the treasure coast community report

Transcription

THE TREASURE COAST COMMUNITY REPORT
HCA EAST FLORIDA: THE TREASURE COAST
L awnwood R egional M edical C enter • R aulerson H ospital • S t . L ucie M edical C enter
HCA East Florida
HCA
HCA’s roots date back to 1968 when Dr. Thomas Frist, Sr. led a group of
physicians to build a hospital in Nashville, Tennessee. Over four decades
of hard work and dedication have made HCA – Hospital Corporation of
America – the nation’s leading provider of quality healthcare services, with
locally managed facilities that include approximately 163 hospitals and
109 outpatient surgery centers in 20 states and throughout Great Britain.
In Florida, there are 41 hospitals and 31 surgery centers, three division
offices and several other service facilities affiliated with HCA.
The Treasure Coast
Lawnwood Regional
Medical Center &
Heart Institute
Raulerson Hospital
St. Lucie Medical Center
Palm Beach County
Columbia Hospital
JFK Medical Center
Palms West Hospital
HCA East Florida Division
Located in Ft. Lauderdale, the HCA East Florida Division encompasses
14 hospitals in South Florida and the Treasure Coast, in addition to multiple
ambulatory surgery centers and imaging centers, a supply chain center
and an integrated regional laboratory. Together, the network employs more
than 13,900 individuals and has nearly 5,000 physicians on staff.
HCA The Treasure Coast
The Treasure Coast region of HCA East Florida consists of Lawnwood
Regional Medical Center & Heart Institute, Raulerson Hospital and
St. Lucie Medical Center. Each hospital is an integral part of the community,
providing residents with the highest-quality care, latest technology,
preventative services and informative seminars. We share a commitment
to delivering comprehensive and compassionate care to meet the needs
of the community.
Broward County
Northwest
Medical Center
Plantation
General Hospital
University Hospital &
Medical Center
Westside Regional
Medical Center
Miami/Dade County
Aventura Hospital &
Medical Center
Kendall Regional
Medical Center
Mercy Hospital
Sister Emmanuel
Hospital
1
Quality and Patient Safety
HCA East Florida: At A Glance
Hospitals
14
Surgery Centers
12
Diagnostic Imaging
Centers
Psychiatric Care
Facilities
2
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hCare Electronic Health Record (EHR)
hCare Access
EHR simplifies access to patient health information
by immediately providing clinicians with accurate
information for optimum patient care. We believe
that EHR will be a fundamental support system for
improving the quality of healthcare in our facilities.
This service provides physicians and their staff
with a faster and more convenient remote login
solution. Whether using PC, Mac or iPad, physicians
have access to the same clinical applications
they use at the hospital from virtually anywhere.
Connection time is 75% faster than prior remote
access solutions and single sign-on password
management is available.
hCare Hub/Mobility Physician Portal
7
Regional Laboratory
1
Graduate Medical
Education Programs
7
Number of
Licensed Beds
3,394
Total Employees
13,926
Total Physicians
4,465
Total Volunteers
1,307
This portal integrates the electronic medical
records of our physician practices with our hospitals
to provide physicians with access to their patients’
clinical records. It puts critical information at their
fingertips, both on their office computers and via
smartphone technology.
Computerized Provider Order Entry (CPOE)
CPOE is patient safety technology that allows
providers to place orders directly into the clinical
information system and check each order against
the patient’s medical information. Providers
are alerted to any potential contraindications or
interactions at the time of order. This streamlines
the process and eliminates opportunities for
medical error. In addition to the safety checks,
orders go immediately to the department(s) that
will implement/initiate the order, leading to more
efficient patient care. This system is used in all of
our emergency departments and hospital-wide.
Picture Archiving and Communications
Systems (PACS) & MUSE
PACS stores digital versions of patients’ clinical
images, such as CT and PET scans, MRIs and
X-rays to make them readily accessible at the
hospital or remote locations. The MUSE system
digitizes EKG tracings, allowing for easy access
to this information.
Electronic Bar-Coded Medication
Administration
All HCA East Florida hospitals have implemented
eMAR software to prevent medication errors
and improve patient safety. Each patient receives
an armband with a unique bar code. Before a
medication is administered, the bar codes on both
the armband and medication are scanned to verify
that the patient is receiving the right drug and
dosage at the right time. The software checks each
medication against the patient’s drug history and
lab results. If conflicts or potential interactions are
identified, warnings alert the nurse to verify or call
the doctor before administering the medication.
HCA’s results with eMAR have been instrumental in
encouraging the FDA to develop a standardized bar
code system for the pharmaceutical industry and at
all hospitals to improve patient safety.
Bar code-enabled transfusion administration allows
clinicians to scan the patient ID band and the bar
code on the blood product to ensure that the correct
product is being issued and administered to the
patient. This capability is similar to the functionality
introduced by the eMAR & Bar Coding project, now
called Bar Code-Enabled Medication Administration.
Voice Recognition System
This technology allows physicians to report their
clinical findings directly on a system that recognizes
their voice. It creates efficiency in our radiology
departments by eliminating the delays often caused
by transcriptions. The report then gets reviewed on
screen by the radiologist where it can be corrected,
signed and sent for utilization by other clinicians
within a 30-minute time frame.
Emergency Department Management
Module (EDM)
EDM is used to manage the flow of patients through
the emergency department from arrival through
departure. Both CPOE and eMAR fully integrate
into EDM, allowing for streamlined communication
of orders and medication administration between
physicians and emergency department staff. EDM
is also used to measure and track emergency room
wait times quickly and accurately.
Telehealth
At JFK Medical Center, HCA East Florida has the
ability to monitor patients from a distance using
electronic devices to record and send measurements
of patient vital signs. Telehealth technologies are
evolving to provide real-time interactive health
systems that can engage patients and their care
teams more fully in their treatment. Upon discharge,
patients are monitored and managed from home.
Emergency Department
For the past few years, HCA East Florida has been
working diligently to improve the effectiveness
and efficiency of its emergency rooms. Our focus
on enhancing care and improving emergency
processes has dramatically reduced wait times
to below national averages. We have been so
successful that average emergency room wait
times are now available to the public. This vital
information provides patients with the resources
to make informed decisions about their urgent
medical needs. Wait times for all of our hospitals
are updated every 30 minutes and are available
via text of ER to 23000, iPhone app on our website,
iPhone iTriage app from the App Store and roadside
digital billboards throughout the region. We also
offer emergency room wait times for our hospitals
with pediatrics. Patients can text ERKids to 23000
for access to immediate average wait times for
children’s emergency care.
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Social Media
Technology
Giving Back to the Community
Social media allows the community to
communicate with us directly. All of our
hospitals can be accessed through
Facebook and Twitter, and there is a video
library on YouTube. Our social media
channels make it simple to stay up to date
on our latest technologies, services and
community involvement. Our hospitals’
websites encourage interaction and provide
important information.
Our East Florida Division hospitals are upgrading
technology at an unprecedented rate to ensure that
we provide clinical excellence and optimal patient
outcomes. In addition to using the most advanced
medical systems, our facilities have integrated
wireless and digital technology through all
modalities. We also offer nine robotic programs
that enable surgeons to perform precision work
with very small incisions and faster recovery times.
Community Support
Step Up for Students
Our employees provide financial and volunteer
support to countless civic organizations, schools,
colleges, city projects and charitable organizations
in their communities.
Since 2005, HCA has redirected corporate income
tax to the Step Up for Students program. Through
this gift, low-income students receive a K-12
scholarship enabling them to receive a quality
education. Qualifying parents can use these grants
to send their child to the public or private school
that best meets their child’s needs.
Uninsured/Underinsured Patient Education
HCA East Florida hospitals are committed to
helping uninsured/underinsured patients who
qualify for local and state health benefits. Each
hospital offers on-site benefit education and
Medicaid enrollment assistance.
Remote Patient Monitoring
AirStrip Cardiology and AirStrip OB are two
applications that are improving the speed and
quality of communication within our hospitals.
AirStrip Cardiology is the revolutionary new
technology that delivers EKGs from Emergency
Medical Services directly to doctors’ and nurses’
smartphones or tablets. It allows patients to be
assessed while they’re being transported to the
hospital. The crucial time saved can help save lives.
AirStrip OB delivers vital patient waveform data,
including fetal heartbeat and maternal contraction
patterns, in real time directly from the hospital
labor and delivery unit to a doctor’s smartphone.
This application gives physicians the ability to
closely monitor patients 24/7 when the demands
of their day necessitate their periodic absence
from the labor and delivery unit.
Volunteering
iTriage
iTriage provides access to medical information
on thousands of symptoms, diseases and
medical procedures. It also allows patients to
find emergency room wait times, get healthcare
cost information and view quality reports. iTriage
was developed to put better medical information
into patients’ hands. These medical pioneers
have now empowered healthcare consumers
with this revolutionary acute care decision tool.
iTriage is available as a free app for iPhone,
Android, Blackberry & Palm smartphones or
at www.iTriageHealth.com.
®
TM
®
®
In 2011, HCA East Florida hospital employees and
volunteers dedicated 377,444 hours of patient and
family support. Events included building homes
with Habitat for Humanity, Making Strides for the
American Cancer Society, and promoting wellness
and education through complimentary health
screenings and lectures. We sponsor the Team
Storm Riders cycling team, which ranked 49th in
the country for raising funds for the National
Multiple Sclerosis Society, with riding members
from our staff.
Consult-A-Nurse® Healthcare
Referral & Information
Consult-A-Nurse is a free service that provides
physician referrals and health information by phone,
24 hours a day. The service supplies information
about physicians affiliated with HCA hospitals,
including their medical specialty, skills, experience,
and office information. Registered nurses are
available to provide consultations and answer
health questions.
®
Partial list of the organizations benefiting from
HCA Hospitals in The Treasure Coast:
Alzheimer’s Association
American Cancer Society
American Diabetes Association
American Heart Association
American Stroke Association
Autism Speaks
Big Brothers, Big Sisters of
St. Lucie County
Boys & Girls Club of St. Lucie
Economic Council of Okeechobee
Florida State University Foundation
Food for Families
Habitat for Humanity
HCA Hope Fund
Hospice of Okeechobee &
Treasure Coast
Okeechobee County Schools
Okeechobee Health & Safety Expo
Stop Stroke Society
Tobacco Free Partnership
of Okeechobee
United Way
4
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At Lawnwood Regional Medical Center and
Heart Institute, our focus is on providing the
highest quality care to our patients. In 2011, we
were honored to be named number one on the
elite list of Top Performing Hospitals by The
Joint Commission. Only 14% of hospitals in the
nation earned this distinction and Lawnwood’s
outcomes on key quality indicators placed our
facility in the premier position.
As home to the region’s only Trauma Center,
our ability to provide the best in critical care is
key to our role in the community. In 2011, we
expanded those services with the completion
of a new $16.8 million Intensive Care Unit. This
three-story, 24-bed expansion dramatically
improved the community’s access to critical
care. We also opened a six-bed Pediatric
Intensive Care Unit to allow seriously injured
or ill children to receive care close to home.
Thank you for the trust you place in our
physicians and staff as we continually strive
to meet your healthcare needs.
Rodney Smith
Chief Executive Officer
Lawnwood Regional Medical Center
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L awnwood R egional M edical C enter • R a u l e r s o n H o s p i t a l • S t . L u c i e M e d i c a l C e n t e r
Lawnwood Regional Medical Center
Emergency/Trauma Care
The Heart Institute
Physical Rehabilitation Center
Lawnwood Regional Medical Center and Heart
Institute’s Treasure Coast Trauma Center is the
only trauma center of its kind treating critical
and traumatic injuries from St. Lucie, Indian River,
Okeechobee and Martin counties. Patients are
brought by air and by ground to Lawnwood’s
Treasure Coast Trauma Center for care by the
specialized trauma team. This team includes
trauma/critical care surgeons, trauma orthopedic
surgeons, neurosurgeons, plastic surgeons and
a cadre of specialized physicians and more than
100 trauma specialty-trained nurses.
The Heart Institute is the most experienced open
heart program on the Treasure Coast. Launched
in 1998, the program has been providing nationally
recognized quality patient outcomes to the Treasure
Coast for over a decade. Patients benefit from
cardiologists, cardiac and vascular surgeons, and
specially trained cardiac nursing and support staff
who use leading-edge technology and techniques
to provide the highest-quality heart care.
Lawnwood’s Physical Rehabilitation Center is the
only inpatient rehabilitation program of its kind in
the county. The 34-bed center provides a range of
services aimed at returning patients to a quality
lifestyle. Services include physical and occupational
therapies, speech/language pathology and 24-hour
rehabilitation nursing. Each patient benefits from
an individualized care plan overseen by a fulltime medical director in collaboration with the
multidisciplinary team. The program is the only
CARF-accredited rehabilitation facility on the
Treasure Coast. The CARF accreditation means
that our program has demonstrated that it meets
or exceeds the professionally approved standards
and practices for acute inpatient rehabilitation.
A trauma center differs from a typical emergency
department in that it is equipped to provide
specialized, comprehensive emergency medical
services to patients suffering traumatic injuries.
A key component is having a trauma surgeon at
the patient’s bedside within minutes of the arrival
of a patient in need of rapid assessment of injuries,
which is a critical factor in successful treatment.
The trauma surgeon is the captain of a trauma team
that is swiftly assembled before the patient arrives.
EMS triages patients according to the seriousness
of their injuries and transports the most critically
injured to Lawnwood’s Treasure Coast Trauma
Center. The specialized training, experience and
skills of the trauma center’s surgeons, physicians,
nurses and staff are responsible for saving lives
and improving patient recoveries at every stage
of the process.
Surgical Services
In addition to the excellent outcomes provided
by cardiac and vascular surgeons at Lawnwood,
patients benefit from outstanding surgical services
in a broad range of specialties. Neurological,
orthopedic, plastic and cosmetic, and general
surgeons utilize minimally invasive procedures
that offer less pain, less scarring, less blood loss
and shorter hospital stays for patients. Lawnwood
earned the elite designation as a Top Performer
based on key quality measures by The Joint
Commission. Only 14% of hospitals in the nation
have been recognized as top performers and
Lawnwood is the only hospital to have achieved
success in all five medical care categories,
including surgical-site infections.
Women’s & Children’s Services
Lawnwood’s Women’s & Children’s Services is a
vital part of the community. The labor and delivery
unit provides a comfortable homelike environment
for birthing. The specially trained staff offers
quality care to the entire family throughout the
experience. For infants who require a higher level
of care, Lawnwood is home to the only Level II
Neonatal Intensive Care Unit in the county and is
staffed by a neonatologist. The 12-bed pediatric
unit provides a compassionate and comfortable
environment for delivering care to sick and injured
children under 18.
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Pediatric Intensive Care Unit
In 2011, Lawnwood developed a dedicated six-bed
Pediatric Intensive Care Unit where specialized
nurses provide constant care, monitoring and
therapies for infants, children and adolescents
suffering a traumatic injury or serious illness. Medical care is led by a pediatric intensivist and
backed by the full resources of the hospital.
Behavioral Healthcare
Treasure Coast Behavioral Healthcare at Lawnwood
Pavilion provides a comprehensive range of
behavioral health services, including treatment for
both addictive disorders and mental health issues.
Inpatient services are available in a range of formats
to best treat both the patient and the illness. A dual
diagnosis track is available for patients who suffer
with chemical dependency. The 24-bed inpatient
adult unit offers a comprehensive, short-term
stay and services delivered by an expert team of
psychiatrists, nurses, therapists, dieticians and
other mental health professionals.
L awnwood R egional M edical C enter • R a u l e r s o n H o s p i t a l • S t . L u c i e M e d i c a l C e n t e r
Hospital Statistics
Total Patients Treated
82,161
Total Salaries & Benefits
Annual Hospital
Admissions
17,705
Cost of Charity &
Uncompensated Care
Annual Emergency Visits
52,117
Taxes Paid
$197,705,000
J. Gaines
Cardiac Stent Patient
$8,642,986
55.9%
Indigent Care Tax
Total Uninsured
Patients Treated
15,969
Sales Tax
Uninsured Care
Market Share
57.7%
State Income Tax
Property Tax
Unemployment Tax
5%
Physician Specialty
Coverage in the ED
Total Taxes
6%
4%
Capital Investment
$9,762,146
Total Local Vendor
Support
$25,981,595
Minority & Women Owned
Business Support
Physician Specialty
Coverage in the ED
Total Economic Impact
Cost of Charity &
Uncompensated Care
17%
$11,493,126
Total Taxes
Medicaid Market Share
13%
$33,549,874
Other Local Tax
25,625
Total Local Vendor Support
$108,275,258
$2,240,232
$413,491
$3,400,838
$1,120,805
$1,214,224
$248,733
$4,663
Federal Income Tax
Total Medicaid
Patients Treated
Capital Investment
“My experience
at LRMC was
exceptional. Staff
members were
knowledgeable and
took an interest in
me as a person,
not just a patient.
I was treated
with care,
compassion,
and respect.”
Hospital Economic Impact
$609,583
Awards & Recognition
Institute earned the elite designation as a Top
Performer based on key quality measures by
The Joint Commission. Only 14% of hospitals
in the nation have been recognized as top
performers and Lawnwood is the only hospital
to achieve success in all five categories of
medical care. Lawnwood Regional Medical
Center and Heart Institute also received a
three-star rating by the Society of Thoracic
Surgeons for open heart surgery. This newly
developed comprehensive rating system
compares the quality of cardiac surgery among
hospitals nationwide. Only 10% of hospitals
receive a three-star rating, which denotes the
highest level of quality. In addition, we were
honored to be identified as a Blue Cross Blue
Shield Distinction Center for Cardiac Care. This
designation demonstrates our commitment to
the quality care that results in better overall
outcomes from cardiac patients. ®
Institute received the American Heart and
Stroke Association’s Get with the Guidelines
(GWTG) – Stroke Gold-Plus Performance
Achievement Award for our commitment and
success in implementing a higher standard of
stroke care through treatment according to
evidence-based guidelines. As a primary stroke
center certified by The Joint Commission, we
provide comprehensive care from the onset of
a stroke through rehabilitation.
®
55%
8
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For 33 years, Raulerson Hospital has been
providing safe, quality healthcare with a
personal touch. From our 24-hour emergency
room, to the minimally invasive surgical
procedures we perform every day, Raulerson
Hospital continues to meet the needs and
exceed the expectations of our patients. We
accomplish this through continual service and
facility enhancements. In 2011, our eight-bed
Intensive Care Unit was completely remodeled
in time for our busy winter season. Similarly,
renovations to our digital mammography room
provided a refreshing new appearance and
ambiance. One thing that hasn’t changed is our
experienced medical staff who always treats
patients with respect and courtesy. Our goal
is to be your first choice for your healthcare
needs. I hope you find our 2012 Community
Report engaging. We enjoy sharing our latest
news and technologies with the community.
Likewise, patients and visitors are always
encouraged to share their feedback with
members of the patient’s healthcare team or
myself, as well as to join us for our quarterly
Patient Advisory Council dinners.
Robert Lee
Raulerson Hospital
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L a w n w o o d R e g i o n a l M e d i c a l C e n t e r • R aulerson H ospital • S t . L u c i e M e d i c a l C e n t e r
Raulerson Hospital
Emergency Department
Raulerson Hospital’s emergency department has
been operating 24 hours a day, seven days a week,
for the past 33 years. We stand prepared to treat
the community’s emergency healthcare needs.
The emergency department is also equipped to
treat children with a 24-hour, on-call pediatrician,
pediatric specialty equipment and staff trained in
Pediatric Advanced Life Support. Our commitment
to providing quick access to quality emergency
care has enabled us to reduce emergency room
wait times to below national averages. Wait times
for all HCA hospitals are available by texting ER to
23000 and are also displayed in the actual waiting
room. The times are updated every 30 minutes to
help patients make informed decisions about their
urgent care needs.
Surgical Services
Raulerson Hospital’s surgical team is dedicated
to meeting the surgical needs of communities
throughout the Treasure Coast. Our patients and
their families receive the quality care they expect,
with a personal touch. Our professional operating
room nurses work alongside our highly skilled
surgeons to further develop and strengthen
their skills. To ease the difficult waiting process,
Raulerson Hospital’s waiting rooms have television,
complimentary Wi-Fi access and hot coffee
available at all times. We have implemented a
state-of-the-art Patient Tracker in waiting rooms
to provide family members with updates regarding
the patient’s surgery. From the comfort of the
waiting rooms, family members may view the
Patient Tracker to monitor a patient’s progress
through pre-operative care, surgery and recovery.
American Registry of Radiologic Technologists.
All imaging devices at Raulerson Hospital use the
Picture Archive and Communication System (PACS)
to provide digital medical images and other related
information within seconds.
Our medical staff includes physicians in the
following specialties:
We proudly offer the following diagnostic imaging
equipment:
• General Surgery
• Cardiology
• Interstim Therapy
(Incontinence)
• New 1.5 T MRI with “Cadstream” computerassisted diagnosis
• Colon/Rectal Surgery
• Laparoscopic Surgery
• Ear, Nose and
Throat Surgery
• Orthopedic Surgery
• New GE BrightSpeed 16-slice CT scanner for
superior image quality and quicker scans
• Endoscopic Surgery
• Pulmonology
• Gastroenterology
• Urology
• Podiatry
• Gynecology
Radiology and Diagnostic Imaging Services
Raulerson Hospital provides full-service diagnostic
imaging services with state-of-the-art digital
imaging equipment and the convenience of care
close to home. Diagnostic imaging is performed on a
daily basis at Raulerson Hospital to detect and track
conditions with the most accurate and timely results.
This insight enables the healthcare team to develop
the most effective and comfortable treatment plan.
Raulerson Hospital is recognized by the American
College of Radiology in the five imaging modalities
of CT scan, MRI, ultrasound, nuclear medicine
and mammography. Our radiology department is
fully staffed with technologists registered by the
• Digital mammography system with iCAD
(computer-aided diagnosis) for outstanding
image quality and an easier, more comfortable
exam experience
• DEXA imaging system to detect osteoporosis
and provide bone density screenings
The following diagnostic procedures are available:
• Bone density
screenings
• MRI
• Digital mammography
with iCAD
• PACS
• CT scans
• Ultrasound
• X-rays
• Fluoroscopy
Laparoscopic Surgery
Laparoscopic surgery is a specialized, minimally
invasive technique for performing surgery. It is
performed through small incisions approximately
0.5 to 1 cm long. Various instruments and a camera
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are passed through these incisions and the images
are shown on high-resolution video monitors in
the operating room. Laparoscopic surgery reduces
the need for the large incisions and long recovery
times required in traditional surgeries. Patients
also experience less pain, less scarring and a faster
return to normal activities.
Our highly skilled surgeons regularly perform the
following laparoscopic procedures:
• Laparoscopic Appendectomy
• Laparoscopic Gall Bladder Removal
• Laparoscopic Hysterectomy
Occupational Health Services
At Raulerson Hospital, Company Care is an
occupational health and workers’ compensation
program tailored to meet the unique needs of the
business community. More than 50 of the area’s
largest businesses and government agencies trust
Company Care to provide comprehensive health
services to maintain a strong and healthy work
force. Company Care provides fast and efficient care,
including pre-employment testing, FDOT-certified
physicals and drug and alcohol testing, emergency
care and workers’ compensation treatment. Our staff
understands and implements the follow-up required
by insurers. Company Care meets precertification
requirements and provides the feedback and
documentation required to help employees return to
work as soon as possible. It also assists employers
in complying with workplace regulations and
establishing safer work environments. At Raulerson
Hospital, Company Care is dedicated to getting
employees healthy and back to work.
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L a w n w o o d R e g i o n a l M e d i c a l C e n t e r • R aulerson H ospital • S t . L u c i e M e d i c a l C e n t e r
Hospital Statistics
54,581
Annual Hospital
Admissions
4,238
23,806
Total Medicaid
Patients Treated
11,351
36.1%
Total Uninsured
Patients Treated
6,869
Uninsured Care
Market Share
57.5%
Cost of Charity &
Uncompensated Care
9%
4%
Physician Specialty
Coverage in the ED
Total Taxes
1%
$29,379,795
$5,569,451
Taxes Paid
Federal Income Tax
State Income Tax
Indigent Care Tax
Property Tax
Sales Tax
Unemployment Tax
Capital Investment
$637,104
$117,593
$821,048
$284,870
$223,775
$87,234
Total Taxes
$2,171,624
Capital Investment
$1,927,420
Total Local Vendor
Support
$4,068,045
Business Support
$54,083
“I was treated with the
utmost respect by
everyone. Thanks,
Raulerson, for
saving my life.”
Patricia Anderson
Patient
In September 2011, Raulerson Hospital
received national recognition from The Joint
Commission, the leading inspection and
accreditation organization for hospitals. Raulerson Hospital was one of only 405
facilities in the United States to be selected
as a Top Performer in key quality measures
for 2010. Our patients consistently express
that they have never experienced the level of
personal care and attention that Raulerson
Hospital proudly delivers.
Raulerson Hospital also received the
distinction as a Top Performing Outpatient
Radiology Department in HCA’s Eastern
Florida Division. This recognition signified that
Raulerson Hospital’s radiology department
outperformed 11 other radiology departments
in our region. We are proud to have one of
the only radiology departments in Florida
accredited by the American College of
Radiology in all five imaging modalities.
5%
Physician Specialty
Coverage in the ED
$440,215
$43,556,000
Cost of Charity &
Uncompensated Care
13%
67%
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For over 25 years, St. Lucie Medical Center
has played an integral role in our community
and expanded its medical services to ensure
that the highest-quality care can be found
close to home. We have partnered with local
organizations to deliver services to those in
need. Our alliance with the HANDS Clinic in
St. Lucie County, to which we contributed
nearly $2 million in charitable services, is one
example of how we make services available for
at-risk patients throughout our community.
This report identifies our specialized services
that have earned national recognition based on
excellence in care delivered with compassion
and individualized attention. Earning the elite
designation as a Top Performing Hospital
by The Joint Commission based on key quality
indicators underscores our focus on quality
outcomes for patients. The launch of our
interventional cardiology program in 2011
demonstrates our commitment to investing in
the technology necessary to expand access
for critical care.
As always, it is our privilege to meet your
healthcare needs.
Gary Cantrell
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L a w n w o o d R e g i o n a l M e d i c a l C e n t e r • R a u l e r s o n H o s p i t a l • S t . L ucie M edical C enter
Emergency Care
St. Lucie Medical Center offers 24-hour emergency
services with specially trained physicians, nurses
and support staff equipped with the resources of a
full-service hospital to ensure the fastest and most
appropriate treatment. With 24 emergency beds
and a four-bed Fast Track program, our emergency
department has the expertise and technology to
provide the best care possible. Cardiac Care
The new, state-of-the-art cardiac catheterization
laboratory at St. Lucie Medical Center offers
Treasure Coast residents another option in heart
care. The medical team provides a wide range of
expertise and is supported by specially trained
nursing and technical staff at the hospital. Patients are offered a full range of diagnostic
and interventional cardiac procedures.
In addition to traditional procedures, patients can now
benefit from radial approach cardiac catheterization
rather than through the leg. Dr. Jason McManus, a
board-certified interventional cardiologist with the
Heart & Family Health Institute, brings his expertise
in this beneficial catheterization option to the
community. “The radial approach uses the artery
in the patient’s wrist versus the femoral artery
in the leg,” explained Dr. McManus. “Over 60% of
catheterization patients are good candidates for this
technique. There is less bleeding and swelling and
it requires virtually no bed rest. Patients are able
to sit and stand almost immediately and leave the
hospital with a simple bandaid on their wrist. The
radial approach, when appropriate for an individual
patient, offers fewer complications and much
quicker recovery.”
The Advanced Wound Center
The Advanced Wound Center at St. Lucie Medical
Center has served patients on the Treasure Coast
for more than 15 years. As the area’s only wound
center accredited by The Joint Commission, the
Center specializes in chronic and complicated
wounds and offers an interdisciplinary approach to
treatment with access to a full range of specialists.
Patients benefit from highly skilled physicians and
staff with experience in healing a wide range of
wounds. Using a combination of therapies, including
hyperbaric oxygen treatment, the Center has helped
patients by healing wounds in nearly half the time
compared to the national average.
The center’s Lymphedema Clinic has experience
in treating a variety of diagnoses related to
swelling. All therapists are lymphedema-certified
and place an emphasis on patient education for
long-term management of their condition.
Behavioral Healthcare
Treasure Coast Behavioral Healthcare at St. Lucie
Medical Center is a 22-bed, high-quality crisis
intervention and stabilization unit backed by the
hospital’s full range of medical services. Located
within the hospital, this is the only center in St. Lucie
County with medical care available on-site. The Access Team provides free consultations and
assessments 24 hours a day. The team responds
to psychiatric emergencies at St. Lucie Medical
Center’s emergency department, where patients
may also receive a medical exam.
Women’s Services
St. Lucie Medical Center’s experienced obstetrical
staff provides compassionate care for new
mothers and their babies. Beautiful birthing and
post-partum rooms offer comfort and privacy for
family bonding. Nurses are certified in neonatal
resuscitation, advanced cardiac life support (ACLS)
and advanced fetal monitoring. Prenatal classes
are offered in partnership with Healthy Start and a
registered nurse makes home visits after discharge
to ensure that the new mother has all of the
resources needed to provide care for her baby.
Orthopedic & Spine Institute
Opened in 2009, this 35-bed unit features all private
rooms outfitted with safety-enhanced patient beds
and the latest in orthopedic equipment. A team
of experts includes board-certified orthopedic
surgeons, neurosurgeons, orthopedic-certified
professional nurses, physical therapists and
15
technicians. Surgeons use minimally invasive
and muscle-sparing techniques to ensure faster
recovery and the best outcome possible for each
patient. The Orthopedic & Spine Institute specializes
in joint replacement, back pain, fractures, sportsrelated injuries, arthritis, joint discomfort, and
ligament and tendon injuries. In 2011, the Institute
earned The Joint Commission’s “Gold Seal of
Approval” Certification in total hip and knee
replacement and wound care.
L a w n w o o d R e g i o n a l M e d i c a l C e n t e r • R a u l e r s o n H o s p i t a l • S t . L ucie M edical C enter
Hospital Statistics
72,723
$81,705,705
Annual Hospital
Admissions
12,437
Cost of Charity &
Uncompensated Care
$13,533,720
42,848
Taxes Paid
Total Medicaid
Patients Treated
13,444
Surgical Services
30.0%
Indigent Care Tax
St. Lucie Medical Center offers patients minimally
invasive surgical options utilizing the da Vinci
Surgical System for robotic-assisted surgery for
prostate, general and gynecological procedures. The facility also offers patients the option of
minimally invasive sinus surgery with the use of
the FUSION ENT Navigation System, which is an
innovative electromagnetic image-guided surgery
system that allows the surgeon to operate with
the maximum amount of information about the
unique anatomy of each patient. It supplies valuable
information that helps to enable a safer procedure,
a more thorough surgery and additional peace of
mind for the surgeons and patients. “The addition
of this new technology allows us to more safely
navigate the sinus and skull base,” said John T.
Lanza, MD, FACS. “This commitment allows the
highly skilled ENT surgeons in our area to provide
university-quality surgical care here at home.”
Total Uninsured
Patients Treated
11,375
Sales Tax
Uninsured Care
Market Share
44.3%
®
11%
6%
Physician Specialty
Coverage in the ED
Total Taxes
3%
5%
$6,706,364
Capital Investment
$7,583,348
Total Local Vendor
Support
$14,427,421
Property Tax
Business Support
Physician Specialty
Coverage in the ED
Cost of Charity &
Uncompensated Care
11%
64%
16
Total Taxes
State Income Tax
Unemployment Tax
Capital Investment
Other Local Tax
$1,778,542
$328,275
$2,187,048
$971,517
$1,237,452
$198,853
$4,677
Federal Income Tax
$287,650
$3,383,778
$127,340,000
“The Orthopedic and
Spine Institute at
St. Lucie Medical
Center is like a firstclass hotel. All of the
staff and my physician,
Dr. Rossario, were
very professional.
I had an excellent
experience and
shortly after my
surgery I was on
a plane to Italy!”
Clara Russell
Orthopedic Spine Patient
St. Lucie Medical Center earned the elite
designation as a Top Performer based on key
quality measures by The Joint Commission.
Only 14% of hospitals in the nation have been
recognized as top performers. In addition, St.
Lucie Medical Center is accredited by The Joint
Commission and certified as a Primary Stroke
Center for its disease-specific stroke care, as
well as for its knee and hip replacement and
wound care.
St. Lucie Medical Center was awarded the
Gold-Plus Seal of Approval from the American
Heart and Stroke Association’s Get with the
Guidelines program. St. Lucie Medical Center
has also been awarded an Accreditation with
Commendation from the American College of
Surgeons, Commission on Cancer.
®
In addition, St. Lucie Medical Center was
honored with a Blue Center of Distinction for
Knee and Hip Replacement and Spine Surgery
by Blue Cross and Blue Shield. Distinguished
hospitals demonstrate an expertise in
providing quality care and achieving better
overall outcomes by meeting objective clinical
measures developed with input from expert
physicians and medical organizations.
1700 S. 23rd Street
1796 Highway 441 North
1800 S.E. Tiffany Avenue
Fort Pierce, FL 34950
Okeechobee, FL 34972
Port St. Lucie, FL 34952
772.461.4000
863.763.2151
772.335.4000
LawnwoodMed.com
RaulersonHospital.com
StLucieMed.com

the treasure coast community report

Transcription

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