340B at The Johns Hopkins Hospital

Helping JHH Meet Its Mission

340B-eligible hospitals serve high numbers of low-income, uninsured patients

Baltimore City, Maryland

The Johns Hopkins Hospital | 1800 Orleans Street | Baltimore, Maryland 21287

340B discounts help JHH keep pace with the rapidly rising cost of drugswhich surpassed a half billion dollars last fiscal year.

JHH reinvests its 340B savings into programs providing:

340B Savings (estimated)

JHH Drug Costs (gross)

$469M$123M

$415M$109M

FY16

FY17

FY18$515M

$136M

Free or substantially reduced-price prescriptions to uninsured or low income patients

Multidisciplinarysubstance use treatment with wrap around

services

Access to specialized careaddressing the unique needs of the community

Jobs, training, and pathways toemployment at Johns Hopkins and beyond

JHH INVESTMENTS OVERAND ABOVE 340B SAVINGS:

340B supported half of JHH’s $272million Community Benefit activity inFY18.

THE COMMUNITY WE SERVE :

• One in four residents live at orbelow the poverty level;

• 80 percent of schoolchildreneligible for free meals;

• Unemployment rate above thenational average;

• One in four City residents lives ina “food desert;” and

• Highest opioid overdose fatalityrate in the U.S.

x Medication Vouchers: Uninsured or underinsured patients receive free or reduced priced medication through vouchers (Special Needs Program) and short-term coverage of costs (Outpatient Medication Assistance Program).

x Home-Based Medication Management: The hospital dispatches pharmacists to patients’ homes to review administration instructions,dispose of expired medication, and color-code pill containers when labels are too small to read. Over 110 visits were conducted in FY18.

x Bedside Delivery Service: This free service eliminates barriers, like lack of transportation, to help patients take prescribed medicationsas instructed, to improve health outcomes and avoid readmission. More than 15,500 patients benefitted from this service in 2018.

MAY 2019To learn more, go to www.hopkinsmedicine.org

x Jobs After Incarceration: Over 400 “returning citizens” have been hired at the JHH in the last three years and retention ratesrival those of workers without records. The program has become a national model.

x Peer Recovery Specialists: JHH hires individuals from high poverty, high unemployment zip codes to expand its population healthworkforce of Community Health Workers and Peer Recovery Specialists.

x P-TECH: One of the founders of Pathways in Technology Early College High School, a partnership with a local public school to createa path to health sector employment for Baltimore’s youth. As of Fall 2018, over 150 participating high school students are slated toreceive a no-cost associate’s degree at graduation and first-in-line opportunities for employment upon completion of the program.

x The Access Partnership (TAP): This charity program improves access to primary and specialty care to uninsured patients fromneighborhoods immediately surrounding the hospital. Almost 6,000 patients have benefitted from TAP since the inception of theprogram in 2009.

x After Care Clinic: The clinic provides post-hospitalization discharge counseling, bridge medical coverage and medication assistancefor uninsured and at-risk patients to assist with their transition home and links to follow-up services. Over 2,100 patients utilized theclinic in FY18.

x Specialized, population-specific clinics include:x The state’s only designated pediatric trauma and burn unit;x The region’s only Sickle Cell Center providing comprehensive services for adult patients (predominantly African-Americans); andx The nationally-renowned Harriet Lane Clinic, serving the poorest, most at-risk families in East Baltimore for over 100 years.

THE JOHNS HOPKINS HOSPITAL

x Johns Hopkins Broadway Center for Addiction: A clinic that provides comprehensive substance use treatment anddetoxification services to individuals with substance use disorder without regard for ability to pay.

x Post-Discharge Behavioral Health: Multidisciplinary teams conduct proactive screenings to identify patients with substance useor psychiatric issues who could benefit from prompt intervention from behavioral health experts before returning to the community.

x Housing, Meals and Transportation: JHH partners with local non-profits, Helping Up Mission and Wilson House, to assistindividuals in recovery with basic needs.

JHH Services at

Risk Without 340B

340B provides

eligible hospitals

with the flexibility

needed to tailor

solutions that

address the

unique needs

of their

communities.

Some examplesinclude:

FREE OR REDUCED-PRICE PRESCRIPTIONS

SUBSTANCE USE TREATMENT

ACCESS TO SPECIALIZED CARE

PATHWAYS TO EMPLOYMENT