Creating community health is at the core of Memorial Hospital and Beacon Health System’s missionWe believe promoting community health is the right thing to do, and is key to long-term cost-effectiveness. We believe improving the community’s health status is as much social, economic and environmental as it is a medical issue.

Mission: To enhance the physical, mental and emotional well-being of the communities we serve as the community's provider of outstanding quality, superior value and comprehensive health care services.

Vision: To be recognized as a model for the delivery of health and wellness by achieving the Top 10% in clinical quality, Top 10% in patient satisfaction and top tier in value per patient in the United States.

Beacon Intent Statement:Building on the Health Systems' strengths of being community oriented, building deep ties in the community, and being recognized as a core hub by the community, our future promise is to: Reduce by 40% the number of preventable chronic disease cases in our community by 2021 and reduce treatment expenditures by 50%.

DATE OF _____ORGANIZATION NAMEADDRESSCITY, STATE, ZIPPHONE NUMBEREMAIL ADDRESSCONTACT PERSON / TITLEPROJECT TITLECHNA PRIORITY THEME

First, we ask that organizations include this information on all documents submitted for tithing so that it is clearly identified and we will have immediate access to all program reference information.

is for groups who need program direction and guidance. It will give an initial structure for generating interest in support of program ideas and allow organizations to identify areas of focus as well as determine how it fits into Memorial’s funding priorities and requirements.

THE

PROPOSAL PITCH

Priority Themes:http://www.qualityoflife.org/chna

Critical Indicators: St. Joseph County Indicators

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PROPOSALTHE

PROPOSAL Once a need is identified and a project or program is decided on, the proposal will help organizations organize their plan and supporting data into a format that allows easy reference for our Council and Executives when determining funding priorities.

Based on the strength areas and helping to support any weaker aspects of the plan, feasibility and sustainability can be assessed and tithing awards determined.

Critical Indicators: St. Joseph County Indicators

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PROPOSAL

MID-YEAR REPORT

THE

MID-YEAR REPORT

Memorial is required to provide progress reports on the programs we fund periodically during the year, from health system reporting to President reports and the IRS.

Providing us with a mid-term project report allows us to communicate program status, keeps organizations accountable for the funds they were granted and helps to prep documentation for year-end reporting.

As a bonus, it gives our partners a opportunity to showcase their success and ask for help with any problems or concerns they may have.

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PROPOSAL

MID-YEAR REPORT

ANNUAL REPORT

THE

ANNUALREPORTis an opportunity to present outcomes at the successful completion of the program. Analyzing success and shortfall helps to adjust program and project trajectory, focusing on not just the needs of the community, but also its capacity for change.

Not every project is systemic; not all are designed to be. However, with measurement and outcome analysis every program can inform the greater goal of a healthier community. Positive or negative results are an important indicator of current community support, opportunity and limitations. These are vital pieces of the puzzle and this cumulative report will detail that. -- TEMPLATE --

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LOGIC CHAINis a way to demonstrate how the Activities, Outputs and Outcomes delivered by community projects can have a wider impact.

Community Health's Innovation Training will define and demonstrate the link between objectives, inputs; activities, outputs and outcomes within established and developing projects. And how these initial and projected steps can lead to true Impact.

This Logic Chain template , developed by Memorial staff, explores - in detail – all the various aspects of the program’s stages, outlining a plan of measurement and setting up success from the initial stages of implementation.Logic Chain template

BUDGET

THE

BUDGETObviously, the budget is a vitally important part of any organization’s proposal. Requesting funds is a great deal more difficult if the required amount is unknown.

The budget should provide a clear overview of what everything is expected to cost and who/how that cost will be covered.

Memorial has clear regulations on what we can provide funding for, as the template clearly indicates. However, we need to know that the costs we cannot cover will be provided by someone, or the program’s chance of success is sabotaged from the start.

Budget template

BUDGET

INVOICE

THE

INVOICEMemorial understands that our partners’ time is limited. In an effort to alleviate some additional stress, we developed a standard invoice which can be used to request awarded funding at the agreed upon intervals.

We require an invoice from the receiving organization to facilitate check release. This template includes all the information we require to process and release funds.

Organizations are always welcome to utilize invoices of their own design provided it includes all relevant information.

Invoice template

IN CONCLUSION

SUMMINGIT UP Memorial provides this packet of

templates to our potential community partners to help streamline processes and meet requirements we need to provide to both our board and executives not only to support the programs we fund, but also to provide accountability to the hospital and health system, and the federal government from which the mandates come.

Our status as a non-profit hospital is very important to our continuing mission with and in the community.

Thank you for your help in meeting these requirements and serving the needs of our

community!