Leadership During a Disaster
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Interpreter Services in Massachusetts Acute Care Hospitals
Interpreter Services in Massachusetts Acute Care Hospitals Deval L. Patrick, Governor Timothy P. Murray, Lieutenant Governor JudyAnn Bigby, MD, Secretary of Health & Human Services John Auerbach, Commissioner, Department of Public Health Office of Health Equity Georgia M. Simpson May, Director James Destine, Report Author and Coordinator Hospital Interpreter Services November 2008 ACKNOWLEDGEMENTS This report on the extent of interpreter services in acute care hospitals was prepared by James Destine of the Office of Health Equity. It is the result of the combined efforts of Office of Health Equity, the Determination of Need Program, and Massachusetts Acute Care Hospitals. Department of Public Health staff most significantly involved in the production of this first Annual report include: Brunilda Torres, Samuel Louis, Dr. Lauren Smith, and Georgia Simpson May. Thanks to Naomi Ryan, Harvard University intern and Erica Tobey Marshall, Boston University School of Public Health intern, for assistance with report preparation. Special acknowledgment is made to Brunilda Torres for her dedication in the provision of interpreter service in the State of Massachusetts for over a decade. 2 Table of Contents Page I. Executive Summary 4 a. Key Findings b. Conclusion and Recommendations II. Introduction 6 III. Federal Foundation for Language Access 8 1. Title VI of the 1964 Civil Rights Act 2. Executive Order 13166 3. The Office of Civil Rights (OCR) Policy Guidance 4. DHHS Office of Minority Health IV. Massachusetts State Law and Regulations 10 a. 1989 Determination of Need b. Emergency Room Interpreter Law (ERIL) – The Acts of 2000 c. MDPH Hospital Regulations V. Findings: The Provision of Language Access 12 a. -
Massachusetts Hospitals' Community Benefit Initiatives
A Commitment to Community: Massachusetts Hospitals’ Community Benefit Initiatives 2020 Report Region 3 Region 1 Region 2 Region 4 Region 5 Baystate Health • Baystate Franklin Medical Center • Baystate Medical Center • Baystate Noble Hospital • Baystate Wing Hospital Berkshire Health Systems • Berkshire Medical Center Partners HealthCare • Brigham and Women’s Faulkner Hospital • Fairview Hospital • Brigham and Women’s Hospital Beth Israel Lahey Health • Cooley Dickinson Health Care • Anna Jaques Hospital • Martha’s Vineyard Hospital • Beth Israel Deaconess Hospital – Milton • Massachusetts Eye and Ear Infirmary • Beth Israel Deaconess Hospital – Needham • Massachusetts General Hospital • Beth Israel Deaconess Hospital – Plymouth • Nantucket Cottage Hospital • Beth Israel Deaconess Medical Center • Newton-Wellesley Hospital • Beverly and Addison Gilbert Hospitals • North Shore Medical Center • Lahey Hospital & Medical Center Shriners Hospitals for Children-Boston • Mount Auburn Hospital • New England Baptist Hospital Signature Healthcare Brockton Hospital • Winchester Hospital South Shore Hospital Boston Children’s Hospital Southcoast Hospitals Group Boston Medical Center Sturdy Memorial Hospital Cambridge Health Alliance Tenet Healthcare • MetroWest Medical Center Cape Cod Healthcare • Saint Vincent Hospital • Cape Cod Hospital Trinity Health of New England • Falmouth Hospital • Mercy Medical Center Dana-Farber Cancer Institute UMass Memorial Health Care Emerson Hospital • UMass Memorial Health Alliance – Clinton Franciscan Children's Hospital -
Baystate Health
Baystate Health Baystate Teaching Hospital Wing Community-High Public Payer Physician Organization Baystate Franklin Health Plan Images are sized based on Baystate Medical Center Health New England the entity's portion of operating revenue within their health system. Image size is not comparable between systems. Baystate Medical Practice Operating Net Assets in Profit (Loss) Operating Revenue in Total Margin Millions in Millions Margin Millions Hospital Health System* Baystate Health $2,381.6 $1,101.8 $68.1 2.2% 2.8% Acute Hospital Baystate Franklin Medical Center $102.7 $53.2 $0.6 0.4% 0.6% Baystate Medical Center $1,296.2 $827.7 $99.8 6.6% 7.6% Baystate Noble Hospital $58.4 $16.8 $1.2 2.0% 2.0% Baystate Wing Hospital $85.6 $50.2 ($4.4) -5.7% -5.1% Physician Organization Baystate Medical Practice $307.4 ($43.6) -14.2% -14.2% Baystate Westfield Medical Corporation $12.5 ($5.4) -43.4% -43.4% Health Plan Health New England $833.9 $12.3 1.6% 1.5% * Table includes only the system's affiliated acute hospitals, physician organizations, and health plans. System totals may also include non-acute hospitals, other health care providers, other owned organizations, and consolidating eliminations. www.chiamass.gov CENTER FOR HEALTH INFORMATION AND ANALYSIS | www.chiamass.gov CHIA Berkshire Health Systems Community-High Public Payer Physician Organization Images are sized based on the entity's portion of Berkshire Medical Center Fairview Hospital operating revenue within their health system. Image size is not comparable between systems. Berkshire Faculty -
Lawrence General Hospital
Massachusetts Hospital Payment Variation 2015 2016 Share of # Hospital Relative Relative Commercial MA Acute Hospital Commercial Relative Price (Weighted Average 2016) Price Price Payments Statewide Results Published By CHIA February 2018 1 Baystate Noble 0.681 0.682 0.2% Baystate Noble Hospital 2 Holyoke Medical Center 0.722 0.728 0.2% Holyoke Medical Center 3 Lawrence General 0.754 0.736 0.4% Lawrence General Hospital 4 Anna Jaques 0.756 0.743 0.5% Anna Jaques Hospital 5 Baystate Wing 0.749 0.752 0.2% Baystate Wing Hospital 6 Cambridge Health Alliance 0.797 0.754 0.6% Cambridge Health Alliance 7 BIDH - Milton 0.760 0.757 0.4% Beth Israel Deaconess- Milton 8 Massachusetts Eye & Ear 0.833 0.760 Massachusetts Eye & Ear 9 Heywood Hospital 0.752 0.763 0.4% Heywood Hospital 10 Signature Brockton 0.785 0.787 0.7% Signature Brockton Hospital 11 Mercy Medical Center 0.806 0.796 0.6% Mercy Medical Center 12 HealthAlliance 0.781 0.804 0.4% HealthAlliance Hospital 80% of Average 13 Emerson 0.846 0.824 1.1% Emerson Hospital 14 Steward Morton 0.855 0.837 0.4% Steward Morton Hospital 15 Milford Regional 0.840 0.840 1.1% Milford Regional Medical Center 16 Lowell General 0.822 0.850 1.6% Lowell General Hospital 85% of Average 17 Northeast Beverly 0.867 0.851 1.3% Northeast Hospital 18 MetroWest 0.856 0.853 1.0% MetroWest Medical Center 19 Steward Holy Family 0.859 0.857 0.7% Steward Holy Family Hospital 20 Winchester Hospital 0.892 0.865 1.6% Beth Israel Deaconess - Plymouth 21 BIDH - Plymouth 0.861 0.865 0.8% Winchester Hospital Underpaid Hospitals -
Introduction
15 Introduction The Neonatal (newborn) Intensive Care Unit (NICU) of the Floating Hospital for Children is a 40-bed unit designed to provide highly specialized and technically advanced care to ill, premature, or high-risk babies. Skilled nurses, physicians, nurse practitioners and respiratory therapists staff the unit. This team of health care providers function together to provide the finest and most comprehensive care possible for your newborn. Some of the babies admitted to the NICU are born here at Tufts Medical Center, and some are born in community hospitals and then transported to us by members of our Neonatal Transport Team. Babies are admitted to the NICU for many reasons. Whatever the reason for admission, a wide range of pediatric subspecialty services is readily available for your newborn if necessary. Some of our specialty services include newborn medicine, pediatric cardiology, pediatric surgery, pediatric neurology, pediatric otolaryngology, pediatric urology and many others, all available 24-hours/day. Soon after admission, your baby will be assigned a primary nurse and will be assigned to a team of physicians on the newborn medicine service. Tufts Medical Center is the principal teaching hospital for Tufts University School of Medicine; there are many doctors at various levels of specialty training who will be involved with your baby’s care. At all times, the attending physician is ultimately responsible for the medical care your baby receives. If you have already chosen a pediatrician, please give his or her name to your baby’s nurse. Once identified, the pediatrician will receive routine updates, about once a week, while your baby is in the NICU. -
Spaulding Rehabilitation Hospital Network
PARTNERS CONTINUING CARE Introduction Partners Continuing Care is the Non-Acute Care Services Division of Partners HealthCare. As a key part of Partners integrated health care delivery system, Partners Continuing Care is dedicated to providing a comprehensive array of rehabilitation, long term acute care, skilled nursing, home health care, and hospice services to patients and their families. This comprehensive and growing network maintains a strong presence throughout its communities, as well as, a broad range of collaborative relationships with community groups and health care providers throughout eastern New England. Spanning the continuum of care, the organization includes the Rehabilitation Hospital of the Cape and Islands, Partners Home Care, Partners Hospice and the Spaulding Rehabilitation Network, which is comprised of Spaulding Rehabilitation Hospital, Shaughnessy-Kaplan Rehabilitation Hospital, North End Rehabilitation and Nursing Center, and The Boston Center for Rehabilitative and Sub-Acute Care. Partners Continuing Care also has two joint partnerships with Clark House Nursing Center at Fox Hill Village and Youville Hospital. Spaulding Rehabilitation Network In September of 2008, a new partnership was launched to better address the New England region’s post acute care needs. The formation of the Spaulding Rehabilitation Network creates a unique convergence of comprehensive specialties to handle the demands of post-acute care in the 21st century. The Spaulding Rehabilitation Network consists of two of the preeminent rehabilitation facilities in the region, Spaulding Rehabilitation Hospital and Shaughnessy-Kaplan Rehabilitation Hospital in Salem, Mass, as well as, three Boston-area skilled nursing facilities. As a member of Partners HealthCare, Spaulding Rehabilitation Network physicians work closely with their colleagues from other member institutions such as Massachusetts General Hospital and Brigham and Women’s Hospital. -
Masshealth Enrollment Guide Your Choices Starting JULY 2021
MassHealth Enrollment Guide Your Choices Starting JULY 2021 LEARN about health plans COMPARE health plans ENROLL in a health plan COMMONWEALTH OF MASSACHUSETTS | Executive Office of Health and Human Services We are here to help We speak your language If you need an interpreter or translation help, please call the MassHealth Customer Service Center. Questions? www.mass.gov/masshealth MassHealth Customer Service Center (800) 841-2900 TTY: (800) 497-4648 for people who are deaf, hard of hearing, or speech disabled. Monday–Friday 8:00 a.m.–5:00 p.m. Hello and welcome MassHealth is the Medicaid program in Massachusetts. We have health plans to choose from so you can get the health care you need. Please read this guide to learn about the plans and choose the one that’s best for you. This guide will help you... Learn Learn about the health plans available in your area and how to choose a provider. Compare Compare health plans in your area and choose the one that’s right for you. Enroll Enroll in a health plan or change to a different health plan. Let’s enroll in a health plan. i Is this guide for you? Certain members in the MassHealth program will need to enroll in a health plan. Use this guide if you ■ Are under 65 ■ Do not have other insurance (including Medicare) ■ Live in the community (for example, not in a nursing facility), and ■ Are in MassHealth Standard, CommonHealth, CarePlus, or Family Assistance. For information about MassHealth coverage, visit www.mass.gov/masshealth. Members described below are not eligible for the health plan options described in this guide. -
Winter 2017 Council Members
NEWSLETTER OF MNA REGION 5 VOLUME EIGHT, ISSUE ONE • Winter 2017 Council Members Joan Ballantyne, Norwood Hospital Chair (2016-2018) Barbara Tiller, Tufts Medical Center Vice Chair (2016-2018) Kathy Reardon, Norwood Hospital Secretary (2017-2018) Dan Rec, B&W Faulkner Hospital Treasurer (2015-2017) MNA Board Rep (2016-2018) Dan Rec, B&W Faulkner Hospital MNA Board Rep (2015-2017) Joan Ballantyne, Norwood Hospital vacant At-Large (2016-2018) VACANT At-Large (2016-2018) vacant VACANT At-Large (2015-2017) Kirsten Ransom, St. Elizabeth’s vacant At-Large (2015-2017) VACANT Each of these R5 facilities holds an elected voting rep. at R5 council meetings: American Red Cross Boston Medical Center Boston VNA Brigham & Women’s Hospital Brigham & Women’s Faulkner Hospital CHA Cambridge Hospital CHA Everett Hospital CHA Somerville Hospital Carney Hospital Dana Farber Cancer Institute Dialysis Clinic, Inc. Harvard Vanguard Medical Associates Medford School Nurses Newton Public Health Newton-Wellesley Hospital Norwood Hospital In This Issue: Quincy Medical Center Satellite St. Elizabeth’s Medical Center Bargaining Unit Updates Page 2 Tufts Medical Center Unit 7 (state facilities) Representative Greater Boston Labor Council Page 2 MNA Continuing Ed Page 3 MNA Regional Council 5 MNA Email Page 3 340 Turnpike St, Canton 02021 781-821-8255 TEL • 781-821-8256 FAX MNA Reduced Dues Info Page 3 [email protected] www.massnurses.org/region5 Save Health Care Rally at Faneuil Hall on 1/15/17 Save the Dates Page 4 www.facebook.com/massnurses with Senator Elizabeth Warren, Senator Ed Markey, Mayor Marty MNA Labor School Page 4 Harriett Duggan, Office Manager Walsh, and members of the MA Congressional Delegation Brian Moloney, Community Organizer Page 1 Bargaining Unit Updates Boston Medical Center submitted by Susan We are thrilled to have a full staff again so we violence towards staff. -
Massachusetts Acute Hospital and Health System Financial Performance Fiscal Year Data Through March 31, 2018 June 2018
Massachusetts Acute Hospital and Health System Financial Performance Fiscal Year Data through March 31, 2018 June 2018 About this Report The Center for Health Information and Analysis (CHIA) reports on the financial performance of the Commonwealth’s acute care hospitals and associated hospital health systems (HHS). As hospitals and HHS are evolving and expanding, CHIA is collecting quarterly financial data from HHS on a voluntary basis. Data submissions received from the HHS help develop a more complete understanding of the financial performance of an acute hospital in the context of the larger health system within which it operates. This report provides a quarterly update on profitability, liquidity, and solvency for the period ending March 31, 2018. All 61 acute hospitals and 14 of 30 HHS are included in this publication. Hospital Health Systems This section reports on the total margin of the health systems and the constituent acute hospitals. The HHS includes the results of operations at the system level including the acute hospitals and all other financially consolidated health care entities such as physician organizations, non-acute hospitals, foundations, and health plans, as well as non-health care entities. Hospital Health System Key Findings Of the six systems that reported a loss, five included at Of the 14 health systems that submitted data, eight were least one hospital that reported a profit. 1 profitable through March 31, 2018. In general, acute hospitals performed better than their Four of the eight systems with positive total margins had respective health systems. negative operating margins, indicating that these systems Thirteen health systems reported a current ratio at or above rely on non-operating revenues to achieve overall 1.0, a benchmark which indicates short-term solvency. -
Massachusetts Hospital Profiles Technical Appendix Data Through Fiscal Year 2014
CENTER FOR HEALTH INFORMATION AND ANALYSIS MASSACHUSETTS HOSPITAL PROFILES TECHNICAL APPENDIX DATA THROUGH FISCAL YEAR 2014 NOVEMBER 2015 CHIA center for health information and analysis Technical Appendix Overview Acute and non-acute hospitals included in Massachusetts Hospital Profiles- Data through Fiscal Year 2014 were profiled on service, payer mix, quality, utilization, revenue, and financial performance. Multi- acute hospital systems were profiled based on financial performance and utilization metrics. Details for each of these metrics are included in this technical appendix. The Center for Health Information and Analysis (CHIA) relied on the following primary data sources to present financial information: the DHCFP-403 Annual Hospital Cost Report (403 Cost Report), the Hospital Discharge Database (HDD), the Hospital Standardized Financial Statement Database, and Audited Financial Statements. Unless otherwise noted, metrics included in this report are based on financial data reported by acute and non-acute hospitals from Fiscal Year (FY) 2010 to FY14. Discharge data from FY14 included in the acute hospital analysis was reported by acute hospitals in the Hospital Discharge Database, unless otherwise noted. Descriptive acute and non-acute hospital information is from FY14. Hospital 403 Cost Report: The 403 Cost Report is submitted each year by acute and non-acute hospitals and it contains data on costs, revenues, and utilization statistics. Acute hospitals are required to complete the 403 Cost Report based on a fiscal year end of September 30 regardless of their actual fiscal year end. Non-acute hospitals complete the 403 Cost Report based on their actual year end. Hospital Discharge Database (HDD): HDD data is submitted quarterly by acute hospitals and it contains patient-level data identifying charges, days, and diagnostic information for all acute inpatient discharges. -
Inpatient Hospital Discharge Database Documentation Manual
Division of Health Care Finance and Policy Fiscal Year 2005 Inpatient Hospital Discharge Database Documentation Manual DATA ISSUED MAY 2006 Division of Health Care Finance and Policy Two Boylston Street Boston, Massachusetts 02116-4704 http://www.mass.gov/dhcfp General Documentation FY2005 Inpatient Hospital Discharge Database Table of Contents Page Introduction 1 Compact Disk (CD) File Specification 2 SECTION I. GENERAL DOCUMENTATION 3 PART A. BACKGROUND INFORMATION 4 1. General Documentation Overview 4 2. Quarterly Reporting Periods 5 3. Development of the FY05 HDD Database 6 4. DRG Grouper Methodology 7 PART B. DATA 10 1. Data Quality Standards 11 2. General Definitions 13 3. General Data Caveats 14 4. Specific Data Elements 16 a. Existing Data Elements 16 b. New Data Elements 19 c. Important Note Regarding Use of Race Code 21 d. DHCFP Calculated Fields 22 PART C. HOSPITAL RESPONSES 23 1. Summary of Hospitals’ FY05 Verification Report Responses 24 2. List of Error Categories 30 3. Summary of Reported Discrepancies by Category 31 4. Index of Hospitals Reporting Data Discrepancies 34 5. Individual Hospital Discrepancy Documentation 35 PART D. CAUTIONARY USE HOSPITALS 46 PART E. HOSPITALS SUBMITTING DATA FOR FY05 48 1. List of Hospitals Submitting Data for FY2005 49 2. Hospitals with No Data Submissions for FY2005 51 3. Discharge Totals and Charges by Quarter 52 MA DIVISION OF HEALTH CARE FINANCE & POLICY – MAY, 2006 i General Documentation FY2005 Inpatient Hospital Discharge Database Table of Contents Page PART F. SUPPLEMENTARY INFORMATION 61 Supplement I – List of Type A and Type B Errors 62 Supplement II – Content of Hospital Verification Report Package 64 Supplement III – Hospital Addresses, DPH ID, ORG ID 65 & Service Site Numbers Supplement IV – Mergers, Name Changes, Closures, Conversions, 71 and Non-Acute Care Hospitals Supplement V – Alphabetical Source of Payment List 78 Supplement VI – Numerical Source of Payment List 86 SECTION II. -
Wayfair Preferred (Narrow) Network Plan Hospitals
Wayfair Preferred (Narrow) Network Hospitals Hospital Name City State Addison Gilbert Hospital Gloucester MA Anna Jaques Hospital Newburyport MA BayRidge Hospital (acute psychiatric hospital) Lynn MA Beth Israel Deaconess Medical Center—Boston Boston MA Beth Israel Deaconess Hospital—Milton Milton MA Beth Israel Deaconess Hospital—Needham Campus Needham MA Beth Israel Deaconess Hospital—Plymouth Plymouth MA Beverly Hospital Beverly MA Boston Children’s Hospital Boston MA Boston Medical Center Boston MA Brigham and Women’s/Mass General Health Care Center at Patriot Place Foxborough MA Cambridge Health Alliance—Cambridge Campus Cambridge MA Cambridge Health Alliance—Somerville Campus Somerville MA Cambridge Health Alliance—Whidden Campus Everett MA Carney Hospital Dorchester MA Clinton Hospital Clinton MA Cooley Dickinson Hospital Northampton MA Emerson Hospital Concord MA Faulkner Hospital Jamaica Plain MA Good Samaritan Medical Center Brockton MA HealthAlliance Hospitals—Burbank Campus Fitchburg MA HealthAlliance Hospitals—Leominster Campus Leominster MA Heywood Hospital Gardner MA Holyoke Medical Center Holyoke MA Lahey Hospital and Medical Center Burlington MA Hospital Name City State Lahey Medical Center Peabody MA Lawrence General Hospital Lawrence MA Lawrence Memorial Hospital Medford MA Lowell General Hospital (includes the campus Lowell MA formerly known as Saints Medical Center) Massachusetts Eye and Ear®´ Infirmary Boston MA Mass General/North Shore Center for Outpatient Care Danvers MA Melrose-Wakefield Hospital Melrose MA Mercy