Community Benefit | Community
Community Health Improvement and Community Benefit
Texas Health plays an integral role in helping our communities
meet broader health and social needs. Not only is this central
to our mission, but a requirement of our nonprofit status.
Texas Health uses excess revenues made available via our
tax-exempt status to support patients and the community in a
variety of ways. Referred to as our "community
benefit," this support includes:
- Caring for and treating uninsured and underinsured
- Absorbing any medical costs we are not reimbursed from
Medicare or Medicaid.
- Investing in community health initiatives through community
benefit grants and sponsorships.
- Financing our internally-driven community health programs.
- Volunteering our employees' time and resources to support
worthy health-related causes.
Under Texas state law, we are required to allocate 5 percent of
our net patient revenue to charity care. In 2012, our community
benefits exceeded this requirement by about 495 percent,
surpassing the contributions of other community hospitals in
the North Texas region.
In total, we provided nearly $784 million, or $2.14 million a
day. Our charity care also increased 32 percent since 2010
following a policy revision that increased the number of
individuals who were able to access this care.
In response to recent federal health care reform20
that requires all nonprofit health care systems to complete a
Community Health Needs Assessment, Texas Health Resources began
this effort in 2012. This process includes:
- Collecting and analyzing data to determine community health
- Developing an action plan inclusive of implementation and
- Communicating findings both internally and externally to
the communities served.
Required every three years, the assessments will help us
identify future nonprofit partners that can join us in
responding to our communities' specific health needs. We will
publish our first report in 2013.
Community Health Framework
To address unmet community health needs, we must confront them
at their source by promoting good health, disease prevention,
healthy lifestyle choices and early treatment of illness.
Texas Health Resources'
community health framework was developed in partnership
with the Public Health Institute. At the hospital level,
Community Health Councils, comprised of employees and local
business and civic leaders, oversee these programs. Members
analyze health data and existing programs to address risk
areas, and establish improvement objectives and plans.
The challenges for the North Texas region include a high rate
of obesity, and poor infant health and mortality rates. We are
helping our communities address these challenges through the
Safety Initiative (CASI)
According to the Centers for Disease Control and Prevention,
motor vehicle injuries are the leading cause of death among
children in the U.S. For this reason, Texas Health has long
supported car seat safety checks and distributions, as well as
car seat safety education programs.
CASI takes a holistic approach to raising community
awareness about child passenger safety. Its goal is to increase
student, parent and teacher knowledge of booster seat safety
and the requirements of Texas state law.
All wholly-owned hospitals participate in the program, which
includes child passenger restraint checks, community-based
education, school-based education and training. During the
2011-2012 school year, CASI reached 2,211 students, and
increased booster seat use between 10 and 30 percent.
A Matter of
Fear of falling can keep elderly individuals from being active,
which results in loss of muscle strength and balance. It can
also compromise their social interaction and increases their
risk of isolation.
Matter of Balance is an evidence-based program that strives
to reduce fear of falling, stop the fear-of-falling cycle, and
increase activity levels among community-dwelling older adults.
Implemented in our service areas, the free, eight-week course
teaches older adults how to reduce fall hazards in their homes;
increase strength and balance; and improve their overall health
through increased activity.
Our objective is to ensure 90 percent of participants complete
the course with increased confidence; they know how to reduce
falls and how to safely get up after a fall. We also want to
build their understanding of how to improve their physical
strength. In 2012, Texas Health hosted 20 courses and graduated
Healthy Zone School
Texas Health Resources is a proud sponsor of the Healthy Zone
School Recognition Program®, a collaboration
between United Way of Metropolitan Dallas and The Cooper
Institute® to fight childhood obesity. A Healthy
Zone School establishes healthy policies and activities for
students, teachers and parents. It serves as a role model in
helping other schools and the broader community promote healthy
As part of the program, our employees volunteer at
participating schools to host field days, fun runs or fitness
fairs to promote healthy behaviors to students and families.
Texas Health also provided a three-year financial grant to
support the program through the 2013-2014 school year.
Texas Health also supports numerous initiatives that address
specific needs, such as:
- Offering free breast cancer screenings to uninsured women.
- Providing support and pre-natal education to pregnant
- Collaborating with local elementary schools to teach
healthy eating and exercise habits.
- Partnering with Healing Hands Ministries
to provide low-cost medical and dental care to the uninsured.
- Screening athletes for cardiac abnormalities.
- Hosting free prostate cancer, diabetes and hypertension
- Providing free childhood and flu immunizations to the
uninsured and high-risk populations.
In 2012, Texas Health provided community health support through
10,596 free screenings; education that reached 126,986
community members at 85 events and appointments; and support
groups attended by 1,335 neighbors. Additionally, we
collaborated with Texas Tech University Health Sciences
Center and the Laura W. Bush Institute for Women's Health
to leverage community involvement, education and research to
empower women in the Dallas-Fort Worth area to take control of
We also enhanced our Community Health Improvement department
and community health hospital advocates by providing:
- Education and peer-to-peer sharing opportunities through
- Opportunities to develop hospital-specific Community Health
- Guidance on hospital community health programs to ensure
they aligned with our values, strategy, efficacy and
- Community Benefit Inventory for Social Accountability
software systemwide, which makes it easier to track and report
community benefit efforts at our hospitals.
20 Per requirements of the Patient Protection
and Affordable Care Act criteria set out within the IRS Form