4A (Expenses $ 81820259 including grants of $ 0) (Revenue $ 100546635)
COORDINATED HEALTH, PART OF LEHIGH VALLEY HEALTH NETWORK (LVHN), IS AN INTEGRATED HEALTHCARE SYSTEM WITH LOCATIONS THROUGHOUT EASTERN PENNSYLVANIA AND WESTERN NEW JERSEY. COORDINATED HEALTH IS PART OF THE LVHN REFERRAL REGION FOR OVER TWO MILLION RESIDENTS OF SURROUNDING COUNTIES IN EASTERN AND NORTHEASTERN PENNSYLVANIA, AND WESTERN NEW JERSEY. THE NEW LEHIGH VALLEY HEALTH NETWORK - COORDINATED HEALTH (LVHN-CH) SYSTEM IS COMPOSED OF 22 MULTI-SPECIALTY LOCATIONS INCLUDING TWO HOSPITALS - LVH-CH ALLENTOWN AT 1503 NORTH CEDAR CREST BOULEVARD, ALLENTOWN, PA AND LVH-CH BETHLEHEM AT 2300 HIGHLAND AVENUE, BETHLEHEM, PA; TWO AMBULATORY SURGERY CENTERS LOCATED AT 511 VNA ROAD, EAST STROUDSBURG, PA AND 212 RED SCHOOL LANE, PHILLIPSBURG, NJ, EIGHT LOCATIONS WITH ADVANCED IMAGING, ELEVEN OUTPATIENT REHABILITATION CENTERS, SIX WALK-IN CARE-ON-DEMAND CENTERS AND SIX ORTHOPEDIC INJURY CENTERS. IT HAS ALWAYS BEEN THE MISSION, DUTY AND PURPOSE OF COORDINATED HEALTH TO PROVIDE AFFORDABLE AND ACCESSIBLE HEALTHCARE TO OUR COMMUNITY BY MAKING HEALTHCARE SIMPLER THROUGH PROCESS INNOVATIONS AND IMPROVEMENTS THAT PROVIDE VALUE TO THE PATIENT. WE CONTINUOUSLY STRIVE TO DELIVER A BETTER, COORDINATED PATIENT EXPERIENCE THROUGH COLLABORATION OF CARE RESULTING IN THE BEST POSSIBLE OUTCOMES AS EVIDENCED BY OUR NUMEROUS QUALITY AWARDS BASED ON THE CENTERS FOR MEDICARE & MEDICAID (CMS) DATA.ACQUIRED BY LEHIGH VALLEY HEALTH NETWORK IN DECEMBER 2019, THE COORDINATED HEALTH FACILITIES ARE NOW OPERATED AS EIGHT SEPARATE LEGAL ENTITIES: LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN, LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH BETHLEHEM, LVHN COORDINATED PROFESSIONAL PRACTICE, LVHN SCRANTON ORTHOPEDIC SPECIALISTS, LVHN AMBULATORY SURGERY CENTER OF LOPATCONG INC., LVHN COORDINATED PROFESSIONAL PRACTICE OF NJ PC, CH UROLOGY SPECIALISTS PC, AND CH EYE SPECIALISTS PC. AS SUCH, LVHN-CH IS DRIVEN BY THE LVHN MISSION TO HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE SUPPORTED BY EDUCATION AND CLINICAL RESEARCH. IN ADDITION, THE LVHN-CH ENTITIES HAVE ADOPTED THE POLICIES AND PROCEDURES OF LEHIGH VALLEY HEALTH NETWORK, INCLUDING THOSE RELATED TO FINANCIAL ASSISTANCE PROGRAMS, CHARITY CARE, AND COMMUNITY HEALTH NEEDS.THE SPORTS MEDICINE PROGRAM AT LVHN-CH BOASTS THE MOST FELLOWSHIP-TRAINED ORTHOPEDIC SPORTS MEDICINE SPECIALISTS IN THE REGION. THESE PHYSICIANS, WHO SUPPORT THE ONLY DIVISION I SCHOOLS IN OUR REGION (LEHIGH UNIVERSITY AND LAFAYETTE COLLEGE), AS WELL AS EAST STROUDSBURG UNIVERSITY, LACKAWANNA COLLEGE, AND 18 HIGH SCHOOLS THROUGHOUT OUR SERVICE AREAS, DEDICATE MORE THAN 1,000 HOURS ANNUALLY TO ON-FIELD COVERAGE FOR THE SCHOOLS' SPORTS PROGRAMS. THE SPORTS MEDICINE PROGRAM AND EMPLOYEE SERVICES PROGRAMS HAVE BEEN VITAL TO LOCAL SCHOOLS AND EMPLOYERS DURING THE COVID-19 PANDEMIC. IN 2022, WE CONTINUED OUR PARTNERSHIP WITH NORTHAMPTON COUNTY TO PROVIDE FOR COVID-19 TESTING AND VACCINE DRIVE THRU SERVICES. OUR COLLABORATION ALLOWED US TO SERVE HUNDREDS OF RESIDENTS OF NORTHAMPTON COUNTY WHO RECEIVED VACCINES AND BOOSTERS AS WELL AS FREE TESTING SERVICES WHICH WERE FUNDED BY NORTHAMPTON COUNTY.THE ORTHOPEDIC WALK-IN INJURY CENTERS AT COORDINATED HEALTH WERE DEVELOPED TO PROVIDE PATIENTS WHO NEEDED URGENT ORTHOPEDIC CARE WITH IMMEDIATE ACCESS TO ORTHOPEDIC SPECIALISTS WITHOUT INCURRING THE COST OF AN EMERGENCY ROOM VISIT. THE ORTHOPEDIC WALK-IN INJURY CENTERS BECAME VIRTUAL DURING THE COVID-19 LOCKDOWN TO ENABLE PATIENTS TO ACCESS TRIAGE AND INJURY CARE FROM THEIR HOME OR WHEREVER THE INJURY MAY OCCUR. THIS VIRTUAL SERVICE CONTINUES TO THE PRESENT AS IN-PERSON SERVICES HAVE RESUMED. LVH - COORDINATED HEALTH ALLENTOWN (LVH-CHA) IS A 20-BED, SHORT-TERM ACUTE CARE INPATIENT HOSPITAL AND SURGERY CENTER WITH COMPREHENSIVE IMAGING AND OUTPATIENT REHABILITATION SERVICES AT 21 LOCATIONS ACROSS THE REGION. THIS HOSPITAL, LOCATED IN LEHIGH COUNTY, PA, CONDUCTED 302,547 ENCOUNTERS IN 2022 AND PERFORMED 7,301 SURGICAL AND PAIN PROCEDURES IN 2022. COORDINATED HEALTH ALLENTOWN IS THE RECIPIENT OF THE FOLLOWING HEALTHGRADES' DESIGNATIONS: FIVE STAR RATING FOR SPINAL FUSION OUTCOMES FOR FOUR YEARS IN A ROW (2021, 2020, 2019 & 2018), PATIENT SAFETY EXCELLENCE AWARD (2021, 2020, 2019) WHICH PLACES THEM AMONG THE TOP 5 PERCENT IN THE NATION AMONG ALL SHORT-TERM ACUTE CARE HOSPITALS REPORTING PATIENT SAFETY DATA, PROVIDING EXCELLENCE IN PATIENT SAFETY, THE OUTSTANDING PATIENT EXPERIENCE AWARD (2018), NAMING THEM TOP IN THE NATION FOR OVERALL PATIENT EXPERIENCE BASED ON NINE MEASURES, HEALTHGRADES' SPECIAL CLINICAL QUALITY AWARD, AND THE JOINT REPLACEMENT EXCELLENCE AWARD (2020, 2019) EXHIBITING SUPERIOR CLINICAL OUTCOMES IN KNEE AND HIP REPLACEMENT. AT THE ONSET OF THE PANDEMIC, LVH-CHA WAS ONE OF THREE LVHN FACILITIES TO OFFER CONTINUING CARE IN A FACILITY DESIGNATED FOR PATIENTS WITHOUT A COVID DIAGNOSIS, TO ENSURE ACCESS TO SAFE SURGICAL PROCEDURES ONCE THE COMMUNITY PREVALENCE ALLOWED THE RESUMPTION OF URGENT PROCEDURES.

LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENT
PART V, SECTION B, LINE 5: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LVHN DEFINES THE COMMUNITY IT SERVES AS ALL INDIVIDUALS LIVING WITHIN THE COUNTIES THAT CONTAIN OUR HOSPITAL CAMPUSES. LVHN IS REQUIRED TO PRODUCE A CHNA HEALTH PROFILE FOR EACH OF OUR LICENSED FACILITIES TO ADDRESS THE LOCAL CONTEXT OF THE DIFFERENT COMMUNITIES WE SERVE. THEREFORE, LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST AND 17TH STREET (LEHIGH COUNTY); LVH-HECKTOWN OAKS AND MUHLENBERG (NORTHAMPTON COUNTY); AND LVH-SCHUYLKILL (SCHUYLKILL COUNTY). LEHIGH AND NORTHAMPTON COUNTY ARE ALSO INCLUSIVE OF OUR COORDINATED HEALTH - ALLENTOWN AND COORDINATED HEALTH - BETHLEHEM CAMPUSES, RESPECTIVELY.WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS IN THE LEHIGH COUNTY REPORT. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT-RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH. IT IS WELL DOCUMENTED THAT THE CLINICAL CARE PROVIDED TO COMMUNITY MEMBERS ONLY ACCOUNTS FOR A SMALL PORTION OF AN INDIVIDUAL'S OVERALL HEALTH. THERE ARE MANY OTHER FACTORS THAT OCCUR OUTSIDE THE DOCTOR'S OFFICE AND HOSPITAL WALLS THAT INFLUENCE HEALTH BEYOND MEDICAL CARE. THEY INCLUDE:- SOCIAL AND ECONOMIC FACTORS, SUCH AS EDUCATION, EMPLOYMENT, AND SOCIAL SUPPORT- PHYSICAL ENVIRONMENT FACTORS, SUCH AS HOUSING, TRANSPORTATION, AND AIR QUALITY- HEALTH BEHAVIORS, SUCH AS SMOKING, DRINKING, DIET, AND EXERCISETHEREFORE, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT HEALTH CARE AS WELL AS OTHER HEALTH FACTORS FOLLOWED BY HEALTH OUTCOMES. THERE ARE TWO TYPES OF DATA INCLUDED IN THE CHNA HEALTH PROFILES. THE FIRST TYPE IS QUANTITATIVE DATA, OR NUMBERS AND STATISTICS ABOUT THE OVERALL POPULATION IN THE COMMUNITY. THESE STATISTICS COME FROM A VARIETY OF LOCAL, STATE, AND NATIONAL SOURCES INCLUDING THE CENSUS, THE CENTER FOR DISEASE CONTROL, THE DEPARTMENT OF EDUCATION, AND THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. MOST OF THESE DATA POINTS ARE COMPILED TOGETHER THROUGH A PLATFORM CALLED SPARKMAP FROM CARES AT THE UNIVERSITY OF MISSOURI EXTENSION, WHICH LVHN USES AS THE STARTING POINT FOR ITS CHNA HEALTH PROFILES, ADDING OTHER KEY STATE AND LOCAL DATA SOURCES TO THE DATA PROVIDED THROUGH THIS HEALTH REPORT.IN ADDITION, NON-PROFIT HOSPITAL SYSTEMS ARE REQUIRED TO OBTAIN INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE AND THE VULNERABLE POPULATIONS. LVHN CHOSE TO OBTAIN THIS INPUT THROUGH COMMUNITY CONVERSATIONS AND KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY MEMBERS AND LEADERS. THIS TYPE OF DATA IS REFERRED TO AS QUALITATIVE DATA. FOR EACH CAMPUS, WE PARTNERED WITH AN EXTERNAL COMMUNITY COLLABORATOR WHO HAS EXPERIENCE IN QUALITATIVE DATA COLLECTION TO CONDUCT THESE FOCUS GROUPS AND INTERVIEWS ON LVHN'S BEHALF. THIS PROCESS PROVIDED COMMUNITY MEMBERS WITH AN INDEPENDENT AND OBJECTIVE OPPORTUNITY TO IDENTIFY AND SHARE THEIR PERSONAL EXPERIENCES AND PERSPECTIVE ON THE MOST PRESSING HEALTH NEEDS FACING THEIR COMMUNITY AS WELL AS WHERE THEY WOULD LIKE LVHN TO FOCUS ITS ATTENTION. IN LEHIGH AND NORTHAMPTON COUNTY, LVH PARTNERED WITH TWO FACULTY MEMBERS FROM CEDAR CREST COLLEGE. THE FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED BETWEEN NOVEMBER 2021 AND JANUARY 2022. IN LEHIGH COUNTY, WHERE OUR COORDINATED HEALTH - ALLENTOWN CAMPUS IS LOCATED, 54 PARTICIPANTS WERE INVOLVED IN COMMUNITY CONVERSATIONS AND 4 ADDITIONAL KEY STAKEHOLDERS WERE INTERVIEWED.BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN THE COMMUNITY CONVERSATIONS AND INTERVIEWS AS WELL AS A SUMMARY OF THE DEMOGRAPHICS OF THOSE WHO PARTICIPATED. RESIDENTS, INCLUDING THOSE FROM LOW-INCOME POPULATIONS AND OTHER GROUPS OF FOCUS, WERE ALSO INCLUDED IN THE COMMUNITY CONVERSATIONS IN EACH COUNTY.ORGANIZATIONS REPRESENTED IN LEHIGH COUNTY:ALLENTOWN HEALTH BUREAUBIG BROTHERS/BIG SISTERSCEDAR CREST COLLEGECOMMUNITIES THAT CARE (CATASAUQUA)COMMUNITIES THAT CARE (WHITEHALL/COPLAY)LEHIGH CARBON COMMUNITY COLLEGELEHIGH COUNTY SPECIAL PROGRAM OF OFFENDERS IN REHABILITATION AND EDUCATIONLEHIGH GAP NATURE CENTERRIPPLE COMMUNITY CENTERDEMOGRAPHICS OF PARTICIPANTS IN LEHIGH COUNTY:GENDER: 65% FEMALE, 35% MALEAVERAGE AGE: 50, AGE RANGE: 22-70RACE: 92% WHITE, 5% BLACK/AFRICAN AMERICAN, 3% MULTI-RACIALETHNICITY: 95% NON-HISPANIC, 5% HISPANIC (OF ANY RACE)

LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENT
PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST AND 17TH STREET (LEHIGH COUNTY); LVH-HECKTOWN OAKS AND MUHLENBERG (NORTHAMPTON COUNTY); AND LVH-SCHUYLKILL (SCHUYLKILL COUNTY). LEHIGH AND NORTHAMPTON COUNTY ARE ALSO INCLUSIVE OF OUR COORDINATED HEALTH - ALLENTOWN AND COORDINATED HEALTH - BETHLEHEM CAMPUSES, RESPECTIVELY.WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS IN THE LEHIGH COUNTY REPORT, AND THE LUZERNE COUNTY REPORT INCLUDES INFORMATION ABOUT THE HEALTH NEEDS IN THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT-RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.

LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENT
PART V, SECTION B, LINE 6B: ORGANIZATIONS REPRESENTED IN LEHIGH COUNTY:ALLENTOWN HEALTH BUREAUBIG BROTHERS/BIG SISTERSCEDAR CREST COLLEGECOMMUNITIES THAT CARE (CATASAUQUA)COMMUNITIES THAT CARE (WHITEHALL/COPLAY)LEHIGH CARBON COMMUNITY COLLEGELEHIGH COUNTY SPECIAL PROGRAM OF OFFENDERS IN REHABILITATION AND EDUCATIONLEHIGH GAP NATURE CENTERRIPPLE COMMUNITY CENTER

LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENT
PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST.

LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENT
PART V, SECTION B, LINE 11: PRIORITY AREA: ACCESS TO CARE FOR VULNERABLE POPULATIONSLVHN'S 2019 CHNA HIGHLIGHTED VULNERABLE POPULATIONS THAT CONTINUE TO EXPERIENCE BARRIERS TO ACCESS TO CARE INCLUDING: - OUR VETERAN POPULATION, WHO MAKE UP APPROXIMATELY 8% OF THE POPULATIONS LVHN SERVES- MEMBERS OF OUR COMMUNITY WITHOUT HEALTH INSURANCE, WHO REPRESENT A SIGNIFICANT PORTION OF OUR ADULT POPULATION IN OUR FIVE-COUNTY SERVICE AREA, RANGING BETWEEN 7% AND 9% OF THE TOTAL POPULATION. THROUGH THE FOCUS GROUPS DISCUSSIONS, COMMUNITY MEMBERS IN ALL COUNTIES EXPRESSED STRESS AROUND THE INCREASING COST OF HEALTHCARE, CRITICAL MEDICATIONS AND THE STRUGGLE OF BALANCING COST WITH COMPETING BASIC NEEDS. THEY ACKNOWLEDGED THAT THE LACK OF HEALTH INSURANCE OR ABILITY TO PAY FOR MEDICATIONS OFTEN RESULTED IN LIMITING THE USE OF THE HEALTHCARE SYSTEM OR ADDRESSING CHRONIC CONDITIONS. TRANSPORTATION WAS ALSO ACKNOWLEDGED AS ANOTHER BARRIER TO CARE. THESE INPUTS FROM THE COMMUNITY ALIGN WITH LVHN'S MISSION OF ADDRESSING THE HEALTH NEEDS FOR ALL MEMBERS OF OUR COMMUNITY AND, THEREFORE, WERE PRIORITIZED WITHIN THE IMPLEMENTATION PLAN AS DISCUSSED BELOW.REDUCING BARRIERS TO CARE FOR VULNERABLE POPULATIONSTHE VETERANS HEALTH PROGRAM (VHP) WAS ESTABLISHED TO ADDRESS COMPLEX CARE COORDINATION NEEDS WITH VETERANS AND THEIR FAMILIES, WHO OFTEN STRUGGLE TO NAVIGATE THREE DISTINCT HEALTHCARE SYSTEMS: THE VETERANS HEALTH ADMINISTRATION, DEFENSE HEALTH SYSTEM, AND COMMERCIAL HEALTHCARE CARE. THE VHP OFFERS A ONE STOP, WRAP-AROUND EXPERIENCE. IN FY20, VHP, PRIMARILY SERVING THE LVH-LEHIGH VALLEY, FORMALIZED A RELATIONSHIP WITH DISABLED AMERICAN VETERANS (DAV) TO HAVE A VETERAN SUPPORT OFFICER CO-LOCATED WITH THE VHP TEAM SINCE VHP ACCOUNTED FOR NEARLY 50% OF THEIR WORK IN THE REGIONAL AREA. THE PROGRAM SERVED A TOTAL OF 261 NEW VETERANS AND FAMILY MEMBERS IN FY20. OVER THE YEAR, THE PROGRAM MANAGED AN INCREASING PATIENT LOAD, WHICH PEAKED AT 100 PATIENTS IN FEBRUARY 2020, AND THANKS TO THE RAPID PIVOT TO REMOTE CARE EARLY ON IN THE PANDEMIC, THE PROGRAM WAS ABLE TO SUSTAIN AN AVERAGE OF 76 PATIENTS MONTHLY THROUGH THE CLOSE OF THE FISCAL YEAR IN JUNE. IN MARCH OF 2021 THE DECISION WAS MADE TO TRANSITION THE VETERAN HEALTH PROGRAM FROM LEHIGH VALLEY HEALTH NETWORK TO VALLEY HEALTH PARTNERS. THE EXCEPTIONAL SUCCESS OF THIS PROGRAM AND THE RECENTLY CREATED VALLEY HEALTH PARTNERS, WHOSE MISSION IS ALIGNED WITH VETERANS HEALTH, IS A NATURAL FIT OPERATIONALLY. VALLEY HEALTH PARTNERS IS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE. FOR PATIENTS, THIS MEANS THEY CAN BE ASSURED THAT THEY CAN ACHIEVE THEIR HEALTH AND WELLNESS GOALS DESPITE ANY SOCIAL ECONOMIC BARRIERS. VHP IS A SERVICE THAT SUPPORTS A UNIQUE RISK GROUP THAT EFFECTIVELY ADDRESS AND OFFER SOLUTIONS TO EACH VETERAN'S SOCIAL DETERMINANTS OF HEALTH AND MEDICAL NEEDS. AS OF THE END OF FY21, THE PROGRAM MOVED TO VALLEY HEALTH PARTNERS SUCCESSFULLY.MEDICATION ASSISTANCETO ADDRESS THE RISING CONCERN ABOUT THE COST OF MEDICATIONS, LVHN'S INTEGRATED CARE COORDINATION TEAM WORKS TO GET PATIENTS DIRECTLY CONNECTED TO PRESCRIPTION DISCOUNT PROGRAMS, THEREBY REDUCING THE COST BURDEN ON THE PATIENT. PATIENTS FROM 40 LVPG PRACTICES ACROSS ALL 5 COUNTIES RECEIVED THIS SERVICE. THE INTEGRATED CARE COORDINATION TEAM ADDRESSED A TOTAL OF 3,386 CASES TOTALING $5,788,040 IN PRESCRIPTION ASSISTANCE IN FY20. IN FY21, THE TEAM ADDRESSED 3,023 CASES TOTALING $6,161,748. IN FY22, THE TEAM ADDRESSED 2,974 CASES TOTALING $6,824,758.CONNECTION TO HEALTH INSURANCE & FINANCIAL ASSISTANCELEHIGH VALLEY HEALTH NETWORK PROVIDES DIRECT LINKAGES TO RESOURCES AIMED AT ASSISTING UNINSURED PATIENTS IN GETTING INSURANCE COVERAGE, AS WELL AS A ROBUST FINANCIAL ASSISTANCE PROGRAM, CREATING ADDITIONAL ACCESS TO HEALTHCARE FOR VULNERABLE POPULATIONS.THE PATHS PROGRAM AT LVHN HELPS DETERMINE THE ELIGIBILITY FOR INSURANCE FOR UNDERINSURED AND UNINSURED PATIENTS, AS QUICKLY AS POSSIBLE. PATHS REPRESENTATIVES ARE EMBEDDED IN MULTIPLE AREAS IN OUR HOSPITALS, WORKING ALONGSIDE LVHN STAFF. THIS HELPS EXPEDITE THE REFERRAL PROCESS QUICKLY AND EFFICIENTLY AS PATHS COLLEAGUES CAN CONNECT DIRECTLY WITH PATIENTS AND COUNTY OFFICES TO EXPEDITE PAPERWORK THAT IS REQUIRED AND IF NEEDED FACILITATE IN-PERSON INTERACTIONS. ON AVERAGE, BETWEEN 75 AND 90% OF APPLICATIONS THAT ARE ELIGIBLE ARE APPROVED. IN FY20, THIS RESULTED IN OVER $17 MILLION IN PAYMENTS FROM THE STATE OF PENNSYLVANIA AND SURROUNDING STATES. IN FY21, THE PATHS PROGRAM OBTAINED $30 MILLION IN PAYMENTS ON BEHALF OF PATIENTS, NEARLY DOUBLING TOTALS FROM THE PREVIOUS FISCAL YEAR. IN FY22, THE PATHS PROGRAM RESULTED IN JUST UNDER $26 MILLION IN PAYMENTS. THE TOTAL NUMBER OF REFERRALS DECREASED FROM LAST YEAR DUE TO PREVIOUS ELIGIBILITY BEING EXTENDED THROUGHOUT THE COVID PANDEMIC. IN ADDITION TO THE PATHS PROGRAM, LVHN PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO ARE NOT ABLE TO COVER THE COST OF THEIR HEALTH CARE. IN FY20, LVH-LEHIGH VALLEY RECEIVED 37,767 APPLICATIONS, WITH A 7-DAY AVERAGE TO TURN AROUND AN APPLICATION APPROVAL. AN AVERAGE OF 64% OF APPLICATIONS AT EACH SITE WERE APPROVED. IN FY21, LVH-LEHIGH VALLEY RECEIVED 34,630 APPLICATIONS, WITH A 7-DAY AVERAGE TO TURN AROUND AN APPLICATION APPROVAL. AN AVERAGE OF 69% OF APPLICATIONS AT EACH SITE WERE APPROVED. IN FY22, FOR THE PATIENTS WHO LIVE IN COUNTIES PRIMARILY SERVED BY LVH-LEHIGH VALLEY, THERE WERE 25,887 APPLICATIONS RECEIVED. THE AVERAGE TURNAROUND TIME FOR APPLICATIONS WAS 4 DAYS, AND THE PERCENT APPROVED WAS 82%. PLEASE NOTE THAT IN FY22 REPORTING IMPROVEMENTS WERE MADE IN INTEGRATION WITH THE ELECTRONIC HEALTH RECORD RESULTING IN A MORE ACCURATE COUNT OF APPLICATIONS COMPARED TO THE COUNTS FROM THE PREVIOUS YEARS. THIS CHANGE RESULTED IN A DECREASE IN APPLICATIONS BEING COUNTED UNDER LVH-LEHIGH VALLEY, AS SOME OF THOSE APPLICATIONS WERE MOVED UNDER MORE APPROPRIATE SITES. PRIORITY AREA: HEALTH PROMOTION AND PREVENTIONIN THE 2019 LVHN CHNA FOCUS GROUPS, PARTICIPANTS ASKED FOR A GREATER PRESENCE IN THE COMMUNITY FROM HEALTH CARE SYSTEMS IN THE PLACES WHERE PEOPLE MOST FREQUENTLY LIVE, WORK, AND PLAY. COMMUNITY MEMBERS IN ALL 5 COUNTIES CALLED FOR ADDITIONAL CARE IN THEIR NEIGHBORHOODS, INCLUDING FOLLOW-UPS AT HOME, SERVICES AT SCHOOLS AND SENIOR CENTERS WHERE PEOPLE ARE LOCATED, AND OUTREACH AND EDUCATION ABOUT AVAILABLE RESOURCES. FOCUS GROUP PARTICIPANTS ALSO SAID THEY ARE GENERALLY UNAWARE OF WHEN OR WHERE VARIOUS LVHN SCREENING EVENTS OR SERVICES ARE AVAILABLE. THIS RANKED IN THE TOP THREE HEALTH CARE PRIORITIES THAT COMMUNITY MEMBERS WANTED TO SEE ADDRESSED. AS SUCH, LVHN LEADERSHIP PRIORITIZED THIS AS AN ISSUE THAT HAD SIGNIFICANT MAGNITUDE, CAPACITY, AND ALIGNMENT. THEREFORE, LVHN COMMITTED TO PROMOTE FREE AND LOW-COST SCREENINGS FOR CHRONIC CONDITIONS AND CANCER SCREENINGS IN NEIGHBORHOODS WHERE VULNERABLE POPULATIONS ARE LOCATED IN ORDER TO INCREASE UTILIZATION OF THESE SERVICES AND EARLY DETECTION.THE ZIP CODE WHERE AN INDIVIDUAL RESIDES CAN BE A SIGNIFICANT INFLUENCER OF HEALTH OUTCOMES. IN ORDER TO FOCUS HEALTH PROMOTION AND PREVENTION EFFORTS, LVHN DETERMINED WHICH ZIP CODES REPRESENT THE VULNERABLE POPULATIONS WITHIN EACH OF THE 5 COUNTIES OUR PATIENTS RESIDE. THIS WAS DEFINED BY A METRIC OF 15% OR MORE OF THE POPULATION LIVING BELOW THE POVERTY LINE AND HAVING LESS THAN A HIGH SCHOOL EDUCATION. IN ADDITION, LVHN SERVES A SUBSTANTIAL MEDICAID POPULATION IN THESE ZIP CODES. THE FOLLOWING ZIP CODES HAVE BEEN IDENTIFIED: LEHIGH (CEDAR CREST, 17TH STREET, CH-ALLENTOWN) - 18102, 18109, 18101NORTHAMPTON (MUHLENBERG, HECKTOWN OAKS, CH-BETHLEHEM) - 18042, 18015

LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENT
PART V, SECTION B, LINE 18E: COLLECTION ACTIVITIES ARE LIMITED TO HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENT'S PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM.

PART V, SECTION B, LINE 11 (CONTINUATION A)
"IN FY2022, ACROSS THE REGION, LVHN WAS ABLE TO PROMOTE HEALTH OR PROVIDE HEALTHCARE SCREENINGS IN THE FOLLOWING WAYS:PREVENTATIVE HEALTH SCREENINGS & SERVICESA CONSTANT IN LVH-LEHIGH VALLEY'S PREVENTATIVE EFFORTS, THE ANNUAL DRIVE-THRU FLU DRIVE, OCCURS IN THE FALL EACH YEAR. IN FY20, A TOTAL OF 9,000 FLU SHOTS WERE PROVIDED THROUGH THE FLU DRIVE. IN FY21, LVH-LV STAFF PROVIDED FREE FLU SHOTS TO OVER 6,000 PEOPLE - AND COLLECTED 8 TONS OF FOOD FOR AREA FOOD BANKS - WHICH WAS LOWER THAN FY20 NUMBERS DUE TO THE PANDEMIC AND INTENSE FOCUS ON PROVIDING COVID-19 VACCINATIONS FOR THE COMMUNITY. IN FY22, LVH-LV STAFF PROVIDED FREE FLU SHOTS TO OVER 12,000 PEOPLE AND COLLECTED 8,800 LBS. OF FOOD. THESE FREE FLU-SHOT CLINICS WILL CONTINUE TO EXPAND WITHIN THE LVHN SERVICE AREA.LVHN ALSO HAD A VARIETY OF SCREENING OPPORTUNITIES FOR BREAST CANCER. IN FY20, A TOTAL OF 1,865 MAMMOGRAMS WERE COMPLETED THROUGH LVHN'S MAMMOGRAM COACH. THE BREAKDOWN BY COUNTY IS PROVIDED BELOW, WITH 5% AND 8% OF THE MAMMOGRAMS PROVIDED IN LEHIGH COUNTY AND NORTHAMPTON COUNTY, RESPECTIVELY, ON THE MAMMOGRAM COACH FOR PATIENTS FROM THE TARGET ZIP CODES. IN FY21, A TOTAL OF 1,840 MAMMOGRAMS WERE COMPLETED THROUGH LVHN'S MAMMOGRAM COACH. THE BREAKDOWN BY COUNTY IS PROVIDED BELOW, WITH 6% OF THE MAMMOGRAMS PROVIDED IN LEHIGH COUNTY AND NORTHAMPTON COUNTY (3% IN EACH COUNTY), ON THE MAMMOGRAM COACH FOR PATIENTS FROM THE TARGET ZIP CODES. IN FY22, THERE WERE A TOTAL OF 2,075 MAMMOGRAMS COMPLETED THROUGH LVHN'S MAMMOGRAM COACH, WITH 4% BEING FOR PATIENTS FROM THE TARGET ZIP CODES IN LEHIGH AND NORTHAMPTON COUNTY.IN FY2022, 571 SCREENINGS WERE HELD IN LEHIGH COUNTY, WITH 77 FOLLOW-UP IMAGING ORDERS PLACED AND 3 CANCERS FOUND. 162 SCREENINGS WERE HELD IN NORTHAMPTON COUNTY, WITH 20 FOLLOW-UP IMAGING ORDERS PLACED AND NO CANCERS FOUND.PRIORITY AREA: INCLUSION AND DIVERSITYCOMMUNITY MEMBERS EXPRESSED FEEDBACK REGARDING ISSUES OF INCLUSION AND DIVERSITY AMONG LVHN'S STAFF AND SERVICES. PATIENTS AND COMMUNITY MEMBERS STRESSED THE NEED FOR LIVE INTERPRETATION SERVICES, TO ALLOW THEM TO INTERACT WITH THEIR PROVIDERS IN THEIR NATIVE LANGUAGE AND A WARM RECEPTION IN A CULTURALLY APPROPRIATE MANNER. BELOW IS THE RACIAL DEMOGRAPHICS OF LEHIGH AND NORTHAMPTON COUNITES. THE TABLE SHOWS THAT THE HISPANIC POPULATION IS GREATER THAN 10% OF THE TOTAL POPULATION IN BOTH COUNTIES, HIGHLIGHTING THE NEED FOR COMPREHENSIVE LANGUAGE SUPPORT AND CULTURAL AWARENESS ACROSS THE NETWORK. THE COMMUNITY MENTIONED THESE ISSUES MULTIPLE TIMES IN FOCUS GROUPS, PARTICULARLY IN LEHIGH, LUZERNE, AND NORTHAMPTON COUNTIES. LVHN LEADERSHIP AGREED, RANKING INCLUSION AND DIVERSITY AS AN ISSUE THAT WOULD HAVE A MODERATE IMPACT ON OVERALL HEALTH, BUT IT ALIGNED WITH OVERALL ORGANIZATIONAL GOALS AND WAS AN INITIATIVE WE HAVE THE CAPACITY TO ADDRESS. LEHIGH COUNTY HAS A TOTAL POPULATION OF APPROXIMATELY 359,000. OF THOSE, 21.8% ARE HISPANIC. IN NORTHAMPTON COUNTY, THE POPULATION IS APPROXIMATELY 301,000. OF THOSE, 12.1% ARE HISPANIC.LVHN WILL FOCUS ON TWO IMPORTANT STRATEGIES. FIRST, LVHN WILL INCREASE ACCESS TO LANGUAGE INTERPRETATION AT ALL HEALTH CARE SERVICE SITES, BUILDING ON THE ALREADY STRONG SET OF SERVICES AVAILABLE. SECOND, LVHN WILL CUSTOMIZE ROBUST COLLEAGUE EDUCATION AROUND CULTURAL AWARENESS AND INCLUSION AND DIVERSITY TO ENSURE ALL PATIENTS RECEIVE A WARM WELCOME, PARTICULARLY POPULATIONS WITH SPECIAL NEEDS AT EACH OF OUR CAMPUSES. INTERPRETER SERVICESAT EVERY LVHN CAMPUS, INTERPRETER SERVICES ARE PROVIDED TO ENSURE THAT PATIENTS ARE ABLE TO COMMUNICATE WITH CLINICIANS AND STAFF IN THEIR PREFERRED LANGUAGE. LVHN PROVIDES A COMBINATION OF LIVE INTERPRETATION WITH THE PATIENT, PHONE INTERPRETATION, AND VIDEO INTERPRETATION VIA IPAD. THIS MIXED MEDIA APPROACH OFFERS THE FASTEST RESPONSE BASED ON PATIENT NEEDS. IN FY20, 15 TRAINED MEDICAL INTERPRETER STAFF PROVIDED 602,682 MINUTES OF INTERPRETATION ACROSS ALL LVHN SITES. AT LVH-CEDAR CREST & 17TH STREET, A TOTAL OF 583,006 MINUTES WERE SPENT ON VIDEO ACROSS 49,034 VIDEO ENCOUNTERS. AT LVH-MUHLENBERG, 52,647 MINUTES WERE SPENT ON VIDEO ACROSS 5,106 VIDEO ENCOUNTERS.IN FY21, 22 TRAINED MEDICAL INTERPRETER STAFF PROVIDED 701,340 MINUTES OF INTERPRETATION DURING NEARLY 41,000 UNIQUE ENCOUNTERS ACROSS ALL LVHN SITES. AS THE COVID-19 PANDEMIC CONTINUES, VIRTUAL INTERPRETATION IS A VITAL SERVICE FOR PATIENTS. AT LVH-CEDAR CREST & 17TH STREET, A TOTAL OF 844,970 MINUTES WERE SPENT ON VIDEO ACROSS 81,272 VIDEO ENCOUNTERS. AT LVH-MUHLENBERG, 64,223 MINUTES WERE SPENT ON VIDEO ACROSS 7,520 VIDEO ENCOUNTERS.IN FY22, 27 TRAINED MEDICAL INTERPRETER STAFF PROVIDED 1,072,889 MINUTES OF INTERPRETATION DURING OVER 100,000 UNIQUE ENCOUNTERS ACROSS ALL LVHN SITES. AT LVH-CEDAR CREST & 17TH STREET, A TOTAL OF 998,788 MINUTES WERE SPENT ON VIDEO ACROSS 87,555 VIDEO ENCOUNTERS. AT LVH-MUHLENBERG, 74,101 MINUTES WERE SPENT ON VIDEO ACROSS 8,754 VIDEO ENCOUNTERS.CULTURAL AWARENESS AND STAFF EDUCATIONTHE CHIEF DIVERSITY, EQUITY AND INCLUSION LIAISON OFFERS A WIDE RANGE OF EDUCATION AND TRAINING FOR LVHN STAFF, RANGING FROM GENERAL CULTURAL AWARENESS COVERED AT ""CONNECTIONS"" (THE ORIENTATION PROGRAM FOR ALL NEW LVHN EMPLOYEES) TO AUDIENCE-SPECIFIC CONTENT INCLUSIVE LEADERSHIP, UNCONSCIOUS BIAS, RESPONDING TO MICROAGGRESSIONS, AND CROSS-CULTURAL CARE. IN FY20, OVER 60 TRAININGS WERE HELD WITH JUST OVER 4,000 EMPLOYEES ATTENDING. IN FY21, NEARLY 50 TRAININGS WERE HELD WITH JUST OVER 4,000 EMPLOYEES ATTENDING IN TOTAL. IN FY22, 37 TRAININGS WERE HELD FOR 2,641 EMPLOYEES IN ATTENDANCE. ADDITIONAL DIVERSITY, EQUITY AND INCLUSION EDUCATIONAL CONTENT AND RESOURCES ARE ALSO AVAILABLE TO COLLEAGUES VIA A NEW DEI INTRANET SITE THAT LAUNCHED IN FEBRUARY 2022.WITH LVHN LEADERSHIP'S INCREASED STRATEGIC FOCUS ON DIVERSITY AND INCLUSION IN THE NETWORK, IT WAS IMPORTANT TO INCREASE RESOURCES IN SUPPORT OF THIS IMPORTANT WORK. ON MARCH 8, 2021, A DIVERSITY EQUITY AND INCLUSION (DEI) PROJECT MANAGER COLLEAGUE WAS BROUGHT ON STAFF. THIS IMPORTANT ROLE SUPPORTS NETWORK INITIATIVES INCLUDING THE ACTIONS AGAINST RACISM AND ADVANCING EQUITY COUNCIL, CULTURAL AWARENESS LEADERSHIP COUNCIL AND THE LGBTQ PATIENT AND FAMILY CARE EXPERIENCE PROJECT TEAM.PRIORITY AREA: SOCIAL DETERMINANTS OF HEALTHSOCIAL DETERMINANTS OF HEALTH ARE AT THE HEART OF COMMUNITY HEALTH WORK AT LVHN. DURING THE PRIMARY DATA COLLECTION PROCESS, LVHN RECEIVED COMMUNITY FEEDBACK THAT CONFIRMED THE IMPORTANCE OF ADDRESSING SOCIAL DETERMINANTS BOTH DIRECTLY AND THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. EXAMPLES OF SOCIAL DETERMINANTS THAT REQUIRE MULTIPLE AGENCIES AND ORGANIZATIONS WORKING TOGETHER IN A COORDINATED MANNER ARE HOUSING AND FOOD INSECURITY. BOTH WERE HIGHLIGHTED DURING COMMUNITY FOCUS GROUPS. IN ALL COUNTIES LVHN SERVES:- AN AVERAGE OF 20% OF THE POPULATIONS ARE AT RISK FOR FOOD INSECURITY. - AT LEAST A QUARTER OF THE POPULATION SPENDS MORE THAN 30% OF THEIR INCOME ON HOUSING.LVHN CHNA EXECUTIVE TEAMS RECOGNIZED THE MAGNITUDE OF HOUSING AND FOOD INSECURITY ISSUES, BUT ALSO WERE LESS CERTAIN ABOUT HEALTHCARE'S ABILITY TO HAVE AN IMPACT IN THIS AREA, PARTICULARLY BECAUSE THESE ARE NOT ISSUES THAT HEALTHCARE CAN ADDRESS ALONE. THE IMPORTANCE OF PARTNERSHIPS IN THIS AREA IS HIGHLIGHTED IN LVHN'S CHNA IMPLEMENTATION PLAN. BELOW ARE BOTH INTERNAL AND CROSS-SECTOR PARTNERSHIP EFFORTS ADDRESSING THESE ISSUES IN OUR COMMUNITIES."

PART V, SECTION B, LINE 11 (CONTINUATION B)
"FOOD ACCESS THE FIRST STRATEGY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH OUTLINED IN THE IMPLEMENTATION PLAN IS IMPROVE ACCESS TO HEALTHY FOOD AND REDUCE OBESITY RATES IN OUR COMMUNITIES, THROUGH IN-SCHOOL EDUCATION, PROMOTION OF HEALTHY LIFESTYLES AND COMMUNITIES, AND SUPPORT OF MOBILE MARKET FOOD DISTRIBUTION. AT LVH-LEHIGH VALLEY CAMPUSES, TWO PILOT PARTNERSHIPS WITH MOBILE FOOD MARKET VENDORS WERE CONTINUED IN FY21. PARTNERSHIP WITH THE KELLYN FOUNDATION: LVHN DEVELOPED PARTNERSHIPS WITH KEY NON-PROFIT ORGANIZATIONS, WHO ARE WORKING TO IMPROVE HEALTHY FOOD ACCESS IN THE COMMUNITY. THE KELLYN FOUNDATION ENSURES AVAILABILITY OF LOW-COST/NO-COST, HEALTHY FOOD OPTIONS AT KEY LOCATIONS THAT OPTIMIZE ACCESSIBILITY TO FAMILIES IN NEED. THE EAT REAL FOOD MOBILE MARKET PILOT WITH KELLYN FOUNDATION PILOT AIMED TO PROVIDE FRESH FRUITS AND VEGETABLES, GRAINS, AND PREPARED MEALS FOR LVHN FAMILIES LIVING IN SOCIALLY DISADVANTAGED ALLENTOWN NEIGHBORHOODS WHO ARE FOOD INSECURE OR DO NOT HAVE EASY ACCESS TO AFFORDABLE HEALTHY FOOD OPTIONS DUE TO UNEMPLOYMENT OR INABILITY TO PAY. KELLYN USED THEIR EXISTING MOBILE MARKET AND COMMUNITY RELATIONSHIPS TO DISTRIBUTE HEALTHY FRUITS AND VEGETABLES AND PREPARED MEALS IN AND AROUND ALLENTOWN SCHOOLS. LVHN 17TH STREET COMMUNITY PRACTICE FAMILIES WERE PROVIDED A WEEKLY $20 CREDIT THAT COULD BE REDEEMED AT THE MOBILE MARKET AND LEVERAGED WITH OTHER PUBLIC BENEFITS (EBT, WIC, FMNP VOUCHERS). BETWEEN THE END OF JUNE AND SEPTEMBER 2020 THE KELLYN FOUNDATION PROVIDED SERVICES TO 545 INDIVIDUALS IN THE COMMUNITY WITH THE SUPPORT OF $39,640 IN VOUCHERS FROM LVHN. ONCE AWARE OF THE PROGRAM, 26% PARTICIPATED EVERY WEEK AND A TOTAL OF 57.61% PARTICIPATED MORE THAT 50% OF THE TIME. IN FY22, THE PROGRAM PROVIDED 153,131 POUNDS OF HEALTHY FOOD TO 2,737 PEOPLE. THE TOTAL SALES WERE $352,750. OF THE TOTAL SALES, $186,266 WERE VOUCHER SALES FOR 1,543 CUSTOMERS BETWEEN 65% AND 85% OF CUSTOMERS SERVED IN COMMUNITY SITES HAVE A REPORTED INCOME BELOW THE AVERAGE MEDIAN INCOME FOR THE AREA. CARDIAC HEART FAILURE (CHF) FOOD PRESCRIPTION PILOT WITH MEALS ON WHEELS OF THE LEHIGH VALLEY (MOWGLV): MOWGLV IS DELIVERING DIET-APPROPRIATE MEALS FOR 90-DAYS POST-DISCHARGE TO 19-25 INDIVIDUALS WHO HAVE A DIAGNOSIS OF CHF AND WERE RECENTLY DISCHARGED FROM LVHN'S INPATIENT SETTING. PATIENTS SERVED THROUGH THIS PILOT RECEIVED WEEKDAY HOT MEALS AND WEEKEND COLD MEALS FOR 90 DAYS AT NO COST TO ENSURE HEALTHY MEALS ARE AVAILABLE TO PATIENTS AS QUICKLY AS POSSIBLE AFTER TRANSITION FROM THE HOSPITAL TO HOME. THE PILOT WAS INTENDED TO PROVIDE A BRIDGING PERIOD DURING WHICH THE PATIENT CAN BE ASSESSED FOR ELIGIBILITY OF MEALS BEYOND THAT 90-DAY PERIOD AND MAINTAIN COMPLIANCE WITH THE HEART HEALTHY NUTRITION PLAN. 19 HEART FAILURE PATIENTS HAVE BEEN REFERRED TO THE MOW PILOT. LVHN DEDICATED $30,000 TO SUPPORT THE FUNDING OF MEALS FOR HEART FAILURE PATIENTS IN FY21.PRIORITY AREA: BEHAVIORAL HEALTHONE CONSISTENT AREA OF NEED VOICED BY THE COMMUNITY, IN BOTH THE 2016 AND 2019 LVHN CHNAS, WAS THE NEED TO BETTER ADDRESS BEHAVIORAL HEALTH AND MENTAL WELL-BEING IN THE COMMUNITY. ACCORDING TO THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS, MEMBERS OF THE COMMUNITY EXPERIENCE MORE THAN 4 ""UNHEALTHY"" MENTAL HEALTH DAYS PER MONTH, ECHOING THE DIRECT FEEDBACK FROM FOCUS GROUPS. THIS NEED WAS DISCUSSED IN ALL FIVE COUNTIES AND, THEREFORE, WAS MADE A CROSS-CUTTING PRIORITY AREA FOR THE IMPLEMENTATION PLAN. WITHIN THE BEHAVIORAL HEALTH PRIORITY AREA, THERE ARE 3 AREAS OF FOCUS: MENTAL HEALTH, SUBSTANCE USE DISORDER, AND SUICIDE PREVENTION. WHILE PUBLIC DATA AROUND SUBSTANCE USE DISORDER IS LACKING, IT WAS A CLEAR CONCERN EXPRESSED COMMUNITY MEMBERS WHO PARTICIPATED IN FOCUS GROUPS AND INTERVIEWS. LVHN LEADERSHIP BELIEVES THIS IS A HIGH IMPACT AREA OF WORK, BUT WE NEED TO INCREASE CAPACITY IN ORDER TO ADDRESS THESE NEEDS ADEQUATELY. THE SECTIONS BELOW OUTLINE THE APPROACHES BEING IMPLEMENTED IN EACH OF THESE FOCUS AREAS TO ADDRESS THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITIES LVHN SERVES.MENTAL HEALTHPREVENTION AND EDUCATION: THE FIRST STRATEGY TO ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY IS DECREASE THE STIGMA AND INCREASE SKILLS OF PROFESSIONALS AND COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH CONCERNS AND PROMOTE MENTAL WELLNESS. IN ADDITION, LVHN WILL PARTICIPATE IN AND PARTNER AROUND COMMUNITY-BASED TRAUMA-INFORMED CARE COLLABORATIVE TO CREATE MORE TRAUMA-INFORMED COMMUNITIES. IN THE LEHIGH VALLEY (LVH-LEHIGH VALLEY), LVHN ENGAGED WITH LAKESIDE GLOBAL INSTITUTE TO PROVIDE TRAUMA 101 AND 102 TRAININGS FOR PROVIDERS AND PROFESSIONALS IN THE LEHIGH VALLEY. THE TRAININGS REACHED 500 PEOPLE IN FY20. WITH THE COVID-19 PANDEMIC, THESE TRAININGS WERE PUT ON HOLD IN THE SECOND HALF OF FY20. DURING THE COVID-19 PANDEMIC, LVHN PARTICIPATED IN A COMMUNITY OUTREACH PSA THAT NORTHAMPTON COUNTY DEPARTMENT OF MENTAL HEALTH PUBLISHED CALLED ""OUT FRONT."" IT WAS CREATED BY NAMI-LV AND LIVING PROOF PICTURES RECOGNIZING OUR FRONT-LINE WORKERS AND PROMOTING SELF-CARE AMONG THEM. IT FEATURED THE NORTHAMPTON FIRE DEPARTMENT, BETHLEHEM POLICE, LVHN DOCTORS & NURSES, EASTON EMTS AND THOSE ADMINISTERING FREE COVID-19 TESTING.IN ADDITION, LVH-LEHIGH VALLEY IS A PARTNER IN A COLLABORATIVE CALLED RESILIENT LEHIGH VALLEY, WHICH IS LED BY THE UNITED WAY OF THE GREATER LEHIGH VALLEY. IN FY20, THIS COLLABORATIVE CREATED A WEBSITE THAT PROVIDES MINDFULNESS AND SOCIAL EMOTIONAL LEARNING (SEL) LESSONS AND RESOURCES FOR EDUCATORS, PARENTS AND CAREGIVERS, AND K-12 STUDENTS. IN FY21, THE GROUP DEVELOPED A SERIES OF FACEBOOK LIVE SESSIONS. IN ADDITION, THEY HAVE DEVELOPED A PROPRIETARY SERIES OF ONGOING TRAININGS ON A VARIETY OF TOPICS INCLUDING:- SECONDARY, VICARIOUS TRAUMA, AND SELF CARE- PRACTICAL TRAUMA-INFORMED STRATEGIES- TRAUMA-INFORMED DE-ESCALATION TECHNIQUES- UNDERSTANDING HISTORICAL AND RACIAL TRAUMAIN FY22, STAFF FROM LVH-LEHIGH VALLEY CO-CHAIRED THE RESILIENT LEHIGH VALLEY COMMUNITY OUTREACH AND ENGAGEMENT TEAM WITH LEHIGH COUNTY OFFICE OF CHILDREN AND YOUTH SERVICES. THE GROUP HAS CONDUCTED COMMUNITY OUTREACH EFFORTS ABOUT RESILIENCY AND TRAUMA-INFORMED CARE THROUGH ATTENDING COMMUNITY EVENTS AND RECRUITING OTHER ORGANIZATIONS TO JOIN THE INITIATIVE. RESILIENT LV ALSO CONTINUED TO PROVIDE FREE TRAININGS TO PROFESSIONALS AND TEACHERS AND EXPAND THEIR TOOL KIT OF RESOURCES AND EDUCATIONAL MATERIAL.ALSO, IN FY22 LVHN'S BEHAVIORAL HEALTH EDUCATION SPECIALIST HOSTED A PSYCHOEDUCATION GROUP SESSION, CALLED WAY TO WELLNESS GROUP, MONTHLY AT CHANGE ON HAMILTON IN ALLENTOWN. THESE GROUPS FOCUSED ON THE EIGHT DIMENSIONS OF WELLNESS: EMOTIONAL, PHYSICAL, OCCUPATIONAL, INTELLECTUAL, FINANCIAL, SOCIAL, ENVIRONMENTAL, AND SPIRITUAL. FOCUSED TOPICS AND INTERVENTIONS INCLUDE STRESS MANAGEMENT SKILLS, FINANCIAL LITERACY, SOCIAL SKILLS, MINDFULNESS, SOFT SKILLS, AND NUTRITION.OVER THE PAST SEVERAL YEARS, LVHN HAS ALSO MADE A TARGETED EFFORT TO DEVELOP SUPPORTS FOR THE PREGNANT AND PARENTING POPULATION IN OUR REGION. IN THE LEHIGH VALLEY, THE CONNECTIONS CLINIC IS A PROGRAM FOR PREGNANT AND/OR POSTPARTUM SUBSTANCE USE DISORDER INCLUDING OPIOIDS AND IS A COLLABORATION BETWEEN OBSTETRICS AND PEDIATRICS. THIS PROGRAM PROVIDES AN ADDED LAYER OF PATIENT SUPPORT FROM OBGYN STAFF AND PHYSICIANS ALONG WITH PARTNERSHIPS WITH TREATMENT PROVIDERS AND FACILITIES."

PART V, SECTION B, LINE 11 (CONTINUATION C)
"REFERRAL COORDINATION: THE SECOND STRATEGY TO ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY IS A CENTRALIZED REFERRAL PROCESS TO OUTPATIENT BEHAVIORAL HEALTH SERVICES. IN FY19, LVHN RECEIVED OVER 9,000 REFERRALS FOR BEHAVIORAL HEALTH SERVICES AND WERE ABLE TO SERVE 1 IN 8. IN ORDER TO IMPROVE TREATMENT AND REFERRAL WORKFLOWS FOR PATIENTS, LVHN CREATED A BEHAVIORAL HEALTH REFERRAL SPECIALIST ROLE. THIS ROLE PROVIDES SUPPORT TO PROVIDERS, PRACTICES AND PATIENTS SEEKING ACCESS TO MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER SERVICES. SUPPORT BY THIS ROLE IS PROVIDED ON THREE LEVELS: 1. INFORMATION DISSEMINATION AND EDUCATION: PRACTICES RECEIVE RESOURCE INFORMATION TO ENABLE THEM TO MAKE BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER REFERRALS FROM THE BEHAVIORAL HEALTH RESOURCES SHAREPOINT DATABASE WITH INFORMATION THAT IS ALWAYS CURRENT AND ACCURATE. IN ADDITION, THE BEHAVIORAL HEALTH REFERRAL SPECIALIST HAS BEEN PROVIDING EDUCATION ON HOW TO EFFECTIVELY REFER A PATIENT FOR MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER SERVICES TO THE FOLLOWING: PEDIATRIC PRIMARY CARE, ADULT SPECIALTY PROGRAMS, INPATIENT CASE MANAGEMENT, LVHN LEADERSHIP AND ADDITIONAL OUTSIDE PROGRAMS AND SERVICES.2. CONSULTATION TO PROVIDERS SEEKING SERVICES FOR THEIR PATIENTS WHEN THEY ARE UNABLE TO DO SO UTILIZING THE BEHAVIORAL HEALTH RESOURCES SHAREPOINT AND PAST REFERRAL EDUCATION. 3. DIRECT PATIENT CONTACT TO PROVIDE SUPPORT AND RESOURCES IF THE FIRST TWO LEVELS OF SERVICE FAIL TO SUPPORT THE PATIENT. IN FY19, THERE WERE 620 REQUESTS FOR ASSISTANCE FROM THE BEHAVIORAL HEALTH REFERRAL SPECIALIST. IN FY20, DUE TO THE HIGH DEMAND, A NEW PROCESS WAS IMPLEMENTED TO HAVE THE BEHAVIORAL HEALTH REFERRAL SPECIALIST MANAGE ALL OUTPATIENT PSYCHIATRY REFERRALS FOR LVHN AFFILIATED PRACTICES. THIS NEW PROCESS WAS MADE TO IMPROVE THE REFERRAL EXPERIENCE FOR THE AFFILIATED PRACTICE PROVIDERS WHILE BETTER ASSISTING PATIENTS WITH CONNECTING TO BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER SERVICES. THE BEHAVIORAL HEALTH SPECIALIST HAS BECOME A TEAM OF 5.5 FTE DEDICATED TO MANAGING ALL REFERRALS TO AMBULATORY PSYCHIATRY PRACTICES, WHICH IS NOW CALLED CENTRALIZED INTAKE. THIS SERVICE OFFICIALLY WENT LIVE ON MAY 4, 2020, AND THEY RECEIVE REFERRALS FROM OUTPATIENT PRACTICES FROM ALL LVHN CAMPUSES. IN FY21, CENTRALIZED INTAKE RECEIVED 10,179 REFERRALS. OF THE 10,179 REFERRALS, 6,240 (61%) WERE SCHEDULED WITH LVHN PSYCHIATRY PRACTICES OR PROVIDED WITH A LIST OF EXTERNAL PROVIDERS WITH THE OPTION TO CALL BACK FOR ADDITIONAL ASSISTANCE IF UNABLE TO CONNECT WITH A PROVIDER. IN FY22, CENTRALIZED INTAKE RECEIVED 10,922 REFERRALS. OF THE 10,922 REFERRALS, 7,440 (68%) WERE SCHEDULED WITH LVHN PSYCHIATRY PRACTICES OR PROVIDED WITH A LIST OF EXTERNAL PROVIDERS WITH THE OPTION TO CALL BACK FOR ADDITIONAL ASSISTANCE IF UNABLE TO CONNECT WITH A PROVIDER.INNOVATION: THE THIRD STRATEGY LVHN HAS COMMITTED TO IN ORDER TO ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY IS INNOVATION THROUGH THE USE OF TECHNOLOGY TO PROVIDE TELE-PSYCHIATRY, TELE-THERAPY, AN APP DEPLOYMENT, AND ECONSULTS. THE DEVELOPMENT AND IMPLEMENTATION OF TELE-PSYCHIATRY AND THERAPY SERVICES WAS UNDERWAY AT THE START OF FY20. WITH THE ONSET OF THE COVID-19 PANDEMIC, THE SCALE AND REACH OF THESE SERVICES INCREASED RAPIDLY AND DRAMATICALLY. OUTPATIENT BEHAVIORAL HEALTH VIRTUAL VISITS INCREASED FROM 2% BEFORE COVID-19 TO 98% SOON AFTER THE START OF THE PANDEMICIN FY21, THE DEPARTMENT OF PSYCHIATRY PROVIDED A TOTAL OF 66,457 OUTPATIENT BEHAVIORAL HEALTH ENCOUNTERS, OF WHICH 44,942 ENCOUNTERS (68%) WERE VIRTUAL. IN FY22, THE DEPARTMENT OF PSYCHIATRY PROVIDED A TOTAL OF 137,750 OUTPATIENT BEHAVIORAL HEALTH ENCOUNTERS, OF WHICH 70,253 ENCOUNTERS (51%) WERE VIRTUAL. A GREATER NUMBER OF VISITS WERE IN-PERSON AGAIN AS WE CAME BACK FROM THE PANDEMIC.THE STREET MEDICINE TELE-BEHAVIORAL HEALTH GRANT-FUNDED PILOT PROGRAM ELIMINATED MANY OF THE BARRIERS FACED BY HOMELESS PATIENTS WHEN ACCESSING HEALTHCARE. CRUCIALLY, IT PROVIDED CARE LITERALLY WHERE THE PATIENTS ARE, USING SECURE, INTERACTIVE TELECOMMUNICATION TECHNOLOGY. LICENSED THERAPISTS PROVIDED ASSESSMENTS, THERAPY, AND BEHAVIORAL HEALTH CASE MANAGEMENT VIA VIDEO VISITS FROM AUGUST 2019 TO AUGUST 2021. ENCOUNTERS HAVE OCCURRED AT MULTIPLE ""STREET MEDICINE"" LOCATIONS, SUCH AS AVAILABLE SOUP KITCHENS IN ALLENTOWN AND BETHLEHEM. SINCE THE FIRST VISIT IN AUGUST 2019, LVHN PROVIDED 279 VISITS TO HOMELESS PATIENTS, AS WELL AS DEDICATED 597 HOURS TO COORDINATED LINKAGES TO MEDICAL AND SOCIAL SERVICES, THUS REDUCING MANY BARRIERS TO THIS AT-RISK POPULATION. WHILE THE GRANT HAS ENDED, THE SUCCESS OF THE PROGRAM HAS LED STREET MEDICINE TO EMPLOY A FULL TIME LICENSED THERAPIST TO CARRY ON THIS MEANINGFUL WORK, AND THE PROGRAM IS NOW MANAGED THROUGH VALLEY HEALTH PARTNERS.IN ADDITION, TELE-CONSULTS WERE PROVIDED FOR PRIMARY CARE PROVIDERS. A PSYCHIATRIC OUTPATIENT CONSULTATION REFERRAL ORDER WAS ESTABLISHED IN FY20 TO FACILITATE A BRIEF PSYCHIATRIC INTERVENTION BY A PSYCHIATRIST OR APC WITH THE GOAL OF EVALUATING AND PROVIDING TREATMENT RECOMMENDATIONS, WHICH MAY INCLUDE THE PRESCRIBING OF PSYCHOTROPIC MEDICATIONS, AND THEN RETURNING THE PATIENT BACK TO THEM FOR ON-GOING CARE. IN FY21, 618 TELE-PRIMARY CARE CONSULTS AND 268 ECONSULTS WERE COMPLETED AT LVH-LEHIGH VALLEY PRIMARILY, UP FROM 80 AND 208, RESPECTIVELY IN FY20. IN FY22, 591 TELE-PRIMARY CARE CONSULTS AND 254 ECONSULTS WERE COMPLETED AT LVH-LEHIGH VALLEY PRIMARILY.LVH - LEHIGH VALLEY HAS ALSO ROLLED OUT A NEW APPLICATION CALLED GUIDEBOOK WHICH PROVIDES PATIENTS AND COMMUNITY MEMBERS MENTAL HEALTH RELATED RESOURCES. COMMUNICATION ABOUT THE AVAILABILITY OF THE APP BEGAN IN JANUARY OF 2020. THERE WERE 400 DOWNLOADS AS OF MARCH 2020 WITH AVG. TIME SPENT IN THE APP OF ABOUT 1 MINUTE. BETWEEN MARCH AND MAY 2020 (DURING THE HEIGHT OF THE COVID-19 RESPONSE), THE DOWNLOADS JUMPED TO 600 WITH THE AVERAGE TIME SPENT INCREASING TO OVER A MINUTE. IN FY21, THE DEPARTMENT OF PSYCHIATRY CONTINUED TO EXPAND THE RESOURCES AVAILABLE TO PATIENTS ON THE GUIDEBOOK APP, AND THERE WAS AN ADDITIONAL 275 DOWNLOADS WHICH PUT THE TOTAL NUMBER OF DOWNLOADS AT 947. THE AVERAGE NUMBER OF SESSIONS PER USER IN FY21 WAS 2.1 AND THE AVERAGE AMOUNT OF TIME ON THE APP DURING EACH SESSION IS ABOUT 1 MINUTE. IN FY22, THE APPLICATION WAS DOWNLOADED BY AN ADDITIONAL 273 USERS.SCHOOL-BASED BEHAVIORAL HEALTHTHE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL SCHOOL-BASED BEHAVIORAL HEALTH (SBBH) PROGRAM PARTNERS WITH SCHOOL DISTRICTS ACROSS THE HEALTH NETWORK'S SERVICE AREA TO REMOVE BARRIERS TO MENTAL HEALTH TREATMENT BY PROVIDING OUTPATIENT THERAPY FOR STUDENTS DURING THE SCHOOL DAY. EACH YEAR, HUNDREDS OF CHILDREN WHO OTHERWISE WOULD NOT HAVE ACCESS TO MENTAL HEALTH TREATMENT ARE ABLE TO PARTICIPATE IN SCHOOL-BASED THERAPY TO HELP THEM ADDRESS THEIR TRAUMA, IMPROVE THEIR SCHOOL PERFORMANCE, AND STRENGTHEN THEIR OVERALL WELL-BEING. THE PROGRAM IS LICENSED THROUGH THE DEPARTMENT OF HUMAN SERVICES TO ENABLE BILLING THROUGH MEDICAL ASSISTANCE AND EACH THERAPIST CARRIES A CASELOAD OF 25 - 35 STUDENTS. IN FY20, THE SBBH PROGRAM (LVH-LEHIGH VALLEY) TRANSFORMED FROM VISION TO REALITY WITH AN OFFERING OF BEHAVIORAL HEALTH SERVICES TO STUDENTS IN 15 SCHOOLS. IT ESTABLISHED PRIVATE SPACES TO OFFER THERAPEUTIC SERVICES, INTRODUCED SCHOOL-BASED THERAPISTS TO FACULTY AND STAFF, IMPLEMENTED A STREAMLINED AND CONFIDENTIAL REFERRAL PROCESS, AND ESTABLISHED CLOSE COMMUNICATION WITH SCHOOL COUNSELORS AND SUPPORT STAFF. IN FY20, THE SBBH PROGRAM SERVED ALMOST 150 STUDENTS, 20% OF WHOM WERE UNINSURED. IN ADDITION, THROUGH ADDITIONAL IN-KIND HOURS, THE PROGRAM STAFF PRESENTED MULTIPLE PROFESSIONAL DEVELOPMENT PROGRAMS, CAREGIVER PRESENTATIONS, AND OFFERED SUPPORT GROUPS, RESOURCES AND CRISIS SUPPORT TO SCHOOL COMMUNITIES AND FAMILIES THROUGHOUT THE PANDEMIC. A MAJORITY OF THE STUDENTS (93%) SERVED IN THE SBBH PROGRAM WERE BETWEEN THE AGES OF 6 AND 17, AND 37% WERE CAUCASIAN AND 39% WERE HISPANIC. THE TOP 4 REASONS FOR REFERRAL WERE: DEPRESSION AND ANXIETY; ANGER, AGGRESSION, AND OPPOSITIONAL BEHAVIOR; ATTENTION, FOCUS, AND IMPULSIVITY; AND TRAUMATIC EXPERIENCES. BOTH THE CHILDREN AND PARENTS REPORTED THE COUNSELING PROVIDED BY THE SBBH PROGRAM MADE A POSITIVE IMPACT ON THEIR BEHAVIOR AT HOME AND IN SCHOOL. SINCE SCHOOL CLOSURES DUE TO COVID-19 IN MARCH 2020, THE SCHOOL-BASED PROGRAM HAS ASSISTED STUDENTS AND FAMILIES TO CONNECT TO VIDEO VISIT TECHNOLOGY. THE SBBH PROGRAM OFFERED VIDEO THERAPY SERVICES TO ALMOST 75% OF STUDENTS IN THE PROGRAM. SCHOOL-BASED THERAPISTS MAINTAIN THE ABILITY TO HAVE TELEPHONE SESSIONS WITH CLIENTS WHO ARE UNABLE TO PARTICIPATE BY VIDEO."

PART V, SECTION B, LINE 11 (CONTINUATION D)
"IN FY21, 250 STUDENTS ACROSS 31 SCHOOL SITES RECEIVED SERVICES. OVER 600 HOURS OF IN-KIND (NON-BILLABLE) SERVICES WERE ALSO PROVIDED FOR STUDENTS WHO WERE UNINSURED. IN ADDITION TO REGULARLY ASSESSING PROGRESS TOWARD ACHIEVING EACH STUDENT'S TREATMENT GOALS, THE THERAPISTS ADMINISTER THE STRENGTHS AND DIFFICULTIES QUESTIONNAIRE (SDQ)--A WIDELY USED CHILD AND ADOLESCENT MENTAL HEALTH ASSESSMENT-- UPON INTAKE AND DISCHARGE TO HELP MEASURE PROGRAM OUTCOMES. IN FY21, 80% OF STUDENTS ASSESSED AT DISCHARGE DEMONSTRATED A DECREASE IN EMOTIONAL DISTRESS AND 88% OF STUDENTS AND CAREGIVERS ASSESSED AFTER 6 MONTHS OF TREATMENT REPORTED THAT THEIR (THEIR CHILD'S) PROBLEM HAD IMPROVED.IN FY22, OVER 450 STUDENTS RECEIVED THERAPY OVER THE SCHOOL YEAR. SCHOOL-BASED TELEHEALTH SERVICES WERE EXPANDED THIS YEAR TO PROVIDE TELETHERAPY TO STUDENTS LOCATED IN SEVEN SCHOOLS ACROSS FOUR DISTRICTS OUTSIDE OF THE LEHIGH VALLEY. TELEHEALTH WAS ALSO USED TO PROVIDE SERVICES TO STUDENTS WHO WERE SICK OR QUARANTINED OR WERE PARTICIPATING IN EDUCATION OUTSIDE OF THE PRIMARY SCHOOL CLINIC LOCATION, SUCH AS AT RELIGIOUS SCHOOLS, VOCATIONAL TECHNICAL SCHOOLS, OR THROUGH REMOTE LEARNING. IN-KIND HOURS WERE ALSO UTILIZED TO OFFER AN ARRAY OF SUPPORTS AT THE INDIVIDUAL, SCHOOL, AND COMMUNITY LEVEL. IN TOTAL, 25% OF THE STUDENTS SERVED IN THE PROGRAM WERE UNINSURED AND RECEIVED SERVICES USING IN-KIND HOURS. IN FY22, THE AVERAGE SDQ SCORE FOR OVERALL STRESS WAS REDUCED BY 28%, MOVING THE AVERAGE SCORE FROM HIGH TO AVERAGE STRESS OVER THE COURSE OF TREATMENT. SIMILARLY, THE AVERAGE SDQ SCORE FOR IMPACT OF DIFFICULTIES REDUCED BY 50%, MOVING THE AVERAGE SCORE FROM HIGH TO BORDERLINE IMPACT OVER THE COURSE OF TREATMENT. AT THE SIX-MONTH MARK IN TREATMENT, EMOTIONAL DISTRESS DECREASED BY 35%, BEHAVIORAL STRESS DECREASED BY 44%, 87% OF STUDENTS AND CAREGIVERS REPORTED PROBLEM IMPROVEMENT, AND 100% OF STUDENTS AND CAREGIVERS REPORTED THAT THE PROGRAM PROVIDED THEM WITH SUPPORT.WELLER HEALTH EDUCATION AT LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL PARTNERS WITH OVER 25 SCHOOL DISTRICTS ACROSS THE HEALTH NETWORK'S EIGHT-COUNTY SERVICE AREA TO PROVIDE INTERACTIVE RESEARCH-BASED PROGRAMS THAT HELP PREVENT CHRONIC DISEASE AND IMPROVE CHILDREN'S OVERALL HEALTH, SAFETY, AND WELL-BEING. ALL PROGRAMS ARE PRESENTED BY SPECIALLY TRAINED HEALTH EDUCATORS WHO ARE EXPERTS AT CONNECTING WITH YOUNG PEOPLE AND TRANSLATING COMPLEX INFORMATION INTO EASY-TO-UNDERSTAND CONCEPTS. WITH THE GENEROUS SUPPORT OF THE CARL E. AND EMILY I. WELLER FOUNDATION, CORPORATE AND FOUNDATION FUNDERS, AND IN-KIND SUPPORT FROM THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL, PROGRAMS ARE PRESENTED FREE TO ALL SCHOOL DISTRICTS. OVER 80% OF THE STUDENTS SERVED ARE ECONOMICALLY DISADVANTAGED. IN FY21, WELLER REACHED 30,000 STUDENTS THROUGH A VARIETY OF IN-PERSON, VIRTUAL AND ASYNCHRONOUS LEARNING OPPORTUNITIES DESIGNED TO MEET THE VARYING NEEDS OF STUDENTS AND SCHOOL DISTRICTS ACROSS OUR REGION. IN ADDITION TO DELIVERING CLASSROOM PROGRAMS EITHER IN-PERSON OR VIA REMOTE LEARNING PLATFORMS, WELLER'S TEAM CREATED A VIDEO LIBRARY WITH NEARLY 40 ASYNCHRONOUS LESSONS THAT RANGE FROM DEALING WITH PANDEMIC-INDUCED STRESS, ANXIETY AND FATIGUE, TO SCHOOL DISTRICT CURRICULUM-BASED CONTENT ON MENTAL HEALTH, SUBSTANCE USE DISORDER PREVENTION, HEALTHY RELATIONSHIPS, AND NUTRITION AND FITNESS. THE PROGRAMS ARE PROVIDED AT NO COST TO THE SCHOOLS AND LVHN IS THE ONLY HEALTH SYSTEM IN THE REGION OFFERING THIS TYPE OF PREVENTIVE HEALTH EDUCATION FOR CHILDREN AND FAMILIES.IN FY22, WELLER REACHED 21,688 STUDENTS THROUGH IN-PERSON AND SYNCHRONOUS VIRTUAL LEARNING OPPORTUNITIES DESIGNED TO MEET THE VARYING NEEDS OF STUDENTS AND SCHOOL DISTRICTS ACROSS OUR REGION. NUTRITION AND EXERCISE ACCOUNTED FOR 8% OF THE PROGRAMMING PROVIDED IN THE SCHOOLS. ALSO IN FY22, THE WELLER TEAM SERVED OVER 2,800 FREE HEALTHY LUNCHES TO ALLENTOWN STUDENTS THROUGH A GRANT FROM THE US DEPARTMENT OF AGRICULTURE'S SUMMER FOOD SERVICE PROGRAM (SFSP). SUBSTANCE USE DISORDERLVHN HAS ADOPTED A 4-PRONGED APPROACH TO ADDRESSING THE SUBSTANCE USE DISORDER EPIDEMIC IN THE COMMUNITIES WE SERVE:1. STIGMA REDUCTION BY PROVIDING EDUCATION AND PROMOTIONAL MATERIALS TO THE COMMUNITY TO REDUCE THE STIGMA ASSOCIATED WITH SUBSTANCE USE DISORDER AND ADDICTION.2. OPIOID STEWARDSHIP BY PROVIDING EDUCATION TO FRONT-LINE STAFF (E.G., PROVIDERS, NURSES) TO MINIMIZE OPIOID PRESCRIBING, PROMOTE SAFETY MEASURES TO MINIMIZE ADDICTION TO OPIOIDS, AND INCREASE AWARENESS OF TOOLS AVAILABLE.3. LINKAGE TO TREATMENT BY REDUCING THE BARRIERS BETWEEN A PATIENT WHO IS STRUGGLING WITH SUBSTANCE USE DISORDER OR ADDICTION AND THEIR ACCESS TO TREATMENT OPTIONS.4. HARM REDUCTION BY REDUCING THE LIKELIHOOD THAT HARM WILL COME TO THOSE WHO ARE STRUGGLING WITH ADDICTION.STIGMA REDUCTION: IN FY20, LVHN LEADERS PRESENTED ""SCIENCE, STIGMA & SOLUTIONS: WHAT WE CAN DO TO ADDRESS THE SUD CRISIS"" AT THE PA DEPARTMENT OF HEALTH OPIOID COMMAND CENTER SUMMIT AND HELD ""CARE TALKS: CELEBRATING OUR HEALTHCARE PARTNERSHIPS"", HIGHLIGHTING RELATIONSHIPS WITH LVHN AND COMMUNITY PARTNERS AROUND LINKAGE TO TREATMENT FOR SUBSTANCE USE DISORDERS AND REDUCING STIGMA. THIS WORK CONTINUED THROUGHOUT FY21 AS LVHN LEADERS AND COLLEAGUES CONTINUED TO WORK TO REDUCE THE STIGMA AROUND SUBSTANCE USE DISORDERS AND PROMOTE THE RESOURCES AVAILABLE TO ADDRESS THIS COMMUNITY CONCERN. IN FY22, LVHN SPONSORED AND PARTICIPATED IN 7 OUTREACH EVENTS TO RAISE AWARENESS ABOUT THE IMPACTS OF SUBSTANCE USE DISORDER, INCLUDING BEING A SPEAKER AT A LEHIGH COUNTY EVENT TO INCREASE AWARENESS, SUPPORT, AND RESOURCES FOR PROFESSIONALS SUPPORTING SUBSTANCE USE DISORDER RECOVERY, AND DISTRIBUTED OVER 2,000 MEDICATION DISPOSAL BAGS TO COMMUNITY MEMBERS. HIGHLIGHTS OF OTHER ANNUAL COMMUNITY EVENTS INCLUDE:- LVHN SPONSORS RALLY IN THE VALLEY, A MUSIC FESTIVAL TO CELEBRATE RECOVERY FROM SUBSTANCE USE DISORDER AS A COMMUNITY CONCEPT, EACH YEAR. RALLY IN THE VALLEY BRINGS LIGHT TO THE MANY STRENGTHS THAT ACCOMPANY A RECOVERING LIFESTYLE THROUGH GREAT MUSIC, DYNAMIC SPEAKERS, GOOD FOOD, FUN FAMILY ACTIVITIES. OVER 2,000 COMMUNITY MEMBERS ATTEND THIS EVENT. - LVHN SPONSORED THE UNIDOS HUMANKIND DAY FAMILY SUMMER EVENT IN JUNE OF 2021 AND 2022. IN ADDITION, EACH YEAR LVHN SPONSORS ANGELS IN THE VALLEY, WHICH IS A BANNER PROJECT AIMED TO RAISE AWARENESS OF THE ISSUE OF DRUG OVERDOSE AND REDUCE THE STIGMA ASSOCIATED WITH PEOPLE WHO HAVE LOST THEIR LIVES DUE TO THE DISEASE OF SUBSTANCE USE DISORDER. THIS PROJECT ALSO RECOGNIZES THE GRIEF FELT BY FAMILIES AND FRIENDS IN OUR COMMUNITY WHO HAVE LOST A LOVED ONE AS A RESULT OF DRUG USE. THE BANNERS SIGNIFY THE PASSING OF SOMEONE CHERISHED AND SENDS A MESSAGE THAT THE TRAGEDY OF DRUG-RELATED DEATH IS PREVENTABLE, AND THOSE WHO ARE SUFFERING SHOULD FEEL NO SHAME IN ASKING FOR HELP. PHOTOS OF LOVED ONES WHO HAVE BEEN LOST ARE DISPLAYED THROUGH THE MONTH OF SEPTEMBER, WHICH IS NATIONAL RECOVERY MONTH.OPIOID STEWARDSHIP: IN ADDITION TO PRESENTING AND HOSTING DISCUSSION IN THE COMMUNITY, LVHN COLLEAGUES ENGAGED IN SIGNIFICANT EDUCATION TO OVER 450 PROVIDERS IN FY20. THIS EDUCATION CONTINUED IN FY21, WITH 340 PROVIDERS AND HEALTHCARE WORKERS PARTICIPATING IN ORDER TO EMPOWER PROVIDERS AS KNOWLEDGEABLE STEWARDS OF THE SIGNS AND IMPACTS OF SUBSTANCE USE DISORDER. IN FY22, STAFF EDUCATION ABOUT SUBSTANCE USE DISORDER AND OPIOID-RELATED ISSUES WAS PROVIDED TO STAFF IN PSYCHIATRY, SURGERY, FAMILY MEDICINE, NEUROLOGY, AND INTERNAL MEDICINE.IN ADDITION, IN FY21, THE FOLLOWING TACTICS WERE DEPLOYED:- A 2-HOUR LEARNING MODULE WAS DEVELOPED AND DISSEMINATED TO ALL LVHN PROVIDERS DURING FY21 TO ENSURE ADEQUATE EDUCATION AROUND OPIOID STEWARDSHIP AND LINKAGE TO TREATMENT, AND TO FULFILL LICENSING REQUIREMENTS FOR THE PA STATE MEDICAL BOARD.- THE MULTIDISCIPLINARY OPIOID REVIEW COMMITTEE WAS IMPLEMENTED TO REVIEW OPIOID STEWARDSHIP CASES OF CONCERN AND TO PROVIDE OUTREACH AND EDUCATION TO PROVIDERS.- REVISIONS WERE MADE TO THE STANDARDIZED DISCHARGE OPIOID WEANING PROTOCOLS FOR THE EMERGENCY DEPARTMENT (ED) AND INPATIENT SETTINGS TO INCREASE MEDICATION OPTIONS AND DURATION OF WEANING PROTOCOLS. - NON-OPIOID PAIN MODALITY INITIATIVES WERE IMPLEMENTED INCLUDING:(1) ED BACK PAIN PROTOCOL IN COLLABORATION WITH PT(2) DEVELOPMENT OF A NON-OPIOID PAIN MANAGEMENT ORDER SET WITH PT/OT INTERVENTIONS(3) IMPLEMENTATION OF AN OT-LED AROMATHERAPY FOR PAIN PROTOCOL WITHIN THE ED OBSERVATION UNIT - CLINICIANS ACROSS MULTIPLE DISCIPLINES WERE TRAINED IN NON-OPIOID PAIN MANAGEMENT MODALITIES INCLUDING EMPOWERED RELIEF AND EXPLAIN PAIN."

PART V, SECTION B, LINE 11 (CONTINUATION E)
BUILDING ON THE WORK OF PAST YEARS, THE FOLLOWING ACTIVITIES WERE COMPLETED IN FY22: - THE MULTIDISCIPLINARY OPIOID REVIEW COMMITTEE FURTHER EVOLVED TO REVIEW OPIOID STEWARDSHIP CASES OF CONCERN AND TO PROVIDE OUTREACH AND EDUCATION TO PROVIDERS.- ALTERNATIVES TO OPIOID (ALTO) PAIN MODALITY INITIATIVES CONTINUED INCLUDING:(1) ONGOING IMPLEMENTATION OF AN OT-LED AROMATHERAPY FOR PAIN PROTOCOL WITHIN THE ED OBSERVATION UNIT (2) IMPLEMENTATION OF AN OMM & ACUPUNCTURE REFERRAL PROCESS WITHIN LVPG PRIMARY CARE, (3) DOEHM US TEAM PROVIDED FASCIA ILIACA NERVE BLOCK TRAINING OFFERED TO FACULTY AND RESIDENTS DURING 2 SESSIONS IN 2021-2022. - FLEMING FUNDS AND COMMUNITY HEALTH CHAIR FUNDS WERE USED TO TRAIN CLINICIANS ACROSS MULTIPLE DISCIPLINES IN NON-OPIOID PAIN MANAGEMENT MODALITIES INCLUDING EMPOWERED RELIEF AND EXPLAIN PAIN, AS WELL AS MOTIVATIONAL INTERVIEWING AND PEER SUPPORT TRAINING.- RELEASED A REVISED OPIOID PRESCRIBING DASHBOARD WHICH BETTER ADDRESSED TRACKING OF COMPLIANCE WITH OPIOID TREATMENT AGREEMENTS. - IN APRIL 2022, ELECTRONIC SIGNATURES FOR OPIOID TREATMENT AGREEMENTS HAD GO-LIVE. LINKAGE TO TREATMENT: AT THE LVH-LEHIGH VALLEY CAMPUSES, THE HOSPITAL PARTNERS WITH LEHIGH AND NORTHAMPTON COUNTIES ON A WARM-HAND OFF PROGRAM CALLED THE HOSPITAL OPIOID SUPPORT TEAM (HOST). THROUGH THIS PROGRAM, WHEN PATIENTS COME INTO THE EMERGENCY DEPARTMENT (ED) WITH SUBSTANCE USE DISORDER CONCERNS LVHN STAFF ARE ABLE TO CALL A HOST ASSESSOR WHO COMES DIRECTLY TO THE ED TO PROVIDE AN ASSESSMENT AND CONNECT THE PATIENT TO TREATMENT, DECREASING THE TIME BETWEEN IDENTIFICATION AND REFERRAL TO TREATMENT. IN ADDITION, LVH-LEHIGH VALLEY HAS AN ADDICTION RECOVERY SPECIALIST (ARS) AND HIRED ANOTHER CERTIFIED RECOVERY SPECIALIST (CRS) TO HELP CONNECT PATIENTS ADMITTED TO THE HOSPITAL TO DRUG AND ALCOHOL TREATMENT (AS WELL AS ENGAGE IN STIGMA REDUCTION AND EDUCATION ACTIVITIES).IN FY20, THE LVH CAMPUSES HAD 1,981 HOST ENCOUNTERS AND 257 ARS/CRS ENCOUNTERS. IN FY21, THERE WERE 1,746 HOST ENCOUNTERS AND 238 ARS/CRS ENCOUNTERS. IN FY22, THERE WERE 1,623 HOST ENCOUNTERS AND 405 ARS/CRS ENCOUNTERS.HARM REDUCTIONIN THE PAST FEW YEARS, LVH-LEHIGH VALLEY HAS INCREASED ITS ACTIVITIES RELATED TO HARM REDUCTION. - TAKE-HOME NALOXONE WAS PROVIDED AT NO COST TO PATIENTS FROM ALL NETWORK EMERGENCY DEPARTMENTS (ED) AS WELL AS LEHIGH VALLEY PHARMACY SERVICES LOCATIONS WHERE A PATIENT WITH A NALOXONE PRESCRIPTION IS UNINSURED OR UNDER-INSURED.- LVHN MARKETING AND PUBLIC AFFAIRS, IN COLLABORATION WITH LEHIGH COUNTY, HAS FUNDED THE PURCHASE OF 4,000 MEDICATION DISPOSAL KITS WHICH WILL BE DISTRIBUTED TO PATIENTS AT RISK AT BOTH HOSPITAL PHARMACIES, AND AT LOCAL COMMUNITY EVENTS ACROSS THE NETWORK.- IN FY22, LVH-LEHIGH VALLEY WORKED WITH COUNTY DRUG AND ALCOHOL AUTHORITIES IN LEHIGH AND ONE OTHER COUNTY TO OBTAIN OVER 450 NALOXONE KITS TO PROVIDE TO PATIENTS AT RISK IN OUR HEALTHCARE SETTINGS. SUICIDE PREVENTIONLVHN IS COMMITTED TO ADDRESSING SUICIDE PREVENTION IN THE COMMUNITIES WE SERVE. THE GOAL IS TO PROVIDE EDUCATION, INCREASE AWARENESS, AND DECREASE STIGMA BY COLLABORATING WITH THE COMMUNITY TO PREVENT SUICIDE. IN LEHIGH, NORTHAMPTON, AND SCHUYLKILL COUNTIES, SUICIDE PREVENTION TASK FORCES HAVE BEEN ESTABLISHED WITH ACTIVE PARTICIPATION FROM LVHN THROUGHOUT FY20, FY21, AND FY22.IN LEHIGH COUNTY, THE LEHIGH COUNTY TASK FORCE IS A COLLABORATION BETWEEN LVHN, THE LEHIGH COUNTY CORONER, THE ALLENTOWN HEALTH BUREAU, LEHIGH COUNTY MENTAL HEALTH SERVICES, AND PINEBROOK FAMILY ANSWERS. IN FY20, THEY FOCUSED ON THE CORONER'S DATA REGARDING SUICIDES IN LEHIGH COUNTY OVER A 10-YEAR PERIOD, IN ORDER TO BETTER UNDERSTAND TRENDS AND THE GEOGRAPHIC CONCENTRATION OF SUICIDES IN THE COUNTY. IN FEBRUARY 2021, THIS DATA AND REPORT WERE HIGHLIGHTED AS AN EXEMPLAR THAT OTHER COUNTIES SHOULD REPLICATE BY THE NEWLY FORMED STATEWIDE SUICIDE PREVENTION ALLIANCE. BASED ON THAT DATA, THE GROUP IS:- FACILITATING CONVERSATIONS WITHIN LEHIGH COUNTY THAT HAVE HIGHER RATES OF SUICIDE TO BETTER UNDERSTAND THE ISSUE AND CO-DESIGN POTENTIAL SOLUTIONS.- DEVELOPING A PUBLIC SERVICE ANNOUNCEMENT.- DETERMINING WAYS, THEY CAN PROMOTE HEALTH AND WELL-BEING AMONG YOUTH BEFORE SUICIDE BECOMES A REALITY.- LVHN CREATED BROCHURES FOR THE PRIMARY AND SPECIALTY CARE PRACTICES ABOUT LETHAL MEANS AND SUICIDE TO CREATE AWARENESS AMONG THE COMMUNITY.- A VIDEO ENTITLED DO NO HARM WAS PREVIEWED IN OCTOBER 2019 AND AIRED ON PBS IN MAY 2020. THE VIDEO LOOKS AT SUICIDE AMONG PHYSICIANS AND RESIDENTS.IN NORTHAMPTON COUNTY, THE NORTHAMPTON SUICIDE PREVENTION TASKFORCE AIMS TO DEVELOP AND IMPLEMENT STRATEGIES TO REDUCE THE RISK OF SUICIDE AND STIGMA OF MENTAL ILLNESS IN NORTHAMPTON COUNTY THROUGH THE COLLABORATIVE EFFORTS OF COMMUNITY AGENCIES AND SERVICE PROVIDERS. THE GOAL IS TO REDUCE DEATH-BY-SUICIDE IN NORTHAMPTON COUNTY BY 20%. FROM 2018 TO 2019, NORTHAMPTON COUNTY SAW A DECREASE IN SUICIDES FROM 53 IN 2018 TO 40 IN 2019. IN FY20, THE GROUP APPLIED FOR AND RECEIVED GRANT FUNDING TO TRAIN PROFESSIONAL IN THE QPR MODEL AND HELD TRAININGS PARTICULARLY FOR THE ELDERLY IN NORTHAMPTON COUNTY AND HOSTED A SERIES OF QPR GATEKEEPER TRAININGS IN 2020 AND 2021. ALSO IN 2020, IN 2020, THE TASK FORCE PARTNERED WITH NAMI TO CREATE THE PUBLIC SERVICE ANNOUNCEMENTS BELOW. THEY WERE FILMED IN NORTHAMPTON COUNTY WITH NORTHAMPTON COUNTY RESIDENTS. IN EARLY 2021, NORTHAMPTON COUNTY FORMED ITS FIRST LOSS TEAM. LOSS STANDS FOR LOCAL OUTREACH TO SUICIDE SURVIVORS. NORTHAMPTON COUNTY IS ONE OF THE FIRST IN THE STATE TO HAVE A TEAM LIKE THIS. A LOSS TEAM IS MADE UP OF TRAINED SURVIVORS AND/OR THOSE WHO HAVE BEEN IMPACTED BY A SUICIDE. THE TEAM WOULD BE CALLED TO ASSIST INDIVIDUALS WHO HAVE JUST LOST SOMEONE TO SUICIDE TO DISSEMINATE INFORMATION ABOUT RESOURCES AND BE A SOURCE OF HOPE FOR THE NEWLY BEREAVED. THE PRIMARY GOAL IS TO PROVIDE SURVIVORS OF SUICIDE WITH RESOURCES AND TO LET THEM KNOW THAT RESOURCES EXIST TO HELP THEM FOLLOWING THE SUICIDE.LVHN PARTICIPATES IN THE REGIONAL ACTIVITIES TO RAISE AWARENESS ON SUICIDE INCLUDING THE OUT OF DARKNESS WALK IN OCTOBER EACH YEAR AND THE SUICIDE PREVENTION & AWARENESS NIGHT AT AN IRON PIGS GAME IN SEPTEMBER 2021 AND JULY 2022. IN ADDITION, IN MAY 2022 LVH-LEHIGH VALLEY CAMPUSES STARTED A WARM HAND-OFF PROGRAM. THIS PROGRAM FOLLOWS INDIVIDUALS WHO HAVE HAD SUICIDAL THOUGHTS AND BEHAVIORS AS THEY ARE DISCHARGED FROM LVHN INPATIENT AND EMERGENCY DEPARTMENTS INTO THE COMMUNITY TO CONFIRM A SOLID CONNECTION TO APPROPRIATE CARE.

PART I, LINE 7:
THE COSTING METHODOLOGY IS COST TO CHARGE RATIO FOR PROGRAMS WITH GROSS CHARGES AND DIRECT COSTS FOR PROGRAMS WITHOUT GROSS CHARGES.

PART I, LINE 7G:
SUBSIDIZED HEALTH SERVICES INCLUDES ATHLETIC TRAINING SERVICES PROVIDED TO LOCAL HIGH SCHOOLS AND UNIVERSITIES AT LITTLE OR NO COST. THE NET COST OF THE ATHLETIC TRAINING SERVICES IN FY2022 WAS $2,186,800. THE VALUE OF ATHLETIC TRAINING SERVICES IS NOT INCLUDED IN THE MEDICAL ASSISTANCE SHORTFALL OR UNCOMPENSATED CHARITY CARE VALUES REPORTED ABOVE.SUBSIDIZED ATHLETIC TRAINING SERVICES ARE CURRENTLY PROVIDED TO THE FOLLOWING HIGH SCHOOLS IN PENNSYLVANIA: ABINGTON HEIGHTS, BANGOR AREA, BETHLEHEM CATHOLIC, BLAIR ACADEMY, DUNMORE AREA, HOLY CROSS, NORTH POCONO, PALISADES, AND PITTSTON AREA. IN ADDITION, LACKWANNA AND LAFAYETTE COLLEGES ALSO RECEIVE SUBSIDIZED ATHLETIC TRAINING SERVICES.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A) IS $4,309,445.

PART III, LINE 2:
AMOUNTS REPORTED AS BAD DEBT EXPENSE ARE REPORTED NET OF APPLICABLE PATIENT PAYMENTS, INSURANCE PAYMENTS AND CONTRACTUAL ALLOWANCES AS WELL AS OTHER HOSPITAL DISCOUNTS FOR WHICH THE PATIENT IS DEEMED ELIGIBLE. THE RATIO OF COSTS-TO-CHARGES (RCC) IS APPLIED TO THE NET AMOUNT TO DETERMINE THE BAD DEBT EXPENSE.

PART III, LINE 3:
THIS AMOUNT IS THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE PROCESS TO DETERMINE IF THEY ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE COST IS DETERMINED USING COST TO CHARGE RATIOS. THE RATIONALE FOR INCLUDING THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS IS THE HOSPITAL'S EXPERIENCE WITH UNINSURED PATIENTS THAT DO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROGRAM. WHEN THE HOSPITAL EVALUATES UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE, THE MOST COMMON FINDING IS THAT UNINSURED PATIENTS HAVE INCOME LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINE AND QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL BELIEVES THAT UNINSURED PEOPLE WHO CHOOSE NOT TO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS AND HAVE THEIR ACCOUNTS WRITTEN OFF AS BAD DEBT, HAVE INCOME THAT WOULD QUALIFY FOR THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM.

PART III, LINE 4:
THE ORGANIZATION ESTIMATES AN IMPLICIT PRICE CONCESSION RELATED TO UNINSURED ACCOUNTS, NET OF THE AGB (AMOUNTS GENERALLY BILLED) DISCOUNT, TO RECORD THE NET SELF-PAY ACCOUNTS RECEIVABLE AT THE ESTIMATED AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT. COINSURANCES AND DEDUCTIBLES WITHIN THE THIRD-PARTY PAYER AGREEMENTS ARE THE PATIENT'S RESPONSIBILITY SO THE ORGANIZATION INCLUDES THESE AMOUNTS IN THE SELF-PAY ACCOUNTS RECEIVABLE AND CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR UNCOLLECTIBLE DEBTS BASED ON HISTORICAL COLLECTION EXPERIENCE.IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORTS, PAYMENT IS NOT MADE, THE UNPAID PORTION OF THE ACCOUNT BALANCE IS WRITTEN-OFF TO THE PROVISION FOR BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE.

PART III, LINE 8:
THE SOURCE OF THE MEDICARE ALLOWABLE COSTS RELATING TO REVENUE RECEIVED FROM MEDICARE IS THE FY2022 MEDICARE COST REPORT. THE ENTIRE SHORTFALL ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE REVENUE AND EXPENSES ARE BOTH DETERMINED USING MEDICARE PRINCIPLES.

PART III, LINE 9B:
FINANCIAL COUNSELING STAFF WILL DETERMINE WHETHER PATIENTS MEET ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. ACCOUNTS THAT DO NOT MEET THE ELIGIBLILTY REQUIREMENTS WILL BE REFERRED TO AN EXTERNAL RECEIVABLES FOLLOW UP AGENCY, AND IF NOT PAID, REFERRED TO A COLLECTION AGENCY AND SUBSEQUENTLY TRANSFERRED TO BAD DEBT STATUS IF THE ACCOUNTS REMAIN UNPAID.

PART VI, LINE 2:
AS PART OF THE AFFORDABLE CARE ACT, STARTING IN 2013, ALL NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS ARE REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNA REPORT EXAMINES THE FACTORS THAT IMPACT THE HEALTH AND WELLNESS OF ALL THE PEOPLE IN A PARTICULAR GEOGRAPHIC AREA. BEYOND ITS REGULATORY FUNCTION, THE CHNA IS AN IMPORTANT OVERVIEW OF THE CURRENT STATE OF HEALTH IN OUR REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN WHICH INFORMS LEHIGH VALLEY HEALTH NETWORK'S (LVHN) POPULATION HEALTH MANAGEMENT EFFORTS. LVHN'S CHNA INCLUDES A HEALTH PROFILE, A REPORT THAT LOOKS AT ALL THE FACTORS THAT GO INTO MAKING PEOPLE IN A PARTICULAR AREA HEALTHY. THIS INCLUDES SOCIAL AND ENVIRONMENTAL FACTORS LIKE EMPLOYMENT, EDUCATION AND AIR QUALITY, INDIVIDUAL BEHAVIORS LIKE SMOKING OR HEALTHY EATING, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THEIR AREA. THIS INTRODUCTION PROVIDES AN OVERVIEW OF THE 2022 CHNA HEALTH PROFILE AND LVHN'S CHNA PROCESS. THE 2022 HEALTH PROFILE COMBINES DATA AND INFORMATION FROM LOCAL, STATE, AND NATIONAL SOURCES ABOUT DISEASE, THE ENVIRONMENT, SOCIAL FACTORS, AND INDIVIDUAL BEHAVIORS, WITH IDEAS, STORIES, AND EXPERIENCES FROM COMMUNITY MEMBERS AND LEADERS FROM THROUGHOUT THE COUNTIES SERVED BY LVHN. THE SECOND COMPONENT OF THE LVHN'S CHNA INCLUDES AN IMPLEMENTATION PLAN, WHICH OUTLINES OUR PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THE HEALTH PROFILE OVER THE COURSE OF THE NEXT THREE YEARS. THE 2022 CHNA HEALTH PROFILES AND IMPLEMENTATION PLAN ARE PROVIDED AT WWW.LVHN.ORG/CHNA.THE 2022 LVHN CHNA HEALTH PROFILE IS BROKEN OUT INTO THE FOLLOWING SECTIONS: DEMOGRAPHICS, INCOME AND ECONOMICS, EDUCATION, HOUSING AND FAMILIES, OTHER SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, CLINICAL CARE AND PREVENTION, HEALTH BEHAVIORS, HEALTH OUTCOMES, AND SPECIAL TOPICS - COVID-19. TO INCREASE THE READABILITY OF THE REPORT, THE COMMUNITY WILL FIND TWO TYPES OF CALL-OUT BOXES THROUGHOUT THE CHNA HEALTH PROFILES. THE FIRST TYPE SUMMARIZES SOME OF THE DATA PRESENTED ON THAT PAGE, PROVIDING EASY-TO-READ, SUMMARY STATEMENTS OF IMPORTANT DATA ABOUT THE COMMUNITY. THE SECOND TYPE PROVIDES INFORMATION FROM THE INTERVIEWS AND COMMUNITY CONVERSATIONS. THESE REPORTS HAVE BEEN REVIEWED AND APPROVED BY LVHN'S BOARD OF TRUSTEES AS WELL AS THE COMMUNITY RELATIONS COMMITTEE OF THE BOARD.VISIT WWW.LVHN.ORG/CHNA TO VIEW THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA AND HOW WE ARE ADDRESSING THOSE NEEDS.

PART VI, LINE 3:
CONSISTENT WITH THE MISSION AND VALUES OF LEHIGH VALLEY HEALTH NETWORK, IT IS THE POLICY TO PROVIDE MEDICAL CARE TO ALL INDIVIDUALS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SERVICES. THE FINANCIAL ASSISTANCE POLICY APPLIES TO UNINSURED AND UNDER-INSURED INDIVIDUALS WHO PARTICIPATE IN THE PROCESS TO EVALUATE THEIR ABILITY TO PAY FOR LVHN SERVICES.PATIENTS ARE IDENTIFIED BY LVHN REGISTRATION, BENEFITS AND VERIFICATION, CUSTOMER SERVICE, AND FINANCIAL COUNSELORS AS BEING IN FINANCIAL NEED. THE FINANCIAL COUNSELORS HELP PATIENTS COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE. LVHN FOLLOWS THE FEDERAL POVERTY GUIDELINES TO EVALUATE ELIGIBILITY. PATIENTS WHOSE FAMILY INCOME FALLS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE WILL HAVE THEIR ENTIRE BALANCE FORGIVEN FOR THEIR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS WITH A FAMILY INCOME BELOW 400% OF THE FEDERAL POVERTY GUIDELINES WILL HAVE A PORTION OF THEIR BALANCE FORGIVEN FOR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS ARE EVALUATED FOR NO COST OR REDUCED PREMIUM INSURANCE PLANS. THE LVHN FINANCIAL COUNSELORS WILL OFFER INFORMATION TO PATIENTS WHO ARE INTERESTED IN SEEING IF THEY QUALIFY FOR THESE PROGRAMS OFFERED BY COMMERCIAL INSURANCE COMPANIES.PATIENTS OFTEN EXPRESS FINANCIAL CONCERN OR NEED BY CONTACTING THE LVHN CUSTOMER SERVICE DEPARTMENTS. THE CUSTOMER SERVICE REPRESENTATIVES EXPLAIN THE PROGRAMS AVAILABLE; FINANCIAL ASSISTANCE AND SUPPORT IN APPLYING FOR MEDICAL ASSISTANCE OR INSURANCE THROUGH THE FEDERAL HEALTH INSURANCE EXCHANGE. PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT PATIENTS IN THEIR INPATIENT ROOMS, IN THE CANCER CENTER, AND IN THE EMERGENCY DEPARTMENT. IN ADDITION, LVHN ADVERTISES FINANCIAL ASSISTANCE IN THE LOCAL NEWSPAPER, ON OUR PUBLIC WEBSITE AND ON THE STATEMENTS SENT TO OUR PATIENTS.

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LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN IS A PENNSYLVANIA NOT-FOR-PROFIT MEMBERSHIP CORPORATION EXEMPT FROM FEDERAL INCOME TAXES AS A CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN PRIMARY SERVICE AREA CONSISTS OF LEHIGH, NORTHAMPTON, AND CARBON COUNTIES. BASED ON THE U.S. CENSUS BUREAU'S INFORMATION, FOR THE 2020 DECENNIAL CENSUS, THE PRIMARY SERVICE AREA POPULATION WAS ESTIMATED TO BE 752,257. ACCORDING TO THE U.S CENSUS BUREAU, THE 2021 ESTIMATED POPULATION FOR THE THREE-COUNTY AREA IS 754,679. THE SECONDARY SERVICE AREA CONSISTS OF PORTIONS OF BERKS, LUZERNE, MONROE, SCHUYLKILL, BUCKS, AND MONTGOMERY COUNTIES. THE 2020 DECENNIAL CENSUS POPULATION FOR THIS AREA WAS 760,266. THE 2021 U.S. CENSUS BUREAU ESTIMATED POPULATION OF THE SECONDARY SERVICE AREA IS 769,142. BASED ON PROPRIETARY DATA ESTIMATES (SCANUS), THE CURRENT POPULATION ESTIMATE OF THE PRIMARY SERVICE AREA FIVE-YEAR GROWTH RATE TO 2027 IS APPROXIMATELY 0.14% (LESS THAN 1.0%).