Pinnacle Health Medical Services

Pinnacle Health Medical Services (PHMS) is a tax-exempt entity that is primarily engaged in the provision of physician services. The physician services provided within PHMS support and enhance the services of UPMC Pinnacle Hospitals and the UPMC Pinnacle system. It provides first class preventative care to the community as well as collaborates with its affiliates to improve the quality of healthcare, and the patient's experience. PHMS provided free care during the year in the amount of $2,026,672. Based on total expenses, the three largest physician services included within PHMS are: PHMS Specialty - the specialties practices comprise 64% of the total program expenses of PHMS. The specialty practices currently operate 98 specialty sites throughout Central Pennsylvania. During the Fiscal Year ended June 30, 2023, specialty site visits totaled 906,023. Management considers the investment in specialty services critical in maintaining an integrated delivery system and to the future success of UPMC Pinnacle. Twenty new specialty practices opened in FY2023 including the following: Pain Management & Addiction Services, York Ear, Nose and Throat, Cumberland Valley OBGYN, Pediatric Orthopedics, Pinnacle Health Dialysis Access Center, Childrens Neurosurgery, Ortho Care Centers HanoverAnnvilleCarlisleHersheyShi... Neonatology (Carlisle), Plastic Surgery Carlisle, Reconstruction Surgery, and Yorktowne Urology. The specialty physician practices include the following: Surgical Associates - on April 1, 2010, Pinnacle Health Surgical Associates came to fruition when the general surgeons and staff of Capital Area Surgical Associates and Susquehanna Surgeons joined the UPMC Pinnacle network. Excellent surgical care doesn't just happen. It's the combination of skilled surgeons, the latest technology and equipment and the expertise of the operating room team working together. The more advanced, the more precise, the better outcome for the patient. PHMS has a long history of providing the finest surgical care in Central Pennsylvania, dating to the opening of our first operating room in 1900. Today, our outstanding team of general surgeons at Pinnacle Health Surgical Associates continues the tradition of excellence by performing a wide range of open and minimally invasive procedures. The team includes board certified and fellowship trained physicians who provide superior surgical skill and care. Wound & Hyperbaric program - this program opened in January 2010. It provides expert medical care for chronic wounds that have failed previous methods of treatment. The use of specialized intensive wound therapies and, in specific circumstances, the approved use of hyperbaric oxygen therapy enhances the healing process in an attempt to return patients to the highest level of daily functioning and healing. Also, the implementation of an in-patient consultation program at the hospitals allows for optimal patient follow-up and referrals. The program also provides for increased educational programs for area physicians, residents and medical students in this specialty. Rheumatology - opened for business on March 1, 2010. PHMS' Rheumatology office was founded to diagnose and treat the surrounding community that experienced constant pain with rheumatic diseases. Whether faced with an inflammation of the joints, tendons or muscles, or constant pain, Pinnacle Health's rheumatology doctors help diagnose the condition and find the course of treatment suitable for each individual. Many types of rheumatic diseases are not easily identified in the early stages and because some are more complex than others, more than one visit may be necessary. As such, our rheumatologists work closely with patients to design individualized treatments that meet their needs. Pinnacle Health Neurologists and Neurosurgery - this program was established to meet the emergent need for neurologists in Central Pa. Coverage for inpatient physician coverage at UPMC Pinnacle Hospitals is its primary focus, as well as establishing and growing outpatient services to address community needs. This department also provides the emergent need in Central Pa of skilled neurosurgeons. Pennsylvania Neurosurgery and Neurosciences Institute joined this practice in September 2013 and PA Neurological Associates joined in November 2013. Pinnacle Health Endocrinologists - this program was established in January 2005 and provides both inpatient and outpatient services. Pinnacle Health Endocrinology Associates provides comprehensive care for all endocrinology disorders, especially complex patients with diabetes. We specialize in insulin pumps, continuous glucose monitoring, thyroid disorders including thyroid biopsies, thyroid cancers, comprehensive care for osteoporosis with specialized nurse care, and all the other endocrine disorders including polycystic ovary syndrome, adrenal, and pituitary diseases. Pinnacle Health Infectious Disease Associates - this program was established in January 2005. Pinnacle Health Infectious Disease Associates specializes in the treatment of any organ infection and infectious diseases including, but not limited to, osteomyelitis, lyme disease, meningitis, HIV, and hepatitis C. Both inpatient and outpatient services are provided, which includes a travel clinic. Pinnacle Health Palliative Care - the focus of this program is on the inpatient care of patients during the final months or days of their lives, seeking to improve both the balance of care via comfort and dignity and the quality of pain relief treatment. In the role as the pain team of the system, the palliative care specialist will be available to any patient who is in need of specialized assessment and treatment of difficult or intractable pain. This dovetails nicely with the cancer center program. End-of-life care has been identified nationally as a moment of time which takes up an inordinate amount of health care resources, with great variation geographically and little in the way of demonstrable value; dying with dignity is an option that all of us should have at the end of life. Breast Cancer Center - this program has been established to provide patients with East and West Shore locations for their breast care needs, including breast health surgeons, breast health nurse specialists, certified mammographers, radiologists, pathologists and physical therapists, all of whom are committed to providing the most up-to-date technology and care for complete breast health. The Women's Cancer Center is a unique practice, serving patients on both the East and West Shores, addressing the preventive, diagnostic, surgical, medical, and chemotherapy needs of women with gynecologic cancer and other complicated conditions of the female reproductive system. Radiation Oncology - this practice opened in June of 2013, giving patients the most advanced technology in Central PA. Our superior treatment capabilities allow us to provide the patient with shorter treatment times and fewer side effects while eliminating their cancer cells. We maintain a high level of skill and expertise while paying careful attention to the patient's comfort and concerns. Hematology Oncology - located in the Medical Sciences Pavilion on the Community campus, this practice specializes in the use of medications, such as chemotherapy, hormones, and pain medications in the management of cancer. The practice has also opened a second location on the West Shore for patient convenience. Psychological Associates - this practice is staffed by licensed, Masters level, Psy.D. and Ph.D. clinicians who provide individual, family or marital evaluations, therapy, and medication management as needed to all ages. We also offer group therapy should you and your therapist determine it would be helpful. Groups include the anger management group, mom's navigating through life group, and adolescent groups. Pinnacle Health Obstetrics and Gynecology Specialists - this practice opened in October 2013 and is committed to providing exceptional medical care to women throughout their lives. This team of culturally sensitive providers uses the most up-to-date information and procedures to deliver the best obstetric and gynecologic health care to their patients. Whether a pregnancy is progressing normally or a patient needs specialized care, PHMS' team of doctors, nurses, specialists, and educators provide the highest level of care while also focusing on making the birth experience as positive as possible. Maternal Fetal Medicine of Central Pennsylvania is a practice dedicated to caring for women with high-risk pregnancies if they and their babies need special care. Services include perinatal/preconception consultation and fetal echocardiography.

PHMS Clinics - the clinics comprise 10% of the total program expenses of PHMS. There are 9 clinic facilities throughout Central Pennsylvania that provide patient care to the surrounding communities. During the Fiscal Year ended June 30, 2023, clinics had visits that totaled 76,717. The clinics mainly serve an un-insured, under-insured, and large medical assistance community as it lives out its mission statement to be a charitable organization dedicated to maintaining and improving the health and quality of life. The clinics include the following: Kline Health Center - This program provides primary and specialty care to a largely urban population. While the practice does see private patients, much of the population served is of low income and/or underinsured. Since many of our patients rely on public transportation, Kline is able to meet many of the patient's needs at one location. Resident physicians, under the supervision of board certified physician faculty as well as specialty physicians, come to Kline to see patients for their orthopedic, endocrine, neurological, infectious disease, and surgical needs. The office is managed by a full-time RN who oversees a staff of medical assistants and other office support staff to meet the needs of the patients and providers. Children's and Teen Center - This program provides primary, acute, and preventative care plus some specialty services for children newborn through 18 years of age. Specialty services include neonatal developmental care, lead poisoning diagnosis and follow-up, pediatric neurology, and care for children infected with HIV. Women's Inpatient Services - This program provides comprehensive inpatient obstetrical and gynecological services to a patient population consisting largely of a managed care medical assistance patient base. This program was established in 2007. Women's Outpatient Health Center - This program provides comprehensive outpatient obstetrical and gynecological services to a largely managed care medical assistance patient population. Pinnacle Health Resource Education and Comprehensive Care for HIV (REACCH) - This program was established to provide primary and specialty medical care for people (including pregnant women and their exposed infants) who are HIV-positive as well as to provide support services for these patients. Additional services provided to this patient population include nutritional counseling, transportation to medical appointments, vision care, assistance with medication co-payments, and assistance with mental health counseling and psychiatric care. The program is partially grant funded and also provides reimbursement to UPMC Pinnacle for services rendered to patients who are HIV-positive and are either uninsured or underinsured. As part of our mission to provide access to care and to accommodate those patients who need care at times when our primary care offices cannot assist them, PHMS has 19 Retail Clinics. With access to patients' medical records from their recent primary care visits, the clinics provide seamless follow up care. The Retail Clinics are open seven days a week with evening hours and no appointments are necessary. Total patient visits were 153,564 in Fiscal Year 2023.

PHMS Medical Group- the primary care practices comprise 26% of the total program expenses of Pinnacle Health Medical Services. Primary care services are currently provided through 54 family care centers located in the surrounding Central Pennsylvania communities. During the Fiscal Year ended June 30, 2022, primary care patient visits totaled 548,316. Family care added three new practices in Fiscal Year 2023. The new offices are Security Family Medicine, UPMC Associates in Family Medicine, and Hershey Primary Care. The addition of these primary care locations supports UPMC Pinnacle's local focus and commitment to the community while giving patients increased access to the UPMC Pinnacle family for specialty care and advanced technology for diagnosis and treatment.

West shore surgery center (wssc) - the west shore surgery center is a limited partnership in which Pinnacle Health Medical Services is the general partner with a 2% controlling interest and upmc Pinnacle hospitals is a limited partner with a 45% interest. The remaining 53% interest is held by various physicians from the area.