PENNSYLVANIA HOSPITAL BOARD OF MANAGERS EXECUTIVE COMMITTEE Reslutin t Apprve the Pennsylvania Hspital f the University f Pennsylvania Health System s Cmmunity Health Needs Assessment Implementatin Strategy Written Plan INTENTION: Pennsylvania Hspital f the University f Pennsylvania Health System ( PAH ) a cmpnent f the University f Pennsylvania Health System ( UPHS ) and Penn Medicine, is rganized as a nt- frprfit 501(c)(3) hspital. PAH 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, PAH 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 PAH. The CHNA Implementatin Plan fr Fiscal Year 2013, as presented t the Bard f Managers thrugh its Executive Cmmittee and attached as Exhibit A sets frth PAH s assessment and implementatin strategies. ACCORDINGLY, IT IS HEREBY RESOLVED, that the PAH CHNA Implementatin Plan as described in the freging Intentin is hereby apprved. FURTHER RESOLVED, that the prper fficers f PAH 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. R. Michael Buckley, Jr., M.D. June 10, 2013 C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
Exhibit A PENNSYLVANIA HOSPITAL OF THE UNVERSITY OF PENNSYLVANIA HEALTH SYSTEM COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN FOR FISCAL YEAR 2013 C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
Cmmunity Health Needs Assessment (CHNA) Implementatin Strategy Written Plan The Pennsylvania Hspital f the University f Pennsylvania Health System 800 Spruce Street Philadelphia, Pennsylvania 19107 Fiscal Year 2013 I. General Infrmatin Cntact Persn: Michael Buckley, M.D., Executive Directr Date f Written Plan: April 15, 2013 Date Written Plan Was Adpted by Organizatin's Authrized Gverning Bdy: June 10, 2013 Date Written Plan Was Required t Be Adpted: June 30, 2013 Authrizing Gverning Bdy that Adpted the Written Plan: Pennsylvania Hspital Bard f Managers 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; FY 2013 is first plan submitted. Name and EIN f Hspital Organizatin Operating Hspital Facility: Pennsylvania Hspital f UPHS EIN 31-1538725 Address f Hspital Organizatin: 800 Spruce Street Philadelphia, Pennsylvania 19107 II. List f Cmmunity Health Needs Identified in Written Reprt List f Cmmunity Health Needs Identified in CHNA Written Reprt: 1. Leading cause f death: Heart Disease 2. Secnd leading cause f death: Cancer 3. Unmet health care needs f the residents f this service area include A. Access t primary and preventive care fr adults and children, particularly wmen living in pverty. C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
B. Access t behaviral health care, dental care and prescriptin cverage fr adults and children. 4. 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. Navigating the cmplexities f the health care system; C. Neighbrhd safety; D. Lng waits fr certain health care services; E. Heart disease and cancer fr all residents; F. Smking preventin, interventins, and cessatin prgrams; and G. Wmen s health needs, specifically fr Obstetrical and rutine Gyneclgical care and specifically fr lw-incme wmen. C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
III. List f Cllabrating Organizatins List f Cllabrating Organizatins: Penn Presbyterian Medical Center Hspital f the University f Pennsylvania University f Pennsylvania Office f Gvernment Relatins and Cmmunity Affairs University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers University f Pennsylvania - Center fr Public Health Initiatives Philadelphia Department f Health Jan Karnell Cancer Center Philadelphia Department f Behaviral Health C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
IV. Health Needs Planned t Be Addressed By Facility Based upn the Cmmunity Health Needs Assessment, prepared by the Public Health Management Crpratin fr Pennsylvania Hspital, the fllwing plan has been created. List f Health Needs the Facility Plans t Address: 1. Leading cause f death: Heart Disease Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need: Cntinue the rganizatin s effrt t invest in physician recruitment in bth cardilgy and cardiac surgery. Cntinue the rganizatin s cmmitted investment in the physical plant and technlgy in supprt f heart disease. Cntinue the rganizatins fcused effrts n staff and patient educatin in areas such as heart failure. Cntinue the effrts underway t imprve the experience f the patient with heart disease in all aspects f care inpatient and utpatient. Maintain the inpatient care unit and intensive care unit dedicated t cardilgy. Maintain supprt fr nurses t achieve prfessinal certificatin in cardilgy. Describe anticipated impact f cmmitted prgrams and resurces n the health need Heart Disease is the leading cause f death in the service area. Effrts will expand the accessibility f prviders t the cmmunity. Elevate the knwledge level f clinicians and the cmmunity served. Describe facility's pririties in meeting these needs High pririty has been placed n the cntinued grwth f this prgram in rder t better serve this patient ppulatin by increasing access. A multidisciplinary team has been identified t lead the imprvement f the patient experience. Resurces frm the health system have been secured t supprt the prcess. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need Cllabrate with Philadelphia Department f Health sharing educatinal resurces and jining frces n health gals designated by the City. American Diabetes Assciatin American Assciatin f Diabetes Educatrs American Heart Assciatin Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
Philadelphia Department f Health Penn Presbyterian Medical Center Hspital f the University f Pennsylvania University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers University f Pennsylvania - Center fr Public Health Initiatives Philadelphia Department f Behaviral Health 2. Secnd leading cause f death: Cancer Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need Cntinue the supprt f the Jan Karnell Cancer Center which ffers the fllwing services: Supprt grups addressing needs such as: breast cancer, bdy image, esphageal cancer, bereavement fr families impacted, sickle cell and sarcma. Educatinal prgrams such as: healthy cking classes, maintaining ptimal health and bdy image, educatin fr thse at high risk, early detectin fr breast cancer and caregiver prgrams. Screening and awareness prgrams cvering tpics such as: Prstate cancer, ral, head and neck cancer, clrectal cancer and uterine cancer. Cntinue the significant investment in Palliative Care which mst recently prvided fr the additin f a scial wrker, nurse and physician certified in Palliative Care. Cntinue the significant investment in physician recruitment. Cntinue the significant investment in physical plant and technlgy. Cntinue the significant investment in supprt services, patient and staff educatin and research. Maintain the inpatient unit dedicated t the treatment f cancer. Cntinue the supprt fr all nurses t achieve prfessinal certificatin in nclgy nursing. Cntinue t prvide access t hspice care. Describe anticipated impact f cmmitted prgrams and resurces n the health need The impact f prgrams ffering educatin will increase the awareness f the early detectin, treatment f cancer fr patients and family members. Cntinued recruitment f physicians will increase access t care fr the cmmunity. C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
Services such as palliative care and hspice prvide apprpriate symptm management, level f care and psychscial supprt fr the patient and family. Describe facility's pririties in meeting these needs The primary pririty is the supprt f the cntinued grwth f the current prgrams serving the cancer needs f the cmmunity. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need American Cancer Sciety Susan G. Kmen Fundatin Peter Skeltn Research Fundatin Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy The Philadelphia Department f Health Jan Karnell Cancer Center Penn Presbyterian Medical Center Hspital f the University f Pennsylvania University f Pennsylvania Office f Gvernment Relatins and Cmmunity Affairs University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers University f Pennsylvania - Center fr Public Health Initiatives 3. Unmet health care needs f the residents f this service area include: A. Access t primary and preventive care fr adults and children, particularly wmen living in pverty. Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need. The Wd Clinic: Maintain the supprt fr the Wd Clinic which prvides care t the underinsured, Medicaid and Medicare. The Wd Clinic is a multi specialty, multi-prvider Residency training clinic that prvides the specialties internal medicine, dermatlgy and infectius disease. The clinic prvides scial service assistance t assess patient needs and barriers t access. In sme cases grant funding is sught n the patient s behalf fr medicatin, transprtatin and c-pays. A patient navigatr crdinatrs screenings such as mammgrams, clnscpies, diabetes, eye exams and diabetic cunseling. C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
The Clinic prvides translatin services. Wmen and Children s Health Services (WCHS): WCHS is a nn-prfit ambulatry healthcare facility that specializes in the prvisin f bstetrical, gyneclgic and family planning services. Since its inceptin ver 25 years ag, WCHS has maintained a cmmitment t prvide medical care t all patients, regardless f their ability t pay. Mst patients have lw t mderate incmes. The prgram als ffers psychscial supprt services. The fllwing are examples f the prgrams prvided which PAH will cntinue t supprt: Latina Cmmunity Health Services: This prgram ffers prenatal and gyneclgic services t wmen wh are unable t btain medical insurance. The prgram is funded by grants and cntributins and staffed by a nurse and nurse practitiner. Physicians and Midwives vlunteer their time t care fr patients. Strategies t Encurage Parental Self-Sufficiency (STEPS) - This prgram prvides cunseling, educatin, clinical care, scial services and family planning t pregnant teens and their supprt persns. Childbirth Educatin Classes cver tpics such as Labr, Relaxatin Techniques, medical ptins fr pain relief in labr, pst-partum care and early infant care/develpment. Male Partners Services: This service prvides treatment fr the male partners f the female patients wh test psitive fr sexually transmitted diseases. Healthy Wmen Prgram: This state funded prgram prvides free cervical cancer and breast screenings. Smking Cessatin-The nursing staff is certified t prvide smking cessatin cunseling by Clean Air fr Healthy Children. This is a prgram spnsred by the Pennsylvania Department f Health. Newbrn Pediatric Care Will cntinue t prvide expert care thrugh the Intensive Care Nursery. Each year 40-60 babies are cared fr withut any means f supprt. Nurse-Midwifery Will cntinue t maintain this service which prvides 11 midwives wh wrk cllabratively with the physicians in the Department f Obstetrics and Gyneclgy t prvide care t lw-incme wmen. In additin t prviding care at the hspital they als prvide care at several cmmunity health clinics. The Mid-Wives als prvide free cmmunity educatin in multiple venues. Family Educatin Department Will cntinue t supprt the Family Educatin Department which prvides free pstpartum classes t supprt, educate, and encurage breastfeeding mthers. A Breast Feeding Supprt grant has been secured t prvide educatin and supprt t the underserved. C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
Special classes are held fr Spanish-speaking expectant mthers. Breast pumps are prvided t wmen wh cannt affrd them. Describe anticipated impact f cmmitted prgrams and resurces n the health need Prvide care and educatin t adults, children and expectant mthers wh therwise wuld nt have access. Describe facility's pririties in meeting these needs Cntinue t invest in and supprt prgrams prviding primary care t adults, particularly wmen living in pverty. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need Philadelphia Department f Health. Wd Clinic Latina Cmmunity Health Services Sutheast Health Center Wilsn Park Medical Center Frankfrd Avenue Health Center First Hspital Assciatin Unicef Baby Friendly Initiative Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy Penn Presbyterian Medical Center Hspital f the University f Pennsylvania Philadelphia Department f Health. University f Pennsylvania Office f Gvernment Relatins and Cmmunity Affairs University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers University f Pennsylvania - Center fr Public Health Initiatives Jan Karnell Cancer Center B. Access t behaviral health care C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need Maintain the supprt fr the tw inpatient behaviral units. Cntinue the services prvided by the Crisis Respnse Center, an emergency rm dedicated t the care f patients in need f psychiatric crisis supprt, and/r in need f placement f vluntary r invluntary inpatient services. These services are prvided regardless f a patient s ability t pay. Cntinue the many prgrams ffered thrugh the Hall-Mercer Cmmunity Mental Health/ Mental Retardatin Center: The center ffers utpatient services ranging frm psychtherapy and cunseling thrugh a variety f specialized prgrams fr peple with develpmental disabilities, chrnic mental illness and related prblems. The hspital subsidizes a significant prtin f its services. Examples f services fllw: Crisis interventin, evaluatin, psychtherapy, pharmactherapy, scial rehabilitatin, intensive case management, and hmeless and special services t senir citizens and Suth East Asian ppulatin. Child and parent supprt grups addressing tpics such as parenting wrkshps fr first time parents. Adult literacy prgram fr the Suth East Asian ppulatin. Prvide educatin t cmmunity rganizatins and the Philadelphia Plice. Children s Cmmunity Based Service Department which was established t bring tgether the cmmunity based children s service prgram s that prvide clinical and case management services in the cmmunity t children and their families. Describe anticipated impact f cmmitted prgrams and resurces n the health need Emergency care and treatment fr thse in psychiatric crisis Prvide placement fr the hmeless. Prvide cmprehensive psychiatric treatment acrss the cntinuum f care, inpatient and utpatient. Describe facility's pririties in meeting these needs The pririty t serve this ppulatin f patients has lng been a missin f this rganizatin at is was ne f the primary reasns this rganizatin was funded. This cmmitment will cntinue. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need Philadelphia Department f Health Cmmunity Outreach Cmmittee f the Federatin f Teachers. The Philadelphia Center fr Behaviral Health AA Intergrup C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
Philadelphia Plice Mental Health Assciatin f Suth Eastern P.A. Prject H.O.M.E Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy Philadelphia Department f Health. Philadelphia Department f Behaviral Health Penn Presbyterian Medical Center Hspital f the University f Pennsylvania University f Pennsylvania Office f Gvernment Relatins and Cmmunity Affairs University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers University f Pennsylvania - Center fr Public Health Initiatives C. 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; Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need The rganizatin will establish a multidisciplinary/multicultural team fr the purpse f identifying and remediating cultural and language barriers t care particularly related t cultural cmmunities served: Black 19%, Asian 12% and Latin 8%. Describe anticipated impact f cmmitted prgrams and resurces n the health need Imprve patient experience ratings Prvide educatin materials in multiple languages Imprve access t certified medical translatrs Prvide culturally cmpetent care Describe facility's pririties in meeting these needs This unmet need is f high pririty. The first meeting f this effrt will ccur in June 2013. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
Penn Presbyterian Medical Center Hspital f the University f Pennsylvania Philadelphia Department f Health Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy Penn Presbyterian Medical Center Hspital f the University f Pennsylvania University f Pennsylvania Office f Gvernment Relatins and Cmmunity Affairs University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers University f Pennsylvania - Center fr Public Health Initiatives Philadelphia Department f Health b. Lng waits fr certain health care services; Psychiatric care Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need Refer t Page 8, Sectin B. All prgrams described will cntinue t be fully supprted. Describe anticipated impact f cmmitted prgrams and resurces n the health need The Crisis Respnse Center prvides 24/7 access t psychiatric care regardless f the patient s availability t pay fr services. Describe facility's pririties in meeting these needs Prviding psychiatric care is a primary missin fr the rganizatin. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need Penn Presbyterian Medical Center Hspital f the University f Pennsylvania Philadelphia Department f Health Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy Penn Presbyterian Medical Center Hspital f the University f Pennsylvania C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
University f Pennsylvania Office f Gvernment Relatins and Cmmunity Affairs University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers University f Pennsylvania - Center fr Public Health Initiatives Philadelphia Department f Health Philadelphia Department f Behaviral Health c. Heart disease and cancer fr all residents; Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need Refer t Page 4 & 5 fr full descriptin f prgrams fr heart disease and cancer. Describe anticipated impact f cmmitted prgrams and resurces n the health need Cntinue t prvide the multiple mdalities f educatin fr patients with heart disease and cancer in all settings: inpatient and utpatient. Supprt staff t participate in cmmunity health fairs which prvide screening and educatin. Describe facility's pririties in meeting these needs High pririty has been placed n this initiative as evidenced by the cntinued significant investment in these prgrams. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need Penn Presbyterian Medical Center Hspital f the University f Pennsylvania Philadelphia Department f Health Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy Penn Presbyterian Medical Center Hspital f the University f Pennsylvania University f Pennsylvania Office f Gvernment Relatins and Cmmunity Affairs University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
University f Pennsylvania - Center fr Public Health Initiatives Philadelphia Department f Health Jan Karnell Cancer Center d. Smking preventin, interventins, and cessatin prgrams; and Identify facility's specific prgrams and resurces the facility plans t cmmit t meeting the need All nursing staff f the Wmen s & Children s Health Services are certified t prvide smking cessatin cunseling. Currently all patients are prvided educatin and infrmatin regarding smking cessatin. This will cntinue t ccur. The UPHS Health System will n lnger hire individuals wh admit t tbacc use after July 1, 2013. A reduced emplyee cntributin t health benefits is prvided t all current emplyees wh are tbacc free and will cntinue. Describe anticipated impact f cmmitted prgrams and resurces n the health need Reduce number f emplyees in the Health System wh utilize tbacc. Describe facility's pririties in meeting these needs The rganizatin s pririty is t impact a healthier wrk frce which will thrugh example impact the cmmunity we serve. Describe any planned cllabratin with gvernmental, nn-prfit, r ther health care rganizatins, including related rganizatins, in meeting the health need Penn Presbyterian Medical Center Hspital f the University f Pennsylvania Philadelphia Department f Health Identify all rganizatins with which the hspital cllabrated in develping the implementatin strategy Penn Presbyterian Medical Center Hspital f the University f Pennsylvania University f Pennsylvania Office f Gvernment Relatins and Cmmunity Affairs University f Pennsylvania Schl f Nursing - Healthy in Philadelphia Delaware Valley Healthcare Cuncil Philadelphia Public Health Centers C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
University f Pennsylvania - Center fr Public Health Initiatives Philadelphia Department f Health C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx
List f Health Needs the Facility Des Nt Plan t Address 1. Adult and Child Dental Care V. Health Needs Facility Des Nt Intend t Address a. Dental care is currently nt a service prvided by Pennsylvania Hspital. Based n current pririties and access t resurces there are n plans t address this unmet need. 2. Prescriptin Drug Cverage: 24.4% f adults d nt have prescriptin drug cverage. a. While the rganizatin will cntinue t prvide infrmatin fr reduced cst prescriptin prgrams frm pharmaceutical cmpanies and refer patients t state prgrams fr prescriptin drug plans, the rganizatin des nt intend t further address this need based n limited financial resurces. 3. Neighbrhd Safety The Pennsylvania Hspital Security team wrks very clsely with the Philadelphia Plice Department t assure the safety f the patients served and emplyees. There are n current plans t extend safety effrts beynd the grunds f the rganizatin. 4. Navigating the cmplexities f the health care system: While the rganizatin prvides scial services, case management supprt and the supprt f ne nurse navigatr wrking with a primary care practice there are n current plans t braden these services. C:\Users\Krens\Appdata\Lcal\Temp\13 06-10 PAH Reslutin CHNA FY 13 Plan Adptin V3.Dcx