Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART I | MEMBER OF EXCELA HEALTH GROUP'S PUBLIC CHARITY STATUS: EXCELA HEALTH - BOX 11A - SUPPORTING ORGANIZATION WESTMORELAND REGIONAL HOSPITAL - BOX 3 - HOSPITAL LATROBE AREA HOSPITAL, INC - BOX 3 - HOSPITAL FRICK HOSPITAL AND COMMUNITY HEALTH CENTER - BOX 3 - HOSPITAL CAREGIVERS OF SOUTHWESTERN PA- BOX 9 - PUBLICLY SUPPORTED EXCELA HEALTH HOME CARE AND HOSPICE - BOX 3 - HOSPITAL |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| 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 -21,392,000. OTHER 79,227. TEMPORARILY RESTRICTED CONTRIBUTIONS 2,305,000. NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS 2,723,000. DISTRIBUTION TO STOCKHOLDERS -530,000. TRANSFER TO AFFILIATES -10,049,000. |
| 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: | SINCE 2004, EXCELA HEALTH HAS HELD TRUE TO ITS GOAL OF SERVING AS A REGIONAL HEALTH CARE SYSTEM THAT EMBODIES HIGH QUALITY, ACCESSIBILITY AND ADVANCED TECHNOLOGY LOCALLY. STAYING THE COURSE, EXCELA HEALTH CONTINUES TO 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 2015, WITH 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 CONTINUING ADDITION OF HIGHLY TRAINED PHYSICIANS, NURSES AND HEALTH CARE PROFESSIONALS WHO CONTINUOUSLY BRING OUR MISSION TO LIFE WHILE TOGETHER, 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 4,792 EMPLOYEES, 557 PHYSICIANS, 218 ALLIED HEALTH PROFESSIONALS, 20 RESIDENTS AND 797 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, THEN WESTMORELAND HEALTH SYSTEM, FOLLOWED BY 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 2015, 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 THREE 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 THROUGHOUT WESTMORELAND COUNTY. ADDITIONALLY, WE OFFER SCHOOL-BASED BEHAVIORAL HEALTH SERVICES IN FOUR SCHOOL DISTRICTS: LATROBE, DERRY, MOUNT PLEASANT, AND LIGONIER VALLEY. IN FALL 2015, WE ADDED A THERAPIST AT THE REQUEST OF THE DISTRICTS TO ACCOMMODATE INCREASED REQUESTS FOR SERVICE. 3. THE SAP TEAM RESPONDED TO NINE 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 FIVE-WEEK SUMMER CAMP, CALLED CAMP FOCUS, WHICH SERVED 139 CHILDREN FROM THE LATROBE, DERRY, MOUNT PLEASANT AND LIGONIER VALLEY SCHOOL DISTRICTS IN FY 2015. 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 AND PROVIDES AN OPPORTUNITY TO APPLY AND REFINE SKILLS DEVELOPED THROUGHOUT THE YEAR. EXPENSES FOR THE CAMP TOTAL $28,563 IN FY 2015. 5. STAFF PROVIDES VARIOUS TRAINING, IN-SERVICES AND CONSULTATIONS AT SEVERAL SCHOOLS DURING THE YEAR INCLUDING: A. ANNUAL CHILDREN'S SEMINAR AT LATROBE - FULL DAY CONFERENCE OF ISSUES PERTAINING TO THE TREATMENT OF CHILDREN AND ADOLESCENTS, FREE TO PROFESSIONALS AND COMMUNITY MEMBERS. B. NUMEROUS PRESENTATIONS FOR PARENT AND FACULTY GROUPS ON CURRENT TOPICS PERTAINING TO BEHAVIORAL HEALTH WITHIN THE SCHOOLS. C. QUARTERLY PRESENTATIONS TO THE BARIATRIC SURGERY SUPPORT GROUP. D. TRAINING ON MANDATED REPORTING FOR BEHAVIORAL HEALTH PROFESSIONALS, SOCIAL WORKERS AND CASE MANAGERS. MORE THAN 50 COMMUNITY MEMBERS ATTENDED. 6. TWO BEHAVIORAL HEALTH STAFF SERVE ON THE ADVISORY BOARDS OF ADELPHOI VILLAGE AND THE WESTMORELAND COUNTY CHILDREN'S BUREAU. 7. EXCELA HEALTH BEHAVIORAL HEALTH CONTINUES TO PARTNER WITH THE WESTMORELAND COUNTY DRUG AND ALCOHOL COMMISSION IN PILOTING 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. 8. EXCELA HEALTH'S COMMUNITY PSYCHIATRIC NURSING PROGRAM WAS EXPANDED BY AN ADDITIONAL NURSE AT THE REQUEST OF WESTMORELAND COUNTY BEHAVIORAL HEALTH AND DISABILITY SERVICES TO PROVIDE SERVICES FOR INDIVIDUALS WHO ARE LEAVING TORRANCE STATE HOSPITAL, WHICH IS CLOSING AN ADDITIONAL 15 BEDS AS PART OF A STATEWIDE HOSPITAL DOWNSIZING. 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 2014 STATE ESTIMATE, THE WESTMORELAND COUNTY POPULATION NUMBERS 359,320 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 JOINTWORKS PROGRAM CONTINUES TO GROW WITH OVER 1,052 JOINT REPLACEMENT PATIENTS AT LATROBE AND WESTMORELAND HOSPITALS IN FY 2015. IN FACT, EFFORTS CONTINUE AS WE DEVELOP AN ORTHOPEDIC CENTER OF EXCELLENCE, GATHERING TOGETHER CLINICAL COMPONENTS OF CARE FOR THOSE WITH ORTHOPEDIC ISSUES, SPORTS INJURIES AND CONCUSSION MANAGEMENT. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | 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 2015 ALONE FOR BOTH FACILITIES, 561 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 2015 TO RAISE THE BAR EVEN HIGHER. AS SUCH, THE FOLLOWING WAS INSTITUTED AND, IN SOME CASES, MADE NOTE OF BY EXTERNAL AGENCIES. 1. THROUGH A MULTIDISCIPLINARY TASK FORCE, PROFESSIONALS AT EXCELA HEALTH INITIATED A WELL THOUGHT OUT EBOLA PLAN. AFTER INITIAL INTERNAL TOWN HALL MEETINGS TO EDUCATE ALL STAFF MEMBERS, A VIDEO OF SUCH WAS PRODUCED AND PLACED ON EXCELA'S INTERNAL WEB SITE FOR THOSE WHO COULD NOT ATTEND THE MEETINGS. WHILE THERE WERE NO KNOWN CASES OF EBOLA DISCOVERED IN PENNSYLVANIA, THE TASK FORCE BELIEVED THAT PREPAREDNESS WAS KEY. STAFF FROM INFECTION CONTROL, CONTINUOUS IMPROVEMENT, SAFETY, SECURITY, EDUCATION AND ALL THREE EMERGENCY DEPARTMENTS (ED) DEVELOPED A REFERENCE BINDER EMPLOYEES IN THE EDS COULD UTILIZE WHEN TREATING A SUSPECTED EBOLA PATIENT. THE BINDER ALSO CONTAINED ADDITIONAL PERTINENT INFORMATION AND PERIODIC UPDATES WERE COMMUNICATED TO ALL EXCELA HEALTH EMPLOYEES AND PHYSICIAN OFFICES. 2. NORVELT FAMILY MEDICINE RESIDENTS LOOKED AT THEIR DIABETIC POPULATION IN AN EFFORT TO REDUCE THE NUMBER OF PATIENTS WITH HEMOGLOBIN A1C GREATER THAN 8 BY 10 PERCENT. ADDITIONALLY, THEY LOOKED TO INCREASE THE NUMBER OF FOOT EXAMS FOR DIABETIC PATIENTS, DECREASE THE NUMBER OF PATIENTS WHO DO NOT REALIZE FOLLOW-UP ON A REGULAR BASIS, AND DEVELOP STANDARD WORK TO BE INTEGRATED INTO ALL EXCELA HEALTH FAMILY MEDICINE PRACTICES. 3. THE DELIRIUM LEAN PROJECT TEAM CREATED A PROCESS FOR STAFF, PATIENTS AND CAREGIVERS TO LEARN ABOUT AND IDENTIFY THE RISKS OF DELIRIUM AND IMPLEMENT PROPER CARE FOR THOSE PATIENTS. THROUGH RESEARCH OF BEST PRACTICES AND RANDOM SURVEYS AMONG STAFF, IT WAS FOUND THAT THE MAJORITY OF THE NURSING STAFF WAS NOT FAMILIAR WITH A TECHNIQUE KNOWN AS THE CONFUSION ASSESSMENT METHOD (CAM) TO IDENTIFY DELIRIUM PATIENTS. THE TEAM IMPLEMENTED EDUCATION AND TRAINING FOR ALL CAREGIVERS, STAFF AND PATIENTS TO ASSESS POTENTIAL RISK FACTORS, RECOGNIZE SIGNS AND SYMPTOMS AND CARE FOR THOSE PATIENTS IN AN APPROPRIATE FASHION. 4. NURSING LEADERSHIP AT EXCELA HEALTH MOVES FORWARD WITH ITS QUEST TO ATTAIN MAGNET STATUS IN ITS PURSUIT OF EXCELLENCE. THROUGHOUT THE PAST FISCAL YEAR, THEY HAVE CONTINUED THEIR QUEST THROUGH THE FOLLOWING PROGRAMS AS WELL AS CONTINUOUS COMMUNICATION TO THE NURSING STAFF AND BEYOND. 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. 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 - LOCATED WITHIN FRICK HOSPITAL AND 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. 5. IN AN EFFORT TO BETTER TRANSITION PATIENTS FROM HOSPITAL DISCHARGE TO HOME, MEMBERS OF THE NEWLY-FORMED MEDS TO BEDS TEAM (APRIL 2015) DEVISED A MEANS BY WHICH PATIENTS WHO ARE PRESCRIBED MEDICATION FOR HOME USE CAN OBTAIN THOSE MEDICATIONS AT THE TIME OF DISCHARGE. A PROCESS WAS CREATED TO PROVIDE OUTPATIENT PHARMACY PRESCRIPTION SERVICES TO DISCHARGED PATIENTS, INCREASE PATIENT KNOWLEDGE OF MEDICATION USE, AND THE IMPORTANCE OF COMPLIANCE VIA PATIENT COUNSELING, OBTAIN MEDICAL STAFF AND NURSING SUPPORT, AND INCREASE PATIENT ADHERENCE TO THEIR PRESCRIBED MEDICATIONS THEREBY REDUCING THE RISK OF READMISSION. AFTER DISCOVERING THAT ONLY ABOUT 40 PERCENT OF PATIENTS FILLED THEIR PRESCRIPTIONS THE DAY OF DISCHARGE AND 22 PERCENT DIDN'T FILL THEIR PRESCRIPTIONS WITH AN AVERAGE OF 12 DAYS POST DISCHARGE, MEDS TO BEDS REMOVED THE BARRIERS THAT INCLUDED LACK OF TRANSPORTATION, LIMITED PHARMACY HOURS, ETC., TO BENEFIT PATIENTS BY BRINGING THE MEDICATION TO THE BEDSIDE. THEY ALSO DOUBLE CHECK THE MEDS FOR DOSAGE ACCURACY, VERIFIED INSURANCE COVERAGE, AND PROCESSED CO-PAYS. FOR OUR EFFORTS IN QUALITY, SAFETY AND CARE PROVISION, EXCELA HEALTH WAS RECOGNIZED THROUGH THE FOLLOWING AWARDS AND ACCOLADES: 1. EXCELA HEALTH WESTMORELAND HOSPITAL RANKED AMONG THE NATION'S BEST HOSPITALS BY CONSUMER REPORTS IN PRINT AND ONLINE (CONSUMERREPORTS.ORG/HEALTH). CONSUMER REPORTS PARTNERED WITH THE SOCIETY OF THORACIC SURGEONS (STS) TO PUBLISH FIRST EVER RATINGS OF HOSPITALS PROVIDING HEART SURGERY BASED ON THEIR PERFORMANCE IN THE AREA OF HEART BYPASS (CABG) AND VALVE REPLACEMENT. EXCELA HEALTH EARNED TOP SCORES IN CABG. IT IS THE "GOLD STANDARD" FOR EVALUATION OF CARDIAC SURGERY PROGRAMS. 2. 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. 3. TWO EXCELA HEALTH SCHOOL OF ANESTHESIA STUDENTS WON FIRST AND SECOND PRIZE FOR PRESENTATIONS AT THE ANNUAL ANESTHESIA CONFERENCE HELD MARCH 28/29, 2015, HOSTED BY THE ALLEGHENY ANESTHETISTS. ANESTHESIA STUDENTS FROM FOUR DIFFERENT PROGRAMS PARTICIPATED. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | 4. 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. 5. HIGHMARK BLUE CROSS BLUE SHIELD CONTINUES TO RECOGNIZE 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. 6. THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) HAS LAUDED THE EXCELA HEALTH LATROBE HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM AND ITS FIVE PRIMARY CARE PRACTICES WITH ITS HIGHEST RECOGNITION FOR USING EVIDENCE-BASED, PATIENT-CENTERED PROCESSES THAT FOCUS ON HIGHLY COORDINATED CARE AND LONG TERM, PARTICIPATIVE RELATIONSHIPS - THE NCQA PATIENT-CENTERED MEDICAL HOME RECOGNIZED PRACTICE. THE RECOGNITION DEMONSTRATED THAT THE NAMED EXCELA HEALTH PRACTICES HAVE THE TOOLS, SYSTEMS AND RESOURCES TO PROVIDE ITS PATIENTS WITH THE "RIGHT CARE, AT THE RIGHT TIME" ACCORDING TO NCQA PRESIDENT MARGARET E. O'KANE. THE RECOGNITION IS VALID FOR THREE YEARS AND POINTS TO OUR ABILITY TO MEET THE PROGRAM'S KEY ELEMENTS WHILE EMBODYING CHARACTERISTICS OF THE MEDICAL HOME. 7. MEMBERS OF THE EXCELA HEALTH PATIENT PORTAL TEAM WERE ASKED TO PRESENT INFORMATION ABOUT IMPLEMENTING A PATIENT PORTAL AT THE POPULATION HEALTH UNIVERSITY CONFERENCE IN PITTSBURGH. THE CEU-ACCREDITED SESSION WAS DESIGNED TO EDUCATE ATTENDEES ON THE IMPORTANCE OF MULTIDISCIPLINARY TEAMWORK IN THIS PROCESS. AT THE CONFERENCE, THE TEAM WAS PRESENTED AN AWARD FOR "EXCELLENCE IN ENGAGING AND EMPOWERING PATIENTS." 8. 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 94 PERCENT 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. 9. EXCELA HEALTH CONTINUED ITS RECOGNITION AS A HEALTHIEST 100 WORKPLACES TWO YEARS RUNNING. THIS HONOR IS BASED ON CONTINUED RECOGNITION AS ONE OF THE "HEALTHIEST EMPLOYERS OF WESTERN PENNSYLVANIA," WHICH IN 2015 MARKED THE FIFTH CONSECUTIVE YEAR. 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. 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, TWO 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 WEBSITE AND MUST BE EASILY DOWNLOADABLE FROM THE WEBSITE. EQUIPMENT, SERVICE AND TECHNOLOGY UPDATES BY WAY OF SYSTEM-WIDE EQUIPMENT AND SERVICE ENHANCEMENTS, EXCELA HEALTH COMMITTED MONIES TOWARD SEVERAL VITAL SERVICE ADDITIONS: 1. OUR NEWEST ROBOTIC SURGEON, MICHAEL SZWERC, MD, IS NOT ONLY THE FIRST AT EXCELA HEALTH TO PERFORM THORACIC ROBOT-ASSISTED SURGERIES BUT HAS INTRODUCED A NEW PROCEDURE - MINIMALLY INVASIVE SURGERY FOR HYPERHIDROSIS WITH A PARTICULAR "TWIST" THAT WAS DEVELOPED BY DR. SZWERC. THIS PROCEDURE ALLEVIATES EXCESSIVE SWEATINESS, WHICH CAN OFTEN LEAD SUFFERERS, ESPECIALLY YOUNG ADULTS, TO EMBARRASSMENT AND EVEN SOCIAL ISOLATION. DR. SZWERC HAS BEEN HONORED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE TOP PHYSICIANS IN THORACIC SURGERY IN BOTH 2011 AND 2013 AS A NATIONAL LEADER IN ROBOT-ASSISTED THORACIC SURGERY. 2. THE ADDITION OF DIGITAL BREAST TOMOSYNTHESIS, ALSO KNOWN AS 3D MAMMOGRAPHY, TO THE GROWING LIST OF WOMEN'S SERVICES AT EXCELA SQUARE AT NORWIN, FRICK, LATROBE AND WESTMORELAND HOSPITALS. APPROVED BY THE FDA, 3D MAMMOGRAPHY IS OUR STANDARD OF CARE FOR EVERY MAMMOGRAM, TAKING PICTURES OF THE BREAST FROM DIFFERENT ANGLES SO THE RADIOLOGIST CAN EXAMINE BREAST TISSUE ONE LAYER AT A TIME. THOSE WOMEN CARED FOR BY EXCELA HEALTH BENEFIT FROM ENHANCED CAPABILITIES THAT REDUCE THE TIME FROM SCREENING TO DETECTION AND TREATMENT. 3. FULL IMPLEMENTATION OF THE EXCELA.ME PATIENT PORTAL THAT OFFERS PATIENTS SERVED BY MEMBERS OF THE EXCELA HEALTH MEDICAL GROUP (EHMG) THE ABILITY TO ACCESS THEIR MEDICAL HISTORY, LAB/TEST RESULTS, DIAGNOSES AND CONDITIONS AND MEDICATIONS. PATIENTS CAN SCHEDULE APPOINTMENTS WITH THEIR PHYSICIAN'S OFFICE AND EVEN PRINT OR FAX THEIR MEDICAL RECORDS FOR APPOINTMENTS OUTSIDE OF THE EHMG NETWORK. FURTHER, THEY CAN REQUEST PRESCRIPTION REFILLS AND COMMUNICATE WITH THEIR PHYSICIAN BY USING THE PORTAL'S MESSAGING CENTER. PATIENTS WHO HAVE AN INPATIENT STAY AT ONE OF OUR HOSPITALS CAN ALSO SEE A SUMMARY OF THEIR CARE PLAN IN THE PORTAL AFTER DISCHARGE. 4. LIBRARY SERVICE UPGRADES WERE MADE FOR ACCESS TO NURSING REFERENCE CENTER PLUS (NRC PLUS). THIS EVIDENCE-BASED POINT OF CARE RESOURCE PROVIDES AN IMPROVED USER EXPERIENCE PLUS INCLUDES NEWLY ADDED CONTENT SUCH AS 50 AND MORE CARE PLANS; MORE THAN 70 CORE MEASUREMENT TOPICS; 200-PLUS LEADERSHIP AND MANAGEMENT TOPICS; 360-PLUS MANAGEMENT TOPICS; 100-PLUS REGULATORY TOPICS; 200-PLUS RISK MANAGEMENT TOPICS; 250-PLUS VIDEOS AND MORE. MANY EXCELA HEALTH NURSING POLICIES AND PROCEDURES ARE NOW A PERMANENT LINK TO MATERIAL IN THE NRC. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | 5. RECOGNIZING THAT OUT-OF-POCKET HEALTH CARE EXPENSES CAN PRESENT A FINANCIAL HARDSHIP TO PATIENTS, EXCELA HEALTH HAS INTRODUCED CARE PAYMENT - AN INNOVATIVE PAYMENT PROGRAM THAT ALLOWS PATIENTS TO PAY OFF THEIR BALANCE IN MANAGEABLE MONTHLY PAYMENTS OVER 25 MONTHS AT 0.00 PERCENT APR. CARE PAYMENT IS A HEALTH CARE FINANCE COMPANY THAT TEAMS WITH MEDICAL PROVIDERS TO ENABLE PATIENTS TO PAY THEIR MEDICAL EXPENSES OVER TIME, NOT A COLLECTION AGENCY OR CREDIT CARD COMPANY. 6. APRIL 2015 SAW THE INTRODUCTION OF A NEW BUSINESS SYSTEM - INFOR - TO ENHANCE FINANCIAL SUPPLY CHAIN AND OPERATIONAL ACTIVITIES. ALSO, AXIOM, A NEW FORECASTING AND REPORTING SOFTWARE WAS ADDED THAT ALLOWS LEADERS TO MANAGE OUR FINANCIAL RESOURCES MORE EFFECTIVELY. 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, HAS 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 ITS 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. EXCELA HEALTH CONTINUED ITS PARTICIPATION IN COMMUNITY EVENTS SUCH AS THE PENN TRAFFORD FALL FESTIVAL (SEPT. 2015); SCOTTDALE FALL FESTIVAL (SEPT. 2015); THE MOUNT PLEASANT GLASS AND ETHNIC FESTIVAL (SEPT. 2015); MARCH FOR PARKS (MARCH 2015); WALK MS (APRIL 2015); BREATHE DEEP 5K MEMORIAL WALK AND RUN (APRIL 2015); MARCH OF DIMES MARCH FOR BABIES (APRIL 2015); WALK NOW FOR AUTISM SPEAKS (MAY 2015); AND MANY OTHERS. 2. TO HELP PEOPLE GAUGE THEIR HEALTH STATUS, EXCELA HEALTH CO-SPONSORED "WELLNESS CHECKS," A MULTIPHASIC BLOOD ANALYSIS THAT ALLOWS FOR THE DETECTION OF MANY POTENTIAL HEALTH PROBLEMS AT A LOW COST. ADDITIONAL SCREENINGS ARE ALSO OFFERED WITH THE PROGRAM UTILIZING SEVEN TO TEN REGIONAL LOCATIONS ACROSS WESTMORELAND COUNTY IN BOTH THE FALL (2014) AND THE SPRING (2015). EXCELA HEALTH PARTNERS WITH AREA ROTARY CLUBS, KIWANIS, VOLUNTEER FIRE DEPARTMENTS AND OTHERS TO PRESENT THE PROGRAMS. MONIES EARNED IN PART GO TO THE SCHOLARSHIP FUNDS OF THE VARIOUS PUBLIC ORGANIZATIONS. 3. EXCELA HEALTH BEHAVIORAL HEALTH HOSTED THE "CHILDREN'S EMOTIONAL WELLNESS SYMPOSIUM" (NOVEMBER 2014) TO ADDRESS WAYS TO FOSTER RESILIENCE AFTER TRAUMA AND TRAGEDY. PARTICIPANTS HEARD PRESENTATIONS FROM EXPERTS IN PSYCHIATRY, ETHICS AND SPIRITUALITY WITH THE GOAL OF OPENING UP CHANNELS OF SUPPORT AND RESPONSE LOCALLY. THERE WAS ALSO THE OPPORTUNITY TO NETWORK WITH AREA PROFESSIONALS WHO SUPPORT THE EMOTIONAL HEALTH OF CHILDREN IN WESTMORELAND COUNTY. 4. THE CENTRAL BILLING OFFICE FOR EXCELA HEALTH MEDICAL GROUP CONDUCTED A SERVICE PROJECT BENEFITTING THE LOCAL MEALS ON WHEELS. SUNDRIES WERE PACKED IN REUSABLE SHOPPING TOTES AND DELIVERED SO THAT, IF THE WEATHER TURNS BAD AND MEALS ON WHEELS IS UNABLE TO TRAVEL FOR FOOD DELIVERY, THERE IS SOMETHING IN THE HOUSE THAT SERVES AS AN EASY-TO-PREPARE, HOT AND NOURISHING MEAL FOR THE 40 HOMEBOUND RESIDENTS IN THE PROGRAM. 5. EXCELA HEALTH INFECTION CONTROL PREVENTIONISTS TEAMED WITH SETON HILL CHILD CARE SERVICES TO SPEAK WITH CHILDREN, AGES 3 TO 5, ABOUT THE BENEFITS OF GOOD HYGIENE, PARTICULARLY HAND WASHING. THE DEMONSTRATION INCLUDED DEMONSTRATIONS OF HAND WASHING SKILLS, A "GERMBUSTER" COLORING BOOK AND CRAYONS AND MORE, REACHING SOME 200 CHILDREN IN FOUR LOCATIONS. 6. EXCELA'S MALL WALKERS PROGRAM CONTINUED, GATHERING SOME 200 INDIVIDUALS EACH MONTH (EXCLUDING DECEMBER) AT WESTMORELAND MALL, LOCATED IN GREENSBURG, PA, IN FISCAL YEAR 2015. THE SECOND MALL WALKERS GROUP AT OUR EXCELA SQUARE AT NORWIN LOCATION BOASTED MORE THAN 100 WALKERS 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 COMPLIMENTARY BREAKFAST AND A WALK ALONG A COURSE OF PRE-MEASURED DISTANCES. 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. 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: $97,477 - 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: 4,410 - COST ABSORBED FOR PROVIDING VACCINE: $74,970 - LIVES TOUCHED THROUGH THE WELL-BEING CENTER PROFESSIONALS AND OTHERS VIA DIABETES EDUCATION, SMOKING CESSATION, PRE-NATAL CLASSES AND MORE: 7,625 - 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: $3,780 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: |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | COMMUNITY OUTREACH ACTIVITY/CHARITABLE GIVING AND MONIES EXPENDED - POPULATIONS SERVED: - COMMUNITY HEALTH FAIRS, SCREENINGS, EDUCATION PROGRAMS: $637,327 - LIVES TOUCHED THROUGH COMMUNITY HEALTH/WELLNESS EFFORTS: 448,163 - FREE SCREENINGS PERFORMED: 13,784 - COMMUNITY HEALTH PUBLICATIONS: $67,050 - COMMUNITY CONTRIBUTIONS: $249,480 - CONTINUING MEDICAL EDUCATION PROVIDED THROUGH THE HEALTH SYSTEM FOR ITS MEDICAL STAFF: $26,552 - TUITION REIMBURSEMENT FOR EMPLOYEES RAISING THEIR LEVEL OF EDUCATION ULTIMATELY BENEFITTING THE QUALITY OF CARE DELIVERED: $763,475 - VOLUNTEER HOURS DONATED SYSTEM WIDE (CAN TRANSLATE TO $1,033,656 OF TIME SPENT AIDING THE HEALTH SYSTEM MISSION): 86,138 - 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: $28,563 - THE EMPLOYEES CHARITABLE TRUST FUND, EXCELA HEALTH SYSTEM EMPLOYEES WHO, DURING FY 2015, 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: $52,000 - INTERNAL AID: $23,655 - OTHER (ACCOUNTING, MISC.): $1,400 - TOTAL: $87,055 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 119 YEARS. LICENSED BEDS: 648 STAFFED BEDS: 397 EMPLOYEES: 4,792 VOLUNTEERS AND AUXILIANS: 797 BIRTHS: 1,638 INPATIENT ADMISSIONS/OBSERVATIONS: 30,693 OUTPATIENT VISITS: 591,293 EMERGENCY DEPARTMENT VISITS: 110,152 COMMUNITIES SERVED: 97 ZIP CODES / WESTMORELAND, FAYETTE, INDIANA COUNTIES SERVICE AREA POPULATION: 359,320 (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 - WESTMORELAND/FRICK/ HOSPITAL FOUNDATION, A CHARITABLE 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. - MEDCARE EQUIPMENT COMPANY - EXCELA HEALTH DIVERSIFIED SERVICES - EXCELA HEALTH VENTURES, LLC - EXCELA HEALTH ANESTHESIA ASSOCIATES, LLC - 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: 19,053 ACUTE CARE PATIENT DAYS: 73,748 NEWBORNS: 1,638 TOTAL OPERATING ROOM PROCEDURES: 7,819 LAB PROCEDURES AND TESTS: 1,640,587 EMERGENCY ROOM VISITS: 54,274 PHYSICAL THERAPY TREATMENTS: 121,368 OUTPATIENT SURGERIES: 5,045 OUTPATIENT VISITS: 275,203 OUTPATIENT X-RAY PROCEDURES: 135,855 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: $5,465,953 - 203 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 29,043 HOURS - PATIENT EDUCATION MATERIALS: $31,498 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 STAFFED WITH A NEONATOLOGIST AND NEONATOLOGY PRACTITIONERS, 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, CURRENTLY UNDER RENOVATION, 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 AND VASCULAR CENTER. THE WELL BEING CENTER OFFERING WELLNESS AND PREVENTION PROGRAMS FOR OUR COMMUNITIES, BUSINESSES 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 54,274 INDIVIDUALS IN FY 2015. RECENTLY, THE HOSPITAL AND HEALTHSYSTEM OF PENNSYLVANIA (HAP) RECOGNIZED THE DEPARTMENT'S EFFORTS IN ADDRESSING PATIENT THROUGHPUT. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | 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 AND VASCULAR CENTER AT WESTMORELAND HOSPITAL THE HEART AND VASCULAR 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 AND VASCULAR 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. WITH THE RECRUITMENT OF ADDITIONAL INTERVENTIONAL CARDIOLOGISTS, WE ALSO OFFER ATRIAL ABLATION TO CORRECT ATRIAL FIBRILLATION (A-FIB) AND SUPRAVENTRICULAR TACHYCARDIA (SVT). THE HEART CENTER PROCEDURES PERFORMED: 2,623 OPEN HEART SURGERIES: 178 DEVICE IMPLANTATIONS: 365 CARDIAC REHABILITATION VISITS (ALL LOCATIONS): 31,867 PULMONARY REHABILITATION VISITS (ALL LOCATIONS): 2,278 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 R - 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 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. 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 2015 REACHED 1,638. 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 VISITS NUMBER 1,480 WITH OUTPATIENT EDUCATION PROVIDED TO 1,650 PATIENTS AMONG 1,740 CLINIC 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: 135,855 OUTPATIENT SURGERIES: 5,045 OUTPATIENT ENDOSCOPIES: 7,897 TOTAL OUTPATIENT REGISTRATIONS/VISITS: 275,203 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. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | AS A FOUNDING MEMBER OF EXCELA HEALTH, FRICK 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 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 BEGAN 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 STARTED WITH PLANS TO RENOVATE THE LOBBY AREA AND CAF, CREATE A PATIENT-CENTERED MEDICAL HOME WITH PRIMARY CARE SUITES, ENHANCE DIAGNOSTICS WITH RAPID RESULTS ALONG WITH THE CREATION OF A SATELLITE ONCOLOGY PARTNERSHIP WITH THE ARNOLD PALMER CANCER CENTER. A PHASE III WILL FOLLOW IN SUBSEQUENT 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: 2,891 ACUTE CARE PATIENT DAYS: 9,520 TOTAL OPERATING ROOM PROCEDURES: 1,573 LAB PROCEDURES AND TESTS: 440,474 EMERGENCY ROOM VISITS: 23,584 PHYSICAL THERAPY TREATMENTS: 24,644 OUTPATIENT SURGERIES: 1,359 OUTPATIENT REGISTRATION/VISITS: 88,826 OUTPATIENT X-RAY PROCEDURES: 48,032 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: $1,609,297 - 88 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 17,634 HOURS - PATIENT EDUCATION MATERIALS: $4,722 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 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 23,584 PATIENTS. 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 431 SUBSCRIBERS TO THIS VITAL PROGRAM. - 25 LIFELINE VOLUNTEERS DONATED OF THEIR TIME AND TALENTS: 3,900 HOURS - DISCOUNTS PROVIDED TO SUBSCRIBERS BASED ON INCOME ACCORDING TO AREA AGENCY ON AGING INCOME GUIDELINES: $3,780 - 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: 48,032 OUTPATIENT SURGERIES: 1,359 OUTPATIENT ENDOSCOPIES: 2,739 OUTPATIENT REGISTRATIONS/VISITS: 88,826 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 HEALTHY HABITS 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. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | 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 172 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 PROVIDES ACUTE, SURGICAL AND SPECIALIZED CARE, WITH: PATIENT ADMISSIONS/OBSERVATION: 8,749 ACUTE CARE PATIENT DAYS: 26,848 TOTAL OPERATING ROOM PROCEDURES: 9,808 LAB PROCEDURES AND TESTS: 1,072,309 EMERGENCY ROOM VISITS: 32,294 PHYSICAL THERAPY TREATMENTS: 61,226 OUTPATIENT SURGERIES: 8,464 OUTPATIENT REGISTRATION/VISITS: 227,264 OUTPATIENT X-RAY PROCEDURES: 91,925 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: $2,707,189 - 172 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 25,059 HOURS - PATIENT EDUCATION MATERIALS: $13,644 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'S EXTENSIVE RESOURCES, LATROBE 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 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 32,294. 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. OUTPATIENT SERVICES INCLUDE EXTENSIVE IMAGING SERVICES, CARDIAC REHABILITATION, AND LAB SERVICES. OUTPATIENT SURGERY AND SHORT PROCEDURE SUITES ALONG WITH A SLEEP CENTER, 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 2015, 4,584 PATIENTS VISITED THE FAMILY PLANNING CLINIC AS WELL AS 2,616 PATIENTS VISITING THE PRENATAL CLINIC, ALL OF WHICH OPERATES ON A SLIDING SCALE ACCORDING TO INCOME AND FAMILY SIZE. THE PRE-NATAL CLINIC REALIZED 1 PERCENT TEEN PREGNANCIES WHILE 35 PERCENT OF THE CLINIC PATIENTS WERE CONSIDERED HIGH RISK PREGNANCIES. THE BREAKDOWN IS AS FOLLOWS: PRENATAL/GYNECOLOGY CLINICS CLINIC VISITS: PRENATAL CLINIC: 2,616 POSTPARTUM: 139 GYNECOLOGY: 267 FAMILY PLANNING CLINIC CLINIC VISITS: 4,584 COLPOSCOPY: 72 CRYOTHERAPY: 10 LEEP: 43 PROCEDURE REFERRALS TO EXCELA HEALTH HOSPITALS DELIVERIES: 161 CESAREAN SECTIONS: 33 POST-PARTUM TUBAL LIGATION: 11 - NON-STRESS TEST: 130 - COLPOSCOPY: 19 - D&C FOR EARLY PREGNANCY LOSS: 6 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 15 NEW VISITS FOR PATIENTS AT HIGH NUTRITIONAL RISK AS IDENTIFIED THROUGH A NUTRITION SURVEY. MANY NURSE PRACTITIONER STUDENTS, NUMBERING 15 IN FY 2015, DO THEIR WOMEN'S HEALTH ROTATIONS THROUGH FAMILY PLANNING. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | 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, ARTHRITIS, HIP FRACTURES AND NEUROLOGICAL DISORDERS SUCH AS MS, PARKINSON'S DISEASE, MYOPATHY AND POLYNEUROPATHY. 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. PHYSICIANS AND SURGEONS USE THE DA VINCI SYSTEM FOR GENERAL SURGERY, UROLOGY CASES AND GYNECOLOGIC PROCEDURES AT LATROBE. 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: 91,925 OUTPATIENT SURGERIES: 8,464 OUTPATIENT ENDOSCOPIES: 3,958 OUTPATIENT REGISTRATION/VISITS: 227,264 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. 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, DIETITIAN, HOME CARE AND HOSPICE-TRAINED VOLUNTEERS (NUMBERING 101 GIVING 10,750 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 WAS 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 - 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 - SESSIONS FOR HOUSEHOLD MAINTENANCE - MEN'S GROUP - GRIEF AND THE HOLIDAYS SUPPORT GROUP - MALL WALKERS/GRIEF SUPPORT - COOKING FOR ONE - CHILDREN'S GRIEF SUPPORT GROUP (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. EXCELA HEALTH HOME CARE AND HOSPICE SPECIFICS: HOME CARE VISITS: 118,038 HOME CARE ADMISSIONS: 7,817 HOME CARE PATIENTS SERVED (UNDUPLICATED): 7,483 HOSPICE ADMISSIONS: 870 HOSPICE VISITS: 20,959 HOSPICE PATIENTS SERVED (UNDUPLICATED): 946 BECAUSE WE FIRMLY BELIEVE THAT OUR MISSION IS INCLUSIVE AND SPEAKS TO OUR TRUEST SENSE OF COMMUNITY COMMITMENT, EXCELA HEALTH HOME CARE AND HOSPICE AND ITS EMPLOYEES REINVEST IN OUR COMMUNITIES IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $143,926 EXCELA CAREGIVERS OF SOUTHWESTERN PA FISCAL YEAR 2015 HAS BEEN ONE OF CHANGE FOR CONSUMERS, STAFF AND THE PROGRAMS OF CAREGIVERS OF SOUTHWESTERN PA, A SUBSIDIARY OF EXCELA HEALTH AND A 501(C)(3) NON-PROFIT COMPANY. THERE HAD BEEN STAFF TURNOVER AT MANY JOB LEVELS WITHIN THE ORGANIZATION AS WELL AS PREPARATION FOR THE MOVE OF FOUR PROGRAMS TO A NEW LOCATION IN FY 2016. 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). |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) | WEST PLACE CLUBHOUSE: THE CLUBHOUSE HAD 41 ACTIVE MEMBERS WHO ATTENDED THE WORK-ORDERED DAY DURING FY 2015. THERE ARE THREE UNITS THAT MEMBERS CAN CHOOSE TO WORK IN, SIDE-BY-SIDE, WITH STAFF AND OTHER MEMBERS. THE ADMINISTRATION UNIT RUNS MEMBERS SERVICES AND CLERICAL TASKS THAT ALLOW THE CLUBHOUSE TO FUNCTION. THE CAREER DEVELOPMENT UNIT PROVIDES OPPORTUNITIES FOR MEMBERS TO RETURN TO WORK OR TO SCHOOL. THE HOSPITALITY UNIT PREPARES LUNCH EACH DAY AND ALSO FOR THE SNACK BAR WHERE MEMBERS WORK SIDE-BY-SIDE WITH STAFF TO RUN THE REGISTER, PERFORM INVENTORY, ORDER PRODUCTS, AND MUCH MORE. MAINTENANCE AND CLEANING IS ALSO RUN OUT OF THIS UNIT. THE MEMBERS PARTICIPATE IN ALL ASPECTS OF RUNNING THE CLUBHOUSE TOGETHER WITH STAFF TO CREATE MEANINGFUL RELATIONSHIPS THROUGH WORK. THIS PROVIDES THE CONFIDENCE AND EMPOWERMENT MANY MEMBERS NEED TO ALLOW THEM TO ADVANCE IN THEIR RECOVERY. ALL MEMBERS COLLABORATIVELY CREATE AN INDIVIDUAL REHABILITATION PLAN BASED OUT OF ONE OF THE FIVE DOMAINS: LIVING, LEARNING, WORKING, SOCIAL AND SELF-MAINTENANCE (SUB-DOMAIN OF LIVING). MEMBERS' STRENGTH AND NEEDS HELP TO DETERMINE THEIR GOALS AND OBJECTIVES, ALONG WITH THE RESOURCES THAT SUPPORT GOAL ACHIEVEMENT. ONCE A GOAL IS ACHIEVED, NEW GOALS MAY BE CHOSEN. FOR SOME MEMBERS, IT MAY NOT BE NECESSARY TO SET A NEW GOAL, AND THEY CHOOSE TO MOVE ON FROM THE PROGRAM. IN OTHER SITUATIONS, MEMBERS MAY NEED TO SET A NEW GOAL TO CONTINUE TO BUILD FUNDAMENTAL SKILLS AND GAIN SELF-CONFIDENCE TO ASSURE SUCCESS. IN 2015, WE HAD SIX MEMBERS ACHIEVE A LIVING GOAL. ONE MEMBER'S GOAL WAS TO BUILD FUNDAMENTAL LIVING SKILLS, SUCH AS TAKING MEDICATIONS, COOKING SKILLS AND LEARNING TO BUDGET MONEY. THREE MEMBERS' GOALS WERE TO OBTAIN INDEPENDENT HOUSING. ONE MEMBER WISHED TO MOVE INTO A LARGER APARTMENT. ANOTHER MEMBER ACHIEVED HIS GOAL OF REDUCING ISOLATION. WE HAVE SEVERAL MEMBERS WORKING ON MAKING PROGRESS, BUT NEED MORE TIME TO ACHIEVE THE GOAL. WE HAD TWO MEMBERS ACHIEVE THEIR GOAL IN THE WORKING DOMAIN. WE HAD ONE MEMBER ACHIEVE HIS SOCIAL GOAL TO DO WITH BUILDING A SUPPORT SYSTEM. WESTMORELAND PSYCHIATRIC REHABILITATION (SITE-BASED AND MOBILE) PSYCHIATRIC REHABILITATION WAS SURVEYED BY THE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IN SEPTEMBER 2015 AND GRANTED A FULL LICENSE. PSYCH REHAB HAS THIRTEEN GROUPS PER WEEK WHICH SERVES 44 INDIVIDUALS. THE AREAS OF CONCENTRATION ARE OF A CLIENT'S CHOOSING IN THE LIVING, WORKING, SOCIAL AND WELLNESS AREAS OF THE INDIVIDUAL'S LIFE. ONE CLIENT HAS CHOSEN THE WORKING DOMAIN AND HAD ATTAINED HER GOAL OF EMPLOYMENT. SHE IS CURRENTLY SEEKING ANOTHER PLACE OF EMPLOYMENT FOR BETTER JOB SATISFACTION. A TOTAL OF NINE CLIENTS HAVE CHOSEN TO CONCENTRATE IN THE LIVING DOMAIN, FOUR OF WHOM HAVE MET THEIR LIVING GOALS. OTHERS CONTINUE TO WORK ON IMPROVING THEIR LIVING SITUATIONS AND PROMOTING A HEALTHY LIFE STYLE AND ONE ATTAINED HIS SELF-MAINTENANCE GOAL. THERE IS ONE CLIENT WHO HAS CHOSEN TO WORK IN THE LEARNING DOMAIN. THIS CLIENT IS WORKING TOWARD HIS GOAL BY TAKING CLASSES AND IS MAKING SIGNIFICANT PROGRESS. THERE ARE 32 CLIENTS WHO HAVE CHOSEN TO WORK IN THE SOCIAL DOMAIN. MANY ARE MAKING ONGOING PROGRESS IN SKILL BUILDING, COMMUNICATION SKILLS, IMPROVING SOCIAL SUPPORTS AND RELATIONSHIPS, AND COPING SKILLS AS WELL AS TAKING PERSONAL RESPONSIBILITY FOR COMMUNITY INVOLVEMENT AND BUILDING THE FOUNDATION FOR SUCCESS IN THEIR RECOVERY JOURNEY. SEVEN HAVE ATTAINED THEIR SOCIAL GOALS. THE CONSUMER AND FAMILY SATISFACTION TEAM FROM MENTAL HEALTH AMERICA CONDUCTED QUARTERLY SATISFACTION SURVEYS DURING THE FISCAL YEAR 2015 OF THE CLIENTS ATTENDING PSYCHIATRIC REHABILITATION. PROUDLY, THE OVER-ALL SATISFACTION WITH THE PROGRAM IS 97 PERCENT. WESTMORELAND PEER SUPPORT PEER SUPPORT HAD 97 ACTIVE CLIENTS DURING THE FISCAL YEAR 2015 AND A STAFF THAT INCLUDED EIGHT FULL-TIME CERTIFIED PEER SPECIALISTS AND TWO PART-TIME STAFF. THE CLIENTS WORK ONE-ON-ONE WITH A CERTIFIED PEER SPECIALIST TO WORK ON GOALS THEY WANT TO ACHIEVE IN WORKING, LIVING, SOCIAL, EDUCATION AND WELLNESS DOMAINS. PEER CLIENTS HAVE EXPRESSED HOW THE NEW PAPERWORK HAS HELPED THEM TARGET THEIR GOALS. THE PEER CERTIFIED SPECIALIST ENCOURAGES CLIENTS TO MAKE GOALS SMART. SMART GOALS ARE INDIVIDUALIZED AS CLIENTS FORMULATE THEIR GOALS ON THEIR ROAD TO RECOVERY. SMART GOALS STAND FOR: S = SPECIFIC; CLEARLY STATES WHAT YOU INTEND TO ACHIEVE. M = MEASUREABLE; HOW WILL YOU KNOW IF PROGRESS IS MADE? CAN YOU PUT A NUMBER OR FREQUENCY TO YOUR OUTCOME? A = ACHIEVABLE; IS IT POSSIBLE TO ACCOMPLISH THIS GOAL? WHAT SUPPORTS AND RESOURCES ARE NEEDED AND FROM WHOM? R = REALISTIC; IS IT POSSIBLE TO REACH THIS GOAL? WHY IS ACHIEVING THIS GOAL IMPORTANT TO YOU? T = TIMELY; WHEN WILL YOU REACH THIS GOAL? THE PEER SUPPORT PROGRAM HAS SCORED AN OVERALL SATISFACTION RATE OF 93 PERCENT. WEST PLACE DROP-IN CENTER WEST PLACE DROP-IN CENTER OFFERED SOCIALIZATION OPPORTUNITIES TO 138 ACTIVE MEMBERS DURING THE PAST FISCAL YEAR, ALONG WITH MANY SOCIAL ACTIVITIES AND VARIOUS EVENTS. THE DROP-IN CENTER IS OPEN SIX DAYS A WEEK; MONDAY THROUGH FRIDAY 4 P.M. TO 8 P.M. AND ON SATURDAY, 10 A.M. TO 6 P.M. WE PICK UP 95 PERCENT OF ALL CLIENTS WHO PARTICIPATE IN THE PROGRAM. THE AREAS COVERED ARE: SCOTTDALE, DELMONT, MOUNT PLEASANT, MANOR, IRWIN, JEANNETTE, GREENSBURG, UNITY TOWNSHIP, NEW ALEXANDRIA, DERRY, LATROBE, AND HARRISON CITY. MEMBERS AND STAFF HAVE PARTICIPATED IN THE "RAY OF HOPE," A TASK FORCE THAT FOCUSES ON SUICIDE PREVENTION AND AWARENESS. MEMBERS HAVE IN-HOUSE ACTIVITIES AND ATTEND COMMUNITY EVENTS ALL WITH THE GOAL OF SOCIALIZATION. CAREGIVERS 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 COST FOR THESE PROGRAMS. CONCLUSION AS A HEALTH CARE SYSTEM WITH WELL-ESTABLISHED ROOTS IN WESTMORELAND COUNTY AND BEYOND, EXCELA HEALTH CONTINUES TO MOVE IN A HEALTHY DIRECTION, ADDRESSING THE NEEDS OF VARIED POPULATIONS DEFINED BY COMMUNITY HEALTH NEEDS ASSESSMENT, SURVEYS, DEMOGRAPHIC INFORMATION AND MORE. THROUGH A ROBUST SLATE OF EDUCATIONAL CLASSES, HEALTH SCREENINGS, AND OUTREACH ENDEAVORS, COUPLED WITH THE ADVANCEMENT OF HIGH LEVELS OF CLINICAL CARE AND THE RETENTION/RECRUITMENT OF NEW TALENT BRINGING EXPERTISE TO OUR REGION, WE CAN STAY THE COURSE OF DIRECTING CARE WHERE IT IS MOST ACCESSIBLE AND APPROPRIATE. FURTHER, UNCOMPENSATED CARE IS RENDERED SO THAT SEGMENTED POPULATIONS ARE NOT DENIED FUNDAMENTAL ACCESS TO NEEDED TREATMENT. AS OUR NAME IMPLIES, EXCELLENCE, AT ALL LEVELS OF CARE IN ALL VENUES, IS NOT ONLY OUR GOAL BUT OUR HEALTH CARE WAY OF LIFE, ONE THAT IMPROVES THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH. |
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