| FORM 990, PART III, LINE 4A |
DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS PENNSYLVANIA HOSPITAL IS A 475 BED, COMMUNITY BASED, TERTIARY CARE TEACHING HOSPITAL PROVIDING A FULL RANGE OF DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES. THE HOSPITAL'S SPECIALTIES INCLUDE OBSTETRICS AND GYNECOLOGY, NEUROSCIENCES, ORTHOPEDICS, BEHAVIORAL HEALTH, CANCER TREATMENT, CARDIAC CARE, AND BLOODLESS MEDICINE AND SURGERY. SINCE ITS FOUNDING IN 1751, THE MISSION OF PENNSYLVANIA HOSPITAL HAS BEEN TO PROVIDE THE HIGHEST LEVEL OF HEALTH CARE FOR ALL, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED AND UNABLE TO PAY, OR WHEN GOVERNMENT ASSISTANCE REIMBURSEMENT FALLS BELOW COST. PENNSYLVANIA HOSPITAL ACCEPTS PATIENTS IN SERIOUS NEED OF PROFESSIONAL MEDICAL CARE, INDEPENDENT OF THEIR FINANCIAL STATUS. THIS DEFINITION INCLUDES THOSE PATIENTS SUFFERING FROM A MEDICAL CONDITION MANIFESTING ITSELF BY ACUTE SYMPTOMS OF SUFFICIENT SEVERITY (INCLUDING SEVERE PAIN) SUCH THAT THE ABSENCE OF IMMEDIATE MEDICAL ATTENTION COULD REASONABLY BE EXPECTED TO RESULT IN (1) PLACING THE HEALTH OF THE INDIVIDUAL (OR, WITH RESPECT TO A PREGNANT WOMAN, THE HEALTH OF THE WOMAN OR HER UNBORN CHILD) IN SERIOUS JEOPARDY, OR (2) SERIOUS IMPAIRMENT TO BODILY FUNCTIONS. ACCORDINGLY, PENNSYLVANIA HOSPITAL PROVIDES SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY, WITHOUT CHARGE OR AT AMOUNTS LESS THAN PENNSYLVANIA HOSPITAL'S ESTABLISHED RATES. BECAUSE PENNSYLVANIA HOSPITAL DOES NOT PURSUE COLLECTIONS, SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. PENNSYLVANIA HOSPITAL ESTIMATED $1,093,958 OF COSTS WERE INCURRED DURING 2019. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON DATA DERIVED FROM A COMBINATION OF THE PENNSYLVANIA HOSPITAL (UPHS) ACCOUNTING SYSTEM AND THE RATIO OF COSTS TO CHARGES. PENNSYLVANIA HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY. PENNSYLVANIA HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS, HOWEVER CERTAIN AMOUNTS ARE DEEMED TO BE UNCOLLECTIBLE. FOR 2019 $19,987,248 WAS CLASSIFIED AS AN IMPLICIT PRICE CONCESSION WHICH REDUCES NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE COSTS OF PROVIDING SERVICES TO ELIGIBLE WELFARE RECIPIENTS, WHO PARTICIPATE IN THE PENNSYLVANIA MEDICAL ASSISTANCE AND LOCAL MANAGED MEDICAID PROGRAMS EXCEEDED REIMBURSEMENT BY $38,123,781 IN 2019. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK, MAINTAINS RESEARCH FACILITIES FOR THE STUDY OF DISEASE AND INJURIES, PROVIDES FACILITIES FOR TEACHING AND TRAINING VARIOUS MEDICAL PERSONNEL, AND FACILITATES THE ADVANCEMENT OF MEDICAL AND SURGICAL EDUCATION. THE HOSPITAL ALSO PROVIDES VARIOUS COMMUNITY SERVICES SUCH AS SCREENINGS FOR THE DETECTION OF BREAST, COLORECTAL, AND SKIN CANCER, CANCER SUPPORT GROUPS, A TOLL-FREE NUMBER FOR CANCER INFORMATION, FREE IMMUNIZATION SHOTS, TRAINING PROGRAMS FOR THE CITY FIRE AND POLICE DEPARTMENTS, HEALTH EDUCATION CLASSES, SPEECHES AND REGULARLY PROVIDES HEALTH RELATED INFORMATION TO TELEVISION AND RADIO NEWS PROGRAMS AND TO REPORTERS AT NEWSPAPERS AND MAGAZINES. PENNSYLVANIA HOSPITAL PROVIDES A CONTINUUM OF HEALTH CARE SERVICES, INCLUDING EMERGENCY SERVICES, INPATIENT SERVICES, PRIMARY AND SPECIALTY CARE OUTPATIENT SERVICES, AND BEHAVIORAL HEALTH SERVICES. HEALTH SERVICES ARE PROVIDED FOR PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGIOUS BELIEF, ANCESTRY, GENDER, HANDICAP, AGE, OR NATIONAL ORIGIN. IN FISCAL YEAR 2019, PENNSYLVANIA HOSPITAL ADMITTED 17,957 ADULT PATIENTS AND HAD 295,715 OUTPATIENT VISITS. IN ADDITION, 59,912 PSYCHIATRY PATIENTS WERE TREATED. THE EMERGENCY DEPARTMENT TREATED 48,621 PATIENTS IN 2019. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS STAFFED AND EQUIPPED TO PROVIDE EXCELLENT EMERGENCY MEDICAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. ALL PATIENTS ARE EVALUATED REGARDLESS OF THEIR ABILITY TO PAY. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS RECOGNIZED BY THE EMERGENCY NURSES ASSOCIATION AS A LANTERN-RECOGNIZED EMERGENCY DEPARTMENT. THIS AWARD DISTINGUISHES EMERGENCY DEPARTMENTS FOR EXCELLENCE IN EXCEPTIONAL PRACTICE AND INNOVATIVE PERFORMANCE IN THE CORE AREAS OF LEADERSHIP, PRACTICE, EDUCATION, ADVOCACY AND RESEARCH. ONLY 1% OF EMERGENCY DEPARTMENTS NATIONWIDE HAVE RECEIVED THIS ESTEEMED RECOGNITION. COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN PENNSYLVANIA HOSPITAL IS AN ENTITY OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM, WHICH ALONG WITH THE PERELMAN SCHOOL OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA COMPRISES "PENN MEDICINE." AS A CHARITABLE ORGANIZATION AND NOT-FOR-PROFIT HEALTH CARE PROVIDER, THE HOSPITAL ENTITIES OF PENN MEDICINE CONDUCT A TRI-ANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO EVALUATE THE HEALTH CARE NEEDS OF THE COMMUNITIES THEY SERVE. IN 2019, PENNSYLVANIA HOSPITAL, PENN PRESBYTERIAN MEDICAL CENTER, AND THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA CONDUCTED A JOINT CHNA DUE TO THEIR SIMILAR SERVICE AREAS. CHESTER COUNTY HOSPITAL, LANCASTER GENERAL HOSPITAL, AND PRINCETON MEDICAL CENTER CONDUCTED CHNAS FOR THEIR RESPECTIVE COMMUNITIES. THROUGH QUANTITATIVE AND QUALITATIVE RESEARCH, ALONG WITH FEEDBACK FROM THE COMMUNITY AND KEY STAKEHOLDERS INCLUDING CLINICAL LEADERSHIP, HOSPITAL PATIENT ADVISORY GROUPS, EMPLOYEES, AND OTHERS, THE HEALTH NEEDS OF THE COMMUNITY AND SERVICE AREA OF PENNSYLVANIA HOSPITAL, PENN PRESBYTERIAN MEDICAL CENTER AND THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HAVE BEEN ASSESSED AND PRIORITIZED. THIS ASSESSMENT WAS COMPLETED IN COLLABORATION WITH PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, AND OTHER REGIONAL HOSPITALS AND HEALTH SYSTEMS. THE RESULTS CAN BE FOUND WITHIN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH NEEDS WERE FURTHER PRIORITIZED BASED ON THE SIZE OF HEALTH PROBLEM, IMPORTANCE TO THE COMMUNITY, CAPACITY OF HOSPITALS TO ADDRESS, ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION, AND AVAILABILITY OF EXISTING COLLABORATIVE EFFORTS. THE RESULTS AND DETAILS OF THIS HEALTH NEED PRIORITIZATION FOR PENNSYLVANIA HOSPITAL, PENN PRESBYTERIAN MEDICAL CENTER AND THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA CAN BE FOUND WITHIN THE 2019-2021 IMPLEMENTATION PLAN. THE FOLLOWING HEALTH NEEDS HAVE BEEN PRIORITIZED FOR PENNSYLVANIA HOSPITAL: 1. SUBSTANCE/OPIOID USE AND ABUSE 2. BEHAVIORAL HEALTH DIAGNOSIS AND TREATMENT (E.G. DEPRESSION, ANXIETY, TRAUMA-RELATED CONDITIONS, ETC.) 3. CHRONIC DISEASE PREVENTION (E.G. OBESITY, HYPERTENSION, DIABETES, AND CARDIO VASCULAR DISEASE (CVD)) 4. MATERNAL MORTALITY AND MORBIDITY 5. ACCESS TO AFFORDABLE PRIMARY AND PREVENTIVE CARE 6. ACCESS TO AFFORDABLE SPECIALTY CARE 7. HEALTHY FOOD ACCESS AND AFFORDABILITY 8. AFFORDABLE AND HEALTHY HOUSING 9. HEALTHCARE AND HEALTH RESOURCES NAVIGATION 10. LINGUISTICALLY- AND CULTURALLY- APPROPRIATE HEALTHCARE 11. RACISM AND DISCRIMINATION IN HEALTHCARE FOLLOWING PLEASE FIND SERVICES AND PROGRAMS COLLECTIVELY BENEFITING THE COMMUNITY AND SERVICE AREA OF PENNSYLVANIA HOSPITAL, PENN PRESBYTERIAN MEDICAL CENTER AND THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA. THESE SERVICES AND PROGRAMS ARE LISTED UNDER THE PRIORITIZED HEALTH NEED THEY SERVE AND ARE PARTIALLY OR FULLY SUBSIDIZED BY PENN MEDICINE: |
| FORM 990, PART III, LINE 4A (CONT.) |
1. SUBSTANCE/OPIOID USE AND ABUSE NATIONAL ACADEMY OF MEDICINE ACTION COLLABORATIVE ON COUNTERING THE U.S. OPIOID EPIDEMIC: PENN MEDICINE IS A COMMITTED NETWORK ORGANIZATION MEMBER OF THE NATIONAL ACADEMY OF MEDICINE ACTION COLLABORATIVE ON COUNTERING THE U.S. OPIOID EPIDEMIC. TO IMPROVE COORDINATION AND ACCELERATE THE PACE OF CHANGE, THE NATIONAL ACADEMY OF MEDICINE HAS PARTNERED WITH THE ASPEN INSTITUTE AND MORE THAN 100 OTHER ORGANIZATIONS TO FORM AN ACTION COLLABORATIVE ON COUNTERING THE U.S. OPIOID EPIDEMIC. THIS ONE-OF-A-KIND PUBLIC-PRIVATE PARTNERSHIP COMPRISES GOVERNMENT, COMMUNITIES, HEALTH SYSTEMS, PROVIDER GROUPS, PAYERS, INDUSTRY, NONPROFITS, ACADEMIA, AND MORE - ALL COMMITTED TO SHARING KNOWLEDGE, ALIGNING ONGOING INITIATIVES, AND ADVANCING COLLECTIVE, MULTI-SECTOR SOLUTIONS. PENN MEDICINE OPIOID TASK FORCE: THE PENN MEDICINE OPIOID TASK FORCE WAS ESTABLISHED IN 2017 AS A SYSTEM-WIDE PROGRAM IN RESPONSE TO THE NATIONWIDE OPIOID CRISIS. THE PRINCIPLE OBJECTIVES OF THE TASK FORCE ARE TO ALIGN OPIOID GUIDELINES ACROSS PENN MEDICINE, REDUCE THE TOTAL NUMBER OF OPIOID DOSES PRESCRIBED, DIMINISH DEPENDENCE ON OPIOIDS, AND RAISE THE STANDARD OF CARE FOR PATIENTS WITH ACUTE AND CHRONIC PAIN. INITIATIVES LED BY PENN MEDICINE'S OPIOID TASK FORCE INCLUDE DEVELOPMENT OF TARGETED BEHAVIORAL STRATEGIES, INCLUDING ELECTRONIC MEDICAL RECORDS ALERTS TO PROMOTE GUIDELINE CONCORDANT OPIOID DISPENSING FOR PATIENTS WITH ACUTE CONDITIONS; ROUTINE NALOXONE CO-PRESCRIBING FOR PATIENTS AT ELEVATED RISK OF UNINTENDED OVERDOSE; AND CONTROLLED MEDICATION COMPLETION FOR INDICATED PATIENTS. THROUGH ALIGNMENT WITH PENN MEDICINE'S ENTERPRISE-WIDE ERAS (ENHANCED RECOVERY AFTER SURGERY) COLLABORATIVE, THE OPIOID TASK FORCE WORKS TO IDENTIFY AND PROMOTE OPIOID-SPARING APPROACHES TO PAIN MANAGEMENT AFTER SURGICAL CASES AND SUPPORT EVIDENCE-BASED POSTOPERATIVE PRESCRIBING PRACTICES. THE TASK FORCE ALSO GUIDES ON-GOING EVALUATION AND OPTIMIZATION OF PAIN PROTOCOLS ACROSS EVERY SECTION OF ORTHOPEDIC SURGERY AT PENN MEDICINE IN ORDER TO KEEP THE GOALS OF PAIN MANAGEMENT AND DEPENDENCY AVOIDANCE AT THE FOREFRONT OF EACH PAIN MANAGEMENT PLAN. IN-DEVELOPMENT SERVICES INCLUDE A DEDICATED UNIT FOR CARE OF PATIENTS WITH LONG-TERM ACUTE CARE NEEDS RELATED TO SEQUELAE OF OPIOID USE, SUCH AS OSTEOMYELITIS AND ENDOCARDITIS. CENTER FOR ADDICTION MEDICINE AND POLICY: IN 2019-2020, PENN MEDICINE WILL LAUNCH A NEW CENTER TO BOLSTER OUR ALREADY ROBUST RESPONSE EFFORTS BY PREVENTING THE DEVELOPMENT OF OUD, OFFERING EVIDENCE-BASED TREATMENTS FOR THOSE SUFFERING FROM IT, AND CONTRIBUTING TO BUILDING A CULTURE OF DESTIGMATIZATION BY CARING FOR PATIENTS WITH THESE CHRONIC MEDICAL CONDITIONS JUST AS WE WOULD PATIENTS LIVING WITH DIABETES OR HYPERTENSION. THE CENTER'S SPECIFIC FOCUS WILL BE HARM REDUCTION POLICIES AND ADDICTION TREATMENT INITIATIVES. IT WILL ENHANCE CLINICAL CARE BY PROVIDING INCREASED ACCESS TO TREATMENT INITIATION AND CONTINUITY FOR PATIENTS WITH SUBSTANCE USE DISORDERS, IMPROVE PATIENT OUTCOMES THROUGH RESEARCH AND DISSEMINATION OF EVIDENCE-BASED STRATEGIES, AND MITIGATE THE STIGMA OF ADDICTION BY PROMOTING EDUCATION IN SUBSTANCE USE RECOGNITION AND TREATMENT. THE CENTER WILL COMPLEMENT THE ONGOING EFFORTS TO ADDRESS THE OPIOID CRISIS BY PENN MEDICINE'S OPIOID TASK FORCE. UPHS' INITIATIVES - WHICH HAVE REDUCED THE NUMBER OF PRESCRIBED OPIOIDS BY MILLIONS OF TABLETS IN THE PAST TWO YEARS - INCLUDED THE ADOPTION OF "ENHANCED RECOVERY" PROTOCOLS TO REDUCE OPIOID USE IN SURGERY PATIENTS, CHANGES TO DEFAULT SETTINGS IN ELECTRONIC HEALTH RECORDS TO ENCOURAGE PRESCRIBERS TO CHOOSE ALTERNATIVE PAIN MANAGEMENT STRATEGIES, AS WELL AS AN ALERT SYSTEM THAT REMINDS DOCTORS TO PRESCRIBE NALOXONE IN THOSE LESS COMMON INSTANCES WHEN HIGHER DOSES OF OPIOIDS ARE PRESCRIBED. CENTER FOR OPIOID RECOVERY & ENGAGEMENT (CORE): PENN MEDICINE'S EMERGENCY DEPARTMENTS ARE AT THE FRONT LINES OF THIS CRISIS. THE CORE (CENTER FOR OPIOID RECOVERY AND ENGAGEMENT) PROVIDES COMPREHENSIVE PEER SUPPORT FOR INDIVIDUALS STRUGGLING WITH OPIOID USE, AS WELL AS THEIR LOVED ONES. OUR MISSION IS TO SUPPORT ALL PATHWAYS TO RECOVERY, REMOVE BARRIERS, AND INSPIRE HOPE. TREATMENTS FOR OPIOID USE DISORDER IS EVOLVING AND PENN MEDICINE IS A LEADER IN INCREASING ACCESS TO EVIDENCE-BASED TREATMENTS. HISTORICALLY, REHAB AND DETOX WERE THE STANDARD TREATMENTS, BUT THE SUCCESS RATE FOR THESE MODALITIES ALONE IS ONLY 5-10%. HOWEVER, MEDICATION-ASSISTED TREATMENT (MAT), WHICH UTILIZES MEDICATIONS LIKE BUPRENORPHINE AND METHADONE, ARE MUCH MORE PROMISING WITH SUCCESS RATES IN THE RANGE OF 60-80%. WE HAVE TRANSFORMED THE WAY PENN MEDICINE DELIVERS EMERGENCY DEPARTMENT (ED) CARE TO OUD PATIENTS, BEGINNING WITH ENHANCED PATIENT IDENTIFICATION. PENN MEDICINE ALSO EMPLOYS CERTIFIED RECOVERY SPECIALISTS (CRS), WHO PROVIDE OUD PATIENTS WITH BEDSIDE COUNSELING AND PEER SUPPORT AFTER DISCHARGE. CONSERVATIVELY, WE ESTIMATE THAT THIS WORK WILL PREVENT 187 OVERDOSES EACH YEAR. WE WILL CONTINUE BUILDING UPON THIS IMPORTANT AREA OF WORK. PRIMARY CARE MEDICATION ASSISTED TREATMENT (MAT): PRIMARY CARE PROVIDERS ARE A CRITICAL PART OF OUR RESPONSE TO THE OPIOID EPIDEMIC. THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH AND THE DIVISION OF GENERAL INTERNAL MEDICINE HAVE LED EFFORTS TO ADDRESS OUD IN PRIMARY CARE AND INCREASE ACCESS TO COMPREHENSIVE MEDICATION ASSISTED TREATMENT (MAT) IN PRIMARY CARE. IN 2018, TWO PRIMARY CARE CLINICS, PENN FAMILY CARE AND THE PENN CENTER FOR PRIMARY CARE INITIATED A CAMPAIGN TO INCREASE THE PROPORTION OF PRIMARY CARE FACULTY AND RESIDENTS WHO HAVE A WAIVER TO PRACTICE OPIOID DEPENDENCY TREATMENT WITH APPROVED BUPRENORPHINE MEDICATIONS. AS A RESULT, 20 FACULTY PROVIDERS IN THESE TWO CLINICS AND 49 RESIDENT PROVIDERS CARE FOR PATIENTS LIVING WITH OUD THROUGH MAT. IN ADDITION, BOTH CLINICS HAVE EMBEDDED WEEKLY, DEDICATED MAT PATIENT CARE SESSIONS INTO THEIR CLINICAL OPERATIONS. THE GOAL OF THESE PATIENT CARE SESSIONS IS TO INCREASE ACCESS TO HIGH QUALITY ADDICTION CARE FOR PATIENTS WHILE EXPOSING RESIDENTS TO THIS VULNERABLE POPULATION AND GAINING COMFORT IN PRESCRIBING MAT. WE AIM TO CHANGE PERCEPTIONS ABOUT MAT, DECREASE STIGMA, AND HAVE IT TRULY INTEGRATED INTO THE ROLE OF PRIMARY CARE. TO DATE, 130 PATIENTS HAVE BEEN ABLE TO RECEIVE MAT AT THEIR PRIMARY CARE PROVIDER'S OFFICE. BOTH CLINICS WILL CONTINUE TO OFFER MAT AND WORK WITH CORE AND THE ED PROVIDERS TO INCREASE ACCESS TO CARE. THE HEALTHY LIBRARY INITIATIVE (HLI): PUBLIC LIBRARIES ARE FREE AND ACCESSIBLE TO ALL AND ARE CENTERS OF COMMUNITY ENGAGEMENT AND EDUCATION, MAKING THEM LOGICAL CHOICES AS PARTNERS FOR IMPROVING POPULATION HEALTH. LIBRARY STAFF MEMBERS ROUTINELY ASSIST PATRONS WITH UNMET HEALTH AND SOCIAL NEEDS. HLI IS A COLLABORATION BETWEEN THE UNIVERSITY OF PENNSYLVANIA'S PENN CENTER FOR PUBLIC HEALTH INITIATIVES, PHILADELPHIA'S LIBRARIES, THEIR PROGRAMS, AND STAFF WHO PLAY A ROLE IN PROMOTING HEALTHY COMMUNITIES. WITH THE INFORMATION COLLECTED THROUGH COMMUNITY-BASED PARTICIPATORY RESEARCH, HLI HAS DEVELOPED HEALTH PROGRAMMING AND TRAININGS OF EMPLOYEES THROUGHOUT THE LIBRARY SYSTEM THAT FOCUSES ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH. TWO HLI INITIATIVES TARGET THE OPIOID EPIDEMIC IN PHILADELPHIA: NALOXONE TRAININGS AT PUBLIC LIBRARIES, A CROSS-SECTORAL PARTNERSHIP: WITH THE GOAL OF DEVELOPING A NATIONWIDE NETWORK OF PUBLIC LIBRARIES AS COMMUNITY HEALTH SENTINELS, HLI CONDUCTED A SURVEY OF ALL PENNSYLVANIA LIBRARIES TO ASSESS HOW LIBRARIES SUPPORT THE SOCIAL, PHYSICAL, AND MENTAL HEALTH OF THEIR PATRONS. IN PENNSYLVANIA, 12% OF PUBLIC LIBRARIES EXPERIENCED OVERDOSES ON-SITE IN 2016. CONSIDERING THESE FINDINGS, HLI PARTNERED WITH THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH) AND THE FREE LIBRARY OF PHILADELPHIA TO DEVELOP AND TEST LIBRARY-BASED OVERDOSE PREVENTION TRAININGS FOR STAFF AND PATRONS. THESE TRAININGS HAVE BEEN IN HIGH DEMAND AND ATTRACTED MORE THAN 300 PARTICIPANTS IN THE FIRST YEAR ALONE. GIVEN THE HIGH DEMAND, THE PROGRAM EXPANDED FROM TWO INITIAL LIBRARIES TO 14 LIBRARIES THROUGHOUT PHILADELPHIA. PDPH IS ALSO USING FREE LIBRARY BRANCHES FOR MONTHLY "NARCAN GIVEAWAY DAYS," TO DISTRIBUTE FREE NALOXONE TO COMMUNITY RESIDENTS. WE WILL CONTINUE TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF EVIDENCE-BASED TRAININGS FOR OVERDOSE REVERSAL AND THE DISTRIBUTION OF NALOXONE. |
| FORM 990, PART III, LINE 4A (CONT.) |
CENTER FOR HEALTH INCENTIVES AND BEHAVIORAL ECONOMICS NALOXONE WORK: BASED ON INTERVIEW DATA FROM THE LIBRARY-BASED NALOXONE TRAININGS, WE IDENTIFIED BEHAVIORAL BARRIERS AND FACILITATORS TO NALOXONE ACQUISITION AND CARRYING FOLLOWING A TRAINING. USING THIS "BEHAVIORAL DIAGNOSIS," WE CONDUCTED TWO SEQUENTIAL PILOT RANDOMIZED TRIALS, TESTING TRAINING ENHANCEMENTS THAT ADDRESS THOSE BARRIERS USING STRATEGIES SUCH AS COMMITMENT PLEDGES AND PLANS, FRAMING, AND TAILORED TEXT MESSAGE NUDGES. THE GOAL OF THIS STUDY IS TO DEVELOP NOVEL EVIDENCE-BASED INTERVENTIONS TO INCREASE NALOXONE UPTAKE. IN ADDITION TO THE 140 PARTICIPANTS OUR TEAM TRAINED TO USE NALOXONE DURING THE STUDY, WE TRAINED OVER 130 NON-STUDY PARTICIPANTS, INCLUDING STAFF AT THE CENTER FOR HEALTHCARE INNOVATION, STUDENT HEALTH SERVICES, AND MEDICAL STUDENTS. PHILLY RESPOND: TO RAISE PUBLIC ENGAGEMENT IN OVERDOSE PREVENTION, FACULTY, STAFF AND STUDENTS FROM THE PERELMAN SCHOOL OF MEDICINE OF THE UNIVERSITY OF PENNSYLVANIA AND THE CENTER FOR PUBLIC HEALTH INITIATIVES WORK WITH THE PHILADELPHIA INQUIRER TO LEAD PHILLY RESPOND--A PROJECT THAT INCORPORATES COMMUNITY STORYTELLING, VISUAL IMAGES, AND DATA ANALYSIS TO SHIFT SOCIAL NORMS AND REDUCE THE STIGMA SURROUNDING SUD. THE MISSION OF PHILLY RESPOND IS TO REDUCE THE TOLL OF THE OVERDOSE CRISIS BY EMPOWERING PHILADELPHIA CITIZENS TO CARRY NALOXONE AND REVERSE OVERDOSES. PHILLY RESPOND MAINTAINS A PUBLICLY AVAILABLE CALENDAR OF NALOXONE TRAININGS, MAINTAINS AN FAQ PAGE ON NALOXONE, AND PROVIDES INFORMATION ON WHERE TO GET NALOXONE. WE ALSO FEATURE STORY SLAM, STORYTELLING EVENTS WHERE PARTICIPANTS SHARE STORIES ABOUT THEIR PERSONAL EXPERIENCES WITH NALOXONE IN PHILADELPHIA WITH THE GOAL OF USING STORIES TO ENGAGE PHILADELPHIANS TO CARRY AND USE NALOXONE, TO BE PART OF OUR COMMUNITY'S COLLECTIVE ACTION TO HALT OVERDOSE DEATHS IN OUR CITY. THE BETHESDA PROJECT: THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF NURSING AND PENN MEDICINE PROVIDE TRAINING TO BETHESDA PROJECT STAFF ON NALOXONE RESCUE FOR OPIOID OVERDOSES. THE INTENSIVE WORKSHOP INCLUDES A SIMULATION TRAINING IN THE RECOGNITION OF SIGNS AND SYMPTOMS OF OPIOID OVERDOSES AND ADMINISTRATION OF INTRANASAL NALOXONE. OVER 50 STAFF AND VOLUNTEERS HAVE COMPLETED THE TRAINING WITH 75% OF PARTICIPANTS REPORTING A MODERATE TO EXCEPTIONAL ADVANCEMENT IN NINE KNOWLEDGE AND COMPETENCY AREAS. WE WILL CONTINUE TO SUPPORT THE BETHESDA PROJECT AND THEIR TRAINING NEEDS. PREVENTION POINT PHILADELPHIA (PPP): PENN MEDICINE IS WORKING WITH LONG-STANDING COMMUNITY ORGANIZATIONS THAT CARE FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS. THE MISSION OF PPP IS TO PROMOTE HEALTH, EMPOWERMENT, AND SAFETY FOR COMMUNITIES AFFECTED BY DRUG USE AND POVERTY. PENN MEDICINE WILL CONTINUE THIS WORK ALLOWING US TO PROVIDE MORE ADDICTION COUNSELING SERVICES, CASE MANAGEMENT, FREE AND CLEAN NEEDLE EXCHANGE, LEGAL SERIES AND OVERDOSE PREVENTION AND REVERSAL TRAINING. FACULTY AND RESIDENTS FROM THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH ARE PART OF THE CARE TEAM AT PPP AND WILL CONTINUE TO PROVIDE CARE FOR INDIVIDUALS WITH SUBSTANCE USE DISORDERS. IN ADDITION, PERELMAN SCHOOL OF MEDICINE STUDENTS WILL CONTINUE TO VOLUNTEER AT PREVENTION POINT TO SUPPORT THEIR CARE TEAM AND INCREASE THE NUMBER OF COMMUNITY MEMBERS WHO ARE SERVED. MOTHERS MATTER: PENN PRESBYTERIAN MEDICAL CENTER AND MATERNITY CARE COALITION WORK TOGETHER TO INCREASE ACCESS TO MAT FOR PREGNANT WOMEN WITH OUD. AS RATES OF MATERNAL OPIOID USE HAVE SURGED OVER THE PAST DECADE, SO TOO HAVE RATES OF ADVERSE PREGNANCY OUTCOMES. IN FACT, OPIATE USE IS ASSOCIATED WITH A SIX-FOLD INCREASED RISK FOR MISCARRIAGE, PREMATURITY, DELAYED INFANT NEUROLOGICAL DEVELOPMENT, AND NEONATAL ABSTINENCE SYNDROME (NAS). MOTHERS MATTER OFFERS COMPREHENSIVE, COMPASSIONATE CARE FOR PREGNANT AND POSTPARTUM WOMEN WHOSE LIVES HAVE BEEN IMPACTED BY OPIOID DEPENDENCE. THE PROGRAM AIMS TO REDUCE POST PREGNANCY RELAPSE RATES BY ADDRESSING SOCIAL AND PSYCHOLOGICAL BARRIERS TO REHABILITATION, WHICH CAN COMPLICATE TREATMENT FOR OPIATE DEPENDENCE. PATIENTS ARE SCREENED BY SPECIALISTS AND CONNECTED TO BEHAVIORAL HEALTH SERVICES AND SUPPORT THEY MIGHT NEED BOTH DURING AND AFTER PREGNANCY. MIGHT NEED BOTH DURING AND AFTER PREGNANCY. |
| FORM 990, PART III, LINE 4A (CONT.) |
2. BEHAVIORAL HEALTH DIAGNOSIS AND TREATMENT (E.G. DEPRESSION, ANXIETY, TRAUMA-RELATED CONDITIONS, ETC.) PRIMARY CARE SERVICE LINE INTEGRATED BEHAVIORAL HEALTH: PROVIDING ADDICTION AND OTHER MENTAL HEALTH CARE IN THE PRIMARY CARE SETTING HAS BEEN DEMONSTRATED TO REDUCE HEALTH CARE COSTS, IMPROVE FUNCTION AND SYMPTOM OUTCOMES FOR PATIENTS, AND IMPROVE PROVIDER SATISFACTION. COLLABORATIVE CARE MODELS HAVE PROVEN TO BE SUCCESSFUL ACROSS THE UNITED STATES. THE MODEL HAS BEEN SHOWN TO CONTROL COSTS, IMPROVE ACCESS TO MENTAL HEALTH CARE, IMPROVE CLINICAL OUTCOMES, AND INCREASE PATIENT SATISFACTION IN A VARIETY OF PRIMARY CARE SETTINGS - RURAL, URBAN, AND AMONG VETERANS. COLLABORATIVE CARE IS ALSO KNOWN TO INCREASE RESPONSE TO MENTAL HEALTH AND SUBSTANCE USE TREATMENTS BY 60 PERCENT. IN 2018, THE PENN MEDICINE PRIMARY CARE SERVICE LINE PARTNERED WITH THE DEPARTMENT OF PSYCHIATRY TO DEVELOP AND IMPLEMENT AN INTEGRATED MODEL OF BEHAVIORAL HEALTH CARE, THE COLLABORATIVE CARE BEHAVIORAL HEALTH (CCBH) PROGRAM. CCBH PUTS LICENSED CLINICAL SOCIAL WORKERS (LCSWS) SPECIALLY TRAINED IN MENTAL HEALTH CARE INTO PRIMARY CARE OFFICES. FIVE LICENSED SOCIAL WORKERS (LCSW) WORK IN EIGHT PENN MEDICINE PRIMARY CARE PRACTICES IN WEST PHILADELPHIA AND CENTER CITY AND ARE AVAILABLE TO OVER 100,000 PATIENTS. THESE EXPERTS WORK WITH A PRIMARY CARE PROVIDER AND A PSYCHIATRIST TO ASSESS AND TREAT PATIENTS AS NEEDED DURING THEIR PRIMARY CARE APPOINTMENTS SERVICES RANGE FROM SCREENING FOR DEPRESSION TO SUPPORTING THOSE WHO ARE STRUGGLING WITH ADDICTION. FURTHERMORE, IF A PATIENT IS IN ACUTE DISTRESS OR HAS A SAFETY CONCERN, SUCH AS SUICIDAL THOUGHTS OR IMPULSIVE BEHAVIOR, A PHYSICIAN WILL FACILITATE A WARM HANDOFF - A REAL-TIME TRANSFER OF CARE - TO THE LCSW FOR ASSESSMENT RISK-STRATIFICATION, AND REFERRAL TO THE APPROPRIATE LEVEL OF CARE. THE PROGRAM ALSO WORKS TO PROACTIVELY IDENTIFY PATIENTS WHO ARE HIGH RISK OR WHO MAY BENEFIT FROM ENROLLMENT IN CCBH DUE TO COMORBID MEDICAL AND PSYCHIATRIC ISSUES. THIS POPULATION-HEALTH STRATEGY EMPHASIS PREVENTION AND ACCESS TO ENSURE THAT PATIENTS' SUFFERING IS ADDRESSED EARLY AND OFTEN. THE SYSTEM ALSO INCORPORATES MEASUREMENT TOOLS TO TRACK QUALITY TREATMENT, AND ACCOUNTABILITY METRICS - SUCH AS TIMELINESS OF ACCESS TO CARE, SYMPTOM REMISSIONS, AND USE OF THE EMERGENCY ROOM. THE CCBH WILL CONTINUE TO GROW TO MEET THE CARE NEEDS OF OUR COMMUNITY. STEVEN A. COHEN MILITARY FAMILY CLINIC: THE UNIVERSITY OF PENNSYLVANIA'S STEVEN A. COHEN MILITARY FAMILY CLINIC PROVIDES NO COST, HIGH-QUALITY, INTEGRATED MENTAL HEALTH CARE FOR VETERANS AND MILITARY FAMILY MEMBERS IN AN INDEPENDENT, PRIVATE SETTING. OUR MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR MILITARY FAMILIES AND VETERANS, INCLUDING THOSE FROM THE NATIONAL GUARD AND RESERVES, REGARDLESS OF ROLE OR DISCHARGE STATUS. SERVICES INCLUDE PERSONALIZED, EVIDENCE-BASED BEHAVIORAL HEALTH CARE. MENTAL HEALTH TREATMENT IS AVAILABLE AT NO COST AND WITH NO LONG WAITS FOR VETERANS AND THEIR FAMILY MEMBERS. THE CLINIC OFFERS EARLY MORNING AND EVENING HOURS AS WELL AS TRANSPORTATION ASSISTANCE AND TELEHEALTH OPTIONS IN ORDER TO HELP MILITARY FAMILIES ACCESS THE CARE THEY DESERVE. TRAUMA PROGRAM: MANY CHILDREN IN OUR COMMUNITY ARE EXPOSED TO VIOLENCE AND TRAUMA, WHICH CAN HAVE LIFELONG AND DEVASTATING EFFECTS ON THEIR WELL-BEING. PENN MEDICINE WILL CONTINUE TO INVEST IN THE PENN CENTER FOR YOUTH AND FAMILY TRAUMA RESPONSE AND RECOVER, WHICH PROVIDES A RANGE OF INTERVENTIONS FOR CHILDREN AND THEIR FAMILIES AND ADDRESS THE PHYSICAL AND PSYCHOLOGICAL SYSTEMS ASSOCIATED WITH TRAUMA. AS THE ONLY PROVIDER IN THE PHILADELPHIA AREA THAT OFFERS EFFECTIVE EARLY INTERVENTION FOR YOUTH, THE CENTER IS AN ESSENTIAL POINT OF ACCESS TO SPECIALIZED BEHAVIORAL HEALTH SERVICES FOR THOSE IN OUR COMMUNITY. HALL-MERCER COMMUNITY MENTAL HEALTH CENTER HALL-MERCER CMHC OFFERS OUTPATIENT SERVICES RANGING FROM PSYCHOTHERAPY TO COUNSELING THROUGH A VARIETY OF SPECIALIZED PROGRAMS FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, CHRONIC MENTAL ILLNESS, AND RELATED PROBLEMS. THE CENTER RECEIVES THE MAJORITY OF ITS SUPPORT FROM THE CITY AND STATE, BUT PENNSYLVANIA HOSPITAL SUBSIDIZES A SIGNIFICANT PORTION OF ITS SERVICES. MANY OUTPATIENT SERVICES ARE AVAILABLE ON A SLIDING SCALE FEE BASIS. SPECIAL PROGRAMS WITHIN HALL-MERCER INCLUDE: ACCESS INTENSIVE CASE MANAGEMENT IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS AUTHORIZED TO THIS PROGRAM ARE HOMELESS OR MAY HAVE A HISTORY OF BEING HOMELESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. ADULT MENTAL HEALTH SERVICES PROVIDES COMPREHENSIVE OUTPATIENT MENTAL HEALTH SERVICES IN CENTER CITY, SOUTH PHILADELPHIA AND SURROUNDING AREAS. SPECIFIC SERVICES INCLUDE CRISIS INTERVENTION, EVALUATION, PSYCHOTHERAPY, PHARMACOTHERAPY, AND SOCIAL REHABILITATION. EMPHASIS IS ON PROVIDING ALL PERSONS WHO HAVE SEVERE AND CHRONIC MENTAL ILLNESS WITH OUTSTANDING CARE IN A PLEASANT ENVIRONMENT AND RESPECTFUL MANNER. BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC): HALL-MERCER PROVIDES BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC). THE CLINICAL TEAM AT THE PJJSC PROVIDES ADJUSTMENT/CRISIS SERVICES, INDIVIDUAL THERAPY FOR YOUTH WITH EXTENDED LENGTH OF STAY, AND PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT. BLENDED CASE MANAGEMENT (BCM) IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS IN THE PROGRAM MAY HAVE A HISTORY OF HOMELESSNESS. BCM PARTICIPANTS REQUIRE LESS INTENSIVE CASE MANAGEMENT SERVICES THAN THOSE ENROLLED IN ACCESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. HALL MERCER ALSO OFFERS A SOUTHEAST ASIAN BLENDED CASE MANAGEMENT PROGRAM WHICH PROVIDES BCM TO ADULTS WHO SPEAK CANTONESE, MANDARIN, VIETNAMESE, KHMER, OR LAO. CASE MANAGERS IN THIS PROGRAM PROVIDE ENGLISH INTERPRETATION TO HELP PARTICIPANTS CONNECT TO PUBLIC BENEFITS AND OTHER COMMUNITY SUPPORTS. CHILD AND FAMILY MENTAL HEALTH SERVICES PROVIDES MENTAL HEALTH EVALUATIONS AND TREATMENT TO CHILDREN AND ADOLESCENTS AGE 3-18 AND THEIR FAMILIES, WHO ARE RESIDENTS OF PHILADELPHIA. CHILD AND PARENT CENTER THIS PROGRAM OFFERS PLAY/DISCUSSION EXPERIENCE FOR INFANTS, TODDLERS, THEIR PARENTS AND CAREGIVERS, AND CONSULTATION AND TRAINING TO PARENTS AND PROFESSIONALS ON PARENTING AND CHILD DEVELOPMENT ISSUES. THEY INCLUDE: . WEEKLY PARENT-CHILD PLAYGROUPS . EXPLORING PARENTHOOD DISCUSSION GROUPS FOR FIRST-TIME PARENTS . DROP-IN SERVICE FOR MAKEUP GROUPS . PARENTING WORKSHOPS . THE CENTER HELPS SUBSIDIZE PROGRAM COSTS FOR FAMILIES WHO CANNOT AFFORD TO PAY PROGRAM FEES. CHILDREN'S COMMUNITY BASED SERVICE DEPARTMENT WAS ESTABLISHED TO BRING TOGETHER THE COMMUNITY BASED CHILDREN'S SERVICE PROGRAMS THAT PROVIDE CLINICAL AND CASE MANAGEMENT SERVICES IN THE COMMUNITY TO CHILDREN AND THEIR FAMILIES. THE DEPARTMENT IS MADE UP OF CHILDREN'S BLENDED CASE MANAGEMENT AND HOME-SCHOOL CONNECTION. THE RANGE OF SERVICES PROVIDED INCLUDES CLINICAL EVALUATIONS AND REFERRALS, INDIVIDUAL AND GROUP THERAPY, FAMILY MEETINGS, CRISIS INTERVENTION AND CASE MANAGEMENT SERVICES. THESE PROGRAMS SERVICE CHILDREN AND ADOLESCENTS. THE RANGE OF SERVICES PROVIDED IN THE SCHOOL INCLUDE CLINICAL EVALUATIONS AND REFERRALS, CASE MANAGEMENT SERVICES, BEHAVIORAL THERAPEUTIC SERVICES AND GROUPS. THESE PROGRAMS TARGET CHILDREN AND ADOLESCENTS. EARLY CHILDHOOD PROGRAM: HALL-MERCER RECENTLY PARTNERED WITH THE PENN CENTER FOR MENTAL HEALTH TO BRING AUTISM SERVICES TO CHILDREN 3-5 YEARS OLD. THE EARLY CHILDHOOD PROGRAM SERVES AS A THERAPEUTIC PRESCHOOL FOR CHILDREN WHO STRUGGLE WITH EMOTIONAL AND BEHAVIORAL REGULATION, SOCIAL COMMUNICATION SKILLS, AND PLAY SKILLS - MAKING IT DIFFICULT FOR THEM TO LEARN IN A TRADITIONAL SCHOOL ENVIRONMENT. THE PROGRAM HAS THE CAPACITY TO SERVE 32 CHILDREN ON A DAILY BASIS, IN OUR NATURALIST CHILD-LED LEARNING SPACE. |
| FORM 990, PART III, LINE 4A (CONT.) |
INTELLECTUAL DISABILITIES PROGRAMS PROVIDE AN ARRAY OF SERVICES TO ADULTS WITH INTELLECTUAL DISABILITIES AND THEIR FAMILIES TO SUPPORT INDIVIDUAL CHOICE, COMMUNITY INVOLVEMENT, AND USE OF TRADITIONAL AND NATURAL RESOURCES. THESE INCLUDE THE INTENSIVE SERVICES CASE MANAGEMENT PROGRAM (ISCM) AND THE COMMUNITY DAY TRAINING PROGRAM FOR ADULTS. THE ISCM PROGRAM IS A CITY-WIDE PROGRAM WHICH WORKS IN COLLABORATION WITH THE PHILADELPHIA OFFICE OF INTELLECTUAL DISABILITIES (IDS) TO PROVIDE EMERGENCY SUPPORTS COORDINATION TO ADULTS WITH INTELLECTUAL DISABILITIES LIVING IN ALL CATCHMENT AREAS. THE PROGRAM OPERATES 24 HOURS A DAY, 7 DAYS PER WEEK AND RESPONDS TO EMERGENCY SITUATIONS SUCH AS EMERGENCY PLACEMENT DUE TO ABUSE, NEGLECT OR DEATH OF A CAREGIVER, MOVING INDIVIDUALS FROM SUBSTANDARD LIVING CONDITIONS INTO A SAFE LIVING ENVIRONMENT. THE ISCM PROGRAM ALSO ASSISTS UNDERSERVED INDIVIDUALS IN THE COMMUNITY TO BECOME REGISTERED AND RECEIVE SERVICES THROUGH IDS. THE COMMUNITY DAY TRAINING PROGRAM PROVIDES PSYCHO-SOCIAL HABILITATION SERVICES, BEHAVIORAL SHAPING AND SUPPORTIVE COUNSELING SERVICES TO ADULTS DIAGNOSED WITH INTELLECTUAL DISABILITIES AND MENTAL ILLNESS. SERVICES ARE DESIGNED TO PROMOTE THE DEVELOPMENT OF OPTIMAL COMMUNITY ADJUSTMENT AND INTEGRATION. PHIICAPS (PHILADELPHIA INTENSIVE IN-HOME CHILD AND ADOLESCENT PSYCHIATRY SERVICE) PROVIDE INTENSIVE FAMILY TREATMENT AND CASE MANAGEMENT TO 40 FAMILIES AT A TIME. THE CHILD OR ADOLESCENT IS IDENTIFIED TO BE SEVERELY EMOTIONALLY DISTURBED AND AT RISK OF HOSPITALIZATION OR OUT OF HOME PLACEMENT. MODALITIES INCLUDE INDIVIDUAL AND FAMILY THERAPY AND CASE MANAGEMENT IN THE HOME, ENVIRONMENT AND SCHOOL DOMAINS. PHIICAPS HAS 2 TEAMS, EACH MADE UP OF 1 MASTER'S LEVEL CLINICIAN AND 1 BACHELORS LEVEL MENTAL HEALTH WORKER. PREVENTION AND RECOVERY SERVICES (PARS) IS A 90-DAY TARGETED CASE MANAGEMENT SERVICE WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS IN THIS PROGRAM MAY HAVE A HISTORY OF HOMELESSNESS. CASE MANAGERS, THROUGH A TEAM APPROACH AND RECOVERY-BASED MODEL, PROVIDE RAPID INTERVENTION TO ASSIST INDIVIDUALS WITH CONNECTING TO SUPPORTS WHICH WILL ALLOW THEM TO REACH THE HIGHEST LEVEL OF INDEPENDENT FUNCTIONING POSSIBLE. TRAUMA PROGRAM: PENN CENTER FOR YOUTH AND FAMILY TRAUMA RESPONSE AND RECOVERY PROVIDES TREATMENT AND INTERVENTIONS FOR CHILDREN AND THEIR FAMILIES SUFFERING FROM A RANGE OF TRAUMATIC STRESS DISORDERS. IN ADDITION TO PROVIDING PROVEN TREATMENTS FOR YOUTH WITH PTSD AND TRAUMATIC STRESS SYMPTOMS, THE CENTER HAS SPECIAL EXPERTISE IN THE PROVISION OF AN EARLY INTERVENTION AFTER A TRAUMATIC EVENT THAT PREVENTS THE DEVELOPMENT OF PTSD IN CHILDREN AND YOUTH. OTHER HALL-MERCER ACTIVITIES: -STAFF MEMBER WORK WITH PENN MEDICINE CARES TO VOLUNTEER AT COUNCILWOMAN BLACKWELL'S GIFT WRAP FOR HOMELESS AND DISADVANTAGED CHILDREN, IN PREPARATION FOR HER ANNUAL HOLIDAY PARTY. -IN COLLABORATION WITH PA HOSPITAL HOSTED AN ANNUAL FOOD DRIVE. (ANNUAL) -HALL MERCER DEVELOPED A CLOTHES ROOM TO ASSIST CONSUMERS IN NEED. (ONGOING) -HALL MERCER DEVELOPED A FOOD PANTRY TO ASSIST CONSUMERS IN NEED. (ONGOING) -HALL MERCER HOSTS A THANKSGIVING LUNCHEON FOR OVER 200 CONSUMERS. (ANNUAL) -HEALTH AND WELLNESS COMMITTEE - IMPLEMENTED A HALL MERCER CHOIR THAT CONSISTS OF CONSUMERS, LED BY STAFF. (ONGOING) -STAFF MEMBER VOLUNTEER COMMUNITY EVENT FOR CHURCH TO PROVIDE HEALTH AND EDUCATION RESOURCES TO THE COMMUNITY. (ANNUAL) -STAFF MEMBER VOLUNTEER AT GILDA CLUB CANCER SUPPORT CENTER FOR CHILDREN. (ONGOING) -STAFF MEMBER VOLUNTEER ONE WEEK A YEAR AT OVERNIGHT SUMMER CAMP FOR CHILDREN WITH CHROME AND COLITIS DISEASE. (ANNUAL) -STAFF MEMBER IS ON ASIAN SENIOR COMMITTEE: PLANS 911 FUNDRAISING TO ASSIST CHILDREN OF 911 VICTIMS AND HOLIDAY PARTIES FOR CHILDREN (ANNUAL) -STAFF MEMBER OF THE PHILADELPHIA MEDICAL RESERVE CORPS IS A COMMITTED GROUP OF VOLUNTEERS, WITH AND WITHOUT MEDICAL BACKGROUNDS, WHO HELP KEEP PHILADELPHIA SAFE BY RESPONDING TO PUBLIC HEALTH EMERGENCIES. THE PHILADELPHIA MRC HELPS ENSURE THAT ALL PHILADELPHIANS, ESPECIALLY THE MOST VULNERABLE, RECEIVE THE CARE THEY NEED DURING A PUBLIC HEALTH CRISIS. (ONGOING) -MEMBER OF THE PHILADELPHIA MRC. A GROUP OF MEDICAL, PUBLIC HEALTH, AND OTHER VOLUNTEERS WHO ARE READY TO SERVE PHILADELPHIA DURING PUBLIC HEALTH EMERGENCIES OR OTHER TIME OF NEED. (ONGOING) -STAFF MEMBER VOLUNTEERS TO RESPOND DURING LARGE AND SMALL-SCALE EMERGENCIES, SUCH AS AN INFLUENZA PANDEMIC, A BIOTERRORISM EVENT, A SEVERE STORM THAT REQUIRES THE CITY TO OPEN MASS SHELTERS, OR OTHER EVENT THAT OVERWHELMS COMMUNITY RESOURCES. (ONGOING). -THE THERAPIST IN THE DUAL DIAGNOSIS OUTPATIENT PROGRAM HAS ENGAGED THE AA INTERGROUP TO ACCEPT OUR CONSUMERS TO WORK AT THEIR CENTER CITY OFFICES, AIDING IN THEIR RECOVERY. (ONGOING) -ADULT OUTPATIENT SERVICES PROVIDE A HOLIDAY PARTY FOR ALL CONSUMERS. (ANNUAL) -FRIENDS OF HALL MERCER HOSTED A HOLIDAY MEAL FOR CONSUMERS AND FRIENDS. (ANNUAL) -HALL MERCER PARTNER WITH NURSING COUNCIL TO DISTRIBUTE BLESSING BAGS TO THE HOMELESS POPULATION. (ANNUAL) -COMMUNITY DAY TRAINING CONSUMERS VOLUNTEER AT THE PAH GIFT SHOP, THE BARGAIN SHOP, AND ALSO AT JEFFERSON HOSPITAL. (ONGOING) -CONSUMER RUN SNACK STORE. (ONGOING) -HALL MERCER IMPLEMENTED A PATIENT RECOVERY MENTAL HEALTH AND HEALTH AND WELLNESS PROGRAM. (ONGOING) -STAFF VOLUNTEERS WITH LOCAL ANIMAL RESCUE ORGANIZATION. (ONGOING) -THE ISCM PROGRAM HOSTED A TRAINING AND AWARDS LUNCHEON FOR CONSUMERS AND THEIR PERSONAL CARE HOME PROVIDERS. CONSUMERS RECEIVED ACHIEVEMENT AWARDS AND GIFT CARDS COMPLIMENTS OF THE PA HOSPITAL AUXILIARY. (ANNUAL) -HALL MERCER PROVIDES BEHAVIORAL HEALTH TRAINING AND EDUCATION TO THE STAFF OF AREA COMMUNITY RESIDENTIAL PROGRAMS AND HOMELESS SHELTERS. (ONGOING) -HALL MERCER PARTNERED WITH PAH FOOD AND NUTRITION DEPARTMENT TO SPONSOR A FAMILY AT CHRISTMAS. -HALL MERCER PROGRAMS ADOPTED FAMILIES DURING THE HOLIDAY SEASON. -HEART WALK - PARTICIPATED IN PAH EVENT -STAFF MEMBERS VOLUNTEERED TO HOST MENTAL HEALTH SCREENING EVENTS IN COLLABORATION WITH THE PHILADELPHIA, DEPARTMENT OF BEHAVIORAL HEALTH -SCREENING OPPORTUNITY *P4P* >NATIONAL DEPRESSION SCREENING DAY >MENTAL HEALTH SCREENING >MEN'S AND VIOLENCE EDUCATION THE MILL CREEK SCHOOL IS A FULLY LICENSED HIGH SCHOOL FOR ADOLESCENTS GRADES 7-12 WHO ARE EXPERIENCING PSYCHIATRIC, EMOTIONAL, BEHAVIORAL OR SOCIAL ADAPTATION PROBLEMS AND WHO ARE UNABLE TO FUNCTION IN A LARGE GROUP SETTING. THE SCHOOL PROVIDES A COMPLETE COLLEGE-BOUND CURRICULUM AND MULTIPLE THERAPEUTIC AND EMOTIONAL SUPPORTS. SOCIAL-SKILLS ARE DEVELOPED THROUGH PARTICIPATION IN COMMUNITY SERVICE PROJECTS AND CLASS TRIPS. FOR FISCAL YEAR 2019, THE FOLLOWING COMMUNITY SERVICE PROJECTS WERE COMPLETED: . HATS FOR THE HOMELESS- STUDENTS KNIT WINTER HAT AND DONATE THEM TO THE BROAD STREET MINISTRY, AN AGENCY SERVING PHILADELPHIA HOMELESS . CRADLES TO CRAYONS- STUDENTS VOLUNTEERED AND PROVIDED SUPPLIES TO CHILDREN FROM BIRTH THROUGH AGE 12, LIVING IN HOMELESS SITUATIONS . HEART WALK- STUDENTS PARTICIPATED IN THE EVENT ON THE PENNSYLVANIA HOSPITAL TEAM . PHILABUNDANCE- STUDENTS PACKED MEALS FOR THIS HUNGER RELIEF ORGANIZATION AT ITS WAREHOUSE . PENNIES FOR PATIENTS- PENNIES WERE COLLECTED BY THE STUDENTS TO BENEFIT LEUKEMIA LYMPHOMA SOCIETY . AMERICAN HEART ASSOCIATION- STUDENTS FUNDRAISED FOR FISCAL YEAR 2019, THE MILL CREEK SCHOOL PROVIDED THE FOLLOWING CLASS TRIPS FOR ITS STUDENTS: . ANNENBERG THEATER & LANTERN THEATER . BARNES FOUNDATION . MUTTER MUSEUM . DREXEL UNIVERSITY PHYSICS . PHILADELPHIA MUSEUM OF ART . THE ROCK SCHOOL OF BALLET'S PRESENTATION OF THE NUTCRACKER |
| FORM 990, PART III, LINE 4A (CONT.) |
3. CHRONIC DISEASE PREVENTION (E.G. OBESITY, HYPERTENSION, DIABETES, AND CARDIO VASCULAR DISEASE (CVD)) COLORECTAL CANCER SCREENING OUTREACH AND NAVIGATION PROGRAM: THIS INNOVATIVE COMMUNITY-BASED PROGRAM MAKES COLON CANCER SCREENING CONVENIENT, ACCESSIBLE, AND AFFORDABLE. THE PROGRAM HAS EXPANDED SCREENING OPTIONS OFFERED AT PENN MEDICINE REACHING OVER 3,800 PEOPLE IN THE COMMUNITY, INCLUDING HEALTH CENTERS, WITH A CONVENIENT AT-HOME SCREENING OPTION FOR PEOPLE WHO WOULD NOT OTHERWISE HAVE BEEN SCREENED. THIS PROGRAM HAS PROVIDED 763 PATIENTS WITH FREE COLONOSCOPY AND 43% WERE FOUND TO HAVE ONE CONDITION. FIVE PATIENTS WERE DIAGNOSED WITH COLORECTAL CANCER AND TREATED. PENN MEDICINE BREAST HEALTH INITIATIVE: IN RECOGNITION OF THE BARRIERS TO SCREENING AND TREATMENT FOR BREAST CANCER, PENN MEDICINE OFFERS BREAST SCREENINGS AS WELL AS DIAGNOSTIC AND TREATMENT SERVICES TO UNDERSERVED AND UNINSURED WOMEN IN PARTNERSHIP WITH MORE THAN A DOZEN NONPROFITS AND CLINICS IN THE REGION. SINCE THE PROGRAM'S INCEPTION IN 2014, IT HAS PROVIDED FREE MAMMOGRAMS TO OVER 3,000 WOMEN. OVER 50% OF THE WOMEN IN THIS PROGRAM ARE LATINA AND 28% ARE AFRICAN AMERICAN; 56% DO NOT SPEAK ENGLISH. TO DATE, 35 CASES OF BREAST CANCER HAVE BEEN IDENTIFIED AND TREATED. CAN PREVENT CANCER: PENN MEDICINE OFFERS AN ANNUAL COMMUNITY BASED CONFERENCE FOCUSED ON CANCER EDUCATION AND AWARENESS INCLUDING COLON, BREAST AND LUNG CANCER. THIS YEAR 8,350 PATIENTS AND CAREGIVER PARTICIPATED IN THIS EDUCATIONAL EVENT. SAVE TO SCREEN: THIS FAITH-BASED OUTREACH PROGRAM TARGETS AFRICAN AMERICAN COMMUNITIES IN PHILADELPHIA. THE GOAL IS TO PROVIDE DIVERSE COMMUNITIES AND FAITH-BASED LEADERS WITH CANCER EDUCATION, OUTREACH AND SCREENING. THIS YEAR SAVE TO SCREEN HOSTED SEVEN EVENTS WHICH ATTRACTED 2,700 ATTENDEES. FURTHER, OUR PROGRAM PROVIDED 195 FREE ON-SITE CANCER SCREENINGS. STROKE COMMUNITY EDUCATION PROGRAM: IN RECOGNITION THAT STROKE IS THE NUMBER ONE PREVENTABLE CAUSE OF DISABILITY, PENN MEDICINE OFFERS COMMUNITY EDUCATIONAL PROGRAMMING AT EVERY HOSPITAL. STROKE HAS MANY RISK FACTORS, INCLUDING HIGH BLOOD PRESSURE AND DIABETES. THESE FACTORS ARE AN IDENTIFIED NEED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT, SO EFFORTS ARE MADE TO ASSIST THE COMMUNITY IN COMBATING THESE RISK FACTORS ALONG WITH INCREASING THE AWARENESS OF STROKE SYMPTOMS. WALK WITH A FUTURE DOC (WWFD): THIS PLACE-BASED PROGRAM AIMS TO PROMOTE PHYSICAL ACTIVITY AND PROMOTE WELL-BEING IN NEIGHBORHOODS, TARGETING OBESITY, HYPERTENSION, AND DIABETES. PENN'S CENTER FOR PUBLIC HEALTH INITIATIVES, IN PARTNERSHIP WITH MEDICAL STUDENTS FROM THE PERELMAN SCHOOL OF MEDICINE, CREATED ONE OF THE FIRST WWFD CHAPTERS IN THE COUNTRY. THESE BIWEEKLY WALKS START WITH A SHORT TALK FROM A MEDICAL STUDENT ON A RELEVANT HEALTH TOPIC, FOLLOWED BY A BRIEF Q&A SESSION. THE ONE-HOUR WALK AROUND THE NEIGHBORHOOD IS VERY INFORMAL, AND DURING THE WALK, MEDICAL STUDENTS TALK WITH THE PARTICIPANTS ABOUT HEALTH TOPICS RELATED TO CHRONIC DISEASE. THE PERELMAN SCHOOL OF MEDICINE FACULTY AND MEDICAL STAFF OF THE PENN MEDICINE HOSPITALS MENTOR THE MEDICAL STUDENTS AND PROVIDE OVERSIGHT FOR THE EDUCATIONAL CONTENT. COMMUNITY-ACADEMIC PARTNERSHIPS TO INCREASE PHYSICAL ACTIVITY (CAP-IPA) AND DANCE FOR HEALTH: THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF NURSING'S STUDENT-LED COMMUNITY CHAMPIONS PROGRAM-WHICH COMPRISES 15 INITIATIVES-BRINGS NURSING STUDENTS OUT OF THE CLASSROOM AND INTO THE GREATER PHILADELPHIA COMMUNITY TO SHARE THEIR SKILLS AND LEARN FROM THEIR EXPERIENCES. THE COMMUNITY CHAMPIONS PROGRAM IS THE VEHICLE BY WHICH THE SCHOOL OF NURSING PROMOTES HEALTHY LIFESTYLES AND PROVIDES COMMUNITY MEMBERS ACROSS THE LIFESPAN WITH HEALTH SCREENING AND INFORMATION ABOUT NUTRITION AND DIET, PHYSICAL ACTIVITY, NEWBORN CARE, BREAST CANCER AWARENESS, AND SEXUAL HEALTH. ONE PROGRAM, DANCE FOR HEALTH, IS A PROGRAM FOR ALL AGES THAT HAS ENGAGED OVER 1,000 COMMUNITY MEMBERS, FOUR SITES AND OFFERS FREE DANCE FITNESS CLASSES AIMED TO EMPOWER COMMUNITY MEMBERS. CLASSES ARE OFFERED IN CONCERT WITH LOCAL COMMUNITY ORGANIZATIONS. |
| FORM 990, PART III, LINE 4A (CONT.) |
4. MATERNAL MORTALITY AND MORBIDITY THE HEART SAFE MOTHERHOOD PROGRAM: FOR WOMEN THAT HAVE BEEN DIAGNOSED WITH PREECLAMPSIA DURING THEIR PREGNANCY, CLINICAL RECOMMENDATIONS ENCOURAGE NEW MOMS TO SCHEDULE A FOLLOW-UP VISIT WITH THEIR DOCTOR WITHIN A WEEK OF DELIVERY TO HAVE THEIR BLOOD PRESSURE CHECK. FOR MANY WOMEN, COMING TO COMING TO THE OFFICE AFTER HAVING A NEWBORN IS DIFFICULT FOR A VARIETY OF REASONS. THIS PROGRAM IS A FIRST-OF-ITS-KIND TEXT-MESSAGE BASED PROGRAM THAT MAKES POSTPARTUM BLOOD PRESSURE MONITORING MORE CONVENIENT FOR WOMEN DIAGNOSED WITH PREECLAMPSIA AND OTHER BLOOD PRESSURE DISORDERS DURING PREGNANCY AND PROMOTES COMMUNICATION WITH THEIR CARE TEAM WITHOUT VISITING A DOCTOR'S OFFICE. OBSTETRICS CARE AT PHILADELPHIA FEDERALLY QUALIFIED HEALTH CENTERS (FQHC): DESPITE PENN MEDICINE'S EXTENSIVE NETWORK OF INPATIENT AND OUTPATIENT CLINICAL SERVICES AND PARTNERSHIPS, ACCESS ISSUES TO WOMEN'S HEALTH SERVICES PERSIST IN OUR CATCHMENT AREA. TO RESPOND TO THIS NEED, CLINICIANS FROM THE DEPARTMENTS OF FAMILY MEDICINE AND COMMUNITY HEALTH, AND OBSTETRICS AND GYNECOLOGY HAVE ESTABLISHED PARTNERSHIPS WITH FQHCS IN WEST PHILADELPHIA TO PROVIDE TIMELY PRENATAL CARE, FAMILY PLANNING SERVICES, SCREENING FOR CANCER AND SEXUALLY TRANSMITTED DISEASES INCLUDING HIV, AND URGENT AND EMERGENCY OBSTETRIC CARE. AS A RESULT OF THIS PARTNERSHIP, 280 DELIVERIES IN THE PAST YEAR ALONE WERE FACILITATED THROUGH THIS PARTNERSHIP. SAFE SLEEP AWARENESS FOR EVERY WELL NEWBORN (S.A.F.E.): THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF NURSING RECEIVED A THREE-YEAR GRANT FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH TO DESIGN AND INNOVATE A NEW PROGRAM MODEL FOR PROMOTING SAFE SLEEP PRACTICES FOR NEWBORNS. TO TAKE OUR COMMITMENT FURTHER, THE SCHOOL ROLLED OUT THE MODEL TO THE PENN MEDICINE HOSPITALS, AS WELL AS ITS COMMUNITY PARTNERS, COMMUNITY ORGANIZATIONS AND PROVIDE CONTINUING EDUCATION TO CASCADE THIS IMPORTANT RESEARCH. DICKENS CENTER FOR WOMEN'S HEALTH: THE HELEN O. DICKENS CENTER FOR WOMEN IN THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY IS COMMITTED TO PROVIDING PERSONALIZED CARE TO WOMEN OF ALL AGES, FULFILLING PENN MEDICINE'S PHILOSOPHY OF SERVING THE COMMUNITY. DR. DICKENS WAS THE FIRST FEMALE AFRICAN AMERICAN DOCTOR TO BECOME BOARD CERTIFIED IN OBSTETRICS AND GYNECOLOGY IN PHILADELPHIA AS WELL AS THE FIRST TO BE NAMED A FELLOW OF THE AMERICAN COLLEGE OF SURGEONS. SHE WORKED TO EDUCATE YOUNG WOMEN ABOUT THEIR REPRODUCTIVE HEALTH IN ORDER TO REDUCE THE INCIDENCE OF TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASES. THE DICKENS CENTER SERVES MAINLY MEDICARE, MEDICAID AND UNINSURED PATIENTS. PENN MEDICINE OFFERS UNCOMPENSATED AND UNDERCOMPENSATED CARE FOR THOSE WHO QUALIFY, BASED ON FINANCIAL COUNSELING. THE CENTER OFFERS PRENATAL CARE, GYNECOLOGY AND COLPOSCOPY SERVICES. THE CENTER HAS ESTABLISHED WORKING RELATIONSHIPS AND PROGRAMS WITH CITY AND COMMUNITY AGENCIES, STATE-FUNDED PROGRAMS AND MANAGED CARE ORGANIZATIONS, TO ENSURE THAT WOMEN HAVE ACCESS TO THE SERVICES THAT FIT THEIR EDUCATIONAL, FINANCIAL AND PSYCHOSOCIAL NEEDS. THE CENTER ALSO PROVIDES CARE AT THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH'S HEALTH CENTER 3 AND OFFERS CONSULTATIONS AND CARE FOR WOMEN WITH COMPLEX MEDICAL AND OBSTETRIC CONDITIONS OR FETAL ANOMALIES. THE CENTER'S INTEGRATED HIGH-RISK PROGRAM COMBINES CARE COORDINATORS, PHYSICIANS AND NURSE PRACTITIONERS ALLOWING US TO PROVIDE A UNIQUE LEVEL OF CONTINUITY FOR OUR PATIENTS. PENN MATERNAL FETAL MEDICINE FOR HIGH RISK PREGNANCY: OBSTETRICIANS AND MIDWIVES CAN CARE FOR MOST WOMEN DURING PREGNANCY. HOWEVER, SOMETIMES HAVING A BABY IS MORE COMPLICATED. A PREGNANCY IS CONSIDERED HIGH RISK WHEN THERE ARE POTENTIAL COMPLICATIONS THAT COULD AFFECT THE MOTHER, THE BABY OR BOTH. PENN MEDICINE MATERNAL FETAL MEDICINE SPECIALISTS WORK TO EVALUATE DIAGNOSE AND MONITOR HIGH-RISK PREGNANCIES AND DEVELOP INITIATIVES. PENN PREMATURITY PREVENTION PROGRAM IS DEDICATED TO REDUCING PRETERM BIRTHS ACROSS THE PHILADELPHIA COMMUNITY. PREMATURE BABIES ARE AT INCREASED RISK FOR NEWBORN MEDICAL COMPLICATIONS AND FACE AN INCREASED RISK OF LIFELONG HEALTH PROBLEMS. A PREMATURE DELIVERY OCCURS BEFORE A MOTHER HAS COMPLETED HER 37TH WEEK OF PREGNANCY. IN THE UNITED STATES, ABOUT 12.8 PERCENT OF BABIES (MORE THAN HALF A MILLION A YEAR) ARE BORN PREMATURELY. THE PROGRAM'S HIGH-RISK PREGNANCY SPECIALISTS EDUCATE, EVALUATE, DIAGNOSE AND TREAT WOMEN AT RISK FOR PRETERM DELIVERY. PENN PERINATAL DIABETES PROGRAM IS DEDICATED TO SERVING WOMAN WHO EXPERIENCE TYPE 1 OR TYPE 2 DIABETES DURING PREGNANCY. THE GOAL OF THE PENN PERINATAL DIABETES PROGRAM IS TO KEEP MOTHER AND BABY HEALTHY THROUGHOUT THE PREGNANCY. PREGNANT WOMEN IN THIS PROGRAM RECEIVE INTENSIVE CARE COORDINATION, NUTRITION EDUCATION AND MATERNAL FETAL MEDICINE POSTPARTUM CARE. BREASTFEEDING SUPPORT SERVICES AT PENN IS A FOCUSED EFFORT TO PROVIDE EDUCATION AND LITERACY ABOUT THE BENEFIT OF BREASTFEEDING. PENN MEDICINE PROVIDES BREASTFEEDING SUPPORT VIA COMMUNITY CLASSES, DISCUSSION GROUPS, LACTATION CONSULTANTS AND A VARIETY OF COMMUNITY HEALTH LITERACY SEMINARS. THE PENN CENTER FOR WOMEN'S BEHAVIORAL WELLNESS IS A RESOURCE FOR WOMEN WITH PERINATAL DEPRESSION. WE OFFER CLINICAL CONSULTATION, EVALUATION, DIAGNOSIS AND TREATMENT OF BEHAVIORAL ISSUES ACROSS THE LIFESPAN. SPECIALISTS ARE AVAILABLE TO DISCUSS DEPRESSION, MOOD AND ANXIETY CONCERNS, INCLUDING TREATMENT DURING PREGNANCY. THE LUDMIR CENTER FOR WOMEN'S HEALTH (LCWH) IS AN AMBULATORY HEALTHCARE FACILITY THAT SPECIALIZES IN THE PROVISION OF OBSTETRICAL, GYNECOLOGIC AND REPRODUCTIVE HEALTH SERVICES. LCWH PROVIDES QUALITY MEDICAL CARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. MOST PATIENTS HAVE LOW TO MODERATE INCOMES. AS A COMMUNITY BASED PRACTICE, LCWH OFFERS MORE THAN TRADITIONAL MEDICAL SERVICES. LCWH EMPLOYEES A FULL-TIME SOCIAL WORKER WHO PROVIDES PSYCHOSOCIAL SUPPORT SERVICES. ADDITIONALLY, LCWH ADDRESSES SOME OF THE DIVERSE NEEDS OF ITS PATIENTS AND THEIR PARTNERS THROUGH THE FOLLOWING SERVICES AND PROGRAMS: LATINA COMMUNITY HEALTH SERVICES (LCHS) IS AN INNOVATIVE PROGRAM THAT OFFERS PRENATAL AND GYNECOLOGIC SERVICES TO WOMEN WHO ARE UNABLE TO OBTAIN MEDICAL INSURANCE. IT IS FUNDED BY GRANTS AND CONTRIBUTIONS AND STAFFED BY PHYSICIANS, A NURSE PRACTITIONER, MEDICAL ASSISTANT AND PATIENT SERVICES COORDINATOR FROM PENN MEDICINE MEDICAL GROUP OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM. LCHS ALSO PARTNERS WITH OTHER ENTITIES SUCH AS PENNSYLVANIA HOSPITAL'S DIABETES EDUCATION CENTER AND WOMEN'S SERVICES DEPARTMENT AS WELL AS COMMUNITY ORGANIZATIONS INCLUDING CASA DEL CARMEN AND HEALTH PROMOTIONS COUNCIL. THESE SERVICES INCLUDE INDIVIDUAL DIABETIC TEACHING, INFANT FEEDING CLASSES, FAMILY SERVICES AND HEALTHCARE NAVIGATION ASSISTANCE. CHILDBIRTH EDUCATION CLASSES ARE TAUGHT BY LCWH REGISTERED NURSES WHO HAVE ALSO EARNED CHILDBIRTH EDUCATOR CERTIFICATION. THE CLASSES COVER SUCH TOPICS AS: WHAT TO EXPECT FROM AND HOW TO RECOGNIZE LABOR, RELAXATION TECHNIQUES AND MEDICAL OPTIONS FOR PAIN RELIEF IN LABOR, THE IMPORTANCE OF POST-PARTUM CARE, AND EARLY INFANT CARE/DEVELOPMENT. MALE PARTNERS SERVICES: THE MALE PARTNERS OF LCWH FEMALE PATIENTS WHO TESTED POSITIVE FOR A SEXUALLY TRANSMITTED INFECTION ARE ABLE TO RECEIVE TREATMENT THROUGH THIS SENSITIVE AND CONFIDENTIAL SERVICE. BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM IS A PENNSYLVANIA STATE-FUNDED PROGRAM THAT PROVIDES FREE CERVICAL CANCER AND BREAST SCREENINGS (INCLUDING PELVIC EXAMINATIONS, CLINICAL BREAST EXAMINATIONS, AND PAP SMEAR TESTING AND DIAGNOSTIC SERVICES) TO UNINSURED WOMEN BETWEEN THE AGES 21-64. TOBACCO SMOKING CESSATION IS OFFERED IN THE EFFORT TO DECREASE TOBACCO SMOKING RATES AMONG PREGNANT WOMEN AND MOTHERS. EACH LCWH NURSE IS CERTIFIED BY THE HEALTH FEDERATION OF PHILADELPHIA IN PARTNERSHIP WITH THE PHILADELPHIA DEPARTMENT OF HEALTH TO PROVIDE COUNSELING ON SMOKING CESSATION AND REDUCTION IN EXPOSURE TO ENVIRONMENTAL SMOKE. |
| FORM 990, PART III, LINE 4A (CONT.) |
5. ACCESS TO AFFORDABLE PRIMARY AND PREVENTIVE CARE AND 6. ACCESS TO AFFORDABLE SPECIALTY CARE PRIMARY CARE SERVICE LINE: SINCE OUR FY16 IMPLEMENTATION PLAN, PENN MEDICINE HAS ESTABLISHED A PRIMARY CARE SERVICE LINE (PCSL) TO ADVANCE COLLABORATION BETWEEN FAMILY MEDICINE AND INTERNAL MEDICINE CLINICAL SERVICES ACROSS THE ENTERPRISE. WE CONTINUE TO MEASURE AND COORDINATE OPERATIONAL EFFORTS TO DEVELOP STRATEGIES FOR GROWTH IN OUR AREAS OF GREATEST NEED. FOR EXAMPLE, IN 2017, THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH INCREASED ACCESS TO PRIMARY CARE IN SOUTH PHILADELPHIA BY OPENING THE PENN FAMILY MEDICINE PRACTICE AT PENNSYLVANIA HOSPITAL (PAH). THIS SITE PROVIDES BOTH FAMILY MEDICINE, AND NON-OPERATIVE SPORTS MEDICINE, INCLUDING MUSCULAR SKELETAL (MSK) ULTRASOUND SERVICES. THE PRACTICE HAS GROWN TO OVER 3,000 ACTIVE PATIENTS, AND REGULARLY ACCEPTS NEW PATIENTS FROM THE PENN URGENT CARE SITE IN SOUTH PHILADELPHIA. THE PRACTICE HAS ALSO DEVELOPED A STRONG RELATIONSHIP WITH THE EMERGENCY DEPARTMENT AT PAH TO ENSURE THAT PATIENTS WHO ARE AT-RISK FOR READMISSION HAVE AN OPPORTUNITY TO ESTABLISH A PRIMARY CARE HOME. COMMUNITY CLINIC/PROVIDER PARTNERSHIPS: FOR FAMILIES AND INDIVIDUALS WHO LIVE IN AREAS OF THE CITY WHERE ACCESS TO MEDICAL SERVICES IS LIMITED - AND IN MANY CASES, NONEXISTENT - A TRIP TO THE DOCTOR CAN MEAN TRAVELING ACROSS THE CITY FOR BASIC CARE. TO INCREASE ACCESS OF AFFORDABLE PRIMARY AND SPECIALTY CARE OUTSIDE OF PENN MEDICINE'S MEDICAL CAMPUSES, WE WILL CONTINUE TO ENGAGE WITH COMMUNITY-BASED PARTNERS TO DELIVER CARE IN AREAS WITH LIMITED ACCESS AND RESOURCES. ATTENDING AND RESIDENT PHYSICIANS FROM THE DEPARTMENTS OF MEDICINE AND FAMILY MEDICINE AND COMMUNITY HEALTH WILL CONTINUE TO PROVIDE PRIMARY CARE HEALTH EDUCATION, AND HEALTH-RELATED SOCIAL SERVICES TO MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. OUR CLINICIANS AND LEARNERS PROVIDE CARE IN MANY COMMUNITY-BASED SETTINGS INCLUDING FOUR FQHC PARTNERS ACROSS THE CITY, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH'S AMBULATORY HEALTH CENTERS, PREVENTION POINT PHILADELPHIA, AND AT PUENTES DE SALUD, WHICH FOCUSES ON THE WELLNESS OF THE LATINO IMMIGRANT POPULATION IN SOUTH PHILADELPHIA, WITH OVER 10,000 PATIENT VISITS PER YEAR. IN ADDITION TO PROVIDING PRIMARY CARE, PENN MEDICINE WILL CONTINUE TO GROW OUR CANCER SCREENING PROGRAMS AT FQHCS AND ENSURE THAT PATIENTS HAVE IMMEDIATE REFERRAL CARE COORDINATION TO OUR HOSPITAL CAMPUSES. THIS EFFORT BUILDS ON AN EXISTING PARTNERSHIP WITH THE AMERICAN CANCER SOCIETY THAT HOSTS FREE MAMMOGRAM CLINICS, PART OF THE PENN MEDICINE BREAST HEALTH INITIATIVE, AND CERVICAL CANCER SCREENINGS TO UNINSURED OR UNDERINSURED WOMEN IN OUR COMMUNITY. DR. BERNETT L. JOHNSON JR. SAYRE HEALTH CENTER (SHC): ANSWERING A DUAL MISSION TO PROVIDE QUALITY CLINICAL CARE TO ALL RESIDENTS REGARDLESS OF ABILITY TO PAY AND ALSO PROVIDE HEALTH SERVICES EDUCATION HIGH SCHOOL STUDENTS, UNDERGRADUATE, GRADUATE AND PROFESSIONAL STUDENTS, THE UNIVERSITY OF PENNSYLVANIA AND PENN MEDICINE PARTNERED WITH THE PHILADELPHIA SCHOOL DISTRICT'S SAYRE SCHOOL TO ESTABLISH THE SHC IN A MEDICALLY UNDERSERVED COMMUNITY IN WEST PHILADELPHIA. SHC IS A FULL-SERVICE, PRIMARY CARE HEALTH FACILITY LOCATED AT 59TH AND LOCUST STREETS, BEHIND SAYRE HIGH SCHOOL, IN THE COBBS CREEK NEIGHBORHOOD OF WEST PHILADELPHIA. THE CENTER HAS BEEN SERVING THE NEEDS OF AREA RESIDENTS SINCE THE SUMMER OF 2006 AND ITS SERVICES ARE DESIGNED TO BE SENSITIVE TO PATIENTS' NEEDS, TO INSPIRE TRUST AND ENGAGEMENT, AND TO BE ACCESSIBLE TO THE MOST VULNERABLE AND UNDERSERVED MEMBERS OF ITS CATCHMENT AREA. THE DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH HAS PHYSICIAN SERVICE CONTRACTS TO PROVIDE EXECUTIVE LEADERSHIP FOR AN INTERDISCIPLINARY TRAINING PROGRAM AT SHC, SUPPORTING THE MEDICAL DIRECTOR, AND DIRECTOR OF GRADUATE NURSING FOR THE SITE. THE SHC HAS BEEN RECOGNIZED FOR ITS HIGH ADOLESCENT IMMUNIZATION RATES THAT EXCEED 95% FOR SEVERAL VACCINES. ADDITIONALLY, SHC HAS ONE OF THE LOWEST MISSED VACCINATION RATES IN THE CITY OF PHILADELPHIA AND ACHIEVED ONE OF THE HIGHEST INFLUENZA VACCINE UPTAKE RATES AMONG AFRICAN AMERICANS. THE UNIVERSITY OF PENNSYLVANIA'S SCHOOL OF DENTAL MEDICINE, DIVISION OF COMMUNITY ORAL HEALTH PROVIDES DENTAL CARE AT SHC, BRINGING A MUCH NEEDED ACCESS POINT FOR THE COMMUNITY. THE PAVILION: THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA'S NEW STATE-OF-THE-ART HOSPITAL FACILITY, SLATED TO OPEN IN 2021, WILL INCREASE ACCESS TO SPECIALTY CARE FOR PATIENTS, ENHANCE OPPORTUNITIES FOR COLLABORATIVE CARE DELIVERY, AND ADVANCE TELEMEDICINE FUNCTIONALITY THAT ALLOWS FOR REMOTE MONITORING AND CONSULTATIONS BETWEEN PATIENTS AND THEIR CARE TEAMS. PENN'S SCHOOL OF DENTAL MEDICINE (PSDM): PSDM IS COMMITTED TO IMPROVING ORAL HEALTH FOR OUR COMMUNITY AND OPERATES A NUMBER OF PROGRAMS FOR PATIENTS TRADITIONALLY UNDERSERVED BY DENTISTRY, SUCH AS LOW-INCOME ADULTS AND CHILDREN, INCLUDING PRE-SCHOOL AND SCHOOL AGE CHILDREN, ELDERLY, AND THOSE PATIENTS WITH MEDICAL COMPLEX CONDITIONS. THE PENN DENTAL CLINIC EXISTS TO PROVIDE ACCESS AND LOW-COST DENTAL CARE TO PHILADELPHIA RESIDENTS. EVERY YEAR THE CLINIC CONTINUES TO GROW ACCESS TO AFFORDABLE DENTAL CARE THROUGH ITS TEACHING CLINICS. PSDM OPERATES THE PENN SMILES BUS, A MOBILE DENTAL OFFICE PROVIDING DENTAL CARE TO CHILDREN. PENNSMILES VISITS ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS IN PRIVATE AND CHARTER SCHOOLS IN WEST AND SOUTHWEST PHILADELPHIA. PENNSMILES ALSO PROVIDES DENTAL CARE AT MERCY LIFE, A PROGRAM OF COMPREHENSIVE CARE FOR LOW INCOME ELDERLY, AND AT SAYRE HEALTH CENTER, A COMPREHENSIVE COMMUNITY HEALTH CENTER. EACH DAY THE BUS GOES OUT, PENN'S DENTAL STUDENTS AND FACULTY PROVIDE CARE FOR UP TO 12 PATIENTS ON THE BUS AS OTHER PUBLIC HEALTH DENTAL HYGIENISTS PROVIDE PREVENTIVE DENTAL CARE EDUCATION. SINCE 1994, PENN DENTAL MEDICINE STUDENTS AND FACULTY HAVE WORKED WITH PHILADELPHIA SCHOOL DISTRICT OFFICIALS TO COMPLETE CLASSROOM EDUCATION AND MANDATED DENTAL EXAMINATION AT 22 ELEMENTARY AND HIGH SCHOOL PUBLIC AND PAROCHIAL SCHOOLS. RESIDENT AND STUDENT RUN CLINICS THAT PROMOTE ACCESS AND COLLABORATION: ACCORDING TO THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES, COMPASSION AND SERVICE ARE ESSENTIAL COMPONENTS OF BEING A DOCTOR. THE PERELMAN SCHOOL OF MEDICINE STUDENTS' COMMITMENT TO COMMUNITY SERVICE DEMONSTRATES THIS BELIEF. THEIR SERVICE PROVIDES SUPPORT TO COMMUNITIES THAT TOO OFTEN ARE LEFT OUT OF THE HEALTH CARE SYSTEM, WHILE ALLOWING STUDENTS TO LEARN VALUABLE SKILLS. THE REFUGEE CLINIC AT THE PENN CENTER FOR PRIMARY CARE IS A COLLABORATIVE EFFORT BETWEEN THE PRIMARY CARE AND GLOBAL HEALTH TRACKS OF THE INTERNAL MEDICINE RESIDENCY PROGRAM IN PENN MEDICINE, AND OUR PARTNER RESETTLEMENT AGENCY, HIAS PENNSYLVANIA. OPENED ON OCTOBER 15, 2010 AS A PARTNERSHIP BETWEEN PCPC AND HIAS PENNSYLVANIA, THE CLINIC CURRENTLY OPERATES EVERY MONDAY AFTERNOON WITH OVER 20 ROTATING RESIDENTS, AND SEES OVER 75 NEW ARRIVALS EACH YEAR. FIVE ATTENDING PHYSICIANS PRECEPT IN THE CLINIC, ALL OF WHOM ARE EXPERIENCED IN GLOBAL HEALTH, TRAVEL MEDICINE OR INFECTIOUS DISEASES. OVER THIRTY DIFFERENT LANGUAGES ARE SPOKEN IN CLINIC BY REFUGEE POPULATIONS FROM BHUTAN, BURMA, ERITREA, LIBERIA, DARFUR, SOUTH SUDAN, RUSSIA, UKRAINE, THE DEMOCRATIC REPUBLIC OF THE CONGO AND MANY OTHER COUNTRIES. THE CLINIC HOSTS A ONCE-MONTHLY WOMEN'S HEALTH CLINIC SPECIFICALLY FOCUSING ON THE HEALTH NEEDS OF REFUGEE WOMEN AND A WEEKLY LATENT TUBERCULOSIS INFECTION (LTBI) CLINIC, RUN BY A PHARMACIST AND PHARMACY STUDENTS, FOCUSING ON LTBI DIAGNOSIS AND TREATMENT. HEART HEALTH BRIDGES TO CARE (HHBC) IS A FREE, STUDENT-RUN CLINIC THAT PROVIDES CONTINUOUS CARE TO PATIENTS FROM OUR LOCAL COMMUNITY LIVING WITH HYPERTENSION AND TYPE 2 DIABETES. THIS CLINIC PROVIDES CARE AND NAVIGATION - ASSISTING PATIENTS TO ACQUIRE MEDICAL INSURANCE AND PERMANENT LONG-TERM CARE. STUDENT DOCTORS WORK ALONGSIDE SUPERVISING PHYSICIANS TO PROVIDE THOROUGH, HIGH QUALITY CARE WITH INDIVIDUALIZED COURSES OF TREATMENT. HHBC OFFERS PATIENTS MEDICATIONS TO CONTROL THEIR HYPERTENSION AND DIABETES, AND REFERRALS TO OTHER HEALTH SERVICES, SUCH AS OPTOMETRY, PODIATRY, AND DENTISTRY TO PREVENT ANY COMPLICATIONS ARISING FROM THEIR CHRONIC CONDITIONS. EVERY YEAR, THIS PROGRAM CONTINUES TO GROW, AND WE WILL WORK TO INCORPORATE SOCIAL DETERMINANTS OF HEALTH REFERRAL RELATED SERVICES. UNITED COMMUNITY CLINIC (UCC) IS A FREE HEALTH CLINIC COORDINATED WEEKLY BY UNIVERSITY OF PENNSYLVANIA STUDENTS FROM THE SCHOOLS OF MEDICINE, DENTISTRY, NURSING, AND SOCIAL WORK. UCC IS AN INTERDISCIPLINARY STUDENT-RUN CLINIC THAT BELIEVES HEALTH IS MORE THAN THE ABSENCE OF DISEASE. IT COLLABORATES WITH RESIDENTS AND COMMUNITY PARTNERS TO ADDRESS THE MEDICAL AND SOCIAL HEALTH NEEDS, WITH THE GOAL OF BUILDING A STRONGER AND HEALTHIER COMMUNITY. SERVICES INCLUDE HEALTH PHYSICALS, ACUTE CARE, DENTAL CARE, EYE CARE, SOCIAL WORK RESOURCES, AND HEALTH INSURANCE ASSISTANCE. |
| FORM 990, PART III, LINE 4A (CONT.) |
UNITY HEALTH CLINIC IS A FREE CLINIC THAT PRIMARILY SERVES UNINSURED INDONESIAN IMMIGRANTS OF CHINESE DESCENT. MEDICAL STUDENT VOLUNTEERS ASSIST AND SHADOW PENN FACULTY AND RESIDENTS. ON CLINIC EVENINGS, MEDICAL STUDENTS ARE INVOLVED IN MEDICAL SCRIBING, TAKING PATIENT HISTORIES, CHECKING BLOOD PRESSURE, CALCULATING BMI, RETRIEVING MEDICATIONS, AND MORE. VOLUNTEERS ALSO GIVE PRESENTATIONS TO SMALL GROUPS OF PATIENTS ON BASIC TOPICS IN HEALTH AND MEDICINE. CUT HYPERTENSION PROGRAM IS A PROGRAM STARTED BY PENN MEDICINE'S CHAPTER OF THE STUDENT NATIONAL MEDICAL ASSOCIATION (SNMA). MEDICAL STUDENTS AND UNDERGRADUATE VOLUNTEERS PROVIDE BLOOD PRESSURE SCREENINGS AND INFORMATION ABOUT THE RISKS OF HYPERTENSION, ESPECIALLY AMONG BLACK MALES, EVERY SATURDAY IN A BARBER SHOP IN THE HEART OF WEST PHILADELPHIA. 7. HEALTHY FOOD ACCESS AND AFFORDABILITY THE AGASTON URBAN NUTRITION INITIATIVE (AUNI): AUNI IS A PROGRAM OF UNIVERSITY OF PENNSYLVANIA'S NETTER CENTER FOR COMMUNITY PARTNERSHIP AND WAS CREATED TO SUSTAIN HEALTHY COMMUNITY BY PROVIDING HEALTHY FOOD EDUCATION AND GOOD NUTRITION IN WEST PHILADELPHIA. AUNI'S ACTIVITIES ARE FULLY INTEGRATED INTO THE UNIVERSITY ASSISTED COMMUNITY SCHOOL MODEL. AUNI ORGANIZES SCHOOL DAY, AFTER SCHOOL AND SUMMER LEARNING OPPORTUNITIES FOR MORE THAN 10,000 STUDENTS AND THEIR FAMILIES AT 20 PUBLIC SCHOOLS AND COMMUNITY CENTERS IN PHILADELPHIA. AUNI'S ECOLOGICAL APPROACH TO FOOD AND NUTRITION EDUCATION INCLUDES HANDS-ON EXPERIENCES FOR PROGRAM PARTICIPANTS TO GROW, COOK, CONSUME AND SELL HEALTHY FOODS. AUNI HAS SCHOOL FOOD EDUCATION PROGRAMS, YOUTH DEVELOPMENT PROGRAMS, AND AN ADULT & SENIOR NUTRITION PROGRAM. THE URBAN TREE CONNECTION (UTC) COMMUNITY-BASED AGRICULTURE PROGRAM: UTC SEEKS TO IMPROVE COMMUNITY HEALTH IN HADDINGTON - A NEIGHBORHOOD IN WEST PHILADELPHIA WHERE 80% OF THE CHILDREN LIVE IN FAMILIES ELIGIBLE FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). BECAUSE THE NEIGHBORHOOD LACKS A HIGH-QUALITY SUPERMARKET, UTC PRODUCES MORE THAN 10,000 POUNDS OF SUSTAINABLY GROWN PRODUCE AND DISTRIBUTES IT TO 850 LOW-INCOME FAMILIES EACH YEAR. UTC WORKS TO SUPPORT COMMUNITY BASED FARM STANDS, IMPROVE COMMUNITY OUTREACH, AND PROVIDES STIPENDS TO COMMUNITY LEADERS WHO OPERATE FARM STANDS. SUPPORTING OLDER ADULTS AT RISK (SOAR): SOAR ASSISTS SENIOR PATIENTS WHO ARE EXPERIENCING FOOD INSECURITY, BY LINKING THEM TO COMMUNITY RESOURCES IN PHILADELPHIA. A GERIATRIC INTAKE ASSESSMENT IS COMPLETED IN THE HOSPITAL BY A CASE MANAGER OR SOCIAL WORKER AND PATIENTS ARE EVALUATED FOR FOOD ACCESS PROGRAMS SUCH AS THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM, COALITION AGAINST HUNGER, MANNA AND MORE. BASED ON THE PROGRAM THAT BEST FITS THE NEEDS OF THE PATIENT, PENN MEDICINE STAFF WORK TO LINK RESOURCES TO THE PATIENT TO ADDRESS NUTRITION AND HUNGER. GOOD FOOD, HEALTHY HOSPITALS: THIS NATIONAL HOSPITAL INITIATIVE TAKES STRIDES TO ENSURE FOOD IS ALIGNED WITH A POPULATION HEALTH MISSION. PENN MEDICINE IS COMMITTED TO ELIMINATING SODAS, SPORT DRINKS, SWEETENED JUICES, AND FAST FOOD THAT CONTRIBUTE TO POOR DIET AND CHRONIC DISEASE FROM ITS HOSPITAL CAMPUSES. 8. AFFORDABLE AND HEALTHY HOUSING PENN'S NEIGHBORHOOD PRESERVATION AND DEVELOPMENT FUND (NPDF): AS UNIVERSITY CITY INCREASES IN POPULATION OF BOTH HOMEOWNERS AND RENTERS, THERE IS A NEED FOR AFFORDABLE RENTAL APARTMENTS IN WEST PHILADELPHIA. WITH PARTNERS FROM THE PRIVATE REAL ESTATE SECTOR, THE UNIVERSITY OF PENNSYLVANIA INVESTED $4.5 MILLION TO ACQUIRE 20 AGED AND DECLINING APARTMENT BUILDINGS THAT TOTAL 448 APARTMENT UNITS INCLUDING 580 BEDROOMS. ENHANCING THEM WITH NEW FACILITIES AND IMPROVED PROPERTY MANAGEMENT, PENN MAINTAINS AFFORDABLE RENTAL UNITS FOR BOTH RESIDENTS AND SOME STUDENTS. AS A RESULT, THESE NEWLY STABILIZED PROPERTIES HAVE SET A NEW STANDARD FOR OTHER BUILDINGS, AND THEIR OWNERS HAVE HELPED LIFT ENTIRE BLOCKS INTO VIBRANT AREAS. PEOPLE'S EMERGENCY CENTER (PEC): PEC PROVIDES SHELTER, EDUCATION AND TRAINING TO SUPPORT FAMILIES EXPERIENCING HOMELESSNESS. PENN MEDICINE PARTNERS WITH PEC TO PROVIDE ROUTINE MEDICAL CARE AND RESIDENT PHYSICIANS PARTICIPATE IN A COMMUNITY ROTATION. THE GOAL OF THIS PARTNERSHIP IS TO EXPAND CLINICAL CARE, HEALTH PROMOTION, AND PUBLIC HEALTH EXPERIENCES IN ORDER TO PRODUCE FUTURE PHYSICIANS WHO RECOGNIZE THE POWERFUL EFFECTS THAT ENVIRONMENT AND SOCIOECONOMIC STATUS HAVE ON HEALTH QUALITY. HALL-MERCER HOMELESS STREET OUTREACH ENGAGES HOMELESS INDIVIDUALS LIVING ON THE STREET. OUTREACH WORKERS OFFER EMERGENCY HOUSING, TREATMENT OPTIONS, AND OTHER RESOURCES TO HELP INDIVIDUALS MEET THEIR IMMEDIATE SURVIVAL NEEDS. OUTREACH WORKERS ATTEMPT TO BUILD RELIABLE RELATIONSHIPS WITH THOSE LIVING ON THE STREET IN ORDER TO HELP THEM ACCESS OR ACCEPT HOUSING. HALL MERCER IS STAFFED WITH A HOMELESS OUTREACH TEAM 365 DAYS A YEAR. REBUILDING TOGETHER PHILADELPHIA AND THE PHILADELPHIA PROJECT. BOTH INITIATIVES PROVIDE HOME IMPROVEMENTS NOT ONLY TO SENIORS, BUT ALSO TO VULNERABLE HOMEOWNERS, MANY POSSESSING MEDICAL AND PHYSICAL DISABILITIES, IN AN EFFORT TO TURN THEIR HOUSES INTO SAFER, HEALTHIER, AND ENERGY-EFFICIENT HOMES. MEDICAL STUDENTS HOMELESS FEEDING AND OUTREACH PROGRAM: INCORPORATED IN 1987, UNIVERSITY CITY HOSPITALITY COALITION (UCHC) PROVIDES HOT MEALS FIVE NIGHTS A WEEK AND SANDWICHES ON SATURDAYS FOR POOR AND HOMELESS INDIVIDUALS IN WEST PHILADELPHIA. ON WEDNESDAYS, A MEDICAL CLINIC STAFFED BY A DOCTOR AND MEDICAL STUDENTS FROM THE PERELMAN SCHOOL OF MEDICINE AT THE UNIVERSITY OF PENNSYLVANIA DELIVERS CRITICALLY NEEDED CARE, INCLUDING BLOOD PRESSURE SCREENINGS, VACCINATIONS, AND GENERAL EXAMINATIONS, THAT MAY OTHERWISE BE UNAVAILABLE TO THIS POPULATION. 9. HEALTHCARE AND HEALTH RESOURCES NAVIGATION PENN MEDICINE CENTER FOR COMMUNITY HEALTH WORKERS IMPACT PROGRAM: IMPACT IS A STANDARDIZED, SCALABLE COMMUNITY HEALTH WORKER (CHW) PROGRAM IN WHICH PENN MEDICINE HIRES, TRAINS AND DEPLOYS TRUSTED LAYPEOPLE FROM LOCAL COMMUNITIES TO HELP PATIENTS ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING ACCESSING BEHAVIORAL HEALTH, ADDRESSING SUBSTANCE ABUSE, CONNECTING TO HEALTHY FOOD, HOUSING, TRANSPORTATION, AND ENGAGING IN CHRONIC DISEASE PREVENTION. THE PROGRAM HAS BEEN DELIVERED TO NEARLY 10,000 HIGH-RISK PATIENTS AND PROVEN IN THREE RANDOMIZED CONTROLLED TRIALS TO IMPROVE CHRONIC DISEASE CONTROL, MENTAL HEALTH AND QUALITY OF CARE WHILE REDUCING TOTAL HOSPITAL DAYS BY 65%. IN ADDITION, CHWS FACILITATE MEET UP GROUPS FOR COMMUNITY MEMBERS WHICH INCLUDE THINGS LIKE COOKING DEMONSTRATIONS, FINANCIAL PLANNING, BEREAVEMENT SUPPORT ETC. (PATIENTS CHOOSE THE TOPICS, CHWS ARRANGE GUEST SPEAKERS AND FACILITATE). IMPACT ALSO SUPPORTS THE VETERAN COMMUNITY THROUGH CREATING COMMUNITY GARDENS, CONNECTING THEM TO EDISON HIGH SCHOOL TO DO MENTORING, BOWLING EVENTS, ETC.) MORE THAN 1,000 ORGANIZATIONS HAVE ACCESSED OUR CHW TOOLKIT AND WE PROVIDE TECHNICAL ASSISTANCE TO HELP ORGANIZATIONS AROUND THE COUNTRY CREATE, LAUNCH AND SUSTAIN EFFECTIVE CHW PROGRAMS. SOCIAL DETERMINANTS OF HEALTH SCREENING AND REFERRAL TOOL: IN PARTNERSHIP WITH THE PENN CENTER FOR HEALTH EQUITY, A SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL AND REFERRAL PROGRAM WILL LAUNCH IN THE FIRST QUARTER OF 2020. THIS FREE TOOL FOR THE PATIENT COMMUNITY WILL BE BUILT BY OUR SOFTWARE PARTNER AND ASSIST IN OUR EFFORTS TO HELP PROVIDE RESOURCE INFORMATION AND HEALTHCARE SERVICES ON THE WEB FOR PATIENTS. SERVICES AND RESOURCE INFORMATION WILL INCLUDE LOCATING FOOD PANTRIES, UTILITY ASSISTANCE, FLU SHOT CLINICS, AND MORE. PHILADELPHIA PROMISE ZONE: FACULTY AND STAFF FROM ACROSS THE UNIVERSITY OF PENNSYLVANIA AND PENN MEDICINE HAVE BEEN ENGAGED IN THE WEST PHILADELPHIA PROMISE ZONE, ONE OF TWENTY-TWO UNDERSERVED AREAS IN THE COUNTRY DESIGNATED BY THE OBAMA ADMINISTRATION. THE PROMISE ZONE AIMS TO REDUCE POVERTY AND BRING GREATER OPPORTUNITY TO PEOPLE LIVING AND WORKING IN WEST PHILADELPHIA. THE INITIATIVE HELPS ORGANIZATIONS WORK TOGETHER TO CONNECT RESIDENTS TO HIGH QUALITY EDUCATION, WELL-PAYING JOBS, AFFORDABLE HOUSING, HEALTH SERVICES, AND SAFE, ECONOMICALLY HEALTHY PLACES TO LIVE. LED BY THE MAYOR'S OFFICE OF COMMUNITY EMPOWERMENT AND OPPORTUNITY, OVER 100 LOCAL PARTNER ORGANIZATIONS, INCLUDING PUBLIC AGENCIES, SERVICE PROVIDERS, CIVIC GROUPS, UNIVERSITIES, AND HOSPITALS, MEET MONTHLY TO ADVANCE WORK IN AREAS THAT INCLUDE EDUCATION, ECONOMIC OPPORTUNITY, HEALTH AND WELLNESS, HOUSING, AND PUBLIC SAFETY. |
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10. LINGUISTICALLY- AND CULTURALLY- APPROPRIATE HEALTHCARE AND 11. RACISM AND DISCRIMINATION IN HEALTHCARE THE CENTER FOR HEALTH EQUITY ADVANCEMENT (CHEA): CHEA IS THE CORNERSTONE FOR ADVANCING HIGH QUALITY PATIENT/FAMILY-CENTERED CARE FOR ALL, REGARDLESS OF THEIR PERSONAL CHARACTERISTICS, SUPPORTS COMMUNITY PARTNERSHIPS TO TACKLE BARRIERS TO ACHIEVING OPTIMAL HEALTH FOR ALL COMMUNITIES WE SERVE, AND AIMS TO PROVIDE EQUITABLE HEALTHCARE WITHIN INCLUSIVE ENVIRONMENTS THAT SUPPORT A DIVERSE WORKFORCE AND STUDENT BODY. IN ORDER TO BUILD SUPPORT FOR AND ALIGN MUTUALLY REINFORCING EQUITY INITIATIVES ACROSS THE ENTERPRISE, PENN MEDICINE INCORPORATES ITS CENTER FOR HEALTH EQUITY ADVANCEMENT BLUEPRINT FOR EQUITY AND INCLUSION (APPENDIX B) INTO ITS CHIP WITHIN THE FOLLOWING INITIATIVE AREAS: CARE TRANSFORMATION CHEA WILL ESTABLISH SYSTEM-WIDE STRUCTURES FOR ROUTINE MEASUREMENT AND REPORTING OF QUALITY AND PATIENT EXPERIENCE METRICS BY PERSONAL CHARACTERISTICS AS WELL AS LEVERAGE EXISTING QUALITY AND PATIENT EXPERIENCE IMPROVEMENT INFRASTRUCTURE TO ADDRESS IDENTIFIED DIFFERENCES IN CARE BY PERSONAL CHARACTERISTICS. COMMUNITY ENGAGEMENT CHEA WILL BUILD COMMUNITY PARTNERSHIPS TO ADDRESS IDENTIFIED SOCIAL NEEDS AT BOTH THE PATIENT- AND POPULATION-LEVEL AND TIE COMMUNITY FACING INITIATIVES TO CARE TRANSFORMATION GOALS AND IMPROVING HEALTH OUTCOMES. WORKFORCE CHEA WILL CONTINUE TO DRIVE UNDERSTANDING OF INCLUSIVE BEHAVIORS THROUGH ALIGNMENT WITH CURRENT HR INITIATIVES AND POLICIES AND SKILLS TRAINING AND EDUCATION ON INCLUSIVE LEADERSHIP. RESEARCH AND EVALUATION CHEA WILL SUPPORT EVALUATION AND RELATED SCHOLARSHIP OF ALL ACTIVITIES DESCRIBED ABOVE AND FURTHER, BUILD RESEARCH AND DEVELOPMENT CAPACITY TO ADVANCE THE SCIENCE OF HEALTH EQUITY AND INCLUSION. EDUCATION AND TRAINING CHEA TRAINS HUNDREDS OF CLINICIANS ANNUALLY AND OFFERS A VARIETY OF WORKSHOPS. CHEA DEVELOPS AND DEPLOYS MESSAGING CAMPAIGNS ON HEALTH EQUITY AND INCLUSION (HE&I) CONCEPTS AND ITS ALIGNMENT WITH HEALTH SYSTEM OPERATIONAL GOALS AND INVEST IN RELATED WORKFORCE CAPACITY BUILDING AND SKILLS TRAINING. TRAINING TOPICS INCLUDE: FOUNDATIONS OF UNCONSCIOUS BIAS; BEYOND BIAS: ADVANCING DIVERSITY AND INCLUSION; UNCONSCIOUS BIAS FOR LEADERS: IMPACT ON DECISION MAKING; IMPACT OF UNCONSCIOUS BIAS: FACULTY SEARCH AND SELECTION PROCESS; VIRTUAL FOUNDATIONS OF UNCONSCIOUS BIAS. PENN OB/GYN HEALTH EQUITY TASKFORCE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY: THE PENN OB/GYN HEALTH EQUITY TASKFORCE WAS FORMED IN JANUARY 2019 TO ADDRESS REPRODUCTIVE HEALTH DISPARITIES IN A MEANINGFUL WAY. THE TASK FORCE INCLUDES REPRESENTATION FROM ALL THE DIVISIONS WITHIN THE DEPARTMENT. OUR WORKING GROUP MEMBERS SERVE AS THE LEADERS WITHIN THE DEPARTMENT FOR EDUCATION ON HEALTH EQUITY, AND FOR IDENTIFYING AREAS OF QUALITY IMPROVEMENT AND INTERVENTION THAT WILL REDUCE HEALTH INEQUITIES IN OUR DEPARTMENT. 12. OTHER COMMUNITY SERVICES & PROGRAMS SUPPORTED BY PENNSYLVANIA HOSPITAL DIABETES EDUCATION CENTER-PENNSYLVANIA HOSPITAL THE DIABETES EDUCATION CENTER PROVIDES COMPREHENSIVE OUTPATIENT EDUCATION AND TRAINING FOR DIABETICS, FAMILY MEMBERS, AND MEMBERS OF THE COMMUNITY. OUR TEAMS CONSIST OF A REGISTERED NURSE, CERTIFIED DIABETES EDUCATOR, REGISTERED LICENSED DIETITIAN AND A CERTIFIED PUBLIC HEALTH EDUCATOR. THE CENTER PROVIDES ITS SERVICES, REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES. SERVICES PROVIDED IN FY19 INCLUDED: . COMPREHENSIVE DIABETES SELF-MANAGEMENT EDUCATION IN GROUPS OR INDIVIDUAL SETTINGS. THE PROGRAM HOLDS "RECOGNITION STATUS" FROM THE AMERICAN DIABETES ASSOCIATION AND IS TAUGHT BY A MULTIDISCIPLINARY TEAM INCLUDING MEMBERS OF THE DEPARTMENTS OF MEDICINE, NURSING, PHYSICAL THERAPY, FOOD AND NUTRITION, PHARMACY, AND SURGERY AT PENNSYLVANIA HOSPITAL . INDIVIDUAL EDUCATION FOR SPECIFIC DIABETES MANAGEMENT TASKS SUCH AS SELF BLOOD-GLUCOSE MONITORING AND MEDICATION ADMINISTRATION . DIABETES AWARENESS EDUCATION FOR LOCAL CIVIC, BUSINESS, AND SOCIAL GROUPS . PROFESSIONAL EDUCATION FOR NURSES, ADVANCE PRACTICE PRACTITIONERS, PHARMACISTS, DIETICIANS, AND DISABLED AND BEHAVIORAL HEALTH CLINICIANS . IN ADDITION, GRADUATE AND UNDERGRADUATE STUDENTS IN THE HEALTH PROFESSION, INCLUDING NURSES, HEALTH EDUCATORS AND DIETICIANS, COMPLETE DEGREE REQUIREMENTS AND OBTAIN PRACTICAL EXPERIENCE WITH THE CENTER . DIABETES PREVENTION PROGRAM (DPP) FULLY RECOGNIZED PROGRAM FROM THE CENTER FOR DISEASE CONTROL (CDC) OFFERING A YEAR- LONG PROGRAM FOR PARTICIPANTS WHO MEET THE CRITERIA SET FORTH BY THE CDC. PROGRAM STATISTICS FOR FY19 ARE AS FOLLOWS: . GROUP CLASS PARTICIPANTS: 621 VISITS . INDIVIDUAL CONSULTATIONS: 180 VISITS . MNT INDIVIDUAL CONSULTS: 371 VISITS . TOTAL NUMBER OF BILLABLE VISITS: 1172 VISITS . FREE PREDIABETES CLASS: 75 VISITS . DPP VISITS: 300 VISITS . INPATIENT CONSULTS: 8 VISITS . LATINA COMMUNITY (LCHS): 70 VISITS . COMMUNITY EDUCATION: 95 . PROFESSIONAL EDUCATION: 125 . DIABETES FOLLOW-UP & MANAGEMENT-TELECOMMUNICATION: 2,500 . DIABETES FOLLOW-UP & MANAGEMENT-IN PERSON CONSULT: 35 . FAMILY MEMBERS WHO ATTENDED CLASS: 25 . HEALTH PROFESSIONAL STUDENTS PARTICIPATED IN PROGRAM ACTIVITIES IN COMPLETION OF DEGREE REQUIREMENTS: 10 ABRAMSON CANCER CENTER AT PENNSYLVANIA HOSPITAL AS PART OF THE ABRAMSON CANCER CENTER AT PENNSYLVANIA HOSPITAL, THE JOAN KARNELL SUPPORTIVE CARE PROGRAM OFFERS SUPPORT TO HELP CANCER PATIENTS AND THEIR FAMILIES COPE WITH THE DIAGNOSIS OF CANCER. LED BY TRAINED PROFESSIONALS, THESE GROUPS OFFER EMOTIONAL SUPPORT, EDUCATION, OPPORTUNITIES TO LEARN WAYS OF COPING WITH UNCERTAINTY AND CHANGE, AND A CHANCE TO MEET OTHERS WHO FACE SIMILAR ISSUES. THE CENTER ALSO SUPPORTS ADVOCACY GROUPS WHO PROVIDE PROGRAMS AND SUPPORT TO MUTUAL PATIENTS, THROUGH SHARING OF RESOURCES AND STAFF VOLUNTEERING. WEEKLY SUPPORT GROUPS (SEASONALLY): . FEELING HEARD AND MAKING MEANING OF THE CANCER EXPERIENCE SUPPORT GROUP: 7 PARTICIPANTS FOR 7 WEEKS . CARING FOR THE CAREGIVER SUPPORT GROUP: 4 PARTICIPANTS FOR 6 WEEKS . FRANKLY SPEAKING; JOURNAL THROUGH CANCER: A GUIDED LIFE REVIEW WRITING SUPPORT GROUP FOR PEOPLE AFFECTED BY CANCER: 6 PARTICIPANTS FOR 5 WEEKS INDIVIDUAL SUPPORT: . THE STORIES THAT BIND US: WHAT I WANT YOU TO KNOW INDIVIDUAL LEGACY PROJECTS LED BY CHAPLAIN TO GUIDE PATIENTS TO CREATE A WRITTEN LEGACY: 18 PARTICIPANTS BIANNUAL SUPPORT GROUPS: . COOKING NUTRITIOUS AND NUTRITIOUS FOOD (HANDS-ON EXPERIENCE IN INCORPORATING CANCER-FIGHTING FOODS INTO EVERY DAY EATING): 14 PARTICIPANTS . LOOK GOOD, FEEL BETTER (AN EDUCATIONAL SEMINAR ON MAINTAINING OPTIMAL HEALTH AND PHYSICAL APPEARANCE DURING AND AFTER CANCER TREATMENT, IN COLLABORATION WITH THE AMERICAN CANCER SOCIETY): 15 PARTICIPANTS . EAT YOUR HERBS - THE CULINARY USE OF CANCER FIGHTING HERBS: 8 PARTICIPANTS ANNUAL SERIES: . HOLISTIC LIVING CHALLENGE EDUCATION AND SUPPORT FOR A PREVENTIVE LIFESTYLE (HELD WEEKLY FOR 7 WEEKS): 12 PARTICIPANTS FOR 7 WEEKS . EAT YOUR HERBS IS A DEMONSTRATION COOKING PROGRAM FOCUSING ON THE BENEFITS OF USING HERBS IN COOKING: 8 PARTICIPANTS . STRENGTH AND HEALING AFTER CANCER IS A MULTIDISCIPLINARY ONE-DAY PROGRAM FOR WOMEN WHO ARE BEING TREATED FOR BREAST OR GYN CANCER: 16 PARTICIPANTS . CANCER SURVIVORSHIP CELEBRATION, A PROGRAM WHICH FOCUSES ON CANCER SURVIVORSHIP HIGHLIGHTING THE SUPPORTIVE CARE SERVICES PROVIDED AT THE CANCER CENTER: 40 PARTICIPANTS AWARENESS PROGRAMS/COMMUNITY PARTNERSHIPS: . WEAR BLUE DAY FOR COLON CANCER AWARENESS: 50 PARTICIPANTS . GET YOUR REAR IN GEAR WALK FOR COLON CANCER AWARENESS . NATIONAL HEALTHCARE DECISION DAY: 60 PARTICIPANTS . GREAT AMERICAN SMOKEOUT: 50 PARTICIPANTS . 17TH ANNUAL FOCUS ON MELANOMA - PROVIDED A NUTRITION INFO TABLE . BREAST CANCER AWARENESS INFORMATION EVENT: 100 PARTICIPANTS . LADIES OF PORT RICHMOND BREAST CANCER WALK - PROVIDED EDUCATION FOCUSED ON BREAST CANCER, HPV AND SKIN CANCER PREVENTION: 200 PARTICIPANTS . SISTERS R US CIRCLE OF SURVIVORS PROGRAM: BE YOUR OWN CHAMPION: 8 PARTICIPANTS . SISTERS R US CIRCLE OF SURVIVORS PROGRAM: REDISCOVERING JOY IN MOVEMENT: 4 PARTICIPANTS . SUSAN G. KOMEN MORE THAN PINK PHILADELPHIA WALK . PURPLE STRIDE WALK BENEFITTING PANCREATIC CANCER ACTION NETWORK . LIGHT THE NIGHT WALK BENEFITTING LEUKEMIA AND LYMPHOMA SOCIETY . SENIOR EXPO AT COHOX RECREATION CENTER - PROVIDED EDUCATIONAL/PREVENTION MATERIAL RELATED TO CANCER, HPV AND SMOKING CESSATION: 400 PARTICIPANTS . MOTHER'S DAY FREE MAMMOGRAPHY EVENT . ANNUAL FOCUS ON LUNG CANCER |
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NEWBORN CARE: THE SECTION ON NEWBORN MEDICINE, THE INTENSIVE CARE NURSERY, AND THE ASSOCIATED DELIVERY AND TERM NURSERIES SERVE MORE THAN 5,000 INFANT-MOTHER PAIRS ANNUALLY. OF THESE, ROUGHLY 40 TO 60 PER YEAR ARE WITHOUT ANY MEANS OF SUPPORT. FREQUENTLY, THERE ARE VARYING PSYCHOSOCIAL REASONS THAT IMPAIR THE MOTHER'S ABILITY TO TAKE THEIR BABIES HOME. IN ALL OF THESE CASES THE PHYSICIAN AND NURSING SUPPORT AND HOSPITAL CARE ARE GIVEN WITHOUT COMPENSATION. THESE SITUATIONS, BECAUSE OF THEIR INEVITABLE PSYCHOSOCIAL COMPLEXITY, CONSUME A GREATER SHARE OF RESOURCES THAN DO MOST COMPENSATED CASES. THE AMOUNT OF CARE RENDERED VARIES, BUT BASED UPON LENGTH OF STAY; CHARGES CAN BE CALCULATED TO APPROXIMATELY $100,000 PER YEAR. THIS FIGURE DOES NOT INCLUDE DONATED PHYSICIAN TIME. NURSE-MIDWIFERY: PENN OB/GYN AND MIDWIFERY CARE, A PRACTICE OF PENNSYLVANIA HOSPITAL, INCLUDES 12 MIDWIVES WHO WORK COLLABORATIVELY WITH PHYSICIANS IN THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY TO PROVIDE CARE TO LOW-INCOME WOMEN WITH AND WITHOUT MEDICAL RISK FACTORS. A FULL SPECTRUM OF INDIVIDUALIZED, FAMILY-CENTERED REPRODUCTIVE AND GYNECOLOGIC HEALTHCARE IS PROVIDED BASED ON THE PHILOSOPHY OF MUTUAL RESPECT, CLIENT PARTICIPATION, AND EDUCATION. SERVICES ARE PROVIDED WITHIN THE HOSPITAL AS WELL AS IN THE OUTPATIENT OFFICE SETTING. THE MIDWIVES PROVIDE FREE COMMUNITY EDUCATION WITH SPEAKING ENGAGEMENTS TO BREASTFEEDING AND PARENTING GROUPS, NURSING AND UNDERGRADUATE STUDENTS, AND THE GENERAL COMMUNITY. THE MIDWIVES ARE ACTIVE PARTICIPANTS IN THE TRAINING OF MIDWIFERY AND MEDICAL STUDENTS, AS WELL AS OBGYN RESIDENTS AT PENNSYLVANIA HOSPITAL. PARENT EDUCATION, BREASTFEEDING SUPPORT AND CHILDBIRTH EDUCATION: FREE WEEKLY SUPPORT GROUPS FOR MOTHERS OF BREASTFEEDING INFANTS ARE OFFERED BY THE FAMILY EDUCATION DEPARTMENT. EACH MEETING LASTS APPROXIMATELY 90 MINUTES. THE PROGRAM INCLUDES BREASTFEEDING ADVICE AND EDUCATION, FOLLOWED BY PEER DISCUSSION ABOUT BREASTFEEDING RELATED ISSUES. IN FY19, OVER 187 WOMEN ATTENDED THESE GROUPS. FREE POSTPARTUM CLASSES ARE SPONSORED BY THE FAMILY EDUCATION DEPARTMENT TO SUPPORT, EDUCATE, AND ENCOURAGE BREASTFEEDING MOTHERS. THE CLASS IS OFFERED 6 DAYS A WEEK AND IS OPEN TO NEW PARENTS AND THEIR SUPPORT PEOPLE. APPROXIMATELY 1,400 NEW MOTHERS AND SUPPORT PEOPLE/FAMILY MEMBERS ATTENDED. THE BREASTFEEDING WARMLINE IS STAFFED BY CERTIFIED LACTATION CONSULTANTS AND IS AVAILABLE DAILY TO ANSWER QUESTIONS AND CONCERNS ABOUT BREASTFEEDING. IN FY19, WE RECEIVED APPROXIMATELY 425 CALLS FROM WOMEN IN OUR COMMUNITY, AS WELL AS FROM PHYSICIANS, MIDWIVES, INSURANCE COMPANIES, AND OTHERS IN THE COMMUNITY. SOLUTIONS FOR WOMEN: PENNSYLVANIA HOSPITAL PROVIDES BREAST PUMPS, BABY SCALES AND BREASTFEEDING ACCESSORIES FOR SALE/RENT TO PATIENTS. A PRODUCT SPECIALIST IS AVAILABLE TO ANSWER QUESTIONS AND CONCERNS. FREE WEIGHT CHECKS FOR INFANTS AND OUTPATIENT LACTATION CONSULTATIONS ARE ALSO AVAILABLE. PENNSYLVANIA HOSPITAL ALSO HAS A WIG SALON WHICH IS RUN THROUGH THE AMERICAN CANCER SOCIETY. ALL WIGS ARE PROVIDED AT NO COST. IN FY19, 71 WOMEN WITH MEDICAL HAIR LOSS WERE GIVEN BRAND NEW WIGS AT NO CHARGE. IN FY19, 820 PATIENTS CAME IN FOR OUTPATIENT CARE, INCLUDING 5 PATIENTS WITH NO INSURANCE COVERAGE WHO RECEIVED CARE AT NO COST TO THEM. ADDITIONALLY, THE STORE SPONSORED A HOSPITAL-WIDE DIAPER DRIVE IN FY19. AS A RESULT, OVER 2500 DIAPERS WERE DONATED TO THE PHILADELPHIA DIAPER BANK FOR LOW INCOME FAMILIES, AS WELL AS COMMUNITY ORGANIZATIONS. LACTATION COUNSELING IN SPANISH: AN INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT AND A SPANISH-SPEAKING PEER COUNSELOR MEET WITH A GROUP OF SPANISH-SPEAKING EXPECTANT MOTHERS FROM A LATINA HEALTH CLINIC EACH MONTH TO ENCOURAGE BREASTFEEDING AND ANSWER QUESTIONS ABOUT INFANT FEEDING. APPROXIMATELY 75 EXPECTANT MOTHERS BENEFITED FROM THIS SUPPORT. BREAST PUMPS (HOSPITAL GRADE) WERE PROVIDED AS LOANERS TO LOW-INCOME WOMEN WITH MEDICAL NEED. WE WERE ABLE TO PROVIDE 4 MONTHS OF "RENTAL" AT NO COST. ADDITIONALLY, 36 MANUAL BREAST PUMPS WERE PROVIDED AT NO COST TO LOW-INCOME FAMILIES IN NEED. BREAST MILK TRANSPORT BAGS WERE PROVIDED TO MOTHERS WHOSE INFANTS WERE ILL OR PRETERM AND NEEDED TO STAY IN THE HOSPITAL AFTER THE MOTHER'S DISCHARGE. SEVENTY MOTHERS RECEIVED THE BAGS AT NO CHARGE. CHILDBIRTH AND PRENATAL EDUCATION IS PROVIDED BY THE FAMILY EDUCATION DEPARTMENT TO FAMILIES IN OUR COMMUNITY. IN FY19, WE HAD 4,068 CLASS PARTICIPANTS. CLASSES INCLUDED THE FOLLOWING: . CHILDBIRTH PREP 101 . PREPARED CHILDBIRTH PLUS . BABY CARE BASICS . LABOR LAB . BEGINNING BREASTFEEDING . INFANT/CHILD CPR . BABY WHISPERER WORKSHOP . BECOMING GRAND . JUNIOR COLLEGE SIBLING CLASS . EXPECTANT PARENTS' ORIENTATION . STRONGER AFTER PREGNANCY . BREASTFEEDING AND BACK TO WORK . ONLINE CHILDBIRTH EDUCATION . AN ONLINE E-CLASS CALLED UNDERSTANDING BIRTH THE INTENSIVE CARE NURSERY (ICN) PROVIDES COMPREHENSIVE INTENSIVE CARE TO CRITICALLY ILL AND SICK NEONATES AND THEIR FAMILIES. THE UNIT SPECIALIZES IN PROVIDING CARE TO INFANTS WHO ARE BORN LESS THAN 36 WEEKS GESTATIONAL AGE, AS WELL AS TO INFANTS OF ALL GESTATIONAL AGES WHO REQUIRE INTENSIVE CARE DUE TO CONDITIONS SUCH AS HYPOXIC-ISCHEMIC INJURY; CARDIAC DYSFUNCTION; RESPIRATORY DISTRESS; SEPSIS; HYPOGLYCEMIA; HYPERBILIRUBINEMIA; NEONATAL ABSTINENCE SYNDROME; SEIZURES; OR CONGENITAL ANOMALIES. AFTER DISCHARGE FROM THE INTENSIVE CARE NURSERY, THE DEVELOPMENTAL FOLLOW-UP PROGRAM AT PENNSYLVANIA HOSPITAL PROVIDES OUTPATIENT NEURODEVELOPMENTAL ASSESSMENTS TO ALL INFANTS WHO WERE BORN AT < 32 WEEKS GESTATION, AND/OR THOSE WITH BIRTH WEIGHT < 1500 GRAMS, AS WELL AS OLDER INFANTS WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY, NEONATAL ABSTINENCE SYNDROME, OR SEVERE RESPIRATORY FAILURE. THIS PROGRAM OFFERS SERIAL ASSESSMENTS THROUGH 2 YEARS OF AGE. DURING FY19, FORMER ICN INFANTS FOR ~500 VISITS. TWO OTHER POST-DISCHARGE PROGRAMS ARE OFFERED TO FAMILIES OF ICN INFANTS. EVERY OTHER YEAR, THE INTENSIVE CARE NURSERY HOSTS FORMER ICN BABIES AND THEIR PARENTS FOR A DAY-LONG REUNION. THIS MOST RECENT EVENT WAS HELD ON SEPTEMBER 14, 2019. OVER 700 FAMILIES, THEIR GUESTS AND STAFF WERE IN ATTENDANCE THIS YEAR, THE LARGEST TURNOUT FOR THIS EVENT IN ITS HISTORY. THE REUNION IS FREE FOR ICN FAMILIES, AND PROVIDES AN IMPORTANT OPPORTUNITY TO FAMILIES TO CONNECT WITH CAREGIVERS AND WITH ONE ANOTHER, TO REFLECT ON THEIR SHARED EXPERIENCES AND CELEBRATE THEIR PROGRESS. THE INTENSIVE CARE NURSERY FAMILY ADVISORY COUNCIL, FORMED IN FY14, HAS CONTINUED TO BE VERY ACTIVE. THIS COUNCIL OF APPROXIMATELY 20 FORMER ICN PARENTS AND STAFF MEETS REGULARLY TO FUNDRAISE AND PROVIDE SUPPORT TO CURRENT ICN PARENTS. WORKING WITH ICN MEDICAL AND NURSING PARTNERS, THIS GROUP IDENTIFIED A NEED FOR ONGOING PSYCHOSOCIAL SUPPORT FOR ICN PARENTS, MANY OF WHOM STRUGGLE WITH DEPRESSION AND ANXIETY DURING THE OFTEN PROLONGED HOSPITALIZATION OF THEIR SICK AND PREMATURE INFANTS. PSYCHOLOGY SUPPORT SERVICES ARE CURRENTLY PROVIDED TO ICN FAMILIES WITH STAFFING FROM THE DEPARTMENT OF PSYCHIATRY. PSYCHOLOGY INTERNS PROVIDE 8-10 HOURS OF CLINICAL TIME FOR THE SUPPORT OF ICN PARENTS WEEKLY. CURRENTLY, THE DEPARTMENT OF NURSING PROVIDES THE FUNDING FOR THIS PROGRAM. FINALLY, THE INTENSIVE CARE AND LABOR FLOOR NURSES HOLD A YEARLY INFANT LOSS AND REMEMBRANCE CEREMONY EACH OCTOBER, ATTENDED BY FAMILIES WHOSE INFANTS PASSED AWAY AFTER BIRTH AT PENNSYLVANIA HOSPITAL. PHARMACY: THE HARRISON SPECIALTY GRANT PROVIDES COPAY ASSISTANCE IN SITUATIONS WHERE THE COPAY IS THE ONLY BARRIER TO OBTAINING THE MEDICATIONS. THE GRANT ALSO PROVIDES FOR MEDICATION WHEN THE ONLY BARRIER TO DISCHARGE IS THAT COST. 448 PATIENTS BENEFITTED FROM THIS GRANT FOR FISCAL YEAR 2019. PATIENT AND GUEST RELATION WORKS TO ENSURE EVERY PATIENT RECEIVES THE BEST POSSIBLE CARE AND TREATMENT AT PENNSYLVANIA HOSPITAL. REPRESENTATIVES OF THE PATIENT AND GUEST RELATIONS DEPARTMENT SERVE AS A SOURCE OF INFORMATION AND RESOURCES TO HELP PATIENTS, FAMILIES, AND VISITORS. IN ADDITION TO CHAPLAIN SERVICES, THE FOLLOWING WAS PROVIDED BY THE PATIENT AND GUEST RELATIONS DEPARTMENT: . PATIENT CONCERN/COMPLAINT RESOLUTION: 2,126 . INTERPRETER SERVICES: 10,379 . MEAL VOUCHERS: 1,049 . PARKING VOUCHERS: 675 . NOTARY SERVICE: 121 BEST POSSIBLE CARE AND TREATMENT AT PENNSYLVANIA HOSPITAL. REPRESENTATIVES OF THE PATIENT AND GUEST RELATIONS DEPARTMENT SERVE AS A SOURCE OF INFORMATION AND RESOURCES TO HELP PATIENTS, FAMILIES, AND VISITORS. IN ADDITION TO CHAPLAIN SERVICES, THE FOLLOWING WAS PROVIDED BY THE PATIENT AND GUEST RELATIONS DEPARTMENT: . PATIENT CONCERN/COMPLAINT RESOLUTION: 2,126 . INTERPRETER SERVICES: 10,379 . MEAL VOUCHERS: 1,049 . PARKING VOUCHERS: 675 . NOTARY SERVICE: 121 MEETING FACILITIES: PENNSYLVANIA HOSPITAL PROVIDES A WIDE RANGE OF SUPPORT SERVICES AT NO COST TO NEIGHBORHOOD CIVIC ASSOCIATIONS, COMMUNITY GROUPS AND SUPPORT GROUPS; THESE SERVICES RANGE FROM THE COORDINATION OF AN ENTIRE EVENT (ARRANGING FOR SPACE, PROVIDING REFRESHMENTS AND PHOTOGRAPHERS, ALERTING SECURITY, ETC.) TO PROVID |
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GROUPS SUPPORTED ARE THE FOLLOWING: SOCIETY HILL CIVIC ASSOCIATION, PHILADELPHIA POLICE, DELAWARE VALLEY COUNCIL OF CITIZENS LOW VISION MEETING. COMMUNITY OUTREACH: PENNSYLVANIA HOSPITAL EMPLOYEES SUPPORT A WIDE RANGE OF COMMUNITY PROJECTS AS REPRESENTATIVES OF THE HOSPITAL. DURING THIS PAST FISCAL YEAR, EMPLOYEES RAISE $41,899 FOR THE AMERICAN HEART ASSOCIATION THROUGH THE PHILADELPHIA HEART WALK. IN ADDITION, EMPLOYEES FROM ALL OF PENN MEDICINE, INCLUDING PENNSYLVANIA HOSPITAL, CONTRIBUTED $286,088 FOR MULTIPLE SCLEROSIS THROUGH THE ANNUAL MS 150 BIKE RACE. PLEASE SEE THE LIST BELOW FOR OTHER PROJECTS AIMED TO SUPPORT LOCAL BRANCHES OF NONPROFITS AND LOCAL NONPROFITS: . UNITED WAY . MARCH OF DIMES . JUVENILE DIABETES FOUNDATION . PHILADELPHIA AIDS CONSORTIUM . BREAST HEALTH INSTITUTE/RACE FOR THE CURE . OUT OF DARKNESS SUICIDE PREVENTION WALK BENEFITTING THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION ADDITIONALLY, PENNSYLVANIA HOSPITAL IS AN ACTIVE PARTICIPANT IN LOCAL NEIGHBORHOOD CLEANUP EVENTS, HEALTH FAIRS, AND COMMUNITY HEALTH EDUCATION SESSIONS, AS WELL AS CONDUCTING VARIOUS FOOD AND SUPPLY DRIVES FOR THOSE IN NEED. PLEASE SEE FY19 OUTREACH OUTLINED BELOW. DEPARTMENT OF NURSING: . PARTNERED WITH HALL-MERCER TO SPONSOR: > FOOD DRIVES FOR FAMILIES IN NEED > BLANKET DRIVE FOR THE HOMELESS > "BLESSING BAGS" FOR THE HOMELESS . CAR SEAT SAFETY PROGRAM . PROVIDED HEALTHCARE EDUCATION SESSIONS AT THE FOLLOWING: > OLD ST. JOSEPH'S CHURCH FOOD > MENTAL HEALTH PARTNERSHIP > WOMEN OF HOPE SHELTER > ADDICTION CENTER AT PENN PRESBYTERIAN . PARTICIPATED IN THE MCCALL ELEMENTARY SCHOOL ANNUAL WOMAN'S CAREER DAY WOMAN'S HEALTH OUTREACH TEAM: . 2 VOLUNTEER DAYS AT MANNA PACKAGING UP OVER 1,000 MEALS EACH TIME . SCHOOL SUPPLY DRIVE FOR EDWIN M. STANTON SCHOOL, WHERE APPROXIMATELY 400 STUDENTS FROM K-8TH GRADE ATTEND . FIRST AID KIT SUPPLY (BAND AIDS, ACE BANDAGES, GAUZE, SPLINTS, CHILDREN'S TYLENOL, ETC.) DRIVE FOR THE SCHOOL NURSE OF STANTON SCHOOL . GIFT DRIVE (GAMES, BOOKS, TOYS, ART SUPPLIES) TO DONATE TO CAMP ERIN, AN ANNUAL, WEEK-LONG SUMMER CAMP FOR CHILDREN GRIEVING THE LOSS OF A PARENT OR GUARDIAN FOOD & NUTRITION: . CONDUCTED HOSPITAL-WIDE FOOD DRIVE FOR MARCH, NATIONAL NUTRITION MONTH FOR LOW-ECONOMIC FAMILIES OF HALL MERCER . HOSTED HOSPITAL-WIDE SCHOOL DRIVE FOR LOW-ECONOMIC FAMILIES OF HALL MERCER . PARTNERED WITH COMMON MARKET, A NONPROFIT LINKING LOCAL FARMS AND THEIR FRESH, HEALTHY PRODUCTS WITH CUSTOMERS THROUGH CAF 1715, THE CAFETERIA AT PENNSYLVANIA HOSPITAL . ADOPTED TWO FAMILIES FROM HALL MERCER FOR THE HOLIDAY CULTURAL & COMMUNITY AWARENESS COUNCIL PARTICIPATED IN THE FOLLOWING PROJECTS FOR FY19: . VOTER REGISTRATION DRIVE: TABLED IN CAFETERIA AND OUTSIDE BY BEN'S DEN, CAPTURING PATIENT, THEIR FAMILY, COMMUNITY, PEDESTRIAN TRAFFIC, AND HOSPITAL STAFF. . CLOTHING DRIVE: HOSTED A CLOTHING DRIVE THAT BENEFITTED PATIENTS/CLIENTS OF HALL MERCER. WHILE PATIENTS AND CLIENTS 'SHOPPED' THROUGH THE CLOTHING, 70 CARE PACKAGES OF SNACKS ALONG WITH RESOURCES INFORMATION FOR THE HOUSING INSECURE WERE OFFERED. LEFT OVER CLOTHING WAS DISTRIBUTED TO SHELTERS IN THE SURROUNDING COMMUNITY. . FOOD DRIVE: COLLECTED SEVERAL LARGE BOXES OF FOOD DURING MLK DAY WEEK TO BENEFIT HALL MERCER'S PANTRY. . LGBTQ HEALTH AWARENESS: TABLED IN CAFETERIA WITH INFORMATION SPECIFIC TO THE LGBTQ COMMUNITY, INCLUDING SEPARATE INFORMATION SHEETS FOR MEMBERS OF EACH CONSTITUENT PART OF THE LGBTQ COMMUNITY AND WHAT INFORMATION THEY MIGHT DISCUSS WITH THEIR HEALTH PROVIDERS. . DIVERSITY DAY: HOSTED AN EDUCATION FAIR COMPRISED OF LOCAL COMMUNITY ORGANIZATIONS FOR THE PUBLIC AND HOSPITAL STAFF. GAMES, ENTERTAINMENT, FOOD, AND INFORMATION ON LOCAL COMMUNITY ORGANIZATIONS WERE OFFERED. THE HALL MERCER CHILDREN'S CHOIR PERFORMED. ORGANIZATIONS REPRESENTED INCLUDED THE FOLLOWING: -PHILADELPHIA CORPORATION FOR THE AGING -PHILADELPHIA FIGHT -PENNSYLVANIA HOSPITAL DIABETES EDUCATION CENTER -AQUINAS CENTER -MANNA -RESOURCES FOR HUMAN DEVELOPMENT -SICKLE CELL DISEASE ASSOCIATION OF PHILADELPHIA -WOMEN'S CENTER OF MONTGOMERY COUNTY -CENTER FOR TRANSFUSION FREE MEDICINE PENN MEDICINE CARES GRANT: THIS GRANT IS OFFERED TO PENN MEDICINE EMPLOYEES AND MEDICAL STUDENTS FOR THEIR VOLUNTEER EFFORTS THAT SEEK TO IMPROVE COMMUNITY HEALTH AND EASE SOCIAL DETERMINANTS OF HEALTH. THE FOLLOWING PROJECTS/PROGRAMS ARE OUTREACH SPECIFIC TO PENNSYLVANIA HOSPITAL EMPLOYEES AND WE AWARDED FUNDING IN FY19: FITNESS CLUB AT PANTOJA CHARTER SCHOOL, OVI MEDINA-ESTEVEZ: OVI IS A VOLUNTEER IN THE AFTER-SCHOOL FITNESS PROGRAM AT THIS NORTH PHILADELPHIA CHARTER SCHOOL. THERE, SHE PARTNERS FOUR TIMES A WEEK WITH THE SCHOOL'S PHYSICAL EDUCATION TEACHER TO LEAD THE STUDENTS IN PHYSICAL ACTIVITY AND TEACHES HEALTHY EATING AND HEALTHY HABITS. BUT AS SHE'S LEARNED, THE SCHOOL LACKS A PROPER GYMNASIUM AND PROPER EQUIPMENT. HER FUNDS PURCHASED ITEMS TO PROVIDE HEALTHY WORKOUTS IN A LIMITED SPACE. HEIMLICH HEROES, SARA COHEN: SARA HAS BEEN A VOLUNTEER WITH THE PHILADELPHIA PUBLIC SCHOOLS IN VARIOUS CAPACITIES INCLUDING PRESENTING INFORMATION ON HEALTH CARE CAREERS HOWEVER, SARA RECEIVED A GRANT FOR CONTINUED TRAINING OF STUDENTS IN GRADES 5 THROUGH 7 OF PHILADELPHIA PUBLIC SCHOOLS IN THE LIFESAVING HEIMLICH MANEUVER. SO FAR, SHE HAS TRAINED 700 STUDENTS WITH THIS LIFE-SAVING EFFORT. ST. WILDRIDS CLINIC, MELINDA LAMB: FOR SEVERAL YEARS, MELINDA HAS PARTNERED WITH GRACE CHURCH IN HADDONFIELD TO HOST ST. WILFRID'S OPEN DOOR CLINIC IN CAMDEN. THERE, NURSES, INCLUDING MELINDA, HEAR MEDICAL CONCERNS EVERY THIRD SATURDAY OF THE MONTH, AND FOOD AND PERSONAL HYGIENE PRODUCTS ARE AVAILABLE FOR THOSE WHO COME TO THE CLINIC. MELINDA'S CURRENT GRANT WENT TOWARD CREATING A MUCH-NEEDED PRIVATE SPACE FOR THE CLINIC'S CLIENTS TO MEET WITH THE HEALTH-CARE PROFESSIONALS. SOUTHWARK LICE PREVENTION AND TREATMENT, OWAIN WILDE: HEAD LICE IN CHILDREN IS A LEADING CAUSE OF ABSENTEEISM FROM SCHOOLS. OF ALL COMMUNICABLE CHILDHOOD DISEASES, ONLY THE COMMON COLD OCCURS MORE OFTEN THAN HEAD LICE. IN ACCORDANCE WITH SCHOOL DISTRICT POLICY, WHEN A SOUTHWARK SCHOOL STUDENT IS IDENTIFIED WITH HEAD LICE, THAT STUDENT IS EXCLUDED FROM SCHOOL UNTIL ADEQUATE TREATMENT HAS BEGUN. OWAIN'S GRANT HELPS TO ENABLE THE SCHOOL NURSE TO GIVE FREE LICE TREATMENT KITS TO FAMILIES WHO HAVE KNOWN CASES OF HEAD LICE. FUNDING ALSO GOES TOWARD FLYERS THAT PROVIDE INFORMATION IN THE MANY DIVERSE LANGUAGES OF THE STUDENTS AND THEIR FAMILIES AND FOR SHAMPOO AND TREATMENT COMBS TO THOSE WHO BECOME INFECTED. IT IS HOPEFUL THAT THIS EDUCATION IN FAMILIES' NATIVE LANGUAGE COUPLED WITH ON-HAND TREATMENT WILL DECREASE THE NUMBER OF DAYS STUDENTS ARE ABSENT FROM SCHOOL. THE LIBRARIES AT PENNSYLVANIA HOSPITAL ARE LOCATED ON THE 2ND AND 3RD FLOOR OF THE HISTORIC PINE BUILDING. THE MODERN LIBRARY IS AN ON-SITE, VITAL REFERENCE CENTER INCORPORATING MODERN INFORMATION TECHNOLOGY. THE COLLECTIONS INCLUDE THE CLINICAL LIBRARY AND THE PSYCHIATRIC LIBRARY. THE HISTORIC LIBRARY AND HISTORIC COLLECTIONS CONTAIN MANUSCRIPTS, RARE BOOKS, ART, AND ARTIFACTS RELATED TO THE HISTORY OF MEDICINE AND PENNSYLVANIA HOSPITAL. THESE COLLECTIONS ARE USED BY LOCAL, REGIONAL, NATIONAL, AND INTERNATIONAL RESEARCHERS. THE LIBRARY OFFERS AN ARRAY OF SERVICES, INCLUDING PROFESSIONAL SEARCHING OF THE MEDICAL LITERATURE. THE HISTORIC LIBRARY AND HISTORIC COLLECTIONS ARE OPEN BY APPOINTMENT ONLY. HISTORIC COLLECTIONS AND TOURS: THE PENNSYLVANIA HOSPITAL IS THE NATION'S FIRST HOSPITAL AND A DESIGNATED NATIONAL HISTORIC LANDMARK. FOUNDED BY DR. THOMAS BOND AND BENJAMIN FRANKLIN, THE HOSPITAL WAS CHARTERED IN 1751 BY THE COLONIAL GOVERNMENT AS THE FIRST INSTITUTION IN AMERICA ORGANIZED EXCLUSIVELY FOR THE TREATMENT AND CARE OF THE SICK POOR AND MENTALLY ILL. THE PENNSYLVANIA HOSPITAL OFFERS THE PUBLIC A VIEW OF THE HISTORY OF MEDICINE IN A WAY UNLIKE ANY OTHER INSTITUTION IN THE UNITED STATES, PROVIDING PRE-ARRANGED GUIDED TOURS OF THE NATION'S FIRST MEDICAL LIBRARY AND SURGICAL AMPHITHEATRE. WE ARE A BLUE STAR MUSEUM, PROVIDING FREE TOURS FOR MILITARY PERSONNEL AND THEIR FAMILIES. THE HISTORIC COLLECTIONS, HOUSED IN THE ORIGINAL EAST WING OF THE PINE BUILDING, HOLDS A COLLECTION OF RECORD THAT REFLECTS THE DEVELOPMENT OF HEALTHCARE AND MEDICAL EDUCATION FROM THE EIGHTEENTH TO THE TWENTY-FIRST CENTURIES. OUR COLLECTIONS ARE HIGHLIGHTED IN OUR CHANGING EXHIBITIONS, WHICH HAVE INCLUDED THE HISTORY OF EARLY MEDICAL EDUCATION AND COLONIAL MEDICINE. THE HISTORIC COLLECTIONS HOSTS RESEARCHERS WHO UTILIZE THESE IMPORTANT MANUSCRIPTS, AS WELL AS HOSTING CONFERENCES ON A VARIETY OF HISTORIC MEDICAL ISSUES, BRINGING TOGETHER HISTORICAL SCHOLARS AND MEDICAL PRACTITIONERS FROM ACROSS THE COUNTRY. ALSO, PENNSYLVANIA HOSPITAL PROVIDES TOURS OF ITS HISTORIC BUILDINGS AND HISTORIC COLLECTIONS FOR A SUGGESTED DONATION OF $5 PER PERSON. TOTAL FY19 PARTICIPANTS: 994 TOTAL FY19 PROFITS: $2,573 ------------------------------ |
| FORM 990, PART V, LINE 1A |
DETAIL OF FORMS 1099 FILINGS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("TRUSTEES"). THE FORMS 1099 DISTRIBUTED AS PART OF THIS ENTITY'S ACTIVITIES ARE DONE SO THROUGH THE UNIVERSITY HEALTH SYSTEM AND CONSOLIDATED WITH THE TRUSTEES. ------------------------------ |
| FORM 990, PART VI, SECTION B, LINE 11 |
FORM 990 REVIEW PROCESS INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. A DRAFT COPY OF THE 2018 FORM 990 WAS REVIEWED BY VARIOUS SENIOR FINANCIAL MANAGEMENT OFFICIALS BEFORE IT WAS SUBMITTED TO THE BOARD FOR THEIR REVIEW. A COPY OF THE FINAL 2018 FORM 990 WAS THEN MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO THE FILING DEADLINE. ------------------------------ |
| FORM 990, PART VI, SECTION B, LINE 12C |
CONFLICT OF INTEREST POLICY THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). EACH COVERED PERSON* ANNUALLY SHALL COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PROVIDED BY THE UNIVERSITY AND SHALL UPDATE SUCH QUESTIONNAIRE PROMPTLY AS NECESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI ARE ENCOURAGED BUT NOT REQUIRED TO COMPLETE THE QUESTIONNAIRE DURING THE FIVE-YEAR PERIOD FOLLOWING COMPLETION OF THEIR TERMS. COMPLETED QUESTIONNAIRES SHALL BE RETURNED TO THE OFFICE OF THE SECRETARY AND SHALL BE SUBJECT TO REVIEW BY SUCH OFFICE AND THE OFFICE OF THE GENERAL COUNSEL, AS WELL AS BY ANY OUTSIDE LEGAL COUNSEL AND/OR AUDITORS WHO MAY BE APPOINTED TO ADVISE THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPOINTED TO OVERSEE THIS POLICY. COMPLETED QUESTIONNAIRES ALSO SHALL BE AVAILABLE FOR INSPECTION BY ANY BOARD MEMBER. *COVERED PERSONS INCLUDE: (1) VOTING MEMBERS OF THE BOARD OF TRUSTEES (INCLUDING CHARTER TRUSTEES, TERM TRUSTEES, ALUMNI TRUSTEES, AND COMMONWEALTH TRUSTEES); (2) TRUSTEE EMERITI WHO HAVE SERVED IN THAT CAPACITY FOR FIVE YEARS OR LESS; (3) OTHER FORMER VOTING TRUSTEES FOR A PERIOD OF FIVE YEARS FROM THE END OF THEIR TERM AS SUCH; (4) OFFICERS AS DEFINED IN THE STATUTES; AND (5) MEMBERS OF THE INVESTMENT BOARD. EACH COVERED PERSON (EXCEPT FORMER BOARD MEMBERS WHO ARE NOT TRUSTEE EMERITI) SHALL BE REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THIS POLICY. ------------------------------ |
| FORM 990, PART VI, SECTION B, LINE 15 |
COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS AND/OR KEY EMPLOYEES ARE ESTABLISHED BY THE UNIVERSITY PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ------------------------------ |
| FORM 990, PART VI, SECTION C LINE 19 |
DOCUMENTS AVAILABILITY TO PUBLIC OUR FORMS 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. NOTE THAT SINCE THE ORGANIZATION HAS BEEN IN EXISTENCE SINCE 1751, IT WAS NOT REQUIRED TO FILE A FORM 1023 APPLICATION. INSTEAD, THE ORGANIZATION'S IRC SECTION 501(C)(3) TAX-EXEMPT STATUS WAS GRANDFATHERED BY THE IRS. ------------------------------ |
| FORM 990, PART XI, LINE 9 |
DETAIL OF OTHER CHANGES IN NET ASSETS OTHER CHANGES IN TEMP & PERM RESTRICTED NET ASSETS $1,541,281 TRANSFERS TO AFFILIATES (586,501) ---------- TOTAL OTHER CHANGES IN NET ASSETS $954,780 ------------------------------ |
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.