view the Community Guide - Doctors Hospital at Renaissance
Transcription
view the Community Guide - Doctors Hospital at Renaissance
2015 A YEAR IN REVIEW THE RENAISSANCE DIFFERENCE We are honored to care for patients and as your trusted healthcare provider in South Texas, we aim to deliver unsurpassed excellence in every capacity – quality, safety, patient satisfaction, financial performance, infrastructure, and more. Israel Rocha, Jr. DHR Chief Executive Officer At Doctors Hospital at Renaissance we do not consider ourselves merely a hospital, but wholly a community hospital. We feel it is our obligation to not only take care of families seeking care at our facilities but to also provide leadership and support for programs and activities in our community. We were founded in the Rio Grande Valley and we are committed to fully serving the Rio Grande Valley. It is our goal to respond to demonstrated healthrelated needs and seek to improve access to health services, enhance public health, and relieve the burden of being one of the most underserved areas in the nation. As changes in healthcare continue, we maintain our commitment to serving the health and wellness needs of our community. By forming partnerships with world-class institutions such as Cleveland Clinic, Joslin Diabetes Center, Harvard Medical School, the University of Texas Health Science Center San Antonio, and now the University of Texas-Rio Grande Valley, DHR is diligently working to bring superior healthcare services to 2 Doctors Hospital at Renaissance Health System | 2015 A Year in Review South Texas. Working together with the esteemed leaders and business owners of our community, we will continue to provide the highest quality of services for years to come. While the following report is not an exhaustive list of the many developments taking place at Doctors Hospital at Renaissance Health System, I hope it provides a glimpse into the rapid and tremendous growth that is taking place in healthcare in the Rio Grande Valley. Thank you for the opportunity to share with you these exciting advances; I invite you to visit our campus to witness the growth that is taking place as we continue to provide unprecedented, quality healthcare services for our community. Israel Rocha, Jr. DHR Chief Executive Officer THE COMMUNITIES WE SERVE 5 IMPROVING ACCESS 15 PARTNERSHIPS AND AFFILIATIONS 23 INNOVATION, RESEARCH, AND EDUCATION 29 CAMPUS MAP 39 2015 NICU Reunion THE COMMUNITIES WE SERVE: Going beyond the hospital to lend a helping hand Community engagement has been a long-standing focus of Doctors Hospital at Renaissance and remains crucial to our mission. Our commitment is demonstrated by our going beyond the hospital’s walls to serve people within our communities through programs that promote wellness and health equity, with efforts to reduce health disparities and with increased access to care. We strive to mitigate the social and economic determinants that contribute to poor health outcomes, expand effective interventions, increase access to comprehensive medical care, and improve the quality of care we provide. The Rio Grande Valley is a unique community with a vibrant culture that is evident throughout all of its cities. Providing quality health care to a community of over 1.3 million residents across four counties has been our goal from day one. Jose A. Llinas, M.D. Endocrinology Joslin Diabetes Center What do you think makes the Renaissance Difference? Norma Cavazos, D.O. Family Practice DHR Board of Managers “Physicians that genuinely care about the community they serve. This is a trickle-down effect that spills over to all healthcare providers in our community, raising the bar on the quality of care offered in the Rio Grande Valley. Our vision is vast and not only extends to the Valley or the state, but to the nation as a whole. Setting the pace and being the leaders has been challenging, however, it has made us the strongest physician-owned hospital in the country! I love and care for my hospital as do my colleagues.” Understanding the demographics of our state and region is important to understanding the very reasons why DHR was established and the goals we continue to strive for. With more than 90% of the local population being of Hispanic origin, we recognize the need to ensure that conditions that are prevalent among this demographic are addressed locally and nationally to reverse health disparities. In the Rio Grande Valley, 31% of the population does not have health insurance, that’s nearly twice as high as the ratio in Texas (16%). At Doctors Hospital at Renaissance, about 75% of our patients use either Medicaid or Medicare. Due to our community’s restricted access to health care, we make it our mission to provide preventive health services and education, free of charge. For example, at the annual Doctors Hospital at Renaissance Community Health Fair, community members are provided with free health screenings, medical information, education and health related services. In 2014, we provided $107 million in uncompensated and charity care. We understand that members of the community are often not able to receive primary and preventative health care services due to the costs that are associated. For those patients who cannot access primary care services, any care that we can provide will benefit their health. This grants us the opportunity to introduce them to information about health services that can manage their condition, and decrease their risk for reoccurrence. Along with meeting the health needs of our community, we are also contributing to the health of our local economy. Doctors Hospital at Renaissance has helped fuel the region’s economy by generating nearly $2.3 billion in economic output over the past three years. In 2014, DHR was ranked the top taxpayer in Edinburg, paying over $3.9 million in taxes, which also ranked us among the top tax payers in Hidalgo County. Doctors Hospital at Renaissance is a part of the community that we serve. Our 4,000 employees are the backbone of our hospital, and greatly contribute to our success as an organization. Our employees come from different areas in the Valley, as well as Texas, other states, and even other countries. Regardless of where they originated, they have now made the Rio Grande Valley their home, and with that, have taken on the responsibility of meeting our community’s health needs. RIO GRANDE VALLEY In the Rio Grande Valley 31% of the population in the does not have health insurance. Nearly twice as high as the ratio in Texas (16%) At Doctors Hospital at Renaissance, about 75% of our patients use either Medicaid or Medicare. Doctors Hospital at Renaissance has helped fuel the region’s economy by generating nearly $2.3 billion in economic output over the past three years. 2015 A Year in Review | Doctors Hospital at Renaissance Health System 7 CHARITABLE GIVING 1. We recognize that caring for our community goes beyond treating physical ailments and diseases, especially when working with underserved areas. DHR remains a highly collaborative member of its community, financially supporting and actively partnering with a wide range of organizations that share our commitment to ensuring a healthy community. We are also privileged to have the opportunity to give back to our community in the form of volunteer work. The staff at DHR, as well as our volunTEENs, has contributed over 10,000 hours of volunteer work this year alone. 2. We provide sponsorships for events hosted by a wide array of local entities, such as the: 1.) March of Dimes, 2.) Boys and Girls Clubs of Edinburg, 3.) Alzheimer’s Association, 4.) South Texas Juvenile Diabetes Association, 5.)American Red Cross South Texas Chapter, 6.) Catholic Charities of the Rio Grande Valley, 7.) Easter Seals RGV, 8.) South Texas Literacy Coalition, and more than 100 other local organizations. 3. 4. 5. 6. 7. 8. 8 Doctors Hospital at Renaissance Health System | 2015 A Year in Review HOPE FAMILY HEALTH CENTER The Hope Family Health Center (HFHC) is a nonprofit organization in McAllen that has provided free medical and mental health care services for families in our community since 1998. An example of DHR’s involvement with HFHC is its annual “Fishing for Hope Tournament” on South Padre Island, TX. Now the largest non-profit fishing tournament on the Gulf of Texas, “Fishing for Hope” has raised over $1.6 million over the past 10 years. The annual tournament sees over 1,000 anglers and community members and proves to be a fun-filled weekend for the whole family. Now the largest non-profit fishing tournament on the Gulf of Texas, “Fishing for Hope” has raised over $1.6 million over the past 10 years. Through its partnership with Doctors Hospital at Renaissance, the Hope Family Health Center was able to provide medical and mental health services for over 5,445 unfunded patients in 2015. Of those patients, 3,979 were treated by 16 DHR volunteer physicians and medical staff. Through the 1115 Healthcare Transformation Waiver, DHR provides a full-time medical provider to treat patients at HFHC, ensuring continuity of care, six days per week. By striving to meet the healthcare needs of our most underserved populations, DHR is gaining an invaluable perspective on the underlying determinants of health and disease, helping us to refine our approach to care while minimizing disparities. 2015 A Year in Review | Doctors Hospital at Renaissance Health System 9 VAMOS Since its establishment in 1996, the Valley Alliance of Mentors for Opportunities and Scholarships (VAMOS) has awarded over 300 local students with scholarship funding worth more than $7,400,000. Through our support of VAMOS, DHR hopes to assist with providing ample educational opportunities for the deserving students of our community. It is through higher education that we ensure the future of our community – education propels individuals to become our leaders, our scientists, our professionals and our innovators for the future. Since 2008, the Renaissance Center Foundation has dedicated its efforts to building community awareness while providing cancer education, emotional support, financial assistance and guidance for underserved patients. In 2015, over $340,000 was used to help fund medical expenses, patient navigation, and support services for patients in South Texas. As the only hospital in the Rio Grande Valley to receive accreditation from the Commission on Cancer, our patients have access to more specialized medical and support services, including salon services, massage therapy, and grocery delivery. Throughout the year, the Renaissance Cancer Foundation hosts Cancer Support Groups on a monthly basis that provide the opportunity for our patients and their caregivers to interact with others who are also on their way to recovery. Our support groups helped over 120 patients in 2015 to connect with individuals who understand the everyday struggles of receiving a cancer diagnosis, and gain the support they need to courageously fight their battle with cancer. In order to stay on the road to recovery, patients must have access to medical and support services. Transportation services are offered for those who do not have the means to get to their physician appointment, therapy procedures, and check-ups. 2015 FACTS Total raised $432,086 419 Number of patients assisted Through our numerous fundraising efforts, including the annual Renaissance Cancer Foundation Gala, Da Vinci Café, $5 Jewelry Sales, and additional fundraising events, over $430,000 was raised to provide for medical expenses, home bills, medication, and support services for cancer patients throughout the Rio Grande Valley. Our efforts will continue to expand to ensure that members of our community continue to receive the cancer services they need, regardless of their ability to pay. Patient Support and Programs: -Grocery Program .......................... $32,824 -Patient Expenses ......................... $340,781 - Transportation ..................... $22,520 - Salon and Supplies ........... $2,947 - Massage Therapy ............... $4,991 -Number of Patients helped .... 295 -Grocery Patients helped ........... 124 - Cancer Support Group Attendees (May-Dec. 2015) ........................... 120 SCHOOL BASED HEALTH CENTERS At Doctors Hospital at Renaissance, we strive to meet the comprehensive health needs of our community, including our youngest of residents. Working with local school districts, it became evident the strong link between children’s health and academic performance. In an effort to mitigate the rate of absenteeism—student and teacher—DHR launched its first two school-based health centers over the past year. The school-based health centers attend to the unmet healthcare needs of students and staff by placing healthcare where and when it’s needed most. By identifying and addressing health problems that may interfere with the learning process, the DHR school-based health centers support the educational environment by helping kids stay in school. In 2015, the Edinburg CISD and PSJA ISD School Based Health Centers provided healthcare services for over 4,400 children and adults. The Edinburg CISD and Pharr-San Juan-Alamo ISD School Based Health Centers provide a stable medical home for students, employees, and their families. Primary medical care, nutrition, counseling, vaccines, sports physicals, and more are provided for a low cost to families who may or may not have insurance. The mission of the school-based health centers is to keep students healthy and in school. The clinics not only provide care for the physical needs of the child, but can also provide mental care and counseling for children with behavioral concerns in the classroom and at home. The collective goal is to narrow disparities, increase access to care, promote educational achievement, and build a system of support for our communities. 12 Doctors Hospital at Renaissance Health System | 2015 A Year in Review In 2015, the Edinburg CISD and PSJA ISD School Based Health Centers provided healthcare services for over 4,400 children and adults. FAST FACTS - Founded: 2015 - Clinics: 2 - Schools Served: 108 - Total Student Population: 80,000+ - Clinic Visits: 4,492 “The collective goal is to narrow disparities, increase access to care, promote educational achievement, and build a system of support for our communities.” Carlos Cardenas, M.D. Gastroenterology Renaissance Gastroenterology DHR Chairman of the Board IMPROVING ACCESS: Providing healthcare for a better tomorrow At Doctors Hospital at Renaissance, we are working tirelessly to advance the state of medicine, to improve clinical outcomes, to increase access to care, and to save more lives. For our partner physicians and dedicated medical staff, this means diligently searching for ways to better diagnose and treat patients while embracing the latest technologies. For our 4,000 employees, this means exerting an uncompromising commitment to deliver the best care possible using the safest methods—every patient, every encounter, every time. At the time of Day Surgery at Renaissance’s formation in 1997, the goal was to deliver medical services that were not readily accessible. Eighteen years later, it is still our goal to advance the state of healthcare in the Rio Grande Valley. Sylvia Guerra Fortuin Breast Cancer Survivor What do you think is the most remarkable thing about DHR? James Sander, M.D. Pediatric Urology Pediatric Urology Institute at Renaissance “Growth at DHR means that significant change has come to DHR. We are evolving from a community hospital to a tertiary care hospital, where other hospitals in our community will send us patients for a higher level of care instead of sending patients to Houston, San Antonio or Corpus Christi. We are changing from a community hospital to a medical center where faculty will teach residents and medical students to care for sick patients. This is a model that the Rio Grande Valley has not experienced in the past, thus there is some fear of the unknown and even some hesitancy to embark on this new journey. However, this change, this growth, will bring a bright future for DHR, a bright future for the Rio Grande Valley and most importantly a bright future for the care of our patients.” PHYSICIAN RECRUITMENT Being in a medically underserved area, our region is isolated from a greater quantity of specialized services available in other large metropolitan areas. This is why DHR is dedicated to investing in resources for physician recruitment, to bring about a higher level of care for our community. Doctors Hospital at Renaissance is proud to offer a wide-variety of health services. We currently offer 70 sub-specialties, some of which are the only services available south of San Antonio. We have made it our responsibility to ensure that the residents of the RGV receive comprehensive, world-class health care right here at home. Our community can now receive services from birth to end-of-life, and everything in between. In an effort to bring specialized health services to the Rio Grande Valley, DHR recruited over 20 physicians in 2015 alone. The specialties of these physicians include: Bariatric surgery Cardiology Emergency Medicine Endocrinology Endovascular Neurology Hospice and Palliative care Maternal Fetal Medicine Neurology Orthopedic Surgery Rheumatology Transplant Nephrology Urologic Surgery In addition, five physicians have signed contracts and will be starting within the next year. There are currently 11 physicians that are in the recruitment process, specializing in areas such as: • ENT • Hematology • Oncology • Pediatric Surgery • Pediatric Nephrology • Pediatric Orthopedics • Pediatric Critical Care • Pediatric Emergency Medicine • Transplant Surgery SERVICES AND SPECIALTY DIVISIONS Mobile Health Clinic Some of the most meaningful healthcare experiences take place outside of the hospital with patients who do not have the means to see a healthcare professional. That’s why we come to them. The Doctors Hospital at Renaissance Mobile Health Clinic partners with community organizations to improve the health status of our most vulnerable community members through prevention, intervention and outreach. The Doctors Hospital at Renaissance Mobile Health Clinic was launched in response to the growing need to reach patients in our community. The Mobile Health Clinic, home to the Vision Care Center at Renaissance, provides comprehensive vision exams, preventative eye screenings for early detection of eye illnesses, education, and counseling. Through DHR Mobile Health Clinic visits, 760+ unfunded patients and 630+ medicaid patients were provided with vision screenings and disease education. An additional 380+ lens prescriptions were provided. 18 Doctors Hospital at Renaissance Health System | 2015 A Year in Review The Mobile Health Clinic works cooperatively with community organizations to ensure that our local children receive annual vision exams and the primary care they deserve. The Mobile Health Clinic partners with the Boys and Girls Club, Hidalgo County Headstart, local school districts, Hidalgo County WIC clinics, the RGV Food Bank and many other entities to bring vision services to children and families in our community. In 2015, the DHR Mobile Health Clinic partnered with 18 community organizations to provide vision services to the unfunded and underserved members of our community. Through these visits, over 760 unfunded patients and 630 Medicaid patients were provided with vision screenings and disease education. An additional 380+ lens prescriptions were provided. Over the next year, our goal is to expand the services provided by the Mobile Health Clinic to include primary care, vaccinations and immunizations, and laboratory services. Urgent Care Center at Renaissance Conveniently located in close proximity to the emergency room, the Urgent Care Center at Renaissance provides expedient, time-efficient care for all non-life-threatening injuries and illnesses, seven days a week. Open Monday Friday from 4:30 PM until 2:30 AM and Saturday from 12:00 PM - 12:00 AM with no appointment necessary, patients are seen and treated by a physician or nurse practitioner promptly. The Urgent Care Center at Renaissance has a full-service laboratory and x-ray imaging capabilities. The Women’s Hospital at Renaissance has consistently ranked among the top 5% of neonatal intensive care units in the world. Neonatal Intensive Care The Women’s Hospital at Renaissance hosts a Level 3C Neonatal Intensive Care Unit, providing the most advanced level of care available for the smallest and sickest babies. The NICU at the Women’s Hospital at Renaissance has set the standard for neonatal intensive care in this area, which can be attributed to its unique philosophy and systematic design. The Women’s Hospital at Renaissance has consistently ranked among the top 5% of neonatal intensive care units in the world. For the majority of complications caused by prematurity—chronic lung disease, intraventricular hemorrhage, necrotizing enterocolitis, and retinopathy of prematurity—the WHR NICU ranks in the top 1% in the world. Maternal-Fetal Medicine Doctors Hospital at Renaissance recently established the Center for Maternal-Fetal Medicine, which grew from a need to care for increasingly complicated pregnancies and from new technologies that provide greater opportunity to evaluate and treat problems involving the baby. Our physicians specialize in the diagnosis, treatment, and ongoing care for expectant mothers and their unborn babies who are at a high risk for special health problems. The Doctors Hospital at Renaissance Center for Maternal Fetal Medicine provides a full range of gynecologic reproductive healthcare services from pre-conception through delivery and recovery. Our maternal fetal medicine specialists, along with our highly skilled neonatologists, obstetrician/ gynecologists, geneticists, psychotherapists, and nutritionists, are able to provide mothers in the Rio Grande Valley with a comprehensive range of women’s healthcare services. Nurse-Family Partnership The Nurse-Family Partnership at the Women’s Hospital at Renaissance (NFP-WHR), is the first extensive home visit and maternal outreach program in South Texas to bring nurses into the homes of underprivileged, first-time expectant mothers in Hidalgo and Willacy counties. The goal of the program is to improve maternal and child health, prevent child injuries, child abuse, or maltreatment, reduce emergency room visits, improve school readiness and achievement, reduce crime or domestic violence, and improve family economic self-sufficiency. The new mom receives regular visits from a nurse early in her pregnancy and the home visits continue through her child’s second birthday. The nurse interprets the mother’s interests and goals to promote health during pregnancy, proper child care, and personal growth and development. The NurseFamily Partnership employs six full-time nursehome visitors and currently has 138 clients. Since inception, the program has seen 238 clients, with 36 program graduates. 2015 A Year in Review | Doctors Hospital at Renaissance Health System 19 Pediatric Cardiothoracic Surgical Partnership The Rio Grande Valley received its first ever pediatric cardiothoracic surgical program through Doctors Hospital at Renaissance’s partnership with University Health System and UT Medicine. The UT Medicine pediatric cardiothoracic surgical team at University Hospital in San Antonio includes many of the nation’s leading specialists, with patient outcomes exceeding national benchmarks. University Hospital is also home to South Texas’ only dedicated Pediatric and Congenital Heart Unit, so children and families are cared for by a team with specialized training and years of experience managing the special needs of these children and their families. A ribbon cutting ceremony was held at Day Surgery at Renaissance on September 17, 2015 to mark the grand opening. Day Surgery at Renaissance Opens Its Doors In 2015, DHR opened the doors of Day Surgery at Renaissance, a multi-level facility that is home to some of the most advanced technology available. The new Day Surgery at Renaissance allows all outpatient services—pre-admission testing, labs, imaging, registration, financial counseling—to be centralized in one convenient location. A ceremonial signing was held on September 24, 2015 to mark the partnership. As part of this partnership, the University Health System pediatric cardiothoracic team has established in Edinburg a congenital cardiac fetal clinic in conjunction with the Doctors Hospital at Renaissance Center for Maternal-Fetal Medicine. In order to fully meet the needs of these higher risk pregnancies, both parties are prepared to deliver the most comprehensive, patient-centered care. Advanced Level III Trauma In 2015, Doctors Hospital at Renaissance took another step toward ensuring the Rio Grande Valley receives the highest quality of health care available by being designated as an Advanced Level III Trauma Center by the Texas Department of State Health Services. As a Level III Trauma Center, DHR demonstrated its ability to provide prompt assessment, resuscitation, surgery, intensive care, and stabilization of injured patients and emergency operations. 20 Doctors Hospital at Renaissance Health System | 2015 A Year in Review CMS Bed Expansion Approval In 2015, the federal Centers for Medicare and Medicaid Services approved Doctors Hospital at Renaissance’s request to expand and increase the number of total licensed hospital beds, operating rooms, and procedure rooms from 551 to 1,102. DHR’s request was granted by demonstrating the rapid population growth in the county, the high number of inpatient admissions at DHR under the Medicaid program compared to other hospitals in the area, and the dire need for additional patient beds. The expansion to 1,102 beds presents the opportunity to provide new specialty services, more treatment space, and further develop a robust education program to train the healthcare providers of the future. DHR’s growth and expansion plans include a new multilevel medical tower that will house intensive care units dedicated to surgical, cardiovascular, neurosurgical, and orthopedic patients. The tower will also include a step-down telemetry unit, medicalsurgical unit, and pediatric and adult burn units. DHR also plans to add more than 18 new operating rooms, and expand its emergency room to 80 beds and include a heliport to sustain a Level I Trauma Center. Breast Center of Excellence The Breast Center at Doctors Hospital at Renaissance received three-year full accreditation from The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons. As the only accredited breast center in the Rio Grande Valley, the Breast Center at DHR offers world-class, patient-centered medical care for those who are diagnosed with breast cancer or a breast disease. must demonstrate compliance with standards established by the NAPBC for treating women who are diagnosed with the full spectrum of breast disease. The standards include proficiency in the areas of: center leadership, clinical management, research, community outreach, professional education, and quality improvement. A breast center that achieves NAPBC accreditation has demonstrated a firm commitment to offer its patients every significant advantage in their battle against breast disease. The Breast Center at DHR is a comprehensive program that incorporates the skills of highly trained physicians in the field of breast disease, and the latest technology available used to detect and diagnose breast cancers and diseases. At DHR, approximately 23,600 imaging exams are performed on an annual basis, with 16,500 of them being screening breast exams. Imaging services offered at the Breast Center at DHR include digital mammography, breast MRI, ultrasound-guided biopsies, stereotactic biopsies, and MRI-guided biopsies. Receiving care at the Breast Center at Doctors Hospital at Renaissance ensures that a patient will have access to: Accreditation by the NAPBC is only given to those centers that have committed to provide the highest level of quality breast care and that undergo a rigorous evaluation process and review of their performance. During the survey process, the center Patients of the Breast Center at DHR are treated by a team of radiologists, surgeons, medical oncologists, radiation therapists and other cancer specialists that work together under one roof for a truly multidisciplinary cancer treatment program. -Quality breast care close to home - Comprehensive care, including a full range of state of-the-art diagnostic and treatment services -A multidisciplinary team approach to coordinate the best treatment options -Information about ongoing clinical trials and new treatment options Proposed Breast Center of Excellence Lupe “LT” Enriquez III Bariatric Surgery Patient Lost over 175 lbs. PARTNERSHIPS AND AFFILIATIONS: Paving the way for medical excellence Doctors Hospital at Renaissance is known for its world-class clinical expertise, patient-centered care, and cutting-edge technology and innovation. Since inception, we have remained true to our founding mission: to provide the best services available for our community and improve healthcare in South Texas. This has led to our relentless focus on patient safety and improving quality, which has brought numerous awards, including the nation’s eminent predictor of quality patient care: the Hospital Safety Score. Doctors Hospital at Renaissance is the only hospital in the Rio Grande Valley to receive four consecutive “A” ratings in the Hospital Safety Score. As illustrated by this award and others, patients and families can be assured that DHR provides the highest quality care possible. Doctors Hospital at Renaissance aims to affiliate and partner with the world’s leaders in the provision of health services. The Board of Managers at DHR is dedicated to building an integrated healthcare system focused on improving quality, efficiency, and patient access, as well as managing and improving the health of our local population. They understand that quality healthcare delivery is achieved through integration and providing seamless access to specialized services. Marcel B. Twahirwa, M.D. Endocrinology Joslin Diabetes Center Medical Director What do you think makes the Renaissance Difference? Gerardo Lopez Mena, M.D. Internal Medicine DHR Physician Executive for Clinical Services “There are countless attributes that I genuinely believe make the Renaissance Difference. But, above all else, to me the Renaissance Difference is the firm belief that once I step through our doors anything that I may dream for my patients is only a phone call or a meeting away from materializing. What I mean by this is that for the first time in my career I sincerely believe that anything I read about, learn about, or conceive myself that may improve the care for my patients is within reach thanks to the leadership and vision of our administration and board. Every day I come to work I truly and wholeheartedly believe that we are advancing the healthcare for the RGV and for Latino Medicine.” From left to right: Michael Martinez, M.D., Robert E. Alleyn, M.D., F.A.C.S., Belinda Jordan, M.D., Ambrosio Hernandez, M.D., F.A.C.S., Guadalupe Aranguena Sharpe, M.D., Manish Singh, M.D., F.A.C.S. In 2014, DHR announced its affiliation with Cleveland Clinic Bariatric and Metabolic Institute, which gives DHR access and ability to implement Cleveland Clinic’s best practices, patient and safety initiatives, and clinical pathways and protocols here at home. Our affiliation with Cleveland Clinic’s Bariatric and Metabolic Institute brings to the Valley resources, expertise, opportunities, and services that currently don’t exist in this region. Patients at Doctors Hospital at Renaissance now enjoy greater access to world-class management of obesity and related diseases, bariatric surgery, clinical trials, treatment protocols and additional research opportunities. 2015 A Year in Review | Doctors Hospital at Renaissance Health System 25 From Left to Right: Jose A. Llinas, M.D., Michelle Cordoba Kissee, M.D., Melany Castillo, M.D., Marcel B. Twahirwa, M.D. In the Rio Grande Valley, the rates of obesity and diabetes are 1.4 times higher than those reported nationally for Mexican Americans aged 20 years or older and nearly twice as high as in all Americans (aged 40-59 years). Even more startling, is an estimated 1 in 3 individuals in the RGV has diabetes. To combat these statistics—and to battle the area’s historically limited access to innovative treatment options—Doctors Hospital at Renaissance formed a partnership with Joslin Diabetes Center, the global leader in diabetes research, education, and care. The Joslin Diabetes Center Affiliate at Doctors Hospital at Renaissance offers the latest advances for treating diabetes and its complications, as well as providing patient education and support services. Formed in 2012, the local affiliate is now the largest in the country aside from the original Boston-based clinic. 26 Doctors Hospital at Renaissance Health System | 2015 A Year in Review TEXAS A&M HEALTH SCIENCE CENTER IRMA LERMA RANGEL COLLEGE OF PHARMACY ranging from planning, program development and implementation. Doctors Hospital at Renaissance formed a pharmacy residency program in partnership with Texas A&M Health Science Center Irma Lerma Rangel College of Pharmacy, recruiting the best and brightest pharmacy graduates to continue bringing the best patient care to the our area. The residency program expands the hospital’s clinical team, which allows for the creation of medication therapy management clinics aimed at extending DHR’s pharmacy and patient care services. The program also creates an opportunity for additional community service and public health activities, such as immunization drives, health screenings, drug take-back days, and health fairs. PHARMACY STUDENT ROTATIONS LATINO MEDICAL STUDENT ASSOCIATION Over the last several years, Doctors Hospital at Renaissance has forged a relationship with the Latino Medical Student Association (LMSA), providing an annual conference for chapter leaders from across the country. The goal of the conference is to promote the educational and professional development of current and future Latino healthcare professionals. Doctors Hospital at Renaissance physicians and department leaders strive to educate these future physicians on issues that affect the Latino community, as well as work to cultivate and develop the students’ leadership, organizational, and advocacy skills. From their first week at the hospital, pharmacy students are immersed in an experiential education program, where they work in various hospital departments, within a multitude of service lines, and are able to take advantage of the diverse opportunities at Doctors Hospital at Renaissance. Rotations range from the hospital pharmacy and hospital administration to infectious disease, cardiology, endocrinology, and pediatrics departments. Leadership and experience come in the form of pharmacy preceptors, researchers, and clinical staff. The pharmacy students are able to take what they learn and apply it to their coursework in the classroom. Our program embraces the development of leadership skills, cultural competency required to provide patient-centered and population-based care, and professionalism. Students that rotate through the Doctors Hospital at Renaissance campus arrive from the University of Texas, Texas A&M University, University of Incarnate Word, Texas Tech University, and Texas Southern University. UNIVERSITY OF HOUSTON Doctors Hospital at Renaissance formed a healthcare administration fellowship program with the University of Houston. This postgraduate program provides valuable insight to the healthcare environment for driven and passionate young professionals while also establishing a pool of talent to join and strengthen the Valley’s workforce. The yearlong program exposes fellows to a learning environment that is both broadbased and insular in nature as they participate in cross-functional educational experiences and are expected to develop knowledge and skills in a health service setting with organizational responsibilities 2015 A Year in Review | Doctors Hospital at Renaissance Health System 27 Berta Medina, M.D. Family Practice INNOVATION, RESEARCH, AND EDUCATION: Constantly pursuing new discoveries in healthcare At Doctors Hospital at Renaissance, the pursuit of excellence in healthcare is in constant progression. We understand that it requires the collective commitment to exceeding the expectations of our patients and their families. Our physicians and nursing staff are dedicated to delivering transformative medicine and compassionate patient care. We have a strong foundation of excellence on which to build as we pursue methods for delivering quality, affordable care for our patients, train the next generation of healthcare professionals, advance innovation in research, and ultimately improve the health of the communities we serve. Doctors Hospital at Renaissance is dedicated to ensuring that our patients are able to access and receive the best care possible. Michelle Infante, RN What have you shared with DHR-UTRGV medical residents? Michelle Cordoba Kissee, M.D. Internal Medicine, Endocrinology Program Director DHR-UTRGV Internal Medicine Residency Program “Now that we have easy access to incredible amounts of information, I try to share with our residents that today’s physicians need to be sophisticated consumers of data. While it remains important that we all have a solid knowledge base, we need to also ensure we are constantly updating what we know. I strive to teach our residents how to be critical thinkers and how to judge the information they encounter. We not only need to be able to determine how new information may be applied to our practice but also how to interpret new findings and explain them in a way that our patients will understand.” GRADUATE MEDICAL EDUCATION The University of Texas Rio Grande Valley and Doctors Hospital at Renaissance are both leading the way to improve our economy through health care. We are looking forward to seeing our community grow and are grateful to be a part of the process through the establishment of a robust and extensive graduate medical education program in the RGV. In late 2012, The Federal Government and the Centers for Medicare and Medicaid Services approved the 1115 Healthcare Transformation Waiver, which made it possible for Doctors Hospital at Renaissance to develop a residency training program that works hand-in-hand with the newly formed University of Texas Rio Grande Valley School of Medicine. Over the past 3 years, DHR has financially invested in the development of a graduate medical education program and saw its first class of residents in July 2015. Doctors Hospital at Renaissance is one of the primary teaching hospitals for the University of Texas Rio Grande Valley School of Medicine. Initially, four residency programs were launched on July 1, 2015— internal medicine, obstetrics and gynecology, general surgery, and family medicine. DHR is exploring the creation of additional residency programs in pediatrics, podiatry, anesthesia, emergency medicine, urology, orthopedics, radiology, and pathology. Each of these new residency programs will produce board-eligible physicians who are excellent clinicians capable and ready to enter into a independent medical practice in our community. The residency programs will not only provide further educational opportunities for physicians, but they will improve the accessibility of health care in our community. Starting with the 26 residents that started in 2015, it is projected that in 10 years, through the continued growth of graduate medical education programs, more than 375 new physicians will be providing care in the Rio Grande Valley. The need for a residency program and medical school in the RGV is clear: with a population of nearly 1.3 million, there are only 110 doctors per 100,000 people – half of the national rate and well below the Texas average. In addition to the graduate medical education program, Doctors Hospital at Renaissance supports a wide variety of educational initiatives and programs in the Rio Grande Valley. We hold 62 program licensing agreements, including agreements with local high schools, technical colleges, and vocational schools. On any given day, we have up to 250 students working on our campus. Starting with the residents that started in 2015, it is projected that in 10 years, through the continued growth of graduate medical education programs, more than 375 new physicians will be providing care in the Rio Grande Valley. 26 The need for a residency program and medical school in the RGV is clear: with a population of nearly 1.3 million, there are only 110 100,000 doctors per people – half of the national rate and well below the Texas average. 2015 A Year in Review | Doctors Hospital at Renaissance Health System 31 DHR 2015-2016 RESIDENT PHYSICIANS Internal Medicine Residents From Left to Right: Carlos A. Paris, M.D., Hector Santos, M.D., Omar N. Shuaib, M.D., Juan J. Menjivar, M.D., Chi (John) L. Pui, M.D., Isabel Padilla, M.D., Shwe Win, M.D., Kara Zabelny, D.O., Grigoriy Rapoport, M.D., Mohammad F. Al-Khdarat, M.D., Cesar H. Gutierrez, M.D., Brandon Cantazaro, M.D. Family Medicine Residents From Left to Right: Alejandro Bocanegra, M.D., Charles Lewis, M.D., Julia Flores-Mitchell, M.D., Veronica Salazar, M.D., Marco Escobedo, M.D., Cruz Alberto Bernal, M.D. General Surgery Residents From Left to Right: Clint Merritt, M.D., Leon Ray White, D.O., Alex Garza, M.D., Dustin Luebbers, M.D. Obstetrics & Gynecology Residents From Left to Right: Carlos Ballesteros, M.D., Jennifer Griesel, M.D., Laura Fonseca, M.D., Zishan Hirani, M.D. 32 Doctors Hospital at Renaissance Health System | 2015 A Year in Review DUAL ENROLLMENT NURSING PROGRAM HESTEC In early 2015, Doctors Hospital at Renaissance announced the historic Associate Degree in Nursing Dual Enrollment Pilot Program, which was formed in collaboration with Pharr-San Juan-Alamo Independent School District (PSJA ISD), South Texas College, Region One Education Service Center (Region One), and South Texas Independent School District (South Texas ISD). This collaborative pilot program will provide students with a pathway into health professions in an unprecedented way. As one of the largest educational symposiums in the Rio Grande Valley, the Hispanic Engineering, Science, and Technology (HESTEC) week hosted by University of Texas Rio Grande Valley (UTRGV) draws over 5,300 students and educators annually to discuss, discover, and promote careers in science, technology, engineering and math (STEM). The RGV has identified itself as a major contributor to the advancement of STEM fields through the establishment of progressive scientific and technological programs such as Space X, the UTRGV School of Medicine, and the expansion of graduate medical education and clinical research at Doctors Hospital at Renaissance. The dual enrollment program allows for expanded educational opportunities while also addressing the healthcare needs of our region by working to alleviate the nursing shortage that challenges local healthcare providers. Founded in South Texas, DHR is dedicated to the cultivation of this region and the members that serve it. Development of the STEM fields assists in the production of new professional careers, including those in the medical profession. Financial contributions on behalf of Doctors Hospital at Renaissance have allowed UTRGV to secure the resources required to develop a movement that inspires the youth of tomorrow. Over the past several years, DHR physicians and ancillary staff have invested a profuse amount of time to ensure students of all ages are educated on the array of STEM professions that are available to them. Beginning in the Spring semester of 2016, the inaugural class of 16 students will begin the Nursing Dual Enrollment Pilot Program. These students had to meet pre-requisite course requirements, which included Introduction to Nursing, and take the Health Education System Incorporated Admission Assessment exams. Upon completion of the program, at the time of high school graduation, the nursing students will have accumulated the required amount of credits to receive an associate degree in nursing from South Texas College. Throughout the week, HESTEC invites professionals in the community to share their experiences and provide advice to visiting students. A multitude of DHR physicians have been born and raised in the Rio Grande Valley and are honored to be part of an experience that truly moves students. These physicians have sat on panels with fellow community leaders to explain the impact of STEM professions and how these children can follow their dreams and truly make a difference in their community. Our physicians are more than happy to spend their time with these students, for they know these young adults have the power to change the future of South Texas. 2015 A Year in Review | Doctors Hospital at Renaissance Health System 33 MEDICAL RESEARCH According to the Food and Drug Administration (FDA), Hispanics make up 17% of the total U.S. population yet only represent 1% of clinical trial participants. Scientific research has proven that there are significant differences in drug response, drug disposition, and drug efficacy among various ethnic groups, including the Hispanic population. Moreover, there is a higher incidence of type 2 diabetes, cardiovascular disease, stroke, infectious diseases, and different types of cancer among minorities. Since research has demonstrated that biological differences can influence how people respond to medicines, the process used to test the safety and effectiveness of potential new treatments should accurately take into account the patient populations that will eventually use them. Doctors Hospital at Renaissance recognized that an industry-wide, collaborative effort was needed to increase participation in clinical trials in underrepresented populations, thus forming the Research Institute at Renaissance in 2014. Through the Research Institute at Renaissance our goal is to encourage greater participation in clinical trials among underrepresented patient populations such as Hispanics as well as to expand investigator-initiated research within our community. To date, we have successfully enrolled over 500 patients in clinical research studies across various therapeutic areas. From Left to Right: Vanessa Benavidez, Clinical Research Study Coordinator, Lana Yamba, Clinical Research Assistant, Lisa Treviño, Vice President of Research and Development, John Rodriguez, Clinical Research Study Coordinator, Margaret Leal Clinical Research Assistant Diabetes Diabetes is among the top causes of mortality in our community; and the associated secondary effects of diabetes are most detrimental. Through the Joslin Diabetes Center Affiliate at Doctors Hospital at Renaissance, we have initiated clinical trials for adults and children with Type 1 and Type 2 Diabetes, providing close to 200 patients with access to the most advanced form of therapy for diabetes treatment and very close monitoring and follow-up by the physicians conducting the clinical trial in order to best manage the disease. Collaborative projects with the Joslin Diabetes Center have allowed the Research Institute at Renaissance to formulate very strong partnerships with organizations such as the Verizon Foundation, which is helping to leverage mobile technology in the self-management of diabetes among the Latino population. With significant medical advances and interventional efforts in the treatment of Diabetes, we are already seeing the impact of this study. Patients are provided with mobile technology (cell phones) and meet ‘virtually’, with Diabetes educators to discuss their progress from the comfort of their own home. We have seen the profound impact this study is having as one of our patients has been able to reduce and maintain her blood glucose levels in a matter of weeks for the first time in her life! Cardiovascular Disease Cardiovascular disease is a disease that rivals diabetes in mortality and severity in our community. The Research Institute at Renaissance was selected to participate in a multi-center, nation-wide clinical trial that will test the efficacy of a new class of compounds known as PCSK9 inhibitors that are proving to be most effective in reducing abnormally high levels of cholesterol and reducing the consequences of this disease. Women’s Health and Neonatology Our research portfolio has also grown to include studies that focus on Women’s Health and Neonatal screening studies, both in collaboration with toptiered academic institutions including The University of Texas at Austin and Texas Children’s Hospital respectively. We have enrolled 300 women in a postpartum contraception study to assess the effects of changes in legislative mandates and access to preferred methods of contraception. The neonatology study, in collaboration with Texas Children’s Hospital in Houston, Texas, has allowed us to screen over 7,000 newborn babies for elevated levels of bilirubin, which, if not properly followed, may lead to detrimental Biliary Atresia and downstream liver transplants. We have also been selected for a multi-center industry-sponsored study to determine differences in milk-fortifiers in pre-term infants. Oncology Our affiliations with the Cancer Therapy Research Center, an NCI-designated Cancer Center in San Antonio, and Texas Children’s Hospital in Houston will allow our team of physician-scientists and medical oncologists to participate in and be the pioneers of Precision Medicine in the Rio Grande Valley. Our goal is to identify the genomic and genetic changes that may be enriched in our population that is driving catastrophic diseases such as breast cancer, liver cancer and pediatric cancers that afflict our community. options. Presently, South Texans are extremely limited in their ability to access innovative treatments due to a lack of leading research centers in our area. Through the creation of the Research Institute at Renaissance, and collaborations with national research firms, all local residents will gain access to life-saving trial programs. Medically underrepresented populations such as ours in the Rio Grande Valley are often fraught with a lack of health awareness and disease education, which leads patients to not be able to recognize signs and symptoms of their disease, not recognize the Through our collaboration with the Cancer Therapy importantance of treatment or readily seek treatment, Research Center in San Antonio, we provided and not understand their treatment options or the prostate cancer screening exams and enrollment into possibility for clinical trial participation. Patients two clinical research studies to 100 men. The results must be empowered with the knowledge about their of this study will determine the utility of a urinary disease and the treatment options available to them in biomarker for the detection and prognostic impact order to make the best decisions for their care. for Prostate Cancer. Similarly, we will begin a study— Baylor Advancing Sequencing into Childhood Cancer Our goal at DHR is to provide alternative and Care (BASIC3)—with world renowned pediatric innovative options to the medical management of our oncologists and medical geneticists at Texas Children’s patients via cutting edge clinical research. Whether Hospital. The goal of BASIC3 is to investigate the it is therapeutic or non-therapeutic, we believe the clinical impact of integrating CLIA-certified tumor option to participate in these types of studies will and constitutional whole exome sequencing (WES) not only benefit the patient but their families and into pediatric care of childhood cancer patients with generations to come. high-risk solid tumors and brain tumors. The Research Institute at Renaissance is also fostering Other ongoing studies in our research institute the drive of local physicians that want to engage include the first-line treatment of multiple myeloma in clinical research. With their efforts, we have using targeted therapy and we will begin enrollment established and expanded partnerships with worldrenowned pharmaceutical industry leaders and for the treatment of women with breast cancer. academic medical centers to bring leading technology The importance of bringing clinical research to and treatment in the areas of diabetes, oncology, the RGV is to provide patients with access to new, cardiology, neonatology and women’s health to the innovative, and life-saving therapeutic treatment Rio Grande Valley. Construction in progress on the Neuroscience Institute at Renaissance, which provides world-renowned treatment for stroke patients and those with neurological diseases. Campus Map: Building the future today Doctors Hospital at Renaissance Health System has experienced tremendous growth over the past year, the most visible of which is evidence by the many new facilities that have been constructed. The development of new buildings has provided the opportunity to expand service lines, and ultimately, increase access and treat more patients. What do you think is the most remarkable thing about DHR? Martin Garza, M.D. Pediatrics DHR Chief of Staff “What I’ve come to learn about DHR is that it has a solid commitment to the community. Over and over, I have heard the saying, “if it’s good for the community, then it’s good for DHR.” In every decision made at DHR, South Texas is well represented. In every activity, need or desire, the community comes first. We are from this community, with this community, and for this community.” DHR is dedicated to not only providing healthcare services, but further developing our community to facilitate a better quality of life in the Rio Grande Valley. Through the progressive growth of our campus, new jobs are created for members of our community during the time of construction, and when the facilities open. In 2015, Doctors Hospital at Renaissance Health System added four new buildings to its continuously growing campus. Renaissance Gastroenterology, Day Surgery at Renaissance, The Village at Renaissance, and the Doctors Hospital at Renaissance – University of Texas Rio Grande Valley Family Medicine Center all opened their doors with the mission to increase access to primary and specialty health care in South Texas. Construction also commenced in 2015 on the Neuroscience Institute at Renaissance, as a multi-level addition to the main hospital. DHR-UTRGV Family Medicine Center Renaissance Gastroenterology Day Surgery at Renaissance The Village at Renaissance Since 1997, Doctors Hospital at Renaissance has expanded in response to demand for its superior staff, services, and facilities, which include: -650 + Physicians -1,200 + Nurses -4,000 + Staff -39 Operating Rooms -4 Cardiac Catheterization Laboratories -State-of-the-art Radiology Department -5 Free Standing Imaging Centers: - Imaging Center at Main Campus - Med-Point Imaging Center - Mid-Valley Imaging Center - Lone Star Plaza Imaging Center - Women’s Imaging Center -7 Endoscopy Suites -25-Bed Emergency Department -20 Bed Critical Care Unit -48 Medical and Surgical Beds -Behavioral Hospital at Renaissance -DHR Cancer Center -DHR Wellness Center -DHR Wound Care Center -Robotic Surgery Program -64 Telemetry Beds -Full Service Laboratory -12-Bed Step Down Unit -Rehabilitation Hospital at Renaissance -24 Labor & Delivery Beds -48 Postpartum Beds -63 NICU Beds -Children’s Hospital at Renaissance -12 PICU Beds -12 Pediatric Oncology Beds -Hospice and Palliative Care SERVICE LINES -Allergy & Immunology -Anesthesiology -Audiology -Bariatric Surgery -Cardiac Electrophysiology -Cardiology -Cardiovascular & Thoracic Surgery -Colon & Rectal Surgery -Cosmetic & Plastic Surgery -Dermatology -Emergency Medicine -Endocrinology -Facial Plastic Surgery -Family Medicine -Gastroenterology -General Surgery -Geriatrics -Genetics -Gynecology -Gynecologic-Oncology -Hospitalist, Adult & Pediatric -Infectious Disease -Internal Medicine -Interventional Radiology -Licensed Professional Counselor -Maternal-Fetal Medicine -Neonatology -Nephrology -Neurology -Neurological Surgery - Obstetrics -Oncology -Oncology-Hematology -Ophthalmology -Oral & Maxillofacial Surgery -Orthopedic Surgery -Otolaryngology -Pain Management -Palliative Medicine -Pathology -Pediatrics -Pediatric Cardiology -Pediatric Critical Care -Pediatric Dentistry -Pediatric Gastroenterology -Pediatric Infectious Disease -Pediatric Intensivist -Pediatric Nephrology -Pediatric Neurology -Pediatric Neurosurgery -Pediatric Oncology-Hematology -Pediatric Pulmonology -Pediatric Radiology -Pediatric Surgery -Pediatric Urology -Physical Medicine & Rehabilitation -Podiatry -Psychiatry -Psychology -Pulmonology -Radiation Oncology -Radiology -Rheumatology -Urology - Vitreoretinal Surgery -Wound Care /Hyperbaric Medicine FACTS One of the largest physicianowned in the United States and offers some of the most comprehensive medical care on the U.S. Southern Border - Over 700 practicing physicians in over 70 specialties and sub-specialties - Care provider to over 285,000 patients annually, 90% of which are Hispanic - Operates one of the largest Trauma Level III Emergency Rooms in Hidalgo County - Home to the only exclusive Women’s Hospital in South Texas and a Level III-C Neonatal Intensive Care Unit, which is ranked in the Top 5% internationally by the Vermont-Oxford Network - Home to the highest Nurse-to-Patient Ratio in South Texas. - Launched a county-wide effort to create an electronic community medical record platform (RioOne Health Network) that will integrate all medical health record systems in Hidalgo County to allow for physician collaboration on patient care across multiple platforms sky is the limit. Spring and Fall 2014, Spring and Fall 2015 A Spring 2015 “A” Hospital Safety Score HOSPITAL SAFETY SCORE SM 2015 Commission on Cancer Accreditation 2015 Aetna Institute of Quality-Bariatric Surgery Facility 2015 Advanced Level III Trauma Center the hospital discharge to recovery. Services include medication education, diet and nutrition guidance, South Texas is considered one of the most home visits, emergency room patient navigation, economically depressed areas in the state. On top of which connects patients that enter the ER to a poverty, our region has to grapple with low education primary care physician if they do not have one, and rates, one of the highest rates of uninsured adults in a call center. the country, and increasing levels of chronic health conditions, such as diabetes and heart failure. Such Through Transitional Care Management and the socioeconomic hardships can be a major cause of Care Link Clinic, in just five years, DHR has cut its readmissions rates in half for acute myocardial high hospital readmission rates. infarction (AMI), heart failure (HF) and pneumonia In an effort to alleviate these impediments to care, in (PN). Today, we are well below the national average 2014 Doctors Hospital at Renaissance launched the for readmission rates. In recognition of our success Care Link Clinic concept, community-based clinics in reducing readmissions, the Texas Hospital that help transition high-risk patients to a successful Association honored DHR with the 2015 Bill Aston recovery after they have been discharged from the Award for Quality. hospital. The Care Link Clinic concept was spurred from the hospital’s innovative patient care initiative— The Bill Aston Award honors hospitals that have Transitional Care Management—that was launched in distinguished themselves through measurable 2010. Under this program, DHR devised and executed success in improving quality and patient outcomes a series of protocols to identify those patients most at through the sustained implementation of a national risk for readmissions and followed-up with them via and/or state evidence-based patient care initiative that involves physicians, hospital governing board phone calls and at-home visits. members and staff. Doctors Hospital at Renaissance Expanding on Transitional Care Management, the is one of only two hospitals in the state of Texas to be Care Link Clinic is an education and prevention clinic awarded with the 2015 Bill Aston Award. aimed at ensuring patients smoothly transition from CARE LINK CLINIC From Left to Right: Larry Safir, DHR Chief Strategic Officer; Linda Resendez, DHR Vice President of Clinical Integration; Dr. Robert Martinez, DHR Chief Medical Officer, Chief Physician Executive; Dora Vela, DHR Associate Administrator; and Annette Ozuna, Pharm.D, DHR Clinical Pharmacist of Renaissance Care Link Clinic CERTIFIED PROGRAMS AWARDS AND ACCOLADES - 2014 CARF Accreditation for Inpatient Rehab Program, Adults and Adolescents - 2014 CARF Accreditation for Stroke Specialty Program, Adults - 2014 College of American Pathologists (CAP) Laboratory Accreditation - 2014 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Comprehensive Center with Adolescent Qualifications Designation - Spring and Fall 2014, Spring and Fall 2015 “A” Hospital Safety Score - 2015 American Heart Association “Get with the Guidelines” Stroke Gold Plus Achievement Award and Target Stroke Honor Roll Award - 2015 Aetna Institute of Quality-Bariatric Surgery Facility - 2015 Commission on Cancer Accreditation - 2015 Advanced Level III Trauma Center - Named One of the Best Regional Hospitals in America, the Best Hospital in the Region and #17 Best Hospital in State of Texas, with High Ranking in 3 Service Areas by U.S. News and World Report in 2015. - Named among “Top 100 Hospitals with Great Neurosurgery and Spine Programs” in the Nation by Becker’s Hospital Review - Recognized by the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) as one of the 26 hospitals in the United States that have achieved exemplary outcomes for surgical patient care. - Accredited Breast Center by the National Accreditation Program for Breast Centers and the American College of Surgeons - Support Member, the Children’s Hospital Association 12. 13. 11. 14. 10. 1. 6. 2. 15. 9. 8. 7. 3. 5. 4. WEST CAMPUS - Rehabilitation Hospital at Renaissance -The Children’s Hospital at Renaissance -DHR Imaging Center - DHR Therapy Institute -Heart & Stroke Hospital at Renaissance -DHR Wound Care Center -The Vision Care Center at Renaissance -Renaissance Care Link Clinic -Renaissance Orthopedic Trauma Institute -Urgent Care Center at Renaissance EAST CAMPUS -DHR Medical Tower -Renaissance Laboratories -DHR Cancer Center -Emergency Room -Edinburg Conference Center at Renaissance 48 Doctors Hospital at Renaissance Health System | 2015 A Year in Review 24. 17. 16. 18. 19. 23. 20. 21. EAST CAMPUS SOUTH CAMPUS -The Urology Institute at Renaissance -Pediatric Urology Institute at Renaissance -DHR Family Health Center -Joslin Diabetes Center Affiliate at DHR -The Village at Renaissance Apartment Complex -The Village at Renaissance Townhouses -The Women’s Hospital at Renaissance (Future Construction) -Behavioral Hospital at Renaissance - Heart Institute at Renaissance -DHR Bariatric and Metabolic Institute in affiliation with Cleveland Clinic Bariatric and Metabolic Institute 23. - Medical Office Building 24. -Breast Center Of Excellence -Renaissance Gastroenterology -Day Surgery at Renaissance 2015 A Year in Review | Doctors Hospital at Renaissance Health System 49 DHR BOARD OF DIRECTORS Carlos Cardenas, M.D. Chairman of the Board, Gastroenterology Chairman of Finance Committee Alonzo Cantu Martin Garza, M.D. Robert D. Martinez, M.D. Chief Physician Executive, Chief Medical Officer Lawrence Gelman, M.D. Ambrosio Hernandez, M.D. Chief Medical Compliance Officer, Pediatric Surgery Daniel J. Guerra, M.D. Norma Teran, RN, BSN, MBA Norma Cavazos, M.D. Chief Nursing Officer Director of Quality Development, Family Practice Roberto Ayers, M.D. Past Chief of Staff, Family Medicine Juan C. Bernini, M.D. Javier Cortinas, M.D. David Deanda Satish Desai, M.D. Alexander Feigl, M.D. Krystal Garza, D.D.S. Rene Garza Frank Glatz, M.D. Victor Haddad, M.D. Jose E. Igoa, M.D. Pediatric Oncology Pediatric Dentistry Emergency Medicine 50 Doctors Hospital at Renaissance Health System | 2015 A Year in Review Chief of Staff, Pediatrics ENT Oncology General Surgery Chief Hospital Executive, Anesthesiology Pediatric Pulmonology Urology Psychiatry Gauri G. Kanhere, M.D. Rodolfo Lozano, M.D. Ricardo Martinez, M.D. Gloria Mireles, M.D. Alberto Peña, M.D. Florencia Perez, M.D. Irene Perez-Young, M.D. Norman Ramirez, M.D. Cardiology Allied Health Practitioner Larry Safir Michael Sander, M.D. Pankaj Shah, M.D. Lourdes A. Uribe, M.D. Asif Zamir, M.D. Internal Medicine Colon and Rectal Surgery Gynecology Family Practice Orthopedic Surgery General Surgery Radiology Ophthalmology Neurology Obstetrics and Gynecology Armando Moncada, M.D. Plastic Surgery Hand and Microsurgery Mario Rangel, FNP Gastroenterology Fuad Zayed, M.D. Family Practice 2015 A Year in Review | Doctors Hospital at Renaissance Health System 51 OUR MISSION To improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time. James Sander, M.D. Pediatric Urology Pediatric Urology Institute at Renaissance OUR VISION To create a world class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. Ambrosio Hernandez, M.D. Pediatric Surgery DHR Chief Medical Compliance Officer OUR VALUES DHR C-A-R-E-S Value Statement Compassion We vow to provide a caring, compassionate and supportive environment by responding to the suffering of others with a desire to alleviate it. Accountability We vow to act ethically and responsibly in everything that we do and hold ourselves accountable for our actions. Respect We vow to treat every patient, family member, co-worker and visitor with kindness, dignity, professionalism and respect. Excellence through Knowledge We vow to achieve excellence in every aspect of care through knowledge, research and evidence-based practices. Safety and We vow to maintain the highest safety standards for our patients and our community. Social Conscience We vow to always be mindful of our social responsibilities to the community we serve and to let it be a guiding principle in all that we do. 54 Doctors Hospital at Renaissance Health System | 2015 A Year in Review Produced by Doctors Hospital at Renaissance Health System Marketing & Corporate Communications Departments Production and Editing: Marissa Castañeda Design: Jose Maria Ruiz Writing: Kelli Owen Quin Photography: Gerardo Garmendia, Christian E. Möller Call. Visit. Learn more. 5501 S. McColl Road / Edinburg, TX 78539 www.dhr-rgv.com / (956) DOCTORS (362-8677) Doctors Hospital at Renaissance proudly meets the federal definition of a “physician-owned hospital” (42 CFR § 489.3). As required by law, a list of the hospital’s physician owners and investors is available at www.dhr-rgv.com.
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