PARTICIPATE IN THE HEALTH EATING FOR SUCCESSFUL LIVING PROGRAM AT ONE OF THE THREE PROGRAM SITES LOCATED IN THE MID-CAPE, LOWER CAPE AND UPPER CAPE REGIONS. GOAL STATUS: FOURTEEN INDIVIDUALS PARTICIPATED IN 2 PROGRAMS OFFERED ON THE MID AND UPPER CAPE. PROGRAM GOALS WERE ASSESSED AND MET ACCORDING TO PARTICIPANT SURVEY DATA. GOAL DESCRIPTION: THIRTY INDIVIDUALS WILL PARTICIPATE IN THE POWERFUL TOOLS FOR CAREGIVERS PROGRAM AT ONE OF THE THREE PROGRAM SITES LOCATED IN THE MID-CAPE, LOWER CAPE AND UPPER CAPE REGIONS. GOAL STATUS: THIRTY INDIVIDUALS PARTICIPATED IN THREE PROGRAMS OFFERED ON THE MID-CAPE, LOWER CAPE AND UPPER CAPE. PROGRAM GOALS WERE ASSESSED AND MET OR SURPASSED EXPECTATIONS ACCORDING TO SURVEY RESULTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS ELDER SERVICES OF CAPE COD & THE ISLANDS WWW.ESCCI.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601. PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION:NOT SPECIFIED TRIPLE AIM OF HEALTHY PHYSICAL, MENTAL AND EMOTIONAL BEHAVIORS IN YOUTH: THE BOYS AND GIRLS CLUB OF CAPE COD PROGRAM TYPE: DIRECT SERVICES, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, OUTREACH TO UNDERSERVED, PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO INCREASE LOCAL PROGRAMS THAT EMPHASIZE GOOD HEALTH BEHAVIOR IN YOUTH, CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO SUPPORT THE TRIPLE AIM PROGRAM AT THE BOYS AND GIRLS CLUB OF CAPE COD. TRIPLE AIM IS A HEALTH AND FITNESS PROGRAM THAT INCLUDES STRATEGIES THAT EMPHASIZE HEALTHY EATING AND EXERCISE AS WELL AS PREVENTING ALCOHOL AND DRUG USE. YOUTH, AGES 6 -18 YEARS OLD, ENGAGED IN HEALTHY EATING AND COOKING CLASSES, FITNESS CHALLENGES, ORGANIZED SPORTS LEAGUES, AND SMART MOVES, A DRUG AND ALCOHOL RESISTANCE PROGRAM. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: NUTRITION, OTHER: SAFETY, OTHER: SAFETY - SPORTS, PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ADULT-YOUNG, CHILD-PRETEEN, CHILD-PRIMARY SCHOOL, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: SERVE APPROXIMATELY 170 YOUTH PER DAY AND APPROXIMATELY 840 YOUTH PER YEAR. GOAL STATUS: DURING THE GRANT CYCLE, APPROXIMATELY 838 YOUTH WERE SERVED WITH AN AVERAGE OF 136 YOUTH IN ATTENDANCE DAILY. GOAL DESCRIPTION: OVER 100 YOUTH WILL PARTICIPATE IN THE SMART MOVES DRUG AND ALCOHOL RESISTANCE PROGRAM. GOAL STATUS: FIFTY-NINE YOUTH TOOK PART IN FORMAL SMART MOVES PROGRAM ACTIVITIES WITH ALL CLUB MEMBERS EXPOSED TO ACTIVITIES THROUGHOUT THE YEAR. GOAL DESCRIPTION: USE OF DRUGS AND ALCOHOL BY CAPE BOYS AND GIRLS CLUB MEMBERS WILL BE COMPARED TO NATIONAL STATISTICS VIA THE YOUTH AT RISK SURVEY. GOAL STATUS: SURVEY RESULTS INDICATE A HIGHER RATE OF SUBSTANCE USE AMONGST CAPE-BASED MEMBERS COMPARED TO NATIONAL STATISTICS. SEVENTY-FOUR PERCENT OF CAPE CLUB MEMBERS ABSTAINED FROM USING MARIJUANA COMPARED TO 91% NATIONAL ABSTENTION RATES. GOAL DESCRIPTION: OVER 90 YOUTH WILL PARTICIPATE IN THE HEALTHY HABITS EDUCATION AND COOKING PROGRAM. GOAL STATUS: ONE HUNDRED AND TWENTY ONE YOUTH PARTICIPATED IN THE HEALTH HABITS PROGRAM. GOAL DESCRIPTION: HEALTHY FOOD CONSUMPTION OF CAPE CLUB MEMBERS WILL BE MEASURED VIA THE YOUTH AT RISK SURVEY. GOAL STATUS: FORTY-EIGHT PERCENT OF CAPE-BASED CLUB MEMBERS SELF-REPORTED THAT THEY CONSUMED 3 OR MORE DAIRY PRODUCTS PER DAY COMPARED TO 39% NATIONWIDE. ALSO ONLY 36% OF MEMBERS ARE EATING MORE THAN 3 VEGETABLES PER DAY COMPARED TO NATIONAL NORM OF 39%. GOAL DESCRIPTION: OVER 200 YOUTH WILL PARTICIPATE IN DAILY FITNESS ACTIVITIES. GOAL STATUS: ONE HUNDRED AND EIGHTY-SEVEN YOUTH PARTICIPATED IN DAILY FITNESS CHALLENGES DURING THE SCHOOL YEAR AND 198 PARTICIPATED DURING THE SUMMER. GOAL DESCRIPTION: PHYSICAL ACTIVITY LEVELS OF CAPE CLUB MEMBERS WILL BE MEASURED VIA THE YOUTH AT RISK SURVEY. GOAL STATUS: SEVENTY PERCENT OF CAPE CLUB MEMBERS SELF REPORTED THAT THEY WERE PHYSICALLY ACTIVE 5+ DAYS PER WEEK, AS COMPARED TO A NATIONAL AVERAGE OF 63%. GOAL DESCRIPTION: APPROXIMATELY 270 YOUTH WILL PARTICIPATE IN ORGANIZED SPORTS LEAGUE ACTIVITIES. GOAL STATUS: TWO-HUNDRED AND SEVENTY-SIX YOUTH PARTICIPATED IN ORGANIZED SPORTS LEAGUE ACTIVITIES INCLUDING BASKETBALL LEAGUES AND FLAG FOOTBALL LEAGUES. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS BOYS AND GIRLS CLUB OF CAPE COD HTTP://WWW.BOYSGIRLSCLUBCAPECOD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601. PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED MENTAL HEALTH CONSULTATION FOR CHILDREN IN DISTRESS: CAPE COD CHILD DEVELOPMENT PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, GRANT/DONATION/FOUNDATION/SCHOLARSHIP, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY : ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED A GRANT TO CAPE COD CHILD DEVELOPMENT TO SUPPORT A 5-MONTH PILOT PROGRAM TO INTEGRATE AND ADOPT AN EARLY CHILDHOOD MENTAL HEALTH CONSULTATION MODEL INTO THE AGENCY'S PRESCHOOL AND HEAD START PROGRAMS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: CHILD CARE, OTHER: CULTURAL COMPETENCY, OTHER: EDUCATION/LEARNING ISSUES, OTHER: PARENTING SKILLS, OTHER: SAFETY - HOME, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ALL CHILDREN, CHILD-PRIMARY SCHOOL ETHNIC GROUP: ALL LANGUAGE: ALL GOALS GOAL DESCRIPTION: IDENTIFY SPECIFIC CHILDREN EXPERIENCING SIGNIFICANT BEHAVIORAL HEALTH ISSUES AND PROVIDE INDIVIDUAL TREATMENT PLANS THAT INCLUDE TEACHERS AND FAMILY MEMBERS. GOAL STATUS: THE MENTAL HEALTH CONSULTANT WORKED WITH 33 CHILDREN. TWELVE OF THE CHILDREN MET SCHOOL READINESS GOALS THROUGH THE HELP OF TEACHERS, THERAPISTS AND FAMILY MEMBERS WHO COLLECTIVELY WORKED TO ADDRESS AGGRESSION, ANXIETY, AND ENGAGEMENT OF THE CHILD. GOAL DESCRIPTION: PROVIDE CLASSROOM CONSULTATION AND STRENGTHEN SKILL SETS OF TEACHERS TO ADDRESS BEHAVIORAL HEALTH ISSUES OF YOUNG STUDENTS. GOAL STATUS: ALL HEAD START CLASSROOM STUDENTS (AGES 3-5) WERE OBSERVED AND ALL TEACHERS WERE PROVIDED CONSULTATION AND TRAINING IN IMPLEMENTING FRAMEWORKS, SKILLS AND CONCEPTS TO SUPPORT POSITIVE LEARNING AND TRAUMA-INFORMED CARE ENVIRONMENTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS CAPE COD CHILD DEVELOPMENT WWW.CCCDP.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601. PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SUPPORT OF CHNA 27 AND COMMUNITY-BASED AGENCIES: DETERMINATION OF NEED PROGRAM TYPE: COMMUNITY EDUCATION,COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, DIRECT SERVICES, GRANT/DONATION/ FOUNDATION/SCHOLARSHIP, HEALTH COVERAGE SUBSIDIES OR ENROLLMENT, HEALTH PROFESSIONAL/STAFF TRAINING, HEALTH SCREENING, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP, SUPPORT GROUP STATEWIDE PRIORITY:ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: TOTAL FUNDING OF $401,000 HAS BEEN DESIGNATED TO ADDRESS ISSUES THAT ELIMINATE HEALTH DISPARITIES, PROMOTE WELLNESS, AND PREVENT/MANAGE CHRONIC DISEASE FOR INDIVIDUALS WHO ARE ELDERLY AND OR PERSONS WITH DISABILITIES. THIS POPULATION WAS IDENTIFIED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT BY CAPE COD HEALTHCARE AND ENDORSED BY THE COMMUNITY HEALTH NETWORK AREA27 (CAPE COD AND THE ISLANDS). THIS PROGRAM WAS SPECIFIED AS A PART OF THE DETERMINATION OF NEED REQUIREMENT FOR THE CLARK CANCER CENTER DEVELOPMENT AND LICENSURE. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ELDER CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ISSUE AN RFP SUPPORTING COLLABORATIVE, MEASURABLE AND EVIDENCE-BASED REGIONAL PROGRAMS FOR SENIORS AND/OR DISABLED INDIVIDUALS THAT PROVIDE AN IMPACT ON THE MOST URGENT NEEDS OF THE IDENTIFIED TARGET POPULATION. GOAL STATUS: GRANT AWARDS WERE MADE IN 2014 TO FOUR ORGANIZATIONS WHICH MET RFP CRITERIA. THE GRANT AWARDS RANGED FROM $15,000 TO $25,000 AND TOTALED $70,000. THE CAPE COD FOUNDATION MANAGED THE GRANT REVIEW AND SELECTION PROCESS. GOAL DESCRIPTION: EXPAND COMMUNITY CAPACITY BUILDING AND PROGRAM SUPPORT FOR COMMUNITY HEALTH NETWORK AREA 27. GOAL STATUS: DETERMINATION OF NEED FUNDS SUPPORTED A CHNA 27 PART-TIME COORDINATOR AND GRANTS MANAGER TO ADD CAPACITY AND PROCESS TO ONGOING EFFORTS. PARTNERS PARTNER NAME, DESCRIPTION AND PARTNER WEB ADDRESS CHNA 27 WWW.BCHUMANSERVICES.NET/COMMUNITY-HEALTH-NETWORK-AREA-CHNA/ CAPE COD FOUNDATION WWW.CAPECODFOUNDATION.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED FUNCTIONAL EXPENSE NOTE FORM 990 PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEALTHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART I, LINE 6 CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 2 TRUSTEES SIT ON THE BOARD OF THE FOLLOWING: EMERALD PHYSICIAN MEMBER TRUST: THOMAS WROE JR ROBERT BIRMINGHAM PHILIP MCLOUGHLIN JOEL CROWELL CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES DOUGLAS G MANN, MD PATRICK J FLYNN, MD PHILIP MCLOUGHLIN SUMNER B TILTON, JR THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING, A FOR-PROFIT RELATED ORGANIZATION. FORM 990, PART VI, LINE 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. FORM 990, PART VI, LINE 12 THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR. FORM 990, PART VI, LINE 15 THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS. FORM 990, PART VII, COLUMN (B) THE INDIVIDUALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN PART VII ARE EMPLOYEES AT CAPE COD HEALTHCARE, INC., A TAX-EXEMPT RELATED ORGANIZATION. FORM 990, PART VII, SECTION A WILLIAM ZAMMER Full title: Vice Chairman until 5/14, Chair from 5/14, Trustee FORM 990, PART VII, SECTION B WITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC, CAPE COD HEALTHCARE, INC. PAYS INDEPENDENT CONTRACTORS ON BEHALF OF ITS AFFILIATES WHO FILE AS PART OF A GROUP FORM 990 AS CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES NET ASSETS RELEASED FROM RESTRICTION $176,300 TRANSFERS TO/FROM AFFILIATES (16,544,026) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 1,332,389 CHANGE IN VALUE OF BENEFICIAL INTEREST 614,318 INVESTMENT IN AFFILIATE 14,500,499 OTHER CHANGES TO NET ASSETS (62,001) -------------- $17,479 AFFILIATES INCLUDED IN GROUP RETURN CAPE COD HOSPITAL 04-2103600 CAPE COD HUMAN SERVICES, INC. 04-2323506 CAPE & ISLANDS HEALTH SERVICES II, INC. 04-3572408 FALMOUTH HOSPITAL ASSOCIATION, INC. 04-2220716 JML CARE CENTER, INC. 04-2995795 FALMOUTH ASSISTED LIVING, INC. 22-3379395 V.N.A. OF CAPE COD, INC. 0 4-2104159 CAPE COD HEALTHCARE FOUNDATION, INC. 04-3475950 MEDICAL AFFILIATES OF CAPE COD, INC. 04-3187299 ALL OF THE ABOVE ENTITIES CAN BE REACHED AT: 25 COMMUNICATION WAY HYANNIS, MA 02601 CAPE COD HEALTHCARE INC 25 COMMUNICATION WAY HYANNIS MA 02601 222600704 PARENT CORP MA 501(c) (3) 13b NA true CAPE HEALTH INSURANCE COMPANY PO BOX 1051GT GRAND CAYMAN CJ INSURANCE CJ CAPE COD HLTHCR C CORP 0 0 true CAPE COD MEDICAL OFFICE BUILDING INC 27 PARK STREET HYANNIS MA 02601 042423073 RENTAL SRVCE MA NA C CORP 15000 15000 1.00000 true POOLED INCOME FUNDS (2) SUPPORT MA NA T EMERALD PHYSICIAN SERVICES LLC 433 WEST MAIN STREET HYANNIS MA 02601 043369730 PRIMARY CARE MA EMERALD TRUST S CORP 27558024 16780525 1.00000 true EMERALD PHYSICIANS MEMBER TRUST 27 PARK STREET HYANNIS MA 02601 467220648 EMRLD SHAREHOLDER MA MACC TRUST 0 0 1.00000 true false false false false false false false false false true true false false true true true false true true CAPE HEALTH INSURANCE COMPANY R 3475656 FMV CAPE COD HOSPITAL 25 COMMUNICATION WAY HYANNIS MA 02601 042103600 CAPE VISITING NURSE ASSN OF CAPE COD INC 25 COMMUNICATION WAY HYANNIS MA 02601 042104159 CAPE FALMOUTH HOSPITAL ASSOCIATION INC 25 COMMUNICATION WAY HYANNIS MA 02601 042220716 CAPE CAPE COD HUMAN SERVICES INC 25 COMMUNICATION WAY HYANNIS MA 02601 042323506 CAPE MEDICAL AFFILIATES OF CAPE COD INC 25 COMMUNICATION WAY HYANNIS MA 02601 043187299 CAPE CAPE COD HEALTHCARE FOUNDATION INC 25 COMMUNICATION WAY HYANNIS MA 02601 043475950 CAPE CAPE & ISLANDS HEALTH SERVICES II 25 COMMUNICATION WAY HYANNIS MA 02601 043572408 CAPE FALMOUTH ASSISTED LIVING INC 25 COMMUNICATION WAY HYANNIS MA 02601 223379395 CAPE JML CARE CENTER INC 25 COMMUNICATION WAY HYANNIS MA 02601 042995795 CAPE