Attachment 1
Community Benefit Planning & Reporting
Georgia Hospital Association – 2nd Floor Education Center
1675 Terrell Mill Road - Marietta, GA 30067
June 26, 2013 - 10 a.m. – 3 p.m.
Summary
Attendees:
Rachel Benkeser (Childrens Healthcare of Atlanta); Laura Cahill (St. Mary’s Health System); Cathy Cason (Jeff
Davis Hospital); Casidy Cox (Jeff Davis Hospital); Donald Fears (DeKalb Medical Center); Chad Husted
(Ridgeview Institute); Martha Jordan (Gwinnett Health System); Tonya Kemper (Columbus Regional
Healthcare System); Katherine Lawler ( Atlanta Regional Commission); Dixie McClure (Columbus Regional
Healthcare System);Mark Miller (Phoebe Putney Memorial Hospital); Megan Moulding (Georgia Department
of Aging); Jan Nichols (West Georgia Health); Eddie Phillips (Draffin & Tucker, LLP); Mary Stanley (Houston
Healthcare); Adam Walker (St. Joseph’s/Candler Health System); Healther Haly; Nate (St. Mary’s Health
System; GHA: Joyce Reid; Erin Stewart
I.
Welcome & Introduction
Martha Jordan, Chair, GHA Community Benefit Committee welcomed members. Congratulations and
recognition given to Mark Miller Phoebe Putney Hospital – Healthy Communities Achievement Award
winner and to St. Joseph’s/Candler Health System in Savannah, GA 2012 Foster G. McGaw Prize for
Excellence in Community Service for its innovative programs to improve the health and well-being of its
community.
II.
Atlanta Regional Collaborative for Health Improvement –
Katherine Lawler, Atlanta Regional Commission provided update on the Atlanta Regional Collaborative
for Health Improvement. The Playbook link was provided.
Action:
Continue to follow the work being accomplished by ARCHI.
III.
IRS CHNA Proposed Rule –
a. Eddie Phillips, CPA Draffin & Tucker, LLP presented a summary of the Community Health
Needs Assessments for Charitable Hospitals Department of the Treasury Internal Revenue
Service 26 CFR Parts 1 and 53 [REG–106499–12] RIN 1545–BL30 April 5, 2013. Proposed
rules distributed.
b. The American Hospital Association Regulatory Advisory – Proposed Rule on Community
Health Needs Assessments and Sanctions for Failing to Meet ACA Requirements for Charitable
Hospitals distributed.
Action:
It was recommended that there was not a need for GHA to submit response.
IV.
Healthy Communities Institute update –
Deryk Van Brunt; Scott Dahl provided update on the Healthy Communities Institute. Scott will now be
based in Atlanta and will be covering the Eastern Region. Nine Georgia Hospitals are currently using
the system.
V.
Managing Population Health
Megan Moulding, Evidence-Based Aging Services Coordinator, Livable Communities, Georgia
Division of Aging Services provided a brief overview of the multiple resources that are available to
assist hospitals in the continuum of care efforts. With the understanding that the movement is towards
population health, determining the health needs of the community and what resources needed in the
community will be imperative.
Action:
The offer from Megan is to reach out to the Area Agency on Aging.
Tap into the Living Well Workshops in GA – evidenced-based program to empower persons and
caregivers of persons with any type of chronic condition.
VI.
4th Annual Statewide Community Benefit Report –
Erin Stewart, Director Public Relations, GHA showed the report to participants. The process will begin
again starting in the winter using the 2012 IRS Form 990 Schedule H forms obtained through
www.guidestar.org.
Action:
Begin to send Erin stories and pictures.
Categories include: Social and Basic Needs; Health Promotion; Access and Coverage; and Quality of
Life. Submit – What is it? Who is it for? Why do it? and What is the impact?
VII.
VIII.
IX.
Update from the Department of Public Health (DPH) on secondary data collection & dashboards Report submitted by Gordon Freymann & Robert Attaway provided. DPH continues to work towards
provided a user friendly data-base for hospitals to use as they are collecting secondary data for
community health needs assessment.
Action:
Update on DCH Community Health Needs Assessment Grant Award - Dr. Stuart Tedders, Georgia
Southern University was invited to attend. Due to scheduling conflict was unable. Feedback from
hospitals involved in Grant was noted.
Request for sharing – Round Table Discussion- Martha Jordan led a group discussion on Community
Health Needs Assessment and Implementation Plan: Lessons Learned. Below are highlights from the
discussion.
 Work with the movers and shakers in the community to get the job done
 Team work, collaborative Partnership and Executive buy-in
 Capitalize on what the organization is already doing and link it to the community health needs
assessment to
 Mental Health – access to service and providing free evaluation is meeting need in community
 Looking at short term and long term goals
 Using the already existing tools such as the Association for Community Health Improvement
tool kit and the Catholic Health Association’s Guide for Planning & Reporting Community
Benefit (2012 Edition)
 Work with local Public Health Department to assist with community building allowing the
implementation plan to evolve
 Implementation plan being submitted with IRS form 990
 Use the S.M.A.R.T.E. Approach – Simple/Measurable/Relevant/Time/Evaluate
 In some areas, public health has not been receptive. If this is occurring please let the
Commissioner of the Georgia Department of Public Health (DPH) and State Health Office know
so that it may be addressed
 Interview patients and their families
 Tap into other community activities such as the school system events
 Buy - in from School System – begin with Partners in Education; tap into physical education
teachers
 Tap into local Faith Ministries
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X.
XI.
Educate CFO to explain impact on budget –
o From Budget drainer to External View of hospital service –
o From outward view to external view – hospital service to outside need
o Cost incurred by providing service ties into needs assessment
o Link Services to CHNA and implementation plan
o Help prioritize services
o Calculate ROI – Specify funds that are going towards services to vulnerable population
o Determine Cost over Revenue
Over time impact on population health will be determined
Working with students –
o Calculate number of hours staff is putting towards working with studentsMaintain a paper
trail relating to work associated with student contracts and placement of students
Reach out to other hospitals in the area
o Perfect time to collaborate
o Decision makers at table
o Prioritize
o Determine Impact
Pull together community and determine role of hospital
Make it regional
Next Steps – Recommendations from group –
1. Have Keith Hurle as a break out session at major GHA meeting
2. Continue education sessions on what counts as community benefit
3. Create measures that may be used to evaluate progress
Evaluation
Community Health Needs Assessments
Available on web:
Georgia Health Sciences Medical Center
Gwinnett Medical Center
Phoebe Putney Hospital
University Health Care System
West Georgia Health
Memorial Hospital and Manor
Tanner Health System Community Health Needs Assessment 2013
Tanner Health System Community Health Implementation Strategy FY 2014-2016
Tanner Medical Center/Carrollton Community Health Needs Assessment 2013
Tanner Medical Center/Carrollton Community Health Implementation Strategy FY 2014-2016
Tanner Medical Center/Villa Rica Community Health Needs Assessment 2013
Tanner Medical Center/Villa Rica Community Health Implementation Strategy FY 2014-2016
Higgins General Hospital Community Health Needs Assessment 2013
Higgins General Hospital Community Health Implementation Strategy FY 2014-2016
Community Surveys in process
Hamilton Medical Center