SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
JOHN MUIR HEALTH
 
Employer identification number

94-1461843
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    5,801,479   5,801,479 0.350 %
b Medicaid (from Worksheet 3, column a) . . . . .     90,746,865   90,746,865 5.440 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     96,548,344   96,548,344 5.790 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     4,337,789 734,882 3,602,907 0.220 %
f Health professions education (from Worksheet 5) . . .     13,228,599 8,923,225 4,305,374 0.260 %
g Subsidized health services (from Worksheet 6) . . . .     500,771 0 500,771 0.030 %
h Research (from Worksheet 7) .     751,751 108,247 643,504 0.040 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     3,695,319 213,946 3,481,373 0.210 %
j Total. Other Benefits . .     22,514,229 9,980,300 12,533,929 0.760 %
k Total. Add lines 7d and 7j .     119,062,573 9,980,300 109,082,273 6.550 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     5,053   5,053 0 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building     2,449   2,449 0 %
7 Community health improvement advocacy            
8 Workforce development     158,310   158,310 0.010 %
9 Other     1,754,423 342,238 1,412,185 0.080 %
10 Total     1,920,235 342,238 1,577,997 0.090 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
74,419,972
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
382,551,045
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
616,304,243
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-233,753,198
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
11 ASPEN SURGERY CENTER
  		OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER 28.680 % 1.000 % 46.390 %
22 BRENTWOOD SURGERY CENTER
  		OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER 33.440 % 0 % 37.500 %
33 HACIENDA SURGERY CENTER
  		OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER 12.500 % 0 % 47.600 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 JOHN MUIR MEDICAL CENTER WALNUT CREEK
1601 YGNACIO VALLEY RD
WALNUT CREEK,CA94598
WWW.JOHNMUIRHEALTH.COM
140000265 		X X         X     A
2 JOHN MUIR MEDICAL CENTER CONCORD
2540 EAST ST
CONCORD,CA94520
WWW.JOHNMUIRHEALTH.COM
140000128 		X X         X     A
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: JOHN MUIR MEDICAL CENTER WALNUT CREEK, - FACILITY 2: JOHN MUIR MEDICAL CENTER CONCORD
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: COMMUNITY INPUT PROCESSJOHN MUIR HEALTH (JMH) ENLISTED THE SERVICES OF ACTIONABLE INSIGHTS (AI), LLC, TO CONDUCT THE PRIMARY RESEARCH FOR THE 2019 CHNA. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT. KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH SERVICE PROVIDERS, AND FOCUS GROUPS WITH COMMUNITY MEMBERS.PRIMARY RESEARCH PROTOCOLS GENERATED BY AI IN COLLABORATION WITH THE HEALTH SYSTEM WERE BASED ON FACILITATED DISCUSSION AMONG HEALTH SYSTEM MEMBERS ABOUT WHAT THEY WISHED TO LEARN DURING THE 2019 CHNA. THE HEALTH SYSTEM SOUGHT TO BUILD UPON PRIOR CHNAS BY FOCUSING THE PRIMARY RESEARCH ON THE COMMUNITY'S PERCEPTION OF MENTAL HEALTH (IDENTIFIED AS A MAJOR HEALTH NEED IN THE 2016 CHNA) AND THEIR EXPERIENCE WITH HEALTH CARE ACCESS AND DELIVERY (ALSO IDENTIFIED AS A MAJOR HEALTH NEED IN 2016). RELATIVELY LITTLE TIMELY QUANTITATIVE DATA EXIST ON THESE SUBJECTS.EACH INTERVIEW AND FOCUS GROUP WAS RECORDED AS A STAND-ALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AND THEN AI USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. THE HEALTH SYSTEM USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES.ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, THE TEAM SOLICITED INPUT FROM 164 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN COMMUNITY-BASED ORGANIZATIONS THAT FOCUS ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. THE TEAM ALSO CONVENED FOCUS GROUPS WITH COMMUNITY MEMBERS/USERS OF THE HEALTH SYSTEM IN ALAMEDA AND CONTRA COSTA COUNTIES. CONTRA COSTA HEALTH SERVICES (THE PUBLIC HEALTH DEPARTMENT) PROVIDED INPUT INTO THE PROTOCOLS AND FACILITATED THE FOCUS GROUPS IN CONTRA COSTA COUNTY.KEY INFORMANT INTERVIEWS:BETWEEN JUNE AND OCTOBER 2018, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 54 LOCAL AND/OR REGIONAL EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED INDIVIDUALS FROM THE PUBLIC HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER MANAGERS, COMMUNITY BASED ORGANIZATION REPRESENTATIVES AND CLINICIANS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE. FOR APPROXIMATELY ONE HOUR, AI ASKED INFORMANT TO IDENTIFY AND DISCUSS THE TOP NEEDS OF THEIR CONSTITUENCIES, INCLUDING BARRIERS TO HEALTH, GIVE THEIR PERCEPTIONS OF ACCESS TO HEALTH CARE AND MENTAL HEALTH NEEDS, AND SHARE WHICH SOLUTIONS MAY IMPROVE HEALTH INCLUDING SERVICES AND POLICIES. AI ASKED FIVE QUESTIONS: WHAT ARE THE MOST IMPORTANT/PRESSING HEALTH NEEDS IN THE LOCAL AREA? WHAT DRIVERS OR BARRIERS ARE IMPACTING THE TOP HEALTH NEEDS? TO WHAT EXTENT IS HEALTH CARE ACCESS A NEED IN THE COMMUNITY? TO WHAT EXTENT IS MENTAL HEALTH A NEED IN THE COMMUNITY? WHAT POLICIES OR RESOURCES ARE NEEDED TO IMPACT HEALTH NEEDS?FOCUS GROUPS WITH SERVICE PROVIDERS AND COMMUNITY MEMBERS:THIRTEEN FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 110 SERVICE PROVIDERS AND COMMUNITY LEADERS FROM JULY TO SEPTEMBER 2018. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANTS.FOURTEEN RESIDENT FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 145 RESIDENTS BETWEEN JULY AND SEPTEMBER 2018. THE DISCUSSIONS CENTERED AROUND THE SAME FIVE QUESTIONS AS THE KEY INFORMANTS, WHICH WERE MODIFIED APPROPRIATELY FOR EACH AUDIENCE. NONPROFIT HOSTS, SUCH AS OPEN HEART KITCHEN IN LIVERMORE, RECRUITED PARTICIPANTS FOR THE GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY IT SERVES, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION.A TOTAL OF 59 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN TRI-VALLEY/CENTRAL CONTRA COSTA COUNTY. A TOTAL OF 37 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN EASTERN CONTRA COSTA COUNTY. A TOTAL OF 21 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN WESTERN CONTRA COSTA COUNTY.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN CHNAALL JOHN MUIR HEALTH HOSPITAL FACILITIES (JOHN MUIR MEDICAL CENTER,WALNUT CREEK; JOHN MUIR MEDICAL CENTER, CONCORD; AND JOHN MUIR BEHAVIORALHEALTH) COLLABORATED WITH KAISER PERMANENTE DIABLO AND EAST BAY, SAINT ROSE HOSPITAL, SAN RAMON REGIONAL MEDICAL CENTER, STANFORD HEALTH CARE, SUTTER HEALTH BAY AREA AND UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND ON THE COMMUNIY HEALTH NEEDS ASSESSMENT.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNAACTIONABLE INSIGHTS (AI), LLC, AN INDEPENDENT LOCAL RESEARCH FIRM, COMPLETED THE 2019 CHNA. FOR THIS ASSESSMENT, AI ASSISTED WITH CHNA PLANNING, CONDUCTED PRIMARY RESEARCH, COLLECTED SECONDARY DATA, SYNTHESIZED PRIMARY AND SECONDARY DATA, FACILITATED THE PROCESS OF IDENTIFYING COMMUNITY HEALTH NEEDS AND ASSETS, ASSISTED WITH DETERMINING THE PRIORITIZATION OF COMMUNITY HEALTH NEEDS, AND DOCUMENTED THE PROCESSES AND FINDINGS INTO A REPORT. ACTIONABLE INSIGHTS HELPS ORGANIZATIONS DISCOVER AND ACT ON DATA-DRIVEN INSIGHTS. THE FIRM SPECIALIZES IN RESEARCH AND EVALUATION IN THE AREAS OF HEALTH, STEM (SCIENCE, TECHNOLOGY, ENGINEERING, AND MATH) EDUCATION, YOUTH DEVELOPMENT, AND COMMUNITY COLLABORATION EFFORTS. AI HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS FOR OVER 25 HOSPITALS DURING THE 2018-19 CHNA CYCLE.
PART V, SECTION B, LINE 7A CHNA REPORT MADE WIDELY AVAILABLE TO PUBLICTHE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML
PART V, SECTION B, LINE 10A WEBSITE FOR ADOPTED IMPLEMENTATION STRATEGYTHE HOSPITALS ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML
PART V, SECTION B, LINE 11 SIGNIFICANT NEEDS ADDRESSED IN CHNAIN COLLABORATION WITH KAISER PERMANENTE, SUTTER HEALTH, AND LOCAL COMMUNITY EXPERTS, THE HEALTH SYSTEM IDENTIFIED NINE COMMUNITY HEALTH NEEDS.1. HOUSING AND HOMELESSNESS2. BEHAVIORAL HEALTH3. ECONOMIC SECURITY4. HEALTH CARE ACCESS AND DELIVERY5. COMMUNITY AND FAMILY SAFETY6. EDUCATION AND LITERACY7. HEALTHY EATING/ACTIVE LIVING8. TRANSPORTATION AND TRAFFIC9. CLIMATE/NATURAL ENVIRONMENTHOSPITAL REPRESENTATIVES PRIORITIZED HEALTH NEEDS WITH LOCAL COMMUNITY,PUBLIC HEALTH REPRESENTATIVES. TO FURTHER REFINE AND SELECT THE COMMUNITYHEALTH NEEDS WE PLAN TO ADDRESS, FOUR CRITERIA WERE UTILIZED.SELECTION PROCESS:THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE IS CHARGED WITH OVERSEEING THE STRATEGIC DIRECTION OF COMMUNITY BENEFIT PROGRAMMING AND ACTIVITIES. THE COMMITTEE IS COMPOSED OF JOHN MUIR HEALTH SENIOR LEADERS AND BOARD OF DIRECTORS MEMBERS. THE COMMITTEE MET ON MARCH 25, 2019 TO REVIEW THE LIST OF COMMUNITY HEALTH NEEDS IDENTIFIED AND PRIORITIZED BY THE CHNA REPORT AND TO SEECT THE COMMUNITY HEALTH NEEDS THAT PROVIDE STRATEGIC DIRECTION FOR JOHN MUIR HEALTH COMMUNITY BENEFIT PROGRAMMING AND ACTIVITIES FROM 2020 THROUGH 2022.THE FOLLOWING SELECTION CRITERIA WERE USED AS A METHOD TO PRIORITIZE AND SELECT THE COMMUNITY BENEFIT PRIORITIES. THE SELECTION CRITERIA BUILT ON CHNA PRIORITIZATION CRITERIA, WHICH INCLUDED: (1) COMMUNITY PRIORITY; (2) MAGNITUDE/SCALE OF NEED; (3) SEVERITY OF NEED; (4)MULTIPLIER EFFECT; (5) CLEAR DISPARITIES OR INEQUITIES.THE COMMITTEE MEMBERS FIRST AGREED UPON THE SELECTION CRITERIA, THEN ENGAGED IN THOROUGH DISCUSSION ABOUT EACH OF THR NINE PRIORITIZED HEALTH NEEDS. AFTER DISCUSSION BY ALL MEMBERS REGARDING RATIONALE FOR SELECTION, SUPPORTING DATA, KEY INFORMANT INTERVIEW AND FOCUS GROUP RESULTS, THE COMMITTEE CAME TO A CONSENSUS.THE FOLLOWING NEEDS WERE SELECTED AS COMMUNITY BENEFITS PRIORITIES FOR 2020-2022. THE COMMITTEE SELECTED THE HEALTH NEEDS FOR IMPLEMENTATION BECAUSE OF THE FEASIBILITY OF INTERVENTION, ABILITY TO HAVE A MEASURABLE IMPACT, ABILITY TO PARTNER WITH OTHER ORGANIZATIONS, OPPORTUNITY TO PREVENT NEGATIVE OUTCOMES ASSOCIATED WITH THE HEALTH NEEDS, ALIGNMENT WITH POPULATION TRENDS AND JOHN MUIR HEALTH EXPERTISE AND ABILITY TO BUILD ON SUCCESSFUL, CURRENT COMMUNITY BENEFIT PROGRAMS.1. ACCESS TO CARE, INCLUDING PRIMARY AND SPECIALTY CARE IN ORDER TO ACHIEVE THIS HEALTH NEEDS JOHN MUIR HEALTH WILL: PROVIDE FINANCIAL ASSISTANCE TO SUPPORT LOW-INCOME PATIENTS BY SUBSIDIZING ALL OR A PORTION OF THEIR JOHN MUIR HEALTH MEDICAL EXPENSES AT JMMC-WC AND JMMC-CONCORD. PARTICIPATE IN THE GOVERNMENT-SPONSORED MEDI-CAL PROGRAM TO PROVIDE COMPREHENSIVE INPATIENT CARE TO MEDI-CAL ENROLLEES THAT GENERATE UNPAID COSTS AT JMMC-WC, JMMC-CONCORD, JOHN MUIR PHYSICIAN NETWORK AND JOHN MUIR BEHAVIORAL HEALTH CENTER. PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY BY OFFERING PROGRAMS SUCH AS THE MOBILE HEALTH CLINIC IN PARTNERSHIP WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM, CONTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, VILLAGE COMMUNITY RESOURCE CENTER, ROTOCARE BAY AREA AND ST. VINCENT DE PAUL. PROVIDE HEALTH CARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY, WHICH INCLUDES LIFELONG MEDICAL CARE, LA CLINICAL DE LA RAZA AND CONTRA COSTA COUNTY ORAL HEALTH PROGRAM. PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLINICAL SPECIALTY PROGRAM AND OPERATION ACCESS FOR ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. PROVIDE SCREENING PROGRAMS THROUGH THE EVERY WOMEN COUNTS PROGRAM AND THE LUNG CANCER SCREENING PROGRAM FOR LOW-INCOME ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES THROUGH THE MEDICATION ASSISTANCE PROGRAM AND PATIENT NAVIGATOR PROGRAM FOR VULNERABLE ADULTS AND SENIORS THAT ADDRESS POOR HEALTH OUTCOMES, QUALITY, SATISFACTION AND EFFICIENCY. PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES FOR VULNERABLE SENIORS THAT PROMOTE INDEPENDENT LIVING, ADDRESS POOR HEALTH OUTCOMES, QUALITY AND SATISFACTION WHILE IMPROVING EFFICIENCY THROUGH FALL PREVENTION SAFETY TRAININGS, HOME ASSESSMENTS AND MODIFICATIONS, EDUCATION, AND ASSISTIVE TECHNOLOGY THROUGH MEALS ON WHEELS OF DIBALO REGION AND INDEPENDENT LIVING RESOURCES PROVIDE DIABETES EMPOWERMENT EDUCATION PROGRAM IN COLLABORATION WITH MONUMNENT IMPACT, JOHN MUIR HEALTH'S DIABETES PROGRAM AND HAPPY FEET PROGRAM, IN COLLABORATION WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM AND MONUMENT CRISIS CENTER. PROVIDE TRANSPORTATION SUPPORT TO DECREASE ISOLATION AMONG VULNERABLE SENIORS BY INCREASING ACCESS TO EDUCATION PROGRAMMING AT THE WALNUT CREEK SENIOR CENTER AND MOBILITY MATTERS.2. BEHAVIORAL AND MENTAL HEALTH SERVICES IN ORDER TO ACHIEVE THIS HEALTH NEEDS JOHN MUIR HEALTH WILL: SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VULNERABLE COMMUNITIES THROUGH THE MENTES POSITIVAS EN ACCION (POSITIVE MINDS IN ACTION) PROMOTES PROGRAM AT MONUMENT IMPACT. SUPPORT AND/OR PROVIDE BEHAVIORAL HEALTH INTERVENTION SERVICES IN VULNERABLE ADULTS THROUGH PROGRAMS SUCH AS THE PUTNAM CLUBHOUSE AND SUPPORT4RECOVERY. PROVIDE INTERVENTION AND REFERRALS TO TRAUMA VICTIMS IN ORDER TO SUPPORT YOUTH DIRECTLY IMPACTED BY INTENTIONAL VIOLENCE WITH JMMC-WC'S BEYOND VIOLENCE PROGRAMS IN PARTNERSHIP WITH CENTER FOR HUMAN DEVELOPMENT, RYSE CENTER AND ONE DAY AT A TIME. PROVIDE DIRECT MENTAL HEALTH COUNSELING SERVICES TO YOUTH, ADULTS AND FAMILIES OFFERED BY FRED FINCH YOUTH CENTER AND RYSE CENTER IN COLLABORATION WITH THE JOHN MUIR HEALTH MOBILE HEALTH CLINIC, ANTIOCH HIGH SCHOOL,CENTER FOR HUMAN DEVELOPMENT, AND ONE DAY AT A TIME. PROVIDE LOW-INCOME WOMEN WITH CANCER WITH FREE PSYCHOTHERAPY, PATIENT NAVIGATION SERVICES, EMERGENCY FINANCIAL ASSISTANCE, INFORMATION AND REFERRAL HELPLINE AND WELLNESS WORKSHOPS OFFERED BY THE WOMEN'S CANCER RESOURCES CENTER.3. ECONOMIC SECURITY, TO INCLUDE HOUSING, FOOD, COMMUNITY AND FAMILY SAFETY IN ORDER TO ACHIEVE THESE HEALTH NEEDS JOHN MUIR HEALTH WILL:HOUSING CONNECT MEDICALLY FRAGILE HOMELESS ADULTS DISCHARGED FROM LOCAL HOSPITALS TO THE RESPITE CARE CENTER TO PROVIDE RECUPERATIVE CARE AND ON-SITE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES. PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY BY OFFERING PROGRAMS SUCH AS MOBILE HEALTH CLINIC IN PARTNERSHIP WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM, COTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, VILLAGE COMMUNITY RESOURCE CENTER, ROTACARE PITTSBURG AND ST. VINCENT DE PAUL. ENGAGE JOHN MUIR FAMILY MEDICINE RESIDENTS WITH CONTRA COSTA HEALTH SERVICES COORDINATED OUTREACH, REFERRAL AND ENGAGEMENT (CORE) PROGRAM TO PROVIDE BASIC HEALTH SERVICES AND CONNECT INDIVIDUALS TO SECURE HOUSING. CONNECT INDIVIDUALS AND FAMILIES WHO ARE IN RECOVERY FROM ALCOHOL AND OTHER DRUGS WITH SAFE, AFFORDABLE HOUSING THROUGH PARTNERSHIP WITH SUPPORT4RECOVERY. PROVIDE UNSHELTERED AND LOW-INCOME INDIVIDUALS WITH CLOTHING, FOOD AND SUPPLIES IN PARTNERSHIP WITH WHITE PONY EXPRESS. PROVIDE SUPPORT TO TRINITY CENTER, WHICH PROVIDES HOMELESS ADULTS WITH RESPITE, FOOD, SHOWER AND LAUNDRY FACILITIES, CLOTHING AND FOOD PANTRY, EMPLOYMENT ASSISTANCE AND CONNECTION TO CONTRA COSTA COUNTY SUPPORT SERVICES.FOOD PROVIDE YOUTH WITH A WORKFORCE TRAINING OPPORTUNITY AT THE CONCORD BIKE TENT IN PARTNERSHIP WITH BIKE EAST BAY AND OLYMPIC HIGH SCHOOL. ENGAGE YOUTH AT DOZIER-LIBBEY MEDICAL HIGH SCHOOL IN A NUTRITION-BASED HEALTH EDUCATION TRAIN-THE-TRAINER PROGRAM OFFERED BY FRESH APPROACH. SUPPORT HEALTHY AND ACTIVE BEFORE FIVE TO INCREASE COMMUNITY AND FAMILY SAFETY, AND PROMOTE HEALTHY EATING AND ACTIVE PLAY IN CHILDREN AGE 0 TO 5. SUPPORT THE FOOD BANK OF CONTRA COSTA AND SOLANO'S COMMUNITY PRODUCE PROGRAM AND ALAMEDA COUNTY COMMUNITY FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW-INCOME FAMILIES IN CONTRA COSTA COUNTY.COMMUNITY AND FAMILY SAFETY CONTRIBUTE TO ALLIANCE TO END ABUSE AS A HEALTH SYSTEM PARTNER IN COLLABORATION WITH CONTRA COSTA COUNTY AND THE PUBLIC HEALTH INSTITUTE TO CREATE A BLUEPRINT OF VIOLENCE PREVENTION. PROVIDE INTERVENTION AND REFERRALS TO TRAUMA VICTIMS IN ORDER TO SUPPORT YOUTH DIRECTLY IMPACTED BY INTETIONAL VIOLENCE WITH JMMC-WC'S BEYOND VIOLENCE PROGRAM IN PARTNERSHIP WITH CENTER FOR HUMAN DEVELOPMENT, RYSE CENTER AND ONE DAY AT A TIME.
CONTINUED.... - ENGAGE WITH PLANTING JUSTICE AND BORDERLANDS TO IMPLEMENT RESTORATIVE JUSTICE PRACTICES WITH LOCAL SCHOOLS TO CREATE HEALTHY, EQUITABLE AND CARING SCHOOL COMMUNITIES THAT PREVENT AND ADDRESS BEHAVIORAL DISRUPTION IN A NON-PUNITIVE WAY. - SUPPORT MONUMENT CRISIS CENTER TO SERVE LOW-INCOME FAMILIES AND INDIVIDUALS THROUGH DYNAMIC SERVICE PROGRAMS FOCUSED ON PROVIDING NUTRITIOUS FOOD, EDUCATION, GENERAL ASSISTANCE AND REFERRALS IN AN EFFORT TO ALLEVIATE POVERTY. - SUPPORT CONTRA COSTA CRISIS CENTER PROGRAMS THAT CENTER ON KEEPING PEOPLE ALIVE AND SAFE, HELPING THEM THROUGH CRISES, AND PROVIDING OR CONNECTING THEM WITH CULTURALLY RELEVANT SERVICES IN THE COMMUNITY. - SUPPORT CONTRA COSTA COUNTY FAMILY JUSTICE CENTERS (RICHMOND, CONCORD AND ANTIOCH) TO PROVIDE A ONE-STOP MULTI-SERVICE CENTER FOR VICTIMS OF DOMESTIC AND SEXUAL ABUSE, HUMAN TRAFFICKING AND ELDER ABUSE BY OFFERING COUNSELING, ASSISTANCE AND LEGAL ISSUES, HOUSING, EMERGENCY SHELTER, AND EMPLOYMENT.JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIPS WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS. THE FOLLOWING 2020 YEAR END RESULTS IN COLLABORATION WITH LOCAL ORGANIZATIONS ARE OUTLINED BY EACH OF THREE IDENTIFIED COMMUNITY HEALTH NEEDS.COMMUNITY HEALTH NEEDS: HEALTH CARE ACCESS AND DELIVERY, INCLUDING PRIMARY AND SPECIALTY CAREMOBILE HEALTH CLINIC: PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY. OUTCOMES FOR 2020 INCLUDES: - MOBILE HEALTH CLINIC SERVED 266 PEOPLE FOR 416 ENCOUNTERS DURING SATURDAY CLINIC, WEDNESDAY RESIDENCY CLINIC AND VIA TELEHEALTH. IN-PERSON WERE SUSPENDED DUE TO COVID-19 AND MOBILE CLINIC WAS REALLOCATED TO PROVIDE COVID-19 VACCINATIONS. - THE MOBILE HEALTH CLINIC CONTINUED TO PARTNER WITH ROTACARE AND HEALTHCARE FOR THE HOMELESS THROUGH MARCH, AND SERVICES WERE SUSPENDED DUE TO THE COVID-19 PANDEMIC. - 82% OF PATIENTS WERE NON-ENGLISH SPEAKING AND 100% OF SERVICES MET THEIR LINGUISTIC NEEDS (PRIMARILY SPANISH). - 96% OF PATIENTS SERVED WERE UNINSURED. - 100% OF PATIENTS WHO NEEDED ADDITIONAL CARE WERE REFERRED TO A SPECIALIST OR OTHER HEALTH ORGANIZATION.COMMUNITY NURSE PROGRAM: PROVIDE HEALTH CARE SUPPORT SERVICE FOR CHILDREN IN SCHOOLS THAT SERVE LOW INCOME FAMILIES. OUTCOMES FOR 2020 INCLUDES: - FROM AUGUST 2019 TO JUNE 2020 (2020-21 SCHOOL YEAR), A TOTAL OF 5,695 INDIVIDUALS FOR A TOTAL OF 2,640 INTERVENTIONS WERE PROVIDED TO SERVE STUDENTS, PARENTS AND SCHOOL STAFF. - ONSITE COMMUNITY NURSE SERVICES WERE PROVIDED AT FOUR SCHOOLS TO INCLUDE: CAMBRIDGE, FOOTHILL, MEADOW HOME AND WILLOW COVE ELEMENTARY SCHOOLS. - 39 REFERRALS WERE RECEIVED BY THE COMMUNITY NURSE AND 13 REFERRALS WERE THEN MADE TO EXTERNAL COMMUNITY RESOURCES. - A TOTAL OF 26 MASS SCREENINGS WERE CONDUCTED FOR VISION, HEARING AND LICE, REACHING 2,713 STUDENTS. - COMMUNITY NURSES PERFORMED A TOTAL OF 2535 FIRST AID TREATMENTS, AND MOST MEDICAL INTERVENTIONS WERE RELATED TO MEDICATION ADMINISTRATION OR MANAGEMENT, OR ASTHMA-RELATED. - ON AVERAGE, 1.1 SUPPORT ASSISTANCE WAS PROVIDED TO FAMILIES INCLUDING FOOD, HOUSING, TRANSPORTATION, HEALTH INSURANCE, CLOTHING, HEALTH EDUCATION, MEDICATION ASSISTANCE, AMONG OTHERS. - PROVIDED NURSING SERVICES TO BRENTWOOD UNIFIED SCHOOL DISTRICT SARB.MOBILE DENTAL CLINIC: PROVIDE HEALTH CARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY. OUTCOMES FOR 2020 INCLUDES: - MOBILE DENTAL CLINIC PROVIDED ORAL HEALTH SERVICES TO 8,344 CHILDREN. THE DENTAL COLLABORATIVE PROVIDED THE FOLLOWING IN SCHOOLS: 8,016 DENTAL EDUCATION ENCOUNTERS; 3,406 ASSESSMENTS; 3,391 FLUORIDE; 798 SEALANTS. - ALL FAMILIES WERE PROVIDED WITH INSURANCE ENROLLMENT ASSISTANCE. - 100% OF MOBILE DENTAL CLINIC PATIENTS WERE CONNECTED TO A DENTAL HOME THROUGH REFERRAL PARTNERSHIPS WITH LIFELONG BROOKSIDE, LA CLNICA DE LA RAZA OR CONTRA COSTA HEALTH SERVICES CLINICS.LA CLINICA SPECIALTY CARE PROGRAM: PROVIDE SPECIALTY CARE SERVICES TO VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. OUTCOMES FOR 2020 INCLUDES: - PROVIDERS WERE RECRUITED TO MEET THE NEEDS OF REFERRED PATIENTS, WHICH INCLUDED GYNECOLOGICAL ONCOLOGIST, GYNECOLOGIST, MEDICAL ONCOLOGIST, DIAGNOSTIC IMAGING, GASTROENTEROLOGIST, SURGEON, CANCER GENETICIST, AND UROLOGIST. - 100% OF PATIENTS WERE UNINSURED AND 73% OF PATIENTS REFERRED INDICATED A NON-ENGLISH LANGUAGE PREFERENCE AND 76% IDENTIFIED AS HISPANIC/LATINO. - IN TOTAL, 275 PATIENTS WERE REFERRED FROM LA CLNICA AND AMONG THEM, 246 WERE ACCEPTED INTO THE SPECIALTY CARE PROGRAM (ACCEPTANCE RATE OF 89%). THE TOP REFERRING HEALTH CONDITIONS INCLUDE: GASTROINTESTINAL, GYNECOLOGICAL, UROLOGICAL, LUNG AND BREAST. - A TOTAL OF 12 CANCER DIAGNOSES WERE MADE. IN ADDITION, 855 PROCEDURES AND INTERVENTIONS WERE PROVIDED THROUGHOUT THE YEAR. THE MAJORITY OF INTERVENTIONS WERE CONSULTATIONS/FOLLOW-UP WITH SPECIALIST AND IMAGING. - 96% OF PATIENTS COMPLETED TREATMENT OR RECEIVED/SCHEDULED FOR FOLLOW-UP.OPERATION ACCESS: PROVIDE SPECIALTY CARE SERVICES THROUGH OPERATION ACCESS (OA) FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. OUTCOMES FOR 2020 INCLUDES: - 100% OF OPERATION ACCESS PATIENTS WERE UNINSURED. - THE LINGUISTIC NEEDS WERE MET FOR 100% OF PATIENTS, INCLUDING ENGLISH, SPANISH, PORTUGUESE, AMHARIC AND FRENCH. - 77% OF ALL OA SERVICES PROVIDED IN CCC WERE PROVIDED BY JOHN MUIR HEALTH. - A TOTAL OF 158 SURGICAL PROCEDURES WERE PROVIDED IN A JOHN MUIR HEALTH OPERATING ROOM. THIS REPRESENTS AN 8% INCREASE FROM THE PREVIOUS YEAR. - AVERAGE WAIT TIME FROM REFERRAL TO FIRST APPOINTMENT WAS 107 DAYS AND THE AVERAGE WAIT TIME FROM REFERRAL TO SURGERY WAS 127 DAYS. - 64% OF PATIENT REFERRALS HAD TO TRAVEL TO COUNTIES OTHER THAN CONTRA COSTA COUNTY. - IN TOTAL, THERE WERE 30 ACTIVE VOLUNTEER PHYSICIANS FROM JOHN MUIR HEALTH WHO PROVIDED AT LEAST ONE SURGICAL SERVICE. - 50% OF VOLUNTEERS WERE "HIGH VOLUME" PROVIDERS, WHO PROVIDED AT LEAST 4 SERVICES DURING THE YEAR. - IN 2020, 9 NEW PHYSICIANS WERE RECRUITED. - 97% OF PATIENTS REPORTED HIGH LEVELS OF SATISFACTION WITH THEIR OA EXPERIENCE. - ALL PATIENT QUALITY OF LIFE IMPROVEMENT MEASURES REMAINED HIGH. RESULTING FROM OA SERVICES, 93% OF PATIENTS REPORTED IMPROVED HEALTH, 91% REPORTED IMPROVED QUALITY OF LIFE, 95% IMPROVED WORK ABILITY, 83% EXPERIENCED A RELIEF OF SYMPTOMS AND 95% IMPROVED ABILITY TO CARE FOR HOME AND/OR FAMILY. - PRIOR TO UTILIZING OA SERVICES, 19% OF PATIENTS REPORTED THAT THEY VISITED THE EMERGENCY ROOM. - ONE STORY ABOUT JOHN MUIR HEALTH VOLUNTEER PHYSICIANS WAS HIGHLIGHTED AND ONE PHYSICIAN WAS AWARDED AN HONOR.EVERY WOMAN COUNTS PROGRAM: PROVIDE FREE BREAST SCREENING FOR LOW-INCOME WOMEN WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. OUTCOMES FOR 2020 INCLUDES: - IN 2020, THERE WERE 23 BREAST CANCER SCREENING CLINICS. - 100% OF ELIGIBLE PATIENTS WERE ACCEPTED TO CARE. THERE WERE 221 BREAST CANCER PATIENTS SERVED IN THE CLINICS FOR A TOTAL OF 239 ENCOUNTERS. - ALMOST HALF OF WOMEN SERVED AT THE BREAST CANCER CLINICS (47%) WERE BETWEEN AGES 40-49. 86% IDENTIFIED AS HISPANIC AND AMONG THEM, 81% INDICATED A NON-ENGLISH LANGUAGE PREFERENCE.- IN 2020, 100% OF PATIENTS WERE UNINSURED. - 60% OF PATIENTS WERE SCREENED WITHIN 18 MONTHS OF THEIR INITIAL SCREENING. - 97% OF BREAST CANCER PATIENTS WERE PROVIDED WITH SAME DAY, "ONE STOP" SERVICES, INCLUDING: BREAST EXAMS, DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES. - THE PROGRAM PROVIDED 14 BREAST BIOPSIES AND 86% RECEIVED BIOPSY RESULTS WITHIN 2 WEEKS. 5 WOMEN WERE DIAGNOSED WITH BREAST CANCER AND 100% WERE PROVIDED WITH APPROPRIATE FOLLOW-UP TO MONITOR THEIR DIAGNOSIS. - 100% OF DIAGNOSES WERE ENROLLED IN THE BREAST AND CERVICAL CANCER TREATMENT PROGRAM. - 99% OF PATIENTS RECEIVED HEALTH EDUCATION MATERIALS.LUNG CANCER SCREENING PROGRAM: PROVIDE SCREENING PROGRAMS FOR LOW-INCOME ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. OUTCOMES FOR 2020 INCLUDES: - 31% OF NEW REFERRALS WERE ACCEPTED TO RECEIVE LUNG CANCER SCREENINGS AT THE CLINICAL TRIAL AND OTHERS WHO HAD INSURANCE COVERAGE WERE ACCEPTED TO THE LUNG CANCER SCREENING PROGRAM. - IN 2020, A TOTAL OF 150 SCREENINGS WERE CONDUCTED. - OF THE TOTAL PARTICIPANTS RECEIVING SCREENS IN 2020, 25% LIVED IN HOUSEHOLDS WITH INCOMES LESS THAN 200% OF THE FPL. - OF THE TOTAL PARTICIPANTS WHO DISCLOSED THEIR DEMOGRAPHIC INFORMATION, 53% IDENTIFIED AS MALE AND 85% IDENTIFIED WHITE AS THEIR RACE/ETHNICITY (2% IDENTIFIED AS BLACK/AFRICAN AMERICAN, 10% AS ASIAN). - 99% OF PARTICIPANTS WERE PROVIDED SCAN RESULTS WITHIN 10 DAYS.
CONTINUED.... - 75% OF PARTICIPANTS RATED THEIR EXPERIENCE AS A SUBJECT IN A RESEARCH STUDY AS "EXCELLENT AND 25% AS "VERY GOOD." - ACCORDING TO THE PARTICIPANT SURVEY, 94% REPORTED INCREASED KNOWLEDGE ABOUT THEIR HEALTH CONDITION. - ACCORDING TO THE PARTICIPANT SURVEY, 69% OF PARTICIPANTS REPORTED THAT THEY ARE MORE LIKELY TO MAKE A LIFESTYLE CHANGE AS A RESULT OF THE EDUCATION AND SERVICES RECEIVED AND 94% REPORTED THAT THEY FELT MORE PROACTIVE IN THEIR HEALTHCARE. - AS A RESULT OF THE SCREENINGS PROVIDED, 22 PARTICIPANTS WERE RECOMMENDED FOR FOLLOW-UP CARE, AND 2 PARTICIPANTS RECEIVED A BIOPSY AND 22 RECEIVED TREATMENT. 2 PARTICIPANTS WERE DIAGNOSED WITH LUNG CANCER AND RECEIVED TREATMENT.MEALS ON WHEELS DIABLO REGION FALL PREVENTION PROGRAM (FPP): PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES FOR VULNERABLE ADULTS AND SENIORS THAT ADDRESS POOR HEALTH OUTCOMES, QUALITY AND SATISFACTION WHILE IMPROVING EFFICIENCY THROUGH FALL PREVENTION SAFETY TRAININGS, HOME ASSESSMENTS AND MODIFICATIONS, AND EDUCATION. OUTCOMES FOR 2020 INCLUDES: - THREE COALITION MEETINGS WERE HELD AND ON AVERAGE 34 INDIVIDUALS ATTENDED, REPRESENTING 68 AGENCIES. - IN 2020, 63% OF INDIVIDUALS HAD INCOMES AT OR BELOW 200% FPL. - 74 INDIVIDUALS SERVED RESIDED IN COMMUNITY BENEFIT DESIGNATED AREAS, OF WHICH 33% WERE RESIDENTS OF CENTRAL CONTRA COSTA COUNTY, 46% IN EAST AND 20% IN WEST. - 21% OF OLDER ADULTS WHO RECEIVED HOME SAFETY MODIFICATION SERVICES REPORTED A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY LANGUAGE. THE MAJORITY OF THESE ARE SPANISH SPEAKING. OTHER LANGUAGES INCLUDED CHINESE, FARSI, TAGALOG, AND PUNJABI. - FPP RECEIVED 287 REFERRALS AND CONDUCTED 135 HOME SAFETY ASSESSMENTS AND MODIFICATIONS THE HOMES OF OLDER ADULTS. AMONG THESE REFERRALS, 46 PEOPLE ARE ON THE WAITLIST, 83 EITHER DECLINED SERVICES OR DID NOT QUALIFY FOR SERVICES. - 83% OF SENIORS REPORTED INCREASED ACCESS TO FALL PREVENTION SERVICES. - FPP CONDUCTED 21 EDUCATION PRESENTATIONS, REACHING 530 SENIORS. - ON AVERAGE 94% OF SENIORS REPORTED INCREASED KNOWLEDGE ABOUT FALL PREVENTION, RISK FACTORS, AND FALL REDUCTION STRATEGIES. - FPP CONDUCTED 211 HOME ASSESSMENTS AND COMPLETED HOME MODIFICATIONS IN 100% OF THOSE ASSESSED. - 96% OF SENIORS WHO RECEIVED A HOME MODIFICATION REPORTED POSITIVE CHANGES IN THEIR LIVES. - 29 TOTAL EXERCISE SESSIONS WERE OFFERED WITH A TOTAL OF 100. PARTICIPANTS. - SATISFACTION SURVEY NOT ADMINISTERED DUE TO COVID-19 PANDEMIC. - 2 MATTER OF BALANCE WORKSHOPS WERE COMPLETED, WITH 24 ATTENDEES. THERE ARE 12 COACHES VOLUNTEERING FOR MOB; NO NEW COACHES TRAINED.MEALS ON WHEELS OF DIABLO REGION: PROVIDE OLDER ADULTS IN CONTRA COSTA COUNTY FRIENDLY VISITORS PROGRAM, WHICH CONNECTS SENIORS WITH VOLUNTEERS TO PROVIDE COMPANIONSHIP, RESOURCES AND ASSISTANCE, ULTIMATELY TO REDUCE ISOLATION. OUTCOMES FOR 2020 INCLUDES:- IN 2020, 12,244 RESOURCE CALLS WERE ANSWERED BY VOLUNTEERS AND STAFF. - A TOTAL OF 1,698 VISITS WERE MADE BY FRIENDLY VISITOR COMPANIONS TO 222 CLIENTS, AGE 60 AND OLDER. - DUE TO COVID-19, FRIENDLY VISITORS PROGRAM ADJUSTED SERVICES TO OFFER LESS IN-PERSON ASSISTANCE AND MORE TELEPHONIC OR VIRTUAL ASSISTANCE, OVERALL.INDEPENDENT LIVING RESOURCES: PROVIDE COMMUNITY WITH MEDICAL EQUIPMENT LOANS, ASSISTIVE TECHNOLOGY AND OTHER SUPPORTIVE RESOURCES FOR INDIVIDUALS, MAINLY SENIORS. 2020 OUTCOMES INCLUDE: - INFORMATION AND REFERRALS ON A VARIETY OF ASSISTIVE TECHNOLOGY AND TRAINING ON DEVICES WAS PROVIDED TO THE COMMUNITY. - 438 INDIVIDUALS WERE PROVIDED DEVICES FOR LOAN, AMOUNTING TO 913 DEVICES IN TOTAL. AVERAGE AGE OF USERS WAS 70 YEARS OLD. SERVICES WERE IMPACTED DUE TO THE COVID-19 PANDEMIC. - AMONG DEVICES OFFERED TO THE COMMUNITY INCLUDED: WHEELCHAIRS, TRANSPORT CHAIRS, WALKERS, CANES, BATH CHAIRS, TRANSFER BENCHES, BEDSIDE COMMODE CHAIRS, KNEE SCOOTER, HOSPITAL BEDSIDE TABLES, WALKERS AND SEATED WALKERSMOBILITY MATTERS: PROVIDE TRANSPORTATION ASSISTANCE FOR SENIORS WHO OTHERWISE HAVE LIMITED CAPACITY TO TRAVEL THEMSELVES, TO INCLUDE TRAVEL TO MEDICAL APPOINTMENTS, GROCERY STORE AND OTHER ESSENTIAL NEEDS. OUTCOMES FOR 2020 INCLUDES: - A TOTAL NUMBER OF 152 JOHN MUIR HEALTH CLIENTS RECEIVED TRANSPORTATION ASSISTANCE FOR A TOTAL OF 864 TRIPS PROVIDED. SERVICES WERE IMPACTED DUE TO THE COVID-19 PANDEMIC. - FOR 2020, MAINTAINED 48 VOLUNTEERS. SERVICES WERE IMPACTED DUE TO THE COVID-19 PANDEMIC.WALNUT CREEK SENIOR TRANSPORTATION PROGRAM: PROVIDE TRANSPORTATION ASSISTANCE TO SENIORS OVER THE AGE OF 60. SERVICES CAN INCLUDE GROCERY SHOPPING, MEDICAL APPOINTMENTS, PRESCRIPTION PICK UP, AND OTHER ACTIVITIES TO IMPROVE ACCESS TO CARE AND REDUCE SOCIAL ISOLATION. OUTCOMES FOR 2020 INCLUDES: - IN 2020, A TOTAL OF 2,540 RIDES WERE PROVIDED TO 212 SENIORS OVER 60 YEARS OLD, AND WERE ORGANIZED BY THE WALNUT CREEK SENIORS CLUB. SERVICES WERE IMPACTED BY THE COVID-19 PANDEMIC. - AVERAGE COST PER RIDE AMOUNTED TO APPROXIMATELY $10.54 TOTALING OVER $26,000 FOR THE YEAR. - A TOTAL OF 153 RIDES WERE PROVIDED TO MEDICAL APPOINTMENTS. DIABETES SERVICES: PROVIDE DIABETES PREVENTION PROGRAMS TO VULNERABLE ADULTS WHO ARE IDENTIFIED AS PRE-DIABETIC. OUTCOMES FOR 2020 INCLUDES: - IN 2020, ONE JOHN MUIR HEALTH STAFF WAS TRAINED TO A DEEP-CERTIFIED TRAINER. - IN 2020, JOHN MUIR HEALTH IN COLLABORATION WITH LA CLNICA DE LA RAZA AND MONUMENT IMPACT SUPPORTED THE DEEP PROGRAM FOR ONE SESSION. THE SESSION HAD A TOTAL PARTICIPATION OF 8 PEOPLE FOR 6 WEEKS. - THE DEEP PROGRAM WAS CONDUCTED IN SPANISH. - 50% OF PARTICIPANTS WERE UNINSURED AND THE REMAINDER WERE INSURED BY MEDICAL OR MEDICARE. - SINCE THE PROGRAM WAS OFFERED VIRTUALLY, DUE TO COVID-19, CLINICAL METRICS WERE NOT TRACKED. PARTICIPANTS INDIVIDUALLY TRACKED WEIGHT.ORDER OF MALTA CLINIC: PROVIDE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED WITH DIABETES. OUTCOMES FOR 2020 INCLUDES: - IN 2020, ORDER OF MALTA CLINIC PROVIDED CARE TO 215 PATIENTS WITH DIABETES, FOR A TOTAL OF 1,100 ENCOUNTERS. - OVERALL, MALTA CLINIC PROVIDED CARE TO UNINSURED PATIENTS FOR 1,930 ENCOUNTERS VIA TELEHEALTH AND 740 ENCOUNTERS IN-PERSON. - 100% OF OVERALL PATIENTS ARE UNINSURED OR UNDER-INSURED, AND 100% OF PATIENTS WITH DIABETES ARE UNINSURED OR UNDER-INSURED.COMMUNITY HEALTH NEED: BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE:COMPLEX COMMUNITY CARE COORDINATION (CCCC) PROGRAM: PROVIDE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES FOR INDIVIDUALS WHO FREQUENT THE EMERGENCY DEPARTMENT, HAVE EXCESSIVE HOSPITALIZATION AND MEET CRITERIA RELATED TO SOCIAL DETERMINATIN OF HEALTH. OUTCOMES FOR 2020 INCLUDES: - IN 2020, THERE WERE A TOTAL OF 1,608 EMERGENCY ROOM VISITS BY HOMELESS OR UNSHELTERED INDIVIDUALS, AND 158 PARTICIPATED IN THE CCCC PROGRAM. TOTAL COUNT IN CONCORD: 1147 TOTAL COUNT IN WALNUT CREEK: 461 - 100% OF PATIENTS ARE REFERRED TO ENROLL IN MEDI-CAL, MEDICARE, BASIC ADULT CARE OR ARE COVERED BY ANOTHER INSURANCE PLAN, IF THEY QUALIFY. - PROVIDED INTERVENTIONS RELATED TO BENEFITS, APPOINTMENT, CARE PLAN, CASE MANAGEMENT, COMMUNICATIONS, HOUSING, MENTAL HEALTH, SITE VISIT, TRANSPORTATION OR OTHER. FRED FINCH YOUTH AND FAMILY SERVICES: PROVIDE LINGUISTICALLY APPROPRIATE DIRECT MENTAL AND BEHAVIORAL HEALTH SERVICES AT NO COST TO LOW-INCOME AND UNINSURED INDIVIDUALS TO INCLUDE MOBILE HEALTH CLINIC SATURDAY CLINIC IN BRENTWOOD, ANTIOCH HIGH SCHOOL, DEER VALLEY HIGH SCHOOL, AND BEYOND VIOLENCE PARTNER ORGANIZATIONS, CENTER FOR HUMAN DEVELOPMENT AND ONE DAY AT A TME. OUTCOMES FOR 2020 INCLUDES: - A TOTAL OF 87 INDIVIDUALS WERE PROVIDED MENTAL HEALTH COUNSELING SERVICES FOR A TOTAL OF 1,385 SESSIONS. - THE DISTRIBUTION OF SERVICES PROVIDED WERE AS FOLLOWS: MOBILE HEALTH CLINIC, 6%; ANTIOCH HIGH SCHOOL, 50%, DEER VALLEY HIGH SCHOOL, 4%; BEYOND VIOLENCE ONE DAY AT A TIME, 25%; BEYOND VIOLENCE CENTER FOR HUMAN DEVELOPMENT, 15% - IN TOTAL, APPROXIMATELY ONE-THIRD (25.6%) OF SERVICES WERE PROVIDED IN SPANISH BY BILINGUAL THERAPISTS. - 51% OF CLIENTS WERE UNDER THE AGE OF 18 (44 TOTAL CHILDREN). 71% IDENTIFY AS FEMALE. ETHNICITY - 53% IDENTIFY AS HISPANIC/LATINO; RACE - WHITE, 27%; BLACK/AFRICAN AMERICAN, 12%; AMERICAN INDIAN/ALASKAN NATIVE, 6%; ANOTHER RACE, 53%; MORE THAN ONE RACE, 2% - THE TYPE OF SERVICES PROVIDED WERE AS FOLLOWS (TOP 5): - 48% INDIVIDUAL THERAPY - 15% ASSESSMENT - 13% PLAN DEVELOPMENT - 7% OUTREACH AND ENGAGEMENT - 4% COLLATERAL CONTACTMENTES POSITIVAS EN ACCION (POSITIVE MINDS IN ACTION) PROMOTORES PROGRAM: SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VLNERABLE COMMUNITIES THROUGH THE POSITIVE MINDS IN ACTION PROMOTORES PROGRAM OFFERED BY MONUMENT IMPACT. OUTCOMES FOR 2020 INCLUDES:- IN 2020, THERE WERE 14 TRAINED PROMOTORES FOR THE MENTES POSITIVAS EN ACCION PROMOTORES VIRTUAL PROGRAM (MPA-V).
CONTINUED.... THE 6 WEEK TRAINING IS CONDUCTED BY ROSA MARIA STERNBERG PHD, RN TO HELP WITH THE TRANSITION TO THE VIRTUAL PLATFORM. - A 25-QUESTION TEST WAS ADMINISTERED TO TEST PROMOTORES' KNOWLEDGE OF STRESS AND DEPRESSION MANAGEMENT AND COGNITIVE BEHAVIORAL CONCEPTS. - DUE TO COVID-19, THE TRAINING SHIFTED TO THE MPA-V PROGRAM. - 102 PARTICIPANTS ENROLLED AND BEGAN THE MPA-V PROGRAM AND 85 GRADUATED (COMPLETED AT LEAST 5 CLASSES). - DUE TO COVID-19, NO ADDITIONAL SITES WERE ADDED. HOWEVER, THE ADDITION OF A VIRTUAL PROGRAM (MPA-V) HAS ALLOWED FOR EXPANDED GEOGRAPHICAL ACCESS. PUTNAM CLUBHOUSE: SUPPORT AND/OR PROVIDE BEHAVIORAL HEALTH INTERVENTION SERVICES TO VULNERABLE ADULTS WITH SEVERE MENTSL HEALTH ILLNESS THROUGH EDUCATION AND VOCATIONAL REHABILITATION SUPPORT SERVICES. OUTCOMES FOR 2020 INCLUDES: - IN 2020, THERE WAS AN AVERAGE DAILY ATTENDANCE OF 48 MEMBERS AND A MONTHLY ATTENDANCE OF 190 MEMBERS REPRESENTING A TOTAL OF 507 MEMBERS WHO PARTICIPATED IN PROGRAM ACTIVITIES, WHERE THEY SPENT A TOTAL OF 57,344 HOURS PARTICIPATING IN CLUBHOUSE ACTIVITIES. - 47 NEW MEMBERS OVERALL JOINED THE CLUBHOUSE IN 2020, AMONG THEM 6 NEW MEMBERS UNDER THE AGE OF 30 JOINED. - 100% OF MEMBERS WHO INDICATED EDUCATION IN THEIR CAREER PLAN WERE REFERRED TO APPROPRIATE EDUCATION RESOURCES AND 80 MEMBERS ATTENDED SCHOOL AND AMONG THEM 13 RETURNED TO SCHOOL. - 100% OF MEMBERS WHO INDICATED EMPLOYMENT IN THEIR CAREER PLAN WERE REFERRED TO EMPLOYMENT RESOURCES AND 61 MEMBERS WERE EMPLOYED AND AMONG THEM 28 WERE PLACED IN EMPLOYMENT EARNING $14.98/HOUR ON AVERAGE. - 42% OF MEMBERS PARTICIPATED IN HEALTH WATCH (214 MEMBERS). - 70% OF MEMBERS WHO RESPONDED TO THE SURVEY REPORTED AN INCREASE IN THEIR INDEPENDENCE. - 81% OF MEMBERS WHO RESPONDED TO THE SURVEY REPORTED AN IMPROVEMENT IN THEIR EMOTIONAL WELLBEING AND 81% REPORTED AN IMPROVEMENT IN THEIR MENTAL WELLBEING. - 100% OF MEMBERS WHO COMPLETED THE ANNUAL HOSPITALIZATION SURVEY SHOWED DECREASED HOSPITALIZATIONS AND OUT-OF-HOME PLACEMENTS (P<.05). - JOHN MUIR HEALTH PROVIDED HEALTH EDUCATION MATERIALS AROUND THE FOLLOWING TOPICS: MEDICATION SIDE EFFECTS, HEALTHY FRIENDSHIPS, FLU/COLD PREVENTION, AGING, STRESS AND HEALTH. THESE RESOURCES WERE EACH DISTRIBUTED TO 220 INDIVIDUALS. - DUE TO COVID-19, THERE WERE NOT ANY ON-SITE MEMBER PRESENTATIONS OR WORKSHOPS.WOMEN'S CANCER RESOURCE CENTER (WCRC): FREE THERAPY PROGRAM FOR LOW-INCOME EAST BAY WOMEN WITH CANCER. OUTCOMES FOR 2020 INCLUDES: - 51 CLIENTS RECEIVED FREE THERAPY FROM VOLUNTEER THERAPISTS, A WCRC STAFF MEMBER AND THERAPISTS AFFILIATED WITH THE WOMEN'S THERAPY CENTER (WTC) - ACROSS 9 SUPPORT GROUPS, THERE WAS AN AVERAGE OF 77 PARTICIPANTS EACH QUARTER THROUGHOUT 2020 - TWO PSYCHO-ONCOLOGY TRAININGS WERE OFFERED. - IN 2020, THERE WERE TWO EDUCATIONAL WORKSHOPS FOR THERAPISTS, FOR A TOTAL PARTICIPATION OF 50 THERAPISTS. - SUCCESSFULLY RECRUITED SIX VOLUNTEER THERAPISTS OF COLOR FROM THE LOCAL THERAPIST COMMUNITY. FIVE OF THESE THERAPISTS SPEAK LANGUAGES OTHER THAN ENGLISH (TWO SPEAK MANDARIN, TWO SPEAK SPANISH, AND ONE SPEAKS TAGALOG). - 85 PERCENT OF SURVEY RESPONDENTS INDICATED THAT THERAPY HELPED THEM COPE WITH THE STRESS AND CHALLENGES OF DEALING WITH CANCER. - 85 PERCENT RESPONDED THAT THERAPY HELPED THEM ENJOY A BETTER QUALITY OF LIFE.COMMUNITY HEALTH NEEDS: ECONOMIC SECURITY, TO INCLUDE HOUSING, FOOD, COMMUNITY AND FAMILY SAFETYJUNIOR ACHIEVEMENT OF NORTHERN CALIFORNIA: PARTNER WITH JUNIOR ACHIEVEMENT TO LEAD YOUNG HEALERS, A HIGH SCHOOL INTERNSHIP PROGRAM FOR STUDENTS INTERESTED IN PURSUING HEALTH CAREERS, WITH A FOCUS ON UNDERREPRESENTED YOUTH. OUTCOMES FOR 2020 INCLUDES: - NUMBER OF STUDENTS: 36 - NUMBER OF HOURS PARTICIPATING IN PROGRAM: 60 HOURS PER STUDENT - NUMBER OF JMH MENTORS/VOLUNTEERS: 13 - NUMBER OF HOURS JMH MENTORS/VOLUNTEERS PARTICIPATED IN THE PROGRAM (TRAINING/PREPARATION/DELIVER): 48 HOURS - LENGTH OF PROGRAM (WEEKS): 2 WEEKS - NUMBER OF STUDENTS REGISTERED: 168 - NUMBER OF HOURS PARTICIPATING IN PROGRAM: 1 HOUR PER SESSION - NUMBER OF JMH MENTORS/VOLUNTEERS: 3 - NUMBER OF HOURS JMH MENTORS PARTICIPATED IN THE PROGRAM (TRAINING/PREPARATION/DELIVERY): 9 HOURS - LENGTH OF PROGRAM (WEEKS) MONTHLY SPEAKER'S SERIES (OCTOBER/NOVEMBER/DECEMBER 2020): 1 PER MONTH FOR 3 MONTHS.RESPITE CARE CENTER: CONNECT HOMELESS PATIENTS DISCHARGED FROM HOSPITAL TO RESPITE CARE CENTER TO PROVIDE RECUPERATIVE CARE AND ON-SITE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES TO MEDICALLY FRAGILE HOMELESS ADULTS. OUTCOMES FOR 2020 INCLUDES: - IN 2020, 37 PATIENTS WERE REFERRED TO THE RESPITE CENTER. - 19 PATIENTS (51%) WERE APPROVED FOR RESPITE, AND AMONG THEM, 9 PATIENTS WERE PLACED IN RESPITE AND 11 WERE PLACED IN A COUNTY SHELTER. - ON AVERAGE, THE MEAN LENGTH OF STAY WAS 41.17 DAYS AND THE MEDIAN WAS 27.5 DAYS. - ON AVERAGE, ADMITTED PATIENTS WERE PROVIDED WITH 5.58 MEDICAL LINKAGES, WITH AN AVERAGE OF 3.17 MEDICAL CONDITIONS. - FOR PATIENTS WITH A MENTAL HEALTH HISTORY, THEY HAD AN AVERAGE OF 1.3 CONDITIONS (DEPRESSION AS MOST COMMON). FOR PATIENTS WITH A SUBSTANCE ABUSE HISTORY, THEY WERE USING ON AVERAGE 1.67 SUBSTANCES (NICOTINE AND METHAMPHETAMINE AS MOST COMMON). - PATIENTS WHO WERE ADMITTED TO RESPITE FROM JOHN MUIR HEALTH SAVED 36 HOSPITAL DAYS.SUPPORT4RECOVERY: PROVIDE HOUSING GRANTS TO SUPPORT PEOPLE LEAVING TREATMENT PROGRAMS WITH SOBER LIVING ENVIRONMENT, PREVENTING MANY FROM LIVING ON THE STREETS AND BECOMING UNSHELTERED. OUTCOMES FOR 2020 INCLUDES: - 34 GRANTS OF 30 DAYS EACH WERE PROVIDED. - 34 PEOPLE PLACED IN SLE'S. 100% GOAL OF 30 DAYS SAFE AND AFFORDABLE PLACEMENT ACHIEVED. - A TOTAL OF 18 INDIVIDUALS WERE PLACED AT CONTRA COSTA COUNTY SOBER LIVING RESIDENCIES. - AVERAGE LOS: 38 DAYS - 74% SUCCESSFULLY DISCHARGED FROM THE S4H PROGRAM. - 7 PARTICIPANTS RELAPSED AND WERE REFERRED BACK TO TREATMENT BUT IT IS UNKNOWN IF THEY WENT. - 94% OF PARTICIPANTS ARRIVED IN NEED OF EMPLOYMENT. 94% ACTIVELY SOUGHT EMPLOYMENT AND OF THE 94%, 73% HAVE FOUND EMPLOYMENT.18 REASONS: SUPPORT COOKING MATTERS PROGRAM, WHICH PROVIDES PARENTS WITH SPANISH INSTRUCTION ON HEALTHY COOKING AND NUTRITION. OUTCOMES FOR 2020 INCLUDES: - COOKING MATTERS FOR PARENTS WAS PROVIDED AT STONEMAN ELEMENTARY SCHOOL AND WILLOW COVE ELEMENTARY SCHOOL; HOWEVER, WAS CANCELLED MIDWAY DUE TO COVID-19. IN TOTAL, 32 PARENTS PARTICIPATED. - ONE YOUTUBE LIVE 6-WEEK SERIES WAS PROVIDED AND PROMOTED TO PITTSBURG UNIFIED SCHOOL DISTRICT PARENTS. 28 PARENTS ATTENDED. - TWO 3-WEEK COOKING MATTERS AT HOME OR COOKING MATTERS EN CASA SERIES WERE PROVIDED TO A TOTAL OF 30 FAMILIES. ALL FAMILIES WERE PROVIDED WITH GROCERIES TO PARTICIPATE IN FOOD DEMONSTRATIONS.ALAMEDA COUNTY COMMUNITY FOOD BANK: SUPPORT THE FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW INCOME. OUTCOMES FOR 2020 INCLUDES: - PROVIDED DRIVE THRU FOOD DISTRIBUTIONS AT FOUR SITES: OAKLAND, HAYWARD, PLEASANTON AND FREMONT. COMBINED, THESE DRIVE-THROUGH DISTRIBUTIONS ARE SERVING ALMOST 20,000 INDIVIDUALS WEEKLY. OUR OAKLAND-BASED DRIVE-THROUGH DISTRIBUTION SERVED 250,000 INDIVIDUALS IN ITS FIRST FIVE MONTHS AND HAS PROVIDED 2 MILLION MEALS SINCE MARCH 30. - MET THE INCREASED COMMUNITY NEED AND GREW OUR FOOD DISTRIBUTION FROM 600,000 POUNDS PER WEEK TO MORE THAN 1 MILLION POUNDS OF FOOD WEEKLY.FOOD BANK OF CONTRA COSTA AND SOLANO COUNTY'S COMMUNITY PRODUCE PROGRAM: SUPPORT THE FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW-INCOME FAMILIES IN CONTRA COSTA COUNTY. OUTCOMES FOR 2020 INCLUDES: - THE COMMUNITY PRODUCE PROGRAM DISTRIBUTED 6,232,774 POUNDS OF FOOD, 2,458,258 POUNDS OF WHICH WAS FRESH PRODUCE AND 3,774,516 POUNDS WERE FROM SUPPLEMENTAL EMERGENCY BOXES. - THE COMMUNITY PRODUCE PROGRAM PROVIDED FRESH FRUITS AND VEGETABLES TO OVER 28,814 PEOPLE. - CLIENTS OVERALL REPORTED INCREASED CONSUMPTION OF FRESH FRUITS AND VEGETABLES AND HAVING MORE BALANCED DIETS SINCE RECEIVING FOOD FROM THE PROGRAM. - COVID-19 PANDEMIC INCREASED THE NEED AND REACH OF THE FOOD BANK.FRESH APPROACH: SUPPORT THE MOBILE FARMER'S MARKET TO PROVIDE EASY ACCESS TO HEALTHY, AFFORDABLE PRODUCE, NUTRITION EDUCATION AND RESOURCES, AS WELL AS ADDRESS BARRIERS TO PARTICIPATION IN FOOD BENEFITS IN EAST CONTRA COSTA COUNTY. OUTCOMES FOR 2020 INCLUDES: - PROVIDED 73,644 POUNDS OF FRESH PRODUCE THROUGH BOXES DELIVERED TO ANTIOCH UNIFIED SCHOOL DISTRICT, BELLA MONTE APARTMENTS, COLUMBIA PARK MANOR, AND VILLAGE COMMUNITY RESOURCE CENTER TO REACH A TOTAL OF 7,515 HOUSEHOLDS. - PROVIDED 8,400 POUNDS OF FRESH PRODUCE IN BULK TO MONUMENT CRISIS CENTER TO REACH A TOTAL OF 1,800 HOUSEHOLDS. - DUE TO THE COVID-19 PANDEMIC, FUNDS WERE REALLOCATED TOWARDS THE ABOVE EFFORTS, NOT A NUTRITION-BASED TRAIN THE TRAINER HIGH SCHOOL PROGRAM, AS ORIGINALLY INTENDED.
CONTINUED.... BIKE EAST BAY: BUILD COMMUNITY AROUND SAFE BICYCLING, BICYCLING CAPACITY AND ADVOCACY AROUND CONCORD BY GROWING BIKE CONCORD'S BIKE KITCHEN AND BIKE TENT PROGRAMS IN PARTNERSHIP WITH OLYMPIC CONTINUATION HIGH SCHOOL (CONCORD BIKE KITCHEN FELLOWSHIP PROGRAM) AND SUPPORTING BIKE TO WORK DAY IN CONCORD. OUTCOMES FOR 2020 INCLUDES:FIVE STUDENTS WERE TRAINED AT A REDUCED SCHEDULE WITH THE TENTATIVE PLAN TO BEGIN INTERNING WITH THE BIKE TENT IN THE SPRING.TRAINEES HAVE SPENT TWO HOURS ONCE A WEEK OUTDOORS AT THE BIKE KITCHEN SINCE SEPTEMBER 1ST FOR A TOTAL OF 170 TRAINING HOURS. THE CONCORD BIKE TENT HAS BEEN TEMPORARILY CLOSED DUE TO COVID-19. THOUGH THE BIKE TENT WAS NOT OPERATIONAL, VOLUNTEERS AND OLYMPIC HIGH STUDENTS SERVICED OR REFURBISHED AND DONATED APPROXIMATELY 45 BICYCLES IN 2020 FOR COMMUNITY MEMBERS IN NEED.BECAUSE THE PROGRAM WAS ON HOLD UNTIL SEPTEMBER, A POST-PROGRAM SURVEY HAS NOT YET BEEN ADMINISTERED. ALL STUDENTS HAVE TAKEN A PRE-PROGRAM SURVEY TO MEASURE THEIR BASELINE KNOWLEDGE OF BICYCLING SAFETY AND MECHANICS.DUE TO COVID-19, BIKE TO WORK DAY WAS CANCELLED IN 2020.BEYOND VIOLENCE PROGRAM: PROVIDE INTERVENTION AND REFERRALS TO VIOLENCE-RELATED TRAUMA VICTIMS IN ORDER TO PREVENT RACIDIVISM AND PROVIDE SUPPORT SERVICES FOR FULL RECOVERY. PARTNER ORGANIZATION INCLUDES: CENTER FOR HUMAN DEVELOPMENT, ONE DAY AT A TIME AND RYSE CENTER. OUTCOMES FOR 2020 INCLUDES: - IN 2020, THERE WAS A TOTAL CLIENT LOAD OF 42 INDIVIDUALS WHO CONSENTED TO RECEIVE BEYOND VIOLENCE SERVICES AT THE FOLLOWING PARTNER NONPROFIT ORGANIZATIONS: RYSE CENTER IN RICHMOND, ONE DAY AT A TIME IN BRENTWOOD, AND CENTER FOR HUMAN DEVELOPMENT IN CONCORD. ADDITIONALLY, 3 CLIENTS CARRIED OVER FROM THE PREVIOUS YEAR. - 100% OF CLIENTS CONSENTED TO SERVICES. - MECHANISM OF INJURY GUN SHOT WOUND: 28 STAB WOUND: 8 ASSAULT: 5 OTHER INJURY: 1 - AMONG THE CLIENTS FOR THE YEAR AND DURING THEIR PARTICIPATION IN THE PROGRAM: 98% AVOIDED RE-INJURY 98% AVOIDED ARREST 95% REMAINED ALIVE - INTERVENTION SPECIALISTS PURSUED A TOTAL OF 315 SUPPORT SERVICE INTERVENTIONS FOR AN AVERAGE OF 7 INTERVENTIONS PER CLIENT. NEEDS IDENTIFIED (TOTAL 135): LEGAL NEEDS: 35 MENTAL HEALTH: 18 FOOD SUPPORT:12 EMERGENCY SUPPORT: 14 EDUCATION: 10 HEALTH: 37 EMPLOYMENT: 9HEALTHY AND ACTIVE BEFORE 5 (HAB45): SUPPORT HAB45 TO PREVENT OBESITY IN CHILDREN AGE 0 TO 5 BY ADDRESSING BARRIERS TO HEALTHY EATING AND ACTIVE PLAY. OUTCOMES FOR 2020 INCLUDES: - HAB45 CONVENED ONE LEADERSHIP COUNCIL MEETINGS IN FALL 2020. 40 LEADERSHIP COUNCIL MEMBERS FROM CONTRA COSTA AGENCIES ATTENDED THE LEADERSHIP COUNCIL MEETINGS. THE SPRING LEADERSHIP COUNCIL MEETING WAS CANCELED DUE TO COVID-19; HOWEVER, 200 PARTNERS WERE SENT TIMELY UPDATES, INFORMATION AND RESOURCES ON HOW TO BEST SUPPORT THE COMMUNITY DURING THE PANDEMIC. - HAB45 AND ITS PARTNERS IN THE 0-5 CENSUS WORKING GROUP LED THE CHARGE TO MAKE SURE THAT ALL YOUNG CHILDREN IN CONTRA COSTA WERE COUNTED IN THE 2020 CENSUS. DESPITE SHIFTING OUTREACH STRATEGIES AND DEADLINES, TOGETHER WE: TRAINED OVER 200 STAFF AND COMMUNITY LEADERS FROM OVER TWO DOZEN ORGANIZATIONS. DISTRIBUTED OUTREACH MATERIALS TO FAMILIES WITH YOUNG CHILDREN IN HISTORICALLY UNDERCOUNTED COMMUNITIES THROUGH CLINICS, FAMILY CHILD CARE HOMES, PRESCHOOLS, AND OTHER SETTINGS. SECURED AN OVERALL SELF-RESPONSE RATE OF 77%, EXCEEDING THE COUNTY'S 2010 RATE. - IN 2020, 4 NEW POLICIES WITH MINI-GRANT FUNDS WILL BENEFIT AN ADDITIONAL 201 CHILDREN AND 364 ADULTS AT THE YMCA OF THE EAST BAY CHILD DEVELOPMENT CENTERS IN WEST CONTRA COSTA. - HAB45 SUPPORTED COMMUNITY PARTNERS WITH RESEARCH, DATA ANALYSIS, AND TECHNICAL ASSISTANCE. - HAB45 AND COCO KIDS WORKED TOGETHER TO DELIVER NUTRITION AND PHYSICAL ACTIVITY TRAININGS FOR EARLY CHILDHOOD ENVIRONMENTS. TOGETHER, THESE EFFORTS WILL BENEFIT HUNDREDS OF CHILDREN COUNTYWIDE. - HAB45 MANAGED AND ANALYZED SURVEY DATA FOR EXTENSIVE PEER-TO-PEER OUTREACH CONDUCTED BY THE EAST, WEST, AND CENTRAL COUNTY REGIONAL GROUPS FOR THE 2020 CENSUS AND ELECTION.KIDPOWER: PROVIDE EMPOWERMENT TRAININGS FOR TRANSGENDER/GENDER DIVERSE OUTH, FAMILIES AND ADVOCATES WITH A GOAL OF PROVIDING SKILLS AND STRATEGIES TO PREVENT PERSONAL HARM, TO PROTECT PHYSICAL AND EMOTIONAL SAFETY, AND TO REDUCE RISKS OF VICTIMIZATION. OUTCOMES FOR 2020 INCLUDES: - DUE TO COVID-19, PROVIDED 3 IN-PERSON WORKSHOPS WITH STAND WITH TRANS BAY AREA. TRAININGS REACHED 30 PEOPLE (16 YOUTH AND 14 PARENTS) - PROVIDED 3 ONLINE WORKSHOPS IN OCTOBER, REACHING 23 PARENTS AND 37 GENDER DIVERSE YOUTH.
CONTINUED.... - PROVIDED SAFETY SKILLS SERVICES TO 174 PEOPLE. TRAININGS CONDUCTED FOR RICHMOND TECHNOLOGY ACADEMY, SHEPHERD'S GATE AND CONGRESO FAMILIAR.JOHN MUIR HEALTH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS:1. EDUCATION AND LITERACY2. HEALTHY EATING/ACTIVE LIVING3. TRANSPORTATION AND TRAFFIC4. CLIMATE/NATURAL ENVIRONMENTJMH RECOGNIZES THE IMPORTANCE OF EACH OF THE PRIORITIZED COMMUNITY HEALTH NEEDS. HOWEVER, JMH'S EXPERIENCE IS THAT OUR INVESTMENTS COULD HAVE THE MOST IMPACT ON COMMUNITY HEALTH BY FOCUSING RESOURCES ON THE SELECTED COMMUNITY HEALTH NEEDS. THEREFORE, THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE DECIDED TO ADDRESS THE COMMUNITY HEALTH NEEDS THAT ARE ALIGNED WITH OUR MISSION, LEVERAGE JMH'S EXPERTISE, AND HAVE FEASIBLE INTERVENTIONS AND PARTNERS FOR SCALABLE IMPACT.THE SELECTED HEALTH NEEDS DO NOT REPRESENT EVERYTHING JOHN MUIR HEALTH DOES TO IMPROVE COMMUNITY HEALTH. FOR THOSE NEEDS NOT SELECTED, GENERALLY JOHN MUIR DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THE NEED; HOWEVER, THERE ARE AREAS OF OVERLAP WITH CURRENT COMMUNITY BENEFIT STRATEGIES. FOR EXAMPLE, WHILE HEALTHY EATING AND ACTIVE LIVING WAS NOT EXPLICITLY SELECTED AS A PRIORITIZED NEED, JOHN MUIR HEALTH WILL SUPPORT EFFORTS TO PROMOTE HEALTHY EATING AND ACTIVE LIVING BY FOCUSING ON ECONOMIC SECURITY, WHICH INCLUDES REDUCING FOOD INSECURITY. IN ADDITION, WHILE TRANSPORTATION WAS NOT CHOSEN, JOHN MUIR HEALTH WILL SUPPORT TRANSPORTATION INITIATIVES THAT DECREASE ISOLATION AMONG VULNERABLE SENIORS AND INCREASE ACCESS TO HEALTH AND SUPPORT SERVICES AMONG VULNERABLE INDIVIDUALS.AS DEMONSTRATED, JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE AND WILL LOOK FOR COLLABORATION OPPORTUNITIES RELATED TO THE HEALTH NEEDS THAT JMH DOES NOT INTEND TO DIRECTLY ADDRESS WITH THE MAJORITY OF OUR COMMUNITY BENEFIT RESOURCES.
PART V, SECTION B, LINE 13B INCOME LEVEL OTHER THAN FPGOTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTRY'S MEDICALLY INDIGENT PROGRAM. ADDITIONALLY, THE ORGANIZATION USES ESTIMATED FEDERAL POVERTY GUIDELINES DEVELOPED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD.
PART V, SECTION B, LINE 16A THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML
PART V, SECTION B, LINE 16B THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML
PART V, SECTION B, LINE 16C A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: ELIGIBILITY CRITERIA USED FOR DETERMINING FREE OR DISCOUNTED CARETHE MAJORITY OF CHARITY CARE IS GIVEN BASED EITHER IN THE FEDERAL POVERTY GUIDELINES ("FPG") AS CALCULATED FROM DOCUMENTATION AND STATEMENTS MADE ON THE INTERNAL JOHN MUIR HEALTH CHARITY CARE APPLICATION, OR ON THE FPG AS ESTIMATED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY HAD DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. JOHN MUIR HEALTH HAS NO INPUT INTO THE CRITERIA USED FOR THE ALGORITHM, WHICH IS THE SAME CALCULATION USED BY THE CONTRACTED THIRD PARTY FOR ALL OF THEIR CLIENTS NATIONWIDE.OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIAMEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTY'S MEDICALLY INDIGENT PROGRAM.IN ADDITION TO FORMAL QUALIFICATION IN A RECOGNIZED PROGRAM SERVING THE LOW-INCOME AND INDIGENT POPULATION, CHARITY CARE IS ALSO EXTENDED TO PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS AND WHO HAVE BEEN DOCUMENTED IN THE MEDICAL RECORDS AS BEING HOMELESS, OR HAVE A LACK OF HOUSING. CHARITY CARE IS ALSO APPLIED TO OUTSTANDING BALANCE FOR EMERGENCY SERVICES RENDERED TO DOCUMENTED MINOR AND ELDERLY VICTIMS OF ABUSE, BASED ON COMPASSION AS JOHN MUIR HEALTH HAS NO KNOWLEDGE OF THE CURRENT HOME ENVIRONMENT OF THESE PATIENTS. WE ALSO HAVE A PARTNERSHIP WITH A COMMUNITY PROGRAM, OPERATION ACCESS, WHICH SERVES THE LOW-INCOME INDIVIDUALS IN OUR COUNTY, TO PROVIDE FREE CARE ON A REFERRED, CASE-BY-CASE BASIS. OPERATION ACCESS HAS ALREADY PERFORMED THE SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.JMH CONTINUED A PARTNERSHIP WITH LA CLINICA DE LA RAZA TO PROVIDE SPECIALTY CARE FOR UNINSURED AND LOW INCOME PATIENTS. LA CLINICA DE LA RAZA HAS ALREADY PERFORMED SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.PART 1, LINE 4MEDICALLY INDIGENT CAREWE PROVIDE HEALTH CARE TO THE MOST VULNERABLE INDIVIDUALS OF OURCOMMUNITY REGARDLESS OF THEIR ABILITY TO PAY THROUGH OUR MEDICAL CENTERSIN WALNUT CREEK AND CONCORD. THIS INCLUDES THE CRITICAL EMERGENCY ANDTRAUMA SERVICES AT OUR MEDICAL CAMPUSES.JOHN MUIR HEALTH HAS A NUMBER OF PROGRAMS TO HELP OUR PATIENTS WITH THEIR MEDICAL BILLS FOR SERVICES THEY RECEIVE AT ONE OF OUR MEDICAL CENTERS. THESE PROGRAMS INCLUDE A PATIENT ASSISTANCE PROGRAM TO ABSORB PART, OR ALL, OF THE BILL BASED ON INCOME AND OTHER PROGRAM GUIDELINES, ASSISTANCE ENROLLING IN A NUMBER OF INSURANCE PROGRAMS, AND EXTENDED PAYMENT PLANS. JOHN MUIR HEALTH MAY ALSO ASSIGN ACCOUNTS TO PRESUMPTIVE CHARITY, WITHOUT A PATIENT ASSISTANCE APPLICATION SUBMITTED BY THE PATIENT, BASED ON PREDETERMINED CRITERIA COLLECTED FROM APPROVED SOURCES. THIS CRITERIA INCLUDES:THE PATIENT HAVING DOCUMENTED IN HIS/HER MEDICAL RECORD AS BEING HOMELESS OR VERIFICATION RECEIVED THROUGH THE MEDICAL CENTER OR A FAMILY MEMBER THAT THE PATIENT IS CURRENTLY INCARCERATEDORTHE PATIENT QUALIFIES FOR A GOVERNMENT PROGRAM WITH ELIGIBILITYREQUIREMENTS THAT REASONABLY MEET THE QUALIFICATIONS FOR THE JOHN MUIRHEALTH CHARITY CARE PROGRAM WITHIN SIX (6) MONTHS OF THE DATE THE PATIENT RECEIVED SERVICES AT THE MEDICAL CENTER.ORAFTER NORMAL COLLECTION EFFORTS HAVE NOT PRODUCED ANY PAYMENT, AND JOHNMUIR HEALTH HAS IDENTIFIED WITH REASONABLE EFFORT AND ASSURANCE THAT THEPATIENT'S ESTIMATED INCOME IS AT 250 PERCENT OR LESS OF THE FPL (FEDERALPOVERTY LEVEL).
PART I, LINE 6A: COMMUNITY BENEFIT REPORTALL JOHN MUIR HEALTH ENTITIES (WALNUT CREEK CAMPUS, CONCORD CAMPUS ANDBEHAVIORAL HEALTH) REPORT COMMUNITY BENEFIT INFORMATION AS PART OF THEJOHN MUIR HEALTH ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7: FINANCIAL ASSISTANCE POLICYJOHN MUIR HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLICHEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OFITS COMMUNITY BENEFITS CONTRIBUTIONS.PART I, LINE 7, COLUMN (F)FINANCIAL ASSISTANCE PERCENT OF TOTAL EXPENSETHE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A),BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE INTHIS COLUMN IS $ 74,419,972
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESJOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESSSOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH ASJOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY,TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEETTHE DEFINITION OF COMMUNITY BENEFIT. IN 2020, WE PROVIDED SUPPORT TOORGANIZATIONS WHOSE MISSION IS TO ADDRESS UNDERLYING CAUSES OF HEALTHPROBLEMS THROUGH EVENT SPONSORSHIP. LASTLY, JOHN MUIR HEALTH WORKS WITH AWIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TOHEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS,WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THEFOLLOWING AREAS:1. REGISTERED NURSING2. MEDICAL ASSISTANTS3. MEDICAL IMAGING TECHNOLOGY4. SONOGRAPHERS5. CLINICAL LAB SCIENTIST6. PHARMACIST AND PHARMACY TECHS7. THERAPIST/PHYSICAL, OCCUPATIONAL AND SPEECH8. ENGINEERING AND BIO ENGINEERING9. NUTRITION SERVICES/DIETITIANS AND CHEFS10. INFORMATION TECHNOLOGY11. HEALTHCARE ADMINISTRATION12. FAMILY MEDICINE PHYSICIANS13. EMERGENCY SERVICES/ER TECHS, PHYSICIANS AND NURSINGSPARTNERS:1. EAST COUNTY BUSINESS EDUCATION ALLIANCE2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH UNDERSERVEDPOPULATION.3. JEWISH VOCATION SERVICES (JVS) - DISPLACED WORKER TRAINING TO GETBACK IN THE WORKFORCE4. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE5. BAY AREA COUNCIL6. EAST BAY HEALTH WORKFORCE PARTNERSHIPSTUDENTS:1. 17 HIGH SCHOOLS AND HEALTH ACADEMIES2. 14 UNIVERSITIES3. 9 STATE COLLEGES4. 8 JUNIOR COLLEGES5. 7 PRIVATE COLLEGES
PART III, LINE 2: BAD DEBT EXPENSEBAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THEORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT. BAD DEBT IS DISCUSSED ON PAGE 19 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTETHE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN THE JOHN MUIR HEALTH AND SUBSIDIARIES CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8: SHORTFALL TREATED AS COMMUNITY BENEFITTHE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2019 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).
PART III, LINE 9B: COLLECTION PRACTICESOTHER THAN SENDING STATEMENTS AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTION INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO AN OUTSIDE AGENCY. THE COLLECTION POLICY IS IN THE FORM OF, AND INCORPORATED INTO, THE CONTRACT AGREEMENT WITH THE OUTSIDE AGENCY AS A FULL ADDENDUM TO THE CONTRACT, WITH A SEPARATESIGNATURE LINE FOR JOHN MUIR HEALTH AND THE AGENCY AS PART OF THE ADDENDUM. IN ADDITION TO THE CUSTOMIZED JOHN MUIR HEALTH COLLECTION GUIDELINES, THE ADDENDUM ALSO CONTAINS THE COLLECTION CRITERIA AND REQUIREMENTS FOUND IN CALIFORNIA LAW UNDER ASSEMBLY BILL 774.
PART VI, LINE 2: NEEDS ASSESSMENTTHE 2019 HEALTH NEEDS ASSESSMENT INCLUDES A COMPREHENSIVE NEEDS ASSESSMENT OF THE COMMUNITY SERVED, WHICH HAS BEEN USED TO DEVELOP OUR ANNUAL AND TRIENNIAL COMMUNITY BENEFIT PLANS. FOR MORE INFORMATION, THE CHNA REPORT AND IMPLEMENTATION STRATEGY (A.K.A. COMMUNITY HEALTH IMPROVEMENT PLAN) CAN BE FOUND HERE:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENTIN ADDITION TO THE CHNA, JMH IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY IN A VARIETY OF WAYS. JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIPS WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS IN OUR COMMUNITY. JOHN MUIR HEALTH KEPT ABREAST OF CURRENT HEALTH ISSUES OF IMPORTANCE TO THE COMMUNITY BY ACTIVE PARTICIPATION AND COMMUNICATION WITH A VARIETY OF COMMUNITY GROUPS INCLUDING BUT NOT LIMITED TO DENTAL COLLABORATIVE OF CONTRA COSTA, ACCESS TO CARE STAKEHOLDERS, EAST COUNTY ACCESS ACTION TEAM, HEALTHY AND ACTIVE BEFORE FIVE, FAMILIES COALITION FOR ACTIVITY AND NUTRITION, MOBILE HEALTH CLINIC ASSOCIATION NORTHERN CALIFORNIA ROUNDTABLE, AND THE EAST COUNTY HEALTH AND WEALTH INITIATIVE. THESE SOURCES OF INFORMATION PROVIDE CURRENT INFORMATION REGARDING COMMUNITY HEALTH STATUS AND ALSO HELP IDENTIFY EMERGING NEEDS IN THE SERVICE AREA POPULATION.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEJOHN MUIR HEALTH HAS SIGNAGE POSTED IN PATIENT ACCESS AREA/LOBBIESINFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIRHEALTH CARE BILLS AND ELIGIBILITY. SERVICES TO AID THE PATIENT INQUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IS POSTED IN THE EMERGENCY DEPARTMENT.ALL PATIENTS RECEIVE A "PATIENT ASSISTANCE" BROCHURE, WHICH IDENTIFIESVARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENT, INCLUDING THE JOHN MUIR HEALTH CHARITY CARE PROGRAM AS WELL AS PROGRAMS THROUGH GOVERNMENT AGENCIES (STATE, COUNTY, ETC). THE BROCHURE ALSO LISTS CONTACT INFORMATION FOR THESE PROGRAMS. PATIENTS IN THE EMERGENCY DEPARTMENT TALK TO A TRAINED FINANCIAL COUNSELOR, AND IF APPROPRIATE, ARE ALSO ASKED TO SIGN A FORM ACKNOWLEDGING RECEIPT OF THE PATIENT ASSISTANCE MATERIALS OR DECLINING TO ACCEPT THE MATERIAL. TRAINED FINANCIAL COUNSELORS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE NOT PRESENT FOR SERVICES THROUGH THE EMERGENCY DEPARTMENT. THE APPLICATION FORM AND A COPY OF THE POLICY FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM IS ALSO AVAILABLE IN THE EMERGENCY DEPARTMENT AS WELL AS THE MAJOR PATIENT ACCESS AREAS AND THE BUSINESS OFFICE.NOTIFICATIONS THAT PROGRAMS, INCLUDING CHARITY CARE, ARE AVAILABLE ISALSO PRINTED ON PATIENT BILLING STATEMENTS, ACCOMPANIED BY THE ABILITY FOR A PATIENT TO REQUEST THE VARIOUS PROGRAM MATERIALS BE SENT TO HIS/HER HOME. CONTACT INFORMATION IS ALSO LISTED IN THE PATIENT STATEMENT. INFORMATION IN THE HEALTH SYSTEM'S CHARITY CARE PROGRAM IS POSTED ON THE JOHN MUIR HEALTH INTERNET WEBSITE AS WELL.PATIENTS ADMITTED TO THE HOSPITAL, AND WHO HAVE NO THIRD PARTY INSURANCELISTED ARE INTERVIEWED BY TRAINED FINANCIAL COUNSELORS DURING THEIRHOSPITAL STAY TO INFORM THEM OF THE VARIOUS PROGRAMS WHICH ARE AVAILABLE, AND DETERMINE IF THE PATIENT WOULD LIKE ASSISTANCE TO OBTAIN ELIGIBILITY FOR THE STATE MEDICAID (MEDI-CAL) PROGRAM, STATE DISABILITY, CHARITY CARE OR OTHER AVAILABLE PROGRAM IN THE COUNTY. THIS ELIGIBILITY ASSISTANCE, WHICH INCLUDES HELP IN FILLING OUT THE APPLICATION, GATHERING REQUIRED DOCUMENTS, AND TRANSPORTATION TO ELIGIBILITY APPOINTMENTS, IF NECESSARY, IS OFFERED AT NO CHARGE TO THE PATIENT. IN ADDITION, PATIENT ACCOUNTING REPRESENTATIVES MAY ALSO CONTACT PATIENTS AFTER DISCHARGE TO ASK ABOUT PAYMENT ARRANGEMENTS AND TO INFORM THEM OF THE CHARITY CARE PROGRAM IF THE PATIENT NEEDS ASSISTANCE IN PAYING FOR THEIR MEDICAL BILLS.
PART VI, LINE 4: COMMUNITY INFORMATIONJOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREAS EXTENDS FROMSOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SANRAMON IN SOUTHERN CONTRA COSTA COUNTY. JMH'S TRAUMA CENTER SERVES ALL OFCONTRA COSTA COUNTY, AS WELL AS SOUTHERN SOLANO COUNTY, AND IS A BACKUPTRAUMA CENTER FOR ALAMEDA COUNTY. JMH ALSO SERVES EASTERN ALAMEDA COUNTYIN JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER AND SERVES NORTHERN ALAMEDA COUNTY IN A JOINT VENTURE WITH UNIVERSITY OF CALIFORNIA, SAN FRANCISCO.OUR COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF THEVULNERABLE POPULATIONS IN CENTRAL AND EASTERN CONTRA COSTA COUNTY, OURPRIMARY AND SECONDARY SERVICE AREA. WE DEFINE VULNERABLE POPULATIONS ASTHOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANTBARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED. THESE CRITERIARESULTS IN A PRIMARY COMMUNITY BENEFIT SERVICE AREA THAT INCLUDES THECOMMUNITIES OF THE MONUMENT AREA IN CONCORD AND THE EASTERN CONTRA COSTACOUNTY CITIES OF BAY POINT, PITTSBURG, ANTIOCH, OAKLEY, AND BRENTWOOD,AND THE FAR EAST PART OF UNINCORPORATED CONTRA COSTA COUNTY.THE JOHN MUIR HEALTH SERVICE AREA HAS THE FOLLOWING DEMOGRAPHIC PROFILE:CENTRAL CONTRA COSTA COUNTYTOTAL POPULATION: 750,748WHITE: 59.8%AFRICAN AMERICAN: 2.4%ASIAN: 18.2%NATIVE AMERICAN/ALASKAN NATIVE: 0.2%PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.4%SOME OTHER RACE: 0.2%MULTIPLE RACES: 4.2%HISPANIC/LATINO: 14.5%LIVING AT/BELOW 100% FPL: 6.2%CHILDREN LIVING AT BELOW 100% FPL: 6.3%UNEMPLOYED: 3.0%UNINSURED: 5.5%NO HIGH SCHOOL DIPLOMA: 5.8%EASTERN CONTRA COSTA COUNTYTOTAL POPULATION: 318,900WHITE: 35.9%AFRICAN AMERICAN: 13.1%ASIAN: 10.2%NATIVE AMERICAN/ALASKAN NATIVE: 0.4%PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.7%SOME OTHER RACE: 0.2%MULTIPLE RACES: 5.0%HISPANIC/LATINO: 34.6%LIVING AT/BELOW 100% FPL: 12.7%CHILDREN LIVING AT BELOW 100% FPL: 18.0%UNEMPLOYED: 3.1%UNINSURED: 9.6%NO HIGH SCHOOL DIPLOMA: 15.0%WESTERN CONTRA COSTA COUNTYTOTAL POPULATION: 254,267WHITE: 23.4%AFRICAN AMERICAN: 15.5%ASIAN: 20.1%NATIVE AMERICAN/ALASKAN NATIVE: 0.3%PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.4%SOME OTHER RACE: 0.6%MULTIPLE RACES: 4.7%HISPANIC/LATINO: 5.2%LIVING AT/BELOW 100% FPL: 14.0%CHILDREN LIVING AT BELOW 100% FPL: 19.7%UNEMPLOYED: 3.1%UNINSURED: 12.9%NO HIGH SCHOOL DIPLOMA: 18.2%
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHJOHN MUIR HEALTH IS A NOT-FOR-PROFIT, COMMUNITY BASED ORGANIZATION THAT IS GOVERNED BY THOSE WHO LIVE IN THE COMMUNITY WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMUNITIES. THE BOARD OF JOHN MUIR HEALTH CONSISTS PRIMARILY OF MEMBERS OF THE COMMUNITY AND STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIED PRACTITIONERS. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES. AS A NOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROM OUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. JMH ALSO CONTRIBUTES SIGNIFICANTLY TO THE ECONOMIC VITALITY OF CONTRA COSTA COUNTY BY EMPLOYING OVER 6,000 IN 2020.JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTA COUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENTS AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR TWO HOSPITALS EMERGENCY DEPARTMENT SERVE ALL RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT, JMH HAS AN OBLIGATION TO MAKE A CHARITABLE CONTRIBUTION TO THE COMMUNITY, BUT OUR COMMITMENT TO KEEPING THE COMMUNITIES WE SERVE GOES FAR DEEPER THAN THAT. JMH'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION ACCURATELY REFLECTS OUR COMMUNITY HEALTH EFFORTS AS A CORPORATE LEADER AND COMMUNITY PARTNER. SOME OF THE PROGRAMS INCLUDE TREATING PATIENTS REFERRED BY LOCAL COMMUNITY CLINICS FOR SPECIALTY CARE SERVICES, PROVIDING MOBILE HEALTH CLINIC SERVICES IN UNDERSERVED COMMUNITIES, PROVIDING BREAST AND LUNG CANCER SCREENING FOR UNINSURED COMMUNITY MEMBERS AND SUPPORTING DEPRESSION PREVENTION ACTIVITIES FOR LOW-INCOME.JMH SERVED OVER 186,233 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN 2020.JMH'S COMMITMENT TO THE LOCAL COMMUNITY IS EXPRESSED IN THE MANY INITIATIVES WE DELIVER. JMH PROVIDES CHARITY CARE FOR MANY INDIVIDUALS AND FAMILIES WITH NO INSURANCE AND LIMITED MEANS. IN 2020, WE PROVIDED $5.8 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $90.7 MILLION, THE COST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE PAYMENT WERECEIVED FROM MEDI-CAL.JOHN MUIR HEALTH ALSO PROVIDES BROAD FINANCIAL AND TECHNICAL SUPPORT TO PROMOTE COMMUNITY WELLNESS. THE ORGANIZATION CONTRIBUTES $1 MILLION A YEAR TO THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND EACH YEAR, WHOSE GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITITES.LASTLY, JMH CONTRIBUTES TO THE COMMUNITY IN MANY NON-QUANTIFIABLE WAYS THAT IS NOT OUTLINED IN THE REPORT. THE HEALTH SYSTEM CONTINUALLY PROVIDES LEADERSHIP IN THE COMMUNITY, ASSISTS WITH LOCAL CAPACITY BUILDING AND PARTICIPATES IN COMMUNITY-WIDE HEALTH PLANNING. JOHN MUIR HEALTH STAFF ARE ACTIVELY INVOLVED IN COMMUNITY ORGANIZATIONS ASVOLUNTEERS. THEIR LEADERSHIP IN THE COMMUNITY HELPS TO DEVELOP PARTNERSHIPS TO ADDRESS THE NEEDS OF THE VULNERABLE AND UNDERSERVED. THE FOLLOWING ARE EXAMPLES OF NON-QUANTIFIABLE BENEFITS PROVIDED TO THE COMMUNITY IN 2020. JOHN MUIR HEALTH'S COMMITMENT TO ENVIRONMENTALSUSTAINABILITY IS EVIDENT THROUGH MANY INITIATIVES. JOHN MUIR HEALTH INSTALLED FORTY VEHICLE CHARGING STATIONS TO REDUCE FUEL CONSUMPTION AND CARBON DIOXIDE EMISSIONS. IN ADDITION, SYSTEM-WIDE-STYROFOAM USAGE HAS BEEN ELIMINATED. TO PRESERVE WATER, JOHN MUIR HEALTH FACILITIES WERE EQUIPPED WITH LOW-FLOW TOILETS, SHOWERS AND SINKS, AS WELL AS LIMITINGOUTDOOR WATERING TO TWO DAYS PER WEEK.JOHN MUIR HEALTH NURSES ARE DEEPLY INVOLVED IN THEIR COMMUNITY THROUGH VOLUNTEERING. JOHN MUIR HEALTH ENCOURAGES NURSING VOLUNTEERISM AND COMMUNITY INVOLVEMENT THROUGH MAGNET RECOGNITION STATUS WHERE NURSES SUPPORT HEALTH BY BUILDING PARTNERSHIPS WITH THE COMMUNITY. FOR EXAMPLE, NURSES AT JOHN MUIR HEALTH MEDICAL CENTER, CONCORD PROVIDE HEALTHEDUCATION MONTHLY AT THE LOCAL FARMER'S MARKET AND PARTICIPATE AS VOLUNTEERS ON OUR MOBILE DENTAL CLINIC.JOHN MUIR HEALTH EMPLOYEES DONATE BACKPACKS WITH SCHOOL SUPPLIES TO FOSTER YOUTH THROUGH THE ANNUAL FOSTER A DREAM BACKPACK CHALLENGE.JOHN MUIR HEALTH AND OUR EMPLOYEES ACTIVELY PARTICIPATE IN DISEASE AWARENESS EVENTS IN ORDER TO PROMOTE HEALTH IN OUR COMMUNITY. EVERY YEAR JOHN MUIR EMPLOYEES PARTICIPATE IN THE NATIONAL ALLIANCE ON MENTAL HEALTH ILLNESS WALK, WALK TO WELLNESS, AMERICAN HEART ASSOCIATION HEART WALK, GO RED COMMUNITY EVENT, KIDNEY WALK, DIGESTIVE HEALTH FAIR AND OTHERCOMMUNITY EVENTS.
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMJOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND5003 COMMERCIAL CIRCLE, SUITE 275, CONCORD, CA 94520THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUNDS IS ONE ARM OFGRANT-MAKING AT JOHN MUIR HEALTH SYSTEM. THE FUND'S GOAL IS TO FOSTERSYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EASTERN CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MORE AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE FUND DEVELOPED A FUNDING PROCESS THAT NURTURES LONG TERM PARTNERSHIP WITH AND AMONG THE COMMUNITY BASED ORGANIZATIONS. THIS LEADS TO VISIONARY HEALTH INITIATIVE THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 2019, THE FUND HAS GRANTED OVER $29 MILLION JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUNDS, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN BE FOUND ON ITS WEBSITE: WWW.JMMDCOMMUNITYHEALTHFUND.COMJOHN MUIR PHYSICIAN NETWORK1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFITCORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITSINCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH OVER1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATEDPATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TOEITHER JOHN MUIR MEDICAL GROUP (JMMG), JOHN MUIR SPECIALTY MEDICAL GROUP, OR MUIR MEDICAL GROUP IPA, INC. THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN NUMEROUS LOCATIONS FROM BRENTWOOD TO PLEASANTON. JMMG ALSO PROVIDES HOSPITALIST (IN-PATIENT MEDICAL SERVICES) AT JOHN MUIR HEALTH'S HOSPITALS. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SEVEN MAJOR HEALTH PLANS FOR MORE THAN 50,000 COMMERCIAL AND SENIOR HMO MEMBERS. THE PHYSICIAN NETWORK MANAGES HEALTH PLAN CONTRACTING FOR JOHN MUIR HEALTH AND ITS HOSPITALS AND ENGAGES PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACCOUNTABLE CARE ORGANIZATION (ACO) WHICH PROVIDES THE COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS.JOHN MUIR BEHAVIORAL HEALTH1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597JOHN MUIR HEALTH OFFERS COMPLETE INPATIENT AND OUTPATIENT BEHAVIORALHEALTH PROGRAMS AND SERVICES THROUGH JOHN MUIR HEALTH BEHAVIORAL HEALTHCENTER, THE HEALTH SYSTEM'S FULLY ACCREDITED, 73 BED PSYCHIATRIC HOSPITAL LOCATED IN CONCORD. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER OFFERS PSYCHIATRIC TREATMENT FOR ADULTS, CHILDREN AND ADOLESCENT WHO ARE EXPERIENCING EMOTIONAL OR BEHAVIORAL PROBLEMS. FOR THOSE WHO AREDEPENDENT ON ALCOHOL OR DRUGS, THE BEHAVIORAL HEALTH CENTER OFFERS AFULL ARRAY OF CHEMICAL DEPENDENCY TREATMENT PROGRAMS. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH.JOHN MUIR HEALTH FOUNDATION1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OFCAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS,INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS ANDEQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION. THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION.
PART VI, LINE 7, REPORTS FILED WITH STATES CA
Schedule H (Form 990) 2020
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