When Homeland Employee Wellness Coordinator Roxane E. Hearn, PhD sees Homeland Center staff wearing scrubs that have grown baggy from weight loss, it warms her heart.

“You see them moving faster,” she said. “They say they’re not as tired on their shift or feel they have more energy to spend time with family.”

“Dr. Rox,” as she is affectionately known, is a resource for helping to keep Homeland Center and Homeland at Home staff healthy and on their toes. For American Heart Month this February, she offered fun incentives and challenges to protect the hearts that, in turn, protect Homeland’s residents and patients.

A human heart at peak condition keeps the body energized and alert. When the heart pumps blood properly, a person stays focused and avoids fatigue. Shortness of breath makes it hard to push carts of meals or medical supplies through the halls. The body is strong enough to help a resident move around the room or get out for an activity they enjoy, whether listening to a musician or making a craft.

A healthy heart also shows up outside of work, giving staff the motivation and energy to play with children, exercise, and enjoy a favorite hobby. All are essential to the work-life balance that equips Homeland staff to manage life’s daily stressors.

Put it all together, and Homeland keeps its heart-health initiatives beating. Dr. Rox is a National Board-Certified Health and Wellness Coach with a doctorate in health psychology, a certification in functional nutrition counseling, and has recently begun to place strong emphasis on the use of a functional medicine approach to health and wellness in the Homeland employee population. Functional medicine doesn’t replace traditional medicine. Instead, it takes a holistic view that considers the whole person and seeks to identify and address the root causes of health issues, aiming to understand the underlying imbalances or dysfunctions that contribute to symptoms.

“Hearts don’t always send warning signs when they start becoming unhealthy; even when they do, people often ignore them,” Dr. Rox said. “It is imperative to teach employees to listen to their bodies and get their preventative screenings.”

She provides blood pressure screenings and helps staff see signs of approaching danger in all by understanding the medical terms on their lab tests. From there, she recommends steps for improvement. As she likes to say, family predispositions to heart-related conditions, such as high blood pressure and high cholesterol, are no excuse for complacency.

“Genetics may load the gun, but lifestyle and diet pull the trigger,” she said. “With that in mind, you do have some control. You can change the trajectory.”

For American Heart Month, Homeland staff participated in the Commit to Fit Wellness Challenge, a six-week mobile app-based program that helps employees take proactive steps towards healthy lifestyle goals. Participants receive points for tracking physical activity, taking steps, rating their nutrition, and checking their weight routinely. Cash rewards are given through the challenge to support their efforts.

Additionally, Heart Healthy 7-Day Meal Plans approved by a Registered Dietician with the matching grocery list and step-by-step recipes were emailed and posted on the Homeland Employee Wellness Board. The meal plan focused on key nutritional considerations for a healthy heart and recommended meals that were low in sodium and reduced saturated fats and included healthy omega-3 fats, fiber, and plant sterols that block cholesterol absorption in food.

“We are now starting to teach the employees how to use food as medicine. We are empowering them to take charge of their health by not just telling them what to do but teaching them and giving them the tools to execute,” said Dr. Rox.

The emphasis on heart and overall health doesn’t end after February. Every quarter brings a new wellness challenge. Webinars zero in on specific health topics, such as fighting inflammation or maximizing digestion. One-to-One health coaching by Dr. Rox provides personalized support for employees by helping them set and achieve their health goals. This support includes tailored guidance on nutrition, exercise, disease management, stress reduction strategies, and overall wellness. Through regular meetings both in person and via a telehealth portal, the employees are provided with accountability, motivation, and education, empowering them to make sustainable lifestyle changes and improve their health outcomes. Lifestyle and diet recommendations are a staple in the Homeland Employee Wellness Program, with constant suggestions to eat right, exercise regularly, quit smoking, limit alcohol, get quality sleep, and manage stress.

“We are giving employees the information and support they need so they can take charge of their health,” said Dr. Rox. “Proactiveness is crucial.”

She recalls a Homeland Hospice nurse who cared for multiple family members and patients. About eight years ago, Dr. Rox helped her quit smoking, change poor eating habits ingrained by long days of driving, and learn “box breathing,” a form of deep breathing known to calm frazzled nerves. Gradually, the nurse lost 50 pounds.

“Lifestyle change is something you’re able to maintain and be flexible with, despite life’s twists, turns, and hurdles,” said Dr. Rox. “Habits can change in 21 days, but the more sustainable change takes longer.”

Creating sustainable changes is key to Homeland’s commitment to health and well-being – for staff and residents.

“When staff are healthy, the environment for the residents is safer, and they receive better-quality service,” said Dr. Rox. “Happy, healthy employees make for happier, and healthier residents.”

When buying Homeland equipment — from large purchases down to the right chair a resident needs to live and move comfortably — Kelly English makes one thing clear.

“I will never sacrifice quality to get a better price for something,” he said. “I’m never going to skimp on quality just to get a cheaper price.”

Kelly English joined Homeland in July 2023 in the dual role of Director of Emergency Preparedness and Purchasing. His career and degrees in law enforcement and homeland security prepared him for his crucial responsibilities in emergency preparedness. Still, he also takes his purchasing responsibilities seriously for their power to save money while upholding Homeland’s renowned quality and consistency in care.

English graduated from Penn State University, main campus, with a bachelor’s degree in criminal justice. He spent 20 years with the Harrisburg Police Department, retiring in July 2022. For 15 of those years, he was a detective handling the city’s bomb-detecting K9. The role familiarized him with the city’s institutions, including Homeland.

His immersion in homeland security training inspired him to earn a master’s degree in emergency management and homeland security, with a concentration in cybersecurity policy, from Arizona State University’s top-rated program. Upon retirement from policing, he started talking with Homeland about bringing his skills and passion here.

Since joining Homeland in July 2023, English has overseen upgrades that directly impact the lives and wallets of patients and their families. With his knowledge of emergency preparedness and security procedures, he procured systems that leverage the latest technology to ward off threats and protect residents, staff, and visitors of Homeland Center and Homeland at Home.

In purchasing, English has renegotiated contracts to enhance Homeland’s buying power and, by extension, save money for the families of residents. Recently renegotiating the contract for alternating pressure mattresses – a fundamental need to keep residents safe and healthy – he helped Homeland retain the same high-quality mattresses but brought down the monthly fees.

He also ensures that vendors share Homeland’s commitment to the residents and their quality of life. After joining Homeland, he scheduled one of his first meetings with a local medical device supplier who, he knew, could provide the necessary pieces at a moment’s notice.

“This is a 24/7 facility, and our residents can arrive at any time with a new condition that requires specialized equipment,” English said. “I need to know that 24 hours a day, I can get a hold of something no matter where it is. It goes back to never skimping on the quality of care for our residents, so I believe in creating relationships locally with businesses to ensure that the supply chain remains strong.”

The team at Homeland has welcomed him.

“It’s been great,” he said. “Everyone has been extremely welcoming. It is definitely a family atmosphere, which is nice. It’s very supportive. People have been very receptive to me and to what I can bring to the table. It’s a very, very good working environment.”

Outside of Homeland, English and his wife have two kids – a 15-year-old son who plays ice hockey including with the Hershey Jr. Bears and lacrosse, and a 17-year-old daughter who plays lacrosse and field hockey. The busy family lives on a 4-acre farm in the Hershey area. There, they raise pigs, sheep, chickens, and ducks.

The farm is his wife’s passion, but a team effort, caring for livestock – another 24/7 venture – and slaughtering and curing their charcuterie meats. About twice a year, they team with a pair of Ohio butchers who come to the farm and teach interested students, such as organic farmers, their traditional curing processes learned directly from elderly artisans throughout Europe.

English likes taking on challenges, embracing them with his role at Homeland.

“I definitely come to work every day with a passion to keep all of our residents and staff secure and try to make the next day better than the last,” he said. “There is a lot of support throughout central Pennsylvania for Homeland, and I want to be a good steward of that and help Homeland be around for many years to come.”

Homeland Center and Homeland at Home, which provides a full continuum of services to care for residents, patients and clients, has earned deficiency-free survey results across all five of its care services based on routine annual examination by the Pennsylvania Department of Health and Consumer Assessment of Healthcare Providers and Systems (CAHPS) for the survey year 2022-23. The results signify 100 percent survey compliance with all federal and state standards of care.

The five health care services earning the deficiency-free rating are Homeland Center Skilled Nursing and Personal Care at Homeland Center; and Homeland HomeHealth, Homeland HomeCare and Homeland Hospice.

“Our deficiency-free survey results are a testament to our sincere and endless commitment to our Residents, Patients and Clients, and the Families who entrust us to care for them,” said Homeland Center and Homeland at Home President and CEO Barry S. Ramper II. “Having all five of our service lines earn this outcome in the same licensure and certification survey period makes this achievement even more outstanding. It is our privilege to provide compassionate care to those whose lives we have been entrusted, and we will continue to relentlessly strive to maintain the standards that earned these deficiency-free results every moment of every day.”

Occupying a full block in uptown Harrisburg, Homeland Center is a licensed not-for-profit Continuing Care Retirement Community offering personal care, skilled nursing care, memory care, and short-term rehabilitation. Homeland at Home provides hospice care (compassionate end-of-life care), home health services (in-home physician-ordered medical treatment), home care services (in-home non-medical daily living assistance) and palliative care (comfort and relief from the symptoms and stress of serious illness).

Earlier in 2023, Homeland HomeHealth and Homeland Hospice were named 2023 CAHPS Honors Award recipients by HEALTHCAREfirst, a national provider of services for hospice and home health agencies. The awards recognize Homeland for continuously providing a positive patient experience and high-quality of care based on results of the Home Health Care Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, a nationally recognized tool to assess and improve patient care and patient and caregiver satisfaction.

Homeland’s tradition of care began 156 years ago after the Civil War. Eighteen women from nine churches in the city of Harrisburg came together to consider what could be done to help orphans and widows. In 1867, the group chartered the “Society for the Home for the Friendless” and raised funds to begin operating what today is Homeland Center and Homeland at Home.