PENN PRESBYTERIAN MEDICAL CENTER TRUSTEE BOARD EXECUTIVE COMMITTEE

Transcription

1 PENN PRESBYTERIAN MEDICAL CENTER TRUSTEE BOARD EXECUTIVE COMMITTEE Reslutin t Apprve the Penn Presbyterian Medical Center s Cmmunity Health Needs Assessment Implementatin Strategy Written Plan INTENTION: Penn Presbyterian Medical Center ( PPMC ) is rganized as a nt fr prfit 501(c)(3) hspital and is a cmpnent f the University f Pennsylvania Health System ( UPHS ) and Penn Medicine. PPMC is cmmitted t identifying, priritizing and serving the health needs f the cmmunity it serves. In fulfillment f the Patient Prtectin and Affrdable Care Act, PPMC has perfrmed a Cmmunity Health Needs Assessment ( CHNA ) and in cnjunctin with UPHS, prepared a written implementatin strategy ( CHNA Implementatin Plan ). The purpse f the CHNA is t identify and assess the health needs f, and take int accunt input frm persns wh represent the brad interests f the cmmunity served by PPMC. The CHNA Implementatin Plan fr Fiscal Year 2013, as presented t the Bard f Trustees thrugh its Executive Cmmittee and attached as Exhibit A sets frth PPMC s assessment and implementatin strategies. ACCORDINGLY, IT IS HEREBY RESOLVED, that the PPMC CHNA Implementatin Plan as described in the freging Intentin is hereby apprved. FURTHER RESOLVED, that the prper fficers f PPMC be, and each f them hereby is, authrized t execute and deliver such additinal dcuments, and t take such additinal actins as may be necessary r desirable in the pinin f the individual s acting, t effectuate the intent f the freging reslutin. Michele M. Vlpe June 13, 2013 C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

2 Exhibit A PENN PRESBYTERIAN MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOR FISCAL YEAR 2013 C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

3 Cmmunity Health Needs Assessment (CHNA) Implementatin Strategy Written Plan PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM D/B/A PENN PRESBYTERIAN MEDICAL CENTER 51 N. 39 th Street Philadelphia, PA Fiscal Year 2013 I. General Infrmatin Cntact Persn: Michele Vlpe, Executive Directr Date f Written Plan: April 15, 2013 Date Written Plan Was Adpted by Organizatin's Authrized Gverning Bdy: June 13, 2013 Date Written Plan Was Required t Be Adpted: June 30, 2013 Authrizing Gverning Bdy that Adpted the Written Plan: Bard f Trustees f Penn Presbyterian Medical Center Was Written Plan Adpted by Authrized Gverning Bdy by End f Tax Year in Which CHNA was Made Available t the Public? Yes Date Facility's Prir Written Plan Was Adpted by Organizatin's Gverning Bdy: Nt Applicable FY13 is the first plan submitted Name and EIN f Hspital Organizatin Operating Hspital Facility: Penn Presbyterian Medical Center Tax ID: Address f Hspital Organizatin: 51 N. 39 th Street Philadelphia, PA C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

4 II. List f Cmmunity Health Needs Identified in Written Reprt List f Cmmunity Health Needs Identified in CHNA Written Reprt, Ranked by CHNA's Pririty: Unmet health care needs f the residents f this service area include: A. Access t and crdinatin f primary care, preventive care, and specialty care particularly thse individuals living in pverty; B. Access t and crdinatin f dental care fr adults, particularly thse individuals living in pverty; and C. Access t prescriptin cverage fr adults and children, Unmet needs in this area als include increased educatinal prgrams t address: A. Cultural and language barriers, particularly amng nn-english speakers, Asian and Latin ppulatins; B. Navigatin f the cmplex health care system; C. Heart disease and cancer fr all residents; D. Smking preventin, interventins, and cessatin prgrams; E. Behaviral health cnditins and treatment ptins fr adults, teens, lw-incme and uninsured individuals; F. Neighbrhd safety; G. Lng waiting lists fr services; and H. Wmen s health needs, specifically bstetrical care and rutine cancer screenings. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

5 III. List f Cllabrating Organizatins List f Cllabrating Organizatins: Bridging the Gaps Center fr Public Health Initiatives Children s Hspital f Philadelphia Clinical Practices f the University f Pennsylvania (CPUP) Cmmunity Behaviral Health Cmmunity Care Assciates (CCA) Cmmunity Develpment Crpratin Sustainable Cmmunities Initiative West Cmmunity Legal Services Cuncilwman Jannie L. Blackwell Drexel Wmen s Care Center Enterprise Center Cmmunity Develpment Crpratin EPIC Stakehlder s Assciatin Fairmunt Primary Care Center Gd Sheppard Penn Partners (GSPP) Health Prmtin Cuncil Healthy in Philadelphia Hebrew Immigrant Aid Sciety and Cuncil Migratin Service Hspital f the University f Pennsylvania (HUP) Jeffersn Family Medicine Assciates LIFE (Living Independently Fr Elders) Lutheran Children and Family Service Maternal Child Calitin Natinal Refugee Health Cnsrtium Nemurs Pediatrics C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

6 Penn Center fr Primary Care Penn Hmecare and Hspice (HCHS) Penn Plice Pennsylvania Hrticultural Sciety Pennsylvania Hspital (PAH) Peples Emergency Center Philadelphia Blck Captain s Assciatin Philadelphia Department f Human Services Philadelphia Fight Philadelphia Plice Department (16th District) Philadelphia Wrks Pweltn Village Civic Assciatin Saunder s Park Neighbrs Suthwest Cmmunity Develpment Crpratin Spectrum Health Services The Cnsumer Satisfactin Team The Health Federatin f Philadelphia The Philadelphia Refugee Health Cllabrative University City District (UCD) West Philadelphia Cmmunity Center West Pweltn Cmmunity Cuncil West Pweltn Cncerned Citizens C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

7 Cmmunity Health Needs Assessment Participants: 52 nd Street Business Assciatin Actin AIDS Aid fr Friends Cmmunities in Schls f Philadelphia, Inc. Delaware Valley Healthcare Cuncil Family Practice & Cunseling Netwrk Health Annex Health Start MANNA Maternity Care Calitin Mental Health Assciatin f Sutheastern Pennsylvania Mercy Philadelphia Health System Pennsylvania Senate, District 7 Philadelphia Crpratin fr Aging Philadelphia Health Centers Public Health Management Crpratin Sickle Cell Disease Assciatin f America, Philadelphia Delaware Valley Chapter St. Cyprian Rman Cathlic Church The Enterprise Center CDC Yuth Service, Inc. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

8 IV. Health Needs Planned t Be Addressed By Facility List f Health Needs the Facility Plans t Address 1. Access t and crdinatin f primary care, preventive care, and specialty care particularly thse individuals living in pverty; 2. Access t prescriptin cverage fr adults and children, 3. Educatinal prgrams t address: Cultural and language barriers, particularly amng nn-english speakers, Asian and Latin ppulatins; Navigatin f the cmplex health care system; Heart disease and cancer fr all residents; Smking preventin, interventins, and cessatin prgrams; Behaviral health cnditins and treatment ptins fr adults, teens, lw-incme and uninsured individuals; Neighbrhd safety; Lng waiting lists fr services; and Wmen s health needs; specifically bstetrical care and rutine cancer screenings. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

9 Identificatin and Descriptin f Hw Facility Plans t Address Each Health Need A. Access t and crdinatin f primary, preventative and specialty care, particularly thse individuals living in pverty; and (B) educatinal prgrams t address navigatin f the cmplex health care system; - Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need Cllabrative gal-setting, a prcess by which prvider and patient discuss and agree n a health-related gal, can help align their perspectives and has been shwn t imprve chrnic disease utcmes. Cmmunity health wrkers (CHWs), trained laypersns wh share life experience with lw-ses patients, are uniquely qualified t prvide this supprt. When jined tgether gal these strategies are prving t have a prfund impact in the crdinatin f care, system navigatin and health utcmes f individuals living in pverty. PPMC is a key partner in the IMPaCT prgram - Individualized Management twards Patient-Centered Targets - an interventin in which CHWs help lw-ses patients achieve their health gals. IMPaCT care teams prvide individualized transitin supprt pst-acute stay and cntinued supprt in a primary care setting fr patients with multiple chrnic cnditins. In the FY2014 year, PPMC has made targeted specialty care recruitments in the Neursciences and has secured new faculty in general neurlgy as well as strke care. These strategic recruitments will frm the fundatin fr establishing greater access t Neursciences services n the PPMC campus. In the FY2014 year, PPMC is planning address specialty care in urlgy by prmting a PSA screening targeted t men ages 45 years and ver t prmte access t imprved prstate health. (PSA is a prtein made by prstate tissue. Men with prstate cancer ften have elevated PSA levels because the cancer cells make excessive amunts f this prtein. The PSA test is a bld test which can detect the early signs f prstate cancer). Additinal urlgy faculty has als been hired t prvide mre appintment access and care. - Describe anticipated impact f cmmitted prgrams and resurces n the health need The IMPaCT prgram is aimed at addressing access, chrnic disease management, patient satisfactin and trust as well as navigatin f the cmplex health system. PPMC currently funds tw transitin partners fr the IMPaCT prgram and plans t increase supprt ver the next year as admissins increase and the need expands. Gals and impact f the prgram is aimed at having patients achieving their health gals feeling healthy (bth emtinally and physically), trusting their primary care dctr, and feeling like they were getting primary care that was fcused n their needs, and nt having t g t the hspital as frequently. In additin t aiding the health needs f these patients the IMPaCT prgram is targeted at reducing health disparities based n sciecnmic factrs such as incme, race/ethnicity, insurance and educatinal attainment, which have been cnsistently dcumented acrss a wide range f chrnic diseases and utcmes. The prgram has been successful in breaking dwn ften unaddressed barriers t chrnic disease management that clinicians ften cannt address that detracted frm patients ability t achieve gals fr chrnic disease management. These were cmpeting sciecnmic issues (e.g. fd insecurity, hmelessness); difficulty navigating the health system and crdinating care fr multiple chrnic cnditins; and lack f mtivatin r ability t perfrm recmmended health behavirs. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

10 Increased specialty care appintment availability fr Neurlgy appintments was cited as being particularly difficult t secure fr residents. PPMC s new recruitment as well as a new referral line prgram is aimed at reducing this waiting time. Mre than fur in ten (45.8%) men ages 45 years and ver in the service area did nt have a PSA r rectal exam fr prstate cancer in the past year. The PSA clinic being established intends t impact this rate. - Describe facility's pririties in meeting these needs The IMPaCT prgram is an n-ging cmmitment frm Penn Medicine and PPMC which is anticipated fr expansin based n vlume grwth f patient demands t access the prgram The Neurlgy specialty care access and Urlgy PSA clinic are active recruitments and launches that will be marketed t the cmmunity in the upcming year. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

11 C. Access t prescriptin cverage fr adults and children, - Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need General Medicine Fund (GMF) and Presbyterian Infectius Disease (PID) Prgram - These specific funds have been established t cver the cst f medicatins fr any inpatient, bservatin patient r emergency department utpatient wh des nt have medical cverage r prescriptin cverage. These prescriptins are generally a 5 day supply f essential medicatins but exceptins can be made, such as antibitics and tapers. There is n minimum r maximum fr cst f medicatins. - Describe anticipated impact f cmmitted prgrams and resurces n the health need The funds prvide prescriptin cverage fr adult patient care needs - Describe facility's pririties in meeting these needs GMF is a funded by an annymus dnr. Each year the dnr decides if he/she will dnate fr the upcming year. PID fund is generated by dnatins that were made t United Way fr Penn Presbyterian Medical Center C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

12 D. Educatinal prgrams t address cultural and language barriers, particularly amng nn-english speakers, Asian and Latin ppulatins; - Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need Penn Center fr Primary Care (PCPC) at PPMC hsts a weekly refugee clinic targeted at the health needs and resettlement f patients wh have received plitical asylum in the United States and have endured a smetimes brutal time getting here frm places like Nepal, Myanmar (Burma), Darfur, and Eritrea. Our Primary Care practitiners wrk clsely with the resettlement agency HIAS (Hebrew Internatinal Aid Sciety) and multiple ther entities. We prvide medical care, vaccinatins, and n-ging referrals nce their medical needs have been identified. PPMC als prvides interpretatin services acrss all care areas as needed t imprve cmmunicatin with nn-english speaking patients and their care prviders - Describe anticipated impact f cmmitted prgrams and resurces n the health need This clinic prgram is directly targeting large African and Asian ppulatins frm Liberia, Mali, the Ivry Cast, Ethipia, Sierra Lene, and Burma wh may nt therwise get necessary health care service - Describe facility's pririties in meeting these needs The weekly clinic has 20 rtating residents and dedicated primary care physicians. The clinic perates ne half day a week n Mnday afternns. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

13 E. Educatinal prgrams t address heart disease and cancer fr all residents; and (F) Educatinal prgrams t address smking preventin, interventins, and cessatin prgrams; - Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need - PPMC engages in cmmunity educatin thrughut the year. These are highlighted prgrams which the rganizatin plans t cntinue t supprt t address educatin related t chrnic disease: PPMC is cmmitted t ur Annual Spring int Health Cmmunity Day, prviding health infrmatin, bld pressure screenings, and CPR demnstratins t children, adults and senirs frm the West Philadelphia cmmunity. Fr this event, mre than 50 PPMC nurses, nursing assistants, and physicians prvide screenings and educatin. Annual ver 300 participants receive bld pressure and diabetes screenings with educatin, HIV testing and educatin, nutritinal cunseling, pharmaceutical medicatin reviews, physical exercise tips, and mre. PPMC s is a Partner in the Annual West Philadelphia Cmmunity Wellness Day and spnsred. Mre than 500 peple in the cmmunity attended t learn hw t imprve their health. Presented by Cuncilwman Jannie L. Blackwell, the University f Pennsylvania Schl f Nursing, Healthy in Philadelphia and LIFE (Living Independently Fr Elders), and in cllabratin with University f Pennsylvania Office f Gvernment & Cmmunity Affairs and PPMC, the event ffered an afternn f health screenings, exercise wrkshps and mre. Penn Presbyterian assisted with prducing a health fair at Temple University s Liacuras Center. Hsted by Philadelphia radi persnality, Tm Jyner, Take a Lved One t the Dctr which invited many health care partners t address primary health cncerns. On this day, Penn Presbyterian assisted in bld pressure and BMI readings and educated nearly 300 fair attendees n heart health and healthy life practices. Healthy in Philadelphia Cmmittee, which versees utreach pprtunities in the lcal area. This grup is a partnership between the health system s nursing schl and the lcal cmmunity that aims t leverage cllective resurces t imprve the health f residents. Since 2011, PPMC has been a standing member f this rganizatin s First Thursday initiative, which enables nurses t meet regularly with blck captains and determine hw they can better serve and educate the cmmunity. In the upcming fiscal year, PPMC is planning a targeted direct mailing, scial netwrking and a cmmunity engagement strategy specifically fcused n smking preventin, interventin and cessatin. This direct utreach will highlight the resurces in smking cessatin and COPD that are ffered in clinical settings and will identify supprting cmmunity resurces t aid in this preventin effrt. Our faculty/prviders lecture fr cmmunity based clinicians thrugh the AIDS Educatin and Training Center. - Describe anticipated impact f cmmitted prgrams and resurces n the health need Heart disease is the leading cause f death in the service area fllwed by all frms f cancer, lung disease and strke. Chrnic disease preventin is a crnerstne f health imprvement effrts fr ur cmmunity and cntinues t be ne f ur greatest avenues fr reginal C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

14 engagement and persnal cnnectin in the cmmunity. These effrts are designed t impact and imprve the rates fr heart disease, high bld pressure, smking, diabetes, and asthma management. - Describe facility's pririties in meeting these needs Penn Presbyterian ffers a cmprehensive range f cardiac services including cmplex angiplasty and stent replacement fr crnary artery disease, innvative heart bypass techniques, latest therapies fr abnrmal heart rhythms, minimally invasive cardiac surgery, prgram fr cngestive heart failure, heart valve repair, and special prgrams fr risk reductin and rehabilitatin. An imprtant part f PPMC s missin is reaching ut t the cmmunity. PPMC and the University f Pennsylvania Health System jintly spnsr a speaker s bureau and can arrange t have a health prfessinal speak at ff-campus cmmunity meetings withut charge, staff members can als be scheduled t represent the hspital at health fairs, bringing infrmatin n hspital services, screenings and preventin. In additinal, physicians and ther health prfessinal present free seminars n campus thrughut the year. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

15 G. Educatinal prgrams t address behaviral health cnditins and treatment ptins fr adults, teens, lw-incme and uninsured individuals - Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need; The PPMC Behaviral Health Prgram prvides inpatient and utpatient services fr mental health and addictin treatments as well as mental health prgrams fr lder adults. Wright-5 is a 22-bed inpatient adult shrt-term psychiatric unit, which accepts all levels f diagnsis. We specialize in the treatment f patients with a c-ccurring addictin prblem secndary t the primary psychiatric prblem. The unit is staffed by physicians, registered nurses, mental health technicians, addictin cunselrs and scial wrkers. Wright- 4 and the dedicated staff wrking in the Addictin Treatment Center at the Penn-Presbyterian Medical Center are here t serve thse in the cmmunity and surrunding area suffering frm the disease f addictin. We ffer a cntinuum f care that has received State & Natinal recgnitin. Recvery is a day-by-day, life lng prcess. In FY2014, PPMC is planning t fcus n behaviral health educatin prgrams targeted at increasing awareness f behaviral health needs amng primary care prviders and lcal cmmunity rganizatins with the intent f creating imprved pathways fr early interventin. In additin, PPMC alng with ur peers acrss the health system plan t address system cllabratin and access fr patients t ensure the mst beneficial treatment envirnment is prvided in a mre crdinated fashin acrss the system. PPMC Infectius Disease practice was chsen as a site fr a Behaviral Health Services Initiative. As part f this grant, which is crdinated thrugh anther university in the city, the ID Practice has a fulltime behaviral health specialist n-site t prvide nging cunseling and mental health services. Examples f the services prvided by ur behaviral health specialist include: Cunseling fr acute mental health issues Cunseling and behaviral therapy fr lng-term issues like depressin, anxiety, and mre Cunseling fr smking cessatin, insmnia, issues with medicatin adherence - Describe anticipated impact f cmmitted prgrams and resurces n the health need Accrding t the cmmunity needs assessment ne in five adults in the service area has been diagnsed with a mental health cnditin and f thse with a mental health cnditin, mre than fur in ten are nt receiving treatment fr the cnditin. PPMC aims t impact this health need thrugh the prmtin f prgrams ffered. Accrding t the cmmunity needs assessment, there is a shrtage f drug and alchl treatment prviders fr lw-incme ppulatins. There is an especially high need fr treatment prgrams fr individuals with bth mental health and substance use disrder. PPMC is prud t ffer a strng fundatin fr dual-diagnsis care in ur cmmunity and plans t cntinue this service. - Describe facility's pririties in meeting these needs C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

16 PPMC supprts tw inpatient units fr behaviral health as well as a intensive utpatient treatment prgram H. Educatinal prgrams t address neighbrhd safety; - Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need PPMC has initiated a Cmmunity Safety Plan in partnership with the Penn Plice, Philadelphia Plice Department (16 th District), University City District (UCD), Allied Bartn, PPMC Emergency Medicine, and PPMC Security. PPMC is a member f Friends f 40 th Street a grup charged with enhancing the business climate n 40 th street between Lancaster and Baltimre Avenues. PPMC is a participant in Make yur Mark Lwer Lancaster Avenue Steering Cmmittee, a study spearheaded by Peple s Emergency Center as a cmprehensive planning initiative lking at jbs, public spaces, husing, entertainment, transprtatin and verall quality f life issues. - Describe anticipated impact f cmmitted prgrams and resurces n the health need The Cmmunity Safety Plan s missin is t impact the West Philadelphia cmmunity neighbrhd t reduce vilence and aid residence in leaving their hmes when in need f medical help. Specific prgrams include safety imprvements t and maintenance f Saunders Park and physical enhancements f the surrunding cmmunity including lighting enhancements. The Friends f 40 th Street and Make Yur Mark prjects hpe t target and create a safe and healthy cmmunity t fster and strengthen the cmmunity and seed a safe fundatin and cmmunity netwrk aimed at deterring vilence. - Describe facility's pririties in meeting these needs This grup meets quarterly and addresses issues f campus/cmmunity safety, hmelessness, crime reductin and quality f life issues. Capital investments in lighting as well as annual neighbrhd clean-up events Majr capital Investments and grwth in physical plant f PPMC campus buildings t be cmpleted in 2015 will physically transfrm the 38 th and Pweltn crridr and create the envirnment fr neighbrhd enhancement. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

17 I. Educatinal prgrams t address lng waiting lists; - Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need PPMC and Penn Medicine prmte a central access pint fr all health care cnsumers 789- PENN where dedicated intake peratrs can direct patients t prviders arund the regin with pen appintments sme the same day. In additin, Penn Medicine is wrking n expanding pilt prgrams fr creating same day and next day appintments t fill a grwing need fr immediate care respnse in an utpatient setting. - Describe anticipated impact f cmmitted prgrams and resurces n the health need Center City cmmunity members reprted that it can take up t ten weeks fr psychiatric intake, which ultimately discurages peple frm getting help. Members f the West cmmunity grup said that there are lng wait lists at the city s health centers fr lw incme adults seeking primary care. Many adults d even try t get an appintment because they perceive the wait times t be t lng. Regular health screenings can help identify health prblems befre they start. Early detectin can imprve chances fr treatment and cure and help individuals t live lnger, healthier lives. In the Penn Presbyterian Medical Center service area, ne in six (16.2%) adults did nt visit a health care prvider in the past year; this percentage represents 48,200 adults - Describe facility's pririties in meeting these needs Penn Medicine and PPMC have active task frces fcused n access and increasing the pprtunities and availability f creating mre appintments and mre flexibility fr patients t access the care needed in the mst timely manner pssible. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

18 J. Educatinal prgrams t address wmen s health needs, specifically bstetrical care and rutine cancer screenings. - Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need Cmmunity educatinal prgrams rganized thrugh ur ffice f Nursing will include the prmtin f wmen s health needs especially bstetric and rutine cancer screenings. Cmmunity mailings advertising screening services and care pathways can als be used t target this need in the cmmunity alng with ur cmmunity health wrkers The PPMC Divisin f Infectius Disease has maintained grant funding fr several years frm the Ryan White HIV/AIDS Prgram, which is a federally funded grants prgram that cvers the csts f medical care fr uninsured patients. Thrugh ur Ryan White funding we have been able t build ur practice and prvide several services necessary t the care and well-being f ur HIV-infected patients. Examples f these services include: Nursing care Case management services Nutritinist services Linkage care crdinatr Cverage f the csts f certain expensive medical tests fr patients withut insurance cverage fr such tests Linkages t surrunding cmmunity service rganizatins that prvide case management services fr peple living with HIV/AIDS On-site utpatient pharmacy Wellness events Mnthly grup supprt meetings lead by ur linkage crdinatr fr patients living with HIV/AIDS The ID Divisin als has a federally funded grant fr early interventin fr HIV. This grant has allwed us t supprt a Rapid HIV Testing Prgram. This prgram includes the fllwing: Testing crdinatrs wh prvide rapid HIV testing in the Emergency Department, inpatient units, in ur utpatient practice, and at cmmunity events. A prgram dedicated t quickly and efficiently linking newly diagnsed patients frm the hspital, Emergency Department, r cmmunity t ur practice fr initial and subsequent HIV care The Infectius Disease practice is part f the Viral Hepatitis Center f the Perelman Schl f Medicine, a cmbined effrt f the Infectius Diseases and Gastrenterlgy Divisins within the Department f Medicine. We prvide diagnstic, treatment, and preventin services fr thse with chrnic hepatitis B and C, including availability f clinical trials with new drugs. This is an nging and unmet cmmunity need. It is estimated that ne third f thse infected with hepatitis C in the United States are unaware f their diagnsis and a significant prprtin f thse are uninsured. There is n system in place t help thse patients, as there is with HIV infectin. We wrk clsely with ur scial wrker and with prgrams that can prvide medicatins fr patients thrugh patient assistance prgrams. C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

19 We are partnering with cmmunity based testing campaigns fr HCV in rder t facilitate linkage t care fr thse newly diagnsed with HCV infectin. - Describe anticipated impact f cmmitted prgrams and resurces n the health need The cmmunicable disease rates fr chrnic Hepatitis B, Tuberculsis, Varicella (chicken px), Chlamydia, Gnrrhea, and Syphilis (primary and secndary) in Philadelphia Cunty are higher than state rates. Fur in ten (39.6%) wmen in the service area did nt receive a Pap Smear test in the past year. Mre than ne-third (35.9%) f wmen ages 40 r lder in the service area is nt receiving this screening annually In Philadelphia Cunty, there are 16,234 individuals wh are living with HIV, including AIDS, representing a prevalence rate f 1,121.6 cases per 100,000 ppulatin. This prevalence rate is five times higher than the state s rate (244.9) The area in West Philadelphia arund PPMC is ne f the highest incident and prevalent areas fr HIV infectin in Philadelphia. The ID practice at PPMC has grwn frm 50 t 750 patients in the last 15 years. Althugh nt all f these patients are frm the neighbrhd, a majrity f ur patients are West Philadelphians. - Describe facility's pririties in meeting these needs Plan t incrprate wmen s health needs and prmtin f screening resurces int practive utreach and existing clinical pathways in an targeted effrt in the upcming fiscal year Cntinued supprt f the prgrams utlined abve C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx

20 V. Health Needs Facility Des Nt Intend t Address List f Health Needs the Facility Des Nt Plan t Address Access t and crdinatin f dental care fr adults, particularly thse individuals living in pverty Identificatin and Descriptin f Health Need the Facility Des nt Intend t Meet and Explanatin f Why Access t and crdinatin f dental care fr adults, particularly thse individuals living in pverty - Penn Presbyterian Medical Center s missin as an acute hspital and ambulatry care prvider des nt prvide dental care, therefre this need falls utside f the scpe f ur facility C:\Users\Krens\Appdata\Lcal\Temp\ PPMC Reslutin CHNA FY13 Plan Adptin V3.Dcx