Community Benefit Insight - Tax-exempt hospital

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Mayo Clinic Group Return

200 First Street Sw Attn Tax

Rochester, MN 55905

EIN: 383952644

The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more

Individual Facility Details: Mayo Clinic Health System - Waseca

501 N State Street
Waseca, MN 56093

Bed count	25	Medicare provider number	241345	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

Mayo Clinic Group ReturnDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

6.21%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 36,000,094 0.29 %
Medicaid as % of operating expenses	$ 325,790,467 2.65 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 111,301,380 0.90 %
Subsidized health services as % of operating expenses	$ 197,842,791 1.61 %
Research as % of operating expenses	$ 82,043,333 0.67 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 3,171,114 0.03 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 8,334,790 0.07 %
Community building* as % of operating expenses	$ 789,739 0.01 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 789,739 0.01 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 448,868 56.84 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 149,154 18.89 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 191,717 24.28 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 141,275,134 1.15 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 9479995990 including grants of $ 1706159818) (Revenue $ 10691876631)
PATIENT CARE (SEE SCHEDULE O)PATIENT CAREMAYO CLINIC, AS AN AFFILIATED GROUP OF HEALTHCARE ENTITIES, IS AN INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE AND HAS SITES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; JACKSONVILLE, FLORIDA AND ALSO SERVES APPROXIMATELY 50 COMMUNITIES IN THE UPPER MIDWEST THROUGH THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC IS DRIVEN BY ITS MISSION OF PROVIDING THE BEST PATIENT CARE TO EVERY PATIENT EVERY DAY THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS AND ARE JOINED BY COMMON SYSTEMS AND A PHILOSOPHY THAT THE NEEDS OF THE PATIENT COME FIRST. THERE ARE 17 SUBORDINATE ORGANIZATIONS FROM THE MAYO CLINIC AFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN. OPERATIONS INCLUDE 21 HOSPITAL FACILITIES (19 LICENSED HOSPITALS), NUMEROUS CLINICAL FACILITIES, 1 NURSING HOME, 5 ELDERLY/ASSISTED LIVING FACILITIES AND 7 CHEMICAL DEPENDENCY TREATMENT CENTERS, AN AMBULANCE SERVICE ORGANIZATION, 1 FOUNDATION-TYPE ORGANIZATION AND 1 ORGANIZATION THAT PROVIDES SUPPORT SERVICES (SHARED SERVICES) TO MAYO CLINIC, ITS AFFILIATES AND PATIENTS.GEOGRAPHICALLY, THE SUBORDINATES ARE LOCATED IN PHOENIX/SCOTTSDALE, ARIZONA; JACKSONVILLE, FLORIDA; SOUTHERN MINNESOTA; AND WESTERN WISCONSIN. FOR PURPOSES OF THIS STATEMENT, PATIENT CARE ENCOMPASSES PATIENT SERVICES (HOSPITALS, CLINICS & AMBULANCES), HOUSING FOR THE ELDERLY (NURSING HOMES & ELDERLY HOUSING FACILITIES) AND THE SALE OF MEDICAL PRODUCTS AND HEALTH INFORMATION. ON AN AGGREGATE BASIS, THE HOSPITAL SUBORDINATES HAD 4,152 LICENSED BEDS AT YEAR-END. FOR THE SUBORDINATE HOSPITAL AND CLINICAL PRACTICES, THE ANNUAL PATIENT COUNT (A DISTINCT COUNT OF THE MEDICAL RECORD NUMBERS THAT RECEIVED BILLABLE MEDICAL SERVICES) IN 2021 WAS APPROXIMATELY 975,000 PATIENTS. IN ADDITION, HOUSING FOR THE ELDERLY IS PROVIDED THROUGH THE OPERATION OF 6 FACILITIES THAT PROVIDE INDEPENDENT LIVING, ASSISTED LIVING AND/OR LONG-TERM CARE. THE SUBORDINATES PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. FOR 2021, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $325,790,000. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $1,248,470,000. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2021 ON A COMBINED BASIS WAS APPROXIMATELY $36,000,000.THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 2,405 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 214,656 HOURS OF SERVICE IN 2021, VALUED AT APPROXIMATELY $6,126,282 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES.

4B (Expenses $ 838844211 including grants of $ 0) (Revenue $ 838844211)
SHARED SERVICES (SEE SCHEDULE O)SHARED SERVICESAS PART OF ITS EXEMPT FUNCTION, ONE OF THE SUBORDINATE ORGANIZATIONS (MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH) FACILITATES EFFORTS AND SHARED SERVICES ON BEHALF OF AND FOR THE BENEFIT OF MAYO CLINIC AND ITS AFFILIATES. CERTAIN SERVICES ARE CENTRALIZED WITHIN THE SUBORDINATE ORGANIZATION AND INCLUDE FINANCE, HUMAN RESOURCES, LEGAL, PUBLIC AFFAIRS, SUPPLY CHAIN, INFORMATION TECHNOLOGY AND VARIOUS OTHER SERVICES. CERTAIN COSTS RELATED TO PROVIDING THESE SHARED SERVICES ARE ALLOCATED OUT OR CHARGED TO THE AFFILIATES. FACILITATING THESE EFFORTS AND SERVICES ALLOWS MAYO CLINIC AND ITS AFFILIATES TO BETTER CARRY OUT THEIR EXEMPT FUNCTIONS BY REDUCING COSTS, HAVING STANDARDIZED PRACTICES AND PROCEDURES, AND CREATING ECONOMIES OF SCALE.

4C (Expenses $ 218808544 including grants of $ 16961350) (Revenue $ 1457390)
MEDICAL RESEARCH (SEE SCHEDULE O)MEDICAL RESEARCHMAYO CLINIC, AS AN AFFILIATED GROUP, CONDUCTS BASIC, TRANSLATIONAL, CLINICAL, AND EPIDEMIOLOGICAL RESEARCH AT ITS CAMPUSES IN MINNESOTA, ARIZONA, AND FLORIDA AND THROUGHOUT THE MAYO CLINIC HEALTH SYSTEM. THE NEEDS OF PATIENTS IS WHAT DRIVES RESEARCH AT MAYO CLINIC. AS DOCTORS TREAT PATIENTS AND SEE OPPORTUNITIES FOR ADVANCING PATIENT CARE, THEY WORK TOGETHER WITH MAYO SCIENTISTS AND RESEARCH TEAMS TO DEVELOP NEW AND IMPROVED DIAGNOSTIC TOOLS, MEDICATIONS, DEVICES, TREATMENT PROTOCOLS AND MORE.MAYO CLINIC'S UNIQUE CULTURE OF COLLABORATION AND TEAMWORK, AND ITS EXTENSIVE FACILITIES AND RESOURCES, MAKE IT POSSIBLE FOR RESEARCHERS TO UNRAVEL AND SOLVE COMPLEX RESEARCH QUESTIONS. ANSWERING THESE QUESTIONS REQUIRES A TEAM OF PHYSICIANS WHO CARE FOR PATIENTS WITH A DISEASE, BASIC SCIENTISTS WHO INVESTIGATE THE CONDITION'S MOLECULAR BASIS AND EPIDEMIOLOGISTS WHO STUDY ITS EFFECT ON POPULATIONS. THIS CLOSE INTEGRATION MAKES IT POSSIBLE TO QUICKLY BRING PROVEN DIAGNOSTICS AND THERAPEUTICS TO PATIENTS AND SHARE THIS KNOWLEDGE WITH THE NEXT GENERATION OF DOCTORS AND SCIENTISTS.THE RESEARCH ACTIVITIES CONDUCTED BY THE SUBORDINATES ARE CONDUCTED AT THE ARIZONA AND FLORIDA LOCATIONS AND AT SEVERAL OF THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN. RESEARCH IS CONCENTRATED IN THE AREAS OF CANCER, METABOLISM, NEUROSCIENCES, NEURODEGENERATIVE DISEASES, CARDIOVASCULAR DISEASES AND GI DISORDERS/TRANSPLANTATION.

4D (Expenses $ 130494835 including grants of $ 5530633) (Revenue $ 172912932)
HEALTH PROFESSIONAL EDUCATIONMAYO CLINIC'S INVESTMENTS IN EDUCATION INFORM AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS, AND COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING, ALONG WITH PREPARING THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS TO PROVIDE OUTSTANDING, COMPASSIONATE CARE TO PATIENTS WORLDWIDE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE WHICH CONSISTS OF FIVE SCHOOLS:- MAYO CLINIC ALIX SCHOOL OF MEDICINE- MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION- MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES- MAYO CLINIC SCHOOL OF HEALTH SCIENCES- MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENTMAYO CLINIC, AS AN AFFILIATED GROUP, OFFERS EDUCATIONAL PROGRAMS AND TRAINING OPPORTUNITIES ON ITS CAMPUSES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; AND JACKSONVILLE, FLORIDA AND SEVERAL OF THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN. IN AFFILIATION WITH THE MAYO CLINIC COLLEGE OF MEDICINE, THE SUBORDINATES OFFER PHYSICIAN RESIDENCY PROGRAMS AND FELLOWSHIPS IN MANY MEDICAL AND SURGICAL SPECIALTIES, TRAINING PROGRAMS FOR ALLIED HEALTH PERSONNEL AND ON-GOING EDUCATION FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.MANY OF THE STUDENTS EDUCATED THROUGH THE MAYO CLINIC COLLEGE OF MEDICINE TO SUSTAIN MAYO'S UNIQUE STYLE OF CARE AND PREPARE THE NEXT GENERATION OF CAREGIVERS WOULD HAVE RECEIVED SOME OF THEIR EDUCATION AT THE SUBORDINATE'S LOCATIONS IN PHOENIX/SCOTTSDALE, ARIZONA; JACKSONVILLE, FLORIDA AND THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN.IN ADDITION, MANY OF THE SUBORDINATES HAVE AGREEMENTS WITH UNIVERSITIES, COLLEGES, AND OTHER EDUCATIONAL ORGANIZATIONS TO PROVIDE FORMAL EDUCATION AND EXPERIENCE FOR STUDENTS STUDYING TO BECOME HEALTH CARE PROFESSIONALS.ROYALTIES SOME SUBORDINATES WITHIN THE GROUP MAKE THE RESEARCH AND TECHNOLOGY DEVELOPED THROUGHOUT MAYO CLINIC AVAILABLE TO THE PUBLIC. THIS IS ACCOMPLISHED THROUGH LICENSING ARRANGEMENTS WITH OTHERS HAVING THE CAPABILITY TO DISTRIBUTE THE TECHNOLOGY TO THE MEDICAL COMMUNITY AND THE GENERAL PUBLIC. IN EXCHANGE FOR THESE LICENSES, THE SUBORDINATES RECEIVE ROYALTIES BASED ON GROSS REVENUES GENERATED FROM THE PRODUCTS DEVELOPED FROM THE LICENSED TECHNOLOGY OR INVENTION.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 4: MCHS IN EAU CLAIRE, - FACILITY 5: MCHS IN MANKATO, - FACILITY 8: MCHS IN FAIRMONT, - FACILITY 10: MCHS IN NEW PRAGUE, - FACILITY 11: MCHS IN WASECA, - FACILITY 12: MCHS IN BARRON, - FACILITY 13: MCHS IN BLOOMER, - FACILITY 16: MCHS IN ST. JAMES, - FACILITY 17: MCHS IN OSSEO

GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN MANKATO (MCHS-MANKATO), NICOLLET COUNTY PUBLIC HEALTH AND BLUE EARTH COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE PROJECT COMMUNITY CONNECT, COMMUNITY FIESTA IN ST. PETER, VINE FAITH IN ACTION, NICOLLET COUNTY WIC AND MORE. 453 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE 9 BLUE EARTH AND NICOLLET COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 8, 2018 - MAY 8, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS, A BLUE EARTH AND NICOLLET COUNTY DATA REVIEW AND VISIONING SESSION ON OCTOBER 24, 2018 AND A LE SUEUR COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 23, 2019.

GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 6A:
MCHS-FAIRMONTMCHS-NEW PRAGUEMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA

GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 6B:
BLUE EARTH COUNTY PUBLIC HEALTH DEPARTMENTNICOLLET COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION

GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN MANKATO (MCHS-MANKATO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, MCHS-MANKATO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-MANKATO: HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 100 ATTENDEES PER WEBINAR.PARTNERED WITH VINE FAITH IN ACTION TO HOLD A WEBINAR ABOUT MANAGING YOUR MOOD DURING A PANDEMIC WITH MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST. PROVIDED $13,750 IN FUNDING FOR 5 ATTENDEES TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.DISTRIBUTED 125 SOCIAL ISOLATION KITS TO OLDER ADULTS THROUGH PARTNERSHIP WITH VINE FAITH IN ACTION MEALS ON WHEELS.HAD TWO MAYO CLINIC HEALTH SYSTEM STAFF MEMBERS ATTEND THE NEWLY FORMED YOUTH MENTAL HEALTH ACCESS COMMUNITY MEETINGS MADE UP OF MANKATO PUBLIC SCHOOLS, HEALTHCARE, MINNESOTA STATE UNIVERSITY-MANKATO AND MORE.CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. CREATED A SOUTHWEST MINNESOTA RESILIENCY COHORT OF CERTIFIED RESILIENCY TRAINERS TO SHARE BEST PRACTICES AND COLLABORATE ON NEW INITIATIVES. GROUP MET QUARTERLY IN 2021.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MANKATO:PARTICIPATED IN THE AMERICAN LUNG ASSOCIATION TOBACCO WORKGROUP, STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM MEETINGS AND THE NICOLLET COUNTY CHEMICAL WELLNESS ADVOCATE COALITION.HAD TWO MAYO CLINIC HEALTH SYSTEM STAFF MEMBERS ATTEND THE NEWLY FORMED SUBSTANCE USE ADVOCACY MEETING MADE UP OF PUBLIC SAFETY, COMMUNITY BASED ORGANIZATIONS, HEALTHCARE AND COMMUNITY MEMBERS.HOSTED CHILDREN'S MUSEUM OF SOUTHERN MINNESOTA PROGRAMMING EVENT IN NOVEMBER TO SHOW THE IMPACT OF SMOKING AND VAPING ON LUNGS THROUGH AN INTERACTIVE LUNG DISPLAY AND MORE.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MANKATO:CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. OVER 250 PARTICIPATED FROM THE MANKATO AREA.HOSTED WELLNESS WEEK WITH MANKATO AREA PUBLIC SCHOOLS AND ST. PETER PUBLIC SCHOOLS IMPACTING OVER 4,500 CHILDREN TO ENCOURAGE HEALTHY HABITS.PROVIDED A COMMUNITY GARDEN AT EASTRIDGE CLINIC AS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES TO PATIENTS. PATIENTS ALSO HAD ACCESS TO REFRIGERATOR WITH HARVESTED PRODUCE.PROVIDED MAYO MILE INDOOR WALKING ROUTE AT RIVER HILLS MALL. MAYO MILE AT MAYO CLINIC HEALTH SYSTEM EVENT CENTER IS ALSO IN PLACE BUT REMAINED CLOSED TO THE PUBLIC DUE TO COVID-19.HIRED COMMUNITY HEALTH WORKERS TO FOCUS ON SOMALI AND HISPANIC COMMUNITY AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.PROVIDED $200,000 FINANCIAL SUPPORT AND OVER $17,347 OF IN-KIND SUPPORT TO THE CHILDREN'S MUSEUM FOR WELLNESS CONTENT PROVIDED TO MUSEUM MEMBERS AND GUESTS; PROVIDED GUEST EXPERTS AT MUSEUM PROGRAMMING SUCH AS TODDLER WEDNESDAY, BABY PLAY AND HEALTHY HABITS ALL SUMMER LONG.PROVIDED $200,000 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS UNITED WAY, YMCA AND FEEDING OUR COMMUNITIES PARTNERS.SPEARHEADED THE DEVELOPMENT OF THE MANKATO AREA HEALTHY COMMUNITY PARTNERSHIP - A COMMUNITY COLLABORATIVE FOCUSED ON IMPROVING HEALTH EQUITY AND HEALTH OUTCOMES WITHIN OUR COMMUNITY. THE GROUP MEETS MONTHLY.INTEGRATED A COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, WORKED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.PARTNERED WITH LOCAL BUSINESS TO PROVIDE TWO ACCESS TO CARE PRESENTATIONS IN SPANISH TO INFORM THEIR EMPLOYEES ABOUT OPTIONS TO ACCESS HEALTHCARE.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MAYO CLINIC HEALTH SYSTEM MANKATO-BASED PAIN PSYCHOLOGIST.HOSTED HPV CANCER PREVENTION WEBINAR IN CONJUNCTION WITH OTHER MAYO CLINIC HEALTH SYSTEM SITES AND MINNESOTA STATE UNIVERSITY-MANKATO COLLEGE OF ALLIED HEALTH AND NURSING.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-MANKATO BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: DURING 2021, MCHS-MANKATO CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-MANKATO INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.

GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN FAIRMONT (MCHS-FAIRMONT) AND FARIBAULT-MARTIN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE MARTIN COUNTY FAIR, SCHOOL ORIENTATIONS, VETERANS PARK BLOCK PARTY AND MORE. OVER 1,000 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE 14 MARTIN AND FARIBAULT COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 18, 2018 - MAY 22, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A MARTIN & FARIBAULT COUNTY DATA REVIEW AND VISIONING SESSION ON MARCH 19, 2019.

GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6A:
UNITED DISTRICT HOSPITALMCHS-MANKATOMCHS-NEW PRAGUEMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA

GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6B:
FARIBAULT - MARTIN COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO-DEPARTMENT OF COMMUNITY HEALTH EDUCATION

GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN FAIRMONT (MCHS-FAIRMONT) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, MCHS-FAIRMONT TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-FAIRMONT: CONDUCTED THREE-PART RESILIENCY WEBINAR SERIES IN PARTNERSHIP WITH REGIONAL CHAMBER OF COMMERCE & BUSINESSES, AVERAGING OVER 100 ATTENDEES PER WEBINAR.DISTRIBUTED WELL-BEING KITS TO 70 OLDER ADULTS THROUGH PARTNERSHIP WITH LAKEVIEW HEALTH CARE SERVICES SENIOR LIVING TO PROVIDE WELL-BEING ACTIVITIES AND RESOURCES DURING THE ISOLATION OF THE COVID-19 PANDEMIC. CONDUCTED THREE SPEAKING OF HEALTH RADIO PROGRAMS FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT DISCUSSING INTEGRATED BEHAVIORAL HEALTH, 11 TIPS FOR ANXIETY DISORDER AND HOW TO KNOW IF YOUR CHILD IS GETTING ENOUGH SLEEP.DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA.HAD TWO STAFF PARTICIPATE AS MEMBERS OF THE MARTIN AND FAIRBAULT COUNTY COMMUNITY HEALTH COALITION WHICH ADDRESSES MENTAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES (ACES). HAD A STAFF MEMBER ON THE MARTIN COUNTY RESILIENCY IMITATIVE TEAM WHICH IDENTIFIES OPPORTUNITIES AND TAKES ACTION ON SCHOOL AGE MENTAL HEALTH. CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-FAIRMONT:CONDUCTED A SPEAKING OF HEALTH RADIO PROGRAM FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT DISCUSSING THE DANGERS OF VAPING.PROVIDED 150 FOAM CORE POSTERS (ENGLISH AND SPANISH) TO AREA SCHOOLS AND BUSINESSES DISCUSSING DANGERS OF VAPING. SPONSORED AND DESIGNED A FULL-PAGE MAGAZINE PIECE - DON'T BE FOOLED! VAPING IS BAD FOR YOUR BODY - FOR THE MARTIN COUNTY SUBSTANCE ABUSE PREVENTION COALITION YOUTH CONNECTIONS MAGAZINE REACHING 2,000 HOUSEHOLDS. PARTNERED WITH MARTIN COUNTY YOUTH COALITION TO PROVIDE EDUCATION ON FACTS ABOUT VAPING AND E-CIGARETTES FOR THE SCHOOL LUNCH HOME MEALS DISTRIBUTED DURING THE COVID-19 PANDEMIC. HAD TWO STAFF AS MEMBERS OF THE MARTIN AND FAIRBAULT COUNTY COMMUNITY HEALTH COALITION WHICH ADDRESSES SUBSTANCE ABUSE. HAD ONE STAFF REPRESENT MCHS-FAIRMONT ON THE MARTIN, FAIRBAULT, AND WATONWAN COUNTY COMMUNITY LEADERSHIP TEAM WHICH ADDRESSES POINT OF SALE TOBACCO SALES AND SMOKING IN MULTI-UNIT HOUSING. ONE STAFF MEMBER SERVES ON THE MARTIN COUNTY SUBSTANCE ABUSE AND PREVENTION COALITION AND MARTIN COUNTY YOUTH COALITION WHICH ADDRESSES SUBSTANCE ABUSE AND PROVIDES POSITIVE OPPORTUNITIES FOR YOUTH. CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-FAIRMONT:CONDUCTED THREE SPEAKING OF HEALTH RADIO PROGRAMS FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT DISCUSSING MAMMOGRAMS, EYE CARE, VACCINATIONS, WALKING FOR FITNESS, MAINTAINING A HEALTHY WEIGHT, IMPORTANCE OF A PRIMARY CARE PROVIDER AND FOOT HEALTH. CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.PROVIDED INFORMATION FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT DISCUSSING WAYS FOR SENIORS TO REMAIN ACTIVE THIS WINTER.CONDUCTED FOCUS GROUPS AND A COMMUNITY SURVEY IN THE FAIRMONT SERVICE AREA TO GATHER FEEDBACK FROM THE COMMUNITY REGARDING EXPERIENCES AND OPINIONS RELATED TO RURAL HEALTH CARE SERVICES AND ACCESSIBILITY.PARTICIPATED AS A PARTNER AND STAKEHOLDER TO BUILD THE FAIRMONT AREA COMMUNITY CENTER WHICH WILL BRING HEALTHY LIVING WITHIN REACH TO ALL PEOPLE. MAYO CLINIC HEALTH SYSTEM DONATED THE LAND VALUED AT APPROXIMATELY $250,000 AND PLEDGED $500,000. PROVIDED OVER 800 MARTIN COUNTY FAIR GUESTS INFORMATION ABOUT THE ROAD TO BETTER HEALTH AND CONDUCTED COMPLIMENTARY BLOOD PRESSURE SCREENINGS. CONDUCTED COMPLIMENTARY BLOOD PRESSURE SCREENINGS AND COVID-19 VACCINATIONS IN THE NEW MOBILE HEALTH CLINIC IN AREA COMMUNITIES TO PROVIDE CARE WHERE PATIENTS NEED IT. DESIGNED AND CONSTRUCTED A COMMUNITY GARDEN AT MCHS-FAIRMONT WHICH WILL LAUNCH IN 2022. THE GARDEN IS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES TO PATIENTS. PROVIDED INDOOR WALKING ROUTES AT FIVE LAKES CENTER IN FAIRMONT. HIRED COMMUNITY HEALTH WORKERS TO FOCUS ON SOMALI AND HISPANIC COMMUNITY AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.HAD TWO STAFF AS MEMBERS OF THE MARTIN AND FAIRBAULT COUNTY COMMUNITY HEALTH COALITION WHICH ADDRESSES CHRONIC DISEASE, ACCESS TO CARE AND DENTAL HEALTH. HAD ONE STAFF REPRESENT MCHS-FAIRMONT ON THE MARTIN, FAIRBAULT, AND WATONWAN COUNTY COMMUNITY LEADERSHIP TEAM WHICH ADDRESSES HEALTHY EATING IN COMMUNITIES, ACTIVE COMMUNITIES AND WORKSITE WELLNESS. PARTNERED WITH HEAVEN'S TABLE FOOD SHELF IN FAIRMONT TO PROVIDE FUNDING AND EXPERTISE TO DEVELOP THE TAKE AND MAKE PILOT PROGRAM TO PROVIDE 300 FOOD SHELF RECIPIENTS WITH A DELICIOUS MEAL EACH MONTH THAT IS HIGH IN NUTRITIONAL VALUE AND INTRODUCES THEM TO A NEW RECIPE AND PREPARATION TECHNIQUE. PROVIDED OVER $19,000 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS FAIRMONT FARMERS MARKET, YOUTH FIRST CELEBRATING FAMILIES, KIDS WANT TO HAVE FUN AND KINSHIP MARTIN COUNTY. INTEGRATED A COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, WORKED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MANKATO-BASED PAIN PSYCHOLOGIST.PROVIDED FUNDING TO APPLE TREE DENTAL TO SUPPORT ACCESS TO DENTAL SERVICES FOR THE AREA'S MOST VULNERABLE RESIDENTS. PROVIDED MAYO CLINIC EXPERTS TO SUPPORT MARTIN COUNTY BABY CAFE WHICH PROVIDES EDUCATION AND SUPPORT FOR BREASTFEEDING MOTHERS. HAD ONE STAFF MEMBER SERVE ON THE FAIRMONT AREA COMMUNITY CENTER FOUNDATION BOARD.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-FAIRMONT BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: DURING 2021, MCHS-FAIRMONT CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-FAIRMONT INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.

GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE), LE SUEUR COUNTY PUBLIC HEALTH AND SCOTT COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE THE LE SUEUR COUNTY FAIR, CZECH OUT NEW PRAGUE, TCU UNITED 4 HEALTHY YOUTH AND MORE. 513 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT SIX LE SUEUR AND SCOTT COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 17, 2018 - MAY 21, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A LE SUEUR AND SCOTT COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 7, 2019.

GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6A:
MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA

GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6B:
SCOTT COUNTY PUBLIC HEALTHLE SUEUR COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION

GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, MCHS-NEW PRAGUE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-NEW PRAGUE: HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING OVER 100 ATTENDEES PER WEBINAR.DISTRIBUTED 60 SOCIAL ISOLATION KITS TO OLDER ADULTS THROUGH PARTNERSHIP WITH LE SUEUR COUNTY PUBLIC HEALTH.PROVIDED $5,000 IN GRANTS TO DUCK CUP MEMORIAL FUND TO PROVIDE MENTAL HEALTH AND RESILIENCY PROGRAMS IN SCHOOLS.CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-NEW PRAGUE:PARTICIPATED IN A COMMUNITY EVENT TO PROVIDE EDUCATION AND SHOW THE IMPACT OF SMOKING AND VAPING ON LUNGS THROUGH AN INTERACTIVE INFLATABLE LUNG.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-NEW PRAGUE:PROVIDED $2,000 IN GRANTS TO NEW PRAGUE ROTARY FOUNDATION TO START COMMUNITY GARDEN TO PROMOTE HEALTHY EATING.PROVIDED $4,500 SPONSORSHIP TO SUPPORT NEW PRAGUE CHAMBER OF COMMERCE'S RUN NEW PRAGUE VIRTUAL EVENT. ADDITIONAL HEALTH EXPERTISE AND SUPPORT PLAN WAS SIDELINED DUE TO COVID-19.CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.HOSTED WELLNESS WEEK WITH NEW PRAGUE AREA SCHOOLS IMPACTING 590 STUDENTS TO ENCOURAGE HEALTHY HABITS.HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MANKATO-BASED PAIN PSYCHOLOGIST.PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HAD COMMUNITY HEALTH WORKERS OFFER SUPPORT AS NEEDED TO ADDRESS CHRONIC HEALTH CONDITIONS.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-NEW PRAGUE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: DURING 2021, MCHS-NEW PRAGUE CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-NEW PRAGUE INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.

GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN WASECA (MCHS-WASECA) AND WASECA COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. THESE EVENTS WERE THE WASECA STAKEHOLDER BREAKFAST, WASECA COUNTY FAIR AND WASECA INTERMEDIATE SCHOOL OPEN HOUSE. 240 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE THREE WASECA COUNTY EVENTS IN 2018.INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN JUNE 25, 2018 - MAY 15, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A LE SUEUR AND WASECA COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 23, 2019.

GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6A:
MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-NEW PRAGUE

GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6B:
WASECA COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION

GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN WASECA (MCHS-WASECA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, MCHS-WASECA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-WASECA:HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING OVER 100 ATTENDEES PER WEBINAR.DISTRIBUTED 62 SOCIAL ISOLATION KITS TO OLDER ADULTS THROUGH PARTNERSHIP WITH LUTHERAN SOCIAL SERVICES OF MINNESOTA MEALS ON WHEELS.PROVIDED $1,150 IN GRANTS TO BIG BROTHERS BIG SISTERS OF SOUTHERN MINNESOTA AND INFANTS REMEMBERED IN SILENCE TO SUPPORT MENTAL WELL-BEING SERVICES.CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS- WASECA:IN CONJUNCTION WITH OTHER MAYO CLINIC HEALTH SYSTEM ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC). CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-WASECA:PROVIDED $500 IN GRANTS TO WASECA PUBLIC SCHOOLS TO SUPPORT HEALTH AND WELLNESS EDUCATION AND PROGRAMS.CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.HOSTED WELLNESS WEEK WITH WASECA AREA SCHOOLS IMPACTING 650 STUDENTS TO ENCOURAGE HEALTHY HABITS.HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MANKATO-BASED PAIN PSYCHOLOGIST.PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HAD COMMUNITY HEALTH WORKERS OFFER SUPPORT AS NEEDED TO ADDRESS CHRONIC HEALTH CONDITIONS.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-WASECA BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: DURING 2021, MCHS-WASECA CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-WASECA INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.

GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN ST. JAMES (MCHS-ST. JAMES) AND WATONWAN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE THE ST. JAMES COMMUNITY STAKEHOLDER BREAKFAST AND THE MULTICULTURAL FIESTA. 93 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THREE WATONWAN COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN JUNE 8, 2018 - JUNE 10, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND ENGAGING AS A MEMBER OF THE WATONWAN COUNTY COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE WHICH MEETS ON A BI-MONTHLY BASIS AND IS ONGOING.

GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6A:
MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-WASECAMCHS-NEW PRAGUE

GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6B:
WATONWAN COUNTY HEALTH DEPARTMENT MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION

GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN ST. JAMES (MCHS-ST. JAMES) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, MCHS-ST. JAMES TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-ST. JAMES:CONDUCTED THREE-PART RESILIENCY WEBINAR SERIES IN PARTNERSHIP WITH REGIONAL CHAMBER OF COMMERCE & BUSINESSES, AVERAGING OVER 100 ATTENDEES PER WEBINAR.DISTRIBUTED WELL-BEING KITS TO 40 OLDER ADULTS THROUGH PARTNERSHIP WITH MEALS ON WHEELS DESIGNED TO PROVIDE WELL-BEING ACTIVITIES AND RESOURCES DURING THE ISOLATION OF THE COVID-19 PANDEMIC. CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. SPONSORED AND DESIGNED A FULL-PAGE MAGAZINE PIECE - USE YOUR IMAGINATION - FOR THE KIDS CREATIVE MAGAZINE REACHING 2,000 HOUSEHOLDS IN WATONWAN AND MARTIN COUNTY.HAD ONE STAFF AS A MEMBER OF THE WATONWAN COUNTY MENTAL HEALTH COALITION WHICH ADDRESSES MENTAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES (ACES). CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.HAD A STAFF PERSON AS A MEMBER OF THE WATONWAN COUNTY CHILDREN'S CABINET.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-ST. JAMES:PROVIDED 75 FOAM CORE POSTERS (ENGLISH AND SPANISH) TO AREA SCHOOLS AND BUSINESSES DISCUSSING DANGERS OF VAPING. HAD ONE STAFF REPRESENT MCHS-ST. JAMES ON THE MARTIN, FAIRBAULT, AND WATONWAN COUNTY COMMUNITY LEADERSHIP TEAM WHICH ADDRESSES POINT OF SALE TOBACCO SALES AND SMOKING IN MULTI-UNIT HOUSING. PROVIDED INFORMATION PACKETS AT THE CARE FAIRS HELD IN ST. JAMES, MADELIA AND BUTTERFIELD-ODIN SCHOOLS WHICH ADDRESSED USING YOUR IMAGINATION AND RAISING RESILIENT CHILDREN. CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-ST. JAMES:CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.HIRED COMMUNITY HEALTH WORKERS TO FOCUS ON SOMALI AND HISPANIC COMMUNITY AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.HAD ONE STAFF REPRESENT MCHS-ST. JAMES ON THE MARTIN, FAIRBAULT, AND WATONWAN COUNTY COMMUNITY LEADERSHIP TEAM WHICH ADDRESSES HEALTHY EATING IN COMMUNITIES, ACTIVE COMMUNITIES AND WORKSITE WELLNESS. PROVIDED OVER $7,000 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS. INTEGRATED A COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, WORKED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MANKATO-BASED PAIN PSYCHOLOGIST.HAD TWO STAFF MEMBERS SERVE ON THE WATONWAN COUNTY PUBLIC HEALTH ADVISORY COMMITTEE. HAD TWO STAFF MEMBERS SERVE ON UNITING CULTURES / UNIENDO CULTURAS WORKING TO UNITE PEOPLE AND COMMUNITIES BY REMOVING BARRIERS THROUGH SHARING, LEARNING, COLLABORATION AND ACTION.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-NEW ST. JAMES BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: DURING 2021, MCHS-ST. JAMES CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-ST. JAMES INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.

GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE 2018 EAU CLAIRE COUNTY COMMUNITY HEALTH ASSESSMENT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE). THE ASSESSMENT WHICH WAS COMPLETED BY A LOCAL COALITION MADE UP OF LOCAL HEALTH CARE ORGANIZATIONS, THE EAU CLAIRE CITY/COUNTY PUBLIC HEALTH DEPARTMENT, THE UNITED WAY OF EAU CLAIRE AND THE EAU CLAIRE HEALTHY COMMUNITIES COUNCIL. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE 2018 EAU CLAIRE COUNTY COMMUNITY HEALTH ASSESSMENT BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF EAU CLAIRE COUNTY.THE SURVEY WAS AVAILABLE ONLINE AND BY PAPER COPIES DISTRIBUTED WIDELY THROUGH THE COMMUNITY. SURVEY QUESTIONS FOCUSED ON 14 HEALTH AREAS, BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHIEST WISCONSIN 2020. THE HEALTH FOCUS AREAS ADDRESSED IN THE SURVEY WERE: ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, ENVIRONMENTAL AND OCCUPATIONAL HEALTH, HEALTHY GROWTH AND DEVELOPMENT, HEALTHY NUTRITION, INJURY AND VIOLENCE, MENTAL HEALTH, OBESITY, ORAL HEALTH, PHYSICAL ACTIVITY, REPRODUCTIVE AND SEXUAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AND EXPOSURE. SURVEY RESPONDENTS WERE ASKED TO RATE EACH OF THE HEALTH FOCUS AREAS ON A FOUR-POINT SCALE INDICATING HOW MUCH OF A PROBLEM THEY FELT EACH AREA TO BE FOR THE COMMUNITY (1=NOT A PROBLEM, 4=MAJOR PROBLEM) AND IDENTIFY REASONS THEY FELT THE AREA WAS A PROBLEM.A TOTAL OF 1,876 EAU CLAIRE COUNTY RESIDENTS RESPONDED TO THE SURVEY. SURVEY RESPONDENTS REPRESENTED A WIDE RANGE OF COUNTY RESIDENTS, INCLUDING A VARIETY OF INCOME AND EDUCATIONAL LEVELS, AGE AND HOUSEHOLD SIZE. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND COLLECTED FROM THE TRADITIONALLY UNDERSERVED COMMUNITY THROUGH COMMUNITY HEALTH SURVEYS DISTRIBUTED TO THE LOCAL SENIOR CENTER AND COMMUNITY MEAL SITE. SURVEYS WERE ALSO DISTRIBUTED TO AND RECEIVED FROM REPRESENTATIVES OF LOCAL COMMUNITY RESOURCE ORGANIZATIONS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) WAS HEAVILY INVOLVED IN OUTREACH SESSIONS, COMMUNITY CONVERSATIONS AND A FINAL COALITION MEETING OBTAINING COMMUNITY FEEDBACK. THESE EVENTS WERE OPEN TO THE PUBLIC AND ATTENDED BY REPRESENTATIVES OF COMMUNITY RESOURCE ORGANIZATIONS. THESE OPPORTUNITIES INCLUDED TWO COMMUNITY CONVERSATIONS HELD IN RURAL (AUGUSTA) AND URBAN (EAU CLAIRE) AREAS OF THE COUNTY IN WHICH LOCAL HEALTH DATA AND RESULTS FROM THE SURVEY WERE SHARED. FOLLOWING FACILITATED DISCUSSION, PARTICIPANTS WERE ASKED TO PRIORITIZE THE TOP HEALTH CONCERNS OF THE COUNTY FROM THE 14 HEALTH AREAS UNDER CONSIDERATION.

GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 6A:
HSHS SACRED HEART HOSPITAL

GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 6B:
EAU CLAIRE CITY COUNTY HEALTH DEPARTMENTUNITED WAY OF THE GREATER CHIPPEWA VALLEYMARSHFIELD CLINICEAU CLAIRE HEALTHY COMMUNITIES COUNCIL

GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2021, MCHS-EAU CLAIRE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-EAU CLAIRE: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BARED FEET - $800 (PROGRAMMING FOR AFTER SCHOOL ON PEACE)BIG BROTHERS AND BIG SISTERS - $1,000 (PROGRAMMING)CHIPPEWA VALLEY COUNCIL - BOY SCOUTS OF AMERICA - $2,000 (PROGRAMMING AND REGISTRATION ASSISTANCE)FAMILY RESOURCE CENTER - $3,000 (PROGRAMMING)FIERCE FREEDOM - $5,000 (TOOLS AND EDUCATION TO FIGHT HUMAN TRAFFICKING)HEARTS IN HARMONY - $3,500 (PROGRAMMING)NATIONAL ALLIANCE ON MENTAL ILLNESS CHIPPEWA VALLEY - $2,000 (PROGRAMMING)UNITED WAY OF THE GREATER CHIPPEWA VALLEY - $1,000 (BORN LEARNING TRAIL)UNIVERSITY OF WISCONSIN SYSTEM - WISCONSIN INSTITUTE FOR PUBLIC POLICY AND SERVICE - $2,500 (SPONSORSHIP)YMCA OF THE CHIPPEWA VALLEY $3,000 (PROGRAMMING)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY - $15,000 (PROGRAMMING)EAU CLAIRE COMMUNITY FOUNDATION - $100,000 (L.E. PHILLIPS PUBLIC LIBRARY)LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. - $20,000 (PROGRAMMING)PABLO CENTER AT THE CONFLUENCE - $8,000 (PROGRAMMING FOR YOUTH)FAMILY PROMISE OF CHIPPEWA VALLEY - $5,000 (HOUSING)EAU CLAIRE AREA SCHOOL DISTRICT - $5,000 (CLOTHING FOR THOSE IN NEED)THE VILLAGE PROJECT, INC. - $25,000 (PROGRAMMING)ALTOONA MIDDLE SCHOOL - $1,000 (AFTER SCHOOL PROGRAM)REGIS CATHOLIC SCHOOLS - $3,500 (SECOND STEP ELEMENTARY CLASSROOM KITS)EAU CLAIRE AREA SCHOOL DISTRICT - $5,000 (SOCIAL AND EMOTIONAL LEARNING)NORTH HIGH SCHOOL - $1,500 (EQUESTRIAN THERAPY)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.DISCOVER GRATITUDE - INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR IMPROVED MENTAL WELL-BEING. CHIPPEWA VALLEY FREE CLINIC - PROVIDED FUNDING AND RESOURCES TO SUPPORT THE OPERATION OF THE FREE CLINIC TO THE UNDERSERVED. PROVIDED SUBJECT MATTER ON A VARIETY OF BLOG TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS.PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:CHIPPEWA VALLEY FREE CLINIC (VOLUNTEERS)CHIPPEWA VALLEY TECHNICAL COLLEGE (COMMITTEE MEMBER)EAU CLAIRE CHAMBER OF COMMERCE (COMMITTEE MEMBER) EAU CLAIRE HEALTHY COMMUNITIES (MENTAL ACTION TEAM MEMBERSHIP)HOMELESSNESS STRATEGIC PLANNING (MEMBERSHIP)HOMETOWN HEROES OUTDOORS (VOLUNTEER) MENTAL HEALTH MATTERS (YOUTH MENTAL HEALTH EDUCATION, MINDFULNESS TRAINING). NATIONAL ALLIANCE OF MENTAL ILLNESS (VOLUNTEER AND BOARD MEMBER) PROJECT SEARCH (MENTORING PROJECT)UNITED WAY OF THE GREATER CHIPPEWA VALLEY (BOARD MEMBERS AND VOLUNTEERS)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-EAU CLAIRE:PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:EAU CLAIRE BRAIN TEAM - $1,000 (SPONSOR OF BRAIN CONFERENCE)HOPE GOSPEL MISSION - $2,000 (HARVEST FOR HOPE FUNDRAISER)ALTOONA MIDDLE SCHOOL AND HIGH SCHOOL - $4,000 (VAPING FOCUS GROUPS AND PUBLIC SERVICE ANNOUNCEMENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE EDUCATION/ADVOCACY FOR SUBSTANCE ABUSE:CHIPPEWA VALLEY CHILD ADVOCACY CENTER MULTI-DISCIPLINARY TEAM (COMMITTEE MEMBER)EAU CLAIRE COUNTY SEXUAL ASSAULT RESPONSE TEAM (COMMITTEE MEMBER)EAU CLAIRE HEALTHY COMMUNITIES (COMMITTEE MEMBER)HOUSING AND HOMELESSNESS (VOLUNTEER)SUBSTANCE-FREE PREGNANCY AND RECOVERY COALITION (COMMITTEE MEMBER)ALLIANCE FOR SUBSTANCE MISUSE PREVENTION COALITION (COMMITTEE MEMBER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-EAU CLAIRE:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:ALZHEIMER'S ASSOCIATION - $1,500 (WALK)AMERICAN CANCER SOCIETY ($1,000) PROGRAMMINGAMERICAN HEART ASSOCIATION - $5,000 (PROGRAMMING) BEAVER CREEK RESERVE - $500 (PROGRAMMING)BIKE CHIPPEWA VALLEY - $2,800 (IMPLEMENT BIKE SIGNS FOR TRAILS)CHIPPEWA VALLEY MUSEUM - $1,000 (IMPLEMENT COVID GUIDELINES)FEED MY PEOPLE INC. - $5,000 (CRISIS OUTREACH PROGRAM)HOPE GOSPEL MISSION - $2000 (FOOD SECURITY)UNITED WAY OF GREATER CHIPPEWA VALLEY - $2,500 (PROGRAMMING)WISCONSIN FARM TECHNOLOGY DAYS - $5,000 (SPONSORSHIP FOR HANDWASHING STATIONS)THE REACH FOUNDATION - $500 (ANNUAL GALA FOR WHEELS AND MEALS CAMPAIGN)EPILEPSY FOUNDATION OF WISCONSIN - $1,000 (WALK)L.E. PHILLIPS MEMORIAL PUBLIC LIBRARY - $1,000 (STORY WALK)THE WELLNESS SHACK - $4,000 (OPERATIONAL SUPPORT)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:THE COMMUNITY TABLE - $10,000 (FOOD SECURITY)NORTHSTAR MIDDLE SCHOOL - $2,000 (NORTHSTAR EDIBLE CLASSROOM)SAM DAVEY ELEMENTARY SCHOOL - $4,000 (PLAYGROUND IMPROVEMENT)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS - DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY. BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITY COMMUNITY COMMUNICATION - COVID UPDATES AND OTHER HEALTH RELATED TOPICS (18 EMAILS SENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS (BOARD MEMBERS)AMERICAN CANCER SOCIETY (VOLUNTEER)AMERICAN HEART ASSOCIATION BIG BROTHER BIG SISTER (VOLUNTEER)BOYS AND GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY (BOARD MEMBER)CHIPPEWA VALLEY FREE CLINIC (BOARD MEMBER, VOLUNTEERS)CHIPPEWA VALLEY TECHNICAL COLLEGE (BOARD MEMBER)CHIPPEWA VALLEY YMCA (BOARD MEMBER AND VOLUNTEER)CITY OF EAU CLAIRE ($75,000 TOWARD SUPPORT OF REGIONAL AMBULANCE SERVICE)EAU CLAIRE COUNTY AGING AND DISABILITY RESOURCE CENTER (VOLUNTEER AND PRESENTATIONS)EAU CLAIRE HEALTH DEPARTMENT (COMMITTEE DEPARTMENT)EAU CLAIRE HEALTHY COMMUNITIES CHRONIC DISEASE PREVENTION ACTION TEAM (COMMITTEE MEMBER)ISLAMIC SOCIETY OF NORTHERN WISCONSIN (BOARD MEMBER AND VOLUNTEER)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-EAU CLAIRE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY.

GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE THRIVE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN SERVES AS THE BASIS FOR MCHS IN BARRON'S (MCHS-BARRON) COMMUNITY HEALTH NEEDS ASSESSMENT. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE THRIVE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF BARRON COUNTY.PAPER AND ELECTRONIC SURVEYS WERE DISTRIBUTED TO LIBRARIES, HOSPITALS, CLINICS, THE FREE CLINIC, FOOD PANTRIES, SENIOR CENTERS, BARRON COUNTY JAIL, MEALS ON WHEELS, SPANISH COMMUNITY LEADERS AND THE INTERNATIONAL CENTER. A PRESS RELEASE WAS SENT TO AREA NEWSPAPERS ANNOUNCING THE INITIATIVE AND ASKING FOR COMMUNITY PARTICIPATION. IN ADDITION, IT WAS PROMOTED AT SEVERAL COMMUNITY EVENTS, INCLUDING BARRON COUNTY FAIR AND NATIONAL NIGHT OUT. THE SURVEY ALSO WAS FORWARDED TO PUBLIC HEALTH CONTACTS AT THE ST. CROIX TRIBAL HEALTH CLINIC IN HERTEL, WISCONSIN, TO REACH THE NATIVE AMERICAN POPULATION IN THE COUNTY. THE SURVEY WAS TRANSLATED INTO SPANISH AND SOMALI (PREVALENT POPULATIONS IN BARRON COUNTY) TO ENSURE THE OPINIONS OF THOSE POPULATIONS WERE INCLUDED. A TOTAL OF 838 PAPER AND ONLINE SURVEYS WERE COMPLETED. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE HELD WITH THE RICE LAKE AREA FREE CLINIC CLIENTS, PARTICIPANTS OF DRUG COURT, AND OLDER ADULTS/ADULTS WITH DISABILITIES. INTERVIEWS WERE ALSO CONDUCTED WITH SOMALI, SPANISH, FILIPINO, NATIVE AMERICAN, AMISH, AND MENTAL HEALTH AND EMERGENCY ROOM REPRESENTATIVES.THE COMMITTEE HOSTED A COMMUNITY PLANNING DAY ON SEPTEMBER 26, 2018, AND INVITED BUSINESS LEADERS, HEALTH EXPERTS AND THE GENERAL COMMUNITY TO REVIEW ASSESSMENT DATA REGARDING PRIORITIES FOR BARRON COUNTY. A TOTAL OF 102 COMMUNITY LEADERS, HEALTH EXPERTS AND COMMUNITY MEMBERS FROM BARRON COUNTY ATTENDED. TWO SESSIONS WERE OFFERED TO ACCOMMODATE SCHEDULES. IN ADDITION, INPUT FROM BARRON COUNTY PUBLIC HEALTH, BARRON COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES AND THE WISCONSIN DIVISION OF PUBLIC HEALTH WAS TAKEN INTO ACCOUNT.

GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6A:
CUMBERLAND HEALTHCAREMARSHFIELD MEDICAL CENTER - RICE LAKE

GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6B:
BARRON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES

GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN BARRON (MCHS-BARRON) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2021, MCHS-BARRON TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-BARRON: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BARRON AREA COMMUNITY CENTER - $680 (ANNUAL RENEWAL - PROGRAMMING)BARRON PUBLIC LIBRARY - $1,500 (PROGRAMMING)BARRON SENIOR CENTER (CITY OF BARRON) - $1,500 (PROGRAMMING)BENJAMIN'S HOUSE EMERGENCY SHELTER - $3,000 (PROGRAMMING)BOYS AND GIRLS CLUB OF BARRON COUNTY - $5,000 (PROGRAMMING)FORREST RUN FOUNDATION - $1,000 (SUPPORT FOR CANCER RESEARCH)NATIONAL ALLIANCE ON MENTAL ILLNESS BARRON COUNTY - $2,000 (PROGRAMMING)RICE LAKE PUBLIC LIBRARY - $1,500 (PROGRAMMING)UNITED WAY OF RICE LAKE - $1,000 (PROGRAMMING)WITC FOUNDATION - RICE LAKE $500 (PROGRAMMING)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:THE SALVATION ARMY OF BARRON COUNTY - $25,000 (PROGRAMMING)BENJAMIN'S HOUSE EMERGENCY SHELTER - $10,000 (PROGRAMMING)RIVER MIDDLE SCHOOL - $5,000 (POSITIVE BEHAVIOR REWARDS PROGRAMMING)CAMERON ELEMENTARY SCHOOL - $5,000 (BOOK VENDING MACHINE PROGRAMMING)CHETEK-WEYERHAEUSER AREA SCHOOL DISTRICT - $5,000 (SOCIAL/EMOTIONAL IMPROVEMENT)TURTLE LAKE MIDDLE AND HIGH SCHOOL - $3,000 (EVERYONE HAS A HOME)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.DISCOVER GRATITUDE - INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR IMPROVED MENTAL WELL-BEING. PROVIDED SUBJECT MATTER ON A VARIETY OF BLOG TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS. PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BARRON CHAMBER OF COMMERCE (BOARD OF DIRECTOR AND COMMITTEE MEMBER) CAREER PRESENTATIONS TO CAMERON HIGH SCHOOL (A TOTAL OF 10 PEOPLE ATTENDED)CHETEK AND DALLAS AMBULANCE SERVICE/EMS COMMUNITY RESPONSE TO POVERTY SUMMIT (COMMITTEE MEMBER) FREE CLINIC - LAB OVERSITE, COMPLIANCE AND ASSIST WITH POINT OF CARE (VOLUNTEER)KIWANIS (PRESENTATION ON COVID)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BARRON:PROVIDED MONETARY SUPPORT TO BARRON COUNTY RESTORATIVE JUSTICE PROGRAMS - $10,000 (BEHAVIOR INTERVENTION PROGRAMMING)PARTNERED WITH SCHOOL DISTRICT OF TURTLE LAKE - WELLNESS COMMITTEE (VOLUNTEER) TO PREVENT SUBSTANCE ABUSE.CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BARRON:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AMERICAN RED CROSS - $2,000 (HEROES BREAKFAST PROGRAMMING)BARRON CHAMBER OF COMMERCE - $1,000 (ANNUAL FALL FEST CELEBRATION CHILDREN'S GAMES)BARRON COUNTY DAIRY PROMOTERS, INC. - $400 (HANDWASHING STATIONS)BARRON COUNTY DEVELOPMENT SERVICES - $1,500 (SUSTAINABLE WATER SOURCE FOR COMMUNITY GARDEN)BEAVER CREEK RESERVE - $500 (PROGRAMMING)HUNT HILL - $1,200 (PROGRAMMING)PRAIRIE FARM LIONS CLUB - $600 (HANDWASHING STATIONS)VILLAGE OF RIDGELAND-RIDGELAND FAIR - $300 (HANDWASHING STATIONS)ALZHEIMER'S ASSOCIATION - $1,500 (WALK SPONSORSHIP)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:RUBY'S PANTRY - CAMERON - $10,000 (INCREASED FOOD SECURITY)TURTLE LAKE SCHOOL - $4,000 (BACKPACK PROGRAM AND FREE SWIM/GYM AND FREE SNACKS)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS - DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITYCOMMUNITY COMMUNICATION - COVID UPDATES AND OTHER HEALTH RELATED TOPICS (18 EMAILS SENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS - BOARD MEMBER AND ATTEND MEETINGS ON A REGULAR BASIS, HOST AND CHAMPION LOCAL BLOOD DRIVESBARRON COUNTY HEALTH DEPARTMENT - COUNTY HEALTH COALITION MEMBERHEALTHCARE EMERGENCY READINESS COALITION - MEMBER (COVID PREPAREDNESS, OTHER STATE DISCUSSIONS) SCHOOL DISTRICT OF TURTLE LAKE (COMMITTEE MEMBER OF WELLNESS COMMITTEE)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-BARRON BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY.

GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR MCHS IN OSSEO'S (MCHS-OSSEO) COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE.THE COMPASS NOW 2018 PROCESS USED A VARIETY OF DATA COLLECTION METHODS TO CREATE AN OVERALL DEPICTION OF THE ISSUES FACING OUR COMMUNITIES. THESE METHODS INCLUDED A RANDOM HOUSEHOLD SURVEY, CONVENIENCE SURVEY, COMMUNITY CONVERSATIONS AND AN EXTENSIVE REVIEW OF SOCIOECONOMIC INDICATORS, WHICH PROVIDED AN INVENTORY OF COMMUNITY RESOURCES.THE RANDOM HOUSEHOLD SURVEY WAS THE KEY DATA SOURCE AND WAS CREATED TO INCREASE UNDERSTANDING OF THE COMMUNITY'S NEEDS AND PERCEPTIONS OF THE MAIN CHALLENGES FACING THE REGION. RESULTS FROM THIS SURVEY WERE EXAMINED BY RESPONDENT CHARACTERISTICS, AS WELL AS COMPARED TO THE PREVIOUS SURVEY RESULTS. OF THE 5,450 HOUSEHOLDS THAT RECEIVED THE SURVEY, 672 WERE RETURNED AND THEIR RESPONSES ANALYZED. TREMPEALEAU COUNTY RECEIVED A 14.2% RESPONSE RATE, SO IT WAS DETERMINED THAT ADDITIONAL VOICES WERE NEEDED.IN ADDITION TO THE RANDOM HOUSEHOLD SURVEY, THE COMPASS NOW 2018 COMMUNITY NEEDS ASSESSMENT ALSO INCLUDED A CONVENIENCE SAMPLE THAT FOCUSED ON SPECIFIC SUBGROUPS IN THE GREAT RIVERS REGION. THE OBJECTIVE OF THIS SAMPLING WAS TO COLLECT FEEDBACK FROM POPULATIONS WITHIN THE COMMUNITY THAT WERE POTENTIALLY UNDERREPRESENTED IN THE SURVEY DUE TO THEIR SMALL NUMBERS. THESE SMALLER POPULATIONS INCLUDED, BUT WERE NOT LIMITED TO, AFRICAN-AMERICANS, HISPANICS, LGBT YOUTH, AT-RISK YOUTH, LOW-INCOME ADULTS AND SENIOR CITIZENS. RESULTS FROM THIS SAMPLING WERE COMPARED TO THE RESPONSES OF THE RANDOM HOUSEHOLD SURVEY RESPONDENTS IN AN ATTEMPT TO DETERMINE ANY SIGNIFICANT DIFFERENCES THAT EXISTED BETWEEN THE GENERAL POPULATION AND THOSE IN SMALLER SUBGROUPS WITHIN THE COMMUNITY. ANOTHER WAY COMMUNITY FEEDBACK WAS GATHERED WAS THROUGH COUNTY-BASED FOCUS GROUPS. THESE SMALL-GROUP GATHERINGS WERE A SAFE SPACE IN WHICH COMMUNITY MEMBERS COULD SHARE THEIR THOUGHTS AND EXPERIENCES ABOUT LIVING IN TREMPEALEAU COUNTY.IN ADDITION, PARTICIPATING ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE EXPERTISE WITH OTHER UNDERREPRESENTED POPULATIONS.THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.

GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6A:
MCHS-FRANCISCAN MEDICAL CENTER LA CROSSEMCHS-FRANCISCAN MEDICAL CENTER SPARTAGUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSTOMAH MEMORIAL HOSPITALGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSVERNON MEMORIAL HEALTHCARE

GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6B:
GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT

GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN OSSEO (MCHS-OSSEO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2021, MCHS-OSSEO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-OSSEO: PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:BIG BROTHERS BIG SISTERS OF NORTHWESTERN WISCONSIN - $1,000 (PROGRAMMING)HOPE 4 U - $200 (SUICIDE WALK)LUKE 3:11 PROJECT - $1,000 (WINTER CLOTHING, BLANKETS, TOILETRIES FOR LOW INCOME)THE HEARTBEAT CENTER FOR WRITING, LITERACY AND THE ARTS, INC. - $1,000 (MUSIC IN THE PARK)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:OSSEO-FAIRCHILD ELEMENTARY SCHOOL - $25,000 (AFTER SCHOOL PROGRAM)WESTERN DAIRYLAND EOC, INC. - $10,000 (HOMELESSNESS PROGRAMMING)ELEVA STRUM ELEMENTARY SCHOOL - $4,500 (HEALTHY MINDS AND BODIES)ANTHONY ACRES CHARTER SCHOOL - $3,000 (OUTDOOR CLASSROOM AND EDUCATION PROGRAM)OSSEO FAIRCHILD SCHOOL DISTRICT - $5,000 (FAMILY AND COMMUNITY MENTAL HEALTH AWARENESS EVENTS)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.DISCOVER GRATITUDE - INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR IMPROVED MENTAL WELL-BEING. PROVIDED SUBJECT MATTER ON A VARIETY OF BLOG TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS. SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-OSSEO:PROVIDED MONETARY SUPPORT TO MONDOVI HIGH SCHOOL - $2,500 (M-CORE PROGRAMMING FOR AT RISK YOUTH).CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-OSSEO:PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:AGING & DISABILITY RESOURCE CENTER - $2,000 (HOME MEALS, MEMORY CARE AND BOOK CLUB)AMERICAN CANCER SOCIETY - $1,000 (PROGRAMMING)BEAVER CREEK RESERVE - $500 (PROGRAMMING)GRANTED $12,558 TO BUFFALO COUNTY SHERIFF'S DEPARTMENT FOR AN AED IN SUPPORT OF THE RURAL COMMUNITY.PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS- DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY (11 CLASSES WERE HELD WITH AN AVERAGE OF 6 PEOPLE ATTENDING AT EACH SESSION). BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITY (6 CLASSES WERE HELD WITH AN AVERAGE OF 6 PEOPLE ATTENDING AT EACH SESSION). VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. COMMUNITY COMMUNICATION - COVID UPDATES AND OTHER HEALTH RELATED TOPICS. (18 EMAILS SENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS:AMERICAN RED CROSS (BOARD MEMBERS)AMERICAN CANCER SOCIETY (VOLUNTEER)AMERICAN HEART ASSOCIATION BIG BROTHER BIG SISTER (VOLUNTEER)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-OSSEO BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY.

GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE 2018 CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT SERVES AS THE BASIS FOR MCHS IN BLOOMER'S (MCHS-BLOOMER) COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WHICH WAS COMPLETED BY A LOCAL COALITION MADE UP OF LOCAL HEALTH CARE ORGANIZATIONS, CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, THE UNITED WAY OF THE GREATER CHIPPEWA VALLEY AND THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE 2018 CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF CHIPPEWA COUNTY.THE SURVEY WAS AVAILABLE ONLINE AND BY PAPER COPIES DISTRIBUTED WIDELY THROUGH THE COMMUNITY. SURVEY QUESTIONS FOCUSED ON 14 HEALTH AREAS, BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHIEST WISCONSIN 2020. THE HEALTH FOCUS AREAS ADDRESSED IN THE SURVEY WERE: ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, ENVIRONMENTAL AND OCCUPATIONAL HEALTH, HEALTHY GROWTH AND DEVELOPMENT, HEALTHY NUTRITION, INJURY AND VIOLENCE, MENTAL HEALTH, OBESITY, ORAL HEALTH, PHYSICAL ACTIVITY, REPRODUCTIVE AND SEXUAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AND EXPOSURE. SURVEY RESPONDENTS WERE ASKED TO RATE EACH OF THE HEALTH FOCUS AREAS ON A FOUR-POINT SCALE INDICATING HOW MUCH OF A PROBLEM THEY FELT EACH AREA TO BE FOR THE COMMUNITY (1=NOT A PROBLEM, 4=MAJOR PROBLEM) AND IDENTIFY REASONS THEY FELT THE AREA WAS A PROBLEM.A TOTAL OF 1,225 CHIPPEWA COUNTY RESIDENTS RESPONDED TO THE SURVEY. SURVEY RESPONDENTS REPRESENTED A WIDE RANGE OF COUNTY RESIDENTS, INCLUDING A VARIETY OF INCOME AND EDUCATIONAL LEVELS, AGE AND HOUSEHOLD SIZE. INPUT WAS COLLECTED FROM THE TRADITIONALLY UNDERSERVED COMMUNITY THROUGH COMMUNITY HEALTH SURVEYS DISTRIBUTED TO THE LOCAL SENIOR CENTER AND COMMUNITY MEAL SITE. SURVEYS WERE ALSO DISTRIBUTED TO AND RECEIVED FROM REPRESENTATIVES OF LOCAL COMMUNITY RESOURCE ORGANIZATIONS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ORGANIZATIONS THAT RECEIVED SURVEYS INCLUDE AREA SCHOOLS, RIVER SOURCE FAMILY CENTER, FAITH-BASED ORGANIZATIONS AND OTHERS. IN ADDITION, LISTENING SESSIONS WITH UNDERREPRESENTED GROUPS WERE HELD AT THE CHIPPEWA VALLEY CORRECTIONAL TREATMENT FACILITY AND AGNES' TABLE (CHIPPEWA FALLS) IN ORDER TO GATHER ADDITIONAL PRIMARY DATA ON PERCEIVED COMMUNITY HEALTH NEEDS AND ASSETS. OVERALL, 127 SURVEYS WERE COMPLETED THROUGH THE TARGETED OUTREACH SESSIONS.MCHS-BLOOMER STAFF WERE HEAVILY INVOLVED IN OUTREACH SESSIONS, COMMUNITY CONVERSATIONS AND A FINAL COALITION MEETING OBTAINING COMMUNITY FEEDBACK. THESE EVENTS WERE OPEN TO THE PUBLIC AND ATTENDED BY REPRESENTATIVES OF COMMUNITY RESOURCE ORGANIZATIONS. THESE OPPORTUNITIES INCLUDED TWO COMMUNITY CONVERSATIONS HELD IN THE CITIES OF CHIPPEWA FALLS AND CORNELL IN WHICH LOCAL HEALTH DATA AND RESULTS FROM THE SURVEY WERE SHARED. FOLLOWING FACILITATED DISCUSSION, PARTICIPANTS WERE ASKED TO PRIORITIZE THE TOP HEALTH CONCERNS OF THE COUNTY FROM THE 14 HEALTH AREAS UNDER CONSIDERATION.

GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6A:
HSHS ST. JOSEPH'S HOSPITAL

GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6B:
CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIPCHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTHMARSHFIELD CLINICUNITED WAY OF THE GREATER CHIPPEWA VALLEY

GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN BLOOMER (MCHS-BLOOMER) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2021, MCHS-BLOOMER TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-BLOOMER: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BIG BROTHERS BIG SISTERS OF NORTHWESTERN WISCONSIN - $1,000 (PROGRAMMING)D.R. MOON MEMORIAL LIBRARY/STANLEY PUBLIC LIBRARY - $4,000 (EXPAND PROGRAM)G.E. BLESKACEK FAMILY MEMORIAL LIBRARY - $1,500 (EDUCATION YOUTH ENRICHMENT)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:FAMILY SUPPORT CENTER/RIVER SOURCE FAMILY CENTER - $15,000 (EDUCATION YOUTH ENRICHMENT)L.E. PHILLIPS CAREER DEVELOPMENT CENTER - $10,000 (HOMELESSNESS)BLOOMER ELEMENTARY MIDDLE AND HIGH SCHOOLS - $5,000 (MENTAL HEALTH ACADEMY)CADOTT ELEMENTARY SCHOOL - $1,000 (ACCEPTANCE AND COMPOSURE)CARDINAL COMMUNITY LEARNING CENTER - $2,500 (PROGRAMMING)HILLCREST ELEMENTARY - $5,000 (PEACE PATH, SENSORY PATH FOR ACTIVITY)COLFAX SCHOOL DISTRICT - $3,500 (CONNECTING STUDENTS TO SUPPORT SYSTEMS)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.DISCOVER GRATITUDE - INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR IMPROVED MENTAL WELL-BEING.CHIPPEWA VALLEY FREE CLINIC - PROVIDED FUNDING AND RESOURCES TO SUPPORT THE OPERATION OF THE FREE CLINIC TO THE UNDERSERVED. PROVIDED SUBJECT MATTER BLOGS ON A VARIETY OF TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS. SERVED AS AN ACTIVE PARTNER IN THE MENTAL HEALTH MATTER COALITION WITH EFFORT AIMED AT INCREASING EDUCATION ABOUT ADVERSE CHILDHOOD EXPERIENCES IN THE COMMUNITY AND BUILDING RESILIENCE IN LOCAL SCHOOLS. SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BLOOMER:PROVIDED MONETARY SUPPORT TO CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $9,000 (FINANCIAL SUPPORT OF STRENGTHENING FAMILIES PROGRAM TO HELP FAMILIES DEAL WITH ISSUES LIKE SUBSTANCE ABUSE AND ALCOHOL MISUSE). PARTNERED WITH THE FOLLOWING ORGANIZATIONS:CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP - THROUGH THE VOICES IN PREVENTION ACTION TEAM, MCHS-BLOOMERCONTRIBUTED TO IMPROVE COPING MECHANISMS AMONG AREA YOUTH. ACTION TEAM EFFORTS INCLUDED OUTREACH TO AREA SCHOOLS ABOUT VAPING PREVENTION EDUCATION. SUBSTANCE-FREE PREGNANCY AND RECOVERY COALITION (COMMITTEE MEMBER).CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BLOOMER:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BEAVER CREEK RESERVE - $500 (PROGRAMMING)BLOOMER CHAMBER OF COMMERCE - $300 (BLOOMER ROPE JUMP)BLOOMER AREA AQUATIC AND RECREATION CENTER - $1,000 (SWIM WITH TIM PROGRAM)BLOOMER CHAMBER OF COMMERCE - $1,000 - (HANDWASHING STATIONS)CHIPPEWA FALLS YMCA - $3,000 - (STRONG KIDS MEMBERSHIP SPONSOR)UNITED WAY OF THE GREATER CHIPPEWA VALLEY - $1,000 (BORN LEARNING TRIALS)UNITED WAY OF THE GREATER CHIPPEWA VALLEY - $2,500 (PROGRAMMING)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $5,000 (JIM FALLS ELEMENTARY PLAYGROUND)CORNELL SCHOOL DISTRICT - $5,000 (TENNIS/PICKLEBALL, BADMINTON, VOLLEYBALL COURTS)LAKE HOLCOMBE SCHOOL DISTRICT - $5,000 (GREENHOUSE/HYDROPONIC MANAGEMENT)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS - DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITY COMMUNITY COMMUNICATION - COVID UPDATES AND OTHER HEALTH RELATED TOPICS (18 EMAILS SENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS:AMERICAN RED CROSS (BOARD MEMBERS)BLOOMER CHAMBER OF COMMERCE (BOARD MEMBER)CHIPPEWA VALLEY FREE CLINIC (VOLUNTEER)UNITED WAY OF THE GREATER CHIPPEWA VALLEY (VOLUNTEER AND REPRESENTATIVES ON THE BOARD)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-BLOOMER BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY.

PART V, SECTION B
FACILITY REPORTING GROUP B

FACILITY REPORTING GROUP B CONSISTS OF:
- FACILITY 7: MCHS IN ALBERT LEA AND AUSTIN, - FACILITY 14: MCHS IN MENOMONIE

GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE 2019 DUNN COUNTY CHNA SERVES AS THE BASIS FOR THE MCHS-MENOMONIE COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2019 DUNN COUNTY CHNA WAS CONDUCTED BY THE DUNN COUNTY CHNA STEERING COMMITTEE. THE COMMITTEE IS A COLLABORATIVE MADE UP OF NINE COMMUNITY ORGANIZATIONS FROM DUNN COUNTY: ARBOR PLACE, COMMUNITY FOUNDATION OF DUNN COUNTY, DUNN COUNTY HEALTH DEPARTMENT, EXTENSION-DUNN COUNTY, MCHS IN MENOMONIE (MCHS-MENOMONIE), MARSHFIELD CLINIC-DENTAL CLINIC, PREVEA HEALTH, UNITED WAY OF DUNN COUNTY AND UW-STOUT.THE CHNA PROCESS INCLUDED A VARIETY OF COMMUNITY ENGAGEMENT METHODS IN ORDER TO CONNECT WITH SEVERAL DIFFERENT DEMOGRAPHIC GROUPS IN THE COMMUNITY AND TO DEVELOP A THOROUGH UNDERSTANDING OF HEALTH ISSUES FACING THE DUNN COUNTY RESIDENTS. THESE METHODS INCLUDED PRIMARY QUALITATIVE DATA COLLECTION THROUGH AN ONLINE AND HARDCOPY COMMUNITY HEALTH SURVEY, SURVEY OUTREACH WITH UNDERREPRESENTED DEMOGRAPHICS GROUPS, AND STAKEHOLDER CONVERSATIONS WITH UNDERREPRESENTED GROUPS TO VALIDATE RESPONSES.AT THE OUTSET OF THE COMMUNITY HEALTH ASSESSMENT PROCESS, STEERING COMMITTEE PARTNERS CONDUCTED LISTENING SESSIONS WITH THE LOCAL AGRICULTURAL COMMUNITY. THIS PROCESS INFORMED THE NEED TO INCLUDE NEW QUESTIONS AROUND SOCIAL HEALTH FACTORS INCLUDING FAMILY HEALTH, SOCIAL ISOLATION/SUPPORT. IT ALSO AFFIRMED THE NEED TO INCLUDE QUESTIONS REGARDING ACCESS TO CLINICAL MENTAL AND PHYSICAL HEALTH CARE AND HEALTH BEHAVIORS AROUND ALCOHOL AND OTHER DRUGS. THE COMMUNITY HEALTH SURVEY WAS DISTRIBUTED TO RESIDENTS THROUGHOUT DUNN COUNTY IN MARCH AND APRIL OF 2019. THE LINK TO THE WEB SURVEY WAS WIDELY DISTRIBUTED THROUGH THE NETWORKS OF EACH OF THE PARTNER ORGANIZATIONS, AS WELL AS OTHER COMMUNITY ORGANIZATIONS. COMMUNITY ORGANIZATIONS INCLUDED: AGING AND DISABILITY RESOURCE CENTER-SENIOR NUTRITION SITES, LOCAL CHURCHES AND FOOD PANTRIES, EXTENSION-DUNN COUNTY, EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION, THE BRIDGE TO HOPE, THE DUNN COUNTY JAIL, THE DUNN COUNTY CRIMINAL JUSTICE COLLABORATING COUNCIL, EL CENTRO, TOWN/VILLAGE CLERKS AND OTHERS. THE SURVEY LAUNCH WAS ANNOUNCED BY A PRESS RELEASE AND WAS WIDELY ADVERTISED IN LOCAL NEWSPAPERS, SOCIAL MEDIA, AND FLYERS THROUGHOUT THE COUNTY. SPECIAL EFFORT WAS MADE TO ENSURE THE SURVEY WAS AVAILABLE TO UNDERREPRESENTED GROUPS WHO CAN BE AT THE HIGHEST RISK OF SUFFERING FROM HEALTH DISPARITIES. HARDCOPY AND LARGE PRINT SURVEYS WERE ALSO MADE AVAILABLE THROUGHOUT THE COUNTY. COMMITTEE MEMBERS COMPLETED A MAPPING EXERCISE TO MAKE SURE THE SURVEY WAS DISTRIBUTED TO A BROAD LIST OF COMMUNITY MEMBERS. A TOTAL OF 978 DUNN COUNTY RESIDENTS COMPLETED THE SURVEY.IN ADDITION, QUANTITATIVE COMMUNITY HEALTH DATA WAS COLLECTED BASED ON THE MEASURES RECOMMENDED IN THE WISCONSIN ASSOCIATION OF LOCAL HEALTH DEPARTMENTS & BOARDS CORE DATASET AND THE STATE HEALTH PLAN. SOURCES INCLUDED: COUNTY HEALTH RANKINGS, US CENSUS, GOVERNMENT REPORTS, CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY DEPARTMENT REPORTS, WISCONSIN DEPARTMENT OF HEALTH SERVICES STATISTICS, SCHOOLS, AND OTHER PUBLICLY AVAILABLE SOURCES.

GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 6B:
ARBOR PLACECOMMUNITY FOUNDATION OF DUNN COUNTYDUNN COUNTY HEALTH DEPARTMENTEXTENSION-DUNN COUNTYMARSHFIELD CLINIC-DENTAL CLINICPREVEA HEALTHUNITED WAY OF DUNN COUNTYUNIVERSITY OF WISCONSIN-STOUT

GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 11:
"BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN MENOMONIE (MCHS-MENOMONIE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2021, MCHS-MENOMONIE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-MENOMONIE: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AGING & DISABILITY RESOURCE CENTER OF DUNN COUNTY - $2,000 (PROGRAMMING)BIG BROTHERS BIG SISTERS OF NORTHWESTERN WISCONSIN - $1,000 (PROGRAM)COMMUNITY FOUNDATION OF DUNN COUNTY - $5,000 (PROGRAMMING)DUNN COUNTY CHAPTER OF SLEEP IN HEAVENLY PEACE - $2,500 (PROGRAMMING)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:MENOMONIE MIDDLE SCHOOL - $5,000 (MENTOR PARTNERSHIP)STEPPING STONES OF DUNN COUNTY - $10,000 (SHELTER PROGRAM)CENTER FOR INDEPENDENT LIVING WESTERN WISCONSIN - $15,000 (VOLUNTEER DRIVER PROGRAM)GLENWOOD CITY PUBLIC LIBRARY - $10,000 (ACCESS TO TELEHEALTH)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.DISCOVER GRATITUDE - INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR IMPROVED MENTAL WELL-BEING. PROVIDED SUBJECT MATTER ON A VARIETY OF BLOG TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS. REACH OUT AND READ - CHILDHOOD LITERACY PROGRAM PARTNERED WITH THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB (COMMITTEE MEMBER)COLFAX SCHOOL BOARD (BOARD MEMBER)COMMUNITY FOUNDATION OF DUNN COUNTY (BOARD MEMBER AND COMMITTEE MEMBER)DUNN COUNTY COALITION FOR MENTAL HEALTH SERVICES (COMMITTEE MEMBER)INDIANHEAD ENTERPRISES (BOARD MEMBER)MENOMONIE CHAMBER OF COMMERCE - FACILITATION OF HEALTH AND HUMAN SERVICE DAY (VOLUNTEER)UNITED WAY OF DUNN COUNTY (BOARD MEMBER)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MENOMONIE:PROVIDED MONETARY SUPPORT TO THE MENOMONIE POLICE DEPARTMENT - $200 FOR NATIONAL NIGHT OUT.PROVIDED GRANT SUPPORT TO THE MENOMONIE POLICE DEPARTMENT - $20,000 FOR PROJECT HOPE WHICH WORKS WITH YOUTH.PARTNERED WITH THE FOLLOWING ORGANIZATIONS:DUNN COUNTY PARTNERSHIP FOR YOUTH (COMMITTEE MEMBER)DUNN COUNTY COVID COMMUNITY RECOVERY ACTION TEAM (COMMITTEE MEMBERS) HEALTH DUNN RIGHT ""ALCOHOL, NICOTINE AND DRUGS ACTION TEAM"" (COMMITTEE MEMBER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MENOMONIE:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BEAVER CREEK RESERVE - $500 (PROGRAMMING)BOYCEVILLE/VILLAGE OF BOYCEVILLE - $250 (HANDWASHING STATIONS)DUNN COUNTY FAIR - $960 (HANDWASHING)MENOMONIE AREA SENIOR CENTER - $2,000 (PROGRAMMING)MENOMONIE PUBLIC LIBRARY - $5,000 (PROGRAMMING)ST. CROIX COUNTY FAIR, INC. - $1,000 (HANDWASHING STATIONS)STEPPING STONES OF DUNN COUNTY - $3,000 (GARDEN TOUR)STOUT UNIVERSITY FOUNDATION - $1,000 (HELPING HAND FOOD PANTRY)TOWN OF SAND CREEK - $2,000 (RIVERSIDE PARK PLAYGROUND PROJECT)MENOMONIE LIONS CLUB - $500 (MAINTAINING PARK AND NATURE TRAILS)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:SPRING VALLEY AREA FIRE DEPARTMENT - $6,692 (AED'S)STEPPING STONES - $10,000 (FARMERS FEED PROGRAM)BOYCEVILLE MIDDLE SCHOOL - $1,000 (BOYCEVILLE COMMUNITY NIGHT - SCREENAGERS NEXT CHAPTER)TIFFANY CREEK ELEMENTARY - $1,000 (WELLNESS WALK IMPROVEMENTS)TIFFANY CREEK ELEMENTARY - $1,000 (WEDNESDAY WELLNESS WALKING PROGRAM)ELK MOUND SCHOOL DISTRICT - $5,000 (SENSORY PATH AND CHILL ZONE)ELMWOOD ELEMENTARY SCHOOL - $5,000 (ELEMENTARY PLAYGROUND)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS - DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITY COMMUNITY COMMUNICATION - COVID UPDATES (18 EMAILS SENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS:AMERICAN HEART ASSOCIATION (TEACHING OF PALS) ELMWOOD SCHOOL DISTRICT (MEDICAL DIRECTOR)ELMWOOD SCHOOLS ELEMENTARY, MIDDLE, AND HIGH (MEDICAL DIRECTOR OF ELMWOOD SCHOOL DISTRICT, PLUM CITY DISTRICT) HEALTH DUNN RIGHT (COMMITTEE MEMBER)MENOMONIE FREE CLINIC (BOARD MEMBER AND VOLUNTEERS)MENOMONIE SENIOR CENTER (BOARD MEMBER)UW - STOUT (CAREER PRESENTATION TO HEALTH, WELLNESS AND FITNESS COURSES)FRIENDS OF MENOMONIE RECREATION, INC. (CANOE/KAYAK LAUNCH PROJECT)STEPPING STONES OF DUNN COUNTY - (KEY SUPPORTER, BOARD MEMBER AND VOLUNTEER). THIS PROGRAM HELPS WITH ACCESS TO HEALTHY, AFFORDABLE FOOD WHICH CONTRIBUTES TO OBESITY AND CHRONIC DISEASE. PROVIDES ACCESS TO NUTRITIOUS FOOD FOR LOW-INCOME RESIDENTS.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-MENOMONIE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY."

GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 5:
COMMUNITY INPUT:FREEBORN COUNTY: MAY 2018-AUGUST 2018 MEETINGS WITH COMMUNITY HEALTH CARE COLLABORATIVE, A DIVERSE GROUP OF COMMUNITY LEADERS REPRESENTING NUMEROUS SECTORS IN THE COMMUNITY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF FREEBORN COUNTY.FOCUS GROUPS WITH COMMUNITY HEALTH CARE COLLABORATIVE GROUP, SUBGROUPS OF THE COMMUNITY HEALTH CARE COLLABORATIVE INCLUDING SENIOR, FAMILIES AND CHILDREN, MENTAL HEALTH COMMITTEES AND FREEBORN COUNTY WORKSITE WELLNESS COMMITTEE.1:1 INTERVIEWS WITH KEY COMMUNITY INFORMANTS REPRESENTING A DIVERSE SOCIAL SPECTRUM, INCLUDING FREEBORN COUNTY PUBLIC HEALTH, CHIEF OF POLICE, FREEBORN COUNTY SHERIFF, ALBERT LEA AREA SCHOOLS, CHAMBER OF COMMERCE, UNITED WAY, SENIOR RESOURCES, ALBERT LEA FAMILY YMCA, PARKS AND RECREATION, ALBERT LEA FIRE, BLUE ZONES VITALITY PROJECT, ALBERT LEA CHILDREN'S CENTER AND AMBULANCE SERVICES.TWO COMMUNITY LISTENING SESSIONS OPEN TO COMMUNITY MEMBERS AND AGENCIES.SURVEYS WITH COMMUNITY MEMBERS VISITING THE FREEBORN COUNTY HEALTH OFFICE, MAYO CLINIC HEALTH SYSTEM LANGUAGE SERVICES DEPARTMENT AND ALBERT LEA SCHOOL DISTRICT'S ADULT BASIC EDUCATION STUDENTS. MOWER COUNTY: MAY 2018-AUGUST 2018 MEETINGS WITH MOWER REFRESHED STEERING COMMITTEE, A DIVERSE GROUP OF COMMUNITY LEADERS REPRESENTING NUMEROUS SECTORS IN THE COMMUNITY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF MOWER COUNTY.FOCUS GROUPS WITH LOCAL COMMUNITY COLLEGE STUDENTS, SOUTHERN MINNESOTA EDUCATION CONSORTIUM SCHOOL SOCIAL WORKERS, AND MOWER COUNTY PUBLIC HEALTH NURSES.ENGLISH AS A SECOND LANGUAGE ADULT LEARNERS1:1 INTERVIEWS WITH KEY COMMUNITY INFORMANTS REPRESENTING A DIVERSE SOCIAL SPECTRUM, INCLUDING MOWER COUNTY SENIOR CENTER, ST. MARK'S LUTHERAN HOME, CHIEF OF POLICE, MOWER COUNTY SHERIFF, UNITED WAY, CITY OF AUSTIN PORT AUTHORITY, AUSTIN YMCA, FAITH COMMUNITIES, MOWER COUNTY HHS, AFRICAN-ASIAN REFUGEE SERVICES, WELCOME CENTER, AMBULANCE SERVICE.SURVEYS SENT THROUGHOUT THE COUNTY.SURVEYS WITH COMMUNITY MEMBERS VISITING THE COUNTY HEALTH AND HUMAN SERVICES OFFICE.

GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 6B:
FREEBORN COUNTY PUBLIC HEALTHMOWER COUNTY PUBLIC HEALTH

GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN ALBERT LEA AND AUSTIN (MCHS-AL/AUS) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT WITHIN THEIR COMMUNITY WHICH INCLUDES FREEBORN AND MOWER COUNTIES:ACCESS TO CAREMENTAL WELL-BEINGCHRONIC DISEASE PREVENTIONIN 2021, MCHS-AL/AUS TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO REDUCE COMMUNITY-IDENTIFIED BARRIERS TO ACCESSING HEALTH CARE FOR ALL POPULATIONS, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS:FIND HELP COMMUNICATION - HOSTED VIRTUAL INFORMATIONAL SESSIONS FOR COMMUNITY ORGANIZATIONS ON HOW TO CLAIM THEIR SOCIAL SERVICE PROFILE WITHIN THE FIND HELP PLATFORM AND OUTLINED HOW FIND HELP WILL BE USED TO FACILITATE THE HANDOFF OF THE PATIENT TO COMMUNITY RESOURCES. INFLUENZA COMMUNICATION - COMMUNICATED INFORMATION TO A VARIETY OF COMMUNITY GROUPS ON INFLUENZA SYMPTOMS, THE IMPORTANCE OF THE VACCINE AND HOW TO OBTAIN A VACCINATION. COVID-19 COMMUNICATION - COMMUNICATED INFORMATION TO COMMUNITY ON COVID-19 SYMPTOMS, SAFETY PRECAUTIONS, INFECTION RATE UPDATES, THE IMPORTANCE OF TESTING AND VACCINATION AND THE ROLE OF THE COMMUNITY IN HELPING STOP THE SPREAD. COMMUNITY OUTREACH WITH UNDERSERVED POPULATIONS - COORDINATED REGULAR MEETINGS WITH COMMUNITY LEADERS REPRESENTING THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY.COVID-19 PRESENTATIONS - SCHEDULED MAYO CLINIC LEADERS TO PRESENT AND ANSWER FREQUENTLY ASKED QUESTIONS ON COVID-19 FROM COMMUNITY MEMBERS AT LOCAL SERVICE ORGANIZATIONS. MOWER COUNTY EMERGENCY OPERATIONS COMMITTEE - MET WITH REPRESENTATIVES FROM MOWER COUNTY AND THE CITY OF AUSTIN TO REVIEW AND ASSESS COVID-19 SITUATION, DISCUSS ANY EMERGENCY RESOURCES NEEDED AND BRIEF OFFICIALS ON HOSPITAL/CLINIC STATUS.MOWER COUNTY BROADBAND COALITION - SERVED ON THE INITIAL STEERING COMMITTEE TO APPLY FOR AND RECEIVE GRANT FUNDING TO SUPPORT LOCAL BROADBAND - A KEY RESOURCE NEEDED TO IMPLEMENT VIRTUAL CARE VISITS.MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HIGHLIGHTED SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. WOMEN & WELL-BEING WEBINAR - DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PERSONALLY SPEAKING PROGRAM THEME WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE TO EDUCATE WOMEN ON THE IMPORTANCE OF PREVENTIVE CARE IN A COVID-19 ENVIRONMENT AND THE STRENGTH OF RESILIENCY WHEN FACED WITH A MEDICAL DIAGNOSIS. DISCOVER GRATITUDE - INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING. CANCER WEBINAR - OFFERED FREE EDUCATION FOR CANCER PATIENTS AND CAREGIVERS ON HOW DIET AND HUMOR CAN AFFECT THE CANCER JOURNEY. HOMETOWN HEALTH BLOGS - PRODUCED SUBJECT MATTER EDUCATION ON A VARIETY OF TOPICS FOCUSING ON COMMUNITY HEALTH PRIORITIES AND COVID. BLOGS PROVIDE COMMUNITY MEMBERS EDUCATIONAL ACCESS THROUGH WEB AND NEWSLETTERS. COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS PRIORITY AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. COMMUNITY RESILIENCY COMMITTEE - SERVED WITH A COLLABORATIVE GROUP OF LOCAL LEADERS TO ADDRESS THE MENTAL WELL-BEING OF THE COMMUNITY. THE GROUP IS CHARGED WITH ENSURING MENTAL HEALTH NEEDS AND SERVICES ARE AVAILABLE AND DELIVERED TO AREA RESIDENTS.COMMUNITY HEALTH CARE COLLABORATIVE - ATTENDED MONTHLY MEETINGS OF COMMUNITY STAKEHOLDERS REPRESENTING LOCAL AGENCIES. THE COMMUNITY PARTNERS COLLABORATE TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. SENIOR HEALTH CARE COLLABORATIVE WORKGROUP - WORKED WITH A SUBGROUP OF THE COMMUNITY HEALTH CARE COLLABORATIVE TO DISCUSS AREA SENIOR NEEDS. AREA ORGANIZATIONS COLLABORATE FOR THE PURPOSE OF MAKING RESOURCES AVAILABLE TO AID IN IMPROVING PHYSICAL AND MENTAL WELL-BEING, AND SAFETY OF AREA SENIORS. MOWER REFRESHED HEALTH EQUITY MEETINGS - HOSTED BI-MONTHLY MEETINGS WITH KEY COMMUNITY LEADERS UNIQUELY POSITIONED WITH MULTICULTURAL AUDIENCES IN MOWER COUNTY AND WHO REPRESENT THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY. MEETINGS WOULD FREQUENTLY FEATURE A MAYO PROVIDER TO GIVE INSIGHT BACK TO ATTENDEES.COUNCIL OF SOCIAL SERVICE AGENCIES MEETINGS - ATTENDED MONTHLY MEETINGS OF COMMUNITY LEADERS REPRESENTING LOCAL AGENCIES TO SHARE PROGRAMMING AND IDENTIFY GAPS IN REACHING DIVERSE AUDIENCES WITH MENTAL HEALTH, ACCESS TO CARE, AND MENTAL WELL-BEING RESOURCES.MENTAL WELL-BEING SPEAKER - PROVIDED A MAYO CLINIC MENTAL HEALTH SUBJECT MATTER EXPERT TO DELIVER A VIRTUAL TALK/TRAINING FOR SMART TRANSPORTATION EMPLOYEES. MOWER REFRESHED E-NEWSLETTER - DELIVERED AN ELECTRONIC NEWSLETTER TO A MOWER COUNTY DISTRIBUTION LIST THAT ADDRESSED COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITY AREAS. REACH OUT AND READ - COORDINATED WITH PRIMARY CARE AND THE LOCAL ROTARY CLUB TO FACILITATE THE DONATION OF BOOKS WHICH ARE GIVEN AWAY TO PEDIATRIC PATIENTS AT THE CLINIC.CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY LIVING TO PROMOTE DISEASE PREVENTION, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS:CHRONIC DISEASE WEBINARS - DISTRIBUTED A SERIES OF WEBINARS FEATURING SUBJECT MATTER EXPERTS THAT WERE DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. HOMETOWN HEALTH BLOGS- PRODUCED SUBJECT MATTER EDUCATION ON A VARIETY OF TOPICS FOCUSING ON COMMUNITY HEALTH PRIORITIES AND COVID. BLOGS PROVIDE COMMUNITY MEMBERS EDUCATIONAL ACCESS THROUGH WEB AND NEWSLETTERS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. BLUE ZONES/SHIP LEADERSHIP TEAM - ENGAGED IN A COMMUNITY WELL-BEING IMPROVEMENT INITIATIVE GROUP TO ENSURE THERE ARE HEALTHY CHOICES FOR EVERYONE IN THE COMMUNITY. THE FOCUS IS TO IMPROVE WELL-BEING FOR THEMSELVES AND THEIR NEIGHBORS. TOGETHER, THEY WORK ON LOWERING RATES OF OBESITY, SMOKING AND CHRONIC DISEASES TO CREATE A HEALTHIER, HAPPIER PLACE TO LIVE, WORK, AND PLAY. FREEBORN COUNTY FAIR - EDUCATED THE COMMUNITY WITH HEALTHY LIFESTYLE SUGGESTIONS TO PREVENT CHRONIC DISEASE. MATERIALS FOR MY ROAD TO BETTER HEALTH CONTAINED SIX CATEGORIES - MOVE, EAT WELL, SLEEP, MAINTAIN, RELAX, AND DISCOVER. WORKSITE WELLNESS - WORKED WITH THIS COMMUNITY COMMITTEE TO IDENTIFY SOLUTIONS FOR WORKSITES TO INSPIRE EMPLOYEES. THE COLLABORATIVE SHARES KNOWLEDGE TO BE HEALTHIER, HAPPIER, AND MORE PRODUCTIVE BY PROVIDING A BI-MONTHLY NEWSLETTER INCLUDING MENTAL WELL-BEING INITIATIVE, HEALTH INFORMATION, EDUCATIONAL PROGRAMS, EVENTS, AND OTHER RESOURCES.MOWER REFRESHED HEALTH EQUITY MEETINGS - HOSTED BI-MONTHLY MEETINGS WITH KEY COMMUNITY LEADERS UNIQUELY POSITIONED WITH MULTICULTURAL AUDIENCES IN MOWER COUNTY AND WHO REPRESENT THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY. MEETING FREQUENTLY FEATURES A MAYO CLINIC HEALTH SYSTEM PROVIDER TO GIVE INSIGHT BACK TO ATTENDEES. EARLY LEARNING NATION - PROVIDED HEALTH CARE REPRESENTATION ON THIS COLLABORATION WITH AUSTIN ASPIRES, UNITED WAY OF MOWER COUNTY, AUSTIN PUBLIC SCHOOLS AND MOWER COUNTY PUBLIC HEALTH. THE PROGRAM EMPHASIZES BUILDING A COLLECTIVE NETWORK OF RESOURCES FOR EARLY CHILDHOOD GROWTH. HEALTH CARE INPUT INCLUDED INFORMATION ON PRENATAL CARE, IMMUNIZATIONS, WELL-BABY/WELL-CHILD, AND CHILDHOOD DEVELOPMENT. AUSTIN POSITIVE ACTION COALITION - ATTEND MONTHLY MEETINGS FOR THIS COMMUNITY COALITION THAT WORKS TO REDUCE ALCOHOL, TOBACCO, AND OTHER DRUG USE AMONG TEENS.MOWER REFRESHED STEERING COMMITTEE - HOSTED BI-MONTHLY MEETINGS WITH APPROXIMATELY 25 KEY COMMUNITY LEADERS WHO HAVE A SPECIFIC INTEREST IN THE HEALTH AND WELL-BEING OF MOWER COUNTY RESIDENTS AND TO MONITOR CHNA PROGRESS AND OFFER INSIGHT ON IMPLEMENTATION.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED SOCIO-ECONOMIC FACTORS AND PREVENTION. THESE NEEDS WILL BE ADDRESSED BY MCHS-AL/AUS IN A SUPPORTING ROLE AND/OR BY OTHER AGENCIES, ORGANIZATIONS AND PROGRAMS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.

PART V, SECTION B
FACILITY REPORTING GROUP D

FACILITY REPORTING GROUP D CONSISTS OF:
- FACILITY 2: MCHS IN LA CROSSE, - FACILITY 15: MCHS IN SPARTA

GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN LA CROSSE (MCHS-LA CROSSE). THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE. THE KEY DATA SOURCE WAS THE RANDOM HOUSEHOLD SURVEY (RHS). THE RANDOM HOUSEHOLD SURVEY WAS MAILED TO A RANDOM SELECTION OF 5,450 HOUSEHOLDS THROUGHOUT THE REGION IN JULY AND AUGUST OF 2016. AFTER REVIEWING THE DEMOGRAPHICS OF THE RANDOM HOUSEHOLD SURVEY, THE STEERING COMMITTEE DETERMINED WHOSE VOICES WERE MISSING. A PLAN WAS DEVELOPED TO CONDUCT A CONVENIENCE SURVEY (CS) TO CAPTURE THE OPINIONS OF THE GROUPS OF PEOPLE WHO DID NOT RESPOND TO THE RANDOM HOUSEHOLD SURVEY TO ENSURE THAT THEIR VOICE WAS HEARD. THE CONVENIENCE SURVEYS WERE GIVEN TO PEOPLE THAT WERE EASY TO REACH. DUE TO THIS DIFFERENCE, THE CS DATA IS SEPARATE FROM THE RHS RESULTS. STEERING COMMITTEE MEMBERS AND OTHER COMMUNITY PARTNERS COLLECTED RESPONSES TO THE CONVENIENCE SURVEY. THE DATA WORKGROUP OVERSAW THE ANALYSIS OF THE DATA AND REVIEWED THE RESULTS.AS PART OF THE COMPASS NOW 2018 PROCESS, ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDERREPRESENTED. LOCAL ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDERREPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, CHILDREN-YOUTH-FAMILIES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE-SEXUAL VIOLENCE-TRAFFICKING, AND THE LGBTQ COMMUNITY.TO ADD TO THE SURVEY DATA, THE DATA WORKGROUP WAS TASKED WITH COLLECTING EXISTING DATA FROM FEDERAL, STATE, AND LOCAL SOURCES. THIS DATA INCLUDED INFORMATION ABOUT DEMOGRAPHICS, HEALTH, SOCIAL FACTORS, ECONOMIC FACTORS, AND MANY OTHER TOPICS. BECAUSE NUMBERS-BASED DATA ONLY TELLS PART OF A STORY, THE NEEDS ASSESSMENT PROCESS ALSO INCLUDED HOLDING COUNTY-BASED FOCUS GROUPS. FOCUS GROUPS ARE USUALLY SMALL GROUPS OF PEOPLE WHOSE OPINIONS ARE GATHERED THROUGH A GUIDED DISCUSSION. FOCUS GROUPS WERE HELD IN ALL SIX COUNTIES AND WITH GENERAL COMMUNITY MEMBERS, STUDENTS, FAMILY ADVISORY COUNCILS, LATINO COMMUNITY MEMBERS, SERVICE PROVIDERS, AND HMONG COMMUNITY MEMBERS. DATA FROM ALL THE SOURCES DISCUSSED ABOVE IS USED THROUGHOUT THIS REPORT. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.

GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6A:
MCHS-FRANCISCAN MEDICAL CENTER SPARTAGUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSTOMAH MEMORIAL HOSPITALGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSVERNON MEMORIAL HEALTHCARE

GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6B:
GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT

GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 11:
"BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN LA CROSSE (MCHS-LA CROSSE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:INCREASED ACCESS TO MENTAL HEALTH CAREREDUCED DRUG & ALCOHOL USE & MISUSEINCREASED WELL-BEING OF CHILDREN & YOUTHIN 2021, MCHS-LA CROSSE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:INCREASED ACCESS TO MENTAL HEALTH CARE: TO REDUCE BARRIERS TO SEEKING MENTAL HEALTH CARE AND INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL ILLNESS, MCHS-LA CROSSE: SHARED MENTAL HEALTH EXPERTISE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOG, SOCIAL MEDIA POSTS, MAYOCLINIC.COM, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.OFFERED FOUR ONE-HOUR PRESENTATIONS AT NO COST TO HELP AREA PARENTS, TEACHERS AND SENIORS WITH A RANGE OF TOPICS, INCLUDING: POSITIVE PARENTING SKILLS, PARENTING KIDS WITH ADHD AND DISRUPTIVE BEHAVIORS, JOYFUL LIVING, AND REVITALIZING RESILIENCE. PRESENTERS INCLUDED A CHILD AND ADOLESCENT CLINICAL THERAPIST, CHILD AND ADOLESCENT PSYCHOLOGIST, ADULT PSYCHOLOGIST, AND PEDIATRICIAN.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, HOSPITAL REPRESENTATIVES WERE ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH CARE NEEDS. EXAMPLES INCLUDE LA CROSSE COUNTY PREVENTION NETWORK, ALLIANCE TO HEAL, LA CROSSE AREA SUICIDE PREVENTION INITIATIVE, LA CROSSE MENTAL HEALTH COALITION, THE CAMPAIGN TO CHANGE DIRECTION, GREAT RIVERS HUB AND THE BETTER TOGETHER COLLABORATIVE.PROVIDED FINANCIAL SUPPORT FOR COMMUNITY PROGRAMS SEEKING TO RAISE AWARENESS OF MENTAL ILLNESS AND EXPAND ACCESS TO MENTAL HEALTH CARE, INCLUDING: SUICIDE PREVENTION, SUMMIT SALVATION ARMY PSYCHIATRIC SERVICES, COULEECAP SOAR PROGRAM, LA CROSSE MENTAL HEALTH COALITION COMMUNITY CONVERSATION, YMCA COMMUNITY OF CARE MOBILE APP, LA CROSSE COMMUNITY THEATER NEXT TO NORMAL PRODUCTION, MINI DONUT SUICIDE AWARENESS HALF MARATHON, NAMI, SCHOOL DISTRICT OF HOLMEN MENTAL HEALTH EVALUATIONS AND THERAPIST SESSIONS, AND THE SCHOOL DISTRICT OF LA CROSSE MENTAL HEALTH SERVICES.SUPPLIED OFFICE SPACE ON THE HOSPITAL'S CAMPUS AT NO COST FOR TWO LA CROSSE COUNTY SOCIAL WORKERS SERVING THE RESIDENTS IN THE WASHBURN AND POWELL-POAGE-HAMILTON NEIGHBORHOODS. THE HOSPITAL CONTINUED TO PROVIDE FULL-TIME BEHAVIORAL HEALTH SPECIALISTS FOR THE MATHY CENTER AND ERICKSON BOYS & GIRLS CLUBS. THE HOSPITAL EMPLOYS BOTH SPECIALISTS AND ABSORBS WAGES AND BENEFITS FOR ONE.CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. FREQUENT EMERGENCY DEPARTMENT USERS, INCLUDING MANY WITH CHRONIC MENTAL HEALTH CONCERNS, WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2021. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.FURNISHED 70 ""SUNSHINE KITS"" TO INDIVIDUALS WHO USE MOBILE MEALS SERVICES. THE KITS INCLUDED MENTAL HEALTH RESOURCE BROCHURES AND WELLNESS ACTIVITIES.BESTOWED APPROXIMATELY $100,000 IN CHARITY CARE FOR PATIENTS NEEDING OUTPATIENT MENTAL HEALTH CARE SERVICES.REDUCED DRUG & ALCOHOL USE & MISUSE: TO INCREASE COMMUNITY RESOURCES FOR PREVENTION OF DRUG & ALCOHOL MISUSE AND TO ASSIST INDIVIDUALS AND FAMILIES AFFECTED BY DRUG AND ALCOHOL ADDICTION, MCHS-LA CROSSE: SHARED SUBSTANCE ABUSE EXPERTISE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOG, SOCIAL MEDIA POSTS, MAYOCLINIC.COM, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, HOSPITAL REPRESENTATIVES ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING DRUG AND ALCOHOL USE/MISUSE. EXAMPLES INCLUDE COULEE RECOVERY CENTER BOARD OF DIRECTORS, LA CROSSE COUNTY PREVENTION NETWORK, GREAT RIVERS HUB COMMITTEES AND THE ALLIANCE TO HEAL COMMITTEES. PROVIDED FINANCIAL SUPPORT FOR THE FOLLOWING PROGRAMS AND ORGANIZATIONS SEEKING TO REDUCE DRUG AND ALCOHOL USE/MISUSE: LA CROSSE POLICE DARE PROGRAM (SUBSTANCE ABUSE PREVENTION); COULEE RECOVERY CENTER (PREVENTION/RECOVERY), NEXT STEPS FOR CHANGE PEER SUPPORT GROUP, AND ADULT & TEEN CHALLENGE OF WESTERN WISCONSIN. CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2021. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.IN COLLABORATION WITH HAMILTON COMMUNITY SCHOOL, THE HOSPITAL PROVIDED ONSITE GROUP AND 1:1 BEHAVIORAL HEALTH SERVICES FOR CHILDREN IMPACTED BY TRAUMA. THE PROGRAM WAS PAUSED DUE TO COVID-19 AND SCHOOL CLOSURES.CONTINUED TO SUPPLY SPACE ON ITS CAMPUS FOR THE COULEE RECOVERY CENTER, CHARGING RENT OF $1/YEAR. THE COULEE RECOVERY CENTER PROVIDES ADDICTION PREVENTION AND RECOVERY SERVICES.THE HOSPITAL'S OPIOID STEWARDSHIP COMMITTEE HOSTED SIX EDUCATION SESSIONS ON RESPONSIBLE OPIOID PRESCRIBING FOR PROVIDERS. MORE THAN 170 PROVIDERS ATTENDED, AND THE RECORDED SESSION WAS MADE AVAILABLE TO ALL PRESCRIBING PROVIDERS. INCREASED WELL-BEING OF CHILDREN & YOUTH: TO INCREASE COMMUNITY RESOURCES TO PREVENT CHILDHOOD TRAUMA, REDUCE THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCES AND ADDRESS THE NEEDS OF CHILDREN LIVING IN POVERTY, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOG, SOCIAL MEDIA POSTS, MAYOCLINIC.COM, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, HOSPITAL REPRESENTATIVES ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING THE WELL-BEING OF CHILDREN AND YOUTH. EXAMPLES INCLUDE THE PARENTING PLACE, BOYS & GIRLS CLUB OF GREATER LA CROSSE, BIG BROTHERS BIG SISTERS OF THE 7 RIVERS REGION, FAMILY & CHILDREN'S CENTER, LA CROSSE SCHOOL DISTRICT, LA CROSSE PUBLIC EDUCATION FOUNDATION, APTIV, GATEWAY AREA BOY SCOUTS, CHILEDA, NEW HORIZONS AND RTIC (RESILIENCY AND TRAUMA-INFORMED COMMUNITY). PROVIDED FINANCIAL SUPPORT FOR THE FOLLOWING COLLABORATIVE COMMUNITY ORGANIZATIONS SEEKING TO INCREASE THE WELL-BEING OF CHILDREN AND YOUTH: LA CROSSE POLICE DARE PROGRAM, LINCOLN MIDDLE SCHOOL, BIG BROTHERS BIG SISTERS, APTIV, FAMILY & CHILDREN'S CENTER, THE PARENTING PLACE, SAFE FAMILIES FOR CHILDREN (GENERATIONS, INC), AND WISCORPS SCHOLARSHIP FUND.PROVIDED FINANCIAL SUPPORT FOR MUSCLES IN MOTION, A PROGRAM OF THE PARENTING PLACE. THIS FREE PARENT/GUARDIAN/CHILD PROGRAM SUPPORTS THE WELLBEING OF YOUNG CHILDREN AND THE ADULTS WHO CARE FOR THEM. INTERACTIONS DURING MUSCLES IN MOTION (ADULT TO ADULT, ADULT TO CHILD AND CHILD TO CHILD) FALL WITHIN THE PROTECTIVE FACTORS FRAMEWORK, A RESEARCH-BASED APPROACH TO CREATING STRONG FAMILIES THAT CONTRIBUTE TO OPTIMAL CHILD WELLBEING WHILE PREVENTING CHILD MALTREATMENT. THROUGH ITS ONGOING ADOPT-A-SCHOOL PARTNERSHIP WITH LINCOLN MIDDLE SCHOOL, THE HOSPITAL PROVIDED FINANCIAL SUPPORT AND IN-KIND DONATIONS. FINANCIAL SUPPORT WAS PROVIDED FOR THE PURCHASE OF COVID-19 CLASSROOM SANITIZING AND SCHOOL SUPPLIES. THE HOSPITAL HOSTED A FOOD DRIVE AND PROVIDED FINANCIAL SUPPORT FOR A SCHOOL PROGRAM THAT PROVIDES THANKSGIVING MEALS TO SCHOOL FAMILIES IN NEED.CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2021. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE:IN 2021 THE HOSPITAL ADOPTED EQUITY, INCLUSION AND DIVERSITY AS AN ORGANIZATIONAL PRIORITY AND DISTRIBUTED $139,000 OF FUNDS TOWARDS COMMUNITY PROGRAMS WORKING TO ADDRESS THE NEEDS OF HISTORICALLY MARGINALIZED GROUPS SUCH AS: RACIAL/CULTURAL MINORITIES, VETERANS, SENIOR CITIZENS, COGNITIVELY OR PHYSICALLY IMPAIRED INDIVIDUALS, LGBTQI, RURAL RESIDENTS, AND PERSONS LIVING IN POVERTY. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED LACK OF LIVABLE WAGE JOBS, INCREASE WRAP-AROUND SUPPORTS THROUGHOUT THE LIFESPAN AND INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE. THESE NEEDS WILL BE ADDRESSED BY MCHS-LA CROSSE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: DURING 2021, MCHS-LA CROSSE CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-LACROSSE INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICE."

GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN SPARTA (MCHS-SPARTA). THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE. THE KEY DATA SOURCE WAS THE RANDOM HOUSEHOLD SURVEY (RHS). THE RANDOM HOUSEHOLD SURVEY WAS MAILED TO A RANDOM SELECTION OF 5,450 HOUSEHOLDS THROUGHOUT THE REGION IN JULY AND AUGUST OF 2016. AFTER REVIEWING THE DEMOGRAPHICS OF THE RANDOM HOUSEHOLD SURVEY, THE STEERING COMMITTEE DETERMINED WHOSE VOICES WERE MISSING. A PLAN WAS DEVELOPED TO CONDUCT A CONVENIENCE SURVEY (CS) TO CAPTURE THE OPINIONS OF THE GROUPS OF PEOPLE WHO DID NOT RESPOND TO THE RANDOM HOUSEHOLD SURVEY TO ENSURE THAT THEIR VOICE WAS HEARD. THE CONVENIENCE SURVEYS WERE GIVEN TO PEOPLE THAT WERE EASY TO REACH. DUE TO THIS DIFFERENCE, THE CS DATA IS SEPARATE FROM THE RHS RESULTS. STEERING COMMITTEE MEMBERS AND OTHER COMMUNITY PARTNERS COLLECTED RESPONSES TO THE CONVENIENCE SURVEY. THE DATA WORKGROUP OVERSAW THE ANALYSIS OF THE DATA AND REVIEWED THE RESULTS.AS PART OF THE COMPASS NOW 2018 PROCESS, ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDERREPRESENTED. LOCAL ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDERREPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, CHILDREN-YOUTH-FAMILIES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE-SEXUAL VIOLENCE-TRAFFICKING, AND THE LGBTQ COMMUNITY.TO ADD TO THE SURVEY DATA, THE DATA WORKGROUP WAS TASKED WITH COLLECTING EXISTING DATA FROM FEDERAL, STATE, AND LOCAL SOURCES. THIS DATA INCLUDED INFORMATION ABOUT DEMOGRAPHICS, HEALTH, SOCIAL FACTORS, ECONOMIC FACTORS, AND MANY OTHER TOPICS. BECAUSE NUMBERS-BASED DATA ONLY TELLS PART OF A STORY, THE NEEDS ASSESSMENT PROCESS ALSO INCLUDED HOLDING COUNTY-BASED FOCUS GROUPS. FOCUS GROUPS ARE USUALLY SMALL GROUPS OF PEOPLE WHOSE OPINIONS ARE GATHERED THROUGH A GUIDED DISCUSSION. FOCUS GROUPS WERE HELD IN ALL SIX COUNTIES AND WITH GENERAL COMMUNITY MEMBERS, STUDENTS, FAMILY ADVISORY COUNCILS, LATINO COMMUNITY MEMBERS, SERVICE PROVIDERS, AND HMONG COMMUNITY MEMBERS. DATA FROM ALL THE SOURCES DISCUSSED ABOVE IS USED THROUGHOUT THIS REPORT. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.

GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 6A:
GUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSMCHS-FRANCISCAN MEDICAL CENTER LA CROSSETOMAH MEMORIAL HOSPITALVERNON MEMORIAL HEALTHCARE

GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 6B:
GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT

GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN SPARTA (MCHS-SPARTA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:REDUCED DRUG & ALCOHOL USE & MISUSEINCREASED ACCESS TO MENTAL HEALTH CAREINCREASED FOOD-SECURITYIN 2021, MCHS-SPARTA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:REDUCED DRUG & ALCOHOL USE & MISUSE: TO INCREASE COMMUNITY RESOURCES FOR PREVENTION OF DRUG & ALCOHOL MISUSE AND TO ASSIST INDIVIDUALS AND FAMILIES AFFECTED BY DRUG AND ALCOHOL ADDICTION, MCHS-SPARTA: SHARED MAYO CLINIC EXPERTISE ON SUBSTANCE ABUSE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING DRUG AND ALCOHOL USE/MISUSE. EXAMPLES INCLUDE THE MONROE COUNTY SAFE COMMUNITIES COALITION AND NEXT STEPS FOR CHANGE.FINANCIAL SUPPORT WAS PROVIDED FOR NEXT STEPS FOR CHANGE, A NON-PROFIT THAT BUILDS COMMUNITY-BASED SUPPORT TEAMS TO CONNECT WITH MEMBERS OF THE COMMUNITY WHO SUFFER FROM SUBSTANCE USE DISORDERS USING PEER SUPPORT. THROUGH SHARED UNDERSTANDING, RESPECT AND MUTUAL EMPOWERMENT, PEER SUPPORT WORKERS HELP PEOPLE BECOME AND STAY ENGAGED IN THE RECOVERY PROCESS AND REDUCE THE LIKELIHOOD OF RELAPSE. DUE TO ITS SUCCESS, NEXT STEPS FOR CHANGE HAS EXPANDED FROM MONROE COUNTY TO VERNON AND LA CROSSE COUNTIES. HOSTED SIX SESSIONS ON RESPONSIBLE OPIOID PRESCRIBING FOR 176 PARTICIPANTS IN SOUTHWEST WISCONSIN. MAYO CLINIC'S OPIOID STEWARDSHIP COMMITTEE RECORDED THE SESSIONS AND MADE AVAILABLE FOR OPIOID PRESCRIBING PROVIDERS TO WATCH. THE HOSPITAL PROMOTED DRUG TAKE BACK DAYS IN APRIL AND OCTOBER, SHARING LOCATIONS FOR UNUSED DRUG DROP-OFF WITH COMMUNITY MEMBERS AND STAFF.INCREASED ACCESS TO MENTAL HEALTH CARE: TO REDUCE BARRIERS TO SEEKING MENTAL HEALTH CARE AND INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL ILLNESS, MCHS-SPARTA: SHARED MAYO CLINIC EXPERTISE ON MENTAL HEALTH AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH CARE NEEDS, SUCH AS THE MONROE COUNTY HEALTH COALITION.CONTINUED TO ENHANCE ACCESS TO MENTAL HEALTH SERVICES THROUGH INTEGRATION OF BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE TEAMS. IN RESPONSE TO THE COVID-19 PANDEMIC, THE HOSPITAL SIGNIFICANTLY EXPANDED ACCESS TO MENTAL HEALTH SERVICES VIA TELEHEALTH. PROVIDED FUNDING TO THE TOMAH AND SPARTA SCHOOL DISTRICT FOR THEIR INTEGRATED MENTAL HEALTH PROGRAMS FOR STUDENTS. THESE FUNDS HELPED STUDENTS WHO HAVE POOR INSURANCE, NON-PROVIDER ALLOWED INSURANCE, OR WHO ARE UNINSURED, TO RECEIVE NEEDED PRIVATE MENTAL HEALTH COUNSELING/THERAPY. THE PROGRAM ALSO ALLOWS MENTAL HEALTH PROVIDERS TO ATTEND IEP, BEHAVIORAL AND OTHER DISTRICT MEETINGS AS NEEDED FOR STUDENTS WHO RECEIVE MENTAL HEALTH SERVICES. ALLOWING THE PROFESSIONALS TO ATTEND MEETINGS ALLOWS FOR WRAP-AROUND SERVICES AND ENSURES A COLLABORATIVE, INTEGRATED APPROACH BETWEEN SCHOOL AND COMMUNITY PROVIDERS.INCREASED FOOD SECURITY: TO INCREASE AWARENESS OF FOOD INSECURITY IN MONROE COUNTY AND INCREASE COMMUNITY RESOURCES AVAILABLE FOR INDIVIDUALS AND FAMILIES IMPACTED BY FOOD INSECURITY, MCHS-SPARTA:SHARED MAYO CLINIC EXPERTISE ON NUTRITION AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING FOOD INSECURITY AND NUTRITION, SUCH AS THE MONROE COUNTY NUTRITION COALITION.PROVIDED FINANCIAL SUPPORT TO MONROE COUNTY FOOD PANTRIES INCLUDING NEIGHBOR FOR NEIGHBOR, THE BREAD BASKET, AND COULEECAP. FUNDING PROVIDED TO THE SENIOR NUTRITION PROGRAM THROUGH MONROE COUNTY MADE HEALTHY FOOD AVAILABLE FOR SENIORS WITH CHRONIC DISEASES. THE HOSPITAL ALSO SUPPORTED THE SPARTA AREA SCHOOL DISTRICT'S WEEKEND BACKPACK PROGRAM WHICH PROVIDES APPROXIMATELY 400 FOOD BAGS MONTHLY FOR FOOD INSECURE STUDENTS AND FAMILIES.INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE: TO INCREASE AWARENESS AND ADDRESS THE NEEDS OF MARGINALIZED GROUPS, MCHS-SPARTA:ADOPTED EQUITY, INCLUSION AND DIVERSITY AS AN ORGANIZATIONAL PRIORITY AND DISTRIBUTED $32,000 OF FUNDS TOWARDS COMMUNITY PROGRAMS WORKING TO ADDRESS THE NEEDS OF HISTORICALLY MARGINALIZED GROUPS SUCH AS: MILITARY VETERANS, SENIOR CITIZENS, COGNITIVELY OR PHYSICALLY IMPAIRED INDIVIDUALS, RURAL RESIDENTS, AND PERSONS LIVING IN POVERTY.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED LACK OF LIVABLE WAGE JOBS AND INCREASING WRAP-AROUND SUPPORTS THROUGHOUT THE LIFESPAN. THESE NEEDS WILL BE ADDRESSED BY MCHS-SPARTA BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: DURING 2021, MCHS-SPARTA CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-SPARTA INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.WORKED WITH LOCAL COUNTY PUBLIC HEALTH, COMMUNITY HEALTH AND OTHER COMMUNITY-BASED ORGANIZATIONS TO PROVIDE COVID-19 EDUCATION IN ENGLISH AND SPANISH.

PART V, SECTION B
FACILITY REPORTING GROUP E

FACILITY REPORTING GROUP E CONSISTS OF:
- FACILITY 1: MAYO CLINIC HOSPITAL ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA

GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE CHNA FOR MARICOPA COUNTY WAS A JOINT EFFORT. ORGANIZATIONS INCLUDED IN THE COLLABORATION WERE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, MAYO CLINIC HOSPITAL IN ARIZONA (MCA), ADELANTE HEALTHCARE, BANNER HEALTH, DIGNITY HEALTH, NATIVE HEALTH, AND PHOENIX CHILDREN'S HOSPITAL.THE BROAD INTERESTS OF THE COMMUNITY WERE INCORPORATED THROUGH THREE MEANS. FIRST, DATA WAS COLLECTED THROUGH FOCUS GROUPS ENGAGING MEMBERS OF UNDERSERVED POPULATIONS AND COMMUNITIES. SECOND, SURVEYS WERE CONDUCTED WITH KEY INFORMANTS WHO SERVE THE PRIMARY SERVICE AREA. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS FROM THE PRIMARY SERVICE AREA OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER. MEMBERS OF THE COMMUNITY HEALTH INFORMATION NETWORK AND ARIZONA'S COMMUNITY OF CARE NETWORK (ACCN) PROVIDED INPUT ON THE SELECTION OF DATA INDICATORS, PROVIDED FEEDBACK ON DATA COLLECTED, AND AIDED IN THE SELECTION OF FINAL PRIORITIES. MEMBERSHIP OF THE ABOVE-MENTIONED COMMITTEES AND COLLABORATIONS INTENTIONALLY REPRESENT VULNERABLE AND DISENFRANCHISED POPULATIONS INCLUDING THE HOMELESS, UNINSURED/UNDERINSURED, MEDICAID, MEDICARE, IMMIGRANT, DISABLED, MENTALLY ILL, AND ELDERLY.A SERIES OF 36 FOCUS GROUPS WITH MEDICALLY UNDERSERVED POPULATIONS ACROSS MARICOPA COUNTY WERE CONDUCTED BETWEEN SEPTEMBER 2017 AND JUNE 2018. FOCUS GROUPS HELPED TO IDENTIFY PRIORITY HEALTH ISSUES, RESOURCES, AND BARRIERS TO CARE WITHIN MARICOPA COUNTY. MEMBERS OF THE COMMUNITY REPRESENTING SUBGROUPS, DEFINED AS GROUPS WITH UNIQUE ATTRIBUTES (RACE AND ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE, OR RESIDENTS OF AN AREA IN MARICOPA COUNTY), WERE RECRUITED TO PARTICIPATE IN FOCUS GROUPS. A COMMUNITY HEALTH SURVEY WAS ALSO ADMINISTERED TO KEY INFORMANTS. KEY INFORMANTS WERE IDENTIFIED AS HEALTH OR COMMUNITY EXPERTS FAMILIAR WITH TARGET POPULATIONS AND GEOGRAPHIC AREAS WITHIN MARICOPA COUNTY. THE SURVEY INSTRUMENT WAS CREATED BY MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH BASED ON RECOMMENDATIONS FROM THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND MAYO CLINIC LEADERSHIP. THE SURVEY WAS ADMINISTERED TO 152 KEY INFORMANTS WHO PROVIDE SERVICES THROUGHOUT MARICOPA COUNTY. IN ADDITION TO THE ABOVE, COMMUNITY INPUT FOR THE CHNA INCLUDED ENGAGEMENT FROM MCA'S COMMUNITY ENGAGEMENT COMMITTEE, MCA'S COMMUNITY ADVISORY BOARD AND MCA'S EXECUTIVE OFFICE TEAM.

GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6A:
BANNER HEALTHDIGNITY HEALTHPHOENIX CHILDRENS HOSPITAL

GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6B:
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTHNATIVE HEALTHADELANTE HEALTHCARE

GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 11:
MAYO CLINIC ARIZONA (MCA), IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:ACCESS TO CARECANCER/BREAST CANCERSOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS)IN 2021, MCA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO PROVIDE NON-MAYO CLINIC PATIENTS' ACCESS TO CARE FOR CONDITIONS THAT MAY OTHERWISE GO UNTREATED, OR CONDITIONS THAT REQUIRE SPECIFIC EXPERTISE, MCA:CONTINUED TO PROVIDE CARE TO PATIENTS FROM COMMUNITY FEDERALLY QUALIFIED HEALTH CENTERS IN MARICOPA COUNTY THAT HAVE SIGNIFICANT NEED FOR COMPLEX, COMPREHENSIVE CLINICAL CARE. MCA'S PARTNERSHIP WITH MOUNTAIN PARK HEALTH CENTER (MPHC) CONTINUES TO BE AN ACCESS POINT FOR REFERRED PATIENTS FROM MPHC. EACH YEAR FOR THE PAST 12 YEARS MCA HAS CONTINUED TO TREAT UP TO 12 PATIENTS DIAGNOSED WITH BREAST CANCER. MCA CHARITY CARE PROVIDES BIOPSY, BREAST CANCER SURGERY, RADIOLOGIC, CHEMO-THERAPEUTIC, SURGICAL RECONSTRUCTION, AND FOLLOW UP APPOINTMENT WITH PATIENTS THAT REQUIRED A GREATER LEVEL OF CARE THAT THEIR PRIMARY CARE TEAM AT MPHC ARE NOT ABLE TO PROVIDE.CREATED AN E-CONSULTATION PLATFORM FOR MPHC PHYSICIANS. MPHC PHYSICIANS THAT REQUIRE CONSULTATION FOR SCREENING/UNDERSTANDING CANCER LABS RESULTS, OR CANCER PATIENT MAINTENANCE OF CARE ARE PROVIDED AT NO COST TO THE CLINICAL STAFF OF MPHC.MAINTAINS A STRONG PARTNERSHIP WITH MPHC BY PROVIDING RADIOLOGIC MAMMOGRAPHY SERVICES TO MPHC ONSITE. MCA FELLOWSHIP STAFF, WITH OVERSIGHT, PROVIDE ONSITE MAMMOGRAPHY SERVICES AND CONSULTATION OF RESULTS TO PATIENTS.SPONSORED PARTNERSHIP IN UNDERSERVED COMMUNITIES TO BUILD POP-UP COVID 19 VACCINATION SITES. TWO SUCH POP-UP SITES WERE BUILT AT FIRST INSTITUTIONAL BAPTIST CHURCH OVER FOUR WEEKENDS IN PARTNERSHIP WITH MCA, MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE THREE CONTIGUOUS MAJORITY AFRICAN AMERICAN CHURCHES IN A 7-BLOCK AREA OF THE MOST HESITANT AND VACCINATION NON-COMPLIANT ZIP CODES IN MARICOPA COUNTY. SPONSORED A SECOND POP-UP VACCINATION SITE IN CONJUNCTION WITH THE FORT MCDOWELL INDIAN RESERVATION'S WASSAJIA CLINIC IMPACTING THE VERY SAME ZIP CODES THAT WERE HESITANT AND NON-COMPLIANT AT THE SAME PERCENTAGES OF OTHER AREAS IN MARICOPA COUNTY. SPONSORED A THIRD COVID 19 POP-UP VACCINATION SITE IN PARTNERSHIP WITH MAYO CLINIC HOSPITAL, CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS, AND THE MARICOPA COUNTY BRANCH OF THE NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE TARGETING TRADITIONAL COLLEGE AGED STUDENT POPULATIONS, BUT NOT NECESSARILY ENROLLED IN SCHOOL. THIS WAS AS A RESULT OF THE LIMITED ACCESS TO VACCINATIONS OF THAT AGE COHORT UNTIL MUCH LATER IN THE PANDEMIC.IN AN AIM TO INCREASE COVID 19 VACCINATION EDUCATION, TRUST AND COMPLIANCE, SEVERAL PUBLIC COVID 19 TOWN HALLS WERE SPONSORED BY MCA. TOWN HALLS TARGETED: PERSONS OF AFRICAN DESCENT, HISPANIC/LATIN COMMUNITY, NON-PARTICIPATING ZIP CODES, PHYSICIANS THAT TAKE CARE OF VULNERABLE POPULATIONS, CANCER SURVIVORS AND THOSE WITH OTHER CO-MORBIDITIES. THE NUMBER OF VIEWERS FOR THOSE TOWN HALLS ARE GREATER THAN 2M.CONTINUED TO PROVIDE CANCER CARE TO PATIENTS FROM ADELANTE HEALTHCARE. ADELANTE PATIENTS DIAGNOSED WITH BREAST AND OVARIAN CANCER HAVE BEEN TREATED AT MCA. IN THE MOST RECENT 12 MONTHS, 12 ADDITIONAL ADELANTE PATIENTS HAVE BEEN TREATED AT NO COST AS A RESULT OF THE COMMITMENT TO PATIENTS IN THE COMMUNITY THAT NEED OUR CARE BUT LACK ACCESS.CREATED AT NEW CLINICAL PARTNERSHIP WITH ADELANTE FOR MCA TRAINEES AND PHYSICIAN STAFF TO PROVIDE GASTROENTEROLOGY FIT TEST TO THEIR PATIENT BASE. THOSE PATIENTS WITH POSITIVE RESULTS ARE REFERRED TO MCA FOR A COLONOSCOPY FOLLOW-UP VISIT. THOSE ADELANTE PATIENTS THAT ARE DIAGNOSED WITH A GASTROENTEROLOGY CANCER GO TO MCA FOR CHARITY CARE CANCER TREATMENT. MCA PROVIDES TRANSPORTATION TO AND FROM APPOINTMENTS.MCA PHYSICIANS PROVIDED CANCER CLINICAL CARE TO PATIENTS AT THE PHOENIX INDIAN MEDICAL CENTER EVERY WEEK, AND WHEN NECESSARY, TRANSFER PATIENTS WITH GREATER COMPLEX CARE NEEDS TO MCA.CANCER/BREAST CANCER: TO PROVIDE BREAST CANCER CARE AND TO ASSIST IN REDUCING DISPARATE HEALTH OUTCOMES TO MINORITY, POOR, AND OTHER VULNERABLE DISPARATE POPULATIONS, MCA:PROVIDED FINANCIAL SUPPORT TO PROVIDE A FULL TIME COORDINATOR TO THE COALITION OF BLACKS AGAINST BREAST CANCER FOR COORDINATION AND MANAGEMENT OF COMMUNITY OF FAITH OUTREACH FOR BREAST CANCER EDUCATION AND AWARENESS OF THE SIGNIFICANT HEALTH OUTCOMES DIFFERENCES OF BREAST CANCER IN BLACK COMMUNITIES.PROVIDED BREAST CANCER CARE TO PATIENTS REFERRED TO MAYO CLINIC HOSPITAL FROM FEDERALLY QUALIFIED CLINIC'S THAT MEET CHARITY CARE GUIDELINES AND ARE TREATED AT NO COST FOR BIOPSY, SURGERY, CHEMOTHERAPY, RADIOTHERAPY, AND RECONSTRUCTIVE SURGERY. PROVIDED CHARITY CARE TO QUALIFIED PATIENTS FROM FEDERALLY QUALITY HEALTH CENTERS FOR OVARIAN AND GI CANCERS. 5 PATIENTS HAVE BEEN TREATED FOR THESE CANCERS IN THE LAST 12 MONTHS.SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): TO SUPPORT COMMUNITY-BASED ORGANIZATIONS WORKING IN THE HOMELESSNESS/HOUSING SPACE, MCA:ALIGNED ITSELF WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE HOPE AND HEALING TO INDIVIDUALS WHO FIND THEMSELVES WITHOUT HOMES AND OTHER SOCIAL UNMET NEEDS THAT ACCOMPANY THOSE THAT ARE UNSHELTERED. PROVIDED $210K TO SEVERAL COMMUNITY FACING ORGANIZATIONS AS WELL AS IN KIND CONTRIBUTIONS IN MARICOPA COUNTY. SUCH ORGANIZATIONS INCLUDED: SALVATION ARMY, CHICANO'S POR LA CAUSA, ST. VINCENT DE PAUL, TANNER COMMUNITY DEVELOPMENT CORPORATION, THE GREATER PHOENIX URBAN LEAGUE, ONE N TEN, CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS, AND THE SALT RIVER PIMA INDIAN RESERVATION'S RIVER PEOPLE'S CLINIC. PARTNERED WITH A GROUP OF MEDICAL STUDENTS AT THREE MEDICAL SCHOOLS WITHIN MARICOPA COUNTY, TO PROVIDE ADDITIONAL PATIENT PROTECTION EQUIPMENT TO NOT FOR PROFIT ORGANIZATIONS ACROSS MARICOPA COUNTY. MORE THAN A MILLION PIECES OF PPE HAVE BEEN COLLECTED, DISTRIBUTED, OR STORED FOR DISTRIBUTION. (INCLUSIVE OF BUT NOT LIMITED TO N95 & KN95 MASKS, MEDICAL GOWNS, MEDICAL FACIAL PROTECTION, RUBBER GLOVES, ETC.)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH PRIORITIES IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED BY MCA INCLUDE MENTAL/BEHAVIORAL HEALTH, INJURY PREVENTION, OVERWEIGHT/OBESITY AND CHRONIC DISEASE. MCA PARTICIPATES IN A COLLABORATIVE EFFORT WITH SEVERAL MARICOPA COUNTY BASED COMMUNITY HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY BASED NOT-FOR-PROFIT HEALTHCARE PROVIDERS. THE COLLABORATIVE IS AN EFFORT THAT WORKS IN PARTNERSHIP WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH. ALL THE COLLABORATIVE MEMBERS ARE MADE AWARE OF THE COMPREHENSIVE HEALTH NEEDS OF THE ENTIRE COUNTY. AS A COLLECTIVE, THE MEMBERS ASSURE ALL THE IDENTIFIED/PRIORITY HEALTH NEEDS ARE MET THROUGH MEMBERS OF THE COLLABORATION.COVID-19: DURING 2021, MCA CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCA INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.

GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE COMMUNITY HEALTH NEEDS IDENTIFIED FOR MAYO CLINIC HOSPITAL IN FLORIDA (MCF) WERE BASED ON THE CHNA CONDUCTED BY THE JACKSONVILLE NONPROFIT HOSPITAL PARTNERSHIP (THE PARTNERSHIP). THE PARTNERSHIP IS A COALITION OF NON-PROFIT HOSPITALS WHOSE VISION IS TO CONTRIBUTE TO IMPROVEMENTS IN POPULATION HEALTH ACROSS THE NORTHEAST FLORIDA REGION BY ADDRESSING GAPS THAT PREVENT ACCESS TO QUALITY, INTEGRATING HEALTH CARE, AND IMPROVING ACCESS TO RESOURCES THAT SUPPORT A HEALTHY LIFESTYLE. THE PARTNERSHIPS MEMBERS ARE BAPTIST HEALTH, BROOKS REHABILITATION, MAYO CLINIC HOSPITAL IN FLORIDA (MCF), UF HEALTH JACKSONVILLE, ST. VINCENT'S HEALTHCARE AND WOLFSON CHILDREN'S HOSPITAL. THE PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS CONDUCTED BY PHONE, FOCUS GROUP DISCUSSIONS AND A COMMUNITY SURVEY DISTRIBUTED THROUGHOUT THE SERVICE AREA THROUGH ONLINE AND PAPER SUBMISSIONS. OVER 1,034 COMMUNITY MEMBERS CONTRIBUTED THEIR INPUT ON THE COMMUNITY'S HEALTH AND HEALTH-RELATED NEEDS, BARRIERS, AND OPPORTUNITIES FOR DUVAL AND ST. JOHNS COUNTIES, WITH SPECIAL FOCUS ON NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS. THIRTY-TWO KEY INFORMANT INTERVIEWS WERE CONDUCTED BY PHONE FROM MARCH 13, 2018 THROUGH APRIL 23, 2018. PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS, BARRIERS, STRENGTHS, AND OPPORTUNITIES (INCLUDING THE NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS AS REQUIRED BY IRS REGULATIONS). PEOPLE WITH PUBLIC HEALTH EXPERTISE; THE ABILITY TO SPEAK ON THE NEEDS OF LOW-INCOME, UNDERSERVED, OR MINORITY POPULATIONS; AND THE ABILITY TO SPEAK ON THE BROAD INTERESTS OF THE COMMUNITY WERE ASKED TO PARTICIPATE IN KEY INFORMANT INTERVIEWS. OF THE 32 KEY INFORMANT INTERVIEWS CONDUCTED, 24 INTERVIEWS WERE WITH COMMUNITY EXPERTS WHO EITHER SERVED OR REPRESENTED UNDERSERVED COMMUNITIES.22 FOCUS GROUPS WITH 212 PARTICIPANTS WERE CONDUCTED FROM MARCH 28, 2018 THROUGH APRIL 25, 2018. PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS AND BARRIERS. THE FOCUS GROUPS WERE SPLIT ALMOST EVENLY INTO TWO CATEGORIES: (1) FOCUS GROUPS OF HOSPITAL STAFF ASSOCIATED WITH MCF, AND (2) FOCUS GROUPS OF COMMUNITY MEMBERS WITH WIDE BACKGROUNDS, INCLUDING PERSONS WITH DISABILITIES, VETERANS, PERSONS OF LIMITED INCOME, COMMUNITIES OF COLOR, FAITH COMMUNITIES, AND MORE. OF THE 22 FOCUS GROUPS CONDUCTED, 10 OF THE FOCUS GROUPS INCLUDED COMMUNITY MEMBERS OF UNDERSERVED COMMUNITIES OR COMMUNITY ADVOCATES FOR UNDERSERVED COMMUNITIES.THE COMMUNITY SURVEY WAS PRIMARILY DISTRIBUTED ONLINE FROM MARCH 26, 2018 THROUGH APRIL 16, 2018. THE SURVEY WAS ALSO MADE AVAILABLE ON PAPER, THOUGH PAPER DISTRIBUTION WAS LIMITED. THE SURVEY ELICITED RESPONSES FROM 790 COMMUNITY MEMBERS IN DUVAL AND ST. JOHNS COUNTIES.

GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6A:
BAPTIST HEALTHBROOKS REHABILITATIONST. VINCENT'S HEALTHCAREUF HEALTH JACKSONVILLEWOLFSON CHILDREN'S HOSPITAL

GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6B:
CLAY COUNTY HEALTH DEPARTMENTDUVAL COUNTY HEALTH DEPARTMENTNASSAU COUNTY HEALTH DEPARTMENTPUTNAM COUNTY HEALTH DEPARTMENT

GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 11:
MAYO CLINIC FLORIDA, IN COLLABORATION WITH MAYO CLINIC JACKSONVILLE AND COLLECTIVELY REFERRED TO AS MAYO CLINIC IN FLORIDA (MCF), IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY CANCERACCESS (HEALTH CARE, TRANSPORTATION, HOUSING, NUTRITION)IN 2021, MCF TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY: TO PROVIDE EXPERTISE AND SUPPORT TO INSPIRE AWARENESS FOR HEALTHY HABITS AMONG COMMUNITY RESIDENTS, MCF:CONTINUED ITS WELLNESS RX EFFORTS. WELLNESS RX IS A COMMUNITY DRIVEN HEALTH AND WELLNESS INITIATIVE HOSTED BY A MCF TEAM MONTHLY. MCF PARTNERED WITH THE FOLLOWING THREE LOCATIONS ON A ROTATING MONTHLY SCHEDULE: JACKSONVILLE UNIVERSITY, TERRY PARKER HIGH, AND WOODLAND ACRES ELEMENTARY. THE INITIATIVE STARTED IN JANUARY 2021, AND TO DATE HAS SERVED OVER 900 FAMILIES AND DISTRIBUTED OVER 80,000 POUNDS OF FOOD.STRATEGIZED TO INCREASE THE KNOWLEDGE AND AWARENESS OF OBESITY PREVENTION AND RISK REDUCTION THROUGH TARGETED COMMUNITY OUTREACH AND EDUCATION EFFORTS IN PREDOMINANTLY SPANISH-SPEAKING COMMUNITIES, IN PARTNERSHIP WITH MCF'S CENTER FOR HEALTH EQUITY AND COMMUNITY ENGAGEMENT RESEARCH (CHECER) AND EMPLOYEE RESOURCE GROUPS.DEVELOPED HOPE PARA LA COMMUNIDAD WHICH IS A HEALTH EDUCATION, OUTREACH, AND RESEARCH INITIATIVE THAT PARTNERS WITH ORGANIZATIONS SERVING PREDOMINANTLY SPANISH-SPEAKING COMMUNITY MEMBERS IN JACKSONVILLE TO PROVIDE INFORMATION ABOUT VARIOUS WELLNESS TOPICS THAT IMPACT THE COMMUNITY. EFFORTS UNDER HOPE PARA LA COMMUNIDAD INCLUDED MCF HOSTING OUTREACH FOCUS GROUPS TO UNDERSTAND NEEDS AND HEALTH EDUCATION IN THE COMMUNITY. IN ADDITION TO THE FOCUS GROUPS MCF HOSTED A FOOD DRIVE WITHIN THE HISPANIC COMMUNITIES.PARTNERED WITH LOCAL HISPANIC FAITH-BASED GROUPS TO BRING HEALTH AND WELLNESS INFORMATION TO THEIR COMMUNITY MEMBERS INCLUDING A NEARBY MOBILE HOME PARK WITH A LARGE SPANISH SPEAKING POPULATION. MCF OFFICE OF COMMUNITY RELATIONS, EMPLOYEE RESOURCE GROUP, COMMUNITY PARTNERS AND CENTER FOR HEALTH EQUITY ASSISTED WITH WELLNESS SCREENINGS, FOOD DISTRIBUTION, COVID-19 VACCINATION SURVEYS AND BROUGHT VOLUNTEER CLINICIANS TO ANSWER QUESTIONS ABOUT VACCINE HESITANCY AND TO VACCINATE COMMUNITY MEMBERS THAT HAD NOT YET RECEIVED THEIR COVID VACCINES. CANCER: TO INCREASE KNOWLEDGE AND AWARENESS OF INFORMATION AND RESOURCES AVAILABLE ALONG THE ENTIRE CANCER CONTINUUM, MCF:PRESERVED LONG-STANDING RELATIONSHIPS WITH AND PROVIDED FINANCIAL RESOURCES TO CANCER ORGANIZATIONS IN SUPPORT OF THEIR MISSION TO FREE THE WORLD FROM CANCER.CONTINUED TO EXECUTE CANCER BREAKTHROUGHS: A TOWN HALL SERIES WHICH CONTINUES TO BE VIRTUAL DUE TO PANDEMIC. IN ADDITION TO PROVIDING THIS TOWN HALL LOCALLY HERE IN FLORIDA WE ENGAGED A SITE WIDE INITIATIVE, BRINGING THIS PROGRAM TO COMMUNITY MEMBERS ACROSS ALL OUR SITES AND REGIONS. THIS PROGRAM FOCUSES ON PROVIDING INFORMATION TO COMMUNITIES VIA INTERACTIVE SESSIONS WITH CANCER PROVIDERS, RESEARCHERS, ADVOCATES, AND SURVIVORS, IN PARTNERSHIP WITH MCF'S CENTER FOR HEALTH EQUITY AND COMMUNITY ENGAGEMENT RESEARCH (CHECER) AND COMMUNITY BENEFIT ORGANIZATIONS. TOPICS FOR THESE TOWN HALLS IN 2021 WERE BASED OFF COMMUNITY MEMBER'S FEEDBACK ON WHAT THEY WOULD LIKE TO HAVE ACCESS TO, AS WELL AS DATA IN THE CHNA. TOPICS IN 2021 INCLUDED SKIN CANCER, BREAST CANCER AND PROSTATE CANCER. TOPICS COVERED IN THE SERIES FOCUSED ON UP-TO-DATE INFORMATION THROUGHOUT THE CANCER CONTINUUM FROM CANCER ETIOLOGY TO CANCER SURVIVORSHIP. ATTENDANCE VARIED BUT HAVE COLLECTIVELY HAD OVER 14,000 VIEWS ON FACEBOOK AND OVER 200 PARTICIPANTS ON THE VIRTUAL PLATFORM. IN 2022, OUR PLAN IS TO HOST CANCER TOWN HALLS ACROSS THE ENTERPRISE ONCE A MONTH. SUPPORTED UNDERINSURED AND UNINSURED CANCER PATIENTS THROUGH A GRANT TO THE IN THE PINK PROGRAM. THROUGH THIS GRANT A TOTAL OF 74 INDIVIDUAL CANCER PATIENTS WERE PROVIDED WITH THE FOLLOWING ITEMS. 74 PATIENTS RECEIVED ITEMS IN ONE OR MORE OF THE FOLLOWING CATEGORIES: MASTECTOMY BRAS, MASTECTOMY PROSTHESIS, POST-SURGICAL GARMENTS, COMPRESSION GARMENTS AND WIGS. TOTAL ITEMS PROVIDED WERE 213.ACCESS (HEALTH CARE, TRANSPORTATION, HOUSING, NUTRITION): TO INCREASE HEALTH CARE RESOURCES FOR INDIVIDUALS AND FAMILIES WITH LIMITED OR NO MEANS IN THE COMMUNITY, MCF: PROVIDED SUPPORT TO THE FOLLOWING NONPROFIT ORGANIZATIONS WITH MONETARY AND/OR IN-KIND SUPPORT:SULZBACHER CENTER: MCF CONTRIBUTED SUPPLEMENTAL CARE IN BEHAVIORAL HEALTH, CARDIOLOGY, FAMILY MEDICINE AND GASTROENTEROLOGY WHICH RESULTED IN 135 MAYO STAFF HOURS (95 OF WHICH WERE FOR CARDIO CARE DURING MCF'S CARDIOLOGY WEEKLY CLINIC).VOLUNTEERS IN MEDICINE (VIM): MCF CONTRIBUTED ACCESS TO CARE FOR VULNERABLE POPULATIONS BY PROVIDING INOCULATION AND TESTING FOR HUMAN PAPILLOMAVIRUS (HPV) AT VIM AND SUPPLEMENTING VIM CLINIC STAFF WITH SERVICES INCLUDING CARDIOLOGY, GASTROENTEROLOGY, GYNECOLOGY, AND INTERNAL MEDICINE. SERVICES RESULTED IN 150 STAFF HOURS AND 190 PATIENTS SEEN.MISSION HOUSE: MCF SUPPLEMENTED THE MISSION HOUSE CLINIC'S STAFF WITH INTERNAL MEDICINE AND NEUROLOGY PROVIDERS; RESULTING IN 60 STAFF HOURS AND 113 PATIENTS SEEN. MCF PROVIDED HUNDREDS OF PPE ITEMS TO SUPPORT COVID19 EFFORTS FOR THE COMMUNITY AND THEIR CLIENTS SUCH AS MASKS, GOWNS, FACE SHIELD & COVID TESTING SWABS. WE CARE: MCF PROVIDED GENERAL SURGERY, GYNECOLOGY AND UROLOGICAL SURGERIES. AGAPE FAMILY HEALTH: THERE CONTINUES TO BE EVIDENCE THAT COVID-19 CONTINUES TO DISPROPORTIONATELY AFFECT CERTAIN RACIAL AND ETHNIC GROUPS AND AGAPE CONTINUES TO SERVE AS A PRIMARY PROVIDER FOR HEALTHCARE IN OUR COMMUNITY FOR PRIMARILY UNINSURED, UNDERSERVED, AND UNDERREPRESENTED POPULATIONS. MCF GAVE A $200,000 GRANT TO AGAPE FAMILY HEALTH TO PROVIDE SUPPORT FOR COVID-19 TESTING EFFORTS. BY PROVIDING THIS GRANT, THIS ALLOWED AGAPE TO CONTINUE ITS EFFORTS IN SUPPORTING COMMUNITY MEMBERS THROUGH COVID-19 AND ADDRESS OTHER HEALTH NEEDS.LUTHERAN SOCIAL SERVICES: MCF GRANTED LUTHERAN SOCIAL SERVICES OF NORTHEAST FLORIDA WITH $15,000 TO SUPPORT THE ARRIVAL OF AFGHAN REFUGEES INTO JACKSONVILLE. THIS GRANT WILL SUPPORT THE IMMEDIATE NEEDS THAT HOUSING AND PLACEMENT PRESENT WHEN THERE IS LITTLE NOTICE ON THE ARRIVAL. IT IS ANTICIPATED THAT THIS FUNDING WOULD PROVIDE TEMPORARY HOUSING FOR APPROXIMATELY 40 AFGHAN FAMILIES.HART FELT MINISTRIES: MCF PROVIDED A GRANT TO HART FELT MINISTRIES TRANSPORTATION PROGRAM TO PROVIDE TRANSPORTATION TO UNDERSERVED COMMUNITY MEMBERS 70 AND OLDER AT NO COST TO THE CLIENTS. IN ADDITION TO PROVIDING TRANSPORTATION, THE PROGRAM IMPROVED ACCESS TO MEDICAL CARE AND TO GROCERIES, PROVIDED COMPANIONSHIP (THEREFORE IMPROVING MENTAL, EMOTIONAL AND PHYSICAL HEALTH) THROUGH A DEDICATED DRIVER, AND HELPED OLDER PERSONS AGE IN PLACE BY PROVIDING A VITAL SERVICE TO SENIORS WHO CANNOT DRIVE THEMSELVES AND MIGHT OTHERWISE BE FORCED INTO ASSISTED LIVING PREMATURELY. THROUGH MCF'S FUNDING HART FELT MINISTRIES REACHED 122 CLIENTS, AN AVERAGE OF 38 CLIENTS WERE DRIVEN MONTHLY AND 14,960 MILES WERE DRIVEN.HERE TOMORROW: MCF GRANTED HERE TOMORROW WITH FUNDING TO SUPPORT THEIR REAL PEOPLE HELPING REAL PEOPLE PROGRAM, WHICH SUPPORT IMMEDIATE OUTPATIENT THERAPY SERVICES WITHOUT THE WAIT FOR INSURANCE VERIFICATION. MENTAL HEALTH RESOURCE CENTER: THROUGH AN EMPLOYEE VOTES SEASON OF GRATITUDE CAMPAIGN, MENTAL HEALTH RESOURCE CENTER RECEIVED $20,000 TO SUPPORT AND PROVIDE UNDERSERVED, UNDERINSURED AND UNDERREPRESENTED COMMUNITY MEMBERS WITH MENTAL HEALTH SERVICES.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED BEHAVIORAL HEALTH; MATERNAL, FETAL & INFANT HEALTH; AND POVERTY. THESE NEEDS WILL BE ADDRESSED BY MCF BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: DURING 2021, MCF CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCF INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.

GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 5:
COMMUNITY INPUT:THE OLMSTED COUNTY HEALTH NEEDS ASSESSMENT REPORT SERVES AS THE BASIS FOR THE MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY COALITION ON THE PROJECT ENCOMPASSES THE CORE COLLABORATING ORGANIZATIONS OF OLMSTED COUNTY PUBLIC HEALTH DEPARTMENT, OLMSTED COUNTY HEALTH, HOUSING AND HUMAN SERVICES ADMINISTRATION, OLMSTED MEDICAL CENTER, MCH-R AND MORE THAN 30 OTHER COMMUNITY ORGANIZATIONS THROUGHOUT OLMSTED COUNTY. THE PLANNING TEAM USED THE FOLLOWING PRIMARY MEANS OF DATA COLLECTION:OUTREACH TO ORGANIZATION AND PROGRAM LEADERS FROM HUMAN SERVICE/NON-PROFIT ORGANIZATIONS TO GATHER COMMENTS/IMPROVEMENT SUGGESTIONS FROM 2016 CHNA PROCESS.A RANDOM MAIL SURVEY OF 2,000 COMMUNITY MEMBERS WAS CONDUCTED IN JUNE 2018 AND RESULTED IN 569 RESPONSES.A CONVENIENCE SURVEY (SAME AS THE MAILED SURVEY WITH ADDITION OF 2 QUESTIONS REGARDING FREQUENCY OF MOVES WITHIN PAST MONTH) TO 1,089 INDIVIDUALS REPRESENTING DIVERSE AND UNDERREPRESENTED PERSPECTIVES IN THE RANDOM MAIL SURVEY.LISTENING SESSIONS WITH LOCAL STAKEHOLDER GROUPS, INCLUDING CITY AND COUNTY GOVERNMENT LEADERS AND PRIORITIZING MINORITY AND OTHER UNDERREPRESENTED DIVERSE GROUPS. THE LISTENING SESSIONS INCLUDED A BROAD RANGE OF COMMUNITY GROUPS, INCLUDING YOUTH, ELDERLY, RURAL, VETERANS, AND LGBTQ GROUPS. LISTENING SESSION GROUPS WERE SELECTED TO BROADEN INPUT FROM RESIDENTS NOT AS LIKELY TO PARTICIPATE IN THE MAIL SURVEY. THE GROUPS GATHERED REFLECTED THE OPINIONS OF 184 INDIVIDUALS.OVER 380 COMMUNITY RESIDENTS REPRESENTING BROAD (PRIVATE/BUSINESS, HUMAN SERVICE/NONPROFIT, GOVERNMENT AND PRIVATE COMMUNITY) PERSPECTIVES PARTICIPATED IN MULTIPLE PUBLIC PRIORITIZATION SESSIONS. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM JANUARY 2017 THROUGH JULY 2019.

GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6A:
OLMSTED MEDICAL CENTER

GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6B:
OLMSTED COUNTY PUBLIC HEALTH DEPARTMENTOLMSTED COUNTY HEALTH, HOUSING, AND HUMAN SERVICES ADMINISTRATION

GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 11:
BASED ON THE CHNA CONDUCTED IN 2019, MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHFINANCIAL STRESSSUBSTANCE USETHE ROLE OF MCH-R IS TO IDENTIFY STRATEGIES THAT CAN BE UNDERTAKEN WITHIN THE COMMUNITY TO ADDRESS THE ABOVE SIGNIFICANT HEALTH NEEDS AND TO COORDINATE WITH MAYO CLINIC (PARENT OF MCH-R) IN IMPLEMENTING THOSE STRATEGIES ON BEHALF OF MCH-R. MAYO CLINIC, WITH THE COORDINATION PROVIDED BY MCH-R, TOOK THE FOLLOWING ACTIONS IN 2021 TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE MAYO CLINIC'S AND THE LOCAL COMMUNITY'S CAPACITY TO ASSIST PATIENTS AND CITIZENS WITH MENTAL HEALTH CHALLENGES IN PREVENTION AND TREATMENT, MAYO CLINIC SUPPORTED LOCAL MENTAL HEALTH NEEDS IN THE FOLLOWING WAYS:SUPPLIED FINANCIAL AND IN-KIND SUPPORT TO OPEN AND RUN THE NEW SOUTHEAST REGIONAL CRISIS CENTER (SERCC) TO SERVE REGIONAL RESIDENTS WITH MENTAL HEALTH CRISES. IN 2021 MAYO CLINIC CONTRIBUTED MORE THAN $700,000 IN OPERATING FUNDING TO SERCC.PROVIDED SALARY AND ADMINISTRATIVE SUPPORT TO OLMSTED COUNTY COMMUNITY SERVICES PSYCHIATRIST TO SERVE LOCAL QUALIFYING RESIDENTS.CONTRIBUTED MORE THAN $194,000 IN SUPPORT TO LOCAL NON-PROFIT ORGANIZATIONS TO SUSTAIN AND STRENGTHEN THEIR ABILITY TO SERVE MENTAL HEALTH NEEDS AMONG LOCAL RESIDENTS. CONTRIBUTIONS INCLUDED THE NATIONAL ASSOCIATION ON MENTAL ILLNESS (NAMI) IN ROCHESTER TO EXPAND PEER SUPPORT SERVICES FOR LOCAL RESIDENTS, ALONG WITH CAPITAL SUPPORT TO POSS-ABILITIES OF SE MINNESOTA TO RENOVATE FACILITIES TO IMPROVE AND SAFEGUARD DAYTIME ENRICHMENT PROGRAMMING FOR ADULTS WITH DISABILITIES. MAYO CLINIC'S EMERGENCY DEPARTMENT PAID FOR FIVE ROCHESTER POLICE OFFICERS TO BE PRESENT AROUND THE CLOCK TO ASSIST WITH DE-ESCALATING CONFLICT WITH PATIENTS PRESENTING WITH BEHAVIORAL HEALTH AND ADDICTION CONDITIONS TO SAFEGUARD THE SERVICE ENVIRONMENT FOR ALL COMMUNITY PATIENTS SEEKING CARE.PARTNERED WITH COMMUNITY LEADERS AND CLINICS TO ENGAGE LOCAL RESIDENTS IN CONVERSATIONS ON MENTAL HEALTH. VOCES Y VISIONES (VOICES AND VISIONS - A PLATFORM DEDICATED TO THE HISPANIC/LATIN COMMUNITY) DISCUSSED TRAUMA AND RECOVERY. THE HEALTHY BODY, HEALTHY MINDS SERIES FEATURED A DISCUSSION ON SEX, GENDER, AND MENTAL HEALTH. MAYO CLINIC ALSO COLLABORATED WITH THE VILLAGE COMMUNITY GARDEN TO HOLD OPEN-AIR DISCUSSIONS ON MENTAL HEALTH, RESILIENCY, AND RESEARCH ON MOOD DISORDERS. THESE EFFORTS REACHED MORE THAN 1,700 COMMUNITY MEMBERS.FINANCIAL STRESS: TO SUPPORT COMMUNITY EFFORTS THAT PROVIDE HUMAN SERVICES/SUPPORT FOR COMMUNITY MEMBERS EXPERIENCING FINANCIAL HARDSHIP, MAYO CLINIC IMPLEMENTED THE FOLLOWING EFFORTS TO ALLEVIATE THE HEALTH IMPACTS OF FINANCIAL STRESS: PROVIDED MORE THAN $350,000 IN MONETARY SUPPORT TO COMMUNITY-BASED ORGANIZATIONS FOR OUTREACH PROGRAMS ASSISTING PEOPLE LIVING WITH FINANCIAL STRESS. THESE CONTRIBUTIONS STRENGTHENED LOCAL RESOURCES FOR SHELTER AND AFFORDABLE HOUSING, TUTORING/MENTORING, JOB TRAINING, AND FOOD INSECURITY. IN 2021 MAYO CLINIC PROVIDED ADDITIONAL FINANCIAL SUPPORT TO ORGANIZATIONS SPECIFICALLY TO PROMOTE COVID-19 SAFETY AWARENESS AND VACCINATION CLINICS TO UNDERSERVED POPULATIONS OTHERWISE LIMITED TO ACCESS BY FINANCIAL STRESS. SERVED AS A CO-FOUNDER AND FUNDER OF THE ROCHESTER AREA HOUSING ALLIANCE AND THE ROCHESTER AREA HOUSING COALITION. IN 2021 MAYO CLINIC RECOMMITTED TO THE ALLIANCE WITH AN ADDITIONAL CONTRIBUTION OF $5 MILLION. PROVIDED MEDICAL DIRECTION AND STAFFING TO SALVATION ARMY GOOD SAMARITAN HEALTH AND DENTAL CLINICS THAT SERVE UNDER AND UN-INSURED PATIENTS IN OLMSTED COUNTY. THESE COMMUNITY PROGRAMS ALSO PRODUCE MANY PATIENT REFERRALS TO MAYO CLINIC FOR SPECIALITY CARE FOR WHICH MAYO PROVIDES CHARITABLE CARE. PROVIDED MEDICAL DIRECTION AND NURSING LIAISON SERVICES FOR STUDENT HEALTH SERVICES AT ROCHESTER ALTERNATIVE LEARNING CENTER TO ASSURE HEALTH CARE ACCESS TO UNDER AND UNINSURED PUBLIC-SCHOOL STUDENTS. DONATED FUNDING (OVER $350K), MENTORSHIP, AND STAFF PLANNING TIME TO LOCAL EDUCATION PROGRAMS SUCH AS BRIDGES TO HEALTHCARE AND MAYO CLINIC INVEST FOR SUCCESS SCHOLARS PROGRAM FOR STUDENTS FROM DIVERSE BACKGROUNDS TO ATTAIN EDUCATIONAL AND TRAINING FOR CAREERS IN HEALTH CARE. AS PART OF ITS PEDIATRIC AND ADULT REFUGEE PROGRAMS, PROVIDED FREE HEALTH CARE SERVICES FOR REFUGEES.IMPLEMENTED A NEW ELECTRONIC SOCIAL DETERMINANTS OF HEALTH PATIENT REFERRAL SYSTEM AND PAID FOR ADDITIONAL COMMUNITY HEALTH CARE WORKERS TO COUNSEL PATIENTS IDENTIFIED WITH SOCIAL BARRIERS TO HEALTH AND REFER THEM TO APPROPRIATE COMMUNITY RESOURCES. DEDICATED SERVICE HOURS OF AMBULANCE/PARAMEDIC PERSONNEL TO ASSIST HOMELESS ADULTS IN RECEIVING HEALTH CARE COUNSELING AND REFERRAL ASSISTANCE. IN 2021 THIS PROGRAM WAS EXPANDED TO HELP RESPOND TO COVID-19 COMMUNITY OUTREACH.OFFERED FREE TRANSPORTATION VOUCHERS TO EMERGENCY DEPARTMENT OUTPATIENTS WHO HAVE FINANCIAL NEED. SUBSTANCE USE: TO INCREASE MAYO CLINIC'S AND OUR LOCAL COMMUNITY'S CAPACITY TO HELP PREVENT AND TREAT PATIENTS AND RESIDENTS WITH SUBSTANCE USE, MAYO CLINIC IMPLEMENTED THE FOLLOWING TO REDUCE SUBSTANCE USE AND ABUSE: EXPANDED LOCAL SUBSTANCE USE SERVICES THROUGH THE ESTABLISHMENT OF THE SOUTHEAST REGIONAL CRISIS CENTER (SEE ABOVE UNDER MENTAL HEALTH).SUPPORTED A FULL-TIME PEER SUPPORT SPECIALIST FROM A LOCAL SUBSTANCE USE COUNSELING SERVICE WITHIN ITS EMERGENCY DEPARTMENT TO ASSIST PATIENTS WITH ADDICTION-RELATED HEALTH NEEDS. THIS SPECIALIST PROVIDES 1:1 COUNSELING AND REFERRAL SUPPORT TO HELP STABILIZE PATIENTS TO ENABLE LONG-TERM RECOVERY. DISTRIBUTED HEALTH INFORMATION ABOUT SUBSTANCE USE ACROSS ITS WEBSITES AND SOCIAL MEDIA PLATFORMS THROUGHOUT 2021 TO PROMOTE AWARENESS AND HELP DIRECT AUDIENCES TO AVAILABLE RESOURCES. HOSTED A MEDIA CONFERENCE WITH LOCAL EXPERTS TO BRING PUBLIC ATTENTION TO THE RISE IN OPIOID ABUSE DURING THE COVID PANDEMIC, DRAWING CONSIDERABLE REGIONAL MEDIA COVERAGE. THIS EFFORT ALSO ENCOURAGED THE PUBLIC TO DROP OFF UNUSED PRESCRIPTIONS TO SHERIFF'S SECURE LOCATION FOR SAFE DISPOSAL.THROUGH ITS SCHOOL OF CONTINUOUS MEDICAL PROFESSIONAL DEVELOPMENT, MAYO CLINIC EXPANDED ITS EDUCATIONAL OFFERINGS TO MEDICAL PROFESSIONALS ACROSS THE U.S. ON THE TOPIC OF OPIOIDS AND HOW TO IDENTIFY, PREVENT AND RESPOND TO OPIOID ABUSE. PARTNERED WITH COMMUNITY LEADERS AND CLINICS TO INFORM AUDIENCES ABOUT ADDICTION. VOCES Y VISIONES (VOICES AND VISIONS - A PLATFORM DEDICATED TO THE HISPANIC/LATIN COMMUNITY) DISCUSSED ADDICTION AND THOSE AFFECTED BY IT. IN COLLABORATION WITH THE VILLAGE COMMUNITY GARDEN, MAYO CLINIC HELD CONVERSATIONS ON ADDICTION AND COMMUNITY RESOURCES. THESE EFFORTS REACHED OVER 1,450 COMMUNITY MEMBERS.IN ADDITION TO THE ABOVE, MAYO CLINIC PARTICIPATED IN AND FINANCIALLY SUPPORTED STAFFING OF THE OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PROCESS. THIS PROCESS ENGAGES NUMEROUS VOLUNTEERS AND ORGANIZATIONS IN COLLABORATIVE COMMUNITY HEALTH EFFORTS TO ADDRESS LOCAL HEALTH PRIORITIES. COVID-19: IN 2021 THE COVID-19 VIRUS REMAINED A PANDEMIC IN OLMSTED COUNTY, SLOWING MAYO CLINIC AND THE SURROUNDING COMMUNITY'S ABILITY TO ADDRESS PRE-EXISTING CHNA PRIORITIES TO FOCUS ON EMERGENT PANDEMIC PREVENTION AND CARE NEEDS.DURING 2021, MAYO CLINIC AND OLMSTED COUNTY PUBLIC HEALTH RE-SURVEYED THE LOCAL COMMUNITY TO ASSESS THE PANDEMIC'S IMPACT ON PRE-EXISTING HEALTH PRIORITIES AND LEARNED THAT THE PANDEMIC HAD SIGNIFICANTLY INTENSIFIED THESE ISSUES LOCALLY. THIS DATA VALIDATED MAYO CLINIC AND OTHER LOCAL HEALTH PLANNING ENTITIES TO CONTINUE TO FOCUS THEIR COMBINED EFFORTS ON COVID-19 RESPONSE TO HELP ADDRESS ALL HEALTH PRIORITY AREAS, INCLUDING FINANCIAL STRESS, MENTAL HEALTH, AND SUBSTANCE USE.MAYO CLINIC'S RESPONSE TO COVID-19 HAS SIGNIFICANTLY CONTRIBUTED TO THE HEALTH OF LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL HEALTH. 2021 HIGHLIGHTS INCLUDE:- CONDUCTING COVID-19-RELATED RESEARCH AND SHARED FINDINGS BROADLY TO ADVANCE PREVENTION, DIAGNOSIS, AND THERAPIES TO TREAT THE COVID-19 VIRUS.- EXPANDING VIRTUAL CARE CAPABILITIES FOR HOME CARE AND TREATMENT TO SAFELY IMPROVE INPATIENT ACCESS FOR COMMUNITY AND RURAL PATIENTS.- RAPIDLY DEVELOPING AND DISSEMINATING PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.- WORKING WITH LOCAL COUNTY PUBLIC HEALTH, COMMUNITY HEALTH AND OTHER COMMUNITY-BASED ORGANIZATIONS TO PROVIDE COVID-19 EDUCATION AND VACCINE CLINICS. IN 2021 THESE EFFORTS VACCINATED MORE THAN 1,000 RESIDENTS WITH LIMITED ENGLISH PROFICIENCY (LEP) AND OTHER BARRIERS TO COVID-19 AWARENESS AND VACCINE ACCESS.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 4: MCHS IN EAU CLAIRE, - FACILITY 5: MCHS IN MANKATO, - FACILITY 8: MCHS IN FAIRMONT, - FACILITY 10: MCHS IN NEW PRAGUE, - FACILITY 11: MCHS IN WASECA, - FACILITY 12: MCHS IN BARRON, - FACILITY 13: MCHS IN BLOOMER, - FACILITY 16: MCHS IN ST. JAMES, - FACILITY 17: MCHS IN OSSEO

REPORTING GROUP A PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.

REPORTING GROUP A PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.

REPORTING GROUP A PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.

REPORTING GROUP A PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.

REPORTING GROUP A PART V, SECTION B, LINE 20D:
MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.

REPORTING GROUP A PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.

PART V, SECTION B
FACILITY REPORTING GROUP B

FACILITY REPORTING GROUP B CONSISTS OF:
- FACILITY 7: MCHS IN ALBERT LEA AND AUSTIN, - FACILITY 14: MCHS IN MENOMONIE

REPORTING GROUP B PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.

REPORTING GROUP B PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.

REPORTING GROUP B PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.

REPORTING GROUP B PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.

REPORTING GROUP B PART V, SECTION B, LINE 20D:
MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.

REPORTING GROUP B PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.

PART V, SECTION B
FACILITY REPORTING GROUP C

FACILITY REPORTING GROUP C CONSISTS OF:
- FACILITY 9: MCHS IN RED WING, - FACILITY 18: MCHS IN LAKE CITY, - FACILITY 19: MCHS IN CANNON FALLS

REPORTING GROUP C PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.

REPORTING GROUP C PART V, SECTION B, LINE 5:
COMMUNITY INPUT:MEETINGS WERE HELD THAT INVOLVED A DIVERSE GROUP OF COMMUNITY LEADERS IN GOODHUE COUNTY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE FROM SEPTEMBER 2018 TO JUNE 2019.FALL OF 2018 SURVEY DATA WAS OBTAINED THROUGH RANDOM MAILED SURVEYS IN GOODHUE COUNTY AND CONVENIENCE SAMPLE SURVEYS GATHERED IN THREE AREAS THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS - FOOD SHELVES, THE CARE CLINIC (FREE CLINIC IN GOODHUE COUNTY) AND AT GOODHUE COUNTY HEALTH AND HUMAN SERVICES LOBBY. GOODHUE COUNTY HEALTHY COMMUNITIES SUPERVISOR AND UNITED WAY OF GOODHUE, WABASHA AND PIERCE COUNTIES EXECUTIVE DIRECTOR SERVED ON THE ADVISORY TEAM FOR THE CHNA. NOVEMBER 2018 THROUGH JANUARY 2019 1:1 INTERVIEWS WITH KEY INFORMANTS WERE HELD IN EACH COMMUNITY INCLUDING PUBLIC HEALTH, CHIEF OF POLICE, SHERIFF, SCHOOL SUPERINTENDENTS, CITY STAFF, AMBULANCE SERVICES, YMCA, CHAMBERS AND CITIZENS.COMMUNITY LISTENING SESSIONS WERE HELD WITH NATURAL FOCUS GROUPS, CAPSTONE PROJECT ON MENTAL HEALTH WAS COMPLETED IN THE RED WING AREA AND CHNA UPDATES WERE GIVEN IN ALL THREE COMMUNITIES.

REPORTING GROUP C PART V, SECTION B, LINE 6A:
MCHS-LAKE CITYMCHS-CANNON FALLSMCHS-RED WING

REPORTING GROUP C PART V, SECTION B, LINE 6B:
GOODHUE COUNTY PUBLIC HEALTHUNITED WAY OF GOODHUE, WABASHA, AND PIERCE COUNTY

REPORTING GROUP C PART V, SECTION B, LINE 11:
BASED ON THE JOINT CHNA CONDUCTED IN 2019, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED BY MCHS IN LAKE CITY (MCHS-LAKE CITY), MCHS IN CANNON FALLS (MCHS-CANNON FALLS) AND MCHS IN RED WING (MCHS-RED WING): MENTAL WELL-BEINGCHRONIC DISEASE PREVENTIONSUBSTANCE MISUSEMCHS-LAKE CITY, MCHS-CANNON FALLS AND MCHS-RED WING ARE CLOSELY AFFILIATED HOSPITAL ENTITIES LOCATED IN GOODHUE COUNTY (THEIR DEFINED COMMUNITY). THEIR ROLES IN CONDUCTING THE STRATEGIES OUTLINED IN THEIR JOINT IMPLEMENTATION PLAN IS TO WORK COLLECTIVELY AND COLLIGATIVELY IN IMPLEMENTING THOSE STRATEGIES. AS SUCH, THE THREE HOSPITALS IN 2021 PARTICIPATED, EITHER DIRECTLY OR INDIRECTLY, IN THE BELOW ACTIONS UNDERTAKEN TO ADDRESS THE IDENTIFIED NEEDS.MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, THE THREE HOSPITALS: DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. HOSTED A WOMEN & WELL-BEING WEBINAR - DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PERSONALLY SPEAKING PROGRAM THEME WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE TO EDUCATE WOMEN OF THE IMPORTANCE OF PREVENTIVE CARE IN A COVID-19 ENVIRONMENT AND THE STRENGTH OF RESILIENCY WHEN FACED WITH A MEDICAL DIAGNOSIS. INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN DISCOVER GRATITUDE, WHICH IS A FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR IMPROVED MENTAL WELL-BEING. PROVIDED SUBJECT MATTER EXPERTS, DIGITAL AND PRINT RESOURCES FOR PRESENTATION ON RESILIENCY AND COPING FOR ALL CANNON FALLS SCHOOL EMPLOYEES. SERVED AS A COLLABORATIVE GROUP WITH GOODHUE COUNTY CONVENERS TO IMPROVE MENTAL HEALTH SERVICES IN GOODHUE COUNTY. PROJECTS INCLUDE MAKE IT OK, CIVILITY COMMITTEE TO REDUCE ISOLATION, RESOURCES LISTING AND FORUMS FOR AREA PROVIDERS AND COMMUNITY. PRODUCED SUBJECT MATTER EDUCATION ON A VARIETY OF BLOG TOPICS FOCUSING ON CHNA AND COVID. BLOGS PROVIDE COMMUNITY MEMBERS EDUCATIONAL ACCESS THROUGH WEB AND NEWSLETTERS. FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.CHRONIC DISEASE PREVENTION: TO EDUCATED THE COMMUNITY ON HEALTHY BEHAVIORS TO PROMOTE DISEASE PREVENTION, THE THREE HOSPITALS: PROVIDED ACCESS TO VACCINE AND SPACE FOR THE CARE CLINIC COVID VACCINATION PROGRAM IN ADDITION TO SPACE TO SUPPORT MENTAL HEALTH, DENTAL HEALTH AND MEDICAL SERVICES FOR UNINSURED/UNDERINSURED COMMUNITY MEMBERS.COMMUNICATED INFORMATION TO A VARIETY OF COMMUNITY GROUPS ON INFLUENZA SYMPTOMS, THE IMPORTANCE OF THE INFLUENZA VACCINE AND HOW TO OBTAIN AN INFLUENZA VACCINATION. SCHEDULED MAYO CLINIC LEADERS TO PRESENT AND ANSWER FREQUENTLY ASKED QUESTIONS ON COVID-19 THROUGH VIRTUAL WEBINARS WITH COMMUNITY/CIVIC ORGANIZATIONS.EDUCATED THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION USING WEBINARS. THE TOPICS OF THE THREE WEBINARS INCLUDED: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. DELIVERED AN ELECTRONIC NEWSLETTER TO A CANNON FALLS DISTRIBUTION LISTS THAT ADDRESSED TIPS AND TRICKS TO STAYING HEALTHY DURING COVID AND COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITY AREAS. SUPPORTED THE FARMERS MARKET AND THE POWER OF PRODUCE PROGRAMS TO ENCOURAGE HEALTHY FOOD CHOICES FOR AT RISK YOUTH. COUPONS WERE DISTRIBUTED IN WEEKEND BACKPACKS AND SUMMER SCHOOL LUNCHES.PROMOTED GOODHUE AND WABASHA COUNTY PUBLIC HEALTH FLU AND COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. PROMOTION WAS DONE IN SPANISH AND ENGLISH.FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. SUBSTANCE MISUSE: TO REDUCE SUBSTANCE MISUSE BY PROVIDING EDUCATION, COLLABORATION AND ADVOCACY AROUND SUBSTANCE MISUSE IN THE COMMUNITY, THE THREE HOSPITALS: ORGANIZED AND HOSTED ONGOING COMMUNITY MEETINGS WITH RECOVERY CORPS TO ASSESS READINESS FOR A RECOVERY NAVIGATOR OR RESPONSE PROJECT COORDINATOR. AT THIS TIME, A SUITABLE PARTNER WAS NOT LOCATED FOR THE PROGRAM. SUPPORTED THE HOPE AND HARBOR HOMELESS SHELTER- A 24 HOUR AND OVERNIGHT HOMELESS PROJECT. SUBSTANCE ABUSE PROGRAMMING WAS ADDED TO THE PROGRAM IN 2021 WITH THE FINANCIAL SUPPORT PROVIDED.FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.DISTRIBUTED EDUCATIONAL MATERIALS TO CHILDREN AND ADULTS ON RESILIENCE AND SUBSTANCE PREVENTION DURING CANNON FALLS FIRST THURSDAYS.PROVIDED RESOURCES FOR HISPANIC OUTREACH TO EXPAND THEIR PROGRAM TO MEET LOCAL NEEDS. IN ADDITION, THE THREE HOSPITALS WILL CONTINUE TO SUPPORT UNINSURED COMMUNITY MEMBERS IN PARTNERSHIP WITH THE CARE CLINIC, A FREE CLINIC FOR GOODHUE COUNTY RESIDENTS. THE CARE CLINIC WORKS WITH THOSE WHO ARE LIVING IN POVERTY AND ARE NOT INSURED BY PROVIDING MEDICAL AND MENTAL HEALTH SERVICES AT NO CHARGE AND DENTAL HEALTH SERVICES AT A MINIMAL CHARGE. SUPPORT INCLUDES BOARD LEADERSHIP, LIABILITY COVERAGE FOR EMPLOYEES WHO VOLUNTEER, FACILITIES, AND MINIMAL LAB/RADIOLOGY SERVICES TO ASSIST IN DIAGNOSIS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED ACCESS TO CARE, HOUSING AND SOCIO-ECONOMIC FACTORS. THESE NEEDS WILL BE ADDRESSED BY THE THREE HOSPITALS IN A SUPPORTING ROLE AND/OR BY OTHER AGENCIES, ORGANIZATIONS AND PROGRAMS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN ADDITION TO THE MAYO CLINIC ENTERPRISE RESPONSES, THE THREE HOSPITALS ALSO FOCUSED ON EDUCATING AND COMMUNICATING LOCALLY ABOUT COVID-19, INCLUDING:ATTENDANCE AT COUNTY EMERGENCY OPERATIONS CENTER MEETINGS WHICH COORDINATE AND COMMUNICATE WITH PUBLIC HEALTH OFFICIALS AND COMMUNITY PARTNERS AT EMERGENCY OPERATION CENTER MEETINGS, SOUTHEAST MINNESOTA DISASTER HEALTH CARE COALITION MEETINGS, AND COMMUNITY MEETINGS. COMMUNITY ENGAGEMENT STAFF RELAYED COMMUNITY QUESTIONS AND CONCERNS TO THE CLINICAL PRACTICE TO HELP IMPROVE SERVICE IN THE COMMUNITY.SENDING 19 SPECIALLY DESIGNED COMMUNITY E-NEWSLETTERS WITH COVID INFORMATION TO A MAILING LIST OF MORE THAN 600 COMMUNITY STAKEHOLDERS.WORKING WITH COMMUNITY PARTNERS TO COORDINATE EFFORTS TO MEET THE NEEDS OF LOW ENGLISH PROFICIENCY POPULATIONS TO PROVIDE EDUCATIONAL RESOURCES IN A VARIETY OF LANGUAGES, SPECIFICALLY SPANISH, SOMALI, KAREN, AND KAYAH. THE TEAM INITIATED A CAMPAIGN TO INCREASE VACCINE ADOPTION - THE GET IT CAMPAIGN - WHICH INCLUDED DIGITAL MESSAGES, SIGNAGE, ADVERTISEMENTS AND A GUEST COMMENTARY IN LOCAL PAPERS.ORGANIZING A NUMBER OF VIRTUAL COMMUNITY FORUMS FEATURING MAYO CLINIC EXPERTS TO PROVIDE ACCURATE AND TIMELY INFORMATION ON COVID AND ANSWER QUESTIONS FROM THE COMMUNITY. OVER THE COURSE OF THREE SUCH WEBINARS, MORE THAN 350 PEOPLE ATTENDED LIVE AND MORE WATCHED THE RECORDINGS. PRESENTING TO COMMUNITY GROUPS. MAYO CLINIC HEALTH SYSTEM LEADERS AND SUBJECT MATTER EXPERTS ALSO ATTENDED KEY COMMUNITY EVENTS (CHAMBER OF COMMERCE, SERVICE CLUBS, ECONOMIC DEVELOPMENT MEETINGS, SCHOOL BOARD MEETINGS, LONG TERM CARE FACILITIES, EMPLOYER SESSIONS) TO ANSWER COMMUNITY QUESTIONS RELATED TO COVID.PUBLISHING GUEST COMMENTARIES IN LOCAL NEWSPAPERS TO SHARE PERSPECTIVES OF LOCAL PROVIDERS WITH THE GENERAL PUBLIC.PROMOTING SCHOOL VACCINATIONS BY WORKING WITH LOCAL PUBLIC HEALTH AND LOCAL SCHOOL SYSTEMS TO SEND TEAMS TO VACCINATE AGES 16-18 AND, RIGHT BEFORE THE 2020-2021 SCHOOL YEAR ENDED, TO VACCINATE STUDENTS AGED 12 AND OLDER.

REPORTING GROUP C PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.

REPORTING GROUP C PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.

REPORTING GROUP C PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.

REPORTING GROUP C PART V, SECTION B, LINE 20D:
MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.

REPORTING GROUP C PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.

PART V, SECTION B
FACILITY REPORTING GROUP D

FACILITY REPORTING GROUP D CONSISTS OF:
- FACILITY 2: MCHS IN LA CROSSE, - FACILITY 15: MCHS IN SPARTA

REPORTING GROUP D PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.

REPORTING GROUP D PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.

REPORTING GROUP D PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.

REPORTING GROUP D PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.

REPORTING GROUP D PART V, SECTION B, LINE 20D:
MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.

REPORTING GROUP D PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.

PART V, SECTION B
FACILITY REPORTING GROUP E

FACILITY REPORTING GROUP E CONSISTS OF:
- FACILITY 1: MAYO CLINIC HOSPITAL ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA

REPORTING GROUP E PART V, SECTION B, LINE 3J:
REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.

REPORTING GROUP E PART V, SECTION B, LINE 13H:
THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED AND UNIQUENESS OF CARE. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.

REPORTING GROUP E PART V, SECTION B, LINE 15E:
REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.

REPORTING GROUP E PART V, SECTION B, LINE 16J:
UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.

REPORTING GROUP E PART V, SECTION B, LINE 20D:
MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.

REPORTING GROUP E PART V, SECTION B, LINE 20E:
FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
MEDICAL INDIGENCY MAY BE USED TO DETERMINE ELIGIBILITY. IF A PATIENT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, BUT THE PATIENT DOES NOT QUALIFY BASED ON FPG, CHARITY WILL BE ADJUSTED TO A MINIMUM OF THE AMOUNT GENERALLY BILLED (AGB). THE AGB IS DETERMINED USING THE LOOK-BACK METHOD AND CALCULATED USING ALL CLAIMS ALLOWED BY PRIVATE PAY INSURERS (INCLUDING MEDICARE ADVANTAGE) AND MEDICARE (TRADITIONAL) FOR INPATIENT AND OUTPATIENT SERVICES FOR THE YEAR.

PART I, LINE 6A:
DURING THE YEAR, SOME, BUT NOT ALL, OF THE SUBORDINATES PRODUCED AN ANNUAL REPORT FOR THE COMMUNITY, WHICH WAS MADE AVAILABLE TO THE PUBLIC ON THE WEB.

PART I, LINE 7:
A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.

PART I, LINE 7G:
THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $108,143,056.

PART I, LINE 7, COLUMN (F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 141,275,134.

PART I, LINE 5A:
CHARITY CARE IS ESTIMATED FOR FINANCIAL PLANNING PURPOSES ONLY. THE ESTIMATED AMOUNT OF CHARITY CARE DOES NOT INFLUENCE NOR HAVE ANY IMPACT ON THE AMOUNT OF CHARITY CARE PROVIDED.

PART III, LINE 1:
THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.

PART II, COMMUNITY BUILDING ACTIVITIES:
DONATIONS AND GRANTS TO PUBLIC, PRIVATE AND NONPROFIT ORGANIZATIONS ASSIST WITH SUSTAINING AND ENHANCING THE DETERMINANTS OF HEALTH OF THE COMMUNITIES SERVED.

PART III, LINE 2:
BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.

PART III, LINE 4:
FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 10 AND 13 OF MAYO CLINIC'S 2021 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.

PART III, LINE 8:
THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF APPROXIMATELY $1,248,470,000.THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H AND THE MEDICARE SHORTFALL BASED ON THE FINANCIAL STATEMENTS INCLUDE: (1) INCLUSION OF MEDICARE ADVANTAGE REVENUE AND EXPENSES; (2) INCLUSION OF PART B REVENUE AND EXPENSES; (3) INCLUSION OF OTHER FEE SCHEDULE REVENUE; AND (4) SOME TIMING ISSUES.THE MEDICARE SHORTFALL REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS REPORTS THE TOTAL MEDICARE SHORTFALL RELATED TO PATIENT CARE PROVIDED BY ALL SUBORDINATES IN THE GROUP RETURN AND IS THEREFORE NOT ADJUSTED FOR EDUCATION EXPENSE AND SUBSIDIZED HEALTH SERVICES.REASONS WHY THE MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.

PART III, LINE 9B:
MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION AND CONSIDER FINANCIAL ASSISTANCE PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY. MAYO CLINIC AND AFFILIATES ALSO MAKE REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS BEFORE REQUESTING PAYMENT FROM A PATIENT. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS POTENTIALLY MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA, OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY BASED ON SUBMISSION OF REQUESTED INFORMATION. COLLECTION ACTIVITY WOULD ONLY RESUME IF THE PATIENT IS DETERMINED TO BE INELIGIBLE FOR FINANCIAL ASSISTANCE OR IS ELIGIBLE FOR ONLY PARTIAL FINANCIAL ASSISTANCE AND DOES NOT AGREE TO PAY THE REMAINING BALANCE.

PART VI, LINE 7:
NEITHER THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO A STATE HOSPITAL ASSOCIATION.

PART VI, LINE 2:
"MAYO CLINIC, THE CENTRAL ORGANIZATION FOR THE SUBORDINATES INCLUDED IN THIS GROUP RETURN, ATTRACTS PATIENTS FROM AREAS FAR BEYOND ITS IMMEDIATE COMMUNITIES. PATIENTS COME TO MAYO CLINIC FROM EVERY STATE AND MANY FOREIGN COUNTRIES. BESIDES ITS PRINCIPAL CLINICAL AND HOSPITAL FACILITIES IN ROCHESTER, MINNESOTA, MAYO CLINIC HAS FACILITIES IN SCOTTSDALE AND PHOENIX, ARIZONA AS WELL AS JACKSONVILLE, FLORIDA. MAYO CLINIC ALSO HAS A NETWORK OF COMMUNITY BASED HEALTH CARE PROVIDERS IN APPROXIMATELY 50 COMMUNITIES THROUGHOUT SOUTHERN MINNESOTA, NORTHERN IOWA, AND WEST CENTRAL WISCONSIN. IN ADDITION, MAYO CLINIC SUPPORTS AND COORDINATES EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING WITHIN EACH OF THE COMMUNITIES IT SERVES AS WELL AS CONDUCTING MEDICAL EDUCATION AND RESEARCH ACTIVITIES TO ADVANCE THE SCIENCE OF MEDICINE TO BENEFIT A BROAD RANGE OF REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES.THE SUBORDINATES INCLUDED IN THIS GROUP RETURN WORK COLLABORATIVELY WITH THEIR INPATIENT AND OUTPATIENT PRACTICES TO MEET THE HEALTH CARE NEEDS OF THEIR RESPECTIVE LOCAL COMMUNITIES. THESE ENTITIES ARE COLLECTIVELY REFERRED TO AS ""MAYO CLINIC"" FOR PURPOSES OF THIS DESCRIPTION.MAYO CLINIC'S EFFORTS TO ASSESS THE HEALTH CARE NEEDS OF THE LOCAL COMMUNITIES REST ON FOUR GUIDING PRINCIPLES DEVELOPED IN CONJUNCTION WITH COMMUNITY PARTNERS AND AFFIRMED BY MAYO CLINIC LEADERSHIP:1. HEALTH IS VALUED BY BOTH THE COMMUNITY AND MAYO CLINIC.2. ""HEALTH"" IS DETERMINED BY BOTH MEDICAL AND NON-MEDICAL (E.G., SOCIAL AND BEHAVIORAL) FACTORS AND BOTH CATEGORIES OF FACTORS MUST BE ADDRESSED.3. MAYO CLINIC IS COMMITTED TO PRODUCING MEASURABLE IMPROVEMENTS IN THE HEALTH OF LOCAL COUNTY RESIDENTS AND BEYOND.4. STRATEGIES TO IMPROVE COMMUNITY HEALTH ARE BEST DETERMINED AND IMPLEMENTED THROUGH PARTNERSHIPS BETWEEN HEALTH CARE PROVIDERS AND COMMUNITY MEMBERS.WITH THESE PRINCIPLES AS THE BASIS OF ITS DECISION MAKING, AND CONSISTENT WITH ITS PRIMARY VALUE OF ""THE NEEDS OF THE PATIENT COME FIRST"", MAYO CLINIC'S APPROACH TO ASSESS THE NEEDS OF THE COMMUNITY IS ORGANIZED INTO TWO MAIN FUNCTIONS: 1) MECHANISMS TO ENGAGE AND UTILIZE INPUT FROM THE COMMUNITY AND 2) MECHANISMS TO SUPPORT AND COORDINATE INITIATIVES WITHIN MAYO CLINIC.WITHIN MAYO CLINIC, COORDINATION OF COMMUNITY ENGAGEMENT INITIATIVES IS ACCOMPLISHED THROUGH COMMUNITY GIVING COMMITTEES THAT EVALUATE FUNDING AND SPONSORSHIP REQUESTS FROM COMMUNITY AGENCIES AND GUIDES INSTITUTIONAL SUPPORT FOR VARIOUS COMMUNITY INITIATIVES. THE COMMITTEES ENSURE THE GUIDING PRINCIPLES ARE FOLLOWED AND FACILITATE COMMUNITY OUTREACH INITIATIVES."

PART VI, LINE 3:
MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE.MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AND APPLICATIONS AVAILABLE ON THEIR WEBPAGES, INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY AND APPLICATION FREE OF CHARGE. INDIVIDUALS IN THE COMMUNITY SERVED WILL BE ABLE TO OBTAIN A COPY OF THE POLICY IN LOCATIONS THROUGHOUT EACH MAYO CLINIC AFFILIATED SITE OR UPON REQUEST IN PERSON OR BY PHONE. THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE PLAIN LANGUAGE SUMMARY (PLS) EXPLAIN THE FINANCIAL ASSISTANCE PROGRAM AND OUTLINES ELIGIBILITY CRITERIA AND PROVIDES INSTRUCTIONS TO SUBMIT AN APPLICATION. WITHIN EACH HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED. ADDITIONALLY, CHARITABLE CARE AND FINANCIAL ASSISTANCE IS REFERENCED ON PATIENT CORRESPONDENCE INCLUDING: THE MONTHLY STATEMENT OF ACCOUNT, ACCOUNT BALANCE LETTERS, AND LATE PAYMENT NOTIFICATIONS. ALL PATIENT CORRESPONDENCE REFERENCING CHARITABLE CARE AND FINANCIAL ASSISTANCE INCLUDE INTERNET, PHONE, AND MAILING ADDRESS CONTACT INFORMATION. PATIENTS MAY ALSO BE MADE AWARE OF THE FAP VIA THEIR PROVIDER AND/OR OTHER MAYO CLINIC EMPLOYEES, WHO CAN PUT A PATIENT IN CONTACT WITH RESOURCES AVAILABLE TO ASSIST WITH THE APPLICATION PROCESS.

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"THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH MAYO CLINIC. MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF ""THE NEEDS OF THE PATIENT COME FIRST."" APPROXIMATELY 6,900 PHYSICIANS, SCIENTISTS AND RESIDENTS AND OVER 63,000 ADMINISTRATIVE AND ALLIED HEALTH STAFF WORK AT MAYO CLINIC, WHICH HAS SITES IN ROCHESTER, MINNESOTA, JACKSONVILLE, FLORIDA, AND SCOTTSDALE/PHOENIX, ARIZONA, AS WELL AS A REGIONAL NETWORK OF HOSPITALS AND CLINICS IN MINNESOTA, WISCONSIN, AND IOWA. COLLECTIVELY, MORE THAN 1.3 MILLION PEOPLE ARE TREATED EACH YEAR. SPECIFICALLY, THE SUBORDINATE ORGANIZATIONS REPORTED ON SCHEDULE H OF THIS GROUP RETURN PROVIDE ONE OR MORE OF THE FOLLOWING SERVICES AT THEIR RESPECTIVE LOCATIONS: MEDICAL EDUCATION, RESEARCH, HOSPITAL AND CLINIC SERVICES.FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS (REPORTED IN SCHEDULE O)."

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MAYO CLINIC HOSPITAL - ROCHESTER WORKS COLLABORATIVELY WITH MAYO CLINIC TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. TOGETHER, MAYO CLINIC AND MAYO CLINIC HOSPITAL - ROCHESTER SERVE THE POPULATION OF OLMSTED COUNTY IN MINNESOTA AS WELL AS A WIDER REGIONAL, NATIONAL, AND EVEN INTERNATIONAL POPULATION. ALTHOUGH IT SERVES A WIDE RANGE OF HEALTH CARE NEEDS INCLUDING PRIMARY AND COMMUNITY CARE, MAYO IS ESPECIALLY FOCUSED IN PROVIDING TERTIARY CARE AND SPECIALTY TREATMENT OF THE MORE UNUSUAL AND DIFFICULT MEDICAL CASES.DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2021, OLMSTED COUNTY HAD AN ESTIMATED POPULATION OF 163,436, OF WHICH AN ESTIMATED 24.40% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 15.90% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $80,403 WITH APPROXIMATELY 6.4% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC ARIZONA (MCA) IS LOCATED IN THE GREATER PHOENIX METROPOLITAN AREA. MCA'S OUTPATIENT CLINIC IS IN THE NORTHEAST QUADRANT OF SCOTTSDALE, ARIZONA. MCA'S INPATIENT HOSPITAL IS LOCATED IN NORTH PHOENIX, APPROXIMATELY 13 MILES NORTHWEST OF THE SCOTTSDALE LOCATION. POPULATIONS SERVED ARE FROM THE PHOENIX/SCOTTSDALE AREA, THE SOUTHWESTERN UNITED STATES AND INTERNATIONALLY. BOTH PHOENIX AND SCOTTSDALE ARE MORE URBAN AND SUBURBAN COMMUNITIES. HOWEVER, MCA RESIDES IN MARICOPA COUNTY - THE LARGEST COUNTY IN THE STATE AND 4TH LARGEST IN THE UNITED STATES. IN ADDITION TO LARGE METROPOLITAN, URBAN AND SUBURBAN COMMUNITIES, IT ALSO HAS A LARGER SERVICE AREA OF RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS, AS OF JULY 1, 2021, MARICOPA COUNTY HAD AN ESTIMATED POPULATION OF 4,496,588, OF WHICH AN ESTIMATED 23.50% WAS UNDER THE AGE OF 18 AND 15.50% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $67,799 WITH APPROXIMATELY 11.60% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC FLORIDA (MCF) AND ITS AFFILIATED CLINIC, MAYO CLINIC JACKSONVILLE (MCJ), ARE LOCATED IN JACKSONVILLE, FLORIDA. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF DUVAL AND ST. JOHNS COUNTIES IN NORTHEAST FLORIDA. POPULATIONS SERVED ARE FROM THE JACKSONVILLE AREA, THE SOUTHEASTERN UNITED STATES AND INTERNATIONALLY. THE SERVICE AREA WOULD INCLUDE METROPOLITAN, URBAN AND SUBURBAN COMMUNITIES. IN ADDITION, THE SERVICE AREA WOULD EXTEND TO AREAS WITH RURAL AND FARMING COMMUNITIES. MCF/MCJ DOES NOT HAVE PEDIATRIC OR OBSTETRIC PRACTICES, AND THIS LIMITS ACCESS TO MEDICAID PATIENTS SINCE FLORIDA'S MEDICAID BENEFITS ARE GENERALLY RESTRICTED TO CHILDREN AND PREGNANT WOMEN. HOWEVER, MCF/MCJ DOES HAVE AGREEMENTS WITH THE STATE OF FLORIDA TO PROVIDE A CERTAIN PERCENTAGE OF ORGAN TRANSPLANTS TO MEDICAID OR CHARITY PATIENTS (THE AMOUNT VARIES WITH EACH ORGAN).DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS, AS OF JULY 1, 2021, DUVAL AND ST. JOHNS COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 1,292,401 OF WHICH AN ESTIMATED 22.05% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.55% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $70,286 WITH APPROXIMATELY 11.65% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-ALBERT LEA AND AUSTIN, MCHS-CANNON FALLS, MCHS-LAKE CITY, AND MCHS-RED WING ARE LOCATED IN THE SOUTHEAST REGION OF MINNESOTA. MCHS-ALBERT LEA AND AUSTIN PRIMARILY SERVE THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF MOWER, FREEBORN, STEELE AND RICE, WHEREAS MCHS-CANNON FALLS, LAKE CITY, AND RED WING PRIMARILY SERVE THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF GOODHUE AND WABASHA. BOTH SERVICE AREAS INCLUDE URBAN, SUBURBAN, RURAL AND FARMING COMMUNITIES.DEMOGRAPHICS: BASED ON THE U.S. CENSUS BUREAU QUICKFACTS, AS OF JULY 1, 2021, STEELE, RICE, MOWER, AND FREEBORN COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 175,518, OF WHICH AN ESTIMATED 22.87% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.93% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $60,202 WITH APPROXIMATELY 9.03% OF THE POPULATION BELOW THE POVERTY LEVEL.GOODHUE AND WABASHA COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 69,477, OF WHICH AN ESTIMATED 21.85% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 21.35% WAS OVER THE AGE OF 65. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $68,620 WITH APPROXIMATELY 6.65% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-MANKATO, MCHS-FAIRMONT, MCHS-WASECA, MCHS-ST. JAMES AND MCHS-NEW PRAGUE ARE LOCATED IN THE SOUTHWEST REGION OF MINNESOTA. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF THE COUNTIES OF BLUE EARTH, NICOLLET, MARTIN, WASECA, WATONWAN, SCOTT AND LE SUEUR IN SOUTHERN MINNESOTA. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN SOUTHERN MINNESOTA AND NORTHERN IOWA. THIS SERVICE AREA INCLUDES URBAN AND SUBURBAN COMMUNITIES, ALONG WITH RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2021, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION OF 335,771, OF WHICH AN ESTIMATED 23.17% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.59% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $68,146 WITH APPROXIMATELY 8.06% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-EAU CLAIRE, MCHS-MENOMONIE, MCHS-OSSEO, MCHS-BLOOMER AND MCHS-BARRON ARE LOCATED IN WESTERN WISCONSIN. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF THE COUNTIES OF EAU CLAIRE, DUNN, TREMPEALEAU, BARRON AND CHIPPEWA. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN WESTERN WISCONSIN. THIS SERVICE AREA INCLUDES URBAN AND SUBURBAN COMMUNITIES, ALONG WITH RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2021, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION 296,307, OF WHICH AN ESTIMATED 21.62% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 18.34% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $59,053 WITH APPROXIMATELY 9.32% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-FRANCISCAN MEDICAL CENTER, INC. (LA CROSSE AND SPARTA) SERVES THE RESIDENTS OF LA CROSSE AND MONROE COUNTIES IN WISCONSIN. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN SOUTHWESTERN WISCONSIN AND SOUTHEASTERN MINNESOTA. THE CITY OF LA CROSSE REPRESENTS A SMALL URBAN AREA AND THE BALANCE OF THE SERVICE AREA IS EITHER RURAL OR SMALL TOWNS. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2020, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 166,626, OF WHICH AN ESTIMATED 22.40% WAS UNDER THE AGE OF 18 AND 17.20% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $60,451 WITH APPROXIMATELY 10.25% OF THE POPULATION BELOW THE POVERTY LEVEL.

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"THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE AFFILIATES OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF ""THE NEEDS OF THE PATIENT COME FIRST."" THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE,MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION - EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED.PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES. SURPLUS FUNDS - MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE.COMMUNITY REPRESENTATION ON GOVERNING BODY - THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE INDEPENDENT NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE SUCH AREAS AS HEALTH CARE POLICY, RESEARCH, EDUCATION, BUSINESS, AND GOVERNMENT. THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN, WHICH ARE CONTROLLED BY MAYO CLINIC, RELY ON THE COMMUNITY REPRESENTATION OF THE MAYO CLINIC BOARD OF TRUSTEES TO FULFILL THIS REQUIREMENT. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, SEVERAL OF THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ALSO INVOLVE LOCAL COMMUNITY MEMBERS ON THEIR GOVERNING BODIES. OPEN V. CLOSED STAFF MODEL - SEVERAL OF MAYO CLINIC'S HOSPITAL ENTITIES HAVE OBTAINED LETTER RULINGS APPROVING A STAFF MODEL IN WHICH ONLY MAYO CLINIC EMPLOYED PHYSICIANS ARE GIVEN STAFF PRIVILEGES IN ORDER TO MAINTAIN STANDARD METHODS OF PRACTICE AND PROTOCOLS. FOR THOSE ENTITIES, THE PHYSICIANS ARE SALARIED EMPLOYEES AND THUS THE ISSUE OF PRIVATE INUREMENT AND PRIVATE BENEFIT ADDRESSED BY THE OPEN STAFF REQUIREMENT ARE OTHERWISE ADDRESSED. THREE OF THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN OPERATE BASED ON THE CLOSED STAFF MODEL.EMERGENCY ROOM - THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN MAINTAIN EMERGENCY ROOMS WITHIN THEIR HOSPITAL FACILITIES 24 HOURS A DAY, 7 DAYS A WEEK, WHICH ARE OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY."