PALM BEACH COUNTY COMMUNITY REPORT

Transcription

1 PALM BEACH COUNTY COMMUNITY REPORT

2 HCA East Florida HCA HCA s roots date back to 1968 when Dr. Thomas Frist, Sr. led a group of physicians to build a hospital in Nashville, Tennessee. Over four decades of hard work and dedication have made HCA Hospital Corporation of America the nation s leading provider of quality healthcare services, with locally managed facilities that include approximately 163 hospitals and 109 outpatient surgery centers in 20 states and throughout Great Britain. In Florida, there are 41 hospitals and 31 surgery centers, three division offices and several other service facilities affiliated with HCA. HCA East Florida Division Located in Ft. Lauderdale, the HCA East Florida Division encompasses 14 hospitals in South Florida and the Treasure Coast, in addition to multiple ambulatory surgery centers and imaging centers, a supply chain center and an integrated regional laboratory. Together, the network employs more than 13,900 individuals and has nearly 5,000 physicians on staff. HCA Palm Beach County The Palm Beach region of HCA East Florida consists of Columbia Hospital, JFK Medical Center and Palms West Hospital. Each hospital is an integral part of the community, providing residents with the highest-quality care, latest technology, preventative services and informative seminars. We share a commitment to delivering comprehensive and compassionate care to meet the needs of the community. The Treasure Coast Lawnwood Regional Medical Center & Heart Institute Raulerson Hospital St. Lucie Medical Center Palm Beach County Columbia Hospital JFK Medical Center Palms West Hospital Broward County Northwest Medical Center Plantation General Hospital University Hospital & Medical Center Westside Regional Medical Center Miami/Dade County Aventura Hospital & Medical Center Kendall Regional Medical Center Mercy Hospital Sister Emmanuel Hospital 1

3 HCA East Florida: At A Glance Hospitals 14 Surgery Centers 12 Diagnostic Imaging Centers 6 Psychiatric Care Facilities 7 Regional Laboratory 1 Graduate Medical Education Programs 7 Number of Licensed Beds 3,394 Total Employees 13,926 Total Physicians 4,465 Total Volunteers 1,307 Quality and Patient Safety hcare Electronic Health Record (EHR) EHR simplifies access to patient health information by immediately providing clinicians with accurate information for optimum patient care. We believe that EHR will be a fundamental support system for improving the quality of healthcare in our facilities. hcare Hub/Mobility Physician Portal This portal integrates the electronic medical records of our physician practices with our hospitals to provide physicians with access to their patients clinical records. It puts critical information at their fingertips, both on their office computers and via smartphone technology. hcare Access This service provides physicians and their staff with a faster and more convenient remote login solution. Whether using PC, Mac or ipad, physicians have access to the same clinical applications they use at the hospital from virtually anywhere. Connection time is 75% faster than prior remote access solutions and single sign-on password management is available. Computerized Provider Order Entry (CPOE) CPOE is patient safety technology that allows providers to place orders directly into the clinical information system and check each order against the patient s medical information. Providers are alerted to any potential contraindications or interactions at the time of order. This streamlines the process and eliminates opportunities for medical error. In addition to the safety checks, orders go immediately to the department(s) that will implement/initiate the order, leading to more efficient patient care. This system is used in all of our emergency departments and hospital-wide. Picture Archiving and Communications Systems (PACS) & MUSE PACS stores digital versions of patients clinical images, such as CT and PET scans, MRIs and X-rays to make them readily accessible at the hospital or remote locations. The MUSE system digitizes EKG tracings, allowing for easy access to this information. Electronic Bar-Coded Medication Administration All HCA East Florida hospitals have implemented emar software to prevent medication errors and improve patient safety. Each patient receives an armband with a unique bar code. Before a medication is administered, the bar codes on both the armband and medication are scanned to verify that the patient is receiving the right drug and dosage at the right time. The software checks each medication against the patient s drug history and lab results. If conflicts or potential interactions are identified, warnings alert the nurse to verify or call the doctor before administering the medication. HCA s results with emar have been instrumental in encouraging the FDA to develop a standardized bar code system for the pharmaceutical industry and at all hospitals to improve patient safety. Bar code-enabled transfusion administration allows clinicians to scan the patient ID band and the bar code on the blood product to ensure that the correct product is being issued and administered to the patient. This capability is similar to the functionality introduced by the emar & Bar Coding project, now called Bar Code-Enabled Medication Administration. Voice Recognition System This technology allows physicians to report their clinical findings directly on a system that recognizes their voice. It creates efficiency in our radiology departments by eliminating the delays often caused by transcriptions. The report then gets reviewed on screen by the radiologist where it can be corrected, signed and sent for utilization by other clinicians within a 30-minute time frame. Emergency Department Management Module (EDM) EDM is used to manage the flow of patients through the emergency department from arrival through departure. Both CPOE and emar fully integrate into EDM, allowing for streamlined communication of orders and medication administration between physicians and emergency department staff. EDM is also used to measure and track emergency room wait times quickly and accurately. Telehealth At JFK Medical Center, HCA East Florida has the ability to monitor patients from a distance using electronic devices to record and send measurements of patient vital signs. Telehealth technologies are evolving to provide real-time interactive health systems that can engage patients and their care teams more fully in their treatment. Upon discharge, patients are monitored and managed from home. Emergency Department For the past few years, HCA East Florida has been working diligently to improve the effectiveness and efficiency of its emergency rooms. Our focus on enhancing care and improving emergency processes has dramatically reduced wait times to below national averages. We have been so successful that average emergency room wait times are now available to the public. This vital information provides patients with the resources to make informed decisions about their urgent medical needs. Wait times for all of our hospitals are updated every 30 minutes and are available via text of ER to 23000, iphone app on our website, iphone itriage app from the App Store and roadside digital billboards throughout the region. We also offer emergency room wait times for our hospitals with pediatrics. Patients can text ERKids to for access to immediate average wait times for children s emergency care. 2 3

4 Social Media Social media allows the community to communicate with us directly. All of our hospitals can be accessed through Facebook and Twitter, and there is a video library on YouTube. Our social media channels make it simple to stay up to date on our latest technologies, services and community involvement. Our hospitals websites encourage interaction and provide important information. Technology Our East Florida Division hospitals are upgrading technology at an unprecedented rate to ensure that we provide clinical excellence and optimal patient outcomes. In addition to using the most advanced medical systems, our facilities have integrated wireless and digital technology through all modalities. We also offer nine robotic programs that enable surgeons to perform precision work with very small incisions and faster recovery times. Remote Patient Monitoring Airstrip Cardiology and Airstrip OB are two applications that are improving the speed and quality of communication within our hospitals. AirStrip Cardiology is the revolutionary new technology that delivers EKGs from Emergency Medical Services directly to doctors and nurses smartphones or tablets. It allows patients to be assessed while they re being transported to the hospital. The crucial time saved can help save lives. Airstrip OB delivers vital patient waveform data, including fetal heartbeat and maternal contraction patterns, in real time directly from the hospital labor and delivery unit to a doctor s smartphone. This application gives physicians the ability to closely monitor patients 24/7 when the demands of their day necessitate their periodic absence from the labor and delivery unit. itriage itriage provides access to medical information on thousands of symptoms, diseases and medical procedures. It also allows patients to find emergency room wait times, get healthcare cost information and view quality reports. itriage was developed to put better medical information into patients hands. These medical pioneers have now empowered healthcare consumers with this revolutionary acute care decision tool. itriage is available as a free app for iphone, Android ȚM Blackberry & Palm smartphones or at Giving Back to the Community Community Support Our employees provide financial and volunteer support to countless civic organizations, schools, colleges, city projects and charitable organizations in their communities. Uninsured/Underinsured Patient Education HCA East Florida hospitals are committed to helping uninsured/underinsured patients who qualify for local and state health benefits. Each hospital offers on-site benefit education and Medicaid enrollment assistance. Volunteering In 2011, HCA East Florida hospital employees and volunteers dedicated 377,444 hours of patient and family support. Events included building homes with Habitat for Humanity, Making Strides for the American Cancer Society, and promoting wellness and education through complimentary health screenings and lectures. We sponsor the Team Storm Riders cycling team, which ranked 49th in the country for raising funds for the National Multiple Sclerosis Society, with riding members from our staff. Step Up for Students Since 2005, HCA has redirected corporate income tax to the Step Up for Students program. Through this gift, low-income students receive a K-12 scholarship enabling them to receive a quality education. Qualifying parents can use these grants to send their child to the public or private school that best meets their child s needs. Consult-A-Nurse Healthcare Referral & Information Consult-A-Nurse is a free service that provides physician referrals and health information by phone, 24 hours a day. The service supplies information about physicians affiliated with HCA hospitals, including their medical specialty, skills, experience, and office information. Registered nurses are available to provide consultations and answer health questions. Partial list of the organizations benefiting from HCA Hospitals in Palm Beach County: Alzheimer s Association American Cancer Society American Heart Association American Lung Association Arthritis Foundation Autism Speaks Boys and Girls Club of Wellington HCA Hope Fund JFK Medical Center Foundation Leukemia & Lymphoma Society Little Smiles March of Dimes National Multiple Sclerosis Society Palm Beach County Medical Society Susan G. Komen for the Cure United Way of Palm Beach County 4 5

5 Last year was an exciting one for Columbia Hospital. As we reflect on the accomplishments, we look forward to 2012 and the future contributions that the hospital will make to the community. We are proud to share that Columbia Hospital was named one of the nation s top performers on key quality measures by The Joint Commission, the leading accreditor of healthcare organizations in America. Only 14% of the nation s hospitals received this honor. One of our most recent accomplishments was the opening of our new Cardiac Catheterization Lab. This new lab helps us identify coronary artery disease and will let physicians see if there are any narrowing and/or blockages of the arteries. At Columbia, we will continue to bring breakthroughs in emergency care, orthopedic and joint replacement surgery, diagnostic and interventional services, women s services, behavioral health care and a complete range of inpatient and outpatient services. As we continue to provide the highest level of quality care to our community, we look forward to being your partner for your healthcare needs in 2012 and in years to come. Dana C. Oaks, FACHE Chief Executive Officer Columbia Hospital Columbia Hospital Emergency Department For the past few years, HCA East Florida has been working diligently to improve the effectiveness and efficiency of its emergency rooms. Our focus on enhancing care and improving emergency processes has dramatically reduced wait times to below national averages. We have been so successful that average emergency room wait times are now available to the public. This vital information provides patients with the resources to make informed decisions about their urgent medical needs. Wait times for all of our hospitals are updated every 30 minutes and are available via text of ER to 23000, iphone app on our website, iphone itriage app from the App Store and roadside digital billboards throughout the region. We also offer emergency room wait times for our hospitals with pediatrics. Patients can text ERKids to for access to immediate average wait times for children s emergency care. The Center for Pain Care Our Center for Pain Care provides caring treatment for patients with acute and chronic pain problems. Our physicians are dedicated to helping patients find relief through medication management, procedural intervention, biofeedback, psychiatric services and physical therapy. Specialists include neurologists, anesthesiologists, orthopedic surgeons, physiatrists and nurses. They treat numerous chronic disorders, such as cancer pain, lower back pain, sciatica, cervical (neck) strain, reflex sympathetic dystrophy, myofascial syndrome pain caused by peripheral nerve damage, pancreatic pain and neuropathic pain. Cardiac Catheterization We are proud to announce the grand opening of Palm Beach County s newest Cardiac Catheterization Lab. Our state-of-the-art cardiac catheterization (cath) lab will play a key role in the diagnosis and treatment of cardiovascular disease as well as the prevention of heart attack and stroke. Our lab is equipped with the most advanced technologies, including new digital imaging systems with flat screen technology that enable the medical team to see the workings of the heart and blood vessels with unprecedented clarity. If your physician suspects that you have coronary artery disease, or if you have symptoms of the disease, several tests are used to make a diagnosis. If these tests indicate that your heart is not getting enough of the oxygen that it needs, cardiac catheterization, also called angiography, may be suggested. Behavioral Health Services The Pavilion, an 88-bed inpatient unit adjacent to the hospital, offers comprehensive psychiatric and behavioral health services. Psychiatric needs of children, adolescents, adults and seniors are assessed and treated through a full range of programs, including individual therapy, group therapy, family therapy, medication management and aftercare. An intensive outpatient program and partial hospitalization program are also offered for adults. The Pavilion has 27 licensed beds focusing on children and adolescents from the ages of 5 to 17. It is the largest licensed Baker Act receiving facility accepting children in Palm Beach County. Columbia Hospital recently opened a new afterschool adolescent evening intensive outpatient program for teens ages 13 to 17 years old. Through individual, group and family sessions, we will strive to meet the academic, social and emotional needs of adolescents with behavioral health issues. Our team of caring professionals will be there to assist every step of the way. General and Vascular Surgery Columbia Hospital performs highly advanced inpatient and outpatient general and vascular surgical procedures. Our surgical team utilizes minimally invasive surgical methods, including endoscopic and laparoscopic procedures, to minimize recovery time and allow a quick return to a normal routine. The Orthopedic & Spine Institute of the Palm Beaches The Orthopedic & Spine Institute of the Palm Beaches offers comprehensive, innovative technological solutions for disorders of the joints, neck pain, fractures, arthritis, joint discomfort and back pain. Using the latest advances, our dedicated professionals can attend to all of your surgical needs. Our team of experts includes boardcertified orthopedic surgeons and neurosurgeons with extensive training, orthopedic-certified/ trained professional nurses, physical therapists and technicians. The Institute offers support from pre-admission to post-discharge and the resources needed to ensure a seamless transition from hospital to home. Inpatient Hospice Unit Columbia Hospital s inpatient hospice unit, located on the second floor of the main hospital, offers a homelike setting with an interdisciplinary team of nurses, physicians, social workers, a chaplain and volunteers. The unit can accommodate 11 patients, each with a private room, and visiting hours are always available for any age or number of guests. The Breast Care Center at Columbia Hospital The Breast Care Center is designed to provide a comfortable, compassionate environment for our patients, staff and physicians. The Center offers a full range of services including digital mammography, computer-aided detection (CAD) systems, ultrasound, ultrasound-guided biopsy/ cyst aspiration, stereotactic biopsy, weekly breastfocused multidisciplinary conferences, secondopinion and surgical consultations, and bone density tests. We are one of the first hospitals in West Palm Beach to utilize the HydroMARK, a device used to mark areas where breast tissue has been removed during a non-invasive breast biopsy. The HydroMARK is made of a bioabsorbable material that can be seen under ultrasound for an extended period of time. We are proud to offer this innovative device for the benefit of our patients. 6 7

6 Radiology and Diagnostic Imaging Services The radiology department provides full-service diagnostic imaging specializing in interventional and women s imaging. The department is staffed by registered licensed technologists of the American Registry of Radiologic Technologists and technologists with advanced certification in CT scan imaging. Columbia s MRI with EXCITE technology delivers breakthrough results from an image-quality, application and enhancement perspective. The combination of faster and better scanning can significantly decrease patient time in the magnet. The VIBRANT MRI component enables simultaneous, contrast-enhanced acquisition with high spatial resolution of both breasts, which eliminates the need to return to obtain the highestquality images. In addition, our PACS technology allows physicians to view and manipulate images simultaneously, even from separate locations. Wound Management Columbia Hospital specializes in the treatment of non-healing wounds. Our specially trained physicians and nurses develop effective, up-to-date treatment plans to assist in the healing process of specific types of wounds. Following a medical review, our team of caring professionals helps with decisions regarding wound care, including dressing instructions, home care, and wound prevention education. Weekly monitoring of progress enables the team to make adjustments to care to provide the fastest results. Outpatient Rehabilitation Services Outpatient rehabilitation services at Columbia Hospital offer individualized and comprehensive physical, occupational and speech therapy. Our team is committed to providing professional and compassionate care in a one-on-one setting. Therapeutic plans are developed to help patients achieve the highest level of functional independence. Physical therapy services are available for orthopedic, neurologic and neuromuscular conditions including neck/back pain, arthritis, preoperative care, postoperative care, traumatic injuries, sports injuries, balance deficiencies, stroke rehabilitation and osteoporosis. Occupational therapy is available for those with a decline in the ability to perform activities of daily living, such as self-feeding, bathing, grooming and dressing. Services are also available for the treatment of acute or chronic injuries of shoulders or hands. Speech therapy is provided by a certified speech language pathologist to meet the individual needs of patients with deficits in speech, language, cognition and/ or swallowing. Video fluoroscopic swallow studies are available in conjunction with the radiology department. Individuals requiring any rehabilitation treatment must be referred by a physician and have a signed prescription from that professional. Volunteer Program Our volunteers are the lifeblood of Columbia Hospital. They provide support services that are vital to providing daily care and comfort to our patients. We are always seeking volunteers to give their time and have many ongoing and short-term options available. Everything was done in a professional manner from the moment I was admitted to the moment I was discharged. I couldn t have received better care anywhere else. The nurses, therapists, radiology department and everyone I saw during my stay were wonderful. I would recommend Columbia Hospital to anyone. Donell Jarriel Total Knee Replacement Patient Hospital Statistics Total 62,770 Annual Hospital Admissions 9,835 Annual Emergency Visits 23,797 Total Medicaid 14,130 Medicaid Market Share 8.6% Total Uninsured 12,755 Uninsured Care Market Share 13.8% Capital Investment 4% Total Taxes 3% 17% Total Local Vendor Support 15% 2% Total Salaries & Benefits 59% Hospital Economic Impact Total Salaries & Benefits $48,653,342 $13,771,881 Taxes Paid Federal Income Tax $150,358 State Income Tax $27,752 Indigent Care Tax $1,002,029 Property Tax $762,106 Sales Tax $664,289 Unemployment Tax $138,941 Other Local Tax $11,086 Total Taxes $2,756,561 Capital Investment $3,188,362 Total Local Vendor Support $12,257,265 Minority & Women Owned Business Support $619,204 $2,051,351 Total Economic Impact $82,677,000 Awards & Recognition Columbia Hospital was named one of the nation s top performers on key quality measures by The Joint Commission, the leading accreditor of healthcare organizations in America. Only 14% of the nation s hospitals received this honor. The hospitals earning this designation were recognized for evidence-based clinical processes that are shown to improve care for various conditions, including heart attack, heart failure, pneumonia and surgical care. This distinction is a direct result of our physicians and employees dedication to those we serve. Columbia was also recognized for its success in performance achievement using evidencebased guidelines to provide the best possible care to patients through the American Heart Association/American Stroke Association s Get With The Guidelines Program. Get With The Guidelines is a hospital-based, qualityimprovement program designed to ensure that hospitals consistently care for heart and stroke patients utilizing the most up-to-date guidelines and recommendations. The Silver Performance Achievement Award is given to those hospitals that achieve 85% compliance with Get With The Guidelines measures for 12 consecutive months. More than 1,400 hospitals participate in this program. Additionally, Columbia has been awarded a threeyear term of accreditation in mammography as the result of a recent review by the American College of Radiology (ACR). The ACR gold seal of accreditation represents the highest level of image quality and patient safety. 8 9

7 JFK Medical Center is proud to provide the highest-quality healthcare to South Florida. In 2011, we made many major accomplishments. We opened our 31-bed behavioral health services unit to provide adult acute psychiatric inpatient care and become a designated Baker Act receiving facility. Together with Palms West, we were the first to offer single-site non-invasive robotic surgery with the da Vinci Surgical System to the residents of Palm Beach County. We also began a complete renovation of the Comprehensive Cancer Center and held the groundbreaking for our new 50,000 squarefoot medical office building. JFK Medical Center has been designated as one of the few sites in Florida to offer transcatheter aortic valve replacement (TAVR) therapy with the Edwards SAPIEN Valve. JFK is part of a select group of hospitals in the U.S. approved to offer this promising new procedure for those considered too high risk for traditional heart valve replacement, or those who were previously considered inoperable. Looking forward, we will continue to bring breakthroughs in cardiac and cancer care, as well as the latest diagnostic tools and procedures to care for the community. Gina Melby Chief Executive Officer JFK Medical Center JFK Medical Center Conveniently located in the heart of Palm Beach County, JFK Medical Center is a 460-bed facility known for its comprehensive services, including general and orthopedic surgery, neurosurgery, stroke care, minimally invasive surgery, robotics, cancer care, sleep disorders, emergency services and cardiovascular care. Our medical staff is comprised of more than 500 physicians representing virtually every medical specialty. Our staff also includes more than 2,000 allied healthcare professionals, complemented by over 300 adult and teen volunteers. Bariatrics The Bariatric Wellness and Surgical Institute at JFK Medical Center is dedicated to helping patients achieve their weight loss and health goals through a multidisciplinary approach to morbid obesity. With comprehensive programs ranging from wellness services for medical weight loss to surgical procedures, we provide thoughtful, patientfocused care. Accredited as a Center of Excellence by the American Society for Metabolic and Bariatric Surgery (ASMBS), our bariatric surgical program is staffed by top-notch certified medical professionals and offers surgical weight loss procedures including Laparoscopic Roux-en-Y Gastric Bypass, Laparoscopic Adjustable Gastric Band, Laparoscopic Sleeve Gastrectomy and revisions of prior surgeries. Our team also includes nurses, nutritional and psychological support, physical therapy, preoperative education, insurance approvals and appeals coordination. Behavioral Health Unit JFK Medical Center s new behavioral health services unit is helping to ease the critical shortage of behavioral health beds in our area. Our 31-bed unit offers a safe, soothing and comfortable environment. We will provide adult acute psychiatric inpatient care and become a designated Baker Act receiving facility that will treat a wide variety of behavioral health diagnoses. Our high-quality care is evident in all of our treatments and with our experienced team of mental health professionals, including psychiatrists, nurses, therapists, social workers, mental health technicians and occupational therapists. Our program includes individual therapy, group psychotherapy, occupational therapy, family therapy and medication management. Patients and families are encouraged to actively participate in both the planning and implementation of the treatment. The Heart & Vascular Institute Founded more than 20 years ago, the Heart & Vascular Institute at JFK Medical Center boasts high volumes and superb outcomes. The cardiac surgery team has performed more than 12,000 open heart surgeries and the electrophysiology lab (EP) is one of the busiest facilities of its kind in the southeastern United States. The JFK Cardiac Catheterization Laboratory interventional cardiologists spend all of their time performing cardiac catheterization procedures. JFK Medical Center has the highest volumes in Palm Beach County and the Treasure Coast in coronary bypass surgery, cardiac catheterization, defibrillator implants and pacemaker insertion. The JFK Medical Center Vascular Institute features GE Innova Bi-Plane TM technology, which enables physicians to view detailed 3-D images on two different planes at once and is imperative in delivering state-of-the-art stroke care and vascular treatment. JFK Medical Center is the first heart program in Palm Beach County and the Treasure Coast to offer Transcatheter Aortic Valve Replacement (TAVR) therapy with the Edwards SAPIEN valve. Due to its curative nature, the TAVR procedure represents a major advance for patients who are not surgical candidates. The TAVR procedure is performed by cardiologists and cardiac surgeons in a hybrid operating suite that combines cardiac catheterization equipment with the amenities of a full-service operating room. This new way of performing heart valve replacement enables the placement of a collapsible aortic heart valve into the body via a catheter that is inserted through the leg and threaded up to the heart. Since there is no open surgery, recovery is typically only one to three days in the hospital. Robotic Surgery Robotic surgery allows physicians to perform many surgical procedures through 1-2 cm incisions. For most patients, a minimally invasive approach offers substantially less pain, less blood loss and a much shorter recovery. Other advantages include reduced need for blood transfusions, minimal scarring, less risk of infection, shorter hospital stays and faster returns to everyday activities. JFK Medical Center is joining surgeons worldwide in the use of the da Vinci Surgical System for more minimally invasive procedures. This state-of-the-art approach is ideal for delicate surgery, such as the treatment of prostate cancer, bladder and kidney cancer, Vesicoureteral reflux and Ureteropelvic Junction (UPJ) obstruction. This less-invasive technique uses small incisions and allows surgeons to operate with greater precision and control. The robotically trained surgeons at JFK Medical Center are recognized as pioneers and often host visiting surgeons from all over the country to observe their robotic cases. Comprehensive Cancer Institute The oncology team at the Comprehensive Cancer Center at JFK Medical Center works closely with each patient, from diagnosis through post-treatment. Our dedicated oncologists and oncology staff use the most current treatments and technology to deliver the most-effective cancer therapies, including Intensity Modulated Radiation Therapy (IMRT), Image Guided Radiation Therapy (IGRT) and High Dose Radiation (HDR) Brachytherapy. Our surgeons are also using the CyberKnife Robotic Radiosurgery System, which is the most advanced radiation therapy on the market and provides an alternative to surgery for the treatment of both cancerous and non-cancerous tumors. Neurosciences Nationally recognized for our neuroscience services, JFK Medical Center is a leading treatment and resource center for people affected by complex neurological conditions. Our team of multi-disciplinary neuroscience 10 11

8 specialists uses the latest technology and treatments to diagnose and treat diverse, chronic and challenging problems involving the brain, spine, cerebrovascular system and nervous system. The Neuroscience Center at JFK Medical Center is at the forefront of stroke diagnosis, treatment and prevention. Our stroke program has been certified by the Joint Commission and given its Gold Seal of Approval for providing the greatest breadth and depth of specialists and advanced services for stroke patients. We were the first in Palm Beach County to achieve the distinction of Comprehensive Stroke Center by AHCA in 2006 and we are proud to provide care to stroke patients throughout Palm Beach, Martin, and St. Lucie Counties. Our 36-bed nursing Neuroscience unit and our highly specialized 18-bed Neuro-ICU are dedicated to patients recovering from neurological or neurosurgical procedures. Both are staffed with nurses who are uniquely trained and focused on the specific needs of neuroscience patients. The Breast Institute The Breast Institute at JFK Medical Center supports patients from diagnosis through treatment in a comfortable and compassionate environment. Our highly trained staff works closely with each patient to plan and execute the most effective course of treatment. We consistently strive to meet and exceed accreditation standards and have proudly earned NQMBC accreditation, as well as NAPBC accreditation. Our services include screenings to diagnostic mammography, digital mammography, ultrasound, stereotactic biopsy, pre-operative education programs, second opinion consultations, bone density testing and genetic testing. Orthopedic Institute The Orthopedic Institute at JFK Medical Center is the first and most experienced hospital on Florida s East Coast to be designated by The Joint Commission as a Center of Joint Distinction. We take a comprehensive approach to the evaluation, treatment and rehabilitation of musculoskeletal injuries. By integrating the primary care physician and surgeon with a host of clinical support staff, we are able to develop customized treatment plans that help patients return to maximum function as quickly and safely as possible. This collaborative approach enables our clinical team to properly evaluate and prepare patients by continuously monitoring and managing their progress. This unique continuum of care produces outstanding clinical results and high patient-satisfaction rates. Research at JFK Medical Center The JFK Medical Center Research Department conducts a variety of clinical studies to test new strategies for medical treatment. Our research team performs treatment trials, prevention trials, diagnostic trials, screening trials and quality-of-life trials. JFK Medical Center is a participant in CISRP, an independent organization founded to educate the public and promote a greater understanding of clinical research participation and its role in public health. We are also affiliated with the WESTERB IRB, which provides review and approval of our clinical studies. From the bottom of my mended heart, I cannot express enough how thankful I am for the quality of care I received at JFK. Craig Koren Mitral Valve Replacement Patient Hospital Statistics Total 188,573 Annual Hospital Admissions 29,891 Annual Emergency Visits 70,646 Total Medicaid 26,837 Medicaid Market Share 14.9% Total Uninsured 34,890 Uninsured Care Market Share 51.1% Capital Investment 5% Total Taxes 4% 14% Total Local Vendor Support 21% 2% Total Salaries & Benefits 54% Hospital Economic Impact Total Salaries & Benefits $165,821,321 $43,696,320 Taxes Paid Federal Income Tax $846,158 State Income Tax $156,180 Indigent Care Tax $5,038,605 Property Tax $2,984,707 Sales Tax $1,894,139 Unemployment Tax $407,266 Other Local Tax $13,993 Total Taxes $11,341,048 Capital Investment $14,881,578 Total Local Vendor Support $66,121,305 Minority & Women Owned Business Support $3,360,320 $7,314,663 Total Economic Impact $309,176,000 Awards & Recognition JFK Medical Center was among 16 South Florida hospitals recently recognized as 2011 Top Performers on Key Quality Measures. This rating was achieved as a result of following 22 recommended methods for preventing complications, infections and errors for at least 95 percent of patients last year. JFK Medical Center is also a Blue Distinction Center for Spine Surgery. This means that JFK Medical Center has demonstrated a commitment to quality care, resulting in better overall outcomes for spine surgery patients. Each Blue Distinction facility meets objective clinical measures that are developed with input from expert physicians and medical organizations recommendations. Additionally, JFK Medical Center has received the Get With The Guidelines Heart Failure Gold Plus Award and the Get With The Guidelines Stroke Gold Plus Award. The American Heart Association and American Stroke Association recognize those hospitals for their success in using Get With The Guidelines to improve quality of care for heart disease and stroke patients. Gold hospitals follow treatment guidelines in certain key measures at least 85 percent of the time and have maintained this performance level for consecutive twelve-month intervals. Silver Performance Award hospitals have maintained this performance level for at least twelve months. The Plus awards represent a current gold or silver award and additional 75 percent compliance with module-specific quality measures for at least twelve consecutive months

9 This is an exciting year for Palms West Hospital. Construction is well underway for our 32-bed expansion project, which will bring us to 204 total beds. This expansion will increase capacity in our Pediatric Department and Pediatric ICU, Adult Medical/ Surgical Department, Adult ICU and the Laboratory. We are excited about this expansion and look forward to the benefits it will bring to our patients and the community for many years to come. It is our mission at Palms West Hospital to make your experience safe, secure and as comfortable as possible. It is a privilege to serve you and your family and we look forward to being there for your healthcare needs in Eric Goldman Chief Executive Officer Palms West Hospital Palms West Hospital Palms West Hospital has provided healthcare excellence since We are a thriving, comprehensive, acute care community hospital offering a wide range of specialty services. What truly makes Palms West Hospital special is our people: a team of compassionate, dedicated healthcare professionals working toward a central focus our patients. Palms West Hospital continues to grow and expand while offering the latest technological advances, patient safety initiatives and the best in healthcare to our patients. Emergency Department Palms West Hospital offers 24-hour emergency services with specially trained physicians, nurses and support staff equipped with the resources of a full-service adult and pediatric hospital. At Palms West Hospital, sick and injured children receive emergency medical treatment in a completely separate, child-focused environment. We are the only hospital in the Western Communities with a dedicated Pediatric Emergency Department and the support of a full continuum of pediatric care with The Children s Hospital at Palms West. Through an affiliation with Miami Children s Hospital, physicians from their emergency room provide care to the children in our community at Palms West Hospital. Miami Children s Hospital is a recognized leader in pediatric healthcare and is renowned for excellence in all aspects of pediatrics, from birth through adolescence. An affiliation with Miami Children s was only natural for Palms West, since both hospitals are committed to excellent pediatric care. Pediatric Care The Children s Hospital at Palms West offers a full complement of healthcare services, including a dedicated Emergency Department, Pediatric Intensive Care, Pediatric Sedation for radiology studies, Pediatric Surgery and Pediatric Oncology services. Our pediatric medical staff includes more than 50 pediatricians and more than 40 sub-specialists in pediatric cardiology, ENT, endocrinology, gastroenterology, neurosurgery, pulmonary and urology. Palms West Hospital is the only hospital in the Western Communities with a dedicated pediatric department and pediatric professionals including nurses, respiratory therapists, child life specialists and clinical dietitians. At Palms West Hospital, service to our pediatric patients, their families and our community reflects an ongoing commitment to exceptional patient care. Additionally, we are committed to training new generations of pediatricians through our medical education and residency programs. Palms West Hospital s comprehensive Pediatric Hematology/Oncology program includes both inpatient and outpatient procedures and treatment. Dr. Melissa Singer, the area s only pediatric hematologist/oncologist, serves as the medical director of the program. In our Outpatient Infusion Center, certified pediatric oncology nurses administer chemotherapy, blood products and infusions for pediatric oncology and immunocompromised patients. Dr. Singer and Palms West Hospital believe in offering the most appropriate and current diagnostic and therapeutic modalities in a supportive and compassionate environment. Pediatric Residency The Pediatric Residency Program based at Palms West Hospital is affiliated with Palm Beach Centre for Graduate Medical Education and Nova Southeastern University. This program allows residents to partner with our pediatric intensivist physicians to master the skills needed to be successful pediatricians. Having such an expansive list of pediatric specialties allows the residents to have exposure to many different types and acuity levels of patients. Orthopedics Our dedication to Orthopedic Care is exemplified by our team of highly trained surgeons who, together, are experts in the treatment of every bone and joint in the human body. The Orthopedic Center at Palms West Hospital utilizes less-invasive joint replacement techniques using stronger, more-durable materials. Patients benefit from a multi-disciplinary approach involving advanced physical therapy techniques, smarter pain management and shortened recovery times. Life is too short to live with joint pain or stiffness, especially when joint replacement surgery has come so far. We also offer pre-operative education classes to address any questions or concerns about the surgical process and recovery. Cardiology Services Palms West Hospital is dedicated to providing our patients with the best heart-care treatment available. As an Accredited Chest Pain Center, we ensure that patients who come to the hospital complaining of chest pain or discomfort are given the immediate treatment necessary to avoid as much heart damage as possible. The cardiology program at Palms West Hospital brings together the collaborative efforts and experience of highly skilled physician specialists, nurses, technologists and other cardiovascular health professionals. Our cardiac care services encompass a full range of diagnostic modalities and interventional procedures. Our team of specialists combines their expertise and knowledge to provide the latest scientific advantages in their respective fields. Outpatient Rehabilitation & Aquatics Center Regaining strength after an illness or injury requires the skill and support of an outstanding team. The Outpatient Rehabilitation and Aquatics Center at Palms West Hospital treats both adults and children with the latest, state-ofthe-art equipment in an aquatics facility and program to rival any in the country. Our 5,500 square-foot facility houses the most advanced wellness equipment, along with a 15 x 30 heated rehabilitation pool. Combined with the expertise 14 15

10 of our professional licensed therapists, we can treat patients disabilities and injuries with the utmost skill and compassion. Our program includes physical therapy, occupational therapy, speech therapy and respiratory therapy. Obstetrics Our Obstetrics unit, also known as Your New Life Center, believes in promoting positive family bonds by offering family-centered maternity care. This department is known as the happiest place in the hospital and is focused on providing the mother, baby and family with a safe and memorable birthing experience. From our experienced, caring doctors and nurses to the most advanced technology, we deliver a level of comfort that means so much. We also offer a number of childbirth classes for our expectant moms, siblings and the whole family. Robotics We have recently expanded our Robotic Surgical program and are fortunate to now have two da Vinci Si Surgical Systems. We have broadened our program beyond gynecological and urological robotic-assisted procedures into general surgery. Major surgeries can be performed through the smallest of incisions with the da Vinci Surgical System. It is an effective, minimally invasive alternative to both open surgery and laparoscopy. Compared to more traditional procedures, roboticassisted surgery results in reduced recovery times, less risk of infection, less blood loss and reduced trauma to the body. Hospital Statistics Total 81,885 Annual Hospital Admissions 12,403 Annual Emergency Visits 42,931 Total Medicaid 23,813 Medicaid Market Share 20.7% Total Uninsured 11,198 Uninsured Care Market Share 17.7% Capital Investment 4% Total Taxes 5% 14% Total Local Vendor Support 13% 2% Total Salaries & Benefits 63% Hospital Economic Impact Total Salaries & Benefits $71,892,388 $16,410,745 Taxes Paid Federal Income Tax $1,122,994 State Income Tax $207,277 Indigent Care Tax $1,916,980 Property Tax $907,997 Sales Tax $902,551 Unemployment Tax $197,588 Other Local Tax $2,306 Total Taxes $5,257,693 Capital Investment $4,017,516 Total Local Vendor Support $14,835,086 Minority & Women Owned Business Support $1,096,795 $2,055,936 Total Economic Impact $114,470,000 The care for Aliyah by the physicians and staff at The Children s Hospital at Palms West was terrific. The nurses were so caring and helped us cope with the initial news of Aliyah s illness. The whole family was very well cared for. Aliyah McIntyre Age 6, Pediatric Oncology Patient Maxine McIntyre Aliyah s Mom Awards & Recognition In 2011, Palms West Hospital was recognized by U.S. News and World Report as one of the Top Tier Best Regional Hospitals in the specialty area of gynecology. We attribute this distinction to our wonderful physicians and staff who made this designation possible. Palms West Hospital is recognized as an Accredited Chest Pain Center by the Society of Chest Pain Centers. Palms West Hospital undertook a rigorous evaluation of our heart-care processes in order to integrate the industry s best practices and newest processes into our cardiac care services. We are designated as a Primary Stroke Center by the State Department of Health and Human Services. In order to receive this distinction, Palms West demonstrated compliance with Joint Commission Standards for healthcare quality and safety. The designation of Primary Stroke Center means that state authorities have acknowledged that stroke care has ascended to a new level at Palms West and our patients will benefit from our commitment to providing the best possible care in a community setting. Our Imaging Center is accredited by The American College of Radiology in the modalities of MRI, ultrasound, CT, nuclear medicine and mammography. This designation proves our commitment to providing the highest level of image quality and patient safety. 16

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