Geisinger-Lewistown Hospital

Programs: See schedule o mission: to enhance the quality of life of the population served by providing access to quality population health and hospital services through an integrated service organization based on a balanced program of patient care, education, research, and community service. I. General information geisinger-lewistown hospital (glh), a 501(c)(3) not-for-profit corporation and member of geisinger, owns and operates a 123-bed acute care hospital in lewistown, pa. Glh is conveniently located only a few miles from several central pennsylvania major highways. The facility opened in 1905 in response to a pressing need for health and wellness care in the community. During the fiscal year ended june 30, 2017, glh provided 19,072 patient days; 4,838 same day surgical procedures; and 27,058 emergency room visits. Glh provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The organization also provides uncompensated care to patients who met certain criteria without charge or at amounts less than established rates. Services offered by glh include: general medical care is provided by in-house hospitalists and supported by consultative services in the areas of cardiology, infectious disease, neurology, pulmonology, orthopedics, hematology/oncology, otolaryngology, gastroenterology. A fully-staffed surgical services suite offering five operating rooms equipped for various types of inpatient and outpatient general and specialty surgical procedures. The emergency department(ed) is committed to providing high quality, prompt emergency services. Glh's ed is staffed 24/7 with full-time physicians and nurses who are trained in all specialties from pediatrics to critical care. Immediate access is available to laboratory services, imaging services such as, cat scans, ultrasound, mri, and surgical services. Most insurances, including medicare and medicaid, are accepted, and all patients are offered treatment regardless of the type of insurance they have. No patient is ever refused treatment because of the inability to pay. Ob/gyn focuses on all aspects of women's health and education, providing obstetrical and gynecological care for women of all ages. Services include but are not limited to routine visits and treatments, preventative healthcare, birth control education, family planning, obstetrics, surgery & surgery consultations, menopause counseling, and midwifery. Mental health & psychiatric services provides adult inpatient services designed to help individuals live as independently as possible. Patients can access quick, efficient admission 24/7 and receive treatment through a psychiatrist available on a daily basis. Admissions are confidential and may be made by professionals as well by individuals concerned about themselves or others. During hospitalization, patient care is provided through multiple professionals who comprise the treatment team. Other services include: cardiac services neurosurgery respiratory services sleep center orthopedic general surgery radiology other surgery specialties iccu urology pain management laboratory services gynecology wound management physical therapy otolaryngology clinical nutrition pediatrics newborn nursery gastroenterology nephrology opthamology pathology community cancer treatment/oncology pulmonary/vascular podiatry geisinger lewistown hospital also operates a diploma nursing program as a department within its organization. Opened in 2008 and accredited by the national league of nursing in 2010, the program is a 2-year, six semester program that also offers an lpn to rn track. The geisinger lewistown hospital school of nursing (glhson) exists to provide quality nursing education and seeks to engage a diverse group of students in a manner that enables its graduates to become leaders in providing competent and safe bedside nursing care across the continuum and throughout the surrounding community. The glhson has an average pass rate of 98. 6% for the nclex/rn exam, which is a competency and licensure exam used by all state nursing boards in the us. This high exam pass rate along with the program's high admission standards are two reasons that the program has been named the top ranked rn program in pa by registered nursing. Org, a national ranking organization for the last two years. Ii. Uncompensated care geisinger-lewistown hospital recognizes its mission is to serve all members of the community with respect to the provision of healthcare services and education. In this regard, glh provides free or subsidized care below cost and supports various health-related activities and programs in support of the community. A. Charity care & other uncompensated patient services the primary concern of glh is the delivery of health care to all citizens of central pennsylvania regardless of their ability to pay. The unreimbursed cost of charity care represents the cost glh incurs by providing free or discounted services to those who cannot afford to pay. In addition, glh provides services for which full payment is not received. For the fiscal year ended june 30, 2017, the total ost of the charity care and other uncompensated services was 2. 5 million. B. Medicare/medicaid in recognizing its mission to the community, glh provides services to the elderly (medicare) and the indigent (medicaid). Glh provides care, below cost, to persons covered by these governmental programs to the extent the government reimbursement is below the cost of providing health care. The unreimbursed value of medicare and/or medicaid is equal to the cost of providing services less the amount received as reimbursement under the program. The cost of providing healthcare services to medicare and medicaid patients exceeded reimbursement by approximately 19. 9 million during the fiscal year ended june 30, 2017. C. Other uninsured for uninsured patients that do not qualify for charity care or government or private programs glh offers payment discounts and time payments without interest or fees. Iii. Volunteer services the volunteers of geisinger-lewistown hospital are an active and vital part of the activities of the hospital. The hours of volunteer services are an important contribution to the mission of glh. The volunteers from local communities contributed 7,672 hours toward the common purpose of servicing the healthcare of the community. The value of this contribution 191 thousand is given back to the community through lower costs in both patient services and "wellness" programs. Iv. Community health, education, and outreach glh strives to be a valuable resource for the community and its residents. Glh provides many reduced-price services and free programs throughout the year that serve community health needs. At a cost of 119 thousand, these services and programs included: support groups, community health education, health screenings and other unique services. Glh provides programs for all demographics. A. Support groups pregnancy support: g-lh offers low-cost prepared childbirth and breastfeeding classes to promote positive outcomes for expectant mothers and infants through realistic instruction and achievable goals. Classes focus on preparing for labor, delivery and postpartum. B. Community health education community health needs assessment other chronic disease management diabetes management drug & alcohol counseling women's health related topics smoking cessation nutrition classes living wills preparing for your doctor's visit medication safety heart disease/failure prevention cancer prevention (skin, colon, infection control breast, prostate) senior citizen education & outreach life safety/cpr classes c. Health screenings blood pressure blood sugar levels lung function screenings bone density heal scans depression screenings skin cancer screening stroke risk assessment d. Other services junior volunteer program silver circles program health fairs local rotary club coalition building amish community visits education in healthcare careers collaborate with local facility tours for local schools community health advocacy group v. Planned future activities in keeping with its mission, glh is working to fulfill the health needs of its surrounding communities by planning for the following services or activities in the upcoming fiscal years: in fy18, glh will begin preparations for a family practice residency program, which includes contracting with a consulting firm, hiring appropriate staff and completing a site survey. In fy19, glh will be able to accept 4 family practice residents into the program which will operate on a 3-year rotation, so that by the third year of the program, there could be 12 family practice residents on site. In the spring of 2018, glh is planning to enter into a lease agreement for space for a laboratory draw station in a nearby, newly constructed medical office building owned by a primary health network, a federally qualified health center. In addition to lea