Online Program

Community benefits and Schedule H: Making the information useable

Wednesday, November 6, 2013 : 11:00 a.m. - 11:15 a.m.

Maureen Byrnes, MPA, Department of Health Policy, School of Public Health and Health Services, The George Washington University, Washington DC, DC
“Community benefits” are health-related investments and activities, other than fully reimbursed medical care, that a hospital provides to its community. Community benefit obligations can arise in several legal contexts (e.g. condition of licensure, conversions or health planning processes) but are most commonly associated with tax-exempt hospitals. Section 9007 of the Affordable Care Act (ACA) established new requirements and reporting standards nonprofit hospitals must satisfy for federal tax exemption. These provisions clarify and promote transparency of tax-exempt hospitals' efforts to meet federal community benefit responsibilities in four areas: community health needs assessment, financial assistance policies, limitations on hospital charges, and billing and debt collection requirements. This presentation will discuss an effort that is underway to develop a nationwide, user-driven, web-based tool that will make the complex information contained in Schedule H accessible to multiple audiences ranging from community organizations to hospitals, community health care programs, public health agencies, researchers, and policymakers at all levels. By translating the information contained in Schedule H into a user-friendly format and combining the information with other important data on the characteristics of hospitals and the communities they serve, this tool is intended to enable users to gain a greater understanding of how hospitals invest in financial assistance, community building and community health improvement at the community, regional, state, and national levels.

Learning Areas:

Ethics, professional and legal requirements
Other professions or practice related to public health
Provision of health care to the public
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
Discuss the community benefit categories included in Schedule H. Explain the efforts underway to translate Schedule H data into a user-friendly web tool. Discuss how this tool can serve as an important resource for public health professionals

Keyword(s): Community Health, Community Benefits

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I serve as the lead scientist with the Department of Health Policy at The George Washington University School of Public Health, focusing on public health and health care policy, including implementation of the Affordable Care Act. I have been lead researcher on grant-funded and government projects related to community benefit and IRS requirements of nonprofit hospitals, including a published study on community benefit state reporting laws.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.