Northeast Senior Health Corporation

Northeast Senior Health corp. (nshc) is comprised of the herrick house assisted living community which is an assisted living community located on the upper campus of Northeast hospital Corporation d/b/a beverly hospital in beverly, Massachusetts. Northeast hospital Corporation is an affiliate of herrick house and is also exempt from income tax under section 501(c)(3) of the internal revenue code. Herrick house includes 68 private, traditional assisted living apartments and 16 apartments in the secure spectrum memory care community that focuses on care for those who suffer from cognitive impairments, providing a lifestyle that promotes compassion, dignity, and respect in a safe and secure environment. Herrick house has 24-hour on-site licensed nursing support and employs a wide-range of supportive staff to meet patients' care needs.in addition, as noted further below, the beth israel lahey Health (bilh) network of affiliates engaged in significant activities supporting behavioral Health in the primary care and other healthcare settings as well as other healthcare initiatives for the communities served. Bilh network accomplishments and activities fiscal year ended september 30, 2022since coming together as a Health system, beth israel lahey Health ("bilh") has continued to make significant investments and undertake initiatives to improve access for patients and support its surrounding communities. In fy 2022 alone, bilh invested over $8 million in its community Health center partners and safety net affiliates, developed accessible patient messaging and education, and invested over $5 million in several behavioral health-focused initiatives. Beth israel lahey Health performance network ("bilhpn") continues to optimize its population health-focused initiatives, including those focused on addressing Health disparities. Highlights of the system's efforts include: enhanced access for masshealth patients to mitigate barriers in access to care and increase the number of masshealth patients that bilh serves, the system committed to universal network-wide provider participation in masshealth. Specifically, as of october 2020, all bilh hospitals and providers employed by bilh or on whose behalf bilh jointly contracts have applied to participate in some form of masshealth. In fy 2022, bilh signed a new masshealth aco contract with bmc healthnet plan / wellsense Health plan that will go into effect in april 2023. As part of this contract, bilhpn will extend participation to all eligible primary care providers ("pcps") who were not otherwise participating in a masshealth aco. While all eligible bilhpn pcps were participants in a form of masshealth, some pcps have previously not participated in a masshealth aco. During fy 2022, bilh developed and refined a multicultural marketing, advertising, and outreach plan with the purpose of expanding access for underserved populations, including masshealth patients, in targeted bilh service areas. Implementation of that plan will occur in fy 2023. Investments in underserved communities bilh hospitals have created strong connections to a network of affiliated hospitals and Health centers that provide community-based care to historically underserved populations. In the regions that they serve, the safety net affiliates ("snas") and community care alliance ("cca") community Health centers ("chcs") are the cornerstone of bilh's delivery system regarding community-based care for masshealth and historically underserved patients.o cca chcs include bowdoin street Health center, charles river community Health, the dimock center, fenway Health, and south cove community Health center. O snas include cambridge Health alliance and signature healthcare brockton hospital. Bilh continues to invest in the cca chcs and snas, enabling them to expand their capabilities and care for more historically underserved patients. In fy 2022, bilh invested over $8 million in its chcs and snas, in addition to engaging in regional planning and collaborative program development. These investments represent only a portion of a much larger community benefits investment portfolio that is described in greater detail in this and other bilh network tax filings. Bilh is exploring opportunities with chcs in essex and middlesex counties. For example, bilh has established a telehealth pilot program between physicians at addison gilbert and beverly hospitals and patients at north shore community Health center. Commitment to behavioral Health care beth israel lahey Health behavioral services is the largest mental Health and substance use disorder network in eastern Massachusetts. With a focus on community Health, bilh behavioral services supports the needs of children, teens, and adults through a range of options, from inpatient care to community-based programs. In fy 2022, bilh invested over $5 million in the following behavioral Health initiatives: the collaborative care model, centralized bed management program, and medication assisted therapy ("mat") as of september 30, 2022, 60 of 78 employed primary care practices2 are participating in the impact model, with 12 new sites added from the previous year. The impact model (also referred to as the "collaborative care" model) is a behavioral Health integration model, which involves introducing primary care patients who are identified through screenings and direct referrals to an embedded behavioral Health clinician. Bilh has continued to expand its bridge clinics at addison gilbert and beverly hospitals, increasing same-day admission for mat patients from 24 to 40 hours per week, obtaining additional staff, and expanding its induction program. Bilh has expanded its system-wide substance use disorder taskforce, defining new pathways for connecting bilh primary care teams with community acute detox and other addiction-based services, increasing the capacity of bilh pcps to prescribe medications in support of office-based addiction treatment, and providing educational trainings to pcps to screen and treat substance use disorders. The practice of mat induction and referral in the ed at bid-plymouth continued in fy 2022, with recovery navigators, an addiction lpn nurse, and a psychiatric np as available resources to patients. Bid-plymouth also continued its partnership with area coalitions to hand out supplies and resources, including narcan, to those patients who are residents of the area and who present to the bid-plymouth emergency room with an opioid overdose. Additional information on behavioral Health is below.population Health initiatives bilhpn supports and improves access, quality and efficiency of patient-centered care by leveraging best practices in clinical excellence and data analytics to help providers improve patient Health outcomes. For example, bilhpn's care management team works with the highest-risk patients in an effort to educate them on their disease, improve medication compliance, and help them navigate the complexities of the healthcare system. The goal of bilhpn's care managers is to improve outcomes for patients while avoiding unnecessary emergency room visits or hospital stays. During fy 2022, bilh undertook several initiatives to improve population Health and patient care, including: o bilhpn's quality team developed and implemented eight text-based outreach campaigns for patients, addressing cancer screenings, immunizations, and diabetes care to improve population Health metrics.o bilhpn continued to optimize its enterprise-wide population Health data warehouse to identify patients with care gaps. Through collaboration with bilh physician leaders, bilhpn modified practice workflows and created outreach programs to close identified gaps. These efforts resulted in bilh reaching more patients.o during fy 2022, bilhpn and the bilh office for diversity, equity and inclusion co-led efforts to increase access and improve outcomes for underserved populations, with a focus on closing disparities in diabetes care for black and hispanic patients. One area of collaboration centered around a $1.8 million grant from the institute of healthcare improvement / blue cross blue shield of Massachusetts that allowed the system to hire and embed patient navigators within its most diverse practices to assist patients along the continuum of care. Bilh behavioral Health servicesthe beth israel lahey Health network (bilh) is committed to the behavioral Health needs of the patients and communities serviced. Below are some of activities that bilh behavioral services (bilhbs) has provided to the patients and communities served by bilh and its affiliated entities. Bilhbs (which includes the activities of bilh's tax-exempt affiliate Northeast behavioral Health corp) is the largest network of mental Health and substance use disorder services in eastern Massachusetts. Bilhbs' network of behavioral Health care includes services for children