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340B at Johns Hopkins Bayview Medical Center (JHBMC)

 

How the 340B Drug Pricing Program helps JHBMC meet its mission

About Johns Hopkins Bayview Medical Center

A 463-bed hospital, JHBMC is located in the heart of the East Baltimore community and has been caring for Baltimore residents for over 240 years. The 130-acre medical campus is home to several centers of excellence including the Johns Hopkins Regional Burn Center, the Stroke Center, Memory and Alzheimer’s Center and the Lung Cancer Program. JHBMC continues to be an integral part of East Baltimore and is dedicated to community involvement.

A disproportionate share of low-income, uninsured and Medicare/Medicaid beneficiaries residing in our service area seek treatment at JHBMC. The 340B program helps JHBMC offset losses incurred in caring for the most vulnerable and underserved in our community. In FY20, the hospital’s disproportionate share (DSH) percentage was 21%, well above the 11.75% to qualify for 340B drug discounts. A key benefit of the 340B program is that by leveraging access to discounted outpatient drugs, JHBMC is better able to absorb the double-digit inflation rates and rapidly rising cost of drugs each year.

The Community We Serve

In Fiscal Year 21, our hospital conducted a community health needs assessment (CHNA) to identify the most important health priorities and an implementation strategy to address them. Lack of safe, affordable housing, access to employment opportunities and neighborhood safety topped the list of concerns in our service areas based on surveys, town halls meetings, and stakeholder interviews. See the most recent Community Health Needs Assessment (CHNA) for a community snapshot, CHNA findings, strategic partnerships, community initiatives and economic development projects on the horizon.

JHBMC’s FY20 340B savings of $22 million are far less than the hospital’s total Community Benefit activity in FY20 – an estimated $92 million. For many years, the hospital has invested in programming and community support efforts well over and above the savings it receives from the 340B program.

$22M 340B Savings

$92M Total Community Benefit Activity

 

Investing in Our Community

car-a-van patientCare-A-Van Patient

340B provides eligible hospitals with the financial flexibility needed to invest in tailored solutions that address the unique needs of their communities. If the program were eliminated or scaled back, safety net hospitals nationwide, like 340B-eligible hospitals in the Johns Hopkins Health System, would struggle to maintain long-standing vital community partnerships.

 

Some examples of innovative community outreach programs at JHBMC include:

  • Center for Addiction and Pregnancy (CAP): One of the premier addiction treatment programs in Maryland for pregnant women, the Center for Addiction and Pregnancy (CAP), helps mothers and infants deal with the physical, emotional, and social problems caused by substance use disorders. Services include substance abuse treatment, psychiatry, pediatrics, obstetrics/gynecology, and family planning. CAP also offers transportation and methadone maintenance.
  • Care-A-Van: The Care-A-Van is a mobile health clinic serving primarily the surrounding Latino community. The Care-A-Van connects a bilingual medical professional to a large client base of uninsured women and children and provides access to primary medical care, immunizations, and health screenings.
  • Congregational Depression Awareness Program (CDAP): JHBMC offers many unique medical religious partnerships developed with local faith-based leaders to address the health concerns of their congregations. CDAP is a new initiative bringing direct outreach and connection to care for those suffering from depression and other mental health challenges. Mental Health remains one of the highest community concerns and priorities often overlooked but a high community priority for health and wellness.
  • Comprehensive Care Practice (CCP): A full range of primary care services focusing on patients fighting dependence on drugs or alcohol annually serving more than 6,000 people, many of whom have been sober or off drugs for years, rely on the practice for routine medical care.
  • Burn Center: Housing Maryland’s only regional burn center, a designated level II trauma and pediatric center for emergency care. Under this designation, a team of world-class specialists provide comprehensive, family-centered care.

Johns Hopkins is committed to listening and learning from the community residents we serve. We strive to address their most pressing needs and highest priorities through direct initiatives and leveraged partnerships to improve community health and wellness in our closest neighborhoods.

Read more about our Health System’s continued commitment to community at each of its six hospitals.

Johns Hopkins Medicine's Response to COVID-19

Johns Hopkins Medicine has been on the front lines of responding to the COVID-19 crisis, offering vital contributions to our region’s preparedness, research and clinical operations. In many of the communities we serve, Johns Hopkins Medicine is often the backbone of regional response networks and will continue to play a key role in their path to recovery. For example:

COVID-19 RPM Program

Johns Hopkins Home Care Group (JHHCG), in collaboration with the Johns Hopkins School of Medicine, worked to rapidly design and implement a clinical monitoring program for COVID-19 survivors in the home and community. The RPM program was designed to track patients’ biometric (oxygen saturation and heart rate) and symptomatic information daily for 14-28 days post hospital discharge to support early identification and triage of clinical decline, as well as work towards liberation of patients from oxygen post hospital discharge. There have been over 300 patients onboarded in the COVID-19 RPM program. JHHCG was named a Circle of Honor winner for the 2021 Minogue Awards for Patient Safety Innovation by the Maryland Patient Safety Center for this program.

 
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