2023-10-30T11:18:31-05:00 2022-12-31 363168081 SIKICH LLP 17335 GOLF PARKWAY SUITE 500 BROOKFIELD WI 53045 990 2022-01-01 390812532 CHILDREN'S HOSPITAL OF WISCONSIN INC CHIL 4142665420 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 MARC A CADIEUX TREASURER 4142665420 2023-10-25 1 MARC CADIEUX 999009999 0 JILL M BOYLE CPA P01246734 2627549400 2023-10-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHILDREN'S WISCONSIN MARGARET TROY PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 1206032341 0 X WWW.CHILDRENSWI.ORG X 1894 WI PEDIATRIC HEALTH CARE SERVICES 28 23 4418 168 132253 0 27777928 27561446 776527556 842182289 8595958 -1646088 19098071 23112889 831999513 891210536 25940258 90491871 0 0 293314402 319976654 0 0 0 427300606 471807569 746555266 882276094 85444247 8934442 2482896943 2356032124 649858884 677093659 1833038059 1678938465 X CHILDREN'S WISCONSIN, INC. PROVIDES A COMPREHENSIVE AND INTEGRATED PEDIATRIC HEALTH CARE MODEL THAT DELIVERS SUPERIOR QUALITY AND VALUE BY OFFERING THE BEST SOLUTION FOR THE TOTAL HEALTH CARE NEEDS OF CHILDREN WITHIN OUR COMMUNITY, STATE AND REGION. OUR VISION IS TO HAVE WISCONSIN CHILDREN BE THE HEALTHIEST CHILDREN IN THE COUNTRY. AS A PREMIER AND STANDARD-SETTING LEADER IN DELIVERY OF PEDIATRIC CARE, CHILDREN'S BRINGS A COMMITMENT TO EXCELLENCE TO OUR PATIENTS AND FAMILIES, MEDICAL STAFF, EMPLOYEES AND COMMUNITIES IN ADDRESSING THE HEALTH AND WELL-BEING OF CHILDREN.OUR MISSION IS TO SERVE OUR CHILDREN THROUGH:CAREGIVING - OFFERING HIGH-QUALITY, COMPREHENSIVE MEDICAL CAREADVOCACY - SPEAKING UP AND PROTECTING CHILDRENRESEARCH - FINDING CURES TO THE ILLNESSES THAT AFFECT CHILDRENEDUCATION - SHARING WHAT WE LEARN AND TEACHING OTHERS TO CARE FOR KIDS 0 0 656942437 90491871 856350464 INPATIENT SERVICES: CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHW OR "THE HOSPITAL") OPERATES A 298-BED HOSPITAL AT ITS MILWAUKEE CAMPUS, WHICH INCLUDES AN EMERGENCY ROOM OPEN ON A 24/7 BASIS. IT IS A FREESTANDING WISCONSIN HOSPITAL DEDICATED SOLELY TO THE CARE AND TREATMENT OF CHILDREN AND IS ONE OF THE LEADING CENTERS FOR PEDIATRIC HEALTH CARE IN THE UNITED STATES. THE HOSPITAL SERVES CHILDREN WITH ALL TYPES OF ILLNESSES, INJURIES, BIRTH DEFECTS AND OTHER DISORDERS. THE HOSPITAL PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE, TO CHILDREN FROM WISCONSIN AND BEYOND. IN 2022, 9,758 CHILDREN WERE ADMITTED TO THE MILWAUKEE HOSPITAL, WHICH INCLUDES A NEONATAL INTENSIVE CARE UNIT (NICU), PEDIATRIC INTENSIVE CARE UNIT (PICU), A CANCER AND BLOOD DISORDERS CENTER, MEDICAL/SURGICAL UNITS AND A DAY SURGERY AND SHORT-STAY UNIT. IN ADDITION, THERE WERE 4,686 OBSERVATION PATIENTS IN 2022. THE HOSPITAL ALSO OPERATES A SEPARATELY LICENSED 42-BED PEDIATRIC HOSPITAL, WHICH INCLUDES A NICU AND A PEDIATRIC MEDICAL/SURGICAL UNIT, LOCATED AT THEDACARE REGIONAL MEDICAL CENTER-NEENAH, THROUGH WHICH IT PROVIDES PEDIATRIC EXPERTISE TO THE GREATER FOX VALLEY AND GREEN BAY AREAS. IN 2022, 603 CHILDREN WERE ADMITTED TO THE FOX VALLEY HOSPITAL. IN ADDITION, THERE WERE 413 OBSERVATION PATIENTS IN 2022.OUTPATIENT AND AMBULATORY SERVICES: THE HOSPITAL PROVIDES A FULL ARRAY OF OUTPATIENT AMBULATORY, DIAGNOSTIC, TREATMENT AND SURGICAL SERVICES. PROVIDERS IN MORE THAN 70 SUBSPECIALTY AREAS DIAGNOSE AND TREAT A WIDE VARIETY OF PEDIATRIC DISORDERS. THE HOSPITAL IS A CERTIFIED LEVEL 1 PEDIATRIC TRAUMA CENTER, AND HANDLED 72,921 VISITS TO THE EMERGENCY DEPARTMENT IN 2022. OUTPATIENT SERVICES ARE OFFERED AT ACCESSIBLE LOCATIONS THROUGHOUT SOUTHEASTERN WISCONSIN, AND IN THE FOX VALLEY AND GREEN BAY MARKETS. THE HOSPITAL'S NATIONALLY KNOWN AND RECOGNIZED SPECIALTY PROGRAMS INCLUDE THOSE FOR TREATING CHILDREN WITH AIRWAY, DIGESTIVE AND VOICE CONDITIONS; BURNS; CANCER AND BLOOD DISORDERS; CONGENITAL AND ACQUIRED HEART DEFECTS AND DISEASES; CRANIOFACIAL DISORDERS; DERMATOLOGY, BIRTHMARKS AND VASCULAR ANOMALIES; DIABETES; GASTROINTESTINAL PROBLEMS; GENETIC DISORDERS; HIV; NEUROLOGICAL DISORDERS; ORTHOPEDIC CONDITIONS (INCLUDING SPINE, SPORTS MEDICINE, CONCUSSION); IMMUNODEFICIENCIES AND IMMUNE DYSREGULATION SYNDROMES; PSYCHIATRY; SLEEP DISORDERS; SOLID ORGAN TRANSPLANTATION; SPEECH AND HEARING DISORDERS; AND SPASTICITY AND OTHER TONE AND MOBILITY CONDITIONS. THROUGH ITS AFFILIATES, THE HOSPITAL PROVIDES PRIMARY CARE, DENTAL CARE, MENTAL AND BEHAVIORAL HEALTH SERVICES AND CHILD PROTECTIVE SERVICES TO UNDERSERVED CHILDREN AT SEVERAL CLINICS IN CENTRAL CITY MILWAUKEE NEIGHBORHOODS. THE HOSPITAL ALSO OFFERS CASE MANAGEMENT SERVICES AND A FULL RANGE OF MEDICAL, PSYCHOLOGICAL, NURSING AND SOCIAL SERVICES FOR CHILDREN WITH DEVELOPMENTAL, BEHAVIORAL AND LEARNING PROBLEMS. IN 2022, THERE WERE A TOTAL OF 332,623 OUTPATIENT VISITS.RESEARCH: THE HOSPITAL AND CHILDREN'S RESEARCH INSTITUTE PARTICIPATE IN AN ARRAY OF RESEARCH INITIATIVES SEEKING TO IMPROVE THE DIAGNOSIS AND TREATMENT OF CONGENITAL AND ACQUIRED PEDIATRIC HEALTH CONDITIONS. THESE RESEARCH INITIATIVES INCLUDE BEHAVIORAL HEALTH; EPILEPSY AND OTHER NEUROLOGICAL CONDITIONS; HEART DEFECTS; ORGAN TRANSPLANTATION; BIRTH DEFECTS AND FETAL ANOMALIES; IMMUNOLOGICAL CONDITIONS, BLOOD DISORDERS AND VARIOUS CHILDHOOD CANCERS; AND ENVIRONMENTAL HEALTH CONDITIONS. ADDITIONAL RESEARCH IS CONDUCTED IN COLLABORATION WITH ACADEMIC INVESTIGATORS AT THE MEDICAL COLLEGE OF WISCONSIN, MARQUETTE UNIVERSITY, UNIVERSITY OF WISCONSIN-MADISON AND OTHER INSTITUTIONS. NURSING RESEARCH INCLUDES STUDIES REGARDING PAIN MANAGEMENT, QUALITY OF LIFE, COPING SKILLS, FAMILY READINESS AND SEDATION PROTOCOLS. EDUCATION: THE HOSPITAL IS A MAJOR TEACHING AFFILIATE OF THE MEDICAL COLLEGE OF WISCONSIN, WITH THIRD- AND FOURTH-YEAR MEDICAL STUDENTS ROTATING THROUGH THE HOSPITAL FOR REQUIRED AND ELECTIVE ROTATIONS. THE HOSPITAL ALSO MAINTAINS A THREE-YEAR PEDIATRIC RESIDENCY PROGRAM, A TWO-YEAR DENTAL TRAINING PROGRAM AND AN ACADEMIC FELLOWSHIP PROGRAM IN AN ARRAY OF SPECIALTIES. THE HOSPITAL HAS RELATIONSHIPS WITH MORE THAN TWO DOZEN UNIVERSITIES FOR THE CLINICAL EDUCATION OF PEDIATRIC NURSES AND OTHER HEALTH CARE PROFESSIONAL STUDENTS, AS WELL AS HEALTH CARE ADMINISTRATION AND VARIOUS OTHER DISCIPLINES. THE HOSPITAL'S PEDIATRIC SPECIALISTS ALSO PROVIDE EDUCATION AND TRAINING TO HEALTH CARE PROFESSIONALS AT COMMUNITY HOSPITALS, PRIMARY CARE CLINICS AND SCHOOLS THROUGHOUT WISCONSIN IN CONNECTION WITH THE IDENTIFICATION, DIAGNOSIS AND TREATMENT OF PEDIATRIC HEALTH AND WELFARE CONDITIONS.COMMUNITY EDUCATION AND OUTREACH: THE HOSPITAL OFFERS A WIDE VARIETY OF COMMUNITY EDUCATION, OUTREACH AND CHILD HEALTH ADVOCACY PROGRAMS. THROUGH COMMUNITY EDUCATION PROGRAMS ON TOPICS SUCH AS CHILD HEALTH, INJURY PREVENTION, PARENTING, MANAGEMENT OF CHRONIC DISEASES, AND PREVENTIVE HEALTH, THE HOSPITAL REACHES THOUSANDS OF FAMILIES. ALONG WITH THE MEDICAL COLLEGE OF WISCONSIN, THE HOSPITAL SPONSORS THE CENTER FOR THE ADVANCEMENT OF UNDERSERVED CHILDREN, WHICH SEEKS TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN IN WISCONSIN. THE HOSPITAL PARTICIPATES IN AND STAFFS CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, THROUGH WHICH PROVIDERS AROUND THE STATE WORK COLLABORATIVELY TO RAISE AWARENESS OF CHILDREN'S HEALTH ISSUES, INCREASE ACCESS TO PEDIATRIC CARE, AND PROMOTE BEST PRACTICES. OTHER COMMUNITY OUTREACH AND ADVOCACY INITIATIVE EXAMPLES INCLUDE CAR SEAT CLINICS, THE DANIEL M. SOREF FAMILY RESOURCE CENTER, SERVICES PROVIDED AT SOJOURNER FAMILY PEACE CENTER (SERVICES FOR ADULTS AND CHILDREN WHO HAVE EXPERIENCED DOMESTIC VIOLENCE), VIOLENCE PREVENTION COUNSELING THROUGH PROJECT UJIMA, WHICH WORKS WITH VICTIMS OF VIOLENCE AND PROVIDES SUPPORT THROUGH COMMUNITY OUTREACH AND THERAPY AND PROJECT ADAM (EDUCATION AND PREVENTION INITIATIVES IN THE AREA OF PEDIATRIC SUDDEN CARDIAC DEATH). 656942437 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 719 0 4418 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 28 23 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X MS SARAH KAFKA 4142661887 PO BOX 1997 FINANCE DEPT MILWAUKEE WI 532011997 MARGARET TROY DIRECTOR/PRESIDENT & CEO CHHS 0.00 40.00 X X 0 1973534 58792 PATRICK HAMMES DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 JOHN REICHERT DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 0 0 TODD ADAMS DIRECTOR 1.00 0.00 X 0 0 0 THOMAS ARENBERG DIRECTOR 1.00 0.00 X 0 0 0 LINDA BENFIELD DIRECTOR 1.00 0.00 X 0 0 0 KENNETH BROCKHORST DIRECTOR 1.00 0.00 X 0 0 0 TINA CHANG DIRECTOR 1.00 0.00 X 0 0 0 MATT D'ATTILIO DIRECTOR 1.00 0.00 X 0 0 0 TODD ENDRES DIRECTOR 1.00 0.00 X 0 0 0 NANCY AVILA DIRECTOR 1.00 0.00 X 0 0 0 JOE GEHRKE DIRECTOR 1.00 0.00 X 0 0 0 TIM GEREND DIRECTOR 1.00 0.00 X 0 0 0 KELLY GREBE DIRECTOR 1.00 0.00 X 0 0 0 EVE HALL DIRECTOR 1.00 0.00 X 0 0 0 CHRIS KALTENBACH DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH KERSCHNER MD DIRECTOR 1.00 0.00 X 0 0 0 PAUL KNOEBEL DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL LOVELL DIRECTOR 1.00 0.00 X 0 0 0 DANIELLE MACHATA DIRECTOR 1.00 0.00 X 0 0 0 BEN MELSON DIRECTOR 1.00 0.00 X 0 0 0 JAMES POPP DIRECTOR 1.00 0.00 X 0 0 0 TOM PRECIA DIRECTOR 1.00 0.00 X 0 0 0 JAMES PURKO DIRECTOR 1.00 0.00 X 0 0 0 JOHN RAYMOND MD DIRECTOR 1.00 0.00 X 0 0 0 ROLANDO RODRIGUEZ DIRECTOR 1.00 0.00 X 0 0 0 DAVE WERNER DIRECTOR 1.00 0.00 X 0 0 0 MARK C WITT DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE GASS END 113022 DIRECTOR 1.00 0.00 X 0 0 0 SCOTT TURNER DIRECTOR/PRES. CHW & EVP CHHS 40.00 0.00 X 924229 0 163152 MARC CADIEUX TREASURER/CORP VP & CFO 0.00 40.00 X 0 993812 126962 MICHELLE METTNER END 123122 SECRETARY/CORP VP GOV & LEGAL AFFAIRS 0.00 40.00 X 0 703637 111779 MICHAEL GUTZEIT PRESIDENT CMG AND SVP 0.00 40.00 X 470202 259421 61843 NANCY KOROM CHIEF NURSING OFFICER/VP CHW 40.00 0.00 X 485573 0 111919 RAINER GEDEIT CHIEF MEDICAL OFFICER 40.00 0.00 X 419145 0 34118 LISA JENTSCH VP CHW 40.00 0.00 X 352089 0 49432 ERIN YALE HORWITZ VP CHW 40.00 0.00 X 302769 0 53070 GAIL OSTRANDER VP NORTHEAST RGN SVC 40.00 0.00 X 273658 0 46658 JOHN SCALCUCCI VP AMBULATORY SERVICES 40.00 0.00 X 179922 0 49997 MARY BARTEL MEDICAL DIRECTOR/HOSPITALIST 40.00 0.00 X 348275 0 58627 CHRISTOPHER SPAHR CHIEF QLTY/SFTY OFFICER & ACMO 40.00 0.00 X 401200 0 75733 LORI BARBEAU MEDICAL DIR, DENTAL PROGRAM 40.00 0.00 X 346303 0 50104 PETRA LAEVEN-SESSIONS HOSPITALIST 40.00 0.00 X 310564 0 54713 GEORGE LATTA ASSOC CHIEF MED OFFICER 40.00 0.00 X 363701 0 33394 5177630 3930404 1140293 488 0 1 0 MEDICAL COLLEGE OF WISCONSIN AFFILIATED 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 53226 RESIDENT SERVICES 17608886 MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 53226 HEALTHCARE PROF/ACADEMIC/ADMIN 17592278 STAFFENCY LLC 221 W COLLEGE AVE APPLETON WI 54911 TEMP EMPLOYEE SERVICES 16813905 MILWAUKEE REGIONAL MEDICAL CENTER THERMA 2661 AVIATION ROAD WAUKESHA WI 53188 UTILITY, GROUNDS, SECURITY SERVICES 8237181 THEDA CARE 122 E COLLEGE AVE APPLETON WI 54912 ANCILLARY SERVICES 7235022 59 10589960 16193142 778344 27561446 NET PATIENT SERVICE REVENUE 621990 825909432 825909432 OUTSIDE SALARY SUPPORT 541900 9042254 9042254 RENTAL INCOME 531120 7230603 7099005 33598 98000 842182289 9123356 9123356 304052361 314737734 84071 -10685373 -84071 -10769444 -10769444 PHARMACY SALES TO EMPLOYEES 456110 6679909 6679909 340B CONTRACTS 722210 6636635 6636635 FOX VALLEY SCHOOL THERAPY 900099 1149066 1149066 8647279 6514072 98655 2034552 23112889 891210536 856350464 132253 7166373 X 90491871 90491871 3953817 320317 3633500 250528952 210238959 40289993 13258715 10880404 2378311 34173502 27562422 6611080 18061668 15030296 3031372 119055456 4981467 114073989 40 40 1333718 37 1333681 118611376 103779341 14832035 124928 378 124550 451569 69349 382220 756416 290751 465665 29908559 6385341 23523218 531501 341229 190272 383390 223953 159437 14723475 14723475 55311275 55311275 3522681 3522681 MEDICAL SUPPLIES 96709738 90703079 6006659 HOSPITAL ASSESSMENT TAX 9203156 9203156 EQUITY LOSSES 422781 422781 20757510 12459875 8297635 882276094 656942437 225333657 0 125951274 51817295 6125698 5894472 128589266 145604393 362084 193375 11017918 10736618 3865974 3703855 1185687923 549128082 585953159 636559841 441204884 278388298 1179826686 1223133977 2482896943 2356032124 111374355 152749730 1185426 1062272 460814619 452811567 13845428 14216124 62639056 56253966 649858884 677093659 X 1488084271 1380414353 344953788 298524112 1833038059 1678938465 2482896943 2356032124 X 8934442 -22289781 -140744255 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 679970 198293 199951 678312 0 1073350856 48882270 -136753281 24811312 2061932 958606601 919760446 24896176 152052729 21377357 1981138 1073350856 796583008 23642636 121364111 20224828 1604481 919760446 627586828 64400703 122850047 16509535 1745035 796583008 633348049 39760741 -28012531 15809988 1699443 627586828 0.68900 0.22600 0.08500 0 1 1 13115408 13115408 892312842 374345872 517966970 14101960 10263452 3838508 217687023 157615007 60072016 48470690 6903751 41566939 636559841 DUE FROM AFFILIATES 217840442 BENEFICIAL INTEREST IN NET ASSETS OF CHILDREN'S HOSPITAL OF WI FOUNDATION 958606601 457 PLAN ASSETS 2775206 INVESTMENT IN MRMC LAND, CATALPA, AND OTHER 3955122 LEASE ASSETS 39698881 UNBILLED RECEIVABLE-SL RENT 257725 1223133977 457 PLAN LIABILITY 2775206 LEASE LIABILITY 42797457 ESTIMATED THIRD PARTY PAYER SETTLEMENTS 319644 RESERVE FOR MEDICAL EDUCATION GRANT SETTLEMENTS 3168651 LT STRATEGIC FUNDING RESERVE 6354332 LT CONTRACT INCENTIVE PAYABLE 687848 OTHER LIABILITIES 150828 56253966 X PART IV, LINE 1B: CERTAIN EMPLOYEES OF THE ORGANIZATION HAVE SIGNING AUTHORITY FOR THE CHILDREN'S HOSPITAL OF WISCONSIN MEDICAL STAFF FUNDS MONEY MARKET AND CHECKING ACCOUNT. AN EMPLOYEE OF THE ORGANIZATION ALSO PROVIDES ALL MONTHLY ACCOUNTING FUNCTIONS. PART V, LINE 4: CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC., A RELATED ENTITY, HOLDS ENDOWMENT FUNDS ON BEHALF OF CHILDREN'S HOSPITAL OF WISCONSIN, INC. INTENDED USES OF THE FUNDS INCLUDE VARIOUS HEALTH-RELATED SERVICES, CAPITAL PROJECTS AND RESEARCH. PART X, LINE 2: CHHS EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITONS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 1228814 1228814 0.00140 398105232 297572697 100532535 0.11390 399334046 297572697 101761349 0.11530 18525497 8679322 9846175 0.01120 39266358 9976120 29290238 0.03320 40034743 20584312 19450431 0.02200 8251502 8251502 0.00940 1156025 1156025 0.00130 107234125 39239754 67994371 0.07710 506568171 336812451 169755720 0.19240 39833 39833 0.00000 51800 51800 0.00010 3801 3801 0.00000 83267 83267 0.00010 37973 37973 0.00000 216674 216674 0.00020 0 6816700 974122 869927 104195 X 1 1 2 1 CHILDREN'S HOSPITAL OF WI-MILWAUKEE 9000 W WISCONSIN AVE MILWAUKEE WI 53201 WWW.CHILDRENSWI.ORG 135 X X X X X X 2 CHILDREN'S HOSPITAL OF WI-FOX VALLEY 130 S 2ND STREET NEENAH WI 54956 WWW.CHILDRENSWI.ORG 1005 X X X X CHILDREN'S HOSPITAL OF WI-MILWAUKEE 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.CHILDRENSWI.ORG 1 22 1 WWW.CHILDRENSWI.ORG 0 1 X 300.000000000000 400.000000000000 X 1 1 X X X 1 X CHILDRENSWI.ORG X CHILDRENSWI.ORG X CHILDRENSWI.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 CHILDREN'S HOSPITAL OF WI-FOX VALLEY 2 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.CHILDRENSWI.ORG 1 22 1 WWW.CHILDRENSWI.ORG 0 1 X 300.000000000000 400.000000000000 X 1 1 X X X 1 X CHILDRENSWI.ORG X CHILDRENSWI.ORG X CHILDRENSWI.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 5: CHW IS A MEMBER OF THE MILWAUKEE HEALTH CARE PARTNERSHIP (MHCP), WHICH BRINGS TOGETHER MILWAUKEE'S HEALTH SYSTEMS, HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS, AND LOCAL AND STATE PUBLIC HEALTH DEPARTMENTS, ALL COMMITTED TO WORKING TOGETHER TO CREATE A HEALTHIER MILWAUKEE. CHILDREN'S WISCONSIN IS AN ACTIVE PARTNER IN THE MHCP, WHICH COMMISSIONS A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH THE MILWAUKEE HEALTH DEPARTMENT AND OTHER MUNICIPAL HEALTH DEPARTMENTS. THE ASSESSMENTS SERVE AS THE FOUNDATION FROM WHICH HOSPITALS AND LOCAL HEALTH DEPARTMENTS DEVELOP THEIR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT STRATEGIES. MHCP CONTRACTED WITH CONDUENT HEALTHY COMMUNITIES INSTITUTE TO GATHER AND SYNTHESIZE PRIMARY AND SECONDARY DATA, INCLUDING KEY INFORMANT INTERVIEWS, AND TO FACILITATE THE MILWAUKEE HEALTH COMPASS DATA PORTAL. CONDUENT INCLUDED THREE DATA SOURCES FOR THE MHCP ASSESSMENT:- COMMUNITY HEALTH SURVEY (PRIMARY DATA): AN ONLINE SURVEY CONDUCTED AUGUST - OCTOBER 2021, WITH MORE THAN 8,600 MILWAUKEE COUNTY RESIDENTS COMPLETING 50 QUESTIONS ON THE TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS' PERCEPTION OF THEIR OVERALL HEALTH, ACCESS TO HEALTH SERVICES, AND SOCIAL DETERMINANTS OF HEALTH, INCLUDING RACISM AND HEALTH EQUITY.- STAKEHOLDER INTERVIEWS AND FOCUS GROUPS (PRIMARY DATA): HEALTH SYSTEM COMMUNITY BENEFIT LEADERS MET WITH 103 INDIVIDUALS FROM 93 ORGANIZATIONS TO IDENTIFY THE COMMUNITY'S MOST PRESSING HEALTH ISSUES AND EFFECTIVE HEALTH IMPROVEMENT STRATEGIES. THE 48 KEY INFORMANTS AND 55 PARTICIPANTS IN FOUR FOCUS GROUPS REPRESENTED DIVERSE COMMUNITIES, INCLUDING AFRICAN AMERICAN, NATIVE AMERICAN, HISPANIC, HMONG, ELDERLY, YOUTH, LGBTQ+, INDIVIDUALS WITH DISABILITIES, AND THOSE LIVING WITH MENTAL ILLNESS AND SUBSTANCE USE DISORDERS.- HEALTH COMPASS MILWAUKEE (SECONDARY DATA): FACILITATED BY THE MILWAUKEE HEALTH CARE PARTNERSHIP, HEALTHCOMPASSMILWAUKEE.ORG PROVIDES MORE THAN 300 OF THE MOST CURRENT HEALTH INDICATORS FOR MILWAUKEE COUNTY AT THE COUNTY, MUNICIPAL, ZIP CODE AND CENSUS TRACT LEVELS (WHERE AVAILABLE), AS WELL AS RELATED DEMOGRAPHIC DATA SUCH AS RACE/ETHNICITY, EDUCATION, INCOME AND HOUSING.WHILE THESE REPORTS PROVIDE RICH DATA, THEY PRIMARILY FOCUS ON THE ADULT POPULATION ACROSS THE ENTIRE COUNTY. TO ENSURE CHILDREN ARE WELL REPRESENTED, WE CONSULTED ADDITIONAL PUBLIC SOURCES:- YOUTH VOICES PHOTOVOICE PROJECT: PHOTOS AND NARRATIVES THROUGHOUT THIS DOCUMENT CREATED BY YOUTH MEMBERS OF THE LEAD2CHANGE INTERACT CLUB.- KIDS COUNT. FUNDED BY THE ANNIE E. CASEY FOUNDATION, THIS NATIONAL AND STATE-BY-STATE EFFORT TRACKS WELL-BEING INDICATORS FOR CHILDREN IN THE U.S. - U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY. IN ADDITION TO ITS DECENNIAL CENSUS, THE BUREAU COLLECTS AND DISSEMINATES DATA ACROSS A VARIETY OF TOPICS. - YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM (YRBS). THE DEPARTMENT OF PUBLIC INSTRUCTION CONDUCTS THIS SURVEY REGULARLY IN SCHOOLS ACROSS THE STATE. GIVEN CHALLENGES WITH DATA COLLECTION DURING THE PANDEMIC, 2021 DATA WAS UNAVAILABLE AT THE TIME OF THIS REPORT.- OTHER PUBLIC AND GOVERNMENT SOURCES. ADDITIONAL SOURCES INCLUDE WISCONSIN INTERACTIVE STATISTICS ON HEALTH FROM THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS, AMONG OTHERS. CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 5: THE FOX VALLEY COMMUNITY HEALTH IMPROVEMENT COALITION (FVCHIC) IS COMPRISED OF FIVE PUBLIC HEALTH DEPARTMENTS AND FIVE HEALTH CARE SYSTEMS IN THE TRI-COUNTY SERVICE AREA OF CALUMET, OUTAGAMIE AND WINNEBAGO COUNTIES. THE FVCHIC CONDUCTED 56 VIRTUAL INTERVIEWS DURING SUMMER 2021 WITH LEADERS OF ORGANIZATIONS SERVING A VARIETY OF SECTORS AND COMMUNITIES. COALITION MEMBERS DEVELOPED THE SAMPLE TO REPRESENT THE TRI-COUNTY AREA, INTENTIONALLY REACHING OUT TO ORGANIZATIONS THAT SERVE LOW-INCOME, AGING, YOUTH, RURAL AND HMONG COMMUNITIES, AMONG OTHERS. ORGANIZATIONS PROVIDE A VARIETY OF SERVICES TO THESE POPULATIONS, INCLUDING BASIC NEEDS, BEHAVIORAL HEALTH, FAITH AND ECONOMIC DEVELOPMENT.WHILE THESE SOURCES PROVIDE RICH DATA, THEY PRIMARILY FOCUS ON THE ADULT POPULATION ACROSS THE TRI-COUNTY AREA. TO ENSURE CHILDREN ARE WELL REPRESENTED, WE CONSULTED ADDITIONAL DATA SOURCES:- KIDS COUNT: FACILITATED BY THE ANNIE E. CASEY FOUNDATION, THIS NATIONAL AND STATE-BY-STATE EFFORT TRACKS WELL-BEING INDICATORS FOR CHILDREN IN THE U.S.- U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY: IN ADDITION TO ITS DECENNIAL CENSUS, THE BUREAU COLLECTS AND DISSEMINATES DATA ACROSS A VARIETY OF TOPICS.- YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM (YRBSS): THE WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION CONDUCTS THIS SURVEY REGULARLY IN SCHOOLS STATEWIDE. GIVEN CHALLENGES WITH DATA COLLECTION DURING THE PANDEMIC, 2021 DATA WAS UNAVAILABLE AT THE TIME OF THIS REPORT.OTHER PUBLIC AND GOVERNMENT SOURCES: ADDITIONAL SOURCES INCLUDE WISCONSIN INTERACTIVE STATISTICS ON HEALTH FROM THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS. CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WERE INTEGRAL TO THE COMPLETION OF THE MILWAUKEE HEALTH CARE PARTNERSHIP'S COMMUNITY HEALTH NEEDS ASSESSMENT: ADVOCATE AURORA HEALTH, FROEDTERT HEALTH, ASCENSION WISCONSIN WORKING IN PARTNERSHIP WITH CHILDREN'S WISCONSIN. CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITAL FACILITIES WERE INTEGRAL TO THE COMPLETION OF THE TRI-COUNTY AREA'S COMMUNITY HEALTH NEEDS ASSESSMENT: ASCENSION, ADVOCATE AURORA HEALTH, AND THEDACARE WORKING IN PARTNERSHIP WITH CHILDREN'S WISCONSIN. CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 6B: IN ADDITION TO THE HOSPITAL FACILITIES NAMED IN LINE 6A, CHILDREN'S WISCONSIN - MILWAUKEE CAMPUS CONDUCTED ITS CHNA WITH PUBLIC HEALTH OFFICIALS IN THE CITY OF MILWAUKEE AND OTHER MILWAUKEE COUNTY MUNICIPALITIES AND THE CENTER FOR URBAN POPULATION HEALTH. CONDUENT HEALTHY COMMUNITIES INSTITUTE CONDUCTED THE ASSESSMENT FOR THE MILWAUKEE HEALTH CARE PARTNERSHIP. CHILDREN'S PROVIDED ADDITIONAL LEADERSHIP, RESEARCH AND ANALYSIS TO DEVELOP THE ASSESSMENT UNIQUE TO CHILDREN IN MILWAUKEE. CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 6B: IN ADDITION TO THE HOSPITAL FACILITIES NAMED IN LINE 6A, CHILDREN'S WISCONSIN - FOX VALLEY CAMPUS CONDUCTED ITS CHNA WITH THE HEALTH DEPARTMENTS OF APPLETON, MENASHA AND OUTAGAMIE, CALUMET AND WINNEBAGO COUNTIES. CHILDREN'S PROVIDED ADDITIONAL LEADERSHIP, RESEARCH AND ANALYSIS TO DEVELOP THE ASSESSMENT UNIQUE TO CHILDREN IN THE FOX VALLEY. CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY IS OUR RESPONSE TO THE IDENTIFIED COMMUNITY HEALTH NEEDS. IT WILL BE OUR COMPASS OVER THE NEXT THREE YEARS, ALLOWING US TO PINPOINT AREAS WHERE WE CAN MAKE THE MOST MEANINGFUL IMPACT ON KIDS' HEALTH AND DIRECT OUR PROGRAMS, SERVICES AND ADVOCACY EFFORTS ACCORDINGLY. WHILE WE RECOGNIZE THAT ONE ORGANIZATION ALONE CANNOT ELIMINATE THE COMMUNITY'S BIGGEST HEALTH CHALLENGES, CHILDREN'S WISCONSIN IS UNIQUELY POSITIONED TO BE AN ADVOCATE FOR CHILDREN THROUGH OUR STRONG PEDIATRIC EXPERTISE AND LONG-ESTABLISHED COMMUNITY PARTNERSHIPS, PROGRAMS AND SERVICES. THIS REPORT ALSO HIGHLIGHTS THE MANY ASSETS THAT WE CAN LEVERAGE ACROSS THE COMMUNITY TO WORK COLLABORATIVELY TO IMPROVE AND SUSTAIN THE HEALTH AND WELL-BEING OF WISCONSIN'S KIDS.WE RECOGNIZE THAT CHILDREN'S WISCONSIN CANNOT COMPLETELY ELIMINATE EVERY CHALLENGE TO CHILDREN'S HEALTH. THESE ISSUES ARE LARGE AND COMPLEX, AND THERE ARE SOCIAL, ENVIRONMENTAL, GENETIC AND BEHAVIORAL FACTORS BEYOND OUR CONTROL. NOR CAN WE SOLVE THESE PROBLEMS ALONE AS THERE ARE MULTIPLE SYSTEMS THAT INTERSECT AND INFLUENCE HEALTH OUTCOMES FOR CHILDREN. WITH THAT UNDERSTANDING, AS A LEADER IN PEDIATRIC HEALTH CARE AND AN ADVOCATE FOR THE HEALTH OF CHILDREN ACROSS OUR COMMUNITY, WE ARE COMMITTED TO WORKING WITH OUR COMMUNITY PARTNERS TO MAKE A DIFFERENCE FOR THE KIDS WHO NEED US MOST. THROUGH EVIDENCE-BASED PROGRAMMING, COLLABORATION, EDUCATION AND ADVOCACY, WE CAN LEVERAGE AVAILABLE RESOURCES TO ENSURE THE BEST CARE FOR KIDS IN OUR COMMUNITY. AS THE FOLLOWING SECTIONS DEMONSTRATE, WE ARE ALREADY IMPLEMENTING A VARIETY OF STRATEGIES TO MAKE STRIDES TOWARD THESE GOALS AND, THROUGH THIS PLAN, ARE DEMONSTRATING A COMMITMENT TO BLEND THESE STRATEGIES WITH BOLD GOALS SERVING AS A CATALYST TO IMPROVING HEALTH OUTCOMES FOR KIDS.PRIORITY #1: INFANT HEALTHCHILDREN'S WISCONSIN ENDEAVORS TO MOVE OUR COMMUNITY'S INFANTS BEYOND SURVIVING INFANCY STILL A CHALLENGE AND ISSUE OF HEALTH DISPARITIES TO THRIVING AS CHILDREN AND ADULTS. COMPREHENSIVE INFANT HEALTH ENCOMPASSES MANY FACTORS THROUGH THE FIRST 24 MONTHS OF AGE THAT CAN PROVIDE A CHILD WITH A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. SAFE, AFFORDABLE HOUSING; TRANSPORTATION; AND EQUITY IN ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE (INCLUDING PRENATAL CARE) ARE ALL SOCIAL DRIVERS THAT CAN SHAPE THE HEALTH AND WELL-BEING OF OUR YOUNGEST RESIDENTS.KEY CONCERNS - TOO MANY INFANTS DIE BEFORE THEIR FIRST BIRTHDAY, WITH INFANTS IN MILWAUKEE EXPERIENCING DOUBLE THE MORTALITY RATE OF INFANTS STATEWIDE. - MANY FAMILIES IN WISCONSIN ARE NOT RECEIVING SUFFICIENT PREVENTATIVE CARE, SPECIFICALLY IN ORAL HEALTH, VACCINATIONS AND LEAD TESTING. - FAMILIES ARE NOT RECEIVING THE EQUITABLE SUPPORT NECESSARY FOR OPTIMIZING CHILDREN'S DEVELOPMENT AND EDUCATIONAL READINESS.STRATEGIC INITIATIVES - PRENATAL CARE: ENGAGE IN PURPOSEFUL PARTNERSHIPS TO LEVERAGE AND SUPPORT PRENATAL SERVICES. - PREVENTATIVE CARE: DECREASE THE DISPARITIES IN PREVENTATIVE SERVICES FOR ORAL HEALTH, VACCINES AND LEAD BEGINNING IN INFANCY BY PRIORITIZING COMMUNITY-SPECIFIC, INNOVATIVE SOLUTIONS. - ACCESS TO CARE/EARLY INTERVENTION: SUPPORT FAMILIES WITH CULTURALLY APPROPRIATE NAVIGATION AND INTEGRATION OF CARE, WITH EARLY INTERVENTION AND SERVICES WHEN NEEDS ARE IDENTIFIED THROUGH DEVELOPMENTAL SCREENING.ANTICIPATED IMPACT: WE WILL INCREASE ACCESS TO PREVENTION, INTERVENTION AND TREATMENT SERVICES FOR ALL CHILDREN UNDER THE AGE OF 24 MONTHS.PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: CENTRALIZED LEAD CARE COORDINATION. CHILDREN'S WISCONSIN USES POPULATION DATA TO PROACTIVELY IDENTIFY KIDS WHO ARE AT RISK FOR ELEVATED LEAD LEVELS, AND WE TEST THOSE KIDS IN PRIMARY CARE VIA A FINGER PRICK. KIDS WITH ELEVATED LEAD LEVELS ARE REFERRED TO THE LAB FOR A BLOOD DRAW TO CONFIRM LEAD LEVELS AND ARE REFERRED TO SPECIALTY CARE IF THEY NEED TREATMENT. IN ADDITION, CHILDREN'S WISCONSIN REFERS KIDS WITH CONFIRMED ELEVATED LEAD LEVELS TO CITY AND OTHER COMMUNITY RESOURCES THAT OFFER FAMILIES ASSISTANCE IN IDENTIFYING AND MITIGATING THE SOURCE OF THE LEAD TOXICITY. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/PRIMARYCARE/LEAD-TESTINGCHILDREN'S HEALTH ALLIANCE OF WISCONSIN. HOUSED WITHIN CHILDREN'S WISCONSIN, THE ALLIANCE DEVELOPS INNOVATIVE CHILD HEALTH INITIATIVES IN PARTNERSHIP WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND IMPLEMENTS PROGRAMS PROVEN TO IMPACT ACCESS AND OUTCOMES. IT IS FOCUSED ON SIX INITIATIVES: EMERGENCY CARE, ENVIRONMENTAL HEALTH, GRIEF AND BEREAVEMENT (INCLUDING THE INFANT DEATH CENTER), INJURY PREVENTION AND DEATH REVIEW, MEDICAL HOME AND ORAL HEALTH. LEARN MORE: CHAWISCONSIN.ORG COMMUNITY CONNECTORS. CHILDREN'S WISCONSIN COMMUNITY CONNECTORS WORK ACROSS MILWAUKEE COUNTY WITH EXPECTANT MOMS OR PARENTS WHO HAVE CHILDREN AGES 0-5. THEY CONNECT FAMILIES WITH SUPPORTS SUCH AS POSITIVE PARENTING EDUCATION, STRESS MANAGEMENT, FAMILY ACTIVITIES AND OTHER NEEDED RESOURCES. LEARN MORE: DCF.WISCONSIN.GOV/CWPORTAL/CONNECTIONSCOUNTDREAM AND HOPE CLINICS. THE DEVELOPMENTALLY READY: ENGAGEMENT AND ACHIEVEMENT OF MILESTONES (DREAM) CLINIC ADDRESSES THE NEEDS OF INFANTS FROM CHILDREN'S WISCONSIN'S INTENSIVE CARE UNITS WHO HAVE SEVERE BRAIN INJURIES. THE HEALTHY OUTCOMES: POST-ICU ENGAGEMENT (HOPE) CLINIC SUPPORTS BABIES AND FAMILIES ONCE THEY GO HOME FROM OUR HOSPITAL TO ADDRESS INFANTS' CHANGING NEEDS OVER TIME. LEARN MORE: MCW.EDU/DEPARTMENTS/PEDIATRICS/ DIVISIONS/NEONATOLOGY/PATIENT-CAREFETAL CONCERNS CENTER OF WISCONSIN. A PARTNERSHIP BETWEEN CHILDREN'S WISCONSIN AND FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN, THE FETAL CONCERNS CENTER IS A NATIONAL LEADER IN FETAL CARE, RECOGNIZED FOR INNOVATIVE TREATMENTS THAT ARE GUIDED BY EXEMPLARY RESEARCH TO PRODUCE THE BEST OUTCOMES FOR A MOTHER AND HER FETUS. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/FETALCONCERNS-CENTERHEALTHY MOM HEALTHY BABY. CHORUS COMMUNITY HEALTH PLAN'S HEALTHY MOM, HEALTHY BABY PROGRAM HELPS PREGNANT WOMEN GET THE SUPPORT AND SERVICES THEY NEED TO HAVE A HEALTHY PREGNANCY AND BABY. A HEALTH PLAN MEMBER MAY RECEIVE SERVICES IN HER HOME OR OVER THE PHONE FROM SOCIAL WORKERS OR NURSES WHO ARE SPECIALLY TRAINED IN MATERNAL/INFANT HEALTH. THIS PROGRAM ALSO OFFERS HIGH-RISK PREGNANCY SERVICES AND BREASTFEEDING SUPPORT BY CERTIFIED LACTATION CONSULTANTS.HEALTHY START. THIS PROGRAM THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION IS DESIGNED TO IMPROVE ACCESS TO QUALITY HEALTH CARE AND SERVICES FOR WOMEN, INFANTS, CHILDREN AND MALE PARTNERS THROUGH OUTREACH, CARE COORDINATION, HEALTH EDUCATION AND CONNECTIONS TO HEALTH INSURANCE. HEALTHY START WORKS TO IMPROVE HEALTH OUTCOMES BEFORE, DURING AND AFTER PREGNANCY, AND REDUCE RACIAL/ETHNIC DIFFERENCES IN RATES OF INFANT DEATH AND ADVERSE PERINATAL OUTCOMES. LEARN MORE: MILWAUKEEHEALTHYSTART.ORGHOME VISITING. TRAINED PARENT EDUCATORS PROVIDE IN-HOME PARENT EDUCATION, SUPPORT, COMMUNITY RESOURCES AND CHILD DEVELOPMENT SERVICES TO PREGNANT AND PARENTING FAMILIES. THIS PROGRAM PROMOTES SAFE SLEEP, POSITIVE CHILD DEVELOPMENT AND EARLY SCHOOL READINESS USING AN EVIDENCE-BASED MODEL THAT IS FAMILY-CENTERED, CULTURALLY SENSITIVE AND STRENGTH BASED. LEARN MORE: CHILDRENSWI.ORG/CHILDRENS-AND-THECOMMUNITY/FAMILIES-AND-CLIENTS/PARENTINGRESOURCES/HOME-VISITINGNEONATOLOGY/NEONATAL INTENSIVE CARE UNIT. CHILDREN'S WISCONSIN IS ONE OF THE REGION'S TOP PROVIDERS OF CARE FOR UNBORN BABIES AND NEWBORNS WITH COMPLEX MEDICAL AND SURGICAL NEEDS. OUR MILWAUKEE NEONATAL INTENSIVE CARE UNIT (NICU) - THE STATE'S FIRST AND LARGEST LEVEL IV NICU - CARES FOR OVER 800 PREMATURE AND CRITICALLY ILL NEWBORNS EVERY YEAR. IN ADDITION, OUR HOSPITAL IN NEENAH HAS A 22-BED LEVEL III NICU THAT SERVES THE GREATER FOX VALLEY COMMUNITY.WISCONSIN BIRTH TO 3 PROGRAM. THIS STATEWIDE EARLY INTERVENTION PROGRAM OFFERS SERVICES AND SUPPORTS FOR CHILDREN UNDER AGE 3 WHO HAVE DELAYS OR DISABILITIES. LEARN MORE: DHS.WISCONSIN.GOV/BIRTHTO3(CONTINUED ON PAGE 62) CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY IS OUR RESPONSE TO THE IDENTIFIED COMMUNITY HEALTH NEEDS. IT WILL BE OUR COMPASS OVER THE NEXT THREE YEARS, ALLOWING US TO PINPOINT AREAS WHERE WE CAN MAKE THE MOST MEANINGFUL IMPACT ON KIDS' HEALTH AND DIRECT OUR PROGRAMS, SERVICES AND ADVOCACY EFFORTS ACCORDINGLY. WHILE WE RECOGNIZE THAT ONE ORGANIZATION ALONE CANNOT ELIMINATE THE COMMUNITY'S BIGGEST HEALTH CHALLENGES, CHILDREN'S WISCONSIN IS UNIQUELY POSITIONED TO BE AN ADVOCATE FOR CHILDREN THROUGH OUR STRONG PEDIATRIC EXPERTISE AND LONG-ESTABLISHED COMMUNITY PARTNERSHIPS, PROGRAMS AND SERVICES. THIS REPORT ALSO HIGHLIGHTS THE MANY ASSETS THAT WE CAN LEVERAGE ACROSS THE COMMUNITY TO WORK COLLABORATIVELY TO IMPROVE AND SUSTAIN THE HEALTH AND WELL-BEING OF WISCONSIN'S KIDS.WE RECOGNIZE THAT CHILDREN'S WISCONSIN CANNOT COMPLETELY ELIMINATE EVERY CHALLENGE TO CHILDREN'S HEALTH. THESE ISSUES ARE LARGE AND COMPLEX, AND THERE ARE SOCIAL, ENVIRONMENTAL, GENETIC AND BEHAVIORAL FACTORS BEYOND OUR CONTROL. NOR CAN WE SOLVE THESE PROBLEMS ALONE AS THERE ARE MULTIPLE SYSTEMS THAT INTERSECT AND INFLUENCE HEALTH OUTCOMES FOR CHILDREN. WITH THAT UNDERSTANDING, AS A LEADER IN PEDIATRIC HEALTH CARE AND AN ADVOCATE FOR THE HEALTH OF CHILDREN ACROSS OUR COMMUNITY, WE ARE COMMITTED TO WORKING WITH OUR COMMUNITY PARTNERS TO MAKE A DIFFERENCE FOR THE KIDS WHO NEED US MOST. THROUGH EVIDENCE-BASED PROGRAMMING, COLLABORATION, EDUCATION AND ADVOCACY, WE CAN LEVERAGE AVAILABLE RESOURCES TO ENSURE THE BEST CARE FOR KIDS IN OUR COMMUNITY. AS THE FOLLOWING SECTIONS DEMONSTRATE, WE ARE ALREADY IMPLEMENTING A VARIETY OF STRATEGIES TO MAKE STRIDES TOWARD THESE GOALS AND, THROUGH THIS PLAN, ARE DEMONSTRATING A COMMITMENT TO BLEND THESE STRATEGIES WITH BOLD GOALS SERVING AS A CATALYST TO IMPROVING HEALTH OUTCOMES FOR KIDS.PRIORITY #1: INFANT HEALTHCHILDREN'S WISCONSIN ENDEAVORS TO MOVE OUR COMMUNITY'S INFANTS BEYOND SURVIVING INFANCY STILL A CHALLENGE AND ISSUE OF HEALTH DISPARITIES TO THRIVING AS CHILDREN AND ADULTS. COMPREHENSIVE INFANT HEALTH ENCOMPASSES MANY FACTORS THROUGH THE FIRST 24 MONTHS OF AGE THAT CAN PROVIDE A CHILD WITH A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE. SAFE, AFFORDABLE HOUSING; TRANSPORTATION; AND EQUITY IN ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE (INCLUDING PRENATAL CARE) ARE ALL SOCIAL DRIVERS THAT CAN SHAPE THE HEALTH AND WELL-BEING OF OUR YOUNGEST RESIDENTS.KEY CONCERNS - TOO MANY INFANTS DIE BEFORE THEIR FIRST BIRTHDAY, WITH INFANTS IN MILWAUKEE EXPERIENCING DOUBLE THE MORTALITY RATE OF INFANTS STATEWIDE. - MANY FAMILIES IN WISCONSIN ARE NOT RECEIVING SUFFICIENT PREVENTATIVE CARE, SPECIFICALLY IN ORAL HEALTH, VACCINATIONS AND LEAD TESTING. - FAMILIES ARE NOT RECEIVING THE EQUITABLE SUPPORT NECESSARY FOR OPTIMIZING CHILDREN'S DEVELOPMENT AND EDUCATIONAL READINESS.STRATEGIC INITIATIVES - PRENATAL CARE: ENGAGE IN PURPOSEFUL PARTNERSHIPS TO LEVERAGE AND SUPPORT PRENATAL SERVICES. - PREVENTATIVE CARE: DECREASE THE DISPARITIES IN PREVENTATIVE SERVICES FOR ORAL HEALTH, VACCINES AND LEAD BEGINNING IN INFANCY BY PRIORITIZING COMMUNITY-SPECIFIC, INNOVATIVE SOLUTIONS. - ACCESS TO CARE/EARLY INTERVENTION: SUPPORT FAMILIES WITH CULTURALLY APPROPRIATE NAVIGATION AND INTEGRATION OF CARE, WITH EARLY INTERVENTION AND SERVICES WHEN NEEDS ARE IDENTIFIED THROUGH DEVELOPMENTAL SCREENING.ANTICIPATED IMPACT: WE WILL INCREASE ACCESS TO PREVENTION, INTERVENTION AND TREATMENT SERVICES FOR ALL CHILDREN UNDER THE AGE OF 24 MONTHS.PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: CENTRALIZED LEAD CARE COORDINATION. CHILDREN'S WISCONSIN USES POPULATION DATA TO PROACTIVELY IDENTIFY KIDS WHO ARE AT RISK FOR ELEVATED LEAD LEVELS, AND WE TEST THOSE KIDS IN PRIMARY CARE VIA A FINGER PRICK. KIDS WITH ELEVATED LEAD LEVELS ARE REFERRED TO THE LAB FOR A BLOOD DRAW TO CONFIRM LEAD LEVELS AND ARE REFERRED TO SPECIALTY CARE IF THEY NEED TREATMENT. IN ADDITION, CHILDREN'S WISCONSIN REFERS KIDS WITH CONFIRMED ELEVATED LEAD LEVELS TO CITY AND OTHER COMMUNITY RESOURCES THAT OFFER FAMILIES ASSISTANCE IN IDENTIFYING AND MITIGATING THE SOURCE OF THE LEAD TOXICITY. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/PRIMARYCARE/LEAD-TESTINGCHILDREN'S HEALTH ALLIANCE OF WISCONSIN. HOUSED WITHIN CHILDREN'S WISCONSIN, THE ALLIANCE DEVELOPS INNOVATIVE CHILD HEALTH INITIATIVES IN PARTNERSHIP WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND IMPLEMENTS PROGRAMS PROVEN TO IMPACT ACCESS AND OUTCOMES. IT IS FOCUSED ON SIX INITIATIVES: EMERGENCY CARE, ENVIRONMENTAL HEALTH, GRIEF AND BEREAVEMENT (INCLUDING THE INFANT DEATH CENTER), INJURY PREVENTION AND DEATH REVIEW, MEDICAL HOME AND ORAL HEALTH. LEARN MORE: CHAWISCONSIN.ORG COMMUNITY CONNECTORS. CHILDREN'S WISCONSIN COMMUNITY CONNECTORS WORK ACROSS MILWAUKEE COUNTY WITH EXPECTANT MOMS OR PARENTS WHO HAVE CHILDREN AGES 0-5. THEY CONNECT FAMILIES WITH SUPPORTS SUCH AS POSITIVE PARENTING EDUCATION, STRESS MANAGEMENT, FAMILY ACTIVITIES AND OTHER NEEDED RESOURCES. LEARN MORE: DCF.WISCONSIN.GOV/CWPORTAL/CONNECTIONSCOUNTDREAM AND HOPE CLINICS. THE DEVELOPMENTALLY READY: ENGAGEMENT AND ACHIEVEMENT OF MILESTONES (DREAM) CLINIC ADDRESSES THE NEEDS OF INFANTS FROM CHILDREN'S WISCONSIN'S INTENSIVE CARE UNITS WHO HAVE SEVERE BRAIN INJURIES. THE HEALTHY OUTCOMES: POST-ICU ENGAGEMENT (HOPE) CLINIC SUPPORTS BABIES AND FAMILIES ONCE THEY GO HOME FROM OUR HOSPITAL TO ADDRESS INFANTS' CHANGING NEEDS OVER TIME. LEARN MORE: MCW.EDU/DEPARTMENTS/PEDIATRICS/ DIVISIONS/NEONATOLOGY/PATIENT-CAREFETAL CONCERNS CENTER OF WISCONSIN. A PARTNERSHIP BETWEEN CHILDREN'S WISCONSIN AND FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN, THE FETAL CONCERNS CENTER IS A NATIONAL LEADER IN FETAL CARE, RECOGNIZED FOR INNOVATIVE TREATMENTS THAT ARE GUIDED BY EXEMPLARY RESEARCH TO PRODUCE THE BEST OUTCOMES FOR A MOTHER AND HER FETUS. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/FETALCONCERNS-CENTERHEALTHY MOM HEALTHY BABY. CHORUS COMMUNITY HEALTH PLAN'S HEALTHY MOM, HEALTHY BABY PROGRAM HELPS PREGNANT WOMEN GET THE SUPPORT AND SERVICES THEY NEED TO HAVE A HEALTHY PREGNANCY AND BABY. A HEALTH PLAN MEMBER MAY RECEIVE SERVICES IN HER HOME OR OVER THE PHONE FROM SOCIAL WORKERS OR NURSES WHO ARE SPECIALLY TRAINED IN MATERNAL/INFANT HEALTH. THIS PROGRAM ALSO OFFERS HIGH-RISK PREGNANCY SERVICES AND BREASTFEEDING SUPPORT BY CERTIFIED LACTATION CONSULTANTS.HEALTHY START. THIS PROGRAM THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION IS DESIGNED TO IMPROVE ACCESS TO QUALITY HEALTH CARE AND SERVICES FOR WOMEN, INFANTS, CHILDREN AND MALE PARTNERS THROUGH OUTREACH, CARE COORDINATION, HEALTH EDUCATION AND CONNECTIONS TO HEALTH INSURANCE. HEALTHY START WORKS TO IMPROVE HEALTH OUTCOMES BEFORE, DURING AND AFTER PREGNANCY, AND REDUCE RACIAL/ETHNIC DIFFERENCES IN RATES OF INFANT DEATH AND ADVERSE PERINATAL OUTCOMES. LEARN MORE: MILWAUKEEHEALTHYSTART.ORGHOME VISITING. TRAINED PARENT EDUCATORS PROVIDE IN-HOME PARENT EDUCATION, SUPPORT, COMMUNITY RESOURCES AND CHILD DEVELOPMENT SERVICES TO PREGNANT AND PARENTING FAMILIES. THIS PROGRAM PROMOTES SAFE SLEEP, POSITIVE CHILD DEVELOPMENT AND EARLY SCHOOL READINESS USING AN EVIDENCE-BASED MODEL THAT IS FAMILY-CENTERED, CULTURALLY SENSITIVE AND STRENGTH BASED. LEARN MORE: CHILDRENSWI.ORG/CHILDRENS-AND-THECOMMUNITY/FAMILIES-AND-CLIENTS/PARENTINGRESOURCES/HOME-VISITINGNEONATOLOGY/NEONATAL INTENSIVE CARE UNIT. CHILDREN'S WISCONSIN IS ONE OF THE REGION'S TOP PROVIDERS OF CARE FOR UNBORN BABIES AND NEWBORNS WITH COMPLEX MEDICAL AND SURGICAL NEEDS. OUR MILWAUKEE NEONATAL INTENSIVE CARE UNIT (NICU) THE STATE'S FIRST AND LARGEST LEVEL IV NICU CARES FOR OVER 800 PREMATURE AND CRITICALLY ILL NEWBORNS EVERY YEAR. IN ADDITION, OUR HOSPITAL IN NEENAH HAS A 22-BED LEVEL III NICU THAT SERVES THE GREATER FOX VALLEY COMMUNITY.WISCONSIN BIRTH TO 3 PROGRAM. THIS STATEWIDE EARLY INTERVENTION PROGRAM OFFERS SERVICES AND SUPPORTS FOR CHILDREN UNDER AGE 3 WHO HAVE DELAYS OR DISABILITIES. LEARN MORE: DHS.WISCONSIN.GOV/BIRTHTO3(CONTINUED ON PAGE 62) CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 16J: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING STATEMENTS, MYCHART AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO CHILDREN'S HOSPITAL. THE FULL WRITTEN POLICY IS AVAILABLE ON OUR WEBSITE AND UPON REQUEST. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS. CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 16J: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING STATEMENTS, MYCHART AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO CHILDREN'S HOSPITAL. THE FULL WRITTEN POLICY IS AVAILABLE ON OUR WEBSITE AND UPON REQUEST. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS. CHILDREN'S HOSPITAL OF WI-MILWAUKEE PART V, SECTION B, LINE 20E: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING STATEMENTS, MYCHART AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO THE HOSPITAL. PRIOR TO REFERRING AN ACCOUNT TO A COLLECTION AGENCY OR UNDERTAKING ANY EXTRAORDINARY COLLECTION ACTIONS, CHILDREN'S HOSPITAL WILL MAKE EFFORTS TO COLLECT AMOUNTS DUE, INCLUDING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP. AS OUTLINED IN CHILDREN'S WISCONSIN POLICY "BILLING AND COLLECTIONS FOR SELF-PAY AMOUNTS", AT LEAST 4 BILLING STATEMENTS ARE SENT OVER A PERIOD OF 120 DAYS. CHILDREN'S HOSPITAL MAKES EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED. CHILDREN'S HOSPITAL OF WI-FOX VALLEY PART V, SECTION B, LINE 20E: CHILDREN'S HOSPITAL INFORMS THE PUBLIC OF THE AVAILABILITY OF THE FAP VIA ITS WEBSITE, BILLING STATEMENTS, MYCHART AND AT VARIOUS LOCATIONS THROUGHOUT CHILDREN'S HOSPITAL'S FACILITIES. ADDITIONALLY, PATIENT FAMILIES ARE GIVEN A PLAIN LANGUAGE SUMMARY UPON ADMISSION TO THE HOSPITAL. PRIOR TO REFERRING AN ACCOUNT TO A COLLECTION AGENCY OR UNDERTAKING ANY EXTRAORDINARY COLLECTION ACTIONS, CHILDREN'S HOSPITAL WILL MAKE EFFORTS TO COLLECT AMOUNTS DUE, INCLUDING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP. AT LEAST 3 BILLING STATEMENTS ARE SENT OVER A PERIOD OF 120 DAYS. CHILDREN'S HOSPITAL MAKES EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED. PART V, SECTION B, LINE 11 (CONTINUED): PRIORITY #2: MENTAL AND BEHAVIORAL HEALTHAT CHILDREN'S WISCONSIN, WE BELIEVE CARING FOR A CHILD'S DEVELOPMENTAL, MENTAL AND BEHAVIORAL HEALTH IS JUST AS IMPORTANT AS CARING FOR THEIR PHYSICAL HEALTH. KIDS ACROSS WISCONSIN ARE FACING A MENTAL AND BEHAVIORAL HEALTH CRISIS - AND THE COVID-19 PANDEMIC ONLY EXACERBATED CHILDREN AND ADOLESCENTS' RATES OF ANXIETY, DEPRESSION AND BEHAVIORAL PROBLEMS. THIS IS A CHALLENGE THAT AFFECTS KIDS ACROSS DEMOGRAPHICS AND IN EVERY ZIP CODE, BUT SOCIAL DETERMINANTS OF HEALTH CAN ALSO INFLUENCE MENTAL AND BEHAVIORAL HEALTH RISKS AND OUTCOMES. A FAMILY'S FINANCIAL STRESS, TRANSPORTATION CHALLENGES, UNSAFE LIVING CONDITIONS OR OTHER FACTORS CAN TAKE A TOLL ON A CHILD'S MENTAL AND BEHAVIORAL HEALTH AND MAKE IT MORE DIFFICULT FOR FAMILIES TO GET TIMELY AND REGULAR ACCESS TO CARE. TO ADDRESS THIS URGENT COMMUNITY NEED, CHILDREN'S WISCONSIN HAS MADE IT A SYSTEMWIDE PRIORITY TO DETECT NEEDS SOONER, REDUCE STIGMA, AND IMPROVE ACCESS TO CARE FOR KIDS WITH MENTAL AND BEHAVIORAL HEALTH NEEDS.KEY CONCERNS- FAMILIES HAVE DIFFICULTY NAVIGATING COMPLEX SYSTEMS TO OBTAIN AFFORDABLE, EQUITABLE, TIMELY AND CULTURALLY RELEVANT MENTAL AND BEHAVIORAL HEALTH SERVICES.- STUDENTS ARE EXPERIENCING GREATER LEVELS OF STRESS, ANXIETY AND DEPRESSION.- CHILDREN AND ADOLESCENTS REPORT FEELING DISCONNECTED FROM ADULTS AND PEERS. STRATEGIC INITIATIVES- EARLY DETECTION AND PREVENTION: GROW AND DEVELOP MORE WAYS TO DETECT DEVELOPMENTAL, MENTAL AND BEHAVIORAL HEALTH CONCERNS AT EVERY CONNECTION. PROVIDE KIDS THE TOOLS THEY NEED TO ACHIEVE AND SUSTAIN MENTAL WELLNESS.- REDUCE STIGMA: CHANGE THE CONVERSATION SO THAT MENTAL HEALTH IS ACCEPTED AS PART OF OVERALL HEALTH. PROMOTE POLICIES THAT SUPPORT KIDS AND FAMILIES IN GETTING BEHAVIORAL HEALTH CARE WHEN AND WHERE THEY NEED IT. - INCREASED AND EQUITABLE ACCESS: MEET KIDS AND FAMILIES WHERE THEY ARE BY INTEGRATING ACCESSIBLE, AFFORDABLE AND EQUITABLE DEVELOPMENTAL, MENTAL AND BEHAVIORAL HEALTH CARE WHERE THEY LIVE, LEARN AND PLAY. - RESEARCH AND EDUCATION: INFLUENCE AND ADVANCE DEVELOPMENTAL, MENTAL AND BEHAVIORAL HEALTH RESEARCH TO IMPROVE OUTCOMES FOR KIDS AND FAMILIES. EDUCATE AND DEVELOP THE NEXT GENERATION OF THE WORKFORCE TO PROVIDE THE BEST EVIDENCE-BASED CARE.ANTICIPATED IMPACT: INCREASED ACCESS TO MENTAL AND BEHAVIORAL HEALTH PREVENTION, INTERVENTION AND TREATMENT SERVICES FOR ALL CHILDREN.PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: CHILD PSYCHIATRY CONSULTATION PROGRAM. TO HELP ADDRESS THE STATEWIDE SHORTAGE OF CHILD PSYCHIATRISTS, THIS ON-CALL MENTAL AND BEHAVIORAL HEALTH CONSULTATION SERVICE PROVIDES ONGOING EDUCATION AND CONSULTATION TO PRIMARY CARE PROVIDERS ON BEHAVIORAL HEALTH ISSUES. THIS HELPS PRIMARY CARE PROVIDERS TREAT KIDS WITH MENTAL AND BEHAVIORAL HEALTH ISSUES IN THEIR MEDICAL HOMES SO THAT KIDS CAN MORE QUICKLY GET THE TREATMENT THEY NEED. LEARN MORE: WICPCP.ORGCRAIG YABUKI MENTAL HEALTH WALK-IN CLINIC. A FIRST-OF-ITS-KIND IN THE STATE, THE CLINIC IS OPEN SEVEN DAYS A WEEK TO PROVIDE IMMEDIATE SUPPORT TO KIDS AGES 5-18 WITH URGENT MENTAL HEALTH NEEDS. THE CLINIC HELPS SERVE A GROWING POPULATION SINCE 2020, CHILDREN'S HAS SEEN A 40 PERCENT INCREASE IN EMERGENCY VISITS FOR MENTAL HEALTH REASONS. EMERGENCY CASES ARE STILL REFERRED TO THE HOSPITAL'S EMERGENCY DEPARTMENT AND TRAUMA CENTER, WHERE A BEHAVIORAL HEALTH CRISIS TEAM IS AVAILABLE TO HELP KIDS IN CRISIS 24/7. LEARN MORE: CHILDRENSWI.ORG/LOCATION-DIRECTORY/ LOCATIONS/URGENT-CARE/CRAIG-YABUKI-MENTAL-HEALTHWALK-IN-CLINIC EARLY CHILDHOOD MENTAL HEALTH SERVICES. EVEN INFANTS AND YOUNG CHILDREN CAN HAVE BEHAVIORAL OR EMOTIONAL PROBLEMS, BUT EARLY INVENTION CAN BE THE START OF GOOD MENTAL HEALTH AND WELL-BEING FOR THE REST OF THEIR LIVES. THE CHILDREN'S WISCONSIN TEAM INCLUDES SPECIALISTS WHO ARE TRAINED TO WORK WITH INFANTS AND CHILDREN UNDER AGE 5, OFFERING SERVICES SUCH AS EARLY CHILDHOOD MENTAL HEALTH ASSESSMENTS, CHILD-PARENT PSYCHOTHERAPY, PLAY THERAPY AND PARENT-CHILD INTERACTION THERAPY. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/MENTALAND-BEHAVIORAL-HEALTH/WAYS-WE-CAN-HELP/EARLYCHILDHOOD-MENTAL-HEALTHINTEGRATED MENTAL AND BEHAVIORAL HEALTH CARE. CHILDREN'S WISCONSIN HAS EMBARKED ON THE LARGEST-SCALE IMPLEMENTATION OF INTEGRATED MENTAL AND BEHAVIORAL HEALTH IN ANY PEDIATRIC SETTING. WITH FUNDRAISING SUPPORT FROM THE CHANGE THE CHECKUP CHALLENGE, CHILDREN'S HIRED NEW THERAPISTS WHO WORK SIDE BY SIDE WITH OUR PEDIATRICIANS, INTEGRATING MENTAL AND BEHAVIORAL HEALTH INTO ROUTINE VISITS AT CHILDREN'S LOCATIONS ACROSS THE REGION. WHEN FULLY STAFFED BY THE END OF 2023, THIS PROGRAM HAS THE POTENTIAL TO REACH EVERY CHILD IN OUR CARE 1 IN 3 KIDS IN SOUTHEASTERN WISCONSIN. LEARN MORE: CHILDRENSWI.ORG/NEWSHUB/STORIES/ INTEGRATED-BEHAVIORAL-HEALTH MENTAL AND BEHAVIORAL HEALTH WORKFORCE DEVELOPMENT. CHILDREN'S WISCONSIN IS TRANSFORMING OUR ORGANIZATIONAL STRUCTURE AND TRAINING MODELS TO CREATE A ROBUST PIPELINE OF NEW INTEGRATED MENTAL AND BEHAVIORAL HEALTH PROVIDERS TO ALLEVIATE WAIT TIMES, MEET THE GROWING NEEDS OF THE COMMUNITY, AND DETECT MENTAL AND BEHAVIORAL HEALTH PROBLEMS BEFORE THEY ESCALATE. THE THERAPIST FELLOWSHIP PROGRAM IS ONE EXAMPLE: IT SUPPORTS MASTER'S LEVEL THERAPISTS WITH PAY AND BENEFITS WHILE THEY COMPLETE THEIR REQUIRED CLINICAL HOURS, SIGNIFICANTLY DECREASING THE TIME IT TAKES THEM TO ACHIEVE LICENSURE. LEARN MORE: CHILDRENSWI.ORG/NEWSHUB/STORIES/ THERAPIST-FELLOWSHIP-PROGRAM-MARISKASCHOOL AND FAMILY MINDFULNESS AND HEALTHY MINDS E-LEARNING. CHILDREN'S WISCONSIN'S FUN AND ENGAGING E-LEARNING PROGRAMS INSPIRE STUDENTS AND THEIR FAMILIES TO LEAD HEALTHIER LIVES, BOTH PHYSICALLY AND EMOTIONALLY. OFFERED AT NO COST TO SCHOOLS ACROSS WISCONSIN, THESE PROGRAMS MEET NATIONAL HEALTH EDUCATION STANDARDS AND WERE DEVELOPED USING EVIDENCE-BASED RESEARCH AND COMMUNITY INPUT. TOPICS INCLUDE BULLYING PREVENTION, SUBSTANCE USE AND MENTAL AND EMOTIONAL HEALTH. LEARN MORE: HEALTHYKIDSLEARNMORE.COM SCHOOL-BASED MENTAL HEALTH SERVICES. CHILDREN'S WISCONSIN SUPPORTS SCHOOL-BASED MENTAL HEALTH IN NEARLY 70 SCHOOLS THROUGHOUT WISCONSIN. DURING THE PANDEMIC, THIS PROGRAM ADOPTED DIGITAL TOOLS TO ALLOW STAFF TO CONTINUE TO SUPPORT KIDS THROUGH DIGITAL VISITS. THIS APPROACH INCREASES ACCESS TO EARLY INTERVENTION BY TREATING KIDS QUICKLY IN A COMFORTABLE, ACCESSIBLE SETTING THAT FAMILIES ALREADY KNOW AND TRUST. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/ MENTAL-AND-BEHAVIORAL-HEALTH/WAYS-WE-CANHELP/SCHOOL-BASED-MENTAL-HEALTH SHINE THROUGH CAMPAIGN. TO REDUCE STIGMA, CHILDREN'S WISCONSIN HAS WORKED TO RAISE AWARENESS OF THE MENTAL AND BEHAVIORAL HEALTH CRISIS FACING OUR KIDS. CHILDREN'S CREATED THE SHINE THROUGH WEBSITE WITH RESOURCES TO EDUCATE AND SUPPORT FAMILIES, AND WE LEVERAGED MEDIA AND ADVERTISING AND CHILDREN'S STRONG PLATFORM OF TRUST AS A COMMUNITY LEADER TO START A PUBLIC CONVERSATION AROUND PEDIATRIC MENTAL AND BEHAVIORAL HEALTH. LEARN MORE: SHINETHROUGH.CHILDRENSWI.ORG UNIVERSAL SCREENING FOR MENTAL HEALTH. MENTAL HEALTH SCREENING AT ROUTINE APPOINTMENTS IS CRUCIAL TO IDENTIFYING ISSUES BEFORE THEY BECOME A CRISIS. DEPRESSION SCREENING HAS BEEN INTEGRATED INTO STANDARD PRACTICES AT ALL CHILDREN'S WISCONSIN PRIMARY CARE OFFICES, WITH NEARLY 85 PERCENT OF ALL ELIGIBLE KIDS AGE 12 AND OLDER SCREENED. ALL KIDS WHOSE SCREENS ARE POSITIVE ARE REFERRED FOR FOLLOW-UP CARE. THE CHILDREN'S WISCONSIN EMERGENCY DEPARTMENT AND TRAUMA CENTER (EDTC) ALSO USES A SUICIDE SCREENING TOOL. LEARN MORE: CHILDRENSWI.ORG/NEWSHUB/STORIES/ MENTAL-HEALTH-DEPRESSION-SCREENINGPRIORITY #3: SAFETY AND VIOLENCEEVERY CHILD DESERVES TO BE SAFE AND SECURE FROM PHYSICAL, MENTAL AND EMOTIONAL HARM. UNFORTUNATELY, THAT'S NOT THE REALITY FOR EVERY CHILD ABUSE AND NEGLECT, BULLYING, COMMUNITY VIOLENCE AND ACCIDENTAL INJURIES CAN THREATEN A CHILD'S HEALTH AND WELL-BEING. SOME INJURIES REQUIRE PHYSICAL HEALING OVER A SHORTER PERIOD OF TIME, WHILE OTHERS SET THE STAGE FOR LONG-TERM TRAUMA, CREATING COMPOUNDING ADVERSE OUTCOMES FOR A CHILD'S PHYSICAL AND MENTAL HEALTH. MANY SOCIAL AND ENVIRONMENTAL FACTORS CAN AFFECT A CHILD'S SAFETY, INCLUDING FAMILY FINANCIAL STRESS, ADULT SUBSTANCE ABUSE, ADULT MENTAL HEALTH AND NEIGHBORHOOD VIOLENCE. CHILDREN'S WISCONSIN IS COMMITTED TO PREVENTING VIOLENCE AND ACCIDENTAL INJURIES WHEREVER CHILDREN AND ADOLESCENTS LIVE, LEARN AND PLAY AND DELIVERING TRAUMA-INFORMED CARE AND EXPANDED COMMUNITY-BASED SERVICES TO HELP KIDS RECOVER AND THRIVE AFTER A CHALLENGING EXPERIENCE.(CONTINUED ON PAGE 68) PART V, SECTION B, LINE 11 (CONTINUED): KEY CONCERNS - YOUNG CHILDREN EXPERIENCE THE HIGHEST RATES OF CHILD MALTREATMENT COMPARED TO CHILDREN OF OLDER AGES, WITH CHILDREN IN MILWAUKEE VICTIMIZED AT CONSISTENTLY HIGHER RATES THAN THE REST OF THE STATE.- ONE IN THREE MIDDLE SCHOOL STUDENTS IN MILWAUKEE AND THE FOX VALLEY REPORT EXPERIENCING BULLYING AT SCHOOL. - FIREARMS ARE AMONG THE FIVE LEADING CAUSES OF DEATH FOR CHILDREN AND ADOLESCENTS IN THE FOX VALLEY AND MILWAUKEE, WITH MILWAUKEE FIREARM HOMICIDES TRIPLING BETWEEN 2019-2020.STRATEGIC INITIATIVES - EARLY DETECTION: ESTABLISH SYSTEMATIC SCREENING TO FACILITATE EARLY DETECTION OF CHILD SAFETY RISKS. - FAMILY SUPPORT: CONNECT FAMILIES TO INTERNAL AND EXTERNAL HOLISTIC SERVICES THAT STRENGTHEN FAMILY RELATIONSHIPS AND SOCIAL SUPPORT SYSTEMS.- COMMUNITY PARTNERSHIPS: STRENGTHEN COMMUNITY PARTNERSHIPS TO ENHANCE THE SAFETY OF YOUTH AND FAMILIES.ANTICIPATED IMPACT: INCREASED ACCESS TO SAFETY AND VIOLENCE PREVENTION, INTERVENTION, TREATMENT AND SUPPORTIVE HEALING SERVICES FOR ALL CHILDREN.PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: ANTI-SEX TRAFFICKING. CHILDREN'S WISCONSIN IS AN ACTIVE PARTNER WITH THE HEALTHCARE COLLABORATIVE AGAINST SEX TRAFFICKING, AND OUR STAFF HAVE LED ONLINE TRAININGS THROUGH THE WISCONSIN CHILD ABUSE NETWORK ON SEX TRAFFICKING IN MINORS AND DEVELOPING COMMUNITY AND SURVIVOR INFORMED RESPONSES TO HUMAN TRAFFICKING. LEARN MORE: WICHILDABUSENETWORK.ORG AND HCASTMILW.ORG AWARENESS TO ACTION. THIS STATEWIDE PROGRAM EDUCATES AND ADVOCATES FOR ADULTS TO TAKE ACTION TO PREVENT CHILD SEXUAL ABUSE. EDUCATION INCLUDES RESOURCES FOR ADULTS ON HEALTHY SEXUAL DEVELOPMENT AND HOW TO DISCUSS SEXUAL DEVELOPMENT WITH CHILDREN. LEARN MORE: A2AWISCONSIN.ORGCHILD ADVOCACY CENTERS (CAC).THESE CENTERS BRING TOGETHER MULTIDISCIPLINARY PARTNERS IN CHILD MALTREATMENT INVESTIGATIONS TO PROVIDE COMPREHENSIVE, ON-SITE MEDICAL, FORENSIC INTERVIEW AND ADVOCACY SERVICES FOR CHILDREN AND FAMILIES THROUGH TEN STATEWIDE LOCATIONS. BY BRINGING TOGETHER PROFESSIONALS FROM LAW ENFORCEMENT, CRIMINAL JUSTICE, CHILD PROTECTIVE SERVICES, VICTIM ADVOCACY AGENCIES AND THE MEDICAL AND MENTAL HEALTH COMMUNITIES, CACS PROVIDE COMPREHENSIVE SERVICES FOR CHILD VICTIMS AND THEIR FAMILIES. THE COMPREHENSIVE REVIEW PROCESS MINIMIZES TRAUMA AND HELPS TO BREAK THE CYCLE OF ABUSE AS WELL AS INCREASE PROSECUTION RATES FOR PERPETRATORS. LEARN MORE: CHILDRENSWI.ORG/CHILDRENS-AND-THECOMMUNITY/COMMUNITY-PARTNERS-PROFESSIONALS/ CHILD-ADVOCACY-AND-PROTECTION/CHILD-ADVOCACYCENTERS CHILDREN'S SAFETY CENTER. THIS CENTER PROVIDES EDUCATION AND RESOURCES TO FAMILIES TO KEEP KIDS AND TEENS OF ALL AGES SAFE FROM INJURY, WITH INFORMATION ON CARS AND BOOSTER SEATS, TEEN DRIVING, BIKES AND HELMETS, PEDESTRIAN SAFETY, PLAY AND SPORTS SAFETY, POISON PREVENTION, FIRE SAFETY AND MORE. LEARN MORE: CHILDRENSWI.ORG/CHILDRENS-AND-THECOMMUNITY/FAMILIES-AND-CLIENTS/SAFETY-CENTER PERIOD OF PURPLE CRYING. PERIOD OF PURPLE CRYING IS AN EVIDENCE-BASED INFANT ABUSE PREVENTION PROGRAM THAT EDUCATES PARENTS AND CAREGIVERS ABOUT NORMAL INFANT CRYING AND THE DANGERS OF SHAKING AN INFANT. PARENTS AND CAREGIVERS ARE REACHED THROUGH CHILDREN'S WISCONSIN NEONATAL INTENSIVE CARE UNITS, EMERGENCY ROOM, PRIMARY CARE CLINICS AND URGENT CARE LOCATIONS. LEARN MORE: PURPLECRYING.INFO AND CHILDRENSWI.ORG/ NEWSHUB/STORIES/NEWBORN-CRYING-WHAT-IS-NORMAL PREVENT CHILD ABUSE WISCONSIN. A PROGRAM OF CHILDREN'S WISCONSIN, PREVENT CHILD ABUSE WISCONSIN BUILDS COMMUNITY RESOURCES, PROVIDES TRAINING AND PUBLIC AWARENESS, AND CARRIES OUT ADVOCACY ACTIVITIES IN ORDER TO STRENGTHEN CHILD ABUSE PREVENTION EFFORTS IN THE STATE. IT ALSO HOSTS THE ANNUAL TOGETHER FOR CHILDREN CONFERENCE. LEARN MORE: CHILDRENSWI.ORG/CHILDRENS-AND-THECOMMUNITY/COMMUNITY-PARTNERS-PROFESSIONALS/ CHILD-ABUSE-PREVENTION/PREVENT-CHILD-ABUSEWISCONSIN PROJECT UJIMA. SINCE 1996, PROJECT UJIMA HAS WORKED TO STOP THE CYCLE OF VIOLENT CRIMES THROUGH CRISIS INTERVENTION AND CASE MANAGEMENT, SOCIAL AND EMOTIONAL SUPPORT, YOUTH DEVELOPMENT AND MENTORING, MENTAL HEALTH, AND MEDICAL SERVICES FOR YOUNG PEOPLE AND THEIR FAMILIES WHO HAVE BEEN AFFECTED BY VIOLENCE. PROJECT UJIMA PROVIDES CRIME VICTIM ADVOCATES, NURSES, MENTAL HEALTH COORDINATORS AND THERAPISTS WHO HELP PATIENTS AND THEIR FAMILIES PROCESS THE TRAUMA THEY'VE EXPERIENCED AND CONNECT THEM WITH RESOURCES AND SUPPORTS. LEARN MORE: CHILDRENSWI.ORG/CHILDRENS-AND-THECOMMUNITY/FAMILIES-AND-CLIENTS/FAMILY-SUPPORTSERVICES/VIOLENCE-PREVENTION-COUNSELINGSCHOOL AND FAMILY E-LEARNING (ACT NOW!). CHILDREN'S FUN AND ENGAGING E-LEARNING PROGRAMS INSPIRE STUDENTS AND THEIR FAMILIES TO LEAD HEALTHIER LIVES, BOTH PHYSICALLY AND EMOTIONALLY. OFFERED AT NO COST TO SCHOOLS ACROSS WISCONSIN, THESE PROGRAMS MEET NATIONAL HEALTH EDUCATION STANDARDS AND WERE DEVELOPED USING EVIDENCE BASED RESEARCH AND COMMUNITY INPUT. ACT NOW! INCREASES AWARENESS ABOUT BULLYING AMONG STUDENTS, EDUCATORS AND FAMILIES AND GIVES STUDENTS THE GRADE-APPROPRIATE SKILLS THEY NEED TO PREVENT AND STOP IT. LEARN MORE: HEALTHYKIDSLEARNMORE.COM WISCONSIN POISON CENTER. THIS CHILDREN'S WISCONSIN-BASED CENTER PROVIDES 24-HOUR, TOLL-FREE POISON INFORMATION TO CHILDREN AND ADULTS ACROSS THE STATE, AS WELL AS ONLINE SOURCES TO SUPPORT POISON PREVENTION. LEARN MORE: WISCONSINPOISON.ORG PARTNERS IN COMMUNITY HEALTH PRIORITY #4: SOCIAL DETERMINANTS OF HEALTHACROSS OUR COMMUNITY, CHILDREN AND ADOLESCENTS CAN LIVE JUST BLOCKS APART FROM ONE ANOTHER AND HAVE VERY DIFFERENT EXPERIENCES WITH FACTORS THAT DIRECTLY IMPACT THEIR HEALTH AND WELL-BEING. THE PHYSICAL ENVIRONMENT, ACCESS TO HEALTH CARE, QUALITY OF CARE, FAMILY AND SOCIAL SUPPORT, AND SOCIOECONOMIC FACTORS WHAT WE CALL THE SOCIAL DETERMINANTS OF HEALTH PLAY A SIGNIFICANT ROLE IN SHAPING A CHILD'S HEALTH IN THE SHORT TERM AND OVER THEIR LIFETIME. WHEN A CHILD HAS REGULAR ACCESS TO NUTRITIOUS FOOD, A SAFE LIVING ENVIRONMENT, QUALITY EDUCATION AND MORE, IT IMPROVES THEIR PHYSICAL, MENTAL AND BEHAVIORAL HEALTH. AT CHILDREN'S WISCONSIN, WE RECOGNIZE THAT WE CANNOT ACHIEVE OUR VISION OF MAKING WISCONSIN KIDS THE HEALTHIEST IN THE NATION UNLESS WE ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND THEIR ROLE IN DRIVING HEALTH INEQUITIES. WE CONTINUE TO WORK WITH OUR COMMUNITY PARTNERS AND FAMILIES TO REMOVE BARRIERS TO HEALTH AND WELL-BEING AND ENSURE THAT ALL WISCONSIN KIDS HAVE THE RESOURCES THEY NEED TO THRIVE.KEY CONCERNS - A FAMILY'S SOCIAL BARRIERS TO REACHING THEIR FULL HEALTH POTENTIAL ARE NOT FULLY UNDERSTOOD OR ADDRESSED.- FAMILIES HAVE DIFFICULTY NAVIGATING TO COMMUNITY-BASED RESOURCES, WHICH CAN SIGNIFICANTLY ENHANCE QUALITY OF LIFE AND HEALTH OUTCOMES. - CHILDREN AND ADOLESCENTS WITH FOOD INSECURITY, HOUSING INSTABILITY AND TRANSPORTATION BARRIERS EXPERIENCE INCREASED RISK OF POOR HEALTH OUTCOMES.STRATEGIC INITIATIVES - EARLY DETECTION: IMPLEMENT UNIVERSAL SCREENING FOR ALL FAMILIES SO WE CAN IDENTIFY SOCIAL NEEDS AS SOON AS POSSIBLE. - NO WRONG DOOR: LEVERAGE A SYSTEM-WIDE RESPONSE TO CONNECTING FAMILIES TO SOCIAL AND BASIC NEEDS BY INTEGRATING AND EXPANDING CHILDREN'S WISCONSIN'S EXISTING PROGRAMS.- PARTNERSHIPS: BUILD INTENTIONAL COMMUNITY PARTNERSHIPS WITH COMMUNITY RESOURCES ADDRESSING THREE PREVALENT SOCIAL NEEDS FOR CHILDREN - FOOD, HOUSING AND TRANSPORTATIONANTICIPATED IMPACT: INCREASED ACCESS TO SCREENING AND CONNECTION TO PREVENTION, INTERVENTION AND SOCIAL NEEDS SERVICES FOR ALL CHILDREN.(CONTINUED ON PAGE 74) PART V, SECTION B, LINE 11 (CONTINUED): PROGRAMS AND SERVICES: CHILDREN'S WISCONSIN WILL CONTINUE TO IMPLEMENT THE FOLLOWING STRATEGIES IN ALIGNMENT AND PARTNERSHIP WITH OUR COMMUNITY: CHILDREN'S HEALTH ALLIANCE OF WISCONSIN'S MEDICAL HOME INITIATIVE. HOUSED WITHIN CHILDREN'S WISCONSIN, THE ALLIANCE DEVELOPS INNOVATIVE CHILD HEALTH INITIATIVES IN PARTNERSHIP WITH THE WISCONSIN DEPARTMENT OF HEALTH SERVICES AND IMPLEMENTS PROGRAMS PROVEN TO IMPACT ACCESS AND OUTCOMES. THE MEDICAL HOME INITIATIVE WORKS TO ENSURE MORE WISCONSIN CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS ARE SERVED WITHIN A MEDICAL HOME, WITH PROGRAMS DEDICATED TO DEVELOPMENTAL SCREENING, MENTAL HEALTH SCREENING, CARE COORDINATION, FAMILY ENGAGEMENT AND LEARNING COMMUNITIES. LEARN MORE: CHAWISCONSIN.ORG/INITIATIVES/MEDICALHOME/COMMUNITY HEALTH NAVIGATORS AND CONNECTORS. CHILDREN'S WISCONSIN IS PARTNERED WITH FIVE NEIGHBORHOODS ACROSS MILWAUKEE, ALIGNING OUR RESOURCES WITH COMMUNITY NEEDS. AS CERTIFIED COMMUNITY HEALTH WORKERS, COMMUNITY HEALTH NAVIGATORS AND COMMUNITY CONNECTORS HELP FAMILIES TO MEET BASIC NEEDS AND SUPPORT THEM AS THEY WORK TOWARD SELF-SUFFICIENCY, FOCUSING ON HOUSING, SAFETY, FINANCIAL MANAGEMENT, EDUCATION, SOCIAL SUPPORT, PARENTING AND HEALTH. LEARN MORE: DCF.WISCONSIN.GOV/CWPORTAL/ CONNECTIONSCOUNT DANIEL M. SOREF FAMILY RESOURCE CENTER. LOCATED AT OUR MILWAUKEE CAMPUS, THIS CENTER OFFERS PARENT-TO-PARENT SUPPORT, INFORMATION, REFERRALS AND HELP CONNECTING TO COMMUNITY RESOURCES. STAFF ARE TRAINED TO HELP CHILDREN, YOUNG ADULTS AND THEIR FAMILIES FIND ANSWERS TO QUESTIONS ABOUT LOCAL RESOURCES, SUPPORT GROUPS, FUNDING OPTIONS AND MORE. LEARN MORE: CHILDRENSWI.ORG/PATIENTS-AND-FAMILIES/ MILWAUKEE-CAMPUS/INPATIENT-VISIT/DURING-YOURSTAY/HOSPITAL-POINTS-OF-INTEREST/FAMILY-RESOURCECENTER HOUSING IS HEALTH. THE MILWAUKEE HEALTH CARE PARTNERSHIP LAUNCHED A HOUSING IS HEALTH INITIATIVE FOR HOMELESS PATIENTS RECEIVING CARE IN FOUR MILWAUKEE HOSPITALS, INCLUDING CHILDREN'S WISCONSIN. THE INITIATIVE INCORPORATES SOCIAL WORKERS OR NAVIGATORS WHO HELP PATIENTS SECURE TEMPORARY HOUSING, PROVIDE CASE MANAGEMENT AND AID IN THEIR ULTIMATE TRANSITION TO PERMANENT HOUSING STABILITY. LEARN MORE: MKEHCP.ORG/CARE-COORDINATION/ HOUSING-IS-HEALTH-CARE-NAVIGATION-FOR-HOMELESSPATIENTS/ NOURISHING PARTNERS PROGRAM. THE NOURISHING PARTNERS PROGRAM INCLUDES A VARIETY OF INITIATIVES SUPPORTED BY CHILDREN'S WISCONSIN IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS, VOLUNTEERS AND DONORS TO ADDRESS FOOD INSECURITY IN THE COMMUNITIES WE SERVE. INITIATIVES INCLUDE SCREENING CHILDREN'S WISCONSIN FAMILIES FOR FOOD INSECURITY AND PARTNERING WITH UPSTART KITCHEN IN MILWAUKEE'S SHERMAN PARK NEIGHBORHOOD TO DISTRIBUTE HEALTHY MEALS TO FAMILIES AT OUR MIDTOWN AND NEXT DOOR PEDIATRICS PRIMARY CARE CLINICS, AMONG OUR MANY OTHER COMMUNITY PARTNERSHIPS TO ADDRESS FOOD INSECURITY ISSUES. LEARN MORE: CHILDRENSWI.ORG/CHILDRENS-AND-THECOMMUNITY/FAMILIES-AND-CLIENTS/NOURISHINGPARTNERS-PROGRAM REGIONAL CENTERS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. CHILDREN'S WISCONSIN FACILITATES THE GRANT FOR THE STATE'S SOUTHEAST AND NORTHEAST CENTERS FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. THIS PROGRAM AIMS TO COLLABORATE WITH NATIONAL, STATE AND COMMUNITY-BASED PARTNERS TO LINK CHILDREN TO APPROPRIATE SERVICES, CLOSE SERVICE GAPS, REDUCE DUPLICATION AND DEVELOP POLICIES TO BETTER SERVE FAMILIES. LEARN MORE: SOUTHEASTREGIONALCENTER.ORG AND NORTHEASTREGIONALCENTER.ORGSOCIAL HEALTH NEEDS SCREENINGS. CHILDREN'S WISCONSIN HAS BEEN ACTIVELY ENGAGED IN SHARED LEARNING WITH MILWAUKEE HEALTH CARE PARTNERSHIP AND OTHER HEALTH CARE PROVIDERS ABOUT THE BEST PRACTICES AND OPPORTUNITIES FOR IMPLEMENTING SYSTEM-WIDE SCREENING FOR DETERMINANTS OF HEALTH. WE HAVE ALREADY IMPLEMENTED SCREENINGS IN MANY OF CHILDREN'S WISCONSIN'S COMMUNITY-BASED PROGRAMS, THE EMERGENCY DEPARTMENT AND TRAUMA CENTER, COMMUNITY HEALTH AND PRIMARY CARE PROGRAMS, AND MENTAL AND BEHAVIORAL HEALTH SERVICES. WITH AN UNDERSTANDING THAT UNMET BASIC NEEDS CAN BE BARRIERS FOR A CHILD TO REACH THEIR FULL HEALTH POTENTIAL, WE WILL CONTINUE TO LEARN AND SCALE OUR SCREENING AND RESPONSE TO A CHILD AND FAMILY'S SOCIAL NEEDS. LEARN MORE: CHILDRENSWI.ORG/NEWSHUB/STORIES/ FOOD-INSECURITY-PROGRAMSOME OF CHILDREN'S WISCONSIN'S STRATEGIES CUT ACROSS THE PRIORITY AREAS. THESE STRATEGIES AND COLLABORATIVE INITIATIVES ALSO PLAY AN IMPORTANT ROLE IN IMPROVING CHILDREN'S OVERALL HEALTH AND WELL-BEING.CHILDREN'S ADVOCACY NETWORK. THROUGH FEDERAL, STATE AND LOCAL ADVOCACY, CHILDREN'S WISCONSIN FOCUSES ON PUBLIC POLICIES THAT IMPROVE THE HEALTH OF CHILDREN AND HAVE A SIGNIFICANT IMPACT ON OUR COMMUNITIES. ALONG WITH VALUABLE PARTNER ORGANIZATIONS, CHILDREN'S WISCONSIN ADVOCATES FOR SEVERAL POLICIES RELATED TO THE IDENTIFIED PRIORITIES AND OTHER IMPORTANT TOPICS TO IMPROVE THE HEALTH AND WELL-BEING OF WISCONSIN KIDS AND FAMILIES. CHILDREN'S WISCONSIN ALSO OFFERS OPPORTUNITIES TO TAKE GRASSROOTS ACTION TO CONTACT LAWMAKERS THROUGH OUR CHILDREN'S ADVOCACY NETWORK. LEARN MORE: CHILDRENSWI.ORG/WAYS-TO-HELP/ ADVOCACY/CHILDRENS-ADVOCACY-NETWORK CHILDREN'S RESEARCH INSTITUTE. THE PIONEERING PHYSICIAN-SCIENTISTS, NURSESCIENTISTS, RESEARCHERS AND TECHNICIANS AT CHILDREN'S RESEARCH INSTITUTE (CRI) WORK COLLABORATIVELY TO SEEK ANSWERS TO THE TOUGHEST QUESTIONS IN PEDIATRIC MEDICINE AND PURSUE DISCOVERIES TO IMPROVE CARE AND QUALITY OF LIFE. SINCE ITS INCEPTION IN 2003, CRI HAS GROWN TO INCLUDE MORE THAN 150 RESEARCHERS IN OVER 15 SPECIALTIES. TOGETHER, THEY REPRESENT THE LARGEST CONCENTRATION OF PEDIATRIC RESEARCH IN THE REGION. LEARN MORE: CHILDRENSWI.ORG/MEDICALPROFESSIONALS/RESEARCHCHORUS COMMUNITY HEALTH PLANS. CREATED BY CHILDREN'S WISCONSIN, THIS INSURANCE OFFERING SERVES MORE THAN 130,000 CHILDREN AND ADULTS WHO ARE COVERED BY BADGERCARE PLUS, ENSURING THAT MORE FAMILIES GET ACCESS TO HIGH- QUALITY HEALTH CARE. CCHP FACILITATES A VARIETY OF HEALTH PROMOTION INITIATIVES FOR FAMILIES, INCLUDING A HEALTHY MOMS HEALTHY BABIES PRENATAL CARE PROGRAM, ASTHMA OUTREACH, OUT-OF-HOME CARE AND HEALTHY SHOPPING EDUCATION. LEARN MORE: CHORUSHEALTHPLANS.ORG COMMUNITY PARTNERSHIPS. COMMUNITY PARTNERSHIPS ARE KEY TO CHILDREN'S WISCONSIN'S OVERALL STRATEGY. WE REGULARLY WORK WITH ELECTED OFFICIALS, COMMUNITY LEADERS, FAMILIES, PHILANTHROPIC PARTNERS AND MORE. WE WILL CONTINUE TO IMPROVE OUR COLLABORATION WITH OUR COMMUNITY PARTNERS, ADVANCING THEIR CAPACITY, SHARING BEST PRACTICES AND DATA, AND REGULARLY SEEKING THEIR FEEDBACK SO WE CAN CONTINUE TO ENGAGE EFFECTIVELY AND MEANINGFULLY FOR THE COMMUNITIES WE SERVE. LEARN MORE: CHILDRENSWI.ORG/CHILDRENS-AND-THECOMMUNITY AND GIVING.CHILDRENSWI.ORG FAMILY CASE MANAGEMENT. CHILDREN'S WISCONSIN HAS A CONTRACT WITH THE WISCONSIN DEPARTMENT OF CHILDREN AND FAMILIES, THROUGH THE DIVISION OF MILWAUKEE CHILD PROTECTIVE SERVICES, TO PROVIDE ONGOING CASE MANAGEMENT SERVICES FOR FAMILIES WHOSE CHILDREN HAVE BEEN DETERMINED TO BE UNSAFE AND SUBSEQUENTLY REMOVED WHILE PARENTS WORK ON ENHANCING THEIR ABILITY TO PARENT SAFELY. ONE OF THE SERVICES OUR CASE MANAGERS PROVIDE IS A NEWBORN SAFETY BUNDLE, WHICH INCLUDES EDUCATION AND SCREENING FOR SAFE SLEEP ENVIRONMENTS. LEARN MORE: CHILDRENSWI.ORG/CHILDRENS-AND-THECOMMUNITY/COMMUNITY-PARTNERS-PROFESSIONALS/CHILD-WELFARE-SERVICES/FAMILY-CASE-MANAGEMENT INSTITUTE OF CHILD AND FAMILY WELLBEING. THE MISSION OF THE INSTITUTE IS TO IMPROVE THE LIVES OF CHILDREN AND FAMILIES COPING WITH AN OVERLOAD OF STRESS BY IMPLEMENTING EFFECTIVE PROGRAMS, CONDUCTING CUTTING-EDGE RESEARCH, ENGAGING COMMUNITIES AND PROMOTING SYSTEMS CHANGE. THE INSTITUTE IS A UNIQUE COMMUNITY-UNIVERSITY PARTNERSHIP BETWEEN CHILDREN'S WISCONSIN AND THE HELEN BADER SCHOOL OF SOCIAL WELFARE AT THE UNIVERSITY OF WISCONSIN-MILWAUKEE. LEARN MORE: UWM.EDU/ICFW SCHOOL NURSING. IT'S NOT ALWAYS EASY FOR CHILDREN TO GET THE HEALTH CARE THEY NEED. SCHOOL NURSES FILL A CRITICAL GAP BY MAKING SURE KIDS GET VISION AND HEARING SCREENS, CARE FOR CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA, AND HEALTH AND WELLNESS EDUCATION. THE FULL-TIME SCHOOL NURSES WORK WITHIN 10 PARTNER SCHOOLS IN MILWAUKEE AND HELP COORDINATE CARE WITH PHYSICIANS, SOCIAL WORKERS AND OTHER COMMUNITY RESOURCES. LEARN MORE: CHILDRENSWI.ORG/MEDICAL-CARE/PRIMARYCARE/PRIMARY-CARE-ACCESS/SCHOOL-NURSE-PROGRAM TRAUMA-INFORMED CARE. TRAUMA-INFORMED CARE IS ABOUT UNDERSTANDING HOW TRAUMA AFFECTS PEOPLE, THEIR BEHAVIOR, AND QUITE OFTEN, THEIR HEALTH. WE CONSIDER THE IMPACT THAT TRAUMA HAS ON KIDS, FAMILIES AND OUR WORKFORCE, AND WE PROVIDE THE TOOLS AND RESOURCES TO UNDERSTAND HOW CHRONIC STRESS AND TRAUMA IMPACT INDIVIDUALS AND TEAMS. LEARN MORE: CHILDRENSWI.ORG TRIPLE P. SHORT FOR POSITIVE PARENTING PROGRAM, TRIPLE P IS A UNIVERSAL ACCESS, EVIDENCE-BASED PROGRAM FOR CAREGIVERS OF CHILDREN AGES 0-12. IT AIMS TO INCREASE PARENT AND CAREGIVERS' KNOWLEDGE OF POSITIVE PARENTING TECHNIQUES. TRIPLE P REACHES PARENTS AND CAREGIVERS THROUGH FIVE 5 1 - CHILD ADVOCACY CENTER - FOX VALLEY 325 N COMMERCIAL ST SUITE 400 NEENAH WI 54956 PATIENT CARE SERVICES 2 - CHILD ADVOCACY CENTER - WAUKESHA 726 N EAST AVE WAUKESHA WI 53186 PATIENT CARE SERVICES 3 - CHILD ADVOCACY CENTER - GREEN BAY 503 S MONROE AVE GREEN BAY WI 54301 PATIENT CARE SERVICES 4 - LAKESHORE REGIONAL CHILD ADVOCACY CENTER 134 S FOSTER DRIVE SAUKVILLE WI 53080 PATIENT CARE SERVICES 5 - CHILDREN'S HOSP OF WI PT - BROWN DEER 4555 W SCHROEDER DRIVE SUITE 140 BROWN DEER WI 53223 PHYSICAL THERAPY SERVICES PART I, LINE 3C: CHILDREN'S HOSPITAL OF WISCONSIN, INC. ("CHILDREN'S HOSPITAL") USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY AT BOTH OF ITS HOSPITAL SITES. CHILDREN'S HOSPITAL IS DEDICATED TO ENSURING THAT PATIENTS RECEIVE ALL MEDICALLY NECESSARY CARE. IN FURTHERANCE OF THAT OBJECTIVE, CHILDREN'S HOSPITAL MAINTAINS A FINANCIAL ASSISTANCE POLICY ("FAP"), PURSUANT TO WHICH CHILDREN'S HOSPITAL PROVIDES DISCOUNTED OR FREE CARE TO PATIENTS WHO ARE UNINSURED OR OTHERWISE UNABLE TO PAY ALL OR A PORTION OF THEIR BILLED CHARGES. THE POLICY GENERALLY PROVIDES THAT ELIGIBILITY IS DETERMINED BASED ON HOUSEHOLD INCOME AND FAMILY SIZE, AND SPECIFICALLY INCORPORATES CRITERIA SET FORTH UNDER THE FEDERAL POVERTY GUIDELINES. PART I, LINE 6A: CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE SOLE CORPORATE MEMBER OF CHILDREN'S HOSPITAL, PREPARES A COMMUNITY BENEFIT REPORT ON BEHALF OF BOTH OF THE HOSPITALS AND ITS AFFILIATES. THE REPORT IS FILED WITH THE WISCONSIN HOSPITAL ASSOCIATION AND IS ALSO AVAILABLE ON CHILDREN'S HOSPITAL'S WEBSITE OR UPON REQUEST. PART I, LINE 7: CHILDREN'S HOSPITAL USED A COST-TO-CHARGE RATIO, DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, TO CALCULATE THE AMOUNTS REPORTED IN LINES 7A AND 7B FOR CHARITY CARE AT COST AND UNREIMBURSED MEDICAID. FOR LINES 7E, 7F, 7G, 7H, AND 7I, THE HOSPITAL USED COSTS FROM ITS ACCOUNTING SYSTEM. FOR LINE 7G, THE COSTS FROM THE ACCOUNTING SYSTEM WERE ADJUSTED FOR MEDICAID AND CHARITY CARE PATIENTS, AS THE COST RELATED TO THESE PATIENTS WAS TAKEN INTO ACCOUNT IN LINES 7A AND 7B. THE WISCONSIN MEDICAID PROGRAM PROVIDES COVERAGE FOR THE VAST MAJORITY OF CHILDREN WHO REQUIRE MEDICAL CARE BUT ARE UNINSURED OR UNDERINSURED. HOSPITAL REPRESENTATIVES WORK EXTENSIVELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND THE AVAILABILITY OF STATE AID AND TO ASSIST THEM IN ENROLLING IN THE PROGRAM THAT PROVIDES THE PATIENT WITH THE GREATEST BENEFIT. FOR THAT REASON, THE AMOUNT OF CHARITY CARE RENDERED BY THE HOSPITAL IS CONSIDERABLY SMALLER THAN LEVELS EXPERIENCED BY COMMUNITY HOSPITALS OR OTHER FACILITIES SERVING THE ADULT POPULATION. PART I, LINE 7G: CHILDREN'S HOSPITAL INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G $9,210,642 PAID TO CHILDREN'S MEDICAL GROUP, INC. ("CMG"), WHICH IS A SECTION 501(C)(3) ORGANIZATION AND AN AFFILIATE OF THE HOSPITAL THAT PROVIDES PRIMARY CARE PHYSICIAN SERVICES IN SOUTHEASTERN WISCONSIN. THE PAYMENTS WERE MADE TO SUBSIDIZE CMG CLINICS WITHIN MILWAUKEE COUNTY THAT PROVIDE PRIMARY CARE PRIMARILY TO CHILDREN ENROLLED IN THE WISCONSIN MEDICAID PROGRAM OR WHO ARE UNINSURED. PART II, COMMUNITY BUILDING ACTIVITIES: CHILDREN'S HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS FOR CHILDREN, SUCH AS POVERTY AND ENVIRONMENTAL ISSUES. THESE COMMUNITY-BUILDING ACTIVITIES INCLUDE STAFF PARTICIPATION ON COMMUNITY BOARDS, COALITIONS AND/OR COMMITTEES THAT ASSIST IN IMPROVING THE HEALTH OF THE COMMUNITY. CHILDREN'S HOSPITAL'S PARENT ORGANIZATION, CHHS, ALSO PERFORMS COMMUNITY-BUILDING ACTIVITIES INCLUDING COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WHICH ARE FURTHER DISCUSSED IN SCHEDULE H PART VI, LINE 6. PART III, LINE 2: THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2 IS CHILDREN'S HOSPITAL'S BAD DEBT EXPENSE INCLUDED AS A REDUCTION OF PATIENT REVENUE, AND IS THE SUM OF ALL OF THE UNCOLLECTED PATIENT ACCOUNT BALANCES SENT TO THIRD PARTY COLLECTIONS, REDUCED BY ACTUAL RECOVERIES, REDUCED BY ANY ACCOUNTS RETURNED TO THE HOSPITAL BY THE THIRD PARTY COLLECTION AGENCY, AND INCREASED BY AN ESTIMATE FOR UNCOLLECTIBLE ACCOUNTS WHEN APPLICABLE. THE AMOUNT DOES NOT INCLUDE DISCOUNTS PROVIDED UNDER THE HOSPITAL'S FAP, INCLUDING DISCOUNTS PROVIDED TO SELF-PAY ACCOUNTS, WHICH ARE ALSO REPORTED AS A REDUCTION OF PATIENT REVENUE. PART III, LINE 4: CHILDREN'S HOSPITAL'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. SEE PAGES 25-26 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: CHILDREN'S HOSPITAL USED ITS FILED MEDICARE COST REPORT TO OBTAIN THE MEDICARE ALLOWABLE COST REPORTED ON PART III, SECTION B. THE YEARLY INTERIM RATE ADJUSTMENTS WERE MORE THAN ADEQUATE FOR THE FISCAL YEAR. PART III, LINE 9B: AT ALL LOCATIONS, CHILDREN'S HOSPITAL UNDERTAKES EXTENSIVE MEASURES TO COMMUNICATE WITH THE FAMILIES OF PATIENTS WITH SELF-PAY BALANCES. IN MANY CASES, CHILDREN'S HOSPITAL AND FAMILIES WORK TOGETHER TO OBTAIN COVERAGE THROUGH THE STATE MEDICAID PROGRAM. IN CASES WHERE MEDICAID COVERAGE IS NOT AVAILABLE, CHILDREN'S HOSPITAL SEEKS TO OBTAIN INFORMATION NECESSARY TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER CHILDREN'S HOSPITAL'S FAP. ONCE A PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED CARE HAS BEEN DETERMINED, THE BALANCE ON THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. IN ADDITION, HOSPITAL PERSONNEL WORK CLOSELY WITH FAMILIES TO DETERMINE THEIR ABILITY TO PAY THE ADJUSTED BALANCES; SUCH EFFORTS OFTEN RESULT IN PAYMENT PLANS INTENDED TO PERMIT THE GRADUAL PAYMENT OF AMOUNTS DUE WITHOUT IMPOSING UNDUE FINANCIAL HARDSHIP ON FAMILIES ALREADY DEALING WITH THE CHALLENGES OF CHILDREN'S HEALTH ISSUES. UNFORTUNATELY, THERE REMAIN CIRCUMSTANCES WHERE PATIENTS' ELIGIBILITY FOR FINANCIAL ASSISTANCE CANNOT BE DETERMINED DUE TO THE INACCESSIBILITY OF THE FAMILY, OR THE FAMILY'S INABILITY OR REFUSAL TO PROVIDE THE REQUIRED INFORMATION. IN SUCH CASES, CHILDREN'S HOSPITAL FOLLOWS AN ESTABLISHED MULTI-STEP PROCESS IN AN EFFORT TO REACH THE FAMILY AND PROVIDE THEM WITH INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE PROGRAM. ACCOUNTS ARE SENT TO COLLECTIONS ONLY AFTER ALL ESTABLISHED STEPS HAVE BEEN UNDERTAKEN WITHOUT SUCCESS. PART VI, LINE 2: OUR PROCESS FOLLOWS THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT'S MODEL. CHILDREN'S ONCE AGAIN TEAMED UP WITH OTHER AREA HEALTH SYSTEMS IN THE MILWAUKEE HEALTH CARE PARTNERSHIP (MHCP) TO COMPLETE A JOINT, COMPREHENSIVE HEALTH NEEDS ASSESSMENT IN MILWAUKEE COUNTY. MHCP BRINGS TOGETHER LOCAL HEALTH SYSTEMS, HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS, AND LOCAL AND STATE PUBLIC HEALTH DEPARTMENTS TO CREATE A HEALTHIER MILWAUKEE. CHILDREN'S WISCONSIN IS AN ACTIVE PARTNER IN THE MHCP.CHILDREN'S WISCONSIN HOSPITAL FOX VALLEY COLLABORATED WITH THE FOX VALLEY HEALTH IMPROVEMENT COALITION (FVHIC) TO COMMISSION A JOINT, COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FVCHIC INCLUDES FIVE PUBLIC HEALTH DEPARTMENTS AND FIVE HEALTH CARE SYSTEMS IN CALUMET, OUTAGAMIE AND WINNEBAGO COUNTIES. BOTH COMMUNITIES USED A COMBINATION OF VIRTUAL AND ONLINE COMMUNITY HEALTH SURVEYS, STAKEHOLDER INTERVIEWS AND FOCUS GROUPS TO OBTAIN PRIMARY DATA. SECONDARY DATA WAS DERIVED FROM HEALTH COMPASS MILWAUKEE, YOUTH VOICES PHOTOVOICE PROJECT, KIDS COUNT, US CENSUS BUREAU, THE YOUTH RISK BEHAVIOR SURVEY, AND OTHER PUBLIC AND GOVERNMENT SOURCES. CHILDREN'S WISCONSIN'S ADVISORY COMMITTEE EXAMINED THE TOP HEALTH ISSUES FROM THE MHCP AND THE FVHIC IN ADDITION TO OTHER HEALTH CONCERNS FACING THE PEDIATRIC POPULATION AND CARRIED OUT A MODIFIED DELPHI CONSENSUS-BUILDING METHOD TO PRIORITIZE FURTHER. THE COMMITTEE CONSIDERED THE PREVALENCE, SEVERITY, INEQUITY AND FEASIBILITY OF EACH HEALTH ISSUE, ALONG WITH THE FOUNDATIONAL ASPECTS OF HEALTH REQUIRED IN CHILDHOOD AND ADOLESCENCES THAT ALLOW FOR HEALTH AND WELL-BEING LATER IN LIFE. AFTER VETTING THE PRIORITIES WITH EXECUTIVE LEADERSHIP AND OTHER LEADERS ACROSS THE SYSTEM, CHILDREN'S WISCONSIN HAS ADOPTED INFANT HEALTH, MENTAL AND BEHAVIORAL HEALTH, SAFETY AND VIOLENCE, AND SOCIAL DETERMINANTS OF HEALTH AS OUR PRIORITIES FOR THE 2022-24 CYCLE FOR BOTH MILWAUKEE AND FOX VALLEY. PART VI, LINE 3: AS INDICATED ABOVE, CHILDREN'S HOSPITAL WORKS CLOSELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND AND ENROLL IN MEDICAL ASSISTANCE PROGRAMS AVAILABLE THROUGH THE STATE OF WISCONSIN, AND WHERE APPROPRIATE, FEDERAL PROGRAMS. WHEN SUCH PROGRAMS ARE NOT AVAILABLE, HOWEVER, PATIENTS MAY BE ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER CHILDREN'S HOSPITAL'S ESTABLISHED POLICIES AND PROCEDURES. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PUBLICIZED THROUGH VARIOUS MEASURES, INCLUDING INFORMATION ON CHILDREN'S HOSPITAL'S WEBSITE, MYCHART AND WRITTEN BROCHURES OR OTHER MATERIALS PROVIDED TO PATIENTS' FAMILIES. A PLAIN LANGUAGE SUMMARY IS AVAILABLE IN WAITING AREAS AND PROVIDED TO ANY PATIENT WITH A SCHEDULED ADMISSION. THE MOST SIGNIFICANT EDUCATION, HOWEVER, OCCURS IN DIRECT DIALOGUE BETWEEN PATIENT FAMILIES AND CHILDREN'S HOSPITAL'S TRAINED FINANCIAL SERVICES COUNSELORS AND SOCIAL WORKERS. CHILDREN'S HOSPITAL MAKES EFFORTS TO PROVIDE FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE, E-MAIL AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING ALTERNATIVES FOR OBTAINING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS GENERALLY. THE COMMUNICATION PROCESS IS SUPPORTED BY INTERPRETER SERVICES AS NEEDED. PART VI, LINE 4: CHILDREN'S HOSPITAL PROVIDES CARE TO CHILDREN FROM URBAN, RURAL AND SUBURBAN AREAS, REGARDLESS OF RACE, GENDER, SEXUAL ORIENTATION, ETHNICITY, INCOME, DISABILITY OR COUNTRY OF ORIGIN. CHILDREN'S HOSPITAL PROVIDES ACUTE LEVEL SERVICES, AS WELL AS EMERGENCY AND SPECIALTY CARE PRIMARILY TO CHILDREN FROM SOUTHEASTERN WISCONSIN, BUT TREATS PATIENTS FROM THE ENTIRE STATE OF WISCONSIN AND THROUGHOUT THE UNITED STATES. APPROXIMATELY HALF OF CHILDREN'S HOSPITAL'S PATIENTS ARE MEDICAID BENEFICIARIES, AND IN 2022 APPROXIMATELY HALF OF GROSS CHARGES WERE FROM PATIENTS ENROLLED IN MEDICAID. PART VI, LINE 5: CHILDREN'S HOSPITAL PROMOTES THE HEALTH AND SAFETY OF CHILDREN LOCATED THROUGHOUT ITS SERVICE AREA. CHILDREN'S HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, REGARDLESS OF THE ABILITY TO PAY. CHILDREN'S HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. CHILDREN'S HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF AT BOTH HOSPITAL SITES, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTH CARE PROFESSIONALS, AS SET FORTH IN THE MEDICAL STAFF BYLAWS, RULES AND REGULATIONS. CHILDREN'S HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. IN THESE AND OTHER RESPECTS, CHILDREN'S HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3). CHILDREN'S HOSPITAL OFFERS SPECIALTY CLINICS THAT ARE COMFORTABLE AND ACCESSIBLE TO FAMILIES. IN MILWAUKEE, CHILDREN'S HOSPITAL OFFERS CLINICS THROUGHOUT THE METROPOLITAN AREA. FAMILIES MAY ALSO ACCESS SERVICES IN THE FOX VALLEY, GREEN BAY, NEW BERLIN, MEQUON, DELAFIELD AND KENOSHA AREAS. IN RESPONSE TO FEEDBACK FROM THE COMMUNITY GAINED THROUGH LISTENING SESSIONS, CHILDREN'S HOSPITAL, THROUGH ITS AFFILIATE, CHILDREN'S MEDICAL GROUP, HAS ADDED CLINICS IN AREAS OF MILWAUKEE PREVIOUSLY LACKING PEDIATRIC PRIMARY CARE PROVIDERS.DURING THE COVID-19 PANDEMIC, CHILDREN'S PIVOTED TO PROVIDE THE CARE KIDS AND FAMILIES NEED AS SAFELY AS POSSIBLE. THIS INCLUDED A SIGNIFICANT INCREASE IN USE OF TELEHEALTH (INCLUDING FOR MENTAL AND BEHAVIORAL HEALTH NEEDS) AND SUPPORTING OUR COMMUNITY THROUGH TESTING, VACCINATION AND PEDIATRIC HEALTH AND SAFETY ADVICE AND RECOMMENDATIONS.CHILDREN'S SCHOOL NURSE PROGRAM PROVIDES HEALTH CARE SERVICES IN 11 K-8 MILWAUKEE PUBLIC SCHOOLS AT NO COST TO MPS OR TO STUDENTS AND FAMILIES. IN THE 2022-23 SCHOOL YEAR, THE SCHOOL NURSE PROGRAM COMPLETED 9,016 HEALTH ROOM VISITS. THE NURSES ADVOCATE FOR A COLLABORATIVE AND HOLISTIC APPROACH TO ADDRESS THE PHYSICAL, MENTAL AND SOCIAL-EMOTIONAL WELL-BEING NEEDS OF STUDENTS. THE SCHOOL NURSES ALSO WORK CLOSELY WITH CHILDREN'S COMMUNITY HEALTH NAVIGATORS AND COMMUNITY CONNECTORS ON POPULATION-BASED CARE, OUTREACH, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. THEY BRING PROVIDERS, FAMILIES, AND SCHOOL SUPPORT STAFF TOGETHER TO ADDRESS AND IMPROVE THE HEALTH AND WELLNESS OF THE STUDENTS THEY CARE FOR ON A DAILY BASIS. THE SCHOOL NURSES' ROLE ENCOMPASSES DELIVERING PREVENTIVE AND SCREENING SERVICES; ESTABLISHING MEDICAL AND DENTAL HOMES; BEHAVIORAL ASSESSMENT; DISEASE SURVEILLANCE AND REPORTING; CHRONIC DISEASE MANAGEMENT; SCHOOL SAFETY AND EMERGENCY PREPAREDNESS; PROVIDING HEALTH EDUCATION; AND DAILY CARE COORDINATION INCLUDING MEDICATION ADMINISTRATION, G-TUBE FEEDINGS AND OTHER COMPLEX HEALTH PROCEDURES ONLY A HEALTH CARE PROVIDER CAN ADMINISTER. AN INCREASING NUMBER OF STUDENTS ARE ENTERING SCHOOLS EACH YEAR WITH SPECIAL NEEDS AND COMPLEX HEALTH CONDITIONS (ATTENTION-DEFICIT/ HYPERACTIVITY DISORDER, DIABETES, LIFE-THREATENING ALLERGIES, ASTHMA, AND SEIZURES) THAT REQUIRE EXTENSIVE INTERVENTION AND COORDINATION THROUGHOUT THE SCHOOL DAY TO KEEP KIDS HEALTHY AND IN THE CLASSROOM LEARNING. FOR CHRONIC ILLNESSES SUCH AS ASTHMA, DIABETES, SEIZURES OR SICKLE CELL ANEMIA, THE SCHOOL NURSES WORK WITH PARENTS AND FAMILIES TO CREATE CARE PLANS HELPING GUIDE THE STUDENTS TO SELF-MANAGEMENT BY THE TIME THEY REACH HIGH SCHOOL, WITH A GOAL OF DECREASED URGENT CARE AND EMERGENCY DEPARTMENT VISITS AND INCREASED UTILIZATION OF PRIMARY CARE PROVIDERS. ADDITIONALLY, THE NURSES HELP FAMILIES' ACCESS COMMUNITY RESOURCES AND COORDINATE CARE WITH SOCIAL WORKERS AND SPECIALTY SERVICE PROVIDERS, INCLUDING BEHAVIORAL HEALTH, FOR FAMILIES WITH IDENTIFIED NEEDS AND EDUCATE STUDENTS AND FAMILIES REGARDING THE IMPORTANCE OF PREVENTIVE CARE AND A HOST OF OTHER HEALTH TOPICS, SUCH AS ANGER MANAGEMENT, DRUGS AND ALCOHOL, HUMAN GROWTH AND DEVELOPMENT, HYGIENE, NUTRITION, AND STRESS. DURING THE 2022-23 SCHOOL YEAR, CHILDREN'S SCHOOL NURSE PROGRAM CARED FOR 3,795 STUDENTS WHO MIGHT OTHERWISE NOT HAVE ACCESS TO HEALTH CARE.CHILDREN'S HOSPITAL OFFERS MANY OPTIONS FOR FAMILIES WHO NEED ACCESS TO MENTAL HEALTH PROVIDERS. THE HOSPITAL OFFERS PSYCHIATRISTS, PSYCHOLOGISTS, NEUROPSYCHOLOGISTS, PSYCHOTHERAPISTS AND NURSE PRACTITIONERS WHO PROVIDE MENTAL HEALTH DIAGNOSIS AND TREATMENT FOR A VARIETY OF DISORDERS. COUNSELORS WORK WITH CHILDREN AND FAMILIES TO ADDRESS SOCIAL AND EMOTIONAL DIFFICULTIES AND STRENGTHEN FAMILY TIES. CHILDREN'S ALSO PROVIDES SCHOOL-BASED MENTAL AND BEHAVIORAL HEALTH SERVICES IN APPROXIMATELY 50 SCHOOLS THROUGHOUT THE STATE, PLACING CHILD AND FAMILY THERAPISTS IN THE SCHOOL SETTING TO HELP REDUCE BARRIERS TO CARE. TO HELP FURTHER ADDRESS THE INCREASING NEED FOR MENTAL HEALTH SERVICES FOR KIDS AND TEENS IN WISCONSIN, CHILDREN'S HAS LAUNCHED SHINE THROUGH, A FIVE-YEAR AWARENESS CAMPAIGN TO HELP ADDRESS THE MENTAL AND BEHAVIORAL HEALTH CHALLENGES OF KIDS. THE PRIMARY GOALS OF THE AWARENESS CAMPAIGN ARE (1) TO DETECT MENTAL HEALTH NEEDS SOONER, (2) IMPROVE ACCESS TO SERVICES AND (3) REDUCE THE STIGMA AROUND THE ILLNESS. A MENTAL HEALTH WALK-IN CLINIC OPENED IN MARCH 2022 THAT PROVIDES SAME-DAY CARE FOR CHILDREN AND TEENS (AGES 5-18) WHO ARE EXPERIENCING URGENT MENTAL HEALTH ISSUES. THE CLINIC IS DESIGNED TO OFFER AN ALTERNATIVE TO TRADITIONAL URGENT CARE AND EMERGENCY ROOM SERVICES.CHILDREN'S HOSPITAL ALSO OFFERS PROGRAMS TO EDUCATE CHILDREN AND FAMILIES REGARDING A WIDE RANGE OF ISSUES IMPACTING THE HEALTH AND SAFETY OF CHILDREN. RESOURCES AND PROGRAMS ARE AVAILABLE FOR CHILDREN, PARENTS, TEACHERS AND CAREGIVERS TO HELP KEEP WISCONSIN'S CHILDREN HEALTHY AND SAFE. ONLINE LEARNING PROGRAMS ARE A RESOURCE FOR TEACHERS TO USE IN THEIR CLASSROOMS TO DELIVER AN OUTCOMES-BASED HEALTH CURRICULUM TO STUDENTS IN GRADE K5-8. THE INJURY PREVENTION TEAM OFFERS COMMUNITY-BASED EDUCATIONAL EVENTS INCLUDING BIKE HELMET FITTINGS AND CAR SEAT CHECKS. THEY ALSO DELIVER IMPORTANT FIRE PROTECTION AND PEDESTRIAN SAFETY EDUCATION THROUGHOUT WISCONSIN. CHILDREN'S ALSO DEVELOPED CROSSROADS, A TEEN DRIVING PROGRAM DESIGNED TO IMPROVE SAFETY FOR TEENS ON WISCONSIN'S ROADS.CHILDREN'S HOSPITAL'S CAR SEAT CLINIC IS A COLLABORATION BETWEEN CHILDREN'S HOSPITAL, ITS INJURY PREVENTION PROGRAM, SAFE KIDS WISCONSIN COALITION AND SAFE KIDS SOUTHEAST WISCONSIN COALITION. IT OFFERS IN PERSON AND VIRTUAL CAR SEAT CLINICS WHERE TRAINED CHILD PASSENGER SAFETY TECHNICIANS ENSURE THAT INFANT AND TODDLER CAR SEATS AND BOOSTER SEATS ARE INSTALLED CORRECTLY AND ARE APPROPRIATE FOR THE AGE AND SIZE OF THE CHILDREN USING THEM. THE PROGRAM ALSO PROVIDES LOW-COST OR FREE CAR OR BOOSTER SEATS FOR FAMILIES IN NEED. THE WISCONSIN POISON CENTER, WHICH IS STAFFED BY REGISTERED NURSES SUPPORTED BY PHYSICIAN TOXICOLOGISTS 24 HOURS A DAY, 365 DAYS A YEAR, PROVIDES IMMEDIATE AND AUTHORITATIVE PHONE CONSULTATION IN CASES OF ACCIDENTAL OR INTENTIONAL POISONING IN ADULTS AND CHILDREN FOR PATIENTS AND HOSPITALS ACROSS WISCONSIN. THE CENTER ALSO HAS A VARIETY OF PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS ALERTING PEOPLE TO SPECIFIC TOXIC DANGERS. THESE INCLUDE HOSPITAL GRAND ROUNDS LECTURES FOR PHYSICIANS, TRAINING FOR EMERGENCY MEDICAL TECHNICIANS, BABY-SITTER WORKSHOPS, AND PRESCHOOL POISON PREVENTION EDUCATION. THE POISON CENTER ALSO TRIAGES CALLS FOR MPOWER, AN ALCOHOL AND DRUG CRISIS LINE FOR TEENS. PROJECT ADAM (AUTOMATIC DEFIBRILLATORS IN ADAM'S MEMORY) IS A PROGRAM COMMITTED TO MAKING AUTOMATED EXTERNAL DEFIBRILLATORS UNIVERSALLY AVAILABLE TO ALL CHILDREN AND ADOLESCENTS BY BEING A NATIONAL RESOURCE FOR IMPLEMENTING PEDIATRIC PUBLIC ACCESS DEFIBRILLATION PROGRAMS IN SCHOOLS. IT IS ALSO WORKING TOWARD ERADICATING SUDDEN CARDIAC DEATH IN CHILDREN THROUGH EDUCATION AND PREVENTION INITIATIVES. SINCE THE PROGRAM BEGAN, THE HOSPITAL HAS CELEBRATED MORE THAN 200 LIVES SAVED THROUGH PROJECT ADAM. ADDITIONALLY, CHILDREN'S HOSPITAL OPERATES CHILD ADVOCACY CENTERS IN MILWAUKEE, RACINE, KENOSHA, WALWORTH COUNTY, NORTH CENTRAL WISCONSIN (WAUSAU), THE FOX VALLEY, AND CHIPPEWA VALLEY (EAU CLAIRE). EACH CENTER IS A SAFE PLACE FOR KIDS WHO MAY HAVE BEEN ABUSED OR NEGLECTED. THE CENTERS BRING TOGETHER A TEAM OF SPECIALLY TRAINED PROFESSIONALS WHO EVALUATE AND INVESTIGATE CASES OF CHILD ABUSE, PROVIDE MEDICAL CARE AND HELP CHILDREN AND THEIR FAMILIES HEAL. THE CENTERS ARE A COLLABORATION OF CHILDREN'S HOSPITAL AND DOZENS OF AREA LAW ENFORCEMENT, JUDICIAL AND SOCIAL SERVICE ORGANIZATIONS. PART VI, LINE 6: CHILDREN'S HOSPITAL IS PART OF AN AFFILIATED GROUP OF ORGANIZATIONS UNDER THE CONTROL OF CHHS, WHICH PROVIDES VARIOUS CENTRALIZED ADMINISTRATIVE AND SUPPORTING SERVICES FOR THE HOSPITAL AND ITS AFFILIATES. AMONG THE AFFILIATED ENTITIES, THE HOSPITAL AND CERTAIN OTHER ENTITIES (INCLUDING CHILDREN'S MEDICAL GROUP, INC.) DIRECTLY PROVIDE PROFESSIONAL PEDIATRIC HEALTH CARE SERVICES IN A VARIETY OF ACCESSIBLE LOCATIONS THROUGHOUT WISCONSIN.CHILDREN'S HOSPITAL OPERATES A LARGE CLINIC IN NORTHWEST MILWAUKEE. THE MIDTOWN CLINIC IS LOCATED IN A NEIGHBORHOOD WITH FEW PEDIATRIC HEALTH CARE OPTIONS AND A LARGE POPULATION OF CHILDREN. THE CLINIC OFFERS PEDIATRIC AND ADOLESCENT PRIMARY CARE, BEHAVIORAL MEDICINE AND DENTAL CARE IN AN ENGAGING SPACE WITH STATE-OF-THE-ART TECHNOLOGY AND AMENITIES DESIGNED SPECIFICALLY FOR PEDIATRIC PATIENTS AND THEIR FAMILIES. BY OFFERING MULTIPLE SERVICES UNDER ONE ROOF IN A PATIENT-CENTERED MEDICAL HOME MODEL, CARE IS MORE EFFICIENT, COORDINATED AND ACCESSIBLE. THIS CLINIC HAD 9,595 PRIMARY CARE VISITS AND 6,532 DENTAL VISITS IN 2022 AND 90 PERCENT OF THE CHILDREN SEEN WERE INSURED BY MEDICAID.CHILDREN'S HOSPITAL ALSO HAS PARTNERED WITH LOCAL AGENCIES TO OPEN COMMUNITY CLINICS IN OTHER UNDERSERVED MILWAUKEE NEIGHBORHOODS. THESE CLINICS SERVE PEDIATRIC PATIENTS FROM BIRTH TO 19 YEARS OF AGE. THE CLINICS ARE STAFFED BY NURSE PRACTITIONERS AND ARE LOCATED IN AREAS THAT HISTORICALLY HAVE LARGE HEALTH CARE DISPARITIES AND FEW HEALTH CARE OPTIONS. THE CLINICS PROVIDE EASIER ACCESS TO HEALTH CARE FOR PATIENTS IN THESE NEIGHBORHOODS, ENSURING ALL CHILDREN HAVE THE NECESSARY SERVICES TO BE HEALTHY AND SAFE. ONE CLINIC IS LOCATED ON THE NEXT DOOR FOUNDATION CAMPUS IN MILWAUKEE'S CENTRAL CITY. IT PROVIDES PRIMARY CARE, DENTAL CARE AND MENTAL HEALTH CARE IN AN AREA THAT PREVIOUSLY DID NOT HAVE PEDIATRIC PRACTICES AVAILABLE TO ATTEND TO THE COMMUNITY'S NEEDS. THIS CLINIC HAD 3,171 PRIMARY CARE VISITS AND 3,196 DENTAL VISITS IN 2022. IN JUNE 2022, CHILDREN'S OPENED A NEW CLINIC ON MILWAUKEE'S SOUTH SIDE. THE FOREST HOME CLINIC PROVIDES A VARIETY OF PRIMARY AND SPECIALTY CARE, DENTAL CARE, MENTAL HEALTH CARE, IMAGING AND URGENT CARE SERVICES.ANOTHER AFFILIATE OF CHILDREN'S HOSPITAL IS CHILDREN'S SERVICE SOCIETY OF WISCONSIN, DOING BUSINESS AS CHILDREN'S HOSPITAL OF WISCONSIN COMMUNITY SERVICES (CHW COMMUNITY SERVICES). THIS SOCIAL SERVICE ORGANIZATION ADDRESSES THE CHALLENGES FACED BY CHILDREN, WHICH OFTEN DIRECTLY IMPACT THEIR PHYSICAL AND MENTAL HEALTH AND WELL-BEING. CHILDREN'S COMMUNITY SERVICES OFFERS CHILD WELL-BEING SERVICES IN FOUR CORE AREAS (PUBLIC CHILD WELFARE, CHILD AND FAMILY COUNSELING, OUT-OF-HOME CARE AND PREVENTION SERVICES) FROM LOCATIONS THROUGHOUT WISCONSIN. SERVICES INCLUDE: FINDING LOVING, STABLE HOMES FOR CHILDREN IN NEED OF A FAMILY THROUGH FOSTER CARE AND ADOPTION; REDUCING STRESS AND CONFLICT, ENHANCING PARENTING SKILLS AND STRENGTHENING FAMILY TIES THROUGH TRAUMA-INFORMED MENTAL HEALTH SERVICES COUNSELING; PROVIDING SERVICES TO CHILDREN IN OUT-OF-HOME CARE, ADVOCATING FOR THEIR SAFETY, WELL-BEING AND TIMELY REUNIFICATION WITH BIRTHPARENTS WHENEVER POSSIBLE; PROVIDING FOSTER PARENTS WHO ARE CARING FOR CHILDREN WITH SPECIAL MEDICAL OR EMOTIONAL NEEDS WITH A MUCH NEEDED BREAK THROUGH A RESPITE CARE PROGRAM; OFFERING FREE, CONFIDENTIAL AND SUPPORTIVE GUIDANCE TO HELP PARENTS DEALING WITH AN UNPLANNED PREGNANCY; PROVIDING INTENSIVE IN-HOME THERAPY TO KEEP CHILDREN SAFE IN THEIR HOMES AND PREVENT OUT-OF-HOME PLACEMENT; ASSISTING YOUNG ADULTS TRANSITIONING OUT OF FOSTER CARE BY GIVING THEM THE SKILLS, TRAINING, GUIDANCE AND SUPPORT ENABLING THEM TO MAKE IT ON THEIR OWN; PROVIDING PARENTS WITH SUPPORT AND GUIDANCE TO HELP THEM BE THE BEST PARENTS THEY CAN BE; AND PROVIDING CHILDREN WHO HAVE BEEN HARMED OR HURT A SAFE PLACE TO GO TO BE INTERVIEWED AND PROVIDING THEM RESOURCES TO HELP THEM HEAL.COMMUNITY SERVICES ALSO RUNS PROJECT UJIMA, A PROGRAM THAT PROVIDES CASE MANAGEMENT, EMOTIONAL SUPPORT AND RESOURCES TO FAMILIES WHOSE CHILDREN HAVE EXPERIENCED INTERPERSONAL COMMUNITY-BASED VIOLENCE OR WHO HAVE LOST A FAMILY MEMBER (OF ANY AGE) TO HOMICIDE IN MILWAUKEE COUNTY.CHHS ENGAGES IN COMMUNITY HEALTH IMPROVEMENT ADVOCACY ON BEHALF OF CHILDREN'S WISCONSIN AND ITS AFFILIATES AT THE LOCAL, STATE AND FEDERAL LEVELS OF GOVERNMENT. IN 2022, ADVOCACY AND POLICY WORK ACROSS THE LOCAL, STATE AND FEDERAL SPECTRUMS FOCUSED ON SEVERAL CHILD AND FAMILY HEALTH AND WELL-BEING ISSUES, INCLUDING MENTAL AND BEHAVIORAL HEALTH CARE, VIOLENCE PREVENTION, MATERNAL AND INFANT HEALTH, PATIENT PRESCRIPTION DRUG ISSUES, HEALTHY FOOD ACCESS, AMONG OTHERS.ON THE FEDERAL LEVEL IN 2022, A KEY PRIORITY CONTINUES TO BE INCREASING ACCESS TO KIDS' MENTAL AND BEHAVIORAL HEALTH CARE THROUGH VARIOUS LEGISLATION AND ENGAGEMENT WITH POLICYMAKERS TO EDUCATE AND INFORM ON CHILDREN'S EFFORTS. CHILDREN'S ALSO ADVOCATED FOR FEDERAL HOME VISITING FUNDING, THE CHILDREN'S HOSPITAL GRADUATE MEDICAL EDUCATION PROGRAM, WHICH SUPPORTS THE TRAINING OF THE MAJORITY OF U.S. PEDIATRIC PRIMARY AND SPECIALTY PHYSICIANS, AND COMPREHENSIVE GUN VIOLENCE PREVENTION LEGISLATION AND FUNDING. CHILDREN'S CONTINUES TO PARTICIPATE IN THE COALITION FOR PEDIATRIC MEDICAL RESEARCH WHICH WORKED ON LEGISLATION TO PROVIDE GRANTS TO SUPPORT EARLY-CAREER PEDIATRIC RESEARCHERS AT THE NIH. ADDITIONALLY, CHILDREN'S ENGAGED ON PROPOSALS TO ADDRESS TOBACCO AND E-CIGARETTE USE AMONG YOUTH, EXTEND CONTINUOUS MEDICAID ELIGIBILITY FOR NEW MOMS AND KIDS, ADDRESS CHILD POVERTY, SUPPORT KIDS WITH RARE DISEASES WITH PHARMACEUTICALS AND DEVICES, AMONG OTHERS.ON THE STATE LEVEL, CHILDREN'S ADVOCATED FOR STATE ALLOCATIONS OF AMERICAN RESCUE PLAN ACT (ARPA) FUNDS TO SUPPORT CHILDREN'S INNOVATIVE MENTAL AND BEHAVIORAL HEALTH WALK-IN CLINIC, PEDIATRIC PSYCHOLOGY RESIDENCY PROGRAM AND FUNDS TO SUPPORT TRAINING THERAPISTS. ADDITIONAL ADVOCACY WAS IN DONE IN SUPPORT OF ARPA FUNDS ALLOCATED TO SUPPORT KIDS WITH COMPLEX MENTAL AND BEHAVIORAL HEALTH NEEDS. CHILDREN'S ADVOCATED ON STATE LEGISLATION TO INCREASE THE AGE TO PURCHASE TOBACCO AND VAPING PRODUCTS FROM 18 TO 21, EXTEND MEDICAID POSTPARTUM COVERAGE FOR NEW MOMS, AUTHORIZE, PROVIDE INFORMATION TO STUDENT ATHLETES ABOUT SUDDEN CARDIAC ARREST, ADDRESS INSURANCE-MANDATED PROCESSES FOR CLINICIAN-ADMINISTERED DRUGS, DENTAL THERAPISTS, MAINTAIN SAFETY RESTRICTIONS FOR ATVS, ADDRESS LICENSURE BARRIERS, IMPROVE TEEN DRIVING SAFETY AND MANY MORE. ON THE REGULATORY SIDE, CHILDREN'S ENGAGED IN EFFORTS RELATED TO IMPROVING MEDICAID COVERAGE OF CERTAIN DEVICES, ADDRESSING PATIENT DISCHARGE ISSUES, LICENSURE AND TELEHEALTH. CHILDREN'S ALSO WORKED CLOSELY WITH INTERNAL LEADERS, PROVIDERS AND STAFF TO PREPARE FOR THE 2023-25 STATE BUDGET PROCESS. AT THE LOCAL LEVEL, CHILDREN'S SUCCESSFULLY ADVOCATED WITH OUR PARTNERS FOR USE OF MILWAUKEE COUNTY ARPA FUNDING FOR THE MILWAUKEE MARKET MATCH PROGRAM WHICH PROVIDES FRUIT AND VEGETABLE INCENTIVES FOR THOSE USING SNAP AT FARMER'S MARKETS. CHILDREN'S CONTINUED TO PARTNER WITH THE CITY OF MILWAUKEE HEALTH DEPARTMENT TO PROVIDE FLU AND COVID-19 VACCINES IN SPRING 2022 AND TO DISCUSS LEAD POISONING PREVENTION EFFORTS. CHILDREN'S CONTINUES TO ENGAGE WITH THE MILWAUKEE HEALTH CARE PARTNERSHIP ON SHARED HEALTH SYSTEM PRIORITIES INCLUDING IMMUNIZATIONS, HEALTH CARE ACCESS AND MORE. CHILDREN'S ALSO SUPPORTS STAFF PARTICIPATION IN THE WAUWATOSA EQUITY & INCLUSION COMMISSION.CHILDREN'S OFFERS OPPORTUNITIES TO TAKE GRASSROOTS ACTION THROUGH CHILDREN'S ADVOCACY NETWORK (CAN). CAN ADVOCATES TAKE ACTION ON IMPORTANT HEALTH AND WELL-BEING TOPICS TO HELP RAISE COLLECTIVE VOICES ON BEHALF OF THE KIDS AND FAMILIES CHILDREN'S SERVES. MORE THAN 6,000 MESSAGES WERE SENT TO LAWMAKERS FROM CAN ADVOCATES IN 2022. CHILDREN'S PROVIDED VIRTUAL ADVOCACY TRAININGS FOR ADVOCATES AND MONTHLY TRAINING TO PEDIATRIC RESIDENTS ABOUT ADVOCACY WHICH INCLUDED VIRTUAL MEETINGS WITH SEVERAL LAWMAKERS. CHILDREN'S HOSTED VIRTUAL ROUNDTABLE EVENTS FOR LAWMAKERS ON MENTAL AND BEHAVIORAL HEALTH, HOME VISITING AND FAMILY RESOURCE CENTERS, AND DENTAL CARE. CHILDREN'S LEADERS MET WITH FEDERAL LEADERS IN WASHINGTON, DC ON KIDS' MENTAL AND BEHAVIORAL HEALTH AMONG OTHER TOPICS, AS WELL AS HELD SEVERAL MEETINGS WITH LOCAL AND STATE LAWMAKERS ON A VARIETY OF TOPICS INCLUDING COVID-19, IMMUNIZATIONS, LEAD POISONING PREVENTION, NEWBORN SCREENING AND MORE. ADDITIONALLY, CHILDREN'S PARTICIPATED IN TWO VIRTUAL LOBBY DAYS ONE WITH THE WISCONSIN HOSPITAL ASSOCIATION AND ONE WITH THE CHILDREN'S HOSPITAL ASSOCIATION WHICH FEATURED TWO CHILDREN'S PATIENT FAMILIES WHO ADVOCATED ON THE IMPORTANCE OF KIDS' MENTAL AND BEHAVIORAL HEALTH. THESE EVENTS OFFER OUR PATIENT FAMILIES, LEADERS, STAFF, BOARD MEMBERS, PROVIDERS AND COMMUNITY MEMBERS WITH OPPORTUNITIES TO STAY INFORMED AND ENGAGE IN IMPORTANT CHILD HEALTH POLICY CONVERSATIONS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM (CONTINUED) IN ADDITION TO ADVOCACY, THE CHILDREN'S COMMUNITY SERVICES DIVISION HAS INITIATED A COMMUNITY-BASED EFFORT TO IMPROVE CHILD HEALTH THAT ACKNOWLEDGES THE INFLUENCE OF SOCIAL, CULTURAL AND ENVIRONMENTAL FACTORS ON HEALTH AND RECOGNIZES THAT SUCH INFLUENCES MAY HAVE PARTICULARLY HARMFUL EFFECTS WHEN THEY OCCUR DURING CRITICAL PERIODS OVER ONE'S LIFE COURSE. CHILDREN'S HOSPITAL IS BRINGING THE FULL SPECTRUM OF THE SYSTEM'S RESOURCES TO BEAR IN THE COMMUNITY ENGAGEMENT EFFORT. BY CONNECTING OUR VAST CLINICAL AND COMMUNITY-BASED RESOURCES SCHOOL NURSES, COMMUNITY PEDIATRICIANS, SOCIAL WORKERS, HEALTH EDUCATORS, FOSTER CARE PARENTS, HOSPITALISTS, EMERGENCY DEPARTMENT STAFF, RESEARCHERS AND POLICY MAKERS CHILDREN'S HOSPITAL IS FACILITATING COMMUNITY HEALTH IMPROVEMENT BOTH DIRECTLY (E.G., EXPANDING MENTAL HEALTH AND DENTAL CARE IN UNDERSERVED AREAS), AND INDIRECTLY (E.G., BRINGING LAW ENFORCEMENT TO THE COMMUNITY CONVERSATION RELATED TO CRIME REDUCTION; SUPPORTING POLICY CHANGES AT THE LOCAL, STATE AND NATIONAL LEVELS THAT HAVE AN IMPACT ON CHILD HEALTH). CHILDREN'S HOSPITAL HAS SELECTED FIVE NEIGHBORHOODS FOR ENGAGEMENT EFFORTS. THESE NEIGHBORHOODS WERE IDENTIFIED BECAUSE THEY HAD A HIGH CONCENTRATION OF PEDIATRIC-AGED RESIDENTS; THERE WERE SIGNIFICANT, BUT MODIFIABLE, CHALLENGES TO CHILD HEALTH OUTCOMES; AND THEY HAD EXISTING TRUSTED COMMUNITY RESOURCES THAT WERE WILLING TO PARTNER WITH CHILDREN'S HOSPITAL TO ENGAGE THE COMMUNITY IN NEW WAYS TO IMPROVE CHILD HEALTH OUTCOMES. AS A PARTNER AND FACILITATOR, CHILDREN'S HOSPITAL'S STAFF HAS ENCOURAGED LEADERS FROM THE PRIORITY NEIGHBORHOODS TO IDENTIFY KEY AREAS FOR STRATEGIC INTERVENTION. ONE STRATEGY THAT HAS BEEN IMPLEMENTED IS USING COMMUNITY NAVIGATORS TRUSTED LOCAL RESIDENTS WHO EDUCATE NEIGHBORS ABOUT A SPECIFIC BEHAVIOR CHANGE OR RESOURCE UTILIZATION THAT WILL RESULT IN IMPROVED HEALTH OUTCOMES. CHHS'S FOCUS IS TO HAVE RELEVANT, ACCURATE, RESIDENT-LEVEL INFORMATION REGARDING TRUSTED SOURCES OF INFORMATION AND DIRECT INFLUENCES ON RESIDENT'S BEHAVIORS. CHILDREN'S HOSPITAL AND THE UNIVERSITY OF WISCONSIN-MILWAUKEE HELEN BADER SCHOOL OF SOCIAL WELFARE HAVE ESTABLISHED THE INSTITUTE FOR CHILD AND FAMILY WELL-BEING, AN ACADEMIC-COMMUNITY PARTNERSHIP TO IMPROVE THE LIVES OF CHILDREN AND FAMILIES FACING COMPLEX CHALLENGES SUCH AS VIOLENCE, INCARCERATION OR EXTREME POVERTY. THE INSTITUTE COMPRISES THREE CORE SERVICE AREAS: DESIGNING AND IMPLEMENTING EFFECTIVE PROGRAMS, CONDUCTING CUTTING-EDGE RESEARCH AND EVALUATION, AND PROMOTING CHANGE THROUGH POLICY AND ADVOCACY. THIS WORK IS CRITICAL BECAUSE NEARLY ONE THIRD OF CHILDREN IN MILWAUKEE (30.5 PERCENT) HAVE HAD AT LEAST TWO ADVERSE CHILDHOOD EXPERIENCES SUCH AS MALTREATMENT, NEGLECT, VIOLENCE OR EXTREME POVERTY WHICH IS SIGNIFICANTLY HIGHER THAN THE NATIONAL AVERAGE OF 22.6 PERCENT (DATA RESOURCE CENTER FOR CHILD & ADOLESCENT HEALTH). RESEARCH HAS PROVEN THAT CHILDHOOD ADVERSITY ACTUALLY INTERRUPTS CHILDREN'S BRAIN DEVELOPMENT, CAUSING INCREASED LIKELIHOOD OF MENTAL HEALTH PROBLEMS, SUBSTANCE ABUSE, JUVENILE DELINQUENCY AND TEEN PREGNANCY, IN ADDITION TO POOR LONG-TERM HEALTH OUTCOMES AND DECREASED ACADEMIC ACHIEVEMENT, WHICH CAN LEAD TO LONG-TERM EMPLOYABILITY ISSUES.THESE AFFILIATED PROGRAMS AND ACTIVITIES SEEK TO ENSURE THAT CHILDREN HAVE ACCESS TO HIGH-QUALITY HEALTH AND SOCIAL SERVICES. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH (CONTINUED) CHILDREN'S HOSPITAL IS A FOUNDING AND ONGOING PARTNER IN THE SOJOURNER FAMILY PEACE CENTER, WHICH PROVIDES A SINGLE LOCATION FOR SERVICES FOR MILWAUKEE WOMEN, MEN AND CHILDREN IMPACTED BY FAMILY VIOLENCE. THE CENTER ALSO PROVIDES SPACE FOR THE DISTRICT ATTORNEY AND MILWAUKEE POLICE DEPARTMENT SENSITIVE CRIMES UNITS TO HELP SUPPORT AND PROTECT THIS VULNERABLE POPULATION.CHILDREN'S HOSPITAL'S SPECIAL NEEDS PROGRAM OFFERS COMPREHENSIVE CARE COORDINATION FOR CHILDREN WITH MULTIPLE MEDICAL NEEDS. THE GOAL IS TO ENSURE FAMILIES HAVE THE BEST POSSIBLE CARE IN AND OUT OF THE HOSPITAL. CHILDREN'S HOSPITAL PARTNERS WITH PATIENTS, FAMILIES, PRIMARY CARE AND OTHER HEALTH CARE PROVIDERS TO IMPROVE CARE COORDINATION. STAFF ALSO WORK WITH FAMILIES TO DEVELOP WRITTEN TRANSITION PLANS BASED ON NEEDS OR ISSUES THAT SHOULD BE ADDRESSED BEFORE A YOUTH IS READY TO TRANSITION TO ADULT CARE.FIGHT ASTHMA MILWAUKEE ALLIES, WHICH IS SUPPORTED BY MEDICAL STAFF AT CHILDREN'S HOSPITAL, IS A COALITION THAT WORKS TO REDUCE AND ELIMINATE DISPARITIES IN ASTHMA CARE AND DEVELOP A SUSTAINABLE STRATEGY FOR ASTHMA CONTROL IN THE COMMUNITY. THE COALITION PROVIDES COMMUNITY-WIDE ASTHMA EDUCATION FOR PARENTS, CAREGIVERS, HEALTH CARE PROFESSIONALS AND SCHOOL STAFF.THE INFANT DEATH CENTER (IDC) IS A STATEWIDE PROGRAM ADMINISTERED THROUGH CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A HOSPITAL-LED AND STAFFED COALITION. THE CENTER PROVIDES INFORMATION AND SUPPORT TO WISCONSIN FAMILIES AND OTHERS AFFECTED BY THE SUDDEN AND UNEXPECTED DEATH OF AN INFANT. THE IDC STRIVES TO INCREASE HEALTHY BIRTH OUTCOMES AND REDUCE INFANT DEATHS. THE CENTER WORKS TOGETHER WITH OTHER PROFESSIONALS IN OUTREACH, EDUCATION AND INFANT MORTALITY REVIEW PROGRAMS. IN PARTNERSHIP WITH PUBLIC HEALTH SYSTEMS AND NATIONAL INFANT MORTALITY PROGRAMS, THE IDC MAINTAINS INFORMATION THAT ASSISTS IN THE STUDY AND UNDERSTANDING OF THE CAUSES OF INFANT DEATHS. THE INFORMATION IS USED FOR STATISTICAL REPORTING.THE DANIEL M. SOREF FAMILY RESOURCE CENTER, LOCATED ON THE FIRST FLOOR OF CHILDREN'S MILWAUKEE HOSPITAL CAMPUS, OFFERS PARENT-TO-PARENT SUPPORT, INFORMATION, REFERRALS AND HELP CONNECTING TO HOSPITAL AND COMMUNITY RESOURCES. THE RESOURCE CENTER OFFERS SPIRITUAL CARE, PATIENT RELATIONS, INTERPRETERS AND FAMILY ACCOMMODATIONS AND HOUSES THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. STAFF MEMBERS ARE TRAINED TO HELP CHILDREN, YOUNG ADULTS AND THEIR FAMILIES FIND ANSWERS TO QUESTIONS ABOUT LOCAL RESOURCES, SUPPORT GROUPS, FUNDING OPTIONS AND MORE. THE RESOURCE CENTER HAS COMPUTERS, A CONSULT ROOM, BUSINESS CENTER AND OTHER RESOURCES FOR FAMILIES. THE RESOURCE CENTER ALSO HAS A LENDING LIBRARY WITH BOOKS, VIDEOS AND ARTICLES ON A VARIETY OF HEALTH CONDITIONS AND TOPICS. IN 2022, THE FAMILY RESOURCE CENTER SERVED MORE THAN 12,000 VISITORS. CHILDREN'S HOSPITAL OPERATES A FREE GUARDIANSHIP CLINIC, WHICH PROVIDES PARENTS IN NEED WITH PRO BONO LEGAL SERVICES TO SECURE GUARDIANSHIP WHEN THEIR SPECIAL NEEDS CHILD TURNS 18.CHILDREN'S HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH JOB SHADOWING, WHICH MOSTLY OCCURS AT THE MILWAUKEE HOSPITAL CAMPUS. ADDITIONALLY, THROUGH A PARTNERSHIP WITH CREATIVE EMPLOYMENT OPPORTUNITIES/TRANSCEN, CHILDREN'S HOSPITAL OFFERS A PROGRAM CALLED PROJECT SEARCH, AN INNOVATIVE WORKFORCE AND CAREER DEVELOPMENT MODEL FOR YOUNG ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THROUGH PROJECT SEARCH, YOUNG ADULTS WITH DISABILITIES RECEIVE INTERNSHIPS WITHIN THE HOSPITAL TO GAIN ON-THE-JOB TRAINING AND OTHER CAREER DEVELOPMENT SKILLS TO SECURE COMPETITIVE EMPLOYMENT. CHILDREN'S HOSPITAL STAFFS CHILDREN'S HEALTH ALLIANCE OF WISCONSIN, A STATEWIDE COALITION THAT WORKS TO IMPROVE THE HEALTH OF WISCONSIN CHILDREN AND REDUCE DISPARITIES IN AVAILABILITY AND ACCESSIBILITY OF HEALTH CARE SERVICES. THE ALLIANCE IS GUIDED BY A STATEWIDE ADVISORY BOARD AND PARTNERS WITH HUNDREDS OF ORGANIZATIONS AND INDIVIDUALS TO RAISE AWARENESS OF CHILD HEALTH CONCERNS, MOBILIZE LEADERS, IMPACT PUBLIC HEALTH, AND IMPLEMENT PROGRAMS PROVEN TO WORK. THE ALLIANCE IS PARTIALLY FUNDED THROUGH A WISCONSIN DEPARTMENT OF HEALTH SERVICES MATERNAL CHILD HEALTH GRANT, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND OTHER PUBLIC AND PRIVATE FUNDING. THE ALLIANCE IS FINANCIALLY SUPPORTED BY CHILDREN'S HOSPITAL THROUGH STAFF AND OTHER RESOURCES TO CARRY ON THE ALLIANCE'S PROGRAMS. THE ALLIANCE'S KEY INITIATIVES ARE: ASTHMA, EARLY LITERACY, EMERGENCY CARE, GRIEF AND BEREAVEMENT, INJURY PREVENTION AND CHILD DEATH REVIEW, MEDICAL HOMES AND ORAL HEALTH. THE ALLIANCE LEADS AND MANAGES THE INFANT DEATH CENTER, REACH OUT AND READ WISCONSIN COALITION, WISCONSIN ASTHMA COALITION, AND THE WISCONSIN ORAL HEALTH COALITION. CHILDREN'S HOSPITAL ALSO SUPPORTS THE SOUTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. IT IS ONE OF FIVE REGIONAL CENTERS DEDICATED TO SUPPORTING FAMILIES WITH CHILDREN WHO HAVE SPECIAL HEALTH CARE NEEDS AND THE PROVIDERS WHO CARE FOR THEM. IT IS FUNDED THROUGH A TITLE 5 MATERNAL AND CHILD HEALTH BLOCK GRANT, AND EXPENDITURES INCURRED BY CHILDREN'S HOSPITAL TO MATCH THE BLOCK GRANT INCLUDE STAFF AND OTHER PROGRAM EXPENSES. FAMILIES AND PROVIDERS CAN CALL THE CENTER FOR INFORMATION, REFERRAL AND PROBLEM-SOLVING RELATED TO COMMUNITY AND STATE SERVICES, HEALTH BENEFITS ASSISTANCE, TRANSITION PLANNING, AND EMOTIONAL SUPPORT. EACH YEAR THE STAFF OFFERS TRAINING SUCH AS "CARE IN THE COMMUNITY AND OTHER SESSIONS THAT FOCUS ON YOUTH TRANSITIONS. STAFF ALSO PARTICIPATE IN NUMEROUS COMMUNITY INITIATIVES AND PARTNER WITH AREA PEDIATRICIANS AND OTHER HEALTH CARE PROVIDERS TO INCORPORATE EARLY IDENTIFICATION AND SCREENING METHODS INTO THEIR PRACTICES. EACH YEAR, STAFF SHARE THEIR EXPERTISE, LEADERSHIP AND TECHNICAL ASSISTANCE WITH VARIOUS COMMUNITY AGENCIES AND COMMITTEES. THE CENTER SERVES EIGHT COUNTIES. IN THE FOX VALLEY, CHILDREN'S HOSPITAL ALSO SUPPORTS THE NORTHEAST REGIONAL CENTER FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS, WHICH PROVIDES SIMILAR SERVICES TO THE SOUTHEAST CENTER DESCRIBED ABOVE WITH A FOCUS ON COUNTIES IN WISCONSIN'S FOX VALLEY. ADDITIONALLY, ONE OF THE NEEDS IDENTIFIED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN THE FOX VALLEY WAS ACCESS TO MENTAL HEALTH CARE SERVICES. THEREFORE, CHILDREN'S HOSPITAL, ALONG WITH ASCENSION WISCONSIN AND THEDACARE, CREATED AN ORGANIZATION CALLED CATALPA HEALTH TO PROVIDE OUTPATIENT CHILD AND ADOLESCENT MENTAL HEALTH SERVICES IN THE FOX VALLEY. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT CHHS, THE SOLE CORPORATE MEMBER OF CHILDREN'S HOSPITAL, PREPARES A COMMUNITY BENEFIT REPORT ON BEHALF OF BOTH OF THE HOSPITALS AND ITS AFFILIATES. THE REPORT IS FILED WITH THE WISCONSIN HOSPITAL ASSOCIATION AND IS ALSO AVAILABLE ON CHILDREN'S HOSPITAL'S WEBSITE OR UPON REQUEST. 1 ACCESS COMMUNITY HEALTH CENTERS 2901 W BELTLINE HWY SUITE 120 MADISON WI 54303 391391134 501 ( C ) (3) 18505 0 DENTAL SEALANT ASCENSION WI FOUNDATION INC 2320 N LAKE DRIVE MILWAUKEE WI 54952 391494981 501 ( C ) (3) 27039 0 DENTAL SEALANT BROWN COUNTY ORAL HEALTH PARTNERSHIP 331 N BROADWAY GREEN BAY WI 54303 208969896 BROWN COUNTY 50262 0 DENTAL SEALANT CITY OF WATERTOWN 106 JONES STREET WATERTOWN WI 53094 396005640 501 ( C ) (3) 6766 0 DENTAL SEALANT CLARK COUNTY HEALTH DEPARTMENT 517 COURT STREET ROOM 105 NIELLSVILLE WI 53094 396005679 CLARK COUNTY 24893 0 DENTAL SEALANT COMMUNITY HEALTH SYSTEMS INCORPORATED 74 ECLIPSE CENTER BELOIT WI 53511 391919806 501 ( C ) (3) 16980 0 DENTAL SEALANT DENTAMED HEALTHCARE LLC 5212 W DONGES LANE BROWN DEER WI 53223 815225234 LLC-OTHER 55018 0 DENTAL SEALANT DUKE UNIVERSITY PO BOX 602564 CHARLOTTE NC 53211 560532129 COLLEGE 280939 0 NIH RESEARCH GRANT FAMILY HEALTH LA CLINICA 400 S TOWNLINE ROAD WAUTOMA WI 54982 391181480 501 ( C ) (3) 23209 0 DENTAL SEALANT HEALTHNET OF ROCK COUNTY 23 W MILWAUKEE STREET 201 JANESVILLE WI 28260 391778804 501 ( C ) (3) 82673 0 DENTAL SEALANT HEALTHY SMILES LLC N8077 COUNTY ROAD E OGDENSBURG WI 54962 851175413 LLC-OTHER 47029 0 DENTAL SEALANT JUST KIDS DENTAL 1313 FAIRGROUNDS ROAD TWO HARBORS MN 54843 272311353 501 ( C ) (3) 24464 0 DENTAL SEALANT KENOSHA COMMUNITY HEALTH CENTER 625 57TH STREET SUITE 700 KENOSHA WI 53140 391789874 501 ( C ) (3) 5146 0 DENTAL SEALANT LACROSSE COUNTY 333 VINE STREET ROOM 1200 LACROSSE WI 54601 396005709 501 ( C ) (3) 29964 0 DENTAL SEALANT LAKES COMMUNITY HEALTH CENTER-NORTH LAKES COMMUNITY CLINIC 7665 US HWY 2 IRON RIVER WI 53201 352297925 501 ( C ) (3) 186566 0 DENTAL SEALANT LINCOLN COUNTY 607 N SALES STREET 202 MERRILL WI 54452 396005714 501 ( C ) (3) 6429 0 DEANTAL SEALANT MEDICAL COLLEGE OF WISCONSIN 1155 N MAYFAIR RD MILWAUKEE WI 53142 390806261 501 ( C ) (3) 7183 0 SPINA BIFIDA UMPIRE FEDERAL GRANT MEDICAL COLLEGE OF WISCONSIN 1155 N MAYFAIR RD MILWAUKEE WI 53226 390806261 501 ( C ) (3) 8797 0 CONGENITAL DISORDERS STATE OF WISCONSIN DPH OPEN ARMS FREE CLINIC INCORPORATED 205 E COMMERCE CT UNIT 1 ELKHORN WI 53121 454475625 501 ( C ) (3) 17424 0 DEANTAL SEALANT OUTREACH 4 HEALTHY TEETH LLC 500 COLLEGE AVENUE RACINE WI 53403 842242837 LLC-OTHER 49474 0 DEANTAL SEALANT PREFERRED DENTISTRY ASSOCIATION OF WISCONSIN LLC 1029 HOWARD ST EVANSTON IL 54481 272634563 501 ( C ) (3) 72214 0 DENTAL SEALANT PROFESSIONAL DENTAL HYGIENE EXPRESS 5388 STATE HWY 64 BLOOMER WI 60202 274969600 501 ( C ) (3) 85288 0 DENTAL SEALANT SAUK COUNTY 505 BROADWAY BARABOO WI 53913 396005740 SAUK COUNTY 44236 0 DENTAL SEALANT SEALS ON WHEELS 1710 GOLDEN OAK LN MADISON WI 53711 388086637 501 ( C ) (3) 78608 0 DENTAL SEALANT UNIVERSITY OF CHICAGO 5841 S MARYLAND AVENUE CHICAGO IL 54166 362177139 COLLEGE 42158 0 NIH RESEARCH GRANT WALWORTH COUNTY 1800 COUNTY HWY NN ELKHORN WI 53121 396005752 WALWORTH COUNTY 45858 0 DEANTAL SEALANT WOOD COUNTY 400 MARKET STREET WISCONSIN RAPIDS WI 53715 396005763 WOOD COUNTY 31943 0 DENTAL SEALANT CHILDREN'S HOSPITAL AND HEALTH SYSTEM INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 53201 390812532 501 ( C ) (3) 59367887 0 GRANTS TO AFFILIATE CHILDREN'S SERVICE SOCIETY OF WISCONSIN PO BOX 1997 FINANCE DEPT MILWAUKEE WI 53201 390806380 501 ( C ) (3) 8949709 0 GRANTS TO AFFILIATE CHILDREN'S MEDICAL GROUP INC PO BOX 1997 FINANCE DEPT MILWAUKEE WI 53201 391789197 501 ( C ) (3) 20805113 0 GRANTS TO AFFILIATE 27 3 PART I, LINE 2: MONITORING PROCEDURES - THE ORGANIZATION RECEIVES GRANT FUNDING FROM VARIOUS STATE AND FEDERAL AGENCIES. SOME OF THE GRANT AWARDS ARE SUB-AWARDED TO OTHER AGENCIES BASED ON THE REQUIREMENTS OF THE INDIVIDUAL GRANT AGREEMENTS. IN ORDER TO MONITOR THE USE OF THE FUNDS, THE ORGANIZATION ENTERS INTO SIGNED AGREEMENTS WITH THE SUB-GRANTEE AGENCIES TO OUTLINE THE TERMS OF THE ARRANGEMENTS INCLUDING THE PROPER USE OF FUNDS. THESE AGREEMENTS REQUIRE AGENCIES TO PROVIDE CERTIFICATIONS OF EXPENSES SUBMITTED FOR REIMBURSEMENT ALONG WITH DESCRIPTIONS OF THE ACTUAL EXPENSES INCURRED COMPARED TO THE BUDGETED AWARD TOTAL. EACH AWARD IS MONITORED BY A DESIGNATED EMPLOYEE OF THE ORGANIZATION WHO VERIFIES THAT ALL SERVICES ARE PROVIDED ACCORDING TO THE CONTRACT, APPROVES PAYMENTS TO THE AGENCY, AND ENSURES THAT THE AWARD OBJECTIVES ARE MET. IN SOME CASES, THE ORGANIZATION REQUIRES THE AGENCY TO SUBMIT A COPY OF ITS ANNUAL OMB 133 AUDIT ALONG WITH ANY RELEVANT AUDIT FINDINGS. ADDITIONALLY, CHW FUNDS ITS TAX-EXEMPT AFFILIATES. FUNDS ARE AWARDED BASED ON THE STRATEGIC INITIATIVES OF THE HEALTH SYSTEM, THE NEEDS OF THE AFFILIATES, AND ANY PURPOSE RESTRICTIONS SET BY THE DONORS. THE NEEDS OF THE AFFILIATES ARE EVALUATED IN THE ANNUAL BUDGET PROCESS. FINAL BUDGETS REQUIRE APPROVAL FROM MANAGEMENT, THE ENTITY'S BOARD OF DIRECTORS AND THE CHHS BOARD OF DIRECTORS AND SENIOR MANAGEMENT. IN ADDITION, THE OPERATIONS OF ALL AFFILIATES ARE SUBJECT TO SYSTEM CONTROLS, POLICIES AND PROCEDURES, AND ARE REFLECTED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF CHHS AND ITS AFFILIATES. X X X X X X 0 1 0 0 0 0 0 1 0 MARGARET TROY DIRECTOR/PRESIDENT & CEO CHHS 0 1134014 0 410825 0 428695 0 22450 0 36342 0 2032326 0 0 MARC CADIEUX TREASURER/CORP VP & CFO 0 635957 0 162297 0 195558 0 123257 0 3705 0 1120774 0 133747 SCOTT TURNER DIRECTOR/PRES. CHW & EVP CHHS 680620 0 182025 0 61584 0 125052 0 38100 0 1087381 0 13940 0 MICHELLE METTNER END 123122 SECRETARY/CORP VP GOV & LEGAL AFFAIR 0 469771 0 92214 0 141652 0 82467 0 29312 0 815416 0 93242 MICHAEL GUTZEIT PRESIDENT CMG AND SVP 286454 210568 107937 0 75811 48853 15223 10277 22656 13687 508081 283385 0 0 NANCY KOROM CHIEF NURSING OFFICER/VP CHW 353962 0 69882 0 61729 0 72557 0 39362 0 597492 0 35892 0 CHRISTOPHER SPAHR CHIEF QLTY/SFTY OFFICER & ACMO 345986 0 38875 0 16339 0 43400 0 32333 0 476933 0 0 0 RAINER GEDEIT CHIEF MEDICAL OFFICER 360531 0 44625 0 13989 0 10250 0 23868 0 453263 0 0 0 MARY BARTEL MEDICAL DIRECTOR/HOSPITALIST 297078 0 16915 0 34282 0 22450 0 36177 0 406902 0 0 0 LISA JENTSCH VP CHW 267993 0 55177 0 28919 0 25500 0 23932 0 401521 0 0 0 GEORGE LATTA ASSOC CHIEF MED OFFICER 330346 0 18766 0 14589 0 10250 0 23144 0 397095 0 0 0 LORI BARBEAU MEDICAL DIR, DENTAL PROGRAM 316811 0 20870 0 8622 0 25500 0 24604 0 396407 0 0 0 PETRA LAEVEN-SESSIONS HOSPITALIST 273698 0 1650 0 35216 0 19400 0 35313 0 365277 0 0 0 ERIN YALE HORWITZ VP CHW 258924 0 31867 0 11978 0 22450 0 30620 0 355839 0 0 0 GAIL OSTRANDER VP NORTHEAST RGN SVC 203316 0 45854 0 24488 0 15879 0 30779 0 320316 0 0 0 JOHN SCALCUCCI VP AMBULATORY SERVICES 142462 0 30938 0 6522 0 15211 0 34786 0 229919 0 0 0 PART I, LINE 3 CHW AND CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CHW, SHARE A BOARD OF DIRECTORS WHICH INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE. THIS COMMITTEE IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF CHW'S PRESIDENT, AND USED THE METHODS LISTED AND CHECKED IN SCHEDULE J LINE 3. PART I, LINE 4B IN 2022, THERE WAS A CHHS FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN). THE CORPORATION CONTRIBUTES 10% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2022 WERE AS FOLLOWS: M. CADIEUX, $100,807; N. KOROM, $47,057; M. METTNER, $60,017; C. SPAHR, $24,000; AND S. TURNER, $108,702. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2022 WERE: M. CADIEUX, $133,747; N. KOROM, $35,892, S. TURNER, $13,940; AND M. METTNER, $93,242. PART I, LINE 7 CERTAIN EXECUTIVES PARTICIPATE IN AN ANNUAL BONUS PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. BONUS CRITERIA ARE COMPRISED OF BOTH SYSTEM LEVEL AND EXECUTIVE SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE EXECUTIVE'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF THE ORGANIZATION AND ITS AFFILIATES IN ALIGNMENT WITH SYSTEM-WIDE BALANCED MEASURES. FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II: SALARIES PAID BY RELATED ORGANIZATIONS: MARGARET TROY, PRESIDENT & CEO OF CHHS, MARC CADIEUX, TREASURER OF CHW AND TREASURER & CFO OF CHHS, AND MICHELLE METTNER, SECRETARY OF CHW AND CORP VP GOVT & LEGAL AFFAIRS - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES BY MS. TROY AS A MEMBER OF THE BOARD OF DIRECTORS OF CHW WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS. MICHAEL GUTZEIT - PRESIDENT CMG & SVP - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS AND CHILDREN'S HOSPITAL OF WISCONSIN, INC. A WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY 391337855 97712DE77 2017-12-14 331805198 SEE PART VI 0 0 0 B WI HEALTH & EDUCATIONAL FACILITIES AUTHORITY 391337855 97712D7D2 2020-10-29 126235203 SEE PART VI 0 0 0 A 340154978 2594788 102963077 234597113 2021 0 1 1 1 B 126628591 1235203 111333653 14059735 0 0 0 1 A 0 1 1 1 1 1 0.00230 0.00000 0.00230 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 SCHEDULE K SUPPLENTAL INFORMATION SCHEDULE K, PART I, LINE A, COLUMN (F): THE SERIES 2017 BONDS, TOGETHER WITH THE PROCEEDS OF A SERIES OF TAXABLE BONDS, WERE ISSUED TO ADVANCE REFUND THE 2008A AND 2008B BONDS. THE SERIES 2017 BONDS WERE ALSO ISSUED TO FUND ALL OR A PORTION OF THE COSTS OF THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF CERTAIN HOSPITAL AND HEALTH CARE FACILITIES, INCLUDING BUT NOT LIMITED TO EXPANSION AND RENOVATION TO THE BORROWER'S SURGICAL PLATFORM, AMBULATORY FACILITIES AND EMERGENCY DEPARTMENT AND TO PAY COSTS OF ISSUANCE. SCHEDULE K, PART I, LINE B, COLUMN (F): THE SERIES 2020 BONDS WERE ISSUED TO FUND ALL OR A PORTION OF THE COSTS OF THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF CERTAIN HOSPITAL AND HEALTH CARE FACILITIES, INCLUDING BUT NOT LIMITED TO EXPANSION AND RENOVATION TO THE BORROWER'S SURGICAL PLATFORM, AMBULATORY FACILITIES AND EMERGENCY DEPARTMENT AND TO PAY COSTS OF ISSUANCE. SCHEDULE K, PART II, LINE 3, COLUMN (A): THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT PROCEEDS OF $2,963,076. SCHEDULE K, PART II, LINE 3, COLUMN (B): THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO INVESTMENT PROCEEDS OF $393,388. PART III, LINE 7 THE ORGANIZATION MONITORS THE PRIVATE USE OF ITS BOND-FINANCED ASSETS AND ROUTINELY TAKES STEPS TO LIMIT PRIVATE USE. THE ORGANIZATION DOES NOT SEPARATELY TRACK PRIVATE PAYMENTS AND PRIVATE SECURITIES, BUT ASSUMES THE 10% THRESHOLD WILL NOT BE MET AND MANAGES COMPLIANCE THROUGH THIS PRIVATE USE MONITORING. BASED SOLELY ON THIS ASSUMPTION, THE ORGANIZATION HAS RESPONDED NO TO THIS QUESTION AND NOTES THAT HISTORICALLY THE ORGANIZATION RESPONDED YES, BECAUSE IT UNDERSTOOD THAT YES INDICATED IT WAS UNDER THE THRESHOLD. THE CHANGED RESPONSE IS A CHANGE IN INTERPRETATION AND NOT A CHANGE IN THE PRIVATE USE OF THE BOND-FINANCED ASSETS. PART IV, LINE 2(C) THE CALCULATION WAS MADE ON FEBRUARY 1, 2023 FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS EXIST BETWEEN THE FOLLOWING BOARD MEMBERS OR OFFICERS: RAYMOND AND KERSCHNER, ADAMS AND LOVELL, TROY AND LOVELL, TROY AND ADAMS, ADAMS AND BOCKHORST, AND WITT AND MACHATA. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER WHICH IS CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. (CHHS). FORM 990, PART VI, SECTION A, LINE 7A CHHS, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER, CHHS, HAS CERTAIN RESERVE POWERS OVER THE CORPORATION, INCLUDING AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS; APPROVAL OF MERGER, CONSOLIDATION OR THE CREATION OF ANY SUBSIDIARIES BY THE CORPORATION; APPROVAL OF THE ANNUAL BUDGET AND ANY DEBT; AND SELECTION OF THE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE CHHS/CHW BOARD OF DIRECTORS, AND PRIOR TO FILING, A COPY WAS PROVIDED TO ALL DIRECTORS OF CHW. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE TO THE DIRECTOR OF CORPORATE COMPLIANCE. THE COMPLIANCE DEPARTMENT MONITORS AND PERIODICALLY REVIEWS TRANSACTIONS BETWEEN THE ORGANIZATION AND BOARD MEMBERS OR ENTITIES WITH WHICH THEY ARE AFFILIATED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S COO, TREASURER, SECRETARY, CHHS PRESIDENT, VP CHIEF MEDICAL OFFICER, AND VP CHIEF NURSING OFFICER WAS REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. WITH THE ASSISTANCE OF AN INDEPENDENT COMPENSATION CONSULTANT AND INFORMATION FROM A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), THE COMMITTEE CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. COMPENSATION OF THE OTHER KEY EMPLOYEES WAS SET BY SUPERVISORY EXECUTIVES IN CONSULTATION WITH CHHS HUMAN RESOURCES LEADERS. THE PROCESS INCLUDED REVIEW BY INDEPENDENT PERSONS WHO, USING A VARIETY OF EXTERNAL SOURCES (AS INDICATED ON SCHEDULE J), CONFIRMED THAT TOTAL COMPENSATION AMOUNTS TO BE PAID WERE REASONABLE AND COMPARABLE TO AMOUNTS PAID BY SIMILARLY SITUATED ORGANIZATIONS. THE PROCESS AND DATA RELIED ON WERE THOROUGHLY AND TIMELY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION OF CHHS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE CHHS PUBLIC RELATIONS DEPARTMENT. FORM 990, PART IX, LINE 11G MEDICAL COLLEGE OF WISCONSIN FEES: PROGRAM SERVICE EXPENSES 35,219,419. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,219,419. RESIDENT STIPENDS AND BENEFITS: PROGRAM SERVICE EXPENSES 16,751,763. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,751,763. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 51,808,159. MANAGEMENT AND GENERAL EXPENSES 14,832,035. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,640,194. FORM 990, PART XI, LINE 9: NET CHANGE IN INTEREST IN NET ASSETS OF CHWF -114,744,255. TRANSFER TO AFFILIATE -26,000,000. 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AND CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION, INC. ARE MEMBERS OF AN OBLIGATED GROUP WHICH JOINTLY AND SEVERALLY GUARANTEE CERTAIN DEBT ISSUED BY A MEMBER OF THE OBLIGATED GROUP THROUGH THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PAYMENT OF SCHEDULED PRINCIPAL AND INTEREST IS SECURED BY A PLEDGE OF THE HOSPITAL'S AND FOUNDATION'S GROSS UNRESTRICTED RECEIPTS.