2011 COMMUNITY REPORT. HCA West Florida Pinellas County. Our Commitment To Excellence

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1 2011 COMMUNITY REPORT The American eart Association is very appreciative of the outstanding donations made by the CA Pinellas ospitals during the 2010 eart Walk. The money will help to raise awareness of heart disease prevention in our community as well as help fund important cardiac research.their dedication and commitment to this cause exemplifies our partnership. Suzy O Malley American eart Association Vice President, Metro Tampa Bay (pictured front row) Above all else, we are committed to the care and improvement of human life. In recognition of this commitment, we strive to deliver high quality, cost effective healthcare in the communities we serve. CA West Florida Pinellas County Our Commitment To Excellence EDWARD WITE OSPITAL LARGO MEDICAL CENTER NORTSIDE OSPITAL ST. PETERSBURG GENERAL OSPITAL

2 Our Commitment To Excellence A Message from our CEOs It is our privilege to serve as Chief Executive Officers of your Pinellas County CA ospitals and to have this opportunity to share with you the partnerships our hospitals provide to the community. Your CA Pinellas County hospitals, including Edward White ospital, Largo Medical Center, Northside ospital and St. Petersburg General ospital have a significant impact on Pinellas County, providing more than 3,650 people with employment and more than $15.5 million in taxes. We are proud to have more than 1,100 of the area s most respected physicians on our medical staffs. We treated more than 110,000 patients in our emergency departments, where outstanding efforts by our teams continue to improve quality and operations. Our hospitals average ER wait times are posted live on our websites. We also invite residents to text message ER to and respond with a local zip code to receive the average Pinellas County CA hospital emergency room wait times. While the ER volumes are growing, so is the number of patients without adequate health insurance or the financial resources to pay for this care. We continue to treat a large percentage of uninsured patients in the communities we serve. CA ospitals of Pinellas County is significantly expanding its network of employed physicians, as market forces continue to demand the successful integration of providers to achieve operational efficiencies and high quality outcomes for patients. One of the largest and most respected providers of Cardiovascular Services in Tampa Bay, the eart and Vascular Institute of Florida South (VIF) and its 16 Board Certified Cardiologists became part of Northside ospital on January 1, Smaller strategic acquisitions were also successfully completed in our market to expand our primary care programs. We will continue to search for opportunities to partner with physicians and physician groups who share our passion for providing the highest quality care and services, compassionately. In addition to expanding our provider based network, we are adding new programs and services to ensure patients move through the continuum of care efficiently and successfully. We opened a Skilled Nursing Unit (SNU) at Edward White ospital to support the hospital s strong orthopedic surgery program by providing these patients with extended care, beyond their inpatient stay. Our devotion to the development of future physicians continues to lead our achievements as Largo Medical Center earned the designation as a Statutory Teaching ospital by the Florida Agency for ealth Care Administration. We continue to upgrade technology at an unprecedented rate to ensure we maintain clinical excellence and provide the highest caliber of quality healthcare. From modern operating rooms to implementing Electronic ealth Records (ER), our facilities are integrating wireless and digital technology throughout all modalities. Robotics is another strong focus with the da Vinci Robotic Surgical System at St. Petersburg General ospital, enabling surgeons to perform precision work with very small incisions. Initial results are very impressive for an ER pilot of IntermedX, which provides ER staff with immediate access to external pharmacy records for patients who arrive unable to communicate the medications they are taking. Our hospitals have done an outstanding job focusing on quality and operations, with all Pinellas County CA hospitals receiving many national and state clinical outcome and achievement recognitions. Our goal is to continue to provide quality care to our community while performing at a high standard of excellence. Roland Metivier, CEO Edward White ospital Richard Satcher, CEO Largo Medical Center Stephen J. Daugherty, CEO Northside ospital Robert B. Conroy, Jr., CEO St. Petersburg General ospital

3 CA West Florida Pinellas County CA West Florida Facilities of Pinellas County OSPITALS EDWARD WITE OSPITAL St. Petersburg, Florida LARGO MEDICAL CENTER MAIN CAMPUS Largo, Florida LARGO MEDICAL CENTER INDIAN ROCKS RD. CAMPUS Largo, Florida NORTSIDE OSPITAL St. Petersburg, Florida ST. PETERSBURG GENERAL OSPITAL St. Petersburg, Florida SURGERY CENTERS BELLEAIR SURGERY CENTER Clearwater, Florida CENTER FOR SPECIAL SURGERY St. Petersburg, Florida COUNTRYSIDE SURGERY CENTER Clearwater, Florida PRIMARY CARE LOCATIONS FAMILY CARE OF BARDMOOR 3 Largo, Florida FAMILY CARE OF ULMERTON Largo, Florida 4 INDIAN ROCKS RD S IN 3 CLEARWATER LARGO MEDICAL CENTER INDIAN ROCKS RD. CAMPUS 3 4 SEMINOLE BLVD 19 FAMILY CARE OF WALSINGAM Largo, Florida PRIMARY CARE AT LARGO Largo, Florida L A R G O PARK BLVD 54T AVE N TYRONE BLVD N 19 LARGO MEDICAL CENTER MAIN CAMPUS 693 ULMERTON RD 66T ST N E BAY DR P I N E L L A S C O U N T Y 1 NORTSIDE OSPITAL T AVE N 49T ST N EDWARD WITE OSPITAL GANDY BLVD 34T ST N ST. PETERSBURG GENERAL OSPITAL 275 9T AVE N 5T AVE N S T. P E T E R S B U R G Leadership EDWARD WITE OSPITAL Roland Metivier Chief Executive Officer Peggy Gatliff Chief Financial Officer Richard Frank Vice President of Operations Ruth DePalantino, RN Chief Nursing Officer NORTSIDE OSPITAL Stephen J. Daugherty Chief Executive Officer Gary Searls Chief Financial Officer Audra Earle Chief Operating Officer Pamela Carroll, RN Chief Nursing Officer LARGO MEDICAL CENTER Richard Satcher Chief Executive Officer Robert Billings Chief Financial Officer Jacob Fisher (LMC) & Colin McRae (LMC-IR) Chief Operating Officers Larry Feinman, DO Chief Medical Officer Connie Boudreaux, RN Chief Nursing Officer ST. PETERSBURG GENERAL OSPITAL Robert B. Conroy, Jr. Chief Executive Officer Andrew Smith Chief Financial Officer Stephanie McNulty Chief Operating Officer JoAnne Cattell, RN Chief Nursing Officer 2011 COMMUNITY REPORT 1

4 Our Commitment To Excellence 2010 Community Impact Summary Statistics Number of Licensed Beds Total Patients Treated Annual ospital Admissions Annual Emergency Visits Total Medicaid Patients Treated Medicaid Market Share Total Uninsured Patients Treated 1 Our Facilities and Services Uninsured Market Share 1, ,224 40, ,197 25, % 31, % (1) excludes Medicaid patients treated Our ospital Family Total Employees Total Physicians Total Volunteers 3,690 1, Cardiac care and STEMI times remain our highest treatment priorities. Our hospital staff continually works to promote advanced heart care and rapid response across all areas. John Dodson, MD Emergency Medicine Physician Largo Medical Center 2 CA West Florida Pinellas County Community Impact

5 CA West Florida Pinellas County Economic Impact Total Salaries & Benefits Cost of Charity & Uncompensated Care Taxes Paid: Federal Income Tax State Income Tax Indigent Care Tax Property Tax Sales Tax Other Local Tax Total Taxes Capital Investment 1 Total Local Vendor Support Minority & Women Owned Business Support Physician Specialty Coverage for Emergency Care TOTAL Economic Impact $ 233,223,524 $ 44,729,635 $ 2,707,617 $ 380,557 $ 6,636,091 $ 3,075,485 $ 2,796,081 $ 46,567 $ 15,642,398 $ 20,660,903 $ 48,531,853 $ 582,940 $ 4,257,132 $ 367,045,445 (1) 5 year annual average FY 2010 statistics Capital Investment 6% Total Taxes 4% Local Vendor Support 13% Physician Specialty Coverage for Emergency Care 1% Total Cost of Charity & Uncompensated Care 12% Total Salaries & Benefits 64% 2011 COMMUNITY REPORT 3

6 Our Commitment To Excellence Charitable organizations benefitting from our involvement: American Cancer Society American eart Association American Lung Association American Parkinson s Disease Association Christmas Toy Shop Project, Inc. Florida Blood Services Great American Teach-In CA ope Fund Largo Mid-Pinellas Chamber of Commerce Lealman Asian & Neighborhood Family Center Mayor s Mentors & More Pinellas County Foster and Adoptive Parents Association GIVING BACK TO OUR COMMUNITY Community Support The affiliates of CA West Florida Pinellas County and their employees provide both financial and volunteer support to countless civic organizations, schools, colleges, city projects and nonprofit and charitable organizations in their communities. Indigent Patient Education CA West Florida ospitals of Pinellas County are committed to helping uninsured patients qualify for local and state health benefit programs. Each hospital offers onsite benefit education and Medicaid enrollment assistance. Step Up for Students Since 2005, CA has redirected $55,475,000 in corporate income tax to the Step Up for Students program. Through this gift, 14,351 low income students received a K-12 scholarship enabling them to receive a quality education tailored for their specific learning needs. Through this program, children who qualify for the National School Lunch Program can receive scholarships. Qualifying parents can use these grants to send their child to the public or private school that best meets their child s needs. Going Green As an active member of the Practice Greenhealth, an industry leader in sustainable, eco-friendly practices, CA hospitals are involved with green initiatives both at the facility level and in many cases in the greater community. It is part of our commitment to have a comprehensive environmental strategy in concert with our mission of the care and improvement of human life. Pinellas County Osteopathic Medical Society Pinellas County Schools Pinellas County Sheriff s Police Athletic League Pinellas Park Chamber of Commerce Rotary Club of St. Petersburg St. Petersburg Chamber of Commerce St. Petersburg Free Clinic Army Troops Send Thanks for oliday Packages The staff of Largo Medical Center made the holidays very special for our service men and women overseas, collecting thousands of gifts and mailing them to U.S. Troops serving in Iraq, Korea and Afghanistan. 4 CA West Florida Pinellas County Giving Back to our Community

7 CA West Florida Pinellas County Awards and Recognition Many awards and recognitions are bestowed on our facilities and management teams, acknowledging not only the outstanding medical care and services we provide, but also the leadership role we play in our communities. All of our facilities are Joint Commission Accredited, Certified Chest Pain Centers, and Certified Advanced Primary Stroke Centers. The American eart Association s Get With the Guidelines program awarded: n n n n n Edward White ospital with the Silver Performance Achievement Award for Stroke Care Largo Medical Center with the Silver Achievement Award for eart Failure Largo Medical Center with the Bronze Performance Achievement Awards for Stroke Care Northside ospital with the Gold Plus Achievement Award for Stroke Care and with the Silver Performance Achievement Award for Coronary Artery Disease St. Petersburg General ospital with the Silver Performance Achievement Award for Stroke Care Accredited Chest Pain Center Accredited Chest Pain Center w/pci Primary Stroke Center Certification urricane Preparedness CA ospitals of Pinellas County offer one of the most comprehensive hurricane preparedness plans to ensure that our patients and our staff who care for them are safe before, during and after a storm. Our hospitals have arrangements and contracts in place with vendors from around the state and nation to provide support, from on-site security if needed to medical supplies, additional generators, food, fuel, emergency transportation, building supplies and construction crews who can be dispatched immediately following the storm to make needed repairs to keep our hospitals operational. Emergency communications, several days worth of food and supplies all arrive at each facility well in advance of a storm, to ensure the hospital is self-sustaining for several days. Transfer processes and plans are in place with our network of hospitals from around the country, should patients need to be relocated. Volunteering Thousands of volunteering hours were performed by members of the CA ospitals of Pinellas County family last year. From providing medical care on mission trips to serving as the voice for children through programs such as Guardian Ad Litem and Autism advocacy, our staff, volunteers and physicians give back to our communities, both in and outside of our facilities. Social & Mobile Media We are actively engaged in social and mobile media through blogs and micro-blogs such as Facebook and Twitter for our hospitals as part of our commitment to communicate with our patients and the communities we serve. Visit any of our Pinellas County ospital websites to learn more. Not only have we expanded on the internet, but we are offering Mobile ealth Tips which can be subscribed to by texting ealth to Another community service we offer is itriage which provides access to medical information from over 300 symptoms, 1,000 diseases and 250 medical procedures. It is accessible through our websites, or download free on the iphone. Consult-A-Nurse Free physician referral, health information and class registration are available around the clock by calling CA-DOCS ( ). Registered Nurses are available for consultation through this bilingual community service, which also registers people for the numerous community education classes and programs sponsored by the CA ospitals of Pinellas County COMMUNITY REPORT 5

8 Our Commitment To Excellence Quality & Patient Safety Putting Patients First is the foundation of our culture and passion for quality health care. Many of the initiatives we implement serve as national models for the industry today. The CA West Florida hospitals have achieved industry leading performance on public Clinical Measures, such as the CMS Core Measures for Congestive eart Failure, Pneumonia, Acute Myocardial Infarction, and Surgical Care Improvement Project. Our hospitals are thoroughly engaged in programs and initiatives which promote and optimize Patient Satisfaction, Clinical Efficiency programs and Quality outcomes. hcare Electronic ealth Record (ER) The CA ospitals of Pinellas County have invested heavily in their Electronic ealth Record (ER) initiative, which kicked off in March Throughout 2010, CA ospitals of Pinellas County continued to move forward with many projects related to the continuing development and implementation of ER. With ER, access to patient health information is simplified and patient safety and quality improved. Our hospitals have brought numerous clinical components for the ER on-line through major investments in technology, including: n hcare ub Linking physician practices to our hospital databases is accomplished through this interface. Realtime access to patient clinical data from the hospital can provide necessary information to physicians to make timely decisions and reduce duplicate testing and unnecessary hospitalizations. n Picture Archiving and Communication System (PACS) The PACS system immediately digitizes images from radiology and cardiac studies so they can be stored and electronically viewed on screens remotely. This enables doctors and other health care professionals to access the images and when available to compare new images with previous images at the touch of a button. n Voice Recognition To improve report turnaround time and patient care, our hospitals and imaging centers use voice recognition which allows physicians to update patient records and report their interpretation of a study by speaking instead of dictating or using a keyboard. The physician then reviews the report on screen, makes any adjustments, signs the report and it posts immediately for others to view. Report turnaround time has been greatly reduced to an average of just over 30 minutes. n MUSE Our hospitals have installed this system which digitizes EKG tracings so physicians can review, diagnose and treat heart patients within seconds. n Emergency Medical Services Partnership EMS electronically transmits STEMI (ST elevated myocardial infarction) EKG (electrocardiogram) alerts to the emergency department at Largo Medical Center and Northside ospital. Largo Medical Center and Northside ospital share STEMI outcomes and door to balloon times with Sunstar OMD as well as false STEMI alert information. This partnership is designed to improve quality and outcomes. Electronic Bar Coding Medication System (BCMA) CA led a national effort to reduce medication errors by placing this system in all of our hospitals several years ago. Bar codes on medications are scanned at the patient s bedside, providing our clinical staff with an effective tool to ensure that the right patient receives the right medication at the right time through the right route. Electronic Bar Coding Transfusion System (BCTA) We expanded bar coding use in all of our hospitals this past year to transfusion products. Prior to administering any blood product, the unit is scanned to ensure the patient is receiving the right transfusion product at the right time through the right route. 6 CA West Florida Pinellas County Quality & Patient Safety

9 C A W e s t F l o r i d a Responsible Imaging CA West Florida developed and implemented an innovative program called Responsible Imaging to enhance medical imaging safety through state-of-theart monitoring, use of best practices and extensive education of staff, physicians and patients. The program was developed and piloted at Largo Medical Center with LANDAUER, a global leader in radiation science and services. With increasing attention on the long-term cumulative effect of radiation exposure, we are excited to be a leader in responsible medical imaging practices. This innovative safety program will be comprehensively implemented throughout the West Florida hospitals within the first quarter. Broselow System for Acute Pediatric Administration of Drugs in the ER All of our hospital emergency departments have installed the Broselow System to ensure the proper dosing and administration of drugs to children. Pediatric dosing can be difficult, especially in emergency situations, and the Broselow System allows medical professionals to instantly access proper dosing, improve the speed and accuracy in acute preparation and administration of drugs, reduce medical errors and standardizes pediatric dosing so that we can provide our young patients with high quality emergency care, safely. Nation s First Infant Screening Program We were the first US healthcare system to voluntarily perform a simple blood test to screen newborns for elevated levels of bilirubin that triggers jaundice. By identifying newborns at risk for Kernicterus, which causes permanent brain damage and physical impairment, we can treat them immediately and prevent this serious health threat. VTE Protocol CA West Florida hospitals, in conjunction with Sanofi-Aventis, implemented an aggressive venous thromboembolism (VTE) Rule- Out initiative and has actively participated in DVT awareness efforts to help educate the public about these health risks. The Rule- Out protocol helps ensure that patients are screened and when appropriate receive preventive treatment for VTE which poses a significant health risk and consists of two potentially life threatening conditions: Deep vein thrombosis (DVT) and Pulmonary embolism (PE). Tobacco-Free Pinellas County CA hospitals are promoting tobacco-free campuses to protect employees, patients, and visitors from exposure to secondhand smoke. This will help improve the health and well-being of our community. Edward White ospital, Largo Medical Center, Northside ospital and St. Petersburg General ospital are tobacco-free campuses as of January All facilities offer smoking cessation classes for their employees COMMUNITY REPORT 7

10 Our Commitment To Excellence Methicillin-resistant Staphylococcus aureus (MRSA) CA continues to be a leader in the fight to stop the spread of MRSA, and was invited to participate as a partner organization in the REDUCE MRSA Clinical Trial, with the CDC Prevention Epicenters, CDC Division of ealthcare Quality Promotion and the Agency for ealthcare Quality and Research (ARQ). CA was selected due to its commitment to infection prevention, the CA A, B, Cs (MRSA) program and our standardization of specific lab data. The goal of the study is to conduct a cluster randomized trial of hospitals to compare uniform versus target MRSA decolonization as a means to reduce healthcare-associated MRSA infection. Eight CA West Florida Division hospitals are participating. Locally, we continue to be very involved in educational outreach to prevent the spread of community acquired MRSA. The national Clean ands Are Cool ands campaign, featuring teen star Mitchel Musso (annah Montana show), was launched here. The goal is to educate children on the prevention of MRSA, through local presentations and a tool kit for parents and teachers available on our hospital websites. Medical Education Flu Season Preparation The National Patient Safety Foundation has recognized all CA employees for their efforts in supporting CA s flu immunization policy. More than 97 percent of our employees have received the flu vaccine, an amazing accomplishment which helps protect our patients as well as our employees and their families. Additionally, many of our hospitals actively participate in community outreach efforts to educate the public about the importance of seasonal flu vaccine. In the Pinellas County CA ospital system, three hospitals offer Graduate Medical Education programs Largo Medical Center, Northside ospital, and St. Petersburg General ospital. Each hospital has different programs available. At Largo Medical Center, doctors are trained in traditional rotating internships, anesthesiology, dermatology, family practice, internal medicine, general surgery, orthopedic surgery, cardiology, interventional cardiology, gastroenterology, pulmonary critical care and rheumatology. At Northside ospital, doctors are trained in traditional rotating internships, internal medicine and cardiology. At St. Petersburg General ospital, doctors are trained in traditional rotating internships and family medicine. All three facilities are teaching hospitals. That means each hospital provides clinical education and training to current and future doctors, nurses, and other healthcare professionals, in addition to delivering medical care to patients. Most teaching hospitals are affiliated with medical schools or universities. Northside ospital and St. Petersburg General ospital are affiliated with Lake Erie College of Osteopathic Medicine. Largo Medical Center is affiliated with Nova Southeastern University. CA is committed to educating physicians to meet the future healthcare needs of the community. In the last three years, the three CA hospitals have provided more than 22 new, practicing physicians for the community and many other graduates who have entered advanced subspecialty training. Largo Medical Center Statutory Teaching ospital In 2010, Largo Medical Center earned the designation as a Statutory Teaching ospital by the Florida Agency for ealth Care Administration (ACA). Three years ago, Largo Medical Center made the commitment to educate and train residents to assist in meeting the future healthcare needs of the community and nation. Largo Medical Center is committed to educating medical school graduates in the art and science of medicine and has more than 100 residents currently in training in one of the twelve residency program at the hospital. The medical staff of Largo Medical Center is dedicated to sharing clinical expertise and to training residents and medical students in a robust academic environment. Training and education is provided by over 150 dedicated and respected members of the medical staff. Patients benefit from teaching hospitals because the academic environment encourages physicians to seek innovative solutions to patients problems. Attending physicians must stay on top of the latest medical developments in order teach medical students, residents, student nurses, and allied health professionals. Teaching hospitals encourage active collaboration among all members of the care team. 8 CA West Florida Pinellas County Quality & Patient Safety / Specialized Care

11 C A W e s t F l o r i d a Specialized care Emergency Excellence Our highly skilled emergency physicians and nurses, combined with best practices and the latest technology, treated more than 100,000 patients in the CA Pinellas County hospitals last year. Protocol driven care that can begin in the field through direct communications with local EMS teams, and meeting stringent standards to earn Chest Pain Center Accreditation and Advanced Primary Stroke Center Certification by the Joint Commission are all part of our commitment to improve quality in our busy emergency departments. Our strong focus on enhancing care and improving ER processes has also dramatically reduced wait times to below national averages. In fact, we are so successful, average ER wait times are now posted on our hospital websites. Residents can also text message ER to and respond with a local zip code to receive average CA Pinellas County hospital emergency room wait times. Neurosciences & Stroke Care All CA Pinellas County hospitals are Certified Advanced Primary Stroke Centers, the standard for ensuring the highest level of care is immediately available. We have done an outstanding job of bringing neurologists and neurosurgeons to our facilities to benefit our community. We are also pioneering the latest minimally invasive neurosurgery techniques to offer our patients the best treatment options available. Our hospitals also administer more of the clot busting drug t-pa than some of the other hospitals in the area, giving patients a better chance for a full recovery. The Florida Spine & Neuro Center at Largo Medical Center provides a collegial atmosphere where orthopedic spine and neuro surgeons collaborate to provide some of the most advanced, complex spine and neurologic treatment plans in the region. They perform micro-discectomies, multi-level fusions, motion preservation (disc replacement) and more. Patient services include a dedicated team of nurses working a dedicated patient care floor that includes all-private patient rooms. The Neuroscience Institute at Northside ospital is a state-of the-art program, providing new methods for the treatment and prevention of neurologic conditions such as stroke and aneurysms, as well as brain tumors, epilepsy, hydrocephalus and Multiple Sclerosis. Offering one of only two interventional Neuroradiology programs in Pinellas County, Northside ospital has become a regional referral center in the area for stroke care, and is able to extend the treatment window for stroke patients from three hours to eight hours. In addition to stroke care, Northside ospital also provides minimally-invasive treatment for cerebral aneurysms, arteriovenous malformations and other neurological conditions. Comprehensive Cancer Care Cancer is the second leading cause of death in this country and our facilities are committed to meet and exceed the many standards required for the American College of Surgeons Commission on Cancer (ACoS CoC). To become accredited, hospitals commit to regular meetings of the Cancer team, which includes surgeons, medical oncologists, radiation oncologists, pathologists, radiologists and hospital clinical and support staff to proactively review patient cases. From prevention to the latest diagnostic tools and treatment options, we are committed to providing outstanding cancer care to the patients we serve. Largo Medical Center has earned the prestigious cancer program designation form the ACoS CoC and with our other hospitals preparing for this extensive survey, we continue to ensure that patients can receive the care they need, right in their own communities, close to family and friends COMMUNITY REPORT 9

12 Our Commitment To Excellence eart and Vascular Care Our cardiovascular network ensures that life-saving technology and the latest minimally invasive techniques are available in our communities. Our hospitals have opened specialized chest pain units where patients can be rapidly accessed and diagnosed without having to be admitted to the facility. All four of our Pinellas County hospitals are Accredited Chest Pain Centers and Certified Advanced Primary Stroke Centers, and are beating the national STEMI benchmark of 90 minutes, dramatically improving the lives of our patients experiencing a heart attack. STEMI Awareness A STEMI (ST-Elevation Myocardial Infarction) is a deadly type of heart attack, which is identified on an EKG. Early treatment to the blocked coronary artery minimizes the extent of the heart muscle damage and preserves the pumping function of the heart, thereby, increasing survival and reducing or eliminating complications. STEMI Time Calculation Average STEMI times are approximate and are provided for informational purposes only. STEMI Times represent an average of our hospital s STEMI cases over the past 52 weeks for which data is available, and is defined as the time it took to reestablish blood flow from the time the patient arrived at the hospital s Emergency Room. The American College of Cardiology, the American eart Association and the Joint Commission have established that this should occur in 90 minutes or less. Tampa Bay eart Institute at Largo Medical Center and Northside ospital The Tampa Bay eart Institute (TBI) has established a standard of clinical excellence offered by the combined talents of our cardiac team. Both facilities earned the Blue Cross Blue Shield Cardiac Distinction Center designation and the United Premium Designation Cardiac. We offer a distinguished team of heart and vascular experts experienced in the most advanced diagnostic techniques and treatments. TBI employs sophisticated technology and aggressive intervention in the treatment of cardiovascular disease. The latest surgical techniques for minimally invasive mitral valve and atrial fibrillation repair provide a safer alternative for patients suffering from these conditions, improving their quality of life and reducing their risk for other serious complications. In fact, Largo Medical Center is home to one of the first electrophysiologist/cardiac surgeon teams who are combining their unique skills to offer The Convergent Procedure. This procedure treats Atrial Fibrillation (Afib) by helping restore normal heart rhythm and helping to do away with daily medications for even the most severe Afib patients in our community. Our Cardiac Catheterization and Electrophysiology labs offer state-of-the-art technology and treatments for both invasive and noninvasive cardiac procedures. To find out more about our cardiac programs, visit us online at One of the largest providers of Cardiovascular Services in Tampa Bay, the eart and Vascular Institute of Florida South (VIF) and its 16 Board Certified Cardiologists and close to 100 employees joined CA Physician Services on January 1, 2011 to provide an enhanced level of cardiovascular care and continuity of services. da Vinci Robotic Surgery One of the most exciting technologies today is the da Vinci Robotic Surgical System. The first single incision robotic cholecystectomy in the area was performed at St. Petersburg General ospital. The use of robotics at St. Petersburg General ospital takes minimally invasive techniques into a new era, further minimizing the physical and emotional impact of surgery on patients. Surgeries are performed through small incisions, which replace the large incisions needed for conventional open surgeries. Robotically-assisted minimally invasive surgery represents a third generation of surgery, one which builds upon the advances to open surgery. Robotic technology takes surgery beyond the limits of the human hand, introducing precise, versatile instrument movement combined with three-dimensional visualization of the operative site. Patient benefits include less patient trauma and pain, minimal scarring, less blood loss, faster recovery and shorter hospital stays. 10 CA West Florida Pinellas County Specialized Care

13 C A W e s t F l o r i d a Spine and Orthopedic Care Patients in need of advanced treatments for orthopedic and spine issues can find high quality care at the Pinellas County CA ospitals. Advanced procedures including minimally invasive knee and hip resurfacing, partial knee and hip resurfacing, same day partial knee resurfacing and total knee replacement are available to relieve pain and help patients return to normal activities. Our surgeons are committed to performing the latest innovations in their field, and patients benefit from the experience of a panel of orthopedic experts, individualized treatment plans and a high caliber of care. Our facilities have earned orthopedic special designations including the Blue Cross Blue Shield Blue Distinction Center for Knee and ip Replacement at Largo Medical Center and Unitedealth Premium Joint Replacement at Edward White ospital and Largo Medical Center. They have also earned Center of Excellence designations, including the Blue Cross Blue Shield Blue Distinction Center for Spine Surgery at Largo Medical Center and Edward White ospital. All of our facilities provide a panel of experts who diagnose and treat patients in our community. The many services include: n Expert orthopedic and neuro surgeons n Pain management professionals n Diagnostic imaging n Dedicated nurses n Inpatient and outpatient rehabilitation n otel-like concierge services n All private rooms Several of our spine surgeons throughout the Pinellas County CA ospitals are now performing the most minimally invasive endoscopic spine surgeries available today, including the Yeung Endoscopic Spine System (YESS), the XLIF procedure, laser discectomies and more, all with outstanding outcomes. The Bariatric Institute Morbid obesity is a serious disease that affects more than 9 million Americans. People diagnosed with obesity generally weigh at least 100 lbs. more than their ideal weight. St. Petersburg General ospital offers a minimally invasive surgical option, there is no cutting or stapling of the stomach or inner organs. St. Petersburg General ospital s program includes complete follow up care and attention after the procedure, to maximize a patient s success. They provide a plan of support and guidance that is customized especially to the patient. A patient s success is their success, so they ll be with them every step of the way toward their weight loss goal. I am very pleased to be a part of the Bariatric Institute at St Petersburg General ospital. It is such a pleasure to see people become healthy and be able to keep the weight off because of my help as a surgeon. As I follow them in my office, it becomes evident that they made the right choice to go to the seminar and take the first step to have Bariatric surgery at SPG. Matthew Couch, MD Surgeon at Northside ospital and St. Petersburg General ospital 2011 COMMUNITY REPORT 11

14 Our Commitment To Excellence Florida Knee & Orthopedic Pavilion The Pavilion is located atop Largo Medical Center with its luxurious penthouse setting, hotel-like amenities and concierge services. Surgeons at the Pavilion have years of experience specializing in particular procedures, including the new SAME DAY Partial Knee Resurfacing, Total Knee Resurfacing and Knee Cartilage Transplantation. In addition to their expertise, these surgeons are noted experts in minimally invasive procedures with less pain and faster recovery. At the Pavilion, patients are treated like hotel guests who are temporarily sidelined with an orthopedic problem. The focus is on wellness, and guests are active participants in a unique treatment model that begins at diagnosis in the surgeon s office and continues at the Pavilion and later at the patient s homes. As soon as they arrive, patients will notice their experience at the Pavilion is totally different from a traditional hospital stay. A concierge handles all the details, including door-to-door transportation if needed, and then makes sure guests feel comfortable and pampered during their stay. Guests can wear their own clothes instead of a hospital gown and have a companion stay at the hospital with them to act as a personal coach. Research indicates a positive correlation between personalized healing environments and successful patient outcomes. Everything at the Pavilion is designed to promote a patient s sense of well-being so the patient feels better and recovers more quickly. Outpatient Rehabilitation Outpatient rehabilitation services are provided by Edward White ospital, Largo Medical Center and Northside ospital. The services include Physical Therapy, Occupational Therapy and Speech Therapy. These programs are staffed by licensed professionals experienced in their disciplines. Inpatient Rehabilitation Inpatient rehabilitation services are provided by Largo Medical Center. With a focus on restoring function, our therapists will work with people of all ages to improve or develop skills that may have been affected by disease, injury or illness. We offer 24-hour care including immediate medical access, diagnostics and individualized therapy programs utilizing a variety of different environments. The interdisciplinary team will work with you to return you to the highest possible level of independence. Jose Priego, Stroke patient who underwent rehabilitation at Indian Rocks Rehabilitation, worked with Physical Therapy, Occupational Therapy and Speech Therapy teams for 3 hours a day, 5 days a week. After 4 weeks of intensive rehabilitation he was discharged home to his family with a greatly improved level of independence and mobility. Behavioral ealth Services at Largo Medical Center Behavioral ealth Services is an Adult Behavioral ealth Center that provides services to individuals experiencing signs and symptoms of mental illnesses such as depression, anxiety, thought disorders, thoughts of harming self or others, and co-occurring disorders. Services are provided based upon the individual s specific needs, with concentration on the patients diagnosis, stabilization and treatment. The Center is licensed and Joint Commission accredited. Care is provided in a friendly, welcoming and supportive environment. From the time of admission to discharge, the multidisciplinary team focuses on an individualized plan-of-care that is based upon a comprehensive assessment of the individual s strengths, needs, signs and symptoms. Behavioral ealth Services provides a 21-bed Inpatient Unit, a 14-bed Voluntary Inpatient Unit, a 24-our Referral Line as well as both Inpatient and Outpatient Electroconvulsive Therapy (ECT). 12 CA West Florida Pinellas County Specialized Care

15 C A W e s t F l o r i d a Skilled Nursing Unit at Edward White ospital In December 2010, Edward White ospital opened a 30 bed unit with 4 private rooms, 13 semi-private rooms, and an activities room. The length of stay for each resident is anticipated to be between days. The conditions treated include post orthopedic or other surgical procedures, medical conditions requiring short-term skilled and rehabilitative services. The services that are provided include Rehabilitation Therapy to increase strength, endurance, range of motion, mobility and coordination, daily activities to help residents develop personal and social independence. By referral, dental, podiatry and optometry/ophthalmology patients will also be seen. The unit is staffed by a Medical Director, Physical Therapists, and Nursing Personnel. Imaging Services We provide the most comprehensive array of outpatient imaging services in West Florida. Our facilities are equipped with a broad range of diagnostic technology and most offer extended hours. We are committed to offering imaging services needed across the full continuum of a patient s care. Each patient receives the right services for their injury in a comfortable location. Diagnostic services available include: n 64-slice CT n CT n Echocardiogram n Mammography n PET Scanner n Bone Density/ Dexascan n Digital Mammography n EKG n Fluoroscopy n MRI n Nuclear Medicine n Ultrasound n X-Ray Women s Services The Florida Breast Institute at Largo Medical Center and The Breast Center at St. Petersburg General ospital offer a unique experience, dedicated to treating women in a warm and relaxing atmosphere with the latest in screening and diagnostic imaging services in an environment that reflects tranquility. The optimal coupling of sophisticated diagnostic technology and medical professionals offers patients some of the best services available in breast healthcare in our area. We also provide comprehensive education and treatment for women and heart disease through the Tampa Bay eart Institute at Largo Medical Center and Northside ospital. In addition, our community lecture series features preventative medicine and health related topics for women in our community. Obstetrics St. Petersburg General ospital offers an exceptional maternity program. From labor and delivery services to infant care, breastfeeding and sibling classes, St. Petersburg General ospital s experienced obstetrics staff provides comprehensive and compassionate obstetrics. Company Care Company Care delivers our most complete array of workforce health solutions. For more than 20 years, Company Care has provided comprehensive, integrated health and wellness services to businesses. Company Care delivers creative occupational health and worker s compensation programs specifically tailored to the needs of any business or government organization and services include: n 24-hour access to medical care n Case management to service the Worker s Comp Network n Diagnostic testing n Drug screening and physical exams n Emergency care and follow-up for injured workers n Ergonomic site assessments n Injury prevention education n Nutritional counseling n Managed care services n Physical rehabilitation n Pre-employment, executive and D.O.T. physicals n Return-to-work programs n Utilization review To learn more, call CA-DOCS ( toll free) or visit COMMUNITY REPORT 13

16 EDWARD WITE OSPITAL th Avenue North St. Petersburg, Florida (727) EdwardWhiteospital.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted th ST N 34th ST N 13th AVE N 595 9th AVE N 8th AVE N 7th AVE N 6th AVE N S T. P E T E R S B U R G 22nd AVE N 22nd AVE N 22nd AVE N 5th AVE N 25th ST N 25th ST N 24th ST N 24th ST N 13th AVE N Edward White ospital 23rd ST N 22nd ST N st ST N 21st ST N 20th ST N 9th AVE N 13th AVE N 7th AVE N 16th ST N ,615 13,378 29, $23,704,155 $1,305,364 12th ST N Accreditations and Certifications: Accredited ospital (Joint Commission) Accredited Chest Pain Center (SCPC) Accredited Clinical yperbaric Facility (UMS) Certified Advanced Primary Stroke Center (Joint Commission) Additional Services: 24-hour Emergency Services CENTER FOR WOUND CARE AND YPERBARIC MEDICINE COMPANY CARE OCCUPATIONAL EALT DIAGNOSTIC IMAGING ORTOPEDICS Center REABILITATION INSTITUTE SKILLED NURSING UNIT SPINE CENTER Roland Metivier Chief Executive Officer Edward White ospital is located on Ninth Avenue North in St. Petersburg, Florida. When the pain took me off of my game, I let Dr. Thomas Tolli call the shots. In less than three weeks after spine surgery, I was back at the ball park. I m still on the field at the age of 80 thanks to him and Edward White ospital. Don Zimmer Baseball Legend & Spine Surgery Patient 14 CA West Florida Pinellas County ospital Statistics

17 LARGO MEDICAL CENTER LMC-MAIN CAMPUS: th Street SW Largo, Florida (727) LMC-INDIAN ROCKS RD CAMPUS: 2025 Indian Rocks Rd. Largo, FL (727) LargoMedical.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. INDIAN ROCKS RD S LARGO MEDICAL CENTER MAIN CAMPUS 8th AVE SW W BAY DR 14th ST SW PINECREST GOLF COURSE TAYLOR LAKE CLEARWATER LARGO RD S ,695 40,947 80, ,662 $101,907,515 $8,017,223 Accreditations and Certifications: Accredited ospital (Joint Commission) ACCREDITED BREAST CENTER (ACo S) ACCREDITED Chest Pain Center with PCI (SCPC) ACCREDITED COMMUNITY CANCER PROGRAM (ACoS CoC) Certified Advanced Primary Stroke Center (Joint Commission) Additional Services: 24-our Emergency Services Behavioral Medicine CENTER FOR Wound Care with yperbaric Medicine Company Care Occupational ealth Florida Breast Institute Florida Knee & Orthopedic Pavilion FLORIDA SPINE & NEURO CENTER Graduate Medical Education PROGRAM A designated Statutory Teaching ospital Inpatient Rehabilitation Sleep Disorders Laboratory Tampa Bay eart Institute LARGO MEDICAL CENTER INDIAN ROCKS RD. CAMPUS CLEARWATER LARGO RD S Richard Satcher Chief Executive Officer Military serving overseas were in the minds and hearts of many Largo Medical Center employees during the 2010 holiday season. Thousands of gifts were collected and sent to U.S. Troops serving in Iraq, Afghanistan and Korea in appreciation of everything the servicemen and women do for our country COMMUNITY REPORT 15

18 NORTSIDE OSPITAL th Street North St. Petersburg, Florida (727) Northsideospital.com 66th ST N 66th ST N 66th ST N # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted th ST N 58th ST N 58th ST N PINELLAS PARK th ST N 49th ST N 49thST N PARK AVE N 62nd AVE N 54th AVE N 689 Northside ospital S T. P E T E R S B U R G 694 GANDY BLVD N 19 SAWGRASS LAKE PARK W 1st ST 288 9,753 26,602 41, $60,285,468 $3,174, Accreditations and Certifications: Accredited ospital (Joint Commission) ACCREDITED Chest Pain Center with pci (SCPC) Certified Advanced Primary Stroke Center (Joint Commission) Additional Services: 24-hour Emergency Services 64-SLICE CT SCANNER CARDIOPULMONARY OUTPATIENT REABILITATION Company Care Occupational ealth DIAGNOSTIC SERVICES GRADUATE MEDICAL EDUCATION PROGRAM EART ATTACK PREVENTION PROGRAM NEUROSCIENCE INSTITUTE Orthopedic Institute TAMPA BAY EART INSTITUTE Stephen J. Daugherty Chief Executive Officer 38th AVE N Northside ospital is located in St. Petersburg, Florida on 49th Street North. The American eart Association is very appreciative of the outstanding donation made by the Northside ospital team during the 2010 eart Walk. The money will help to raise awareness of heart disease prevention in our community as well as help fund important cardiac research. Suzy O Malley American eart Association Vice President, Metro Tampa Bay 16 CA West Florida Pinellas County ospital Statistics

19 st. petersburg general hospital th Avenue North St. Petersburg, Florida (727) StPeteGeneral.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. 66th ST N 66th ST N 62ndAVE N 54th AVE N 58th ST N 58th ST N St. Petersburg General ospital 49th ST N 49th ST N 54th AVE N 38th AVE N 219 8,026 31,270 49, $47,326,386 $3,145, Accreditations and Certifications: Accredited ospital (Joint Commission) ACCREDITED BREAST CENTER with DIGITAL IMAGING & CAD (ACR) Accredited Chest Pain Center (SCPC) Certified Advanced Primary Stroke Center (Joint Commission) Additional Services: 24-OUR EMERGENCY SERVICES TE BARIATRIC INSTITUTE COMPANY CARE OCCUPATIONAL EALT da VINCI ROBOTIC SURGICAL SYSTEM DIAGNOSTIC IMAGING GRADUATE MEDICAL EDUCATION PROGRAM/ FAMILY PRACTICE OBSTETRICS ORTOPEDICS SLEEP DISORDERS CENTER WOMEN S SERVICES WOUND CARE CENTER Robert B. Conroy, Jr. Chief Executive Officer 66th ST N TYRONE BLVD N 22nd AVE N 58th ST N 49th ST N 22nd AVE N S T. P E T E R S B U R G St. Petersburg General ospital is located on 38th Avenue North 5T AVE N 5T AVE N in St. Petersburg, Florida. I wanted to get healthier and achieve permanent weight loss. As a night shift charge nurse at St. Petersburg General ospital, I was able to enjoy firsthand a great experience as a patient. The Bariatric Institute team continues to be a great support to me. I have lost over 70 lbs in 10 months and feel healthy, have no pain and my blood pressure is now under control with no more medications. I now love to walk and always want to be moving. Bariatric weight loss surgery has helped make my dream of a thinner, healthier me come true! Cheryl ansen Bariatric Weight Loss Patient 2011 COMMUNITY REPORT 17

20 EDWARD WITE OSPITAL EdwardWhiteospital.com LARGO MEDICAL CENTER LargoMedical.com NORTSIDE OSPITAL Northsideospital.com ST. PETERSBURG GENERAL OSPITAL StPeteGeneral.com Pinellas County TOGETER, PERFORMING AT A IGER STANDARD SM