COMMUNIT Y REPORT. When Seconds Count, Count On Us... St. Lucie Medical Center. Paul Pope Spine Surgery

Transcription

1 2010 COMMUNIT Y REPORT St. Lucie Medical Center Paul Pope Spine Surgery The pain was debilitating, the MRI showed bone fragments, but 3 months after spine surgery I was back on my bike. When Seconds Count, Count On Us...

2 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 I am pleased to share with you St. Lucie Medical Center s annual report. It is a look back over what I feel was a very successful year for our hospital. I m very proud of what we accomplished in 2009 in the areas of new services, improvements, investments in new technology and community outreach. I also want to thank all of our employees, volunteers and medical staff for their dedication each day, providing the very best care, service and support to our patients, visitors and their families. St. Lucie Medical Center is committed to providing the highest level of care that our patients can receive, and that makes me very proud to be part of the leadership team that helps to keep St. Lucie Medical Center in the premier spot of being one of the very best hospitals in southeast Florida. This past year, in response to the growing healthcare needs of our community, we completed a $22.4 million construction project that includes a new Orthopedic Institute, complete with 35 acute care beds and two additional operating rooms. We re now the only hospital on the Treasure Coast to offer advanced da Vinci robot-assisted surgeries for prostate, general and gynecological surgeries. We also completed the process of establishing a fully functional and staffed Hospitalist Group that provides physician services to our patients 24 hours per day, 7 days per week. On top of all of this, our Journey to Nursing Excellence was rewarded with the recognition of Magnet designation awarded by the American Nurses Credentialing Committee, the highest nursing honor in the United States. I am proud to be associated with what I consider to be the best among medical facilities. As a community hospital, we offer our patients the level of patient care, technology and expertise found in much larger metropolitan areas. There s more inside about our stellar year. Thanks for the opportunity to share it with you. Gary Cantrell, CEO St. Lucie Medical Center Cover photo taken on Indian River Drive, Port St. Lucie, Florida.

3 S t. L u c i e M e d i c a l C e n t e r St. Lucie Medical Center Port St. Lucie, Florida St. Lucie Medical Center Leadership Gary Cantrell Chief Executive Officer Kevin Keeling Chief Financial Officer Nancy Hilton, MN, RN Chief Nursing Officer Joseph Pino Chief Operating Officer I ve worked at St. Lucie Medical Center since it opened. I have dedicated my career as an Intensive Care Unit nurse to providing unique and specialized care to our critically -ill patients. With the support of the staff and management, I have been able to initiate, lead and implement cost-saving initiatives crucial to improving patient outcomes. Maria Kocen, RN, CCRN, CMC St. Lucie Medical Center 1

4 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* St. Lucie Medical s St atistics Total Patients Treated Annual Hospital Admissions Annual Emergency Visits Total Medicaid Patients Treated Medicaid Market Share Total Uninsured Patients Treated Uninsured Care Market Share 78,592 11,802 46,863 14,624 30% 14,993 42% HCA East Florida Facilities and Ser vices Hospitals Surgery Centers Diagnostic Imaging Centers Psychiatric Care Facilities Regional Laboratory Graduate Medical Education Programs Number of Licensed Beds ,394 HCA East Florida Hospit al Family Total Employees Total Physicians Total Volunteers 13,260 4,333 1,749 *Report reflects fiscal year 2009 Bringing State-Of-The-Art Technology To South Florida The PACS (Picture Archive and Communications system) is a state-of-the-art computer system that allows the department to provide digital medical images and related information in real time--when you need it and where you want it. Any imaging study can be downloaded onto a DVD/CD for easier transport to your physician or specialist here locally or up North. 2

5 S t. L u c i e M e d i c a l C e n t e r St. Lucie Medical s Economic Impact Total Salaries & Benefits Cost of Charity & Uncompensated Care $ 74,472,000 $ 10,389,000 Taxes Paid: Federal Income Tax State Income Tax Indigent Care Property Tax Sales Tax Unemployment Tax Other Local Tax TOTAL Taxes Capital Investment 1 Total Local Vendor Support Minority & Women Owned Business Support Physician Specialty Coverage in the ED $ 5,721,000 $ 1,086,000 $ 2,201,000 $ 952,000 $ 1,367,000 $ 74,000 $ 4,000 $ 11,405,000 $ 6,841,000 $ 12,843,000 $ 188,000 $ 421,000 TOTAL Economic Impact $ 116,371,000 (1) 5 year annual average Capital Investment 6% Total Taxes 10% Total Local Vendor Support 11% Total Cost of Charity & Uncompensated Care 9% Total Salaries & Benefits 64% 3

6 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 benefiting from St. Lucie Medical Center s involvement: American Cancer Society American Heart Association Autism Speaks Big Brothers Big Sisters Boys & Girls Club Dr. Martin Luther King Commemorative Committee Florida State University Foundation Habitat for Humanity Helping People Succeed Indian River State College Foundation Main Street Fort Pierce Relay for Life St. Lucie County Chamber St. Lucie County Education Foundation St. Lucie County Health Department St. Lucie Medical Center Auxiliary GIVING BACK TO OUR COMMUNITY Community Support St. Lucie Medical Center is an affiliate of HCA East Florida. Our employees provide both financial and volunteer support to countless civic organizations, schools, colleges, city projects and nonprofit and charitable organizations in their communities. Uninsured/Underinsured Patient Education HCA East Florida Hospitals are committed to helping uninsured/ underinsured patients qualify for local and state health benefits. Each hospital offers on-site benefit education and Medicaid enrollment assistance. 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 tailored for their specific needs. It is well documented that a one size fits all education is not the best approach for every student. Families with the means may choose the perfect school for their child, but that s simply not an option for many people. 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. Antonio Trigo A Step Up For Students Scholarship provided Antonio with the opportunity to attend a school that could meet his learning needs and he has excelled. Now in the ninth grade, Antonio is attending Miami Union Academy on the scholarship program and he is continuing to shine. Although he is a few years away from high school graduation, he has already begun to think about his future. He plans to attend college and pursue a degree in pathology. Step Up for Students Program 1 # of Low-Income Student Scholarships (1) Represents 5 year contribution for HCA Hospitals in the state of Florida. $45,475,000 12,175 Stop Stroke Society Treasure Coast Hospice United Way of St. Lucie County WPSL Christmas Kids of St. Lucie County 4 Flu Vaccine Legendary Coach Don Shula and his wife Mary Anne educate the community about the importance of getting the flu vaccine in a Public Service Announcement sponsored by HCA East Florida.

7 S t. L u c i e M e d i c a l C e n t e r Awards and Recognition The American Nursing Credentialing Center (ANCC) designated St. Lucie Medical Center as a Magnet facility, the highest honor a hospital s nursing program can achieve. Only 5% of the nation s hospitals qualify for Magnet designation, and we are the only hospital in the Treasure Coast to attain this status. St. Lucie Medical Center was awarded as a Blue Centers of Distinction for Knee and Hip Replacement and Spine Surgery by Blue Cross and Blue Shield. Distinguished hospitals demonstrate an expertise in quality care, resulting in better overall outcomes for patients by meeting objective clinical measures developed with input from expert physicians and medical organizations. St. Lucie Medical Center was awarded the Gold Seal of Approval and has achieved Disease-Specific Stroke Care Certification from The Joint Commission. ADVANCE for Nurses newsmagazine awarded the Emergency Department at St. Lucie Medical Center the annual Best Nursing Team Contest for the state of Florida. Our oncology program has been recognized by the American College of Surgeons, Commission on Cancer (COC) as offering the very best in cancer care. St. Lucie Medical Center has been awarded Accreditation with Commendation from the COC. We are dedicated to offering the best in cancer care. Primary Stroke Center Certification Hurricane Preparedness Consult-A-Nurse Healthcare Referral & Information Consult-A-Nurse is a free service from our HCA Hospitals designed to provide you with physician referrals and health information. Our nurses are available 24 hours a day by phone at HCA-DOCs ( ). Physician Referral Our service makes finding a doctor easier by providing information about physicians affiliated with HCA hospitals, including medical specialty, skills and experience, physicians who are accepting new patients and office hours and location. Health Information Our registered nurses 1 provide consultation and answer health-related questions. They do not diagnose conditions but provide information on many health subjects. (1) Please note that our Registered Nurses are licensed by the State of Florida and any health information is intended for individuals within the state. You should always consult with a physician in your area on any information provided. Volunteering For Spine, Hip, Knee Surgery Each year Florida residents and visitors need to be ready for the effects of a hurricane or other natural disasters. For that reason, HCA East Florida arranges for comprehensive hurricane preparedness plans to ensure that our patients and staff who care for them are safe before, during and after the 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. In 2009, HCA East Florida hospital employees and volunteers dedicated 284,550 hours of patient and family support. Events include participation in 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 ranked 49th in the country for raising funds for the National Multiple Sclerosis Society, with riding members from our hospitals staff and physicians. 5

8 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 healthcare. Many of the initiatives we implement serve as national models for the industry today. n n n n hcareelectronic Health Record (EHR) - With EHR, access to patient health information is simplified by improving the quality, effectiveness and efficiency of healthcare by immediately providing clinicians with accurate information needed to provide optimum patient care. It is our belief that EHR will be one of the most fundamental support systems for optimizing the quality of healthcare that we provide in our facilities. hcare Hub/Mobility Physician Portal - The hcare hub portal integrates the Electronic Medical Record of our physician practices to our hospitals with the portal interface, allowing physicians access to their patients clinical records, allowing for more efficient use of their time and resources with information at their fingertips, both on their office computers and via smart phone mobile technology. Computerized Physician Order Entry (CPOE) - CPOE is a patient safety technology that allows physicians to place orders directly into the clinical information system, checking each order against the patient s allergies and other pertinent clinical information. Physicians are alerted to any potential contraindications or interactions at the time the orders are placed. HCA East Florida is moving to a streamlined process that eliminates opportunities for medical error. In addition to the safety checks, physician orders go immediately to the department(s) that will implement/ initiate the order, leading to more timely and efficient patient care. The system also reduces the possibility of incorrect orders due to clinicians not having to interpret written/verbal orders. We have implemented this system in all of our hospitals Emergency Departments and as a hospitalwide pilot at St. Lucie Medical Center. Electronic Bar-Coded Medication Administration (emar) - HCA East Florida has implemented emar in all of our hospitals to reduce the risk of medication errors. The critical components of this safety technology are bar-coded armbands, bar-coded medications, and safety checks within the emar software. emar Technology Sometimes people are told they cannot be medically helped. The more we listen to patients, the more we can help them. Michael Paul, MD Chief of Staff St. Lucie Medical Center 6

9 S t. L u c i e M e d i c a l C e n t e r n n n n Each patient receives an armband with their own unique bar code. Before a medication is administered, the bar code on the patient armband and the bar code on the medication is scanned allowing the nurse, or therapist, to verify the right patient is receiving the right drug in the right dose at the right time. The software checks each medication against the patient s drug history and lab results. If conflicts or potential drug interactions are identified, warnings alert the nurse to double check, verify and/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 use throughout the pharmaceutical industry and at all hospitals to reduce the risk of medication errors that can seriously harm patients. Picture Archiving and Communications Systems (PACs) & MUSE - The PACs system stores digital versions of patients clinical images such as CT and PET scans, MRIs and XRays so that they can be readily accessed by our clinicians at the hospital or remotely. The MUSE system digitizes EKG tracings also allowing for easy access for clinicians. Voice Recognition System - This system creates efficiency in our radiology departments by allowing our physicians to report their clinical findings directly on a system that recognizes their voice, 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 usually within a 30 minute time frame. Emergency Department Management Module (EDM) - The Emergency Department Management Module (EDM) is used to manage the flow of patients through the emergency department from the patient s arrival into the department through their departure. Both CPOE and emar fully integrate into EDM allowing for streamlined communication of orders and medication administration between physicians and ED staff. EDM is also the technology that allows HCA East Florida to measure and track ER wait times accurately and in a timely manner. Telehealth - HCA East Florida Division is piloting at JFK Medical Center 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 both patients and healthcare professionals with real-time interactive health systems that can engage both patients and their care management teams more fully in the treatment of their conditions. Upon discharge, patients are monitored and managed from home. Receiving the Magnet distinction through a unanimous decision from the Magnet Commission validates the ongoing efforts put forth by the staff at St. Lucie Medical Center in delivering the best possible care to our community, said Nancy Hilton, MN, RN, NEA-BC, Chief Nursing Officer at St. Lucie Medical Center. It is not only a nursing distinction; it is the culmination of teamwork among all disciplines leading to excellence in patient care. Nancy Hilton, Chief Nursing Officer, and Nurse Jessica Benford, RN are checking on their patient Shirley Kauffman, who fractured her hip during the holidays. 7

10 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 Emergency Department Excellence For the last few years, the entire HCA East Florida Division has been working diligently to improve the effectiveness and efficiency of its Emergency Rooms. Our strong focus on enhancing care and improving ER processes has dramatically reduced wait times to below national averages. In fact, we re so successful, average ER wait times are available to the public. Using various innovative methods local residents have immediate access to average ER wait times. Patients have easy access to an estimate of how long they will have to wait to receive care in the ER, therefore providing them with the resources to make informed medical decisions about their urgent needs when seconds count. Wait times for all of our hospitals are updated every 30 minutes and are available on: Via text message: Text ER to iphone Web Application: iphone itriage Application: AppStore Roadside Digital Billboards throughout our region. The Stroke Center St. Lucie Medical Center is an accredited primary Stroke Center. This designation enables us to provide the most cutting-edge stroke care. The stroke certification includes adhering to Joint Commission guidelines that improve patient outcomes. St. Lucie Medical Center joined the Visiting Nurse Association and PGA Golf Club in creating the Stop Stroke Society, a community-based support group. This partnership hosts monthly dinner meetings for stroke survivors and their caregivers and provides them with educational, therapeutic and social activities on the fourth Wednesday of every month. I was walking the next day, and 10 days later I was on the tennis court. Ray Glansberg Back Surgery Patient 8

11 S t. L u c i e M e d i c a l C e n t e r Advanced Surgical Techniques Less pain, shorter hospital stays, and faster recovery time are all benefits of advanced surgical techniques available at St. Lucie Medical Center. The use of robotics at St. Lucie Medical Center takes invasive techniques into a new era. Surgeries are performed through small incisions. 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. St. Lucie Medical Center is the only hospital on the Treasure Coast to offer advanced davinci robot-assisted surgery for prostate, general and gynecological surgeries. Muscle sparing total hip replacement is less invasive and does not require detachment of any muscle or tendon. Performed with a smaller incision than traditional surgery, this muscle-sparing approach is possible through a combination of factors: design of the implant, instrumentation used by the surgeon, and surgical technique. Because the muscles and tendons are intact, patients have immediate hip stability, explains Mark Powers, MD. This also lessens their need for physical therapy following surgery. The Oxford Partial Knee is the most widely used and clinically proven partial knee system in the world, and is available at St. Lucie Medical Center. Unlike total knee replacement that removes all the knee joint surfaces, a partial knee replacement replaces only one side of the knee joint, making it much smaller than a total knee implant. Some advantages of the Oxford partial knee replacement are that it removes 75% less bone and cartilage, is less painful, enables a more rapid recovery, and provides more natural motion when compared to a total knee replacement. By retaining all of the undamaged parts, the joint may bend and function more naturally. Another procedure called scar less surgery takes laparoscopic surgery to a whole new level where skilled surgeons make one incision through the belly button to perform abdominal surgeries. In addition to being cosmetically better, patients also have shorter recovery and hospital stays. St. Lucie Medical Center s surgery program is considered one of the best in the country, having received top ratings for orthopedic, general and gastrointestinal surgeries. The dedicated surgical services nursing team has one motto, If it can be done, we will do it. This department continues to receive high ratings for patient satisfaction and quality healthcare. St. Lucie Medical Center was my first hospital experience as a patient. I was thoroughly impressed with the Orthopedic and Spine Institute the professionalism and friendliness of the staff were outstanding. Glen Hughes Knee Surgery Patient 9

12 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) Orthopedic & Spine Institute The Orthopedic & Spine Institute was completed in The hospital s third floor shell was transformed into a 35-bed Orthopedic Unit and added 2 new operating rooms. The $18 million expansion created a unit that looks more like a hotel than a hospital. The new unit has all private rooms and patients can take advantage of such luxuries as a plush lobby area, complete with a coffee bar, internet access and comfortable seating arrangements. The idea is to give patients the feeling that they are relaxing not recuperating. St. Lucie Medical Center s Ortho/Spine Team Rehabilitation and Advanced Wound Care Our inpatient Rehabilitation team consists of Physical Therapists, Occupational Therapists and Speech Therapists who are trained to help patients restore, maintain and facilitate functional mobility and activities of daily living, as well as manage speech or swallowing difficulties. Last year, St. Lucie Medical Center moved its Outpatient Rehabilitation department to the new St. Lucie Medical Office Park. The new location gives its experienced staff state-ofthe-art equipment and offers patients the best care possible in a stylish environment with updated equipment and patient care rooms. The lymphedema program is staffed with certified specialists who treat patients with swelling in the arms and/or legs that may be as a result of surgical procedures, injuries, infection, or circulation problems. Our Wound Care Center (WCC) is housed in the new office park. The WCC Is staffed with experienced nurses and doctors who use the most advanced medical research and technology in all areas of wound management. Hyperbaric Oxygen Therapy is a new addition to wound care treatment at St. Lucie Medical Center. 10

13 S t. L u c i e M e d i c a l C e n t e r Imaging Services St. Lucie Medical Center provides the most comprehensive array of outpatient imaging services in East Florida. Our facilities are equipped with a broad range of diagnostic technology. 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 the facility that fits their needs best. Diagnostic services available at St. Lucie Medical Center include: n Bone Density Testing n Ultrasound n Multi-slice CT: 16 and 64 slice scanners n Digital Mammography n MRI (including breast) n Echo Vascular Lab n EKG n General Radiography/ Fluoroscopy n Nuclear Medicine n Special Procedures/ Interventional Radiology Obstetrics From labor and delivery services to infant care, breastfeeding and sibling classes, St. Lucie s experienced obstetrics staff provides comprehensive and compassionate obstetrics care. St. Lucie Medical Center offers labor and delivery services, post-partum care, rooming-in, and Mom-baby couplets. A registered nurse also does home visits to help new mothers have the skills and resources necessary to provide adequate newborn care. Community Cancer Center We are dedicated to offering the best in cancer care. In fact, our oncology program has been recognized by the American College of Surgeons, Commission on Cancer (COC) as offering the very best in cancer care. St. Lucie Medical Center has been again awarded Accreditation with Commendation from the COC. An Accredited Cancer Program ensures that you will receive: n Comprehensive care, including a range of state-of-the-art services and equipment. n A multispecialty, team approach to coordinate the best treatment options n Information about ongoing clinical trials and new treatment options. n Access to cancer related information, education and support. n Ongoing monitoring and improvement of care n And most importantly, quality care close to home 11

14 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 St. Lucie Medical Center Port St. Lucie, Florida St. Lucie Medical Center is a proud affiliate of HCA East Florida Division. The East Florida division, located in Ft. Lauderdale, encompasses 12 hospitals in South Florida and the Treasure Coast. In addition, we have multiple ambulatory surgery centers and imaging centers, a supply chain center and an integrated regional laboratory. Almost 510,000 patients were treated in our emergency departments. The steady improvements in intake processes in the ERs at all HCA East Florida hospitals between 2007 and 2009 are a reflection of a huge team effort. Emergency Department directors, Emergency Department staff, radiology, lab, registration staff and physicians were all involved in dramatically cutting the time patients wait for a physician and total treatment time. Various innovative methods are available to local residents to access immediate average ER wait times. Wait times for all of our hospitals are available through: Text messaging: Text ER to 23000; iphone web application, iphone itriage Application: AppStore; and through roadside digital billboards throughout our region. We are also upgrading technology at an unprecedented rate to ensure we can continue to provide clinical excellence and optimal patient outcomes. From a new CyberKnife at JFK Medical Center and a Synergy S at Aventura for the latest in cancer fighting technology to the Electronic Health Record (EHR), our facilities have integrated wireless and digital technology through all modalities. Robotics is another strong focus we are now up to six Robotic programs enabling surgeons to perform precision work with very small incisions and faster recovery. Our hospitals have done an outstanding job focusing on quality and operations, with many of them now Accredited Chest Pain Centers, Joint Commission Certified Primary Stroke Centers and Cancer Centers accredited by the American College of Surgeons Commission on Cancer. All of these represent the gold standard of care today, awarded by independent accrediting organizations. 12

15 S t. L u c i e M e d i c a l C e n t e r St. Lucie Medical Center 1800 S.E. Tiffany Avenue Port St. Lucie, FL Our Team, Our City, Your Doctors. The Support Our Orthopedic & Spine Institute For a Free Physician Referral or Health Information Call at HCA-DOCS ( ) Printed on recycled paper.

16 St. Lucie Medical Center 1800 SE Tiffany Avenue Port St. Luie, FL To speak to a nurse regarding health questions or referrals, please call toll-free HCA-DOCs ( ).