Orlando Health Central Inc

TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING SAFE, QUALITY HEALTHCARE IN AN ATMOSPHERE OF CARING.

ORLANDO HEALTH CENTRAL, INC. PROVIDES HIGH QUALITY INPATIENT, OUTPATIENT AND EMERGENCY HEALTHCARE TO THE RESIDENTS OF ORANGE COUNTY THROUGH TWO HOSPITALS, ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL AND ORLANDO HEALTH HORIZON WEST HOSPITAL, AND VARIOUS OUTPATIENT FACILITIES. WE HAVE SERVED WEST ORANGE COUNTY'S SURGICAL AND GENERAL HEALTHCARE NEEDS SINCE 1952 THROUGH ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL. ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL DELIVERS COMPREHENSIVE HEALTHCARE SERVICES IN ITS 440,000-SQUARE-FOOT, INTEGRATED MEDICAL MALL, WHICH INCLUDES A 216-BED JCAHO ACCREDITED ACUTE CARE HOSPITAL AND PHYSICIAN OFFICES, AS WELL AS A 60-BED EMERGENCY CENTER. ORLANDO HEALTH HORIZON WEST HOSPITAL OPENED JANUARY 30, 2021 AS A FULL-SERVICE COMMUNITY HOSPITAL WITH 60 LICENSED ACUTE CARE BEDS, A 23-BED EMERGENCY DEPARTMENT, MEDICAL OFFICES AND AN OUTPATIENT REHABILITATION SUITE. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2021, ORLANDO HEALTH CENTRAL'S HOSPITAL FACILITIES PROVIDED 62,955 DAYS OF INPATIENT CARE, 62,523 OUTPATIENT VISITS, AND 61,478 EMERGENCY DEPARTMENT VISITS. IN ACCORDANCE WITH ITS MISSION, ORLANDO HEALTH CENTRAL PROVIDED EXTENSIVE CARE TO PATIENTS WHO MEET ITS CHARITY CARE GUIDELINES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. ORLANDO HEALTH CENTRAL ALSO OFFERS COMMUNITY EDUCATION, SCHOOL INITIATIVES AND SUPPORT GROUPS. AS A NOT-FOR-PROFIT HEALTHCARE PROVIDER, THE CULTURE OF CARING AT ORLANDO HEALTH CENTRAL FACILITIES TOUCHES THE LIVES OF MANY THROUGHOUT CENTRAL FLORIDA. ORLANDO HEALTH CENTRAL'S PHYSICIANS, EMPLOYEES AND VOLUNTEERS KNOW THAT HEALTHCARE EXTENDS BEYOND THE WALLS OF THE HOSPITAL. OUR DEDICATED MEDICAL PROFESSIONALS AND VOLUNTEERS CONTRIBUTE TO THE COMMUNITY OUTSIDE THE ORGANIZATION, EDUCATING THEIR NEIGHBORS AND PROVIDING MEDICAL CARE TO OTHERS IN THE REGION. ORLANDO HEALTH CENTRAL DEMONSTRATES A COMMITMENT TO PROMOTING HEALTH, WELL-BEING, AND A CARING SPIRIT THROUGHOUT THE COMMUNITY BY ORGANIZING AND PROVIDING SERVICES RANGING FROM WELLNESS EVENTS AND SCREENINGS, TO FLU SHOTS AND HIGH SCHOOL PHYSICALS. THESE ACTIVITIES BRING LITTLE OR NO PAYMENT TO OUR HOSPITALS, BUT ARE SUSTAINED BECAUSE THEY ARE VALUABLE TO OUR REGION AND SUPPORT OUR MISSION. COMMUNITY PROGRAMS AND SERVICES: COMMUNITY OUTREACH SUPPORT / EDUCATION GROUPS COMMUNITY WELLNESS COMMUNITY HEALTH FAIRS PASTORAL OUTREACH & SPIRITUAL CARE VALUE TO THE COMMUNITY FISCAL YEAR 2021: BY OFFERING THE BEST QUALITY OF CARE, RESPONDING TO COMMUNITY NEEDS AND CONCENTRATING RESOURCES IN AREAS THAT TRULY MAKE A DIFFERENCE, ORLANDO HEALTH CENTRAL MAINTAINS A RICH TRADITION OF PROVIDING A BENEFIT TO THE COMMUNITY. OUR COMMUNITY BENEFIT EFFORT IS A MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, PARTICULARLY IN THE VULNERABLE, UNINSURED AND UNDERSERVED COMMUNITIES. AS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, ORLANDO HEALTH CENTRAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. ORLANDO HEALTH CENTRAL IS COMMITTED TO CHARITY CARE, WHICH IS THE PROVISION OF MEDICAL ATTENTION AND SERVICES TO THE REGION'S MOST VULNERABLE AND UNINSURED, REGARDLESS OF A PATIENT'S ABILITY TO PAY, A PATIENT'S INSUFFICIENT HEALTH INSURANCE COVERAGE OR THE EXISTENCE OF ANY GOVERNMENT-SPONSORED PROGRAMS COVERING THE FULL COST OF SERVICES. IN FISCAL YEAR 2021, ORLANDO HEALTH CENTRAL PROVIDED $21,562,973 IN CHARITY CARE, $124,162 IN COMMUNITY BENEFIT PROGRAMS AND $18,609,820 IN MEDICAID SHORTFALLS. MAKING LONG-TERM LIFESTYLE CHANGES: ENHANCING THE HEALTH AND QUALITY OF LIFE OF CENTRAL FLORIDIANS IS THE FOCUS OF THE ORLANDO HEALTH CENTER FOR HEALTH IMPROVEMENT LOCATED AT THE ORLANDO HEALTH MEDICAL PAVILION - HORIZON WEST. THE CENTER FOR HEALTH IMPROVEMENT USES EVIDENCE-BASED BEST PRACTICES TO IDENTIFY AN INDIVIDUAL'S DISEASE RISKS AND PROVIDE PERSONALIZED HEALTH SUPPORT FOR LONG-TERM LIFESTYLE CHANGES. PROGRAM PARTICIPATION IS OFFERED AT NO COST TO THOSE WHO DEMONSTRATE AN APPROPRIATE LEVEL OF READINESS FOR CHANGE AND MOTIVATION FOR SUCCESS. A PHYSICIAN-LED TEAM PROVIDES HEALTH-IMPROVEMENT CONSULTATIONS, EDUCATION, WORKSHOPS AND HEALTH COACHING FOR A VARIETY OF AREAS. PARTICIPATION RANGES FROM TWO VISITS UP TO A 12-WEEK PROGRAM ENROLLMENT. FIGHTING CHRONIC DISEASE: ORLANDO HEALTH CENTRAL SUPPORTED ORANGE BLOSSOM FAMILY HEALTH THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM BY AWARDING FUNDING TO THEIR DIABETES CLINIC. THIS PROGRAM ADDRESSES BARRIERS THAT DELAY PATIENTS FROM MAINTAINING THEIR MEDICAL APPOINTMENTS. IN FY2021, THIS PROGRAM REACHED 153 CLIENTS. EIGHTY-FIVE PERCENT OF THOSE PARTICIPATING REDUCED THEIR HBA1C LEVELS, 79 PERCENT REDUCED THEIR BLOOD SUGAR LEVELS AND 63 PERCENT IMPROVED THEIR OVERALL UNDERSTANDING OF THE DISEASE. ADDRESSING MENTAL/BEHAVIORAL HEALTH: ORLANDO HEALTH CENTRAL PARTNERED WITH COMMUNITY HEALTH CENTERS BY FUNDING A GRANT THROUGH THE ORLANDO HEALTH COMMUNITY GRANT PROGRAM TO ADDRESS MENTAL/BEHAVIORAL HEALTH. THIS PROGRAM INCREASES ACCESS FOR MENTAL HEALTH SERVICES FOR MANY UNDERSERVED CHILDREN, ADOLESCENTS AND ADULT RESIDENTS LIVING IN OR NEAR THE PINE HILLS COMMUNITY IN ORANGE COUNTY. A LICENSED CLINICAL SOCIAL WORKER ASSESSED AND TREATED MORE THAN 390 PATIENTS, INCLUDING 92 NEW PATIENTS. MANY PATIENTS ARE PROVIDED ADDITIONAL SUPPORT THROUGH EITHER COUNSELING, MEDICATION OR A COMBINATION OF THE TWO THAT HELPS MANAGE THEIR DIAGNOSIS. THIS PROGRAM CONTINUES TO FIND WAYS TO REACH INDIVIDUALS STRUGGLING WITH MENTAL/BEHAVIORAL HEALTH RESOURCES IN THE COMMUNITY. RESPONDING TO A PANDEMIC - COVID-19 FROM THE ONSET OF THE COVID-19 PUBLIC HEALTH EMERGENCY, ORLANDO HEALTH HAS REFLECTED ITS CORE MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. WITH A LEVEL ONE TRAUMA CENTER AND A SAFETY NET HOSPITAL, ORLANDO HEALTH QUICKLY BECAME A FOCAL POINT AND COMMUNITY RESOURCE FOR CENTRAL FLORIDA'S RESPONSE TO THE PANDEMIC. SINCE JANUARY 2020, THE HEALTHCARE SYSTEM HAS DEVELOPED ALGORITHMS, DEVISED PROTOCOLS AND DELIVERED LIFESAVING CARE THAT PROTECTED ITS PATIENTS, VISITORS, TEAM MEMBERS AND COMMUNITIES. LIKE MANY HEALTHCARE SYSTEMS ACROSS THE UNITED STATES, ORLANDO HEALTH CONTINUES TO EXPERIENCE AND RESPOND TO OPERATIONAL AND FINANCIAL CHALLENGES RELATED TO THE CURRENT OUTBREAK OF COVID-19. SINCE MARCH 2020, ORLANDO HEALTH HAS BEEN TRACKING DAILY THE NUMBER OF COVID-19 INPATIENTS. THE HIGHEST NUMBER OF COVID-19 INPATIENTS WAS DURING THE DELTA VARIANT SURGE IN AUGUST AND SEPTEMBER 2021, PEAKING AT 760 INPATIENTS ON AUGUST 20, 2021, REPRESENTING NEARLY A THIRD OF TOTAL INPATIENTS. THE CORONAVIRUS AID, RELIEF AND ECONOMIC SECURITIES (CARES) ACT PROVIDER RELIEF FUND WAS SIGNED INTO LAW TO PROVIDE TEMPORARY AND LIMITED RELIEF TO INDIVIDUALS AND BUSINESSES IMPACTED BY THE COVID-19 OUTBREAK, INCLUDING THE APPROPRIATION OF FUNDS FOR HEALTHCARE PROVIDERS FOR REIMBURSEMENT OF EXPENSES AND LOST REVENUE ATTRIBUTABLE TO COVID-19. THROUGH SEPTEMBER 30, 2021, ORLANDO HEALTH HAD RECEIVED DISTRIBUTIONS OF APPROXIMATELY $83 MILLION UNDER THE CARES ACT PROVIDER RELIEF FUND. THE HEALTHCARE SYSTEM HAS TAKEN NUMEROUS STEPS IN RESPONSE TO THE COVID-19 PANDEMIC THAT REFLECT ITS ORGANIZATIONAL CULTURE. WHAT FOLLOWS ARE BUT A FEW OF THE MANY WAYS ORLANDO HEALTH INNOVATED AND ADAPTED AS IT FACED COVID-19. CARING FOR PATIENTS: TO CARE FOR PATIENTS IN ITS HOSPITALS AND OUTPATIENT CENTERS, ORLANDO HEALTH DEVISED A MULTIPRONGED APPROACH THAT INCLUDES INSTITUTING SAFETY MEASURES TO LIMIT THE SPREAD OF THE VIRUS WITHIN ITS FACILITIES. EMERGENCY MEDICINE PHYSICIANS AND DISASTER-RESPONSE EXPERTS ENGAGED TO PREPARE FOR PATIENT SURGES TO KEEP UP WITH SUPPLY AND WORKFORCE DEMANDS. THE HEALTHCARE SYSTEM ALSO ESTABLISHED TESTING CENTERS FOR PATIENTS AT SELECT LOCATIONS. AS VACCINES BECAME AVAILABLE, ORLANDO HEALTH STOOD UP SEVERAL VACCINATION SITES FOR COMMUNITY MEMBERS AND TEAM MEMBERS. BY SEPTEMBER 30, 2021, THE ORGANIZATION HAD ADMINISTERED APPROXIMATELY 132,000 VACCINATIONS. KEEPING PATIENTS AND TEAM MEMBERS SAFE: ORLANDO HEALTH'S SUPPLY CHAIN TEAM CONTINUES TO WORK DILIGENTLY TO SECURE NEEDED SUPPLIES FROM TRUSTED AND VETTED SOURCES, AND ENSURE ALL HOSPITALS IN THE ORGANIZATION ARE TRACKING SUPPLIES AT EACH SITE AND ROUTING EQUIPMENT AND SUPPLIES WHERE THEY ARE MOST NEEDED. ON A DAILY BASIS, SUPPLY CHAIN MANAGEMENT REVIEWS CRITICAL SUPPLIES SUCH AS PERSONAL PROTECTIVE EQUIPMENT (PPE), DIAGNOSTIC TESTING PRODUCTS AND EQUIPMENT TO MANAGE ANTICIPATED VOLUMES. THE HEALTHCARE SYSTEM MAINTAINS OVER 150 DAYS ON HAND OF KEY PPE, INCLUDING MASKS, GOWNS AND GLOVES. MANAGEMENT BELIEVES IT HAS A SUFFICIENT SUPPLY OF PPE TO MEET ITS CURRENT NEEDS BUT EXPECTS CONTINUED HIGH DEMAND. MAINTAINING AN ENGAGED WORKFORCE: AS THE PANDEMIC CONTINUED, ORLANDO HEALTH FACED CONTINUING PRESSURES ON ITS NURSE STAFFING, WHICH ACCOUNTS FOR MORE THAN 20% OF THE TEAM MEMBER POPULATION. SIMILAR TO OTHER HEALTHCARE SYSTEMS ACROSS THE NATION, ORLANDO HEALTH HAD A VOLUNTARY RN TURNOVER RATE THAT WAS THE HIGHEST IN DECADES. IN RESP

ORLANDO HEALTH CENTRAL, INC. PROVIDES LONG-TERM NURSING CARE TO OUR COMMUNITY THROUGH HEALTH CENTRAL PARK, A 118-BED FACILITY AND THE ORLANDO HEALTH CENTER FOR REHABILITATION, A 110-BED FACILITY. HEALTH CENTRAL PARK CONSISTS OF 3 NEIGHBORHOODS (NURSING WINGS) PRIMARILY PROVIDING CARE TO LONG-TERM-CARE RESIDENTS. THE ORLANDO HEALTH CENTER FOR REHABILITATION, LOCATED ON THE CAMPUS OF ORLANDO HEALTH - HEALTH CENTRAL HOSPITAL WAS COMPLETED DURING FY19. THE FACILITY CONSISTS OF 60 PRIVATE REHAB ROOMS, 40 DEMENTIA BEDS OF WHICH 36 ARE PRIVATE ROOMS AND 2 ARE SEMI-PRIVATE ROOMS AND 10 PRIVATE HOSPICE ROOMS BEING LEASED TO CORNERSTONE HOSPICE, AN INDEPENDENT PROVIDER. THE DEMENTIA UNIT, WHICH IS A GATED COMMUNITY, SPECIALIZES IN PROVIDING PROGRAMS AND SERVICES FOR ALZHEIMER'S/DEMENTIA RESIDENTS. BOTH FACILITIES PROVIDE RESIDENT-CENTERED CARE. THE FACILITIES ARE RESTRAINT FREE AND PROVIDE EXCELLENT OUTCOMES IN WOUND CARE AND WEIGHT MANAGEMENT. WE ALSO PROVIDE IV THERAPY, HYPERTENSION MANAGEMENT, MEDICATION MANAGEMENT, DIABETIC MANAGEMENT, DEMENTIA CARE, RESTORATIVE NURSING CARE AND PALLIATIVE CARE. HEALTH CENTRAL PARK AND THE ORLANDO HEALTH CENTER FOR REHABILITATION PROVIDE FULL THERAPY SERVICES 7 DAYS A WEEK. OUR THERAPY PATIENTS HAVE EXCELLENT OUTCOMES AND AFTER DISCHARGE USUALLY CONTINUE THEIR THERAPY AS OUTPATIENTS. ON ANY GIVEN DAY THERE ARE APPROXIMATELY 50 PATIENTS IN THERAPY. OUR REHABILITATION PROGRAM SPECIALIZES IN ORTHOPEDIC AND NON-ORTHOPEDIC/MEDICALLY COMPLEX GERIATRIC PATIENTS. OUR AVERAGE LENGTH OF STAY IS 16 DAYS; AND WE HAVE ABOUT 32 ORTHOPEDIC PATIENTS AND 118 NON-ORTHOPEDIC/MEDICALLY COMPLEX PATIENTS PER MONTH. THE TWO FACILITIES WORKFORCE IS MADE UP OF ABOUT 265 EMPLOYEES AND 20 CONTRACTED THERAPISTS, WITH THE NURSING DEPARTMENT BEING THE LARGEST OF ABOUT 170; 105 OF WHICH ARE C.N.A'S. WE ARE GRATEFUL TO HAVE A FULL-TIME NURSE PRACTITIONER WHO ACTS AS THE PHYSICIAN EXTENDER AND TENDS TO URGENT AND OTHER MEDICAL NEEDS ON A TIMELY BASIS. WE ALSO HAVE A FULL-TIME DIETITIAN AND A NUTRITIONAL SPECIALIST TO ADDRESS THE CLINICAL DIETARY NEEDS OF OUR RESIDENTS. OUR SOCIAL WORKERS ASSIST WITH THE PSYCHO-SOCIAL NEEDS OF THE RESIDENTS ALONG WITH OUR FULL RECREATION DEPARTMENTS. HEALTH CENTRAL PARK IS A FOUR STAR RATED FACILITY WITH CMS. THE ORLANDO HEALTH CENTER FOR REHABILITATION IS A FIVE STAR RATED FACILITY WITH CMS. NORMALLY VOLUNTEERS SUPPLEMENT OUR STAFF TO HELP ENHANCE QUALITY OF LIFE PROVIDING AN AVERAGE OF ABOUT 600 HOURS A MONTH. UNFORTUNATELY, DUE TO THE COVID CRISIS, VOLUNTEERS WERE NOT ALLOWED TO ASSIST THE TWO FACILITIES DURING MOST OF FY2021.