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. All five of Inova Health System's hospitals have been rated with 4 out of 5 stars in the most recent Centers for Medicare & Medicaid Services (CMS) Five-Star Quality Rating System report. The CMS five-star rating system 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 2020, IHCS admissions and observations cases totaled 129,369, outpatient visits totaled 611,906, emergency visits totaled 383,286 (21,299 of the total ER visits were at the Springfield Healthplex, 13,044 at the Lorton Healthplex, and 10,365 at the Ashburn Healthplex) and deliveries totaled 20,304. 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. 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 249-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). During 2020, as part of the "Pandemic Response Executive Order 52", the allotment to Inova Mt. Vernon Hospital was 12 beds. These are added to our licensed beds to bring the total from 237 to 249. 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 183-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 Fairfax Hospital (IFH) is the flagship campus for Inova Heart and Vascular Institute (IHVI). Inova Heart and Vascular Institute's clinical capabilities cover the full spectrum of complex cardiovascular and pulmonary care from medical evaluation and diagnostic testing to the most innovative minimally invasive surgical techniques and complex open surgeries. IHVI at IFH houses 209 inpatient beds, six cardiac and vascular operating rooms/hybrid ORs, an 11-room cardiac catheterization / electrophysiology / interventional radiology suite, 64-slice CT scanner and other diagnostic testing, outpatient clinics, cardiac rehabilitation and educational facilities. Services offered include: cardiac diagnostic services, cardiac imaging, cardiac catheterization, interventional cardiology, electrophysiology, cardiothoracic surgery and complex airway interventions, structural heart services, vascular surgery, vascular and interventional radiology, advanced lung disease and transplant program, cardiac and respiratory failure program, heart failure and transplant program and cardiac rehab. Additionally, in 2020 IHVI faculty had over 250+ publications in peer-reviewed journals in the past year, a high level of engagement and participation in major meetings and conferences throughout the world, and major growth in clinical trial enrollment. Finally, Inova's BioCore Laboratories were recently established for clinical and research testing. IHVI works with industry and a community of researchers to engage high priority clinical initiatives. The Inova Heart and Vascular Institute - Schaufeld Family Heart Center at Inova Loudon Hospital opened in 2005. It 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 2020, 8,135 patients were served by the cardiovascular program at ILH.The Inova Heart & Vascular Institute had over 184,264 patient visits in 2020 at its 5 hospitals, 35 ambulatory offices, and 23 non-invasive cardiovascular imaging and diagnostic service locations.

Inova Research Center - Medical StudentsThe Inova Research Center (IRC), including research and academic activities, is centered on the Inova Fairfax Hospital. In 2020, The Inova campus of the Virginia Commonwealth University School of Medicine had a total of 28 fourth year medical students who spent their clerkship and fourth year at Inova Fairfax Hospital. In addition, 312 students came to Inova Hospitals for a four week rotation in 2020.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 an increasing number of pharmacy students each year. In 2020, 43 third and fourth year pharmacy students completed didactic and experiential learning experiences across Northern Virginia with the Inova Health System. Pharmacy practitioners precepted 106 Introductory Pharmacy Practice Experiences (IPPEs) and Advanced Pharmacy Practice Experiences (APPEs), with the great majority of students from the VCU School of Pharmacy and six students from other Colleges of Pharmacy. With the advent of the Shenandoah School of Pharmacy at the Inova Center for Personalized Health beginning in 2017, system wide, Inova precepted 13 IPPE's, 46 APPE's by non-Shenandoah faculty and 35 IPPE's, 46 APPE's by Shenandoah University faculty during 2020.In addition, there are pharmacy post-graduate training opportunities offered at three Inova institutions. Inova Fairfax Hospital offers 4 PGY-1 Pharmacy Practice Residency positons, as well as a PGY-2 Emergency Medicine Pharmacy Residency position and a PGY-2 Critical Care Residency position. Inova Alexandria and Inova Mount Vernon Hospitals each offer 2 PGY-1 Pharmacy Practice Residency positions, as well as one PGY-2 Ambulatory Care residency position for a total of 11 post-graduate training opportunities across Inova Health System. The 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 2020 was $15.4 million.Residents/FellowsInova sponsors accredited residency training programs in: Pediatrics, General Surgery, Internal Medicine, OB/GYN, Neurosurgery and Podiatry. In addition, Inova also sponsors accredited fellowships in Surgical Critical Care, Pediatric Emergency Medicine, Cardiology, and Bariatric surgery. Inova supports training programs from affiliates in Emergency Medicine, Psychiatry, Orthopedics, Ophthalmology, Family Practice, and medical and surgical specialties. In all, Inova trained 727 residents/fellows from 19 specialties in 2020. 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 unreimbursed cost of these programs in 2020 was $16.4 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 2020, 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 $28.9 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 Level (FPL). The clinics work in partnership with the 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, social work, family planning, and nutritional counseling. In 2020, ICCW provided over 39,451 patient encounters for over 8,847 patients, 2,653 newly established. Additionally, ICCW supported over 2,904 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 2020, the Inova Cares Clinic for Children provided 22,028 clinical services to over 6,700 patients and 1,154 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 1,664 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 six satellite clinics (Dumfries, Manassas, Mt. Vernon, Falls Church, Leesburg, and Herndon), hospitals, homes, and other community locations throughout the region.Major accomplishments of IJP for 2020 include:Served 1,664 patients living with HIV, providing 37,523 services.Provided 6,748 medical case management services to 724 Ryan White funded clients living with HIV. Provided 472 clients with mental health services and 26 clients with substance abuse outpatient care.Conducted 110 hours of education and capacity building reaching 784 participants.Conducted 122 HIV tests (primarily at-home tests due to COVID-19) with known seroprevalence of 4% across Northern Virginia.Successfully adapted to primarily 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.Life with Cancer Life with Cancer, the integrative therapies and wellness program of the Inova Schar Cancer Institute, has become Northern Virginia's premier cancer education and psychosocial support organization. A variety of integrative therapies, wellness programs, groups, education classes and individual counseling are offered to patients (adults and children), in active treatment and survivorship. Support and information is also provided to 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, and how to maintain physical and psychological health. The Life with Cancer team includes a psycho-oncologist, oncology trained clinical therapists, nurse navigators, dietitians, fitness professionals, acupuncturists, and massage therapists. Life with Cancer's individual facilities are strategically located throughout the Northern Virginia area with the centerpiece of care provided at the Life with Cancer Family Center. By the close of 2020, Life with Cancer had provided 40,105 service hours, in-person and via telehealth, which included 1,850 educational classes, groups and wellness programs for adults, children and adolescents with 21,759 participants. 12,362 individuals alone participated in exercise/activity programs and Life with Cancer expert dietitians provided 2,195 nutrition counseling appointments to adults and children with cancer as well as caregivers. The Pediatric Program, led by a Pediatric Chief Psychologist, provided the highest quality pediatric care, education, and support for patients and families through more than 3,322 encounters. Life with Cancer psycho-oncologist, who provides whole-person, humanistic, and patient-centered care conducted 1,025 patient consultations. In 2020, there were 3,384 inquiries to the Life with Cancer Connect Line, a critical touch point for patients and families to schedule counseling and educational consults, have questions answered about programs and classes and find help in identifying community resources.Inova Lions Eye ClinicAdministered by Inova Health System (IHS), the Ophthalmology Clinic provides ophthalmic specialty services to the indigent including treatment of glaucoma, retina, and cataracts. IHS provides a part-time ophthalmologist, an ophthalmic technician, and a receptionist for the clinic. The remaining physicians volunteer their services. In 2020, Inova Lions Eye Clinic significantly reduced services in the spring and early summer in response to the COVID-19 pandemic given that the clinic's services are not conducive to telemedicine visits. As a result the number of unique patients dropped to 925 and the total visits to 3,246.