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Enhanced reimbursement by CMS for which populations would most benefit your organization?
  • Dual Eligible Beneficiaries
    13%
  • Medicaid Childrens’ Health Insurance Program (CHIPS) enrollees
    3%
  • Traditional Medicare Fee For Service
    24%
  • All of the above
    60%

What surprised you the most about the data in this report?
  • The extent of disparities across the US
    19%
  • The rates and severity of depression across the US
    11%
  • The percentage of persons who have not received their stimulus check
    24%
  • Nothing!
    46%

How would data obtained from the surveillance and tracking of COVID-19 patients most benefit your organization?:
  • Dedicated funding for public health initiatives
    25.25%
  • Increased reimbursement for all healthcare organizations (e.g., through payers, ICD 10-CM codes).
    35.35%
  • Increased funding for new programs in data identified underserved communities (e.g., federally qualified health centers, safety net hospitals
    20.2%
  • Dedicated funding for data identified underserved communities
    19.19%

My organization has seen an increase in reports of child abuse, neglect or exploitation:
  • Do not serve pediatric populations
    23.76%
  • Don’t know
    60.4%
  • No
    11.88%
  • Yes
    3.96%

With respect to the pandemic, my healthcare agency/organization is:
  • Still in crisis mode at the height of our pandemic response
    9%
  • Moving back to more normal operations
    64%
  • Reorganizing our scope and operations
    26%
  • Closing
    1%

Have you experienced a Pandemic-related furlough or layoff at your healthcare organization?
  • Yes
    48%
  • No
    41%
  • Not yet, but expected
    11%

Approval of which ICD10-CM Z code, would be the biggest asset to your organization?
  • Z56: Problems related to employment and unemployment
    26.73%
  • Z59: Problems related to housing and economic circumstances
    24.75%
  • Z60: Problems related to social environment (e.g. living alone, life cycle transition)
    21.78%
  • Z63: Other problems related to primary support group (e.g., disappearance/death of a family member, addiction/substance use, dependent relative needing care)
    26.73%

Since the start of the pandemic, the number of your patients reporting lack of health insurance has:
  • Increased
    41.41%
  • Stayed the same
    55.56%
  • Decreased
    3.03%

Do the patients served in your community have access to COVID19 rapid testing, whether through your facility, or other local sites:
  • Yes
    51%
  • No
    16%
  • Unsure
    33%

Telehealth in my organization is available for use:
  • 100%: All licensed professionals of any discipline for all programs
    28%
  • 50%: Only MDs or their designees (e.g., DBH, PsyDs, PAs, NPs) for some programs
    39%
  • 25%: Limited MDs and programs
    23%
  • Unavailable
    10%

Do You Have Distinct COVID19 Discharge Protocols in Place to Assess Patients’ Housing Status
  • Not relevant for my setting
    24%
  • No
    8%
  • Don't know
    47%
  • Yes
    21%

How is your hospital’s supply of personal protective equipment?
  • We have plenty
    5%
  • We are short and are conserving
    46%
  • We are short and are recycling
    12%
  • We have nearly none and providers are using bandanas
    0%
  • Don’t work in a hospital
    37%

What issue most stands in the way of implementing programs and services to address the SDoH at your organization?
  • Addressing them is viewed as outside the organization scope
    9%
  • Inability to prove ROI from the effort
    13%
  • Lack of reimbursement them
    37%
  • There are other priorities for the organization
    41%

How often do patient utility challenges impact their discharge or readmission?
  • 25%
    27%
  • 50%
    16%
  • 75%
    4%
  • Who knows? We don't ask that.
    53%

Survey: Which domain has the greatest impact on the outcomes for your patient population?
  • Lack of specialty care
    11%
  • Lack of primary care
    14%
  • Being uninsured
    31%
  • Socioeconomic status
    44%

Survey: How often do you partner with community-based organizations (CBOs) to address the social needs of your patients? Survey Question Total Responses Unique Respondents Survey Answer Options Survey Answer Selections (%) How often do you partner wi
  • 25% of the time
    28.28%
  • 50% of the time
    33.33%
  • 75% of the time
    18.18%
  • Are you kidding? Its 100%!
    20.2%

What are the most utilized ICD 10 CM Z Codes for the Medicare Fee For Service (FFS) beneficiaries at your organization?
  • Z59.0 - Homelessness
    27.72%
  • Z60.2 – Problems related to living alone
    20.79%
  • Z63.4 – Disappearance and death of family member
    1.98%
  • Z65.8 – Other specified problems related to psychosocial circumstances
    27.72%
  • Something else
    21.78%

What challenges does your ED face for patients presenting with behavioral health and substance abuse needs?
  • Inability to access previously prescribed medications
    4%
  • Inability to access appropriate behavioral health follow-up (psychiatrist or therapy)
    15%
  • Lack of appropriate treatment options (mental health or substance use)
    15%
  • All of the above
    66%

What is the most frequently cited unaffordable item by your patient population:
  • Healthy foods
    9%
  • Housing
    11%
  • Transportation
    12%
  • Prescribed medications
    68%

How should Medicare Hospital Compare reconcile the issue of accounting for Neighborhood Social Risk?
  • Pull together industry stakeholders to develop SDoH specific recommendations
    27.55%
  • Obtain data on how much reimbursement was lost across hospitals and health systems
    27.55%
  • Revamp the Medicare Hospital Compare rating system
    36.73%
  • Scrap Medicare Hospital Compare: I never liked it anyway!
    8.16%

How much will attention will your organization dedicate to the Social Determinants in 2020?
  • More attention than 2019
    34.65%
  • Less attention than 2019
    0.99%
  • The same amount of attention as 2019
    26.73%
  • Who knows! I need a crystal ball to tell me.
    37.62%

How likely are you to trust Twitter or another social media site to define the healthcare priorities for your organization’s target population?
  • Very Likely
    2%
  • Somewhat
    13%
  • Unlikely
    52%
  • Not at All
    33%

What should be on your organization’s holiday ‘wish list’ to address the SDoH?
  • Implement new screening and assessment tools/platforms
    30.69%
  • Enhance cross-sector partnerships to expand service/programs
    23.76%
  • Access grant funding for program development/service expansion
    14.85%
  • Expand dedicated staffing for population health initiatives
    30.69%

For those patients who identify as veterans, what is their most pressing SDoH-related challenge?
  • Insufficient health or mental health access
    67.33%
  • Lack of health insurance
    10.89%
  • Food Insecurity
    0.99%
  • Homelessness
    20.79%

How does your organization address healthcare inequities and potential disparities in care?
  • Completion of outcomes on at-risk target populations
    9%
  • Assurance of inclusion practices in hiring practitioners and professional staff
    20%
  • Use of key data from EHRs to identify gaps in care
    23%
  • Leverage initiatives for at risk populations at risk (e.g. cancer screenings, women’s health, cardiac disease).
    48%

What have your experiences been with coverage of non-clinical needs (e.g., transportation, caregiving, utilities and prescription payment, food) by Medicare Advantage (MA) plans for your target populations
  • They’ve covered 100% of identified non-clinical services
    0%
  • They’ve covered 50% of identified non-clinical services
    5%
  • They’ve covered 25% of identified non-clinical services
    6%
  • They are inconsistent in what non-clinical services they cover
    89%

Which, of the following options has your organization found to be the most effective in addressing costs related to the SDoH?
  • Integrate SDoH data into Electronic Health Record platforms
    35%
  • Develop formal collaborations with community resource partners
    37%
  • Use interprofessional documentation of SDoH, and ICD 10 CM Z codes.
    17%
  • Obtain grant funding for SDoH related populations, initiatives, and programs
    11%

How do you refer to the Social Determinants in your organization?
  • The Social Determinants
    70%
  • Social Influencers
    7%
  • Social Drivers
    7%
  • Something else
    16%

For your patients dealing with the Social Determinants, what percentage also deal with one or more chronic illnesses (whether physical, behavioral health, or both)
  • 10% or less
    3%
  • 11%-25%
    11%
  • 26%-50%
    33%
  • Over 50%
    53%

Of the 5 social needs posed by CMS, how many does your organization routinely screen patients for (e.g., food insecurity, housing instability, utility needs, transportation needs, and interpersonal violence)?
  • 1 social need
    3.03%
  • 2-4 social needs
    21.21%
  • all 5 social needs
    29.29%
  • I'm unsure
    46.46%

What has been the most profound impact of hospital ED closures for your hospital?
  • No impact
    47.47%
  • Increased hospital admissions
    7.07%
  • Increased ED wait times
    26.26%
  • Increased ED visits
    19.19%

November 13, 2017

OMHA Settlement Offers

March 13, 2017

For our RAC(s)

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