2010 COMMUNITY REPORT

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1 Community Report 2010 COMMUNITY REPORT Blake Medical Center Ralph Boniberger Age 75 ip Fracture/ER Patient ats off to Blake Medical Center, EMS, and the Blake Rehab Center I feel just great! Commitment To Excellence Our Commitment To Excellence

2 OurCommitment To Excellence O u r C o m m i t m e n t T o E x c e l l e n c e A Message From Our CEO: Blake Medical center is proud to be a leading provider of high quality, affordable healthcare for over 35 years. I am happy to share this 2010 Community Report with you. In it you ll learn more about the high quality care that has earned us 16 designations and certifications from some of the most respected names in healthcare. Our goal is to provide quality healthcare to every person we treat. Blake Medical Center has a tradition of excellence and is frequently recognized by third parties. Blake boasts an Accredited Chest Pain Center with PCI by the Society of Chest Pain Centers; Blake s Cancer Program is accredited with commendation by the American College of Surgeon s Commission on Cancer; a designated AMI (eart Attack) Center, by the Joint Commission; Certified Advanced Primary Stroke Center also by the Joint Commission. In addition, just this past year The Joint Commission awarded Blake Medical Center Disease-Specific Care Certification for Knee and ip Replacement. Blake is one of only seven hospitals in the State of Florida to earn this distinction. To earn this distinction, a disease management program undergoes an extensive, on-site evaluation by a Joint Commission reviewer every two years. These designations mean that we adhere to the highest standards of care. Blake is also proud to be named one of the 100 Top ospitals in the nation nine times. I know that without our team of dedicated professionals, who consistently go above and beyond for our patients, none of the above mentioned awards would be possible. It s because of people like our 2010 Doctor of the Year, Dr. Alessandro Golino and our 2010 Nurse of the Year Joelle Thomas, who were recognized by patients and peers for their dedication and pursuit of excellence, that we remain leaders in healthcare for our community. Their hard work, dedication and patient care lead the way and set the example for others in the healthcare field. We continue to maintain our reputation of excellence throughout the hospital by offering top-notch care in a comfortable environment. The recent remodel of our Rehabilitation Center and our plans to be designated a Level II Trauma Center by October 2011 show our commitment to continually elevating the level of care for our community. Blake Medical Center offers the personal care and attention you d expect from a community hospital, while delivering results comparable to the nation s top hospitals. For a personal tour of our facility, please call (941) Daniel J. Friedrich, III Chief Executive Officer

3 B l a k e M e d i c a l C e n t e r CA West Florida Facilities of Sarasota, Manatee and Charlotte Counties Blake Medical Center BRADENTON OSPITALS BLAKE MEDICAL CENTER 75 Bradenton, Florida DOCTORS OSPITAL OF SARASOTA Sarasota, Florida ENGLEWOOD COMMUNITY OSPITAL Englewood, Florida FAWCETT MEMORIAL OSPITAL Port Charlotte, Florida SURGERY CENTERS DOCTORS SAME DAY SURGERY CENTER Sarasota, Florida GULF COAST SURGERY CENTER Bradenton, Florida GULF POINTE SURGERY CENTER Port Charlotte, Florida SURGERY CENTER AT ST. ANDREWS Venice, Florida SARASOTA Blake Medical Center Leadership Daniel J. Friedrich, III Chief Executive Officer Maureen Greenway Chief Operating Officer Priscilla Parrish Chief Financial Officer Rose May, RN, MSN Chief Nursing Officer 2 1 Doctors ospital of Sarasota 4 75 ENGL E WOOD P O R T C ARLO TTE Fawcett Memorial ospital Englewood Community ospital 3 Blake Medical Center Services Accreditations and Certifications: Accredited ospital (Joint Commission) Accredited Chest Pain Center WIT PCI (SCPC) ACCREDITED COMMUNITY COMPREENSIVE CANCER PROGRAM (ACoS CoC) CERTIFIED Acute Myocardial Infarction (AMI) (JOINT COMMISSION) Certified Primary Stroke Center (Joint Commission) Additional Services: 24-hour Emergency Services Adult Critical Care BREAST CARE CENTER CARDIOPULMONARY REABILITATION COMPANY CARE OCCUPATIONAL EALT COMPREENSIVE CANCER PROGRAM DIABETES EDUCATION EART INSTITUTE INPATIENT Rehabilitation The care I received from EMS and the ER Staff at Blake was fantastic. I m so happy to back on the golf course doing what I love. JOINT CARE center MEDICAL IMAGING MINIMALLY INVASIVE SURGERY SLEEP DISORDERS CENTER Spine Care Center Joan VanBalen Age 79 Irregular eartbeat/er Patient 1

4 2010 OurCommitment To Excellence O u r C o m m i t m e n t T o E x c e l l e n c e Community Impact Summary 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 Uninsured Market Share (1) excludes Medicaid patients treated Total Employees Total Physicians Total Volunteers Statistics ,745 12,273 26,892 4, % 5, % Our ospital Family 1,

5 B l a k e M e d i c a l C e n t e r 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 (1) 5 year annual average Capital Investment 10% Total Taxes 8% Total Cost of Charity & Uncompensated Care 5% Local Vendor Support 12% $ 67,022,875 $ 5,270,588 $ 3,761,214 $ 713,835 $ 2,150,822 $ 1,228,124 $ 712,548 $ 3,855 $ 8,570,398 $ 10,520,477 $ 13,101,772 $ 61,887 $ 1,446,840 $ 105,994,838 Physician Specialty Coverage for Emergency Care 1% Total Salaries & Benefits 63% IMPACT 3

6 OurCommitment To Excellence O u r C o m m i t m e n t T o E x c e l l e n c e A partial list of the organizations helped by Blake Medical Center and its staff: All Faiths Food Bank Alzheimer s Association American Cancer Society American eart Association American Lung Association American Red Cross Ana Maria Island Turtle Watch Arthritis Foundation ASAP omeless Shelter ASPCA Auxiliary Medical Scholarships Boy Scouts of America Boys and Girls Club Children s Cancer Center Children s Tumor Foundation Costal Wildlife Club Cystic Fibrosis Foundation Diabetes Support Group Disabled Veterans of America Family Partnership Center Florida Blood Services Florida Sheriff s Youth Ranches Florida Wildlife Federation Girls Scouts of America Goodwill Gulf Shore Animal League abitat for umanity CA ope Fund eifer International ope Family Services ospice umane Society Imus Ranch for Kids with Cancer Junior League of Manatee County Just For Girls Lifelink of Florida Lighthouse for the Blind Literacy Council of Sarasota LiveStrong (Lance Armstrong Foundation) Lupus Foundation of America Manasota Key Turtle Patrol Manasota SOLVE Manatee Art Center Manatee Chamber of Commerce 4 GIVING BACK TO OUR COMMUNITY Community Support Blake Medical Center and its employees provide both financial and volunteer support to countless civic organizations, schools, colleges, city projects and nonprofit and charitable organizations in our community. Indigent Patient Education Blake Medical Center is committed to helping uninsured patients qualify for local and state health benefit programs. Each ospital offers onsite benefit education and Medicaid enrollment assistance. Step Up for Students Since 2005, CA has redirected corporate income tax to the Step Up for Students program. Through this gift, low income students received a K-12 scholarship enabling them to receive a quality education tailored for their specific 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. Step Up for Students Program 1 # of Low-Income Student Scholarships (1) Represents 5 year contribution for CA ospitals in the state of Florida. Going Green $45,475,000 12,175 Many CA hospitals are involved with local green initiatives, like Blake Medical Center s Green Team which focuses on implementing environmentally friendly practices throughout the hospital.

7 B l a k e M e d i c a l C e n t e r Awards and Recognition Many awards and recognitions are bestowed on Blake Medical Center, acknowledging not only the outstanding medical care and services we provide, but also the leadership role we play in our community. Blake is proud to have the only CARF Accredited Inpatient Rehabilitation Center in Manatee County. The Cancer Care program at Blake has been Accredited by the American College of Surgeons Commission on Cancer since Blake is Joint Commission Accredited, a Certified Chest Pain Center with Percutaneous Coronary Intervention, and an Accredited Primary Stroke Center. Blake Medical Center also earned the Joint Commission Accreditation for Acute Myocardial Infarction (eart Attack), ip Replacement and Knee Replacement and has been awarded the Solucient Top 100 ospital in America recognition nine times! Accredited Chest Pain Center w/pci urricane Preparedness CA West Florida offers 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 Division has 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 Certified AMI (eart Attack) Center Laboratory Primary Stroke Center Certification In 2009, Blake employees helped more than 100 local, state, and national organizations through gifts of time and money. From providing medical care on mission trips to helping give hope to children through programs such as Special Olympics and Riding Therapy, our staff gives back to our community, both in and outside of our facility. Manatee Community College Manatee County 4- Manatee County Food Bank Manatee County Gold Star Club Manatee Economic Development Council Manatee Education Foundation Manatee Glens Manatee igh School Manatee (West) Little League Baseball Manatee Association for Retarded Citizens March of Dimes Meals On Wheels Mote Marine Aquarium Muscular Dystrophy Association National Multiple Sclerosis Society National Spasmodic Dysphonia Association Neurofibromatosis Foundation Our Daily Bread PACE School for Girls Palma Sola Elementary PKU Foundation Polycsytic Kidney Foundation Pop Warner Little Scholars Football and Cheerleading Program Ronald McDonald ouse Ringling School of Art Salvation Army Sarasota Opera ouse Sarasota Youth Orchestra Seabreeze Elementary Shriners ospitals Sierra Club SMART- Sarasota Manatee Area Riding Therapy South Florida Museum Southeastern Guide Dogs Special Olympics St. Joseph Food Pantry St. Jude s Children s ospital Susan G. Komen-Medical Team UNICEF United Way of Manatee County University of South Florida We Care Manatee Wellness Community Whole Child Project Wildlife Rehabilitation and Education, Inc. Women s Resource Center YMCA 5

8 OurCommitment To Excellence O u r C o m m i t m e n t T o E x c e l l e n c e GIVING BACK TO OUR COMMUNITY (continued) Consult-A-Nurse Free Physician Referral and ealth Information are available around the clock by calling Registered Nurses are available for consultation through this bi-lingual community service, which also registers people for the numerous community education classes and programs sponsored by Blake Medical Center. 2U ealth 2 You is a proactive health and wellness program dedicated to helping people live healthier, more fulfilling lives. The h2u program is designed to bring members the latest in health and wellness information as well as help individuals take control of their health care needs, including maintaining a healthy lifestyle, disease prevention, immunizations, self-care and injury prevention. For more information, call (941) Support Groups Blake Medical Center is proud to offer a variety of free support groups to our community. Cardiac/Pulmonary Education: Lunch-n-Learn Sponsored by the eart Institute and the Cardiopulmonary Rehabilitation Department, this program is designed for patients currently enrolled in Phase II or Phase III of Cardiopulmonary Rehabilitation. Additionally, this program is of interest to eart Institute Alumni, their families, and those interested in heart healthy living. Meetings are held in the Dolphin/Pelican room at Blake Medical Center. Light lunch is provided. For more information, call (941)

9 B l a k e M e d i c a l C e n t e r Caring Friends This group is designed for cancer patients, their families and friends in coping with cancer and its treatment. The group meets every Wednesday at Blake Medical Center in the Dolphin/Pelican Room from 5:30 pm - 6:30 pm. For more information, call (941) Lymphedema Support Group This group provides education, information, and support for people with lymphedema and for those who are at risk for lymphedema. The group meets quarterly at Blake Medical Center. For more information call (941) Stroke Support Group This community based Stroke Support Group provides information, education, and support to stroke survivors, families/caregivers, and friends. Members may be at any stage of recovery to participate. Meetings are held monthly at Blake Medical Center in the Dolphin/ Pelican Room. For more information, call (941) Screenings & Lectures Blake Medical Center is pleased to offer free health information lectures on a variety of topics throughout the year. In addition, Blake provides numerous free screenings to the public including cholesterol, blood pressure, bone density, and many more. These lectures and screenings are designed to promote education, prevention and management of health conditions to improve the quality of life for the people in our community. For more information about the lectures or screenings in you area, call Consult-a-Nurse at

10 OurCommitment To Excellence O u r C o m m i t m e n t T o E x c e l l e n c e 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 healthcare industry today. hcare Electronic ealth Record (ER) The West Florida Division has invested heavily in its Electronic ealth Record (ER) initiative, which kicks off in March Throughout 2009, many projects related to the development and implementation ER were rolled out in preparation. 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. hcare ub As more and more physician practices begin using Electronic Medical Record (EMR) systems, there is an increased need to integrate data from a variety of clinical systems, including hospital systems. Linking physician practices to our hospital data bases is now being rolled out through the hcare ub interface. This allows physician offices real-time access to patient clinical data from the hospital. Effective clinical data exchange can provide necessary information to physicians to make timely decisions and reduce duplicate testing and unnecessary hospitalizations. Picture Archiving and Communications System (PACS) The PACS system immediately digitizes images such as Xrays, and other scans including CT, MRI and PET, so they can be stored and electronically viewed on screens anywhere. This enables doctors and other health care professionals to access the images, even remotely, and to compare new images with previous images at the touch of a button. Voice Recognition To improve report turnaround time and patient care, our hospitals and imaging centers use Voice Recognition which allows Radiologists to report their interpretation of a study directly from the PACS Imaging system by speaking instead of dictating. 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. Everything was great. Thanks to everyone doing their jobs so efficiently, I m still here to have fun. Vernon Wallingford Age 68 STEMI eart Attack - STEMI Time 34 Min 8

11 B l a k e M e d i c a l C e n t e r MUSE Blake Medical Center has installed this system which digitizes EKG tracings so physicians can review, diagnose and treat heart patients within seconds. Electronic Medication Bar Coding System (emar) We led a national effort to reduce medication errors by placing this system in all of our hospitals. 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. Unprecedented Flu Season Preparation The National Patient Safety Foundation has recognized all CA employees for their efforts in supporting CA s flu immunization policy. Whatever the 2009/2010 flu season brings, CA employees have prepared well. Our hospitals stepped up efforts to encourage employees to take advantage of our free flu vaccine program and practice good hygiene. 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 and the 1N1 vaccine. 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. Locally, 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 in 2008 and participation extended throughout 2009, with our partner schools. 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. 9

12 OurCommitment To Excellence O u r C o m m i t m e n t T o E x c e l l e n c e SPECIALIZED CARE Emergenc y Excellence ighly skilled emergency physicians and nurses combined with best practices and the latest technology benefitted close to 30,000 Manatee County residents and visitors 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 with PCI Accreditation, Acute Myocardial Infraction (eart Attack) Certification and Advanced Primary Stroke Center Certification by the Joint Commission are all part of our commitment to improve quality in our busy emergency department. Our strong focus on enhancing care and improving ER processes has also dramatically reduced wait times to below national averages. In fact, we re so successful, current ER wait times are now posted on our hospital website, a billboard on Cortez Road West, and by text messaging: ER to e a r t & Va s c u l a r C a r e The eart Institute at Blake Medical Center provides life-saving technology and the latest minimally invasive techniques in the detection and treatment of cardiac and vascular conditions. Blake s eart Institute, in partnership with our Emergency Department, has been recognized as an Accredited Chest Pain Center with Percutaneous Coronary Intervention, Accredited Acute Myocardial Infarction Center, a 100 Top Cardiovascular ospital by Solucient (now Thompson Reuters), and a Blue Distinction for Cardiac Care award winner by Blue Cross Blue Shield. By partnering with our local EMS, Blake routinely beats the national STEMI benchmark of 90 minutes, dramatically improving the survival and resulting quality of life of our patients experiencing a heart attack. The latest surgical techniques for minimally invasive mitral valve repair and atrial fibrillation treatments provide safer alternatives for patients suffering from these conditions, improving their quality of life and reducing their risk for other serious complications. Our Cardiac Cath and EP labs offer state-of-the-art technology and treatments to invasive and noninvasive cardiac procedures. My life s fulfillment is being with my children and grandchildren. I m so grateful to still be with them. Eunice Pullen Stroke Patient 10

13 B l a k e M e d i c a l C e n t e r Neurosciences & Stroke Care Our hospital has earned Joint Commission Primary Stroke Center designation, the gold standard for ensuring the highest level of care is immediately available. In 2009, Blake was also awarded the Gold Plus Performance Award from the American Stroke Association. Cancer Care Cancer is the second leading cause of death in this country and our hospital is committed to meet and exceed the many standards required for the American College of Surgeon s Commission on Cancer (ACoS CoC). To become accredited, our hospital has committed to regular meetings of the Cancer team, which includes surgeons, medical oncologists, radiation oncologists, pathologists, radiologist and hospital clinical and support staff to proactively review patient cases. Each day new lives are touched by cancer. My hope is to improve the journey for each patient and their family by providing compassion, support, education and individualized attention. I strive to be a comfort to them and to connect them with resources that can help every step of the way. Patty Madsen, RN Patient Care Navigator From prevention to the latest diagnostic tools and treatment options, we are committed to providing outstanding cancer care to the patients we serve. Our hospital has earned the prestigious cancer program designation from the ACoS CoC. We continue to ensure that patients can receive the care they need, right in our own community, close to family and friends. Our Cancer Resource Room, located in suite 3400 of our Medical Arts Building, offers free lectures, exercise classes, and a place for research and quiet reflection for cancer patients and their families. For more information, call (941)

14 OurCommitment To Excellence O u r C o m m i t m e n t T o E x c e l l e n c e SPECIALIZED CARE (continued) Advanced Surgical Services Our 45,000 sq. ft. surgical center offers some of the most efficient and well equipped operating rooms in the area. Advanced systems from scheduling to pre-op and discharge planning ensure that patients receive the care they need. Minimally invasive procedures include Single Incision Laparoscopic Surgery (SILS) for a variety of general surgery procedures, like gall bladder removal, and incision-less surgery for the treatment of Gastroesophageal Reflux Disease (GERD). Orthopedic and Spine Surgery Patients needing advanced treatments for orthopedic and spine issues can find high quality care in a beautiful hotel-like setting at The Joint Care Center and the Spine Care Center at Blake Medical Center. Advanced procedures including minimally invasive knee and hip resurfacing, as well as partial knee resurfacing, 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. The Spine Care Center at Blake Medical Center provides advanced treatment protocols with a warm and caring environment to improve outcomes and speed recovery. The team includes pain management professionals, diagnostic-imaging specialists, neurosurgeons, physical medicine and rehabilitation specialists. I tried injections, pills, and physical therapy none of which relieved the pain of walking long distances or up and down stairs. I finally decided to go the next step. I had both knees replaced at the Joint Care Center at Blake Medical Center. After the surgery and rehabilitation, I realized that I should have done it years ago. The Joint Care Center is more like a hotel than a hospital. The staff is caring, efficient and the service was impeccable. 12 Irwin Leibowitz, 77 years young Joint Replacement Patient

15 B l a k e M e d i c a l C e n t e r Inpatient Rehabilitation Blake Medical Center provides award-winning comprehensive care in a compassionate yet high tech environment. The 28-bed Inpatient Rehabilitation Center is the only Acute Inpatient Rehab in Manatee County and is accredited by the Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF). Our Rehabilitation Center is committed to providing comprehensive rehabilitative care in a supportive atmosphere so that each individual can achieve the highest possible level of functional independence. We treat patients with a wide range of conditions, including, but not limited to: n Stroke n Amputation n Major Multiple Trauma n Brain Injuty (Brain Tumor, Anoxia or Encephalopathy n Neurological Disorders (Parkinson s, Multiple Sclerosis, Guillian Barre Syndrome) n Complec Medical Conditions Imaging Services Blake Medical Center provides a comprehensive array of outpatient imaging services. Our facility is equipped with a broad range of diagnostic technology and we offer extended hours for patient convenience. We are committed to offering imaging services needed across the full continuum of a patient s care. Diagnostic services available at Blake Medical Center include: n Bone Density/Dexa n 16-slice CT n 64-slice CT n Digital Mammography with CAD n Echocardiogram n EKG n Fluoroscopy n MRA n igh Field 1.5 MRI n Nuclear Medicine n Ultrasound n X-Ray Women s Services The Breast Care Center at Blake Medical Center offers a unique experience, dedicated to treating women in a warm and relaxing atmosphere. We are committed to helping women receive life-saving treatment quickly. Our Breast ealth Navigators work with our cancer team and newly diagnosed patients to reduce the time between diagnosis and treatment. They also provide information and support giving our patients peace of mind. 13

16 TOGETER, PERFORMING AT A IGER STANDARD SM N BR ADENTO N Blake Medical Center 59th ST W 59th ST W 17th AVE W 21st AVE W GT BRAY PARK BRAD ENTON COUN TRY CLUB 51st ST W 43rd ST W 64 MANATEE AVE W 26th ST W th ST W US-301 BLVD W 1st ST W CORTEZ RD W PINEBROOK IRONWOODOD GOLF CLUB CORTEZ RD W 684 Blake Medical Center is located on 59th Street West in Bradenton, Florida in West Manatee County th Street West Bradenton, Florida (941)

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