innerViews_summer2013 - Wheaton Franciscan Healthcare

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Wheaton Franciscan Healthcare creates plans to address community health needs For several years, Wheaton Franciscan Healthcare has been giving back to the community through countless charitable programs including free health classes, screenings, health fairs, and donations. It is no surprise that meeting community needs continues to be one of our most recognizable contributions as an organization. In 2010, the Patient Protection and Affordable Care Act included a provision that all not-for-profit hospitals are required to complete a community health needs assessment, report findings, and create an implementation plan that documents our work in addressing the needs of the community. It is required that the assessment and implementation strategy be developed for each hospital site in the organization and be made widely available to the public every three years. After focused efforts and collaborative work, Wheaton Franciscan Healthcare produced community needs assessment reports and developed coinciding implementation plans for all of our hospitals sites in Southeast Wisconsin, Illinois, and Iowa. Wheaton worked with a variety of organizations to gather information on health needs and concerns specific to the communities we serve: In Southeast Wisconsin, Wheaton Franciscan Healthcare partnered with the Milwaukee Health Care Partnership to obtain data through a health telephone survey, secondary data research and key informant interviews and focus groups. Key Focus Areas: In Iowa, all sites used the Robert Wood Johnson County Health Rankings as primary data. Covenant Medical Center and Sartori Memorial Hospital also worked with 52 agencies including area school districts, Black Hawk County Health Department, Hawkeye Area Agency on Aging and the Northeast Iowa Food Bank for secondary data. Mercy Hospital used the Oelwein Area Health Needs Assessment Survey for secondary data. In Illinois, Marianjoy used information from national, state, and local agencies including the DuPage County Health Department, Illinois Department of Public Health, US Department of Health and Human Services, the US Department of Labor, and the US Census Bureau. In addition, Marianjoy maintains collaborative communication with Access DuPage, the DuPage County Para-Transit Advisory Board, Giving DuPage Steering Committee, DuPage County Senior Fair and DuPage Workforce Board. Once all of the data was gathered and analyzed, it provided significant information to help each organization develop plans on how to address the needs of the community. Key leaders were appointed by market and region presidents to analyze the data, create subcommittees to study the findings and assess resources at our facilities to develop an implementation strategy for each hospital. The plans were tailored to address the needs of the communities served by each hospital campus and focused on key priorities that are supported by strategies that will be put in place to meet the needs identified. Southeast Wisconsin Iowa Illinois • Access to care • Infant mortality • Mental health • Healthy lifestyle • Community safety • Alcohol use • Smoking • Access and education • Health behaviors and education • Mental health • Cardiovascular disease • Cancer • Maternal, infant and child health • Clinical care • Social factors • Access to care and adaptive devices for individuals with disabilities • Vocational assistance and job placement • Driver rehabilitation • Scholarships for students with physical disabilities • Community support groups for individuals with disabilities • Community education classes that prevent disability and enhance functional independence • Caregiver and family education programs You can find the community needs assessments and implementation plans by visiting http://www.wfhealthcare.org/Wheaton/AboutUs/CommunityNeedsAssessment.aspx. 10 (inner)Views • Summer 2013
Affordable insurance to be available in 2014 As states finalize their plans for Medicaid coverage in 2014, many low-income families and individuals will be looking for affordable health insurance coverage in the Health Insurance Marketplace, sometimes referred to as an Exchange. Below is a brief overview of the financial support that will be available in 2014 for low-income individuals seeking affordable insurance coverage in the Marketplace. Who is eligible to receive a subsidy Individuals earning between 100% and 400% of the Federal Poverty Level (FPL) (between about $11,000 and $46,000 annually for an individual) will be eligible for premium tax credits to help pay the premium of a health insurance plan. These tax credits are sometimes called “Advance Premium Tax Credits.” Individuals who are eligible for Medicaid or another public program or have affordable coverage offered through their employer are not eligible for these tax credits. The tax credit is paid directly to the insurance company by the Marketplace. How much is the premium tax credit The amount of the premium tax credit is based on a sliding scale that limits the amount an individual pays toward his or her health insurance premium. The limit is based on a percentage of an individual’s income. For individuals making less than 250% FPL (about $28,700 for an individual), the tax credit will be calculated in a manner that allows them to purchase a plan that has lower out-of-pocket costs. Income Level Up to 133% FPL Premium as a Percent of Income 2% of income 133-150% FPL 3 – 4% of income 150-200% FPL 4 – 6.3% of income 200-250% FPL 6.3 – 8.05% of income 250-300% FPL 8.05 – 9.5% of income 300-400% FPL 9.5% of income Is there a limit on how much someone has to pay for co-pays Yes, there is a maximum for “out-of-pocket” expenses for certain services. The maximum limit is based on the maximum out-of-pocket expenses for a high-deductible plan. In 2013, that limit would have been $6,250. For individuals making between 100% and 400% FPL, the out-of-pocket maximums are capped at lower limits: Income Level Reduction in Out-of-Pocket Liability 100-200% FPL Two-thirds of the maximum 200-300% FPL One-half of the maximum 300-400% FPL One-third of the maximum Putting it all in context, John Doe, a single, non-smoker and is looking for insurance: John’s household income in 2013: Unsubsidized Health Insurance Premium in 2013: Maximum % of income John has to pay for the nontobacco premium: Amount John pays for the premium: John could receive a government tax credit subsidy of up to: $11,720 $3,018 2% Out-of-Pocket Maximum $2,250 $234 (which equals 2% of John’s household income and covers 8% of the overall premium) $2,784 (which covers 92% of the overall premium) *Calculations in John Doe example courtesy of Kaiser Family Foundation Subsidy Calculator. For more information, please contact Elizabeth Cliffe-Kucharski at Elizabeth.CliffeKucharski@wfhc.org. Summer 2013 • (inner)Views 11
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Page 3 and 4: Dear Friends, As we move forward in
Page 5 and 6: Measures of Our Mission Wheaton Fra
Page 7 and 8: Partnership with Goodwill Industrie
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Page 15 and 16: Our People System Brenda Bowers nam
Page 17 and 18: Our People (continued from page 16)
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innerViews_summer2013 - Wheaton Franciscan Healthcare

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