Pennsylvania Hospital Of The Univ Of Pennsylvania Health System

Programs: Pennsylvania hospital is a 496 bed, community based, tertiary care teaching hospital providing a full range of diagnostic and therapeutic medical services. The hospitals specialties include obstetrics and gynecology, neurosciences, orthopedics, behavioral health, cancer treatment, cardiac care, and bloodless medicine and surgery. Since its founding in 1751, the mission of pennsylvania hospital has been to provide the highest level of health care for all, regardless of ability to pay. The hospital subsidizes the cost of treating patients who are uninsured and unable to pay, or when government assistance reimbursement falls below cost. In fiscal year 2017, pennsylvania hospital admitted 18,978 adult patients and had 254,617 outpatient visits. In addition 68,275 psychiatry patients were treated. Pennsylvania hospital accepts patients in serious need of professional medical care, independent of their financial status. This definition includes those patients suffering from a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in (1) placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) in serious jeopardy, or (2) serious impairment to bodily functions. Accordingly, pennsylvania hospital provides services to patients who meet certain criteria under its charity care policy, without charge or at amounts less than pennsylvania hospitals established rates. Because pennsylvania hospital does not pursue collections, such amounts have been excluded from net patient service revenue. Pennsylvania hospital estimated $1,318,638 arose during 2017 from providing services to charity patients. The estimated costs of providing charity services are based on data derived from a combination of the pennsylvania hospital (uphs) accounting system and the ratio of costs to charges. Pennsylvania hospital also provides care to patients who do not have health insurance or meet the criteria to qualify for its charity care policy. Pennsylvania hospital pursues collection of these amounts, however certain amounts are deemed to be uncollectible. These amounts are classified in the provision for bad debts in the uphs combined statements of operations. Pennsylvania hospitals provision for bad debts totaled $21,003,795 in 2017. Additionally, the costs of providing services to eligible welfare recipients, who participate in the pennsylvania medical assistance and local managed medicaid programs exceeded reimbursement by $30,834,012 in 2017. In addition to providing direct patient charity care and in furtherance of its exempt purpose to benefit the community, the hospital operates an emergency department open to the public 24 hours per day, 7 days per week, maintains research facilities for the study of disease and injuries, provides facilities for teaching and training various medical personnel, and facilitates the advancement of medical and surgical education. The hospital also provides various community services such as screenings for the detection of breast, colorectal, and skin cancer, cancer support groups, a toll-free number for cancer information, free immunization shots, training programs for the city fire and police departments, health education classes, speeches and regularly provides health related information to television and radio news programs and to reporters at newspapers and magazines. The following community services and programs were partially or fully subsidized by the hospital: i. Health care services emergency services the pennsylvania hospital emergency department is staffed and equipped to provide excellent emergency medical care 24 hours a day, seven days a week. Patients present with a variety of illnesses and injuries and all are evaluated and treated based on individual need. The department also serves as an entrance point into the health care system for those who need continued medical and nursing intervention and as a referring agency to other necessary disciplines. Health services are provided for persons without regard to race, color, religious belief, ancestry, gender, handicap, age, or national origin. All patients are evaluated regardless of their ability to pay. The pennsylvania hospital emergency department is recognized by the emergency nurses association as a lantern-recognized emergency department. This award distinguishes emergency departments for excellence in exceptional practice and innovative performance in the core areas of leadership, practice, education, advocacy and research. Only 1% of emergency departments nationwide have received this esteemed recognition. Total number served fy17: 36. 766 diabetes education center-pennsylvania hospital the diabetes education center provides comprehensive outpatient education and training for diabetics, family members, and members of the community. Our teams consist of a registered nurse, certified diabetes educator, registered licensed dietitian and a certified public health educator. The center provides its services, regardless of insurance status or ability to pay for services. Services provided in fy17 included: - comprehensive diabetes self-management education in groups or individual settings. The program holds recognition status from the american diabetes association and is taught by a multidisciplinary team including members of the departments of medicine, nursing, physical therapy, food and nutrition, pharmacy, and surgery at pennsylvania hospital - individual education for specific diabetes management tasks such as self blood-glucose monitoring and medication administration - diabetes awareness education for local civic, business, and social groups - professional education for nurses, advance practice practitioners, pharmacists, dieticians, and disabled and behavioral health clinicians - in addition, graduate and undergraduate students in the health profession, including nurses, health educators and dieticians, complete degree requirements and obtain practical experience with the center program statistics for fy17 are as follows: (sept 1, 2016 to june 30, 2017) - group class participants: 472 visits - individual consultations: 140 visits - total number of visits: 612 visits - inpatient consults: 80 visits - latina community (lchs): 98 visits - mnt individual consults: 153 visits - community education: 50 - professional education: 125 - diabetes follow-up & management-telecommunication: 1,500 - diabetes follow-up & management-in person consult: 50 - family members who attended class: 20 - health professional students participated in program activities in completion of degree requirements: 15 abramson cancer center at pennsylvania hospital as part of the abramson cancer center at pennsylvania hospital, the joan karnell supportive care program offers support to help cancer patients and their families cope with the diagnosis of cancer. Led by trained professionals, these groups offer emotional support, education, opportunities to learn ways of coping with uncertainty and change, and a chance to meet others who face similar issues. The center also supports advocacy groups who provide programs and support to mutual patients, through sharing of resources and staff volunteering. Weekly support groups (seasonally) - living meaningfully with cancer support group: 52 participants - caring for the caregiver support group: 34 participants biannual support groups: - cooking nutritious and nutritious food (hands-on experience in incorporating cancer-fighting foods into every day eating): 18 participants - look good, feel better (an educational seminar on maintaining optimal health and physical appearance during and after cancer treatment, in collaboration with the american cancer society): 20 participants - sickle cell awareness day (for patients and family members living with sickle cell disease): 9 participants - walkabout: mindfulness based art therapy for cancer patients and care partners (support and therapy group, weekly for 8 weeks, held quarterly): 61 participants annual series: - holistic living challenge education and support for a preventive lifestyle (held weekly for 7 weeks): 37 participants - family connections day (for families impacted by cancer): 40 participants awareness programs: - cancer survivorship celebration, a program which focuses on cancer survivorship highlighting the supportive care services provided at the cancer center: 175 participants - national healthcare decision day: 30 participants ii. Behavioral health services hall-mercer community mental health center hall-mercer cmhc offers outpatient services ranging from psychotherapy to counseling through a variety of specialized programs for people with developmental disabilities, chronic mental illness, and related problems. The center receives the majority of its support from the city and state, but penn

iii. Services for women, infants and children ludmir center for women's health the ludmir center for womens health (lcwh) is an ambulatory healthcare facility that specializes in the provision of obstetrical, gynecologic and reproductive health services. Lcwh provides quality medical care to all patients, regardless of their ability to pay. Most patients have low to moderate incomes. As a community based practice, lcwh offers more than traditional medical services. Lcwh employees a full-time social worker who provides psychosocial support services. Additionally, lcwh addresses some of the diverse needs of its patients and their partners through the following services and programs: latina community health services (lchs) an innovative program that offers prenatal and gynecologic services to women who are unable to obtain medical insurance. It is funded by grants and contributions and staffed by physicians, a nurse midwife, medical assistant and patient services coordinator from clinical care associates of the university of pennsylvania health system. Lchs also partners with other entities such as pennsylvania hospitals diabetes education center and womens services department as well as the health promotions council, a community organization, to coordinate and offer wrap-around services. These services include individual diabetic teaching, infant feeding classes and healthcare navigation assistance. Childbirth education classes these classes are taught by lcwh registered nurses who have also earned childbirth educator certification. The classes cover such topics as: what to expect from and how to recognize labor, relaxation techniques and medical options for pain relief in labor, the importance of post-partum care, and early infant care/development. Male partners services the male partners of lcwh female patients who tested positive for a sexually transmitted infection are able to receive treatment through this sensitive and confidential service. Healthy woman program (hwp) lcwh is a participating provider in this pennsylvania state-funded program that provides free cervical cancer and breast screenings (including pelvic examinations, clinical breast examinations, and pap smear testing and diagnostic services) to uninsured women between the ages 21-64. Tobacco smoking cessation lcwh is an active participant in the effort to decrease tobacco smoking rates among pregnant women and mothers. Each lcwh nurse is certified by the health federation of philadelphia in partnership with the philadelphia department of health to provide counseling on smoking cessation and reduction in exposure to environmental smoke. Newborn care the newborn medicine section, the intensive care nursery, and the associated delivery and term nurseries serve more than 5,000 infant-mother pairs annually. Of these, about 40 to 60 per year are without any means of support. Frequently, there are varying psychosocial reasons that impair the mother's ability to take their babies home. In all of these cases the physician, nursing, support, and hospital care are given without compensation. These situations, because of their inevitable psychosocial complexity, consume a greater share of resources than do most compensated cases. The amount of care rendered varies, but based upon length of stay; charges can be calculated to approximately $100,000 per year. This figure does not include donated physician time. Total mother/infant pairs fy17: 5,100 nurse-midwifery penn ob/gyn and midwifery care, a practice of pennsylvania hospital, includes 12 midwives who work collaboratively with physicians in the department of obstetrics and gynecology to provide care to low-income women with and without medical risk factors. A full spectrum of individualized, family-centered reproductive and gynecologic healthcare is provided based on the philosophy of mutual respect, client participation, and education. Services are provided within the hospital as well as in the outpatient office setting. The midwives provide free community education with speaking engagements to breastfeeding and parenting groups, nursing and undergraduate students, and the general community. The midwives are active participants in the training of midwifery and medical students, as well as obgyn residents at pennsylvania hospital. Breastfeeding support - the family education department provides free weekly support groups for mothers of breastfeeding infants. Each meeting lasts approximately 90 minutes. The program includes breastfeeding advice and education, followed by peer discussion about breastfeeding related issues. In fy17, approximately 200 women attended these groups. - the family education department provides free postpartum classes to support, educate, and encourage breastfeeding mothers. The class is offered 6 days a week and is open to new parents and their support people. Approximately 1000 new mothers and support people/family members attended. - the breastfeeding warmline is staffed by certified lactation consultants and is available daily to answer questions and concerns about breastfeeding. In fy17, we received approximately 780 calls from women in our community, as well as from physicians, midwives, insurance companies, and others in the community. - solutions for women open to the community, this retail store rents and sell breast pumps and breastfeeding accessories. There is a product specialist available to answer questions and concerns free of charge and free weight checks for infants are provided. Solutions for women is also a wig salon for the american cancer society. This means that women experiencing medical hair loss can come in and receive a brand new wig at no charge. Well over 550 families were assisted at solutions for women in fy17. - an international board certified lactation consultant meets with a group of spanish-speaking expectant mothers from a latina health clinic each month to encourage breastfeeding and answer questions about infant feeding. Approximately 50 expectant mothers benefited from this support. - this year we were able to provide hospital grade breast pumps as loaners to low-income women with medical need. We were able to provide 8 months of "rental" at no cost. - additionally, we were able to provide breast milk transport bags to mothers whose infants were ill or preterm and needed to stay in the hospital after the mothers discharge. Almost sixty mothers received the bags at no charge. - we also provided 54 manual breast pumps at no cost to approximately low-income families in need. Childbirth education the family education department provides prenatal education to families in our community. In fy17, we had almost 5,400 class registrations. Classes included: - one-day childbirth preparation classes - mindful childbirth - breastfeeding - infant/child cpr - pediatric first aid - baby care basics - infant massage - happiest baby on the block classes - expectant parents orientation offered for free. Intensive care nursery the intensive care nursery (icn) provides comprehensive intensive care to critically ill and sick neonates and their families. The unit specializes in providing care to infants who are born less than 36 weeks gestational age, as well as to infants of all gestational ages who require intensive care due to conditions such as hypoxic-ischemic injury; cardiac dysfunction; respiratory distress; sepsis; hypoglycemia; hyperbilirubinemia; seizures; or congenital anomalies. After discharge from the intensive care nursery, the developmental follow-up program at pennsylvania hospital provides outpatient neurodevelopmental assessments to all infants who were born at < 32 weeks gestation, and/or those with birth weight < 1500 grams, as well as older infants with hypoxic ischemic encephalopathy or severe respiratory failure. This program offers serial assessments through 2 years of age. During fy17, ~300 infants were seen for ~450 visits. Two other post-discharge programs are offered to families of icn infants. Every other year, the intensive care nursery hosts former icn babies and their parents for a day-long reunion. This most recent event was held on october 7, 2017. Over 600 families, their guests and staff were in attendance this year, the largest turnout for this event in its history. The reunion is free for icn families, and provides an important opportunity to families to connect with caregivers and with one another, to reflect on their shared experiences and celebrate their progress. The intensive care nursery family advisory council, formed in fy14, has continued to be very active. This council of approximately 20 former icn parents and staff meets regularly to fundraise and provide support to current icn parents. Working with icn medical and nursing partners, this group identified a need for ongoing psychosocial support for icn parents, many of whom struggle with depression and anxiety during the often prolonged hospitalization of their sick and premature inf