How GBHA Is Funded

The Greater Brockton Community Health Network Area receives its funding through the Massachusetts Department of Public Health Determination of Need Program.

The Determination of Need Program (DoN) promotes the availability and accessibility of cost effective quality health care services to the citizens of Massachusetts and assists in controlling health care costs. DoN was established by the Legislature in 1971 to encourage equitable geographic and socioeconomic access to health care services, help maintain standards of quality, and constrain overall health care costs by eliminating duplication of expensive technologies, facilities and services.

Before hospitals and other health care providers may offer or expand certain services — or acquire advanced clinical technologies — they must demonstrate to the Massachusetts Public Health Council that there is a pressing community need for the project that cannot be addressed in other ways.  If the Public Health Council “determines the need” for a project, hospitals and other health providers must agree to contribute five percent of the project’s maximum capital investment to address public health priorities.  This contribution is called DoN Community Health Initiative (CHI) funding.

The Greater Brockton GBHA currently receives CHI funding from the following organizations:

Brigham and Women’s Hospital

South Shore Hospital
The funding that South Shore Hospital provides to the Greater Brockton GBHA is linked to three projects:

  • Fixed Magnetic Resonance Imaging (MRI) unit: South Shore Hospital has pledged to make a total contribution of $35,000 (or $7,000/year for five years) to the Greater Brockton GBHA, commencing in 2010 and concluding in 2014.
  • Mobile Magnetic Resonance Imaging (MRI) unit. South Shore Hospital has pledged to make a total contribution of $20,000 (or $4,000/year for five years) to the Greater Brockton GBHA, commencing in 2010 and concluding in 2014.
  • Emerson building 60 inpatient bed expansion:  South Shore Hospital has pledged to make a total contribution of $550,000 (or $110,000/year for five years) to the Greater Brockton GBHA, commencing in 2013 and concluding in 2017.

The Greater Brockton GBHA, South Shore Hospital, the DPH Office of Healthy Communities, and the Southeast Center for Healthy Communities have collaboratively determined that South Shore Hospital’s CHI contributions will be invested through a process involving the following dimensions:

  • Community health assessment and community health improvement planning: South Shore Hospital’s CHI contribution will be used to support systematic assessment of community demographics, assets, needs, indicators, and disparities in order to identify priorities for program and policy investments in GBHA .  This process will benefit and should involve vulnerable community members.
  • Advance initiatives that have clear and measurable goals that can be evaluated and reported at periodic intervals throughout the Initiative’s implementation, as well as at its completion. South Shore Hospital’s CHI contribution will be used to support GBHA in developing formal community health improvement action plans with measurable goals that will address priorities identified through the community health assessment process.
  • Build sustainable and enduring capacity for community health promotion by developing broad-based cooperation among public and private sector institutions, organizations, leaders and residents.  South Shore Hospital’s CHI contribution will be used to support GBHA in (a) increasing its membership, (b) fostering more active engagement among members, (c) encouraging inter-GBHA collaboration, and (d) establishing mechanisms to assure the GBHAs’ legacy beyond the duration of the CHI investment.  Funding will be directed to initiatives that foster changes in systems and policies that will have a positive, enduring and sustainable impact DPH’s statewide public health priorities.  Funding also will be directed to initiatives that encourage greater cooperation and resource sharing among the GBHAs and other community groups.
  • Support Healthy Communities principles (hyperlink to this section of GBHA website), which require attention to the full range of issues upon which good physical health is based, including personal safety, a healthy environment, employment and income security, social justice, and affordable access to high quality food, housing, education, transportation and health care services that focus on the prevention of injury and disease.  South Shore Hospital’s CHI contribution will be used to promote leadership development, training, and resources that will build familiarity with and encourage the application of Healthy Communities principles in the work of the GBHA.
  • Apply evidenced-based and/or promising, innovative practices to meet identified needs.  South Shore Hospital’s CHI contribution will be used to support GBHA in the application of proven and/or innovative strategies to address identified public health priorities.

 

  • Result in initiatives that may be replicated, expanded, and/or leveraged. South Shore Hospital’s CHI contribution will be used to support GBHA in the implementation of action plans with the potential to benefit populations and/or communities beyond those initially involved.
  • Promote regional cooperation in ways that foster new and enhanced collaboration and community engagement.  Representatives from GBHA, South Shore Hospital, DPH Office of Healthy Communities, and the Southeast Center for Healthy Communities will meet at least annually to coordinate activities on a regional basis to promote the objectives of this Community Health Initiative.

 

News