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LOWELL GENERAL HOSPITAL Community-High Public Payer Hospital 2019 Hospital Profile Northeastern Massachusetts
Lowell, MA LOWELL GENERAL HOSPITAL Community-High Public Payer Hospital 2019 Hospital Profile Northeastern Massachusetts Lowell General Hospital is a non-profit community-High Public Payer (HPP) hospital located in the Northeastern Massachusetts region. It is among the larger acute hospitals in Massachusetts. Lowell General Hospital is a member of Wellforce. Between FY15 and FY19, the volume of inpatient discharges at the hospital decreased by 7.1% compared to a median decrease of 2.7% at cohort hospitals. Outpatient visits decreased by 3.8% for the hospital between FY15 and FY19, compared to a median increase of 2.1% for its peer cohort. Lowell General reported a profit in each year of the five-year period. Its total margin was 3.0% as compared to the median total margin of 3.3% at peer cohort hospitals. Overview / Size Payer Mix Hospital System Affiliation: Wellforce Public Payer Mix: 65.7% (HPP* Hospital) Hospital System Surplus (Deficit) in FY19: $129,458,000 CY18 Commercial Statewide Relative Price: 0.83 Change in Ownership (FY15-19): Not Applicable Top 3 Commercial Payers: Blue Cross Blue Shield Total Staffed Beds: 353, among the larger acute hospitals Harvard Pilgrim % Occupancy: 63.6%, < cohort avg. (66%) Tufts HMO Special Public Funding: HCIIη, CHRTF° Trauma Center Designation: Adult: Level 3 Utilization Case Mix Index: 0.95, < cohort avg. (0.96); < statewide (1.16) Inpatient Discharges in FY19: 20,396 Glance Change FY18-FY19: -5.5% At a At Financial Emergency Department Visits in FY19: 97,257 Inpatient NPSR per CMAD: $10,591 -
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 -
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 -
A Full Circle Approach to Healthy Living Fight Diabetes with Exercise, Weight Management
MAGAZINE Vol 1 – 2017 A Full Circle Approach to Healthy Living Fight Diabetes with Exercise, Weight Management Discover Minimally Invasive Surgery for Women Upcoming Winter Health and Wellness Programs 295 Varnum Avenue, Lowell, MA 01854 I 978-937-6000 TTY: 978-937-6889 I www.circle-health.org Dear Friends, As you brace for another winter, there is no better time to step back and consider a fresh start on your health and wellness routines. In these pages, we hope to get you off and running on a healthy lifestyle for 2017. Many of the programs we offer to the community are guided by the Greater Lowell Community Health Needs Assessment, which is conducted every three years by researchers and students from UMass Lowell on behalf of Lowell General Hospital and the Greater Lowell Health Alliance. The most recent report was completed in the fall of 2016, and it will serve as our roadmap to addressing the most pressing health needs in our community. The 2016 report identified several issues that can be helped by adopting a healthy lifestyle. Diabetes and diabetes related health concerns remain one of the top health issues in this region. Conditions such as high blood pressure, obesity, asthma and respiratory disease were also highlighted. In the following pages, you will learn more about how Circle Health helps individuals make positive lifestyle changes small and large. For people dealing with severe obesity, our Center for Weight Management and Bariatric Surgery is giving patients a new lease on life through a comprehensive approach to weight loss that includes options for bariatric surgery. -
A Commitment to Community: 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 • Fairview Hospital • Brigham and Women’s Faulkner Hospital Beth Israel Lahey Health • Brigham and Women’s Hospital • Anna Jaques Hospital • Cooley Dickinson Health Care • Beth Israel Deaconess Hospital – Milton • Martha’s Vineyard Hospital • Beth Israel Deaconess Hospital – Needham • Massachusetts Eye and Ear Infirmary • Beth Israel Deaconess Hospital – Plymouth • Massachusetts General Hospital • Beth Israel Deaconess Medical Center • Nantucket Cottage Hospital • Beverly and Addison Gilbert Hospitals • Newton-Wellesley Hospital • Lahey Hospital & Medical Center • North Shore Medical Center • Mount Auburn Hospital Shriners Hospitals for Children-Boston • 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 Cape Cod Healthcare • MetroWest Medical Center • Cape Cod Hospital • Saint Vincent Hospital • Falmouth Hospital Trinity Health of New England Dana-Farber Cancer Institute • Mercy Medical Center Emerson Hospital UMass Memorial Health Care Harrington HealthCare System • UMass Memorial Health Alliance – Clinton Heywood Healthcare Hospital • Athol Hospital • UMass Memorial Marlborough Hospital • Heywood Hospital • UMass Memorial Medical Center Holyoke Medical Center Wellforce • Lowell General Hospital Lawrence General Hospital • MelroseWakefield Health Milford Regional Medical Center • Tufts Medical Center A COMMITMENT TO COMMUNITY: MASSACHUSETTS HOSPITALS’ COMMUNITY BENEFIT INITIATIVES Care Beyond a Hospital’s Walls Each day Massachusetts hospitals provide high-quality, life-saving care to patients throughout the commonwealth. -
Massachusetts Contracted Hospitals Community Health Centers (Chcs)
Massachusetts Contracted Hospitals Community Health Centers (CHCs) Addison Gilbert Hospital, Gloucester Massachusetts Eye and Ear Infirmary, Boston Boston Health Care for the Homeless Program, Boston Hilltown CHC, (2 locations) Worthington, Huntington Anna Jaques Hospital, Newburyport Massachusetts General Hospital, Boston Bowdoin Street CHC, Dorchester Holyoke Health Center, Holyoke Athol Memorial Hospital, Athol Melrose-Wakefield Hospital, Melrose Brockton Neighborhood Health Center, (2 locations) Island Health Care, Edgartown Baystate Medical Center, Springfield Mercy Medical Center, Springfield Brockton Lowell CHC, Lowell Baystate Noble Hospital, Westfield MetroWest Medical Center (Framingham Union Hospital), Brookside CHC, Jamaica Plain Lynn CHC, (2 locations) Lynn Baystate Wing Hospital (Wing Memorial Hospital), Palmer Framingham Cambridge Health Alliance Health Centers, Manet CHC, (5 locations) Quincy (3), Hull, Taunton (4 locations) Cambridge, Somerville, Malden, Revere Berkshire Medical Center, Pittsfield Metrowest Medical Center (Leonard Morse Hospital), Natick Mattapan CHC, Mattapan Caring Health Center, (3 locations) Springfield Beth Israel Deaconess Hospital - Milton (Milton Hospital), Milford Regional Medical Center, Milford MGH Charlestown Health Care Center, Charlestown Milton Morton Hospital, Taunton Charles River Community Health, (2 locations) Brighton, Waltham MGH Chelsea Health Care Center, Boston Beth Israel Deaconess Hospital - Needham, Needham Mount Auburn Hospital, Cambridge Chicopee Health Center, Chicopee MGH -
Healthy Futures
Working together for Healthy Futures A MAGAZINE FOR REFERRING PHYSICIANs FALL 2013 A new team for kids with GI and nutrition challenges 3 4 PLUS Developmental Screening 3 Pediatric Gastroenterology 4 Pediatric Psychiatry 6 6 The principal pediatric teaching hospital for Tufts University School of Medicine A LETTER FROM JOHN SCHREIBER, MD Dear Physicians, Typically I use this space in Healthy Futures to talk about why I think Floating Hospital for Children at Tufts Medical Center is an incredibly special place worthy of your referrals. But this time I’d like to allow some of our patients and their parents speak for themselves. Below are some comments from our families posted on Floating Hospital’s Facebook page. By the way, if you’d like to keep up with what’s happening at Floating Hospital, “liking” our Facebook page is a great way to connect. And you can always get in touch with me at jschreiber@ tuftsmedicalcenter.org or 617-636-8031. All the best, John Schreiber, MD, MPH Pediatrician-in-Chief, Chief Administrative Officer Floating Hospital for Children at Tufts Medical Center Chairman, Department of Pediatrics Tufts University School of Medicine My 6 month old is preparing for his second surgery at Floating Hospital. Both are minor surgeries, but I would absolutely recommend Floating for any procedure. We travel from Taunton to Floating for almost everything with our twins. Well worth the drive. Everyone has been wonderful & SO supportive!” Our 7 year old son has had 6 surgeries at the Floating I’m a new patient at Floating, but I just love them. -
The Direct Care Network Move Forward with a Health Plan That Works for You
The Direct Care network Move forward with a health plan that works for you. Save time and money with doctors and community-based hospitals you know and trust—close to home and work, through the state’s first limited network HMO plan. You also have guaranteed access to specialty services at select Boston teaching hospitals for a second opinion and treatment with Fallon’s Peace of Mind Program™. 15-715-296 Rev. 01 3/17 Direct Care participating hospitals Direct Care medical groups Addison Gilbert Hospital, Gloucester Acton Medical Associates Anna Jaques Hospital, Newburyport Allied Pediatrics of Greater Brockton, Inc.* Athol Memorial Hospital, Athol Brockton Area Primary Care, LLC* Beth Israel Deaconess Hospital, Milton Cape Ann Medical Center, LLC Beth Israel Deaconess Hospital, Plymouth Cape Ann Pediatrics Beverly Hospital, Beverly Central Massachusetts Independent Physician Association, LLC Brigham and Women’s Faulkner Hospital, Boston Charles River Medical Associates Charlton Memorial Hospital, Fall River Greater Lawrence Family Health Center Clinton Hospital, Clinton Harrington PHO Emerson Hospital, Concord Healthcare South, P.C.* Harrington HealthCare at Hubbard, Webster HealthFirst Family Care Center, Inc. (Fall River) Harrington Memorial Hospital, Southbridge Highland Healthcare Associates IPA HealthAlliance Hospital, Fitchburg Jordan Physician Associates HealthAlliance Hospital, Leominster Lahey Clinic Physicians Heywood Hospital, Gardner Lawrence General IPA Lahey Hospital & Medical Center, Burlington Lowell General PHO Lawrence General Hospital, Lawrence Lower Merrimack Valley PHO Lowell General Hospital, Main Campus, Lowell Mass Bay Medical Associates, LLC* Lowell General Hospital, Saints Campus, Lowell Merrimack Valley IPA* Marlborough Hospital, Marlborough MetroWest Accountable Healthcare Organization, LLC* Massachusetts Eye & Ear Infirmary, Boston Milton Primary Care, LLC* MetroWest Medical Center, Framingham Mount Auburn Cambridge IPA MetroWest Medical Center, Natick Newton-Wellesley Physician Hospital Organization, Inc. -
Your Choice 3-Tier Option— a Tiered Provider Network Plan 2018 Hospital Tiering List
Your Choice 3-Tier Option— A Tiered Provider Network Plan 2018 Hospital Tiering List Your Choice is a Tufts Health Plan tiered provider network comprised of primary care providers, specialists and hospitals. As part of our National Committee for Quality Assurance (NCQA) accreditation and our own quality standards, we are committed to contracting only with high-performing hospitals. Every doctor and every hospital in the Your Choice network has been carefully evaluated, and every provider and hospital in the Your Choice network meets our standard for quality of care. Because not all doctors and hospitals charge the same costs, we’ve factored in cost-efficiency in our evaluation, and we have separated Your Choice providers into three tiers. Provider groups and their primary hospital affiliation are in the same tier to reflect referral patterns that those physicians would make most often.* Below is a list of all the hospitals in Tufts Health Plan’s network and their tiers. In choosing a tier, members must consider how much they are willing to pay out-of-pocket for the doctor and/ or hospital they prefer. If members want the most cost-effective option, they should choose a doctor or hospital from Tier 1. If the doctor or hospital is in Tier 2 or Tier 3, they have the freedom to choose, but they will pay higher out-of-pocket costs. Members pay different levels of copayments, coinsurance, and/or deductibles depending on their plan design and the tier of the provider delivering a covered service or supply. Your plan may make changes to a provider’s tier annually. -
Harvard Pilgrim Participating Hospitals ME As of July 1, 2018
Harvard Pilgrim Participating Hospitals ME as of July 1, 2018 CONNECTICUT Saint Francis Hospital & Bridgeport Hospital Medical Center Bristol Hospital Sharon Hospital Charlotte Hungerford Hospital St. Vincent’s Medical Center Connecticut Children’s Stamford Hospital Medical Center Waterbury Hospital VT Danbury Hospital William Backus Hospital Day Kimball Hospital Windham Hospital NH Greenwich Hospital Yale New Haven Hospital Griffin Hospital MASSACHUSETTS Hartford Hospital Addison Gilbert Hospital Hospital of Central Connecticut Anna Jaques Hospital John Dempsey Hospital Athol Memorial Hospital Johnson Memorial Hospital Baystate Franklin Medical Center MA Lawrence + Memorial Hospital Baystate Medical Center Middlesex Hospital Baystate Noble Hospital MidState Medical Center Baystate Wing Hospital Milford Hospital Berkshire Medical Center New Milford Hospital RI Beth Israel Deaconess Hospital - CT Norwalk Hospital Milton Campus Prospect Manchester Hospital Beth Israel Deaconess Hospital - Prospect Rockville Hospital Needham Campus Continued on reverse > Harvard Pilgrim participating hospitals Beth Israel Deaconess Martha’s Vineyard Hospital RHODE ISLAND Southern New Hampshire Northern Maine Medical Center Hospital Plymouth Massachusetts Eye & Ear Infirmary Kent County Memorial Hospital Medical Center Parkview Memorial Hospital Beth Israel Deaconess Massachusetts General Hospital Memorial Hospital of Rhode Island Speare Memorial Hospital Penobscot Bay Medical Center Medical Center Mercy Medical Center Miriam Hospital Upper Connecticut Valley -
Select Network Hospitals
Select Network Hospitals MASSACHUSETTS 20. COOLEY DICKINSON HOSPITAL 41. MORTON HOSPITAL 1. ADDISON GILBERT HOSPITAL 21. FALMOUTH HOSPITAL 42. MOUNT AUBURN HOSPITAL 2. ANNA JAQUES HOSPITAL 22. GOOD SAMARITAN 43. NASHOBA VALLEY 3. ATHOL MEMORIAL HOSPITAL MEDICAL CENTER MEDICAL CENTER 4. BAYSTATE MEDICAL CENTER 23. HARRINGTON HEALTHCARE 44. NEW ENGLAND BAPTIST AT HUBBARD HOSPITAL 5. BAYSTATE FRANKLIN MEDICAL CENTER 24. HARRINGTON MEMORIAL HOSPITAL 45. NOBLE HOSPITAL 6. BAYSTATE MARY LANE HOSPITAL 25. HEALTHALLIANCE HOSPITAL 46. NORWOOD HOSPITAL 7. BETH ISRAEL DEACONESS 26. HEYWOOD HOSPITAL 47. QUINCY MEDICAL CENTER MEDICAL CENTER 27. HOLY FAMILY HOSPITAL 48. SAINT ANNE’S HOSPITAL 8. BETH ISRAEL DEACONESS 28. HOLYOKE MEDICAL CENTER 49. SAINT VINCENT HOSPITAL HOSPITAL - MILTON 29. JORDAN HOSPITAL 50. SOUTH SHORE HOSPITAL 9. BETH ISRAEL DEACONESS 30. LAHEY CLINIC 51. ST. ELIZABETH’S MEDICAL CENTER HOSPITAL – NEEDHAM 31. LAWRENCE GENERAL HOSPITAL 52. ST. LUKE’S HOSPITAL 10. BEVERLY HOSPITAL 32. LAWRENCE MEMORIAL 53. STURDY MEMORIAL HOSPITAL 11. BOSTON MEDICAL CENTER HOSPITAL, HALLMARK HEALTH 54. TOBEY HOSPITAL 12. BROCKTON HOSPITAL, 33. LOWELL GENERAL HOSPITAL 55. TUFTS MEDICAL CENTER SIGNATURE HEALTHCARE 34. LOWELL GENERAL HOSPITAL 56. TUFTS MEDICAL CENTER 13. CAMBRIDGE HEALTH ALLIANCE - SAINTS CAMPUS FLOATING HOSPITAL FOR CHILDREN CAMBRIDGE HOSPITAL 35. MARLBOROUGH HOSPITAL 57. TUFTS NEW ENGLAND 14. CAMBRIDGE HEALTH ALLIANCE - 36. MELROSE WAKEFIELD HOSPITAL, EYE CENTER SOMERVILLE HOSPITAL HALLMARK HEALTH 58. UMASS MEMORIAL 15. CAMBRIDGE HEALTH ALLIANCE - WHIDDEN 37. MERCY MEDICAL CENTER MEDICAL CENTER HOSPITAL 38. MERRIMACK VALLEY HOSPITAL 59. WINCHESTER HOSPITAL 16. CAPE COD HOSPITAL 39. METROWEST MEDICAL CENTER - 60. WING MEMORIAL HOSPITAL000 17. CARNEY HOSPITAL FRAMINGHAM UNION 18. CHARLTON MEMORIAL HOSPITAL 40. -
Enrollment Guide Your Choices Starting JANUARY 2019
MassHealth Enrollment Guide Your Choices Starting JANUARY 2019 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 now have more health plans to choose from so you can get the health care you need. Please read this guide to learn about the new plans so you can 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.