TEMPLE UNIVERSITY HOSPITAL
COMMUNIT Y BENEFIT REPORT
September 2020
To Our Community, Before the COVID-19 pandemic, I would say, “I bet you don’t know how good Temple University Hospital is.” This was in reference to our outstanding clinical quality and safety outcomes. Temple University Hospital has since provided care to among the most COVID-19 patients in Pennsylvania, with superb results. Whether our patients seek care due to injury, disease or mental illness, they receive the highest quality care. Temple University Hospital is the chief clinical teaching site of the Lewis Katz School of Medicine at Temple University. Together, we are committed to addressing health and healthcare inequities across our research, education and clinical areas. Central to our approach is the engagement of public health experts and community leaders from the neighborhoods we serve. While this begins with the development of our Community Health Needs Assessment, by no means does it end with this document. Throughout the year, we work with our community partners to identify areas of need, establish priorities and develop ways to address those needs. In many cases, this brings us beyond hospital walls and deep into our neighborhoods. The importance of these partnerships became especially apparent as the pandemic settled down on North Philadelphia. While our clinical team provided bedside care, other hospital staff worked alongside our medical school faculty and students to support community needs. Our commitment to providing the highest level of care to all is unyielding. Among our many specialized services is the Temple Lung Center, a national leader in diagnosing and treating a broad range of lung problems. Our Heart and Vascular Institute is home to some of the most respected cardiovascular surgeons in the region. Should you or a loved one face cancer, Temple University Hospital is united with the Fox Chase Cancer Center to offer advanced cancer care in many neighborhood settings. Temple offers the highest level of care to all, regardless of the type of insurance you carry. We embrace our essential role as the leading healthcare provider in one of our nation’s most underserved communities. We are especially appreciative of our talented workforce, from those in our dietary department, to nurses at the bedside, to physicians performing cutting edge procedures. The grit, the talent and the compassion of the entire Temple Health Team enable us to achieve extraordinary results.
2 | COMMUNITY BENEFIT REPORT
Michael A. Young, MHA, FACHE Chief Executive Officer, Temple University Health System President & CEO, Temple University Hospital
NOTABLE FACTS & FIGURES : TEMPLE UNIVERSITY HOSPITAL 1
COMMUNITY BENEFIT BREAKDOWN Total $164,400,000
CHARITY & UNDER-REIMBURSED MEDICAID
$40.2 million
COMMUNITY HEALTH IMPROVEMENT
$1.5 million
HEALTH PROFESSIONS EDUCATION SUPPORT
$93.5 million
SUBSIDIZED HEALTH SERVICES
$19.5 million
COMMUNITY BENEFIT CASH & IN-KIND
$7.7 million
WORKFORCE & COMMUNITY BUILDING PROGRAMS $2 million FY 2019 IRS 990 Schedule H 990
131,840
Emergency Department visits
2,615
Trauma activations
11,790 Psychiatric
Crisis Response Center visits
2,085 Behavioral
400+
Community benefit programs engaged in last year
160,000+
Community members served through free programs
$40.2 million
$520 million Salaries, wages & benefits
health discharges
14,600
Surgical procedures
5,000
355
226
212
Employees
Volunteers
Charity & under-reimbursed Medicaid
Organ transplants Burn Center patients
2,331
Newborn deliveries
$2.1 BILLION TOTAL ECONOMIC IMPACT Community benefit describes programs, services, education and research subsidized by Temple University Hospital that do not generate inpatient or outpatient revenue and are carried out for the express purpose of improving community health. Community benefits meet a specific community need, reduce health disparities, are broadly available to the public and provide government relief by improving access to health services for underserved individuals. Prior year data reflect Temple University Hospital, including our Main, Episcopal and Northeastern campuses, prior to merger of Jeanes Campus under same license.
1
COMMUNITY BENEFIT REPORT | 3
OUR PATIENTS & COMMUNITY PATIENT PROFILE
COMMUNITY SNAPSHOT
Temple University Hospital cares for many medically complex patients who rely on government programs for healthcare coverage.
Our services are especially important to residents of our diverse, economically challenged North Philadelphia neighborhood.
POPULATION
HEALTH COVERAGE
86%
covered by government health programs
46%
Medicaid
40%
467,318
68% suffer from one or more chronic health conditions
AGE
49% have
13% do not
behavioral health diagnosis
4 | COMMUNITY BENEFIT REPORT
speak English as primary language
UNEMPLOYMENT
23%
unemployed
federal poverty level
50 or older
LANGUAGES
have high school education or less
45% live below 100%
55%
BEHAVIORAL HEALTH
62%
Medicare
POVERTY LEVEL CHRONIC CONDITIONS:
EDUCATION
POVERTY LINE
RACE CHILDREN IN POVERTY Hola
Over Nǐ Hǎo
55%
of children live in poverty
BLACK
46%
HISPANIC
30%
WHITE
18%
ASIAN/PACIFIC
4%
OTHER
2%
HEALTH DISPARITIES Residents of our North Philadelphia service area experience many health disparities due to social and economic inequalities.
DISEASE RATES Per 100,000 population
HYPERTENSION
HEART DISEASE MORTALITY
37%
LIFE EXPECTANCY Philadelphia’s life expectancy varies considerably by neighborhood. Our NicetownTioga neighborhood has the lowest life expectancy across the City’s 46 neighborhoods.
of adults compared to 30% national average
65%
OBESITY
CANCER MORTALITY
40%
63.9 vs. 82.0
of adults
Center City East
Male and female life expectancy in our neighborhood, respectively, is 18 years and 10 years less than Center City East. U.S. Life Expectancy: Male: 76.1 Female: 81.8
OVERALL HEALTH Our community ranks among the lowest for health outcomes across Philadelphia’s 46 neighborhoods.
#46 of 46 Upper Kensington #45 of 46 Nicetown-Tioga #34 of 46 H unting Park-Fairhill
165.5
national rate
24%
of children
74.5 vs. 84.6 Nicetown-Tioga
273.8
higher than
30%
230.6
higher than
176.4
national rate
HOMICIDE MORTALITY
DIABETES DIAGNOSIS
Over
17% of adults
compared to 10% national average
MENTAL HEALTH
Over
700%
higher than
national rate
43.5 6.2
North Philadelphia
National Average
INFANT MORTALITY
20%
report poor mental health
Per 1,000 live births
11.6
Our service area’s infant mortality rate is nearly twice the national average
COMMUNITY BENEFIT REPORT | 5
PROMOTING EQUITY IN HEALTHCARE Healthcare Inequity: A measurable, systemic, avoidable, and unjust difference in health care access, utilization, quality, and outcomes between groups, stemming from differences in levels of social advantage and disadvantage.
Temple University Hospital was founded in 1892 as Samaritan Hospital to care for our low income community. Today’s Temple University Hospital is an 879 bed acute-care, non-profit academic medical center that trains the next generation of healthcare professionals and provides a wide range of medical and psychiatric services. We are an indispensable provider of healthcare to America’s largest city without a public hospital. Central to our mission is our commitment to improving the health of all and quality of living in our neighborhoods. We provide access to needed care across all specialties and the same high quality care regardless of socioeconomic status. This was never made more apparent than in response to the COVID-19 pandemic’s impact on our vulnerable communities.
6 | COMMUNITY BENEFIT REPORT
Call to Arms
Responding to Pandemic with Highest Level Care Gerarld Criner, MD was no bystander when the first cluster of COVID-19 cases emerged in China. Through professional relationships in Wuhan, Ganzhou, Florence and Barcelona, Dr. Criner learned from their experiences. Knowing Temple’s predominately African American and Latinx patients are particularly vulnerable to COVID-19, and that our communities already suffer complications of cancer, diabetes and respiratory and cardiovascular disease, Dr. Criner was determined that our patients would not experience an unjust difference in care due to social disadvantage. Temple’s interdisciplinary team reconfigured operations; initiated staff training on safety measures and conducted simulation exercises; implemented telemedicine-based symptom tracking measures and provided 24/7 intensive care and general floor coverage for 32 clinical care teams. To avoid the need for invasive mechanical ventilation, we designed multi-disciplinary clinical care pathways to construct diagnostic and therapeutic pathways that utilized chest CT imaging, systemic steroids and antiviral and anti-inflammatory therapies along with noninvasive forms of respiratory support. We integrated clinical research with clinical care to provide novel therapies for eligible and willing patient subjects. Temple was a leading institution in the quest for approval of new therapies such as Remdesivir to successfully treat COVID-19 infection. Above all, Dr. Criner ensured our vulnerable and medically complex patient population would receive the best medical care available with outcomes that matched or exceeded care provided in less challenged communities.
Enabling a Healthy Start for Moms & Newborns Temple University Hospital is leading several programs that provide a comprehensive and coordinated approach to pre- and post-natal care and education. SAFE-T Program: North Philadelphia has one of the highest infant mortality rates in the nation. Many babies are born to young mothers with limited resources to care for a newborn. The Sleep Awareness Family Education at Temple (SAFE-T) program provides resources and educates families about safe infant sleep during a baby’s first year.
Temple University Hospital has not had an obstetrical mortality in 5+ years despite the high acuity of our obstetrical patients Temple delivered over 2,300 babies last year
Center of Excellence for Opioid Use Disorder: Temple is designated by the Commonwealth for our care of pregnant and other women facing addiction. Through our trauma informed framework, patients receive prenatal care, maternal fetal consultation, primary care, behavioral health services and medication assisted treatment. Perinatal Care: As a member of the Pennsylvania Perinatal Quality Collaborative, we focus on reducing maternal mortality and improving care for postpartum women and newborns through education, screenings, engagement and best practices.
Reaching into Neighborhoods to Address Disparities in Healthcare Administered by the Lewis Katz School of Medicine, our Temple Health: Block by Block outreach program includes over 1,800 North Philadelphia residents who receive home visits to assess their overall health including cancer, chronic diseases, lifestyle risk factors and any environmental concerns. We provide participants with meaningful health information and options for care, education and psychosocial support. Data from visits provide insights into the planning of new studies and clinical programs across our health system.
Breastfeeding Support: As a BabyFriendly USA designated birth facility, Temple’s obstetrical team provides evidence-based lactation education, proven to improve infant health. Our Pumping and Nursing Pod provides families a safe, comfortable space for nursing, empowering women to nurse on-the-go.
COMMUNITY BENEFIT REPORT | 7
COMBATTING THE OPIOID EPIDEMIC
Opioid-Related Mortality Per 100,000 population
Temple Health is on the front line addressing the opioid epidemic. We serve neighborhoods with the highest opioid mortality rates in Pennsylvania. Through multi-disciplinary patient care and innovative education and research programs, we are a national leader in addressing substance use disorders. Pennsylvania Coordinated Medication-Assisted Treatment Program (PAC-MAT): In partnership with the Commonwealth, we are expanding medication-assisted treatment (MAT) programs to community-based sites throughout Philadelphia. With our TRUST Clinic central to this “hub-and-spoke” model, we coordinate services across our emergency departments, health centers, physician offices and social service organizations. Temple Recovery Using Scientific Treatment (TRUST) Clinic: Our Department of Family Medicine integrates opioid use disorder treatment into primary care. The TRUST team mentors community providers on best practices in providing MAT and connecting patients with social supports. TRUST provides on-site peerrecovery support meetings, case management and certified recovery specialist services. Recovery Overdose Survivor Project: In partnership with the City, Certified Peer Recovery Specialists link overdose patients and their families with needed services. Specialists follow up with clients within 48 hours after treatment in our Emergency Department or Crisis Response Center. Begin the Turn: Temple’s street-side mobile outreach team provides homeless and other vulnerable community members with screening, counseling and MAT for substance use disorder. Our team is staffed by a behavioral health program director, case manager, medical practitioner, and outreach workers. 8 | COMMUNITY BENEFIT REPORT
Temple’s service area has the highest number of opioid-related deaths in Philadelphia 37.9 53.7 31.7 26.7
22.5 18
34.5
75
44.1 15.4
61.5
25.9 23.4
105.1
19.1 56.7
15.1
Temple service area’s drugoverdose mortality rate is 7X the national rate
24%
of inpatients have a SUD diagnosis
Doctor on the Front Line
Supporting Recovery David O’Gurek, MD oversees Temple’s medicationassisted Suboxone treatment program and serves on the Begin the Turn’s street-side mobile outreach team. His passion for addiction medicine stems from experience seeing opioid misuse destroy the lives of people he grew up with. “You’ve got to become part of the solution and not continue to be part of the problem,” he says. Dr. O’Gurek combines medication with community outreach and social supports to help patients recover. “Caring for those struggling with substance use disorder is more about caring for all the social things that affect their recovery. Challenges with transportation, housing, food security, education and work are barriers and limitations.” For Dr. O’Gurek, building a personal connection is key to successful treatment. “The relationship with people is the miracle drug,” he says, “for patients and for doctors.”
RISING ABOVE VIOLENCE Our comprehensive prevention and intervention programs address the impact of gun violence on public health. Cradle to Grave: Our awardwinning program guides teens through the life and death of a 16-year old gunshot victim. Led by our clinical trauma team, participants learn the impact of bullets on the body, followed by discussion around physical, emotional and social realities of violence. We partner with local schools & Philadelphia’s Juvenile Justice Services Center to target at risk youth.
Trauma Advocates
Supporting Post-Trauma Recovery
475+ gunshot & stab victims treated last year
1,600 gun locks distributed last year 1,000+ youth reached by Cradle to Grave last year
Trauma Victim Advocate Program: Our community-based education programs offer information on crime victim reporting and services. We provide counseling and facilitate access to victim services that aid with posttrauma recovery & community re-integration. Fighting Chance: Temple physicians and nurses train community members to provide first aid to victims of firearm and other traumatic injuries.
Preparing our Schools In response to rising school violence, Temple University Hospital joined with the City of Philadelphia and Tactical Medical Solutions to train school district nurses, administrators and public safety officers on life saving techniques.
Trauma Advocate Ian Hirst-Hermans and former patient René Herrera have much in common. On separate occasions, they were shot at Halloween parties and treated at Temple Hospital. Both know first-hand the traumatic physical and mental effects of gun violence. “Temple didn’t just treat my physical injury but provided the emotional and other support I needed after leaving the hospital” Ian says about the care he received in 2010. Inspired by his experience, he returned as a Trauma Advocate in 2019–a position where he uses his experience to help other violent crime victims navigate a positive path to recovery. Ian began visiting René during his recovery at Temple last year and continues his visits at René’s home. Ian accompanies René to doctor appointments and connects him with victim support services to help with lost wages and medical bills.
“ It’s extremely important to have someone who’s been through this and fully understands the pain. I see how far Ian’s come, which motivates me to keep getting better.” — René Herrera, former patient
900+ school district staff trained
COMMUNITY BENEFIT REPORT | 9
CONTINUING QUAKER VALUES AT JEANES CAMPUS Founded in 1928 pursuant to the vision of Quaker activist Anna T. Jeanes, our Jeanes Campus continues to serve as an essential provider of healthcare services for those in need. Our Jeanes Campus reflects the compassionate nature of a Quaker founded community hospital combined with the advanced capabilities of an academic medical center. Here are just a few programs our Jeanes team provides the community.
Anna T. Jeanes Foundation
Building Community
The Anna T. Jeanes Foundation, which supports our Jeanes Campus, provides cash grants to community organizations whose work improves the health and wellness of communities in our service areas.
Farm Stand: We work with the Jeanes Auxiliary and the Common Market to address obesity by bringing a farmer’s market to our Jeanes campus, offering locally grown fruits and vegetable and healthy cooking demonstrations to the community. Supporting Community Fitness: Jeanes offers a safe, park-like walking trail for community members to enjoy healthy outdoor exercise. Community Classroom: Jeanes presents many educational seminars on health, wellness and safety topics. Some are conducted on our outdoor walking trail by physicians who explain how exercise can improve physical and mental health. Expanding Mental Health Resources: To address the mental health needs of our communities, we work with our Episcopal Campus and community organizations to improve access to mental health resources.
10 | COMMUNITY BENEFIT REPORT
“ We are pleased to support local organizations whose work improves our neighbors health and well being. These grants bring Jeanes Campus’s commitment outside of our walls and into the communities we serve.” — Elly Reinhardt, Chair, Jeanes Campus Community Advisory Board
Anna T. Jeanes
REDUCING BEHAVIORAL HEALTHCARE BARRIERS Our Episcopal Campus is home to Temple’s behavioral health services, including a Crisis Response Center that handled over 12,000 psychiatric emergency visits last year. Episcopal provides a wide range of short- and long-term adult psychiatric services.
29% of Episcopal behavioral
health inpatients are homeless
As demand for comprehensive behavioral health and substance misuse service grows, we are continually improving our offerings, increasing access and coordinating care across our community. First Response Training: We conduct crisis response training for the Philadelphia Police Department and other first responders. Topics include techniques for deescalating aggressive behavior among individuals suffering from mental health issues or under the influence of illicit substances. We train Domestic Violence Hotline telephone counselors to assist victims of domestic violence facing imminent danger. Community Screening: We honor National Depression Day by offering free behavioral health screening for mental health conditions. We provide referrals for those showing symptoms of mental health conditions. Residency Expansion: Following the closure of Hahnemann, we expanded our Psychiatry Residency Program with 18 additional residents, thus increasing access to care for our patients and allowing residents more time for elective rotations. Community Recovery Days: We host events at churches and in public spaces to educate community members on how to seek help for one’s self or loved ones experiencing substance use disorder, depression and other mental health conditions. We introduce community members to behavioral health providers and provide resources for selfreferral and social supports.
Drug & Alcohol Counselors
Supporting Recovery through Lived Experience Cliff Hudson’s drive as a Drug and Alcohol Counselor at Temple’s Episcopal Campus comes from his own experience with addiction and mental illness. “I saw so many people relapsing I could help,” he says, “I wanted to serve as a role model for recovery.” Cliff was exposed to drug and alcohol misuse growing up. After graduating college, he worked a steady job several years until his substance use escalated and he lost his job, home and marriage. While in a recovery program, he reached a turning point and has been sober over 5 years. Determined to give back, he began working at Episcopal. Cliff spends most of his day coordinating care for substance use disorder. He counsels patients on how mental illness and substance use affect each other and helps select the best treatment program based on their unique needs and experiences. “ When our process works, the people we serve have a chance to make a real life change, I’ve seen this, it makes all the work worth it.” — Cliff Hudson, Drug & Alcohol Counselor
COMMUNITY BENEFIT REPORT | 11
DEVELOPING OUR LOCAL WORKFORCE As a major employer, we take seriously the need to provide good, family sustaining jobs for our local community. Such jobs not only fulfill our workforce needs, but provide a means to address poverty and health disparities. We do this through a variety of innovative partnerships. Community Health Worker Training Partnership with Temple University School of Public Health: Community members are trained to serve as liaisons between patients and their doctors. Students learn to provide services and supports to patients with complex social and health needs. Upon program completion, graduates transition into employment at Temple University Hospital and other local health care providers. Community Labor Partnership : Our nationally acclaimed partnership with the staff & immediate 1199C Training and Upgrade Fund (Training community members Fund) connects community members, benefited from training some of whom are union members and programs last year others at the beginning of their career path, with educational opportunities. They develop skills in nursing, pharmacy, behavioral healthcare, childcare, home health, health IT and other healthcare career pathways. Some participants are eligible for scholarships, tuition benefits and stipends which allow them to complete degrees. Participants are provided career coaching and apprenticeship opportunities.
1,000+
In time of Pandemic
Protecting Jobs, Families & Communities The COVID-19 public health crisis resulted in Philadelphia’s highest level of unemployment since the Great Depression, with more than 20% of the City’s workforce filing for unemployment. While many health systems significantly reduced staff, Temple reinforced its labor force. To protect workers, their families and our community, Temple maintained staffing levels throughout the health emergency. Our commitment to our workforce provided thousands with the security of solid wages and benefits.
Training Fund
Supporting Careers for Recovery Seeing loved ones struggle with substance use disorder made Darryl Mosley familiar with the impact of the disease. A long-time Mental Health Technician at Episcopal, he is using his experiences to help others by training to become a Certified Associate Addiction Counselor. Through the Training Fund, Mosley is taking college courses and gaining clinical experience before sitting for the state certification exam.
“ I think the Training Fund is one of the best things we have. It’s not just for my benefit. It’s for the benefit of my family, my community and my employer. I’m winning all the way around.” — Darryl Mosley, Mental Health Technician 12 | COMMUNITY BENEFIT REPORT
Temple Cares Bridge to Employment Program
Lenfest North Philadelphia Workforce Initiative: This alliance of the Lenfest Foundation, Temple University, Temple University Health System, Steppingstones Scholars and the West Philadelphia Skills Initiative is committed to building a sustainable local talent pipeline. Together, we strengthen local community earning potential by providing job training and career readiness programs. The Lenfest initiative supports our strategies to connect North Philadelphia residents to careers in healthcare, to offer young adults hospital internships, and to connect residents to employer-driven training programs and family-sustaining jobs.
Administered by Temple University’s College of Education-Intergenerational Center, Temple Cares represents a coalition of Temple University Health System, the Training Fund, the National Union of Hospital and Health Care Employees, and the School District of Philadelphia. The program places North Philadelphia youth ages 18 through 21 into paid internships that prepare for successful entry into viable healthcare careers paying family-sustaining wages. This past year, we welcomed 16 interns in our Nursing, Human Resources, Clinical Appeals, Admissions, Financial Services, and Patient Experience departments. Interns are mentored by Temple Health supervisors while receiving skills training leading to industryrecognized credentials. The impact of Temple Cares is felt by program youth reflecting on their experiences participating in cross-departmental meetings and shadowing nurses making rounds. By the end of their internships, their eyes are opened to a new world of possibilities as they come to understand the important role they play in the healthcare industry.
“ I’m part of something I didn’t know I could be a part of. The program gives me a sense of importance because I am trusted to handle important projects and information. I am part of something big.” “ This program made me want to strive to be better… it made me realize there’s something I can do to help the people in my community.” — Intern Reflections
COMMUNITY BENEFIT REPORT | 13
ADDRESSING DISPARITIES IN CANCER CARE Temple University Hospital is committed to reducing the burden of cancer in our disadvantaged community. We provide the highest level of cancer care and access to innovative clinical trials, ensuring that no patient is denied the ability to achieve positive outcomes due to social position or life circumstances. We are leading programs that provide a holistic and integrated approach to both treatment and prevention. Screening: To promote early cancer detection and increased survivorship, we offer free breast, prostate and other cancer screenings on site and in neighborhood settings. Those with abnormal findings are referred to follow-up care to access treatment immediately. Community Education: We conduct community-based education on cancer risk factors, symptoms, screening, detection, diagnosis and treatment. We partner with local churches to reach at-risk populations. Art Therapy: We bring cancer patients and survivors together to paint, draw and engage in other creative self-expression. Participants learn to heal and process their emotional, physical and psychological experiences through art. Art materials are provided in open-studio sessions led by a trained art therapist in our cancer center.
14 | COMMUNITY BENEFIT REPORT
Cancer Mortality
Our service area’s cancer mortality rate is 30% higher than Pennsylvania & national rates
Over 30% of our community members smoke Smoking Cessation: Our Lung Center educates tobacco users on the dangers of smoking and helps participants develop “Quit Plans.” We provide referrals for care management and pharmaceuticals to manage nicotine withdrawal and offer individual and group counseling.
American Cancer Society Partners in Health Award Temple University Hospital was honored to receive the American Cancer Society’s Partners in Health award in recognition of our strong commitment to cancer risk reduction, early detection, and quality of life programs for patients and families.
Addressing Social Risk Factors We offer our cancer patients many social supports to assist with their treatment adherence and recovery. Patients who miss an appointment due to transportation issues are documented for follow-up transit assistance and offered emergency rides and a rescheduled appointment the same day.
Transportation #1 barrier to care identified by our cancer patients
680+ free rides for patients last year Cancer patients received over $100,000 in financial, transportation & in-kind support last year
We provide education on public transit use, transportation grants, free pharmaceuticals, parking assistance, waived co-pays and lodging aid for patients in need traveling far distances for treatment. Our nutrition education programs and cooking demonstrations teach the importance of healthy diet in cancer treatment and prevention.
Fox Chase Cancer Center Our partner in cancer care Fox Chase Cancer Center is one of 51 centers designated as a “Comprehensive Cancer Center” by the National Cancer Institute. With federal, state and private funding, Fox Chase supported 294 research projects last year covering the translational spectrum from basic science to clinical care and included projects devoted to alleviating the cancer burden specific to our diverse and disadvantaged neighborhoods. Our community education partnerships provide prevention, screening and treatment information to nearly 5,000 community residents annually in neighborhood settings. Through the Fox Chase Mobile Screening Unit, in partnership with Flyers Charities, the center provides more than 2,600 mammograms each year.
Leading Research in Health Disparities
Unite for Her Event Temple University Hospital partnered with local non-profit Unite for Her to educate over 25 women on resources to enhance wellness and care for their emotional, spiritual, and physical needs during cancer treatment and recovery. Each woman received a “passport” providing $2,000 towards groceries, massages, acupuncture, gym memberships, cooking lessons, nutrition and personal care products and other services.
urse-navigator Maria N Rodriguez provides Spanish translation during Unite for Her event.
Rhoda Moise, PhD, a Postdoctoral Associate in Fox Chase’s Cancer Prevention and Control Program, studies health disparities associated with cervical cancer affecting African ancestry groups. Her research focuses on understanding how health inequity in the incidence and severity of cervical cancer manifest and influence health beliefs, biology, and behavior of these groups. She includes mixed methods approaches to scientific research from analyzing basic proteins to assessing community-based populations for health system improvement across patients, providers, and payers. COMMUNITY BENEFIT REPORT | 15
TRAINING THE NEXT GENERATION OF HEALTH PROFESSIONALS Our residency programs provide outstanding training to the next generation of physicians through a balanced curriculum of supervised clinical education and individual mentoring. We focus on the “human side” of medicine, teaching residents to treat the whole patient by considering the unique culture and experiences of those they serve.
632 residents & fellows
trained last year
44 accredited residency
training programs across medical specialties
Our residents enhance their clinical education by engaging in service projects benefiting our surrounding communities. This prepares them to care for a wide range of populations and health conditions. After completing training, many stay to practice in our region and across Pennsylvania. In the wake of the closure of nearby Hahnemann Hospital, we expanded our residency programs to include 82 “orphaned” residents. This ensured continuous medical training for residents, while maintaining access to essential services for patients.
Protecting Our Community During Emergencies Our residents play a vital role in our Emergency Preparedness Program, which teaches clinical teams to provide safe, effective care during natural disasters, mass causalities and other public health emergencies. We collaborate with our local, state and federal governments on emergency response plans and other initiatives.
16 | COMMUNITY BENEFIT REPORT
Boots on the Ground
Medical School Students advancing Equity in Healthcare Students of the Lewis Katz School of Medicine (LKSOM) operate the THRIVE clinic, housed at One-Day-at-a-Time, a residential rehabilitation center in North Philadelphia. THRIVE is a component of the Temple Emergency Action Corps, a student-run global community service organization funded by the Greenfield Foundation. Under supervision of Temple Faculty Physicians and Residents, this free clinic provides health screenings and medical treatment. Its “Advocacy Station” provides patients with referrals to primary care, housing, food, job opportunities and other social services. The clinic’s pharmacy dispenses over-thecounter medications and provides patients with counseling on medication adherence. “Our community has extensive healthcare and social needs, and so many of our medical school students are committed to addressing those needs,” says David Link, MD, a resident in Temple University Hospital’s Emergency Department. Dr. Link’s involvement with THRIVE began as a LKSOM medical student. Now as a resident in Temple’s Emergency Department, he continues to benefit professionally from his work serving our vulnerable community in both the Emergency Department and in neighborhood settings. edical School students and residents M serve vulnerable communities in North Philadelphia and as shown, serve hurricane victims in Puerto Rico.
URSING & ALLIED HEALTH N PROFESSIONS EDUCATION New to Practice Program: Our 12-month nurse nurses graduated “residency” program places from New to Practice newly licensed registered program last year nurses into permanent fulltime staff nursing positions. Under the supervision of a nurse mentor, new nurses receive guidance and feedback needed to ensure a successful transition to professional nursing.
42
Nursing Student Clinical Rotations: Nursing students learn all aspects of patient care through shadowing our staff nurses, including feeding, medication administration and wound care. Allied Healthcare Professions Education: Allied health care professions students of physical therapy, social work, occupational therapy, radiology, laboratory technology and other fields learn to provide essential patient care and support services from our allied health care professional staff.
Helping New Nurses Succeed Jacqueline Williams was hired through the New to Practice nurse program in Temple’s new Step-Down Lung Transplant Unit. Growing up in North Philadelphia, she dreamed of being a medical professional. Unable to attend college due to a family emergency, Jacqueline went to work as a unit clerk at Temple Hospital in 2007. There she realized the many career opportunities available in healthcare, including nursing.
“ Returning to Temple felt like coming home. My experience and education prepared me to become a nurse. Now the New to Practice Program is giving me the tools, support and mentorship I need to succeed.” — Jacqueline Williams, Registered Nurse
“I saw the critical role nurses play in all aspects of care, at the bedside, working alongside doctors and as case managers. I wanted to be part of this,” she says. With assistance from the Training and Upgrade Fund, she began her studies in nursing. When Jacqueline graduated, she returned to Temple University Hospital, fulfilling her goal of becoming a medical professional. Now she is exploring further education to become an advanced practice professional.
Advanced Practice Professional Training: Students training as physician assistants, nurse practitioners and other roles learn to conduct physical examinations, medication prescribing, diagnosis and other advanced medical functions from our team of medical professionals.
COMMUNITY BENEFIT REPORT | 17
BEYOND OUR HOSPITAL WALLS Through partnerships with government agencies and community organizations, we provide programs that help patients and caregivers manage medical conditions at home to enhance care coordination and reduce readmissions. We are leaders in unique partnerships to address public health emergencies. Regional Health Collaborative to Address COVID-19: Temple University Hospital, through an innovative partnership with Penn Medicine, was selected by the Commonwealth to participate in the Regional Response Health Collaborative program to improve COVID-19 care in long-term residential care facilities in Philadelphia, Bucks, Chester and Lancaster counties. We are covering over 300 assisted living, personal care homes and skilled nursing facilities by providing consulting services on COVID-19 care, PPE use and sourcing, testing, infection control and palliative care. Addressing Social Risk Factors in North Philadelphia: The Center for of Philadelphia Over Urban Bioethics at the Lewis Katz families are food insecure School of Medicine, in collaboration with Temple University Hospital and local community organizations, established the North Philadelphia Community Collective to address a wide range of issues stemming from the COVID-19 pandemic. A chief concern was the availability of healthy food, especially for low-income seniors and others at high risk for infection. The Collective established a food collection and distribution program, which delivered groceries to 1,200 community members per week at its peak.
20%
18 | COMMUNITY BENEFIT REPORT
Community Health Workers
On the Front Lines of Care Community Health Worker Ed Drayton’s passion for serving others stems from his experience growing up in North Philadelphia. “I remember seeing the elderly, homeless and others struggle to stay healthy because of the many barriers they faced,” Ed says. “I wanted to make a difference in the community I came from.” Ed was trained through Temple’s Community Health Worker Training Program. He helps patients and families navigate complex systems and access social supports to improve their quality of life and “ The day I met Ed I was homeless, treatment outcomes. and he got me into the housing the next day. It’s all been upward A highlight of Ed’s service involves his since. I wouldn’t be alive today if not for Ed and the Temple team.” work with Stephon Overton, who was homeless, uninsured and frequently — Stephon Overton, former patient in the emergency department after leaving prison. Ed connected Stephon with clothing, transportation, housing, health insurance and access to primary and specialty care to help manage his multiple chronic conditions. Since working together for over a year, Stephon’s emergency department overuse stopped and his health improved dramatically.
ENGAGING OUR PATIENTS & FAMILIES Patient Family Advisory Councils: We established numerous Patient Family Advisory Councils, within Temple University Hospital and our neighborhoods, focused on family medicine, trauma, and cardiovascular medicine to help us develop programs to address our community’s health needs. Comprised of dedicated community members, these advisory councils represent the diverse values, beliefs and cultural backgrounds of our surrounding neighborhoods. They meet regularly to develop recommendations to improve our services and policies. Together we collaboratively advance care quality, coordination and decision making for those we serve.
VISION Program
Chaplains for Those in Need Bishop Sylvia Britton brings over 45 years of Healthcare and Ministry experience to her role as a Patient Family Advisory Council member and Chaplain in Temple’s Volunteers in Spiritual Interactions from Our Neighborhood (VISION) program. Sylvia was drawn to Temple because of her own experiences with trauma and service as a faith leader in the community. “My church is across the street from Temple Hospital and I saw people facing Trauma I wanted to help. I knew what they were experiencing because of the many family members I’ve lost to trauma,” she says. As a volunteer chaplain, Sylvia supports patients and families of all faiths and non-religious backgrounds during crisis by engaging in active and empathetic listening and providing spiritual and cultural services upon request.
“ We provide comfort and address the emotional, spiritual and physical needs of those we serve. Through our service, we bring the community and Temple together.” — Bishop Sylvia Britton
Thank You to Our Partners Temple University Hospital values its many Temple University and federal, state and local government partners that make our community benefit programs possible. We also thank the many community-based organizations whose passion and commitment to our vulnerable communities cannot be understated. SOURCES: Pg. 3-5 1. TUH FY 2019 IRS Schedule H 990 2. TUH Internal Data Sources 3. 2019 The Health of Philadelphia Neighborhood Rankings, Drexel University & Department of Public Health City of Philadelphia, Nicetown-Tioga, Hunting Park-Fairhill & Upper Kensington Neighborhoods 4. 2017 Community Health Assessment of the Philadelphia Department of Health, North, Lower North & Riverward Planning Districts 5. Vital Statistics Report Philadelphia: 2016, Department of Public Health, November 2019, North, Lower North & Riverward Planning Districts 6. National Center for Health Statistics Data Brief, No. 293, Mortality in the U.S., 2016 7. National Vital Statistics Reports, Vol. 68, No., U.S. Life Tables, 2017 8. 2016 CDC/National Center for Health Statistics, Pennsylvania Pg. 7 9. 2016 Philadelphia Vital Statistics, North District 10. 2016 CDC Pennsylvania Statistics 11. TUH Internal Data Sources Pg. 8 12. Obstetric Deaths Reported in Philadelphia County 13. TUH Internal Data Sources Pg. 9 14. Ibid. Pg. 10 15. Ibid. Pg. 11 16. Ibid. Pg. 12 17. Impacts of COVID-19 Across Philadelphia’s Neighborhoods, Part 1: The Scale of the Crises, Office of City Controller, June 2020 18. 1199c Internal Data Sources Pg. 14-15 19. 2016 Philadelphia Vital Statistics, Lower North & Riverward Districts 20. 2019 Drexel Philadelphia Neighborhood Rankings 21. TUH Internal Data Sources Pg. 16-17 22. FY2019, TUH Graduate Medical Education Annual Report 23. TUH Internal Data Sources Pg. 18 24. 2017 Drexel University & Children’s HealthWatch Philadelphia Hunger Research Brief 25. LKSOM Internal Data Sources
COMMUNITY BENEFIT REPORT | 19
Serving the community since 1892 Temple Health refers to the health, education and research activities carried out by the affiliates of Temple University Health System (TUHS) and by the Lewis Katz School of Medicine at Temple University. TUHS neither provides nor controls the provision of health care. All health care is provided by its member organizations or independent health care providers affiliated with TUHS member organizations. Each TUHS member organization is owned and operated pursuant to its governing documents.
COMMUNITY BENEFIT REPORT | 20