Section C . Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y "Facilit y A , " "Facilit y B , " etc.
Form and Line Reference Explanation
PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY AND PERSONS CONSULTED TSRHC ENGAGED THE SERVICES OF THE DALLAS-FORT WORTH HOSPITAL COUNCIL FOUNDATION (DFWHCF)TO ASSESS THE NEEDS OF THE COMMUNITY AND COLLABORATE WITH TSRHC IN PRODUCING THE HOSPITAL'S CHNA REPORT THE MISSION OF THE DFWHCF IS TO SERVE AS A CATALYST FOR CONTINUAL IMPROVEMENT IN COMMUNITY HEALTH AND HEALTH CARE DELIVERY THROUGH EDUCATION, RESEARCH, COMMUNICATION, COLLABORATION, AND COORDINATION DFWHCF IS A TRUSTED COMMUNITY RESOURCE EXPANDING KNOWLEDGE AND DEVELOPING NEW INSIGHT FOR THE CONTINUOUS IMPROVEMENT OF HEALTH AND HEALTH CARE DFWHCF ALIGNS INFORMATION COLLECTION,ANALYTICS,AND REPORTING CAPABILITIES TO IMPROVE CLINICAL EFFECTIVENESS, CARE COORDINATION AND POPULATION HEALTH DFWHCF RESEARCH STAFF HAS EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS AND DEVELOPING COMPREHENSIVE HEALTH SERVICE PLANS PRIMARY DATA WAS OBTAINED FROM PATIENTS AND KEY INFORMANTS THROUGH TELEPHONE, WRITTEN AND FACE-TO-FACE SURVEYS THE DFWHCF CONTACTED 957 PATIENTS AND THEIR FAMILIES ON BEHALF OFTSRHC DURING THE PERIOD OF MAY 14 -JULY 3, 2013 A RANDOMIZED SAMPLE OF PATIENTS ACCESSING THE FIVE CORE SERVICES AREAS OF THE HOSPITAL - PEDIATRIC ORTHOPAEDICS, NEUROLOGY, RHEUMATOLOGY, PEDIATRIC DEVELOPMENTAL DISABILITIES AND DYSLEXIA - WERE QUERIED AND DATA WAS COLLECTED FOR USE IN THIS ANALYSIS A SIGNIFICANT NUMBER OF MEDICALLY
UNDERSERVED, LOW INCOME AND MINORITY PATIENTS AND PATIENT FAMILIES WERE INCLUDED IN THE PATIENT SURVEY, REFLECTING THE MIX OF PATIENTS SEEN AT TSRHC KEY INFORMANT INFORMATION WAS COLLECTED FROM 24 IDENTIFIED STAKEHOLDERS DURING THE PERIOD OF JUNE 19 - JULY 12, 2013 EXPERTS IN PUBLIC HEALTH, SOCIAL SERVICES, HOSPITAL ADMINISTRATION, CARE MANAGEMENT AND ACUTE PEDIATRIC SPECIALTY CARE WERE INTERVIEWED USING A PRE-DETERMINED LIST OF QUESTIONS KEY INFORMANTS REPRESENT ORGANIZATIONS SERVING A SIGNIFICANT NUMBER OF
MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY PATIENTS AND PATIENT FAMILIES SECONDARY DATA REGARDING ATTRIBUTES AND FACTORS SUCH AS HEALTH STATUS, SOCIOECONOMIC STATUS, STANDARDS OF CARE, PUBLIC HEALTH AND PUBLISHED
GUIDELINES WERE ACQUIRED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED O THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, CENTERS FOR DISEASE CONTROL AND PREVENTION, HEALTHY PEOPLE 2020, HEALTHY COMMUNITIES NETWORK, AMERICAN COMMUNITY SURVEY AND LOCAL PUBLIC HEALTH AUTHORITIES OTHER ORGANIZATIONS SUPPORTING THIS CHNA INCLUDE THE ARTHRITIS FOUNDATION, DALLAS COUNTY HEALTH AND HUMAN SERVICES, DALLAS-FORT WORTH HOSPITAL COUNCIL FOUNDATION, RONALD MCDONALD HOUSE OF DALLAS AND THE TARRANT COUNTY DEPARTMENT OF HEALTH ASSESSMENT OF THE TSRHC COMMUNITY CORE AND ANCILLARY SERVICES WAS ACCOMPLISHED THROUGH MIXED METHODOLOGY QUALITATIVE DATA WAS OBTAINED FROM INFORMANTS, CATEGORIZED AND INTERPRETED, LEADING TO THE IDENTIFICATION OF TRENDS AND ANOMALIES QUANTITATIVE DATA WAS COLLECTED FROM PATIENT SURVEY RESPONSES, CONVERTED TO NUMERICAL REPRESENTATIONS, AND ANALYZED WITH STATISTICAL SOFTWARE BASED ON AN ANALYSIS OF PRIMARY DATA, CONCLUSIONS WERE MADE AND NEEDS IDENTIFIED STATE AND REGIONAL DATA DETERMINED INDICATORS WITH THE MOST SIGNIFICANT IMPACT ON HEALTH ACCESS AND QUALITY FOR THE TSRHC COMMUNITY
Form 990 Part V Section C Supplemental Information for Part V, Section B.
Section C . Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
I Form and Line Reference I Explanation
ART V, SECTION B, LINE 6B SRHC ENGAGED THE SERVICES OF THE DALLAS-FORT WORTH HOSPITAL COUNCIL FOUNDATION (DFWHCF) TO ASSESS THE NEEDS OF THE COMMUNITY AND COLLABORATE WITH TSRHC IN PRODUCING THE HOSPITAL'S CHNA REPORT PART V, SECTION B, LINE 7A http //assets thehcn net/content/sites/dallasfortworth/TSRHC_CHNA_092613_b pdf
Section C . Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y "Facilit y A , " "Facilit y B "
' etc.
Form and Explanation
Line Reference
PART V, NEEDS IDENTIFIED IN RECENTLY CONDUCTED CHNA AS PART OF ITS COMMUNITY HEALTH NEEDS ASSESSME NT SECTION (CHNA),TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN (TSRHC)AND THE DALLAS FORT WORTH HOS PITAL B, LINE COUNCIL FOUNDATION (DFWHCF) REACHED A CONSENSUS ABOUT SIGNIFICANT COMMUNITY HEALTH N EEDS 11 BASED ON THE FREQUENCY AND IMPORTANCE OF SURVEY RESPONSES RECEIVED TSHRC LEADERSHIP IDENTIFIED
AND PRIORITIZED THREE SIGNIFICANT NEEDS WITHIN THE SCOPE OF THE HOSPITAL'S PRAC TICE THAT REACH BEYOND THE SPECIFIC PEDIATRIC ORTHOPAEDIC NEEDS NORMALLY IDENTIFIED BY OUR PATIENTS TSRHC CONTINUES TO ADDRESS ALL THREE OF THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED, WITHIN THE SCOPE OF THE HOSPITAL'S MISSION AND SCOPE OF PRACTICE TSRHC CONTIN UES TO FULFILL ITS PRIMARY MISSION BY PROVIDING PREMIER PEDIATRIC ORTHOPAEDIC SERVICES, CO NDUCTING PIONEERING RESEARCH RELATED TO THE CONDITIONS WE TREAT AND PROVIDING EDUCATION IN OUR SPECIALTY AREAS AS A LEADING TEACHING HOSPITAL CONTINUING THE HOSPITAL'S POLICY TOT REAT PATIENTS REGARDLESS OF THE FAMILY'S ABILITY TO PAY ADDRESSES A SIGNIFICANT BARRIER TO CARE IDENTIFIED IN COMMUNITY-BASED RESEARCH THE FOLLOWING THREE NEEDS WERE PRIORITIZED I N THE HOSPITAL'S CHNA ACCORDING TO THE MAGNITUDE OF THE NEED, ITS ALIGNMENT WITH TSRHC'S STRENGTHS AND EXPERTISE AND THE OPPORTUNITY TO IDENTIFY AND REFER OR PARTNER WITH OTHER ORG ANIZATIONS THAT CAN MORE EFFECTIVELY MEET THE NEED 1 IMPROVE ACCESS TO HEALTH CARE SERVI CES 2 IMPROVE COORDINATION OF CARE 3 IMPROVE CHILD HEALTH STATUS TSRHC CONTINUES TO IMPL EMENT STRATEGIES TO ADDRESS THESE PRIORITIZED NEEDS THAT ALIGNS WITH THE HOSPITAL'S MISSIO N AND SCOPE OF PRACTICE STRATEGY FOR IMPROVING ACCESS TSRHC IS FURTHER
ENHANCING ITS OUT REACH PROGRAM TO ENSURE PATIENT AND PATIENT FAMILIES ARE AWARE OF HOSPITAL SERVICES AND OV ERCOMING BARRIERS TO ACCESS TO CARE TSRHC HAS ADOPTED A FINANCIAL ASSISTANCE PROGRAM AND THOSE FAMILIES THAT MEET THE ELIGIBILITY CRITERIA MAY QUALIFY FOR FREE OR DISCOUNTED CARE THE HOSPITAL WILL CONTINUE TO BE RIGOROUS IN ITS EFFORTS TO COMMUNICATE THAT POLICY AND E NSURE THAT FINANCIAL BURDENS ARE NEVER A BARRIER TO PATIENT CARE TSRHC RESEARCH DATA AND INFORMANT INTERVIEWS IDENTIFIED THE CURRENT AND GROWING SHORTAGE OF PEDIATRIC ORTHOPAEDIC SPECIALISTS AS A BARRIER TO CARE ADDING TO THE ANTICIPATED HIGH DEMAND FOR PHYSICIANS AND SURGEONS IS THE EXPECTATION THAT A LARGE NUMBER OF PHYSICIANS ARE EXPECTED TO RETIRE BETW EEN 2008 AND 2018 TO ADDRESS THIS NEED,TSHRC WILL A PROVIDE MEDICAL EDUCATION - TSRHC FUNCTIONS AS A PREMIER TEACHING INSTITUTION, PROVIDING COMPREHENSIVE EDUCATION AND TRAININ G TO ORTHOPAEDIC RESIDENTS AND POST-GRADUATE ORTHOPAEDIC FELLOWS AND CONTRIBUTING TO THE E DUCATION OF ALLIED HEALTH PROFESSIONALS BY PROVIDING CLINICAL EXPERIENCE AND DIDACTIC EDUC ATION FOR STUDENTS AS WELL AS CONTINUING EDUCATION FOR HEALTH CARE PROFESSIONALS CURRENTL Y,TSHRC IS AFFILIATED WITH 56 INSTITUTIONS INCLUDING COLLEGES, UNIVERSITIES AND TECHNICAL TRAINING PROGRAMS TSRHC
PROVIDES FOUR CLINICAL FELLOWSHIPS EACH YEAR THE DOROTHY AND BR YANT EDWARDS FELLOWSHIP IN PEDIATRIC ORTHOPAEDICS AND SCOLIOSIS BEGAN IN 1990 AND PROVIDES TRAINING IN ALL ASPECTS OF RECONSTRUCTIVE PEDIATRIC ORTHOPAEDICS, TRAUMA AND INFECTIONS IN ADDITION,TSRHC OFFERS A SIX-MONTH INTERNATIONAL PEDIATRIC ORTHOPAEDIC AND SCOLIOSIS FE LLOWSHIP TRAINING PROGRAM AS OF SEPTEMBER 2015,THE TSRHC ORTHOPAEDIC MEDICAL STAFF HAS T RAINED A TOTAL OF 148 ORTHOPAEDIC FELLOWS, 32 INTERNATIONAL ORTHOPAEDIC FELLOWS AND 500 ORTHOPAEDIC RESIDENTS IN ADDITION, FELLOWS FROM SOME OFTHE MAJOR HAND CENTERS IN NORTH AME RICA AS WELL AS FROM COUNTRIES THROUGHOUT THE WORLD TRAIN HERE IN THE SUBSPECIALTY OF PEDI ATRIC HAND SURGERY FOR VARYING LENGTHS OF TIME B PROVIDE CLINICAL TRAINING AND/OR DIDACT IC EDUCATION FOR ALLIED HEALTH PROFESSIONALS IN EVERY DISCIPLINE REPRESENTED AT THE HOSPIT AL - THE HOSPITAL MAINTAINS AFFILIATION AGREEMENTS WITH MORE THAN 50 COLLEGES, UNIVERSITIES AND TECHNICAL TRAINING PROGRAMS A SIGNIFICANT PORTION OF THE CLINICAL EDUCATION PROVIDED IS TO FUTURE NURSES MORE THAN 200 NURSING STUDENTS FROM FIVE DIFFERENT NURSING SCHOOLS PARTICIPATE IN CLINICAL PRACTICE ROTATIONS AT TSRHC IN THE COURSE OF A TYPICAL YEAR MORE THAN 300 NURSING STUDENTS FROM FIVE OTHER NURSING PROGRAMS ARE PROVIDED SHORT COURSES AND LECTURES BY TSRHC NURSING STAFF OTHER DISCIPLINES WHICH PROVIDE CLINICAL, TECHNICAL AND/O R ADMINISTRATIVE EDUCATION TO STUDENTS IN THEIR AREA OF EXPERTISE INCLUDE ADMINISTRATORS, CHILD LIFE SPECIALISTS, DIETITIANS, DENTISTS, DENTAL ASSISTANTS, DENTAL HYGIENISTS, ADVANC E PRACTICE PROFESSIONALS, ORTHOTISTS AND PROSTHETISTS, PHYSICAL AND OCCUPATIONAL THERAPIST S, PSYCHOLOGISTS, RADIOGRAPHERS, SOCIAL WORKERS,
SONOGRAPHERS AND THERAPEUTIC RECREATION S PECIALISTS C INTRODUCE, EXPAND OR ENHANCE TELEMEDICINE/TELEHEALTH INITIATIVES TO INCREAS E PATIENT ACCESS TO HEALTH CARE - TELEMEDICINE ENCOMPASSES DIFFERENT TYPES OF PROGRAMS AND SERVICES PROVIDED FOR EACH PATIENT, INCLUDING SPE
Section C . Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y "Facilit y A , " "Facilit y B "
' etc.
Form and Explanation
Line Reference
PART V, CIALIST REFERRAL SERVICES, PATIENT CONSULTATIONS, REMOTE ACCESS, MEDICAL EDUCATION AND CON SECTION SUMER MEDICAL AND HEALTH INFORMATION TSHRC IS COMMITTED TO PROVIDING A CULTURALLY APPROPR B, LINE IATE ENVIRONMENT FOR ITS PEDIATRIC PATIENTS AND THEIR FAMILIES A DIVERSE COHORT OF EMPLOY EES 11 AND VOLUNTEERS ENSURES REFLECTIVITY OF ITS CURRENT AND FUTURE PATIENT MIX TSRHC EMPLO YS THE
SKILLS, EXPERTISE AND CARE OF MORE THAN 900 EMPLOYEES AND FURTHER, HAS THE BENEFIT OF MORE THAN 700 VOLUNTEERS WE ALSO PROVIDE EXTENSIVE LANGUAGE TRANSLATION SERVICES TO PA TIENTS AND THEIR FAMILIES THROUGH HOSPITAL STAFF AND CONTRACTED OUTSIDE SERVICES IN ADDIT ION, EMPLOYEES ARE REQUIRED TO COMPLETE ONLINE TRAINING AND EDUCATION COURSES THAT INCLUDE CULTURAL SENSITIVITY AND PATIENT COMMUNICATION SEGMENTS STRATEGY FOR IMPROVING CARE COOR DINATION TSRHC
ENCOURAGES MORE COORDINATION BETWEEN GENERAL PRACTITIONERS AND TSRHC SPECI ALISTS EITHER THROUGH THE USE OF AN ELECTRONIC HEALTH RECORD (EHR)OR SIMILAR MECHANISMS TSRHC IS MAKING A SIGNIFICANT INVESTMENT IN ITS INFORMATION SYSTEMS INFRASTRUCTURE AND HUM AN RESOURCES TO EXPAND AND ENHANCE OUR ABILITY TO COLLABORATE AND COMMUNICATE WITH OTHER H EALTH CARE PROVIDERS WHO ALSO PLAY A ROLE IN THE TOTAL SPECTRUM OF PATIENT CARE FOR THE PA TIENTS WE SHARE EACH MONTH TSRHC RECEIVES REFERRALS FROM 500-600 PHYSICIANS IT IS VERY I MPORTANT TO US THAT EACH ONE OF THESE PATIENTS IS WELL CARED FOR AND THAT OUR ASSESSMENTS AND TREATMENTS ARE COMMUNICATED BACK TO THESE PHYSICIANS TSRHC IS ALSO COMMITTED TO HELPI NG EACH FAMILY FIND THE MEDICAL EXPERTISE AND RESOURCES THAT THEY NEED IF THE SERVICES THA T THEY REQUIRE ARE NOT WITHIN OUR SCOPE OF PRACTICE OUR CHRISTI CARTER URSCHEL FAMILY RES OURCES CENTER UTILIZES FULL TIME SOCIAL WORKERS TO HELP PARENTS AND SIBLINGS OF CHILDREN WITH PHYSICAL AND DEVELOPMENTAL LIMITATIONS AND SERVED ABOUT 2,000 FAMILIES LAST YEAR WITH RESOURCES TO HELP THEM THROUGH A VARIETY OF NEEDS WE ALSO HELPED TO COORDINATE MORE THAN 1,800 APPOINTMENTS OUTSIDE THE WALLS OF OUR FACILITY FOR PATIENTS LAST YEAR THAT PROGRAM CONTINUES TO EVALUATE AND CONSIDER OPPORTUNITIES FOR IMPROVING CARE CARE OPTIONS CHANGE F OR PATIENTS AFTER AGE 18 OR 21, DEPENDING ON THE TYPE OF SERVICES RECEIVED SOCIAL WORKERS AND FINANCIAL COUNSELORS HELP FAMILIES UNDERSTAND OPTIONS AND HELP THEM NAVIGATE PROCESSE S TO ACQUIRE FUNDING AS ADULTS TSRHC WILL CONTINUE TO WORK WITH GOVERNMENT-SUPPORTED INCO ME (SSI/SSDI) AND/OR MEDICAL COVERAGE (MEDICAID, MEDICARE, ETC ) TO FACILITATE CONTINUING CARE FOR PATIENTS WHO NEED
GUARDIANSHIP AFTER THE AGE OF 18,TSRHC SOCIAL WORKERS WILL HE LP CONNECT FAMILIES TO ATTORNEYS THAT HELP WITH THE PROCESS STRATEGY FOR IMPROVING CHILD HEALTH STATUS TSRHC CONTINUOUSLY ASSESSES THE QUALITY OF CARE PROVIDED NOT ONLY WITH AN ON GOING PATIENT CARE EVALUATION PROCESS, BUT ALSO IN COLLABORATION WITH THE SARAH M AND CHA RLES E SEAY CENTER FOR
MUSCULOSKELETAL RESEARCH THAT IS COMPRISED OF SIX CENTERS FOR EXCE LLENCE TSRHC WILL CONTINUE TO BRING CLINICIANS, RESEARCHERS AND OTHER HEALTHCARE PROFESSI ONALS AND SUPPORTING STAFF TOGETHER TO PERFORM INNOVATIVE AND CLINICALLY RELEVANT RESEARCH ON CHALLENGING PEDIATRIC DISORDERS TSRHC CONTINUES TO DEVELOP A BROAD NETWORK INCLUDING PROVIDERS OF GENERAL PEDIATRIC SERVICES WE WILL CONTINUE TO SUPPORT CONFERENCES, SYMPOSIA AND OTHER LEARNING OPPORTUNITIES DEDICATED TO IMPROVING CHILD HEALTH TSRHC WILL REMAIN C OMMITTED TO A ROBUST RESEARCH PROGRAM THAT WILL HELP US TO INCREASE OUR KNOWLEDGE,TREATME NT OPTIONS, AND OVERALL CARE OF THE PATIENT WE CURRENTLY HAVE RESEARCH PROGRAMS IN ALL OF OUR CENTERS FOR EXCELLENCE AND THROUGH THESE PROJECTS WE ARE ABLE TO ENHANCE OUR PATIENT CARE MANY OF OUR PATIENTS HAVE OBESITY ISSUES, AS WELL AS OTHER NUTRITIONAL NEEDS ALTHOU GH TSRHC DOES NOT HAVE A FORMAL OBESITY CLINIC, WE ARE COMMITTED TO MEETING THE NEEDS OFT HE WHOLE CHILD TSRHC HAS CLINICAL DIETITIANS ON STAFF AVAILABLE TO ALL PATIENTS TSRHC TA KES AN INTERDISCIPLINARY APPROACH TO WEI
Form 990 Part V Section C Supplemental Information for Part V, Section B.
Section C . Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y "Facilit y A , " "Facilit y B , " etc.
Form and Line Reference Explanation
PART V, SECTION B, LINE 11 NEEDS NOT ADDRESSED IN CHNA AND REASONS WHEN TSRHC, DUE TO ITS SPECIALTY, IS UNABLE TO PROVIDE SERVICES FOR ALL OF THE NEEDS DESCRIBED IN THE CHNA,TSRHC IDENTIFIES EXTERNAL RESOURCES THAT ARE AVAILABLE TO THE FAMILY BY PROVIDING CONTACTS FOR EXISTING HEALTH CARE PROGRAMS WITHIN THE COMMUNITY AVAILABLE TO ADDRESS THE IDENTIFIED NEEDS MANY FAMILIES TRAVEL FROM OUTSIDE THE AREA TO COME TO TSRHC SOCIAL WORKERS REFER FAMILIES TO THE RONALD MCDONALD HOUSE (RMH) WHICH PROVIDES LODGING, MEALS AND TRANSPORTATION AT VERY LITTLE TO NO COST IF RMH DOES NOT HAVE A VACANCY, SOCIAL WORKERS PROVIDE A LIST OF OTHER HOTELS IN THE VICINITY WHERE FAMILIES MAY CHOOSE TO STAY SOCIAL WORKERS AND MEDICAL CONSULT COORDINATORS HELP FAMILIES ARRANGE TO RECEIVE FOLLOW-UP CARE WITH THE SERVICES LISTED BELOW AS ORDERED BY THE MEDICAL STAFF PATIENT FAMILIES CHOOSE THEIR VENDOR(S) FROM A LIST OF VENDORS PROVIDED BY SOCIAL WORKERS BASED ON LOCATION AND THE PATIENT'S FUNDING COURSE 0 WEIGHT MANAGEMENT 0 OUTPATIENT PHYSICAL REHABILITATION 0 HOME HEALTH SERVICES 0 DURABLE MEDICAL EQUIPMENT 0 MEDICAL SUPPLIES 0 TESTING AND SPECIALISTS 0 MENTAL HEALTH TSRHC TRANSITIONS PATIENTS TO ADULT PROVIDERS AS THEY APPROACH THE AGE OF 18 A GROUP OF TSRHC SOCIAL WORKERS, NURSES,
ADMINISTRATORS AND MEDICAL STAFF WORK TO TRANSITION TSRHC PATIENTS TO ENSURE THAT ALL PATIENTS NEEDING ADDITIONAL COORDINATION AS THEY AGE OUT OF
SERVICES RECEIVE THE NECESSARY ASSISTANCE
Form 990 Part V Section C Supplemental Information for Part V, Section B.
Section C . Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y "Facilit y A , " "Facilit y B , " etc.
Form and Line Reference Explanation
PART V, SECTION B, LINE 13H ELIGIBILITY FOR DISCOUNTED CARE FINANCIALLY INDIGENT PATIENTS, OR THOSE WHOSE INCOME IS LESS THAN OR EQUAL TO 200% OF THE FPG, RECEIVE A 100% DISCOUNT MEDICALLY INDIGENT PATIENTS, OR THOSE WHOSE INCOME IS GREATER THAN 200% BUT LESS THAN OR EQUAL TO 1000% OF THE FPG, WHOSE COSTS FOR CARE EXCEED 1-3% OF
HEIR ANNUAL INCOME AND WHO ARE UNABLE TO PAY ARE PROVIDED A DISCOUNT
Form 990 Part V Section C Supplemental Information for Part V, Section B.
Section C . Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
I Form and Line Reference I Explanation
ART V, SECTION B, LINE 18E NEITHER THE HOSPITAL NOR ANY AUTHORIZED THIRD PARTY PERFORMED ANY OF THE ACTIONS SET FORTH IN LINE 18 PART V, SECTION B, LINE 20E NEITHER THE HOSPITAL NOR ANY AUTHORIZED THIRD PARTY PERFORMED ANY OF THE ACTIONS SET FORTH IN LINE 19
Form 990 Part V Section C Supplemental Information for Part V, Section B.
Section C . Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 121, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facilit y in a facilit y re p ortin g g rou p, desi g nated b y "Facilit y A , " "Facilit y B , " etc.
Form and Line Reference Explanation
PART V, SECTION B, LINE 22E FAP-ELIGIBLE INDIVIDUALS PATIENTS TREATED FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE INFORMED OF THE FINANCIAL ASSISTANCE PROGRAM AND THE APPLICATION PROCESS ALL UNINSURED PATIENTS WILL BE PROVIDED A DISCOUNT AT THE LOWEST CONTRACTED RATE THE HOSPITAL HAS WITH ANY INSURANCE COMPANY FOR THE PARTICULAR SERVICE RECEIVED