Allegiance Health

Programs: See schedule othe hospital devotes substantial efforts and resources to providing health services to people in its communities. The hospital is engaged in the following activities to ensure that our mission is accomplished:unreimbursed services provided to the underserved:the hospital provides a substantial portion of its services to the underserved (elderly and low income residents). During the fiscal year ended june 30, 2014, approximately 39% of the value of services rendered were to elderly patients under the medicare program, and approximately 17% of the services were provided to patients who were deemed indigent under state, county, or medicaid center guidelines. In the spirit of our mission and values, the hospital has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare services to all persons. During the fiscal year ended june 30, 2014, the hospital provided charity care of $47. 7 million and recorded a provision for bad debts of $40. 9 million. Consistent with schedule h reporting, charity care at cost for fiscal year 2014 was $13. 9 million. Patient services:the hospital serves seven counties with a medical staff of more than 450 physicians. A complete listing of services is available at allegiancehealth. Org. The hospital supports unprofitable/subsidized health services, including inpatient and outpatient behavioral health and substance abuse services, obstetrics, emergency and trauma services, general medicine, family/general practice, senior services, cardiac and pulmonary rehabilitation, palliative care, wound care, pain clinic and diabetes clinic. Community benefit activities:the hospital is engaged in community programs and services that address identified community health needs regardless of source or availability of payment and provide measurable improvement in health access, health status, and the use of health care resources. These programs address one of the six criteria:supports the hospital's community-based missiontargets the problems of the poor or medically underservedimpacts the health status of the identified communityreduces community health costsis accessible to the entire target community regardless of ability to paystimulates external community partnershipshealth improvement organization:the health improvement organization (hio) was created by allegiance health in 2001 to promote a culture of continuous health improvement in our community and integrate wellness and prevention throughout our services. The allegiance health department of prevention and community health provides staff and infrastructure to facilitate the coordination of local health improvement activities. The hio coordinating council (hio cc) is a multi-disciplinary stakeholders group led by allegiance health with representation from local government, public health, health care, health and human service agencies, nonprofits, school districts, health plans, mental health, employers and the faith community. The hio cc coordinates efforts across community leaders in health to create unprecedented alignment of goals and resources, as well as a strong community platform for advocacy. The work of the hio cc has culminated in the completion of a community action plan including goals, objectives and strategies to address physical activity, nutrition, tobacco use, and depression in jackson county. The plan is based on assessment and data-driven processes, as well as input from over 30 representatives from local health and human service agencies, and over 100 community stakeholders. The overarching tactics that the community action plan relies upon include evidence-based activities to:enhance media attention and public recognition of healthy lifestyle practices;improve access to healthy foods and safe, attractive, affordable places for activity through supportive policies and physical environment changes;provide social support and services that promote consistent screening, referral and supportive relationships for physical activity, nutrition, mental health and smoking behavior change. The hio builds upon existing community strengths and infrastructure to support implementation of health initiatives that have been prioritized as part of a community wide plan with significant community engagement and an established infrastructure to support longevity. In addition to operational support for the hio cc, the allegiance health department of prevention and community health provides subject matter expertise on wellness and prevention at the board, service line and community level, and direct service delivery (including employer-based health management, tobacco treatment services, weight management, faith community nursing, etc. ) to a broad base of community members to support the health improvement priorities identified by the hio. The department of prevention and community health has an annual budget of around $1 million. Since 2001, the hospital has committed over $22. 4 million of funding to this program. Other community benefit activities:through community education and outreach, the hospital provided educational sessions and clinics that reached 87,811 individuals at a cost of $300,641 in fiscal year 2014. The sessions/clinics included education on asthma, aids/hiv, diabetes, family planning, fitness/exercise, overall health, cardiovascular health, nutrition and weight management, pulmonary, smoking cessation and womens health. These educational offerings were located at the hospital, community fairs, parishes, schools, work sites and by phone. Free medical screenings for high blood pressure, diabetes, mental health/depression, vascular disease and womens health served 1,414 community members at a cost of $23,159 in fiscal year 2014. The hospital funded a 24-hour nurse call center to provide health information to the community. The cost of the center in fiscal year 2014 was $376,700. Free and discounted prescription drug and medical supplies were provided to community members at a cost of $127,840 during fiscal year 2014. Through meals on wheels and other food programs, the hospital donated $63,703 in food. Patient transportation assistance was provided in fiscal year 2014, including wheelchair van, ambulance, transport to and from cancer centers and cab service at a cost of $174,072. Partnerships:the hospital played a leadership role in the establishment of the center for family health, a federally qualified health center, providing $500,000 in fiscal year 2014 support for the uninsured. The hospital played a leadership role in the establishment of the jackson county health plan, whose mission is to improve healthcare coverage in jackson county for the underserved. The hospital partnered with the medical staff and community to establish project access, a program which provides free physician and hospital care for over 500 community members that do not qualify for federal or state financial assistance and are uninsured. The hospital provides free care for medically necessary hospital based services. Hospital executive staff sit on a number of governance boards of non-profit organizations in our community, such as center for family health, ella sharp museum of art and history, jackson community foundation, fitness council of jackson, health improvement organization, allegiance hospice, allegiance health foundation, carelink, healthlink, jackson community ambulance, huron valley ambulance, jackson community medical record, michigan health information network, united way of jackson, jackson health network, and junior achievement of michigan edge. The hospital is also represented on public and private organizations including the enterprise group of jackson, inc. (promotes economic development), jackson citizens for economic growth, and south central michigan works. The hospital donates office space to two area non-profit organizations. These organizations are the enterprise group of jackson, inc. And birthline of jackson.