pdf - Community Medical Centers

November 2015
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A REPORT ON WHAT IT TAKES TO MAKE A HEALTHY COMMUNITY
A DECADE OF INVESTMENTS
BRINGS EXPERT CARE CLOSER TO HOME
$1.4 Billion {
$135
million
charity
care costs
“Community Benefits”
provided since 2005
$864 million uncompensated costs
of programs for the needy, including
Medi-Cal and the Medically Indigent
Services Program
$417 million
Uncompensated costs
for medical education
to train more doctors
To keep up with increasing patient
volumes over the past decade, Community has added:
$910
Million
Total invested since 2005 in
capital projects to expand and
improve facilities, bed space
and clinics and bring better
technology to meet the needs of
Valley families
+ 1,266
more nurses
+70%
+ 290
more affiliated
physicians
2009
more UCSF Fresno
fellowships and
medical residents
MEETING A RISE IN
AT-RISK BIRTHS, KEEPING
MOMS AND BABIES TOGETHER
With Community Regional delivering so many extremely
premature babies under 3 lbs. 5 oz. – more than any other
hospital in California in most years – the hospital built a
54-bed Level III neonatal intensive care unit (NICU) in
2009 so babies and mothers could stay together. Two years
later, the NICU expanded to 84 beds, and an emergency
helicopter transport was launched for fragile newborns
coming to the NICU.
10%
CANCER TREATMENT
Community Regional Medical Center was first in the world to offer
“Generation 4” CyberKnife technology for noninvasive laser treatment
of hard-to-reach tumors and lesions – especially prostate and lung
cancers, among the most prevalent cancers in the Central Valley.
$75 Million:
More than
10-year
investment in top medical technology to help provide
enhanced diagnostic and life-saving capabilities
2005
2007
BRINGING
TOGETHER
THE REGION'S
24/7 LIFE
SAVERS
600+
2006
PARTNERSHIP WITH A
2015 NATIONAL LEADER ASSURES PEDIATRIC
SPECIALTIES FOR OUR REGION
UCSF Benioff Children’s Hospitals and Community Medical Centers signed
a long-term agreement to significantly enhance and expand specialty
medical care for Valley children. The agreement aims to shorten waits to see
pediatric specialists and reduce the need for children to leave the area for
medical care. Construction of a pediatric intensive care unit is underway.
Community Regional
ranked first or second in
delivering the most under
3 lbs. 5 oz. babies
in the state 2007-2013
Over the past decade, Community has
upgraded medical technology in all its
facilities, including $6 million for nuclear
medicine and interventional radiology in
2014. Such services were used – used
to treat 16-year-old Lizzy Ocampo, for
Hodgkin’s Lymphoma. She was able to
return to high school four months after
her diagnosis.
2007
All inpatient, acute-care services, including
burn and Level 1 trauma centers, were relocated
from University Medical Center to Community
Regional’s new, technically upgraded trauma and
critical care building.
Having improved high-tech scanning and a cardiac
surgery team on hand made a life-saving difference
for the first trauma victim flown to the hospital
after the transition. When it opened in 2005, the
emergency department was the state’s largest
housed under one roof. Within a few years, it also
became one of California’s busiest.
helicopters a year bring patients from a
15,000-square-mile region for burn, trauma and high-risk
birth care – expertise found nowhere else in the Valley
There is no single path to addressing the chronic health challenges in a region equivalent to the
size of Connecticut, Rhode Island and New Jersey
combined. The approach is holistic. Community
continues to expand hospitals, clinics, healthcare providers and other doors to wellness. Even
though there are times when Valley residents must
travel outside the area for medical specialities
such as organ transplants, that list is shrinking
as Community grows its network of providers to
meet the most complex needs close to home.
of Fresno County babies are
born premature – among the highest
preterm birth rates in
California and rivaling some
underdeveloped countries
2005 AT THE FOREFRONT OF
The recurring $1 million annual investment cuts the average prostate
cancer radiation treatments from 44 to four visits and eliminates most
side effects.
Community Medical Centers has made bold
investments during the last decade to ensure
that Valley residents have access to the
highest quality medical care and services
close to home, on par with major metropolitan areas. That includes specialty treatment
found nowhere else in the Valley. It means hospital
and outpatient care that responds to the needs
of a growing and diverse population, as well as
preventive and educational services to remain
proactive. Community has also invested hundreds
of millions of its own money to educate, recruit
and retain physicians in a region that has one of
the lowest doctor-to-patient ratios in the state.
2008
Reyna Donate with her daughter Camilia, born too early on
May 5, 2015, weighing just 2 lbs. 2 oz.. She was transferred
to the Level III NICU at Community Regional Medical Center
hours after birth.
2009
EXPANSION ON THREE
2008 FRONTS FOR A GROWING
POPULATION'S NEEDS
D ur ing t he l argest e conomic
downturn in recent history and when
other hospitals were closing services,
Clovis Community Medical Center
began its $300 million expansion to
double the amount of bed space and
meet a 20-year projected population
increase of 43%.
Fresno Heart & Surgical Hospital
completed its $8.3 million facility
expansion, including two specialty
high-tech operating rooms, paving the
way for an internationally regarded
bariatric program.
And downtown, Community Regional
broke ground on the 79,534-squarefoot Deran Koligian Ambulatory
Care Center.
All of this construction created more
than 750 jobs, easing Fresno’s chronic
double-digit unemployment rates.
2010
2010
2011
2012
HITTING HEIGHTS OF QUALITY
RATINGS ACROSS SPECIALTIES
Over the next 5 years, Community earned
top quality recognitions in vascular
surgery, carotid surgery, coronary artery
bypass graft surgery, ICU nursing, knee
replacements, treatment of hip fractures
and excellence in patient experience.
Dr. Kelvin Higa performs bariatric surgery at
Fresno Heart & Surgical.
2013
2014
2015
A NEUROSCIENCE CENTER OF
2013 EXCELLENCE WITHOUT THE LONG DRIVE
Community Regional's stroke program
became the Valley’s first accredited
primary stroke center certified by the
Joint Commission. And Fresno Heart
& Surgical received the first of five top
5-star ratings for bariatric surgery from
Healthgrades, a national healthcare
ratings agency.
33% increase
in patient
volumes
during the last
decade and
treating more
patients with
complicated
conditions
have required
increases in
bed space
by 24% and
nursing staff
by 58%
Joseph Escobedo is examined by UCSF Fresno pediatric resident Dr. Erica
Gastelum at Community’s children’s clinic in the Deran Koligian Ambulatory Care
Center. Attending pediatrician Dr. Christian Faulkenberry-Miranda, a UCSF faculty
member, supervises.
Community continues to invest in best
practices, technology and recruitment
of experts, aiming to rank among the
nation's top hospitals in delivering
measurable quality care.
Community Regional performs
a third of all cranial surgeries
in the region, made possible by
recruiting neurosurgeons and
installing top technolog y to
create a Neuroscience Center of
Excellence. That means reducing
patient transfers to UCSF, Stanford
and Cedars Sinai for specialty care.
¹/³
More than
of all
brain surgeries
performed in a
7-county area are
done at Community
Regional
Farmworker Juan Aquino had brain
surgery in December 2014 after
suffering a seizure while working
near Dinuba. The small hospital he
was rushed to found a brain lesion
and sent him to the only place in the
Valley for complex brain surgery.
One Network. One Community.
Clovis Community Medical Center | Community Behavioral Health Center | Community Regional Medical Center | Fresno Heart & Surgical Hospital
WHAT HAPPENS WHEN A HOSPITAL NETWORK AND ITS COMMUNITY ARE CONNECTED? FIND OUT AT CommunityMedical.org/about-us