| FORM 990, PART VI, SECTION A, LINE 2 |
SHARON SMITH, ROBERT ROGALSKI & TOM YARABINETZ SERVE 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. THE FORM 990 IS ALSO AVAILABLE AT EXCELAHEALTH.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 |
AT THIS TIME, EXCELA HEALTH AND MEMBERS OF EXCELA HEALTH GROUP DO NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. |
| FORM 990, PART XI, LINE 9: |
CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -40,319,000. OTHER 6,192,121. TEMPORARILY RESTRICTED CONTRIBUTIONS 1,015,000. NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS -218,000. TRANSFER TO AFFILIATES -167,303,000. |
| 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 ITS SUCCESS IS ROOTED IN SAFE AND EFFICIENT PATIENT-CENTERED CARE DRIVEN BY VALUE-BASED BEHAVIORS. MORE TO THE POINT, EXCELA HEALTH SEEKS TO LIVE ITS 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 2016, 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 EXCELA HEALTH PROVIDES CARE. PERHAPS MORE IMPORTANT WAS THE CONTINUING ADDITION OF HIGHLY TRAINED PHYSICIANS, NURSES AND HEALTH CARE PROFESSIONALS WHO CONTINUOUSLY BRING ITS 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 4,940 EMPLOYEES, 499 PHYSICIANS, 224 ALLIED HEALTH PROFESSIONALS, 22 FAMILY MEDICINE RESIDENTS, 14 GENERAL SURGERY RESIDENTS, AND 858 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 EXCELA'S 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 2016, EXCELA HEALTH BEHAVIORAL HEALTH SERVICES PROVIDED THE FOLLOWING COMMUNITY SERVICES: 1. THE SCHOOL-BASED MENTAL HEALTH PROGRAM (OUT OF THE LATROBE HOSPITAL CAMPUS) OPERATES FULLY FUNCTIONAL OUTPATIENT CLINICS IN FOUR WESTMORELAND COUNTY SCHOOL DISTRICTS IN DERRY, LATROBE, LIGONIER VALLEY AND MOUNT PLEASANT. FIVE LICENSED MENTAL HEALTH PROFESSIONALS AND ONE PART-TIME PSYCHIATRIST PROVIDE SERVICES IN THE SCHOOL SETTING. EACH SCHOOL SITE IS LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (OMHSAS) AS SATELLITE CLINICS OF THE LATROBE HOSPITAL CHILD OUTPATIENT CLINIC. 2. THE STUDENT ASSISTANCE PROGRAM (SAP), BASED AT THE WESTMORELAND HOSPITAL CAMPUS, IS FUNDED 100 PERCENT BY THE WESTMORELAND COUNTY BEHAVIORAL HEALTH AND DEVELOPMENT SERVICES. SAP IS A REQUIRED SERVICE FOR ALL SCHOOL DISTRICTS IN PENNSYLVANIA. IT IS AN ASSESSMENT, INTERVENTION AND REFERRAL SERVICE FOR YOUTH IDENTIFIED BY THE DISTRICTS WHOSE ACADEMIC PERFORMANCE HAS BEEN COMPROMISED BY BEHAVIORAL/EMOTIONAL ISSUES AND ARE CONSIDERED TO BE AT-RISK. EXCELA PROVIDES SAP SERVICES TO 15 OF THE 17 SCHOOL DISTRICTS IN WESTMORELAND COUNTY AND TWO OF THE VOCATIONAL TECHNICAL CENTERS. THERE ARE FIVE MASTER'S PREPARED SAP LIAISONS ON STAFF. THE PROGRAM IS OPERATED IN COLLABORATION WITH THE SAINT VINCENT COLLEGE PREVENTION PROJECT, WHICH MONITORS FIDELITY TO THE EVIDENCE BASE OF THE SAP MODEL. 3. NURSING HOME SUPPORT, BASED AT THE WESTMORELAND HOSPITAL CAMPUS, IS A COMMUNITY PSYCHIATRIC NURSING PROGRAM PROVIDING IN-HOME/COMMUNITY PSYCHIATRIC NURSING SERVICES. THE PROGRAM TARGETS PRIORITY POPULATIONS (AN OMHSAS DESIGNATION) WHO WOULD OTHERWISE BE AT-RISK FOR STATE HOSPITAL ADMISSION AS WELL AS SERVING AS THE FIRST POINT OF FOLLOW-UP FOR INDIVIDUALS DISCHARGED FROM STATE HOSPITALS. THERE ARE SEVEN RNS AND TWO AIDES ATTACHED TO THIS PROGRAM, WHICH IS LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (OMHSAS) AS A SATELLITE OF THE WESTMORELAND HOSPITAL OUTPATIENT CLINIC. 4. THE CRISIS RESPONSE CENTER (CRC), LOCATED ON THE WESTMORELAND HOSPITAL CAMPUS, IS THE NEWEST ADDITION TO EXCELA HEALTH'S SERVICES AND OPENED MARCH 25, 2013. IT IS AN ENHANCED EXPANSION OF THE OFFICE-BASED CRISIS WALK-IN SERVICES THAT HAD BEEN PROVIDED PREVIOUSLY THROUGH EXCELA HEALTH'S OUTPATIENT CLINIC. IT WAS DEVELOPED TO PROVIDE AN ALTERNATIVE TO EMERGENCY ROOM TREATMENT FOR INDIVIDUALS IN PSYCHIATRIC CRISIS. COMBINED, THE EXCELA HEALTH EMERGENCY DEPARTMENTS SEE APPROXIMATELY 3,000 INDIVIDUALS IN PSYCHIATRIC CRISIS EACH YEAR; AT LEAST 60 PERCENT DO NOT MEET THE CRITERIA FOR INPATIENT ADMISSION AND ARE DISCHARGED FROM THE EMERGENCY DEPARTMENT INTO THE COMMUNITY. THE AMOUNT OF TIME NECESSARY TO ADDRESS THIS POPULATION HAD SIGNIFICANT IMPACT ON EMERGENCY DEPARTMENT THROUGHPUT AND INCREASED THE STRESS LEVEL AMONG EMERGENCY STAFF, WHO WERE NOT TRAINED SPECIFICALLY TO DEAL WITH THE PSYCH PATIENT. THE PROGRAM UTILIZES AN EVIDENCE-BASED PRACTICE FOR PSYCHIATRIC CRISIS KNOWN AS THE "LIVING ROOM MODEL AND WAS DEVELOPED UNDER THE PRACTICE GUIDELINES FOR PSYCHIATRIC CRISIS, PUBLISHED IN 2009 BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS). THE PROGRAM IS INDEPENDENTLY LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (OMHSAS) BUT MUST BE ATTACHED TO AN UNDERLYING PSYCHIATRIC OUTPATIENT CLINIC. THE CRC IS ATTACHED TO THE LICENSE OF THE WESTMORELAND HOSPITAL OUTPATIENT PSYCHIATRIC CLINIC. 5. BEHAVIORAL HEALTH OPERATES A FIVE-WEEK SUMMER CAMP, CALLED CAMP FOCUS, WHICH SERVED 145 CHILDREN FROM THE LATROBE, DERRY, MOUNT PLEASANT AND LIGONIER VALLEY SCHOOL DISTRICTS IN FY 2016. 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 TOTALED $23,606 IN FY 2016. STAFF ALSO PROVIDES VARIOUS TRAININGS, IN-SERVICES AND CONSULTATIONS INCLUDING QUARTERLY PRESENTATIONS TO THE BARIATRIC SURGERY SUPPORT GROUP. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
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. WITHIN THE WESTMORELAND COUNTY MARKET AREA LIES A POPULATION OF NEARLY 154,546 INDIVIDUALS AGE 50 AND OLDER. ACCORDING TO THE 2014 STATE ESTIMATE, THE WESTMORELAND COUNTY POPULATION NUMBERS 359,320 SO THAT CURRENTLY, OLDER CITIZENS COMPRISE SIGNIFICANTLY MORE THAN ONE-THIRD OF EXCELA HEALTH'S 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, EXCELA HEALTH SHOULD CONTINUE TO SEE A RISE IN THOSE PROCEDURES AS WELL AS OTHER ORTHOPEDIC AND REHABILITATIVE SERVICES. IN FACT, EXCELA'S JOINT WORKS PROGRAM CONTINUES TO GROW WITH OVER 1,116 JOINT REPLACEMENT PATIENTS AT LATROBE AND WESTMORELAND HOSPITALS IN FY 2016. IN FACT, EFFORTS CONTINUE THROUGH THE DEVELOPMENT OF AN ORTHOPEDIC CENTER OF EXCELLENCE, GATHERING TOGETHER CLINICAL COMPONENTS OF CARE FOR THOSE WITH ORTHOPEDIC ISSUES, SPORTS INJURIES AND CONCUSSION MANAGEMENT. MINIMALLY INVASIVE SURGERY, TOO, REMAINS A VIABLE OPTION FOR THOSE NEEDING SURGERY AND IS AVAILABLE AT THE HOSPITALS OF EXCELA HEALTH AS WELL AS THE 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, THORACIC 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 THE 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 2016 ALONE FOR BOTH FACILITIES, 583 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 2016 TO RAISE THE BAR EVEN HIGHER. AS SUCH, THE FOLLOWING WAS INSTITUTED AND, IN SOME CASES, MADE NOTE OF BY EXTERNAL AGENCIES. 1. WESTMORELAND WOMEN'S HEALTH CENTER TRANSITION FROM CURRENT ALLSCRIPTS TO ALLSCRIPTS TOUCHWORKS - RESULTING IN MODIFICATIONS TO PATIENT AND STAFF WORKFLOWS AS WELL AS ENHANCED COMMUNICATION AMONG PHYSICIAN OFFICES. 2. FOR PATIENTS TRANSITIONING FROM THE EMERGENCY DEPARTMENT TO INPATIENT CARE OR HOME, AN EMERGENCY TRANSITION UNIT WAS DEVELOPED AT FRICK, LATROBE AND WESTMORELAND HOSPITALS. USING A PORTION OF THE EMERGENCY DEPARTMENT TO CARE FOR OBSERVATION PATIENTS MEETING CERTAIN CRITERIA, THE UNIT HAS EMERGENCY DEPARTMENT NURSES OVERSEEING THE PATIENT'S CARE. BENEFITS OF THE PROJECT INCLUDE: - FOLLOWING DISTINCT PROTOCOLS FOR EMERGENCY DEPARTMENT OBSERVATION PATIENTS THAT HELP US CARE FOR PATIENTS APPROPRIATELY AND MOVE THEM MORE SWIFTLY FROM TREATMENT TO DISCHARGE OR ADMISSION. - TRANSITIONING THE RIGHT PATIENTS TO INPATIENT STATUS WITH AVAILABLE BEDS TO ACCOMMODATE THEM. - INCREASING EFFICIENCY AND THROUGHPUT. - DOCUMENTING APPROPRIATELY AND UTILIZING THE TOOLS THAT THE HEALTH SYSTEM HAS AVAILABLE. - ASSURING QUALITY OUTCOMES AS MEASURED BY RETURN EMERGENCY DEPARTMENT VISITS WITHIN SEVEN TO 10 DAYS, UNIT AND PROTOCOL COMPLIANCE, AND PATIENT SATISFACTION SCORES. 3. A LEAN TEAM STUDIED AND IMPLEMENTED THE STANDARDIZATION OF DISCHARGE PROCESS FROM THE HOSPITAL TO A SKILLED NURSING FACILITY (SNF). PROGRESS HAS BEEN MADE: THE SNF READMISSION RATE STARTED WITH 18 PERCENT OF PATIENTS DISCHARGED FROM SNFS BEING READMITTED DECREASED TO 10 PERCENT. A PILOT STUDY ALSO LOOKED AT PHARMACY COSTS WITH AN AVERAGE RATE OF $12 PER PATIENT IN MEDICATION COSTS TO PROVIDE EVENING AND MORNING DOSES FOR LATE DISCHARGES. TO MAKE THE TRANSITION PROCESS AS SMOOTH AS POSSIBLE, THE INPATIENT DISCHARGE HAND-OFF LEAN TEAM OBSERVED THE DISCHARGE PROCESS ACROSS THE HEALTH SYSTEM AND REVIEWED ELECTRONIC REPORTS TO MAP OUT A SMOOTHER PROCESS AND REDUCE WASTE. THE GOALS: TO REDUCE HOSPITAL READMISSION RATES, IMPROVE LENGTH OF STAY AND DISCHARGE TIMES, INCREASE THE AMOUNT OF PRIMARY CARE PHYSICIAN FOLLOW-UP APPOINTMENTS FOR DISCHARGED PATIENTS, AND IMPROVE RESPONSES TO HCAHPS DISCHARGE QUESTIONS. 4. THE LATROBE FAMILY MEDICINE DIABETIC HEPATITIS VACCINATION PROJECT SOUGHT TO INCREASE HEPATITIS B VACCINATION FOR DIABETIC PATIENTS AGES 19 TO 59 IN ACCORDANCE WITH NEW CDC GUIDELINES. SEEKING TO CONQUER LACK OF AWARENESS ON THE NEED AND IMPACT OF HEPATITIS B VACCINE IN DIABETIC PATIENTS ALONG WITH STANDARDIZATION OF EDUCATIONAL MATERIALS AND APPOINTMENT SCHEDULING WERE KEY. WITHIN FOUR MONTHS OF THE PROJECT INITIATION, THERE WAS A 14.7 PERCENT INCREASE IN VACCINATIONS. 5. JUNE 2016 SAW THE INITIATION OF THE "HEALING GARDEN" PROGRAM AT THE WESTMORELAND HOSPITAL CAMPUS. THIS OUTDOOR GREEN SPACE OFFERS A RESTFUL ENVIRONMENT IN WHICH TO REFRESH AND RENEW ONESELF AWAY FROM THE PATIENT AREAS FOR VISITORS AND STAFF ALIKE. SIMILAR "GARDENS" ARE PLANNED FOR THE FRICK AND LATROBE CAMPUS. 6. NURSING LEADERSHIP AT EXCELA HEALTH CONTINUES ITS MAGNET JOURNEY TO ATTAIN MAGNET STATUS IN ITS PURSUIT OF EXCELLENCE. THROUGH THE FOLLOWING PROGRAMS AS WELL AS CONTINUOUS COMMUNICATION TO THE NURSING STAFF AND BEYOND, THAT GOAL CAN BE ACCOMPLISHED. SOME OF THOSE INITIATIVES INCLUDE: - THE CONTINUATION OF ELECTRONIC SELF SCHEDULING: ALLOWING NURSES THE ABILITY TO ORCHESTRATE THEIR OWN WORK SCHEDULES. - EVIDENCE-BASED PRACTICE/RESEARCH ACTIVITIES: SEPTEMBER 2015 SAW THE FIRST ANNUAL NURSING EBP AND TRANSLATIONAL RESEARCH FORUM IN WHICH 92 STAFF MEMBERS AND 15 STUDENTS ATTENDED. KEYNOTE PRESENTATIONS WERE CONDUCTED BY DR. DEBRA THOMPSON, DISCUSSING THE IMPORTANCE OF COLLABORATIVE RELATIONSHIPS IN PROVIDING AND OPTIMIZING PATIENT CARE AND DR. JUDITH KAUFMANN, OFFERING INSIGHTS INTO ISSUES REGARDING EVIDENCE-BASED PRACTICE AND CLINICAL RESEARCH. BREAKOUT SESSIONS COVERED PAIN MANAGEMENT, HAND HYGIENE, MIND/BODY FITNESS AND POST-CVA CARE ALONG WITH POSTER PRESENTATIONS MADE AVAILABLE VIA THE NURSING INTRANET. ALSO IN SEPTEMBER 2015 THE STRUCTURED INTERDISCIPLINARY BEDSIDE ROUNDS (SIBR) PROCESS WAS PRESENTED REGIONALLY AND NATIONALLY. INITIATED ACROSS THE THREE HOSPITAL CAMPUSES, THIS INTERDISCIPLINARY PROJECT IMPROVED HCAHPS SCORES FOR PATIENT SATISFACTION IN THE AREAS OF COMMUNICATION WITH NURSES AND PHYSICIANS, RESPONSIVENESS OF STAFF, AND DISCHARGE INFORMATION. EXCELA HEALTH CONDUCTED ITS FIRST RESEARCH STUDY THIS MONTH, MEASURING NURSES' BELIEFS IN AND IMPLEMENTATION OF EBP ALONG WITH SUPPORT OF THE ORGANIZATIONAL CULTURE FOR EBP. RESULTS OF THIS STUDY ARE BEING USED TO SHAPE THE NURSING STRATEGIC PLAN FURTHER AND ENHANCE NURSING PRACTICE AT EXCELA HEALTH. - NURSE RESIDENCY PROGRAM: IN CALENDAR YEAR 2015, 119 NURSES ENTERED THE NURSE RESIDENCY PROGRAM, AN INCREASE OVER THE PAST YEAR. SINCE THE PROGRAM HAS BEEN IN EXISTENCE, THERE HAS BEEN A STEADY INCREASE IN NEW NURSE RETENTION RATES, A MEASURE OF THE SUCCESS OF THE NURSE RESIDENCY PROGRAM. THE PROGRAM IS COMPOSED OF THREE PHASES CULMINATING IN PHASE III INDEPENDENT ACTIVITIES SUCH AS JOINING A PROFESSIONAL NURSING ORGANIZATION, CONFERENCE ATTENDANCE, ENROLLMENT IN A BSN PROGRAM OR ENGAGING IN UNIT-BASED OR COMMUNITY PROJECTS. TO MEET THOSE REQUIREMENTS, 46 NURSE RESIDENTS BECAME MEMBERS OF A SHARED GOVERNANCE COUNCIL OR COMMITTEE WITH THE MAJORITY BECOMING MEMBERS OF A UNIT-BASED PRACTICE COUNCIL (UBPC) WHILE 43 PURSUED A BSN DEGREE AND 23 JOINED PROFESSIONAL NURSING ORGANIZATIONS INCLUDING THE AMERICAN NURSES ASSOCIATION (ANA). |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
- COMMUNITY PARTNERSHIPS: SINCE 2010, EXCELA HEALTH NURSING HAS BEEN INVOLVED WITH THE "NO KID HUNGRY" PROGRAM, COLLABORATING WITH THE AREA UNITED WAY TO COMPLETE A COMMUNITY NEEDS ASSESSMENT IN 2012-2013. FROM THAT ASSESSMENT, THE SHARED GOVERNANCE, PROFESSIONAL IMAGE, AND COMMUNITY PARTNERSHIP COMMITTEES GLEANED WHICH SCHOOL DISTRICT IN WESTMORELAND COUNTY HAD THE HIGHEST POVERTY LEVEL AND COLLABORATED WITH EXCELA DIETITIANS TO CHOOSE NUTRITIOUS FOODS AND CREATE AGE APPROPRIATE MENUS, ALL OF WHICH WERE PACKED IN A BACKPACK AND DISTRIBUTED THROUGH THE SCHOOL. HOSPITAL DEPARTMENTS DONATED FOOD ITEMS, BAGGED BY VOLUNTEERS, AND DELIVERED TO THE SCHOOL. A MONETARY DONATION FROM A LOCAL STORE ALLOWED FOR ADDITIONAL FOOD STUFFS TO BE PURCHASED. TO RAISE AWARENESS OF THE PROGRAM FURTHER AND TO KEEP STAFF ENGAGED, THE PROFESSIONAL IMAGE AND COMMUNITY PARTNERSHIP COMMITTEE, WITH THE QUALITY DEPARTMENT, PARTICIPATED IN THE 2015/2016 NATIONAL RED NOSE CAMPAIGN. THE RED NOSES WERE SOLD DURING EMPLOYEE LUNCH PERIODS WITH PROCEEDS BENEFITTING THE BACKPACK PROGRAM. DUE TO THE OVERWHELMING SUCCESS OF THE PROGRAM, THE COMMITTEE EXPANDED IT TO PARTNER WITH A HEAD START PRESCHOOL PROGRAM IN THE COMMUNITY, PROVIDING AN ADDITIONAL 32 BACK PACKS. SOME 132 PRESCHOOL AND ELEMENTARY SCHOOL STUDENTS GET THE BACKPACKS TO USE OVER THE WEEKEND. THE RESULTS: THE SCHOOL PRINCIPAL NOTED THAT THERE HAS BEEN INCREASED SCHOOL ATTENDANCE ON FRIDAYS DUE TO THE AVAILABILITY OF RECEIVING THE FOOD FOR THE WEEKENDS AS WELL AS A DECREASE IN REPORTS OF UPSET STOMACHS. PERHAPS MOST POIGNANTLY, AN EXCELA HEALTH STAFF MEMBER REPORTED DRIVING THROUGH THE TOWN IN WHICH THE SCHOOL IS LOCATED AND WITNESSED TWO CHILDREN EATING THE FOOD FROM THEIR BACK PACKS ON THANKSGIVING DAY. OVER 39 WEEKS, EXCELA HEALTH DELIVERED ABOUT 5,100 BAGS OF FOOD AND LOGGED 900 HOURS OF VOLUNTEER WORK. - SHARED GOVERNANCE: SHARED GOVERNANCE PROVIDES THE PROFESSIONAL NURSE AUTONOMY AND SETS A STANDARD FOR EXCELLENCE FOR ACCOUNTABLE AND CARING NURSING PRACTICE. THROUGH A SERIES OF NURSING RETREATS OVER SEVERAL YEARS, A STRATEGIC PLAN FOR SHARED GOVERNANCE WAS FINALIZED, ASSESSMENT OF THE SHARED GOVERNANCE WAS COMPLETED AND RECOMMENDATIONS FOR CHANGE WERE ANALYZED. A REVISED SHARED GOVERNANCE STRUCTURE CONTINUES TO BE ROLLED OUT FROM 2016. FOR EXCELA HEALTH'S EFFORTS IN QUALITY, SAFETY AND CARE PROVISION, EXCELA HEALTH WAS RECOGNIZED THROUGH THE FOLLOWING AWARDS AND ACCOLADES 1. EMERGENCY DEPARTMENT PHYSICIAN WILLIAM JENKINS WAS NAMED THE EMERGENCY PHYSICIAN OF THE YEAR BY THE PENNSYLVANIA CHAPTER OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS BASED ON PATIENT ADVOCACY, CLINICAL EXPERTISE AND EFFECTIVE LEADERSHIP WITHIN THE EXCELA HEALTH SYSTEM AND THE COMMUNITY. 2. 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. 3. THE EXCELA ADVANCED LUNG CENTER HAS BEEN NAMED A SCREENING CENTER OF EXCELLENCE BY THE LUNG CANCER ALLIANCE. THOSE SO NAMED ARE COMMITTED TO PROVIDING CLEAR INFORMATION ON THE RISKS AND BENEFITS OF CT SCREENING; REFER THOSE PATIENTS WHO STILL SMOKE TO A TOBACCO CESSATION PROGRAM; WORK COLLABORATIVELY AS PART OF A MULTIDISCIPLINARY TEAM TO CARRY OUT SCREENING, DIAGNOSIS AND CONTINUING CARE; PROVIDE RESULTS OF THE SCREENING SCANS TO THE PATIENT/DOCTOR IN A TIMELY MANNER, AND FOLLOW BEST PRACTICES FOR SCREENING QUALITY, RADIATION DOSE AND DIAGNOSTIC PROCEDURES. 4. THE EXCELA HEALTH EMERGENCY DEPARTMENTS ARE AMONG THE FIRST IN THE NATION AND THE FRONT RUNNERS IN PENNSYLVANIA ACHIEVING ACCREDITATION FOR POINT-OF-CARE (POC) ULTRASOUND FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (ACEP), BASED ON YEARS OF COMPETENCY DEVELOPMENT WITHIN EXCELA HEALTH'S EMERGENCY DEPARTMENTS AND SUPPORT FROM EXCELA'S CHARITABLE FOUNDATIONS AND RADIOLOGISTS. EXCELA LATROBE HOSPITAL WAS THE 12TH HOSPITAL NATIONWIDE AND THE FIRST IN PENNSYLVANIA OF ANY SIZE TO EARN ACCREDITATION IN FEBRUARY 2016, WITH FRICK AND WESTMORELAND HOSPITALS FOLLOWING SHORTLY THEREAFTER. ACROSS THE COUNTRY, ONLY 21 HOSPITALS HAVE ACHIEVED THIS ACCREDITATION SO FAR WITH MOST ASSOCIATED WITH ACADEMIC PROGRAMS. 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 PLUSSM DESIGNATION IN THE AREA OF CARDIAC CARE AS PART OF THE BLUE DISTINCTION CENTER FOR SPECIALTY CARE PROGRAM. ADDITIONALLY, EXCELA HEALTH'S MATERNITY CARE, BARIATRIC SURGERY PROGRAM AND KNEE AND HIP REPLACEMENT PROGRAM (CALLED JOINT WORKS) HAVE ALSO BEEN NAMED AS BLUE DISTINCTION CENTERS PLUS. THE DESIGNATION IS GIVEN TO HOSPITALS WHO ARE 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 EXCELA HEALTH'S ABILITY TO MEET THE PROGRAM'S KEY ELEMENTS WHILE EMBODYING CHARACTERISTICS OF THE MEDICAL HOME. 7. EXCELA HEALTH HOSPITALS - FRICK, LATROBE AND WESTMORELAND - HAVE BEEN DESIGNATED AS PRIMARY STROKE CENTERS BY THE JOINT COMMISSION AND RECOGNIZED BY THE DEPARTMENT OF HEALTH FOR EXCEEDING NATIONAL STANDARDS FOR QUALITY PATIENT CARE. TO EARN ACCREDITATION, THE EXCELA HEALTH HOSPITALS HAVE DEMONSTRATED PROFICIENCY IN THE PREVENTION AND EARLY MANAGEMENT OF STROKE AND TIA SYMPTOMS BASED ON GUIDELINES ESTABLISHED BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR HEALTH CARE PROFESSIONALS. 8. THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS HAS ONCE AGAIN GRANTED A THREE-YEAR ACCREDITATION TO THE CANCER PROGRAM AT EXCELA HEALTH LATROBE HOSPITAL. TO EARN THIS ACCREDITATION, ONE MUST MEET OR EXCEED 34 COC QUALITY CARE STANDARDS, BE EVALUATED EVERY THREE YEARS, AND MAINTAIN LEVELS OF EXCELLENCE IN THE DELIVERY OF COMPREHENSIVE PATIENT CARE. 9. THE EXCELA HEALTH BARIATRIC SURGERY PROGRAM HAS ACHIEVED NATIONAL ACCREDITATION FROM THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) MEETING THE HIGHEST STANDARDS FOR PATIENT SAFETY AND QUALITY OF CARE, MAKING EXCELA'S PROGRAM AN MBSAQIP-ACCREDITED CENTER - COMPREHENSIVE. THE MBSAQIP IS A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY. THE STANDARDS ENSURE THAT BARIATRIC SURGICAL PATIENTS RECEIVE A MULTIDISCIPLINARY PROGRAM, NOT JUST A SURGICAL PROCEDURE THAT IMPROVES PATIENT OUTCOMES AND LONG-TERM SUCCESS. 10. THE EXCELA HEALTH HOSPITALS HAVE BEEN AWARDED THE SILVER LEVEL AWARD FROM THE WESTMORELAND COUNTY DEPARTMENT OF PUBLIC SAFETY FOR EMERGENCY MANAGEMENT PLANNING AND COORDINATION. 11. EXCELA HEALTH HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE DESIGNATION WAS AWARDED TO EXCELA LATROBE AND WESTMORELAND HOSPITALS. EXPERTS CONDUCTED PEER REVIEW EVALUATIONS AND DETERMINED THAT EXCELA HEALTH HAS ACHIEVED HIGH PRACTICE STANDARDS. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
12. EXCELA HEALTH RANKS AMONG THE NATION'S LEADERS IN ENERGY EFFICIENCY AND IS ONE OF ONLY TWO HEALTH SYSTEMS IN PENNSYLVANIA TO RECEIVE THE ENERGY TO CARE AWARD. THE AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING (ASHE) OF THE AMERICAN HOSPITAL ASSOCIATION RECOGNIZED EXCELA HEALTH AT ITS 53RD ANNUAL CONFERENCE AND TECHNICAL EXHIBITION. THE PROGRAM, SPONSORED BY JOHNSON CONTROLS, ENCOURAGES HOSPITALS ACROSS THE COUNTRY TO REDUCE ENERGY CONSUMPTION. THIS IS THE SECOND CONSECUTIVE YEAR THAT EXCELA HEALTH HAS RECEIVED THIS HONOR ON BEHALF OF ONE OR MORE OF ITS HOSPITALS. 13. EXCELA HEALTH HAS BEEN AWARDED A 2016 THEODORE ROOSEVELT WORKERS' COMPENSATION AND DISABILITY MANAGEMENT (TEDDY) AWARD. THE TEDDY AWARD PROGRAM RECOGNIZES EXCELLENCE IN WORKERS' COMPENSATION RISK MANAGEMENT AND IS PRESENTED BY RISK & INSURANCE MAGAZINE. EXCELA HEALTH IS ONE OF FOUR WINNING PROGRAMS AND FIVE HONORABLE MENTIONS. AWARD WINNERS WERE SELECTED FROM NOMINEES NATIONWIDE. AWARD CRITERIA INCLUDE ACHIEVING MEASURABLE PERFORMANCE RESULTS, AS WELL AS CREATIVITY AND RESOURCEFULNESS IN SOLVING WORKERS' COMPENSATION CHALLENGES. A PANEL OF JUDGES CONSISTING OF INDUSTRY PROFESSIONALS, INCLUDING PAST TEDDY AWARD WINNERS, SELECTS THE WINNERS. 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. 1. FOR THE THIRD CONSECUTIVE YEAR, EXCELA HEALTH HAS BEEN RECOGNIZED AS A HEALTHIEST 100 WORKPLACE IN AMERICA, AN AWARDS PROGRAM PRESENTED BY SPRINGBUK . EXCELA HEALTH CONTINUES TO MOVE UP IN THE RANKING, THIS YEAR FINISHING IN THE TOP 25. MORE THAN 5,000 EMPLOYERS APPLIED FOR THE AWARD NATIONALLY. EXCELA HEALTH CONTINUED ITS RECOGNITION AS ONE OF THE "HEALTHIEST EMPLOYERS OF WESTERN PENNSYLVANIA", WHICH IN 2016, MARKED THE SIXTH 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. COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, NON-PROFIT HOSPITALS ARE REQUIRED TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY EVERY THREE YEARS. AN IMPLEMENTATION PLAN MUST BE ADOPTED TO ADDRESS THE IDENTIFIED NEEDS AND COMPLIANCE WITH THIS REQUIREMENT. THE PURPOSE OF THE CHNA PROCESS IS TO IMPROVE COMMUNITY HEALTH THROUGH UTILIZATION OF A MODEL THAT INTEGRATES HEALTH SYSTEM PLANNING WITH PUBLIC HEALTH AND COMMUNITY PLANNING. A COMMUNITY HEALTH NEEDS ASSESSMENT MUST INCLUDE A DESCRIPTION OF THE COMMUNITY, A DESCRIPTION OF THE PROCESS AND METHODS TO CONDUCT THE ASSESSMENT AND OTHER COLLABORATING AGENCIES INVOLVED IN THE PROCESS, A DESCRIPTION OF HOW THE HOSPITAL CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AND A DESCRIPTION OF THE HEALTH CARE FACILITIES AND OTHER RESOURCES WITHIN THE COMMUNITY AVAILABLE TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. IF A HOSPITAL HAS MORE THAN ONE FACILITY, A SEPARATE REPORT AND IMPLEMENTATION STRATEGY MUST BE COMPLETED FOR EACH FACILITY. ONCE THE CHNA IS COMPLETED, IT MUST BE MADE AVAILABLE WIDELY TO THE PUBLIC BY POSTING IT ON THE FACILITY'S WEB SITE AND MUST BE EASILY DOWNLOADABLE FROM THE WEB SITE. EQUIPMENT, SERVICE AND TECHNOLOGY UPDATES BY WAY OF SYSTEM-WIDE EQUIPMENT AND SERVICE ENHANCEMENTS, EXCELA HEALTH COMMITTED MONIES TOWARD SEVERAL VITAL SERVICE ADDITIONS: 1. THE IMPLEMENTATION OF A COMPREHENSIVE LUNG CANCER CENTER SCREENING CLINIC OFFERING LOW DOSE CT SCREENINGS THAT ALLOW FOR EARLY DETECTION AND TREATMENT OF LUNG CANCER. 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 EXCELA HEALTH'S 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. EXCELA HEALTH CONCLUDED THE INITIAL PHASE OF A FIVE-YEAR RENOVATION PROJECT AT THE FRICK HOSPITAL CAMPUS, WHICH WILL EVENTUALLY BECOME EXCELA SQUARE AT FRICK HOSPITAL. THIS INITIAL PHASE, A $3.3 MILLION ENHANCEMENT TO THE EMERGENCY DEPARTMENT, BOASTS A DEDICATED ENTRANCE DESIGNED SPECIFICALLY FOR AMBULANCES AND EMERGENCY PERSONNEL. NEW REGISTRATION AND WAITING AREAS IMPROVED THE ENTRANCE FOR PEDESTRIAN TRAFFIC. A RENOVATED OUTPATIENT LABORATORY SERVES EIGHT PATIENTS SIMULTANEOUSLY, INCREASING PATIENT SATISFACTION AND REDUCING WAIT TIME. ENHANCED SECURITY FEATURES WERE ALSO INCLUDED IN THE RENOVATION. 4. A LEASE AGREEMENT WAS SIGNED WITH GATEWAY REHABILITATION TO CREATE A 16-BED INPATIENT DRUG AND ALCOHOL TREATMENT/REHABILITATION UNIT AT FRICK HOSPITAL. 5. THE WESTMORELAND HOSPITAL SHORT STAY UNIT WAS RENOVATED AND MOVED FROM ITS 6TH FLOOR LOCATION TO THE 1ST FLOOR WITH 25 PRIVATE PATIENT ROOMS, SPECIAL PROCEDURE ROOM, AND AREAS DEDICATED TO ANESTHESIA BLOCK ADMINISTRATION. STAFF HAD INPUT TO MAKE THE EXPERIENCE MORE PLEASING FOR PATIENTS AND FAMILIES AND WITH GREATER CONVENIENCE FOR THE CARE TEAM. THE COMPLETION AND MOVE OF THIS UNIT ALLOWS FOR THE LARGER ICU RENOVATION PROJECT. 6. EXCELA HEALTH IMAGING SERVICES DEBUTED A NEW PACS SYSTEM FROM PHILIPS INTELLISPACE. ALL PATIENT EXAMINATIONS ARE AVAILABLE ONLINE AT ALL TIMES WITH A COMPLETE PATIENT HISTORY AVAILABLE AND ALL STUDIES ARE VIEWABLE ON ANY PC WITH NO SPECIAL LICENSING REQUIRED. 7. THE WESTMORELAND HOSPITAL INTENSIVE CARE UNIT RENOVATION PROJECT STARTED NOVEMBER 2015. THE RENOVATION REPRESENTS A $15 MILLION CAPITAL INVESTMENT WITH STATE-OF-THE ART IMPROVEMENTS. 8. MAY 2016 WAS THE DATE OF GROUNDBREAKING FOR EXCELA SQUARE AT LATROBE, A THREE-STORY, PATIENT-CENTERED MEDICAL HOME FEATURING PRIMARY AND SPECIALTY CARE, DIAGNOSTIC TESTING, PHYSICAL REHABILITATION, AND OTHER SERVICES. IT WILL ALSO SERVE AS THE NEW HOME FOR THE FAMILY MEDICINE RESIDENCY PROGRAM. THIS COMMUNITY-BASED CENTER SEEKS TO CONSOLIDATE SERVICES WHILE INTEGRATING PATIENT NEEDS AND MANAGING SERVICES, PATIENT HEALTH AND COSTS MORE EFFECTIVELY. 9. THE EXCELA HEALTH MARKETING DEPARTMENT DEVELOPED AND LAUNCHED A NEW COMMUNICATION TOOL CALLED EXCELA MOBILE APP OR EMA. EMA OFFERS ACCESS TO PAY STUBS, PAID-TIME-OFF, A CALENDAR OF EVENTS, E-TWEETER, ITS MAIL/PHONE DIRECTORY AND MORE. THROUGH PUSH NOTIFICATIONS, EXCELA KEEPS EMPLOYEES INFORMED OF IMPORTANT DATES, EVENTS, NEWS, SEVERE WEATHER ALERTS AND LOCAL EMERGENCIES. 10. EXCELA SQUARE AT LIGONIER OPENED ITS DOORS WITHIN THE YMCA OF LIGONIER, OFFERING PRIMARY CARE, PHYSICAL REHABILITATION AND LAB/IMAGING SERVICES IN THE EASTERN CORRIDOR OF EXCELA'S MARKET. AN OPEN HOUSE WAS HELD JUNE 2016. 11. EXCELA HEALTH WORKS OCCUPATIONAL MEDICINE, A CONVENIENT AND COMPREHENSIVE SERVICE DEVELOPED WITH INDUSTRY AND BUSINESS EMPLOYERS IN MIND, OPENED IN DECEMBER 2015. LOCATED AT EXCELA SQUARE AT NORWIN, EXCELA HEALTH WORKS ALLOWS FOR QUICK COORDINATION OF SPECIALISTS, DIAGNOSTIC TESTS AND THERAPIES. THE TEAM IS LED BY SCOTT LESLIE, MD, MPH, AN OCCUPATIONAL MEDICINE SPECIALIST, WHO WORKS ALONGSIDE BOARD CERTIFIED AND TRAINED OCCUPATIONAL MEDICINE PROFESSIONALS, INCLUDING A PHYSICIAN ASSISTANT, REGISTERED NURSE, AND A NURSE CASE MANAGER. 12. IN SEPTEMBER OF 2015, EXCELA HEALTH OPENED THE EXCELA ADVANCED PAIN CENTER AT EXCELA SQUARE AT NORWIN AFTER RECRUITING A BOARD CERTIFIED PAIN SPECIALIST DR. TIFFANY ROMANTINO. THE CENTER OFFERS INDIVIDUALIZED TREATMENT OF CHRONIC PAIN THROUGH A MULTIFACETED APPROACH THAT MAY INCLUDE EXERCISE, LIFESTYLE CHANGES, BEHAVIORAL CHANGES, NERVE BLOCKS, EPIDURAL INJECTIONS, IMPLANTABLE DEVICES, RADIOFREQUENCY ABLATION ALONG WITH MEDICATION, IF NECESSARY. 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. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
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 IT SERVES, ALWAYS STRIVING FOR EXCELLENCE AS EXCELA HEALTH'S VERY NAME IMPLIES. EXCELA HEALTH TAKES THE ROLE OF CORPORATE CITIZEN SERIOUSLY, TOO, PARTNERING WITH COMMUNITY ORGANIZATIONS TO SPREAD THE WORD ABOUT VARIOUS HEALTH ISSUES, GIVING OF ITS TIME AND TALENTS TO NEIGHBORHOOD CAUSES, AND SUPPORTING THE EFFORTS OF AREA HEALTH-RELATED GROUPS AND OTHERS WHOSE MISSION MESHES WITH ITS OWN. CASES IN POINT INCLUDE: 1. EXCELA HEALTH CONTINUED ITS PARTICIPATION IN COMMUNITY EVENTS SUCH AS THE ST. RITA'S RCC ANNUAL PARISH FESTIVAL (JULY 2015); FRIENDS OF PENN TRAFFORD AREA RECREATION COMMISSION BUSHY RUN 5K RUN AND WALK (JULY 2015); DOWNTOWN IRWIN FESTIVAL CONCERT IN THE PARK (AUGUST 2015); HEALTHY HABITS NUTRITION SERIES AT PENN MIDDLE SCHOOL, TRAFFORD MIDDLE SCHOOL, NORWIN MIDDLE SCHOOL, GREENSBURG SALEM MIDDLE SCHOOL, WESTMORELAND CENTRAL TECHNOLOGY CENTER, AND OTHERS THROUGHOUT FY 2016; COUNTY COURTHOUSE MAPS "WAKE UP TO WELLNESS" BREAKFAST (DECEMBER 2015); WESTMORELAND COUNTY LIONS YOUTH SEMINAR IN MOUNT PLEASANT (FEBRUARY 2016); RED OUT FOR HEART DISEASE GREENSBURG (MARCH 2016); WESTMORELAND COUNTY SENIOR GAMES (MAY 2016); REDSTONE HIGHLANDS FITNESS PROGRAM EXPO (MAY 2016), AND BLAIRSVILLE-SALTSBURG HIGH SCHOOL CAREER CAMP (JUNE 2016), AMONG OTHERS. 2. TO HELP PEOPLE GAUGE THEIR HEALTH STATUS, EXCELA HEALTH CONTINUES TO CO-SPONSOR "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 10 REGIONAL LOCATIONS ACROSS WESTMORELAND COUNTY IN BOTH THE FALL (2015) AND THE SPRING (2016). 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. WITH THE INTRODUCTION OF 3D MAMMOGRAPHY, EXCELA HEALTH SAID BRAVO TO WOMEN WHO MADE THEIR BREAST HEALTH A PRIORITY DURING A FREE DINNER DISCUSSION ABOUT BREAST CANCER PREVENTION OCTOBER 28, 2015, AT THE GREENSBURG COUNTRY CLUB. MORE THAN 350 WOMEN ATTENDED THE BRAVO EVENT THAT INCLUDED A PANEL PRESENTATION FEATURING A MAMMOGRAPHY TECHNOLOGIST, PHYSICIAN SPECIALISTS AND CANCER SURVIVORS WHO ANSWERED QUESTIONS ABOUT THE LATEST IN EARLY DETECTION, PREVENTION AND TREATMENT. EXCELA HEALTH ALSO SHARED INSPIRING STORIES OF THREE DIFFERENT WOMEN WHO HAD UNDERGONE CANCER CARE, EACH RECEIVING MAKEOVERS COURTESY OF J.C. PENNEY AND SEPHORA. REGIONAL RADIO PERSONALITIES EMCEED THE EVENING MODERATED BY JENNIFER MIELE, VICE PRESIDENT OF MARKETING AND COMMUNICATION FOR EXCELA HEALTH. 4. TO EDUCATE YOUNGSTERS AND, AS A BYPRODUCT, THEIR PARENTS ABOUT THE IMPORTANCE OF BONE DENSITY, THE DECORATE DEX PROGRAM WAS DEVISED. PARTICIPATING WERE MORE THAN 15 ELEMENTARY SCHOOLS IN EXCELA HEALTH'S MARKET WHERE DEX (SHORT FOR DEXA SCAN) THE FRIENDLY SKELETON SHEET WAS TO BE DECORATED BY THE STUDENTS. THE DEX SHEET ALSO CONTAINED IMPORTANT INFORMATION ABOUT BONE HEALTH FOR STUDENTS AND PARENTS TO REVIEW. EXCELA HEALTH ALSO INCLUDED THIS IN AREA NEWSPAPERS FOR GREATER EXPOSURE AND TO ACQUAINT PEOPLE WITH ITS DEXA SCANNING CAPABILITIES. 5. EXCELA'S MALL WALKERS PROGRAM CONTINUED, GATHERING SOME 300 INDIVIDUALS EACH MONTH (EXCLUDING DECEMBER) AT WESTMORELAND MALL, LOCATED IN GREENSBURG, PA., IN FISCAL YEAR 2016. THE PROGRAM 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 YOUTH, 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 EXCELA HEALTH'S CAPABILITIES AND HOW IT 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. EXCELA'S OUTREACH EFFORTS ALSO ENCOMPASS COMMUNITY SEMINARS AND LECTURES IN A VARIETY OF LOCATIONS THROUGHOUT WESTMORELAND AND FAYETTE COUNTIES. BOOKS FOR BABIES, THE GOLDEN HOUR HEART PROGRAM, AND OTHER INITIATIVES REACH EXCELA'S 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 THE 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 SUPPORT GROUPS, OR THOSE GROUPS SUPPORTED BY EXCELA HEALTH, 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 THROUGH THE WELL-BEING CENTER, EXCELA'S OB/GYN PROFESSIONALS AND OTHERS. BY REACHING BEYOND THE TRADITIONAL WALLS OF ITS HOSPITALS, AS WELL AS UNDERSTANDING THE MANY, VARIED MEDICAL NEEDS OF THE POPULATIONS IT SERVES, EXCELA HEALTH 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, THE HEART WALK, AND MUCH MORE, EXCELA HAS TOUCHED INNUMERABLE LIVES, WITH THE GOAL OF PREVENTING ILLNESS, KEEPING FOLKS HEALTHY, OR TEACHING THEM HOW TO STAY HEALTHY AFTER A HOSPITAL VISIT. EXCELA HEALTH ALSO OFFERS NUMEROUS HEALTH AND WELLNESS AVENUES FOR ITS EMPLOYEES WITH ON-SITE GYMS, EMPLOYEE HEALTH FAIRS AND MORE. ACROSS EXCELA HEALTH, TO KEEP INDIVIDUALS HEALTHY AND DISEASE-FREE, CONSIDERABLE ATTENTION IS PAID TO WELLNESS THROUGH THE WELL-BEING CENTER AND THEIR COMMUNITY PROGRAMS: WELL-BEING CENTER/OTHER COMMUNITY PROGRAMS TO SPREAD THE MESSAGE OF WELLNESS AND AVAILABLE WELLNESS OPPORTUNITIES FREE TO THE PUBLIC VIA EXCELA'S WELL-BEING CENTER, SPEAKER'S BUREAU AND MORE: $226,549 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 AND VOLUNTEERS RECEIVING THE FLU VACCINE: $4,686 COST ABSORBED FOR PROVIDING VACCINE: $79,662 LIVES TOUCHED THROUGH THE WELL-BEING CENTER PROFESSIONALS AND OTHERS VIA DIABETES EDUCATION, SMOKING CESSATION, PRE-NATAL CLASSES AND MORE: $4,304 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: $8,739 FURTHER, EXCELA HEALTH CONTINUES TO MOVE BEYOND ITS TRADITIONAL WALLS TO STRENGTHEN BONDS WITH ITS COMMUNITIES AND TOUCH LIVES WELL BEYOND THOSE WHO ENTER ITS DOORS THROUGH AN ACTIVE COMMUNITY OUTREACH PROGRAM. IN THESE OUTREACH VENUES, EXCELA HEALTH 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 THE EXCELA HEALTH MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH IN THE FOLLOWING FASHION: COMMUNITY OUTREACH ACTIVITY/CHARITABLE GIVING: COMMUNITY HEALTH FAIRS, SCREENINGS, EDUCATION PROGRAMS: $467,748 LIVES TOUCHED THROUGH COMMUNITY HEALTH/WELLNESS EFFORTS: $227,500 FREE SCREENINGS PERFORMED: $14,669 COMMUNITY HEALTH PUBLICATIONS: $70,582 COMMUNITY CONTRIBUTIONS: $225,000 CONTINUING MEDICAL EDUCATION PROVIDED THROUGH THE HEALTH SYSTEM FOR ITS MEDICAL STAFF: $16,863 TUITION REIMBURSEMENT FOR EMPLOYEES RAISING THEIR LEVEL OF EDUCATION ULTIMATELY BENEFITTING THE QUALITY OF CARE DELIVERED: $830,714 VOLUNTEER HOURS DONATED SYSTEM WIDE (CAN TRANSLATE TO $1,044,285 OF TIME SPENT AIDING THE HEALTH SYSTEM MISSION): $81,078 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: $23,606 THE EMPLOYEES CHARITABLE TRUST FUND, EXCELA HEALTH SYSTEM EMPLOYEES WHO, DURING FY 2016, 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 NEONATAL UNIT: $10,000 -OTHER EXTERNAL AID: $55,000 -INTERNAL AID: $18,750 -OTHER (ACCOUNTING, MISC.): $1,500 TOTAL: $85,250 |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
BUT IT'S ALL ABOUT A CALL TO ACTION. AND THOSE ACTIONS TRANSLATE TO ASSUMING A PURPOSED LEADERSHIP ROLE AS EXCELA HEALTH SEEKS TO INCREASE ACCESS AND ENHANCE QUALITY IN NEW AND ENLIGHTENED WAYS. FROM ITS BOARD OF TRUSTEES TO PROFESSIONAL STAFF, EXCELA CONTINUES TO FOCUS ITS 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...EXCELA HEALTH HAS EXCELLENCE IN HEALTH CARE. YOU HAVE EXCELA HEALTH. A STATISTICAL LOOK AT EXCELA HEALTH AS A FISCALLY RESPONSIBLE ORGANIZATION, EXCELA HEALTH CONTINUES TO LOOK AT WAYS TO CONSOLIDATE, INTEGRATE AND INITIATE PRACTICES AND PROCESSES THAT CAN SUSTAIN THE HEALTH SYSTEM OVER TIME, SO THAT IT IS HERE TODAY, AND WELL INTO THE FUTURE. AS STEWARDS OF THE PUBLIC TRUST, IT IS EXCELA'S DUTY TO DO SO, AND THE LEGACY IT LEAVES AT THIS MOMENT WILL BECOME PART OF ITS HISTORY SPANNING SOME 119 YEARS. LICENSED BEDS: 612 STAFFED BEDS: 416 EMPLOYEES: 4,940 VOLUNTEERS AND AUXILIANS: 855 BIRTHS: 1,281 INPATIENT ADMISSIONS/OBSERVATIONS: 29,993 OUTPATIENT VISITS: 641,379 EMERGENCY DEPARTMENT VISITS: 115,230 COMMUNITIES SERVED: 97 ZIP CODES/ WESTMORELAND, FAYETTE, INDIANA COUNTIES SERVICE AREA POPULATION: 359,320 (IN WESTMORELAND COUNTY ONLY) IN ADDITION TO ITS HOSPITALS, EXCELA HEALTH IS A SOLE CORPORATE MEMBER OF THE FOLLOWING ORGANIZATIONS LOCATED IN WESTMORELAND AND PARTS OF FAYETTE COUNTIES AND INCLUDE ITS 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 ITS HEALTH CARE-RELATED SUBSIDIARIES UNDER THE EXCELA HEALTH HOLDING COMPANY UMBRELLA: - EXCELA HEALTH MEDICAL GROUP (FORMERLY CALLED THE EXCELA HEALTH PHYSICIAN PRACTICES) ENCOMPASSING BARIATRIC SURGERY, BEHAVIORAL HEALTH, CARDIOLOGY, CARDIOTHORACIC SURGERY, ENT, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, HOSPITALIST PROGRAM, INTERNAL MEDICINE, INTENSIVIST PROGRAM, NEUROLOGY, NEUROSURGERY, OB-GYN, OCCUPATIONAL MEDICINE, ORTHOPEDICS AND SPORTS MEDICINE, PAIN MEDICINE, PALLIATIVE CARE, PHYSIATRY, THORACIC SURGERY AND VASCULAR SURGERY. - 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 - ITS MISSION OF "IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH." TODAY, WESTMORELAND, WITH 373 LICENSED BEDS, PROVIDES A FULL RANGE OF ACUTE CARE SERVICES WHILE SERVING AS A REGIONAL REFERRAL CENTER, CARING FOR FRIENDS, NEIGHBORS, FAMILY MEMBERS AND OTHERS. PATIENT ADMISSIONS/OBSERVATION: 18,691 ACUTE CARE PATIENT DAYS: 69,403 NEWBORNS: 1,281 TOTAL OPERATING ROOM PROCEDURES: 6,865 LAB PROCEDURES AND TESTS: 1,466,900 EMERGENCY ROOM VISITS: 58,404 PHYSICAL THERAPY TREATMENTS: 124,842 OUTPATIENT SURGERIES: 3,873 OUTPATIENT VISITS: 314,502 OUTPATIENT X-RAY PROCEDURES: 132,959 BECAUSE EXCELA WESTMORELAND FIRMLY BELIEVES THAT ITS MISSION IS INCLUSIVE AND SPEAKS TO ITS TRUEST SENSE OF COMMUNITY COMMITMENT, THE HOSPITAL AND ITS EMPLOYEES REINVEST IN THE COMMUNITY IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $3,861,850 - 157 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 20,623 HOURS - PATIENT EDUCATION MATERIALS: $37, 382 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 CHILDREN 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 WESTMORELAND HOSPITAL'S COMMUNITY, BUSINESSES AND EMPLOYEES ALIKE. 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 58,404 INDIVIDUALS IN FY 2016. RECENTLY, THE HOSPITAL AND HEALTHSYSTEM OF PENNSYLVANIA (HAP) RECOGNIZED THE DEPARTMENT'S EFFORTS IN ADDRESSING PATIENT THROUGHPUT. THE EXCELA ADVANCED WOUND CARE CENTER CONTINUES TO HELP PATIENTS WITH ALL TYPES OF WOUNDS, MOST NOTABLY, WITH HYPERBARIC OXYGEN CHAMBER TREATMENT TO SPEED HEALING IN SOME TYPES OF WOUNDS, ESPECIALLY DIABETIC ULCERS. EXCELA HEALTH IS THE FIRST IN THE AREA TO DO SO. FURTHER, THE CENTER OFFERS OTHER TREATMENTS INCLUDING TOPICAL SKIN CARE, WOUND DRESSINGS AND MEDICATIONS. FOR MORE SERIOUS CASES, EXCELA HEALTH OFFERS SOPHISTICATED SOLUTIONS, SUCH AS "SKIN SUBSTITUTES" TO HELP COVER AN OPEN WOUND, REDUCE HEALING TIME, AND PAIN. GETTING TO THE HEART OF THE MATTER - THE HEART 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 WESTMORELAND HOSPITAL SEEKS AND MEETS STRINGENT STANDARDS OF CARE AND QUALITY. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
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, WESTMORELAND ALSO OFFER ATRIAL ABLATION TO CORRECT ATRIAL FIBRILLATION (A-FIB) AND SUPRAVENTRICULAR TACHYCARDIA (SVT). THE HEART CENTER PROCEDURES PERFORMED:2,623 OPEN HEART SURGERIES: 189 CARDIAC CATHETERIZATIONS: 1,870 ELECTROPHYSIOLOGY STUDIES: 22 DEVICE IMPLANTATIONS: 384 CARDIAC REHABILITATION VISITS (ALL LOCATIONS): 31,847 PULMONARY REHABILITATION VISITS (ALL LOCATIONS): 2,449 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. EXCELA WESTMORELAND ALSO SUPPORTS TRANSPARENT PUBLIC REPORTING OF HEALTH CARE QUALITY DATA AND PARTICIPATES 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. HIGHMARK BLUE CROSS BLUE SHIELD HAS DESIGNATED EXCELA'S PROGRAM AS A BLUE DISTINCTION CENTER PLUS FOR CARDIAC CARE. EXCELA WESTMORELAND HAS ALSO RECEIVED THE AMERICAN HEART ASSOCIATION "GET WITH THE GUIDELINES" HEART FAILURE QUALITY ACHIEVEMENT AWARD AND A BRONZE RECOGNITION THROUGH AMERICAN HEART ASSOCIATION "MISSION LIFELINE" AWARD. 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 EXCELA WESTMORELAND CONTINUES THE TRADITION OF PROVIDING PARENTS-TO-BE WITH A WARM, CARING ENVIRONMENT COUPLED WITH STATE-OF-THE-ART TECHNOLOGY. EXCELA WESTMORELAND UNDERSTANDS THAT BECOMING A MOM IS NOT JUST ABOUT THE BIRTH, BUT THE BEGINNING OF AN INCREDIBLE JOURNEY, ONE IN WHICH THEY HELP WOMEN, AND THEIR GROWING FAMILIES, ENJOY THE EXPERIENCE WHILE PROVIDING CARE AND SUPPORT THAT CAN LAST A LIFETIME. IT STARTS WITH A RANGE OF EDUCATIONAL CLASSES, MOST FREE, WHERE INDIVIDUALS LEARN ABOUT PREGNANCY, PARENTING, CARE FOR THE NEW INFANT, AND SO MUCH MORE. PRE-NATAL TESTING IS AVAILABLE AS IS NUTRITIONAL ADVICE FOR KEEPING MOTHER AND BABY HEALTHY AND HAPPY. BIRTHING CLASSES ARE OFFERED FOR MOM, 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. THERE IS ALSO A SPECIAL CARE (LEVEL II) NURSERY FOR INFANTS BORN PREMATURELY, WITH VERY LOW BIRTH WEIGHT, OR OTHER DIFFICULTIES, PROVIDING 'ROUND-THE-CLOCK CARE BY CERTIFIED NEONATAL NURSE PRACTITIONERS AND NEONATOLOGISTS. PEDIATRICIANS ARE ALSO CLOSE BY TO ADDRESS SPECIAL NEWBORN NEEDS. ALSO, 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. BONDING WITH BABY BEGINS IMMEDIATELY FOLLOWING DELIVERY THROUGH THE 24/7 COUPLET CARE, WHICH MEANS BABY "ROOMS IN" SO THAT THE NURSING TEAM CAN HELP PREPARE THE NEW FAMILY FOR LIFE AT HOME. THE PRIVATE POST-PARTUM ROOMS ALSO ARE FURNISHED WITH PULL-OUT BEDS HELPING TO PROMOTE FAMILY TOGETHERNESS. A CELEBRATORY DINNER IS ALSO AVAILABLE AFTER BABY'S BIRTH. BIRTHS FOR THE FISCAL YEAR 2016 REACHED 1,281. RECOGNIZED AS A "BREASTFEEDING FRIENDLY WORKPLACE" BY THE BREASTFEEDING FRIENDLY WORKPLACE COLLABORATIVE AND THE PENNSYLVANIA BREASTFEEDING COALITION, EXCELA HEALTH OFFERS THE SUPPORT WOMEN NEED TO BREAST FEED THE BABY SUCCESSFULLY. LACTATION CONSULTANTS ARE HERE BEFORE DELIVERY WITH PRENATAL EDUCATION AND SEE EVERY MOM DURING THE HOSPITAL STAY. ONCE MOM AND BABY ARE HOME, THE LACTATION CONSULTANTS ARE AVAILABLE FOR CONSULTATION. EXCELA HEALTH'S WEB SITE ALSO OFFERS A NEW COMPONENT CALLED "BABY TALK WITH MY EXCELA DOC" WHERE WOMEN CAN TYPE IN QUESTIONS AND GET A RESPONSE FROM A DOCTOR OR ALLIED PROFESSIONAL REGARDING THE MANY, VARIED ASPECTS OF MATERNITY CARE. MAKING CARE MORE ACCESSIBLE - OUTPATIENT CARE AND COMMUNITY OUTREACH TO MAKE HEALTH CARE MORE ACCESSIBLE TO ITS COMMUNITIES, EXCELA WESTMORELAND CONTINUES 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 ITS 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 EDUCATION WAS PROVIDED TO 1,298 PATIENTS AMONG 1,762 CLINIC VISITS. OTHER 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: 132,959 OUTPATIENT SURGERIES: 3,873 OUTPATIENT ENDOSCOPIES: 6,902 TOTAL OUTPATIENT REGISTRATIONS/VISITS: 314,502 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 33 LICENSED BED HOSPITAL OFFERS GENERAL ACUTE CARE SERVICES, SURGICAL SERVICES, REHABILITATION SERVICES, OUTPATIENT SERVICES AND MORE. BEYOND THAT, THE HOSPITAL IS STAFFED WITH HIGHLY TRAINED, HOME GROWN PROFESSIONALS; FRIENDS TAKING CARE OF FRIENDS AND NEIGHBORS WITH ALL THE UNDERSTANDING AND COMPASSION SHARED EXPERIENCE FOSTERS. THE PHYSICIANS ARE DEDICATED TO QUALITY AND CARING IN EQUAL MEASURE, WITH A COMMITMENT TO THEIR COMMUNITY NOT OFTEN SEEN IN MORE URBAN AREAS. AS A FOUNDING MEMBER OF EXCELA HEALTH, FRICK 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." |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
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 MORE THAN $12 MILLION IN THE FRICK COMMUNITY OVER 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. 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: 2,836 ACUTE CARE PATIENT DAYS: 8,641 TOTAL OPERATING ROOM PROCEDURES: 1,678 LAB PROCEDURES AND TESTS: 432,394 EMERGENCY ROOM VISITS: 24,023 PHYSICAL THERAPY TREATMENTS: 23,636 OUTPATIENT SURGERIES: 1,521 OUTPATIENT REGISTRATION/VISITS: 91,516 OUTPATIENT X-RAY PROCEDURES: 49,777 BECAUSE EXCELA FRICK FIRMLY BELIEVES THAT ITS MISSION IS INCLUSIVE AND SPEAKS TO ITS TRUEST SENSE OF COMMUNITY COMMITMENT, IT REINVESTS IN ITS COMMUNITIES IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $1,192,311 - 79 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 14,429 HOURS - PATIENT EDUCATION MATERIALS: $5,672 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 FRICK HAS 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 EXCELA FRICK'S 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 24,023 PATIENTS. DR. WILLIAM JENKINS, EMERGENCY DEPARTMENT DIRECTOR AT EXCELA HEALTH FRICK HOSPITAL, WAS NAMED THE 2015 EMERGENCY PHYSICIAN OF THE YEAR BY THE PENNSYLVANIA CHAPTER OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS. THIS STATEWIDE DESIGNATION IS GIVEN TO A DESERVING EMERGENCY MEDICINE PHYSICIAN OF UNUSUAL MERIT, WHICH WAS DEMONSTRATED OVER THE COURSE OF HIS 23-YEAR CAREER AT EXCELA. 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. FRICK HOSPITAL FOLLOWS 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 404 SUBSCRIBERS TO THIS VITAL PROGRAM. - 18 LIFELINE VOLUNTEERS DONATED OF THEIR TIME AND TALENTS: 3,600 HOURS - DISCOUNTS PROVIDED TO SUBSCRIBERS BASED ON INCOME ACCORDING TO AREA AGENCY ON AGING INCOME GUIDELINES: $8,739 - SERVICE AREA (WESTMORELAND COUNTY AND BEYOND): 64 ZIPCODES MAKING CARE MORE ACCESSIBLE - OUTPATIENT CARE AND COMMUNITY OUTREACH TO MAKE HEALTH CARE MORE ACCESSIBLE TO ITS COMMUNITIES, EXCELA FRICK HOSPITAL CONTINUES 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: 49,777 OUTPATIENT SURGERIES: 1,521 OUTPATIENT ENDOSCOPIES: 2,299 OUTPATIENT REGISTRATIONS/VISITS: 91,516 AT CHURCHES, MALLS AND SCORES OF OTHER VENUES, FOR YOUTH, 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 THE HOSPITAL'S 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. EXCELA FRICK'S 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 YOUNGER AUDIENCES WITH A MESSAGE OF GOOD HEALTH IN A NON-THREATENING, POSITIVE WAY, SO THAT GOOD HEALTH HABITS CAN BE INSTILLED EARLY IN LIFE. THROUGH FRICK HOSPITAL 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 SUPPORT GROUPS, OR THOSE GROUPS SUPPORTED BY EXCELA FRICK HOSPITAL, INDIVIDUALS HAVE THE OPPORTUNITY TO SHARE THOUGHTS AND FEELINGS WITHIN AN ATMOSPHERE OF ACCEPTANCE, WHERE EMOTIONS CAN BE SORTED THROUGH AND CONCERNS AIRED. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
ADDITIONAL COMMUNITY CONTACTS INCLUDE PROGRAMS OFFERED BY THE 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 SERVED, THE HOSPITAL 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, THE SCOTTDALE FALL FESTIVAL, AND EXCELA'S GOLDEN HOUR HEART AND STROKE PROGRAM AND MUCH MORE, MANY LIVES HAVE BEEN TOUCHED WITHIN THE COMMUNITIES SERVED. 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 ITS PHYSICIANS, NURSES, AND ALL HEALTH CARE PROFESSIONALS, INSPIRING TRUST AND CONFIDENCE IN A LIFELONG RELATIONSHIP WITH THE 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: 8,466 ACUTE CARE PATIENT DAYS: 25,184 TOTAL OPERATING ROOM PROCEDURES: 9,600 LAB PROCEDURES AND TESTS: 953,255 EMERGENCY ROOM VISITS: 32,803 PHYSICAL THERAPY TREATMENTS: 64,618 OUTPATIENT SURGERIES: 8,284 OUTPATIENT REGISTRATION/VISITS: 235,361 OUTPATIENT X-RAY PROCEDURES: 90,379 BECAUSE EXCELA LATROBE HOSPITAL FIRMLY BELIEVES THAT ITS MISSION IS INCLUSIVE AND SPEAKS TO ITS TRUEST SENSE OF COMMUNITY COMMITMENT, ITS EMPLOYEES REINVEST IN THE COMMUNITY IN THE FOLLOWING FASHION: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $2,617,983 - 209 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 23,742 HOURS - PATIENT EDUCATION MATERIALS: $16,932 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 EXCELA LATROBE HOSPITAL DOES IS THE SIMPLE MESSAGE OF ITS 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 32,803. 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. 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. 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. THE REHABILITATION PROGRAM IS DESIGNED TO MEET EACH PERSON'S SPECIFIC NEEDS. UNLIKE MANY SKILLED NURSING FACILITIES, EPIC'S 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, EPIC ALSO OFFERS: 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, EXCELA'S 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 ITS COMMUNITIES, EXCELA LATROBE HOSPITAL CONTINUES 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: 90,379 OUTPATIENT SURGERIES: 8,284 OUTPATIENT ENDOSCOPIES: 3,166 OUTPATIENT REGISTRATION/VISITS: 235,361 |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
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 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. THE HOME CARE 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. EXCELA'S 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 85 GIVING 12,039 HOURS OF SERVICE) AND CLERGY. EACH PATIENT'S PLAN OF CARE IS SUPERVISED BY THE HOSPICE 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 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 *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: 119,807 HOME CARE ADMISSIONS: 7,513 HOME CARE PATIENTS SERVED (UNDUPLICATED): 6,978 HOSPICE ADMISSIONS: 869 HOSPICE VISITS: 23,099 HOSPICE PATIENTS SERVED (UNDUPLICATED): 908 BECAUSE EXCELA HEALTH HOME CARE AND HOSPICE FIRMLY BELIEVES THAT ITS MISSION IS INCLUSIVE AND SPEAKS TO ITS TRUEST SENSE OF COMMUNITY COMMITMENT, IT MAKES PROVISIONS TO: - ABSORB BAD DEBT AND PROVIDE CHARITY AND UNCOMPENSATED CARE: $114,116 EXCELA CAREGIVERS OF SOUTHWESTERN PA CAREGIVERS IS A SEPARATE, NOT-FOR-PROFIT (501C3) ORGANIZATION, OPERATED AS A SUBSIDIARY OF EXCELA HEALTH AND UNDER THE DIRECTION/SUPERVISION OF THE DIRECTOR OF BEHAVIORAL HEALTH. THE NON-PROFIT CORPORATION HAD BEEN USED PREVIOUSLY BY EXCELA HEALTH TO HOUSE HOSPICE, HOME CARE AND FAMILY PLANNING PROGRAMS, ALL OF WHICH HAVE BEEN SINCE CLOSED OR INCORPORATED ELSEWHERE. BEHAVIORAL HEALTH ASSUMED THE CORPORATE SHELL TO ESTABLISH THE COMMUNITY-BASED RECOVERY PROGRAMS THAT ARE DESCRIBED BELOW. AS MEMBERS OF THE UNITED STATES PSYCHIATRIC REHABILITATION ASSOCIATION (USPRA), THE CAREGIVERS RECOVERY PROGRAMS ARE NATIONALLY RENOWNED AS MODELS OF BEST PRACTICE AND EVIDENCE-BASED IMPLEMENTATION IN THE OPERATION OF PEER DRIVEN, PATIENT-CENTERED PROGRAMMING. THE INDIVIDUAL PROGRAMS ARE USED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE AS THE BENCHMARK FOR ALL OTHER PEER-DRIVEN PROGRAMS LICENSED IN THE STATE. CAREGIVERS IS THE LARGEST COMMUNITY-BASED RECOVERY PROGRAM IN SOUTHWESTERN PENNSYLVANIA. THERE ARE TWO LOCATIONS (OAKLEY PLAZA II, U.S. ROUTE 30 AND 112 MAIN STREET, GREENSBURG WITH EACH OF THE PROGRAMS INDEPENDENTLY LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE, OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (OMHSAS) AND ACCREDITED BY USPRA. ADDITIONALLY, THE CLUBHOUSE IS ACCREDITED BY THE INTERNATIONAL COALITION FOR CLUBHOUSE DESIGN (ICCD), A SWEDISH-BASED ORGANIZATION THAT OVERSEES FIDELITY TO THE EVIDENCE BASE OF THE CLUBHOUSE MODEL IN THE U.S. THE INDIVIDUAL PROGRAMS ARE: PEER SUPPORT - STAFFED BY CERTIFIED PEER SUPPORT SPECIALISTS, PEER SUPPORT AIDS FORMER CONSUMERS OF MENTAL HEALTH SERVICES. THESE SPECIALISTS HAVE COMPLETED A THREE-WEEK STATE CERTIFIED TRAINING PROGRAM AND PASSED THE CERTIFICATION PROGRAM SUCCESSFULLY. CURRENTLY THERE ARE 12 CERTIFIED PEER SUPPORT SPECIALISTS, TWO OF WHOM ARE DUAL CERTIFIED IN MENTAL HEALTH AND SUBSTANCE ABUSE AND ONE WHO HOLDS TRIPLE CERTIFICATION IN MENTAL HEALTH, SUBSTANCE ABUSE AND FORENSICS. THEY PROVIDE COMMUNITY-BASED PEER MENTORING AND SUPPORT TO INDIVIDUALS WITH CHRONIC AND PERSISTENT MENTAL ILLNESS. CLUBHOUSE - THE CLUBHOUSE OFFERS SOCIAL, EDUCATIONAL AND VOCATIONAL REHABILITATION PROGRAMS. IT SERVES INDIVIDUALS WHO HAVE REACHED A POINT IN THEIR RECOVERY WHERE THEY ARE READY TO RESUME THE PATH THEY WERE ON PRIOR TO THE ACUTE STAGE OF THEIR ILLNESS. IT PROVIDES EDUCATIONAL COUNSELING AND SUPPORTIVE SERVICES FOR RETURN TO HIGH SCHOOL OR COLLEGE AND OPERATES BOTH A TRANSITIONAL EMPLOYMENT PROGRAM AND A SUPPORTIVE EMPLOYMENT PROGRAM. PSYCHIATRIC REHABILITATION - SIMILAR TO A PARTIAL HOSPITAL PROGRAM, PSYCH REHAB IS A GROUP THERAPY-BASED DAY PROGRAM, RUN BY RECOVERING CONSUMERS IN CONJUNCTION WITH MENTAL HEALTH PROFESSIONALS. IT SERVES APPROXIMATELY 52 CONSUMERS PER DAY IN THIS PROGRAM. MOBILE PYSCH REHABILITATION - MOBILE PSYCH REHABILITATION IS THE SMALLEST OF THE CAREGIVERS PROGRAMS WITH ONE PRACTITIONER ASSIGNED TO IT. IT SERVES AS A TRANSITIONAL SERVICE TO CONSUMERS NOT YET READY FOR THE OPEN ISSUE IDENTIFICATION THAT OCCURS IN THE GROUP-BASED PSYCH REHAB PROGRAMS. WEST PLACE DROP-IN CENTER - WEST PLACE IS FUNDED 100 PERCENT BY THE WESTMORELAND COUNTY BEHAVIORAL HEALTH AND DEVELOPMENT SERVICES. IT IS A MEMBER GOVERNED SOCIAL GATHERING PLACE OFFERING AN ENVIRONMENT IN WHICH CONSUMERS CAN INTERACT SOCIALLY AND BECOME INVOLVED IN ADVOCACY AND COMMUNITY SERVICE OPPORTUNITIES. IT IS OPEN SIX DAYS A WEEK FROM 4:40 TO 9 P.M. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
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 ITS REGION, EXCELA HEALTH 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 EXCELA'S NAME IMPLIES, EXCELLENCE, AT ALL LEVELS OF CARE IN ALL VENUES, IS NOT ONLY A GOAL BUT A HEALTH CARE WAY OF LIFE, ONE THAT IMPROVES THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH. |
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.