BROWARD COUNTY COMMUNITY REPORT

Transcription

1 BROWARD 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 164 hospitals and 106 outpatient surgery centers in 20 states and throughout Great Britain. In Florida, there are 43 hospitals and 33 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 Broward County The Broward region of HCA East Florida consists of Northwest Medical Center, Plantation General Hospital, University Hospital &, and Westside Regional. 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 & Heart Institute Raulerson Hospital St. Lucie Palm Beach County Columbia Hospital JFK Palms West Hospital Broward County Northwest Plantation General Hospital University Hospital & Westside Regional Miami/Dade County Aventura Hospital & Kendall Regional 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, 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 AppStore 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 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 the revolutionary new technology that delivers EKGs from Emergency Medical Services directly to doctors and nurses smart phones or tablets. It allows patients to be accessed 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 virtual real-time directly from the hospital labor and delivery unit to a doctor s smart phone. 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 their 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 Broward County: Alzheimer s Association American Cancer Society American Diabetes Association American Heart Association Broward County Schools Epilepsy Foundation of South Florida HCA Hope Fund Healthy Mothers Healthy Babies Hispanic Unity of Florida Leukemia & Lymphoma Society Make-A-Wish Foundation March of Dimes Mothers Against Drunk Driving Step up for Students Susan G. Komen for the Cure United Way of Broward County Women in Distress 4 5

5 At Northwest, we strongly believe that health and happiness go hand in hand. Our team strives to make a difference every day by providing our patients with extraordinary care and service. Over the past two years, we have made many upgrades to our facility and services. The newest additions being the Heart & Vascular Institute and Cardiovascular Tower that provide comprehensive cardiac care to the community. We also enhanced our pediatric services, minimally invasive surgical services, orthopedics, women s services and more. We are excited to report these developments as we focus on our continued path to promoting health and wellness. Our people, technology and personalized care propel us to offer exceptional service to the community. There is no greater indicator of our success than your health. Our goals for 2012 fulfill our mission to provide unparalleled healthcare and support. We look forward to being your healthcare provider of choice for many years to come. Dianne Goldenberg Chief Executive Officer Northwest Northwest 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 AppStore 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. Bariatric Surgery At Northwest, we are constantly striving to set a new benchmark in the bariatric field. We are one of the few hospitals in South Florida recognized by insurance companies as a Center of Excellence for Bariatric Surgery. Northwest is also accredited by the Surgical Review Committee (SRC). This prestigious designation is granted to institutions that have demonstrated required resources to perform safe bariatric surgery with excellent short-term and long-term outcomes. Our specially trained surgical team, bariatric unit nursing staff and other clinical personnel provide patients with the multifaceted standards, complex patient management and intricate guidelines that rule the bariatric field today. Oncology Services We promote the importance of cancer education, screening and early detection because the earlier the diagnosis is made, the better the chance of a cure. Our highly skilled team offers a full range of diagnostic, treatment and support services, as well as the highest standard of care. We utilize the most advanced techniques to identify the nature and extent of the specific disease, such as digital mammography, bronchoscopy, computerized tomography (CT), endoscopy, fluoroscopy, ultrasound, magnetic resonance imaging (MRI) and positron emission tomography (PET). In addition to the newest minimally invasive procedures and access to innovative research-based approaches, we offer the benefits of all major treatment methods, including surgery and medical oncology. Our interdisciplinary approach includes monthly tumor board meetings and tumor registry. Minimally Invasive Surgical Services The Minimally Invasive Surgical Services Institute (MISSI) at Northwest allows patients to undergo surgery with significantly less pain, blood loss and scarring, as well as a much shorter recovery time. Our innovative technology, expert staff and personal touch make the surgical process much easier and more comfortable. The Institute offers the most advanced minimally invasive surgical services, including Transoral Incisionless Fundoplication (TIF) Procedure for safely and effectively treating chronic acid reflux, along with robotics featuring the da Vinci Si Surgical System for performing complex procedures with increased precision, and balloon sinuplasty for opening the sinus passageway to restore normal sinus function. Robotic Surgery The use of robotics at Northwest takes minimally invasive techniques into a new era, further minimizing the physical and emotional impact of surgery on patients. Surgeries are performed through small incisions, which replace the large incisions needed for conventional open procedures. Robotic technology takes surgery beyond the limits of the human hand, introducing precise and versatile instrument movement combined with three-dimensional visualization of the operative site. Patients have less trauma and pain, minimal scarring, less blood loss, faster recovery and shorter hospital stays. The da Vinci Si Surgical System is available for the treatment of uterine fibroids, prostate disease, obesity and other gynecological diagnoses that may require surgery, including hysterectomies, oophorectomies, myomectomies, ovarian cystectomies, prostatectomies and sleeve gastrectomies. Heart & Vascular Institute The Heart and Vascular Institute at Northwest is the only Cardiac Level II licensed program in northwest Broward County. The brand new state-of-the-art two story Cardiovascular Tower opened its doors to the community in April. The expansion and construction of the Cardiovascular Tower at the Heart and Vascular Institute includes two open heart operating room suites, a cardiovascular intensive care unit and a cardiovascular progressive care unit. The new facility enhances our existing services, such as our cardiac catheterization lab, electrophysiology lab and state-of-the-art coronary imaging services featuring computed tomography angiogram (CTA). Our highly skilled staff includes experienced cardiothoracic surgeons, cardiologists, electrophysiologists and cardiac anesthesiologists. Cardiac Services Our cardiac services bring together the collaborative efforts and experience of highly skilled physician specialists, nurses, technologists and other cardiovascular health professionals. Comprised of a team of experienced cardiologists, anesthesiologists, interventional radiologists, pulmonologists and internists, these specialists combine their expertise and knowledge to provide patients with the latest scientific advances in their respective fields. Our team performs primary percutaneous coronary intervention (PCI) services, which enables our facility to have emergency coronary angioplasty available to patients 24 hours a day, 7 days a week. 6 7

6 Northwest meets the national average of door-to-balloon time, which is the speed that a hospital can perform angioplasty or other coronary intervention on a patient having a myocardial infarction or heart attack. Door-toballoon time is a very specific measure of quality that involves every step, from diagnosis to surgery. Our cardiac catheterization lab is equipped with the latest medical technology and available 24 hours a day for emergency services. These catheterbased procedures offer the benefits of shorter hospital stays, less-visible surgical scarring and reduced recovery time without the pain of a large incision. These procedures can be performed on both the heart and peripheral blood vessels. The echocardiography department is integrated within the cardiovascular department and specializes in echocardiography, transesophageal echocardiography (TEE) and pediatrics. Maternity/Newborn Services At Northwest, we are dedicated to providing the most caring and comfortable childbirth experience. From the earliest stages of pregnancy, our team is available to answer questions, address concerns and share the family s excitement. Our recently renovated and upgraded rooms were designed with new moms and families in mind. Our private Labor-Delivery-Recovery (LDR) rooms offer comfort and luxury, along with the latest medical technology and a highly skilled medical team. The rooms are beautifully appointed with homelike décor to provide a warm, loving environment where the family can relax and bond with the new arrival. In keeping with our philosophy of family-centered maternity care, mothers may stay with their babies throughout their entire hospital stay. Pediatrics Northwest is committed to providing the highest-quality healthcare to children through a full spectrum of medical and surgical services. The compassionate staff is trained to do everything possible to make children and parents feel welcome, comfortable and secure. Our pediatric emergency department is open 24 hours a day. Our skilled physicians, nurses, therapists and other healthcare professionals provide the most innovative treatment in a facility that is both technologically advanced and child friendly. My experience from start to finish was fantastic! From the moment I arrived I was quickly greeted and assisted by the caring and knowledgeable staff. The team of nurses, physicians, assistants and anesthesiologist kept me calm and relaxed and were very attentive and helpful. Today I am 100%, and no one would ever notice my scar from surgery. Katherine Blunk Single Incision Laparoscopic Surgery (SILS) Patient Hospital Statistics Total 68,822 Annual Hospital Admissions 13,627 Annual Emergency Visits 43,714 Total Medicaid 14,546 Medicaid Market Share 14.6% Total Uninsured 11,050 Uninsured Care Market Share 10.6% Capital Investment 4% Total Taxes 5% 13% Total Local Vendor Support 13% 1% Total Salaries & Benefits 65% Hospital Economic Impact Total Salaries & Benefits $76,660,680 $15,145,966 Taxes Paid Federal Income Tax $808,237 State Income Tax $149,181 Indigent Care Tax $2,148,506 Property Tax $1,191,225 Sales Tax $843,258 Unemployment Tax $188,713 Other Local Tax $0 Total Taxes $5,329,120 Capital Investment $4,514,231 Total Local Vendor Support $15,096,379 Minority & Women Owned Business Support $951,766 $1,480,041 Total Economic Impact $118,226,000 Awards & Recognition Many awards and recognitions were given to Northwest (NWMC), acknowledging not only the outstanding patient care and services provided but also the outreach efforts that support various civic, government and community groups. Northwest s Emergency Department and Cardiac Cath team continues to improve their door to balloon time for patients presenting with Acute Myocardial Infarction. The Centers for Medicare and Medicaid Services (CMS), the Joint Commission and many other organizations have agreed that a door-to-balloon time of 90 minutes or less is optimal. 8 9

7 Since 1966, Plantation General Hospital has been providing exceptional healthcare services to the community. The past year has brought many enhancements, including expansions to the outpatient center and pediatric emergency department. Our outpatient center has been relocated to the first floor with a separate entrance for patients and families. New endoscopy and GI suites were added with larger pre and post-operative areas, and all patient recovery rooms were updated with wood interiors and the latest technology. The pediatric emergency department added seven new beds for a total of 12 and additionally the waiting area was expanded. Plantation General Hospital continues to set a standard of excellence in women s services, pediatrics and adult care. Our facility is fully accredited by The Joint Commission and certified as a Primary Stroke Center, as well as one of only three hospitals in the nation named a Center of Excellence in Neonatal Services. All of our progress is part of our ongoing commitment to providing the highest-quality healthcare to South Florida families. Randy Gross Chief Executive Officer Plantation General Hospital Plantation General 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 AppStore 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. Pediatric Services Plantation General Hospital provides the highestquality, family-centered healthcare to children through a full spectrum of medical programs, surgical services and intensive pediatric care. Our highly skilled pediatric physicians, nurses, therapists and other healthcare professionals deliver innovative treatment in a facility that is both technologically advanced and child friendly. We have a dedicated pediatric emergency room that is open 24 hours a day. This is separate from the adult emergency room to ensure that children receive the special care they need. Our pediatric intensive care unit is equipped with the latest technology and staffed by pediatric intensivists. Our pediatric in-patient unit provides compassionate care for critically ill children in a comfortable environment. Maternity Care & High-Risk Maternity Services Plantation General Hospital is dedicated to providing the most caring and comfortable childbirth experience with anesthesia available 24/7. Our maternity and high-risk maternity areas have a homelike ambiance with beautiful décor. The private Labor-Delivery- Recovery (LDR) rooms offer comfort and luxury, along with the latest medical technology and a highly skilled medical team. In keeping with our philosophy of family-centered maternity care, mothers remain with their healthy babies throughout their entire hospital stay. We provide lactation services to aide mothers with the breast-feeding experience. The maternity babies are secured by a state-ofthe-art advanced security system. For high-risk pregnancies, our facility houses a perinatal unit equipped with the most advanced technology and monitoring systems. The Level III Neonatal Intensive Care Unit is ready to handle special circumstances that may arise and our neonatologists are available around the clock. In addition, we offer a variety of classes to answer questions about pregnancy, nutrition, exercise, childbirth and infant care. Neonatal Intensive Care For newborns in need of specialized care, Plantation General Hospital offers the most advanced neonatal intensive care services. Our Level III Neonatal Intensive Care Unit is one of the top units in the United States when judged by positive outcomes. We are proud to be one of only three hospitals in the nation designated as a center of Excellence in Neonatal Services by the Joint Commission. The 31-bed unit offers Level III treatment for newborns in need of critical care and a Level II progressive care unit for more stable babies. The Level II unit assists parents with discharge planning and education designated to help them care for their newborns. We provide a state-of-the art NICU transport team ensuring safe transfer to Plantation General Hospital for higher level of care. Minimally Invasive Surgery Minimally invasive surgery, or laparoscopic surgery, is becoming the predominant technique in many areas of surgery. For most patients, this approach offers substantially less scarring, decreased pain, shorter recovery times and reduced risk of secondary complications. These procedures are performed through small incisions that allow for the insertion of surgical instruments and a camera, which enables the surgeon to view the procedure on video monitors in the operating room. This approach is considered less invasive because it replaces the need for the large incisions required in traditional surgeries. Robotic Surgery At Plantation General Hospital, the use of robotics is taking minimally invasive surgery to the next level. Surgeries are performed through incisions that are considerably smaller than those required for conventional open surgeries. Our surgeons use the da Vinci S Surgical System, the most technologically advanced surgical robotic system in the world, to perform surgical procedures through high-definition cameras with extraordinary precision, control and range of motion. Patients benefit from less trauma and pain, minimal scarring, less blood loss, faster recovery and shorter hospital stays. Imaging Services Our diagnostic imaging department offers a variety of radiology and imaging services that are available 24 hours a day. We are certified by the American College of Radiology (ACR) and have years of imaging experience with infants, children and adults. Our range of services includes CT scans, MRI, MRA, specializing in pediatric sedations, diagnostic x-rays, nuclear medicine, interventional radiology including Uterine Fibroid Embolisms (UFE), nuclear cardiac stress testing, digital echocardiogram, transesophageal echocardiogram (TEE) and ultrasound. We pledge and partner with Image Gently and Image Wisely practicing Radiation Rights seeking the lowest radiation does while achieving high quality diagnostic procedures. Special Care Unit The goal of this unit is to help adult patients reach their maximum potential for recovery as quickly as possible. We provide a step-down model which includes cardiac monitoring, specially trained nurses, aggressive pulmonary rehabilitation and case management services, along with physical, occupational and speech therapy

8 The Centre Maternal Addiction Program The Centre at Plantation General Hospital is a medically supervised, hospital-based chemical dependency treatment program designed for expecting mothers. We offer treatment for alcohol and substance abuse in a safe, private and supportive hospital setting under the supervision of specially trained and experienced physicians, nurses, and healthcare professionals. Our philosophy is based on the belief that the power to recover from chemical dependency resides within a group, rather than within the individual. Outpatient Center Plantation General provides endoscopic ultrasound examinations. Endoscopic ultrasounds, or EUS, combines ultrasound technology with endoscopy. For the patient, both the preparation and the procedure itself are about the same as conventional upper or lower GI endoscopy. EUS is helping physicians diagnose diseases of the pancreas, bile duct, liver, spleen and gallbladder as well as assessing a variety of concerns at an early stage. Safety Net Hospital Plantation General Hospital serves as a safety net hospital to our community and Broward County. We have accepted the mission to provide quality healthcare services to low-income, uninsured, immigrant or otherwise vulnerable individuals in need of general medical and emergency care. Hospital Statistics Total 58,449 Annual Hospital Admissions 10,003 Annual Emergency Visits 49,524 Total Medicaid 26,991 Medicaid Market Share 21.4% Total Uninsured 13,350 Uninsured Care Market Share 8.8% Capital Investment 3% Total Taxes 3% Total Local Vendor Support 16% 3% Hospital Economic Impact Total Salaries & Benefits $58,724,678 $21,340,515 Taxes Paid Federal Income Tax $134,515 State Income Tax $24,828 Indigent Care Tax $1,669,545 Property Tax $407,516 Sales Tax $503,849 Unemployment Tax $130,105 Other Local Tax $0 Total Taxes $2,870,358 Capital Investment $3,395,278 Total Local Vendor Support $16,579,764 Minority & Women Owned Business Support $196,400 $2,855,764 Total Economic Impact $105,769,000 My experience at Plantation General Hospital has been great. The staff members took care of me every step of the way. Thanks to the treatment I received from Dr. Ead, I was able to recover fast and resume my daily activities sooner. Kavir Chanan Patient Awards & Recognition PGH and its employees are an award-winning team and have been well-recognized for their efforts not only for outstanding outpatient care and services, but also for community, civic and government efforts. PGH is Joint Commission Accredited and has been recognized by various institutions on the excellent care that is given to the community. Most recently, PGH was awarded as a Center of Excellence in Neonatal Services by The Joint Commission. This award has been given to only three hospitals in the United States, and PGH is one of them. PGH recently received Stroke Certification as a Primary Stroke Center from The Joint Commission. The American Heart Association recognized PGH as a partner in Get With The Guidelines SM Stroke Care which recognizes PGH s strong commitment and success in implementing a higher standard of stroke care by ensuring that stroke patients receive treatment according to nationally accepted standards and recommendations. Since 2007, PGH has been a recipient of the HealthGrades Maternity Care Excellence Award TM. PGH also has received numerous recognition, awards and certificates of appreciation from various community groups for generous support. 20% Total Salaries & Benefits 56% 12 13

9 At University Hospital &, we are proud to bring breakthroughs in orthopedic care and joint replacement surgery, diagnostic and interventional neurosurgical and spine services and a complete range of behavioral health services, including a oneof-a-kind geriatric program. Our University Women s Center offers digital mammography, stereotactic surgery and advanced imaging equipment for breast and bone health, while a new operating room houses the latest minimally invasive and cutting-edge technology. We are designated as a Blue Cross Blue Shield Distinction Center for Knee and Hip Replacement and Spine Surgery, as well as awarded with Disease-Specific Care Certification in Total Hip and Total Knee Replacement Surgery by The Joint Commission. These certifications demonstrate an expertise in quality care that meets objective clinical measures. Our team also has made great strides in medical quality with a 98% overall compliance with all of Medicare s Core Measure quality indicators. We look forward to continuing to serve the healthcare needs of the community. W. Mark Rader Chief Executive Officer University Hospital & University 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 AppStore 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. Rehabilitation Services At University Hospital &, our rehabilitation team specializes in the treatment of stroke, arthritis, orthopedic conditions, cardiac disease, swallowing disorders and neurological impairment. All patients are fully evaluated by a therapist to establish individualized treatment plans. Programs are designed to help patients achieve the highest functional level possible following injury, illness or surgery. Our facility features cutting-edge equipment, a full range of strengthening equipment, whirlpools, fluido, paraffin baths and aerobic equipment. We also have speech therapists certified in the use of Vital Stim for the treatment of dysphasia. Wound Management The Wound Healing Center offers a unique outpatient program that provides comprehensive and advanced treatment to patients with chronic, non-healing wounds. We specialize in healing diabetic ulcers, pressure ulcers, venous ulcers, vascular wounds, wounds resulting from trauma, post-surgical wounds, and animal and insect bites. We use the latest research to make the healing process faster and easier. Our team works closely with each patient to develop a comprehensive treatment plan based on their special needs. Orthopedic & Spine Institute The Orthopedic & Spine Institute at University Hospital & performs the most advanced treatment for joint disorders and discomfort, back pain, neck pain, sports-related injuries, ligament and tendon injuries, arthritis and fractures. We also offer next day hip replacements, as well as the hana TM Hip and Knee Arthroplasty Table for hip replacements with reduced muscle disruption, less pain and faster rehabilitation. Our team of experts includes board-certified orthopedic surgeons and neurosurgeons, specially trained nurses, physical therapists and technicians. The patient s continuum of care is directed by the Orthopedic and Spine Patient Navigator, a dedicated certified orthopedic nurse who offers personalized concierge service by assisting patients with questions, care and rehabilitation throughout the surgical process. Our recently renovated facility features a private physical therapy gym and spacious orthopedic suites that can comfortably accommodate an overnight guest. Behavioral Health Center University Pavilion is a beautiful, state-of-the-art behavioral health facility located on the campus of University Hospital &. This 60- bed unit is staffed by physicians who specialize in psychiatry, psychologists, nurses, social workers and recreational therapists who assist patients with understanding mental illness, developing coping skills and making better decisions. We offer treatment to children and adolescents with acute conditions that require 24-hour supervision, in addition to an array of adult care programs designed to suit specific needs. Inpatient care is provided to individuals with symptoms so severe that they require 24-hour supervision and behavioral health treatment. The inpatient treatment helps stabilize, diagnose, and treat the condition. The Partial Hospitalization Program (PHP) provides an intensive level of psychiatric treatment in an outpatient setting. The primary goal is to improve a patient s level of functioning and reduce symptoms to prevent relapse or hospitalization. The Intensive Outpatient Therapy (IOP) Program provides comprehensive psychiatric care on a voluntary or referral basis. Patients participate in treatment during the day and return home each afternoon for an average of two to six weeks. The Center for Geriatric Behavioral Health is designed to treat and improve the lives of adults over 65 who are suffering from depression and other psychiatric diseases. Special care is taken to meet their emotional and physical needs to assure their safety and well-being while in our care. Women s Center The University Women s Center provides outstanding preventive care and treatment for breast and bone health. Following a complete renovation, patients now have access to a private mammography waiting room, digital mammography, bone density screening, state-ofthe-art MRI and a dedicated operating room for breast stereotactic, breast reconstruction and other breast health-related surgeries. We offer extended weekday and weekend hours and affordable mammograms daily. Medical Stabilization University Hospital & offers an inpatient medical stabilization service for individuals with drug, alcohol and related health issues called New Vision ṬM The service begins with a medically supervised hospital stay that typically lasts for three days. At admission, our team assesses the patient s fundamental needs through a medical history, physical examination, complete laboratory tests and nursing evaluation. Upon completion of the program, we work closely with 14 15

10 patients to develop ongoing plans for recovery that include referrals to support groups to help them maintain healthy lifestyles. Bariatric Surgery University Hospital & provides a variety of bariatric services and has recently introduced laparoscopic adjustable gastric banding. For this minimally invasive procedure, an adjustable band is placed around the top of the stomach, which results in a limited space for food and an earlier sense of fullness. This outpatient surgery presents fewer complications than alternative surgical procedures and is the only method that is completely reversible. Following the procedure, our team works with patients to help them keep the weight off and adjust to their new lifestyle. Everyone at University Hospital and took such good care of me while I was there. The people were so cordial and everyone had such a pleasant demeanor. In fact, I ran into the nurse that took care of me during my stay and running into her was like running into an old friend. I would recommend this hospital to anyone. Sylvia Bruce Seizure Patient Hospital Statistics Total 52,525 Annual Hospital Admissions 11,056 Annual Emergency Visits 29,982 Total Medicaid 7,477 Medicaid Market Share 8.0% Total Uninsured 9,237 Uninsured Care Market Share 12.3% Capital Investment 3% Total Taxes 6% Total Local Vendor Support 13% 2% Hospital Economic Impact Total Salaries & Benefits $51,849,095 $9,769,787 Taxes Paid Federal Income Tax $1,875,265 State Income Tax $404 Indigent Care Tax $1,345,591 Property Tax $827,774 Sales Tax $427,524 Unemployment Tax $190,662 Other Local Tax $57,793 Total Taxes $4,725,013 Capital Investment $2,247,645 Total Local Vendor Support $10,669,885 Minority & Women Owned Business Support $783,903 $1,536,846 Total Economic Impact $80,800,000 Awards & Recognition Many awards and recognitions were given to University Hospital and (UHMC), acknowledging not only the outstanding patient care and services provided, but also the outreach efforts that support various civic, government and community groups. UHMC earned the Gold Seal of Approval TM for Stroke Accreditation by The Joint Commission. To earn this distinction, a disease management program undergoes an extensive, unannounced, on-site evaluation by a team of Joint Commission reviewers every two years. These programs are evaluated against Joint Commission standards through an assessment of a program s processes, the program s ability to evaluate and improve care within its own organization, and interviews with patients and staff. Blue Cross Blue Shield of Florida awarded the Blue Distinction certification in Hip and Knee Replacement to UHMC for delivering highquality orthopedic health care. This designation is based on rigorous criteria established with input from expert physicians and medical organizations. Its goal is to help consumers consistently find quality specialty care. The Joint Commission also awarded its certification to University Hospital through their Hip and Knee Surgery Disease-Specific Care Certification Program. These certifications acknowledge University Hospital s continuous compliance with top-notch orthopedic care. 12% Total Salaries & Benefits 64% 16 17

11 Westside Regional has been providing the highest-quality healthcare in South Florida since We are fully accredited by The Joint Commission and recognized as a Primary Stroke Center, as well as certified as a Chest Pain Center and a designated Heart Failure Center. We are one of the few hospitals in the community offering a comprehensive cardiovascular program. From cardiac experts in the emergency room to the most advanced techniques in open heart surgery, we are the hospital of choice for heart care. In fact, our STEMI efforts have reduced our door-toballoon time to less than 60 minutes, which is much lower than the national average. Our emergency department provides quality care with wait times consistently under 15 minutes. We also are continuing to expand our Orthopedic & Spine Institute, cancer program and neurosurgical services by adding the latest technologies and techniques. All of these advances are part of our ongoing dedication to serving the healthcare needs of the community. Lee Chaykin Chief Executive Officer Westside Regional Westside Regional 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 AppStore 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 Cardiovascular Program Westside Regional offers a comprehensive cardiovascular program featuring a full range of diagnostic modalities, medical and surgical interventional procedures, rehabilitation, preventative care and additional medical and support services for patients with heart disorders. The program is comprised of a team of experienced surgeons, cardiologists, anesthesiologists, radiologists, pulmonologists, internists and critical care nurses. These medical and surgical specialists combine their expertise to perform open heart surgery, minimally invasive heart valve repair and replacement, vascular and thoracic surgery, cardiac catheterization, electrophysiology, atrial fibrillation ablations and many other heart care services. Our facilities include dedicated cardiovascular operating rooms, cardiac catheterization labs and an EP lab which are equipped with the latest medical technology and available on a 24-hour elective and emergency basis. When a patient has symptoms of a cardiovascular disorder, the experts at Westside Regional get to the heart of the matter with diagnostic tests such as cardiac catheterization, electrocardiography (EKG), cardiac stress testing, CT angiography, radioisotope heart imaging (nuclear cardiology), echocardiography, vascular and arterial imaging, Holter monitoring and filmless heart imaging. Tests are performed using the most effective methods and are tailored to the individual needs of patients. Then, our cardiovascular team can perform a number of medical and surgical interventional procedures to help restore flow to the heart and correct abnormalities. Orthopedic & Spine Institute For decades, Westside Regional has been recognized for excellence in orthopedic care. Our team of highly skilled physicians, nurses and physical therapists provide a wide variety of surgical and rehabilitative treatment options. Westside Regional performs more orthopedic procedures than any other facility in the region. Many of our surgeons and healthcare professionals have trained at some of the most renowned teaching institutions in the nation and acquired advanced training in a number of specialties, including hip and knee reconstruction, fracture, spinal surgery, sports medicine, pain management and rehabilitation services. From pre-operative educational classes to follow-up care, our patients receive the full continuum of orthopedic care to help improve their quality of life. Neurosurgery The neurosurgery program at Westside Regional brings together the expertise of highly skilled neurosurgeons, neurologists, radiologists, neuroradiologists and internists. Together, these medical and surgical specialists combine their expertise to provide patients with the latest scientific advances in their respective fields. Our comprehensive program offers a full range of diagnostic modalities, medical and surgical procedures, rehabilitation, preventive care, and additional medical and support services for patients with neurological disorders. Our facilities include dedicated operating rooms equipped with the latest surgical technology and a specialized neurosurgical intensive care unit. Cancer Care At Westside Regional, our cancer program combines the experience of some of the leading cancer specialists in South Florida to ensure the best outcome for each patient. Our expert team specializes in breast, lung, prostate, dermatology, gastrointestinal, colon and rectal, head and neck, neurosurgical, pulmonary, interventional radiology, nephrology, urology, hemotology/medical oncology, radiation and surgical oncology. In addition, these specialists rely heavily on the assistance of radiologists, pathologists, psychiatrists, rehabilitation specialists and anesthesiologists to provide the finest cancer treatment. Our program is supported by the expertise of more than 500 physicians on staff, representing a wide range of specialties. This collaborative effort includes participation at regularly scheduled tumor board meetings, which allows physicians to confer on possible courses of treatment. Taking a personalized approach to care, our team of professionals prescribes each patient with a treatment plan customized to the type and stage of their cancer, as well as their overall health and well-being. We utilize the latest treatments and surgical procedures to aggressively and safely treat cancer. Our cancer program has received a certificate of approval with commendation from the Commission on Cancer (CoC) of the American College of Surgeons. Robotic Surgery Westside Regional uses state-ofthe-art robotic surgery to enhance the advantages of laparoscopic surgery. Our surgeons use the da Vinci Surgical System, the most technologically advanced surgical robotic system in the world, to perform complex surgical procedures through 18 19

12 high-definition cameras with unmatched precision, control and range of motion. This advanced approach allows for surgical incisions that are much smaller and less traumatic than those required for traditional surgeries. Our highly skilled team uses robotic surgery to perform urologic, gynecological and other minimally invasive surgeries. Women s Diagnostic Services Westside Regional is committed to the prevention, early detection, diagnosis and treatment of breast disease through compassionate and coordinated care. We provide women with a full spectrum of diagnostic tests and services, along with state-of-the-art technology and professional expertise in breast care. Our services include digital mammography, computer-aided detection (CAD) systems, ultrasound, ultrasound-guided biopsy/cyst aspiration, second opinion consultations, surgical consultations and bone density testing. Hospital Statistics Total 72,193 Annual Hospital Admissions 12,480 Annual Emergency Visits 42,635 Total Medicaid 6,563 Medicaid Market Share 3.7% Total Uninsured 9,177 Uninsured Care Market Share 6.8% Capital Investment 3% Total Taxes 4% 9% Total Local Vendor Support 13% 1% Total Salaries & Benefits 70% Hospital Economic Impact Total Salaries & Benefits $78,667,775 $10,043,928 Taxes Paid Federal Income Tax $2,192 State Income Tax $346,127 Indigent Care Tax $2,248,471 Property Tax $896,998 Sales Tax $1,090,403 Unemployment Tax $179,631 Other Local Tax $37,236 Total Taxes $4,801,058 Capital Investment $3,557,839 Total Local Vendor Support $14,537,480 Minority & Women Owned Business Support $354,695 $769,375 Total Economic Impact $112,376,000 I received the most impeccable care that I ve ever received at any healthcare facility. I literally owe my life to the exceptional and caring staff at Westside Regional. I would like to thank them from the bottom of my heart. Shawn Theriault Cardiac Patient Awards & Recognition Westside Regional and its employees are an award-winning team and have been well-recognized for their efforts not only for outstanding outpatient care and services, but also for community, civic and government efforts. WRMC is an accredited hospital by the Joint Commission and is also a Joint Commission designated Primary Stroke Center. This distinction for Primary Stroke Centers recognizes WRMC in making exceptional efforts to foster better outcomes for stroke care. In addition to the Joint Commission, the American Stroke Association awarded WRMC as a partner in Get With The Guidelines SM in Stroke Care. Westside is certified and accredited by the Society of Chest Pain Centers as a Chest Pain Center with PCI and a designated Heart Failure Center - the only one in Broward County. The American Heart Association (AHA) awarded WRMC the silver award for achieving 85 percent or higher compliance to core standard levels of care as outlined by the American Heart Association for 12 consecutive months. This award level represents provisions of the highest standard of stroke care to patients. The AHA has also recognized WRMC as a Fit Friendly Organization. WRMC s Cancer Program received certificate of approval with commendation from the American College of Surgeons, Commission on Cancer (CoC). By following the 36 standards set by the CoC, WRMC was accredited, thus demonstrating the ongoing commitment to providing high quality, multidisciplinary cancer care. 20

13 2801 N. State Road NW 42nd Avenue 7201 N University Drive 8201 W Broward Boulevard Margate, FL Plantation, FL Tamarac, FL Plantation, FL NorthwestMed.com PlantationGeneral.com UHMCHealth.com WestsideRegional.com