our resources: River Hospital - Serving the Thousand Islands ... Close to home

• Financial Aid Application
• Health Care Proxy
• Health Care Proxy - Spanish Version
• Health Maintenance Guidelines
• "ICE" (In Case of Emergency) - Need To Know Information!
• Medical Record - General Authorization for Release of Private Health Information
• New York Living Will
• New York State Patient Bill of Rights
• Notice of Right to Appeal Financial Aid Determination
• Personal Medical History & Current Medication Brochure
• River Community Clinic First Visit Documentation
• River Care Eligibility Application
• River Hospital Interest Free Repayment Agreement

• AETNA INTELIHEALTH- - > http://www.intellihealth.com
• AMERICAN ASSOCIATION OF CHILD & ADOLESCENT PSYCHIATRY --> http://www.aacap.org
• AMERICAN CANCER SOCIETY --> http://www.cancer.org/docroot/home/index.asp
• AMERICAN CANCER SOCIETY --> http://www.cancer.org/docroot/home/index.asp
• AMERICAN DIABETES ASSOCIATION --> http://www.diabetes.org/home.jsp
• AMERICAN DIETETIC ASSOCIATION --> http://www.eatright.org
• AMERICAN HEART ASSOCIATION --> http://www.americanheart.org
• AMERICAN MEDICAL ASSOCIATION --> http://www.ama-assn.org
• AMERICAN STROKE ASSOCIATION --> http://www.strokeassociation.org
• BMJ --> http://www.bmj.com
• CENTERS FOR DISEASE CONTROL AND PREVENTION --> http://www.cdc.gov
• FAMILYDOCTOR.ORG --> http://familydoctor.org/online/famdocen/home.html
• F EED THE SOUL --> http://www.feedthesoul.org
• HEALTH A TO Z --> http://www.healthatoz.com
• HEALTHFINDER --> http://www.healthfinder.gov
• HEALTH INSURANCE --> http://www.healthinsuranceinfo.net
• HEALTHLINE --> http://www.healthline.com
• HIV INSITE --> http://hivinsite.ucsf.edu
• KIDS HEALTH --> http://www.kidshealth.org
• MAYO CLINIC --> http://mayoclinic.com
• MEDEM --> http://www.medem.com
• MEDICINENET.COM --> http://www.medicinenet.com/script/main/hp.asp
• MEDLINEplus --> http://medlineplus.nlm.nih.gov/medlineplus
• MERCK MANUAL OF MEDICAL INFORMATION -2ND HOME EDITION --> http:// www.merckhomeedition.com/home.html
• MERCK MANUAL OF DIAGNOSIS AND THERAPY, 17th ed. --> http://www.merck.com/pubs/mmanual
• NATIONAL CANCER INSTITUTE --> http://www.cancer.gov
• NATIONAL INSTITUTES OF HEALTH--> http://health.nih.gov
• NATIONAL ORGANIZATION OF RARE DISEASES--> http://www.rarediseases.org
• NOAH (New York Online Access to Health) --> http://www.noah-health.org
  English and Spanish language information and resources
• THE VIRTUAL HOSPITAL - Information for Patients --> http://www.vh.org/patients/patients.html
• U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES --> http://www.hhs.gov
• U.S. FOOD AND DRUG ADMINISTRATION --> http://www.fda.gov
• WEBMD --> http://www.webmd.com
• WORLD HEALTH ORGANIZATION --> http://www.who.int/en

River Hospital does not assume and is not responsible for any liability whatsoever for the linking of any linked Web sites, the operation or content (including the right to display such information) of any of the linked Web sites, nor for any of the information, interpretation, comments or opinions expressed in any of the linked Web sites.

 

Partnering with you for your good health

A guidelines for age appropriate testing and immunizations. Please remember, for the most accurate information pertaining to your health and wellbeing, and that of your family, it is very important that talk with your healthcare provider. (Please refer to full page below.)

Birth to 17 Years of Age A regularly scheduled Health Maintenance Evaluation at each of the following ages: 1, 2, 3, 6, 9, 12 and 18 months 2, 3, 5, 7, 9, 11, 13, 15 and 17 years PPD skin test may be required at 5 years depending on locality; optional at 12 months in areas of average risk for tuberculosis. Vision screening at 5 years of age. Screening Tests For sexually active females Chlamydia screening Annually Pap Test: Three years after first sexual contact and every 3 years thereafter Click here to download this Chart in PDF Format Ages 18 to 39 Years of Age Check blood pressure, weight and height to calculate body mass index (BMI) and health risks. Screening Tests Men's Health Lipid Testing -- At age 35 Women's Health Chlamydia for sexually active women – Annually through age 25 Pap Test (First Pap test should be performed at age 21 or 3 years after first sexual contact, whichever comes first.) -- Every 3 years IMMUNIZATIONS Diphtheria-Tetanus -- Booster every 10 years HPV Age 9-26 (Human Papillomavirus) -- Females should receive HPV series at 0, 2 and 6 month intervals. Ages 40 to 49 Years of Age Check blood pressure, weight and height to calculate body mass index (BMI) and health risks. Screening Tests Men's Health Lipid Testing -- Every 5 years Women's Health Pap Test -- Every 3 years Mammogram -- Every 1-2 years Lipid Testing -- At age 45 Immunizations Diphtheria-Tetanus -- Booster every 10 years

Ages 50 to 70 Years of Age Check blood pressure, weight and height to calculate body mass index (BMI) and health risks. Screening Tests Fecal Occult Blood Test (FOBT) -- Annually Sigmoidoscopy or Colonoscopy -- At age 50, then every 5-10 years until age 70 Men's Health Prostate Specific Antigen (PSA) – Optional annually until age 70 Lipid Testing -- Every 5 years until age 70 Women's Health Pap Test -- Every 3 years until age 65, not routinely indicated above age 65 Mammogram -- Every 1-2 years Bone Density Test -- Recommended at age 65 Lipid Testing -- Every 5 years until age 70 Immunizations Diphtheria-Tetanus -- Booster every 10 years Zoster (Shingles) -- At age 60 Influenza -- Optional annually to age 65, then annually Pneumococcal Vaccine -- At age 65 Ages 71 and Over Check blood pressure, weight, and height to calculate body mass index (BMI) and health risks. Screening Tests Fecal Occult Blood Test (FOBT) -- Annually to age 79 Men's Health Prostate Specific Antigen (PSA) -- Not routinely indicated above age 70 Women's Health Mammogram -- Every 1-2 years until age 74 then optional to age 80 Immunizations Ages 71 and Over Check blood pressure, weight, and height to calculate body mass index (BMI) and health risks. Screening Tests Fecal Occult Blood Test (FOBT) -- Annually to age 79 Men's Health Prostate Specific Antigen (PSA) -- Not routinely indicated above age 70 Women's Health Mammogram -- Every 1-2 years until age 74 then optional to age 80 Immunizations Lipid Screen: A blood test for assessing levels of fats and cholesterol that can increase the risk of heart disease and stroke. Mammogram: A low dose breast x-ray to screen for breast cancer. Pap Test: A test for abnormal cervical cells which can indicate increased risk of cervical cancer. This is not a test for uterine or ovarian cancer. Pap smears are done during an internal pelvic examination. PSA (Prostate Specific Antigen): A blood test for measuring a protein produced by the prostate gland. High levels may indicate prostate cancer. Sigmoidoscopy: An internal inspection of the lower colon to screen for cancer and polyps (precancerous growths).

"Caring for the environment while we care for your health"

River Hospital is concerned with the health and welfare of our patients and the community. Concern for the environment is of growing importance within our culture. Safe disposal of medical waste from home health care patients is a significant concern. This directly affects your safety, particularly with healthcare workers and waste collectors. River Hospital currently uses approved procedures for disposal of medical waste.

If you are a home health care patient we offer you the ability to use our existing services to safely and efficiently dispose of your medical waste. We are committed to assisting you in creating a healthier and safer environment in your home.

Medical Waste - Medical waste is sharp or penetrating materials, also referred to as "Sharps" that might come in to contact with blood or other bodily fluids and present a health hazard to others. Such items include: needles, syringes, scalpel blades and any other sharp objects used in your treatment activities.

Required Materials - To protect against accidental contact with contaminated sharps, containers with walls and caps heavy enough to prevent sharps from coming through are required. Such containers include hospital grade "sharps containers". These are red containers constructed of heavy plastic with safety lids. Heavy plastic laundry detergent containers with solid caps will also work.

Guidelines - All "sharps" must be placed in puncture-proof containers. Hospital grade red "sharps" containers are available from River Hospital. Please inquire about receiving yours at the Admissions desk in our reception area.

Disposal And Transporting Medical Waste - Once your container is full, simply close the lid and return it to the hospital's Admissions desk. We will provide you with another unused container and safely dispose of your full one. Your medical waste materials will be accepted from 7:00 a.m. until 3:00 p.m. Monday through Friday.

If you have any questions or concerns you may call Rick Bain or Valarie Bain at (315) 482-2511.

We are pleased to provide this service and to assist you with your home health care medical waste needs.

Environmental Management and Regulatory Compliance Department
(315) 482-1144
(315) 482-1121

"Caring for patients after the service"

Facilitated Enrollment

River Hospital is driven by the mission of caring for patients 24 hours a day, seven days a week and assisting in providing financial assistance to meet those healthcare needs. River Hospital is committed to going beyond just treating patients in their time of need. We are improving the health of the River Communities through outreach programs that provide not only health education, but also access to affordable care.

At River Hospital we are pleased to offer a friendly staff to assist our uninsured patients in arranging appointments for Facilitated Enrollment Program to determine alternative options for health care coverage.

River Hospital and The North Country Prenatal/Perinatal Council, lead agency for the Facilitated Enrollment Program, have joined forces to help uninsured patients apply for Medicaid, Family Health Plus, and Child Health Plus, without the need to travel out of the community. A facilitated enroller will be available to answer eligibility questions, help families gather needed documentation, and will complete a Medicaid, Family Health Plus, or Child Health Plus application for anyone. The application will be submitted by the Facilitated Enrollment Specialist, eliminating the need for our patients to travel outside our area for impersonal appointments, in an effort to obtain assistance in meeting healthcare costs. Normally a preliminary eligibility screening can be completed at the appointment to facilitate processing the River Care application for reduction of any recent and future River Hospital bills.

Anyone interested in scheduling an appointment should contact River Hospital's Patient Accounting Office at (315) 482-1230. You will receive instructions about what information to bring to the appointment. Any uninsured members of the community are encouraged to schedule an appointment regardless of current outstanding bills or medical need. There is no cost to apply. Take this opportunity to gain peace of mind.

River Care Program

River Hospital asks all patients to pay balances in full within 30 days of service, but understands that this is sometimes not financially possible. In this case, patients are requested to contact the Patient Accounting Office at (315)482-1230 to make repayment arrangements on any outstanding accounts. If full payment is not received and a repayment agreement is not maintaining, River Hospital will be have no choice but to pursue further collection efforts.

PLEASE NOTE: If you currently have a repayment agreement on one or more accounts and new charges are accrued it is necessary to contact the Patient Accounting Office as the new charges are NOT automatically added to the current repayment arrangements.

Downloadable Patient Accounting Resource Information

• River Care Application (PDF Format)
• Interest Free Repayment Agreement (PDF Format)
  

River Hospital, Inc. - Financial Aid Policy Guidelines
(2006 Federal Poverty Levels and Capped Charges)

 

Family Size	100% of FPL		101% - 150% of FPL		151% - 200% of FPL		201% - 250% of FPL		251%- 300% of FPL
	Monthly	Annual	Monthly	Annual	Monthly	Annual	Monthly	Annual	Monthly	Annual
1	816.67	9,800.00	1,225.00	14,700.00	1,633.33	19,600.00	2,041.67	24,500.00	2,450.00	29,400.00
2	1,100.00	13,200.00	1,650.00	19,800.00	2,200.00	26,400.00	2,750.00	33,000.00	3,300.00	39,600.00
3	1,383.33	16,600.00	2,075.00	24,900.00	2,766.67	33,200.00	3,458.33	41,500.00	4,150.00	49,800.00
4	1,666.67	20,000.00	2,500.00	30,000.00	3,333.33	40,000.00	4,166.67	50,000.00	5,000.00	60,000.00
5	1,950.00	23,400.00	2,925.00	35,100.00	3,900.00	46,800.00	4,875.00	58,500.00	5,850.00	70,200.00
6	2,233.33	26,800.00	3,350.00	40,200.00	4,466.67	53,600.00	5,583.33	67,000.00	6,700.00	80,400.00
7	2,516.67	30,200.00	3,775.00	45,300.00	5,033.33	60,400.00	6,291.67	75,500.00	7,550.00	90,600.00
8	2,800.00	33,600.00	4,200.00	50,400.00	5,600.00	67,200.00	7,000.00	84,000.00	8,400.00	100,800.0
Each Additonal Member	+283.33	+3,400.00
Patient Balance*	$0.00 – no balance		20% of capped charges		40% of capped charges		60% of capped charges		100% of capped charges

*Anticipated patient responsibility after completion of the River Hospital Charity Care Application and approval by Financial Aid Committee.

Capped Charges:
River Hospital, Inc. caps charges for Financial Aid at the payer rate for the highest volume third party payer for the prior year. That third party payer contracted reimbursement rate was 80% of hospital charges for outpatient services and DRG calculation for inpatient stays.

Example:
A patient at 135% of the poverty level submits an application and is approved for a 80% discount with a patient responsibility of 20% of capped charges. If the total hospital outpatient charges are $100, the patient responsibility would be $16.00 ($100 charges x 80% = capped charges of $80 x 20% patient responsibility = $16.00)

Ask a registration clerk for a Financial Aid Packet if you are unable to pay your bill or feel you meet the guidelines above. You may also call the Financial Counselor at River Hospital directly at 482-1230 if you have any questions. Ask for Cherie.

Baptist
Alexandria Bay Baptist Church	41 Bolton Avenue, Alexandria Bay, NY 13607	315-482-3426
First Baptist	John Street, Clayton, NY 13624	315-686-3194
High Falls Baptist	110 Theresa Antwerp Rd, Theresa, NY 13691	315-628-4614
Pleasant Meadows Ministry	South Main Street, Evans Mills, NY 13637	315-629-4800
Catholic
Catholic Community of Alexandria St. Cyril's St. Francis Xavier	17 Rock Street, Alexandria Bay, NY 13607 NY State Route 37, Redwood, NY 13679	315-482-2670 315-482-2670
St. John's	500 Morris Street, Morristown, NY 13664	315-375-9930
St. John The Evangelist	Main Street, LaFargeville, NY 13656	315-658-2295
St. Mary's	515 Mary Street, Clayton, NY 13624	315-686-2638
St. Mary's	8408 South Main Street, Evans Mills, NY 13637	315-629-4425
St. Peter's	NYS Route 37, Hammond, NY 13646	315-375-9930
St. Theresa Of Avila	318 Main Street, Theresa, NY 13691	315-628-4512
St. Vincent DePaul	31385 Co Rt 4, (Rosier)Cape Vincent, NY 13618	315-654-2576
St. Vincent Of Paul	139 North Kanady St., Cape Vincent, NY 13618	315-654-2662
Episcopal
Christ Episcopal	412 Hugunin Street, Clayton, NY 13624	315-686-3703
Christ Episcopal	601 Main Street, Morristown, NY 13664	315-375-4497
Episcopal Of The Thousand Islands	Sisson Street, Alexandria Bay, NY 13607
St. John's	333 South Market St., Cape Vincent, NY 13618	315-654-3833
Lutheran
St. Paul's	43668 Lake Street, Redwood, NY 13679	315-482-2006
Methodist
Clayton United Methodist	324 John Street, Clayton, NY 13624	315-686-3887
Evans Mills United Methodist	8668 Church Street, Evans Mills, NY 13637	315-642-3204
Grindstone Methodist	Grindstone Island, Clayton, NY	315-686-3113
United Methodist	2 Rock Street, Alexandria Bay, NY 13607	315-482-9357
United Methodist	504 Gouverneur Street, Morristown, NY 13664	315-375-4380
United Methodist	32494 Route 12, DePauville, NY 13632	315-686-3052
Presbyterian
Presbyterian	217 St. Lawrence Ave, Hammond, NY 13646	315-324-5665
Theresa Presbyterian	107 Church Street, Theresa, NY 13691	315-628-5320
United - Office	260 East Broadway, Cape Vincent, NY 13618	315-654-2881
Reformed
Reformed Of The Thousand Islands	54 Church Street, Alexandria Bay, NY 13607	315-482-9976
Other
Church Of The Nazarene	Omar Road, LaFargeville, NY 13656	315-658-2402
Densmore	PO Box 571, Co Rt 100A, Wellesley Is, NY 13641
First Congregational	541 Sand Street Road, Brier Hill, NY 13614	315-375-6599
Gospel Mission Fellowship	219 Commercial Street, Theresa, NY 13691	315-628-1915
New Life Christian	32487 Route 12, DePauville, NY 13632	315-686-6090
Northland Assembly Of God	US Route 11, Evans Mills, NY 13637	315-629-4825
Thousand Island Christian	26631 Simpson Road, Plessis, NY 13675	315-482-6756