Lehigh Valley Hospital

Programs: Lehigh valley hospital (lvh) offers a continuum of programs in health care promotion, prevention, diagnosis, treatment and rehabilitation to the community. Extensive inpatient, outpatient and educational services are provided at locations throughout the region and are a part of a healthcare network established by lvh to meet the medical, surgical and educational needs of the residents of the lehigh valley and beyond. Lvh serves as a referral center for approximately two million residents of surrounding counties in eastern pennsylvania, with a special focus in the following key areas:cancer services - the cancer center offers a range of cancer services in six convenient, patient-focused locations: john & dorothy morgan cancer center at the cedar crest campus in allentown, the cancer center at the muhleberg campus in bethlehem, infusion services at the health center in bangor, dale & frances hughes cancer center at lvh-pocono in east stroudsburg, lvpg hematology oncology associates in lehighton, and the infusion center and hematology oncology offices in lehighton. Cancer care programs include prevention, detection, diagnosis, genetics, patient navigation, nutritional services, social and psychological support, rehabilitation, clinical trials, multidisciplinary and coordinated care, and all forms of therapy. The cancer center became a partner with memorial sloan kettering cancer alliance of new york city officially in march 2016 and maintains a research partnership with the wistar scientific and biology institute of philadelphia, pa. Both of these institutions are nci designated cancer centers programs. Cancer center facilities include physicians' offices, breast health services, multidisciplinary clinics, conference rooms, private education and counseling areas, multi-purpose treatment area for infusions, procedure rooms and radiation oncology facilities including: linear accelerators (6), ct simulators (2), stereotactic body radiotherapy, brachytherapy - high and low dose rate, gamma knife radiosurgery, 3-d treatment planning, intensity modulated radiation therapy, image guided radiation therapy, and an optical surface monitoring system. The faculty of the cancer center is composed of physicians who are cancer care specialists and board-certified in all fields of cancer therapy and evaluation. In addition, lvh participates in the 1-800-4-cancer telephone line, the pennsylvania department of health's toll-free cancer information and resource phone number. Specially trained nurses from lvh provide callers with information about institutions, agencies, services and programs in the caller's communities that meet their cancer-related needs. In calendar year 2016, the cancer center saw over 4,570 (cc/h/s/p) new cancer patients. Inpatient oncology admissions were 3,493 in the fiscal year ended june 30, 2017 and outpatient volumes were 1,544 new treatment patients for radiation procedures, and 45,863 new treatment patients for infusion visits. Cardiovascular services - lvh has one of the largest and most comprehensive cardiovascular programs in pennsylvania. Lvh performed 635 open-heart and transaortic valve replacement surgeries and 5,370 cardiac catheterization and electrophysiology cases during the fiscal year ended june 30, 2017. It consistently ranks in the top 10 percent in the nation for heart attack survival. In addition to operating one of the most experienced cardiac programs in the country, lvh has been cited as one of the country's top programs for cardiology and heart surgery by u. S. News and world report. Lvh's cardiovascular program provides comprehensive care including prevention, acute, tertiary and quaternary care along with post-acute cardiac rehabilitation services. The advanced cardiovascular service offerings include: medical cardiology, interventional cardiology, electrophysiology, open-heart, valvular and structural heart surgery, advanced heart failure that includes mechanical heart-assist devices (vad, ecmo, impella), women's heart disease and pregnancy program, cardio-oncology, regional stemi program, therapeutic hypothermia, sports cardiology, hypertrophic cardiomyopathy and advanced rhythm management care. Neurosciences services - lvh neuroscience services provided treatment for stroke, brain tumors, seizures, aneurysms, spine problems, trauma, and other neurological disorders, to 6,624 patients during the fiscal year ended june 30, 2017 in the following areas: neurosurgery, pain management, neurology, neuropsychology, neuro-imaging, neuro-oncology, neuro-interventional radiology, neurodiagnostic services. Lvh provides stroke services through its regional comprehensive stroke program which began operations in july 2002. Since that time, the stroke center has treated more than 19,490 patients from northeastern pennsylvania and western new jersey. In addition, lvh was the first primary stroke center in the lehigh valley certified by the joint commission and was the first stroke program to be certified as a comprehensive stroke center in pennsylvania. Orthopedic services - the division of orthopedic surgery treats musculoskeletal disorders of the upper and lower extremities as well as the spine. Subspecialists with fellowship credentials provide the following services: joint replacement, spinal disorders, sports medicine, hand and wrist surgery, foot and ankle surgery, orthopedic trauma and pediatric orthopedics. In the fiscal year ended june 30, 2017, there were 10,215 total orthopedic procedures performed at lvhn, of which 4,741 were inpatient and 5,474 were outpatient. Acute orthopedic services are provided at lvh-cedar crest and lvhn-tilghman, which is the only area hospital dedicated to orthopedic musculoskeletal surgery. From 2012-2016, the lvh orthopedic program has been recognized by u. S. News and world report for being a top 50 orthopedic program in the country. The lvh orthopedic program is also recognized by the blue cross and blue shield association as a blue distinction+ center, and by aetna as an institute of quality, both of which recognize lvh for delivering expert and efficient hip, knee, and spine care. Perioperative services - perioperative services at lvhn consists of the surgical and endoscopic staff and facilities where over 55,000 procedures are performed annually. Surgical procedures are performed in 54 operating rooms throughout lvhn, including at the 17th & chew, cedar crest, children's surgery center, fairgrounds surgical center, lvh-muhlenberg, and the lvhn-tilghman campuses. The children's surgery center located on the cedar crest campus provides specialized care for our pediatric population. Patient care in the operating room is supported by anesthesia services, surgical prep and staging, post anesthesia recovery, and sterile processing departments, among others. Lvhn performs endoscopic procedures at four locations - the cedar crest campus, the children's surgery center, lvh-muhlenberg and the fairgrounds surgical center. The operating room technologies and facilities include a hybrid operating room, a trauma code red operating room, three davinci surgical robots, integrated laparoscopic operating rooms, and cardiac surgery operating rooms. Operating room nursing staff are trained to support multiple surgical disciplines including cardiac surgery, orthopedics, vascular surgery, urology, general surgery, transplant surgery, gynecologic surgery, pediatric surgery, and many others. Cutting edge endoscopic technologies include endoscopic ultrasound, endo-bronchial ultrasound and video capsule endoscopy.

behavioral health services - lvh operates inpatient behavioral health programs for adolescents and adults. The combined programs total 65 beds and serve lehigh, northampton, carbon, monroe, schuylkill, and berks counties. Clinical programs include psychiatric, psychological, nursing, dual diagnosis, psychiatric rehabilitation, social work and discharge planning services. Lvh also provides ambulatory behavioral healthcare, including: psychiatric evaluation service program in three hospital emergency departments; three partial hospital programs for adults and adolescents; several large outpatient group practices providing multidisciplinary short-term treatment to children, adolescents, adults and older adults; two outpatient mental health clinics for seriously and persistently mentally ill adults; and two residential treatment sites, supporting and educating adults in independent living skills. Both these sites and the clinics are funded in part under a contract with lehigh county department of human services, through funds provided by county of lehigh and the pennsylvania department of public welfare. In addition, lvh also provides psychiatric home care services; behavorial health integration in medical programs on medical/surgical inpatient units and ambulatory, primary care and specialty practices; behavorial health consultation and liaison psychiatry; education and research; and service offerings to schools and other community agencies. Trauma and burn services - in 1981, lvh became the first hospital in pennsylvania to be designated as a level i trauma center and is currently the second largest trauma program in pennsylvania, admitting 5,243 patients in the fiscal year ended june 30, 2017. This program provides comprehensive trauma care and serves as a major regional resource covering a ten county area and a patient base of more than two million. Lvh is also one of two level i trauma programs in the state with additional qualifications in pediatric trauma. The lehigh valley hospital trauma program provides a continuum of care for the trauma patient with one of eight trauma surgeons in-house 24 hours a day covering a 14-bed trauma/neuro intensive care unit as well as a 28-bed transitional trauma unit. A trauma rehabilitation team completes this continuum of trauma care. Lvh also provides a regional burn center operating 18 beds serving northeastern pennsylvania, western new jersey and parts of new york. The regional burn center is the largest burn program in pennsylvania, admitting 703 patients in fiscal year 2017 and has received certification from the american burn association and the american college of surgeons to provide comprehensive inpatient and outpatient care for both adult and pediatric patients. Since 2008, the regional burn center has implemented a teleburn service, which provides rapid access to our comprehensive burn care to more than 100 hospitals, emergency care clinics, and physician offices in pennsylvania, new jersey and new york. In addition, lvh coordinates pre-hospital emergency medical services and provides 24-hour-a-day air and ground ambulance services. Lehigh valley hospital medevac operates four helicopters and 1. 5 critical care ground transport units covering eastern pennsylvania and western new jersey. Lehigh valley hospital medevac performs over 1,100 flights annually and our ground transport teams complete over 2,200 missions, including both on-scene and inter-facility patient transports. Women's services - lvhn offers wide-ranging women's health programs and services designed to provide complete, evidence-based care for women in the lehigh valley. Births at lvh totaled 4,530 during the fiscal year ending june 30, 2017. On june 20, 2017, the family birth and newborn center opened at the lvh-muhlenberg campus. A focus on prenatal care as a chief component of its comprehensive obstetrics and gynecology services expanded on november 14, 2016 with the successful implementation of the maternity care pathway in all lehigh valley physician group (lvpg) obstetrics and gynecology office practices, and the center for women's medicine. The maternity care pathway is an inclusive, mandatory care plan process that standardizes obstetric care and patient education in order to manage quality, minimize variation and improve outcomes. A related patient education curriculum, app and obstetric micro-website were established to support overall implementation. At lvh-cc and lvh-m, general obstetric physicians and maternal fetal medicine physicians offer complete maternity care services for low-risk, high-risk and very complex obstetric patients. In addition, certified nurse midwives, in collaboration with obstetricians, provide low-risk prenatal care and delivery services within their scope of practice. The general obstetricians provide care to low, medium and appropriate high-risk pregnancies and deliver the majority of patients at lvh-cc and lvh-m. The general obstetricians provide full-service prenatal care and ultrasonography to women at 13 office locations in four counties. Maternal fetal medicine (mfm) physicians, with highly specialized fellowship training to care for the most complex obstetric cases as well as all of the highest risk obstetric patients, are available in-house 24 hours a day at lvh-cc and now support lvh-m as well. The department of obstetrics and gynecology also has full-time laborists who manage day-to-day inpatient operations for the obstetric residency service. Mfm physicians' services include highest level ultrasonography (and telehealth services), fetal echocardiography, genetic counseling, amniocentesis, chorionic villus sampling, complex delivery services and a well-established multi-disciplinary diabetes in pregnancy program. Lvpg ob/gyn, mfm and cwm physicians and office practices are accredited by the american institute of ultrasound in medicine (aium) since 1999. Lastly, lvh-cc and ob/gyn office practices concluded work on the "baby friendly" application submission to earn the designation of "baby friendly hospital" by the world health organization, awarded in august 2017. Gynecology at lvh maintains a special focus on procedural and technological gynecological mis (minimally invasive surgery) interventions, robotically-assisted surgery, laparoscopic surgery, preoperative consultation and evaluation of pre-invasive and invasive gynecologic malignancies (cancer care), pelvic floor disorders (urogynecology), chronic pelvic pain and reproductive endocrinology & infertility. Lehigh valley health network's hospitals received designations as centers of excellence in minimally invasive gynecology (coemig). The american academy of gynecologic laparoscopy (aagl), the world's largest gynecologic surgery organization, awarded this certification in august 2013. Lvpg ob/gyn office practices offer scheduled and emergent on-site behavioral health services targeted to women provided by two, imbedded licensed professional counselors in conjunction with the department of psychiatry. Lvpg ob/gyn office practices also established a focused program to identify and treat pregnant women with a history of opioid abuse. This program links a lead obstetric physician with behavioral health and county agencies to treat women and provide support services. Cardiology-lvh offers a women's heart and vascular program led by five female cardiologists with expertise in treating women with heart disease. Women's health services offers preventative care programs in a variety of lecture based series covering issues addressing young, middle and older females related to wellness and prevention. These include diverse support groups, community health fairs related to women, bilingual prenatal education, childbirth and parenting classes, cpr, safe sleep, lactation consultation and postpartum depression/support.

ambulatory services - lvh's ambulatory services components include health centers, wound care, hyperbaric oxygen, health spectrum pharmacies, sleep disorder centers, endocrine testing, lab, fitness and sports performance programs. Lvhn continues to expand its portfolio of "health centers". As of june 2017, there are 19 situated throughout multiple counties, in the following towns/areas: allentown, bangor, bath, bethlehem, bethlehem township, blakeslee, easton, emmaus, fogelsville, frackville, hamburg, hazleton, kutztown, macungie, moselem springs, mountain top, palmer township, quakertown, and trexlertown. The core services in most of the health centers are primary care, basic imaging, rehabilitation services and/or lab services. Three health & wellness centers at allentown, bethlehem and hazleton include fitness centers as well. Many of the centers also provide specialty care and breast health services. Newer health centers include palmer township and easton, which both opened in june 2017. Frackville came with the lvh-schuylkill merger effective september 2016, and blakeslee came with the lvh-pocono merger effective january 2017. Lvhn also expanded its portfolio of "sleep disorder centers". As of june 2017, there were 4 in-lab centers and 7 additional sites where patients can receive their home sleep testing units besides the in lab centers. One of the 4 labs came with the lvh-schuylkill merger effective september 2016, although this site does not offer in-home sleep testing. Additionally there are a sleep labs in hazleton, allentown, and bethlehem township. Besides these three in-lab centers, the following locations offer home sleep testing for patient convenience: allentown, bangor, fogelsville, hamburg, moselem springs, palmer township, and trexlertown. Rehabilitation services - the division of rehabilitation provides comprehensive programs through the continuum designed to meet the needs of patients of all ages who are recovering from illness or injury. Lvh provides intensive rehabilitative medicine and nursing care combined with physical, occupational, and speech therapy services at its state of the art 34-bed inpatient rehabilitation center situated within the cedar crest campus. For patients unable to tolerate aggressive therapy services, lvh provides short-term medical, nursing and rehabilitative care at its 52-bed transitional skilled unit located on the 17th & chew campus. Lvh also offers convenient and accessible outpatient therapy services serving the community at 44 locations across seven counties. The rehabilitation division offers advanced rehabilitative care in over 30 clinical specialty areas including neurologic rehab, orthopedics and sports, women's health, oncology rehab, audiology and pediatric therapy services. At a network level, lvhn's rehabilitation services division now serves as the largest provider of rehabilitative care in the region with 108 total inpatient rehabilitation beds, 52 short-stay skilled nursing beds and 44 outpatient locations. Lehigh valley children's hospital - introduced in may 2012, the children's hospital offers the most wide-ranging, specialized health care services of any facility in the region. It has the region's only children's er, pediatric intensive care unit, and is the region's only institutional member of the children's hospital association, the organization that recognizes children's hospitals in the united states and internationally. Lvhn completed a "children's care checklist" made by the late forrest moyer, md, the lehigh valley's father of pediatrics. Lvhn accomplished the last two goals on the list for the community by opening the children's emergency room in 2011 and establishing a pediatric residency program in 2012. The children's hospital leadership recently updated a strategic planning process and developed a plan to communicate and operationalize the mission, vision and strategic goals for 2015-2017. The children's hospital affiliated professionals and staff are committed to improving the health of children in the region. Lvhn provides and supports educational services in addition to healthcare. Lvhn promotes safety and healthy living in various forums throughout the year. The lehigh valley children's hospital in partnership with the department of community health created a pilot program called the allentown children's health improvement project (achip). Achip is planned to be a community-based needs assessment, resource connection, and family empowerment service for families with women who are pregnant and/or children under 5 years old, to start in 2016. Lvhn provides specialized pediatric trauma and burn care, pediatric cancer care and expert inpatient care in the pediatric and neonatal intensive care units and on the pediatric unit. Lvhn's board-certified physicians provide children's care in greater than 28 specialties including pediatric surgery, hematology-oncology, pulmonology, neurology, endocrinology, infectious disease, cardiology, rheumatology, adolescent medicine, urology, gastroenterology and psychiatry. Lvhn also has a child protection team that evaluates children who may have been abused or neglected. This team includes a board-certified child abuse specialist. In addition to over 150 general pediatricians and pediatric sub-specialists, there are pediatric radiology and pediatric anesthesia providers on staff. Inpatient pediatric services include 107 licensed beds for general pediatrics, pediatric intensive care, neonatal intensive care and adolescent psychiatry. Children can receive care as an outpatient at the pediatric sub-specialty offices, children's surgery center, children's cancer and multipurpose infusion center and the children's er at the cedar crest campus and the children's clinic at the 17th & chew campus. Pediatric sleep center locations are at the 17th & chew campus and bethlehem township health center. School health services provide physical, behavioral and dental health services to a number of schools. Healthy lifestyle and wellness education is supported through a community canvas program, and the recent acquisition of the weller health education center. Imaging services - the radiology department provides a variety of diagnostic and therapeutic procedures for patients of all ages, 24 hours per day. Radiology services include the provision of emergent, acute, preventive, consultative, diagnostic and therapeutic imaging to patients in the emergency, surgical, inpatient and outpatient settings of lvhn. The department performs an average of 1,173 procedures per day. Outpatients account for 73 percent of these examinations, while inpatients account for the remaining 27 percent. Services are provided at multiple sites. At the cedar crest campus, the following services are offered: vascular lab, ultrasound, computerized tomography, nuclear medicine, diagnostic imaging, interventional radiology and neuroradiology, as well as image management services. Magnetic resonance imaging (mri), dexa, and pet-ct services are provided through an affiliated partner. The lvh-muhlenberg campus offers the following services: vascular lab, mri, ultrasound, computerized tomography, nuclear medicine, diagnostic imaging, interventional radiology, as well as image management services. At the lvh-17th street campus, the following services are offered: diagnostic imaging, computerized tomography, ultrasound, vascular lab, and image management services. The lvh-tilghman campus offers diagnostic imaging services for the express care and orthopedic surgery division. Limited ultrasound/vascular imaging is also provided for inpatients. At lvhn health centers, the departments offer diagnostic imaging and ultrasound at the health centers at bangor, bath, bethlehem township, easton, fogelsville, hamburg (diagnostic only), moselem springs, and trexlertown. The health center at palmer township offers computerized tomography, dexa, diagnostic imaging, and ultrasound services. Imaging services at our cetronia road location are computerized tomography, dexa, diagnostic imaging, mri, and ultrasound. Pharmacy services - health spectrum pharmacy services offers a range of pharmacy services in three convenient, patient focused locations: lvh-cedar crest, lvh-17th street, and lvh-muhlenberg. A fourth pharmacy located near the cedar crest campus provides home infusion services to residents of surrounding counties in eastern pennsylvania. Pharmacy services include prescriptions, compounding, specialty medications, vaccinations, over-the-counter, herbal/alternative medications, personal care products, first aid, wound care, ostomy, knee braces, orthotics, vascular garments, post-mastectomy, breast prostheses, diabetic supplies, and home infusion. The retail pharmacies are accredited by the board of certification/accreditation international, and the home infusion pharmacy is accredited by community health accreditation program. The retail pharmacies are equipped with workflow, co