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Loudoun Hospital Center

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Nonprofit Overview

Causes: General Hospitals, Health

Mission: Inova loudoun hospital's mission is to provide acute care and other appropriate hospital services dedicated to providing quality care and improving the health of the diverse communities it serves.

Programs: Inova loudoun hospital (ilh) is part of the inova health system whose mission is to serve the northern virginia community as a not-for-profit organization through the provision of high quality and accessible healthcare services. Ilh was specifically chartered for the purpose of serving the health care needs of loudoun county, virginia, by establishing, maintaining and operating hospital facilities, programs and other shared service arrangements; facilitating health-related education activities; and engaging in activities designed to promote the general health of the community. Inova loudoun hospital is a 183-licensed bed general acute care hospital, which first opened its doors in 1912. Ilh provides a full-service 24-hour emergency department; 23 intensive care beds; 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, and comprehensive outpatient services including outpatient surgery, physical medicine and rehabilitation services and radiation therapy. In addition, obstetrical and pediatric services are provided by ilh's ladies' board birthing inn, a pediatric emergency department and an inpatient pediatric unit. In 2016, the hospital had 21,080 admissions and observation cases and 50,009 patient days excluding newborns. Emergency room visits totaled 77,383 (11,263 emergency visits were at the ashburn healthplex); and there were 82,011 outpatient visits during the year. Specific acute care programswomen's health: ilh offers a full range of obstetrical services including delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, a hospital-based natural birthing center and nursery care. Ilh delivered 2,863 babies in 2016. Ilh also offers level ii neonatal icu specialty services. In addition, ilh provides obstetric services to low-income patients through its obstetrics/gynecology clinic which had 5,073 visits in 2016. Pediatric care: ilh operates a dedicated pediatric emergency room that provided services for 16,857 visits in 2016. In addition ilh operates a 14-bed pediatric unit that provides for inpatient hospitalizations. Ilh admitted 463 children to the unit and had 533 outpatient observation cases during 2016. Cardiovascular care: the inova loudoun hospital heart and vascular institute opened in 2005. It provides cardiac catheterization and electrophysiology services, a 64-slice ct scanner and other diagnostic testing. In 2016, 3,929 patients were served by the cardiovascular program at ilh. Stroke care: inova loudoun hospital has been certified by the joint commission since 2009 as a primary stroke center. The certification also covers the inova emergency care center in leesburg which is the first free-standing emergency department in the state to be designated as a primary stroke center. Cancer care: ilh features a full service cancer center including medical and surgical oncology, radiation therapy services and an outpatient infusion clinic. Ilh provided 5,287 radiation therapy treatments to 231 patients in 2016. Charity care all inova facilities, including the ilh facilities with the exception of the assisted living facilities, provide charity care in accordance with inova policies which ensures access to medically necessary care for all individuals. Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1 emergency care shall be provided to all persons regardless of their ability to pay. 2 non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. "medically necessary care" refers to inpatient and outpatient services defined as medically necessary by the federal medicare program. "medically indigent" is defined as those patients whose income falls at or below 400% of the federal poverty level (fpl). Inova health system utilizes a multifaceted approach to educate and inform patients and the public about inova's charity care policy. Upon admission to any inova hospital or any visit to outpatient facilities or clinics including emergency departments, inova has information posted regarding patient rights and responsibilities. In addition, inova provides information about the charity care program and referrals to meet with inova financial counselors who assist patients in completing inova's charity care application. This financial information is reviewed by the inova patient accounts department with the patient contacted if additional information is required in order to make a determination. The patient is subsequently provided a letter, notifying them whether or not they qualify for charity care. In 2016 ilh's unreimbursed cost of charity care, including free and discounted services, was $8. 4 million. Medicaid established under title xix of the social security act, this program provides assistance for the medically indigent, including those who cannot pay for care despite being able to afford other living expenses. Also included under this program are the blind, disabled, pregnant women, very low income parents, children and the elderly. The reimbursement that ilh facilities receive from the medicaid program routinely falls below the actual cost of services provided. During 2016, ilh provided care to medicaid patients at an unreimbursed cost of approximately $6. 6 million. Participation in governmental programs for those without the ability to pay various government programs provide for the indigent, including medicaid recipients. These programs provide a percentage of reimbursement for qualifying patients; however, payment is typically below the cost of those services. In addition to federal and state programs, the inova subsidiaries, including ilh, work with various county governments and agencies in providing certain free services to those residents the county identifies as most in need. Each year, ilh designates funds for the development and continuation of identified, accessible direct care programs and related services that benefit those most in need in the community. Many of these programs and services are not billed to the patient or are provided for fees below the actual cost of providing 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 ilh mission. Inova loudoun ob clinic: the inova loudoun hospital-based ob clinic provides comprehensive obstetric services for uninsured and low-income women (up to 200% of the federal poverty level) in loudoun county. Comprehensive obstetrical services include gestational diabetes management, case management, non-stress testing and nutritional counseling. In 2016, the ilh ob clinic had 5,073 visits resulting in 470 deliveries at inova loudoun hospital at an unreimbursed cost for the clinic services of approximately $1. 7 million. Loudoun family and patient education program: loudoun family and patient education program serves the community through health education, prevention, wellness programs and care management. In 2016, the program provided educational programs for 3,581 participants. Loudoun mobile health program: loudoun mobile health is staffed by nurses and other support staff who provide community health fairs and health screening services. In 2016, inova loudoun mobile health provided services to 7,384 participants. The unreimbursed cost of this program was $248,837. Inova loudoun center for wellness and metabolic health: the center provides outpatient diabetes self-management education, care and support to persons with diabetes. The inova center for wellness and metabolic health has four locations in the northern virginia area and expanded access this year with the addition of a new board certified endocrinologist at the leesburg office. In 2016, the inova center for wellness and metabolic health - loudoun location provided 1,207 patient visits.

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