MGH Community Investment
Determination of Need
MGH sought approval from the Massachusetts Department of Public Health (DPH) to construct a new building on the downtown campus. This is known as a “determination of need” process, and DPH requires that a portion of the total cost of the project be set aside to improve the health of the community. As part of this application, MGH will make an unprecedented $18.6 million commitment to improving the health of communities over the next five to seven years. This package will focus primarily on MGH’s partner communities of Chelsea, Revere and Charlestown, and will be aimed at enabling our community partners to fully implement our mutually-developed community health agenda. These initiatives were reviewed and approved by the Harbor Area Health Alliance, otherwise knows as CHNA #19.
One way to measure MGH’s commitment to the community is by the amount spent on improving access to health care services and programs. The following table calculates MGH's community investments in two different ways: first, according to the guidelines promulgated by the Attorney General’s office, and second, according to a broader definition which considers additional components of spending or revenue loss.
Center for Community Health Improvement Investments
Components of FY2007 Community Commitment (in $ Millions)
Compiled According to the Attorney General Guidelines |
|
| |
|
|
| Center for Community Health Improvements |
|
|
| |
Direct Expenses |
|
|
| |
|
Program Expenses |
7.7 |
| |
|
Health Center Subsidies
(Net of Uncompensated Care) |
31.7 |
| |
|
Grants for Community Health Centers |
3.9 |
| |
Associated Expenses |
N/A |
| |
DoN Expenses |
3.3 |
| |
Employee Volunteerism |
N/A |
| |
Other Leveraged Resources |
|
| |
|
Grants Obtained |
3.8 |
| |
|
Doctors Free Care |
8.3 |
| |
Net Charity Care (Shortfall plus Assessment) |
21.5 |
| |
Corporate Sponsorships |
0.4 |
| |
|
Total per AG Guidelines |
|
80.6 |
| |
|
|
|
|
Components of FY2007 Community Commitment (in $ Millions)
Complied According to a Broader Definition |
|
| |
|
|
| Center for Community Health Improvement |
|
|
| |
Direct Expenses |
|
|
| |
|
Program Expenses |
7.7 |
| |
|
Health Center Subsidies
(net of UC and Medicaid Loss |
16.9 |
| |
|
Grants for Community Health Centers |
3.9 |
| |
Associated Expenses |
|
N/A |
| |
DoN Expenses |
|
3.3 |
| |
Employee Volunteerism |
|
N/A |
| |
Other Leveraged Resources |
|
|
| |
|
Grants Obtained |
3.8 |
| |
|
Doctors Free Care |
8.3 |
| |
Net Uncompensated Care-Hospitals |
|
37.3 |
| |
(Shortfall plus assessment net of Insurer Contributions) |
|
| |
Bad Debt (at Cost) |
|
|
| |
|
Hospitals |
11.1 |
| |
|
Doctors |
4.3 |
| |
Medicaid Loss (at Cost) |
|
|
| |
|
Hospitals |
48.5 |
| |
|
Doctors |
16.9 |
| |
Medicare Loss (at Cost) |
|
| |
|
Hospitals |
109.3 |
| |
|
Doctors |
57.3 |
| |
|
|
| |
Unreimbursed Expenses for Graduate Medical Education |
3.5 |
| |
Corporate Sponsorships |
|
0.4 |
| |
Linkage/In Lieu/Tax Payments |
|
3.3 |
| |
Total Broader Definition |
|
335.8 |
| |
|
|
|
|
Preventing and treating substance abuse
- $1 million to provide on-site substance abuse counseling in the Bunker Hill Housing development in Charlestown
- $2 million capital grant to the Charlestown Recovery House to build a sober house
- Almost $2 million to community coalitions in Revere and Winthrop to fight substance abuse
Intervening in youth violence
- $750,000 for community-based agencies in Chelsea to prevent and intervene in youth violence
Enhancing opportunities for students
- $750,000 to partners with the Hyams Foundation in Chelsea to develop and implement an innovative program for middle school students
- $1.5 million to provide additional school to career experiences for Boston students
Increasing access to care for vulnerable populations
- $2.5 million to seamlessly integrate medical and mental health care for the chronically homeless
- $250,000 capital grant to the Pine Street Inn for housing medically frail/complex homeless persons
- $2.3 million to provide transportation, education and other services to elders in the North and West Ends
|
