| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
ABINGTON MEMORIAL HOSPITAL ("AMH") IS A NON-PROFIT, REGIONAL ACUTE CARE HOSPITAL. AMH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, GENDER, GENDER IDENTITY OR EXPRESSION, SEXUAL ORIENTATION, RELIGION, AGE, STATUS AS AN INDIVIDUAL WITH A HANDICAP/DISABILITY OR ABILITY TO PAY. MOREOVER, NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. AMH OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. AMH OPERATES AN ACTIVE EMERGENCY TRAUMA CENTER FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. AMH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. 4. CONTROL OF AMH RESTS WITH JEFFERSON HEALTH'S BOARD OF TRUSTEES; WHICH INCLUDES A NUMBER OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. EFFECTIVE APRIL 30, 2015 AT 11:59 PM, THOMAS JEFFERSON UNIVERSITY ("TJU"), A PENNSYLVANIA NON-PROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, BECAME THE SOLE CORPORATE MEMBER OF ABINGTON HEALTH ("AH"). THIS TRANSACTION WAS ACHIEVED BY THE FILING OF THE AMENDED AND RESTATED ARTICLES OF INCORPORATION. AS A RESULT OF THIS TRANSACTION, AH AND ITS SUBSIDIARIES, AMH, LANSDALE HOSPITAL CORPORATION ("LHC"), AND ABINGTON HEALTH FOUNDATION ("AHF") (COLLECTIVELY, THE "SUBSIDIARIES"), BECAME SUBSIDIARIES OF TJU, CREATING A UNIVERSITY HEALTH SYSTEM, KNOWN AS JEFFERSON, THAT ENCOMPASSES THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH ("SYSTEM"). THE SYSTEM INCLUDES FOURTEEN HOSPITALS, SEVEN URGENT CARE CENTERS, AND 25 TESTING AND IMAGING CENTERS LOCATED THROUGHOUT PHILADELPHIA, BUCKS AND MONTGOMERY COUNTIES IN PENNSYLVANIA AND CAMDEN AND GLOUCESTER COUNTIES IN NEW JERSEY. OUTPATIENT AND COMMUNITY-BASED SERVICES ARE DELIVERED THROUGH A NETWORK OF OWNED AND AFFILIATED PHYSICIAN PRACTICES, SATELLITE MEDICAL AND SURGICAL CENTERS, OUTPATIENT LABORATORIES AND RADIOLOGY CENTERS. TOGETHER, JEFFERSON HEALTH HAS 32,000+ EMPLOYEES, 6,300 PHYSICIANS AND PRACTITIONERS, 7,900 NURSES, 2,600 FACULTY AND 2,100 VOLUNTEERS AND IS THE SECOND LARGEST EMPLOYER IN PHILADELPHIA. DURING FY20, MANY STRATEGIC ADMINISTRATIVE, MERGER/ACQUISITIONS AND CHANGES WERE GREATLY AFFECTED BY THE COVID-19 PANDEMIC. THE SUDDEN APPEARANCE OF A NOVEL CORONAVIRUS WAS A CALL TO ACTION, A SUMMONS TO DO WHAT WE WERE BORN FOR: TO HELP, TO HEAL, TO CARE FOR OUR COMMUNITY. DURING THE PEAK OF THE SURGE, JEFFERSON HEALTH HAD 7,000 DISCHARGES OF NON-COVID PATIENTS WITHOUT ANY EVIDENCE OF VIRUS TRANSMISSION. THAT'S HOW SAFE WE WERE. AMONG OUR 15,000 CLINICAL EMPLOYEES AND PHYSICIANS, WE HAD LESS THAN 1 PERCENT CONTRACT THE VIRUS. THAT'S SUBSTANTIALLY LESS THAN ANY OTHER FRONTLINE SYSTEM. OUR HOSPITALS WERE AMONG THE FEW TO LET LOVED ONES BE PRESENT FOR BIRTHS, AND FOR DEATHS, ALLOWING FAMILIES TO BE AT THE BEDSIDE OF EVEN COVID-POSITIVE PATIENTS. AT AMH AND LHC, OUR FIRST PATIENTS PRESENTED EARLY IN THE PANDEMIC AND WE WERE THE FIRST HEALTH SYSTEM TO STAND UP A TESTING SITE AND THE FIRST TO INITIATE UNIVERSAL MASKING. THE PARTNERSHIP STRENGTHENS THE ENTERPRISE'S ABILITY TO CARE FOR THE COMMUNITIES WE SERVE. IN ADDITION, JEFFERSON'S UNIQUE GOVERNANCE STRUCTURE CONTINUES AS A COMBINED BOARD WITH EQUAL REPRESENTATION FROM JEFFERSON, ABINGTON, JEFFERSON HEALTH - NORTHEAST AND KENNEDY. ADDITIONALLY, IN FY20, JEFFERSON HEALTH CONTINUED IN ITS COMMITMENT TO PURSUE ITS DEFINITIVE AGREEMENT WITH EINSTEIN HEALTHCARE NETWORK ("EHN") OF PHILADELPHIA AND MONTGOMERY COUNTY, PENNSYLVANIA. THE PROPOSED MERGER TO CREATE AN 18 HOSPITAL HEALTH SYSTEM IS AWAITING STATE AND FEDERAL GOVERNMENT APPROVALS. WHILE, THOMAS JEFFERSON UNIVERSITY, JEFFERSON HEALTH, TEMPLE UNIVERSITY AND TEMPLE HEALTH ENTERED INTO AN AGREEMENT TO CONDUCT DUE DILIGENCE AND NEGOTIATE THE SALE OF FOX CHASE CANCER CENTER TO JEFFERSON AND TEMPLE'S INTEREST IN HEALTH PARTNERS PLAN (HPP) THE ACQUISITION DID NOT MOVE FORWARD AS A RESULT OF THE PANDEMIC. IN FY20, ABINGTON CELEBRATED ITS FIFTH ANNIVERSARY OF ITS COMBINATION WITH JEFFERSON HEALTH. EVERY DAY THIS COLLABORATION CONTINUES TO ENHANCE OUR ABILITY TO IMPROVE LIVES BY PROVIDING HIGH-QUALITY CARE AT LOWER COSTS, WHICH ALLOWS US TO SERVE MORE PEOPLE WHEN AND WHERE THEY NEED US. A DIFFERENT YEAR ---------------- COMING TOGETHER: OUR COVID RESPONSE INCLUDED PLANNING AND PREPARATION - EVEN BEFORE THE FIRST POSITIVE CASES OF COVID-19 SURFACED IN MONTGOMERY COUNTY, ABINGTON HOSPITAL WAS ALREADY EXECUTING A DETAILED PLAN FOR COVID TESTING, PATIENT SERVICES, AND EQUIPMENT MANAGEMENT. THE PLAN WAS DEVELOPED BY JEFFERSON, WITH RECOMMENDATIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND THE DEPARTMENT OF HEALTH. AS OUR NUMBER OF CASES GREW, A STRATEGIC ADVISORY TEAM OF TOP LEADERS AT THE HOSPITAL LAUNCHED NUMEROUS STRATEGIES TO ADDRESS THE NEEDS OF OUR COMMUNITY, INCLUDING: ESTABLISHING THE FIRST COVID TESTING SITE IN THE DELAWARE VALLEY; POSTPONING ALL ELECTIVE PROCEDURES, REPURPOSING BEDS FOR ADDITIONAL ICU CAPACITY, SETTING PROTOCOLS FOR ISOLATING DIFFERENT PATIENT POPULATIONS, CREATING TRANSITION PLANS FOR NON-COVID PATIENTS AND SHIFTING NON-COVID APPOINTMENTS TO TELEHEALTH TECHNOLOGY WHEN POSSIBLE; SETTING UP A TRIAGE PHONE LINE FOR PATIENTS AND STAFF, AND CREATING STANDARD GUIDELINES FOR STAFF WHO ARE TRIAGING PATIENTS; SOURCING PERSONAL PROTECTIVE EQUIPMENT (PPE) DONATIONS, SUPPLIES AND OTHER EQUIPMENT, INCLUDING VENTILATORS AND ALTERNATIVES; PROVIDING REAL-TIME EDUCATION ABOUT CHANGING CDC GUIDELINES; REDEPLOYING STAFF TO THE MOST CRITICAL UNITS; PROVIDING TRAINING TO UPSKILL REGISTERED NURSES (RNS) TO WORK IN THE ICU; ORGANIZING CHILDCARE FOR STAFF AND DEVELOPING PLANS TO FEED AND HOUSE STAFF AS NEEDED. IT WAS ANNOUNCED IN FY20 THAT JEFFERSON HEALTH HAD CARED FOR MORE COVID-19 PATIENTS THAN ANY OTHER SYSTEM IN THE PHILADELPHIA AREA. DURING THESE UNPRECEDENTED TIMES, OUR COMMUNITY DONATED GENEROUS FUNDS AND MATERIALS: OUR COMMUNITY STEPPED UP WITH CHARITABLE SUPPORT, AND SHOWED GREAT GENEROSITY IN DONATING MEDICAL EQUIPMENT AND PPE. THESE INCLUDED MASKS, GOGGLES, HAND SANITIZER, AND OTHER MEDICAL SUPPLIES. TO ENSURE THE SAFETY AND EFFICACY OF THESE MATERIALS, OUR SUPPLY-CHAIN MANAGEMENT TEAM SET UP A DONATION DROP-OFF SITE TO COORDINATE THE RECEIPT AND EVALUATION OF THESE GENEROUS DONATIONS. COMMUNITY MEMBERS HAVE SOWN AND DONATED HUNDREDS OF CLOTH MASKS AND WASHABLE SURGICAL CAPS FOR HEALTHCARE PERSONNEL, AND HAVE ALSO ASSEMBLED "HERO HEALING KITS" FILLED WITH SUPPLIES AND SNACKS FOR FRONTLINE WORKERS. HEROES HONORING HEROES: NUMEROUS COMMUNITY MEMBERS HAVE STEPPED UP TO SUPPORT AND RECOGNIZE OUR HEROES ON THE FRONT LINE OF CARE. MUCH OF THAT SUPPORT HAS COME FROM FOLKS WHO ARE HEROES IN THEIR OWN RIGHT, INCLUDING NEARLY TWO DOZEN AREA POLICE, FIRE AND EMS UNITS. AMONG THE MANY TRIBUTES WAS A SPECIAL DISPLAY OF SUPPORT FROM FIRST RESPONDERS. AN ARRAY OF POLICE CARS, FIRETRUCKS, AND AMBULANCES SHOWED UP WITH LIGHTS AND SIRENS ON, TO LINE EMPLOYEE ENTRANCES AND HONOR OUR STAFF COMING AND GOING AT SHIFT CHANGES. IT WAS A MOVING AND MEANINGFUL SHOW OF SUPPORT FROM PROFESSIONALS WHO SHARE OUR COMMITMENT TO CARING FOR OTHERS. OUR WOMEN'S BOARD JOINED OTHERS TO CREATE AN IMPORTANT NEW INITIATIVE IN RESPONSE TO THE COVID-19 PANDEMIC CALLED "FEEDING THE FRONT LINES", THE PROGRAM BRINGS IN FOOD FROM AREA RESTAURANTS AND CATERERS TO FEED HEALTHCARE WORKERS THROUGHOUT OUR VARIOUS AH LOCATIONS. ALL OF THIS WAS COORDINATED WITH HOSPITAL STAFF TO COORDINATE MEAL DELIVERIES ON A DAILY BASIS FOR EMPLOYEES. WITH THE SUPPORT OF NUMEROUS LOCAL RESTAURANTS, BUSINESSES, NONPROFIT ORGANIZATIONS, AND COMMUNITY MEMBERS, "FEEDING THE FRONTLINES" HAS PROVIDED MORE THAN ONE HUNDRED MEALS A DAY DURING THE SHUTDOWN. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
AH IS THE UMBRELLA ORGANIZATION THAT ENCOMPASSES ITS FLAGSHIP HOSPITAL, AMH, IN ABINGTON AND LHC IN HATFIELD TOWNSHIP. TOGETHER, AMH AND LHC HAVE 800 LICENSED BEDS, SEVEN OUTPATIENT CAMPUSES: ABINGTON HEALTH-BLUE BELL, ABINGTON HEALTH-ELKINS PARK, ABINGTON HEALTH-LOWER GWYNEDD, ABINGTON HEALTH-MONTGOMERYVILLE, ABINGTON HEALTH-WARMINSTER AND ABINGTON HEALTH-WILLOW GROVE WHICH INCLUDES THE SITE OF THE SIDNEY KIMMEL CANCER CENTER ASPLUNDH CANCER PAVILION AND, ABINGTON HEALTH-HORSHAM. IN ADDITION, TWO URGENT CARE CENTERS IN FLOURTOWN AND WILLOW GROVE, PENNSYLVANIA WERE OPEN AND AVAILABLE FOR THE COMMUNITY UNTIL THE PANDEMIC FORCED THEM TO CLOSE UNTIL DEEMED SAFE ENOUGH TO REOPEN. PHYSICIANS-EMPLOYED PRACTICES GEOGRAPHICALLY LOCATED IN BUCKS, MONTGOMERY AND PHILADELPHIA COUNTIES WITH 73 LOCATIONS. THE ABOVE BRANDED, FICTITIOUS NAMES ARE USED FOR MERGER ANNOUNCEMENT PURPOSES. LEGAL NAMES OF AMH, AH, AHF AND LHC WILL BE USED IN FY20 DOCUMENTS. AMH IS GUIDED BY ITS MISSION AND IS DEDICATED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THIS LEVEL OF DETERMINATION AND COMMITMENT IS THE VERY HEART OF AMH. AMH MAINTAINS A GENEROUS FINANCIAL ASSISTANCE POLICY, PROVIDING A SIGNIFICANT AMOUNT OF SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO PAY FOR CARE EITHER THROUGH THIRD PARTY COVERAGE OR THEIR OWN RESOURCES. SINCE CHARITY CARE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. IN ADDITION, AMH PROVIDES SERVICES AND SUPPLIES AT BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. AMH CENTRALIZED ITS FINANCIAL COUNSELING PROGRAM. A FINANCIAL COUNSELOR HELPS DETERMINE ELIGIBILITY FOR GOVERNMENT-SPONSORED PROGRAMS, AND OFFERS ASSISTANCE WITH THE HEALTH INSURANCE EXCHANGE AND OTHER INSURANCE COVERAGE. IF AN INDIVIDUAL DOES NOT QUALIFY FOR OTHER COVERAGE, THEY ASSIST INDIVIDUALS AND FAMILIES IN THE COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION. IN KEEPING WITH AMH'S COMMITMENT TO ALL MEMBERS OF ITS COMMUNITY, THE FOLLOWING SERVICES WERE PROVIDED DURING THE YEAR WITH A PARTICULAR FOCUS ON LOW INCOME MEMBERS WITHIN ITS SERVICE AREAS: - FREE CARE AND/OR SUBSIDIZED CARE TO INPATIENTS AND OUTPATIENTS. - OPERATION OF BOTH PRIMARY AND SPECIALTY CLINICS, OB/GYN CENTER, A BEHAVIORAL HEALTH EMBEDDED PRIMARY CARE MODEL, A DENTAL CLINIC, AND A HEALTH CENTER FOR NEWBORNS. UPDATED YEARLY, A CLINIC BROCHURE INCLUDES INFORMATION ON AH'S OFFERINGS AND AREA CLINIC PARTNERS. THE BROCHURE WAS CREATED, PRINTED, AND POSTED TO HOSPITAL WEBSITES AND INTRANET FOR USE BY THE COMMUNITY. IN ADDITION, THIS BROCHURE WAS TRANSLATED INTO LANGUAGES BETTER SERVING OUR COMMUNITY. ALL CLINIC SITES AT AMH RECEIVED THE NEW FACT SHEETS TO EDUCATE THE UNINSURED AND UNDERINSURED. - FAMILY PRACTICE CENTER, WHICH ALSO PROVIDES AN EDUCATIONAL SETTING FOR THE TEACHING OF PRIMARY CARE PHYSICIANS. - EMERGENCY/TRAUMA CENTER (OPERATES 24 HOURS A DAY, 365 DAYS A YEAR) WAS THE FIRST ACCREDITED TRAUMA CENTER IN MONTGOMERY COUNTY, OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. - AMH ATTRACTS THE FINEST PHYSICIANS TO SERVE OUR PATIENTS. OVER 1,367 PHYSICIANS CARE FOR PATIENTS THROUGHOUT THE HEALTH SYSTEM'S WIDE RANGE OF SERVICES. ABINGTON HEALTH PHYSICIANS IS A NETWORK OF PRIMARY CARE PHYSICIANS AND SPECIALISTS EMPLOYED BY AMH AND LHC. AS A RESULT OF THE JEFFERSON MERGER, THIS ENTITY IS NOW KNOWN AS JEFFERSON MEDICAL GROUP [LEGAL NAME ABINGTON HEALTH PHYSICIANS]. AMH IS A MAJOR CLINICAL CAMPUS FOR SEVERAL REGIONAL MEDICAL SCHOOLS. THE COMMITMENT TO OUTSTANDING MEDICAL CARE HAS EARNED AMH NUMEROUS AWARDS FOR QUALITY AND SAFETY, AND THE ROBUST CULTURE OF CONTINUING EDUCATION CREATES AN ATMOSPHERE OF INQUIRY AND SCHOLARSHIP. MANY OF OUR PHYSICIANS ARE PRIMARY INVESTIGATORS FOR NATIONAL CLINICAL TRIALS, WHICH GIVES OUR PATIENTS ACCESS TO ADVANCED TREATMENTS NOT COMMONLY AVAILABLE ELSEWHERE. OUR MISSION ----------- WE IMPROVE LIVES. OUR VISION ---------- REIMAGINING HEALTH, EDUCATION, AND DISCOVERY TO CREATE UNPARALLELED VALUE. OUR VALUES ---------- PUT PEOPLE FIRST/BE BOLD AND THINK DIFFERENTLY/DO THE RIGHT THING. BACKGROUND ---------- FOUNDED IN 1914, AMH IS A FULLY ACCREDITED, NOT-FOR-PROFIT, REGIONAL TEACHING HOSPITAL WITH 665 LICENSED BEDS IN ABINGTON, PENNSYLVANIA. LOCATED AT 1200 OLD YORK ROAD (ROUTE 611) IN ABINGTON, PENNSYLVANIA, AMH HAS BEEN PROVIDING COMPREHENSIVE, HIGH-QUALITY SERVICES FOR PEOPLE IN MONTGOMERY, BUCKS AND PHILADELPHIA COUNTIES. WITH ALMOST 30,000 INPATIENT ADMISSIONS AND OVER 511,000 OUTPATIENT VISITS IN FY20, AMH IS A MAJOR REGIONAL REFERRAL CENTER FOR CANCER CARE, NEUROSCIENCES, MUSCULOSKELETAL AND SPINE TREATMENT, CARDIAC CARE, AND MANY OTHER MEDICAL AND SURGICAL SPECIALTY PROGRAMS AND HAS A LEVEL II TRAUMA CENTER TO SERVE OUR COMMUNITY. AMH HAS A LONG TRADITION OF PERSONAL, HIGH-QUALITY MATERNITY CARE SERVING AS ONE OF THE BUSIEST OB/GYN CENTERS IN THE REGION AND IS A LEADER IN SENIOR HEALTH SERVICES. BACK IN THE EARLY 1900S THE RURAL TOWN OF ABINGTON FACED A PRESSING NEED FOR AN EXCELLENT HOSPITAL LOCATED IN THE COMMUNITY. PHILANTHROPIC VISIONARY GEORGE W. ELKINS, SR. STEPPED FORWARD WITH AN EXTRAORDINARY GIFT OF LAND AND FUNDS FOR A NEW HOSPITAL. MR. ELKINS WAS JOINED BY LEADERS FROM THROUGHOUT THE COMMUNITY, INCLUDING MEMBERS OF THE NEWLY FORMED WOMEN'S ASSOCIATION OF NOBLE, PRECURSOR TO TODAY'S AHF WOMEN'S BOARD. THEIR AMBITIOUS VISION WAS REALIZED ON MAY 15, 1914, WHEN THE NEW 48-BED AMH OPENED ITS DOORS. AMH IS NOW THE FLAGSHIP HOSPITAL OF AH KNOWN AS ABINGTON JEFFERSON HEALTH AS OF FY19, WHICH ALSO ENCOMPASSES LHC PART OF THE NEWLY FORMED ENTERPRISE OF JEFFERSON HEALTH. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
AMH'S ACCOMPLISHMENTS IN FY20 ============================= AMH'S PATIENT SAFETY CORE VALUE AND ACCOMPLISHMENTS IN FY20: ABINGTON'S PATIENT SAFETY AND QUALITY EXCELLENCE CORE VALUE AND ACCOMPLISHMENTS IN FY20 INCLUDE: JOURNEY TO HIGH RELIABILITY: (J2HRO) CLASS MEETINGS RESUMED IN MAY, PROVIDING A RECAP OF PRINCIPLES ESTABLISHED DURING THE SURGE OF THE COVID-19 PANDEMIC. IN FY 21, THE PLANS INCLUDE THE CENTER FOR PATIENT SAFETY AND HEALTHCARE QUALITY TO REBOOT AND REFOCUS ON CREATE A RELIABLE DAY, GREAT CATCH, WELLNESS AND INTER-PROFESSIONAL COUNCILS. AH LOOKS FORWARD TO ALIGNING WITH JEFFERSON HEALTH'S NEW SAFETY MANAGEMENT SYSTEM. A PROCESS WAS IMPLEMENTED TO IMPROVE PATIENT DISCHARGE PLANNING EFFICIENCIES AND DECREASE LENGTH OF STAY IN PARTNERSHIP WITH CARE LOGISTICS. EMERGENCY DEPARTMENT ELOPEMENTS IMPROVED: THE RATE AT WHICH PATIENTS ELOPE FROM THE EMERGENCY TRAUMA CENTER AT AH DECREASED 30 PERCENT IN FY20 DUE TO IMPROVED PATIENT THROUGHPUT. FALLS WITH INJURY: WHILE OUR BEST SCENARIO WOULD BE NO PATIENT FALLS AT ALL, THERE HAS BEEN A RIGOROUS FALLS RISK AND IDENTIFICATION PROGRAM WHICH HAS RESULTED IN TREMENDOUS IMPROVEMENT OVER THE PAST TWO YEARS. FALLS WITH INJURY ARE TRACKING AT THE 25TH PERCENTILE IN THE NDNQI DATABASE FOR THE PAST FOUR QUARTERS. PEDIATRIC SURGERY PREPAREDNESS PROJECT: AH'S PARTNERSHIP WITH NEMOURS DUPONT PEDIATRICS PROMPTED WORK ON A PEDIATRIC SURGERY PREPAREDNESS PROJECT, AS WE PREPARED FOR THE EXPANSION OF PEDIATRIC SURGERY SERVICES. THE TEAM THAT WORKED ON THE PROJECT WAS MULTIDISCIPLINARY IN NATURE, CONSISTING OF LEADERSHIP FROM THE PERIOPERATIVE DIVISION, SPECIAL CARE NURSERY, NEMOURS DUPONT PEDIATRICS AND THE CENTER FOR PATIENT SAFETY AND HEALTHCARE QUALITY. THE FIRST SURGERY, WHICH OCCURRED IN AUGUST OF THIS YEAR, WAS A WONDERFUL SUCCESS FOR THE INFANT AND HER FAMILY. CLINICAL OPERATIONAL SAFETY CHECK IN: FORMERLY THE DAILY CHECK IN, THE CLINICAL OPERATIONAL SAFETY CHECK IN HAS HAD MULTIPLE ENHANCEMENTS TO ALLOW DEPARTMENT LEADERS TO SUBMIT COLOR-CODED REPORTS REPRESENTING SAFETY AND OPERATIONAL RISK ISSUES FOR SITUATIONAL AWARENESS AND MITIGATION. MOST IMPORTANTLY, LANSDALE HOSPITAL WAS INTEGRATED INTO THE MEETING. ANOTHER ENHANCEMENT WAS INCORPORATING A PROCESS FOR DEPARTMENTS TO IDENTIFY STAFF WHO MADE A GREAT CATCH. THIS MEETING PREPARES US TO PARTICIPATE IN A JEFFERSON ENTERPRISE-WIDE SAFETY HUDDLE. REDUCING FATIGUE DURING CPR: THREE LUCAS DEVICES WERE PURCHASED FOR ABINGTON AND LANSDALE HOSPITALS. WITH THE LUCAS DEVICE, FATIGUE, INDIVIDUAL VARIATIONS OR PSYCHOLOGICAL FACTORS ARE REMOVED FROM CPR, AND THERE IS NO NEED TO SWITCH CPR PROVIDERS EVERY TWO MINUTES. LUCAS HELPS PROVIDE HIGH-QUALITY AND SAFER CHEST COMPRESSIONS IN SITUATIONS SUCH AS PATIENT MOVEMENT AND TRANSPORTATION, DURING PROLONGED CPR OR IN THE CATH LAB. TWO WERE PURCHASED FOR ABINGTON AND ONE FOR LANSDALE. REDUCING OPIOID USE IN WOMEN UNDERGOING C-SECTIONS: WITH AN EYE TOWARD REDUCING POST-OPERATIVE OPIOID CONSUMPTION DURING INPATIENT STAYS BY 30 PERCENT, THE ENHANCED RECOVERY AFTER CESAREAN DELIVERY (ERAC) PROGRAM WAS IMPLEMENTED TWO YEARS AGO BY AH. SINCE THE IMPLEMENTATION OF ERAC, PHYSICIANS HAVE CARED FOR MORE THAN 2,300 MOTHERS DELIVERING BY C-SECTION. THOSE MOTHERS MAINTAINED A 63 PERCENT DECREASE IN OPIOID CONSUMPTION THORUGHOUT THEIR INPATIENT CARE, WHICH IS WAY ABOVE THE INTENDED GOAL. ALONG WITH THE DECREASE IN OPIOID USE, REVIEWS OF PATIENT-REPORTED PAIN SCORES NOTED IMPROVEMENTS IN PAIN MANAGEMENT. THE SCORES SHOW AN AVERAGE DECREASE IN PATIENT-REPORTED PAIN FOR EACH POSTOPERATIVE DAY. IMPLEMENTATION OF RAPID CARDIAC ENZYME TEST: TO HELP WITH THE EVALUATION OF PATIENTS IN THE EMERGENCY DEPARTMENT WITH LOW RISK OF CHEST PAIN, IN JUNE 2020, AJH IMPLEMENTED THE USE OF HIGH-SENSITIVITY CARDIAC TROPONIN TESTS, THE LATEST GENERATION OF CARDIAC ENZYME TESTING. THIS TESTING HELPS PHYSICIANS EVALUATE AND MANAGE PATIENTS WITH LOW RISK CHEST PAIN, PROVIDING IMPORTANT INFORMATION TO RULE OUT HEART INJURY. RAPID TESTING CAN PROVIDE GUIDANCE TO ASSIST IN THE IDENTIFICATION OF A SUBSET OF PATIENTS WHO CAN AVOID ADMISSION OR OBSERVATION AND BE SAFETY DISCHARGED FOR OUTPATIENT FOLLOW UP. PATIENT EXPERIENCE IN FY20: WHILE MANY OF OUR PATIENT EXPERIENCE INITIATIVES WERE MODIFIED TO RECOGNIZE THE DEMANDS ON THE ENTIRE ORGANIZATION, WHILE BEING IMPACTED BY THE CLOSING OF HAHNEMANN UNIVERSITY HOSPITAL AND THE COVID-19 PADEMIC, THERE WAS EXCELLENT EMPLOYEE ENGAGEMENT AND SUPPORT OF OUR SIX RELATIONSHIP BEHAVIOR VIDEOS THAT WERE SHOWCASED AS BEHAVIORS OF THE MONTH SEPTEMBER THROUGH FEBRUARY FY20. THE FOLLOWING STATEMENTS ARE BASED ON PRESS GANEY SURVEYS FROM FY20 TO DATE, AS OF EARLY AUGUST: ABINGTON HOSPITAL ACHIEVED ITS ACUTE INPATIENT GOAL; EMERGENCY ROOM GOALS WERE ACHIEVED FOR ABINGTON, LANSDALE AND THE DIVISION AS A WHOLE. OUTPATIENT SERVICE GOALS WERE ACHIEVED FOR THE DIVISION AND LANSDALE HOSPITAL. CONVERSATIONS ABOUT RACE: IN RESPONSE TO THE MURDER OF GEORGE FLOYD AND OTHER RACIAL INJUSTICES HAPPENING IN OUR SOCIETY, AJH BEGAN A SERIES OF CONVERSATIONS DESIGNED TO EXPLORE THE SUBJECT OF RACE AND INEQUALITY, AND TO UNCOVER ANY PROBLEMS THAT EXIST FOR OUR EMPLOYEES AND THEIR FAMILIES. ISSUES THAT HAVE BEEN IDENTIFIED DURING THESE CONVERSATIONS ABOUT RACE ARE BEING REPORTED TO THE DIVERSITY AND INCLUSION SUBCOMMITTEE AND THE DIVERSITY AND INCLUSION ACTION TEAM FOR FURTHER ACTION. THE JEFFERSON ENTERPRISE IS ALSO HOSTING B.R.A.V.E. CONVERSATIONS (B.R.A.V.E. STANDS FOR BOLD, RELEVANT, AUTHENTIC, VALUABLE AND EDUCATIONAL) FOR ALL JEFFERSON STAFF MEMBERS. WALL OF HEROES UNVEILED: ON VETERAN'S DAY 2019, AH UNVEILED ITS NEW WALL OF HEROES, A MOVING TRIBUTE TO AJH EMPLOYEES AND VOLUNTEERS WHO HAVE SERVED IN THE UNITED STATES ARMED FORCES. THIS DISPLAY IS CENTRALLY LOCATED IN THE LENFEST PAVILION CAFETERIA AND OPEN TO THE COMMUNITY. IN FY20, FOR OUR PATIENTS, EMPLOYEES AND COMMUNITY, AMH INVESTED IN THE FOLLOWING CONSTRUCTION AND RENOVATION PROJECTS: - AMH BUERGER BUILDING NEW ROOF, REPLACEMENT AND UPGRADE OF THE PATIENT ELEVATORS, INPATIENT PEDIATRIC ROOMS REFRESHED, REPLACEMENT AND UPGRADE OF THE NURSE CALL SYSTEM. - WIDENER BUILDING: OFFICE EXPANSION OF NEUROSCIENCES, FIRST FLOOR; BEGAN EXPANSION OF HARTNETT HEALTH SERVICES, COMPLETED NEW DEPARTMENT SPACE FOR ENVIRONMENTAL SERVICES, INSTALLED NEW GROSSING LAB STATION IN PATHOLOGY DEPARTMENT. - TOLL BUILDING: C-SECTION ROOM #3; CATH LAB 2 RENOVATIONS BEGAN AND NEW AIR HANDLING UNIT WAS INSTALLED, 5TH FLOOR ECHOCARDIOGRAM AND EXAM ROOMS REFRESHED, CARDIOTHORACIC SURGERY SUITE - NEW PATIENT ENTRY DOORS; OB/GYN CLINIC PROCEDURE ROOM, ON CALL ROOM REFRESH, 3 TOLL; WORK BEGAN ON ROOMS FOR ADULT AND PEDIATRIC PATIENTS PRESENTING IN THE EMERGENCY TRAUMA CENTER WITH SYMPTOMS OF BEHAVIORAL HEALTH DISORDERS. - ABINGTON HOSPITAL WOODLAND GARAGE - DEMOLITION COMPLETED; FOUNDATIONS "POURED", PRICE MEDICAL OFFICE BUILDING ENTRANCE RENOVATIONS UNDERWAY. AH MARKED THE OPENING OF ITS NEWEST HEALTH CENTER IN HORSHAM DURING EARLY FY20, THE SEVENTH OUTPATIENT FACILITY OF ITS KIND THAT THE ORGANIZATION OPERATES IN MONTGOMERY AND BUCKS COUNTIES. IT IS CONVENIENTLY LOCATED AT 118 WELSH ROAD. THE 20,000 SQUARE- FOOT, STATE-OF-THE-ART FACILITY INCLUDES THREE MEDICAL PRACTICES. THE LOCATION ALSO HAS A FULL-SERVICE LABORATORY ON-SITE FOR THE CONVENIENCE OF PATIENTS NEEDING BLOOD WORK AND OTHER LAB TESTS. NEW OPERATING ROOM TECHNOLOGY FOR COLORECTAL SURGERY: A SECOND ELECTROSURGICAL DEVICE WAS PURCHASED FOR THE AH OPERATING SUITES TO HELP SURGEONS PERFORM ENDOSCOPY SUBMUCOSAL DISSECTION, AN ADVANCED SURGICAL PROCEDURE THAT USES ENDOSCOPY TO REMOVE TUMORS IN THE ESOPHAGUS, STOMACH AND COLON. CANCER SCREENING AND EDUCATION DAY: HOSTED ON A SATURDAY IN JANUARY, THE ASPLUNDH CANCER PAVILION OFFERED SCREENINGS FOR THE FOLLOWING CANCERS: HEAD AND NECK, BREAST AND PROSTATE. INDIVIDUALS WERE SCREENED TO SEE IF THEY QUALIFIED FOR LUNG CTS AND SCHEDULED FOR A LATER DATE. INFORMATION WAS PROVIDED ABOUT GENETICS, NUTRITION AND EXERCISE, CANCER SUPPORT SERVICE, SKIN CANCER AWARENSS AND MORE. IN FEBRUARY 2020, THE IMAGE RECOVERY CENTER OPENED AT THE ASPLUNDH CANCER PAVILION. THE CENTER IS THE FIRST OF ITS KIND IN MONTOGMERY COUNTY AND ONE OF FEWER THAN 20 IMAGE RECOVERY CENTERS NATIONWIDE. BRINGING THE AMENITIES OF A LUXURY SPA TO PATIENTS INTERESTED IN RESTORING THEIR APPEARANCE BEFORE, DURING AND AFTER CANCER TREATMENT, THE IMAGE RECOVERY CENTER OFFERS HIGH QUALITY SERVICES, WITH CAREFUL CONSIDERATION FOR PATIENTS WHO MAY HAVE A COMPROMISED IMMUNE SYSTEM OR LOW BLOOD COUNT STEMMING FROM CANCER TREATMENT. SERVICES INCLUDE EVERYTHING FROM ONCOLOGY MASSAGE TO LYMPHEDEMA TREATMENT, SKIN CONSULTATIONS TO MANICURES AND PEDICURES. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
AMH HAS A STRONG EDUCATIONAL MISSION AND SPONSORS FIVE RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, GENERAL SURGERY AND DENTISTRY, AND TWO FELLOWSHIP PROGRAMS IN BARIATRIC SURGERY AND GERIATRIC MEDICINE. AMH IS ALSO HOST TO MULTIPLE RESIDENTS AND FELLOWS ROTATING IN FROM OTHER UNIVERSITY CENTERS, WHICH ADDS TO OUR RICH EDUCATIONAL ENVIRONMENT. IN ADDITION, AMH PROVIDES POSTGRADUATE MEDICAL EDUCATION IN AFFILIATION WITH SEVERAL AREA MEDICAL SCHOOLS. THE AMH DIXON SCHOOL OF NURSING'S DIPLOMA PROGRAM CLOSED IN THE FALL 2017. TO MEET THE GROWING DEMAND FOR BSN TRAINED NURSES, A SECOND CAMPUS OF THE JEFFERSON COLLEGE OF NURSING, OPENED AND OCCUPIES THE SPACE THAT WAS PREVIOUSLY HOME TO THE DIXON SCHOOL OF NURSING. AMH CONTINUES IN ITS RELATIONSHIP WITH DREXEL UNIVERSITY COLLEGE OF MEDICINE FOR THIRD AND FOURTH YEAR MEDICAL STUDENTS, AFFILIATION WITH PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE AND THE SIDNEY KIMMEL MEDICAL COLLEGE AT THOMAS JEFFERSON UNIVERSITY, PHILADELPHIA, PA. AWARDS AND RECOGNITIONS ======================= AMH HAS BEEN RECOGNIZED IN FY 20 BY MANY ORGANIZATIONS FOR THE QUALITY OF ITS SERVICES: AMH WAS PROUD TO BE PRESENTED WITH THE 2019 EXCELLENCE AWARD FROM THE MID-ATLANTIC ALLIANCE FOR PERFORMANCE EXCELLENCE (MAAPE), THE STATE-LEVEL BALDRIGE PROGRAM. THIS IS A GREAT TRIBUTE TO THE HARD WORK AND DEDICATION TO A SYSTEMATIC, INTEGRATED APPROACH TO PERFORMANCE MANAGEMENT. MALCOLM BALDRIGE NATIONAL AWARD SITE VISIT: AJH'S APPLICATION PROUDLY QUALIFIED FOR A NATIONAL BALDRIGE SITE VISIT IN SEPTEMBER 2019. WHILE WE DID NOT EARN THE NATIONAL AWARD, WE ARE FORTUNATE TO HAVE RECEIVED A DETAILED REPORT OF SUGGESTIONS THAT MADE EVERY MINUTE OF SITE VISIT PREPARATIONS WORTH OUR WHILE. U.S. NEWS AND WORLD REPORT: AMH WAS RANKED 7TH IN THE PHILADELPHIA METRO AREA AND 12TH IN PENNSYLVANIA. ABINGTON SCORED HIGH PERFORMING IN FIVE PROCEDURES AND CONDITIONS: CONGESTIVE HEART FAILURE, COLON CANCER SURGERY, COPD, HIP REPLACEMENT AND KNEE REPLACEMENT AND HIGH PERFORMING IN TWO SPECIALTIES: NEPHROLOGY AND UROLOGY. WOMEN AND CHILDREN'S SERVICES: AMH WAS NAMED TO NEWSWEEK'S 2020 LIST OF "BEST MATERNITY CARE HOSPITALS." THE DISTINCTION RECOGNIZES FACILITIES THAT HAVE EXCELLED IN PROVIDING CARE TO MOTHERS, NEWBORNS AND THEIR FAMILIES. THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) AWARDED AMH THE 2020 EXCELLENCE IN CARE ACHIEVEMENT AWARD FOR ERAC-A QI PROJECT TO REDUCE OPIOID USE. THIS IS ONE OF THREE AWARDS THE MATERNITY PROGRAM EARNED FOR ITS WORK TO REDUCE OPIOID USE. AMH RECEIVED THE PENNSYLVANIA PERINATAL QUALITY COLLABORATIVE AWARD FOR MEETING MILESTONES FROM THE JEWISH HEALTHCARE FOUNDATION FOR OUR WORK AROUND IMPROVING THE IDENTIFICATION OF AND CARE FOR MATERNAL OPIOID USE DISORDER AND NEONATAL ABSTINENCE SYNDROME. AMH'S ENHANCED RECOVERY AFTER SURGERY FOR CESAREAN SECTION PROJECT (ERAC) RECEIVED A DATA ANALYTICS AWARD FROM JEFFERSON FOR INNOVATIVE EFFORTS TO IMPROVE FUNCTIONS AND PATIENT OUTCOMES. AMH EARNED THE HEPATITIS B BIRTH DOSE HONOR ROLL STATUS FOR 93 PERCENT COVERAGE OF HEPATITIS B IMMUNIZATIONS OF NEWBORNS FOR CALENDAR YEAR 2019. THE IMMUNIZATION ACTION COALITION WORKS TO INCREASE IMMUNIZATION RATES AND PREVENT HEPATITIS B, THE MOST COMMON SERIOUS LIVER INFECTION IN THE WORLD. HEART AND VASCULAR: AMH RECEIVED THE 2020 MISSION: LIFELINE GOLD PLUS RECEIVING QUALITY ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION FOR THE TREATMENT OF PATIENTS WHO SUFFER SEVERE HEART ATTACKS. ECHOCARDIOGRAPHY SERVICES AT AMH AND AJH-WARMINSTER WERE AWARDED THE ECHOCARDIOGRAPHY REACCREDITATION BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC). NEUROSCIENCES: AMH EARNED THE 2020 STROKE CARE EXCELLENCE AWARD FROM HEALTHGRADES FOR SUPERIOR CLINICAL OUTCOMES IN THE CARE AND TREATMENT OF STROKE. AMH RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS & TARGET: STROKE ELITE HONOR ROLL AWARD FOR EXCELLENCE IN PROVIDING QUALITY STROKE CARE. DENTAL DIVISION: AMH'S DENTAL DIVISION RECEIVED THE PENNSYLVANIA 2ND DENTAL DISTRICT'S 2020 HUMANITARIAN AWARD. PHILADELPHIA MAGAZINE RECOGNIZED 14 OF AJH'S DENTISTS IN THEIR 2020 TOP DENTISTS ISSUE. PHILADELPHIA MAGAZINE REGONIZED 183 OF AJH'S PHYSICIANS IN THEIR 2020 TOP DOCTORS ISSUE. OTHER PROGRAMS: SAFE HARBOR PROGRAM, FOR GRIEVING CHILDREN, TEENS AND THEIR FAMILIES, WAS SELECTED AS ONE OF SIX CHILDHOOD BEREAVEMENT CHANGEMAKERS (CBC). AMH WAS PRESENTED WITH THE 2019 DOMESTIC VIOLENCE AWARENESS MONTH AWARD FROM THE DOMESTIC VIOLENCE LEGAL NETWORK OF MONTGOMERY COUNTY, FOR PROVIDING QUALITY CARE AND SERVICES THAT ENSURE VICTIM'S SAFETY. GIFT OF LIFE: AMH AND LHC HOSPITALS BOTH EARNED THE PLATINUM AWARD AS PART OF THE 2019 DONATE LIFE HOSPITAL CHALLENGE FROM GIFT OF LIFE AND THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP). PUBLIC RELATIONS AND MARKETING DEPARTMENT RECEIVED A GOLD AWARD THE MARCH 2019 EDITION OF TRENDS AND A BRONZE AWARD FOR THE "BALDRIGE CLIFFNOTES" BOOKLET IN THE ANNUAL ASTER AWARDS PROGRAM, WHICH RECOGNIZES EXCELLENCE IN HEALTHCARE ADVERTISING, MARKETING AND COMMUNICATIONS. CENTERS OF EXCELLENCE ===================== 1. HEART AND VASCULAR INSTITUTE HEART PATIENTS CAN ACCESS A FULL RANGE OF SERVICES FOR HIGH-LEVEL DIAGNOSIS AND TREATMENT, INCLUDING OPEN HEART SURGERY, WITHOUT SACRIFICING THE CONVENIENCE AND WARMTH OF AMH. THE HEART AND VASCULAR CENTER AT AMH OFFERS STATE-OF-THE-ART TECHNOLOGY, COMPREHENSIVE SERVICES AND UNIQUELY SKILLED CARDIAC SURGEONS, CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND SPECIALLY TRAINED NURSES. AMH HAS THE INNOVATIVE SERVICES AND OUTSTANDING EXPERTS TO GIVE THE COMMUNITY THE BEST CARE FOR CARDIAC AND VASCULAR NEEDS. THE HEART AND VASCULAR INSTITUTE OF AMH HELPS PATIENTS IN THE PHILADELPHIA AREA AND BEYOND WITH A DEDICATED FOCUS ON EXCEPTIONAL CARDIOVASCULAR TREATMENT INCLUDING: DIAGNOSIS AND TREATMENT IN THE BLANK VASCULAR CENTER, CARDIOLOGY AND CARDIOTHORACIC SURGERY; CENTER FOR BLOODLESS MEDICINE AND SURGERY; CHEST PAIN PROGRAM; COMPREHENSIVE HEART FAILURE PROGRAM ("CHF"); CONSULTS AND SECOND OPINIONS, HEART EMERGENCY AND TRAUMA; HEART HOME CARE; HEART RHYTHM CENTER; INPATIENT CARE; INTERVENTIONAL CARDIOLOGY; NUCLEAR CARDIOLOGY; PORTER INSTITUTE FOR VALVULAR HEART DISEASE INCLUDING VALVE TREATMENT AND TRANSCATHETER AORTIC VALVE REPLACEMENT ("TAVR"); PREVENTIVE SERVICES, COMMUNITY BLOOD PRESSURE SCREENINGS, CPR TRAINING CENTER AND HEART HEALTH EDUCATION PROGRAMS AT THE HOSPITAL AND IN THE COMMUNITY. SIX YEARS AGO, THE HEART AND VASCULAR INSTITUTE IMPLANTED ITS FIRST VENTRICULAR ASSISTED DEVICE OR ("VAD") FOR HEART FAILURE PATIENTS AND BECAME ONE OF ONLY A FEW HOSPITALS IN THE DELAWARE VALLEY TO OFFER VAD THERAPY. THE HEART AND VASCULAR CENTER IS A FIRST RATE, COMPREHENSIVE FACILITY AT THE FOREFRONT OF CARDIAC CARE AND RESEARCH. CARDIAC SURGEONS ARE UNIQUELY SKILLED IN ADVANCED PROCEDURES AND TECHNOLOGIES. A HEART RHYTHM CENTER OFFERS A TEAM OF SPECIALISTS SKILLED IN ELECTROPHYSIOLOGY, CARDIOLOGY AND CARDIAC SURGERY TO PROVIDE INNOVATIVE TREATMENTS FOR ABNORMAL HEART RHYTHM CONDITIONS. 2. PORTER INSTITUTE FOR VALVULAR HEART DISEASE AS THE ONLY HEART VALVE SPECIALTY CENTER IN A PHILADELPHIA AREA HOSPITAL, AMH'S PORTER INSTITUTE FOR VALVULAR HEART DISEASE HAS A DEDICATED FOCUS ON THE DIAGNOSIS AND TREATMENT OF HEART VALVE DISORDERS. TRANSCATHETER AORTIC VALVE REPLACEMENT ("TAVR") IS AN INNOVATIVE VALVE REPLACEMENT TREATMENT FOR AORTIC STENOSIS. IT DELIVERS A NEW VALVE IN A MINIMALLY INVASIVE WAY, WITHOUT REMOVING THE FAULTY VALVE. THE PORTER INSTITUTE OF VALVULAR HEART DISEASE IS ONE OF ONLY A FEW CENTERS IN THE PHILADELPHIA AREA WITH THE EXPERTISE TO PERFORM TAVR. 3. ASPLUNDH CANCER CENTER AND FAULKNER CANCER INPATIENT UNIT THE OPENING OF THE ASPLUNDH CANCER PAVILION, THE ENTERPRISE'S MOST IMPORTANT STRATEGIC INITIATIVE TOOK PLACE IN JULY 2018: THE 86,000 SQUARE-FOOT MODERN, OUTPATIENT CENTER, WHICH IS HOME TO THE SIDNEY KIMMEL CANCER CENTER AT AMH [ABINGTON - JEFFERSON HEALTH], OFFICIALLY OPENED ITS DOORS. IN ADDITION TO THE 31 ABINGTON ONCOLOGIC SPECIALISTS BASED AT ASPLUNDH, PATIENTS WILL BE ABLE TO SCHEDULE APPOINTMENTS WITH 15 CENTER-CITY-BASED ONCOLOGIC SPECIALISTS WHO WILL TRAVEL TO ASPLUNDH TO SEE PATIENTS IN THE NEW FACILITY. IN ADDITION TO THE PHASE II AND III TRIALS PREVIOUSLY OFFERED BY ABINGTON, THE NEW CENTER OFFERS PHASE I CLINICAL TRIALS, A MAJOR STEP FORWARD FOR THE REGION. THE NEW ASPLUNDH CANCER PAVILION IS SPECIFICALLY DESIGNED TO ADDRESS AN EVOLVING WORLD AS ABINGTON AND JEFFERSON REIMAGINE CANCER CARE FOR THE FUTURE. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
WHAT OUR DONORS HELPED US ACHIEVE: THE CENTER EXPANDED THE VITAL NURSE PRACTITIONER TEAM; CREATED NEW MULTIDISCIPLINARY TREATMENT TEAMS AND CLINICS; IMPLEMENTED A COMPLETE-CARE MODEL TO COORDINATE A PATIENT'S ENTIRE CARE JOURNEY, FROM SCREENING THROUGH DIAGNOSIS, TREATMENT, FOLLOW-UP AND SURVIVORSHIP CARE; ENHANCED OUR RESEARCH PROGRAM WITH NEW STATE-OF-THE-ART FACILITIES FOR MULTIDISCIPLINARY CLINICAL TRIALS RIGHT ON SITE, AND WE HAVE LINKED CLOSELY WITH THE SIDNEY KIMMEL CANCER CENTER TO OFFER OUR PATIENTS EXPANDED ACCESS TO ADVANCED CLINICAL TRIALS; ESTABLISHED A SUPPORTIVE-CARE WING TO BRING TOGETHER SERVICES THAT INCLUDE SOCIAL WORK, FINANCIAL COUNSELING, GENETIC COUNSELING, NUTRITIONAL COUNSELING, AND OTHER SERVICES; EXPANDED OUR PALLIATIVE CARE OUTPATIENT PROGRAM TO PROVIDE PERSONALIZED MEDICAL AND NURSING CARE FOR PEOPLE WITH LIFE-LIMITING ILLNESS; ADDED A UNIQUE GERONTOLOGIC ONCOLOGY PROGRAM SO THAT OUR ELDERLY PATIENTS CAN CONSULT WITH A GERIATRICIAN WHO IS ALSO A MEDICAL ONCOLOGIST; ESTABLISHED A CARDIO-ONCOLOGY PROGRAM TO ENHANCE OUR IDENTIFICATION, PREVENTION, AND MANAGEMENT OF HEART COMPLICATIONS DURING TREATMENT FOR CANCER; ESTABLISHED A MULTIDISCIPLINARY GENITOURINARY CANCER PROGRAM; INCREASED OUR COMMUNITY AND PATIENT/FAMILY OUTREACH; INITIATED A NEW WOMAN-TO-WOMAN PROGRAM THAT PAIRS GYNECOLOGIC CANCER PATIENTS WITH TRAINED AND SUPERVISED SURVIVOR VOLUNTEERS FOR ONE-ON-ONE MENTORING AND SUPPORT; PROVIDED COMPASSIONATE SUPPORT FOR CANCER PATIENTS FACING FINANCIAL NEEDS; AND MUCH MORE. 4. THE HANJANI INSTITUTE FOR GYNECOLOGIC ONCOLOGY AT THE SIDNEY KIMMEL CANCER CENTER ASPLUNDH CANCER PAVILION DEDICATED TO HELPING WOMEN WITH REPRODUCTIVE TRACT CANCERS, THE HANJANI INSTITUTE FOR GYNECOLOGIC ONCOLOGY AT THE SIDNEY KIMMEL CACNER CENTER AT AH PROVIDES STATE-OF-THE SCIENCE TREATMENT WITH COMPASSIONATE PERSONAL ATTENTION. GYNECOLOGIC ONCOLOGISTS SPECIALIZE IN OVARIAN CANCER, UTERINE CANCER, CERVICAL CANCER, AND CANCERS OF THE FALLOPIAN TUBES, VAGINA AND VULVA. AS A MAJOR GYNECOLOGIC CANCER CENTER IN THE PHILADELPHIA AREA, THE INSTITUTE IS ACTIVELY INVOLVED IN CLINICAL TRIALS RESEARCH, GIVING PATIENTS OPPORTUNITIES TO PARTICIPATE AND BENEFIT FROM INNOVATIONS. 5. WOMEN'S AND CHILDREN'S HEALTH AMH HAS BEEN COMMITTED TO WOMEN'S AND CHILDREN'S HEALTH FOR OVER 100 YEARS. THE CARE OF WOMEN AND CHILDREN GOES HAND-IN-HAND AT AMH. MANY WOMEN HAVE THEIR FIRST HOSPITAL EXPERIENCE WHEN THEY GIVE BIRTH AT AMH. WITH ALMOST 4,500 BIRTHS A YEAR, AMH IS A LEADER IN MATERNITY CARE IN THE STATE OF PENNSYLVANIA PROVIDING A 36-BED, LEVEL III NEONATAL INTENSIVE CARE UNIT, HIGH RISK PRENATAL CARE, INFERTILITY SERVICES AND AN AFFILIATION WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA ("CHOP") FOR PEDIATRIC INPATIENT CARE WITH A PLANNED TRANSITION TO NEMOURS/ALFRED I. DUPONT HOSPITAL FOR CHILDREN IN FY20. WOMEN WHO DELIVER THEIR BABIES AT AMH TEND TO CHOOSE AMH FOR THE CARE OF THEIR ENTIRE FAMILIES, SETTING THE STAGE FOR A LIFETIME OF CARE. WE OPERATE AN OB/GYN CENTER (CLINIC) IN ABINGTON SERVING A DIVERSE, LOW-INCOME POPULATION. MATERNITY SERVICES INCLUDE MORE THAN 60 OB/GYN PHYSICIANS, HIGH-RISK NEWBORN SERVICES, COMPREHENSIVE ADVANCED INFERTILITY SERVICES, PERINATOLOGISTS AND GENETIC COUNSELORS, PRENATAL TESTING, FETAL DIAGNOSIS AND SURGERY, AND BREASTFEEDING SUPPORT. EDUCATIONAL CLASSES ARE OFFERED THROUGHOUT THE YEAR AND INCLUDE: EXPECTANT PARENT ORIENTATION AND TOUR; CHILDBIRTH PREPARATION CLASS; BREASTFEEDING CLASS; ASK THE PEDIATRICIAN OPEN FORUM CLASS. BEAUTIFUL INPATIENT UNITS, A DEDICATED INPATIENT MOM MATERNAL OBSERVATION AND MONITORING ("MOM") UNIT, NEONATAL INTENSIVE CARE UNIT ("NICU") AND HOME CARE SERVICES FOR HIGH-RISK MOMS BEFORE DELIVERY AND MATERNAL/BABY CARE AFTER LEAVING THE HOSPITAL. 6. MUSCULOSKELETAL AND SPINE SERVICES AMH'S MUSCULOSKELETAL AND SPINE SERVICES (NOW KNOWN AS ROTHMAN INSTITUTE) COMBINES THE MOST ADVANCED MEDICAL TECHNOLOGY WITH A DEDICATED TEAM OF ORTHOPEDIC SURGEONS, NEUROSURGEONS, REHABILITATION MEDICINE SPECIALISTS AND SKILLED AND DEDICATED MEDICAL PROFESSIONALS SERVING THE COMMUNITY. PHYSICIANS TREAT A WIDE VARIETY OF DISORDERS AFFECTING THE MUSCULOSKELETAL SYSTEM, INCLUDING THE CARE OF FRACTURES AND INJURIES TO TENDONS, LIGAMENTS, JOINTS, BONES AND MUSCLES. SPECIALISTS IN JOINT REPLACEMENT, SPINE SURGERY, SPORTS MEDICINE, ORTHOPEDIC HAND SURGERY, RHEUMATOLOGY AND REHABILITATION MEDICINE ARE ON STAFF AT AMH. ORTHOPEDIC SURGEONS AND NEUROSURGEONS ARE EXPERIENCED IN TREATING PATIENTS REQUIRING HIP OR KNEE REPLACEMENTS OR SPINE SURGERY. AMH'S COMPREHENSIVE PROGRAM INCLUDES EVALUATION, CENTRALIZED PREADMISSION, HIGH-TECH OPERATING SUITE WITH LAMINAR AIR FLOW, INPATIENT AND OUTPATIENT REHABILITATION, AND HOME CARE TO ENSURE SUCCESSFUL RESULTS. STATE-OF-THE-ART MINIMAL-INCISION PROCEDURES AND COMPUTER-ASSISTED SURGERY ARE AVAILABLE FOR SOME JOINT REPLACEMENT SURGERIES. THE ORTHOPEDIC AND SPINE SERVICE HAS EARNED THE JOINT COMMISSION'S DISEASE SPECIFIC CERTIFICATION FOR JOINT REPLACEMENT, HIP AND KNEE. AS ONE OF THE REGION'S BUSIEST CENTERS FOR ANTERIOR HIP REPLACEMENT AND OTHER INNOVATIVE TREATMENTS, THE MUSCULOSKELETAL AND SPINE SERVICES SPECIALIZES IN THE NEWEST APPROACHES. AMH'S PARTICIPATION IN CLINICAL TRIALS GIVES PATIENTS ACCESS TO INNOVATIONS BEFORE THOSE DEVELOPMENTS ARE WIDELY AVAILABLE. AMH IS ALSO USING THE ROBOTIC ARM TECHNOLOGY FOR PARTIAL KNEE REPLACEMENT. CARE IS DELIVERED AT TWO EXCEPTIONAL LOCATIONS: AMH AND LHC. 7. VICKIE AND JACK FARBER INSTITUTE FOR NEUROSCIENCE AT AH BRINGING TOGETHER THE EXPERTISE OF JEFFERSON AND AMH PHYSICIANS, CLINICIANS AND RESEARCHERS SPECIALIZING IN BRAIN AND SPINE DISORDERS COLLABORATE AS NEVER BEFORE. THE MOST ADVANCED TREATMENT TECHNOLOGIES, WORLD-CLASS SPECIALISTS, AND LEADING-EDGE RESEARCH COMES TOGETHER TAKING ANOTHER STEP CLOSER TO TREATING AND CURING DISORDERS LIKE ALZHEIMER'S, ALS, STROKE, MIGRAINES, PARKINSON'S, MS, EPILEPSY, ANEURYSMS AND BRAIN TUMORS. AMH'S DIAMOND STROKE CENTER WAS REACCREDITED AS A COMPREHENSIVE STROKE CENTER FOR THE THIRD TIME. THE FIRST STATE STROKE CENTER TO BE AWARDED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION AS A PRIMARY STROKE CENTER, AMH ALSO RECEIVED THE AHA/ASA GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD FOR STROKE QUALITY-OF-CARE. AMH HAS ALSO QUALIFIED FOR RECOGNITION AS TARGET: STROKE ELITE PLUS FOR COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF STROKE CARE. AMH'S NEUROSCIENCE CAPABILITIES AND EXPERTISE PROVIDE PATIENTS WITH A WIDE RANGE OF EXCEPTIONAL PROGRAMS AND SPECIALTIES INCLUDING: BALANCE CENTER, CONCUSSION PROGRAM, HEADACHE CENTER, MOVEMENT DISORDERS CENTER, MULTIPLE SCLEROSIS ("MS") CENTER, NEUROLOGY, NEUROSURGERY, NEUROVASCULAR CARE, SLEEP CENTERS AND STROKE CENTER. SPECIALISTS IN THE FIELD OF NEUROSURGERY EMPLOY STATE-OF-THE-ART SURGICAL AND MICROSURGICAL TECHNIQUES TO DIAGNOSE, TREAT AND ALLEVIATE PAIN AND DISABILITY CAUSED BY NEUROLOGICAL PROBLEMS. AMH'S NEUROSURGEONS HAVE SPECIAL EXPERTISE IN THE TREATMENT OF BRAIN, SPINAL CORD AND PERIPHERAL NERVE DISORDERS. THE ADVANCED DIAGNOSTIC TECHNOLOGY AND SUPPORT AT AMH FURTHER ENHANCES THE ABILITY OF OUR NEUROSURGEONS TO PROVIDE OUTSTANDING, COMPREHENSIVE CARE. THE BREADTH OF SERVICES IS FURTHER ENHANCED BY SOPHISTICATED ADVANCED CARE BY FOUR NEUROINTERVENTIONAL SPECIALISTS. INTERVENTIONAL RADIOLOGISTS, ALONG WITH A NEUROINTENSIVIST, PERFORM CAROTID STENTING AND COILING OF CEREBRAL ANEURYSMS, INTRA-ARTERIAL RTPA, AND OTHER ADVANCED INTERVENTIONAL PROCEDURES. 8. DIAMOND STROKE CENTER THE DIAMOND STROKE CENTER, NAMED IN MAY 2012, AND PRESENTED TO OUR COMMUNITY IN 2013 WAS DEDICATED IN HONOR OF A FORMER CHIEF OF THE NEUROSCIENCES INSTITUTE AND STROKE PROGRAM. THE DIAMOND STROKE CENTER HAS BEEN CERTIFIED BY THE JOINT COMMISSION SINCE 2003. IN FY20, OVER 1,100 INPATIENTS STROKE PATIENTS WERE CARED FOR IN THE DIAMOND STROKE CENTER/NEUROSCIENCES. THE DIAMOND STROKE CENTER AT AMH EARNED ADVANCED CERTIFICATION AS A COMPREHENSIVE STROKE CENTER FROM THE JOINT COMMISSION AND AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR THE THIRD TIME. THIS DISTINCTION HAS BEEN GIVEN TO ONLY SEVEN PENNSYLVANIA HOSPITALS. NEUROSCIENCE EXPERTS ARE AVAILABLE 24/7 IN AMH'S REGIONAL TRAUMA CENTER, PROVIDING SWIFT TREATMENT FOR STROKES, SPINAL CORD INJURIES, BRAIN BLEEDS AND OTHER NEUROCRITICAL CONDITIONS. THROUGH AMH'S HIGH-TECH TELEMEDICINE SERVICE, HOSPITAL SPECIALISTS ALSO CONSULT ON URGENT CASES AT OTHER HOSPITALS. THE STROKE CENTER CONSISTENTLY SETS GOALS TO IMPROVE PATIENT OUTCOMES. A FULLY INTEGRATED AND MULTIDISCIPLINARY NEUROSCIENCES TEAM WORKS TOGETHER TO ACCOMPLISH THESE GOALS. TEAM MEMBERS INCLUDE: NEUROLOGISTS, NEUROSURGEONS, NEUROINTERVENTIONALISTS, NURSES, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, SPEECH THERAPISTS, CASE MANAGERS, SOCIAL WORKERS, NUTRITION SERVICES, PASTORAL CARE SERVICES, GERIATRIC CLINICAL NURSE SPECIALIST, PHARMACIST, AND A STROKE PROGRAM COORDINATOR. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
9. MULLER INSTITUTE FOR SENIOR HEALTH AMH'S MULLER INSTITUTE FOR SENIOR HEALTH HELPS PEOPLE ENJOY HEALTHY, PRODUCTIVE LIVES AS THEY AGE. THE PROGRAMS AND SERVICES AVAILABLE THROUGH AMH'S MULLER INSTITUTE, AND THROUGHOUT THE ORGANIZATION, ARE AS DIVERSE AS THE SENIORS WE SERVE. AMH OFFERS COMPREHENSIVE CARE AND SUPPORT FOR SENIORS AND THEIR FAMILIES, IN THE HOSPITAL, IN THE COMMUNITY, AND IN THE HOME. THE HOSPITAL ELDER LIFE PROGRAM OR (HELP) PROVIDED 2,735 PATIENTS IN FY20. PROGRAM SUSPENDED DURING COVID-19 PANDEMIC SHUTDOWN AS VOLUNTEERS MEET WITH PATIENTS. THIS PROGRAM INCREASES A PATIENT'S KNOWLEDGE OF THE ACCESS TO CARE FOR NEWLY DETECTED ILLNESS AND TO INCREASE PATIENT FUNCTIONALITY AFTER HOSPITAL DISCHARGE. - OUTPATIENT GERIATRIC ASSESSMENT CENTER OFFERING PHYSICIAN-LED PHYSICAL, PSYCHOLOGICAL AND NEEDS-BASED EVALUATIONS FOR SENIORS INCLUDING A COMPREHENSIVE CARE PLAN REVIEWED WITH A LICENSED SOCIAL WORKER. - SUPPORTIVE MEMORY FITNESS CENTER AT WARMINSTER AND LHC OFFERS A HALF-DAY ACTIVITY PROGRAM FOR THOSE SHOWING SIGNS OF MEMORY LOSS WITH FULL-DAY PROGRAMMING AVAILABLE THROUGH ADULT DAY SERVICES IN LHC. THERE WERE 2,160-VISITS RECORDED IN THE MEMORY FITNESS CENTERS. - A MOBILITY-RESTORING GERIATRIC FRACTURE PROGRAM OF THE MUSCULOSKELETAL AND SPINE SERVICE (NOW ROTHMAN INSTITUTE) AT AMH AND LHC PROVIDES HOPE AFTER INJURIES THAT COULD LIMIT MOVEMENT WITHOUT SUCH COORDINATED CARE. - HOME CARE SERVICES TO ASSIST HOME BOUND SENIORS WITH A CHANGE IN MEDICAL CONDITION OR RECOVERY FROM AN IN-PATIENT OR REHAB FACILITY STAY. - ELDERMED PROGRAMMING AND COMMUNITY OUTREACH COMPLEMENT THE WIDE ARRAY OF CLINICAL AND EDUCATIONAL OFFERINGS FOR SENIORS TO ASSIST IN MEETING THEIR NEEDS AND IN COMPLIANCE WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLANS. 10. THE ROBOTIC SURGERY PROGRAM AT AMH SINCE SEPTEMBER 2006, SURGEONS AT AMH ARE MAKING REMARKABLE ADVANCEMENTS USING ROBOTIC SURGERY. AS THIS SURGERY-ENHANCING TECHNOLOGY CONTINUES TO EVOLVE, AMH REMAINS AT THE FOREFRONT OF ITS USE IN MINIMALLY INVASIVE PROCEDURES. THIS TECHNOLOGY GIVES THE SURGEON A THREE-DIMENSIONAL VIEW, SIMILAR TO TRADITIONAL SURGERY BUT WITH GREATER DEPTH PERCEPTION. THE ROBOTIC INSTRUMENTS OFFER A LAPAROSCOPIC APPROACH WITH MAGNIFICATION THAT IS 10 TIMES GREATER THAN THE HUMAN EYE. SURGEONS SPECIALLY TRAINED IN ROBOTICS INCLUDE GYNECOLOGIC ONCOLOGISTS, OB/GYNS, PEDIATRIC UROLOGISTS, A PEDIATRIC SURGEON, A REPRODUCTIVE ENDOCRINOLOGIST, BARIATRIC SURGEONS, A CARDIOTHORACIC SURGEON, GENERAL SURGEONS AND UROLOGISTS. 11. HOME CARE AH CONTINUES TO EXPAND AND SEE INCREASED DEMAND IN HOME CARE, HOSPICE, PALLIATIVE CARE, AND OTHER COMMUNITY- BASED SERVICES. JEFFERSON HEALTH HOME CARE AND HOSPICE EMPLOYS APPROXIMATELY 247 FTES. HOME HEALTH VISITS SERVED 151,158. HOSPICE VISITS INCREASED TO 49,235. THE TOTAL COMBINED VISITS FOR BOTH HOME CARE AND HOSPICE WAS 200,393. AMH'S WARMINSTER CAMPUS IS THE HOME TO HOSPICE AND THE KIND PEDIATRIC HOSPICE, THE AREA'S FIRST FACILITY TO PROVIDE A HOMELIKE RESIDENTIAL CARE ENVIRONMENT FOR TERMINALLY ILL CHILDREN. THIS IMPORTANT END-OF-LIFE CARE BRINGS TOGETHER THE HOMECARE HOSPICE PROGRAM AND RESIDENTIAL HOSPICE FOR ADULTS. INCLUSIVE OF THEIR SERVICES IS BEREAVEMENT SUPPORT WITH SUPPORT GROUPS, PROGRAMS AND REMEMBRANCES. REACHING 4,011 UNDUPLICATED BEREAVED WERE FOLLOWED IN FY20, A 33 PERCENT INCREASE. THROUGH CHARITABLE SUPPORT, THE SAFE HARBOR PROGRAM HELPS PROVIDE A SAFE, SUPPORTIVE PLACE FOR CHILDREN, TEENS AND YOUNG ADULTS GRIEVING FROM THE LOSS OF A PARENT OR SIBLING. LOCATED AT AMH CENTER WILLOW GROVE, THE PROGRAM PROVIDES A CARING ENVIRONMENT OF GRIEF SUPPORT SERVICES INCLUDING SUPPORT GROUPS FOR CHILDREN, TEENS AND YOUNG ADULTS AND CAREGIVERS TO HELP THEM THROUGH THE NATURAL PROCESS OF GRIEVING, AND CAMP CHARLIE, A DAY CAMP FOR BEREAVED CHILDREN. THE PROGRAM SERVED 93 PARENT/CAREGIVER AND 112 CHILDREN, FOR A TOTAL OF 205 PERSONS SERVED IN FY20. SINCE THE INCEPTION OF THE PROGRAM, SAFE HARBOR SERVED 1,830 CHILDREN, TEENS, YOUNG ADULTS AND 1,116 FAMILIES. CAMP CHARLIE, SCHOOL OUTREACH PROGRAMS AND MOVING ON GROUPS ROUNDED OUT ANOTHER SUCCESSFUL YEAR. ALL OF THESE SERVICES WITH SAFE HARBOR ARE MADE POSSIBLE BY MANY DONORS, EMPLOYEE DONORS, TRUSTEE PHILANTHROPISTS AND DONOR ORGANIZATIONS INCLUDING CHURCH GROUPS, SCHOOLS, BUSINESSES AND AHF WOMEN'S BOARD. AMH PROVIDES MISSION AND SERVICE LEAVE AS A BENEFIT FOR EMPLOYEES AND SEVERAL HAVE USED SAFE HARBOR'S CAMP CHARLIE AS THEIR SERVICE SITE. IN FY20, VERY QUICKLY AFTER COVID-19 SHUTDOWN IN MARCH 2020, THE SAFE HARBOR TEAM WORKED COLLABORATIVELY TO PIVOT THE SAFE HARBOR PROGRAM TO A VIRTUAL PLATFORM TO SUPPORT THE CHILDREN AND CAREGIVERS IN THEIR PROGRAM. THE SAFE HARBOR TEAM WAS SUCCESSFUL AND CONTINUED TO MEET UNTIL THEIR SESSIONS WERE COMPLETED. IN ADDITION, CAMP CHARLIE @HOME WAS CREATED DUE TO THE SHUTDOWN AND SUCCESSFULLY MET THE NEEDS OF 20 FAMILIES. NORMALLY, CAMP CHARLIE IS HELD AT AN OUTDOOR CAMP IN JUNE FOR A WEEK TO SUPPORT, EDUCATE AND HAVE FUN ACTIVITIES FOR CHILDREN GOING THROUGH THE GRIEF PROCESS. 12. COMPREHENSIVE WOUND HEALING CENTER THE COMPREHENSIVE WOUND HEALING CENTER AT THE AMH CENTER - WARMINSTER AND LHC, PROVIDES TREATMENT FOR NON-HEALING AND PROBLEM WOUNDS. THE CENTER'S STAFF PROVIDES STATE-OF-THE-ART TOPICAL TREATMENT OPTIONS, ADJUNCTIVE THERAPIES, NON-INVASIVE DIAGNOSTIC STUDIES, WOUND DEBRIDEMENT, NUTRITIONAL SUPPORT, RELIEF DEVICES FOR PRESSURE WOUNDS, COMPRESSION THERAPY, HYPERBARIC OXYGEN THERAPY AND PHYSICAL THERAPY. 13. INTEGRATIVE MEDICINE INTEGRATIVE MEDICINE STAFF IS COMMITTED TO HELPING OUR PATIENTS ACHIEVE OPTIMUM HEALTH AND WELLNESS. SERVICES ARE GEARED TOWARD REVITALIZING THE MIND, BODY AND SPIRIT. INTEGRATIVE MEDICINE INTEGRATES EASTERN MODALITIES WITH TRADITIONAL WESTERN MEDICINE. A VARIETY OF THERAPEUTIC SERVICES ARE AVAILABLE AND ARE DESIGNED TO HELP REDUCE STRESS, MANAGE PAIN, IMPROVE SLEEP, DEVELOP BETTER EATING HABITS AND COPE WITH THE MANY CHALLENGES THAT PREVENT OPTIMAL HEALTH. SERVICES INCLUDE: ACUPUNCTURE, MASSAGE AND YOGA. PROGRAMMING CONTINUED IN FY20 INCLUDING THE JEFFERSON MINDFULNESS-BASED STRESS REDUCTION ("MBSR") SESSIONS AT AMH. A SIGNIFICANT AMOUNT OF BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES WERE UPDATED AND COMMUNICATED WITH AMH'S COMMUNITY AND WORKFORCE DURING THE COVID-19 PANDEMIC SHUTDOWN. 14. THE DIABETES CENTER AND NUTRITION COUNSELING CENTER AMH'S DIABETES/NUTRITION CENTERS SERVED OVER 1,216 NEW CLIENTS WITH OVER 2,857 OUTPATIENT VISITS IN FY20. THE NUTRITION CENTER CONTINUED TO OFFER MEDICAL NUTRITION THERAPY FOR A WIDE RANGE OF CONDITIONS INCLUDING ADULT WEIGHT MANAGEMENT, RENAL DISEASE, AND GASTROINTESTINAL DISORDERS, AS WELL AS DIABETES. THE CENTER STAFF PROVIDED DIABETES EDUCATION AS PART OF ORIENTATION FOR INPATIENT NURSING STAFF. A NUMBER OF MEDICAL RESIDENTS ALSO SHADOWED THE INPATIENT DIABETES EDUCATOR. DIABETES SUPPORT GROUPS AND COMMUNITY EDUCATION ON HOLD IN FY20 DUE TO COVID-19 PANDEMIC. 15. INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY AT AMH'S INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY, PATIENTS RECEIVE THE LATEST SURGICAL TREATMENTS WITH LIFETIME FOLLOW-UP. AMH OFFERS ITS PATIENTS A COMPREHENSIVE APPROACH TO WEIGHT LOSS THAT FEATURES A FULL RANGE OF SERVICES, INCLUDING ONGOING SUPPORT, COUNSELING, AN EXERCISE PROGRAM AND A NUTRITION PLAN. PROCEDURES OFFERED INCLUDE VERTICAL SLEEVE GASTRECTOMY, ROUX-EN-Y GASTRIC BYPASS AND BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH AND MINIMALLY INVASIVE REVISION SURGERY. A PATIENT UNDERGOES AN EXTENSIVE SERIES OF INTERVIEWS, CONSULTATIONS AND EVALUATIONS TO ENSURE CANDIDACY AND PREPARATION FOR THE PROCEDURES. THE CENTER PROVIDES SURGICAL INFORMATION SESSIONS AND A SUPPORT GROUP. THE PROGRAM WAS DESIGNATED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE SURGICAL REVIEW CORPORATION, WHICH IS RECOGNIZED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. THE INSTITUTE HAS ALSO BEEN DESIGNATED A BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY BY THE BLUE CROSS AND BLUE SHIELD COMPANIES. 16. AMH PROVIDES INPATIENT AND EMBEDDED BEHAVIORAL HEALTHCARE SERVICES TO SERVE THE COMMUNITY. THERE ARE FEW FACILITIES IN THE DELAWARE VALLEY, WHICH ACCOMMODATE PATIENTS WITH BEHAVIORAL HEALTH AND MENTAL HEALTH NEEDS. THE INPATIENT UNIT AT AMH INCLUDES 23 BEDS, PRIVATE AND SEMI-PRIVATE ROOMS, ACTIVITY ROOM AND GROUP DINING. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
A MODEL OF OUTPATIENT CARE IS BEING PROVIDED IN CONJUNCTION WITH TARGETED ABINGTON HEALTH PHYSICIANS ("AHP") PRACTICES NAMED IN 2019 JEFFERSON MEDICAL GROUP NORTH, ENABLING PHYSICIANS TO HAVE CLOSER COORDINATION WITH THEIR PATIENTS' MENTAL HEALTH PROVIDERS. NEW TO BEHAVIORAL HEALTH SERVICES IS EMBEDDING THERAPISTS IN PRIMARY CARE OR PATIENT CENTERED MEDICAL HOMES OF AMH OR BEHAVIORAL HEALTH CONSULTANTS (BHC). THE PRIMARY CARE SETTING IS AN IMPORTANT VENUE FOR THE IDENTIFICATION AND MANAGEMENT OF MENTAL HEALTH CONDITIONS. INDIVIDUALS SUFFERING FROM MENTAL HEALTH DISORDERS MAY BE MORE LIKELY TO ACCESS MENTAL HEALTH SERVICES IN THE PRIMARY CARE SETTING THAN SPECIALTY CARE FOR MENTAL HEALTH OR SUBSTANCE ABUSE ISSUES. AMH CONTINUED TO WORK COLLABORATIVELY WITH COUNTY SERVICES AND OTHER NON-PROFIT ORGANIZATIONS THROUGHOUT THE YEAR. WITHIN THE THREE YEAR CHNA CYCLE, AMH INCREASED BEHAVIORAL HEALTH CONSULTANTS INTO PRACTICES AND ENSURED THAT ALL AH OWNED PRIMARY CARE PRACTICES ARE CURRENTLY STAFF WITH A BHC INCLUDING SEVERAL AMH CLINICS. AMH CONTINUED ITS COLLABORATION WITH MONTGOMERY COUNTY DRUG AND ALCOHOL AND PROVIDERS TO IMPLEMENT WARM HAND-OFF PROJECTS IN THE EMERGENCY TRAUMA CENTER AND ALL ACCESS POINTS INCLUDING THE COMMUNICATION TO AH WORKFORCE. WARM HAND-OFF PROJECTS WORK TO HELP OVERDOSE SURVIVORS IN HOSPITAL EMERGENCY DEPARTMENTS OR TRAUMA CENTERS GET IMMEDIATELY CONNECTED TO A TREATMENT PROGRAM. COLLABORATION WITH PROVIDER AND COUNTY IS INCLUDED. AMH HAS A TEAM OF CRISIS CLINICIANS WHO ARE AVAILABLE TO SEE PATIENTS TWENTY-FOUR HOURS A DAY SEVEN DAYS A WEEK. THIS TEAM OF CRISIS CLINICIANS IS COMPRISED OF MENTAL HEALTH PROFESSIONALS WHO, ALONG WITH THE PSYCHIATRIST OR MEDICAL ATTENDING, ARE AVAILABLE TO COMPLETE MENTAL HEALTH AND SUBSTANCE USE ASSESSMENTS FOR PATIENTS IN THE EMERGENCY TRAUMA CENTER AND THROUGHOUT THE HOSPITAL. CRISIS WILL MEET WITH THE PATIENT TO COMPLETE THE ASSESSMENT AND DETERMINE WITH THE PATIENT THE APPROPRIATE NEXT LEVEL OF TREATMENT. THIS NEXT LEVEL OF TREATMENT MAY BE TO AN INPATIENT TREATMENT FACILITY, AN OUTPATIENT PARTIAL HOSPITALIZATION PROGRAM, AN INTENSIVE OUTPATIENT TREATMENT PROGRAM, OR BASIC OUTPATIENT TREATMENT. CRISIS TEAM MEMBERS FACILITATE ADMISSION AND WORK WITH INSURANCE AND FACILITIES TO MEET THE PATIENT'S NEEDS. 17. PRIMARY CARE PRIMARY CARE PHYSICIANS DIAGNOSE, TREAT AND MANAGE HEALTHCARE FOR ALL MEMBERS OF THE FAMILY FROM PREVENTION TO COMPLEX ILLNESSES. PRIMARY CARE PHYSICIANS ARE TRAINED AND EXPERIENCED IN MEETING THE HEALTHCARE NEEDS OF ALL MEMBERS OF THE FAMILY FROM NEWBORNS TO GERIATRICS. PATIENT CENTERED MEDICAL HOME - MANY PRIMARY CARE PHYSICIANS FOLLOW THE MODEL OF CARE WHICH PUTS THE PATIENT AT THE CENTER OF THE HEALTHCARE TEAM, TO ENSURE THAT THEY ALWAYS MEET EXPECTATIONS FOR HIGH QUALITY MEDICAL CARE. THE TEAM, LED BY A PRIMARY CARE PHYSICIAN, COORDINATES ALL ASPECTS OF HEALTHCARE, USING THE LATEST MEDICAL AND INFORMATION TECHNOLOGIES. THERE IS AN ENHANCED FOCUS ON PREVENTION TO IMPROVE HEALTH, AND IF THERE IS DEVELOPMENT OF A CHRONIC DISEASE, BEGIN EARLY, EFFECTIVE TREATMENT INTERVENTIONS. 18. CENTER FOR BLOODLESS MEDICINE AND SURGERY THE CENTER AT AMH WAS ESTABLISHED TO MEET THE NEEDS OF PATIENTS AND FAMILIES WHO DESIRE EXCELLENCE IN MEDICAL/SURGICAL CARE WHILE AVOIDING EXPOSURE TO DONATED BLOOD OR PRIMARY BLOOD COMPONENTS. THE CENTER FOR BLOODLESS MEDICINE AND SURGERY COMBINES ADVANCED MEDICAL TECHNOLOGY WITH AN EXPERIENCED TEAM OF HEALTHCARE PROFESSIONALS TO CREATE AN ATMOSPHERE OF MUTUAL UNDERSTANDING, TRUST AND RESPECT THAT PROMOTES THE DELIVERY OF HIGH QUALITY CARE. THE PHYSICIANS AND STAFF ARE COMMITTED TO EMPLOYING EVERY MEANS POSSIBLE TO AVOID THE USE OF BLOOD. THE CENTER ENDEAVORS TO MINIMIZE BLOOD LOSS BY UTILIZING SPECIAL BLOOD CONSERVATION METHODS SUCH AS BLOOD CONSERVATION DEVICES, PHARMACEUTICALS AND METICULOUS SURGICAL TECHNIQUES. PROCEDURES INCLUDE: MINIMALLY INVASIVE SURGERY; CELL SAVER; HARMONIC SCALPEL; ARGON BEAM COAGULATOR; ELECTROCAUTERY; MINIMAL BLOOD SAMPLING AND TESTING; AND SYNTHETIC RED CELL STIMULATOR. 19. AMH PROVIDES COMMUNITY BENEFIT SERVICES FOR THE UNDERSERVED/UNINSURED/UNDERINSURED WITH A FOCUS ON PRIMARY AND SPECIALTY CARE, WOMEN'S AND CHILDREN'S SERVICES, AND DENTAL. OB/GYN CENTER FOR PRENATAL CARE AND DELIVERY SERVING THE UNDERSERVED AND MULTI-LINGUAL PATIENTS AND FAMILIES: KOREAN, SPANISH, PORTUGUESE SERVED 15,155 VISITS IN FY20. THE DENTAL CLINIC AT AMH IS A RESIDENCY PROGRAM PROVIDING LOW OR NO COST DENTAL SERVICES FOR ALL AGES PROVIDING OVER 4,476 VISITS IN FY20. ABINGTON FAMILY MEDICINE ("AFM"), A RESIDENCY PROGRAM, SERVING ALL AGES SERVES THE UNDERINSURED AND UNINSURED. SERVING OVER 21,600 VISITS IN FY20. SANTERIAN NEWBORN CENTER, A NURSE MANAGED, CENTER SERVING NEWBORNS FROM BIRTH TO 3 MONTHS FOR WELL- BABY VISITS, SAW 1,461 VISITS IN FY20. THE AMH AMBULATORY SERVICES UNIT WAS RENAMED HARTNETT HEALTH SERVICES IN 2017, A NURSE MANAGED CENTER OF PRIMARY AND SPECIALTY CARE LOCATION AT AMH NEAR ACCESSIBLE BUS ROUTES PROVIDED 10,803 VISITS IN FY20. 20. MEDICAL SCREENINGS AMH PROVIDES NUMEROUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING THE FOLLOWING: - BLOOD PRESSURE SCREENINGS (COMMUNITY-BASED, INCLUDING AREA MALL LOCATIONS, SENIOR CENTERS, LIBRARIES, SOUP KITCHENS, AND MULTIPLE SITES AT LOCAL FOOD STORES). - SKIN CANCER SCREENINGS. - HEART AND STROKE RISK ASSESSMENTS. COMMUNITY SUPPORT, ACTIVITIES AND PROGRAMS ========================================== OUTLINED BELOW ARE A NUMBER OF AMH COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW AMH BENEFITS THE SURROUNDING COMMUNITY IN FURTHERING ITS CHARITABLE TAX-EXEMPT PURPOSES. - SPONSORSHIP OF MEETINGS AND FREE SPACE TO COMMUNITY GROUPS. - ELDERMED: FREE SENIOR MEMBERSHIP PROGRAM FOR PEOPLE OVER AGE 60; PROVIDES INSURANCE CLAIMS ASSISTANCE/COUNSELING, EDUCATION, SCREENINGS, AND COMMUNITY RESOURCES CENTER. THIS PROGRAM OFFERED EDUCATIONAL PROGRAMS AND OTHER EVENTS SERVING SENIORS IN OUR COMMUNITY AT A COST OF $5,723. - OVER ORGANIZATIONS RECEIVED CASH FOR SPONSORSHIPS OR IN-KIND SUPPORT IN FY20 TOTALING $23,902. - AMH PROVIDES FREE SPACE AND SUPPORT FOR THE MONTGOMERY COUNTY HEALTH DEPARTMENT COMMUNICABLE DISEASE CLINIC. IN FY20 AMH COLLABORATED WITH THE COUNTY SERVING OVER 524 INDIVIDUALS [CLINIC WAS CLOSED DURING COVID-19 SHUTDOWN]. VARIOUS MATERNITY CLASSES INCLUDING BABY CARE BASICS, BREASTFEEDING, CHILDBIRTH PREPARATION, CARING FOR BABY AND OTHERS. AMH, IN ADDITION TO THOSE OUTLINED ABOVE, OFFERS NUMEROUS OTHER COMMUNITY PROGRAMS AND ACTIVITIES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: - MATERNITY EDUCATION CLASSES AND SUPPORT - BEREAVEMENT SUMMER CAMP - CAMP CHARLIE - ANIMAL ASST. THERAPY - HOSPITAL HOLIDAY PROGRAM - GENERAL CANCER SUPPORT GROUPS - SAILL (STOP ABUSE IN LATER LIFE) PROGRAM - AMERICAN RED CROSS BLOOD DRIVES - SEXUAL ASSAULT NURSE EXAMINER PROGRAM - PRE-MED VOLUNTEER PROGRAM AMH EDUCATIONAL PROGRAMS ======================== AMH WAS FOUNDED AS A TEACHING HOSPITAL AND BELIEVES THAT EDUCATING THE PUBLIC AS WELL AS FUTURE GENERATIONS OF MEDICAL PROFESSIONALS IS AN IMPORTANT PART OF ITS MISSION TO SERVE ITS COMMUNITY'S COMPLETE HEALTHCARE NEEDS. RESIDENT TRAINING PROGRAMS -------------------------- SINCE AMH FIRST OPENED ITS DOORS IN 1914, IT HAS BUILT AND MAINTAINED AN OUTSTANDING REPUTATION AS ONE OF THE LEADING TEACHING HOSPITALS IN THE PHILADELPHIA AREA - A UNIQUE COMBINATION OF AN ACADEMIC MEDICAL CENTER IN A COMMUNITY HOSPITAL SETTING. A COMMITMENT TO PROVIDING EXCEPTIONAL PATIENT CARE HAS EARNED AMH RECOGNITION AS A MAJOR REGIONAL TEACHING FACILITY THAT OFFERS A FULL SPECTRUM OF CLINICAL EXPERIENCES AND A RIGOROUS ACADEMIC PROGRAM. AMH HAS IN ITS PROGRAM EACH YEAR RESIDENTS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, SURGERY AND DENTISTRY. RESIDENTS ROTATING FROM UNIVERSITY CENTERS IN ORTHOPEDIC SURGERY, PLASTIC SURGERY, UROLOGY AND NEUROSURGERY ADD TO THE ACADEMIC ENVIRONMENT. ALL TRAINING PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. GRADUATE PROGRAM FACULTY ------------------------ AMH SUPPORTS PLACEMENT OPPORTUNITIES IN ALL PROGRAMS, AND HAS ENABLED RESIDENTS TO OBTAIN ADVANCED GRADUATE TRAINING. AMH HAS A TEACHING ASSOCIATION WITH DREXEL UNIVERSITY MEDICAL SCHOOL, PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE AND THE SIDNEY KIMMEL MEDICAL COLLEGE AT THOMAS JEFFERSON UNIVERSITY, PHILADELPHIA, PA. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
MANY OF AMH'S PHYSICIANS SERVE ON THE FACULTIES OF THE PHILADELPHIA MEDICAL SCHOOLS AND ARE INVOLVED IN CONDUCTING RESEARCH AND PUBLISHING REGULARLY. AN ACTIVE PROGRAM OF CONTINUING MEDICAL EDUCATION OFFERS OPPORTUNITIES FOR PHYSICIANS AND OTHER MEDICAL STAFF TO GAIN THE MOST CURRENT KNOWLEDGE IN THEIR SPECIALTIES. COMMUNITY HEALTH EDUCATION PROGRAMS ----------------------------------- AMH PROVIDES NUMEROUS LECTURES, SEMINARS AND OTHER EDUCATIONAL PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING THE FOLLOWING EXAMPLES: PLEASE REFER TO THE HOSPITAL'S WEBSITE FOR A CURRENT LISTING UNDER CALENDAR OF EVENTS. - SKIN CANCER EDUCATION AND SCREENING - MATTER OF BALANCE- HYPERTENSION FOLLOW UP - SPEAKER'S BUREAU - STROKE EDUCATION PROGRAM CPR TRAINING CENTER ------------------- AMH IS AN AMERICAN HEART ASSOCIATION BLS TRAINING CENTER ("TC"). TC'S ARE RESPONSIBLE FOR THE PROPER ADMINISTRATION AND QUALITY OF THE EMERGENCY CARDIOVASCULAR CARE COURSES THAT THEY, THEIR ALIGNED INSTRUCTORS, AND TRAINING SITES PROVIDE. WITH OVER 175 ALIGNED INSTRUCTORS, AMH TRAINING CENTER OFFERS BOTH COMMUNITY AND PROFESSIONAL LEVEL CPR AND FIRST AID AT MANY COMMUNITY SITES. FAITH COMMUNITY NETWORK ----------------------- FAITH COMMUNITY NURSING ("FCN"), ALSO KNOWN AS PARISH NURSING, IS AN EXTENSION OF COMMUNITY HEALTH NURSING WHICH REACHES OUT TO PEOPLE IN THEIR FAITH COMMUNITIES. THE GOAL IS FOR FCN TO PROMOTE WELLNESS, BY HOLISTICALLY ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF THE FAITH COMMUNITY'S MEMBERS. FULFILLING THE ROLES OF PERSONAL HEALTH COUNSELOR, HEALTH EDUCATOR, MENTOR/VOLUNTEER COORDINATOR, LIAISON/REFERRAL SOURCE AND PASTORAL PARTNER, FCN IS A UNIQUE LINKAGE FROM AMH TO OUR LOCAL FAITH COMMUNITIES. MANY PROGRAMS ARE COORDINATED THROUGHOUT THE YEAR. OVER 300 FAITH COMMUNITIES ARE COMMUNICATED WITH ON A REGULAR BASIS. VOLUNTEERS ---------- OVER 814 MEMBERS OF OUR COMMUNITY CONTRIBUTED OVER 148,693 HOURS TO SERVE THE HEALTHCARE NEEDS OF THEIR NEIGHBORS. THE VALUE OF THIS CONTRIBUTION IS OVER $2.8 MILLION WHICH IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND WELLNESS PROGRAMS. AH HAS DEDICATED ITSELF TO THE COMMUNITY BY PROVIDING A DEPARTMENT RESPONSIBLE FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS, IMPLEMENTATION PLANS, COMMUNITY BENEFIT INITIATIVES, HEALTH EDUCATION, SCREENINGS, FAITH COMMUNITY NETWORK, CPR TRAINING CENTER, AND A CHRONIC DISEASE MANAGEMENT PROGRAM. IN ADDITION, AMH PROVIDES CLINICS TO SERVE THOSE IN NEED INCLUDING PRIMARY CARE AND SPECIALTY CLINICS GEOGRAPHICALLY LOCATED WITHIN THE SERVICE AREA; SPACE FOR OVER 30 SUPPORT AND SELF-HELP GROUPS AND A SPEAKER'S BUREAU FOR THE COMMUNITY. IN FY19, THE 2016-2019 CHNA IMPLEMENTATION REPORT WAS COMPLETED WITH THE FULL REPORT LOCATED ON THE HEALTH SYSTEM'S WEBSITE WHERE IT REMAINED FOR FY20. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HISTORY: AH HAS WORKED SINCE 2013 THROUGH 2016 WITH THE IMPLEMENTATION OR ACTION PLANS OF THE 2013 AND 2016 CHNA RESPECTIVELY FOR AMH AND LHC: PLANS INCLUDED WORK ON ACCESS TO CARE, BEHAVIORAL HEALTH/MENTAL HEALTH, OBESITY, SMOKING, CANCER SCREENINGS AND EDUCATION, OLDER ADULTS AND ACTIVITIES OF DAILY LIVING, AND CULTURAL AND LINGUISTICALLY APPROPRIATE EDUCATION. IN FY20, AH PERSONNEL CONTINUED TO UPDATE THE IMPLEMENTATION PLANS ON A QUARTERLY BASIS, WHICH IS THEN REVIEWED BY AH'S COMMUNITY BENEFIT COMMITTEE. THIS SAME TEAM, WORKING WITH COLLEAGUES FROM JEFFERSON HEALTH, COMPLETED THE 2016 CHNA WHICH IS POSTED TO THE WEBSITE WITH IMPLEMENTATION PLANS UPDATED QUARTERLY INCLUDING THE NEW PRIORITIES OF SUBSTANCE USE DISORDERS AND MENTAL HEALTH ISSUES AND CHRONIC DISEASES ALONG WITH THE ABOVE LISTED. AHF APPOINTED A COMMUNITY BENEFIT COMMITTEE IN 2011 WHOSE CHARTER IS TO OVERSEE AND RECOMMEND POLICIES AND PROGRAMS DESIGNED TO CARRY OUT THE CHARITABLE MISSION OF AH, PROTECTING ITS NON-PROFIT STATUS, AND TO ENHANCE THE HEALTH STATUS OF COMMUNITIES SERVED BASED ON THE RESULTS OF THE CHNA. IN 2017, THE COMMUNITY BENEFIT COMMITTEE INTEGRATED WITH THE REVEREND DR. MARTIN LUTHER KING JR., COMMITTEE TO FORM AN ENHANCED COMMITTEE SERVING COMMUNITY BENEFIT AND DIVERSITY INITIATIVES - THIS COMMITTEE CONTINUED TO PROVIDE OVERSIGHT IN FY20. UPDATES ON JEFFERSON ENTERPRISE DIVERSITY INITIATIVES, COMMUNITY BENEFIT, NEEDS ASSESSMENT PRIORITIES, FINANCIAL ASSISTANCE PROGRAMS AND HEALTH SYSTEM CLINICS CONTINUED TO BE RELEVANT AGENDA ITEMS DURING FY20. IN FY20, AH AND ALH COMMUNITY HEALTH LEADERS PARTICIPATED IN A REGIONAL PROCESS FOR THE 2019-2021 CYCLE OF CHNA. AT THE REQUEST OF LOCAL NON-PROFIT HOSPITALS AND HEALTH SYSTEMS, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH) AND THE HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) CONVENED AN EFFORT TO COLLABORATIVELY DEVELOP THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE SOUTHEASTERN PENNSYLVANIA (SEPA) REGION, WITH SPECIFIC FOCUS ON BUCKS, CHESTER, MONTGOMERY AND PHILADELPHIA COUNTIES. WHILE SOME LOCAL HOSPITALS/HEALTH SYSTEMS HAVE WORKED COLLABORATIVELY ON SOME COMPONENTS OF PREVIOUS CHNA IMPLEMENTATION PLANS, THEY PREVIOUSLY PRODUCED INDEPENDENT CHNAS. BASED ON SERVICE AREA DEFINITIONS FROM PREVIOUS CHNAS, MANY HOSPITAL/HEALTH SYSTEMS MUTUALLY SERVE RESIDENTS OF COMMUNITIES WITHIN THE SEPA REGION. IN CONTRAST TO HEALTH SYSTEMS CONDUCTING INDEPENDENT CHNAS, A COLLABORATIVE CHNA OFFERED: INCREASED COLLABORATION AMONG LOCAL HOSPITALS/HEALTH SYSTEMS SERVING THIS REGION; REDUCED DUPLICATION OF ACTIVITIES AND COMMUNITY BURDEN FROM PARTICIPATION IN MULTIPLE COMMUNITY MEETINGS; REDUCED HOSPITAL/HEALTH SYSTEM COSTS IN CHNA REPORT DEVELOPMENT; OPPORTUNITIES FOR SHARED LEARNING; ESTABLISHMENT OF STRONG FOUNDATION FOR COORDINATED EFFORTS TO ADDRESS HIGHEST PRIORITY COMMUNITY NEEDS. THE CHNA PROCESS INCLUDED A STEERING COMMITTEE COMPRISED OF FIVELEADING ORGANIZATIONS/AGENCIES TO PROVIDE OVERSIGHT AND DIRECTION HAVING MET ONCE OR TWICE MONTHLY TO REVIEW FINDINGS AND SET PRIORITIES. THE HOSPITALS WORKED IN TANDEM WITH THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, THE HEALTH CARE IMPROVEMENT FOUNDATION, PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS, A QUALITATIVE TEAM AND THE CHESTER COUNTY HEALTH DEPARTMENT AND MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH. DATA WAS ACQUIRED FROM LOCAL, STATE AND FEDERAL SOURCES AND FOCUSED ON INDICATORS THAT WERE UNIFORMLY AVAILABLE AT THE ZIP CODE LEVEL ACROSS THE REGION. PDPH PARTNERED WITH THE HEALTHSHARE EXCHANGE, THE LOCAL INFORMATION EXCHANGE, TO ANALYZE KEY HOSPITAL-BASED INDICATORS OF HEALTH. HCIF COORDINATED THE QUALITATIVE COMPONENT OF THE ASSESSMENT WHICH INCLUDED: 19 COMMUNITY MEETINGS; 9 KEY STAKEHOLDER FOCUS GROUPS; 12 KEY INFORMANT INTERVIEWS; ADDITIONAL KEY INFORMANT INTERVIEWS. ALL DATA WERE SYNTHESIZED BY PDPH STAFF AND A LIST OF 16 COMMUNITY HEALTH PRIORITIES WAS PRESENTED TO THE STEERING COMMITTEE. USING A MODIFIED HANLON RANKING METHOD, EACH PARTICIPATING HOSPITAL AND HEALTH SYSTEM RATED THE PRIORITIES. AN AVERAGE RATING WAS CALCULATED, AND THE COMMUNITY HEALTH PRIORITIES WERE ORGANIZED IN PRIORITY ORDER BASED ON: SIZE OF HEALTH PROBLEM, IMPORTANCE TO THE COMMUNITY, AND CAPACITY OF HOSPITALS/HEALTH SYSTEMS TO ADDRESS, ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION AND AVAILABILITY OF EXISTING COLLABORATIVE EFFORTS. THE LIST OF PRIORITIES INCLUDE: SUBSTANCE/OPIOID USE AND ABUSE; BEHAVIORAL HEALTH DIAGNOSIS AND TREATMENT; ACCESS TO AFFORDABLE PRIMARY/PREVENTIVE CARE; HEALTHCARE AND HEALTH RESOURCES NAVIGATION; ACCESS TO AFFORDABLE SPECIALTY CARE; CHRONIC DISEASE PREVENTION; FOOD ACCESS AND AFFORDABILITY; AFFORDABLE AND HEALTHY HOUSING; SEXUAL AND REPRODUCTIVE HEALTH; LINGUISTICALLY AND CULTURALLY APPROPRIATE HEALTHCARE; MATERNAL MORBIDITY AND MORTALITY; SOCIOECONOMIC DISADVANTAGE [INCOME, EDUCATION AND EMPLOYMENT]; COMMUNITY VIOLENCE, RACISM AND DISCRIMINATION IN HEALTHCARE SETTINGS; NEIGHBORHOOD CONDITIONS; HOMELESSNESS. IN FY20, AH AND ALH'S CHNA IMPLEMENTATION PLANS CONTINUED. A FY20 YEAR- END REPORT AND SCORECARD WAS SHARED WITH OUR OVERSIGHT COMMITTEE. COVID-19 AFFECTED SOME OBJECTIVES AND PLANS WERE SUSPENDED, HOWEVER, NEW AND INNOVATIVE IDEAS HAVE BEEN CREATED TO CONTINUE TO WORK TOWARDS ACHIEVING GOALS BEFORE THE NEXT CHNA IN 2022. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
LEADERS COLLABORATIVELY REPORTED ON SUBSTANCE USE DISORDER AND THE OPIOID EPIDEMIC. WHILE SOME PLANS WERE SUSPENDED, AH AND LH CONTINUED WITH THE WARM HAND OFF AND OUR COMMUNITY PARTNER, EDUCATION AS WELL AS PROMOTION ON DRUG TAKE BACK CONTINUED. A PROJECT FOR DISTRIBUTION OF NARCAN KITS IN HOSPITAL EMERGENCY ROOMS/TRAUMA CENTER IS IN PROCESS WITH PHILANTHROPY, BEHAVIORAL HEALTH AND COMMUNITY HEALTH LEADERS. CLINICALLY, WOMEN AND CHILDREN'S SERVICES FOCUSED ON REDUCTION OF PAIN MEDICATION IN C-SECTIONS, SURGERIES WHERE APPROPRIATE AND THE SUBSTANCE USE DISORDER COMMITTEE ALSO FOCUSED ON IDENTIFICATION AND SCREENING FOR ALCOHOL FOR INPATIENTS AND REFERRALS TO RESOURCES. DURING COVID-19, COMMUNITY HEALTH, WORKING WITH KEY COMMUNITY STAKEHOLDERS, COMPILED RESOURCES THAT WENT VIRTUAL AND COMMUNICATED EFFECTIVELY TO INTERNAL AND EXTERNAL AUDIENCES. CHNA REPORTS ALSO INCLUDED THE IMPORTANCE OF ACCESS TO AFFORDABLE PRIMARY/PREVENTIVE CARE. DUE TO COVID-19 ACCESS TO CARE WAS DECREASED INCLUDING THOSE WHO HAVE USED THE DENTAL CARE ACCESS PROGRAM AND AJH DENTAL CLINICAL. PATIENTS ARE REPORTEDLY COMING BACK AT A HIGH RATE. FORECASTED ARE RESOURCES NEEDED FOR MENTAL HEALTH, FOOD INSECURITY AND OTHER SOCIAL DETERMINANTS OF HEALTH. CHRONIC DISEASE PREVENTION: PRIOR TO COVID-19, PROGRAMMING HAD BEEN ROBUST. DUE TO COVID-19, ALL COMMUNITY HEALTH EDUCATION EVENTS AND SCREENINGS WERE CANCELED AND REMAIN ON HOLD UNTIL FURTHER NOTICE. THROUGH SOCIAL MEDIA AND THE HOSPITAL'S NEWSLETTERS AND WEBSITE, EFFORTS WERE MADE TO INCREASE AWARENESS OF WEARING MASKS AND SOCIAL DISTANCING. IN ADDITION, COMMUNITY HEALTH NURSES CALLED CHRONIC CARE MANAGEMENT PATIENTS, AS WELL AS CLIENTS FROM SENIOR CENTERS OR THOSE WHO VISITED MONTHLY BLOOD PRESSURE SCREENINGS TO CHECK IN, ASK ABOUT FOOD SECURITY, CURRENT MENTAL HEALTH STATUS AND PROVIDE HEALTH EDUCATION. THESE OUTREACH CALLS WERE WELL RECEIVED FROM FEEDBACK SHARED. TOWARDS THE END OF THE FISCAL YEAR, NURSES OFFERED VIRTUAL BLOOD PRESSURE SCREENINGS IF PATIENTS HAD BLOOD PRESSURE CUFF AT HOME. FOOD INSECURITY SCREENINGS CONTINUED IN FY20 FROM THE CHILDREN'S CLINIC AND DIABETES CENTER. COVID 19 - PIVOT FOR COMMUNITY HEALTH ------------------------------------- IN MARCH OF FY20, MONTGOMERY COUNTY COMMISSIONERS INSTITUTED STAY AT HOME MEASURES TO REDUCE COVID19 EXPOSURES. THURSDAY, MARCH 12, 2020 WAS THE LAST DAY WE PROVIDED COMMUNITY OUTREACH IN PERSON IN OUR COMMUNITY DUE TO INCREASING CONCERN ABOUT THE SPREAD OF THE CORONAVIRUS IN OUR NATION AND MONTGOMERY COUNTY, PENNSYLVANIA. DURING THIS TIME OF UNCERTAINTY, WE GREW INCREASINGLY CONCERNED FOR OUR CHRONIC CARE CLIENTS, ESPECIALLY WHEN GOVERNOR WOLF DECLARED A STAY AT HOME ORDER EFFECTIVE MARCH 23, 2020. WE KNEW OUR SENIORS WOULD POSSIBLY FEEL ISOLATED, LONELY, AND FEARFUL AND MAY HAVE FOOD INSECURITY. SINCE WE WERE NOT ABLE TO GO INTO THE COMMUNITY TO MEET WITH INDIVIDUAL CLIENTS AND SUPPORT GROUPS, WE DECIDED THAT OUR CHRONIC CARE NURSES WOULD MAKE COURTESY WELL CHECK-IN CALLS TO ALL OF OUR CLIENTS. WE ASKED THEM IF THEY HAD ENOUGH FOOD TO EAT AND IF THEY HAD THE MEANS TO GET FOOD. WE ASKED THEM IF THEY HAD ENOUGH MEDICINE AND MEANS TO OBTAIN MEDICINE. WE ASKED THEM HOW THEY WERE COPING WITH THE SOCIAL ISOLATION AND IF THEY HAD SOMEONE TO TALK WITH IF THEY WERE LONELY. MANY SHARED WITH US CONCERNS ABOUT FOOD SUPPLY, MEDICINES, MONEY, AND TRANSPORTATION CONCERNS TO BASIC NEEDS, CONCERNS ABOUT JOB LOSS, AND FEAR OF GOING TO THE DOCTOR, ETC. WE SHARED COUNTLESS RESOURCES WITH OUR CLIENTS: FOOD BANKS, CHURCHES AND COMMUNITY ORGANIZATIONS THAT WERE DISTRIBUTING FREE FOOD WITHOUT APPLICATIONS AND APPROVALS, MONIES TO HELP PAY FOR RENT, PEOPLE WILLING TO GROCERY SHOP AND RUN ESSENTIAL ERRANDS FOR SENIORS, AGENCIES READY TO HELP WITH MENTAL HEALTH CONCERNS AND CRISIS, SUBSTANCE USE DISORDER RESOURCES, HOME SCHOOLING RESOURCES, ETC., WE MADE 334 WELL CHECK-IN CALLS. EVERY PERSON WE CALLED EXPRESSED GRATITUDE FOR OUR CARE AND CONCERN FOR THEM AND FOR THE RESOURCES PROVIDED. ALTHOUGH WE ENTERED THE GREEN PHASE ON JUNE 26, 2020, WE CONTINUE TO MAKE COURTESY WELL CHECK-IN CALLS AS MANY OF THE SENIOR CENTERS AND ORGANIZATIONS REMAIN CLOSED OR OPEN WITH LIMITED PROGRAMMING. THE 2019 CHNA WAS REVIEWED AND APPROVED BY JUNE 30, 2019 BY JEFFERSON HEALTH'S BOARD OF TRUSTEES AND IN ADDITION AT AH AND ALH, THE REV. MARTIN LUTHER KING, JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE, A BOARD OVERSIGHT COMMITTEE, APPROVED THE CHNA WITH RATIFICATION BY THE AH BOARD OF TRUSTEES AND POSTED TO THE HOSPITAL'S WEBSITE PER REQUIREMENTS. COMMUNITY HEALTH, COMMUNITY BENEFIT AND OTHER AH LEADERS AND STAFF ARE DEDICATED TO THE IMPLEMENTATION PLANS OF THE CHNA WHICH INCLUDES THE POSTING OF THE COMMUNITY HEALTH IMPLEMENTATION PLAN REPORT FROM THE 2016 CHNA ON THE HOSPITAL'S WEBSITE. COMMUNITY HEALTH LEADERSHIP WORKED WITH KEY AH AND ALH DEPARTMENTS IN FORMULATING CHNA IMPLEMENTATION PLANS FOR THE 2019-2021 DUE NOVEMBER 15, 2019, WHICH WERE COMPLETED AND POSTED. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 |
DAVID J. ESKIN, M.D. AND MARK R. ESKIN - FAMILY RELATIONSHIP NEAL PEARLSTINE, ESQ. AND BRUCE GOODMAN - BUSINESS RELATIONSHIP |
| CORE FORM, PART VI, SECTION A; QUESTION 3 |
THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THOMAS JEFFERSON UNIVERSITY ("TJU") IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND SERVES AS THE PARENT ORGANIZATION OF THE SYSTEM. AS THE PARENT ORGANIZATION OF THE SYSTEM TJU PROVIDES VARIOUS CORPORATE RELATED SERVICES FOR THE BENEFIT OF VARIOUS SYSTEM ENTITIES; INCLUDING THIS ORGANIZATION. THESE CORPORATE SERVICES, INCLUDE, BUT ARE NOT LIMITED TO, EXECUTIVE, LEGAL AND RISK MANAGEMENT, COMPLIANCE AND GOVERNANCE, HUMAN RESOURCES AND FINANCE. TJU ALLOCATES A PERCENTAGE OF ITS TOTAL CORPORATE RELATED SERVICES COSTS TO VARIOUS SYSTEM ENTITIES, INCLUDING THIS ORGANIZATION, AS REIMBURSEMENT FOR THESE CORPORATE RELATED SERVICES. THE REIMBURSEMENT TO TJU IS REFLECTED AS AN EXPENSE FOR THESE ORGANIZATIONS. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 |
ABINGTON HEALTH ("AH") IS THE SOLE MEMBER OF THIS ORGANIZATION. THOMAS JEFFERSON UNIVERSITY ("TJU") IS THE SOLE MEMBER OF AH. TJU HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B |
THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE SYSTEM'S FINANCE PERSONNEL AND VARIOUS OTHER SYSTEM INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE SYSTEM'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE INTERNAL WORKING GROUP FOR FINAL REVIEW. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PRESENTED TO THOMAS JEFFERSON UNIVERSITY'S AUDIT, RISK AND COMPLIANCE COMMITTEE AND PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 |
THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH ALL AFFILIATES REGULARLY MONITOR AND ENFORCE COMPLIANCE. THE CONFLICT OF INTEREST POLICY GOVERNS CONFLICT OF INTEREST DISCLOSURE AND MONITORING OF ALL VOTING MEMBERS OF THE SYSTEM'S BOARD OF TRUSTEES. THE CONFLICT OF INTEREST POLICY IS DESIGNED TO ASSIST THE ORGANIZATION IN EVALUATING ARRANGEMENTS, CONTRACTS OR TRANSACTIONS THAT MAY BENEFIT THE PRIVATE INTEREST OF A TRUSTEE, THEIR FAMILY MEMBER(S), A MEMBER OF A COMMITTEE OR SUBCOMMITTEE THAT EXERCISES BOARD-DELEGATED POWERS OF THE UNIVERSITY, OR SENIOR MANAGEMENT. THE POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE STATE AND FEDERAL LAWS GOVERNING NONPROFIT CHARITABLE CORPORATIONS. IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY, EACH VOTING MEMBER OF THE BOARD OF TRUSTEES MUST COMPLETE, AT LEAST ANNUALLY, THE SYSTEM'S CONFLICT OF INTEREST DISCLOSURE PROCESS. THE CONFLICT OF INTEREST PROCESS INCLUDES DISTRIBUTION OF AN ELECTRONIC DISCLOSURE TO ALL PERSONS WHO SERVED AS VOTING MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF SENIOR MANAGEMENT AND KEY EMPLOYEES DURING THE PREVIOUS FISCAL YEAR. THE DISCLOSURE FORM ELICITS INFORMATION RELATED TO THE RESPONDENT'S ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES IN WHICH THEY ENGAGED DURING THE REPORTING PERIOD. THE PROCESS ALSO REQUIRES COVERED PERSONS TO DISCLOSE SUCH INFORMATION ABOUT THEIR FAMILY MEMBERS. IN ADDITION TO ATTESTING TO THE VERACITY OF INFORMATION CONTAINED WITHIN THE DISCLOSURE, THE VOTING MEMBER OF THE BOARD OF TRUSTEES MUST CERTIFY THAT THEY WILL ABIDE BY THE SYSTEM'S CONFLICTS OF INTEREST AND OTHER RELEVANT POLICIES AND WILL DISCLOSE ALL INTERESTS AND ACTIVITIES RELATED TO THEIR ONGOING SERVICE ON THE BOARD OF TRUSTEES. MEMBERS OF SENIOR MANAGEMENT AND INDIVIDUALS IDENTIFIED AS KEY EMPLOYEES RECEIVE DISCLOSURE QUESTIONS REQUIRED OF MEMBERS OF THE BOARD OF TRUSTEES. ALL PERSONS COVERED UNDER THE ORGANIZATION'S BOARD OF TRUSTEES AND EMPLOYEE-RELATED CONFLICT OF INTEREST POLICIES MAINTAIN A CONTINUING OBLIGATION TO DISCLOSE ALL CHANGES IN INTERESTS, ACTIVITIES AND RELATIONSHIPS THROUGHOUT THE YEAR. THE SYSTEM MAINTAINS ALL ORIGINAL DISCLOSURE FORMS AND CERTIFICATIONS IN ACCORDANCE WITH ITS RECORD RETENTION POLICY. THE SYSTEM ALSO COMPILES AND ISSUES A COMPREHENSIVE REPORT OF ALL ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES REPORTED DURING THE BOARD OF TRUSTEES CONFLICTS OF INTEREST DISCLOSURE PROCESS TO THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THEREAFTER, THE BOARD OF TRUSTEES ITSELF OR THROUGH DELEGATION TO THE AUDIT, RISK AND COMPLIANCE COMMITTEE, EVALUATES ALL ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO DETERMINE WHETHER ACTIVITIES OR ARRANGEMENTS REQUIRE MANAGEMENT, REDUCTION, OR ELIMINATION OF CERTAIN INTERESTS, ACTIVITIES OR RELATIONSHIPS. WHEN MANAGEMENT OF THE IDENTIFIED CONFLICT IS REQUIRED, THE AFFECTED PERSON(S), MEMBERS OF THE BOARD'S EXECUTIVE COMMITTEE, AND CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT, RECEIVE NOTIFICATION OF THE REQUIREMENTS SET FORTH IN THE MANAGEMENT PLAN. AFFECTED PERSONS ARE EXPECTED TO ABIDE BY THE TERMS OF THE MANAGEMENT PLAN, WHICH MAY INCLUDE, BUT MAY NOT BE LIMITED TO, RECUSAL FROM DELIBERATIONS AND VOTING WHEN APPROPRIATE. IN ADDITION TO THE ABOVE-OUTLINED INTERNAL REPORTING AND EVALUATION OF ACTIVITIES, TRANSACTIONS AND RELATIONSHIPS, ALL REQUIRED DISCLOSURES IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE'S REGULATIONS AND INSTRUCTIONS ARE REPORTED ON THE ORGANIZATION'S FEDERAL FORM 990. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 |
THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE ORGANIZATION IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST PRACTICES IN CORPORATE GOVERNANCE. THOMAS JEFFERSON UNIVERSITY'S BOARD OF TRUSTEES HAS A COMPENSATION AND HUMAN CAPITAL COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE SYSTEM'S EXECUTIVE COMPENSATION, INCLUDING ARRANGEMENTS COVERING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR EXECUTIVES AND OTHER KEY EMPLOYEES (INCLUDING CLINICAL DEPARTMENT CHAIRS AND SELECT FACULTY). THE COMMITTEE MEETS MULTIPLE TIMES DURING THE YEAR AND IS COMPRISED OF INDIVIDUALS WHO ARE INDEPENDENT AND DO NOT HAVE CONFLICTS OF INTEREST WITH REGARD TO THE COMPENSATION ARRANGEMENTS THAT FALL WITHIN ITS PURVIEW. THE COMMITTEE'S PROCESS IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS THAT IS AVAILABLE UNDER THE INTERMEDIATE SANCTIONS LAW, AND INCLUDES THE REVIEW OF COMPARABILITY DATA AND THE CONTEMPORANEOUS SUBSTANTIATION OF ITS DELIBERATIONS AND DECISIONS. THE COMMITTEE'S DECISIONS ARE MADE IN ACCORDANCE WITH SYSTEM'S COMPENSATION PHILOSOPHY, WHICH SUPPORTS THE OBJECTIVE OF ATTRACTING, RETAINING AND MOTIVATING TALENTED INDIVIDUALS WHO HAVE THE APPROPRIATE EXPERIENCE AND SKILLS TO ACHIEVE THE INSTITUTION'S OBJECTIVES. ON AN ANNUAL BASIS THE COMMITTEE REVIEWS APPROPRIATE COMPARABILITY DATA FOR SIMILAR INSTITUTIONS THAT REFLECT THE MISSION, SCOPE AND COMPLEXITY OF THE ORGANIZATION AND ITS CONSTITUENT ENTITIES. THE COMMITTEE ENGAGES QUALIFIED, INDEPENDENT CONSULTANTS AS NEEDED TO PROVIDE ADVICE ON COMPENSATION MATTERS AND TO PREPARE THE COMPARABILITY DATA, WHICH ARE REVIEWED BY THE COMMITTEE IN ADVANCE OF MAKING ITS DECISIONS. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND OTHER SENIOR EXECUTIVES BASED ON MARKET PRACTICES, AN ASSESSMENT OF PERFORMANCE AND OTHER BUSINESS JUDGMENT FACTORS. THE EXECUTIVE COMPENSATION INCLUDES INCENTIVE PAY, PURSUANT TO WHICH EXECUTIVES ARE REWARDED BASED ON THE ACHIEVEMENT OF THE SYSTEM, ENTITY AND INDIVIDUAL PERFORMANCE GOALS THAT ARE ESTABLISHED IN ADVANCE OF THE PERFORMANCE PERIOD. THESE GOALS ARE LINKED TO SYSTEM'S MISSION, STRATEGIC AND OPERATING OBJECTIVES, AND HAVE PREDETERMINED WEIGHTS. AT THE END OF THE YEAR, THE COMMITTEE APPROVES THE RESULTING AWARDS BASED ON A REVIEW OF PERFORMANCE ACHIEVEMENTS RELATIVE TO THE GOALS; IN APPROPRIATE CIRCUMSTANCES, OTHER DISCRETIONARY FACTORS MAY BE CONSIDERED WHEN INCENTIVES ARE DETERMINED. THE COMMITTEE MAKES A DETERMINATION OF THE REASONABLENESS OF COMPENSATION AND MAINTAINS MINUTES THAT DOCUMENT ITS DELIBERATIONS AND DECISIONS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 |
THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. |
| CORE FORM, PART VII AND SCHEDULE J |
CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII AND SCHEDULE J |
LAURENCE M. MERLIS AND MEGHAN O. PATTON, FORMER OFFICERS OF THE ORGANIZATION, ARE STILL EMPLOYED WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH AS THE EXECUTIVE VICE PRESIDENT, CHIEF OPERATING OFFICER OF JEFFERSON HEALTH AND SENIOR VICE PRESIDENT HUMAN RESOURCES; ASSOCIATE CHIEF HUMAN RESOURCES OFFICER OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; RESPECTIVELY. JILL KYLE, PREVIOUSLY INCLUDED ON THIS FORM 990, IS EMPLOYED WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH AS THE SENIOR VICE PRESIDENT FOR REGIONAL ADVANCEMENT AT JEFFERSON. IN ACCORDANCE WITH FORM 990 RULES AND INSTRUCTIONS, SHE IS NOT CONSIDERED AN OFFICER OR KEY EMPLOYEE OF THIS ORGANIZATION. ACCORDINGLY, HER RESPECTIVE REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ABINGTON HEALTH FOUNDATION (EIN: 23-2188052) FEDERAL FORM 990. |
| CORE FORM, PART VII AND SCHEDULE J |
MICHAEL B. WALSH IS AN OFFICER OF THE ORGANIZATIONS BOARD OF TRUSTEES; AN UNCOMPENSATED POSITION. ALTHOUGH MR. WALSH RECEIVED A FORM W-2 FROM THIS ORGANIZATION, HE IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ON A FULL TIME BASIS. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651). ACCORDINGLY, THOMAS JEFFERSON UNIVERSITY FILED A 2019 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. WALSH'S COMPENSATION IN EXCESS OF $1M. LAURENCE M. MERLIS IS A FORMER OFFICER OF THIS ORGANIZATION. DURING 2019, MR. MERLIS RECEIVED A FORM W-2 FROM THIS ORGANIZATION AS A RESULT OF HIS CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. MR. MERLIS IS EMPLOYED BY AND INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF A RELATED ORGANIZATION ON A FULL TIME BASIS. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651). ACCORDINGLY, THOMAS JEFFERSON UNIVERSITY FILED A 2019 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. MERLIS COMPENSATION IN EXCESS OF $1M. |
| CORE FORM, PART VII, SECTION A, COLUMN B |
THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, KEY EMPLOYEES AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART X |
CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCES PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION. THE RESTATEMENT HAD NO EFFECT ON THE ORGANIZATION'S NET ASSETS. |
| CORE FORM, PART X; LINE 25 |
THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM HAS A NUMBER OF OUTSTANDING LONG-TERM OBLIGATED GROUP DEBT LIABILITIES, INCLUDING THE FOLLOWING BOND ISSUANCES: - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2012; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2012A; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015A; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015B; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015C-G; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015H; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2017A; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2017B; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2017C; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018A; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018B; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018C; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018D; AND - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2019A. THE BONDS OUTLINED ABOVE AND VARIOUS OTHER LONG-TERM BORROWINGS ARE ALLOCATED BY THOMAS JEFFERSON UNIVERSITY; THE TAX-EXEMPT PARENT OF THE SYSTEM AND SOLE MEMBER OF VARIOUS TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM, TO THE FOLLOWING SYSTEM MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES. THE BALANCE SHEET OF THESE RESPECTIVE MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES REFLECTS A TJU OBLIGATED GROUP LIABILITY. ACCORDINGLY, THIS TJU OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: - THOMAS JEFFERSON UNIVERSITY HOSPITALS, EIN: 23-2829095 - TJUH SYSTEM, EIN: 26-3026795 - JEFFERSON UNIVERSITY PHYSICIANS, EIN: 23-2809585 - ABINGTON HEALTH, EIN: 27-1243803 - ABINGTON HEALTH FOUNDATION, EIN: 23-2188052 - ABINGTON MEMORIAL HOSPITAL, EIN: 23-1352152 - LANSDALE HOSPITAL CORPORATION, EIN: 26-3359979 - JEFFERSON HEALTH - NORTHEAST EIN: 23-0596940 - JEFFERSON HEALTH - NORTHEAST SYSTEM, EIN: 23-2239131 - PHILADELPHIA UNIVERSITY, EIN: 23-1252294 - KENNEDY UNIVERSITY HOSPITAL, INC., EIN: 22-1773439 - MAGEE REHABILITATION HOSPITAL, EIN: 23-1476328 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 OF THOMAS JEFFERSON UNIVERSITY, EIN: 23-1352651. |
| CORE FORM, PART XI; QUESTION 9 |
OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - GOODWILL IMPAIRMENT - ($14,154,808); - RECLASSIFICATION OF NET ASSETS - ($200,000); - NET ASSETS RELEASED FOR PROPERTY & EQUIPMENT - $3,547,866; - CHANGE IN PENSION LIABILITY - ($133,679,935); - CHANGE IN VALUE OF EXTERNAL TRUSTS (DONOR RESTRICTED) - ($2,271,227); - NET ASSETS RELEASED FROM RESTRICTION (DONOR RESTRICTED) - ($2,496,901); AND - CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS (DONOR RESTRICTED) - $38,320. |
| CORE FORM, PART XII; QUESTION 2 |
THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE FISCAL YEARS ENDED JUNE 30, 2020 AND JUNE 30, 2019; RESPECTIVELY AND ISSUED A CONSOLIDATED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THOMAS JEFFERSON UNIVERSITY'S AUDIT, RISK AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR. |
| CORE FORM, PART XII; QUESTION 3 |
THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. TJU'S AUDIT, RISK AND COMPLIANCE COMMITTEE ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. |
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.