2024-11-15T23:51:49-06:00 2023-12-31 990 2023-01-01 362169147 ADVOCATE HEALTH AND HOSPITALS CORP ADVO 4142991576 2025 WINDSOR DRIVE OAK BROOK IL 60523 RACHEL HALVERSON VICE PRESIDENT OF TAX 4142991862 2024-11-15 0 2023 2024-10-15 13:58:12Z JAMES SKOGSBERGH 2025 WINDSOR DRIVE OAK BROOK IL 60523 10343130776 0 X WWW.ADVOCATEHEALTH.COM X 1906 IL SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD. 14 11 28317 1368 0 18757233 58332013 17917807 5868678226 6440081440 707637637 370025387 31646082 75033379 6666293958 6903058013 1203402 702063 0 0 2976901826 2693494541 0 0 0 3293116613 4830177533 6271221841 7524374137 395072117 -621316124 16608896056 16135653689 10845528658 10511310309 5763367398 5624343380 X THE MISSION OF ADVOCATE HEALTH AND HOSPITALS CORPORATION IS TO SERVETHE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THOUGH AWHOLISTIC PHILOSOPY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMANBEINGS AS CREATED IN THE IMAGE OF GOD. 0 0 6347107150 702063 6295079045 FINANCIAL ASSISTANCEPROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. INCLUDED IN THESE HEALTH CARE SERVICES ARE THE PROVISION OF FINANCIAL ASSISTANCE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS VISION AND VALUES, ADVOCATE IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR PEOPLE WHO ARE UNINSURED, UNDERINSURED AND LOW INCOME. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL) AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP.ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARETODAY AND INTO THE FUTURE. IN THE AREA OF TRAUMA CARE, LEVEL 1 DESIGNATION IS THE HIGHEST LEVEL FOR TRAUMA CENTERS. AS LEVEL 1 TRAUMA CENTERS, FIVE ADVOCATE HOSPITALSADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERALCARE FOR THE MOST SERIOUSLY INJURED PEOPLE IN CHICAGOLAND. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE'S TRAUMA CENTERS ARE STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURE 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. ADVOCATE OPERATES NEARLY ONE-QUARTER OF ALL LEVEL I TRAUMA CENTERS IN ILLINOIS AND IS THE LARGEST TRAUMA SYSTEM IN THE STATE. TWENTY PERCENT OF TRAUMA PATIENTS IN METROPOLITAN CHICAGO ARE TREATED ANNUALLY IN AN ADVOCATE TRAUMA CENTER. IN 2022, ADVOCATE'S LEVEL I TRAUMA HOSPITALS TREATED 2,712 TRAUMA PATIENTS. AN ADDITIONAL 304 TRAUMA PATIENTS WERE TREATED AT ADVOCATE'S LEVEL II DESIGNATED TRAUMA HOSPITAL ADVOCATE SHERMAN AND ADVOCATE GOOD SHEPARAD. IN ADDITION TO THE TRAUMA I AND II PATIENTS, THERE WERE 486,818 NON-TRAUMA ER VISITS TO ADVOCATE'S HOSPITALS IN 2023 . HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. AS PART OF ADVOCATE'S BROAD ARRAY OF SERVICES AND PROGRAMS DESIGNED TO MEET COMMUNITY HEALTH NEEDS, ADVOCATE PHYSICIANS TARGET UNIQUE HEALTH ACCESS NEEDS OF THE UNINSURED, UNDERINSURED, UNDERSERVED, LOW INCOME AND SPECIAL NEEDS INDIVIDUALS LIVING IN CHICAGOLAND AND CENTRAL ILLINOIS COMMUNITIES. EXAMPLES OF THESE PROGRAMS INCLUDE:ADVOCATE ADULT DOWN SYNDROME CENTER. ESTABLISHED IN 1992 THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), THE ADVOCATE MEDICAL GROUP ADULT DOWN SYNDROME CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. EACH YEAR, APPROXIMATELY 1800 INDIVIDUALS ARE SERVED THROUGH OVER 6,000 VISITS, INCLUDING CARE IN THE OFFICE, THE PATIENT'S HOME, AT RESIDENTIAL FACILITIES, NURSING HOMES AND IN THE HOSPITAL. THE CENTER'S MULTIDISCIPLINARY APPROACH TO COMPREHENSIVE MEDICAL CARE, WITH A STRONG EMPHASIS ON PREVENTIVE MEDICINE, PROVIDES PRACTICAL APPROACHES TO HEALTH EDUCATION AND HEALTH RISK REDUCTION, INCLUDING SUPPORTING PEOPLE WITH DOWN SYNDROME IN THEIR OWN HEALTH PROMOTION EFFORTS. REIMBURSEMENT IS REDUCED GIVEN MORE TIME IS PROVIDED TO EACH PATIENT VISIT TO ALLOW INDIVIDUALS WITH DOWN SYNDROME TO PARTICIPATE IN THEIR OWN HEALTH CARE. FURTHER, ONLY ONE-THIRD OF THE COST OF THE CLINIC IS REIMBURSED THROUGH BILLING INSURANCE DUE TO THE PAYOR MIX. ADVOCATE GENEROUSLY PROVIDES SOME SERVICES THROUGH THE CENTER THAT ARE KEY TO HEALTH PROMOTION BUT THAT ARE NOT REIMBURSABLE OR BILLABLE. IN ADDITION TO PATIENT CARE, THE MISSION OF THE CENTER INCLUDES EDUCATION AND RESEARCH. IN 2023, THE CENTER STAFF PROVIDED NUMEROUS EDUCATIONAL EVENTS AND CLASSES (VIRTUALLY, OF COURSE, DURING THE PANDEMIC BUT BEGINNING TO BE IN-PERSON AGAIN), PUBLISHED RESEARCH STUDIES, PROVIDED EXTENSIVE EDUCATIONAL MATERIALS ONLINE AND IN PRINT FORM, AND PARTICIPATED IN NATIONAL AND INTERNATIONAL PROJECTS EDUCATING ABOUT AND RESEARCHING THE EFFECT OF A VARIETY OF CONDITIONS HAVE ON PEOPLE WITH DOWN SYNDROME SUCH AS COVID-19, ALZHEIMER'S DISEASE, AND MENTAL HEALTH CONDITIONS.MAINE TOWNSHIP DISTRICT 207 SCHOOL-BASED HEALTH CENTERS (SBHC). MAINE TOWNSHIP DISTRICT 207 WAS FACED WITH APPROXIMATELY 30 PERCENT OF ITS STUDENTS NOT BEING ABLE TO MEET, OR EXPERIENCING SIGNIFICANT DIFFICULTY MEETING, THE STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS DUE TO BEING UNINSURED OR UNDERINSURED. FOLLOWING SEVERAL YEARS OF PLANNING AND IN COLLABORATION WITH ADVOCATE MEDICAL GROUP AND ADVOCATE LUTHERAN GENERAL, THE DISTRICT OPENED A SCHOOL-BASED HEALTH CENTER (D207 SBHC) IN MAINE EAST HIGH SCHOOL IN MARCH 2003 TO PROVIDE THESE STUDENTS WITH ACCESS TO VITAL HEALTH CARE SERVICES. ADVOCATE EMPLOYEES SERVE AS MEDICAL DIRECTOR, PEDIATRICIAN, NURSE PRACTITIONER AND MENTAL HEALTH WORKER FOR THE GRANT-FUNDED CLINIC. THE CLINIC HAS A SMALL PHARMACY THAT PROVIDES LIMITED MEDICATIONS FOR STUDENTS IN NEED AND ADVOCATE KEEPS THE CLINIC EQUIPPED WITH OFFICE SUPPLIES AND OTHER EQUIPMENT. THE CENTER ALSO SERVES AS A TRAINING SITE FOR PEDIATRIC AND FAMILY MEDICINE RESIDENTS. OPEN TO ALL HIGH SCHOOL STUDENTS IN MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207, THE D207 SBHC HAS HELPED TO PROVIDE MANY STUDENTS WITH PHYSICALS AND IMMUNIZATIONS, WHICH HAS ALLOWED THE DISTRICT TO MAINTAIN ITS 99% IL STATE COMPLIANCE RATE. THE CENTER PROVIDES FREE OR LOW-COST SERVICES INCLUDING PHYSICALS, IMMUNIZATIONS, EMERGENT CARE, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL COUNSELING AND EDUCATIONAL PROGRAMS. IN 2023 THE SBHC PROGRAM SERVED 1,306 STUDENTS; OF THE 1,306 ENCOUNTERS, 225 WERE RELATED TO MENTAL HEALTH SERVICES AND 1,101 RELATED TO GENERAL MEDICAL ENCOUNTERS. BY SCHOOL YEAR CALENDAR (AUGUST 2023/MAY 2024), THE SBHC SERVED 1480 STUDENTS, 384 ENCOUNTERS WERE RELATED TO MENTAL HEALTH.MEDFEST. IN 2021, THE COVID-19 PANDEMIC CONTINUED TO AFFECT THE SPECIAL OLYMPICS OF ILLINOIS FROM HOLDING MEDFESTAN ANNUAL EVENT THAT THE ADVOCATE MEDICAL GROUP HAD PLANNED TO SPONSOR FOR THE 20TH TIME IN A ROW. WHILE THE TEAM DID NOT ANTICIPATE CANCELING THIS EVENT IN 2021, THE ADVOCATE MEDICAL GROUP IS INVESTED IN THE CAUSE AND PLANS TO RESUME ITS INVOLVEMENT ONCE THE PANDEMIC SUBSIDES AND IT IS SAFE TO DO SO. MEDFEST IS ANNUALLY HELD AT VARIOUS LOCATIONS IN THE STATE. THE EVENT PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION THROUGHOUT ILLINOIS. ADVOCATE MEDICAL GROUP PHYSICIANS ARE PASSIONATE ABOUT PROVIDING FREE CLINICAL SERVICES, WHICH RESULT IN PARTICIPANTS ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. ON DECEMBER 6, 2023 , MEDFEST TOOK PLACE AT THE UNITED CENTER WHERE 75 ADVOCATE STAFF AND CLINICIANS PROVIDED 420 ATHLETE MEDICAL SCREENINGS, THAT ALSO INCLUDED HEIGHT/WEIGHT AND BLOOD PRESSURE SCREENINGS. 96766965 31835971 MEDICAL EDUCATION (UNDERGRADUATE MEDICAL EDUCATION [UME]/GRADUATE MEDICAL EDUCATION [GME]/POST-GRADUATE [CME] MEDICAL EDUCATION. THE ADVOCATE MEDICAL EDUCATION DEPARTMENT'S MISSION IS TO TRAIN THE NEXT GENERATION OF PHYSICIANS THROUGH UNDERGRADUATE (UME) AND GRADUATE MEDICAL EDUCATION (GME), AND TO CONTINUE THE DEVELOPMENT OF ADVOCATE PHYSICIANS THROUGH CONTINUING MEDICAL EDUCATION (CME). ADVOCATE IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR ADVOCATE AND NON-ADVOCATE PHYSICIANS AND HEALTH CARE PROFESSIONALS IN THE REGION. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GRAND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND ENDURING MATERIALAS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2023, ADVOCATE DOCUMENTED 154,237 LEARNERS AND PROVIDE 675 ACTIVITIES TO OVER FOURTEEN DIFFERENT HEALTH PROFESSIONS RANGING FROM PHYSICIANS, NURSES, DENTISTS, SOCIAL WORKERS, PHARMACY TECHNICIANS AND MORE. 188866453 DESCRIPTION OF ADVOCATE AURORA HEALTH. ADVOCATE AURORA HEALTH IS ONE OF THE 12 LARGEST NOT-FOR-PROFIT, INTEGRATED HEALTH SYSTEMS IN THE UNITED STATES AND A LEADING EMPLOYER IN THE MIDWEST WITH MORE THAN 75,000 EMPLOYEES, INCLUDING MORE THAN 22,000 NURSES AND THE REGION'S LARGEST EMPLOYED MEDICAL STAFF AND HOME HEALTH ORGANIZATION. A NATIONAL LEADER IN CLINICAL INNOVATION, HEALTH OUTCOMES, CONSUMER EXPERIENCE AND VALUE-BASED CARE, THE SYSTEM SERVES NEARLY 3 MILLION PATIENTS ANNUALLY IN ILLINOIS AND WISCONSIN ACROSS MORE THAN 500 SITES OF CARE. ADVOCATE AURORA HEALTH IS ENGAGED IN HUNDREDS OF CLINICAL TRIALS AND RESEARCH STUDIES, AND IS NATIONALLY RECOGNIZED FOR ITS EXPERTISE IN CARDIOLOGY, NEUROSCIENCES, ONCOLOGY, AND PEDIATRICS. THE ORGANIZATION CONTRIBUTED $2.5 BILLION IN CHARITABLE CARE AND COMMUNITY BENEFIT OUTREACH TO ITS COMMUNITIES IN 2020 TO HELP PEOPLE LIVE WELL. FOR REPORTING COMMUNITY BENEFITS IN COMPLIANCE WITH THE ILLINOIS COMMUNITY BENEFITS ACT (2003), THE CONTENT OF THIS REPORT WILL FOCUS ON ADVOCATE AURORA'S ILLINOIS HOSPITALS WHICH ARE IDENTIFIED AS "ADVOCATE" FOR STATE REPORTING AND LOCAL BRAND IDENTITY PURPOSES. THIS DOCUMENT PROVIDES A SUMMARY OF COMMUNITY HEALTH PROGRAMS AND ACTIVITIES COMPLETED ACROSS ADVOCATE IN 2021--DEMONSTRATING FULFILLMENT OF ALL FEDERAL AND ILLINOIS STATE REQUIREMENTS WHILE ALSO LIVING OUT OUR COMMITMENT TO ADDRESSING THE ROOT CAUSES OF HEALTH INEQUITY. DESCRIPTION OF ADVOCATE HEALTH CARE (ILLINOIS). WHILE ADVOCATE IS ONE OF TWO ORGANIZATIONS THAT MERGED IN APRIL 2018 TO BECOME ADVOCATE AURORA HEALTH, ADVOCATE IN ILLINOIS MAINTAINS A SEPARATE FEIN AND THEREFORE THE NARRATIVE THAT IMMEDIATELY FOLLOWS PERTAINS PREDOMINANTLY TO ADVOCATE HEALTH CARE (ILLINOIS). ADVOCATE IS A NOT-FOR-PROFIT PROVIDER THAT IS AFFILIATED WITH BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. THE ORGANIZATION IS ONE OF THE LARGEST FULLY INTEGRATED HEALTH CARE SYSTEMS IN ILLINOIS AND ONE OF THE LARGEST HEALTH CARE PROVIDERS IN THE MIDWEST. IN 2023, AS PART OF A NETWORK OF NEARLY 250 SITES OF CARE IN ILLINOIS, ADVOCATE'S MORE THAN 37,000 TEAM MEMBERS PROVIDED CARE AT NINE HOSPITALS, INCLUDING A CHILDREN'S HOSPITAL LOCATED ON TWO CAMPUSES (OAK LAWN AND PARK RIDGE, ILLINOIS), TOTALING 3,718 LICENSED BEDS. ADVOCATE HAD A COMBINED TOTAL OF 177,704 INPATIENT ADMISSIONS, 173,349 OUTPATIENT VISITS AND 489,834 EMERGENCY DEPARTMENT VISITS (TOTAL TRAUMA AND NON-TRAUMA) IN 2023. IN ADDITION, ADVOCATE IS RECOGNIZED AS HAVING ONE OF THE LARGEST HOME HEALTH CARE COMPANIES IN THE STATE WITH 32,436 ADMITS IN 2023, AND ADVOCATE HOSPICE HAD 137,312 HOSPICE PATIENT DAYS. RECOGNITIONS & ACCOMPLISHMENTS HEALTHGRADES 2023 AMERICA'S 250 BEST HOSPITALS. HEALTHGRADES RANKS FOUR OF ADVOCATE AURORA HEALTH'S HOSPITALS IN THE TOP 5 PERCENT NATIONALLY. THEY ARE ADVOCATE LUTHERAN GENERAL HOSPITAL, WHICH IS IN THE TOP 2 PERCENT, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AND ADVOCATE GOOD SHEPHERD HOSPITAL. CLICK HERE.ADVOCATE HEALTH HAS BEEN NAMED A 2023 CLIMATE CHAMPION AND AWARDED CLIMATE LEADERSHIP-SILVERBY HEALTH CARE WITHOUT HARM'S, HEALTH CARE CLIMATE CHALLENGE, AN INTERNATIONALLY RECOGNIZED CLIMATE AWARDS PROGRAM. CLICK HERE. HEALTHGRADES' TOP 100 HOSPITALS FOR CARDIAC CARE. ADVOCATE CHRIST MEDICAL CENTER, ADVOCATE CONDELL MEDICAL CENTER, ADVOCATE GOOD SAMARITAN HOSPITAL AND ADVOCATE LUTHERAN GENERAL HOSPITAL MAKE THE LIST. RATINGS WERE BASED ON EXCELLENT CLINICAL OUTCOMES FOR HEART BYPASS SURGERY, CORONARY INTERVENTIONAL PROCEDURES, HEART VALVE SURGERY AND HEART ATTACK OR HEART FAILURE TREATMENT. CLICK HERE.THREE CHICAGO CHILDREN'S HOSPITALS AMONG THE BEST IN THE U.S. ADVOCATE CHILDREN'S HOSPITAL IS THE THIRD-HIGHEST-RANKED CHILDREN'S HOSPITAL IN ILLINOIS, ACCORDING TO U.S. NEWS & WORLD REPORT. ADVOCATE CHILDREN'S TIED FOR 21ST PLACE IN THE MIDWEST UP FROM 23RD THE YEAR BEFORE, AND IT RANKED 32ND IN THE NATION FOR PEDIATRIC CARDIOLOGY AND HEART SURGERY. CLICK HERE. FOURTEEN ADVOCATE AURORA HEALTH HOSPITALS WERE RECOGNIZED AS A 2023-24 BEST HOSPITAL FOR MATERNITY (ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, ADVOCATE GOOD SHEPHERD HOSPITAL, ADVOCATE LUTHERAN GENERAL HOSPITAL, ADVOCATE GOOD SAMARITAN HOSPITAL, ADVOCATE SHERMAN HOSPITAL, ADVOCATE SOUTH SUBURBAN HOSPITAL, ADVOCATE CONDELL MEDICAL CENTER, AURORA MEDICAL CENTER-KENOSHA, AURORA BAYCARE MEDICAL CENTER, AURORA MEDICAL CENTER-SUMMIT, AURORA MEDICAL CENTER-GRAFTON, AURORA LAKELAND MEDICAL CENTER, AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER, AURORA WEST ALLIS MEDICAL CENTER). RECOGNIZES HIGH-PERFORMING HOSPITALS MEASURED ON DATA AND SURVEYS, PROCESS AND STRUCTURE AND BIRTHING-FRIENDLY PRACTICES. CLICK HERE.PRACTICE GREENHEALTH SYSTEM FOR CHANGE RECOGNITION (ADVOCATE AURORA). ADVOCATE AURORA HEALTH RECEIVED THE AWARD FOR WORKING TO REDUCE ENERGY USE, INCREASE RECYCLING, ESTABLISH GREEN BUILDING PRACTICES AND SETTING AND MEETING OTHER GOALS RELATED TO SUSTAINABILITY FOR THE THIRD CONSECUTIVE YEAR. BEFORE THE MERGER, ADVOCATE HAD RECEIVED THIS RECOGNITION TEN STRAIGHT YEARS AND THE LONGEST RECIPIENT OF THIS AWARD IN THE COUNTRY. PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE RECOGNITION (ADVOCATE AURORA). ALL 25 ADVOCATE AURORA ACUTE CARE HOSPITALS RECEIVED THE 'ENVIRONMENTAL EXCELLENCE' AWARD FOR THEIR SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY, COVERING A RANGE OF DIFFERENT SUSTAINABILITY PROGRAMS AND ACTIVITIES. WINNERS HAVE ALSO MADE SUBSTANTIVE PROGRESS ON MERCURY ELIMINATION.IN ADDITION, ADVOCATE AURORA HEALTH RECEIVED A SILVER CLIMATE LEADERSHIP AWARD, RECOGNIZING THE ORGANIZATION'S LEADERSHIP IN TRANSFORMING TO SUSTAINABLE AND CLEAN OPERATIONS IN THE HEALTH CARE ENVIRONMENT. IN ADDITION, ADVOCATE AURORA WAS RECOGNIZED AS A CLIMATE CHAMPION IN THE HEALTH CARE CLIMATE CHALLENGE AMONG MORE THAN 40 HEALTH CARE INSTITUTIONS SPREAD OUT ACROSS 17 COUNTRIES ON 6 CONTINENTS. ADVOCATE AURORA HAS TAKEN BOLD, IMPACTFUL STEPS TOWARD CLIMATE-SMART HEALTH CARE, INCLUDING A PLEDGED GOAL TO ACHIEVE 100% RENEWABLE ELECTRICITY BY 2030. HEALTH CARE INSTITUTIONS ARE BEING RECOGNIZED FOR THEIR COMMITMENT TO REDUCING THEIR OWN CARBON FOOTPRINT, PREPARING FOR THE IMPACTS OF EXTREME WEATHER AND THE SHIFTING BURDEN OF DISEASE AND EDUCATING STAFF AND THE PUBLIC WHILE PROMOTING POLICIES TO PROTECT PUBLIC HEALTH FROM CLIMATE CHANGE. ALL ADVOCATE HOSPITALS RECEIVED INDIVIDUAL RECOGNITION FROM PRACTICE GREENHEALTH. ADVOCATE AURORA HEALTH RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 15TH CONSECUTIVE YEAR AND RECEIVED A CIRCLE OF EXCELLENCE IN CHEMICALS, TOP 25 PERFORMER. ADVOCATE AURORA HEALTH WAS NAMED A CLIMATE CHAMPION IN THE CATEGORY OF CLIMATE LEADERSHIP (SILVER) THROUGH THE HEALTH CARE CLIMATE CHALLENGECULTURE AND DIVERSITYADVOCATE AURORA SYSTEMWIDE (ILLINOIS AND WISCONSIN) ACCOMPLISHMENTS. ALL 29 ADVOCATE AURORA HOSPITALS EARNED THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S LGBTQ HEALTHCARE EQUALITY LEADER DESIGNATION IN 2021, RECEIVING THE MAXIMUM SCORE IN EACH SECTION AND EARNING AN OVERALL SCORE OF 100. HEALTH CARE FACILITIES RECEIVED NATIONAL RECOGNITION AS 'LEADERS' FOR DEMONSTRATING COMMITMENT TO ADVANCING HEALTH EQUITY FOR INDIVIDUALS IN THE LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER OR QUESTIONING (LGBTQ) COMMUNITY.ALL 27 ADVOCATE AURORA HOSPITALS HAVE EARNED THE PRESTEGIOUS HEALTHCARE EQUALITY INDEX (HEI) LEADERSHIP ACCREDIDATION FROM THE HUMAN RIGHTS CAMPAIGN BASED ON OUR APPROACH TO LGBTQ PATIENT-CENTERED CARE. ALL 27 ADVOCATE AURORA HOSPITALS RECEIVED 100% SCORES DESIGNATING THEM 2022 LGBTQ+ HEALTHCARE EQUALITY LEADERS. FEWER THAN 15% OF THE 1,700+ HOSPITALS EVALUATED BY HEI ACHIEVED SUCH A DESIGNATION. CLICK HERE.MODERN HEALTHCARE'S 100 MOST INFLUENTIAL PEOPLE IN HEALTHCARE. ADVOCATE HEALTH CEOS JIM SKOGSBERGH AND EUGENE WOOD WERE NAMED TO MODERN HEALTHCARE'S 100 MOST INFULENTIAL PEOPLE IN HEALTHCARE 2023 LIST, RECOGNIZING LEADERS WHO HELPED THEIR ORGANIZATION ACHIEVE MEASURABLE RESULTS, IMPROVE DE&I EFFORTS AND ARE CONSIDERD A LEADING VOICE IN THE INDUSTRY. 36 HOSPITALS ON FORBES LIST OF BEST EMPLOYERS FOR DIVERSITY. ADVOCATE AURORA HEALTH IS AMONG THE 36 HEALTH SYSTEMS AND HOSPITALS TO MAKE THE LIST OF AMERICA'S BEST EMPLOYERS FOR DIVERSITY. THE RANKINGS ARE BASED ON A SURVEY OF 60,000 AMERICANS WORKING FOR BUSINESSES WITH AT LEAST 1,000 EMPLOYEES. CLICK HERE. OTHER NOTABLE ADVOCATE AURORA ACCOMPLISHMENTS ACHIEVED IN 2023 ARE AS FOLLOW. ADVOCATE AURORA'S WORKFORCE CONTINUED TO EXHIBIT EXCEPTIONAL FLEXIBILTY AND CREATIVITY, CONTINUING REMOTE WORK FOR NON-ESSENTIAL EMPLOYEES WHILE WORKING TO ADDRESS ISSUES RELATED TO COVID-19 IN THE HOSPITALS AND IN THE COMMUNITY. ADVOCATE AURORA MAINTAINED SAFETY PROTOCOLS/PROCEDURES APPROPRIATE FOR ACCESSING ALL SITES OF CARE. ADVOCATE AURORA PROVIDED 786K VIRTUAL VISITS, A TOTAL OF 1.26M ON-LINE APPOINTMENTS WERE BOOKED AND 106K CONSUMERS DOWNLOADED OUR LIVE WELL APP IN 2022. ADVOCATE AURORA HAS A 1.45M LIFETIME APP DOWNLOADS. CONTINUED OUR DONATION PROGRAM WITH PROJECT C.U.R.E., A NON-PROFIT ORGANIZATION THAT WILL RESPONSIBLY REDISTRIBUTE DONATED MEDICAL SUPPLIES AND EQUIPMENT TO UNDER-RESOURCED AREAS AROUND THE GLOBE, FOR ALL ADVOCATE HEALTH CARE FACILITIES. IN 2023, ADVOCATE HEALTH CARE DONATED 71 TONS OF MEDICAL SUPPLIES AND EQUIPMENT TO PROJECT CURE.IN 2023, ADVOCATE ACHIEVED THE FOLLOWING: AVOIDED 34 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 82,000 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. 99% OF ADVOCATE'S FURNITURE PURCHASES AVOIDED FIVE KEY CHEMICALS OF CONCERN. 87% OF FIVE MAIN CATEGORIES OF CLEANERS WERE ON THIRD PARTY CERTIFIED GREEN CLEANERS OVER $1 MILLION OF ADVOCATE'S MEAT PURCHASES SUPPORTED PRODUCERS WHO RAISE THEIR ANIMALS WITHOUT THE USE OF ANTIBIOTICS (30% OF TOTAL). COPY PAPER USED CONTAINS 30% POST-CONSUMER RECYCLED CONTENT AND IS FOREST STEWARDSHIP COUNCIL CERTIFIED. RECYCLED 3,847 TONS OF WASTE FROM HOSPITAL OPERATIONS.ADVOCATE AURORA HEALTH'S COMMUNITY STRATEGYADVOCATE AURORA HEALTH (AAH) HAS A STRONG HISTORY OF COMMUNITY ENGAGEMENT AND SERVICE. A TARGETED STRATEGY HAS BEEN DEVELOPED TO BUILD ON THIS HISTORY AND TO TRANSFORM THE COMMUNITY FACING WORK TO PROVIDE SUPPORT FOR PATIENT HEALTH AND TO BUILD HEALTH EQUITY IN COMMUNITIES. THIS FOCUSED COMMUNITY STRATEGY WILL IMPACT HEALTH OUTCOMES FOR AAH PATIENTS AS WELL AS THE BROADER COMMUNITY WITH THE LONG-TERM GOAL OF REDUCING HEALTH INEQUITIES ACROSS THE ORGANIZATION'S FOOTPRINT. TO ADVANCE AAH'S COMMITMENT AND INVESTMENT IN HELPING PEOPLE LIVE WELL AND ACHIEVE HEALTH EQUITY, A MULTIDISCIPLINARY TEAM OF LEADERS FROM COMMUNITY HEALTH, COMMUNITY RELATIONS, DIVERSITY, EQUITY AND INCLUSION, GOVERNMENT RELATIONS, MISSION AND SPIRITUAL CARE AND POPULATION HEALTH DEPARTMENTS CONVENED IN NOVEMBER 2018. THE ADVOCATE AURORA HEALTH COMMUNITY STRATEGY DEVELOPED FROM THIS WORK IS A TARGETED SYSTEMWIDE APPROACH TO ADDRESSING HEALTH EQUITY. THE COMMUNITY STRATEGY INCLUDES SIX FOCUS AREAS AND FOUR ENABLING STRATEGIES, WHICH TAKE AN UPSTREAM APPROACH TO ADDRESSING HEALTH EQUITY. COMMUNITY STRATEGY SUBCOMMITTEES AND AAH TEAM MEMBERS AND LEADERS JOINED FORCES TO DEVELOP SPECIFIC PROGRAMS, INITIATIVES, AND SERVICES FOR EACH OF THE COMMUNITY STRATEGY FOCUS AREAS AND ENABLING STRATEGIES.COMMUNITY STRATEGY FOCUS AREAS - ACCESS/PRIMARY MEDICAL HOMES: PRIMARY CARE IS CRITICAL FOR IMPROVING POPULATION HEALTH AND REDUCING HEALTH DISPARITIES. AAH CONNECTS PEOPLE WITH CARE AND SERVICES AT THE RIGHT TIME, IN THE RIGHT PLACE WITH THE OUTCOME OF REDUCING LOW ACUITY ED VISITS AND HOSPITAL READMISSIONS. - ACCESS/BEHAVIORAL HEALTH SERVICES: MENTAL HEALTH IS INTEGRAL TO OVERALL HEALTH AND WELL-BEING. AAH PROVIDES BEHAVIORAL HEALTH ASSESSMENTS TO EXPEDITE REFERRAL OF PATIENTS TO APPROPRIATE LEVELS OF CARE AND TO SUPPORTIVE RESOURCES. - WORKFORCE DEVELOPMENT: UNEMPLOYMENT AFFECTS HEALTH THROUGH FINANCIAL DEPRIVATION AND SOCIAL AND EMOTIONAL STRAIN. AAH PROVIDES SKILL-BUILDING PROGRAMS TO IMPROVE EMPLOYMENT SKILLS FOR COMMUNITY MEMBERS AND WORKFORCE DEVELOPMENT PROGRAMS FOR TEAM MEMBERS. - COMMUNITY SAFETY: VIOLENCE AFFECTS THE VICTIM, THEIR FAMILY AND SOCIAL NETWORK, THE PERPETRATOR, AND ULTIMATELY THE ENTIRE COMMUNITY. AAH IMPLEMENTS PROGRAMS TO SUPPORT ALL THESE LEVELS LIKE THE AURORA HEALING CENTER IN MILWAUKEE COUNTY, SEXUAL ASSAULT NURSE EXAMINERS (SANES), AND ADVOCATE TRAUMA RECOVERY CENTER. - HOUSING: ADEQUATE AND SAFE HOUSING IS CRITICAL TO POSITIVE HEALTH OUTCOMES. AAH HOSPITALS ARE TAKING STEPS TO PROVIDE PATIENTS WITH A HEALTHY AND SAFE HOME ENVIRONMENT TO HEAL SUCH AS THE SAFE HOME ENVIRONMENT PROGRAM AND THE COOK COUNTY FLEXIBLE HOUSING POOL. - FOOD SECURITY: FOOD INSECURITY LEADS TO POOR HEALTH OUTCOMES AND IS LINKED TO OBESITY, INCREASED RISK OF CHRONIC DISEASE, AND MALNUTRITION. AAH TEAMS HAVE ACTIVATED FOOD DISTRIBUTION PLANS TO ADDRESS FOOD INSECURITY BY COLLABORATING WITH COMMUNITY SERVICE GROUPS AND FAITH PARTNERS. 684645871 188866453 COMMUNITY STRATEGY ENABLING STRATEGIES: SOCIAL DETERMINANTS OF HEALTH (SDOH) SCREENING AND REFERRAL: COLLECTING AND USING DATA FROM PATIENTS LIVING IN THE COMMUNITIES WE SERVE IS AN IMPORTANT FIRST STEP IN DEVELOPING UPSTREAM SOLUTIONS TO ADDRESS THE SOCIAL NEEDS OF OUR PATIENTS. AAH TEAM MEMBERS DEVELOPED PROCESSES, TOOLS, AND TRAINING NECESSARY TO SCREEN PATIENTS FOR SDOH AND TO RESOURCE PATIENTS FOR IDENTIFIED GAPSTRACKING UTILIZATION OF THESE RESOURCES IN A CLOSED-LOOP SYSTEM. LOCAL PURCHASING (BUSINESS DIVERSITY): AN ANCHOR STRATEGY THAT BUILDS UPON EXISTING DEI PURCHASING STRATEGIES AND ESTABLISHES TARGETS TO INCREASE NUMBER OF LOCAL AND DIVERSE VENDORS. COMMUNITY INVESTMENT: ANCHOR STRATEGY INVESTMENTS TARGETED TO ENHANCE CRITICAL SERVICES SUCH AS AFFORDABLE OR SUPPORTIVE HOUSING AND FOOD ACCESS IN COMMUNITIES THAT LEAD TO IMPROVED HEALTH AND DEMONSTRATED DOWNSTREAM BENEFITS TO OUR PATIENTS AND THE COMMUNITY. MAY ALSO SUPPORT STRATEGIC BUSINESSES TO QUALIFY AS DIVERSE VENDORS. PHILANTHROPY: CHARITABLE INVESTMENTS AND GRANTS FUND ESSENTIAL COMMUNITY PROGRAMS AND SUPPORT EXECUTION OF AAH'S COMMUNITY STRATEGY TO CREATE HEALTHIER COMMUNITIES AND IMPACT VULNERABLE POPULATIONS.AAH'S COMMUNITY STRATEGY DEMONSTRATES THE ORGANIZATION'S RESPONSE TO CURRENT FORCES OF CHANGE IN HEALTH CARE, AS WELL AS THEIR COMMITMENT TO ADVANCING HEALTH EQUITY. 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OUT PATIENT 54 - AMG CHICAGO 3048 N WILTON 3RD FL RESIDENC 3040 N WILTON 3RD FL RESIDENCY CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 55 - AMG CHICAGO 3048 N WILTON 3RD FL OB MIDWI 3040 N WILTON 3RD FL MIDWIFEF CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 56 - AMG CHICAGO IRV & WESTERN 4025 N WESTERN AVE CHICAGO IL 60634 PATIENT CARE - OUT PATIENT 57 - CHICAGO CRETICOS CANCER CENTER 901 WELLINGTON AVE CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 58 - AMG 3000 N HALSTED ST STE 823 CHICAGO IL 606576185 PATIENT CARE - OUT PATIENT 59 - WRIGLEY FIELD 1060 W ADDISON CHICAGO IL 60613 PATIENT CARE - OUT PATIENT 60 - CHICAGO N CICERO 4211 N CICERO CHICAGO IL 60641 PATIENT CARE - OUT PATIENT 61 - NORTHSIDE-SUBURBAN PEDIATRICS 4801 W PETERSON 506 CHICAGO IL 60646 PATIENT CARE - OUT PATIENT 62 - AMG HALSTEDBLACKHAWK 1460 N HALSTED AVE CHICAGO IL 60622 PATIENT CARE - OUT PATIENT 63 - CHICAGO DOTY (PULLMAN) 10834 S DOTY AVE CHICAGO IL 60628 PATIENT CARE - OUT PATIENT 64 - ACC 95TH ST 2210 W 95TH ST CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 65 - CHICAGO E 118TH ST 3550 E 118TH ST CHICAGO IL 60625 PATIENT CARE - OUT PATIENT 66 - CHICAGO N CENTRAL AVE 3942 N CENTRAL AVE CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 67 - CHICAGO MARINE DR 4646 N MARINE DR CHICAGO IL 60640 PATIENT CARE - OUT PATIENT 68 - CHICAGO N BROADWAY 5304 N BROADWAY AVE CHICAGO IL 60640 PATIENT CARE - OUT PATIENT 69 - ADVOCATE MEDICAL GROUP - HEART AND VASCU 3118 N ASHLAND AVE CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 70 - AMG SYKES OUTPATIENT CENTER 2535 S MARTIN LUTHER KING DR CHICAGO IL 60616 PATIENT CARE - OUT PATIENT 71 - AMG GREENWOOD SLEEP 1111 E 87TH ST STE 500 CHICAGO IL 60619 PATIENT CARE - OUT PATIENT 72 - AMG CHICAGO EVERGREEN 1357 W 103RD ST CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 73 - AMG 8550 W BRYN MAWR STE 650 CHICAGO IL 60631 PATIENT CARE - OUT PATIENT 74 - AMG 8550 W BRYN MAWR STE 700 CHICAGO IL 60631 PATIENT CARE - OUT PATIENT 75 - AMG 8550 W BRYN MAWR STE 800 CHICAGO IL 60631 PATIENT CARE - OUT PATIENT 76 - AMG 8550 W BRYN MAWR STE 350 CHICAGO IL 60631 PATIENT CARE - OUT PATIENT 77 - AMG 1273 MILWAUKEE AVE CHICAGO IL 60622 PATIENT CARE - OUT PATIENT 78 - AMG ICC MONTROSE 918 W MONTROSE CHICAGO IL 60613 PATIENT CARE - OUT PATIENT 79 - AMG WALGREENS CLINIC 11 E 75TH ST CHICAGO IL 606191601 PATIENT CARE - OUT PATIENT 80 - AMG WALGREENS CLINIC 151 N STATE ST WAG 15196 CHICAGO IL 606013601 PATIENT CARE - OUT PATIENT 81 - AMG WALGREENS CLINIC 1554 E 55TH ST WAG 00162 CHICAGO IL 606155550 PATIENT CARE - OUT PATIENT 82 - AMG WALGREENS CLINIC 1601 N WELLS ST WAG 00249 CHICAGO IL 606146001 PATIENT CARE - OUT PATIENT 83 - AMG WALGREENS CLINIC 1633 W 95TH ST WAG 4306 CHICAGO IL 606431331 PATIENT CARE - OUT PATIENT 84 - AMG CLARK ST OUTPATIENT CENTER 3134 N CLARK ST CHICAGO IL 606574414 PATIENT CARE - OUT PATIENT 85 - AMG WALGREENS CLINIC 3405 S KING DRIVE WAG 00232 CHICAGO IL 606164108 PATIENT CARE - OUT PATIENT 86 - AMG WALGREENS CLINIC 410 N MICHIGAN AVE WAG 15921 CHICAGO IL 606114213 PATIENT CARE - OUT PATIENT 87 - AMG WALGREENS CLINIC 5600 W FULLERTON AVE WAG 4233 CHICAGO IL 606392305 PATIENT CARE - OUT PATIENT 88 - AMG WALGREENS CLINIC 5625 N RIDGE AVE WAG 4542 CHICAGO IL 606603434 PATIENT CARE - OUT PATIENT 89 - AMG WALGREENS CLINIC 7510 N WESTERN AVE WAG 00252 CHICAGO IL 606451592 PATIENT CARE - OUT PATIENT 90 - AMG WALGREENS CLINIC 79 W MONROE ST WAG 5387 CHICAGO IL 606034901 PATIENT CARE - OUT PATIENT 91 - AMG AMG CHICAGO FOSTER CHICAGO IL 60610 PATIENT CARE - OUT PATIENT 92 - AMG AMG SYKES CHICAGO IL 60616 PATIENT CARE - OUT PATIENT 93 - AMG AMG CHICAGO LOGAN SQUARE CHICAGO IL 60647 PATIENT CARE - OUT PATIENT 94 - AMG 525 CONGRESS PKWY CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 95 - CRYSTAL LAKE MEMORIAL COURT 284 MEMORIAL CT CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 96 - AMG WALGREENS CLINIC 151 NORTHWEST HIGHWAY CRYSTAL LAKE IL 600147936 PATIENT CARE - OUT PATIENT 97 - AMG 2622 W 83RD ST DARIEN IL 60561 PATIENT CARE - OUT PATIENT 98 - DES PLAINES ACMG 8901 GOLF RD DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 99 - AMG 1400 EAST TOUHY AVENUE SUITE 305 DES PLAINES IL 600183305 PATIENT CARE - OUT PATIENT 100 - DOWNERS GROVE GSAM STE 306 3825 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 101 - DOWNERS GROVE GSAM SLEEP 3815 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 102 - AMG 6840 S MAIN ST STE 101 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 103 - AMG 6840 S MAIN ST STE 202 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 104 - AMG 6840 S MAIN ST MAIN STE FL 2 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 105 - AMG WALGREENS CLINIC 1000 OGDEN AVE WAG 4636 DOWNERS GROVE IL 605152803 PATIENT CARE - OUT PATIENT 106 - AMG 4900 MAIN ST BASEMENT DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 107 - AMG 4900 MAIN ST 1ST FLOOR DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 108 - AMG EAST DUNDEE 151 E DUNDEE AVE EAST DUNDEE IL 60118 PATIENT CARE - OUT PATIENT 109 - AMG 151 E DUNDEE AVE STE C EAST DUNDEE IL 60118 PATIENT CARE - OUT PATIENT 110 - AMG 1140 N MCLEAN BLVD STES E F ELGIN IL 601231782 PATIENT CARE - OUT PATIENT 111 - AMG ELGIN 1710 RANDALL RD 1710 RANDALL RD STES 200 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 112 - ELGIN RANDALL STE 340 1710 RANDALL RD ELGIN IL 60123 PATIENT CARE - OUT PATIENT 113 - ELGIN RANDALL STE 107 1710 RANDALL RD STE 107 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 114 - ELGIN RANDALL STE 201 (EFFECTIVE 41 1710 RANDALL RD STE 201 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 115 - AMG 745 FLETCHER RD STE 302 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 116 - AMG 745 FLETCHER RD STE 101 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 117 - AMG ELGIN 750 FLETCHER DR 750 FLETCHER DR STE 206 ELGIN IL 60123 PATIENT CARE - OUT PATIENT 118 - AMG ELGIN MCLEAN 1425 N MCLEAN BOULEVARD STE 900 ELGIN IL 601235707 PATIENT CARE - OUT PATIENT 119 - AMG ELK GROVE 1502 ELMHURST RD ELK GROVE VILLAGE IL 600076421 PATIENT CARE - OUT PATIENT 120 - AMG WALGREENS CLINIC 930 ELK GROVE TOWN CENTER ELK GROVE VILLAGE IL 600073754 PATIENT CARE - OUT PATIENT 121 - FOX RIVER GROVE 912 NORTHWEST HWY STE 107 FOX RIVER GROVE IL 60010 PATIENT CARE - OUT PATIENT 122 - FRANKFORT LAGRANGE 21160 S LAGRANGE AVE FRANKFORT IL 60423 PATIENT CARE - OUT PATIENT 123 - AMG WALGREENS CLINIC 324 ROOSEVELT RD GLEN ELLYN IL 601375647 PATIENT CARE - OUT PATIENT 124 - GLENVIEW WAUKEGAN 1412 WAUKEGAN RD GLENVIEW IL 60025 PATIENT CARE - OUT PATIENT 125 - GURNEE HUNT CLUB RD STE 304 1445 HUNT CLUB RD GURNEE IL 60031 PATIENT CARE - OUT PATIENT 126 - GURNEE HUNT CLUB RD IMM CARE 1445 HUNT CLUB RD GURNEE IL 60031 PATIENT CARE - OUT PATIENT 127 - GURNEE HUNT CLUB RD STE 301 1425 HUNT CLUB RD GURNEE IL 60031 PATIENT CARE - OUT PATIENT 128 - AMG WALGREENS CLINIC 7501 GRAND AVE WAG 4097 GURNEE IL 600311551 PATIENT CARE - OUT PATIENT 129 - AMG PEDIATRICS GURNEE 15 TOWER COURT GURNEE IL 600313336 PATIENT CARE - OUT PATIENT 130 - AMG WALGREENS CLINIC 5500 COUNTY FARM RD HANOVER PARK IL 601335104 PATIENT CARE - OUT PATIENT 131 - HAZEL CREST S KEDZIE (SANE) 17680 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 132 - HAZEL CREST S KEDZIE (SHAH) 17680 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 133 - AMG HAZEL CREST SSUB EMP HLTH 17850 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 134 - AMG HAZEL CREST SSUB STE 2100 17850 S KEDZIE STE 2100 HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 135 - AMG HAZEL CREST SSUB STE 2300 17850 S KEDZIE STE 2300 HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 136 - AMG HAZEL CREST SSUB STE 3500 17850 S KEDZIE STE 3500 HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 137 - AMG HAZEL CREST 3330 W 177TH ST HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 138 - AMG HOMETOWN 4140 SOUTHWEST HWY HOMETOWN IL 60456 PATIENT CARE - OUT PATIENT 139 - AMG WALGREENS CLINIC 1200 PRINCETON DRIVE WAG 7457 HUNTLEY IL 601427654 PATIENT CARE - OUT PATIENT 140 - AMG 214 WASHINGTON ST INGLESIDE IL 60098 PATIENT CARE - OUT PATIENT 141 - AMG BARRINGTON 22285 PEPPER RD BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 142 - AMG PEDIATRICS LAKE VILLA 50 S MILWAUKEE AVENUE LAKE VILLA IL 600469471 PATIENT CARE - OUT PATIENT 143 - AMG WALGREENS CLINIC 910 N RAND RD WAG 4464 LAKE ZURICH IL 600473201 PATIENT CARE - OUT PATIENT 144 - AMG LAKE ZURICH 350 SURRYSE RD STE 110 LAKE ZURICH IL 60047 PATIENT CARE - OUT PATIENT 145 - AMG LEMONT 15900 W 127TH ST LEMONT IL 60439 PATIENT CARE - OUT PATIENT 146 - AMG LIBERTYVILLE 755 S MILWAUKEE AVE LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 147 - AMG LIBERTYVILLE 801 S MILWAUKEE 801 S MILWAUKEE RD LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 148 - AMG 890 GARFIELD STE 200 LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 149 - AMG 890 GARFIELD STE 202 LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 150 - AMG WALGREENS CLINIC 1770 N MILWAUKEE AVE WAG 5257 LIBERTYVILLE IL 600481317 PATIENT CARE - OUT PATIENT 151 - AMG LINCOLNSHIRE 100 VILLAGE GREEN DR STE 120 LINCOLNSHIRE IL 60069 PATIENT CARE - OUT PATIENT 152 - AMG LINCOLNSHIRE 100 VILLAGE GREEN DR STE 210 LINCOLNSHIRE IL 60069 PATIENT CARE - OUT PATIENT 153 - AMG WALGREENS CLINIC 16750 W 159TH ST WAG 6703 LOCKPORT IL 604417968 PATIENT CARE - OUT PATIENT 154 - AMG LOMBARD ROOSEVELT 454 E ROOSEVELT RD LOMBARD IL 601486102 PATIENT CARE - OUT PATIENT 155 - AMG LOMBARD AND AMG LEMONT 15900 W 127TH 500 EAST 22ND ST STE A LOMBARD IL 60148 PATIENT CARE - OUT PATIENT 156 - AMG WALGREENS CLINIC 4101 1ST AVENUE LYONS IL 605341028 PATIENT CARE - OUT PATIENT 157 - AMG MCHENRY 633 RIDGEVIEW DR MCHENRY IL 60050 PATIENT CARE - OUT PATIENT 158 - AMG MCHENRY 5403 BULL VALLEY ROAD 5403 BULL VALLEY RD MCHENRY IL 60050 PATIENT CARE - OUT PATIENT 159 - AMG WALGREENS CLINIC 3925 W ELM ST WAG 5469 MCHENRY IL 600504361 PATIENT CARE - OUT PATIENT 160 - AMG MERRIONETTE PARK 11600 S KEDZIE MERRIONETTE PARK IL 60803 PATIENT CARE - OUT PATIENT 161 - AMG WALGREENS CLINIC 20002 WOLF RD WAG 4154 MOKENA IL 604481320 PATIENT CARE - OUT PATIENT 162 - AMG MOKENA 19225 EVERETT LANE MOKENA IL 604488959 PATIENT CARE - OUT PATIENT 163 - AMG WALGREENS CLINIC 1799 DOUGLAS RD WAG 4779 MONTGOMERY IL 605382170 PATIENT CARE - OUT PATIENT 164 - AMG WALGREENS CLINIC 9301 WAUKEGAN RD WAG 4503 MORTON GROVE IL 600531313 PATIENT CARE - OUT PATIENT 165 - AMG WALGREENS CLINIC 1701 E KENSINGTON RD WAG 5107 MOUNT PROSPECT IL 600561922 PATIENT CARE - OUT PATIENT 166 - AMG MUNDELEIN 3320 IL-60 MUNDELEIN IL 600601639 PATIENT CARE - OUT PATIENT 167 - AMG 100 SPALDING AVE NAPERVILLE IL 60540 PATIENT CARE - OUT PATIENT 168 - AMG WALGREENS CLINIC 63 W 87TH ST WAG 2335 NAPERVILLE IL 605652200 PATIENT CARE - OUT PATIENT 169 - AMG NAPER BLVD 1512 N NAPER BOULEVARD STE 176 NAPERVILLE IL 605639369 PATIENT CARE - OUT PATIENT 170 - AMG DREYER NAPERVILLE 1508 AURORA AVENUE NAPERVILLE IL 605406210 PATIENT CARE - OUT PATIENT 171 - AMG 7900 MILWAUKEE AVE NILES IL 60714 PATIENT CARE - OUT PATIENT 172 - AMG 7900 N MILWAUKEE AVE STE 16 NILES IL 60714 PATIENT CARE - OUT PATIENT 173 - AMG 7900 N MILWAUKEE AVE STE 2-34 NILES IL 60714 PATIENT CARE - OUT PATIENT 174 - AMG WALGREENS CLINIC 1825 WILLOW RD WAG 3926 NORTHFIELD IL 600932925 PATIENT CARE - OUT PATIENT 175 - AMG OAK LAWN 95 ST 200 4220 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 176 - ACMG OAK LAWN 95 ST 210 4220 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 177 - AMG OAK LAWN 4400 W 95TH STE 101 4400 W 95TH ST STE 101 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 178 - AMG OAK LAWN 4400 W 95TH STE 102 4400 W 95TH ST STE 102 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 179 - AMG OAK LAWN 4400 W 95TH STE 108 4400 W 95TH ST STE 108 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 180 - AMG OAK LAWN 4400 W 95TH STE 207 4400 W 95TH ST STE 207 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 181 - AMG OAK LAWN 4400 W 95TH STE 301 4400 W 95TH ST STE 301 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 182 - AMG OAK LAWN 4400 W 95TH STE 403 4400 W 95TH ST STE 403 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 183 - AMG OAK LAWN 4400 W 95TH STE 404 4400 W 95TH ST STE 404 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 184 - AMG OAK LAWN 4400 W 95TH STE 407 4400 W 95TH ST STE 407 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 185 - AMG OAK LAWN 4400 W 95TH STE 408 4400 W 95TH ST STE 408 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 186 - AMG OAK LAWN 4400 W 95TH STE 413 4400 W 95TH ST STE 413 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 187 - AMG OAK LAWN 4400 W 95TH STE 109 111 4400 W 95TH ST STE 109 111 112 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 188 - AMG OAK LAWN 4700 W 95TH STE 308 4400 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 189 - AMG 4400 W 95TH ST STE 106 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 190 - AMG OAK LAWN- CICERO AVENUE 10735 S CICERO AVENUE STE 100 OAK LAWN IL 604536210 PATIENT CARE - OUT PATIENT 191 - AMG OAK LAWN 4225 W 95TH ST OAK LAWN IL 604532623 PATIENT CARE - OUT PATIENT 192 - AMG OAK LAWN SOUTHWEST HIGHWAY 4550 SOUTHWEST HIGHWAY OAK LAWN IL 604531842 PATIENT CARE - OUT PATIENT 193 - AMG HOME OFFICES 1901 S MEYERS RD OAKBROOK TERRACE IL 601815243 PATIENT CARE - OUT PATIENT 194 - AMG ORLAND PARK 165TH 10745 W 165TH ST ORLAND PARK IL 60467 PATIENT CARE - OUT PATIENT 195 - AMG WALGREENS CLINIC 14680 S LA GRANGE RD WAG 6580 ORLAND PARK IL 604622510 PATIENT CARE - OUT PATIENT 196 - AMG ORLAND SQUARE ORLAND DR 29 ORLAND PARK DR ORLAND PARK IL 60467 PATIENT CARE - OUT PATIENT 197 - AMG ORLAND PARK RAVINIA 14741 RAVINIA DR ORLAND PARK IL 60467 PATIENT CARE - OUT PATIENT 198 - AMG WALGREENS CLINIC 375 E DUNDEE RD WAG 3940 PALATINE IL 600742812 PATIENT CARE - OUT PATIENT 199 - AMG PALOS HEIGHTS HARLEM AVE 12332 S HARLEM AVE PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 200 - AMG PALOS HEIGHTS HARLEM AVE 12400 S HARLEM AVE PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 201 - AMG PALOS HEIGHTS SW HWY 11800 SOUTHWEST HWY PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 202 - AMG PALOS HILLS 7620 W 111TH ST PALOS HILLS IL 60465 PATIENT CARE - OUT PATIENT 203 - AMG PARK RIDGE PARKSIDE STE 470 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 204 - AMG PARK RIDGE PARKSIDE STE 490 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 205 - AMG PARK RIDGE PARKSIDE STE 640 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 206 - AMG PARK RIDGE PARKSIDE STE 270 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 207 - AMG PARK RIDGE PARKSIDE STE 555 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 208 - AMG PARK RIDGE ADULT DOWN SYNDROME 1610 LUTHER LN PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 209 - AMG PARK RIDGE YACKTMAN 1675 DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 210 - AMG PARK RIDGE YACKTMAN OB 1675 DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 211 - AMG PARK RIDGE CARDIO VASCULAR 1700 LUTHER LN PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 212 - AMG PARK RIDGE CAC GYNONC 1700 LUTHER LN PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 213 - AMG PARK RIDGE PARKSIDE STE 550 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 214 - AMG PARK RIDGE LGH SLEEP CENTER 1775 DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 215 - AMG PARK RIDGE PARKSIDE STE 285 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 216 - AMG PARK RIDGE PARKSIDE STE 310 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 217 - AMG PARK RIDGE PARKSIDE STE 325 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 218 - AMG PARK RIDGE PARKSIDE STE 340 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 219 - AMG PARK RIDGE PARKSIDE STE 360 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 220 - AMG PARK RIDGE PARKSIDE STE 520 1875 W DEMPSTER PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 221 - AMG PARK RIDGE BUSSE HIGHWAY 850 BUSSE HWY PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 222 - PARK RIDGE RENAISSANCE DR 1480 RENAISSANCE DR PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 223 - AMG WALGREENS CLINIC 800 DEVON AVE WAG 15907 PARK RIDGE IL 600684760 PATIENT CARE - OUT PATIENT 224 - AMG PARK RIDGE 10 N CUMBERLAND AVENUE PARK RIDGE IL 600683215 PATIENT CARE - OUT PATIENT 225 - PLAINFIELD 24600 W 127TH ST BLDG B PLAINFIELD IL 60544 PATIENT CARE - OUT PATIENT 226 - AMG WALGREENS CLINIC 24801 W 135TH ST WAG 6567 PLAINFIELD IL 605445413 PATIENT CARE - OUT PATIENT 227 - AMG WALGREENS CLINIC 4822 CATON FARM RD WAG 4828 PLAINFIELD IL 605868262 PATIENT CARE - OUT PATIENT 228 - AMG WALGREENS CLINIC 498 N WEBER RD WAG 6563 ROMEOVILLE IL 604464944 PATIENT CARE - OUT PATIENT 229 - AMG WALGREENS CLINIC 305 W ROLLINS RD WAG 4940 ROUND LAKE BEACH IL 600731217 PATIENT CARE - OUT PATIENT 230 - AMG WALGREENS CLINIC 3351 W MAIN ST WAG 6795 SAINT CHARLES IL 601751004 PATIENT CARE - OUT PATIENT 231 - AMG SOUTH ELGIN 2000 MCDONALD RD SOUTH ELGIN IL 60177 PATIENT CARE - OUT PATIENT 232 - AMG SOUTH HOLLAND 100 W 162ND ST SOUTH HOLLAND IL 60473 PATIENT CARE - OUT PATIENT 233 - TINLEY PARK - CMC 8TH AVE STE E 16750 S 80TH AVE STE E TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 234 - TINLEY PARK SLEEP CENTER 16532 OAK PARK AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 235 - AMG TINLEY PARK STE #209 18210 S LAGRANGE AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 236 - AMG TINLEY PARK STE #105 18210 S LAGRANGE AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 237 - AMG TINLEY PARK 18210 S LAGRANGE AVE TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 238 - AMG TINLEY PARK STE #200 18210 LA GRANGE RD TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 239 - VERNON HILLS OB 565 LAKEVIEW DR VERNON HILLS IL 60061 PATIENT CARE - OUT PATIENT 240 - AMG WALGREENS CLINIC 200 E ROOSEVELT RD WAG 3994 VILLA PARK IL 601813500 PATIENT CARE - OUT PATIENT 241 - AMG DUNDEE 979 W MAIN ST DUNDEE IL 60118 PATIENT CARE - OUT PATIENT 242 - AMG WALGREENS CLINIC 1 E OGDEN AVE WAG 13827 WESTMONT IL 605591339 PATIENT CARE - OUT PATIENT 243 - AMG WALGREENS CLINIC 10 N MILWAUKEE AVE WAG 4941 WHEELING IL 600903012 PATIENT CARE - OUT PATIENT 244 - AMG WINFIELD 25 N WINFIELD WINFIELD IL 60527 PATIENT CARE - OUT PATIENT 245 - AMG WOODSTOCK 3703 DOTY ROAD 3703 DOTY RD BLDG1 STE 4 WOODSTOCK IL 60098 PATIENT CARE - OUT PATIENT 246 - AMG WALGREENS CLINIC 100 W VETERANS PKWY WAG 6469 YORKVILLE IL 605601827 PATIENT CARE - OUT PATIENT 247 - AMG 11824 SOUTHWEST HWY STES 135 140 1 PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 248 - FAMILY PRACTICE 4140 W SOUTHWEST HWY HOMETOWN IL 60456 PATIENT CARE - OUT PATIENT 249 - AMBULATORY BUILDING 4440 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - IN PATIENT 250 - CHRIST POB 4400 W 95TH ST STES 101 102 107 1 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 251 - DEVELOPMENT CENTER 4546 W 95TH ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 252 - BREAST HEALTH CENTER 4545 W 103RD ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 253 - ADVOCATE PTOT (CHRIST) 12340-50 S HARLEM AVE PALOS HEIGHTS IL 60463 PATIENT CARE - OUT PATIENT 254 - NORTH PAVILION 3743 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 255 - MIDWEST CENTER FOR DAY SURGERY 3811 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 256 - GOOD SAMARITAN HOSPITAL CANCER CARE CENT 3745 HIGHLAND AVE DOWNERS GROVE IL 60515 PATIENT CARE - IN PATIENT 257 - GOOD SAMARITAN POB TOWER 2 3825 HIGHLAND AVE STES 103 107 110 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 258 - GOOD SAMARITAN POB TOWER 1 3825 HIGHLAND AVE STES 2J 4H 4K GR DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 259 - GOOD SAM OUTPATIENT CENTER 6840 MAIN ST 1ST FL STE 202 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 260 - LEMONT WALK IN CLINICRADIOLOGY 15900 W 127TH ST STES 100 131 20 LEMONT IL 60439 PATIENT CARE - OUT PATIENT 261 - WOODRIDGE IMAGING CENTER 7530 WOODWARD AVE WOODRIDGE IL 60517 PATIENT CARE - OUT PATIENT 262 - BRIARWOOD BUILDING 2272 COUNTYLINE RD STES 100 200 300 ALGONQUIN IL 60102 PATIENT CARE - OUT PATIENT 263 - IMAGING CENTER 2284 W COUNTYLINE RD ALGONQUIN IL 60014 PATIENT CARE - OUT PATIENT 264 - GOOD SHEPHERD POB BUILDING 2 27750 W HWY 22 STES G50 G60 140 2 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 265 - GOOD SHEPHERD POB BUILDING 1 27790 W HWY 22 STE 2 5 13 16 19 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 266 - GOOD SHEPHERD OUTPATIENT CENTER & IMAGIN 525 CONGRESS PKWY 1ST FL 225 CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 267 - ADVOCATE ADULT & PEDIATRIC REHABILITATIO 5150 NORTHWEST HWY CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 268 - LAKE ZURICH BREAST IMAGING CENTER PEDIA 350 SURRYSE RD STES 140 150 250 LAKE ZURICH IL 60047 PATIENT CARE - OUT PATIENT 269 - BOLINGBROOK QUADRANGLE BUILDING C 391 QUADRANGLE DR N-4 BOLINGBROOK IL 60440 PATIENT CARE - OUT PATIENT 270 - TRINITY POB 2301-2315 E 93RD ST STES 117 213 3 CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 271 - WOUND CARE CLINIC 8751 S GREENWOOD STE600 100 CHICAGO IL 60619 PATIENT CARE - OUT PATIENT 272 - SLEEP CENTER 1111 E 87TH ST STE 500 CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 273 - SOUTH SUBURBAN HOSPITAL - CRETE LOCATION 1024-1036 E STEGER RD 4 STES CRETE IL 60417 PATIENT CARE - OUT PATIENT 274 - SOUTH SUBURBAN HOSPITAL CANCER CENTER 17750 S KEDZIE HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 275 - SOUTH SUBURBAN POB 17850 S KEDZIE STES LL 1 2 LL STO HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 276 - SOUTH SUBURBAN MEDICAL OFFICE AND SLEEP 16532 OAK PARK AVE STE LL1 TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 277 - DOWNERS GROVE CENTER 3551 HIGHLAND AVE STE 200 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 278 - HAZEL CREST CENTER 17850 S KEDZIE AVE STE 1100 HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 279 - LAKE ZURICH CENTER 350 SURRYSE RD LAKE ZURICH IL 60047 PATIENT CARE - OUT PATIENT 280 - TINLEY PARK CENTER - OCC HEALTH 18210 S LAGRANGE RD STE 211 TINLEY PARK IL 60477 PATIENT CARE - OUT PATIENT 281 - PATIENT RESOURCE CENTER 8816 8820 DEMPSTER ST NILES IL 607145109 PATIENT CARE - OUT PATIENT 282 - CARDIAC RISK 8820 DEMPSTER ST PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 283 - EAST PAVILION (OLD SCIENCE BUILDING) 1775 WESTERN AVE PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 284 - ADULT DOWN SYNDROME CLINIC 1610 LUTHER LN PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 285 - ADVOCATE HEALTH & HOSPITALS CORPORATION 114 SKOKIE BLVD WILMETTE IL 60091 PATIENT CARE - OUT PATIENT 286 - FAMILY PRACTICE - ARLINGTON HEIGHTS 825 E GOLF RD ARLINGTON HEIGHTS IL 60005 PATIENT CARE - OUT PATIENT 287 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 2020 OGDEN AVE STE 400 AURORA IL 60504 PATIENT CARE - OUT PATIENT 288 - MIDW HEART SPECIALISTSADVOCATE MEDICAL 27750 W HWY 22 STE 240 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 289 - GREAT LAKES REIT (GLR) INTERNAL MEDICINE 27790 W HWY 22 BLDG 1 STE 16 BARRINGTON IL 60010 PATIENT CARE - OUT PATIENT 290 - AMG BARTLETT 1054 NORWOOD LN BARTLETT IL 60103 PATIENT CARE - OUT PATIENT 291 - AMG BUFFALO GROVE 650 W LAKE COOK RD BUFFALO GROVE IL 600896591 PATIENT CARE - OUT PATIENT 292 - INTERNAL MEDICINE - BUFFALO GROVE 214 MCHENRY RD STES B19 B20 BUFFALO GROVE IL 60089 PATIENT CARE - OUT PATIENT 293 - ADVOCATE MEDICAL GROUP - SOUTHEAST LOCAT 2301 E 93RD ST STE 213 CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 294 - MIDAMERICA CARDIOVASCULAR CONSULTANTS 2315 E 93RD ST STE 222 CHICAGO IL 60617 PATIENT CARE - OUT PATIENT 295 - MEDICAL OFFICE BUILDING 3000 N HALSTED ST STES 209 209B 30 CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 296 - AMG-CHICAGO-900 W NELSON 900 W NELSON 1ST FL CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 297 - AMG SWEDISH COVENANT 5140 N CALIFORNIA AVE STE 505 CHICAGO IL 60625 PATIENT CARE - OUT PATIENT 298 - ILLINOIS MASONIC PHYSICIAN GROUP 4211 N CICERO STE 300 CHICAGO IL 60641 PATIENT CARE - OUT PATIENT 299 - RAVENSWOOD MEDICAL GROUP 1945 W WILSON AVE STE 2100 4TH FL CHICAGO IL 60640 PATIENT CARE - OUT PATIENT 300 - IVY PHYSICIANS GROUP 2437 N SOUTHPORT AVE 1ST FL CHICAGO IL 60614 PATIENT CARE - OUT PATIENT 301 - LAKEVIEW SCHOOL BASED HEALTH CENTER 4015 N ASHLAND AVE RM 103 CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 302 - AMUNDSEN SCHOOL BASED HEALTH CENTER 5110 N DAMEN AVE RM 307 CHICAGO IL 60625 PATIENT CARE - OUT PATIENT 303 - ADVOCATE MEDICAL GROUP - HYDE PARK 1301 E 47TH ST UNIT 2 CHICAGO IL 60615 PATIENT CARE - OUT PATIENT 304 - AMG PULASKI 10627 S PULASKI CHICAGO IL 60655 PATIENT CARE - OUT PATIENT 305 - CHICAGO GREENWOOD 1111 E 87TH ST STE 900A CHICAGO IL 60619 PATIENT CARE - OUT PATIENT 306 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A 9830 S RIDGELAND AVE CHICAGO RIDGE IL 60415 PATIENT CARE - OUT PATIENT 307 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED 16151 WEBER RD UNIT 107 CREST HILL IL 60403 PATIENT CARE - OUT PATIENT 308 - PEDS - DEERFIELD 720 OSTERMAN AVE 103 DEERFIELD IL 60015 PATIENT CARE - OUT PATIENT 309 - ADVOCATE MEDICAL GROUP - DES PLAINES 701 LEE ST STE LL 100 110 300 800 DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 310 - AMG PRIMARY CARE SPECIALISTS 150 N RIVER RD DES PLAINES IL 60016 PATIENT CARE - OUT PATIENT 311 - MIDW HEART SPECIALISTSADVOCATE MEDICAL 3825 HIGHLAND AVE STE 400 DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 312 - DOWNERS GROVE INTERNISTS 3825 HIGHLAND AVE STE 5B DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 313 - AMG DOWNERS GROVE 1341 WARREN AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 314 - AMG RIVERSIDE 7234 W OGDEN AVE DOWNERS GROVE IL 60515 PATIENT CARE - OUT PATIENT 315 - AMG ALEXIAN BROTHERS 800 BIESTERFIELD RD STE 645 ELK GROVE VILLAGE IL 600073362 PATIENT CARE - OUT PATIENT 316 - MIDW HEART SPECIALISTSADVOCATE MEDICAL 133 E BRUSH HILL RD STE 202 ELMHURST IL 60126 PATIENT CARE - OUT PATIENT 317 - AMG GLENBROOK 2551 COMPASS DR GLENVIEW IL 60026 PATIENT CARE - OUT PATIENT 318 - AMG HAMPSHIRE 1000 S STATE ST HAMPSHIRE IL 60140 PATIENT CARE - OUT PATIENT 319 - MIDAMERICA CARDIO CONS SOUTH SUB POB 17850 S KEDZIE AVE STE 3250 HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 320 - MIDAMERICA CARDIO CONS HICKORY CARDIAC CAR 3611 W 183RD ST HAZEL CREST IL 60429 PATIENT CARE - OUT PATIENT 321 - MIDW HEART SPECIALISTS 1555 BARRINGTON RD STE 3200 HOFFMAN ESTATES IL 60194 PATIENT CARE - OUT PATIENT 322 - MIDW PEDIATRIC CARDIOLOGY 1555 BARRINGTON RD STE 3200 HOFFMAN ESTATES IL 60169 PATIENT CARE - OUT PATIENT 323 - AMG HUNTLEY 12151-12199 REGENCY CENTER HUNTLEY IL 60142 PATIENT CARE - OUT PATIENT 324 - AMG ISLAND LAKE 27979 CONVERSE RD ISLAND LAKE IL 60042 PATIENT CARE - OUT PATIENT 325 - AMG ALPINE FAMILY MEDICINE 350 SURRYSE RD STE 100 LAKE ZURICH IL 60047 PATIENT CARE - OUT PATIENT 326 - GRAND OAKS HEALTH CENTER HOLLISTER GROV 1800 HOLLISTER DR STE G2 LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 327 - AMG LIBERTYVILLE WINCHESTER 1870 WINCHESTER RD STE 143 LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT 328 - AMG LINCOLNWOOD 6540 N LINCOLN AVE LINCOLNWOOD IL 60712 PATIENT CARE - OUT PATIENT 329 - DOCTORS OF THE NORTH SHORE 6131 W DEMPSTER ST MORTON GROVE IL 60053 PATIENT CARE - OUT PATIENT 330 - ADVOCATE MEDICAL GROUP- METRODOCS 431 LAKEVIEW CT MOUNT PROSPECT IL 60056 PATIENT CARE - OUT PATIENT 331 - ADVOCATE MEDICAL GROUP - MUNDELEIN INTER 550 N LAKE ST MUNDELEIN IL 60060 PATIENT CARE - OUT PATIENT 332 - MIDW HEART SPECIALISTS 801 S WASHINGTON 4TH FL NAPERVILLE IL 60540 PATIENT CARE - OUT PATIENT 333 - MIDW HEART SPECIALISTS 1020 E OGDEN AVE STE 302 NAPERVILLE IL 60563 PATIENT CARE - OUT PATIENT 334 - MIDW HEART SPECIALISTS 4440 W 95TH ST STE 108 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 335 - MIDW PEDIATRIC CARDIOLOGY 4700 W 95TH ST STE 205 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 336 - MIDW PEDIATRIC CARDIOLOGY 4440 W 95TH ST STE 1100H OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 337 - MIDAMERICA CARDIOVASCULAR CONSULTANTS 10837 S CICERO AVE STES 200 110 OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 338 - AMG - HEART AND VASCULAR OF ILLINOIS 5151 W 95TH ST 2ND FL OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 339 - ADVOCATE MEDICAL GROUP - OAK LAWN 4712 W 103RD ST OAK LAWN IL 60453 PATIENT CARE - OUT PATIENT 340 - MIDAMERICA CARDIOR CONS ST JAMES POB 3800 BURKE DR STE 201 OLYMPIA FIELDS IL 60449 PATIENT CARE - OUT PATIENT 341 - MIDAMERICA CARDIOVASCULAR CONSULTANTS 14741 RAVINIA DR ORLAND PARK IL 60467 PATIENT CARE - OUT PATIENT 342 - ADVOCATE MEDICAL GROUP - PARKSIDE CENTER 1875 W DEMPSTER ST STE 525 110 66 PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 343 - CENTER FOR ADVANCED CARDIOLOGY 1875 DEMPSTER STES 580 585 590 595 PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 344 - PARK RIDGE PEDIATRIC NEPHROLOGY 1480 RENAISSANCE DR STE 211 PARK RIDGE IL 60068 PATIENT CARE - OUT PATIENT 345 - ADVOCATE MEDICAL GROUP - POSEN 2590 W WALTER ZIMNY DR POSEN IL 60469 PATIENT CARE - OUT PATIENT 346 - ADVOCATE MEDICAL GROUP - RICHTON PARK 4511 SAUK TRAIL RICHTON PARK IL 60471 PATIENT CARE - OUT PATIENT 347 - MIDW PEDIATRIC CARDIOLOGY 5701 STRATHMOOR DR STE 1 3 ROCKFORD IL 61107 PATIENT CARE - OUT PATIENT 348 - ADVOCATE MEDICAL GROUP - WAUCONDA 224 BROWN ST WAUCONDA IL 60522 PATIENT CARE - OUT PATIENT 349 - AMG LEMONT 6319 S FAIRVIEW WESTMONT IL 60559 PATIENT CARE - OUT PATIENT 350 - MIDW HEART SPECIALISTS 25 N WINFIELD RD STE 301 WINFIELD IL 60190 PATIENT CARE - OUT PATIENT 351 - MIDW PEDIATRIC CARDIOLOGY 209 E 86TH PLACE STE D MERRILLVILLE IN 46410 PATIENT CARE - OUT PATIENT 352 - MIDW PEDIATRIC CARDIOLOGY 800 MACARTHUR BLVD STE 3 MUNSTER IN 46321 PATIENT CARE - OUT PATIENT 353 - CHICAGO (MEDICINE & SURGERY) AMG (WAS MP 11250 S WESTERN CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 354 - OLYMPIA FIELDS AMG (WAS MPG) 4001 VOLLMER RD OLYMPIA FIELDS IL 60461 PATIENT CARE - OUT PATIENT 355 - OLYMPIA FIELDS CANCER CARE INSTITUTE AMG 3700 W 203RD ST OLYMPIA FIELDS IL 60461 PATIENT CARE - OUT PATIENT 356 - AMG BARRINGTON PULMONARY 27750 W IL ROUTE 22 STE 110 BARRINGTON IL 600102379 PATIENT CARE - OUT PATIENT 357 - AMG BARIATRIC DG 2801 FINLEY RD STE 220 DOWNERS GROVE IL 605151039 PATIENT CARE - OUT PATIENT 358 - AMG BARRINGTON FOX GLENN 400 FOX GLEN COURT BARRINGTON IL 600101824 PATIENT CARE - OUT PATIENT 359 - AMG PULASKI - CARDIOLOGY 6825 S PULASKI RD CHICAGO IL 606294165 PATIENT CARE - OUT PATIENT 360 - AMG BEVERLY HEALTH FACILITY - WALK-IN CAR 9831 S WESTERN AVE CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 361 - AMG IRVING AND WESTERN 4025 N WESTERN AVE CHICAGO IL 60618 PATIENT CARE - OUT PATIENT 362 - AMG LOGAN SQUARE HEALTH FACILITY 2511 N KEDZIE BOULEVARD CHICAGO IL 606472603 PATIENT CARE - OUT PATIENT 363 - AMG ORLAND SQUARE HEALTH CENTER WALK-IN CA 29 ORLAND SQUARE DRIVE ORLAND PARK IL 604623206 PATIENT CARE - OUT PATIENT 364 - AMG SIX CORNERS 4211 N CICERO AVE STES 306 304 CHICAGO IL 606411650 PATIENT CARE - OUT PATIENT 365 - AMG HALSTED & BLACKHAWK HEALTH FACILITY 1460 N HALSTED AVE CHICAGO IL 60614 PATIENT CARE - OUT PATIENT 366 - AMG EVERGREEN HEALTH FACILITY I 1357 W 103RD ST STES 100 200 CHICAGO IL 60643 PATIENT CARE - OUT PATIENT 367 - AMG EVERGREEN PLAZA - UM 9730 S WESTERN AVE EVERGREEN PARK IL 60805 PATIENT CARE - OUT PATIENT 368 - AMG EVERGREEN PEDS 9730 S WESTERN AVE STE 500 EVERGREEN PARK IL 60805 PATIENT CARE - OUT PATIENT 369 - AMG FRANKFORT 328 N LAGRANGE RD FRANKFORT IL 60423 PATIENT CARE - OUT PATIENT 370 - AMG OAKBROOK OFFICE 2311 W 22ND ST STE 202 OAK BROOK IL 605231235 PATIENT CARE - OUT PATIENT 371 - AMG OAK PARK - NORTH AVE HEALTH FACILITY 6434 W NORTH AVE OAK PARK IL 60639 PATIENT CARE - OUT PATIENT 372 - AMG WEST SUBURBAN - UM OFFICE 3 ERIE COURT OAK PARK IL 603022599 PATIENT CARE - OUT PATIENT 373 - ADVOCATE PHARMACY 15 W COLLEGE DR ARLINGTON HEIGHTS IL 60005 PHARMACY 374 - AMG CLINICS AND AMBULATORY SURGERY CENTER 1221 N HIGHLAND AVENUE AURORA IL 605061404 PATIENT CARE - OUT PATIENT 375 - AMG (DREYER) OUTPATIENT CENTER 2285 SEQUOIA DRIVE AURORA IL 605064387 PATIENT CARE - OUT PATIENT 376 - AMG 1877 W DOWNER PL AURORA IL 605067302 PATIENT CARE - OUT PATIENT 377 - AMG 80 TEMPLETON DRIVE OSWEGO IL 605437000 PATIENT CARE - OUT PATIENT 378 - AMG 24508 W VILLAGE CENTER DRIVE PLAINFIELD IL 605441885 PATIENT CARE - OUT PATIENT 379 - AMG 1500 SYCAMORE RD STE 1000 YORKVILLE IL 605601906 PATIENT CARE - OUT PATIENT 380 - AMG 2040 OGDEN AVENUE AURORA IL 605047206 PATIENT CARE - OUT PATIENT 381 - AMG AURORA CARDIOLOGY 4100 HEALTHWAY DRIVE AURORA IL 605044163 PATIENT CARE - OUT PATIENT 382 - AMG AURORA PEDS SPECIALISTS 2020 OGDEN AVENUE AURORA IL 605047392 PATIENT CARE - OUT PATIENT 383 - AMG 4050 HEALTHWAY DRIVE STE 120 210 AURORA IL 605048184 PATIENT CARE - OUT PATIENT 384 - AMG 2424 W INDIAN TRL STES A B AURORA IL 605061568 PATIENT CARE - OUT PATIENT 385 - AMG 2500 W FABYAN PKWY BATAVIA IL 605101572 PATIENT CARE - OUT PATIENT 386 - AMG AMBULATORY SURGERY CENTER 82 MILLER DRIVE STE 102 NORTH AURORA IL 605425142 PATIENT CARE - OUT PATIENT 387 - AMG WHEATON ENDOCRINOLOGY 2001 N GARY AVE SUITE 240 WHEATON IL 60187 PATIENT CARE - OUT PATIENT 388 - AMG NAPERVILLE ENDOCRINOLOGY 1315 MACOM DR SUITE 203 NAPERVILLE IL 60564 PATIENT CARE - OUT PATIENT 389 - AMG IMANI VILLAGE 901 E 95TH ST CHICAGO IL 60619 PATIENT CARE - OUT PATIENT PART I, LINE 6A: A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY:ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779 PART I, LINE 7: A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART I, LINE 7G: ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR AHHC. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF AHHC DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR, MENTAL, BEHAVIORAL AND CHEMICAL DEPENDENCY HEALTH SERVICES, REHABILITATION SERVICES, CARDIAC SURGERY, ORTHOPEDIC AND HOSPICE SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESHEALTH NEEDS SELECTEDAS A RESULT OF THE 2020-2022 CHNA PROCESS, ADVOCATE CHRIST SELECTED TWO PRIORITIES FOR THE 2023-2025 IMPLEMENTATION PLANNING THAT INCLUDED MENTAL HEALTH AND OBESITY.MENTAL HEALTH/BEHAVIORAL HEALTH. BEHAVIORAL HEALTH WAS AGAIN SELECTED AS THE FIRST HEALTH PRIORITY FOR THE CHNA AND INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE. THE CHC DETERMINED THE STRONG CONNECTION BETWEEN MENTAL HEALTH AND SUBSTANCE USE BASED ON THE DATA PRESENTED AT THE MEETINGS. WHILE THE RATES OF BOTH SUBSTANCE USE AND MENTAL HEALTH CONTINUE TO INCREASE OVER TIME IN THE PSA, COUNTIES AND STATE, THE DATA SUGGESTS THAT MORE WORK NEEDS BE DONE TO ADDRESS THE EVER-GROWING NEED OF ADDITIONAL SERVICES, ACCESS TO PROGRAMS AND SUPPORT SERVICES IN OUR COMMUNITIES. THE BEHAVIORAL HEALTH PROGRAM OUTCOMES FOR 2023 AT ADVOCATE CHRIST MEDICAL CENTER, IN PARTNERSHIP WITH LOCAL COMMUNITY ORGANIZATION, INCLUDED SIGNIFICANT MENTAL HEALTH INITIATIVES. THE CENTER PROVIDED 4,656 INDIVIDUAL THERAPY SESSIONS, 7,311 INDIVIDUAL COUNSELING SESSIONS, AND 425 INPATIENT BEHAVIORAL HEALTH VISITS. THE TRAUMA RECOVERY CENTER (TRC) WAS INVOLVED IN 34 COMMUNITY TRAINING COURSES AND OFFERED 2 COMMUNITY EDUCATIONAL TRAINING COURSES ON TRC SERVICES. IN COLLABORATION WITH AAH FAITH AND HEALTH PARTNERSHIPS, ADVOCATE CHRIST CONDUCTED 41 MENTAL HEALTH EDUCATION EVENTS. THESE INCLUDED MENTAL HEALTH FIRST AID, COMPANIONSHIP, AND PEER SUPPORT GROUP TRAINING, WHICH REACHED 480 PEOPLE IN THE COMMUNITY. ADDITIONALLY, COMMUNITY HEALTH WORKERS (CHWS) AT ADVOCATE CHRIST PROVIDED 32 MENTAL AND BEHAVIORAL HEALTH REFERRALS FOR COMMUNITY MEMBERS.OBESITY. THE CHC SELECTED OBESITY AS ITS SECOND PRIORITY TO ADDRESS AS PART OF THE HOSPITAL'S CHNA BASED ON DATA REVIEWED FOR THE PSA AND COUNTY. OBESITY PREVALENCE CONTINUES TO INCREASE AND EVEN MORE SO AMONG RACIAL AND ETHNIC MINORITIES. INDIVIDUALS WITH OBESITY ARE AT HIGHER RISKS FOR CHRONIC HEALTH CONDITIONS SUCH AS DIABETES, HEART DISEASE, CANCER ANDCOVID. COMMUNITY HEALTH STAFF WILL INVESTIGATE OPPORTUNITIES TO DEVELOP STRATEGIES TO ADDRESS OBESITY IN THE HOSPITAL PSA. ADVOCATE CHRIST PROVIDED THE FOOD FARMACY AND THE NATIONAL DIABETES PREVENTION PROGRAM TO ADDRESS OBESITY IN THE SOUTH CHICAGOLAND PSA. ADVOCATE CHRIST PARTNERED WITH GREATER CHICAGO FOOD DEPOSITORY TO EXPAND THE FOOD FARMACY TO THE COMMUNITY AND PROVIDED FRESH PRODUCE AND RECIPES TO 120 RECIPIENTS THROUGH A TOTAL OF 180 VISITS WHO ARE FOOD INSECURE. FOOD FARMACY PARTICIPANTS ALSO ACCESSED TO THE DIABETES PREVENTION PROGRAM (DPP) WHICH PROVIDES HEALTH EDUCATION FOCUSED ON HEALTHY LIFESTYLES AND PHYSICAL ACTIVITY TO REDUCE THE INCIDENCE OF TYPE 2 DIABETES. THERE WERE 2 DPP COHORTS THAT HAD 26 ACTIVE PARTICIPANTS IN 2023. THE FOOD FARMACY PARTNERED WITH THE AAH MOBILE UNIT TO PROVIDE BLOOD PRESSURE, GLUCOSE, AND BMI (BODY MASS INDEX) SCREENINGS TO FOOD FARMACY PARTICIPANTS.HEALTH NEEDS NOT SELECTED AND WHYCARDIOVASCULAR DISEASE. CARDIOVASCULAR DISEASE WAS NOT SELECTED DUE TO THE IMPROVING RATES OF EMERGENCY ROOM VISITS AND HOSPITALIZATION RATES IN THE PSA. ADVOCATE CHRIST CONTINUES TO FOCUS ON A ROBUST PROGRAM FOR CARDIAC SERVICES INCLUDING THE ADVOCATE CHRIST CARDIOVASCULAR INSTITUTE. THE COUNCIL SELECTED TO CONTINUE FOCUSING ON OBESITY AS A HEALTH PRIORITY, WHICH HAS A DIRECT CORRELATION TO HEART DISEASE. DIABETES. HOSPITALIZATION AND EMERGENCY DEPARTMENT (ED) VISITS ARE INDICATIVE OF POORLY CONTROLLED CHRONIC DISEASES AND A LACK OF ACCESS TO ROUTINE PREVENTIVE CARE. POORLY CONTROLLED DIABETES CAN LEAD TO SEVERE OR LIFE-THREATENING COMPLICATIONS, SUCH AS HEART AND BLOOD VESSEL DISEASE, NERVE DAMAGE, KIDNEY DAMAGE, EYE DAMAGE AND BLINDNESS, FOOT DAMAGE AND LOWER EXTREMITY AMPUTATION, HEARING IMPAIRMENT, SKIN CONDITIONS AND ALZHEIMER'S DISEASE. ED VISITS FOR DIABETES ARE HEAVILY CONCENTRATED IN THE WEST AND SOUTH SIDES OF CHICAGO AND THE SOUTHERN REGION OF SUBURBAN COOK COUNTY. THE AREAS WITH HIGH RATES OF ED VISITS OVERLAP WITH COMMUNITIES WITH HIGH RATES OF POVERTY, UNEMPLOYMENT, AND COST-BURDENED HOUSEHOLDS. AS A RESULT, THE MEDICAL CENTER'S CHC DECIDED THAT DIABETES INITIATIVES IN THIS SERVICE AREA ARE STILL NEEDED AND CONTINUE TO BE A BURDEN FOR RESIDENTS (ALLIANCE FOR HEALTH EQUITY, 2019). DIABETES WAS A PRIORITY FOR THE PREVIOUS CHNA CYCLE AND CONTINUES TO BE ADDRESSED WITH SUCCESSFUL PROGRAMMING INCLUDING THE DIABETES PREVENTION PROGRAM. VIOLENCE PREVENTION. THE CONDITIONS OF THE ENVIRONMENTS IN WHICH WE LIVE, WORK, PLAY, GROW, AND AGE DETERMINE OUR QUALITY OF LIFE AND HEALTH OUTCOMES. THESE CONDITIONS ARE CALLED SOCIAL DRIVERS OF HEALTH, AND THEY EXPLAIN WHY SOME PEOPLE FACE A MORE DIFFICULT CHALLENGE IN ACHIEVING AND MAINTAINING GOOD HEALTH. VIOLENCE HAS PROFOUND DIRECT AND INDIRECT IMPACTS ON HEALTH IN COMMUNITIES AND CAN HAVE BROADER SOCIOECONOMIC EFFECTS THAT FURTHER IMPACT THE HEALTH OF COMMUNITIES. VIOLENCE IN COMMUNITIES HAS BEEN ASSOCIATED WITH REDUCED INVESTMENT IN COMMUNITY RESOURCES SUCH AS PARKS, RECREATIONAL FACILITIES AND PROGRAMS THAT PROMOTE HEALTHY ACTIVITY (PREVENTION INSTITUTE, 2011). FOOD RESOURCES SUCH AS SUPERMARKETS ARE MORE RELUCTANT TO ENTER COMMUNITIES OF COLOR WITH HIGHER RATES OF VIOLENCE FURTHER REDUCING ACCESS TO HEALTHY FOODS (ODOMS-YOUNG ET AL., 2009; ZENK ET AL., 2005). GUN VIOLENCE CAN SIGNIFICANTLY DECREASE THE GROWTH OF NEW RETAIL AND SERVICE BUSINESSES, DECREASE THE NUMBER OF NEW JOBS AVAILABLE AND SLOW HOME VALUE APPRECIATION (IRVIN-ERICKSON ET AL., 2017). IN ADDITION, HIGH RATES OF GUN VIOLENCE ARE ASSOCIATED WITH LOWER HOME VALUES, CREDIT SCORES AND HOME OWNERSHIP RATES (IRVIN-ERICKSON ET AL., 2017). THE CHC IDENTIFIED VIOLENCE PREVENTION AS A SIGNIFICANT DETERMINANT OF HEALTH IN THE PSA BUT DETERMINED THAT SIGNIFICANT WORK IS BEING DONE IN THE PSA PARTICULARLY WITH THE ADVOCATE CHRIST TRAUMA RECOVERY CENTER AND WITH SOUTHLAND RISE, AN ONGOING COLLABORATION THAT ADDRESSES TRAUMA AND VIOLENCE IN PARTNERSHIP WITH THE UNIVERSITY OF CHICAGO MEDICAL CENTER. RESPIRATORY. ASTHMA AND RESPIRATORY HEALTH WERE NOT SELECTED AS A PRIORITY HEALTH NEED TO ADDRESS AS THE HOSPITAL ALREADY PROVIDES MANY SERVICES AND PROGRAMS TO ADDRESS ASTHMA, COPD, AND OTHER RESPIRATORY HEALTH ISSUES. ADVOCATE CHRIST OFFERS COMPREHENSIVE, MULTI-DISCIPLINARY SERVICES FOR LUNG AND RESPIRATORY CARE, INCLUDING THE TREATMENT OF ASTHMA. THE LUNG AND RESPIRATORY CARE CENTER PROVIDE INPATIENT AND OUTPATIENT RESPIRATORY CARE SERVICES TO HELP PATIENTS ACHIEVE A BETTER QUALITY OF LIFE. WITH BOARD CERTIFIED PULMONOLOGISTS WHO COLLABORATE WITH RELATED SPECIALISTS, AIRWAY DISEASES ARE TREATED FROM PREVENTION AND DIAGNOSTICS TO ADVANCED TREATMENT AND SUPPORT SERVICES. SEXUALLY TRANSMITTED DISEASES (STI'S). ALTHOUGH SEXUALLY TRANSMITTED INFECTIONS ARE A CONSIDERABLE HEALTH ISSUE IN THE PSA, THE LOCAL HEALTH DEPARTMENT IS TAKING THE LEAD ON IDENTIFICATION AND PREVENTION EFFORTS THROUGH THEIR RESPECTIVE COMMUNICABLE DISEASE DEPARTMENTS. ADVOCATE CHRIST COMMUNITY HEALTH STAFF ASSIST WITH SHARING PREVENTION MESSAGES AND PRACTICES WITH PRIMARY CARE PROVIDERS IN THE PSA. UNINTENTIONAL FALLS. THE CHC THOUGHT THAT UNINTENTIONAL FALLS IS MORE OF AN ISSUE WITH EDUCATION ON THE IMPORTANCE OF SAFETY, RATHER THAN A HEALTH PRIORITY OF FOCUS. THERE ARE ALREADY ORGANIZATIONS IN THE COMMUNITY WHO OFFER EDUCATION TO SENIOR POPULATIONS.FOR MORE DETAILS ON WHAT ADVOCATE CHRIST/CHILDREN'S DID SELECT TO ADDRESS, AND DID NOT SELECT AND WHY, SEE PAGE 53-55 OF THE ADVOCATE CHRIST 2020-2022 CHNA REPORT AT 2022-OFFICIAL-CHRIST-MEDICAL-CENTER-CHNA-REPORT.PDF (ADVOCATEHEALTH.COM) PART VI, LINE 2: DESCRIPTION OF NEEDS ASSESSMENTTHE ALLIANCE FOR HEALTH EQUITY. ADVOCATE CHRIST AND ADVOCATE CHILDREN'S ARE MEMBERS OF THE ALLIANCE FOR HEALTH EQUITY (AHE), A COLLABORATION OF 37 NON-PROFIT AND PUBLIC HOSPITALS/MEDICAL CENTERS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. DETAILED INFORMATION RELATED TO THE COLLABORATIVE'S ASSESSMENT AND PARTICIPATING ORGANIZATIONS MAY BE FOUND IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY AT 2022 CHNA REPORT - ALLIANCE FOR HEALTH EQUITY (ALLHEALTHEQUITY.ORG).COMMUNITY HEALTH COUNCIL (CHC). IN MARCH 2022, ADVOCATE CHRIST CONVENED ITS COMMUNITY HEALTH COUNCIL MEMBERS, COMPRISED OF HOSPITAL STAFF AND COMMUNITY MEMBERS TO REVIEW DATA TO MAKE INFORMED DECISIONS ON THE HEALTH NEEDS THAT WILL BE ADDRESSED IN THE HOSPITAL'S PRIMARY SERVICE AREA OVER THE NEXT THREE YEARS. DATA WAS PRESENTED OVER FOUR MEETINGS, MARCH 2022 THROUGH JUNE 2022, INCLUDING TOPICS ON DEMOGRAPHICS, ECONOMICS, EDUCATION, EMPLOYMENT SDOH (SOCIAL DRIVERS OF HEALTH) AND HEALTH INDICATORS. PARTNERS FROM THE ALLIANCE FOR HEALTH EQUITY ALSO PRESENTED SIMILAR DATA BASED ON RESULTS FROM FOCUS GROUP MEETINGS HELD IN THE HOSPITAL PSA AS PART OF ITS' CHNA. DURING THE PRIORITIZATION MEETING HELD ON JUNE 28, 2022, COUNCIL MEMBERS VOTED TO SELECT THE NEEDS TO ADDRESS IN THE HOSPITAL PSA FOR THE 2022 CHNA AND THE 2023-2025 IMPLEMENTATION PLAN. GOVERNING COUNCIL (GC). FOLLOWING THE CHC APPROVAL OF THE SELECTED PRIORITIES, THE CHNA WAS PRESENTED TO THE HOSPITAL'S GC FOR APPROVAL. THE GC IS COMPRISED OF EXECUTIVE LEVEL HOSPITAL STAFF AND COMMUNITY LEADERS REPRESENTING A BROAD SPECTRUM ACROSS COMMUNITY SECTORS INCLUDING BUT NOT LIMITED TO FAITH, MEDICAL BUSINESS, AND INDUSTRIAL FIELDS. THE ADVOCATE CHRIST GOVERNING COUNCIL MET ON NOVEMBER 14, 2022 TO REVIEW THE CHNA FINDINGS AND THE RECOMMENDED IMPLEMENTATION STRATEGY. THE GOVERNING COUNCIL VOTED TO APPROVE THE CHAN REPORT. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEAHHC ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FORWHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLETHIRD-PARTY RESOURCES. FINANCIAL ASSESSMENT IS PROVIDED TO HELP PATIENTSIDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOISMEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINEELIGIBILITY UNDER ANSHNS FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFYPUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE ORADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON ASPRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATIONREGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS ACOMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHERPROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. AHHC ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIALASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTEDPROGRAMS. AHHC COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE INTHE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OFCOMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITALSERVICES INCLUDES A STATEMENT THAT FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT AREVISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENTACCESS, REGISTRATION, EMERGENCY DEPARTMENT LOCATIONS.3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION,EMERGENCY DEPARTMENT, CASHIER AND BUSINESS OFFICE LOCATIONS, AND WILLINCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALLKIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. AHOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE ISINCLUDED.4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY ANDFINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHORECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICALTIME OF SERVICE. (UPON REQUEST)5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIALASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCEAPPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCEAPPLICATION.6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THEPATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE. PART VI, LINE 4: COMMUNITY INFORMATIONDESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE PURPOSES OF THIS ASSESSMENT, "COMMUNITY" IS DEFINED AS ADVOCATE CHRIST'S PRIMARY SERVICE AREA (PSA). THE PSA IS COMPRISED OF 27 ZIP CODES IN SUBURBAN COOK COUNTY AND CHICAGO.DEMOGRAPHICS POPULATION. IN 2020, THE TOTAL POPULATION OF THE PSA WAS 902,434. THERE WAS A DECREASE OF 45,481 RESIDENTS, REPRESENTING A 4.7 PERCENT DECREASE FROM THE 2017-2019 CHNA (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). AGE. AS OF 2020, THE ADVOCATE CHRIST PSA HAS A MEDIAN AGE OF 38.5 YEARS COMPARED TO THE STATE OF ILLINOIS AT 38.3 YEARS. THE MEDIAN AGE AMONG FEMALES AND MALES IS RELATIVELY SIMILAR IN THE PSA AND IN THE STATE OF ILLINOIS. MALES HAVE A MEDIAN AGE OF 36.7 YEARS IN THE PSA COMPARABLE TO A MEDIAN AGE OF 37 YEARS IN THE STATE OF ILLINOIS. IN ADDITION, FEMALES HAVE A MEDIAN AGE OF 40.3 YEARS IN THE PSA COMPARED TO 39.6 YEARS IN THE STATE OF ILLINOIS. OVERALL, THERE ARE NO NOTABLE DIFFERENCES IN MEDIAN AGE AMONG MALES AND FEMALES IN THE ADVOCATE CHRIST PSA COMPARED TO THE STATE OF ILLINOIS (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).GENDER. MALES AND FEMALES FOR ADVOCATE CHRIST PSA ARE SIMILAR IN THE PERCENT OF POPULATION BY GENDER WHEN COMPARED TO THE STATE OF ILLINOIS. THERE ARE 51.1 PERCENT FEMALES IN ADVOCATE CHRIST PSA COMPARED TO 50.9 PERCENT IN THE STATE OF ILLINOIS. SIMILARLY, THERE ARE 48.9 PERCENT MALES IN ADVOCATE CHRIST PSA COMPARED TO 49.1 PERCENT IN THE STATE OF ILLINOIS. OVERALL, THERE ARE NO NOTABLE DIFFERENCES IN GENDER BETWEEN ADVOCATE CHRIST PSA AND THE STATE OF ILLINOIS AMONG THE MALE AND FEMALE POPULATION (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).RACE/ETHNICITY. ADVOCATE CHRIST PSA POPULATION IS 42.4 PERCENT NON-HISPANIC WHITE; 22.3 PERCENT NON-HISPANIC BLACK/AFRICAN AMERICAN; 31.3 PERCENT HISPANIC OR LATINO; 2.6 PERCENT ASIAN OR PACIFIC ISLANDER; AND 01.4 PERCENT 2+ RACES. THE PSA HAS A NEARLY TWICE THE POPULATION OF HISPANIC OR LATINO WHEN COMPARED TO THE STATE OF ILLINOIS (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).INCOME. IN 2020, THE MEDIAN HOUSEHOLD INCOME ADVOCATE CHRIST'S PSA WAS $66,501 UP $1,128 FROM THE PREVIOUS YEAR, COMPARED TO $77,546 IN COOK COUNTY, WHICH WAS UP ONLY $602. NATIVE AMERICANS HAD THE HIGHEST MEDIAN HOUSEHOLD INCOME AT $106,868, FOLLOWED BY ASIAN OR PACIFIC ISLANDER AT $91,264, FOLLOWED BY HISPANIC OR LATINOS AT $72,445, AND BY NON-HISPANIC WHITES AT $67,220. NON-HISPANIC BLACK OR AFRICAN AMERICANS HAD THE LOWEST MEDIAN HOUSEHOLD INCOME AT $54,500, WHICH ALSO FELL BELOW THE TOTAL POPULATION. (METOPIO, AMERICAN COMMUNITY SURVEY, 2020) POVERTY. THE NUMBER OF FAMILIES LIVING BELOW 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) IN THE ADVOCATE CHRIST PSA IS 13.29 PERCENT UP FROM 11.33 PERCENT OF THE POPULATION COMPARED TO 11.99 PERCENT UP FROM 9.80 PERCENT IN THE STATE OF ILLINOIS. THE COMMUNITIES WITH THE HIGHEST POVERTY RATES IN THE PSA ARE WEST ENGLEWOOD (60636) 44.97, AUBURN GRESHAM (60620) 36.72, CHICAGO LAWN (60629) 35.18, BRIGHTON PARK (60632) 29.37 AND JUSTICE (60458) 27.65 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).ADULTS WITH HEALTH INSURANCE. IN THE PSA, 63.0 PERCENT OF RESIDENTS ARE COVERED BY PRIVATE HEALTH INSURANCE, SUCH AS EMPLOYER-PROVIDED HEALTH INSURANCE, DIRECT-OR PURCHASE (ACA EXCHANGES), OR TRICARE. THE PRIVATE HEALTH INSURANCE RATES IN THE PSA ARE LOWER THAN THE U.S. (68.06), AND ILLINOIS (70.6). THE ZIP CODE IN THE PSA WITH THE HIGHEST PERCENTAGE OF RESIDENTS COVERED BY PRIVATE HEALTH INSURANCE IS MT. GREENWOOD (60655) AT 88.4 PERCENT AND THE LOWEST COVERAGE BEING IN BROADVIEW (60455) AT 56.1 PERCENT AND HOMETOWN (60456) AT 60.1 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2016--2019).CHILDREN WITH HEALTH INSURANCE. IN COOK COUNTY, 97.0 PERCENT OF CHILDREN HAVE HEALTH INSURANCE. THIS VALUE IS COMPARABLE TO THE STATE OF ILLINOIS VALUE OF 97.1 PERCENT AND HIGHER THAT THE U.S. VALUE OF 95.0 PERCENT. DATA INDICATES THAT IN ALL RACE AND ETHNICITY CATEGORIES, MORE THAN 95 PERCENT OF CHILDREN UNDER AGE 19 HAD HEALTH INSURANCE. SURPRISINGLY, 100 PERCENT OF CHILDREN SURVEYED IN THE AMERICAN INDIAN/ALASKA NATIVE POPULATION HAD HEALTH INSURANCE (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN THE PSA, 38.4 PERCENT OF RESIDENTS ARE COVERED BY PUBLIC INSURANCE SUCH AS MEDICARE, MEDICAID, VA, WHICH IS HIGHER THAN ILLINOIS (33.7 PERCENT), AND HIGHER THAN COOK COUNTY (34.3 PERCENT). THE ZIP CODES IN THE PSA WITH THE HIGHEST PERCENTAGE OF RESIDENTS COVERED BY PUBLIC HEALTH INSURANCE ARE WEST ENGLEWOOD AND AUBURN GRESHAM (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THE HOSPITALS INCLUDE ADVOCATE CHRIST MEDICAL CENTER MEDICAL CENTER (OAK LAWN, IL), ADVOCATE TRINITY HOSPITAL (CHICAGO, IL), ADVOCATE CHILDREN'S HOSPITAL HOSPITAL-PEDIATRICS (OAK LAWN, IL), 16 LITTLE COMPANY OF MARY HOSPITAL (EVERGREEN PARK, IL), PALOS COMMUNITY HOSPITAL (PALOS HEIGHTS, IL), AND HOLY CROSS HOSPITAL (CHICAGO, IL). THE FEDERALLY QUALIFIED HEALTH CENTERS INCLUDE COOK COUNTY HEALTH CLINICS CCHS (CLINICS CHICAGO, IL), CHICAGO DEPARTMENT OF PUBLIC HEALTH CDPH CLINIC, (CHICAGO, IL), AND CHRISTIAN FAMILY HEALTH CENTER (HARVEY, IL). PART VI, LINE 5: COMMUNITY HEALTH PROMOTIONAAH MOBILE HEALTH UNIT. THE AH SOUTH MOBILE HEALTH UNIT CONDUCTED SCREENINGS AND EDUCATION ON DIABETES, HYPERLIPIDEMIA, AND HYPERTENSION. THEY ATTENDED 36 EVENTS TOUCHING 1,050 LIVES IN 2023. THEY ALSO ADMINISTERED A TOTAL OF 327 FLU AND COVID-19 VACCINES TO THE COMMUNITIES IN NEED. THE AAH SOUTH MOBILE TEAM COLLABORATED WITH A CARDIOLOGIST AT THE FOOD FARMACY TO OFFER BLOOD PRESSURE, CHOLESTEROL, AND GLUCOSE SCREENINGS TO THE PARTICIPANTS. THE CARDIOLOGIST PROVIDED EDUCATION AND WAS ABLE TO SPEAK WITH THESE PATIENTS ABOUT THEIR LIFESTYLE SO THEY CAN MAKE HEALTHIER CHOICES.ACCESS TO CARE. THE COMMUNITY HEALTH WORKER (CHW) IS RESPONSIBLE FOR CREATING CONNECTIONS BETWEEN THE HOSPITAL, THE HEALTH CARE SYSTEM AND COMMUNITY RESOURCES AND PARTNERS. CHWS PROVIDE PATIENT OUTREACH AND RESOURCE NAVIGATION FOR INDIVIDUALS SERVED, CULTURALLY APPROPRIATE HEALTH EDUCATION AND INFORMATION, AND GIVE INFORMAL COUNSELING AND GUIDANCE ON HEALTH BEHAVIORS. ADVOCATE CHRIST CHWS ALSO PROVIDED OUTREACH AND RESOURCE NAVIGATION TO 4,848 INDIVIDUALS, 1,029 OF WHOM WERE CHILDREN IN 2023. IN ADDITION, THEY ASSISTED 2,655 INDIVIDUALS WITH ESTABLISHING PRIMARY CARE INCLUDING 620 REFERRALS TO FEDERALLY QUALIFIED HEALTH CENTERS (FQHC). OVERALL, ADVOCATE CHRIST CHWS FACILITATED 8,582 COMMUNITY-BASED REFERRALS IN 2023.DIABETES PREVENTION PROGRAM. THERE WERE 2 COHORTS FOR THE DIABETES PREVENTION PROGRAM (DPP) SUPPORTING 26 GRADUATES IN 2023. THE PARTICIPANTS SPENT AN AVERAGE OF 224 AVERAGE PHYSICAL ACTIVITY MINUTES FOR THE ENTIRE COHORT AND A TOTAL OF 8 PARTICIPANTS MET THE 5% WEIGHT LOSS GOALS. 23 PARTICIPANTS LOST OR MAINTAINED THEIR WEIGHT AND THIRTY-SIX PERCENT OF PARTICIPANTS WHO ENROLLED IN THE PROGRAM MET THEIR NUTRITION AND WEIGHT LOSS GOALS. ADVOCATE GOOD SAMARITAN'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. ABOUT SIXTY PERCENT OF THE CURRENT GC MEMBERS ARE NOT AFFILIATED WITH ADVOCATE AND REPRESENT THE COMMUNITY. SUBSTANCE USE PREVENTION. ADVOCATE GOOD SAMARITAN HOSPITAL'S DIRECTOR OF PHARMACY SERVICES SERVES ON THE HOPE DUPAGE (HEROIN/OPIOID PREVENTION AND EDUCATION) TASK FORCE. THE TASKFORCE IS RESPONSIBLE FOR ADVISING DUPAGE COUNTY ELECTED LEADERS ON NEEDED PROGRAM DEVELOPMENT, SUPPORTING INFRASTRUCTURE, AND POLICY RECOMMENDATIONS TO ADDRESS DUPAGE COUNTY'S OPIOID ISSUES. IN ADDITION, ADVOCATE GOOD SAMARITAN WORKS CLOSELY WITH LEADERS FROM THE DUPAGE COUNTY HEALTH DEPARTMENT TO IMPLEMENT EDUCATIONAL RESOURCES AND MATERIALS AS IT RELATES TO NARCAN DISTRIBUTION AND USE IN THE EMERGENCY ROOM. ADVOCATE GOOD SAMARITAN'S TEAM CURRENTLY SOURCES NARCAN FROM THE STATE AS PART OF A STATE-WIDE INITIATIVE TO PREVENT OVERDOSE. IN 2023, ADVOCATE GOOD SAMARITAN NALOXONE PROGRAM SUPPORTED 14 INDIVIDUALS. COMMUNITY INVOLVEMENT. ADVOCATE GOOD SAMARITAN HOSPITAL IS COMMITTED TO SERVING THE RESIDENTS OF DUPAGE COUNTY AND ALIGNING EFFORTS WITH LOCAL COMMUNITY ORGANIZATIONS. THE CHIEF MEDICAL OFFICER AT ADVOCATE GOOD SAMARITAN HOSPITAL SERVES ON THE DUPAGE HEALTH COALITION BOARD AS OUR COMMITMENT TO SUPPORTING THE HEALTH NEEDS OF LOW-INCOME POPULATIONS ACROSS DUPAGE COUNTY. ADDITIONALLY, THE DIRECTOR FOR COMMUNITY HEALTH SERVES ON THE HEALTH EQUITY AND ACCESS RESPONSE TEAM (HEART) COMMITTEE TO SUPPORT POPULATION HEALTH EFFORTS IN DUPAGE COUNTY. ADVOCATE GOOD SAMARITAN IS ONE OF FOUR RESOURCE HOSPITALS WITHIN EMERGENCY MEDICAL SERVICES (EMS) REGION 8. THE HOSPITAL PROVIDES KEY LEADERSHIP TO THE REGION EMS PROGRAM THROUGH EXECUTING TABLETOP, FUNCTIONAL AND FULL-SCALE EXERCISES TO ADDRESS THE RISKS IN THE AGENCY SPECIFIC TO HAZARD VULNERABILITY ANALYSIS (HVA). THESE EXERCISES, COMPLETED IN CONJUNCTION WITH STATE, COUNTY AND COMMUNITY PARTNERS, IMPROVE THE THOROUGHNESS AND EFFICIENCY OF THE REGION 8 EMERGENCY PREPAREDNESS PLAN.TO ENSURE HIGH QUALITY AND ACCESS TO CARE ADVOCATE GOOD SAMARITAN INVESTED OVER $630,000 IN PURCHASING ADDITIONAL ELECTROPHYSIOLOGY EQUIPMENT TO MEET THE GROWING CARDIOVASCULAR CARE NEEDS OF OUR PATIENTS AND THE COMMUNITY.EVERYDAY HERO: AED AND CPR TRAINING. ADVOCATE GOOD SAMARITAN HOSPITAL'S COMMUNITY HEALTH TEAM IS WORKING CLOSELY WITH THE DUPAGE HEALTH COALITION TO SPONSOR AND IMPLEMENT AN ONSITE, AED AND CPR TRAINING IN COMMUNITY-BASED ORGANIZATIONS AND/OR FAITH-BASED ORGANIZATIONS THAT EXPRESSED A NEED. THE PROGRAM AIMS TO CREATE ACCESS IN HIGH-RISK AREAS BY IMPLEMENTING ONSITE AEDS AND CPR TRAINING IN THE COMMUNITY. THE GOAL IS TO EMPOWER INDIVIDUALS TO REACT WHEN SOMEONE IS EXPERIENCING CARDIAC ARREST.ADVOCATE GOOD SAMARITAN'S SIMULATION LAB. ADVOCATE GOOD SAM'S SIM LAB OFFERS INTERACTIVE HEALTH CARE EXPERIENCES FOR INTERNAL AND EXTERNAL HEALTH PROFESSIONAL; THE PROGRAM OFFERS CONTINUING EDUCATION AND TEAM BUILDING OPPORTUNITIES TO EXCEL IN REAL LIFE SITUATIONS. THE SIMULATION TEAM AT ADVOCATE HEALTH MIDWEST REGION CONTRIBUTES TO THE COMMUNITY AND ORGANIZATION BY PROVIDING IMMERSIVE EXPERIENCES IN OUR SIM CENTERS FOR A VARIETY OF COMMUNITY PARTNERS. OUR TEAM HAS PARTNERED WITH LOCAL SCHOOLS, CHARITABLE ORGANIZATIONS, AND OTHER COMMUNITY GROUPS TO PROVIDE EXPERIENTIAL LEARNING OPPORTUNITIES AND PIPELINE HEALTHCARE CAREER EXPOSURE FOR UNIQUE AND INTERACTIVE WAYS TO EXTEND THE CLINICAL EXPERIENCE, TEAMMATE EXPERTISE, AND MISSION OF THE ORGANIZATION BEYOND PATIENTS TO THE COMMUNITIES WE SERVE. WE HAVE SUPPORTED PIPELINE PROGRAMS IN WHICH YOUNG PEOPLE ARE ABLE TO GAIN KNOWLEDGE AND UNDERSTANDING OF HEALTHCARE CAREERS FROM PRACTICING PHYSICIANS, NURSES, RESPIRATORY THERAPISTS, AND MORE. NATIONAL RECOGNITION. ADVOCATE HEALTH WAS RECOGNIZED AS A NATIONAL LEADER IN ENVIRONMENTAL SUSTAINABILITY BY PRACTICE GREEN HEALTH, WINNING "SYSTEM FOR CHANGE AWARD," WHICH WAS EARNED BY ONLY 9 HEALTH SYSTEMS NATIONWIDE IN 2023-- REFLECTING THE ENTERPRISE-LEVEL COMMITMENT TO DEEPLY EMBEDDING SUSTAINABILITY WITHIN OUR OPERATIONS. ADVOCATE GOOD SAMARITAN HOSPITAL RECEIVED THE EMERAL AWARD FOR BEING AMONG THE TOP 20% IN SUSTAINABILITY PROGRAMS NATIONWIDE. ADVOCATE GOOD SAMARITAN HOSPITAL IS ALSO ENERGY STAR (ESTAR) CERTIFIED, WHICH MEANS IT IS IN THE TOP 25% OF ENERGY PERFORMERS NATIONWIDE, WHICH SIGNIFICANTLY LOWER OUR CONTRIBUTION TO AIR POLLUTION AND CLIMATE CHANGE. BHORADE CANCER CENTER. THE BHORADE CANCER CENTER IS DEDICATED TO SUPPORTING THE COMMUNITY AND PATIENTS THROUGH COMPREHENSIVE CANCER CARE AND PROACTIVE COMMUNITY ENGAGEMENT. BEYOND TREATMENT, WE EMPHASIZE HOLISTIC SUPPORT, PROVIDING COUNSELING, SUPPORT GROUPS, AND WELLNESS PROGRAMS TO ADDRESS THE EMOTIONAL AND PSYCHOLOGICAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. BY COLLABORATING WITH LOCAL ORGANIZATIONS AND PARTICIPATING IN COMMUNITY EVENTS, WE WORK TO FOSTER A HEALTHIER, BETTER-INFORMED COMMUNITY. MOST RECENT PROGRAMS AND EVENTS INCLUDE: ONSITE WIG BOUTIQUE, ONCOLOGY SUPPORTIVE CARE CLINIC, INTEGRATIVE MEDICINE, COOKING FOR CANCER LIVE DEMO (IN PARTNERSHIP WITH THE WELLNESS HOUSE), HOST THE ANNUAL SURVIVORS DAY EVENT (200 GUESTS)ADVOCATE GOOD SAMARITAN WILL CONTINUE TO WORK WITH COMMUNITY PARTNERS TO PROMOTE CHRONIC DISEASE PREVENTION AND TO PROMOTE OVERALL COMMUNITY IMPROVEMENT IN DUPAGE COUNTY. OUR FOCUS WILL CONTINUE TO BE PREVENTION; SO, DEVELOPING INTERVENTIONS THAT TARGET THE SOCIAL DRIVERS OF HEALTH WHILE DEMONSTRATING IMPROVEMENT IN THE OVERALL HEALTH STATUS OF OUR COMMUNITY WILL BE CRITICAL. IN ADDITION, ADVOCATE GOOD SAMARITAN'S COMMUNITY HEALTH TEAM WILL IDENTIFY OPPORTUNITIES TO ALIGN WITH LOCAL COUNTY EFFORTS AND SUPPORT OTHER ORGANIZATIONS THAT ARE WORKING TOWARDS SIMILAR GOALS IN DUPAGE COUNTY. THE COMMUNITY HEALTH TEAM WILL CONTINUE TO ENHANCE FOOD INSECURITY EFFORTS AND ACCESS TO EQUITABLE BEHAVIORAL HEALTH SERVICES THROUGH PARTNERSHIPS AND STRATEGIC PLANNING. PART VI, LINE 6: I. 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGIESALL ADVOCATE HEALTH CARE HOSPITALS' 2022 COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) UTILIZED A MIXED METHODOLOGY APPROACH TO COMPLETING A COMPREHENSIVE STUDY OF THE DEMOGRAPHICS AND HEALTH NEEDS OF THE COMMUNITIES WE SERVE. DATA UTILIZED TO COMPLETE THE CHNA REPORTS INCLUDE PRIMARY AND SECONDARY DATA AND BOTH QUALITATIVE AND QUANTITATIVE DATA. AS ENCOURAGED BY THE IRS, EVERY HOSPITAL COLLABORATES WITH OTHER HEALTH CARE PROVIDERS, LOCAL HEALTH DEPARTMENTS AND OTHER COMMUNITY STAKEHOLDERS TO COMPLETE THE CHNA PROCESS EVERY THREE YEARS. FOLLOWING COMPLETION OF THE CHNA REPORT, EACH HOSPITAL DEVELOPS COMMUNITY HEALTH IMPLEMENTATION STRATEGIES (CHIS) TO DESCRIBE HOW THEY PLAN TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS.IN ILLINOIS, NINE HOSPITAL CHNA REPORTS WERE COMPLETED ON AN ALIGNED THREE-YEAR CHNA TIMELINE. ADDITIONALLY, TWO ADVOCATE CHILDREN'S HOSPITALS (OAK LAWN AND PARK RIDGE) ALSO COMPLETED A COMPREHENSIVE CHNA REPORT. ALL 11 CHNA REPORTS FOR ILLINOIS WERE REVIEWED AND APPROVED BY THE ADVOCATE HEALTH CARE NETWORK BOARD AND EACH HOSPITAL'S GOVERNING COUNCIL IN LATE DECEMBER 2022. BY THE FIRST WEEK OF MAY 2023, THE 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN FOR EACH HOSPITAL WAS MADE PUBLICLY AVAILABLE ON OUR WEBSITES. PLEASE VISIT HOSPITAL CHNA REPORTS IMPLEMENTATION PLANS PROGRESS REPORTS | ADVOCATE HEALTH CARE. II. COMMUNITY BENEFITS PLAN AND PROGRAM EXAMPLES/OUTCOMESAS INDICATED EARLIER, THE AHC COMMUNITY STRATEGY CORE TEAM IDENTIFIED SIX KEY FOCUS AREAS TO TARGET, ALL OF WHICH HAVE BEEN IDENTIFIED AS "GAME CHANGERS" IN ACHIEVING HEALTH EQUITY. MOST OF THE PROGRAM DESCRIPTIONS AND OUTCOMES THAT FOLLOW ARE STRUCTURED ACCORDING TO THESE SIX AREAS, AND THE PROGRESS/OUTCOMES PROVIDED ARE FROM THE 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) AS WELL AS OUTCOMES CARRYING OVER FROM PREVIOUS CHNA AND CHIS CYCLES. WHILE PROGRAMS CAN OFTEN SUPPORT MORE THAN ONE KEY FOCUS AREA, THE FOLLOWING EXAMPLES ARE ORGANIZED TO DEMONSTRATE FULFILLMENT OF ADVOCATE'S STRATEGY IN EACH FOCUS AREA AND PREFERABLY IN THE AREA IN WHICH PROGRAMS HAVE THE MOST IMPACT. ACCESS TO INNOVATIVE CARE AND SERVICE: ACCESS TO HEALTH CARE WAS RANKED AS A TOP ISSUE BY COMMUNITY MEMBERS AND KEY STAKEHOLDERS IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS FOR ALL ADVOCATE HEALTH HOSPITALS IN ILLINOIS AND WISCONSIN. ACCESS TO INNOVATIVE CARE AND SERVICES IS ABOUT CREATING CONDITIONS IN OUR HOSPITALS, ACROSS OUR HEALTH SYSTEM AND IN OUR COMMUNITIES TO PROVIDE ACCESSIBLE, AVAILABLE, AFFORDABLE, AND TARGETED HEALTH CARE AND HEALTH SERVICES TO SUPPORT EVERYONE'S ABILITY TO LIVE WELL. ACCESS TO CARE OFFERS AN OPPORTUNITY TO DETECT AND TREAT DISEASE AT AN EARLIER STAGE, IMPROVE OVERALL HEALTH, PREVENT DISEASE AND DISABILITY, AND REDUCE PREVENTABLE DEATHS. SOME EXAMPLES OF THE PROGRAMS UTILIZED TO INCREASE ACCESS FOR PEOPLE LIVING IN THE COMMUNITIES WE SERVE IN 2023 INCLUDE: FINANCIAL ASSISTANCE. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL) AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP. FINANCIAL ADVOCATES. FINANCIAL WELLNESS INCLUDES HAVING ACCESS TO THE PLANS, PROGRAMS, AND FINANCIAL ASSISTANCE OPTIONS THAT ARE RIGHT FOR YOU. ADVOCATE HEALTH FINANCIAL ADVOCATES ARE AVAILABLE TO SUPPORT PEOPLE WHO DON'T HAVE INSURANCE AND ARE WITHIN A CERTAIN INCOME RANGE. THESE ADVOCATES PROVIDE FREE, PERSONALIZED FINANCIAL ASSESSMENTS THAT INCLUDE IDENTIFYING EACH PATIENT'S UNIQUE HEALTH CARE NEEDS, HELPING THE PATIENT UNDERSTAND THE POTENTIAL COST OF MEDICAL TREATMENT, AND DISCUSSING THEIR FINANCIAL ASSISTANCE OPTIONS. THE ADVOCATE THEN ASSISTS PEOPLE IN APPLYING FOR THE FINANCIAL ASSISTANCE PROGRAMS MOST APPROPRIATE FOR THEM. IN 2023, FINANCIAL ADVOCATES PROCESSED 14,565 ADVOCATE FINANCIAL ASSISTANCE APPLICATIONS, COMPLETED 2,817 MEDICAID APPLICATIONS, IDENTIFIED 788 PEOPLE FOR CO-PAY ASSISTANCE AND ASSISTED PEOPLE WITH COMPLETING 243 MARKETPLACE APPLICATIONS. FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS CONTINUE TO HAVE RELATIONSHIPS WITH FQHC'S OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS AND COLLABORATE WITH THOSE PARTNERS TO IMPROVE ACCESS TO CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN CONTINUES TO WORK CLOSELY WITH GREATER FAMILY HEALTH (FQHC), VNA HEALTH CARE AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. THE HOSPITAL PROVIDES COLONOSCOPIES AND MAMMOGRAMS TO GREATER FAMILY HEALTH PATIENTS, COORDINATED THROUGH GRANT-FUNDED PROGRAMS. ADVOCATE CONDELL WORKS COLLABORATIVELY WITH THE LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (FQHC) AND ERIE HEALTHREACH WAUKEGAN (FQHC), BY PROVIDING MAMMOGRAMS AND SOME SPECIALTY CARE TO UNINSURED AND LOW-INCOME PATIENTS AS THEY ARE REFERRED TO THE MEDICAL CENTER. ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL ALSO PARTNER WITH HEARTLAND HEALTH CENTERS AND COMMUNITY HEALTH, ONE OF THE LARGEST FREE CLINICS IN THE NATION, TO PROVIDE SPECIALTY CARE TO UNINSURED PATIENTS AND REFERRALS TO FQHCS AND FREE CLINICS FOR PRIMARY CARE SERVICES. IN ADDITION, ADVOCATE ILLINOIS MASONIC PROVIDES OPERATIONS SPACE TO HEARTLAND HEALTH CENTERS ON ITS CAMPUS TO PROVIDE PRIMARY CARE FOR INDIVIDUALS AND FAMILIES THAT ARE UNINSURED. IN PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION, ADVOCATE CHRIST CONTINUES TO PROVIDE FREE MAMMOGRAMS TO UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THEIR CLINIC TO THE HOSPITAL WHEN THIS SERVICE IS REQUIRED. ADVOCATE TRINITY WORKS WITH CHICAGO FAMILY HEALTH CENTER AND CHRISTIAN COMMUNITY HEALTH CENTER TO COORDINATE CARE FOR LOW-INCOME PATIENTS. ADVOCATE HOSPITALS IN COOK COUNTY WORK CLOSELY WITH COMMUNITY HEALTH TO CONNECT AND TREAT UNINSURED PATIENTS AND TO CONNECT INDIVIDUALS THAT NEED A PRIMARY CARE PROVIDER. TO MAINTAIN QUALITY CARE AND IMPROVE QUALITY OF LIFE FOR PEOPLE SEEKING CARE FROM ADVOCATE, WORKING TO FIND MEDICAL HOMES AND TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS IS ESSENTIAL. ADVOCATE HAS NUMEROUS PROGRAMS FOCUSED ON MANAGING THE PATIENT EXPERIENCE THROUGH THE CONTINUUM OF CARETHROUGH INPATIENT AND OUTPATIENT SETTINGS, AND IN THE HOME. MEDICAID AND MEDICARE. ADVOCATE ACTIVELY WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND THAT SEEK SERVICES AT ANY OF ADVOCATE'S 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS) AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE CARE ORGANIZATION (ACO). ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN ED UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME AND DUE TO CONNECTING PATIENTS WITH COMMUNITY RESOURCES FOR UNMET SOCIAL DETERMINANTS OF HEALTH NEEDS. PART VI, LINE 7, REPORTS FILED WITH STATES IL PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - COMM HEALTH WORKERS COMMUNITY HEALTH WORKERS-CONNECTING AND NAVIGATAING PEOPLE TO PRIMARY CARE AND SOCIAL SERVICES. THE PRIMARY CARE CONNECTION (PCC) PROGRAM, DEPLOYS COMMUNITY HEALTH WORKERS (CHWS) AS COMMUNITY RESOURCE NAVIGATORS TO SERVE PEOPLE IN THE ED. THE PURPOSE OF THE PROGRAM IS TO REDUCE UNNECESSARY ED VISITS AND TO CONNECT PEOPLE TO A PRIMARY CARE HOME. CHWS EDUCATE PEOPLE ABOUT ACCESSING THE APPROPRIATE LEVEL OF CARE AND PROVIDING FOLLOW-UP APPOINTMENTS TO A CONVENIENT CARE SITE FOR PEOPLE DURING THE ED VISIT. CHWS ALSO CONDUCT A COMMUNITY HEALTH ASSESSMENT TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH AND LINK PEOPLE TO SOCIAL SERVICES AND COMMUNITY RESOURCES THAT CONTRIBUTE TO THE PERSONS' OVERALL WELLBEING. THE PCC PROGRAM HAS REACHED OVER 40,000 PEOPLE SINCE 2018. IN 2023, A TOTAL OF 47,628 PATIENTS WERE SEEN AND 10,932 REFERRALS GIVEN, WITH A COMBINED 90-DAY READMISSION RATE OF 3.98 PERCENT.ADVOCATE PHYSICIAN PARTNERS (APP). ADVOCATE POPULATION HEALTH LEADERS AND COMMUNITY HEALTH LEADERS ARE PARTNERING TO DEVELOP NEW APPROACHES TO PATIENT SCREENING AND RESOURCING PATIENTS FOR SOCIAL DRIVERS OF HEALTH.ADVOCATE CONTINUES TO PURSUE QUALITY AND UTILIZATION IMPROVEMENT ACTIVITIES LIKE THE PRIMARY CARE CONNECTIONS INTERVENTION TO ACHIEVE THE QUADRUPLE AIM OF IMPROVED PHYSICIAN AND PATIENT EXPERIENCE, BETTER PATIENT OUTCOMES AND REDUCTIONS IN THE TOTAL COSTS OF CARE. MOBILE INTERATED HEALTH (MIH) . IN KANE COUNTY, A HOSPITAL-BASED MIH SYSTEM WAS CREATED TO IMPROVE CARE COORDINATION AND REDUCE READMISSIONS OF CHRONICALLY ILL PEOPLE AT ADVOCATE SHERMAN AS THEY TRANSITION FROM HOSPITAL TO HOME. NATIONAL DATA SHOWS THAT MOBILE CARE HELPS PREVENT HOSPITAL READMISSIONS, ESPECIALLY IN AREAS WHERE PEOPLE HAVE LIMITED ACCESS TO HEALTH CARE AND TRADITIONAL HOME HEALTH SERVICES ARE RESTRICTED DUE TO A VARIETY OF REASONS. THE MIH PARTNERSHIP BETWEEN A PHYSICIAN AND AN ON-STAFF PARAMEDIC, ALLOWS OUTREACH TO PEOPLE IN THEIR HOMES WHEN THE PATIENT IS UNABLE TO MAKE A SCHEDULED CLINIC VISIT OR WHEN SYMPTOMS/CONDITIONS ARISE FOR WHICH AN IN-PERSON HOME ASSESSMENT IS MOST BENEFICIAL TO THE PATIENT. THE PARAMEDIC THEN COMMUNICATES BACK TO THE PHYSICIAN TO DETERMINE THE PLAN OF CARE. IN 2023, THE MIH TEAM SERVED 222 PEOPLE AND ADMINISTERED 23 FLU VACCINES. ADVOCATE ALSO PROVIDES LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO A BROAD RANGE OF HEALTH-RELATED SERVICES. DEAF AND HARD OF HEARING PROGRAM. ADVOCATE ILLINOIS MASONIC'S DEAF AND HARD OF HEARING PROGRAM PROVIDES COMPREHENSIVE MENTAL HEALTH CARE IN AMERICAN SIGN LANGUAGE (ASL) TO DEAF AND HARD OF HEARING CHILDREN, ADOLESCENTS, AND ADULTS ACROSS THE CHICAGOLAND AREA. (THIS PROGRAM IS DESCRIBED IN GREATER DETAIL ON PAGE 16-17, UNDER COMMUNITY HEALTH STRATEGY FOCUS AREA # 2. ACCESS/BEHAVIORAL HEALTH.) LANGUAGE SERVICES. OUR JOURNEY TO BRIDGE GAPS IN LANGUAGES AND CULTURES BY CONNECTING PATIENTS, FAMILY MEMBERS, AND COMPANIONS HAS CONTINUED TO EXPAND, WITH OVER 1.6 MILLION INTERACTIONS FACILITATED IN MORE THAN 203 LANGUAGES. THIS GROWTH REFLECTS OUR COMMITMENT TO SERVING OUR INCREASINGLY DIVERSE COMMUNITIES. IN 2023, OUR FOCUS FOR LANGUAGE SERVICES WAS TO ENSURE COMPREHENSIVE ACCESS AT ALL TOUCHPOINTS OF THE CARE JOURNEY. THIS EFFORT AIMED TO ENHANCE THE PATIENT EXPERIENCE BY STREAMLINING WORKFLOWS AND EXPANDING ACCESS TO LANGUAGE SERVICES TECHNOLOGY, INCLUDING TELEHEALTH SUPPORT. BY HAVING INTERPRETERS AVAILABLE AT COMMUNITY EVENTS AND ENSURING THAT CRITICAL CONTENT IS TRANSLATED INTO THE PREFERRED LANGUAGES OF OUR PATIENTS, WE HAVE MADE SIGNIFICANT STRIDES IN IMPROVING CARE AND COMMUNICATION FOR ALL. CULTURAL HEALTH INITIATIVES. ADVOCATE LUTHERAN GENERAL HOSPITAL RESHAPED TWO PREVIOUS PATIENT NAVIGATOR POSITIONS PREVIOUSLY SERVING THE POLISH AND KOREAN POPULATIONS AND CREATED A MORE ROBUST CULTURAL AND COMMUNITY LIAISON ROLE. THIS POSITION CONTINUES THE MORE THAN DECADE LONG ADVOCATE LUTHERAN COMMITMENT AND DEDICATED RESPONSE TO THE MULTITUDE AND CONTINUALLY CHANGING DIVERSE CULTURES, LANGUAGES, HEALTH LITERACY AND DEMOGRAPHICS OF THE COMMUNITIES THAT WE SERVE. THIS POSITION'S PRIORITY IS TO CREATE AN ENVIRONMENT THAT IS CONDUCIVE TO DEVELOPING LIFELONG RELATIONSHIPS WITH MEMBERS OF THE COMMUNITY, TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR MEMBERS OF THE COMMUNITY AND TO HELP OUR CURRENT PATIENTS ACHIEVE BEST HEALTH OUTCOMES. THE LIAISON ALSO WORKS IN COLLABORATION WITH THE CENTRAL CHICAGOLAND PRIMARY SERVICE AREA (PSA) AND THE COMMUNITY HEALTH AREA TO MEET THE HEALTH CARE, CULTURAL AND SPIRITUAL NEEDS OF OUR PATIENTS AND FAMILIES. THE LIAISON CONTINUES TO ASSIST PATIENTS WHO ARE LIMITED/NON-ENGLISH SPEAKING AND HELPS PATIENTS NAVIGATE THE HEALTH CARE FACILITY, PROVIDES LINGUISTICALLY COMPETENT AND CULTURALLY SENSITIVE PATIENT EDUCATION IN THE CONTEXT OF COMMUNITY OUTREACH, AND HELPS TO IDENTIFY POTENTIAL BARRIERS TO HEALTH CARE FOR THE COMMUNITY. THE CULTURAL AND COMMUNITY LIAISON COLLABORATES WITH EXTERNAL STAKEHOLDERS INCLUDING BUT NOT LIMITED TO, CHAMBERS OF COMMERCE, COMMUNITY AGENCIES AND EDUCATIONAL DISTRICTS TO PROMOTE OUR HEALTH CARE SERVICE LINES AND CONCURRENTLY EMBED AND INTEGRATE THE AHC MISSION OF DIVERSITY, EQUITY AND INCLUSION INTO THE SIX COMPONENTS OF THIS ROLE. THEY ARE PATIENT NAVIGATION, COMMUNITY RELATIONS/OUTREACH AND ENGAGEMENT, CULTURAL COMPETENCE, PHYSICIAN RELATIONS/RECRUITMENT AND COMMUNITY HEALTH. THE LIAISON PARTNERS WITH INTERNAL STAKEHOLDERS INCLUDING PHYSICIANS, TEAM MEMBERS, ADMINISTRATORS AND VOLUNTEERS TO PROVIDE GUIDANCE AROUND CULTURAL SENSITIVITIES OF THE PATIENT'S CARE PLAN AND POSSIBLE ALTERATIONS NEEDED TO FURTHER THE GOAL OF SERVICE EXCELLENCE FOR ALL, WHICH IN TURN PROMOTES AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL THOSE IN THE FACILITY. THIS PROVIDES AN OPPORTUNITY TO ALSO IDENTIFY POTENTIAL BARRIERS AND TO ASSESS WHAT EDUCATIONAL MATERIALS AND HOSPITAL RESOURCES ARE NEEDED THAT SUPPORT CULTURAL SENSITIVITIES TO CONTINUE TO FOSTER GREATER COMMUNICATION BETWEEN THE PROVIDER AND PATIENT/FAMILY AROUND THE PATIENT'S CARE PLAN. LGBTQ (LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER) HEALTH EQUITY INDEX. ADVOCATE ILLINOIS MASONIC WAS THE FIRST ADVOCATE HOSPITAL TO ACHIEVE, SINCE ITS INCEPTION, "LEADER" STATUS DENOMINATION WITH THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S HEALTH EQUALITY INDEX. THE HOSPITAL IS ONE OF 496 LEADERS OUT OF 906 PARTICIPANTS. AS THE LEADING LGBTQ SITE, IT HAS BEEN THE FOUNDATION FOR ADVOCATE HEALTH CARE TO BE THE 4TH LARGEST HEALTH SYSTEM WITH ALL ITS SITES ACCREDITED IN 2022. LEADERS ARE RECOGNIZED FOR POLICIES AND SERVICES SUPPORTIVE OF LGBTQ RIGHTS, INCLUDING PATIENT VISITATION AND EMPLOYMENT NON-DISCRIMINATION, STAFF TRAINING IN LGBTQ PATIENT-CENTERED CARE AND EMPLOYMENT NON-DISCRIMINATION, LGBTQ PATIENT SERVICES AND SUPPORT, TRANSGENDER PATIENT SERVICES, EMPLOYEE BENEFITS, AND PATIENT AND COMMUNITY ENGAGEMENT. IN 2016, ADVOCATE ILLINOIS MASONIC CREATED A SITE LGBTQ WORK GROUP WORKING ON AFFINITY, ADVOCATING FOR POLICIES AND PROCESSES AFFIRMING TOWARD LGBTQ PATIENTS AND TEAM MEMBERS. THE MEDICAL CENTER HAS DEVELOPED PROCESSES FOR GENDER EXPANSIVE AFFIRMING IDENTIFICATION AND CAPABILITIES TO CAPTURE GENDER IDENTIFY AND SEXUAL ORIENTATION SOGI DATA. ADVOCATE ILLINOIS MASONIC'S EXPERIENCE SERVED AS THE MODEL FOR OTHER MEDICAL CENTERS WITHIN THE ADVOCATE HEALTH CARE NETWORK TO PARTICIPATE IN THE HEALTH EQUALITY INDEX IN 2020, IMPACTING THOUSANDS OF TEAM MEMBERS AND MILLIONS OF PATIENTS ACROSS ILLINOIS AND WISCONSIN. THE HOSPITAL WAS FEATURED IN THE HEI 15 YEARS REPORT AS ONE OF 4 INITIAL SURVEY RESPONDENTS AND A MODEL FOR COMMUNITY HOSPITALS PARTICIPATION. DESPITE THE CIRCUMSTANCES AND CHALLENGES THAT THE COVID-19 PANDEMIC BROUGHT TO THE ENTIRE HEALTH CARE SYSTEM, ADVOCATE HOSPITALS CONTINUED THEIR COMMITMENT TO INCLUSIVE AND AFFIRMING CARE FOR LGBTQ PATIENTS IN 2023. BABY-FRIENDLY HOSPITALS. THERE ARE MORE THAN 500 HOSPITALS AND BIRTHING CENTERS IN THE U.S. THAT HOLD A BABY FRIENDLY DESIGNATION, INCLUDING THREE ADVOCATE HOSPITALSTRINITY, ILLINOIS MASONIC AND SHERMANALL OF WHICH ACHIEVED THIS RECOGNITION IN 2016. THE BABY FRIENDLY HOSPITAL INITIATIVE WAS ESTABLISHED BY THE UNITED NATIONS CHILDREN'S FUND (UNICEF) AND THE WORLD HEALTH ORGANIZATION (WHO) IN 1991 TO OFFER AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER-BABY BONDING. THE CORE COMPONENTS OF THE BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI) ARE THE UNICEF/WHO TEN STEPS TO SUCCESSFUL BREASTFEEDING, WHICH ARE DESIGNED TO FACILITATE THE ROLE OF THE BIRTHING FACILITY IN PROVIDING WOMEN THE INFORMATION, CARE PRACTICES AND OPPORTUNITY TO BREASTFEED, REGARDLESS OF THE METHOD OF BIRTH. PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - FALL PREVENTION TO ACHIEVE BETTER OUTCOMES AND USE LIMITED RESOURCES WELL, COMMUNITY HEALTH LEADERS ARE FREQUENTLY CHOOSING PROGRAMS THAT HAVE BEEN EVALUATED TO REPLICATE IN THEIR COMMUNITIES. THESE EVIDENCE-BASED INITIATIVES INCREASE THE LIKELIHOOD THAT IDENTIFIED NEEDS WILL BE MET. AN EXAMPLE OF THE NUMEROUS EVIDENCE-BASED PROGRAMS IMPLEMENTED ACROSS ADVOCATE IS AS FOLLOWS.FALL PREVENTION. GIVEN THAT FALLS ARE ONE OF THE MOST COMMON REASONS FOR OLDER ADULTS TO VISIT AN EMERGENCY ROOM, ADVOCATE GOOD SHEPHERD OFFERED A MATTER OF BALANCE FALL PREVENTION PROGRAM (MOB)AN EIGHT-SESSION EVIDENCE-BASED PROGRAM TO REDUCE THE FEAR OF FALLING AMONG OLDER ADULTS. IN 2023, AS COVID-19 CONTINUED TO IMPACT THE COMMUNITIES, THREE MOB CLASSES WERE COMPLETED IN THE ADVOCATE GOOD SHEPHERD SERVICE AREA. ONE SPRING CLASS INCLUDED 10 GRADUATING PARTICIPANTS, ONE SUMMER CLASS INCLUDED 13 GRADUATES AND ONE FALL CLASS INCLUDED 11 GRADUATES. ALL CLASSES WERE ABLE TO BE CONDUCTED IN-PERSON WITH ACCOMMODATIONS IMPLEMENTED INCLUDING SPACING OF PARTICIPANTS AND OPTIONAL MASKING. REQUESTS FOR THE CLASS TO BE CONDUCTED VIRTUALLY NO LONGER EXIST AS PARTICIPANTS PREFERRED IN-PERSON PARTICIPATION. ONE NEW IN-PERSON COACH TRAINING WAS COMPLETED IN 2023 AT ADVOCATE GOOD SHEPHERD TRAINING FOUR POTENTIAL NEW COACHES. ADVOCATE GOOD SHEPHERD ALSO COLLABORATED WITH THE UIC CENTER FOR RESEARCH ON HEALTH AND AGING TO IMPLEMENT THE FIT & STRONG PROGRAM, AN EVIDENCE-BASED PROGRAM AIMED AT INDIVIDUALS WITH LIMITED MOBILITY OR OSTEOARTHRITIS. THE PROGRAM WAS MADE POSSIBLE THROUGH UIC PROGRAM GRANT FUNDS AND ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH DEPARTMENT FUNDING. THESE FUNDS HELPED LOCAL ORGANIZATIONS TO RECEIVE TRAINING AND SUPPLIES TO LAUNCH THE FIT & STRONG PROGRAM. IN 2023, THREE ORGANIZATIONS - NEURO BALANCE CENTER, HARVARD SENIOR CENTER AND WAUCONDA PARK DISTRICT IMPLEMENTED THE FIT & STRONG PROGRAM. THE PROGRAM CONDUCTED THREE CLASS SESSIONS, SERVING A TOTAL OF 39 PARTICIPANTS. TO FURTHER ADDRESS HEALTH EQUITY, ADVOCATE WORKS TO ENHANCE ACCESS TO HEALTH CARE, PREVENTION AND WELLNESS SERVICES FOR MANY DIVERSE POPULATIONS THAT MIGHT OTHERWISE HAVE DIFFICULTY ACCESSING/RECEIVING NECESSARY HEALTH SERVICES. SOME EXAMPLES OF THESE PROGRAMS INCLUDE THE FOLLOWING.RONALD MCDONALD CARE MOBILE. SINCE 2008, ADVOCATE CHILDREN'S HAS PARTNERED WITH RONALD MCDONALD HOUSE CHARITIES TO DELIVER FREE PRIMARY HEALTH CARE VIA RONALD MCDONALD CARE MOBILE FULLY-EQUIPPED MEDICAL CLINICS ON WHEELS TO VULNERABLE, UNDERSERVED SCHOOL CHILDREN ON THE NORTH AND SOUTH SIDES OF CHICAGO. THE TEAMS ALSO PROVIDED PHYSICIAN REFERRALS, HELPED WITH MEDICAID ENROLLMENT AND HOUSING ASSISTANCE, SCREENED FOR FOOD INSECURITY PROVIDING FOOD AND INFORMATION ABOUT SOCIAL SERVICES, FOOD PANTRIES AND OTHER RESOURCES AND DISTRIBUTED WINTER CLOTHING AND BASIC PERSONAL HYGIENE SUPPLIES. THROUGH THESE MOBILE UNITS, WE SAW MORE THAN 3,000 PATIENTS AND PROVIDED NEARLY 6,800 IMMUNIZATIONS AND 1,328PHYSICALS. ALL PATIENTS SEEN ON THE CARE MOBILES ARE EITHER UNINSURED OR ON MEDICAID. LATE NOVEMBER 2023, THE RMCM PROVIDED SERVICES TO 300 MIGRANT/NEWCOMER CHILDREN IN CHICAGO. ADVOCATE ADULT DOWN SYNDROME CENTER. ESTABLISHED IN 1992 THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), THE ADVOCATE MEDICAL GROUP ADULT DOWN SYNDROME CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. EACH YEAR, APPROXIMATELY 1800 INDIVIDUALS ARE SERVED THROUGH OVER 6,000 VISITS, INCLUDING CARE IN THE OFFICE, THE PATIENT'S HOME, AT RESIDENTIAL FACILITIES, NURSING HOMES AND IN THE HOSPITAL. THE CENTER'S MULTIDISCIPLINARY APPROACH TO COMPREHENSIVE MEDICAL CARE, WITH A STRONG EMPHASIS ON PREVENTIVE MEDICINE, PROVIDES PRACTICAL APPROACHES TO HEALTH EDUCATION AND HEALTH RISK REDUCTION, INCLUDING SUPPORTING PEOPLE WITH DOWN SYNDROME IN THEIR OWN HEALTH PROMOTION EFFORTS. MORE TIME IS PROVIDED TO EACH PATIENT VISIT TO ALLOW INDIVIDUALS WITH DOWN SYNDROME TO PARTICIPATE IN THEIR OWN HEALTH CARE WHICH REDUCES REIMBURSEMENT. FURTHER, ONLY ONE-THIRD OF THE COST OF THE CLINIC IS REIMBURSED THROUGH BILLING INSURANCE DUE TO THE PAYOR MIX. IN ADDITION, ADVOCATE GENEROUSLY PROVIDES SOME SERVICES THROUGH THE CENTER THAT ARE KEY TO HEALTH PROMOTION BUT THAT ARE NOT REIMBURSABLE OR BILLABLE. IN ADDITION TO PATIENT CARE, THE MISSION OF THE CENTER INCLUDES EDUCATION AND RESEARCH. IN 2023, THE CENTER STAFF PROVIDED NUMEROUS EDUCATIONAL EVENTS AND CLASSES, PUBLISHED RESEARCH STUDIES, PROVIDED EXTENSIVE EDUCATIONAL MATERIALS ONLINE AND IN PRINT FORM, AND PARTICIPATED IN NATIONAL AND INTERNATIONAL PROJECTS EDUCATING ABOUT AND RESEARCHING THE EFFECT OF A VARIETY OF CONDITIONS HAVE ON PEOPLE WITH DOWN SYNDROME SUCH AS COVID-19, ALZHEIMER'S DISEASE, AND MENTAL HEALTH CONDITIONS.PEDIATRIC DEVELOPMENTAL CENTER. ADVOCATE ILLINOIS MASONIC'S PEDIATRIC DEVELOPMENTAL CENTER (PDC) SERVES CHILDREN WITH AUTISM AND THEIR FAMILIES--BOTH THOSE WITH COMMERCIAL INSURANCE AND MEDICAID PLANS. THE PDC REMAINS ONE OF THE ONLY CENTERS IN ILLINOIS TO PROVIDE DIAGNOSTIC EVALUATIONS AND THERAPY SERVICES FOR AUTISM TO LOW-INCOME FAMILIES. IN 2023, FOR EXAMPLE, OVER 66% OF PATIENTS SERVED AT THE CENTER WERE ON MEDICAID OR GOVERNMENT-FUNDED, EARLY INTERVENTION. THE PDC PROVIDES BOTH COMPREHENSIVE DIAGNOSTIC EVALUATIONS, SPECIALTY MEDICAL CARE (DEVELOPMENTAL PEDIATRICS) AS WELL AS COMPREHENSIVE THERAPY SERVICES (INDIVIDUAL BEHAVIOR THERAPY, SOCIALIZATION GROUPS, SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY, SOCIAL WORK SERVICES, PARENT TRAINING AND SIBLING SUPPORT). IN 2023, THE PDC PROVIDED SERVICES 2,071 UNDUPLICATED PATIENTS FOR A TOTAL OF 21,269 PATIENT CONTACTSAT LEAST HALF OF WHICH REPRESENTED PATIENTS WITH AUTISM. THE PDC OFFERS SERVICES IN BOTH ENGLISH AND SPANISH, INCLUDING ONGOING PARENT TRAINING AND SUPPORT TO ENHANCE GENERALIZATION OF SKILLS INTO ALL ENVIRONMENTS. ILLINOIS ORAL HEALTH PROGRAMS. ADVOCATE ILLINOIS MASONIC PROVIDES TWO DENTAL PROGRAMS FOCUSED ON IMPROVING ACCESS TO ORAL HEALTH SERVICES. THE MOBILE DENTISTRY PROGRAM BRINGS ORAL HEALTH CARE SERVICES TO UNDERSERVED AND UNINSURED POPULATIONS, INCLUDING LOW-INCOME CHILDREN AND FAMILIES, PEOPLE EXPERIENCING HOMELESSNESS, OLDER ADULTS AND PERSONS WITH SPECIAL NEEDS AT 18 DIFFERENT LOCATIONS ACROSS THE COMMUNITY. THE SPECIAL NEEDS DENTISTRY PROGRAM PROVIDES ACCESS TO ORAL HEALTH FOR CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES. MOST DENTISTS LACK THE TRAINING OR EQUIPMENT NEEDED TO EFFECTIVELY SERVE PATIENTS WITH SPECIAL NEEDS, RESULTING IN MANY INDIVIDUALS LACKING ACCESS TO EVEN BASIC DENTAL CARE. IN 2023, THE SPECIAL NEEDS DENTISTRY PROGRAM HAD 1,637 VISITS, SERVING 1,384 PERSONS WITH SPECIAL NEEDS, AND THE MOBILE DENTAL VAN PROVIDED 2,873 SERVICES TO 508 PEOPLE IN 1,242 VISITS.FAITH AND HEALTH PARTNERSHIPS. ADVOCATE HEALTH CARE'S FAITH AND HEALTH PARTNERSHIPS PROGRAM WORKS SIDE BY SIDE WITH FAITH COMMUNITIES TO PROMOTE HEALTH EQUITY BY MOBILIZING THE TRANSFORMING POWER OF SOCIAL CONNECTEDNESS AND SPIRITUAL WISDOM. THE PROGRAM SUPPORTS A NEIGHBORHOOD MODEL THAT EMBEDS ADVOCATE TEAMMATES IN SPECIFIC ZIP CODES IDENTIFIED AS PRIORITIES THROUGH THE ADVOCATE COMMUNITY STRATEGY. TEAM MEMBERS WORK WITH A COLLABORATIVE NETWORK OF FAITH COMMUNITIES AND COMMUNITY-BASED ORGANIZATIONS TO ADDRESS HEALTH ISSUES THAT HAVE BEEN IDENTIFIED BY COMMUNITY MEMBERS AS ISSUES THAT ARE IMPORTANT TO THEM. IN ILLINOIS WE HAVE NEIGHBORHOOD NETWORK PROGRAMS IN SOUTH CHICAGO AND AVONDALE AND ARE FOCUSED ON REDUCING STRESS AND INCREASING SOCIAL CONNECTEDNESS, MANAGING CHRONIC DISEASE, AND SUPPORTING FOOD ACCESS. FAITH AND HEALTH PARTNERSHIPS ALSO WORKS ACROSS OUR FOOTPRINT ON BUILDING CAPACITY OF FAITH LEADERS AND CONGREGATIONS TO PROMOTE THE WHOLISTIC HEALTH OF THEIR MEMBERS AND THE COMMUNITIES THEY SERVE, PARTICULARLY AROUND MENTAL HEALTH, TRAUMA HEALING, AND LONELINESS/SOCIAL ISOLATION. FAITH AND HEALTH PARTNERSHIPS ALSO SUPPORTS A FAITH COMMUNITY NURSE NETWORK OF 17 NURSES THAT SERVE CONGREGATIONS ACROSS THE CHICAGOLAND REGION.ADVOCATE AURORA HEALTH'S FAITH AND HEALTH PARTNERSHIP PROGRAM IS A KEY CONVENER OF THE CHICAGOLAND TRAUMA INFORMED CONGREGATIONS NETWORK (CTICN), A MULTIFAITH LEARNING COMMUNITY THAT EXPLORES HOW FAITH COMMUNITIES CAN SUPPORT HEALING AND RESILIENCE ACROSS COMMUNITIES. THE CTICN HOSTS CONFERENCES, PROVIDES TRAINING AND EDUCATION, AND CONVENES REGULAR COMMUNITY OF PRACTICE GATHERINGS AROUND TOPICS OF COMMON INTEREST. IN 2022, FAITH AND HEALTH PARTNERSHIPS RECEIVED A 3-YEAR GRANT FROM THE CHICAGO DEPARTMENT OF PUBLIC HEALTH OFFICE FOR VIOLENCE PREVENTION TO WORK WITH FAITH AND COMMUNITY-BASED ORGANIZATIONS TO DEVELOP TRAUMA-INFORMED PRACTICES, POLICIES, AND CULTURE. PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - PART III MENTAL HEALTH IS A PRIORITY IN EACH OF OUR HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS. FAITH AND HEALTH PARTNERSHIPS PROVIDES A FAITH AND MENTAL HEALTH SPECIALIST TO WORK WITH CONGREGATIONAL LEADERS AND MEMBERS ON REDUCING STIGMA AND INCREASING SUPPORT FOR PEOPLE EXPERIENCING MENTAL HEALTH CHALLENGES.SINCE 2009, ADVOCATE HAS SUPPORTED THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. THE CENTER WORKS TO ADVANCE HEALTH EQUITY BY PARTNERING WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY, NURTURE LEADERS AND CONNECT THE UNIQUE SPIRIT POWER OF FAITH COMMUNITIES TO PROMOTE SOCIAL JUSTICE AND ABUNDANT LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES. THE CENTER IS A PARTNERSHIP BETWEEN ADVOCATE AND THE OFFICE FOR COMMUNITY ENGAGEMENT AND NEIGHBORHOOD HEALTH PARTNERSHIPS AT THE UNIVERSITY OF ILLINOIS AT CHICAGO. ADVOCATE INVESTS STAFF TIME AND SOME PROGRAM DOLLARS AS PART OF OUR COMMITMENT TO THIS WORK.III. ACCESS/BEHAVIORAL HEALTH SERVICES: BEHAVIORAL HEALTH, WHICH INCLUDES TREATMENT AND SERVICES FOR MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDER IS AN URGENT PUBLIC HEALTH CONCERN IN BOTH ILLINOIS AND WISCONSIN. AN ANALYSIS OF HEALTH DATA WITHIN THE ADVOCATE HEALTH PATIENT SERVICE AREAS REVEALS THE BURDEN OF MENTAL ILLNESS AND SUBSTANCE ABUSE. ADVOCATE HEALTH HAS IMPLEMENTED MANY PROGRAMS/SERVICES FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. IN ADDITION TO HAVING STRONG PARTNERSHIPS WITH COMMUNITY-BASED PROGRAMS ACROSS OUR SERVICE AREAS, ADVOCATE HEALTH BEHAVIORAL HEALTH OFFERS A FULL CONTINUUM OF TREATMENT OPTIONS INCLUDING INPATIENT, RESIDENTIAL, PARTIAL HOSPITALIZATION, INTENSIVE OUTPATIENT, OUTPATIENT, DAY TREATMENT PROGRAMS, AND SUPPORT GROUPS. EXAMPLES OF OTHER INITIATIVES INCLUDE: BEHAVIORAL HEALTH INTEGRATION. MANY STUDIES HAVE SHOWN THAT INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE PRACTICE CAN LEAD TO INCREASES IN A PERSON'S ADHERENCE TO TREATMENT, IMPROVES QUALITY OF LIFE, AND INCREASES A PERSON'S SATISFACTION WITH THEIR CARE. AT ADVOCATE HEALTH WE ARE INTEGRATING INTO PRIMARY CARE PRACTICES IN ILLINOIS AND WISCONSIN USING THE COLLABORATIVE CARE APPROACH AND EMBEDDING SOCIAL WORKER TO WORK ALONGSIDE THE PRIMARY CARE TEAM SEEING PEOPLE IN NEED WHEN THEY COME IN FOR THEIR PRIMARY CARE VISIT. IN ADDITION, PATIENTS HAVE ACCESS TO A VIRTUAL LICENSED CLINICIAN FOR BRIEF TARGETED SOLUTION FOCUSED THERAPY. THIRDLY, PRIMARY CARE PHYSICIANS HAVE ACCESS TO A CONSULTING PSYCHIATRIST FOR QUESTIONS REGARDING PRESCRIPTION MEDICATIONS TO TREAT MENTAL HEALTH CONDITIONS. THE GOAL OF THIS INITIATIVE IS TO ADDRESS LOWER-LEVEL BEHAVIORAL HEALTH ISSUES IN THE PRIMARY CARE SETTING WHERE PEOPLE FEEL MOST COMFORTABLE. BETWEEN JANUARY 1 AND DECEMBER 31, 2023, HE BHI CLINICS PROVIDED 3,821 VISITS TO PATIENTS IN PRIMARY CARE CLINICS. THIS PROGRAM IS BASED ON AN EVIDENCE-BASED MODEL OF CARE, COLLABORATIVE CARE OUT OF UNIVERSITY OF WASHINGTON. WE USE EVIDENCE-BASED SCREENING TOOLS, PHQ-9 AND GAD-7. EARLY METRICS HAVE DEMONSTRATED AN INCREASED TIME TO FIRST APPOINTMENT BY 83% COMPARED TO REFERRAL TO USUAL OUTPATIENT BEHAVIORAL HEALTH PROVIDERS.BEHAVIORAL HEALTH ASSESSMENTS. BEHAVIORAL HEALTH ASSESSMENTS HELP PROVIDERS IDENTIFY WHEN A PERSON IS EXPERIENCING BEHAVIORAL HEALTH ISSUES AND ASSISTS IN EXPEDITING REFERRALS TO APPROPRIATE LEVELS OF CARE AND OTHER SUPPORTIVE RESOURCES. IN 2023, 14,157 ASSESSMENTS FOR PEOPLE PRESENTING IN AN ADVOCATE HEALTH IN IL HOSPITAL ED IN ACUTE MENTAL/BEHAVIORAL HEALTH CRISIS WERE COMPLETED BY A BEHAVIORAL-HEALTH SPECIALIST. THE TOTALS BY STATE ARE AS FOLLOWS:MOBILE CRISIS RESPONSE TEAM (FORMERLY KNOWN AS MICCS). THE TEAM IS COMPRISED OF FOUR CLINICIANS AND A PEER SUPPORT SPECIALIST. THEY PROVIDE CRISIS INTERVENTIONS, THERAPY AND CASE MANAGEMENT TO ACUTELY ILL BEHAVIORAL HEALTH PATIENTS, OFFERING COMMUNITY-BASED ENCOUNTERS. IN 2023, 32 PEOPLE ENROLLED IN MOBILE CRISIS RECEIVED 545 SERVICES, OF WHICH ALL WERE DELIVERED IN THE COMMUNITY. DEAF AND HARD OF HEARING PROGRAM. AS BRIEFLY MENTIONED EARLIER UNDER LANGUAGE SERVICES, AIMMC'S DEAF AND HARD OF HEARING PROGRAM PROVIDES COMPREHENSIVE MENTAL HEALTH CARE IN AMERICAN SIGN LANGUAGE (ASL) TO DEAF AND HARD OF HEARING CHILDREN, ADOLESCENTS, AND ADULTS ACROSS ILLINOIS. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL AND FAMILY THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AS WELL AS CRISIS INTERVENTION WITH A 24-HOUR PHONE LINE. TELE-PSYCHIATRY IS AVAILABLE TO CLIENTS USING A VARIETY OF METHODS, INCLUDING VIDEOPHONE EQUIPMENT SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AND TEAMS/ZOOM, THAT SUIT THE INDIVIDUAL'S LINGUISTIC AND TECHNOLOGICAL NEEDS TO ENABLE THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS. OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION, AND SMOKING CESSATION. IN 2023, BHS PROVIDED 1,703 SERVICES TO78DHOH PATIENTS, WITH 1,518 OFFERED BY THE ASL-FLUENT STAFF AND 185 SERVICES USING REASONABLE ACCOMMODATIONS/INTERPRETING. ELEVEN PATIENTS OF THOSE 78 DHOH PATIENTS ALSO HAVE VISUAL IMPAIRMENT; THEY RECEIVED 238 SERVICES OVER THE COURSE OF 2023.FIRST ACCESS PROGRAM. GIVEN THE HIGH NUMBER OF ADMISSIONS AND ED VISITS FOR BEHAVIORAL HEALTH CONDITIONS AT ADVOCATE ILLINOIS MASONIC AND THE HIGH NUMBER OF DISCHARGED PATIENTS THAT WERE NOT KEEPING THEIR OUTPATIENT FOLLOW-UP APPOINTMENTS, THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT CREATED THE FIRST ACCESS PROGRAM IN 2013. THE GOAL OF FIRST ACCESS IS TO PROVIDE IMMEDIATE ACCESS TO FOLLOW-UP BEHAVIORAL HEALTH SERVICES TO SUPPORT RECOVERY AND PREVENT RELAPSES. THROUGH THIS PROGRAM, BEHAVIORAL HEALTH ED PATIENTS, AS WELL AS PATIENTS REFERRED BY THE HOSPITAL'S INPATIENT PSYCHIATRIC UNIT, MEDICAL FLOORS AND ADVOCATE PHYSICIANS, ARE LINKED TO FOLLOW-UP FOR OUTPATIENT APPOINTMENTS WITH MINIMAL WAIT TIME. SINCE ITS IMPLEMENTATION, FIRST ACCESS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100 PERCENT IN 2019. DISCHARGED PATIENTS RECEIVED WARM HAND-OFFS TO BEHAVIORAL HEALTH SERVICES AND LEFT WITH AN OUTPATIENT PLAN OF CARE. HAVING ACHIEVED THAT, FIRST ACCESS STARTED TO FOCUS ON PROVIDING ACCESS TO CARE TO ALL ADVOCATE PATIENTS AND ITS VOLUMES HAVE STEADILY GROWN, PROVIDING 1,828 INTAKES TO PATIENTS IN 2021. THESE VOLUMES WERE MAINTAINED AND IN 2022 FIRST ACCESS PROVIDED 1826 NEW-PATIENT INTAKES. IN 2023, BHS EXTENDED INTAKE FUNCTIONALITY FOR NEW PATIENTS BEYOND FIRST ACCESS SO THAT INTERMITTENT STAFFING CHALLENGES DO NOT INTERFERE WITH STEADY ACCESS TO CARE: 1,877 INTAKES TO NEW PATIENTS WERE PROVIDED IN 2023.COMMUNITY LINKAGE SPECIALIST (CLS). IN RESPONSE TO THE INCREASING RATES OF SUBSTANCE ABUSE AND MENTAL ILLNESS IN DUPAGE COUNTY, ADVOCATE GOOD SAMARITAN EMPLOYED A COMMUNITY LINKAGE SPECIALIST THAT WORKS WITH DETOX AND BEHAVIORAL HEALTH UNIT PATIENTS TO CONNECT THEM TO THE APPROPRIATE COMMUNITY SUPPORT SERVICES AND RESOURCES. THIS INDIVIDUAL ALSO CONDUCTS COMMUNITY AND HOME VISITS WITH DISCHARGED PATIENTS.MENTAL HEALTH FIRST WORKSHOPS. MENTAL HEALTH FIRST AID TRAINING AIMS TO INCREASE AWARENESS AROUND MENTAL ILLNESS THROUGH HELPING PEOPLE IDENTIFY MENTAL HEALTH ISSUES/ILLNESS AND ADDRESS MENTAL HEALTH CRISES IN THE COMMUNITY. THE COMMUNITY HEALTH TEAM IMPLEMENTED SEVERAL MENTAL HEALTH FIRST AID TRAININGS ACROSS THE ILLINOIS REGION (GOOD SAMARITAN'S EMS/PARAMEDIC STUDENTS AND AVONDALE RESTORATIVE JUSTICE COMMUNITY COURT. TWENTY-TWO HEALTH PROFESSIONALS COMPLETED THE TRAINING AND RECEIVED THEIR CERTIFICATION IN MENTAL HEALTH FIRST AID IN 2023. ADVOCATE GOOD SAMARITAN SPONSORED 5 ENDING THE SILENCE WORKSHOPS WHICH SUPPORT A TOTAL OF 84 STUDENTS. THE PROGRAM IS CENTERED AROUND SUICIDE PREVENTION AND INCORPORATES OVERALL AWARENESS OF VARIOUS BEHAVIORAL HEALTH CONCERNS. PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - COMMUNITY MENTAL HEALTH COMMUNITY MENTAL HEALTH WELLNESS PROGRAMS: CENTRAL REGION: ADVOCATE GOOD SAMARITAN'S NALOXONE PROGRAM CONTINUES TO SUPPORT PATIENTS PRESENTING WITH OPIOID OVERDOSE, HISTORY OF OPIOID RELATED EVENT, HISTORY OF SUBSTANCE ABUSE DISORDER OR GENERAL PATIENTS REQUESTING NALOXONE TO TAKE HOME. THE PROGRAM HAS IMPROVED ACCESS TO OVERDOSE PREVENTION RESOURCES. IN 2023, 14 PATIENTS WERE SERVED. ADVOCATE LUTHERAN GENERAL PARTNERED WITH TURNING POINT IN SKOKIE TO SUPPORT THE LIVING ROOM PROGRAM PROVING MENTAL HEALTH SERVICES FOR THOSE IN CRISIS. THIS YEAR THE COMMUNITY HEALTH TEAM PROVIDED TURNING POINT WITH A GRANT OF $1,000 TO SUPPORT IN THEIR ENDEAVORS TO HELP PEOPLE IN NEED IN THE COMMUNITY. ADVOCATE LUTHERAN GENERAL IS PARTNERING WITH ONWARD NEIGHBORHOOD HOUSE'S WELCOMING CENTER FOR IMMIGRANT AND REFUGEES IN THE BELMONT CRAGIN COMMUNITY TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR IMMIGRANT AND UNDER INSURED INDIVIDUALS. THE PARTNERSHIP WILL INCREASE ACCESS TO INDIVIDUAL, COUPLES AND FAMILY PSYCHOTHERAPY. ADVOCATE LUTHERAN GENERAL'S NALOXONE PROGRAM CONTINUES TO SUPPORT PATIENTS PRESENTING OPIOID OVERDOSE, HISTORY OF OPIOID RELATED EVENT, HISTORY OF SUBSTANCE ABUSE DISORDER OR GENERAL PATIENTS REQUESTING NALOXONE TO TAKE HOME. THE PROGRAM HAS IMPROVED ACCESS TO OVERDOSE PREVENTION RESOURCES. IN 2023, NINE PATIENTS WERE SERVED. NORTH REGION: IN 2023, THE STATE TARGETED RESPONSE (STR) WARM HANDOFF PROGRAM SERVED 142 PATIENTS IN THE ADVOCATE CONDELL EMERGENCY DEPARTMENT (ED). AN ENGAGEMENT SPECIALIST EMPLOYED BY THE MEDICAL CENTER'S PARTNER, GATEWAY FOUNDATION, MEETS WITH PATIENTS COMING INTO THE ED FOR SUBSTANCE USE-RELATED VISITS AND ASSISTS WITH NAVIGATION TO TREATMENT. THE PROGRAM PLACED 59 PERCENT OF THE PATIENTS SEEN INTO TREATMENT. TWENTY-NINE ADVOCATE CONDELL LEADERS AND COMMUNITY MEMBERS WERE TRAINED IN NARCAN ADMINISTRATION BY NICASA BEHAVIORAL HEALTH, A COMMUNITY PARTNER THAT PROVIDES SUBSTANCE USE PREVENTION AND TREATMENT. THE CONGREGATIONAL OUTREACH PROGRAM WORKED WITH MORE THAN 10 CHURCHES ACROSS THE NORTH ILLINOIS AREA TO TRAIN 300 FAITH LEADERS AND PARISHIONERS IN NARCAN ADMINISTRATION. ADVOCATE CONDELL COMMUNITY HEALTH AND CONGREGATIONAL HEALTH STAFF CONTINUE TO BE ACTIVE MEMBERS OF THE LAKE COUNTY OPIOID INITIATIVE COALITION. COMMUNITY HEALTH STAFF SHARED UPDATED CLINICAL GUIDES AND EDUCATIONAL RESOURCES ON XYLAZINE AND FENTANYL WITH CLINICAL LEADERS LEADING INTERNAL OPIOID MITIGATION STRATEGIES. THE WARM HANDOFF PROGRAM IS A PARTNERSHIP WITH GATEWAY FOUNDATION WHERE AN ENGAGEMENT SPECIALIST MEETS IN THE ADVOCATE SHERMAN EMERGENCY DEPARTMENT (ED) WITH A PATIENT WHO HAS COME IN FOR SUBSTANCE USE-RELATED HEALTH ISSUES, PROVIDING SCREENING AND LINKAGE OF THE PATIENT INTO TREATMENT. ADDITIONALLY, A RECOVERY COACH ON THE GATEWAY FOUNDATION TEAM PROVIDES COMMUNITY SUPPORT TO PATIENTS AS THEY TRANSITION INTO TREATMENT. IN 2023, GATEWAY FOUNDATION COMPLETED 464 PATIENT ENCOUNTERS AND 139 PATIENTS (30 PERCENT) WERE PLACED IN TREATMENT. ADVOCATE SHERMAN COORDINATED THE 2023 LOCAL NATIONAL DRUG TAKE BACK DAY EVENT, COLLECTING OVER 291 POUNDS OF DRUGS (INCLUDING PILLS, LIQUIDS, PATCHES AND SYRINGES). ADVOCATE HEALTH CARE (AHC) NURSE RESIDENCY AND COMMUNITY HEALTH STAFF WORKED WITH THE BARRINGTON HIGH SCHOOL STUDENT ADVISORY COMMITTEE TO DESIGN THE "POP UP" PROGRAM SELF-CARE MODEL BASED ON FEEDBACK FROM THE STUDENTS. IN 2023, TWO POP-UP EVENTS WERE HELD FOCUSING ON SELF-CARE DURING STRESSFUL TIMES AND THE IMPORTANCE OF HEALTHY SLEEPBOTH TOPICS RECOMMENDED BY THE STUDENT ADVISORY COMMITTEE. SEVEN NURSES FROM THE NURSE RESIDENCY PROGRAM JOINED THE EXECUTIVE DIRECTOR FROM BSTRONG TOGETHER AT THE POP-UPS AND AN ESTIMATED 500 STUDENTS PARTICIPATED IN EACH EVENT. THE CHOOSE YOUR PATH COALITION WAS ONE OF 15 DRUG-FREE COMMUNITY (DFC) COALITIONS FROM ACROSS THE COUNTRY TO RECEIVE A BLUE RIBBON COALITION AWARD, RECOGNIZING EXCEPTIONAL COALITION WORK WHICH CREATED A FOUNDATION FOR SUBSTANCE USE PREVENTION AND REDUCTION. THE COALITION IS COMPRISED OF WAUCONDA COMMUNITY MEMBERS WHO ARE CONCERNED ABOUT THE HEALTH, SAFETY AND WELL-BEING OF AREA YOUTH. CHOOSE YOUR PATH, A PROGRAM OF THE COALITION, HELPS REDUCE YOUTH SUBSTANCE USE AND PROVIDES EDUCATION ON ALCOHOL AND DRUGS TO THOSE IN THE WAUCONDA AREA. ADVOCATE GOOD SHEPHERD HAS SUPPORTED THE COALITION SINCE IT'S INCEPTION AND IS THE APPOINTED REPRESENTATIVE FROM THE HEALTHCARE SECTOR. IN THE PAST YEAR, THE COALITION DESIGNED AND LAUNCHED NUMEROUS AWARENESS CAMPAIGNS INCLUDING, ONE PILL CAN KILL, TWO TRUTHS CAMPAIGN, STICKER SHOCK, THOSE WHO HOST LOSE THE MOST AND THE SOCIAL NORM CAMPAIGN. MUCH OF THE COALITION'S SUCCESS IS BUILT UPON THE LEADERSHIP OF THE YOUTH ADVISORY COMMITTEE. BSTRONG TOGETHER AND ADVOCATE GOOD SHEPHERD CONTINUED THE PARTNERSHIP WITH BRONCOS COMMITTED AT BARRINGTON HIGH SCHOOL AND THE BARRINGTON POLICE DEPARTMENT FOR THE STICKER SHOCK CAMPAIGN TO REDUCE THE PURCHASE AND SERVING OF ALCOHOL TO MINORS. DURING THE HOLIDAYS, PROM AND GRADUATION SEASON. SOUTH REGION:IN DECEMBER 2023, ADVOCATE SOUTH SUBURBAN OPENED ITS INPATIENT BEHAVIORAL HEALTH UNIT TO PROVIDE INPATIENT BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY. THE UNIT FEATURES 27 PRIVATE ROOMS, RECREATIONAL SPACE, AND FITNESS CENTER FOR PATIENTS WITH BEHAVIORAL HEALTH NEEDS. THE NEW SINGLE OCCUPANCY ROOMS ARE EQUIPPED WITH THE LATEST TECHNOLOGY AND EXPANDS OUR ABILITY TO ADDRESS THE GROWING NEED FOR GREATER ACCESS TO MENTAL HEALTH SERVICES ACROSS THE SOUTH SUBURBS OF CHICAGO. WE ANTICIPATE PROVIDING CARE FOR MORE THAN 800 PATIENTS A YEAR IN OUR INPATIENT UNITS AND AN ADDITIONAL 5,000 PATIENTS THROUGH OUR PARTIAL HOSPITALIZATION OR INTENSIVE OUTPATIENT PROGRAM SERVICES. ADVOCATE TRINITY PARTNERED WITH TEAM MEMBERS FROM THE AAH FAITH AND HEALTH PARTNERSHIPS TO CONDUCT MENTAL HEALTH EDUCATIONAL WORKSHOPS AND TRAININGS IN THE COMMUNITY. DURING THE WORKSHOPS, FIFTY-EIGHT PEOPLE COMPLETED THE MENTAL HEALTH FIRST AID TRAINING HELD AT TWO NON-FOR-PROFIT ORGANIZATIONS IN THE COMMUNITY. THIRTY-SEVEN OLDER ADULTS FROM TWO SENIOR HOUSING CENTERS COMPLETED A SIX-WEEK LONELINESS PROGRAM. A TOTAL OF 92 ADULTS ATTENDED SIX HEALING TOXIC RELATIONSHIPS WORKSHOPS AT THE PILSEN SOUTHEAST WELLNESS CENTER AND 100 TEENS COMPLETED FOUR SESSIONS OF THE TEEN LONELINESS PROGRAM. IV. WORKFORCE DEVELOPMENT: A STEADY JOB IN FAVORABLE WORKING CONDITIONS CAN MEAN A LINK TO HEALTH INSURANCE BENEFITS FOR A FAMILY, THE ABILITY TO PAY FOR CHILDCARE SERVICES AND EDUCATION, AND THE OPPORTUNITY TO PURCHASE HEALTHY, NUTRITIOUS FOOD. UNEMPLOYMENT, ON THE OTHER HAND, CAN LEAD TO NEGATIVE HEALTH OUTCOMES INCLUDING A DECLINE IN ONE'S ABILITY TO ACCESS CARE, DEVELOPMENT OF DEPRESSION OR OTHER BEHAVIORAL HEALTH ISSUES, OR AN INABILITY TO PAY FOR BASIC LIVING EXPENSES. ADVOCATE WORKFORCE INITIATIVE (AWI). THE ADVOCATE AURORA HEALTH, WORKFORCE DEVELOPMENT TEAM ORIGINATED FROM A GENEROUS GRANT FROM JPMORGAN CHASE IN 2015 VIA A GRANT ENTITLED THE "ADVOCATE WORKFORCE INITIATIVE" (AWI). AWI WAS CREATED TO ADDRESS HIGH-UNEMPLOYMENT RATES AND EMPLOYMENT DISPARITIES IN THE CITY OF CHICAGO'S MOST UNDERSERVED AREAS. SINCE THE GRANT COMPLETION IN 2020, AAH HAS CONTINUED THIS WORK BY ESTABLISHING A SYSTEMWIDE WORKFORCE DEVELOPMENT TEAM ACROSS WISCONSIN AND ILLINOIS. THIS TEAM HAS CREATED AND CONTINUES TO SCALE PROGRAMS AIMED TO CREATE EQUITABLE WORKPLACE PROGRAMS, MEETING THE TALENT NEEDS OF THE ORGANIZATION AND BUILDING SUSTAINABLE WORKFORCE DEVELOPMENT PROGRAMMING. THESE PROGRAMS INCLUDE, BUT AREN'T LIMITED TO:O REGISTERED APPRENTICESHIP. LAUNCHED IN 2019, ADVOCATE HEALTH HAS CREATED SEVERAL APPRENTICESHIP MODELS THROUGH THE WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT (DWD) AND THE US DEPARTMENT OF LABOR (DOL) TO ADDRESS URGENT TALENT NEEDS. THESE PROGRAMS INCLUDE A FACILITIES MAINTENANCE, MILLWRIGHT, INDUSTRIAL ELECTRICIAN, AND CULINARY ARTS APPRENTICESHIP IN PARTNERSHIP WITH LOCAL COLLEGES. TWENTY TEAMMATES PARTICIPATED IN 2023. O DIVERSE ABILITIES. SINCE 2017, AAH HAS CREATED A FOCUSED EFFORT TO SOURCE AND EMPLOY INDIVIDUALS WITH DISABILITIES WHILE CREATING A MORE INCLUSIVE HIRING PROCESS. TO DATE, ADVOCATE HEALTH HAS EMPLOYED 35 INDIVIDUALS THROUGH THE PROGRAM.O TEAMMATE SUCCESS COACHING. LAUNCHED IN 2022, THIS EFFORT ADDRESSES SOCIAL DETERMINANTS TO RETENTION BY PROVIDING COMPLEX CASE MANAGEMENT AND PROVIDE WRAPAROUND SUPPORT TO SELECT NEW TEAM MEMBERS FROM THE MOST VULNERABLE TALENT POPULATIONS. THIS EFFORT LAUNCHED WITH TWO "TEAMMATE SUCCESS COACHES" IN SOUTH CHICAGOLAND AT CHRIST MEDICAL CENTER IN JUNE 2022 AND CENTRAL CHICAGOLAND AT ILLINOIS MASONIC MEDICAL CENTER IN JANUARY 2023. A TOTAL OF 143 TEAMMATES PARTICIPATED IN 2023.O CORPORATE INTERNSHIPS. EACH SUMMER, AAH EMPLOYS 20+ CORPORATE INTERNS FROM AROUND THE COUNTRY TO INTRODUCE COLLEGE STUDENTS TO CAREERS IN HR, FINANCE, IT, COMMUNICATIONS AS WELL AS ADMINISTRATION. PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - COMMUNITY SCHOLARSHIP O COMMUNITY SCHOLARSHIP. STARTING IN 2021, THE AAH COMMUNITY SCHOLARSHIP PROGRAM AWARDS $5,000 SCHOLARSHIPS TO 10 COMMUNITY MEMBERS AND 10 DEPENDENTS OF AAH TEAM MEMBERS. IN 2023, AAH AWARDED TWENTY, $5,000 SCHOLARSHIPS FOR STUDENTS ACROSS ILLINOIS AND WISCONSIN THAT ARE PURSUING STEM-RELATED CAREERS.O HISTORICALLY BLACK COLLEGES AND UNIVERSITY (HBCU). STARTING IN 2021, AAH PARTNERED WITH SEVERAL HBCUS ACROSS THE NATION TO PROVIDE SPONSORSHIPS, SCHOLARSHIPS, INTERNSHIPS, AND MENTORING FOR STUDENTS ENROLLED IN COLLEGE PROGRAMS. PARTNER SCHOOLS INCLUDE FLORIDA A&M (FAMU), CENTRAL STATE UNIVERSITY (CSU) AND SPELMAN COLLEGE. IN 2023, OUR ORGANIZATION CELEBRATED ITS SECOND-YEAR PARTNERSHIPS WITH SPELMAN AND CSU AND CONTINUED WITH THE 1ST YEAR OF PARTNERSHIP WITH FAMU. IN 2023, WE REACHED 500 HBCU STUDENTS. O HERZING UPSKILLING PROGRAMS. STARTING IN 2021, ADVOCATE HEALTH DEVELOPED AND LAUNCHED TWO UPSKILLING PROGRAMS WITH HERZING UNIVERSITY 'STERILE PROCESSING TO SURGICAL TECHNOLOGIST AND 'MEDICAL ASSISTANT'. ADVOCATE HEALTH TEAM MEMBERS IN ENTRY-LEVEL ROLES CAN ENROLL IN REGULARLY SCHEDULED COHORTS AS THEY WORK THROUGH ONLINE EDUCATION AND ON-SITE SKILLS TRAINING. TO DATE, 50 TEAM MEMBERS HAVE ENROLLED ACROSS ILLINOIS AND WISCONSIN WITH MANY MORE ON THE WAY.WORKFORCE DEVELOPMENT. IN 2021, ADVOCATE WORKFORCE INITIATIVE AND CENTRAL CHICAGOLAND COMMUNITY HEALTH PARTNERED WITH COMMUNITY COLLEGES AND ORGANIZATIONS TO PROVIDE PHLEBOTOMY AND MEDICAL ASSISTANT EXTERNSHIPS FOR INDIVIDUALS LIVING IN UNDERSERVED, DISENFRANCHISED COMMUNITIES. THE INITIATIVE PROVIDED HANDS-ON AND WORKFORCE DEVELOPMENT TRAINING TO 11 INDIVIDUALS FROM COMMUNITIES WITH HIGH RATES OF UNEMPLOYMENT. IN ADDITION, ADVOCATE LUTHERAN GENERAL HOSPITAL PARTNERS CLOSELY WITH MAINE EAST HIGH SCHOOL AND THEIR JUMPSTART PROGRAM. JUMPSTART IS A YOUTH EMPLOYMENT PROGRAM, FEDERALLY FUNDED THROUGH THE WORKFORCE INNOVATION AND OPPORTUNITY ACT BASED OUT OF MAIN TOWNSHIP HIGH SCHOOL DISTRICT 207. THE PROGRAM SERVES IN AND OUT OF SCHOOL YOUTH WITH EMPLOYMENT AND EDUCATION BARRIERS THROUGHOUT NORTHERN COOK COUNTY WITH AN EMPHASIS ON THE DES PLAINES, PARK RIDGES, NILES, MORTON GROVE AND GLENVIEW NEIGHBORHOODS. ADVOCATE LUTHERAN OFFERS WORKING OPPORTUNITIES IN VARIOUS ENTRY-LEVEL DEPARTMENT, SUCH AS FOOD AND NUTRITION SERVICES AND ENVIRONMENTAL SERVICES. THE COMMUNITY HEALTH DEPARTMENT OVERSEES THE ORIENTATION PROCESS AND WORKS WITH THE JUMPSTART TEAM AND HOSPITAL STAFF TO ENSURE THAT THE STUDENTS ARE EQUIPPED WITH THE PROPER TOOLS TO START THEIR PAID INTERNSHIP. FROM 2021 TO 2023, A TOTAL OF 37 JUMPSTART YOUTH HAS HAD WORK EXPERIENCES AT ADVOCATE LUTHERAN GENERAL AND TEN COMPLETED AND PLACED IN PAID INTERNSHIPS IN THE FOOD AND NUTRITION DEPARTMENT. V. COMMUNITY SAFETY: EXPERIENCING VIOLENCE, SEXUAL ASSAULT AND OTHER FORMS OF TRAUMA CAN HAVE HARMFUL AND LASTING CONSEQUENCES FOR SURVIVORS, FAMILIES AND COMMUNITIES INCLUDING, BUT NOT LIMITED TO, LONG-TERM PHYSICAL CONSEQUENCES, IMMEDIATE AND CHRONIC PSYCHOLOGICAL ISSUES, HEALTH BEHAVIOR RISKS AND FINANCIAL COSTS. FOR EXAMPLE, THE CHRONIC STRESS ASSOCIATED WITH FEELING UNSAFE CAN CAUSE ANXIETY AND DEPRESSION, AND FEAR OF VIOLENCE CAN KEEP PEOPLE INDOORS, LIMITING ACCESS TO SOCIAL ENCOUNTERS, EXERCISE, OR EVEN HEALTHY FOODS OPTIONS.ILLINOIS ADVOCATE HEALTH FORENSIC NURSE EXAMINERS (FNES). FNES, SPECIALLY TRAINED AND STATE CERTIFIED NURSE EXAMINERS LOCATED IN ADVOCATE HEALTH HOSPITALS IN BOTH ILLINOIS AND WISCONSIN, PROVIDE COMPASSIONATE, TRAUMA-INFORMED CARE TO SEXUAL ASSAULT AND DOMESTIC VIOLENCE SURVIVORS SEEKING CARE IN THE EMERGENCY DEPARTMENT. THESE HIGHLY TRAINED PRACTITIONERS PERFORM FORENSIC EXAMS PERTAINING TO SEXUAL ASSAULT/ABUSE, ADDRESS SEXUALLY TRANSMITTED INFECTION CONCERNS, COLLECT FORENSIC EVIDENCE, TESTIFY IN COURT AS EXPERT WITNESSES, AND PROVIDE ACCESS TO ADVOCACY AND AFTER-CARE RESOURCESSUPPORTING SURVIVORS THROUGH THE ENTIRE PROCESS. IN ILLINOIS, WE HAVE BEEN AGGRESSIVELY TRAINING AND RECRUITING SEXUAL ASSAULT NURSE EXAMINERS TO MEET THE REGULATORY MANDATE THAT GOES INTO EFFECT JANUARY 2023. IN 2023 WE TRAINED 31 ADULT/ADOLESCENT SANE RNS TO SUPPORT COVERAGE AT ALL ADVOCATE HOSPITALS IN ILLINOIS. WE ARE CONTINUING TO DEVELOP A REGIONAL RESPONSE TO SEXUAL ASSAULT VICTIMS THAT WILL PROVIDE 24/7 COVERAGE WITHIN 90 MINUTES OF THE PATIENT'S ARRIVAL AT OUR FACILITIES. IN 2023 ACROSS OUR ILLINOIS MARKET, 478 ADULTS AND 209 CHILDREN <13 YEARS WERE TREATED FOR SEXUAL ASSAULT, WITH AN ADDITIONAL 81 CHILDREN REFERRED FOR FURTHER EVALUATION TO ADVOCATE CHILDREN'S HOSPITAL CHILD PROTECTION TEAM SEXUAL ABUSE CLINIC. SOUTHLAND RISE. SOUTHLAND RISE (RESILIENCE INITIATIVE TO STRENGTHEN AND EMPOWER) IS A COLLABORATIVE UNITING THE TRAUMA RECOVERY CENTER OF ADVOCATE CHRIST MEDICAL CENTER IN OAK LAWN AND THE VIOLENCE RECOVERY PROGRAM OF HYDE PARK-BASED UCHICAGO MEDICINE (UCM). INSPIRED BY U.S. SENATOR DICK DURBIN'S HEAL (HOSPITAL ENGAGEMENT, ACTION, LEADERSHIP) INITIATIVE, THE TWO HOSPITALS WORK TOGETHER AND ALONGSIDE COMMUNITY PARTNERS TO IMPROVE LONG-TERM TRAUMA RECOVERY CARE AND MITIGATE VIOLENCE-RELATED INJURY IN SOUTHLAND AND ON THE SOUTH SIDE OF CHICAGO. THROUGH ITS ACTIVE LEADERSHIP ROLE IN SOUTHLAND RISE, ADVOCATE HEALTH CHAMPIONS EFFORTS THAT INCREASE ACCESS TO QUALITY CARE FOR SURVIVORS OF INTENTIONAL VIOLENCE AND STRIVES TO BUILD STRONGER, MORE RESILIENT COMMUNITIES. ADVOCATE HEALTH'S LEADERSHIP ROLE IN SOUTHLAND RISE HAD A PROFOUNDLY POSITIVE IMPACT ON SOUTH SIDE COMMUNITIES IN 2023.THROUGH THE RAPID CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, 19 SOUTH SIDE COMMUNITY GROUPS RECEIVED $150,000 TO STRENGTHEN THEIR GRASSROOTS WORK SUPPORTING YOUTH AND KEEPING THEM SAFE DURING THE SUMMER IN 2023. THE COLLABORATIVE HAS BEEN ABLE TO EXPAND THE COMMUNITY VIOLENCE PREVENTION INITIATIVE BY HIRING TWO STAFF MEMBERS IN 2022. ADDITIONAL FUNDS WERE RECEIVED TO IMPROVE THE DELIVERY OF TRAUMA-INFORMED CARE AND SUPPORT AWARENESS EFFORTS SUCH AS THE STRIDES FOR PEACE, RACE AGAINST GUN VIOLENCE EVENT. SOUTHLAND RISE HOSPITAL PARTNERS HAVE AGAIN RENEWED THEIR COMMITMENT TO FUND THE RAPID-CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, WITH THE ADDED GOAL OF STRENGTHENING COLLABORATION BETWEEN GRANT RECEIVING ORGANIZATIONS. ALSO, A PRIORITY IS CONTINUING TO STRENGTHEN COMMUNITY PARTNERSHIPS, FOSTERING DEEPER COLLABORATION WITH KEY VIOLENCE PREVENTION STAKEHOLDERS, AND ENCOURAGING CONTINUED COLLABORATION BETWEEN THE TWO HOSPITALS THROUGH THE SOUTHLAND RISE STEERING COMMITTEE.ADVOCATE TRAUMA RECOVERY CENTER (TRC). THE TRC IS A HEALTH CARE-BASED VIOLENCE INTERVENTION PROGRAM THAT PROVIDES SOCIAL AND BEHAVIORAL HEALTH SERVICES, INDIVIDUAL AND GROUP THERAPEUTIC SERVICES, AND PSYCHIATRIC CONSULTATION TO SURVIVORS OF INTENTIONAL CRIME AND/OR TRAUMA. THE PURPOSE IS TO AID INDIVIDUALS WHO HAVE EXPERIENCED TRAUMA IN REBUILDING, RESTORING AND STRENGTHENING THEIR SENSE OF SAFETY BY ENDING THE CYCLE OF VIOLENCE. THE TRC PROVIDES ACCESS TO TRAUMA-INFORMED CARE BY ACKNOWLEDGING HOW PAST AND PRESENT TRAUMATIC EXPERIENCES AND STRESS MAY IMPACT THE INDIVIDUALS AND FAMILIES SERVEDRESPONDING TO THE UNIQUE NEEDS OF EACH SURVIVOR AND THEIR FAMILY. THE TRC PROGRAM BEGAN AT ADVOCATE CHRIST MEDICAL CENTER IN 2019. IN LATE 2022, THE TRC PROGRAM EXPANDED ITS SERVICES TO ADVOCATE CONDELL MEDICAL CENTER AND ADVOCATE ILLINOIS MASONIC THROUGH SUPPORT FROM THE ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY. THE TRC SERVICES HAVE EXPANDED FROM COOK COUNTY, WILL COUNTY, KANKAKEE COUNTY AND DUPAGE COUNTY TO ALSO SERVE LAKE COUNTY, KANE COUNTY, KENDALL COUNTY, MCHENRY COUNTY. THE PROGRAM NOW HAS TRAUMA OUTREACH WORKERS THAT ARE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. IN 2023, A TOTAL OF 2,178 PEOPLE WERE SERVED BY THE TRC PROGRAM. THE TOP THREE GROUPS SERVICED, BY RACE AND ETHNICITY, WERE BLACK OR AFRICAN AMERICAN (62.2%), HISPANIC OR LATINO (19.0 %) AND WHITE NON-LATINO OR CAUCASIAN (16.4 %).VIOLENCE REDUCTION. THE TRAUMA RECOVERY CENTER HAS PARTNERED WITH COMMUNITIES PARTNERING 4 PEACE (CP4P) TO BETTER SERVE OUR COMMUNITIES THAT ARE IMPACTED BY GUN VIOLENCE. CP4P IS PART OF METROPOLITAN FAMILY SERVICES; THEY WORK WITH STREET OUTREACH ORGANIZATIONS THAT COVER 28 COMMUNITIES IN THE CHICAGOLAND AREA. TRC TEAMMATES ARE TRAINED BY CP4P TO IDENTIFY HIGH RISK FOR RETALIATION SITUATIONS AND THEN TO PARTNER WITH THE STREET OUTREACH ORGANIZATION IN THE NEIGHBORHOOD IN WHICH THE INCIDENT OCCURRED. STREET OUTREACH WILL WORK WITHIN THE NEIGHBORHOOD TO PREVENT RETALIATION AND PARTNER WITH MEMBERS OF THE TRC TO HELP THE PATIENT IN THEIR HEALING PROCESS AND DO OUR BEST TO ENSURE SAFETY UPON DISCHARGE. PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - TIC TRAINING TRAUMA-INFORMED CARE (TIC) TRAINING. THROUGH STAFF MEETINGS, STUDENT EDUCATION, AND SPECIALIZED TRAINING AS REQUESTED BY ADVOCATE HEALTH TEAMS, THE TRAUMA INFORMED CARE (TIC) MANAGER LOCATED AT AURORA SINAI MEDICAL CENTER IN MILWAUKEE PROVIDED A FUNDAMENTAL OVERVIEW OF TRAUMA-INFORMED CARE TO TEAMMATES IN VARIOUS ROLES ACROSS THE SYSTEM. THE TRAINING PROVIDES AN OVERVIEW OF THE FOUR RS OF TRAUMA-INFORMED CARE (REALIZE, RECOGNIZE, RESPOND, AND RESIST RE-TRAUMATIZATION) AND HISTORICAL TRAUMA AS A FACTOR IMPACTING A PERSON'S LIFETIME WELLNESS. THIS EXPANDED THE WORK WITH INITIATIVES TO ASSURE TEAM MEMBER AND PATIENT SAFETY BY INTEGRATING TRAUMA-INFORMED CARE PRACTICES TAILORED TO SERVICE AREAS AND EXPANDED IMPLEMENTATION OF THE FOUR R'S OF TRAUMA-INFORMED CARE. OUR TIC MANAGER TRAINED 1,395 TEAMMATES ACROSS THE MIDWEST REGION IN 2023. VI. HOUSING: THE IMPACT OF HOUSING ON HEALTH IS WIDELY UNDERSTOOD. ENVIRONMENTAL FACTORS IN HOMES CONTRIBUTES TO RESPIRATORY CONDITIONS LIKE ASTHMA AND LEAD POISONING, WHILE THOSE WHO ARE "COST BURDENED" BECAUSE THEY SPEND MORE THAN 30% OF THEIR HOUSEHOLD INCOME ON HOUSING MAY LACK THE ABILITY TO SPEND MONEY ON OTHER NECESSITIES LIKE FOOD OR PRESCRIPTION MEDICATIONS. HOMELESSNESS IS ALSO CLOSELY CONNECTED WITH MEDICAL CONDITIONS SUCH AS HIV INFECTION, ALCOHOL AND DRUG ABUSE, MENTAL ILLNESS, TUBERCULOSIS, AND OTHER CONDITIONS (CENTER FOR DISEASE CONTROL AND PREVENTION). IT IS FOR THIS REASON THAT ADVOCATE HEALTH HAS FOCUSED ON HELPING NAVIGATE PEOPLE TO SAFE ENVIRONMENTS TO HEAL. SOUTHLAND HOUSING AND HEALTH PARTNERSHIP: SOUTHLAND HOUSING AND HEALTH PARTNERSHIP IS A COLLABORATION BETWEEN ADVOCATE HEALTH CARE AND LOCAL SOCIAL SERVICE AGENCIES COLLABORATING TO PROVIDE MEDICAL CARE, EMERGENCY HOUSING SERVICES, AND SHORT-TERM EMERGENCY ASSISTANCE TO FAMILIES WHO ARE EXPERIENCING HOMELESSNESS IN COOK COUNTY. ADVOCATE CHRIST IN OAK LAWN COORDINATES SERVICES THROUGH A SPECIALIZED COMMUNITY HEALTH WORKER- HOUSING NAVIGATOR THAT IDENTIFIES AND BRIDGES THE NEEDS OF HOMELESS PATIENTS WITH TRUSTED LOCAL SOCIAL SERVICE PARTNERS. MEDICAL RESPITE BEDS SPECIFICALLY DEVELOPED FOR THE HOMELESS AND EMERGENCY ASSISTANCE SERVICES ARE PROVIDED BY BEDS PLUS. RESPOND NOW PROVIDES STREET OUTREACH TO HOMELESS PATIENTS AS COLLABORATIVE PARTNERS. ENHANCED STAFFING AT THE HOSPITAL AND AT SOCIAL SERVICE AGENCIES HELP IMPROVE CARE COORDINATION AND MEET THE NEEDS OF PATIENTS WHO NEED SHELTER IN OUR TARGET POPULATION. THE HOUSING NAVIGATOR IS A NEW ROLE SUPPORTED BY THE HEALTH SYSTEM WHO SERVES AS A DEDICATED COMMUNITY HEALTH WORKER AND A MEMBER OF THE CARE TEAM. THE NAVIGATOR COORDINATES CARE AND SUPPORTS HOMELESS PATIENTS' NEEDS WITHIN THE EMERGENCY ROOM AND HOSPITAL INPATIENT DISCHARGED FROM THE HOSPITAL SYSTEM. IN 2023, THE ADVOCATE HEALTH TEAMS IN COOK COUNTY PLACED 44 INDIVIDUALS AND FAMILIES INTO PERMANENT SUPPORTIVE HOUSING. THE CAROL STREET APARTMENTS. THE ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION AND WHO HAVE NO HOUSING RESOURCES. THE DEPARTMENT MANAGES THE ADVOCATE LUTHERAN CAROL STREET APARTMENTS. LOCATED ON THE HOSPITAL'S CAMPUS, THESE APARTMENTS ARE AVAILABLE FOR RENT ON A DAILY, WEEKLY OR MONTHLY BASIS. THE APARTMENTS ARE USED BY PATIENTS THAT ARE ACTIVELY GETTING SERVICES ON CAMPUS, I.E., CHEMOTHERAPY, RADIATION, ETC., AND ARE ALSO AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR THE HOSPITAL. FINANCIAL ASSISTANCE IS GRANTED TO PATIENTS AND FAMILIES THAT DEMONSTRATE FINANCIAL HARDSHIP. IN 2023, THE PROGRAM SERVED 12 INDIVIDUALS. VII. FOOD SECURITY: OVER 15 MILLION HOUSEHOLDS IN THE U.S., FACE SOME LEVEL OF FOOD INSECURITY. THIS STATISTIC HITS CLOSE TO HOME FOR MANY OF THE COMMUNITIES THAT ADVOCATE HEALTH SERVES. FOOD SECURITY AND ACCESS TO FRESH MEAT AND PRODUCE HAS BEEN IDENTIFIED AS ONE OF THE PRIMARY SOCIAL DRIVERS OF HEALTH AFFECTING HEALTH OUTCOMES. FOOD DESSERTS IN PARTS OF ADVOCATE HEALTH'S SERVICE AREA CREATE BARRIERS FOR PEOPLE TO ACCESS HEALTHY FOOD. ADVOCATE HEALTH TEAMS CONTINUED FOOD DISTRIBUTION PLANS TO ADDRESS FOOD INSECURITY BY COLLABORATING WITH COMMUNITY SERVICE GROUPS AND FAITH PARTNERS. EXAMPLES OF VARIOUS PROGRAMS USED TO DISTRIBUTE THE FOOD INCLUDE POP-UP FARMERS MARKETS, FOOD FARMACY, HOSPITAL BASED FOOD PANTRIES AND COMMUNITY FOOD DISTRIBUTIONS. BELOW ARE SOME EXAMPLES OF THE PROGRAMS THAT TOOK PLACE IN 2023:RX MOBILE PANTRY. IN 2019, ADVOCATE CONDELL LAUNCHED THE RX MOBILE FOOD PANTRY TO SERVE FOOD INSECURE (FI) RESIDENTS OF THE ROUND LAKE AREA. THE PROGRAM GREW FROM THE MEDICAL CENTER'S COMMUNITY HEALTH EFFORTS IN SCREENING AND REFERRAL FOR FOOD INSECURITY. IN DECEMBER OF 2021, ADVOCATE CONDELL'S RX MOBILE FOOD PANTRY PROGRAM TRANSITIONED INTO AN RX MARKET, WHICH WILL BE MANAGED BY CATHOLIC CHARITIES. THE PERMANENT LOCATION WILL CONTINUE ADDRESSING THE NEEDS OF THE COMMUNITY WHILE OFFERING THE SAME VARIETY OF HEALTHY FOODS DURING SEVERAL DAYS AND AT VARIOUS HOURS OF EACH WEEK. THE PROGRAM EVOLVED INTO A SUSTAINABLE MODEL THAT HAS SIGNIFICANTLY INCREASED ACCESS TO HEALTHY FOODS IN THAT AREA. IN 2022, ADVOCATE CONDELL LAUNCHED A SECOND RX MOBILE PROGRAM IN LAKE COUNTY, FOCUSING ON LAKE VILLA. IN 2023, THE PROGRAM DISTRIBUTED OVER 116,000 POUNDS OF HEALTHY FOOD INCLUDING FRESH PRODUCE TO, 3,133 FAMILIES AND 10,179 HOUSEHOLD MEMBERS IN LAKE VILLA. THE RX MOBILE PANTRY PROGRAM HAS REACHED 5,657 FAMILIES AND 18,657 COMMUNITY RESIDENCE SINCE ITS INCEPTION. HOSPITAL-BASED FOOD PANTRY PROGRAMS IN CENTRAL CHICAGOLAND. ADVOCATE ILLINOIS MASONIC MEDICAL CENTER HOSPITAL-BASED FOOD PANTRY PROGRAM SCREENS PATIENTS FOR FOOD INSECURITY. PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY ARE ELIGIBLE FOR A NON-PERISHABLE FOOD BAG AND FRESH PRODUCE BOX ONCE A MONTH. IN ADDITION, THE MEDICAL CENTER IMPLEMENTS POP UP FARMERS MARKETS IN LOW-INCOME AND VULNERABLE COMMUNITIES WITH HIGH FOOD INSECURITY RATES. IN 2023, THE PROGRAM SERVED 58 PATIENTS AND DISTRIBUTED AN ESTIMATED 870 POUNDS OF FOOD. . SIMILARLY, ADVOCATE LUTHERAN GENERAL HOSPITAL HAS AN ESTABLISHED HOSPITAL-BASED PANTRY PROGRAM THAT SERVED 125 PATIENTS IN 2023 AND DISTRIBUTED 456 FRESH PRODUCE BOXES TO 30-35 SENIOR PARTICIPANTS AT FRISBEE SENIOR CENTER IN DESPLAINES AND SKOKIE SCHOOL DISTRICT 69 FOOD INSECURE FAMILIES. ADVOCATE GOOD SAMARITAN HOSPITAL SERVED 575 FAMILIES, 2,300 TOTAL HOUSEHOLD MEMBERS WERE SERVED AND OVER 24,000 POUNDS OF HEALTHY FOOD WAS PROVIDED TO THE COMMUNITY. THE CENTRAL CHICAGOLAND HOSPITAL-BASED PANTRY PROGRAM CONTINUES TO GROW AND WILL CONTINUE TO EVOLVE TO ADDRESS THE GROWING NEEDS OF THE COMMUNITY AND THE PATIENTS. HEALTHY LIVING FOOD FARMACY. ADVOCATE LAUNCHED AN INNOVATIVE PILOT PROGRAMHEALTHY LIVING FOOD FARMACYAT ADVOCATE TRINITY HOSPITAL IN 2018 TO MAKE A POSITIVE IMPACT ON PATIENTS FACING SOCIO-ECONOMIC BARRIERS TO BETTER HEALTH. THE PROGRAM HAS SINCE EXPANDED ACROSS THE SOUTH CHICAGOLAND PSA (ADVOCATE CHRIST, TRINITY AND SOUTH SUBURBAN). PATIENTS ARE INVITED TO ATTEND THE BI-MONTHLY EVENTS FOR A FREE DOSE OF HEALTHY FOODMAKING THEIR SELECTIONS FROM TABLES OF ASSORTED FRESH PRODUCE AND LOW-SODIUM, SHELF-STABLE PROTEINS. THE PROGRAM IS FOCUSED ON IMPACTING THE HEALTH OF THE COMMUNITY BY PROVIDING ACCESS TO HEALTHY FOOD OPTIONS FOR FOOD INSECURE AND METABOLIC PATIENTS. THE HEALTHY LIVING FOOD FARMACY IS SUPPORTED BY A PARTNERSHIP WITH THE GREATER CHICAGO FOOD DEPOSITORY, ADVOCATE SOUTH REGION LEADERSHIP, VOLUNTEERS AND COMMUNITY HEALTH DEPARTMENT. IN 2023, 4,856 PATIENTS WERE SERVED A TOTAL OF 136,781 POUNDS OF FRESH PRODUCE. DECEMBER OF 2023, THE FOOD FARMACY EXPANDED ITS SERVICES TO ADVOCATE CHRIST HOSPITAL IN COLLABORATION WITH JAB PRODUCE AND THE GREATER CHICAGO FOOD DEPOSITORY. THE PROGRAM HAS BEEN FEATURED IN NUMEROUS MEDIA OUTLETS, HIGHLIGHTING ITS MOMENTOUS IMPACT IN THE COMMUNITY BY NBC CHICAGO: 'FOOD FARMACY' OPENS INSIDE ADVOCATE CHRIST MEDICAL CENTER NBC CHICAGOSHERMAN NATURAL PRAIRIE AND COMMUNITY GARDEN (SNPCG). ADVOCATE SHERMAN HOSPITAL IS ADDRESSING FOOD INSECURITY BY DONATING PRODUCE HARVESTED FROM THE MASTER GARDENERS (COLLABORATION WITH UNIVERSITY OF ILLINOIS EXTENSION OFFICE) AND EXCESS PRODUCE FROM COMMUNITY GARDEN BEDS THROUGH THE ON-CAMPUS COMMUNITY GARDEN. IN 2023, 335 POUNDS OF PRODUCE WAS HARVESTED AND DONATED TO THE ELGIN COMMUNITY COLLEGE SPARTAN STUDENT FOOD PANTRY AND FOOD FOR GREAT ELGIN FOOD PANTRY. PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - VIII VIII. ADDRESSING SOCIAL DRIVERS OF HEALTH WITH COMMUNITY PARTNERSTO SUPPORT THE ADVOCATE HOSPITALS IN CONDUCTING CHNA'S, ADVOCATE PURCHASED ACCESS TO METOPIO, A CHNA DATA TOOL. METOPIO IS A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. METOPIO'S TOOLS AND VISUALIZATIONS USE DATA TO REVEAL VALUABLE, INTERCONNECTED FACTORS THAT INFLUENCE HEALTH OUTCOMES IN DIFFERENT LOCATIONS. METOPIO OFFERS A DATA, TAILORED TO SUPPORT ALL ADVOCATE HEALTH CARE HOSPITALS WITH IDENTIFYING HEALTH INEQUITIES IN COMMUNITIES. METOPIO USES THE MOST CURRENT DATA SOURCES AND CREATES TOOLS AND INDICES THAT FOCUS ON THE COMMUNITIES WITHIN THE AHC SERVICES AREAS. THE DATA CAN BE USED TO FOCUS ON SPECIFIC REGIONS, COMMUNITIES, AND HOSPITAL SERVICES AREAS. BELOW IS A DESCRIPTION OF TWO IMPORTANT INDICES FOUND IN METOPIO. HARDSHIP INDEX DESCRIPTION. THE HARDSHIP INDEX WAS ORIGINALLY DEVELOPED BY RICHARD P. NATHAN AND CHARLES F. ADAMS, JR. IN 1976 TO COMPARE SOCIOECONOMIC CONDITIONS BETWEEN COMMUNITIES. IT IS HIGHLY CORRELATED WITH OTHER MEASURES OF ECONOMIC HARDSHIP, SUCH AS LABOR FORCE STATISTICS, AND WITH POOR HEALTH OUTCOMES. THE INDEX COMBINES THE FOLLOWING TOPICS INTO A SINGLE COMPOSITE VALUE ON A SCALE OF 0-100: CROWDED HOUSING (MORE THAN ONE PERSON PER ROOM) POVERTY RATE FOR HOUSEHOLDS UNEMPLOYMENT RATE ADULTS WITH A HIGH SCHOOL DEGREE OR EQUIVALENT AGE DEPENDENCY RATIO (% OF RESIDENTS WHO ARE <18 OR >65 YEARS OLD, COMPARED TO THOSE OF WORKING AGE) PER-CAPITA INCOME HIGHER VALUES INDICATE GREATER HARDSHIP AND CORRELATE HIGHER WITH POOR HEALTH OUTCOMES. THE INDEX DOES NOT PRESERVE THE RATIO BETWEEN TWO PLACES, SO IF ONE PLACE HAS TWICE THE HARDSHIP INDEX OF ANOTHER, WE CANNOT SAY THAT IT EXPERIENCES "TWICE AS MUCH HARDSHIP" AS ANOTHER PLACE. INSTEAD, COMPARE DIFFERENT PLACES USING THE CONSTITUENT TOPICS. SOCIAL VULNERABILITY INDEX. THE SOCIAL VULNERABILITY INDEX (SVI) WAS DEVELOPED BY THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) TO HELP PUBLIC HEALTH OFFICIALS AND EMERGENCY RESPONSE PLANNERS IDENTIFY AND MAP THE COMMUNITIES THAT WILL MOST LIKELY NEED SUPPORT BEFORE, DURING, AND AFTER A HAZARDOUS EVENT, SUCH AS A NATURAL DISASTER, DISEASE OUTBREAK, OR CHEMICAL SPILL. SVI INDICATES RELATIVE VULNERABILITY BY RANKING PLACES ON 15 SOCIAL FACTORS THAT CAN BE DIVIDED INTO 4 CATEGORIES: SOCIOECONOMIC HOUSEHOLD COMPOSITION & DISABILITY MINORITY STATUS & LANGUAGE HOUSING TYPE & TRANSPORTATION THE ORIGINAL SCORE IS ON A SCALE FROM 0-1, BUT IT IS MULTIPLIED BY 100 FOR READABILITY ON METOPIO. A HIGHER SCORE REPRESENTS A COMMUNITY MORE VULNERABLE TO A HAZARDOUS EVENT. HEALTH CARE ANCHOR NETWORK (HAN). AHC IS A FOUNDING MEMBER OF THE HEALTHCARE ANCHOR NETWORK WHICH HAS EXPANDED TO INCLUDE 70 OTHER AREA HEALTH SYSTEM AND HOSPITAL PARTNERS. AHC HAS SIGNIFICANT ECONOMIC AND HUMAN RESOURCES ACROSS ITS SERVICE AREA AS THE LARGEST EMPLOYER IN THE MILWAUKEE AREA AND THE FOURTH LARGEST IN CHICAGO. TO LEVERAGE THESE RESOURCES, IN 2019, AHC ANNOUNCED A COMMITMENT TO INVEST $50 MILLION TO HELP ADDRESS THE ECONOMIC, RACIAL, AND ENVIRONMENTAL DISPARITIES THAT IMPACT COMMUNITY HEALTH OUTCOMES AND DECREASE HEALTH INEQUITY. ADDITIONALLY, AHC COMMITTED TO DRIVING COMMUNITY HEALTH AND WELL-BEING THROUGH ITS INCLUSIVE, LOCAL HIRING AND LOCAL PURCHASING STRATEGIES AND INITIATIVES.ADVOCATE, IN ALIGNMENT WITH HAN STRATEGY, HAS LAUNCHED TWO SIGNIFICANT INITIATIVES TO ADDRESS HEALTH EQUITY IN THE COMMUNITIES IT SERVES. ADVOCATE HEALTH $50M INVESTMENT PLEDGE. ADVOCATE HEALTH IS AMONG THE FIRST HEALTH SYSTEMS IN THE COUNTRY TO MAKE A SIGNIFICANT COMMITMENT TO INVESTING IN TARGETED COMMUNITY DEVELOPMENT. THE ANCHOR STRATEGY INVESTMENTS ARE TARGETED TO ENHANCE CRITICAL SERVICES SUCH AS AFFORDABLE OR SUPPORTIVE HOUSING AND FOOD ACCESS IN COMMUNITIES THAT LEAD TO IMPROVED HEALTH AND DEMONSTRATED DOWNSTREAM BENEFITS TO OUR PATIENTS AND THE COMMUNITY. INITIALLY, THE INVESTMENT WORK WAS DONE IN PARTNERSHIP WITH COMMUNITY DEVELOPMENT FINANCING INSTITUTIONS (CDFIS) TO FUND PROJECTS. ALTHOUGH NOT A PROFIT MAXIMIZING ACTIVITY, THIS INVESTMENT COMMITMENT WILL RESULT IN A RETURN OF THE PRINCIPAL TO THE ORGANIZATION WITH INTEREST TO ENSURE A SUSTAINABLE INVESTMENT CAPACITY FOR REINVESTMENT OVER TIME. A COMMUNITY INVESTMENT STRATEGY TEAM WAS FORMED TO PLAN AND GUIDE THE WORKCONSISTING OF FINANCE AND TREASURY, COMMUNITY HEALTH AND OPERATIONS TEAMS TO DEVELOP THE SCOPE AND PROCESS. THE TEAM IS RESPONSIBLE FOR DEPLOYING $50 MILLION IN LOANS TO CDFIS ACROSS OUR FOOTPRINT BY THE END OF 2025. TO DATE, THE TEAM HAS COMPLETED FIVE CONTRACTS WITH LOCAL CDFIS (REPRESENTING 77% OF OUR 2025 GOAL) TO DRIVE DEVELOPMENT OF AFFORDABLE HOUSING, FOOD PANTRY SPACE, FEDERALLY QUALIFIED HEALTH CENTER (FQHC) EXPANSION AND BUSINESS LOANS TO MINORITY AND WOMEN OWNED SMALL BUSINESSES IN VULNERABLE NEIGHBORHOODS: $25M WITH LOCAL INITIATIVE SUPPORT CORPORATION (LISC) $5M WITH IFF$5M WITH GENERATION GROWTH CAPITAL FUND IV$2.5M WITH CHICAGO COMMUNITY LOAN FUND (CCLF) $1M WITH WISCONSIN WOMEN'S BUSINESS INITIATIVE CORPORATION (WWBIC) ADVOCATE HEALTH PURCHASING COMMITMENT. THE COMMITMENT, DESIGNED BY THE HEALTHCARE ANCHOR NETWORK (HAN) IN PARTNERSHIP WITH HEALTH CARE WITHOUT HARM AND PRACTICE GREENHEALTH, IS FOCUSED ON INCREASING SPENDING WITH MINORITY AND WOMEN OWNED BUSINESS ENTERPRISES (MWBES) AS WELL VETERAN BUSINESS ENTERPRISES, LOCAL AND EMPLOYEE-OWNED, COOPERATIVELY OWNED AND/OR NONPROFIT-OWNED ENTERPRISES. THE GROUP PLANS TO INCREASE SPENDING WITH MWBES BY AT LEAST $1 BILLION OVER A FIVE-YEAR PERIOD.THROUGHOUT UNPRECEDENTED TIMES WITH SUPPLY CHAIN CHALLENGES, SECURING CONSISTENT AND RELIABLE SUPPLIERS YIELDED A UNIVERSAL CHALLENGE. CONTINUING TO WORK THROUGH THE IMPACTS FROM THE PANDEMIC, WE ARE DILIGENT IN STRATEGIES AND PROGRAMS THAT INCORPORATE LOCAL AND DIVERSE BUSINESSES. WE HAVE INCREASED OUR SUPPLIERS WHO REPORT TIER 2 SPEND AND WORK TO ADD MORE. OUR TARGETS WERE EXCEEDED BY ACHIEVING 6.6% AND 30% IN DIVERSE SPEND IN NON-CONSTRUCTION AND CONSTRUCTION RESPECTIVELY. AS WE INTEGRATE AS A LARGER ORGANIZATION, WE EXPECT TO SCALE OUR EFFORTS AND PROGRAMS TO CONTINUE TO IMPACT THE COMMUNITIES WE SERVE. THERE ARE SEVERAL ADDITIONAL EXAMPLES OF EFFORTS TO STRENGTHEN CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES THAT IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE.ENVIRONMENTAL LEADERSHIP. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROWALL THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREENHOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS ADVOCATE WORKS TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACTS OF HEALTH CARE, ITS ENVIRONMENTAL STEWARDSHIP PRACTICES EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY RELATED DISEASE BURDEN) AND HELP SAVE RESOURCES FOR FUTURE GENERATIONS. LEADING ON ENVIRONMENTAL SUSTAINABILITY IS ONE OF ADVOCATE HEALTH'S 6 CORE PLEDGES. IN 2023, WE LAUNCHED THE ENVIRONMENTAL SUSTAINABILITY EXECUTIVE COUNCIL TO GUIDE OUR WORK, AND THE ENVIRONMENTAL ACTION COUNCIL, TO OPERATIONALIZE OUR SUSTAINABILITY COMMITMENTS TOWARDS HEALTHIER AND MORE CLIMATE RESILIENT COMMUNITIES. THE U.S. HEALTHCARE SECTOR IS RESPONSIBLE FOR APPROXIMATELY 8.5% OF ALL GREENHOUSE GAS EMISSIONS. ADVOCATE HEALTH PROVIDES NATIONAL LEADERSHIP WITHIN SUSTAINABLE HEALTH CARE. THROUGH OUR MEMBERSHIP AND PARTICIPATION IN SEVERAL SUSTAINABILITY LEADERSHIP COUNCILS AND GROUPS, WE ARE COLLABORATIVELY ADDRESSING MULTIPLE SUSTAINABILITY ISSUES, INCLUDING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHINGS AND MEDICAL PRODUCTS, CLIMATE RESILIENCY, CLINICAL PLASTICS RECYCLING, AND ENVIRONMENTALLY PREFERABLE AND LOCAL PURCHASING. OUR LEADERSHIP IS SPURRING THE MOVEMENT TOWARD HEALTHIER AND MORE SUSTAINABLE PRACTICES THROUGHOUT THE HEALTH CARE SECTOR AND IN THE WIDER MARKETPLACE. THESE PARTNERSHIPS INCLUDE:O HEALTHCARE ANCHOR NETWORK AND THE IMPACT PURCHASING COMMITMENT O HEALTH CARE CLIMATE COUNCILO HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARDO PRACTICE GREENHEALTH O SUSTAINABLE LEADERSHIP PURCHASING COUNCIL COLLABORATIVE FOR HEALTHCARE ACTION TO REDUCE MEDTECH EMISSIONS (CHARME)O CERES POLICY NETWORK PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - NATIONAL RECOGNITION NATIONAL RECOGNITION. ADVOCATE IS CONSISTENTLY RECOGNIZED FOR ITS COMMITMENT AND ACHIEVEMENTS IN SUSTAINABLE HEALTH CARE. ADVOCATE HEALTH WAS RECOGNIZED AS A NATIONAL LEADER IN ENVIRONMENTAL SUSTAINABILITY BY PRACTICE GREENHEALTH , WINNING "SYSTEM FOR CHANGE AWARD," WHICH WAS EARNED BY ONLY 9 HEALTH SYSTEMS NATIONWIDE IN 2023-- REFLECTING THE ENTERPRISE-LEVEL COMMITMENT TO DEEPLY EMBEDDING SUSTAINABILITY WITHIN OUR OPERATIONS. IN ADDITION TO THE SYSTEM-LEVEL AWARD, ADVOCATE CHRIST MEDICAL CENTER ALSO WON A TOP 25 AWARD AND SEVERAL HOSPITALS WON CIRCLES OF EXCELLENCE (TOP 10 FOR SPECIFIC IMPACT AREAS). ALL ADVOCATE ILLINOIS HOSPITALS PLACED WITHIN THE TOP 20% OF SUSTAINABILITY PERFORMERS NATIONWIDE SEE BELOW FOR BREAKDOWN:TOP 25 ENVIRONMENTAL EXCELLENCE AWARD- TOP 25 HOSPITALS IN THE NATION FOR SUSTAINABILITY: ADVOCATE CHRIST MEDICAL CENTER, OAK LAWN, ILLINOIS"CIRCLE OF EXCELLENCE" AWARDS/TOP 10 PERFORMERS IN THEIR CATEGORY: ADVOCATE CHRIST MEDICAL CENTER AND ADVOCATE CHILDREN'S HOSPITAL: LEADERSHIP AND WASTEADVOCATE ILLINOIS MASONIC MEDICAL CENTER, CHICAGO, ILLINOIS: ENERGY"EMERALD AWARD" TOP 20% OF SUSTAINABILITY PROGRAMS NATIONWIDE: ADVOCATE CONDELL MEDICAL CENTER, LIBERTYVILLE, ILLINOIS ADVOCATE GOOD SAMARITAN HOSPITAL, DOWNERS GROVE, ILLINOIS ADVOCATE GOOD SHEPHERD HOSPITAL, BARRINGTON, ILLINOIS ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, CHICAGO, ILLINOIS ADVOCATE LUTHERAN GENERAL HOSPITAL & ADVOCATE CHILDREN'S HOSPITAL, PARK RIDGE, ILLINOIS ADVOCATE SHERMAN HOSPITAL, ELGIN, ILLINOIS ADVOCATE SOUTH SUBURBAN HOSPITAL, HAZEL CREST, ILLINOIS ADVOCATE TRINITY HOSPITAL, CHICAGO, ILLINOIS SEVERAL OF OUR IL HOSPITALS ARE ENERGY STAR (ESTAR) CERTIFIED, WHICH MEANS THEY ARE IN THE TOP 25% OF ENERGY PERFORMERS NATIONWIDE, WHICH HELPS TO SIGNIFICANTLY LOWER OUR CONTRIBUTION TO AIR POLLUTION AND CLIMATE CHANGE, PLEASE SEE A LIST BELOW FOR ESTAR CERTIFIED HOSPITALS: ADVOCATE CHRIST MEDICAL CENTER, OAK LAWN, ILLINOIS ADVOCATE GOOD SAMARITAN HOSPITAL, DOWNERS GROVE, ILLINOIS ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, CHICAGO, ILLINOISCLIMATE RESILIENCE & EDUCATION. ADVOCATE HEALTH IS COMMITTED TO CREATING AND IMPLEMENTING A CLIMATE RESILIENCE PLAN THAT CENTERS OUR MOST VULNERABLE POPULATIONS, EQUIPS OUR CLINICIANS TO RECOGNIZE AND ASSIST CLIMATE SENSITIVE COMMUNITY MEMBERS, AND INNOVATES ADAPTATION AND MITIGATION STRATEGIES TO ENSURE CONTINUOUS OPERATION IN THE FACE OF CLIMATE SHOCKS. IN SEPTEMBER 2023, ADVOCATE HEALTH CO-DEVELOPED AND CO-HOSTED A CLIMATE RESILIENCE WORKSHOP AT THE UNIVERSITY OF ILLINOIS-CHICAGO THAT BROUGHT TOGETHER COMMUNITY MEMBERS CLINICIANS, HEALTHCARE SYSTEMS, GOVERNMENTAL AGENCIES, ACADEMICS, AND COMMUNITY-BASED ORGANIZATIONS TO DISCUSS THE OPPORTUNITIES, SUCCESSES, AND CHALLENGES PERTAINING TO CLIMATE CHANGE, RESILIENCE, AND HEALTH EQUITY. THE WORKSHOP WAS ATTENDED BY COMMUNITY MEMBERS REPRESENTING OVER 30 LOCAL, STATE, AND FEDERAL ORGANIZATIONS AND INCLUDED BREAK-OUT SESSIONS FOCUSING ON AIR QUALITY, CLINICAL CARE, EXTREME WEATHER, FOOD SYSTEMS, TRANSPORTATION, AND OTHER CRITICAL AREAS OF COMMUNITY CLIMATE RESILIENCE. SUSTAINABLE BUILDINGS AND OPERATIONS. SUSTAINABILITY, SAFETY, AND EFFICIENCY ARE CORE ELEMENTS OF ADVOCATE BUILDING AND OPERATIONS PROGRAMS. ADVOCATE HEALTH IN ILLINOIS AND WISCONSIN PURSUES LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION FOR ALL NEW MAJOR BUILDINGS AND THE HEALTHY SPACES ROADMAP CERTIFICATION FOR ALL OTHER APPLICABLE CONSTRUCTION PROJECTS TO ENSURE SUSTAINABILITY IN ALL ITS RENOVATIONS AND PROJECTS. THE HEALTHY SPACE ROADMAP IS AN INTERNAL SELF-DEVELOPED CHECKLIST BASED ON LEED AND SEVERAL OTHER LEADING SUSTAINABILITY CERTIFICATIONS PROGRAMS FOR PROJECTS NOT SUITED FOR LEED CERTIFICATION. TO DATE, ADVOCATE HEALTH IN ILLINOIS HAS COMPLETED SIX MAJOR PROJECTS THAT HAVE RECEIVED LEED SILVER OR GOLD CERTIFICATION. ADVOCATE HEALTH HAS COMMITTED TO REDUCING OUR SCOPE 1 & 2 CARBON EMISSIONS BY 50% BY 2030 AND TO ACHIEVE CARBON NEUTRALITY BY 2030. AS WE WORK TOWARDS FULFILLING THE WHITE HOUSE/HEALTH AND HUMAN SERVICES CLIMATE PLEDGE, IN 2023, WE COMPLETED OUR ENTERPRISE-WIDE GREENHOUSE OUR FIRST SYSTEM GREENHOUSE GAS INVENTORY FOR ALL SITES ACROSS ILLINOIS, WISCONSIN, NORTH CAROLINA, GEORGIA, ALABAMA, AND SOUTH CAROLINA AVAILABLE TO VIEW HERE.WE HAVE TAKEN ADDITIONAL MEASURES TO ADDRESS OUR CARBON FOOTPRINT INCLUDING:IN 2023, ADVOCATE HEALTH ACROSS ILLINOIS AND WISCONSIN PURCHASED OVER 12,200 MWH OF RENEWABLE ENERGY, AVOIDING OVER 5,400 MTCO2E = 704 HOMES' ENERGY USE FOR ONE YEAR. ADDITIONALLY, WE HAVE INSTALLED OVER 1,000 MWH OF ONSITE SOLAR IN OUR EFFORTS TO DECARBONIZE AND REDUCE POLLUTION FROM FOSSIL FUELS.O IN ILLINOIS WE HAVE A LARGE GROUND MOUNT 1,400 PANEL SOLAR ARRAY AT SOUTH SUBURBAN HOSPITAL AND FIVE ROOFTOP SOLAR ARRAY PROJECTS CURRENTLY UNDER CONTRACT AT SEVERAL OF OUR AMBULATORY BUILDINGS. OUR MW HOSPITALS HAVE REDUCED WEATHER NORMALIZED EUI/ENERGY USE INTENSITY BY 1.6% =1,544 HOMES ELECTRICITY USE FOR A YEAR. O ILLINOIS HOSPITALS HAVE REDUCED THEIR WEATHER NORMALIZED EUI BY 1.2%ADVOCATE'S SUSTAINABLE OPERATIONS INCLUDE WASTE MINIMIZATION AND RECYCLING, REDUCING CHEMICALS IN FURNITURE AND CLEANING PRODUCTS, PURCHASING MEAT RAISED WITHOUT ANTIBIOTICS, AND OTHER ECO-FRIENDLY PRODUCTS, ALL OF WHICH HAVE COMMUNITY HEALTH IMPACTS IN THEIR LIFE CYCLE. PROJECTS INCLUDE:ADVOCATE IS A MEDICAL EQUIPMENT AND SUPPLY DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. IN 2023, ADVOCATE DONATED 71 TONS OF MEDICAL SUPPLIES AND EQUIPMENT TO PROJECT C.U.R.E.AS AN ENTERPRISE, ADVOCATE HEALTH HAS NEARLY ELIMINATED THE POTENT ANESTHETIC GAS, DESFLURANE, AND HAS REDUCED GHG EMISSIONS FROM VOLATILE ANESTHETIC AGENTS EQUIVALENT OF TAKING 224 CARS OFF THE ROAD A YEAR. 99% OF FURNITURE/FURNISHING PURCHASES IN ILLINOIS ARE FREE OF 5 PRIORITY CHEMICALS OF CONCERN THAT THREATEN HUMAN HEALTH AND THE INITIATIVE IS BEING EXPANDED TO THE REST OF THE ENTERPRISE IN 2024.OVER $1 MILLION OF ADVOCATE'S MEAT PURCHASES IN ILLINOIS SUPPORTED PRODUCERS WHO RAISE THEIR ANIMALS WITHOUT THE USE OF ANTIBIOTICS (32% OF TOTAL) LOWERING OUR CONTRIBUTION TO ANTIBIOTIC RESISTANCE. IN 2023, IL HOSPITALS DIVERTED 3,847 TONS OF MATERIALS FOR RECYCLING, EQUIVALENT TO THE WEIGHT OF 769 ADULT ELEPHANTS. RECYCLED 86%, OR 1,800 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS IN ILLINOIS CONSTRUCTION PROJECTS.TEAMMATE ENGAGEMENT. ADVOCATE FOSTERS TEAMMATE ENGAGEMENT THROUGH OUR ENTERPRISE GREEN ADVOCATE AND GREEN CHAMPION PROGRAMS. THE ENVIRONMENTAL SUSTAINABILITY TEAM PROVIDES TWO PATHWAYS TOWARDS TEAMMATE INVOLVEMENT IN BOTH ENTERPRISE AND REGIONAL ENVIRONMENTAL SUSTAINABILITY EFFORTS. THESE ROLES PROVIDE TEAMMATES WITH A LEVEL OF ENGAGEMENT AND PARTICIPATION THAT CAN BE TAILORED BASED ON THEIR TIME AND INTEREST. OUR TEAMMATES ARE INSTRUMENTAL IN HELPING TO CHANGE CULTURE, INFUSE SUSTAINABILITY INTO OUR BUSINESS AND CLINICAL WORKFLOWS, AND TO ACTIVATE AT THE SITE AND DEPARTMENT LEVELS TO ADVANCE SUSTAINABILITY ENTERPRISE-WIDE. IT IS IMPORTANT TO HIGHLIGHT THAT WE ACCOMPLISHED MUCH, BUT DECARBONIZATION IS A MUCH LARGER ISSUE THAN ANY ONE ENTITY CAN SOLVE ON ITS OWN. WE HAVE A LONG HISTORY OF ENVIRONMENTAL AND CLIMATE ADVOCACY BECAUSE WE UNDERSTAND THROUGH POLICY AND LEGISLATIVE CHANGES, WE ARE OPENING DOORS AND SUPPORTING IMPACTFUL WORK. BELOW ARE SOME HIGHLIGHTS FROM 2023: ADVOCATE TEAMMATES PARTICIPATED IN THE HEALTHCARE CLIMATE COUNCIL ADVOCACY DAYS TO ADVOCATE FOR FEDERAL CLIMATE-SMART HEALTH CARE POLICIES. TO PROTECT PERSONAL HEALTH, WE MUST ALSO PROTECT ENVIRONMENTAL HEALTH. BY 2030, WE WILL ACHIEVE CARBON NEUTRALITY AND STRIVE FOR NET ZERO CARBON BY 2035. ADVOCATE HEALTH SIGNED THE WHITE HOUSE/U.S. DEPARTMENT HEALTH & HUMAN SERVICES NET ZERO PLEDGE: REDUCE SCOPE 1-2 GHG EMISSIONS 50% BY 2030. DEVELOP & IMPLEMENT A CLIMATE RESILIENCE & ADAPTATION PLAN. NET ZERO BY 2050 = OFFSETTING AND REMOVING ALL GHG EMISSIONS. PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - COMMUNITY ENGAGEMENT COMMUNITY ENGAGEMENT/COLLABORATIVE ASSESSMENTSADVOCATE WORKS TO LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS. ONE OF THE PRIMARY VALUES OF ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. TO ALIGN INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES, ALL ADVOCATE HOSPITALS COLLABORATE WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE CHNA AND HEALTH IMPROVEMENT (IMPLEMENTATION) PLAN CYCLES. ONE SUCH NOTABLE COLLABORATION FOR ADVOCATE'S 2017-2019 CHNA CYCLE AS WELL AS ITS PREVIOUS CYCLE IS PROVIDED BELOW. THE ALLIANCE FOR HEALTH EQUITY. ADVOCATE HEALTH CARE, AMITA HEALTH AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDING ORGANIZATIONS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). THESE ORGANIZATIONS INVITED HEALTH DEPARTMENTS AND ALL COOK COUNTY NONPROFIT HOSPITALS TO JOIN THEM IN CREATING WHAT IS NOW ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COLLABORATIVES IN THE COUNTRY. THE INITIAL PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING PARTNERSHIPS AND STRATEGIC ALIGNMENT OF IMPLEMENTATION PLANS TO FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT. IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE). IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING WORK. IN 2019, THE ALLIANCE GREW TO INCLUDE 37 NONPROFIT AND PUBLIC HOSPITALS, SIX LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS. IN 2022, THE ALLIANCE COMPLETED A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR CHICAGO AND SUBURBAN COOK COUNTY. THE REPORT BUILDS ON THE PREVIOUS ASSESSMENTS AND ALLOWS PARTNERS TO IDENTIFY STRATEGIC PRIORITIES THAT THEY CAN COLLECTIVELY ADDRESS TO IMPROVE COMMUNITY HEALTH. A COPY OF THE REPORT AND THE APPENDICES CAN BE FOUND AT THIS LINK 2022 CHNA REPORT - ALLIANCE FOR HEALTH EQUITY (ALLHEALTHEQUITY.ORG)PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. FOR THE 2022 CHNA, THE ALLIANCE FOR HEALTH EQUITY BUILT ON THE PREVIOUS COLLABORATIVE CHNA WORK (2019). ADVOCATE CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE HOSPITALS, AS WELL AS THE OTHER MEMBER HOSPITALS, PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. ADDITIONALLY, ADVOCATE HAS BEEN INVOLVED IN LEADING THIS ASSESSMENT WORK AS AN ACTIVE MEMBER OF THE STEERING COMMITTEE, PROVIDING FINANCIAL SUPPORT TO THE ALLIANCE EACH YEAR.THE PRIORITY AREAS SELECTED BY THE ALLIANCE INCLUDE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, CHRONIC HEALTH CONDITIONS, INJURY INCLUDING VIOLENCE, AND MATERNAL/FETAL HEALTH. ALL PARTICIPATING HOSPITALS SELECTED SOME OF THE PRIORITIES TO ADDRESS IN THE AREAS SERVED. THERE ARE MULTIPLE WORK GROUPS ADDRESSING THE PRIORITY AREAS AND ADVOCATE STAFF SERVE ON MOST OF THE WORK GROUPS.2022 COLLABORATIVE ASSESSMENT AND HEALTH IMPROVEMENT PLAN PARTNERSAS PREVIOUSLY MENTIONED, ADVOCATE HOSPITALS LEVERAGE LOCAL PARTNERSHIPS AS A STRONG COMPONENT OF ALL COMMUNITY HEALTH INITIATIVES. THE FOLLOWING HOSPITALS HAVE PARTNERED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLANNING FOR THE 2022 CHNA. BELOW WERE INSTRUMENTAL IN THE DATA ANALYSIS, BOTH QUALITATIVE AND QUANTITATIVE, AND THEY WERE ALSO INVOLVED IN THE STRATEGY PLANNING PROCESS TO CREATE ALIGNMENT ACROSS THE COUNTY. HOSPITAL 2022 COLLABORATIVE ASSESSMENT/ HEALTH IMPROVEMENT PLAN PARTNERS:ADVOCATE CHRIST MEDICAL CENTER ALLIANCE FOR HEALTH EQUITY CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY HEALTH DEPARTMENT, 4 REGIONAL HEALTH DEPARTMENTS, 37 HOSPITALS, 100+ STAKEHOLDERS/CBOSADVOCATE CONDELL MEDICAL CENTER LAKE COUNTY IPLAN HEALTH DEPARTMENT, HOSPITALS, CBOSADVOCATE GOOD SAMARITAN HOSPITAL DUPAGE COUNTY HEALTH DEPARTMENT IPLAN HEALTH DEPARTMENT, HOSPITALS, CBOSADVOCATE GOOD SHEPHERD MCHENRY COUNTY IPLAN COLLABORATIVE; LAKE COUNTY HEALTH DEPARTMENT IPLAN; HEALTHIER BARRINGTON COALITION STUDY HEALTH DEPARTMENTS, HOSPITALS, CBOS, MENTAL HEALTH BOARDADVOCATE ILLINOIS MASONIC MEDICAL CENTER ALLIANCE FOR HEALTH EQUITY CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY HEALTH DEPARTMENT, 4 REGIONAL HEALTH DEPARTMENTS, 37 HOSPITALS, 100+ STAKEHOLDERS/CBOSADVOCATE LUTHERAN GENERAL HOSPITAL ALLIANCE FOR HEALTH EQUITY CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY HEALTH DEPARTMENT, 4 REGIONAL HEALTH DEPARTMENTS, 37 HOSPITALS, 100+ STAKEHOLDERS/CBOS,HEALTHIER DES PLAINES, NILES AND PARK RIDGE MEMBERSADVOCATE SHERMAN HOSPITAL KANE COUNTY IPLAN COLLABORATIVE,MCHENRY COUNTY IPLAN COLLABORATIVE HEALTH DEPARTMENTS, HOSPITALS, CBOS, MENTAL HEALTH BOARDADVOCATE SOUTH SUBURBAN HOSPITAL ALLIANCE FOR HEALTH EQUITY CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY HEALTH DEPARTMENT, 4 REGIONAL HEALTH DEPARTMENTS, 37 HOSPITALS, 100+ STAKEHOLDERS/CBOSADVOCATE TRINITY HOSPITAL ALLIANCE FOR HEALTH EQUITY CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY HEALTH DEPARTMENT, 4 REGIONAL HEALTH DEPARTMENTS, 37 HOSPITALS, 100+ STAKEHOLDERS/CBOSOTHER COMMUNITY BENEFITSIN ADDITION TO THE PROVISION OF PROGRAMS AND SERVICES TO ADDRESS ACCESS AND HEALTH INEQUITIES, ADVOCATE ALSO DEVOTES CONSIDERABLE STAFF AND RESOURCES TO OTHER EFFORTS THAT BENEFIT THE COMMUNITY AND THAT ALIGN WITH THE REPORTING CATEGORIES OF THE ILLINOIS COMMUNITY BENEFITS ACT.TRAINING FUTURE HEALTH PROFESSIONALS. TO FURTHER THE TRADITION OF PROVIDING MEDICAL EDUCATION TO UNDERGRADUATE AND GRADUATE MEDICAL STUDENTS, NURSING STUDENTS AND STUDENTS IN OTHER HEALTH PROFESSIONS, ADVOCATE HAS DEVELOPED LONG-TERM ACADEMIC AFFILIATIONS WITH ALL MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA FOR THE EDUCATION AND TRAINING OF STUDENTS IN UNDERGRADUATE MEDICAL EDUCATION (UME), GRADUATE MEDICAL EDUCATION (GME), NURSING UNDERGRADUATE AND GRADUATE EDUCATION AND IN NUMEROUS OTHER ALLIED HEALTH PROFESSIONAL FIELDS. MEDICAL EDUCATION (UNDERGRADUATE MEDICAL EDUCATION [UME]/GRADUATE MEDICAL EDUCATION [GME]/POST-GRADUATE [CME] MEDICAL EDUCATION. THE ADVOCATE MEDICAL EDUCATION DEPARTMENT'S MISSION IS TO TRAIN THE NEXT GENERATION OF PHYSICIANS THROUGH UNDERGRADUATE (UME) AND GRADUATE MEDICAL EDUCATION (GME), AND TO CONTINUE THE DEVELOPMENT OF ADVOCATE PHYSICIANS THROUGH CONTINUING MEDICAL EDUCATION (CME). ADVOCATE HEALTH IS ACCREDITED BY THE INTERPROFESSIONAL CONTINUING EDUCATION (IPCE) | JOINT ACCREDITATION TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR ADVOCATE AND NON-ADVOCATE PHYSICIANS AND HEALTH CARE PROFESSIONALS IN THE REGION. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GRAND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND ENDURING MATERIALAS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2023, ADVOCATE DOCUMENTED 154,237 LEARNERS AND PROVIDE 675 ACTIVITIES TO OVER SEVEN DIFFERENT HEALTH PROFESSIONS RANGING FROM PHYSICIANS, NURSES, PHARMACISTS, PHARMACY TECHNICIANS, PHYSICIAN ASSISTANTS AND MORE. NURSING EDUCATION. UNDERGRADUATE AND GRADUATE (APN/NP/MANAGEMENT) NURSING EDUCATION OCCURS AT TEN ADVOCATE HOSPITALS AND SUPPORT CENTERS, MANY ADVOCATE MEDICAL GROUP SITES, AND ADVOCATE HOME HEALTH-HOSPICE. NOTABLY, EIGHT ADVOCATE HOSPITALS HAVE EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSE CREDENTIALING CENTER (ANCC), INCLUDING ADVOCATE CHILDREN'S, ADVOCATE CONDELL, ADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN, ADVOCATE GOOD SHEPHERD, ADVOCATE ILLINOIS MASONIC, ADVOCATE LUTHERAN GENERAL AND ADVOCATE SHERMAN. MAGNET STATUS REPRESENTS HOSPITAL-WIDE TEAMWORK AND DEDICATION TO CREATING A POSITIVE ENVIRONMENT, WHICH HELPS ATTRACT THE BEST PHYSICIANS AND NURSES, RESULTING IN BETTER OVERALL PATIENT CARE. PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - ALLIED HEALTH EDUCATION ALLIED HEALTH EDUCATION. ADVOCATE IS COMMITTED TO TEACHING STUDENTS IN A BROAD RANGE OF SPECIALTIES. THESE STUDENTS COME FROM LOCAL UNIVERSITIES AND COLLEGES WITH WHOM ADVOCATE HAS CONTRACTED TO PROVIDE EDUCATION. STUDENTS ARE PROVIDED A CLINICAL ENVIRONMENT IN WHICH TO LEARN IN OVER TWENTY HEALTH CARE DISCIPLINES/FIELDS, INCLUDING, BUT NOT LIMITED TO: PHARMACEUTICAL; CARDIO DIAGNOSTICS; CARDIAC REHABILITATION; RADIOLOGY, NUCLEAR MEDICINE, MRI AND X-RAY; RADIATION THERAPY; EXERCISE PHYSIOLOGY; PHYSICAL, OCCUPATIONAL, SPEECH AND RECREATIONAL THERAPY; PSYCHIATRY; BEHAVIORAL HEALTH; RESPIRATORY; AUDIOLOGY; PATHOLOGY; PODIATRY; PHLEBOTOMY; NUTRITION/DIETARY; AND DENTISTRY (DENTISTRY IS ONLY AVAILABLE THROUGH ADVOCATE ILLINOIS MASONIC). SEVERAL ADVOCATE HOSPITALS PROVIDE EMERGENCY MEDICAL TECHNICIAN (EMT) EDUCATION FROM BASIC THROUGH PARAMEDIC LEVEL. IN FACT, SOME OF THESE ADVOCATE FACILITIES SERVE AS THE LEAD HOSPITAL IN THEIR COUNTIES/SERVICE AREAS, PROVIDING EDUCATION, STANDARDIZATION OF PROTOCOLS OF CARE AMONG ALL HOSPITALS (NON-ADVOCATE INCLUDED) AND EMS RESPONDERS, AND DIRECTION OF COUNTY-WIDE EMERGENCY MEDICAL SERVICES IN RESPONSE TO COMMUNITY-BASED, MASS INJURY/CASUALTY DISASTERS. MULTIPLE ADVOCATE SYSTEM AND HOSPITAL DEPARTMENTS ALSO PROVIDE LEARNING ENVIRONMENTS FOR UNDERGRADUATE AND GRADUATE STUDENTS IN PUBLIC HEALTH AND HEALTH INFORMATION MANAGEMENT.CLINICAL PASTORAL EDUCATION (CPE). ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CPE PROGRAM. THE PROGRAM PROVIDES OPPORTUNITIES FOR SEMINARY STUDENTS, CHAPLAINS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SELF-AWARENESS AND SPIRITUAL CARE MINISTRY SKILLS. IN 2023, A TOTAL OF 31 CPE STUDENTS WERE SUPERVISED IN ILLINOIS, NOT INCLUDING THE ADDITIONAL 3 STUDENTS IN WISCONSIN. SOUTH SHORE INTERNATIONAL COLLEGE PREPARATORY. SEVERAL ADVOCATE HOSPITALS PROVIDE EXPERIENTIAL LEARNING TO AREA HIGH SCHOOL STUDENTS THAT ARE ON AN EDUCATIONAL TRACK TO A HEALTH CARE CAREER. THESE STUDENTS RECEIVE CREDIT TOWARDS GRADUATION IN ADDITION TO HELPING THEM DISCERN IN WHICH HEALTH CARE AREA THEY WISH TO SPECIALIZE. TO GIVE CHICAGO SOUTHSIDE STUDENTS BETTER JOB OPPORTUNITIES, ADVOCATE TRINITY WORKS WITH STUDENTS FROM CHICAGO VOCATIONAL CAREER ACADEMY, AND SOUTH SHORE AND JULIAN HIGH SCHOOLS. THESE STUDENTS ARE ROTATED IN HOSPITAL UNITS TO LEARN MARKETABLE JOB SKILLS. VOLUNTEER SERVICES. AS PART OF ITS COMMUNITY PROGRAMS, ADVOCATE ENGAGES COMMUNITY VOLUNTEERS TO STRENGTHEN HOSPITAL AND COMMUNITY INITIATIVES. THESE PROGRAMS AND OPPORTUNITIES ARE DESCRIBED BELOW.VOLUNTEERS FROM THE COMMUNITY. EACH YEAR, VOLUNTEERS FROM THE COMMUNITY SHARE THEIR TIME AND TALENTS THROUGH SERVICE AT ADVOCATE'S HOSPITALS, ADVOCATE MEDICAL GROUP AND ADVOCATE AT HOME, AND IN THEIR OWN WAY, FURTHER ADVOCATE'S COMMITMENT TO PROVIDING EXCELLENT HEALTH CARE. IN 2023, ADVOCATE HEALTH CARE MANAGED TO OPEN VOLUNTEER SERVICES AND WELCOMED A TOTAL OF 2,482 COMMUNITY VOLUNTEERS THAT ENGAGED PATIENTS, FAMILIES AND STAFF IN A VARIETY OF ACTIVITIES, SOME OF WHICH WERE: PROVIDING INFORMATION DESK SERVICES TO VISITORS; CLERICAL SUPPORT TO STAFF; SERVING CUSTOMERS IN HOSPITAL GIFT AND RESALE SHOPS; OFFERING COMPASSIONATE CONCERN TO PATIENTS AND THEIR LOVED ONES IN MULTIPLE HOSPITAL AREAS, SUCH AS THE EMERGENCY DEPARTMENT, INTENSIVE CARE UNIT, SURGERY WAITING ROOM, POST-ANESTHESIA CARE AND NURSERY INTENSIVE CARE UNITS; ASSISTING WITH COMMUNITY HEALTH SCREENINGS AND BLOOD DRIVE EVENTS; PROVIDING CHEERFUL SERVICE TO PATIENTS BY DELIVERING FLOWERS, MAIL AND NEWSPAPERS; AND PROVIDING SUPPORT SERVICES IN THE HOSPITAL THAT HAVE LIBRARIES AND/OR WELLNESS CENTERS. VOLUNTEERS FROM THE COMMUNITY ALSO GIVE THEIR TIME AND TALENTS TO VARIOUS OTHER PROGRAMS AND FUNDRAISING ACTIVITIES. MEMBERS OF ADVOCATE'S HOSPITAL AUXILIARIES PLAN AND ENGAGE IN FUNDRAISING EFFORTS TO SUPPORT NOT ONLY SERVICES IN THE HOSPITAL BUT ALSO COMMUNITY-FOCUSED PROGRAMS AND SERVICES. STUDENTS FROM THE COMMUNITY VOLUNTEER THEIR TIME TO TAKING CARE OF CHILDREN IN THE PEDIATRIC DEVELOPMENTAL CENTER LOCATED ON ADVOCATE ILLINOIS MASONIC'S CAMPUS SO THAT PARENTS CAN MEET WITH THE CENTER'S STAFF TO LEARN THE SKILLS NECESSARY TO WORK WITH THEIR CHILDREN WITH SPECIAL NEEDS SO THEY CAN REACH THEIR FULL POTENTIAL. THE HEARTS FOR HOPE GROUP AT ADVOCATE CHILDREN'SOAK LAWN IS COMPRISED OF GRATEFUL PARENTS, CONCERNED FAMILIES AND CARING COMMUNITY MEMBERS WHO SUPPORT THE MISSION OF THE HOSPITAL. THE VOLUNTEERS ENSURE THEY HAVE A PRESENCE IN THE HOSPITAL BY POSITIVELY IMPACTING FAMILY-CENTERED CARE, AS WELL AS WORKING TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC EVENTS AND ACTIVITIES BENEFITING ADVOCATE CHILDREN'S. ADVOCATE TEAM MEMBERS VOLUNTEERING IN THE COMMUNITY. ADVOCATE TEAM MEMBERS (EMPLOYEES) AND PHYSICIANS ARE ENCOURAGED TO DONATE TO, VOLUNTEER AT AND HELP RAISE FUNDS FOR COMMUNITY INITIATIVES. ADVOCATE PROMOTES AND SUPPORTS TEAM MEMBER, PHYSICIAN AND HOSPITAL PARTICIPATION IN FOUR COMPANY-SPONSORED WALKS FOR MULTIPLE HEALTH-RELATED, NOT-FOR-PROFIT ORGANIZATIONS, INCLUDING THE AMERICAN HEART ASSOCIATION (AHA HEART WALK), AMERICAN CANCER SOCIETY (MAKING STRIDES AGAINST BREAST CANCER), ALZHEIMER'S ASSOCIATION (WALK TO END ALZHEIMER'S) AND THE MARCH OF DIMES (MARCH FOR BABIES IN 2023, 1,369 ADVOCATE TEAM MEMBERS REGISTERED TO PARTICIPATE IN THE ANNUAL LOCAL FUNDRAISERS AND $186,421 IN CHARITABLE CONTRIBUTIONS WERE RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS, DEMONSTRATING OUR COMMITMENT TO HELPING OUR COMMUNITIES LIVE WELL. ADVOCATE ASSOCIATES DEVOTE WORK TIME VOLUNTEERING ON DOZENS OF COMMUNITY BOARDS, COMMITTEES, COUNCILS, TASK FORCES AND COALITIONS, USING THEIR TALENTS TO SUPPORT A VARIETY OF COMMUNITY-BASED ORGANIZATIONS. AN EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE GOOD SAMARITAN'S VICE PRESIDENT OF SUPPORT OPERATIONS, AND THE PRESIDENT OF MEDICAL STAFF DEVOTE TIME TO SERVE ON THE DUPAGE HEALTH COALITION'S BOARDDUPAGE HEALTH COALITION IS AN ORGANIZATION THAT LINKS UNINSURED AND UNDOCUMENTED INDIVIDUALS TO PRIMARY AND SPECIALTY HEALTHCARE AND INSURANCE. YET ANOTHER EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE TRINITY HOSPITAL'S PRESIDENT AND AHC'S REGIONAL VICE PRESIDENT TIME DEVOTED TO THE SOUTH SIDE HEALTHY COMMUNITY ORGANIZATION, A COMMUNITY COALITION FOCUSED ON IMPROVING HEALTH EQUITY ON THE SOUTH SIDE OF CHICAGO. SYSTEM AND SITE ACCOUNTABILITY FOR COMMUNITY HEALTH. ADVOCATE HAS TAKEN SEVERAL STEPS TO ASSURE SYSTEM AND SITE ACCOUNTABILITY FOR AND ALIGNMENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS. THESE ACTIONS INCLUDE DEVELOPING A GOVERNANCE AND DEPARTMENTAL INFRASTRUCTURE AT THE SITES AND SYSTEM LEVELS TO LEAD AND SUPPORT EFFORTS, AND TO INCLUDE ADVOCATE'S AMPLE CLINICAL EXPERTISE IN DEVELOPING AND SUSTAINING EVIDENCE-BASED PROGRAMS THAT MEASURABLY IMPACT/IMPROVE COMMUNITY HEALTH.ENGAGING SYSTEM BOARD IN SUPPORT OF COMMUNITY HEALTH VISION. AS THE FUNCTION ACCOUNTABLE FOR ADVOCATE'S SYSTEM WIDE CHNA PROCESS, CHNA REPORT AND IMPLEMENTATION PLAN DEVELOPMENT AND EXECUTION, AS WELL AS COMMUNITY BENEFITS REGULATORY REPORTING, THE COMMUNITY HEALTH DEPARTMENT PROVIDES UPDATES AT LEAST ANNUALLY TO THE ADVOCATE HEALTH CARE NETWORK BOARD. THE ADVOCATE HEALTH CARE NETWORK BOARD IS RESPONSIBLE FOR THE ADOPTION OF COMMUNITY HEALTH STRATEGY. ESTABLISHING A DEPARTMENT OF COMMUNITY HEALTH. ADVOCATE ESTABLISHED A COMMUNITY HEALTH DEPARTMENT IN LATE 2015 AND THE DEPARTMENT WAS FULLY STAFFED AND OPERATING BY JANUARY 2016. AS OF 2016, HOSPITAL-SPECIFIC COMMUNITY HEALTH DEPARTMENT BUDGETS WERE DEVELOPED TO SUPPORT THE HOSPITALS' PLANS TO IMPLEMENT PROGRAM STRATEGIES. COMMUNITY HEALTH STAFF SALARIES, ANNUAL CONTRACTED DATA ACCESS COSTS AND COSTS TO PARTICIPATE IN THE COUNTY-WIDE COLLABORATIVES WERE BUDGETED AT THE SYSTEM LEVEL. IN 2020, THE COMMUNITY HEALTH DEPARTMENT CONTRACTED WITH A NEW DATABASE VENDOR, METOPIO, A CHICAGO-BASED COMPANY OFFERING A STATE-OF-THE-ART CHNA DATA AND REPORTING TOOL. ALL COMMUNITY HEALTH LEADERS WERE TRAINED IN 2021 AND THE TOOL IS BEING USED TO SUPPORT ADVOCATE'S CHNA PROCESS FOR THE 2022 CHNA CYCLE. ADVOCATE'S SYSTEM LEVEL COMMUNITY HEALTH DEPARTMENT ALSO CONTRACTED WITH AN OUTSIDE VENDOR TO USE A WELL-RESPECTED, SECURE AND TIME-EFFICIENT WEB-BASED SOFTWARE FOR TRACKING AND REPORTING COMMUNITY BENEFITS EXPENDITURES. PART VI 6. AFFILIATED HEALTH CARE SYSTEM CONT. - EXPANDED ROLE EXPANDED ROLE OF GOVERNING COUNCILS IN COMMUNITY HEALTH. COMMUNITY HEALTH IS STRONGLY INTEGRATED INTO ADVOCATE'S GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS, COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS, HAVE BEEN DEVELOPED AT EACH OF THE ADVOCATE HOSPITALS. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2022 CHNA REPORT AND 2023-2025 COMMUNITY HEALTH IMPLEMENTATION PLAN CYCLES WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. DEPENDENT ON THE HOSPITAL, THE COUNCILS MET THREE OR FOUR TIMES DURING THE YEAR.HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING CONSENSUS-BASED, PRIORITY-SETTING PROCESSES TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN LARGER HEALTH IMPROVEMENT IMPACT.TO LEARN MORE ABOUT THE 2022 CHNA CYCLE DATA ASSESSMENT RESULTS FOR EACH HOSPITAL, VISIT HOSPITAL CHNA REPORTS IMPLEMENTATION PLANS PROGRESS REPORTS | ADVOCATE HEALTH CARE. 13-SCHEDULE H - DESCRIPTION OF NEEDS ASSESSMENT - GSAM COMMUNITY HEALTH NEEDS ASSESSMENT- ADVOCATE GOOD SAMARITAN HOSPITALIMPACT DUPAGE. THE IMPACT DUPAGE STEERING COMMITTEE IS A COLLABORATIVE OF 18 DUPAGE COUNTY HOSPITALS AND COMMUNITY ORGANIZATIONS THAT OVERSEE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS AND ACTION PLAN FOR THE COUNTY. IN 2022, IMPACT DUPAGE CONDUCTED ITS COMMUNITY ASSESSMENT. THE PURPOSE OF THIS ASSESSMENT IS TO COLLECT COMMUNITY VOICES TO LEARN PERCEPTIONS ABOUT QUALITY OF LIFE IN DUPAGE COUNTY. THIS WAS DONE THROUGH A COUNTY-WIDE SURVEY, WITH OVER 1,000 RESPONSES, CONDUCTED IN THE WINTER OF 2021-22. ADVOCATE GOOD SAMARITAN'S DIRECTOR OF COMMUNITY HEALTH IS A MEMBER OF THIS COMMITTEE AND IS ACTIVELY ENGAGED IN IDENTIFYING AND ADDRESSING THE COUNTY'S COMMUNITY HEALTH NEEDS IN PARTNERSHIP WITH OTHER STEERING COMMITTEE MEMBERS AND ORGANIZATIONS. FOR MORE INFORMATION, VISIT: IMPACT DUPAGE :: 2022 IMPACT DUPAGE ASSESSMENT COMMUNITY HEALTH COUNCIL (CHC). THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH COUNCIL (CHC) WAS FORMED IN 2016 AND SERVES IN AN ADVISORY CAPACITY FOR THE HOSPITAL'S COMMUNITY HEALTH PROGRAMMING, IMPLEMENTATION PLAN AND CHNA. THE CHC IS LED BY THE HOSPITAL'S REGIONAL DIRECTOR OF COMMUNITY HEALTH AND IS A MULTI-SECTORIAL COUNCIL COMPRISED OF HOSPITAL LEADERS AND COMMUNITY REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS. THERE ARE A TOTAL OF 14 CHC MEMBERS OF WHICH 10 ARE COMMUNITY ORGANIZATION REPRESENTATIVES AND FOUR ARE HOSPITAL REPRESENTATIVES. UNDER THE DIRECTION OF THE DIRECTOR OF COMMUNITY HEALTH, THE CHC SUPPORTED THE CHNA THROUGH DATA COLLECTION, DATA REVIEW AND PRIORITIZING IDENTIFIED HEALTH NEEDS. THE CHC ALSO WORKS WITH THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT TO IDENTIFY COMMUNITY PARTNERS FOR THE COMMUNITY IMPLEMENTATION STRATEGIES.GOVERNING COUNCIL (GC). THE HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE ROLE OF EACH GOVERNING COUNCIL MEMBER INCLUDES SUPPORTING HOSPITAL LEADERSHIP IN ACHIEVING THE HOSPITAL'S GOALS, REPRESENTING THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVING AS A HOSPITAL AMBASSADOR IN THE COMMUNITY. THE DIRECTOR OF COMMUNITY HEALTH PROVIDED A COPY OF THE CHNA TO EACH HOSPITAL GOVERNING COUNCIL MEMBER IN ADVANCE OF THE NOVEMBER 2022 COUNCIL MEETING. GOVERNING COUNCIL MEMBERS WERE ABLE TO REVIEW THE CHNA DOCUMENT IN ITS ENTIRETY BEFORE THE MEETING. THE HOSPITAL'S DIRECTOR AND COORDINATOR OF COMMUNITY HEALTH PRESENTED THE CHNA DOCUMENT INCLUDING THE ASSESSMENT PROCESS AND SELECTED HEALTH NEED PRIORITIES TO THE COUNCIL. FOLLOWING THE PRESENTATION, COUNCIL MEMBERS WERE ABLE TO DISCUSS FINDINGS, ASK QUESTIONS AND COMMENT. ON NOVEMBER 17, 2022, THE ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL FULLY APPROVED THE 2022 ADVOCATE GOOD SAMARITAN HOSPITAL CHNA REPORT. 2022 CHC MEMBERS(YES OR NO )--IN CONDUCTING ITS MOST RECENT CHNA, DID THE HOSPITAL FACILITY TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING AT LEAST ONE STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY), OR A STATE OFFICE OF RURAL HEALTH WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THAT COMMUNITY AND REPRESENTING THE INTERESTS OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY SERVED BY THE HOSPITAL, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS; AND WRITTEN COMMENTS RECEIVED ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY? IF "YES" TO THE QUESTION ABOVE, (FOR PART V, SECTION C) SUMMARIZE, IN GENERAL TERMS, HOW AND OVER WHAT TIME PERIOD SUCH INPUT WAS PROVIDED (FOR EXAMPLE, WHETHER THROUGH MEETINGS, FOCUS GROUPS, INTERVIEWS, SURVEYS, WRITTEN COMMENTS AND BETWEEN WHAT DATES); THE NAMES OF ANY ORGANIZATIONS PROVIDING INPUT; AND DESCRIBE THE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS BEING REPRESENTED BY THE ORGANIZATIONS OR INDIVIDUALS THAT PROVIDED INPUT. A CHNA REPORT DOES NOT NEED TO NAME OR OTHERWISE IDENTIFY ANY SPECIFIC INDIVIDUAL PROVIDING INPUT ON THE CHNA. IN THE EVENT A HOSPITAL SOLICITS, BUT CANNOT OBTAIN, INPUT FROM A SOURCE REQUIRED IN LINE 5, THE HOSPITAL'S CHNA REPORT MUST ALSO DESCRIBE THE HOSPITAL FACILITY'S EFFORTS TO SOLICIT INPUT FROM SUCH SOURCE. (YOU MAY COPY ANY NARRATIVE THAT ASSISTS YOU IN ANSWERING THIS QUESTION FROM THE WORD VERSION OF YOUR 2020-2022 CHNA REPORT, HOWEVER, DO NOT CUT AND PASTE FROM THE PDF VERSION POSTED ON ADVOCATE'S WEBPAGE OR FROM A PREVIOUS YEAR'S SCHEDULE H.)IMPACT DUPAGE. THE IMPACT DUPAGE STEERING COMMITTEE IS A COLLABORATIVE OF 18 DUPAGE COUNTY HOSPITALS AND COMMUNITY ORGANIZATIONS THAT OVERSEE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS AND ACTION PLAN FOR THE COUNTY. IN 2022, IMPACT DUPAGE CONDUCTED ITS COMMUNITY ASSESSMENT. THE PURPOSE OF THIS ASSESSMENT IS TO COLLECT COMMUNITY VOICES TO LEARN PERCEPTIONS ABOUT QUALITY OF LIFE IN DUPAGE COUNTY. THIS WAS DONE THROUGH A COUNTY-WIDE SURVEY, WITH OVER 1,000 RESPONSES, CONDUCTED IN THE WINTER OF 2021-22. ADVOCATE GOOD SAMARITAN'S DIRECTOR OF COMMUNITY HEALTH IS A MEMBER OF THIS COMMITTEE AND IS ACTIVELY ENGAGED IN IDENTIFYING AND ADDRESSING THE COUNTY'S COMMUNITY HEALTH NEEDS IN PARTNERSHIP WITH OTHER STEERING COMMITTEE MEMBERS AND ORGANIZATIONS. FOR MORE INFORMATION, VISIT: IMPACT DUPAGE :: 2022 IMPACT DUPAGE ASSESSMENT COMMUNITY HEALTH COUNCIL (CHC). THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH COUNCIL (CHC) WAS FORMED IN 2016 AND SERVES IN AN ADVISORY CAPACITY FOR THE HOSPITAL'S COMMUNITY HEALTH PROGRAMMING, IMPLEMENTATION PLAN AND CHNA. THE CHC IS LED BY THE HOSPITAL'S REGIONAL DIRECTOR OF COMMUNITY HEALTH AND IS A MULTI-SECTORIAL COUNCIL COMPRISED OF HOSPITAL LEADERS AND COMMUNITY REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS. THERE ARE A TOTAL OF 14 CHC MEMBERS OF WHICH 10 ARE COMMUNITY ORGANIZATION REPRESENTATIVES AND FOUR ARE HOSPITAL REPRESENTATIVES. UNDER THE DIRECTION OF THE DIRECTOR OF COMMUNITY HEALTH, THE CHC SUPPORTED THE CHNA THROUGH DATA COLLECTION, DATA REVIEW AND PRIORITIZING IDENTIFIED HEALTH NEEDS. THE CHC ALSO WORKS WITH THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT TO IDENTIFY COMMUNITY PARTNERS FOR THE COMMUNITY IMPLEMENTATION STRATEGIES.GOVERNING COUNCIL (GC). THE HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE ROLE OF EACH GOVERNING COUNCIL MEMBER INCLUDES SUPPORTING HOSPITAL LEADERSHIP IN ACHIEVING THE HOSPITAL'S GOALS, REPRESENTING THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVING AS A HOSPITAL AMBASSADOR IN THE COMMUNITY. THE DIRECTOR OF COMMUNITY HEALTH PROVIDED A COPY OF THE CHNA TO EACH HOSPITAL GOVERNING COUNCIL MEMBER IN ADVANCE OF THE NOVEMBER 2022 COUNCIL MEETING. GOVERNING COUNCIL MEMBERS WERE ABLE TO REVIEW THE CHNA DOCUMENT IN ITS ENTIRETY BEFORE THE MEETING. THE HOSPITAL'S DIRECTOR AND COORDINATOR OF COMMUNITY HEALTH PRESENTED THE CHNA DOCUMENT INCLUDING THE ASSESSMENT PROCESS AND SELECTED HEALTH NEED PRIORITIES TO THE COUNCIL. FOLLOWING THE PRESENTATION, COUNCIL MEMBERS WERE ABLE TO DISCUSS FINDINGS, ASK QUESTIONS AND COMMENT. ON NOVEMBER 17, 2022, THE ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL FULLY APPROVED THE 2022 ADVOCATE GOOD SAMARITAN HOSPITAL CHNA REPORT. 2022 CHC MEMBERS DUPAGE COUNTY HEALTH DEPARTMENT, DIRECTOR, BUSINESS OPERATIONS * DUPAGE COUNTY HEALTH DEPARTMENT, DIRECTOR, COMMUNITY INITIATIVES* DUPAGE PADS, PRESIDENT, CHIEF EXECUTIVE OFFICER* DUPAGE HEALTH COALITION, PRESIDENT* PEOPLE'S RESOURCE CENTER, SENIOR DIRECTOR, PROGRAMS AND SERVICES* SAMARACARE, EXECUTIVE DIRECTOR BENEDICTINE UNIVERSITY, INSTRUCTOR, COORDINATOR, ADVISOR ADVOCATE GOOD SAMARITAN HOSPITAL, COORDINATOR, BEHAVIORAL HEALTH ADVOCATE GOOD SAMARITAN HOSPITAL, VICE PRESIDENT, MISSION AND SPIRITUAL CARE ADVOCATE GOOD SAMARITAN HOSPITAL, DIRECTOR, TRANSITION SUPPORT PROGRAM ADVOCATE GOOD SAMARITAN HOSPITAL, GOVERNING COUNCIL MEMBER, ER PHYSICIAN ADVOCATE GOOD SAMARITAN HOSPITAL, GOVERNING COUNCIL MEMBERS, SENIOR PASTOR VISITING NURSES ASSOCIATION (VNA), DIRECTOR COMMUNITY SUPPORT* HEALTH EQUITY ADVISORS NETWORK, INC, PRESIDENT, CHIEF EXECUTIVE OFFICERFOR MORE DETAILS VISIT 2022 ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH NEEDS ASSESSMENT 13-SCHEDULE H - DESCRIPTION OF NEEDS ASSESSMENT - GSHEP COMMNUNITY HEALTH NEEDS ASSESSMENT - ADVOCATE GOOD SHEPHERD HOSPITALNAME OF COLLABORATIVE. LAKE COUNTY ASSESSMENTS. THE LCHD'S COMMUNITY HEALTH IMPROVEMENT PROCESS, NAMED LIVE WELL LAKE COUNTY, WAS DEVELOPED WITHIN THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS, OR MAPP, FRAMEWORK. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING FRAMEWORK UTILIZED IN COMMUNITY HEALTH IMPROVEMENT. THIS FRAMEWORK ASSISTS COMMUNITIES NOT ONLY IN THE PRIORITIZATION OF PUBLIC HEALTH ISSUES, BUT ALSO IN CREATING A PLATFORM TO DEVELOP AND IMPLEMENT EFFORTS TO ADDRESS THEM, LEADING TO ACTION. IN 2021, THE COUNTY-WIDE COMMUNITY HEALTH ASSESSMENT PROCESS WAS GUIDED BY THE LIVE WELL LAKE COUNTY STEERING COMMITTEE, A DIVERSE GROUP OF STAKEHOLDERS FROM MULTIPLE SECTORS OF LAKE COUNTY THAT INFLUENCE THE HEALTH OF THE COUNTY RESIDENTS. ADVOCATE GOOD SHEPHERD'S DIRECTOR OF COMMUNITY HEALTH FOR THE NORTH REGION IS AN ACTIVE MEMBER OF THIS STEERING COMMITTEE.MCHENRY COUNTY ASSESSMENTS. IN MCHENRY COUNTY, A COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED TO GATHER INPUT FROM COMMUNITY RESIDENTS ON KEY HEALTH ISSUES AS PART OF THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA). IN ADDITION, A BROAD DATA REVIEW OF MCHENRY COUNTY USING SECONDARY SOURCES WAS CONDUCTED, WHICH INCLUDED DEMOGRAPHICS, HOUSING, INCOME AND POVERTY, EDUCATION, EMPLOYMENT, CRIME AND SAFETY, BIRTH AND DEATH RATES, HEALTH STATUS AND BEHAVIORS, AND HEALTH UTILIZATION. COMMUNITY HEALTH COUNCIL (CHC). ADVOCATE GOOD SHEPHERD CONVENED A CHC FROM NOVEMBER 2021-MAY 2022 TO REVIEW THE RESULTS OF THE CHNA, SELECT THE TOP HEALTH NEEDS AND TO ASSIST WITH DEVELOPMENT OF IMPLEMENTATION PLANS TO ADDRESS PRIORITIZED HEALTH NEEDS. THE CHC, COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, REPRESENT MEDICALLY UNDERSERVED, LOW INCOME AND/OR MINORITY POPULATIONS.GOVERNING COUNCIL (GC). FOLLOWING CHC APPROVAL, THE CHNA AND SELECTED PRIORITIES WERE PASSED TO THE ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL FOR REVIEW AND APPROVAL. THE GC IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE SELECTED TOP HEALTH PRIORITIES AND FULL CHNA REPORT WERE APPROVED BY THE ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL ON OCTOBER 18, 2022. 13-SCHEDULE H - DESCRIPTION OF NEEDS ASSESSMENT - LGH COMMUNITY HEALTH NEEDS ASSESSMENT - ADVOCATE LUTHERAN GENERAL HOSPITALNAME OF COLLABORATIVE.THE ALLIANCE FOR HEALTH EQUITY IS A COALITION OF COOK COUNTY NON-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY-BASED ORGANIZATIONS. THE COALITION IS LED BY A STEERING COMMITTEE OF WHICH ADVOCATE AURORA IS A MEMBER AND RECEIVES BACKBONE SUPPORT FROM THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI). IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND THE DEVELOPMENT OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE ALLIANCE AIMS TO COMPLETE A TRI-ANNUAL COMPREHENSIVE COLLABORATIVE CHNA AND TO DEVELOP ALIGNED COMMUNITY HEALTH IMPROVEMENT PLANS. THE ALLIANCE IS ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COALITIONS IN THE NATION. IN ADDITION TO OVER 30 NON-PROFIT AND PUBLIC HOSPITALS AND SEVEN LOCAL HEALTH DEPARTMENTS, MORE THAN 100 COMMUNITY ORGANIZATIONS PARTICIPATED IN THE 2022 ASSESSMENT AND HEALTH IMPROVEMENT ACTION TEAMS. THE ALLIANCE CREATED AND DISTRIBUTED HEALTH SURVEYS THROUGHOUT COOK COUNTY, WITH A FOCUS TO SURVEY AT RISK AND ETHNICALLY DIVERSE COMMUNITIES. OVER 5,000 SURVEYS WERE COMPLETED, PROVIDING A PICTURE OF COMMUNITY CONCERNS, STRENGTHS, AND HEALTH NEEDS THROUGH THE LENS OF COMMUNITY MEMBERS. PRIMARY AND SECONDARY DATA GATHERING ALSO INCLUDED MULTIPLE FOCUS GROUPS AND HOSPITAL UTILIZATION DATA, WHICH WAS ANALYZED BY IPHI STAFF. IPHI COMPLETED THE ALLIANCE'S CHNA IN AUGUST 2022.COMMUNITY HEALTH COUNCIL (CHC). THE CHC IS LED BY THE HOSPITAL'S REGIONAL DIRECTOR OF COMMUNITY HEALTH AND IS A MULTI-SECTORIAL COUNCIL COMPRISED OF HOSPITAL LEADERS AND COMMUNITY REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS. THERE IS A TOTAL OF 18 CHC MEMBERS OF WHICH 11 ARE COMMUNITY ORGANIZATION REPRESENTATIVES AND EIGHT ARE HOSPITAL REPRESENTATIVES. UNDER THE DIRECTION OF THE DIRECTOR OF COMMUNITY HEALTH, THE CHC SUPPORTED THE CHNA THROUGH DATA COLLECTION, DATA REVIEW AND PRIORITIZING IDENTIFIED HEALTH NEEDS. THE CHC ALSO WORKS WITH THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT TO IDENTIFY COMMUNITY PARTNERS FOR THE COMMUNITY HEALTH IMPLEMENTATION STRATEGIES. COMMUNITY REPRESENTATIVES PROVIDED CRITICAL FEEDBACK AROUND THE HEALTH NEEDS OF THE OVERALL COMMUNITY SPECIFICALLY THOSE RELATED TO VULNERABLE AND UNDER-SERVED POPULATIONS, WHILE HOSPITAL REPRESENTATIVES PROVIDED CRITICAL FEEDBACK AROUND TOP PATIENT HEALTH ISSUES, HOSPITAL RESOURCES AND CONFIRMATION OF THE HOSPITAL HEALTH NEEDS ALIGNMENT WITH THE PSA HEALTH NEEDS. COMMUNITY REPRESENTATIVES WERE ALSO ABLE TO PROVIDE PERSPECTIVES FROM VARIOUS DISCIPLINES AND REPRESENTED THE HEALTH AND SOCIAL NEED ISSUES OF MANY VULNERABLE AND MARGINALIZED POPULATIONS WITHIN THE HOSPITAL'S PSA. BOTH COMMUNITY AND HOSPITAL REPRESENTATIVES ENGAGED IN A ROBUST DISCUSSION REGARDING THE HEALTH NEEDS OF THE PSA. CHC MEMBERS WERE ALSO ABLE TO SHARE KNOWLEDGE REGARDING SOCIAL DRIVERS OF HEALTH AND ZIP CODES THAT HAD THE MOST HEALTH DISPARITIES AND SOCIAL BARRIERS.2022 MEMBERS RONDOUT SCHOOL DISTRICT 72, SUPERINTENDENT ADVOCATE LUTHERAN GENERAL HOSPITAL, PATIENT NAVIGATOR ADVOCATE LUTHERAN GENERAL HOSPITAL, EXECUTIVE DIRECTOR, HEART INSTITUTE ACCESS COMMUNITY HEALTH NETWORK, CANCER EDUCATION PROGRAM SPECIALIST PARK RIDGE POLICE DEPARTMENT, POLICE SOCIAL WORKER AMERICAN HEART ASSOCIATION, COMMUNICATIONS DIRECTOR ADVOCATE LUTHERAN GENERAL HOSPITAL, MANAGER, OUTPATIENT BEHAVIORAL HEALTH SERVICES LUTHERAN SOCIAL SERVICES, ASSOCIATE EXECUTIVE DIRECTOR NATIONAL ALLIANCE ON MENTAL ILLNESS COOK COUNTY NORTH SUBURBAN, EXECUTIVE DIRECTOR AND PROGRAM DIRECTOR NORTHWEST CENTER, DIRECTOR, COMMUNITY DEVELOPMENT ADVOCATE LUTHERAN GENERAL HOSPITAL, DIRECTOR, TRANSITION SUPPORT PROGRAM ADVOCATE LUTHERAN GENERAL HOSPITAL, PUBLIC AFFAIRS COORDINATOR ADVOCATE LUTHERAN GENERAL HOSPITAL, COMMUNITY AND CULTURAL LIAISON ADVOCATE LUTHERAN GENERAL HOSPITAL, COORDINATOR, SOUTH ASIAN CARDIOVASCULAR CENTER SKOKIE SCHOOL DISTRICT 69, COMMUNITY SCHOOLS MANAGERGOVERNING COUNCIL (GC). THE DIRECTOR OF COMMUNITY HEALTH PROVIDED A COPY OF THE CHNA TO EACH HOSPITAL GOVERNING COUNCIL MEMBER IN ADVANCE OF THE OCTOBER 2022 COUNCIL MEETING. GOVERNING COUNCIL MEMBERS WERE ABLE TO REVIEW THE CHNA DOCUMENT IN ITS ENTIRETY BEFORE THE MEETING. THE HOSPITAL'S DIRECTOR AND COORDINATOR OF COMMUNITY HEALTH PRESENTED THE CHNA DOCUMENT INCLUDING THE ASSESSMENT PROCESS AND SELECTED HEALTH NEED PRIORITIES TO THE COUNCIL. FOLLOWING THE PRESENTATION, COUNCIL MEMBERS WERE ABLE TO DISCUSS FINDINGS, ASK QUESTIONS AND COMMENT. ON OCTOBER 17, 2022, THE ADVOCATE LUTHERAN GENERAL GOVERNING COUNCIL FULLY APPROVED THE 2022 ADVOCATE LUTHERAN GENERAL HOSPITAL CHNA REPORT. THE ADVOCATE HEALTH CARE NETWORK BOARD APPROVED THE ADVOCATE LUTHERAN GENERAL 2022 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 31, 2022. 13-SCHEDULE H - DESCRIPTION OF NEEDS ASSESSMENT - SSUB COMMUNITY HEALTH NEEDS ASSESSMENT - ADVOCATE SOUTH SUBURBAN HOSPITALNAME OF COLLABORATIVE. THE ALLIANCE FOR HEALTH EQUITY (AHE) IS A COLLABORATIVE OF 30+ HOSPITALS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS COOK COUNTY FROM THE NEIGHBORHOODS OF CHICAGO TO THE MUNICIPALITIES OF THE SUBURBS. SINCE 2015, LEADERS FROM THE MAJOR HOSPITALS AND HEALTH SYSTEMS IN CHICAGO AND SUBURBAN COOK COUNTY COLLABORATED WITH COMMUNITY-BASED ORGANIZATIONS AND PUBLIC HEALTH ENTITIES TO PRIORITIZE HEALTH EQUITY. DETAILED INFORMATION RELATED TO THE COLLABORATIVE'S ASSESSMENT AND PARTICIPATING ORGANIZATIONS MAY BE FOUND IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY AT 2022 CHNA REPORT - ALLIANCE FOR HEALTH EQUITY (ALLHEALTHEQUITY.ORG).COMMUNITY HEALTH COUNCIL (CHC). IN FEBRUARY 2022, ADVOCATE SOUTH SUBURBAN CONVENED ITS CHC MEMBERS, COMPRISED OF HOSPITAL AND COMMUNITY MEMBERS TO ASSESS DATA PRESENTED IN ORDER MAKE SOUND DECISIONS ON HEALTH NEEDS TO ADDRESS IN THE HOSPITAL'S PRIMARY SERVICE AREA FOR THE 2022 CHNA. DATA PRESENTED FEBRUARY THROUGH MAY 2022, INCLUDED TOPICS ON DEMOGRAPHICS, ECONOMICS, EDUCATION, EMPLOYMENT, SDOH (SOCIAL DRIVERS OF HEALTH) AND HEALTH INDICATORS. IN JUNE 2022, THE CHC MET TO IDENTIFY HEALTH NEEDS TO ADDRESS RELATED TO THE 2022 CHNA CYCLE. PARTNERS FROM THE ALLIANCE FOR HEALTH EQUITY ALSO PRESENTED SIMILAR DATA BASED ON RESULTS FROM FOCUS GROUP MEETINGS HELD IN THE HOSPITAL'S PSA AS PART OF ITS' CHNA. GOVERNING COUNCIL (GC). FOLLOWING THE CHC APPROVAL OF THE SELECTED PRIORITIES, THE CHNA WAS PRESENTED TO THE HOSPITAL'S GC FOR APPROVAL. THE GC IS COMPRISED OF EXECUTIVE LEVEL HOSPITAL STAFF AND COMMUNITY LEADERS REPRESENTING A BROAD SPECTRUM ACROSS COMMUNITY SECTORS INCLUDING BUT NOT LIMITED TO FAITH, MEDICAL, BUSINESS, AND INDUSTRIAL FIELDS. ON NOVEMBER 10, 2022, MEMBERS OF THE COMMUNITY HEALTH DEPARTMENT PRESENTED THE 2022-2024 CHNA REPORT AND SELECTED HEALTH PRIORITIES TO THE HOSPITAL'S GC; IT WAS AT THIS SAME MEETING THAT THE GC APPROVED AND ADOPTED THE CHNA. IN DECEMBER 2022, THE ADVOCATE HEALTH NETWORK BOARD APPROVED THE HOSPITAL CHNA AT THE SYSTEM LEVEL. 13-SCHEDULE H - DESCRIPTION OF NEEDS ASSESSMENT - TRINITY COMMUNITY HEALTH NEEDS ASSESSMENT - ADVOCATE TRINITY HOSPITALTHE ALLIANCE FOR HEALTH EQUITY. ADVOCATE TRINITY IS A MEMBER OF THE ALLIANCE, A COLLABORATIVE OF 37 NON-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS, AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. FACILITATED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THE COLLABORATIVE SHARES RESOURCES AND WORKS TOGETHER ON A CHNA PROCESS INCLUDING DATA COLLECTION, PRIORITY SETTING AND HEALTH IMPROVEMENT IMPLEMENTATION PLANNING FOR THE REGION. DETAILS CAN BE FOUND ON THE HOSPITAL WEBPAGE AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/TRINITY-CHNA-REPORT-2022 COMMUNITY HEALTH COUNCIL (CHC). THE CHC'S RESPONSIBILITIES ARE TO OVERSEE COMMUNITY HEALTH STRATEGY FOR THE HOSPITAL, REVIEW DATA AND PRIORITIZE HEALTH NEEDS IDENTIFIED FOR THE 2020-2022 CHNA, AND TO OVERSEE THE DEVELOPMENT AND IMPLEMENTATION OF THE HOSPITAL'S COMMUNITY HEALTH STRATEGIES. CHAIRED BY A MEMBER OF ADVOCATE TRINITY'S GOVERNING COUNCIL AND MANAGED BY THE REGIONAL DIRECTOR AND MANAGER OF COMMUNITY HEALTH, THE CHC IS COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, MANY OF WHICH REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. THE COMMUNITY HEALTH COUNCIL FUNCTIONS AS A SUBSET OF THE HOSPITAL'S GOVERNING COUNCIL, AND ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL BY THE FULL GOVERNING COUNCIL. GOVERNING COUNCIL (GC). THE HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE-LEVEL HOSPITAL STAFF. THE PRINCIPAL ROLES OF EACH GOVERNING COUNCIL MEMBER ARE TO SUPPORT HOSPITAL LEADERSHIP IN THE ACHIEVEMENT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTERESTS TO THE HOSPITAL AND TO SERVE AS A HOSPITAL AMBASSADOR IN THE COMMUNITY. DURING THE PRIORITIZATION MEETING HELD ON JUNE 24, 2022, COUNCIL MEMBERS VOTED TO SELECT THE NEEDS TO ADDRESS IN THE HOSPITAL PSA FOR THE 2022 CHNA AND THE 2023-2025 IMPLEMENTATION PLAN. THE ADVOCATE TRINITY GOVERNING COUNCIL MET ON NOVEMBER 15, 2022, TO REVIEW THE FINDINGS OF THE CHNA AND THE RECOMMENDED IMPLEMENTATION STRATEGY. THE GOVERNING COUNCIL VOTED TO APPROVE THE CHNA REPORT. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY INFORMATION - GSAM DESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE PURPOSES OF THE 2022 CHNA, ADVOCATE GOOD SAMARITAN DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA). THE PSA FOR THE HOSPITAL CONSISTS OF 15 COMMUNITIES REPRESENTING 21 ZIP CODES IN DUPAGE COUNTY AND THREE COMMUNITIES REPRESENTING THREE ZIP CODES IN WILL AND COOK COUNTIES. THE PSA COMMUNITIES INCLUDE LOMBARD (60148), DOWNERS GROVE (60515, 60516), WESTMONT (60559), WOODRIDGE (60517), DARIEN (60561), GLEN ELLYN (60137), LISLE (60532), VILLA PARK (60181), OAK BROOK (60523), WILLOWBROOK (60527), BOLINGBROOK (60440), LEMONT (60439), WHEATON (60189, 60187), ELMHURST (60126), NAPERVILLE (60563, 60540), CLARENDON HILLS (60514), ROMEOVILLE (60446) AND HINSDALE (60521). AS A GENERAL PRACTICE IN ADVOCATE AURORA, PSA IS DEFINED AS THE COMMUNITIES WHERE 75 PERCENT OF THE HOSPITAL'S PATIENTS RESIDE.DEMOGRAPHICS POPULATION. THE TOTAL POPULATION FOR THE HOSPITAL'S PSA IS 664,725. THE LARGEST ZIP CODES/COMMUNITIES IN THE PSA ARE LOMBARD (60148) WITH A POPULATION OF 52,794, BOLINGBROOK (60440) WITH A POPULATION OF 52,031 AND ELMHURST (60126) WITH A POPULATION OF 48,147. THE ZIP CODES/COMMUNITIES WITH THE SMALLEST POPULATION ARE HINSDALE (60521) WITH A POPULATION OF 18,199, OAK BROOK (60523) WITH A POPULATION OF 10,347 AND CLARENDON HILLS (60514) WITH A POPULATION OF 10,320.AGE AND SEX. THE HOSPITAL'S PSA IS 50.90 PERCENT FEMALE AND 49.10 PERCENT MALE (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THE MEDIAN AGE FOR ADVOCATE GOOD SAMARITAN'S PSA IS 39.9 YEARS, WHICH IS OLDER THAN DUPAGE COUNTY AT 39.3 YEARS AND ILLINOIS AT 38.1 YEARS (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THE LARGEST AGE GROUP IN THE PSA IS THE 4064-YEAR-OLD AGE GROUP, WHICH MAKES UP 34 PERCENT OF THE PSA, FOLLOWED BY THE 1839-YEAR-OLD AGE GROUP, WHICH MAKES UP 27.2 PERCENT OF THE POPULATION (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THE THIRD LARGEST GROUP IN THE PSA IS THE 517-YEAR-OLD AGE GROUP, MAKING UP 17.1 PERCENT OF THE POPULATION (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).RACE/ETHNICITY. DEMOGRAPHIC DATA FOR THE HOSPITAL'S PSA SHOWS THAT THE LARGEST RACIAL/ETHNIC GROUP IS THE WHITE NON-HISPANIC POPULATION AT 69.92 PERCENT FOLLOWED BY THE HISPANIC OR LATINO POPULATION AT 11.8 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THE THIRD LARGEST RACIAL/ETHNIC GROUP IS THE ASIAN OR PACIFIC ISLANDER POPULATION AT 10.02 PERCENT FOLLOWED BY THE NON-HISPANIC BLACK POPULATION AT 5.64 PERCENT. THE TWO SMALLEST RACIAL/ETHNIC GROUPS ARE THE "TWO OR MORE RACES" AT 2.6 PERCENT AND THE NATIVE AMERICAN POPULATION AT 0.6 PERCENT.INCOME. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA IS $104,515, WHICH IS HIGHER THAN DUPAGE COUNTY AT $98,444 AND ILLINOIS AT $69,886 (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THERE IS A SIGNIFICANT RACIAL DISPARITY IN MEDIAN HOUSEHOLD INCOME WITH THE NON-HISPANIC BLACK POPULATION HAVING A MEDIAN HOUSEHOLD INCOME OF $69,749 AND THE HISPANIC LATINO POPULATION AT $88,694, WHICH IS SIGNIFICANTLY LOWER THAN THE NON-HISPANIC WHITE POPULATION AT $106,896 AND THE ASIAN OR PACIFIC ISLANDER POPULATION AT $118,961. POVERTY. THE POVERTY RATE FOR THE PSA IS 6.17 PERCENT WHICH IS LOWER THAN DUPAGE COUNTY AT 6.37 PERCENT AND ILLINOIS AT 12.49 PERCENT. SIMILAR TO THE MEDIAN HOUSEHOLD INCOME, THERE IS A RACIAL/ETHNIC DISPARITY IN PSA POVERTY RATES WITH THE NON-HISPANIC BLACK (16.85 PERCENT), HISPANIC OR LATINO (8.52 PERCENT) AND THE ASIAN OR PACIFIC ISLANDER (7.61 PERCENT) POPULATIONS HAVING HIGHER RATES OF POVERTY COMPARED TO THE NON-HISPANIC WHITE POPULATION. ADULTS WITH HEALTH INSURANCE. HEALTHCARE COVERAGE IS ONE OF THE MOST SIGNIFICANT FACTORS IN ACCESS TO HEALTH CARE. THE UNINSURED RATE IN THE PSA IS 4.93 PERCENT, WHICH IS LOWER THAN DUPAGE COUNTY AT 5.28 PERCENT AND ILLINOIS AT 6.83 PERCENT. THERE ARE SEVERAL COMMUNITIES WITHIN THE PSA THAT HAVE HIGHER UNINSURED RATES COMPARED TO DUPAGE COUNTY AND ILLINOIS. BOLINGBROOK (60440) HAS AN UNINSURED RATE OF 9.9 PERCENT, FOLLOWED BY WESTMONT AT 8.71 PERCENT AND VILLA PARK AT 6.82 PERCENT. THERE IS ALSO A RACIAL/ETHNIC DISPARITY WITH THE HISPANIC OR LATINO POPULATIONS HAVING THE HIGHEST UNINSURED RATE AT 12 PERCENT FOLLOWED BY THE NON-HISPANIC BLACK POPULATIONS AT 7.22 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. MEDICAID PROVIDES HEALTH INSURANCE TO LOW-INCOME INDIVIDUALS AND FAMILIES IN THE UNITED STATES. IN THE PSA, 9.63 PERCENT OF RESIDENTS ARE COVERED BY MEDICAID WHICH IS LOWER THAN DUPAGE COUNTY AT 10.8 PERCENT AND ILLINOIS AT 19.5 PERCENT. MEDICARE IS FEDERAL HEALTH INSURANCE AND PROVIDES COVERAGE TO SENIORS AND SOME PEOPLE WITH DISABILITIES IN THE UNITED STATES. IN THE PSA, 15.86 PERCENT OF RESIDENTS ARE COVERED BY MEDICARE, WHICH IS SLIGHTLY HIGHER THAN DUPAGE COUNTY (15.08 PERCENT) AND SLIGHTLY LOWER THAN ILLINOIS (16.23 PERCENT) (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE FIVE HOSPITALS IN ADDITION TO ADVOCATE GOOD SAMARITAN LOCATED IN THE PSA, INCLUDING EDWARD HOSPITAL IN NAPERVILLE, ASCENSION HEALTH ADVENTIST MEDICAL CENTER HINSDALE IN HINSDALE, AMITA HEALTH ADVENTIST MEDICAL CENTER BOLINGBROOK IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THE DUPAGE COUNTY HEALTH DEPARTMENT, AS WELL AS THE ACCESS COMMUNITY HEALTH NETWORK, WHICH IS A FQHC, PROVIDE HEALTH CARE PRIMARILY FOR LOW-INCOME AND UNINSURED PATIENTS. IN ADDITION, THE DUPAGE HEALTH COALITION/ACCESS DUPAGE, A COLLABORATIVE EFFORT BY HUNDREDS OF INDIVIDUALS AND ORGANIZATIONS IN DUPAGE COUNTY, ALSO PROVIDES A MOSAIC APPROACH TO PROVIDING ACCESS TO MEDICAL SERVICES FOR THE COUNTY'S LOW-INCOME AND MEDICALLY UNINSURED RESIDENTS. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY INFORMATION - GSHEP DESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE PURPOSES OF THIS ASSESSMENT, "COMMUNITY" IS DEFINED AS THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THE PSA INCLUDES COMMUNITIES IN MCHENRY COUNTY AND LAKE COUNTY, AND A SMALL PORTION OF BARRINGTON WHICH LIES IN COOK COUNTY. THE PSA INCLUDES THE FOLLOWING VILLAGES AND CITIES: BARRINGTON (60010), LAKE ZURICH/ LONG GROVE (60047), CRYSTAL LAKE (60014), CARY (60013), FOX RIVER GROVE (60021), ISLAND LAKE (60042), WAUCONDA (60084), MCHENRY (60050), JOHNSBURG/MCHENRY (60051), ALGONQUIN (60102) AND LAKE IN THE HILLS (60156).DEMOGRAPHICS POPULATION. AS OF 2016-2020, THE POPULATION OF THE PSA IS 309,633 AND THIS POPULATION HAS REMAINED STEADY OVER THE PAST DECADE. THE THREE MOST POPULATED COMMUNITIES WITHIN THE PSA ARE CRYSTAL LAKE (60014) WITH A POPULATION OF 46,866, BARRINGTON (60010) WITH 46,326 RESIDENTS AND LAKE ZURICH/ LONG GROVE (60047) WITH A POPULATION OF 42,242(METOPIO, AMERICAN COMMUNITY SURVEY, 2016-2020).AGE. THE MEDIAN AGE OF ALL RESIDENTS IN THE PSA IS 41.6 YEARS; THE MEDIAN AGE FOR FEMALES IS 42.5 YEARS AND 40.5 YEARS FOR MALES. THE PSA MEDIAN AGE HAS DECREASED BY EXACTLY ONE YEAR SINCE 2011-2015.GENDER. A TOTAL OF 49.6 PERCENT OF THE PSA RESIDENTS ARE MALE AND 50.4 PERCENT ARE FEMALE.RACE/ETHNICITY. THE POPULATION OF THE HOSPITAL'S PSA IS 80.3 PERCENT WHITE, 6.4 PERCENT ASIAN AND 1.1 PERCENT AFRICAN AMERICAN. NINETY PERCENT OF RESIDENTS ARE NON-HISPANIC, AND 10.2 PERCENT ARE OF HISPANIC ETHNICITY. A TOTAL OF 10.2 PERCENT OF THE POPULATION IS OF HISPANIC OR LATINO ETHNICITY. THE ZIP CODES IN THE HOSPITAL'S PSA WITH THE HIGHEST PERCENT OF HISPANIC RESIDENTS ARE WAUCONDA (17.2 PERCENT), ISLAND LAKE (15.8 PERCENT), LAKE IN THE HILLS (15.1 PERCENT) MCHENRY (14.8 PERCENT) AND FOX RIVER GROVE (12.7 PERCENT) (METOPIO, AMERICAN COMMUNITY SURVEY, 2016-2020)INCOME. THE MEDIAN HOUSEHOLD INCOME FOR GOOD SHEPHERD PSA RESIDENTS IS $114,094, WHICH IS HIGHER THAN BOTH LAKE ($97,650) AND MCHENRY ($94,867) COUNTIES, ILLINOIS ($72,117) AND THE UNITED STATES ($68,498). WITHIN THE PSA, THE ZIP CODES WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME ARE BARRINGTON (60010) AT $154,404 AND LAKE ZURICH/ LONG GROVE AT $150,672 AND THE LOWEST MEDIAN HOUSEHOLD INCOMES ARE MCHENRY (60050) AT $77,572 AND ISLAND LAKE AT $87,055 (METOPIO, AMERICAN COMMUNITY SURVEY, 2016-2020)POVERTY. IN THE PSA, 4.9 PERCENT OF RESIDENTS IN FAMILIES ARE IN POVERTY (BELOW THE FEDERAL POVERTY LEVEL), WHICH IS MUCH LOWER THAN THE ILLINOIS STATE RATE OF 12 PERCENT. ADDITIONALLY, 4.8 PERCENT OF INFANTS (0-4 YEARS), 6.4 PERCENT OF JUVENILES (5-17 YEARS) AND 4.7 PERCENT OF ADULTS AGE 65 AND OLDER ARE LIVING BELOW THE POVERTY LEVEL. ADDITIONALLY, THERE ARE HIGHER RATES OF FEMALES (5.3 PERCENT) LIVING BELOW THE POVERTY LEVEL THAN MALES (4.4 PERCENT) (METOPIO, AMERICAN COMMUNITY SURVEY, 2016-2020)ADULTS WITH HEALTH INSURANCE. IN THE ADVOCATE GOOD SHEPHERD PSA, 88.7 PERCENT OF RESIDENT ADULTS AGED 18 TO 64 YEARS REPORT TO HAVE CURRENT HEALTH INSURANCE COVERAGE. THE PSA PERCENTAGE OF RESIDENT ADULTS WHO REPORT HAVING NO CURRENT HEALTH INSURANCE COVERAGE IS 11.3 PERCENT, WHICH HAS INCREASED SINCE 2015.PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. TWENTY-TWO PERCENT OF RESIDENTS IN THE ADVOCATE GOOD SHEPHERD PSA ARE COVERED BY PUBLIC INSURANCE AND THIS RATE IS TRENDING UP OVER TIME. IN LAKE AND MCHENRY COUNTIES, THE PERCENTAGE OF PERSONS WITH PUBLIC HEALTH INSURANCE IS ONLY 27.6 PERCENT AND 25.9 PERCENT, RESPECTIVELY. THE PSA AND BOTH COUNTIES HAVE LOWER PERCENTAGES OF PERSONS WITH PUBLIC HEALTH INSURANCE THAN ILLINOIS (33.7 PERCENT) AND THE U.S. (35.3 PERCENT) (METOPIO, AMERICAN COMMUNITY SURVEY, 2016-2020)HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THE HOSPITALS AND FQHCS IN THE ADVOCATE GOOD SHEPHERD PSA INCLUDE ADVOCATE SHERMAN HOSPITAL (ELGIN, IL), ADVOCATE CONDELL MEDICAL CENTER (LIBERTYVILLE, IL), NORTHWESTERN MEDICINE-HUNTLEY HOSPITAL (HUNTLEY, IL), GREATER ELGIN FAMILY CARE CENTER (GEFCC) (FQHC), AUNT MARTHA'S CLINIC (FQHC), LAKE COUNTY HEALTH DEPARTMENT AND ERIE HEALTH WAUKEGAN (FQHC). IN LAKE COUNTY, THERE ARE FOUR DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS)ONE FOR THE NORTH CHICAGO SERVICE AREA, ONE FOR WAUKEGAN SERVICE AREA, ONE FOR ZION SERVICE AREA AND ONE FOR THE HIGHLAND PARK/HIGHWOOD SERVICE AREA. IN MCHENRY COUNTY, THERE IS ONE DESIGNATED MEDICALLY UNDERSERVED POPULATION (MUP) FOR THE POVERTY POPULATION OF WOODSTOCK. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY INFORMATION - LGH DESCRIPTION OF THE COMMUNITY/POPULATION.THIS AREA INCLUDES APPROXIMATELY 1,066,255 INDIVIDUALS, WHICH IS A SLIGHT POPULATION INCREASE FROM THE 2019 CHNA (METOPIO, AMERICAN COMMUNITY SURVEY). THERE ARE 28 ZIP CODES25 IN COOK COUNTY AND THREE IN LAKE COUNTYWITHIN THE HOSPITAL'S PSA. 5 ADVOCATE LUTHERAN GENERAL'S PSA INCLUDES THE FOLLOWING COMMUNITIES: IRVING PARK/PORTAGE (60641), ELMWOOD PARK (60707), DES PLAINES (60018), DUNNING (60634), JEFFERSON PARK (60630), PALATINE (60074), HARWOOD HEIGHTS (60706), MOUNT PROSPECT (60656), NILES (60714), WHEELING (60090), SKOKIE (60077), DES PLAINES (60016), PROSPECT HEIGHTS (60070), MORTON GROVE (60053), SKOKIE (60076), HARWOOD HEIGHTS (60056), NORWOOD PARK (60631), ARLINGTON HEIGHTS (60005), FOREST GLEN (60646), ARLINGTON HEIGHTS (60004), PALATINE (60067), GLENVIEW (60025), BUFFALO GROVE (60089), PARK RIDGE (60068), NORTHBROOK (60062), LAKE ZURICH (60047), GLENVIEW (60026) AND DEERFIELD (60015).DEMOGRAPHICS POPULATION. THE TOTAL POPULATION FOR THE HOSPITAL'S PSA IS 1,066,255. THE LARGEST ZIP CODES/COMMUNITIES IN THE PSA ARE IRVING PARK/DUNNING (60634) AT 75,694, IRVING PARK/PORTAGE PARK (60641) AT 69,354 AND DES PLAINES (60016) AT 61,888. THE ZIP CODES/COMMUNITIES WITH THE SMALLEST POPULATION ARE GLENVIEW (60026) AT 14,518, PROSPECT HEIGHTS (60070) AT 15,840 AND MORTON GROVE (60053) AT 25,297.AGE AND SEX. THE MEDIAN AGE FOR THE POPULATION LIVING IN ADVOCATE LUTHERAN GENERAL'S PSA IS 41.9 YEARS (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THE LARGEST AGE GROUP IN THE HOSPITAL'S PSA ARE THE ADULTS 4064 YEARS OF AGE, ACCOUNTING FOR 34.62 PERCENT OF THE PSA FOLLOWED BY THE 1839-YEAR-OLD AGE GROUP AT 25.73 PERCENT. THE MALE POPULATION ACCOUNTS FOR 48.53 PERCENT OF THE PSA WHILE THE FEMALE POPULATION IS 51.47 PERCENT OF THE PSA.RACE/ETHNICITY. DEMOGRAPHIC DATA FOR THE HOSPITAL'S PSA SHOWS THAT THE LARGEST RACIAL/ETHNIC GROUP IS THE NON-HISPANIC WHITE POPULATION AT 63.11 PERCENT FOLLOWED BY THE HISPANIC OR LATINO POPULATION AT 19.57 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THE THIRD LARGEST RACIAL/ETHNIC GROUP IS THE ASIAN OR PACIFIC ISLANDER POPULATION AT 12.66 PERCENT FOLLOWED BY THE NON-HISPANIC BLACK POPULATION AT 2.38 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THE PSA COMMUNITIES WITH THE LARGEST HISPANIC/LATINO POPULATIONS INCLUDE IRVING PARK/PORTAGE PARK (60641) AT 54.61 PERCENT, ELMWOOD PARK (60707) AT 39.1 PERCENT AND IRVING PARK/DUNNING (60634) AT 38.4 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). PSA COMMUNITIES WITH THE LARGEST ASIAN/PACIFIC ISLANDER POPULATIONS INCLUDE SKOKIE (60053) AT 30.5 PERCENT, SKOKIE (60077) AT 29 PERCENT AND SKOKIE (60076) AT 28.8 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). COMMUNITIES WITH THE LARGEST NON-HISPANIC BLACK POPULATION INCLUDE SKOKIE (60076) AT 8.5 PERCENT, ELMWOOD PARK (60707) AT 6.9 PERCENT AND SKOKIE (60007) AT 5.9 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).INCOME. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA IS HIGH ($90,476) COMPARED TO COOK COUNTY ($68,586) AND ILLINOIS ($69,886) (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THERE IS A SIGNIFICANT RACIAL DISPARITY IN MEDIAN HOUSEHOLD INCOME WITH THE HISPANIC/LATINO POPULATION HAVING THE LOWEST MEDIAN HOUSEHOLD INCOME AT $72,625 FOLLOWED BY THE NON-HISPANIC BLACK POPULATION AT $78,926. THE NON-HISPANIC WHITE POPULATION ($90,476) AND THE ASIAN OR PACIFIC ISLANDER POPULATION WITH A MEDIAN HOUSEHOLD INCOME OF $105,969, THE HIGHEST COMPARED TO ALL OTHER RACIAL AND ETHNIC GROUPS. POVERTY. APPROXIMATELY, 3.29 PERCENT OF THE PSA LIVES IN DEEP POVERTY WHICH IS LOWER THAN COOK COUNTY AT 6.5 PERCENT AND THE STATE AT 5.73 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). THE COMMUNITIES WITH THE LARGEST POPULATION OF RESIDENTS IN DEEP POVERTY INCLUDE TWO ZIP CODES IN DES PLAINES AT 5.13 PERCENT (60018) AND 4.96 PERCENT (60016), PALATINE (60074) AT 4.85 PERCENT, TWO ZIP CODES IN SKOKIE AT 4.6 PERCENT (60077) AND 4.56 PERCENT (60076) AND JEFFERSON PARK (60630) AT 4.47 PERCENT.ADULTS WITH HEALTH INSURANCE. APPROXIMATELY 14.72 PERCENT OF ADULTS IN THE HOSPITAL'S PSA HAVE NO HEALTH INSURANCE, WHICH IS LESS THAN COOK COUNTY AT 21.10 PERCENT AND THE STATE AT 18.23 PERCENT (METOPIO, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, 2022). THE COMMUNITIES IN THE PSA WITH THE LARGEST PERCENTAGE OF UNINSURED ADULTS INCLUDE IRVING PARK/PORTAGE PARK (60641) AT 24.3 PERCENT, DES PLAINES (60018) AT 21.9 PERCENT, ELMWOOD PARK (60707) AT 19.8 PERCENT, WHEELING (60090) AT 19. 3 PERCENT AND IRVING PARK/DUNNING AT 19.3 PERCENT. THESE COMMUNITIES ARE ALSO SOME OF THE MOST RACIALLY/ETHNICALLY DIVERSE ZIP CODES IN THE PSA. THE NUMBER OF NON-CITIZENS WHO ARE UNINSURED IN THE PSA IS 36,593 RESIDENTS (METOPIO, AMERICAN COMMUNITY SURVEY, 2022). CHILDREN WITH HEALTH INSURANCE. IN ADVOCATE CHILDREN'S HOSPITAL-PARK RIDGE PSA, CHILDREN (0-17 YEARS) ACCOUNT FOR 6.26 PERCENT OF THE UNINSURED POPULATION. COOK COUNTY HAS 6.50 PERCENT, LAKE COUNTY HAS 6.25 PERCENT, DUPAGE COUNTY HAS 5.73 PERCENT, AND THE STATE OF ILLINOIS HAS 5.91 PERCENT. DESPITE STATE AND FEDERAL OPTIONS FOR FREE OR LOW-COST CHILDREN'S HEALTH INSURANCE, OVER 5 PERCENT OF CHILDREN IN ILLINOIS ARE STILL WITHOUT HEALTH INSURANCE. WHEN CHILDREN ARE UNINSURED, THEY ARE MORE LIKELY TO HAVE UNMET HEALTH NEEDS AND LACK A USUAL SOURCE OF CARE, WHICH CAN DIMINISH THEIR CHANCES TO GROW INTO HEALTHY ADULTS.PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN THE PSA, 28.08 PERCENT OF RESIDENTS ARE COVERED BY PUBLIC HEALTH INSURANCE, SUCH AS MEDICARE, MEDICAID, VA HEALTH CARE, OR OTHER MEANS-TESTED PUBLIC HEALTH INSURANCE. THIS PERCENTAGE IS HIGHER THAN LAKE COUNTY, WITH 27.61 PERCENT, AND DUPAGE COUNTY WITH 24.74 PERCENT. COOK COUNTY DEMONSTRATES THE HIGHEST PERCENTAGE OF RESIDENTS ON PUBLIC HEALTH INSURANCE WITH 34.34 PERCENT. WHILE THESE NUMBERS INCLUDE BOTH CHILDREN AND ADULTS, THIS DATA ILLUSTRATES THE SCOPE OF FAMILIES IN OUR SERVICE AREA WHOSE ECONOMIC STATUS QUALIFIES THEM FOR PUBLIC ASSISTANCE, WHICH CAN LIMIT THEIR ACCESS TO QUALITY HEALTH CARE AND IMPACT HEALTH OUTCOMES.HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. ACCESS GENESIS CENTER FOR HEALTH AND EMPOWERMENT OAK STREET HEALTH OLD IRVING PARK CLINIC TAPESTRY 360 HEALTH, FORMERLY HEARTLAND HEALTH CENTERS COOK COUNTY DEPARTMENT OF PUBLIC HEALTH ASCENSION HOLY FAMILY MEDICAL CENTER ASCENSION RESURRECTION MEDICAL CENTER SHRINERS CHILDREN'S CHICAGO NORTHSHORE UNIVERSITY HEALTH SYSTEM COMMUNITY FIRST MEDICAL CENTER NORTHSHORE UNIVERSITY HEALTH SYSTEM- GLENBROOK CHICAGO BEHAVIORAL HOSPITAL MARYVILLE CHILDREN'S HEALTHCARE CENTER 13-SCHEDULE H - DESCRIPTION OF COMMUNITY INFORMATION - SSUB DESCRIPTION OF THE COMMUNITY/POPULATION.FOR THE PURPOSES OF THE 2020-2022 ASSESSMENT, "COMMUNITY" IS DEFINED AS ADVOCATE SOUTH SUBURBAN'S PRIMARY SERVICE AREA (PSA). THE PSA COMPRISES 22 ZIP CODES IN SOUTH SUBURBAN COOK COUNTY WITH PARTS OF PARK FOREST AND FRANKFORT IN WILL COUNTY, ILLINOIS AND INCLUDES A TOTAL POPULATION OF 470,289. THE PSA INCLUDES THE COMMUNITIES OF CALUMET CITY, CHICAGO HEIGHTS, COUNTRY CLUB HILLS, DOLTON, FRANKFORT, FLOSSMOOR, GLENWOOD, HARVEY, HAZEL CREST, HOMEWOOD, LANSING, MARKHAM, MATTESON, MIDLOTHIAN, OAK FOREST, OLYMPIA FIELDS, PARK FOREST, RICHTON PARK, SOUTH HOLLAND, THORNTON, AND TINLEY PARK. * (*TINLEY PARK HAS TWO ZIP CODES)DEMOGRAPHICS POPULATION. IN 2020, THE TOTAL POPULATION OF THE PSA WAS 470,289. THERE WAS A 26,344 DECREASE IN THE POPULATION, REPRESENTING A 5.3 PERCENT DECREASE FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. (SOURCE: METOPIO, AMERICAN COMMUNITY SURVEY, 2022).AGE. THE MEDIAN AGE IN THE HOSPITAL PSA IS 39.4 YEARS, WHICH IS SLIGHTLY HIGHER THAN THE COOK COUNTY (37 YEARS) AND ILLINOIS (38.3) MEDIAN AGE. THE MEDIAN AGE FOR FEMALES IN THE PSA IS 41.6 YEARS, WHICH IS FIVE YEARS HIGHER THAN THE MEDIAN AGE FOR MEN (36.4 YEARS) IN THE PSA. THE PERCENTAGE OF THE POPULATION AGES FIVE YEARS AND OLDER IS 94.5 PERCENT; LEAVING ONLY 5.5 PERCENT OF THE POPULATION AGES 0-4 YEARS OF AGE (SOURCE: METOPIO, AMERICAN COMMUNITY SURVEY, 2020).GENDER. IN THE PSA, 53 PERCENT ARE FEMALE RESIDENTS, WHILE MEN ARE 47 PERCENT OF RESIDENTS. RACE/ETHNICITY. IN THE HOSPITAL PSA, 49.5 PERCENT OF THE POPULATION IN THE PSA IS NON-HISPANIC BLACK, WHILE 32.2 PERCENT IS NON-HISPANIC WHITE. THE REMAINING RACES ARE COMPRISED OF HISPANICS OR LATINO (13.9 PERCENT), ASIAN OR PACIFIC ISLANDERS (1.6 PERCENT), TWO OR MORE RACES (2.6 PERCENT) AND NATIVE AMERICAN (0.1 PERCENT) (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).INCOME. THE MEDIAN HOUSEHOLD INCOME FOR THE HOSPITAL'S PSA IS $72,031 VERY COMPARABLE TO THE COOK COUNTY ($71,546) AND ILLINOIS ($72,112) HOUSEHOLD INCOME. (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).POVERTY. IN THE HOSPITAL PSA, 13.5 PERCENT OF RESIDENTS ARE LIVING BELOW 150 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL). THIS NUMBER IS SLIGHTLY LOWER THAN THE COOK COUNTY RATE OF 13.6 PERCENT BUT HIGHER WHEN COMPARED TO ILLINOIS (11.9 PERCENT). NEARLY 20 PERCENT OF CHILDREN AGES 5-17 YEARS OF AGE LIVE BELOW THE FEDERAL POVERTY LEVEL IN THE HOSPITAL'S PSA. THAT IS HIGHER THAN THE COOK COUNTY RATE OF 19 PERCENT AND THE ILLINOIS RATE OF 15.6 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2022).ADULTS WITH HEALTH INSURANCE. THE PERCENTAGE OF RESIDENTS COVERED BY PRIVATE HEALTH INSURANCE, SUCH AS EMPLOYER-PROVIDED HEALTH INSURANCE, DIRECT-PURCHASE IN THE HOSPITAL PSA IS 66 PERCENT. THIS RATE IS SLIGHTLY HIGHER THAN THE COOK COUNTY RATE OF 65.1 PERCENT AND LOWER THAN THE STATE OF ILLINOIS RATE OF 70.3 PERCENT. (METOPIO, AMERICAN COMMUNITY SURVEY, 2015-2019).PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. THE PERCENTAGE OF RESIDENTS COVERED BY PUBLIC INSURANCE SUCH AS MEDICARE, MEDICAID, VA HEALTH CARE, OR MEANS-TESTED PUBLIC HEALTH INSURANCE IN THE HOSPITAL PSA IS 38.1 PERCENT; HIGHER THAN THE COOK COUNTY RATE OF 34.7 AND STATE OF ILLINOIS RATE OF 33.7 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY, 2015-2019).HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. INCLUDING ADVOCATE SOUTH SUBURBAN HOSPITAL, THERE ARE THREE HOSPITALS, FIVE FEDERALLY QUALIFIED HEALTH CENTERS AND TWO COOK COUNTY HEALTH CENTERS/CLINICS THAT SERVES THE COMMUNITIES IN THE HOSPITAL'S PSA. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY INFORMATION - TRINITY DESCRIPTION OF THE COMMUNITY/POPULATION. ACCORDING TO THE 2020-2022 CHNA, ADVOCATE TRINITY DEFINES ITS COMMUNITY AS THE HOSPITAL'S PRIMARY SERVICE AREA (PSA), ENCOMPASSING SIX ZIP CODES WITHIN CHICAGO. THESE ZIP CODES INCLUDE 60617 (SOUTH CHICAGO), 60619 (GRAND CROSSING), 60620 (AUBURN GRESHAM), 60628 (ROSELAND), 60643 (MORGAN PARK) AND 60649 (SOUTH SHORE). DEMOGRAPHICS POPULATION. AS OF 2020, THE TOTAL POPULATION OF ADVOCATE TRINITY'S PSA IS 365,921 RESIDENTS. THIS DEMONSTRATES A DECREASE OF 14,454 RESIDENTS REPRESENTING A 3.8 PERCENT DECREASE OF RESIDENTS FROM THE MOST RECENT 2019 CHNA DUE TO COVID-19 PANDEMIC DEATHS AND OTHER CHRONIC HEALTH CONDITIONS IN THE PSA (METOPIO, AMERICAN COMMUNITY SURVEY, 2020).AGE. THE MEDIAN AGE OF THE PSA IS 39.5 YEARS OLD. IN THE PSA, 22.8 PERCENT OF THE POPULATION ARE AGED 17 YEARS AND YOUNGER; 17.3 PERCENT ARE AGED 65 YEARS AND OVER AND 28.1 PERCENT ARE YOUNG ADULTS AGED 18-39 YEARS. THE LARGEST POPULATION IN THE PSA ARE THOSE AGES 40-64 YEARS AT 31.8 PERCENT AND AGES 18-64 YEARS AT 59.9 PERCENT. (METOPIO, AMERICAN COMMUNITY SURVEY, 2016-2020).GENDER. THE POPULATION IN THE PSA IS 55.0 PERCENT FEMALE, HIGHER WHEN COMPARED TO 50.9 PERCENT FOR ILLINOIS. THERE ARE 45.0 PERCENT MALES IN THE HOSPITAL'S PSA COMPARED TO 49.1 PERCENT IN THE STATE OF ILLINOIS. OVERALL, THERE ARE SLIGHT DIFFERENCES IN GENDER BETWEEN THE PSA AND THE STATE OF ILLINOIS AMONG THE MALE AND FEMALE POPULATIONS (METOPIO, AMERICAN COMMUNITY SURVEY, 2020).RACE/ETHNICITY. EIGHTY-TWO PERCENT OF THE PSA POPULATION IS NON-HISPANIC BLACK, 10.6 PERCENT HISPANIC OR LATINO, 0.30 PERCENT ASIAN OR PACIFIC ISLANDER AND 5.30 PERCENT NON-HISPANIC WHITE (METOPIO, AMERICAN COMMUNITY SURVEY, 2016-2020).INCOME. AS OF 2020, THE HOSPITAL'S PSA HAS A MEDIAN HOUSEHOLD INCOME LEVEL OF $47,374, WHICH IS SIGNIFICANTLY LOWER WHEN COMPARED TO THE ILLINOIS MEDIAN HOUSEHOLD INCOME LEVEL OF $72,117 (METOPIO, AMERICAN COMMUNITY SURVEY 2016- 2020). POVERTY. DATA FROM 2020 INDICATES THAT 23.1 PERCENT OF THE PSA POPULATION IS LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), WHICH IS DOUBLE WHEN COMPARED TO COOK COUNTY (13.6 PERCENT) AND THE STATE OF ILLINOIS AT 11.9 14 PERCENT (METOPIO, AMERICAN COMMUNITY SURVEY 2016-2020).ADULTS WITH HEALTH INSURANCE. PRIVATE HEALTH INSURANCE IS THE MOST COMMON TYPE OF HEALTH INSURANCE IN THE U.S. IN 2020. ADVOCATE TRINITY'S PSA HAD 51.4 PERCENT OF RESIDENTS WITH PRIVATE INSURANCE AND 65.7 PERCENT OF RESIDENTS WHO RESIDE IN COOK COUNTY HAD PRIVATE HEALTH INSURANCE. THIS VALUE IS LOWER THAN THE ILLINOIS RATE OF 70. 6 PERCENT AND THE U.S. RATE OF 68.0 PERCENT OF RESIDENTS (METOPIO, AMERICAN COMMUNITY SURVEY, 2020).PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. PUBLIC HEALTH COVERAGE INCLUDES THE FEDERAL PROGRAMS MEDICARE, MEDICAID, AND VA HEALTH CARE (PROVIDED THROUGH THE DEPARTMENT OF VETERANS AFFAIRS), THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), AND INDIVIDUAL STATE HEALTH PLANS. IN THE HOSPITALS PSA, 51.2 PERCENT OF RESIDENTS HAVE PUBLIC HEALTH INSURANCE WHICH IS HIGHER THAN COOK COUNTY AT 34.3 PERCENT OF THE RESIDENTS AND THE STATE OF ILLINOIS AT 33.6 PERCENT AND THE U.S. AT 35.2 PERCENT. (METOPIO, AMERICAN COMMUNITY SURVEY, 2020).HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. ADVOCATE TRINITY IS ALSO A PARTNER OF THE SOUTH SIDE HEALTHY COMMUNITY ORGANIZATION (SSHCO), A NETWORK OF 13 HEALTHCARE ORGANIZATIONS, HEALTH SYSTEMS AND FEDERALLY QUALIFIED HEALTH CENTERS ON THE SOUTH SIDE OF CHICAGO. THERE ARE SEVERAL HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND THE COOK COUNTY HEALTH SYSTEM (CCHS) CLINICS WHICH SERVE ADVOCATE TRINITY'S PSA. THERE ARE THREE COMMUNITIES WHICH ARE MEDICALLY UNDERSERVED AREAS (MUAS) AND EXHIBIT THE HIGHEST SOCIAL NEEDS, INCLUDING AUBURN GRESHAM (60620), SOUTH CHICAGO (60617), AND ROSELAND (60628). 13-SCHEDULE H - DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES - GSAM HEALTH NEEDS SELECTEDAS A RESULT OF THE 2020-2022 CHNA PROCESS, ADVOCATE GOOD SAMARITAN HOSPITAL SELECTED HEALTH, WELLNESS AND NUTRITION AND BEHAVIORAL HEALTH AS THE TOP TWO PRIORITIES. BY EARLY 2023, THE COMMUNITY HEALTH DEPARTMENT PUBLISHED IT'S 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) DOCUMENT WHICH OUTLINE SPECIFIC STRATEGIES AND INTERVENTIONS TO ADDRESS THE HEALTH PRIORITIES. HEALTH, WELLNESS AND NUTRITIONHEALTH AND NUTRITION WAS CHOSEN AS ONE OF THE TWO HEALTH NEED PRIORITIES DUE TO THE MANY CHRONIC DISEASES AND HEALTH ISSUES THAT ARE RELATED TO POOR NUTRITION, PHYSICAL INACTIVITY AND OVERALL UNHEALTHY LIFESTYLE CHOICES. MOREOVER, THE COUNCIL ALSO IDENTIFIED HEALTH AND NUTRITION DUE TO THE LARGE IMPACT THIS ISSUE HAS ON QUALITY OF LIFE AND OVERALL HEALTH OUTCOMES IN THE PSA. THE COUNCIL ALSO RECOGNIZED THE IMPACT LACK OF ACCESS TO HEALTH CARE HAS ON DISEASE PREVENTION AND MANAGEMENT THUS ACCESS TO HEALTH CARE IS INCLUDED IN THE HEALTH AND NUTRITION PRIORITY. 2023 HEALTH, WELLNESS AND NUTRITION IMPACT REPORT: IN PARTNERSHIP WITH PEACE MANOR RESIDENCIES IN DOWNERS GROVE, ADVOCATE GOOD SAMARITAN'S COMMUNITY HEALTH TEAM LED A SERIES OF HEART HEALTH WORKSHOPS WITH THE INTENTION OF BRINGING EDUCATION AND PREVENTION TO ELDER INDIVIDUALS. AS PART OF OUR EFFORTS TO DEVELOP FUTURE HEALTH PROFESSIONALS, COMMUNITY HEALTH PARTNERED WITH ELMHURST UNIVERSITY'S PUBLIC HEALTH DEPARTMENT. ON AVERAGE, EACH CLASS HAD ABOUT 15-20 PARTICIPANTS. ADDITIONALLY, ADVOCATE GOOD SAMARITAN'S COMMUNITY HEALTH DEPARTMENT PARTNERED WITH UNIVERSITY OF ILLINOIS EXTENSION TO BRING THEIR HEALTHY CENTS PROGRAM WHICH OFFERS HEALTH EDUCATION WORKSHOPS WITH BUDGET FRIENDLY HEALTHY RECIPES. A 12 WEEK WORKSHOP WAS IMPLEMENTED AT IMMANUEL RESIDENCIES. TO SUPPORT OTHER EDUCATIONAL NEEDS, COMMUNITY HEALTH ORGANIZED PHYSICIAN LECTURES AT PEACE MANOR AND IMMANUEL RESIDENCIES. ADVOCATE GOOD SAMARITAN HOSPITAL HAS ALSO BEEN SUPPORTIVE OF THE TAKE CHARGE OF YOUR DIABETES (TCOYD) WORKSHOPS, WHICH ARE PROVIDED BY TRAINED FACILITATORS FROM THE DUPAGE HEALTH COALITION (DHC). THE STANFORD DEVELOPED EVIDENCE BASED CURRICULUM IS A 6-WEEK PROGRAM THAT FOCUSES ON PREVENTION THROUGH EDUCATION AND BEHAVIOR CHANGES. THE PROGRAM CREATES AN INTERACTIVE ENVIRONMENT THAT ALLOWS PARTICIPANTS TO DEVELOP THEIR ACTION PLANS TO FOCUS ON IMPROVING HEALTH OUTCOMES. IN 2023, 6 TOTAL WORKSHOPS WERE PROVIDED, 6 CLASSES EACH, 36 TOTAL CLASSES IN PARTNERSHIP WITH THE NORTHERN ILLINOIS FOOD BANK, VALLEY VIEW SCHOOL DISTRICT 365, VNA HEALTH CARE, AND SOUTHWEST SUBURBAN IMMIGRANT PROJECT (SSIP), ADVOCATE GOOD SAMARITAN HOSPITAL MOBILIZED A COLLABORATIVE EFFORT TO ADDRESS FOOD SECURITY IN AN AREA THAT LACKS ACCESS TO HEALTHY FOODS AND PRIORITY AREA FOR THE HOSPITAL. IN AUGUST OF 2023, THE TEAM INTRODUCE THE RX MOBILE PANTRY PROGRAM IN BOLINGBROOK WHICH SERVED 575 FAMILIES, 2,300 TOTAL HOUSEHOLD MEMBERS WERE SERVED AND OVER 24,000 POUNDS OF HEALTHY FOOD WAS PROVIDED TO THE COMMUNITY.BEHAVIORAL HEALTHTHE BEHAVIORAL HEALTH PRIORITY INCLUDES MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE. ALTHOUGH MENTAL HEALTH RECEIVED A HIGHER COMPARED TO SUBSTANCE/ALCOHOL USE, THE HOSPITAL'S CHC CONSIDERED THE STRONG CORRELATION BETWEEN SUBSTANCE USE AND MENTAL HEALTH, MAKING IT ESSENTIAL FOR THE HOSPITAL TO ADDRESS BOTH HEALTH ISSUES IN TANDEM. THE RATE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE HAVE CONTINUED TO INCREASE IN THE PSA OVER TIME AND THE COVID-19 PANDEMIC HAS EXACERBATED THE HEALTH ISSUE(S). DATA AND HOSPITALIZATION RATES ALSO INDICATE THAT THERE IS A GREAT NEED FOR EXPANSION OF BEHAVIORAL HEALTH SERVICES SUCH AS MENTAL HEALTH SERVICES, SUBSTANCE USE DISORDER TREATMENT, HOUSING AND PREVENTATIVE PROGRAMMING2023 BEHAVIORAL HEALTH IMPACT REPORT: IN 2023, ADVOCATE GOOD SAMARITAN HOSPITAL CONTINUED ITS LONGSTANDING PARTNERSHIP WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS IN DUPAGE (NAMI) BY WORKING TOGETHER TO SUPPORT THE ENDING THE SILENCE (ETS) WORKSHOPS. ADVOCATE GOOD SAMARITAN SPONSORED 5 ETS WORKSHOPS, WHICH SUPPORT A TOTAL OF 84 STUDENTS. THE PROGRAM IS CENTERED AROUND SUICIDE PREVENTION AND INCORPORATES OVERALL AWARENESS OF VARIOUS BEHAVIORAL HEALTH CONCERNS. IN PARTNERSHIP WITH SERTOMA CENTER AND ADVOCATE GOOD SAMARITAN HOSPITAL'S EMERGENCY MEDICAL SERVICES TEAM, A MENTAL HEALTH FIRST AID TRAINING WAS OFFERED TO 23 EMS STUDENTS. ADVOCATE GOOD SAMARITAN HOSPITAL'S COMMUNITY HEALTH TEAM IS ALSO PART OF THE DUPAGE COUNTY HEALTH DEPARTMENT'S BEHAVIORAL HEALTH COLLABORATIVE GROUP. THE TEAM MEETS MONTHLY TO PLAN AND PRIORITIZE INITIATIVES IN ALIGNMENT WITH OTHER COMMUNITY-BASED ORGANIZATIONS. ADVOCATE GOOD SAMARITAN HOSPITAL'S NALOXONE PROGRAM CONTINUES TO SUPPORT PATIENTS PRESENTING OPIOID OVERDOSE, HISTORY OF OPIOID RELATED EVENT, HISTORY OF SUBSTANCE ABUSE DISORDER OR GENERAL PATIENTS REQUESTING NALOXONE TO TAKE HOME. THE PROGRAM HAS IMPROVED ACCESS TO OVERDOSE PREVENTION RESOURCES. IN 2023, 14 PATIENTS WERE SERVED.FOR A COMPLETE 2023 PROGRAM RECAP, INCLUDING ADDITIONAL ACCOMPLISHMENTS, VISIT ADVOCATE GOODS SAMARITAN HOSPITAL'S 2023 COMMUNITY HEALTH PROGRESS REPORTFOR DETAILS ON OUR IMPLEMENTATION STRATEGIES, VISIT ADVOCATE GOOD SAMARITAN'S COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS): 2023-2025 GSAM CHISHEALTH NEEDS NOT SELECTED AND WHY CARDIOVASCULAR/HEART DISEASE DIABETES CANCER ASTHMA COVID-19FOR MORE DETAILS ONE HEALTH NEEDS NOT SELECTED AND WHY, SEE HEALTH NEEDS NOT SELECTED ON PAGE 30 OF THE 2022 ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH NEEDS ASSESSMENT 13-SCHEDULE H - DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES - GSHEP HEALTH NEEDS SELECTEDAS A RESULT OF THE 2020-2022 CHNA PROCESS, ADVOCATE GOOD SHEPHERD SELECTED TWO PRIORITIES FOR 2023-2025 IMPLEMENTATION PLANNING, INCLUDING: 1) OBESITY (DIABETES, HEART DISEASE, NUTRITION, AND EXERCISE) AND 2) BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE).(FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 59-61 OF THE ADVOCATE GOOD SHEPHERD 2017-2019 CHNA REPORT AT 2022-OFFICIAL-ADVOCATE-GOOD-SHEPHERD-CHNA-REPORT.PDF (ADVOCATEHEALTH.COM)OBESITY. THE PREVALENCE OF OBESITY HAS CONTINUED TO STEADILY INCREASE BOTH LOCALLY AND NATIONALLY. OBESITY PREVALENCE RATES AS OF 2017 SHOW ALL STATES HAD MORE THAN 20 PERCENT OF ADULTS WITH OBESITY, AS DETERMINED BY BMI MEASUREMENTS IN THE OBESE RANGE. IN 2017 OBESITY PREVALENCE RATES FOR ILLINOIS REMAIN BETWEEN 30 AND 35 PERCENT. MORE THAN SIXTEEN PERCENT OF ILLINOIS ADOLESCENTS ARE OBESE. FIFTEEN PERCENT OF ILLINOIS WIC PRESCHOOLERS, AGES TWO TO FOUR, ARE OBESE. IN LAKE COUNTY, 24 PERCENT OF ADULTS ARE OBESE, AND THE RATE IS 26 PERCENT IN MCHENRY COUNTY. SEVEN PERCENT OF LAKE COUNTY ADULTS ARE FOOD INSECURE, AND 13 PERCENT OF MCHENRY COUNTY ADULTS ARE FOOD INSECURE. BECAUSE OF ITS STRONG CORRELATION TO CHRONIC DISEASES AND OTHER HEALTH CONDITIONS, THE CHC VOTED TO CONTINUE FOCUSING ON OBESITY AS A PRIORITY HEALTH ISSUE. FOCUSING ON INCREASING PHYSICAL ACTIVITY, IN 2023, THE HOSPITAL COLLABORATED WITH THE UNIVERSITY OF ILLINOIS AT CHICAGO TO BEGIN PLANNING TO IMPLEMENT THE EVIDENCE-BASED PROGRAM, FIT & STRONG!, WHICH USES FLEXIBILITY, BALANCE, AEROBIC AND STRENGTH EXERCISES COMBINED WITH HEALTH EDUCATION AND GROUP DISCUSSION TO HELP PARTICIPANTS MOVE BETTER AND LEARN SKILLS TO STAY ACTIVE. IN 2023, NEURO BALANCE CENTER, HARVARD SENIOR CENTER AND WAUCONDA PARK DISTRICT WERE ALL IDENTIFIED AS COMMUNITY PARTNERS TO HOST THE FIT & STRONG! CLASSES AND COMPLETED THE REQUIRED TRAINING. THE FIT & STRONG! PROGRAM CONDUCTED THREE CLASS SESSIONS FOR A TOTAL OF 39 PARTICIPANTS. IN 2023, ADVOCATE GOOD SHEPHERD PARTNERED WITH THE MCHENRY COUNTY DEPARTMENT OF HEALTH AND THE UNIVERSITY OF ILLINOIS EXTENSION TO IMPROVE PATRONS' ACCESS TO HEALTHY FOOD OPTIONS BY CONDUCTING THE NUTRITION ENVIRONMENT FOOD PANTRY ASSESSMENT (NEFPAT) IN TWO FOOD PANTRIES - 12 BASKETS FOOD PANTRY IN CRYSTAL LAKE AND THE BARRINGTON TOWNSHIP FOOD PANTRY. BASED ON EACH PANTRY'S ASSESSMENT, A WORK PLAN WAS DEVELOPED TO ENHANCE POLICIES, SYSTEMS, AND THE PANTRY ENVIRONMENT.ADVOCATE GOOD SHEPHERD SMART FARM CONTINUED TO FURTHER SUPPORT THE COMMUNITY BY ENSURING RESIDENTS IN THE PRIMARY SERVICE AREA (PSA) HAVE ACCESS TO HEALTHY AND FRESH PRODUCE IN 2023. THE PRODUCE GROWN SUPPORTS LOCAL FOOD INSECURE COMMUNITY MEMBERS, BUT ALSO RESIDENTS IN LOW-INCOME SOUTH CHICAGO COMMUNITIES SERVED BY ADVOCATE CHRIST MEDICAL CENTER AND ADVOCATE TRINITY HOSPITAL. FRESH PRODUCE FROM SMART FARM IS PROVIDED TO THESE HOSPITALS' FOOD FARMACY PROGRAMS. IN 2023, COMMUNITY HEALTH STAFF CONTINUED TO PLAN FOR 4-H STUDENTS FROM MCHENRY COUNTY AND LAKE COUNTY TO IMPLEMENT PROGRAMS SUCH AS MASTER GARDNER'S CLUB AND ATTEND AN INTERNSHIP PROGRAM THROUGH SMART FARM TO HELP EDUCATE THE NEXT GENERATION OF FARMERS.IN 2023, ADVOCATE GOOD SHEPHERD'S COMMUNITY HEALTH AND COMMUNITY RELATIONS TEAMS COLLABORATED FOR A THIRD YEAR TO SUPPORT A FOOD AND GIFT CERTIFICATE DRIVE TO ASSIST THE LOCAL FOOD PANTRIES. THROUGH THE PROGRAM, 607 FOOD AND PERSONAL HYGIENE ITEMS AND $265 IN GIFT CARDS WERE RAISED. ALL PROCEEDS WERE DONATED TO THE CRYSTAL LAKE FOOD PANTY TO HELP AREA RESIDENTS WHO ARE FOOD INSECURE DURING THE HOLIDAY SEASON. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE). BEHAVIORAL HEALTH WAS AGAIN SELECTED AS THE SECOND HEALTH PRIORITY FOR THE CHNA AND INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE. THE CHC DETERMINED THE STRONG CONNECTION BETWEEN MENTAL HEALTH AND SUBSTANCE USE BASED ON THE DATA PRESENTED AT THE MEETINGS. WHILE THE RATES OF BOTH SUBSTANCE USE AND MENTAL HEALTH CONTINUE TO INCREASE OVER TIME IN THE PSA, COUNTIES AND STATE, THE DATA SUGGESTS THAT MORE WORK NEEDS BE DONE TO ADDRESS THE EVER-GROWING NEED FOR ADDITIONAL SERVICES, ACCESS TO PROGRAMS AND SUPPORT SERVICES IN OUR COMMUNITIES. THE WARM HANDOFF PROGRAM WAS IMPLEMENTED IN THE EMERGENCY DEPARTMENT (ED) AND IS A PARTNERSHIP WITH GATEWAY FOUNDATION, A COMMUNITY-BASED ADDICTION MEDICINE PROVIDER. A GATEWAY FOUNDATION ENGAGEMENT SPECIALIST MEETS WITH A PATIENT IN THE ED WHO HAS COME IN FOR OPIOID OR OTHER SUBSTANCE-RELATED HEALTH ISSUES AND SCREENS AND REFERS THE PATIENT TO TREATMENT. A GATEWAY FOUNDATION RECOVERY COACH ON THE TEAM PROVIDES SUPPORT TO PATIENTS AS THEY TRANSITION INTO TREATMENT. IN 2023, 346 PATIENTS WERE SCREENED AND 37 PERCENT WERE CONNECTED TO SUBSTANCE USE TREATMENT. IN 2023, THE WAUCONDA CHOOSE YOUR PATH COALITION WAS ONE OF 15 DRUG-FREE COMMUNITY (DFC) COALITIONS FROM ACROSS THE COUNTRY TO RECEIVE A BLUE RIBBON COALITION AWARD, RECOGNIZING EXCEPTIONAL COALITION WORK WHICH CREATED A FOUNDATION FOR SUBSTANCE USE PREVENTION AND REDUCTION. IN THE PAST YEAR, THE COALITION DESIGNED AND LAUNCHED NUMEROUS AWARENESS CAMPAIGNS INCLUDING, ONE PILL CAN KILL, TWO TRUTHS CAMPAIGN, STICKER SHOCK, THOSE WHO HOST LOSE THE MOST AND THE SOCIAL NORM CAMPAIGN. BSTRONG TOGETHER AND ADVOCATE GOOD SHEPHERD CONTINUED THE PARTNERSHIP WITH BRONCOS COMMITTED AT BARRINGTON HIGH SCHOOL AND THE BARRINGTON POLICE DEPARTMENT FOR THE STICKER SHOCK CAMPAIGN TO REDUCE THE PURCHASE AND SERVING OF ALCOHOL TO MINORS. ADVOCATE HEALTH CARE NURSE RESIDENCY AND COMMUNITY HEALTH STAFF WORKED WITH THE BARRINGTON HIGH SCHOOL STUDENT ADVISORY COMMITTEE TO DESIGN THE "POP UP" PROGRAM SELF-CARE MODEL BASED ON FEEDBACK FROM THE STUDENTS. IN 2023, TWO POP-UP EVENTS WERE HELD FOCUSING ON SELF-CARE DURING STRESSFUL TIMES AND THE IMPORTANCE OF HEALTHY SLEEPBOTH TOPICS RECOMMENDED BY THE STUDENT ADVISORY COMMITTEE. SEVEN NURSES FROM THE NURSE RESIDENCY PROGRAM JOINED THE EXECUTIVE DIRECTOR FROM BSTRONG TOGETHER AT THE POP-UPS AND AN ESTIMATED 500 STUDENTS PARTICIPATED IN EACH EVENT. ADVOCATE HEALTH CARE CREATED SEVERAL HANDOUTS FOR THE EVENT, WHICH WERE ALSO SHARED ON TUESDAY TIPS, SOCIAL MEDIA CHANNELS AND INCLUDED IN AN ARTICLE IN THE SCHOOL NEWSPAPER, WHICH REACHES 3,000 STUDENTS.COMMUNITY HEALTH STAFF JOINED THE MCHENRY COUNTY DEPARTMENT OF HEALTH (MCDH) AND OTHER HARM REDUCTION AGENCIES FOR NATIONAL FENTANYL AWARENESS DAY ON MAY 8, 2023. TEAMS SPANNED OUT THROUGHOUT THE COUNTY TO TRAIN COMMUNITY RESIDENTS HOW TO USE NASAL NARCAN AND DISTRIBUTED NARCAN AND FENTANYL TESTING STRIPS. A TOTAL OF 1,131 PEOPLE WERE TRAINED; 1,766 BOXES OF NARCAN AND 1,264 FENTANYL TESTS WERE DISTRIBUTED IN MCHENRY COUNTY THAT DAY. IN MCHENRY COUNTY, FOUR NEW NARCAN VENDING MACHINES HAVE BEEN PURCHASED BY THE MCDH AND PLACED AT THE LOCAL COMMUNITY COLLEGE, A LOCAL FQHC, A SOBER BAR AND AT A NON-PROFIT IMMIGRANT SUPPORT ORGANIZATION. FENTANYL STRIPS AND NARCAN ARE AVAILABLE FOR FREE AT THESE MACHINES AND MCDH STAFF MONITOR AND RESTOCK THE MACHINES.HEALTH NEEDS NOT SELECTED AND WHYDIABETES. DIABETES WAS NOT IDENTIFIED AS ONE OF THE PRIORITY HEALTH NEEDS FOR THE ADVOCATE GOOD SHEPHERD PSA, ALTHOUGH DIABETES PREVALENCE IS INCREASING OVER TIME. ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF ARE MEMBERS OF ACTION TEAMS ADDRESSING DIABETES IN BOTH LAKE COUNTY AND MCHENRY COUNTY, COORDINATED THROUGH EACH OF THE LOCAL HEALTH DEPARTMENTS. ACTIVITIES INCLUDE DIABETES PREVENTION, DIABETES SCREENING TO IDENTIFY DIABETES AND PRE-DIABETES, AND EDUCATION ON DIABETES SELF-MANAGEMENT. BECAUSE PROGRAMS TO ADDRESS DIABETES ARE ALREADY IN PLACE, THE CHC MADE THE DECISION TO CONTINUE TO FOCUS ON OBESITY AS A PRIORITY, GIVEN ITS IMPACT ON THE RISK FOR PRE-DIABETES AND DIABETES.CARDIOVASCULAR DISEASE. CARDIOVASCULAR DISEASE WAS NOT SELECTED AS A HEALTH PRIORITY. OVER THE PAST DECADE, HEART DISEASE DEATH RATES HAVE DECLINED IN BOTH LAKE COUNTY AND MCHENRY COUNTY. THE HOSPITAL CURRENTLY PROMOTES AND CONDUCTS HEART HEALTH RISK ASSESSMENTS USING THE AMERICAN HEART ASSOCIATION TOOL, CONDUCTS HEART SCAN CTS TO IDENTIFY CALCIUM IN THE HEART AND PROMOTES PREVENTION MEASURES SUCH AS GOOD NUTRITION AND PHYSICAL ACTIVITY IN THE COMMUNITY. SINCE HEART DISEASE DEATH RATES ARE DECLINING AND MANY COMMUNITY-BASED PROGRAMS TO ADDRESS CARDIOVASCULAR DISEASE ARE ALREADY ACTIVE, THE CHC DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES - GSHEP CONT MATERNAL, FETAL AND INFANT. MATERNAL, CHILD AND REPRODUCTIVE HEALTH WAS NOT SELECTED AS A HEALTH PRIORITY BASED ON THE DATA PRESENTED IN THE CHNA. THE INFANT MORTALITY RATE IS 4.4 DEATHS PER 1,000 LIVE BIRTHS IN LAKE COUNTY AND 4.0 DEATHS PER 1,000 LIVE BIRTHS IN MCHENRY COUNTY. TEEN BIRTHS HAVE SHOWN A CONSISTENT DECREASE OVER THE PAST DECADE NATIONALLY, IN ILLINOIS AND IN THE GOOD SHEPHERD PSA. ADVOCATE HEALTH IS IMPLEMENTING A SYSTEM-WIDE STRATEGY IN TARGETED GEOGRAPHIC AREAS WHERE INFANT MORTALITY RATES ARE HIGHEST. BASED ON THESE EFFORTS, AND THE STATUS OF OTHER MATERNAL AND CHILD HEALTH INDICATORS, THE CHC DID NOT FEEL THAT THIS HEALTH NEED WAS A PRIORITY FOR THIS CHNA CYCLE.UNINTENTIONAL FALLS. IN THE GOOD SHEPHERD PSA, THE ED VISIT RATE IS HIGHEST FOR NON-HISPANIC BLACK RESIDENTS AND SENIORS AGES 65 YEARS. THE HOSPITALIZATION RATE DUE TO AN UNINTENTIONAL FALL IS HIGHEST FOR NON-HISPANIC WHITE RESIDENTS AND SENIORS. AGAIN, BECAUSE THE NUMBER OF RESIDENTS AFFECTED IS SMALL COMPARED TO THOSE AFFECTED BY OBESITY AND BEHAVIORAL HEALTH, THE CHC DID NOT SELECT UNINTENTIONAL FALLS AS A PRIORITY. HOWEVER, ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF DO WORK CLOSELY WITH SENIOR SERVICE AGENCIES AND OTHER COMMUNITY ORGANIZATIONS TO PROMOTE EDUCATION TO PREVENT FALLS. ADVOCATE GOOD SHEPHERD DOES IMPLEMENT THE EVIDENCE-BASED PROGRAM, A MATTER OF BALANCE, FOCUSING ON EDUCATION OF IDENTIFYING RISKS FOR FALLS, INCREASING CORE STRENGTH AND TEACHING A SAFE WAY TO FALL TO AVOID SERIOUS INJURY. COMMUNITY HEALTH STAFF OFTEN REFER LAKE COUNTY AND MCHENRY COUNTY RESIDENTS TO THIS PROGRAM.RESPIRATORY DISEASES. THERE IS CURRENTLY WORK BEING DONE AT THE PSA AND COUNTY LEVEL TO ADDRESS RESPIRATORY DISEASES SUCH AS ASTHMA, COVID19, COPD, PNEUMONIA AND FLU. ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF WORK COLLABORATIVELY WITH LOCAL HEALTH DEPARTMENTS, CANCER CARE CENTER AND AMERICAN CANCER SOCIETY TO COORDINATE LUNG CANCER SCREENINGS AND PREVENTION EFFORTS FOR RESPIRATORY CONDITIONS. THE COUNCIL DECIDED TO CONTINUE FOCUSING ON OTHER HEALTH ISSUES AS PRIORITIES, GIVEN THAT SOME CURRENT PROGRAMS ARE IN PLACE AT THIS TIME.CANCER. ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF ARE PART OF THE ADVOCATE HEALTH INTEGRATED NETWORK CANCER PROGRAM (INCP) COMMITTEE FOR THE NORTH ILLINOIS PSA AND WORK CLOSELY WITH CANCER CENTER STAFF TO ADDRESS BARRIERS TO NAVIGATION AND PROMOTE EARLY SCREENING AND DETECTION FOR SEVERAL TYPES OF CANCER, INCLUDING BREAST, COLORECTAL AND LUNG CANCER. TO MEET THE COMMISSION ON CANCER STANDARDS, ONGOING FOCUS ON PREVENTION AND SCREENING IS REQUIRED. CANCER WAS NOT INCLUDED IN THE VOTING CHOICES FOR THE CHC BECAUSE ACTIVITIES RELATED TO CANCER SCREENING AND PREVENTION ARE ALREADY INTEGRATED INTO THE REGULAR PROGRAMMING OF BOTH THE COMMUNITY HEALTH PROGRAM AND THE CANCER CENTER THROUGH THE INCP. CHNA DATA IS PRESENTED ANNUALLY TO THE INCP LEADERSHIP AND IS USED TO DEVELOP PREVENTION AND SCREENING OUTREACH AND EDUCATIONAL PROGRAMS.COVID-19. IN THE U.S., THE COVID-19 PANDEMIC DISPROPORTIONATELY AFFECTED RACIAL AND ETHNIC MINORITY GROUPS, WITH HIGH RATES OF DEATH IN AFRICAN AMERICAN, NATIVE AMERICAN AND HISPANIC COMMUNITIES. AS OF 2022, 76 PERCENT OF THE GOOD SHEPHERD PSA COMPLETED THE COVID-19 VACCINE SERIES, SLIGHTLY LOWER THAN THE ILLINOIS RATE AND U.S. COVID-19 VACCINATION COMPLETION RATE. THE IMPACT OF THE PANDEMIC WAS FELT IN MANY OTHER AREAS IN THE GOOD SHEPHERD PSA, INCLUDING LOSS OF LOW-INCOME JOBS, INCREASED OBESITY RATES, THE EXACERBATION OF MENTAL HEALTH IN BOTH YOUTH AND ADULTS AND INCREASED SUBSTANCE USE. ADVOCATE GOOD SHEPHERD CONTINUES TO SERVE AS A TRUSTED SOURCE FOR RELIABLE INFORMATION ON COVID-19 PREVENTION AND VACCINATION. COVID-19 WAS NOT INCLUDED IN THE LIST OF VOTING CHOICES TO THE CHC, AS IT IS AN ONGOING PRIORITY SYSTEM-WIDE AND WORKING LOCALLY IN ALIGNMENT WITH OTHER HEALTH SYSTEMS. THE HOSPITAL WORKS WITH NUMEROUS PARTNERS TO ENSURE UP-TO-DATE EDUCATIONAL INFORMATION IS SHARED WITH THE GOOD SHEPHERD PSA RESIDENTS AND ACCESS TO BOTH PREVENTION AND ACUTE TREATMENT IS ENSURED 13-SCHEDULE H - DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES - LGH ADVOCATE LUTHERAN GENERAL'S COMMUNITY HEALTH DEPARTMENT PRESENTED DATA TO THE HOSPITAL'S CHC FOR THE TOP NINE HEALTH NEEDS IN THE HOSPITAL'S PSA. THE DATA WAS REVIEWED AND DISCUSSED BY THE CHC TO ENSURE THOROUGH UNDERSTANDING OF ALL DATA INDICATORS AND REPORTS. COUNCIL MEMBERS WERE ABLE TO ASK QUESTIONS AND ENGAGE IN A ROBUST DISCUSSION AROUND THE TOP NINE HEALTH NEEDS, WHICH LED TO THE FIRST PRIORITIZATION PHASE OF THE CHNA. THE CHC MEMBERS WERE ASKED TO COMPLETE A PRIORITIZATION GRID. THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT COLLECTED THE PRIORITIZATION GRIDS TO CONDUCT ANALYSIS AND TO AGGREGATE THE HEALTH NEED SCORES (LISTED BELOW). THE AGGREGATED SCORES FOR EACH HEALTH NEED WERE PRESENTED TO THE CHC AND THE FOUR HEALTH NEEDS WITH THE HIGHEST SCORES WERE SELECTED FOR COMMUNITY EXPERT PRESENTATIONS TO ASSIST THE CHC IN SELECTING THE FINAL TWO HEALTH NEED PRIORITIES. HEALTH NEEDS SELECTEDAS A RESULT OF THE 2022 CHNA PROCESS, ADVOCATE LUTHERAN GENERAL HOSPITAL'S COMMUNITY HEALTH COUNCIL SELECTED THE FOLLOWING PRIORITIES:HEALTH AND NUTRITION THIS PRIORITY WAS CHOSEN AS ONE OF THE TWO HEALTH NEED PRIORITIES DUE TO THE MANY CHRONIC DISEASES AND HEALTH ISSUES THAT ARE RELATED TO POOR NUTRITION, PHYSICAL INACTIVITY AND OVERALL UNHEALTHY LIFESTYLE CHOICES. MOREOVER, THE COUNCIL ALSO IDENTIFIED HEALTH AND NUTRITION DUE TO THE LARGE IMPACT THIS ISSUE HAS ON QUALITY OF LIFE AND OVERALL HEALTH OUTCOMES IN THE PSA. THE COUNCIL ALSO RECOGNIZED THE IMPACT LACK OF ACCESS TO HEALTH CARE HAS ON DISEASE PREVENTION AND MANAGEMENT THUS ACCESS TO HEALTH CARE IS INCLUDED IN THE HEALTH AND NUTRITION PRIORITY.2023 HEALTH AND NUTRITION OUTCOMES: THE ADVOCATE LUTHERAN GENERAL HOSPITAL-BASED PANTRY WAS CREATED IN DECEMBER OF 2020 TO SERVE FOOD INSECURE PATIENTS. SINCE THE INCEPTION OF THE PROGRAM, THE PANTRY HAS SERVED 270 INDIVIDUALS. IN 2023 THE PANTRY SERVED A TOTAL OF 125 PATIENTS AND CONTINUES TO EXPAND INTO MULTIPLE DEPARTMENTS WITHIN ADVOCATE LUTHERAN GENERAL HOSPITAL. THE PROGRAM HAS SUCCESSFULLY EXPANDED TO INTO NINE SERVICE LINES WITHIN THE HOSPITAL AS WELL AS WITH SKOKIE HEALTH AND HUMAN SERVICES. THIS IS THE FIRST TIME WE EXPAND OUR FOOD PANTRY PARTNERSHIP OUTSIDE THE HOSPITAL WALLS. ADVOCATE LUTHERAN GENERAL PARTNERED WITH THE FRISBEE SENIOR CENTER IN DES PLAINES TO OFFER A FIVE-WEEK, LOVE YOU HEART CLASSES FOR THEIR MEMBERS. THE CLASSES FOCUSED ON INCREASING HEALTH LITERACY IN OLDER ADULTS. TOPICS SUCH AS HYPERTENSION MONITORING, NUTRITION, EXERCISE AND HEALTHY SLEEP PATTERNS WERE DISCUSSED. FOR EACH WEEK THERE WERE AROUND 30-35 PARTICIPANTS. PARTICIPANTS WERE GIVEN PRODUCE BAGS AT THE END OF EACH CLASS TO PROMOTE HEALTHY EATING; 156 PRODUCES BOXES WERE PROVIDED. ADVOCATE LUTHERAN GENERAL HOSPITAL CONTINUES TO PARTNER WITH SKOKIE SCHOOL DISTRICT 69 TO IMPLEMENT THE HEALTHY SCHOOLS PRODUCE PROGRAM FOR FAMILIES THAT SCREENED POSITIVE FOR FOOD INSECURITY. THE PROGRAM OFFERS FRESH PRODUCE FOR 50 FAMILIES PER EVENT, A TOTAL OF SIX EVENTS WERE ORGANIZED AT THE END OF 2023. THE PROGRAM ALSO INCLUDES HEALTHY EATING WORKSHOPS AND COOKING DEMONSTRATIONS THAT ARE LED BY AN ADVOCATE DIETITIAN. THE PROGRAM CREATES A FAMILY-FRIENDLY ENVIRONMENT AND ENABLES BOTH STUDENT AND PARENT TO WORK TOGETHER. ADVOCATE LUTHERAN GENERAL ALSO SUPPORTS THE OCCASIONAL HEALTH FAIRS THROUGHOUT THE YEAR TO CREATE A ROBUST EXPERIENCE FOR FAMILIES OF SCHOOL DISTRICT 69.BEHAVIORAL HEALTHTHE BEHAVIORAL HEALTH PRIORITY INCLUDES MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE. ALTHOUGH MENTAL HEALTH RECEIVED A HIGHER SCORE COMPARED TO SUBSTANCE/ALCOHOL USE, THE HOSPITAL'S CHC CONSIDERED THE STRONG CORRELATION BETWEEN SUBSTANCE USE AND MENTAL HEALTH, MAKING IT ESSENTIAL FOR THE HOSPITAL TO ADDRESS BOTH HEALTH ISSUES IN TANDEM. THE RATE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE HAVE CONTINUED TO INCREASE IN THE PSA OVER TIME AND THE COVID-19 PANDEMIC HAS EXACERBATED THE HEALTH ISSUE(S). DATA AND HOSPITALIZATION RATES ALSO INDICATE THAT THERE IS A GREAT NEED FOR EXPANSION OF BEHAVIORAL HEALTH SERVICES SUCH AS MENTAL HEALTH SERVICES, SUBSTANCE USE DISORDER TREATMENT, HOUSING AND PREVENTATIVE PROGRAMMING.2023 BEHAVIORAL HEALTH OUTCOMES: ADVOCATE LUTHERAN GENERAL PARTNERED WITH TURNING POINT IN SKOKIE TO SUPPORT THE LIVING ROOM PROGRAM, WHICH PROVIDES MENTAL HEALTH SERVICES FOR THOSE IN CRISES. SUPPORT IS PROVIDED THROUGH TRAININGS AND WORKSHOPS FROM TURNING POINTS LIVING ROOM STAFF. THIS YEAR THE COMMUNITY HEALTH TEAM PROVIDED TURNING POINT WITH A GRANT OF $1,000 TO SUPPORT IN THEIR ENDEAVORS TO HELP PEOPLE IN NEED IN THE COMMUNITY. ADVOCATE LUTHERAN GENERAL WILL ALSO SUPPORT TURNING POINT'S THERAPEUTIC GARDENING GROUP PROGRAM. THE PROGRAM WILL SUPPORT INDIVIDUALS WITH BEHAVIORAL HEALTH NEEDS THROUGH THERAPEUTIC GARDENING AND BUILDING WORKSHOPS TO HELP INDIVIDUALS WITH SOCIALIZATION AND SKILL BUILDING OPPORTUNITIES. ADVOCATE LUTHERAN GENERAL HOSPITAL IS PARTNERING WITH ONWARD NEIGHBORHOOD HOUSE'S WELCOMING CENTER FOR IMMIGRANT AND REFUGEES IN THE BELMONT CRAGIN COMMUNITY, TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR IMMIGRANT AND UNDER INSURED INDIVIDUALS. THE PARTNERSHIP WILL INCREASE ACCESS TO INDIVIDUAL, COUPLE AND FAMILY PSYCHOTHERAPY. FOR A COMPLETE 2023 PROGRAM RECAP, VISIT ADVOCATE LUTHERAN GENERAL'S 2023 COMMUNITY HEALTH PROGRESS REPORT: 2023 LGH COMMUNITY HEALTH PROGRESS REPORT FOR DETAILS ON OUR IMPLEMENTATION STRATEGIES, VISIT ADVOCATE LUTHERAN GENERAL'S COMMUNITY HEALTH IMPLEMENTATION STRATEGY: 2023-2025 LGH CHISHEALTH NEEDS NOT SELECTED AND WHY CARDIOVASCULAR DISEASE DIABETES CANCER ASTHMA/RESPIRATORY DISEASE COVID-19FOR DETAILED INFORMATION ON WHY THESE NEEDS WERE NOT SELECTED PLEASE ADVOCATE LUTHERAN GENERAL'S 2022 CHNA AT: 2022 LGH CHNA REPORT FOR DETAILED INFORMATION ON ADVOCATE CHILDREN'S HOSPITAL IN PARK RIDGE, CLICK THE LINK BELOW: 2022 ACH-PR CHNA REPORT CARDIOVASCULAR DISEASE DIABETES CANCER ASTHMA/RESPIRATORY DISEASE COVID-19FOR DETAILED INFORMATION ON WHY THESE NEEDS WERE NOT SELECTED PLEASE ADVOCATE LUTHERAN GENERAL'S 2022 CHNA AT: 2022 LGH CHNA REPORT FOR DETAILED INFORMATION ON ADVOCATE CHILDREN'S HOSPITAL IN PARK RIDGE, CLICK THE LINK BELOW: 2022 ACH-PR CHNA REPORT 13-SCHEDULE H - DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES - SSUB HEALTH NEEDS SELECTEDAS A RESULT OF THE 2020-2022 CHNA PROCESS, ADVOCATE SOUTH SUBURBAN SELECTED TWO PRIORITIES FOR IMPLEMENTATION PLANNING THAT INCLUDED OBESITY AND MENTAL HEALTH. FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGE 65 OF THE 2020-2022 CHNA REPORT AT: 2022-OFFICIAL-SOUTH-SUBURBAN-CHNA-REPORT.PDF (ADVOCATEHEALTH.COM)OBESITY THE COMMUNITY HEALTH COUNCIL SELECTED OBESITY AS A PRIORITY TO ADDRESS AS PART OF THE HOSPITAL'S CHNA BASED ON RESULTS IN THE PSA, AND COUNTY. OBESITY PREVALENCE CONTINUES TO INCREASE AND EVEN MORE SO AMONG RACE AND ETHNICITIES. INDIVIDUALS WITH OBESITY ARE AT HIGHER RISKS FOR CHRONIC HEALTH CONDITIONS SUCH AS DIABETES, HEART DISEASE, CANCER, AND COVID. THE COMMUNITY WITH THE HIGHEST OBESITY RATE IN THE HOSPITAL PSA IS HARVEY, IL. THERE ARE SEVERAL AVENUES IN WHICH THE HOSPITAL IS ADDRESSING OBESITY IN THE COMMUNITY: COMMUNITY HEALTH STAFF IN PARTNERSHIP WITH MICHUDA CONSTRUCTION AND RESTORATION MINISTRIES DEVELOPED AN AFTER-SCHOOL PROGRAM AIMED AT TEACHING ADOLESCENT CHILDREN HOW TO DEVELOP HEALTHY EATING HABITS AND HOW TO COOK A HEALTHY MEAL. THE INAUGURAL LIVE WELL EAT WELL PROGRAM WAS LAUNCHED AT RESTORATION MINISTRIES SULLIVAN ARTS CENTER IN HARVEY, IL WITH EIGHT STUDENTS FOR THE FIRST COHORT IN DECEMBER 2023. THE PROGRAM FEATURES EDUCATION BY A LIFESTYLE COACH WHO TEACH STUDENTS THE IMPORTANCE OF HEALTHY SNACKS VS. UNHEALTHY SNACKS, HOW TO READ FOOD LABELS AND OTHER METHODS TO ADDRESS HEALTHY EATING. THE PROGRAM ALSO FEATURES A LOCAL CHEF WHO DEMONSTRATES AND ALLOWS THE CHILDREN TO COOK A HEALTHY MEAL, THE FUNDAMENTALS OF WHAT A HEALTHY MEAL ENCOMPASSES AND KITCHEN SAFETY PREPAREDNESS.THE HOSPITAL CONTINUES THE CDCS DIABETES PREVENTION PROGRAM (DPP) WITH A MORE TARGETED FOCUS ON PHYSICAL ACTIVITY AND WEIGHT LOSS. PARTICIPANTS GATHERED FROM APRIL THROUGH OCTOBER TO CONDUCT MONTHLY WALKING EXERCISES ON THE HOSPITAL'S WALKING TRAIL. DURING THE WINTER MONTHS, PARTICIPANTS GATHER AT LOCAL GYMS TO CONTINUE THEIR WALKING JOURNEY. THE DPP AIMS TO INCREASE PHYSICAL ACTIVITY, REDUCE PARTICIPANT'S WEIGHT, AND REDUCE INDIVIDUALS A1C LEVEL. DURING 2023 THERE WERE 97 ACTIVE PARTICIPANTS OF WHICH THE AVERAGE PHYSICAL ACTIVITY MINUTES PER WEEK FOR ALL PARTICIPANTS WAS 163; AND THE AVERAGE WEIGHT LOSS AMONG ALL PARTICIPANTS WAS 8 LBS. MENTAL HEALTH/BEHAVIORAL HEALTH THE COMMUNITY NEEDS ASSESSMENT IDENTIFIED ACCESS TO MENTAL HEALTH SERVICES, INCLUDING SUBSTANCE ABUSE AND ADDICTION SERVICES, AS ONE OF THE PRIMARY AREAS OF OPPORTUNITY TO IMPROVE THE WELL-BEING OF THE SOUTH SUBURBAN COMMUNITIES SERVED BY ADVOCATE SOUTH SUBURBAN. WITH BEHAVIORAL HEALTH CRISES ON THE RISE NATIONWIDE, QUICKLY, AND EFFECTIVELY CARING FOR PEOPLE IN CRISIS IS A PRIORITY. THE HIGH RATES OF EMERGENCY DEPARTMENT VISITS AND HOSPITALIZATIONS FOR INDIVIDUALS EXPERIENCING ACUTE MENTAL HEALTH CRISES ARE PREVENTABLE WITH EXPANDED ACCESS TO SERVICES. THE NEED FOR BEHAVIORAL HEALTH SERVICES WAS AMPLIFIED BECAUSE OF THE TOLL THE PANDEMIC HAD ON SO MANY INDIVIDUALS AND FAMILIES. IT WAS RECOGNIZED BY THE COUNCIL THAT MENTAL HEALTH IS A GROWING HEALTH ISSUE IN THE HOSPITAL'S PSA. THE CHC SELECTED MENTAL HEALTH A HEALTH NEED PRIORITY DUE TO THE INCREASE IN EMERGENCY DEPARTMENT AND HOSPITALIZATION RATES AND THE GROWING NEED FOR COMMUNITY SERVICES AND RESOURCES. THIS IS A HEALTH NEED THAT IS ALSO RELATED TO SUBSTANCE ABUSE AS MANY SUBSTANCE USERS/ABUSERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AND MANY INDIVIDUALS WITH MENTAL HEALTH DISORDERS EXPERIENCE SUBSTANCE ABUSE ISSUES. DURING 2023, THE FOLLOWING ACTIVITIES WERE ACCOMPLISHED IN THE COMMUNITIES SERVED BY ADVOCATE SOUTH SUBURBAN:"MINDS IN MOTION" RESOURCE FAIR IN PARTNERSHIP WITH THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI). THIS IS THE THIRD YEAR FOR THIS PARTNERSHIP, WHICH PROVIDES AN ARRAY OF SERVICES AVAILABLE FOR MENTAL HEALTH WELLNESS IN THE CHICAGO SOUTHLAND AREA.THE TRAUMA RECOVERY OUTREACH TEAM PARTNERED WITH THE VILLAGE OF HAZEL CREST'S COMMUNITY EVENTS SHARING INFORMATION RELATED TO SERVICES AVAILABLE AT SOUTH SUBURBAN AND ON TRAUMA RECOVERY. THE TEAM ALSO PARTNERS WITH THE HAZEL CREST POLICE DEPARTMENT'S DICE TASK FORCE WHICH HOSTS MONTHLY INTERVENTION MEETINGS FOR POLICE DEPARTMENTS THROUGHOUT THE SOUTH SUBURBS.ADVOCATE SOUTH SUBURBAN'S FAITH AND HEALTH PARTNERSHIP MENTAL HEALTH SPECIALIST DISCUSSED MENTAL HEALTH COPING TO COMMUNITY MEMBERS DURING PROGRAMS THAT INCLUDED PRAYER SUPPORT GROUPS, CLERGY SUPPORT GROUPS, COMPANIONSHIP TRAINING, MENTAL HEALTH FIRST AID TRAINING AND TRAUMA FAITH RESILIENCE TRAINING TO MORE THAN 450 PARTICIPANTS THROUGHOUT 2023.HEALTH NEEDS NOT SELECTED AND WHYCANCER ADVOCATE SOUTH SUBURBAN OFFERS AN ARRAY OF SERVICES INCLUDING RADIATION THERAPY, BRACHYTHERAPY, IMAGE GUIDED RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY, AND MINIMALLY INVASIVE APPROACHES TO CANCER TREATMENT. THE BREAST HEALTH CENTER OFFERS EARLY DETECTION SERVICES AS WELL AS ADVANCED PROCEDURES INCLUDING SENTINEL LYMPH NODE BIOPSY FOR BREAST CANCER TREATMENT FOR CANCER DIAGNOSIS AND STAGING. ADDITIONALLY, SOUTH SUBURBAN HOSPITAL HAS AN ACTIVE CANCER COMMITTEE AND CANCER CARE TEAM THAT ARE DEDICATED TO DEVELOPING A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH THROUGHOUT THE YEAR. COMMUNITY EDUCATION AND SCREENING PROGRAMS ARE ALSO HELD THAT FOCUS ON BREAST, LUNG, PROSTATE, AND OTHER CANCERS. SOME SERVICES INCLUDE GENETIC COUNSELING, PATIENT NAVIGATION, CLINICAL TRIALS AND RESEARCHALL DESIGNED TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND THEIR FAMILIES. HEART DISEASE ADVOCATE SOUTH SUBURBAN THROUGH THE ADVOCATE HEART INSTITUTE OFFERS A CONTINUUM OF SERVICES FROM SCREENING TO DIAGNOSIS AND TREATMENT. ADVANCED TREATMENT AND SERVICES INCLUDE COMPREHENSIVE DIAGNOSTIC SERVICES INCLUDING MINIMALLY INVASIVE ENDOVASCULAR PROCEDURES, ELECTROPHYSIOLOGICAL PROCEDURES, COMPUTED TOMOGRAPHY SCANNING, THREE PHASE CARDIAC REHABILITATION AND A CONGESTIVE HEART FAILURE PROGRAM. THE CONGESTIVE HEART FAILURE PROGRAM IS A COMPREHENSIVE INPATIENT AND OUTPATIENT PROGRAM DESIGNED TO STRENGTHEN THE HEART, IMPROVE HEALTH, AND MONITOR CHANGE. THE GOAL IS TO RESTORE CARDIAC HEALTH AND REDUCE HOSPITALIZATION THROUGH THERAPY, DIET, AND OTHER SERVICES. THE CARDIAC REHABILITATION PROGRAM IS FOR INDIVIDUALS REQUIRING REHABILITATION SERVICES FOLLOWING A CARDIOVASCULAR INCIDENT. THIS INDIVIDUALIZED PROGRAM IS DESIGNED TO REDUCE BLOOD PRESSURE, BODY MASS INDEX AND STRESS LEVELS THROUGH CUSTOMIZED EXERCISE PROGRAMS, YOGA AND STRENGTHENING TECHNIQUES. HYPERTENSION AND STROKE ADVOCATE SOUTH SUBURBAN IS A DNV PRIMARY CARE STROKE CENTER AND HAS EARNED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD. THE DNV DESIGNATION SIGNIFIES THAT THE HOSPITAL DELIVERS THE CRITICAL STROKE CARE ELEMENTS REQUIRED TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES. ACHIEVING STROKE CERTIFICATION ENSURES THAT THE HOSPITAL OFFERS THE HIGHEST LEVEL OF CARE FOR THOSE WHO ARE EXPERIENCING AND RECOVERING FROM A STROKE. THE HOSPITAL ALSO OFFERS COMMUNITY EDUCATION EVENTS FOR INDIVIDUALS AND THEIR CAREGIVERS. RESPIRATORY HEALTH ASTHMA AND RESPIRATORY HEALTH WERE NOT SELECTED AS A PRIORITY HEALTH NEED TO ADDRESS AS THE HOSPITAL ALREADY PROVIDES SERVICES TO ADDRESS ASTHMA, COPD, AND OTHER RESPIRATORY HEALTH ISSUES. ADVOCATE SOUTH SUBURBAN OFFERS COMPREHENSIVE, MULTI-DISCIPLINARY SERVICES FOR LUNG AND RESPIRATORY CARE, INCLUDING THE TREATMENT OF ASTHMA. THE RESPIRATORY CARE DEPARTMENT PROVIDES INPATIENT AND OUTPATIENT RESPIRATORY CARE SERVICES TO HELP PATIENTS ACHIEVE A BETTER QUALITY OF LIFE. WITH BOARD-CERTIFIED PULMONOLOGISTS WHO COLLABORATE WITH RELATED SPECIALISTS, AIRWAY DISEASES ARE TREATED FROM PREVENTION AND DIAGNOSTICS TO ADVANCED TREATMENT AND SUPPORT SERVICES. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES - TRINITY HEALTH NEEDS SELECTEDAS A RESULT OF THE 2020-2022 CHNA PROCESS, ADVOCATE TRINITY SELECTED TWO PRIORITIES FOR THE 2023-2025 IMPLEMENTATION PLANNING THAT INCLUDED MENTAL HEALTH AND DIABETES.(FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 49-51 OF THE 2020-2022 CHNA REPORT AT:2022-OFFICIAL-TRINITY-CHNA-REPORT.PDF (ADVOCATEHEALTH.COM)MENTAL HEALTH. THE CHC IDENTIFIED MENTAL HEALTH AS A TOP HEALTH PRIORITY DUE TO HIGH ED (EMERGENCY DEPARTMENT) AND HOSPITALIZATION RATES AND THE NEED FOR COMMUNITY RESOURCES. THIS NEED INTERSECTS WITH SUBSTANCE ABUSE, AS MANY INDIVIDUALS WITH MENTAL HEALTH ISSUES ALSO FACE SUBSTANCE ABUSE PROBLEMS. IN 2023, ADVOCATE TRINITY COLLABORATED WITH AAH FAITH AND HEALTH TO ORGANIZE VARIOUS MENTAL HEALTH TRAINING AND EDUCATION IN THE COMMUNITY. FIFTY-EIGHT PARTICIPANTS COMPLETED MENTAL HEALTH FIRST AID TRAINING. THIRTY-SEVEN SENIORS FINISHED A SIX-WEEK LONELINESS PROGRAM, AND ONE HUNDRED TEENAGERS COMPLETED FOUR SESSIONS OF TEEN LONELINESS, ADDITIONALLY, NINETY-TWO ADULTS ATTENDED HEALING TOXIC RELATIONSHIPS WORKSHOPS, AND OVER 280 COMMUNITY MEMBERS PARTICIPATED IN THE 4TH DISTRICT POLICE FAITH-BASED COMMITTEE PRAYER WALK.DIABETES. ADVOCATE TRINITY'S COMMUNITY HEALTH COUNCIL AND COMMUNITY HEALTH DEPARTMENT HAVE IDENTIFIED DIABETES AS A CHRONIC CONDITION THAT NEEDS CONTINUED ATTENTION. UNCONTROLLED DIABETES REMAINS A SIGNIFICANT FACTOR IN HOSPITAL PSA AND IN COOK COUNTY. SINCE 2017, ADVOCATE TRINITY HAS IMPLEMENTED THE EVIDENCE-BASED CDC (CENTERS FOR DISEASE CONTROL) NATIONAL DIABETES PREVENTION PROGRAM (DPP) IN COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND FAITH COMMUNITIES. THE PROGRAM HAS BEEN SUCCESSFUL FOR PARTICIPANTS COMPLETING THE YEAR-LONG SERIES OF COACHING AND CLASSES. TO ESTABLISH THE HOSPITAL AS A DESIGNATED DIABETES PREVENTION PROGRAM, THE HOSPITAL WILL CONTINUE TO IMPLEMENT THIS STRATEGY, AND DATA WILL BE COLLECTED AND SUBMITTED IN ACCORDANCE WITH THE PROGRAM GUIDELINES. DIABETES AFFECTS PEOPLE OF DIVERSE BACKGROUNDS, AGES, AND ETHNICITIES. CONTINUING THIS PROGRAM EMPOWERS INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH. IN 2023, THE HOSPITAL ESTABLISHED THREE DPP COHORTS WITH 62 PARTICIPANTS. OF THESE, 55 QUALIFYING PARTICIPANTS WERE ENROLLED, WITH 36 EXPECTED TO COMPLETE THE PROGRAM BY SEPTEMBER 2024. ON MAY 4, 2023, FOURTEEN PARTICIPANTS SUCCESSFULLY COMPLETED THE YEAR-LONG PROGRAM. ELEVEN PARTICIPANTS ACHIEVED 5% WEIGHT-LOSS AND REDUCED THEIR A1C BY AT LEAST 0.2%. IN DECEMBER 2023, ADVOCATE TRINITY RETAINED ITS CDC FULL PLUS RECOGNITION STATUS AS A DPP HOST SITE.HEALTH NEEDS NOT SELECTED AND WHYCANCER. ADVOCATE TRINITY DID NOT PRIORITIZE CANCER BECAUSE IT HAS COMPREHENSIVE ONCOLOGY PROGRAMS IN PLACE. ADVOCATE TRINITY'S ONCOLOGY CENTER PROGRAMS ARE STRUCTURED TO FACILITATE A MULTIDISCIPLINARY ENVIRONMENT THAT PROVIDES MINIMALLY INVASIVE PROCEDURES AND ADVANCED SURGICAL INTERVENTION TO TREAT CANCER. THE ONCOLOGY CENTER OFFERS ADVANCED DIAGNOSTICS, IMAGING, INTERVENTIONAL RADIOLOGY, AND AN INFUSION CENTER. THE CANCER COMMITTEE ESTABLISHES OVERSEAS STRATEGIC PLANS AND COMMUNITY OUTREACH, INCLUDING EDUCATION ON BREAST AND PROSTATE CANCER PREVENTION AND HEALTHY LIFESTYLES. OVERALL, THE CANCER COMMITTEE ENSURES THAT COMMUNITY OUTREACH PLANS REFLECT THE CANCER EXPERIENCE AT ADVOCATE TRINITY AND THAT THE DEFINED COMMUNITY NEEDS ARE ADDRESSED.SUBSTANCE ABUSE. SUBSTANCE ABUSE WAS NOT PRIORITIZED DUE TO THE LACK OF A PSYCHIATRIC UNIT AT ADVOCATE TRINITY. HOWEVER, TO MEET THE IMMEDIATE NEEDS OF ITS ED PATIENTS AND INPATIENTS, AND PROVIDE FOR CONTINUITY OF CARE, THE HOSPITAL PROVIDES TREATMENT OPTIONS THROUGH ADVOCATE BEHAVIORAL HEALTH SERVICES AND THE FAMILY CARE NETWORK LOCATED AT ADVOCATE CHRIST. ADVOCATE BEHAVIORAL HEALTH SERVICES AND FAMILY CARE NETWORK PROVIDE ADULT INPATIENT PSYCHIATRIC PROGRAMS, OLDER ADULT INPATIENT PROGRAMS TO HELP OLDER ADULTS REGAIN PSYCHOLOGICAL STABILITY, ADOLESCENT PARTIAL HOSPITALIZATIONS, AND SUBSTANCE ABUSE-PARTIAL HOSPITALIZATION FOR SHORT-TERM INTENSIVE TREATMENT OF CHEMICAL DEPENDENCE.HEART DISEASE. HEART DISEASE WAS NOT PRIORITIZED AS ADVOCATE TRINITY ADDRESSES IT THROUGH THE ADVOCATE HEART INSTITUTE, OFFERING CARDIOVASCULAR DIAGNOSTICS, TREATMENT, SURGERY, CPR TRAINING, HEART RISK ASSESSMENTS, AND AFFORDABLE HEART CT SCANS. MOST NOTABLY, THE HOSPITAL IS RECOGNIZED AS HIGH PERFORMING IN ADMINISTERING ADULT PROCEDURES FOR HEART FAILURE AND HAS HAD A FULLY EQUIPPED CARDIAC CATH LAB AND ACCREDITED CARDIAC REHABILITATION PROGRAM SINCE 2015. THE HOSPITAL OFFERS A VARIETY OF EDUCATIONAL PROGRAMS BOTH AT THE HOSPITAL AND THROUGHOUT THE COMMUNITY. THESE EDUCATIONAL PROGRAMS INCLUDE LECTURES, SEMINARS, AND SUPPORT GROUP MEETINGS FOR CONGESTIVE HEART FAILURE, DIABETES EDUCATION AND HEART RISK ASSESSMENTS.RESPIRATORY HEALTH. ADVOCATE TRINITY'S ASTHMA PROGRAM USES A UNIQUE, MULTI-DISCIPLINARY TEAM APPROACH TO ASTHMA CARE. THE PROGRAM OFFERS BOARD-CERTIFIED PULMONOLOGISTS TO DEVELOP AND MONITOR TREATMENT PROTOCOLS AND STANDING ORDERS FOR CARE, AND AN ASTHMA NURSE EDUCATOR WHO OVERSEES THE PROGRAM AND PROVIDES PATIENT EDUCATION AND SERVES AS A LINK TO THE COMMUNITY TO ENSURE THE PATIENT'S ASTHMA IS MANAGED. OTHER TEAM MEMBERS INCLUDE RESPIRATORY CARE PRACTITIONERS WHO PROVIDE BREATHING TREATMENTS AND TEACH PATIENT EDUCATION IN THE HOSPITAL AND COMMUNITY. IN ADDITION, THE ASTHMA PROGRAM OFFERS MANY EDUCATIONAL PROGRAMS TO HELP PEOPLE BETTER UNDERSTAND THEIR CONDITION AND MANAGE THEIR ASTHMA. EDUCATIONAL PROGRAMS INCLUDE ONE-ON-ONE INDIVIDUALIZED EDUCATION SESSIONS FOR PEOPLE ENCOUNTERING DIFFICULTIES MANAGING THEIR ASTHMA, AND MONTHLY ASTHMA EDUCATION CLASSES COVERING SELF-MANAGEMENT, PEAK FLOW MONITORING, AND ADDRESSING ENVIRONMENTAL TRIGGERS. HYPERTENSION AND STROKE. ADVOCATE TRINITY IS A DESIGNATED PRIMARY STROKE CENTER AND HAS EARNED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD. THE IDPH DESIGNATION SIGNIFIES THAT THE HOSPITAL DELIVERS THE CRITICAL STROKE CARE ELEMENTS REQUIRED TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES. ACHIEVING STROKE CERTIFICATION ENSURES THAT THE HOSPITAL OFFERS THE HIGHEST LEVEL OF CARE FOR THOSE EXPERIENCING AND RECOVERING FROM A STROKE. THE HOSPITAL ALSO OFFERS COMMUNITY EDUCATION EVENTS FOR INDIVIDUALS AND THEIR CAREGIVERS. IN JUNE 2022 ADVOCATE AURORA DEPLOYED ITS COMMUNITY STRATEGY TO ADDRESS HYPERTENSION IN THE CHICAGO SOUTHLAND PSA BY DEVELOPING COMMUNITY PARTNERSHIPS TO DEPLOY COMMUNITY-BASED INTERVENTIONS TO ADDRESS HYPERTENSION GAPS. PATIENT EDUCATION, BLOOD PRESSURE MONITORING EQUIPMENT, AND FOLLOW-UP SCREENING TESTS WERE IMPLEMENTED AND WILL BE EVALUATED ONCE THE INITIAL SIX-MONTH PROGRAM HAS CONCLUDED. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY HEALTH PROMOTION - GSHEP ADVOCATE GOOD SHEPHERD HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. FORTY SEVEN PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SHEPHERD DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE HOSPITAL'S PRESIDENT SERVES ON THE BOARD OF THE BARRINGTON AREA COMMUNITY FOUNDATION, AND THE VICE PRESIDENT OF PHYSICIAN STRATEGY AND CLINICAL OPERATIONS SERVES ON THE BOARD OF THE FOGLIA YMCA WHICH FOCUSES ON YOUTH DEVELOPMENT, HEALTHY LIVING AND SOCIAL RESPONSIBILITY. THE COMMUNITY HEALTH DIRECTOR REPRESENTS THE HOSPITAL ON THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, WHICH FOCUS ON ISSUES OF SUBSTANCE ABUSE PREVENTION AND TREATMENT IN THE SERVICE AREA. THE COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE LIVE WELL LAKE COUNTY STEERING COMMITTEE, WHICH PROVIDES OVERSIGHT TO THE IMPLEMENTATION OF THE LAKE COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. BOTH THE COMMUNITY PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., COMMUNITY BOARD [GOVERNING COUNCIL]; OPEN MEDICAL STAFF; RESOURCE INVESTMENT IN CAPITAL PROJECTS FOR IMPROVING PATIENT CARE; MEDICAL EDUCATION; RESEARCH; AND COMMUNITY BUILDING ACTIVITIES, ETC.)YOU'LL NEED TO FILL IN THE HOSPITAL NAME AND THE PERCENTAGE OF COMMUNITY MEMBERS SERVING ON YOUR HOSPITAL'S GOVERNING COUNCIL IN THE FIRST PARAGRAPH OF YOUR NARRATIVE AS STARTED FOR YOU IMMEDIATELY FOLLOWING THESE INSTRUCTIONS. AS CLARIFICATION, THE INDIVIDUALS SERVING ON THE GOVERNING COUNCIL THAT ARE NOT CONSIDERED REPRESENTATIVES OF/FROM THE COMMUNITY ARE HOSPITAL LEADERS AND ANY OTHER ADVOCATE-EMPLOYED ASSOCIATES OR FAMILY MEMBERS OF ADVOCATE ASSOCIATES, AND AMG PHYSICIANS. HOWEVER, NON-AMG PHYSICIANS, INCLUDING APP PHYSICIANS, AND MEMBERS FROM THE COMMUNITY WHO ARE NOT EMPLOYED BY ADVOCATE [AND ARE NOT FAMILY MEMBERS OF ASSOCIATES) DO QUALIFY AS REPRESENTATIVES OF THE COMMUNITY. IT IS THE PERCENTAGE OF THE OVERALL GOVERNING COUNCIL MEMBERSHIP COMPRISED OF THESE INDIVIDUALS REPRESENTING THE COMMUNITY THAT YOU ARE TO PROVIDE IN THE PARAGRAPH IMMEDIATELY FOLLOWING THESE INSTRUCTIONS. YOU MAY THEN PROVIDE INFORMATION RELATED TO ANY OTHER PROGRAMS THAT WERE OFFERED IN 2023, INCLUDING PROGRAMS THAT WERE DEVELOPED TO MEET COMMUNITY NEEDS THAT FELL OUTSIDE OF ADVOCATE HOSPITALS' COMMUNITY HEALTH DRIVEN CHNA PROCESS (ONE SHORT PARAGRAPH FOR EACH PROGRAM) BUT THAT WERE DESIGNED TO MEET A COMMUNITY NEED AS IDENTIFIED THROUGH SOME OTHER FORM OF ASSESSMENT. YOU MAY THEN INCLUDE A PARAGRAPH DESCRIBING ANY SIGNIFICANT COMMUNITY BUILDING ACTIVITIES IN 2023 THAT ARE SUPPORTED THROUGH ADVOCATE REPRESENTATIVES SERVING ON COMMUNITY NFP 501C3 ORGANIZATIONS' BOARDS, COUNCILS, TASK FORCES, COALITIONS, ETC., THAT ARE NOT ALREADY INCLUDED ELSEWHERE IN SCHEDULE H. YOU MAY COMPLETE THIS SECTION BY INCLUDING A PARAGRAPH FOR ANY CAPITAL PROJECTS [COMPLETED, BEGUN OR IN PROCESS DURING 2023] THAT IMPROVE PATIENT CARE, AS WELL AS ANY OTHER BUILDING IMPROVEMENTS THAT CONTRIBUTE TO A HEALTHIER COMMUNITY ENVIRONMENT -- FOR EXAMPLE, USE OF THE GEOTHERMAL LAKE AT SHERMAN TO HEAT/COOL THE BUILDING, AND USE OF LED LIGHTING. STANDARD MAINTENANCE ITEMS SUCH AS INSTALLATION OF NEW BOILERS, PARKING LOT REPAVING OR REROOFING OF BUILDINGS, ETC., SHOULD NOT BE INCLUDED. ADVOCATE GOOD SHEPHERD HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. FORTY SEVEN PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SHEPHERD DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE HOSPITAL'S PRESIDENT SERVES ON THE BOARD OF THE BARRINGTON AREA COMMUNITY FOUNDATION, AND THE VICE PRESIDENT OF PHYSICIAN STRATEGY AND CLINICAL OPERATIONS SERVES ON THE BOARD OF THE FOGLIA YMCA WHICH FOCUSES ON YOUTH DEVELOPMENT, HEALTHY LIVING AND SOCIAL RESPONSIBILITY. THE COMMUNITY HEALTH DIRECTOR REPRESENTS THE HOSPITAL ON THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, WHICH FOCUS ON ISSUES OF SUBSTANCE ABUSE PREVENTION AND TREATMENT IN THE SERVICE AREA. THE COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE LIVE WELL LAKE COUNTY STEERING COMMITTEE, WHICH PROVIDES OVERSIGHT TO THE IMPLEMENTATION OF THE LAKE COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. BOTH THE COMMUNITY HEALTH DIRECTOR AND COMMUNITY HEALTH MANAGER SIT ON THE MCHENRY COUNTY HEALTH COALITION, ALONG WITH REPRESENTATIVES FROM NORTHWESTERN HOSPITAL AND THE MCHENRY COUNTY MENTAL HEALTH BOARD, TO PROVIDE OVERSIGHT OF THE MCHENRY COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH MANAGER AND THE DIRECTOR OF COMMUNITY RELATIONS SIT ON THE HEALTHIER BARRINGTON COALITION, A COMMITTEE OF ELECTED OFFICIALS, BUSINESS LEADERS, SOCIAL SERVICE, MENTAL HEALTH AND MEDICAL PROVIDERS FOCUSED ON IMPROVING THE HEALTH OF THE BARRINGTON AREA. THE COMMUNITY RELATIONS DIRECTOR ALSO SERVES ON THE HARPER COLLEGE FOUNDATION BOARD, EL VALOR BOARD AND MANO A MANO FAMILY RESOURCE CENTER BOARD. THE HOSPITAL'S SENIOR SERVICES COORDINATOR SERVES ON THE BOARD OF THE FAMILY HEALTH PARTNERSHIP CLINIC, A FREE CLINIC SERVING UNINSURED RESIDENTS OF THE SERVICE AREA. THE COMMUNITY HEALTH MANAGER SITS ON THE BSTRONG TOGETHER BOARD AND THE WAUCONDA CHOOSE YOUR OWN PATH COALITION, A COALITION ADDRESSING THE HEALTH AND COMMUNITY DEVELOPMENT NEEDS OF THE WAUCONDA AREA. IN ADDITION, THE HOSPITAL ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO PARTNERS, SUCH AS THE PIONEER CENTER AND FAMILY HEALTH PARTNERSHIP CLINIC, TO FURTHER THE HEALTH OF THE COMMUNITY, INCLUDING THE DONATION OF MEDICAL SUPPLIES THROUGH COMMUNITY ORGANIZATIONS. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY HEALTH PROMOTION - LGH ADVOCATE LUTHERAN GENERAL'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. SIXTY-THREE PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS AND SPECIALTIES. THE REMAINING 37 PERCENT IS INTERNAL. CULTURAL HEALTH INITIATIVES. ADVOCATE LUTHERAN GENERAL'S CULTURAL AND COMMUNITY LIAISON CONTINUES TO SUPPORT LGH'S DIVERSE COMMUNITIES. THE CULTURAL AND COMMUNITY LIAISON IS RESPONSIBLE FOR INTEGRATING CULTURALLY APPROPRIATE SERVICES IN THE LATINX, POLISH, RUSSIAN, SOUTH ASIAN, AND SENIOR POPULATIONS. IN ALIGNMENT WITH ADVOCATE AURORA HEALTH, THE PROGRAM SEEKS TO EMBED DIVERSITY AND INCLUSION IN ALL FORMS OF PATIENT CARE. ADDITIONALLY, THE CULTURAL AND COMMUNITY LIAISON PROGRAM SUPPORTS COMMUNITY EFFORTS AND WORKS IN COLLABORATION WITH LGH'S COMMUNITY HEALTH DEPARTMENT. THIS PROGRAM IS DESIGNED TO PROMOTE AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL PATIENTS AND FAMILIES IN THE FACILITY. KOSHER ROOM AT LUTHERAN GENERAL HOSPITAL. KOSHER DESCRIBES ANY FOOD THAT COMPLIES WITH A STRICT SET OF DIETARY RULES IN JUDAISM. THE RULES COVER WHICH FOODS TO EAT, HOW TO PREPARE THEM, AND HOW TO COMBINE THEM. PATIENTS WITH SPECIFIC KOSHER DIETARY NEEDS NOW HAVE A DESIGNATED AREA TO ENJOY THEIR MEALS AS WELL AS HOUSE THEM IN SPECIALLY ACCOMMODATED FRIDGES. THE KOSHER ROOM IS FULLY STOCKED WITH FRESH KOSHER FOODS AS WELL AS SHELF STABLE ITEMS. THE ROOM ALSO HAS READING MATERIALS, A SEATING AREA AND KOSHER ONLY MICROWAVES SO THAT PATIENTS CAN HEAT THEIR HOMECOOKED MEALS BROUGHT IN BY FAMILY. PATIENTS WHO FOLLOW KOSHER LAWS CAN ACCESS THE ROOM WITH THE CODE ON THE DOOR. THIS ROOM WAS CREATED TO ENSURE THAT KOSHER PATIENTS HAVE A PLACE IN THE HOSPITAL WHERE THEIR NEEDS ARE RECOGNIZED AND ACCOMMODATED. THE CAROL STREET APARTMENTS. THE CAROL STREET APARTMENTS. THE ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION AND WHO HAVE NO HOUSING RESOURCES. THE DEPARTMENT MANAGES THE ADVOCATE LUTHERAN CAROL STREET APARTMENTS. LOCATED ON THE HOSPITAL'S CAMPUS, THESE APARTMENTS ARE AVAILABLE FOR RENT ON A DAILY, WEEKLY OR MONTHLY BASIS. THE APARTMENTS ARE USED BY PATIENTS THAT ARE ACTIVELY GETTING SERVICES ON CAMPUS, I.E., CHEMOTHERAPY, RADIATION, ETC., AND ARE ALSO AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR THE HOSPITAL. FINANCIAL ASSISTANCE IS GRANTED TO PATIENTS AND FAMILIES THAT DEMONSTRATE FINANCIAL HARDSHIP. IN 2023, THE PROGRAM SERVED 12 INDIVIDUALS.ADVOCATE ADULT DOWN SYNDROME CENTER: ESTABLISHED IN 1992 THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), THE ADVOCATE MEDICAL GROUP ADULT DOWN SYNDROME CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. IN 2023, THE CENTER STAFF CONTINUED TO PROVIDE NUMEROUS EDUCATIONAL EVENTS AND CLASSES (VIRTUALLY, OF COURSE, DURING THE PANDEMIC BUT BEGINNING TO BE IN-PERSON AGAIN), PUBLISHED RESEARCH STUDIES, PROVIDED EXTENSIVE EDUCATIONAL MATERIALS ONLINE AND IN PRINT FORM, AND PARTICIPATED IN NATIONAL AND INTERNATIONAL PROJECTS EDUCATING ABOUT AND RESEARCHING THE EFFECT OF A VARIETY OF CONDITIONS HAVE ON PEOPLE WITH DOWN SYNDROME SUCH AS COVID-19, ALZHEIMER'S DISEASE, AND MENTAL HEALTH CONDITIONS.CANCER SURVIVORSHIP CENTER: THE CANCER SURVIVORSHIP CENTER CONTINUES TO PROVIDE PATIENTS WITH RESOURCES TO HELP IMPROVE THEIR QUALITY OF LIFE. THE CENTER PROVIDES WIG FITTINGS, EXERCISES CLASSES, THERAPEUTIC CLASSES AND HOLISTIC SUPPORT FOR PATIENTS, FAMILY MEMBERS AND CAREGIVERS. NATIONAL RECOGNITION. ADVOCATE HEALTH WAS RECOGNIZED AS A NATIONAL LEADER IN ENVIRONMENTAL SUSTAINABILITY BY PRACTICE GREEN HEALTH, WINNING "SYSTEM FOR CHANGE AWARD," WHICH WAS EARNED BY ONLY 9 HEALTH SYSTEMS NATIONWIDE IN 2023-- REFLECTING THE ENTERPRISE-LEVEL COMMITMENT TO DEEPLY EMBEDDING SUSTAINABILITY WITHIN OUR OPERATIONS. IN ADDITION TO THE SYSTEM-LEVEL AWARD, ADVOCATE LUTHERAN GENERAL ALSO WON A TOP 25 AWARD AND SEVERAL HOSPITALS WON CIRCLES OF EXCELLENCE (TOP 10 FOR SPECIFIC IMPACT AREAS). ADVOCATE LUTHERAN GENERAL HOSPITAL RECEIVED THE EMERAL AWARD FOR BEING AMONG THE TOP 20% IN SUSTAINABILITY PROGRAMS NATIONWIDE. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY HEALTH PROMOTION - SSUB ADVOCATE SOUTH SUBURBAN'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. SEVENTY-EIGHT PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.BEHAVIORAL HEALTH SERVICES: IN DECEMBER 2023, ADVOCATE SOUTH SUBURBAN OPENED ITS INPATIENT BEHAVIORAL HEALTH UNIT TO PROVIDE INPATIENT BEHAVIORAL HEALTH SERVICES. THE UNIT OFFERS 16 STATE-OF-THE-ART PRIVATE BEDS AND 24/7 EMERGENCY CRISIS SUPPORT FOR PATIENTS REQUIRING BEHAVIORAL HEALTH SERVICES. HEALTHY LIVING FOOD FARMACY: IN 2021 ADVOCATE SOUTH SUBURBAN LAUNCHED ITS HEALTHY LIVING FOOD FARMACY PROGRAM AS A STEP TOWARDS ADDRESSING SOCIAL DRIVERS OF HEALTH RELATED TO FOOD INSECURITY. THE LACK OF ACCESS TO ADEQUATE HEALTHY FOOD CAN WORSEN HEALTH PROBLEMS AND INCREASE FINANCIAL STRAIN. THE FOOD FARMACY SERVES ADVOCATE PATIENTS WHO ARE FOOD INSECURE AND PATIENTS WHO EXPERIENCE LONG-TERM CHRONIC HEALTH DISPARITIES SUCH AS HEART DISEASE OR DIABETES. IN 2023 THE FOOD FARMACY PROVIDED NEARLY 55,000 POUNDS OF FOOD TO 301 PATIENTS.MOBILE HEALTH OUTREACH: IN THE SUMMER OF 2022, THE MOBILE HEALTH OUTREACH TEAM EXPANDED ITS SERVICES TO INCLUDE COMMUNITIES SERVICED BY ADVOCATE SOUTH SUBURBAN. THE MOBILE HEALTH TEAM INCREASES ACCESS TO CARE FOR VULNERABLE POPULATION BY DELIVERING SERVICES DIRECTLY WITHIN COMMUNITIES OF NEED AND ADAPTING SERVICES BASED ON THE CHANGING NEEDS OF THE COMMUNITY. IN 2023 THE MOBILE HEALTH OUTREACH TEAM PARTICIPATED IN 12 COMMUNITY EVENTS IN THE HOSPITAL'S PSA. THE TEAM PROVIDED BLOOD PRESSURE, GLUCOSE, CHOLESTEROL, AND BMI SCREENINGS IMPACTING A TOTAL OF 269 LIVES. MEDICAL AND SOCIAL DETERMINANTS OF HEALTH ARE ALSO ADDRESSED IN TARGETED COMMUNITIES TO IMPROVE HEALTH OUTCOMES IN UNDERSERVED GROUPS.ANEW: BUILDING BEYOND VIOLENCE AND ABUSE: DURING THE FALL OF 2023 ADVOCATE SOUTH SUBURBAN'S HOSPITAL PRESIDENT JOINED THE BOARD OF ANEW: BUILDING BEYOND VIOLENCE AND ABUSE (ANEW). ANEW IS A 501C3, NON-PROFIT, NON-SECTARIAN SOCIAL SERVICE AGENCY WHOSE MISSION IS TO PROVIDE CARING AND CONFIDENTIAL HELP TO VICTIMS OF DOMESTIC VIOLENCE. PROGRAMS AND SERVICES PROVIDED BY ANEW INCLUDE DOMESTIC VIOLENCE ADVOCACY, COURT ADVOCACY, 24-HOUR HOTLINE, ABUSER INTERVENTION, COUNSELING, TRANSITIONAL HOUSING, EMERGENCY SHELTER, AND COMMUNITY EDUCATION. 13-SCHEDULE H - DESCRIPTION OF COMMUNITY HEALTH PROMOTION - TRINITY FOOD FARMACY. ADVOCATE TRINITY'S HEALTHY LIVING FOOD FARMACY CONTINUED TO MAKE HUGE STRIDES IN THE COMMUNITY. IN 2023, 2,683 PATIENT VISITS WERE SERVED THROUGH THE HEALTHY LIVING FOOD FARMACY. A TOTAL OF 79,555 POUNDS OF FOOD WAS DISTRIBUTED TO PROGRAM PARTICIPANTS.LIVE WELL MOBILE HEALTH. THE MOBILE HEALTH TEAM IN IL CONTINUED TO PROVIDE OUTREACH SERVICES TO ILLINOIS' MOST VULNERABLE COMMUNITIES BY WORKING WITH SEVERAL COMMUNITY PARTNERS ACROSS THE STATE. IN 2023, THE MOBILE HEALTH TEAM CONDUCTED SCREENINGS AT 46 COMMUNITY EVENTS SERVICING 1,272 PEOPLE AND PROVIDING A TOTAL OF 327 FLU AND COVID-19 VACCINES. THE MOBILE UNIT CONTINUES TO SUPPORT THE PROTECT CHICAGO AT HOME VACCINATION PROGRAM WITH THE CITY OF CHICAGO, AND THEY PROVIDED 1,056 COVID-19 AND FLU VACCINATIONS TO IN-HOME AND MOBILE COMMUNITY. PRIMARY CARE CONNECTION. THE ADVOCATE TRINITY COMMUNITY HEALTH WORKERS (CHW) ASSIST PATIENTS IN THE EMERGENCY ROOM AND THE COMMUNITY BY CONNECTING THEM TO LOCAL RESOURCES SUCH AS UTILITY ASSISTANCE, FOOD PANTRIES, AND PRIMARY CARE HOMES. THEY EVALUATE PATIENTS' NEEDS AND PROVIDE APPROPRIATE SUPPORT. IN 2023, THE CHW SERVED 2,780 PATIENTS IN THE ED, 1,346 APPOINTMENTS SCHEDULED AND PROVIDED 3,362 REFERRALS GIVEN. MORE THAN 14 PERCENT OF THE REFERRALS WERE FOR FOOD RESOURCES. MORE THAN 10,000 PATIENTS RECEIVED CARE, SUPPORT, AND RESOURCES FROM CHWS LOCATED IN THE EMERGENCY ROOMS ACROSS THREE IL ADVOCATE HOSPITALS TRINITY, CHRIST, AND SHERMAN. 1 ADTALEM GLOBAL EDUCATION 500 W MONROE ST CHICAGO IL 60661 272860061 501(C)(3) 9243 0 TUITION ADVOCATE CHRIST MEDICAL CENTER 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 262525968 501(C)(3) 11500 0 SCHOLARSHIP AMERICAN CANCER SOCIETY 225 N MICHIGAN AVE STE 1200 CHICAGO IL 60601 362167721 501(C)(3) 57000 0 SPONSOR EVENTS BARRINGTON AREA COUNCIL ON AGING 6000 GARLANDS LN STE 100 BARRINGTON IL 60010 363337705 501(C)(3) 7500 0 SPONSOR EVENTS BARRINGTON CHILDREN'S CHARITIES 145 W MAIN STREET BARRINGTON IL 60010 270963289 501(C)(3) 6000 0 SPONSOR EVENTS CENTRAL STATE UNIVERSITY PO BOX 1004 WILBERFORCE OH 45384 310749885 501(C)(3) 27500 0 SPONSOR EVENTS CHAMBERLAIN UNIVERSITY 500 WEST MONROE STE 2800 CHICAGO IL 60661 363150143 501(C)(3) 10705 0 TUITION CHICAGO FOOTBALL CLASSIC SCHOLARSHIP 41 W 84TH STREET CHICAGO IL 60620 475267055 501(C)(3) 10000 0 SUPPORT EXEMPT MISSION CHICAGO UNITED INC 300 E RANDOLPH ST STE CL920 CHICAGO IL 60601 362770509 501(C)(3) 30000 0 SPONSOR EVENTS CHICAGO URBAN LEAGUE 4510 SOUTH MICHIGAN AVE CHICAGO IL 60653 362225483 501(C)(3) 7250 0 SPONSOR EVENTS CHICAGOLAND CHAMBER OF COMMERCE 410 N MICHIGAN AVE SUITE 900 CHICAGO IL 60611 360896000 501(C)(3) 20000 0 COMMUNITY SUPPORT CHILDRENS HEART FOUNDATION 5 REVERE DR STE 200 NORTHBROOK IL 60062 364077528 501(C)(3) 22420 0 SPONSOR EVENTS CHOOSE DUPAGE 2525 CABOT DR 303 LISLE IL 60532 320177792 N/A 10000 0 SPONSOR EVENTS COMMUNITY HEALTH 2611 W CHICAGO AVE CHICAGO IL 60622 363831793 501(C)(3) 7500 0 SPONSOR EVENTS DOWNERS GROVE PARK DISTRICT 2455 WARRENVILLE ROAD DOWNERS GROVE IL 60515 363755536 N/A 5100 0 SPONSOR EVENTS DUPAGE HEALTH COALITION 511 THORNHILL DR STE E CAROL STREAM IL 60188 364448208 501(C)(3) 6616 0 SPONSOR EVENTS ENDURE CHARITIES INC 1918 S MICHIGAN AVE APT 303 CHICAGO IL 60616 823590983 501(C)(3) 65000 0 SUPPORT EXEMPT MISSION EQUALITY ILLINOIS 73 W MONROE ST 401 CHICAGO IL 60603 260798861 501(C)(3) 10000 0 SPONSOR EVENTS FAMILY HEALTH PARTNERSHIP CLINIC 401 E CONGRESS PKWY CRYSTAL LAKE IL 60014 364277029 501(C)(3) 7000 0 SPONSOR EVENTS FRIENDS OF MCHENRY COUNTY COLLEGE FOUNDATION 8900 US HWY 14 CRYSTAL LAKE IL 60012 237418071 501(C)(3) 6000 0 COMMUNITY SUPPORT FUNDING FOR TRINITY UNITED CHURCH OF CHRIST 400 W 95TH ST CHICAGO IL 60628 364358680 501(C)(3) 10000 0 SUPPORT EXEMPT MISSION JB INAGURATION COMMITTEE 2023 70 W MADISON STE 1790 CHICAGO IL 60602 203110242 N/A 10000 0 SPONSOR EVENTS LAKESIDE LEGACY FOUNDATION 401 COUNTRY CLUB RD CRYSTAL LAKE IL 60014 331006907 501(C)(3) 6500 0 SPONSOR EVENTS LEWIS UNIVERSITY 1 UNIVERSITY PKWY ROMEOVILLE IL 60446 362167773 501(C)(3) 10919 0 TUITION LOYOLA UNIVERSITY CHICAGO 1032 W SHERIDAN RD SUITE 190 CHICAGO IL 60660 361408475 501(C)(3) 6000 0 SCHOLARSHIP MAKE-A-WISH FOUNDATION 640 N LASALLE DR STE 280 CHICAGO IL 60654 363422138 501(C)(3) 7500 0 SPONSOR EVENTS MARCH OF DIMES 141 W JACKSON BLVD STE 1875 CHICAGO IL 60604 131846366 501(C)(3) 10000 0 SPONSOR EVENTS MEDICAL ORGANIZATION FOR LATINO ADVANCEMENT PO BOX 577672 CHICAGO IL 60657 821571454 501(C)(3) 10000 0 SUPPORT EXEMPT MISSION MUSEUM OF SCIENCE & INDUSTRY CHICAGO 5700 S DUSABLE LAKE SHORE DR CHICAGO IL 60637 362167797 501(C)(3) 59000 0 SUPPORT EXEMPT MISSION PARK RIDGE CHAMBER OF COMMERCE IL 1 S NORTHWEST HIGHWAY LOWER LEVEL PARK RIDGE IL 60068 362055331 N 5945 0 SPONSOR EVENTS RONALD MCDONALD HOUSE 1301 W 22ND ST STE 905 OAK BROOK IL 60523 363532553 501(C)(3) 15160 0 SPONSOR EVENTS SENIOR CARE VOLUNTEER NETWORK 42 EAST STREET STE C CRYSTAL LAKE IL 60014 311712933 501(C)(3) 6000 0 SPONSOR EVENTS SOUTH SUBURBAN PADS 414 W LINCOLN HIGHWAY CHICAGO HEIGHTS IL 60411 363744405 501(C)(3) 30000 0 SUPPORT EXEMPT MISSION SPECIAL OLYMPICS ILLINOIS 500 WATERS EDGE STE 100 LOMBARD IL 60148 362922811 501(C)(3) 11553 0 SPONSOR EVENTS SPELMAN COLLEGE ATTN CASS JOSEPH 350 SPELMAN LANE SW CAMPUS BOX 1551 ATLANTA GA 30314 580566243 501(C)(3) 50000 0 SPONSOR EVENTS THE CHICAGO NETWORK 737 N MICHIGAN AVE SUITE 1900 CHICAGO IL 60611 363099583 501(C)(3) 6000 0 SPONSOR EVENTS THE LEVERAGE NETWORK INC 200 S WACKER DR STE 3100 CHICAGO IL 60606 473517179 501(C)(3) 25000 0 SPONSOR EVENTS TURNING POINT BEHAVIORAL HEALTH CARE CENTER 8324 SKOKIE BOULEVARD SKOKIE IL 60077 362327294 501(C)(3) 8000 0 SUPPORT EXEMPT MISSION UNITED WAY OF METRO CHICAGO 333 S WABASH AVE 30TH FLOOR CHICAGO IL 60604 300200478 501(C)(3) 15000 0 SPONSOR EVENTS UNIVERSITY OF CHICAGO - ILLINOIS 809 SOUTH MARSHFIELD AVE M/C 551 CHICAGO IL 60612 376000511 501(C)(3) 12000 0 SCHOLARSHIP URBAN INITIATIVES INC 650 W LAKE ST 340 CHICAGO IL 60661 830367521 501(C)(3) 10000 0 SPONSOR EVENTS VILLAGE OF OAK LAWN 9446 S RAYMOND AVE OAK LAWN IL 60453 362852308 501(C)(3) 10000 0 SPONSOR EVENTS X X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 JAMES SKOGSBERGH DIRECTOR, PRESIDENT 0 3800014 0 11698802 0 1099318 0 793002 0 25810 0 17416946 0 572364 DOMINIC NAKIS TREASURER 0 212923 0 2594726 0 3579940 0 121372 0 8980 0 6517941 0 195217 WILLIAM SANTULLI DIRECTOR, PRESIDENT 0 1775117 0 3426826 0 603179 0 324949 0 34667 0 6164738 0 246278 MICHAEL GREBE SECRETARY 0 142133 0 1229539 0 2231753 0 96507 0 2547 0 3702479 0 129806 KEVIN BRADY CHIEF HUMAN RESOURCES OFFICER 0 48760 0 1268679 0 2076526 0 35296 0 25844 0 3455105 0 133562 JEFFREY BAHR ASSISTANT SECRETARY 0 1009633 0 1597326 0 572021 0 168713 0 35324 0 3383017 0 138983 GARY STUCK CHIEF MEDICAL OFFICER, DIRECTOR UNTI 0 1110511 0 1397423 0 258066 0 200775 0 28461 0 2995236 0 143552 SCOTT POWDER CHIEF STRATEGY OFFICER 0 346195 0 1168029 0 1159945 0 88525 0 30977 0 2793671 0 125043 KELLY GOLSON CHIEF MARKETING OFFICER 0 612998 0 1203117 0 655108 0 138140 0 7478 0 2616841 0 132284 MICHAEL FARRELL PRESIDENT, ADVOCATE CHILDREN'S HOSPI 910186 0 1104529 0 270047 0 146166 0 27798 0 2458726 0 139063 0 NAN NELSON ASSISTANT TREASURER, TREASURER 0 757767 0 653280 0 310918 0 122557 0 30211 0 1874733 0 99317 MARCUS TALERICO PHYSICIAN - ORTHOPEDICS 1105340 0 286703 0 178358 0 32400 0 28094 0 1630895 0 29650 0 HAMAD FARHAT NEUROSURGEON 1469005 0 19930 0 102606 0 9900 0 26243 0 1627684 0 9150 0 KATHIE BENDER SCHWICH DIRECTOR 0 106276 0 713396 0 607178 0 61171 0 118213 0 1606234 0 83571 BRAD CLARK ASSISTANT TREASURER 0 991783 0 356324 0 83869 0 109999 0 35796 0 1577771 0 80393 DEMETRIUS LOPES NEUROSURGEON 1237077 0 0 0 121371 0 32400 0 24545 0 1415393 0 29650 0 DEAN KARAHALIOS NEUROSURGEON 1272124 0 100000 0 -8540 0 9900 0 34077 0 1407561 0 9150 0 PATRICK SUGRUE NEUROSURGEON 1200014 0 82744 0 -4360 0 32400 0 26656 0 1337454 0 0 0 RACHELLE HART SECRETARY 0 597772 0 374964 0 182744 0 103904 0 26770 0 1286154 0 93460 DOMINICA TALLARICO VICE PRESIDENT 0 298855 0 642974 0 228687 0 32400 0 12457 0 1215373 0 132605 JAMES DOHENY ASSISTANT TREASURER 0 67302 0 295949 0 700756 0 43643 0 20284 0 1127934 0 78993 DIA NICHOLS VICE PRESIDENT 505250 0 289273 0 13781 0 95636 0 34145 0 938085 0 0 0 CARRIE DONOVAN ASSISTANT TREASURER 0 521217 0 216046 0 37381 0 92513 0 34309 0 901466 0 75228 STEVE HUSER ASSISTANT TREASURER 0 103038 0 189940 0 513502 0 48323 0 23333 0 878136 0 69926 MICHAEL KERNS ASSISTANT SECRETARY 0 388253 0 260462 0 101059 0 80710 0 31283 0 861767 0 73386 JAMES SLINKMAN ASSISTANT SECRETARY 0 410751 0 232619 0 69025 0 80370 0 31046 0 823811 0 68915 KEVIN FITCH ASSISTANT TREASURER 0 385752 0 164653 0 18620 0 56223 0 28823 0 654071 0 69511 RACHEL HALVERSON ASSISTANT TREASURER 0 419861 0 57893 0 37 0 32400 0 27158 0 537349 0 0 ROBIN STOEN ASSISTANT TREASURER 0 282597 0 45052 0 -613 0 9829 0 19394 0 356259 0 8152 KATHERINE KETNER ASSISTANT SECRETARY 0 235115 0 81180 0 1076 0 18403 0 11762 0 347536 0 0 MICHAEL VOLANTE ASSISTANT TREASURER 0 220990 0 43015 0 -7238 0 19175 0 28383 0 304325 0 15887 A ILLINOIS FINANCE AUTHORITY 861091967 75024E7J1 2020-01-15 42043187 SEE SCHEDULE K PART VI 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45204E7K8 2020-02-12 35487997 SEE SCHEDULE K PART VI 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45204E793 2019-05-01 42794542 SEE SCHEDULE K PART VI 0 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45200FAZ2 2007-10-10 348000000 SEE SCHEDULE K PART VI 0 0 0 A 6085000 42043187 42043187 2009 1 0 1 1 B 5165000 35487997 35487997 2009 1 0 1 1 C 6175000 42794542 42794542 2009 1 0 1 1 D 76235000 352851959 2331125 3418607 154520722 192581505 2009 1 0 1 1 A 0 1 1 0 0 0.00100 0.00000 0.00100 0 0 1 B 0 1 1 0 0 0.00100 0.00000 0.00100 0 0 1 C 0 1 1 0 0 0.00100 0.00000 0.00100 0 0 1 D 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 0 1 1 1 1 SEE PART VI 26.800000000000 0 0 1 TRINITY PLUS FUNDING 2.100000000000 1 0 1 A 1 B 1 C 1 D 1 A ILLINOIS FINANCE AUTHORITY 861091967 45203HCA8 2011-09-21 201774238 SEE SCHEDULE K PART VI 1 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45203HUC4 2013-08-08 103136955 SEE SCHEDULE K PART VI 1 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45203HE40 2014-12-18 341558564 SEE SCHEDULE K PART VI 1 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45203H4J8 2015-09-24 104517375 SEE SCHEDULE K PART VI 1 0 0 A 830000 32085000 202235524 1649390 200461255 124878 2013 0 0 1 1 B 18330000 71550000 103146877 1285192 101849526 12160 2015 0 0 1 1 C 43550000 186525000 353041187 2627651 350413535 2015 0 1 1 1 D 69380000 104528531 1436749 103068646 23136 2016 0 0 1 1 A 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 0 0 0.00700 0.00000 0.00700 0 0 1 D 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 A ILLINOIS FINANCE AUTHORITY 861091967 45203H6T4 2015-10-22 73276988 SEE SCHEDULE K PART VI 1 0 0 B WISCONSIN HEALTH & ED FACILITIES AUTHORITY 391337855 97712DP34 2018-08-16 520918343 SEE SCHEDULE K PART VI 0 0 0 C WISCONSIN HEALTH & ED FACILITIES AUTHORITY 391337855 97712D7Z3 2021-04-08 50006035 SEE SCHEDULE K PART VI 0 0 0 D WISCONSIN HEALTH & ED FACILITIES AUTHORITY 391337855 97712JEF6 2022-01-26 46690051 SEE SCHEDULE K, PART VI 0 0 0 A 2170000 55810000 75569387 715867 74853521 2016 0 1 1 1 B 192065000 520919019 520892291 26728 2018 0 0 1 1 C 50006035 50006035 2018 1 0 1 1 D 46690051 46690051 2018 1 0 1 1 A 0 1 1 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 0 1 0 0.00500 0.00000 0.00500 0 0 1 C 0 1 1 0 1 0 0.00500 0.00000 0.00500 0 0 1 D 0 1 1 0 1 0 0.00500 0.00000 0.00500 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 1 1 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A WISCONSIN HEALTH & ED FACILITIES AUTHORITY 391337855 97712JGW7 2023-01-25 95382124 SEE SCHEDULE K PART VI 0 0 0 A 95382124 95382124 2018 1 0 1 1 A 0 1 1 0 1 0 0.00500 0.00000 0.00500 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 ROBERT SKOGSBERGH FAMILY MEMBER- JAMES SKOGSBERGH SALARY INTERNSHIP KRISTIN VERCILLO FAMILY MEMBER - MARK GROSS 654279 EMPLOYMENT 0 ALEXIS SLAUGHTER FAMILY MEMBER - ULYSSES BURLEY III 44247 EMPLOYMENT 0 KRISTINE ARIAS FAMILY MEMBER - JOHN TIMMER 60421 EMPLOYMENT 0 RAFAEL ARIAS FAMILY MEMBER - JOHN TIMMER 175928 EMPLOYMENT 0 ROBERT SKOGSBERGH FAMILY MEMBER - JAMES SKOGSBERGH 115491 EMPLOYMENT 0 JESSICA SLINKMAN FAMILY MEMBER - HAROLD SLINKMAN 51041 EMPLOYMENT 0 WAYNE M GOLDSTEIN FAMILY MEMBER- JEFF GOLDSTEIN 34022 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 1A BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEES' AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 OFFICER BUSINESS RELATIONSHIP AS JAMES DAN, M.D., VINCENT BUFALINO, M.D., GAIL D. HASBROUCK, EARL BARNES II, JAMES DOHENY, AND DOMINIC J. NAKIS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS DIRECTORS OF THE BOARD ARE CORPORATE MEMBERS OF ADVOCATE HEALTH AND HOSPITAL BOARD, WHICH ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE) TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C DESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS INTERESTED PERSONS). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT ADVOCATE HEALTH AND HOSPITAL CORPORATION IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVELS OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: -A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY. -ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION. -A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS. -AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND -ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEB SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: PENSION PLAN 16,298,423. FUND BALANCE 1,053,998. RESTORATION PLAN 1,439,618. RETIREE HEALTH -237,865. UNREALIZED GAIN/LOSS 92,040. ADVOCATE HEALTH CARE NETWORK 2025 WINDSOR DR OAK BROOK IL 60523 362167779 PARENT CORP IL 501(C)(3) LINE 12C, III-FI N/A 0 ADVOCATE CONDELL MEDICAL CENTER 2025 WINDSOR DR OAK BROOK IL 60523 262525968 HEALTH CARE IL 501(C)(3) LINE 3 AHHC 1 ADVOCATE NORTH SIDE HEALTH NETWORK 2025 WINDSOR DR OAK BROOK IL 60523 363196629 HEALTH CARE IL 501(C)(3) LINE 3 AHHC 1 ADVOCATE CHARITABLE FOUNDATION 2025 WINDSOR DR OAK BROOK IL 60523 363297360 FUNDRAISING IL 501(C)(3) LINE 7 AHCN 0 EHS HOME HEALTH CARE SERVICE INC 2025 WINDSOR DR OAK BROOK IL 60523 362913108 HOME CARE IL 501(C)(3) LINE 10 AHHC 1 MERIDIAN HOSPICE 2025 WINDSOR DR OAK BROOK IL 60523 363158667 HOSPICE CARE IL 501(C)(3) LINE 10 EHSHHCS 0 MASONIC FAMILY HEALTH FOUNDATION INC 2025 WINDSOR DR OAK BROOK IL 60523 364397387 FUNDRAISING IL 501(C)(3) LINE 12A, I MFHS 0 ADVOCATE SHERMAN HOSPITAL 2025 WINDSOR DR OAK BROOK IL 60523 362167920 HEALTH CARE IL 501(C)(3) LINE 3 AHCN 0 ADVOCATE AURORA HEALTH INC 2025 WINDSOR DR OAK BROOK IL 60523 824184596 SUPPORT ORG DE 501(C)(3) LINE 12C, III-FI N/A 0 ADVOCATE HOME CARE PRODUCTS 2025 WINDSOR DR OAK BROOK IL 60523 363315416 HEALTH SERVICES IL N/A C 0 EVANGELICAL SERVICES CORPORATION 2025 WINDSOR DR OAK BROOK IL 60523 363208101 MGMT SERVICES IL N/A C 0 HIGH TECHNOLOGY INC 2025 WINDSOR DR OAK BROOK IL 60523 363368224 MEDICAL SERVICES IL N/A C 0 DREYER CLINIC INC 2025 WINDSOR DR OAK BROOK IL 60523 362690329 MEDICAL SERVICES IL N/A C 0 PARKSIDE CENTER CONDO ASSOCIATION 1775 WEST DEMPSTER STREET PARK RIDGE IL 60068 363452486 PROPERTY MGMT IL N/A C 0 THE DELPHI GROUP IV INC 1425 N RANDALL ROAD ELGIN IL 60123 364017279 HEALTH COST MGT IL N/A C 0 ADVOCATE HPN NFP 2025 WINDSOR DR OAK BROOK IL 60523 810893878 HEALTH IMPRV MGMT IL N/A C 0 ADVOCATE INSURANCE SPC 878 WEST BAY ROAD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980422925 INSURANCE CJ N/A C 1.00000 1 ADVOCATE HEALTH PARTNERS 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 364032117 HEALTH CARE MGT IL N/A C 0 ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 455498384 HEALTH CARE MGT IL N/A C 0 ADVOCATE PHYSICIAN PTNRS RISK PURCHASE 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 383914173 GROUP MALPRACTICE IL N/A C 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ADVOCATE CONDELL MEDICAL CENTER L 175969 COST ADVOCATE SHERMAN HOSPITAL A 5908057 COST AURORA MEDICAL CENTER BAY AREA INC D 1592943 COST DREYER AMBULATORY SURGERY CENTER A 903288 COST DREYER AMBULATORY SURGERY CENTER L 841060 COST DREYER CLINIC INC (INACTIVE) A 6850 COST DREYER CLINIC INC (INACTIVE) K 53033 COST DREYER CLINIC INC (INACTIVE) L 1492 COST DREYER CLINIC INC (INACTIVE) M 3183 COST DREYER CLINIC INC (INACTIVE) P 295802 COST AURORA HEALTH CARE INC D 54392154 COST AURORA HEALTH CARE INC K 21500 COST AURORA HEALTH CARE INC L 158295 COST ADVOCATE HEALTH PARTNERS L 6140543 COST ADVOCATE HEALTH PARTNERS M 53725999 COST DIVERSIFIED CARE INC M 132651 COST AURORA PHARMACY INC M 1517633 COST HIGH TECHNOLOGY INC K 62616 COST HIGH TECHNOLOGY INC L 1394229 COST ADVOCATE HOME CARE PRODUCTS INC L 7210 COST ADVOCATE HOME CARE PRODUCTS INC M 664502 COST ADVOCATE INSURANCE SPC M 26327500 COST ADVOCATE CHARITABLE FOUNDATION L 295 COST A2CL SERVICES LLC L 2330281 COST A2CL SERVICES LLC M 1966831 COST ADVOCATE AURORA HEALTH INC L 520300 COST ADVOCATE AURORA HEALTH INC M 6352 COST ADVOCATE NORTH SIDE HEALTH NETWORK Q 3618000 COST ADVOCATE CONDELL MEDICAL CENTER Q 1031000 COST ADVOCATE SHERMAN HOSPITAL D 1805000 COST ADVOCATE SHERMAN HOSPITAL D 149214878 COST ADVOCATE SHERMAN HOSPITAL D 1805000 COST ADVOCATE SHERMAN HOSPITAL Q 896000 COST AURORA MEDICAL CENTER BAY AREA INC D 2730000 COST AURORA MEDICAL CENTER BAY AREA INC D 71830000 COST AURORA MEDICAL CENTER BAY AREA INC D 2730000 COST DREYER AMBULATORY SURGERY CENTER Q 1493971 COST DREYER CLINIC INC (INACTIVE) Q 660167 COST DREYER CLINIC INC (INACTIVE) Q 660167 COST AURORA HEALTH CARE INC D 1226853232 COST ADVOCATE HEALTH PARTNERS Q 660167 COST ADVOCATE HEALTH PARTNERS Q 10739244 COST HIGH TECHNOLOGY INC Q 82557 COST ADVOCATE HOME CARE PRODUCTS INC Q 1655950 COST EHS HOME HEALTH CARE SERVICES INC Q 2148091 COST A2CL SERVICES LLC Q 953623 COST