| FORM 990, PART VI, SECTION A, LINE 2 |
SHARON SMITH, ROBERT ROGALSKI & TOM YARABINETZ SERVE AS VOLUNTEERS ON THE BOARD OF DIRECTORS FOR UNIVERSITY OF PITTSBURGH AT GREENSBURG. |
| FORM 990, PART VI, SECTION B, LINE 11 |
EXCELA HEALTH HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C |
A WEB-BASED SOFTWARE PROGRAM IS USED TO ADMINISTER A CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE ANNUALLY TO ALL BOARD TRUSTEES, KEY EMPLOYEES AND CERTAIN OTHER DIRECTORS, MANAGERS AND CONTRACTED PHYSICIANS. COMPLIANCE IN COMPLETING THE FORM IS REQUIRED AT 100% FOR OFFICERS, TRUSTEES AND KEY EMPLOYEES. THE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, CHIEF LEGAL OFFICER AND CERTAIN BOARD COMMITTEES. ADDITIONALLY, THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS SHARED WITH EMPLOYEES, MEDICAL STAFF AND BUSINESS PARTNERS THROUGH ONE OR MORE OF THE FOLLOWING METHODS: POSTING ON THE ORGANIZATION'S INTRANET WEBSITE, ON THE ORGANIZATION'S PUBLIC WORLD WIDE WEBSITE, IN ITS POLICY MANUAL AND IN ITS CORPORATE CODE. REPORTS AND SUBSEQUENT FINDINGS OF NON-COMPLIANCE RESULT IN DISCIPLINARY ACTION THROUGH HUMAN RESOURCES, THE OFFICE OF MEDICAL AFFAIRS, OR THROUGH COMPANY SANCTIONS TOWARDS BUSINESS PARTNERS. |
| FORM 990, PART VI, SECTION B, LINE 15 |
AFTER THE CLOSE OF EACH FISCAL YEAR, AND SUBJECT TO APPLICABLE LAW, THE HUMAN RESOURCES COMMITTEE OF THE BOARD MAY COMMISSION AN EXECUTIVE COMPENSATION STUDY BE COMPLETED USING DATA OBTAINED FROM OUTSIDE PARTIES AND OTHER PUBLIC RECORDS TO DETERMINE THE MARKET COMPETITIVENESS, APPROPRIATENESS AND REASONABLENESS OF EACH PAY ELEMENT AND THE AGGREGATE TOTAL COMPENSATION PACKAGE. THE HUMAN RESOURCES COMMITTEE PRESENTS THE STUDY'S FINDINGS AND ANY RECOMMENDED CHANGES TO THE EXECUTIVE COMMITTEE FOR APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 18 |
EXCELA HEALTH AND MEMBERS OF EXCELA HEALTH GROUP MAKES ITS FORM 990, FORM 990-T, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 |
EXCELA HEALTH AND MEMBERS OF EXCELA HEALTH GROUP MAKES ITS CONFLICTS OF INTEREST POLICY AVAILABLE UPON REQUEST. AT THIS TIME, EXCELA HEALTH AND MEMBERS OF EXCELA HEALTH GROUP DO NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC. |
| FORM 990, PART XI, LINE 9: |
CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -4,997,000. OTHER 205,000. TEMPORARILY RESTRICTED CONTRIBUTIONS 1,134,000. NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS -114,000. DISTRIBUTION TO STOCKHOLDERS 2,476,000. TRANSFER TO AFFILIATES -673,000. |
| FORM 990, PART XII, LINE 2C: |
EXCELA HEALTH HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: |
IN 2004, THE HEALTH CARE LEADERS WITHIN WESTMORELAND COUNTY CONVENED TO FASHION A REGIONAL HEALTH CARE SYSTEM THAT EMBODIED HIGH QUALITY, ACCESSIBILITY AND ADVANCED TECHNOLOGY LOCALLY. TODAY, EXCELA HEALTH CONTINUES ON THAT COURSE, ONE IN WHICH WE BELIEVE OUR SUCCESS IS ROOTED IN SAFE AND EFFICIENT PATIENT-CENTERED CARE DRIVEN BY VALUE-BASED BEHAVIORS. MORE TO THE POINT, WE SEEK TO LIVE OUR MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH" COUCHED IN VALUES NOW KNOWN AS THE EXCELA WAY. EVIDENCE OF THOSE IDEALS CAN BE FOUND IN THE EVENTS OF FY 2014, INCLUDING THE ADDITION OF NEW CONCEPTS, SERVICES AND TECHNOLOGIES, WHILE AT THE SAME TIME GARNERING RECOGNITION FOR ITS EFFORTS FROM NATIONAL, REGIONAL AND LOCAL ORGANIZATIONS. IN ALL CASES, THE RESULTING PROGRAMS, SERVICES AND AWARDS BENEFITTED THE AREA'S CITIZENRY AND DEMONSTRATED A FOCUS ON QUALITY MEASURES, FURTHER ENHANCING THE WAY WE PROVIDE CARE. PERHAPS MORE IMPORTANT WAS THE ADDITION OF HIGHLY TRAINED PHYSICIANS, NURSES AND HEALTH CARE PROFESSIONALS WHO CONTINUOUSLY BRING OUR MISSION TO LIFE WHILE MANAGEMENT, THE BOARD OF TRUSTEES AND MEDICAL STAFF COLLABORATE DILIGENTLY, AND THOUGHTFULLY, TO PROVIDE OUTSTANDING CARE TO THIS REGION. ALL IN A DAY'S WORK AT EXCELA HEALTH AS THE EXTRAORDINARY IS EMBRACED AS ROUTINE BY THE 4,629 EMPLOYEES, 506 PHYSICIANS, 209 ALLIED HEALTH PROFESSIONALS, 20 RESIDENTS AND 979 VOLUNTEERS AND AUXILIANS WHO ARE THE LIFE'S BLOOD OF THE HEALTH SYSTEM. AS A PENNSYLVANIA NON-PROFIT CORPORATION DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, EXCELA HEALTH WAS ORIGINALLY INCORPORATED AS SUCH EFFECTIVE JULY 1, 1984, PREVIOUSLY KNOWN AS SOUTHWEST HEALTH SYSTEM, FOLLOWED BY THE NAME WESTMORELAND LATROBE HEALTH PARTNERS AND FINALLY, EXCELA HEALTH. COMPRISED OF THREE HOSPITALS - FRICK, LATROBE AND WESTMORELAND - IN ADDITION TO OTHER HEALTH-RELATED SUBSIDIARIES, EXCELA HEALTH CONTINUES TO EXPAND AS THE NEEDS OF THE COMMUNITY DEMAND. THE TRADITION OF PROVIDING CARE IN NEIGHBORHOODS AND COMMUNITIES CONTINUES SO ACCESSIBILITY AND CONVENIENCE ARE MORE THAN JUST AN IDEA, THEY ARE AN IDEAL BROUGHT TO LIFE FOR THE GOOD OF ALL CONSTITUENTS. ACROSS WESTMORELAND COUNTY AND BEYOND, EXCELA HEALTH OUTPATIENT REHABILITATION FOR OUTPATIENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, QUIKDRAW AND QUIKDRAW PLUS FOR ROUTINE BLOOD WORK, IMAGING AND DIAGNOSTICS, AND OUR NETWORK OF PRIMARY CARE PHYSICIANS AND SPECIALISTS OFFER HIGH QUALITY CARE AND SERVE AS EXAMPLES OF WHAT MEDICAL CARE IS ALL ABOUT - PROVIDING TREATMENT EFFICIENTLY AND EFFECTIVELY WITH THE OBJECTIVE OF MINIMIZING AND/OR RESOLVING THE DETRIMENTAL EFFECTS OF A GIVEN CONDITION SO INDIVIDUALS CAN LEAD THE BEST LIFE POSSIBLE. BUT "CONDITIONS" ENCOMPASS MORE THAN THE PHYSICAL; THEY INCLUDE THE PSYCHOSOCIAL/EMOTIONAL ASPECTS OF GOOD HEALTH AS WELL. THE BEHAVIORAL HEALTH TEAM, WITH SERVICES OFFERED AT THE LATROBE AND WESTMORELAND HOSPITAL CAMPUSES, ALSO REACHES INTO THE COMMUNITY TO AID THOSE IN CRISIS. DURING FISCAL 2014, EXCELA HEALTH BEHAVIORAL HEALTH SERVICES PROVIDED THE FOLLOWING COMMUNITY SERVICES: 1. THE EXCELA HEALTH BEHAVIORAL HEALTH TEAM CONTINUED THEIR PARTICIPATION ON THE D-CORT (DISASTER, CRISIS, OUTREACH AND REFERRAL) TEAM AND WERE DISPATCHED FOUR TIMES TO AID COUNTY RESIDENTS AFFECTED BY TRAUMATIC INCIDENTS THROUGHOUT WESTMORELAND COUNTY. 2. EXCELA HEALTH BEHAVIORAL HEALTH PROVIDES STUDENT ASSISTANCE (SAP) IN 15 SCHOOL DISTRICTS (AN INCREASE FROM FY 2013) THROUGHOUT WESTMORELAND COUNTY. ADDITIONALLY, WE OPERATE FULL SERVICE OUTPATIENT CLINICS IN FOUR SCHOOL DISTRICTS: LATROBE, DERRY, MOUNT PLEASANT, AND LIGONIER VALLEY. 3. THE SAP TEAM RESPONDED TO EIGHT SCHOOL-BASED POST-INTERVENTIONS FOLLOWING TRAUMATIC EVENTS THAT OCCURRED AND/OR DIRECTLY AFFECTED THE STUDENTS, FACULTY AND ADMINISTRATION OF THE SCHOOLS WE SERVE. 4. BEHAVIORAL HEALTH OPERATES A SIX-WEEK SUMMER CAMP, CALLED CAMP FOCUS, WHICH SERVED 159 CHILDREN FROM THE LATROBE, DERRY, MOUNT PLEASANT AND LIGONIER VALLEY SCHOOL DISTRICTS. THE CAMP OFFERS AN ALTERNATIVE FOR SCHOOL AGE CHILDREN SO MENTAL HEALTH TREATMENT, GROWTH AND LEARNING CAN CONTINUE DURING THE SUMMER MONTHS. THE DAY CAMP FEATURES INDIVIDUALIZED PLANS OF CARE TO RESOLVE A CHILD'S DIFFICULTIES MORE EXPEDIENTLY. EXPENSES FOR THE CAMP TOTAL $31,771 IN FY 2014. 5. STAFF PROVIDES VARIOUS TRAINING, IN-SERVICES AND CONSULTATIONS AT SEVERAL SCHOOLS DURING THE YEAR INCLUDING: - SPRING CHILDREN'S SEMINAR AT LATROBE - FULL DAY CONFERENCE OF ISSUES PERTAINING TO THE TREATMENT OF CHILDREN AND ADOLESCENTS, FREE TO PROFESSIONALS AND COMMUNITY MEMBERS. 6. THREE BEHAVIORAL HEALTH STAFF SERVE ON THE ADVISORY BOARDS OF ADELPHOI VILLAGE AND THE WESTMORELAND COUNTY CHILDREN'S BUREAU. 7. THE DIRECTOR OF BEHAVIORAL HEALTH CONTINUES TO SERVE AS CO-CHAIR OF THE HEALTH CARE PROFESSIONALS EDUCATION COMMITTEE FOR THE WESTMORELAND COUNTY COMMISSIONER'S DRUG OVERDOSE TASK FORCE, WHICH CONVENED TO ADDRESS THE INCREASE IN OVERDOSE DEATHS IN THE COUNTY. 8. EXCELA HEALTH BEHAVIORAL HEALTH PARTNERED WITH THE WESTMORELAND COUNTY DRUG AND ALCOHOL COMMISSION TO DEVELOP AND PILOT A FIRST-OF-ITS-KIND MOBILE ADDICTIONS CASE MANAGEMENT PROGRAM. IT IS DESIGNED AS A RAPID RESPONSE SERVICE TO EXPEDITE ACCESS TO APPROPRIATE LEVELS OF ADDICTIONS CARE. AS A RESULT OF THE IMPRESSIVE OUTCOMES, THE PROGRAM'S FUNDING WAS EXTENDED FOR AN ADDITIONAL TWO-YEAR PERIOD. EXCELA HEALTH JOINTWORKS AT LATROBE AND WESTMORELAND HOSPITALS INCORPORATES CURRENT CARE FOR JOINT REPLACEMENT PATIENTS WITH UP-TO-THE-MINUTE TECHNIQUES AND TREATMENTS. JOINTWORKS, A PROGRAM THAT OFFERS A COMFORTABLE, ENJOYABLE AND RAPID JOINT REPLACEMENT EXPERIENCE, FEATURES A WELCOMING ENVIRONMENT AND ALLOWS THE PATIENT TO GO THROUGH THE THERAPY AND RECOVERY PROCESS WITH A FAMILY MEMBER WHO CAN ENCOURAGE THE PATIENT THROUGHOUT THAT TIME. THE PROGRAM LIVES THE CONCEPT OF A TEAM EFFORT AS ORTHOPEDIC SURGEONS, CAREGIVERS AND THERAPISTS IN THE HOSPITAL, HOME AND OUTPATIENT SETTINGS WORK CLOSELY WITH THE PATIENT AND FAMILY FOR THE BEST POSSIBLE OUTCOME. FROM PRE-CONDITIONING EXERCISE TO HOME CARE FOLLOW-UP, JOINTWORKS PRESENTS A SEAMLESS APPROACH TO JOINT REPLACEMENT. AT PRESENT, WITHIN OUR MARKET SHARE AREA LIES A POPULATION OF NEARLY 114,933 INDIVIDUALS AGE 55 AND OLDER. IT IS ESTIMATED THAT BY 2019, THAT SAME AGE GROUP NUMBER WILL RISE TO 125,669. ACCORDING TO THE 2010 U.S. CENSUS BUREAU, THE WESTMORELAND COUNTY POPULATION NUMBERS 365,169 SO THAT CURRENTLY, OLDER CITIZENS COMPRISE NEARLY ONE-THIRD OF OUR SERVICE AREA POPULATION. AND THAT PERCENTAGE WILL INCREASE IN COMING YEARS. CONSIDERING THAT THE AGE RANGE FOR MOST HIP AND KNEE REPLACEMENT SURGERY IS 50 TO 80 YEARS OF AGE AS NOTED BY THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, WE SHOULD CONTINUE TO SEE A RISE IN THOSE PROCEDURES AS WELL AS OTHER ORTHOPEDIC AND REHABILITATIVE SERVICES. IN FACT, OUR JOINT WORKS PROGRAM CONTINUES TO GROW WITH OVER 506 JOINT REPLACEMENT PATIENTS AT LATROBE AND WESTMORELAND HOSPITALS IN THE LAST TWO QUARTERS OF CALENDAR YEAR 2014. IN FACT, EFFORTS ARE NOW UNDERWAY TO DEVELOP AN ORTHOPEDIC CENTER OF EXCELLENCE, GATHERING TOGETHER CLINICAL COMPONENTS OF CARE FOR THOSE WITH ORTHOPEDIC ISSUES, SPORTS INJURIES AND CONCUSSION MANAGEMENT. MINIMALLY INVASIVE SURGERY, TOO, REMAINS A VIABLE OPTION FOR THOSE NEEDING SURGERY AND IS AVAILABLE AT THE HOSPITALS OF EXCELA HEALTH AS WELL AS OUR OUTPATIENT SITES AT EXCELA SQUARE AT NORWIN AND LAUREL SURGICAL CENTER. WITH A SECOND ROBOT AT WESTMORELAND HOSPITAL IN ADDITION TO THE FIRST DA VINCI ROBOTIC SURGICAL SYSTEM AT LATROBE HOSPITAL, THIS FORM OF SURGERY CONTINUES TO GROW IN POPULARITY, WITH TRAINED GENERAL, GYNECOLOGIC AND UROLOGIC SURGEONS PERFORMING PROCEDURES SUCH AS HYSTERECTOMY; UTERINE FIBROID REMOVAL; PROSTATE/PROSTATE CANCER SURGERIES; BLADDER AND KIDNEY SURGERIES; COLORECTAL, HIATAL HERNIA/ESOPHAGEAL (ACID REFLUX) SURGERY; GALLBLADDER AND HERNIA SURGERIES, AND OTHERS. LATE IN 2014, THE SYSTEM ADDED A ROBOTIC THORACIC SURGEON TO ITS MEDICAL STAFF, WIDENING THE SCOPE OF SERVICES FOR OUR POPULATION. THE DEVICE GREATLY AIDS IN PATIENT RECOVERY AND THE PHYSICIAN'S ABILITY TO PERFORM PROCEDURES WITH GREATER PRECISION AND VISIBILITY. EXCELA LATROBE HAS OFFERED ROBOTIC SURGERY SINCE 2009, WITH PROCEDURES INCREASING YEAR OVER YEAR. IN FISCAL YEAR 2014 ALONE, 397 PATIENTS AVAILED THEMSELVES OF THIS ADVANCED SURGICAL TECHNOLOGY. QUALITY AND SAFETY EFFORTS EXCELA HEALTH IS ALWAYS KEENLY AWARE OF QUALITY AND PATIENT SAFETY, AS EVIDENCED BY THE RANGE OF NEW INITIATIVES AND PROGRAMS UNDERTAKEN IN FY 2014 TO RAISE THE BAR EVEN HIGHER. AS SUCH, THE FOLLOWING WAS INSTITUTED AND, IN SOME CASES, MADE NOTE OF BY EXTERNAL AGENCIES: |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
1. THE USE OF NEW PATIENT WRISTBANDS, ALONG WITH THE NEWEST COMPONENT OF THE EXCELA HEALTH HERO ACUTE CARE ELECTRONIC MEDICAL RECORD - THE CERNER MILLENIUM MEDICATION ADMINISTRATION MODULE, SCIENTIFICALLY PROVEN TO DECREASE MEDICATION ADMINISTRATION ERRORS, ADVERSE DRUG EVENTS, AND AVOIDABLE MEDICAL COSTS. 2. EXCELA HEALTH ADOPTED SIGNAGE TO ALERT CAREGIVERS OF "PROCEDURES IN PROGRESS" WITHIN PATIENT ROOMS. BRINGING THIS TO THE ATTENTION OF CAREGIVERS MAY REDUCE THE NUMBER OF PROCEDURES THAT ARE INTERRUPTED AND HELP TO KEEP BOTH THE EMPLOYEE AND PATIENT SAFE. ADDITIONALLY, SAFETY ADVOCATES PLACED SHARPS SAFETY SIGNS ON THEIR CONTINUOUS IMPROVEMENT BOARDS TO FURTHER RAISE AWARENESS ABOUT TAKING EXTRA PRECAUTIONS TO AVOID NEEDLE STICKS. 3. THROUGH THE A1C REDUCTION PROJECT, THE STAFF AT LATROBE FAMILY MEDICINE AND OTHERS WORKED TO FOCUS ON CREATING A MORE REGULAR MONITORING OF PATIENT CARE, HELPING TO REDUCE THE NUMBER OF PATIENTS WHO HAD NOT HAD A1C TESTING COMPLETED IN MORE THAN 12 MONTHS AS WELL AS A1C SCORES. AMONG THE SOLUTIONS: A NEW STANDARD ORDER WAS CREATED FOR DIABETIC TESTING TO ENSURE EVERY PATIENT RECEIVED THE NECESSARY TEST. 4. EXCELA HEALTH CONTINUES AS A TRAINING SITE FOR CONTINUING EDUCATION RELATED TO THE COMMUNITY-BASED CARE TRANSITION PROJECT. BASED ON EXCELA'S SUCCESS WITH THE CARE COACH PROGRAM THROUGH THE WESTMORELAND COUNTY AREA AGENCY ON AGING, THEY REMAIN IN THE COLLABORATIVE THAT INCLUDES MON VALLEY, CANONSBURG, AND WASHINGTON HOSPITALS. THE WESTERN PENNSYLVANIA COLLABORATIVE IS ONE OF 29 ACROSS THE COUNTRY SEEKING TO IMPROVE TRANSITIONS AND REDUCE READMISSIONS AMONG MEDICARE PARTICIPANTS. 5. NURSING LEADERSHIP AT EXCELA HEALTH CONTINUES ITS QUEST TO ATTAIN MAGNET STATUS IN ITS PURSUIT OF EXCELLENCE. THROUGHOUT THE PAST FISCAL YEAR, THEY HAVE ENHANCED AND/OR INITIATED MANY PROGRAMS AND PROCESSES ALL BENEFITTING THE PATIENT AND LENDING GREATER JOB SATISFACTION FOR NURSES AND ANCILLARY STAFF. SOME OF THOSE INITIATIVES INCLUDE: - ELECTRONIC SELF SCHEDULING - ALLOWS NURSES THE ABILITY TO ORCHESTRATE THEIR OWN WORK SCHEDULES. - FACE TIME - A COMPONENT OF THE NURSING KNOWLEDGE EXCHANGE THAT MOVES IT TO ANOTHER LEVEL AND ASSURES GREATER SAFETY IN PATIENT HAND-OFFS BETWEEN UNITS. CAREGIVERS IN VARIED LOCATIONS CAN COMMUNICATE ELECTRONICALLY (WITH VISUAL CAPABILITY) TO DISCUSS PATIENT NEEDS AND CARE WITH OPPORTUNITY FOR SUBJECTIVE INTERPRETATION AND OBJECTIVE EVALUATION. MORE IMPORTANTLY, IT ENGAGES THE PATIENT IN THE PROCESS. - NURSE MENTORSHIP PROGRAM - AS PART OF THE LARGER NURSE RESIDENCY PROGRAM, NURSE MENTORSHIP CONTINUES TO PROVIDE ONGOING SUPPORT, DIRECTION AND GUIDANCE FOR THE NEW NURSE AND IS INITIATED DURING THE NURSE RESIDENT'S SECOND YEAR AND AFTER A CRITICAL PHASE IN THE NURSE RESIDENCY PROGRAM. THE MENTORSHIP PAIRS A NURSE RESIDENT WITH A "MENTOR" FOR A COLLABORATIVE RELATIONSHIP. THE MENTOR SERVES AS A SUPPORT RESOURCE PROVIDING GUIDANCE, ENCOURAGEMENT, ADVICE AND FEEDBACK ON CHALLENGES ENCOUNTERED IN THE WORKPLACE. THIS PARTNERSHIP ALSO EMPOWERS NURSES TO NETWORK AND FIND SOLUTIONS THROUGH ENHANCED COMMUNICATION SKILLS AND MEANINGFUL INTERACTION, WITH THE MENTOR FACILITATING INTRODUCTIONS TO OTHERS ACROSS THE EXCELA ORGANIZATION SO THE NURSE RESIDENT CAN NAVIGATE ACROSS DEPARTMENTS AND SERVICE LINES MORE EFFECTIVELY. - CLINICAL EDUCATION CENTER - A NEWLY DEVELOPED SPACE LOCATED WITHIN FRICK HOSPITAL USED FOR NEW NURSE ORIENTATION, SKILLS LAB, AND ONGOING EDUCATION FOR NURSE RESIDENTS. - COLLABORATIVE CARE - A PATIENT CARE DELIVERY MODEL BASED ON NATIONALLY RECOGNIZED PRACTICES INCLUDING STAFF ROUNDING WITH PHYSICIANS AND OTHERS. EXCELA HEALTH JOINED A COMPREHENSIVE INITIATIVE TO IMPROVE THE QUALITY OF CARE AND REDUCE AVOIDABLE HOSPITALIZATIONS AMONG NURSING FACILITY RESIDENTS IN WESTERN PENNSYLVANIA AS PART OF A $19 MILLION GRANT FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). IN NOVEMBER 2012, UPMC COMMUNITY PROVIDER SERVICES AND ITS AGING INSTITUTE AND PALLIATIVE AND SUPPORTIVE CARE INSTITUTE, PARTNERED WITH EXCELA HEALTH, HERITAGE VALLEY HEALTH SYSTEM, THE JEWISH HEALTHCARE FOUNDATION AND ROBERT MORRIS UNIVERSITY TO COLLABORATE OVER A FOUR-YEAR PERIOD ON RAVEN (INITIATIVE TO REDUCE AVOIDABLE HOSPITALIZATIONS AMONG NURSING FACILITY RESIDENTS). THE PROJECT SEEKS TO IMPROVE FACILITY RESIDENT OUTCOMES, IMPROVE THE TRANSITIONS BETWEEN HOSPITALS AND NURSING FACILITIES, AND REDUCE OVERALL HEALTH SPENDING WHILE ENSURING ACCESS TO CARE AND CHOICE OF PROVIDERS. THE LOCAL PROJECT IS ONE OF SEVEN SELECTED FOR RAVEN AWARDS AND THE ONLY ONE IN PENNSYLVANIA. FOR OUR EFFORTS IN QUALITY, SAFETY AND CARE PROVISION, EXCELA HEALTH WAS RECOGNIZED THROUGH THE FOLLOWING AWARDS AND ACCOLADES: 1. EXCELA LATROBE AND WESTMORELAND HOSPITALS CONTINUE THEIR DESIGNATION AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THROUGH THIS DESIGNATION, THE ACR RECOGNIZES THOSE WHO HAVE EARNED ACCREDITATION IN MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND BREAST ULTRASOUND INCLUDING ULTRASOUND-GUIDED BREAST BIOPSY. VOLUNTARILY UNDERGOING RIGOROUS EXAMINATION, LATROBE AND WESTMORELAND HOSPITALS WELCOMED PEER-REVIEWED EVALUATIONS BY BOARD CERTIFIED DOCTORS AND MEDICAL PHYSICISTS WHO ARE EXPERTS IN THE FIELD AND DETERMINED EXCELA HEALTH HAD ACHIEVED HIGH PRACTICE STANDARDS IN IMAGE QUALITY, PERSONNEL QUALIFICATIONS, FACILITY EQUIPMENT, QUALITY CONTROL PROCEDURES AND QUALITY ASSURANCE PROGRAMS. 2. EXCELA WESTMORELAND HOSPITAL GARNERED THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP) CONTINUING ACCREDITATION IN ITS MAIN LABORATORY (2013, 2014) VALID FOR TWO YEARS AND BASED ON ON-SITE INSPECTION. ADDITIONALLY, ACCREDITATION OF THE BLOOD GAS LAB WAS ALSO RENEWED. ALL THREE BLOOD GAS LABS AT EXCELA HOSPITALS ARE CAP ACCREDITED. 3. EXCELA HEALTH LATROBE HOSPITAL WAS GRANTED ANOTHER THREE-YEAR APPROVAL WITH COMMENDATION BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS. APPROVAL BY THE COC IS GIVEN ONLY TO THOSE FACILITIES THAT HAVE VOLUNTARILY COMMITTED TO PROVIDING THE HIGHEST LEVELS OF QUALITY CANCER CARE AND THAT UNDERGO A RIGOROUS EVALUATION PROCESS AND PERFORMANCE REVIEW. TO MAINTAIN APPROVAL, FACILITIES WITH COC-APPROVED PROGRAMS MUST UNDERGO AN ON-SITE REVIEW EVERY THREE YEARS. THE APPROVAL RECOGNIZES THE QUALITY OF COMPREHENSIVE PATIENT CARE AND COMMITMENT TO PROVIDING ACCESS TO ALL VARIOUS MEDICAL SPECIALISTS INVOLVED IN DIAGNOSING AND TREATING CANCER. 4. THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY (ASMBS) NAMED EXCELA'S BARIATRIC SURGERY CENTER A CENTER OF EXCELLENCE. EXCELA HEALTH CONTINUES THIS DESIGNATION THAT RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC (WEIGHT LOSS) SURGERY. ACCREDITATION BY THE ASMBS REVIEW COMMITTEE RECOGNIZES EXCELA'S COMMITMENT TO THE HIGHEST STANDARDS OF CARE. 5. THE EXCELA HEALTH CARDIO-THORACIC SURGICAL ASSOCIATES CONTINUES TO RANK AMONG THE TOP 10 PERCENT NATIONALLY, HAVING RECEIVED A THREE-STAR RATING FROM THE SOCIETY OF THORACIC SURGEONS (STS). AS REPORTED IN CONSUMER REPORTS IN PRINT AND ONLINE, EXCELA'S CARDIOTHORACIC SURGICAL PROGRAM WAS RANKED AMONG THE NATION'S BEST. THE STS REPORT IS THE "GOLD STANDARD" FOR EVALUATION OF CARDIAC SURGERY PROGRAMS. CONSUMER REPORTS PARTNERED WITH THE STS TO PUBLISH THESE RATINGS. 6. EXCELA HEALTH CONTINUES TO HOLD THE AMERICAN HEART /STROKE ASSOCIATION'S "GET WITH THE GUIDELINES" PROGRAM STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD FOR ALL THREE HOSPITALS. TO RECEIVE THE AWARD, EXCELA HEALTH ACHIEVED 85 PERCENT OR HIGHER ADHERENCE TO ALL "GET WITH THE GUIDELINES - STROKE PERFORMANCE ACHIEVEMENT" INDICATORS FOR TWO OR MORE CONSECUTIVE 12-MONTH INTERVALS AND ACHIEVED 75 PERCENT OR HIGHER COMPLIANCE WITH SIX OF THE 10 "GET WITH THE GUIDELINES - STROKE QUALITY MEASURES," WHICH ARE REPORTING INITIATIVES TO MEASURE QUALITY OF CARE. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
7. THE ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE (ACE) PROGRAM AGAIN CONTINUES ITS ACCREDITATION TO EXCELA HEALTH'S CARDIAC CATHETERIZATION LABORATORY AND ANGIOPLASTY/STENTING PROGRAM. ACE ACCREDITATION RECOGNIZES THE COMMITMENT OF CLINICIANS AND STAFF TO QUALITY ASSURANCE, PEER REVIEW, AND THE USE OF EVIDENCE-BASED GUIDELINES. EXCELA HEALTH IS THE FIRST HEALTH SYSTEM IN PENNSYLVANIA AND ONLY THE FIFTH IN THE NATION TO RECEIVE IT. ACCORDING TO BONNIE WEINER, MD, MSEC, MBV, FSCAI, CHIEF MEDICAL OFFICER AND CHAIR OF ACE'S BOARD OF DIRECTORS AND DIRECTOR OF INTERVENTIONAL CARDIOLOGY RESEARCH AT ST. VINCENT HOSPITAL, WORCHESTER MEDICAL CENTER, WORCHESTER, MASS., "BY SEEKING ACE CARDIAC CATHETERIZATION ACCREDITATION, EXCELA HEALTH HAS SHOWN THAT IT HAS AN UNCOMPROMISING COMMITMENT TO PROVIDE SAFE, HIGH QUALITY CARE. THE WILLINGNESS TO BE EVALUATED AGAINST NATIONALLY ACCEPTED GOLD STANDARD PRACTICES DEMONSTRATES A DESIRE TO MEET THE HIGHEST QUALITY STANDARDS SET BY THE EXPERTS IN CARDIAC AND ENDOVASCULAR CARE." ACE IS SPONSORED BY THE SOCIETY FOR CARDIOVASCULAR ANGIOGRAPHY AND INTERVENTION AND THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION, THE TWO LEADING PROFESSIONAL CARDIOVASCULAR ORGANIZATIONS JOINTLY REPRESENTING MORE THAN 40,000 PRACTITIONERS. 8. EXCELA HEALTH FRICK HOSPITAL WAS SELECTED FOR THE 2013 PENNSYLVANIA EXCELLENCE AWARD AMONG ITS PEERS AND COMPETITORS BY THE SMALL BUSINESS INSTITUTE FOR EXCELLENCE IN COMMERCE (SBIEC). THE SBIEC CONDUCTS BUSINESS SURVEYS AND INDUSTRY RESEARCH ANNUALLY TO IDENTIFY COMPANIES ACHIEVING DEMONSTRABLE SUCCESS IN THEIR LOCAL BUSINESS ENVIRONMENT AND INDUSTRY CATEGORY, WITH SERVICE TO THEIR CUSTOMERS AND COMMUNITY. FRICK HOSPITAL DEMONSTRATED HIGH REGARD FOR UPHOLDING BUSINESS ETHICS AND COMPANY VALUES CONSISTENTLY. 9. THE LEWIN GROUP, ON BEHALF OF THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), RECOGNIZED EXCELA HEALTH'S GOOD WORK IN THE COMMUNITY AS PART OF THE CARE TRANSITION PROGRAM. THIS PROGRAM AIDS IN THE REDUCTION OF UNPLANNED HOSPITAL RETURNS. 10. HIGHMARK BLUE CROSS BLUE SHIELD HAS RECOGNIZED EXCELA HEALTH WESTMORELAND HOSPITAL AS ONE OF THE FIRST IN THE NATION TO RECEIVE A BLUE DISTINCTION CENTER PLUS DESIGNATION IN THE AREA OF CARDIAC CARE AS PART OF THE BLUE DISTINCTION CENTER FOR SPECIALTY CARE PROGRAM. BLUE DISTINCTION CENTERS ARE HOSPITALS SHOWN TO DELIVER QUALITY SPECIALTY CARE BASED ON OBJECTIVE, TRANSPARENT MEASURES FOR PATIENT SAFETY AND HEALTH OUTCOMES THAT WERE DEVELOPED WITH INPUT FROM THE MEDICAL COMMUNITY. 11. EXCELA HEALTH IS MAINTAINING ITS ROLE IN THE HEALTHY PEOPLE 2020 INITIATIVE OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES BY ATTAINING A 93% PARTICIPATION RATE AMONG EMPLOYEES AND PHYSICIANS FOR FLU IMMUNIZATIONS. THIS HIGHLY SUCCESSFUL SAFETY MEASURE PROTECTS PATIENTS AND CONTROLS THE SPREAD OF FLU THROUGH A TWO-PRONGED PROGRAM - FLU IMMUNIZATIONS AND MASKS FOR THOSE NOT RECEIVING THE VACCINE. JUST AS EXCELA HEALTH CARES FOR ITS PATIENTS, SO TOO, DOES IT TAKE INTO ACCOUNT THE HEALTH AND WELL-BEING OF ITS WORK FORCE THROUGH A VARIETY OF HEALTH INITIATIVES. - EXCELA HEALTH CONTINUED THIS QUEST BY GARNERING THE "HEALTHIEST EMPLOYER OF WESTERN PENNSYLVANIA" FOR 2014, THE FOURTH YEAR IN A ROW. AS ONE OF 37 COMPANIES IN THE PROGRAM AND A REPEAT WINNER IN THE 1,500 TO 4,999 EMPLOYEE CATEGORY, EXCELA HEALTH HAD BY FAR THE HIGHEST PERCENTAGE OF EMPLOYEES AND SPOUSES PARTICIPATING IN A CORPORATE SPONSORED PROGRAM THAT INCLUDED BIOMETRIC SCREENINGS. FOR EMPLOYEES, THIS MEANS ANY NUMBER OF WELLNESS REWARDS INCLUDING LOWER MEDICAL INSURANCE PREMIUMS AND BETTER OR SELF-MANAGEMENT OF CHRONIC DISEASE. EXCELA HEALTH WAS ALSO LAUDED FOR EXTENDING ITS HEALTH FAIRS TO ALL DEPENDENTS. THE PITTSBURGH BUSINESS TIMES, A LOCAL BUSINESS AND INDUSTRY PUBLICATION, PARTNERED WITH INDIANAPOLIS-BASED HEALTHIEST EMPLOYER LLC TO FIND THE HEALTHIEST WORKPLACES IN WESTERN PENNSYLVANIA. -WALKING SPREE, A VOLUNTARY FITNESS PROGRAM OFFERED TO EMPLOYEES, SPOUSES, MEMBERS OF THE HEALTH SYSTEM'S MALL WALKER PROGRAM AND OTHERS, CONTINUES TO ENJOY POPULARITY WITH MORE THAN 400 PARTICIPANTS LOGGING STEPS, AND MILES, OVER THE COURSE OF A 12-MONTH PERIOD. -THROUGH PARTNERSHIPS WITH THE WESTMORELAND/FAYETTE WORKFORCE INVESTMENT BOARD (WIB), WESTMORELAND COUNTY ACTION, WESTMORELAND COUNTY COMMUNITY COLLEGE (WCCC) AND UNITED WAY OF WESTMORELAND COUNTY, EXCELA HEALTH EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE "MOMS MAKING MORE" PROGRAM. THE PROGRAM OFFERS ADDITIONAL EDUCATION, TRAINING AND SUPPORT SERVICES TO SINGLE MOTHERS WHO MEET A CERTAIN COMPENSATION LEVEL AND HAVE DEPENDENT CHILDREN UNDER THE AGE OF 18. THROUGH A GRANT FUNDED BY THE DEPARTMENT OF LABOR AND INDUSTRY, THE PROGRAM FOCUSES ON INCREASING THE FINANCIAL STABILITY OF FAMILIES HEADED BY SINGLE WOMEN. IN FY 2014, 2 EMPLOYEES AVAILED THEMSELVES OF THIS PROGRAM AND ARE PURSUING DEGREES AT AREA COLLEGES. COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, NON-PROFIT HOSPITALS ARE REQUIRED TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY EVERY THREE YEARS. AN IMPLEMENTATION PLAN MUST BE ADOPTED TO ADDRESS THE IDENTIFIED NEEDS AND COMPLIANCE WITH THIS REQUIREMENT. THE PURPOSE OF THE CHNA PROCESS IS TO IMPROVE COMMUNITY HEALTH THROUGH UTILIZATION OF A MODEL THAT INTEGRATES HEALTH SYSTEM PLANNING WITH PUBLIC HEALTH AND COMMUNITY PLANNING. A COMMUNITY HEALTH NEEDS ASSESSMENT MUST INCLUDE A DESCRIPTION OF THE COMMUNITY, A DESCRIPTION OF THE PROCESS AND METHODS TO CONDUCT THE ASSESSMENT AND OTHER COLLABORATING AGENCIES INVOLVED IN THE PROCESS, A DESCRIPTION OF HOW THE HOSPITAL CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AND A DESCRIPTION OF THE HEALTH CARE FACILITIES AND OTHER RESOURCES WITHIN THE COMMUNITY AVAILABLE TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. IF A HOSPITAL HAS MORE THAN ONE FACILITY, A SEPARATE REPORT AND IMPLEMENTATION STRATEGY MUST BE COMPLETED FOR EACH FACILITY. ONCE THE CHNA IS COMPLETED, IT MUST BE MADE AVAILABLE WIDELY TO THE PUBLIC BY POSTING IT ON THE FACILITY'S WEB SITE AND MUST BE EASILY DOWNLOADABLE FROM THE WEB SITE. EQUIPMENT, SERVICE AND TECHNOLOGY UPDATES BY WAY OF SYSTEM-WIDE EQUIPMENT AND SERVICE ENHANCEMENTS, EXCELA HEALTH COMMITTED MONIES TOWARD SEVERAL VITAL SERVICE ADDITIONS: 1. TWELVE SURGEONS ON STAFF AT EXCELA HEALTH UTILIZE ROBOTIC-ASSISTED SURGERY FOR HYSTERECTOMIES, UTERINE PROLAPSED, PROSTATE AND KIDNEY CANCER, HERNIA AND OTHER ABDOMINAL PROCEDURES, TO NAME A FEW. THE LATEST ROBOTIC SURGEON, MICHAEL SZWERC, MD, IS THE FIRST AT EXCELA HEALTH TO PERFORM THORACIC ROBOT-ASSISTED SURGERIES. 2. THE ADDITION OF 3D/4D ULTRASOUND TECHNOLOGY TO THE GROWING LIST OF WOMEN'S SERVICES AT EXCELA SQUARE AT NORWIN. THIS TECHNOLOGY FOR EXPECTANT PARENTS CAPTURES FACIAL FEATURES AND MOVEMENT IN A MORE REALISTIC, COMPUTER-GENERATED VIEW. 3. THE ADDITION OF SIM BABY THROUGH THE SCHOOL OF NURSE ANESTHESIA AIDS IN INCREASING OUR NURSES' AND RESPIRATORY THERAPISTS' KNOWLEDGE FOR PEDIATRIC EMERGENCIES SUCH AS FOR YOUNG PATIENTS IN RESPIRATORY DISTRESS. 4. THE COMPLETION OF PRIVATE ROOMS AT WESTMORELAND HOSPITAL ON ITS FIRST, SECOND, THIRD AND FOURTH FLOORS. AMONG THOSE NEWLY PRIVATE ROOMS ARE THOSE ON THE 2D UNIT THAT ARE PART OF THE COLLABORATIVE CARE MODEL, BASED ON NATIONALLY RECOGNIZED PRACTICES INCLUDING STAFF ROUNDING WITH PHYSICIANS AND OTHERS. 5. THE ADDITION OF ATRIAL ABLATION TO CORRECT ATRIAL FIBRILLATION (A-FIB) AND SUPRAVENTRICULAR TACHYCARDIA (SVT) AS PERFORMED BY EXCELA HEALTH ELECTROPHYSIOLOGIST MATI FRIEHLING. HE IS THE FIRST PHYSICIAN IN THE HEALTH SYSTEM TO PERFORM THIS PROCEDURE. 6. THE ACQUISITION OF LAUREL SURGICAL CENTER FOR AMBULATORY SURGERY. FORMERLY OWNED BY A MULTISPECIALTY GROUP OF PHYSICIANS, LAUREL SURGICAL CENTER CONTINUES TO OFFER OUTPATIENT PROCEDURES IN 10 SPECIALTIES UNDER THE GUIDANCE OF EXCELA HEALTH. 7. AUGUST 2013 SAW THE LAUNCH OF AN INITIATIVE TO PROMOTE GREATER ACCESS FOR SCREENING MAMMOGRAPHY CALLED "WALK-IN WEDNESDAY." NO APPOINTMENT, NO PHYSICIAN ORDER IS NEEDED FOR WOMEN TO AVAIL THEMSELVES OF A SCREENING MAMMOGRAPHY GIVEN THAT THEY HAVE NOT HAD ONE IN THE PAST 12 MONTHS. WALK-IN WEDNESDAY SERVICES ARE AVAILABLE FROM 9 A.M. TO 5 P.M. EACH WEDNESDAY AT ONE OF THREE LOCATIONS - EXCELA SQUARE AT NORWIN, MOUNTAIN VIEW MEDICAL PARK, AND FRICK HOSPITAL. FOR THOSE WOMEN WITHOUT INSURANCE, A MAMMOGRAPHY VOUCHER PROGRAM IS AVAILABLE BY CONTACTING EXCELA HEALTH'S CALL CENTER PRIOR TO "WALKING IN." 8. THE INTRODUCTION OF NEW SCREENING TECHNOLOGY TO DETERMINE BONE DENSITY CALLED FRACTURE RISK ASSESSMENTS (FRAX) AND VERTEBRAL FRACTURE ASSESSMENTS (VFA) SO PATIENTS CAN UNDERSTAND THEIR RISK OF DEVELOPING OSTEOPOROSIS AND INDICATIVE SIGNS OF VERTEBRAL FRACTURE. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
9. THE INTRODUCTION OF EXCELA.ME, THE PATIENT PORTAL FOR ACCESSING ONE'S OWN HEALTH INFORMATION. EXCELA HEALTH ALSO OFFERS CARE ACROSS A CONTINUUM FROM PREVENTION AND WELLNESS TO EMERGENCY CARE, ACUTE CARE, OUTPATIENT CARE, REHABILITATION, HOME CARE AND HOSPICE AND DURABLE MEDICAL EQUIPMENT (MEDICAL SUPPLIES). THROUGH A SYSTEM APPROACH, EXCELA HEALTH CAN, AND DOES, SEEK TO MAKE CARE ACCESSIBLE AND AFFORDABLE WHILE ATTRACTING AND RETAINING TALENTED PROFESSIONALS WHO STRIVE TO RAISE THE QUALITY BAR, ALLOWING FOR A LEVEL AND SOPHISTICATION OF SERVICES THAT PREVIOUSLY COULD ONLY BE FOUND IN TERTIARY MEDICAL CENTERS. FURTHER, EXCELA HEALTH, WHICH IS WESTMORELAND COUNTY'S LARGEST EMPLOYER, MADE A $985 MILLION IMPACT ON PENNSYLVANIA'S ECONOMY IN 2010. THE RIPPLE BENEFIT OF ITS WORKFORCE AND ANNUAL TOTAL SPENDING IS BASED ON REGIONAL ECONOMIC MULTIPLIERS FROM THE BUREAU OF ECONOMIC ANALYSIS, U.S. DEPARTMENT OF COMMERCE, AND RIMS II MULTIPLIER FOR THE HOSPITAL INDUSTRY. REACHING INTO THE COMMUNITY IN FACT, THE HEALTH SYSTEM HAS GARNERED MUCH RECOGNITION FOR OUR EFFORTS ON BEHALF OF THE "HEALTH AND WELL-BEING" OF THE PUBLIC WE SERVE, ALWAYS STRIVING FOR EXCELLENCE AS OUR VERY NAME IMPLIES. WE TAKE THE ROLE OF CORPORATE CITIZEN SERIOUSLY TOO, PARTNERING WITH COMMUNITY ORGANIZATIONS TO SPREAD THE WORD ABOUT VARIOUS HEALTH ISSUES, GIVING OUR TIME AND TALENTS TO NEIGHBORHOOD CAUSES, AND SUPPORTING THE EFFORTS OF AREA HEALTH-RELATED GROUPS AND OTHERS WHOSE MISSION MESHES WITH OUR OWN. CASES IN POINT INCLUDE: 1. BIOMETRIC SCREENINGS WERE INITIATED FOR THE WELLNESS REWARDS PROGRAM IN WHICH EMPLOYEES AND SPOUSES ELIGIBLE FOR EXCELA HEALTH MEDICAL BENEFITS PARTICIPATE TO QUALIFY FOR INSURANCE REDUCTIONS. 2. JULY 2013 SAW THE SELECTION OF 11 HIGH SCHOOL STUDENTS TO PARTICIPATE IN AN EXTERNSHIP PROGRAM COORDINATED BY EXCELA HEALTH GENERAL SURGEON DANIEL CLARK. THE STUDENTS ROUNDED WITH PHYSICIANS IN 10 SPECIALTIES OVER THE COURSE OF 10 DAYS. 3. IN PREPARATION FOR THE 2013 FALL HUNTING SEASON, EXCELA HEALTH HELD ITS "HUNTER'S HEART CHECK" AT GANDER MOUNTAIN, A RETAIL OUTLET. THE EVENT INCLUDED FREE BLOOD PRESSURE, BODY MASS INDEX AND BLOOD SUGAR SCREENINGS ALONG WITH VOUCHERS FOR EKG TESTS. AN EXCELA HEALTH INTERVENTIONAL CARDIOLOGIST WAS ON HAND TO ANSWER QUESTIONS AND FOOT EVALUATIONS WERE PROVIDED BY A LOCAL PODIATRIST, ALL TO PROTECT THE HEALTH OF OUR REGION'S HUNTERS. 4. SEVERAL OF OUR EXCELA HEALTH MEDICAL STAFF, AS WELL AS EMPLOYEES AND NURSES, SERVED AS "MEDICAL MISSIONARIES," TRAVELING TO HAITI TO HELP WITH POST-EARTHQUAKE MEDICAL ISSUES. DRS. MIKE MAZOWIECKI, NEUROLOGY, RICHARD PAYHA, GENERAL SURGERY, AND JOHN WAAS, MEDICAL ONCOLOGY, SPENT VARYING TIMES IN THE COUNTRY AS DID KIM BECK, RN, AND OTHERS. 5. EXCELA HEALTH BEHAVIORAL HEALTH HOSTED A "CHILDREN'S EMOTIONAL WELLNESS SYMPOSIUM" IN NOVEMBER 2013 FOR ANY ADULTS WHO CARE FOR CHILDREN. A VARIETY OF WORKSHOPS WERE OFFERED WITH THE GOAL OF OPENING CHANNELS OF SUPPORT AND RESPONSE LOCALLY, AND NETWORKING WITH AREA PROFESSIONALS TO SUPPORT THE EMOTIONAL HEALTH OF CHILDREN IN WESTMORELAND COUNTY. 6. LIZ SCHADLE, A NURSE AT EXCELA HEALTH MOUNTAIN VIEW INTERNAL MEDICINE, LED A CHURCH GROUP FIRST FORMED IN 2009, TO MAKE SHAWLS FOR CANCER PATIENTS DURING OCTOBER - BREAST CANCER AWARENESS MONTH. THE GROUP KNITTED THE SHAWLS, DONATING THEM TO OUR BREAST HEALTH CENTER AS A GIFT TO PATIENTS. 7. AFTER TWO YEARS OF PLANNING, THE MAJESTY CARE CLINIC, OFFERING FREE HEALTH CARE TO WESTMORELAND COUNTY RESIDENTS WHO CANNOT AFFORD MEDICAL INSURANCE, OPENED. THIS PROJECT WAS A PARTNERSHIP BETWEEN MAJESTY AND EXCELA HEALTH, WHO DONATED MUCH OF THE CLINIC'S MEDICAL EQUIPMENT FROM THE FORMER EXCELA HEALTH JEANNETTE HOSPITAL CAMPUS ALONG WITH OUR PHYSICIANS WHO CONTRIBUTED $10,000 TO THE CLINIC WHILE PROMOTING VOLUNTEER SUPPORT. INITIALLY, SOME 37 PHYSICIANS, ALLIED HEALTH PROFESSIONALS AND OTHER CLINICAL STAFF FROM EXCELA HEALTH VOLUNTEERED ALONG WITH SOME NON-MEDICAL PERSONNEL. THE CLINIC OFFERS PRIMARY CARE AND CHRONIC DISEASE CONTROL TO COUNTY RESIDENTS AGES 19 TO 65 WITH NO MEDICAL INSURANCE AND WHO FALL BELOW 200% OF THE FEDERAL POVERTY LEVEL. 8. OCTOBER 2013 SAW EXCELA HEALTH PARTNER WITH GIANT EAGLE AND THE AMERICAN LIVER FOUNDATION TO OFFER FREE LIVER DISEASE SCREENINGS TO DETECT AN INDIVIDUAL'S RISK FOR LIVER DISEASE. SCREENINGS WERE HELD AT EXCELA SQUARE AT NORWIN, WHERE BLOOD TESTS DETERMINED THE PRESENCE OF THE HEPATITIS C VIRUS. THOSE WITH POSITIVE OUTCOMES WERE COUNSELED. 9. EXCELA HEALTH WESTMORELAND HOSPITAL EMPLOYEES HAVE ADOPTED A ONE-MILE STRETCH OF HIGHWAY NEAR THE HOSPITAL, KEEPING OUR ENVIRONS CLEAN AND SAFE. 10. THE EARLY SPRING OF 2014 BROUGHT FORTH THE REPEAT OF AN OUTREACH PROGRAM TARGETING MIDDLE SCHOOLERS AND THEIR FAMILIES - "HEALTHY HABITS." IN AN EFFORT TO CULTIVATE GOOD HEALTH PRACTICES WITH STAYING POWER, EXCELA HEALTH CONDUCTED AN ESSAY CONTEST IN TEN AREA SCHOOL DISTRICTS, TARGETING MIDDLE SCHOOL STUDENTS. STUDENTS WERE ASKED TO WRITE A 400-WORD ESSAY ABOUT A HEALTHY HABIT THEY ADOPTED AND HOW IT HAS IMPROVED THEIR LIVES AND THE LIVES OF OTHERS. ONE WINNER FROM EACH SCHOOL WAS ANNOUNCED AT HIS/HER SCHOOL ASSEMBLY IN WHICH EXCELA HEALTH DISCUSSED THE IMPORTANCE OF HEALTHY HABITS AND ENGAGED THE STUDENTS IN A GAME OF "HEALTHY JEOPARDY." THE SELECTED STUDENTS WERE FEATURED ON A COMMUNITY BILLBOARD SHOWCASING THEM INVOLVED IN THEIR HEALTHY HABIT. 11. EXCELA HEALTH'S MALL WALKERS PROGRAM CONTINUED, GATHERING SOME 200 INDIVIDUALS EACH MONTH (EXCLUDING DECEMBER) AT WESTMORELAND MALL, LOCATED IN GREENSBURG, PA. IN FISCAL YEAR 2014, A SECOND MALL WALKERS GROUP WAS FORMED AT OUR EXCELA SQUARE AT NORWIN LOCATION, WHERE MORE THAN 100 WALKERS PARTICIPATE EACH MONTH STARTING IN APRIL AND CONTINUING THROUGH NOVEMBER. EACH SITE FEATURES FREE HEALTH SCREENING(S), A HEALTH PROFESSIONAL DISCUSSING A RELEVANT HEALTH TOPIC, A HEALTHY BREAKFAST AND A WALK ALONG A COURSE OF PRE-MEASURED DISTANCES. TO ADD A COMPETITIVE EDGE, EACH WALKER WAS PROVIDED A PEDOMETER THAT CAN BE DOWNLOADED TO COMPARE STEPS AND MILES AMONG THE GROUP AND OTHERS WITHIN EXCELA HEALTH SYSTEM'S WALKING SPREE. 12. TO AID THOSE WITH CONGESTIVE HEART FAILURE FURTHER, EXCELA HEALTH DEVELOPED THE "DINING OUT" PROGRAM IN JUNE 2013, WHICH CONTINUES TO THE PRESENT. SINCE ITS INCEPTION, FIVE NEW RESTAURANTS HAVE JOINED, BRINGING THE TOTAL TO 25 AREA RESTAURANTS WHERE THE EXCELA HEALTH HEART CENTER LOGO IS DISPLAYED ON THEIR MENUS NEXT TO FOOD ITEMS APPROPRIATE FOR THOSE WITH CHF. THE MENU CHOICES WERE SELECTED BY EXCELA HEALTH DIETITIAN DAWN DAVOLI AND ADJUSTED TO MEET THE AMERICAN HEART ASSOCIATION GUIDELINES FOR A HEART-SMART DIET. THIS PROGRAM WAS CREATED TO HELP LOWER READMISSION RATES AMONG PATIENTS WITH CHF. THE MENU ITEM IS ALSO ONE LOW IN FAT AND CHOLESTEROL AS WELL AS SODIUM. AT CHURCHES, MALLS AND SCORES OF OTHER VENUES, FOR OUR YOUTH, OUR SENIORS, AND EVERYONE IN BETWEEN, HEALTH-RELATED EVENTS ARE OFFERED. IN THIS MANNER, PEOPLE HAVE THE OPPORTUNITY TO PURSUE A COURSE OF WELLNESS, FIND NEEDED SUPPORT, LEARN ABOUT OUR CAPABILITIES AND HOW THEY CAN HELP, OR DISCOVER SUSPECTED OR UNKNOWN HEALTH CONDITIONS EARLY ON, SO THAT TREATMENT CAN BEGIN, OFFERING THE BEST POSSIBLE CHANCE FOR CARE AND CURE. OUR OUTREACH EFFORTS ALSO ENCOMPASS COMMUNITY SEMINARS AND LECTURES IN A VARIETY OF LOCATIONS THROUGHOUT WESTMORELAND, FAYETTE AND INDIANA COUNTIES. BOOKS FOR BABIES, THE GOLDEN HOUR HEART PROGRAM, AND OTHER INITIATIVES REACH OUR YOUNGER AUDIENCE WITH A MESSAGE OF GOOD HEALTH IN A NON-THREATENING, POSITIVE WAY, SO THAT GOOD HEALTH HABITS CAN BE INSTILLED EARLY IN LIFE. THROUGH OUR SPEAKER'S BUREAU, PROFESSIONALS IN THEIR FIELDS OFFER INSIGHTS ON GIVEN TOPICS AND ARE FREE OF CHARGE. A RANGE OF SUPPORT GROUPS HELPS EASE THE BURDEN OF FEAR, APPREHENSION, GRIEF AND OTHER EMOTIONS AFTER A LIFE-CHANGING EVENT. THROUGH OUR SUPPORT GROUPS, OR THOSE GROUPS SUPPORTED BY US, INDIVIDUALS HAVE THE OPPORTUNITY TO SHARE THOUGHTS AND FEELINGS WITHIN AN ATMOSPHERE OF ACCEPTANCE, WHERE EMOTIONS CAN BE SORTED THROUGH AND CONCERNS AIRED. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
ADDITIONAL COMMUNITY CONTACTS INCLUDE PROGRAMS OFFERED BY THE NANCY G. HOFFMAN COMPLEMENTARY HEALTH SERVICES, THE WELL-BEING CENTER, TOBACCO CESSATION AND OTHERS. BY REACHING BEYOND THE TRADITIONAL WALLS OF OUR HOSPITALS, AS WELL AS UNDERSTANDING THE MANY, VARIED MEDICAL NEEDS OF THE POPULATIONS WE SERVE, WE CAN DIRECT CARE WHERE IT IS MOST ACCESSIBLE AND MOST NEEDED. THROUGH EVENTS SUCH AS WELLNESS CHECKS CO-SPONSORED BY AREA ROTARY AND KIWANIS CLUBS, WELLNESS INITIATIVES AT LOCAL COLLEGES AND SCHOOLS, AREA FESTIVALS, MARCH OF DIMES WALK-A-THON, AND MUCH MORE, WE HAVE TOUCHED INNUMERABLE LIVES, WITH THE GOAL OF PREVENTING ILLNESS, KEEPING FOLKS HEALTHY, OR TEACHING THEM HOW TO STAY HEALTHY AFTER A HOSPITAL VISIT. WE ALSO OFFER NUMEROUS HEALTH AND WELLNESS AVENUES FOR OUR EMPLOYEES WITH ON-SITE GYMS, EMPLOYEE HEALTH FAIRS AND MORE. ACROSS EXCELA HEALTH, WE ATTEND TO KEEPING INDIVIDUALS HEALTHY AND DISEASE-FREE BY GIVING CONSIDERABLE ATTENTION TO WELLNESS THROUGH OUR WELL-BEING CENTER AND THEIR COMMUNITY PROGRAMS AMONG OTHERS: WELL-BEING CENTER/OTHER COMMUNITY PROGRAMS AND MONIES EXPENDED/POPULATIONS SERVED: TO SPREAD THE MESSAGE OF WELLNESS AND AVAILABLE WELLNESS OPPORTUNITIES FREE TO THE PUBLIC VIA OUR WELL-BEING CENTER, SPEAKER'S BUREAU AND MORE: $103,016 TO CONTROL THE SPREAD OF FLU BY PROVIDING FLU VACCINES FOR EMPLOYEES AND OTHER STAFF FOR A HEALTHIER POPULATION WHILE CONTAINING THE SPREAD OF FLU AMONG THE HEALTH SYSTEM POPULATIONS. EMPLOYEES, PHYSICIANS AND VOLUNTEERS RECEIVING THE FLU VACCINE: 4,282; COST ABSORBED FOR PROVIDING VACCINE: $72,151 LIVES TOUCHED THROUGH THE WELL-BEING CENTER PROFESSIONALS AND OTHERS VIA DIABETES EDUCATION, SMOKING CESSATION, PRE-NATAL CLASSES AND MORE: 7,101 DISCOUNTS PROVIDED TO SUBSCRIBERS BASED ON INCOME ACCORDING TO AREA AGENCY ON AGING INCOME GUIDELINES FOR THE LIFELINE PERSONAL EMERGENCY RESPONSE PROGRAM FOR OLDER ADULTS OR THOSE AT MEDICAL RISK: $2,928 FURTHER, WE CONTINUE TO MOVE BEYOND OUR TRADITIONAL WALLS TO STRENGTHEN BONDS WITH OUR COMMUNITIES AND TOUCH LIVES WELL BEYOND THOSE WHO ENTER OUR DOORS THROUGH AN ACTIVE COMMUNITY OUTREACH PROGRAM. IN THESE OUTREACH VENUES, WE CAN BRIDGE THE GULF FOR THOSE WHO OTHERWISE MAY NOT SEEK CARE, PURSUE WELLNESS MEASURES, OR KNOW WHERE TO TURN FOR HEALTH INFORMATION. ADDITIONAL RESOURCES WERE EXPENDED TO ACCOMPLISH OUR MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH IN THE FOLLOWING FASHION: COMMUNITY OUTREACH ACTIVITY/CHARITABLE GIVING AND MONIES EXPENDED/POPULATIONS SERVED: COMMUNITY HEALTH FAIRS, SCREENINGS, EDUCATION PROGRAMS: $651,480; LIVES TOUCHED THROUGH COMMUNITY HEALTH/WELLNESS EFFORTS: 365,583; FREE SCREENINGS PREFORMED: 14,398; COMMUNITY HEALTH PUBLICATIONS: $80,431; COMMUNITY CONTRIBUTIONS: $275,000; CONTINUING MEDICAL EDUCATION PROVIDED THROUGH THE HEALTH SYSTEM FOR ITS MEDICAL STAFF: $30,306; TUITION REIMBURSEMENT FOR EMPLOYEES RAISING THEIR LEVEL OF EDUCATION ULTIMATELY BENEFITTING THE QUALITY OF CARE DELIVERED: $437,074; VOLUNTEER HOURS DONATED SYSTEM WIDE (CAN TRANSLATE TO $1,186,257 OF TIME SPENT AIDING THE HEALTH SYSTEM MISSION): 92,101; MONIES FOR CAMP FOCUS, PROVIDING A SUMMER DAY CAMP FOR SCHOOL AGE CHILDREN SO MENTAL HEALTH TREATMENT, GROWTH AND LEARNING CAN CONTINUE DURING THE SUMMER MONTHS: $31,771 THE EMPLOYEES CHARITABLE TRUST FUND, EXCELA HEALTH SYSTEM EMPLOYEES WHO, DURING FY 2014, DONATED A PERCENTAGE OF THEIR PAY TO AID FELLOW EMPLOYEES, COMMUNITY CAUSES AND THE SYSTEM'S FOUNDATIONS, DISPERSED: -TO THE WESTMORELAND HOSPITAL FOUNDATION, DESIGNATED FOR THE WESTMORELAND HOSPITAL ICU RENOVATION: $10,000; OTHER EXTERNAL AID: $56,500; INTERNAL AID: $25,688; OTHER (ACCOUNTING, MISC.): $1,300; TOTAL: $93,488 BUT IT'S ALL ABOUT A CALL TO ACTION. AND THOSE ACTIONS TRANSLATE TO ASSUMING A PURPOSED LEADERSHIP ROLE AS WE SEEK TO INCREASE ACCESS AND ENHANCE QUALITY IN NEW AND ENLIGHTENED WAYS. FROM OUR BOARD OF TRUSTEES TO OUR PROFESSIONAL STAFF, WE CONTINUE TO FOCUS OUR SITES ON WHAT PEOPLE NEED MOST: THE BEST CARE POSSIBLE, AS CLOSE TO HOME AS POSSIBLE, WITH THE ADVANCED TECHNOLOGY AND EXPERTISE TO DELIVER THAT CARE. IN SHORT, WE HAVE EXCELLENCE IN HEALTH CARE. YOU HAVE EXCELA HEALTH. A STATISTICAL LOOK AT EXCELA HEALTH AS A FISCALLY RESPONSIBLE ORGANIZATION, WE CONTINUE TO LOOK AT WAYS TO CONSOLIDATE, INTEGRATE AND INITIATE PRACTICES AND PROCESSES THAT CAN SUSTAIN US OVER TIME, SO THAT WE ARE HERE TODAY, AND WELL INTO THE FUTURE. AS STEWARDS OF THE PUBLIC TRUST, IT IS OUR DUTY TO DO SO, AND THE LEGACY WE LEAVE AT THIS MOMENT WILL BECOME PART OF OUR HISTORY SPANNING SOME 118 YEARS. LICENSED BEDS: 650 STAFFED BEDS: 417 EMPLOYEES: 4,258 VOLUNTEERS AND AUXILIANS: 979 BIRTHS: 1,632 INPATIENT ADMISSIONS/OBSERVATIONS: 30,717 OUTPATIENT VISITS: 666,153 EMERGENCY DEPARTMENT VISITS: 111,673 COMMUNITIES SERVED: 97 ZIP CODES/ WESTMORELAND, FAYETTE, INDIANA COUNTIES SERVICE AREA POPULATION: 365,169 (IN WESTMORELAND COUNTY ONLY) IN ADDITION TO OUR HOSPITALS, EXCELA HEALTH IS A SOLE CORPORATE MEMBER OF THE FOLLOWING ORGANIZATIONS THAT ARE LOCATED IN WESTMORELAND AND PARTS OF FAYETTE COUNTIES AND INCLUDE OUR NOT-FOR-PROFIT SUBSIDIARIES: - EXCELA HEALTH HOME CARE AND HOSPICE - CAREGIVERS OF SOUTHWESTERN PA - FRICK/WESTMORELAND HOSPITAL FOUNDATION, A CHARITABLE FOUNDATION -- FRICK HOSPITAL FOUNDATION -- WESTMORELAND HOSPITAL FOUNDATION - LATROBE AREA HOSPITAL CHARITABLE FOUNDATION AND OUR HEALTH CARE-RELATED SUBSIDIARIES UNDER THE EXCELA HEALTH HOLDING COMPANY UMBRELLA: - EXCELA HEALTH MEDICAL GROUP (FORMERLY CALLED THE EXCELA HEALTH PHYSICIAN PRACTICES: ENCOMPASSING BEHAVIORAL HEALTH, CARDIOLOGY, CARDIOTHORACIC SURGERY, ENT, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, INTERNAL MEDICINE, NEUROLOGY, ORTHOPEDICS AND SPORTS MEDICINE AND PHYSIATRY.) - EXCELA HEALTH DIVERSIFIED SERVICES - MEDCARE EQUIPMENT COMPANY - EXCELA HEALTH ANESTHESIA ASSOCIATES - EXCELA HEALTH RECIPROCAL RISK RETENTION GROUP WESTMORELAND HOSPITAL OVER A CENTURY AGO, WESTMORELAND HOSPITAL OPENED ITS DOORS TO A COMMUNITY IN NEED OF MEDICAL CARE AND THUS BEGAN A "HEALTHY" PARTNERSHIP THAT HAS NOT ONLY ENDURED, BUT FLOURISHED. MORE IMPORTANTLY, THE COMMUNITY LEADERS WHO SERVED AS THE DRIVING FORCE BEHIND THIS FLEDGLING HOSPITAL SET A STANDARD BY WHICH ALL FUTURE LEADERS WOULD BE MEASURED, ONE THAT EMBODIED THE TENETS OF HIGH QUALITY, COST EFFECTIVENESS AND COMMITMENT TO EXCELLENCE IN PATIENT CARE, ALL CLOSE TO HOME. AS A 501 (C)(3) ORGANIZATION LOCATED IN THE HEART OF WESTMORELAND COUNTY, PENNSYLVANIA, WESTMORELAND HOSPITAL HAS SOUGHT TO ABIDE BY THOSE TENETS WHILE NAVIGATING THE WATERS OF INDUSTRY CHANGE, ECONOMIC DOWNTURN, AND DEMOGRAPHIC SHIFTS, ALWAYS WITH AN EYE TOWARD A STEADY HORIZON - OUR MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." TODAY, WESTMORELAND, WITH 373 LICENSED BEDS, PROVIDES A FULL RANGE OF ACUTE CARE SERVICES WHILE SERVING AS A REGIONAL REFERRAL CENTER, CARING FOR FRIENDS, NEIGHBORS, FAMILY MEMBERS AND OTHERS. PATIENT ADMISSIONS/OBSERVATION: 18,886 ACUTE CARE PATIENT DAYS: 74,078 NEWBORNS: 1,632 TOTAL OPERATING ROOM PROCEDURES: 7,614 LAB PROCEDURES AND TESTS: 1,545,253 EMERGENCY ROOM VISITS: 55,351 PHYSICAL THERAPY TREATMENTS: 141,638 OUTPATIENT SURGERIES: 4,710 OUTPATIENT VISITS: 329,286 OUTPATIENT X-RAY PROCEDURES: 130,908 BECAUSE WE FIRMLY BELIEVE THAT OUR MISSION IS INCLUSIVE AND SPEAKS TO OUR TRUEST SENSE OF COMMUNITY COMMITMENT, WESTMORELAND HOSPITAL AND ITS EMPLOYEES REINVEST IN OUR COMMUNITIES IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $5,717,331 - 203 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 28,462 HOURS - PATIENT EDUCATION MATERIALS: $31,632 |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
THE FAMILY ADDITIONS MATERNITY CENTER OFFERS MATERNITY CARE IN A HOME-LIKE ATMOSPHERE FEATURING 10 LABOR-DELIVERY-RECOVERY SUITES (LDRS) WITH OPERATING SUITES FOR CESAREAN OR HIGH RISK BIRTHS, A SPECIAL CARE (LEVEL II) NURSERY AND PEDIATRIC CARE. SERVICES FOR WOMEN PLANNING OR CONSIDERING PREGNANCY ARE OFFERED, ALONG WITH GYNECOLOGICAL SERVICES FOR WOMEN OF ALL AGES. BEHAVIORAL HEALTH SERVICES FEATURES A 32-BED ADULT INPATIENT PROGRAM, OUTPATIENT SERVICES FOR ADULTS AND REACHES INTO THE COMMUNITY THROUGH A VARIETY OF COMMUNITY-BASED PROGRAMS. IN 2013, BEHAVIORAL HEALTH EXPANDED AND REMODELED THE CRISIS RESPONSE CENTER, GIVING IT A TOTAL OF 4,000 SQUARE FEET TO ACCOMMODATE INDIVIDUALS WITH MULTIPLE PHYSICAL AND EMOTIONAL NEEDS THROUGH A "LIVING ROOM MODEL" OF CRISIS INTERVENTION. THE CRISIS CENTER HAS BECOME A CENTRAL EVALUATION AND REFERRAL SERVICE FOR THE COMMUNITY AND SERVES OVER 1,000 INDIVIDUALS IN PSYCHIATRIC CRISES EACH YEAR. ADDITIONALLY, THE HOSPITAL HOUSES A BREAST HEALTH CENTER; EXTENSIVE OUTPATIENT SERVICES INCLUDING A SHORT STAY SURGERY UNIT; DIABETES SERVICES; A FULL COMPLEMENT OF IMAGING SERVICES INCLUDING FIXED-SITE AND OPEN MRI UNITS; A BARIATRIC SURGERY CENTER, A LARGE CRITICAL CARE UNIT WITH AN INTENSIVIST PROGRAM (OFFERING 24 HOUR A DAY, IN-HOUSE PHYSICIAN SPECIALIST COVERAGE IN THE CRITICAL CARE AREAS), AND EMERGENCY CARE. MINIMALLY INVASIVE SURGERY, TOO, WAS ENHANCED WITH THE ADDITION OF A SECOND MINIMALLY INVASIVE SURGERY OPERATING ROOM SUITE AT WESTMORELAND HOSPITAL. ADDED IN OCTOBER 2010, THE NEWLY REMODELED SURGICAL SUITE PROVIDES MAXIMUM PATIENT BENEFITS IN A MINIMALLY INVASIVE WAY. DESCRIBED AS THE "OPERATING ROOM OF THE FUTURE - TODAY" THE I-SUITE OPERATING ROOM BY STRYKER FEATURES THE LATEST TECHNOLOGIES FOR ENHANCING THE QUALITY AND EFFICIENCY OF MINIMALLY INVASIVE SURGERY. IN 2014, A DA VINCI SURGICAL ROBOT WAS ADDED TO WESTMORELAND, WHERE TRAINED SURGEONS ARE ABLE TO PERFORM ROBOT-ASSISTED SURGERIES. IN FEBRUARY 2011, AN OBSERVATION UNIT ON THE HOSPITAL'S SECOND FLOOR WAS ADDED, GEARED TOWARD PATIENTS WHO ARE EXPECTED TO BE EVALUATED, DIAGNOSED AND TREATED RAPIDLY, WITH THE LIKELIHOOD OF IMPROVEMENT AND DISCHARGE WITHIN 24 HOURS. IT IS ALSO HOME TO THE INTERVENTIONAL CAPABILITIES OF THE HEART CENTER. THE WELL BEING CENTER OFFERING WELLNESS AND PREVENTION PROGRAMS FOR OUR COMMUNITIES AND EMPLOYEES ALIKE. A PASTORAL SERVICES COMPONENT TENDS TO THE EMOTIONAL AND SPIRITUAL NEEDS OF OUR PATIENTS, THEIR FAMILIES, AND STAFF WHILE A VIBRANT VOLUNTEER SERVICES PROGRAM HELPS WITH THE DAY-TO-DAY TASKS THAT ALLOW THE HOSPITAL TO RUN SMOOTHLY. THE WESTMORELAND HOSPITAL EMERGENCY DEPARTMENT CONTINUES TO SEE PATIENTS FROM ALL WALKS OF LIFE AND ALL STAGES OF ILLNESS AND INJURY. WITHIN ITS REFURBISHED SPACE, THE DEPARTMENT SAW 55,351 INDIVIDUALS IN FY 2014. RECENTLY, THE HOSPITAL AND HEALTHSYSTEM OF PENNSYLVANIA (HAP) RECOGNIZED THE DEPARTMENT'S EFFORTS IN ADDRESSING PATIENT THROUGHPUT. THE EXCELA ADVANCED WOUND CARE CENTER CONTINUES TO HELP PATIENTS WITH ALL TYPES OF WOUNDS, MOST NOTABLY, WITH HYPERBARIC OXYGEN CHAMBER TREATMENT TO SPEED HEALING IN SOME TYPES OF WOUNDS, ESPECIALLY DIABETIC ULCERS. EXCELA HEALTH IS THE FIRST IN THE AREA TO DO SO. FURTHER, THE CENTER OFFERS OTHER TREATMENTS INCLUDING TOPICAL SKIN CARE, WOUND DRESSINGS AND MEDICATIONS. FOR MORE SERIOUS CASES, EXCELA HEALTH OFFERS SOPHISTICATED SOLUTIONS, SUCH AS "SKIN SUBSTITUTES" TO HELP COVER AN OPEN WOUND, REDUCE HEALING TIME, AND PAIN. GETTING TO THE HEART OF THE MATTER: THE HEART CENTER AT WESTMORELAND HOSPITAL THE HEART CENTER AT EXCELA HEALTH OFFERS THE LATEST TECHNOLOGIES, COMPASSIONATE CARE, HIGHLY ADVANCED MEDICAL EXPERTISE REFLECTED IN EXCEPTIONAL OUTCOMES, AND EXPERIENCE COMMENSURATE WITH HIGH VOLUMES. THE HEART CENTER SPANS EMERGENCY CARE FOR QUICK ASSESSMENT AND TREATMENT OF HEART ATTACK AND RELATED CONDITIONS TO DIAGNOSTIC CARE, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIOTHORACIC AND VASCULAR SURGERY, AND CARDIAC/PULMONARY REHABILITATION. OF EQUAL IMPORTANCE IS THE FACT THAT AREA RESIDENTS NO LONGER NEED TO TRAVEL GREAT DISTANCES FOR TOP QUALITY, COMPREHENSIVE HEART CARE, PARTICULARLY WITH WESTMORELAND COUNTY HOLDING THE DUBIOUS DISTINCTION OF HAVING A HIGHER INCIDENCE OF HEART DISEASE THAN ANYWHERE ELSE IN THE STATE. HERE, PATIENTS CAN FIND CARE IN THEIR OWN COMMUNITY KNOWING THAT WE SEEK AND MEET STRINGENT STANDARDS OF CARE AND QUALITY. AS THE CENTERPIECE OF EXCELA HEALTH'S SYSTEM-WIDE CARDIAC EXPERTISE, THIS INTERVENTIONAL CENTER HOUSES THE CARDIAC CATHETERIZATION AND ELECTROPHYSIOLOGY LABS AND A 64-SLICE CT SCANNER; ALLOWS FOR HIGH-VOLUME OPEN HEART SURGERY (THREE CARDIOVASCULAR OPERATING ROOMS WITH TWO DEDICATED TO OPEN HEART PROCEDURES AS WELL AS A 16-BED CARDIAC CARE UNIT, 52 TELEMETRY BEDS AND A DEDICATED NURSING STAFF); HAS AN IMAGING DEPARTMENT WITH ECHOCARDIOGRAPHY, CARDIAC CT, CARDIAC MRI AND A VASCULAR LAB, AND ALL RELATED TECHNOLOGIES ALONG WITH THE EXPERIENCED MEDICAL STAFF FOR DIAGNOSIS AND TREATMENT TO ENSURE HIGH QUALITY AND EXCELLENT SURVIVAL RATES. THIS YEAR, A NEW SERVICE WAS INTRODUCED - ATRIAL ABLATION TO CORRECT ATRIAL FIBRILLATION (A-FIB) AND SUPRAVENTRICULAR TACHYCARDIA (SVT) AS PERFORMED BY EXCELA HEALTH ELECTROPHYSIOLOGIST MATI FRIEHLING. HE IS THE FIRST PHYSICIAN IN THE HEALTH SYSTEM TO PERFORM THIS PROCEDURE. THE HEART CENTER PROCEDURES PERFORMED: 2,757 OPEN HEART SURGERIES: 185 DEVICE IMPLANTATIONS: 345 CARDIAC REHABILITATION VISITS (ALL LOCATIONS): 24,681 PULMONARY REHABILITATION VISITS (ALL LOCATIONS): 2,238 ADDITIONALLY, INNOVATIVE PROGRAMS HAVE FURTHER INCREASED SURVIVAL RATES OF INDIVIDUALS EXPERIENCING A CARDIAC EVENT AND INCLUDE: - TWELVE-LEAD EKG TRANSMISSION: A PRE-HOSPITAL PROGRAM, 12-LEAD EKG TRANSMISSION BRINGS TOGETHER MULTIPLE TECHNOLOGIES TO AID IN PATIENT DIAGNOSIS, EXPEDITE CARE, AND MINIMIZE HEART DAMAGE. THIS PROGRAM REDUCES THE TIME TO CARDIAC INTERVENTION SIGNIFICANTLY, IN FACT, BELOW STATE AVERAGES, WHICH HAS IMPROVED OUTCOMES FOR HEART ATTACK VICTIMS. THE GOAL HAS BEEN FOR EACH PATIENT TRANSPORTED BY EMERGENCY MEDICAL SERVICES TO SKIP THE EMERGENCY DEPARTMENT VISIT AND GO DIRECTLY TO THE CARDIAC CATHETERIZATION LABORATORY. FOR THE HEALTH SYSTEM'S EFFORTS, THEY HAVE BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION AS A MODEL AMONG THE MEMBERS OF ITS MISSION LIFELINE COALITION IN PENNSYLVANIA. - HYPOTHERMIC TREATMENT OF CARDIAC ARRESTS: PATIENTS SUFFERING A CARDIAC ARREST HAVE A HIGH RATE OF MORTALITY AND MORBIDITY. STUDIES HAVE SHOWN THAT MORE THAN 90 PERCENT OF PEOPLE WITH CARDIAC ARREST DIE BEFORE THEY REACH A HOSPITAL. STUDIES ALSO HAVE INDICATED THAT COOLING A PATIENT'S CORE BODY TEMPERATURE IMPROVES THOSE ODDS. HYPOTHERMIA THERAPY, MOST OFTEN BEGUN IN THE EMERGENCY DEPARTMENT, CAN ALSO BE STARTED IN A CARDIAC CATHETERIZATION LABORATORY, A CRITICAL CARE OR INTENSIVE CARE UNIT OR IN THE FIELD BY EMERGENCY MEDICAL FIRST RESPONDERS. MANY EMS PROVIDERS ARE TRAINED AND EQUIPPED TO INITIATE HYPOTHERMIA THERAPY IN THE FIELD INCLUDING EXCELA HEALTH'S EMS CREWS AT FRICK HOSPITAL. WE ALSO SUPPORT TRANSPARENT PUBLIC REPORTING OF HEALTH CARE QUALITY DATA AND PARTICIPATE IN NATIONAL INITIATIVES SUCH AS: AMERICAN COLLEGE OF CARDIOLOGY CATH/PCI REGISTRY; SOCIETY OF THORACIC SURGERY REGISTRY; AMERICAN COLLEGE OF CARDIOLOGY ICD REGISTRY; CENTER FOR MEDICARE AND MEDICAID; HOSPITAL COMPARE (WWW.HOSPITALCOMPARE.HHS.GOV). THE ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE (ACE) ACCREDITATION CONTINUES FOR EXCELA HEALTH'S CARDIAC CATHETERIZATION LABORATORY AND ANGIOPLASTY/STENTING PROGRAM. EXCELA IS THE FIRST HEALTH SYSTEM IN PENNSYLVANIA AND ONLY THE FIFTH IN THE NATION TO RECEIVE THIS DESIGNATION, WHICH RECOGNIZES THE COMMITMENT OF CLINICIANS AND STAFF TO QUALITY ASSURANCE, PEER REVIEW AND USE OF EVIDENCE-BASED GUIDELINES. THE EXCELA HEALTH CARDIOTHORACIC SURGICAL PROGRAM CONTINUES TO BE RANKED AMONG THE NATION'S BEST IN CONSUMER REPORTS IN PRINT AND ONLINE AT CONSUMERREPORTS.ORG/HEALTH. THE EXCELA HEALTH PHYSICIAN PRACTICE OF CARDIO-THORACIC SURGICAL ASSOCIATES CONTINUES ITS RATING AMONG THE TOP 10 PERCENT NATIONALLY, HAVING RECEIVED A THREE-STAR RATING FROM THE SOCIETY OF THORACIC SURGEONS (STS) TWO CONSECUTIVE YEARS. CONSUMER REPORTS PARTNERED WITH STS TO PUBLISH RATINGS OF HEART SURGERY GROUPS BASED ON THEIR PERFORMANCE IN THE AREA OF HEART BYPASS SURGERY CALLED CORONARY ARTERY BYPASS GRAFTING OR CABG. THE STS REPORT IS THE "GOLD STANDARD" FOR EVALUATION OF CARDIAC SURGERY PROGRAMS. PATIENTS ARE ALSO INTRODUCED TO A COMPREHENSIVE CARDIAC REHABILITATION PROGRAM CONSISTING OF EXERCISE AND EDUCATION AS WELL AS SUPPORT SERVICES AND HOME HEALTH CARE, IF NEEDED. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
WE'RE EXPECTING YOU - THE FAMILY ADDITIONS MATERNITY CENTER AT WESTMORELAND: EXPERT CARE, SUPPORT AND EDUCATION ARE THE HALLMARKS OF THE FAMILY ADDITIONS MATERNITY CENTER WHERE WE CONTINUE THE TRADITION OF PROVIDING PARENTS-TO-BE WITH A WARM, CARING ENVIRONMENT COUPLED WITH STATE-OF-THE-ART TECHNOLOGY. WE UNDERSTAND THAT BECOMING A MOM IS NOT JUST ABOUT THE BIRTH, BUT THE BEGINNING OF AN INCREDIBLE JOURNEY, ONE IN WHICH WE HELP YOU, AND YOUR GROWING FAMILY, ENJOY THE EXPERIENCE WHILE PROVIDING CARE AND SUPPORT THAT CAN LAST A LIFETIME. IT STARTS WITH A RANGE OF EDUCATIONAL CLASSES, MOST FREE, WHERE YOU LEARN ABOUT PREGNANCY, PARENTING, CARE FOR THE NEW INFANT, AND SO MUCH MORE. PRE-NATAL TESTING IS AVAILABLE AS IS NUTRITIONAL ADVICE FOR KEEPING YOU AND BABY HEALTHY AND HAPPY. BIRTHING CLASSES ARE OFFERED FOR YOU, THE BABY'S FATHER AND EVEN SIBLINGS. GRANDPARENTING CLASSES ARE AVAILABLE WHEN THE EXTENDED FAMILY IS MORE INTIMATELY INVOLVED. THIS AWARD-WINNING CENTER, FEATURES 10 WELL-APPOINTED LABOR-DELIVERY-RECOVERY (LDRS) SUITES WITH ALL THE COMFORTS OF HOME BUT EQUIPPED WITH THE LATEST TECHNOLOGY. YOU'LL ALSO FIND A NEWBORN NURSERY, A SPECIAL CARE (LEVEL II) NURSERY, PRIVATE, POST-PARTUM ROOMS WITH PULL-OUT BEDS FOR DADS AND OPERATING ROOMS ON THE SAME FLOOR FOR CESAREAN SECTIONS, COMFORTABLE WAITING ROOMS AND A NEWBORN PHOTO SERVICE. BIRTHS FOR THE FISCAL YEAR 2014 REACHED 1,632. MAKING CARE MORE ACCESSIBLE - OUTPATIENT CARE AND COMMUNITY OUTREACH: TO MAKE HEALTH CARE MORE ACCESSIBLE TO OUR COMMUNITIES, WE CONTINUE TO OFFER SERVICES IN AN OUTPATIENT SETTING AS WELL AS HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL CLASSES, SUPPORT GROUPS AND A VIBRANT SPEAKERS BUREAU, ALL WITH THE PURPOSE OF KEEPING OUR COMMUNITIES HEALTHY. THE DIABETES CENTER TENDS TO THE NEEDS OF THE COUNTY'S DIABETIC POPULATION, WHICH IS 10 PERCENT OF THE TOTAL WESTMORELAND COUNTY POPULATION. DIABETES CLASSES AT WESTMORELAND HOSPITAL REALIZED 1,633 VISITS. CLINICS INCLUDE THE DIGESTIVE DISORDERS CENTER, BREAST HEALTH CENTER, EXCELA HEALTH OUTPATIENT SERVICES, OUTPATIENT LABS AND IMAGING STATIONS (QUIKDRAW AND QUIKDRAW PLUS), AND THE SHORT STAY SURGERY SUITE WHERE PROCEDURES TOTALED: OUTPATIENT X-RAY PROCEDURES: 130,908; OUTPATIENT SURGERIES: 4,710; OUTPATIENT ENDOSCOPIES: 8,746; TOTAL OUTPATIENT REGISTRATIONS/VISITS: 329,286. FRICK HOSPITAL AT THE START OF THE 20TH CENTURY, THE WHEELS OF PROGRESS WERE TURNING FOR THE COMMUNITY OF MOUNT PLEASANT. WITH THE HELP OF A DONATION BEQUEATHED BY A FORMER RESIDENT, A CHARTER FOR A DISPENSARY WAS GRANTED AND LATER THAT SAME YEAR, IN SEPTEMBER 1902, A HOSPITAL CHARTER WAS APPROVED. TODAY, FRICK HOSPITAL, A 103 LICENSED BED HOSPITAL OFFERS GENERAL ACUTE CARE SERVICES, SURGICAL SERVICES, REHABILITATION SERVICES, OUTPATIENT SERVICES AND MORE. BEYOND THAT, THE HOSPITAL IS STAFFED WITH HIGHLY TRAINED, HOME GROWN PROFESSIONALS; FRIENDS TAKING CARE OF FRIENDS AND NEIGHBORS WITH ALL THE UNDERSTANDING AND COMPASSION SHARED EXPERIENCE FOSTERS. THE PHYSICIANS ARE DEDICATED TO QUALITY AND CARING IN EQUAL MEASURE, WITH A COMMITMENT TO THEIR COMMUNITY NOT OFTEN SEEN IN MORE URBAN AREAS. AS A FOUNDING MEMBER OF EXCELA HEALTH, FRICK HOSPITAL EXPANDED HEALTH CARE SERVICES TO INCLUDE WOMEN'S CARE SERVICES, PROVIDING A RANGE OF BREAST HEALTH SERVICES AND BONE DENSITY SCANNING, AS WELL AS AN OUTPATIENT SERVICES CENTER FEATURING A CENTRALIZED OUTPATIENT REGISTRATION AREA WITH QUICK, CONVENIENT PATIENT REGISTRATION SURROUNDED BY A VARIETY OF OUTPATIENT TESTING AREAS AND SERVICES, DRAWING TOGETHER NUCLEAR MEDICINE, PULMONARY FUNCTION LAB, STRESS LAB, EKG, EEG, ECHOCARDIOGRAPHY, X-RAY, ULTRASOUND AND MAMMOGRAPHY FOR "ONE-STOP SHOPPING." ALWAYS AN OBJECT OF COMMUNITY PRIDE AND COMMUNITY LIFE, FRICK HOSPITAL ALSO BOASTS A NATIONALLY RECOGNIZED EMERGENCY DEPARTMENT STAFFED WITH BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS. SERVING SOUTHERN WESTMORELAND AND NORTHERN FAYETTE COUNTIES, FRICK HOSPITAL ALSO OFFERS ENHANCED SURGICAL SERVICES AND NEW, STATE-OF-THE-ART CARDIAC REHABILITATION. ITS CARDIAC AND PULMONARY REHABILITATION PROGRAM IS ONE OF THREE ACROSS THE EXCELA HEALTH SYSTEM, PROVIDING EXERCISE, EDUCATION AND SUPPORT TO THOSE WHO HAVE HAD A HEART ATTACK. PATIENTS ARE OFTEN JOINED BY FAMILY MEMBERS IN A STRUCTURED PROGRAM OF RECOVERY THAT INCLUDES MONITORING, SUPERVISION, MAINTENANCE AND FINALLY, INDEPENDENT EXERCISE. WITH THE ANNOUNCEMENT MADE IN JUNE 2014, EXCELA HEALTH IS INVESTING $12 MILLION IN THE FRICK HOSPITAL COMMUNITY OVER THE NEXT FIVE YEARS TO DESIGN AN INNOVATIVE HEALTH CARE DELIVERY SYSTEM FOR THE NORTHERN FAYETTE AND SOUTHERN WESTMORELAND COUNTY REGION. THE COMPLETED PROJECT WILL BOAST A MEDICAL MALL CONCEPT WITH LAB, IMAGING AND PHYSICAL THERAPY SERVICES, PHYSICIAN OFFICES, SPECIALTY SERVICES AND EXTENSIVE RENOVATIONS. PHASE I OF THIS PROJECT BEGINS WITH A $2 MILLION REMODEL OF THE EMERGENCY DEPARTMENT ALONG WITH THE CREATION OF AN ADVANCED WOUND CENTER AND AN ADVANCED SLEEP CENTER (BOTH COMPLETED) ON CAMPUS. PHASE II IS SET TO START LATER IN 2015 FOLLOWED BY PHASE III IN THE NEXT SEVERAL YEARS. THIS 501(C)(3) HOSPITAL HAS ALSO GARNERED THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ACHIEVEMENT AWARD FOR QUALITY, IS A PRESS GANEY PATIENT SATISFACTION LEADER, AND IS AMONG THE TOP 200 CODING HOSPITALS NAMED BY INGENIX. LIKE ITS SISTER HOSPITALS, FRICK READILY EMBRACES THE MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." PATIENT ADMISSIONS/OBSERVATION: 3,445; ACUTE CARE PATIENT DAYS: 11,982; TOTAL OPERATING ROOM PROCEDURES: 1,956; LAB PROCEDURES AND TESTS: 432,857; EMERGENCY ROOM VISITS: 23,672; PHYSICAL THERAPY TREATMENTS: 29,810; OUTPATIENT SURGERIES: 1,659; OUTPATIENT REGISTRATION/VISITS: 96,032; OUTPATIENT X-RAY PROCEDURES: 47,247. BECAUSE WE FIRMLY BELIEVE THAT OUR MISSION IS INCLUSIVE AND SPEAKS TO OUR TRUEST SENSE OF COMMUNITY COMMITMENT, FRICK HOSPITAL REINVESTS IN OUR COMMUNITIES IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $1,684,362 - 112 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 19,239 HOURS - PATIENT EDUCATION MATERIALS: $5,728 THE LIFELINE EMERGENCY RESPONSE PROGRAM IS LOCATED HERE AS ARE OUTPATIENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES. LOYAL TO THEIR COMMUNITY HOSPITAL, AREA RESIDENTS VOLUNTEER TO HELP WITH THE DAY-TO-DAY TASKS THAT ALLOW THE HOSPITAL TO RUN SMOOTHLY. FRICK HOSPITAL HOUSES A CARDIAC AND PULMONARY REHABILITATION CENTER PROVIDING EASIER ACCESS AND CONVENIENCE TO THOSE RECOVERING FROM HEART AND LUNG-RELATED ISSUES. AS THE NUMBER OF PATIENTS NEEDING SERVICES NEARLY DOUBLED, IT WAS OBVIOUS THAT A LARGER, UPDATED FACILITY WAS A NECESSITY. CONSOLIDATING ALL REHABILITATION SERVICES IN ONE LOCATION, THE SIZE OF THE CENTER NEARLY DOUBLED. THE GYM HOLDS $80,000 IN EQUIPMENT INCLUDING FIVE STATIONARY BIKES, THREE NUSTEP MACHINES, A RECUMBENT BIKE, TWO UPPER BODY ERGOMETERS AND FIVE TREADMILLS. FLAT SCREEN TELEVISIONS ARE AN ADDED AMENITY FOR PATIENTS AS THEY WORK OUT. JACOB'S CREEK AREA FAITH IN ACTION IS ALSO LOCATED AT FRICK HOSPITAL, WHICH IS ONE OF FOUR SITES IN WESTMORELAND COUNTY. THE GROUP PROVIDES VOLUNTEER COMPANIONSHIP AND ASSISTANCE TO HELP OLDER ADULTS REMAIN IN THEIR HOMES INDEPENDENTLY AND HEALTHFULLY. THE GOAL OF THE FREE PROGRAM IS TO BRING INTERFAITH, NON-PROFIT AND BUSINESS COMMUNITIES TOGETHER TO ENHANCE THE EVERYDAY LIVES OF THOSE AGE 60 AND OLDER. WITH ITS PARALLEL MISSION, HOSTING FAITH IN ACTION SEEMED A NATURAL FIT AND WE HAVE HELPED TO REDUCE ADMINISTRATIVE EXPENSES SO MORE UNITED WAY DOLLARS CAN BE USED FOR VOLUNTEER SUPPORT. SERVICES RANGE FROM TRANSPORTATION TO MEDICAL APPOINTMENTS AND CAREGIVER RELIEF TO TELEPHONE REASSURANCE AND SUPPORTIVE VISITS. THE CHAPTER SERVES THE SOUTHERN WESTMORELAND COUNTY AREAS OF ALVERTON, EVERSON, MOUNT PLEASANT, SCOTTDALE AND OTHER COMMUNITIES. QUALITY EMERGENCY CARE - THE FRICK HOSPITAL EMERGENCY DEPARTMENT OUR EMERGENCY DEPARTMENT HAS RECEIVED NATIONAL RECOGNITION OVER THE LAST SEVERAL YEARS FOR ACHIEVING EXCELLENCE IN PATIENT SATISFACTION, RANKING AS A LEADER AMONG SIMILAR-SIZED HOSPITALS ACROSS THE COUNTRY AND SERVING AS A MODEL FOR THE REST OF EXCELA HEALTH. PATIENTS PRAISE THE RAPID ENTRY PROGRAM THAT SHORTENS WAITING TIMES, AND THE EFFICIENCY, WARM WELCOME AND EXCELLENT CARE THAT KEEPS THEM COMING BACK TO THE HOSPITAL WHERE EVERYONE KNOWS THEIR NAMES. IN FACT, THE EMERGENCY DEPARTMENT SEES SOME 23,672 PATIENTS. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
LIFELINE PERSONAL EMERGENCY RESPONSE HEADQUARTERED AT FRICK HOSPITAL, THE LIFELINE PERSONAL EMERGENCY RESPONSE PROGRAM IS AN EASY-TO-USE, PERSONAL RESPONSE SERVICE AVAILABLE THROUGH EXCELA HEALTH HOSPITALS. THE PROGRAM ALLOWS FOR ASSISTANCE AND EMERGENCY HELP FOR OLDER ADULTS OR THOSE AT MEDICAL RISK 24 HOURS A DAY, 365 DAYS A YEAR. IT OFFERS THE SUBSCRIBER A MORE INDEPENDENT LIFESTYLE WHILE GIVING FAMILIES, WHO MAY NOT LIVE IN THE IMMEDIATE AREA, PEACE OF MIND KNOWING THEIR LOVED ONES ARE NEVER FARTHER FROM HELP THAN THE PUSH OF A BUTTON. THE PROGRAM IS HIGHLY AFFORDABLE, PARTICULARLY IN COMPARISON TO LIKE SERVICES AND DOES NOT REQUIRE A LONG TERM CONTRACT. WE FOLLOW THE AREA AGENCY ON AGING INCOME GUIDELINES, WHICH MAY MEAN REDUCED RATES FOR THOSE WHO QUALIFY. ADDITIONALLY, THE PHILLIPS LIFELINE EQUIPMENT USED BY EXCELA HEALTH IS THE ONLY PERSONAL EMERGENCY RESPONSE EQUIPMENT APPROVED BY THE FOOD AND DRUG ADMINISTRATION (FDA). THE LIFELINE UNIT WORKS WITH AN EXISTING LAND LINE TELEPHONE, OFFERING THE BENEFITS OF 24 HOUR MONITORING SERVICE ALONG WITH TWO-WAY VOICE COMMUNICATION. A "PERSONAL HELP BUTTON" IS USED BY THE SUBSCRIBER TO CALL FOR HELP. THE LIFELINE UNIT AUTOMATICALLY DIALS A LOCAL AMBULANCE SERVICE WHEN THE BUTTON IS PUSHED. PERSONAL SERVICE IS THE HALLMARK AND INCLUDES TRAINED VOLUNTEERS WHO INSTALL, TROUBLESHOOT AND CHECK EQUIPMENT, MAKING FRIENDLY VISITS AS NEEDED. CURRENTLY, THERE ARE NEARLY 465 SUBSCRIBERS TO THIS VITAL PROGRAM. - 25 LIFELINE VOLUNTEERS DONATED OF THEIR TIME AND TALENTS: 4,047 HOURS - DISCOUNTS PROVIDED TO SUBSCRIBERS BASED ON INCOME ACCORDING TO AREA AGENCY ON AGING INCOME GUIDELINES: $2,928 - SERVICE AREA (WESTMORELAND COUNTY AND BEYOND): 54 ZIP CODES MAKING CARE MORE ACCESSIBLE - OUTPATIENT CARE AND COMMUNITY OUTREACH TO MAKE HEALTH CARE MORE ACCESSIBLE TO OUR COMMUNITIES, WE CONTINUE TO OFFER OUTPATIENT CARE AS WELL AS HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL CLASSES, SUPPORT GROUPS AND A VIBRANT SPEAKERS BUREAU. OTHER OUTPATIENT PROCEDURES INCLUDE: OUTPATIENT X-RAY PROCEDURES: 47,247 OUTPATIENT SURGERIES: 1,659 OUTPATIENT ENDOSCOPIES: 2,937 OUTPATIENT REGISTRATIONS/VISITS: 96,032 AT CHURCHES, MALLS AND SCORES OF OTHER VENUES, FOR OUR YOUTH, OUR SENIORS, AND EVERYONE IN BETWEEN, HEALTH-RELATED EVENTS ARE OFFERED. IN THIS MANNER PEOPLE HAVE THE OPPORTUNITY TO PURSUE A COURSE OF WELLNESS, FIND NEEDED SUPPORT, LEARN ABOUT OUR CAPABILITIES AND HOW THEY CAN HELP, OR DISCOVER SUSPECTED OR UNKNOWN HEALTH CONDITIONS EARLY ON, SO THAT TREATMENT CAN BEGIN, OFFERING THE BEST POSSIBLE CHANCE FOR CARE AND CURE. OUR OUTREACH EFFORTS ALSO ENCOMPASS COMMUNITY SEMINARS AND LECTURES IN A VARIETY OF LOCATIONS THROUGH WESTMORELAND AND FAYETTE COUNTIES. THE CHILDREN'S HEALTH FAIR AND OTHER INITIATIVES REACH OUR YOUNGER AUDIENCE WITH A MESSAGE OF GOOD HEALTH IN A NON-THREATENING, POSITIVE WAY, SO THAT GOOD HEALTH HABITS CAN BE INSTILLED EARLY IN LIFE. THROUGH OUR SPEAKER'S BUREAU, PROFESSIONALS IN THEIR FIELDS OFFER INSIGHTS ON GIVEN TOPICS AND ARE FREE OF CHARGE. A RANGE OF SUPPORT GROUPS HELPS EASE THE BURDEN OF FEAR, APPREHENSION, GRIEF AND OTHER EMOTIONS AFTER A LIFE-CHANGING EVENT. THROUGH OUR SUPPORT GROUPS, OR THOSE GROUPS SUPPORTED BY US, INDIVIDUALS HAVE THE OPPORTUNITY TO SHARE THOUGHTS AND FEELINGS WITHIN AN ATMOSPHERE OF ACCEPTANCE, WHERE EMOTIONS CAN BE SORTED THROUGH AND CONCERNS AIRED. ADDITIONAL COMMUNITY CONTACTS INCLUDE PROGRAMS OFFERED BY THE NANCY G. HOFFMAN COMPLEMENTARY HEALTH SERVICES, THE WELL BEING CENTER, TOBACCO CESSATION AND OTHERS. BY REACHING BEYOND THE TRADITIONAL WALLS OF THE HOSPITAL, AS WELL AS UNDERSTANDING THE MANY, VARIED MEDICAL NEEDS OF THE POPULATIONS WE SERVE, WE CAN DIRECT CARE WHERE IT IS MOST ACCESSIBLE AND MOST NEEDED. THROUGH EVENTS SUCH AS AMERICAN RED CROSS BLOOD DRIVES, BONE DENSITY SCREENINGS, BLOOD SCREENINGS, THE MOUNT PLEASANT GLASS AND ETHNIC FESTIVAL, WELLNESS INITIATIVES AT LOCAL COLLEGES AND SCHOOLS, SILVER SNEAKERS AT THE MOUNT PLEASANT YMCA, THE SCOTTDALE FALL FESTIVAL, AND OUR GOLDEN HOUR HEART AND STROKE PROGRAM AND MUCH MORE, WE HAVE TOUCHED MANY LIVES WITHIN THE COMMUNITIES WE SERVE. LATROBE HOSPITAL IN LATROBE, PRACTICING PHYSICIANS TRAVELED BY HORSE-DRAWN BUGGY AT ALL HOURS OF THE DAY AND NIGHT, THROUGH ALL TYPES OF WEATHER CONDITIONS TO REACH THE BEDSIDE OF STRICKEN PATIENTS. THESE DEDICATED SOULS NOT ONLY JOURNEYED FAR TO ADMINISTER MEDICAL CARE BUT ALSO BLAZED THE WAY FOR A LOCAL HOSPITAL TO BE BUILT. THAT WAS 1907. TODAY, THIS 174 LICENSED BED HOSPITAL OFFERS A SPECIAL BLEND OF CONCERN AND COMPASSION, CREATING A UNIQUE EXPERIENCE FOR PATIENTS IN LATROBE HOSPITAL, SERVING THE EASTERN PORTION OF WESTMORELAND COUNTY AND SOUTHERN INDIANA COUNTY. COMPASSIONATE, EXPERT AND HIGH QUALITY CARE ARE THE TRAITS MOST PROFOUNDLY EMBODIED BY OUR PHYSICIANS, NURSES, AND ALL HEALTH CARE PROFESSIONALS, INSPIRING TRUST AND CONFIDENCE IN A LIFELONG RELATIONSHIP WITH OUR HOSPITAL. THERE'S A PRIDE IN THIS PLACE THAT TRANSCENDS THE CHANGES IN HEALTH CARE, ENSURING THE COMMUNITY'S ENDURING SUPPORT AND THE HOSPITAL'S CONTINUING SERVICE TO PATIENTS AND THEIR FAMILIES. A 501(C)(3) ORGANIZATION, LATROBE HOSPITAL PROVIDES ACUTE, SURGICAL AND SPECIALIZED CARE, WITH: PATIENT ADMISSIONS/OBSERVATION: 8,386 ACUTE CARE PATIENT DAYS: 24,241 TOTAL OPERATING ROOM PROCEDURES: 9,137 LAB PROCEDURES AND TESTS: 1,053,114 EMERGENCY ROOM VISITS: 32,650 PHYSICAL THERAPY TREATMENTS: 62,249 OUTPATIENT SURGERIES: 7,738 OUTPATIENT REGISTRATION/VISITS: 240,835 OUTPATIENT X-RAY PROCEDURES: 89,367 BECAUSE WE FIRMLY BELIEVE THAT OUR MISSION IS INCLUSIVE AND SPEAKS TO OUR TRUEST SENSE OF COMMUNITY COMMITMENT, LATROBE HOSPITAL AND ITS EMPLOYEES REINVEST IN OUR COMMUNITIES IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $2,899,639 - 160 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 28,240 HOURS - PATIENT EDUCATION MATERIALS: $12,760 FUNDAMENTAL TO A HEALTHY COMMUNITY ARE STRONG CAPABILITIES IN INTERNAL AND FAMILY MEDICINE. LATROBE HOSPITAL IS HOME TO MANY PRIMARY CARE PHYSICIANS WHO HAVE PRACTICED IN THE AREA THEIR ENTIRE CAREER, AND SEVERAL ARE GRADUATES OF THE HEALTH SYSTEM'S FAMILY MEDICINE RESIDENCY PROGRAM, AFFILIATED WITH THE JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY. WITH COMMUNITY NEEDS AS A FOCUS AND WITH THE HELP OF EXCELA HEALTH'S EXTENSIVE RESOURCES, LATROBE HOSPITAL HAS EXPANDED THE SCOPE OF SERVICES BEYOND THE TRADITIONAL COMMUNITY HOSPITAL REALM. BUT AT THE HEART OF ALL WE DO IS THE SIMPLE MESSAGE THAT IS OUR MISSION - "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." EPIC REHAB (EXCELA PHYSICAL IMPROVEMENT CENTER) IS EXCELA HEALTH'S INPATIENT REHAB PROGRAM. WITHIN EPIC, THE GOAL IS TO HELP INDIVIDUALS ACHIEVE THE HIGHEST LEVEL OF FUNCTIONING, INDEPENDENCE AND QUALITY OF LIFE AS POSSIBLE. UNDER THE DIRECTION OF A PHYSIATRIST, THE PROGRAM OFFERS EXTENSIVE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES AND ACTIVITIES OF DAILY LIVING INCLUDING A "PRACTICE" SUITE, AS WELL AS FAMILY TRAINING, NEIGHBORHOOD WAY TO AID IN COMMUNITY REINTEGRATION, AND PET THERAPY AND VISITATION. MINIMALLY INVASIVE SURGERY, OFFERING QUICKER RECOVERY AND LESS DISCOMFORT, IS FAST BECOMING THE NORM IN MANY SURGICAL SPECIALTIES THROUGHOUT THE HEALTH SYSTEM WITH LATROBE HOSPITAL OFFERING A DEDICATED SUITE FOR MINIMALLY INVASIVE SURGERY. THE EMERGENCY DEPARTMENT HAS THE ABILITY TO PLACE A DEDICATED EMERGENCY PHYSICIAN IN TRIAGE TO EXPEDITE CARE FOR NON-THREATENING EMERGENCIES, GIVEN THAT THEY REACH 32,650. CHILDREN AND ADOLESCENTS WITH EMOTIONAL AND BEHAVIORAL PROBLEMS RECEIVE COUNSELING, MEDICATION AND OTHER THERAPIES THROUGH BEHAVIORAL HEALTH SERVICES. THE CHILD SERVICE INCLUDES AN 11-BED, ACUTE INPATIENT PROGRAM, OUTPATIENT SERVICES FOR CHILDREN, ADOLESCENTS AND FAMILIES, AND PROVIDES SCHOOL-BASED MENTAL HEALTH SERVICES IN FOUR DISTRICTS. THROUGH LATROBE'S BEHAVIORAL HEALTH SERVICES, CAMP FOCUS CONVENES EACH SUMMER, AIDING CHILDREN EXPERIENCING EMOTIONAL DIFFICULTIES AT THIS THERAPEUTIC DAY CAMP. THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS ONCE AGAIN HAS GRANTED A THREE-YEAR APPROVAL WITH COMMENDATION TO THE CANCER PROGRAM AT EXCELA LATROBE HOSPITAL. THE APPROVAL RECOGNIZES THE QUALITY OF COMPREHENSIVE PATIENT CARE AND COMMITMENT TO PROVIDING ACCESS TO ALL OF THE VARIOUS MEDICAL SPECIALTIES INVOLVED IN DIAGNOSING AND TREATING CANCER. CURRENTLY, SOME 1,400 COMMISSION ON CANCER PROGRAMS EXIST IN THE UNITED STATES AND PUERTO RICO, REPRESENTING 25 PERCENT OF ALL HOSPITALS. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
OUTPATIENT SERVICES INCLUDE EXTENSIVE IMAGING SERVICES, CARDIAC REHABILITATION, AND LAB SERVICES. OUTPATIENT SURGERY AND SHORT PROCEDURE SUITES ALONG WITH A SLEEP CENTER, ENDOCRINE CLINIC, WELLNESS PROGRAMS AND MORE ARE ALSO FOUND HERE. PASTORAL SERVICES TEND TO THE EMOTIONAL AND SPIRITUAL NEEDS OF OUR PATIENTS, THEIR FAMILIES, AND STAFF WHILE A VIBRANT VOLUNTEER SERVICES PROGRAM HELPS WITH THE DAY-TO-DAY TASKS THAT ALLOW THE HOSPITAL TO RUN SMOOTHLY. LATROBE HOSPITAL OPENED "AUSTIN'S PLAYROOM," A GIFT FROM THE MARIO LEMIEUX FOUNDATION. LOCATED ON THE GROUND FLOOR ADJACENT TO OUTPATIENT REGISTRATION, THE PLAYROOM OFFERS FAMILIES WITH CHILDREN A PLACE FOR DIVERSION DURING A HOSPITAL VISIT. THE WOMEN'S CARE SERVICES ON THE LATROBE HOSPITAL CAMPUS SERVES AS A COMFORTABLE PLACE WHERE WOMEN CAN GET ANSWERS TO HEALTH QUESTIONS REGARDLESS OF AGE OR INCOME. HERE, CARING AND UNDERSTANDING PROFESSIONALS TREAT A WOMAN'S NEEDS WITH DIGNITY AND RESPECT. A NURSE PRACTITIONER PERFORMS THE EXAMINATION AND TAKES TIME TO TALK, ADDRESSING CONCERNS PRIVATELY. MEMBERS OF THE EXCELA HEALTH MEDICAL STAFF SPECIALIZING IN OBSTETRICS AND GYNECOLOGY OVERSEE THE EXAMINATION, TESTING AND TREATMENT. DURING FISCAL 2014, 5,310 PATIENTS VISITED THE FAMILY PLANNING CLINIC AS WELL AS 3,055 PATIENTS VISITING THE PRENATAL CLINIC, ALL OF WHICH OPERATES ON A SLIDING SCALE ACCORDING TO INCOME AND FAMILY SIZE. DELIVERIES COMING FROM THE PRE-NATAL CLINIC NUMBERED 195, ACCOUNTING FOR 11.9% OF ALL DELIVERIES AT EXCELA HEALTH. PRENATAL/GYNECOLOGY CLINICS CLINIC VISITS PRENATAL CLINIC: 3,055; POSTPARTUM: 137; GYNECOLOGY: 246 PROCEDURES COLPOSCOPY: 51 WE PARTICIPATE IN A PENNSYLVANIA STATE PROGRAM CALLED SELECT PLAN FOR WOMEN 18 TO 44 WHO QUALIFY FOR FREE SERVICES. WE ALSO OFFER THE HEALTHY WOMAN PLAN FOR WOMEN OVER 40 WHO ARE UNINSURED OR UNDERINSURED SO THAT THEY MIGHT RECEIVE FREE MAMMOGRAMS AND PAP SMEARS. PATIENTS UNDER AGE 18 ALSO RECEIVE FREE SERVICES. THE CLINICS ALSO SERVE AS A CLINICAL TEACHING SITE FOR THE EXCELA HEALTH FAMILY MEDICINE RESIDENCY PROGRAM. FIRST AND SECOND YEAR RESIDENTS SPEND ONE MONTH EACH ON INPATIENT SERVICES AND OUTPATIENT CLINICS. ALSO IN THE PAST YEAR, EXCELA HEALTH DIETITIANS PROVIDED COUNSELING AND OTHER SERVICES FOR 40 NEW VISITS AND 6 REVISITS FOR PATIENTS AT HIGH NUTRITIONAL RISK AS IDENTIFIED THROUGH A NUTRITION SURVEY. EPIC REHAB - THE STEP BETWEEN HOSPITAL AND HOME HERE, SPECIALISTS WORK AS A TEAM TO MAKE ACTIVITIES OF DAILY LIVING POSSIBLE FOR PEOPLE WITH LIMITED MOBILITY OR DIMINISHED STRENGTH AFTER SURGERY, STROKE, OR INJURY. OUR REHABILITATION PROGRAM IS DESIGNED TO MEET EACH PERSON'S SPECIFIC NEEDS. UNLIKE MANY SKILLED NURSING FACILITIES, OUR INPATIENT REHAB LEVEL OF CARE PROVIDES FOR THREE HOURS OF EXTENSIVE REHABILITATION EACH DAY, AT LEAST FIVE DAYS A WEEK. THE MOST COMMON DIAGNOSES TREATED INCLUDE STROKE, AMPUTATION, MULTIPLE TRAUMA, NEUROLOGICAL DISORDERS SUCH AS MS, PARKINSON'S DISEASE, MYOPATHY AND POLYNEUROPATHY, ARTHRITIS AND HIP FRACTURES. EVERYTHING LEARNED IN THERAPY IS PRACTICED, EVEN DURING NON-THERAPY HOURS, SO THERE IS CARRY OVER FROM THERAPY TO THE PATIENT'S DAILY ACTIVITIES. ADDITIONALLY, WE ALSO OFFER: FAMILY TRAINING TO AID THE SUPPORT PERSON; ACTIVITIES OF DAILY LIVING SUITE WHERE THE PATIENT AND SUPPORT PERSON CAN SHARE AN OVERNIGHT EXPERIENCE IN A CONTROLLED ENVIRONMENT; NEIGHBORHOOD WAY, TO AID IN COMMUNITY REINTEGRATION, AND PET THERAPY AND VISITATION. THE FUTURE OF SURGERY TODAY - MIS AND THE DA VINCI ROBOTIC SURGICAL SYSTEM PHYSICIANS AT LATROBE ARE DOING MORE WITH LESS - MEANING SMALLER INCISIONS. USING MINIMALLY INVASIVE TECHNIQUES, SPECIALLY TRAINED SURGEONS OPERATE THROUGH MULTIPLE SMALL INCISIONS RATHER THAN THE SINGLE LARGER ONE OFTEN ASSOCIATED WITH TRADITIONAL SURGERIES. THESE PROCEDURES TYPICALLY RESULT IN LESS PAIN, SCARRING AND BLOOD LOSS AS WELL AS A SHORTER RECOVERY TIME. WITH THE $1.5 MILLION DA VINCI SURGICAL SYSTEM USED FOR ROBOT-ASSISTED SURGERIES, PATIENTS EXPERIENCE LESS BLOOD LOSS AND POSTOPERATIVE PAIN, REALIZE A SHORTER HOSPITAL STAY AND RECOVER FASTER. THE FIRST ORGANIZATION IN THE REGION OUTSIDE OF PITTSBURGH TO OFFER THE DA VINCI SYSTEM, OUR SURGEONS CAN ACHIEVE GREATER PRECISION, BETTER RANGE OF MOTION AND INCREASED VISIBILITY, OFTEN WITH IMPROVED OUTCOMES. SINCE FY 2012, 1,029 PATIENTS HAVE BENEFITTED FROM THE DA VINCI SURGERY. IN FY 2014 ALONE, 397 PATIENTS CHOSE THIS METHOD OF SURGERY FOR VARYING PROCEDURES. PHYSICIANS AND SURGEONS USE THE DA VINCI SYSTEM FOR GENERAL SURGERY, UROLOGY CASES AND GYNECOLOGIC PROCEDURES. WELLNESS, COMMUNITY OUTREACH AND OUTPATIENT SERVICES TO MAKE HEALTH CARE MORE ACCESSIBLE TO OUR COMMUNITIES, WE CONTINUE TO OFFER SERVICES IN OUTPATIENT SETTINGS INCLUDING HEALTH SCREENINGS, HEALTH FAIRS, EDUCATIONAL CLASSES, SUPPORT GROUPS AND A VIBRANT SPEAKERS BUREAU. THE DIABETES CENTER TENDS TO THE NEEDS OF THE COUNTY'S DIABETIC POPULATION, WHICH IS 10 PERCENT OF THE TOTAL COUNTY POPULATION. ADDITIONAL CLINICS INCLUDE EXCELA HEALTH OUTPATIENT REHABILITATION, OUTPATIENT LABS AND IMAGING STATIONS (QUIKDRAW AND QUIKDRAW PLUS), THE SHORT PROCEDURE SUITE AND OUTPATIENT SURGERY WHERE PROCEDURES TOTALED: OUTPATIENT X-RAY PROCEDURES: 89,367 OUTPATIENT SURGERIES: 7,738 OUTPATIENT ENDOSCOPIES: 4,530 OUTPATIENT REGISTRATION/VISITS: 240,835 EXCELA HEALTH HOME CARE AND HOSPICE HOME CARE A 501(C)(3) ORGANIZATION PROVIDING NURSING CARE, REHABILITATION, MEDICAL SOCIAL SERVICES, PALLIATIVE CARE AND HOSPICE CARE IN THE HOME, NURSING HOME, HOSPITAL AND OTHER, VARIED SETTINGS, EXCELA HEALTH HOME CARE AND HOSPICE TENDS TO PATIENTS THROUGHOUT WESTMORELAND COUNTY AND INTO SURROUNDING COUNTIES. THE HOME CARE TEAM HAS MORE THAN 40 YEARS OF COMBINED EXPERIENCE WORKING WITH PATIENTS AND THEIR FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. HOME CARE AND HOSPICE PRIDE THEMSELVES ON GETTING TO KNOW THE PATIENT AND LISTENING TO THE INDIVIDUAL'S HEALTH CARE CONCERNS. OUR TEAM, CONSISTING OF NURSES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, MEDICAL SOCIAL WORKERS, HOME HEALTH AIDES, DIETITIANS, VOLUNTEERS AND OTHERS, ENCOURAGES EVERYONE INVOLVED TO MAKE EACH TREATMENT PLAN A SUCCESS. THE EXCELA HEALTH HOME CARE AND HOSPICE COMMUNITY LIAISON CONTINUES TO DEVELOP RELATIONSHIPS WITH SKILLED NURSING FACILITIES, PERSONAL CARE HOMES, PHYSICIANS, REGIONAL HEALTH PROVIDERS AND THE PUBLIC, SERVING AS A BRIDGE FOR THE HOSPITALIZED PATIENT RETURNING TO ANOTHER CARE SETTING, AND A PROBLEM SOLVER FOR PHYSICIANS AND OTHER CARE PROVIDERS. REFERRALS ARE MADE VIA THE PHYSICIAN, NURSE, SOCIAL WORKER, CASE MANAGER, A SOCIAL SERVICE AGENCY OR INSURANCE COMPANY AFTER WHICH A THOROUGH HOME CARE ASSESSMENT IS COMPLETED. WHILE HOME CARE SERVICES ARE COVERED BY MANY INSURANCE PLANS, STAFF WORKS WITH INDIVIDUALS TO ANSWER QUESTIONS, MAXIMIZE AVAILABLE COVERAGE, AND COUNSEL THEM. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
HOSPICE CARE AS ONE OF THE OLDEST, MOST EXPERIENCED NON-PROFIT HOSPICE SERVICES IN WESTMORELAND COUNTY, EXCELA HOSPICE IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF PALLIATIVE CARE TO PATIENTS AND FAMILIES FACED WITH A TERMINAL ILLNESS. OUR HOSPICE PROGRAM IS MEDICARE CERTIFIED AND PROVIDED UNDER THE APPROVAL AND SUPERVISION OF THE INDIVIDUAL'S FAMILY PHYSICIAN. CARE IS COORDINATED BY SKILLED NURSING STAFF AND MAY INCLUDE SYMPTOM CONTROL, PAIN MANAGEMENT, AND PHYSICAL, EMOTIONAL, PSYCHOSOCIAL, SPIRITUAL AND PRACTICAL SUPPORT FOR PATIENTS AND THEIR FAMILIES. THE TEAM CONSISTS OF NURSES, SOCIAL WORKERS, HOME HEALTH AIDES, THERAPISTS, BEREAVEMENT COUNSELORS, DIETITIANS, HOME CARE AND HOSPICE-TRAINED VOLUNTEERS (NUMBERING 71 GIVING 10,200 HOURS OF SERVICE) AND CLERGY. EACH PATIENT'S PLAN OF CARE IS SUPERVISED BY OUR MEDICAL DIRECTOR AND DELIVERED BY THE HOSPICE TEAM, WHO WORKS CLOSELY WITH THE PATIENT AND FAMILY TO GIVE MEANINGFUL, END-OF-LIFE CARE AND SUPPORT. PATIENTS AND FAMILY ARE ENCOURAGED TO ASK QUESTIONS AND PARTICIPATE ACTIVELY IN THE PATIENT'S CARE AND TREATMENT, PARTICULARLY WHEN ASSISTANCE OR REASSURANCE IS NEEDED. AFTER THE DEATH OF A PATIENT, LOVED ONES RECEIVE BEREAVEMENT SUPPORT FOR UP TO 13 MONTHS. TO ENTER HOSPICE, PATIENTS MUST CHOOSE THIS SERVICE AND HAVE A CERTIFIED PROGNOSIS OF SIX MONTHS OR LESS FROM A PHYSICIAN. MOST RECENTLY, A FORMALIZED PALLIATIVE CARE COMPONENT HAS BEEN ADDED FOCUSING ON IMPROVING A PERSON'S QUALITY OF LIFE BY PROVIDING RELIEF FROM PAIN AND OTHER SYMPTOMS WHILE WORKING WITH THE PATIENT TO DETERMINE GOALS OF CARE AND ENSURING THOSE GOALS ARE BEING ADDRESSED THROUGH TREATMENT. DURING THE YEAR, EXCELA HEALTH HOME CARE AND HOSPICE OFFERS PROGRAMS, IN-SERVICES AND SPECIALIZED SUPPORT GROUPS FOR THE PUBLIC DEALING WITH ISSUES OF LOSS, GRIEF, AND SEPARATION. THEY INCLUDE THE FOLLOWING: - ANNUAL MEMORIAL SERVICE - SAINT VINCENT BASILICA, LATROBE - ANNUAL GRIEF AND THE HOLIDAYS SEMINAR - BEREAVEMENT/GRIEF SUPPORT GROUPS - PARTICIPATION IN COMMUNITY HEALTH FAIRS ADDITIONALLY, PROGRAMS FOCUSING ON CARE PROVIDERS WERE OFFERED AT VARIOUS TIMES THROUGHOUT THE YEAR. THEY INCLUDED: SPECIALIZED(1) SUPPORT GROUPS: ART-BASED SUPPORT/ART EXPRESSION OF GRIEF; CERAMIC CLASSES FOR ALL SKILL LEVELS; QUILTING CLASSES; EMBROIDERY CLASSES; GRIEF AND THE HOLIDAYS SUPPORT GROUP; MALL WALKERS/GRIEF SUPPORT; COOKING FOR ONE; CHILDREN'S GRIEF SUPPORT GROUP; GUIDED IMAGERY FOR CANCER PATIENTS AT THE ARNOLD PALMER PAVILION; CAMP COURAGE, A ONE-DAY CAMP FOR CHILDREN EXPERIENCING GRIEF AND LOSS. (1) ALL GROUPS ARE MEANT TO GATHER GRIEVING INDIVIDUALS WITH OTHERS IN SIMILAR SITUATIONS FOR PEER SUPPORT. ALL GROUPS ARE SUPERVISED BY BEREAVEMENT COUNSELORS WITH MANY YEARS OF EXPERIENCE. MULTIPLE CONTINUING EDUCATION PROGRAMS WERE OFFERED IN FY 2014 TO HEALTH CARE PROFESSIONALS AS WELL AS LAY MEMBERS OF THE COMMUNITY INCLUDING: GRIEF AND SPIRITUALITY, HELD AT SETON HILL UNIVERSITY, GREENSBURG; GUIDED IMAGERY AND GRIEF, HELD AT SAINT VINCENT BASILICA, LATROBE; EMOTIONAL CARE OF VETERANS, HELD AT NEW HAVEN COURT, GREENSBURG; GRIEF EDUCATION FOR CHILDREN, HELD AT WENDOVER MIDDLE SCHOOL, GREENSBURG; SPIRITUALITY AT THE END OF LIFE CONFERENCE, HELD AT THE UNIVERSITY OF PITTSBURGH, GREENSBURG. EXCELA HEALTH HOME CARE AND HOSPICE SPECIFICS: HOME CARE VISITS: 112,474 HOME CARE ADMISSIONS: 7,616 HOME CARE PATIENTS SERVED (UNDUPLICATED): 7,350 HOSPICE ADMISSIONS: 682 HOSPICE VISITS: 21,855 HOSPICE PATIENTS SERVED (UNDUPLICATED): 792 EXCELA CAREGIVERS OF SOUTHWESTERN PA FISCAL YEAR 2014 ONCE AGAIN HAS BEEN A YEAR OF GROWTH AND CHALLENGES FOR CONSUMERS, STAFF AND PROGRAMS OF CAREGIVERS OF SOUTHWESTERN PA., A SUBSIDIARY OF EXCELA HEALTH AND A 501(C)(3) NON-PROFIT COMPANY. OUR STRENGTH-BASED, PERSON-CENTERED SERVICES CONTINUE TO BE VIEWED BY THE STATE AND WESTMORELAND COUNTY AS KEY COMPONENTS IN THE COMMUNITY-BASED BEHAVIORAL HEALTH SYSTEM. ALL OF OUR SERVICES WERE CREATED UNDER AND FOLLOW THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION'S (SAMHSA) 10 GUIDING PRINCIPLES OF RECOVERY. A TOTAL OF FIVE PROGRAMS OPERATES UNDER CAREGIVERS OF SOUTHWESTERN PA, WITH EXCELA HEALTH AS AN AUSPICE AGENCY AND INCLUDES: WEST PLACE CLUBHOUSE, WEST PLACE DROP-IN CENTER, WESTMORELAND PEER SUPPORT AND WESTMORELAND PSYCHIATRIC REHABILITATION (SITE-BASED AND MOBILE). WEST PLACE CLUBHOUSE: THE CLUBHOUSE HAD 63 ACTIVE MEMBERS WHO ATTENDED THE WORK ORDERED DAY DURING FISCAL 2014. ELEVEN INDIVIDUALS HAVE MET THEIR GOAL OF OBTAINING INDEPENDENT FULL OR PART-TIME WORK, EIGHT INDIVIDUALS HAVE BEEN WORKING WITH ASSISTANCE FROM OUR JOB COACHES IN TRANSITIONAL EMPLOYMENT POSITIONS, AND 21 INDIVIDUALS HAVE MADE PROGRESS TOWARD DEVELOPING THE SKILLS NECESSARY TO REACH THEIR GOALS IN THE WORK ENVIRONMENT. AS A MEANS OF GIVING BACK TO OUR COMMUNITY, EIGHT OF OUR MEMBERS AND THREE OF OUR CLUBHOUSE STAFF HAVE BEEN VOLUNTEERING AT THE WESTMORELAND COUNTY FOOD BANK. WHILE AT THE FOOD BANK, THEY ASSIST WITH UNPACKING DONATIONS, STOCKING SHELVES, CONSTRUCTING BOXES, AND PREPARING THE FOOD BAGS/BOXES FOR PICKUP BY THOSE IN NEED. THERE WERE 12 INDIVIDUALS WORKING TOWARD GOALS IN THE EDUCATIONAL ENVIRONMENT AND ARE BEING TUTORED IN VARIOUS COURSES TO MEET THE GOALS OF SUCCESSFULLY COMPLETING THEIR COLLEGE COURSE OR OBTAINING THEIR GED. ELEVEN INDIVIDUALS ARE ACTIVELY WORKING ON PERSONAL WELLNESS GOALS THAT INCLUDE FOUR INDIVIDUALS WHO HAVE ACHIEVED THEIR GOAL OF INDEPENDENT LIVING SUCCESSFULLY. WESTMORELAND PSYCHIATRIC REHABILITATION PSYCHIATRIC REHABILITATION HAD A VERY SUCCESSFUL YEAR. THE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES SURVEYED THE PROGRAM IN SEPTEMBER 2014 AND GRANTED A FULL LICENSE. PSYCHIATRIC REHABILITATION SERVES 60 INDIVIDUALS, WHICH IS THE MAXIMUM CAPACITY GRANTED BY THE STATE. THE AREAS OF CONCENTRATION ARE OF A CLIENT'S CHOOSING IN THE LIVING, LEARNING, WORKING, SOCIAL AND WELLNESS AREAS OF THE INDIVIDUAL'S LIFE. THIS PAST YEAR, 32 INDIVIDUALS HAVE SUCCESSFULLY ACHIEVED ONE OR MORE OF THEIR GOALS, WHILE 20 HAVE MADE SIGNIFICANT STRIDES TOWARD RECOVERY OR IMPROVING THEIR HEALTH OR WELL-BEING. OF THE 32 INDIVIDUALS WHO ACCOMPLISHED THEIR GOALS, THREE ACHIEVED THEIR GED, SIX ENROLLED IN COMMUNITY COLLEGE OR A TECHNICAL SCHOOL, NINE INDIVIDUALS CHANGED THEIR LIVING SITUATION IN ORDER TO BECOME MORE INDEPENDENT, FOUR INDIVIDUALS OBTAINED THEIR DRIVING PERMITS OR DRIVER'S LICENSE AND 10 INDIVIDUALS OBTAINED EMPLOYMENT. THE CONSUMER AND FAMILY SATISFACTION TEAM FROM MENTAL HEALTH AMERICA CONDUCTED QUARTERLY SATISFACTION SURVEYS DURING FISCAL YEAR 2014 OF THE CLIENTS ATTENDING PSYCHIATRIC REHABILITATION. PROUDLY, THE OVER-ALL SATISFACTION WITH THE PROGRAM IS 95 PERCENT. WESTMORELAND PEER SUPPORT PEER SUPPORT CONTINUED TO GROW OVER THE PAST YEAR. THERE WERE 133 ACTIVE CLIENTS DURING FISCAL YEAR 2014 AND A STAFF THAT INCLUDED EIGHT FULL-TIME CERTIFIED PEER SPECIALISTS AND SIX PART-TIME STAFF. THE PEER SUPPORT PROGRAM HAS RECEIVED ACCOLADES FROM THE WESTMORELAND COUNTY BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES FOR BEING INSTRUMENTAL IN SUPPORTING CONSUMERS ALONG THEIR JOURNEY TO RECOVERY. QUARTERLY SATISFACTION SURVEYS CONDUCTED CONVEYED AN OVERALL AVERAGE OF 97% CONSUMER SATISFACTION WITH THE PROGRAM. WESTMORELAND PEER SUPPORT CONTINUES TO WORK CLOSELY WITH EXCELA HEALTH IN THE TRANSFORMATION OF CRISIS BEHAVIORAL HEALTH SERVICES OFFERED TO CONSUMERS IN WESTMORELAND COUNTY. WEST PLACE DROP-IN CENTER WEST PLACE DROP-IN CENTER OFFERED SOCIALIZATION OPPORTUNITIES TO 165 ACTIVE MEMBERS DURING THE PAST FISCAL YEAR, ALONG WITH MANY SOCIAL ACTIVITIES AND VARIOUS EVENTS. IN THE SPRING AND FALL, THE PROGRAM OFFERED A FOUR-WEEK WELLNESS RECOVERY ACTION PLAN CLASS FOR INDIVIDUALS WISHING TO LEARN ADDITIONAL INFORMATION FOR THEIR RECOVERY. TWENTY-FIVE INDIVIDUALS PARTICIPATED IN THE CLASS. THE CONSUMERS AND STAFF PARTICIPATED IN THE NATIONAL ALLIANCE FOR THE MENTALLY ILL (NAMI) WALK IN THE SOUTHSIDE OF PITTSBURGH. THE TEAM OF 24 INDIVIDUALS SPONSORED A SPAGHETTI DINNER AND DONATED ALL PROCEEDS TO THE CAUSE. TWELVE MEMBERS AND STAFF PARTICIPATED IN THE "RAY OF HOPE," A TASK FORCE THAT FOCUSES ON SUICIDE PREVENTION AND AWARENESS. CAREGIVERS OF SOUTHWESTERN PA IS REIMBURSED FOR THESE COUNTY PROGRAMS PRIMARILY ON A COST BASIS. AN ADMINISTRATIVE FEE IS CHARGED TO THE COUNTY TO RECOVER A PORTION OF THE ADMINISTRATIVE OVERHEAD COSTS FOR THESE PROGRAMS. |
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.