Josephs Hospital INPATIENT
developed a Strategic Business Plan to address the major downward
pressure on hospital inpatient utilization which Medicaid and
Medicare Managed Care is creating.
The Strategic Business Plan for medical/surgical services
identifies steps to bolster the primary care referral base by
changing emergency services delivery, strengthening ties to
community health centers, increasing referrals from private primary
care physicians, broadening the spectrum of specialist physicians
and attracting Medicaid and Medicare Managed Care patients.
Inpatient Drug and Alcohol Detoxification/Rehabilitation Program
operates the largest hospital-level detoxification unit in the City
of Philadelphia and will continue to be maintained with services
purchased by Community Behavioral Health, the entity that controls
all Medicaid behavioral health contracts.
Furthermore, it is in NPHS' Strategic Business Plan to remain
as a major provider of drug and alcohol services to the Medicaid
population through expansion of its volume and scope of services in
residential and outpatient services.
The Detoxification Unit is specifically designed to manage the
medical problems of the chemically dependent person. The Drug
and Alcohol Rehabilitation Program offers 24-hour medical and
nursing supervision. In
addition, patients attend exercise class, workshops, lectures,
meetings, and individual and group therapy.
2,488 surgical procedures in Fiscal Year 1999, including general
surgery, orthopedic surgery, endoscopic surgery and ophthalmological
surgery. Of the 2,488 procedures performed, 59% were short procedures
cases (SPUs). The
volume of SPUs has increased each year for the last several
years. Contrary to national trends of surgical cases moving from
inpatient to outpatient venues, inpatient surgical volumes at NPHS
have increased slightly. This
is due in part to the recruitment of additional surgeons over the
past couple of years.
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