2014
COMMUNITY ANNUAL REPORT
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MISSION STATEMENT
Doylestown Health continuously improves the quality of life and proactively advocates for the health and well-being of the individuals we serve.
VISION STATEMENT
The enthusiastic pursuit of healthcare excellence through collaboration and innovation.
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RENEWING OUR COMMITMENT ALL TOGETHER NOW. Great orchestras require exceptional talent, an array of finely tuned instruments and a skilled conductor to perform complex symphonies with excellence. Great healthcare organizations are much like great orchestras. Highly competent talent, comprehensive facilities and services, superior execution and flawless coordination of effort are all required to deliver excellence in patient care. This annual report is an opportunity for our community to sample the many exceptional services and programs that comprise our outstanding health system and to learn about our most recent accomplishments. Individually, these achievements are significant for the new technology, procedures and services we make available to every member of our community. Together, they tell a story about our future as much as our past.
MISSION STATEMENT
Doylestown Health continuously improves the quality of life and proactively advocates for the health and well-being of the individuals we serve.
VISION STATEMENT
From the start, we have been a locally governed organization focused on improving the health of our community. The Village Improvement Association of Doylestown (VIA) founded the Doylestown Emergency Hospital in 1923 but its health-centered roots trace back to 1895 as they coordinated efforts to eliminate unhealthy dust from the town’s streets. This passion for public health evolved into the establishment of the first visiting nurse service in Doylestown. Over the years, the VIA continued to address the health needs of our community by expanding or developing new services that comprise Doylestown Health and collectively include: »» Doylestown Hospital »» Health Connections by Doylestown »» Doylestown Health Physicians Hospital – healthcare concierge »» Doylestown Hospital Surgery Center services at the Warminster ShopRite and outpatient testing facilities at the »» Pine Run Health Center Health and Wellness Center »» Pine Run Lakeview Personal Care »» Doylestown Hospital Home Health Care »» Pine Run Retirement Community »» Doylestown Hospital Hospice »» Children’s Village – early childhood education program Today, under the Doylestown Health banner, we gather all elements of our health system to expand beyond episodic care to community health and a continuum of coordinated care, from birth to end-of-life. In partnership with over 425 physicians on our medical staff, we anticipate providing enhanced and expanded services, achieving even greater accomplishments and a healthier community.
WARMEST REGARDS,
The enthusiastic pursuit of healthcare excellence through collaboration and innovation.
Jim Brexler
Carolyn Della-Rodolfa
David L. Smith, MD
PRESIDENT AND CEO
CHAIRMAN OF THE BOARD
PRESIDENT OF THE MEDICAL STAFF
L E A R N M O R E AT D H . O R G
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DOYLESTOWN HEALTH: A CONTINUUM OF CARE, A LASTING LEGACY
611
C
202
E
DOYLESTOWN HEALTH LOCATIONS: A
DOYLESTOWN HOSPITAL (A)
F
595 West State Street Doylestown, PA 18901
DOYLESTOWN HEALTH OUTPATIENT SERVICES AT THE HEALTH & WELLNESS CENTER (B)
611
202
847 Easton Road Warrington, PA 18976
DOYLESTOWN HOSPITAL HOME HEALTH CARE AND HOSPICE (C)
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at the ShopRite of Warminster 942 West Street Road Warminster, PA 18974
PINE RUN RETIREMENT COMMUNITY (E) 777 Ferry Road Doylestown, PA 18901
PINE RUN HEALTH CENTER (E)
875 North Easton Rd Doylestown, PA 18902
777 Ferry Road Doylestown, PA 18901
DOYLESTOWN HEALTH FOUNDATION (A)
PINE RUN LAKEVIEW (F)
595 West State Street Doylestown, PA 18901
B
HEALTH CONNECTIONS BY DOYLESTOWN HOSPITAL (D)
2425 Lower State Road Doylestown, PA 18901
CHILDREN’S VILLAGE AT DOYLESTOWN HOSPITAL (A) 595 West State Street Doylestown, PA 18901
D 2/25/15 4:09 PM
The name Doylestown Health now represents the healthcare network that has delivered high quality care to the community for over 90 years. This is an exceptional accomplishment, considering that the hospital remains non-profit and has been governed by the same organization — The Village Improvement Association of Doylestown, which has served the community for over 120 years. Doylestown Health includes Doylestown Hospital and its breadth of services, our expert physicians, outpatient services, wellness centers, Pine Run Retirement Community and more, all putting you at the center of a seamless care experience, designed to keep you well.
DOYLESTOWN HEALTH IS COMPRISED OF: Doylestown Hospital Nationally and regionally recognized for high quality and innovation, the hospital may be the flagship of the health system but relies on care coordination with community physicians and the effectiveness of its many parts for success. The Hospital has 237 beds and a Medical Staff of over 425 physicians offering comprehensive healthcare services from childbirth to end-of-life care.
Doylestown Hospital Surgery Center 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.
Outpatient Services 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.
L E A R N M O R E AT D H . O R G
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Doylestown Hospital Home Health & Doylestown Hospice 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 Key services through this employed multi-specialty physician group include: cardiology, cardiothoracic surgery, breast surgery, neurology, and pediatric and adult hospitalists. In addition, Doylestown Health Physicians offers practice management services to independent physician groups.
Health Connections by Doylestown Hospital A collaboration between Doylestown Hospital 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 Retirement Community 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.
Pine Run Health Center Renovations are nearly complete for this multi-faceted facility with a 90-bed skilled nursing unit providing transitional and long-term care. Along with rehab, hospice and respite services, the Health Center also offers a separate and secure 40-bed personal care dementia and Alzheimer’s neighborhood.
Pine Run Lakeview Our personal care community encourages independence and supports every individual need, from fine dining to companionship. Pine Run Lakeview is a 107-bed personal care center which includes a 13-bed secure dementia care neighborhood.
Children’s Village As part of Doylestown Health, Children’s Village offers a robust, awardwinning, 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.
Doylestown Health Foundation The Foundation Board of Directors, comprised of leaders from the Village Improvement Association, the community, and the health system, are responsible for ensuring the adequate funding and support of all facets of the continuum of care. 4
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MEDICAL STAFF
&
HOSPITAL S H A R E V I S I O N A N D VA L U E S
The Doylestown Hospital Medical Staff has been an active partner with the hospital for decades. Today, the Medical Staff continues to grow and strengthen their affiliation with the hospital, by identifying new options for improved clinical integration, and by establishing collaborative relationships between primary care and specialty practices to create a coordinated continuum of care that positively impacts the patient — before, during and after a hospital visit. With more than 425 physicians and hospitalists on staff, and over 40 areas of specialty care, the Doylestown Hospital Medical Staff offers individualized care and treatment options for all members of our local and regional community.
“WITH THE RICH HISTORY OF COLLABORATION AMONG PHYSICIANS AND HOSPITAL, THE DOYLESTOWN HEALTH NAME IS A HARBINGER OF EVEN BETTER THINGS TO COME AS WE MORE CLOSELY ALIGN CLINICAL ACTIVITIES, BOTH IN THE HOSPITAL AND COMMUNITY SETTINGS.” — David
L. Smith, MD, President of the Medical Staff
L E A R N M O R E AT D H . O R G
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When Helen Feehan needed heart surgery, she relied on the recommendation of a friend and chose Doylestown Hospital. Helen had enjoyed good health for most of her life, but within the past year, the 81-year-old began experiencing tightness in her chest while exercising. She saw cardiothoracic surgeon James B. McClurken, MD, who recommended an aortic valve replacement. Helen had the surgery at Doylestown Hospital in August 2014. “My experience was wonderful from the time I entered the hospital to the time I left,” Helen says. “The care was flawless. I loved all the nurses, who were always so helpful. I felt I was in good hands.” After returning home, a nurse from Doylestown Hospital’s Home Health Care service came to Helen’s Hatfield home three times a week. She answered Helen’s questions about pain management, her trouble sleeping and medication.
HELEN FEEHAN A RECOMMENDATION FROM A FRIEND LEADS TO THE REIF HEART INSTITUTE AND DOYLESTOWN HOME HEALTH CARE.
“I came home with so many bottles of medicine I thought I would lose my mind,” says Helen. “The nurse sorted and set up the medications for me. She helped solve all my issues.” Helen has enjoyed a smooth recovery and is getting back to the active life she has always enjoyed. “I just look back at my entire experience with gratitude and complete satisfaction.”
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&VALUE
THE DOYLESTOWN HOSPITAL TRADITION
QUALITY
SURPASSING THE NATIONAL AVERAGE
Door-to-Balloon Angioplasty at Doylestown Hospital* National Goal = less than 90 minutes
ALL PATIENTS
THE RICHARD A. REIF HEART INSTITUTE Doylestown Health’s Richard A. Reif Heart Institute is a nationally-recognized cardiac program with capabilities ranging from patient education and preventive heart health programs to technically-advanced minimally-invasive
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valve replacements and delicate open-heart surgeries to a robust cardiac rehabilitation program. The Woodall Chest Pain Center, an extension of the
MINUTES
Heart Institute, works with local ambulance services to ensure rapid treatment for heart attack even before a patient arrives in the Emergency Department.
EXPERIENCED CARDIAC SPECIALISTS The Heart Institute cardiac specialists perform a significant volume of cardiac procedures. Key areas include:
PROCEDURE
TOTAL
Cardiac Ablations
250
Cardiac Devices
508
Cardiac Surgery
213
Electrophysiology Studies
259
Transcatheter Aortic Valve Replacement (TAVR)
17
Volume data FY 2014
30-DAY SURVIVABILITY after a Heart Attack*
Doylestown Hospital Ranking
The Heart Institute is a regional leader in electrophysiology procedures offering a wide array of treatment options for the management of atrial fibrillation, and is one of only a few centers in the region providing the Convergent Procedure, an advanced care option for hard-to-treat arrhythmias.
RECENT INNOVATIONS IN HEART CARE Transcatheter Aortic Valve Replacement (TAVR) is an advanced care option for patients needing a new aortic valve who cannot undergo traditional valve-replacement surgery. TAVR is performed by the Heart Institute’s multidisciplinary team of cardiac specialists that includes cardiologists, cardiac surgeons, interventional cardiologists and radiologists. Doylestown Hospital was the first in the state to use the Medtronic Reveal LINQ Insertable Cardiac Monitor (ICM) — which is 80% smaller than other ICMs. This wireless monitor provides long-term remote monitoring to help physicians diagnose and monitor irregular heartbeats.
* As reported by Doylestown Hospital, January 2012-February 2014 Note: Doylestown Hospital has partnerships with community ambulance services to transmit EKGs before a patient arrives at our hospital, improving door-to-balloon time.
1
#
IN PENNSYLVANIA AND TOP 6 IN THE NATION FOR HEART ATTACK SURVIVAL - 3 YEARS RUNNING.
*From Medicare.gov/Hospital Compare
L E A R N M O R E AT D H . O R G
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EMERGENCY SERVICES The Emergency Department (ED) remains among the most technologically advanced and equipped ED units in the region. With over 44,000 patients including nearly 8,000 pediatric patients, the Department offers a breadth of care options to the community 24 hours a day. Excellence and speed of critical care is paramount and is notable when treating heart attack and stroke. The unit is home to the Woodall Chest Pain Center for the rapid assessment of heart attack and also collaborates with Jefferson Hospital neuroscience specialists and its Jefferson Expert Teleconsulting system for emergency diagnosis and treatment of stroke.
MINUTES MATTER
OUTSTANDING PATIENT EXPERIENCE
in Emergency Heart Attack and Stroke Care
in the Emergency Department
HEART ATTACK CARE DOOR TO ARRIVAL IN CARDIAC CATH LAB
22
MINUTES
Newer approaches to improving patient satisfaction include assessing the patient experience. Surveys completed by patients ask about their visit, safety practices and pain management.
3 YEARS RUNNING
STROKE CARE TIME IT TAKES TO CALL ALL MEMBERS OF THE STROKE TEAM
5
MINUTE AV E R A G E
Doylestown Hospital was a proud recipient of the 2014 Guardian of Excellence Award from Press Ganey Associates. The Hospital has received this award for three consecutive years and recognizes top-performing facilities that consistently achieved the 95th percentile of performance in patient satisfaction.
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THE ORTHOPEDIC INSTITUTE Our dedicated orthopedic physicians and staff offer complete care — before, during and after procedures — for a full range of movement. Our focus is on keeping joints, bones and muscle healthy. When surgery is necessary,
»
2,400
U P TO PROCEDURES
WERE PERFORMED THROUGH THE ORTHOPEDIC INSTITUTE IN 2014.
Orthopedic specialists at Doylestown Hospital treat many bone and musculoskeletal conditions and offer the following services: »» Arthroscopic Surgery »» Orthopedic Pain Management
there are innovative, rapid-recovery options available through the Doylestown Accelerated Surgical Healing Program. Our patients recover from total joint replacement surgery in weeks, not months, with rehabilitation occurring before and after surgery for the best outcomes. We provide a well-established sports medicine team with many of our physicians serving as team doctors for regional high schools. Other areas of expertise include shoulder joint replacement as an emerging specialty, and surgeries of the hand, spine and rotator cuff. »» Certified by The Joint Commission for total hip and knee joint replacement »» Blue Cross Blue Shield Center of Distinction
»» Reconstructive Surgery »» Shoulder, Elbow, Wrist, Hand and Finger Joint Repair »» Spine Care including Lumbar and Cervical Disk Replacement »» Sports Medicine »» Trauma and Fracture Care »» Joint Replacement – Knee, Hip, Shoulder Depending on the injury or condition, there are also options for accelerated healing programs and minimally invasive techniques available with smaller incisions to spare muscles or tendons — so patients can get back to the activities they love, faster.
JOINT REPLACEMENTS
Length of Stay, Discharge to Home Are Key Quality Indicators AVERAGE LENGTH OF STAY (DAYS)
3.5 3.25
2.5
»
OVER
»
OVER
650
HIP AND KNEE JOINTS W E R E R E P L AC E D I N 2 0 1 4
75%
O F T H E S E PAT I E N T S DISCHARGED STRAIGHT TO H O M E V S . S K I L L E D N U R S I N G FAC I L I T Y
2011
2012
2013 L E A R N M O R E AT D H . O R G
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THE CANCER INSTITUTE Accredited by the American College of Surgeons Commission on Cancer, The Cancer Institute provides quality care from board-certified physicians and oncology-certified practitioners. This experienced team provides comprehensive, coordinated care centered on cancer prevention and screening, diagnosis, medical oncology, radiation oncology, surgery and survivorship and support programs. As an integrated partner with Penn Radiation Oncology and the Penn Cancer Network, The Cancer Institute demonstrates excellence in community outreach, clinical services, quality improvement and research.
2014 CANCER INSTITUTE HIGHLIGHTS Breast Care
»
OVER
720
C A N C E R PAT I E N T S W E R E T R E AT E D AT T H E C A N C E R INSTITUTE (2013)
COMMON CANCER TYPES TREATED: OTHER
DIGESTIVE
New Breast Center — The Breast Center of Doylestown Hospital offers comprehensive breast cancer and well-breast care. From early detection through advanced screening options to complex surgical treatments including breast-sparing techniques, the Center is a resource for total breast health. New mammography protocols specific to breast density were incorporated by the Women’s Diagnostic Center. In addition to mammography, ultrasound and MRI can help find breast cancers that cannot be seen on a mammogram. Designated as a Breast Imaging Center of Excellence by the American College of Radiology (ACR).
Gastrointestinal Cancers Endoscopic Ultrasound (EUS) This new procedure offers advanced endoscopy care close to home. EUS combines endoscopy with ultrasound technology to create a more detailed view of the gastrointestinal tract and surrounding tissue and organs. Using EUS, physicians can diagnose conditions that can be missed by other imaging modalities and can obtain biopsies in a less invasive manner with higher accuracy.
Lung Cancer The Cancer Institute established a low-dose CT lung cancer screening program for asymptomatic patients who meet the established criteria, with the goal of earlier detection, more accurate diagnoses and more effective treatments for lung cancer. Endobronchial ultrasound (EBUS) is now available at Doylestown Hospital to biopsy, diagnose and stage lung cancer. In the past, to perform lung cancer biopsy an inpatient surgical procedure called mediastinoscopy was required. Now, through EBUS, physicians can achieve the same, accurate results using a convenient minimally invasive diagnostic procedure performed on an outpatient basis.
BREAST GENITOURINARY LUNG & BRONCHITIS
INFUSION THERAPY at Doylestown Hospital
For those in need of medications delivered intravenously, the Outpatient Infusion Unit offers private rooms and treatment bays at The Pavilion. This unit provides infusion for many conditions that include cancer, lupus, multiple sclerosis, rheumatoid arthritis and more.
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ST
Until a few years ago, Jim Maholic, 79, visited the ER only once in his lifetime. He enjoyed good health most of his life. A cancer diagnosis changed all that — and his outlook on life. A severe stomach ache brought him to Doylestown Hospital’s Emergency Department in 2008, which led to a CT scan, which led to a cancer diagnosis: non-Hodgkin’s large B-cell lymphoma. Before starting treatment, Jim sought a second opinion at another hospital. The recommendation was the same. Because Doylestown Hospital was “much easier” for Jim to navigate, he chose to receive his treatment close to home. Jim received chemotherapy at Doylestown Health’s Cancer Institute for six months. “The staff and nurses were excellent,” he says. “I was making progress and the care was good.” He liked the community hospital setting. Better yet, his treatments were successful. “When you’re in remission, you have to live your life. Go ahead and live,” he says. After realizing his experience could help others, Jim became a volunteer at The Cancer Institute. “It gives people hope. That’s what I want to do. You’ve got to have hope.”
JIM MAHOLIC CANCER CHANGES EVERYTHING AND CAN EVEN BRING RENEWED HOPE
L E A R N M O R E AT D H . O R G
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THE NASE FAMILY EXPECTING TWINS BUT WITH AN UNEXPECTED AND HAPPY ENDING
When the ultrasound showed that Ryan and Katie Nase were expecting twins, Ryan couldn’t hide his emotions. “It was like he had scored the winning touchdown,” said Katie, a teacher in Warminster.
More than a month before her due date, Katie went in for a routine prenatal test. Melanie Ware, DO, discovered Katie’s blood pressure had skyrocketed due to preeclampsia; the babies had to be delivered right away, six weeks premature.
Unfortunately, excitement turned to frustration for the Northeast Philadelphia couple when they were disappointed with the prenatal care they received from another ob/gyn practice. That’s when they made the decision to try Doylestown Hospital.
Katie and Ryan were scared and unprepared but their minds were soon put at ease. “It turned out to be the best thing that could have happened to us,” said Katie. Twins Kalynn and Cadence weighed just over 5 pounds and 3 pounds and spent
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MATERNITY AND CHILDREN’S SERVICES Maternity care is at the very heart of Doylestown Hospital and has been since
WHEN LOWEST NUMBER IS BEST QUALITY
we opened our doors in 1923. The VIA Maternity Center continues the legacy
Doylestown Hospital continually has an extremely low ratio for early birth intervention with zero early inductions and only one early c-section in 2013. The early delivery of a baby has potential for serious health problems. In an ideal pregnancy, babies are born after 39 weeks of gestation. Early induction or early c-section are medically-indicated only when the health of the baby or mother is at risk. Prenatal care of mother and child by experienced ob/gyn’s or nurse midwives is an important factor in achieving a full-term birth.
Children’s Hospital of Philadelphia neonatologists, is housed in the Maternity
over a week in the Intensive Care Nursery, staffed round the clock by The Children’s Hospital of Philadelphia neonatologists. “I really liked working with the doctors,” said Katie. “And the nurses were phenomenal.”
PEDIATRIC CARE, CLOSE TO HOME
A few months later, with the twins doing well, the couple reflected about the rather unexpected turn of events. “We had such a great experience,” Ryan said. “Luckily we found Doylestown Hospital.”
today with 22 private rooms and nine private labor and delivery rooms for over 1,200 deliveries each year. A neonatal intensive care unit, staffed by The Center. From prenatal to postpartum care, our highly skilled clinical team uses a family-focused approach to ensure happy and healthy moms and babies.
at the Carol and Louis Della Penna Pediatric Center With the ever-changing and sometimes unexpected health needs of children, Doylestown Hospital is pleased to provide the community with a new inpatient pediatric center. At the Della Penna Pediatric Center, board-certified pediatricians and pediatric nurse practitioners provide 24/7 coverage for common childhood illnesses and surgeries. The Della Penna Pediatric Center is warm and welcoming with colorful artwork and a lively playroom. Rooms are designed to be family-centered and allow parents to remain with their child throughout their stay, with overnight accommodations to room-in if needed. Pediatric Center services extend into the community and include health and wellness education, nutrition services and more.
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SURGICAL SERVICES Doylestown Hospital is a natural destination for a variety of surgical services from the common to the complex with highly-skilled, board-certified and nationally-recognized surgeons and robust inpatient and outpatient surgical volumes. Robotic surgery, available at Doylestown Hospital since 2007, enables single-site surgeries for the removal of gall bladders and hysterectomies. Laparoscopic and minimally-invasive techniques speed recovery for patients who require colon resections or hernia repairs. Multi-disciplinary teams of surgeons offer revolutionary procedures such as nipple-sparing mastectomies.
SURGICAL VOLUMES
2,681 »» Outpatient surgeries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,348 »» Total surgeries in 2014. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,029 »» Inpatient surgeries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
COMMON SURGERIES PERFORMED
Quality Goal = Fewer Surgical Site Infections SURGERY TYPE
YEAR
# OF # OF EXPECTED # SURGERIES INFECTIONS OF INFECTIONS
CORONARY ARTERY BYPASS GRAFT
2011 2012 2013
117 110 83
0 1 1
1.76 1.60 1.26
COLON-RECTAL
2011 2012 2013
120 100 96
4 2 3
N/A 5.24 5.31
TOTAL HIP REPLACEMENT
2011 2012 2013
196 218 229
2 2 0
2.20 2.36 2.37
TOTAL KNEE REPLACEMENT
2011 2012 2013
317 355 377
1 0 2
2.50 2.94 3.03
Data collected by the Center for Disease Control and Prevention (CDC). Most recent data available. Expected # of Infections based is risk-adjusted by the CDC.
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IMAGING SERVICES NEW IN 2014 — The most advanced MRI technology available, designed for patient comfort. The new 3T MRI with Ambient Experience at Doylestown Hospital combines the most advanced MRI technology available while improving the patient experience with enhanced features. Patients can customize their experience, choosing their own lighting, animation and sound. »» Double the magnet strength. Results in the best image quality available. »» Special lighting, animation and sound. Patients select soothing “theme.” »» Larger opening. Creates more room above and beside you, and most MRI scans can be performed feet-first — a comfort to patients, especially those with claustrophobia or anxiety. »» Faster imaging and shorter time for completion of study. »» Child-friendly. Choose from themes specifically designed for children. »» Convenient location. Just steps away from the connected parking garage.
MEDICAL RESEARCH AND CLINICAL TRIALS Doylestown Hospital offers access to world-class treatments through both inpatient and outpatient medical research and clinical trials. There are more than 60 clinical trials underway at Doylestown Hospital, many
OUR ENGAGEMENT IN MEDICAL RESEARCH PROVIDES ACCESS TO THE LATEST TECHNOLOGY AND ADVANCES IN DRUG THERAPIES.
for the treatment of cardiac conditions, including both new medicines and devices, with more than 800 patients involved in the past five years. There are nearly a dozen active cancer studies for breast, prostate, bladder, renal, lymphoma and malignant melanoma, in addition to two genetic studies (breast and testicular). These trials and studies are in concert with organizations such as the National Institutes of Health, Centers for Medicare and Medicaid Services, and Harvard, Duke, Yale and Penn universities.
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THE TURNERS CONVENIENTLY ACCESSIBLE HEALTHCARE SERVICES THAT MEET THEIR NEEDS.
Recalling the days when Doylestown Hospital was located on Belmont Avenue, Jim and Judie Turner have experienced firsthand the growth of Doylestown Health over the years. “Our life now revolves around the medical system,” says Jim. “It’s important to me to know I’m in a place where I’ll find good care.” The Turners make their home in an apartment in Pine Run Retirement Community with their shih tzu, Sophie. They made new friends and enjoy some of the many activities available on campus.
When they’ve needed medical care, Doylestown Health delivered. Judie was treated at Doylestown Hospital for a heart attack and has had two ablation procedures for atrial fibrillation at The Heart Institute. Jim spent time in the Pine Run Health Center recuperating from surgeries and completed outpatient rehabilitation at Pine Run, two blocks from his home. He recently had procedures at the Doylestown Hospital Surgery Center at the Health & Wellness Center in Warrington, where he also goes for outpatient diagnostic services like
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PINE RUN HEALTH CENTER Our skilled nursing facility is situated on the 43-acre Pine Run Retirement Community campus near the border of Doylestown and New Britain townships. Renovations on this multi-story, 90-bed facility are near completion. The Health Center serves many purposes, from short-term rehabilitation to long-term care, with private rooms and family friendly visiting areas, a choice of dining options and a clinic available for the day-to-day care of Pine Run Villagers residing on campus.
PINE RUN HEALTH CENTER RATINGS*
CT scans and X-rays. “It’s another part of the system that’s close and easy to use,” Jim says. The couple’s primary care physicians, on staff at Doylestown Hospital, make regular visits to Pine Run, where phlebotomists come to the Turner’s apartment to draw blood for tests. “It’s very convenient,” says Judie, adding, “We love the apartment. It’s very comfortable.”
OVERALL RATING
HEALTH INSPECTIONS
STAFFING
RN STAFFING
QUALITY MEASURES
= Much above average = Above average = Average = Below average = Much below average
*Reported by Medicare Nursing Home Compare
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AFFILIATIONS FOR ADDED VALUE Our affiliations with academic centers, specialized treatment facilities and community organizations help Doylestown Hospital to offer the
BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP
most complete range of services and resources to promote wellness and effectively treat illness. »» ANN SILVERMAN COMMUNITY HEALTH CLINIC: This free clinic was founded by physicians and the hospital 20 years ago to serve the uninsured and underinsured of our community. Patients may also be eligible for free medicines and surgical services, donated by pharmaceutical companies and our Medical Staff. Over 40 dentists in the region also donate their services to patients, a unique partnership not typically found in most free clinics. »» THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP) is comprised of Bucks County healthcare providers, its medical society, the Department of Health and other local organizations to address gaps in service and to improve the general health of Bucks County residents. »» DOYLESTOWN HOSPITAL CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE: In partnership with Healogics Inc., the Wound Center treats chronic or non-healing wounds with advanced therapies, including hyperbaric oxygen therapy. »» CB CARES: An educational foundation formed more than a decade ago in partnership with Central Bucks Schools and other community organizations. CB Cares is based on the “40 Assets” philosophy to identify and build 40 critical factors for young people’s development. »» MOSS REHAB: A 12-bed inpatient unit at Doylestown Hospital, operated by Moss Rehab, cares for patients in need of short-term rehabilitation. »» PENN CANCER NETWORK: One of the longest and most successful affiliations that Doylestown Hospital has developed, this association provides world-class oncology care in a community hospital setting. This affiliation includes Penn Radiation Oncology services, conveniently located on the hospital campus. »» JEFFERSON NEUROSCIENCE NETWORK: As a member of the Jefferson Neuroscience Network, Doylestown Medical Staff members are able to consult with nationally-renowned neurologists and neurosurgeons to rapidly treat victims of stroke and, in many cases, allow treatment and care to be delivered in Doylestown. »» CHILDREN’S HOSPITAL OF PHILADELPHIA (CHOP): Our Level II neonatology intensive care unit is staffed by physicians from CHOP, who also advise on neonatal and newborn care. »» TEMPLE UNIVERSITY HOSPITAL: The Temple Transport Team is an emergency transport service that includes a helicopter based on the Doylestown Hospital campus.
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AWARDS AND ACCREDITATIONS Doylestown Hospital »» Doylestown Hospital has The Joint Commission’s Gold Seal of Approval® for accreditation by demonstrating compliance with standards for health care quality and safety. »» Listed among the country’s 100 Most Wired Hospitals and Health Systems
Cardiology »» American College of Cardiology’s NCDR ACTION Registry–GWTG Platinum Performance Achievement Award. »» Chest Pain Center W/PCI from the Society of Cardiovascular Patient Care. »» Mission: Lifeline® Heart Attack Receiving Center Accreditation, sponsored by the American Heart Association and the Society of Cardiovascular Patient Care. »» Get With The Guidelines®–Heart Failure Gold-Plus Quality Achievement Award from the American Heart Association/American College of Cardiology Foundation. »» Independence Blue Cross Blue Distinction Center+ Cardiac Care. »» Joint Commission Certification for Heart Failure.
Emergency Department »» Recipient of the 2013 Guardian of Excellence Award from Press Ganey Associates, Inc.
Stroke »» Get With The Guidelines®-Stroke Gold-Plus Quality Achievement Award and Target: Stroke Honor Roll (Get With The Guidelines® American Heart Association/ American Stroke Association). »» Advanced Certification for Primary Stroke Centers by The Joint Commission, in conjunction with The American Heart Association/American Stroke Association.
Orthopedics »» Joint Commission certifications for hip and knee replacements. »» Blue Distinction Center+ in Knee and Hip Replacement by Blue Cross and Blue Shield.
Cancer »» The Commission on Cancer (CoC) of the American College of Surgeons (ACoS) granted Three-Year Accreditation with Commendation. »» National Accreditation Program for Breast Centers Accreditation.
Home Health/Visiting Nurse »» Doylestown Hospital Home Health is in the Top 500 of the HomeCare Elite, a compilation of the top-performing home health agencies in the United States.
Maternity »» The International Board of Lactation Consultant Examiners® (IBLCE®) and International Lactation Consultant Association® (ILCA®) have recognized Doylestown Hospital for excellence in lactation care with the IBCLC Care Award.
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COMMUNITY COMMITMENT DOYLESTOWN HEALTH FOUNDATION FISCAL YEAR 2014 SUMMARY (Cash Received — does not include pledges)
$214,947
$946,944
REALIZED PLANNED GIFTS
ANNUAL GIVING (NON-CAPITAL RESTRICTED AND UNRESTRICTED)
$1,908,848 TOTAL CASH RECEIVED
$746,957 CAPITAL
HOW TO DONATE Learn more about supporting our programs and initiatives at d h .org / M a ke a Gif t or call 2 1 5 . 345.2 802 .
THANK YOU.
TOTAL NUMBER OF DONORS
2,238
RENEWED DONORS
1,497
NEW DONORS
741
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DOYLESTOWN HEALTH FISCAL YEAR 2014 FINANCIAL INFORMATION DOYLESTOWN HEALTH Fiscal Year 2014 Statistical Highlights
Financial Highlights TOTAL OPERATING REVENUE
$283,577,000
TOTAL OPERATING EXPENSES
$279,418,000
INCOME FROM OPERATIONS OPERATING MARGIN
$4,158,000 1.5%
14,105,302
Total Community Benefit*. .......... . . . . . . . . . . . . . . . . . . . . . . $
$6,495,349 CHARITY CARE
$908,700 HEALTH PROFESSIONS EDUCATION
$551,400 SUBSIDIZED HEALTH SERVICES
$269,700 $5,768,553 COMMUNITY HEALTH IMPROVEMENT
RESEARCH
$111,600 CASE AND IN-KIND CONTRIBUTIONS
Discharges
14,031
Inpatient
11,748
Observation
2,283
Emergency Department visits
44,521
Births
1,228
Inpatient surgical cases
2,618
Outpatient surgical cases
7,192
Hospital outpatient visits
257,391
Visiting Nurse/ Hospice visits
41,231
Medical Staff
425 2,672
Associates Skilled nursing admissions
558
Independent Living Residents
301
Personal Care Residents
133
*Doylestown Hospital reported data fiscal year 2013
L E A R N M O R E A T D H . O R G 21
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DOYLESTOWN HOSPITAL BOARD OF DIRECTORS
2014-2016
ADMINISTRATION James L. Brexler, FACHE President and Chief Executive Officer
Eleanor Wilson, RN, MSN, MHA Vice President, Patient Services/ Chief Operating Officer
Barbara Hebel Vice President, Human Resources
Richard D. Lang, Ed.D, PMP, FHIMSS Vice President, Chief Information Officer
Scott S. Levy, MD Vice President, Chief Medical Officer
John B. Reiss, PhD, JD Vice President and General Counsel
Daniel Upton Vice President and Chief Financial Officer
Sheri Putnam Executive Director Doylestown Health Partners
Cathleen Stewart Executive Director Pine Run Retirement Community
Carolyn Della-Rodolfa, CHAIRMAN OF THE BOARD, VIA MEMBER Joan Parlee, VICE CHAIRMAN, VIA MEMBER Barbara Kieffer, TREASURER, VIA MEMBER Sara Moyer, SECRETARY, VIA MEMBER Beverly Coller Campbell, ASST. SECRETARY/ASST. TREASURER, VIA MEMBER James Brexler, PRESIDENT/CEO William E. Boger, CPA, W.E. Boger and Associates, Community Member Marianne Chabot, VIA Member Stephen Chadwick, retired from Secant as Executive Chairman, Community Member Bruce Derrick, MD, Medical Staff Patricia Gorsky, VIA Member Carolyn Kozakowski, VIA Member Scott S. Levy, MD, Vice President & Chief Medical Officer Brian McLeod, Retired from Merck as SVP of Marketing, Community Member Fred Schea, President and CEO, First Savings Bank of Perkasie, Community Member David L. Smith, MD, Medical Staff President Dennis Walsh, retired SVP of Prudential HealthCare Company, Community Member Eleanor Wilson RN, MSN, MHA, Vice President, Patient Services & Chief Operating Officer
DOYLESTOWN HEALTH SYSTEM FOUNDATION BOARD OF DIRECTORS
2014-2016
Carolyn Della-Rodolfa, CHAIRMAN OF THE BOARD Jean Leister, VICE CHAIRMAN James Brexler, PRESIDENT/CEO Nicole Boytin, Vice President Business Banking and Relationship Manager, M&T Bank, VIA Member Patrick Counihan, Retired VP, US Customer Centricity at Merck, Community Member Louis Della Penna Sr., Founder and former chairman of LDP Consulting Group, Community Member Georgia Ford, Secretary Joyce Hanson, Treasurer, VIA Second Vice President Kathryn Lambert, VIA Member William Lieser, Retired, CIA, Community Member Eric Marchant, MD, Medical Staff, Vice President William Marshall, Chairman and founder of Marshall Financial Group, Community Member Linda McIlhinney, VIA President Phillip Paino, Retired President Greene, Tweed & Co., Community Member Cory Schroeder, VIA First Vice President Karen Simon, Assistant Secretary/Treasurer Paul Spiro, MD, Medical Staff Mary Ellen Stanton, VIA Member Dan Upton, Vice President & Chief Financial Officer
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VOLUNTEER SERVICES
900
»
OVER
»
ASSISTING IN
A D U LT A N D T E E N VOLUNTEERS
U P TO
90
DIFFERENT SERVICES AT T H E H O S P I TA L
»
CONTRIBUTED
MORE THAN
124,300
HOURS OF SERVICE
Volunteers at Doylestown Hospital are everywhere. They greet patients and visitors at the front door. They transport patients going home. And they’re involved in many of the activities that take place in between. In fact, our volunteers impact the lives of patients and their families from birth through the end-of-life. Doylestown Hospital is fortunate to have about 900 adult and teen volunteers. These committed community members assist in close to 90 different services at the hospital.
Last year, they contributed more than 124,300 hours of service doing everything from knitting blankets for hospice patients to assisting patients and visitors at the hospital’s information desks. “Bucks County is a very generous area where people want to be invested in their community,” says Karen Langley, director of Doylestown Hospital Volunteer Services. “We are eternally grateful our volunteers choose to serve with us.”
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VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN The Village Improvement Association of Doylestown (VIA) was the guiding force behind the founding of Doylestown Hospital in 1923, and and oversees the governance of the health system today. Founded in 1895 by a small but inspired group of women from Doylestown, the VIA has grown in size and scope to its present membership of more than 350 members. Today, the VIA continues to vigorously support its original goals, which include “improving the health and welfare of the residents.� Efforts of the VIA extend beyond supporting health services to include grants for other community organizations, educational scholarships and support for those in our community with emergency needs.
FOR MORE INFORMATION ABOUT THE VIA,
visit via-doylestown.org.
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ENROLL TODAY ACCESS YOUR MEDICAL RECORDS AT
Visit myHealthDoylestown.com to register for an account today! To enroll for a new account you will need your:
myHealthDoylestown.com
»» Medical Record Number
Quick, convenient and secure access to your Doylestown Hospital medical record online.
»» Date of Birth
»» View Your Health Summary
Questions?
»» View Your Test Reports and Lab Results »» View Your Visit History »» View & Request Appointments (applies to select services) »» Update Personal Information Patients may request that a family member or caregiver have access to their medical records. Visit myHealthDoylestown.com for an online application.
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»» Social Security Number »» Current Email Account Or need your medical record number for enrollment? Simply contact the Doylestown Hospital Patient Portal Office: Call: 267.885.1599 Email: myHealthDoylestown@dh.org
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STAY CONNECTED TO DOYLESTOWN HEALTH ONLINE Join the conversation! Follow us or subscribe to the Dialogue, our online newsletter, and stay connected to our latest events, classes, services, programs, physician announcements and more. Visit dh.org/stay-connected today!
215.345.2121 I dh.org
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