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PART V, SECTION B, LINE 5: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LVHN DEFINES THE COMMUNITY IT SERVES AS ALL INDIVIDUALS LIVING WITHIN THE COUNTIES THAT CONTAIN OUR HOSPITAL CAMPUSES. LVHN IS REQUIRED TO PRODUCE A CHNA HEALTH PROFILE FOR EACH OF OUR LICENSED FACILITIES IN ORDER TO ADDRESS THE LOCAL CONTEXT OF THE DIFFERENT COMMUNITIES WE SERVE. THEREFORE, LVHN HAS PRODUCED FOUR CHNA HEALTH PROFILES FOR OUR FOUR DIFFERENT LEHIGH VALLEY HOSPITAL CAMPUSES: LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, LEHIGH VALLEY HOSPITAL - SCHUYLKILL, LEHIGH VALLEY HOSPITAL - HAZLETON, AND LEHIGH VALLEY HOSPITAL - POCONO. FOR LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, THE COMMUNITY IS DEFINED AS LEHIGH AND NORTHAMPTON COUNTIES (ALSO KNOWN AS THE LEHIGH VALLEY). WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS. FOR LEHIGH VALLEY HOSPITAL - SCHUYLKILL, THE HEALTH PROFILE PRESENTS THE HEALTH NEEDS OF COMMUNITY MEMBERS IN SCHUYLKILL COUNTY. FOR LEHIGH VALLEY HOSPITAL - HAZLETON, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT THE HEALTH NEEDS FOR LUZERNE COUNTY WITH SPECIFIC INFORMATION ABOUT THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. FINALLY, FOR LEHIGH VALLEY HOSPITAL - POCONO, THE COMMUNITY IS DEFINED AS RESIDENTS WITHIN MONROE COUNTY.WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT-RISK FOR NEGATIVE HEALTH OUTCOMES AS A RESULT OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.IT IS WELL DOCUMENTED THAT THE CLINICAL CARE PROVIDED TO COMMUNITY MEMBERS ONLY ACCOUNTS FOR A SMALL PORTION OF AN INDIVIDUAL'S OVERALL HEALTH. THERE ARE MANY OTHER FACTORS THAT OCCUR OUTSIDE THE DOCTOR'S OFFICE AND HOSPITAL WALLS THAT INFLUENCE HEALTH BEYOND MEDICAL CARE. THEY INCLUDE:- SOCIAL AND ECONOMIC FACTORS, SUCH AS EDUCATION, EMPLOYMENT, AND SOCIAL SUPPORT- PHYSICAL ENVIRONMENT FACTORS, SUCH AS HOUSING, TRANSPORTATION, AND AIR QUALITY- HEALTH BEHAVIORS, SUCH AS SMOKING, DRINKING, DIET, AND EXERCISETHEREFORE, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT HEALTH CARE AS WELL AS OTHER HEALTH FACTORS FOLLOWED BY HEALTH OUTCOMES. THERE ARE TWO TYPES OF DATA INCLUDED IN THE CHNA HEALTH PROFILES. THE FIRST TYPE IS QUANTITATIVE DATA, OR NUMBERS AND STATISTICS ABOUT THE OVERALL POPULATION IN THE COMMUNITY. THESE STATISTICS COME FROM A VARIETY OF LOCAL, STATE AND NATIONAL SOURCES INCLUDING THE CENSUS, THE CENTER FOR DISEASE CONTROL, THE DEPARTMENT OF EDUCATION, AND THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. A MAJORITY OF THESE DATA POINTS ARE COMPILED TOGETHER THROUGH A PLATFORM CALLED THE CARES ENGAGEMENT NETWORK HEALTH PLAN TOOL, WHICH LVHN USES AS THE STARTING POINT FOR ITS CHNA HEALTH PROFILES, ADDING OTHER KEY STATE AND LOCAL DATA SOURCES TO THE DATA PROVIDED THROUGH THIS HEALTH REPORT.IN ADDITION, NON-PROFIT HOSPITAL SYSTEMS ARE REQUIRED TO OBTAIN INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE AND THE VULNERABLE POPULATIONS. LVHN CHOSE TO OBTAIN THIS INPUT THROUGH FOCUS GROUPS AND INTERVIEWS WITH COMMUNITY MEMBERS AND LEADERS. THIS TYPE OF DATA IS REFERRED TO AS QUALITATIVE DATA. WE PARTNERED WITH AN EXTERNAL COMMUNITY COLLABORATOR FOR EACH CAMPUS WHO HAS EXPERIENCE IN QUALITATIVE DATA COLLECTION TO CONDUCT THESE FOCUS GROUPS AND INTERVIEWS ON LVHN'S BEHALF. THIS PROCESS PROVIDED COMMUNITY MEMBERS WITH AN INDEPENDENT AND OBJECTIVE OPPORTUNITY TO IDENTIFY AND SHARE THEIR PERSONAL EXPERIENCES AND PERSPECTIVE ON THE MOST PRESSING HEALTH NEEDS FACING THEIR COMMUNITY AS WELL AS WHERE THEY WOULD LIKE LVHN TO FOCUS ITS ATTENTION. IN LEHIGH AND NORTHAMPTON COUNTY, WHERE LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG ARE LOCATED, LVHN PARTNERED WITH TWO FACULTY MEMBERS FROM CEDAR CREST COLLEGE. SIX FOCUS GROUPS AND FOUR INTERVIEWS WERE CONDUCTED BETWEEN JUNE AND AUGUST 2018 WITH A TOTAL OF 58 PARTICIPANTS IN LEHIGH COUNTY, WHILE FOUR FOCUS GROUPS AND FIVE INTERVIEWS WERE CONDUCTED WITH 35 TOTAL PARTICIPANTS DURING THE SAME TIME PERIOD IN NORTHAMPTON COUNTY.BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN LEHIGH AND NORTHAMPTON COUNTIES' FOCUS GROUPS AND INTERVIEWS AS WELL AS A SUMMARY OF THE DEMOGRAPHICS OF THOSE WHO PARTICIPATED. RESIDENTS, INCLUDING THOSE FROM LOW-INCOME POPULATIONS, WERE ALSO INCLUDED IN THE FOCUS GROUPS AND INTERVIEW IN EACH COUNTY.ORGANIZATIONS REPRESENTED IN LEHIGH COUNTY:ALLENTOWN HEALTH BUREAUALLENTOWN SCHOOL DISTRICTCOMMUNITY ACTION COMMITTEE OF THE LEHIGH VALLEYCOUNTRY MEADOWS RETIREMENT COMMUNITIESEAST PENN SCHOOL BOARDLANTA BUS COMPANYRIPPLE COMMUNITY, INC.WHITEHALL COMMUNITIES THAT CAREWILD CHERRY KNOLL HOUSING DEVELOPMENTDEMOGRAPHICS OF LEHIGH COUNTY:GENDER: 64% FEMALE, 36% MALEAVERAGE AGE: 64.7; AGE RANGE: 16-96RACE: 88.7% WHITE, 5.7% BLACK, 3.8% MULTI-RACIALETHNICITY: 72% NON-HISPANIC, 28% HISPANIC (OF ANY RACE)EDUCATION: 83% HAD AT LEAST SOME COLLEGE OR HIGHER, 15% HAD A HIGH SCHOOL DIPLOMA OR G.E.D.EMPLOYMENT: 50% RETIRED OR NOT EMPLOYED, 45% EMPLOYEDORGANIZATIONS REPRESENTED IN NORTHAMPTON COUNTY:BETHLEHEM AREA SCHOOL DISTRICTBETHLEHEM HEALTH BUREAUEASTON COMMUNITY CENTERLEHIGH VALLEY HEALTH NETWORK DEPARTMENT OF PSYCHIATRYMORAVIAN VILLAGENAZARETH FOOD BANKNORTHAMPTON COUNTY DEPARTMENT OF CORRECTIONSNORTHAMPTON COUNTY MENTAL HEALTHSLATE BELT CHAMBER OF COMMERCEDEMOGRAPHICS OF NORTHAMPTON COUNTY:GENDER: 73.3% FEMALE, 27.7% MALEAVERAGE AGE: 70.4; AGE RANGE: 33-88RACE: 93.3% WHITE, 3.3% BLACK, 3.3% OTHERETHNICITY: 76.7% NON-HISPANIC, 23.3% HISPANIC (OF ANY RACE)EDUCATION: 76.6% HAD AT LEAST SOME COLLEGE OR HIGHER, 23.3% HAD A HIGH SCHOOL DIPLOMA OR G.E.D.EMPLOYMENT: 67% RETIRED OR NOT EMPLOYED, 30% EMPLOYED
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PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED FOUR CHNA HEALTH PROFILES FOR OUR FOUR DIFFERENT LEHIGH VALLEY HOSPITAL CAMPUSES: LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, LEHIGH VALLEY HOSPITAL - SCHUYLKILL, LEHIGH VALLEY HOSPITAL - HAZLETON, AND LEHIGH VALLEY HOSPITAL - POCONO. FOR LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, THE COMMUNITY IS DEFINED AS LEHIGH AND NORTHAMPTON COUNTIES (ALSO KNOWN AS THE LEHIGH VALLEY). WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS. FOR LEHIGH VALLEY HOSPITAL - SCHUYLKILL, THE HEALTH PROFILE PRESENTS THE HEALTH NEEDS OF COMMUNITY MEMBERS IN SCHUYLKILL COUNTY. FOR LEHIGH VALLEY HOSPITAL - HAZLETON, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT THE HEALTH NEEDS FOR LUZERNE COUNTY WITH SPECIFIC INFORMATION ABOUT THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. FINALLY, FOR LEHIGH VALLEY HOSPITAL - POCONO, THE COMMUNITY IS DEFINED AS RESIDENTS WITHIN MONROE COUNTY.WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT-RISK FOR NEGATIVE HEALTH OUTCOMES AS A RESULT OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.
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PART V, SECTION B, LINE 6B: REPRESENTATIVES OF THE COMMUNITY IN LEHIGH COUNTY INCLUDED:ALLENTOWN HEALTH BUREAUALLENTOWN SCHOOL DISTRICTCOMMUNITY ACTION COMMITTEE OF THE LEHIGH VALLEYCOUNTRY MEADOWS RETIREMENT COMMUNITIESEAST PENN SCHOOL BOARDLANTA BUS COMPANYRIPPLE COMMUNITY, INC.WHITEHALL COMMUNITIES THAT CAREWILD CHERRY KNOLL HOUSING DEVELOPMENTREPRESENTATIVES OF THE COMMUNITY IN NORTHAMPTON COUNTY INCLUDED:BETHLEHEM AREA SCHOOL DISTRICTBETHLEHEM HEALTH BUREAUEASTON COMMUNITY CENTERLEHIGH VALLEY HEALTH NETWORK DEPARTMENT OF PSYCHIATRYMORAVIAN VILLAGENAZARETH FOOD BANKNORTHAMPTON COUNTY DEPARTMENT OF CORRECTIONSNORTHAMPTON COUNTY MENTAL HEALTHSLATE BELT CHAMBER OF COMMERCE
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PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST.
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PART V, SECTION B, LINE 11: COMMUNITY ENGAGEMENT1.1 CONNECT WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTER (NHCLV), COMMUNITY AND FAITH-BASED ORGANIZATIONS TO SUPPORT THE DIVERSE HEALTH NEEDS OF OUR COMMUNITIES.IN FY18, 14 MEETINGS WERE HELD WITH COMMUNITY AND FAITH-BASED ORGANIZATIONS TO SHARE THE WORK THAT LVHN IS DOING, LEARN ABOUT WHAT KEY COMMUNITY AGENCIES ARE WORKING ON, AND DETERMINING IF THERE ARE ANY POINTS OF INTERSECTION WITH OUR CHNA PRIORITIES.IN FY19, THE DEPARTMENT OF COMMUNITY HEALTH BEGAN A STRATEGIC PLANNING PROCESS TO FURTHER DEFINE THE PRIORITY AREAS WITHIN THE SOCIAL DETERMINANTS OF HEALTH THAT THE NETWORK SHOULD FOCUS ON. AS A PART OF THAT PROCESS, THE DEPARTMENT INTERVIEWED 52 KEY STAKEHOLDERS BOTH INTERNAL LEADERS AND EXTERNAL COMMUNITY AND FAITH-BASED PARTNERS TO IDENTIFY PERCEIVED AREAS OF STRENGTH OF THE DEPARTMENT'S WORK AND AREAS OF OPPORTUNITY. FROM THAT PROCESS, COMMUNITY HEALTH IDENTIFIED 4 CORE AREAS THAT WILL BE THE FOCUS OF IT'S WORK: HOUSING, EDUCATION, MENTAL & SOCIAL WELL-BEING, AND FOOD & NUTRITION. THE NEXT STEP IS TO IDENTIFY WHO KEY PARTNERS WILL BE IN EACH OF THOSE FOCUS AREAS AND DETERMINE THE STRATEGIES THAT THE NETWORK WILL BE A PARTICIPANT IN.1.2 PARTNER WITH UNITED WAY 211 TO CREATE AND MAINTAIN A DATABASE (UW211 EAST) OF COMMUNITY RESOURCES, ACCESSIBLE TO LVHN CASE MANAGERS, CLINICIANS, PATIENTS, CAREGIVERS AND COMMUNITY ORGANIZATIONS. IN FY17, 150 RESOURCES WERE UPDATED ON THE PA211 EAST WEBSITE, THERE WERE 2,326 VISITS TO THE PA211 EAST WEBSITE AND 5,015 PHONE CALLS WERE MADE WITHIN LEHIGH AND NORTHAMPTON COUNTIES.IN FY18, 109 RESOURCES WERE UPDATED ON THE PA211 EAST WEBSITE THROUGH OUTREACH FROM LVHN DEPARTMENT OF COMMUNITY HEALTH. OVER THE COURSE OF THE YEAR, THERE WERE 4,024 VISITS TO THE PA211 EAST WEBSITE AND 8,521 PHONE CALLS WERE MADE TO PA 211, WITHIN LEHIGH AND NORTHAMPTON COUNTIES.IN FY19, 132 RESOURCES WERE UPDATED ON THE PA211 EAST WEBSITE THROUGH OUTREACH FROM LVHN DEPARTMENT OF COMMUNITY HEALTH. OVER THE COURSE OF THE YEAR, THERE WERE 3,976 VISITS TO THE PA211 EAST WEBSITE, AND 8,114 PHONE CALLS WERE MADE TO PA 211, WITHIN LEHIGH AND NORTHAMPTON COUNTIES.1.3 EDUCATE AND SUPPORT PATIENTS, CAREGIVERS AND COMMUNITY MEMBERS AROUND ADVANCE CARE PLANNING (ACP). HOST COMMUNITY BASED CONVERSATIONS TO EDUCATE ABOUT ADVANCE CARE PRINCIPLES, SHARED DECISION-MAKING. ENCOURAGE COMPLETION OF ACP DOCUMENTS. IN FY17, A STRATEGIC PLAN WAS ESTABLISHED TO FOCUS YEARLY EFFORTS FOR ENGAGING THE COMMUNITY.370 COMMUNITY MEMBERS PARTICIPATED IN IN FOUR CONVERSATION GAMES, TWO VIDEO AND DISCUSSION EVENTS, AND TWO INFORMATION TABLES IN PARTNERSHIP WITH FIVE LOCAL ORGANIZATIONS TO DISCUSS FUTURE ADVANCE HEALTHCARE PLANS. DUE TO STAFF CHANGES IN FY18, THE WORK HAS TAKEN ON A DIFFERENT DIRECTION AND IS FOCUSED MORE AROUND INTERNAL CONVERSATIONS WITH LVHN STAFF AND CREATING WORKFLOWS TO SUPPORT STAFF'S ABILITY TO COMPLETE ADVANCED DIRECTIVES WITH PATIENTS IN THE OFFICE. FY18 WORK INCLUDES CREATION OF TEMPLATES IN LVHN'S ELECTRONIC MEDICAL RECORD. TO CAPTURE ACP DOCUMENTATION, PROCESSES ARE BEING DEVELOPED TO HAVE STAFF BEGIN TRACKING ACP CONVERSATIONS IN PATIENT CHARTS.IN FY19, PROCESSES WERE ROLLED OUT IN THE LVPG PRACTICES WHICH INCLUDE FAMILY MEDICINE, INTERNAL MEDICINE, GERIATRIC MEDICINE, AND OB/GYN. AS OF JUNE 30TH, 2019, 14.7% OF THE 48,998 PATIENTS OVER THE AGE OF 65 IN THESE PRACTICES HAVE AN ADVANCED DIRECTIVE DOCUMENTED IN THEIR EPIC PATIENT RECORD.2.1 PROMOTE LVHN COMMUNITY EXCHANGE (CE) TIME-BANKING PROGRAM TO INCREASE SOCIAL CONNECTIONS.IN FY17, 110 MEMBERS EXCHANGED 1,150 HOURS. AN ANNUAL MEMBER SATISFACTION SURVEY WAS ADMINISTERED AND APPROXIMATELY 75% OF MEMBERS SURVEYED FELT THAT THEIR PARTICIPATION IN COMMUNITY EXCHANGE INCREASED THEIR INVOLVEMENT IN THE COMMUNITY. IN SPRING 2017, THIS PROGRAM ENDED, AND A SMALLER GROUP HAS CONTINUED THIS EFFORT THROUGH THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER.3.1 LVHN'S STREET MEDICINE PROGRAM PROVIDES MEDICAL CARE WITHIN DEFINED SHELTER-BASED CLINICS AND ON "STREET ROUNDS" TO THE UNSHELTERED.THE STREET MEDICINE TEAM SAW 537 PATIENTS IN FY17, 462 PATIENTS IN FY18, AND 552 PATIENTS IN FY19 IN THE OUTPATIENT SETTING AT CLINICS IN HOMELESS SHELTERS. FOR PATIENTS SEEN IN ANY OF THE OUTPATIENT SETTINGS, THEY VISITED THE EMERGENCY DEPARTMENT 1,170 TIMES IN FY17, 916 TIMES IN FY18, AND 875 IN FY19. IN ADDITION, THE STREET MEDICINE TEAM COMPLETED 282 CONSULTS IN FY 17 FOR 230 INDIVIDUALS WHO WERE HOSPITALIZED AND AT-RISK FOR HOMELESSNESS, 303 CONSULTS FOR 241 INPATIENTS IN FY18, AND 347 CONSULTS FOR 187 INPATIENTS IN FY19. 3.2 STREET MEDICINE COLLABORATES WITH LVHN CASE MANAGEMENT, COMMUNITY COLLABORATORS TO PROVIDE CASE MANAGEMENT SERVICES, IMPROVE ACCESS TO INSURANCE, AND INTRODUCE PATIENTS TO A MEDICAL HOME WHEN READY.IN FY17, STREET MEDICINE PATIENT INSURANCE BREAKDOWN WAS AS FOLLOWS: AMONG PATIENTS SEEN IN THE OUTPATIENT SETTING, 43% WERE SELF-PAY, 40% HAD MEDICAID, 12% HAD MEDICARE, 2.7% HAD COMMERCIAL INSURANCE, AND 2% HAD BLUES CROSS PLANS. IN FY18, STREET MEDICINE PATIENT INSURANCE BREAKDOWN WAS AS FOLLOWS: AMONG PATIENTS SEEN IN THE OUTPATIENT SETTING, 28.2% WERE SELF-PAY, 56.6% HAD MEDICAID, 13.6% HAD MEDICARE, 1.7% HAD COMMERCIAL INSURANCE, AND 2.1% HAD BLUES CROSS PLANS. IN FY19, STREET MEDICINE PATIENT INSURANCE BREAKDOWN WAS AS FOLLOWS: AMONG PATIENTS SEEN IN THE OUTPATIENT SETTING, 28.4% WERE SELF-PAY, 49.3% HAD MEDICAID, 14.9% HAD MEDICARE, 4.2% HAD COMMERCIAL INSURANCE, AND 2.5% HAD BLUES CROSS PLANS. 3.3 HOST AND/OR PARTICIPATE IN A MULTI-SECTOR DISCUSSION ON HOUSING AND HEALTH WITH AREA STAKEHOLDERS.IN RESPONSE TO THE 2016 CHNA, REPRESENTATIVES FROM LEHIGH VALLEY HEALTH NETWORK (LVHN)'S DEPARTMENT OF COMMUNITY HEALTH, THE DOROTHY RIDER POOL HEALTH CARE TRUST, AND DESALES UNIVERSITY CAME TOGETHER TO CREATE A SYMPOSIUM EXPLORING THE INTERSECTION OF HOUSING AND HEALTH. THE FORUM WAS DESIGNED FOR KEY LEADERS IN THE LEHIGH VALLEY TO LEARN, CONNECT, AND ACT TO IMPROVE THE QUALITY OF LIFE IN THE LEHIGH VALLEY.THE EVENT WAS HELD ON SEPTEMBER 16, 2016 AT DESALES UNIVERSITY AND 158 PEOPLE WERE INVITED. THE KEYNOTE SPEAKER, JOHN T. COOK, PHD, MAED FROM CHILDREN'S HEALTHWATCH IN BOSTON, CHALLENGED ATTENDEES TO CONSIDER "HOUSING AS A VACCINE" THAT CAN PREVENT A WIDE RANGE OF FUTURE PROBLEMS. LOCAL EXPERTS FROM EDUCATION (JOSEPH J. ROY, EDD, BETHLEHEM AREA SCHOOL DISTRICT), YOUTH SERVICES (LISA WEINGARTNER LSW, MSW, VALLEY YOUTH HOUSE), AND LEGAL SERVICES (LORI MOLLOY, ESQ, NORTH PENN LEGAL SERVICES), SHARED THEIR EXPERIENCE REGARDING HOW HOUSING AND HEALTH AFFECT THEIR WORK IN THE LEHIGH VALLEY.THIS WORK HAS CONTINUED IN A VARIETY OF ITERATIONS, INCLUDING THROUGH A CROSS-SECTOR, COLLABORATIVE WORKING GROUP LOOKING AT HOUSING QUALITY AND AFFORDABILITY, A CROSS-SECTOR GROUP THAT PARTICIPATED IN THE 100 DAY CHALLENGE TO ELIMINATE HOMELESSNESS, AND CURRENTLY THERE ARE ON-GOING CONVERSATIONS ABOUT PARTICIPATING IN THE NATIONAL PURPOSE-BUILT MODEL INITIATIVE.4.1 HEALTH ADVOCACY PROGRAM: PROVIDE SUPPORT, NAVIGATION AND PROBLEM-SOLVING ASSISTANCE FOR PATIENTS WITH SOCIAL NEEDS, USING SPECIALLY TRAINED UNIVERSITY STUDENTS INTERESTED IN THE HEALTH PROFESSION OR SOCIAL SCIENCES.IN FY17, 153 PATIENTS WERE ENROLLED IN THE HEALTH ADVOCACY PROGRAM. OF THOSE PATIENTS, THERE WERE 89 SUCCESSFUL CONNECTIONS TO RESOURCES. STARTING IN SEPTEMBER 2016, HAP BEGAN ADMINISTERING A PERCEIVED STRESS SCALE. THERE WAS AN 8.84% DECREASE IN PERCEIVED STRESS FOR ENGLISH SPEAKERS WHO HAD A PRE- AND A POST-TEST (N = 35) AND A 5.57% DECREASE IN PERCEIVED STRESS FOR SPANISH SPEAKERS WHO HAD A PRE- AND A POST-TEST (N = 14). IN FY18, 167 PATIENTS WERE REFERRED TO THE HEALTH ADVOCACY PROGRAM RESULTING IN 82 SUCCESSFUL CONNECTIONS TO RESOURCES. IN FY19, 152 PATIENTS WERE REFERRED TO THE HEALTH ADVOCACY PROGRAM WHICH RESULTED IN 86 SUCCESSFUL CONNECTIONS TO COMMUNITY RESOURCES. THE THREE MOST COMMONLY REFERRED TO RESOURCES WERE HOUSING, FOOD ASSISTANCE, AND LEGAL ASSISTANCE.4.2 PILOT A CIVIL LEGAL ASSISTANCE PROGRAM IN COLLABORATION WITH NORTH PENN LEGAL SERVICES FOR PATIENTS WITH LEGAL ISSUES THAT AFFECT THEIR HEALTH AND WELL-BEING.IN FY17, 266 REFERRALS WERE MADE TO NORTH PENN LEGAL SERVICES RESULTING IN 199 OPEN CASES. THE TOP THREE REASONS FOR REFERRAL WERE HOUSING, CUSTODY, AND PUBLIC UTILITIES.IN FY18, 458 REFERRALS WERE MADE TO NORTH PENN LEGAL SERVICES RESULTING IN 274 OPEN CASES. 29% OF CASES WERE HOUSING RELATED WITH A SUCCESSFUL OUTCOME, INCLUDING PREVENTING EVICTION, PRESERVING CURRENT HOUSING, AND OVERCOMING UTILITY SHUT-OFFS. IN FY19, 360 REFERRALS WERE MADE TO NORTH PENN LEGAL SERVES WHICH RESULTED IN 166 OPEN CASES. THEY RESOLVED 178 CASES IN FY19.
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PART V, SECTION B, LINE 18E: COLLECTION ACTIVITIES ARE LIMITED TO HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENTS PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM.
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PART V, SECTION B, LINE 11 (CONTINUATION A)
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5.1 HEALTHY CORNER STORE INITIATIVE (HCSI): SEVERAL LOCAL CORNER STORES IN LOW INCOME COMMUNITIES HAVE BEEN IDENTIFIED AND ENCOURAGED TO ADD > 4 HEALTHY FOOD ITEMS TO THEIR STORE INVENTORY AFTER BASELINE ASSESSMENT. STORE OWNERS RECEIVE TRAINING BY STAFF ON HOW TO DISPLAY AND SELL HEALTHY FOOD ITEMS. FOLLOW-UP ASSESSMENTS DETERMINE ADHERENCE TO RECOMMENDATIONS.THE HEALTHY CORNER STORE INITIATIVE IN THE LEHIGH VALLEY ENROLLED AT TOTAL OF 55 CORNER STORES IN THE 3 MAJOR CITIES, ALLENTOWN (31), BETHLEHEM (17), AND EASTON (7). ADDITIONALLY, 100% OF THE ENROLLED CORNER STORES IN ALLENTOWN ADDED 4 NEW HEALTHY FOOD PRODUCTS TO THEIR INVENTORY. THE PROGRAM ALSO IMPLEMENTED HEART SMARTS, WHICH INCLUDED ADULT NUTRITION LESSONS IN THE STORES USING THE SNAP- ED APPROVED HEART SMARTS CURRICULUM, A SERIES OF 8 LESSONS ON VARYING NUTRITION TOPICS. IN ADDITION, FUNDING FROM THE PA DEPARTMENT OF HEALTH PROVIDED EACH PARTICIPANT WITH $4 IN HEART BUCKS, COUPONS THAT COULD BE USED IN STORE TO PURCHASE HEALTHY ITEMS. THESE COUPONS ALLOWED SHOPPERS TO TRY SOME OF THE PROMOTED HEALTHY FOODS WITH NO RISK TO THEIR GROCERY BUDGET. FREE BLOOD PRESSURE SCREENINGS WERE ALSO ADDED, AND NEARLY 120 PARTICIPANTS WERE SCREENED FOR HIGH BLOOD PRESSURE; 2 OUT OF 3 PARTICIPANTS WERE MEN. NEARLY 52% OF THE PARTICIPANTS WERE FOUND TO HAVE HIGH BLOOD PRESSURE AND WERE PROVIDED EDUCATION ON HEALTHY EATING AND ENCOURAGED TO VISIT THEIR PHYSICIANS. FUNDING FOR THIS INITIATIVE ENDED IN FY19; HOWEVER, THE WORK AROUND PROMOTING GREATER ACCESS TO HEALTHY FOODS CONTINUES. LVHN CONTINUES TO PARTNER WITH THE KELLYN FOUNDATION AROUND COMMUNITY CANVAS, PROVIDING IN-SCHOOL EDUCATION AND SCHOOL GARDENS (SEE BELOW). IN ADDITION, IN FY19 LVHN PARTNERED WITH THE RODALE INSTITUTE TO HAVE A MOBILE MARKET ROTATE THROUGH LVHN CAMPUSES. THIS MARKET ACCEPTED DOUBLE SNAP FOR INDIVIDUALS RECEIVE SNAP BENEFITS, MEANING PATIENTS WHO PURCHASED FRUITS AND VEGETABLES AT THE MOBILE MARKET COULD GET DOUBLE THE AMOUNT FOR THEIR SNAP DOLLARS. IN ADDITION, THROUGH PROGRAMS SUCH AS THE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT AND THE HEALTH ADVOCACY PROGRAM, PATIENTS WHO SCREENED POSITIVE FOR FOOD INSECURITY OR WHO WERE RECEIVING SNAP BENEFITS WERE PROVIDED INFORMATION ABOUT THE DOUBLE SNAP PROGRAM AND A LIST OF THE STORES WHERE THEY COULD UTILIZE THEM. LVHN 17TH STREET IS ALSO A SITE FOR THE SUMMER MEALS PROGRAM, PROVIDING MEALS TO CHILDREN IN THE DISTRICT DURING SUMMER DAYS AT NO COST.5.2 PARTICIPATION IN THE REGIONAL FOOD POLICY COUNCIL WHICH SEEKS TO IMPROVE FOOD SECURITY IN THE LEHIGH VALLEY AND TO SUPPORT GROWTH IN THE LOCAL FOOD ECONOMY.LVHN PARTICIPATED IN AT LEAST 75% OF FOOD POLICY COUNCIL MEETINGS AND EVENTS. THE MISSION OF LVFPC IS TO PROMOTE AN ENVIRONMENTALLY HEALTHY FOOD SYSTEM BY STRENGTHENING THE LOCAL FOOD ECONOMY, INCREASING ACCESS TO FRESH FOODS FOR EVERYONE, REDUCING FOOD INSECURITY, AND SUPPORTING LOCAL FARMING IN THE LEHIGH VALLEY. WE FOCUS ON FOOD ACCESS WHICH IS ONE OF THE THREE LVFPC PRIORITY STRATEGIES (FOOD AGGREGATION AND LAND USE BEING THE OTHER TWO PRIORITIES). OUR ROLE IS TO CO-CHAIR THE CONSUMER EDUCATION WORKING GROUP, WHICH WILL WORK TOWARD A COMPREHENSIVE, CONSISTENT NUTRITION EDUCATION EFFORT IN THE LEHIGH VALLEY, WORKING TO INFLUENCE EACH OF THE LEVELS OF THE SOCIO-ECOLOGICAL PUBLIC HEALTH MODEL (I.E. INDIVIDUAL, INTERPERSONAL, ORGANIZATIONAL, COMMUNITY, AND PUBLIC POLICY). 5.3 FOOD COLLECTION DRIVES: NONPERISHABLE FOOD IS COLLECTED AT LVHN'S DRIVE-THROUGH FLU VACCINE EVENTS AND BY EMPLOYEES THROUGHOUT THE YEAR TO ASSIST LOCAL FOOD CUPBOARDS.IN FY17, 12,960 POUNDS OF FOOD WERE COLLECTED AND DONATED DURING LVHN'S DRIVE THROUGH FLU VACCINE EVENTS. IN FY18, 12,400 POUNDS OF FOOD WERE COLLECTED AND DONATED DURING LVHN'S DRIVE THROUGH FLU VACCINE EVENTS. IN FY19, 14,000 POUNDS OF FOOD WERE COLLECTED AND DONATED DURING LVHN'S DRIVE THROUGH FLU VACCINE EVENTS.6.2 IMPLEMENT PARENTING CLASSES WITHIN ACHIP AND IN COLLABORATION WITH OTHER LOCAL AGENCIES; PILOT STRATEGIES TO INCREASE ENGAGEMENT.IN FY17, A TOTAL OF 22 PARENTS PARTICIPATED IN PARENTING CLASSES OFFERED IN DOWNTOWN ALLENTOWN. FIVE PARENTS COMPLETED THE ENTIRE 8 WEEK PROGRAM. EFFORTS ARE UNDERWAY TO INCREASE ENGAGEMENT IN THE CLASSES AND PARENTS' ABILITY TO COMPLETE ALL SESSIONS.IN FY18, A TOTAL OF 23 PARENTS PARTICIPATED IN PARENTING CLASSES OFFERED IN DOWNTOWN ALLENTOWN AND SHOWED A SIGNIFICANT INCREASE IN PARENTING SKILLS FROM THE BEGINNING TO THE END OF THE PROGRAM.THIS WORK EVOLVED TO PROVIDE THE EDUCATION IN-HOME DURING ACHIP HOME VISITS AS OPPOSED TO GROUP PARENTING CLASSES IN FY19.AT-RISK POPULATIONS1.1 DEPRESSION SCREENING: WITHIN PRACTICES USING EPIC ELECTRONIC HEALTH RECORD, IMPLEMENT ANXIETY/DEPRESSION SCREENING USING PHQ-2/9 (A STANDARDIZED TOOL); PROVIDE FEEDBACK TO CLINICIANS REGARDING THEIR SCREENING RATES.IN FY17, 58% OF PATIENTS, AGE 12 YEARS AND OLDER WITHOUT AN ACTIVE DIAGNOSIS OF DEPRESSION OR BIPOLAR DISORDER, WERE SCREENED FOR DEPRESSION, AND, IF POSITIVE, HAD A FOLLOW UP PLAN BETWEEN JULY AND DECEMBER 2016. THIS PERCENTAGE INCREASED TO 60% BETWEEN JANUARY AND JUNE OF 2017.65% OF PATIENTS, AGE 12 YEARS AND OLDER WITHOUT AN ACTIVE DIAGNOSIS OF DEPRESSION OR BIPOLAR DISORDER, WERE SCREENED FOR DEPRESSION, AND, IF POSITIVE, HAD A FOLLOW UP PLAN IN FY18. THIS NUMBER INCREASED TO 70% IN FY19. 1.2 ASSESS AND IMPROVE TREATMENT AND REFERRAL WORKFLOWS FOR PATIENTS WHO SCREEN POSITIVE FOR DEPRESSION WITH PHQ-9 WITHIN SELECTED PRIMARY CARE PRACTICES; PHQ SCORE >9 IN ADULTS, >5 IN CHILDREN AND ADOLESCENTS IN ORDER TO IMPROVE TREATMENT AND REFERRAL WORKFLOWS FOR PATIENTS, LVHN CREATED A BEHAVIORAL HEALTH REFERRAL SPECIALIST ROLE AT THE END OF FY18. THIS ROLE CURRENTLY PROVIDES SUPPORT TO PROVIDERS, PRACTICES AND PATIENTS SEEKING ACCESS TO MENTAL HEALTH AND/OR SUBSTANCE ABUSE SERVICES. SUPPORT BY THIS ROLE IS PROVIDED ON THREE LEVELS: 1. PROVIDE PRACTICES WITH THE NECESSARY RESOURCE INFORMATION TO ENABLE THEM TO MAKE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE REFERRALS. TO ACCOMPLISH THIS GOAL, A DATABASE, THE BEHAVIORAL HEALTH RESOURCES SHAREPOINT, OF MENTAL HEALTH, SUBSTANCE ABUSE AND OTHER RELATED RESOURCES AND SERVICES HAS BEEN CREATED AND IS MAINTAINED SO THE INFORMATION IS ALWAYS CURRENT AND ACCURATE. IN ADDITION, TO THIS DATABASE THE BEHAVIORAL HEALTH REFERRAL SPECIALIST HAS BEEN PROVIDING EDUCATION ON HOW TO EFFECTIVELY REFER A PATIENT FOR MENTAL HEALTH AND/OR SUBSTANCE ABUSE SERVICES TO THE FOLLOWING: PEDIATRIC PRIMARY CARE, ADULT SPECIALTY PROGRAMS, INPATIENT CASE MANAGEMENT, LVHN LEADERSHIP AND ADDITIONAL OUTSIDE PROGRAMS AND SERVICES.2. PROVIDE CONSULTATION TO PROVIDERS SEEKING SERVICES FOR THEIR PATIENTS WHEN THEY ARE UNABLE TO DO SO UTILIZING THE BEHAVIORAL HEALTH RESOURCES SHAREPOINT AND PAST REFERRAL EDUCATION. 3. DIRECT PATIENT CONTACT TO PROVIDE SUPPORT AND RESOURCES IF THE FIRST TWO LEVELS OF SERVICE FAIL TO SUPPORT THE PATIENT. IN FY19, THERE WERE 620 REQUESTS FOR ASSISTANCE FROM THE BEHAVIORAL HEALTH REFERRAL SPECIALIST.2.1 PUBLIC HEALTH INFORMATIONAL CAMPAIGN TO PROMOTE IMPORTANCE OF EARLY IDENTIFICATION OF DEPRESSION AND CONNECTING TO TREATMENT FOR BEHAVIORAL HEALTH ISSUES; EMPLOYEE ASSISTANCE PROGRAMS. "TELL YOUR STORY CAMPAIGN."IN FY17, INITIAL CONVERSATIONS WERE HELD ABOUT THE IDEA OF A PUBLIC HEALTH CAMPAIGN TO REDUCE STIGMA AROUND MENTAL HEALTH. LVHN LEADERSHIP FROM MARKETING, COMMUNITY HEALTH, AND PSYCHIATRY ENGAGED IN THE PLANNING OF THIS CAMPAIGN. THE CAMPAIGN WILL BE ENTITLED "TELL YOUR STORY AND IS ALSO BEING DONE IN ALIGNMENT WITH THE LOCAL CHAPTER OF THE NATIONAL ASSOCIATION FOR MENTAL ILLNESS (NAMI) AND LOCAL DIGITAL STORYTELLING EFFORTS WITHIN ALLENTOWN. FY17 PRIMARILY INCLUDED PLANNING AND DEVELOPMENT AND CONTINUES THROUGH FY18 WITH EXPANSION TO THE COUNTIES OUTSIDE OF THE LEHIGH VALLEY.IN FY18, SIX DIGITAL STORIES WERE DEVELOPED TO HIGHLIGHT STORIES OF INDIVIDUALS WHO HAVE STRUGGLED WITH MENTAL HEALTH ISSUES, INCLUDING DEPRESSION. IN FY19, A COMMUNICATION PLAN WAS COMPLETED TO SHARE THESE STORIES.4.1 INPATIENT BEHAVIORAL HEALTH UNIT TEAM PROVIDES SAFE ACUTE PSYCHIATRIC CARE FOR COMMUNITY FOCUSED ON SAFETY AND STABILIZATION. 6,022 PSYCHIATRIC EVALUATIONS WERE COMPLETED WITHIN THE EMERGENCY DEPARTMENT IN FY17. IN ADDITION, 2,454 PSYCHIATRIC INPATIENT ADMISSIONS OCCURRED IN FY17.IN FY18, 4,177 PSYCHIATRIC EVALUATIONS WERE COMPLETED WITHIN THE EMERGENCY DEPARTMENT. IN ADDITION, 2,384 PSYCHIATRIC INPATIENT ADMISSIONS OCCURRED IN FY18.IN FY19, THERE WERE 5,776 PSYCHIATRIC EVALUATIONS OCCURRED ACROSS 3 EMERGENCY DEPARTMENTS. IN ADDITION, 2,371 PSYCHIATRIC INPATIENT ADMISSIONS OCCURRED IN FY19.
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PART V, SECTION B, LINE 11 (CONTINUATION B)
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4.2 PARTIAL/RESIDENTIAL PROGRAMS (ADULT AND ADOLESCENT TRANSITIONS, ALTERNATIVES AND TRANSITIONAL LIVING CENTER) PROVIDE INTENSIVE TREATMENT, EDUCATION AND SUPPORT, IMPROVING COMMUNITY FUNCTION AND AVOIDING UNNECESSARY HOSPITALIZATIONS.THERE WERE 1,558 ADMISSIONS TO PARTIAL/RESIDENTIAL PROGRAMS FOR A TOTAL OF 15,324 DAYS IN FY17.THERE WERE 1,483 ADMISSIONS TO PARTIAL/RESIDENTIAL PROGRAMS FOR A TOTAL OF 14,919 DAYS IN FY18.THERE WERE 1,508 ADMISSIONS TO PARTIAL/RESIDENTIAL PROGRAMS FOR A TOTAL OF 12,337 DAYS IN FY19.4.3 OUTPATIENT PSYCHIATRIC CARE: MULTIPLE PROGRAMS PROVIDE EVALUATION, DIAGNOSIS AND TREATMENT FOR MEMBERS OF OUR COMMUNITY.THERE WERE 1,806 NEW PATIENTS IN THE OUTPATIENT CLINICS FOR A TOTAL OF 58,245 VISITS ACROSS 7 CLINICAL SITES.IN FY18, THERE WERE 2,035 NEW PATIENTS IN THE OUTPATIENT CLINICS FOR A TOTAL OF 52,118 VISITS ACROSS 7 CLINICAL SITES.IN FY19, THERE WERE 2,300 NEW PATIENTS IN THE OUTPATIENT CLINICS FOR A TOTAL OF 59,151 VISITS ACROSS 7 CLINICAL SITES.5.1 COMMUNITY ASTHMA EDUCATION PROGRAM (CAEP) FOR CHILDREN ENGAGES COMMUNITY HEALTH WORKERS TO CONDUCT INDIVIDUAL AND GROUP EDUCATION SESSIONS AND IN-HOME ASSESSMENTS FOR ASTHMA TRIGGER REMEDIATION THE CAEP PROGRAM ENDED IN APRIL 2017, DUE TO FUNDING CONSTRAINTS. AMONG 84 PATIENTS WHO COMPLETED THE PROGRAM BETWEEN JUNE AND DECEMBER OF 2016, STATISTICALLY SIGNIFICANT IMPROVEMENTS (P < .05) WERE DEMONSTRATED IN THE FOLLOWING AREAS: ASTHMA-RELATED KNOWLEDGE, PARENTS' ABILITY TO PROPERLY ADMINISTER ASTHMA MEDICATION, THE NUMBER OF DAYS THE CHILD EXPERIENCED ANY ASTHMA SYMPTOMS, THE NUMBER OF NIGHTS THE CHILD WOKE UP DURING THE NIGHT DUE TO ASTHMA, THE NUMBER OF DAYS THE CHILD USED HIS OR HER RESCUE INHALER OR NEBULIZER TREATMENT. EMERGENCY DEPARTMENT VISITS AND IN-PATIENT HOSPITALIZATIONS ALSO DECREASED FROM 6 MONTHS BEFORE PARTICIPATION IN THE PROGRAM TO 6 MONTHS AFTER PARTICIPATION AMONG THE 84 FAMILIES WHO COMPLETED THE PROGRAM. WE CONTINUE TO EXPLORE NEW WAYS TO ADDRESS ASTHMA AMONG PEDIATRIC POPULATIONS AND TO CONTINUE TO PROVIDE EFFECTIVE SERVICES TO FAMILIES WHO ARE STRUGGLING TO MANAGE THEIR CHILD'S ASTHMA.5.2 GERIATRIC WORKFORCE ENHANCEMENT PROGRAM (GWEP) ENGAGES COMMUNITY HEALTH WORKERS (CHWS) TO PARTNER WITH NURSES IN CONDUCTING HOME VISITS TO GERIATRIC PATIENTS (AND THEIR CAREGIVERS) WITH CHRONIC ILLNESSES OR MEMORY-RELATED DISORDERS, INCLUDING ALZHEIMER'S DISEASE. CHWS ASSESS PATIENTS' SOCIAL NEEDS AND PROVIDE CONNECTIONS TO COMMUNITY RESOURCES.29 CLASSES ADDRESSING CHRONIC DISEASE SELF-MANAGEMENT, DEMENTIA, FALL PREVENTION, AND HOME SAFETY FOR COMMUNITY-DWELLING OLDER ADULTS WERE HELD DURING FY17. 205 INDIVIDUALS PARTICIPATED IN THOSE CLASSES.34 CLASSES ADDRESSING CHRONIC DISEASE SELF-MANAGEMENT, DEMENTIA, FALL PREVENTION, AND HOME SAFETY FOR COMMUNITY-DWELLING OLDER ADULTS WERE HELD DURING FY18. 453 INDIVIDUALS PARTICIPATED IN THOSE CLASSES.19 CLASSES ADDRESSING CHRONIC DISEASE SELF-MANAGEMENT, DEMENTIA, FALL PREVENTION, AND HOME SAFETY FOR COMMUNITY-DWELLING OLDER ADULTS WERE HELD DURING FY19. 197 INDIVIDUALS PARTICIPATED IN THOSE CLASSES.5.3 SEE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT IN COMMUNITY ENGAGEMENT SECTION (6.2).6.1 POPULATION HEALTH DEPARTMENT (COMMUNITY CARE TEAMS NURSE CASE MANAGER, SOCIAL WORKER, BEHAVIORAL HEALTH SPECIALIST, +/- PHARMACIST, TRANSITIONS OF CARE CALL CENTER AND CENTRALIZED PAYER RESOURCES) WILL ENGAGE AND MANAGE PATIENTS IN THEIR HEALTH AND ADDRESS BARRIERS TO CARE.IN FY17, OVER 2,500 PATIENTS WERE SERVED BY THE CCT. FOR THESE CCT MANAGED PATIENTS, THERE WAS AN AVERAGE DECREASE IN INPATIENT ENCOUNTERS OF 140 FROM 6 MONTHS PRIOR TO THE INTERVENTION TO 6 MONTHS POST INTERVENTION. IN ADDITION, ED UTILIZATION DECREASED BY AN AVERAGE OF 156 VISITS FOR THIS PATIENT POPULATION FROM THE 6 MONTHS PRIOR TO BEING SERVED BY THE CCT TEAM TO THE 6 MONTHS AFTER WORKING WITH THE CCT TEAM. IN FY18, OVER 5,000 PATIENTS WERE SERVED BY THE CCT. FOR THESE CCT MANAGED PATIENTS, THERE WAS AN AVERAGE DECREASE IN INPATIENT ENCOUNTERS OF 108 FROM 6 MONTHS PRIOR TO THE INTERVENTION TO 6 MONTHS POST INTERVENTION. IN ADDITION, ED UTILIZATION DECREASED BY AN AVERAGE OF 96 VISITS FOR THIS PATIENT POPULATION FROM THE 6 MONTHS PRIOR TO BEING SERVED BY THE CCT TEAM TO THE 6 MONTHS AFTER WORKING WITH THE CCT TEAM. IN FY19, OVER 7,100 PATIENTS WERE SERVED BY THE CCT. FOR THESE CCT MANAGED PATIENTS, THERE WAS AN AVERAGE DECREASE IN INPATIENT ENCOUNTERS OF 475 FROM 6 MONTHS PRIOR TO THE INTERVENTION TO 6 MONTHS POST INTERVENTION. IN ADDITION, ED UTILIZATION DECREASED BY AN AVERAGE OF 872 VISITS FOR THIS PATIENT POPULATION FROM THE 6 MONTHS PRIOR TO BEING SERVED BY THE CCT TEAM TO THE 6 MONTHS AFTER WORKING WITH THE CCT TEAM. 6.2 SOCIAL WORKERS PLACED IN PRACTICES SERVED BY POPULATION HEALTH DEPARTMENT WILL ASSIST PATIENTS IN OBTAINING MEDICATIONS THEY CANNOT AFFORD.IN FY17, 1,515 MEDICATION ORDERS WERE PLACED ACROSS 34 PRACTICES, RESULTING $2,546,363 WORTH OF MEDICATIONS OBTAINED.IN FY18, 2,362 MEDICATION ORDERS WERE PLACED ACROSS 41 PRACTICES, RESULTING IN $3,991,739 WORTH OF MEDICATIONS OBTAINEDIN FY19, 2,697 MEDICATION ORDERS WERE PLACED ACROSS 41 PRACTICES, RESULTING IN $4,639,570 WORTH OF MEDICATIONS OBTAINED.6.3 SOCIAL WORKERS PLACED IN PRACTICES SERVED BY POPULATION HEALTH DEPARTMENT ASSIST ELIGIBLE PATIENTS IN APPLYING FOR SOCIAL SECURITY DISABILITY INCOME USING THE SOAR PROCESS.SOAR IS A PROGRAM DESIGNED TO INCREASE ACCESS TO SSI/SSDI FOR ELIGIBLE ADULTS WHO ARE EXPERIENCING, OR AT RISK OF, HOMELESSNESS AND HAVE A MENTAL ILLNESS. FOUR TOTAL SOAR APPLICATIONS WERE COMPLETED IN FY17; 3 APPROVED AND 1 WAS DENIED. IN FY18, 4 SOAR APPLICATIONS WERE COMPLETED, 2 WERE APPROVED, AND 2 WERE PENDING.IN FY19, 7 SOAR APPLICATIONS WERE COMPLETED, 3 WERE APPROVED, 3 ARE PENDING, AND 1 WAS DENIED.8.1 LV CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER ADDRESSES NEEDS OF CHILDREN WHO ARE AT RISK FOR OR ARE VICTIMS OF VIOLENCE AND/OR NEGLECT. CHILD PROTECTION TEAM RESOURCES ARE AVAILABLE WITHIN EMERGENCY DEPARTMENT, INPATIENT UNITS AND IN AN OUTPATIENT SETTING FOR AGENCY AND COMMUNITY REFERRALS. FOLLOW-UP SERVICES, COMMUNITY OUTREACH AND PROFESSIONAL EDUCATIONAL PROGRAMS ARE ALSO AVAILABLE.AS PART OF THE FOUNDATIONAL WORK OF ESTABLISHING A CHILD ADVOCACY CENTER, A CLINICAL PATHWAY FOR CHILDREN WITH SUSPICIOUS BRUISING WAS APPROVED AND PUBLISHED BY THE NETWORK IN FEBRUARY 2017. A CLINICAL PATHWAY FOR SKELETAL SURVEYS IS ALSO BEING DEVELOPED. A NO HIT ZONE WAS APPROVED AND ROLLED OUT IN THE NETWORK IN JUNE 2017. A TRAINING WAS HELD FOR 17 TF-CBT THERAPISTS FOR 1 DAY IN MARCH 2017, AND 7 OF 22 TFCBT THERAPISTS HAVE ACHIEVED CERTIFICATION. IN FY18, THERE WERE 1,593 REPORTED CASES OF CHILD ABUSE, 131 SUBSTANTIATED CASES, 214 MEDICAL EXAMS AND 254 FORENSIC EXAMS WERE PERFORMED, AND 593 TOTAL CHILDREN WERE SERVED BY THE CHILDREN'S ADVOCACY CENTER (CAC)IN FY19, THERE WERE 1,480 REPORTED CASES OF CHILD ABUSE, 186 SUBSTANTIATED CASES, 220 MEDICAL EXAMS (THE CAC'S CHILD PROTECTION MEDICINE TEAM PERFORMED AN ADDITIONAL 294 MEDICAL AND FOLLOW-UP EXAMS ON CHILDREN IN NEIGHBORING COUNTIES), AND A TOTAL OF 368 CHILDREN WERE SERVED IN LEHIGH COUNTY.ACCESS TO CARE1.1 MAINTAIN AND BROADLY COMMUNICATE LEHIGH VALLEY HEALTH NETWORK'S FINANCIAL ASSISTANCE POLICY, PROVIDING FREE OR DISCOUNTED CARE FOR QUALIFYING PATIENTS.FOR THE LVH-CEDAR CREST, 17TH STREET, AND MUHLENBERG CAMPUSES, 17,349 APPLICATIONS (WHICH CAN INCLUDE MORE THAN ONE PATIENT IN A FAMILY) WERE RECEIVED FOR THE FINANCIAL ASSISTANCE PROGRAM IN FY17. ALL APPLICATIONS WERE REVIEWED WITHIN 5 DAYS OF BEING RECEIVED, WHICH RESULTED IN 22,347 PATIENTS BEING APPROVED FOR FINANCIAL ASSISTANCE AND 4,042 PATIENTS BEING DENIED.IN FY18, 31,246 APPLICATIONS WERE RECEIVED FOR THE FINANCIAL ASSISTANCE PROGRAM. THIS RESULTED IN 22,426 PATIENTS APPROVED FOR FINANCIAL ASSISTANCE AND 2,135 PATIENTS BEING DENIED. IN FY19, 33,455 APPLICATIONS WERE RECEIVED FOR THE FINANCIAL ASSISTANCE PROGRAM. THIS RESULTED IN 24,200 PATIENTS APPROVED FOR FINANCIAL ASSISTANCE, 3,405 BEING DENIED, AND 5,851 ARE PENDING.
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PART V, SECTION B, LINE 11 (CONTINUATION C)
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2.3 IMPROVEMENT IN TIMELY ACCESS TO PRIMARY CARE CLINICIAN SERVICES.25 VIRTUAL EXPRESSCARE VISITS OCCURRED AT BANGOR HEALTH CENTER IN FY17 (LVH-MUHLENBERG SPECIFIC). THE GOAL IS THAT NEW PATIENTS IN PRIMARY CARE WILL BE SCHEDULED WITHIN 7 DAYS OF REQUESTED APPOINTMENT; NEW PATIENT APPOINTMENT IN SPECIALTY SERVICES WILL BE SCHEDULED WITHIN 14 DAYS OF A REQUESTED APPOINTMENT. AT START OF FY17, LVPG TOTAL NEW PATIENT APPOINTMENT LAG WAS 48.37% (THIS IS THE TOTAL PERCENTAGE OF PATIENTS THAT WERE SCHEDULED WITHIN THE 7/14 DAY TIME FRAME AS NOTED ABOVE) 46.05% FOR PRIMARY CARE AND 49.3% FOR SPECIALTY. AS OF FEBRUARY 2017, LVPG TOTAL NEW PATIENT APPOINTMENT LAG IS 51.44%, WITH 53.13% OF APPOINTMENTS FOR PRIMARY CARE AND 50.79% FOR SPECIALTY CARE SCHEDULED WITHIN THE 7/14 DAY TIME FRAME. VACANT CLINICIAN POSITIONS (INCLUDING CLINICIAN FMLAS) ARE CONTRIBUTING TO THIS LAG. STRATEGIES TO HELP IMPROVE THIS LAG INCLUDE DIRECT SCHEDULING AND ONE CALL/ONE CLICK AND OPEN SCHEDULING. IN FY18, 58,952 PRIMARY CARE VISITS OCCURRED ACROSS ALL MUHLENBERG PRACTICES. TRACKING OF LAG TIMES IS IN TRANSITION AND WILL BE REVISITED IN FY19.7.1 PROVIDE LVHN COLLEAGUES WITH CULTURAL, LINGUISTIC TRAINING VIA VARIETY OF DELIVERY MECHANISMS.ONGOING CULTURAL AND LINGUISTIC TRAINING IS PROVIDED FOR ALL CAMPUSES AT LVHN THROUGH NEW EMPLOYEE ORIENTATION AS WELL AS THE LEARNING CURVE (TLC) QUARTERLY E-LEARNING EDUCATION BUNDLES. IN ADDITION, CAMPUSES-SPECIFIC CULTURAL AND LINGUISTIC TRAINING OPPORTUNITIES ARE PROVIDED AS NEEDED. IN FY19, A TOTAL OF 91 PRESENTATIONS WERE PROVIDED THROUGHOUT THE NETWORK, REACHING A TOTAL 4,740 EMPLOYEES.IN THE LEHIGH VALLEY, DURING FISCAL YEAR (FY) 17, A CULTURAL AWARENESS E-LEARNING MODULE ENTITLED: PATIENT VOICES (ETIQUETTE FOR THE CARE OF PEOPLE WITH DISABILITIES) WAS INCLUDED IN THE TLC BUNDLES. PART 1 HAD 12,056 COURSE COMPLETIONS (A 98.77% COMPLETION RATE) AND PART 2 HAD 11,779 COURSE COMPLETIONS (A 97.66% COMPLETION RATE). THIS E-LEARNING MODULE WAS ALSO OFFERED IN FY18 WITH 98% COMPLETION RATE AMONG COLLEAGUES AT LVH-CEDAR CREST, 17TH STREET, MULHENBERG). IN ADDITION, 64 IN-PERSON EDUCATIONS SESSIONS WERE OFFERED. THE NUMBER OF PRESENTATION HELD INCREASED TO 78. IN APRIL OF 2019, AN EXTERNAL GUEST, ROBBIN CHAPMAN, WHO IS AN EXPERT ON UNCONSCIOUS BIAS IN THE WORKPLACE, PRESENTED AT THE NETWORK-WIDE MONTHLY MANAGER MEETING. APPROXIMATELY 250 EMPLOYEES ATTENDED THE PRESENTATION ENTITLED, "I CAN BE MYSELF AROUND HERE: POWERING THE FUTURE WITH COLLEAGUE ENGAGEMENT".7.2 PATIENT'S PREFERRED LANGUAGE FOR HEALTH CARE DISCUSSIONS IS RECORDED AT TIME OF REGISTRATION.IN FY 17 THROUGH FY 19, OVER 700,000 PATIENTS HAD A PREFERRED LANGUAGE DOCUMENTED. 91.4% OF PATIENTS PREFERRED ENGLISH, 5% PREFERRED SPANISH, .2% PREFERRED ARABIC WITH THE REMAINING POPULATION PREFERRING OTHER LANGUAGES OR ARE UNSPECIFIED. 89 LANGUAGES ARE DOCUMENTED IN TOTAL.7.3 ASSESS AVAILABILITY OF LANGUAGE ASSISTANCE RESOURCES IN ALL CARE DELIVERY SITES TO MEET NEEDS OF PATIENTS WITH LIMITED ENGLISH PROFICIENCY.IN FY 17, THERE WERE 9,011 LIVE ENCOUNTERS WITH INTERPRETERS AT CEDAR CREST, 17TH STREET, AND MUHLENBERG TOTALING 180,318 INTERPRETING MINUTES. AT LVH - CEDAR CREST AND 17TH STREET CAMPUSES, 39,300 INTERPRETING ENCOUNTERS OCCURRED VIA IPAD AND 22,757 ENCOUNTERS VIA PHONE. AT MUHLENBERG, 3,478 INTERPRETING ENCOUNTERS OCCURRED VIA IPAD AND 1,036 ENCOUNTERS VIA PHONE. INCLUDING LVPG AS WELL, THE TOTAL FOR PHONE ENCOUNTERS FOR FY 17 WAS 31,616.IN FY18, 12,974 LIVE ENCOUNTERS WITH INTERPRETERS OCCURRED TOTALING 319,779 INTERPRETING MINUTES. AT LVH- CEDAR CREST AND 17TH STREET THERE WERE 28,843 ENCOUNTERS VIA IPAD AND 19,607 ENCOUNTERS VIA PHONE. AT MUHLENBERG THERE WERE 3,962 ENCOUNTERS VIA IPAD AND 1,649 ENCOUNTERS VIA PHONE. INCLUDING LVPG, THERE WERE A TOTAL OF 43,631 INTERPRETING ENCOUNTERS VIA PHONE.IN FY19, THERE WERE 19,392 LIVE ENCOUNTERS WITH INTERPRETERS AT LVH - CEDAR CREST, 17TH STREET, AND MUHLENBERG TOTALING 526,626 INTERPRETING MINUTES. IN ADDITION, THERE WERE 25,084 INTERPRETING ENCOUNTERS VIA PHONE AT LVH-CEDAR CREST AND 17TH STREET CAMPUSES, TOTALING 245,545 MINUTES. AT MUHLENBERG, THERE WERE 1,821 INTERPRETING ENCOUNTERS BY PHONE FOR A TOTAL OF 18,368 MINUTES. INCLUDING LVPG AS WELL, THE TOTAL FOR PHONE ENCOUNTERS FOR FY19 WAS 57,480. AT THE LVH - 17TH STREET CAMPUS THERE WAS A TOTAL OF 222,232 MINUTES OF INTERPRETING PROVIDED THROUGH AN IPAD. AT LVH - CEDAR CREST, THE TOTAL WAS 303,361 INTERPRETING MINUTES VIA IPADS, AND AT LVH-MUHLENBERG THE TOTAL WAS 46,248 MINUTES IN FY19. THE COST OF ALL VENDORS THAT SUPPORT INTERPRETING SERVICES WAS OVER $1.1 MILLION.PREVENTION AND WELLNESS1.1 CAPTURE (BMI) DATA FOR LVHN PATIENTS THROUGH EPIC (LVHN'S ELECTRONIC HEALTH RECORD); ANALYZE AGGREGATED DATA TO IDENTIFY OPPORTUNITIES FOR PRACTICE-BASED OR PROGRAMMATIC INTERVENTIONS.1.2 IDENTIFY AND REFER PATIENTS IDENTIFIED AS "HIGH RISK" (BY VIRTUE OF LIFESTYLE ISSUES OR CO-MORBID CONDITIONS) TO LVHN AND COMMUNITY RESOURCES TO ASSIST WITH PATIENT ENGAGEMENT, EDUCATION, MOTIVATION AND SUPPORT FOR MANAGEMENT OF THEIR CONDITION.DATA BELOW REFERS TO 1.1 AND 1.2:BETWEEN JULY AND DECEMBER OF 2016, OUT OF A TOTAL OF 207,377 PATIENTS 18 YEARS AND OLDER, 75% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED. OUT OF A TOTAL OF 186,673 PATIENTS 18 YEARS AND OLDER, 76% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED BETWEEN JANUARY AND JUNE OF 2017. IN FY18, OUT OF A TOTAL OF 232,842 PATIENTS 18 YEARS AND OLDER, 74% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED.IN FY19, OUT OF A TOTAL OF 256,852 PATIENTS 18 YEARS AND OLDER, 79% HAD A BMI DOCUMENTED AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED.1.3 COMMUNITY CANVAS: A SCHOOL- AND COMMUNITY-BASED EDUCATIONAL PROGRAM THAT INCLUDES IN-SCHOOL INSTRUCTION AND EVENING PROGRAMS FOR FAMILIES OF ELEMENTARY STUDENTS AND EMPHASIZES WELLNESS THROUGH HEALTHY HABITS AND GOOD NUTRITION. IN 201617 SCHOOLS IN EASTON AND WHITEHALL ARE INCLUDED IN THE PROGRAM.IN THE 2016-2017 SCHOOL YEAR, THE COMMUNITY CANVAS PROGRAM ENGAGED SIX ELEMENTARY SCHOOLS IN THE EASTON AND WHITEHALL SCHOOL DISTRICTS. 2,225 UNIQUE STUDENTS PARTICIPATED WITH A TOTAL OF 8,725 TOTAL REACHES ACROSS THE SCHOOLS. COMMUNITY CANVAS UTILIZED A PRE AND POST-TEST TO ASSESS LEARNINGS FROM THE PROGRAM. SOME KEY FINDINGS INCLUDE: BETWEEN 67% AND 72% OF STUDENTS KNEW YOU SHOULD HAVE AT LEAST 5 SERVINGS OF FRUIT AND VEGETABLES PER DAY. ALSO, 72.9% OF THE STUDENTS KNEW THAT ALL THE FAST FOOD RESTAURANTS SHOWN HAVE SOME HEALTHY FOOD AVAILABLE AND SOME "HEALTHIER" FAST FOOD RESTAURANTS HAD SOME VERY UNHEALTHY FOOD. OVERALL, THERE WAS A SIGNIFICANT INCREASE IN KNOWLEDGE GAINED IN-CLASSROOM AND REINFORCED AT HOME VIA HANDOUTS PROVIDED.IN THE 2017-2018 SCHOOL YEAR, COMMUNITY CANVAS EXPANDED TO 8 SCHOOLS. THE PROGRAM ENGAGED 2,730 UNIQUE STUDENTS AND TEACHERS ACROSS 105 UNIQUE CLASSROOMS. 66 CLASSROOMS PARTICIPATED IN "GARDEN IN A CLASSROOM."IN THE 2018-2019 SCHOOL YEAR, COMMUNITY CANVAS OPERATES IN 39 SCHOOLS IN 9 SCHOOL DISTRICTS IN THE LEHIGH VALLEY, REACHING MORE THAN 9,400 STUDENTS. AS A PART OF THIS WORK 26 SCHOOL GARDENS WERE CREATED IN 8 OF THE 9 SCHOOL DISTRICTS. THROUGH THE IN-SCHOOL PRESENTATIONS, OVER 3,000 UNIQUE STUDENTS AND TEACHERS WERE ENGAGED IN HEALTHY LIFESTYLE PRESENTATIONS. STUDENTS SHOWED IMPROVEMENTS ON THEIR KNOWLEDGE OF WHAT IS CONSIDERED HEALTHY AND NON-HEALTHY FOODS; ON THEIR KNOWLEDGE ABOUT THE MINIMUM NUMBER OF FRUITS AND VEGETABLES PER DAY THEY SHOULD EAT; AND ON THEIR UNDERSTANDING OF FRUIT VERSUS FRUIT JUICE, THE COLORS AND NUTRIENTS OF VEGETABLES, AND HOW TO DETERMINE THE AMOUNT OF SUGAR IN FOODS. MOREOVER, 29 CLASSROOMS PARTICIPATED IN THE VEGETABLE CHALLENGE WHICH RESULTED IN 2 OUT OF 3 STUDENTS CHANGING THEIR EATING BEHAVIORS AROUND VEGETABLES.
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PART V, SECTION B, LINE 11 (CONTINUATION D)
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1.4 SURGICAL WEIGHT MANAGEMENT INFORMATION SESSIONS: INFORMATION EVENTS HELD MONTHLY, FACILITATED BY THE WEIGHT MANAGEMENT CENTER'S REGISTERED NURSE PATIENT NAVIGATOR. PARTICIPANTS ARE PROVIDED WITH OPTIONS AVAILABLE AT THE CENTER FOR MEDICALLY SUPPORTED, NONSURGICAL WEIGHT MANAGEMENT. ATTENDEES LEARN HOW THE TEAM OF PHYSICIANS, RN PATIENT NAVIGATOR, REGISTERED DIETITIANS AND BEHAVIORAL HEALTH SPECIALISTS CAN TAILOR AN INDIVIDUALIZED, SAFE AND EFFECTIVE PROGRAM OF DIET, NUTRITION, EXERCISE AND LIFESTYLE CHANGES.IN FY17, 2,124 INDIVIDUALS SIGNED UP FOR FREE INFORMATION EVENTS ABOUT NONSURGICAL WEIGHT MANAGEMENT SERVICES. 1,552 PEOPLE ATTENDED THE EVENTS, 75% OF WHOM WERE POTENTIAL SURGERY CANDIDATES. 546 INDIVIDUALS WHO ATTENDED AN EVENT, ALSO SCHEDULED A PHYSICAL. IN FY18, 1,680 INDIVIDUALS SIGNED UP FOR FREE INFORMATION EVENTS ABOUT NONSURGICAL WEIGHT MANAGEMENT SERVICES. 1,276 PEOPLE ATTENDED THE EVENTS, 58% OF WHOM WERE POTENTIAL SURGERY CANDIDATES. 656 INDIVIDUALS WHO ATTENDED AN EVENT, ALSO SCHEDULED A PHYSICAL.IN FY19, 1,992 INDIVIDUALS SIGNED UP FOR FREE INFORMATION EVENTS ABOUT NONSURGICAL WEIGHT MANAGEMENT SERVICES. 1,702 PEOPLE ATTENDED THE EVENTS, 76% OF WHOM WERE POTENTIAL SURGERY CANDIDATES. 886 INDIVIDUALS WHO ATTENDED AN EVENT, ALSO SCHEDULED A PHYSICAL.3.1 FREE MASS INFLUENZA IMMUNIZATION "DRIVE-THROUGH" PROGRAM HELD AT TWO MAJOR VENUES IN THE LEHIGH VALLEY REGION.10,254 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE THROUGH THE DRIVE-THRU PROGRAM IN 2017. OVER $300,000 PROVIDED IN FREE CARE FOR FLU VACCINE AND SUPPLIES. ALSO, 12,960 POUNDS OF FOOD WERE DONATED DURING THE DRIVEIN FY18, 9,022 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE THROUGH THE DRIVE-THRU PROGRAM. OVER $420,000 PROVIDED IN FREE CARE FOR FLU VACCINE AND SUPPLIES AND 12,400 POUNDS OF FOOD WAS DONATED.IN FY19, 10,017 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE THROUGH THE DRIVE-THRU PROGRAM. OVER $470,000 PROVIDED IN FREE CARE FOR FLU VACCINE AND SUPPLIES AND APPROXIMATELY 14,000 POUNDS OF FOOD WAS DONATED.3.2 FREE INFLUENZA VACCINE CLINICS WITHIN REGIONAL SOUP KITCHENS AND HOMELESS SHELTERS TO REACH VULNERABLE PATIENTS AT RISK FOR INFLUENZA.IN FY17, 64 FLU VACCINES WERE ADMINISTERED ACROSS 6 CLINICAL SITES.IN FY18, 162 PATIENTS WERE VACCINATED.DUE TO A CHANGE IN THE ELECTRONIC MEDICAL RECORD, THIS INFORMATION COULD NOT BE CAPTURED ACCURATELY IN FY19.4.1 DENTAL SEALANT PROGRAM; PROVIDES SECOND AND THIRD-GRADE CHILDREN FROM LOWER-INCOME COMMUNITIES IN BOTH ALLENTOWN AND EASTON SCHOOL DISTRICTS ACCESS TO DENTAL SEALANTS, AN EVIDENCE BASED FORM OF PREVENTIVE ORAL HEALTH CARE. CHILDREN ALSO RECEIVE A TOOTHBRUSH AND INSTRUCTION IN HOW TO USE.IN ALLENTOWN SCHOOL DISTRICT IN FY17, 1,447 STUDENTS RETURNED THEIR CONSENT FORMS, 733 RECEIVED AN EXAM, AND 567 STUDENTS HAD THEIR TEETH SEALED. IN EASTON AREA SCHOOL DISTRICT, 618 STUDENTS RETURNED THEIR CONSENT FORMS, 233 RECEIVED AN EXAM, AND 186 RECEIVED SEALANTS. IN TOTAL 2,214 SEALANTS WERE PLACED IN FY17. THIS PROGRAM WAS DISCONTINUED IN FY18.4.2 BUILDING 21 OF ALLENTOWN SCHOOL DISTRICT HEALTH CARE CAREER DISCOVERY PROGRAM EXPOSES STUDENTS TO A WIDE VARIETY OF HEALTH CARE CAREERS AND POSITIVE ADULT ROLE MODELS IN AUTHENTIC, REAL-WORLD SETTINGS. YEAR 1 PILOT COMPLETE WITH GOAL OF CREATING AN EVIDENCE BASED, FOUR-YEAR MODEL. YEAR 2 PILOT WITH PROGRAM EXPANSION TO TWO OTHER HIGH SCHOOLS IN ALLENTOWN SCHOOL DISTRICT. THE LEHIGH VALLEY HEALTH NETWORK DEPARTMENT OF EDUCATION PROVIDED SEVERAL YOUTH PROGRAMMING OPPORTUNITIES THROUGHOUT FY17. A CURRICULUM WAS OFFERED AT THE BETHLEHEM AREA VOCATIONAL TECHNICAL SCHOOL WHICH WAS DESIGNED TO PROVIDE STUDENTS WITH THE NECESSARY INFORMATION AND SKILLS TO BE CONSIDERED SAFE IN A CLINICAL ENVIRONMENT. IT FOCUSED ON SEVERAL CLINICAL COMPONENTS FOR A MULTIFOCAL OVERVIEW OF PROFESSIONAL HEALTH CAREERS. THERE WERE 38 GRADUATES FROM THE PROGRAM, AND 100% OF THE GRADUATES ENROLLED IN POST-SECONDARY EDUCATION.LVHN ALSO PARTNERED WITH LEHIGH CAREER AND TECHNICAL INSTITUTE, PENN STATE LEHIGH VALLEY, AND LEHIGH CARBON COMMUNITY COLLEGE TO OFFER A DUAL-ENROLLMENT PROGRAM TO STUDENTS WHICH COMBINES COLLEGE LEVEL SCIENCE COURSES, HONORS HEALTH CURRICULA, AND OBSERVATION IN A HEALTHCARE SETTING. THERE WERE 49 GRADUATES FROM THE PROGRAM, AND 100% OF THE GRADUATES ENROLLED IN POST-SECONDARY EDUCATION.LVHN ALSO OFFERED A HEALTH CARE CAREER DISCOVERY DAY WHICH EXPOSES STUDENTS TO A WIDE VARIETY OF HEALTH CARE CAREERS AND POSITIVE ADULT ROLE MODELS IN AUTHENTIC, REAL-WORLD SETTINGS. 329 STUDENTS PARTICIPATED IN HEALTH CARE CAREER DISCOVERY PROGRAMMING. A SIMILAR PROGRAM WAS ALSO OFFERED TO THE CHILDREN OF LVHN STAFF (9TH-12TH GRADE) WHICH EXPOSED CHILDREN TO A WIDE VARIETY OF CAREERS, FIELDS OF STUDY, AND POSITIVE ADULT ROLE MODELS WHO DEMONSTRATE PROFESSIONALISM. 64 STUDENTS PARTICIPATED.IN FY18, AT THE BETHLEHEM AREA VOCATIONAL TECHNICAL SCHOOL, 41 STUDENTS GRADUATED FROM THE PROGRAM, 98% OF WHOM WENT ON TO POST-SECONDARY EDUCATION. AT THE LEHIGH CAREER AND TECHNICAL INSTITUTE, 58 STUDENTS GRADUATED FROM THE PROGRAM, 100% OF WHICH WENT ON TO POST-SECONDARY EDUCATION. AT LVHN'S HEALTHCARE CAREER DISCOVERY DAY, 407 STUDENTS PARTICIPATED WITH 41 LVHN DEPARTMENTS PARTICIPATING.IN FY19, AT THE BETHLEHEM AREA VOCATIONAL TECHNICAL SCHOOL, 39 STUDENTS WERE ENROLLED IN THE PROGRAM. AT THE LEHIGH CAREER AND TECHNICAL INSTITUTE, 55 STUDENTS WERE ENROLLED IN THE PROGRAM. AT LVHN'S HEALTHCARE CAREER DISCOVERY DAY, 356 STUDENTS PARTICIPATED.4.3 PROVISION OF SCHOOL-BASED HEALTH SERVICES TO ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS, ADDRESSING DEFICIENT PHYSICALS AND VACCINES.IN FY17, PLANNING MEETINGS WERE HELD, AN MOU WAS DRAFTED, AND APPROVAL WAS RECEIVED FOR BEHAVIORAL HEALTH SERVICES AND WELLNESS EDUCATION IN THE ALLENTOWN SCHOOLS. SCHOOL-BASED HEALTH SERVICES ARE PRESENT AT FIVE SCHOOLS: SOUTH MOUNTAIN MIDDLE SCHOOL, LINCOLN LEADERSHIP ACADEMY, MOSSER ELEMENTARY SCHOOL, CENTRAL ELEMENTARY SCHOOL, AND EXECUTIVE EDUCATION ACADEMY CHARTER SCHOOL. 128 STUDENTS HAD NOT COMPLETE PHYSICALS AND IMMUNIZATIONS. OF THOSE 128, 44 RETURNED CONSENTS AND 21 COMPLETED THE REQUIREMENTS. IN FY18, SCHOOL-BASED HEALTH SERVICES WERE PRESENT AT FIVE SCHOOLS: SOUTH MOUNTAIN MIDDLE SCHOOL, LINCOLN LEADERSHIP ACADEMY, MOSSER ELEMENTARY SCHOOL, CENTRAL ELEMENTARY SCHOOL, AND EXECUTIVE EDUCATION ACADEMY CHARTER SCHOOL. 275 STUDENTS RETURNED CONSENTS AND OF THOSE 275, 105 RECEIVED PHYSICALS. IN FY19, SCHOOL-BASED HEALTH SERVICES WERE PROVIDED IN 22 SCHOOLS. 430 STUDENTS RETURNED CONSENTS AND OF THOSE STUDENTS, 225 RECEIVED PHYSICALS, AND 281 RECEIVED IMMUNIZATIONS5.1 ENSURE ALL CHWS WORKING WITHIN LVHN RECEIVE TRAINING IN CHW COMPETENCIES.100% OF CHWS WHO HAVE BEEN WORKING AT LVHN FOR MORE THAN 3 MONTHS DURING FY17 COMPLETED THE AHEC TRAINING (N = 9). COMMUNITY HEALTH WORKERS ARE AN EXPANDING WORKFORCE IN HEALTH CARE IN THE LEHIGH VALLEY. IT IS IMPORTANT FOR ALL CHWS TO BE ABLE TO DEMONSTRATE CERTAIN COMPETENCIES IN ORDER FOR THEM TO BE SUCCESSFUL IN THEIR JOB ROLES. NO ADDITIONAL CHWS WERE HIRED IN FY18, BUT TWO ADDITIONAL CHWS WERE HIRED IN FY19.5.2 DEPLOY CHWS IN PROGRAMS AND PRACTICES THAT SERVE INDIVIDUALS AND FAMILIES WITH SOCIAL AND ECONOMIC NEEDS.IN FY17, 9 CHWS WERE WORKING AT LVHN. ALL PROVIDE PATIENTS OR COMMUNITY RESIDENTS WITH LINKS TO COMMUNITY BASED SERVICES AND SOCIAL SUPPORT. TARGET POPULATIONS INCLUDE FAMILIES WITH YOUNG CHILDREN, ELDERLY INDIVIDUALS, AND FAMILIES IN THE SCHOOL SYSTEM. CHWS ARE BEST SUITED TO WORK WITH PATIENTS AND FAMILIES WHO ARE STRUGGLING WITH THE BURDENS OF SOCIAL DETERMINANTS OF HEALTH. THEY CAN HELP TO ALLEVIATE THESE BURDENS, ENABLING PATIENT AND FAMILIES TO BETTER MANAGE THEIR HEALTH AND IMPROVE THE QUALITY OF THEIR LIVES. THESE 9 CHWS CONTINUED TO WORK WITH THE SAME TARGET POPULATIONS AS FY17 IN FY18. IN FY 19, THREE OF THE 9 WERE INTEGRATED INTO THE POPULATION HEALTH INFRASTRUCTURE IN THE NETWORK. WORKFORCE DEVELOPMENT FOR COMMUNITY HEALTH WORKERS CONTINUES TO BE A PRIORITY, SPECIFICALLY UNDER THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL.6.1 GUIDELINE DEVELOPMENT FOR ACUTE AND CHRONIC PAIN MANAGEMENT, PATIENT SCREENING FOR SAFE PRESCRIBING OF OPIOID ANALGESICS; PHYSICIAN OUTREACH AND EDUCATION.23 SMALL GROUP/PRACTICE SESSIONS AND 11 LARGE GROUP EDUCATION SESSIONS WERE HELD IN FY 17 REACHING OVER 350 PROVIDERS, CLINICAL AND OFFICE STAFF, AND RESIDENTS.43 SMALL GROUP/PRACTICE SESSIONS AND 15 LARGE GROUP EDUCATION SESSIONS WERE HELD IN FY 18 REACHING OVER 3,000 PROVIDERS, CLINICAL AND OFFICE STAFF, AND RESIDENTS.IN FY19, 3 SMALL GROUP/PRACTICE SESSIONS REACHING 41 STAFF AND 9 LARGE GROUP EDUCATION SESSIONS WERE HELD REACHING OVER 670 PROVIDERS, CLINICAL AND OFFICE STAFF, AND RESIDENTS.
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PART V, SECTION B, LINE 11 (CONTINUATION E)
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7.2 MAKE D & A RESOURCE LISTINGS AVAILABLE TO CLINICAL SETTINGS, CASE MANAGERS, SOCIAL WORKERS.LISTINGS OF DRUG AND ALCOHOL RESOURCES ARE COMPILED FOR 7 COUNTIES IN THE AREA. THE PROVIDERS IN THE RESOURCE LIST ARE THE AGENCIES THAT LVHN PROVIDERS REFER TO FOR SUBSTANCE ABUSE/ADDICTION SERVICES. LVHN PSYCHIATRY DEPARTMENT DEVELOPED A CENTRAL LOCATION THAT HOUSES ALL OF THE RESOURCE LISTINGS FOR PROVIDERS.8.1 HOST AND SPONSOR COMMUNITY-BASED OPIOID-ABUSE PREVENTION PRESENTATIONS TARGETED TO SCHOOLS, PARENTS; INCLUDE OUTREACH TO FAMILIES EXPERIENCING ADDICTION. AN OPIOID TASK FORCE WAS ESTABLISHED AND A CHARTER WAS DRAFTED. THE TEAM MET MONTHLY IN PREPARATION FOR A SUBSTANCE USE DISORDERS SYMPOSIUM TO BE HELD IN THE FALL OF 2017. COLLEAGUES FROM LVHN DEPARTMENT OF EDUCATION WERE ENGAGED IN MONTHLY MEETINGS, AS WAS LVHN MARKETING. LEADERS FROM THE ACO, EMERGENCY DEPARTMENT, AND TOXICOLOGY WERE ALSO PRESENT AT THE MEETINGS TO PROVIDE FEEDBACK AND ALIGN EFFORTS WITH NETWORK SUBSTANCE USE INITIATIVES ALREADY UNDERWAY.IN FY18, A 3 SESSION SYMPOSIUM, ENTITLED, "SAVING LIVES THROUGH INTERVENTION: SUBSTANCE USE DISORDERS" WAS OFFERED TO LVHN PROVIDERS. IT OFFERED CME CREDITS AT THE LVHN CEDAR CREST CAMPUS FOR MORE THAN 100 ATTENDEES.IN FY19, ANOTHER 3 COMMUNITY-BASED PRESENTATIONS WERE HELD IN THE LEHIGH VALLEY, IN PARTICULAR A SPEAK UP FOR BEN COMMUNITY FORUM WITH 200 ATTENDEES, A PRESENTATION AT NORTHAMPTON COMMUNITY COLLEGE WITH 25 ATTENDEES, AND PRESENTATION FOR MARYWOOD UNIVERSITY WITH 70 ATTENDEES. THERE WAS ALSO A PRESENTATION AT CATASAUQUA HIGH SCHOOL IN SEPTEMBER 2018. IN ADDITION, LVHN HAD STRONG REPRESENTATION AT RALLY IN THE VALLEY IN MAY 2019 WITH CPR AND NARCAN TRAINING AND OTHER EDUCATIONAL OFFERINGS AROUND STIGMA, AND DRUG AND ALCOHOL USE. LVHN ALSO CONDUCTED 16 OPIOID USE DISORDER SIMULATIONS SERVING 265 HIGH SCHOOL AND UNDERGRADUATE NURSING STUDENTS.9.1 PROVIDE EDUCATIONAL OUTREACH TO VULNERABLE POPULATIONS IN URBAN AREAS ABOUT COLON CANCER SCREENING AND ASSIST WITH ACCESS TO SCREENING OPTIONS.10 COMMUNITY MEMBERS PARTICIPATED IN 5 PATIENT AND STAKEHOLDER ADVISORY COMMITTEE MEETINGS IN FY 17. IN ADDITION, ONE COMMUNITY HEALTH FAIR WAS HELD WITH 253 ATTENDEES, 2 PATIENT FOCUS GROUPS WERE HELD WITH 12 ATTENDEES, AND 3 NETWORK STAKEHOLDER INTERVIEWS WERE CONDUCTED. NO ADDITIONAL ACTIVITIES TOOK PLACE IN FY18 OR FY19.9.2 ENGAGE COMMUNITY MEMBERS, PATIENTS, PAYERS, EMPLOYERS AND HEALTH CARE SYSTEMS THROUGH A LEARNING COMMUNITY MODEL DESIGNED TO DEVELOP COMMON AGENDA FOR REDUCING COLORECTAL (CRC) AND LUNG CANCER (LCA) SCREENING DISPARITIES AMONG MINORITY POPULATIONS.FUNDED BY THE PATIENT CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI), THE REDUCING CANCER DISPARITIES BY ENGAGING STAKEHOLDERS (RCADES) PROJECT BEGAN ON NOVEMBER 1, 2015. THE RCADES PROJECT AIMS TO FORM A NEW "COLLECTIVE IMPACT LEARNING COMMUNITY" TO ADVANCE THE IDENTIFICATION, ADAPTATION, AND USE OF EVIDENCE-BASED INTERVENTIONS THAT REDUCE CANCER SCREENING DISPARITIES IN HEALTH SYSTEMS.THE RCADES LEARNING COMMUNITY INCLUDES A COORDINATING TEAM FROM THE CENTER FOR HEALTH DECISIONS (CHD) AT THOMAS JEFFERSON UNIVERSITY (THE "BACKBONE ORGANIZATION"); A STEERING COMMITTEE; A LEHIGH VALLEY HEALTH NETWORK PATIENT AND STAKEHOLDER ADVISORY COMMITTEE (LVHN-PASAC); A DELAWARE VALLEY ACCOUNTABLE CARE ORGANIZATION PATIENT AND STAKEHOLDER ADVISORY COMMITTEE (DVACO-PASAC); AND OTHER KEY STAKEHOLDERS, INCLUDING PATIENTS, CLINICIANS, HEALTH SYSTEM ADMINISTRATORS, INSURERS, EMPLOYERS, AND OTHER KEY STAKEHOLDERS. THE GOAL OF THIS LEARNING COMMUNITY IS TO EXPLORE MOVING EVIDENCE-BASED INTERVENTIONS INTO PRACTICE AND POPULATION HEALTH MANAGEMENT. IN FY 17 AND FY18, 72 COMMUNITY MEMBERS PARTICIPATED IN A SERIES OF 14 SESSIONS FOR THE LVHN-PASAC; ALL REPORTED THAT PARTICIPATION HELPED THEM BETTER UNDERSTAND THE IMPLEMENTATION PROCESS. NO ADDITIONAL ACTIVITIES TOOK PLACE IN FY19.10.1 PUBLIC HEALTH MESSAGING CAMPAIGN TO ENCOURAGE EARLY PREGNANCY CARE.INITIAL STEPS HAVE BEEN TAKEN TO COLLECT DEMOGRAPHIC INFORMATION TO BETTER UNDERSTAND THE APPROPRIATE TARGET AUDIENCE FOR THIS CAMPAIGN. THE WORK WILL CONTINUE INTO FY18. A NEW TOWER OPENED UP IN FY18 FOR LABOR AND DELIVERY AT OUR MUHLENBERG CAMPUS. CEDAR CREST/17TH STREET-SPECIFIC TACTICS:COMMUNITY ENGAGEMENT6.1 OUTREACH TO YOUNG MOTHERS, CHILDREN AND FAMILIES IN THE ALLENTOWN PROMISE NEIGHBORHOOD, USING COMMUNITY HEALTH WORKERS AND A NURSE NAVIGATOR TO PROVIDE EDUCATION, SUPPORT, CONNECTION TO HEALTH CARE AND SOCIAL SERVICES GOALS INCLUDE SUPPORTING FAMILIES, EARLY CHILDHOOD EDUCATION, IMPROVING HEALTH AND HEALTH CARE UTILIZATION.FROM JANUARY 2017 THROUGH JUNE 2019, 338 FAMILIES ENROLLED IN THE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT. MORE THAN 800 CONNECTIONS MADE BY CHWS TO COMMUNITY RESOURCES, THE TOP THREE BEING HOUSING, SOCIAL SUPPORT, AND CHILD EDUCATION. 52 PARENTS PARTICIPATED IN GROUP-BASED EDUCATION SESSIONS AND 27 PARENTS COMPLETED A KNOWLEDGE AND SKILLS SURVEY AT THE BEGINNING AND END. THE 27 PARENTS WHO PARTICIPATED IN THE PRE AND POST TEST SHOWED A STATISTICALLY SIGNIFICANT IMPROVEMENT IN THEIR PARENTING SKILLS. FAMILIES WHO PARTICIPATED IN ACHIP DEMONSTRATED IMPROVEMENTS IN FOOD INSECURITY RISK, PARENTING STRESS, STABLE HOUSING, AND ABILITIES TO PAY THEIR UTILITY BILLS. THE PERCENT OF PARENTS WHO WERE AT-RISK FOR FOOD INSECURITY DECREASED BY 30% (42% AT BASELINE TO 12% AT 9 TO 12 MONTHS LATER). PARENTS' REPORTS OF FEELING EXTREME STRESS DECREASED BY 36% (58% AT BASELINE TO 22% 9 TO 12 MONTHS LATER). THE PERCENT OF FAMILIES REPORTING BEING UNSTABLY HOUSED DECREASED BY 14% (31% AT BASELINE TO 17% AT 9 TO 12 MONTHS LATER).6.3 EARLY HEAD START SAFESTART PROGRAM PROVIDES QUALITY EARLY CHILDHOOD EDUCATION TO YOUNG CHILDREN OF FAMILIES INVOLVED WITH PA'S OFFICE OF CHILDREN AND YOUTH. GOALS INCLUDE; ADDRESSING HEALTH PROBLEMS, DEVELOPMENTAL DELAYS AND EMOTIONAL TRAUMA. IN SCHOOL YEAR 2016-2017, 29 CHILDREN AGES 9-36 MONTHS WERE SERVED IN THE EARLY HEAD START/SAFESTART PROGRAM. IN SCHOOL YEAR 2017-2018, 36 CHILDREN AGES 9-36 MONTHS WERE SERVED IN THE PROGRAM. ALL AGE GROUPS OF THE CHILDREN SHOWED IMPROVEMENT IN AREAS OF SOCIAL AND EMOTIONAL DEVELOPMENT AND PHYSICAL DEVELOPMENT DURING BOTH SCHOOL YEARS. THEY ALSO SHOWED IMPROVEMENTS IN HEALTH OUTCOMES INCLUDING PHYSICALS, DENTAL EXAMS, AND IMMUNIZATIONS.AT-RISK POPULATIONS7.1 IMPROVE CAPACITY BY OFFERING ADDITIONAL STI CLINIC SERVICES AT 17TH ST. CAMPUS (INCLUDING EVENING HOURS) TO ADDRESS COMMUNITY NEED AND TO SUPPLEMENT SERVICES OFFERED BY ALLENTOWN HEALTH BUREAU (AHB).A CONTRACT WITH THE STATE HAS NOT BEEN EXECUTED, AND THE NETWORK IS WORKING THROUGH BARRIERS WITH THE PA ATTORNEY GENERAL'S OFFICE. THE LAUNCH OF THE STI CLINIC WILL BE DELAYED UNTIL FY18.THE PROGRAM RECEIVED A FULLY EXECUTED PREFERRED PROVIDER AGREEMENT FROM THE STATE OF PENNSYLVANIA AND THE STAFF IS NOW IN THE PROCESS OF DEVELOPING A BUSINESS PLAN WITH THE HOPES OF LAUNCHING THE PROGRAM IN FALL 2018.PREVENTION AND WELLNESS2.1 HEALTHY LATINAS PILOT PROGRAM: HEALTHY LATINAS IS A COMMUNITY-BASED, MULTICOMPONENT INTERVENTION TARGETING OVERWEIGHT AND OBESE HISPANIC ADOLESCENT FEMALES AND THEIR MOTHERS OR CAREGIVERS. AIM OF THIS PROGRAM IS TO PROMOTE HEALTHY HABITS, PHYSICAL ACTIVITY AND BODY IMAGE AS WELL AS DECREASE UNHEALTHY WEIGHT GAIN. HEALTHY LATINAS IS A PILOT PROGRAM BASED ON A SUCCESSFUL MODEL, HEALTHY CHICAS, IMPLEMENTED IN MIAMI, FLA.THE HEALTHY LATINAS PILOT PROJECT WAS IMPLEMENTED IN FY18. 11 PARTICIPANTS CONSENTED TO THE PROGRAM ATTENDING AN AVERAGE OF 6.83 CLASSES (OUT OF TEN POSSIBLE CLASSES) WITH 4 PARTICIPANTS COMPLETING THE PROGRAM. WHILE A SMALL SAMPLE, THESE 4 SHOWED INCREASED KNOWLEDGE IN HEALTHY FOOD CHOICE, INCREASED PHYSICAL ACTIVITY, AND IMPROVED BODY IMAGE AND SELF-ESTEEM.4.4 ELECT PREGNANT AND PARENTING PROGRAM FOR AT-RISK POPULATION: COMMUNITY HEALTH STAFF TEACHES HEALTH-RELATED TOPICS AT WILLIAM ALLEN HS EACH MONTH.IN OCTOBER 2016 THROUGH APRIL 2017 THERE WERE 22 PARTICIPANTS IN THE ELECT PROGRAM. THE PROGRAM ENDED IN APRIL 2017 DUE TO A LOSS OF PROGRAM FUNDING AND A CHANGE OF DIRECTION FOR THE ALLENTOWN SCHOOL DISTRICT
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PART V, SECTION B, LINE 11 (CONTINUATION F)
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7.1 IMPROVE COMMUNICATION PROCESS FOR REFERRALS FOR ASSESSMENT BY COUNTY DRUG & ALCOHOL (D & A) PROVIDERS. PILOT LIAISON IN ED FOR "WARM HAND-OFFS" TO D & A FROM LVHN CLINICIANS.FROM JANUARY 2017 THROUGH JUNE 2018, 101 PATIENTS WERE SCREENED BY AN ADDICTION RECOVERY SPECIALIST IN THE EMERGENCY DEPARTMENT. OF THOSE REFERRALS, ALCOHOL WAS THE MAIN SUBSTANCE USED (37.5%) AND THE REMAINDER USED WERE NARCOTICS (62.5%) AFTER SCREENING, 63% OF THE REFERRALS WERE SENT BACK HOME WITH A REFERRAL TO OUTPATIENT TREATMENT, AND 27% WERE REFERRED DIRECTLY TO AN INPATIENT REHABILITATION FACILITY. THE HOST PROGRAM BEGAN AT LVH CEDAR CREST, MUHLENBERG, AND 17TH STREET IN JANUARY 2017. 153 REFERRALS WERE MADE TO THE HOST PROGRAM FROM JANUARY 2017 THROUGH JUNE 2018. THERE WERE 982 REFERRALS MADE TO THE HOST PROGRAM IN FY19.MUHLENBERG-SPECIFIC TACTICS:AT-RISK POPULATIONS3.1 BEHAVIORAL HEALTH INTEGRATION PILOT: CO-LOCATED MEDICAL AND BEHAVIORAL HEALTH CARE SAMHSA GRANT SITE. IMPLEMENTATION OF A REVERSE CO-LOCATION MODEL OF CARE FOR SERIOUSLY MENTALLY ILL PATIENTS TO INCLUDE NURSE CARE COORDINATION AND PARTICIPATION IN WELLNESS EVENTS. IN FY17, 92 PATIENTS WERE REFERRED BY THE CO-LOCATED PRIMARY CARE CLINICIAN AT THE WHOLE HEALTH CONNECTIONS CLINIC AND SUCCESSFULLY SEEN BY THE SPECIALIST OR RECEIVED NECESSARY SERVICES. 53 PATIENTS PARTICIPATED IN WELLNESS ACTIVITIES AT THE WHOLE HEALTH CONNECTIONS CLINIC. WELLNESS ACTIVITIES INCLUDE SUPPORT GROUPS, TOBACCO CESSATION, YOGA, AND SOLUTIONS FOR WELLNESS, AN EVIDENCED BASED PROGRAM THAT PROMOTES ADOPTION OF HEALTHY BEHAVIORS AROUND PHYSICAL ACTIVITY AND DIET AMONG PATIENTS WITH SERIOUS MENTAL ILLNESS.IN FY18, 136 PATIENTS WERE REFERRED AND 102 PATIENTS PARTICIPATED IN WELLNESS ACTIVITIES.IN FY19, 79 SPECIALTY PRIMARY CARE RELATED REFERRALS WERE COMPLETED AMONG CONSUMERS WITH SERIOUS MENTAL HEALTH ILLNESSES. CONSUMERS WERE REFERRED BY THE CO-LOCATED PRIMARY CARE CLINICIAN AT THE MENTAL HEALTH CLINIC AND SUCCESSFULLY CONNECTED TO SPECIALTY CARE AND NON-MEDICAL SERVICES.ACCESS TO CARE AND HEALTH EQUITY2.1 EXPANSION OF PRIMARY CARE SERVICES FOR VULNERABLE POPULATIONS.IN FY17, A TOTAL OF 62,288 PRIMARY CARE AND 32,337 EXPRESSCARE VISITS OCCURRED IN NORTHAMPTON COUNTY. IN FY18, A TOTAL OF 77,740 PRIMARY CARE AND 39,279 EXPRESSCARE VISITS OCCURRED IN NORTHAMPTON COUNTY.IN FY19, A TOTAL OF 80,978 PRIMARY CARE AND 42,564 EXPRESSCARE VISITS OCCURRED IN NORTHAMPTON COUNTY. 2.2 RECRUITMENT OF PRIMARY CARE CLINICIANS TO SUPPORT TIMELY ACCESS TO CARE.9 NEW PROVIDERS HAVE BEEN ADDED OVER THE COURSE OF FY17 IN PRIMARY CARE IN NORTHAMPTON COUNTY. THERE WERE 8 PROVIDERS AT THE BEGINNING OF FY17 AND 17 PROVIDERS AT THE END OF FY17 AND GOING INTO FY18.3.1 PALMER TOWNSHIP AND EASTON HEALTH CENTERS (OPENED SUMMER 2017) WILL PROVIDE IMPROVED FACE-TO-FACE AND TELEMEDICINE ACCESS TO COMPLEX DISEASE CARE.SIX NEW PROVIDERS HAVE BEEN ADDED OVER THE COURSE OF FY17 IN SPECIALTY CARE IN NORTHAMPTON COUNTY. THERE WERE 4 PROVIDERS AT THE BEGINNING OF FY17 AND 10 PROVIDERS AT THE END OF FY17. A TOTAL OF 2,123 VISITS OCCURRED IN SPECIALTY CARE, AND 1,444 UNIQUE PATIENTS WERE SEEN. SEVEN OF THE 10 SPECIALTY CARE AREAS ONLY BEGAN SEEING PATIENTS IN JUNE OF 2017.IN FY18, A TOTAL OF 13,167 VISITS OCCURRED IN SPECIALTY CARE IN NORTHAMPTON COUNTY AND 12,279 UNIQUE PATIENTS WERE SEEN.IN FY19, A TOTAL OF 23,015 VISITS OCCURRED IN SPECIALTY CARE IN NORTHAMPTON COUNTY AND 21,135 UNIQUE PATIENTS WERE SEEN.PREVENTION AND WELLNESS2.2 REDEDICATION OF THE "HEALTH & WELLNESS CENTER," WHICH OFFERS FITNESS, REHAB AND OTHER HEALTH PROMOTION SERVICES.THE REDEDICATION OF THE HEALTH & WELLNESS CENTER OCCURRED IN MAY OF 2014 AND CONTINUES TO BE IN OPERATION THROUGH FY 17 AND 18.10.2 DEVELOPMENT OF NEW PAVILION ON LVHM CAMPUS THAT WILL IMPROVE ACCESS TO FAMILY BIRTH AND NEWBORN CARE SERVICES1,314 PATIENTS RECEIVED OB CARE BETWEEN NOVEMBER 2016 (WHEN THE MATERNITY CARE PATHWAY WAS IMPLEMENTED) AND FEBRUARY 2017 WITH 4.6% RECEIVING INITIAL CARE AT 13 WEEKS OR LATER. 2,748 PATIENTS RECEIVED OB CARE BETWEEN JANUARY 2017 AND JUNE 2017 WITH 4.4% RECEIVING INITIAL CARE AT 13 WEEKS OR LATER. IN FY 18, A TOTAL OF 3,132 UNIQUE PATIENTS STARTED OB CARE. OF THIS NUMBER, THE NUMBER OF UNIQUE PATIENTS WHO ARE "NEW" TO THE NETWORK WAS 282. OF THOSE UNIQUE PATIENTS, THE PERCENTAGE OF PATIENTS WHO PRESENTED FOR OB CARE AT 13 WEEKS OR GREATER IN THIS TIME FRAME WAS NEARLY 6%. IN FY19, A TOTAL OF 4,937 UNIQUE PATIENTS STARTED OB CARE. OF THIS NUMBER, THE NUMBER OF UNIQUE PATIENTS WHO ARE "NEW" TO THE NETWORK WAS 291. OF THOSE UNIQUE PATIENTS, THE PERCENTAGE OF PATIENTS WHO PRESENTED FOR OB CARE AT 13 WEEKS OF GREATER IN THIS TIME FRAME WAS NEARLY 6%.
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Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.