| FORM 990, PART VI, SECTION A, LINE 2 |
ROBERT ROGALSKI & TOM YARABINETZ SERVE ON THE BOARD OF DIRECTORS FOR UNIVERSITY OF PITTSBURGH AT GREENSBURG. |
| FORM 990, PART VI, SECTION B, LINE 11B |
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 45,816,000. OTHER -4,359,980. NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS -247,000. TRANSFER TO AFFILIATES -29,804,000. |
| 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: |
ABOUT EXCELA HEALTH IMPROVING THE HEALTH AND WELL-BEING OF EVERY LIFE WE TOUCH EXCELA HEALTH, THE LEADING HEALTH CARE PROVIDER AND THE LARGEST EMPLOYER IN WESTMORELAND COUNTY, BROUGHT TOGETHER THREE HOSPITALS IN 2004 - WESTMORELAND HOSPITAL IN GREENSBURG, FRICK HOSPITAL IN MOUNT PLEASANT, AND LATROBE HOSPITAL IN LATROBE - WITH THE 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 KNOWN AS THE EXCELA WAY. EVIDENCE OF THOSE IDEALS CAN BE FOUND IN THE EVENTS OF FY 2018, 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 5,251 EMPLOYEES, 500 PHYSICIANS, 229 ALLIED HEALTH PROFESSIONALS, 24 FAMILY MEDICINE RESIDENTS, AND 944 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. IN ADDITION TO ITS HOSPITALS, EXCELA HEALTH ENCOMPASSES OTHER HEALTH-RELATED SUBSIDIARIES AND 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 2018, 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 SIX WESTMORELAND COUNTY SCHOOL DISTRICTS INCLUDING DERRY, LATROBE, LIGONIER VALLEY, HEMPFIELD, SOUTHMORELAND AND MOUNT PLEASANT. TEN LICENSED MENTAL HEALTH PROFESSIONALS, A PART-TIME PSYCHIATRIST, AND TWO NURSE PRACTITIONERS 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. CURRENTLY, THERE ARE 528 CHILDREN IN TREATMENT IN THIS SCHOOL-BASED PROGRAM. 2. NURSING HOME SUPPORT - MOBILE MEDICATION EDUCATION AND MONITORING PROGRAM, 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 NINE RNS AND ONE AIDE 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. IN FY 2018, 159 INDIVIDUALS WERE SERVED IN THE MME PROGRAM. 3. THE CRISIS RESPONSE CENTER (CRC), LOCATED ON THE WESTMORELAND HOSPITAL CAMPUS, IS THE NEWEST ADDITION TO EXCELA HEALTH 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 THE 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 3,600 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 PSYCHIATRIC 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. THE CRISIS RESPONSE CENTER PROVIDED SERVICES TO 787 INDIVIDUALS THIS YEAR. 4. BEHAVIORAL HEALTH OPERATES A FIVE-WEEK SUMMER CAMP, CALLED CAMP FOCUS, WHICH SERVED 158 CHILDREN FROM THE LATROBE, DERRY, MOUNT PLEASANT AND LIGONIER VALLEY SCHOOL DISTRICTS IN FY 2018. 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 $22,777 IN FY 2018. 5. THE BEHAVIORAL HEALTH STAFF MEMBERS ALSO PROVIDE VARIOUS TRAININGS, IN-SERVICES AND CONSULTATIONS INCLUDING QUARTERLY PRESENTATIONS TO THE BARIATRIC SURGERY SUPPORT GROUP AND AN ANNUAL CHILDREN'S WELLNESS SYMPOSIUM. EXCELA CAREGIVERS OF SOUTHWESTERN PA BEHAVIORAL HEALTH 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. AS MEMBERS OF THE UNITED STATES PSYCHIATRIC REHABILITATION RECOVERY PROGRAM (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. CAREGIVERS IS THE LARGEST COMMUNITY-BASED RECOVERY PROGRAM IN SOUTHWESTERN PENNSYLVANIA. CAREGIVERS IS LOCATED AT 1037 COMPASS CIRCLE, SUITE 102, GREENSBURG, PA., AND ALL PROGRAMS ARE 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: CLUBHOUSE THE CLUBHOUSE IS A MEMBER-DRIVEN BODY WHERE MEMBERS AND STAFF WORK SIDE BY SIDE IN A NUMBER OF 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 INDIVIDUALS SEEKING TO RETURN TO HIGH SCHOOL OR COLLEGE AND OPERATES BOTH A TRANSITIONAL EMPLOYMENT PROGRAM AND A SUPPORTIVE EMPLOYMENT PROGRAM. THE CLUBHOUSE CURRENTLY SERVES 38 CLIENTS. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
EACH OF THESE INDIVIDUALS HAS DEVELOPED THEIR OWN PERSON-CENTERED PLAN THAT CHARTS A PERSONAL COURSE TO WELLNESS. PSYCHIATRIC REHABILITATION THE MISSION OF WESTMORELAND PSYCH REHAB IS TO PROMOTE A SYSTEM OF INTEGRATED AND HOLISTIC SERVICES TO SUPPORT MENTAL HEALTH RECOVERY SO THAT INDIVIDUALS WITH MENTAL ILLNESS ARE ABLE TO ACHIEVE SUCCESS AND SATISFACTION IN THE LIVING, WORKING, LEARNING AND SOCIAL ENVIRONMENTS OF THEIR CHOICE. THIS IS ACCOMPLISHED THROUGH PSYCHO-EDUCATION, SKILL ACQUISITION AND SOCIAL NETWORKING. PSYCHIATRIC REHABILITATION IS A GROUP THERAPY-BASED DAY PROGRAM, RUN BY RECOVERING CONSUMERS IN CONJUNCTION WITH MENTAL HEALTH PROFESSIONALS. THE PSYCHIATRIC REHABILITATION PROGRAM PROVIDES 15 PSYCHO-EDUCATIONAL AND SKILL DEVELOPMENT GROUPS EACH WEEK. THE GROUP SETTING FACILITATES A SHARING OF EXPERIENCES AND PROVIDES SUPPORT FOR THE INDIVIDUALS ON THEIR JOURNEY TO RECOVERY. THE PROGRAM CURRENTLY SERVES APPROXIMATELY 45 CONSUMERS. MOBILE PSYCHIATRIC REHABILITATION MOBILE PSYCHIATRIC REHABILITATION IS THE SMALLEST OF THE CAREGIVERS PROGRAMS WITH ONE PRACTITIONER ASSIGNED TO IT. THIS PROGRAM PROVIDES MORE INDIVIDUALIZED SUPPORT AND REHABILITATIVE OPPORTUNITIES, AND SERVES AS A TRANSITIONAL SERVICE TO CONSUMERS NOT YET READY FOR THE OPEN ISSUE IDENTIFICATION THAT OCCURS IN THE GROUP-BASED PSYCHIATRIC REHABILITATION PROGRAMS. THERE ARE CURRENTLY NINE INDIVIDUALS PARTICIPATING IN THIS PROGRAM. WEST PLACE DROP-IN CENTER WEST PLACE 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. MEMBERSHIP IN THE PROGRAM PROVIDES OPPORTUNITIES FOR NETWORKING, FOSTERS ACCEPTANCE AND MITIGATES THE ISOLATION FELT BY SO MANY INDIVIDUALS WITH MENTAL ILLNESS WHO ARE ENGAGED IN THE RECOVERY PROCESS. WEST PLACE PROVIDES A SENSE OF COMMUNITY AND SERVES ALMOST 400 MEALS EACH MONTH TO THE MEMBERS. BY PARTNERING WITH THE LOCAL FOOD BANK, THE PROGRAM IS ABLE TO PROVIDE A NUTRITIOUS, WELL-BALANCED MEAL AT A NOMINAL COST. ALSO, THE SENSE OF COMMUNITY IS ENHANCED THROUGH HOLIDAY CELEBRATIONS WITH THIS PAST EASTER BOASTING 65 MEMBERS ATTENDING A HOLIDAY DINNER. IN LATE 2017, 120 INDIVIDUALS PARTICIPATED IN THE WEST PLACE PROGRAM, WHICH IS OPERATIONAL EACH EVENING FROM 4 TO 8 P.M. WITH SPECIAL ACTIVITIES OFFERED ON SATURDAYS. 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 162,208 INDIVIDUALS AGE 50 AND OLDER. ACCORDING TO THE 2017 STATE ESTIMATE, THE WESTMORELAND COUNTY POPULATION NUMBERS 352,627 SO THAT CURRENTLY, OLDER CITIZENS COMPRISE JUST UNDER ONE-HALF 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, EXCELA HEALTH SHOULD CONTINUE TO SEE A RISE IN THOSE PROCEDURES AS WELL AS OTHER ORTHOPEDIC AND REHABILITATIVE SERVICES. 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 2018 ALONE FOR BOTH FACILITIES, 639 PATIENTS (377 AT LATROBE HOSPITAL; 262 AT WESTMORELAND HOSPITAL) 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 NEW INITIATIVES AND PROGRAMS UNDERTAKEN IN FY 2018 TO RAISE THE BAR EVEN HIGHER. AS SUCH, THE FOLLOWING WAS INSTITUTED AND, IN SOME CASES, MADE NOTE OF BY EXTERNAL AGENCIES. 1. EXCELA HEALTH HOME CARE & HOSPICE HOSTED A CONTINUING EDUCATION COURSE IN MAY 2018 CALLED "THE ETHICAL BRIDGE IN PATIENT-CENTERED CARE: NAVIGATING ACROSS CULTURAL AND RELIGIOUS DIVERSITY". THIS SESSION PROVIDED INFORMATION ABOUT BRIDGING THE ETHICAL GAPS IN PATIENT-CENTERED CARE THAT ACKNOWLEDGES AND AFFIRMS CULTURAL AND RELIGIOUS DIFFERENCES FOR MORE EFFECTIVE AND MEANINGFUL PATIENT CARE. 2. EXCELA HEALTH HOSTED ITS ANNUAL EMPLOYER-FOCUSED HEALTH CARE SYMPOSIUM APRIL 20, 2018, AT EXCELA SQUARE AT LATROBE. TITLED "UNCONSCIOUS BIAS: A FOCUS ON RECRUITING A DIVERSE WORKPLACE AND CREATING A CULTURE OF ACCEPTANCE", WESTMORELAND COUNTY BUSINESS AND INDUSTRY PERSONNEL LEARNED HOW UNCONSCIOUS BIAS CAN STYMIE DIVERSITY, RECRUITING AND RETENTION EFFORTS, AND UNKNOWINGLY SHAPE AN ORGANIZATION'S CULTURE. PANEL PRESENTATIONS BY EXCELA HEALTH PHYSICIANS AND MEMBERS OF THE WESTMORELAND COUNTY DIVERSITY COALITION HIGHLIGHTED THE COMMUNITY'S ADVANCEMENTS IN ACCEPTANCE AND WHAT STILL NEEDS TO BE DONE. SERVING AS KEYNOTE SPEAKER WAS PAM CONNELLY, VICE CHANCELLOR FOR DIVERSITY AND INCLUSION, UNIVERSITY OF PITTSBURGH. THE SYMPOSIUM WAS FREE OF CHARGE. 3. NURSE RESIDENCY PROGRAM - FROM 2017 TO 2018, 48 NURSES ENTERED THE NURSE RESIDENCY PROGRAM. THE 24-MONTH, COMPREHENSIVE PROGRAM IS COMPOSED OF TWO PHASES - PHASE ONE, YEAR ONE AND PHASE II, YEAR ONE AND YEAR TWO - DESIGNED TO SUPPORT THE DEVELOPMENT OF THE NEW NURSE'S ROLE AS A PROFESSIONAL, CLINICIAN AND LEADER. 4. CONTINUING ITS GROWTH IN EVIDENCE-BASED PRACTICE ACTIVITIES, EXCELA HEALTH HELD THE 3RD ANNUAL EVIDENCE BASED PRACTICE (EBP) FORUM IN SEPTEMBER 2017. EIGHTY-ONE NURSES AND 10 ANCILLARY STAFF ATTENDED THE FORUM HELD AT THE WESTMORELAND HOSPITAL CAMPUS TO LEARN MORE ABOUT THE PROJECTS COMPLETED BY CO-WORKERS AND THE LATEST RESEARCH IN THE FIELD OF NURSING AND MEDICINE. 5. SHARED GOVERNANCE - SHARED GOVERNANCE OFFERS CLINICAL, PROFESSIONAL NURSES A VOICE IN DECISION MAKING TO CREATE A POSITIVE IMPACT ON THE QUALITY OF PATIENT AND FAMILY CARE THROUGH A STRUCTURE OF COUNCILS, COMMITTEES AND WORK GROUPS. THIS MODEL ALSO EMBRACES SHARED RESPONSIBILITY AS NURSES FACILITATE RECOMMENDATIONS AND MAKE DECISIONS ABOUT CLINICAL CARE, QUALITY IMPROVEMENT AND PROFESSIONAL NURSING PRACTICE. OTHER COUNCILS INCLUDE: LEADERSHIP COUNCIL PROVIDING A MEANS FOR COMMUNICATION, INTEGRATION AND COORDINATION OF THE FUNCTIONS OF SHARED GOVERNANCE. UNIT-BASED PRACTICE COUNCIL PROVIDES A "VOICE" FOR CLINICAL NURSING IN DECISION-MAKING AT THE UNIT LEVEL. PROFESSIONAL DEVELOPMENT COUNCIL OVERSEES DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF PROFESSIONAL CAREER DEVELOPMENT PROGRAMS. MANAGEMENT COUNCIL OVERSEES THE HUMAN, FISCAL, MATERIAL AND SUPPORT RESOURCES/SERVICES WITHIN AND AFFECTING THE CONTINUING OPERATIONS OF THE NURSING DEPARTMENT. PRACTICE EXCELLENCE COUNCIL DEFINES, IMPLEMENTS AND MAINTAINS THE HIGHEST STANDARDS OF EVIDENCE-BASED NURSING PRACTICE WITH ADDITIONAL COMMITTEES REVIEWING SUBSETS OF THIS COUNCIL. ADVANCED PRACTICE PROVIDER COUNCIL IMPLEMENTS THOSE STANDARDS OF PRACTICE DEFINED BY THE AMERICAN NURSES ASSOCIATION. 6. NURSING AT EXCELA HEALTH CONTINUES ITS JOURNEY TOWARD EXCELLENCE TO OBTAIN INITIAL DESIGNATION OF MAGNET RECOGNITION THROUGH THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). THE 247-PAGE APPLICATION WAS WRITTEN THROUGHOUT FY 2018 AND SHOWCASED 460 STAFF MEMBERS AT EXCELA HEALTH WORKING IN ALL DISCIPLINES. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
THERE ARE 78 NARRATIVES WRITTEN TO THE REQUIRED STANDARDS SET FORTH BY THE ANCC AND 34 OF THESE NARRATIVES FEATURED SUSTAINED, EMPIRICAL OUTCOMES AS A RESULT OF INITIATIVES CREATED AND IMPLEMENTED THROUGH EXCELA NURSING. SOME INITIATIVES WITHIN FY 2018 INCLUDE: TECHNICAL PARTNER EARN AS YOU LEARN PROGRAM WITH IMPACT STARTING JULY 2017 LOOKING FOR A PRACTICAL SOLUTION TO A PROBLEM CRIPPLING HOSPITALS ACROSS THE COUNTRY - STAFFING AND SHORTAGES - EXCELA HEALTH LEADERSHIP TEAM AND EXCELA EDUCATION IDENTIFIED NUMEROUS OPEN POSITIONS FOR TECHNICAL PARTNERS AT ITS THREE HOSPITAL CAMPUSES. BECAUSE OF THE LARGE NUMBER OF OPEN POSITIONS AND THE DIFFICULTY IN RECRUITING QUALIFIED CANDIDATES, LEADERSHIP DEVELOPED THE "EARN WHILE YOU LEARN" PROGRAM, TEACHING THE PRINCIPLES AND MANDATORY SKILLS TO THOSE INTERESTED IN BECOMING TECHNICAL PARTNERS. THE PROGRAM WAS INITIALLY OPEN TO EXCELA HEALTH EMPLOYEES BUT WAS SUBSEQUENTLY OPEN TO OUTSIDE APPLICANTS. NURSE EDUCATORS DEVELOPED A 40-HOUR TRAINING PROGRAM, FOLLOWED BY TWO WEEKS OF TRAINING IN A CLINICAL SETTING. THE PROGRAM IS INTENDED FOR THOSE WITH AN INTEREST IN WORKING AS A TECHNICAL PARTNER BUT WHO LACK THE FORMAL EDUCATION OR EXPERIENCE TO QUALIFY FOR THE POSITION. CLASSES INITIALLY BEGAN IN JUNE 2017 BUT ADDITIONAL SESSIONS WERE HELD IN JULY, AUGUST, SEPTEMBER AND NOVEMBER 2017. THIRTY-NINE INDIVIDUALS PARTICIPATED AND COMPLETED THE PROGRAM IN 2017, WITH QUARTERLY SESSIONS OFFERED IN 2018. EDUCATION NAVIGATOR STARTED APRIL 2018 HEALTH CARE IS A COMPLEX AND DIFFICULT WORLD FOR PATIENTS TO NAVIGATE, PARTICULARLY WHEN ILLNESS, INJURY OR A POTENTIALLY LIFE-ALTERING DIAGNOSIS STRIKES. STARTING IN AUGUST 2017, EXCELA HEALTH STARTED THE FIRST NURSE NAVIGATOR PROGRAM OF THE HEALTH SYSTEM WITH THE GOAL OF ASSURING THAT PATIENTS RECEIVE HIGH QUALITY AND SAFE CARE IN THE MOST APPROPRIATE SETTING FOR THE MOST EFFECTIVE COST. STARTING WITH THE ORTHOPEDICS PROGRAM, NURSE NAVIGATORS PROVIDE INFORMATION, EDUCATION AND EMOTIONAL SUPPORT TO PATIENTS GETTING A KNEE OR HIP REPLACEMENT, AND THEIR FAMILIES. FROM JULY TO DECEMBER 2017, 637 PATIENTS WERE "NAVIGATED" WITH 62 TO 81 PERCENT OF UNCOMPLICATED, ELECTIVE JOINT PATIENTS DISCHARGED DIRECTLY TO HOME. THROUGH PATIENT FEEDBACK AND EXPERIENCE, A NURSE NAVIGATOR PROGRAM WAS STARTED IN THE BREAST HEALTH CENTER IN SPRING 2018. VANCOMYCIN ADMINISTRATION - WESTMORELAND HOSPITAL EMERGENCY DEPARTMENT STARTED DECEMBER 2017 TRADING SPACES PROGRAM THAT LED TO IMPROVED STROKE ALERT SPECIMEN TIMES STARTED JULY 2017 "MAGNET MAESTROS", EMPLOYEES DEDICATED TO FACILITATING EDUCATION ABOUT THE MAGNET RECOGNITION PROGRAM AND GENERATING STAFF ENTHUSIASM, BELIEVED IT A GOOD IDEA FOR DIFFERENT DEPARTMENTS TO "TRADE PLACES". THE OBJECTIVES: TO GAIN A BETTER PERSPECTIVE OF EACH OTHER'S DAILY ROUTINES, DAY TO DAY CHALLENGES AND POINTS OF VIEW. THE GOAL: TO BUILD RESPECT AND UNDERSTAND THE ROLE OF PATIENT CARE TEAM MEMBERS THROUGHOUT THE HEALTH SYSTEM AS WELL AS TO EXTEND THE OPPORTUNITY FOR TEAMS TO RECOGNIZE NEW CO-WORKERS OR FRIENDS THEREBY PUTTING A FACE TO THE EXCELA HEALTH FAMILY. ULTIMATELY, THIS MAKES FOR A POSITIVE CHANGE FOR THE PATIENT AND STAFF. THE INITIAL FORAY HAS ALLOWED FOR PROGRAM EXPANSION ENLARGING A MORE POSITIVE AND RESPECTFUL WORK ENVIRONMENT. MILK BANK DEPOT AT EXCELA SQUARE AT NORWIN OPENED JULY 2017 ACCORDING TO THE MOTHER'S MILK BANK, A NON-PROFIT AGENCY ACCREDITED BY THE HUMAN MILK BANKING ASSOCIATION OF NORTH AMERICAN (HMBANA), A MOTHER'S OWN BREAST MILK IS NEARLY ALWAYS BABY'S BEST FIRST FOOD, HOWEVER, IT IS SOMETIMES NOT AVAILABLE. IN SUCH CASES, ACCORDING TO THE AMERICAN ACADEMY OF PEDIATRICS, THE U.S. SURGEON GENERAL, THE WORLD HEALTH ORGANIZATION, AND OTHERS NOTE THAT SAFELY PASTEURIZED DONOR HUMAN MILK IS THE NEXT BEST OPTION. BECAUSE EXCELA HEALTH FAMILY ADDITIONS MATERNITY CENTER FIRMLY BELIEVES IN THE VALUE OF BREAST FEEDING, IT HELPED TO ESTABLISH EXCELA SQUARE AT NORWIN AS A MILK BANK DEPOT FOR BREAST MILK DROP-OFF. DAISY TEAM AWARDED A TEAM AWARD TO FRICK HOSPITAL PERIOPERATIVE TEAM FOR THEIR PRESENTATION TITLED "IMPLEMENTING A SCRUBBING AND SHARPS SAFETY COURSE FOR CLINICAL LEARNERS" STARTED IN DECEMBER 2017. THE PRESENTATION ENHANCED SAFETY PRACTICES TO BENEFIT PATIENTS AND EMPLOYEES WHILE PROMOTING QUALITY AND SAFETY. THE PRESENTATION RECEIVED FURTHER VALIDATION AT THE NATIONAL AORN CONFERENCE IN NEW ORLEANS, WHERE MEMBERS OF THE STAFF SHARED THEIR BEST PRACTICES. REDUCTION OF BLOOD CULTURE CONTAMINATION RATE AT FRICK HOSPITAL EMERGENCY DEPARTMENT STARTED IN OCTOBER 2017. GETWELL NETWORK IMPLEMENTATION ACHIEVED ON WESTMORELAND HOSPITAL 6-E IN AUGUST 2017 AND ON 6-D IN FEBRUARY 2018. IMPLEMENTATION OF SLEDD (SUSTAINED LOW-EFFICIENCY DAILY DIAFILTRATION) PROTOCOL AT LATROBE HOSPITAL CCU IN APRIL 2018. IMPLEMENTATION OF SEXUAL ASSAULT DISCHARGE INSTRUCTIONS AFTER EMERGENCY DEPARTMENT EMR INSTITUTED/COORDINATED WITH BLACKBURN CENTER, JULY THROUGH NOVEMBER 2017. IMPLEMENTATION OF POD ASSIGNMENTS TO ACCOMMODATE CATARACT PATIENTS (APRIL 2018). DECREASED OPIOID USE IN POST-OPERATIVE COLORECTAL SURGICAL PATIENTS (APRIL 2018). LIGATURE RISK REDUCTION AT FRICK HOSPITAL EMERGENCY DEPARTMENT STARTED DECEMBER 2017. FOR OUR EFFORTS IN QUALITY, SAFETY AND CARE PROVISION, EXCELA HEALTH WAS RECOGNIZED THROUGH THE FOLLOWING AWARDS AND ACCOLADES 1. THE EXCELA HEALTH HEART CENTER ACHIEVED MISSION: LIFELINE STEMI RECEIVING CENTER CERTIFICATION ON JUNE 30, 2017, WHICH EXPIRES JUNE 29, 2020, THROUGH THE AMERICAN HEART ASSOCIATION AND THE AMERICAN COLLEGE OF CARDIOLOGY ACCREDITATION SERVICES. ADDITIONALLY, THE HEART CENTER RECEIVED A SILVER PLUS MISSION: LIFELINE RECEIVING CENTER AWARD THROUGH THE AMERICAN HEART ASSOCIATION FOR THE YEAR 2017. RECEIVING CENTER ACCREDITATION IDENTIFIES HOSPITALS WITH THE CAPABILITIES TO PROVIDE COMPREHENSIVE STEMI (ST ELEVATION MYOCARDIAL INFARCTION) CARE, INCLUDING 24/7 PERCUTANEOUS CORONARY INTERVENTION (PIC). HOSPITALS AND HEALTH CARE ORGANIZATIONS RECEIVING THESE ACCREDITATIONS FOLLOW STRINGENT GUIDELINES INCLUDING COORDINATION WITH EMS AND REFERRAL CENTERS, PARTICIPATION IN A MULTIDISCIPLINARY TEAM, CONTINUING EDUCATION AND DATA COLLECTION, AMONG OTHERS. 2. THE NATIONAL ASSOCIATION FOR BUSINESS RESOURCES HAS NAMED EXCELA HEALTH AMONG THE "NATION'S BEST AND BRIGHTEST IN WELLNESS" FOR THE SECOND STRAIGHT YEAR. THE PROGRAM HONORING COMPANIES AND ORGANIZATIONS RECOGNIZING AND CELEBRATING QUALITY AND EXCELLENCE IN EMPLOYEE AND WORKSITE HEALTH, IS ADMINISTERED BY SYNBELLA, THE NATION'S LEADING WELLNESS SYSTEMS FIRM. WINNING COMPANIES WERE EVALUATED BY AN ASSESSMENT AND EXAMINED STATISTICALLY FOR QUANTITATIVE DATA AND BASED ON CRITERIA TO BENCHMARK AND IMPROVE WELLNESS PROGRAM EFFECTIVENESS. THOSE CRITERIA INCLUDE OUTCOMES, ANALYSIS AND TRACKING, PARTICIPATION AND INCENTIVES, BENEFITS AND PROGRAMS, LEADERSHIP, EMPLOYEE INPUT, CULTURE AND ENVIRONMENT. 3. EXCELA HEALTH WESTMORELAND HOSPITAL HAS RECEIVED RECOGNITION FOR CLINICAL EXPERTISE AND HIGH QUALITY PATIENT CARE BY U.S. NEWS & WORLD REPORT AS A HIGH PERFORMING HOSPITAL 2017 TO 2018. HAVING REVIEWED HOSPITALS FOR THE PAST 27 YEARS, U.S. NEWS BEST HOSPITALS RANKINGS EVALUATED NEARLY 5,000 HOSPITALS NATIONWIDE, HELPING TO GUIDE PATIENTS TO HOSPITALS THAT DELIVER OUTSTANDING CARE ACROSS 25 SPECIALTIES, PROCEDURES AND CONDITIONS. TO DETERMINE THE RANKINGS FOR BEST HOSPITALS, OBJECTIVE MEASURES SUCH AS PATIENT SURVIVAL, THE NUMBER OF TIMES A GIVEN PROCEDURE IS PERFORMED, INFECTION RATES, AND ADEQUACY OF THE NURSING STAFF, AMONG OTHERS, ARE USED. EXCELA WESTMORELAND HOSPITAL HAS BEEN RECOGNIZED IN THREE TYPES OF CARE, DESIGNATING OUTSTANDING PERFORMANCE, PATIENT OUTCOMES AND PATIENT SAFETY. CITED AS A "HIGH PERFORMING HOSPITAL," WESTMORELAND HOSPITAL WAS RECOGNIZED FOR CARE THAT INCLUDED: HEART FAILURE, KNEE REPLACEMENT, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). 4. EXCELA HEALTH HAS BEEN RECOGNIZED FOR MEDICAL EXCELLENCE AND PATIENT SAFETY BY CARECHEX, AN INFORMATION SERVICE OF QUANTROS, INC. CARECHEX IS THE MOST COMPREHENSIVE RESOURCE FOR RANKING HOSPITAL QUALITY AND PATIENT SAFETY, PROVIDING CLINICAL, FINANCIAL AND PATIENT SATISFACTION FINDINGS TO CONSUMERS, PROVIDERS, AND PURCHASERS OF U.S. MEDICAL CARE. UNLIKE OTHER PUBLICLY AVAILABLE QUALITY RATINGS, CARECHEX PROVIDES A COMPOSITE EVALUATION OF ALL COMPONENTS OF MEDICAL QUALITY INCLUDING PROCESS OF CARE, OUTCOMES OF CARE, AND PATIENT EXPERIENCES. IN 2017-2018, OUR CARECHEX RECOGNITION INCLUDED: A. MEDICAL EXCELLENCE TOP 10% SYSTEM IN NATION AND TOP 10% SYSTEM IN NORTHEAST FOR HEART FAILURE TREATMENT B. MEDICAL EXCELLENCE TOP 10% SYSTEM IN NORTHEAST* FOR CARDIAC CARE C. CARECHEX TOP 5 SYSTEM 2018 NATIONAL PATIENT SAFETY FOR CARDIAC CARE D. PATIENT SAFETY TOP 10% SYSTEM IN NORTHEAST FOR OVERALL PATIENT CARE E. PATIENT SAFETY TOP 10% SYSTEM IN NORTHEAST FOR CARDIAC CARE |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
F. PATIENT SAFETY TOP 10% SYSTEM IN NORTHEAST FOR GENERAL SURGERY G. PATIENT SAFETY TOP 10% SYSTEM IN NATION FOR GENERAL SURGERY H. PATIENT SAFETY TOP 10% SYSTEM IN NATION FOR OVERALL HOSPITAL CARE I. PATIENT SAFETY TOP 10% SYSTEM IN NATION FOR CARDIAC CARE *NORTHEAST REGION IS COMPRISED OF NINE STATES WITH SOME 550 HEALTHCARE INSTITUTIONS: 5. THE EXCELA ADVANCED VEIN CENTER IS ONE OF ONLY SEVEN IAC ACCREDITED VEIN CENTER SITES IN THE STATE OF PENNSYLVANIA. THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ACCREDITS IMAGING FACILITIES AND HOSPITALS SPECIFIC TO SUPERFICIAL VENOUS TREATMENT AND MANAGEMENT. IAC ACCREDITATION IS A MEANS BY WHICH FACILITIES CAN EVALUATE AND DEMONSTRATE THE LEVEL OF PATIENT CARE THEY PROVIDE. 6. 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. 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. EXCELA HEALTH LATROBE AND WESTMORELAND HOSPITALS WERE RECOGNIZED FOR THEIR STATUS AS GET WITH THE GUIDELINES STROKE SILVER PLUS ACHIEVEMENT AWARD AND TARGET: STROKE - BY THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION. THE ACHIEVEMENT IS BASED ON OUR USAGE OF THE MOST UP-TO-DATE, EVIDENCE-BASED TREATMENT GUIDELINES TO IMPROVE PATIENT CARE AND OUTCOMES. 9. THE EXCELA HEALTH CDI LEAN TEAM WAS SELECTED AS ONE OF THE 2018 HEROES IN INFECTION PREVENTION AWARD RECIPIENTS BY APIC. APIC RECOGNIZES DEDICATED PROFESSIONALS WHO SIGNIFICANTLY ADVANCE PATIENT SAFETY AND THE SCIENCE OF INFECTION PREVENTION. THE ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY (APIC) IS THE LEADING PROFESSIONAL ASSOCIATION FOR INFECTION PREVENTIONISTS (IPS) WITH MORE THAN 15,000 MEMBERS. OUR MISSION IS TO CREATE A SAFER WORLD THROUGH THE PREVENTION OF INFECTION. 10. IN DECEMBER 2017, EXCELA HEALTH WORKS, THE SYSTEM'S OCCUPATIONAL MEDICINE PROGRAM, RECEIVED CERTIFICATION FROM THE NATIONAL ASSOCIATION OF OCCUPATIONAL HEALTH PROFESSIONALS (NAOHP). THIS THREE-YEAR CERTIFICATION IS CONSIDERED THE INDUSTRY'S GOLD STANDARD OF OUTSTANDING OCCUPATIONAL HEALTH PRACTICES FOR THE DELIVERY OF QUALITY HEALTH CARE SERVICES TO THE WORKFORCE IN THE COMMUNITY. THE NAOHP IS THE PREMIER PROFESSIONAL ORGANIZATION FOR OCCUPATIONAL PROVIDERS AND CLINICS. IT PROVIDES BENCHMARKS, STANDARDS AND BEST PRACTICE CONSULTATION NATIONWIDE WITH SERVICES EVALUATED ON ADMINISTRATION, OPERATIONAL FRAMEWORK, STAFFING PROCESSES, QUALITY ASSURANCE, PRODUCT LINE DEVELOPMENT AND SALES AND MARKETING. THE NAOHP SURVEYOR NOTED THAT THE PROGRAM HAS "A HIGHLY COMMITTED STAFF THAT WORK WONDERFULLY AS A TEAM FOR PATIENT AND CLIENT COMPANY EXCELLENCE. THERE ARE MANY ASPECTS OF PRACTICE THAT TRULY SET IT APART." 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 FOURTH CONSECUTIVE YEAR, EXCELA HEALTH HAS BEEN RECOGNIZED AS A HEALTHIEST 100 WORKPLACE IN AMERICA, AN AWARDS PROGRAM PRESENTED BY HEALTHIEST EMPLOYER, LLC. IN 2017, EXCELA HEALTH WAS RANKED 23 OUT OF 100. MORE THAN 6,000 EMPLOYERS NATIONALLY APPLIED FOR THE AWARD. EXCELA HEALTH CONTINUED ITS RECOGNITION AS ONE OF THE "HEALTHIEST EMPLOYERS OF WESTERN PENNSYLVANIA", WHICH IN 2017, MARKED THE SEVENTH 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 PLEASE SEE ATTACHMENT FOR DETAILED INFORMATION. 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 EXPANSION OF THE EXCELA ADVANCED LUNG CENTER CONTINUED AT EXCELA SQUARE AT FRICK IN MOUNT PLEASANT. THE CENTER OFFERS LOW DOSE CT SCREENINGS THAT ALLOW FOR EARLY DETECTION AND TREATMENT OF LUNG CANCER. 2. EXCELA HEALTH IS NEARING COMPLETION OF PHASE FOUR OF A FIVE-YEAR RENOVATION PROJECT AT THE FRICK HOSPITAL CAMPUS, WHICH HAS BECOME KNOWN AS EXCELA SQUARE AT FRICK. THIS FOURTH PHASE FEATURES A BUILD-OUT OF OFFICES ON THE FIRST FLOOR FOR PRIMARY CARE PROVIDERS INCLUDING A RESIDENCY PRACTICE. THE CONVERGENCE OF MAIN STREET MEDICAL IN MOUNT PLEASANT AND NORVELT FAMILY MEDICINE WILL NOW BE LOCATED UNDER ONE ROOF WITH CONVENIENT ACCESS TO OTHER OUTPATIENT SERVICES SUCH AS LAB, X-RAY, AND OTHER THERAPIES. THE INTERNAL MEDICINE COMPONENT OF THE PRIMARY CARE PRACTICES WILL MOVE TO THE THIRD FLOOR AT FRICK. ANTICIPATED COMPLETION IS SET FOR FEBRUARY 2019. 3. A BUILT-OUT OF NEW SPACE FOR THE EXCELA HEALTH ORTHOPEDIC AND SPORTS MEDICINE PRACTICE AT EXCELA SQUARE AT FRICK WAS COMPLETED IN THE SUMMER OF 2018 AND BROUGHT TOGETHER THREE ORTHOPEDIC SPECIALISTS TO PROVIDE SPORTS MEDICINE AND ORTHOPEDIC MEDICAL AND SURGICAL SERVICES TO THE POPULATIONS OF MOUNT PLEASANT, SCOTTDALE, CONNELLSVILLE AND BEYOND. 4. EXCELA HEALTH LATROBE HOSPITAL RECEIVED A $50,000 GRANT FROM WEST PENN POWER SUSTAINABLE ENERGY FUND (WPPSEF) TO IMPLEMENT SKYSPARK FAULT DETECTION SOFTWARE. THIS PROGRAM IS ESSENTIAL TO HELPING THE HOSPITAL MAINTAIN THE HIGH LEVELS OF ENERGY EFFICIENCY IT HAS ACHIEVED IN RECENT YEARS. EXCELA LATROBE HAS ALREADY INVESTED HEAVILY IN HVAC SYSTEM UPGRADES, EQUIPPING AIR HANDLING UNITS AND RELATED MECHANICAL EQUIPMENT WITH NEW DIGITAL CONTROLS, AND ADJUSTING TEMPERATURES AND AID FLOW SET POINTS TO SAVE ENERGY. JOEL MORRISON, DIRECTOR OF THE WPPSEF STATED, "THIS PROJECT WITH EXCELA HEALTH FITS WELL INTO THE MISSION OF WPPSEF HELPING A NON-PROFIT IN THE INDUSTRIAL SECTOR TO REALIZE SIGNIFICANT ENERGY SAVINGS, WHICH ULTIMATELY BENEFIT THE WEST PENN RATE PAYER AND THE COMMUNITIES THAT ARE SERVED BY THIS HOSPITAL. THE ENERGY SAVINGS WILL HELP REDUCE OPERATING COSTS FOR EXCELA HEALTH ALLOWING CAPITAL TO BE INVESTED INTO IMPROVEMENTS TO MEDICAL SERVICES AND TECHNOLOGY SHOWING ONCE AGAIN THAT CRITICAL LINK BETWEEN ENERGY AND HEALTH CARE." 5. FY 2018 SAW THE COMPLETION OF EXCELA SQUARE AT LATROBE BUILDING, A THREE-STORY, PATIENT-CENTERED MEDICAL HOME FEATURING PRIMARY AND SPECIALTY CARE, DIAGNOSTIC TESTING, PHYSICAL REHABILITATION, ALONG WITH PRIMARY CARE AND OTHER MEDICAL SPECIALTIES INCLUDING PAIN MANAGEMENT, ENT, ORTHOPEDICS, NEUROLOGY, CARDIOLOGY, GENERAL SURGERY, OB/GYN AND GASTROENTEROLOGY. IN THE SPRING OF 2018, AN OUTDOOR WALKING TRACK WAS ADDED FOR COMMUNITY USE. THIS COMMUNITY-BASED CENTER CONSOLIDATES SERVICES WHILE INTEGRATING PATIENT NEEDS AND MANAGING SERVICES, PATIENT HEALTH AND COSTS MORE EFFECTIVELY. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
6. EXCELA HEALTH WORKS OCCUPATIONAL MEDICINE, A CONVENIENT AND COMPREHENSIVE SERVICE DEVELOPED WITH INDUSTRY AND BUSINESS EMPLOYERS IN MIND, EXPANDED SERVICES TO A NEW LOCATION IN LATROBE. NOW SEEING PATIENTS IN THE EASTERN PORTION OF THE COUNTY, IN ADDITION TO THE ORIGINAL CENTER IN NORTH HUNTINGDON IN THE WESTERN PORTION OF THE COUNTY, DR. HARDY BANG WORKS ALONGSIDE BOARD CERTIFIED AND TRAINED OCCUPATIONAL MEDICINE PROFESSIONALS, INCLUDING A PHYSICIAN ASSISTANT, REGISTERED NURSE, AND A NURSE CASE MANAGER TO KEEP THE REGION'S EMPLOYEES HEALTHY AND ABLE TO PERFORM THEIR JOBS. 7. EXCELA HEALTH, AT ITS LATROBE CAMPUS, IS ASSISTING THE COMMUNITY WITH THE EFFORT AS A REGISTERED COLLECTOR FOR THE FEDERAL DRUG ENFORCEMENT ADMINISTRATION. THE HEALTH SYSTEM INSTALLED A MEDSAFE RECEPTACLE IN APRIL 2018 AVAILABLE 24 HOURS A DAY IN A PUBLICALLY ACCESSIBLE CORRIDOR ON LATROBE HOSPITAL'S GROUND FLOOR FOR THE SAFE DISPOSAL OF PILLS, TABLETS, CAPSULES, OINTMENTS, CREAMS, LOTIONS, POWDERS AND LIQUID MEDICATIONS OF NO MORE THAN 4 OUNCES. THE RECEPTACLE IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK. THE SECURE DROP BOX IS UNDER CONSTANT SURVEILLANCE AND EMPTIED PERIODICALLY BY AUTHORIZED HEALTH SYSTEM PERSONNEL FOR PROCESSING OF ITS CONTENTS. THE ADDITION OF THE MEDSAFE BOX IS VIEWED AS A MEANS TO HELP ADDRESS A PUBLIC SAFETY AND PUBLIC HEALTH ISSUE OF OPIOID AND OTHER DRUG ADDICTIONS GROWING WITHIN THE WESTMORELAND COUNTY COMMUNITY. THE HEALTH SYSTEM HAS SINCE EXPANDED THE PROGRAM TO FRICK AND WESTMORELAND HOSPITALS. 8. THE COMMITMENT CONTINUES TO THE LATROBE COMMUNITY AS EXCELA HEALTH MOVES FORWARD WITH AN ONGOING EFFORT TO MODERNIZE THE EXCELA LATROBE HOSPITAL CAMPUS. MORE THAN $2 MILLION WAS EARMARKED FOR IMPROVEMENTS IN PATIENT CARE AREAS AND VISITOR/EMPLOYEE PARKING. THE INITIAL UPGRADES OCCURRED ON THE HOSPITAL'S FOURTH FLOOR WITH THE RENOVATION OF THE NURSES' STATIONS AND TREATMENT AREAS AMONG OTHERS. EXPANSION OF EXISTING PARKING LOTS AND DEMOLITION OF THE ADJACENT PARKING GARAGE ALSO OCCURRED WITH THE REMOVAL OF THE WOMEN'S CARE SERVICES HOUSE, WHOSE SERVICES WERE MOVED TO EXCELA SQUARE AT LATROBE. 9. TO RELIEVE THE ANXIETY THAT MAY ACCOMPANY A HOSPITAL STAY, PARTICULARLY ONE THAT IS UNPLANNED, EXCELA HEALTH IS UTILIZING PET THERAPY AT ITS THREE HOSPITALS WITH THE MOST RECENT INCLUSION AT EXCELA SQUARE AT NORWIN. AS OF JULY 3, 2017, 30 DOGS AND THEIR HANDLERS PARTICIPATE IN THE PROGRAM WITH ASSIGNMENTS RANGING FROM VISITING IN THE OUTPATIENT WAITING AREAS TO BEDSIDE VISITS. THE PROGRAM CONTINUES TO EXPAND IN AN EFFORT TO ENHANCE THE PATIENT EXPERIENCE FURTHER. RESEARCH HAS SHOWN THAT PET THERAPY PROVIDES VARIOUS HEALTH BENEFITS TO PATIENTS AND OTHERS. ALL DOGS IN THE PROGRAM ARE REGISTERED AS THERAPY DOGS THROUGH ONE OF A NUMBER OF NATIONAL OR REGIONAL ORGANIZATIONS AND MUST BE UP-TO-DATE ON THEIR OWN HEALTH REQUIREMENTS. 10. IN THE FALL OF 2018, EXCELA HEALTH INTRODUCED ONLINE SCHEDULING FOR MAMMOGRAM APPOINTMENTS. PATIENTS COULD NOW SCHEDULE THEIR MAMMOGRAM ON LINE AND RECEIVE AN APPOINTMENT CONFIRMATION WITHIN 24 BUSINESS HOURS. PATIENTS PROVIDE THEIR CONTACT INFORMATION, TWO PREFERRED APPOINTMENT LOCATIONS, DATES AND TIMES WITH EXCELA'S SCHEDULERS PERFORMING THE REMAINING FUNCTIONS. 11. TO IMPROVE COMMUNICATION BETWEEN THE EMERGENCY DEPARTMENT (ED) AND OTHER DEPARTMENTS THROUGHOUT THE HEALTH SYSTEM, EXCELA HEALTH IMPLEMENTED FIRSTNET, AN ELECTRONIC DOCUMENTATION SYSTEM FOR THE ED. FIRSTNET IS A DOCUMENTATION APPLICATION MADE SPECIFICALLY FOR THE ED FOCUSING ON SAFE, EFFICIENT MOVEMENTS OF PATIENTS, ENHANCED FLOW OF DOCUMENTATION AND FISCAL RESPONSIBILITY. THIS STREAMLINED DOCUMENTATION ALLOWS FOR IDENTIFICATION OF COMPLETED INTERVENTIONS OR ONES NEEDED THEREBY ELIMINATING REPEATED PROCESSES CULMINATING IN A BETTER PATIENT EXPERIENCE. FIRSTNET WAS PHASED IN AT ALL THREE HOSPITAL EDS THROUGHOUT 2017/2018. 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 IT SERVES, ALWAYS STRIVING FOR EXCELLENCE AS OUR 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. THE SPOTLIGHT SHOWN ON WOMEN'S HEALTH IN OCTOBER 2017 WITH THE WOMEN'S WEDNESDAY SPEAKER'S SERIES. EACH WEDNESDAY IN THIS MONTH, TWO TOPICS HIGHLIGHTING ASPECTS OF WOMEN'S HEALTH AND THE HEALTH OF THEIR FAMILIES, WERE PRESENTED. TOPICS INCLUDED WOMEN AND HEART DISEASE, UNDERSTANDING MENOPAUSE, VEIN DISEASE/VARICOSE VEINS, MEMORY LOSS AND MORE. 2. EXCELA HEALTH HAS PARTNERED WITH THE WESTMORELAND-FAYETTE COUNCIL OF THE BOY SCOUTS OF AMERICA AS PART OF ITS EXPLORING PROGRAM. THE PROGRAM INTRODUCES YOUTHS AGES 14 TO 20 TO VARIOUS HEALTH CARE CAREERS. THE PROGRAM COMMENCED IN OCTOBER 2017 AND CONTINUED TO THE END OF THE SCHOOL YEAR (MAY 2018). FIFTY YOUTHS REGISTERED FOR THE PROGRAM FROM VARIOUS SCHOOL DISTRICTS THROUGHOUT WESTMORELAND COUNTY MEETING ON THE FIRST WEDNESDAY OF EACH MONTH. STUDENTS CHOSE TOPICS OF INTEREST THAT WERE PRESENTED BY HEALTHCARE PROFESSIONALS TOUCHING ON THEIR DAY-TO-DAY ACTIVITIES, NECESSARY EDUCATION, HANDS-ON ACTIVITIES AND SIMULATIONS. 3. EXCELA HEALTH CONTINUED ITS PARTICIPATION IN COMMUNITY EVENTS SUCH AS THE ALZHEIMER'S WALK, BUSHY RUN 5K WALK/RUN, MENTAL HEALTH ASSOCIATION INNOVATION FUNDRAISER, PENN TRAFFORD FALL FESTIVAL, ECONOMIC GROWTH LUNCHEON AND THE AMERICAN HEART ASSOCIATION FREEDOM 5K, AMONG MANY OTHERS. 4. TO HELP PEOPLE GAUGE THEIR HEALTH STATUS, EXCELA HEALTH ONCE AGAIN CONTINUED 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 WERE ALSO OFFERED WITH THE PROGRAM UTILIZING SEVEN TO 10 REGIONAL LOCATIONS ACROSS WESTMORELAND COUNTY IN BOTH THE FALL (2017) AND THE SPRING (2018). 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. 5. A FREE HERNIA SEMINAR AND SCREENING WAS HELD IN JANUARY 2018 FOR MEMBERS OF THE COMMUNITY. PHYSICIANS FROM EXCELA HEALTH SURGICAL SPECIALISTS DISCUSSED THE IMPORTANCE OF DIAGNOSING A HERNIA, ITS RISKS, AND THE LATEST TREATMENTS INCLUDING ROBOTIC TECHNOLOGY PRIOR TO THE PRIVATE, INDIVIDUAL EXAMINATIONS. 6. OCTOBER 18, 2017 SAW THE CELEBRATION OF THE LAUNCH OF PROJECT FIT AMERICA AT DERRY AREA MIDDLE SCHOOL. EXCELA HEALTH PARTNERED WITH DERRY AREA AND THE COMMUNITY WITH THE OBJECTIVE OF EMPOWERING CHILDREN AND THEIR FAMILIES TO LEARN HEALTHY HABITS AND ENJOY HEALTHIER LIVES. STUDENTS ARE TAUGHT HOW TO USE THE OUTDOOR EQUIPMENT AND HOW ACTIVITY BENEFITS THEIR BODIES WHILE ALSO AIDING IN BUILDING SOCIAL SKILLS, CHARACTER AND LEADERSHIP SKILLS. EXCELA HEALTH, THROUGH ITS FOUNDATIONS, HAS BEEN GIVING GRANTS TO AREA SCHOOLS FOR THIS INITIATIVE SINCE 2014 WITH PREVIOUS RECIPIENTS INCLUDING GREATER LATROBE JUNIOR HIGH SCHOOL (LATROBE), NORWIN HILLCREST INTERMEDIATE SCHOOL (NORTH HUNTINGDON) AND FRANKLIN REGIONAL HERITAGE ELEMENTARY SCHOOL (MURRYSVILLE). THE GRANT PROVIDES STATE-OF-THE-ART FITNESS EQUIPMENT, INDOOR FITNESS EQUIPMENT, A CURRICULUM WITH GAMES, ACTIVITIES AND CHALLENGES FOR CHILDREN WITH THE INDOOR AND OUTDOOR EQUIPMENT. THE PROGRAM ALSO TEACHES CHARACTER DEVELOPMENT, SPORTSMANSHIP, TEAMWORK AND LEADERSHIP SKILLS. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
7. EXCELA'S MALL WALKERS PROGRAM CONTINUED FOR THE SEVENTH YEAR IN 2017/2018, WITH A NEW HIGH OF MORE THAN 400 INDIVIDUALS EACH MONTH (EXCLUDING DECEMBER) AT WESTMORELAND MALL, LOCATED IN GREENSBURG, PA. 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. IN THIS YEAR, BIOMETRIC SCREENINGS WERE OFFERED AT THE START OF YEAR AND AT THE END SO INDIVIDUALS COULD GAUGE PROGRESS IN THEIR HEALTH STATUS THROUGH NUMBERS SUCH AS CHOLESTEROL LEVELS, BLOOD PRESSURE AND MORE. 8. IN FEBRUARY 2018, EXCELA HEALTH BEREAVEMENT COUNSELORS AND STAFF FROM OUR CLUBHOUSE, A GROUP WHO PROVIDES FREE EMOTIONAL AND SOCIAL SUPPORT TO THOSE TOUCHED BY CANCER IN WESTERN PENNSYLVANIA, OFFERED YOGA AND ART THERAPY AS A MEANS OF HELPING COMFORT THOSE WHO HAVE LOST A LOVED ONE TO CANCER. THE SESSIONS INCLUDED GENTLE YOGA, MEDITATION, REIKI, DIALOGUE AND ART THERAPY TO EXPRESS AND RELEASE GRIEF AS AN ALTERNATIVE MEANS OF COPING. 9. UNDERSTANDING THE IMPORTANCE OF PREPARING HIGH SCHOOL STUDENTS FOR CAREERS AFTER GRADUATION, EXCELA HEALTH HOSTED A TWO-DAY "STEAM" CAREER FAIR HELD AT WESTMORELAND COUNTY COMMUNITY COLLEGE IN MARCH 2018. THE EVENT FOCUSED ON THE PROMOTION OF HEALTHCARE CAREERS IN SCIENCE, TECHNOLOGY, ENGINEERING, ARTS AND MATHEMATICS TOPICS INCLUDING LABORATORY WORK, INFORMATION TECHNOLOGY, FINANCE, SURGERY AND MUCH MORE. PROFESSIONALS FROM OUR MANY DISCIPLINES PROVIDED GROUP AND ONE-ON-ONE INTERACTIONS WITH THE STUDENTS ALONG WITH PREPARATION, SUCH AS TECHNICAL SCHOOL, COLLEGE, ETC., FOR THESE CAREERS AND OTHERS. JUST OVER 250 STUDENTS ATTENDED THROUGHOUT THE EVENT. 10. THE NURSING PROFESSIONAL IMAGE AND COMMUNITY PARTNERSHIP COMMITTEE TEAMED UP WITH DERRY AREA SCHOOL DISTRICT TO ASSIST WITH A CHRISTMAS DINNER PROJECT. THE COMMITTEE CREATED A LIST OF NON-PERISHABLE FOOD ITEMS TO CREATE A CHRISTMAS DINNER FOR FAMILIES IN THE AREA. ADDITIONAL ITEMS WERE COLLECTED TO SUPPLEMENT THE FAMILIES' FOOD NEED. THE 150 PARTICIPANTS WERE ELIGIBLE FOR FREE/REDUCED LUNCHES DURING THE SCHOOL YEAR. THE DESIRE WAS TO FILL THE GAP DURING THE HOLIDAY BREAK. STAFF FROM 18 LATROBE HOSPITAL DEPARTMENTS COLLECTED 150 OF THE ASSIGNED ITEMS DURING THE MONTH OF NOVEMBER WITH DELIVERY ON DECEMBER 14, 2017. FURTHER, PERSONAL HYGIENE ITEMS WERE ALSO DONATED AND PACKED WITH THE BOXES HANDED OUT OR DELIVERED DECEMBER 16. TURKEYS WERE PROVIDED BY THE SCHOOL PURCHASED THROUGH DONATIONS. 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 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. 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, HEALTHY HABITS, 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 THEY SERVE, 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 WCNS AND SENATOR KIM WARD SENIOR FAIRS, PENN TOWNSHIP COMMUNITY FAIR, THE PITTSBURGH PRIDE FESTIVAL, 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 & MONIES EXPENDED - POPULATIONS SERVED 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 - $177,064 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, VOLUNTEERS AND CONTRACT EMPLOYEES RECEIVING THE FLU VACCINE - $4,236 COST ABSORBED FOR PROVIDING VACCINE - $68,284 LIVES TOUCHED THROUGH THE WELL-BEING CENTER PROFESSIONALS AND OTHERS VIA DIABETES EDUCATION, SMOKING CESSATION, PRE-NATAL CLASSES AND MORE - $5,101 DISCOUNTS PROVIDED TO SUBSCRIBERS BASED ON INCOME ACCORDING TO AREA AGENCY ON AGING INCOME GUIDELINES FOR THE LIFELINE PERSONAL EMERGENCY RESPONSE PROGRAM FOR OLDER ADULTS OR THOSE AT MEDICAL RISK - $4,644 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 & MONIES EXPENDED -POPULATIONS SERVED COMMUNITY HEALTH FAIRS, SCREENINGS, EDUCATION PROGRAMS - $626,018 LIVES TOUCHED THROUGH COMMUNITY HEALTH/WELLNESS EFFORTS - 244,418 FREE SCREENINGS PERFORMED - 13,100 COMMUNITY HEALTH PUBLICATIONS - $66,675 COMMUNITY CONTRIBUTIONS - $225,000 CONTINUING MEDICAL EDUCATION PROVIDED THROUGH THE HEALTH SYSTEM FOR ITS MEDICAL STAFF - $23,998 TUITION REIMBURSEMENT FOR EMPLOYEES RAISING THEIR LEVEL OF EDUCATION ULTIMATELY BENEFITTING THE QUALITY OF CARE DELIVERED - $806,369 VOLUNTEER HOURS DONATED SYSTEM-WIDE (CAN TRANSLATE TO $965,555 OF TIME SPENT AIDING THE HEALTH SYSTEM MISSION) - 71,364 HOSPICE VOLUNTEER MILEAGE TRACKED AS AN IN-KIND DONATION - $10,349 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 - $22,777 THE EMPLOYEES CHARITABLE TRUST FUND: EXCELA HEALTH SYSTEM EMPLOYEES WHO, DURING FY 2017, 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: OTHER EXTERNAL AID - $5,000 INTERNAL AID - $41,000 OTHER (ACCOUNTING, MISC.) - $15,775 TOTAL - $63,275 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. 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 MORE THAN 120 YEARS. LICENSED BEDS: 578 STAFFED BEDS: 427 EMPLOYEES: 5,251 VOLUNTEERS AND AUXILIANS: 944 BIRTHS: 1,300 INPATIENT ADMISSIONS/OBSERVATIONS: 30,837 OUTPATIENT VISITS: 687,134 EMERGENCY DEPARTMENT VISITS: 101,516 COMMUNITIES SERVED: 97 ZIP CODES/ WESTMORELAND, FAYETTE, INDIANA COUNTIES SERVICE AREA POPULATION: 352,627 (IN WESTMORELAND COUNTY ONLY) |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
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 INCLUDES THE FOLLOWING 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, OB-GYN, OCCUPATIONAL MEDICINE, ORTHOPEDICS AND SPORTS MEDICINE, PAIN MEDICINE, PALLIATIVE CARE, PHYSIATRY, THORACIC SURGERY AND VASCULAR SURGERY. 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 375 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: 18,551 ACUTE CARE PATIENT DAYS: 67,680 NEWBORNS: 1,300 TOTAL OPERATING ROOM PROCEDURES: 10,278 LAB PROCEDURES AND TESTS: 1,530,698 EMERGENCY ROOM VISITS: 48,485 PHYSICAL THERAPY TREATMENTS: 236,930 OUTPATIENT SURGERIES: 7,104 OUTPATIENT VISITS: 340,263 OUTPATIENT X-RAY PROCEDURES: 136,883 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: $3,194,807 245 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 21,158 HOURS PATIENT EDUCATION MATERIALS: $29,892 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, NEWLY RENOVATED CRITICAL CARE UNIT WITH STATE-OF-THE-ART FEATURES AND 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. 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 48,485 INDIVIDUALS IN FY 2018. 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, A HEART FAILURE CLINIC, AN A-FIB CLINIC 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 EXCELA HEALTH SEEKS AND MEETS 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, EXCELA HEALTH ALSO OFFERS ATRIAL ABLATION TO CORRECT ATRIAL FIBRILLATION (A-FIB) AND SUPRAVENTRICULAR TACHYCARDIA (SVT). THE HEART CENTER PROCEDURES PERFORMED: OPEN HEART SURGERIES: 190 CARDIAC CATHETERIZATIONS: 2,850 ELECTROPHYSIOLOGY STUDIES: 11* DEVICE IMPLANTATIONS: 363 ABLATIONS: 127 CARDIAC REHABILITATION VISITS (ALL LOCATIONS): 29,752 PULMONARY REHABILITATION VISITS (ALL LOCATIONS): 2,260 *EP STUDIES ARE OFTEN INCLUDED WITH ABLATION AND MOST MAY NOT BE REFLECTED IN THIS NUMBER. ADDITIONALLY, INNOVATIVE PROGRAMS HAVE FURTHER INCREASED SURVIVAL RATES OF INDIVIDUALS EXPERIENCING A CARDIAC EVENT AND INCLUDE: |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
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 BEFORETHEY 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) 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 SILVER PLUS RECOGNITION THROUGH AMERICAN HEART ASSOCIATION "MISSION LIFELINE" AWARD. EXCELA HEALTH ACHIEVED MISSION: LIFELINE STEMI RECEIVING CENTER CERTIFICATION ON JUNE 20, 2017 (AND CONTINUING) THROUGH THE ACC/AHA. 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 2018 REACHED 1,300. 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. EXCELA HEALTH VOLUNTEER SERVICES, ALONG WITH THE MATERNITY CENTER, INSTITUTED A PROGRAM CALLED THE VOLUNTEER CUDDLER PROGRAM. VOLUNTEER "CUDDLERS" PROVIDE HOURS OF ONE-ON-ONE ATTENTION TO INFANTS WITH NEONATAL ABSTINENCE SYNDROME WITHIN THE HOSPITAL'S SPECIAL CARE (LEVEL II) NURSERY. BABIES BORN WITH ADDICTIONS ARE HELPED THROUGH THIS PROVEN METHOD OF HUMAN TOUCHING AND INTERACTION. FAMILY ADDITIONS MATERNITY CENTER NOW PART OF KEYSTONE SCHOLARS KEYSTONE SCHOLARS IS PENNSYLVANIA'S INVESTMENT IN A BABY'S FUTURE. WESTMORELAND COUNTY WAS SELECTED AS ONE OF SIX COUNTIES IN PENNSYLVANIA TO PARTICIPATE IN KEYSTONE SCHOLARS. THE PENNSYLVANIA TREASURY IS INVESTING $100 FOR EVERY BABY BORN OR ADOPTED IN WESTMORELAND COUNTY DURING CALENDAR YEARS 2018 AND 2019 TO USE FOR FUTURE HIGHER EDUCATION EXPENSES. A BABY WITH A HIGHER EDUCATION SAVINGS ACCOUNT AT BIRTH IS THREE TIMES MORE LIKELY TO PURSUE EDUCATION OR TRAINING AFTER HIGH SCHOOL AND FOUR TIMES MORE LIKELY TO GRADUATE. HIGHER EDUCATION INCLUDES COMMUNITY COLLEGE, VOCATIONAL AND TECHNICAL SCHOOLS, 2-YEAR COLLEGES, 4-YEAR COLLEGES, AND GRADUATE SCHOOL PROGRAMS. PARENTS HAVE UNTIL THE BABY'S FIRST BIRTHDAY TO CLAIM THE $100 KEYSTONE SCHOLARS INVESTMENT. KEYSTONE SCHOLAR ACCOUNTS CAN BE USED UP UNTIL THE CHILD TURNS 29. 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 684 PATIENTS AT WESTMORELAND HOSPITAL. THE DIABETES CENTER ALSO PROVIDES EDUCATION TO PERSONAL CARE AND GROUP HOMES, SEEING 452 PATIENTS IN FY 2018. 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. VARIED PROCEDURES TOTALED: OUTPATIENT X-RAY PROCEDURES: 136,883 OUTPATIENT SURGERIES: 7,104 OUTPATIENT GASTROENTEROLOGY PROCEDURES: 6,351 TOTAL OUTPATIENT REGISTRATIONS/VISITS: 340,263 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 $15 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. PHASES II AND III BOASTED RENOVATIONS TO THE LOBBY AREA AND CAF, ENHANCED DIAGNOSTICS WITH RAPID RESULTS AND RENOVATIONS TO THE SECOND AND THIRD FLOORS FOR MEDICAL SPECIALTY OFFICES. PHASE IV BEGAN IN THE SPRING OF 2018 WITH THE ADDITION OF A COMBINED FAMILY MEDICINE PRACTICE WITH RESIDENCY PROGRAM, A PRIMARY CARE PRACTICE AND NEW SPACE FOR ORTHOPEDICS AND SPORTS MEDICINE WITH THREE ORTHOPEDICS SPECIALISTS SEEING PATIENTS IN THAT SPACE. 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: 2,878 ACUTE CARE PATIENT DAYS: 8,892 TOTAL OPERATING ROOM PROCEDURES: 1,645 LAB PROCEDURES AND TESTS: 448,116 EMERGENCY ROOM VISITS: 22,849 PHYSICAL THERAPY TREATMENTS: 36,155 OUTPATIENT SURGERIES: 1,544 OUTPATIENT REGISTRATION/VISITS: 106,607 OUTPATIENT X-RAY PROCEDURES: 46,453 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: $1,084,210 61 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 11,204 HOURS PATIENT EDUCATION MATERIALS: $4,308 OUTPATIENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES ARE ALSO AVAILABLE HERE. 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 SAW 22,849 PATIENTS IN FY 2018. 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 24-YEAR CAREER AT EXCELA. 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. 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 176 PATIENTS AT FRICK HOSPITAL. THE DIABETES CENTER ALSO PROVIDES EDUCATION TO PERSONAL CARE AND GROUP HOMES, SEEING 452 PATIENTS IN FY 2018. OTHER OUTPATIENT PROCEDURES INCLUDE: OUTPATIENT X-RAY PROCEDURES: 46,453 OUTPATIENT SURGERIES: 1,544 OUTPATIENT GASTROENTEROLOGY PROCEDURES: 2,631 OUTPATIENT REGISTRATIONS/VISITS: 106,607 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 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 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. 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. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
TODAY, THIS 170 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: 9,408 ACUTE CARE PATIENT DAYS: 25,267 TOTAL OPERATING ROOM PROCEDURES: 7,182 LAB PROCEDURES AND TESTS: 972,227 EMERGENCY ROOM VISITS: 30,182 PHYSICAL THERAPY TREATMENTS: 104,993 OUTPATIENT SURGERIES: 5,872 OUTPATIENT REGISTRATION/VISITS: 240,264 OUTPATIENT X-RAY PROCEDURES: 83,637 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: $2,103,744 199 VOLUNTEERS DONATE OF THEIR TIME AND TALENTS: 24,978 HOURS PATIENT EDUCATION MATERIALS: $13,362 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. MOST RECENTLY, EXCELA HEALTH LATROBE HOSPITAL AND THE FAMILY MEDICINE RESIDENCY PROGRAM WERE THE RECIPIENTS OF THE 2ND ANNUAL DEWITT C. BALDWIN, JR. SPONSORING INSTITUTION AWARD GIVEN BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND ARNOLD P. GOLD FOUNDATION. FOUNDED IN 2016, THIS AWARD IS PRESENTED TO ACCREDITED RESIDENCY/FELLOWSHIP PROGRAMS THAT ARE EXEMPLARY IN FOSTERING A RESPECTFUL, SUPPORTIVE ENVIRONMENT FOR MEDICAL EDUCATION AND THE DELIVERY OF PATIENT CARE, WHICH LEADS TO THE PERSONAL AND PROFESSIONAL DEVELOPMENT OF LEARNERS. THE AWARD FOCUSES ON THE IMPORTANCE OF CREATING ENVIRONMENTS THAT COMPLETELY ELEVATE THE CONCEPT OF HUMANISM IN MEDICINE SO THAT ALL HEALTH CARE PROFESSIONALS ARE SUPPORTED. 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 30,182. 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. 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 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, 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. THE WOMEN'S CARE SERVICES LOCATED WITHIN THE EXCELA SQUARE AT LATROBE 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 EXAM AND ADDRESSES CONCERNS PRIVATELY. MEMBERS OF THE EXCELA HEALTH MEDICAL STAFF SPECIALIZING IN OBSTETRICS AND GYNECOLOGY OVERSEE THE EXAMINATION, TESTING AND TREATMENT. DURING FISCAL YEAR 2018, 3,319 PATIENTS VISITED THE FAMILY PLANNING CLINIC AS WELL A 1,767 VISITED THE PRENATAL CLINIC, ALL OF WHICH OPERATES ON A SLIDING SCALE ACCORDING TO INCOME AND FAMILY SIZE. HEALTHY WOMEN VISITS REALIZED A 50 PERCENT INCREASE OVER FISCAL YEAR 2017. THE BREAKDOWN IS AS FOLLOWS: FAMILY PLANNING VISITS: 3,319 HEALTHY WOMEN VISITS: 104 PRE-NATAL CLINIC: 1,767 GYNE CLINIC: 239 PRE-NATAL DELIVERIES: 115 EXCELA HEALTH PARTICIPATES IN A PENNSYLVANIA STATE PROGRAM CALLED SELECT PLAN FOR WOMEN AGES 18 TO 44 WHO QUALIFY FOR FREE SERVICES. EXCELA HEALTH ALSO OFFERS THE HEALTHY WOMEN PLAN FOR WOMEN OVER AGE 40 WHO ARE UNINSURED OR UNDERINSURED SO THAT THEY MIGHT RECEIVE FREE MAMMOGRAMS AND PAP SMEARS. PATIENTS UNDER AGE 18 ALSO RECEIVE FREE SERVICES. THESE CLINICS ALSO SERVE AS A CLINICAL TEACHING SITE FOR THE EXCELA HEALTH LATROBE FAMILY MEDICINE RESIDENCY PROGRAM. FIRST AND SECOND YEAR RESIDENTS SPEND ONE MONTH EACH ON INPATIENT SERVICES AND OUTPATIENT CLINICS. |
| FORM 990, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONT) |
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. SOME 299 PATIENTS RECEIVED EDUCATION AT LATROBE HOSPITAL. 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: 83,637 OUTPATIENT SURGERIES: 5,872 OUTPATIENT GASTROENTEROLOGY PROCEDURES: 5,959 OUTPATIENT REGISTRATION/VISITS: 240,264 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 AND SURROUNDING COUNTIES. THE HOME HEALTH TEAM HAS MORE THAN 40 YEARS OF COMBINED EXPERIENCE WORKING WITH PATIENTS AND THEIR FAMILIES, REGARDLESS OF THEIR ABILITY TO PAY. THE ORGANIZATION PRIDES ITSELF ON GETTING TO KNOW THE PATIENT AND LISTENING TO THE INDIVIDUAL'S HEALTH CARE CONCERNS. THE HOME HEALTH 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 HEALTH ASSESSMENT IS COMPLETED. WHILE HOME HEALTH 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 HEALTH AND HOSPICE-TRAINED VOLUNTEERS (NUMBERING 81 GIVING 10,108 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 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 YOGA REIKI MEN'S GROUP CANCER BEREAVEMENT SCRAPBOOKING 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: 133,883 HOME CARE ADMISSIONS: 7,525 HOME CARE PATIENTS SERVED (UNDUPLICATED): 7,282 HOSPICE ADMISSIONS: 732 HOSPICE VISITS: 21,115 HOSPICE PATIENTS SERVED (UNDUPLICATED): 827 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: $116,132 LIFELINE PERSONAL EMERGENCY RESPONSE UNDER THE AUSPICES OF EXCELA HEALTH HOME CARE & HOSPICE, THE LIFELINE PERSONAL EMERGENCY RESPONSE PROGRAM IS AN EASY-TO-USE, PERSONAL RESPONSE SERVICE. 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. EXCELA HEALTH 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 SIX TRAINED VOLUNTEERS WHO INSTALL, TROUBLESHOOT AND CHECK EQUIPMENT, MAKING FRIENDLY VISITS AS NEEDED. DISCOUNTS PROVIDED TO SUBSCRIBERS BASED ON INCOME ACCORDING TO AREA AGENCY ON AGING INCOME GUIDELINES: $4,644 SERVICE AREA (WESTMORELAND COUNTY AND BEYOND): 122 ZIP CODES LIFELINE SUBSCRIBERS: 380 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, 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.