Inova Health Care Service (IHCS)

Inova Health Care Services (IHCS) is part of the Inova Health System whose mission is to serve the needs of the community by establishing, maintaining, and operating hospital facilities, programs, and other shared service arrangements; carrying on health-related education activities; promoting and conducting scientific research; and engaging in activities designed to promote the general health of the community. Three of Inova Health System's hospitals have been rated with 5 out of 5 stars in the most recent Centers for Medicare & Medicaid Services (CMS) Five-Star Quality Rating System report. A CMS five-star quality rating is based on extensive data that measures patient experience, infection rates, readmissions and mortality.IHCS includes a centralized System Office and the various unincorporated and incorporated subsidiaries. The unincorporated subsidiaries of IHCS include: Inova Fairfax Hospital, Inova Mount Vernon Hospital, Inova Fair Oaks Hospital, Inova Alexandria Hospital, Inova Loudoun Hospital, ACCESS of Reston, ACCESS of Fairfax, Inova Research Center, Assisted Living Facilities, Inova Physical Rehabilitation Services, Inova Urgent Care Centers, Inova Employee Assistance, and Behavioral Health and Addiction Treatment.PROGRAM SERVICESAcute care services are provided on three campuses in Fairfax County, one campus in Loudoun County, and one campus in the City of Alexandria in Virginia. Services provided include emergency and trauma facilities, inpatient and outpatient services, and a variety of ancillary and specialized services. During 2022, IHCS admissions and observations cases totaled 110,026, outpatient visits totaled 592,323, emergency visits totaled 357,641 (28,088 of the total ER visits were at the Springfield Healthplex, 20,739 at the Lorton Healthplex, and 15,367 at the Ashburn Healthplex) and deliveries totaled 16,596. The acute care program services provided by these hospitals are described more fully below. Inova Fairfax Hospital (IFH) includes the Inova Heart and Vascular Institute, Inova Women's Hospital, Inova Fairfax Hospital for Children, and the Inova Schar Cancer Institute. The hospital, located in Central Fairfax County is a 928-licensed bed tertiary care hospital providing comprehensive medical and surgical services which include emergency/trauma, cardiac, transplant, cancer, obstetric, pediatric, neonatal, stroke, and extensive outpatient services. During 2020, as part of the "Pandemic Response Executive Order 52", IFH shifted 20 beds from IFH to ILH. During 2022, IFH had an additional 115 beds in service in response to COVID-19 cases. Inova Fairfax Hospital is the home of Northern Virginia's only Level 1 emergency and trauma center and the state-of-the-art Women's and Children's Center. In addition, Inova Fairfax Hospital is a teaching hospital providing clinical training through medical residency, nursing, and paramedical education programs.Inova Mount Vernon Hospital (IMVH) is a 237-licensed bed acute-care hospital serving Southeastern Fairfax County. Inova Mount Vernon Hospital provides a full-service, 24-hour emergency department; broad range of diagnostic, medical, and surgical services; inpatient psychiatric services; the Dorothea R. Fischer Wound Healing Center, and a specialized hyperbaric oxygen therapy program used to treat conditions requiring increased oxygen flow to body tissues (such as grafts and certain types of burns). Inova Mount Vernon Hospital also operates the Lorton Healthplex, a 24-hour free standing emergency facility and the Inova Center for Rehabilitation, a nationally-known accredited program providing inpatient and outpatient rehabilitative services.Inova Fair Oaks Hospital (IFOH) is a top-ranked 174-bed acute care community hospital serving the rapidly growing suburbs of Northern Virginia. Signature service lines include spine, weight loss, joint replacement, and minimally invasive surgery. During 2020, as part of the "Pandemic Response Executive Order 52", IFOH shifted 8 beds from IFOH to ILH. State-of-the-art cancer care and maternity services are also signature offerings. Inova Fair Oaks Hospital is a fully accredited Comprehensive Center for Bariatric Surgery. Inova Alexandria Hospital (IAH) is a 302-licensed bed general acute care hospital, which opened on January 23, 1873. Inova Alexandria Hospital provides a spectrum of diagnostic services, including full-body CT scanning, MRI, and a cardiac catheterization laboratory; a variety of inpatient medical, surgical, and orthopedic services; comprehensive outpatient services, including outpatient surgery, physical medicine, and rehabilitation; and a 24-hour emergency department as well as the Springfield Healthplex, a free standing emergency facility. In addition, specialized obstetric and pediatric services are provided by the hospital's Maternal and Infant Health Center and a children's unit. Inova Loudoun Hospital (ILH) is a 211-licensed bed general acute care hospital, which first opened its doors in 1912. During 2020, as part of the "Pandemic Response Executive Order 52", ILH received 20 beds from IFH and 8 beds from IFOH. These were added to bring the total licensed-beds from 183 to 211. ILH provides a full-service 24-hour emergency department as well as two freestanding emergency rooms; 23 intensive care beds; a spectrum of diagnostic services, including full-body CT scanning, MRI, and a cardiac catheterization laboratory; a variety of inpatient medical, surgical, and orthopedic services, and comprehensive outpatient services including outpatient surgery, physical medicine and rehabilitation services, and radiation therapy. In addition, obstetrical and pediatric services are provided by ILH's Ladies' Board Birthing Inn, a pediatric emergency department and an inpatient pediatric unit. Specific acute care programs include:Cardiovascular Care: Inova Heart and Vascular Institute ("IHVI") offers a variety of services at all five Inova Hospitals and in nearly 60 outpatient locations throughout the Northern Virginia region. Inova Fairfax Hospital is home to IHVI's dedicated heart hospital, which serves as the hub of the system's cardiac, vascular and pulmonary services. IHVI's clinical capabilities cover the full spectrum of complex cardiovascular and pulmonary care from medical evaluation and diagnostic testing through the most innovative minimally invasive surgical techniques and complex open surgeries, including heart and lung transplantation. IHVI's outstanding performance has been recognized by many measures, including U.S. News & World Report (2021-2022) rankings as "High Performing" in seven cardiac specialties: abdominal aortic aneurysm (AAA) repair, aortic valve surgery, heart attack, heart bypass surgery, heart failure and transcatheter aortic valve replacement (TAVR). IHVI has also achieved recognition from the American College of Cardiology as a "Proven Quality Program" for its participation and performance in the National Cardiovascular Data Registry (NCDR) database, 3-star ratings (the highest rating) from the Society of Thoracic Surgeons, and ratings from Healthgrades as one of "America's 100 Best Hospitals for Cardiac Care", "America's 50 Best Hospitals for Cardiac Surgery and "Pulmonary Care Excellence Award". The AHA recognized IHVI as a Mitral Valve Repair Reference Center Award and Extracorporeal Life Support Organization (ELSO) awarded IHVI as a Gold Award of Excellence. IHVI is ranked among the nation's top performing hospitals for patient safety, patient satisfaction and clinical outcomes.IHVI is also a leader in minimally invasive heart valve repair and surgery. Inova Heart and Vascular Institute operates one of the country's busiest structural heart programs (13th in the country), performing minimally invasive transcatheter procedures to treat valvular heart disease and other heart defects. Additionally, IHVI is 14th in the nation in number of Heart Transplants and with excellent outcomes, making Inova one of the top heart transplant programs in the country. The IHVI multidisciplinary cardiogenic shock team is a model of excellence having set a new standard for patient survival rates. The robust Cardiology and Advanced Lung Research Programs provide innovative research to keep IHVI on the leading edge of diagnosis and treatment options for the community.The Inova Heart and Vascular Institute - Schaufeld Family Heart Center at Inova Loudon Hospital provides cardiac catheterization and electrophysiology services, a 64-slice CT scanner and other diagnostic testing. The Inova Heart & Vascular Institute at Loudoun Hospital has grown in the last few years to better serve the growing community, adding procedure rooms and capacity. In 2022, 19,222 patient visits occurred within the cardiovascular program at ILH.

Inova Research Center - Medical Students The Inova Research Center (IRC), including research and academic activities, is centered at Inova Fairfax Hospital. In 2022, The Inova Campus of the University of Virginia had a total of 47 third year and 36 fourth year medical students who spent their clerkship and fourth year at Inova Fairfax Hospital. In addition, 273 students came to Inova Hospitals for a four-week rotation in 2022.Pharmacy Students and ResidentsAlso located on the Inova Campus is the VCU School of Pharmacy which partners with clinicians and practitioners across Inova and Northern Virginia to help educate and train numerous pharmacy students each year. In 2022, 67 third and fourth year pharmacy students completed didactic and experiential learning experiences across Northern Virginia with the Inova Health System. Pharmacy practitioners precepted 74 Introductory Pharmacy Practice Experiences (IPPEs) and Advanced Pharmacy Practice Experiences (APPEs) for VCU School of Pharmacy students. Shenandoah School of Pharmacy opened a campus at the Inova Center for Personalized Health (ICPH) in 2017. During 2022, Inova pharmacy practitioners and Shenandoah faculty collectively precepted 37 IPPE's and 84 APPE's.Additionally, Inova has a total of 12 pharmacy post-graduate training opportunities offered across 4 locations.Inova Fairfax Hospital (IFH):4 PGY-1 Pharmacy Practice Residency1 PGY-2 Emergency Medicine Pharmacy Practice Residency1 PGY-2 Critical Care Pharmacy Practice ResidencyInova Alexandria Hospital (IAH):2 PGY-1 Pharmacy Practice ResidencyInova Mount Vernon Hospital (IMVH):2 PGY-1 Pharmacy Practice ResidencyInova Health System:1 PGY-2 Ambulatory Care Pharmacy Practice Residency2 PGY-1 Community Pharmacy Residency1 PGY-2 Medication-use Safety ResidencyThe Claude Moore Health Education CenterThe Claude Moore Health Education Center on the campus of Inova Fairfax Hospital features 11,000 square feet of space dedicated to the educational needs of medical and nursing students as well as residents and fellows. This state-of-the-art Center includes both medical and surgical simulation centers, enabling students to learn through hands-on experience. The Center features two dedicated research floors to support the extensive activities of the Office of Research at Inova where numerous active clinical trials and ongoing outcomes and laboratory research projects are conducted. Many of these clinical and research opportunities are conducted in partnership with universities and other research entities. The unreimbursed cost of these programs in 2022 was $20.4 million. Residents/FellowsInova sponsors accredited residency training programs in: Family Medicine, Pediatrics, General Surgery, Internal Medicine, OB/GYN, Neurosurgery and Podiatry. In addition, Inova also sponsors accredited fellowships in Surgical Critical Care, Pediatric Emergency Medicine, Pediatric Hospitalist Medicine, Cardiology, Hematology/Oncology, Orthopedic Sports Medicine, Family Sports Medicine, Breast Surgery, and Bariatric surgery. Inova supports training programs from affiliates in Emergency Medicine, Psychiatry, Orthopedics, Ophthalmology, Family Practice, Critical Care, Anesthesia, PM&R and a number of other medical and surgical specialties. Inova also supports integrated fellowships with National Capital Consortium in Vascular Surgery, Female Pelvic Medicine and Reconstructive Surgery, and Gynecology/Oncology. In all, Inova trained 700 individual residents/fellows (260 FTEs) from 34 specialties in 2022. As a teaching facility, Inova Fairfax Hospital incurs typical, additional expenses associated with teaching facilities including physician teaching costs and resident salaries, the cost of maintaining higher levels of technology required to support a teaching program and charges resulting from extra tests ordered for instructional purposes. The direct cost of these programs in 2022 was approximately $10.9 million

Each year, IHCS designates funds for the development and continuation of identified, accessible direct care programs and services benefiting those most in need in the community. Many of these programs and services are not billed to the patient or are provided at a fee structure below the actual cost of the service. In addition to providing the direct care subsidized service, Inova also provides disease-prevention programs, health and exercise classes, health education and health screenings and other programs within the community in support of the IHCS mission. In 2022, Inova provided over 250,000 people with health education, prevention and wellness programs, health fairs and screenings, and clinically related services resulting in over 130,000 visits for direct health care services at an unreimbursed cost of approximately $39.0 million. These services and programs are described below. Inova Cares Clinic for Women and ChildrenThe Inova Cares Clinic for Women (ICCW) was created in 1960 to serve the uninsured women of Fairfax County, offering a wide range of OB/GYN services for those in need. This program is a service offered to the community in collaboration with the local Health Departments, serving uninsured and low-income patients up to 400% of the Federal Poverty Guidelines (FPG). The clinics work in partnership with the Alexandria City, Fairfax and Loudoun County Health Departments, IFH, and ILH to promote early and continuous prenatal care for the culturally diverse population who are its patients. Inova Cares Clinic for Women provides comprehensive outpatient obstetrical services and gynecological care as well as non-stress testing, and LEEP and colposcopy procedures at little to no cost to the patient. The clinic provides specialty gynecological care services as well, including maternal fetal medicine, GYN/Onc and Uro/GYN. In addition to medical services, the clinic also provides support services including radiology, laboratory, genetic testing, diabetes management, case management, behavioral health, family planning, and nutritional counseling. In 2022, ICCW provided over 38,716 patient encounters for over 5,558 patients, 3,841 newly established. Additionally, ICCW supported over 1,749 deliveries at Inova medical campuses. The Inova Cares Clinic for Children (ICCC) was created in 1993 as a response to the inability of uninsured or Medicaid mothers to secure an affordable medical home for their children. ICCC is recognized as an accredited Patient Centered Medical Home by the National Committee for Quality Assurance, and serves as a medical home for newborns up to 21 years of age. The Inova Cares Clinic for Children provides comprehensive pediatric services that includes well-child care, immunizations, episodic care (sick visits), and school/sports physicals, immunizations, and nutritional counseling. In 2022, the Inova Cares Clinic for Children provided 21,841 clinical services to over 6,969 patients and 1,876 newly established patients.Inova Alexandria Hospital (IAH) OB ClinicIAH donates space on the campus to the Casey Clinic, a community health center currently run by Neighborhood Health, a Federally Qualified Health Center that is funded by the State of Virginia, Alexandria Health Department and the City Of Alexandria to provide primary healthcare services to low-income and uninsured children and adults that are residents of the City of Alexandria. IAH funds the clinic physicians who provide OB patient prenatal examinations and delivery at Inova Alexandria Hospital. Inova Juniper Program, HIV Clinical and Education ServicesInova Juniper Program (IJP) provides outpatient primary medical care, mental health therapy, substance abuse counseling, pharmaceutical assistance, and medical case management services to 1,580 Ryan White funded persons living with HIV disease in the suburban Virginia region. To maximize accessibility for clients, services are provided at the main location in Fairfax, as well as five satellite clinics (Dumfries, Manassas, Mt. Vernon, Leesburg, and Herndon), hospitals, homes, and other community locations throughout the region. Major accomplishments of IJP for 2022 include:Served 1,580 patients living with HIV, providing 23,453 services.Provided 1,968 medical case management services to 627 Ryan White funded clients living with HIV. Provided 231 clients with mental health services and 8 clients with substance use outpatient care.Conducted 108 hours of education reaching 169 participants.Conducted 98 HIV tests, with known seroprevalence of 2% across Northern Virginia.Provided both in-person and virtual prevention and education programs to support, motivate and educate healthcare professionals, the public, and people living with HIV. Programs are targeted to incarcerated men and women, men who have sex with men, youth, and the general population. HIV testing, outreach groups and patient navigation services are also provided.Inova Pride ClinicIn 2022, Inova Pride Clinic opened as the first LGBTQ+ focused primary medical care home in Northern Virginia. For patients 12 years and older, services provided include preventive services, healthcare screenings, chronic care and behavioral health services. In 2022, the Inova Pride Clinic served 432 unique patients, with a total of 1,290 encounters. Inova Cares Clinic for Behavioral Health Newly opened in 2022, Inova Cares Clinic for Behavioral Health provides mental health counseling services for adults. The clinic serves patients 18 and older who are approved or eligible for Inova Financial Assistance Program or covered by Virginia Medicaid plans. The purpose of the program is to provide therapeutic support to those experiencing mild to moderate mental health conditions in an effort to reduce unwanted symptoms and improve wellbeing. In 2022, the Inova Cares Clinic for Behavioral Health provided mental health services to over 50 patients with 100 visit encounters. Life with Cancer Life with Cancer, part of the Inova Dwight and Martha Schar Cancer Institute, has become Northern Virginia's premier cancer education, wellness, and psychosocial support organization. A variety of integrative therapies, wellness programs, groups and classes are offered to patients (adults and children), survivors, family members (adults and children), friends and staff as well as community organizations. Programs are evidence-based [supported by Society of Integrative Oncology (SIO), The American Society of Clinical Oncology (ASCO) and the National Comprehensive Cancer Network (NCCN)] and designed to help individuals and the community understand cancer, cancer treatments, survivorship, grief and bereavement and how to maintain physical and psychological health. Life with Cancer's facilities are strategically located throughout the Northern Virginia area with the centerpiece of outpatient care provided at the Life with Cancer Family Center, adjacent to Inova Fairfax Hospital. At all Inova Schar Cancer Institute (ISCI) locations, Life with Cancer clinical staff are fully integrated into the multidisciplinary care teams through a disease-based model that ensures the best patient experience possible. Life with Cancer is primarily supported by generous donations from the community, and therefore, all services are available at no charge with minimal exceptions, no matter where the patient's cancer treatment is received. Those exceptions include psychiatry, which is billed to insurance, and oncology massage and acupuncture, for which patients may pay for additional sessions beyond what is offered for free. In 2022, philanthropic funds allowed Life with Cancer to offer three free oncology massage sessions and six free acupuncture sessions to cancer patients. By the close of 2022, Life with Cancer had provided 30,523 clinical patient encounters, in-person and via telehealth, which included 1,908 educational classes, groups and wellness programs for adults, children and adolescents with 27,993 participants. 15,236 individuals alone participated in exercise/activity programs and Life with Cancer dietitians provided 7,405 nutrition counseling appointments to adults and children with cancer as well as caregivers. The Pediatric Program provided the highest quality pediatric care, education, and support for patients and families through more than 4,100 clinical encounters. Life with Cancer psycho-oncologist, who provides whole-person, humanistic and patient-centered care conducted 1,157 patient consultations.