Lehigh Valley Hospital

Lehigh Valley Hospital (lvh) is comprised of seven Hospital campuses including lvh-cedar crest, lvh-muhlenberg, lvh-17th street, lvh-tilghman, lvh-hecktown oaks, lvh-carbon, and lvh-coordinated health. Lvh offers a continuum of programs in health care promotion, prevention, diagnosis, treatment, and rehabilitation to the community. Extensive inpatient, outpatient and educational services are provided at locations throughout the region and are part of the Lehigh Valley health network (lvhn) established to meet the medical, surgical, and educational needs of the residents of the Lehigh Valley and beyond. Lvh serves as a referral center for approximately two million residents of surrounding counties in eastern Pennsylvania, with a special focus in the following key areas:lehigh Valley topper cancer institute - the lvh portion of the Lehigh Valley topper cancer institute (lvtci) offers a range of cancer services in six convenient patient-focused locations: john and dorothy morgan cancer center at the cedar crest campus, the cancer center in bethlehem at the muhlenberg campus, in easton at hecktown oaks, and physician offices and infusion services at the health center at carbon Hospital in lehighton. Cancer care programs include prevention, detection, diagnosis, genetics, patient navigation, nutritional services, social and psychological support, rehabilitation, clinical trials, multidisciplinary/coordinated care and all forms of therapy. Lvtci became a partner with memorial sloan kettering cancer alliance of new york city officially in march 2016 and maintains a research partnership with national cancer institute cancer research opportunities. The lvtci facilities include physicians' offices, breast health services, multidisciplinary clinics, conference rooms, private education and counseling areas, multi-purpose treatment areas for infusions, procedure rooms and radiation oncology facilities including: linear accelerators, ct simulators, high dose rate brachytherapy, gamma knife radiosurgery, sir-spheres (yittrium-90), prostate seed implant-low dose brachytherapy, stereotactic body radiotherapy, linear accelerator-based stereotactic radiosurgery/stereotactic radiotherapy, 3-d treatment planning, intensity modulated radiation therapy, image-guided radiation therapy, optical surface monitoring system, calypso system for real-time motion and target tracking and 3d printing.in calendar year 2021, the cancer institute recorded 4,849 new analytic cancer cases. Inpatient oncology admissions were 3,094 in the fiscal year ending june 30, 2022, and outpatient volumes were 1,716 new treatment patients for radiation procedures and 50,971 treatment patients for infusion visits. In 2021, the cancer institute was officially renamed the Lehigh Valley topper cancer institute. The renaming honors joe and maureen topper, who made a generous gift that will be used to bring the most innovative and lifesaving clinical trials to this region. Their gift also complements network investments in advanced cancer treatments and technologies, including stem cell transplantation and cellular therapies. Our mobile mammography program began service in october 2018 and serves eight counties, providing 3d screening mammograms to employees and residents in the communities where they work and reside. Lvtci began partnering with strata oncology, a precision oncology company in june of 2019. The 2021 - 2022 strata trial performs molecular profiling of specific types of tumors to help match patients with advanced forms of cancer to new precision treatment options. This partnership positions lvtci on the leading-edge of providing patients access to the latest technology and clinical research to target their specific cancer mutation.lehigh Valley heart and vascular institute - the Lehigh Valley heart and vascular institute is one of the largest and most respected cardiovascular programs in Pennsylvania. With 60 cardiologists, six cardiothoracic surgeons, six vascular surgeons, and a dedicated team of advanced practice clinicians and support staff, the heart and vascular institute at lvh-cedar crest, lvh-muhlenberg, lvh-hecktown oaks, and lvh-carbon offers an impressive and comprehensive array of preventative, diagnostic, acute, tertiary, and quaternary cardiovascular services. Specialized programs include, but are not limited to: cardiac arrest management, coronary intervention, structural heart, advanced heart failure & mechanical circulatory support, cardio-oncology, complex lipid management, comprehensive rhythm management, a women's heart and vascular program with a developed subspecialty heart and pregnancy program, neuro-cardiology, and sports cardiology. Additionally, the Lehigh Valley heart and vascular institute offers more than 18 cardiovascular access sites throughout the lvh service area to enable patients to receive premier cardiac care close to home. In fiscal year ending june 30, 2022, Lehigh Valley hospital-cedar crest and Lehigh Valley hospital-muhlenberg performed 4,424 cardiac catheterization cases, 2,240 electrophysiology cases, 526 open heart surgeries, and 239 transcatheter aortic valve replacement (tavr) procedures. Furthermore, the heart and vascular institute at lvh licensed locations provided compassionate care at over 250,000 patient encounters. Fy22 was another accomplished year for lvh and the Lehigh Valley heart and vascular institute. To be an even better health partner for the Lehigh Valley region, lvh opened two new hospitals: lvh-hecktown oaks and lvh-carbon. The heart and vascular institute has an impressive presence at both campuses to give patients access to top-tier cardiovascular care and cardio-diagnostic services close to home. In addition to these new Hospital locations, the heart and vascular institute at lvh also made continued improvements from a patient care perspective. Our interdisciplinary cardio-oncology program was recognized as a global center of excellence by the international cardio-oncology society (ic-os). The gold center of excellence rating from ic-os is the highest level awarded by the society. Just 31 hospitals or health systems in the world have gold ratings, including 22 in the united states. The heart and vascular institute at lvh also made significant investments in patient care at lvh-cedar crest with the latest and most advanced hybrid procedure lab. The new procedure lab offers the latest ge allia cardiac imaging system and is one of a select few operating in the united states today. Using this advanced imaging equipment enables physicians to provide the most advanced and minimally invasive endovascular and structural heart procedures. This investment enables lvh and the heart and vascular institute to care for the cardiovascular needs of our community with the latest technology to support improved patient outcomes and overall patient care. Our prioritization of patient care is further evidenced by our recent designations provided by bluecross blueshield's blue distinction in specialty care. Lvh-cedar crest was recognized as a blue distinction center+ and lvh-muhlenberg was recognized as a blue distinction center. These accolades are awarded to facilities that demonstrate an expertise in delivering specialty care.

Women's services - lvh offers wide-ranging women's health programs and services designed to provide complete, evidence-based care for women in the Lehigh Valley. Obstetrics: deliveries at lvh-cedar crest totaled 3,255 during the fiscal year ending june 30, 2022. In the same time frame, deliveries at lvh-muhlenberg totaled 1,484. At lvh-cedar crest, team-based obstetrical care is provided by coverage with certified nurse midwives, obstetric hospitalists, and general obstetricians with maternal-fetal medicine specialists available for high-risk consultation. Paired with our level 4 nicu and other specialty services including critical care, this campus serves as a tertiary care regional referral Hospital for high-risk maternity and newborn care both within and outside our network. The care at lvh-muhlenberg is offered by general ob/gyn physicians and supported by a level 2 nicu. Midwifery care will be offered at lvh-muhlenberg starting in fy23.births that occur at lvh-cedar crest and lvh-muhlenberg are primarily to patients who received prenatal care at our many enterprise Lehigh Valley physician group (lvpg) obstetrics and gynecology practices across five counties. A lesser number are patients who receive prenatal care at the center for women's medicine (cwm), part of Valley health partners, located in allentown. To supplement the prenatal care, ultrasound services in the office are accredited by the american institute of ultrasound in medicine (aium). Lvpg ob/gyn office practices also offer on-site behavioral health services provided by four licensed professional counselors in conjunction with the department of psychiatry. They also continue to offer the connections program which provides specialized care for women with substance use disorders in pregnancy.maternal fetal medicine (mfm) specialists are available for consultation and for receiving of transports from other lvhn campuses as well as other hospitals outside lvhn. In addition, the mfm practice has office locations locally in Lehigh and northampton counties, and they provide services on-site and virtually to our three other regional delivering hospitals. Mfm physicians' services include highest level ultrasonography (and telehealth services), fetal echocardiography, genetic counseling, amniocentesis, chorionic villus sampling, complex delivery services and unique well-established multi-disciplinary programs for patients with diabetes, heart disease, kidney disease, neurological disease, and disorders of the placenta.lvh-cedar crest was recognized as one of the best maternity hospitals 2022 by newsweek magazine. This third annual edition of the award list is based on a nationwide survey of 10,000 medical professionals, medical key performance indicators, and patient survey results. Out of the thousands of hospitals that were a part of the comprehensive evaluation, only the top 5.8% (350) have been recognized. Lvh was also recognized by leapfrog and money magazine in 2022 as a best Hospital for maternity care. Criteria for this award included the following safety metrics: Hospital leapfrog rating of a or b, early elective delivery rate of less < 5%, nulliparous, term, singleton, vertex (ntsv) cesarean birth rate of < 23.6%, episiotomy rate of less than 5%, greater than 90% compliance with deep vein thrombosis prophylaxis, greater than 90% compliance with neonatal bilirubin screening prior to discharge, as well as better than expected Vermont oxford network performance for infant morbidity and mortality in very low birth weight babies.lastly, lvh-cedar crest maintains baby friendly designation, first received in 2017. Lvh-muhlenberg was surveyed by baby friendly usa in october 2022 and is awaiting the designation announcement.gynecology: ambulatory women's health is provided in the same lvpg and cwm practices noted above. Well-woman care is offered through a comprehensive pathway including all the elements recommended by the national women's preventive services initiative. It incorporates elements of screening and prevention beyond traditional gynecologic screening. Numerous women's health specialty programs now exist to support the unique needs for our patients. These programs include: chronic pelvic pain, sexual health, pediatric and adolescent care, advanced gynecologic ultrasound, and obesity medicine, with several others in development. Comprehensive and state-of-the-art surgical services include mis (minimally invasive surgery) interventions with robotically-assisted, laparoscopic, and vaginal surgery approaches. Beyond benign gynecologic services, preoperative consultation and evaluation of pre-invasive and invasive gynecologic malignancies (cancer care), pelvic floor disorders (urogynecology), and reproductive and infertility are also offered.ambulatory services - lvh's ambulatory services include health centers, express care, wound care, hyperbaric oxygen, health spectrum pharmacies, sleep disorder centers, endocrine testing, laboratory services, pulmonary function testing, imaging, cardiac and pulmonary rehabilitation as well as adult and pediatric outpatient rehabilitation. Lvhn continues to expand its portfolio of "health centers and as of june 2022, there were 18 situated throughout the Lehigh Valley. Core services in most of the health centers include primary care, basic imaging, rehabilitation services and/or lab services and two of the health & wellness centers located in allentown and bethlehem include fitness centers. Many of them also provide specialty care and breast health services.sleep disorder centers are located in allentown and bethlehem with additional home sleep testing unit pick up sites at the following locations: allentown (lvh-cedar crest and lvh-17th street), fogelsville, hamburg, moselem springs, bethlehem township, and palmer township. Patients in need of home sleep testing who have access to a smart device may elect a mail delivery option in which the sleep testing equipment would be mailed to his/her home with a link to an instructional video. After testing, the equipment is returned (hand delivered) to the sleep disorders center at the lvh-17th st. location.rehabilitation services - the division of rehabilitation provides comprehensive programs through a continuum designed to meet the needs of patients of all ages who are recovering from illness or injury. The division provides intensive rehabilitative medicine and nursing care combined with physical, occupational, and speech therapy services at its state-of-the-art inpatient rehabilitation centers with 34 beds at lvh-cedar crest and 28 beds at lvh-muhlenberg. For patients unable to tolerate aggressive therapy services, lvh provides short-term medical, nursing and rehabilitative care at its 52-bed transition skilled unit located on the lvh-17th street campus. The division also offers convenient and accessible outpatient therapy services serving the community with over 51 locations. In fy22, the outpatient division expanded access points to include new locations in pennsburg, at lvh-hecktown oaks and in carbon county. Additionally, the rehabilitation division offers advanced care in over 30 clinical specialty areas including neurologic rehab, orthopedics, sports medicine, women's health, oncology rehab, audiology, and pediatric therapy services. In fy22, the inpatient rehabilitation centers lvh-cedar crest and lvh-muhlenberg provided intensive rehabilitative service to 1,195 patients. Outpatient rehabilitation provided 238,809 patient visits at lvh-cedar crest and lvh-muhlenberg locations which was a 2.8% increase over fy21 volume. At a network level, lvhn's rehabilitation services division currently stands as the largest provider of rehabilitative care in the region with outpatient services exceeding 500,000 patient visits across all campuses.

The Lehigh Valley fleming neuroscience institute - the Lehigh Valley fleming neuroscience institute at Lehigh Valley health network serves approximately 32,000 neurology patients and 18,000 neurosurgery patients annually. The institute provides comprehensive treatment for stroke, brain tumors, seizures, aneurysms, spine conditions, trauma, and other neurological disorders. As a neuroscience institute patient care is enhanced through innovation, research, and medical education. Clinical research currently plays a significant and increasing role within neuroscience at lvhn, with 15-20 active neurologic clinical trials in progress at any one time. Lvhn provides advanced stroke services as a comprehensive stroke center at the lvh-cedar crest and emergency stroke care with a primary stroke center at lvh-muhlenberg. In 2019, lvh launched Pennsylvania's very first mobile stroke unit that brings life-saving stroke care to patients faster than traditional Hospital care. In addition to the stroke program, the division of neurology houses advanced programs for epilepsy, multiple sclerosis, movement disorders, headache, als, and neuromuscular disease. A four-bed epilepsy monitoring unit (emu) opened in 2019 as part of lvh's national association of epilepsy centers-recognized level 3 epilepsy treatment center. The fleming memory center serves the needs of elderly patients and their caregivers by centralizing clinical, educational and support services for people affected by dementia and alzheimer's disease. In fy21, the division of neurosurgery performed 1,767 surgical cases, including complex spine surgery, intercranial surgery utilizing augmented reality, emergency trauma neurosurgery, and functional neurosurgery for the surgical treatment of movement disorders. A neurointerventional team provides critical services supporting delivery of care for complex neuroscience patient population performing over 400 interventions on stroke patients in fy22.lehigh Valley orthopedic institute - the orthopedic service line is focused on the treatment of musculoskeletal disorders of the upper and lower extremities as well as the spine. Subspecialists with fellowship credentials provide services in the following centers of excellence: joint replacement, spine surgery, sports medicine, hand and wrist surgery, foot and ankle surgery, orthopedic trauma, and pediatric orthopedics. In fy22, there were over 10,000 total orthopedic procedures performed at lvh. Acute orthopedic services are provided at lvh-cedar crest, lvh-muhlenberg, lvh-hecktown oaks, coordinated health-bethlehem, lvh-carbon, and lvh-tilghman, which is the only area Hospital dedicated to orthopedic musculoskeletal surgery. The lvh orthopedic program is recognized by the blue cross and blue shield association as a blue distinction+ center and aetna as an institute of quality for joint replacement.perioperative services - perioperative services at lvh consists of the surgical and endoscopic staff and facilities where nearly 53,000 procedures are performed annually. Surgical procedures are performed in 68 operating rooms throughout lvh, including lvh-17th street, lvh-cedar crest, the lvh children's surgery center, lvh-muhlenberg, lvh-carbon, lvh-hecktown oaks, lvh-coordinated health bethlehem and the lvh-tilghman campuses. The children's surgery center located on the cedar crest campus provides specialized care for our pediatric population. Patient care in the operating room is supported by anesthesia services, surgical prep and staging, post anesthesia recovery, and sterile processing departments, among others. Lvh performs endoscopic procedures at six locations: lvh-cedar crest, the lvh children's surgery center, lvh-coordinated health bethlehem, lvh-carbon, lvh- hecktown oaks and lvh-muhlenberg. The operating room technologies and facilities include two hybrid operating rooms, a trauma code red operating room, 10 da vinci surgical robots, four orthopedic total knee replacement robots, and cardiac surgery operating rooms. Operating room nursing staff are trained to support multiple surgical disciplines including cardiac surgery, orthopedics, vascular surgery, urology, general surgery, transplant surgery, gynecologic surgery, pediatric surgery, and many others. Cutting edge endoscopic technologies include endoscopic ultrasound, endo-bronchial ultrasound and video capsule endoscopy.behavioral health services - lvh operates inpatient behavioral health programs for adolescents and adults. The combined programs total 65 beds and serves Lehigh, northampton, carbon, monroe, schuylkill, and berks counties. Clinical programs include psychiatric, psychological, nursing, dual diagnosis, psychiatric rehabilitation, social work, and discharge planning services. Lvh also provides ambulatory behavioral healthcare, including: psychiatric evaluation services in four Hospital emergency departments; three partial Hospital programs for adults and adolescents; several large outpatient group practices providing multidisciplinary short-term treatment to children, adolescents, adults and older adults; two outpatient mental health clinics for seriously and persistently mentally ill adults; psychiatric home care; and, two residential treatment sites, supporting and educating adults in independent living skills. Both of these sites and the clinics are funded in part, under a contract with Lehigh county department of human services through funds provided by county of Lehigh and the Pennsylvania department of public welfare; psychiatric home care services; behavioral health integration in medical/programs on medical/surgical inpatient units and ambulatory, primary care and specialty practices. Consultation/liaison psychiatry, education and research and service offerings to schools, street medicine (homeless), and other community agencies round out lvh's contribution to the health and well-being of the region. A psychiatric residency was established in 2019 and expanded in 2022. A child and adolescent fellowship program was established in 2021.trauma and burn services - in 1981, lvh-cedar crest became the first Hospital in Pennsylvania to be designated as a level i trauma center and is currently the second largest trauma program in Pennsylvania, evaluating 4,572 trauma patients in fy22. This program provides comprehensive trauma and burn care and serves as a major regional resource covering a 10-county area and a patient base of more than two million. Lvh-cedar crest is accredited as both a level i adult and a level ii pediatric trauma center, one of only two adult centers in Pennsylvania with this dual accreditation. Lvh-muhlenberg evaluated 1,851 trauma patients in fy22, and the Hospital was formally accredited by the state as a level ii trauma center in september 2021. The lvh trauma program provides a continuum of care with 12 trauma surgeons in-house at the cedar crest location and two full-time trauma surgeons 24x7 that cover the muhlenberg location. Both locations have nurses with specialized training that care for seriously injured patients in both the intensive care units as well as medical /surgical units. A trauma rehabilitation team completes this continuum of trauma care. Lvh-hecktown oaks campus is the latest addition to lvhn's network of trauma facilities. As a newly accredited level iv trauma center, lvh-hecktown oaks evaluated 308 trauma patients in fy22. They are also very active in the community and were involved in numerous outreach events including stop the bleed for Hospital as well as community members, in addition to training ems crews and boy scout troops in the surrounding area. Over 12,000 members of the surrounding community were educated through one or more of lvhn's trauma prevention offerings in the past year. Programs include safety town education for pediatrics and proper helmet fitting as well driving simulators for teens and fall prevention education for the geriatric population. As an active member of the trauma survivor network, the lvhn trauma program provided educational and support resources to inpatients during their Hospital stay as well as to outpatients. Lvh-cedar crest also secured a state grant to hire a violence prevention coordinator to work with the community in order to prevent the cycle of violence.