Inova Health Care Services

Programs: Inova health care services (ihcs) is part of the inova health system whose mission is to serve the needs of the community by establishing, maintaining, and operating hospital facilities, programs, and other shared service arrangements; carrying on health-related education activities; promoting and conducting scientific research; and engaging in activities designed and carried on to promote the general health of the community. Ihcs includes a centralized system office and the various unincorporated and incorporated divisions which are described below. The unincorporated subsidiaries of ihcs include: inova fairfax medical campus, inova mount vernon hospital, inova fair oaks hospital, inova alexandria hospital, access of reston, access of fairfax, inova research center, assisted living facilities, inova physical rehabilitation services, inova urgent care centers, inova employee assistance, and behavioral health and addiction treatment. Program servicesacute care services are provided on three campuses in fairfax county and one campus in the city of alexandria in virginia. Services provided include emergency and trauma facilities, inpatient and outpatient services, and a variety of ancillary and specialized services. During 2016 ihcs admissions and observations cases totaled 117,403, outpatient visits totaled 342,745, emergency visits totaled 321,363 (25,300 of the total er visits were at the springfield healthplex and 14,504 at the lorton healthplex) and deliveries totaled 16,991. The acute care program services provided by these hospitals are described more fully below. Inova fairfax medical campus (ifmc) campus includes the inova heart and vascular institute, inova women's hospital, and inova fairfax hospital for children. The hospital, located in central fairfax county is an 876-licensed bed tertiary care hospital providing comprehensive medical and surgical services which include emergency/trauma, cardiac, transplant, cancer, obstetric, pediatric, neonatal, stroke and extensive outpatient services. Inova fairfax hospital is the home of northern virginia's only level one emergency and trauma center and the state-of-the-art women's and children's center. In addition, inova fairfax hospital is a teaching hospital providing clinical training through its medical residency, nursing, and paramedical education programs. Inova mount vernon hospital (imvh) is a 237-licensed bed acute-care hospital serving southeastern fairfax county. Inova mount vernon hospital provides a full-service, 24-hour emergency department; broad range of diagnostic, medical and surgical services; inpatient psychiatric services; the dorothea r. Fischer wound healing center and a specialized hyperbaric oxygen therapy program used to treat conditions requiring increased oxygen flow to body tissues (such as grafts and certain types of burns). Inova mount vernon hospital also operates the lorton healthplex, a 24-hour free standing emergency facility and the inova center for rehabilitation, a nationally-known accredited program providing inpatient and outpatient rehabilitative services. Inova fair oaks hospital (ifoh) is a 182-licensed bed general acute care hospital, which opened in 1987 to serve the growing communities in western fairfax county, virginia. Inova fair oaks provides a full-service 24-hour emergency department; a spectrum of diagnostic services and treatment including full-body ct scanning, open mri and radiation cancer services; inpatient medical and surgical services; obstetrics and pediatric services; and comprehensive outpatient services including outpatient surgery, physical medicine, wound care and rehabilitation. Inova fair oaks hospital is home to a designated bariatric surgery center of excellence. Inova alexandria hospital (iah) is a 318-licensed bed general acute care hospital, which opened on january 23, 1873. Iah provides a spectrum of diagnostic services, including full-body ct scanning, mri, and a cardiac catheterization laboratory; a variety of inpatient medical, surgical, and orthopedic services; comprehensive outpatient services, including outpatient surgery, physical medicine, and rehabilitation; and a 24-hour emergency department as well as the springfield healthplex, a free standing emergency facility. In addition, specialized obstetric and pediatric services are provided by the hospital's maternal and infant health center and a children's unit. Specific acute care programs include:cardiovascular care: inova fairfax medical campus (ifmc) is the flagship campus for inova heart and vascular institute encompassing a dedicated heart hospital, inova cardiovascular genomics center and inova thrombosis research and drug development center which includes a dedicated 24-bed clinical trials unit for phase i - iv studies. It houses 204 inpatient beds, six cardiovascular operating rooms, an 11-room cardiac catheterization and electrophysiology suite, chest pain unit, 64-slice ct scanner and other diagnostic testing, outpatient clinics, cardiac rehabilitation and educational facilities. Capabilities cover the full spectrum of complex cardiovascular and pulmonary care. Services offered include cardiac diagnostic services, cardiac imaging, cardiac catheterization, interventional cardiology, electrophysiology, cardiothoracic surgery and complex airway interventions, vascular surgery, vascular and interventional radiology, advanced lung disease and transplant program, cardiac and respiratory failure program, heart failure and transplant program and cardiac rehab. The inova heart and vascular institute at ifmc is the region's first dedicated heart hospital. The inova heart and vascular institute at iah houses inpatient/outpatient beds, cardiovascular operating rooms, a cardiac catheterization lab, an electrophysiology lab, interventional radiology labs, a minor procedure room, outpatient clinics, cardiac rehabilitation and educational facilities. Women's health: the inova women's health program is the largest such program in the mid-atlantic region, providing services for over 16,000 births each year. Obstetric services provided include: delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, and regular and specialty nursery care. Ifmc provides obstetric services to low-income patients through the inovacares clinic for women with 38,921 visits in 2016. In addition, iah works with the casey clinic, a state health clinic jointly funded by the state of virginia, city of alexandria and the alexandria health department, providing obstetric services to low-income patients. Pediatrics: inova children's hospital is northern virginia's only children's hospital, and a regional tertiary and quarternary referral center with 226 licensed acute care beds, providing the highest level of care. Inova children's hospital is home to the only pediatric intensive care unit and pediatric trauma center in the region, as well as the region's only level iv neonatal icu. In 2016, inova children's hospital treated more than 40,000 children in its pediatric emergency department, more than 12,000 children in inpatient units, and performed more than 4,000 surgeries. Inova children's provides a complete range of expert, subspecialized children's services in more than 40 subspecialties, including pediatric cardiac surgery, pediatric cancer care, pediatric orthopedics and sports medicine, pediatric spine surgery, pediatric neurology and neurosurgery. As of december 31, 2016, total nicu bassinets numbered 108. Inova fairfax hospital for children (ifhc) provides a primary care medical home for children of low income families that are uninsured or on medicaid through the inovacares clinic for children which in 2016 provided 24,969 visits at an unreimbursed cost of just under $800,000. Cancer care: inova schar cancer institute is an international center for advanced cancer care and research. Collaborating with clinical and scientific partners, the schar cancer institute conducts genomic and translational research to better understand, predict, prevent, and eliminate cancer. Inova schar cancer institute operates full-service, accredited, cancer centers at all five of inova's hospitals - inova fairfax medical campus, inova alexandria hospital, inova fair oaks hospital, inova loudoun hospital, and inova mount vernon hospital. Inova fairfax hospital is designated by the american college of surgeons commission on cancer as a teaching hospital cancer program, and inova alexandria hospital has a community hospital comprehensive cancer program designation. Other system hospitals meet the american college of surgeons community hospital cancer program standards.

research and education services: the inova research center (irc), including research and academic activities, is centered on the inova fairfax medical campus campus. In 2016, the inova campus of the virginia commonwealth university school of medicine had a total of 29 third year and 28 fourth year medical students who spent their clerkship years at inova fairfax medical campus. In addition, 500 students came to inova fairfax medical campus for a four week rotation in 2016. Also located on the inova campus is the vcu school of pharmacy which partners with clinicians and practitioners across inova and northern virginia to help educate and train an increasing number of pharmacy students each year. In 2016, nearly 100 second, third and fourth year pharmacy students completed didactic and experiential learning experiences across northern virginia with the inova health system. Pharmacy practitioners precepted nearly 150 introductory pharmacy practice experiences (ippes) and advanced pharmacy practice experiences (appes), with the great majority of students from the vcu school of pharmacy and a smaller contingent from shenandoah and butler. In addition, there are pharmacy post-graduate training opportunities offered at three inova institutions. Inova fairfax medical campus offers 4 pgy-1 pharmacy practice residency positons, as well as a pgy-2 emergency medicine pharmacy residency position. Inova alexandria and inova mount vernon hospitals each offer 2 pgy-1 pharmacy practice residency positions, for a total of nine post-graduate training opportunities across inova health system. The claude moore health education center on the campus of inova fairfax medical campus features 11,000 square feet of space dedicated to the educational needs of medical and nursing students as well as residents and fellows. This state-of-the-art center includes both medical and surgical simulation centers, enabling students to learn through hands-on experience. The center also features a dedicated research floor to support the extensive activities of the inova research center, where there are numerous active clinical trials, ongoing translational research and outcomes projects, many in partnership with universities and other research entities. The unreimbursed cost of these programs in 2016 was $11. 1 million. Inova translational medicine institutein 2010, the inova translational medicine institute (itmi), a not-for-profit research institute was created for research activities related to the innovative field of personalized medicine. Personalized medicine is a medical model that emphasizes the customization of healthcare to individual patients. It involves the use of genetic information about an individual patient. In 2011, itmi collaborated with physicians from fairfax neonatal associates to investigate the genetic causes of pre-term delivery. Findings were used to build a reference database of genomic and clinical information which will empower clinical genomic discovery. In 2012 we started our fairfax childhood longitudinal study, which is investigating the genomic basis for childhood wellness and disease over the duration of the childhoods of over 3,000 children living in northern virginia. Institute members provide medical genetics and genetic counseling to newborns with congenital abnormalities as well as cancer patients with a family history concerning for a genetic basis of their disease. In 2016, approximately $30. 2 million was provided in operational support for itmi. Inova fairfax medical campus' medical education programs offer a variety of clinical training objectives for medical residents and students, nursing and pharmacy. Inova fairfax medical campus' residency program has approximately 800 residents/fellows trained throughout the year, and 520 medical students. Medical students are primarily from inova fairfax medical campus, uva, and georgetown and george washington universities, as well as visiting students from around the country. As a teaching facility, inova fairfax medical campus incurs typical, additional expenses associated with teaching facilities including physician teaching costs and resident salaries, the cost of maintaining higher levels of technology required to support a teaching program and charges resulting from extra tests ordered for instructional purposes. The unreimbursed cost of these programs in 2016 was $12. 1 million.

each year, ihcs designates funds for the development and continuation of identified, accessible direct care programs and services benefiting those most in need in the community. Many of these programs and services are not billed to the patient or are provided at a fee structure below the actual cost of the service. In addition to providing the direct care subsidized service, inova also provides disease-prevention programs, health and exercise classes, health education and health screenings and other programs within the community in support of the ihcs mission. In 2016, inova provided about 150,000 people with health education, prevention and wellness programs, health fairs and screenings, and clinically related services resulting in close to 100,000, visits for direct health care services at an unreimbursed cost of approximately $16. 6 million. These services and programs are described below. Inovacares clinic for women and childrenthe inovacares clinic for women was created in 1960 to serve the uninsured women of fairfax county, offering a wide range of ob/gyn services for those in need. Inovacares clinic for women is a service offered to the community in collaboration with the fairfax county health department, serving uninsured and low-income patients up to 400% of the federal poverty level (fpl). The clinic works in partnership with the fairfax county health department and inova fairfax hospital to promote early and continuous prenatal care for the culturally diverse population who are its patients. The inovacares clinic for women provides comprehensive outpatient obstetrical services, gynecological care, diabetes management, case management, non-stress testing, leep and colposcopy procedures, cryosurgery, and nutritional counseling - all at little to no cost to the patient. In addition, the inovacares clinic for women runs a high risk obstetrics clinic and a gynecology clinic. In 2016, iccw saw a total of 38,921 obstetrical patient encounters for over 3,700 patients. In 2016, the iccw had over 2,000 deliveries at inova fairfax medical campus. Additionally, iccw saw a total of 2,262 gynecological patient encounters for over 1,000 patients. The inovacares clinic for children was created in 1993 as a response to the inability of uninsured or medicaid mothers to secure an affordable medical home for their children. Inova cares clinic for children serves as a medical home for newborns up to 21 years of age for patients that reflect the cultural diversity of the community we serve. The inova cares clinic for children provides comprehensive pediatric services that includes well-child care, immunizations, episodic care (sick visit), and school/sports physicals, immunizations, and nutritional counseling. In 2016, the inovacares clinic for children provided 24,969 clinical services to over 6,500 patients. Inova alexandria hospital ob cliniciah donates space on the campus to the casey clinic, a community health center funded by the state of virginia, alexandria health department and the city of alexandria to provide primary healthcare services to low-income and uninsured children and adults that are residents of the city of alexandria. Iah funds the clinic physicians who provide ob patient prenatal examinations and delivery at inova alexandria hospital. Inova juniper program, hiv clinical and education servicesinova juniper program (ijp) provides outpatient primary medical care, mental health therapy, substance abuse treatment, pharmaceutical assistance, nutritional counseling and medical case management services to 1,690 persons living with hiv disease in the suburban virginia region. To maximize accessibility for clients, services are provided at the main location in fairfax, as well as six satellite clinics (dumfries, manassas, mt. Vernon, falls church, leesburg and herndon), hospitals, homes and other community locations throughout the region. Major accomplishments of ijp for 2016 include:served 1,690 patients, providing 23,838 services. Continues to maintain a 0% hiv transmission rate from pregnant mothers to their newborn babies. Conducted 112 educational programs reaching 1,803 participants, and provided 166 clinical consultations. Conducted 1,627 hiv tests with seroprevalence of 1. 05% across northern virginia. Successfully implemented seven virginia department of health prevention contracts to develop, implement, and evaluate programs to support, motivate, and educate the public and people living with hiv. Programs are targeted to incarcerated men and women, msm, youth and the general population. Hiv testing, support groups and patient navigation services are also provided through the prevention programs. Life with cancer the mission of life with cancer (lwc) is to enhance the quality of life of those individuals in the community affected by cancer. The program addresses the specific needs by providing individual and family counseling, support groups, educational seminars, workshops on cancer diagnosis and treatment, and a full array of complimentary therapies. Life with cancer is generously supported by our community; therefore all services are available at no charge to residents of the washington metropolitan area. In 2016 life with cancer conducted 2,491 educational classes, groups, and wellness programs for adults, children and adolescents with 14,723 visits. In addition, 16,487 counseling or educational consultation sessions were provided by our oncology therapists and oncology nurse navigators serving 14,438 people. The total number of participants in programs/classes, groups and counseling in 2016 was 29,161 and life with cancer staff provided 42,103 service hours. In 2016, the pediatric oncology clinic staff provided clinical and educational support (inpatient and outpatient) to 3,127 children, teens and parents and held 2,896 support and education group sessions and counseling sessions. A total of 620 participated in hispanic programs which included spanish language support groups, educational sessions (tomando control de su salud & luzca bien sientase major), and weekly zumba classes. Hispanic program coordinators also navigated and counseled 334 clients during 223 sessions. Lwc participated in various other community outreach activities reaching over 2,500 people. Lions eye clinicadministered by inova health system (ihs), the ophthalmology clinic provides ophthalmic specialty services to the indigent including treatment of glaucoma, retina, and cataracts. Ihs provides a part-time ophthalmologist, an ophthalmic technician, and a receptionist for the clinic. The remaining physicians volunteer their services. In 2016, the clinic had 4,397 visits. Elderlink elderlink is a non-profit partnership between inova, the fairfax area agency on aging, and the alzheimer's association, national capital area chapter. Elderlink provides case management, care coordination, health and wellness programming, as well as support to patients returning from the hospital back to their home in the community, and caregiver support to older adults and their caregivers. Elderlink provided service to approximately 930 older adults and their caregivers in 2016. Inova center for wellness and metabolic healththe inova center for wellness and metabolic health provides endocrinology medical visits, diabetes education and medical nutrition therapy. Endocrinology visits are provided by board certified endocrinologists and an experienced nurse practitioner. The providers see patients for many endocrine issues, not limited to diabetes. The center is recognized by the american diabetes association for diabetes education which is provided by registered nurses and registered dieticians. Staff members are either certified diabetes educators or are in the process of achieving this designation. In august of 2016, a new center was opened in alexandria and offers diabetes education and medical nutrition therapy visits. In november, a new board certified endocrinologist joined the staff so that endocrinology services could be added to the leesburg office. Center locations include: alexandria, fairfax, fair oaks and leesburg. In 2016, the inova center for wellness and metabolic health provided 7,090 participant visits in fairfax centers and another 1,207 at the loudoun site.