Disproportionate Share Hospitals in MA?

  1. 0
    Hi fellow MA nurses,
    I've done a google search without luck- does anyone know how to find out which hospitals in MA are considered "disproportionate share hospitals?"
    This is defined by the government as: "A nonprofit hospital that: 1) has a disproportionately large share of low-income patients; and 2) receives (a) an augmented payment from the States under Medicaid; or (b) a payment adjustment from Medicare."

    Nurses who work at such facilities receive preference for the Nursing Education Loan Repayment Program. Thanks for any info.
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  4. 5 Comments so far...

  5. 0
    I havent been to the site you are asking about for several months but I think there is a link on the site where you can see the hospital names/towns. I recall Baystate medical center in Springfield was on there.
  6. 0
    Hi, thanks for your response. I have looked and looked at the Nursing Education Loan Repayment Program website and haven't been able to find any sort of list, unfortunately.
    http://bhpr.hrsa.gov/nursing/loanrepay.htm
  7. 0
    Quote from winnie04
    hi, thanks for your response. i have looked and looked at the nursing education loan repayment program website and haven't been able to find any sort of list, unfortunately.
    http://bhpr.hrsa.gov/nursing/loanrepay.htm
    here is what i found, hope this helps. i included the link and pasted the info incase the link doesn't work.

    http://bhpr.hrsa.gov/nursing/loanreguidance.htm#csf

    c. critical shortage facilities (csfs)
    1) types of eligible critical shortage facilities
    a nelrp participant is required to serve full-time as an rn at a csf. the following types of health care facilities are csfs:
    • disproportionate share hospital (dsh) – a nonprofit hospital that: 1) has a disproportionately large share of low-income patients; and 2) receives (a) an augmented payment from the states under medicaid; or (b) a payment adjustment from medicare. hospital-based outpatient services are included under this definition.
    • federal hospital – any federal institution in a state that is primarily engaged in providing, by or under the supervision of physicians, to inpatients: (a) diagnostic and therapeutic services for medical diagnosis, treatment, and care of injured, disabled, or sick persons; or (b) rehabilitation of injured, disabled, or sick persons. hospital-based outpatient services are included under this definition.
    • non-federal non-disproportionate share hospital – any public or private nonprofit institution in a state that is primarily engaged in providing, by or under the supervision of physicians, to inpatients: (a) diagnostic and therapeutic services for medical diagnosis, treatment, and care of injured, disabled, or sick persons, or (b) rehabilitation of injured, disabled, or sick persons. hospital-based outpatient services are included under this definition.
    • ambulatory surgical center – a nonprofit entity in a state that provides surgical services to individuals on an outpatient basis and is not owned or operated by a hospital.
    • federally designated community health center – a nonprofit entity that is receiving a grant, or funding from a grant, under section 330(e) of the public health service act, as amended, to provide primary health services and other related services to a population that is medically underserved.
    • federally designated migrant health center – a nonprofit entity that is receiving a grant, or funding from a grant, under section 330(g) of the public health service act, as amended, to provide primary health services and other related services to migratory and seasonal agricultural workers.
    • federally designated health care for the homeless health center – a nonprofit entity that is receiving a grant, or funding from a grant, under section 330(h) of the public health service act, as amended, to provide primary health services and other related services to homeless individuals.
    • federally qualified health center look-alike – a nonprofit entity that is certified by the secretary as meeting the requirements for receiving a grant under section 330(e), 330(g), or 330(h) of the public health service act, but is not a grantee.
    • home health agency – a public agency or private nonprofit organization, certified under section 1861(o) of the social security act, that is primarily engaged in providing skilled nursing care and other therapeutic services.
    • hospice program – a public agency or private nonprofit organization, certified under section 1861(dd)(2) of the social security act, that provides 24-hour care and treatment services (as needed) to terminally ill individuals and their families. this care is provided in individuals’ homes, on an outpatient basis, and on a short-term inpatient basis, directly or under arrangements made by the agency or organization.
    • indian health service health center – a nonprofit health care facility (whether operated directly by the indian health service or operated by a tribe or tribal organization, contractor or grantee under the indian self-determination act, as described in 42 code of federal regulations (cfr) part 136, subparts c and h, or by an urban indian organization receiving funds under title v of the indian health care improvement act) that is physically separated from a hospital, and which provides clinical treatment services on an outpatient basis to persons of indian or alaskan native descent as described in 42 cfr section 136.12.
    • native hawaiian health center – a nonprofit entity (a) which is organized under the laws of the state of hawaii; (b) which provides or arranges for health care services through practitioners licensed by the state of hawaii, where licensure requirements are applicable; (c) which is a public or nonprofit private entity; and (d) in which native hawaiian health practitioners significantly participate in the planning, management, monitoring, and evaluation of health services. see the native hawaiian health care act of 1988 (public law 100-579), as amended by public law 102-396.
    • nursing home – a public or private nonprofit institution (or a distinct part of an institution), certified under section 1919(a) of the social security act, that is primarily engaged in providing, on a regular basis, health-related care and service to individuals who because of their mental or physical condition require care and service (above the level of room and board) that can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases.
    • rural health clinic – a public or private nonprofit entity that the centers for medicare and medicaid services has certified as a rural health clinic under section 1861(aa)(2) of the social security act. a rural health clinic provides outpatient services to a non-urban area with an insufficient number of health care practitioners.
    • skilled nursing facility – an public or private nonprofit institution (or a distinct part of an institution), certified under section 1819(a) of the social security act, that is primarily engaged in providing skilled nursing care and related services to residents requiring medical, rehabilitation or nursing care and is not primarily for the care and treatment of mental diseases.
    • state or local public health department including a public health clinic within the department – the state, county, parish or district entity in a state that is responsible for providing population focused health services which include health promotion, disease prevention and intervention services provided in clinics that are operated by the health department.
    if an applicant is not sure whether a facility fits into one of the categories above, please contact the nelrp at: callcenter@hrsa.gov or 1-800-221-9393.
    2) ineligible facilities
    ineligible facilities include, but are not limited to:
    • free standing clinics that do not qualify as one of the above csfs;
    • renal dialysis centers;
    • private practice offices;
    • assisted living facilities; and
    • private for-profit facilities. (note: after fiscal year 2007 (i.e., september 30, 2007), the secretary may not, pursuant to any contract, approve a nurse to serve at any private entity unless that entity is nonprofit)
  8. 0
    I believe Cambridge Health Alliance and Boston Medical Center are as they are the ones in the news about losing 100 million in funds.
  9. 0
    if anyone else finds this info useful, i finally found a list of disproportionate share hospitals in ma...i went to the mass dept of public health website

    http://www.mass.gov/?pageid=eohhs2se...torname=eohhsx

    and opened up the word document called "massachusetts acute hospital financial performance."

    here is the list that i found in that document (it is from fiscal year '07 so it there is a small chance it has changed since then?):

    "there are 16 disproportionate share hospitals in massachusetts.

    the table below shows a listing of disproportionate share hospitals (dshs) in massachusetts:

    disproportionate share hospitals
    berkshire medical center
    boston medical center
    brockton hospital
    cambridge health alliance
    cape cod hospital
    caritas carney hospital
    caritas st. elizabeth's medical center
    holyoke medical center
    lawrence general hospital
    mercy medical center
    merrimack valley hospital
    quincy medical center
    saint anne's hospital
    saint vincent hospital
    southcoast hospitals group
    wing memorial hospital"


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