PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS PENNSYLVANIA HOSPITAL IS A 475 BED, COMMUNITY BASED, TERTIARY CARE TEACHING HOSPITAL PROVIDING A FULL RANGE OF DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES. THE HOSPITAL'S SPECIALTIES INCLUDE OBSTETRICS AND GYNECOLOGY, NEUROSCIENCES, ORTHOPEDICS, BEHAVIORAL HEALTH, CANCER TREATMENT, CARDIAC CARE, AND BLOODLESS MEDICINE AND SURGERY. SINCE ITS FOUNDING IN 1751, THE MISSION OF PENNSYLVANIA HOSPITAL HAS BEEN TO PROVIDE THE HIGHEST LEVEL OF HEALTH CARE FOR ALL, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED AND UNABLE TO PAY, OR WHEN GOVERNMENT ASSISTANCE REIMBURSEMENT FALLS BELOW COST. PENNSYLVANIA HOSPITAL ACCEPTS PATIENTS IN SERIOUS NEED OF PROFESSIONAL MEDICAL CARE, INDEPENDENT OF THEIR FINANCIAL STATUS. THIS DEFINITION INCLUDES THOSE PATIENTS SUFFERING FROM A MEDICAL CONDITION MANIFESTING ITSELF BY ACUTE SYMPTOMS OF SUFFICIENT SEVERITY (INCLUDING SEVERE PAIN) SUCH THAT THE ABSENCE OF IMMEDIATE MEDICAL ATTENTION COULD REASONABLY BE EXPECTED TO RESULT IN (1) PLACING THE HEALTH OF THE INDIVIDUAL (OR, WITH RESPECT TO A PREGNANT WOMAN, THE HEALTH OF THE WOMAN OR HER UNBORN CHILD) IN SERIOUS JEOPARDY, OR (2) SERIOUS IMPAIRMENT TO BODILY FUNCTIONS. ACCORDINGLY, PENNSYLVANIA HOSPITAL PROVIDES SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY, WITHOUT CHARGE OR AT AMOUNTS LESS THAN PENNSYLVANIA HOSPITAL'S ESTABLISHED RATES. BECAUSE PENNSYLVANIA HOSPITAL DOES NOT PURSUE COLLECTIONS, SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. PENNSYLVANIA HOSPITAL ESTIMATED $3,059,306 OF COSTS WERE INCURRED DURING FY24. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON DATA DERIVED FROM A COMBINATION OF THE PENNSYLVANIA HOSPITAL (UPHS) ACCOUNTING SYSTEM AND THE RATIO OF COSTS TO CHARGES. PENNSYLVANIA HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO DO NOT HAVE HEALTH INSURANCE OR MEET THE CRITERIA TO QUALIFY FOR ITS CHARITY CARE POLICY. PENNSYLVANIA HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS; HOWEVER, CERTAIN AMOUNTS ARE DEEMED TO BE UNCOLLECTIBLE. FOR FY24, $17,041,695 WAS CLASSIFIED AS AN IMPLICIT PRICE CONCESSION WHICH REDUCES NET PATIENT SERVICE REVENUE. ADDITIONALLY, THE COSTS OF PROVIDING SERVICES TO ELIGIBLE WELFARE RECIPIENTS, WHO PARTICIPATE IN THE PENNSYLVANIA MEDICAL ASSISTANCE AND LOCAL MANAGED MEDICAID PROGRAMS EXCEEDED REIMBURSEMENT BY $38,823,910 IN FY24. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK, MAINTAINS RESEARCH FACILITIES FOR THE STUDY OF DISEASE AND INJURIES, PROVIDES FACILITIES FOR TEACHING AND TRAINING VARIOUS MEDICAL PERSONNEL, AND FACILITATES THE ADVANCEMENT OF MEDICAL AND SURGICAL EDUCATION. THE HOSPITAL ALSO PROVIDES VARIOUS COMMUNITY SERVICES SUCH AS SCREENINGS FOR THE DETECTION OF BREAST, COLORECTAL, AND SKIN CANCER, CANCER SUPPORT GROUPS, A TOLL-FREE NUMBER FOR CANCER INFORMATION, FREE IMMUNIZATION SHOTS, TRAINING PROGRAMS FOR THE CITY FIRE AND POLICE DEPARTMENTS, HEALTH EDUCATION CLASSES, SPEECHES AND REGULARLY PROVIDES HEALTH RELATED INFORMATION TO TELEVISION AND RADIO NEWS PROGRAMS AND TO REPORTERS AT NEWSPAPERS AND MAGAZINES. PENNSYLVANIA HOSPITAL PROVIDES A CONTINUUM OF HEALTH CARE SERVICES, INCLUDING EMERGENCY SERVICES, INPATIENT SERVICES, PRIMARY AND SPECIALTY CARE OUTPATIENT SERVICES, AND BEHAVIORAL HEALTH SERVICES. HEALTH SERVICES ARE PROVIDED FOR PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGIOUS BELIEF, ANCESTRY, GENDER, HANDICAP, AGE, OR NATIONAL ORIGIN. IN FY24, PENNSYLVANIA HOSPITAL ADMITTED 18,959 ADULT PATIENTS; AND RECORDED 5,245 BIRTHS.THERE WERE ALSO 337,911 OUTPATIENT VISITS. IN ADDITION, 59,894 PSYCHIATRY PATIENTS WERE TREATED.THE EMERGENCY DEPARTMENT TREATED 40,618 PATIENTS IN FY24. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS STAFFED AND EQUIPPED TO PROVIDE EXCELLENT EMERGENCY MEDICAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. ALL PATIENTS ARE EVALUATED REGARDLESS OF THEIR ABILITY TO PAY. THE PENNSYLVANIA HOSPITAL EMERGENCY DEPARTMENT IS RECOGNIZED BY THE EMERGENCY NURSES ASSOCIATION AS A LANTERN-RECOGNIZED EMERGENCY DEPARTMENT. THIS AWARD DISTINGUISHES EMERGENCY DEPARTMENTS FOR EXCELLENCE IN EXCEPTIONAL PRACTICE AND INNOVATIVE PERFORMANCE IN THE CORE AREAS OF LEADERSHIP, PRACTICE, EDUCATION, ADVOCACY AND RESEARCH. ONLY 1% OF EMERGENCY DEPARTMENTS NATIONWIDE HAVE RECEIVED THIS ESTEEMED RECOGNITION. COMMUNITY SERVICES & PROGRAMS HALL-MERCER COMMUNITY MENTAL HEALTH CENTER OFFERS OUTPATIENT SERVICES RANGING FROM PSYCHOTHERAPY TO COUNSELING THROUGH A VARIETY OF SPECIALIZED PROGRAMS FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES, CHRONIC MENTAL ILLNESS, AND RELATED PROBLEMS. THE CENTER RECEIVES THE MAJORITY OF ITS SUPPORT FROM THE CITY AND STATE, BUT PENNSYLVANIA HOSPITAL SUBSIDIZES A SIGNIFICANT PORTION OF ITS SERVICES. MANY OUTPATIENT SERVICES ARE AVAILABLE ON A SLIDING SCALE FEE BASIS. SPECIAL PROGRAMS WITHIN HALL-MERCER INCLUDE: ACCESS INTENSIVE CASE MANAGEMENT IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS AUTHORIZED TO THIS PROGRAM ARE HOMELESS OR MAY HAVE A HISTORY OF BEING HOMELESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. ADULT MENTAL HEALTH SERVICES PROVIDES COMPREHENSIVE OUTPATIENT MENTAL HEALTH SERVICES IN CENTER CITY, SOUTH PHILADELPHIA AND SURROUNDING AREAS. SPECIFIC SERVICES INCLUDE EVALUATIONS, PSYCHOTHERAPY, PHARMACOTHERAPY, AND SOCIAL REHABILITATION. EMPHASIS IS ON PROVIDING ALL PERSONS WHO HAVE SEVERE AND CHRONIC MENTAL ILLNESS WITH OUTSTANDING CARE IN A PLEASANT ENVIRONMENT AND RESPECTFUL MANNER. ADULT OUTPATIENT SERVICES PROVIDES BEHAVIORAL HEALTH SERVIVES INCLUDING EVALUATIONS AND ASSESSMENTS, PSYCHOPHARMACOLOGY, INDIVIDUAL THERAPY AND SOCIAL WORK SUPPORT SERVICES. A MULTIDISCIPLINARY TEAM APPROACH IS UTILIZED CONSISTING OF PSYCHIATRIS, NURSES, THERAPISTS, AND SOCIAL WORKERS. THE GOAL IS TO MEET THE NEEDS OF OUR PATIENTS IN A TIMELY, EFFICIENT, COMPASSIONATE, AND PROFESSIONAL MANNER. BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC) HALL-MERCER PROVIDES BEHAVIORAL HEALTH SERVICES AT THE PHILADELPHIA JUVENILE JUSTICE SERVICES CENTER (PJJSC). THE CLINICAL TEAM AT THE PJJSC PROVIDES ADJUSTMENT/CRISIS SERVICES, INDIVIDUAL THERAPY FOR YOUTH WITH EXTENDED LENGTH OF STAY, AND PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT. BLENDED CASE MANAGEMENT (BCM) IS A TARGETED CASE MANAGEMENT PROGRAM WHICH SERVES ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS WITH POSSIBLE CO-OCCURRING SUBSTANCE ABUSE ISSUES. MANY PARTICIPANTS IN THE PROGRAM MAY HAVE A HISTORY OF HOMELESSNESS. BCM PARTICIPANTS REQUIRE LESS INTENSIVE CASE MANAGEMENT SERVICES THAN THOSE ENROLLED IN ACCESS. A TEAM APPROACH AND RECOVERY-BASED MODEL IS USED TO CONNECT PARTICIPANTS WITH SUPPORTIVE SERVICES WHICH ENCOURAGE DAILY STABILITY AND REDUCED PSYCHIATRIC HOSPITALIZATIONS. HALL MERCER ALSO OFFERS A SOUTHEAST ASIAN BLENDED CASE MANAGEMENT PROGRAM WHICH PROVIDES BCM TO ADULTS WHO SPEAK CANTONESE, MANDARIN, VIETNAMESE, KHMER, OR LAO. CASE MANAGERS IN THIS PROGRAM PROVIDE ENGLISH INTERPRETATION TO HELP PARTICIPANTS CONNECT TO PUBLIC BENEFITS AND OTHER COMMUNITY SUPPORTS. CHILD BLENDED CASE MANAGEMENT IS A COMMUNITY-BASED PROGRAM THAT WORKS WITH FAMILIES IN THEIR HOME, SCHOOL AND/OR COMMUNITY. THEY HELP CONNECT FAMILIES WITH NEEDED RESOURCES, HELP TO COORDINATE CARE AMONGS PROVIDERS AND ENSURE THAT CHILDREN'S ACADEMIC AND SOCIAL NEEDS ARE BEING MET. THEY PROVIDE SERVICES 24/7, 365 DAYS A YEAR.