MARWORTH

I. GENERAL PROGRAM SERVICE INFORMATION MARWORTH, DBA GEISINGER MARWORTH TREATMENT CENTER, A 501(C)(3) NOT FOR PROFIT CORPORATION, OWNS AND OPERATES A FACILITY FOR ALCOHOL AND CHEMICAL DETOXIFICATION AND REHABILITATION. MARWORTH PROVIDES SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. MARWORTH IS CELEBRATING ITS 42ND YEAR OF CARING FOR PATIENTS FROM PENNSYLVANIA, NEW JERSEY, NEW YORK AND NEW ENGLAND. MORE THAN 42,000 PEOPLE HAVE CHOSEN MARWORTH FOR TREATMENT SINCE 1982. MARWORTH PROVIDES BOTH INPATIENT AND OUTPATIENT CARE AT ITS 91-BED FACILITY NEAR SCRANTON, IN WAVERLY, PENNSYLVANIA. THE BED CAPACITY INCREASED FROM 77 TO 91 IN JANUARY 2006. (1) AN ADDICTION TREATMENT PROGRAM, WHICH PROVIDES EVIDENCE- BASED SERVICES TO INITIATE AND SUSTAIN RECOVERY FROM SUBSTANCE USE DISORDERS. THE PROGRAM CONSISTS OF THREE PHASES: (A) ASAM LEVEL 3.7 INPATIENT DETOX (B) ASAM LEVEL 3.5 HIGH INTENSITY INPATIENT REHABILITATION (C) ASAM LEVEL 1 AND 2 OUTPATIENT SERVICES (2) FAMILY TREATMENT. A VITAL PROGRAM COMPONENT OF MARWORTH IS FAMILY TREATMENT THAT PROVIDES EDUCATION AND COUNSELING TO FAMILY MEMBERS, ASSURING THE RECOVERY AND THE WELL-BEING OF THE ENTIRE FAMILY UNIT. THIS PROGRAM IS PROVIDED AT NO CHARGE TO THE FAMILY WHILE THE PATIENT IS RECEIVING TREATMENT. SINCE COVID19, THESE SERVICES ARE PROVIDED VIRTUALLY. (3) NON-RESIDENTIAL SERVICES. MARWORTH ALSO PROVIDES OUTPATIENT TREATMENT SERVICES. MARWORTH IS OPERATED IN CLOSE COOPERATION WITH EDUCATIONAL ACTIVITIES OF GEISINGER CLINIC AND HOSPITAL FACILITIES OF GEISINGER COMMUNITY MEDICAL CENTER AND GEISINGER WYOMING VALLEY MEDICAL CENTER. (4) SPECIALIZED THERAPIES AND PROGRAMS. A. RECREATIONAL THERAPY MARWORTH'S RECREATIONAL THERAPY PROGRAM FEATURES A HIGH ROPES COURSE, A LOW ELEMENTS ROPES COURSE, FITNESS CENTER AND OTHER EXPERIENTIAL LEARNING MEDIUMS. MORE THAN JUST EXERCISE, REC THERAPY ACTIVITIES SIMULATE A WIDE ARRAY OF ADDICTION RECOVERY THEMES, SUCH AS GROUP PROBLEM SOLVING, LEARNING TO TRUST OTHERS, ASKING FOR HELP AND CONFRONTING COMPULSIVE/IMPULSIVE BEHAVIOR. B. EXPRESSIVE THERAPY EXPRESSIVE THERAPIES, SUCH AS MUSIC THERAPY AND SAND TRAY THERAPY, ALLOW INDIVIDUALS IN RECOVERY TO EXPRESS THEMSELVES WITH WORDS. THE PROCESS IS POWERFUL IN STRENGTHENING PHYSICAL, EMOTIONAL, COGNITIVE AND SOCIAL NEEDS. C. DIALECTICAL BEHAVIORAL THERAPY DIALECTICAL BEHAVIORAL THERAPY (DBT) SKILLS TRAINING TEACHES INDIVIDUALS IN ADDICTION TREATMENT THE CRITICAL COPING SKILLS OF MINDFULNESS, DISTRESS TOLERANCE, INTERPERSONAL EFFECTIVENESS AND EMOTION REGULATION. D. TRAUMA THE CONNECTION BETWEEN ADDICTION AND TRAUMA IS STRONG. MARWORTH'S SEEKING SAFETY: TRAUMA & PTSD SUPPORT GROUPS FOR TRAUMA SURVIVORS STRUGGLING WITH ADDICTION FOCUS ON COPING SKILLS, ASKING FOR HELP AND BOUNDARIES. PICC LINE PATIENTS PATIENTS WITH PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC LINES) WHO ARE BEING TREATED FOR VARIOUS INFECTIOUS COMPLICATIONS ARISING FROM THEIR SUBSTANCE USE CAN BE ADMITTED TO THE RESIDENTIAL PROGRAM. THESE PATIENTS ARE TREATED ON AN INDIVIDUAL BASIS. LENGTH OF STAY MAY DEPEND ON THE NUMBER OF DAYS REQUIRED FOR APPROPRIATE ANTIBIOTIC THERAPY. IF THE PATIENT HAS BEEN STABILIZED ON A MAINTENANCE DOSE OF BUPRENORPHINE, HE OR SHE WILL BE GIVEN THE OPTION TO CONTINUE THIS THERAPY OR BE TAPERED OFF AND TRANSITIONED TO AN OPIOID BLOCKER. THESE PATIENTS WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. BUPRENORPHINE STABILIZATION AND MAINTENANCE PATIENTS WITH AN OPIOID USE DISORDER MAY BE STARTED AND MAINTAINED ON BUPRENORPHINE, THE GOLD STANDARD IN EVIDENCE-BASED TREATMENT FOR THIS DISEASE. THESE PATIENTS WILL BE MAINTAINED ON THE ESTABLISHED MAINTENANCE DOSE OF BUPRENORPHINE AND WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. ACADEMICS A. ADDICTION MEDICINE FELLOWSHIP THE MARWORTH ADDICTION MEDICINE FELLOWSHIP IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) TO TRAIN PHYSICIANS IN ADDICTION MEDICINE. THE FELLOWSHIP ALSO BENEFITS FROM A HRSA GRANT TO SUPPORT THE TRAINING PROGRAM. PHYSICIANS WHO HAVE COMPLETED RESIDENCIES IN ANY MEDICAL SPECIALTY AND ARE ABLE TO OBTAIN A PENNSYLVANIA MEDICAL LICENSE, REGISTRATION WITH THE DRUG ENFORCEMENT AGENCY (DEA) AND A BUPRENORPHINE WAIVER ARE ELIGIBLE TO APPLY. ADDICTION MEDICINE FELLOWS RECEIVE ADVANCED TRAINING IN MEDICAL MANAGEMENT OF PATIENTS WITH SUBSTANCE USE DISORDERS, IN ADDITION TO EXPOSURE TO THE VARIOUS NON-MEDICAL ASPECTS OF CARE FOR THIS PATIENT POPULATION. IN ADDITION TO SPENDING TIME AT MARWORTH, FELLOWS ROTATE THROUGH SEVERAL OTHER FACILITIES, WHERE THEY WORK WITH ADDICTION MEDICINE SPECIALISTS IN THE HOSPITAL SETTING, PAIN MANAGEMENT SPECIALISTS AND MENTAL HEALTH PROFESSIONALS. THEY ALSO SPEND A SIGNIFICANT AMOUNT OF TIME AT THE GEISINGER MEDICATION-ASSISTED TREATMENT CLINICS WHERE THEY PROVIDE CARE FOR PATIENTS WITH SUBSTANCE USE DISORDERS IN THE OUTPATIENT SETTING. B. TRAINING OPPORTUNITIES FOR OTHER MEDICAL TRAINEES THERE ARE 105 RESIDENTS AND MEDICAL STUDENTS SCHEDULED TO ROTATE THROUGH ADDICTION MEDICINE PROGRAM IN THE 2023/2024 ACADEMIC YEAR. LEARNERS ARE FROM THE FOLLOWING RESIDENCY PROGRAMS AND GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM): -FAMILY MEDICINE NORTHEAST -INTERNAL MEDICINE NORTHEAST -FAMILY MEDICINE LEWISTOWN -INTERNAL MEDICINE DANVILLE/CENTRAL REGION -MEDICINE/PEDIATRICS DANVILLE -GCSOM II. UNCOMPENSATED CARE MARWORTH RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. MARWORTH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, MARWORTH PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE MARWORTH PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF MARWORTH IS THE DELIVERY OF CARE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST THAT MARWORTH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY FOR SERVICES. THE COST TO MARWORTH OF PROVIDING THIS CHARITY CARE AND POLICY DEDUCTIONS DURING YEAR ENDED DECEMBER 31, 2023 WAS 137,549. B. OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, MARWORTH PROVIDES SERVICES TO MEDICAID PATIENTS THROUGH ACT 152 AND COUNTY PROGRAMS. MARWORTH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE, MARWORTH IS FURTHERING ITS CHARITABLE MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO ACT 152/COUNTY PATIENTS DURING THE YEAR ENDED DECEMBER 31, 2023 WAS 1,167,598 MILLION. III. GENERAL PROGRAM SERVICES A. OTHER CASH CONTRIBUTIONS MARWORTH PROVIDES FINANCIAL ASSISTANCE TO THE COMMUNITY THROUGH COMMUNITY ASSISTANCE PAYMENTS. THE VALUE OF THE PAYMENTS WAS 23,600 DURING THE YEAR ENDED DECEMBER 31, 2023. IV. COMMUNITY BENEFIT SUMMARY CHARITY CARE 137,549 OTHER GOVERNMENTAL 1,167,598 COMMUNITY ASSISTANCE PAYMENT 23,600 TOTAL COMMUNITY BENEFIT 1,328,747 V. STATISTICS ADMISSIONS 1,152 DISCHARGES 1,160 PATIENT SERVICE DAYS 24,681 OUTPATIENT VISITS 1,518 BEDS - THROUGH SEPTEMBER 30, 2023 101 BEDS - EFFECTIVE OCTOBER 1, 2023 91