Services Not Billed by Doctors Community Hospital

Doctors Community Hospital HSCRC Community Benefits Narrative Report FY 2015 COMMUNITY BENEFIT NARRATIVE REPORTING DOCTORS COMMUNITY HOSPITAL DECEMBER 15, 2015 Effective for FY2014 Community Benefit Reporting Health Services Cost Review Commission 4160 Patterson Avenue Baltimore MD 21215 Doctors Community Hospital HSCRC Community Benefits Narrative Report FY 2015 Table of Contents Table of Contents .................................................................................................................................................... 1 GENERAL HOSPITAL DEMOGRAPHICS AND CHARACTERISTICS: ......................................................... 6 1. Please list the following information in Table I below. .............................................................................................. 6 2. For purposes of reporting on your community benefit activities, please provide the following information: ............ 9 a. Describe in detail the community or communities the organization serves. ........................................................... 9 (1) General Description of the Prince George’s County that encompasses the majority of Doctors Community Hospital’s Community Benefit Service Area. ............................................................................................................. 9 (2) General Description, by Zip Code, of the communities that comprise the majority of Doctors Community Hospital’s Community Benefit Service Areas .......................................................................................................... 11 Note: Same as last year’s Demographics since no new Census was taken. .............................................................. 11 Lanham, Maryland – Zip Code 20706 .......................................................................................................... 11 Cheverly, Maryland – Zip Code 20784 ......................................................................................................... 12 Landover, Maryland – Zip Code 20785 ........................................................................................................ 14 Greenbelt, Maryland – Zip Code 20770 ....................................................................................................... 16 Capitol Heights, Maryland – Zip Code 20743 .............................................................................................. 18 Kettering, Maryland – Zip Code -20774 ....................................................................................................... 20 Bowie, Maryland – Zip Code 20721& 20720 ............................................................................................... 22 Riverdale, Maryland – Zip Code 20737 ........................................................................................................ 25 Districts Heights, Maryland – Zip Code 20747 ............................................................................................ 27 b. In Table II, describe significant demographic characteristics and social determinants that are relevant to the needs of the community and include the source of the information in each response ............................................................ 29 a. Age-Adjusted Death Rate due to Coronary Heart Disease by Gender.................................................................. 33 b. Age-Adjusted Death Rate due to Coronary Heart Disease : Time Series ............................................................. 33 c. Age-Adjusted Death Rate due to Coronary Heart Disease by Race/Ethnicity ...................................................... 34 d. Age-Adjusted Death Rate due to Coronary Heart Disease by Race/Ethnicity ...................................................... 34 (1) Adults with Diabetes by Gender ................................................................................................................... 34 1 Doctors Community Hospital HSCRC Community Benefits Narrative Report FY 2015 (2) Adults with Diabetes by Race/Ethnicity ....................................................................................................... 34 a. Age-Adjusted Death Rate due to Breast Cancer by Race/Ethnicity ..................................................................... 35 II. COMMUNITY HEALTH NEEDS ASSESSMENT ....................................................................................... 38 1. The written document (CHNA) must include the following: ................................................................................... 38 2. Examples of sources of data available to develop a CHNA include, but are not limited to: .................................... 39 III. COMMUNITY BENEFIT ADMINISTRATION .......................................................................................... 41 1. Please answer the following questions below regarding the decision making process of determining which needs in the community would be addressed through community benefits activities of your hospital?......................................... 41 V. HOSPITAL COMMUNITY BENEFIT PROGRAM AND INITIATIVES .................................................... 44 1. Please use Table III (see attachment) to provide a clear and concise description of the primary needs identified in the CHNA ......................................................................................................................................................................... 44 VI. PHYSICIANS ................................................................................................................................................. 46 1. As required under HG§19-303, provide a written description of gaps in the availability of specialist providers .... 46 2. If you list Physician Subsidies in your data in category C of the CB Inventory Sheet, please indicate the category of subsidy, and explain why the services would not otherwise be available to meet patient demand .............................. 46 VII. APPENDICES ............................................................................................................................................... 47 1. Appendix I: Describe your Financial Assistance Policy (FAP): ............................................................................... 47 2. Appendix II: Include a copy of your hospital’s FAP (label appendix II).................................................................. 49 See Attached PDF ............................................................................................................................................. 49 3. Appendix III: Include a copy of the Patient Information Sheet provided to patients in accordance with Health- General §19-214.1(e) (label appendix III). ....................................................................................................................... 50 See Attached PDF ............................................................................................................................................. 50 4. Appendix IV: Attach the hospital’s mission, vision, and value statement(s) ............................................................ 51 5. Appendix V: Prince George’s County Health Action Plan http://www.princegeorgescountymd.gov/Government/AgencyIndex/Health/improvement.asp ...................................... 52 See Attached PDF ............................................................................................................................................. 52 6. Appendix VI: Blueprint for a Healthy Prince George’s County, 2011 – 2014 http://www.princegeorgescountymd.gov/Government/AgencyIndex/Health/improvement.asp ...................................... 53 See Attached PDF ............................................................................................................................................. 53 2 Doctors Community Hospital HSCRC Community Benefits Narrative Report FY 2015 7. Appendix VII: Detailed Description, by Zip Code, of the communities that comprise the majority of Doctors Community Hospital’s Community Benefit Service Areas .............................................................................................. 54 Lanham, Maryland – Zip Code 20706 .......................................................................................................... 54 Cheverly, Maryland – Zip Code 20784 ......................................................................................................... 55 Landover, Maryland – Zip Code 20785 ........................................................................................................ 57 Greenbelt, Maryland – Zip Code 20770 ....................................................................................................... 59 Capitol Heights, Maryland – Zip Code 20743 .............................................................................................. 63 Kettering, Maryland – Zip Code -20774 ....................................................................................................... 65 Bowie, Maryland – Zip Code 20721 & 20720 .............................................................................................. 67 Riverdale, Maryland – Zip Code 20737 ........................................................................................................ 72 Districts Heights, Maryland – Zip Code 20747 ...........................................................................................

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