| 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 WITH ITS LOCAL BOARD OF TRUSTEES AND THE PARENT BOARD OF TRUSTEES OF JEFFERSON HEALTH. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 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 ("LH"), 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"). PART OF JEFFERSON HEALTH SINCE 2015, THE SYSTEM INCLUDES EIGHTEEN HOSPITALS AND OVER 50 OUTPATIENT AND URGENT CARE 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. PLANS ARE UNDERWAY FOR JEFFERSON'S SPECIALTY CARE PAVILION IN PHILADELPHIA, PENNSYLVANIA. TOGETHER, JEFFERSON HEALTH HAS 42,700 EMPLOYEES, 3,500 PHYSICIANS AND PRACTITIONERS [EMPLOYED], 9,600 NURSES, 1,900 FACULTY AND 2,100 VOLUNTEERS AND IS THE SECOND LARGEST EMPLOYER IN PHILADELPHIA. DURING FY22, 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. WE CONTINUE IN OUR MISSION OF "WE IMPROVE LIVES". TWO YEARS LATER: A LOOK BACK AT ABINGTON'S COVID-19 RESPONSE WAS MET WITH THE MONUMENTAL TASK FOR RESPONDING TO THE PANDEMIC. THROUGH IT ALL, THE HOSPITAL CONTINUED PROVIDING THE SAFE HIGH-QUALITY CARE THAT OUR PATIENTS AND COMMUNITY HAVE COME TO KNOW AND RELY ON - ALL THANKS TO THE CONTINUED HARD WORK, STRENGTH AND RESILIENCY OF STAFF. FY22 WAS UNDOUBTEDLY ONE OF THE MOST TRYING YEARS FOR THE HEALTHCARE INDUSTRY. THE COVID-19 OMICRON SURGE BROUGHT ABOUT STAFFING CHALLENGES THAT OUR COUNTRY HAS NEVER EXPERIENCED, WHICH LED TO INCREASED STRESS TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY. WE ALSO EXPERIENCED GLOBAL SHORTAGES OF MANY PRODUCTS INCLUDING CONTRAST MEDIA, A DIMINISHED NATIONAL BLOOD BANK SUPPLY AND MANY OTHER CRITICAL ITEMS. THE AMH TEAM DEMONSTRATED INCREDIBLE INTERDISCIPLINARY COLLABORATION AND RESILIENCY WITH THE GOAL OF ENSURING SAFE AND HIGH-QUALITY CARE. OUR STAFF CONTINUED TO SHOW AN UNWAVERING COMMITMENT TO OUR MISSION TO IMPROVE LIVES. 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 THE FORMER KENNEDY HEALTH SYSTEM [JEFFERSON NEW JERSEY]. DURING FY22, JEFFERSON HEALTH AND EINSTEIN HEALTHCARE NETWORK MERGED IN OCTOBER 2021. BY BRINGING TOGETHER TWO PRESTIGIOUS ACADEMIC MEDICAL CENTERS, THE EXPANSION OF JEFFERSON HEALTH CREATES AN INTEGRATED 18-HOSPITAL HEALTH SYSTEM FOCUSED ON PROVIDING GREATER ACCESS TO HIGH-QUALITY PATIENT CARE IN OUR COMMUNITIES AND DELIVERING OUTSTANDING HEALTH SCIENCES EDUCATION TO TOMORROW'S HEALTH CARE PROFESSIONALS. THE CULMINATION OF THE MULTIYEAR PROCESS OF BRINGING TWO ORGANIZATIONS WITH MORE THAN 300 COMBINED YEARS OF SERVICES, CLINICAL EXCELLENCE AND ACADEMIC EXPERTISE IS AN OPPORTUNITY FOR THE PHILADELPHIA REGION TO REIMAGINE HEALTHCARE, EDUCATION, DISCOVERY, EQUITY AND INNOVATION. WITH THE ADDITION OF EINSTEIN, JEFFERSON WILL HOST THE LARGEST NUMBER OF RESIDENTS AND FELLOWS IN THE GREATER PHILADELPHIA REGION. OTHER NOTABLE BENEFITS OF THE EINSTEIN AND JEFFERSON MERGER INCLUDE: SEVEN SPECIALTIES THAT ARE NATIONALLY RANKED BY U.S. NEWS AND WORLD REPORT; TWO LEVEL ONE AND ONE LEVEL TWO TRAUMA CENTERS; ACCESS TO THE LARGEST MIDWIFERY AND TRANSPLANT PROGRAMS IN THE REGION, RESULTING IN ENHANCED CARE OPTIONS FOR MOTHERS, BABIES, TRANSPLANT PATIENTS AND THEIR FAMILIES. TEN HOSPITALS HAVE ACHIEVED MAGNET STATUS - A HIGHLY COMPETITIVE AND NATIONAL DESIGNATION THAT RECOGNIZES NURSING EXCELLENCE. THE MERGER ALSO BRINGS TOGETHER MOSS REHABILITATION HOSPITAL AND MAGEE REHABILITATION HOSPITAL, COMBINING THEIR RESPECTIVE STRENGTHS WITH NATIONALLY RECOGNIZED BRAIN-TRAUMA AND SPINAL-CORD INJURY PROGRAMS. ANOTHER DIFFERENT YEAR ---------------------- COMING TOGETHER: OUR COVID-19 RESPONSE CONTINUED WITH PLANNING AND PREPARATION TO SERVE THE NEEDS OF OUR COMMUNITY. THIS PAST YEAR, WE WERE FLEXIBLE AND ACCOMMODATING TO WHAT WAS HAPPENING WITH THE COVID-19 VIRUS AND OMICRON VARIANTS BY RAPIDLY SHIFTING TO MEET THE NEEDS OF OUR COMMUNITY AND KEEPING OUR STAFF MEMBERS SAFE. OUR TEAM OFTEN HAD TO PIVOT, CHANGING VISITATION GUIDELINES, UPDATING COVID-19 TREATMENT PROTOCOLS, AND PROVIDING COVID-19 TESTING AND VACCINATION CLINICS. WE REMAIN STEADFAST IN OUR COMMITMENT TO IMPROVE LIVES. THE PANDEMIC HIGHLIGHTED THE VALUE OF BEING PART OF JEFFERSON. DELIVERY TO OUR SHARED MISSION TO IMPROVE LIVES AND OUR VALUES GUIDED DECISION MAKING. THE UNPRECEDENTED TEAMWORK AND COLLABORATION WAS REMARKABLE. HERE ARE SOME EXAMPLES: HAVING A TALENTED TEAM WITH BRILLIANT MINDS AT OUR ENTERPRISE AND DIVISION INCIDENT COMMAND CENTERS; SUBJECT MATTER EXPERTS IN INFECTION CONTROL ALWAYS KEEPING ABREAST OF THE LATEST DEVELOPMENTS AND TREATMENT OPTIONS FOR DEALING WITH THIS UNKNOWN VIRUS; PURCHASING POWER TO ACQUIRE HIGH QUALITY, PERSONAL PROTECTIVE EQUIPMENT FOR STAFF; A TELEMEDICINE INFRASTRUCTURE TO QUICKLY CONVERT PATIENT VISITS ON-LINE; NO STAFF FURLOUGHS OR REDUCTIONS IN EMPLOYEE SALARIES. OVER THE COURSE OF THE LAST TWO YEARS, HEALTHCARE SYSTEMS HAVE BEEN TESTED AND WE ARE NO EXCEPTION. THE INSTABILITY AND TURMOIL OF AN ONGOING PANDEMIC CHALLENGED US TO THINK AND OPERATE IN NEW WAYS, REACTING TO DEVELOPING CRISES IN REAL-TIME BUT IN THAT SAME TIME, WE HAVE GROWN, WE HAVE INNOVATED AND EVOLVED TO MEET THE NEEDS OF OUR COMMUNITY, ALL WITHOUT SACRIFICING OUR COMMITMENT TO PROVIDE HIGH QUALITY, COMPASSIONATE CARE TO ALL THOSE WE SERVE. WHILE OUR PHYSICIANS, NURSES AND CARETAKERS REMAIN ON THE FRONT LINES, OUR DONORS ARE FUELING OUR PROGRESS BY SUPPORTING OUR HOSPITAL IN WAYS THAT ALLOW US TO EXPAND OUR REACH AND HAVE AN EVEN GREATER IMPACT. WHEN THE VACCINE BECAME AVAILABLE IN DECEMBER 2020, AMH WAS FORTUNATE TO PLAY AN IMPORTANT ROLE IN OUR COMMUNITY TO VACCINATE ALL OF THE EMPLOYEES AND COMMUNITY MEMBERS WHO WANTED TO RECEIVE THE VACCINE. IN FY22, COVID-19 BOOSTERS WERE AVAILABLE TO ALL STAFF. THE HOSPITALS WELCOMED BACK MANY PATIENTS WHO PUT OFF THEIR SCREENINGS AND REGULAR HEALTH CARE, SOME CAME MUCH SICKER AND WITH MORE SEVERE SYMPTOMS OR ADVANCED DISEASE, OFTEN RESULTING IN SURGERIES OR HOSPITALIZATIONS. THE PANDEMIC REINFORCED THE IMPORTANCE OF HEALTH CARE AND HEALTHCARE PROVIDERS. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
AH IS THE UMBRELLA ORGANIZATION THAT ENCOMPASSES ITS FLAGSHIP HOSPITAL, AMH, IN ABINGTON AND LH IN HATFIELD TOWNSHIP. TOGETHER, AMH AND LH 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 AND, ABINGTON HEALTH-HORSHAM. IN ADDITION, ONE URGENT CARE CENTER IN FLOURTOWN, PENNSYLVANIA WAS OPEN AND AVAILABLE FOR THE COMMUNITY IN FY22. IN ADDITION, REFERRAL TO OTHER ENTERPRISE SITES AS WELL AS PHYSICIANS-EMPLOYED PRACTICES GEOGRAPHICALLY LOCATED IN BUCKS, MONTGOMERY AND PHILADELPHIA COUNTIES WITH 74 LOCATIONS. THE ABOVE BRANDED, FICTITIOUS NAMES ARE USED FOR MERGER ANNOUNCEMENT PURPOSES. LEGAL NAMES OF AMH, AH, AHF AND LH WILL BE USED IN FY22 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 AMH'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 1,679 ACTIVE AND FULL MEDICAL STAFF 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. 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 28,861 INPATIENT ADMISSIONS AND OVER 465,000 OUTPATIENT VISITS IN FY22, 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 JEFFERSON HEALTH ABINGTON AS OF FY22, WHICH ALSO ENCOMPASSES LH PART OF THE ENTERPRISE OF JEFFERSON HEALTH. AMH'S ACCOMPLISHMENTS IN FY22 ============================= AMH MARKED ITS SEVENTH FULL YEAR AS BEING PART OF JEFFERSON. THE "BETTER TOGETHER" SLOGAN CONTINUES TO REINFORCE ITSELF AS OTHER ORGANIZATIONS JOIN OUR ENTERPRISE TO ACHIEVE "ONE JEFFERSON". THE GOALS FOR INTEGRATION ARE TO ADOPT BEST PRACTICES, REALIZE CONTRACT SAVINGS, ENHANCE PATIENT SATISFACTION AND IMPROVE EMPLOYEE ENGAGEMENT ACROSS THE ORGANIZATION. AMH'S FY22 STRATEGY WAS TO ATTRACT HIGH ACUITY INPATIENT CASES AND IMPLEMENT ECMO [EXTRACORPOREAL MEMBRANE OXYGENATION] FOR CARDIOGENIC SHOCK, AS WELL AS GROW UROLOGY CASES. IN FY22, AMH CELEBRATED THE FIRST ANNIVERSARY OF OUR ECMO PROGRAM WHICH OFFICIALLY OPENED IN SEPTEMBER 2021. IN THAT SHORT TIME, THE PROGRAM ACHIEVED THE SILVER LEVEL CENTER OF EXCELLENCE DESIGNATION FROM ELSO [EXTRACORPOREAL LIFE SUPPORT ORGANIZATION], WHICH IS AN INTERNATIONAL CONSORTIUM OF HEALTH CARE INSTITUTIONS, RESEARCHERS AND INDUSTRY PARTNERS. HIGHLIGHTS ABOUT PATIENTS TREATED INCLUDE: FIRST ECPR PATIENT ON ECMO; FIRST TRAUMA ECMO FROM THE SURGICAL ICU [SICU]; FIRST JEHOVAH WITNESS PATIENT ON BLOODLESS ECMO. FOUR ECMO PATIENTS WENT TO REHAB AND THEN TRANSITIONED TO HOME AND THREE ECMO PATIENTS WENT ON TO RECEIVE LUNG TRANSPLANTS. ELECTRIC AMBULANCE FIRST PATIENT TRANSPORT: THE FIRST TRANSPORT OF A PATIENT IN AN ALL-ELECTRIC, ZERO EMISSIONS AMBULANCE IN THE UNITED STATES OCCURRED WHEN AN AMH PATIENT WAS TRANSPORTED UPON DISCHARGE VIA AMBULNZ'S NEWEST ENVIRONMENTALLY-FRIENDLY VEHICLE. DUE TO SUPPLY ISSUES, ELECTRIC AMBULANCES ARE NOT BEING USED REGULARLY AT THIS TIME BUT ARE EXPECTED TO BE USED IN THE FUTURE AS THE FLEET EXPANDS TO INCLUDE MORE ELECTRIC VEHICLES. ABINGTON'S PATIENT SAFETY AND QUALITY EXCELLENCE CORE VALUE AND ACCOMPLISHMENTS IN FY22 JOURNEY TO HIGH RELIABILITY: (J2HRO) THE PLANS INCLUDE THE CENTER FOR PATIENT SAFETY AND HEALTHCARE QUALITY TO INCLUDE PATIENT EXPERIENCE. FY22 SUCCESSES FROM QUALITY, SAFETY, AND EXPERIENCE INCLUDE: REMARKABLE ACHIEVEMENTS ESPECIALLY CONSIDERING THE CHALLENGES WITH STAFFING AND STAFF FATIGUE. THE IMPLEMENTATION OF THE ONPOINT SAFETY MANAGEMENT SYSTEM IN OCTOBER 2020 ALLOWED US TO CAREFULLY TRACK OUR WORK. AH HAD A GOAL TO UTILIZE THIS SYSTEM TO CAPTURE 3,780 GREAT CATCH EVENTS, AND WE EXCEEDED THAT GOAL WITH 3,921 REPORTED GREAT CATCHES. THIS SHOWS HOW MUCH THE CULTURE OF REPORTING IS EMBEDDED IN OUR ORGANIZATION. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
A NEW PATIENT EXPERIENCE TEAM HAS BEEN IN PLACE SINCE LATE JULY 2021 AND THE DEPARTMENT HAS BEEN REDESIGNED TO BEST SUPPORT STAFF AND TO PROVIDE "IN THE MOMENT" SERVICE RECOVERY AS MUCH AS POSSIBLE FOR PATIENTS AND FAMILIES. AS THE TEAM RESPONDS TO PATIENTS, FAMILIES AND COLLEAGUES IN REAL TIME, THEY HAVE REBRANDED THEIR WORK AS PATIENT AND FAMILY CENTERED CARE IN RECOGNITION OF THE EXPANDED FOCUS. EXAMPLES OF THE WORK THAT WAS ACCOMPLISHED BY THE TEAM IN FY22: PRESENTED 25 MISSION MOMENTS TO STAFF SINCE INAUGURAL SOFT LAUNCH IN OCTOBER 2021; ROUNDED ON MORE THAN 5,000 PATIENTS IN "REAL TIME", INCLUDING 2,385 IN THE ABINGTON EMERGENCY TRAUMA CENTER AND 600+ AT LH'S EMERGENCY DEPARTMENT AND INPATIENT UNITS, INCREASING THE RATE OF SERVICE RECOVERY IN REAL TIME, WHILE DECREASING THE NUMBER OF GRIEVANCES IN FY22; IMPLEMENTED INSPECTION TOOL IN EPIC TO DOCUMENT A MINIMUM 200 CLEANING OBSERVATIONS AND TERMINAL CLEANING INSPECTIONS EACH MONTH; AS OF AUGUST 2022, 331 AH EMPLOYEES HAVE PARTICIPATED IN "IT STARTS WITH ME" TRAINING; HOSTED PATIENT EXPERIENCE WEEK. PUBLIC SAFETY: OUR TWO-WAY COMMUNICATION WITH STAFF REVEALED GROWING CONCERNS ABOUT SAFETY AND SECURITY IN THE WORKPLACE, ESPECIALLY FOR THOSE WHO WORK IN OUR TWO HOSPITALS INTERACTING WITH PATIENTS AND VISITORS EXPERIENCING ALL TYPES OF ILLNESSES BOTH PHYSICAL AND MENTAL. IN RESPONSE TO STAFF NEEDS AND INCREASING VIOLENCE IN HOSPITALS AND COMMUNITIES NATIONWIDE, AH ENGAGED IN THE FOLLOWING INITIATIVES: BEHAVIORAL HEALTH AND WORKPLACE SAFETY ASSESSMENT: CONDUCTED BY CASSATT PATIENT SAFETY ORGANIZATION, THIS ASSESSMENT COVERED AMH'S INPATIENT UNITS, EMERGENCY TRAUMA CENTER AND THE INPATIENT BEHAVIORAL HEALTH UNIT. RECOMMENDATIONS FOR IMPROVEMENTS WERE MADE AND AN IMPLEMENTATION PLAN IS UNDERWAY. DE-ESCALATION TRAINING WAS ROLLED OUT IN FY22 TO TRAIN STAFF ON HOW TO BEST MANAGE DIFFICULT PATIENT AND VISITORS. A DISRUPTIVE VISITOR POLICY IS BEING IMPLEMENTED. ACTIVE SHOOTER DRILLS: AH HOSTED DRILLS AT AMH AND LH IN FEBRUARY AND MARCH 2022 RESPECTIVELY. THE WARMINSTER CAMPUS PARTICIPATED IN THE ABINGTON DRILL. OPERATOR'S WORK ROOM ENHANCEMENTS: PHYSICAL PLANT REINFORCEMENTS WERE MADE TO THE OPERATORS' WORK SPACE AT AMH SO THAT THEY COULD REMAIN IN PLACE DURING AN EMERGENCY AND SO THAT OVERHEAD AND OTHER COMMUNICATIONS COULD CONTINUE WITHOUT INTERRUPTIONS. THESE OPERATORS COVER THE LH CAMPUS AS WELL. SECURITY ASSESSMENT: AN ASSESSMENT OF ALL BUILDING ENTRANCES WAS PERFORMED AT BOTH HOSPITALS. AT AMH AND LH, WE UPGRADED SECURITY CAMERAS [BY ADDING NEW CAMERAS] AND UPDATED ELECTRONIC ACCESS. SECURITY HAS INCREASED ROUNDING IN ALL AREAS OF THE HOSPITAL, INCLUDING ALL LOBBIES. STRONGLINE SAFETY ALERT SYSTEM: THE PHASE I IMPLEMENTATION OF THE STRONGLINE SAFETY ALERT SYSTEM HAS BEEN COMPLETED. PHASE II IS BEING IMPLEMENTED IN THE FIRST QUARTER OF FY23. GARAGE IMPROVEMENTS: LIGHTING, CAMERAS AND EMERGENCY CALL BOXES WERE UPGRADED. PARTNERING WITH THE POLICE: THE HOSPITALS' RELATIONSHIP WITH LOCAL POLICE DEPARTMENTS ARE IMPORTANT. LOCAL POLICE AND HOSPITAL STAFF MEMBERS, ESPECIALLY THE ETC/ER STAFF MEMBERS, PARTNER TO HELP EACH OTHER IN MANAGING PATIENTS AND CARING FOR THE COMMUNITY. HERE ARE SOME WAYS WE ARE EXPERIENCING SUPPORT: ABINGTON TOWNSHIP POLICE ARE ROUNDING, AS STAFFING PERMITS AT AMH; AMH PUBLIC SAFETY HAS ENHANCED THE SECURITY RADIO COMMUNICATIONS INFRASTRUCTURE TO PROVIDE GREATER OPERATIONAL COVERAGE AND FACILITATE MUTUAL-AID EMERGENCY COMMUNICATIONS WITH THE ABINGTON TOWNSHIP POLICE WHO WERE ALSO PROVIDED WITH ID BADGES FOR ACCESS TO AMH ENTRANCES IN CASE OF AN EMERGENCY. DIVERSITY, EQUITY AND INCLUSION COUNCIL: IN FY22, REPUTED TO BE THE MOST ACTIVE COUNCIL WITHIN JEFFERSON HEALTH, AMH AND LH'S DIVISION'S DIVERSITY, EQUITY AND INCLUSION COUNCIL HOSTED EIGHT EDUCATIONAL INITIATIVES AND TWO COMMUNITY EVENTS. THE COUNCIL ORGANIZED A COMMUNITY COAT DRIVE, COLLECTING OVER 300 COATS THAT WERE DONATED TO SEVEN DIFFERENT COMMUNITY PROGRAMS. IT ALSO HOSTED A FOOD DRIVE AND PROVIDED DONATIONS TO THREE COMMUNITY FOOD CUPBOARDS. THE COUNCIL CREATED FOUR EDUCATIONAL VIDEOS THAT WERE SHOWN DURING TOWN HALL MEETINGS TO SHARE THE HERITAGE OF OUR EMPLOYEES AND TEACH OTHERS ABOUT THEIR CULTURES. EVERY MEMBER ON THE HOSPITAL AND PRACTICE SIDES HAVE COMPLETED A NEW SET OF POWERFUL MANDATORY TRAINING MODULES: CONFRONTING OUR UNCONSCIOUS BIAS; UNDERSTANDING STEREOTYPES AND WHY PEOPLE DON'T SPEAK UP; HOW TO HAVE A VOICE; CREATING A RESPECTFUL WORKPLACE THAT IS INCLUSIVE; INCLUSION IN ACTION. DONATIONS FOR UKRAINE: THE MEDICAL STAFFS OF AMH AND LH HOSPITALS HOSTED A HUMANITARIAN AID COLLECTION TO SUPPORT INDIVIDUALS AND FAMILIES IN THE UKRAINE. HUNDREDS OF ITEMS WERE COLLECTED INCLUDING MEDICINE, MEDICAL SUPPLIES, TOILETRIES, CLOTHING, BLANKETS, NON-PERISHABLE FOOD AND BABY ITEMS. MORE THAN 100 BOXES OF MEDICAL SUPPLIES AND AID WERE SHIPPED OVERSEAS TO UKRAINE. IN FY22, FOR OUR PATIENTS, EMPLOYEES AND COMMUNITY, AMH INVESTED IN THE FOLLOWING CONSTRUCTION AND RENOVATION PROJECTS: AMH PROJECTS INCLUDE THE HARTNETT HEALTH SERVICES EXPANSION. THIS PRIMARY CARE AND MULTI-SPECIALTY OFFICE PROVIDES HEALTH CARE SERVICES FOR THE UNINSURED AND UNDERINSURED MEMBERS OF OUR COMMUNITY AND SERVES AS AN EDUCATIONAL EXPERIENCE FOR FIVE RESIDENCY PROGRAMS. A MUCH-NEEDED EXPANSION WAS MADE POSSIBLE BY THE GENEROSITY OF DONORS AND SUPPORT FROM SENIOR LEADERSHIP. THE EXPANDED SPACE PROVIDES FOR: INCREASED NUMBER OF EXAM ROOMS FROM 9 TO 21; IMPROVED WORKSPACES FOR STAFF AND PROVIDERS; ADDED 2 MEDICINE CLINIC SESSIONS PER WEEK; OVERALL GOAL IS IMPROVING EFFICIENCY AND FLOW. WOODLAND GARAGE /WUNDERLEE LOBBY SAW COSMETIC MODIFICATIONS MADE TO GARAGE LOBBIES WITH FLOORING, PAINT AND FURNITURE, AS WELL AS ADJUSTMENTS TO CONTROL TEMPERATURE AND HUMIDITY. THE FAULKNER GARAGE RENOVATION WORK PLANNED FOR FY22 IS COMPLETE. FY23 WORK INCLUDES NEW ELEVATORS AND ADDITIONAL REPAIRS AND RENOVATIONS WITH MINOR CLOSURES EXPECTED. EMERGENCY TRAUMA CENTER SAFE CENTER CREATION FOR VICTIMS OF ABUSE WAS INITIATED WITH PLANS TO OPEN IN FY23. WIDENER BUILDING ROOF HAS BEEN REPLACED AS PART OF EXPECTED BUILDING MAINTENANCE. THE CARDIAC CATH LAB ON 5 TOLL HAS UNDERGONE COSMETIC RENOVATION TO ALIGN WITH NEW COMPLIANCE REQUIREMENTS. THE RENOVATION OF CARDIAC CATH LAB 4 IS SCHEDULED FOR FY23. THE PNEUMATIC TUBE SYSTEM AT AMH WAS UPGRADED. REFRESH PROJECTS: VARIOUS REFRESH PROJECTS WERE UNDERTAKEN TO UPDATE FLOORING, LIGHTING AND PAINT FINISHES IN RESTROOMS, NURSING UNITS, ELEVATOR LOBBIES, STAFF OFFICES, CONFERENCE ROOMS AND CORRIDORS. ELEVATORS: MODERNIZATION WORK IN THE WIDENER AND BUERGER BUILDINGS WAS COMPLETED IN FY22 WITH IMPROVEMENTS IN THE LENFEST PAVILION AND THE TOLL PAVILION UNDERWAY FROM AN OPERATIONS/MAINTENANCE PERSPECTIVE. LENFEST PAVILION ENTRANCE REVISIONS FOR SECURITY: MODIFICATIONS WERE MADE TO LENFEST LOBBY, INCLUSIVE OF NEW TURNSTILES, INFORMATION/SECURITY DESK, AND NEW ENTRANCE DOORS. THIS PROJECT WILL BE PHASED TO ALLOW ACCESS THROUGHOUT THE DURATION. 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. AMH CONTINUES IN ITS RELATIONSHIP WITH PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE AND THE SIDNEY KIMMEL MEDICAL COLLEGE AT THOMAS JEFFERSON UNIVERSITY, PHILADELPHIA, PA. ALL TRAINING PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). MORE THAN 2,500 RESIDENTS HAVE TRAINED AT AMH AND MANY HAVE REMAINED ON STAFF FOLLOWING THEIR RESIDENCY OR TAKEN SUBSPECIALTY TRAINING. ABINGTON SUPPORTS PLACEMENT OPPORTUNITIES IN ALL PROGRAMS AND HAS ENABLED RESIDENTS TO OBTAIN ADVANCED GRADUATE TRAINING. AMH HAS A TEACHING ASSOCIATION WITH THOMAS JEFFERSON UNIVERSITY. MANY OF AMH'S PHYSICIANS SERVE ON THE FACULTIES OF THE PHILADELPHIA MEDICAL SCHOOLS AND ARE INVOLVED IN CONDUCTING RESEARCH AND PUBLISHING REGULARLY. AWARDS AND RECOGNITIONS ======================= AMH HAS BEEN RECOGNIZED IN FY22 BY MANY ORGANIZATIONS FOR THE QUALITY OF ITS SERVICES: THE LEAPFROG HOSPITAL SAFETY GRADE USES 27 MEASURES OF PUBLICLY AVAILABLE HOSPITAL SAFETY DATA TO ASSIGN A, B, C, D, AND F GRADES TO MORE THAN 2,600 U.S. HOSPITALS TWICE PER YEAR. AMH EARNED AN "A" GRADE FOR PATIENT SAFETY IN THE 2022 LEAPFROG HOSPITAL SAFETY GRADE. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
THE JOINT COMMISSION VISITED OUR TWO HOSPITALS, ANCILLARY SERVICES, OUTPATIENT CAMPUSES, PHYSICIAN OFFICES AND HOME CARE/HOSPICE DEPARTMENT. THE SURVEYORS WERE DELIGHTED TO FIND A WORKFORCE THAT HAS A CULTURE OF OPENNESS AND TRANSPARENCY ABOUT THEIR WORK, A TEAM APPROACH TO SOLVING PROBLEMS AND COLLEGIAL INTERACTIONS BETWEEN STAFF AND LEADERS. BOTH HOSPITALS EARNED JOINT COMMISSION ACCREDITATION. IN ADDITION, JOINT COMMISSION HEART FAILURE CERTIFICATION ACHIEVED AND VAD PROGRAM CERTIFICATION ACHIEVED. U.S. NEWS AND WORLD REPORT: AMH WAS HIGH PERFORMING FOR MATERNITY CARE, 2021-2022; RANKED 10TH IN THE PHILADELPHIA METRO AREA, 2022; 17TH IN PENNSYLVANIA IN "BEST REGIONAL HOSPITALS RANKING HIGH PERFORMING IN THE FOLLOWING CONDITIONS: CONGESTIVE HEART FAILURE, COLON CANCER SURGERY, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, DIABETES, HEART ATTACK, HIP REPLACEMENT, KNEE REPLACEMENT, KIDNEY FAILURE AND STROKE. HIGH PERFORMING IN ONE SPECIALTY: DIABETES AND ENDOCRINOLOGY. IN FY22, AMH EARNED THE MISSION: LIFELINE-STEMI RECEIVING CENTER - GOLD PLUS 2022 CENTER FROM THE AMERICAN HEART ASSOCIATION. AMH WAS GRANTED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINE'S STROKE GOLD PLUS WITH TARGET: STROKE ELITE HONOR ROLL AND TARGET: DIABETES HONOR ROLL DESIGNATIONS FOR ITS EXCELLENCE IN STROKE CARE AND ITS EXCEPTIONAL CLINICAL CARE PROVIDED TO PEOPLE WITH TYPE 2 DIABETES WHO SUFFER A STROKE OR HEART FAILURE. AMH'S EMERGENCY TRAUMA CENTER ACCREDITED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AS A LEVEL II TRAUMA CENTER. IN ADDITION, INTERNATIONAL ACCREDITATION COMMISSION - ECHOCARDIOGRAPHY - ACCREDITED FACILITY. ADDITIONALLY, AMH ACHIEVED THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS; ELSO NATIONAL SILVER AWARD CENTER OF EXCELLENCE; THE WOMEN'S CENTER OF MONTGOMERY COUNTY PRESENTED THE TRANSFORMER AWARD TO THE FORENSIC NURSE EXAMINER PROGRAM FOR ITS INTERNATIONAL WOMEN'S DAY IN MARCH 2022. PHILADELPHIA MAGAZINE; SEVERAL OF OUR PHYSICIANS HAVE BEEN NAMED AMONG THE REGION'S BEST BY CASTLE CONNOLLY AND ARE FEATURED IN PHILADEPHIA MAGAZINE'S TOP DOCTORS 2022 ISSUE. AMH EARNED THE TITANIUM AWARD AS PART OF THE 2021 DONATE LIFE HOSPITAL CHALLENGE FROM THE GIFT OF LIFE AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA PRESENTED TO SENIOR LEADERSHIP IN FY22. PHILADELPHIA MAGAZINE; SEVERAL OF OUR PHYSICIANS HAVE BEEN NAMED AMONG THE REGION'S BEST BY CASTLE CONNOLLY AND ARE FEATURED IN PHILADEPHIA MAGAZINE'S TOP DOCTORS 2021 ISSUE. 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 OF A SUBURBAN HOSPITAL. 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. IN FY22, ABINGTON HOSPITAL LAUNCHED A PROGRAM THAT OFFERS EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) TO ADULTS. AS A TREATMENT FOR CHRONICALLY ILL PEOPLE, ECMO TEMPORARILY TAKES OVER FOR THE HEART, LUNGS OR BOTH, WHILE A PERSON HEALS. ECMO CAN BE AN OPTION FOR THOSE WHO NEED MORE CRITICAL CARE SUPPORT THAN VENTILATION AND MEDICATIONS. WHILE ECMO MAY BE AVAILABLE AT OTHER HOSPITALS EMERGENTLY, ABINGTON HOSPITAL OFFERS THE ONLY PROGRAM IN FOUR COUNTIES OF SUBURBAN PHILADELPHIA. WITHIN ONE YEAR OF OPENING, THE ECMO PROGRAM EARNED THE INTERNATIONAL ELSO SILVER AWARD. 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. THE HOSPITAL'S HEART FAILURE AND VAD PROGRAMS ACHIEVED JOINT COMMISSION ACCREDITATION IN FY22. EIGHT 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. IN ADDITION, THE AMERICAN HEART ASSOCIATION AWARDED AMH THE AHA'S MISSION LIFELINE STEMI RECEIVING GOLD PLUS CENTER DESIGNATION. 3. 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. 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, AND INFERTILITY SERVICES. 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 AND PEDIATRIC CARE FOR OUR YOUNGEST PATIENTS RECEIVES UNSURPASSED COMPASSIONATE CARE. AMH DELIVERED ALMOST 4,500 BABIES IN FY22 AND OFFERS A WIDE RANGE OF MATERNITY EDUCATION PROGRAMS, INCLUDING CHILDBIRTH PREPARATION WHICH IN FY22 WAS VIRTUAL WITH SOME LIMITED IN-PERSON OFFERINGS OF PRENATAL PROGRAMS AND BREASTFEEDING CLASSES. THE DEPARTMENT INCLUDES A COMPREHENSIVE OBSTETRICS PROGRAM THAT INCLUDES GENETIC COUNSELING AND PRENATAL TESTING, FETAL DIAGNOSIS AND SURGERY, NEONATAL INTENSIVE CARE, AN INPATIENT UNIT FOR PREGNANT PATIENTS AT HIGH RISK AND HOME CARE SERVICES FOR HIGH RISK MOMS BEFORE DELIVERY AND MATERNAL/BABY AFTER LEAVING THE HOSPITAL. CONTINUING IN FY22, AMH PROVIDES THE MIDWIFE PROGRAM AND CERTIFIED NURSE MIDWIVES WITH EIGHT MIDWIVES CARING FOR PATIENTS. DURING FY22, AH AND NEMOURS DUPONT PEDIATRICS CONTINUED IN THEIR PARTNERSHIP TO PROVIDE PEDIATRIC SERVICES TO THE INFANTS, CHILDREN AND ADOLESCENTS OF BUCKS AND MONTGOMERY COUNTIES. NEMOURS PEDIATRICIANS SERVE AS HOSPITALISTS FOR ABINGTON'S INPATIENT PEDIATRIC UNIT. SPECIFICALLY, THE NEMOURS PEDIATRIC HOSPITALISTS PROVIDE ADVANCED HOSPITAL CARE, WHICH INCLUDES: MEDICAL CARE FOR CHILDREN STAYING IN AMH'S 15-BED PEDIATRIC UNIT; PEDIATRIC CONSULTATIONS IN THE ETC AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK; AND CONSULTATIONS WITH SPECIALISTS AT NEMOURS/ALFRED I. DUPONT HOSPITAL FOR CHILDREN IN THE CARE OF PEDIATRIC PATIENTS. 4. 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. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
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 ARE EXPERIENCED IN TREATING PATIENTS REQUIRING HIP OR KNEE REPLACEMENTS AND HOSPITAL NEUROSURGEONS PROVIDE 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. AMH EARNED "HIGH PERFORMING" STATUS FOR HIP AND KNEE REPLACEMENTS FROM U.S. NEWS AND WORLD REPORT. 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 LH. 5. 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 PROGRAM 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 HONOR ROLL ELITE 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, 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. 6. DIAMOND STROKE PROGRAM THE DIAMOND STROKE PROGRAM, A PROGRAM WITHIN THE VICKIE AND JACK FARBER INSTITUTE OF NEUROSCIENCE AND NAMED IN MAY 2012, WAS DEDICATED IN HONOR OF A FORMER CHIEF OF THE NEUROSCIENCES INSTITUTE AND STROKE PROGRAM. THE DIAMOND STROKE PROGRAM AT AMH EARNED ADVANCED CERTIFICATION AS A COMPREHENSIVE STROKE CENTER FROM THE JOINT COMMISSION AND AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION 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. 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, 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. 7. 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 2,111 PATIENTS IN FY22. PROGRAM WAS 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 LH OFFERS A HALF-DAY ACTIVITY PROGRAM FOR THOSE SHOWING SIGNS OF MEMORY LOSS WITH FULL-DAY PROGRAMMING AVAILABLE THROUGH ADULT DAY SERVICES IN LH. THERE WERE 968 VISITS RECORDED IN THE MEMORY FITNESS CENTERS. - 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. WHILE LIMITED DURING THE PANDEMIC, PROGRAMS RETURNED IN FY22 FOR RE-ENGAGEMENT. 8. 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, BARIATRIC SURGEONS, A CARDIOTHORACIC SURGEON, GENERAL SURGEONS AND UROLOGISTS. 9. COMPREHENSIVE WOUND HEALING CENTER THE COMPREHENSIVE WOUND HEALING CENTER AT THE AMH CENTER - WARMINSTER AND LH, 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. 10. INTEGRATIVE MEDICINE INTEGRATIVE MEDICINE 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. IN FY22, GIVEN THE ONGOING PANDEMIC, ARTICLES IN COMMUNITY ELECTRONIC NEWSLETTERS AND SOCIAL MEDIA POSTINGS WERE DESIGNED TO HELP REDUCE STRESS, MANAGE PAIN, IMPROVE SLEEP, DEVELOP BETTER EATING HABITS AND COPE WITH THE MANY CHALLENGES THAT PREVENT OPTIMAL HEALTH. ONSITE SERVICES INCLUDE: YOGA. PROGRAMMING CONTINUED IN FY22 INCLUDING THE COMMUNICATION OF JEFFERSON'S MINDFULNESS-BASED STRESS REDUCTION ("MBSR") SESSIONS. A SIGNIFICANT AMOUNT OF BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES WERE UPDATED AND COMMUNICATED WITH AMH'S COMMUNITY AND WORKFORCE. 11. THE DIABETES CENTER AND NUTRITION COUNSELING CENTER AMH'S DIABETES/NUTRITION CENTERS SERVED OVER 1,196 NEW CLIENTS WITH OVER 2,642 OUTPATIENT VISITS IN FY22. 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. DIABETES SUPPORT GROUPS AND COMMUNITY EDUCATION ON HOLD IN FY22 DUE TO COVID-19 PANDEMIC. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
12. INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY AT AMH'S INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY, PATIENTS RECEIVE THE LATEST MEDICAL AND 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, SINGLE ANASTOMOSIS DUODENO-ILEAL BYPASS (SADI), AND MINIMALLY INVASIVE REVISION SURGERY. A PATIENT UNDERGOES AN EXTENSIVE SERIES OF INTERVIEWS, CONSULTATIONS AND EVALUATIONS TO ENSURE CANDIDACY AND PREPARATION FOR BARIATRIC SURGERY. THE CENTER PROVIDES SURGICAL INFORMATION SESSIONS AND A SUPPORT GROUP. THE PROGRAM STAFF INCLUDES FOUR BARIATRIC SURGEONS, THREE NURSE PRACTITIONERS, DIETITIANS, A PSYCHOLOGIST/BEHAVIOR SPECIALIST, AND A BARIATRIC FELLOW. 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. 13. 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 21 BEDS, PRIVATE AND SEMI-PRIVATE ROOMS, ACTIVITY ROOM AND GROUP DINING. A MODEL OF OUTPATIENT CARE IS BEING PROVIDED IN CONJUNCTION WITH TARGETED ABINGTON HEALTH PHYSICIANS ("AHP") PRACTICES NAMED IN 2019 JEFFERSON MEDICAL GROUP, ENABLING PHYSICIANS TO HAVE CLOSER COORDINATION WITH THEIR PATIENTS' MENTAL HEALTH PROVIDERS. 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 AH OWNED PRIMARY CARE PRACTICES ARE CURRENTLY STAFF WITH A BHC INCLUDING THE AMH OB/GYN CLINIC AND NEW BHC FOR BARIATRICS. 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 CLINICIANS 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. 14. 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. 15. 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. BLOODLESS MEDICAL CARE 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. BLOOD LOSS OFTEN OCCURS DURING SURGERY. THE GOAL OF BLOODLESS MEDICAL CARE IS TO MINIMIZE BLOOD LOSS THROUGH THE USE OF SPECIAL BLOOD - CONSERVATION METHODS SUCH AS BLOOD CONSERVATION DEVICES, PHARMACEUTICALS AND METICULOUS SURGICAL TECHNIQUES. 16. 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 15,336 IN FY22. THE DENTAL CLINIC AT AMH IS A RESIDENCY PROGRAM PROVIDING LOW OR NO COST DENTAL SERVICES FOR ALL AGES PROVIDING OVER 3,713 VISITS IN FY22. SANTERIAN NEWBORN CENTER, A NURSE MANAGED CENTER, SERVING NEWBORNS FROM BIRTH TO 3 MONTHS FOR WELL-BABY VISITS, SAW 1,743 VISITS IN FY22. 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 9,255 VISITS IN FY22. 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. WARM HAND-OFF PROGRAM CONTINUED IN FY22: ALL PATIENTS PRESENTING WITH OPIOID USE DISORDER OR ANY SUBSTANCE USE DISORDER CAN ACCESS THE WARM HAND-OFF PROGRAM AT ANY AMH LOCATION. THROUGH THIS PROGRAM, PATIENTS ARE CONNECTED TO A CERTIFIED RECOVERY SPECIALIST AND REFERRED TO A CARE PROVIDER AT PENN FOUNDATION, A NON-PROFIT ORGANIZATION THAT ADDRESSES SUBSTANCE USE AND MENTAL HEALTH NEEDS. IN ADDITION, AMH PROVIDES A CRISIS TEAM 24/7/365 DAYS A YEAR WHICH ALSO PROVIDES REFERRALS AND PLACEMENT FOR THOSE PRESENTING WITH A SUBSTANCE USE DISORDER. THE HOSPITAL CONTINUES TO PROVIDE COMMUNICATION EACH FALL AND SPRING FOR THE NATIONAL DRUG TAKE BACK DAY TO EDUCATE CONSUMERS TO CLEAN OUT THEIR BATHROOM OR KITCHEN CABINETS FROM OLD PRESCRIPTION MEDICATIONS AND TO DISPOSE OF THEM AT A SAFE DROP OFF BOX LOCATION NEAREST THEIR HOME. MANY SITES ARE LOCATED AT PHARMACIES, TOWNSHIP OR POLICE STATIONS. AMH'S ALLIANCE PHARMACY ALSO HAS A DROP BOX LOCATED ONSITE FOR USE BY THE COMMUNITY AND WORKFORCE. PARTICIPATION IN THE STATE'S PRESCRIPTION DRUG MONITORING PROGRAM: PROVIDERS GET A COMPLETE PICTURE OF THEIR PATIENT'S CONTROLLED SUBSTANCE PRESCRIPTION HISTORIES. "OPIOID MATTERS" E-NEWSLETTER: THE "OPIOID MATTERS" E-NEWSLETTER LAUNCHED IN DECEMBER 2018 WITH A SIXTH EDITION DISTRIBUTED IN FY22. THIS NEWSLETTER STRIVES TO PROVIDE EDUCATION AND RESOURCES TO OUR COMMUNITY, EMPLOYEES, PHYSICIANS, AND VOLUNTEERS ABOUT SUBSTANCE USE DISORDERS. - SPONSORSHIP OF MEETINGS AND FREE SPACE TO COMMUNITY GROUPS WAS SUSPENDED IN FY22 DUE TO THE PANDEMIC. PLANS FOR RE-ENGAGEMENT BEGAN IN FY22 FOR FUTURE ONBOARDING. - ELDERMED: FREE SENIOR MEMBERSHIP PROGRAM FOR PEOPLE OVER AGE 60; PROVIDES INSURANCE CLAIMS ASSISTANCE/COUNSELING, EDUCATION, SCREENINGS, AND HEALTH EDUCATION PROGRAMS, AND A COMMUNITY RESOURCES CENTER. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
THROUGH CHARITABLE SUPPORT AND THE HOSPITAL'S ONGOING EFFORTS, 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. IN 2021, SAFE HARBOR CELEBRATED ITS 20TH ANNIVERSARY YEAR AND WAS MARKED BY ACKNOWLEDGEMENTS FROM THE HOSPITAL AND PHILANTHROPY. FOLLOWING ALL SAFETY AND COVID-19 PROTOCOLS, DURING FY22, SAFE HARBOR WAS ABLE TO RETURN TO IN-PERSON OFFERINGS INCLUDING ONSITE - LOCATED AT AMH CENTER WILLOW GROVE AND SCHOOL OUTREACH. 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 59 PARENT/CAREGIVER AND 91 CHILDREN AND 33 SCHOOL CHILDREN FOR A TOTAL OF 183 PERSONS SERVED IN FY22. SINCE THE INCEPTION OF THE PROGRAM, SAFE HARBOR SERVED 2,007 CHILDREN, TEENS, YOUNG ADULTS AND 1,234 FAMILIES. CAMP CHARLIE, SCHOOL OUTREACH PROGRAMS AND MOVING ON GROUPS ROUNDED OUT ANOTHER SUCCESSFUL YEAR WHICH WAS REMARKABLE AS THE PROGRAM RETURNED TO IN-PERSON FOR FY22. 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. VARIOUS MATERNITY CLASSES INCLUDING BABY CARE BASICS, BREASTFEEDING, CHILDBIRTH PREPARATION, CARING FOR BABY AND OTHERS WENT TO A VIRTUAL PLATFORM BUT ALSO RETURNED IN FY22 TO LIMITED IN-PERSON CLASSES. 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 - HOSPITAL HOLIDAY PROGRAM WITH NEW GIFT CARD PROGRAM FY22 - 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. AMH HAS FELLOWS IN BARIATRIC SURGERY AND GERIATRIC MEDICINE. RESIDENTS AND FELLOWS ROTATING FROM UNIVERSITY CENTERS IN CARDIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, INTERNAL MEDICINE, NEUROINTERVENTIONAL/ENDOVASCULAR, NEONATAL/PERINATAL, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PODIATRY, PSYCHIATRY (ADULT) PULMONARY/CRITICAL CARE, RADIATION ONCOLOGY, AND UROLOGY 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 PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE AND THE SIDNEY KIMMEL MEDICAL COLLEGE AT THOMAS JEFFERSON UNIVERSITY, PHILADELPHIA, PA. 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. AMERICAN HEART ASSOCIATION CPR TRAINING CENTER ---------------------------------------------- AMH IS PART OF THE JEFFERSON LANSDALE HOSPITAL TRAINING CENTER, 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 134 ALIGNED INSTRUCTORS, AMH TRAINING CENTER OFFERS BOTH COMMUNITY AND PROFESSIONAL LEVEL CPR AND FIRST AID CLASSES ONSITE AND IN THE COMMUNITY. 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. FCN JOINED THE MONTGOMERY COUNTY MULTIFAITH COALITION TO BETTER ALIGN PROGRAMMING AND EDUCATION. THIS ALSO INCLUDED A FOCUS ON MENTAL HEALTH AND WELLNESS. VOLUNTEERS ---------- MEMBERS OF OUR COMMUNITY RETURNED TO VOLUNTEER AND CONTRIBUTED OVER 36,726 HOURS TO SERVE THE HEALTHCARE NEEDS OF THEIR NEIGHBORS. 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 SUPPORT AND SELF-HELP GROUPS, THOUGH SUSPENDED IN FY22 DUE TO THE PANDEMIC, A PROCESS WAS CREATED FOR FUTURE RE-ENGAGEMENT AND ONBOARDING. DURING THE ONGOING COVID-19 PANDEMIC IN FY22, OUTREACH PROVIDED A PIVOT TO FOLLOW UP CALLS, CREATING EDUCATIONAL FACT SHEETS FOR COMMUNITY SERVICES, SOCIAL MEDIA EDUCATION AND MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES. FY22 COVID-19 PANDEMIC PROGRAM IMPACT AND ADJUSTMENTS AMH: COMMUNITY HEALTH CONTINUED TO PROVIDE SOME VIRTUAL PROGRAMMING AND SLOWLY RE-EMERGED INTO THE COMMUNITY PROVIDING MORE AND MORE IN-PERSON BLOOD PRESSURE SCREENINGS, HEALTH FAIRS AND COMMUNITY EVENTS. IN FY22, 142 WELLNESS CALLS; 1,325 TOTAL BLOOD PRESSURE, 578 TELEPHONIC BLOOD PRESSURE SCREENINGS, 747 IN PERSON BLOOD PRESSURE SCREENINGS. IN ADDITION, 91 CPR CLASSES WITH 305 PARTICIPANTS; 22 HEART/STROKE EDUCATION EVENTS WITH 1,360 PARTICIPANTS. THE HOSPITAL WEBSITE PROVIDED 10 PAGES OF ARTICLES RELATED TO CARDIOVASCULAR DISORDERS, RESULTING IN 11,761 UNIQUE VIEWS OF THESE PAGES BY THE COMMUNITY. FOR STROKE: STROKE EDUCATION SPIN WHEEL PRESENTED TO A TOTAL OF 801 COMMUNITY MEMBERS AT 15 EVENTS; STROKE PREVENTION/EDUCATION PRESENTED TO A TOTAL OF 168 COMMUNITY MEMBERS IN A VARIETY OF SETTINGS; SENIOR CENTERS, LOW INCOME SENIOR LIVING FACILITIES, FAITH COMMUNITIES AND KOREAN SENIOR PROGRAMS. THE HOSPITAL WEBSITE PROVIDED 3 PAGES OF ARTICLES RELATED TO STROKE EDUCATION, RESULTING IN 7,835 UNIQUE VIEWS OF THESE PAGES BY THE COMMUNITY. 11 HEARTSAVER AND FIRST AID CLASSES HELD WITH 57 PARTICIPANTS AND 82 INDIVIDUALS ATTENDED ASTHMA EDUCATION RELATED TOPIC IN 8 VIRTUAL PRESENTATIONS IN FY22. THE FAITH COMMUNITY NURSE COUNCIL PROVIDED "RESILIENCE, HOPE AND FAITH CONNECTION FOR 36 PARTICIPANTS; "TRAUMA 102 TRAINING" FOR 38 PARTICIPANTS; "DIVERSITY, EQUITY AND INCLUSION IN FAITH COMMUNITIES" FOR 29 PARTICIPANTS; "LGBTQ+" FOR 30 PARTICIPANTS. 35 DIABETES CONSULTS AT LH WERE COMPLETED. THE SIDNEY KIMMEL MOBILE CANCER SCREENING VAN PROVIDED HEAD AND NECK CANCER SCREENING TO 35 INDIVIDUALS AND CANCER EDUCATION TO 450 INDIVIDUALS AT THE INTERNATIONAL SPRING FESTIVAL HELD APRIL 2022 WITH LEADERSHIP AND COORDINATION BY LH FOR THE FAMILY HEALTH AND WELLNESS FAIR. THREE "A MATTER OF BALANCE" CLASSES WITH OVER 250 PARTICIPANTS SERVED IN FY22. 70 INDIVIDUALS ATTENDED 6 VIRTUAL COMMUNITY PRESENTATIONS ON "EXPLORING NUTRITION COLLABORATION WITH MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH IN NOURISH MONTCO PROGRAM PROVIDING FRESH FRUITS AND VEGETABLES TO 28 FAMILIES/124 FOOD INSECURE INDIVIDUALS IN LH'S CHILDREN'S CLINIC. FOUR EDUCATIONAL PROGRAMS AT TIME OF FOOD PICK UP. TOBACCO/VAPING CESSATION CALLS TO PATIENTS DISCHARGED FROM LH 461 CALLS ATTEMPTED; 171 PATIENTS SUCCESSFULLY CONTACTED, 28 INTERESTED IN CLASS, 36 QUIT TOBACCO. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HISTORY: AH HAS WORKED SINCE 2016 THROUGH 2019 WITH THE IMPLEMENTATION OR ACTION PLANS OF THE 2016 AND 201-96 CHNA RESPECTIVELY FOR AMH AND LHC: PLANS INCLUDED WORK ON ACCESS TO CARE, BEHAVIORAL HEALTH/MENTAL HEALTH, AND CHRONIC DISEASES. 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 A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT [RCHNA]. IN FY22, RECOGNIZING THAT HOSPITALS AND HEALTH SYSTEMS OFTEN MUTUALLY SERVE THE SAME COMMUNITIES, A GROUP OF LOCAL HOSPITALS AND HEALTH SYSTEMS HAVE AGAIN COLLABORATED ON A SOUTHEASTERN PENNSYLVANIA [SEPA] REGIONAL CHNA [RCHNA], WITH SPECIFIC FOCUS ON BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA COUNTIES. THIS CONTINUED COLLABORATION ENABLES CONTINUITY OF APPROACH, WHILE ALSO PROVIDING OPPORTUNITIES TO EXPAND AND IMPROVE UPON THE LAST ASSESSMENT PROCESS. PARTICIPANTS RECOGNIZE THAT THE RCHNA IS AN IMPORTANT PART OF HOW HEALTH SYSTEMS, MULTI-SECTOR PARTNERS, AND COMMUNITIES WORK TOGETHER TO ACHIEVE MEANINGFUL AND POSITIVE COMMUNITY CHANGE. IN ADDITION TO THE SHARED LEARNING, INCREASED EFFICIENCIES, AND REDUCED COMMUNITY BURDEN OFFERED BY THE COLLABORATIVE APPROACH, PARTICIPANTS HAVE DERIVED PARTICULAR BENEFIT FROM MUTUAL SUPPORT IN THE FACE OF THE COVID-19 PANDEMIC AND ITS CASCADING IMPACTS. IN RESPONSE TO THE CRISES OF THE PAST SEVERAL YEARS, THE 2022 RCHNA IS EXPLICITLY GROUNDED IN AN APPROACH THAT SEEKS TO ADVANCE HEALTH EQUITY AND AUTHENTIC COMMUNITY ENGAGEMENT. IN PARTNERSHIP WITH THE STEERING COMMITTEE OF REPRESENTATIVES FROM THE PARTNERING HOSPITALS AND HEALTH SYSTEMS, THE PROJECT TEAM --- COMPOSED OF STAFF FROM HEALTH CARE IMPROVEMENT FOUNDATION [HCIF], PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH [PDPH], AND PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS [PACDC]--- DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA AND AGGREGATING DATA FROM A VARIETY OF SECONDARY SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THE ASSESSMENT RESULTS IN A LIST OF PRIORITY HEALTH NEEDS THAT WILL BE USED BY THE PARTICIPATING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP IMPLEMENTATION PLANS OUTLINING HOW THEY WILL ADDRESS THESE NEEDS INDIVIDUALLY AND IN COLLABORATION WITH OTHER PARTNERS. QUANTITATIVE DATA WERE ACQUIRED FROM LOCAL, STATE, AND FEDERAL SOURCES AND FOCUSED ON INDICATORS THAT WERE UNIFORMLY AVAILABLE AT THE ZIP CODE LEVEL ACROSS THE REGION. THE PDPH TEAM, WHICH INCLUDED EXPERTS IN EPIDEMIOLOGICAL AND GEOSPATIAL ANALYSIS, COMPILED, ANALYZED, AND AGGREGATED OVER 60 HEALTH INDICATORS ENCOMPASSING DATA ON COMMUNITY DEMOGRAPHIC CHARACTERISTICS, COVID-19, CHRONIC DISEASE AND HEALTH BEHAVIORS, INFANT AND CHILD HEALTH, BEHAVIORAL HEALTH, INJURIES, ACCESS TO CARE, AND SOCIAL AND ECONOMIC CONDITIONS. HCIF, GUIDED BY A QUALITATIVE TEAM COMPOSED OF A SUBSET OF STEERING COMMITTEE REPRESENTATIVES, COORDINATED THE QUALITATIVE COMPONENTS OF THE ASSESSMENT, WHICH INCLUDED: 26 VIRTUAL FOCUS GROUP-STYLE "COMMUNITY CONVERSATIONS" HELD TO GATHER INPUT FROM RESIDENTS OF GEOGRAPHIC COMMUNITIES ACROSS ALL FIVE COUNTIES; 21 VIRTUAL FOCUS GROUP DISCUSSIONS CENTERED ON "SPOTLIGHT" TOPICS CONDUCTED WITH COMMUNITY AND ORGANIZATION AND LOCAL GOVERNMENT AGENCY REPRESENTATIVES. TOPICS COVERED INCLUDED BEHAVIORAL HEALTH, CHRONIC DISEASE, FOOD INSECURITY, HOUSING AND HOMELESSNESS, OLDER ADULTS AND CARE, RACISM AND DISCRIMINATION IN HEALTH CARE, SUBSTANCE USE, AND VIOLENCE. TWO EXPERTS IN QUALITATIVE DATA COLLECTION AND ANALYSIS ENGAGED AS QUALITATIVE LEAD CONSULTANTS FACILITATED ALL OF THESE DISCUSSIONS, ANALYZED THE QUALITATIVE DATA, AND SUMMARIZED KEY FINDINGS. IN ADDITION, THE PROJECT TEAM EITHER UNDERTOOK DIRECTLY OR SUPPORTED PARTNERS WITH TARGETED PRIMARY DATA COLLECTION TO BETTER UNDERSTAND THE NEEDS OF PARTICULAR COMMUNITIES OR POPULATIONS. THESE FOCUS AREAS AND COMMUNITIES WERE EITHER SPECIFIC TO DIFFERENT TYPE OF FACILITIES WITHIN PARTICIPATING HEALTH SYSTEMS [I.E, CANCER CENTERS, REHABILITATION FACILITIES] OR REFLECTED GAPS IN THE 2019 RCHNA: CANCER, DISABILITY, IMMIGRANT, REFUGEES AND HERITAGE COMMUNITIES AND YOUTH VOICE. FINALLY, SECONDARY DATA IN THE FORM OF REPORTS AND SUMMARIES FROM OTHER COMMUNITY ENGAGEMENT EFFORTS WERE ALSO INCORPORATED INTO THE REPORT. ALL DATA WERE SYNTHESIZED BY HCIF STAFF AND A LIST OF 12 COMMUNITY HEALTH PRIORITIES WAS PRESENTED TO THE STEERING COMMITTEE. USING A MODIFIED HANLON 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 COMMUNITY; CAPACITY OF HOSPITALS/HEALTH SYSTEMS TO ADDRESS; ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION; AVAILABILITY OF EXISTING COLLABORATIVE EFFORTS. POTENTIAL SOLUTIONS FOR EACH OF THE COMMUNITY HEALTH PRIORITIES, BASED ON FINDINGS FROM THE QUALITATIVE DATA COLLECTION, WERE ALSO INCLUDED. IN ORDER TO MAXIMIZE THE RESOURCES AVAILABLE, THE SENIOR LEADERSHIP OF AMH AND LH HAS CHOSEN TO ADDRESS THE FOLLOWING PRIORITIES LISTED IN THE 2022 RCHNA. THE TOP 6 PRIORITY HEALTH NEEDS FOR AMH AND LH INCLUDE: MENTAL HEALTH CONDITIONS, SUBSTANCE USE AND RELATED DISORDERS, CHRONIC DISEASE PREVENTION AND MANAGEMENT, ACCESS TO CARE (PRIMARY AND SPECIALTY), HEALTHCARE AND HEALTH RESOURCES NAVIGATION AND FOOD ACCESS. IN FY22, AMH'S CHNA IMPLEMENTATION PLANS CONTINUED. A FY22 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. LEADERS COLLABORATIVELY REPORTED ON SUBSTANCE USE DISORDER AND THE OPIOID EPIDEMIC. WHILE SOME PLANS WERE SUSPENDED, AMH 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 CONTINUED IN FY22 WITH PHILANTHROPY, BEHAVIORAL HEALTH AND COMMUNITY HEALTH LEADERS AND WAS EXPANDED TO INCLUDE JEFFERSON MEDICAL GROUP PRACTICES. 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. A NEW COMMUNITY RESOURCE LISTING WAS CREATED FOR CLERGY AND A VIRTUAL CLERGY EDUCATIONAL FORUM WAS HELD. IN ADDITION, FOR BEHAVIORAL HEALTH, AMH SUPPORTED THE BUCKS MONT COLLABORATIVE'S VIRTUAL COMMUNITY SUMMIT "OUR EVOLVING JOURNEY: ADVERSE TO HEALING COMMUNITY ENVIRONMENTS" WITH OVER 186 PARTICIPANTS AND LEADERSHIP FROM AMH ACTIVELY INVOLVED WITH THE PLANNING AND COORDINATION. THIS LED TO FURTHER ENGAGEMENT AND THE CREATION OF THE BUCKS MONT TRAUMA COALITION. CHRONIC DISEASE PREVENTION: PRIOR TO COVID-19, PROGRAMMING HAD BEEN ROBUST. DUE TO COVID-19, SOME COMMUNITY HEALTH EDUCATION EVENTS AND SCREENINGS WERE CANCELED, HOWEVER, REQUESTS CAME IN FROM THE COMMUITY IN THE FALL AND SPRING SEASONS OF FY22 WHICH WERE ABLE TO BE MET. 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 AND WORKED TO DECREASE SOCIAL ISOLATION. FOOD INSECURITY SCREENINGS CONTINUED IN FY22 FROM THE CHILDREN'S CLINIC AND DIABETES CENTER. THE 2022 RCHNA WAS REVIEWED AND APPROVED BY JUNE 28, 2022, BY JEFFERSON HEALTH'S ABINGTON'S BOARD OF TRUSTEES IN ADDITION, THE REV. MARTIN LUTHER KING, JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE, A BOARD OVERSIGHT COMMITTEE, APPROVED THE RCHNA WITH RATIFICATION BY THE ABINGTON 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 2019 CHNA ON THE HOSPITAL'S WEBSITE. COMMUNITY HEALTH LEADERSHIP WORKED WITH KEY AMH DEPARTMENTS IN FORMULATING CHNA IMPLEMENTATION PLANS FOR THE 2022-2025 DUE NOVEMBER 15, 2022, WHICH WERE COMPLETED AND POSTED. |
| CORE FORM, PART V, SECTION A; QUESTION 15 |
CRISTINA G. CAVALIERI, ESQ. AND PETER L. DEANGELIS, JR. ARE OFFICERS OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. THESE INDIVIDUALS ARE EMPLOYED BY AND RECEIVE A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, THOMAS JEFFERSON UNIVERSITY FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO EACH INDIVIDUAL'S COMPENSATION IN EXCESS OF $1M. MICHAEL B. WALSH, A FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED AS THE SENIOR VICE PRESIDENT, FINANCE OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, THOMAS JEFFERSON UNIVERSITY FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO HIS COMPENSATION IN EXCESS OF $1M. LAURENCE M. MERLIS, A FORMER OFFICER OF THIS ORGANIZATION, RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION AND IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651). THOMAS JEFFERSON UNIVERSITY FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO HIS COMPENSATION IN EXCESS OF $1M. HIS COMPENSATION INCLUDED ON THE 2021 FEDERAL FORM 4720 INCLUDES BOTH HIS COMPENSATION FROM THIS ORGANIZATION AS WELL AS HIS COMPENSATION FROM THOMAS JEFFERSON UNIVERSITY. |
| 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 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 provided to the organization's governing body prior to filing with the IRS. In addition, the form 990 was provided to the Thomas Jefferson University's finance, assurance & compliance committee and the CPA firm made a presentation to the committee regarding the System's Forms 990 together with a healthcare industry tax update. |
| 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 FINANCE, ASSURANCE & 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 GOVERNING BODY. |
| CORE FORM, PART VII AND SCHEDULE J |
CRISTINA G. CAVALIERI, ESQ. AND PETER L. DEANGELIS, JR. ARE OFFICERS OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. THESE INDIVIDUALS ARE EMPLOYED BY AND RECEIVE A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, THEIR RESPECTIVE REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651) FEDERAL FORM 990 FOR THE YEAR ENDING JUNE 30, 2022. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. LAURENCE M. MERLIS IS A FORMER OFFICER OF THIS ORGANIZATION. HE RECEIVES A FEDERAL FORM W-2 FROM BOTH THIS ORGANIZATION AND FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651). MR. MERLIS' REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651) FEDERAL FORM 990. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. MICHAEL B. WALSH, A FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED AS THE SENIOR VICE PRESIDENT, FINANCE OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. MR. WALSH'S REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651) FEDERAL FORM 990. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. |
| 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"). 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; 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 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 2019A; AND - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2022B. 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 MAY REFLECT A TJU OBLIGATED GROUP LIABILITY. THE MEMBERS OF THE OBLIGATED GROUP CONSIST OF THE FOLLOWING: - THOMAS JEFFERSON UNIVERSITY, EIN: 23-1352651 - THOMAS JEFFERSON UNIVERSITY HOSPITALS, EIN: 23-2829095 - TJUH SYSTEM, EIN: 23-3026795 - 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: 23-1352294 - KENNEDY UNIVERSITY HOSPITAL, INC., EIN: 22-1773439 - KENNEDY HEALTH SYSTEM, EIN: 22-2442036 - KENNEDY HEALTH FACILITIES, INC., EIN: 22-2442032 - KENNEDY MEDICAL GROUP PRACTICE, P.C., EIN: 46-1420853 - MAGEE REHABILITATION HOSPITAL, EIN: 23-1476328 - ALBERT EINSTEIN HEALTHCARE NETWORK, EIN: 23-2290323 - ALBERT EINSTEIN MEDICAL CENTER, EIN: 23-1396794 - EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC., EIN: 23-2760086 - EINSTEIN MEDICAL CENTER MONTGOMERY, EIN: 20-4193243 - EINSTEIN PRACTICE PLAN, INC., EIN: 23-2664784 - FORNANCE PHYSICIAN SERVICES, EIN: 23-2275991 - MONTGOMERY HOSPITAL, EIN: 23-1352193 - MONTGOMERY HEALTH FOUNDATION, EIN: 22-2456265 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED WITHIN THOMAS JEFFERSON UNIVERSITY'S (EIN: 23-1352651) FEDERAL FORM 990 FOR THE YEAR ENDED JUNE 30, 2022. |
| CORE FORM, PART XI; QUESTION 9 |
OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION - $8,271,345; - CHANGE IN PENSION LIABILITY - $67,367,107; - CHANGE IN VALUE OF EXTERNAL TRUSTS (DONOR RESTRICTED) - ($9,789,312); - NET ASSETS RELEASED FROM RESTRICTION (DONOR RESTRICTED) - ($2,482,126); AND - CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS (DONOR RESTRICTED) - $17,940. |
| 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, 2022 AND JUNE 30, 2021; RESPECTIVELY AND ISSUED A CONSOLIDATED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THOMAS JEFFERSON UNIVERSITY'S FINANCE, ASSURANCE & 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.