las vegas perspective HEALTHCARE thirty five volume:

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1 volume: las vegas perspective HEALTHCARE thirty five

2 HEALTHCARE 2015 las vegas perspective healthcare overview 96 State Health System Performance Ranking...96 Hospital Utilization...96 State Scorecard on Long-Term Services and Supports (LTSS) for Older Adults, People with Physical Disabilities, and Family Caregivers...97 America s Health Rankings...97 specialty hospitals 98 Specialty Hospitals...98 Skilled Nursing Facilities & Rehabilitation...99 A HEALS Perspective southern nevada full-service hospitals 101

3 Perspective 2015 HEALTHCARE healthcare overview healthcare overview State Health System Performance Ranking COLORADO UTAH CALIFORNIA ARIZONA TEXAS NEVADA Overall Performance Access and Affordability Prevention and Treatment Avoidable Hospital Use and Cost Healthy Lives Source: Commonwealth Fund Scorecard on State Health System Performance, Note: States are ranked from 1 to 50, where 1 is best and 50 is worst. Hospital Utilization (per 1,000 Population) COLORADO UTAH CALIFORNIA ARIZONA TEXAS NEVADA Admissions Emergency Visits Inpatient Days Outpatient Days 1,667 2,131 1,404 1,319 1, Sources: Kaiser Family Foundation, 2013; AHA Annual Survey, Health Forum, LLC, an affiliate of the American Hospital Association. Notes: Data are for community hospitals, which represent 85 percent of all hospitals. Federal hospitals, long term care hospitals, psychiatric hospitals, institutions for the mentally retarded, and alcoholism and other chemical dependency hospitals are not included. PHOTO Cleveland Clinic Lou Ruvo Center for Brain Health is a medical center dedicated to the pursuit of more effective treatments and care for those impacted by brain disease. 96 healthcare» healthcare overview

4 Perspective HEALTHCARE2015 State Scorecard on Long-Term Services and Supports (LTSS) for Older Adults, People with Physical Disabilities, and Family Caregivers A multi-dimensional approach to measure state-level performance of long-term services and supports (LTSS) systems that assist older people, adults with disabilities, and family caregivers. The full report is available at COLORADO UTAH CALIFORNIA ARIZONA TEXAS NEVADA OVERALL Affordability and Access Choice of Setting and Provider Quality of Life & Quality of Care Support for Family Caregivers Effective Transitions Source: AARP; The Commonwealth Fund, The Scan Foundation, Note: States are ranked from 1 to 50, where 1 is best and 50 is worst. Methodology Dimensions and Indicators: The Scorecard measures LTSS system performance using 26 indicators, grouped into five dimensions: Affordability and Access: includes the relative affordability of private pay LTSS, the proportion of individuals with private long-term care insurance, the reach of the Medicaid safety net and the Medicaid LTSS safety net to people with disabilities who have modest incomes, and the ease of navigating the LTSS system. Choice of Setting and Provider: includes the balance between institutional services and HCBS, the extent of participant direction, and the supply and availability of alternatives to nursing homes. Quality of Life and Quality of Care: includes level of support, life satisfaction, and employment of people with disabilities living in the community, and indicators of quality in nursing homes. Support for Family Caregivers: includes legal and system supports available in states and localities, the extent to which registered nurses are able to delegate health maintenance tasks to non family members, and aspects of caregiver well-being. Effective Transitions: includes measures of hospitalization and institutionalization that should be minimized in a high-performing LTSS system. America s Health Rankings COLORADO UTAH CALIFORNIA ARIZONA TEXAS NEVADA OVERALL STATE RANK OBESITY Rank Percentage 21.3% 24.1% 24.1% 26.8% 30.9% 26.2% SMOKING Rank Percentage 17.7% 10.3% 12.5% 16.3% 15.9% 19.4% PREVENTABLE HOSPITALIZATIONS Rank # Per 1,000 Medicare Beneficiaries PRIMARY CARE PHYSICIANS Rank # Per 100,000 Population PUBLIC HEALTH FUNDING Rank Dollars Per Person healthcare overview Source: United Health Foundation s America s Health Rankings, Notes: States are ranked from 1 to 50, where 1 is best and 50 is worst. Overall Health Rank: is based on the weighted sum of the number of standard deviations each core measure is from the national average. Obesity: Percentage of adults who are obese, with a body mass index (BMI) of 30.0 or higher. (2011 BRFSS Methodology). Smoking: Percentage of adults who are smokers (self-report smoking at least 100 cigarettes in their lifetime and currently smoke). Preventable Hospitalizations: Discharge rate among the Medicare population for diagnoses that are amenable to non-hospital based care. Primary Care Physicians: Number of primary care physicians (including general practice, family practice, OB-GYN, pediatrics, and internal medicine) per 100,000 population. Public Health Funding: State dollars dedicated to public health and federal dollars directed to states by the Centers for Disease Control and Prevention and the Health Resources and Services Administration. healthcare» healthcare overview 97

5 Perspective 2015 HEALTHCARE specialty hospitals specialty hospitals Specialty Hospitals FACILITY/ADDRESS SPECIALTY BEDS CITY PHONE Children s Specialty Center of Nevada Pediatric Hematology & Oncology, Rare and Ultra Rare Genetic S. Maryland Pkwy., Ste. 300 Disease Cleveland Clinic Lou Ruvo Center for Brain Health Psychological & Social Services for Persons Suffering from W. Bonneville Ave. Cognitive Loss Disorders Complex Care Hospital at Tenaya Acute Long-term Care Hospital N. Tenaya Way Comprehensive Cancer Centers of Nevada S. Eastern Ave., Ste Wigwam Pkwy., Ste S. Eastern Ave. 655 N. Town Center Dr Peak Dr W. Sunset Rd., Ste Adams Blvd., Ste. 103 Medical Oncology, Hematology, Radiation Oncology, Breast Surgery, Clinical Research, CyberKnife Radiosurgery, Diagnostic Imaging, Laboratory Services Pharmacy Boulder Breast Surgery Centers 1485 W. Warm Springs Rd., Ste S. Maryland Pkwy., Ste Peak Dr W. Sunset Rd., Ste. 100 Desert Valley Therapy 1701 N. Green Valley Pkwy., Ste. 8B 1950 E. Desert Inn Rd W. Oquendo Rd., Ste W. Washington Ave. Desert Willow Treatment Center 6171 W. Charleston Blvd., Bld. 17 Harmon Medical and Rehabilitation Hospital 2170 E. Harmon Ave. HealthSouth Rehabilitation Hospital Jeffreys St S. Valley View Blvd W. Oquendo Rd. Hemophilia Treatment Center of Nevada 3121 S. Maryland Pkwy., Ste. 206 Horizon Specialty Hospitals 8550 S. Eastern Ave. 640 Desert Ln. Kindred Hospital 102 E. Lake Mead Pkwy., 3rd Fl E. Flamingo Rd W. Sahara Ave. Recovery Center 3371 N. Buffalo Dr. Montevista Hospital 5900 W. Rochelle Ave. Mountains Edge Hospital 8656 W. Patrick Ln. Progressive Hospital 4015 S. McLeod Dr. Rawson-Neal Psychiatric Hospital 1650 Community College Dr. Red Rock Behavioral Health Hospital 5975 W. Twain Ave. Specialties: Breast Cancer, Breast Related Diseases, Treatments & Services: Breast Biopsy, Breast Ultrasound, Clinical Research, Diagnostics, Genetic Screening, Surgery (cancer and non-cancer related) Physical Therapy & Occupational Therapy Psychiatric Hospital Rehabilitation Hospital Rehabilitation Hospital Diagnostic Evaluations, Comprehensive Clinics & Trials Acute Long-term Care Hospital Acute Long-term Care Hospital Chronic Pain & Addiction Programs Psychiatric Hospital Acute Care & Rehabilitation Acute Long-term Care Hospital Acute Psychiatric Inpatient Treatment, Psychosocial Rehabilitation Program, Residential Support, Senior Mental Health Psychiatric Hospital healthcare» specialty hospitals

6 Perspective HEALTHCARE2015 FACILITY/ADDRESS SPECIALTY BEDS CITY PHONE Seven Hills Behavioral Institute Psychiatric Hospital W. Horizon Ridge Pkwy. Solutions Recovery Drug & Alcohol Treatment Services, Detox, Chronic Pain S. Rainbow Blvd., Ste. E Treatment Spring Mountain Sahara Behavior Institute Psychiatric Hospital West Sahara Ave. Spring Mountain Treatment Center Psychiatric Hospital W. Spring Mountain Rd. Southern Nevada Adult Mental Health Services Psychiatric Hospital W. Charleston Blvd. Southern Nevada Sleep Center Treatment for Sleep Disorders N. Teyana Way, Ste. 201 Walter Hoving Home Drug Addiction, Alcoholism & Other Life-Controlling Problems, Red Rock St. 24-Hour Residential Rehabilitation Center for Women 17+ Womens Cancer Center of Nevada 3131 La Canada St., Ste. 241 Research & Clinical Trials, Gynecological Cancers for Women Skilled Nursing Facilities & Rehabilitation FACILITY/ADDRESS BEDS PHONE OVERALL RATING Advanced Health Care of 5840 W. Sunset Rd., N. Tenaya Way, Boulder City Skilled Nursing Facility 901 Adams Blvd., Boulder City Caremeridian 7690 Carmen Blvd., N. Buffalo Dr., College Park Rehabilitation Center 2856 E. Cheyenne Ave., N Delmar Gardens of Green Valley 100 Delmar Gardens Dr., El Jen Convalescent Hospital & Retirement Center 5538 W. Duncan Dr., Gaye Haven Intermediate Care Facility 1813 Betty Ln., Harmon Medical and Rehabilitation Hospital 2170 E. Harmon Ave., Highland Manor of Mesquite 272 Pioneer Blvd., Mesquite Horizon Health and Rehabilitation Center 660 Desert Ln., Kindred Hospital 2250 E. Flamingo Rd., Lake Mead Health & Rehabilitation 1180 E. Lake Mead Pkwy., Post Acute and Rehab 2832 S. Maryland Pkwy., Las Ventanas Retirement Community W. Charleston Blvd., FACILITY/ADDRESS BEDS PHONE OVERALL RATING Life Care Center 2325 E. Harmon Ave., Vegas Dr., Marquis Care 6351 N. Fort Apache Rd., W. Cheyenne Ave., Mission Pines Nursing & Rehabilitation Center 2860 E. Cheyenne Ave., N Mountain View Care Center 601 Adams Blvd., Boulder City Nevada State Veterans Home - Boulder City 100 Veterans Memorial Dr., Boulder City North Care Center 3215 E. Cheyenne Ave., Royal Springs Healthcare & Rehab 8501 Del Webb Blvd., St. Joseph Transitional Rehabilitation Center 2035 W. Charleston Blvd., Silver Hills Health Care Center 3450 N. Buffalo Dr., Silver Ridge Healthcare Center 1151 Torrey Pines Dr., Southern Nevada Medical & Rehabilitation Center 2945 Casa Vegas St., The Heights of Summerlin, LLC Park Run Dr., TLC Care Center 1500 W. Warm Springs Rd., Torrey Pines Rehabilitation Hospital 1701 S. Torrey Pines Dr., specialty hospitals Source: Individual entities; U.S. News & World Report; Centers for Medicare & Medicaid Services; Medicare.gov. Notes: For local calls in the area, dial (702). A rating of 1 to 5 stars based on the health inspection, staffing, and quality measures ratings combined into one: 1-Much Below Average; 2-Below Average; 3-Average, 4-Above Average, 5-Much Above Average. healthcare» specialty hospitals 99

7 Perspective 2015 HEALTHCARE A HEALS PERSPECTIVE DOUGLAS GEIZNER CEO What is on the horizon for health care in? specialty hospitals is on a journey to become the most globally recognized destination for health & wellness travel, commonly known as medical tourism. Several months back, HEALS, Convention & Visitors Authority (LVCVA), Global Economic Alliance (LVGEA) and the UNLV College of Hotel Administration developed a regional strategic plan, identifying a set of key opportunities and recommendations. The region and the industry are perfectly aligned to develop as a regional center of excellence. Southern Nevada will soon be home to four medical schools including the new UNLV School of Medicine, Roseman University College of Medicine, Touro University School of Medicine and University of Nevada School of Medicine. Graduate medical education expansion is well underway with new physician residency and fellowship programs being developed for future graduates of our medical schools. will soon be growing a physician workforce to not only take care of its own, but also take care of medical and wellness travelers from around the World. The Medical District, the future home of the UNLV School of Medicine, and Healthcare Corridor, home to the new Union Village and Hospital, will become healthcare destinations for local residents and medical travelers alike. Aligning our physicians, nurses and allied health professionals with the hospitality industry will redefine how health care is delivered and will ultimately affect regional and global change. Healthcare is a top priority for Nevada, and. We have a plan, the talent, ambition and infrastructure necessary to become a global leader in this critical industry cluster for our region. PHOTO UMC is the only public, non-profit hospital in Clark County and operates the state s only Level I Trauma Center and Organ Transplant Center, Level II Pediatric Trauma, and Lions Burn Care Center. UMC is home to Children s Hospital of Nevada, the only one of its kind in the Silver State that is recognized by the Children s Hospital Association. Visit umcsn.com and childrenshospitalofnevada.org for more information. Top-Ranked Cleveland Clinic Care. Right Here. Cleveland Clinic Urology and The Lou Ruvo Center for Brain Health clevelandclinic.org/nevada 100 healthcare» specialty hospitals

8 Perspective HEALTHCARE2015 sname southern nevada full-service hospitals FACILITY / ADDRESS CONTACT / WEBSITE SPECIALTY Boulder City Hospital Geriatric Behavioral 901 Adams, Boulder City bchcares.org Medicine Center & Transitional Rehabilitation Centennial Hills Hospital 6900 N. Durango Dr., Desert Springs Medical Center 2075 E. Flamingo Rd., Dignity Health - St. Rose Dominican, Rose de Lima Campus 102 E. Lake Mead Pkwy., Dignity Health - St. Rose Dominican, Siena Campus 3001 St. Rose Pkwy., Dignity Health - St. Rose Dominican, San Martín Campus 8280 W. Warm Springs Rd., Mesa View Regional Hospital 1299 Bertha Howe Ave., Mesquite Mike O Callaghan Federal Hospital (AF/VA Hospital) 4700 Blvd. N., MountainView Hospital 3100 N. Tenaya Way, North VA Hospital 6900 N. Pecos Rd. North Vista Hospital 1409 E. Lake Mead Blvd., North Southern Hills Hospital 9300 W. Sunset Rd., Spring Valley Hospital 5400 S. Rainbow Blvd., Summerlin Medical Hospital Center 657 Town Center Dr., centennialhillshospital.com desertspringshospital.com strosehospitals.org strosehospitals.org strosehospitals.org (702) mesaviewhospital.com lasvegas.va.gov mountainview-hospital.com sunrisehealthinfo.com lasvegas.va.gov northvistahospital.com NevadaER.com southernhillshospital.com sunrisehealthinfo.com springvalleyhospital.com summerlinhospital.com Unit da Vinci Robotic Surgery System; Spine & Neurosurgery Program Weight Loss Surgery; Geropsychiatric Services Inpatient Rehabilitation Facility; Wound Healing & Hyperbaric Medicine Center Chest Pain Center; Primary Stroke Center Primary Stroke Center; Cardiology/ Electrophysiology (EP) Lab/ Open Heart Surgery Center Orthopedics/Wound Care & Hyperbaric Services DOCTORS STAFF SURGICAL SUITES PATIENT BEDS SQ. FT. NEONATAL OB/GYN PEDIATRICS PHARMACY ,115 no no no yes ,000 yes yes no yes 1, ,000 no no no yes 1, ,000 no no no yes 1,300 1, ,078 yes yes yes yes 1, ,535 yes yes no yes no yes yes no ,000 no yes yes yes 24/7 Neurosurgery Coverage & Stroke Center; Advanced Cardiovascular & Thoracic Services Mental Health Services; Support Programs Surgical Weight Loss Center of Excellence; Senior Behavioral Health Unit RISE Behavioral Health Unit; Dedicated Ortho/ Neuro/Spine Unit Neurosurgery; Accredited Chest Pain Center Children s Medical Center; Breast Care Center 1,200 1, ,858 yes yes yes 3 yes 90 1,000,000 no yes 1 no yes ,000 no yes 1 no no 1, ,000 yes yes yes 2 yes 1,300 1, ,278 yes yes yes 4 yes 1,400 1, ,000 yes yes yes yes southern nevada full-service hospitals Continued on next page» healthcare» southern nevada full-service hospitals 101

9 Perspective 2015 HEALTHCARE FACILITY / ADDRESS CONTACT / WEBSITE SPECIALTY Sunrise Hospital and Medical Center and Sunrise Children s sunrisehospital.com Hospital sunrisechildrenshospital.com 3186 S. Maryland Pkwy., sunrisehealthinfo.com University Medical Center 1800 W. Charleston Blvd., Valley Hospital Medical Center 620 Shadow Ln., umcsn.com valleyhospital.net Trauma Center; Advanced Cardiovascular Services Level I Trauma Center; Pediatric Trauma Center Primary Stroke Center; Robotic Surgical Services DOCTORS STAFF SURGICAL SUITES PATIENT BEDS SQ. FT. NEONATAL OB/GYN PEDIATRICS PHARMACY 1,500 3, ,780 yes yes yes yes 1,252 3, ,184* yes yes yes yes 1,135 1, ,186 no yes 1 no yes Source: Individual Entities. Notes: For local calls in the area, dial (702). (1) GYN Only; (2) ER Only. (3) ER Only and Outpatient Urology/Orthopedics Only. (4) Outpatient Pediatric Surgery Only. *Includes off-site clinics and quick cares. - Not Available. southern nevada full-service hospitals Please select the option below that best describes how you feel about the quality of healthcare in your local community: Source: LVGEA. Extremely bad 6.06% Poor 21.17% Average 47.76% Pretty good 22.55% Excellent 2.46% PHOTOS Mesa View Regional Hospital is a 25-bed facility located in Mesquite, Nevada with skilled professional staff that offers award-winning quality and patient-focused healthcare. Mesa View provides a wide range of inpatient and outpatient hospital services including an Intensive Care Unit, Medical, Surgical, Cardiology, Wound Care and Hyperbaric Treatment, Orthopedics - Total Joint and Sports Medicine Program, General Surgery, Women s Health, Laboratory, Cardiopulmonary Testing, Imaging, and Emergency Medicine Services. Top Performer on Key Quality Measures by The Joint Commission, 2013 and For more information, visit MesaViewHospital.com. 102 healthcare» southern nevada full-service hospitals