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Sample Resource Documents
Pilot sites are developing resource documents that reflect ASACB concepts and Institutional Policy (IP) Measures, as a mechanism to reinforce and sustain program enhancements. Institutional Policy Measures are intended to be codified as written policies and procedures sanctioned by hospital leadership.
Governance/Decision Making
Board Level Community Benefit Committee Charters
- Harris Methodist HEB (Texas Health Resources)
- Harris Methodist Walls Regional Hospital (Texas Health Resources)
- Presbyterian Hospital of Dallas (Texas Health Resources)
- Saint Francis Memorial Hospital, San Francisco, CA (CHW)
- St. Jude Medical Center, Inc. (St. Joseph Health System)
Community Benefit Policy PP3.45 - Catholic Healthcare West
This overarching policy serves to institutionalize CHW's community benefit practices. It outlines the hospital/service area and system wide roles and responsibilities for integrating community benefit into the ongoing processes of planning, budgeting and reporting.Community Needs Index - Catholic Healthcare West
The Community Need Index (CNI) pinpoints health disparity by zip code, with a compilation of five socioeconomic indicators. The CNI enables health care providers, policy makers and others to allocate resources where they are most needed using a standardized, quantitative tool.Long-Term Incentive Plan Goals - Catholic Healthcare West
To help ensure that community benefit work is given the same level of planning and resources as other hospital functions, Long Term Incentive Program (LTIP) goals for community benefit have been established for Catholic Healthcare West facilities. The goals are intended to promote a system-wide approach to community benefit while preserving the flexibility of each facility to respond to its local health concerns.Presbyterian Intercommunity Hospital
Presbyterian Intercommunity Hospital has developed a series of policies that correspond to ASACB Institutional Policies. The following policies reflect Governance and Decision Making policy measures:
- Presbyterian Intercommunity Hospital and Medsite, “The Corporation's” Charitable Mission (POLICY NO: 0086140-002)
- Senior leadership oversight responsibility (POLICY NO: 0086140-003)
- Presbyterian Intercommunity Hospital’s core principles of community benefit (POLICY NO: 0086140-007)
- Community Benefit Oversight Committee (CBOC) guidelines (POLICY NO: 0086140-009)
- Guidelines for the recruitment and competencies of CBOC members (POLICY NO: 0086140-0010)
- Community Benefit Oversight Committee Charter (POLICY NO: 0086140-0011)
- Charter review for the Community Benefits Oversight committee (CBOC) (POLICY NO. 0086140-012)
- Job Description President & CEO
Proposed Community Benefit Policy/Procedure - Lucile Packard Children's Hospital
Outlines the ASACB Core Principles that Lucile Packard Children’s Hospital will use to ensure a strategic approach to community benefit program planning, implementation and evaluation. These principles are in draft form and subject to change.
Management
Community Benefit Administrative Policy 40.4.001 - Catholic Healthcare West
Provides the administrative requirements for the implementation of community benefit, defining staff responsibilities, and sets forth the core principles and accountabilities of community benefit programming.Community Benefit Department Job Responsibilities and Staff Designation
Outlines Community Benefit job responsibilities and provides space to document the name and title of the accountable hospital staff member(s).Presbyterian Intercommunity Hospital
Presbyterian Intercommunity Hospital has developed a series of policies that correspond to ASACB Institutional Policies. The following policies reflect Management policy measures:
- Supervisory and Managerial responsibilities regarding community benefit (POLICY NO: 0086140-004)
- Appropriate competencies for leadership (POLICY NO: 0086140-005)
- Establish formal policy to give community benefit manager/director the responsibility to evaluate program activities and make necessary design changes to bring activities in line with the core principles (POLICY NO: 0086140-006)
Share Mercy - Mercy and Memorial Hospitals, Bakersfield, CA
Share Mercy is a hospital-based program that pays employees to work as volunteers with qualified agencies and organized programs that respond to special needs. This program is an example of a formal mechanism to inform and encourage involvement of key leaders (e.g., department heads, health professions training leaders, clinicians) and other employees in community benefit activities (Institutional Policy Measure #11).
Operations
Community Benefit-Public Health Internship
Provides guidelines for a sustainable internship between a Community Medical Center's Community Benefit Program and a local University's School of Public Health.Community Health/Health Fair Guidelines - Texas Health Resources
These draft guidelines present a process to align health fairs with ASACB community benefit core principles. Health fairs must emphasize meeting the needs of communities with disproportionate unmet health-related needs.Donation to Charitable Organizations Policy - Saint Francis Memorial Hospital
Policy that outlines hospital's support of various charitable causes with specific criteria to clarify donations for community benefit, community relations or political donations.Presbyterian Intercommunity Hospital
Presbyterian Intercommunity Hospital has developed a series of policies that correspond to ASACB Institutional Policies. The following policy reflects Operations policy measures:
- Dissemination and solicitation of community benefit information (POLICY NO: 0086140-008)
- Donation to Charitable (501C3) Organizations (POLICY NO. 0086140-013)
