A NN UAL REPORT

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- 2 01 6 A NN UAL REPORT MESSAGE FROM The CEO Each year presents us with new challenges and opportunities. 2016 was no exception! The incredibly talented and devoted team I have the privilege to lead finalized years of work with three large-scale programmatic accomplishments. In January of 2016 we began our participation as one of only 70 sites nationwide to participate in a Medicare pilot project focused on caring for those patients who are seriously ill but not yet ready to elect hospice care. Data gathered from the Medicare Care Choices Model (MCCM) will inform Medicare about the benefit pre-hospice services may provide. July of 2016 saw the start of a Fellowship training program in cooperation with the Penn State Milton S. Hershey Medical Center and the Lebanon VA Medical Center. HCP provides fellows with training in home-based hospice care and the interdisciplinary team function. In December, capping years of preparation, we were awarded a full three-year accreditation and The Joint Commission s Gold Seal of Approval. Throughout this report you ll see some of the numbers associated with delivering care to over 1,700 patients and families in 2016. I want to thank our team of caregivers, support staff, volunteers, board of directors and donors for helping us to provide much needed quality end-of-life services to our community. Sincerely, Mr. Gil Brown President & Chief Executive Officer

Letter from the Board Chair I am honored to be writing as chair of Hospice of Central PA s board of directors. It is my privilege to serve with all members of the HCP team to provide the highest quality of emotional, physical and spiritual support with compassion and respect. One of the most impressive aspects of this organization is that it is always changing and improving. During my years of service, I have been impressed with our ability to respond to the shifting climate in healthcare and our region. It is critical for hospice providers to demonstrate the quality of their care and their efforts to identify and improve when needed. As a result, I couldn t be more proud to direct your attention to our quality story on page three of this publication. Because of your support, I look forward to building a community that embraces specialized care at the end of life with the same importance that is given at the beginning of life. Thank you for your generosity and your encouragement. Sincerely, Mr. Michael L. Bangs Chair, HCP Board of s BOARD OF DIRECTORS Mr. Michael L. Bangs Chair Barbara Brobst Raymond Bromley Jane Burke Carrie Delone, MD Diane Fine Pat Kiley Jane Kohn Assistant Secretary Stephen Massini Wendy McClintock William Miller, Jr. Mary Simmonds, MD, FACP Mae Sobczak William Spahr Jack Stover Henry Straub Meredith Tulli Bill Ward Secretary William Wilkison 2016 by the numbers 37 1,709 226 25,838 546 207 3,958 21,971 2,799 649,764 YEARS OF SERVICE TO THE COMMUNITY HOSPICE PATIENTS SERVED LEVOS (PALLIATIVE) PATIENTS SERVED NURSING PRACTITIONER COMMUNITY EDUCATION EVENTS SOCIAL WORK AIDE SPIRITUAL CARE MILES TRAVELED BY STAFF 2 2016 ANNUAL REPORT HOSPICE OF CENTRAL PA

Our Quality Story Our mission is clear; to provide the highest quality of emotional, physical and spiritual support with compassion and respect. Quality is always on our minds. In keeping with regulations and best practices, HCP measures the quality of our programs through third-party administered caregiver surveys. The agency we have engaged for this purpose is called Deyta Analytics. Two symptoms, pain and dyspnea (shortness of breath) are the most common for patients at the end of life. Given that, HCP closely monitors our effectiveness at screening and treating these symptoms in our patient population. Here are our measures for 2017: Deyta National Average HCP Pain Screening on Initial Assessment 95.0% 97.2% Dyspnea Screening on Initial Assessment 98.1% 100% Pain Assessment within 1 Day of Screening Positive for Pain 82.6% 97.0% Dyspnea Treatment Received (or Declined) Within 1 Day of Screening Positive for Dyspnea 82.6% 97.0% Deyta Analytics also administers the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey which asks family members to report on and evaluate their experiences with HCP. Here are our measures for 2017: Deyta National Average HCP Rating of Patient Care 85.7% 87.3% Would Recommend this Hospice 85.5% 89.2% Hospice Team Communications 81.1% 84.9% Getting Timely Care 76.8% 83.1% Treating Family Members with Respect 91.1% 93.5% Getting Emotional & Religious Support 92.5% 96.5% Getting Help with Symptoms Getting Hospice Care Training 75.6% 71.6% 79.9% 76.4% 2016 ANNUAL REPORT HOSPICE OF CENTRAL PA 3

Ways to Give Memorial and Tribute Gifts Special Events A fun way to get more involved with HCP and fundraising is through special events. Every year, HCP offers many opportunities to support the highest quality of end-of-life care and bereavement care. Please contact Tiffany DePaoli in the development department to help with any of the following fundraisers: Men s Golf & Tennis Classic Butterfly Release Ladies Tennis Classic Highmark Walk for a Healthy Community Ladies Golf Classic Tree of Light Memorial and tribute gifts offer a way to remember or honor a loved one, while also supporting Hospice of Central PA. Families are notified that you have made a gift (not the gift amount) when you provide a name and address for this purpose. Restricted Gifts HCP is able to honor donor-restricted gifts for the following programs: Carolyn s House Third Party Events A 3rd party event is when a business, organization or family plans a special event to benefit HCP. Hospice of Central PA is the grateful recipient of the net proceeds of many 3rd party events throughout the year including the Bob Baish Memorial HCP welcomes gifts restricted to Carolyn s House which provides 24-hour hospice care in a comfortable home-like setting in Harrisburg. HCP offers this residential hospice service when personal choices or medical needs make other options difficult. The approach to care at Carolyn s House includes an interdisciplinary team of trained professionals who work together with the patient and family to develop a plan of care. Carolyn s House is also offered as a solution for short-term respite care to provide relief for caregivers. Golf Tournament, Aroostine s Lemonade Stand and the Shellsville Horseshoe Tournament in memory of Casey Koons. These events happen independently of HCP. For guidelines and suggestions regarding effective 3rd party events, please reach out to the HCP development department. 4 2 0 1 6 A N N U A L R E P O R T H O S P I C E O F C E N T R A L PA Camp Dragonfly Camp Dragonfly is a free weekend camp for children who are grieving. It provides a safe and fun environment in the great outdoors to work on coping skills and healing activities with peers.

Thanks to the deliberate acts of generosity from you and others, HCP patients and families receive the highest quality of care. Your gifts make this possible and every donation regardless of size, brings comfort. Volunteers HCP volunteers started the organization in 1979 and continues to be a powerful way to give. In 2016, HCP recorded 189 active volunteers who donated 12,137 hours to our mission. Their time and talents resulted in $192,501 in cost savings to the organization. To become an HCP volunteer, please contact us at (717) 732-1000 or visit the volunteer page on our website www.hospiceofcentralpa.org Bob Baish Memorial Golf Tournment Planning Committee The Legacy Society HCP s Legacy Society was established to recognize and honor all who name Hospice of Central PA as a beneficiary of a will, trust, retirement plan, life insurance policy, life income gift, or other type of planned giving arrangement. All are welcome to join the Society regardless of the size of the bequest or planned gift. By becoming a member, you join a community that embraces specialized care at the end of life. Please contact Elizabeth Mihmet (717) 943-1055 for more information. HCP volunteers Golf & Tennis Classic contribute in a Tree of Light Committee number of ways including: Gala Committee Carolyn s House Volunteers Patient Care Volunteers 11th Hour Volunteers Camp Dragonfly Volunteers Administrative Support Volunteers PLEASE SEND GIFTS TO: Hospice of Central PA 1320 Linglestown Road Harrisburg, PA 17110 Donate securely online: www.hospiceofcentralpa.org Call: Beth (717) 943-1055 or Tiffany (717) 943-1056 Vet to Vet Volunteers Bouquets of Hope Volunteers Bereavement Volunteers 2 0 1 6 A N N U A L R E P O R T H O S P I C E O F C E N T R A L PA 5

2 0 1 6 Business Office Report OPERATING INCOME 86% PROGRAM FEES 2% SPECIAL EVENTS 11% PUBLIC SUPPORT 1% INVESTMENT INCOME OPERATING EXPENSES 87% PROGRAM SERVICES 2% FUNDRAISING EXPENSES 11% M A N AG E M E N T & GENERAL MISSION FULFILMENT I N $ 1,0 0 0 S $296 $201 B E R E AV E M E N T CARE SPECIAL COMFORT MEASURES $436 $32 C H A R I TA B L E CARE COMMUNITY O U T R E AC H Figures Audited by Boyer and Ritter May 2, 2017 6 2 0 1 6 A N N U A L R E P O R T H O S P I C E O F C E N T R A L PA

HCP Leadership Team Gil Brown President and Chief Executive Officer Dr. Dave Wenner Chief Medical Officer Sarah Lohman Chief Clinical Officer Beth Mihmet Chief Development Officer Melissa Ross of Quality Assurance Steve Duty of Human Resources Andy Hauer of Information Services Recent Accomplishments JOINT COMMISSION S GOLD SEAL OF APPROVAL HCP is the only hospice provider in the capital region to have earned The Joint Commission s Gold Seal of Approval. The Joint Commission is a nationally recognized accreditation program that helps organizations deliver safe, high quality care and services. HOSPICE HONORS RECIPIENT In June, HCP was named a 2017 Hospice Honors recipient by Deyta Analytics, an industry leader in data-driven management. The Hospice Honors program recognizes hospices that provide the highest level of quality from the caregiver s perspective. WE HONOR VETERANS PARTICIPANT HCP has achieved the highest level in this national partnership program Level Four Participant. HCP honors veterans through respectful inquiry, compassionate listening and grateful acknowledgment. MCCM PILOT PROGRAM PARTICIPANT Selected by the Centers for Medicare & Medicaid Services (CMS) to pilot a pre-hospice care transition program (Medicare Care Choices Model). MCCM provides a new option for Medicare beneficiaries to receive hospice-like support services while receiving services provided by their curative care providers. Through the efforts of hospices like HCP, CMS is evaluating whether providing these supportive services can improve the quality of life and care received by Medicare beneficiaries, increase patient satisfaction, and reduce Medicare expenditures. 2016 ANNUAL REPORT HOSPICE OF CENTRAL PA 7

Save the date Volunteer Recognition April 17, 2018 Highmark Walk for a Health Community May 2018 Men s Golf & Tennis Classic June 4, 2018 Butterfly Release (Carlisle) July 8, 2018 Butterfly Release (Pottsville) July 15, 2018 Butterfly Release (Harrisburg) July 22, 2018 Photo Credit: Nicole Planken, RN OUR VISION A community that embraces specialized care at the end of life with the same importance that is given at the beginning of life. COMPASSION OUR GUIDING PRINCIPLES Our work consistently demonstrates the ability to engage with the community and provide comfort and solace when needed. INCLUSION We celebrate the many differences, including race, ethnicity, gender, age, socio-economic status, national origin, sexual orientation, disability, and religion that enrich our vibrant OUR MISSION To provide the highest quality of emotional, physical, and spiritual support with compassion and respect. community. EXCELLENCE We strive for superior performance in the provision of care; we recognize that excellence does not equal perfection. SERVICE Our purpose is to make a difference in the lives of our patients/ families, community and each other.