PROVIDENCE HEALTH ASSURANCE

AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY. TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES: -PROVIDENCE ACROSS SEVEN WESTERN STATES -COVENANT HEALTH IN WEST TEXAS -PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA -KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA -SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND. THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES. WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDS PROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS. REALIZING OUR MISSION PROVIDENCE MEDICARE ADVANTAGE PLANS ARE SOLUTIONS FOR PEOPLE WHO ARE ELIGIBLE FOR MEDICARE, SUPPORTING AFFORDABLE ACCESS AND EASIER ADMINISTRATION FOR MEMBERS LOCATED IN OREGON AND SW WASHINGTON. PHA ADVOCATES FOR EVIDENCE-BASED AND COST EFFECTIVE TREATMENTS FOR PATIENTS AND APPROPRIATE PAYMENT LEVELS TO PROVIDERS TO KEEP ACCESS TO HEALTH CARE AVAILABLE TO PEOPLE WHO ARE ELIGIBLE FOR MEDICARE. TO DELIVER TRUE HEALTH TO OUR MEMBERS, PHP FOCUSES ON INNOVATION, PERSONALIZED MEDICINE, COLLABORATION AMONG DIVERSE PARTNERS, AND STABILITY. IN RECOGNITION OF OUTSTANDING SERVICE AND QUALITY, THE PROGRAM EARNED 86% OF ALL AVAILBLE CLINICAL AND PHARMACY QUALITY MEASURE POINTS. THE OVERALL CONTRACT WAS AWARDED A 3.5 MEDICARE STAR RATING. PROVIDENCE HEALTH ASSURANCE (PHA) PROVIDES COVERAGE FOR HEALTH CARE SERVICES TO MEDICAID-ELIGIBLE MEMBERS OF THE PUBLIC IN THE GREATER PORTLAND AREA WITHOUT REGARD TO RACE, ETHNICITY, GENDER, SEXUAL ORIENTATION, AGE, ABILITY, RELIGION OR SOCIOECONOMIC STATUS. AS PART OF PROVIDENCE HEALTH PLAN (PHP), PHA FULFILLS ITS SOCIAL WELFARE PURPOSE BY FURTHERING THE HEALTH CARE SERVICES AND HEALTH EDUCATION IN THE COMMUNITY - SPECIFICALLY BY COMMITTING RESOURCES OF EMPLOYEE TIME AND ABILITY, AS WELL AS A PERCENTAGE OF NET INCOME, TO BENEFIT THE COMMUNITY THROUGH AGENCIES ESTABLISHED TO SUPPORT THE NEEDS OF THE MOST VULNERABLE AMONG US. THESE INCLUDE MEDICALLY FRAGILE AND AT-RISK CHILDREN; PEOPLE WITH MENTAL HEALTH NEEDS AND ISSUES; PEOPLE IN OUR COMMUNITIES FOR WHOM BARRIERS EXIST BECAUSE OF LANGUAGE, CULTURE AND POVERTY; AND PEOPLE LIVING IN RURAL AREAS, FOR WHOM ACCESS TO HEALTH CARE AND HEALTH PROMOTING ACTIVITIES MAY BE LIMITED. PROVIDENCE HEALTH PLANS COMMUNITY BENEFIT GIVING FOCUS AREAS ARE: 1. SOCIAL DETERMINANTS OF HEALTH AND WELLBEING - FOCUSED AREAS INCLUDE HOUSING, TRANSFORMATION AND FOOD SECURITY. A. EXAMPLES INCLUDE $10K IN DONATIONS TO HABITAT FOR HUMANITY PORTLAND AND $30K IN DONATIONS TO MEALS ON WHEELS IN OREGON. IN 2023, PHP ALSO PROVIDED MORE THAN $130K AND 1000 HR. VOLUNTEER COMMITMENT TO OREGON FOOD BANK AS PART OF PHP'S HEALTH FOR ALL INITIATIVE. 2. CHRONIC CONDITIONS - FOCUSED ON PREVENTION OF OBESITY, DIABETES, HYPERTENSION AND DEPRESSION. A. ALSO PART OF THE HEALTH FOR ALL INITIATIVE, PHP GAVE MORE THAN $130K TO NORTH BY NORTHEAST COMMUNITY HEALTH CENTER. AN ORGANIZATION THAT WORKS DIRECTLY WITH UNDERSERVED POPULATIONS WITH A FOCUS ON CHRONIC CONDITION TREATMENT, EDUCATION AND PREVENTION. 3. BEHAVIORAL HEALTH/WELLBEING AND SUBSTANCE USE DISORDERS - FOCUSED ON PREVENTION (PARTICULARLY FOR YOUTH), CULTURALLY RESPONSIVE CARE AND HEALTH EDUCATION, SOCIAL ISOLATION AND COMMUNITY BUILDING. A. IN THIS AREA, PROVIDENCE HEALTH PLAN SUPPORTED SEVERAL COMMUNITY ORGANIZATIONS INCLUDING $30K TO ROSE HAVEN, A PORTLAND METRO AREA RECOVERY CENTER FOR THOSE SUFFERING FROM SUBSTANCE USE DISORDERS. PROVIDENCE HEALTH PLAN ALSO DONATED $15K TO THE FORA SUBSTANCE USE TREATMENT CENTER AND MORE THAN $130K TO PORTLAND METRO AREA COMMUNITY ORG, CENTRAL CITY CONCERN. 4. ACCESS TO CARE - FOCUSED ON SERVICES NAVIGATION AND COORDINATION, CULTURALLY RESPONSIVE CARE AND ORAL HEALTH. A. AN EXAMPLE OF THIS COMMUNITY BENEFIT IN ACTION IS THE $30K DONATED TO ADELANTE MUJERES AND $100K TO THE PATIENT ASSISTANCE FUND (PANOW). IN 2023 PROVIDENCE HEALTH PLAN GAVE MORE THAN $900K IN FUNDS TO SUPPORT THESE FOCUS AREAS. IN 2023 WE COMPLETED SEVERAL COMMUNITY OUTREACH PROJECTS AND PILOTS AIMED AT IMPROVING QUALITY OF LIFE FOR THOSE WE SERVE AS WELL AS ACCESS TO CARE. -PROVIDENCE CARE MANAGEMENT OFFERS MEMBERS WITH A POTENTIAL FOOD INSECURITY OR INEQUITY PARTICIPATION IN THE FOOD DISPARITY INTERVENTION. ENROLLED MEMBERS RECEIVE 8 WEEKS OF FOOD IN THE FORM OF A GIFT CARD, PRODUCE/PANTRY BOXES OR READY TO EAT MEALS DEPENDING ON THE MEMBER'S PREFERENCES. DURING THE INTERVENTION, CARE MANAGEMENT SUPPORTS MEMBERS THROUGH WEEKLY ASSESSMENT AND INTERVENTIONS WHICH MAY INCLUDE NAVIGATION TO COMMUNITY RESOURCES OR PROVIDERS, HEALTH CARE NAVIGATION, ADDRESSING BARRIERS TO CARE AND/OR SOCIAL DETERMINANTS OF HEALTH, PERSONALIZED CARE MANAGEMENT EDUCATION, DISCUSSION AROUND MEALS RECEIVED/FOOD PURCHASED (WITH AN EMPHASIS ON STRETCHING DOLLARS WHEN BUYING FOOD), AND REFERRAL TO HEALTH COACHING FOR MEMBERS IN NEED OF LOWER-ACUITY SUPPORT. -CARE MANAGEMENT IDENTIFIES MEMBERS IN NEED OF COMPREHENSIVE MEDICATION REVIEWS (CMR) AND REFERS TO OUR INTERNAL PHARMACY TEAM. THE FOCUS OF CMRS IS TO COMPILE AN ACCURATE MEDICATION LIST, INCLUDING SELF-REPORTED OVER-THE-COUNTER MEDICATIONS AND SUPPLEMENTS. ADDITIONAL CMR INTERVENTIONS INCLUDE PROVIDING MEDICATION AND CHRONIC DISEASE EDUCATION, REINFORCING MEDICATION ADHERENCE, AND ASSESSING FOR ANY DRUG THERAPY PROBLEMS (DTPS). PHARMACISTS MAY OUTREACH TO THE PRESCRIBER TO COMMUNICATE DTP RECOMMENDATIONS WHEN APPROPRIATE. GOALS OF THE TOC ARE TO: -PROVIDE EFFECTIVE MEDICATION RECONCILIATION FOR MEMBERS AT HIGH-RISK OF HOSPITAL READMISSION THROUGH IMPROVED COLLABORATION AND EFFICIENCY BETWEEN CM AND PHARMACY. -REDUCE HOSPITAL READMISSIONS DURING FIRST 30 DAYS FOLLOWING A MEMBER'S HOSPITAL DISCHARGE.