Chester County Hospital Community Benefit Report 2013.pdf

CHESTER COUNTY HOSPITALCOMMUNITYBENEFIT REPORTFY2013

Chester County Hospital is an organization dedicated to the health and wellbeing of the people in Chester County and

surrounding areas. Founded in 1892, the non-profit hospital has grown into a 245-bed acute care facility based in

West Chester, plus it has a system of outpatient locations in Exton, West Goshen, New Garden, Jennersville and Kennett

Square. In 2013, Chester County Hospital became part of Penn Medicine* that consists of the Raymond and Ruth

Perelman School of Medicine at the University of Pennsylvania (founded in 1765 as the nation's first medical school)

and the University of Pennsylvania Health System, which together form a $4.3 billion enterprise. In addition to quality-

driven inpatient medical/surgical services, Chester County Hospital also offers home health, hospice and skilled nursing

care; occupational medicine; outpatient laboratory, radiology and physical therapy services; an ob/gyn clinic for the

underserved; wound care; and cardiopulmonary rehabilitation.

To complement its many medical services, the hospital is in the process of opening 72 new private patient rooms

on its West Chester campus. To date, 48 of the rooms in the Lasko Tower are in use by Telemetry and Surgical Care

patients. The remaining 24 rooms will open in May 2014 and will be a dedicated Mother Baby Unit.

True to its commitment to providing ways for people to maintain a healthy life, Chester County Hospital offers a broad

scope of high quality health education programs to the community. Physician lectures give people the opportunity to

meet the medical staff and learn about important health concerns. A wide variety of wellness programs and services

that address specific life cycle needs and chronic health conditions are also regularly available. Cardiovascular, cancer,

blood pressure, osteoporosis and other screenings are offered throughout the year to help identify risk at an early

stage. Support groups offer individuals with specific health conditions the opportunity to share their experiences with

others and learn from an qualified professional about how to manage and cope with health problems.

Building a healthy community is the reason wework so hard to deliver superior care.

*This Community Benefit Report FY2013 covers a period of time prior to the Chester County Hospital joining Penn Medicine on September 1, 2013.

Chester Countyconsistently ranksamong the best places to live and raise a family. The county blends the best of everything: beautiful and open countryside; historical significance

and appreciation; excellent school systems; a wealth of corporate headquarters and small businesses;

strong and stable employment opportunities; local and regional access to arts and culture; diverse

communities; and active and engaged residents.

Through the efforts of many individuals, and health and social services providers, Chester County was

ranked as the healthiest county of Pennsylvania’s 67 counties in 2010 and again in 2013.

As an active organization in the county’s health and social services provider community, this ranking

thrills us. But, we recognize that maintaining, serving, and educating the community about healthy

lifestyles are ongoing efforts. Chester County Hospital is committed to providing a broad scope of high

quality health education programs and medical services to the community we serve.

1COMMUNITY BENEFIT REPORT FY2013

{ }11.4%

More than one in 10 residents(11.4%) in Chester County

speaks a language other than

English at home.

#1Chester County is ranked

NUMBER ONEin Pennsylvania for the number ofmothers who did not smoke during

the prenatal period. The statewide average is 84.1%. Chester County’s percentage

is 94%.

99%Of the 5,513 births in

Chester County in 2010, 99.1% of mothers

received prenatal care.

2 ChesterCountyHospital.org

Community Health Needs Assessment

In 2013, Chester County Hospital leaders were active participants in Chester County’sCommunity Health Needs Assessment (CHNA). The RoadMAPP to Health project was conducted for

the entire county, and as a result there is now an ongoing effort to focus on healthy lifestyles and opportunities to

provide medical services where they are needed.

The main goal of the 18-month assessment for the 36 participating health service providers was to create a

community where partners assure conditions in which individuals can be healthy and where residents are

empowered to manage their own health.

RoadMAPP captured health information and feedback from Pottstown to Landenberg, from Devon to Atglen, from

Nottingham to Phoenixville, and from Elverson to Chadds Ford.

Did you know?

MORETHAN


IMPLEMENTATION PLAN

Based on the CHNA findings, the hospital developed its own Implementation Plan identifying the specific steps it will

take and the level of resources it will commit to maintain and improve the health of Chester County. Specifically, there

were seven key findings in the health survey that the hospital will play an active role, either as a thought leader or

collaborating health resource.

KEY FINDINGS

1 Pregnant Hispanic and African American women seek prenatal care later in their pregnancy compared to

Caucasian women.

2 Based on input from the Hispanic community, the health care and social service system across the county has

too few Spanish-speaking health care providers and translators.

3 Cancer incidence rates for melanomas, breast cancer and prostate cancer are statistically higher in Chester County

than in Pennsylvania.

4While the percentage of overweight adults in Chester County is lower than the statewide average (56% vs. 64%),

the rate still remains high.

5 Respondents to the survey rated “substance abuse” and “mental health problems” as the top two greatest health

problems facing the community. Alcohol and drug abuse and obesity were rated as the top three riskiest behaviors.

6 Alcohol use among high school students remains high.

7 The community would benefit from a centralized repository of all available health and social services that is

easily accessible and well publicized.

STRATEGIC QUESTIONS

As a result of the health assessment survey, five work groups consisting of representatives from community-based

organizations and agencies are implementing the recommendations of the assessment and developing initiatives to

advance the health of the community. They are finding solutions for the following questions:

1How can the community expand the concept of cultural competence to ensure access and use of services,

including early prenatal care and health screenings?

2How can the community partner to provide a seamless, highly coordinated network of services that address an

individual's physical and behavioral health issues?

3How can the community increase awareness of and education about health and social services to help residents

meet their basic needs?

4How can the community encourage and support individuals to take action in their own health management and

well-being, including prevention?

5How can community leaders help create supportive environments to ensure the health and safety of their

communities?


Our Health OutreachSTATISTICAL RECORD OF SERVICE

SERVICES RENDERED FISCAL YEAR 2012 FISCAL YEAR 2013

Inpatient Adult and Pediatric Admissions (excluding Newborns) 13,534 13,130

Observation Status Patients 1,588 1,707

Inpatient Newborn Admissions 2,299 2,273

Patients treated in the Emergency Department 41,818 41,933

Outpatient Visits (Clinic, Physical Therapy, Cardiology, Cancer etc.) 117,767 127,826

Outpatient Surgical Operations 5,040 4,932

Outpatient Laboratory Visits 124,230 128,378

Outpatient Radiology Examinations and Treatments 166,942 163,130

COMMUNITY OUTREACH AND WELLNESS SERVICES [Fiscal Year 2013]

PROGRAM TYPE NUMBER OF COURSES NUMBER OF ATTENDEES

Community Outreach Education 193 2,432Cardiovascular, cancer, orthopedic, women’s health and general health programs

Community Outreach Screenings 42 898Cardiovascular, cancer and other screenings

Wellness Support Groups 22 250Includes weight management and diabetes support

Childbirth Education 99 1,637Childbirth preparation, breastfeeding, newborn care, sibling classes and maternity tours

Diabetes and Nutrition Education 29 3,074Self-management classes, individual patient counseling

OUTREACH AND WELLNESS TOTALS 385 8,291

OUTPATIENT PRENATAL CLINIC VISITS

VISIT TYPE NUMBER OF PATIENTS

New Visits 473

Established Visits 4,573

Total Prenatal Clinic Visits 5,046


WITHIN THE HOSPITAL

American Red Cross Blood DrivesEvery two seconds someone in the US needs blood. More than 41,000 blood donations are needed every day.

Knowing that supplies are often lower than needed, Chester County Hospital hosts several blood drives every

year to support the critical effort of the American Red Cross of Southeastern Pennsylvania. Between July 2012

and June 2013, the hospital hosted five community blood drives on site, which resulted in 212 people making

182 successful blood donations. One of the drives was coordinated in partnership with the local Girl Scouts to

provide them with a location to host their service project. The blood drives, organized by HR Assistant Diane

Morrow and the Blood Drive Committee, were promoted to hospital employees and to the community at large.

IN OUR COMMUNITY

Flu Outreach ProgramLaurie Schiltz, BSN, RN, CEN, Emergency Department, recently completed her BS in Nursing at Wilmington

University. During her community service practicum, Schiltz participated in the Flu Outreach Program for

La Comunidad Hispana, an organization that supports Latino residents of southern Chester County. As an

organization, it strives “to empower immigrants and low-income residents of southern Chester County to stay

healthy, build strong families and lead productive and fulfilling lives.” Twice a week during peak flu season,

Schiltz and a group of eight people went to different mushroom farms to administer the flu vaccine to the

migrant population and farm employees. The hospital supported Schiltz’s efforts in this community service

project and the successful completion of her BSN degree.

BEYOND THE COUNTY

EMT/Paramedic Training with St. Lucia Medical ProfessionalsMedic 91 Paramedics and EMTs from Good Fellowship Ambulance & EMS Training Institute have been serving

Chester County for more than 30 years. In recent years, they have broadened their scope to train EMTs on the

island of St. Lucia. An email received more than four years ago about learning the US standards for paramedic

training spawned collaboration between Jerry Peters, BS, Program Director at Good Fellowship Training Institute

and a paramedic at Chester County Hospital, and Craig Herman, founder of St. Lucia’s Emergency Medical Service.

Subsequent talks between the two men grew into plans to send Good Fellowship instructors to train their St.

Lucian counterparts. Teams of EMTs have traveled between West Chester and the island, with Chester County

paramedics giving guidance and providing training scenarios. Jerry’s paramedic colleague, Bob Guiney, also

conducts the trainings. This relationship may span two nations, but the groups are united in education for a

common cause—serving the health of their communities. By training the EMS providers in St. Lucia, Chester

County’s paramedic community has a hand in the care, safety and rescue of people 2,000 miles away.

OUTREACH EXAMPLES


Economic ImpactChester County Hospital provides quality medical and nursing services without discrimination based upon age, sex, race,

color, ethnicity, religion, gender, disability, ancestry, national origin, marital status, familial status, genetic information,

gender identity or expression, sexual orientation, culture, language, socioeconomic status, domestic or sexual violence

victim status, source of income or source of payment. Although reimbursement for services rendered is critical to the

operation and stability of Chester County Hospital, it is recognized that not all individuals possess the ability to purchase

essential medical services and further that our mission is to serve the community with respect to providing health care

services and health care education.

Therefore, in keeping with this hospital's commitment to serve all members of its community, it provides:

• Free care and/or subsidized care;

• Care at or below costs to persons covered by governmental programs;

• Health activities and programs to support the community are considered where the need and/or an individual's

inability to pay co-exist. These activities include wellness programs, community education programs, and special

programs for the elderly, handicapped, medically underserved, and a variety of broad community support activities.

EMERGENCY CARE IS PROVIDED 24-HOURS-A-DAY AND IS ACCESSIBLE TO ALL REGARDLESS OF A PERSON'S ABILITY TO PAY.

Chester County Hospital provides care to persons covered by governmental programs at or below cost. Recognizing

its mission to the community, services are provided to both Medicare and Medicaid patients. To the extent

reimbursement is below cost, Chester County Hospital recognizes these amounts as charity care in meeting its

mission to the entire community.

During the year ending June 30, 2013, costs to provide these services

EXCEEDED REIMBURSEMENT BY APPROXIMATELY

$15,512,000Charity care is also provided through many reduced price services and free programs offered throughout the year based

upon activities and services that Chester County Hospital believes will serve a bona fide community health need.

FACTS + STATS

• Community health activities and programs cost $1,453,789 to reach many members of the community.

• The cost to provide free care was in the amount of $6,750,121.

• With a payroll of $102,000,000, the hospital provides 2,000 jobs, many of which require advanced degrees with

opportunities for continued professional development.

• Employer-paid payroll taxes totaled $7,528,000 to support local municipalities, state and federal governments.


WITHIN THE HOSPITAL

Chester County Opportunities Industrialization CenterHuman Resources Generalist Melissa Rosen presented information about future job opportunities at the

hospital to a class of 25 nursing assistants participating in the Opportunities Industrialization Center (OIC)

program. She covered the 120-plus year history of the hospital, careers that a Certified Nursing Assistant

specialty could be transferred to within the hospital (i.e., monitor tech, nursing assistant, patient safety

assistant), and explained the interview process and how to apply online. In a subsequent meeting, she assisted

the students with resume writing and mock interviews. After the session, she offered each student feedback

about their interview, their resume, and any areas of growth to help them prepare for future employment.

IN OUR COMMUNITY

Supporting the UnderservedSeveral times throughout the year, the hospital actively partners with other Chester County organizations

to support residents outside our hospital’s setting. Lead by Nancy Canfield, Benefits Coordinator and the

Diversity Council, the hospital invited employees and visitors to donate food, toiletries, home essentials,

blankets and bedding, and school supplies. The outpouring of generosity was overwhelming. The items were

given to organizations like David’s Drive 831, Safe Harbor of West Chester, Friends Associations for Care and

Protection of Children, Pennsylvania Home of the Sparrow, the Chester County Food Bank, and the Maternal

and Child Health Consortium of Chester County. In addition to donating items, often our clinicians and

employees volunteer their time at these organizations. For example, the nursing staff of the Intensive Care

Unit (ICU) sponsored a dinner at Safe Harbor. Arranged by Michelle Root, MSN, RN, Charge Nurse ICU, the

nurses purchased and prepared enough food items to serve dinner to 25 homeless women.

BEYOND THE COUNTY

Honduras Mission ProjectHeather Donohue, BSN, RN, CNOR, participated in a week-long medical mission trip to Honduras in May 2013.

While there, she helped set up brigades that offered medical, dental, optical and pharmaceutical assistance.

She partnered with other volunteers, including a dentist, an ophthalmologist, a nurse practitioner, a nurse

midwife, two other nurses, and a medical assistant. All medical services, including glasses and prescriptions,

were provided free of charge. In addition to medical care, the team provided clothing, shoes and toothbrushes

for the adults and children. Altogether, Donohue and her team treated about 700 Hondurans in the clinics

they established in Cayos Cochinos, Campo Llano, San Pedro Sula, and El Carmen. Her efforts exemplify and

extend the care she provides to Chester County’s patients.

ECONOMIC IMPACT EXAMPLES


Volunteerism

Not only does the hospital benefit from the good work of the volunteers, but

the volunteers themselves attain a sense of satisfaction of providing a much-

needed service to a grateful organization in their community. There is pride and

accomplishment in sharing one’s time. Our volunteers are critical to the day-

to-day operations at the hospital. They help solve problems and are often found

to be the solution.

The Corporation for National and Community Service states that there is a

strong relationship between volunteering and individual health.

“Those who volunteer have lower mortality rates, greaterfunctional ability, and lower rates of depression later in life than

those who do not volunteer.”

If you are interested in learning more about the available volunteer opportunities,

please call the Volunteer Office at 610.431.5191 for an appointment.

THE HOSPITAL WELCOMES ADULT AND TEENVOLUNTEERS IN NEARLY EVERY DEPARTMENT.The Volunteer Services Department supports hospitaloperations and patient services by matching volunteerinterests and strengths with the many opportunitiesavailable throughout the hospital.

{ } 45,791Hours of Service

In FY2013, there were 414 volunteers,

which is the equivalent of 22 full-time employees.

Altogether, they gave 45,791hours of service.

Volunteers support nearly everyhospital department.

The Emergency Departmenthosts the most volunteers,

but they also staff theInformation Desk and the Family Waiting Room,

which are two significant areas of responsibility.

Volunteers give their time at Fern Hill Medical Campus,

Exton Medical and Diagnostic Center, and

Kennett Medical Campus too.

VOLUNTEERISM EXAMPLES


WITHIN THE HOSPITAL

Behavioral HealthDirector of Emergency Services Betty Brennan, EdD, MSN, RN, CEN, is the organizer and facilitator of quarterly

regional meetings in community behavioral health for Chester County Mental Health and Drug/Alcohol

Community Services. The purpose of these meetings is to bring together multi-disciplinary, multi-agency,

inpatient psychiatric hospitals, emergency departments and other agencies within the county that service and

provide care for behavioral health patients. Through shared agendas, initiatives and forums for discussion in

these meetings, a cohesive and collaborative plan of care for the community behavioral health needs was

created. Brennan voluntarily contacted everyone individually first to gauge and encourage attendance and

distributed a survey to develop a list of topics for the group. The hospital supports Brennan in her community

service by providing the room for the meetings, nourishment and technology support. For her work, Brennan

received the 2013 Healthcare Heroes Award by Main Line Today in the category of community service for

establishing a behavioral health program for patients in conjunction with other health care organizations and

behavioral health facilities in Chester County.

IN OUR COMMUNITY

Community Volunteers in MedicineCommunity Volunteers in Medicine (CVIM) is a community-based, volunteer nonprofit organization providing

primary medical and dental care to low income, working Chester County residents without insurance, enabling

them to continue to be contributing members of the community. The program is designed to provide services

for those individuals whose income is at or below 300% of the Federal Poverty guidelines and are not eligible for

Medical Assistance, Medicare, VA benefits or the Children’s Health Insurance Program. Numerous clinical

practices and private physicians on the Medical Staff of Chester County Hospital have been generously providing

free or reduced-fee services to CVIM participants.

BEYOND THE COUNTY

Super Storm Sandy RebuildingPamela Conner, BSN, RN, CMSRN, participated in a seven-day mission trip to Buckhannon, WV, sponsored by the

Hopewell United Methodist Church. In July, she volunteered time to the Hopewell United Methodist Church’s

Student Ministries. During the week, a group of 20 adult leaders and approximately 40 high school students

traveled to Buckhannon to assist local residents that were still recovering from Super Storm Sandy in October

2012. Conner and her students worked with a disabled couple to help repair damages to their home. She and her

group built a handicap ramp from the porch of this couple’s home to enable the wheelchair-bound homeowner

easier access. The group repaired damages to the roof and extended the roof to cover the deck and newly

constructed handicap ramp. Conner not only served as an adult leader and worker, but she served as the nurse for

the group as well. Conner was in charge of all the medications that the students brought with them, and also

performed first aid to injured workers as needed.

Chester County Eye Care Associates

Chester County Hematology Oncology Services*

Community Radiology Associates of the University of Pennsylvania

Ear, Nose and Throat Associates of Chester County

Plastic and Reconstructive Surgery of Chester County

Surgical Specialists, P.C.

Turk’s Head Surgery Center

Urology Center of Chester County

West Chester Endoscopy

West Chester Gastrointestinal Group

Women’s Specialty Center*

*Hospital-employed physicians

More information about Chester County Hospital can be found at ChesterCountyHospital.org.

/chestercountyhospital @cchosp #CCHCBR

Chester County Hospital Community Benefit Report 2013.pdf

Documents

Transcript of Chester County Hospital Community Benefit Report 2013.pdf