Why San JoSe needs a Medical center for WoMen & children APR I L 2 014

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1 Why San JoSe needs a Medical center for WoMen & children APR I L 2 014

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3 SUMMary San Jose is the largest city in the United States without a stand-alone children s hospital. Santa Clara Valley Medical Center (VMC), in partnership with the VMC Foundation, is poised to correct this longstanding deficit in the local healthcare delivery system with a Women and Children s Center at VMC. VMC already has the physical infrastructure and services to expand care for women and children, offering nearly all the services of a stand-alone facility. VMC s reputation for excellence in primary care, maternal/infant health, pediatric trauma and intensive care make it ideally suited to host a women and children s focused center in San Jose. Investment in the refurbishment of existing facilities and expanding programs will be required though at a far lower cost than creating an entirely new institution. The VMC Foundation and SV Creates will lead the effort to raise philanthropic dollars for building improvements and renovations that will include a significant public art initiative

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5 BacKGroUnd San Jose is the largest city in the United States without a free-standing children s hospital. That deficiency has been on the minds of healthcare leaders and local advocates for decades, when attempts to open a children s hospital first started in the 1970s. Those efforts yielded few results, often in the face of the same, simple question who could pay for such a thing? Creating a new, free-standing women and children s hospital is no easy task, especially in this era of tight budgets and changing hospital economics. But as the South Bay continues to grow, the need for this kind of specialty facility will only become more acute. Fortunately, a solution is at hand at a far more modest cost and less complexity than starting from scratch. Santa Clara Valley Medical Center the home to numerous nationally-recognized trauma and specialty services is developing a plan in partnership with the VMC Foundation to repurpose existing facilities and expand current programs to make a Women and Children s Center at VMC operational by The center will offer care nearly identical to a stand-alone center, while leveraging the existing resources and talents of Santa Clara County s most essential hospital. Santa Clara Valley Medical Center the home to numerous nationally-recognized trauma and specialty services is developing a plan in partnership with the VMC Foundation to repurpose existing facilities and expand current programs to make a Women and Children s Center at VMC operational by 2016.

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7 Why VMc? San Jose may be without a children s hospital, but it s not without the care one provides. Santa Clara Valley Medical Center has been the de-facto children s hospital of San Jose for generations. As part of a fully integrated County public health system, VMC pediatric clinics had 125,000 visits in 2013, primarily serving low-income kids. VMC operates the only stand-alone Pediatric ICU in San Jose. As a level 2 pediatric trauma center, major pediatric injuries already come through the doors of the Emergency Department. From managing chronic diseases like diabetes and respiratory illnesses, to major burn, spinal cord and brain injuries, VMC provides the highest level of care to kids. Moms and babies are similarly well-served by VMC s advanced level of services. VMC is one of the largest birthing centers in California, with 3500 babies born in 2013, and sees 100,000 OB/ GYN clinic visits from expectant moms each year. In the most recent survey, the California Office of Statewide Health Planning rated VMC as the safest hospital in California to give birth due to low Cesarean section rates, and VMC was ranked seventh in a UC Davis survey for breastfeeding rates of all hospitals statewide. The level 3 Neonatal Intensive Care Unit provided care to more than 300 prematurely born and severely ill babies in 2013, and was chosen by the March of Dimes to house the Northern California NICU Family Support Center. Of all regional Level 3 NICUs in California, VMC has the highest survival rates for babies born without major morbidities. It s not just the services and quality of care that make VMC a natural home for a women and children s center it s also because the facilities are largely already in place. Thanks to the voters of Santa Clara County, VMC will complete the Sobrato Pavilion in The facility will house VMC s renowned Spinal Cord and Traumatic Brain Injury Rehabilitation Center, as well as most adult medical units. The current main hospital building, which already houses neonatology, labor & delivery, pediatrics and the pediatric ICU, will undergo a major refurbishment and reopen as a yet-to-be-named women and children s center. The benefits of a women and children s center at VMC are many. The first they attract the top talent in the field. This is especially important for a public, safety-net institution like Valley Medical Center, where there is a high-demand for specialty services like pediatric intensive care, neonatology, obstetrics, and gynecology. Better staff means more productive use of existing resources. Second, it s better for the patients. Women and children s specialty centers are better able to focus resources and services on these unique populations. Urgent care, diagnostic imaging, pharmacies and labs need to operate differently to best accommodate children as any pediatrician or neonatologist will tell you, children are not simply small adults. Women need their obstetrics and maternal health linked to their primary care provider. Combining Obstetrics, Maternal Fetal Medicine and Pediatric Care into a single entity will encompass the entire patient care continuum bridging the inpatient and outpatient settings and providing higher quality, more efficient care at a lower cost. VMC s San Jose location is also important. Centrally located in the largest city of a growing region, VMC is accessible to a large portion of valley residents. This is especially significant when families experience extended hospitalizations making trips to and from other specialty hospitals outside the city is a challenge for those with inflexible work schedules and limited transportation resources.

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9 the need While the current main hospital building is a modern facility opened in 1999, the space requires significant upgrades to truly function as a women and children s center. The entire fourth floor, for example, will need a complete renovation into private mother and baby suites. Much has changed in hospital architecture and design, even in the last 15 years since the main hospital building opened to the public. Research shows that patients do better in hospital spaces that heal with both form and function. Natural light, inviting spaces, access to outside areas and warm colors are key components to the modern hospital environment. And for a children s hospital it needs a touch of magic; a space that children will explore with wonder instead of fear and anxiety. After all, a happy patient is a healing patient. The VMC Foundation has undertaken a comprehensive effort to study the best of children s hospital design, visiting facilities throughout the country. The organization has also partnered with the valley s preeminent arts organization, Silicon Valley Creates, to explore a unique partnership that will engage local artists in a complete transformation of the facility. With enough support, the end result will be truly iconic. This work will come in addition to a significant investment that the County of Santa Clara will make to better integrate and improve women and children s services at VMC so that patients have the best possible experience. This will include improvements to nearly all aspects of existing operations and expansion of services currently offered. While this new women and children s center will still be part of Santa Clara Valley Medical Center, all aspects of operations and services will be fine-tuned to best serve these specific patient populations. While the current main hospital building is a modern facility opened in 1999, the space requires significant upgrades to truly function as a women and children s hospital.

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11 the impact Few institutions are more valued and respected in their communities than women and children s hospitals. That is why the new center will not simply be known as another building on the large VMC campus, but as the Women and Children s Center at VMC. With the right design, name and marketing, it will become known for the largest donor whose name it will bear. Inside, specific units will be renamed in recognition of major gifts. A complete list of naming options reveals a project with opportunities big and small but all essential in providing vital health services to women and children. From a sustainability standpoint, a women and children s center is critical to the future of VMC. It offers the possibility of making VMC as a whole free from dependence on county general fund dollars. And that means maintaining excellent healthcare services not just for a specific population, but for the full one in four residents of Santa Clara County nearly 450,000 people who rely on VMC for their medical needs. Rarely does philanthropy offer such a significant return on investment. A gift not only solves San Jose s children s hospital problem, it improves care for women and children, creates an iconic Silicon Valley institution, preserves healthcare services for 450,000 people and saves local tax dollars. To continue this conversation, contact Chris Wilder, Executive Director, at From a sustainability standpoint, a women and children s center is critical to the future of VMC. It offers the possibility of making VMC as a whole free from dependence on county general fund dollars.

12 The VMC Foundation 2400 Moorpark Ave, Suite 207, San Jose, CA (408) vmcfoundation.org April 2014 by the VMC Foundation

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