community annual Report
Delivering on our promise to keep you
well
.
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Mission
The mission of Doylestown Health is to continuously improve the quality of life and proactively advocate for the health and well-being of the individuals we serve.
Vision
To enthusiastically pursue healthcare excellence through collaboration and innovation, we strive to inspire a more vibrant and healthier world for our patients and our community.
A lasting legacy
built on connections
Excellence in healthcare depends on constant change. That probably isn’t news to anyone in our community, and it certainly isn’t news to us. We’ve been evolving and expanding since 1923 into today’s highly respected, non-profit community healthcare system with a national reputation for high-quality healthcare services. Under the Doylestown Health banner, we are now better able to coordinate the delivery of care throughout our community to ensure even better and healthier results. Our healthcare system’s flagship, Doylestown Hospital, was founded 93 years ago by the Village Improvement Association of Doylestown. Yet 25 years earlier, the members of this women’s organization were already hard at work encouraging wellness in the community and caring for those who were sick through home care and residential services. Since the founding of the hospital, a major focus has been to provide the best medical care through advanced technologies. While the pursuit of medical excellence is never ending for us, today we are designing systems to keep you out of the hospital, either through education of healthy lifestyle choices, better chronic disease management, or by returning you to the community with the resources to heal. It is humbling to think that the foundation for the changes we’re experiencing in healthcare in the 21st century was laid in the 19th century by a group of visionary and enterprising women. In a word, the changes in healthcare today are about “connections.” Doylestown Health is focused to improve the coordination of care for everyone in our community. We are promoting wellness and treating illness through connectivity with all parts of our comprehensive health system. We invite you to see how Doylestown Health is changing the delivery of healthcare. In the pages of this annual report you will find information about our award-winning programs and services, and stories from our patients whose experiences best describe the quality and compassion that must never change if we are truly to remain a health-caring organization. We thank you for putting your trust in us. It’s our privilege to build, on the legacy of the Village Improvement Association, a health system that connects with you now — and for the future. Warmest Regards,
James L. Brexler
Carolyn Della-Rodolfa
Eric A. Marchant, MD
President and CEO
Chair of the Board
PRESIDENT, MEDICAL STAFF
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Do y l e s to w n H ea lth
D o y l e s t o w n he a l th
a network of care Dedicated to connecting our community to complete health and wellness, today’s Doylestown Health encompasses Doylestown Hospital’s expert inpatient and outpatient services, a health and wellness center, a network of primary care physicians and specialists, home health and hospice care, retirement living and more. Our hospital, doctors and varied care teams partner together to meet diverse community needs with quality medicine, access to innovative care, and educational health programs. And it’s all located conveniently close to home.
Doylestown Home Health & Hospice Services Pine Run Retirement Community Pine Run Health Center Pine Run The Garden Alzheimer’s & Dementia Care Pine Run Rehabilitation
Doylestown Health Primary Care 202
Buckingham
Doylestown Hospital Breast Center Cancer Institute Children’s Village Della Penna Pediatric Center Doylestown Health Physicians Emergency Services
Pine Run Lakeview Personal Care Orthopedic Institute Outpatient Testing Rehabilitation Therapy Reif Heart Institute Surgical Services VIA Maternity Center
611
Doylestown Health Outpatient Services at the Health & Wellness Center Doylestown Health Primary Care
Breast Center Cardiac Rehabilitation Cardiology Diagnostic Imaging
Nutrition Services Outpatient Services Radiology Services Surgery Center
202
Warrington Doylestown Health Primary Care Health Connections by Doylestown Health
Richboro See full list of services at DoylestownHealth.org 2
DoylestownHealth.org
Doylestown Hospital 595 West State Street | Doylestown
Health Connections by Doylestown Health
Nationally and regionally recognized for high quality and innovation, the hospital may be the flagship of the health system but relies on the care coordination with community physicians and the effectiveness of its many parts for success. The hospital has 232 beds and a medical staff of over 425 physicians offering comprehensive healthcare services from childbirth to end-of-life care.
ShopRite of Warminster 942 West Street Road | Warminster
Doylestown Hospital Surgery Center
Pine Run Retirement Community
847 Easton Road, Route 611 | Warrington
777 Ferry Road | Doylestown
Located in the Health & Wellness Center in Warrington, the Surgery Center is a fully equipped, state licensed and certified, multi-specialty same-day surgery facility. The center has four state-of-the-art operating rooms and a treatment room for less invasive procedures.
A retirement community with 272 cottages and 24 apartments, situated on a 43-acre landscaped campus, provides an active and engaging lifestyle for Villagers with shared and diverse interests.
Outpatient Services 595 West State Street | Doylestown 847 Easton Road, Route 611 | Warrington Two locations include Doylestown Hospital and the Health & Wellness Center in Warrington, offering convenience and the same high quality that is the Doylestown Health tradition.
A collaboration between Doylestown Health and the Cowhey Family ShopRite of Warminster, this in-store health resource center was created to benefit the community by offering health information, appointment scheduling and special health-focused events.
Pine Run Health Center 777 Ferry Road | Doylestown Newly renovated, this beautiful, multi-faceted facility, with a 90-bed skilled nursing unit, offers transitional and long-term care. Along with rehabilitation, hospice and respite services, the Health Center also offers a separate and secure 40-bed personal care dementia and Alzheimer’s neighborhood.
Doylestown Hospital Home Health & Doylestown Hospital Hospice
Pine Run Lakeview
875 North Easton Road | Doylestown
This personal care community encourages independence and supports individual needs, from daily activities to companionship and fine dining. Pine Run Lakeview is a 107-bed personal care center that includes an additional 13-bed secure dementia care neighborhood.
The first established home health care program in the Doylestown area, our visiting nurses continue to provide reliable, compassionate, home-based care. Doylestown Hospital Hospice nurses make regularly scheduled visits to patients, providing expert pain management and symptom control techniques.
Doylestown Health Physicians 595 West State Street | Doylestown A part of the Doylestown Hospital employed physician network, these members of our care team specialize in a variety of areas including: cardiology, cardiothoracic surgery, general surgery, breast surgery, neurology, primary care and more.
2425 Lower State Road | Doylestown
Children’s Village 595 West State Street | Doylestown As part of Doylestown Health, Children’s Village offers a robust, award-winning, early childhood education program. Licensed and accredited, the Village is located on the hospital campus and cares for children of hospital Associates as well as children from the community.
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Me d i c a l Sta f f
Maximizing Value for Patients
The Doylestown Hospital Medical Staff provides patient-centered care at a value not typically found at community hospitals. Each member of our Medical Staff meets rigid professional qualifications to join and maintain membership, and our physicians and hospital administration work together in a rigorous quality assessment program to ensure the highest quality of care for patients. As a result, our quality and outcomes metrics rank high at state and national levels, and our volumes for select, complex procedures such as electrophysiology are higher than many academic medical centers.
Medical Staff
highlights
425 physicians 100 advanced practice professionals (nurse practitioners, physician assistants) 45 areas of specialty care
Doylestown Healthcare Partnership
“
Patient focused, community based
Doylestown Healthcare Partnership creates a tipping point for better care coordination with all partners — specialists,
“
primary care providers, the health system and insurers —
focused on common goals for the benefit of the patient.
A few short years ago this kind of arrangement could only be envisioned. Today it is a reality. —Sheri Putnam, Executive Director, Doylestown Healthcare Partnership
Vice President, Strategic Initiatives
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DoylestownHealth.org
The Doylestown Healthcare Partnership, LLC (DHP) is a unique healthcare network that unites primary care and specialist physicians, Doylestown Hospital and other providers to deliver high-quality, cost-effective healthcare. DHP is a strong vehicle to help coordinate and streamline the transition of patient care from community to hospital, and from hospital to skilled nursing facility or home care, if needed. This clinically- and financially-integrated network ensures the collaborative delivery of healthcare in a regional marketplace that extends well beyond the Doylestown community.
E m e r g e n cy Se r v ice s
skilled Emergency Care
for Patients of All Ages When life-threatening medical emergencies arise, local communities can count on Doylestown Health’s board-certified Emergency Medicine physicians and specialized nurses to respond quickly with expert care for patients of all ages.
Specialized Care for Children With the 2014 addition of the Carol and Louis Della Penna Pediatric Center, Doylestown Hospital can now provide overnight inpatient pediatric care. The center enables infants and children under age 18 who are seen in the Emergency department (ED) to be admitted to the hospital for extended care. Parents find an increased level of comfort and convenience with a local hospital-based pediatric resource. Doylestown Health’s team of board-certified pediatricians, pediatric nurse practitioners and pediatric nurses ensure a comforting, healing environment with the latest technology.
Affiliations for Added Value
Doylestown Hospital’s ED offers Jefferson Expert Teleconsulting (JET), a mobile robotic teleconsulting system to evaluate arteriovenous malformations, brain aneurysms and stroke in real time. Temple MedFlight is a fully-equipped EC-135 medical transport helicopter based at Doylestown Hospital, connecting critically ill and injured patients with a Regional Resource Level 1 Trauma Center.
Heart Attack Care: When Seconds Count Seamless, efficient collaboration among Emergency Medical Services who transmit EKGs to the hospital, fast-track protocols in the ED and an experienced team of interventional cardiologists in the cath lab are critical during treatment of a heart attack. Patients exhibiting chest pain enter through the ED and are immediately evaluated in the Woodall Chest Pain Center, an extension of Doylestown Health’s Richard A. Reif Heart Institute and a nationally accredited Chest Pain Center. Our team averages a door-to-balloon time — time from entering the ED until treatment in the cardiac cath lab — of 51 minutes, which is significantly faster than the national average.*
A swift diagnosis by Robert Slade, MD, and emergency cardiac surgery by Joseph Auteri, MD, helped save patient Andrew Charlesworth’s life. Watch the video at
DoylestownHealth.org/AndrewsStory.
Lowering Risk of Stroke In the past, adult patients with acute atrial fibrillation (AFib) were typically admitted to the hospital and treated with medication to slow their heart rhythm. Today, patients who meet certain criteria can lower their risk of stroke and often go home the same day after undergoing an electrical cardioversion, right in the ED. This procedure sends electrical energy to the heart muscle to restore the heart back to its normal rhythm.
*Source: American College of Cardiology CathPCI registry 2014
45,903
Emergency Department Visits Source: Doylestown Health Data Fiscal Year 2015
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Ri ch a rd A . Reif H e a r t In stitu te
Familiar faces
Before, during and after care Doylestown Health’s unique cardiac transitional care program offers highly coordinated care for cardiac surgery patients throughout all transitions in care — from pre-operative care and treatment in the hospital, through recovery and rehabilitation in the outpatient setting. A cardiovascular intensive care unit (CVICU) nurse meets with each patient before and after surgery. After discharge from the hospital, the same nurse visits the patient at home, monitoring his or her recovery and assisting with medications and other needs. This high level of care coordination is proven to reduce adverse events, readmission rates, and costs of care.* The CVICU’s one-stop post-operative model complements the cardiac transitional care program. A patient’s care needs and equipment may change, but they remain in the same room, with the same nursing staff, for the entire stay. *Source: Joint Commission, June 2012
Focus on Quality &
value
The Richard A. Reif Heart Institute provides high quality, low-cost care for the full range of cardiac conditions, including advanced treatment options for atrial fibrillation like cryoablation and The Convergent Approach for hard-to-treat arrhythmia.
1 3 of
Hospitals in Pennsylvania to achieve
dual accreditation as
CERTIFIED CHEST PAIN CENTER &
HEART ATTACK RECEIVING CENTER
Depth of Experience in Key Cardiac Procedures
Door-to-Balloon Time for Heart Attack Patients
Procedure Type
National Goal
Doylestown Health
90 Minutes
51 Minutes
# Procedures
Cardiac Ablations........................... 292 Cardiac Devices............................. 508 Cardiac Surgery.............................. 269 Electrophysiology Studies.............. 289 Transcatheter Aortic Valve Replacement (TAVR)..........................22 Source: Doylestown Health Data, Fiscal Year 2015
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DoylestownHealth.org
Significantly faster than the national average
Source: American College of Cardiology CathPCI registry 2014
A Helping Hand,
from hospital to home Gerry D’Arcy’s June 2015 aortic valve replacement “couldn’t have gone any better,” explains the active 72-year-old Buckingham resident. She enthusiastically acknowledges her cardiac surgeon Joseph Auteri, MD, chief, Cardiac Surgery, for his expertise, and for the overall care she received from the Doylestown Health staff. But what made Gerry “really blown away” was her pre- and post-operative nursing care.
“
Ca rd iac surger y pat i e nt Ge rry D ’A rc y and CVI CU n u r s e Pat t i B a n i s , RN
“
In addition to providing a regional center of excellence in cardiac surgery, we’re always trying to find ways to improve what we offer our community.
“Patti (Doylestown Health’s CVICU nurse) met with me in Dr. Auteri’s office before surgery to perform pre-surgery testing and provide additional information about the procedure and post-op care. Then, after surgery, who do I see in my hospital room? It’s the same nurse — Patti! She also explained that she would be seeing me after I was discharged, which she did, several times.” Patti visited Gerry at her home to check her patient’s vitals and assess Gerry’s overall postsurgical recovery. Once, when a minor “bump” occurred, Patti consulted with Dr. Auteri’s office on Gerry’s behalf to facilitate medication changes. Patti answered her post-operative questions and provided an extra level of comfort and care.
– John Mitchell, Executive Director of Cardiovascular Services
“This was a pretty amazing experience,” says Gerry. “To have one nurse meet you in a doctor’s office then follow you through from start to finish made me feel that she really was there just for me.”
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Ca n c e r I n s ti tu te
Well-equipped for the future
At Doylestown Health’s Cancer Institute, we do more than create evidence-based care plans that treat cancer. We also empower patients with the tools, information and supportive care they need to be well for the rest of their lives. Survivorship care planning begins at the onset of care. Our multidisciplinary team of surgeons, radiation and medical oncologists, radiologists, pathologists and support staff outline clinical treatment protocols, follow-up recommendations, possible side effects, and healthy living advice to keep patients well — physically, mentally and emotionally.
Survivorship Resources
“
“
Doylestown Health offers a variety of customized programming tailored to the unique needs of cancer survivors, including:
Patients are often fatigued post-
treatment; we help them become
and stay healthier physically and emotionally.
– Rachel Saks, MSS, LSW, OSW-C Oncology Social Worker
ancer Fit: A collaborative program between C Doylestown Health and The Cornerstone Clubs, this no-cost, 12-week medical fitness program helps cancer survivors regain physical and mental strength after treatment. Cancer-related Fatigue Program: A Doylestown Health physical therapist creates a customized plan to conserve energy, strengthen weakened muscles, and improve balance, along with an exercise program.
Nutrition Services: Registered dietitians develop nutrition strategies to minimize treatment side effects, improve the ability to tolerate treatment, and enhance immunity. Support Groups: For cancer patients and their support persons, group meetings cover living with cancer, life after cancer treatment, managing treatment side effects, bereavement support and more.
Survivorship resources and other services of Doylestown Health’s Cancer Institute and Doylestown Hospital Hospice are supported in part by Doylestown Health Foundation’s annual Circle of Life Auction. Learn more at DoylestownHealth.org/CircleOfLife.
Expert Care for All Types of Cancer
859
Cancer Diagnoses
Made at Doylestown Health in 2014
Cancer Type Volume
Breast ............................................ 202
close to home
Cancer Type Volume
Prostate.............................................70
Lung................................................ 125
Bladder..............................................57
Colon.................................................80
Other.............................................. 325
Source: Doylestown Health Cancer Registry & National Cancer Data Base
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DoylestownHealth.org
Comprehensive Breast Care at Doylestown Health Doylestown Health’s Breast Center provides comprehensive breast cancer and well-breast care, close to home. All aspects of care are seamlessly coordinated by our dedicated breast cancer nurse navigator. From early detection through advanced screening options like 3-D mammography, to complex surgical treatments including nipple-sparing mastectomy, the experts at Doylestown Health are your resource for total breast health.
Breast & Ovarian Cancer Risk Evaluation Program A licensed and board-certified genetic counselor provides information, evaluation and genetic counseling to assess a patient’s personal risk for breast or ovarian cancer — at no cost.
96 patients received counseling 66 patients tested for genetic abnormalities 9 patients determined high risk for breast cancer Source: Doylestown Health Data, 2014
B r e a s t c a n c e r s u r v i vo r Pat t Y J a n t z e n a n d o n colog y n u r s e n av i g at o r K at h y N e lle t t, RN, O C N , C B C N
the gift of health Testing at Doylestown Health’s Women’s Diagnostic Center confirmed that the lump in Patty Janzen’s left breast was a malignancy, specifically invasive lobular carcinoma. “I couldn’t think straight. But Kathy Nellett, the hospital’s breast cancer nurse navigator, was amazing. Kathy helped me coordinate appointments. She provided information and offered much-appreciated support,” says Patty. Patty opted for a bilateral mastectomy. Post-operatively, over the course of the year, she received chemotherapy and then radiation at Penn Radiation Oncology — all on the Doylestown Hospital campus. Patty’s chemotherapy at Doylestown Health’s Outpatient Infusion Unit began on February 21, coincidentally also Patty’s birthday. Says Patty: “What greater birthday gift to myself than health?” Patty also underwent genetic counseling and testing at Penn Medicine’s Cancer Risk Evaluation Program at Doylestown Hospital. “I found out that if I had tested positive for BRCA1 or BRCA2, it could mean my twin sons were at a higher risk of cancer.” In September 2014, Rachel Saks, MSS, LSW, OSW-C, Doylestown Health’s oncology social worker, contacted Patty, now fully cancer-free, to tell her about Doylestown Health’s new Cancer Fit program for survivors. Patty was eager to join. “I got to be with others who understood what I had gone through as I regained strength.” “It was such a difficult time, but it’s over, and through it all I count myself lucky to have been able to get such great treatment so close to home,” says Patty.
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O r t h o p e d i c I n stitu te
o rth o ped i c c a re
where everything
fits together Doylestown Health’s Orthopedic Institute is a comprehensive resource connecting patients with expert care for all types of bone and muscle conditions. Here, patients find evidence-based care for joint repair and replacement, spine and hand surgery, sports medicine, osteoporosis and more. Fellowship-trained orthopedic surgeons, fully coordinated care teams and state-of-the art technology and facilities ensure patients receive the best care available.
Experienced Orthopedic Care Doylestown Health’s Orthopedic Institute performed a total of 3,070 orthopedic surgeries in Fiscal Year 2015. Ke y ar eas of f oc us inc lude:
Shoulder surgeries......................... 437 Spine surgeries.............................. 234 Elbow surgeries................................46 Hip replacements........................... 188 Hand surgeries............................... 254 Wrist surgeries.............................. 265 ACL repairs .......................................59 Single knee replacements............. 338 Bilateral knee replacements.............53 Other knee surgeries...................... 672 Ankle/Achilles surgeries...................94 Other procedures........................... 430 Source: Doylestown Health Data, Fiscal Year 2015
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DoylestownHealth.org
Focused Subspecialty Care Preventing future fractures in osteoporosis patients: The Osteoporosis and Bone Health Program offers highly coordinated care, education and follow-up services for osteoporosis patients to prevent future fractures. Sports medicine for all levels of fitness: Specialists with advanced certification in Sports Medicine provide exceptional preventive care, treatment and rehabilitation therapy. Stability and strength for shoulder injuries and arthritis: We use state-of-the-art techniques for shoulder repair such as arthroscopic surgery and double row rotator cuff repairs, and offer the full range of surgical treatment options for shoulder replacement, including individualized pre-operative education.
Reaching Their
‘Joint’ Goals Susan and Jim Rosica loved supporting their grandchildren at their sporting events. But both Doylestown residents suffered from chronic joint pain issues that pre-empted most outdoor activity. In 2013, Susan received a “resoundingly successful” knee replacement from Chuck Burrows, MD, medical director of Doylestown Health’s Orthopedic Institute. In September 2014, Jim followed suit, with Dr. Burrows replacing Jim’s arthritic hip. Jim was eligible for the Doylestown Accelerated Surgical Healing Program (DASH), an innovative rapid recovery program. “The process was just phenomenal. I was walking around the block at home with only a cane less than two weeks later,” says Jim.
Su sa n and Jim Ro sic a, J OINT RE PL A CE M ENT PATIENTS
Helping Patients Recover Faster Doylestown Health focuses on the continuous implementation of evidence-based care protocols that result in fewer complications, shorter lengths of stay and the ability to go directly home after surgery.
Fiscal Year
Quality Measure Average Length of Stay (Days) Discharge Directly to Home
2012 2013 2014 2015
3.4 62.0% 3.0 67.0% 2.4 84.4% 2.2 84.6%
Source: Doylestown Health Data, Hip and Knee Replacement Patients
Patient Satisfaction
99.8% Say that their stay
met or exceeded their expectations
success
99.6% Say that their preoperative education was helpful
9 10
Today, Susan is pain-free, comfortably roaming the Doylestown Hospital halls where she volunteers as a lay chaplain. Jim is able to enjoy weekly golf games and, more importantly, helping to coach his grandson Brandon on the soccer field. Jim and Susan were so enthusiastic about their physical success that they both offered to help out in the Orthopedic Institute’s “Joint to Joint” Volunteer program. The non-medical program lets patients considering or already scheduled for joint replacement surgery speak to a patient who has undergone the same procedure. Jim’s reason for volunteering? “When you’ve had such a great experience, it’s simply a pleasure to share your story with others.”
out of Rate their experience as “Excellent”
Source: Orthopedic Institute Joint Replacement Patient Satisfaction Survey
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VI A M a te rn i ty C e n ter
Advanced
Maternity Care At Doylestown Health, you’ll find the full continuum of clinical care and resources to grow your family and keep your children healthy. For expectant mothers, our beautifully updated VIA Maternity Center provides a comfortable, home-like setting during their birth experience. Moms appreciate our family-focused approach, state-of-the-art facilities and neonatal affiliation with the Children’s Hospital of Philadelphia (CHOP). Last year, our maternity and pediatric team welcomed nearly 1,300 babies, including three sets of triplets. (See story on page 13.)
VIA Maternity Services
at a glance 4-bed Level II neonatal intensive care unit (NICU)
9 private labor, delivery and recovery rooms 22 private postpartum rooms 2 C-section rooms Lactation consultants Prenatal testing services Bella Baby photography Childbirth and parenting classes Special program for uninsured or under-insured mothers
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DoylestownHealth.org
NICU Offers Complex Care, Close to Home For babies who are ill or born prematurely and require a higher level of care, the VIA Maternity Center’s Level II NICU, made possible through the generosity of the Asplundh Foundation, offers advanced care for infants, right in Doylestown. NICU physicians and nursing staff have specialized training and extensive experience caring for premature and sick newborns, and ensure that parents receive education and preparation to care for their newborns once they are discharged. Through our affiliation with the Children’s Hospital of Philadelphia, CHOP neonatologists offer 24/7 coverage of the unit.
Maternal-Child Health Program Through the Healthy Beginnings Plus program, eligible under-insured and uninsured pregnant women can turn to Doylestown Health for quality prenatal, maternity and postpartum care.
Parenting Resources The VIA Maternity Center offers a variety of educational resources for parents on childbirth, breastfeeding and newborn care. In addition, we are affiliated with the non-profit Child, Home and Community, an advocacy program for teen parents.
V IA M at e r n i t y C e nter ’ s Level II NI C U
triple the excitement In the fall and winter of 2015 obstetrician/gynecologist Scott Dinesen, DO, supported by a close-knit team of NICU doctors, nurses and pediatric specialists, had his hands full – literally. The popular area doctor, specially trained in high-risk obstetrics and gynecology, delivered three sets of triplets within three months in Doylestown Health’s VIA Maternity Center. Nichole and Joe Smolarski (see page 15) were first in line. “I was hospitalized at Doylestown 14 days before I had the babies,” says Nichole. “The care I received was just tremendous.” Triplets Julia, Drew and Ellie arrived October 19, 2014. Although parents Terri and Scott Thompson had plans for an “easy” Christmas, their triplets Aidan, Allison and Cole Thompson had something else in mind. The babies were delivered by C-section on December 27th. “It could have been stressful, but the staff made me calm. Everything was so professional and well organized,” says Terri. Dr. Dinesen and his team were back in action only a few days later, delivering Asher Saul, Ezra Noam and Ridley Ayala for mom Tanya Berman and her husband Jeffrey. Three sets of triplets within three months was a unique occurrence. “It’s awesome that this could happen at a community hospital like Doylestown,” says Dr. Dinesen. “It’s what we do — we help build families.”
Keystone 10 Initiative Participant:
IBCLC Care Award from the International Board of
Protecting, promoting and supporting breastfeeding in Pennsylvania
Lactation Consultation Examiners, 2nd year in a row
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De l l a P e n n a Ped iatric C e n ter
“
“
Children have a different physiology than adults. It’s not just “little adult” medicine.
We care for a child’s specific and unique physical and emotional needs.
– Jason Komasz, MD, lead pediatric hospitalist and chair, department of Pediatrics
Full Continuum of Pediatric Care
Doylestown Health’s Carol and Louis Della Penna Pediatric Center is a natural extension of the hospital’s robust labor and delivery service, Children’s Hospital of Philadelphia (CHOP) neonatal care and excellent emergency room services. Children and teens with conditions like asthma attacks or dehydration used to be sent to other hospitals for extended medical care. Today, they are expertly treated by Doylestown Health’s board-certified pediatricians, pediatric nurse practitioners and pediatric nurses. Through these naturally integrated services, Doylestown Health offers the community a full continuum of health and wellness for children.
Since October 2014 opening of the inpatient pediatric unit: 8,000 children seen in the ER 300 children admitted to the inpatient pediatric unit Source: Doylestown Health Data, Rounded Figures
Common Medical Issues Treated
Asthma
Surgery such as appendectomies
Bronchiolitis
GI disorders
Dehydration
Broken bones
Specialized care
16.8% 19.6% 0 - 11 months
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1 - 2 years
for Children and Teens
31.2% 2 - 10 years
32.4% 11 - 18 years
Couldn’t Have Asked for
Anything More Less than three months after Nichole and Joe Smolarski’s triplets Julia, Drew and Ellie were delivered at Doylestown Health’s VIA Maternity Center, illness struck. “Julia got sick first, with respiratory syncytial virus (RSV) and then pneumonia,” remembers mom Nichole of the frightening, potentially life-threatening ordeal. “She was hospitalized in Doylestown Health’s new Pediatric Center so she could receive special treatment and monitoring.” Ni ch ole and Joe Smol arsk i w i t h t ri ple t s J uli a, E LLIE AND DRE W
Pediatric Outreach Beyond Hospital Care Pediatric Outreach and Education The Della Penna Pediatric Center’s community educators visit local elementary school classrooms and summer camps, discussing topics like hand hygiene, stress management and poison prevention.
The “Hospital” by Doylestown Health In 2015, the Della Penna Pediatric Center partnered with the Bucks County Children’s Museum to create a fun, educational exhibit that helps orient children to some of the experiences they might have in the hospital.
Community Garden Doylestown Health’s Community Garden at Children’s Village provides hands-on gardening for little helpers from Doyle Elementary School, as well as fresh fruits and vegetables for nearby food shelters.
Resilient Kids
“Fabulous” is the word Nichole uses to describe the care Julia received from Jason Komasz, MD, lead pediatric hospitalist and chair, department of Pediatrics, and the other staff who treated the infant. Another huge plus was the fact that Nichole was able to stay overnight with Julia in a secure, private room in the Della Penna Pediatric Center that officially opened just days after the birth of the Smolarski triplets. “I couldn’t have asked for anything better,” says Nichole. While Julia was discharged after a few days, the other two babies soon became ill with the same respiratory illness. Both ultimately required hospitalization at various intervals. It was a rough two weeks for the family, but the babies soon thrived. “Doylestown Hospital is only about a 10-minute drive for us,” says Nichole. “With our other children at home (the parents have five other children), my husband and I were so grateful to get treatment for the babies right here in our own community.”
Doylestown Health partnered with the Central Bucks Family YMCA for a special event for children and parents on recognizing and managing stress. These pediatric outreach initiatives were made possible through a lead gift from the Norman Raab Foundation.
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Me d i c a l I m a g in g
Latest Screening Technology for
Breast Cancer Doylestown Health is proud to be at the forefront of medical imaging technology. 3-D mammography, also known as breast tomosynthesis, provides radiologists with more in-depth views of breast tissue. This advanced technology is especially useful for detecting breast cancer in patients with denser breast tissue, a personal history of breast cancer, or who carry the gene for breast cancer (BRCA1 or BRCA2).
“
Benefits of 3-D Mammography
3-D mammography allows us to look in between the breast tissue and find cancer that
“
may be hidden. If we can find breast cancer before it has
a chance to spread, the chance of cure is about 95%.
– Michele Kopach, MD, Director, Doylestown Health’s Women’s Diagnostic Centers
44%
16%
29%
in invasive cancer detected
in recall rate
in the detection of all breast cancers
INCREASE
D ECREASE
INCREASE
Source: AJR September 2014, Volume 203, Number 3
Advanced Medical Imaging with a Personal Touch The foundation of effective treatment planning is medical imaging technology that shows organs, tissues and bones in great detail so physicians can detect conditions early and make accurate diagnoses. Doylestown Health’s radiologists are fellowship-trained, highly experienced in the latest imaging techniques, and available to develop customized imaging plans to meet patients’ unique needs.
Imaging Highlights: Low-dose CT scans that minimize radiation for all patients, especially children, by up to 40 percent 3T MRI with Ambient Experience, made possible through a lead gift from Al and Marie Brown, offers the most advanced MRI technology available Coronary CT angiography and other specialized cardiac imaging services ward-winning Women’s Diagnostic Centers A for the earliest detection of breast disease
Watch radiologist Michele Kopach, MD, and breast surgeon Donna Angotti, MD, discuss breast cancer screening, prevention and treatment at
DoylestownHealth.org/BreastCancer.
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DoylestownHealth.org
State-of-the-art Interventional Radiology suite offering image-guided, minimally invasive treatments, such as chemoembolization and radiofrequency ablation Comprehensive Vein & Laser Center for management of venous disease and varicose vein treatments
S u r gica l Se r v ice s
Specialized Surgical Care A Focus on
quality
2014 Surgical Volumes Inpatient................2,692 Outpatient.............7,335 Total Cases....... 10,027
Source: Doylestown Health Data (Doylestown Hospital and Doylestown Hospital Surgery Center)
Low Surgical Site Infections Doylestown Health is focused on continuous quality improvement, such as low infection rates, to help patients achieve excellent outcomes.
Cardiac Surgery* ’12 ➜ 1% | ’13 ➜ 1% | ’14 ➜ 0% Year - Infection Rate
Colon-Rectal Surgery ’12 ➜ 1% | ’13 ➜ 1% | ’14 ➜ 1% Year - Infection Rate
Total Hip Replacement ’12 ➜ 1% | ’13 ➜ 0% | ’14 ➜ 1% Year - Infection Rate
Right in Your Community With two convenient locations in Doylestown and Warrington, PA, Doylestown Health’s surgical suites are well-equipped for the most specialized procedures. Fellowship-trained surgeons utilize the latest techniques including laparoscopic, laser, microsurgical and robotic approaches.
Full Continuum of GI Care Expertise in the latest, minimally invasive techniques, coupled with innovations in diagnostic technology, are enabling patients to recover from surgery faster than ever. For gastrointestinal (GI) and colorectal conditions, a highly specialized team of board-certified and fellowship-trained physicians collaborate to provide seamless care, from convenient screening options and advanced diagnostic technology through evidence-based medical and surgical treatment options. Enhanced Diagnostic Precision: Endoscopic Ultrasound (EUS) combines endoscopy with ultrasound technology to create a more detailed view of the gastrointestinal tract and surrounding tissue and organs, and enables physicians to perform biopsies for the diagnosis of GI cancers. Cutting-edge endoscopy procedures like EUS are leading to earlier detection and treatment of cancers and other GI conditions.
Collaborative Cancer Treatment: “The enhanced visibility afforded by the da Vinci® robotic system enables general and colorectal surgeons to perform complex surgeries in the abdomen and tight pelvic region with less blood loss, less nerve injury and shorter hospital stays for patients,” says Robert Akbari, MD, colorectal surgeon at Doylestown Health. For chemotherapy or radiation after surgery, Doylestown Health’s Cancer Institute and Penn Radiation Oncology are conveniently located on site.
Total Knee Replacement ’12 ➜ 0% | ’13 ➜ 0% | ’14 ➜ 0% Year - Infection Rate
= As Expected *Includes Cardiac Surgery and Coronary Artery Bypass Graft Procedures
Watch gastroenterologist Joseph Kim, MD, discuss therapeutic endoscopy at
DoylestownHealth.org/Endoscopy.
Source: NHSN SSI Data
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Ho m e H e a l th & H o sp ice C a re
“
“
Homebound patients can now receive many types of care that previously were required to be performed at the hospital or in a nursing facility.
– Jean Chubb, RN, MSN, Director, Home Health Services
expert care w ith the
comforts of home “Neither snow nor rain…” — a phrase commonly attributed to the U.S. Postal Service — also applies to Doylestown Hospital Home Health. Here, a dedicated group of registered nurses, therapists, home health aides and social workers provide home health care, 24 hours a day, every day of the year. A comprehensive range of support is offered to patients in need of intermittent care for acute and chronic diseases, as well as post-surgical care, rehabilitative therapies, medication management, and disease education.
Home Health
highlights
Nearly 1,000 home visits to new moms and their babies (Baby Bracelets program) 65 home health team members 36,000 visits to 2,700 patients More than 250,000 miles traveled throughout Bucks and Eastern Montgomery Counties Source: Doylestown Health Data, Rounded Figures, Fiscal Year 2015
most frequent patient diagnoses in need of Home Health Care
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Orthopedics and orthopedic surgeries
COPD and pulmonary diseases
Cardiac disease and heart surgery
Cancer and other neoplasms
caring for the
entire family
Hospice nurse Angela DeAlbuquerque, RN, Billie Mae Sabatini and Lori McLaughlin
Certified Hospice Services When a patient’s life expectancy is measured in months, and when curative treatment no longer seems appropriate, Doylestown Hospital Hospice can provide expert pain management, symptom-control techniques, caregiver relief, psychosocial and spiritual support, bereavement support, medical therapies and other palliative care. Our compassionate approach to end-of- life care includes physician services, registered nurses, a chaplain, a social worker, home health aides, volunteers, and bereavement counselors who work together to help the entire family during these very difficult times.
HOSPICE CARE
highlights
12,500 days of service provided to nearly 350 patients 9,000 visits provided by the multidisciplinary Hospice team 2,700 Hours of volunteer time provided for Hospice Source: Doylestown Health Data, Rounded Figures, Fiscal Year 2015
4-star rating
“Dad was a wonderful husband, a great father and grandfather, but a proud man who managed to hide a number of major medical issues from the family for many years,” explains his daughter Lori McLaughlin, as she recalls the end-of-life situation that finally precipitated Renee Sangrigoli, MD, to recommend Doylestown Hospital Hospice. “After many serious hospital stays in a short period of time, Dad’s quality of life plummeted. There were too many different problems. He just wasn’t able to fight any longer.” The closely-knit Hospice care team, consisting of a primary nurse and a supportive team of clinicians to assist in patient care, first visited Lori’s Dad, Robert Sabatini, DDS, in Doylestown Hospital. They worked cohesively with the nurses on 2 North to help him transition home, where the hospice nurses and hospice aides then offered hands-on medical assistance with 24/7 support. The comprehensive Hospice team also provided comfort and education to Lori and her husband, Patrick; Dr. Sabitini’s wife, Billie Mae; and Lori’s children, Kevin and Colleen. Dr. Sabatini peacefully passed away in the familiar surroundings of his home. “You’re there with your heart in your lap, you’re extraordinarily tired, and these angels come in at this vulnerable time and become a part of the family to make you comfortable with this difficult situation,” says Lori. “The kindness, respect, compassion and gentleness we experienced was just incredible.”
Doylestown Hospital Home Health Compared to 3-star national average Source: Medicare Nursing Home Compare
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Vol u n te e r Se r vice s
Simply Irreplaceable Since the founding of Doylestown Hospital in 1923, volunteers have been indispensible members of the Doylestown Health family, giving their energy, enthusiasm, knowledge and dedication to patients and visitors. Volunteers greet patients when they come through the door, help visitors find their destinations and assist with transport. They knit or crochet blankets for hospice patients, create chemotherapy hats for infusion therapy patients, sew walker bags for Pine Run Villagers and fashion take-home pillowcases for pediatric patients. Pine Run Villagers take part in the volunteer effort, too, making comforting teddy bears for young patients.
Volunteer Services
highlights
892 volunteers Up to 90 different volunteer services 2,500 hats knitted for new babies More than 109,695 hours of service $370,250 awarded in scholarship money to teen volunteers $2.5 million service contribution value* *Based on Independent Sector estimations Source: Doylestown Health Data, Fiscal Year 2015
Animal Assisted
activity program Research shows that interacting with an animal provides both physical and emotional benefits by reducing stress, pain and anxiety. In Fiscal Year 2015, Doylestown Health’s Animal Assisted Activity program grew from just one volunteer dog and handler to four volunteer trainers and 26 dogs through a partnership with Roxy Reading, a nonprofit pet therapy organization. These adorable pups put smiles on the faces of patients, families and staff alike.
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Interested in becoming a Doylestown Health volunteer? Please call the Volunteer Office at 215.345.2204 to learn more about becoming part of this proud tradition.
Com m u n it y Ou t r eac h
A mission of health At Doylestown Health, keeping people healthy is at the core of our mission. We are dedicated not only to helping people get well when they are sick, but also to preventing illness and empowering members of our community with the resources they need to live healthier lives. One of the fundamental ways we promote the health of the community is through outreach and education to all ages.
Outreach in Action Pink Party! A Breast Health Event for Every Woman Over 250 women attended Doylestown Health’s 2014 breast health fair and health discussion during Breast Cancer Awareness Month. Along with a fun, festive atmosphere, the event offered important information on breast cancer prevention and screening, survivorship resources and therapy demonstrations.
Love Your Heart: Heart Health Event
a tradition
In honor of American Heart Month, Doylestown Health and Friends of the Heart Institute partnered with the Central Bucks Family YMCA to offer free health screenings and information on preventing heart disease, diabetes and stroke. Cardiologist MaryAnn Williamson, MD, discussed heart health guidelines and offered tips on how to take small steps to live heart-healthy.
of service The Village Improvement Association of Doylestown Doylestown Health’s commitment to community outreach and education is a continuation of the work of The Village Improvement Association of Doylestown (VIA), the founders of Doylestown Hospital who continue to oversee its governance today. In 1895 when dusty, unpaved roads caused health problems in Doylestown, the VIA arranged for sprinklers to keep the dust down in the summer. Early on, they recognized the critical need for public health initiatives and community healthcare services. Today, the VIA continues to improve the health and welfare of the Doylestown community by providing grants, educational scholarships, and support for other community programs. To learn more or become a member of the VIA, call 215.345.2347 or visit VIA-Doylestown.org.
Health Fair at the Bucks County Designer House & Gardens For the second year in a row, Doylestown Health clinicians offered health screenings and wellness information at the Village Improvement Association of Doylestown’s 2015 Bucks County Designer House & Gardens. As the community toured the beautifully-designed home and landscape, they received information on cancer prevention, breast health, fitness, nutrition and more.
Health Connections by Doylestown Health Doylestown Health partners with the Cowhey Family ShopRite of Warminster to provide an in-store health resource for the community. A healthcare concierge offers appointment scheduling, physician referrals, health and wellness talks and screenings, health-related information and more.
Fiscal Year 2015
Community Outreach
780
Educational Programs
summary
59
Community Sponsorships & Events Source: Doylestown Health Data
See all events at DoylestownHealth.org/ClassesAndEvents
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Pi ne Ru n R e tire men t C o mmu n ity
Living well
at pine run
Living well and participating in healthy activities is a part of the every day at Pine Run Retirement Community, owned and operated by Doylestown Health. A Doylestown tradition for nearly 40 years, Pine Run Retirement Community places a strong emphasis on holistic wellness, addressing physical, emotional and spiritual needs. The 43-acre campus offers an abundance of opportunities to connect with nature and is located just four miles away from Doylestown’s delightful town center filled with unique merchants and restaurants.
The Pine Run Community includes: Retirement Living | Health Center | Rehabilitation The Garden (Alzheimer’s and Dementia Care) | Lakeview Personal Care
Pi n e Run Meditation Group
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focusing
on the “now”
O ccupational
Physical
Social
Spiritual
Intellectual
Emotional
Pine Run’s meditation group emphasizes a positive approach to wellness and life enrichment. Pine Run Retirement Community’s Thursday morning meditation class helps its residents, fondly known as “Villagers,” discover new levels of contentment. “Finding acceptance and peace through meditation is a priceless gift,” says Nancy Pellegrini, LCSW, facilitator of the enthusiastic group of 62- to 92-year-old Villagers who participate in the program. Villager Bob Trepeta sees the group as a great social outlet that helps him slow down and enjoy the moment. “I’m learning to try to not be such a Type-A personality. I hope more men in our community join the group to slow down and gain clarity.” Kathy Achorn, a Villager relatively new to Pine Run, recognizes that “silence is a rare commodity in this world.” Says Kathy: “When I meditate I’m totally focusing on ‘now’ – for the ultimate realization that I am alive and breathing, one moment at a time.” Villager Janet Galloway came to Pine Run from out-of-state in the midst of dramatic life changes following the loss of her beloved husband. The meditation group is helping Janet find comfort with others who have experienced similar challenges. “The breathing techniques we’re learning help take me to a place of inner peace and harmony,” she says.
Six Dimen sion s of W EL L NESS
A Model for Life Enrichment Pine Run’s approach to life enrichment aligns with the Six Dimensions of Wellness model, an interdependent paradigm which reasons that wellness is an evolving, multifaceted process. A variety of activities, clubs, and special interest groups are part of an active residential life that touches each dimension. Hobbies, travels, talents, and an ongoing love of learning drive the diverse calendar offerings and social interplay with associates, family, teachers, and volunteers in every level of living.
Fit For L.I.F.E. Longevity. Independence. Function. Empowerment. Pine Run’s popular Fit for L.I.F.E. program is one of 50 programs that help Villagers engage mind, body and spirit, regardless of age or ability. Villagers experience personal growth and enhanced well-being with classes in strength, flexibility and cardiovascular endurance. The program also includes regular transportation to the aquatic center and spa located within the Health and Wellness Center in Warrington, PA.
Community & Healthcare
5-star rating pine run health center
Source: Medicare Nursing Home Compare
quality
Voted Best of Bucks-Mont
by readers of The Intelligencer
2011-2015
Contact Us For more information about Pine Run Retirement Community or to schedule a tour, call 800.992.8992 or visit PineRun.org.
23
Do y l e s to w n H ea lth Fo u n d a tio n
The Ripple Effect of giving
Decades before the concept of crowdsourcing and Kickstarter campaigns were common, local Bucks County businessman Herman Silverman invited three friends and business associates to lunch to discuss an important need at the newly built Doylestown Hospital. It was 1978, and Silverman had recently experienced chest pain (angina). His physician, Joseph McGarvey, Sr., MD, one of Doylestown Hospital’s first cardiologists, noted that a full range of advanced cardiac services was not yet available in the local community.
H e rm an S i lve rm an
Humble Beginnings: The $100 Heart Club True to form, the entrepreneurial Silverman set out to rectify the situation. Having realized success as the founder of Sylvan Pools, one of the country’s largest swimming pool companies, Silverman had a knack for creating new ventures. That day at lunch, he and his friends launched the $100 Heart Club. With initial contributions of $100 each, and at Silverman’s request, they sought to enlist others and pledged to raise funds yearly in support of Doylestown Hospital’s cardiac program. Nearly forty years later, the $100 Heart Club is now known as Friends of the Heart Institute (FHI). At 250 members strong, this dedicated group of supporters has collectively raised $1.5 million since
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DoylestownHealth.org
1978. These funds enabled Doylestown Health to achieve designation as a recognized center of cardiac care excellence as was originally envisioned by Dr. McGarvey and Doylestown Hospital leadership. “Doylestown Health has grown in stature, respectability and accountability in so many ways,” says Silverman. “I know people that live closer to other hospitals who want to come here instead because of the kind of care you get that’s just not available elsewhere.” Through lead gifts and special events, funds raised by Friends of the Heart Institute support the key priorities of Doyletown Health’s Richard A. Reif Heart Institute, such as the purchase of state-of-the-art medical and surgical equipment and patient education programs.
Positioned for the Future “We are truly grateful to Herman Silverman for his commitment to Doylestown Health. It is an honor to be one of the many organizations that he and his family have supported in our Bucks County community,” says Jim Brexler, President and CEO of Doylestown Health. “The impact of his generosity and foresight will benefit families for generations to come and positions us for a stronger future.” The impact of the Silverman family’s leadership in philanthropy also extends to other areas of Doylestown Health, such as the Emergency department, Pediatrics, and the Ann Silverman Health Clinic, which honors the memory of Silverman’s late wife. In 2014, Doylestown Health honored Silverman with a special plaque that hangs in the halls of the Reif Heart Institute. “Building things is in my genes,” notes Silverman. “However, it wasn’t just me and my friends,” he reflects, gratefully. “It’s wonderful to see that other people are doing all sorts of things to help make our community a better place.”
“
“
Philanthropy plays an integral role in allowing us to do more for our
patients by combining the latest technology with the highest quality of care. – Joseph Auteri, MD, FACS, Chief, Cardiac Surgery
building the
future of cardiac care Doylestown Health is committed to continuously improving the quality of life and proactively advocating for the health and well-being of the individuals it serves. To demonstrate this commitment and meet the growing demand and interest in Cardiothoracic and Vascular services, Doylestown Health is embarking on a transformative renovation and expansion of the Reif Heart Institute. Designed to enhance patient safety and privacy, the renovations will include expanded patient areas, new clinical space integrating state-of-the-art technologies, and a dedicated Endovascular Surgery Suite.
Join Us Doylestown Health is grateful to its many generous donors and the members of Friends of the Heart Institute for their dedicated and unwavering support. These partnerships continue to serve as a driving force and will help to kick-off this critical initiative at Doylestown Health.
Doylestown Health’s F ri e nds o f t he H e art I nst i t u te
To learn more or make your own commitment of support, please contact Laura Wortman, Vice President, Development, at 215.345.2122 or lwortman@dh.org.
(Pictured L-R): John Mitchell, Executive Director Cardiovascular Services; Drs. Joseph McGarvey & Bruce Applestein, Founding Members, FHI; Jim Brexler, President & CEO, Doylestown Health; Bill Lieser, Membership Co-Chair, FHI; Drs. James McClurken & Joseph Auteri, Cardiothoracic Surgeons; Herman Silverman, Founding Member, FHI; Sara Moyer, Chair, FHI; Terri Long, Director, Critical Care and Cardiology Services; Steve Hirt, Heart-to-Heart & FHI Volunteer; Carol Hirt, Doylestown Hospital & FHI Volunteer.
25
F i na n c i a l I n f o rmatio n
F i s c a l Ye a r 2 0 1 5
FInancialS
Doylestown Health Foundation Summary
$39,656,629 Total Net Assets
$63,151
Emergency Department
$138,149 3T MRI
$1,074,121
$226,727
Realized Planned Gifts
Capital Campaign Investment
$302,877
VIA Maternity Center
$2,703,288
Total Received*
$569,844
The Carol & Louis Della Penna Pediatric Center
$1,402,440
Annual Gifts, Contributions and Events
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* Cash received July 1, 2014 – June 30, 2015 Does not include outstanding pledges.
Doylestown Health Summary FInancial
highlights
Statistical
Total Operating Revenue
Operating Margin
$297,918,000
$1.8%
Total Operating Expenses
Income from Operations
$292,622,000
$5,296,000
highlights
Discharges................................. 14,295
Inpatient 12,149 Observation 2,146 Emergency Department Visits.... 45,903 Births.............................................1,271 Inpatient Surgical Cases...............2,736
$118,000
$7,471,000
Cash and In-Kind Contributions
Charity Care
$1,862,000
Subsidized Health Services
Medical Staff................................... 425
$15,404,000
Associates.....................................2,632
Total Community Benefit*
Skilled Nursing Admissions............. 522 Independent Living Residents.......... 335 Personal Care Residents.................. 137
$771,000
Health Professions Education
Hospital Outpatient Visits........247,098 Visiting Nurse/Hospice Visits.... 47,531
$253,000 Research
Outpatient Surgical Cases............7,244
$4,929,000
Skilled Nursing Residents...................65
Community Health Improvement
* Doylestown Health Data, Fiscal Year 2014
27
Bo a rd & A d m in istra tio n
2 0 14 - 2 0 1 6 Doylestown Hospital
Doylestown Health Foundation
Carolyn Della-Rodolfa
Carolyn Della-Rodolfa
Joan Parlee
Jean Leister
Barbara Kieffer
Joyce Hanson
Sara Moyer
Georgia Ford
Beverly Coller Campbell
Karen Simon
Board of Directors
Chair of the Board, VIA Member
Doylestown Health
Administration James L. Brexler
President & Chief Executive Officer
Barbara Hebel
Vice President, Human Resources
Richard D. Lang
Vice President & Chief Information Officer
Scott S. Levy, MD
Vice President & Chief Medical Officer
Sheri Putnam
Vice President, Strategic Initiatives
John B. Reiss, JD
Vice President & General Counsel
Cathleen Stewart
Executive Director Pine Run Retirement Community
Daniel Upton
Vice President & Chief Financial Officer
Eleanor Wilson, RN
Vice President, Patient Services & Chief Operating Officer
Laura K. Wortman
Vice President, Development
Vice Chair, VIA Member Treasurer, VIA Member Secretary, VIA Member Assistant Secretary/Assistant Treasurer VIA Member
James L. Brexler
President & Chief Executive Officer
William E. Boger, CPA
the governance of Doylestown Health, a non-profit community health system that includes Doylestown Hospital, a skilled nursing facility, home health and hospice services, a surgery center, retirement community and outpatient services.
Treasurer and VIA Second Vice President Secretary, VIA Member Assistant Secretary/Assistant Treasurer, VIA Member
James L. Brexler
President & Chief Executive Officer
Nicole Boytin
Marianne Chabot
Patrick Counihan
VIA Immediate Past President
RADM Stephen Chadwick, USN (Ret.) Owner and President of Rhyfel, Inc. Community Member
Patricia Gorsky VIA Member
Carolyn Kozakowski
VIA Recording Secretary
Scott S. Levy, MD
Vice President & Chief Medical Officer
Eric Marchant, MD
President, Medical Staff
Linda McIlhinney VIA President
Brian McLeod
Retired from Merck as SVO of Marketing Community Member Pennswood Consulting, Community Member
Cory Schroeder
VIA First Vice President
David L. Smith, MD
Past President, Medical Staff
Dennis Walsh
Retired SVP of Prudential Healthcare Inc. Community Member Vice President, Patient Services & Chief Operating Officer
DoylestownHealth.org
Vice Chair, VIA Member
Vice President Business Banking and Relationship Manager, M&T Bank, VIA Member
Eleanor Wilson, RN
28
Chair of the Board, VIA Member
W.E. Boger and Associates, Community Member
Fred Schea Doylestown Health Administration oversees
Board of Directors
Retired VP, US Customer Centricity at Merck Community Member
Louis Della Penna, Sr.
Founder and former chairman of LDP Consulting Group, Community Member
Kathryn Lambert VIA Member
William Lieser
Retired, CIA, Community Member
William Marshall
Chairman and founder of Marshall Financial Group, Community Member
Linda McIlhinney VIA President
Phillip Paino
Retired President Greene, Tweed & Co. Community Member
Mary Ellen Pelletier, MD
Vice President, Medical Staff
Cory Schroeder
VIA First Vice President
Paul Spiro, MD Medical Staff
Mary Ellen Stanton VIA Member
Dan Upton
Vice President & Chief Financial Officer
Laura K. Wortman
Vice President, Development
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The Village Improvement Association of Doylestown (VIA) was founded in 1895 to support and enhance the quality of life in Central Bucks County. In 1923, the VIA founded Doylestown Hospital, and today VIA members continue to oversee the governance of Doylestown Health. To learn more or become a member, visit VIA-Doylestown.org.
595 West State Street | Doylestown, PA 18901 | DoylestownHealth.org
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