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15 COMMUNITY BENEFIT As a nonprofit organization, Passavant Area Hospital upholds its responsibility to give back to the community through designated Community Benefit activities, as well as through community health improvement programs, which are developed to provide treatment or promote health and healing in response to the documented health needs of the community. The following health care needs were identified in the 2012 Morgan County Needs Assessment in partnership with the Morgan County Health Department: Access to Medical, Dental and Mental Healthcare Metabolic Syndrome through the Promotion of Healthy Lifestyles Early Sexual Activity: Teenage Pregnancy and Sexually Transmitted Disease, and Adolescent Substance Abuse. Issue 1: Access to Medical, Dental and Mental Health Care “A goal of Healthy People 2020 is to improve access to comprehensive, quality healthcare services. Access to comprehensive, quality healthcare services is important for the achievement of health equity and for increasing the quality of a healthy life for everyone. Access to health services means the timely use of services to achieve the best health outcomes. Access to healthcare can impact the overall physical, social and mental status of an individual. Likewise, prevention of disease, detection of disease, and treatment of health conditions rely on one’s access to healthcare.” (Morgan County Community Health Plan, June 2012) Financial Assistance Program At Passavant, our mission is to provide excellent care with compassion and commitment regardless of the patient’s ability to pay. No one should delay seeking needed medical care because they lack health insurance. Passavant annually reviews the assistance offered to patients through its Financial Assistance Policy and makes adjustments to benefit our patients. Anyone who identifies themselves as financially unable to pay for medical care is eligible to apply for financial assistance. Individuals meeting the hospital’s financial assistance guidelines is granted free care or substantially reduced fees consistent with the individual’s financial resources. The hospital utilizes the Federal Poverty Level (FPL) guidelines. Patients with a household income below 200 percent of the FPL, and without other substantial financial resources and not eligible for Medicaid or other coverage, are granted free care. Patients with a household income below 350 percent of the FPL, and without other substantial financial resources and not eligible for Medicaid or other coverage are granted partial assistance. Information concerning financial assistance is on Passavant’s website, passavanthospital.com, or by calling Patient Accounts, 245- 9541, extension 3128, or extension 3014. In fiscal year 2013, as a nonprofit facility, Passavant provided over $15 million in charges at no cost to patients Medicare Insurance Consultant Services Passavant has provided seniors with Medicare consultation services since 1987. This service is offered at no cost and assists seniors by explaining drug plans and other associated questions. The medicare consultant, Lorna Legreid, is available weekdays by appointment, 479-5573. Morgan-Scott Volunteer Clinic Since 1997, Passavant has supported the Morgan-Scott Volunteer Health Clinic. In 2013, Passavant provided nearly $320,000 of free patient care to the Clinic. Passavant also donates office space, laboratory and imaging services, plus surgical services as needed, and free inpatient care to eligible persons. Eligibility is based on income and the absence of other coverage, such as insurance, public aid and Medicare. The mission of the Clinic is to provide medical care to the working uninsured and low- income people of Morgan and Scott Counties. Besides Passavant, support is provided through the generous donations of healthcare professionals, Volunteer Health Clinic MORGAN-SCOTT Passavant gives back Lorna Legreid, Passavant’s Medicare/ Insurance Consultant, answers an insurance question from Helen Baldwin.

Passavant Area Hospital: 2013 Community Benefit Report

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COMMUNITY BENEFIT

As a nonprofit organization, Passavant Area Hospital upholds its responsibility to give back to the community through designated Community Benefit activities, as well as through community health improvement programs, which are developed to provide treatment or promote health and healing in response to the documented health needs of the community.

The following health care needs were identified in the 2012 Morgan County Needs Assessment in partnership with the Morgan County Health Department:

• Access to Medical, Dental and Mental Healthcare • Metabolic Syndrome through the Promotion of Healthy Lifestyles• Early Sexual Activity: Teenage Pregnancy and Sexually Transmitted Disease, and• Adolescent Substance Abuse.

Issue 1: Access to Medical, Dental and Mental Health Care “A goal of Healthy People 2020 is to improve access to comprehensive, quality healthcare services. Access to comprehensive, quality healthcare services is important for the achievement of health equity and for increasing the quality of a healthy life for everyone. Access to health services means the timely use of services to achieve the best health outcomes. Access to healthcare can impact the overall physical, social and mental status of an individual. Likewise, prevention of disease, detection of disease, and treatment of health conditions rely on one’s access to healthcare.” (Morgan County Community Health Plan, June 2012)

Financial Assistance Program

At Passavant, our mission is to provide excellent care with compassion and commitment regardless of the patient’s ability to pay. No one should delay seeking needed medical care because they lack health insurance.

Passavant annually reviews the assistance offered to patients through its Financial Assistance Policy and makes adjustments to benefit our patients. Anyone who identifies themselves as financially unable to pay for medical care is eligible to apply for financial assistance. Individuals meeting the hospital’s financial assistance guidelines is granted free care or substantially reduced fees consistent with the individual’s financial resources.

The hospital utilizes the Federal Poverty Level (FPL) guidelines. Patients with a household income below 200 percent of the FPL, and without other substantial financial resources and not eligible for Medicaid or other coverage, are granted free care. Patients with a household income below 350 percent of the FPL, and without othersubstantial financial resources and not eligible for Medicaid or other coverage are granted partial assistance.

Information concerning financial assistance is on Passavant’s website, passavanthospital.com, or by calling Patient Accounts, 245-9541, extension 3128, or extension 3014.

In fiscal year 2013, as a nonprofit facility, Passavant provided over $15 million in charges at no cost to patients

Medicare Insurance Consultant Services

Passavant has provided seniors with Medicare consultation services since 1987. This service is offered at no cost and assists seniors by explaining drug plans and other associated questions. The medicare consultant, Lorna Legreid, is available weekdays by appointment, 479-5573.

Morgan-Scott Volunteer Clinic

Since 1997, Passavant has supported the Morgan-Scott Volunteer Health Clinic. In 2013, Passavant provided nearly $320,000 of free patient care to the Clinic. Passavant also donates office space, laboratory and imaging services, plus surgical services as needed, and free inpatient care to eligible persons. Eligibility is based on income and the absence of other coverage, such as insurance, public aid and Medicare.

The mission of the Clinic is to provide medical care to the working uninsured and low-income people of Morgan and Scott Counties. Besides Passavant, support is provided through the generous donations of healthcare professionals,

Volunteer Health ClinicMORGAN-SCOTT

Passavantgives back

Lorna Legreid, Passavant’s Medicare/Insurance Consultant, answers an insurance question from Helen Baldwin.

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businesses, government, civic groups, churches and individuals. The volunteers are essential to the mission to provide help to those in need. Volunteers provide leadership and oversight on the Board of Directors of the Clinic and its committees. Time and expertise is provided by physicians, nurses, ministers, pharmacists, dietitians, physical therapists, social workers, and clerical personnel. Paramedic Program

The Paramedic Program provides Advanced Life Support to our surrounding communities. Most community ambulances provide Basic Life Support paramedic services, but when more advanced care is needed, Passavant’s Paramedics also respond to provide this advanced service. In 2013, Passavant’s Paramedics responded to 592 calls. Of those, 449 calls were calls outside of Jacksonville to assist the surrounding community ambulance providers such as the Meredosia/Bluffs Rescue Squad, Winchester EMS, Murrayville/Woodson EAS, Chapin Area Rescue, and Waverly Rescue Squads.

Joy Merriman, R.N., talks with a participant during the Colorectal Cancer Screening Kit Pick-up.

West Central Mass Transit

Public Transportation is a state and federally subsidized transportation option to assist residents and visitors of Morgan, Scott, Brown and Pike Counties in getting from place to place in a safe, reliable, and cost effective manner. After-hour public transportation is a concern for many citizens. To improve access to healthcare, Passavant partners with West Central Mass Transit to offer free after-hour transportation to and from the hospital from 6 to 10 p.m. daily. Health Screenings

The first Wednesday of each month dozens of people participate in the Community Health Check, a lipid profile/blood glucose/blood pressure screening, held at the Jacksonville Senior Center

COMMUNITY BENEFIT

Derek Huseman, one of Passavant’s paramedics, is ready for his next call.

One of West Central Mass Transit’s fleet of transportation vehicles was on display at last year’s Be Aware Wellness Fair.

(Community Center Building). A registered nurse performs the screening. A minimal charge of $20 covers the cost of the supplies. Nearly 100 people participated in the screenings in 2013.

March is Colorectal Cancer Awareness Month and Colorectal Cancer Screening Kit pick-ups were provided with assistance of Passavant nurses, the Mia Ware Foundation, and the Regional Cancer Partnership of Illinois. A free screening kit was distributed as people drove through the main entrance of the hospital. Passavant’s Laboratory Department covered the cost of processing the kits. An educational program was held the same day, facilitated by one of our general surgeons. In 2013, 141 kits were distributed to community members.

The National Kidney Foundation collaborates with Passavant to provide the KidneyMobile event. Passavant provides registered nurses, support staff, and volunteers to conduct the screenings and absorbs the cost of the laboratory tests. At this event: • 96 area residents were screened• 95 percent of participants tested abnormal in one or more areas of screening• 62 percent of participants had high blood pressure; 41 percent had no prior knowledge• 54 percent of participants were made an immediate referral for care• 6 percent of participants had no insurance.

While screenings provide no definitive diagnosis, they provide reliable indicators of whether further testing is necessary.

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Tele-Psychiatry Program

The Center for Psychiatric Health at Passavant, in cooperation with Blessing Hospital in Quincy, is providing the latest form of mental health services utilizing live, interactive video conferencing for both adults and children. The Center facilitated 88 psychiatrist consultations via tele-psychiatry in 2013. This technology is important for delivering psychiatric care to our community.

Jacksonville Community Childhood Wellness Coalition

The Coalition was founded by Passavant in 2010. Comprised of various community

organizations, the mission of this group is to coordinate local children’s wellness programs and services under one umbrella. The goal is to provide parents and kids quality health education that encourages healthy lifestyles.

The Coalition: • Coordinated, printed, and sent educational flyers and sent to 7,800 households• Public service announcements were broadcast that focused on screen time, increased physical activity, and increased fruits and vegetables• Focused efforts into re-launching coalition to encourage a healthy environment for people of all ages• Collaborated with and gained support from Illinois Alliance to Prevent Obesity and the Jacksonville Parks Foundation.

American Heart Association’s Jump Rope for Heart Sponsor in Local Elementary Schools

Passavant is pleased to sponsor the AHA’s Jump Rope for Heart Program in all the local elementary schools. Nine schools and 2,284 students participated.

Girls on the Run Program® Sponsor

Girls on the Run® is a prevention program that educates and empowers pre-teen girls (3rd-8th grade) with the tools to make healthy decisions, form positive self images, and develop healthy lifestyles. The program is held at area schools after dismissal and is offered in both the fall and spring semesters. Passavant is pleased to be a major sponsor.In 2013: • 6 local elementary schools participated (Eisenhower, Franklin, Lincoln, North, Our Saviour, South)• 117 students participated.

Walking for Wellness

The Jacksonville High School Bowl is home to the “Walking for Wellness” program. From the first Monday in November through March, Passavant partners with Jacksonville School District #117 to offer the popular program. The Bowl is provided free of charge by School District #117, and Passavant provides a coordinator to oversee the walking program on days when school is in session. Free blood pressure screenings and body fat analysis are provided to walkers on selected dates.

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Over 10,000 participated during the 5-month program in 2013.

COMMUNITY BENEFIT

A psychiatrist from Blessing Hospital confers with a patient via teleconference.

Issue 2: Metabolic Syndrome: Reducing obesity and encouraging healthy, active lifestyles “Obesity rates continue to rise. Young people and adults spend long hours doing sedentary activities, such as playing video games or watching TV. This sedentary lifestyle, in addition to the high calorie, high fat diet the average American consumes, has perpetuated obesity. According to the Centers for Disease Control and Prevention, childhood obesity has more than doubled in the past 30 years. Metabolic Syndrome is a cluster of metabolic risk factors, such as increased blood pressure, high blood sugar levels, excess body fat around the waist and abnormal cholesterol levels that, when occurring together, increase the risk of heart disease, stroke and diabetes. Diseases of the heart rank first as the leading cause of mortality in Morgan County.” (Morgan County Community Health Plan, June 2012) Passavant is committed to supporting programs that raise awareness and encourage healthier lifestyles.

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Issue 3: Early Sexual Activity, Teen Pregnancy, and STDs “Morgan County’s teen birth rate consistently exceeds the statewide trend. Continued efforts to reduce teen pregnancies are essential to the health and well being of that specific population of young women, as well as to their offspring. Likewise, early sexual activity has led to an increase in sexually transmitted diseases and subsequent health issues.” (Morgan County Community Health Plan, June 2012)

Issue 4: Adolescent Substance Abuse “Substance abuse remains a com-plex and growing problem in Morgan County. Not only are cigarettes, alcohol, marijuana, cocaine and amphetamine prevalent in our county, but even greater concern lies in the attitudes, misuse and prevalence of prescription drugs and/or over the counter drugs among our adolescents.” (Morgan County Community Health Plan, June 2012)

Red Out Reaches 3,000

Passavant was the major sponsor of the American Heart Association’s, “Red Out to Tackle Heart Disease,” a new event to raise awareness regarding Heart Disease. The Red Out was Friday, September 6, 2013, at the Jacksonville High School vs. Glenwood High School football game.

The life-saving mission of the American Heart Association was integrated into every aspect of the event and featured heart health information, health screenings, heart-healthy snacks and kids games.

COMMUNITY BENEFIT

Passavant Collaborates with the Morgan County Health Department

Passavant participates in the Morgan County Health Department’s Teen Pregnancy Prevention Advisory Panel. The Teen Pregnancy Prevention Program exists to provide awareness and education to local schools. Last year the program included a public awareness campaign, including a poster contest. Students participated in the contest. The winning posters were featured on billboards in the community.

Fantastic Body Voyage

Each year, sixth graders from local and area schools are invited to take a “Fantastic Body Voyage” through parts of the human body. Passavant’s Educational Services staff transforms the hospital’s meeting rooms and lobby into

Sarah Cambridge, left, and Jordan Lindsey, acknowledge the crowd as they are recognized as the 2013 Red Out “Heart Survivors” prior to the game. Jordan is employed at Passavant in the Food Service Department.

body systems for students to explore in a fun and educational way. During this program, students participate in hands on activities and learn how organs and systems work together. This year, a section on Growth and Development was added to the curriculum. This science based curriculum offered the children an opportunity to learn about their reproductive, digestive, muscular, skeletal, nervous, and cardiovascular systems. Over 270 sixth graders made the “voyage.”

Morgan County Drug and Alcohol Prevention Consortium Passavant partners with the Consortium and meets monthly to discuss issues and identify trends in the community with regards to adolescent substance abuse. This task force offered a community program, “Trends in Substance Abuse,” as a panel discussion at Passavant in January 2013. Sponsorship of Drug and Alcohol-Free After-Prom Parties for Area Schools Passavant assists with monetary donations to support the substance-free after-prom parties coordinated by the local high schools.

TACKLE Heart Disease!

J

GTRed Out

Students get a hands on experience examining animal organs during the Fantastic Body Voyage.

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Community Benefit and Support

Community Benefit Provided by Passavant Area Hospital Based on Cost

Charity Care, Including Volunteer Health Clinic $ 5,424,974

Medicaid Funding Shortfall $ 9,090,389

Health Screenings and Educational Programs $ 42,864

Paramedic Services Provided to Outlying Ambulance Companies $ 111,079

Medicare Consultant Services and Passavant’s Sibert Community

Health Library Services Provided to the Public $ 49,852

Support of Local Non-Profit Programs, Charities, and Organizations $ 61,870

Total Community Benefit Provided by Passavant Area Hospital $14,781,028

Other Community Support Provided by Passavant Area Hospital

Medicare Funding Shortfall $19,203,730

Team Rehab Services for Local High School Athletic Events $ 83,354

Bad Debt $ 23,839

Interpreter Services and Language Line Provided to the Public $ 82,334

Support Groups, Health Fairs, and All Other Educational Programs $ 22,157

Support for Local Health Improvement Programs $ 142,591

Total Community Support Provided by Passavant Area Hospital $19,558,005

Employee Salaries and Benefits $53,886,512

Purchases From Local Vendors $ 7,953,280

Total Impact on Local Economy $96,178,825

COMMUNITY BENEFIT

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Mini-Medical Days

Mini-Medical Days is a free program presented to area second grade students. The Passavant Auxiliary coordinates volunteers who guide students through a variety of hospital departments where information is presented to help children understand what they may encounter if they have to visit the Emergency Department, have blood work, or other testing. In 2013, 479 second graders participated in the annual Mini-Medical Days Program.

Sibert Community Health Library Sibert Library/Community Health Information Library contains Medical, Nursing, Allied Health, and Consumer Health journals and textbooks. The library is open to Passavant employees, medical professionals, and the community, Monday through Thursday, 8:00 a.m. to 1:00 p.m., and Friday, 8:00 a.m. to 12:00 noon. Contact Karen Douglas, librarian, for your health information needs, 245-9541, extension 3424, or [email protected].

Prairieland United Way

The Prairieland United Way is an organization that is community-minded, working towards the common good. Funding is raised annually to support 41 human service programs in Morgan, Scott, Cass and Northern Greene Counties. Funding decisions are made by community panels of concerned citizens who care about the well-being of others. Passavant is a proud supporter of the Prairieland United Way. In 2013, employees pledged over $35,000 towards the Prairieland United Way campaign.

Team Rehab Athletic Trainer/Physical Program in Schools

Team Rehab, part of the Rehabilitation Services Department, is comprised of athletic trainers and physical therapists who work with local athletes to provide safe and effective training and sports rehabilitation. Team Rehab regularly visits local and area schools and provides sports medication coverage at games at no cost to schools. Team Rehab contributes over 1,700 hours annually to 16 area schools and athletes. Business in Education Partnership

The Jacksonville Area Chamber of Commerce coordinates the Business in Education Partnership each year. Local businesses who volunteer are partnered with a local school to assist in various ways. Passavant’s partner in Education is Eisenhower Elementary. As part of that partnership, Passavant prints their school directory and donates funds to assist with the accelerated reading program.

Passavantreaches out

Donnie Rhoades, a Lincoln Land Community College radiology student, explains x-rays to Mini-Medical Days participants.

Kris Schwiderski, Team Rehab Coordinator, checks out the injured hand of Jacksonville High School football player Collin Ryals.

OUTREACH SERVICES

Members of the Management Team offered to work “a day in the shoes” of another employee as part of the 2013 employee giving incentive for the Prairieland United Way campaign. Bryan Langan, Rehabilitation Services, left, was one of the winners and selected Steve Lee, Chief Physician Services Officer, to work with him at the MacMurray Collegeathletic facilities.

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Employees Sponsor Mobile Food Pantries in Cooperation With the Central Illinois Food Bank

According to data collected in 2010, 14.2 percent of Morgan County, or approximately 5,000 people, are “food insecure.” Food insecurity means they do not have reliable access to food. In addition, about 1 in 4 children are food insecure in the county as well. The Central Illinois Food Bank, in cooperation with community sponsors, like Passavant, provide additional subsidies to counties at risk via mobile food pantries.

Passavant matched funds donated by employees to sponsor several of these Mobile Food Pantries. Passavant employees also volunteered to help with food distribution as part of their sponsorship. In under two hours at one event, the Mobile Food Pantry distributed milk, juice, onions, carrots, potatoes, bread and bakery items to the following:

• 235 households• 726 individuals• 234 children• 111 seniors.

In 2013, Passavant employees volunteered at four mobile food pantries in the community.

Passastache Team Passastache wrapped up “Movember” (November) with $1,395 in donations for growing moustaches for prostate cancer awareness and research, and a better awareness for men’s health issues. Eleven male employees, known as MoBros, were members of the Team.

Mia Ware Foundation Not only does Passavant partner with the Mia Ware Foundation in March for the Colorectal Cancer Screening Initiative every September, the Foundation, Passavant, and the Jacksonville Area Chamber of Commerce partner to offer the “Be Aware Wellness Fair” for the community. This free event, at Community Park, provides access to healthcare organizations and is targeted for both children and adults.

In October, Passavant and the Foundation partnered to hold a Breast Cancer Awareness program. The goal of the program was to promote early detection.

The partnership with the Foundation is active all year. The Foundation has established a system with Passavant that enables anyone who cannot pay for a screening mammogram, or who has a high deductible, to

receive the mammogram at no cost. The Foundation pays Passavant for the screening and the radiologist for their services. Central Illinois Community Blood Center

The Central Illinois Community Blood Center provides blood and blood components (plasma and platelets) to sixteen area hospitals, including Passavant.

The nurses from the Blood Center are at Passavant on the first and second Tuesday (Main Lobby and Meeting Rooms) of each month from 11 a.m. to 6 p.m. for blood donations. New donors are always welcome and all blood types are needed. For additional information, visit the Blood Center’s website, cicbc.org, or call the Blood Center, 217-753-1530.

American Heart Association

The American Heart Association (AHA) is committed to fighting America’s number one and number four killers: heart disease and stroke. AHA’s mission is to improve the cardiovascular health of all Americans by 20 percent, while reducing deaths from cardiovascular disease and stroke by 20 percent by the year 2020. The AHA supports such life-saving efforts as research, education, advocating for better health, improving patient care, and reaching at risk populations.

Byron Pool, Plant Engineering, carries a basket of food to a customer’s vehicle at one of the Mobile Food Pantry stops at EMI.

TEAMPASSASTACHE

OUTREACH SERVICES

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Saving Sight and Gift of Hope Organ and Tissue Donor Network

Passavant participates in eye/tissue/organ donations with the Saving Sight and the Gift of Hope Organ and Tissue Donor Network. To learn more about eye/tissue/organ donation,visit giftofhope.org and hleb.org. Also in 2013, Passavant honored all organ, eye, and tissue donors nationwide by dedicating one of more than a thousand roses in the Dedication Garden on the Donate Life Tournament of Roses Parade float in Pasadena, California.

Support Groups

Passavant Area Hospital is proud to host the following community support groups: • Always in our Hearts Bereavement Support Group• Alzheimer’s Support Group• Autism Support Group • Bereaved Parents Support Group• Diabetes Support Group• Grandparents Raising Grandchildren Support Group• Ostomy Support Group• Parkinson’s Disease and Neuromuscular Support Group• Woodhaven Stroke Support Group

Passavant-Powerade Race

Over 400 runners laced up their shoes to participate in the 2013 Passavant-Powerade 5K and 10Kon May 26. The 2013 Race was dedicated to the long-time voice of the Passavant Race, Jerry Symons. Jerry died a few months prior to the Race following a short illness. Race and crew shirts sported a “JS” logo on the sleeve. Jerry was also a past member of the Passavant Board of Directors. New records were established in both the men’s and women’s 10K Race by veteran Springfield runners, Bryan Glass and Joy Guardia.

OUTREACH SERVICES

Girls on the Run (GOTR)-Jacksonville was the recipient of proceeds from the 2013 Passavant-Powerade Race. GOTR is a positive youth development program which combines an interactive curriculum and running to inspire self-respect and healthy lifestyles in pre-teen girls. Kevin Eckhoff, Race Director, second from left, presented a check for $2,550 to Jennifer Sublet, Executive Director GOTR of Central Illinois, and Kate Roth, Jacksonville GOTR Coordinator. Chester A. Wynn, President & CEO, was also present for the presentation. The monies will provide scholarships for 25 girls in Jacksonville.

Jacksonville Area Chamber of Commerce

Passavant Area Hospital continued its long-standing tradition of community interest by supporting and sponsoring numerous events and activities of the Jacksonville Area Chamber of Commerce. Passavant serves as a major sponsor of such events as the Annual Meeting, Be Aware Wellness Fair, Steak Fry, Business Expo, Teacher Appreciation Reception, and Chamber Golf Outings.