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

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1 EDWARD WITE OSPITAL LARGO MEDICAL CENTER NORTSIDE OSPITAL ST. PETERSBURG GENERAL OSPITAL CA West Florida Pinellas County Our Commitment To Excellence The commitment to education within the CA ospitals of Pinellas County shows we are focused on what s most important. The patient! Above all else, we are committed to the care and improvement of human life. In recognition of this commitment, we strive to deliver high quality, cost effective healthcare in the communities we serve COMMUNITY REPORT

2 Our Commitment To Excellence A Message from our Leadership It is our privilege to serve as the Executive Leadership of your Pinellas County CA ospitals and to have this opportunity to share with you the partnerships our hospitals provide to the community. Your CA Pinellas County hospitals, including Edward White ospital, Largo Medical Center, Northside ospital and St. Petersburg General ospital have a significant impact on Pinellas County, providing more than 3,680 people with employment and more than $15.6 million in taxes. We are proud to have more than a thousand of the area s most respected physicians on our medical staffs. We treated more than 117,000 patients in our emergency departments, where outstanding efforts by our teams continue to improve quality and operations. Our hospitals average ER wait times are posted live on our websites. We also invite residents to text message ER to and respond with a local zip code to receive the CA Pinellas County hospital average emergency room wait times. While the ER volumes are growing, so is the number of patients without adequate health insurance or the financial resources to pay for this care. We continue to treat a large percentage of uninsured patients in the communities we serve. Providing high quality care remains at the core of our mission, and we were honored to have Edward White ospital and Largo Medical Center named in 2011 as 2010 Top Performers for Key Quality Measures by The Joint Commission. They joined an elite group of 405 hospitals nationwide which are industry leaders in using evidencebased care processes that are closely linked to positive patient outcomes. Northside ospital was the first West Florida Division facility to earn state designation as a Comprehensive Stroke Center. The hospital provides the latest advanced technology and neuroradiology services for stroke patients. St. Petersburg General ospital became an accredited community cancer program by the American College of Surgeons Commission on Cancer (ACOS CoC). Good patient care requires having the right information at the right time and we continue to support our physicians by providing them secure access to electronic health information, fetal monitors and heart rhythms on their smart phones and other hand held devises. We are investing heavily in information technology to provide quicker and easier access to health information. At the same time, we are ensuring that we are in compliance with Meaningful Use (MU) criteria as we add new features to our Electronic ealth Record (ER) system, hcare, and work with other health care systems and providers in the communities we serve. Our hospitals have done an outstanding job focusing on quality and operations, with all CA Pinellas County hospitals receiving many national and state clinical outcome and achievement recognitions. Our goal is to continue to provide quality care to our community while performing at a high standard of excellence. Sharon D. ayes, CEO Edward White ospital Anthony Degina, CEO Largo Medical Center Stephen J. Daugherty, CEO Northside ospital Robert B. Conroy, Jr., CEO St. Petersburg General ospital

3 CA West Florida Pinellas County CA West Florida Facilities of Pinellas County OSPITALS SURGERY CENTERS 1 BELLEAIR SURGERY CENTER Clearwater, Florida 2 3 PRIMARY CARE LOCATIONS 1 FAMILY CARE OF BARDMOOR Largo, Florida 2 EDWARD WITE OSPITAL St. Petersburg, Florida LARGO MEDICAL CENTER MAIN CAMPUS Largo, Florida LARGO MEDICAL CENTER INDIAN ROCKS RD. CAMPUS Largo, Florida NORTSIDE OSPITAL St. Petersburg, Florida ST. PETERSBURG GENERAL OSPITAL St. Petersburg, Florida CENTER FOR SPECIAL SURGERY St. Petersburg, Florida COUNTRYSIDE SURGERY CENTER Clearwater, Florida FAMILY CARE OF WALSINGAM Largo, Florida INDIAN ROCKS RD S IN 3 CLEARWATER LARGO MEDICAL CENTER INDIAN ROCKS RD. CAMPUS SEMINOLE BLVD 19 L A R G O PARK BLVD TYRONE BLVD N 19 LARGO MEDICAL CENTER MAIN CAMPUS 693 ULMERTON RD 66T ST N E BAY DR P I N E L L A S C O U N T Y TE EART & VASCULAR INSTITUTE: AT NORTSIDE OSPITAL NORTSIDE OSPITAL 1 St. Petersburg, Florida 54T AVE N AT PASADENA Pasadena, Florida Downtown Office St. Petersburg, Florida 3 PRIMARY CARE AT LARGO Largo, Florida T AVE N 49T ST N EDWARD WITE OSPITAL GANDY BLVD 34T ST N ST. PETERSBURG GENERAL OSPITAL 275 9T AVE N 5T AVE N S T. P E T E R S B U R G Leadership EDWARD WITE OSPITAL Sharon D. ayes Chief Executive Officer Drew Strauch Chief Financial Officer Patricia Willie, RN Chief Nursing Officer LARGO MEDICAL CENTER Anthony Degina Chief Executive Officer Robert Billings Chief Financial Officer Jake Fisher Chief Operating Officer Brenda Simpson, RN Chief Nursing Officer NORTSIDE OSPITAL Stephen J. Daugherty Chief Executive Officer Gary Searls Chief Financial Officer Mark Miller Chief Operating Officer Cheryl Goforth, RN Chief Nursing Officer ST. PETERSBURG GENERAL OSPITAL Robert B. Conroy, Jr. Chief Executive Officer Shawn Gregory Chief Financial Officer Stephanie McNulty Chief Operating Officer JoAnne Cattell, RN Chief Nursing Officer 2012 COMMUNITY REPORT 1

4 Our Commitment To Excellence 2011 Community Impact Summary Statistics Number of Licensed Beds Total Patients Treated Annual ospital Admissions Annual Emergency Visits Total Medicaid Patients Treated Medicaid Market Share Total Uninsured Patients Treated 1 Our Facilities and Services Uninsured Market Share 1, ,460 38, ,275 28, % 32, % (1) excludes Medicaid patients treated Our Pinellas County ospital Family Total Employees Total Physicians Total Volunteers 3,680 1, Community Impact

5 CA West Florida Pinellas County Economic Impact Total Salaries & Benefits Cost of Charity & Uncompensated Care Taxes Paid: Federal Income Tax State Income Tax Indigent Care Tax Property Tax Sales Tax Other Local Tax Total Taxes Capital Investment 1 Total Local Vendor Support Minority & Women Owned Business Support Physician Specialty Coverage for Emergency Care TOTAL Economic Impact $ 250,551,123 $ 52,045,063 $ 2,326,698 $ 429,452 $ 6,690,643 $ 2,881,653 $ 3,241,825 $ 71,636 $ 15,641,907 $ 18,990,319 $ 48,524,638 $ 434,529 $ 5,204,992 $ 390,958,042 (1) 5 year annual average FY 2011 statistics Capital Investment 5% Total Taxes 4% Local Vendor Support 13% Physician Specialty Coverage for Emergency Care 1% Total Cost of Charity & Uncompensated Care 13% Total Salaries & Benefits 64% 2012 COMMUNITY REPORT 3

6 Our Commitment To Excellence Charitable organizations benefitting from our involvement: American Cancer Society American eart Association American Lung Association American Parkinson s Disease Association Central Pinellas Chamber of Commerce Christmas Toy Shop Project, Inc. Florida Blood Services Great American Teach-In CA ope Fund Lealman Asian & Neighborhood Family Center Mayor s Mentors & More Pinellas County Foster and Adoptive Parents Association Pinellas County Medical Association Pinellas County Osteopathic Medical Society Pinellas County Schools Pinellas County Sheriff s Police Athletic League Pinellas Park Chamber of Commerce Rotary Club of St. Petersburg St. Petersburg Chamber of Commerce St. Petersburg Free Clinic GIVING BACK TO OUR COMMUNITY Community Support The affiliates of CA Pinellas County ospitals and their employees provide both financial and volunteer support to countless civic organizations, schools, colleges, city projects and non-profit and charitable organizations in their local communities. Additionally, our hospitals sponsor a wide range of community health information programs, screenings and seminars, which are posted on our hospital websites in the community calendar section. ere too, you can find our online physician directory, listing by specialty or name search of physicians who are credentialed to be on a hospital s medical staff. Indigent Patient Education CA West Florida ospitals of Pinellas County are committed to helping uninsured patients qualify for local and state health benefit programs. Each hospital offers onsite benefit education and Medicaid enrollment assistance. Going Green As an active member of Practice Greenhealth, an industry leader in sustainable, ecofriendly practices, CA hospitals are involved with green initiatives both at the facility level and in many cases in the greater community. It is part of our commitment to have a comprehensive environmental strategy in concert with our mission of the care and improvement of human life. Social Media CA Pinellas County ospitals now have a social media presence to engage our patients and the communities we serve as fully as possible. Links to Facebook, Twitter and other channels can be found on hospital websites. Volunteering Countless hours of volunteering were performed by members of the CA Pinellas County ospital family last year. From providing medical care on mission trips to serving as the voice for children through programs such as Guardian Ad Litem and Autism advocacy, our staff, volunteers and physicians give back to our communities, both in and outside of our facilities. urricane Preparedness CA ospitals of Pinellas County have a comprehensive hurricane preparedness plan to ensure that our patients and the staff who care for them are safe during a storm. Our hospitals have arrangements 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 to make needed repairs to keep our hospitals operational. 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. Transfer processes and plans are in place with our network of hospitals from around the country, should patients need to be relocated. 4 Giving Back To Our Community

7 CA West Florida Pinellas County Awards and Recognition Our facilities and management teams continue to receive awards and recognition for the outstanding medical care and services we provide as well as the leadership role we play in our communities. All of our hospitals are Joint Commission Accredited and Accredited Chest Pain Centers and Certified Advanced Primary Stroke Centers. Northside ospital was the first West Florida Division facility to earn state designation as a Comprehensive Stroke Center. Largo Medical Center and St. Petersburg General ospital are Accredited Cancer programs by the American College of Surgeons Commission on Cancer (ACoS CoC). Edward White ospital and Largo Medical Center were named in 2011 as 2010 Top Performers for Key Quality Measures by The Joint Commission. Edward White was named an industry leader in using evidence-based care processes in the areas of Pneumonia and Surgical Care. Largo Medical Center was recognized for achieving these performance thresholds for eart Attack, eart Failure, Pneumonia and Surgical Care. Edward White ospital also earned The Joint Commission s Gold Seal of Approval for Joint Replacement ip and Joint Replacement Knee by demonstrating compliance with national standards for health care quality and safety. Accredited Chest Pain Center Accredited Chest Pain Center w/pci Primary Stroke Center Certification The American eart Association s Get With the Guidelines program awarded: n Edward White ospital with the Silver Plus Quality Achievement Award for Stroke Care n Largo Medical Center with the Silver Plus Quality Achievement Award for Stroke Care n Largo Medical Center with the Gold Quality Achievement Award for eart Failure n Northside ospital with the Gold Plus Quality Achievement Award for Stroke Care Consult-A-Nurse Free Physician Referral and ealth Information are available around the clock by calling CA-DOCS ( toll free). Registered Nurses are available for consultation through this bilingual community service, which also registers people for the numerous community education classes and programs sponsored by the CA Pinellas County ospitals. Free Physician Referral ealth Partners CA Pinellas County ospitals partner with a wide range of resources, including ealthgrades and itriage, to bring our communities the latest health information, quickly and conveniently. For information on downloading the itriage mobile application, visit our hospital websites or CAdocs.com 2012 COMMUNITY REPORT 5

8 Our Commitment To Excellence Quality & Patient Safety Putting Patients First is the foundation of our culture and passion for quality health care. Many of the initiatives we implement serve as national models for the industry today. The CA West Florida hospitals have achieved industry leading performance on public Clinical Measures, such as the CMS Core Measures for Congestive eart Failure, Pneumonia, Acute Myocardial Infarction, and Surgical Care Improvement Project. Our hospitals are thoroughly engaged in programs and initiatives which promote and optimize Patient Satisfaction, Clinical Efficiency programs and Quality outcomes. AIM for Zero AIM for Zero is an example of CA s commitment to providing excellence in healthcare through the consistent application of evidence-based interventions in the elimination of Central Line-Associated Blood Stream Infections (CLA-BSI). CA s goal for this initiative is zero, as we know from the medical literature that these infections are increasingly proven to be avoidable. The letter A in AIM stands for antimicrobial stewardship which embraces the effective and efficient utilization of antibiotics. Overuse of broad spectrum antibiotics is not only needlessly expensive, but it breeds resistant infections. The letter I refers to a checklist of interventions that has been demonstrated as preventing CLA-BSI at the point of Insertion. M stands for vigilance in maintaining and removing central lines at the earliest appropriate moment. Culture is critical to high performance health care. AIM for Zero includes behavioral expectations that encourage any team member to speak up to assure that the required interventions are followed. The personal behavior choices caregivers make each day affect their ability to protect patients from preventable, and potentially life-threatening, infections. Through exemplary leadership and support, CA is committed to offering the premier performance patients expect and deserve. Broselow System for Acute Pediatric Administration of Drugs in the ER All of our hospital emergency departments have installed the Broselow System to ensure the proper dosing and administration of drugs to children. Pediatric dosing can be difficult, especially in emergency situations, and the Broselow System allows medical professionals to instantly access proper dosing, improve the speed and accuracy in acute preparation and administration of drugs, reduce medical errors and standardizes pediatric dosing so that we can provide our young patients with high quality emergency care, safely. Electronic Bar Coding Medication System (BCMA) CA led a national effort to reduce medication errors by placing this system in all of our hospitals several years ago. Bar codes on medications are scanned at the patient s bedside, providing our clinical staff with an effective tool to ensure that the right patient receives the right medication at the right time through the right route. Electronic Bar Coding Transfusion System (BCTA) We expanded bar coding for transfusion products in all of our hospitals as a result of the medication safety successes. Prior to administering any blood product, the unit is scanned to ensure the patient is receiving the right transfusion product at the right time through the right route. hcare Electronic ealth Record (ER) The West Florida Division has invested heavily in its Electronic ealth Record (ER) initiative for many years. 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. As of March 2010, physicians are able to document and enter patient orders on-line and remotely from their offices. This streamlines the ordering process and ensures accurate and timely approach to patient care. As more physician practices use 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 databases is 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. 6 Quality & Patient Safety

9 CA West Florida Pinellas County Medical Education We re also bringing future physicians to our communities through medical training programs. The Graduate Medical Education program of Largo Medical Center is the third largest osteopathic teaching program in the South and has been designated as a Statutory Teaching ospital by the Agency for ealth Care Administration (ACA). There are twelve residency programs (a thirteenth will begin in 2012) and more than 118 residents in the program this current academic year at Largo Medical Center. Both St. Petersburg General ospital and Northside ospital also provide Traditional Rotating Internship, with St. Petersburg General offering a Family Practice Residency and Northside offering an Internal Medicine Residency and Cardiology Fellowship. Medical Research Sarah Cannon Research Institute (SCRI) of Nashville, one of the largest global clinical research programs, has signed an agreement with The Tampa Bay eart Institute at Northside ospital in St. Petersburg, FL, as a cardiovascular clinical research strategic site. SCRI s rapidly expanding cardiovascular research network enables hospitals and physician practices to develop their research programs and provides the opportunity for patients to consider participation in clinical trials in their own community. Our hospitals also work with physician partners who are engaged in research and clinical trial initiatives in multiple specialty areas. MRSA ABC s A new strain of antibiotic-resistant staph, or MRSA, is spread easily and is much more difficult to treat than ordinary staph bacteria. The growing prevalence of MRSA in our communities and in our hospitals is creating new challenges for the healthcare community. In response, CA hospitals across the nation, under the leadership of Dr. Jonathan B. Perlin, CA s chief medical officer, have implemented more aggressive infection prevention protocols to tackle this issue. CA facilities have also been provided with a proactive education campaign for patients, visitors and staff to prevent infections from occurring and spreading. We see MRSA as a national challenge affecting hospitals and communities alike, and would like to share our materials as a way of contributing to the education and more importantly the eradication of MRSA. Please feel free to use the tools from our MRSA campaign, available on our hospital websites, at home, work, or school, and join us in the fight to eradicate MRSA COMMUNITY REPORT 7

10 Our Commitment To Excellence Nation s First Infant Screening Program We were the first U.S. healthcare system to voluntarily perform a simple blood test to screen newborns for elevated levels of bilirubin that triggers jaundice. By identifying newborns at risk for Kernicterus, which causes permanent brain damage and physical impairment, we can treat them immediately and prevent this serious health threat. Flu Season Preparation Influenza remains the number one cause of vaccine-preventable death in the United States. Infected health workers can infect others and we want to eliminate that risk. Any death from a disease that is vaccine-preventable is one too many. CA employees have received national recognition for their commitment to patient safety for their efforts in supporting CA s flu immunization policy. This flu season our goal is the same a commitment to 100 percent patient safety. The way we will achieve this goal is through vaccination of health workers with direct patient contact or wearing a mask when vaccine is not possible. Responsible Imaging CA West Florida developed and implemented an innovative program called Responsible Imaging to enhance medical imaging safety through state-of-the-art monitoring, use of best practices and extensive education of staff, physicians and patients. The program was developed and piloted at Largo Medical Center and Regional Medical Center Bayonet Point with LANDAUER, a global leader- in radiation science and services. With increasing attention on the long-term cumulative effect of radiation exposure, we are excited to be a leader in responsible medical imaging practices to ensure the lowest dose of exposure for our patients. Vitals Now The West Florida Division was selected to pilot a new technology called Vitals Now this enables the automatic capture of patient vitals right from the bedside into our main Clinical System. This enhances clinical decision making for our care givers as patient vitals are now readily available in the patient s record. 8 Quality & Patient Safety / Specialized Care

11 CA West Florida Pinellas County Specialized care Emergency Excellence Our strong focus on enhancing emergency care and improving processes continues to keep ER wait times at Pinellas County CA hospitals below national averages, but more importantly we are exceeding national guidelines in delivering care quickly, when it matters most. STEMI time averages, along with wait time averages, are now featured on website home pages for Largo Medical Center and Northside ospital whom offer PCI services. All 4 Pinellas hospitals are Chest Pain Accredited and have earned Advanced Primary Stroke Center certification by the Joint Commission. Protocol driven care that can begin in the field through direct communications with local EMS teams are all part of our commitment to improve quality in our busy emergency departments. eart & Vascular Network Our cardiovascular network ensures that life-saving technology and the latest minimally invasive techniques are available in our communities. All 4 of our hospitals are Accredited Chest Pain Centers, Largo Medical Center and Northside ospital now offer PCI and we are consistently beating the national STEMI benchmark of 90 minutes, dramatically improving the lives of our patients experiencing a heart attack. The latest surgical techniques for vascular, minimally invasive mitral valve and atrial fibrillation repair provide a safer alternative for patients suffering from these conditions, improving their quality of life and reducing their risk for other serious complications. Our Cardiac Cath and EP labs offer state-of-the-art technology and treatments for invasive and noninvasive cardiac procedures. Largo Medical Center is the only CA Pinellas facility offering the Convergent Procedure. This is where a cardiac surgeon and an electrophysiologist combine their unique skills to perform a closed-chest minimally invasive approach to surgery for atrial fibrillation. Additionally, some of our hospitals have opened specialized chest pain units where patients can be rapidly accessed and diagnosed without having to be admitted to the hospital. Expansion of cardiovascular research continued with Northside formally affiliating with the Sarah Cannon Research Institute (SCRI), one of the largest clinical research programs in the nation, allowing both hospitals to serve as major cardiovascular clinical research strategic sites locally. Neurosciences & Stroke Care Neurosciences is a key focus at many of our hospitals, with neurosurgeons skilled in treating everything from brain tumors to back pain. Northside earned Comprehensive Stroke Center designation and offers one of the few interventional neuroradiology programs on Florida s west coast. Largo Medical Center and Northside ospital offer neurosurgery services today and all of our hospitals are Joint Commission designated Advanced Primary Stroke Centers, the gold standard for ensuring the highest level of care is immediately available. Physicians at the Florida Spine & Neuro Center at Largo Medical Center specialize in diagnosing illnesses of the spine. Patient services include a dedicated team of nurses with a dedicated patient care floor, and all-private rooms. The Neuroscience Institute at Northside ospital is a state-of the-art program, providing new methods for the treatment and prevention of neurologic conditions such as stroke and aneurysms, as well as brain tumors, epilepsy, hydrocephalus and Multiple Sclerosis. Offering one of only two interventional neuroradiology programs in Pinellas County, Northside ospital is now able to extend the treatment window for stroke patients from three hours to eight hours. In addition to stroke care, Northside ospital will be able to provide minimally-invasive treatment for cerebral aneurysms, a condition that at one time required local hospitals to transfer patients as far away as Jacksonville to receive care that will now be available in the Pinellas County area COMMUNITY REPORT 9

12 Our Commitment To Excellence Behavioral ealth Largo Medical Center offers behavioral health services where patients can receive the specialized care they need in a dedicated setting, while having full access to the medical services of a hospital. They provide a 33-bed Inpatient Unit, a 14-bed Voluntary Inpatient Unit, a 24-our Referral Line as well as both Inpatient and Outpatient Electroconvulsive Therapy (ECT). Services have recently expanded to include a 7-bed behavioral health emergency room to meet the needs of patients who experiencing a mental health crisis. St. Petersburg General has expanded their services by opening a Medical Stabilization Service for Substance Abuse. Comprehensive Cancer Care Cancer is the second leading cause of death in this country, exceeded only by heart disease. Our hospitals have committed to quality care by striving to meet and exceed the many standards required for the American College of Surgeons Commission on Cancer (ACoS CoC) Accreditation. Congratulations to St. Petersburg General for achieving Accredited Cancer Center designation this year from the ACoS CoC. Largo Medical Center is the other accredited CA hospital in Pinellas County. Since most cancer patients require multiple types of treatment, good communication between providers is essential. One of the best ways to accomplish this is through tumor board reviews, where a variety of medical specialists including surgeons, medical oncologists, radiation oncologists, pathologists, radiologists and hospital clinical and support staff meet regularly to proactively to review patient cases. Advanced technology is another commitment with our hospitals providing patients the latest in everything from digital mammography for early detection to minimally invasive surgery for treatment. 10 Specialized Care

13 CA West Florida Pinellas County Surgical Solutions Our network of hospitals offer 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, while individual facilities provide a variety of enhanced communications such as waiting room monitors, free wi-fi and tweets to keep families updated on the patient s progress. From single incision laparoscopic surgery (SILS) to the da Vinci robotic system, our hospitals are providing surgeons the tools they need to perform complex and delicate procedures through tiny incisions, with unmatched precision. St. Petersburg General ospital offers the lap-band procedure. Edward White ospital offers an incisionless reconstructive surgical treatment of gastroesophageal reflux disease (GERD) by using EsophyX, the first device exclusively designed for this procedure. In addition to the inpatient and outpatient surgical programs at our hospitals, our network also includes the 3 free-standing outpatient surgery centers. Robotic Training Epicenter Robotic technology is taking surgery beyond the limits of the human hand, introducing precise, versatile instrument movement combined with the ability to see a three-dimensional visualization of the operative site. St Petersburg General ospital was recently designated as a GYN Robotic Epicenter by Intuitive Surgical, the maker of the da Vinci Robotic Surgical System. The Epicenter Program purpose it to provide interested surgeons the unique opportunity to observe highly skilled and experienced robotic surgeons doing actual surgical procedures on patients. Equally important is the observation of the collaboration of the whole robotic surgical team composed of anesthesiologists, OR nurses and OR technicians necessary to optimize the patient outcomes and efficiencies of the operating room processes. St Petersburg General ospital is now one of twenty-five select GYN Robotic Surgery Training Epicenters in the US. These epicenters have combined experience exceeding 5,000 cases and have been chosen for excellence in patient outcomes and dedication to assisting new surgeons through their initial case series. St Petersburg General ospital is one of only two in the state of Florida. New surgeons and their teams visit Epicenter sites to observe cases and learn robotic surgical techniques. Epicenter surgeons then become mentors and/or proctors for these new surgeons in their learning journey. Even after new robotic surgeons have successfully completed their initial case series, these mentor-trainee relationships endure through discussions at scientific conferences and through advanced training. Spine Care Spine injuries can be the result of sudden trauma or unrelentingly degenerative. Either way, they greatly impact an individual s quality of life. Our hospitals offer a full spectrum of resources to provide an accurate diagnosis and treatment plan. Our spine surgeons perform the most minimally invasive procedures available today, with outstanding outcomes and greatly reduced hospital stays. Medical teams affiliated with spine programs in our hospitals include some of the area s most dedicated neurosurgeons, orthopedic spine surgeons, experts in pain management, and specialists in physical medicine as well as physical therapy and rehabilitation. Edward White ospital and Largo Medical Center have earned Center of Excellence designations, including the Blue Distinction Center for Spine Surgery COMMUNITY REPORT 11

14 Our Commitment To Excellence Orthopedic Care National recognition for clinical excellence has been awarded to many of our orthopedic programs, with Edward White ospital earning Joint Commission Certification in both Knee Replacement and ip Replacement. Largo Medical Center is a Blue Distinction Center for Knee and ip Replacement. Our surgeons are committed to performing the latest innovations in their field with advanced procedures including minimally invasive partial and total knee and hip resurfacing. Many of our hospitals also offer classes in advance of surgery to assist patients with planning for their hospital stay and recovery after discharge. Florida Knee & Orthopedic Pavilion The Pavilion is located atop Largo Medical Center with its luxurious penthouse setting, hotel-like amenities and concierge services. Surgeons at the Pavilion have years of experience specializing in particular procedures, including the new SAME DAY Partial Knee Resurfacing, Total Knee Resurfacing and Knee Cartilage Transplantation. In addition to their expertise, these surgeons are noted experts in minimally invasive procedures with less pain and faster recovery. At the Pavilion, patients are treated like hotel guests who are temporarily sidelined with an orthopedic problem. The focus is on wellness, and guests are active participants in a unique treatment model that begins at diagnosis in the surgeon s office and continues at the Pavilion and later at the patient s homes. As soon as they arrive, patients will notice their experience at the Pavilion is totally different from a traditional hospital stay. A concierge handles all the details, including door-to-door transportation if needed, and then makes sure guests feel comfortable and pampered during their stay. Guests can wear their own clothes instead of a hospital gown and have a companion stay at the hospital with them to act as a personal coach. Research indicates a positive correlation between personalized healing environments and successful patient outcomes. Everything at the Pavilion is designed to promote a patient s sense of well-being so the patient feels better and recovers more quickly. Skilled Nursing Unit Outpatient Rehabilitation Outpatient rehabilitation services are provided by Edward White ospital, Largo Medical Center and Northside ospital. The services include Physical Therapy, Occupational Therapy and Speech Therapy. These programs are staffed by licensed professionals experienced in their disciplines. Inpatient Rehabilitation Inpatient rehabilitation services are provided at Largo Medical Center Indian Rocks. With a focus on restoring function, our therapists will work with people of all ages to improve or develop skills that may have been affected by disease, injury or illness. We offer 24-hour care including immediate medical access, diagnostics and individualized therapy programs utilizing a variety of different environments. The interdisciplinary team will work with you to return you to the highest possible level of independence. At Edward White ospital, we understand the special recuperative needs that individuals may require following medical or surgical hospitalization. The Skilled Nursing Unit is designed to ensure our residents the full benefit of our care and services. The Skilled Nursing Unit bridges the gap between acute hospital care and the return home or other community setting. The goal is to provide care, teaching, rehabilitation and activities you need as you recover from surgery. The staff on the unit is specially trained in aspect of care for adults. Our team is committed to helping you set goals and work through the treatment program. We offer a treatment approach that integrates your medical, nursing, rehabilitative, spiritual and emotional needs into an individualized treatment program. Our clients and their families are encouraged to participate in the unit s daily activities.comprehensive discharge planning is provided to assist you and your family in finding resources to make your transition from hospital to home as smooth as possible. Our goal in the Skilled Nursing Unit is to provide the time and services you need to recover from your surgery. 12 Specialized Care

15 CA West Florida Pinellas County Imaging Services The CA Pinellas County ospital network provides a comprehensive array of inpatient and outpatient imaging services, through our hospitals and freestanding diagnostic imaging centers. Our facilities are equipped with a broad range of diagnostic technology and many outpatient centers offer extended hours. We are committed to offering imaging services needed across the full continuum of a patient s care and to Responsible Imaging, which includes a number of patient safety practices such as using the lowest reasonably achievable utilization of medical radiation during exams that involve radiation. Diagnostic services available include: n 64-slice CT n Bone Density/ Dexascan Company Care n CT n Digital Mammography n Echocardiogram Women s Services Obstetrics 2u n EKG n Fluoroscopy n Mammography n MRI n Nuclear Medicine n PET Scan n Special Procedures n Ultrasound n X-Ray Our commitment to women s services, from childbirth to digital mammography to innovative surgical options using robotics, is unsurpassed. The Florida Breast Institute at Largo Medical Center and The Breast Center at St Petersburg General ospital offer a unique experience, dedicated to treating women in a warm and relaxing atmosphere. St Petersburg General ospital Women s Services offers individual care to meet the needs of all ages of women-- OB services meet birthing needs, including skin to skin contact with infants directly after delivery, lactation services and family centered care. GYN surgical patients receive one on one care by a specialized team of nursing staff. St. Petersburg General ospital offers an exceptional maternity program. From labor and delivery services to infant care, breastfeeding and sibling classes, St. Petersburg General ospital s experienced obstetrics staff provides comprehensive and compassionate obstetrics. ealth to You (h2u) provides wellness solutions through its consumer and employer wellness programs. Currently, more than 25,000 individuals belong to programs housed at our facilities in West and Central Florida including those programs at Edward White ospital, Largo Medical Center and Northside ospital. Among the many benefits of membership are a Personal ealth Assessment, Online ealth Portal and Subscriptions to eealth News, national discounts on products and services and quarterly magazines. Additionally, sponsoring hospitals offer a host of activities and events in their local community for members to support social as well as physical health. annah Curlee, Biggest Loser in Season 11 Runner Up, is the Director of ealth Engagement at h2u and is traveling to h2u sites around the country to share her story. 2u for Employers will be rolled out in 2012 at several of our hospitals and will enable employers to obtain a wide range of health and wellness benefits for their employees. Living well and staying healthy are easier with a little help from 2U and this program will enable employers, both small and large, to select from a menu of health and wellness services to create a customized program for their employees. Company Care delivers our most complete array of workforce health solutions. For more than 20 years, Company Care has provided comprehensive, integrated health and wellness services to businesses. Company Care delivers creative occupational health and worker s compensation programs specifically tailored to the needs of any business or government organization and services include: n 24-hour access to medical care n Case management to service the Worker s Comp Network n Diagnostic testing n Drug screening and physical exams n Emergency care and follow-up for injured workers n Ergonomic site assessments n Injury prevention education n Nutritional counseling n Managed care services n Physical rehabilitation n Pre-employment, executive and D.O.T. physicals n Return-to-work programs n Utilization review To learn more, call CA-DOCS ( toll free) or visit COMMUNITY REPORT 13

16 EDWARD WITE OSPITAL th Avenue North St. Petersburg, Florida (727) EdwardWhiteospital.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted th ST N 34th ST N 13th AVE N 595 9th AVE N 8th AVE N 7th AVE N 6th AVE N S T. P E T E R S B U R G 22nd AVE N 22nd AVE N 22nd AVE N 5th AVE N 25th ST N 25th ST N 24th ST N 24th ST N 13th AVE N Edward White ospital 23rd ST N 22nd ST N st ST N 21st ST N 20th ST N 9th AVE N 13th AVE N 7th AVE N 16th ST N ,688 13,071 28, $24,709,589 $1,377,679 12th ST N Accreditations and Certifications: Accredited ospital (Joint Commission) Accredited Chest Pain Center (SCPC) Certified Advanced Primary Stroke Center (Joint Commission) CERTIFIED Joint Replacement ip (Joint COMMISSION) CERTIFIED JOINT REPLACEMENT Knee (Joint Commission) Top Performer in Key Quality Measures (Joint Commission) Additional Services: 24-hour Emergency Services CENTER FOR WOUND CARE AND YPERBARIC MEDICINE COMPANY CARE OCCUPATIONAL EALT DIAGNOSTIC IMAGING ORTOPEDICS Center REABILITATION INSTITUTE SKILLED NURSING UNIT SPINE CENTER Sharon D. ayes Chief Executive Officer Edward White ospital is located on Ninth Avenue North in St. Petersburg, Florida. Thanks to CEO Roland Metivier and the excellent medical staff and care that I received during and after my surgery at Edward White ospital, I am back at the ball park, back in full swing. Cito Gaston Baseball Legend and Patient 14 CA West Florida Pinellas County: ospital Statistics

17 LARGO MEDICAL CENTER LMC-MAIN CAMPUS: th Street SW Largo, Florida (727) LMC-INDIAN ROCKS RD CAMPUS: 2025 Indian Rocks Rd. Largo, FL (727) LargoMedical.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. INDIAN ROCKS RD S LARGO MEDICAL CENTER MAIN CAMPUS 8th AVE SW W BAY DR 14th ST SW PINECREST GOLF COURSE TAYLOR LAKE CLEARWATER LARGO RD S ,961 42,239 79, ,583 $102,303,878 $7,620,640 Accreditations and Certifications: Accredited ospital (Joint Commission) ACCREDITED BREAST CENTER (ACo S) (NAPBC) (ACR) ACCREDITED Chest Pain Center with PCI (SCPC) ACCREDITED COMMUNITY CANCER PROGRAM (ACoS CoC) Certified Advanced Primary Stroke Center (Joint Commission) Top Performer in Key Quality Measures (Joint Commission) Additional Services: A TEACING OSPITAL 24-our Emergency Services Behavioral Medicine CARDIOVASCULAR SERVICES CENTER FOR Wound Care with yperbaric Medicine Company Care Occupational ealth Florida Breast Institute Florida Knee & Orthopedic Pavilion FLORIDA SPINE & NEURO CENTER Graduate Medical Education PROGRAM Inpatient & OUTPATIENT Rehabilitation Sleep Disorders Laboratory LARGO MEDICAL CENTER INDIAN ROCKS ROAD CAMPUS CLEARWATER LARGO RD S Anthony Degina Chief Executive Officer A teaching hospital means more minds advancing medicine, focusing on what s important. You COMMUNITY REPORT 15

18 NORTSIDE OSPITAL th Street North St. Petersburg, Florida (727) Northsideospital.com 66th ST N 66th ST N 66th ST N # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted th ST N 58th ST N 58th ST N PINELLAS PARK th ST N 49th ST N 49thST N PARK AVE N 62nd AVE N 54th AVE N 689 Northside ospital S T. P E T E R S B U R G 694 GANDY BLVD N 19 SAWGRASS LAKE PARK W 1st ST 288 9,355 28,915 43, $75,462,506 $3,642, Accreditations and Certifications: Accredited ospital (Joint Commission) ACCREDITED Chest Pain Center with pci (SCPC) Certified Advanced Primary Stroke Center (Joint Commission) COMPREENSIVE STROKE CENTER (STATE DESIGNATED) Additional Services: 24-hour Emergency Services 64-SLICE CT SCANNER CARDIOPULMONARY OUTPATIENT REABILITATION Company Care Occupational ealth DIAGNOSTIC SERVICES GRADUATE MEDICAL EDUCATION PROGRAM EART ATTACK PREVENTION PROGRAM NEUROSCIENCE INSTITUTE NEURORADIOLOGY Orthopedic Institute TAMPA BAY EART INSTITUTE Stephen J. Daugherty Chief Executive Officer 38th AVE N Northside ospital is located in St. Petersburg, Florida on 49th Street North. Our partnership with Northside ospital has been an enriching experience. Together, we ve been able to provide the students with new school supplies, holiday gifts, science lab equipment, and to some, mentors. We at Blanton Elementary truly appreciate their kindness and commitment to education. Debi Turner Principal, Blanton Elementary School 16 CA West Florida Pinellas County: ospital Statistics

19 st. petersburg general hospital th Avenue North St. Petersburg, Florida (727) StPeteGeneral.com # of Licensed Beds Total Annual Admissions Total Annual Emergency Visits Total Patients Treated* Total Physicians Total Employees Total Payroll Taxes Paid * Includes Admissions, ED Visits, OP Visits, OP Surgery, and OP OBS Visits numbers unless otherwise noted. 66th ST N 66th ST N 66th ST N 62ndAVE N TYRONE BLVD N 54th AVE N 22nd AVE N 58th ST N 58th ST N St. Petersburg General ospital 58th ST N 49th ST N 49th ST N 49th ST N 54th AVE N 38th AVE N 22nd AVE N S T. P E T E R S B U R G 219 7,589 33,050 50, $48,075,149 $3,000, Accreditations and Certifications: Accredited ospital (Joint Commission) ACCREDITED BREAST CENTER with DIGITAL IMAGING & CAD (ACR) Accredited Cancer Center (ACoS CoC) Accredited Chest Pain Center (SCPC) Certified Advanced Primary Stroke Center (Joint Commission) Additional Services: 24-OUR EMERGENCY SERVICES Bariatric (Weight Loss) Surgery COMPANY CARE OCCUPATIONAL EALT DIAGNOSTIC IMAGING GRADUATE MEDICAL EDUCATION PROGRAM/ FAMILY PRACTICE GYN/OBSTETRICS GYN Robotic Surgery Epicenter ospitalists Medical Stabilization Service for Substance Abuse Orthopedic/Joint Replacement/Spine Surgery Robotic Surgery (General, Urology, Gynecology, GYN Oncology) SLEEP DISORDERS CENTER WOMEN S SERVICES WOUND CARE CENTER Robert B. Conroy, Jr. Chief Executive Officer St. Petersburg General ospital is located on 38th Avenue North 5T AVE N 5T AVE N in St. Petersburg, Florida. It is a superb recognition to have such an eclectic GYN Robotic Surgery Epicenter right here in our own community; and to be part of this exciting program from its inception is very rewarding. Romeo Acosta, MD Gynecologist and Obstetrician 2012 COMMUNITY REPORT 17

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